Purpose and Applicability Standards apply to all Group Residential Settings. Subpart 39. Group residential setting. "Group residential setting" means a residential program that offers care to residents and extended jurisdiction juveniles in which the license holder does not live at the licensed facility.

Exemptions Subpart 4. Exemptions. The exemptions in items A and B apply. A. Transitional services programs certified under part are exempt from the requirements of parts to B. Shelter services programs certified under parts to are exempt from the requirements of parts to Transitional services (Housing) Shelter services (placement up to 90 days)

Quality Assurance Resident and Family Satisfaction Survey Treatment Plan Compliance

Subpart 1 - Satisfaction Survey Random sample possible: Youth Parents Guardians Referring agency

Satisfaction Survey Evaluate: Daily care & support of residents Assess physical, emotional well- being of youth Resident safety Education of resident, inc IEP

Satisfaction Survey Affects of treatment on the youth & youths family Support of Family & Community Reintegration Support to obtain needed Medical, dental and MH care

Subpart 2 Treatment Plan Compliance After discharge document: Services provided by the license holder or other providers Achievement of identified treatment plan goals and objectives.

Personnel Policies Written Job Descriptions Professional Licensure Staffing Plan Chief Administrator Program Director-FT, capacity over 24 Privacy Issues

Subpart 3 - Staffing Plan Written Approval from licensing agency Meets the needs of residents in placement

Subpart 3-E Gender Specific Contingency Plan Immediate response by on-call staff of the same gender: When necessary to ensure privacy When indicated by resident needs assessment When necessary to provide appropriate care to sexual abuse victims.

Subpart 3E (3) Contingency Plan Documentation Violations Circumstance requiring same gender supervision Reason same gender supervision was not provided What the facility will do to prevent a recurrence Two year record retention

Subpart 3G Staffing Plan Staff-Resident ratio- 1:12 awake hours Staff-Resident ratio- 1:25 non-awake hours

Subpart 3-J Staffing Plan Staffing plan must be appropriate for the services offered: Program Services Program Services Physical plant features/characteristics Physical plant features/characteristics Condition of the resident Condition of the resident Age of resident served Age of resident served Resident physical and mental health Resident physical and mental health Vulnerability of resident Vulnerability of resident

Staffing Plan Risk of absconding behavior Risk of absconding behavior Gender of resident Gender of resident Disability of the resident Disability of the resident Self-preservation capability in an emergency Self-preservation capability in an emergency Types of education services offered the resident Types of education services offered the resident Degree of threat to others Degree of threat to others

Subpart 4 Personnel Training Annual Training Plan Sufficient to accomplish duties Direct contact staff: 24 hours yearly (50% or more skill development) Part-time staff:1 hour of training for every 50 hours worked

Training-Orientation Facility must provide training in the following areas: Culturally competent care Culturally competent care Download DHS bulletin Download DHS bulletin Racial bias and racism issues Racial bias and racism issues Reference: DHS Publication: Guidelines for Culturally Competent Organizations Publications Fact Sheets Organization and Management Culturally Competent Organizations HS_id_ hcsphttp://

Training-Orientation Gender issues, including the psychosocial development of boys and girls Gender issues, including the psychosocial development of boys and girls Sexual orientation issues Sexual orientation issues Physical, mental, sensory, and health related disabilities, bias and discrimination. Physical, mental, sensory, and health related disabilities, bias and discrimination.

Admissions Policies and Process Criteria consistent with: Statement of Intended Use Statement of Intended Use License/Certification License/CertificationDescribe:AgeGenderLimitations Primary needs

Admissions Policies and Process Document Ability to meet resident needs Danger to self or others Danger to self or others Relevant screening/assessment completion Relevant screening/assessment completion Ability to meet cultural, emotional, mental health, physical needs Ability to meet cultural, emotional, mental health, physical needs

Subpart 2E Admissions Policies and Process Sex Offenders: Assess necessary precautions Sex Offenders: Assess necessary precautions Individual sleeping room Individual sleeping room Supervision Supervision Protection of other residents, community Protection of other residents, community and staff and staff Vulnerability of other residents Vulnerability of other residents Subpart 67. Sex offender. "Sex offender" means a person who has engaged in, or attempted to engage in, criminal sexual behavior.

C.D. Definitions Subpart 12. Chemical abuse. "Chemical abuse" means a pattern of inappropriate and harmful chemical use as defined in subpart 41. Chemical abuse includes inappropriate and harmful patterns of chemical use that are associated with specific situations in an individual's life such as loss of a job, death of a loved one, or sudden change in life circumstances. Chemical abuse does not involve a pattern of pathological use, but it may progress to pathological use.

C.D. Definitions Subpart 13. Chemical dependency. "Chemical dependency" means a pattern of pathological use as defined in subpart 52, accompanied by the physical manifestations of increased tolerance to the chemical or chemicals being used or withdrawal syndrome following cessation of chemical use.

Subpart 2E Admissions Policies and Process Chemical Abuser/Chemically DependentChemical Abuser/Chemically Dependent Chemical Use Assessment must be conducted by credentialed staff Chemical Use Assessment must be conducted by credentialed staff Assessment Summary written by credentialed staff indicating if needs can be met by the license holder. Assessment Summary written by credentialed staff indicating if needs can be met by the license holder.

Subpart 4 Admissions Policies and Process Information to residents: Information to residents: Copy of facility rules. Copy of facility rules. Description of programs offered provided within the first 24 hours. Description of programs offered provided within the first 24 hours.

Admissions Policies and Process Facility rules must be read to those incapable of understanding written documents. Facility rules must be read to those incapable of understanding written documents. Facility must consider the languages a resident understands and reads and the Facility must consider the languages a resident understands and reads and the residents age when presenting information to the resident.

Classification Approved classification plan Approved classification plan Age Age Developmental level Developmental level Gender Gender Physical assault Physical assault Run risk Run risk

Classification House residents consistent with statement of intended use House residents consistent with statement of intended use Delinquent sophistication Delinquent sophistication Private sleeping and toilet facilities by gender Private sleeping and toilet facilities by gender

Policy Manual Review by licensing agency Review by licensing agency Available to all staff within the facility Available to all staff within the facility

Subpart 2 - Facility Programs Written program descriptions Written program descriptions Measurable program outcomes Measurable program outcomes Minimum components: Minimum components: On-site education - 12 months On-site education - 12 months Social Services – (individual, Social Services – (individual, group and family counseling) group and family counseling) Have available trained staff to council children upon request or at a time of crisis Have available trained staff to council children upon request or at a time of crisis

Subpart 2B Facility Programs: Treatment Plans Begin within 10 days of admission Begin within 10 days of admission If the resident's case plan or screening or assessment results indicates that the needs of the resident cannot be met by the license holder, the license holder must document contact with the placement agency If the resident's case plan or screening or assessment results indicates that the needs of the resident cannot be met by the license holder, the license holder must document contact with the placement agency

Treatment Plans and notify the placement agency of the results of the screening or assessment and tell the placement agency that the program is not able to meet the resident's needs.

Facility Programs: Treatment Plans Review monthly or more Review monthly or more Document involvement of community treatment, education, and care resources related to case plan/treatment plan Document involvement of community treatment, education, and care resources related to case plan/treatment plan Designate a staff assignment to assure regular face to face contact Designate a staff assignment to assure regular face to face contact Written progress reports to parents upon request Written progress reports to parents upon request Written educational reports to the district of residence Written educational reports to the district of residence

Subpart 3 - Records and Reports Comply with data collection requirements (M.S. 253C.01)Comply with data collection requirements (M.S. 253C.01) Maintain records (organized retrievable confidential manner)Maintain records (organized retrievable confidential manner) Admission and releaseAdmission and release Resident propertyResident property Special occurrenceSpecial occurrence TrainingTraining Food ServiceFood Service Satisfaction surveySatisfaction survey

Records and Reports Daily logsDaily logs Services provided, outcomesServices provided, outcomes Program evaluationProgram evaluation Medical and dental recordsMedical and dental records Disciplinary recordsDisciplinary records Education recordsEducation records

Discharge and Aftercare Transition services plan for each residentTransition services plan for each resident Community resources Community resources Release environment: Strategies for potential challenges Release environment: Strategies for potential challenges Input from resident, family, providing school district, support services persons Input from resident, family, providing school district, support services persons Plan given to resident, school, and new facility Plan given to resident, school, and new facility

Discharge and Aftercare Transition plan elements:Transition plan elements: Housing, recreation and leisure Housing, recreation and leisure Education, vocational rehabilitation and training Education, vocational rehabilitation and training Budget plan Budget plan Transportation needs Transportation needs Treatment Services Treatment Services Health Services Health Services Personal Safety Personal Safety

Subpart 2 Treatment Plan Compliance Document how residents stay accomplished treatment plan goals and objectivesDocument how residents stay accomplished treatment plan goals and objectives Identify which services, including education, were provided directly or indirectly to the resident and who provided the services; and Identify which services, including education, were provided directly or indirectly to the resident and who provided the services; and Identify the services, including education, that were recommended in the resident's case plan or treatment plan but were not provided to the resident. Identify the services, including education, that were recommended in the resident's case plan or treatment plan but were not provided to the resident.

Physical Plant All in good repairAll in good repair Written policies and procedures: Fire prevention and Safety protocolWritten policies and procedures: Fire prevention and Safety protocol Written maintenance policies and procedures: Detecting reporting and correctingWritten maintenance policies and procedures: Detecting reporting and correcting Smoking policy (M.S )Smoking policy (M.S )

Facility and Equipment Codes Conformity with all applicable health, fire, zoning and building codesConformity with all applicable health, fire, zoning and building codes Permanent record of insurance coverage, OSHA reports, incident reports, and health, fire and other safety inspectionsPermanent record of insurance coverage, OSHA reports, incident reports, and health, fire and other safety inspections New Corrections certified programs must meet the Department of Corrections construction standards New Corrections certified programs must meet the Department of Corrections construction standards