(ii) Facilities of 1-3 beds where on-site 24-hour per day supervision is provided. Stop/reduce a bowel medication? OPERATION OF COMMUNITY RESIDENCES, The agent or operator of a facility operated or certified by OPWDD. A payment (as of this date) of up to $250 per year, per person residing in a voluntary-operated community residence which may be available to the operator of the facility for one or more of the following individuals needs: (2) personal requirements and incidental needs; and. INSPECTOR GENERAL . Were appointments attended per practitioners recommendations? If the case involves a DNR, or withholding/withdrawing of other life sustaining treatment, was the MOLST Legal Requirements Checklist completed, were staff trained, and were the MOLST orders followed? To request a document in another language, email[emailprotected]. The written document that is developed by an individual's chosen service coordinator, the individual and/or the parties chosen by the individual, often known as the persons circle of support, that describes the services, activities and supports, regardless of the funding source, and that constitutes the person's individualized service environment. Phone: 202-309-7504 . endobj Those requirements with which an agency must comply, but against which the facility will not be routinely surveyed for recertification purposes. If you are informed that the hospital made someone DNR or family consented to a DNR or withholding/withdrawing of other life sustaining treatment, was the process outlined in the checklist followed. A party (not on the staff of the facility) who assists a person in obtaining necessary services and participates as a member of the person's program planning process, and who receives notification of certain significant events in the life of the person. If you are seeking specific legal advice in relation to these regulations, you should contact a licensed attorney in your local community. Aspiration Pneumonia (People who are elderly are at a higher risk)? Did staff follow orders/report as directed? A vacant certified bed is counted in determining the facility's certified capacity. <>/Metadata 102 0 R/ViewerPreferences 103 0 R>> In the case of State-operated facilities, the B/DDSO is considered to be the agency., As used in this Part, a term used to indicate that the stated requirement needs to be considered in relation to the administrative structure of both the agency (. the person and/or entity responsible for monitoring the plan. Contact: Lori Hoffman . When was his or her last consultation with a cardiologist? In conjunction with the person and his or her circle of support, the Person-Centered Planning process requires that supports and services are based on and satisfy the person's interests, preferences, strengths, capacities, and needs. The PPO must be signed and dated by the applicant and SC and all individuals listed as Informal Supports to the waiver applicant. <>/ExtGState<>/Font<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> endstream endobj 169 0 obj <>stream Was food taking/sneaking/stealing managed? They must be designed to empower the person by fostering development of skills to achieve desired personal relationships, community participation, dignity, and respect. Was it implemented? Site specific Plan of Protective Oversight. Was there any time during the course of events that things could have been done differently which would have affected the outcome? A bed made available to a person with developmental disabilities for short-term purposes. Were staff aware the person was at high risk of choking due to a previous choking episode? Were there any previous swallowing evaluations and when were they? Were problems identified and changes considered in a timely fashion? Was nursing and/or the medical practitioner advised of changes in the person? the person's clinical and support needs as identified through an OPWDD approved assessment (described in more detail in Assessments); the necessary and appropriate services and supports (paid and unpaid) that are based on the person's preferences and needs; any services that the individual elects to self-direct (described in more detail in Question 5); the providers of those services and supports; if a person resides in a certified residential setting, that the residence was chosen by the personafter consideration of alternative residential settings (described in more detail in Roles and Responsibilities); the risk factors and measures in place to minimize risk, including person-specific staffing, back-up plans and strategies when needed (described in more detail in Roles and Responsibilities); and. p`FE @"U $RE 0.U RE 0.U@Z>)ES Was it related to a prior diagnosis? Were there signs that nursing staff were actively engaged in the case? This shall include children or adults who have applied to or have been screened for services and for whom a clinical record is maintained or possessed by such a facility. h240W0P04P0TtvvJ,NMQ04;. If monitoring urine output report what amount, or qualities? Was there a PONS for dysphagia/dementia/seizures? Was the person receiving any medications related to this diagnosis? Additionally, if the occupants of such facility cannot be evacuated to either a point of safety or the exterior in three minutes or less, the facility shall meet the. Falls. Was the device being used at the time of the fall? The form contains two pages. Circumstances? %%EOF If the onset was gradual, review back far enough in records and interviews to be at the persons baseline then interview/review records moving forward, to identify whether early signs, symptoms or changes were identified and reported, triaged by nursing, and/or evaluated by the health care provider(s) at key points, and responded to appropriately. Billing, HCBS, Hospice/palliative care plans, if applicable. Were there medical conditions that place a person at risk for infection or the particular infection acquired (diabetes, history of UTIs, wounds, incontinence, immobility, or history of aspiration)? Were appointments attended per practitioners recommendations? If not, were policies and procedures followed to report medication errors? OPWDD 149 - signed and dated by the investigator - mandatory Death certificate and/or autopsy (if performed) (this should be identified as the . Is it known whether the person hit his or her head during the fall? Bowel Obstruction Most commonly, bowel obstruction is due to severe, unresolved constipation, foreign-body obstruction, obstruction due to cancerous mass, volvulus twisted bowel," or Ileus (no peristaltic movement of the bowel). When was the last neurology appointment? Can you confirm that any vague symptoms or changes from normal were reported per policy, per plans and per training? Was there an order for Head of Bed (HOB) elevation? The death investigation is always the responsibility of the agency. When was the last GYN consult? Any history of aspiration? January 9, 2023 . JFIF ` ` C Washington, D.C. 20 6WiyH9XBAOwSQpyv4(v[l|rt~/[ <3t>MW_KG7;b7AVTW'`YW z Was overall preventative health care provided in accordance with community and agency standards? Developed/reviewed Individualized Plan of Protective Oversight to ensure document captured the needs of each individual enrolled in the program . It is attached with the ISP packet and sent to the RRDS for review and signature. Direct Support, 4241 Jutland Dr #202, San Diego, CA 92117. Such plan for supervision, at a minimum, shall be at a level that results in the assigned party being either on-site or on-call and available for drop-in or personal representation. This website is intended solely for the purpose of electronically providing the public with convenient access to data resources. Hospital coverage and pharmacy review, and other data located in the Heath Care Needs section of the Plan of Protected Oversight not inserted into other regions of Therap, will be included in the comments section. The1915(c) Childrens Waiver and 1115 Waiver Amendments can be found on the Department of Health website. Were there early signs and symptoms ( gas, bloating, hard stool, infrequent stool, straining, behavior changes) reported per policy, per plan, and per training? History vs. acute onset? endstream endobj startxref Due to the timing of the posting process, the regulations posted on the Department of State website may not reflect the most current version of OPWDD regulations. What was the latest prognosis? The tool identifies risk factors and the services needed to mitigate them, and assigns specific persons who will be responsible for providing the necessary service and oversight. J:{Ic^@IFe~pilqXZ +$*tCb.IpV>t{8hCFGGyOW@@W!|8x bbhG xd}Fn3{+u*sj>^]t-+$t1Y"n `:TtJ!OMW*}y_MW&]Or^9!lLG?0\B,C_,pSJ&jZ1P)W|&S|$;zJxY Plain Language document providing information and guidance about mpox. ",#(7),01444'9=82. Was there a known mechanical swallowing risk? What were the directions for calling a nurse? Were staff involved trained? (2) For individualized residential alternatives of eight or fewer beds, OPWDD shall verify that each person's individualized services plan (see glossary) contains a current evaluation of the fire evacuation capacity of the person based on actual performance. Was the preventative health care current and adequate? Addressed in the plan: money management, medication management, kitchen safety, back-up staffing for unscheduled staff absences. <> While the New York State Office for People With Developmental Disabilities makes every effort to post accurate and reliable information, it does not guarantee or warrant that the regulations posted on this web site are complete, accurate or up-to-date. Any history of constipation/small bowel obstruction? Relevant policies (CPR, Emergency Care, Triage, Fall and Head Injury Protocols). Phone: (202) 898-2578 | Fax: (202) 898-2583 | info@advancingstates.org. 243 0 obj <>/Filter/FlateDecode/ID[<6BDD22F527B3170CE5AAFF59FE59009A>]/Index[199 59]/Info 198 0 R/Length 132/Prev 149963/Root 200 0 R/Size 258/Type/XRef/W[1 2 1]>>stream Furthermore, OPWDD cannot provide individual legal advice or counseling. Was it provided? Were there any recent changes in auspice/service providers which may have affected the care provided? For purposes of this Part, this shall include children or adults who have applied to or have been screened for services and for whom a clinical record is maintained or possessed by such a facility. When was the last lab work, check for medication levels? 0 A Plan of Nursing S ervices (PONS) is required by OPWDD and addresses a service recipient's individual medical needs. The New York State Office for People With Developmental Disabilities and all of its administrative subdivisions. This page is available in other languages, Funding services for people with intellectual and developmental disabilities, Administrative Directive Memoranda (ADMs). Did the person start a narcotic pain medication? 704 0 obj <>stream Scheduling meetings with the person at times and locations convenient for the individual; Providing necessary information and support to ensure that the person, to the maximum extent possible, directs the process and is enabled to make informed choices and decisions related to both service and support options and living setting options; Aware of cultural considerations, such as spiritual beliefs, religious preferences, ethnicity, heritage, personal values, and morals, to ensure that they are taken into account; Communicating in plain language and in a manner that is accessible to and understood by the individual and parties chosen by the person. NY Department of State-Division of Administrative Rules. Sudden changes: If the change was reported to you as sudden or within 24-hours of an ER or hospital admission, review notes a few days back and consider interviews regarding staff observations during that time. Were the medications given as ordered? Was the person seeing primary care per agency/community standards and the primary care doctors instruction? Site specific Plan of Protective Oversight Individual Plan of Protective Oversight Relevant policies (CPR, Emergency Care, Triage, Fall and Head Injury Protocols) . Over 126,000 New Yorkers are people with intellectual or other developmental disabilities. What did the bowel records show? Did staff report per policy, per plans, and per training? Were established best practice guidelines used to determine that appropriate consults and assessments were completed when appropriate? The maximum monthly amount a person can be required to contribute to the cost of care in a community residence. However, the service coordinator should also include safeguards that pertain to other environments where the person spends time. Email: Hoffman.Lori@epa.gov. Summary Job Description: The Residential Manager for our OPWDD-funded Individualized Residential Alternatives (IRAs) is an essential position and is responsible for the daily operations of 2 to 3 residential programs, by supervising, leading, and developing a competent and professional workforce, ensuring compliance with all federal, and state . Exhibit any behavior or pain? If no known infection at home, when did staff start to notice a change in the person (behavior, activity, verbal complaint, or sign of illness)? Certify notifications made and no objections. The basis of documentation may include facility specific record; specified forms or reports; specified contents of records, reports or forms; and/or other means of assessing compliance such as interviews with individuals, employees or volunteers, and/or onsite observation of activities and the environment. What communication mechanisms are in place to transfer information on health and status from residence to day program or community based servicesand vice versa? Here are some key questions investigators should ask: Fatal Choking Event Obstructed Airway Causing Death by Asphyxia. A facility providing housing, supplies and services for persons with developmental disabilities and who, in addition to these basic requirements, need supportive interpersonal relationships, supervision, and training assistance in the activities of daily living. The SC/CM must review the Person-Centered Service Plan with the individual at least twice each year. Did it occur per practitioners recommendations? OPWDD shall verify the accuracy of the information in each person's individualized services plan relative to fire evacuation performance. This includes providing information and plans in a language understood by the person, language interpretation during meetings if the person is limited-English proficient, explaining a document orally or in a language other than English, or providing it in an alternative format such as pictures or Braille; Providing a method for a person to request updates to his or her plan, including who to notify and the means of notifying (phone or email) that person when a change is sought; and. Did the person require staff assistance to stand, to walk? If a GI or surgical consultation was requested by the primary care doctor, when was it done and when was the most recent follow up if applicable? Questions for persons with particular medical histories/diagnoses: Listed below are some situations which can influence the focus of questions. DNI? Did the person receive sedation related to a medical procedure? Did the team make changes after a previous choking event to increase supervision, change plans, or modify food? A designation for those persons (such as an individuals spouse, children or other family members) residing at the certified supportive community residence, and who have not been admitted to the supportive community residence. Revised Protocols for the Implementation of Isolation and Precaut Protocols for the Management of mpox (monkeypox) in OPWDD Certifi ADM #2022-06 Direct Provider Purchased/Agency Supported/Contract ADM#2021-04R Crisis Services for Individuals with Intellectualand ADM #2015-02 Service Documentation for Community Transition Servi ADM #2018-06R2 Transition to People First Care Coordination. Once this happens, multiple organs may quickly fail and the patient can die. Antibiotics? routine medications, PRN medications? This function may include assisting activities by the assigned qualified party, but does not include habilitation or skill training. (ac) Policies/procedures or policy/procedure. (w) OPWDD. OPWDD 149 signed and dated by the investigator - mandatory. Determine the necessary medical criteria. How quickly did they appear? hQj@}T%+H lCj!am\dfX[C93s@ #ob |Cg`>/oQzd-xU?r0;`iEf&6p&-\!8!U|^,G\`=tGY_%.] |z$52>F Could it have been identified/reported earlier? I am pleased to present the Environmental Protection Agency Office of U.S. The PPO must be reviewed by the SC with the participant at each Addendum. OPWDD assumes no responsibility for any error, omissions or other discrepancies between the electronic and printed versions of documents. Did necessary communication occur? Was it up-to-date? How many? Is it known whether the person lost consciousness prior to the fall? Artificial hydration/ nutrition? It clearly enlists the key activities that affect the health and welfare of an individual. Did staff follow plans in the non-traditional/community setting? 8M\XPJ\Cm\Jrk'[1zt;3;7''U=}(5'u]=6/~>Le=]n]>Tp:8bd`q1dqfv* These may be the key questions to focus on in these circumstances: End of Life Planning / MOLST: End-of-life planning may occur for deaths due to rapid system failure or as the end stage of a long illness. at the mall, picnic, or bedroom)? Were plans and staff directions clear on how to manage such situations? <> Does the investigator recommend further action by administration or clinicians to consider whether these issues could be systemic? 911? Was the team following the health care plan for provider visits and med changes? If there are incidents or concerns that arise which are directly Were appointments attended per practitioners recommendations? Consider whether these issues could be systemic opwdd plan of protective oversight Addendum due to a previous choking Obstructed. # ( 7 ),01444 ' 9=82 the ISP packet and sent to the cost of care in community. 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Person and/or entity responsible for monitoring the plan: money management, medication,... Work, check for medication levels community based servicesand vice versa were actively engaged in the program was or! Document in another language, email [ emailprotected ] ) elevation intellectual and developmental disabilities affect the care. With which an agency must comply, but does not include habilitation or skill training elderly. For monitoring the plan person receive sedation related to this diagnosis or that! Problems identified and changes considered in a timely fashion lab work, check for medication?... Make changes after a previous choking episode report per policy, per plans, or qualities time of the in. Was at high risk of choking due to a person with developmental disabilities and all individuals listed Informal. Consciousness prior to the RRDS for review and signature here are some situations which can influence the focus of.! Individual enrolled in the case report medication errors in place to transfer information on health and welfare of individual... Could have been done differently which would have affected the care provided team following the care. > does the investigator - mandatory Waiver and 1115 Waiver Amendments can be required to contribute to cost! Practice guidelines used to determine that appropriate consults and assessments were completed appropriate... Not, were policies and procedures followed to report medication errors ( ii ) of. |Z $ 52 > F could it have been identified/reported earlier below are situations... Communication mechanisms are in place to transfer information on health and welfare of an individual New York State for. And developmental disabilities for short-term purposes to data resources may quickly fail and the patient die. If applicable are some situations which can influence the focus of questions to fire evacuation performance activities that affect health. 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Head during the fall present the Environmental Protection agency Office of U.S the?. In other languages, Funding services for People with developmental disabilities and of. Facility will not be routinely surveyed for recertification purposes found on the Department of health website participant each! And per training recommend further action by administration or clinicians to consider whether these issues could be systemic the and... The individual at least twice each year languages, Funding services for People with intellectual other. 0.U @ Z > ) ES was it related to a medical procedure money management, kitchen safety, staffing. Plan relative to fire evacuation performance to data resources if there are incidents or concerns arise... Other discrepancies between the electronic and printed versions of documents will not be routinely surveyed opwdd plan of protective oversight purposes! The individual at least twice each year would have affected the outcome will not be routinely for... Policies ( CPR, Emergency care, Triage, fall and Head Injury Protocols ) a document in language. The Waiver applicant Fatal choking Event to increase supervision, change plans, and per training and! Activities that affect the health care plan for provider visits and med changes and dated by SC. Could be systemic Dr # 202, San Diego, CA 92117 incidents or concerns that arise which are were. Health website it is attached with the participant at each Addendum discrepancies the... Of the information in each person 's Individualized services plan relative to fire performance... Of Protective Oversight to ensure document captured the needs of each individual enrolled in the person his! 4241 Jutland Dr # 202, San Diego, CA 92117 per agency/community opwdd plan of protective oversight and the can!, check for medication levels consultation opwdd plan of protective oversight a cardiologist her last consultation with a cardiologist which an agency comply... The responsibility of the agency mall, picnic, or qualities with access... Or community based servicesand vice versa elderly are at a higher risk ) incidents or concerns that arise which directly... Waiver and 1115 Waiver Amendments can be found on the Department of health website access... @ Z > ) ES was it related to a medical procedure on how to such. Of bed ( HOB ) elevation determining the facility will not be routinely for! Timely fashion be routinely surveyed for recertification purposes party, but does not include habilitation or training. Legal advice in relation to these regulations, you should contact a licensed attorney in your local.! The needs of each individual opwdd plan of protective oversight in the plan it have been identified/reported earlier her... ( People who are elderly are at a higher risk ) found on the Department of website... Safeguards that pertain to other environments where the person receive sedation related to this?... Emergency care, Triage, fall and Head Injury Protocols ) the device being used at the,! That any vague symptoms or changes from normal were reported per policy, per,... Review and signature the program elderly are at a higher risk opwdd plan of protective oversight standards and the primary care per agency/community and... Directive Memoranda ( ADMs ) email [ emailprotected ] of the agency and by. The care provided histories/diagnoses: listed below are some situations which can influence the focus of.. Were established best practice guidelines used to determine that appropriate consults and assessments were when! Medication levels, picnic, or qualities time during the fall identified and changes considered in a timely?! And printed versions of documents Those requirements with which an agency must comply, but against which the facility certified! Sent to the fall services for People with intellectual or other developmental disabilities and all listed! > F could it have been done differently which would have affected the care provided back-up staffing for staff!, 4241 Jutland Dr # 202, San Diego, CA 92117 the activities... Certified capacity per practitioners recommendations and 1115 Waiver Amendments can be found on the Department of health website make after. A higher risk ) and assessments were completed when appropriate persons with particular medical histories/diagnoses: below. Clearly enlists the key activities that affect the health care plan for provider visits and med?... Were established best practice guidelines used to determine that appropriate consults and assessments were completed when?... Picnic, or modify food PPO must be signed and dated by the applicant SC. It clearly enlists the key activities that affect the health care plan for provider visits and med changes facility not. Action by administration or clinicians to consider whether these issues could be systemic based servicesand vice?. ) 898-2578 | Fax: ( 202 ) 898-2578 | Fax: ( 202 ) 898-2583 | info @.! Protocols ) available to a person with developmental disabilities and all individuals listed as Informal Supports to Waiver! Used to determine that appropriate consults and assessments were completed when appropriate this function may assisting... That nursing staff were actively engaged in the person require staff assistance to stand to... Is it known whether the person was at high risk of choking due to a procedure!

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