Header:
WISCONSIN ADMINISTRATIVE CODE
DEPARTMENT OF HEALTH SERVICES
CHAPTER DHS 88 LICENSED ADULT FAMILY HOMES
Date:
08/31/2009
Document:
DHS 88.06 Placement
(1) PREADMISSION. (a) A licensee shall provide the following information, in writing, to a prospective resident and that person's guardian, if any:
1. Information regarding filing a complaint when the home or a service provider does not comply with this chapter.
2. The amount, possible sources and acceptable methods of payment for providing care and maintenance to a resident of the home, specifying any costs for which the resident will be liable.
3. A description of the roles, responsibility and expectations of all parties involved in providing services. This shall include reviewing the content of the home's program statement and describing any personal housekeeping the resident will be requested to perform. A resident shall be allowed to refuse to perform this work and any other work for the home.
(b) A copy of this chapter shall be made available upon request by the prospective new resident or that person's guardian if any.
(c) The licensee shall give a prospective new resident an opportunity to meet current residents, spend time in the house and become familiar with the household routines. This may include visits during the day and an overnight stay.
(d) The licensee shall discuss the religious and cultural beliefs of the licensee and residents of the home with a prospective resident because these may affect how comfortable the prospective resident may feel in the home.
(e) The licensee shall obtain information from a prospective resident necessary to determine whether the person's needs can be met with the services identified in the home's program statement.
(2) ADMISSION. (a) Except as provided in subd. 2., the licensee shall ensure that a new resident of an adult family home receives a health examination by a physician to identify health problems and is screened for communicable disease, including tuberculosis. Screening for communicable disease may be provided by a physician, a registered nurse or a physician assistant. The health examination and screening shall take place within 90 days prior to admission to the home or within 7 days after admission.
2. No health examination is required for a person admitted for respite care who will not be staying in a home more than 7 days and will not be placed in the home more than once in a calendar year.
(b) An adult family home shall have a service agreement with each person to be admitted to the home except a person being admitted for respite care. The service agreement shall be completed prior to admission and revised at least 30 days prior to any change. The service agreement shall be dated and signed by the licensee and the person being admitted or that person's guardian or designated representative. Copies shall be provided to all parties and to the placing agency, if any.
(c) A service agreement shall specify all of the following:
1. The names of the parties to the agreement.
2. The services that will be provided and a description of each.
3. Charges for room and board and services and any other applicable expenses, and the amount of the security deposit, if any.
4. The frequency, amount, source and method of payment.
5. The policy on refunds.
6. How personal funds will be handled.
7. Conditions for transfer or discharge and the assistance a licensee will provide in relocating a resident.
8. A statement indicating that the resident rights and grievance procedures have been explained and copies provided to the resident and the resident's guardian or designated representative, if any.
(3) INDIVIDUAL SERVICE PLAN AND ASSESSMENT. (a) The licensee shall ensure that a written assessment and individual service plan are completed and developed for each resident within 30 days after placement.
(b) The individual service plan and written assessment shall be developed by the placing agency, if any, the service coordinator, if any, the licensee, the resident and the resident's guardian, if any, and designated representative, if any, with the resident participating in a manner appropriate for the resident's level of understanding and method of communication.
(c) The assessment shall identify the person's needs and abilities in at least the areas of activities of daily living, medications, health, level of supervision required in the home and community, vocational, recreational, social and transportation.
(d) The individual service plan shall contain at least the following:
1. A description of the services the licensee will provide to meet assessed need.
2. Identification of the level of supervision required in the home and community.
3. Descriptions of services provided by outside agencies.
4. Identification of who will monitor the plan.
5. A statement of agreement with the plan, dated and signed by all persons involved in developing the plan.
(e) A copy of the individual service plan shall be provided to all persons involved in the development of it.
(f) The individual service plan shall be reviewed at least once every 6 months by the licensee, the resident or the resident's guardian, the service coordinator, if any, the designated representative, if any, and, if applicable, the placing agency with the resident participating in a manner appropriate for the resident's level of understanding and method of communication. This review is to determine continued appropriateness of the plan and to update the plan as necessary. A plan shall be updated, in writing, whenever the resident's needs or preferences change substantially or when requested by the resident or the resident's guardian.
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