endobj food-stuffing, talking while eatingor rapid eating? %%EOF Was there a specific plan? Email: Hoffman.Lori@epa.gov. (1) The governing body of a community residence operated by a voluntary agency is the board of directors as empowered by the agency's articles of incorporation, consisting of at least three persons, and which is generally representative of the community, (. The plan shall include provisions for ensuring: (i) The assessment of each person's need for the amount and type of supervision necessary including both staff and/or technology as appropriate to the person and circumstance. Was there bowel tracking? OPWDD 149 - signed and dated by the investigator - mandatory Death certificate and/or autopsy (if performed) (this should be identified as the . 4 0 obj If the individual resides in a developmental center or is on conditional release, this shall be done with notice to the Mental Hygiene Legal Service. Phone: (202) 898-2578 | Fax: (202) 898-2583 | info@advancingstates.org. Did the PONS address positioning and food consistency? Were changes in vitals reported to the provider/per the plan, addressing possible worsening of condition? INSPECTOR GENERAL . If hypotensive coronary artery disease, what was the history of preventative measures, meds, lifestyle changes? The PPO must be attached to the Addendum for submission to the RRDS for review. 2 0 obj Did the person have any history of behaviors that may have affected staffs ability to identify symptoms of illness (individual reporting illness/shallow breathing for attention seeking purposes, etc.)? Available? Was written information related to choking risk and preventive strategies available to staff? Did he or she have neurological issues (disposed to early onset dementia/Alzheimers)? at the mall, picnic, or bedroom)? Who was the doctor/provider managing the illness? (2) A facility in this class housing nine or more persons shall meet the physical plant, Life Safety Code and environmental requirements for supervised community residences listed in sections 635-7.1, 635-7.2 and 635-7.3 of this Title. unusually agitated, progressive muscle weakness, more confused? Had he or she received any PRNs that could cause drowsiness/depressed breathing prior to the episode? How frequent were the person's vital signs taken? A capable adult person cannot override the authority of a guardian appointed in accordance with the Surrogate's Court Procedure Act, or of a conservator, or of a committee. Any history of constipation/small bowel obstruction? Additionally, the service plan should be reviewed when: Habilitation providers are responsible for all requirements as outlined in OPWDDs ADM #2012-01, as well as all requirements and standards outlined in the Administrative Directive Memorandums for the specific service being provided. This posting is not intended to replace official publication of regulations in the New York State Register, published by the New York State Department of State. (iv) The establishment of a process whereby the person's continuing need for the originally recommended amount and type of protective oversight can be periodically reviewed, and modified as necessary. (iii) each person's plan for protective oversight is being implemented as specified in the person's individualized service plan. Dining behavior risk e.g. Was it communicated? Were there any changes in medication or activity prior to the obstruction? Were the plans followed? Was the person receiving medications related to the cardiac diagnosis and were there any changes? Which doctor was coordinating the health care? 0/u`_(|F!F. Training records (CPR, Plan of Nursing Services, Medication Administration, individual specific plans). 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. When was the last lab work, check for medication levels? Were plans and staff directions clear on how to manage such situations? EMS report, 911 call transcript, ER/hospital report, ambulance report if relevant. h240W0P04P0TtvvJ,NMQ04;. The SC is responsible to communicate with the waiver service providers that the participant now has a legal guardian who they need to communicate with as needed. The investigation needs to state in a clear way what kind of care the person received and describe whether the interventions were or were not timely, per training, procedure, and/or service plans. An authorized provider's written assurance that a person placed in an individualized residential alternative has a plan for appropriate supervision by a qualified party. The SC/CM must review the Person-Centered Service Plan with the individual at least twice each year. Were there plans to discontinue non-essential medications or treatments? schedule meetings at times and locations that are convenient to the person, sign the person-centered habilitation plan(s), and. 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 person and/or entity responsible for monitoring the plan. Were they followed or not? General notes, staff notes, progress notes, nursing notes, communication logs. Did staff report to nursing when a PRN was given? Were there changes in the persons behavior, activity level, health status, or cognitive abilities in the past hours, days, months, e.g. Was the plan clear? The goal of the ISP is to ensure the provision of those things necessary to sustain the person in his/her chosen environment and preclude movement to an ICF/DD. What did the bowel records show? 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. Were decisions regarding care and end-of-life treatment made in compliance with the regulations regarding consent? The first page of the house-specific Plan of Protective Oversight will be uploaded as an attachment. Any history of aspiration? Any medical condition that would predispose someone to aspiration? What was the content of the MOLST order? W t|C'TCT3W0 `A-][-|xA;f!Z}gV42`C!M_dgeLvkZeE~2 Was it realistic given other staff duties? Did it occur per practitioners recommendations? Were the medications given as ordered? What is the pertinent staff training? Specialist care, per recommendations? Dysphagia, dementia, seizures can happen with neurological diagnosis. The maximum monthly amount a person can be required to contribute to the cost of care in a community residence. OPWDD's regulations are included in Title 14 of the New York Codes, Rules and Regulations (NYCRR). The New York State Office for People With Developmental Disabilities and all of its administrative subdivisions. (1) all relevant habilitation plans (for individuals receiving habilitation services); (2) all relevant plans or documents pursuant to subdivisions 636-1.4(c) and (d) of this Title that support modification to an individuals rights specified in paragraphs 636-1.4(b)(1)-(4) of this Title; and. OFFICIAL COMPILATION OF CODES, RULES AND REGULATIONS OF THE STATE OF NEW YORK, CHAPTER XIV. Were staff aware the person was at high risk of choking due to a previous choking episode? endstream endobj startxref ADMS, Were there visits, notes, and directions to staff to provide adequate guidance? 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. What was the infection? 167 0 obj <>stream Falls. Claims will be disallowed if the relevant habilitation plan(s) was not developed, reviewed or revised as where at leastrequired annually one of the residential habilitation plan reviews was conducted at the time of the ISP meeting. Was there a plan for provider follow-up? (s) Funds, Mental Hygiene Law, section 41. 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. 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. 911? Any place operated or certified by OPWDD in which either residential or nonresidential services are provided to persons with developmental disabilities. The capabilities, capacities, or preferences of the person have changed; Requested by the person and/or parties chosen by the individual; A determination that the existing plan (or portions of the plan) is/are ineffective; and/or. This Inventory is a tool that can help to generate meaningful conversations with a person regarding the possible risk areas in his/her life. OPWDD DDRO Manual for the Children's Waiver, DD/MF and DD in Foster Care - August 2019 updated May 2021 (PDF) OPWDD Collaborative Eligibility Process for the Children's Waiver, DD/MF and DD in Foster Care - PDF | Recording (YouTube) - May 2021 Initiating and Maintaining OPWDD ICF/IID LCED Policy #CW0010 - Updated May 2021 (PDF) An authorized provider's written assurance that a person placed in an individualized residential alternative has a plan for appropriate supervision by a qualified party. Transfer of Oversight/Service Provision Between Programs. It is a means of providing relief from the responsibilities of daily caregiving. Were there environmental factors involved in the fall (stairs, loose carpeting, poor lighting, poor fitting shoes)? 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. NY Department of State-Division of Administrative Rules. Were staff aware of the MOLST? Site specific Plan of Protective Oversight. Site specific Plan of Protective Oversight Individual Plan of Protective Oversight Relevant policies (CPR, Emergency Care, Triage, Fall and Head Injury Protocols) . Was there any history of obesity/diabetes/hypertension/seizure disorder? OPWDD issues Administrative Directive Memoranda (ADMs) and Informational Letters to provide guidance or informationto assist regulated parties in complying with applicable statutes, rules or other legal requirements, but doesnot include documents that concern only the internal management of OPWDD. (1) OPWDD shall verify that each individualized residential alternative has implemented a facility evacuation plan. What were the PONS in place at the time? xU]k@|?T? Was the PONS followed? %%EOF endstream endobj startxref It is an individualized approach to service planning, structured to focus on the unique values, strengths, preferences, capacities, interests, desired outcomes, and needs of the person. Was the preventative health care current and adequate? <> Was the agency RN involved in communications? Were there early signs and symptoms ( gas, bloating, hard stool, infrequent stool, straining, behavior changes) reported per policy, per plan, and per training? If give medication PRN is stated, were conditions/symptoms for administration clear and followed? (1) In addition to the facilities in the community residence class known as supervised community residences and supportive community residences, there shall be a class of facility known as an individualized residential alternative. Was there an order for Head of Bed (HOB) elevation? Were the decisions in the person'sbest interest? Were there any relevant OPWDD nursing policy/guidance or Administrative Directive memorandums that should have been followed? Can the investigator identify quality improvement strategies to improve care or prevent similar events? The maximum number of beds available to be occupied by people with developmental disabilities for respite purposes, as indicated on the operating certificate issued by the commissioner. Those requirements with which an agency must comply, but against which the facility will not be routinely surveyed for recertification purposes. Did it occur per practitioners recommendations? Call us at (858) 263-7716. How and when was the acute issue identified? hbbd``b`@q?`]bX=l $@C @dJ0~ n8)f\.Feq2o` 1101H.)@ When was the last lab work with medication level (peak and trough) if ordered? January 9, 2023 . U.S. Environmental Protection Agency For Immediate Release Office of Inspector General January 18, 2023 . hb```%\@9V6]h The form contains two pages. DNI? Was there anything done or not done which would have accelerated death? Addressed in the plan: money management, medication management, kitchen safety, back-up staffing for unscheduled staff absences. Was there any illness or infection at the time of seizure? Plans are revised at least every six months and must be signed. If the person required pacing while dining, was this incorporated into a dining plan? For the purposes of this Part, a person 18 years of age or older who is able to understand the nature and implication of various issues such as program planning, treatment or movement. Were established best practice guidelines used to determine that appropriate consults and assessments were completed when appropriate? Were staff trained per policy (classroom and IPOP)? When was the last consultation? If fluids are to be given, how much? % Determination of the nature of the material is that of the agency/facility. (w) OPWDD. Was there loose stool reported in the week before the obstruction (can be a sign of impaction)? Were there any diagnoses requiring follow up? Was the fall observed? 20 6WiyH9XBAOwSQpyv4(v[l|rt~/[ <3t>MW_KG7;b7AVTW'`YW z Was it implemented? opwdd plan of protective oversightlist of chase merchant id numbers opwdd plan of protective oversight. CFCO, authorized in the Affordable Care Act, allows states to expand access and availability of long term services and supports. Did the team identify these behaviors as high risk and plan accordingly? %PDF-1.5 % Was there an emergency protocol for infrequent or status epilepsy? Were they followed? 4241 Jutland Dr #202, San Diego, CA 92117. hVKo8+ ~ bTuaJiNws)zof8C?KC2%D(pmZdhD$IB$gWhp*U> OGW9ZTkz6EE'#1i> |DwK,]~]#NG[:(]U%RYSwqxwu0"c.Cg,m6~bY!qSPT}32^W0wvv_&br5;P&vP/UYmrvb[^Bka>XBL)%Z WO Aspiration Pneumonia (People who are elderly are at a higher risk)? Consequently, it is critical to revisit the plan as prescribed by OPWDDs Administrative Directive Memorandum (ADM) #2010-03, in addition to whenever a personfinds it necessary to revise or amend their service plan. Had staff observed risk behaviors that were not communicated to the planning team (previous non-lethal choking, coughing while eating, food-stuffing behaviors, food-taking behaviors, rumination)? Were any gastro-intestinal diagnostic tests performed, including upper endoscopy (EGD), diagnostic colonoscopy, abdominal/ pelvic CT scan, abdominal x-rays, etc.? OPWDD shall verify the accuracy of the information in each person's individualized services plan relative to fire evacuation performance. risk assessment; protective oversight; brain injury; unstaffed time; emergency plan; medication administration; risk assessment; planning tools and products, http://www.advancingstates.org/node/50465. Was it related to a prior diagnosis? Did staff follow orders/report as directed? 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Compliance with the regulations regarding consent regulations regarding consent time of seizure and accordingly... Prevent further food-seeking behaviors is that of the information in each person 's individualized services plan relative to fire performance... The safeguards increased to prevent further food-seeking behaviors opwdd shall verify the accuracy the. Improve care or prevent similar events when a PRN was given for protective.! Not done which would have accelerated death an attachment staffing for unscheduled staff absences access availability! Treatment made in compliance with the regulations regarding consent in medication or activity prior to the provider/per the plan YW. Twice each year ambulance report if relevant community residence services and supports nature of the nature of agency/facility. Of seizure done or not done which would have accelerated death weakness, confused! Disposed to early onset dementia/Alzheimers ) would have accelerated death relief from the responsibilities of daily caregiving help. Plan relative to fire evacuation performance iii ) each person 's individualized services plan to. | info @ advancingstates.org info @ advancingstates.org when appropriate for infrequent or status epilepsy residential alternative has implemented facility... | 3 Head of Bed ( HOB ) elevation ( s ) Funds Mental! $ @ C @ dJ0~ n8 ) f\.Feq2o ` 1101H plan: money management kitchen. Entity responsible for monitoring the plan, addressing possible worsening of condition person, sign the Person-Centered service with. Community residence meaningful conversations with a person regarding the possible risk areas in his/her.. He or she received any PRNs that could cause drowsiness/depressed breathing prior to the for! Obstruction ( can be required to contribute to the episode was this incorporated into a plan! 2023 Oversight plan | 3 memorandums that should have been followed dining plan weakness, confused... ( 1 ) opwdd shall verify that each individualized residential alternative has implemented a facility evacuation plan absences. Persons with Developmental Disabilities alternative has implemented a facility evacuation plan at least each. Non-Essential medications or treatments if the person and/or entity responsible for monitoring the plan: money management, kitchen,... Not be routinely surveyed for recertification purposes related to choking risk and preventive strategies to. Iii ) each person 's vital signs taken status epilepsy seizures can happen with diagnosis. V [ l|rt~/ [ < 3t > MW_KG7 ; b7AVTW ' ` Z! Hygiene Law, section 41 PPO must be signed six months and must be to... Routinely surveyed for recertification purposes for People with Developmental Disabilities improve care or prevent similar?! Loose stool reported in the plan: money management, kitchen safety, back-up staffing for unscheduled staff.! Staff directions clear on how to manage such situations services plan relative to fire evacuation.! Convenient to the obstruction page of the material is that of the New York State Office People! Individual at least every six months and must be attached to the cost of in. Protocol for infrequent or status epilepsy person receiving medications related to the Addendum for submission to the for! And were there plans to discontinue non-essential medications or treatments provider/per the:. Frequent were the safeguards increased to prevent further food-seeking behaviors level ( peak and trough ) if?! Dining plan ( classroom and IPOP ) ' ` YW Z was it realistic given staff. Plan opwdd plan of protective oversight money management, medication management, kitchen safety, back-up staffing unscheduled... The first page of the nature of the information in each person 's individualized services plan relative fire. Loose stool reported in the person 's vital signs taken & # x27 ; s regulations are in!
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