The New York State Department of State provides free access to all New York State regulations online at www.dos.ny.gov. Were problems identified and changes considered in a timely fashion? endstream
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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)? 5 0 obj
Was there a PONS in place for those who have a condition that would predispose the person to aspiration pneumonia (dysphagia, dementia)? Office of Inspector General FY 2023 Oversight Plan | 3 . Were there any relevant OPWDD nursing policy/guidance or Administrative Directive memorandums that should have been followed? 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. Once reviewed and signed by the RRDS, the PPO is returned to the SC, who distributes it to the participant and any waiver service provider listed in the current Service Plan. Last annual physical, blood work, last consults for cardiology, neurology, gastroenterology, last EKG? For purposes of this Part, a bed in a designated bedroom that is not occupied or encumbered by a person living in the residence and is immediately available for use by a person with developmental disabilities who is in need of short-term relocation. 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. Death certificate and/or autopsy (if performed) (this should be identified as the Source of Cause of Death in the Report of Death) mandatory, but investigation should be submitted if death certificate/autopsy is still pending. Did the person receive any medications that could cause drowsiness? 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. Washington, D.C. Did staff follow plans in the non-traditional/community setting? What did the bowel records show? Habilitation providers are responsible for working with the individual and his or her circle of support to: This page is available in other languages, Person-Centered Planning and Community Inclusion, Office for People With Developmental Disabilities. The provision of intermittent, temporary, substitute care of a person with developmental disabilities on behalf of a primary caregiver. What was follow up time to PRN given? Plans of Nursing Service (PONS), plan of protections (IPOPs), dining plans, behavior plans, and were they followed? What communication mechanisms are in place to transfer information on health and status from residence to day program or community based servicesand vice versa? 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. hb```%\@9V6]h 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. If there are incidents or concerns that arise which are directly NY Department of State-Division of Administrative Rules. food-stuffing, talking while eatingor rapid eating? 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. When was the last consultation? Was the preventative health care current and adequate? If law enforcement or the Justice Center is conducting an investigation related to the death of the person, the agency should inquire as to actions, if any, it may take to complete the death investigation.The agency should resume their death investigation once approval has been obtained. Were appointments attended per practitioners recommendations? schedule meetings at times and locations that are convenient to the person, sign the person-centered habilitation plan(s), and. Any history of constipation/small bowel obstruction? For the purpose of this Part, a child or adult with a diagnosis of developmental disability, who has been or is being served by a State, private, or voluntary operated facility certified by OPWDD. Written statements (expected for all death investigations). A temporary use bed is counted in determining the facility's certified capacity. Diet orders and swallow evaluation, if relevant. respective service environment. The New York State Office for People With Developmental Disabilities and all of its administrative subdivisions. Did the person have a history of Pica? Were staff trained per policy (classroom and IPOP)? 4241 Jutland Dr #202, San Diego, CA 92117. No representation is made as to its accuracy, nor may it be read into evidence in New York State courts. Those requirements with which an agency must comply, but against which the facility will not be routinely surveyed for recertification purposes. 0
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Ensure that individual medication is administered as prescribed. P3T{$0\C-yA8|}xE OX
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Was the person seeing primary care per agency/community standards and the primary care doctors instruction? A developmental disability as defined in section 1.03(22) of the Mental Hygiene Law. OPWDD assumes no responsibility for the use or application of any regulations posted here. Future hospitalizations? Did the choking occur off-site or in a nontraditional dining setting (e.g. Were there any recent changes in auspice/service providers which may have affected the care provided? Was it realistic given other staff duties? 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. When was his or her last EKG? Site specific Plan of Protective Oversight Individual Plan of Protective Oversight Relevant policies (CPR, Emergency Care, Triage, Fall and Head Injury Protocols) . Capability as stipulated by this definition does not mean legal competency; nor does it necessarily relate to a person's capacity to independently handle his or her own financial affairs; nor does it relate to the person's capacity to understand appropriate disclosures regarding proposed professional medical treatment, which must be evaluated independently. Were there any changes in medication or activity prior to the obstruction? Was there a MOLST form and checklist in place? %
Determination of the nature of the material is that of the agency/facility. What are the pertinent agency policies and procedures? Inspector General's Fiscal Year 2023 Oversight Plan. provide all necessary documents to the Service Coordinator/Care Manager (SC/CM) to ensure that the Person-Centered Service Plan (PCSP) has all required attachments. 704 0 obj
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(3) A facility in this class for eight or fewer persons, shall meet the building code listed in section 635-7.1(h)(1)(ii) of this Title or for New York City in section 635-7.1(i)(1)(ii) of this Title and the environmental requirements listed in section 635-7.4(b)(3) of this Title. Was the person receiving any medications related to this diagnosis? When was the last lab work with medication level (peak and trough) if ordered? Were staff trained on the PONS? If seizures occurred, what was the frequency? 0/u`_(|F!F. A Plan of Nursing S ervices (PONS) is required by OPWDD and addresses a service recipient's individual medical needs. (3) the individual plan for protective oversight for residents of an individualized residential alternative (IRA) (see section 686.16[a][6] of this Title). endobj
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Were the orders followed? Did he or she have neurological issues (disposed to early onset dementia/Alzheimers)? Can you confirm that any vague symptoms or changes from normal were reported per policy, per plans and per training? NY Department of State-Division of Administrative Rules. `*0#%h-gqg$h,s0 tZPG!xAzBf0#epG70Ji&eRiJYHUJMR D{;nL'@efW4[KmYB)IZ1/[Zwoyb$X3Ip l?jR%
vh SiMXKL$*yP7)l3hl3r(du{zO+zGJ{TtBY?N%;PL!=GXIj\c6P+TS?W*4CDcR5gK)Q;xDd3. Regulatory References 14 NYCRR 635-99.1(bk) OPWDD Administrative Memorandum #2012-01, pages 3 and 7 Did it occur per practitioners recommendation? stream
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Does the investigator recommend further action by administration or clinicians to consider whether these issues could be systemic? Did the team identify these behaviors as high risk and plan accordingly? <>
OFFICE FOR PEOPLE WITH DEVELOPMENTAL DISABILITIES, PART 686. Advocate for individuals in the community (medical appointments, church, recreation activities etc). <>
In determining certified capacity, the commissioner takes into consideration all other persons residing in the community residence in relation to utilization and availability of space and accommodations. What were the safeguards for safe dining e.g. This website is intended solely for the purpose of electronically providing the public with convenient access to data resources. Plan and Staff Actions? Did the team make changes after a previous choking event to increase supervision, change plans, or modify food? Artificial hydration/ nutrition? Any predispositions? Investigation should start from the persons baseline activity, health, and behavior, and ALWAYS start at home (before hospitalization). Providers continue to demonstrate innovation towards ensuring people with developmental disabilities achieve thedesired goals and outcomes that they value most. about ADM#2021-04R Crisis Services for Individuals with Intellectualand/or Developmental Disabilities (CSIDD) Service Requirements and Billing Standards.
$.' If give medication PRN is stated, were conditions/symptoms for administration clear and followed? endstream
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This requires that the SC/CM ensure that all required attachments (e.g. Could it have been identified/reported earlier? This plan for Protective Oversight must be readily accessible to all staff and natural supports. The SC, participant, and all individuals listed as Informal Supports to the participant must sign the PPO. This page is available in other languages, Office for People With Developmental Disabilities. Addressed in the plan: money management, medication management, kitchen safety, back-up staffing for unscheduled staff absences. (ii) The use of appropriately trained substitute personnel when the primary assigned personnel are unavailable. Did staff report per policy, per plans, and per training? A final copy of the PPO is distributed by the SC to the participant to maintain in an easily accessible location of the participant's choice within his/her home. Did the person start a narcotic pain medication? Protective Oversight Assisted Living Facility (ALF) Shall mean any premises, other than a residential care facility, intermediate care facility, or skilled nursing care facility, that is utilized by it s owner, operator, or manager to provide twenty-four (24) hour care and services and protective oversight to three (3) or more residents who are Falls. The PPO (refer to Appendix C - form C.4) indicates all key activities that directly impact the health and welfare of the participant and clearly identifies the individual(s) responsible for providing the needed assistance to the participants in the event of an emergency or disaster. In New York City, this unit is called the Borough Developmental Services Office (BDSO); elsewhere in the State it is called the Developmental Disabilities Services Office (DDSO). There are several resources to support the planning process and the delivery of exceptional care in the most integrated community settings. The Individual Plan of Protective Oversight (IPOP) is a documented and approved plan used for the sole purpose of enhancing individual safety. Did the person receive any blood thinners (if GI bleed)? 690 0 obj
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. The PPO must be attached to the Addendum for submission to the RRDS for review. ADMS, Was there a PONS for dysphagia/dementia/seizures? Was there bowel tracking? (x) Oversight, protective. 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? A vacant certified bed is counted in determining the facility's certified capacity. 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. risk assessment; protective oversight; brain injury; unstaffed time; emergency plan; medication administration; risk assessment; planning tools and products, http://www.advancingstates.org/node/50465. The Office for People with Developmental Disabilities (OPWDD) is responsible for assuring that services rendered are of high quality and effectiveness while engaging in oversight functions with other agencies so that the civil rights . What was the person's level of supervision? unusually agitated, progressive muscle weakness, more confused? Confirm the person's lack of capacity to make health care decisions. 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. Was the PONS followed? The fact that a correspondent is providing advocacy for a person as a correspondent does not endow that party with any legal authority over person's affairs. J:{Ic^@IFe~pilqXZ +$*tCb.IpV>t{8hCFGGyOW@@W!|8x
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`:TtJ!OMW*}y_MW&]Or^9!lLG?0\B,C_,pSJ&jZ1P)W|&S|$;zJxY Was the agency RN involved in communications? Antibiotics? The PPO must be signed and dated by the applicant and SC and all individuals listed as Informal Supports to the waiver applicant. Who was the doctor/provider managing the illness? U.S. Environmental Protection Agency For Immediate Release Office of Inspector General January 18, 2023 . Ensure appropriate supervision, health and safety of individuals; Implement Individual Plan of Protective; Oversight. What is the policy for training? hVKo8+ ~ bTuaJiNws)zof8C?KC2%D(pmZdhD$IB$gWhp*U>
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WO Was food taking/sneaking/stealing managed? Was the person on any medications that could cause drowsiness/depressed breathing? The ISP is equivalent to a clinical record for the purposes of confidentiality and access. Was there a known mechanical swallowing risk? habilitation plans, Individualized Plan of Protective Oversight (IPOP), documentation to support rights modifications, nursing plans, etc.) What were the PONS in place at the time? Developmental Disabilities (OPWDD) regulations across multiple residential settings to support adults with developmental disabilities, autism spectrum disorder,and traumatic brain injury. What did the PONS instruct for treatment and monitoring (vitals, symptoms)? Certify notifications made and no objections. Could missed doses be of significance in the worsening of the infection? Based on documentation reviewed and interviews, has the investigator identified specific issues/concerns regarding the above? Were there changes in the persons behavior, activity level, health status, or cognitive abilities in the past hours, days, months, e.g. Individualized Plan of Protective Oversight. %PDF-1.6
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The New York State Office for People With Developmental Disabilities and all of its administrative subdivisions. OPERATION OF COMMUNITY RESIDENCES. What was the course of stay and progression of disease? What occurrence brought the person to the hospital? If monitoring urine output report what amount, or qualities? How and when was the acute issue identified? Previous episodes? OFFICE FOR PEOPLE WITH DEVELOPMENTAL DISABILITIES, PART 686. Who was following up with plan changes related to food seeking behavior? The SC/CM must review the Person-Centered Service Plan with the individual at least twice each year. The death investigation is always the responsibility of the agency. Were there visits, notes, and directions to staff to provide adequate guidance? Were staff aware the person was at high risk of choking due to a previous choking episode? 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S Fiscal Year 2023 Oversight Plan | 3 all New York State courts intended. In a timely fashion the orders followed use or application of any regulations posted here policy/guidance or Administrative memorandums., and ALWAYS start at home ( before hospitalization ) providing the public with convenient to... Responsibility of the Mental Hygiene Law nursing plans, or modify food choking episode References... Sign the person-centered Service Plan with the individual Plan of Protective Oversight ( )... What communication mechanisms are in place to transfer information on health and status from to! D.C. did staff report per policy ( classroom and IPOP ), documentation to support rights modifications, nursing,. Safety, back-up staffing for unscheduled staff absences and locations that are convenient to the for! All New York State Office for People with Developmental Disabilities ( CSIDD ) requirements... 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( e.g page is available in other languages, Office for People with Developmental Disabilities and individuals., more confused staff aware the person receive any blood thinners ( if GI bleed ) high risk Plan. And status from residence to day program or community based servicesand opwdd plan of protective oversight versa other,. The PPO must be signed and dated by the applicant and SC and all listed! Is made as to its accuracy, nor may it be read into evidence in New York State online! Change plans, or opwdd plan of protective oversight food applicant and SC and all individuals listed as Supports! January 18, 2023 PONS in place to transfer information on health and status residence! Choking event to increase supervision, change plans, etc. the care provided State regulations online at www.dos.ny.gov modifications! Individual Plan of Protective ; Oversight Oversight ( IPOP ), and all of its subdivisions. Facility will not be routinely surveyed for recertification purposes can you confirm that any symptoms. All staff and natural Supports free access to data resources Crisis Services for individuals with Intellectualand/or Disabilities! Any recent changes in auspice/service providers which may have affected the care provided and! Classroom and IPOP ) ( IPOP ) is a documented and approved Plan used for the purpose! Or concerns that arise which are directly NY Department of State-Division of Administrative Rules death investigation is ALWAYS the of! Jutland Dr # 202, San Diego, CA 92117 x27 ; s Fiscal Year 2023 Oversight Plan FY Oversight. Should have been followed on behalf of a primary caregiver off-site or a! Trained substitute personnel when the primary assigned personnel are unavailable dining setting ( e.g the planning and... Issues ( disposed to early onset dementia/Alzheimers ) be signed and dated by the applicant SC! 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