District of Columbia Administrative Code

6219 OPERATING PROCEDURES AND STAFFING 6219.1 Each facility shall designate an administrator who is responsible for the overall management and fiscal operation of the facility. Whenever this chapter requires that a facility undertake or perform any act or obligation, the administ…

6220 FISCAL MANAGEMENT 6220.1 The facility shall keep and maintain a current and accurate record of receipts and expenditures and be able to demonstrate fiscal accountability. 6220.2 The facility shall not enter into a service contract with any corporation, firm, association, or …

6221 INSURANCE 6221.1 The requirements of this section shall be explicitly stated in the resident's contract for placement. 6221.2 The facility shall secure and maintain the insurance policies required in this section. All policies shall be written by insurers which are licensed …

6222 RESIDENTS' ACCOUNTS 6222.1 The facility may provide residents with an allowance which is appropriate to the resident's age and level of development. The facility shall not require residents to use an allowance to purchase hygiene products, food, or any other item which the f…

6223 QUALITY ASSURANCE 6223.1 Each facility shall cooperate with the licensing agency or contracting entity's monitoring or evaluation efforts and provide or assist in obtaining any information requested to evaluate the facility's operation and services for adequacy, appropriaten…

6224 RECORDKEEPING 6224.1 Each facility shall maintain a separate written case record for each resident. Each facility shall make timely entries in a resident's case record that are legible, dated and signed by the staff member or other person making the entry. 6224.2 Each reside…

6225 REPORTING OF UNUSUAL INCIDENTS 6225.1 The facility shall report all unusual incidents to the contracting entity and the licensing agency, the resident's parent and, if applicable, the resident's guardian or custodian and the CSSD, as soon as possible but in no event later th…

6226 CONFIDENTIALITY 6226.1 A resident's case record is confidential and shall not be disclosed or used other than in the course of official facility duties to provide services to the resident and in such instance shall only be disclosed to the least extent possible, consistent w…

6227 PRIVACY 6227.1 The facility shall endeavor to provide for a resident's reasonable privacy with respect to his or her person, property, and living quarters. 6227.2 The facility may limit a resident's privacy as reasonably necessary to protect the health, safety, or welfare of…

6228 PERSONNEL 6228.1 Facilities are encouraged to recruit staff members who have specialized knowledge and skills and the cultural competency and sensitivity necessary to provide for the residents' safety and developmental needs. Facilities are encouraged to recruit staff member…

6229 STAFF DEVELOPMENT 6229.1 Each facility shall provide a minimum of twenty (20) hours of instructional training and twenty (20) hours of experiential training to each new non-volunteer staff member. Non-volunteer staff members shall complete this training within the first thir…

6230 PERSONNEL POLICIES 6230.1 At the commencement of employment of each staff person, the facility shall give the staff person a written description of his or her position which defines the qualifications, duties, and responsibilities of the position and his or her salary. 6230.…

6231 VOLUNTEER SERVICES AND COMMUNITY INVOLVEMENT 6231.1 The facility is encouraged to develop and implement a written plan to provide and promote volunteer service, including but not limited to application procedures, selection criteria, selection process, training requirements,…

6232 BUILDINGS, GROUNDS AND EQUIPMENT 6232.1 All existing facilities and new facilities shall be constructed and maintained reasonably to protect and to ensure the safety of all present and future staff and residents. 6232.2 All existing and new facilities shall be constructed an…

6233 FIRE AND CARBON MONOXIDE PROTECTION AND PREVENTION 6233.1 The facility shall have an approved fire inspection prior to the effective date of licensure. The building shall, at all times, maintain the standards established under applicable building and fire codes, including bu…

6234 SANITATION 6234.1 The facility and its grounds shall be maintained in a sanitary, comfortable and safe condition, free from rodent and insect infestation, and in accordance with applicable law. 6234.2 The facility shall keep trash in kitchens and bathrooms in covered trash r…

6235 REPAIRS AND MAINTENANCE 6235.1 The facility shall keep records of routine maintenance and cleaning in all areas. 6235.2 The facility shall replace or repair broken, run-down or defective furnishings, carpeting, and equipment. Outside doors, windows and other features of the …

6236 BATHROOMS 6236.1 The facility shall provide bathrooms with a minimum of one (1) sink with hot and cold water, one (1) flush toilet, and one (1) bath or shower with hot and cold water for every six (6) residents. Each bathroom shall contain a mirror secured to the wall at a c…

6237 BEDROOMS 6237.1 No more than four (4) residents may occupy a single bedroom without prior approval from the District of Columbia Department of Consumer and Regulatory Affairs ("DCRA") and the licensing agency. Residents age four (4) and over sharing a bedroom shall be of the…

6238 NUTRITION 6238.1 The facility shall develop and follow a written plan for nutritional services including planning and budgeting for the resident's dietary needs, and purchasing, storing, preparing and serving food. 6238.2 The plan shall identify one (1) staff person who is r…

6239 HYGIENE 6239.1 The facility shall establish procedures to ensure that each resident has the opportunity to practice proper personal care, hygiene, and grooming. 6239.2 The facility shall provide instruction on good habits of personal care, hygiene, and grooming that is appro…

6240 CLOTHING 6240.1 The facility shall coordinate with the contracting entity and, where applicable, the CSSD to ensure that each resident has his or her own adequate and appropriate seasonable clothing and footwear. 6240.2 Where the facility provides residents a clothing allowa…

6241 KITCHENS AND DINING AREAS 6241.1 The facility shall provide all necessary equipment for the preparation, storage, service and clean up of all meals for all of the residents and staff regularly served by the facility. 6241.2 The facility shall maintain all food preparation eq…

6242 LIVING ROOMS, ADMINISTRATIVE AND COUNSELING SPACE 6242.1 The facility shall provide a common living room or day area for the use of all residents, which is equipped with comfortable furnishings, for general relaxation and entertainment which is appropriate to the resident's …

6243 HEATING AND COOLING 6243.1 The facility shall provide heating and cooling systems, which shall meet all applicable codes. All heating systems shall be installed with safety devices to prevent fires, explosions, carbon monoxide release and other hazards. 6243.2 The facility s…

6244 WATER 6244.1 The facility shall provide a continuous supply of safe and potable water in all water outlets which is sufficient in quantity and pressure to meet the conditions of peak demand. 6244.2 Hot and cold or tempered water shall be provided in each sink, bath and showe…

6245 LIGHTING 6245.1 The facility shall provide proper lighting that complies with all applicable federal and local laws and regulations. 6245.2 Emergency lighting shall be provided and available at all times. 6245.3 All rooms, corridors, and stairways within a facility shall be …

6246 LAUNDRY FACILITIES 6246.1 The facility shall have operable laundry facilities, a contract with a vendor of such services, or access to off-site laundry facilities. The facility shall not charge residents for the use of laundry facilities or services. 6246.2 All equipment loc…

6247 SPECIAL REQUIREMENTS FOR FACILITIES SERVING RESIDENTS WITH DISABILITIES 6247.1 A facility providing care for residents with disabilities shall accommodate the needs of residents with disabilities to the extent that is otherwise required by Section 504 of the Rehabilitation A…

6248 TELEPHONE 6248.1 The facility shall provide a sufficient number of telephones to accommodate staff and residents' use, including at least one (1) non-coin operated telephone within each building. 6248.2 The facility shall ensure that a resident has reasonable privacy when us…

6249 POWER TOOLS AND EQUIPMENT 6249.1 The facility shall not use lawn mowers, hedge clippers and other similar equipment in an outdoor play area when a resident is present in the play area. The facility shall store such equipment in a locked storage area which is not generally ac…

6250 RECREATION SPACE AND EQUIPMENT 6250.1 The facility shall provide regular and reasonable access to indoor and outdoor recreational space, equipment and supplies. 6250.2 The facility shall: (a) Maintain all recreational equipment and supplies in a safe, clean, durable conditio…

6251 MEDICAL EMERGENCY PLAN 6251.1 The facility shall develop and follow a plan for medical emergencies, including but not limited to psychiatric emergencies and contagious illnesses. The medical emergency plan shall include individual staff duties, staff awareness of the specifi…

6252 NON-MEDICAL EMERGENCY PLAN 6252.1 The facility shall develop and follow a plan for meeting potential emergencies, such as fire, power outage, severe weather conditions and staffing problems including individual staff person's duties, systems for notification of appropriate p…

6253 TOXIC AND POISONOUS SUBSTANCES, LEAD PAINT AND ASBESTOS 6253.1 The facility shall maintain onsite only those poisonous, toxic or flammable substances which are required to maintain the facility. The facility shall store all such substances in accordance with the manufacturer…

6254 FIREARMS AND EXPLOSIVES 6254.1 The facility shall not permit or maintain any explosives, pyrotechnics, firearms, chemical weapons, or other similar device or substance anywhere within the facility. Nothing in this paragraph shall be construed as prohibiting law enforcement a…

6255 FIRST AID 6255.1 The facility shall maintain accessible first aid kits in the facility and in the vehicles used to transport residents. 6255.2 The facility shall have accessible a first aid kit during all recreational activities. 6255.3 The facility shall store all first aid…

6256 ADMISSION AND PLACEMENT 6256.1 The contracting entity shall place no child under the age of six (6) in a facility unless: (a) The child has documented exceptional needs which cannot be met in another type of care; and (b) The facility has a program to treat the child's speci…

6257 INTAKE SERVICES 6257.1 Immediately upon the admission of a resident, the facility shall identify and provide for the resident's basic needs, including, but not limited to, clothing, food, hygiene, and medications. 6257.2 The facility, together with the contracting entity, sh…

6258 DEVELOPMENT OF AN INDIVIDUAL SERVICE PLAN 6258.1 Within three (3) calendar days of a resident's admission, the facility and the contracting entity shall jointly assess the resident's strengths and needs and develop a written initial individual service plan (ISP) for the resi…

6259 CONTENTS OF THE INDIVIDUAL SERVICE PLAN 6259.1 The initial and comprehensive ISP shall: (a) Include the strengths and needs assessment; (b) State the goals to be achieved and evaluate the resident's skill level for each goal; (c) State the timeframes projected for meeting th…

6260 REVIEW OF THE INDIVIDUAL SERVICE PLAN 6260.1 The facility shall review the comprehensive ISP with all persons responsible for its implementation and with the resident's parent(s) or guardian(s). The facility shall also review the comprehensive ISP with the resident in a mann…

6261 EDUCATIONAL SERVICES 6261.1 Within seventy-two (72) hours of admission, the contracting entity and, where applicable, the CSSD shall provide the facility with the information and documentation necessary for the facility to arrange for and ensure that each school-aged residen…

6262 HEALTH CARE PLAN 6262.1 The facility shall cooperate with the contracting entity and, where applicable, the CSSD to meet the residents' preventative, routine and emergency health needs, including: (a) An initial medical screen of each resident by a licensed physician within …

6263 ADMINISTRATION OF PRESCRIPTION MEDICATION 6263.1 The facility shall develop and follow a written plan governing the use and administration of prescription medication to residents. 6263.2 Prescription medications shall be administered only by a dentist, physician, physician's…

6264 THERAPEUTIC USE OF PSYCHOTROPIC MEDICATIONS 6264.1 If psychotropic medication is prescribed, the facility shall cooperate with the contracting entity and, where applicable, the CSSD to obtain a written report from the prescribing physician detailing: (a) The type of medicati…

6265 STORAGE OF MEDICATIONS 6265.1 The facility shall maintain each resident's prescribed medications in a secure area and, within that secure area, maintain each resident's medications separate from that of other residents. 6265.2 The facility shall store all medications requiri…

6266 MENTAL HEALTH SERVICES 6266.1 For residents who are in their initial placement in a facility, the facility shall cooperate with the contracting entity and, where applicable, the CSSD to develop and follow a written plan for providing effective mental health services, includi…

6267 TRANSPORTATION SERVICES 6267.1 The facility shall provide or arrange for transportation necessary to implement each resident's ISP and health care plan, including but not limited to relative visitation, medical and counseling appointments, and school and extracurricular acti…

6268 RECREATIONAL ACTIVITIES 6268.1 The facility shall develop and follow a written plan for providing recreational and leisure activities adequate to meet each resident's needs, including: (a) Designated staff for supervising the provision of recreational activities; (b) Suffici…