Tennessee Administrative Code

(1) Written progress notes must be maintained, which include at least quarterly reviews of progress or changes occurring in the ISP. (2) Changes relative to health, safety, and implementation of outcome based services must be assessed on an ongoing basis and reflected within the …

(1) No procedures shall be used for behavior management which results in physical or emotional harm to the person supported. (2) Corporal punishment, seclusion, aversive stimuli, chemical restraint, and denial of a nutritionally adequate diet shall not be used. (3) Restraint (phy…

(1) The licensee shall maintain a written policy and procedures manual which includes: (a) A policy ensuring that employees and volunteers practice infection control procedures and standard precautions that will protect the persons supported from infectious diseases; (b) Procedur…

The licensee shall provide or procure assistance for people in locating qualified dental, medical, nursing, and pharmaceutical care, including care for emergencies during hours of operation.

(1) The licensee shall provide: one (1) Direct Support Staff member for the first ten (10) persons supported; two (2) Direct Support Staff members for eleven (11) to fifteen (15) persons supported; three (3) Direct Support Staff members for sixteen (16) to twenty (20) persons sup…

(1) Each record of the person supported shall contain the following: (a) A recent photograph and a description of the person supported; (b) Report of the use of restrictive behavior management techniques, as defined under Rule 0465-02-08-.11, if used; (c) The name, address and te…

(1) When medications are taken by persons supported under the supervision of staff, the staff must: (a) Consider the ability and training of the person supported, when supervising the self- administration of medication; (b) Ensure that prescription medications are taken only by t…

(1) The licensee shall ensure that work provided is dignified and not demeaning or degrading to the person supported. Work activities provided shall be challenging to the capabilities of the person supported yet can result in a sense of accomplishment and productivity. (2) Day se…

(1) The following assessments of the person supported must be completed prior to the development of an ISP: (a) An assessment of current capabilities in such areas as adaptive behavior and independent living skills; (b) A basic medical history, including a list of current medicat…

(1) The governing body must ensure that an ISP team known as the Circle of Support is identified and provided for each person supported. The team may include the following as determined by the person supported: (a) The person supported; (b) The legal representative (conservator, …

(1) The licensee must ensure that a written ISP is provided and implemented for each person supported. The ISP must meet the following requirements: (a) Developed within thirty (30) days of the admission of the person supported; (b) Developed by the ISP team of the person support…

(1) Written progress notes must be maintained, which include at least quarterly reviews of progress or changes occurring in the ISP. (2) Changes relative to health, safety, and implementation of outcome based services must be assessed on an ongoing basis and reflected within the …

(1) No procedures shall be used for behavior management which results in physical or emotional harm to the person supported. October, 2016 4 MINIMUM PROGRAM REQUIREMENTS FOR DEVELOPMENTAL CHAPTER 0465-02-08 DISABILITIES ADULT HABILITATION DAY FACILITIES/SERVICES (Rule 0465-02-08-…

(1) The governing body must ensure compliance with rule 0465-02-06-.02 Minimum Program Requirements for All Facilities/Services, Policies and Procedures. (2) An ongoing system must be provided for the collection and recording of accurate data about the person supported. (3) A pro…

(1) Assessments must be completed by using empirically reliable and valid instruments of diagnosis and evaluation. (2) Diagnosis and evaluation services must be capable of assessment in the following areas: (a) Intellectual development; (b) Sensorimotor development; (c) Affective…

(1) The licensee must ensure that an assessment team is identified and provided for each person supported. The team must minimally include: (a) A designated individual who is responsible for each assessment; (b) The active participation of each staff member or consultant who is r…

(1) The licensee must ensure that an individual record of the assessments is maintained for each person supported which includes the following: (a) The reports of completed evaluations including the names and disciplinary status of the evaluating team members; (b) The initial rec…

(1) Professional staff must be provided who are capable of performing assessments and who are duly licensed, eligible for licensure, or duly certified to practice their profession in the State of Tennessee. The duties assigned in the performance of diagnosis and evaluation servic…

The written policies and procedures manual must include procedures for tuberculosis control and reporting of infectious and communicable diseases to the Tennessee Department of Health.

(1) The facility must ensure that each person supported receives an annual physical examination (unless less often is indicated by the physician of the person supported), which includes routine screenings (such as vision and hearing) and laboratory examinations (such as Pap smear…

(1) All professional services must be provided by individuals duly licensed or certified to practice their profession in the State of Tennessee, or by individuals who are eligible for licensure or certification and under the supervision of duly licensed or certified personnel, as…

(1) The record for each person supported must contain the following information: (a) A recent photograph and a description of the person supported; (b) The social security number of the person supported; (c) The legal competency status of the person supported, including the name …

(1) When medications are administered by certified staff to persons supported the licensee must: (a) Consider the ability and training of the person supported, when supervising the self- administration of medication; (b) Ensure that prescription medications are taken only by the …

(1) The facility must provide the person supported with assistance and training, as needed, with health, hygiene, and grooming practices. (2) The facility must provide the person supported with assistance and training in the use of dental appliances, eyeglasses, and hearing aids.…

(1) Each person supported must be provided the least restrictive level of support and assistance needed in the selection and purchase of clothing. (2) The facility must allow each person supported to dress him/herself in his/her own clothes and to change clothes at appropriate ti…

The facility must ensure that opportunities are provided for recreational activities, which are appropriate and adapted to the needs, interests, and age of the person supported.

(1) The facility must ensure that day activities are provided or procured. Such day activities must be in accordance with the age level, interests, and abilities of the person supported, and in accordance with an ISP. (2) If the person supported attends a school or day program pr…

(1) The following assessments of the person supported must be completed prior to the development of his/her ISP: (a) An assessment of current capabilities in such areas as adaptive behavior and independent living skills; (b) A basic medical history, information, and determination…

(1) The facility must ensure that an ISP team known as the Circle of Support is identified and provided for each person supported. The team may include the following as determined by the person supported: (a) The person supported; October, 2016 5 MINIMUM PROGRAM REQUIREMENTS FOR …

(1) The facility must ensure that a written ISP is provided and implemented for each person supported. The ISP must meet the following requirements: (a) Developed within thirty (30) days of the admission of the person supported to the facility; (b) Developed by the ISP team of th…

(1) Written progress notes must be maintained, which include at least quarterly reviews of progress or changes occurring in the ISP. (2) Changes relative to health, safety, and implementation of outcome based services must be assessed on an ongoing basis and reflected within the …

The facility must provide a Human Rights Committee to ensure the rights of the person supported and provide advocacy for the person supported. The committee must consist minimally of at least three (3) members, including one (1) member who is independent of the facility. The comm…

(1) No procedures shall be used for behavior management which results in physical or emotional harm to the person supported. (2) Corporal punishment, seclusion, aversive stimuli, chemical restraint, and denial of a nutritionally adequate diet shall not be used. (3) Restraint (phy…

(1) The facility must provide or procure assistance for the person supported in locating qualified dental, medical, nursing, and pharmaceutical care including care for emergencies. (2) The facility must ensure that each person supported receives an annual physical examination (un…

(1) The facility must provide one (1) direct support staff member for every ten (10) persons supported present in the facility. October, 2016 1 MINIMUM PROGRAM REQUIREMENTS FOR INTELLECTUAL AND CHAPTER 0465-02-11 DEVELOPMENTAL DISABILITIES DIAGNOSIS AND EVALUATION FACILITIES (Rul…

(1) The record of each person supported must contain the following information: (a) A recent photograph and a description of the person supported; (b) Social security number of the person supported; (c) The legal competency status of the person supported, including the name of hi…

(1) When medications are administered by certified staff to persons supported the licensee must: (a) Consider the ability and training of the person supported, when supervising the self- administration of medication; (b) Ensure that prescription medications are taken only by the …

(1) The facility must provide supports and services that comply with the following: (a) Activities available to persons supported throughout the day must be based on the preferences and interests of each person supported; (b) Activities have an identifiable purpose and are of mea…

(1) The facility must provide persons supported with the level of support and assistance needed in a private and dignified manner. (2) The facility must provide persons supported with the level of support and assistance needed in the use of dental appliances, eyeglasses, and hear…

The facility must ensure that opportunities are provided for recreational activities, which are appropriate and adapted to the needs, interests, and age of the persons supported.

(1) The facility must ensure that day activities are provided or procured. Such day activities must take into account the age, interests, abilities and needed supports of the person supported and be provided in accordance with an ISP. October, 2016 4 MINIMUM PROGRAM REQUIREMENTS …

(1) The following assessments of the person supported must be completed prior to development of the ISP: (a) An assessment of current capabilities in such areas as adaptive behavior and independent living skills; (b) A basic medical history, information, and determination of the …

(1) The licensee must ensure that an ISP team known as the Circle of Support is identified and provided for each person supported. The team may include the following as determined by the person supported: (a) The person supported; (b) The legal representative (conservator, parent…

(1) The facility must ensure that a written, ISP is provided and implemented for each person supported within thirty (30) days of admission. The ISP must include the following: (a) The name of the person supported; (b) The date of plan development; (c) Goals and outcomes to be ad…

(1) Written progress notes must be maintained, which include at least quarterly reviews of progress or changes occurring in the ISP. (2) Changes relative to health, safety, and implementation of outcome based services must be assessed on an ongoing basis and reflected within the …

(1) The facility must ensure that restricted behavior interventions are not provided until unrestricted interventions have been systematically tried or considered and have been determined to be inappropriate or otherwise contraindicated. (2) The facility must ensure that restrict…

(1) No procedures shall be used for behavior management which results in physical or emotional harm to the person supported. (2) Corporal punishment, seclusion, aversive stimuli, chemical restraint, and denial of a nutritionally adequate diet shall not be used. (3) Restraint (phy…