Tennessee Administrative Code

(1) The facility must provide one (1) direct support staff member for each ten (10) persons supported present in the facility. (2) Persons supported are never to be left unattended in the facility. (3) Employees shall be screened or tested for tuberculosis according to the proced…

(1) The record of each person supported must include 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 o…

(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 facility must assist and encourage the person supported in the use of dental appliances, eyeglasses, and hearing aids. (2) The facility must assist and encourage the person supported in maintaining a well-groomed and clean appearance, which is age and activity appropriate…

(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 to and adapted to the needs, interests, and age of the person supported.

The facility must ensure that appropriate day activity programs, vocational placements, school placements, or other such appropriate day activities are provided or procured for all persons supported by the facility. Such day activities should be in accordance with the age level, …

(1) The governing body must ensure that all persons supported admitted to and residing in the facility meet the following criteria: (a) Capable of self-preservation; (b) Able to care for basic self-help and minor health care needs with minimal assistance; (c) Able to recognize da…

(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 written policies and procedures manual must include the following: (a) Procedures for tuberculosis control and reporting of infectious and communicable diseases to the Tennessee Department of Health; (b) Policies and procedures establishing minimum requirements in all pla…

(1) The licensee must provide or procure assistance for persons supported in locating qualified dental, medical, nursing and pharmaceutical care including care for emergencies during hours of the facility’s operation. (2) The licensee must ensure that an annual physical examinati…

(1) The governing body must ensure that no more than three (3) persons supported are residing in an individual home at any given time. (2) The governing body must ensure that employees and providers practice infection control procedures that will protect persons supported from in…

(1) Each record of the 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 o…

(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 …

The governing body must ensure that the person supported receives assistance and training, as needed, with health, hygiene, and grooming practices.

(1) The licensee must assist each person supported with the least restrictive level of support and assistance needed in the selection and purchase of clothing. (2) Each person supported must be allowed to dress him/herself in his/her own clothes and to change clothes at appropria…

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

(1) The governing body 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 an outside school or …

(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 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 governing body 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 s…

(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 written policies and procedures manual must include the following: (a) Policies and procedures regarding tuberculosis control and the reporting of infectious and communicable diseases as required by the Tennessee Department of Health; (b) Policies and procedures establish…

(1) The governing body must ensure that no more than three (3) persons are in an individual respite care placement at a time. (2) Persons supported are never to be left unattended during customary sleeping hours. (3) Employees shall be screened or tested for tuberculosis accordin…

(1) The governing body must ensure that the record of each person supported includes the following: (a) The social security number of the person supported; (b) The legal competency status of the person supported, including the name of his/her legal representative (conservator, pa…

(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 …

The governing body must ensure that all persons supported receive assistance with health, hygiene, and grooming.

The governing body must ensure that appropriate day activities are provided or procured, which are in accordance with the age level, interest, and ability of the person supported, and relevant to the length and purpose of his/her stay.

(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 written policies and procedures manual must include the following: (a) Procedures for tuberculosis control and reporting of infectious and communicable diseases to the Tennessee Department of Health. (b) Policies and procedures establishing minimum requirements ensuring r…

(1) The licensee must provide or procure assistance for persons supported in locating qualified dental, medical, nursing, and pharmaceutical care including care for emergencies during hours of the licensee’s operation. October, 2016 1 MINIMUM PROGRAM REQUIREMENTS FOR INTELLECTUAL…

(1) A primary staff member must be assigned to each person supported. The primary staff member is to be responsible for monitoring and assisting the person supported in the semi- independent living arrangement. A primary staff member must not be responsible for more than twenty (…

(1) The record of each person supported must contain the following: (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 of his/her le…

(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 governing body 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 an outside school or…

(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, information, and determination of t…

(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 governing body must ensure that a written ISP is provided and implemented for each person supported. The ISP must meet the following requirements: October, 2016 4 MINIMUM PROGRAM REQUIREMENTS FOR INTELLECTUAL CHAPTER 0465-02-15 DISABILITIES SEMI-INDEPENDENT LIVING SERVICE…

(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 governing body must ensure that all persons supported in semi-independent living services must meet the following criteria: (a) Capable of self-preservation; (b) Able to care for basic self-help and minor health care needs without assistance; (c) Able to care for personal…

(1) The governing body must ensure that the following support services are provided for each person supported: (a) Transportation or assistance with transportation for non-routine events, special appointment, or long distance travel; (b) Liaison for making appointments and obtain…

(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. October, 2016 6 MI…

(1) The written policies and procedures manual must include the following: (a) Procedures for tuberculosis control and reporting of infectious and communicable diseases to the Tennessee Department of Health. (b) A policy ensuring that employees and volunteers practice infection c…

(1) The licensee must provide or procure assistance for persons supported in locating qualified dental, medical, nursing and pharmaceutical care including care for emergencies during hours of the facility’s operation. (2) The licensee must ensure that an annual physical examinati…

(1) A primary staff member must be assigned to each person supported. The primary staff member is to be responsible for monitoring and assisting the person supported in the semi- independent living arrangement. A primary staff member must not be responsible for more than twenty (…

(1) The record of each person supported must contain the following: (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 of his/her le…