Tennessee Administrative Code

(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: (a) Developed within thirty (30) days of the admission of the person supported; (b) Developed by the ISP team of the person supported; (c)…

(1) Written progress notes must be maintained, which include monthly documentation of progress or changes occurring within the ISP. (2) The ISP team must review the ISP annually and revise, as necessary.

(1) The governing body must ensure that all persons supported in semi-independent living services meet the following criteria: (a) Capable of self-preservation; (b) Able to care for basic self-help and minor health care needs without assistance; October, 2016 5 MINIMUM PROGRAM RE…

(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 appointments, or long distance travel; (b) Liaison for making appointments and obtai…

(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) These rules apply to all agencies or personal support services coordinator who provide personal support services in the permanent or temporary residence of persons supported who meet the criteria specified in Rule 0465-02-01(47). (2) The following are exempt from licensure un…

(1) To provide personal support services, an agency needs a license from either the Department of Mental Health and Substance Abuse Services or the Department of Intellectual and Developmental Disabilities. (2) An agency licensed by either Department listed in Rule 0465-02-17-.02…

(1) The licensee shall comply with all federal, state, and local laws, ordinances, rules, and regulations. (2) The licensee shall ensure that the agency is administered and operated in accordance with written policies and procedures including, but not limited to, those specified …

(1) The governing body must ensure that appropriate support and assistance are provided in accordance with the needs of persons supported. (2) Employees shall be screened or tested for tuberculosis according to the procedures of the Tennessee Department of Health. Documentation o…

(1) The governing body must ensure that each record of the person supported contains the following: (a) A recent photograph and identifying information of the person supported; (b) The social security number of the person supported; (c) The legal competency status of the person s…

(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 following assessments of the person supported must be completed prior to the development of an ISP: (a) An assessment of current abilities and preferences; and (b) A review of relevant medical, medication, and health information.

(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; October, 2016 4 MINIMUM PROGRAM REQUIREMENTS FOR …

(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. (2) Corporal punishment, seclusion, aversive stimuli, chemical restraint, and denial of a nutritionally adequate diet shall not be used. (3) Restraint (phy…

(1) The governing body of the entity providing support and assistance must maintain policies and procedures for control of infectious and communicable diseases. (2) The governing body of the entity providing support and assistance must maintain policies and procedures establishin…

(1) The governing body must ensure that appropriate support and assistance are provided in accordance with the needs of persons supported living in the home. (2) Support staff must be available on call to persons supported living in the home on a twenty- four (24) hour per day ba…

(1) The governing body must ensure that each record of the person supported contains the following: (a) A recent photograph and identifying information of the person supported; (b) The social security number of the person supported; (c) The legal competency status of the person s…

(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 daily activities are provided or procured in accordance with the age level, interests, and abilities of the person supported as specified in the ISP. Such daily activities may include, but are not limited to, part-time and full-time employm…

(1) The following assessments of the person supported must be completed prior to the development of an ISP: (a) An assessment of current abilities and preferences; and (b) A review of relevant medical, medication, and health information.

(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 appointments, or long distance travel; (b) Liaison for making appointments and obtai…

(1) The governing body must ensure that persons supported are assisted in locating qualified dental, medical, nursing, and pharmaceutical care, as needed, including care for emergencies. (2) The governing body must ensure that each person supported receives an annual physical exa…

(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 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. (2) Corporal punishment, seclusion, aversive stimuli, chemical restraint, and denial of a nutritionally adequate diet shall not be used. October, 2016 5 MI…

The applicant shall submit a fee or fees with the application to the Office of Licensure and Review of the Department. Each initial and renewal application for licensure shall be submitted with the appropriate fee or fees as set forth in Rule 0465-02-02-.05 Licensure Administrati…

(1) The Commissioner of Labor and Workforce Development has the responsibility to develop and promulgate regulations which adopt occupational safety and health standards. The Commissioner may adopt the federal standards relating to the same issue. (2) This chapter carries out the…

otherwise requires: (1) “Act” means Chapter 561 of the Public Acts of 1972, known as the Occupational Safety and Health Act of 1972 pursuant to section 1 thereof, as amended (T.C.A. Title 50, Chapter 3, §§ 50-3-101 through 50-3-919.) (2) “Administrator” means the chief administra…

(1) Any interested person may petition in writing the Commissioner of Labor and Workforce Development to promulgate, modify or revoke a standard. The petition should set forth the terms or the substance of the rule desired, the effects thereof if promulgated, and the reasons ther…

(1) The Commissioner of Labor and Workforce Development may promulgate, modify, or revoke any occupational safety and health standard in this chapter in the manner provided in T.C.A. §§ 4-5-101 et seq., the Uniform Administrative Procedures Act.

(1) Except as provided in paragraph (2) of this rule, the standards contained in this chapter shall apply with respect to employments performed in all workplaces in the State of Tennessee. (2) None of the standards in this chapter shall apply to working conditions of employees ex…

(1) The federal occupational safety and health standards adopted by the Commissioner of Labor and Workforce Development in this chapter shall be cited using the designation in Title 29, Code of Federal Regulations, Part 1910, i.e., 29 CFR 1910.38, 29 CFR 1910.137(a)(1)(ii)(E), et…

(1) The Commissioner of Labor and Workforce Development does not adopt the following federal occupational safety and health standards: (a) 29 CFR 1910.1 Purpose and scope. (b) 29 CFR 1910.2 Definitions. (c) 29 CFR 1910.3 Petitions for the issuance, amendment, or repeal of a stand…

(1) The purpose of these rules is to require employers to record and report work-related fatalities, injuries and illnesses pursuant to T.C.A. §§ 50-3-701 and 50-3-702. For recording and reporting under these sections, the Commissioner of the Tennessee Department of Labor and Wor…

(1) All employers covered by the Tennessee Occupational Safety and Health Act of 1972, as amended, (Act) are covered by these rules. However, most employers do not have to keep TOSHA injury and illness records unless TOSHA or the Bureau of Labor Statistics (BLS) informs them in w…

(1) This rule describes the work-related injuries and illnesses that an employer must enter into the TOSHA records and explains the OSHA forms that employers must use to record work- related fatalities, injuries, and illnesses. (2) Recording criteria. (a) Basic requirement. Each …

(1) Multiple business establishments. (a) Basic requirement. You must keep a separate OSHA 300 Log for each establishment that is expected to be in operation for one year or longer. (b) Implementation. 1. Do I need to keep TOSHA injury and illness records for short-term establish…

(1) Reporting fatalities and multiple hospitalization incidents to TOSHA. (a) Basic requirement. 1. Within eight (8) hours after the death of any employee as a result of a work- related incident, you must report the fatality to the TOSHA Division of the Tennessee Department of La…

(1) Summary and posting of the 2001 data. (a) Basic requirement. If you were required to keep OSHA 200 Logs in 2001, you must post a 2001 annual summary from the OSHA 200 Log of occupational injuries and illnesses for each establishment. (b) Implementation. 1. What do I have to i…

(1) Definitions. (a) Establishment. An establishment is a single physical location where business is conducted or where services or industrial operations are performed. For activities where employees do not work at a single physical location, such as construction; transportation;…

[See REPEALED..]

[See REPEALED..]

[See REPEALED..]