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(4)Admission decisions shall be in accordance with the group home program statement, the compatibility of the child with the group home and the policies and procedures of the group home, and this chapter.
(a) Except as provided in par. (b), there shall be no more than 4 years difference in the ages of the children admitted to the group home as residents.
(b) The age difference limitation stated in par. (a) does not apply to children admitted to a group home licensed for respite care or for homeless and runaway youth.
(6)A group home may admit a child 18 years of age or over, but under 21 years of age, if any of the following circumstances exist:
(a) The group home will not have more than 2 children 18 years of age or over, but under 21 years of age.
(b) The group home has a license to serve a resident population that is 18 years of age or over, but under 21 years of age, and is transitioning to independence.
Note: A licensee of an existing group home may request a license amendment under s. DCF 57.515 (2).
(c) The department has granted an exception under s. DCF 57.02 to allow the group home to admit or continue the admission of the child. If the group home does not have a license specified in par. (b), an exception is required before the group home may admit or provide care for more than 2 children 18 years of age or over, but under 21 years of age.
(7)Each child admitted to a group home as a resident shall have had a health examination performed by an individual licensed to perform the examination no more than one year before being admitted to the group home or shall have the examination within 30 days after the date of admission if the consent required under s. DCF 57.25 (1) has been obtained. Documentation of the examination shall be maintained in the resident’s record as required in s. DCF 57.38 (1) (i) 3.
(8)Before or upon admission to a group home each resident shall be provided with all of the following:
(a) Information on exits and evacuation routes.
(b) Oral notification and a written copy of the resident rights specified in s. DCF 57.24. If the resident is 17 years of age or younger, a copy shall also be made available to the resident’s parent or guardian, and legal custodian, if available.
(c) A copy of the house rules developed under s. DCF 57.05 (2) (k). A copy of the house rules shall also be provided to the resident’s parent, guardian, or legal custodian, as appropriate.
(9)Upon receipt of a notice of revocation of the group home license and during any revocation proceedings that may result, the licensee may not admit a child as a resident except as provided in s. DCF 57.56 (2).
History: CR 04-067: cr. Register September 2005 No. 597, eff. 1-1-06; corrections in (7), (8) (b), (c) and (9) made under s. 13.92 (4) (b) 7., Stats., Register November 2008 No. 635; EmR1414: emerg. r. and recr. (6), eff. 8-1-14; CR 14-054: r. and recr. (6) Register April 2015 No. 712, eff. 5-1-15; CR 16-051: am. (6) (a), (c) Register July 2017 No. 739, eff. 8-1-17.
DCF 57.20Discharge.
(1)Except as provided in sub. (3), the licensee shall complete and send to the appropriate placing agency a discharge summary for each resident discharged from the group home within 30 days of the resident’s discharge. A copy of the summary shall be placed in the resident’s record. The discharge summary shall include all of the following:
(a) Dates of the resident’s stay.
(b) Reason for discharge.
(c) Summary of incidents involving the resident as described in s. DCF 57.13 (1).
(d) Description of type of admission.
(e) Any other relevant information.
(2)The discharge summary developed for a respite care or other placement under a voluntary agreement shall be provided to the parent, guardian, legal custodian, or placing agency, as appropriate upon discharge. A copy of the summary shall be placed in the resident’s record.
(3)Thirty days before a discharge of a resident whose placement is court ordered for reasons other than revocation or denial of a license, the post-discharge plan developed under s. DCF 57.23 (3) shall be provided to the resident, the resident’s parent, guardian or legal custodian, if available.
(4)The licensee shall allow the placing agency at least 15 days to make plans for a resident whom the licensee requests that the placing agency remove from the group home unless both parties agree to earlier removal.
(5)All of the resident’s personal belongings, including medical equipment shall accompany the resident upon discharge. A complete accounting of these items shall be placed and maintained in the resident’s record required under s. DCF 57.38. Medication shall be handled as required under s. DCF 57.25 (6) (e) to (g).
(6)By the effective date of a license revocation the licensee shall have arranged for alternative placement for each resident. Arrangements for alternative placement shall be made in cooperation with each resident’s parent or guardian, and legal custodian or placing agency, if not the same. The licensee shall share the placement information with the licensing representative at least one week before the effective date of the revocation.
History: CR 04-067: cr. Register September 2005 No. 597, eff. 1-1-06; corrections in (1) (c), (3) and (5) made under s. 13.92 (4) (b) 7., Stats., Register November 2008 No. 635.
Subchapter IV — Resident Care
DCF 57.205Principles for nurturing care. The group home shall do all of the following:
(1)Provide a safe, stable, and humane environment.
(2)Encourage a resident’s autonomy, respect a resident’s need for privacy and consider a resident’s preferences and choices while providing care, supervision, and training.
(3)Provide care that is respectful toward the beliefs, interpersonal styles, attitudes and behaviors of residents and families of various cultures.
History: CR 04-067: cr. Register September 2005 No. 597, eff. 1-1-06.
DCF 57.21Staff to resident ratios and supervision.
(1)In this section, “supervision” means guidance of the behavior and activities of a resident by a staff member who is within sight or sound of a resident to ensure the safety and well-being of the resident.
(2)The staff-to-resident ratios of a group home shall be as follows:
(a) 1:5 during waking hours. A group home shall have at least one staff member awake and providing supervision for every 5 or fewer residents present in the group home during waking hours.
(b) 1:8 during sleeping hours. A group home shall have at least one staff member awake and providing supervision during sleeping hours.
(3)The staff-to-resident ratios in sub. (2) and s. DCF 57.36 (5) are the minimal staffing requirements for resident care staff. The number of resident care staff on duty shall be increased as necessary to meet the needs of residents and to ensure their safety and welfare.
(4)A volunteer may be used to meet the staff-to-resident ratio requirements in sub. (2) and s. DCF 57.36 (5) when 6 or more residents are in care if the volunteer meets the staff qualifications under s. DCF 57.14 (4) (c).
(5)No resident may be in the group home without supervision by a staff member.
(6)A licensee shall ensure that supervision is provided for each resident appropriate to the resident’s age, maturity, behavior, and developmental level and sufficient to ensure the safety of all residents in the group home.
(7)A licensee shall ensure that sufficient staffing is available to provide supervision of a resident during suspensions and other extended absences from school.
History: CR 04-067: cr. Register September 2005 No. 597, eff. 1-1-06; correction in (1) (b) made under s. 13.92 (4) (b) 7., Stats., Register November 2008 No. 635; EmR1106: emerg. r. and recr., eff. 9-16-11; CR 11-026: r. and recr. Register December 2011 No. 672, eff. 1-1-12.
DCF 57.215Communication log. A group home shall require each shift of resident care staff and RPPS decision makers to use a communication log to document and communicate with other resident care staff and RPPS decision makers about residents whom they supervise in common. The communication log shall include all of the following for each shift:
(1)Each resident’s location, behavior, and program participation.
(2)Significant incidents involving a resident, as specified in the group home’s policy and procedures.
(3)Reasonable and prudent parenting requests and decisions made for residents under s. DCF 57.245 for activities that do not take place in the group home and are not supervised by a staff member.
(4)Staff arrival and departure times.
History: EmR1633: emerg. cr., eff. 11-18-16; CR 16-051: cr. Register July 2017 No. 739, eff. 8-1-17.
DCF 57.22Resident activities.
(1)Activity planning and scheduling. The licensee shall establish and implement a written plan of general activities for residents that shall include all of the following:
(a) Leisure-time activities.
(b) Opportunities to engage in social and community activities.
(c) Self-expression and communication.
(d) Opportunities for physical exercise to encourage gross and fine motor development.
(e) Guidance and assistance in the development of daily living skills.
(f) Activities appropriate to a resident’s ethnic culture.
(g) Opportunities for activities geared towards the individual interests of residents.
(2)Religious training and practice. Each resident shall be provided with opportunities for voluntary religious expression and participation in religious education and attendance at services compatible with the religious preference of the resident, or a parent or guardian of the resident.
(3)Recreation. A variety of indoor and outdoor recreational activities and developmentally appropriate play equipment shall be offered.
(4)Telephone usage. Telephone usage by a resident shall be governed by the resident rights under s. DCF 57.24 and the resident’s treatment plan or placement agreement.
History: CR 04-067: cr. Register September 2005 No. 597, eff. 1-1-06; correction in (4) made under s. 13.92 (4) (b) 7., Stats., Register November 2008 No. 635.
DCF 57.23Treatment planning and assessment.
(1)Assessment for respite care. A program director shall ensure that an assessment of a child admitted to a group home under a voluntary agreement for respite care is completed before the child’s date of admission to the group home. The assessment shall include all of the following:
(a) Information on the child’s developmental, behavioral, educational, and medical history; family and significant relationships; legal history; substance abuse history; and any past treatment.
(b) A description of the child’s current status, including mental status, medical needs, current activities, educational status, current and recent substance abuse use, and personal strengths.
(2)Resident assessment and treatment plan.
(a) Within 30 calendar days after the date a resident is admitted to a group home, the program director shall perform a comprehensive written assessment of the resident and develop a written treatment plan. The program director shall develop the treatment plan with the participation of the placing agency; the resident; a parent if the resident is under 18 years of age; a guardian and legal custodian, if applicable and available; and the persons who will provide the required services to the resident. A completed treatment plan for each resident shall be placed in the resident’s record maintained by the group home under s. DCF 57.38 and shall include all of the following:
1. A description of the resident’s strengths, needs, and preferences.
2. Treatment goals for the resident and the time frames for achieving those goals.
3. A description of behavior interventions to be utilized with the resident. The licensee shall ensure that methods of behavior intervention are positive, based on the resident’s needs, stage of development and behavior and promote self control.
4. Specific services and supports to be provided to achieve the treatment goals, and names of persons, agencies or position titles responsible for providing services and implementing any of the treatment goals.
5. Permanency planning goals.
6. Goals related to independent living skills, if the resident is 15 years of age or older.
7. Specific indicators that treatment goals have been achieved.
8. Any court ordered conditions.
9. Projected length of stay and conditions for discharge.
10. Visits to the resident by parents and other family members with the approval of the placing agency and in accordance with clients’ right standards to ensure that an appropriate relationship is maintained between the resident and family members.
11. Arrangements for public school attendance.
12. Consideration of the additional requirements for care of custodial parents and expectant mothers under s. DCF 57.36 and care for children under 6 years of age under s. DCF 57.37, as applicable.
13. Consideration of additional requirements for the care of the following residents:
a. The resident is 18 years of age or over, but under 21 years of age; the resident is a full-time student at a secondary school or its vocational or technical equivalent; and there is an individualized education program under s. 115.787, Stats., in effect for the person.
b. The resident is 18 years of age or over, but under 21 years of age, and is placed under another state’s placement and care responsibility under 42 USC 675 (8) (B) (iv).
14. Information documented on the forms required under ch. DCF 37 regarding the decision-making factors for reasonable and prudent parenting decisions for the resident under s. DCF 57.245 (4).
Note: The forms required under ch. DCF 37 are DCF-F-872A-E, Information for Out-of-Home Care Providers, Part A and DCF-F-872B-E, Information for Out-of-Home Care Providers, Part B. Both forms are available in the forms section of the department website at http://dcf.wisconsin.gov or by writing the Division of Safety and Permanence, P.O. Box 8916, Madison, WI 53708-8916.
(am) Assessments of children of residents are not required.
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Published under s. 35.93, Stats. Updated on the first day of each month. Entire code is always current. The Register date on each page is the date the chapter was last published.