(2) APPLICATION. A YCSF may apply for a certification by submitting all of the following application materials to the department at the address given on the application:
(a) A completed application form.
(b) Payment for the application fee required under s. 51.04, Stats., (c)
A program statement as specified under s. DHS 50.05.(e) DCF 57.49(1)(h)A copy of the youth crisis stabilization facility’s policies and procedures, as specified under s. DHS 50.06. (f) A floor plan of the YCSF, specifying dimensions, exits, and planned room usage.
(g) All inspection reports completed during the last 12 months as defined in ss. DHS 50.15. to DHS 50.18. (h)
DCF 57.49(1)(f)Proof of building insurance, risk, and liability insurance, and agency-owned vehicle insurance if transporting youth. (i)
DCF 57.49(1)(e)Payment of any forfeitures, fees, assessments related to any licenses or certifications issued by the department to the applicant, or a written statement signed by an authorized representative stating that no fees, forfeitures, assessments are owed. (j)
Any other applicable fees. (k)
Any additional information requested by the department.(3) COMPLIANCE REVIEW. Upon receipt of all completed application materials described in (2), the applicant shall permit the department to conduct an on-site inspection of the facility and a review of any documentation necessary to determine compliance with this chapter.
(4) CERTIFICATION DETERMINATION.
(a) The department shall make a certification determination within 60 days of receiving all completed application materials.
(b) If the department does not approve the YCSF’s program statement or determines that an applicant does not comply with the requirements of this chapter, the department may deny the certification. A denial of certification shall be in writing and shall contain the reason for the denial and notice of opportunity for a hearing.
(c) The department may limit the number of certificates issued pursuant to s. 51.042 (2) (a), Stats.
(5) NOTIFICATION OF CHANGES. A YCSF that has received certification from the department shall notify the department of any change of administration, ownership, program name, or any other change that may affect compliance with this chapter before the effective date of the change. A new application will be required if upon notification the department determines there is a substantial change in some aspect of the YCSF. A certification is non-transferable.
(6) DURATION OF CERTIFICATION.
(a) A certification is valid until suspended or revoked by the department.
(b) A certification becomes invalid upon non-payment of biennial fees.
(c) A certification becomes invalid upon suspension or termination by the department.
(d) A certification may be suspended or terminated under s. DHS 50.03 (10).
(7) BIENNIAL REPORT AND FEES.
(a) Every 24 months, at least 60 days before the date of expiration, the YCSF shall submit a biennial report on the form provided by the department, and shall submit payment of certification continuation fees. This report shall include a program statement per s. DHS 50.05. (b) The department will send the re-certification materials to the provider, which the provider is expected to fill out and submit to the department according to instructions provided.
(c) A certification will be suspended or terminated if biennial reports are not submitted prior to the end of the biennial cycle.
(8) YCSF INSPECTIONS. The YCSF shall permit unannounced, on-site inspections of the site by the department to conduct program reviews, complaint or death investigations involving any aspect of the YCSF, or to determine a YCSF’s progress in correcting a deficiency cited by the department. The department may use a random selection process for reviewing client records during program reviews. Complaint-driven program reviews shall include the records related to the complaint and may include additional records.
(9) NOTICE OF DEFICIENCIES.
(a) If the department determines that a YCSF has a deficiency, the department shall issue a notice of deficiency to the YCSF within 10 business days. The notice of deficiency may place restrictions on the YCSF or its activities, or suspend or terminate the YCSF’s certification, pursuant to s. DHS 50.03 (10). (b) The YCSF shall submit a plan of correction to the department within 10 business days as indicated in the notice of deficiency. The plan of correction shall propose the specific steps the YCSF will take to correct the deficiency, the timelines within which the corrections will be made, and the licensed professional staff members who will implement the plan and monitor for future compliance.
(c) If the department determines that the plan of correction submitted by the YCSF does not adequately address deficiencies listed in the notice of deficiency, the department may request a new plan of correction from the YCSF or may impose a plan of correction.
(10) TERMINATION AND SUSPENSION OF CERTIFICATION.
(a) The department may terminate certification at any time for major deficiency by issuing a notice of termination to the YCSF. The notice shall specify the reason for the department action and the appeal information under s. DHS 50.03(11). (b) The department may suspend a YCSF’s certification if the department determines that immediate action is required to protect the health, safety, and welfare of youth. Written notice of suspension shall specify the reason for the department action and the date the action becomes effective. Within 10 business days after the order is issued, the department shall either lift or impose conditions on the suspension of the YCSF’s certification or proceed to terminate the YCSF’s certification.
(11) APPEALS. If the department denies, suspends, or terminates certification, or imposes conditions on a certification, the YCSF may request a hearing under ch. 227, Stats.
DHS 50.04 Variance and waiver.
DHS 83.03(1)(a)(a) “Variance" means an alternate means of meeting a requirement in this chapter. DHS 83.03(1)(b)(b) “Waiver" means an exemption from a requirement of this chapter. DHS 83.03(2)(2) The department may grant a waiver or variance if the department determines that the proposed waiver or variance will not diminish the effectiveness of the services provided and will not jeopardize the health, safety, welfare, or rights of any youth. The department may specify a timeframe for the waiver. A request for a variance or waiver must be submitted on a form provided by the department. (3) The department may rescind or limit a waiver or variance at any time by notifying the YCSF, if any of the following occurs:
DHS 83.03(3)(a)(a) The department determines the waiver or variance has adversely affected or likely may adversely affect the health, safety or welfare of the youths. DHS 83.03(3)(b)(b) The YCSF fails to comply with any of the conditions of the waiver or variance as granted.
(4) The department shall inform a YCSF in writing if it rescinds or limits a waiver or variance.
DHS 50.05 Program Statement. A program statement shall contain all of the following:
(1) A description of how the YCSF fits into a continuum of care for youth crisis stabilization and treatment services.
(2)
A description of services the program intends to provide, including all of the following: (a) Referral and screening procedures.
(b) Intake procedures, including medication review.
(c) Assessment and treatment planning, including assessment of risk factors and safety planning for youth.
(d) Treatment services, including crisis prevention and emotional regulation, including, if applicable, a description of any services that will be delivered in a group setting.
(e) Care coordination.
(f) Discharge planning, including any linkages and follow-up.
(3) A description of the therapeutic milieu the program proposes to create, its intended therapeutic benefits, and the rationale supporting its use for the youth served by the YCSF.
(a) Describe use of any evidence-based practices and non-traditional services. The description should include a rationale for how the services will help the youth population achieve and sustain positive outcomes.
(b) A plan for coordination of any services in s. DHS 50.05 (2) that will be provided through outside providers, including with any of a youth’s current providers.
(4) A description of how the YCSF and its services are trauma-informed, strengths-based, and culturally responsive.
(5) A description of how the YCSF encourages involvement of families and caregivers in treatment planning and services, and involves individuals authorized to participate in the treatment planning and services.
(6) A description of the YCSF’s process for communicating with a youth’s school or educational setting and the measures it will take to facilitate a youth’s ability to stay up to date in educational expectations.
(7) The proposed schedule of the program, including any times allocated for treatment, recreation, study time, and meals.
(8) The YCSF’s proposal for meeting staffing level requirements in s. DHS 50.07, the qualifications and roles for each position, and an analysis showing that staffing is adequate to meet the needs of the youth that the program proposes to serve.
(9) A description of food service and how it will be provided, including at least three meals a day and snacks.
(10) A description of how the program will offer appropriate indoor and outdoor recreation activities.
(11) A description of methods to evaluate services.
Subchapter II - Program Requirements
DHS 50.06 Required Policies. A YCSF must have written policies and procedures for the following:
(1) Admission policy and criteria, including ages and gender of youth served, and how bedrooms will be allocated.
(2) Utilization review policy addressing determination of need and length of stay, frequency of review, and other utilization policy as needed. The YCSF is meant to be a short-term crisis stabilization facility. If utilization reviews show that a youth requires stabilization longer than a 30-day period, approval from the department must be obtained.
(Note) Approval may be requested at: https://www.dhs.wisconsin.gov/mh/ycsf.htm.
(3) Policy on prescriber consulting relationships and processes to access consultation with a physician, psychiatrist, physician’s assistant, or advanced practice nurse prescriber, to prescribe or consult on psychiatric medications of youths. This can include a youth’s own provider.
(4) Policy on how medications will be stored, managed, and administered, and which staff is responsible. A description of how medical conditions, if any, will be managed.
(5) Policy on medical emergencies.
(6) Policy on clinical supervision, per s. DHS 50.09.
(7) Policies for youths’ personal possessions, communication devices including phones, electronics usage, room searches, or other applicable policies.
(8) Facility rules, provided to youth and staff.
(9) Where client records will be maintained and how confidentiality requirements of those records will be safeguarded, as required under s. DHS 50.14.
(10) Policy on how the YCSF will address safety concerns specific to the youth being served.
