DHS 134.60(1)(d)(d) Implementation. Progress notes shall reflect the treatment and services provided to meet the goals stated in the IPP. DHS 134.60(1)(e)(e) Notification of changes in condition, treatment or status of resident. Any significant change in the condition of a resident shall be reported to the individual in charge or on call who shall take appropriate action, including notification of designated parties, as follows: DHS 134.60(1)(e)1.1. A resident’s parents, guardian, if any, physician and any other person designated in writing by the resident or guardian to be notified shall be notified promptly of any significant accident or injury affecting the resident or any adverse change in the resident’s condition. DHS 134.60(1)(e)2.2. A resident’s parents, guardian, if any, and any other person designated in writing by the resident or guardian to be notified shall be notified promptly of any significant non-medical change in the resident’s status, including financial situation, any plan to discharge the resident or any plan to transfer the resident within the facility or to another facility. DHS 134.60(1)(f)1.1. In the event of a medical emergency, the facility shall provide or arrange for appropriate emergency services. DHS 134.60(1)(f)2.2. The facility shall have written procedures available to residents and staff for procuring a physician or an emergency service, such as a rescue squad, to furnish necessary medical care in an emergency and for providing care pending the arrival of a physician. DHS 134.60(1)(f)3.3. The names and telephone numbers of physicians, nurses and medical service personnel available for emergency calls shall be posted on or next to each telephone in the facility. DHS 134.60(1)(g)(g) Resident safety. The facility is responsible for the safety and security of residents. This includes responsibility for the assignment of specific staff to individual residents. Assigned staff shall be briefed beforehand on the condition and appropriate care of residents to whom they are assigned. DHS 134.60(2)(a)(a) Definitions. For each resident with a developmental disability, required minimum hours of direct care shall be calculated based on the following definitions: DHS 134.60(2)(a)1.1. “DD level I” means the classification of an individual who has a profound or severe intellectual disability; is under the age of 18; is severely physically disabled; is aggressive, assaultive or a security risk; or manifests psychotic-like behavior and may engage in maladaptive behavior persistently or frequently or in behavior that is life-threatening. This individual’s habilitation program emphasizes basic ADL skills and requires intensive staff effort. DHS 134.60(2)(a)2.2. “DD level II” means the classification of an individual who has a moderate intellectual disability and who may occasionally engage in maladaptive behavior. This individual’s health status may be stable or unstable. This individual is involved in a habilitation program to increase abilities in ADL skills and social skills. DHS 134.60(2)(a)3.3. “DD level III” means the classification of an individual who has a mild intellectual disability and who may rarely engage in maladaptive behavior. This individual’s health status is usually stable. This individual is involved in a habilitation program to increase domestic and vocational skills. DHS 134.60(2)(a)4.4. “Direct care staff on duty” means persons assigned to the resident living unit whose primary responsibilities are resident care and implementation of resident habilitation programs. DHS 134.60(2)(a)5.5. “Maladaptive behavior” means a person’s act or activity which differs from the response generally expected in the situation and which prevents the person from performing routine tasks. DHS 134.60(2)(a)6.6. “Mild intellectual disability” means a diagnosis of an intelligence quotient (IQ) of 50 to 55 at the lower end of a range to 70 at the upper end. DHS 134.60(2)(a)7.7. “Moderate intellectual disability” means a diagnosis of an intelligence quotient (IQ) of 35 to 40 at the lower end of a range to 50 to 55 at the upper end. DHS 134.60(2)(a)8.8. “Profound intellectual disability” means a diagnosis of an intelligence quotient (IQ) below 20 to 25. DHS 134.60(2)(a)9.9. “Severe intellectual disability” means a diagnosis of an intelligence quotient (IQ) of 20 to 25 at the lower end of a range to 35 to 40 at the upper end. DHS 134.60(2)(b)1.1. Each resident living unit shall have adequate numbers of qualified staff to care for the specific needs of the residents and to conduct the resident living program required by this subchapter. DHS 134.60(2)(b)2.a.a. A living unit with more than 16 beds or a living unit that houses one or more residents for whom a physician has ordered a medical care plan or one or more residents who are aggressive, assaultive or security risks, shall have direct care staff on duty and awake within the facility when residents are present. The direct care staff on duty shall be responsible for taking prompt, appropriate action in case of injury, illness, fire or other emergency and for involving appropriate outside professionals as required by the emergency. DHS 134.60(2)(b)2.b.b. A living unit with 16 or fewer beds which does not have any resident for whom the physician has ordered a medical care plan or any resident who is aggressive, assaultive or a security risk shall have at least one direct care staff member on duty when residents are present who is immediately accessible to the residents 24 hours a day to take reports of injuries and symptoms of illness, to involve appropriate outside professionals and to take prompt, appropriate action as required by any emergency. DHS 134.60(2)(c)(c) Records and weekly schedules. Weekly time schedules for staff shall be planned, posted and dated at least one week in advance, shall indicate the names and classifications of personnel providing resident care and relief personnel assigned on each living unit for each shift, and shall be updated as changes occur. DHS 134.60(2)(d)1.1. In this paragraph,“resident care staff time” means only the time of direct care staff on duty.