DHS 83.35(3)(a)3.3. Establish measurable goals with specific time limits for attainment. DHS 83.35(3)(a)4.4. Specify methods for delivering needed care and who is responsible for delivering the care. DHS 83.35(3)(b)(b) Development. The CBRF shall involve the resident and the resident’s legal representative, as appropriate, in developing the individual service plan and the resident or the resident’s legal representative shall sign the plan acknowledging their involvement in, understanding of and agreement with the plan. If a resident has a medical prognosis of terminal illness, a hospice program or home health care agency, as identified in s. DHS 83.38 (2) shall, in cooperation with the CBRF, coordinate the development of the individual service plan and its approval under s. DHS 83.38 (2) (b). The resident’s case manager, if any, and any health care providers, shall be invited to participate in the development of the service plan. DHS 83.35(3)(c)(c) Implementation. The CBRF shall implement and follow the individual service plan as written. DHS 83.35(3)(d)(d) Individual service plan review. Annually or when there is a change in a resident’s needs, abilities or physical or mental condition, the individual service plan shall be reviewed and revised based on the assessment under sub. (1). All reviews of the individual service plan shall include input from the resident or legal representative, case manager, resident care staff, and other service providers as appropriate. The resident or resident’s legal representative shall sign the individual service plan, acknowledging their involvement in, understanding of and agreement with the individual service plan. DHS 83.35(3)(e)(e) Documentation of review. The CBRF shall document any changes made as a result of the comprehensive individual service plan review. DHS 83.35(3)(f)(f) Availability. All employees who provide resident care and services shall have continual access to the resident’s assessment and individual service plan. DHS 83.35(4)(4) Satisfaction evaluation. At least annually, the CBRF shall provide the resident and the resident’s legal representative the opportunity to complete an evaluation of the resident’s level of satisfaction with the CBRF’s services. The evaluation shall be completed on either a department form or a form developed by the CBRF and approved by the department. DHS 83.35 NoteNote: The CBRF Resident Satisfaction Evaluation form, F62372, can be found at http://dhs.wisconsin.gov/forms/DQAnum.asp or by contacting the Division of Quality Assurance Regional Office listed in Appendix A. DHS 83.35(5)(5) Evaluation of resident evacuation limitations. DHS 83.35(5)(a)(a) Initial evaluation. The CBRF shall evaluate each resident within 3 days of the resident’s admission to determine whether the resident is able to evacuate the CBRF within 2 minutes in an unsprinklered CBRF and 4 minutes in a sprinklered CBRF without any help or verbal or physical prompting, and what type of limitations that resident may have that prevent the resident from evacuating the CBRF within the applicable period of time. A form provided by the department shall be used for the evaluation. The resident’s evaluation shall be retained in the resident’s record. DHS 83.35 NoteNote: The Resident Evacuation Assessment form, F62373, can be found at http://dhs.wisconsin.gov/forms/DQAnum.asp or by contacting the Division of Quality Assurance Regional Office listed in Appendix A. DHS 83.35(5)(b)(b) Evaluation update. The CBRF shall evaluate each resident’s mental or physical capability to respond to a fire alarm at least annually or when there is a change in the resident’s mental or physical capability to respond to a fire alarm. DHS 83.35(5)(c)(c) Notice to employees. The CBRF shall notify each employee who works on the premises of the CBRF of each resident who needs more than 2 minutes to evacuate the CBRF and the type of assistance the resident needs to be evacuated. DHS 83.36(1)(a)(a) The CBRF shall provide employees in sufficient numbers on a 24-hour basis to meet the needs of the residents. DHS 83.36(1)(b)1.1. An administrator or other designated qualified resident care staff in charge is on the premises of the CBRF daily to ensure the CBRF is providing safe and adequate care, treatment and services. DHS 83.36(1)(b)2.2. At least one qualified resident care staff is present in the CBRF when one or more residents are present in the CBRF. DHS 83.36(1)(b)3.3. At least one qualified resident care staff is on duty and awake if at least one resident in the CBRF is in need of supervision, intervention or services on a 24-hour basis to prevent, control or improve the resident’s constant or intermittent mental or physical condition that may occur or may become critical at any time including residents who are at risk of elopement, who have dementia, who are self-abusive, who become agitated or emotionally upset or who have changing or unstable health conditions that require close monitoring. DHS 83.36(1)(b)4.4. At least one qualified resident care staff is on duty and awake if the evacuation capability of at least one resident is 4 minutes or more. DHS 83.36(1)(c)(c) When all of the residents are away from the CBRF, at least one qualified resident care staff shall be on call to provide coverage if a resident needs to return to the CBRF before the regularly scheduled return time. The CBRF shall provide each resident or the off-site location a means of contacting the resident care staff who is on call. DHS 83.36(2)(2) Staffing schedule. The CBRF shall maintain a current written schedule for staffing the CBRF. The schedule shall include each employee’s full name, job assignment and time worked. DHS 83.36 HistoryHistory: CR 07-095: cr. Register January 2009 No. 637, eff. 4-1-09.