DCF 57.27(1)(1) Prohibited measures. No licensee, staff member, or volunteer may do any of the following: DCF 57.27(1)(a)(a) Hit, shake, pinch, push, twist or use any other means that the staff member or volunteer knows or should know may inflict mental or physical harm or actions that may be psychologically, emotionally or physically painful to a resident. DCF 57.27(1)(b)(b) Verbally abuse a resident or use profanity, or any language that the staff member or volunteer knows or should know may ridicule a resident. DCF 57.27(1)(d)(d) Use any item to cover a resident’s head or face or wrap the resident’s body with sheets, blankets, or any other material. DCF 57.27(1)(e)(e) Require a resident to march, stand, kneel, or assume and remain in any fixed position or assign work that is not therapeutic and not a part of the resident’s treatment plan. DCF 57.27(1)(f)(f) Release any noxious, toxic or otherwise unpleasant substances near the eyes or face of a resident. DCF 57.27(1)(g)(g) Authorize, direct or ask a resident to discipline another resident. DCF 57.27(1)(h)(h) Discipline one resident for the behavior or action of another resident. DCF 57.27(1)(i)(i) Employ any measure that the staff member or volunteer knows or should know is aversive, cruel, humiliating or that may be psychologically, emotionally, or physically painful, discomforting, dangerous, or potentially injurious to a resident. DCF 57.27(1)(j)(j) Use any mechanical restraint or equipment that restricts the movement of an resident or a portion of the resident’s body as behavior intervention. DCF 57.27(1)(k)(k) Use a prone restraint that places a resident in a face down position as behavior intervention. DCF 57.27(2)(a)(a) As used in this subsection, “time-out” means a behavior intervention technique that involves brief periods of physical separation of a resident from others. DCF 57.27(2)(b)(b) A time-out may not be used for the convenience of staff members or volunteers, as a substitute for supervision of a resident, or for a child under 3 years old. DCF 57.27(2)(c)(c) Areas used for time-outs shall be free of objects with which a resident could self-inflict bodily harm, shall provide a staff view of the resident at all times and shall be equipped with adequate ventilation and lighting. DCF 57.27(2)(d)(d) The use of time-outs shall be appropriate to the developmental level and the age of the resident and may not be for a period longer than the period of time necessary for the resident to regain control. The maximum length of time that a resident may be in a time-out on each occurrence of a time-out is as follows: DCF 57.27(2)(d)1.1. For a child 3 through 6 years of age, a time-out may not exceed 10 minutes. DCF 57.27(2)(d)2.2. For a child 7 through 10 years of age, a time-out may not exceed 15 minutes. DCF 57.27(2)(d)3.3. For a child over 11 years of age, a time-out may not exceed 30 minutes. The need for continued use of a time-out shall be reviewed at least every 10 minutes and documented in the resident’s record. DCF 57.27(2)(e)(e) A resident that is in a time-out shall be permitted use of the toilet if requested. DCF 57.27(2)(f)(f) Any resident that is in a time-out shall be within hearing of a staff member. DCF 57.27(2)(g)(g) Within 12 hours of occurrence, there shall be documentation in the resident’s record of each time-out, including the name of each staff member involved, the length of the time-out, and rationale for use. DCF 57.27(3)(a)(a) A staff member may not use any type of physical restraint on a resident unless the resident’s behavior presents an imminent danger of harm to self or others and physical restraint is necessary to contain the risk and keep the resident and others safe. DCF 57.27(3)(b)(b) A staff member shall attempt other feasible alternatives to de-escalate a resident and situation before using physical restraint. DCF 57.27(3)(c)(c) A staff member may not use physical restraint as disciplinary action, for the convenience of the staff member, or for therapeutic purposes. DCF 57.27(3)(d)(d) If physical restraint is necessary under par. (a), a staff member may only use the physical restraint in the following manner: DCF 57.27(3)(d)1.1. With the least amount of force necessary and in the least restrictive manner to manage the imminent danger of harm to self or others.