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D.C. Municipal Regulations (Last Updated: September 13, 2017) |
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Title 22. HEALTH |
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SubTilte 22-B. PUBLIC HEALTH AND MEDICINE |
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Chapter 22-B38. COMMUNITY RESIDENCE FACILITIES FOR MENTALLY ILL PERSONS |
Section 22-B3836. SUPPORTED REHABILITATIVE RESIDENCE
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3836.1A Supported Rehabilitative Residence shall be a homelike setting where residential and rehabilitative services are provided in an apartment or house for eight (8) or fewer residents who require twenty-four hour (24 hr.) staff supervision and on-site rehabilitation.
3836.2The maximum number of residents in one site shall be eight (8), excluding staff, unless this requirement is waived by DCRA.
3836.3Specialized services, such as limited and intermittent nursing care or physical therapy, shall be provided if necessary on a scheduled basis as established in the resident's ITP, by properly licensed staff. Intermittent nursing care may be provided by residence staff or home health aides if required.
3836.4Each Supported Rehabilitative Residence shall maintain a staff to resident ratio of 1:8, twenty-four hours (24 hr.) per day whenever a resident is present and 2:8 during periods of peak activity, such as meals and when most residents are home and awake.
3836.5Staff shall be responsible for providing assistance with activities of daily living, personal supervision, meals, lodging and rehabilitative and specialized services.
3836.6Staff shall provide a consistent and therapeutic environment, where through daily contact and interaction, the resident's needs and progress are assessed.
3836.7Rehabilitation in a MHCRF shall be coordinated under the direction of the resident's CMHS designated treatment team and such care will be provided in or out of the residence by direct care staff with the assistance of the facility operator or an identified adult from the home.
3836.8The Supported Rehabilitative Residence shall be appropriate for adults with a principal diagnosis of mental illness requiring twenty-four hour (24 hr.) supervision, rehabilitation, and assistance and supervision in self-care activities. Attendance at a day program shall not be mandatory for residents in a Supported Rehabilitative Residences.
3836.9Each Supported Rehabilitative Residence shall have a Residence Director who shall provide or arrange for supervision and coordination of services to ensure that each resident's health, safety, and welfare are protected.
3836.10The resident's treatment team shall determine whether a person is appropriately placed in a Supportive Rehabilitative Residence.