R 400.2411 Services for residents.
Rule 411. A congregate facility shall provide services for the habilitation of its
residents. In addition to transportation and basic self-care and habilitation training,
congregate facilities shall provide or cause to be provided all of the following program
elements which are essential for the habilitation of their residents. Without
department approval a program element other than basic self-care and habilitation
training shall not be provided on the premises when it is available in the community:
(a) Basic self-care and habilitation training means a service to teach and reinforce
skills in dressing, grooming, eating, bathing, toileting, and following of simple
(b) Social education training means a service which covers areas of training
inclusive of recreational participation such as
entertainment and recreational facilities utilization. Social graces and acceptable public
behavior are covered in this area as are leisure time use and skills.
(c) Tutorial and special skills training is a service typically providing 1-to-1
training in an area. Services include basic self-care training, mobility training, or
(d) Adult activity, day care or day training, is an activity and training service
including basic self-care skills, activities of daily living, utilization of community
resources, hazard training, individual and group programs of therapy and education,
recreational programs, field trips, skills maintenance, and special training. Objectives
range from the maintenance of a participant in the community to the development of
prevocational skills to permit placement in a sheltered workshop setting.
(e) Work activity is a work activity service provided in a protective setting in a day
program to serve a retarded or mentally ill adult. Activities are divided between
development of prevocational skills by producing a product in a structured work
setting and providing basic social activities of daily living training. The major focus
shall be on work skills for which reimbursement from products sold or from contracts
may be provided.
(f) Sheltered workshop is a service in a certified protective workshop setting which
includes special vocational training, job evaluation, and rehabilitation planning with a
definite objective of placement in gainful employment, sheltered or independent.
Certification includes proper wage deviation permits from the department of labor
and approvals as appropriate from the division of vocational rehabilitation.
(g) Personal adjustment is a service for a person with psychiatric, emotional,
behavioral, or developmental problems and includes counseling and individual or group
therapy as well as diagnostic evaluation. It also includes utilization of appropriate
batteries of psychological testing material and related counseling to assist in
classification and determination of readiness for movement or maintenance in the
(h) Transportation means vehicle travel by public or private carrier and related cost
to and from program resources in the community including consultation, medical, and
other services. This includes escort between screening and entry programs.
(i) Health services include pharmaceutical, medical, or dental services provided
directly or through contractual agreement.
History: 1954 ACS 82, Eff. Feb. 1, 1975; 1979 AC.