DCF 52.41(3)(b)1. 1. `1:8 during waking hours.' A residential care center shall have at least one staff member awake and providing supervision for every 8 or fewer residents present in a program unit during waking hours.
DCF 52.41(3)(b)2. 2. `1:15 during sleeping hours.' A residential care center shall have at least one staff member awake and providing supervision for every 15 or fewer residents present in the program unit during sleeping hours. Each staff member shall be within hearing or call of residents being supervised without reliance on the use of electronic monitoring devices.
DCF 52.41(3)(b)3. 3. `Congregate living area.' A licensee shall ensure that a staff member provides sight and sound supervision at all times in each congregate living area of the center when residents are present. In this subdivision, “congregate living area" means any area in a center used for living or recreation except a bedroom, bathroom, or hallway.
DCF 52.41(3)(c) (c) The staff-to-resident ratios in par. (b) are the minimal staffing requirements for resident care staff. The number of resident care staff providing supervision shall be increased as necessary to meet the needs of residents and to ensure their safety and welfare.
DCF 52.41 Note Note: Section DCF 52.55 (1) (b) 1. requires that staff can safely evacuate all residents from the center in one trip for fire safety.
DCF 52.41(3)(d) (d) No resident may be in a residential care center without supervision by a staff member.
DCF 52.41(3)(e) (e) A licensee shall ensure that supervision is provided for each resident appropriate to the resident's age, maturity, behavior, and developmental level and sufficient to ensure the safety of all residents in the residential care center.
DCF 52.41(3)(f) (f) Supervision of residents shall be by a staff member who meets or exceeds the qualifications of a resident care worker under s. DCF 52.12 (2) (e).
DCF 52.41(3)(g) (g) An inexperienced resident care worker who is required to take the traineeship program s. DCF 52.12 (5) (g) may only be counted in the ratios in par. (b) if the trainee is working with an experienced resident care worker who meets the qualifications in s. DCF 52.12 (2) (e).
DCF 52.41(3)(h) (h) A residential care center shall have at least one full-time equivalent resident services case manager under s. DCF 52.12 (1) (a) 3. for every 16 or fewer residents. A residential services case manager who is working less than full-time may have a maximum caseload that is the equivalent of 2.5 hours per week for each resident.
DCF 52.41(4) (4) Recreation.
DCF 52.41(4)(a)(a) A center shall provide leisure and recreational programming suitable for the ages, abilities and interests of the center's residents. This programming shall be consistent with the center's overall program goals and shall offer residents a variety of indoor and outdoor recreational activities.
DCF 52.41(4)(b) (b) A center shall have well drained outdoor recreation areas that are free of hazards.
DCF 52.41(5) (5) Religious practices. A center shall provide residents with opportunities for voluntary religious expression and participation. The center shall:
DCF 52.41(5)(a) (a) Have written policies on religious training.
DCF 52.41(5)(b) (b) Obtain the written consent of the resident's parent or guardian for church attendance and religious instruction when agency practice varies from that of the resident or the resident's family.
DCF 52.41(5)(c) (c) Arrange for residents to participate in religious exercises in the community whenever possible.
DCF 52.41(6) (6) Center applied policies and procedures. Center policies and procedures affecting residents and their interests shall be applied in a consistent and fair manner.
DCF 52.41(7) (7) Other services.
DCF 52.41(7)(a)(a) A center may operate on the center grounds other services or enterprises not governed by the center's license only if the center obtains the written consent of the department. Examples of other center nonresident services that may be allowed by the department to operate on center grounds are shelter care services, outpatient counseling services, day treatment services and day student educational services.
DCF 52.41(7)(b) (b) A center which provides temporary shelter care services need not obtain a separate shelter care license under ch. DCF 59 if the personnel requirements in s. DCF 52.12 or 59.04, the child care requirements found in s. DCF 59.05, the requirements for records and reports found in s. DCF 59.07 and the physical plant standards in subch. VI of this chapter or in s. DCF 59.06 are met.
DCF 52.41(8) (8) Resident accounts and restitution plan.
DCF 52.41(8)(a) (a) The center shall have procedures for maintaining and managing a separate account for each resident's money and as applicable, shall comply with the provisions under s. 51.61 (1) (v), Stats.
DCF 52.41(8)(b) (b) The center shall, as applicable, have in place a restitution plan for a resident and as applicable, that is coordinated with any other restitution ordered by a court or as part of an agreement under ch. 938, Stats., that describes procedures for deducting sums from a resident's account or earnings as restitution for damages done by the resident. Deductions made for restitution shall be in accordance with a restitution plan as follows:
DCF 52.41(8)(b)1. 1. Before a center may withhold a part of a resident's earnings or account balance, a restitution plan shall be made a part of the resident's treatment record.
DCF 52.41(8)(b)2. 2. The restitution plan shall take into consideration the resident's ability to pay or be as prescribed under court order.
DCF 52.41 History History: Cr. Register, February, 2000, No. 530, eff. 9-1-00; correction in (1) (b) 7. made under s. 13.93 (2m) (b) 7., Stats., Register, June, 2001, No. 546; corrections in (1) (a) 8., 10., (b) 2., 4., (c) 3., 9., 11., 12., (3) (a), (c) and (7) (b) made under s. 13.92 (4) (b) 7., Stats., Register November 2008 No. 635; EmR1106: emerg. r. and recr. (3), eff. 9-16-11; CR 11-026: am. (1) (a) 10., r. and recr. (3) Register December 2011 No. 672, eff. 1-1-12; EmR1414: emerg. am. (1) (a) 3., eff. 8-1-14; CR 14-054: am. (1) (a) 3. Register April 2015 No. 712, eff. 5-1-15; EmR1633: emerg. am. (1) (intro.), cr. (1) (d), (1m), eff. 11-18-16; CR 16-051: am. (1) (intro.), cr. (1) (d), (1m) Register July 2017 No. 739, eff. 8-1-17.
DCF 52.415 DCF 52.415Promoting normalcy.
DCF 52.415(1)(1)Similar to peers. A residential care center shall promote normalcy and the healthy development of a resident by supporting the resident's right to participate in extracurricular, enrichment, cultural, and social activities and have experiences that are similar to peers of the same age, maturity, or development.
DCF 52.415(2) (2) RPPS decision maker.
DCF 52.415(2)(a)(a) A residential care center shall ensure the presence on-site of at least one RPPS decision maker at all times to make decisions regarding the participation of a resident in age or developmentally appropriate extracurricular, enrichment, cultural, and social activities.
DCF 52.415(2)(b) (b) An RPPS decision maker may be a licensee, authorized representative of the licensee, or any staff person specified in s. DCF 52.12 (1) (a) 1. to 5.
DCF 52.415(2)(c) (c) An RPPS decision maker shall have knowledge of a resident and access to the resident's treatment plan and other resident case records under s. DCF 52.49 related to the decision-making factors in sub. (4).
DCF 52.415(2)(d) (d) An RPPS decision maker shall document in the communication log under s. DCF 52.41 (1m) decisions made under this section for activities that do not take place in the residential care center and are not supervised by a staff person.
DCF 52.415(2)(e) (e) An RPPS decision maker shall document on a form prescribed by the department any decision made under this section that requires written permission from the center in lieu of the resident's parent or guardian. The completed form shall be placed in the resident's case record under s. DCF 52.49 (2) (b).
DCF 52.415 Note Note: DCF-F-5124-E, Reasonable and Prudent Parent Decision Record, is available in the forms section of the department website at http://dcf.wisconsin.gov or by writing the Division of Safety and Permanence, P.O. Box 8916, Madison, WI 53708−8916.
DCF 52.415(3) (3) Reasonable and prudent parent standard. When an RPPS decision maker is making a decision regarding a resident's participation in activities, the RPPS decision maker shall use a decision-making standard that is characterized by careful and sensible parental decisions that maintain the health, safety, best interests, and cultural, religious, and tribal values of the resident while at the same time encouraging the emotional and developmental growth of the resident, if the activities meet the conditions in pars. (a) and (b) as follows:
DCF 52.415(3)(a) (a) Areas covered by the standard. The resident is participating or wants to participate in extracurricular, enrichment, cultural, or social activities, including all of the following.
DCF 52.415(3)(a)1. 1. Activities related to transportation, such as obtaining a driver's license, driving, or carpooling with peers and other adults.
DCF 52.415(3)(a)2. 2. Formal or informal employment and related activities, such as opening an account in a bank or credit union.
DCF 52.415(3)(a)3. 3. Activities related to peer relationships, such as visiting with friends, staying overnight at a friend's house, or dating.
DCF 52.415(3)(a)4. 4. Activities related to personal expression, such as haircuts; hair dying; clothing choices; or sources of entertainment, including games and music.
DCF 52.415(3)(b) (b) Age or developmentally appropriate activities. The resident is participating or wants to participate in activities that are suitable based on any of the following criteria:
DCF 52.415(3)(b)1. 1. Activities that are generally accepted as suitable for children of the same chronological age or level of maturity or that are determined to be developmentally appropriate for a child based on the cognitive, emotional, physical, and behavioral capacities that are typical for children of the same age or age group.
DCF 52.415(3)(b)2. 2. Activities that are suitable based on this resident's cognitive, emotional, physical, and behavioral capacities.
DCF 52.415 Note Note: The reasonable and prudent parent standard does not apply to a child receiving respite care services.
DCF 52.415(4) (4) Decision-making factors. When applying the reasonable and prudent parent standard to a decision regarding a resident's participation in an extracurricular, enrichment, cultural, or social activity, an RPPS decision maker shall consider all of the following:
DCF 52.415(4)(a) (a) Child-specific factors, including all of the following:
DCF 52.415(4)(a)1. 1. The resident's treatment plan.
DCF 52.415(4)(a)2. 2. The resident's wishes, as gathered by engaging the resident in an age-appropriate discussion about participation in the activity.
DCF 52.415(4)(a)3. 3. The age, maturity, and development of the resident.
DCF 52.415(4)(a)4. 4. Whether participating in the activity is in the best interest of the resident.
DCF 52.415(4)(a)5. 5. The resident's behavioral history.
DCF 52.415(4)(a)6. 6. Court orders and other legal considerations affecting the resident, including the prohibitions in sub. (5).
DCF 52.415(4)(a)7. 7. Cultural, religious, and tribal values of the resident and the resident's family. If the resident and the resident's family have different cultural, religious, or tribal values, then the placing agency, or the department if the department is the resident's guardian, is ultimately responsible for decisions concerning the resident's care.
DCF 52.415(4)(b) (b) Activity-specific factors, including all of the following:
DCF 52.415(4)(b)1. 1. Potential risk factors of the situation, including whether the resident has the necessary training and safety equipment to safely participate in the activity under consideration.
DCF 52.415(4)(b)2. 2. How the activity will help the resident grow.
DCF 52.415(4)(b)3. 3. Whether participating in the activity will provide experiences that are similar to the experiences of other residents of the same age, maturity, or development.
DCF 52.415(4)(b)4. 4. Other information regarding the parent's or guardian's wishes and values, as obtained during the development and review of the resident's treatment plan under s. DCF 52.22 (1) and (3) and other discussions with the resident's parent or guardian.
DCF 52.415(4)(c) (c) Any other concerns regarding the safety of the resident, other residents in the residential care center, or the community.
DCF 52.415(4)(d) (d) Information on the forms required under ch. DCF 37.
DCF 52.415 Note Note: The forms required under ch. DCF 37 are DCF-F-872A-E, Information for Out-of-Home Care Providers, Part A and DCF-F-872B-E, Information for Out-of-Home Care Providers, Part B. Both forms are available in the forms section of the department website at http://dcf.wisconsin.gov or by writing the Division of Safety and Permanence, P.O. Box 8916, Madison, WI 53708-8916.
DCF 52.415(5) (5) Prohibitions. An RPPS decision maker may not do any of the following:
DCF 52.415(5)(a) (a) Permit a resident to participate in an activity that would violate a court order or any federal or state statute, rule, or regulation.
DCF 52.415(5)(b) (b) Make a decision that conflicts with the resident's permanency plan or family interaction plan.
DCF 52.415(5)(c) (c) Consent to the resident's marriage.
DCF 52.415(5)(d) (d) Authorize the resident's enlistment in the U.S. armed forces.
DCF 52.415(5)(e) (e) Authorize medical, psychiatric, or surgical treatment for the resident beyond the terms of the consent for medical services authorized by the resident's parent or guardian.
DCF 52.415(5)(f) (f) Represent the resident in a legal action or make a decision of substantial legal significance.
DCF 52.415(5)(g) (g) Determine which school the resident attends or make a decision for the resident regarding an educational right or requirement that is provided in federal or state law.
DCF 52.415 Note Note: For example, only a parent or guardian can make decisions about a resident's individualized educational program under s. 115.787, Stats.
DCF 52.415(5)(h) (h) Require or prohibit a resident's participation in an age or developmentally appropriate activity solely for convenience or a personal reason not applicable to the decision-making factors in sub. (4).
DCF 52.415 History History: EmR1633: emerg. cr., eff. 11-18-16: CR 16-051: cr. Register July 2017 No. 739, eff. 8-1-17.
DCF 52.42 DCF 52.42 Behavior management and control.
DCF 52.42(1)(1)Definitions. In this section:
DCF 52.42(1)(a) (a) “Behavior management and control" means techniques, measures, interventions and procedures applied in a systematic fashion to prevent or interrupt a resident's behavior which threatens harm to the resident or others or to property and which promote positive behavioral or functional change fostering resident self-control.
DCF 52.42(1)(b) (b) “Informed consent document" means a document signed by a resident's parent or guardian and legal custodian or under a court order or under another lawful authority which gives written informed consent for use of a locked unit for a resident based on the following:
DCF 52.42(1)(b)1. 1. Stated reasons why the intervention is necessary and why less restrictive alternatives are ineffective or inappropriate.
DCF 52.42(1)(b)2. 2. The behaviors needing modification.
DCF 52.42(1)(b)3. 3. The behavior outcomes desired.
DCF 52.42(1)(b)4. 4. The amount of time in each day and length of time in days or months the resident is expected to remain in the locked unit.
DCF 52.42(1)(b)5. 5. The time period for which the informed consent is effective.
DCF 52.42(1)(b)6. 6. The right to withdraw informed consent at any time verbally or in writing and possible consequences for the center and resident if consent is withdrawn.
DCF 52.42(1)(c) (c) “Locked unit" means a ward or wing designated as a protective environment in which treatment and services are provided and which is secured by means of a key lock in a manner that prevents residents from leaving the unit at will. A facility locked for purposes of external security is not a locked unit provided that residents may exit at will.
DCF 52.42(1)(d) (d) “Emergency safety intervention" means that a staff member physically intervenes with a resident when the resident's behavior presents an imminent danger of harm to self or others and physical restraint or physically enforced separation is necessary to contain the risk and keep the resident and others safe.
DCF 52.42(1)(e) (e) “Physically enforced separation" means that a resident is temporarily physically removed to a time-out room or area including, where applicable, a locked unit. “Physically enforced separation" does not include sending a resident on the resident's own volition to the resident's room or another area for a cooling off period as part of a de-escalation technique.
DCF 52.42(1)(f) (f) “Physical hold restraint" means that a resident is temporarily physically restrained by a staff member.
DCF 52.42(1)(g) (g) “Time-out room" means a designated room used for temporarily holding a resident who is in physically enforced separation from other residents.
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Published under s. 35.93, Stats. Updated on the first day of each month. Entire code is always current. The Register date on each page is the date the chapter was last published.