DHS 12.12(4)(d)9. 9. A victim's impact statement, if appropriate.
DHS 12.12(4)(d)10. 10. Employment history, including evidence of acceptable performance or competency in a position and dedication to the person's profession.
DHS 12.12(4)(d)11. 11. The nature and scope of the person's contact with clients in the position requested.
DHS 12.12(4)(d)12. 12. The degree to which the person would be directly supervised or working independently in the position requested.
DHS 12.12(4)(d)13. 13. The opportunity presented for someone in the position to commit similar offenses.
DHS 12.12(4)(d)14. 14. The number, type and pattern of offenses committed by the person.
DHS 12.12(4)(d)15. 15. Successful participation in or completion of recommended rehabilitation, treatment or programs.
DHS 12.12(4)(d)16. 16. Unmet treatment needs.
DHS 12.12(4)(d)17. 17. The applicant's veracity.
DHS 12.12(5) (5)Rehabilitation decisions.
DHS 12.12(5)(a) (a) Review panel decision. The review panel shall decide whether to approve, defer, or deny rehabilitation approval, and shall issue a written decision to that effect, as follows:
DHS 12.12(5)(a)1. 1. If the review panel finds sufficient evidence to support rehabilitation approval, the decision shall indicate, as applicable, whether the person is eligible for regulatory approval, employment as a caregiver, or contracting with or residency at an entity. The decision shall describe the scope of the rehabilitation approval and state any conditions or limitations placed on the approval, such as whether the approval is only for employment doing certain job functions or the eligibility for regulatory approval is only to operate certain entity types.
DHS 12.12(5)(a)2. 2. If the review panel decides to defer a rehabilitation decision, the panel decision shall state the reasons for the deferral. Unless otherwise agreed to by the requester, the panel may defer a final decision for a period of not more than 6 months from the initial decision date.
DHS 12.12(5)(a)3. 3. If the review panel decides to deny approval of the rehabilitation request, the decision shall explain the reasons for the denial and inform the requester that he or she may appeal the decision as described in s. 48.685 (5c) or 50.065 (5c), Stats., as applicable, by filing a written request for review of the decision within 10 days of receipt.
DHS 12.12 Note Note: Pursuant to s. 48.685 (5c), Stats., or 50.065 (5c), Stats., submit an appeal to the following, as appropriate: 1. To appeal a department denial of a rehabilitation approval, send the appeal request to the Department of Health Services, Office of Legal Counsel, P.O. Box 7850, Madison, WI 53707-7850. 2. To appeal a school board denial of a rehabilitation approval, send the appeal request to the Superintendent of the Department of Public Instruction, 125 South Webster St., Madison, WI 53703; or call 608-266-3390. 3. To appeal a county denial of a rehabilitation approval, send the appeal request to the appropriate county. When any of the preceding rehabilitation appeals are denied, a further appeal is available under ch. 227, Stats. Send a request for a ch. 227, Stats., hearing to appeal any of the preceding department, department of public instruction or county denials of rehabilitation appeals to the Division of Hearings and Appeals, P. O. Box 7875, Madison, WI 53707-7875. The request may be delivered in person to that office at 5005 University Avenue, Suite 201, Madison, Wisconsin.
DHS 12.12 Note Note: Any person who is listed in the department's caregiver misconduct registry under ch. DHS 13 as having a substantiated finding of abuse or neglect of a client or misappropriation of a client's property as the result of an action the person took while working as a nurse aide in a federally certified nursing home or intermediate care facility for individuals with intellectual disabilities (ICF/IID) is permanently prohibited from being employed, in any capacity, in a federally–certified nursing home or a federally–certified ICF/IID. If such a person obtains a rehabilitation approval, the person is eligible to be considered for regulatory approval, for employment as a caregiver, or for non-client residency at or contracting with other entities covered by ss. 50.065 and 48.685, Stats. See 42 CFR 483.13 and 483.420 for federal regulations relating to nurse aides.
DHS 12.12(5)(b) (b) Burden of proof. A person who appeals under par. (a) 3. shall bear the burden of proving, by a preponderance of the evidence, that the agency or tribe abused its discretion in deciding that the person did not show sufficient evidence to support rehabilitation approval.
DHS 12.12(5)(c) (c) Review panel decision distribution. The review panel shall send its decision to the requester and a copy, if appropriate, to the entity. If the agency conducting the rehabilitation review is other than the department or a tribe, the review panel shall also, within 10 days of sending its decision, send a completed copy of the department's required reporting form regarding any rehabilitation decision to the department. If the entity conducting the rehabilitation review is a tribe, the review panel shall also send a copy of the decision to the same address accompanied by a copy of the requester's application materials.
DHS 12.12 Note Note: Rehabilitation decisions should be addressed to the Office of Legal Counsel, Department of Health Services, P. O. Box 7850, 1 W. Wilson St., Room 651, Madison, WI 53707-7850.
DHS 12.12(5)(d) (d) Maintaining rehabilitation decision documentation. The review panel shall maintain a file containing a copy of the original written decision and any decisions from filed appeals that may result. The agency or tribe shall maintain in the file the rehabilitation review request and all materials or information obtained or notes made as part of the rehabilitation review decision.
DHS 12.12(6) (6)Rehabilitation approval compliance and withdrawals.
DHS 12.12(6)(a)(a) Approval conditions. A person who receives rehabilitation approval shall comply with all conditions and limitations imposed with that approval.
DHS 12.12(6)(b) (b) Rehabilitation approval violation — mandatory withdrawal. An agency or tribe that has granted a person a rehabilitation approval shall withdraw the approval if the agency or tribe learns that the person is no longer eligible under s. 50.065 (4m) (a) or (b), or 48.685 (4m) (a) or (b), Stats., for regulatory approval, to be employed as a caregiver, or to contract with or reside at an entity.
DHS 12.12(6)(c) (c) Rehabilitation approval violation—summary suspension. An agency or tribe that granted a person a rehabilitation approval may immediately temporarily rescind the rehabilitation approval when the agency or tribe has knowledge that the person has done either of the following:
DHS 12.12(6)(c)1. 1. The person has failed to comply with or abide by any conditions or limitations imposed with the rehabilitation approval.
DHS 12.12(6)(c)2. 2. The person knowingly submitted false information or withheld pertinent information relevant to the rehabilitation request that otherwise could or would have affected the review panel's decision to grant the rehabilitation approval.
DHS 12.12(6)(d) (d) Informing agencies or tribes. An agency, entity or tribe other than the agency or tribe that granted a rehabilitation approval, that becomes aware that any person has violated his or her rehabilitation approval under par. (b) or (c), shall inform the agency or tribe that granted the approval, of the violation.
DHS 12.12(6)(e) (e) Review of summary suspensions.
DHS 12.12(6)(e)1.1. Within 10 working days of temporarily rescinding a rehabilitation approval under par. (c), the approving agency or tribe shall determine whether the new information related to an approval violation under par. (c) is valid and represents a risk of harm to the client. If the new information is valid and does represent a risk of harm to the client, the approving agency or tribe shall withdraw the rehabilitation approval, thereby re-imposing, as applicable, the person's bar from regulatory approval, from employment as a caregiver or from contracting with or residing at an entity.
DHS 12.12(6)(e)2. 2. An agency, entity, or tribe, as applicable, that determines the new information related to an approval violation under par. (c) represents a risk of harm to a client shall also immediately take appropriate measures to protect clients until any appeal filed under par. (g) is exhausted. Appropriate measures may include a repeal of regulatory approval, termination of employment as a caregiver or of approval to reside at an entity, contract termination, reassigning the person away from duties involving direct regular contact with clients or placing the person on temporary leave.
DHS 12.12(6)(f) (f) Withdrawal decisions. When an agency or tribe withdraws a rehabilitation approval, it shall issue a written decision to that effect. The decision shall explain the reasons for the withdrawal and inform the requester whether he or she may appeal under par. (g).
DHS 12.12(6)(g) (g) Appeal rights. Any person who has his or her rehabilitation approval withdrawn under par. (f) may file an appeal of this decision as provided in sub. (5) (a).
DHS 12.12(6)(h) (h) Withdrawal reporting. When an agency or tribe that granted a rehabilitation approval withdraws the approval, and the withdrawal results in a bar to regulatory approval, to eligibility to work as a caregiver, or to contracting with or residing at an entity, the approving agency or tribe shall immediately report the withdrawal to the subunit of the department responsible for collecting this information.
DHS 12.12 Note Note: Send reports of withdrawn rehabilitation approval to: Office of Legal Counsel, Department of Health Services, P. O. Box 7850, 1 West Wilson Street, Room 651, Madison, WI 53707-7850.
DHS 12.12(7) (7)Scope of agency or tribe rehabilitation approval.
DHS 12.12(7)(a)(a) Agency approval limitations. An agency may grant rehabilitation approval only within the scope of its regulatory authority. The approval applies to all types of entities, job activities and functions the agency regulates, unless the agency specifies otherwise in the form of limitations or conditions expressed in the written rehabilitation approval decision.
DHS 12.12(7)(b) (b) Tribe approval limitations. A tribe may only grant rehabilitation approvals within the scope of its own employment, contracting, or licensing authority.
DHS 12.12(7)(c) (c) Rehabilitation approval transfers.
DHS 12.12(7)(c)1.1. When an agency, tribe, or entity learns from the department's background information disclosure form or in any other way that an applicant for regulatory approval, for employment as a caregiver, or for a contract with or permission to reside at an entity has had a rehabilitation review, the agency, tribe, or entity shall request from the rehabilitation review agency or tribe a copy of the rehabilitation review decision. If the rehabilitation review decision was an approval, the agency, tribe or entity shall determine whether the approval may be applied to the regulatory approval, employment as a caregiver, or contract with or residency at an entity that the applicant currently seeks.
DHS 12.12(7)(c)2. 2. Except as specified in subd. 3., an agency, entity, or tribe may review and accept a rehabilitation granted to a person by another agency or tribe if the receiving agency or tribe determines both of the following:
DHS 12.12(7)(c)2.a. a. The crime, act, or offense that required the person to request rehabilitation review is not substantially related to the person's job duties.
DHS 12.12(7)(c)2.b. b. Any limitations or conditions imposed with the rehabilitation approval continue to be able to be met.
DHS 12.12(7)(c)3. 3. No rehabilitation approval granted by a tribe may be transferred outside of the tribe's employment or contracting authority.
DHS 12.12(7)(c)4. 4. Before transferring a rehabilitation approval under subd. 1., an agency, tribe, or entity shall verify with the department that the applicant has had a rehabilitation review, and if so, the date and status of that review and whether any reason other than the one the applicant reported on the background information disclosure form exists that requires the applicant to request a rehabilitation review.
DHS 12.12(7)(c)5. 5. If the decision of the agency or tribe that conducted the rehabilitation review is to deny approval of transferring the rehabilitation approval, the agency, entity, or tribe shall determine whether the applicant for regulatory approval, for employment as a caregiver, or for contracting with or residency at an entity is eligible to seek another rehabilitation review under sub. (2), and if so, shall inform the person of his or her eligibility.
DHS 12.12 Note Note: Examples of circumstances in which approvals may or may not be transferable include the following:
DHS 12.12 Note 1. An approval to be a foster parent by one county or child-placing agency is not, unless approved by the other county or child-placing agency, transferable to the other county or child-placing agency.
DHS 12.12 Note 2. An approval by the department for a person to work as a shipping clerk in a hospital or nursing home would be transferable to another entity or job function or activity regulated under ch. 50, Stats., as long as limitations or conditions, if any, imposed with the rehabilitation approval are able to be met.
DHS 12.12 Note 3. A rehabilitation approval for employment at a children's day care or a child caring institution is not transferable to a hospital or nursing home or vice versa.
DHS 12.12 Note 4. A rehabilitation approval is not transferable from a group day care center to a family day care center if the department's rehabilitation approval imposed limits or conditions.
DHS 12.12 Note 5. A rehabilitation approval is transferable from one department-regulated child care residential setting to another as long as any limitations or conditions can be met.
DHS 12.12 History History: Cr. Register, August, 2000, No. 536, eff. 9-1-00; CR 10-091: am. (6) (g) Register December 2010 No. 660, eff. 1-1-11.
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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.