carepolicy Agency Foster Care Home (AFCH) Policies and Procedures North Dakota Owner’s Manual

June 16, 2024
carepolicy

carepolicy Agency Foster Care Home (AFCH) Policies and Procedures North

Dakota

Product Information

Specifications

  • Product Name : [AGENCY NAME] Policy and Procedure Manual
  • Version: 1.0 [Month, Year]
  • Document Classification: Confidential_ [AGENCY NAME]

Introduction

  • Welcome to the Policy and Procedures Manual for [AGENCY NAME], an Agency Foster Care Home (AFHA) providing Residential Habilitation and Community Supports services in  the state of North Dakota. Our agency is committed to providing high-quality services that meet the needs of Medicaid-eligible individuals who require 24-hour care in a community-based setting.
  • This manual has been developed in compliance with the state regulations and licensing requirements, including but not limited to the Residential Habilitation 525-05-30-50, Community Supports Policy, Foster Care Home Century Code, and Agency Foster Home for Adults Administrative Code. In addition, this manual meets the guidelines outlined in the CQL Basic Assurances Manual, Qualified Service Provider Agency Foster Home for Adults (AFHA) handbook, and HCBS home standards.
  • In order to become a licensed Agency Foster Home, the home must meet all the requirements listed in the administrative code NDAC 75-03-21.1, and the agency must become a Qualified Service Provider (QSP) for Residential Habilitation and Community Supports programs. Our agency has enrolled as a QSP and meets the Council on Quality & Leadership (CQL) accreditation standards.
  • This manual outlines the policies and procedures that govern our agency’s operations, including the care and services we provide, staff training requirements, and the process for addressing complaints and concerns. The manual is designed to ensure that our agency provides the highest level of care to all individuals we serve while maintaining compliance with state regulations and licensing requirements.
  • We recognize the importance of providing a safe, supportive, and respectful environment for all individuals in our care. Our policies and procedures reflect our commitment to promoting dignity and respect, ensuring privacy, and providing opportunities for meaningful work and activity choices.
  • We are committed to providing the best possible care and  services to the individuals we serve, and we strive to continually improve our services by reviewing and updating our policies and procedures regularly. Thank you for entrusting your care to [AGENCY NAME], and we look forward to serving you.

Vision and Mission Statement

  • Vision Statement :
    [AGENCY NAME] strives to be the premier provider of quality care and services for individuals in need of residential habilitation and community supports services in the State of North Dakota.

  • Mission Statement:
    [AGENCY NAME] is committed to providing compassionate and personalized care to individuals with disabilities by delivering services that focus on their strengths, goals, and aspirations. We are dedicated to fostering independence, dignity, and respect for the people we serve, while promoting their integration into the community.

Product Usage Instructions

  1. Section 1: Licensing Requirements
    In order to become a licensed Agency Foster Home, please ensure that your home meets all the requirements listed in the administrative code NDAC 75-03-21.1. Additionally, your agency must become a Qualified Service Provider (QSP) for Residential Habilitation and Community Supports programs. Enroll as a QSP and meet the Council on Quality & Leadership (CQL) accreditation standards.

  2. Section 2: Policies and Procedures
    This manual outlines the policies and procedures that govern our agency’s operations. It covers various aspects such as the care and services we provide, staff training requirements, and the process for addressing complaints and concerns. Familiarize yourself with these policies and procedures to ensure compliance with state regulations and licensing requirements.

  3. Section 3: Providing Care
    Our agency is committed to providing a safe, supportive, and respectful environment for all individuals in our care. Our policies and procedures reflect our commitment to promoting dignity and respect, ensuring privacy, and providing opportunities for meaningful work and activity choices. Follow the guidelines outlined in this manual to provide the highest level of care to the individuals we serve.

  4. Section 4: Continuous Improvement
    We strive to continually improve our services by reviewing and updating our policies and procedures regularly. Stay updated with any revisions or updates to ensure you are providing the best possible care and services to the individuals we serve.

FAQ (Frequently Asked Questions)

  1. Q: What are the licensing requirements for becoming an Agency Foster Home?
    A: To become a licensed Agency Foster Home, your home must meet all the requirements listed in the administrative code NDAC 75-03-21.1. Additionally, your agency must become a Qualified Service Provider (QSP) for Residential Habilitation and Community Supports programs and meet the Council on Quality & Leadership (CQL) accreditation standards.

  2. Q: What does this manual cover?
    A: This manual covers the policies and procedures that govern our agency’s operations, including the care and services we provide, staff training requirements, and the process for addressing complaints and concerns.

  3. Q: How can I ensure compliance with state regulations and licensing requirements?
    A: Familiarize yourself with the policies and procedures outlined in this manual. By following these guidelines, you can ensure compliance with state regulations and licensing requirements.

  4. Q: How often are the policies and procedures reviewed and updated?
    A: We strive to continually improve our services by reviewing and updating our policies and procedures regularly. Stay updated with any revisions or updates to ensure you are providing the best possible care and services.

MANUAL

[AGENCY NAME]

  • Version 1.0 [Month, Year]
  • POLICY AND PROCEDURE MANUAL
    • VERSION 1.0

Copyright [Year] © [Agency Name]
Disclaimer: All rights reserved. No part of this publication may be utilized, reproduced, stored in a retrieval system, or transmitted in any form by any means, electronic, mechanical, recording or otherwise, without the prior written consent of the publisher.

  • [Agency Name]
  • [Agency Address]
  • [Contact Number]
  • [Email Address]
  • [Website]

Introduction

  • Welcome to the Policy and Procedures Manual for [AGENCY NAME], an Agency Foster Care Home (AFHA) providing Residential Habilitation and Community Supports services in the state of North Dakota. Our agency is committed to providing high-quality services that meet the needs of Medicaid-eligible individuals who require 24-hour care in a community-based setting.
  • This manual has been developed in compliance with the state regulations and licensing requirements, including but not limited to the Residential Habilitation 525-05-30-50, Community Supports Policy, Foster Care Home Century Code, and Agency Foster Home for Adults Administrative Code. In addition, this manual meets the guidelines outlined in the CQL Basic Assurances Manual, Qualified Service Provider Agency Foster Home for Adults (AFHA) handbook, and HCBS home standards.
  • In order to become a licensed Agency Foster Home, the home must meet all the requirements listed in the administrative code NDAC 75-03-21.1, and the agency must become a
  • Qualified Service Provider (QSP) for Residential Habilitation and Community Supports programs. Our agency has enrolled as a QSP and meets the Council on Quality & Leadership (CQL) accreditation standards.
  • This manual outlines the policies and procedures that govern our agency’s operations, including the care and services we provide, staff training requirements, and the process for addressing complaints and concerns. The manual is designed to ensure that our agency provides the highest level of care to all individuals we serve while maintaining compliance with state regulations and licensing requirements.
  • We recognize the importance of providing a safe, supportive, and respectful environment for all individuals in our care. Our policies and procedures reflect our commitment to promoting dignity and respect, ensuring privacy, and providing opportunities for meaningful work and activity choices.
  • We are committed to providing the best possible care and services to the individuals we serve, and we strive to continually improve our services by reviewing and updating our policies and procedures regularly. Thank you for entrusting your care to [AGENCY NAME], and we look forward to serving you.

Vision and Mission Statement

  • Vision Statement :
    “[AGENCY NAME] strives to be the premier provider of quality care and services for individuals in need of residential habilitation and community supports services in the State of North Dakota.”

  • Mission Statement:
    “[AGENCY NAME] is committed to providing compassionate and personalized care to individuals with disabilities by delivering services that focus on their strengths, goals, and aspirations. We are dedicated to fostering independence, dignity, and respect for the people we serve, while promoting their integration into the community.”

Values
The values for “[AGENCY NAME]” foster care home are as follows:

  1. Respect : We treat all individuals with respect and dignity, recognizing their unique qualities, and honoring their preferences and choices.
  2. Compassion : We demonstrate empathy and kindness in all our interactions, providing support and care with warmth and understanding.
  3. Safety : We prioritize the safety and well-being of our residents, providing a secure and nurturing environment where they can thrive.
  4. Accountability : We take responsibility for our actions and decisions, ensuring that we adhere to all relevant regulations and guidelines.
  5. Excellence : We strive for excellence in all that we do, continuously improving our services and programs to meet the changing needs of our residents.
  6. Partnership : We foster strong partnerships with families, caregivers, and other service providers, working collaboratively to achieve the best outcomes for our residents.
  7. Inclusion : We celebrate diversity and promote inclusivity, providing services and supports that are accessible and respectful to all individuals.

Document Control

Document revisions shall be recorded in the table below;

Ver. No.

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Rev. No.

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Page No.

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Description of Amendment

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Approved By

|

Date

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Document review and approvals shall be recorded in the table below;

Description Title Signature Date
Prepared By
Reviewed By
Approved By

Note: All policies and procedures shall be reviewed at least annually, with recommended changes submitted to the governing body for approval, as necessary.

Statement of Policy

[AGENCY NAME] is committed to providing high-quality, compassionate, and personalized foster care services to individuals with intellectual and developmental disabilities in the State of North Dakota. Our services are designed to promote the independence, dignity, and well-being of our residents and to support their integration into the community.
We believe that every individual has the right to a safe, nurturing, and stable home environment that is grounded in the principles of respect, dignity, and empowerment. We recognize that the individuals we serve have unique strengths, needs, and preferences, and we strive to provide them with individualized care that meets their goals and aspirations.
Our Policy and Procedure Manual serves as a guide for our staff, residents, and stakeholders to ensure that our services are delivered in a safe, ethical, and effective manner. We adhere to the regulations and guidelines set forth by the State of North Dakota and other relevant bodies, and we strive to continuously improve the quality and accessibility of our services.
Our policy statement encompasses the following key principles:

  1. Client-Centered Care: We prioritize the needs and preferences of our residents and involve them in all aspects of their care planning and delivery. We respect their autonomy, diversity, and cultural backgrounds and provide them with a welcoming, non-judgmental, and empowering environment.
  2. Quality Care and Safety: We prioritize the safety and well-being of our residents, staff, and community. We adhere to the highest standards of quality assurance, risk management, and ethical conduct. We have policies and procedures in place to prevent and respond to emergencies, incidents, and complaints.
  3. Cultural Competence: We recognize the importance of cultural competence in providing effective and respectful care to our diverse population. We strive to promote a culture of inclusion and equity that values and respects the unique backgrounds and perspectives of our residents and staff.
  4. Continuous Improvement: We are committed to ongoing learning, evaluation, and innovation. We regularly collect and analyze data, feedback, and outcomes to inform our decision-making and improve the effectiveness and efficiency of our services.

In summary, [AGENCY NAME] is dedicated to providing exceptional foster care services that promote the independence, dignity, and well-being of individuals with intellectual and developmental disabilities. Our Policy and Procedure Manual reflects our commitment to client-centered care, quality care and safety, cultural competence, and continuous improvement.

Policies and Procedures

50-11-00.1. Definitions
Policy and Procedures for [AGENCY NAME] Agency Foster Care Home

Introduction

[AGENCY NAME] provides foster care services to adults who are unable, neglect or refuse to provide for their own care. This policy manual is designed to outline the procedures and policies that govern the operations of the agency foster care home in accordance with the State of North Dakota’s Residential Habilitation -30-50, Community Supports Policy, Foster Care Home Century Code, and Agency Foster Home for Adults Administrative Code. The manual also meets the requirements of the CQL Basic Assurances Manual, Qualified Service Provider Agency Foster Home for Adults (AFHA) Handbook, HCBS home standards, and ND state statutes and licensing of agency foster homes for adults (CHAPTER 75-03-21.1).
Definitions
The following definitions apply to this manual:

  1. “Agency foster home for adults” means a residential home where foster care for adults is regularly provided by trained professional staff to four or fewer adults who are not related by blood or marriage to the owner or lessee, for hire or compensation.
  2. “Approval” means the department’s approval of a facility located on or near, as identified by the tribe, a recognized Indian reservation in North Dakota, not subject to the jurisdiction of the state of North Dakota for licensing purposes, to allow the facility to receive title IV-E funding.
  3. “Authorized agent” means the human service zone, unless another entity is designated by the department.
  4. “Department” means the department of health and human services.
  5. “Facility” means a foster home for adults, agency foster home for adults, family foster home for children, supervised independent living program, or qualified residential treatment program for children.
  6. “Family foster home for children” means an occupied private residence where foster care for children is regularly provided by the owner or lessee of the residence to no more than six children, unless the department approves otherwise.
  7. “Foster care for adults” means the provision of food, shelter, security and safety, guidance, and comfort on a twenty-four-hour per day basis, in the residential home of a caregiver or agency, to an individual age eighteen or older, who is unable, neglects, or refuses to provide for the individual’s own care.
  8. “Foster care for children” means the provision of substitute parental child care for those children who are in need of care for which the child’s parent, guardian, or custodian is unable, neglects, or refuses to provide, and includes the provision of food, shelter, security and safety, guidance, and comfort on a twenty-four-hour basis, to one or more children under twenty-one years of age to safeguard the child’s growth and development and to minimize and counteract hazards to the child’s emotional health inherent in the separation from the child’s family. Foster care may be provided in a licensed or approved family foster home for children, supervised independent living program, or qualified residential treatment program.
  9. “Foster home for adults” means an occupied private residence where foster care for adults is regularly provided by the owner or lessee of the residence, to four or fewer adults who are not related by blood or marriage to the owner or lessee, for hire or compensation.
  10. “Identified relative” means: a. The child’s grandparent, great-grandparent, sibling, half-sibling, aunt, great-aunt, uncle, great-uncle, nephew, niece, or first cousin; b. An individual with a relationship to the child, derived through a current or former spouse of the child’s parent, similar to a relationship described in subdivision a; c. An individual recognized in the child’s community as having a relationship with the child similar to a relationship described in subdivision a; or d. The child’s stepparent.
  11. “Qualified residential treatment program” means a licensed or approved residence providing an out-of-home treatment placement for children.
  12. “Supervised independent living program” means a licensed or approved setting providing supervision and service delivery to youth transitioning into adulthood.

Agency Foster Home For Adults
A. Admission and Discharge Policy

  1. All applicants must be 18 years of age or older.
  2. Applicants must meet the eligibility criteria for foster care for adults as defined by the State of North Dakota’s regulations.
  3. The agency will conduct a pre-placement assessment of the applicant’s needs and abilities before admitting them to the foster home.
  4. The agency will provide a copy of the admission agreement to the applicant and their legal representative before admission.
  5. The agency will provide written notice to the applicant and their legal representative of any decision to discharge them from the foster home.
  6.  The agency will provide discharge planning services to the applicant to ensure their safe and orderly transition from the foster home to another living arrangement.

Staffing Policy

  1. The agency will ensure that all staff providing care in the foster home are qualified and trained to provide services to older adults or adults with a disability.
  2. Staffing ratios will be determined based on the needs of the residents in the foster home, but there will be at least one staff member present in the foster home at all times.
  3. All staff will receive annual training in first aid, CPR, and medication administration.
  4. All staff will receive initial and annual training in the following areas:
    • The State of North Dakota’s regulations governing foster care for adults.
    • The agency’s policies and procedures governing foster care for adults.
    • The agency’s abuse reporting procedures.
    • The agency’s fire safety procedures.

Service Delivery Policy

  1. The agency will provide each resident in the foster home with an individualized service plan that outlines their needs, goals, and objectives.
  2. The agency will provide 24-hour supervision and support to residents in the foster home.
  3. The agency will provide or arrange for the provision of basic care services, including but not limited to : a. Food and nutrition services b. Health care services c. Personal hygiene and grooming services d. Housekeeping and laundry services e. Transportation services f. Medication administration services
  4. The agency will provide or arrange for the provision of specialized care services, as needed, including but not limited to: a. Behavioral health services b. Rehabilitation services c. Respite care services d. Hospice care services

D. Health and Safety Policy

  1. The agency will ensure that the foster home is clean, safe, and sanitary at all times.
  2. The agency will conduct regular fire drills and ensure that all staff are trained in fire safety procedures.
  3. The agency will ensure that all residents have access to emergency medical care when needed.
  4. The agency will ensure that all staff are trained in infection control procedures and follow them at all times.
  5. The agency will ensure that all medications are stored, dispensed, and disposed of in accordance with the State of North Dakota’s regulations.

Compliance with State Regulations
[AGENCY NAME] will comply with all State of North Dakota regulations governing agency foster homes for adults, including but not limited to Residential Habilitation 525-05-30-50, Community Supports Policy, Foster Care Home Century Code, and Agency Foster Home for Adults Administrative Code.
Compliance with CQL basic assurances manual, qualified service provider Agency Foster Home for Adults (AFHA) handbook, HCBS home standards, and ND State Statutes and licensing of Agency Foster Homes for Adults (Chapter 75-03-21.1)

A. CQL Basic Assurances Manual

  1. [AGENCY NAME] will comply with the CQL Basic Assurances Manual’s guidelines for person-centered services.
  2. [AGENCY NAME] will ensure that all staff providing services in the foster home are trained in person-centered services and that the services provided are tailored to the individual needs and preferences of the residents.

B. Qualified Service Provider Agency Foster Home for Adults (AFHA) Handbook

  1. [AGENCY NAME] will comply with the Qualified Service Provider Agency Foster Home for Adults (AFHA) Handbook’s guidelines for agency foster homes for adults.
  2. [AGENCY NAME] will ensure that all staff providing services in the foster home are trained in the guidelines outlined in the AFHA Handbook.

C. HCBS Home Standards

  1. [AGENCY NAME] will comply with the HCBS Home Standards’ guidelines for agency foster homes for adults.
  2. [AGENCY NAME] will ensure that the foster home meets all the physical environment standards outlined in the HCBS Home Standards.

D. ND State Statutes and Licensing of Agency Foster Homes for Adults (CHAPTER 75-03-21.1)

  1. [AGENCY NAME] will comply with all the regulations outlined in the ND State Statutes and Licensing of Agency Foster Homes for Adults (CHAPTER 75-03-21.1).
  2. [AGENCY NAME] will ensure that the foster home is licensed and regularly inspected to ensure compliance with the regulations.

Confidentiality Policy
A. Purpose
The purpose of this policy is to ensure that all resident and staff information is protected and kept confidential at all times.

B. Policy

  1. [AGENCY NAME] will ensure that all resident and staff information is kept confidential and is only shared on a need-to-know basis.
  2. All staff will sign a confidentiality agreement before they begin providing services in the foster home.
  3. [AGENCY NAME] will comply with all applicable state and federal laws and regulations governing the confidentiality of resident and staff information.
  4. Any breach of confidentiality will be reported to the appropriate authorities immediately.

Abuse Reporting Policy
A. Purpose
The purpose of this policy is to ensure that all allegations of abuse, neglect, or exploitation are reported to the appropriate authorities and investigated promptly.

Policy

  1. All staff will be trained in the agency’s abuse reporting procedures.
  2. Any allegations of abuse, neglect, or exploitation will be reported to the appropriate authorities immediately.
  3. [AGENCY NAME] will cooperate fully with any investigations into allegations of abuse, neglect, or exploitation.
  4. [AGENCY NAME] will take appropriate action to protect residents from further abuse, neglect, or exploitation.

Conclusion
[AGENCY NAME] is committed to providing high-quality foster care services to adults who are unable, neglect or refuse to provide for their own care. This policy manual outlines the procedures and policies that govern the operations of the agency foster care home in accordance with state regulations and other relevant guidelines. The manual will be reviewed and updated as necessary to ensure ongoing compliance with these regulations and guidelines.

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