Docsity
Docsity

Prepare for your exams
Prepare for your exams

Study with the several resources on Docsity


Earn points to download
Earn points to download

Earn points by helping other students or get them with a premium plan


Guidelines and tips
Guidelines and tips

Adult Residential Facility (ARF) Practice Test, California ARF Administrator Study Guide,, Exams of Nursing

Adult Residential Facility (ARF) Practice Test, California ARF Administrator Study Guide, ARF (ARF TITLE 22, DIV 6, CHAPTER 6) Questions with Answers 2024

Typology: Exams

2023/2024

Available from 07/19/2024

maryann001
maryann001 ๐Ÿ‡บ๐Ÿ‡ธ

3

(2)

1.4K documents

1 / 28

Toggle sidebar

Related documents


Partial preview of the text

Download Adult Residential Facility (ARF) Practice Test, California ARF Administrator Study Guide, and more Exams Nursing in PDF only on Docsity! Adult Residential Facility (ARF) Practice Test, California ARF Administrator Study Guide, ARF (ARF TITLE 22, DIV 6, CHAPTER 6) Questions with Answers 2024 The department requires start up funds equal to ______ months operating expenses. (85018)(b)(1) โœ” 3 months No other person than the _____ shall alter the prescription label. (80075)(k)(4) โœ” dispensing pharmacist Medication shall be centrally stored when...(80075)(j) โœ” 1. preservation of medication requires refrigeration 2. medication is determined by the physician to be hazardous if kept by the resident 3. administrator/licensing determines the medication to be a safety hazard due to physical arrangements and/or conditions/habits of persons in facility Prescription medications which are not taken with the resident upon termination of service shall...(80075)(l) โœ” be destroyed What is required for all staff providing direct care, PRIOR to employment? โœ” 1. First Aid training 2. TB test 3. background clearance How long are client records retained? (80066)(d) โœ” 3 years Modifications to the admissions agreement requires how much notice? (80068)(4) โœ” 30 *CALENDAR* days Fingerprints shall be submitted to the Department of Justice (DOJ) within what time frame of employment? (80019)(2)(e) โœ” prior to employment When is an employee fingerprinted? (80065) โœ” prior to employment The death of a client requires a written report submitted to CCLD within how many days? (80061)(b) โœ” 7 WORKING days What is required for taps/faucets delivering water temperatures 125ยฐF or above? (80088)(3)(b) โœ” a warning/cautious sign What is the mandated water temperature range for taps/faucets? โœ” 105ยฐF -- 120ยฐF According to CCLD, what are employees providing night supervision from 10pm to 7am and who assist with care and supervision required to have for emergencies? (85065.6) (b) โœ” 1. the facility's planned emergency procedures 2. a first aide certificate Any changes in the licensee's or applicants mailing address shall be submitted to CCLD within... (80061)(c) โœ” 10 WORKING days What are the time frames that a TB test must be performed on facility staff? (80065)(g) (1) โœ” no more than 1 year PRIOR TO or WITHIN 7 days after employment Except for children's residential facilities, the licensee may, upon 30 days written notice to the client may only evict them for non-payment of the rate for basic services w/in how many days of the due date? (80068.5)(a)(1) โœ” 10 days If a licensee dies, an adult relative who has control of the property shall be allowed to continue the operation of the facility under what approval? (80035)(b)(1) โœ” emergency approval to operate (for 60 days) (a provisional license is granted for 12 months) Example of proof of control of the facility property includes a: (80001)(17(a-c) โœ” deed, estate settlement, *or* lease Casts and braces are examples of what? (80072)(8)(a) โœ” postural supports Licensing has the authority to inspect what part of the facility? (80044) โœ” the entire facility In lieu of locked storage of firearms, what can a licensee do? (80087)(2)(a) Upon receipt of a complaint, licensing shall make an onsite inspection within how many days? (80006)(1) โœ” 10 days What size facility must have a reception area and a restroom facility designed for the use by visitors? (85087) (d)(3) โœ” 16 or more clients The maximum number of a person a facility is authorized to provide care for is referred to as the _________? (80001)(c)(2) โœ” Capacity What type of bedrails are allowed only for assisting the client with mobility? (80072)(e) (1) โœ” Half rails, that extend from the head to half the length of the bed A $2000.00 bond is necessary if the licensee safeguards how much money per month for all clients? (80025)(c) โœ” $751 to $1500 Where are soap, detergents and cleaning compounds stored? (80076)(16) โœ” In areas that are separate from food supplies What should be provided for clients eating needs if *temporarily* he/she must dine in their room and not in the facility's assigned dining area? (80076)(2) โœ” Tray service for their meals As recommended by the USDA basic food group plan what portion of serving shall be served at each meal? (80076)(a)(1) โœ” 1/3 (protein, starch, and veg./fruit) What is the maximum hours to elapse between the third meal (dinner) and first meal (breakfast) of the day? (80076)(a)(2) โœ” 15 hours In facilities providing care and night supervision for 16 to 100 clients, how many staff is required? (80065.6)(d) (85065.6)(d) โœ” One person on the premise and awake and another on call and capable of responding within 30 minutes When shall licensing be notified if there is a change of facility's administrator? (85061) (B) โœ” Within 30 days According to regulations, how long/often should the administrator of an adult residential facility be on the premises? (85064) (D)(1) โœ” The number of hours necessary to manage and administer the facility in compliance with applicable laws and regulations. A non-transferrable written authorization issued by the licensing agency to use alternative means which meet the intent of the specific regulation and which are based on the unique needs or circumstances of a specific client(s)or staff person(s) is called what? (80001)(e)(6) โœ” An exception Client linens should be changed at least ____ or more often when necessary to ensure that clean linens are in use by the client at all times. (85088)(4)(a) โœ” once per week The licensing agency shall conduct an inspection of a newly licensed facility within how many days of issuance of a license? (80044)(a)(1) โœ” 90 days All community care facilities shall be inspected and evaluated for quality of care by licensing personnel at least... (800045)(b)(1) โœ” Once per year In facilities with a licensed capacity of 16 or more clients, what shall a food service employee shall be designated with? (85065)(2)(a) โœ” On-the-job training or related experience by safe and effective performance All persons providing care and supervision to residential care client shall have... (80065) (1) โœ” Received a criminal record clearance from the department of justice prior to having any client contact The licensing agency may issue a professional license for maximum of... (80030)(d), (80027) โœ” 12 months When a complete facility application has been received, the licensing agency shall notify the applicant that it has either been approved or denied within... (80031)(a) โœ” 90 days When a licensee agrees to safeguard $750 or less per month, they must have on file a bond issued by a surety company to the State of California as a principal in the amount of? (80025) โœ” $1000 $750 or less ---> $1,000 $751-$1,500 ---> $2,000 $1,501-$2,500---> $3,000 How many toilets and wash basins are required for every 10 person residing in the facility, including clients, family and facility staff? (85088)(B)(3) โœ” at least ONE toilet and wash basin What bedroom furniture is required per consumer? (85088) โœ” -bed -chair -nightstand -lamp -at least 8 ft.ยณ of drawer space The Department may deny or revoke any administrator certificate upon... (85064.4) โœ” -The certificate holder procured a certificate by fraud or misrepresentation. -The certificate holder knowingly made or gave false statements in conjunction with the application for certificate. -The department has issued an exclusion order against the certificate holder. An administrator applying for *recertification* must complete... (85064.3) โœ” 40 units (20 can be online & 20 in-person) Of continuing education during the two- year certification period To apply for recertification prior to the expiration date of the certificate, the certificate holder must submit... (85064.3)(D) โœ” -An application to recertify post-marked on or before the certificate expiration date -Evidence of completion of 40 hours continuing education hours -Payment of a $100 processing fee Unless otherwise provided, a certified administrator may administer up to _____ licensed Adult Residential Facilities (85064)(O) โœ” 2 ARF per administrator T/F: an individual shall be a certificate holder prior to being employed as an administrator (85064.2)(A) โœ” true T/F: Adult residential care facilities may not accept and retain clients whose primary need is a *acute* psychiatric care due to mental disorder. (85068.4)(A)(5) โœ” True (ARF is *non-medical*) T/F: Clients who wish to eat alone in their rooms, shall be in encouraged to have meals with other clients. (85076)(E) โœ” true What is the minimum age of an ARF administrator? โœ” 21 years old (18 years old for STAFF) Who is required to get a criminal record clearance? โœ” Anyone with regular contact including: -The administrator -Direct care staff -An employee who does not work in a facility but lives on the premises with his/her spouse T/F: If an ARF has a facility manager on duty for every shift, then ARF does not need to hire a certified administrator. โœ” False. ARF must always have an admin Personal record shall be retained for___ years. โœ” Three What are the four causes of mental illness? โœ” -*Environmental* -*Genetic*/Hereditary (DNA) -*Psychological* -*Biological* (abnormal balance of brain chemicals) Is dementia a mental illness? โœ” No, but Alzheimer's is a mental illness. Dementia is a symptom. T/F: All ARF are required to plan activities for the consumers, but not all facilities are required to post their activity calendar. โœ” True Meals served on the premises shall be served in one or more dining rooms or similar areas, and these areas shall be located near the... โœ” kitchen As it relates to food service, what does the acronym FIFO mean? โœ” FIFO: first in, first out. The licensee shall ensure that what planned recreational activities are provided for the consumer? โœ” -Community service activities -Concerts, tours, dances, plays, celebrating a birthday/anniversaries, etc. -Exercising their rights to vote for the political party of their choice -Physical activities that do not require group interaction T/F: The consumer is responsible for providing space and posting notices for their meetings. โœ” False According to the California code, title 22 regarding bedrooms... โœ” not more than two clients/consumers shall sleep in the bedroom. T/F: At least one toilet and shower fixture shall be maintained for each nine persons residing in the facility? โœ” False T/F: It is not necessary for the bathroom to be located near the client's or consumer's bedroom. โœ” Fall. The bathroom must be close by the consumers bedroom. Licensee must ensure the quality of linen provided shall permit changing the linen every other week. โœ” False. Linens must be changed weekly and have an extra set of blanket, fitted and flat sheet, and mattress pad available per consumer/client. T/F: For day-staff, all clients/consumers other than Regional Center clients/consumers, shall be a staff to client ratio of no less than one direct care staff to three clients. โœ” True. 1 staff:3 clients According to California Code Regulations, Title 22, what is true for staff providing night supervision from 10 PM to 7 AM? โœ” -Staff must have received training in their facility's planned emergency procedures. -In facilities providing care and supervision for 16 to 100 clients, there shall be at least one person on duty in the premises and wait. Another shall be on-call and capable of responding within 30 minutes. T/F: Personal rights and general facility policies (house rules) allow the consumer to have visitors, representatives to visit privately during waking hours, provided that such visitations do not infringe upon the rights of the other clients. โœ” True In an ARF, prior to accepting a client/consumer into care, licensee shall obtain and keep on file documentation of the client's medical assessment, and that assessment should not be more than... โœ” 12 months/1 year old when obtained T/F: the mission agreement must specify the following: The general facility policies or "House Rules" are intended to ensure that no client/consumer, IN the exercise of his/her personal rights, infringe upon the personal rights of any other client. โœ” True T/F: The licensee may accept or retain any person whose primary need is a acute psychiatric care due to a mental illness. โœ” False. (ARF is *non-medical*) Prior to accepting a client/consumer for care and supervision, the person responsible for mission must do what? โœ” -Provide him/her or the representative with information contained in the admission agreement. -Make a prior determination of the facility's ability to meet the needs of the client/consumer. When a licensee agrees to safeguard a client's money, they must have a bond issued by a surety company on file depending on the amounts: โœ” $750 or less ---> $1,000 $751-$1,500 ---> $2,000 $1,501-$2,500---> $3,000 The licensing agency shall conduct an inspection of a newly licensed facility within how many days of issuance of a license. โœ” 60 days Each applicant shall submit a financial plan of operation that shall document the availability of start-up funds to finance the first โœ” 3 months of operation All community care facilities shall be inspected and evaluated for quality of care by licensing agency personnel at least โœ” Twice per year In facilities with a licensed capacity of 16 or more clients, a food service employee shall be designated with the following experiences โœ” On-the-job training or related experience evidenced by safe and effective 50 performance All persons providing care and supervision to residential care clients shall have โœ” Submitted fingerprints for criminal record clearance to the Department of Justice prior to having any client contact. The licensing agency may issue a provisional license for a maximum of โœ” 60 days. When a complete facility application has been received, the licensing agency shall notify the applicant that it has either been approved or denied within โœ” 60 days. Any injuries to a resident, which requires medical treatment, must be reported to licensing within: โœ” Licensing's next working day A new application for licensure must be made whenever one of the following occurs: a. A change in the facility location b. A change in the facility licensee c. A change in the facility capacity d. All of the above โœ” d. All of the above To receive your administrator certificate, you must: a. Successfully complete a department - approved certification training b. Pass the written test administered by the department within 60 days of completing the initial certification training course. c. Submit a completed application within 30 days after notification of having passed the test, have a current criminal record clearance, and pay $100 processing fee. d. All of the above โœ” d. All of the above A licensee shall not accept or retain the following: a. Any person required impatient care in a health facility b. Persons whose needs are in conflict with other clients or the program of services offered c. Any person(s) whose primary need is acute psychiatric care due to a mental disorder d. All of the above โœ” d. All of the above The licensee shall ensure that residents are given the opportunity to attend and participate in community activities that include: โœ” Self help organizations and community events (including but not limited to; concerts, tours, dances, plays, and celebrations) When a licensee dies, an adult relative who have control of property may be permitted to operate a previously licensed facility, provided they request an EAO and notify licensing by telephone within: โœ” The first working day after the licensee's death When a deficiency in compliance results in penalties being assessed, the deficiency must be corrected within: โœ” 24 hours Any change in the facility's plan of operation which affects the service to residents, must be reported to licensing within: โœ” 10 working days All facility personnel who provide care and supervision to residents must be at least: โœ” 18 years old Bedrooms must meet the following requirements: โœ” No resident bedroom shall be used as a public or general passageway o another room, bath or toilet. The licensee shall meet the following food supply and storage requirement: a. maintain on the premises supplies of staples, non perishable foods for a minimum of one week b. freezers and refrigerators shall be kept clean c. Maintain on the premises supplies of perishable foods for a minimum of two days. d. all of the above โœ” d. all of the above (T/F) Unless otherwise provided, a certified administrator may administer more than one licensed Adult Residential Facility. โœ” True (T/F) An individual shall be a certificate holder prior to being employed as an administrator. โœ” False (T/F) Adult Residential Care Facilities may not accept and retain clients whose primary need is acute psychiatric care due to mental disorder. โœ” True (T/F) The licensee may evict a client by serving the client with a 30 day written notice to quit for non payment of the rate for basic services, within ten days of the due date. โœ” True (T/F) Clients who wish to eat alone in their rooms shall be encouraged to have meals with other clients. โœ” False (T/F) The licensing agency does not have authority to restrict care to specific individuals. โœ” False (T/F) Certificates shall be valid for a period of two years and expire on either the anniversary date of initial issuance or on the individual's birthday during the second calendar year following recertification. โœ” True (T/F) Certificates not renewed within four years of their expiration date shall not be renewed, restored, reissued, or reinstated โœ” True (T/F) Within six months of becoming an administrator, the individual shall receive training on HIV or TB โœ” True (T/F) Unlicensed care provider staff may provide a manual removal of fecal impaction, provided they are trained to do so by a licensed care professional. โœ” False (T/F) The Department may revoke the certificate of any administrator who knowingly made or gave false statements or information in conjunction with the application for a certificate. โœ” True (T/F) In facilities providing care and supervision for 16 to 100 clients, there shall be at least five persons on duty, on the premises, and awake. โœ” True (T/F) Certificates renewed after the expiration date, but within four years of the certificate expiration date, are not subject to a $300 deficiency fee. โœ” False (T/F) Full-length bed rails are prohibited for use in a community care facility. โœ” True (T/F) Initial Certification Training Program vendors do not have to be approved by the Department โœ” False (T/F) Space and equipment for washing and ironing and mending of personal clothing is requires in laundry areas โœ” True (T/F) Supplies of staple, non perishable foods shall be maintained on the premises for a minimum of two days. โœ” False (T/F) In cases where the individual is both the licensee and the administrator of an Adult Residential Facility, the individual shall comply with all licensee and certified administrator requirements. โœ” True (T/F) A client suspected of having a contagious or infectious disease shall be isolated, and a physician contacted, to determine suitability of the client's retention in the facility. โœ” True โœ” 21 years How many hours shall the administrator be at the facility? โœ” Be on premises the number of hours necessary to manage and administer the facility in compliance with applicable law and regulation. Administrator of facility with 7 to 15 clients shall have what experience? โœ” 1 year work experience in residential care Administrator of facility with 16-49 clients shall have what education/experience? โœ” 1. High school diploma or GED 2. 15 college or CE semester units in nutrition, human behavior, administration or staff relations 3. 1 year work experience in residential care. Administrator of facility with 50 or more clients shall have what education/experience? โœ” 1.High school diploma or GED 2. 60 college or CE semester units in administration or staff relations 3. 3 years work experience in direct care to clients or assisting in facility administration The administrator shall perform what duties? โœ” 1. Advise license on operation of facility and developments in field of care and supervision 2. Development of plan and procedure to define responsibility, workloads and staff supervision 3. Recruitment, employment and training of qualified staff and termination To receive administrator certificate, an applicant shall do what? โœ” 1. Complete Initial Certification Training Program 2. Pass written exam within 60 days of completion of ICTP within 3 attempts 3. Submit completed application for Administrator Certification to Department within 30 days of having passed exam 4. Proof of completion of ICTP and passing written exam 4. Completed Criminal Record Statement 5. Pay $100 processing fee Any person not certified and misrepresenting himself or herself as a certified administrator or making a false representation is guilty of a? โœ” Misdemeanor Administrator Certificate shall be valid for how many years and expire when? โœ” 1. Valid for 2 years 2. Expire on anniversary date of initial issuance or individuals birthday during second calendar year Administrators shall complete how many CE hours and must include what? โœ” 1. 40 hours of CE (continuing education) 2. 4 hours of laws, regulations, policies and procedural standards 3. If not in ICTP, 1 hour on LGBT community To apply for recertification prior to expiration date of certificate, certificate holder shall sumit what to the department? โœ” 1. Completed application for Administrator certification 2. Evidence of 40 hours of CE 3. Payment of $100 processing fee To apply for recertification after the expiration date of certificate, but within 4 years of certificate expiration date, certificate holder shall submit what to the department? โœ” 1. Completed application for Administrator certification 2. Evidence CE hours totaling number of hours needed to be certified. 3. Payment of $300 processing fee Certificate not renewed within for 4 years of expiration date shall be what? โœ” Not renewed, restored, reissued or reinstated Replacement or lost certificate shall have a processing fee of ? โœ” 25 dollars Certificate holder shall report any change in mailing address within how many days to department? โœ” 30 days When a administrator assumes or relinquishes responsibility for administering an ARF, they must provide written notice within how many days to licensing office and department? โœ” 30 days Department may deny or revoke any administrator certificate upon what grounds? โœ” 1. Fraud, misrepresentation, bribery or giving false statement on application. Licensee shall employ how many staff for care of clients in a facility? โœ” As many as necessary to provide care and supervision to meet client needs Licensee shall employ how many support staff to perform office work, cooking, cleaning. etc? โœ” As many as necessary In facility of capacity of 16 to 49 clients what requirements need to be met by the administrator to have planned activities? โœ” 1. One person designated by administrator to have responsibility for organization, conduct planned activities 2. Person designated have at least 6 months experience in organizing and providing planned activities. In facility of capacity of 50 or more clients, what requirements need to be met by the administrator to have planned activities? โœ” 1. One person designated by administrator to have responsibility for organization, conduct planned activities and have assistance as necessary 2. Person designated have at least 1year experience in organizing and providing planned activities and evaluation of client needs, supervision of employees and training volunteers In facility with capacity of 16 or more clients, who shall be responsible for food planning, preparation and service? โœ” One employee shall be responsible and have on-the-job training or have related experience. In facility with capacity of 16 to 49 or 50 or more clients that provide 3 meals per day. Who shall have full-time responsibility of food service program and posses what qualifications? โœ” 1. One employee with 1 year experience in food preparation and service accommodating 50 or more people. 2. One employee with 2 years experience in food preparation and service accommodating 16 to 49 more people. If employee in a facility for 50 or more clients is not a nutritionist, dietician or home economist, a provision shall be made for what. โœ” 1. Regular consultation from a qualified person 2. Consultation shall be during at least one meal preparation and service 3. Written record of consultants visits What are minimum day staff-client ratio requirements for Regional center clients? โœ” No less than One direct care staff for three clients. What are minimum day staff-client ratio requirements for all other clients? โœ” No less than One direct care staff for three clients. Employees providing night supervision from 10pm to 7am shall have what training? โœ” 1. Facility planned emergency procedures 2. First aid Night supervisory personnel requirements for facility with 15 or fewer clients shall be what? โœ” At least One person on call on the premises Night supervisory personnel requirements for facility with 16 to 100 clients shall be what? Licensee shall do what for Resident Councils? โœ” 1. Provide space and post notice of meeting, provide assistance in attending council meetings 2. Document notice of meetings and meeting times 3. Council meeting shall be conducted without presence of facility personnel 4. Encourage residents to attend council meetings. Licensee shall be permitted to accept emergency placements by adult protective services (APS) if the licensee has received what? โœ” Approval from department by submitting written request. Licensee of ARF may accept an elderly client, 60 years of age or older for emergency placement under what conditions? โœ” 1. APS agency has written statement that local need exits for licensee to accept elderly emergency placement. 2. Licensee must request statement each year from APS indicating local need still exists and submit to department Bedrooms must be large enough to allow what? โœ” Easy passage and comfortable use of any client assistive devices, like wheelchairs, walkers or oxygen equipment Stairways, inclines, ramps, open porches and areas that are hazard to clients must not be used unless the area is what? โœ” Well lighted and have sturdy hand railings. Laundry areas must meet what requirements? โœ” 1. Space and equipment for washing, ironing and mending clothing 2. Space used for dirty cloths shall be separate form clean clothing storage and handling area Facility with capacity of 16 or more clients, what must be made available in the facility? โœ” 1. Space in facility to serve as office for business, administration and admissions 2. Private office in which to conduct private interviews by administrator. 3. Reception area and restroom facility for use by visitors. Outdoor activity area shall provide what? โœ” Shaded area and be comfortable and furnished for outdoor use As condition of licensure, there shall be what to provide planned activities indoors? โœ” Common rooms like living room, dining room, den or activity room. At least one toilet and washbasin shall be maintained for how many people in the facility? โœ” 6 persons including clients, family and personnel. At least one bathtub or shower shall be maintained for how many people in the facility? โœ” 10 persons Fillings and covers for mattresses shall be what? โœ” Flame retardant Portable or permanent closets and drawers in each bedroom shall have a minimum of how much space? โœ” Minimum of 2 drawers or 8 cubic feet of drawer space for each client When shall linens be changed? โœ” Once a week or more often when necessary to ensure clean linen is in use by clients Common towels and washcloths shall be? โœ” Prohibited What shall be included in emergency lighting and readily available? โœ” Working flashlights or other battery powered lighting What shall be maintained in all hallways and passages to non private bathrooms. โœ” Night lights In all facilities with capacity of 16 or more clients and having separate floors or separate buildings without FULL TIME StAFF there, shall have a signal system with ability to do what? โœ” 1. Operation from each clients living unit 2. Transmission of visual/auditory signal to central location or production of auditory signal to clients living unit to summon staff. 3. ID of specific clients living unit from which signal originates. What is processing fee for vendor giving Initial Certification Training Program? โœ” $150 An ARF Initial Certification Training program shall consist of how many classroom hours? โœ” 35 hours How much penalty is assessed deficiencies that are not corrected in a ICTP? โœ” $50 per day, per cited violation An ARF may use manual restraint or seclusion with a client only if? โœ” 1. Force used does not exceed that which is necessary to avert injury or danger being threatened 2. Risk of injury caused by the force applied does not exceed the risk of injury being averted 3. Manual restraint or seclusion is used when a client's behavior presents an imminent danger for serious injury to self or others 4. Duration of a manual restraint or seclusion ceases as soon as the risk of imminent danger or serious injury has ceased Definition of Manual Restraint? โœ” Means same as Physical Restraint which means use of a manual hold to restrict freedom of movement of all or part of a person's body, or to restrict normal access to the person's body, and that is used as a behavior restraint on a client who presents an immediate danger to his or herself or to others. Definition of Mechanical Restraint? โœ” Use of a mechanical device, material, or equipment attached or adjacent to the person's body that he or she cannot easily remove and that restricts the freedom of movement of all or part of a person's body or restricts normal access to the person's body, and that is used as a behavioral restraint. Example: cloth ties, handcuffs, restraining sheets, chairs and belts What emergency interventions shall not be used on a client? โœ” 1. Mechanical or Manual restraints 2. Manual restraint or seclusion when imminent risk of serious physical harm to self or others 3. Adverse behavior modifications 4. Pain, induced to control behavior or limit movement 5. Any manual restraint technique that obstructs person's airway or restricts breathing 6. Manual restraint with person's hand held behind person's back 7. Placement of item that covers head 8. Chemical restraint or psychotherapeutic or behavior modifying drugs. The emergency plan shall be approved by who and specify what things? โœ” 1.Approved by applicant or licensee in conjunction with Behavior Management Consultant 2. Specifies less restrictive or non-physical de-escalation methods that may be used to identify and prevent behaviors that lead to use of manual restraint Each use of manual restraint or seclusion shall be reported to whom and in what time frame? โœ” 1. Report to authorized representative by telephone, no later than next business day 2. Report to the department in writing no later than the next business day. What are staff training requirements for emergency interventions? โœ” 1. Staff who use manual restraint shall have minimum of 16 hours of emergency intervention training. 2. Staff shall have a minimum of 6 hours of annual refresher training