| 1 | 1 | | FIRSTREGULARSESSION |
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| 2 | 2 | | HOUSEBILLNO.96 |
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| 3 | 3 | | 103RDGENERALASSEMBLY |
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| 4 | 4 | | INTRODUCEDBYREPRESENTATIVEEALY. |
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| 5 | 5 | | 0542H.01I DANARADEMANMILLER,ChiefClerk |
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| 6 | 6 | | ANACT |
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| 7 | 7 | | Toamendchapter210,RSMo,byaddingtheretoonenewsectionrelatingtolicensed |
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| 8 | 8 | | residentialcarefacilities. |
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| 9 | 9 | | BeitenactedbytheGeneralAssemblyofthestateofMissouri,asfollows: |
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| 10 | 10 | | SectionA.Chapter210,RSMo,isamendedbyaddingtheretoonenewsection,tobe |
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| 11 | 11 | | 2knownassection210.499,toreadasfollows: |
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| 12 | 12 | | 210.499.1.Asusedinthissection,thefollowingtermsmean: |
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| 13 | 13 | | 2 (1)"Familymember",agrandparent,parent,sibling,spouseordomestic |
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| 14 | 14 | | 3partner,child,aunt,uncle,cousin,niece,nephew,grandchild,oranyotherperson |
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| 15 | 15 | | 4relatedtoanindividualbyblood,adoption,marriage,orafosteringrelationship; |
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| 16 | 16 | | 5 (2)"Office",theofficeofstateoversightforresidentialcarefacilities. |
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| 17 | 17 | | 6 2.Thereisherebyestablishedwithinthedepartmentofsocialservicesthe |
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| 18 | 18 | | 7"OfficeofStateOversightforResidentialCareFacilities"forthepurposeofassessing |
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| 19 | 19 | | 8compliancewithapplicablelaws,rules,andregulationsofthefederalgovernment,the |
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| 20 | 20 | | 9state,andthedivision,asthoselaws,rules,andregulationsrelatetothehealth,safety, |
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| 21 | 21 | | 10welfare,andrehabilitationofachildresidinginaresidentialcarefacility. |
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| 22 | 22 | | 11 3.Theofficeshallbeadministeredbyadirectorwhoshalldevotehisorher |
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| 23 | 23 | | 12entiretimetothedutiesofhisorherpositionandwhoshallbeappointedbythe |
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| 24 | 24 | | 13governorbyandwiththeadviceandconsentofthesenate.Thedirectorshallservea |
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| 25 | 25 | | 14termofsixyearsandshallcontinuetoholdofficeuntilasuccessorhasbeenduly |
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| 26 | 26 | | 15appointed.Thedirectororthedirector'sspouse,domesticpartner,parent, |
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| 27 | 27 | | 16grandparent,child,orsiblingshallnotbeacurrentorformeremployeeor |
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| 28 | 28 | | EXPLANATION—Matterenclosedinbold-facedbrackets[thus] intheabovebillisnotenactedandis |
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| 29 | 29 | | intendedtobeomittedfromthelaw.Matterinbold-facetypeintheabovebillisproposedlanguage. 17contractorofaresidentialcarefacilityorthedivision.Thedirectorshallhavethe |
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| 30 | 30 | | 18authoritytohirestaff,contractors,andunpaidvolunteers. |
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| 31 | 31 | | 19 4.Theofficeshall: |
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| 32 | 32 | | 20 (1)Establishandimplementproceduresforregularinspectionsofevery |
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| 33 | 33 | | 21residentialcarefacilitylicensedbythedivisionorthedepartmentofhealthandsenior |
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| 34 | 34 | | 22services; |
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| 35 | 35 | | 23 (2)Inspecteachresidentialcarefacilityatleastonceeachyearandatleasttwo |
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| 36 | 36 | | 24timeseachyearforeachfacilityinwhichtheofficehascauseformorefrequent |
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| 37 | 37 | | 25inspectionsormonitoring; |
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| 38 | 38 | | 26 (3)Investigatecomplaintsreceivedfromoutsidetheofficeorissuesfrom |
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| 39 | 39 | | 27previousinspections; |
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| 40 | 40 | | 28 (4)Publiclyissueannualinspectionreportswithrecommendationsforeach |
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| 41 | 41 | | 29residentialcarefacility,includingasummaryofanydataarisingfromanycomplaint |
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| 42 | 42 | | 30investigatedandresolved; |
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| 43 | 43 | | 31 (5)Produceasummaryofthepoliciesandproceduresofeachresidentialcare |
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| 44 | 44 | | 32facilitythatrelatetothecareofthechildrenresidinginthefacility; |
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| 45 | 45 | | 33 (6)Produceacharacterizationoftheconditionsofthelivingspacewithineach |
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| 46 | 46 | | 34residentialcarefacility; |
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| 47 | 47 | | 35 (7)Produceacatalogregardingavailableeducationalandrehabilitative |
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| 48 | 48 | | 36programsanddrugandmentalhealthtreatmentprograms.Theofficeshallalso |
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| 49 | 49 | | 37provideasummaryregardingtheimplementationofandparticipationineach |
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| 50 | 50 | | 38program; |
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| 51 | 51 | | 39 (8)Produceasummaryofthekitchenanddiningfacilitieswithineach |
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| 52 | 52 | | 40residentialcarefacility,includingtheportionsizing,edibility,andnutritionalvalueof |
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| 53 | 53 | | 41foodbeingprovidedtochildren; |
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| 54 | 54 | | 42 (9)Produceasummaryofvisitationpoliciesandproceduresforeachresidential |
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| 55 | 55 | | 43carefacility; |
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| 56 | 56 | | 44 (10)Produceasummaryofmedicalfacilitiesandmedicalproceduresand |
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| 57 | 57 | | 45policiesforeachresidentialcarefacility,includingcompliancewithcontrolledsubstance |
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| 58 | 58 | | 46laws; |
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| 59 | 59 | | 47 (11)Produceasummaryregardinganyreviewbytheofficeregardingalock- |
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| 60 | 60 | | 48downofaresidentialcarefacility; |
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| 61 | 61 | | 49 (12)Produceasummaryofthestaffateachresidentialcarefacility,including |
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| 62 | 62 | | 50policiesrelatingtostaff-to-childratiosandstaffrecruitment,training,supervision,and |
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| 63 | 63 | | 51discipline; |
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| 64 | 64 | | 52 (13)Produceasummaryofphysicalandsexualassaultsoccurringata |
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| 65 | 65 | | 53residentialcarefacilitythatwerereviewedbytheoffice; |
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| 66 | 66 | | HB96 2 54 (14)Produceasummaryofanychildorstaffdeathsthatoccurredata |
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| 67 | 67 | | 55residentialcarefacility;and |
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| 68 | 68 | | 56 (15)Recommendchangestobemadebyeachresidentialcarefacilitytoimprove |
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| 69 | 69 | | 57safetyandconditionswithinthefacility. |
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| 70 | 70 | | 58 5.Aresidentialcarefacilityshallsubmitareporttotheofficewithinthirtydays |
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| 71 | 71 | | 59ofaninspectionreportmadebytheoffice.Suchreportshallincludeacorrectiveaction |
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| 72 | 72 | | 60planforeachrecommendationdeterminedbytheoffice. |
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| 73 | 73 | | 61 6.Theofficeshallhaveaccess,upondemandandwithoutpriornotice,tothe |
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| 74 | 74 | | 62followinginallresidentialcarefacilities: |
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| 75 | 75 | | 63 (1)Areasthatareusedbychildrenresidinginaresidentialcarefacility; |
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| 76 | 76 | | 64 (2)Areasthatareaccessibletochildrenresidinginaresidentialcarefacility; |
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| 77 | 77 | | 65and |
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| 78 | 78 | | 66 (3)Allprogramsforchildrenresidinginaresidentialcarefacility. |
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| 79 | 79 | | 67 7.Theofficeshallhaveaccess,upondemandandwithoutpriornotice,toareas |
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| 80 | 80 | | 68withinaresidentialcarefacilitytoverifythatthestaff-to-childratiosarebeing |
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| 81 | 81 | | 69maintained.Thisauthorityincludestheopportunitytoconductaninterviewwithany |
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| 82 | 82 | | 70childresidinginoremployeeorcontractorofaresidentialcarefacility,orotherpersons |
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| 83 | 83 | | 71involvedwiththefacility. |
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| 84 | 84 | | 72 8.Theofficeshallhavetheauthoritytoregularlymeetandcommunicatewith |
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| 85 | 85 | | 73childrenresidinginoremployeesorcontractorsworkinginaresidentialcarefacility. |
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| 86 | 86 | | 74Suchmeetingsandcommunicationsmaybeprivateandconfidential,formalor |
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| 87 | 87 | | 75informal,andbytelephone,mail,electronicmail,orinperson. |
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| 88 | 88 | | 76 9.Theofficeshallhavetheauthoritytoaccess,inspect,andcopyallrelevant |
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| 89 | 89 | | 77information,records,ordocumentsinthepossessionorcontrolofaresidentialcare |
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| 90 | 90 | | 78facilitythattheofficeconsidersnecessaryinaninvestigationtodeterminewhetherthe |
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| 91 | 91 | | 79facilityisincompliancewithrulesandregulations.Iftheinformation,records,or |
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| 92 | 92 | | 80documentsarerestrictedorprivilegedandtheofficehassubmittedawrittenrequestto |
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| 93 | 93 | | 81thefacilityforsuchinformation,records,ordocuments,thefacilityshallassisttheoffice |
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| 94 | 94 | | 82inobtaininganynecessaryreleasesforsuchinformation,records,ordocumentswithin |
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| 95 | 95 | | 83thirtydaysfromtheoffice'srequest. |
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| 96 | 96 | | 84 10.Iftherecordsrequestedbytheofficepertaintoachilddeath,athreatof |
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| 97 | 97 | | 85deathorbodilyharm,asexualassault,orthedenialofnecessarymedicaltreatment,the |
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| 98 | 98 | | 86recordsshallbeprovidedbyaresidentialcarefacilitywithinfivedaysunlesstheoffice |
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| 99 | 99 | | 87consentstoanextensionoftimenolongerthanthirtydays. |
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| 100 | 100 | | 88 11.Theofficeshallestablishconfidentialityrulesandproceduresforall |
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| 101 | 101 | | 89informationmaintainedbytheofficetoensurethattheprivacyofachildisprotected. |
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| 102 | 102 | | HB96 3 90Theofficemaydiscloseidentifyinginformationforthesolepurposeofcarryingoutan |
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| 103 | 103 | | 91investigation. |
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| 104 | 104 | | 92 12.Inspectionreportsofallresidentialcarefacilitiesshallincludethefollowing |
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| 105 | 105 | | 93information: |
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| 106 | 106 | | 94 (1)Sanitationofthe: |
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| 107 | 107 | | 95 (a)Sleepingrooms; |
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| 108 | 108 | | 96 (b)Commondormareas; |
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| 109 | 109 | | 97 (c)Restrooms; |
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| 110 | 110 | | 98 (d)Diningarea; |
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| 111 | 111 | | 99 (e)Gymnasium,weightroom,orotherphysicalfitnessarea; |
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| 112 | 112 | | 100 (f)Therapyrooms; |
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| 113 | 113 | | 101 (g)Safespaces,quietrooms,ordetentionspaces;and |
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| 114 | 114 | | 102 (h)Hallways; |
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| 115 | 115 | | 103 (2)Accesstopropernutrition; |
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| 116 | 116 | | 104 (3)Kitchencleanliness,includingpreparationareas,adequatekitchensupplies, |
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| 117 | 117 | | 105andadequaterefrigerationandproceduresforreceivingdeliveriesofitemsthatrequire |
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| 118 | 118 | | 106refrigeration; |
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| 119 | 119 | | 107 (4)Cleanandadequatewatersupplyinthelivingareasanddiningfacility; |
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| 120 | 120 | | 108 (5)Comfortabletemperaturesinthefollowingareasthatareutilizedbychildren |
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| 121 | 121 | | 109residinginaresidentialcarefacility: |
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| 122 | 122 | | 110 (a)Sleepingrooms; |
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| 123 | 123 | | 111 (b)Commondormareas; |
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| 124 | 124 | | 112 (c)Restrooms; |
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| 125 | 125 | | 113 (d)Diningarea; |
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| 126 | 126 | | 114 (e)Gymnasium,weightroom,orotherphysicalfitnessarea; |
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| 127 | 127 | | 115 (f)Therapyrooms;and |
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| 128 | 128 | | 116 (g)Safespaces,quietrooms,anddetentionspaces;and |
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| 129 | 129 | | 117 (6)Anassessmentof: |
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| 130 | 130 | | 118 (a)Allpoliciesandproceduresinplacebyaresidentialcarefacilityrelatingto |
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| 131 | 131 | | 119thecareofachildresidinginthefacility; |
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| 132 | 132 | | 120 (b)Conditionsoflivingspaces; |
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| 133 | 133 | | 121 (c)Cleanliness,includingtheavailabilityofcleaningsupplies; |
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| 134 | 134 | | 122 (d)Workingwaterfountains,toilets,sinks,andshowers; |
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| 135 | 135 | | 123 (e)Availabilityoftoiletpaper,disposablecupsfordrinkingwater,andpaper |
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| 136 | 136 | | 124towels; |
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| 137 | 137 | | 125 (f)Kitchenanddiningfacilities,whenopen,foodavailability,andfoodedibility; |
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| 138 | 138 | | HB96 4 126 (g)Doorstobedroomsopeningandclosingproperlyandadequatestorageina |
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| 139 | 139 | | 127child'sroomforthechild'sclothing; |
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| 140 | 140 | | 128 (h)Workinglaundryfacilitiesandavailabilityoflaundrydetergent; |
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| 141 | 141 | | 129 (i)Accessibilityandavailabilityofpersonalhygieneproductsincluding,butnot |
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| 142 | 142 | | 130limitedto,soaporbodywash,shampoo,conditioner,toothpaste,lotion,washcloths,and |
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| 143 | 143 | | 131towels; |
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| 144 | 144 | | 132 (j)Securelocationsforthechild'svaluables; |
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| 145 | 145 | | 133 (k)Availabilityofeducationalandrehabilitativeprograms,includingrecordson |
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| 146 | 146 | | 134howoftenitisavailable,andactiveparticipationbystaffandchildrenresidingina |
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| 147 | 147 | | 135residentialcarefacility; |
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| 148 | 148 | | 136 (l)Availabilityofdrugandmentalhealthtreatment,includingrecordsonhow |
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| 149 | 149 | | 137oftenitisavailable,andactiveparticipationbystaffandchildrenresidingina |
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| 150 | 150 | | 138residentialcarefacility; |
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| 151 | 151 | | 139 (m)Allpoliciesandproceduresrelatingtovisitationbothonandoffcampus; |
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| 152 | 152 | | 140 (n)Allmedicalfacilitiesandmedicalproceduresandpolicies,including |
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| 153 | 153 | | 141controlledmedicationlogs; |
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| 154 | 154 | | 142 (o)Thenumberoflock-downsataresidentialcarefacilitysincethelast |
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| 155 | 155 | | 143inspectionbytheoffice;and |
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| 156 | 156 | | 144 (p)Staffingataresidentialcarefacility,including: |
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| 157 | 157 | | 145 a.Thenumberandjobassignmentsofdormstaff; |
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| 158 | 158 | | 146 b.Theratioofdormstafftochildrenresidingataresidentialcarefacility;and |
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| 159 | 159 | | 147 c.Thestaffpositionvacancyrateataresidentialcarefacility. |
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| 160 | 160 | | 148 13.Theofficeshallreviewproceduresofthedivisiontodetermineifthe |
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| 161 | 161 | | 149proceduresareadequateforreceiving,processing,respondingto,andresolving |
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| 162 | 162 | | 150complaintsmadebyoronbehalfofachildinthecustodyofthedivisionrelatingto |
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| 163 | 163 | | 151action,inaction,ordecisionsofaresidentialcarefacilitystafforcontractorsthatmay |
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| 164 | 164 | | 152adverselyaffectthehealth,safety,welfare,orrightsofsuchchild. |
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| 165 | 165 | | 153 14.Forthereviewprocessundersubsection13ofthissection,theofficeshall |
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| 166 | 166 | | 154havetheauthorityto: |
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| 167 | 167 | | 155 (1)Monitorlivingspaceandassesswhetherresidentialcarefacilitystaffisin |
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| 168 | 168 | | 156compliancewithapplicablefederal,state,anddivisionrulesandregulationsthatrelate |
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| 169 | 169 | | 157tothehealth,safety,welfare,andrehabilitationofachild; |
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| 170 | 170 | | 158 (2)Reviewandanalyzedatarelatingtocomplaintsreceivedbythedivisionand |
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| 171 | 171 | | 159datarelatingtothefollowing: |
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| 172 | 172 | | 160 (a)Deaths,suicides,andsuicideattemptswhileinthecustodyofthedivision; |
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| 173 | 173 | | 161 (b)Physicalandsexualassaultswhileinthecustodyofthedivision; |
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| 174 | 174 | | HB96 5 162 (c)Thenumberofchildrenplacedinadministrativesegregationorsolitary |
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| 175 | 175 | | 163confinement,andthedurationofstayinsuchsegregationorconfinement; |
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| 176 | 176 | | 164 (d)Thenumberoflock-downsataresidentialcarefacilitylastinglongerthan |
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| 177 | 177 | | 165twenty-fourhours; |
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| 178 | 178 | | 166 (e)Thenumberofstaffvacanciesateachresidentialcarefacility; |
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| 179 | 179 | | 167 (f)Staff-to-childratiosateachresidentialcarefacility; |
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| 180 | 180 | | 168 (g)Stafftenureandturnoverateachresidentialcarefacility; |
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| 181 | 181 | | 169 (h)Thenumberofin-personvisitsbyafamilymember,mentor,guardianad |
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| 182 | 182 | | 170litem,orcasemanagertoachildthatwereallowedordeniedbyaresidentialcare |
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| 183 | 183 | | 171facility; |
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| 184 | 184 | | 172 (i)Incidentreportsinvolvingphysicalorsexualassaultsordeaths,injuries,or |
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| 185 | 185 | | 173physicalrestraintsataresidentialcarefacility; |
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| 186 | 186 | | 174 (j)Reviewoftherecruitment,training,supervision,anddisciplineofthestaffof |
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| 187 | 187 | | 175aresidentialcarefacility;and |
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| 188 | 188 | | 176 (k)Anyotheraspectoftheoperationofaresidentialcarefacilitythattheoffice |
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| 189 | 189 | | 177deemsnecessaryoverthecourseofaninspection. |
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| 190 | 190 | | 178 15.Uponcompletionofthereview,theofficeshallproduceareporttobemade |
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| 191 | 191 | | 179availabletothepublicontheoffice'swebsite.Suchreportshallbedeliveredtothe |
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| 192 | 192 | | 180governor,theattorneygeneral,thepresidentprotemporeofthesenate,thespeakerof |
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| 193 | 193 | | 181thehouseofrepresentatives,andthedirectorofthedivision.Thereportshallinclude: |
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| 194 | 194 | | 182 (1)Asummaryofthedivision'scomplaintpoliciesandprocedures;and |
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| 195 | 195 | | 183 (2)Anyrecommendationsthatwereprovidedtothedivisionaddressing |
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| 196 | 196 | | 184necessaryimprovements. |
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| 197 | 197 | | âś” |
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| 198 | 198 | | HB96 6 |
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