Program Abuse Prevention Plan
Program Name: / Zumbro – Sander 1Program Address: / 5740 Sander Drive
Minneapolis, MN 55417
Date Plan Developed: / 3/31/2015
Plan Author: / Gina Verne, MPA, Director of Operations
POPULATION ASSESSMENT:
1. What is the age range of the persons receiving services?20 - 65
2. How will the program reduce the potential of abuse and/or harm to people related to the age of people receiving services?
There is no increased potential of abuse and/or harm related to the age of the people receiving services.
3. Gender of persons receiving services:
Male
4. How will the program reduce the potential of abuse and/or harm to people related to the gender of people receiving services?
There is no increased potential of abuse and/or harm related to the gender of the people receiving services.
5. Describe the range of mental functioning of persons receiving services:
Persons served have mild to moderate cognitive disabilities.
6. How will the program reduce the potential of abuse and/or harm to people related to the mental functioning of people receiving services?
Staff are present in the facility and available to support people in accordance with their CSSP and CSSP Addendum(s).
7. Describe the range of physical and emotional health of people receiving services:
Individuals living in this home have a range of mental health diagnoses.
8. How will the program reduce the potential of abuse and/or harm to people related to the physical or emotional health of people receiving services?
Each person will receive individualized care for their mental health symptoms by a health care professional in accordance with their ISP/CSSP or ISP/CSSP Addendum(s). Zumbro House conducts Background Study Clearance prior to the employment of all employees. Zumbro House also provides training during orientation to include: Security Policy, Working with Vulnerable Adults and VA reporting, Blood Borne Pathogens, the Sexual Offense Cycle, HIPAA, Introduction to Effective Interaction Strategies (EIS), Medication Administration, the Consumer Bill of Rights and Person Centered Planning. Annual training is required of all direct care staff to include but not be limited to: HIPAA, major mental health diagnoses, Person Centered Planning and Service Delivery Requirements, Medication Administration, Food Safety, mental Illness, Blood Borne Pathogens, Vulnerable Adult Maltreatment Training, Professional Boundaries and Client Rights.
9. Describe the range of adaptive/maladaptive behavior(s) of people receiving services:
Some individuals in the home have histories of verbal or physical aggression, sexual offending behavior, and elopement.
10. How will the program reduce the potential of abuse and/or harm to people related to the adaptive/maladaptive behaviors of people receiving services?
There is staff present in the building when individuals are home, with the exception of any approved unsupervised time. Staff will visually check on clients at least every other hour during awake hours and at approximately three random times during the overnight shift. There is a commercial alarm system installed with contacts on each external door and individual apartment doors that is activated whenever individuals are in the building to alert the staff of any unauthorized departure. In addition, cameras are installed in the common areas of the building with a monitor for viewing in the community apartment, also allowing review of recorded information in case of any incident. Medication cabinets and the safe are within camera range in order to reduce the potential of abuse and/or harm to the residents.
11. Describe the need for specialized programs of care for people receiving services:
Due to the individuals’ histories of challenging behaviors, it is necessary that they all have specialized programs of care in order to maintain the safety of the individuals and the community.
12. How will the program reduce the potential of abuse and/or harm to people related to the need for specialized programs of care for people receiving services?
All individuals will receive specialized programs of care, including group therapy once per week and the ability to participate in individual therapy per the individual’s or the legal representative’s choice. Individuals with histories of sex offending behavior will have the opportunity to participate in offender treatment program at the discretion of the team. Zumbro House will work with treatment providers in order to implement treatment or therapist recommendations in accordance with the licensing standards.
13. Describe the need for specific staff training to meet individual service needs:
Specific staff training is required to work with challenging behaviors as well as those with histories of inappropriate sexual behavior.
14. How will the program reduce the potential of abuse and/or harm to people related to the need for specific staff training designed to meet individual service needs?
All staff is trained in Effective Intervention Strategies – an introduction at new employee orientation and a full class (meeting the requirements of 245D) within 60 days of hire. In addition, staff are trained on the Sex Offending Cycle of Behavior as well upon hire.
15. Describe any knowledge of previous abuse that is relevant to minimizing the risk of abuse to people receiving services:
There is no knowledge of previous abuse. However, prior to Zumbro House placement, individuals may have been exposed to prohibited procedures as outlined in Statute 245D and “Rule 40”. In order to minimize the risk of abuse to people receiving services at Zumbro House, staff is trained at orientation and annually on the topics of Effective Interaction Strategies, and Vulnerable Adult Maltreatment and Reporting Procedures. Additionally and prior to Zumbro House placement, individuals may have experienced financial exploitation. Zumbro House has policies and procedures in place to minimize the potential of exploitative financial abuse and/or harm.
16. How will the program reduce the potential of abuse and/or harm to people related to the knowledge of previous abuse?
There is no knowledge of previous abuse. However, to minimize the potential of financial abuse or harm, the Zumbro House finance department conducts monthly financial auditing for each individual served. Staff are oriented at hire and trained annually on the topics of Effective Intervention Strategies, and Vulnerable Adult Maltreatment and Reporting Requirements in order to minimize the potential of abuse and/or harm to residents.
PHYSICAL PLANT ASSESSMENT:
1. Describe the condition and design of the facility as it relates to safety for the people receiving services:Zumbro – Sander 1 is a three story, multi-unit apartment complex with 10 one-bedroom apartment and one two-bedroom apartment. One of the apartments is a community apartment where individuals can socialize. There is also a staff office in this unit where medications are stored in a locked closet. There is a laundry room and storage area on the lower level of the building.
2. How will the program reduce the potential of abuse and/or harm to people related to the condition and design of the facility for people receiving services?
There is no increased potential of abuse and/or harm related to the condition or design of the facility.
3. Describe any areas of the facility that are difficult to supervise:
Inside of the individual apartments is difficult to supervise.
4. How will the program reduce the potential of abuse and/or harm to people related to the areas of the facility that are difficult to supervise?
There is staff present in the building when individuals are home, with the exception of any approved unsupervised time. Staff will visually check on clients at least every other hour during awake hours and at approximately three random times during the overnight shift.
ENVIRONMENTAL ASSESSMENT:
1. Describe the location of the facility including information about the neighborhood and community that the facility is located:The facility is located on a fairly quiet residential street, near Highway 62.
2. How will the program reduce the potential of abuse and/or harm to people related to the location of the facility, including factors about the neighborhood and the community?
There is no increased potential for abuse or harm due to the neighborhood or the community.
3. Describe the type of grounds and terrain that surround the facility:
The building has a small yard that is mostly flat. There is no rough or uneven terrain surrounding the facility.
4. How will the program reduce the potential of abuse and/or harm to people related to the type of grounds and terrain that surround the facility?
There is no increased potential for abuse or harm due to the surrounding grounds or terrain.
5. Describe the type of internal programming provided at the program:
Programming is individualized for each person and is provided in accordance with the ISP/CSSP or ISP/CSSP Addendum. Some areas of focus include, but are not limited to, medication self-management, home living skills, money management, self-management of mental health symptoms, and positive behavior supports such as the Medal Program in which individuals have the opportunity to earn a medal and other reinforcements for each timeline milestone they reach.
6. How will the program reduce the potential of abuse and/or harm to people through the type of internal programming provided at the program?
Each program plan will be tailored to the individual. As the individual’s needs change, adjustments will be made to the CSSP Addendum(s) in order to reflect the most individualized plan possible.
7. Describe the program’s staffing pattern:
At least one staff person is present and supporting clients during times when the building is occupied. An additional staff person works approximately eight hours per day to assist in facilitating appointments and activities. This second person is often a shared staff with the program across the street.
8. How will the program reduce the potential of abuse and/or harm to people through the program’s staffing pattern?
The staffing pattern will support the specific needs of the individuals at this facility.
Plan review date(s):
Signature and Title:
Please Note:
*This plan must be posted in a prominent place in the facility and be available, upon request, to mandated reporters, people receiving services, and legal representatives.
*The license holder must review the Program Abuse Prevention Plan at least annually.
*In addition to the Program Abuse Prevention Plan, an Individual Abuse Prevention Plan (IAPP) must be developed for each person receiving services.
Legal Authority: Minnesota Statute 245A.65, subd. 2