16 Del. Admin. Code § 3360-8.0

Current through Register Vol. 28, No. 3, September 1, 2024

Section 3360-8.0 - Plan Of Care

8.1 Prior to admission, a preliminary written plan of care, based upon the initial assessment shall be developed for each participant.

8.2 A written individual plan of care shall be developed within thirty (30) calendar days of the participant's first day in the program. The plan shall be based on a functional assessment and information obtained from the participant, participant's family, physician, and the referring agency (if appropriate).

8.3 The plan shall be developed to improve or maintain the functional capabilities of the participant. The plan shall include:

8.3.1 A description of the participant's needs;

8.3.2 The activities, programming and services in which the person will participate in order to meet those needs; and

8.3.3 Realistic goals for the participant, designated roles of the responsible parties, and if appropriate, the timeline for each goal.

8.4 The written plan of care and personal information shall be revised as frequently as warranted by the participant's condition, but shall be reviewed at least every six (6) months with the participant and representative, if any, and updated on an annual basis. All revisions to the plan of care shall be in writing.

16 Del. Admin. Code § 3360-8.0

25 DE Reg. 776( 2/1/2022) (Final)