1. (a) The facility administrator is responsible for coordinating the development and subsequent updating of each consumer's Individual Behavior Supports Plan by the Qualified Behavior Modification Professional.
2. (b) The Individual Behavior Supports Plan must be initiated immediately at the consumer's admission.
3. (c) Individual Behavior Supports Team members shall provide their input for inclusion in the updated Individual Behavior Supports Plan within seven (7) days of the consumer's admission.

4. (d) The consumer's Individual Behavior Supports Plan must be function-based, evidence-based, and target functionally equivalent replacement behaviors, address the consumer's individual needs, and include a description of the following:

   1. (1) Baseline of behaviors, needs or skill level;
   2. (2) Target behaviors, skills and attainable goals;
   3. (3) Function of behaviors;
   4. (4) Desired outcomes and replacement behaviors;
   5. (5) Intervention strategies, including antecedent strategies, instructional strategies and consequence strategies;
   6. (6) Entity responsible;
   7. (7) Environmental changes;
   8. (8) Timelines/review dates;
   9. (9) Data collection/monitoring progress/evaluation methods;

   10. (10) A written plan of transition to return to the previous placement or another appropriate community placement. The Individual Behavior Supports Team must review the transition plan at least monthly. The transition plan must include:

       1. (A) Measurable transition objectives and criteria, including baseline measures;
       2. (B) Projected service and support needs;
       3. (C) Projected timeline for stabilization; and
       4. (D) A plan for cross-training needs;

   11. (11) Emergency interventions that may be necessary.

       1. (A) Emergency interventions shall be included in an Individualized Emergency Intervention Plan within the Individual Behavior Supports Plan.

5. (e) Within 72 hours of inclusion of supine restraint in an Individualized Emergency Intervention Plan, the licensee shall provide a copy of the Individualized Emergency Intervention Plan to the regional center's designee and to the Department at [email protected].

   1. (1) The Individualized Emergency Intervention Plan shall include:

      1. (A) a description of the plan to systematically fade the use and inclusion of supine restraint; and
      2. (B) de-escalation strategies and alternatives to supine restraint.
6. (f) If the regional center or the Department determines the Individual Behavior Supports Plan, including the Individualized Emergency Intervention Plan, requires revision, the administrator shall ensure revisions are made by the Qualified Behavior Modification Professional with input from the Individual Behavior Supports Team. Within 72 hours of completion of the revisions, the administrator shall resubmit the revised plan to the regional center's designee, and to the Department at [email protected].
7. (g) The facility administrator shall submit the Individual Behavior Supports Plan and any updates to the vendoring and/or placing regional center service coordinator and, unless the consumer objects to the clients' rights advocate.

Note: Authority cited: Sections 4698 and 4698.1, Welfare and Institutions Code. Reference: Section 4698.1, Welfare and Institutions Code.

History

1. New article 6 (section 59010) and section filed 3-20-2017 as an emergency; operative 3-20-2017 (Register 2017, No. 12). Pursuant to Welfare and Institutions Code section 4698.1(b), a Certificate of Compliance must be transmitted to OAL by 3-19-2019 or emergency language will be repealed by operation of law on the following day.

2. Certificate of Compliance as to 3-20-2017 order, including amendment of section, transmitted to OAL 2-8-2019 and filed 3-25-2019; amendments operative 3-25-2019 pursuant to Government Code section 11343.4(b)(3) (Register 2019, No. 13).

3. Amendment of subsection (d)(10) and new subsections (d)(10)(A)-(D) filed 6-25-2021 as a deemed emergency; operative 6-25-2021 (Register 2021, No. 26). Pursuant to Welfare and Institutions Code section 4698.1(b), a Certificate of Compliance must be transmitted to OAL by 6-25-2023 or emergency language will be repealed by operation of law on the following day.

4. Amendment of subsection (d)(10) and new subsections (d)(10)(A)-(D) refiled 4-25-2022 as a deemed emergency; operative 4-25-2022 (Register 2022, No. 17). Pursuant to Welfare and Institutions Code section 4698.1(b), a Certificate of Compliance must be transmitted to OAL by 6-25-2023 or emergency language will be repealed by operation of law on the following day.

5. Amendment of subsection (d)(10) and new subsections (d)(10)(A)-(D) refiled 7-25-2022 as a deemed emergency; operative 7-25-2022 (Register 2022, No. 30). Pursuant to Welfare and Institutions Code section 4698.1(b), a Certificate of Compliance must be transmitted to OAL by 6-25-2023 or emergency language will be repealed by operation of law on the following day.

6. Updating certificate of compliance information in History 3, 4 and 5.

7. Certificate of Compliance as to 7-25-2022 order, including amendment of section, transmitted to OAL 5-30-2023 and filed 7-12-2023; amendments effective 7-12-2023 pursuant to Government Code section 11343.4(b)(3) (Register 2023, No. 28).