Each use of involuntary room confinement shall be authorized, documented and reported in accordance with the policy referenced in 109 CMR 5.01(6).

1. (1) The Program Director, Assistant Program Director, Clinical Director and Shift Administrator or their equivalents shall review each use of involuntary room confinement and complete a program level Room Confinement Report.
2. (2) Any failure to comply with 109 CMR 5.00 or the Department of Youth Services' policy regarding involuntary room confinement shall be reported using the applicable reporting policy for serious incidents.
3. (3) Failure to comply with 109 CMR 5.00 or the Department's policy regarding involuntary room confinement may result in disciplinary or corrective action.
4. (4) Data regarding involuntary room confinement shall be collected and reviewed by the Department on an annual basis.