N.H. Code Admin. R. He-C 4001.21
Programming, Treatment Planning, and Transfer or Discharge Requirements
Effective Apr 1, 2025#2664, eff 3-30-84, EXPIRED: 3-30-90 New. #8581, eff 4-20-06, EXPIRED: 4-20-14 New. #10576, INTERIM, eff 4-26-14, EXPIRES: 10-23-14; ss by #10705, eff 10-23-14; ss by #13151, eff 12-30-20; ss by #14214, eff 4-1-25Commissioner, Department of Health and Human Services
(a) Program staff shall, with input from the person or program placing the resident, have referral information on each resident, including:
- (1) The reason for the placement;
- (2) The anticipated length of stay;
- (3) The contact information for the parent or guardian; and
- (4) The contact information for the person or program placing the resident.
(b) Except for residents in short term placement, a written treatment plan shall be in place for each resident no later than 30 days from the date of admission, which shall identify:
- (1) The resident’s physical, social, behavioral, medical, and educational needs; and
- (2) How the program will meet those needs.
- (c) Program staff shall review and modify the written treatment plan required in (b) above as the resident’s needs change.
- (d) Once the written treatment plan required in (b) above is developed, program staff shall familiarize themselves with the identified needs of each resident and implement the plan.
(e) The program director or designee shall:
- (1) Not rely upon residents to maintain the facility; and
(2) Only allow residents to perform work inside or outside the program, which is:
- a. Compliant with child labor laws and regulations; and
- b. Consistent with the resident’s age and abilities.
(f) Program staff shall:
- (1) Plan daily activities that promote healthy development and provide for social relationships, creative activities, hobbies, and participation in neighborhood, school, and other community groups appropriate to the age, developmental level, and needs of each resident;
- (2) Provide that work assignments for the resident do not interfere with the regular school programs, study periods, recreation, or sleep;
- (3) Provide each resident with clothing that is individually fitted and appropriate to the season;
- (4) Instruct each resident regarding good health practices, including proper habits in eating, bathing, and personal hygiene;
- (5) Provide each resident with a clean towel and washcloth weekly, or more often if towels or washcloths become soiled or odorous; and
- (6) Provide each resident with necessary individual toilet articles and supplies for personal grooming and hygiene suitable to their age and needs.
(g) Each resident shall have education and training, including:
- (1) Regular school attendance as required by law; and
- (2) The opportunity to complete high school or the opportunity for vocational guidance.
- (h) Academic programs within the facility shall meet the requirements of the New Hampshire department of education.
- (i) Each resident shall have the opportunity to practice their religious beliefs.
- (j) Licensees shall transfer or discharge residents in accordance with the requirements of RSA 170-E:42-a.
(k) The licensee shall:
- (1) Establish procedures to prepare the staff and residents for the arrival of a new resident;
(2) Provide staff with appropriate information to receive the new resident and assist in their adjustment, which shall include at a minimum:
- a. Reason for placement, medical condition(s), and behavior problems, as applicable; and
- b. Specific instructions related to the individual needs of the resident, including the need for an individualized restraint method consistent with RSA 126-U, if appropriate, de-escalation techniques, and the resident’s preferred activities as described in the resident’s service plan;
- (3) Meet the needs of the residents;
- (4) Verify the qualifications of all personnel; and
- (5) Provide sufficient numbers of personnel who are present in the program and are qualified to meet the needs of residents during all hours of operation.
Source. #2664, eff 3-30-84, EXPIRED: 3-30-90 New. #8581, eff 4-20-06, EXPIRED: 4-20-14 New. #10576, INTERIM, eff 4-26-14, EXPIRES: 10-23-14; ss by #10705, eff 10-23-14; ss by #13151, eff 12-30-20; ss by #14214, eff 4-1-25