Residential & Placement Licensing
POLICY STATEMENT: P-R&P-08
EEC may approve the use of vacant beds for the provision of "respite" (limited shelter) care in licensed Group Care facilities under the following circumstances:
- Programs may only offer half the total number of vacant beds for "respite" care. This is to ensure that there will be adequate space to accommodate a resident who is temporarily absent from the program in the event that the resident needs to return to the program earlier than expected. For example, if a program has 10 empty beds for the weekend, they may admit no more than five children for "respite" (limited shelter) care.
- Two types of placements will be allowed.
- Planned placements, which require a referral and advance notice prior to arrival, and
- Emergency placements, which offer little notice and little information about the child before arrival.
- All placements must be reviewed for clinical appropriateness and must conform to the program's approved statement of purpose and client profile. All placements must be age and gender appropriate, given the population in residence.
- Programs must have additional staff available "on-call". Available staff must include the required on-call administrator, an on-call intake person (preferably a clinician) and sufficient on-call direct care staff to ensure compliance with approved staff to child ratios.
- Programs must have a plan for how each child will be admitted and by whom. The plan must specify how the child will be transported to and from the program.
- An intake form and face sheet must be completed for each resident admitted for limited shelter placement. Basic information must be provided to the program regarding the child's situation and reasons for needing care, as well as information regarding medical conditions, medications, allergies and behavior problems, if any. Specific instructions must be given related to the individual needs of the resident and any special requirements for care, including the need for an individualized restraint method, if applicable.
- A placement agreement must be completed for each child admitted for a "limited shelter placement". The placement agreement must specify the terms and methods of paying for the residents board, responsibility for provision of direct services, arrangements for contacts between the resident and other persons, arrangements for visits with the resident, responsibility for transportation of the resident, and the circumstances under which the resident may be discharged.
- The program must explain to the resident the rules of the program and the program's emergency evacuation procedures. The program must maintain an acknowledgement of the receipt of this information, signed by the student. (N.B: This acknowledgement of receipt of information may be included in the placement agreement.)
- The program must provide the resident a copy of the program's grievance procedure, and must maintain an acknowledgement of receipt of this information signed by the resident. (N.B: This acknowledgement of receipt of information may be included in the placement agreement.)
- The program must develop a service plan for each child who is intended to return for multiple, planned, limited shelter stays The service plan must specify the terms of each admission, and must be reviewed and updated, as necessary, at each admission.
- In lieu of a program - developed service plan, the service plan developed by the placing authority may be used for residents who are admitted as emergency placements (i.e., where the respite stay is anticipated to be one-time-only event,)
- The program must have a plan for staff training specifically designed for care of children in limited shelter placements. The training must prepare staff for the arrival of the limited shelter residents and must provide staff with the information necessary to receive the resident and assist in his or her adjustment.
- The program must maintain a separate placement register or log of limited shelter admissions that includes the child's name, referring authority, admission date, discharge date and location following discharge.
- If children placed for limited shelter will occupy bedrooms assigned to another (absent) resident, the program must have a plan for securing the personal possessions of the resident who is away from the program.
- The program must maintain bed linens, towels and hygiene products for use by children in limited shelter placement. Bed linens must be washed before use by another child.
- The program must develop a plan to determine whether limited shelter placements are disruptive to the therapeutic milieu of the group care program.
Information provided by the Department of Early Education and Care. Created: September 25, 2008 Last Reviewed: January 20, 2010