481—62.12 (135C) Programming.
	 62.12(1) Individual program plan. An individual program plan (IPP) for each resident shall be developed by an interdisciplinary team. Services to the resident shall be appropriate to address the short-term transitional or long-term residential needs of the resident. The resident or the resident’s legal guardian has the ultimate authority to accept or reject the plan unless otherwise determined by the court. The IPP shall be approved and implementation monitored by the QMHP. (II, III)
	  a.   	 The IPP shall be based on the individual service plan of the referring agency, if available, the information contained in the social history, the need for services identified in the evaluation, and any other pertinent information. (III)
	  b.   	 The facility shall assist the resident in obtaining access to academic, community living skills training, legal, self-care training, support, transportation, treatment, and vocational training services to the resident as needed. These services may be provided by the facility or obtained from other providers. (III)
	  c.   	 Services to the resident shall be provided in the least restrictive environment and shall incorporate the principle of normalization. (III)
	  d.   	 If needed services are not available and accessible, the facility shall document the actions which were taken to locate and access or deliver those services. The documentation shall include the identification of the type of needs which will not be met due to the lack of available services. (III)
	  e.   	 The IPP shall be developed within 30 days following admission to the facility and renewed at least annually. (II, III)
	  f.   	 The IPP shall be in writing, dated, signed by the interdisciplinary team members, and maintained in the resident’s record. (III)
	  g.   	 Written notice of the meeting to develop an IPP shall be sent to all persons to be included in the interdisciplinary team conference in advance of the scheduled meeting. (III)
	 62.12(2) The IPP shall include the following:
	  1. 	 Goals, (III)
	  2. 	 Objectives, (III)
	  3. 	 The specific service(s), including medication counseling, to be provided to achieve the objectives, the person(s) or agency(ies) responsible for providing the service(s), and the date of initiation and anticipated duration of service(s). (III)
	 62.12(3) The IPP shall state the evaluation procedure for determining if objectives are achieved which shall include the incorporation of a continuous process for review and revision. (III)
	 62.12(4) There shall be a review of the IPP by relevant staff, the resident, and appropriate others at least semiannually. (II, III)
	  a.   	 The review shall include the development of a written report which addresses the following: summary of the resident’s progress toward objectives; the need for continued services and any recommendation concerning alternative services or living arrangements; and any recommended change in guardianship or conservatorship status. The report shall reflect those involved in the review and the date of the review, and shall be maintained in the resident’s record. (II, III)
	  b.   	 The review shall be approved by the qualified mental health professional. (III)
	 62.12(5) There shall be procedures for recording the activities of each service provider toward assisting the resident in achieving the objectives in the IPP and the resident’s response which shall include a mechanism for coordination with all service providers. (III)
	  a.   	 An entry into the resident’s record shall be made by staff whenever possible at the time of service provision but no later than seven days from service provision. (III)
	  b.   	 Entries shall be dated and signed by the person providing the service. (III)
	  c.   	 When the service includes ongoing activities occurring more than once a week, a summarized entry may be made weekly by staff in the resident’s record. (III)
	  d.   	 Entries shall be written in terms of behavioral observations and specific activities. Entries that involve subjective interpretations of a resident’s behavior or progress shall be clearly identified and shall be supplemented with the behavioral observations which served as the basis of the interpretation. (III)
This rule is intended to implement Iowa Code section 135C.14.