OAR 309-040-0393
Individually-Based Limitations


This rule becomes effective on July 1, 2016, and enforceable according to OAR 309-040-0315 (License Application and Fees)(7).

(1)

When the home-like qualities described below create a threat to the health and safety of an individual or others, a provider may seek to apply individually-based limitation through the process described in this rule. A provider may not otherwise limit the following home-like qualities without a valid individually-based limitation:

(a)

The freedom and support to access food at any time;

(b)

Have visitors of the individual’s choosing at any time;

(c)

Have a unit entrance door that is lockable by the individual with only appropriate program staff having access;

(d)

Choose a roommate when sharing a unit;

(e)

Furnish and decorate the individual’s unit as agreed to in the Residency Agreement;

(f)

The freedom and support to control the individual’s schedule and activities; and

(g)

Privacy in the individual’s unit.

(2)

Minimum Requirements for Applying Individually-Based Limitation: A provider may only apply an individually-based limitation if:

(a)

The quality threatens the health or safety of the individual or others;

(b)

The individually-based limitation is supported by a specific assessed need;

(d)

The individual consents;

(e)

The limitation is directly proportionate to the specific assessed need; and

(f)

The individually-based limitation will not cause harm to the individual.

(3)

The provider shall demonstrate and document that the individually-based limitation meets the requirements of section (2) of this rule and that the conditions described below exist in the person-centered service plan. The provider shall submit and sign a provider-created form that includes the following:

(a)

The specific and individualized assessed need justifying the individually-based limitation;

(b)

The positive interventions and supports used prior to consideration of any individually-based limitation;

(c)

Documentation that the provider or other entities have tried other less intrusive methods but did not work;

(d)

A clear description of the limitation that is directly proportionate to the specific assessed need;

(e)

Regular collection and review of data to measure the ongoing effectiveness of the individually-based limitation;

(f)

Established time limits for periodic reviews of the individually-based limitation to determine if the limitation should be terminated or remains necessary;

(g)

The informed consent of the individual, including any discrepancy between the wishes of the individual and the consent of the legal representative; and

(h)

An assurance that the interventions and support do not cause harm to the individual.

(4)

The provider shall:

(a)

Maintain a copy of the completed and signed form documenting the consent to the individually-based limitation described in section (3) of this rule. The form shall be signed by the individual.

(b)

Regularly collect and review the ongoing effectiveness of and the continued need for the individually-based limitation; and

(c)

Request review of the individually-based limitation by the person-centered service plan coordinator when a new individually-based limitation is indicated, or change or removal of an individually-based limitation is needed, but no less than annually.

(5)

The qualities and obligations described in sections (1)(b)-(g) do not apply to an individual receiving crisis-respite services, and a provider is not required to seek an individually-based limitation for such an individual to comply with these rules.

Source: Rule 309-040-0393 — Individually-Based Limitations, https://secure.­sos.­state.­or.­us/oard/view.­action?ruleNumber=309-040-0393.

309‑040‑0300
Purpose and Scope
309‑040‑0305
Definitions
309‑040‑0307
Required Home-like Qualities
309‑040‑0310
License Required
309‑040‑0315
License Application and Fees
309‑040‑0320
Classification of AFHs
309‑040‑0325
Capacity
309‑040‑0330
Zoning for Adult Foster Homes
309‑040‑0335
Training Requirements for Providers, Resident Managers, and Substitute Caregivers
309‑040‑0340
Issuance of a License
309‑040‑0345
Renewal
309‑040‑0350
Variance
309‑040‑0355
Contracts
309‑040‑0360
Qualifications for AFH Providers, Resident Managers, and Other Caregivers
309‑040‑0365
Facility Standards
309‑040‑0370
Safety
309‑040‑0375
Sanitation
309‑040‑0380
Individual Furnishings
309‑040‑0385
Food Services
309‑040‑0390
Standards and Practices for Care and Services
309‑040‑0393
Individually-Based Limitations
309‑040‑0394
Residency Agreement
309‑040‑0395
Standards for Admission, Transfers, Respite, Discharges, and Closures
309‑040‑0400
Inspections
309‑040‑0405
Procedures for Correction of Violations
309‑040‑0410
Residents’ Bill of Rights, Complaints, and Grievances
309‑040‑0415
Administrative Sanctions
309‑040‑0420
Denial, Suspension, Revocation, or Refusal to Renew
309‑040‑0425
Removal of Residents
309‑040‑0430
Conditions
309‑040‑0435
Criminal Penalties
309‑040‑0440
Civil Penalties
309‑040‑0445
Public Information
309‑040‑0450
Adjustment, Suspension or Termination of Payment
309‑040‑0455
Enjoinment of AFH Operation
Last Updated

Jun. 8, 2021

Rule 309-040-0393’s source at or​.us