Subdivision 1. Program coordination and evaluation. (a) The license holder is responsible for:
(1) coordination of service delivery and evaluation for each person served by the program as identified in subdivision 2; and
(2) program management and oversight that includes evaluation of the program quality and program improvement for services provided by the license holder as identified in subdivision 3.
(b) The same person may perform the functions in paragraph (a) if the work and education qualifications are met in subdivisions 2 and 3.
Subd. 2. Coordination and evaluation of individual service delivery. (a) Delivery and evaluation of services provided by the license holder must be coordinated by a designated staff person. Except as provided in clause (3), the designated coordinator must provide supervision, support, and evaluation of activities that include:
(1) oversight of the license holder's responsibilities assigned in the person's support plan and the support plan addendum;
(2) taking the action necessary to facilitate the accomplishment of the outcomes according to the requirements in section 245D.07;
(3) instruction and assistance to direct support staff implementing the support plan and the service outcomes, including direct observation of service delivery sufficient to assess staff competency. The designated coordinator may delegate the direct observation and competency assessment of the service delivery activities of direct support staff to an individual whom the designated coordinator has previously deemed competent in those activities; and
(4) evaluation of the effectiveness of service delivery, methodologies, and progress on the person's outcomes based on the measurable and observable criteria for identifying when the desired outcome has been achieved according to the requirements in section 245D.07.
(b) The license holder must ensure that the designated coordinator is competent to perform the required duties identified in paragraph (a) through education, training, and work experience relevant to the primary disability of persons served by the license holder and the individual persons for whom the designated coordinator is responsible. The designated coordinator must have the skills and ability necessary to develop effective plans and to design and use data systems to measure effectiveness of services and supports. The license holder must verify and document competence according to the requirements in section 245D.09, subdivision 3. The designated coordinator must minimally have:
(1) a baccalaureate degree in a field related to human services, and one year of full-time work experience providing direct care services to persons with disabilities or persons age 65 and older;
(2) an associate degree in a field related to human services, and two years of full-time work experience providing direct care services to persons with disabilities or persons age 65 and older;
(3) a diploma in a field related to human services from an accredited postsecondary institution and three years of full-time work experience providing direct care services to persons with disabilities or persons age 65 and older; or
(4) a minimum of 50 hours of education and training related to human services and disabilities; and
(5) four years of full-time work experience providing direct care services to persons with disabilities or persons age 65 and older under the supervision of a staff person who meets the qualifications identified in clauses (1) to (3).
Subd. 3. Program management and oversight. (a) The license holder must designate a managerial staff person or persons to provide program management and oversight of the services provided by the license holder. The designated manager is responsible for the following:
(1) maintaining a current understanding of the licensing requirements sufficient to ensure compliance throughout the program as identified in section 245A.04, subdivision 1, paragraph (e), and when applicable, as identified in section 256B.04, subdivision 21, paragraph (g);
(2) ensuring the duties of the designated coordinator are fulfilled according to the requirements in subdivision 2;
(3) ensuring the program implements corrective action identified as necessary by the program following review of incident and emergency reports according to the requirements in section 245D.11, subdivision 2, clause (7). An internal review of incident reports of alleged or suspected maltreatment must be conducted according to the requirements in section 245A.65, subdivision 1, paragraph (b);
(4) evaluation of satisfaction of persons served by the program, the person's legal representative, if any, and the case manager, with the service delivery and progress toward accomplishing outcomes identified in sections 245D.07 and 245D.071, and ensuring and protecting each person's rights as identified in section 245D.04;
(5) ensuring staff competency requirements are met according to the requirements in section 245D.09, subdivision 3, and ensuring staff orientation and training is provided according to the requirements in section 245D.09, subdivisions 4, 4a, and 5;
(6) ensuring corrective action is taken when ordered by the commissioner and that the terms and conditions of the license and any variances are met; and
(7) evaluating the information identified in clauses (1) to (6) to develop, document, and implement ongoing program improvements.
(b) The designated manager must be competent to perform the duties as required and must minimally meet the education and training requirements identified in subdivision 2, paragraph (b), and have a minimum of three years of supervisory level experience in a program providing direct support services to persons with disabilities or persons age 65 and older.
2013 c 108 art 8 s 31; 2014 c 312 art 27 s 40; 1Sp2019 c 9 art 7 s 6; 1Sp2020 c 2 art 2 s 5; 2022 c 98 art 17 s 26
Structure Minnesota Statutes
Chapters 245 - 267 — Public Welfare And Related Activities
Chapter 245D — Home And Community-based Services Standards
Section 245D.02 — Definitions.
Section 245D.03 — Applicability And Effect.
Section 245D.04 — Service Recipient Rights.
Section 245D.05 — Health Services.
Section 245D.051 — Psychotropic Medication Use And Monitoring.
Section 245D.06 — Protection Standards.
Section 245D.061 — Emergency Use Of Manual Restraints.
Section 245D.07 — Service Planning And Delivery.
Section 245D.071 — Service Planning And Delivery; Intensive Support Services.
Section 245D.081 — Program Coordination, Evaluation, And Oversight.
Section 245D.09 — Staffing Standards.
Section 245D.091 — Intervention Services.
Section 245D.095 — Record Requirements.
Section 245D.10 — Policies And Procedures.
Section 245D.11 — Policies And Procedures; Intensive Support Services.
Section 245D.12 — Integrated Community Supports; Setting Capacity Report.
Section 245D.21 — Facility Licensure Requirements And Application Process.
Section 245D.22 — Facility Sanitation And Health.
Section 245D.24 — Community Residential Settings; Physical Plant And Environment.
Section 245D.25 — Community Residential Settings; Food And Water.
Section 245D.26 — Community Residential Settings; Sanitation And Health.
Section 245D.27 — Day Services Facilities; Satellite Licensure Requirements And Application Process.
Section 245D.28 — Day Services Facilities; Physical Plant And Space Requirements.
Section 245D.29 — Day Services Facilities; Health And Safety Requirements.
Section 245D.31 — Day Services Facilities; Staff Ratios And Facility Coverage.
Section 245D.32 — Alternative Licensing Inspections.
Section 245D.33 — Adult Mental Health Certification Standards.