(a) The Intense Service Level consists of a high degree
of structure, preferably in a family, to limit the child's access
to environments as necessary to protect the child. The caregivers
have specialized training to provide services to help the child keep,
learn or improve skills and functioning for daily living as well as
intense therapeutic supports and interventions with limited outside
access, including:
(1) 24-hour supervision to ensure the child's safety
and sense of security, which includes frequent one-to-one monitoring
with the ability to provide immediate on site response;
(2) affection, reassurance, and involvement in therapeutic
activities appropriate to the child's age and development to promote
the child's well-being;
(3) contact, in a manner that is deemed in the best
interest of the child, with siblings, family members and other persons
significant to the child, to maintain a sense of identity and culture;
(4) provision of services to help the child keep, learn
or improve skills and functioning for daily living, as well as therapeutic
and medical intervention and guidance that is frequently scheduled
and professionally designed and supervised to help the child attain
functioning more appropriate to the child's age and development; and
(5) consistent and frequent attention, direction, and
assistance to help the child attain stabilization and connect appropriately
with the child's environment.
(b) In addition to the description in subsection (a)
of this section, a child with intellectual or developmental disabilities
needs professionally directed, designed, and monitored interventions
to enhance mobility, communication, sensory, motor, and cognitive
development, and self-help skills.
(c) In addition to the description in subsection (a)
of this section, a child with primary medical needs or who requires
services to help the child keep, learn or improve skills and functioning
for daily living or requires frequent and consistent interventions.
The child may be dependent on people or technology for accommodation
and require interventions designed, monitored, or approved by an appropriately
constituted interdisciplinary team.
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