(a) The facility shall maintain a written plan to address
resident-initiated separation.
(b) The plan shall include the following:
(1) a requirement to release the resident as soon as
reasonably possible after the resident requests to be released, not
to exceed 90 minutes after the resident's request;
(2) a requirement to document the time the resident
requests to be released;
(3) a requirement for a staff review if the resident
has not requested to be released within four hours; and
(4) procedures to address repeated resident-initiated
separations by one resident, to include procedures for referral to
a mental health provider when necessary.
(c) The plan shall state which locations may be used
for resident-initiated separation. If the plan allows for the use
of a room other than individual resident sleeping quarters, the room
shall:
(1) be heated, cooled, and ventilated in accordance
with §343.222 of this title;
(2) have a minimum ceiling height of 7.5 feet when
measured from the floor to the lowest point of the ceiling; and
(3) be equipped with a viewing window that allows staff
to observe the resident.
(d) A juvenile supervision officer shall personally
observe and record the resident's behavior at random intervals not
to exceed 15 minutes unless supervision requirements in §343.348
or §343.350 of this title apply.
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