§ 6400.121. Assessment.

 (a)  An individual shall have a written assessment within 45 calendar days after admission and annually thereafter.

 (b)  The assessment shall be completed and updated, or coordinated, by the program specialist.

 (c)  The program specialist shall sign and date the assessment.

 (d)  The assessment shall be based on assessment instruments, interviews, progress notes and observations.

 (e)  The assessment shall include the following information:

   (1)  Documentation of the individual’s disability, including functional and medical limitations.

   (2)  An assessment of adaptive behavior and level of skills completed within 6 months prior to admission.

   (3)  A lifetime medical history.

   (4)  The individual’s current level of functioning including the ability to perform personal needs activities with or without assistance from others.

   (5)  Functional strengths and needs of the individual.

   (6)  The likes, dislikes and interests of the individual.

   (7)  The individual’s level of personal and social adjustment.

   (8)  The individual’s progress and growth in the areas of health, motor and communication, activities of residential living, personal adjustment, socialization and recreation and financial independence.

   (9)  The individual’s ability to manage the individual’s own finances and property.

   (10)  The individual’s need for supervision.

   (11)  The individual’s ability to safely use or avoid poisonous materials, if poisonous materials are not kept locked or made inaccessible to individuals.

   (12)  The individual’s understanding of the danger of heat sources and ability to sense and move away from heat sources quickly, if heat sources exceeding 120°F accessible to the individual are not insulated.

   (13)  The individual’s progress toward self-administration, if the individual is not able to self-administer medications.

   (14)  Recommendations for specific areas of training, programming and services.

   (15)  Additional evaluations as necessary.

 (f)  A copy of the assessment shall be kept in the individual’s record.

 (g)  The individual, the individual’s parent, guardian or advocate, if appropriate, and the county case manager if the individual is funded through the county mental retardation program, shall be informed of the results of the assessment. Documentation of transmittal of this information shall be kept.

   The provisions of this §  6400.121 amended through January 22, 1982, effective March 1, 1982, 12 Pa.B. 384; amended August 9, 1991, effective November 8, 1991, 21 Pa.B. 3595. Immediately preceding text appears at serial page (133688).

   This section cited in 55 Pa. Code §  6400.261 (relating to exceptions for respite care); and 55 Pa. Code §  6400.262 (relating to exceptions for emergency respite care).