Minnesota Administrative Rules

2960.0040 STATEMENT OF INTENDED USE.

The license holder must submit a statement of intended use as part of the license application. The statement of intended use must, at a minimum, meet the requirements in items A to F:

A.

state the license holder's expertise and qualifications to provide the services noted in the program description;

B.

describe the target population to be served with consideration of at least the following characteristics of the residents: cultural background, gender, age, medically fragile condition, and legal status, including children in need of protection or services petition status, delinquency, and whether the resident is in the facility as a voluntary placement or self-referral;

C.

state the primary needs of residents that the license holder will meet in the licensed facility;

D.

identify those resident services provided within the setting and those services to be provided by programs outside the setting;

E.

state how the license holder will involve the resident's cultural or ethnic community to ensure culturally appropriate care; and

F.

describe the specific extent and limitations of the program, including whether the license holder would use a restrictive procedure with a resident, under what conditions a restrictive procedure would be used, and what type of restrictive procedures a license holder would use if the license holder was certified to use restrictive procedures.

Statutory Authority:

L 1995 c 226 art 3 s 60; MS s 241.021; 245A.03; 245A.09

History:

28 SR 211

Published Electronically:

August 5, 2008