Children’s Community Crisis Homes/Enhanced Behavioral Supports Homes

Description

The Department received approval for the Emergency Children’s Community Crisis Homes Regulations and is now undertaking the regular rulemaking process to make the regulations permanent with its Certificate of Compliance. Along with the endeavor to file the Certificate of Compliance for the Children’s Community Crisis Homes regulations, the Department wanted to provide consistency by aligning the regulations for Enhanced Behavioral Supports Homes (EBSH) and including them with this rulemaking.

Affected Regulatory Code Sections

Title 17. Public Health Division 2. Health and Welfare Agency Chapter 3. Community Services Subchapter 23. Community Crisis Homes and Subchapter 24. Enhanced Behavioral Supports Homes Amend Sections 59000, 59001, 59002, 59006, 59007, 59008, 59009, 59010, 59011, 59012, 59022, 59050, 59051, 59052, 59054, 59055, 59056, 59057, 59058, 59059, 59060, 59061, 59062, 59063, 59064, 59065, 59066, 59067, 59068, 59069, 59070, 59071 and 59072.

Adopt new articles 5.5 and 6.5 and new sections 59009.5, 59010.1, 59010.2, 59010.3, 59010.4, and 59010.5 Subchapter 23, Title 17, CCR, for CCH.

Adopt new Articles 5.5 and 6.5 and new Sections 59060.1, 59060.2, 59060.3, 59060.4, and 59060.5, Subchapter 24, Title 17, CCR, for EBSH.

Status

History of Rulemaking Proceeding

Notice Filed with Office of Administrative Law: May 24, 2022

Notice File Number: Z2022-0524-07

Publication Date and Start of 45-Day Open Comment Period: June 3, 2022

Public Hearing Date: July 18, 2022

Last Day of 45-Day Comment Period: July 18, 2022

15-Day Comment Period: August 15, 2022 to August 30, 2022

Final Documents Submitted with the Office of Administration Law: October 17, 2022

Regulatory Action Number: 2022-1017-01C

Withdrawn: November 30, 2022

Second 15-Day Comment Period: April 14, 2023, to April 29, 2023

View Written Comments Received

Final Documents Resubmitted with the Office of Administrative Law: May 30, 2023

Regulatory Action Number: 2023-0530-01CR

Approved by the Office of Administrative Law: July 12, 2023

Filed with the Secretary of State: July 12, 2023

Effective Date: July 12, 2023

Rulemaking Documents

Posted July 12, 2023

Posted May 30, 2023

Form 400

Posted April 14, 2023

Posted December 1, 2022

Posted October 17, 2022

Form 400

Posted August 15, 2022

View Written Comments Received
15-Day Notice
- Attachment 1. 15-Day Modified Text
- Attachment 2. Reference Material (Please note: many of the supporting documents were not generated by DDS and may not be screen reader accessible. Please contact RegulationsMailing@dds.ca.gov if you need these documents in an alternate format.)

Reference Materials (click to view more)

Behavior Support Guidelines – For Support Workers Paid with Developmental Services Funds-Vermont (October 2004). State of Vermont Department of Disabilities, Aging and Independent Living: Division of Disability and Aging Services.

LaVigna, G. & Willis, T. (2002). Counter-intuitive strategies for crisis management within a non-aversive framework, in D. Allen (ED), Ethical approaches to physical interventions. Ch 6, pgs. 89-103, British Institute of Learning Disabilities (BILD) Publishing, Plymouth, United Kingdom.

LaVigna, G. & Willis, T. (2004). Emergency Management Guidelines. Institute for Applied Behavior Analysis, Los Angeles, CA.

LaVigna, G. & Willis, T. (2005). Episodic Severity: An Overlooked Dependent Variable in the Application of Behavior Analysis to Challenging Behavior, Journal of Positive Behavior Interventions, Volume 7, Number 1, pgs. 47-54.

LaVigna, G. & Willis, T. (2012). The efficacy of positive behavioural support with the most challenging behaviour: The evidence and its implications, Journal of Intellectual and Developmental Disability, 37(3), pgs.185-195.

LaVigna, G. & Willis, T. (2016). Opening editorial: Special issue on reactive strategies for situational management, International Journal of Positive Behavioural Support, 6(1), pgs.4-5.

New York Office of Mental Health. (2017). Implementation Guidelines: 14 NYCRR §526.4 Restraint and Seclusion.

Pitonyak, D. & O’Brien, J. (2011). Effective Behavior Support: Values and Beliefs That A Specialist Demonstrates in Action, Version 1.1.

Pitonyak, D. (2005). 10 Things You Can Do to Support A Person With Difficult Behaviors, Version 1.

Pitonyak, D. (2008). Jumping Into the Chaos of Things, Version 25.

Pitonyak, D. (2009). upside down and inside out, Version 21.

Potter, G. (2016). The impact of situational management strategies on episodic severity, International Journal of Positive Behavioural Support, 6(1), 17-23.

Protection and Advocacy Inc. (2002). The Lethal Hazard of Prone Restraint: Positional Asphyxiation. Publication #7081.01. (NOTE: Protection & Advocacy, Inc. changed their name to Disability Rights California in 2008).

Services Alternative Inc. (2012). De-escalate Anyone, Anywhere, Anytime: Unplug the Power Struggle with Principle-Based De-escalation. E-book: Service Alternatives, Inc. Training Institute. Available from: https://rightresponse.org/my/.

Slocum, S. & Vollmer, T. (2015). A Comparison of Positive and Negative Reinforcement for Compliance to Treat Problem Behavior Maintained by Escape. Journal of Applied Behavior Analysis, 4(3), pgs.563-574.

Smull, M. (2000). A Crisis is Not an Excuse, In Hanson, R. Wieseler, N., & Lakin, C. (2000). Impact: Feature Issue on Behavior Support for Crisis and Response, 14(1).

The Pennsylvania Department of Public Welfare, Office of Mental Health and Substance Abuse Services. (2000). Leading the way Toward a Seclusion and Restraint – Free Environment – Pennsylvania’s Seclusion and Restraint Reduction Initiative. Harrisburg, PA: Office of Mental Health and Substance Abuse Services.

VanHouten, R., Axelrod, S., Bailey, J., Favell, J., Foxx, R., Iwata, B., & Lovaas, I. (1988). The right to effective behavioral treatment. Journal of Applied Behavior Analysis, 21, pgs. 381-384.

Vollmer, T., Hagopian, L., Bailey, J., Dorsey, M., Hanley, G., Lennox, D., Riordan, M., & Spreat, S. (2011). The Association for Behavior Analysis International Position Statement on Restraint and Seclusion, The Behavior Analyst, 34, pgs. 103-110.

Posted July 25, 2022

Posted July 8, 2022

Notice of Public Hearing

Posted June 3, 2022

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Last modified: July 13, 2023