WorksheetsSECTION 2: RULE 115 – MEDICAL SERVICES, RIGHTS & SAFETY
Total questions: 31
Worksheet time: 16mins
Who is responsible for ensuring individuals’ medical needs are met?
Guardian only
Direct Support Professional (DSP)
Provider Support Team including QIDP
State legislature
Which of the following is considered a medical need under Rule 115?
Attending social events
Managing insulin for diabetes
Going shopping
Learning hobbies
Nursing services in a CILA are:
Optional for all individuals
Required when an individual has medical needs
Only needed for children
Provided by the guardian
Behavioral needs are addressed through:
individualized interventions and support plans
strict disciplinary measures
isolation from peers
ignoring the behavior
Mental health needs must be:
Ignored in CILA settings
Assessed and supported as part of the Individual’s plan
Only addressed in emergencies
Managed solely by guardians
A Behavior Support Plan must include:
Personal goals unrelated to behavior
Quantifiable strategies and interventions
Financial management
Staff payroll information
Who may complete a Behavior Support Plan?
DSP
QIDP or Licensed Behavioral Analyst
Family member only
BALC inspector
All injuries or incidents must be reported to:
The media
Department of Human Services / Division of Developmental Disabilities
How often must health assessments be reviewed?
Monthly
Quarterly
As needed and at least annually
Only at intake
Who must be trained in handling medical emergencies?
Only the nurse
All DSPs
Only the QIDP
Volunteers only
Rights under Rule 115 include:
Right to participate in person-centered planning
Right to choose providers
Right to confidentiality and safety
All of the above
How should a provider respond if an individual’s rights are violated?
Ignore it
Report and document according to Rule 115
Only tell the guardian
Wait for survey
Which of the following is a required element of safety planning?
Fire drills
Emergency evacuation plans
Abuse prevention strategies
All of the above
Who must know the emergency plan?
Only management
DSPs, QIDP, and individuals as appropriate
BALC only
Volunteers only
Medical consents must be:
Obtained from the guardian or legally authorized representative
Ignored if individual refuses
Signed by staff
Only needed for children
What is the purpose of the Individual Service Plan (ISP)?
Document financial information
Outline health, behavioral, and social supports
Manage staff scheduling
Track Medicaid billing
Risk management in a CILA includes:
Monitoring safety hazards
Reporting incidents
Implementing interventions
All of the above
Restraints may be used:
Freely as needed
Only as an emergency intervention per ISP/BIP and Rule 115
To control behavior
For convenience of staff
Medications must be:
Administered according to physician orders
Stored securely
Documented properly
All of the above
How often must medication administration be reviewed?
Never
Weekly
Monthly
Annually
Who can administer medications in a CILA?
Only a licensed nurse or trained staff as per policy
Any DSP
Family only
Volunteer staff
Individuals have the right to:
Privacy
Dignity
Refuse services where legally allowed
All of the above
Abuse, neglect, or exploitation must be reported to:
Internal management only
The state hotline and DHS
Local media
No one if minor
How often must safety drills occur in a CILA?
Once per year
At least quarterly
Never
Every 10 years
25. A required documentation for safety and rights compliance is:
Incident report
Attendance sheet
Meeting agenda
Budget proposal
The QIDP is responsible for:
Ensuring health, safety, and behavioral plans are implemented
Conducting financial audits
Hiring all staff
Cleaning the facility
Rule 115 requires that each individual have:
A. A personalized emergency plan
B. Generic service plans
C. Only financial oversight
D. A group activity plan
Staff must receive training on:
Person-centered planning
Behavioral interventions
Safety procedures
All of the above
Individuals have the right to participate in:
A. Decision-making about their services
B. Planning daily routines
Selecting staff when appropriate
C. Selecting staff when appropriate
D. All of the above
In a BALC interview, if asked how you ensure safety in your CILA, the BEST answer is:
We rely on staff judgment.
We follow Rule 115, including safety plans, incident reporting, training, and person-centered practices.
We only respond if something happens.
Safety is not our top priority.
