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<chapter num="07" heading="Vocational and Day Services Program Service Plan" title_num="10" subtitle_num="22">
  <regulation prefix="Regulation" num=".01" heading="Additional Regulatory Compliance.">
    <text>In addition to this chapter, a person who provides vocational or day services to an individual shall comply with the following regulations of this subtitle:</text>
    <paragraph num="A.">
      <text>COMAR 10.22.01;</text>
    </paragraph>
    <paragraph num="B.">
      <text>COMAR 10.22.02, except COMAR 10.22.02.07;</text>
    </paragraph>
    <paragraph num="C.">
      <text>COMAR 10.22.03;</text>
    </paragraph>
    <paragraph num="D.">
      <text>COMAR 10.22.04;</text>
    </paragraph>
    <paragraph num="E.">
      <text>COMAR 10.22.05; and</text>
    </paragraph>
    <paragraph num="F.">
      <text>COMAR 10.22.10, when applicable.</text>
    </paragraph>
  </regulation>
  <regulation prefix="Regulation" num=".02" heading="Rationale.">
    <paragraph num="A.">
      <text>Individuals often need assistance to obtain and maintain work in the community. With supports, job skills are learned and behavior appropriate for the workplace is increased. Work in the community provides income, self-esteem, and personal value for the individual.</text>
    </paragraph>
    <paragraph num="B.">
      <text>Individuals seeking to obtain and maintain work in the community are free to choose preferred types of work, to seek change of work when not satisfied, and have their day activities reflect the needs, preferences, and desires stated in their IPs, including the ability to combine day or vocational services with other community activities, such as school or recreation.</text>
    </paragraph>
    <paragraph num="C.">
      <text>A licensee may not limit an individual to specific types of services because of their ages, severity of disability, or level of supports needed to work.</text>
    </paragraph>
    <paragraph num="D.">
      <text>A licensee shall use accommodation, coaching, individual choice, and preferences in matching individuals and employment opportunities.</text>
    </paragraph>
  </regulation>
  <regulation prefix="Regulation" num=".03" heading="Scope.">
    <paragraph num="A.">
      <text>The vocational or day services licensee shall respond to individual needs and preferences in accordance with the IP.</text>
    </paragraph>
    <paragraph num="B.">
      <text>Current program models include:</text>
      <paragraph num="(1)">
        <text>Supported employment;</text>
      </paragraph>
      <paragraph num="(2)">
        <text>Vocational services;</text>
      </paragraph>
      <paragraph num="(3)">
        <text>Day habilitation; and</text>
      </paragraph>
      <paragraph num="(4)">
        <text>Volunteer work.</text>
      </paragraph>
    </paragraph>
    <paragraph num="C.">
      <text>Supported Employment.</text>
      <paragraph num="(1)">
        <text>Supported employment includes:</text>
        <paragraph num="(a)">
          <text>Individuals who are self-employed and need supports, or are working in community businesses for pay with licensee funded supports; or</text>
        </paragraph>
        <paragraph num="(b)">
          <text>Any work program except one in an SRC that includes supports necessary for the individual to achieve the desired outcomes established in the IP.</text>
        </paragraph>
      </paragraph>
      <paragraph num="(2)">
        <text>A licensee shall provide job skill training which includes but is not limited to:</text>
        <paragraph num="(a)">
          <text>Skills required to perform a job;</text>
        </paragraph>
        <paragraph num="(b)">
          <text>Community mobility training;</text>
        </paragraph>
        <paragraph num="(c)">
          <text>Guidance in acceptable job behaviors; and</text>
        </paragraph>
        <paragraph num="(d)">
          <text>Job seeking and interviewing skills.</text>
        </paragraph>
      </paragraph>
      <paragraph num="(3)">
        <text>An individual typically works 20 — 40 hours per week, not including commuting time.</text>
      </paragraph>
    </paragraph>
    <paragraph num="D.">
      <text>Vocational Services.</text>
      <paragraph num="(1)">
        <text>Vocational services include but are not limited to:</text>
        <paragraph num="(a)">
          <text>Vocational assessment activities;</text>
        </paragraph>
        <paragraph num="(b)">
          <text>Job training, work skill training, and placement programs;</text>
        </paragraph>
        <paragraph num="(c)">
          <text>Training in social skills, acceptable work behaviors, and other skills such as money management;</text>
        </paragraph>
        <paragraph num="(d)">
          <text>Basic safety skills;</text>
        </paragraph>
        <paragraph num="(e)">
          <text>Training in work-related hygiene; and</text>
        </paragraph>
        <paragraph num="(f)">
          <text>Work skills.</text>
        </paragraph>
      </paragraph>
      <paragraph num="(2)">
        <text>A vocational services licensee shall provide services at a minimum:</text>
        <paragraph num="(a)">
          <text>220 days per year;</text>
        </paragraph>
        <paragraph num="(b)">
          <text>5 days a week;</text>
        </paragraph>
        <paragraph num="(c)">
          <text>6 hours a day not including commuting time; or</text>
        </paragraph>
        <paragraph num="(d)">
          <text>Consistent with an alternative schedule approved by the Director.</text>
        </paragraph>
      </paragraph>
    </paragraph>
    <paragraph num="E.">
      <text>Day Habilitation.</text>
      <paragraph num="(1)">
        <text>Day habilitation includes individuals participating in structured activities designed to increase or maintain:</text>
        <paragraph num="(a)">
          <text>Motor skills;</text>
        </paragraph>
        <paragraph num="(b)">
          <text>Communication skills;</text>
        </paragraph>
        <paragraph num="(c)">
          <text>Personal hygiene skills;</text>
        </paragraph>
        <paragraph num="(d)">
          <text>Leisure skills; and</text>
        </paragraph>
        <paragraph num="(e)">
          <text>Community integration.</text>
        </paragraph>
      </paragraph>
      <paragraph num="(2)">
        <text>A licensee providing day habilitation shall provide services at a minimum:</text>
        <paragraph num="(a)">
          <text>220 days per year;</text>
        </paragraph>
        <paragraph num="(b)">
          <text>5 days a week;</text>
        </paragraph>
        <paragraph num="(c)">
          <text>6 hours per day not including commuting time; or</text>
        </paragraph>
        <paragraph num="(d)">
          <text>Consistent with an alternative schedule approved by the Director.</text>
        </paragraph>
      </paragraph>
    </paragraph>
    <paragraph num="F.">
      <text>Volunteer Work.</text>
      <paragraph num="(1)">
        <text>Volunteer work enables the individual to gain desired work experience, personal satisfaction, and to contribute to the community.</text>
      </paragraph>
      <paragraph num="(2)">
        <text>The individual and the individual's team shall evaluate, at least annually, the appropriateness and continued desirability of the volunteer placement over paid work activities.</text>
      </paragraph>
    </paragraph>
    <paragraph num="G.">
      <text>Transportation Services.</text>
      <paragraph num="(1)">
        <text>The licensee is responsible for assisting or arranging transportation services with the individual.</text>
      </paragraph>
      <paragraph num="(2)">
        <text>The licensee shall use the mode of transportation which achieves the least costly, and most appropriate, means of transportation for the individual with priority given to the use of public transportation, when appropriate.</text>
      </paragraph>
      <paragraph num="(3)">
        <text>An individual who lives within walking distance of the program or worksite and who is sufficiently mobile shall be encouraged to walk.</text>
      </paragraph>
      <paragraph num="(4)">
        <text>The licensee shall keep accurate records which clearly indicate the transportation that the individual uses to participate in the vocational or day service including an alternative transportation plan if the primary plan is unavailable.</text>
      </paragraph>
    </paragraph>
  </regulation>
  <regulation prefix="Regulation" num=".04" heading="Staffing and Training.">
    <paragraph num="A.">
      <text>Staffing levels shall be determined by the IP with the licensee providing the staff for each individual as indicated in the IP.</text>
    </paragraph>
    <paragraph num="B.">
      <text>The licensee shall ensure that staff receive training in accordance with COMAR 10.22.02.11.</text>
    </paragraph>
  </regulation>
  <regulation prefix="Regulation" num=".05" heading="Setting and Location.">
    <paragraph num="A.">
      <text>Integrated work settings are preferred.</text>
    </paragraph>
    <paragraph num="B.">
      <text>A licensee providing services under this chapter shall make every effort to provide services that are integrated in neighborhoods and communities.</text>
    </paragraph>
  </regulation>
  <annotations>
    <annotation type="Authority">Health-General Article, §§7-903 and 7-904, Annotated Code of Maryland</annotation>
    <annotation type="History" subtype="Administrative History">Effective date: October 20, 1986 (13:21 Md. R. 2321)</annotation>
    <annotation type="History" subtype="Administrative History">Regulations .01 — 07, Fundamental Rights, repealed effective June 27, 1988 (15:13 Md. R. 1554)</annotation>
    <annotation type="History" subtype="Administrative History">Regulations .01 — .07, Fundamental Rights of Individuals, adopted effective June 27, 1988 (15:13 Md. R. 1554)</annotation>
    <annotation type="History" subtype="Administrative History">Chapter, Fundamental Rights of Individuals, repealed and new chapter, Vocational and Day Services Program Service Plan, adopted effective July 26, 1999 (26:15 Md. R. 1148)</annotation>
  </annotations>
</chapter>