CMS SOM App. J, Tag W143

the process of providing active treatment to a client unless their participation is unobtainable

or inappropriate;

Guidance §483.420(c)(1)

The facility must maintain an on-going effort to communicate with parents, family members

and/or legal guardians regarding the implementation of active treatment programs for the

client. The facility encourages and engages parents, family members and legal guardians in the

continued implementation of active treatment programs even while spending time outside of

the facility setting.

"Unobtainable", for the purposes of this guideline, means that the facility has made a good faith

effort to seek parental or legal guardian participation in the process, even though the effort may

ultimately be unsuccessful (for example, the parent may be impossible to locate or may prove

unwilling or unable to participate).

"Inappropriate", for the purposes of this guideline, means that behavior of the parent or legal

guardian could be disruptive or detrimental to the client’s program outcome. In this case,

determine what the facility has done to bring effective resolution to the problem.