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programs as they relate to drug usage, physical restraints, time-out rooms, application of

painful or noxious stimuli, control of inappropriate behavior, protection of client rights and

funds, and any other areas that the committee believes need to be addressed.

Guidance §483.440(f)(3)(iii)

The committee has been made aware of and reviewed:

• facility policies and procedures;

• facility services;

• programs; and

• practices which may restrict or violate the rights of client.

The committee has established and uses a mechanism for monitoring clients' rights issues and

informs the governing body of any issues of concern in a timely manner. This process is at the

discretion of the committee. There is no requirement for periodic review of the policies by the

committee.

The function of the committee is not limited to the review, approval and monitoring of

restrictive behavior management practices. Examples of issues involving client rights that might

be reviewed by the committee, in addition to behavior management, include, but are not

limited to:

1) Research proposals involving clients;

2) Abuse, neglect and mistreatment of clients;

3) Allegations dealing with theft of a client's personal property or funds;

4) Damage to a client's goods or denial of other client rights;

5) Client grievances;

6) Visitation procedures;

7) Guardianship/advocacy issues;

8) Rights training programs;

9) Confidentiality issues;

10) Advance directives/DNR orders;

11) Practices which restrict clients (e.g., locked doors, fenced in yards); and

12) Video monitoring.