CMS SOM App. J, Tag W268

Guidance §483.450(a)(1)(i)

Consistent with facility policies, staff is observed to be engaged in activities which promote the

client's growth, development and independence.

1) IPPs and data support the fact that from the time of admission, clients are learning

new adaptive and functional skills while becoming more independent.

2) Interactions between clients and staff are consistent and positive.

3) Staff teach and encourage clients to interact with each other in a manner that

promotes social integration both in the facility and out in the community.

4) All opportunities to teach and reinforce skill acquisition are utilized.

5) Staff identify and remove impediments in the learning environment (e.g. client is

unable to concentrate in a room with a television because when they see the

television, they want to watch their favorite show. Staff must identify this learning

impediment and train in an environment without a television).

6) Staff encourage clients to complete tasks with as much independence as possible.

7) Staff encourage clients to take risks while providing reasonable safeguards to prevent

injury.

8) Encourage clients to make choices during their daily activities.