(1)

strip searches;

(2)

witnessing or assisting at internal body searches;

(3)

direct visual supervision of residents during showers or lavatory use; and

(4)

assisting a resident with a personal hygiene activity if assisting the resident with the hygiene activity would require the staff person to view the resident unclothed or to touch the genitals, buttocks, or breasts of the resident.

(1)

supervision of a resident by staff of the same gender is required under item D, subitems (1) to (4);

(2)

when necessary to meet the assessed needs of the resident as determined in part 2960.0070, subpart 5, item B, subitem (2); or

(3)

when necessary to appropriately care for a resident who was a victim of sexual abuse.

The contingency plan must include requirements which ensure that staff will document and tell other staff about the resident's need for supervision by staff of the same gender as the resident. The contingency plan must also require staff to document the actions taken by staff to implement the contingency plan for supervision of the resident by staff of the same gender.

When the requirements of this item are not fully met, the license holder must document the circumstances and reasons the requirements were not met and document what the license holder will do to prevent a recurrence of the failure to fully meet the requirements of this item. The documentation of failure to meet the requirements of this item and the description of what the license holder will do to prevent a recurrence of the failure must be kept on file at the facility for at least two years or until the next licensing renewal inspection, whichever period is longer.

(1)

the program must be operated according to the houseparent model;

(2)

the program must have fewer than 11 residents; and

(3)

the program must have and follow a policy which explains when it will use awake staff to supervise residents at night. The policy must consider the age and condition and known or suspected behavior characteristics of the residents.

(1)

the age of the resident being served;

(2)

the resident's physical and mental health;

(3)

the vulnerability of the resident;

(4)

the resident's capacity for self-preservation in the event of any emergency;

(5)

the degree to which the resident may be a threat to self or others;

(6)

the risk of the resident absconding;

(7)

the gender of the resident;

(8)

the disability of the resident; and

(9)

the number and types of education service programs offered or coordinated for the resident.

(1)

culturally competent care;

(2)

racial bias and racism issues;

(3)

gender issues, including the psychosocial development of boys and girls;

(4)

sexual orientation issues; and

(5)

physical, mental, sensory, and health-related disabilities, bias, and discrimination.