Resident Handbook

Welcome!

Thank you for selecting Intrepid Holistic Health Services LLC Recovery Residence as your home for healing. We realize you have other choices of places for recovery and are grateful for the confidence you have shown by selecting us. We will provide you with the highest quality service and a safe and loving sober environment as you begin your journey to discovery and recovery

We want to make certain our residents feel welcome. Our friendly atmosphere is conducive to making our residents feel as stress free as possible. Intrepid Holistic Health Services LLC is truly a safe haven in which our residents will flourish in a recovery setting. It is our goal to have you leave Intrepid Holistic Health Services LLC with the self-esteem necessary to stay sober over the long term. The success or failure of your sober living program is ultimately up to you; no one can help you with your addiction if you won't help yourself. Yes, it's a challenging proposition, but successful sober living is worth the struggle. Together we can achieve real recovery results that will help you find freedom from your active addiction, restore broken families, and revitalize any lost dreams.

Mission and Vision Statement

Our mission is to provide a comfortable, stable and safe place for people recovering from drug and alcohol addiction to develop the tools required to live a full, meaningful life free from the burdens of addiction.

 

CONFIDENTIALITY POLICY AND PROCEDURE

 

Policy: It is the policy of Intrepid Holistic Health Services LLC to always maintain the privacy of residents. All residents are covered by the Federal Law of Confidentiality as stated in (42 CFR Part 2).

 

Procedure:

• Keeping all resident records secure, with access limited to authorized staff only
• Compliance of all applicable confidentiality laws to include the Federal Law of Confidentiality as stated in (42 CFR Part 2), and the Health Insurance Portability and Accountability Act (HIPAA)
• Intrepid Holistic Health Services LLC will not disclose any information to anyone unless the following conditions exist:
  • Resident consents in writing to the disclosure and determine what is to be disclosed;
  • The disclosure is ordered by subpoena and court order;
  • The disclosure is made to medical personnel qualified personnel for research, audit, or program evaluation.
• It is a crime for either or both the Recovery Residence and the resident to divulge information. All information discussed or revealed in a group, who attends the group and what is spoken in a group is covered by this law.
• Federal Law does not protect information on the following (these will be reported):
  • Information about a crime committed by a resident at the Recovery Residence or against any staff member, or other residents;
  • Threats of crime or violence; and
  • Information concerning suspected child/elder abuse or neglect.
• The release of information may be signed by the resident only if the form is complete.

Confidentiality

I have been advised that as a resident of Intrepid Holistic Health Services LLC. I am protected under Federal laws of confidentiality, which means that the program may not disclose any information without my Intrepid Holistic Health Services LLC Recovery Residence written consent. I further understand that Intrepid Holistic Health Services LLC is required to disclose to state authorities any information if the following conditions exists:

Information about a crime committed by me or another resident of the program or against any staff member. Threats to commit a crime or an act of violence. Information concerning actual or suspected child abuse or neglect.

Program Format

For residents to progress through each phase the following requirements must be met, at minimum:

 

Phase 1: Residents must attend 6 clinical days of IOP per week or be enrolled in a daily PHP program. Residents will be on restriction for the first seventy-two (72) hours. Residents will be on a 11:00PM curfew everyday (House meeting and GI cleaning Sunday at 7:00PM Residents are actively looking to obtain a job and start paying rent. Residents are expected to attend daily van meetings. Residents are expected to be looking for a sponsor and a home group. Residents are expected to be keeping up with chores and overall house cleanliness. Residents are unable to have a car on property at this phase.

 

Phase 2: Residents have a sponsor and must be actively working a program of recovery. Residents must be attending clinical programming six (6) days per week for IOP and seven (7) per week for PHP. Residents must pay rent and work or be actively looking to obtain employment. Residents will have an 11:00PM curfew every day and attend the house meeting and GI cleaning Sunday at 7:00PM. Residents are required to attend a minimum of five (5) support group meetings per week.

 

Phase 3: Residents have been employed for over one month and are consistently paying rent. Residents are actively working on their program of recovery. Resident must attend all required clinical programming. Residents have consistently met the requirements of previous phases. Residents will have an 11:00PM curfew every day and attend the house meeting and GI cleaning Sunday at 7:00PM. Residents are able to request an Overnight pass with staff approval.

 

Phase 4: Ongoing employment and commitment to remaining sober (after 60 days Resident has consistently met requirements of previous phases. Resident must attend all required clinical programming. Resident is expected to be a Peer leader amongst the community, staff will confer with peer leaders with any issues or changes within the household. Resident is getting ready financially to transition into a more independent living situation.

 

 As residents advance through the different phases, privileges may be earned. Once residents advance to Phase 3, overnight passes and extended curfew may be earned. Each overnight passes and extended curfew are evaluated on a case by case basis by Intrepid Holistic Health Services LLC Staff.

 

Resident's responsibilities increase with their length of stay. As residents progress through the different phases their responsibilities increase, for example for residents to progress to Phase 2 they must have a sponsor, must be actively working on the steps, and must attend a minimum of 5 meetings per week.

 

Residents who successfully complete treatment, regularly attend meetings, maintain sobriety, obtain stable employment, develop the independent living skills and money management skills necessary for independent living successfully complete the program established at Intrepid Holistic Health Services LLC.

Intrepid Holistic Health Services LLC House Rules

 

I understand that the residence is a sober living facility and agree to abide by the following rules. The following house rules were created to help the residence run smoothly, and to promote a cooperative and recovery supportive environment. I understand that violating any of the following rules may result in eviction from the residence.

• Inappropriate Behavior. Residents shall not instigate or engage in disruptive, abusive, threatening, violent or disrespectful behavior towards other residents and/or Intrepid Holistic Health Services LLC. (“Company”) team members.

• Inappropriate Relationships. Residents shall not engage in romantic or sexual activity while on Company property and shall not maintain any romantic or sexual relationships with any Company team member while residing at the residence.

• Entering Other Units. Residents are not to enter any unit on the property where they do not reside without accompaniment by a Company staff member.

• Drugs and Alcohol. Residents are not to possess or be under the influence of or alcohol or illicit drugs on or off property at any time.

• Clinical Support. All Residents are required to attend a minimum of 30 hours per week of clinical support.

• Searches. Possession of any illicit/non-prescribed substances or paraphernalia is
prohibited. Residents and their property are subject to search if Company team members suspect that the Resident is in possession of any illicit/non-prescribed substances or paraphernalia. Resident rooms are subject to random searches.

• Valuables. Residents are responsible for their own valuables. This includes, but is not limited to, cash, jewelry, electronics, and other personal items. Residents shall not use any other Resident’s personal items without permission. Residents should mark personal belongings.

• Curfew. The curfew on Sunday is 7pm. The curfew Monday through Saturday is 11pm. Exceptions may be granted at the discretion of a Company manager. Residents shall be drug tested randomly and breathalyzed every night upon return to the residence. Drug tests may be sent to the laboratory for confirmation at the resident’s expense.

• Visitors. Visitors are allowed during times when a Company staff member is present on the property if approved by a Company manager. All visitors must sign a confidentiality agreement upon arrival at the property. No visitors are allowed in any Resident’s room. Visitors may not bring pets to the residence. Overnight guests are prohibited.

• Smoking. SMOKING, INCLUDING OPERATING AN ELECTRONIC SMOKING
DEVICE AND VAPING, IS PROHIBITED ANYWHERE IN THE RESIDENCE
EXCEPT IN THE DESIGNATED OUTDOOR SMOKING AREAS.. RESIDENTS

UNDER THE AGE OF 21 ARE NOT PERMITTED TO SMOKE, USE ELECTRONIC
CIGARETTES, OR VAPE. RESIDENTS 21 AND OVER ARE NOT PERMITTED TO
SELL, GIVE, OR IN ANY WAY FURNISH TO ANOTHER PERSON WHO IS UNDER
THE AGE OF 21 ANY TOBACCO, CIGARETTE, E-CIGARETTE, OR OTHER
INSTRUMENT THAT IS DESIGNED FOR THE SMOKING OR INGESTION OF
TOBACCO, TOBACCO PRODUCTS OR PRODUCTS PREPARED FROM TOBACCO.

• Gambling & Pornography. Gambling and pornography, in any form, are not permitted at the residence. This prohibition of gambling and pornography includes, but is not limited to, viewing prohibited websites, chat rooms, online dating services, or visiting casinos and/or strip clubs of any kind.

• Dress Code. Residents may not show excessive skin at any time. Undergarments should remain hidden for men and women alike.

• Chores. All Residents shall help to keep the house clean and in order. Residents are
expected to keep their rooms organized and beds made. Residents shall contribute to the overall cleanliness of shared spaces.

• Kitchen. Residents must clean up after themselves immediately following use of the
kitchen. No dishes, utensils, pots or pans shall be left in the sink, countertop, or drying racks.

• Meals. Some meals and food items are provided by Company, however, Residents may choose to purchase their own food items. Residents shall only eat, or drink food items provided by Company or that they have purchased themselves and shall not eat or drink other Residents’ items.

• Personal Hygiene. Residents are responsible for supplying their own personal hygiene items, such as toothbrushes, toothpaste, shampoo, razors, and shave cream. Company will supply necessary house items, such as laundry detergent, dish soap, toilet paper, towels, and the like.

• Laundry. Residents shall not leave their laundry in the washer or dryer. Clothes may be taken out by anybody waiting to use one of the machines and placed wet or unfolded on the table. Please be mindful of the laundry schedule provided by Company staff.

• Sleeping Late. Residents shall not remain in bed past 8am Monday through Friday

• Daytime Occupation. Residents are not to be on property without a Company staff member present. Company staff will not be present on the property during the hours of 9am to 12pm Monday through Saturday.

• Bedroom Doors. Bedroom doors must always remain unlocked while Residents are inside.

• Utilities and Repairs. Residents shall turn lights, fans, and air conditioners off when not being used. All thermostats are programmed and should not be changed without permission from Company staff. If Resident notices anything that needs minor repair, Resident shall inform Company staff immediately.

 

• Locks at Premises. If Resident is the last person to leave the residence, Resident shall lock all doors and windows. Bedroom windows are not to be opened or unlocked. If Resident’s bedroom window is found in an un-locked position, Resident may be evicted.

• Mail. Residents shall put incoming mail on the kitchen table or the designated spot for the residence. Mail will not be saved if Resident is evicted or chooses to leave. Mail will not be forwarded. Mail will be marked “Not at this address” and returned.

• Weapons. The residence is a weapon-free premise and strictly prohibits the possession and/or use of guns, knives, or any other dangerous weapons on the property. Violation of this rule will result in immediate eviction.

• No Racial Slurs or Prejudice. In accordance with state and federal law, Company does not discriminate based upon race, color, religion, sex, national origin, age, disability, sexual orientation, or HIV status. Resident agrees to these principles and acknowledges that Resident may be living in the same residence as a member of a protected group outlined above. It is the policy of Company that any Resident who feels that he/she is being discriminated against and wishes to submit a complaint may do so by written complaint to any member of the treatment staff. This complaint will be brought to the attention of the executive management for prompt review and determination.

• Neighborhood. All Residents are responsible for ensuring anonymity and friendliness
within the neighborhood. In keeping with our Good Neighbor Policy, all neighbors are to be treated with the utmost respect. Residents shall not park in front of neighbor’s houses. Residents and guests shall not congregate or hang out on the street, sidewalk, cars or the front of the residence. Residents should not deposit trash or cigarette butts in the streets or neighbors’ properties and should pick up any trash they happen to see. Residents and guests must respect the speed limit, always drive carefully, and be on the lookout for small children. Residents shall keep their car radio at a level so that it cannot be heard outside of the car while in the neighborhood.

• Parking. Residents that own a vehicle must only park in the parking lot behind the
residence. The parking lot in front of the residence is for use by Company staff and
Company vehicles only.

• Fellowship Support. All Residents must participate in a fellowship-based support program.

• Ingress and Egress. Residents are required to sign in and out at the tech office when leaving and returning to property.

Consequences

Consequences will be given when house rules are broken based on the nature and severity of the infraction, as well as the residents' prior history of violations. Possible consequences include:

• Early Curfew
• Property Restriction
• Additional Meeting Requirements
• Apartment Change
• Phase Change
• Administrative Discharge

Good Neighbor Policy

 

Policy: It is the policy of Intrepid Holistic Health Services LLC to make sure the residence is compatible and compliant with all neighborhood rules. Intrepid Holistic Health Services LLC will be responsive to neighbor complaints and concerns.

 

Procedure:

There are no external indications that the property is anything other than a single-family household typical of its neighborhood.

The property and its structures are consistently maintained. Residence provides neighbors upon request with the contact information of the person responsible for managing the Recovery Residence.

Intrepid Holistic Health Services LLC Administrator (John Nash Pakel) is required to respond to neighbor's concerns. Residents will provide concerned neighbors with CRRA's contact information instead of attempting to resolve issue/concern on their own.

New resident orientation includes how residents and staff are to greet and interact cordially with neighbors. Residents will be provided with a "tips" and rules on how to be cordial with neighbors.

 

Policy:

It is the policy of Intrepid Holistic Health Services LLC to implement courtesy rules on the Recovery Residence.

 

Procedure:

Rules that are responsive to neighbor's reasonable requests, including but not limited to:

• Smoking
• Loitering
• Parking Noise
• Lewd of Offensive Language
• Cleanliness or Public Space Around the Property
• Parking Rules when Parking is Scarce

 

Good Neighbor Tips and Rules

 

Common Courtesy Rules:

Say "Good Morning!", "Good Afternoon!", and/or "Good Night" when you see a neighbor around. Being courteous and extending a simple "Hello" goes a long way.

Minimize Disruptions:

Some common complaints regarding Recovery Residences include traffic, noise, trash, and groups of residents standing outside smoking. Keep the noise down, avoid smoking in inappropriate places, and park in the permitted places.

Maintain the Home:

Be sure the home is well maintained; mow the lawn and avoid clutter outside/in the yard. The recovery residence shouldn't look noticeably different than any other home in the street.

Act Like a Good Neighbor:

It is encouraged that the staff and residents of a Recovery Residence to participate in the neighborhood as any other neighbor would. Offer to help elderly neighbors move their garbage cans, etc.

Become Active in the Community:

Participate in neighborhood association meetings, join the neighborhood watch, and get involved in local projects when possible.

Good Neighbor Rules:

• No loitering
• No smoking outside in groups
• No disposing of cigarette buds on grass or surrounding area of the property
• No loud music
• Be mindful of language used when outside- no lewd or offensive language
• Maintain space around the residence clean and organized
• Park ONLY in spaces designated for residence

 

Neighbor Concerns

Residents will provide concerned neighbors with CRRA's contact information instead of attempting to resolve issue/concern on their own.

Hazardous Item Search Policy

Policy:

It is the policy of Intrepid Holistic Health Services LLC to conduct a search on all new residents on the move in day. Personal belongings will also be searched.

 

Procedure:

All new resident belongings will be searched on move-in date (during intake)

Residents will also be searched at random and when probable cause is given

• CRRA or other staff will conduct searches utilizing gloves and in front of residents.
• Residents privacy will be respected- hazardous items search will be conducted in a manner where privacy if residents is honored
• Hazardous items include, but are not limited to: illicit drugs, alcohol, pocket knives, Swiss army knives, BB guns, crossbows, axes, guns, brass knuckles, pepper spray, sharp objects, and any other object that may be deemed as a weapon or "hazardous item" by recovery residence staff

Medication Storage and Handling Policy

 

Policy: It is the policy of Intrepid Holistic Health Services LLC to store medication (to include over the counter medications and vitamins) in a safe and secure manner.

 

Procedure:

• Medications (including over the counter medications) are stored in Recovery Residence in locked room.
• All medications are stored under the necessary conditions to ensure they remain stable, safe and accessible during resident medication times.
• Only those employees designated to observe medication are authorized to have access to the locked medication storage area.
• Staff will observe residents during the self-administration of medication(s) process. All medication self-administration is documented in Kipu.
• All expired, damaged, and/or contaminated medications are segregated until they are removed from the organization and returned to the pharmacy service provider for proper disposal.
• Medications that are easy to confuse (for example, sound-alike and look-alike medications) are to be segregated and not stored in a manner that poses a potential hazard.
• All medication storage areas are periodically inspected on a minimum of a monthly basis in order to make sure medications are stored and handled properly.
• During the intake process/upon admission medication inventory will be conducted. A record of resident observed medications shall be kept in the resident record in the form of a medication log
• All medications stored in residence must be prescribed by qualified professionals (Medical Doctor, Physician's Assistant, and/or Nurse Practitioner
• Residents will agree to have Intrepid Holistic Health Services LLC store medication and observe self-administration of prescribed medications.
• Residents will agree to notify staff if there has been a change in prescribed medications.

See "Consent for Intrepid Holistic Health Services LLC to Store Medications"

• Prohibited medications include ALL controlled substances (e.g. narcotics, benzodiazepines) as well as OTC medications with high risk of abuse (Nyquil, Dextromethorphan, pseudoephedrine, CCC, etc that are not prescribed by a licensed practitioner under the employ of Intrepid Holistic Health Services LLC.

 

CONSENT FOR INTREPID HOLISTIC HEALTH SERVICES LLC TO STORE MEDICATIONS

 

Policy:

Intrepid Holistic Health Services LLC will conduct weekly drug and alcohol testing on all residents. Random drug tests will also be conducted.

 

Procedure:

• The drug tests will be conducted at random. As well as upon suspicion of drug and/or alcohol use
• A drug testing consent will be signed by residents during the new resident orientation.
• Residents will be drug tested a maximum of 3 times a week.
• Fee for drug screens is included in the cost of the rent.
• Drug tests may be sent to the laboratory for confirmation at the resident's expense.
• Staff of the same sex as the resident will observe drug screening with a 12 or 14-panel
• Breathalyzer will be conducted daily. Clients will be given a new tip each time they breathalyze. Client and staff will both be present.
• Clients will have the longer of 2 hours or 11 pm on the day the sample was requested to submit to testing before the test is considered refused

Drug Testing Consent

 

I understand that abstinence from alcohol and drugs is a requirement of the program and agree to submit to any requests for urinalysis. I understand that positive urinalysis testing may result in my termination from the program. I understand that this procedure and the results are confidential and covered under Federal laws of confidentiality. I understand that Drug tests may be sent to the laboratory for confirmation at my expense I have the right at my own expense to complete a drug test at a local laboratory of my choice. Refusal to submit to drug testing will be treated as a positive result

DISCHARGE CRITERIA/ REOCCURRENCE OF USE POLICY

 

Policy:

It is the policy of Intrepid Holistic Health Services LLC to have established discharge criteria and educate all residents on criteria. Residents who have a reoccurrence of use will not be permitted to stay on the property.

 

Procedure:

Discharge (Eviction) Criteria include:

Inability to remain abstinent (reoccurrence of use)

Recurrent use of drugs and/or alcohol is grounds for eviction from residence Individuals may be allowed to re-enter residence on a case-by-case basis, only if contract to abstain from drugs and/or alcohol use is signed. Refusal to participate in self-help groups All residents are required to participate in self-help groups of their choice (NA, AA, etc Non-compliance can lead to discharge. Individual will be referred to appropriate setting for care based on needs. Inappropriate behavior placing self or others in danger Discharge due to inappropriate behavior is evaluated on a case-by-case basis. Residents placing self or others on danger will be evaluated and transferred to appropriate setting for care Non-compliance with program rules Discharge due to non-compliance with rules is evaluated on a case-by-case basis. Residents refusing to follow program rules will be asked to sign a contract agreeing to stop negative behaviors. Inability to abide by and follow resident agreement

 

Discharge (Eviction) Procedure

When a resident is discharged from Intrepid Holistic Health Services LLC, they are offered assistance in finding a new residence or making appropriate moving arrangements. If resident refuses assistance, they have 1 hour to pack their belongings and leave the property. Residents will be dropped off at the closest safe place. (Hospital, Police station) Emergency contact will be notified with resident's permission Non-narcotic medications will be returned to resident, controlled substances will be destroyed in accordance with medication storage and handling policy. Any belongings left behind will be kept for 10 days, after 10 days they will be donated or disposed of. There are no refunds

EMERGENCY PLAN POLICY

Policy:

• It is the policy of Intrepid Holistic Health Services LLC to have an emergency plan for residentsand staff to implement should an emergency occur.
• Should a life-threatening emergency occur, (e.g. fire, burglary, medical emergency) residentsshould FIRST CONTACT 911. After 911 is contacted residents should contact the CRRA.

 

John Nash

CRRA 516-512-2481

j.nash@apexwellness.com

Procedure:

• Emergency numbers are posted in area visible to all residents
• Evacuation maps are posted in area visible to all residents
• Emergency contact information of all residents to orient them to emergency procedureswhen necessary
• Evacuation of Premises:
• Residents are to follow evacuation route
• Once building is evacuated, residents are to notify 911 and once it is safe to do so notify CRRA John Nash Pakel

 

NATURAL DISASTERS

• Disasters include hurricanes, fires, tornadoes, severe weather storms and other weather-related conditions, epidemics, nuclear power plant accident, and acts of bio-terrorism, civil disturbances and severe power outages.
• The following plan will primarily address preparedness relative to hurricanes and severe weather conditions. This plan will be used as the basis for dealing with other types of disaster conditions and will be modified accordingly. Hurricane season is from June to November and weather conditions will be closely monitored during this time to watch for the development of tropical storms and hurricanes that may threaten our geographic area.

Disaster Plan of Activities:

• The following plan will outline activities that are to be engaged in before, during and after the disaster.

 

Before the Disaster

Preparations before the disaster involve activities far in advance of any threat. Disaster response activities will be outlined in accordance with the immediacy of the threat. Preparatory activities are subdivided into:

• Pre-watch (as the storm develops) activities;
• Hurricane watch activities;
• Hurricane warning activities.

Pre-Watch Activities

• Staff will monitor the storm's activity through media coverage and keep residents abreast of any developments as they occur.
• Staff will gather supplies: water, food, safety and emergency medical items. These supplies will be stored separately from others to prevent use. Staff will check shelf dates throughout and replace any outdated items.
• Residents will be informed of the significance of monitoring the path and development of tropical storms, giving staff sufficient time to prepare adequately, review and/or revise plans, and time to notify all concerned individuals.
• In the event of a Hurricane or severe weather conditions affected residents and staff will need to evacuate. Staff will instruct residents if they are under evacuation orders

 

Storm watch activities

Storm Watch Activities follow notification through the media that a storm may be headed in our general direction and we may be affected by it. This is the period of alert when most people begin preparations and secure supplies. Since the Recovery Residence has implemented pre- watch preparations, watch activities involve only:

 

Re-Check

Staff will keep these supplies stocked throughout the year but will recheck and replenished as soon as hurricane season is announced. Staff will maintain supplies sufficient for two (2) weeks for each resident and staff. Staff will:

• Check Hurricane supplies;
• Check designed facilities to make sure there is a working generator to maintain minimal food storage areas as well as general supplies for the generator;
• Check water and food supplies, flashlights and extra battery supply.
• Check first aid kits, supply of over-the-counter medications, and supply of resident medications (where appropriate)

 

Planning for Resident's Needs

• Residents will be informed and included in the preparations as soon as notification of an impending storm/emergency is received. This will be tailored to each of the facilities and progerams.
• Appropriate staff will assess each resident to determine any special needs that can be planned for in advance, and to determine those individuals who will be most at risk in an emergency situation. This assessment should include (but not be limited to) medical, emotional, behavioral, and physical needs, and will consider what residents will be most affected by change in location, schedules and routines, lack of air conditioning, change in meals, and absence of work program.
• The staff will, at this time, determine who will evacuate to a site different than that designated for all residents. Availability, appropriateness, preparedness, clinical consideration and most importantly resident and family choices will determine if a resident will go to their families, guardian's or friend's home instead of evacuation site designated for residents.

Warning Stage Activities

Once the hurricane-warning period is announced, we can expect that the hurricane will make landfall within forty-eight (48) hours. The media will begin announcing the numbers to call to secure emergency shelter and for other information. During the Hurricane Warning Phase:

• Staff will prepare the physical plan
• Staff will Implement evacuation plan - (recommended items to be taken to a shelter are work gloves, leisure items, books, magazines, games, arts and crafts, sports equipment, hand held video games, tapes and radio and extra batteries

 

During the Emergency

Once staff and residents arrive to the evacuation site, staff responsibilities will consist of assisting residents to settle in and become comfortable, unloading and organizing supplies (designate areas for medication safe keeping and dispensation, inter-staff communication (where portable phone is to be kept), an area for water and food supplies, an area for house wares and housekeeping supplies, and an area for laundry and disposables, i.e., garbage Staff will engage residents in as many activities as possible. Staff in charge will ensure that everyone stays indoors, and away from windows.

 

After the Emergency

Staff will stay tuned to radio or TV stations until they hear the official "all clear". Before going outside make sure you have on sturdy shoes to help avoid cuts from debris, fall etc. Stay away from downed power lines. Do not use tap water. Assume a "Boil water order" is in effect until you are informed otherwise. Drive only where necessary. Staff will maintain residents at evacuation site until it is determined that facility/home is safe to move back into. Each facility should not only be structurally sound, but also have electricity and running water. If unable to move back, stay at the evacuation site and await instructions. If at a Red Cross Shelter, staff will utilize previously identified relocation options, i.e. hotels or motels, family member homes, etc.

 

Returning to the Residence

No residents will be permitted to return to the residence until the CRRA has approved staff and residents to return. Residents who evacuate separately from the community will be required to call the CRRA for permission before they are permitted to return.

During a Power Outage

In the event of the failure of a power outage following actions will be taken immediately.

• The CRRA will be notified immediately for assistance. The CRRA will make every effort to determine the cause of the power outage.
• At that point the CRRA will determine if the agency/residence is a safe environment for residents.

 

During a Flood

In the event of a flood or the failure of the sewer and/or plumbing system, the following actions should be taken:

• Staff will immediately contact the CRRA for assistance
• The CRRA will make every effort to determine the source of the flood
• The CRRA will make every effort to determine the cause of the sewer or plumbing failure and reactivate the system.
• In the event that repairs cannot be made in-house or will require extensive down time of the system the CRRA will determine the best course of action.

 

 

 

Medical Emergencies

 

Policy:

 

It is the Policy of Intrepid Holistic Health Services LLC to assure for proper intervention concerning medical issues in case of an emergency.

Should a life-threatening emergency occur, (e.g. fire, burglary, medical emergency) residents should FIRST CONTACT 911. After 911 is contacted residents should contact CRRA John Nash.

 

Procedure:

Intrepid Holistic Health Services LLC shall describe the manner in which medical emergencies shall be addressed:

Choking, Cardiac Arrest or Respiratory Arrest:

• Get resident comfortable (cushion for head, loosen clothing, etc)
• Assess the resident's needs (check for pulse, breathing, etc )
• If another employee is present, someone needs to call 911.
• If alone, call for help and initiate emergency intervention for one minute.
• If no one arrives and a phone is close, leave the person, call 911 and continue intervention.
• When help arrives, and the situation is stabilized, contact the owner or administrator to report the incident.
• Contact person's emergency contact to report the incident and give details.
• Document in resident's record and incident report.

 

Suicide Ideation / Risk

• Remain with the resident until the resident is stabilized.
• Assess the situation and determine action (911, contact supervisor, etc Document in resident's record and incident report. Contact owner or administrator
• Refer the resident to a local mental health center.
• Contact resident's emergency contact.

 

Non Life-Threatening Emergencies (Fall with injury, broken bone, etc)

• Assess resident visually and check vital signs.
• Stay with the resident.
• If the resident in need of ambulation, contact 911 for transport to medical facility.
• Contact emergency contact.
• Document in resident's record and incident report.
• Contact owner or administrator

 

Seizure Activity (Life Threatening or otherwise)

• Place soft article under the head, loosen clothing, and move things out of the way.
• Remain with the resident and protect from self-injury.
• If possible, turn resident to the side of proper drainage of fluids.
• As resident awakens, assure resident and re-orient resident to surroundings.
• Contact 911 for assistance

Resident Rights

 

All individuals who apply for services, regardless of sex, race, age, color, creed, financial status or national origin are assured that their lawful rights as residents shall be guaranteed and protected. At Intrepid Holistic Health Services LLC you have the right to:

• I consent in writing what is to be released
• I have the right to question services
• Provisions for informing the resident, family member, or authorized guardian of their rights and responsibilities, assisting in the exercise of those rights, and an accessible grievance system for resolution of conflict
• Provisions assuring that a grievance may be filed for any reason with cause;
• The prominent posting informing residents of the grievance system.
• Access to grievance submission forms.
• Be treated with respect and dignity and to be provided humane care and protection from harm.
• Receive communication and correspondence from individuals.
• Practice your religious beliefs.
• Contract with and consult with legal counsel and private practitioners of your choice and at your expense.
• Exercise constitutional, statutory and civil rights, including the right to personal clothing and other personal possessions
• Be free of physical restraint or seclusion.
• I have the right to be given copies of all financial records.
• Confidentiality of being in a Recovery Residence; right to have your resident records kept confidential. The Federal Rules restricts any use of information to criminally investigate or prosecute any alcohol or drug abuse resident. Federal regulations state any person who violates any provision of the law shall be fined not more the $500.00 in the case of the first offense and not more than $5,000.00 in the case of each subsequent offense, except where noted in the Federal Law of Confidentiality, 42 CFR, Part 2, Section 2.22, which includes the following reasons that confidentiality may be violated:
  • Crimes on program premises or against program personnel,
  • Medical emergencies,
  • Mandated reports of child abuse or neglect or elder abuse or neglect
  • Research, audit and evaluations, or court orders,
  • Resident appears to be a danger to self or others
  • Refuse treatment.
  • Be informed of the resident grievance procedure upon request.

GRIEVANCE POLICY AND PROCEDURES

 

Policy:

It is the policy of Intrepid Holistic Health Services LLC to promote self and peer advocacy among all residents.

 

Procedure:

• Grievance rights, including the right to take unresolved grievances to the operator's oversight organization.
• Identify the responsible person(s) in charge at the Recovery Residence to all residents.
• Post residence and FARR (Florida Association of Recovery Residences) grievance procedure with FARR's contact information in conspicuous areas in each housing unit.

 

Recovery Residence Grievance Policy:

• To register a grievance at Intrepid Holistic Health Services LLC, the following steps will be followed:
• Resident and family members shall be informed of their rights and responsibilities during orientation, have knowledge of the grievance system, be assured that they could filea grievance at any time, and be knowledgeable of where the notice of grievance is located and where the forms are.
• Level 1: Resident is encouraged to discuss any problems with the Certified Recovery Residence Administrator. The resident and administrator will try to find a resolution.
• Level 2: If the resident is not satisfied with the results, the resident will meet with the CRRA and a decision will be made within ten (10) days. The decisions made at this point are considered final and will be submitted to the resident in writing within 24 hours of the resolution made by the CRRA. If the resident is dissatisfied at this point the resident has a right to submit a grievance to FARR.
• FARR Phone Number: 561-299-0405; Website: Farronline.org/grievance

FARR Grievance Policy:

It is the policy of The Florida Association of Recovery Residences (FARR) to ensure Certified Residences and stakeholders grievances are handled respectfully, appropriately, and professionally. The Formal Grievance Procedure should be used to resolve interpersonal conflict between individuals and to report issues with existing FARR policy that a Certified Residence believes should be examined prior to the next scheduled annual policy review meeting. The Formal Grievance Procedure should not be used for retribution or personal/agency gain. The Formal Grievance Procedure includes but is not limited to the investigation, validation, and recommendation of the Ethics Committee as to the standing of the Certified Residence and sanctions and/or disqualification of their certification to the FARR Board, when necessary.

Formal Grievance Procedure

 

Confidentiality of Proceeding

All information, notes, reports, transcripts, and any other documentation of any kind that are generated or received during an ethics investigation, including the ethics committee meetings, and appeal hearings, shall be kept confidential by FARR

The respondent is entitled to a full and complete copy of the following:

• Compliant; (Subject of compliant / grievance; Identity of complainant / grievant will remain confidential);
• Investigative summary;
• Ethics Committee's Recommendations;
• FARR Executive Board Recommendations

The complainant is entitled to a full and complete copy of the following:

• Ethics Committee's Recommendations;
• FARR Executive Board Recommendations.

Oversight and Conflict of Interest 

• In all cases, the Chairman of the FARR Ethics Committee will direct ethics investigations under the supervision of the FARR Executive Director;
• If a member of the Ethics Committee is a party in a grievance or involved in any way, he or she will be excused from the grievance proceedings;
• If a member of the FARR Executive Board is a party in a grievance or involved in any way, he or she will be excused from the grievance proceedings.

Sanctions:

Possible sanctions for the violation of the FARR Code of Ethics or Standards include but are not limited to:

• Written Reprimand: A Written Reprimand with request for Corrective Action and follow-up review; Summary Suspension:
• Summary Suspension with request for Corrective Action and follow-up review;
• Revocation;
• Denial of Application for Certification with FARR.
  • The Ethics Committee may consider the applicant's or agency's past history in regards to ethical sanctions and disciplinary actions when determining the appropriate sanctions for the current ethics case.
  • A third offense, confirmed by the Ethics Committee, in a two-year period will automatically result in an immediate summary suspension and sanctions shall include a suspension or revocation of Certification.

 

The Formal Grievance Process

It's important to follow the grievance or complaint procedures carefully and to document all pertinent facts, dates and information when filing a report or claim.

 

Step 1: Filing A Formal Grievance should be filed within 30 days of when the complainant became aware or suspected the violation of ethics or standards. The Formal Grievance should be documented on the FARR Formal Grievance Form; Verbal grievances will not be acted upon.

Step 2: Submission The FARR Formal Grievance Form should be submitted to the Executive Director of FARR, or if a perceived conflict exists, to the Chairman of the FARR Ethics Committee;

Step 3: Notification of Receipt Grievant should be notified by email or telephone within 3 business days of the Executive Director's receipt of the grievance. The Executive Director of FARR forwards a copy of the Grievance to the Chairman of the FARR Ethics Committee for review and discussion;

Step 4: Investigation Within 30 days of receipt of the written compliant, the FARR Ethics Committee will complete an objective investigation of the matter and record the findings in writing; An extension of no more than 30 days may be granted for investigations that take longer than the initial 30 day timeframe. No member of the Ethics Committee or Executive Committee shall intentionally try to stall, prolong, or delay proceedings. The complainant grievant and / or respondent may be requested to appear separately in front of the Ethics Committee. Written notice of the time and date will be sent to the grievant at least 10 days prior to the hearing.

Step 5: Presentation to the Board FARR Ethics Committee presents to the FARR Executive Committee at the next scheduled meeting. The presentation shall include the compliant / grievance; investigation summary including an objective account of everything that transpired to result in the grievance and as well as anything that have occurred as a result of the grievance, and the recommended action to be taken;

Step 6: Board Decision / Recommendations

• FARR Board of Directors will discuss and make a formal recommendation for vote at the next general meeting. A report of the findings, voting results, and corrective actions to be taken will be provided to the grievant via email within 14 business days after the general meeting. The proceedings will be recorded in general meeting minutes to keep official record; The above Grievance Policy, procedure, and process can be found at: http://farronline.org/standards-ethics/ethics/grievance-policy/ To file a Grievance please visit: http://farronline.org/standards-ethics/ethics/file-a-grievance-2/

Policy:

 

It is the policy of Intrepid Holistic Health Services LLC to ensure that all maintenance issues are reported through the proper channels for timely attention.

 

Procedure:

 

In the event of a maintenance emergency or need the following should occur:

• Contact Administrator (CRRA) to alert of the need for immediate maintenance
• CRRA will conduct initial response immediately.

In the event of a maintenance non-emergency the following should occur:

• Contact the CRRA directly who will then contact the appropriate party.
• An initial response will be expected within 48 hours of the report to evaluate the situation which will either be resolved during this contact or in a reasonable timeframe.
• Measures will be taken to provide a safe environment as applicable during the interim period while awaiting resolution.

Resident Agreement

 

As a Resident of Intrepid Holistic Health Services LLC Recovery Residence I agree to the following:

• Weekly Rate is $100.00 (Rent is paid on a weekly basis)
• Rent can be paid for biweekly upon request, therefore Resident agrees to pay $200.00 biweekly (every two weeks)
• Rent is due by Sunday during house meeting
• If you fail to pay rent when it's due, past due balance will be expected the following week; early curfew will take place until rent is paid in full or repayment arrangements have been made in good faith
• We ask for a three-month commitment to ensure the stability of the house and the sincere desire to live a life of recovery. We also require a two week notice of departure date.
• In the event that a resident discharges with a positive balance due to advance payments, refunds are made within 10 business days of receipt of written request of the party who made the payment.
• The weekly rental period is from Sunday to Saturday. If you leave anytime during the week there will be no refunds. (i.e. If you pay on Sunday and leave on Monday, you will not be refunded for the remainder of the week.
• Community Housing Bundled Services: Florida law governing Day or Night Treatment with Community Housing requires Intrepid Holistic Health Services LLC to provide clients in this level of care with housing and meals as part of the required scope of services under this licensed component. As such, Intrepid Holistic Health Services LLC does SO. The charge for rent to the patient is included in the fee for service for Day or Night Treatment with Community Housing, but is equivalent to $100 per week. To the extent a client's insurance provider does not cover ANY cost of services provided by Intrepid Holistic Health Services LLC (including cost of housing and meals in this level of care) (or if a client does not have insurance) the client will remain financially liable for said costs.

This section is for the staff member to complete.