38. The operator must draw up an individualized intervention plan for each resident, including, in particular, 1° the target objectives, the methods to be used in meeting the objectives, and a timeframe for meeting the objectives;
2° details on participation by the resident and, if applicable, by the resident’s immediate circle, in the drafting and revision of the intervention plan;
3° the revision of the intervention plan for a stay that extends beyond 3 months; and
4° the name of the case worker responsible for the intervention plan and, if applicable, the follow-up plan established with community organizations.