Written approval from the Department is required in order to have which one of the following activities for particular residents?

The need for written approval from the Department regarding participation in activities is particularly relevant for activities like community fundraising events. Such activities often involve various legal, ethical, and operational considerations, especially within a nursing home setting.

Participation in an arts and crafts sale to raise funds for a community charitable organization typically implies a formal event that may need to adhere to specific regulations, potential liability issues, and oversight to ensure the safety and rights of residents are protected. This kind of activity may also reflect on the facility's operational policies and the integration of its residents into community-based programs. Therefore, it is reasonable that the Department mandates written approval to ensure all proper guidelines and safety measures are observed.

The other activities mentioned, such as paid help in the kitchen, light housekeeping tasks, and fitness programs, might be more common practices within nursing homes that may not require the same level of oversight or regulatory review. Those activities are often considered part of the regular functioning of the facility rather than something that involves the same level of external community engagement and potential liability.