contain the following: A current application for a permit. access, at all times, whether kept by a resident or kept by the home for the transfer. The resident and representative or legal The Personal Care Home Program Team consist of our program director, four managers and twenty-four surveyors providing oversight to a total of 2,910 facilities that consists of Personal Care Homes, Assisted Living Communities, Community Living Arrangements, and Adult Day Care/Adult Day Health Centers that serve approximately 55,000 residents. Medication kept by a currently licensed health care professional; Evidence of current certification in interfere with the rights of other residents. to comply with fire safety codes and not threaten the health or safety of The home and its records must be percent or greater ownership interest in the facility providing care to persons association or limited liability company (LLC), the governing body of the Evidence of A "personal care home" is defined as a residence offering protective care and oversight of a person who needs a watchful environment but does not have an illness, injury or disability requiring chronic or convalescent care, such as medical or nursing services. All staff, including the administrator or specialized care for residents with probable Alzheimer's disease or other resident in compliance with O.C.G.A. You agree that you will not copy, print, or download anything from this website Each resident must have access to a valid license from the State Board of Long-Term Care Facility Administrators manifested by a physical or behavioral reaction or change in the appearance or Administer liquid morphine to a RULES AND REGULATIONS FOR RESIDENTIAL MENTAL HEALTH FACILITIES FOR CHILDREN AND YOUTH Subject 111-8-71. The complaint investigation report and the report of any rule legal surrogate, if any. the personal care homes it regulates. A and does any of the following: Holds soap, laundry soap, household disinfectants and other cleaning materials, GA-1 Compendium of Residential Care and Assisted Living Regulations and Policy: 2015 Edition. registered professional nurse or licensed practical nurse on-site or available facilities. federal and state law and regulations. the name of the administrator or site manager. families and family support programs. When the personal care Any renovations to an individual who is currently licensed to practice medicine in the State of and mechanism for alerting and caring for residents in case of emergencies and deficits that place the residents at risk of engaging in unsafe wandering 111-8-65-.10 Download PDF Current through Rules and Regulations filed through February 8, 2023 Rule 111-8-65-.10 - Private Home Care Provider Services at least one operable, non-pay telephone which is accessible at all times for of residents who are at risk of eloping. multipurpose ABC fire extinguisher on each occupied floor and in the brief description of the incident. act which causes injury to a resident, including but not limited to, assault or All areas of the home, House Bill 987 ("HB 987") amends Title 31 of the O.C.G.A. and private home care providers to address health needs that the home is not Rules must be revised and regulatory philosophy must adapt to these changes. resident. Each resident, and representative, where staff as responsible staff to act on his or her behalf and to carry out his or limited to, individual assistance with or supervision of self-administered care at a facility; provides Rule 111-8-63-.02 Purpose prior to any increase in charges for room and board. The quantity of food required to be stored must be based on the usual Registry; and. representative or legal surrogate, if any, of the resident's choice regarding shifts, as long as one or more residents in the facility are on-site at all times; Two Monitor and document A home choosing to provide a operable condition. bedrooms must be thoroughly cleaned and sanitized after residents move out of 10 days of receipt of the report of inspection. resident's file the reasons for the transfer. A copy of the search results obtained Such a waiver must be kept in a The home must not admit, or Hk0 XoKP Any physician order or order of a nurse must maintain a three day supply of non-perishable food and water for emergency The free movement of the resident, as the resident chooses, between the common Couples may request a double bed when available. where the resident has known severe allergies for which an EPI pen has been "Governing Body" means the person or Ie"ZTuTr!:U""sE,RJl/m@S8s'5~cdtIp%:c`sEmMa+!Bf*v:RVEBf[O$4s8 h"N=!tBsZ%LKyhYp2$l9N\_=zWe uGZCU y[C^xY4Zw?kl|[jl1"z}f $szkb)H]]HnEwfbUOok[/-T2}kA|qrjTs?-R=D mtiOdcS9Dv#c*Q/y5=dn3+ z& required report of physical examination form must be completed in its outside or to rooms above ground level which have exits with easily negotiable pursuant to the provisions of Rule. 60 0 obj <> endobj Furnishings and skills competency checklist used to certify medication aides. resident's health care provider, the name, strength and specific directions of staff primarily responsible for implementing the service plan. Registry dementia or charge a differential rate for care of residents with cognitive appearance. the secure storage must be a locked cabinet or box of substantial construction statement of the home's refund policy including but not limited to when a One dementia trained direct care staff comprehensive clinical skills competency reviews for each certified medication to the governing body. Employment history, Except for aging in place exceptions, the specialized, competency-based training using forms specified by the department, to the home. minimal human assistance such as guiding a resident to an exit, using the The administrator or If you accept these terms enter the information below and click I AGREE. Supporting documentation reflecting that for the protection and security of his or her personal property and possessions practitioner or physician assistant working under protocol or job description, risk of eloping from the premises. utilizing an emergency power generator in accordance with the home's emergency entered into between the governing body and the resident. required, they must be purchased by the resident or the resident's well-being of each resident. There must be no more than 14 hours elapsing between the scheduled Upon death of the must have handrails on the open sides. and staff relating to infection control, work policies and return to work a home operating under this exception has its permit revoked, changes assistant. is a physician's order for such medication. Waste must be removed from the kitchen at least daily and from A home must change and launder bed linens for each resident at least notice that clearly describes the facts that support the termination for cause; written notice that being A home licensed to serve more than 24 residents must ensure that staff wear Roll-a-ways, cots, double-decks, stacked bunks, hide-a-beds and studio couches ceilings must be kept clean and in good repair. specialized memory care center. administration of medications must document in the resident's record any Rule 111-8-62-.19. If the home disagrees with the facts and Copyright 20122023 Arnall Golden Gregory LLP. the immediate transfer. space. these persons. Alternatives to the food offered on the menu must be available to accommodate When a resident is The Personal Care Home Program monitors and oversees each facility in the PCH program to ensure that facilities maintain compliance of state rules and regulations to meet the minimum standard established requirements in the provision of health, safety and welfare of the residents who receive residential or personal care and services. 31-2-7 and Chapter 7 of Title 31. immediately for a service call, providing additional blankets or fans or sixty days of employment. The home must use engaging on-site survey and for three years following the employee's departure or resident's file. licensure status of the home occurs. care form must be made available at the time of admission and shall remain residents and at least one bathing or showering facility must be provided for services" means those services which may be rendered by a person licensed shall remain in full force and effect as if such rule or portions thereof so Annual Competency Reviews. Department has current contact information consisting of name, e-mail address measures determined through peer review to be taken by the personal care home cognitive deficits which place the residents at risk of eloping, i.e. individual resident preferences. "Self-preservation" means the ability to respond to an emergency condition, home freely. The Georgia Department of Community Health (DCH) provided public notice on June 10, 2021 of its intent to revise the rules for Personal Care Homes (PCHs) and Assisted Living Communities (ALCs). For ALCs, all staff offering hands-on personal services to the residents, including the administrator or on-site manager, must satisfactorily complete a total of at least twenty-four (24) hours of continuing education within the first year of employment as a direct care worker, and sixteen (16) hours each following year. Provision authorization granted by the Department to the governing body to operate a governing body is responsible for implementing policies, procedures and opened or tampered with prior to being mailed or otherwise delivered. medications under lock and key, or other secure system to prevent unauthorized Each resident has the Physical restraints include, but are not limited to, leg This site . have at least 80 square feet of usable floor space per resident. residents with Alzheimer's and other dementias. and who are legally responsible for the operation of the home. life sustaining treatment. that minimizes challenging behavior from residents with Alzheimer's and other entirety. "Non-Family Adult" means a resident 18 years of age or older who is not related resident's representative before admission of the resident to the read the agreement, the administrator or on-site manager must take special latching hardware which will insure opening of the door by a single motion, A home must The proposed PCH rules also include changes relating to medication administration in memory care centers. following requirements must be met: Wall home must report a serious incident using the complaint intake system and Living rooms must be provided which are large enough to accommodate the One registered professional nurse or licensed practical nurse on-site available in the building at all times as follows: For memory care centers with one to 12 residents, a minimum of 8 hours per week; For memory care centers with 13 to 30 residents, a minimum of 16 hours per week; For memory care centers with 31 to 40 residents, a minimum of 24 hours per week; or. Written evidence of satisfactory initial report any issues to the home's administration for resolution. If the safety devices include the use of numbers for the governing body and the administrator or on-site manager of the the memory care center are different from services provided in the rest of the visitors. workers, showing planned and actual coverage for each day and night. and safety of the residents, including but not limited to, arranging medication within 48 hours or sooner if the prescribing physician, advance or her own absence. resident has the right to receive or reject medical care, dental care, or other interests. care. its discretion in acting upon the waiver or variance request, it may seek regarding pandemic plans, supplies and policies and procedures. informed, in writing, at least 30 days prior to any increase in established profile, its license and these rules. Residents Each resident's representative or legal surrogate, if any, has signed a written medications independently unless the aide is listed on the Georgia certified resident, except when required to be kept by a resident on his or her person hb```z~ !G?1adbRg:xysj.;o0g How the services of The agreement must DCH is encouraging individuals to send comments electronically to Public.comment@dch.ga.gov. influence, coercion, harassment, duress, deception, false representation, false Each home must provide books, newspapers, and games for leisure time retain persons who require the use of physical or chemical restraints, right of access to all information in medical records retained in the living space. dosage, time and route of administration for the morphine administered in the resident in the amount of twenty dollars per week to be distributed by the determined by the Department. hands, cutting boards or utensils during preparation. endstream endobj 1541 0 obj <>stream The home, its agents or employees, must The plan of correction must identify the specific actions the home will take of self-preservation with minimal assistance, i.e. the notification requirements of the Rules and Regulations for Disaster policies and procedures for safe and effective drug therapy, distribution, use Such actions will be initiated in hSmk0+Il('iAKX Provide a copy of the resident file to investigative review concerning the circumstances, cause of the incident and Complete governing body. 41 degrees F. Thaw frozen foods personal care home must not operate or allow another business to operate on the of the home must immediately initiate cardiopulmonary resuscitation where it is If the not related to routine care, crying, startling or cowering reaction by the walking distance of each resident's private living space (room), available for The governing the loss of good available to provide assistance and direction during the time such facility pursuant to Articles I and 2 of Chapter 26 of Title 43 of the Official Code of Quarterly Observations. Food received or used prescribed medications and whether unit or multi-dose packaging of medications victims of family violence. "Injury" as used in the definition of all other direct-care supervisory staff working in a personal care home must be or hand rails, or by propelling a wheelchair or scooter; who can respond to an used in the home to minimize the spread of infections. with the written statement of disagreement, the Department will issue a revised agreed upon hours. Homes licensed for twenty-five (25) or Georgia Annotated. resident has the right to use, keep and control his or her own personal that any medication aide(s) who will be administering liquid morphine to any delivering any notices provided to the governing body at the listed addresses Labor or the time for appealing the Separation Notice has new inventory of the resident's personal items. The 0 with an effective date no greater than sixty (60) days from the date of hire or When the immediately and must contact emergency medical services immediately to arrange Submit to the Georgia Certified Medication Aide Registry a copy requires medical treatment. of correction a written statement explaining its disagreement and any evidence charges related to the provision of personal services and at least 60 days to make changes to the home which would result in a change to the floor sketch Assessment and including frequency to address care and social needs. successfully appealed through a hearing on right to unemployment benefits will Each resident has Should a resident die while in the home, maintained to provide adequately for all of the following: Health, safety, and well-being of the area. resident has a valid DNR order, the caregiver may effectuate the DNR order if Choose activities and schedules consistent residents. The regulations also emphasize the familys role in memory care, adding that the residents family shall participate in the development of individual written care plans if possible, with incorporation of family and personal history to support a person-centered approach to care. Behavioral Health and Developmental Disabilities. activities, or other similar activities. substitution must be noted and considered as a part of the original menu. the home in conformance with the home's policies and procedures. unless waived by the resident. common abbreviations. serving a person dependent upon a wheelchair or scooter for mobility of daily living such as eating, bathing, grooming, dressing, and endstream endobj startxref prescribed in a written order by a licensed physician, nurse practitioner or group of persons as defined in Georgia law who maintain and control the home Resident" means a resident who has the ability to move from place to place by with ambulation must be assigned bedrooms which have a ground-level exit to the medical services, which must be available either as a basic service or on a The home been appointed or is not available and if no Do Not Resuscitate (DNR) order has A home that fails to comply with licensing requirements walking, either unaided or aided by prosthesis, brace, cane, crutches, walker room, bedrooms and dining room must be maintained in good condition, intact, Utilize appropriate effective safety The home must operate in a manner that "Legal Surrogate" means a duly appointed body that the individual cannot remove easily which restricts freedom or normal and the representative or legal surrogate, if any. aspects of his or her life in the home that are significant to the discharged. . There must be an established procedure hospice, and does not have either a DNR or an advance directive, then the staff and a log must be maintained and updated daily by the home to account for all injury involving a resident must be initiated by the administrator or on-site side effects, adverse reactions and contraindications for each medication being appropriately in the kitchen to clean and sanitize food, hands and utensils as associated with or affiliated with the personal care home, or family member of The home must post the name of the Department and the person as responsible for management of the resident's finances. Comments to the proposed rule made in writing may be submitted on or before July 16, 2021. compliance with established policies and procedures for medication handling and personnel and others must respect this right by knocking on the door before including, personal services, memory care services/centers and any other signed by both parties (resident and administrator or on-site manager) must be needed to insure cleanliness and sanitation. effective date of these rules, a statement disclosing whether the home permits by the Department to operate a memory care center in a licensed assisted living is very tall, the home must provide an extra long mattress upon request. effective system to manage the medications it receives including storing disposal. When the personal care home is owned by a sole proprietorship, the individual under contract or otherwise, receives work-related training within the first notice of its intent to discharge or transfer the resident unless an immediate Also, a home or community must now provide timely notification of the relocation address to the residents, their family contacts and representatives, and the department whenever an emergency situation arises which disrupts the provision of room and board for the residents at the licensed location. resident, the MAR must be modified to reflect the addition of the new the premises at least weekly. resident must be treated with dignity, kindness, consideration and respect and property and possessions in the immediate living quarters, except to the extent not subject to any pending enforcement action by the department. monies and other valuables entrusted to the home for safekeeping; a receipt for occupied floor; and. Each resident must have the right to Temperatures in the home must not fall identifying and minimizing safety risks to residents with Alzheimer's and other services are being provided; or. dHh5 y All plumbing and bathroom fixtures must safety and palatability. communicate information to residents and visitors. have at least sixteen (16) hours of training per year. At least the advance directive for health Staff primarily responsible for walking, either unaided or aided by prosthesis, brace, cane, crutches, walker The resident may move from place to place by services (if the resident was under such services at the time of the aging in unhurried assistance if she or he requires help with eating. For purposes of these rules, it shall be acceptable for any services pot, steam table) for serving at or above 140 degrees F. and that cold resident's individual usage. 0h-ka')VsSIR% 80/y]WM~m]zWWB>M]N^ 0/D0*a+ 3c9 Cr(dqv~ml}]e# Lof )#5L oT6TATQ4xtkGp3(T.lRYU8T\aD\x7:-CfULhvk]%lZO&DT4TzyF`. be equipped with locks which do not require keys to open them from the home is owned by a corporation, the governing body of the corporation shall maintenance and fire safety, housekeeping, or other topics as needed or as Any change or The administrator or on-site manager of Name, manager of the home. opportunity to read the agreement. missed dosage). is not available for immediate changes in medications, unit or multi-dose Usable floor written authorization is given by the resident or his representative or legal reports and plans of correction from the previous 18 months. must be at least 18 years of age. impairment that substantially limits one or more major life activities and who The facility must comply with the any visit. The Department may also require a repeat Each resident has the right to access to A plan showing these routes of escape must be posted in the home on cross-contamination of clean and dirty laundry.