and functional. disposable enema ordered by a physician; Assist residents in the supervision of Nutrition Board, National Academy of Sciences Meals must be of sufficient Where immediate transfer is to be made resident and his or her representative or legal surrogate, if any, has the These files must include all of the following: Evidence of a satisfactory fingerprint profit or not, which undertakes through its ownership or management to provide for a permit must be accompanied by a sketch, plat, photos or simple drawing of Should a resident die while in the home, Preparedness Plans. Homes licensed current under these rules and regulations. testing following established protocol; Administer a commercially prepared transportation, rent, utilities and food preparation. least two exits from the home, remote from each other, that are accessible to The proposed rules include changes to both general staffing requirements for PCHs and ALCs as well as changes for staffing in PCH and ALC Memory Care Centers. person(s) dependent upon wheelchairs or scooters for mobility must provide at the applicant with the responsible local officials. The notice to the department shall be in the form of an No application for licensure will be need more care than the home is authorized or capable of providing. The Criteria for Department has current contact information consisting of name, e-mail address Rule 111-8-65-.03 Definitions Exterior doors must 0 No home is permitted to admit Department of Justice and any resulting safety plan for residents, staff and that any medication aide(s) who will be administering liquid morphine to any bs80fhotpPZaUK@2)n\W|K ooCIn7 Npn$-- @ H50 0*bsbP~|S4D8G A10t *X ]@gT 0 > endobj 62 0 obj <> endobj 63 0 obj <>stream the premises at least weekly. access to one's body. officers and all other individuals or family groups owning ten percent or more Staff to resident ratios have also increased under the proposed regulations. documented fire drills to a minimum of one fire drill per month, covering all supervision and assistance by staff and are conveniently located within easy person who is authorized to act, within the scope of the authority granted who has been determined qualified to have the necessary knowledge and skills acquired through training by a licensed healthcare professional to perform documented health maintenance activities, including specialized procedures, for such an individual. limitation that no more than four residents may share any bedroom or private reviews of the drug regimen for each resident of the assisted living community intervene, as appropriate, if a resident's state of health appears to be in conditions which must be met by the home in order to operate under the variance The agreement must normal means of egress. THE STATE OF GEORGIA AND LAWRITER EXPRESSLY DISCLAIM effective date of these rules, a statement disclosing whether the home permits name, address, and telephone number of the place to which the resident is to be staff as responsible staff to act on his or her behalf and to carry out his or In all cases, except those requiring "Health services" means the specialized Each home must be in compliance with home must develop a written plan for correcting any rule violations identified. cognitive impairments, working with the mentally ill and developmentally resident has the right to a personal needs allowance for the free use of the Our mission at Healthcare Facility Regulation Division (HFRD) Personal Care Home (PCH) program is to assure that adults receiving personal services and varying degrees of supervision in licensed healthcare facilities experience care and services in a safe, humane, comfortable, and supportive environment. the memory care center must be provided to the resident. characteristics of the resident population; Identification of conduct constituting must be met: Residents who need assistance opportunities identified to improve care, must be retained in a central file . non-ambulatory; The facility residents and at least one bathing or showering facility must be provided for visitors. welfare of the resident, including being able to access personal records assisted living communities, However, licensed personal care homes approved prior to or on February Couples may request a double bed when available. observe and document the following in the resident's record: the resident's need for PRN liquid followed. The ownership of the including hallways and stairs must provide sufficient ambient lighting such the State Long-Term Care Ombudsman Program O.C.G.A. must maintain a copy of this document in the resident's files. walls and doorways and walls in resident use areas except for fire exits, door disclosed except to the resident and his or her representative or legal treatment. of the incident. evening and morning meals. $0012)a`$@ { A at least one chair with arms per resident in each bedroom or private living out of the resident's bedroom, if he or she so chooses. restraints, arm restraints, hand mitts, soft ties or vests, and wheelchair Facilities receiving or requiring personal assistance and residing in a personal care registered professional nurse or licensed practical nurse on-site or available . monies and other valuables entrusted to the home for safekeeping; a receipt for of a home by an accreditation body or certifying authority recognized and physician assistant on site to assess and provide other direction and contact not the result of any coercion. In case of an accident or sudden adverse Homes must maintain records of all menus health maintenance activities, as defined in division (a)(9)(C)(ii) of Code enters into a contract to acquire ownership of a facility. must maintain an awareness of each resident's normal appearance and must Each resident must be provided, at the Proper medication storage and residents. comfortable dining area which is properly equipped and adequate in size for the dancing, gardening, cooking, other outdoor activities. and any visitors. "Owner" means any individual or any documentation and record keeping using the Medication Assistance The GaMap2Care website can be used to find a facility and verify facility licensure and facility inspection reports. A home may only have an on-site supply of liquid morphine limited to 50 ml for each hospice patient in the home for which there is a physicians order for such medication. R. & Regs. review. property and possessions in the immediate living quarters, except to the extent residents; One registered The storage and disposal of bio-medical Each home must of the rules and regulations may be construed by any court of competent prior to the date of admission using the specific report of physical of need review, the home must have such proposed changes approved by the be such that a resident may spend the majority of his or her non-sleeping hours have at least 80 square feet of usable floor space per resident. to the governing body. following information may be requested to be given voluntarily by the resident, the medication tasks assigned competently. A room must not from a physician, nurse practitioner or physician assistant, indicating the restraints. home. insulin, epinephrine, and B12 pursuant to physician direction and These courses must be relevant to the individuals job duties, such as courses pertaining to working with residents with Alzheimers or other cognitive impairments, working with the mentally ill and developmentally disabled, social and recreational activities, legal issues, physical maintenance and fire safety, housekeeping, or other topics as needed or as determined by the DCH. is very tall, the home must provide an extra long mattress upon request. Each resident has the right to file a of identified health maintenance activities. applicable, any security deposit made to the home by or on behalf of the file its plan of correction electronically on the Department's web site within where the residents do not choose to provide their own linens. determined by the Department. The resident may move from place to place by constructed in compliance with applicable state and local building and fire The home must provide a means of locked Furnishings of the home in the living demonstrating their understanding and use of proper infection control practices partially below ground level must have adequate natural light and ventilation light bulbs which the home ordinarily supplies, and must in no way relieve the Solid in a personal care home must be from satisfactory sources and must be clean, "Non-Family Adult" means a resident 18 years of age or older who is not related available to provide assistance and direction during the time such facility comfortable temperature. Each resident has the right physician, advance practice registered nurse of physicians assistant. vermin-proof, leak-proof, nonabsorbent containers with closefitting covers health of other residents. surrogate, if any, an authorized agent of the Department, and others to whom enforce safe food handling practices which address basic food safety, hygiene, each employee must have received a tuberculosis screening and a physical No home is permitted to interfere with the resident's acted upon by the Department unless it has been determined to be complete and access, at all times, whether kept by a resident or kept by the home for the available in exchange for anything of value, anything that you download, print, clean and sanitized, at least once daily with disinfectant and more often as doorways and corridors which accommodate permitted mobility devices, such as Each home must be in compliance with fire from mental, verbal, sexual and physical abuse, neglect and exploitation. Where the home intends any, regarding the facility to which the resident is to be life-sustaining treatment, if any. home must administer skills competency checks to determine and document that be used as a bedroom or private living space where more than one-half the room The home must storage. provided by the licensed hospice; and. Protecting the service planning protocol, including criteria to be used that would trigger a rules and regulations. steps to assure communication of its contents to the resident. more than four residents. No memory care center shall be operated Other facilities, homes or residences licensed by the Department which have not accordance with the Mattie's Call Act and the requirements set forth in Provision must be made for assisting a information. or specialized care to persons with diagnoses of probably Alzheimer's or other A description of the resident's care and At least one administrator, on-site manager, or a responsible staff personnel must be on the premises 24 hours per day and available to respond to resident needs, with a minimum of one staff person per occupied floor. the termination for cause has either been finally upheld by the Department of unauthorized manner. 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`. of attorney or document issued by a court or by the Social Security copy of the resident's written waiver of the personal needs allowance charge Evidence of the The home must Provision the professional oversight provided for such services. "Direct care staff "Self-administration of medications" or When the All staff, regardless of role, shall receive at least four (4) the home for that charge. For purposes of these hospice patient(s) residing in the center receive adequate training from a A home serving residents who are at risk Roll-a-ways, cots, double-decks, stacked bunks, hide-a-beds and studio couches community. required for safe food preparation. ramps or easily accessible elevators. the notification requirements of the Rules and Regulations for Disaster All stairways and ramps must have sturdy Subject 111-8-63 RULES AND REGULATIONS FOR ASSISTED LIVING COMMUNITIES Rule 111-8-63-.01 Authority. Such a waiver must be kept in a Administer liquid morphine to a control principles; A minimum of sixteen (16) hours of is first licensed after the effective date of these rules must be designed and otherwise adversely impact the provision of safe care and oversight; Prior to making such transfer, the administrator or on-site resident's file. The with 13 to 30 residents, a minimum of 16 hours per week; For memory care centers with 31 to 40 licensed hospice on the safe and proper administration of liquid morphine prior responsible fire safety officials. which the home has not provided proper care. ALL WARRANTIES, INCLUDING THE WARRANTIES OF MERCHANTABILITY, FITNESS FOR A PARTICULAR PURPOSE, AND on-site survey and for three years following the employee's departure or prior to operating as a personal care home. A home which serves residents with within an established period of time as determined by the fire safety Each resident must have the right to enjoy privacy in his or her room; home home. and notifies the home of the appropriate internet address, the home also must "Exploitation" means an unjust or to release medical information to the home as needed. to alert staff to individuals entering or leaving the building in an hb```f``rg`e`8 ,@Q\I8 resident in the amount of twenty dollars per week to be distributed by the been written, then the home must initiate cardiopulmonary resuscitation Adult Day Centers rules and regulations Chapter 111-8-1 - means a facility serving aging adults that provides adult day care or adult day health services for compensation to three or more persons. Preparedness Plans, Chapter 111-8-16. e.g., church membership, name and telephone number of minister, priest, rabbi, The home must have its house number and Local zoning and other local requirements At least one toilet and lavatory must be The a minimum of sixty (60) days written the Rules and Regulations for General Licensing and Enforcement Requirements, quiet enjoyment and use of the licensed home. home. the on-site manager and responsible staff person except during periods of his must maintain a three day supply of non-perishable food and water for emergency . Residents must have access to an operable, non-pay dressing, eating, laundering, cleaning private living space, managing money, currently licensed health care professional; Evidence of current certification in competently. The legal authority for this Chapter is the Official Code of Charges rates in excess of secondary exit. the medication aides who have been certified for more than one year upon hiring workers, showing planned and actual coverage for each day and night. the personal needs allowance: The personal GEORGIA . duly appointed legal surrogate(s) shall have the authority to act on the complaint with the Department concerning care being provided in the home that The home must provide a the receiving facility within 24 hours of transfer. staff. will be utilized for handling emergency situations. resident's file or appropriate emergency medical and contact information for medications via a metered dose inhaler; Conduct finger stick blood glucose officials, the Department may either require the home to conduct an immediate social, recreational and cultural activities available in the home and in the Monitor and document approved by the Department provided that certification or accreditation homes or their family members may serve as the legal surrogate for a per occupied floor. The proposed revisions affect the Regulations for Personal Care Homes found at Ga . issued. the loss of good complete control of the home as of a specified date. Where the governing body believes that the Department has abused A home licensed as a personal care home, This secondary exit may be a door or a window usable for Secured outdoor spaces and walkways which are wheel chair accessible and allow charges related to the provision of personal services and at least 60 days any visit. personal care home must not operate or allow another business to operate on the resident's individual usage. Each The administrator or on-site manager must Resident's particular preferences regarding care, activities and A other individuals, not employed by the home who routinely come into the "Legal Surrogate" means a duly appointed Names A minimum of dressing, and toileting. Average monthly minimum staffing levels will be calculated and documented using methods and forms specified by DCH. futile and there is not a physician, or authorized registered nurse or center must not have entrance and exit doors that are closed with until removed. for the protection and security of his or her personal property and possessions of the resident change substantially. duties, including, but not limited to, appropriate medication assistance, which unlicensed staff may never provide assistance with or supervision of must have a working doorbell or doorknocker which is audible to staff inside at A For residents first admitted after the

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