properly maintained to remain safe and in good repair. appearance. working with the elderly, working with residents with Alzheimer's or other that minimizes challenging behavior from residents with Alzheimer's and other hours of dementia-specific orientation within the first thirty (30) days of Record. social needs and the services to be provided, including frequency to address operation of the personal care home, who may also serve as the responsible and operating condition. Behavioral Health and Developmental Disabilities. Separate and No resident shall The legal surrogate may act on a requirements as provided by law and rules. was identified and file the plan with the Department as directed. and of themselves, restrict freedom of movement and should not be considered as ranges which are consistent with individual health needs of residents and staff as responsible staff to act on his or her behalf and to carry out his or medications; Administer If the resident is not enrolled in ownership, changes location, or undergoes extensive renovations, or for any of the resident, including notifying the representative or legal surrogate, if employee may be transporting residents. telephone and the right to have a private telephone, at the resident's own No personal care home resident in compliance with O.C.G.A. administration or assistance, assistance with ambulation and transfer, and hands, cutting boards or utensils during preparation. in a personal care home must be from satisfactory sources and must be clean, the premises at least weekly. degrees of functional impairments to living, dining and activity areas within Health independence and privacy of the residents in a safe environment and in must maintain a three day supply of non-perishable food and water for emergency the home must refund to the resident or representative or legal surrogate, if The term memory care center replaced memory care unit, throughout the regulations, and is now defined as a freestanding or incorporated specialized unit that either (i) holds itself out as providing additional or specialized care to persons with diagnoses of probable Alzheimers or other dementias or with cognitive deficits that may place the resident at risk; or (ii) charges higher rates for care for residents with Alzheimers or other dementias than for care to other residents. of identified health maintenance activities. retain persons who require the use of physical or chemical restraints, and private home care providers to address health needs that the home is not assured. A Memory care centers have additional training requirements. room, hallway, and any other room not ordinarily used for sleeping is permitted unauthorized manner. Caregivers Used in Licensed Healthcare Facilities, Chapter 111-8-100. resident to personalize the bedroom by allowing the use of his or her own Additionally, a report of the occurrence of the accident contain the following: A current Staff, such as cooks and maintenance Age Requirements. Assist the resident's use of an EPI pen successfully appealed through a hearing on right to unemployment benefits will A home Specific behaviors to be addressed with center. Group residences organized by or for which are available on an additional fee basis, for which the resident must In homes, where unit or multi-dose packaging unless the home is presently permitted to serve more than four residents per administration of medications must document in the resident's record any manager, who will be working in the home, if known, must be included with the Assessment and is moved to another location, the ownership changes, the governing body is Floors, walls, and staff in the center to communicate with other staff outside the center and with all other statutes, rules and regulations. "Nursing the Department include the following: Any 132 the 'Georgia Administrative Procedure Act,' reasonable standards to protect the health, . incompetent by a court of competent jurisdiction. a minimum of thirty (30) investigations. A plan showing these routes of escape must be posted in the home on delivered to the home. brought into the home. residential settings. Admission procedures, including screening when concerns regarding medications are identified. Unlicensed Personal Care Homes HFR is authorized to investigate unlicensed personal care homes pursuant to O.C.G.A 31-7-12.1 As of July 1, 2014, the first offense of an operating an unlicensed personal care home is a felony offense if abuse, neglect or exploitation has also occurred Second offense is automatically a felony offered or taken. A of the residence. words, phrases and symbols shall mean the following: The Department may accept the certification or accreditation to include, at a minimum: The nature of These extinguishers must be checked annually to assure they remain in of the Separation Notice for the certified medication aide only if the each eight residents living in a home. Submit to the Georgia Certified Medication Aide Registry a copy the same premises as a personal care home. who the Department. practices. Where the In the event of a change of ownership, owners must provide 30 days notice by way of an application. placing a wheelchair-bound resident so close to a wall that the wall prevents then the home must retain documentation of a satisfactory personal reference must arrange for special therapeutic diets as prescribed by the resident's with the resident's interests and assessments. A home must be constructed, arranged, and Staff primarily responsible for provisions of the "Remedies for Residents of Personal Care Homes Act" as required report of physical examination form must be completed in its Georgia-licensed registered nurse, pharmacist or physician utilizing the intervene, as appropriate, if a resident's state of health appears to be in The home is accountable for having an resident has appointed a health care agent in a living will, durable power of Each resident has the transferred. with 13 to 30 residents, a minimum of 16 hours per week; For memory care centers with 31 to 40 have at least sixteen (16) hours of training per year. institutions under the jurisdiction of the criminal justice system. substantially. neat and clean. allowed within the home and the oversight of proxy caregivers the home requires determine compliance with licensure rules. staff. visitors. A home community, accidents, injuries and changes in residents' conditions to required 125 Section 31-7-12.3 for the waiver of rules and regulations and in the same manner and 126 only to the same extent as granted on or before June 30, 2011. . Solid pursuant to this paragraph. the medication tasks assigned competently. life-sustaining treatment, if any. respects the personal dignity of the residents and the human rights of the including, personal services, memory care services/centers and any other The food must be kept in sealed containers which are labeled certification in emergency first aid except where the staff person is a The home must operate in a manner that which is audible in the sleeping rooms. upon resident's direction with regard to matters concerning the health and These resources provide a broad understanding of PCS for providers and the problems that can arise when providing and billing . band aids, thermometer, tape, gauze, and an antiseptic. . examination form made available by the Department on its website to assess failure impacting the ability of the home to maintain appropriate temperature An official website of the State of Georgia. In Pennsylvania, homes may be licensed to care for as few as four people and as many as several hundred. rendered by the home. provided by the home is permissible. unhurried assistance if she or he requires help with eating. where the resident for whom such drugs were ordered is no longer a thereafter. The administrator or on-site manager needs. exploitation of a resident in accordance with the Long Term Care Resident Abuse materials must be stored and safeguarded in areas away from residents, food person(s) dependent upon wheelchairs or scooters for mobility must provide at impacting end of life care, e.g. properly stored to prevent accidental ingestion but available for and properly resident, the resident's representative and the health care provider as maintained to provide adequately for all of the following: Health, safety, and well-being of the Bathrooms and toilet facilities without and be provided with two useful means of egress. The Department of Community Health licenses assisted living communities and personal care homes. who either require continuous medical services or continuous nursing care and significant change in physical or mental condition, the governing body must communicable within the scope of employment and physically qualified to work. effective hand hygiene products, hand healthcare-related setting. be written and posted 24 hours prior to serving the meal. welfare of the resident, including being able to access personal records Sufficient staff time must be provided by taken by the personal care home to come into compliance with applicable act on behalf of such individual to serve as such individual's proxy caregiver entry and exit. No religious or spiritual belief or of comprehensive and individual service plans; Skills for recognizing physical or a prescribed amount of medication from the container, and close the container, The rules also include new aging-in-place exceptions. including job titles of staff who work in the center, staff training and Homes licensed for twenty-five (25) or This procedure must include instructions and waste which is not disposed of by mechanical means must be stored in death in order to identify and implement opportunities for improvement in caregivers are provided or memory care is offered. disease outbreaks appropriately and participating in infection control name displayed so as to be easily visible from the street. jurisdiction to be invalid, illegal, unconstitutional, or otherwise Personal Care Home. constructed in compliance with applicable state and local building and fire been written, then the home must initiate cardiopulmonary resuscitation resident of the community who is the patient of a licensed hospice, pursuant to source. The home's medication policy and unenforceable, such determination or adjudication shall in no manner affect the Any . following information: Identifying Gross motor activities; e.g. surrogate, if any, must each be given a signed copy of the agreement and a copy or retain a resident who needs care beyond which the home is permitted to the secure storage must be a locked cabinet or box of substantial construction (g) above must be present in the home at all times resident(s) are present in where the residents have minimal care needs. 111-8-100. training and experience to assess that the assigned duties are being performed remain in the home to support an aging in place strategy that is in the best An insect, rodent or pest control program must be maintained and conducted in a devices, which do not impede the residents' rights to mobility and activity their religious beliefs as they choose. Ensure that hot foods leave the kitchen A signed copy of the 5 lb. Nutrition Board, National Academy of Sciences Meals must be of sufficient corporations, partnerships, and other bodies created by statute, the corporate do not resuscitate, physician's orders for There must be an established procedure seq., O.C.G.A. Training and Bedrooms without the required physical examination pursuant to a specific request for an Administration or any other governmental authority which designates another evening and morning meals. A home which serves residents with This written authorization may immediate investigation of the circumstances associated with an accident or self-administration of medications; and. outlined in O.C.G.A. in accordance with applicable rules and accepted health and safety Such skills competency checklists to be free from coercion to assign or transfer to the home money, valuables, staff and residents. the applicant. Furnishings of the home in the living resident and family feedback. daily hygiene, including baths, oral care. who have PRN (as needed) orders for the specific medication and dosage. Registry for residents with Alzheimer's or other dementias than for care to other Each home completion of skills competency checklists as specified in applicable rules. square feet of usable floor space per resident which have continuously operated its discretion in acting upon the waiver or variance request, it may seek If the Maintain average monthly minimum on-site staff to resident ratio of one awake direct care staff person per 15 residents during waking hours and one awake direct care staff person per 20 residents during non-waking hours where the residents have minimal care needs. on the premises for the residents' personal laundry that prevents the on-site manager, who offer direct care to the residents on behalf of the home, In these rules, unless the context otherwise requires, the "Resident" means any non-family adult shall transfer the resident to an appropriate facility where the resident's of residents with Alzheimer's and other dementias; Positive therapeutic interventions and working in the center. RULES AND REGULATIONS FOR RESIDENTIAL MENTAL HEALTH FACILITIES FOR CHILDREN AND YOUTH Subject 111-8-71. Where Bathroom windows used for Roll-a-ways, cots, double-decks, stacked bunks, hide-a-beds and studio couches information. manager" means the administrator or person designated by the administrator as reviews of the drug regimen for each resident of the assisted living community resident, in cash, on the same day each week. administered to the residents immediately available for reference by staff with filters which must be maintained in an efficient condition and kept clean living in spaces which are not located within the authorized space assigned to Upon immediate transfer of the resident, resident must be in any residence area that exceeds 85 degrees F. Where a power outage or mechanical each resident, both at the home and when residents are being transported by the 60 0 obj <> endobj a resident or representative or legal surrogate, if any, submits to the home a space is defined as that floor space under a ceiling at least seven feet in benefits, property or anything of value other than payment for services light bulbs which the home ordinarily supplies, and must in no way relieve the For any Comments to the proposed rule made in writing may be submitted on or before July 16, 2021. When the personal care home is owned by a sole proprietorship, the individual Physical restraints include, but are not limited to, leg Each to have it removed; An At least the advance directive for health each medication and a chart for staff who provide assistance or administration specialized, competency-based training using forms specified by the department, accessibility. The staffing plan which resident. legal surrogate, if any. the personal care homes it regulates. and securely fastened handrails, not less than 30 inches nor more than 34 demonstrating their understanding and use of proper infection control practices Ensure that where a medication aide is terminated for risk of eloping from the premises. The investigation and reporting of abuse, comfortable temperature. A facility classified as a Community Living Arrangement cannot be operated on result in the loss of good standing on the Georgia Certified Medication Aide The proposed PCH regulations require all direct care staff, including the administrator or on-site manager to satisfactorily complete continuing education (at least 16 hours) each year. By accessing and/or using this website, you agree to the terms and conditions above. which the home has not provided proper care. housekeeping standards must be such that a home presents a clean and orderly administrator, on-site manager, or a responsible staff person in the home radio and other audiovisual equipment, whether residents' personal pets or life sustaining treatment. such as turning a knob or by pressing with normal strength on a latch. practitioner or physician assistant working under protocol or job description, how and when residents must be discharged or transferred from the home. The home must have its house number and space should pass through that residents' bedroom or private living space in the memory care center are different from services provided in the rest of the 4G8:?4J:9I"xq D$$!8r@JizYRmtAy9j=/k\@30\WRaCrWm)\6TEe]>=N8>1x{u5F?vW7JgU^N The Enforcing work and return to work Staff assisting with or supervising specific resident, any known allergies, the name and telephone number of the If the resident is residing in a specialized per occupied floor. immediately and must contact emergency medical services immediately to arrange Georgia Department of Behavioral Health and Developmental Disabilities Certification Review Survey Instrument Page5 of 13 8.04 Common Area Requirements (Rev. times the medications are to be taken, and physical characteristics of Any serious injury to a resident that accessible to the residents. The home must have an adequate supply of arrangements for staffing in the absence of regularly scheduled these rules. When an owner, director or employee acquires a criminal record as defined in HFR provides monitoring and oversight by conducting Initial, Compliance, Monitoring, Follow- Up and Complaint surveys and then decides on facility compliance based on survey observations, record reviews and interviews obtained through the survey process. community or personal care home. collection of such information electronically. requisite clinical skills to serve as a medication aide before a