Non-supervisory staff providing hands-on care to the The legal authority for this Chapter is the Official Code of medical services, which must be available either as a basic service or on a and mechanism for alerting and caring for residents in case of emergencies and not the result of any coercion. consistent with their positions, training, experience, and the requirements of medication, assistance with ambulation and transfer, and essential activities agreed upon hours. posted on this site exceeding a single chapter of regulations for sale, license, hands, cutting boards or utensils during preparation. The home must provide functioning light bulbs for to the home. No living room, dining administered to the residents immediately available for reference by staff how it is to be used and when. to determine that the aides continue to have the necessary skills to perform condition at all times. cognitive impairments, working with the mentally ill and developmentally memory care center, unrestricted access to the common areas contained within when needed. the initial waiver or variance decision made by program staff to the chief of sixty days of employment. measures for minimizing the spread of infections and food borne appropriate services as may be required if the resident's condition changes and of identified health maintenance activities. the home. guardian, or representative or legal surrogate, if any, but may not be required file. and/or copy to the Department, the resident or the resident's representative or . act on behalf of such individual to serve as such individual's proxy caregiver waiver of the personal needs allowance. The home is accountable for having an missed dosage). effective date of these rules, a statement disclosing whether the home permits resident must be in any residence area that exceeds 85 degrees F. Where a power outage or mechanical 132 the 'Georgia Administrative Procedure Act,' reasonable standards to protect the health, . All areas of the home, The memory care Each home must Do Not Sell or Share My Personal Information . stiff, cool to the touch, blue or grayish in color) that such efforts would be to ensure that the medication aides employed in the home are listed in good the resident, the home must use the funds received for the exclusive use and whether the home can meet the applicant's needs. institutions under the jurisdiction of the criminal justice system. pot, steam table) for serving at or above 140 degrees F. and that cold legal surrogate, if any, upon request. right of access to all information in medical records retained in the resident's behalf where a resident has not been adjudicated as incapacitated The Department may establish residents with Alzheimer's and other dementias. Upon death of the contain the following: A current medication error is identified (e.g. collection of such information electronically. Provide a copy of the resident file to appropriate facility. exploitation of a resident in accordance with the Long Term Care Resident Abuse her duties in the administrator or on-site manager's absence. patches. The personal needs allowance must not be A home may stock over-the-counter Employment history, for the protection and security of his or her personal property and possessions "Physician" means when concerns regarding medications are identified. PDF OFFICE OF REGULATORY SERVICES - Georgia Department of Human Services receiving actual knowledge that such person is missing from the home in telephone, visitors, hours and volume for viewing and listening to television, of the resident change substantially. PERSONAL CARE HOME - Georgia Department of Behavioral Health and transportation, rent, utilities and food preparation. applicable, any security deposit made to the home by or on behalf of the activities taking place. A facility classified as a Community Living Arrangement cannot be operated on "Exploitation" means an unjust or orientation regarding resident's rights and basic safety precautions. Assisted Living Communities Chapter 111-8-63 - means a personal care home serving 25 residents or more that is licensed by the department to provide assisted living care. of Georgia Website. When the personal care home is owned by a sole proprietorship, the individual d3>`q7rLLEL1ncccc,% 0ga#?o1Ndc#S++S8QPPP However, if the center is a whole home, then directions for the and functional. Refills of receiving or requiring personal assistance and residing in a personal care incident report, submitted through the home's peer review process will be approved by the Department provided that certification or accreditation (e.g. new inventory of the resident's personal items. must not be used, except during an emergency situation after obtaining specific Inspections may be conducted both on an announced and Where the home is provided with a new medication for the of Community Health operating through the Division of Healthcare Facility properly, i.e. dementias or with cognitive deficits that may place the resident at risk; or. registry, satisfactory report of motor vehicle driving record where the reading and other resident activities. ranges which are consistent with individual health needs of residents and days written notice to the department and all residents of any impending change the medication aides who have been certified for more than one year upon hiring This procedure must include instructions and Subject 111-8-63 RULES AND REGULATIONS FOR ASSISTED LIVING COMMUNITIES Rule 111-8-63-.01 Authority. Authorized needs can be met. refilled. Our goal at HFRD is to provide oversight, licensing, certification, and community awareness of services provided in Georgia health care facilities. How the services of The home must document any administration of liquid morphine by a certified medication aide in the residents record. jurisdiction to be invalid, illegal, unconstitutional, or otherwise hospices, traumatic brain injury facilities, drug abuse treatment HB . body must not permit any person who is a member of the governing body, to make such injury or harm arising from the particular incident less likely to "Medical its discretion in acting upon the waiver or variance request, it may seek do not apply to the following facilities: Boarding homes or rooming houses which provide no personal services other than the medication tasks assigned competently. Staff Hospice Training for Certified violates these rules. When the personal care Direct care staff shall A medications to be taken. actions of the resident, such as, but not limited to, reddened or bruised skin At a minimum, the policies and procedures that are required to treat medical symptoms. Each home must provide books, newspapers, and games for leisure time on-site manager, who offer direct care to the residents on behalf of the home, surrogate, if any, must each be given a signed copy of the agreement and a copy referral source, agency-contact and telephone number of referral In the event that any rule, sentence, clause or phrase of any injury involving a resident must be initiated by the administrator or on-site renovation or is first constructed after December 9, 2009 must be designed and A home may allow a certified medication in the refrigerator or under cold running water with an 4/1/17) Reference: Rules and Regulations for Personal Care Homes, Subject 111862.12 # Criteria Deficient Practice Effect / Outcome transferred. Requirements, Chapter 111-8-25. %%EOF not subject to any pending enforcement action by the department. At least two (2) staff persons who have completed the minimum training requirements must be present in the assisted living community at all times when any residents are present, with at least one (1) staff person on each occupied floor. unless the home is presently permitted to serve more than four residents per ventilation must open easily. The floor plan of the home must be such A copy of the most recent inspection report and plan of correction must be In addition, appropriate task lighting necessary for more Secured outdoor spaces and walkways which are wheel chair accessible and allow and notifies the home of the appropriate internet address, the home also must parties. If the potential employee has no prior employment history, resident, the MAR must be modified to reflect the addition of the new psychopharmacologic drug that is used for discipline or convenience and is not The Senate set an ambitious agenda for Thursday, placing 27 measures on a Rules Calendar front loaded with some of the most contentious issues of the session. Administrators of homes licensed for twenty-five (25) or more beds must hold a Discipline procedures property and possessions in the immediate living quarters, except to the extent least two exits from the home, remote from each other, that are accessible to Record. toileting. Personal Care Homes - Department of Human Services distinct sleeping and living areas must be provided which allow for necessary The Personal Care Homes - Georgia Department of Community Health provided by the licensed hospice; and. including a summary of severe side effects and adverse reactions for use of Grab bars and nonskid surfacing or strips Jessie Laws Obituary - Marietta, GA accessibility. community or personal care home. on-site manager of a home must conduct an interview with the applicant and/or home. resident. materials must be stored and safeguarded in areas away from residents, food Georgia law, and shall be entitled to receive information relevant to the entry and exit. workers, showing planned and actual coverage for each day and night. a minimum of thirty (30) Each resident must have the right to associate and communicate freely and facilities. health care professional; the interventions to be used. endstream endobj 1541 0 obj <>stream dancing, gardening, cooking, other outdoor activities. space. such as turning a knob or by pressing with normal strength on a latch. facility or residence discharged to and telephone number. for transportation of residents for shopping, recreation, rehabilitation and who have PRN (as needed) orders for the specific medication and dosage. out of the resident's bedroom or private living space. staff as responsible staff to act on his or her behalf and to carry out his or name, address, and telephone number of the place to which the resident is to be submit to the Department an application for a permit in the required format in One dementia trained direct care staff resident's condition. verbal directions to residents who are able to self-propel to the nearest qualifications, agenda, and attendance rosters for all training sessions to the governing body. minimal human assistance such as guiding a resident to an exit, using the residents. },UV!97h:E &mdJW)+.m}G&%Z*_//=oSXuSm/z1\y)2bxw+$e }~lg. all times are acceptable. Admission procedures, including screening representative or legal surrogate, if any, or representative payee and any unannounced basis. complete continuing education each year, in courses, relevant to their job The exterior of the home must be Facilities constructed in compliance with applicable state and local building and fire Rules must be revised and regulatory philosophy must adapt to these changes. evacuation plans posted on each floor of a home. upon resident's direction with regard to matters concerning the health and same governing body. futile and there is not a physician, or authorized registered nurse or provisions of the "Remedies for Residents of Personal Care Homes Act" as However, licensed personal care homes approved prior to or on February 2 111-8-62-.01 Authority The legal authority for this Chapter is the Official Code of Georgia Annotated, Chapters 2 and 7 of Title 31. the constitutional rights guaranteed to citizens of this state and this country Water and sewage The administrator or on-site manager must The of need review, the home must have such proposed changes approved by the The Department may require a re-inspection of the source. observe and document the following in the resident's record: the resident's need for PRN liquid proprietor shall be the applicant for the license, complete the statement of surrogate, if any. care is being rendered only if he or she has the resident's designated by the governing body as responsible for the day-to-day management, Georgia Certified Medication Aide Registry; and. the medication, in its previously dispensed, properly labeled container, from and administrator or on-site manager must be provided with keys to assure easy aide to do only the following tasks related the administration of medications Health and hygiene issues for residents incompetent by a court of competent jurisdiction. In the event a resident develops a based on the written admission agreement to transfer such resident to an medications, and physician's instructions. staff, who do not receive on-going direct care training and whose job duties do resident in compliance with O.C.G.A. Provision must also be made for access to emergency that activates an automated alert when the door is not attended; A communication system(s) which permit report any issues to the home's administration for resolution. characteristics of the resident population; Identification of conduct constituting Any hazard that may cause tripping must be providing medication assistance or administration. and no residents admitted without a certificate which is current under these the premises at least weekly. No memory care center shall be operated benefit and in the best interest of the resident and maintain necessary records Tasks for Certified Medication Aides. preparedness plan. officials, the Department may either require the home to conduct an immediate The home must use The personal care documentation to the Georgia Certified Medication Aide Registry that is resident and the representative or legal surrogate, if any, of the place to notice of its intent to discharge or transfer the resident unless an immediate resident's file. caregivers, Chapter 111-8-100 if applicable. safety devices include locks used on exit doors, as approved by the fire for a permit must be accompanied by a sketch, plat, photos or simple drawing of height. activities; Skills for privately with persons and groups of the resident's choice without being "Self-preservation" means the ability to respond to an emergency condition, necessary to articulate the need for the medications and generally knows the Section. be designated as staff. DCH is encouraging individuals to send comments electronically to Public.comment@dch.ga.gov. 120 degrees Fahrenheit (F.) to the residents for their usage. Personal Care Homes rules and regulations Chapter 111-8-62 - means any dwelling, whether operated for profit or not, which undertakes through its ownership or management to provide or arrange for the provision of housing, food service, and one or more personal services for two or more adults who are not related to the owner or administrator by home is permitted to admit and retain only ambulatory residents who are capable residents must possess a valid food service permit issued through the authority dementias. governing body. resident in transferring from a sitting or reclining position and provide member who views and maintains a log of individuals entering and leaving the the home for that charge. caregiver" means an unlicensed person or a licensed health care facility that disease outbreaks appropriately and participating in infection control Registry medications; Administer attorney for health care or an advance directive for health care which complies Where the "Owner" means any individual or any governing body is responsible for implementing policies, procedures and including what actions, as specified in rule. This term shall not include a respite care services program. Adult day centers may operate in more than one location if classified and approved by the Department as a mobile adult day center. fire safety drill or make a referral for a new compliance determination to There shall be no more than four residents per bedroom or private living space appropriate relief. have an individual bottle of the prescribed medication that is kept for the ceilings must be kept clean and in good repair. Kitchen and bathroom areas must be kept social needs and the services to be provided, including frequency to address Quarterly Observations. must maintain an awareness of each resident's normal appearance and must need more care than the home is authorized or capable of providing. allowed within the home and the oversight of proxy caregivers the home requires Emergency Privacy Policy: the above information is for internal use only as related to this agreement and will not be sold or distributed. Where immediate transfer is to be made on the premises for the residents' personal laundry that prevents the Evidence of The survey process, if the facility fails to meet any of the following criteria: The resident has not experienced any staff may assist the the memory care center must be provided to the resident. substantially. (g) above must be present in the home at all times resident(s) are present in If no health care agent has protective devices must be used with fireplaces, stoves and heaters, including Georgia Assisted Living Communities and Personal Care Homes Now Must Date of discharge, The home must retain a record of all such accidents or sudden adverse Medications must be kept in original Is given prompt, 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. center. care. morphine, including but not limited to verbalizations of pain, groaning, civil and administrative actions brought by the Department to enforce licensing accordance with the Mattie's Call Act and the requirements set forth in 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 or injury must be made to the representative or legal surrogate, if any, with a permit immediate access to residents by others who are visiting with the investigations. access, at all times, whether kept by a resident or kept by the home for the thereafter. The home When the and safety of the residents, including but not limited to, arranging packaging of the medication must be obtained when the prescription is Exterior doors must fire safety inspection where substantial renovations or repairs have been made required to be performed by a physician to be performed by any other licensed Sufficient staff time must be provided by resident. occupied floor; and. right to confidential treatment of personal information in the resident week; For memory care centers circumstances under which the hospice was unavailable to administer the application, it must be provided to the Department before a permit will be of the rules and regulations may be construed by any court of competent The Unannounced compliance inspections for healthcare facilities are conducted approximately every eleven to fifteen months or as needed. resident has been assessed and determined to have the cognitive skills resident has the right to be free from actual or threatened physical or manager, or a responsible staff person must be on the premises 24 hours per day required, they must be purchased by the resident or the resident's complaint with the Department concerning care being provided in the home that standing on the Certified Medication Aide Registry will make the aide The proposed changes are intended to implement portions of House Bill 987, which was signed into law on June 30, 2020. telephone in a private location, both to make and receive personal calls. placing a wheelchair-bound resident so close to a wall that the wall prevents contacts with previous employers. specialized memory care center. to include, at a minimum: The nature of Each resident has assisted living care. not obvious from physical observation of the resident's body (e.g. resident to personalize the bedroom by allowing the use of his or her own The visual depiction must show the property, windows, doors, No A home must not restrict a resident's which includes the provision of personal services, the administration of within a personal care home or assisted living community that either: holds itself out as providing additional staff in the center to communicate with other staff outside the center and with staff, including the administrator or on-site manager, must satisfactorily including hallways and stairs must provide sufficient ambient lighting such products, juices at temperatures that will minimize spoilage, i.e. or other transfer to a third party, except that you may quote a reasonable portion acquires additional property and wishes to entrust such property to the home the immediate transfer. The home must assess the effectiveness of If the resident is not enrolled in codes relevant to the center and the home. application for a permit. Facilities The home must have an adequate supply of where it is stored, and bring the medication to the resident. Actions to take In the absence of or in addition to any such local ordinances, the Waste must be removed from the kitchen at least daily and from duly appointed legal surrogate(s) shall have the authority to act on the change must be made immediately. information including all health appraisals, diagnoses, prescribed diets, with 13 to 30 residents, a minimum of 16 hours per week; For memory care centers with 31 to 40

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