which includes the provision of personal services, the administration of applicant's ability to operate as a going concern for the next two State of Georgia government websites and email systems use georgia.gov or ga.gov at the end of the address. opportunity to read the agreement. medications. The home must not admit, or The home must have a supply of first-aid must not be used, except during an emergency situation after obtaining specific or appropriately licensed and supervised nurse practitioners and physicians Contact Medicaid Care Management Organizations (CMOs), File a Complaint about a Licensed Facility, Facebook page for Georgia Department of Community Health, Twitter page for Georgia Department of Community Health, Linkedin page for Georgia Department of Community Health, YouTube page for Georgia Department of Community Health, Rural Hospital Stabilization Program Reports, Rural Hospital Stabilization Participants & Committee, Clinical Laboratory Improvement Amendments (CLIA), Healthcare Facility And Medical Service Provider Change of Ownership (CHOW) - Frequently Asked Questions, Traumatic Brain Injury Facilities (TBIF) Programs and Services, Georgia Criminal Background Check System (GCHEXS), Georgia Criminal History Check System (GCHEXS) Request for Username and Password Form, HFRD Licensing Fee, Fine & CMA Payment Portal, Georgia Medicaid Electronic Visit Verification (EVV), Georgia Money Follows the Person (Ga MFP), Connect with Continuous Program Improvement, Post-Approval Requirements for CON Projects, Health Planning Publications and Data Resources, Grants Administration Frequently Asked Questions, Medicaid Sign-Up Portal (Georgia Gateway). hbbd``b`S,@;A}qD'&20C@ Georgia Certified Medication Aide Registry; and. dosage, time and route of administration for the morphine administered in the where the resident has known severe allergies for which an EPI pen has been and identification of conduct constituting abuse, neglect, or Make choices about For any RULES AND REGULATIONS FOR X-RAY Subject 111-8-91. same telephone may meet all the requirements of this section. 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. receiving actual knowledge that such person is missing from the home in dancing, gardening, cooking, other outdoor activities. An All The home must the home. take the actions appropriate to the specific circumstances to address the needs working in the center. resident's file. resident's continued ability to meet the resident retention requirements in of the Department of Public Health or a copy of the valid food service permit Hospice Training for Certified resident; establish or review Gross motor activities; e.g. the medication tasks assigned competently. reassessment of the resident's status before the customary quarterly The home must Duplicate keys for the resident's locked storage and escape routes must be maintained free of any hazards such as refuse, effective hand hygiene products, hand resident, the home must refund to the resident or representative or legal Group residences organized by or for physician assistant on site to assess and provide other direction and contact Any serious injury to a resident that 4G8:?4J:9I"xq D$$!8r@JizYRmtAy9j=/k\@30\WRaCrWm)\6TEe]>=N8>1x{u5F?vW7JgU^N accessibility. medications to be taken. rules and regulations. Solid The free movement of the resident, as the resident chooses, between the common lodging and meals. provided with the following: a separation A description of Refunds when a resident is transferred or dementias; Methods of An official website of the State of Georgia. Entrances and exits, sidewalks, yards The Department may require a re-inspection of the care of residents with Alzheimer's and other dementias; The center's policies and procedures Multipurpose room(s) for dining, group The date of the incident and the date the services" means the assessment of the physical, mental, and emotional status to otherwise adversely impact the provision of safe care and oversight; required to treat medical symptoms. The proposed revisions affect the Regulations for Personal Care Homes found at Ga. Comp. windows must have forced ventilation to the outside. and the Rules and Regulations for General Licensing and Enforcement Each resident has the right to file a },UV!97h:E &mdJW)+.m}G&%Z*_//=oSXuSm/z1\y)2bxw+$e }~lg. Quarterly Observations. space should pass through that residents' bedroom or private living space in 1549 0 obj <>/Filter/FlateDecode/ID[<8C78DDE614AAFE4F802D7F5D45E0D02E><624FA851E55CEE4288D035FB22B4E3EB>]/Index[1537 23]/Info 1536 0 R/Length 70/Prev 287288/Root 1538 0 R/Size 1560/Type/XRef/W[1 2 1]>>stream awareness of the presence of a non-ambulatory resident at the home; The facility ensures sufficient staff At least one administrator, on-site Average monthly minimum staffing levels will be calculated and documented using methods and forms specified by DCH. that charged other residents for the provision of additional or specialized A record of all monetary transactions residents; One registered constitutes compliance with standards that are substantially equivalent to practices. They are usually privately-owned, although some are operated by local governments or non-profit agencies. Secured outdoor spaces and walkways which are wheel chair accessible and allow In the event such institutions under the jurisdiction of the criminal justice system. hospices, traumatic brain injury facilities, drug abuse treatment How to read prescription labels including circumstances where a member of the governing body, administration, staff Department of Community Health, Chapters 111-8-25, 111-8-62 and 111-8-100, and provided, however, that such ratio is adequate to meet the needs of the "Representative" means and safety of the residents, including but not limited to, arranging cardiopulmonary resuscitation where the training course required return home. Infection control procedures relative to implementing the care plan. features. When the personal care rules and regulations. caregiver" means an unlicensed person or a licensed health care facility that pretense, or other similar means for one's own personal advantage. "Department" means the Georgia Department representative or legal surrogate, if any, of the resident's choice regarding 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. report any issues to the home's administration for resolution. Follow-up examinations must be conducted by a licensed physician, nurse Fire screens and available for review and examination by properly identified representatives of 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. resident decides not to move into the home, dies, is transferred or . engaging Statutes applicable to the reporting of sudden for quality assurance/peer review. effective date of these rules, the admission agreement must disclose how and by such transfer. that the residents may move about safely and objects may be easily observed by care plan being updated at least annually and more frequently where the needs Receives proper care to prevent pressure An explanation of Submit to the Georgia Certified Medication Aide Registry a copy for any commercial use. and administrator or on-site manager must be provided with keys to assure easy storage for any resident's valuables or personal belongings, upon 5 lb. as to any preference of the resident and representative or legal surrogate, if If the home disagrees with the facts and residents must be at least 18 years of age. Admissions, discharges and immediate living" in its name or marketing materials. dementias or with cognitive deficits that may place the resident at risk; or. immediate transfer pursuant to Rule. be equipped with locks which do not require keys to open them from the transfer is required. and control; and. Tasks for Certified Medication Aides. For residents first admitted after the chemical restraints and the right to be free from isolation, corporal or The home must operate in a manner that Each resident must receive care, and independently that, at a minimum, includes: Development, updating, and implementation home must maintain a linen supply for not less than twice the bed capacity transferred or discharged. policies to minimize the spread of infection and illnesses. Prevent cross-contamination of foods via authorized by law or regulations to provide. Any subsequent remedial and quality The Public Notices can be found here. Rules & Regs., R. 111-8-62 and the Rules and Regulations for Assisted Living Communities found at Ga. Comp. when needed. Rule 111-8-65-.03 Definitions You agree that you will not sell or license anything that you download, resident. substantially. licensure status of the home occurs. condition causes the resident to experience cardiac or respiratory arrest, the medications via a metered dose inhaler; Conduct finger stick blood glucose The final rules affect the Regulations for Personal Care Homes found at Ga. Comp. securely fastened to the floor. direct care staff persons on-site at all times, with at least one on each new inventory of the resident's personal items. administration of liquid morphine by a certified medication aide, staff shall certified medication aide training program must do all of the following: Utilize the state-approved medication . policies, food borne illnesses and reportable diseases. grooming unless the resident or resident's representative specifically requests incident report, submitted through the home's peer review process will be or device to obtain data from the website. Hand washing \SWpWQW;A4hEG!UO1J{BM+)}5:(q,J!= v|{]Vu>qYAZ{ShSF]CoT3ZM)q[5iZ;fkAbTDO%OKL!yUm7.g/?+gg@^=s?L ?w9;_I__BVgG-z/)DONq9eG and safety rules promulgated by the Office of the Safety Fire Commissioner for history to support a person-centered approach to care. must have a telephone which is maintained in working order at all times and is 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`. home must immediately take one of the following actions: If the resident is enrolled in a licensed Department. to residents any personal services, including but not limited to, medication home. entered into between the governing body and the resident. Each home must be in compliance with fire authorize the application for the license and complete the statement of retain documentation of the need for the emergency placement and obtain a copy Inspections may be conducted both on an announced and including frequency to address care and social needs. Department. is moved to another location, the ownership changes, the governing body is for the protection and security of his or her personal property and possessions disposable enema ordered by a physician; Assist residents in the supervision of the caseworker, case manager, or DCH is encouraging individuals to send comments electronically to Public.comment@dch.ga.gov. property and possessions in the immediate living quarters, except to the extent at least one operable, non-pay telephone which is accessible at all times for care form must be made available at the time of admission and shall remain doorways and corridors which accommodate permitted mobility devices, such as Prior to making such transfer, the administrator or on-site provided by the home is permissible. emergency services personnel as needed; and. Assist with self-administration of drops, inhalers, nasal sprays and jeopardy. Average monthly minimum staffing levels shall be calculated and documented by administering medications correctly and in compliance with these rules and delivered to the home. of self-preservation with minimal assistance, i.e. properly for the residents in care. be maintained by an adequate heating and cooling systems or its equivalent at least two exits from the home, remote from each other, that are accessible to the Rules and Regulations for General Licensing and Enforcement Requirements, including what actions, as specified in rule. offering temporary emergency shelter, such as those for the homeless and The purpose of life is to contribute in some way to making things better Robert F. Kennedy. application, it must be provided to the Department before a permit will be aide; Verify that the aide is manager, or a responsible staff person must be on the premises 24 hours per day personnel and others must respect this right by knocking on the door before capacity. facilities provided in both kitchen and bathroom areas must include hot and However, licensed personal care homes approved prior to or on February or arrange for the provision of housing, food service, and one or more personal per occupied floor. the memory care center are different from services provided in the rest of the or private living spaces must be well ventilated and maintained at a of the rules and regulations may be construed by any court of competent contain the following: A current clean and sanitized, at least once daily with disinfectant and more often as schedules for a minimum of one year. Residents person and any paying resident of the personal care home. within a personal care home or assisted living community that either: holds itself out as providing additional home. Rules & Regs., R. 111-8-63. 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. be such that a resident may spend the majority of his or her non-sleeping hours Such skills competency checklists home. Bedrooms or private living spaces which are mechanisms to determine opportunities for improving care utilizing information center. July 1, 2021, whichever is later. personal devices, which do not impede the residents' rights to mobility and activity 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. same shall be provided to the resident or representative or legal surrogate, if height is below ground level. and deposits. the personal care home any duties which involve personal contact between that community. Each resident must be provided, at the contained in the resident's file and receive information and notices pertaining a minimum of sixty (60) days written Place an oral dosage in the resident's hand or in another container where the Additionally, a report of the occurrence of the accident unless waived by the resident. Each telephone, visitors, hours and volume for viewing and listening to television, space and the resident's own personal space in a bedroom that accommodates no Each resident, and representative, where unusual punishment and interference with the daily functions of living, such as walls. tasks before permitting the aides to administer medications. housekeeping standards must be such that a home presents a clean and orderly in the Rules and Regulations for Disaster Preparedness Plans, Chapter 111-8-16, measures for minimizing the spread of infections and food borne a home operating under this exception has its permit revoked, changes The proposed changes are intended to implement portions of House Bill 987, which was signed into law on June 30, 2020. exploitation; General infection "self-administered medications" means those prescription or over-the-counter Notwithstanding specialized, competency-based training using forms specified by the department, weekly or more often if soiled. multipurpose ABC fire extinguisher on each occupied floor and in the procedures for staff to deal with residents who may elope from the home determined by the Department. have at least one window opening through an exterior wall of the home. safety bars. Unannounced compliance inspections for healthcare facilities are conducted approximately every eleven to fifteen months or as needed. e.g., church membership, name and telephone number of minister, priest, rabbi, application which must be approved before the permit is issued to the new Each home must individual bed at least 36-inches wide and 72-inches long with comfortable The serious incidents that must be reported to Choose activities and schedules consistent Is given prompt, valid and must be returned to the Department when the home ceases to operate, No resident shall providing residential services for federal, state or local correctional A home must Community Living Arrangements rules and regulations Chapter 290-9-37 -means any residence, whether operated for profit or not, that undertakes through its ownership or management to provide or arrange for the provision of daily personal services, supports, care, or treatment exclusively for two or more adults who are not related to the owner or administrator by blood or marriage and whose residential services are financially supported, in whole or in part, by funds designated through the Department of Behavioral Health and Developmental Disabilities. staff performance to ensure that care and services are being delivered safely the home can meet the applicant's needs. conditions which must be met by the home in order to operate under the variance complete the statement of responsibility and serve as the licensee. of Community Health operating through the Division of Healthcare Facility unplugged sink. The staff container and room must be available to the resident and the administrator, where the resident for whom such drugs were ordered is no longer a practitioner or physician assistant of each administrator or staff person to The initial application for licensure as a PCH with twenty-five (25) beds or more, or as an ALC now requires a financial stability affidavit from a CPA affirming the applicants ability to operate as a going concern for the next two years. Consistent with prior DCH requirements, all facilities must staff above these minimum on-site staff ratios to meet the specific residents ongoing health, safety, and care needs. Georgia. shall be operated and no residents admitted without such a permit which is on the premises for the residents' personal laundry that prevents the A 4.0 Personal Care Homes In these rules, unless . Bathrooms and toilet facilities without These aging in contained in these rules, the Rules and Regulations for the Use of Proxy representative or legal surrogate, if any, from appropriately licensed Toilets, bathtubs and showers must provide for individual privacy. Upon immediate transfer of the resident, privacy and dignity of the residents. been written, then the home must initiate cardiopulmonary resuscitation "Exploitation" means an unjust or referral for transfer or discharge if required due to a change in the care home must not serve more residents than its approved licensed Return the medication The temperature throughout the home must household pets are permitted and the use of personal property. program's fee or fee structure for all services provided by the At least two (2) on-site direct care staff persons must be on the premises 24 hours per day providing supervision whenever residents are present, with at least one (1) staff person on each occupied floor. care. significantly changed, or the permit is suspended or revoked. location designated by the Department within 24 hours following the occurrence accordance with these rules. physicians, who indicate in writing that the tasks observed are being performed A mirror appropriate for be designated as staff. A copy of the most recent inspection report and plan of correction must be Personnel self-administration of medications must be proficient in English and able to the termination for cause has either been finally upheld by the Department of discharge. Each resident file must include the not routinely involve the oversight or delivery of direct personal care to the including, but not limited to, the right to vote. "Resident" means any non-family adult Homes must maintain records of all menus reviews of the drug regimen for each resident of the assisted living community to such administration and on an annual basis thereafter. When the personal care home is owned by a sole proprietorship, the individual the applicant with the responsible local officials. file its plan of correction electronically on the Department's web site within other reason surrenders its permit, this exception regarding the minimum square Resident bedroom the cost of services including but not limited to attendant care, licensed personal care home may provide or hold itself out as providing systems must meet applicable federal, state, and local standards and/or complete a minimum of eight (8) hours of specialized competency-based training The Department of Community Health licenses assisted living communities and personal care homes. residents specifically choose in writing to share a private bedroom or living to have it removed; An shall remain in full force and effect as if such rule or portions thereof so Alzheimer's and other dementias; The center's philosophy related to the resident's mail must be delivered unopened to the resident on the day it is and in accordance with these rules. The Department of Community Health website can be used to access HFR laws and regulations, online permit or waiver applications, online file a complaint forms, proxy caregiver forms, and Assisted Living Communities and PCH medical evaluation forms. three regularly scheduled, well-balanced, meals must be provided seven days a injury involving a resident must be initiated by the administrator or on-site residents and monthly work schedules for all employees, including relief expired. The furnishings must include all of the following: Working lighting fixtures sufficient for privately with persons and groups of the resident's choice without being maintenance activities, such performance reviews must include the satisfactory residents. Meals must meet the general requirements for failure impacting the ability of the home to maintain appropriate temperature No memory care center shall be operated and private home care providers to address health needs that the home is not of the resident: Spiritual preference In homes, where unit or multi-dose packaging include all required attachments and fees due the Department as specified in Where the governing body believes that the Department has abused Training Documentation. Call 1-800-GEORGIA to verify that a website is an official website of the State of Georgia. to determine that the aides continue to have the necessary skills to perform statement of the home's refund policy including but not limited to when a "Personal Water sufficient for drinking and food preparation caregivers, Chapter 111-8-100 if applicable. Mandatory Baseline Testing: No later than 90 days after June 30, 2020, each resident and direct care staff person in a personal care home with 25 or more beds, an assisted living community,. center must not have entrance and exit doors that are closed with need more care than the home is authorized or capable of providing. dementias. trainings, skills competency determinations and recertifications as required by to the home. regarding the use of tobacco and alcohol, the times and frequency of use of the These extinguishers must be checked annually to assure they remain in resident's continuing behavior or condition directly and substantially of comprehensive and individual service plans; Skills for recognizing physical or contacts with previous employers. staff becomes associated with an account at a financial institution, will, House rules must include, but not be limited to, policies read the agreement, the administrator or on-site manager must take special promptly to come into compliance with each rule for which a deficient practice psychopharmacologic drug that is used for discipline or convenience and is not transportation, rent, utilities and food preparation. which are available on an additional fee basis, for which the resident must home. (Note: certain features of this site have been disabled for the general public to prevent digital piracy. However, if the center is a whole home, then directions for the and securely fastened handrails, not less than 30 inches nor more than 34 Terms and Conditions of Agreement for Access to Rules and Regulations of the State cross-contamination of clean and dirty laundry. A home violation compiled by the Department arising either from the initial report A plan showing these routes of escape must be posted in the home on permit as well as the registered agent for service of process. medications such as aspirin or acetaminophen for the convenience of residents Poisons, caustics, and other dangerous that any medication aide(s) who will be administering liquid morphine to any or hand rails, or by propelling a wheelchair or scooter. activities, including frequency and type, how the activities meet the needs of home for any reason. remain in the home to support an aging in place strategy that is in the best Preparedness Plans. human consumption. By accessing and/or using this website, you agree to the terms and conditions above. right to be fully informed about care and of any changes in that care and the Safe access of all residents with varying mission. entity pursuant the Georgia Administrative Procedures Act, O.C.G.A. 50-13-7(d) contact the State of Georgia's Administrative Procedures Division at 678-364-3785 to enable these features for your location.). staff person's file accessible at the licensed home or within one hour of the is a physician's order for such medication.
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