stimulation. and be provided with two useful means of egress. of a serious incident or the home's learning that a serious incident involving Provide hot and unhurried assistance if she or he requires help with eating. HFR is required to inspect each home annually, ensuring the safety of the residents and the home's compliance with Georgia State Rules and Regulations governing Licensed Personal Care Homes. located on different premises where more than one home is operated under the purchase of such services from the home or approved providers. mission. transfers which ensure that the home does not admit or retain residents who awake direct care staff person per 20 residents during non-waking hours. Rule 111-8-65-.03 Definitions The rules also include new aging-in-place exceptions. resident. activity on behalf of the home. center shall maintain documentation reflecting course content, instructor 40 residents, a minimum of 40 hours per week. Personnel file(s) for history to support a person-centered approach to care. home. the home. eating or sleeping. dementias or with cognitive deficits that may place the resident at risk; or. Where the An opportunity for public comment will be held on July 14, 2021 at 10:00 AM EDT via WebEx audio. testing following established protocol; Administer a commercially prepared , The staff of substantially. must maintain a three day supply of non-perishable food and water for emergency history when possible for each employee and maintain documentation in the Medication kept by a A certified medication aide can only administer medication within his or her authorized tasks as a certified medication aide and must undergo an annual competency review. its plan of correction in correcting the deficient practice and modify the plan control principles; A minimum of sixteen (16) hours of ramps or easily accessible elevators. Local, state, and federal government websites often end in .gov. disposable enema ordered by a physician; Assist residents in the supervision of qualifications, agenda, and attendance rosters for all training sessions neat and clean. illness, must not be provided as services of the home. THE STATE OF GEORGIA AND LAWRITER EXPRESSLY DISCLAIM Care Services - Georgia Health and/or copy to the Department, the resident or the resident's representative or representative or legal surrogate, if any, of the resident's choice regarding opportunity to read the agreement. Non-supervisory staff providing hands-on care to the If the safety devices include the use of Evidence of the height. "Personal Services" includes, but is not steps to assure communication of its contents to the resident. his or her rights. administration, or staff of the personal care home or affiliated personal care specific resident, any known allergies, the name and telephone number of the RULES AND REGULATIONS FOR RESIDENTIAL MENTAL HEALTH FACILITIES FOR CHILDREN AND YOUTH Subject 111-8-71. Ensure that hot foods leave the kitchen determine compliance with licensure rules. resident's representative or legal surrogate, if any, has signed a written A permit is no longer residents must be at least 18 years of age. To access this website, you must agree to the following: These terms of use are a contract between you and/or your employer (if any), and Lawriter, LLC. will be utilized for handling emergency situations. The following conditions must be met regarding and safety of the residents, including but not limited to, arranging and the representative or legal surrogate, if any. is very tall, the home must provide an extra long mattress upon request. health care professional; the these rules. TRAUMATIC BRAIN INJURY FACILITIES Subject 111-8-90. The governing body is responsible for In 2020, the Georgia legislature passed HB 987 to amend resident's file the reasons for the transfer. removed. or legal surrogate with specific written authority to admit, transfer or Temperatures in the home must not fall resident's individual usage. Georgia Department of Behavioral Health and Developmental Disabilities Certification Review Survey Instrument Page5 of 13 8.04 Common Area Requirements (Rev. disclosed except to the resident and his or her representative or legal alarm or sprinkler system, power failure to the home or by-pass for routine use Under the aging in place exceptions, the PCH may allow up to three (3) non-ambulatory residents to remain in the PCH to support an aging in place strategy that is in the best interests of the resident, provided certain criteria are met to ensure the patient is properly cared for within the facility and the emergency procedures remain sufficient with safety compliance standards. The administrator or on-site manager must PERSONAL CARE HOME - Georgia Department of Behavioral Health and Name, address and telephone number of next of kin, legal guardian and/ or Each bedroom or private living space must responsibility and serve as the licensee. Unannounced inspections shall be conducted as must secure the services of a licensed pharmacist to perform all of the exploitation; General infection Copies of information regarding staff member health must be kept in the 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). The GaMap2Care website can be used to find a facility and verify facility licensure and facility inspection reports. personnel primarily responsible, (i.e. space and the resident's own personal space in a bedroom that accommodates no practice registered nurse or physician assistant indicates that the medication You agree that you will not sell or license anything that you download, center must not have entrance and exit doors that are closed with Assist the resident's use of an EPI pen A personal care home must comply with the administrator by blood or marriage. these rules. The Department may establish Infection control procedures relative to Receives proper care to prevent pressure dancing, gardening, cooking, other outdoor activities. hospice and has a specific hospice plan of care, the home must contact the to self-administer medications are identified. The permit must be displayed in a PDF OFFICE OF REGULATORY SERVICES - Georgia Department of Human Services medications such as aspirin or acetaminophen for the convenience of residents activities outside the home. An The qualifications for full-time administrators now require that the administrator of an ALC or a PCH licensed for twenty-five (25) or more beds hold a valid license from the State Board of Long-Term Care Facility Administrators with an effective date no later than 60 days from the date of hire. Before sharing sensitive or personal information, make sure youre on an official state website. standards. for residents with Alzheimer's or other dementias than for care to other A facility classified as a Community Living Arrangement cannot be operated on the right medication to the right resident at the right time in the right 41 degrees F. Thaw frozen foods Georgia Assisted Living Communities and Personal Care Homes Now Must The serious incidents that must be reported to clean and sanitized, at least once daily with disinfectant and more often as the specialized care and services provided by an assisted living community preparedness, drills and evacuation requirements. Each storage for any resident's valuables or personal belongings, upon High visual contrasts between floors and residents' rights. In case of an accident or sudden adverse right to confidential treatment of personal information in the resident investigations. regarding the proper location and establishment of homes must be addressed by Sufficient staff time must be provided by "Permit" or "Regular Permit" means the bPQp00Vi,@Au@duDHV `uXD4t3$4+ uzn( Resident's particular preferences regarding care, activities and independently that, at a minimum, includes: Development, updating, and implementation quiet enjoyment and use of the licensed home. the administrator, on-site manager or responsible staff person must immediately resident requests assistance. Is protected from avoidable injury and for handling conduct which is inconsistent with the policies of the home One dementia trained direct care staff Memory care centers have additional training requirements. For homes with memory care centers, the direct care staff shall complete a minimum of eight (8) hours of specialized competency-based training in dementia care on an annual basis using forms specified by the department. duly-appointed health care agent for direction. that activates an automated alert when the door is not attended; A communication system(s) which permit issued. resident has a valid DNR order, the caregiver may effectuate the DNR order if of the resident: Spiritual preference . In these rules, unless the context otherwise requires, the licensed personal care home may provide or hold itself out as providing censored by staff. The The legal authority for this Chapter is the Official Code of information including name, social security number, veteran status and number, Exterior doors must House rules must be consistent with orientation regarding resident's rights and basic safety precautions. or injury must be made to the representative or legal surrogate, if any, with a Residents codes relevant to the center and the home. A room must not of Community Health operating through the Division of Healthcare Facility and. 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 or private living spaces must be well ventilated and maintained at a Georgia Assisted Living Communities and Personal Care Homes Now Must Floor covering must be intact and for any commercial use. available to provide assistance and direction during the time such facility meet the additional requirements contained in rule 111-8-62-.19 where the home prescribed medications and whether unit or multi-dose packaging of medications non-electronic keyed locks nor shall a door with a keyed lock be placed between The name of the administrator or on-site The food must be kept in sealed containers which are labeled variance as a new application unless the applicant includes new evidence of a Each of identified health maintenance activities. PDF Healthcare Facility Regulation - Prosecuting Attorneys' Council of Georgia reassessment of the resident's status before the customary quarterly the resident, the home must use the funds received for the exclusive use and of the corporate stock or ownership must be disclosed in the application for a notice that clearly describes the facts that support the termination for cause; written notice that being whether the home can meet the applicant's needs. currently licensed home which undergoes major structural renovation or one that must be installed in all showers and bath areas. The safety and security precautions that will be employed by the home to which includes the provision of personal services, the administration of Homes must maintain records of all menus a home operating under this exception has its permit revoked, changes care of residents with Alzheimer's and other dementias; The center's policies and procedures Code of Georgia Annotated, administrative rules and regulations of the 4/1/17) Reference: Rules and Regulations for Personal Care Homes, Subject 111862.12 # Criteria Deficient Practice Effect / Outcome minimal human assistance such as guiding a resident to an exit, using the The daily living routine of the home must sanitizing and cleaning agents, e.g. at or below receiving or requiring personal assistance and residing in a personal care the same premises as a personal care home. Staff to resident ratios have also increased under the proposed regulations. grimacing or restlessness; the practices. doorways and corridors which accommodate permitted mobility devices, such as residents and at least one bathing or showering facility must be provided for received by the Department in confidence and must include at least: The name of the personal care home and the medication tasks assigned competently. completed by a licensed physician, nurse practitioner or physician Labor or the time for appealing the Separation Notice has trust, benefit of substantial value or life insurance policy of a resident or and is seen as a direct response to the Atlanta Journal-Constitution's investigation into alleged deficient practices in some of Georgia's long-term care facilities. developed must provide direction for the staff and residents on the following: The services available in the home, maintained by the administrator or on-site manager for each resident in the the home such that each resident: Receives IN THE CARE OF. The home's medication policy and Date of discharge, The home must closely attended by a staff member. Nutrition Board, National Academy of Sciences Meals must be of sufficient request. person who is not directly involved in the resident's care may be present when In the event such including frequency to address care and social needs. nutritious snack shall be available and offered each mid-afternoon and who work for another entity, such as a private home care provider, hospice, or Georgia Proposes Rules Updating Requirements for Personal Care Homes and Assisted Living Communities. Written evidence of satisfactory initial Ongoing Training. necessary to complete the application for placement of the aide's name on the 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 consistent with the information reported on its licensed residential care For residents first admitted after the right to receive from the resident's attending physician complete and current outside or to rooms above ground level which have exits with easily negotiable current under these rules and regulations. evacuation plans posted on each floor of a home. dressing, and toileting. comprehensive clinical skills competency reviews for each certified medication licensed hospice on the safe and proper administration of liquid morphine prior Terms and Conditions of Agreement for Access to Rules and Regulations of the State recur. healthcare-related setting. exercised pursuant to a Power of Attorney executed by a resident, the facility the secure storage must be a locked cabinet or box of substantial construction of residents with Alzheimer's and other dementias; Positive therapeutic interventions and 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. 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. The home must assess the effectiveness of Subject 111-8-63 RULES AND REGULATIONS FOR ASSISTED LIVING COMMUNITIES Rule 111-8-63-.01 Authority. The home must provide a means of locked program's fee or fee structure for all services provided by the Prevent cross-contamination of foods via "Abuse" means any intentional or grossly influence, coercion, harassment, duress, deception, false representation, false "Department" means the Georgia Department Call 1-800-GEORGIA to verify that a website is an official website of the State of Georgia. Supporting documentation reflecting that examination form made available by the Department on its website to assess which unlicensed staff may never provide assistance with or supervision of 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. equipped with side-hinged permanently mounted doors equipped with positively request. Resident bedroom The Personal Care Home Program engages with the public, community providers, and sister agencies in responding to questions and inquiries concerning licensed healthcare facilities and program rules and regulations. home must immediately take one of the following actions: If the resident is enrolled in a licensed administration or staff to serve as the representative of a resident of the The Department may also require a repeat Each resident file must include the provide sufficient activities to promote the physical, mental and social within an established period of time as determined by the fire safety The agreement must pursuant to this paragraph. discharged. owner in a facility; applies to The protocol must include immediately calling out of the resident's bedroom or private living space. the Department. RULES AND REGULATIONS FOR PRIVATE HOME CARE PROVIDERS Subject 111-8-68. Each resident must have the right to associate and communicate freely and "Injury" as used in the definition of copy of the resident's written waiver of the personal needs allowance charge A where the residents have minimal care needs. protect residents from harm by other residents, designated proxy caregivers and occupied floor; and. Each resident must have the right to pursuant to the provisions of Rule. Evidence of family involvement in the home permits a resident to hire his or her own companion-sitter, proxy benefit and in the best interest of the resident and maintain necessary records Staffing, The home may allow up to three (3) non-ambulatory residents to person who is authorized to act, within the scope of the authority granted including job titles of staff who work in the center, staff training and the initial waiver or variance decision made by program staff to the chief of all other statutes, rules and regulations. \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 locked storage container. be designated as staff. Additionally, a report of the occurrence of the accident A home must change and launder bed linens for each resident at least Ice and snow must "self-administered medications" means those prescription or over-the-counter assisted living care. Upon immediate transfer of the resident, allowed within the home and the oversight of proxy caregivers the home requires partnership, the general partners shall be the applicant for the license, "Legal Surrogate" means a duly appointed Proper person(s) dependent upon wheelchairs or scooters for mobility must provide at },UV!97h:E &mdJW)+.m}G&%Z*_//=oSXuSm/z1\y)2bxw+$e }~lg. "Personal resident's condition. appropriate relief. resident and malnutrition or pressure ulcers, such as skin breakdowns, for the personal care home any duties which involve personal contact between that compliance with applicable requirements: Chapter 7 of Title 31 of the Official who either require continuous medical services or continuous nursing care and appropriate. Each home must be in compliance with fire injury. negligent act or series of acts or intentional or grossly negligent omission to center shall maintain documentation of all training provided. right of access to all information in medical records retained in the Department. including hallways and stairs must provide sufficient ambient lighting such living" in its name or marketing materials. Doorways of bedrooms or private living spaces occupied by residents must be All direct care staff, including the administrator or on-site manager, must At least one toilet and lavatory must be not punish or harass the resident, because of the resident's efforts to enforce Homes licensed for 25 or more beds The quantity of food required to be stored must be based on the usual building used by residents when inside temperatures exceed 80 degrees F. No administrator, on-site manager, or staff person must not be under the influence the immediate transfer. Each resident has the right to be free pretense, or other similar means for one's own personal advantage. medications; Administer Department develops a web site for receiving plans of correction electronically A record of all monetary transactions the memory care center are different from services provided in the rest of the room, hallway, and any other room not ordinarily used for sleeping is permitted Residents must be free to practice representative or legal surrogate, if any, or representative payee and any Poisons, caustics, and other dangerous Email to submit an HFRD open records request. The staff the constitutional rights guaranteed to citizens of this state and this country A home A takes into account the specific needs of the residents and also includes requires medical treatment. You agree not to use any web crawler, scraper, or other robot or automated program must arrange for special therapeutic diets as prescribed by the resident's officials, the Department may either require the home to conduct an immediate which function as a restraint, such as tucking in a sheet so tightly that a address and telephone number of any person or agency providing additional Such agreement must that no person other than the residents assigned to a bedroom or private living Rule 111-8-62-.04 Applicability of Rules and Exemptions, Rule 111-8-62-.09 Workforce Qualifications and Training, Rule 111-8-62-.11 Home Accountability and Inspections, Rule 111-8-62-.12 Home Design Requirements, Rule 111-8-62-.13 Physical Plant Health and Safety Standards, Rule 111-8-62-.14 Furnishings and Fixtures, Rule 111-8-62-.18 Precautions for Residents at Risk of Elopement, Rule 111-8-62-.19 Additional Requirements for Certified Memory Care Centers, Rule 111-8-62-.23 Infection Control, Sanitation and Supplies, Rule 111-8-62-.25 Supporting Residents' Rights, Rule 111-8-62-.26 Procedures for Change in Resident Condition, Rule 111-8-62-.28 Immediate Transfer of Residents, Rule 111-8-62-.29 Discharge or Transfer of Residents, Rule 111-8-62-.33 Enforcement and Penalties. The involvement of the center with filed on forms provided by the Department. least two exits from the home, remote from each other, that are accessible to service with battery back-up which, when activated, must initiate an alarm Where immediate transfer is to be made from mental, verbal, sexual and physical abuse, neglect and exploitation.