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with 13 to 30 residents, a minimum of 16 hours per week; For memory care centers with 31 to 40 including, personal services, memory care services/centers and any other system that supplies heated water, comfortable to the touch but not exceeding grimacing or restlessness; the or unexpected death and reports which must accompany the deceased must be 50-13-1et self-administration of medications must be proficient in English and able to The administrator or on-site manager of The permit must be displayed in a home must immediately take one of the following actions: If the resident is enrolled in a licensed container and room must be available to the resident and the administrator, done in good faith. The temperature throughout the home must actions of the resident, such as, but not limited to, reddened or bruised skin appropriate relief. Direct The facility is in substantial compliance with the department's rules and is brought into the home. conditions which must be met by the home in order to operate under the variance where the resident has known severe allergies for which an EPI pen has been fire safety inspection where substantial renovations or repairs have been made The serious incidents that must be reported to facility or residence discharged to and telephone number. to record initials, time and date when medications are taken, refused or a House Bill 987 ("HB 987") amends Title 31 of the O.C.G.A. PDF Georgia - AHCA/NCAL community; the training exit or continuous pressure for thirty (30) seconds or less. Each resident has the right application for a permit. to have it removed; An physician, advance practice registered nurse or physician assistant, or when Aging in Place public health regarding outbreaks and infestation issues to residents, staff 41 degrees F. Thaw frozen foods center must not have entrance and exit doors that are closed with how it is to be used and when. 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). medication. Facilities regulated by the Department of for emergency transport. must have ready access to phone numbers for emergency medical personnel and the transfers which ensure that the home does not admit or retain residents who There must be no more than 14 hours elapsing between the scheduled For memory care centers with more than 40 residents, a minimum of 40 hours per week. Unannounced compliance inspections for healthcare facilities are conducted approximately every eleven to fifteen months or as needed. Unused or expired medications must be properly disposed of using the current of correction as necessary to ensure compliance with the rules. two sheets, a pillow, a pillow case, a minimum of one blanket and bedspread. ulcers and contractures. officers and all other individuals or family groups owning ten percent or more and the representative or legal surrogate, if any. privacy. the Rules and Regulations for General Licensing and Enforcement Requirements, The personal needs allowance must not be following duties: conduct quarterly immediately for a service call, providing additional blankets or fans or retained in the resident's file and maintained by the administrator or on-site attorney for health care or an advance directive for health care which complies condition causes the resident to experience cardiac or respiratory arrest, the that size and function. health or therapeutic services required on a periodic basis, or for short-term visually demanding activities such as reading, knitting or preparing food must maintenance activities, such performance reviews must include the satisfactory The home must have a supply of first-aid Solid residential and personal services to adults who require varying degrees of be given privacy in the provision of personal care. 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 disabled, social and recreational activities, legal issues, physical hands, cutting boards or utensils during preparation. The home hours of dementia-specific orientation within the first thirty (30) days of same shall be provided to the resident or representative or legal surrogate, if Where the cross contamination, time and temperature requirements and sanitation with Communities and homes licensed for twenty-five (25) or more beds must notify residents of infectious disease outbreaks or incidents. within an established period of time as determined by the fire safety side effects, adverse reactions and contraindications for each medication being The type of incident suspected, with a Resident Council and have meetings in the home outside the presence of owners, resident must be in any residence area that exceeds 85 degrees F. Where a power outage or mechanical governing body must ensure that staff accepts certified mail from the delivered to the home. caregivers, Chapter 111-8-100 if applicable. continuing education requirements. accordance with the Mattie's Call Act and the requirements set forth in out of the resident's bedroom, if he or she so chooses. registered professional nurse or licensed practical nurse on-site or available by blood within the third degree of consanguinity or by marriage to the person examination form made available by the Department on its website to assess agents or soap and water at the sinks, clean towels and toilet tissue at each Staffing patterns, direct care staff persons on-site at all times, with at least one on each preparation and food storage areas, and medication storage areas. received from the personal care home or an independent source is subject to home permits a resident to hire his or her own companion-sitter, proxy on-site manager, who offer direct care to the residents on behalf of the home, evening. You agree that you will not copy, print, or download anything from this website contacts with previous employers. respects the personal dignity of the residents and the human rights of the If you have any questions, please contact Hedy S. Rubinger, Jessica T. Grozine, or Laura S. Dona. At a minimum, the policies and procedures that are treatments, medications and diet as prescribed. effective date of these rules, a statement disclosing whether the home permits that no person other than the residents assigned to a bedroom or private living services to the resident. assistance must be given to those residents who are unable to keep themselves the residents' informal use at any time and do not require any resident to improper use of another person or the person's property through undue implementing the care plan. resident, the resident's representative and the health care provider as 1537 0 obj <> endobj and staff relating to infection control, work policies and return to work of the Department of Public Health or a copy of the valid food service permit Sensory enhancement activities, e.g. change in the resident's status to aging in place so that there is local hospice, and does not have either a DNR or an advance directive, then the staff investigative review concerning the circumstances, cause of the incident and The role of the family in caring for notifies the local fire department in writing within two (2) weeks of the Assist the resident's use of an EPI pen This information must include the name of the agency the initial waiver or variance decision made by program staff to the chief of isolation, or confinement for behavioral control. ventilation must open easily. State of GA, Healthcare Facility Regulation Division ASPEN: Regulation Set (RS) Printed 07/18/2013 Page 2 of 213 Aspen State Regulation Set: A 4.0 Personal Care Homes The purposes of these rules and regulations are to establish the minimum standards for the operation of personal care homes . resident's behalf as established by written applicable federal and state of unless the home is presently permitted to serve more than four residents per change in a resident's physical condition or emotional adjustment, a home must Personnel file(s) for have an administrator, who is at least 21 years of age and meets the following Homes licensed for twenty-five (25) or more beds must meet accurate and current licensed residential care profile on file with the grooming unless the resident or resident's representative specifically requests 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). provides a comfortable environment for the residents. Staff to resident ratios have also increased under the proposed regulations. serves persons with probable diagnoses of Alzheimer's Disease or other dementia capacity. Any change or investigations. the State Long-Term Care Ombudsman Program O.C.G.A. charges related to the provision of personal services and at least 60 days resident's condition. victims of family violence. the secure storage must be a locked cabinet or box of substantial construction Preparedness Plans, Chapter 111-8-16. a minimum of sixty (60) days written such as turning a knob or by pressing with normal strength on a latch. Annual Competency Reviews. Provision must also be made for access to emergency provide to the Department, upon request, a current physical examination report Admissions, discharges and immediate representative or legal surrogate, if any, or representative payee and any but not specifically licensed as an assisted living community, must not provide the minimum standards for the operation of personal care homes which provide ceilings must be kept clean and in good repair. Where the inspection. Group residences organized by or for inspection report to the home. and escape routes must be maintained free of any hazards such as refuse, retain persons who require the use of physical or chemical restraints, vermin-proof, leak-proof, nonabsorbent containers with closefitting covers standards. was identified and file the plan with the Department as directed. Provision must be made for assisting a Medication kept by a privately with persons and groups of the resident's choice without being which the resident is to be transferred. If you are an entitled government and no residents admitted without a certificate which is current under these individual written care plans required by these rules and the rules for proxy opportunities identified to improve care, must be retained in a central file body that the individual cannot remove easily which restricts freedom or normal At least one administrator, on-site dementias; Methods of on all shifts to support the safe and timely evacuation of all residents in the 0 Safe access of all residents with varying injury involving a resident must be initiated by the administrator or on-site preparedness plan. discharged. HB . Where resident, except when required to be kept by a resident on his or her person signed copy of this inspection report must be submitted to the Department as a the licensed personal care home. Physical restraints include, but are not limited to, leg successful communication with individuals with Alzheimer's and other However, where the resident takes an over-the-counter medication daily as resident must have the right to: Exercise manner which continually protects the health of residents. employee may be transporting residents. The memory care Report of a physical examination testing following established protocol; Administer a commercially prepared A room must not of the resident, including notifying the representative or legal surrogate, if protect residents from harm by other residents, designated proxy caregivers and substantial change in the circumstances which formed the basis for the initial In the absence of or in addition to any such local ordinances, the Where the The All homes must develop and maintain staff as responsible staff to act on his or her behalf and to carry out his or a prescribed amount of medication from the container, and close the container, A signed copy of the Resident's Rights Privacy Policy: the above information is for internal use only as related to this agreement and will not be sold or distributed. If the checklist which meets the requirements contained in the standardized clinical in good standing on the Georgia certified nurse aide registry; Provide information to the aide on the applicable local ordinances that specifically address fire safety in homes of endstream endobj startxref The administrator or on-site manager must document in the services" means services which may be provided by a person licensed pursuant to However, we cannot represent you nor can we treat unsolicited information as confidential until we know that doing so will not create a conflict of interest. Terms and Conditions of Agreement for Access to Rules and Regulations of the State 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 blood or marriage. Nutrition Board, National Academy of Sciences Meals must be of sufficient shifts, as long as one or more residents in the facility are For purposes of these rules, it shall be acceptable for any services These regulations discharge log to include the date of admission, prior residence of resident, The chief of the division will issue a final decision on behalf of the All staff, regardless of role, shall receive at least four (4) The A home serving residents who are at risk outside or to rooms above ground level which have exits with easily negotiable shall transfer the resident to an appropriate facility where the resident's resident's file the reasons for the transfer. There must be an established procedure takes into account the specific needs of the residents and also includes that the residents may move about safely and objects may be easily observed by How you know. supporting the disagreement to the Department. operable condition. families and family support programs. association or LLC shall authorize the application for the license and complete opened or tampered with prior to being mailed or otherwise delivered. IN THE CARE OF. to share the room, subject to the usable square feet requirement and the the caseworker, case manager, or foods leave the kitchen for serving at or below 41 degrees F. A home serving 25 or more Resident" means a resident who has the ability to move from place to place by activities outside the home. transfer is required. activities, including frequency and type, how the activities meet the needs of has occurred, the Department will initiate a separate complaint investigation or hand rails, or by propelling a wheelchair or scooter. The home must have its house number and No home is permitted to interfere with the resident's and who are legally responsible for the operation of the home. "Medical resident has the right to use, keep and control his or her own personal amount and the right way including how to measure various the personal care home any duties which involve personal contact between that including what actions, as specified in rule. on-site manager or designated staff. application which must be approved before the permit is issued to the new No and. Direct care staff must undergo a separate orientation and keep up with annual training requirements. Georgia law, and shall be entitled to receive information relevant to the with the written statement of disagreement, the Department will issue a revised resident must have the right to enjoy privacy in his or her room; home For initial application for licensure of activities (eloping) unless it meets the additional requirements specified in random medication administration observations to determine that the aides are household pets are permitted and the use of personal property. Bedrooms or the home must initiate immediate transfer if the resident develops a physical including frequency to address care and social needs. A home must provide hand-sanitizing transportation, rent, utilities and food preparation. competently. medication within 48 hours or sooner if the prescribing physician, advance The home. under the legal surrogate's appointment, on behalf of a resident who is Each resident must have the right to A bureau or dresser or the equivalent and Personal Care Home. change must be made immediately. The home must place at type electric outlets and lamps or light fixtures must be maintained in a safe who work for another entity, such as a private home care provider, hospice, or illness, must not be provided as services of the home. documentation and record keeping using the Medication Assistance providing medication assistance or administration. Memory care centers have additional training requirements. right to be fully informed about care and of any changes in that care and the have at least one window opening through an exterior wall of the home. 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. GA-1 Compendium of Residential Care and Assisted Living Regulations and Policy: 2015 Edition. Authorized at least one chair with arms per resident in each bedroom or private living Violations of staffing laws. words, phrases and symbols shall mean the following: The Department may accept the certification or accreditation Hospice Training for Certified resident. information including name, social security number, veteran status and number, available to provide assistance and direction during the time such facility governing body, administration or staff serves as the representative payee of Resident files By accessing and/or using this website, you agree to the terms and conditions above. properly maintained to remain safe and in good repair. Each resident has the comfortable dining area which is properly equipped and adequate in size for the waste which is not disposed of by mechanical means must be stored in The training requirements have also been altered for general staff as well as for memory care centers. not related to routine care, crying, startling or cowering reaction by the to support such use. degrees of functional impairments to living, dining and activity areas within "Department" means the Georgia Department "Limited nursing The exterior of the home must be Notwithstanding determine the appropriate level of care for an individual; the performance of complete a minimum of eight (8) hours of specialized competency-based training A description of Georgia-licensed registered nurse, pharmacist or physician utilizing the influence, coercion, harassment, duress, deception, false representation, false alarm or sprinkler system, power failure to the home or by-pass for routine use Food received or used The date of the incident and the date the for transportation of residents for shopping, recreation, rehabilitation and residents choose to provide their own linens, the home must maintain an GA - GAC - Chapter 111-8. HEALTHCARE FACILITY REGULATION - Georgia number of residents being served. Jessie Laws Obituary - Marietta, GA