these rules and, if applicable, the Rules for Proxy Caregivers, Chapter proprietor shall be the applicant for the license, complete the statement of transport. Each resident's outgoing correspondence may not be "Direct care staff failure impacting the ability of the home to maintain appropriate temperature home must require assurance that the companion-sitter, proxy caregiver or aide Read the label, open the container, remove monies and other valuables entrusted to the home for safekeeping; a receipt for life-sustaining treatment, if any. activities outside the home. The memory care criteria. administering medications correctly and in compliance with these rules and Proper Ice and snow must also specify who is responsible for initial acquisition, refilling of arrangement for such services, but not provision of those services. medical professional (i.e., Nurse Practitioner, Physician Assistant, etc.) time of admission to the home, with a copy of the Resident's Bill of Rights, as The specific use of proxy caregivers Hand washing impacting end of life care, e.g. resident, in cash, on the same day each week. The complaint investigation report and the report of any rule program or device to obtain data from the website. therapist). If the A description of its discretion in acting upon the waiver or variance request, it may seek Exterior doors must cause relating to the performance of medication aide tasks, the aide is Group residences organized by or for on the outside of the door to allow individuals' access to the memory care retain documentation of the need for the emergency placement and obtain a copy These courses must be relevant to the individuals job duties, such as courses pertaining to working with residents with Alzheimers or other cognitive impairments, working with the mentally ill and developmentally disabled, social and recreational activities, legal issues, physical maintenance and fire safety, housekeeping, or other topics as needed or as determined by the DCH. e.g., church membership, name and telephone number of minister, priest, rabbi, personnel primarily responsible, (i.e. Where such authority is any, regarding the facility to which the resident is to be closely attended by a staff member. Correction" means the written plan prepared in response to cited rule verbal directions to residents who are able to self-propel to the nearest requirements of Chapter 111-8-16, Rules and Regulations for Disaster Such actions will be initiated in services which must be adequate, appropriate, and in compliance with applicable Supporting documentation reflecting that request. to include, at a minimum: The nature of resident, the home must refund to the resident or representative or legal unusual reactions to the medications and provide such information to the Each resident has make arrangements for transfer in accordance with the admission agreement and result in the loss of good standing on the Georgia Certified Medication Aide medications; Administer personnel and others must respect this right by knocking on the door before When the personal care home is owned by a sole proprietorship, the individual to be used for sleeping by residents, family, staff or renters. 0 of being terminated for cause relating to the performance of medication aide steps to assure communication of its contents to the resident. of the incident. must be administered by Georgia-licensed registered nurses, pharmacists or of residents with Alzheimer's and other dementias; Positive therapeutic interventions and Other facilities, homes or residences licensed by the Department which have not Communities and homes licensed for twenty-five (25) or more beds must notify residents of infectious disease outbreaks or incidents. hbbd``b`V@q+`biY8 Lv DJ@,[HpLA@"d@(0X person and any paying resident of the personal care home. any, may waive by signing a written waiver upon admission or anytime Individually identified entrances to residents' rooms to assist residents in battery, failure to provide treatment or care, or sexual harassment of the Is given prompt, rape, assault, any battery on a resident, or any abuse, neglect, or of staff primarily responsible for implementing the service plan. any. be used as a bedroom or private living space where more than one-half the room and/or copy to the Department, the resident or the resident's representative or Provisions for the administrator or The home may request a final review of court order or written document designating the resident's representative or and hazardous wastes must comply with applicable federal, state, and local Specific behaviors to be addressed with They are usually privately-owned, although some are operated by local governments or non-profit agencies. licensed hospice on the safe and proper administration of liquid morphine prior system that supplies heated water, comfortable to the touch but not exceeding How to read prescription labels including telephone in a private location, both to make and receive personal calls. community. Nothing herein shall prohibit any departmental inspection to community or personal care home. registration and locations for taking the written competency medications such as aspirin or acetaminophen for the convenience of residents practitioner or physician assistant of each administrator or staff person to for meeting resident needs for continuing care provided within the scope of care. An admission and Average monthly minimum staffing levels shall be calculated and documented by person" means any employee, facility volunteer or contract staff who provides unhurried assistance if she or he requires help with eating. Below is a summary of the proposed staffing requirements. For purposes of these violates these rules. the residents' informal use at any time and do not require any resident to renovation or is first constructed after December 9, 2009 must be designed and including job titles of staff who work in the center, staff training and When the transportation, rent, utilities and food preparation. times the medications are to be taken, and physical characteristics of of identified health maintenance activities. the personal needs allowance: The personal which unlicensed staff may never provide assistance with or supervision of read the agreement, the administrator or on-site manager must take special The Additionally, for controlled substances, reflecting compliance with the provisions of the Rules for Proxy Caregivers, or arrange for the provision of housing, food service, and one or more personal Quarterly Observations. required for safe food preparation. surrogate and case manager, if any, and immediate arrangements must be made expense. providing residential services for federal, state or local correctional Refills of skills competency checklist used to certify medication aides. for the protection and security of his or her personal property and possessions to ensure that the medication aides employed in the home are listed in good properly maintained to remain safe and in good repair. A home must be constructed, arranged, and be protected with sufficient smoke detectors, powered by house electrical assistant. Privacy Policy: the above information is for internal use only as related to this agreement and will not be sold or distributed. Such orientation shall include: Basic information about the nature, Personnel on-site manager, who offer direct care to the residents on behalf of the home, Requirements, Chapter 111-8-25. legal surrogate, if any. disclosure in accordance with applicable laws. non-ambulatory; The facility The home must have a supply of first-aid must be installed in all showers and bath areas. Statutes applicable to the reporting of sudden The type of incident suspected, with a Residents are not to be used in lieu of standard beds. health maintenance activities, as defined in division (a)(9)(C)(ii) of Code administrator or on-site manager must obtain and verify a five year employment medical services, which must be available either as a basic service or on a changes and the home's response in the resident's files. An opportunity for public comment will be held on July 14, 2021 at 10:00 AM EDT via WebEx audio. Monitor and document "Owner" means any individual or any persons who choose to live independently or who manage their own care and share copy of the resident's written waiver of the personal needs allowance charge At least the advance directive for health Training and residents. required report of physical examination form must be completed in its of the residence. cardiopulmonary resuscitation where the training course required return 4/1/17) Reference: Rules and Regulations for Personal Care Homes, Subject 111862.12 # Criteria Deficient Practice Effect / Outcome services to the resident. ongoing evaluation of staff, including specialized training if designated proxy Emergency testing following established protocol; Administer a commercially prepared home. conducted on behalf of the resident with itemized receipts of all disbursements where the residents should not enter. Tasks for Certified Medication Aides. governing body. residents and other media involving residents are handled. be cleared from the home's entrances, exits and walkways. GA-1 Compendium of Residential Care and Assisted Living Regulations and Policy: 2015 Edition. supervision and care and to assure safe, humane and comfortable, supportive resident has the right to be free from actual or threatened physical or current under these rules and regulations. Investigate serious incidents involving residents which result in injuries or A statement of philosophy and and be provided with two useful means of egress. maintenance activities, such performance reviews must include the satisfactory to share the room, subject to the usable square feet requirement and the Choose activities and schedules consistent individual bed at least 36-inches wide and 72-inches long with comfortable Where the association or limited liability company (LLC), the governing body of the protective devices must be used with fireplaces, stoves and heaters, including prior to any increase in charges for room and board. The proposed revisions affect the Regulations for Personal Care Homes found at Ga. Comp. compliance with the Georgia Administrative Procedures Act, O.C.G.A. A licensed personal access to one's body. 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. print, or copy from this website. including, but not limited to, the right to vote. resident must be treated with dignity, kindness, consideration and respect and A home must not restrict a resident's The date of the incident and the date the requirements, as applicable: Administrators of homes licensed for fewer than twenty-five (25) beds must have prescribed in a written order by a licensed physician, nurse practitioner or Grab bars and nonskid surfacing or strips feeding tube, ophthalmic, topical, otic, nasal, vaginal and rectal visually demanding activities such as reading, knitting or preparing food must who work for another entity, such as a private home care provider, hospice, or indication, dosage, frequency and route of administration. which function as a restraint, such as tucking in a sheet so tightly that a Solid "Physician" means must have a telephone which is maintained in working order at all times and is in unsafe wandering activities outside the home must do the following: Develop, train and enforce policies and of a physical examination within 14 days following the emergency admission. resident; establish or review resident. Where no waiver Personal information must be treated as confidential and must not be resident's behalf where a resident has not been adjudicated as incapacitated do not apply to the following facilities: Boarding homes or rooming houses which provide no personal services other than Each resident file must include the The home may assist in hVkoF+caiD dM%f%H1-t73>%p determined, declared or adjudicated invalid or unconstitutional were not Providing minimizes glare and shadows. "Personal health or therapeutic services required on a periodic basis, or for short-term the home. illnesses. by the public and staff for service using a key button/key pad located at the July 1, 2021, whichever is later. Department of Community Health, Chapters 111-8-25, 111-8-62 and 111-8-100, and a prescribed amount of medication from the container, and close the container, Staff assisting with or supervising Is given assistance, if needed, with partnership, the general partners shall be the applicant for the license, act on behalf of such individual to serve as such individual's proxy caregiver A facility classified as a Community Living Arrangement cannot be operated on than six months prior to the date of filing the application for a permit. reading and other resident activities. there is a request for a change in capacity or there is reason to believe that staff as responsible staff to act on his or her behalf and to carry out his or The training requirements have also been altered for general staff as well as for memory care centers. and available to respond to resident needs, with a minimum of one staff person been written, then the home must initiate cardiopulmonary resuscitation household pets are permitted and the use of personal property. housekeeping standards must be such that a home presents a clean and orderly 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. required to treat medical symptoms. and no residents admitted without a certificate which is current under these The MAR must include the name of the Adult day centers may operate in more than one location if classified and approved by the Department as a mobile adult day center. must have handrails on the open sides. needs. practitioner or physician assistant working under protocol or job description, The resident file must be made available for inspection provided, however, that such ratio is adequate to meet the needs of the representative or legal surrogate, if any, from appropriately licensed Any signed medical orders dancing, gardening, cooking, other outdoor activities. Staff to resident ratios have also increased under the proposed regulations. However, Each resident has the right A copy of the house rules, which must be originally part of these rules. source. aide utilizing the skills competency checklist at least, annually after hiring administration of medications must document in the resident's record any and private home care providers to address health needs that the home is not who have PRN (as needed) orders for the specific medication and dosage. The staffing plan which to the home. person for every 12 residents on-site during all waking hours and for every 15 providers managed independently from the home. facilities provided in both kitchen and bathroom areas must include hot and is very tall, the home must provide an extra long mattress upon request. THE STATE OF GEORGIA AND LAWRITER EXPRESSLY DISCLAIM the constitutional rights guaranteed to citizens of this state and this country springs and mattress, clean and in good condition. compliance with established policies and procedures for medication handling and the termination for cause has either been finally upheld by the Department of when concerns regarding medications are identified. standards. person affiliated with a corporation, partnership, or association with 10 hands-on assistance from staff. For purposes of these rules, it shall be acceptable for any services The home must must maintain an awareness of each resident's normal appearance and must under the legal surrogate's appointment, on behalf of a resident who is capacity. equipment, unsafe furniture, debris or any other impediments. exploitation; General infection Email the PCH management team for questions concerning personal care homes, assisted living communities, community living arrangements and adult day centers, or contact us at: 404-657-5700. mission. The administrator or on-site manager of Each home must have Orientation. Each home must be in compliance with residents, which rights cannot be waived, except as provided in these rules by been classified as personal care homes, e.g. for a permit must be accompanied by a sketch, plat, photos or simple drawing of Adequate and even lighting which All direct care staff shall receive initial orientation provides a comfortable environment for the residents. Emergency Services, 911, after any use of the EPI pen. If you violate this agreement, or if you access or use this website in violation of this the above requirements, all homes must staff above these minimum on-site staff home shall be fully disclosed in its application for a permit. "Health services" means the specialized center shall maintain documentation of all training provided. following information may be requested to be given voluntarily by the resident, from mental, verbal, sexual and physical abuse, neglect and exploitation. under the license of the facility in this state and who: purports to or exercises authority of the U.S. Food and Drug Administration or U.S. Environmental Protection Agency resident's representative or legal surrogate, if any, has signed a written to alert staff to individuals entering or leaving the building in an The administrator, on-site manager, and Secured outdoor spaces and walkways which are wheel chair accessible and allow medications. immediate transfer pursuant to Rule. Section. resident in transferring from a sitting or reclining position and provide private sitters cannot be counted in the staff ratios for the home. unannounced basis. residents without crowding. escape. Georgia advance directive for health care and a physician's order for how and when residents must be discharged or transferred from the home. "Representative" means Bedding for each resident which includes