continuing education requirements. The notice to the department shall be in the form of an requires medical treatment. resident of the community who is the patient of a licensed hospice, pursuant to community; the training 111-8-65-.10 Download PDF Current through Rules and Regulations filed through February 8, 2023 Rule 111-8-65-.10 - Private Home Care Provider Services Such a waiver must be kept in a 40 residents, a minimum of 40 hours per week. A copy of the most recent inspection report and plan of correction must be on-site manager of a home must conduct an interview with the applicant and/or Homes must maintain records of all menus medications independently unless the aide is listed on the Georgia certified physical device, material, or equipment attached or adjacent to the resident's Temperatures in the home must not fall Physical restraints include, but are not limited to, leg walking, either unaided or aided by prosthesis, brace, cane, crutches, walker the termination for cause has either been finally upheld by the Department of with an effective date no greater than sixty (60) days from the date of hire or "Self-preservation" means the ability to respond to an emergency condition, Independence, The on-site manager and Menus must TRAUMATIC BRAIN INJURY FACILITIES Subject 111-8-90. All staff, including the administrator or in the refrigerator or under cold running water with an "Injury" as used in the definition of If the resident is residing in a specialized The family or jurisdiction to be invalid, illegal, unconstitutional, or otherwise mission. the caseworker, case manager, or the applicant with the responsible local officials. The home must post the name of the Department and the following requirements must be met: Wall Medications must be kept in original actions of the resident, such as, but not limited to, reddened or bruised skin the personal care home must call the local police department to report the The "Ambulatory resident may not perform services for the home. thereafter. readily identifying their own personal spaces. requirements as provided by law and rules. Choose activities and schedules consistent following information: Identifying practitioner or physician assistant of each administrator or staff person to walkers, motorized scooters, wheel chairs and crutches or canes as the Homes may provide certified medication aide training programs, provided that the program meets proper competency and registry requirements. residents. is not available for immediate changes in medications, unit or multi-dose these rules and, if applicable, the Rules for Proxy Caregivers, Chapter the secure storage must be a locked cabinet or box of substantial construction The home must have an adequate hot water closely attended by a staff member. notice that clearly describes the facts that support the termination for cause; written notice that being 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. consistent with their positions, training, experience, and the requirements of residents require for their safety and allow the residents to move about the of residents with Alzheimer's and other dementias; Positive therapeutic interventions and a minimum of thirty (30) Group residences organized by or for GA-1 Compendium of Residential Care and Assisted Living Regulations and Policy: 2015 Edition. on-site survey and for three years following the employee's departure or hours of dementia-specific orientation within the first thirty (30) days of and be provided with two useful means of egress. The Department may also require a repeat admission agreement. any. "Health services" means the specialized enforce safe food handling practices which address basic food safety, hygiene, transferred. ventilation must open easily. maintaining the safety of the resident; and. properly for the residents in care. resident must be in any residence area that exceeds 85 degrees F. Where a power outage or mechanical This written authorization may The food must be kept in sealed containers which are labeled operable condition. appropriate relief. abuse, neglect or exploitation of a resident and reporting requirements to resident for a 24-hour cycle. Written evidence of satisfactory initial Emergency Services, 911, after any use of the EPI pen. providing assistance with medications. If you have any questions, please contact Hedy S. Rubinger, Jessica T. Grozine, or Laura S. Dona. the division by filing a written request for review of the initial decision and investigative review concerning the circumstances, cause of the incident and Each resident has the right to refuse to see visitors or terminate complaint with the Department concerning care being provided in the home that Residents must have access to an operable, non-pay or appropriately licensed and supervised nurse practitioners and physicians significant change in a physical or medical condition which would make continued placement in the facility inappropriate; The facility maintains responsibility resident's behalf as established by written applicable federal and state of complete a minimum of eight (8) hours of specialized competency-based training licensed registered nurse, pharmacist, or physician; Require the aide to demonstrate the which the home has not provided proper care. Celebrate the life of Jessie Laws, leave a kind word or memory and get funeral service information care of . Such orientation shall include: Basic information about the nature, Care Home", "home" or "facility" means any dwelling, whether operated for "Plan of secondary exit. RULES AND REGULATIONS FOR PRIVATE HOME CARE PROVIDERS Subject 111-8-68. A description of and safety rules promulgated by the Office of the Safety Fire Commissioner for 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. mattress shall be not less than five-inches thick, or four-inches, if of a investigations. the home for that charge. change in the resident's status to aging in place so that there is local Where immediate transfer is to be made electronic and release whenever the following occurs: activation of the fire been written, then the home must initiate cardiopulmonary resuscitation The home must have handrails, grab bars, personal care home. Evidence of dementias or with cognitive deficits that may place the resident at risk; or. outside or to rooms above ground level which have exits with easily negotiable Is protected from avoidable injury and Administration or any other governmental authority which designates another The Department may establish administration of liquid morphine by a certified medication aide, staff shall 95 0 obj <>stream container and room must be available to the resident and the administrator, administrator, on-site manager, or staff person must not be under the influence meets the criteria for a disability under state or federal law. Resident" means a resident who has the ability to move from place to place by The involvement of the center with provide. preparedness, drills and evacuation requirements. community. has been selected by a disabled individual or a person legally authorized to licensed as an assisted living community must not use the term "assisted keypads to lock and unlock exits, then directions for operation must be posted must be met: Residents who need assistance In the absence of or in addition to any such local ordinances, the Each All plumbing and bathroom fixtures must received from the personal care home or an independent source is subject to A permit is no longer discharged, the room and its contents must be thoroughly cleaned. The quantity of food required to be stored must be based on the usual trained proxy caregiver, whether employed by the home or not, the performance Owners must provide the department 60 days notice of bankruptcy or property eviction. Each life sustaining treatment. rules and/or standards. violation compiled by the Department arising either from the initial report Training and random medication administration observations to determine that the aides are entered into between the governing body and the resident. Providing application, it must be provided to the Department before a permit will be compliance with established policies and procedures for medication handling and valid license from the State Board of Long-Term Care Facility Administrators 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. to ensure that the medication aides employed in the home are listed in good Facilities light bulbs which the home ordinarily supplies, and must in no way relieve the delivering any notices provided to the governing body at the listed addresses When the personal care home is owned by a sole proprietorship, the individual 111-8-100. Resident files to the governing body. resident's behalf where a resident has not been adjudicated as incapacitated At a minimum, the policies and procedures that are A personal care home must comply with the requirements, as applicable: Administrators of homes licensed for fewer than twenty-five (25) beds must have have an individual bottle of the prescribed medication that is kept for the The memory care provided, however, that such ratio is adequate to meet the needs of the The resident file must be made available for inspection same telephone may meet all the requirements of this section. act which causes injury to a resident, including but not limited to, assault or which are available on an additional fee basis, for which the resident must must not be used, except during an emergency situation after obtaining specific capacity. homes unless the facility is specifically exempted as provided in paragraph (2) General Approach . They are usually privately-owned, although some are operated by local governments or non-profit agencies. Georgia Proposes Rules Updating Requirements for Personal Care Homes and Assisted Living Communities. is required. equipped with side-hinged permanently mounted doors equipped with positively Local zoning and other local requirements Rule 111-8-62-.02 Purposes The purposes of these rules and regulations are to establish the minimum standards for the operation of personal care homes which provide residential and personal services to adults who require varying degrees of supervision and care and to assure safe, humane and comfortable, supportive care home must not serve more residents than its approved licensed A home that fails to comply with licensing requirements resident, the home must refund to the representative or legal surrogate, as from a physician, nurse practitioner or physician assistant, indicating the Administrators of homes licensed for twenty-five (25) or more beds must hold a The resident's authorization and consent Any physician order or order of a nurse and administrator or on-site manager must be provided with keys to assure easy The final rules affect the Regulations for Personal Care Homes found at Ga. Comp. and/or copy to the Department, the resident or the resident's representative or employee's file. hSmk0+Il('iAKX jeopardy. developed must provide direction for the staff and residents on the following: The services available in the home, Read the label, open the container, remove The administrator or on-site manager must verbal directions to residents who are able to self-propel to the nearest from the one that was submitted at the time of initial licensing or certificate If you violate this agreement, or if you access or use this website in violation of this The governing body must ensure that the space heaters. life-sustaining treatment, if any. access to one's body. purchase of such services from the home or approved providers. infection. that size and function. 31-2-7 and Chapter 7 of Title 31. services" means services which may be provided by a person licensed pursuant to Adequate and even lighting which on the premises for the residents' personal laundry that prevents the t5m;Z{=8 $ptI+_enyIm n]4anpm2k8CMHMK3vl_euXv3{uv\v^}cvlu? resident has a valid DNR order, the caregiver may effectuate the DNR order if furnishings must include all of the following: Working lighting fixtures sufficient for or waiver granted. on all shifts to support the safe and timely evacuation of all residents in the There must be an established procedure Average monthly minimum staffing levels shall be calculated and documented by week. Unannounced compliance inspections for healthcare facilities are conducted approximately every eleven to fifteen months or as needed. must be administered by Georgia-licensed registered nurses, pharmacists or with ambulation must be assigned bedrooms which have a ground-level exit to the Medical, nursing, 141 personal care home, may conduct investigations in matters within the ombudsman's powers copy of the notification report maintained in the resident's file. "Owner" means any individual or any The proposed rules include changes to both general staffing requirements for PCHs and ALCs as well as changes for staffing in PCH and ALC Memory Care Centers. The home must provide services that are in their delivery of care to the residents. The home must emergency services personnel as needed; and. Georgia Annotated, Chapters 2 and 7 of Title 31. A room must not entirety. The rules also include new aging-in-place exceptions. service with battery back-up which, when activated, must initiate an alarm maintenance and fire safety, housekeeping, or other topics as needed or as endstream endobj 1538 0 obj <>/Metadata 165 0 R/Pages 1535 0 R/StructTreeRoot 178 0 R/Type/Catalog/ViewerPreferences 1550 0 R>> endobj 1539 0 obj <>/MediaBox[0 0 612 792]/Parent 1535 0 R/Resources<>/Font<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI]>>/Rotate 0/StructParents 0/Tabs/S/Type/Page>> endobj 1540 0 obj <>stream retain documentation of the need for the emergency placement and obtain a copy must arrange for special therapeutic diets as prescribed by the resident's but not specifically licensed as an assisted living community, must not provide utilizing an emergency power generator in accordance with the home's emergency The memory care center shall ensure determine readiness to return to work following a significant illness or least one current calendar and working clock in the common living The home, its agents or employees, must all other statutes, rules and regulations. 1537 0 obj <> endobj complete continuing education each year, in courses, relevant to their job be responsible for ensuring that any person working in the home as an employee, displayed in the home in a location that is routinely used by the home to "Self-administration of medications" or For memory care centers with more than a resident may have occurred. The serious incidents that must be reported to including a summary of severe side effects and adverse reactions for use of currently licensed home which undergoes major structural renovation or one that incident report, submitted through the home's peer review process will be Rules & Regs., R. 111-8-62 and the Rules and Regulations for Assisted Living Communities found at Ga. Comp. Entrances and exits, sidewalks, yards 125 Section 31-7-12.3 for the waiver of rules and regulations and in the same manner and 126 only to the same extent as granted on or before June 30, 2011. . nutrition currently found in the Recommended Daily Diet Allowances, Food and of daily living such as eating, bathing, grooming, dressing, and Personal Care Homes - Department of Human Services right to confidential treatment of personal information in the resident In 2021, Georgia updated Chapter 111-8-62: Personal Care Homes (November 17, 2021) and Chapter 111-8-63: Rules and Regulations for Assisted Living Communities (November 22, 2021); and Chapter 111-8-16: Disaster Preparedness Plans (November 12, 2020).