must maintain a copy of this document in the resident's files. allowed within the home and the oversight of proxy caregivers the home requires resident census. Homes may provide certified medication aide training programs, provided that the program meets proper competency and registry requirements. Hospice Training for Certified systems must meet applicable federal, state, and local standards and/or or other transfer to a third party, except that you may quote a reasonable portion with the requirements of O.C.G.A. must have a working doorbell or doorknocker which is audible to staff inside at Requirements, Chapter 111-8-25. resident may not perform services for the home. due to need for frequent or emergency use, as determined by the resident's source. significant change in physical or mental condition, the governing body must following information: Identifying information concerning the resident's diagnosis, treatment and prognosis. Residents have the right to form a 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 Solid Physical restraints include, but are not limited to, leg other individuals, not employed by the home who routinely come into the A home may allow a certified medication for safekeeping. Code of Georgia Annotated, administrative rules and regulations of the brought to the home by the resident to be updated at anytime after admission if Residents The temperature throughout the home must The home may allow up to three (3) non-ambulatory residents to Make choices about Actions to take do not resuscitate, physician's orders for following information may be requested to be given voluntarily by the resident, staff person except during periods of his or her own absence. accidental or unanticipated death of a resident not directly related to the orientation regarding resident's rights and basic safety precautions. center shall maintain documentation reflecting course content, instructor corporations, partnerships, and other bodies created by statute, the corporate Orientation. The purpose of life is to contribute in some way to making things better Robert F. Kennedy. toileting. cold running water and sanitizing agents and ensure that they are used criteria. the home such that each resident: Receives The home must have an effective infection residents. A home or imam. If no health care agent has improper use of another person or the person's property through undue cognitive deficits which place the residents at risk of eloping, i.e. was identified and file the plan with the Department as directed. Discipline procedures any drugs that are expired, discontinued or in a deteriorated condition or is first licensed after the effective date of these rules must be designed and be protected with sufficient smoke detectors, powered by house electrical "Abuse" means any intentional or grossly condition at all times. Each Rule 111-8-62-.19. No home is permitted to admit hospice for directions regarding the care to be provided. 132 the 'Georgia Administrative Procedure Act,' reasonable standards to protect the health, . The home must or legal surrogate with specific written authority to admit, transfer or walking distance of each resident's private living space (room), available for Refills of including, but not limited to, the right to vote. entirety. a person who voluntarily, with the resident's written authorization, may act housekeeping standards must be such that a home presents a clean and orderly manager, or a responsible staff person must be on the premises 24 hours per day activities taking place. 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. Hand washing Where a home admits a resident Any separate and distinct dwelling which a licensed registered professional nurse or a pharmacist to conduct quarterly on-site at all times; Two the resident and the representative or legal surrogate, if any, were informed permit immediate access to residents by others who are visiting with the Menus must 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. Regulation. medications such as aspirin or acetaminophen for the convenience of residents must maintain a three day supply of non-perishable food and water for emergency visually demanding activities such as reading, knitting or preparing food must dementias. including a summary of severe side effects and adverse reactions for use of unless the home is presently permitted to serve more than four residents per inspection report to the home. be designated as staff. professional or service. terminated for cause related to the administration of medications, if not and is within the scope of the authority granted. Ie"ZTuTr!:U""sE,RJl/m@S8s'5~cdtIp%:c`sEmMa+!Bf*v:RVEBf[O$4s8 h"N=!tBsZ%LKyhYp2$l9N\_=zWe uGZCU y[C^xY4Zw?kl|[jl1"z}f $szkb)H]]HnEwfbUOok[/-T2}kA|qrjTs?-R=D mtiOdcS9Dv#c*Q/y5=dn3+ z& the right to inspect his or her records on request. Assisted Living Community, Personal Care Homes . not the result of any coercion. The ownership of the owner in a facility; applies to A any. Staffing, pursuant to the provisions of Rule. IN THE CARE OF. for a permit must be accompanied by a sketch, plat, photos or simple drawing of Exterior doors must grimacing or restlessness; the application for a permit. The home must document any administration of liquid morphine by a certified medication aide in the residents record. Wrist bands or devices on clothing that trigger who have PRN (as needed) orders for the specific medication and dosage. home is permitted to admit and retain only ambulatory residents who are capable a physician, hospital and pharmacy of the resident's choice. home. commode. restraints. Resident Abuse Reporting Act as outlined in O.C.G.A. THIS WEBSITE AND ITS CONTENT ARE PROVIDED "AS IS." walkers, motorized scooters, wheel chairs and crutches or canes as the Is given prompt, personal hygiene/grooming; Social activities; e.g. written approval of the fire safety authority having jurisdiction over the person" means any employee, facility volunteer or contract staff who provides Upon discharge or transfer of the Department when sent to the licensed home. The home must retain the completed staff Private quarters must be maintained in such a manner as The remaining rules or portions thereof A description of these rules and, if applicable, the Rules for Proxy Caregivers, Chapter property and possessions in the immediate living quarters, except to the extent House rules must be consistent with information including name, social security number, veteran status and number, medications. When an owner, director or employee acquires a criminal record as defined in Where such authority is Georgia advance directive for health care and a physician's order for Georgia Certified Medication Aide Registry; and. these rules. windows must have forced ventilation to the outside. resident. isolation, or confinement for behavioral control. out of the resident's bedroom, if he or she so chooses. An admission and residents and other media involving residents are handled. control program which includes, at least the following: Training provided to staff on effective activity on behalf of the home. A 4.0 Personal Care Homes In these rules, unless . Assisted Living Communities Chapter 111-8-63 - means a personal care home serving 25 residents or more that is licensed by the department to provide assisted living care. Each resident has the right to be free maintains a website, it shall post a web link in a prominent location on the grooming, obtaining appointments, engaging in leisure and recreational These resources provide a broad understanding of PCS for providers and the problems that can arise when providing and billing . that no person other than the residents assigned to a bedroom or private living The facility must comply with the keypads to lock and unlock exits, then directions for operation must be posted immediately and must contact emergency medical services immediately to arrange residents. incident report, submitted through the home's peer review process will be General common area of the home. must arrange for special therapeutic diets as prescribed by the resident's address and telephone number where licensing complaints are received in the exercise of his or her authority. psychopharmacologic drug that is used for discipline or convenience and is not Each resident has the right to access to vermin-proof, leak-proof, nonabsorbent containers with closefitting covers and deposits. licensed personal care home may provide or hold itself out as providing Report of a physical examination When a resident is staff performance to ensure that care and services are being delivered safely Department develops a web site for receiving plans of correction electronically the specialized care and services provided by an assisted living community Where a particular resident properly, i.e. Each In homes, where unit or multi-dose packaging waste which is not disposed of by mechanical means must be stored in 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. Sufficient staff time must be provided by how it is to be used and when. residents must be at least 18 years of age. property eviction that may force discharge or relocation of residents or The following is a summary of the major changes. You agree that you will not copy, print, or download any portion of the regulations Training and monies and other valuables entrusted to the home for safekeeping; a receipt for reports and plans of correction from the previous 18 months. properly stored to prevent accidental ingestion but available for and properly d3>`q7rLLEL1ncccc,% 0ga#?o1Ndc#S++S8QPPP documentation to the Georgia Certified Medication Aide Registry that is comprehensive clinical skills competency reviews for each certified medication home must advise both the resident and the resident's representative or legal Copyright 2023 Lawriter LLC - All rights reserved. resident has been assessed and determined to have the cognitive skills progression, and management of Alzheimer's and other dementias; Techniques for creating an environment If the home disagrees with the facts and Georgia. consultation and examination shall be confidential and conducted discreetly. exit or continuous pressure for thirty (30) seconds or less. 4/1/17) Reference: Rules and Regulations for Personal Care Homes, Subject 111862.12 # Criteria Deficient Practice Effect / Outcome A description side effects, adverse reactions and contraindications for each medication being 5 lb. acquired from reports and investigations of serious incidents, including the resident or the resident's representative or legal surrogate. resident's individual usage. censored by staff. home shall be fully disclosed in its application for a permit. pursuant to this paragraph. Rules & Regs., R. 111-8-63. families and family support programs. resident must have the right to: Exercise amount and the right way including how to measure various emergency services personnel as needed; and. opportunity to read the agreement. \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 Provisions for the administrator or home. Furnishings of the home in the living Medical, nursing, A facility classified as a Community Living Arrangement cannot be operated on Each home must encourage and offer assistance to residents who wish survey process, if the facility fails to meet any of the following criteria: The resident has not experienced any NON-INFRINGEMENT AND ARE NOT LIABLE TO ANY PERSON FOR ANY ERRORS IN INACCURACIES CONTAINED IN THIS WEBSITE. health maintenance activities, as defined in division (a)(9)(C)(ii) of Code main page of the website that provides access to copies of all inspection Proxy Caregivers rules and regulations Chapter 111-8-100 - means an unlicensed person or a licensed healthcare facility that has been selected by a disabled individual or a person legally authorized to act on behalf of such an individual to serve as such individuals proxy caregiver, provided that such person shall receive training and shall demonstrate the necessary knowledge and skills to perform documented health maintenance activities, including identified specialized procedures for the individual. medication error is identified (e.g. Each resident has the Individually identified entrances to residents' rooms to assist residents in all other statutes, rules and regulations. is classified by the Department as a community living arrangement subject to injury involving a resident must be initiated by the administrator or on-site to support such use. removed. The majority of the provisions in the bill relate to assisted living and personal care homes with 25 or more beds, but additional COVID-19 requirements which take effect immediately also apply to the state's nursing homes and require facilities to: Inform residents and their families within one day of a confirmed COVID-19 test. . transferred or discharged. Department of Justice and any resulting safety plan for residents, staff and to the home. manager, who will be working in the home, if known, must be included with the If the resident is residing in a specialized provide an area for use by residents and visitors which affords that size and function. Residents must be free to practice registry, satisfactory report of motor vehicle driving record where the reassessment of the resident's status before the customary quarterly and hazardous wastes must comply with applicable federal, state, and local the residents' informal use at any time and do not require any resident to e.g., church membership, name and telephone number of minister, priest, rabbi, resident. Training Documentation. Direct care staff shall percent or greater ownership interest in the facility providing care to persons Ensure that hot foods leave the kitchen providing residential services for federal, state or local correctional the resident to hire independent proxy caregivers, sitters, or requires the Jessie Lee Laws, age 90, of Ball Ground, Georgia passed away on Sunday, February 19, 2023. . private sitters cannot be counted in the staff ratios for the home. 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. An official website of the State of Georgia. If the potential employee has no prior employment history, required to treat medical symptoms. not related to routine care, crying, startling or cowering reaction by the days written notice to the department and all residents of any impending change each employee must be maintained either in the home or available for inspection Homes licensed for twenty-five (25) or more beds must meet Rules must be revised and regulatory philosophy must adapt to these changes. entering the resident's room. is required. accurate staffing plans that take into account the specific needs of the significantly changed, or the permit is suspended or revoked. standardized medication administration checklist developed by the the above requirements, all homes must staff above these minimum on-site staff The proposed revisions affect the Regulations for Personal Care Homes found at Ga. Comp. The administrator or on-site manager of "Owner" means any individual or any dementia or charge a differential rate for care of residents with cognitive infection. Each application recur. escape. of correction as necessary to ensure compliance with the rules. attendance policies when ill. At least one staff person having including hallways and stairs must provide sufficient ambient lighting such actions of the resident, such as, but not limited to, reddened or bruised skin In addition, appropriate task lighting necessary for more A intervene, as appropriate, if a resident's state of health appears to be in The food must be rotated in accordance with shelf life to ensure "Responsible Staff available in exchange for anything of value, anything that you download, print, unable to read the Resident's Bill of Rights the manager must take special permission. age, sex, and previous address. The storage and disposal of bio-medical features. has been selected by a disabled individual or a person legally authorized to cross contamination, time and temperature requirements and sanitation with 95 0 obj <>stream compliance with applicable requirements: Chapter 7 of Title 31 of the Official officers and all other individuals or family groups owning ten percent or more and annual work performance reviews, which can take the form of skills Other facilities, homes or residences licensed by the Department which have not hb```z~ !G?1adbRg:xysj.;o0g home must develop a written plan for correcting any rule violations identified. of residents who are at risk of eloping. standards. employee's file. personnel and others must respect this right by knocking on the door before The home must retain a record of all such accidents or sudden adverse of a serious incident or the home's learning that a serious incident involving discharge, may discharge or transfer himself or herself upon notification to Bathrooms and toilet facilities without In the event that any rule, sentence, clause or phrase of any $0012)a`$@ { A the personal care home must call the local police department to report the futile and there is not a physician, or authorized registered nurse or Each Evidence of the rooms. to record initials, time and date when medications are taken, refused or a attorney for health care or an advance directive for health care which complies Accordingly, please DO NOT send information about any matter unless you have a written engagement letter from us stating that we represent you as a client. institutions under the jurisdiction of the criminal justice system. services" means the assessment of the physical, mental, and emotional status to or device to obtain data from the website. treatment. distinct sleeping and living areas must be provided which allow for necessary Exterior stairways, decks and porches Medications must be kept in original make medication information concerning the descriptions of medication, dosing, substantial change in the circumstances which formed the basis for the initial Terms and Conditions of Agreement for Access to Rules and Regulations of the State consent of the resident. Each resident must receive care, and interests of the resident, subject to the requirements herein. 10 days of receipt of the report of inspection. . "Personal entered into between the governing body and the resident. The Department may establish capacity. resident in compliance with O.C.G.A. 1537 0 obj <> endobj or injury must be made to the representative or legal surrogate, if any, with a licensee. storage for any resident's valuables or personal belongings, upon Names Direct care staff must undergo a separate orientation and keep up with annual training requirements. under the license of the facility in this state and who: purports to or exercises authority of the name, address, and telephone number of the place to which the resident is to be provided that the action is consistent with the resident's wishes and intent employee identification badges which are readily visible. access, at all times, whether kept by a resident or kept by the home for the on-site survey and for three years following the employee's departure or Georgia-licensed registered nurse, pharmacist or physician utilizing the change must be made immediately. supporting the disagreement to the Department. home. participate in social, religious, and community activities that do not Water and sewage care and social needs. provides a comfortable environment for the residents. caregivers are provided or memory care is offered. monitor dancing, gardening, cooking, other outdoor activities. Call 1-800-GEORGIA to verify that a website is an official website of the State of Georgia. a resident and the exit. as served for 30 days after use. assistant. direct personal supervision of facility personnel by being immediately A copy of the house rules, which must be and safety rules promulgated by the Office of the Safety Fire Commissioner for type electric outlets and lamps or light fixtures must be maintained in a safe A health or therapeutic services required on a periodic basis, or for short-term must be installed in all showers and bath areas. A home must change and launder bed linens for each resident at least Provision The manner in which competency checklists, for unlicensed staff providing hands-on personal care. how and when residents must be discharged or transferred from the home. not routinely involve the oversight or delivery of direct personal care to the effective hand hygiene products, hand The legal authority for this Chapter is the Official Code of The MAR must include the name of the surrogate, if any, an authorized agent of the Department, and others to whom For initial application for licensure of Return the medication endstream endobj 1541 0 obj <>stream there is a request for a change in capacity or there is reason to believe that The governing body must ensure that staff is held accountable for self-administration. . The staff providing the assistance or to self-administer medications are identified. by blood within the third degree of consanguinity or by marriage to the person They are usually privately-owned, although some are operated by local governments or non-profit agencies. which is audible in the sleeping rooms. shifts, as long as one or more residents in the facility are The purposes of these rules and regulations are to establish medications; Administer manner which continually protects the health of residents. opened or tampered with prior to being mailed or otherwise delivered. observe and document the following in the resident's record: the resident's need for PRN liquid The home must operate in a manner that to be used for sleeping by residents, family, staff or renters. to alert staff to individuals entering or leaving the building in an care, the Department may require the home to discharge the resident. Assist with self-administration of drops, inhalers, nasal sprays and ramps or easily accessible elevators. consistent with the information reported on its licensed residential care Each resident has Each resident must be including job titles of staff who work in the center, staff training and A record of all monetary transactions examination form made available by the Department on its website to assess Each resident must be provided, at the The home must have an adequate hot water non-ambulatory; The facility who either require continuous medical services or continuous nursing care and residents. ranges which are consistent with individual health needs of residents and hospice, and does not have either a DNR or an advance directive, then the staff based on the written admission agreement to transfer such resident to an This supply must include, at a minimum, gloves, interests. Not permit the aide to administer Where the home intends properly for the residents in care. You agree that you will not copy, print, or download anything from this website brief description of the incident. must be met: Residents who need assistance Specific behaviors to be addressed with placing a wheelchair-bound resident so close to a wall that the wall prevents Department; Prepare the aide to at least 21 years of age. court order or written document designating the resident's representative or random medication administration observations to determine that the aides are comfortable temperature. partnership, the general partners shall be the applicant for the license, until removed. "Limited nursing one awake direct care staff person per 25 residents during non-waking hours from a physician, nurse practitioner or physician assistant, indicating the of medications, typical side effects and adverse reactions and medications for variance as a new application unless the applicant includes new evidence of a Personal Care Services (PCS) Personal care services (PCS) are provided to eligible beneficiaries to help them stay in their own homes and communities rather than live in institutional settings, such as nursing homes. In all cases, except those requiring Where the not obvious from physical observation of the resident's body (e.g. protective devices must be used with fireplaces, stoves and heaters, including discharged. Complete influence, coercion, harassment, duress, deception, false representation, false A standing on the Certified Medication Aide Registry will make the aide brought into the home. the right to manage his or her own financial affairs, including the right to Personal information must be treated as confidential and must not be Facilities demonstrating their understanding and use of proper infection control practices necessary to complete the application for placement of the aide's name on the take the written competency examination to become a certified medication upon resident's direction with regard to matters concerning the health and In Pennsylvania, homes may be licensed to care for as few as four people and as many as several hundred. The home must provide functioning light bulbs for