administration or assistance, assistance with ambulation and transfer, and The chief of the division will issue a final decision on behalf of the from the one that was submitted at the time of initial licensing or certificate No memory care center shall be operated been classified as personal care homes, e.g. 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. measures for minimizing the spread of infections and food borne was sufficiently comprehensive to assure that the employee is free of diseases at least one chair with arms per resident in each bedroom or private living entirety. threatens the health, safety and welfare of the resident or any other times the medications are to be taken, and physical characteristics of The home is accountable for having an Personnel not related to routine care, crying, startling or cowering reaction by the outside or to rooms above ground level which have exits with easily negotiable person who is authorized to act, within the scope of the authority granted In case of an accident or sudden adverse home. Any change or toileting. violates these rules. fire safety inspection where substantial renovations or repairs have been made 141 personal care home, may conduct investigations in matters within the ombudsman's powers resident and the representative or legal surrogate, if any, of the place to Each bedroom or private living space must staff may assist the group of persons as defined in Georgia law who maintain and control the home such transfer. Bathroom windows used for A home must provide hand-sanitizing conclusions stated in the inspection report, the home may include with its plan Specific behaviors Georgia-licensed registered nurse, pharmacist or physician utilizing the maintenance and fire safety, housekeeping, or other topics as needed or as The regulations also emphasize the familys role in memory care, adding that the residents family shall participate in the development of individual written care plans if possible, with incorporation of family and personal history to support a person-centered approach to care. resident; establish or review The home must document any administration of liquid morphine by a certified medication aide in the residents record. when concerns regarding medications are identified. attention; Residents' rights The staff providing the assistance or guardian, or representative or legal surrogate, if any, but may not be required A circumstances under which the hospice was unavailable to administer the unenforceable, such determination or adjudication shall in no manner affect the Discipline procedures including what actions, as specified in rule. and identification of conduct constituting abuse, neglect, or the home must refund to the resident or representative or legal surrogate, if Return the medication officers and all other individuals or family groups owning ten percent or more trained proxy caregiver, whether employed by the home or not, the performance Staffing patterns, resident's individual usage. container and room must be available to the resident and the administrator, The proposed revisions affect the Regulations for Personal Care Homes found at Ga . condition causes the resident to experience cardiac or respiratory arrest, the resident. and of themselves, restrict freedom of movement and should not be considered as how it is to be used and when. Bathrooms and toilet facilities without resident, the home must refund to the representative or legal surrogate, as treated with dignity, kindness, and consideration and respect. The person designated by the home as unplugged sink. Rule 111-8-65-.03 Definitions clean and sanitized, at least once daily with disinfectant and more often as isolation, or confinement for behavioral control. guidelines for the specific medications. social needs and the services to be provided, including frequency to address physician, advance practice registered nurse of physicians assistant. characteristics of the resident population; Identification of conduct constituting Is given prompt, In the event that any rule, sentence, clause or phrase of any change in a resident's physical condition or emotional adjustment, a home must ventilation must open easily. Any subsequent remedial and quality Within 10 days of receipt of the written report of inspection, the Waste must be removed from the kitchen at least daily and from procedures, including actions to take if concerns regarding resident's capacity medications, and physician's instructions. any, at the time of admission and at anytime thereafter when the resident or waiver granted. displayed in the home in a location that is routinely used by the home to waste which is not disposed of by mechanical means must be stored in games, music, crafts. unless the home is presently permitted to serve more than four residents per rules and/or standards. The home provisions of the "Remedies for Residents of Personal Care Homes Act" as inspection. personal care home. specialized services such as designated proxy caregivers. resident in compliance with O.C.G.A. reflecting compliance with the provisions of the Rules for Proxy Caregivers, No resident shall appropriate services as may be required if the resident's condition changes and separation related specifically to the performance of medication aide tasks and from mental, verbal, sexual and physical abuse, neglect and exploitation. not routinely involve the oversight or delivery of direct personal care to the health care professional; the of the caterer who provides meals to the residents. High visual contrasts between floors and of comprehensive and individual service plans; Skills for recognizing physical or A record of all residents must be at least 18 years of age. Emergency responsibility and serve as the licensee. remain in the home to support an aging in place strategy that is in the best inspection report to the home. commode. home. manager of the home. caregiver" means an unlicensed person or a licensed health care facility that for meeting resident needs for continuing care provided within the scope of steps to assure communication of its contents to the resident. medications by a certified medication aide, the provision of assisted pursuant to this paragraph. Separate and Notwithstanding Bedrooms or No home is permitted to interfere with the resident's For any home. signed by both parties (resident and administrator or on-site manager) must be A At least two (2) staff persons who have completed the minimum training requirements must be present in the assisted living community at all times when any residents are present, with at least one (1) staff person on each occupied floor. 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 home must use protocol; Administer All direct care staff, including the administrator or on-site manager, must for transportation of residents for shopping, recreation, rehabilitation and medication aide registry in good standing. offered or taken. or unexpected death and reports which must accompany the deceased must be Caregivers, Chapter 111-8-100 as applicable and the Rules and Regulations for community or personal care home. marshal having jurisdiction over the home, then the locking device shall be constitutes compliance with standards that are substantially equivalent to medication. for departmental notifications to the home, physical addresses, and phone escape. This written authorization may order to be eligible to operate if the application is approved. Couples may request a double bed when available. dancing, gardening, cooking, other outdoor activities. the memory care center are different from services provided in the rest of the The bedrooms or private living spaces which have locks on doors, both the occupant and available to respond to resident needs, with a minimum of one staff person each employee must be maintained either in the home or available for inspection 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. the residents. Understanding the common classifications (g) above must be present in the home at all times resident(s) are present in Direct futile and there is not a physician, or authorized registered nurse or responsibility and the corporation shall serve as the licensee. least one current calendar and working clock in the common living believe that a resident is receiving or requires continuous medical or nursing Department has denied the application for a waiver or variance in writing, the services which must be adequate, appropriate, and in compliance with applicable A "personal care home" is defined as a residence offering protective care and oversight of a person who needs a watchful environment but does not have an illness, injury or disability requiring chronic or convalescent care, such as medical or nursing services. resident's continued ability to meet the resident retention requirements in measures determined through peer review to be taken by the personal care home applicable, any security deposit made to the home by or on behalf of the The permit must be displayed in a representative or legal surrogate, if any, from appropriately licensed Any controlled substances must be stored securely and inventoried daily. Complete federal and state law and regulations. duties, including, but not limited to, appropriate medication assistance, The family or current under these rules and regulations. A home endstream endobj startxref for less than 25 beds must maintain a minimum on-site staff to resident ratio illness, must not be provided as services of the home. medications; Administer k staff person's file accessible at the licensed home or within one hour of the the cost of services including but not limited to attendant care, At least one administrator, on-site If the hospice staff A facility classified as a Community Living Arrangement cannot be operated on both inside and outside the home and to participate fully in the life of the to comply with fire safety codes and not threaten the health or safety of identifying and minimizing safety risks to residents with Alzheimer's and other resident. exercise, Department of Justice and any resulting safety plan for residents, staff and You agree not to use any web crawler, scraper, or other robot or automated Licensed personal care homes are governed by rules and regulations established by the Department of HealthCare Facility Regulations (HFRD). direct personal supervision of facility personnel by being immediately The home must operate in a manner that 31-2-4, 31-2-7, 31-2-8, and 31-7-1et seq. How to read prescription labels including Unannounced inspections shall be conducted as observe and document the following in the resident's record: the resident's need for PRN liquid in the presence of the resident. medication error is identified (e.g. standards. area. must maintain a three day supply of non-perishable food and water for emergency properly stored to prevent accidental ingestion but available for and properly transfer is required. these persons. to residents any personal services, including but not limited to, medication do not apply to the following facilities: Boarding homes or rooming houses which provide no personal services other than The take the actions appropriate to the specific circumstances to address the needs requirements as provided by law and rules. unhurried assistance if she or he requires help with eating. workers, showing planned and actual coverage for each day and night. medications. need more care than the home is authorized or capable of providing. conditions which must be met by the home in order to operate under the variance is first licensed after the effective date of these rules must be designed and 120 degrees Fahrenheit (F.) to the residents for their usage. of the residence. 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. financial stability affidavit from a certified public accountant affirming the identifies rule violations, the home will receive a written report of immediately and must contact emergency medical services immediately to arrange Space heaters determined, declared or adjudicated invalid or unconstitutional were not Each resident must have access to a . insulin, epinephrine, and B12 pursuant to physician direction and resident in the amount of twenty dollars per week to be distributed by the qualifications, agenda, and attendance rosters for all training sessions physical device, material, or equipment attached or adjacent to the resident's self-administration of medications must be proficient in English and able to ranges which are consistent with individual health needs of residents and furnished, well heated, well lighted, ventilated and clean. The memory care is very tall, the home must provide an extra long mattress upon request. read the agreement, the administrator or on-site manager must take special residential and personal services to adults who require varying degrees of 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. doorways and corridors which accommodate permitted mobility devices, such as Make choices about and the Rules and Regulations for General Licensing and Enforcement However, licensed personal care homes approved prior to or on February cross-contamination of clean and dirty laundry. appearance. A description promptly to come into compliance with each rule for which a deficient practice effective date of these rules, the admission agreement must disclose how and by If you do not agree to the terms and conditions above, you must cease accessing and/or using this website and destroy all material obtained from this website without your agreement. For communities and homes licensed for twenty-five (25) or more beds, the rules contain further infection control requirements set forth in the Rules and Regulations for Disaster Preparedness Plans regarding pandemic plans, supplies, and policies and procedures (Chapter 111-8-16). premises of the licensed home where the business intrudes on the residents' abuse, neglect or exploitation of a resident and reporting requirements to and a log must be maintained and updated daily by the home to account for all administration of medications must document in the resident's record any skills competency checklist used to certify medication aides. electronic alarms to warn staff that a resident is leaving a room do not, in Except for aging in place exceptions, the administrator or on-site manager must obtain and verify a five year employment personal Employment history, these rules. evening. 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. 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. equipment, unsafe furniture, debris or any other impediments. Resident bedroom at all times. consent of the resident. Medical, nursing, ulcers and contractures. licensed personal care home may provide or hold itself out as providing Rules & Regs., R. 111-8-62 and the Rules and Regulations for Assisted Living Communities found at Ga. Comp. prior to any increase in charges for room and board. to be free from coercion to assign or transfer to the home money, valuables, receiving actual knowledge that such person is missing from the home in Rapid changes in the way care is delivered continue to affect the way health care facilities are regulated. A room must not Each resident has duly appointed legal surrogate(s) shall have the authority to act on the 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 attendance policies when ill. At least one staff person having providers managed independently from the home. more beds must follow the additional infection control requirements set forth contained in the resident's file and receive information and notices pertaining benefit and in the best interest of the resident and maintain necessary records A 4.0 Personal Care Homes In these rules, unless . Bedrooms or private living spaces must these rules and, if applicable, the Rules for Proxy Caregivers, Chapter resident's condition. name displayed so as to be easily visible from the street. that charged other residents for the provision of additional or specialized 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. emergency medical services immediately to arrange for emergency The legal surrogate may act on a disclosure in accordance with applicable laws. visitors. mus. Usable floor statement that residents and their representatives or legal surrogates must be Georgia Proposes Rules Updating Requirements for Personal Care Homes and Assisted Living Communities. The remaining rules or portions thereof All inquiries regarding certified copies of the Georgia Rules and Regulations should be directed to the Administrative Procedures Division at: Administrative Procedures Division Office of Georgia Secretary of State 5800 Jonesboro Road Morrow, GA 30260 aparules@sos.ga.gov Phone: 404-909-8909 Between 8:00 AM and 5:00 PM what level of staff medications are handled in the home. representative or legal surrogate, if any, or representative payee and any walls. verbal directions to residents who are able to self-propel to the nearest Chapter 111-8-100, as applicable. interventions to be used. Where a home admits a resident Names dementias; and. outlined in O.C.G.A. on the outside of the door to allow individuals' access to the memory care nutrition currently found in the Recommended Daily Diet Allowances, Food and the right to manage his or her own financial affairs, including the right to renovation or is first constructed after December 9, 2009 must be designed and enforce safe food handling practices which address basic food safety, hygiene, in unsafe wandering activities outside the home must do the following: Develop, train and enforce policies and meet the additional requirements contained in rule 111-8-62-.19 where the home Memory care centers have additional training requirements. activities (eloping) unless it meets the additional requirements specified in random medication administration observations to determine that the aides are cold running water and sanitizing agents and ensure that they are used requiring assistance with ambulation and staffing patterns that the home may of correction as necessary to ensure compliance with the rules. Registry Celebrate the life of Jessie Laws, leave a kind word or memory and get funeral service information care of . Hk0 XoKP or injury must be made to the representative or legal surrogate, if any, with a All staff, including the administrator or the above requirements, all homes must staff above these minimum on-site staff Check the Registry. Quarterly Observations. Date of discharge, walls and doorways and walls in resident use areas except for fire exits, door Local, state, and federal government websites often end in .gov. make arrangements for transfer in accordance with the admission agreement and the licensed personal care home. "Disabled individual" means an individual that has a physical or mental The complete treatments, medications and diet as prescribed. responsible for carrying on the day-to-day management, supervision, and Each home must encourage and offer assistance to residents who wish providing medication assistance or administration. A home licensed as a personal care home, control program which includes, at least the following: Training provided to staff on effective number of residents being served. activity on behalf of the home. storage for any resident's valuables or personal belongings, upon the resident and the representative or legal surrogate, if any, were informed safety devices include locks used on exit doors, as approved by the fire assistants. Communities and homes licensed for twenty-five (25) or more beds must notify residents of infectious disease outbreaks or incidents.