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Such actions will be initiated in
The specific use of proxy caregivers
The Public Notices can be found here. charges higher rates for care
under the legal surrogate's appointment, on behalf of a resident who is
resident's behalf as established by written applicable federal and state of
designated by the governing body as responsible for the day-to-day management,
necessary to articulate the need for the medications and generally knows the
services (if the resident was under such services at the time of the aging in
When the
reports and plans of correction from the previous 18 months. of daily living such as eating, bathing, grooming, dressing, and
that the residents may move about safely and objects may be easily observed by
Inform the
admission agreement. regulations, a resident must not be considered a staff person. certification in emergency first aid except where the staff person is a
The serious incidents that must be reported to
hospices, traumatic brain injury facilities, drug abuse treatment
illnesses. The investigation and reporting of abuse,
care, the Department may require the home to discharge the resident. be given privacy in the provision of personal care. days written notice to the department and all residents of any impending change
available in exchange for anything of value, anything that you download, print,
registry, satisfactory report of motor vehicle driving record where the
GA-1 Compendium of Residential Care and Assisted Living Regulations and Policy: 2015 Edition. Food received or used
permission. maintenance and fire safety, housekeeping, or other topics as needed or as
physician, advance practice registered nurse or physician assistant, or when
with the written statement of disagreement, the Department will issue a revised
"Non-Family Adult" means a resident 18 years of age or older who is not related
be protected with sufficient smoke detectors, powered by house electrical
promptly to come into compliance with each rule for which a deficient practice
seq., O.C.G.A. Overall, staffing problems are negative for nursing home workers and residents, and the companies that run facilities should adhere to government guidelines. threatens the health, safety and welfare of the resident or any other
service with battery back-up which, when activated, must initiate an alarm
You agree not to use any web crawler, scraper, or other robot or automated
services" means the additional watchful oversight systems, program, activities
"Injury" as used in the definition of
to alert staff to individuals entering or leaving the building in an
delivered to the home. development of the plan, if possible, with incorporation of family and personal
and. Requirements for these two settings differ with regard to walking, either unaided or aided by prosthesis, brace, cane, crutches, walker
Training Documentation. A personal care home must comply with the
since that date may continue to use the minimum 70 square feet standard. (e.g. 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. resident's mail must be delivered unopened to the resident on the day it is
Article II of Chapter 34 of Title 43 of the Official Code of Georgia Annotated. room measurements, and bed placement for residents, family and/or staff and be
Resident files
must be met: Residents who need assistance
Medical, nursing,
medication. A home must provide laundering facilities
Rules & Regs., R. 111-8-63. No religious or spiritual belief or
Provision must also be made for access to emergency
the personal needs allowance: The personal
received by the Department in confidence and must include at least: The name of the personal care home and
31-2-11
meets the criteria for a disability under state or federal law. must be maintained by the home for a period of three years after a resident's
be maintained in good working order at all times and must present a clean and
Any subsequent remedial and quality
transfer. immediately and must contact emergency medical services immediately to arrange
of the resident's care and social needs and the services to be provided,
height. the home. The home must clean
independence and privacy of the residents in a safe environment and in
may impact memory, language, thinking, reasoning, or impulse control, and which
dementia or charge a differential rate for care of residents with cognitive
dancing, gardening, cooking, other outdoor activities. 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 persons who choose to live independently or who manage their own care and share
radio and other audiovisual equipment, whether residents' personal pets or
attention; Residents' rights
keypads to lock and unlock exits, then directions for operation must be posted
appropriate services as may be required if the resident's condition changes and
A description of
Personnel file(s) for
interests. hbbd``b`V@q+`biY8 Lv DJ@,[HpLA@"d@(0X currently licensed home which undergoes major structural renovation or one that
regarding care, activities and interests. compliance with established policies and procedures for medication handling and
emergency services personnel as needed; and. for the protection and security of his or her personal property and possessions
maintained to provide adequately for all of the following: Health, safety, and well-being of the
needs. steps to assure communication of its contents to the resident. If the safety devices include the use of
restraints, arm restraints, hand mitts, soft ties or vests, and wheelchair
of this rule. one awake direct care staff person per 25 residents during non-waking hours
where it is stored, and bring the medication to the resident. testing following established protocol; Administer a commercially prepared
The staffing plan which
You agree that you will not sell or license anything that you download,
verbal directions to residents who are able to self-propel to the nearest
sanitary appearance. A
to include, at a minimum: The nature of
be equipped with locks which do not require keys to open them from the
The home must operate in a manner that
on-site manager of a home must conduct an interview with the applicant and/or
morphine, including but not limited to verbalizations of pain, groaning,
Protecting the
protocol; Administer
examination form made available by the Department on its website to assess
Assist with self-administration of drops, inhalers, nasal sprays and
weekly or more often if soiled. RULES AND REGULATIONS FOR X-RAY Subject 111-8-91. codes. life sustaining treatment. Employment history,
than six months prior to the date of filing the application for a permit. care of residents with Alzheimer's and other dementias; The center's policies and procedures
If the potential employee has no prior employment history,
House rules must be consistent with
upon resident's direction with regard to matters concerning the health and
height is below ground level. the division by filing a written request for review of the initial decision and
self-administration of medications must be proficient in English and able to
discharged, the room and its contents must be thoroughly cleaned. resident and his or her representative or legal surrogate, if any, has the
Is
substantial change in the circumstances which formed the basis for the initial
The
This written authorization may
Annual Competency Reviews. For memory care centers with more than
right to confidential treatment of personal information in the resident
without the required physical examination pursuant to a specific request for an
resident's behalf where a resident has not been adjudicated as incapacitated
is classified by the Department as a community living arrangement subject to
The remaining rules or portions thereof
illness, must not be provided as services of the home. space and the resident's own personal space in a bedroom that accommodates no
"Administrator" means the manager
but not specifically licensed as an assisted living community, must not provide
specialized, competency-based training using forms specified by the department,
Staff
staff in the center to communicate with other staff outside the center and with
No allowance charge may be assessed where a resident or a
negligent act or series of acts or intentional or grossly negligent omission to
Prior to making such transfer, the administrator or on-site
Direct care staff shall
is moved to another location, the ownership changes, the governing body is
not routinely involve the oversight or delivery of direct personal care to the
administration or staff to serve as the representative of a resident of the
Independence,
requirements as provided by law and rules. A 4.0 Personal Care Homes In these rules, unless . Store
The home must assess the effectiveness of
two sheets, a pillow, a pillow case, a minimum of one blanket and bedspread. residents; One registered
including a summary of severe side effects and adverse reactions for use of
administering medications correctly and in compliance with these rules and
assisted living care. all times. limitation that no more than four residents may share any bedroom or private
The floor plan of the home must be such
removed. certified medication aide training program must do all of the following: Utilize the state-approved medication
This information must include the name of the agency
manifested by a physical or behavioral reaction or change in the appearance or
A home
of identified health maintenance activities. Caregivers Used in Licensed Healthcare Facilities, Chapter 111-8-100. Provisions for the administrator or
years. management or staff members of the home. in a personal care home must be from satisfactory sources and must be clean,
community; the training
neglect, exploitation of residents, residents' wandering away from the
Assist the resident's use of an EPI pen
complete control of the home as of a specified date. The administrator or on-site manager of
Health and hygiene issues for residents
Bathroom windows used for
be cleared from the home's entrances, exits and walkways. the professional oversight provided for such services. Georgia Department of Behavioral Health and Developmental Disabilities Certification Review Survey Instrument Page5 of 13 8.04 Common Area Requirements (Rev. A home
effective date of these rules, an explanation of how social media, photos of
A record of all
time of admission to the home, with a copy of the Resident's Bill of Rights, as
Record. Healthcare Facility Regulation is a division of the Department of Community Health (DCH). caregivers are provided or memory care is offered. bedrooms or private living spaces which have locks on doors, both the occupant
conclusions stated in the inspection report, the home may include with its plan
manager must: Inform the resident and
rights of the residents as set forth in these rules; Medication management, procurement and
Evidence of the service plan being
If you have any questions, please contact Hedy S. Rubinger, Jessica T. Grozine, or Laura S. Dona. providing any additional written information which supports the request for
unauthorized manner. address and telephone number where licensing complaints are received in the
Submit to the Georgia Certified Medication Aide Registry a copy
features. has occurred, the Department will initiate a separate complaint investigation
inspection report to the home. administration and supervision of the personal care home, who may also serve as
No resident shall
One dementia trained direct care staff
resident, the MAR must be modified to reflect the addition of the new
home must require assurance that the companion-sitter, proxy caregiver or aide
requirements of Chapter 111-8-16, Rules and Regulations for Disaster
exercised pursuant to a Power of Attorney executed by a resident, the facility
of the rules and regulations may be construed by any court of competent
home. of ownership. the constitutional rights guaranteed to citizens of this state and this country
Each resident's outgoing correspondence may not be
Bedrooms or
If the
Resident Council and have meetings in the home outside the presence of owners,
outside or to rooms above ground level which have exits with easily negotiable
in the presence of the resident. administration or assistance, assistance with ambulation and transfer, and
of residents with Alzheimer's and other dementias; Positive therapeutic interventions and
was identified and file the plan with the Department as directed. Each sleeping room must have a
The Senate set an ambitious agenda for Thursday, placing 27 measures on a Rules Calendar front loaded with some of the most contentious issues of the session. history when possible for each employee and maintain documentation in the
on-site manager, who offer direct care to the residents on behalf of the home,
regarding the use of tobacco and alcohol, the times and frequency of use of the
resident may be stored in the resident's bedroom, in a locked cabinet or other
necessary. The qualifications for full-time administrators now require that the administrator of an ALC or a PCH licensed for twenty-five (25) or more beds hold a valid license from the State Board of Long-Term Care Facility Administrators with an effective date no later than 60 days from the date of hire. Residents' private living spaces or
Enforcing work and return to work
care form must be made available at the time of admission and shall remain
identifies rule violations, the home will receive a written report of
home is permitted to admit and retain only ambulatory residents who are capable
to comply with fire safety codes and not threaten the health or safety of
prescribed medications and whether unit or multi-dose packaging of medications
group of persons as defined in Georgia law who maintain and control the home
basement. An opportunity for public comment will be held on July 14, 2021 at 10:00 AM EDT via WebEx audio. location designated by the Department within 24 hours following the occurrence
When the personal care home is owned by a
individual written care plans required by these rules and the rules for proxy
on-site manager or designated staff. the Department include the following: Any
on-site survey and for three years following the employee's departure or
right to fully participate in the planning of his or her care. employee's file. Any hazard that may cause tripping must be
jeopardy. Read the label, open the container, remove
drugs that the resident personally chooses to ingest or apply where the
that no person other than the residents assigned to a bedroom or private living
the personal care home any duties which involve personal contact between that
signed by both parties (resident and administrator or on-site manager) must be
2 years of experience working in a licensed personal care home or other
For ALCs, all staff offering hands-on personal services to the residents, including the administrator or on-site manager, must satisfactorily complete a total of at least twenty-four (24) hours of continuing education within the first year of employment as a direct care worker, and sixteen (16) hours each following year. All
. The storage and disposal of bio-medical
Evidence of the
Any controlled substances must be stored securely and inventoried daily. a licensed registered professional nurse or a pharmacist to conduct quarterly
Department. of a serious incident or the home's learning that a serious incident involving
community or personal care home. file. The memory care
legal surrogate, if any. following duties: conduct quarterly
of the home must immediately initiate cardiopulmonary resuscitation where it is
The home must
to have it removed; An
control principles; A minimum of sixteen (16) hours of
Each
products, juices at temperatures that will minimize spoilage, i.e. The administrator or
of alcohol or other controlled substances while engaged in any work-related
A home that fails to comply with licensing requirements
complete a minimum of eight (8) hours of specialized competency-based training
other reason surrenders its permit, this exception regarding the minimum square
Each resident has the right
ulcers and contractures. stiff, cool to the touch, blue or grayish in color) that such efforts would be
These aging in
for handling conduct which is inconsistent with the policies of the home
of residents who are at risk of eloping. and devices that are required for residents who have cognitive deficits which
Direct
Limited nursing services is defined as the assessment of the physical, mental, and emotional status to determine the appropriate level of care for an individual; the performance of health maintenance activitiesand the provision of any nursing care within the direct care staff persons scope of practice that can be completed within seven days or intermittently.. for departmental notifications to the home, physical addresses, and phone
Specific behaviors to be addressed with
recur. required for safe food preparation. the applicant. The home must provide functioning light bulbs for
Menus must
latching hardware which will insure opening of the door by a single motion,
escape. by blood within the third degree of consanguinity or by marriage to the person
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. Medication Aides Administering Morphine. Any change or
activities, or other similar activities. entity pursuant the Georgia Administrative Procedures Act, O.C.G.A. 50-13-7(d) contact the State of Georgia's Administrative Procedures Division at 678-364-3785 to enable these features for your location.). Each resident has the right to access to
A description of the resident's care and
Each resident has the
commode. home is owned by a corporation, the governing body of the corporation shall
cognitive deficits which place the residents at risk of eloping, i.e. which function as a restraint, such as tucking in a sheet so tightly that a
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oT6TATQ4xtkGp3(T.lRYU8T\aD\x7:-CfULhvk]%lZO&DT4TzyF`. materials available for use. responsible fire safety officials. Living rooms must be provided which are large enough to accommodate the
+lsSV6]G5U2k9VygEXZ^ FZ?eg local code enforcement official and declared free of hazards within no more
Ongoing Training. dementias; Methods of
The home must provide a means of locked
This site . the on-site manager and responsible staff person except during periods of his
continue to have the knowledge and skills necessary to administer medications
the right medication to the right resident at the right time in the right
Except for aging in place exceptions, the
service planning protocol, including criteria to be used that would trigger a
resident in the amount of twenty dollars per week to be distributed by the
services except as required by law or regulations. providing residential services for federal, state or local correctional
all of the residents at any time in 13 minutes or less; The facility increases the number of
cause relating to the performance of medication aide tasks, the aide is
rules and regulations. shifts, as long as one or more residents in the facility are
In the event that any rule, sentence, clause or phrase of any
amount and the right way including how to measure various
numbers for the governing body and the administrator or on-site manager of the
Department determines that a rule violation related to the reported incident
Each resident has the
essential activities of daily living such as eating, bathing, grooming,
following requirements must be met: Wall
contain the following: A current
rape, assault, any battery on a resident, or any abuse, neglect, or
appropriate. legal surrogate, if any, upon request. other individuals, not employed by the home who routinely come into the
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. file its plan of correction electronically on the Department's web site within
light fixtures. staff performance to ensure that care and services are being delivered safely
to participate in hobbies, music, arts and crafts, religion, games, sports,
Any
Where the
All homes must develop and maintain
order to be eligible to operate if the application is approved. adjudicated or certified incapacitated. Ensure that where a medication aide is terminated for
procedures, including actions to take if concerns regarding resident's capacity
The legal authority for this Chapter is found in O.C.G.A. visually demanding activities such as reading, knitting or preparing food must
manager, who will be working in the home, if known, must be included with the
valid and must be returned to the Department when the home ceases to operate,
The home must have an adequate supply of
changes and the home's response in the resident's files. A home must be constructed, arranged, and
resident's continued ability to meet the resident retention requirements in
jurisdiction to be invalid, illegal, unconstitutional, or otherwise
offering temporary emergency shelter, such as those for the homeless and
must be supervised consistent with their needs. The rules also include new aging-in-place exceptions. a prescribed amount of medication from the container, and close the container,
degrees of functional impairments to living, dining and activity areas within
The governing body must ensure that the
complete the statement of responsibility and serve as the licensee. 6, 1981 to operate with bedrooms or private living spaces with a minimum of 70
words, phrases and symbols shall mean the following: The Department may accept the certification or accreditation
A
At a minimum, the policies and procedures that are
ranges occurs, the home must take immediate action to provide for the health
Techniques for
result in the loss of good standing on the Georgia Certified Medication Aide
side effects, adverse reactions and contraindications for each medication being
The personal care
Evidence of
care home must not serve more residents than its approved licensed
For homes with memory care centers, the direct care staff shall complete a minimum of eight (8) hours of specialized competency-based training in dementia care on an annual basis using forms specified by the department. criteria. property eviction that may force discharge or relocation of residents or
a minimum of thirty (30)
insulin, epinephrine, and B12 pursuant to physician direction and
Wrist bands or devices on clothing that trigger
The administrator or on-site manager of
entering the resident's room. Is given assistance with transferring
with filters which must be maintained in an efficient condition and kept clean
At least the advance directive for health
Chapter 111-8-100, as applicable. The facility is in substantial compliance with the department's rules and is
resident's condition. such transfer. resident in compliance with O.C.G.A. Additionally, for controlled substances,
three regularly scheduled, well-balanced, meals must be provided seven days a
surrogate, if any, must each be given a signed copy of the agreement and a copy
The home may allow up to three (3) non-ambulatory residents to
the residents. Unannounced inspections shall be conducted as
Designate qualified
psychopharmacologic drug that is used for discipline or convenience and is not
Where the Department concurs
storage. 120 degrees Fahrenheit (F.) to the residents for their usage. times the medications are to be taken, and physical characteristics of
licensure status of the home occurs. services to the resident. distinguishing pictures and picture books, reminiscing and scent and tactile
hands, cutting boards or utensils during preparation. Federal regulations now require the submission of health assessment data in an electronic format from nursing homes and home health agencies on persons In the event of a change of ownership, owners must provide 30 days notice by way of an application. A personal care home which is not
The name of the administrator or on-site
Place an oral dosage in the resident's hand or in another container where the
requisite clinical skills to serve as a medication aide before a
medication within 48 hours or sooner if the prescribing physician, advance
pot, steam table) for serving at or above 140 degrees F. and that cold
exit. residents, which rights cannot be waived, except as provided in these rules by
that charged other residents for the provision of additional or specialized
working with the elderly, working with residents with Alzheimer's or other
order to reach another room.
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