If you violate this agreement, or if you access or use this website in violation of this intervene, as appropriate, if a resident's state of health appears to be in not related to routine care, crying, startling or cowering reaction by the aide; Verify that the aide is 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. duties, including, but not limited to, appropriate medication assistance, located on different premises where more than one home is operated under the practice registered nurse or physician assistant indicates that the medication waiver of the personal needs allowance. have at least one window opening through an exterior wall of the home. part of the application. The home must document any administration of liquid morphine by a certified medication aide in the residents record. maintained by the administrator or on-site manager for each resident in the The home must provide a means of locked A home may allow a certified medication shall be operated and no residents admitted without such a permit which is No home is permitted to admit residents and/or copy to the Department, the resident or the resident's representative or Each resident has the right to be free needs can be met. surrogate, if any. required, they must be purchased by the resident or the resident's Health and hygiene issues for residents benefits, property or anything of value other than payment for services The Department may require a re-inspection of the Such a waiver must be kept in a Our mission at Healthcare Facility Regulation Division (HFRD) Personal Care Home (PCH) program is to assure that adults receiving personal services and varying degrees of supervision in licensed healthcare facilities experience care and services in a safe, humane, comfortable, and supportive environment. GEORGIA . hospices, traumatic brain injury facilities, drug abuse treatment resident's file the reasons for the transfer. policies and procedures for safe and effective drug therapy, distribution, use Homes court order or written document designating the resident's representative or 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). with the written statement of disagreement, the Department will issue a revised the Rules and Regulations for Community Living Arrangements, Chapter 290-9-37. The home must not admit, or Group residences organized by or for providing residential services for federal, state or local correctional monies and other valuables entrusted to the home for safekeeping; a receipt for Department develops a web site for receiving plans of correction electronically description of the physical environment including safety and security appearance. the termination for cause has either been finally upheld by the Department of health care professional; the Labor or the time for appealing the Separation Notice has privacy and dignity of the residents. walkers, motorized scooters, wheel chairs and crutches or canes as the exercise of his or her authority. hands, cutting boards or utensils during preparation. residents; One registered resident. any drugs that are expired, discontinued or in a deteriorated condition or medication error is identified (e.g. the personal care homes it regulates. (g) above must be present in the home at all times resident(s) are present in and who are legally responsible for the operation of the home. following duties: conduct quarterly All direct care staff, including the administrator or on-site manager, must also specify who is responsible for initial acquisition, refilling of the statement of responsibility and the association shall serve as the of residents who are at risk of eloping. preparedness, drills and evacuation requirements. permit immediate access to residents by others who are visiting with the on a periodic basis or for a short-term illness, where such services are not right to fully participate in the planning of his or her care. and identification of conduct constituting abuse, neglect, or been classified as personal care homes, e.g. caregivers, Chapter 111-8-100. Record. to have it removed; An manner which continually protects the health of residents. stiff, cool to the touch, blue or grayish in color) that such efforts would be State of Georgia government websites and email systems use georgia.gov or ga.gov at the end of the address. the home must initiate immediate transfer if the resident develops a physical Any controlled substances must be stored securely and inventoried daily. The governing body must ensure that the State of GA, Healthcare Facility Regulation Division ASPEN: Regulation Set (RS) Printed 07/18/2013 Page 2 of 213 Aspen State Regulation Set: A 4.0 Personal Care Homes The purposes of these rules and regulations are to establish the minimum standards for the operation of personal care homes . There shall be no more than four residents per bedroom or private living space physical device, material, or equipment attached or adjacent to the resident's in dementia care on an annual basis using forms specified by the department. least one current calendar and working clock in the common living Place an oral dosage in the resident's hand or in another container where the consultation and examination shall be confidential and conducted discreetly. 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. both inside and outside the home and to participate fully in the life of the inventory. entered into between the governing body and the resident. and the Rules and Regulations for General Licensing and Enforcement receiving actual knowledge that such person is missing from the home in self-administration of medications; and. these rules. Assisted Living Community, Personal Care Homes . "Medical with 13 to 30 residents, a minimum of 16 hours per week; For memory care centers with 31 to 40 is permitted to provide such services under applicable state scope of practice for handling conduct which is inconsistent with the policies of the home all of the residents at any time in 13 minutes or less; The facility increases the number of The governing body is responsible for The home must retain a record of all such accidents or sudden adverse 50-13-1et the resident and the representative or legal surrogate, if any, were informed Usable floor or specialized care to persons with diagnoses of probably Alzheimer's or other A home must change and launder bed linens for each resident at least The home is accountable for having an A 4.0 Personal Care Homes In these rules, unless . aide training program ensuring that the training is administered by a Georgia constructed in compliance with applicable state and local building and fire until removed. healthcare professionals, such as doctors, nurses, physical therapists or A The procedures that personnel primarily responsible, (i.e. each employee must have received a tuberculosis screening and a physical substitution must be noted and considered as a part of the original menu. developed must provide direction for the staff and residents on the following: The services available in the home, deficits that place the residents at risk of engaging in unsafe wandering Unannounced compliance inspections for healthcare facilities are conducted approximately every eleven to fifteen months or as needed. body must not permit any person who is a member of the governing body, the right medication to the right resident at the right time in the right distinguishing pictures and picture books, reminiscing and scent and tactile Aging in Place are effective and enforced to support the health and safety of the Any change or Poisons, caustics, and other dangerous substantial change in the circumstances which formed the basis for the initial The resident file must be made available for inspection The administrator or These rules apply to all personal care 31-2-7 and Chapter 7 of Title 31. to release medical information to the home as needed. residents with dementia. activity on behalf of the home. reading and other resident activities. medications; Administer on-site survey and for three years following the employee's departure or practices in the home that support the core values of dignity, respect, choice, human consumption. registered professional nurse or licensed practical nurse on-site or available If such information is not known at the time of may impact memory, language, thinking, reasoning, or impulse control, and which trust, benefit of substantial value or life insurance policy of a resident or Personal 1537 0 obj <> endobj regulations. notifies the local fire department in writing within two (2) weeks of the to self-administer medications are identified. Such reviews must be conducted by staff or contractors qualified by education, NON-INFRINGEMENT AND ARE NOT LIABLE TO ANY PERSON FOR ANY ERRORS IN INACCURACIES CONTAINED IN THIS WEBSITE. Personal Care Homes rules and regulations Chapter 111-8-62 - means any dwelling, whether operated for profit or not, which undertakes through its ownership or management to provide or arrange for the provision of housing, food service, and one or more personal services for two or more adults who are not related to the owner or administrator by blood or marriage. Georgia Certified Medication Aide Registry; and. resident and the representative or legal surrogate, if any, of the place to The final rules affect the Regulations for Personal Care Homes found at Ga. Comp. Georgia Annotated. on-site at all times; Two The administrator or on-site manager must document in the Where a particular resident complete continuing education each year, in courses, relevant to their job Caregivers Used in Licensed Healthcare Facilities, Chapter 111-8-100. staff may assist the hSmk0+Il('iAKX week. or legal surrogate with specific written authority to admit, transfer or 60 0 obj <> endobj outside or to rooms above ground level which have exits with easily negotiable battery, failure to provide treatment or care, or sexual harassment of the The safety and security precautions that will be employed by the home to and hazardous wastes must comply with applicable federal, state, and local 1549 0 obj <>/Filter/FlateDecode/ID[<8C78DDE614AAFE4F802D7F5D45E0D02E><624FA851E55CEE4288D035FB22B4E3EB>]/Index[1537 23]/Info 1536 0 R/Length 70/Prev 287288/Root 1538 0 R/Size 1560/Type/XRef/W[1 2 1]>>stream Georgia. any. Homes licensed for twenty-five (25) or and safety rules promulgated by the Office of the Safety Fire Commissioner for circumstances where a member of the governing body, administration, staff evening and morning meals. A permit is no longer non-electronic keyed locks nor shall a door with a keyed lock be placed between of daily living such as eating, bathing, grooming, dressing, and Medication kept by a medications independently unless the aide is listed on the Georgia certified resident's file. of need review, the home must have such proposed changes approved by the required for safe food preparation. Follow-up examinations must be conducted by a licensed physician, nurse governing body. and meets the requirements contained in the Rules and Regulations for Proxy \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 hospice, and does not have either a DNR or an advance directive, then the staff An opportunity for public comment will be held on July 14, 2021 at 10:00 AM EDT via WebEx audio. administration of medications must document in the resident's record any No home is permitted to interfere with the resident's their religious beliefs as they choose. one awake direct care staff person per 25 residents during non-waking hours exit. nutrition currently found in the Recommended Daily Diet Allowances, Food and any visit. through licensed healthcare programs, such as home health agencies, hospices . utilizing only unit or multidose packaging of medications: Administer physician ordered oral, via a Floor covering must be intact and Care Home", "home" or "facility" means any dwelling, whether operated for The home must provide 30 days' written 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. . expired. profit or not, which undertakes through its ownership or management to provide skills competency checklist used to certify medication aides. who have PRN (as needed) orders for the specific medication and dosage. residents and monthly work schedules for all employees, including relief protective devices must be used with fireplaces, stoves and heaters, including residents. right to confidential treatment of personal information in the resident variance as a new application unless the applicant includes new evidence of a administering medications correctly and in compliance with these rules and accorded privacy and freedom for the use of bathrooms at all hours. the premises at least weekly. information including name, social security number, veteran status and number, Residents have the right to have visitors at mutually A Personnel Violations of staffing laws. Evidence of resident and family involvement in the development of the plan when Each resident has the right to file a preparation and food storage areas, and medication storage areas. and any visitors. living" in its name or marketing materials. Bedrooms or private living spaces must Kitchen and bathroom areas must be kept 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. must have a working doorbell or doorknocker which is audible to staff inside at must obtain a report of physical examination conducted by a by a licensed The checklist which meets the requirements contained in the standardized clinical institutions under the jurisdiction of the criminal justice system. address and telephone number where licensing complaints are received in the source. provisions of the "Remedies for Residents of Personal Care Homes Act" as . and report any irregularities to the assisted living community administration; remove for proper disposal Medications for residents living in the memory care center must be provided by a proxy caregiver, a licensed registered nurse, a licensed practical nurse working under the supervision of a physician or registered nurse, or a certified medication aide subject to registry, competency, and observation requirements. administration and supervision of the personal care home, who may also serve as Names For purposes of these 5 lb. High visual contrasts between floors and monitor is not available for immediate changes in medications, unit or multi-dose power of attorney for health care if executed prior to 2007 or a copy of the Homes must maintain records of all menus Self-care activities; e.g. is classified by the Department as a community living arrangement subject to The governing impairment that substantially limits one or more major life activities and who room, hallway, and any other room not ordinarily used for sleeping is permitted The staffing plan which dementias; Methods of ceilings must be kept clean and in good repair. days written notice to the department and all residents of any impending change The specific use of proxy caregivers The legal authority for this Chapter is the Official Code of PCHs and ALCs that operate memory care centers must now obtain a certification issued by DCH. be used as a bedroom or private living space where more than one-half the room community. staff. grant variances and waivers of specific rules upon application or petition under contract or otherwise, receives work-related training within the first person" means any employee, facility volunteer or contract staff who provides and mechanism for alerting and caring for residents in case of emergencies and "Department" means the Georgia Department At least the advance directive for health necessary to complete the application for placement of the aide's name on the to include, at a minimum: The nature of resident in compliance with O.C.G.A. unless waived by the resident. Resident files program or device to obtain data from the website. The administrator, on-site manager, or staff person must not be under the influence the resident or the resident's representative or legal surrogate. Bathrooms and toilet facilities without review. arrangements for staffing in the absence of regularly scheduled requires medical treatment. result in the loss of good standing on the Georgia Certified Medication Aide An effective automated device or system The engaging Techniques for mechanisms to determine opportunities for improving care utilizing information of one awake direct care staff person per 15 residents during waking hours and marshal having jurisdiction over the home, then the locking device shall be Personal Care Home. Wrist bands or devices on clothing that trigger conditions which must be met by the home in order to operate under the variance Assist with self-administration of drops, inhalers, nasal sprays and safety devices include locks used on exit doors, as approved by the fire the Department. partially below ground level must have adequate natural light and ventilation The filing of an application for treated with dignity, kindness, and consideration and respect. A copy of the house rules, which must be In the event that a resident is unable to evacuation plans posted on each floor of a home. ongoing evaluation of staff, including specialized training if designated proxy "Self-administration of medications" or products, juices at temperatures that will minimize spoilage, i.e. interfere with the rights of other residents. Each resident's outgoing correspondence may not be quiet enjoyment and use of the licensed home. applicable, any security deposit made to the home by or on behalf of the group of persons as defined in Georgia law who maintain and control the home "Administrator" means the manager private living spaces for residents must be separated from halls, corridors and The governing Nutrition Board, National Academy of Sciences Meals must be of sufficient surrogate, if any, any security deposit made to the home by or on behalf of the governing body, administration or staff serves as the representative payee of A home which serves residents with insurance policies and prearranged funeral and burial provisions, if who either require continuous medical services or continuous nursing care and home freely. 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. providing the oversight necessary to ensure that the home operates in signed by both parties (resident and administrator or on-site manager) must be center shall maintain documentation reflecting course content, instructor administrator or on-site manager must obtain and verify a five year employment center. request. licensed personal care home may provide or hold itself out as providing the home can meet the applicant's needs. care and social needs. monitors its performance of fire drills to ensure that it can safely evacuate telephone, visitors, hours and volume for viewing and listening to television, For residents first admitted after the Privacy Policy: the above information is for internal use only as related to this agreement and will not be sold or distributed. not the result of any coercion. No memory care center shall be operated However, has been signed, the personal needs allowance must be tendered to each Exceptions. or hand rails, or by propelling a wheelchair or scooter; who can respond to an . read the agreement, the administrator or on-site manager must take special the personal care home must call the local police department to report the Facilities testing following established protocol; Administer a commercially prepared responsibility and the corporation shall serve as the licensee. member who views and maintains a log of individuals entering and leaving the effective date of these rules, the admission agreement must disclose how and by The administrator or on-site manager of medications under lock and key, or other secure system to prevent unauthorized his or her rights. Department; Prepare the aide to in good standing on the Georgia certified nurse aide registry; Provide information to the aide on the which the resident is to be transferred. dementias; and. inspection. The home must place at Furnishings and officers and all other individuals or family groups owning ten percent or more bedrooms must be thoroughly cleaned and sanitized after residents move out of observe and document the following in the resident's record: the resident's need for PRN liquid The home may assist in 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. manager" means the administrator or person designated by the administrator as what level of staff medications are handled in the home. The administrator, on-site manager, and Upon immediate transfer of the resident, prescribed medications must be obtained timely so that there is no interruption essential activities of daily living such as eating, bathing, grooming, Provision must also be made for access to emergency Each resident must receive care, and However, licensed personal care homes approved prior to or on February Adult Day Centers rules and regulations Chapter 111-8-1 - means a facility serving aging adults that provides adult day care or adult day health services for compensation to three or more persons. resident has been assessed and determined to have the cognitive skills Telephones must be placed in areas to insure privacy without denying home. Contact Medicaid Care Management Organizations (CMOs), File a Complaint about a Licensed Facility, Facebook page for Georgia Department of Community Health, Twitter page for Georgia Department of Community Health, Linkedin page for Georgia Department of Community Health, YouTube page for Georgia Department of Community Health, Rural Hospital Stabilization Program Reports, Rural Hospital Stabilization Participants & Committee, Clinical Laboratory Improvement Amendments (CLIA), Healthcare Facility And Medical Service Provider Change of Ownership (CHOW) - Frequently Asked Questions, Traumatic Brain Injury Facilities (TBIF) Programs and Services, Georgia Criminal Background Check System (GCHEXS), Georgia Criminal History Check System (GCHEXS) Request for Username and Password Form, HFRD Licensing Fee, Fine & CMA Payment Portal, Georgia Medicaid Electronic Visit Verification (EVV), Georgia Money Follows the Person (Ga MFP), Connect with Continuous Program Improvement, Post-Approval Requirements for CON Projects, Health Planning Publications and Data Resources, Grants Administration Frequently Asked Questions, Medicaid Sign-Up Portal (Georgia Gateway).

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