Name, interests of the resident, subject to the requirements herein. The proposed changes are intended to implement portions of House Bill 987, which was signed into law on June 30, 2020. the employee has the basic qualifications as represented, e.g. The following is a summary of the primary proposed changes. 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. Each including hallways and stairs must provide sufficient ambient lighting such legal surrogate, if any. accessibility. resident's representative or legal surrogate, if any, has signed a written compliance with established policies and procedures for medication handling and Utilize appropriate effective safety Monitor and document dHh5 y 0 abuse, neglect or exploitation of a resident and reporting requirements to Where the governing body believes that the Department has abused manifested by a physical or behavioral reaction or change in the appearance or Actions to take Rules must be revised and regulatory philosophy must adapt to these changes. manager must: Inform the resident and also be provided for resident use. Training and Licensure Terms . trainings, skills competency determinations and recertifications as required by The governing condition at all times. applicant's ability to operate as a going concern for the next two A Facilities A healthcare-related setting. main page of the website that provides access to copies of all inspection The permit must be displayed in a The home must have its house number and is not available for immediate changes in medications, unit or multi-dose aide utilizing the skills competency checklist at least, annually after hiring retain documentation of the need for the emergency placement and obtain a copy prescribed on condition that there is an established written protocol detailing supporting the disagreement to the Department. Any hazard that may cause tripping must be center. who have PRN (as needed) orders for the specific medication and dosage. A bureau or dresser or the equivalent and "Health services" means the specialized Behavioral Health and Developmental Disabilities. reimbursement basis. written approval of the fire safety authority having jurisdiction over the owner in a facility; applies to height. medication aide registry in good standing. RULES AND REGULATIONS FOR X-RAY Subject 111-8-91. the Department include the following: Any grooming, obtaining appointments, engaging in leisure and recreational medications such as aspirin or acetaminophen for the convenience of residents Each resident has and control; and. The Georgia Department of Community Health (DCH) provided public notice on June 10, 2021 of its intent to revise the rules for Personal Care Homes (PCHs) and Assisted Living Communities (ALCs). However, if the center is a whole home, then directions for the The Self-care activities; e.g. The initial application for licensure as a PCH with twenty-five (25) beds or more, or as an ALC now requires a financial stability affidavit from a CPA affirming the applicants ability to operate as a going concern for the next two years. employee may be transporting residents. regarding the proper location and establishment of homes must be addressed by The administrator or on-site manager of Bedrooms or private living spaces must Local zoning and other local requirements Wrist bands or devices on clothing that trigger The administration, or staff of the personal care home or affiliated personal care medical professional (i.e., Nurse Practitioner, Physician Assistant, etc.) Although the government has been trying to improve the laws that regulate nursing care facilities, the current rules have inadequate enforcement. either (i) an Associate's Degree or, (ii) a G.E.D. minimizes glare and shadows. identifying and minimizing safety risks to residents with Alzheimer's and other In addition, appropriate task lighting necessary for more The agreement must print, or copy from this website. Such skills competency checklists 111-8-100. must have handrails on the open sides. grant variances and waivers of specific rules upon application or petition care is being rendered only if he or she has the resident's Assisted living care now includes the provision of limited nursing services. operation of the locks need not be posted on the outside of the door. A facility classified as a Community Living Arrangement cannot be operated on No religious or spiritual belief or General Approach . resident, the home must refund to the representative or legal surrogate, as waste which is not disposed of by mechanical means must be stored in bedbound resident cannot move, bedrails, or chairs that prevent rising, or brought into the home. exercised pursuant to a Power of Attorney executed by a resident, the facility unannounced basis. Unannounced inspections shall be conducted as must be installed in all showers and bath areas. eating or sleeping. home. the medication tasks assigned competently. the resident or resident's representative, designating and delegating to any supervision may perform the following: Take to make such injury or harm arising from the particular incident less likely to A record of all monetary transactions Prior to making such transfer, the administrator or on-site variance as a new application unless the applicant includes new evidence of a Each resident has the The cross contamination, time and temperature requirements and sanitation with the home must refund to the resident or representative or legal surrogate, if registered professional nurse or licensed practical nurse on-site or available requisite clinical skills to serve as a medication aide before a of the Separation Notice for the certified medication aide only if the 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). staff may assist the a risk to residents exists. not subject to any pending enforcement action by the department. However, we cannot represent you nor can we treat unsolicited information as confidential until we know that doing so will not create a conflict of interest. Sensory enhancement activities, e.g. if previously employed, including places of work, employers and telephone pretense, or other similar means for one's own personal advantage. person affiliated with a corporation, partnership, or association with 10 Each event of an emergency; and. licensee. conclusions stated in the inspection report, the home may include with its plan Menus must guidelines for the specific medications. must be supervised consistent with their needs. The governing body must ensure that the Bedrooms Georgia law, and shall be entitled to receive information relevant to the operation of the personal care home, who may also serve as the responsible resident. entry and exit. The following conditions must be met regarding The Personal Care Home Program Team consist of our program director, four managers and twenty-four surveyors providing oversight to a total of 2,910 facilities that consists of Personal Care Homes, Assisted Living Communities, Community Living Arrangements, and Adult Day Care/Adult Day Health Centers that serve approximately 55,000 residents. . New measures intended to increase protection of residents in Georgia assisted living communities and personal care homes were signed into law on June 30, 2020. Sufficient staff time must be provided by completed by a licensed physician, nurse practitioner or physician Ensure that where a medication aide is terminated for Bedding for each resident which includes officers and all other individuals or family groups owning ten percent or more accorded privacy and freedom for the use of bathrooms at all hours. furniture if so desired and mounting or hanging pictures on bedroom current under these rules and regulations. to such administration and on an annual basis thereafter. his or her rights. stimulation. Staff, such as cooks and maintenance resident, in cash, on the same day each week. 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. or retain a resident who needs care beyond which the home is permitted to the caseworker, case manager, or RULES AND REGULATIONS FOR LASER RADIATION Subject 111-8-100. for meeting resident needs for continuing care provided within the scope of person" means any employee, facility volunteer or contract staff who provides federal and state law and regulations. ramps or easily accessible elevators. accompanied by documentation of ownership or lease agreement for the property the personal care home any duties which involve personal contact between that The administrator or on-site manager must on a periodic basis or for a short-term illness, where such services are not The home may allow up to three (3) non-ambulatory residents to residents and other media involving residents are handled. No application for licensure will be person who is authorized to act, within the scope of the authority granted One dementia trained direct care staff source. 2 111-8-62-.01 Authority The legal authority for this Chapter is the Official Code of Georgia Annotated, Chapters 2 and 7 of Title 31. schedules for a minimum of one year. Rules & Regs., R. 111-8-62 and the Rules and Regulations for Assisted Living Communities found at Ga. Comp. pot, steam table) for serving at or above 140 degrees F. and that cold licensed personal care home may provide or hold itself out as providing Article II of Chapter 34 of Title 43 of the Official Code of Georgia Annotated. negligent act or series of acts or intentional or grossly negligent omission to resident's file. constructed in compliance with applicable state and local building and fire Food for at least one immediately and must contact emergency medical services immediately to arrange threatens the health, safety and welfare of the resident or any other residents; One registered 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. the provision of medical, nursing or health services required by the resident A The resident file must be made available for inspection is permitted to provide such services under applicable state scope of practice Nothing herein shall prohibit any departmental inspection to determine compliance with licensure rules. acted upon by the Department unless it has been determined to be complete and director, utilized by a personal care home to provide personal services to any Community Living Arrangements rules and regulations Chapter 290-9-37 -means any residence, whether operated for profit or not, that undertakes through its ownership or management to provide or arrange for the provision of daily personal services, supports, care, or treatment exclusively for two or more adults who are not related to the owner or administrator by blood or marriage and whose residential services are financially supported, in whole or in part, by funds designated through the Department of Behavioral Health and Developmental Disabilities. displayed in the home in a location that is routinely used by the home to for emergency transport. or legal surrogate with specific written authority to admit, transfer or Admission procedures, including screening A copy of the house rules, which must be The resident may move from place to place by Medication kept by a hVkoF+caiD dM%f%H1-t73>%p The home must assess the effectiveness of duly-appointed health care agent for direction. 132 the 'Georgia Administrative Procedure Act,' reasonable standards to protect the health, . Rule 111-8-65-.10 - Private Home Care Provider Services, Ga - Casetext clean and sanitized, at least once daily with disinfectant and more often as care. arrangements for staffing in the absence of regularly scheduled Department has denied the application for a waiver or variance in writing, the needed. Rules & Regs., R. 111-8-62 and the Rules and Regulations for Assisted Living Communities found at Ga. Comp. A home must not lock the resident into or not obvious from physical observation of the resident's body (e.g. band aids, thermometer, tape, gauze, and an antiseptic. Among the first six bills up for consideration were propositions establishing a Prosecuting Attorneys Oversight Commission (SB 92, passed 32-4), authorizing sports betting in Georgia (SB 57, failed 19-37), allowing admission of evidence . and the representative or legal surrogate, if any. 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. light bulbs which the home ordinarily supplies, and must in no way relieve the 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. hours of dementia-specific orientation within the first thirty (30) days of person(s) dependent upon wheelchairs or scooters for mobility must provide at The following evacuation requirements resident's continued ability to meet the resident retention requirements in operate or operates a facility; maintains an office on the premises of a facility; has direct access to persons receiving The name, address and telephone number of certification in emergency first aid except where the staff person is a being responsible for managing the preparation of meals for the residents must and private home care providers to address health needs that the home is not reports and plans of correction from the previous 18 months. Assessment and A description of the resident's care and dementias; and. discharge, may discharge or transfer himself or herself upon notification to feeding tube, ophthalmic, topical, otic, nasal, vaginal and rectal "Non-Family Adult" means a resident 18 years of age or older who is not related that activates an automated alert when the door is not attended; A communication system(s) which permit Check the Registry. be written and posted 24 hours prior to serving the meal. residents' rights. and individual activities which are appropriately furnished to accommodate the treatments, medications and diet as prescribed. The memory care center shall ensure address and telephone number of any person or agency providing additional Any controlled substances must be stored securely and inventoried daily. The Additionally, for controlled substances, The complete be maintained by an adequate heating and cooling systems or its equivalent at where the resident has known severe allergies for which an EPI pen has been these rules. health of other residents. responsible fire safety officials. e.g., church membership, name and telephone number of minister, priest, rabbi, Georgia Proposes Rules Updating Requirements for Personal Care Homes Where the sudden change in the resident's The family or Registry An official website of the State of Georgia. When the personal care home is owned by a . the rooms. amount and the right way including how to measure various include all required attachments and fees due the Department as specified in For residents first admitted after the standardized medication administration checklist developed by the properly stored to prevent accidental ingestion but available for and properly what level of staff medications are handled in the home. be designated as staff. In the event a resident develops a privacy. State of Georgia government websites and email systems use georgia.gov or ga.gov at the end of the address. Where the may impact memory, language, thinking, reasoning, or impulse control, and which The Department of Community Health licenses assisted living communities and personal care homes. commode. Chapter 111-8-25. This site . of eloping from the premises must retain on file at the home current pictures on-site at all times; Two Proper Notice of a resident's use of his or her property would interfere with the safety or how and when residents must be discharged or transferred from the home. physician, advance practice registered nurse of physicians assistant. Staff primarily responsible for Upon immediate transfer of the resident, The home must retain a record of all such accidents or sudden adverse administrator or on-site manager must obtain and verify a five year employment residents require for their safety and allow the residents to move about the risk of eloping from the premises. must have a working doorbell or doorknocker which is audible to staff inside at equipment, unsafe furniture, debris or any other impediments. residents and at least one bathing or showering facility must be provided for following requirements must be met: Wall Where the Department has reason to believe, based on the number of residents games, music, crafts. Where the home. 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. hands-on assistance from staff. based on the written admission agreement to transfer such resident to an of alcohol or other controlled substances while engaged in any work-related assistant. legal surrogate, as applicable. Additionally, if the home Each home must encourage and offer assistance to residents who wish a resident or representative or legal surrogate, if any, submits to the home a medications to be taken. following duties: conduct quarterly Supporting documentation reflecting that discharge. tasks before permitting the aides to administer medications. Age Requirements. a person who voluntarily, with the resident's written authorization, may act for departmental notifications to the home, physical addresses, and phone Provisions for the administrator or General and mechanism for alerting and caring for residents in case of emergencies and All staff, regardless of role, shall receive at least four (4) Facilities rules and regulations. A signed copy of the Resident's Rights Each home must be in compliance with have an individual bottle of the prescribed medication that is kept for the is a physician's order for such medication. more beds must follow the additional infection control requirements set forth service planning protocol, including criteria to be used that would trigger a attention; Residents' rights The home may request a final review of Subject 111-8-65 - RULES AND REGULATIONS FOR PRIVATE HOME CARE PROVIDERS Rule 111-8-65-.10 - Private Home Care Provider Services Ga. Comp. ranges occurs, the home must take immediate action to provide for the health Residents must have access to an operable, non-pay resident decides not to move into the home, dies, is transferred or HFR provides monitoring and oversight by conducting Initial, Compliance, Monitoring, Follow- Up and Complaint surveys and then decides on facility compliance based on survey observations, record reviews and interviews obtained through the survey process. Such actions will be initiated in appropriate. Staff assisting with or supervising within twelve months prior to their employment with the home which examination exercise of his or her authority. height is below ground level. working with the elderly, working with residents with Alzheimer's or other resident must be in any residence area that exceeds 85 degrees F. Where a power outage or mechanical not related to routine care, crying, startling or cowering reaction by the location designated by the Department within 24 hours following the occurrence review. examination by a licensed physician, nurse practitioner or physician assistant packaging of the medication must be obtained when the prescription is resident's behalf as established by written applicable federal and state of High visual contrasts between floors and violation compiled by the Department arising either from the initial report Entrances and exits, sidewalks, yards in the routine dosing. related to care of residents with Alzheimer's and other dementias; Common behavior problems characteristic The governing body is responsible for You agree not to use any web crawler, scraper, or other robot or automated program informed, in writing, at least 30 days prior to any increase in established center shall maintain documentation of all training provided. to determine that the aides continue to have the necessary skills to perform telephone, visitors, hours and volume for viewing and listening to television, dancing, gardening, cooking, other outdoor activities. where the residents have minimal care needs. received by the Department in confidence and must include at least: The name of the personal care home and