receiving or requiring personal assistance and residing in a personal care
the Rules and Regulations for General Licensing and Enforcement Requirements,
to have it removed; An
residents must be at least 18 years of age. violation compiled by the Department arising either from the initial report
You agree that you will not copy, print, or download anything from this website
a hospice physician's written order that contains specific instructions for
complete control of the home as of a specified date. The personal needs allowance must not be
on-site manager or designated staff. representative or legal surrogate, if any, or representative payee and any
The term memory care center replaced memory care unit, throughout the regulations, and is now defined as a freestanding or incorporated specialized unit that either (i) holds itself out as providing additional or specialized care to persons with diagnoses of probable Alzheimers or other dementias or with cognitive deficits that may place the resident at risk; or (ii) charges higher rates for care for residents with Alzheimers or other dementias than for care to other residents. Where the sudden change in the resident's
resident's condition. Where the home is provided with a new medication for the
The resident and representative or legal
staff. residents with Alzheimer's and other dementias. shall be operated and no residents admitted without such a permit which is
may impact memory, language, thinking, reasoning, or impulse control, and which
resident, the home must refund to the resident or representative or legal
takes into account the specific needs of the residents and also includes
staff person except during periods of his or her own absence. both inside and outside the home and to participate fully in the life of the
brief description of the incident. Each home must
2 years of experience working in a licensed personal care home or other
make arrangements for transfer in accordance with the admission agreement and
Proper medication storage and
Separation for Cause. meet the additional requirements contained in rule 111-8-62-.19 where the home
Tasks for Certified Medication Aides. to the governing body. Name,
limited to, individual assistance with or supervision of self-administered
surrogate, if any, an authorized agent of the Department, and others to whom
of one awake direct care staff person per 15 residents during waking hours and
clean and sanitized, at least once daily with disinfectant and more often as
alarm or sprinkler system, power failure to the home or by-pass for routine use
A copy of the search results obtained
prescribed medications must be obtained timely so that there is no interruption
if previously employed, including places of work, employers and telephone
entering the resident's room. A statement of philosophy and
history to support a person-centered approach to care. and identification of conduct constituting abuse, neglect, or
enforce safe food handling practices which address basic food safety, hygiene,
duties, including, but not limited to, appropriate medication assistance,
endstream
endobj
startxref
Homes licensed for twenty-five (25) or
Each
retain documentation of the need for the emergency placement and obtain a copy
interfere with the rights of other residents. General infection
Each
all times are acceptable. Person" means the employee designated by the administrator or on-site manager
residents without crowding. and individual activities which are appropriately furnished to accommodate the
the resident or resident's representative, designating and delegating to any
Grab bars and nonskid surfacing or strips
A home licensed as a personal care 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. with the written statement of disagreement, the Department will issue a revised
discharged. residents, which rights cannot be waived, except as provided in these rules by
include all required attachments and fees due the Department as specified in
including, personal services, memory care services/centers and any other
Water and sewage
management or staff members of the home. the home in conformance with the home's policies and procedures. otherwise adversely impact the provision of safe care and oversight;
Evidence of
Call 1-800-GEORGIA to verify that a website is an official website of the State of Georgia. in good standing on the Georgia certified nurse aide registry; Provide information to the aide on the
staff as responsible staff to act on his or her behalf and to carry out his or
must have a working doorbell or doorknocker which is audible to staff inside at
Any serious injury to a resident that
bedroom or private living space and no change in the ownership, location or
Staff, such as cooks and maintenance
been written, then the home must initiate cardiopulmonary resuscitation
resident, the resident's representative and the health care provider as
The storage and disposal of bio-medical
to participate in hobbies, music, arts and crafts, religion, games, sports,
band aids, thermometer, tape, gauze, and an antiseptic. from a physician, nurse practitioner or physician assistant, indicating the
to make changes to the home which would result in a change to the floor sketch
when concerns regarding medications are identified. health care professional; the
"Disabled individual" means an individual that has a physical or mental
specific resident, any known allergies, the name and telephone number of the
The
referral for transfer or discharge if required due to a change in the
The complete
The home
These courses must be relevant to the individuals job duties, such as courses pertaining to working with residents with Alzheimers or other cognitive impairments, working with the mentally ill and developmentally disabled, social and recreational activities, legal issues, physical maintenance and fire safety, housekeeping, or other topics as needed or as determined by the DCH. "Responsible Staff
care. Prior to making such transfer, the administrator or on-site
home shall be fully disclosed in its application for a permit. Not permit the aide to administer
working with the elderly, working with residents with Alzheimer's or other
The
order to reach another room. Fire screens and
the home must initiate immediate transfer if the resident develops a physical
center. You agree not to use any web crawler, scraper, or other robot or automated
respects the personal dignity of the residents and the human rights of the
maintained within the center, including the ratio of direct care staff to
Unlicensed Personal Care Homes HFR is authorized to investigate unlicensed personal care homes pursuant to O.C.G.A 31-7-12.1 As of July 1, 2014, the first offense of an operating an unlicensed personal care home is a felony offense if abuse, neglect or exploitation has also occurred Second offense is automatically a felony Emergency
be given privacy in the provision of personal care. Department. available for review and examination by properly identified representatives of
foods leave the kitchen for serving at or below 41 degrees F. A home serving 25 or more
act which causes injury to a resident, including but not limited to, assault or
must maintain an average monthly minimum on-site staff to resident ratio of one
120 degrees Fahrenheit (F.) to the residents for their usage. parties. perishable foods properly, such as but not limited to meat, fish, eggs, dairy
profit or not, which undertakes through its ownership or management to provide
"Physician" means
least one current calendar and working clock in the common living
utilizing only unit or multidose packaging of medications: Administer physician ordered oral, via a
which the home has not provided proper care. and control; and. The procedures that
50-13-1et
governing body, administration or staff serves as the representative payee of
Individually identified entrances to residents' rooms to assist residents in
required for safe food preparation. right to be fully informed about care and of any changes in that care and the
including, but not limited to, the right to vote. and deposits. Notwithstanding
Quarterly Drug Regimen Reviews. numbers for the governing body and the administrator or on-site manager of the
on-site at all times; Two
staff and residents. accessible to the residents. review. If the
unauthorized manner. one awake direct care staff person per 25 residents during non-waking hours
Registry; and. appropriate. Multipurpose room(s) for dining, group
random medication administration observations to determine that the aides are
the loss of good
storage. part of the application. self-administration. Each resident has the
Requirements for these two settings differ with regard to All staff, regardless of role, shall receive at least four (4)
right to fully participate in the planning of his or her care. constructed in compliance with applicable state and local building and fire
provide. provided with the following: a separation
light fixtures. The home must complete and maintain an
resident has the right to use, keep and control his or her own personal
Each resident has the
Facilities
immediate transfer is required, the administrator or on-site manager of the
disabled, social and recreational activities, legal issues, physical
leave the building to use. Medications must be kept in original
a resident or representative or legal surrogate, if any, submits to the home a
40 residents, a minimum of 40 hours per week. taken by the personal care home to come into compliance with applicable
The home must
Mechanical cooling devices must be made available for use in those areas of the
Provision must also be made for access to emergency
Assist with self-administration of drops, inhalers, nasal sprays and
completed the minimum training requirements of Rule 111-8-62-.09(2)(a) through
request. "Employee" means any person, other than a
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. in a personal care home must be from satisfactory sources and must be clean,
Evidence of family involvement in the
physicians assistant, such as vitamins or low-dose aspirins, the resident must
Homes licensed
center. Doorways of bedrooms or private living spaces occupied by residents must be
. The home may request a final review of
recur. located on different premises where more than one home is operated under the
adjudicated or certified incapacitated. operable condition. Roll-a-ways, cots, double-decks, stacked bunks, hide-a-beds and studio couches
Secured outdoor spaces and walkways which are wheel chair accessible and allow
The
any visit. resident's representative or legal surrogate, if any, has signed a written
the home. be used as a bedroom or private living space where more than one-half the room
Rule 111-8-65-.02 Title and Purposes These rules shall be known as the Rules and Regulations for Private Home Care Providers. Place an oral dosage in the resident's hand or in another container where the
Any renovations to
drugs that the resident personally chooses to ingest or apply where the
center. Once the hours are agreed upon, no prior notice is
change in the resident's status to aging in place so that there is local
community. , The staff of
of staff primarily responsible for implementing the service plan. 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. acquired from reports and investigations of serious incidents, including
cross contamination, time and temperature requirements and sanitation with
Where metal hoods or canopies are provided, they must be equipped
choice or violate fire safety standards, to protect the residents who are at
The home must provide functioning light bulbs for
Administration or any other governmental authority which designates another
Each
For any
practices. living" means bathing, shaving, brushing teeth, combing hair, toileting,
An admission and
administration and supervision of the personal care home, who may also serve as
Where a home admits a resident
bedbound resident cannot move, bedrails, or chairs that prevent rising, or
In the event that a resident is unable to
awake direct care staff person per 20 residents during non-waking hours. residents and monthly work schedules for all employees, including relief
Homes may provide certified medication aide training programs, provided that the program meets proper competency and registry requirements. discharge, may discharge or transfer himself or herself upon notification to
Requirements, Chapter 111-8-25. home must immediately take one of the following actions: If the resident is enrolled in a licensed
The proposed rules provide that each PCH must have its name displayed so as to be easily visible from the street. activities, including frequency and type, how the activities meet the needs of
a resident may have occurred. charges higher rates for care
thereafter. Admissions, discharges and immediate
guardian, or representative or legal surrogate, if any, but may not be required
address and telephone number of any person or agency providing additional
to ensure that the medication aides employed in the home are listed in good
General
result in the loss of good standing on the Georgia Certified Medication Aide
building used by residents when inside temperatures exceed 80 degrees F. No
A
The memory care
and functional. telephone, visitors, hours and volume for viewing and listening to television,
personal
opportunities identified to improve care, must be retained in a central file
from mental, verbal, sexual and physical abuse, neglect and exploitation. for residents with Alzheimer's or other dementias than for care to other
Is given prompt,
. medications via a metered dose inhaler; Conduct finger stick blood glucose
The specific use of proxy caregivers
notice of its intent to discharge or transfer the resident unless an immediate
Designate qualified
lodging and meals. In these rules, unless the context otherwise requires, the
determine readiness to return to work following a significant illness or
agreed upon hours. is first licensed after the effective date of these rules must be designed and
pursuant to the provisions of Rule. The supply of liquid morphine on site
A record of all monetary transactions
dressing, eating, laundering, cleaning private living space, managing money,
history when possible for each employee and maintain documentation in the
Health
Homes licensed for 25 or more beds
risk of eloping from the premises. If the home disagrees with the facts and
resident and the representative or legal surrogate, if any, of the place to
Bathroom windows used for
within twelve months prior to their employment with the home which examination
residents, a minimum of 24 hours per week; or. living space. materials available for use. must be administered by Georgia-licensed registered nurses, pharmacists or
person who is not directly involved in the resident's care may be present when
caregiver" means an unlicensed person or a licensed health care facility that
service with battery back-up which, when activated, must initiate an alarm
investigations. No application for licensure will be
At least one dementia trained direct care staff person for every 12 residents on-site during all waking hours, or for every 15 residents on-site during all non-waking hours based on a monthly average; One registered professional nurse, licensed practical nurse, or certified medication aide on-site at all times; Two direct care staff persons are required to be on-site at all times, with at least one on each occupied floor; and. temporary absence of the administrator or on-site manager. 141 personal care home, may conduct investigations in matters within the ombudsman's powers the memory care center are different from services provided in the rest of the
received by the Department in confidence and must include at least: The name of the personal care home and
Investigate serious incidents involving residents which result in injuries or
keypads to lock and unlock exits, then directions for operation must be posted
when the particular exit is always staffed by a receptionist or other staff
stiff, cool to the touch, blue or grayish in color) that such efforts would be
and is within the scope of the authority granted. examination; Provide the
done in good faith. in accordance with applicable rules and accepted health and safety
Each home must have at least one charged
Where such authority is
endstream
endobj
1541 0 obj
<>stream
the resident, the home must use the funds received for the exclusive use and
sanitary appearance. Any controlled substances must be stored securely and inventoried daily. Department when sent to the licensed home. hospices, traumatic brain injury facilities, drug abuse treatment
The protocol must include immediately calling
cardiopulmonary resuscitation where the training course required return
endstream
endobj
1542 0 obj
<>stream
consistent with the information reported on its licensed residential care
The temperature throughout the home must
employee may be transporting residents. The administrator or on-site manager must document in the
location designated by the Department within 24 hours following the occurrence
The following is a summary of the major changes. measures determined through peer review to be taken by the personal care home
is required. significant change in physical or mental condition, the governing body must
Article II of Chapter 34 of Title 43 of the Official Code of Georgia Annotated. The administrator or on-site manager of
The training requirements have also been altered for general staff as well as for memory care centers. Care Home", "home" or "facility" means any dwelling, whether operated for
Refunds when a resident is transferred or
residential settings. A registered professional nurse or licensed practical nurse be on-site to support care and oversight of the residents, as follows: For communities with one to 30 residents, a minimum of 8 hours per week; For communities with 31 to 60 residents, a minimum of 16 hours per week; For communities with 61 to 90 residents, a minimum of 24 hours per week; For communities with more than 90 residents, a minimum of 40 hours per week; A PCH licensed for less than 25 beds must maintain a 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 25 residents during non-waking hours where the residents have minimal care needs. days written notice to the department and all residents of any impending change
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of medications, typical side effects and adverse reactions and medications for
The date of the incident and the date the
account which a resident or a resident's representative or legal surrogate, if
A copy of the house rules, which must be
properly maintained to remain safe and in good repair. In homes, where unit or multi-dose packaging
Department determines that a rule violation related to the reported incident