jswizzle3737/ontario_laws_and_regs huggingface dataset:
Keeping of waiting lists
 165. (1) Each placement co-ordinator shall keep a waiting list for admission to each of the long-term care homes for which the placement co-ordinator is designated.  O. Reg. 79/10, s. 165 (1). (2) In addition to the waiting lists under subsection (1), the placement co-ordinator shall, if applicable, keep a separate waiting list for each unit or area within a home that is primarily engaged in serving the interests of persons of a particular religion, ethnic origin or linguistic origin as referred to in clause 173 (1) (b).  O. Reg. 79/10, s. 165 (2). (3) Each placement co-ordinator shall also keep the waiting lists described in subsections (1) and (2) with respect to a long-term care home that is not yet licensed or approved, but that is, within 16 weeks of the creation of the list, expected to be licensed or approved and to be a long-term care home for which the placement co-ordinator is designated.  O. Reg. 79/10, s. 165 (3). (4) The appropriate placement co-ordinator shall place on the relevant waiting list, rank for admission, and remove from the list, in accordance with sections 166 to 182, any person described in section 166, other than a person who is to be placed on the waiting list for interim beds under section 192 or on the waiting list for a specialized unit under section 201.  O. Reg. 79/10, s. 165 (4). (5) Despite subsection (4), sections 166 and 169 to 182 do not apply to the appropriate placement co-ordinator in respect of placing persons on a waiting list for admission to a reunification priority access bed and ranking persons for admission to that bed, which shall be done in accordance with sections 206.2 and 206.3. O. Reg. 559/17, s. 1. (6) Despite subsection (4), sections 166 and 169 to 182 do not apply to the appropriate placement co-ordinator in respect of placing persons on a waiting list for admission to a high acuity priority access bed and ranking persons for admission to that bed, which shall be done in accordance with sections 206.5 and 206.6. O. Reg. 295/19, s. 1. (7) Despite subsection (4), sections 169 to 182 do not apply to the appropriate placement co-ordinator in respect of placing persons on a waiting list for admission to a direct access bed and ranking persons for admission to that bed, which shall be done in accordance with sections 206.11 and 206.12. O. Reg. 361/20, s. 1.
Requirements to be placed on waiting list
 166. (1) The appropriate placement co-ordinator shall place a person on a waiting list only if, (a) the person is determined by a placement co-ordinator to be eligible for long-term care home admission; (b) the person applies in accordance with this Regulation for authorization of his or her admission to the home; (c) the licensee of the home approves the person’s admission to the home; and (d) subject to subsection (4), placing the person on the waiting list will not result in the total number of long-stay program waiting lists on which the person is placed exceeding five and the total number of short-stay program waiting lists on which the person is placed exceeding five.  O. Reg. 79/10, s. 166 (1). (2) Clause (1) (d) does not apply to a person who will be placed in category 1 on the waiting list for admission to a long-stay program.  O. Reg. 79/10, s. 166 (2). (3) For the purposes of clause (1) (d), where a person will be placed in category 3A or 3B on the waiting list for a unit or area of a home that is primarily engaged in serving the interests of persons of a particular religion, ethnic origin or linguistic origin under section 173, or for a specialized unit in the home under section 201, and will also be placed on the waiting list for the home other than in the unit or area or specialized unit, all of the waiting lists will be counted as one list.  O. Reg. 79/10, s. 166 (3). (4) A waiting list referred to in subsection 165 (3) shall not be counted in the total number of waiting lists for the purposes of clause (1) (d) until the home is licensed or approved.  O. Reg. 79/10, s. 166 (4).
Removal from waiting list, long-stay
 167. (1) The appropriate placement co-ordinator shall remove an applicant from every waiting list the placement co-ordinator keeps for admission to a long-term care home as a long-stay resident, and make a record of the removal, if any placement co-ordinator offers to authorize the applicant’s admission to a long-term care home as a long-stay resident, and the applicant, (a) refuses to consent to admission; (b) refuses to enter into the agreement provided for in clause 185 (1) (f); or (c) fails to move into the home on or before the fifth day following the day on which he or she is informed of the availability of accommodation.  O. Reg. 79/10, s. 167 (1). (2) Subsection (1) does not apply, (a) if the applicant occupies a bed in, (i) a hospital under the Public Hospitals Act or a private hospital licensed under the Private Hospitals Act, or (ii) a facility that is a psychiatric facility within the meaning of the Mental Health Act
and that is required to provide in-patient services in accordance with that Act; (a.1) if the applicant declines to enter a specialized unit pursuant to a stipulation made under subsection 198 (7); (b) if the reason the applicant acts in the manner described in clause (1) (a), (b) or (c) is that the applicant has a health condition, short-term illness or injury which, (i) prevents the applicant from moving into the home at that time, or (ii) would make moving into the home at that time detrimental to the applicant’s health; or (c) if the reason the applicant acts in the manner described in clause (1) (a), (b) or (c) is that there is an emergency in the home or an outbreak of disease which prevents the applicant from moving into the home at that time.  O. Reg. 79/10, s. 167 (2); O. Reg. 246/13, s. 11. (3) If an applicant who is a long-stay resident of another long-term care home is removed from a waiting list under subsection (1), and subsequently wishes to seek admission to a long-term care home, the applicant must make a new application for a determination of eligibility for long-term care home admission as a long-stay resident.  O. Reg. 79/10, s. 167 (3). (4) An applicant who is removed from a waiting list under subsection (1), other than an applicant referred to in subsection (3), and who subsequently wishes to seek admission to a long-term care home, must make a new application for a determination of eligibility for long-term care home admission as a long-stay resident, but any such application shall not be made earlier than 12 weeks or more after the day the applicant was removed from the waiting list, unless there has been a deterioration in the applicant’s condition or circumstances.  O. Reg. 79/10, s. 167 (4).
Removal from waiting list, short-stay
 168. (1) The appropriate placement co-ordinator may remove an applicant from the waiting list for a long-term care home to which the applicant is awaiting admission as a short-stay resident if the appropriate placement co-ordinator offers to authorize the applicant’s admission to the home and the applicant, (a) refuses to consent to admission; or (b) fails to move into the home on the day agreed to by the applicant.  O. Reg. 79/10, s. 168 (1). (2) An applicant who is removed from the waiting list for a long-term care home under subsection (1) and who subsequently wishes to seek admission to a long-term care home must make a new application for a determination of eligibility for long-term care home admission as a short-stay resident.  O. Reg. 79/10, s. 168 (2). Placement into Categories on Waiting List
Application — short-stay
 169. An applicant for authorization of admission to a long-term care home as a short-stay resident in the respite care or convalescent care program shall be placed in the short-stay category on the waiting list for the long-term care home if the applicant meets the requirements in subsection 166 (1).  O. Reg. 79/10, s. 169.
Application — long-stay
 170. Sections 171 to 180 apply only to applicants who meet the requirements of section 166 and who apply for authorization of admission to a long-term care home as a long-stay resident.  O. Reg. 79/10, s. 170.
Crisis category
 171. (1) An applicant shall be placed in category 1 on the waiting list for a long-term care home if the applicant requires immediate admission as a result of a crisis arising from the applicant’s condition or circumstances.  O. Reg. 79/10, s. 171 (1). (2) An applicant shall be placed in category 1 on the waiting list for a long-term care home if, (a) the applicant occupies a bed in, (i) a hospital under the Public Hospitals Act or a private hospital licensed under the Private Hospitals Act, or (ii) a facility that is a psychiatric facility within the meaning of the Mental Health Act and that is required to provide in-patient services in accordance with that Act; and (b) there will be no bed for the applicant in the hospital or facility within 12 weeks as a result of, (i) a permanent closure of all or some of the beds in the hospital or facility, or (ii) a temporary closure of all or some of the beds in the hospital or facility due to an emergency or redevelopment.  O. Reg. 79/10, s. 171 (2). (3) An applicant shall be placed in category 1 on the waiting list for a long-term care home if, (a) the applicant is a long-stay resident of another long-term care home; and (b) there will be no bed for the applicant in the home within 12 weeks as a result of a permanent or temporary closure of all or some of the beds in the home.  O. Reg. 79/10, s. 171 (3). (4) An applicant shall be placed in category 1 on the waiting list for a long-term care home if the applicant, (a) occupies a bed in a hospital under the Public Hospitals Act, requires an alternate level of care and requires an immediate admission to a long-term care home; (b) the hospital is experiencing severe capacity pressures; and (c) the Agency has, taking into account consultation with the affected hospital and the appropriate placement co-ordinator, verified these pressures to the appropriate placement co-ordinator in writing and set out the time period for which the verification applies.  O. Reg. 79/10, s. 171 (4); O. Reg. 205/21, s. 3.
Spouse/partner reunification
 172. An applicant shall be placed in category 2 on the waiting list for a long-term care home if, (a) the applicant does not meet the requirements for placement in category 1; (b) the applicant’s spouse or partner is a long-stay resident of the long-term care home; and (c) the applicant meets the eligibility criteria set out in subsection 155 (1).  O. Reg. 79/10, s. 172.
Former specialized unit and high acuity priority access bed residents
 172.1 (1) An applicant shall be placed in category 2.1 on the waiting list for a long-term care home if he or she does not meet the requirements for placement in category 1 or 2 and, (a) is a resident in a specialized unit other than a resident who was admitted to the unit pursuant to a stipulation under subsection 198 (7); (b) was a resident in a specialized unit and, (i) was transferred from the specialized unit to a bed in another area of the home pursuant to subsection 205 (1), and (ii) applied for admission before being transferred or within six weeks after being transferred; (c) is a resident occupying a high acuity priority access bed in a long-term care home who is applying for admission to a regular long-stay bed in another home; or (d) was a resident in a high acuity priority access bed and, (i) was transferred from the high acuity priority access bed to another bed in the home pursuant to subsection 206.7 (2), and (ii) applied for admission before being transferred or within six weeks after being transferred. O. Reg. 246/13, s. 12; O. Reg. 295/19, s. 2. (2) For greater certainty, this section does not apply where clause 177 (1) (e) applies. O. Reg. 246/13, s. 12.
Religious, ethnic or linguistic origin
 173. (1) An applicant shall be placed in category 3A or 3B on the waiting list for a long-term care home or for a unit or area within a home if, (a) the applicant does not meet the requirements for placement in category 1, 2 or 2.1; (b) the home or a unit or area within the home is primarily engaged in serving the interests of persons of a particular religion, ethnic origin or linguistic origin; and (c) the applicant or the applicant’s spouse or partner is of the religion, ethnic origin or linguistic origin primarily served by the home or a unit or area within the home and the applicant is seeking to be admitted to that unit or area.  O. Reg. 79/10, s. 173 (1); O. Reg. 246/13, s. 13. (2) An applicant described in subsection (1) shall be placed in category 3A if, (a) the applicant is not a resident of a long-term care home, and requires or is receiving high service levels under the Home Care and Community Services Act, 1994; Note: On May 1, 2022, the day section 3 of Schedule 1 to the Connecting People to Home and Community Care Act, 2020
comes into force, clause 173 (2) (a) of the Regulation is revoked and the following substituted: (See: O. Reg. 194/22, s. 1) (a) the applicant is not a resident of a long-term care home, and requires or is receiving high service levels of home and community care services under the Connecting Care Act, 2019; (b) the applicant occupies a bed in a hospital under the Public Hospitals Act and requires an alternate level of care; (c) the applicant is a long-stay resident of a long-term care home who is seeking to transfer to the home as his or her first choice of home; or (d) the applicant is a short-stay resident of a long-term care home in the interim bed short-stay program and is seeking to transfer to the home as a long-stay resident.  O. Reg. 79/10, s. 173 (2). (3) An applicant described in subsection (1) who does not meet the criteria to be placed in category 3A shall be placed in category 3B.  O. Reg. 79/10, s. 173 (3).
Others
 174. (1) An applicant shall be placed in category 4A or 4B on the waiting list for a long-term care home if the applicant does not meet the requirements for placement in category 1, 2, 2.1, 3A or 3B.  O. Reg. 79/10, s. 174 (1); O. Reg. 246/13, s. 14. (2) An applicant described in subsection (1) shall be placed in category 4A if, (a) the applicant is not a resident of a long-term care home, and requires or is receiving high service levels under the
Home Care and Community Services Act, 1994; Note: On May 1, 2022, the day section 3 of Schedule 1 to the Connecting People to Home and Community Care Act, 2020
comes into force, clause 174 (2) (a) of the Regulation is revoked and the following substituted: (See: O. Reg. 194/22, s. 2) (a) the applicant is not a resident of a long-term care home, and requires or is receiving high service levels of home and community care services under the Connecting Care Act, 2019; (b) the applicant occupies a bed in a hospital under the Public Hospitals Act and requires an alternate level of care; (c) the applicant is a long-stay resident of a long-term care home who is seeking to transfer to the home as his or her first choice of home; or (d) the applicant is a short-stay resident of a long-term care home in the interim bed short-stay program and is seeking to transfer to the home as a long-stay resident.  O. Reg. 79/10, s. 174 (2). (3) An applicant described in subsection (1) who does not meet the criteria to be placed in category 4A shall be placed in category 4B.  O. Reg. 79/10, s. 174 (3).
Veteran category
 175. Despite sections 171 to 174, an applicant shall be placed in the veteran category on the waiting list for a long-term care home if, (a) the home contains veterans’ priority access beds, and the applicant is a veteran who  has applied for authorization of his or her admission to a veterans’ priority access bed; or (b) the home is or will be a related temporary long-term care home, re-opened long-term care home or a replacement long-term care home that contains veterans’ priority access beds and the applicant, (i) is a long-stay resident occupying a veterans’ priority access bed in a long-term care home and has applied for authorization of his or her admission to a veterans’ priority access bed, and (ii) otherwise meets the applicable requirements of section 178, 179 or 180, as the case may be, with respect to the veterans’ priority access bed.  O. Reg. 79/10, s. 175.
Exchange category
 176. (1) Despite sections 171 to 174, an applicant shall be placed in the exchange category on the waiting list for a long-term care home if, (a) the applicant, (i) occupies a bed in a hospital under the Public Hospitals Act or a private hospital licensed under the Private Hospitals Act, (ii) occupies a bed in a facility that is a psychiatric facility within the meaning of the Mental Health Act and that is required to provide in-patient services in accordance with that Act, (iii) occupies a bed in a supported group living residence, an intensive support residence or a supported independent living residence under the Services and Supports to Promote the Social Inclusion of Persons with Developmental Disabilities Act, 2008, (iv) resides in a supportive housing program that is funded by the Ministry of Health, a local health integration network or the Agency to provide personal support services and homemaking services to persons who require that such services be available on site 24 hours a day, or (v) is a long-stay resident of another long-term care home; (b) the applicant is the subject of an agreement between the long-term care home to which the applicant seeks admission, at least one hospital, facility, group home or program mentioned in subclauses (a) (i) to (iv) and possibly one or more other hospitals, facilities, group homes, programs or long-term care homes, to exchange identified residents or patients, in order to meet the specialized requirements of any of the exchanged residents or patients; and (c) the result of the exchange will be that the applicant will become a resident of the long-term care home to which the applicant seeks admission and a resident of the long-term care home will be discharged.  O. Reg. 79/10, ss. 176 (1), 334 (1); O. Reg. 205/21, s. 4. (2) Despite sections 171 to 174, if a placement co-ordinator becomes aware of the opportunity to exchange a resident of one long-term care home who seeks admission to a second long-term care home and a resident of the second long-term care home who seeks admission to the first, each resident shall be placed in the exchange category of the appropriate waiting list.  O. Reg. 79/10, s. 176 (2).
Re-admission category
 177. (1) Despite sections 171 to 174, an applicant shall be placed in the re-admission category on the waiting list for a long-term care home if, (a) he or she formerly occupied a bed in the long-term care home as a long-stay resident, but no longer does so because he or she was absent on a medical or psychiatric absence for a longer time than permitted under section 138 and was discharged by the licensee; (b) he or she formerly occupied a bed in the long-term care home as a long-stay resident, but no longer does so because of an emergency in the long-term care home and he or she was discharged by the licensee; (c) he or she is a resident of a specialized unit who is applying for admission to the long-term care home where he or she was a resident immediately prior to his or her admission to the specialized unit; (d) he or she was discharged from a specialized unit or a high acuity priority access bed because he or she was absent on a medical or psychiatric absence for a longer time than permitted under section 138, and is applying for admission to the long-term care home where he or she was a resident immediately prior to his or her admission to the specialized unit or high acuity priority access bed; or (e) he or she was discharged from a specialized unit or a high acuity priority access bed in a long-term care home and transferred to a bed in another area of the home, and he or she, (i) is applying for admission to the long-term care home where he or she was a resident immediately prior to his or her admission to the specialized unit or high acuity priority access bed, and (ii) applied for the admission referred to in subclause (i) before being transferred, or within six weeks after being transferred. O. Reg. 246/13, s. 15; O. Reg. 295/19, s. 3. (2) An applicant to whom clause (1) (a) or (b) applies shall only be placed in the re-admission category on the waiting list for the home from which he or she was most recently discharged.  O. Reg. 79/10, s. 177 (2).
Related temporary long-term care home category
 178. Despite sections 171 to 174 and section 176 but subject to section 175, an applicant shall be placed in the related temporary long-term care home category on the waiting list for a long-term care home if, (a) the long-term care home is or will be a related temporary long-term care home; and (b) the applicant is a long-stay resident of the original long-term care home or was a long-stay resident of the original long-term care home immediately before the closure of his or her bed in the home.  O. Reg. 79/10, s. 178.
Re-opened long-term care home category
 179. Despite sections 171 to 174 and section 176 but subject to section 175, an applicant shall be placed in the re-opened long-term care home category on the waiting list for a long-term care home if, (a) the long-term care home is or will be a re-opened long-term care home; and (b) the applicant, (i) is a long-stay resident of the original long-term care home, (ii) was a long-stay resident of the original long-term care home immediately before the temporary closure of his or her bed in the home, or (iii) is a long-stay resident of the related temporary long-term care home.  O. Reg. 79/10, s. 179.
Replacement long-term care home category
 180. Despite sections 171 to 174 and section 176 but subject to section 175, an applicant shall be placed in the replacement long-term care home category on the waiting list for a long-term care home if, (a) the long-term care home is or will be a replacement long-term care home; and (b) the applicant, (i) is a long-stay resident of the original long-term care home, (ii) was a long-stay resident of the original long-term care home immediately before the permanent closure of his or her bed in the home, or (iii) is a long-stay resident of the related temporary long-term care home.  O. Reg. 79/10, s. 180. Ranking of Categories
Ranking of categories
 181. For each class of beds set out in a column of the Table to this section, the categories on the waiting list shall be ranked in the order set out in the rows below that class of beds, such that a category mentioned in a higher row ranks ahead of a category mentioned in a lower row.  O. Reg. 79/10, s. 181. TABLE   RANKING OF WAITING LIST CATEGORIES (Long-Stay) Column 1   Column 2   Column 3   Column 4   Column 5   Column 6 

  Class of Beds   Beds in a related temporary long-term care home, other than veterans’ priority access beds   Beds in a re-opened long-term care home, other than veterans’ priority access beds   Beds in a replacement long-term care home, other than veterans’ priority access beds   Veterans’ priority access beds in a long-term care home, other than a related temporary, re-opened or replacement long-term care home   Veterans’ priority access beds in a related temporary, re-opened or replacement long-term care home   All other long-stay beds in a long-term care home 

  Waiting List Categories   Related temporary   Re-opened   Replacement    Veteran   Veteran under clause 175 (b)   Exchange 

      Exchange   Exchange   Exchange   Exchange   Veteran under clause 175 (a)   Re-admission 

      Re-admission   Re-admission   Re-admission   Re-admission   Exchange   1 

      1   1   1   1   Re-admission   2 

      2   2   2   2   1   2.1 

      2.1   2.1   2.1   2.1   2   3A 

      3A   3A   3A   3A   2.1   3B 

      3B   3B   3B   3B   3A   4A 

      4A   4A   4A   4A   3B   4B 

      4B   4B   4B   4B   4A     

                      4B O. Reg. 246/13, s. 16. Ranking Within Categories
Change of category
 183. (1) If a placement co-ordinator knows of a change in the condition or circumstances of an applicant who is on a waiting list kept by the placement co-ordinator or knows of a change in a long-term care home for which the applicant is on the waiting list, and if the applicant should be placed in a different category on the waiting list under sections 170 to 180 as a result of the change in his or her condition or circumstances or as a result of the change in the home, the placement co-ordinator shall place the applicant in the different category.  O. Reg. 79/10, s. 183 (1). (2) If the placement co-ordinator becomes aware that an applicant on the waiting list should be placed in the exchange category referred to in subsection 176 (2), the placement co-ordinator shall place the applicant in the exchange category.  O. Reg. 79/10, s. 183 (2). (3) If a person who is on the waiting list for a long-term care home should be placed in a different category on the waiting list as a result of amendments made to this Regulation by Ontario Regulation 246/13, the placement co-ordinator keeping the waiting list shall place the person in the different category. O. Reg. 246/13, s. 18. (4) If a person who is on the waiting list for a long-term care home should be placed in a different category on the waiting list as a result of amendments made to this Regulation by Ontario Regulation 295/19, the placement co-ordinator keeping the waiting list shall place the person in the different category. O. Reg. 295/19, s. 5. Authorization of Admission
Withdrawal of approval by licensee
 184. (1) Subject to section 163, this section applies where a licensee of a long-term care home has approved an applicant’s admission to the home under section 162 and the applicant’s admission has not yet been authorized by the placement co-ordinator.  O. Reg. 79/10, s. 184 (1). (2) If information provided to the licensee by the placement co-ordinator indicates that there has been a change in the applicant’s condition and, as a result, a ground for withholding approval mentioned in subsection 44 (7) of the Act exists, the licensee may withdraw the approval of the applicant’s admission to the long-term care home in accordance with paragraphs 1 and 3 of subsection 44 (14) of the Act.  O. Reg. 79/10, s. 184 (2). (3) Where the placement co-ordinator gives the licensee a copy of a reassessment in accordance with subsection 44 (14) of the Act, the placement co-ordinator shall request the licensee to determine whether to withdraw the approval for the admission in accordance with that subsection.  O. Reg. 79/10, s. 184 (3). (4) Subject to subsections (5) and (6), the licensee shall, within one business day of receiving the request from the placement co-ordinator under subsection (3), review the material in accordance with subsection 44 (14) of the Act and do one of the following: 1. If the licensee decides not to withdraw the approval for the applicant’s admission, give the appropriate placement co-ordinator the written notice required under paragraph 2 of subsection 44 (14) of the Act. 2. If the licensee decides to withdraw the approval for the applicant’s admission, give the written notice referred to in paragraph 3 of subsection 44 (14) of the Act in accordance with the applicable requirements under that paragraph.  O. Reg. 79/10, s. 184 (4). (5) Where, within one business day of receiving the request from the placement co-ordinator under subsection (3), the licensee makes a request in writing to the appropriate placement co-ordinator for additional information that in the placement co-ordinator’s opinion is relevant to the determination of whether to withdraw approval for the applicant’s admission to the home, the placement co-ordinator shall provide the information to the licensee.  O. Reg. 79/10, s. 184 (5). (6) The licensee shall give the appropriate notice under paragraph 1 or 2 of subsection (4) within one business day of receiving the additional information requested under subsection (5).  O. Reg. 79/10, s. 184 (6).
Duty to inform placement co-ordinator of vacancies
 186. Every licensee of a long-term care home shall, within 24 hours after a bed in the home is no longer occupied, inform the appropriate placement co-ordinator of the following: 1. That the bed is no longer occupied. 2. The class of accommodation of the bed. 3. The class of the bed within the meaning of subsection 187 (18) of the Act. 4. The date on which the bed will be available for occupation.  O. Reg. 106/12, s. 1.
Reserving ahead — short-stay respite care
 187. The appropriate placement co-ordinator may authorize the admission of an applicant to a long-term care home as a short-stay resident in the respite care program to be effective at a future time no more than one year from the date of the authorization.  O. Reg. 79/10, s. 187.
Length of short-stay, respite care and convalescent care
 188. (1) When a placement co-ordinator authorizes the admission of an applicant to a long-term care home as a short-stay resident in the respite care or convalescent care program, the placement co-ordinator shall indicate the length of the stay being authorized and the first day and last day of the stay.  O. Reg. 79/10, s. 188 (1). (2) No placement co-ordinator shall authorize the admission of an applicant to a long-term care home as a short-stay resident in the respite care program for a stay exceeding 60 continuous days.  O. Reg. 79/10, s. 188 (2). (3) No placement co-ordinator shall authorize the admission of an applicant to a long-term care home as a short-stay resident in the convalescent care program for a stay exceeding 90 continuous days.  O. Reg. 79/10, s. 188 (3). (4) No placement co-ordinator shall authorize the admission of an applicant to a long-term care home as a short-stay resident in the respite care program for a stay which, when added to the applicant’s other stays during the calendar year in the respite care program of a long-term care home, exceeds 90 days.  O. Reg. 79/10, s. 188 (4). (5) No placement co-ordinator shall authorize the admission of an applicant to a long-term care home as a short-stay resident in the convalescent care program for a stay which, when added to the applicant’s other stays during the calendar year in the convalescent care program of a long-term care home, exceeds 90 days.  O. Reg. 79/10, s. 188 (5). Interim Bed Short-Stay Program
Keeping of waiting list, interim beds
 189. The appropriate placement co-ordinator for a long-term care home that has interim beds shall keep a waiting list for admission to the interim beds that is in addition to and separate from any waiting list that is required to be kept under section 165.  O. Reg. 79/10, s. 189.
Approval by licensee, interim beds
 190. The following modifications to section 162 apply with respect to an applicant for an interim bed: 1. The licensee’s notice under subsection 162 (3) approving or withholding approval of the applicant’s admission must be given within three business days of receiving the request under subsection 162 (1), not five business days. 2. Any request by the licensee under subsection 162 (4) for additional information shall be made within the three business days referred to in paragraph 1 and the licensee’s notice referred to in subsection 162 (5) shall be given within one business day of receiving the additional information provided.  O. Reg. 79/10, s. 190.
Limit on waiting lists, interim beds
 191. For the purposes of section 164, a request relating to admission to the interim bed short-stay program shall be treated as a request for admission as a short-stay resident.  O. Reg. 79/10, s. 191.
Requirements to be placed on waiting list, interim beds
 192. (1) The appropriate placement co-ordinator shall place a person on the waiting list for admission to interim beds in a long-term care home if, (a) the person occupies a bed in a hospital under the Public Hospitals Act and requires an alternate level of care; (b) a physician has determined that the person does not require the acute care services provided by the hospital; (c) the person is determined by a placement co-ordinator to be eligible for long-term care home admission as a long-stay resident under section 155; (d) the person is on at least one waiting list for admission to a bed in a long-stay program of a long-term care home; (e) placing the person on the waiting list will not result in the total number of short-stay waiting lists on which the person is placed exceeding five; (f) the person applies in accordance with this Regulation for authorization of his or her admission to an interim bed in the home; and (g) the licensee of the home approves the person’s admission to an interim bed in the home.  O. Reg. 79/10, s. 192 (1). (2) Section 166 does not apply to placement on a waiting list for interim beds.  O. Reg. 79/10, s. 192 (2).
Ranking on waiting list, interim beds
 193. (1) Sections 169 to 181 and subsection 182 (1) do not apply with respect to an application for admission to a long-term care home as a resident in the interim bed short-stay program.  O. Reg. 79/10, s. 193 (1). (2) Applicants on a waiting list for interim beds for a long-term care home shall be ranked for admission according to the time at which they applied for authorization of their admission to an interim bed in that home.  O. Reg. 79/10, s. 193 (2). (3) Subsections 182 (2) and (3) apply with the following modifications to the ranking of applicants on a waiting list for interim beds for a long-term care home: 1. References to a “long-stay resident” shall be read as references to a short-stay interim bed resident. 2. References to “the Table to this section” or “the Table” shall be read as references to subsection 193 (2).  O. Reg. 79/10, s. 193 (3).
Removal from waiting list, interim beds
 194. Section 167 rather than section 168 applies to the waiting list for interim beds.  O. Reg. 79/10, s. 194.
Authorization of admission, interim beds
 195. (1) The appropriate placement co-ordinator shall authorize the admission of an applicant to the interim bed short-stay program only if, (a) the applicant’s admission may be authorized under section 185; (b) the applicant applied for authorization of his or her admission to an interim bed in the home; and (c) the applicant meets the requirements for placement on a waiting list for interim beds as set out in section 192.  O. Reg. 79/10, s. 195 (1). (2) If the class of accommodation available in the interim bed short-stay program is one of the classes referred to in paragraph 11, 12, 13 or 14 of subsection 185 (2) and there is no applicant recorded to be waiting for that class of accommodation, the licensee shall make the accommodation available as basic accommodation.  O. Reg. 79/10, s. 195 (2).
Length of interim bed stay and other rules
 196. The following rules apply when a placement co-ordinator authorizes the admission of an applicant to a long-term care home as a resident of an interim bed: 1. The placement co-ordinator shall indicate the length of the stay being authorized and the first day and last day of the stay. 2. The placement co-ordinator shall not authorize the admission for a period exceeding 120 consecutive days for the first period. 3. After the initial admission, and whether or not the applicant has made a formal application for an extension, the placement co-ordinator may authorize the extension of the applicant’s admission for up to 60 consecutive days at a time, if the applicant, i. remains on at least one waiting list for admission to a bed in a long-stay program of a long-term care home, and ii. has not yet received an offer to authorize his or her admission as a long-stay resident of a long-term care home under section 185. 4. If the placement co-ordinator is authorizing an extension of the admission, the extension shall only be authorized within seven days before the last day of the stay.  O. Reg. 79/10, s. 196.
Removal from long-stay waiting list of interim bed resident
 197. Subsections 167 (1), (2) and (3) apply where a placement co-ordinator offers to authorize the admission of a resident of an interim bed to a long-term care home as a long-stay resident and the resident refuses to consent to the admission, refuses to enter into the agreement provided for in clause 185 (1) (f), or fails to move into the home on or before the fifth day following the day on which he or she is informed of the availability of accommodation.  O. Reg. 79/10, s. 197. Specialized Units
Designation of specialized units
 198. (1) This section applies to the designation of specialized units for the purposes of subsection 39 (3) of the Act.  O. Reg. 79/10, s. 198 (1). (2) The Director may designate a specified number of long-stay program beds as a specialized unit in a long-term care home, subject to any terms and conditions the Director may specify, (a) upon the recommendation of the Agency; or (b) upon the Director’s own initiative, after having considered the input of the Agency and the licensee of the home. O. Reg. 560/17, s. 1; O. Reg. 205/21, s. 5 (1). (3) In making a recommendation or providing input to the Director, the Agency shall provide the Director with whatever information the Director stipulates with respect to the types of accommodation, care, services, programs and goods to be provided by the specialized unit. O. Reg. 560/17, s. 1; O. Reg. 205/21, s. 5 (2). (4) The Director shall only designate a specialized unit in a home if, (a) the licensee has agreed to the proposed designation; and (b) the Director is satisfied with the licensee’s current compliance with requirements under the Act and with the licensee’s history of compliance as referred to in paragraph 3 of subsection 299 (1). O. Reg. 560/17, s. 1. (5) The Director shall advise a placement co-ordinator in writing when a specialized unit is designated within a long-term care home for which the placement co-ordinator is the appropriate placement co-ordinator.  O. Reg. 79/10, s. 198 (5). (6) The Director may amend the terms and conditions of a designation at any time.  O. Reg. 79/10, s. 198 (6). (7) In making or amending a designation, the Director may, after considering and having regard for the health and well-being of both the residents in the specialized unit and other persons who might be admitted as residents in the specialized unit, stipulate that persons who are on the waiting list for the home under section 165 may be admitted to the specialized unit when there is no one on the waiting list for the specialized unit under section 200. O. Reg. 246/13, s. 19. (8) The Director shall advise a placement co-ordinator in writing when making or withdrawing a stipulation pursuant to subsection (7) with respect to a long-term care home for which the placement co-ordinator is the appropriate placement co-ordinator. O. Reg. 246/13, s. 19.
Agreement with Agency
 199. (1) The operation by a licensee of a specialized unit shall be subject to the terms and conditions in an agreement between the licensee and the Agency. O. Reg. 205/21, s. 6. (2) The agreement between the licensee and the Agency shall also contain the terms and conditions, if any, specified by the Director under subsection 198 (2) or (6). O. Reg. 205/21, s. 6.
Keeping of waiting list, specialized unit
 200. The appropriate placement co-ordinator for a long-term care home shall keep a separate waiting list for admission to every specialized unit designated within the home in accordance with this Regulation that is in addition to and separate from any waiting list that is required to be kept under section 165.  O. Reg. 79/10, s. 200.
Requirements to be placed on waiting list, specialized unit
 201. (1) The appropriate placement co-ordinator shall place a person on the waiting list for admission to a specialized unit within a long-term care home under section 200 if, (a) the person is determined by the placement co-ordinator to be eligible for long-term care home admission as a long-stay resident under section 155; (b) the person applies in accordance with this Regulation for authorization of his or her admission to the specialized unit; (c) the placement co-ordinator is satisfied, based on the assessments and information provided, that the person requires and is likely to benefit from the type of accommodation, care, services, programs and goods that are provided in the specialized unit; (d) the licensee of the long-term care home approves the person’s admission to the specialized unit; and (e) placing the person on the waiting list for the specialized unit will not result in the total number of long-stay program waiting lists on which the person is placed exceeding five, unless the person requires an immediate admission as a result of a crisis arising from his or her condition or circumstances.  O. Reg. 79/10, s. 201 (1). (2) For the purposes of clause (1) (e), where a person will be placed on the waiting list for a specialized unit in a long-term care home and will also be placed in category 3A or 3B on the waiting list for a unit or area of the home that is primarily engaged in serving the interests of persons of a particular religion, ethnic origin or linguistic origin under section 173 or will also be placed on the waiting list for the home other than in the unit or area or specialized unit, all of the waiting lists will be counted as one list.  O. Reg. 79/10, s. 201 (2).
Authorization of admission, specialized unit
 203. (1) The appropriate placement co-ordinator shall authorize the admission of an applicant to the specialized unit only if, (a) the applicant’s admission may be authorized under section 185; and (b) the applicant meets the requirements for placement on a waiting list for the specialized unit set out in section 201.  O. Reg. 79/10, s. 203. (2) Clause (1) (b) does not apply, (a) when there is no applicant on the waiting list for the specialized unit; and (b) the Director has made a stipulation under subsection 198 (7) with respect to the specialized unit. O. Reg. 246/13, s. 20.
Reassessment
 204. (1) The licensee shall ensure that every resident of a specialized unit undergoes an interdisciplinary reassessment every three months, or sooner if there is a change in the resident’s condition or circumstances, to determine whether the resident continues to require and is benefiting from the accommodation, care, services, programs and goods provided in the specialized unit.  O. Reg. 79/10, s. 204. (2) Subsection (1) does not apply with respect to a resident who is admitted pursuant to a stipulation made under subsection 198 (7). O. Reg. 246/13, s. 21.
Transfer, specialized units
 205. (1) The licensee of a long-term care home may transfer a resident who is being discharged from a specialized unit under subsection 146 (7) to another area in the home.  O. Reg. 79/10, s. 205 (1). (2) The licensee shall notify the placement co-ordinator of every transfer under subsection (1) within 24 hours.  O. Reg. 79/10, s. 205 (2). (3) The licensee shall keep a separate transfer list in accordance with section 207 in respect of the accommodation in the specialized unit, and section 207 applies with necessary modifications to transfers of residents within the specialized unit.  O. Reg. 79/10, s. 205 (3). (4) A resident who is transferred under subsection (1) shall be deemed to have been discharged from the specialized unit and admitted to the home.  O. Reg. 79/10, s. 205 (4). (5) The licensee may transfer residents out of a specialized unit and into another area of the home despite the rules concerning transfer lists in section 207, subject to the first priority being given to residents described in clause 207 (1) (f) and despite subsection 207 (5).  O. Reg. 79/10, s. 205 (5).
Transfer from specialized unit — resident admitted pursuant to a stipulation
 205.1 (1) The licensee of a long-term care home shall transfer a resident who was admitted to the specialized unit pursuant to a stipulation made under subsection 198 (7) to a bed in another area of the home in the class of accommodation chosen by the resident as soon as such a bed becomes available. O. Reg. 246/13, s. 22. (2) Subsection (1) applies despite the rules concerning transfer lists in section 207, subject to first priority being given to residents described in clause 207 (1) (f) and despite subsection 207 (5). O. Reg. 246/13, s. 22. (3) A resident who is transferred under subsection (1) shall be deemed to have been admitted to the home. O. Reg. 246/13, s. 22. (4) The licensee shall notify the placement co-ordinator of every transfer under subsection (1) within 24 hours. O. Reg. 246/13, s. 22. (5) Subsection 205 (3) applies to residents admitted to the specialized unit pursuant to the stipulation under subsection 198 (7). O. Reg. 246/13, s. 22.
Revocation of designation of specialized unit
 206. (1) The Director may revoke the designation of a specialized unit in a long-term care home, or the designation of some of the beds in a specialized unit, in accordance with any terms and conditions the Director may specify, (a) upon the recommendation of the Agency; or (b) upon the Director’s own initiative.  O. Reg. 79/10, s. 206 (1); O. Reg. 205/21, s. 7 (1). (2) Where the Agency recommends a revocation to the Director, it shall provide the Director with, (a) the reason or reasons for recommending the revocation; (b) a plan developed by the Agency in consultation with the licensee and the appropriate placement co-ordinator that sets out, (i) the arrangements that will be made for the accommodation, care and services of the residents of the specialized unit, and (ii) anticipated timelines for carrying out the plan; and (c) a proposal for what is to occur with respect to the beds that will no longer be designated as part of the specialized unit. O. Reg. 205/21, s. 7 (2). (3) Where the Director revokes a designation on the Director’s own initiative, the Agency shall provide the Director with the plan referred to in clause (2) (b).  O. Reg. 79/10, s. 206 (3); O. Reg. 205/21, s. 7 (3). (4) When the Director revokes a designation, the Director shall, (a) inform the licensee, the Agency and the appropriate placement co-ordinator of the revocation; and (b) provide the approved plan, with or without amendments made by the Director, to the licensee, the Agency, and the appropriate placement co-ordinator. O. Reg. 79/10, s. 206 (4); O. Reg. 205/21, s. 7 (4). (5) The licensee shall comply with the plan as approved by the Director and, upon receiving the approved plan from the Director, shall, (a) advise in writing each resident who will be affected by the revocation and the resident’s substitute decision-maker, if any, of the revocation; and (b) contact those residents and substitute decision-makers to begin the process of making alternate arrangements.  O. Reg. 79/10, s. 206 (5). (6) In accordance with the approved plan, the appropriate placement co-ordinator shall, (a) inform applicants on the waiting list for admission to the specialized unit that the designation is being revoked; (b) cease the authorization of admissions to the specialized unit in accordance with the approved plan; and (c) cease keeping a separate waiting list for the specialized unit in the long-term care home.  O. Reg. 79/10, s. 206 (6). (7) Where the Director has designated a specialized unit for a specified time, the expiry of the specified time is deemed to be a revocation on the Director’s own initiative for the purposes of this section. O. Reg. 560/17, s. 2. Reunification Priority Access Beds
Designation of beds
 206.1 (1) The Director may designate a specified number of long-stay program beds in a long-term care home as reunification priority access beds, subject to any terms and conditions as the Director may specify. O. Reg. 559/17, s. 2. (2) A licensee shall comply with the terms and conditions of a designation. O. Reg. 559/17, s. 2. (3) The Director may, at any time, amend the terms and conditions of a designation or revoke the designation. O. Reg. 559/17, s. 2. (4) The Director shall advise the licensee for the long-term care home in which one or more reunification priority access beds are designated and the appropriate placement co-ordinator in writing of, (a) the designation and any terms and conditions to which it is subject; (b) if the Director amends the terms and conditions, the amended terms and conditions; and (c) if the Director revokes the designation, the revocation of the designation. O. Reg. 559/17, s. 2.