reglab/housing_qa huggingface dataset:
DC Code § 44-108.03 (2021)
2021 District of Columbia Code|Title 44 - Charitable and Curative Institutions|Chapter 1 - Assisted Living Residence Regulation|Subchapter VIII - Resident Assessment|§ 44-108.03. Functional assessment

Within 30 days prior to admission, the facility shall collect, on a standardized form approved by the Mayor, the following information regarding each applicant: (1) Level of functioning in activities of daily living including bathing, dressing, grooming, eating, toileting, and mobility; (2) Level of support and intervention, including any special equipment and supplies, required to compensate for the individual’s deficits in activities of daily living; (3) Current physical or psychological symptoms of the individual requiring monitoring, support, or other intervention by the ALR; (4) Capacity of the individual for making personal and healthcare related decisions; (5) Presence of disruptive behavior or behavior which presents a risk to the physical or emotional health and safety of self or others; (6) Social factors, including: (A) Significant problems with family circumstances and personal relationships; (B) Spiritual status and needs; and (C) Ability to participate in structured and group activities and the resident’s current involvement in such activities.  (June 24, 2000, D.C. Law 13-127, § 803, 47 DCR 2647.)
DC Code § 44-108.04 (2021)
2021 District of Columbia Code|Title 44 - Charitable and Curative Institutions|Chapter 1 - Assisted Living Residence Regulation|Subchapter VIII - Resident Assessment|§ 44-108.04. Short-term residential care

For individuals who will stay in the ALR no longer than 30 days, only the following information is required for admission to the ALR: (1) An analysis of the individual’s current physical condition, medical status, and functional assessment as set out in this subchapter; and (2) A resident agreement in accordance with this chapter.  (June 24, 2000, D.C. Law 13-127, § 804, 47 DCR 2647.)
DC Code § 44-108.05 (2021)
2021 District of Columbia Code|Title 44 - Charitable and Curative Institutions|Chapter 1 - Assisted Living Residence Regulation|Subchapter VIII - Resident Assessment|§ 44-108.05. Emergency placement

A resident admitted as an emergency placement, not to exceed 14 days, must comply with admission, physical examination, and assessment requirements of this chapter.  (June 24, 2000, D.C. Law 13-127, § 805, 47 DCR 2647.)
DC Code § 44-109.01 (2021)
2021 District of Columbia Code|Title 44 - Charitable and Curative Institutions|Chapter 1 - Assisted Living Residence Regulation|Subchapter IX - Medication Management|§ 44-109.01. Responsibilities of the ALR personnel in medication management

An ALA shall ensure that an initial assessment identifies whether a resident: (1) Is capable of self-administering his or her own medications; (2) Is capable of self-administering his or her own medication, but requires a reminder to take medications or requires physical assistance with opening and removing medications from the container, or both; or (3) Requires that medications be administered by a TME or a licensed nurse.  (June 24, 2000, D.C. Law 13-127, § 901, 47 DCR 2647.)
DC Code § 44-109.02 (2021)
2021 District of Columbia Code|Title 44 - Charitable and Curative Institutions|Chapter 1 - Assisted Living Residence Regulation|Subchapter IX - Medication Management|§ 44-109.02. Pre-admission medication management assessment

Within 30 days prior to admission, the ALR shall consult with the prospective resident’s healthcare practitioner regarding: (1) The prospective resident’s current medication profile, including a review of nonprescription drugs; (2) Possible adverse interactions; (3) Common expected or unexpected side effects; and (4) The potential that such medications have to act as chemical restraints.  (June 24, 2000, D.C. Law 13-127, § 902, 47 DCR 2647.)
DC Code § 44-109.03 (2021)
2021 District of Columbia Code|Title 44 - Charitable and Curative Institutions|Chapter 1 - Assisted Living Residence Regulation|Subchapter IX - Medication Management|§ 44-109.03. On-site medication review

The ALR shall arrange for an on-site review by a registered nurse every 45 days to: (1) Supervise the administration of medications by Trained Medication Employees; (2) Assess the resident’s response to medication; and (3) Assess the resident’s ability to continue to self-administer his or her medications.  (June 24, 2000, D.C. Law 13-127, § 903, 47 DCR 2647.)
DC Code § 44-109.04 (2021)
2021 District of Columbia Code|Title 44 - Charitable and Curative Institutions|Chapter 1 - Assisted Living Residence Regulation|Subchapter IX - Medication Management|§ 44-109.04. Medication storage

(a) The ALA shall provide a secured space for medication storage with access to a sink and cold storage in the same area. Space for necessary medical supplies and equipment shall be provided. (b) The storage area shall be kept locked when not in use. (c) The storage area shall be used only for storage of medications and medical supplies. (d) The key to the storage area shall be kept on the person of the employee on duty who is responsible for administering the medications. (e)(1) All medications shall be kept in their original packaging and shall be properly labeled and identified. (2) The label of each resident’s prescription medication container shall be permanently affixed and contain the resident’s full name, healthcare practitioner’s name, prescription number, name and strength of drug, lot number, quantity, date of issue, expiration date, manufacturer’s name, if generic, directions for use, and cautionary or accessory information. Required information appearing on individually packaged drugs or within an alternate medication delivery system need not be repeated on the label. (3) All over-the-counter (OTC) medications repackaged by the pharmacy shall be labeled with an expiration date, name and strength of the drug, lot number, date of issue, manufacturer’s name if generic, and cautionary or accessory labels, in accordance with U.S.P. regulations. Original manufacturer’s containers shall be labeled with at least the resident’s name. The name label shall not obstruct any of the aforementioned information. (4) In the “unit of use” distribution system, each dose of medication shall be individually packaged in a hermetically sealed, tamper-proof container, and shall carry full manufacturer’s disclosure information on each discrete dose. Disclosure information shall include product name, strength, lot number, expiration date, and the manufacturer’s distributor’s name. (5) Single use and disposable items shall not be reused. (6) No stock supply of prescription medications shall be maintained, unless prior approval is obtained from the Mayor. (7) Discontinued or expired medications shall be destroyed within 30 days in the ALR, or, if unopened and properly labeled, returned to the pharmacy. All medication destroyed in the ALR shall be witnessed and documented by two persons, one of whom shall be the ALA or the ALA designee. (8) Residents who self-administer may keep and use prescription and nonprescription medications in their units as long as they keep them secured from other residents.  (June 24, 2000, D.C. Law 13-127, § 904, 47 DCR 2647.)
DC Code § 44-109.05 (2021)
2021 District of Columbia Code|Title 44 - Charitable and Curative Institutions|Chapter 1 - Assisted Living Residence Regulation|Subchapter IX - Medication Management|§ 44-109.05. Medication administration

(a) Licensed nurses, physicians, physician assistants, and TMEs may administer medications to residents or assist residents with taking their medications. (b)(1) Each resident shall be identified prior to drug administration. (2) Drugs prescribed for one resident shall not be administered to another resident. (3) The TME shall report drug errors to the healthcare practitioner or licensed nurse and shall document the incident in the resident’s record.  (June 24, 2000, D.C. Law 13-127, § 905, 47 DCR 2647.)
DC Code § 44-109.06 (2021)
2021 District of Columbia Code|Title 44 - Charitable and Curative Institutions|Chapter 1 - Assisted Living Residence Regulation|Subchapter IX - Medication Management|§ 44-109.06. Medication management training program

(a) The Mayor shall develop medication management training courses which shall be approved by the Board of Nursing. The medication administration training program shall include instruction in the following areas: (1) Cuing, coaching, and monitoring residents who self-administer medications with or without assistance; (2) Pharmacology; (3) Terminology related to medication; (4) Procedures and precautions in administering medication; (5) Types of medication; (6) Actions, interactions, and effects of medication; (7) Administration of medication in emergency or life-threatening circumstances; (8) Recordkeeping, storage, handling, and disposal requirements for medications; (9) Rights of residents; (10) Monitoring of vital signs; (11) Federal and District of Columbia laws governing medication; and (12) Reference sources related to medication. (b) The Mayor shall maintain a list of approved medication administration courses for the training of persons to be certified by the District of Columbia as TMEs. (c) In order to maintain certification, every 2 years a TME shall successfully complete a clinical update or refresher course approved by the Mayor. (d) The ALA shall document completion of the medication training course in TME’s personnel file.  (June 24, 2000, D.C. Law 13-127, § 906, 47 DCR 2647.)  Section References This section is referenced in § 44-102.01.
DC Code § 44-109.07 (2021)
2021 District of Columbia Code|Title 44 - Charitable and Curative Institutions|Chapter 1 - Assisted Living Residence Regulation|Subchapter IX - Medication Management|§ 44-109.07. Medication control

(a) Each resident shall be identified prior to drug administration. (b) Drugs prescribed for one resident shall not be administered to another resident. (c) Staff shall report drug errors and adverse drug reactions immediately to the ALA or ALA designee who shall report, as appropriate, to the doctor, prescriber, pharmacist, resident, and resident’s surrogate and shall document the incident in the resident’s record. (d) A unit drug compliance package (blister or bubble or unit dose package) shall be developed and implemented where feasible. (e) Medications shall be refrigerated separately from lab specimens and food.  (June 24, 2000, D.C. Law 13-127, § 907, 47 DCR 2647.)
DC Code § 44-110.01 (2021)
2021 District of Columbia Code|Title 44 - Charitable and Curative Institutions|Chapter 1 - Assisted Living Residence Regulation|Subchapter X - Facility Regulations|§ 44-110.01. General conditions

(a) An ALR shall meet applicable zoning, building, housing, sewer, water, fire prevention codes, rules, and regulations of the District of Columbia. (b) An ALR shall maintain all structures, installed equipment, grounds, and individual living units in good repair and operable. (c) An ALR may be classified as a residential occupancy and may be located in a single or multi-family dwelling.  (June 24, 2000, D.C. Law 13-127, § 1001, 47 DCR 2647.)
DC Code § 44-110.02 (2021)
2021 District of Columbia Code|Title 44 - Charitable and Curative Institutions|Chapter 1 - Assisted Living Residence Regulation|Subchapter X - Facility Regulations|§ 44-110.02. Fire safety

An ALR shall comply with the Life Safety Code of the National Fire Protection Association, NFPA 101, 1997 edition as follows: (1) An ALR shall be in compliance with Chapter 22, New Residential Board and Care Occupancies, Life Safety Code of the National Fire Protection Association; and (2) An existing community residence facility that is converting to an ALR shall be in compliance with Chapter 23, Existing Residential Board and Care Occupancies, of the Life Safety Code of the National Fire Protection Association.  (June 24, 2000, D.C. Law 13-127, § 1002, 47 DCR 2647.)
DC Code § 44-110.03 (2021)
2021 District of Columbia Code|Title 44 - Charitable and Curative Institutions|Chapter 1 - Assisted Living Residence Regulation|Subchapter X - Facility Regulations|§ 44-110.03. General building exterior

(a) An ALR shall ensure that the exterior of its facility, including walkways, yards, porches, chimney, gutters, downspouts, paintable surfaces, and accessory buildings are maintained structurally sound, sanitary, and in good repair. (b) An ALR that provides services to residents who use wheelchairs, shall make reasonable accommodations to render the ALR accessible to residents who use wheelchairs through the installation of a chair lift, curbcuts, an exterior ramp, or like accommodations.  (June 24, 2000, D.C. Law 13-127, § 1003, 47 DCR 2647; Sept. 26, 2012, D.C. Law 19-169, § 27(b), 59 DCR 5567.)  Effect of Amendments The 2012 amendment by D.C. Law 19-169, in (b), substituted “residents who use wheelchairs” for “wheelchair-bound residents” following “services to” and substituted “residents who use wheelchairs” for “residents who are wheel-chair bound” following “accessible to.” Editor's Notes Section 35 of D.C. Law 19-169 provided that no provision of the act shall impair any right or obligation existing under law.
DC Code § 44-110.04 (2021)
2021 District of Columbia Code|Title 44 - Charitable and Curative Institutions|Chapter 1 - Assisted Living Residence Regulation|Subchapter X - Facility Regulations|§ 44-110.04. General building interior

(a) An ALR shall ensure that the interior of its facility including walls, ceilings, doors, windows, equipment, and fixtures are maintained structurally sound, sanitary, and in good repair. (b) An ALR shall ensure that floors and stairways provide a clean, slip-resistant, and safe surface, free of tripping hazards. (c) An ALR shall install and maintain assist handrails or grab bars, whenever practicable, on each side of interior stairways and on one side of corridors and in bathrooms. (d) An ALR shall provide common areas for social and recreational use totaling at least 35 square feet per resident for living, dining, therapy, and recreational activities.  (June 24, 2000, D.C. Law 13-127, § 1004, 47 DCR 2647.)
DC Code § 44-110.05 (2021)
2021 District of Columbia Code|Title 44 - Charitable and Curative Institutions|Chapter 1 - Assisted Living Residence Regulation|Subchapter X - Facility Regulations|§ 44-110.05. Accessibility

An ALR that provides services for residents who use wheelchairs, shall insure that: (1) Doorways and hallways provide a clear opening of at least 32 inches; and (2) Thresholds exceeding 1/2 inch are modified to provide a 1:12 maximum slope.  (June 24, 2000, D.C. Law 13-127, § 1005, 47 DCR 2647; Sept. 26, 2012, D.C. Law 19-169, § 27(c), 59 DCR 5567.)  Effect of Amendments The 2012 amendment by D.C. Law 19-169 substituted “residents who use wheelchairs” for “wheelchair-bound residents” in the introductory language. Editor's Notes Section 35 of D.C. Law 19-169 provided that no provision of the act shall impair any right or obligation existing under law.
DC Code § 44-110.06 (2021)
2021 District of Columbia Code|Title 44 - Charitable and Curative Institutions|Chapter 1 - Assisted Living Residence Regulation|Subchapter X - Facility Regulations|§ 44-110.06. Bathrooms

(a) An ALR shall ensure that there is one full bathroom, for every 6 residents, including live-in family or staff. Additional full or half baths shall be available to non-live-in staff. No resident shall be required to traverse more than one flight of stairs to access a bathroom and appropriate accommodations shall be made for residents who are unable to climb stairs. (b) When applicable, bathrooms shall contain adequate space and strategically located grab bars to allow residents who use wheelchairs to utilize toilets, tubs, showers, and wash basins without traversing a stair way. (c) An ALR shall insure that the temperature of the hot water at all taps to which residents have access is controlled by the use of thermostatically controlled mixing valves or by other means, including control at the source, so that the water temperature does not exceed 110 degrees Fahrenheit.  (June 24, 2000, D.C. Law 13-127, § 1006, 47 DCR 2647; Sept. 26, 2012, D.C. Law 19-169, § 27(d), 59 DCR 5567.)  Effect of Amendments The 2012 amendment by D.C. Law 19-169 substituted “residents who use wheelchairs” for “wheelchair-bound residents” in (b). Editor's Notes Section 35 of D.C. Law 19-169 provided that no provision of the act shall impair any right or obligation existing under law.
DC Code § 44-110.07 (2021)
2021 District of Columbia Code|Title 44 - Charitable and Curative Institutions|Chapter 1 - Assisted Living Residence Regulation|Subchapter X - Facility Regulations|§ 44-110.07. Health, light, and ventilation

(a) An ALR shall ensure that each facility is lighted and ventilated in accordance with Title 12 of the District of Columbia Municipal Regulations (District of Columbia Construction Codes Supplement of 1992). Artificial night lights for corridors and exterior security lighting shall be installed. (b) Each room shall have either a functioning ceiling light fixture or another source of artificial light. (c) An ALR shall ensure that heating and air conditioning equipment is maintained to ensure that: (1) During waking hours, an interior temperature throughout the facility of at least 72 degrees Fahrenheit when outside temperatures are 65 degrees Fahrenheit or below, is maintained throughout the facility; (2) During sleeping hours, an interior temperature of at least 68 degrees Fahrenheit, when outside temperatures are 65 degrees Fahrenheit or below, is maintained throughout the facility; (3) For individual units, heating and air conditioning shall be maintained at a temperature which is comfortable for the individual resident, whenever practicable; and (4) When inside temperature exceeds 85 degrees Fahrenheit, mechanically cooled air shall be used in areas of the building used by residents with no inside area used by the residents allowed to exceed 90 degrees Fahrenheit.  (June 24, 2000, D.C. Law 13-127, § 1007, 47 DCR 2647.)
DC Code § 44-110.08 (2021)
2021 District of Columbia Code|Title 44 - Charitable and Curative Institutions|Chapter 1 - Assisted Living Residence Regulation|Subchapter X - Facility Regulations|§ 44-110.08. Bedrooms

(a) An ALR located in an existing building shall ensure that bedrooms provide at least 70 square feet of habitable space for single occupancy resident units and 100 square feet of habitable space in double occupancy resident units. Each bedroom shall have adequate dresser and closet or wardrobe space for residents’ seasonal clothing and personal belongings. A secure storage space in a resident’s unit shall be made available if requested by the resident. (b) Any ALR located in a building newly constructed or renovated after June 24, 2000 shall ensure that bedrooms provide at least 80 sq. ft. of habitable space for single occupancy and 120 sq. ft. of habitable space for double occupancy. (c) An ALR shall ensure that each resident has an adult size bed with clean comfortable mattress and extra linens. Additional furnishings, such as night stand, desk, chair, mirror, waste basket, etc., shall be made available, subject to residents wishes and tastes. Beds in double occupancy bedrooms must be at least 3 feet apart. Residents may choose to provide their own furnishings after being made aware of the furnishings that the facility is required to provide. All furnishings must meet the Fire Safety Code and be maintained in good repair.  (June 24, 2000, D.C. Law 13-127, § 1008, 47 DCR 2647.)
DC Code § 44-110.09 (2021)
2021 District of Columbia Code|Title 44 - Charitable and Curative Institutions|Chapter 1 - Assisted Living Residence Regulation|Subchapter X - Facility Regulations|§ 44-110.09. Kitchen

An ALR shall provide a kitchen that has the following: (1) Storage, refrigerator, or freezer space for perishable and nonperishable foods; (2) Food preparation areas with cleanable surfaces; (3) Equipment to prepare and serve food at safe and palatable temperatures; and (4) Sufficient equipment and staffing to be in compliance with section 1116 of Title 14 of the District of Columbia Municipal Regulations, as those regulations are applicable to boarding houses.  (June 24, 2000, D.C. Law 13-127, § 1009, 47 DCR 2647.)
DC Code § 44-110.10 (2021)
2021 District of Columbia Code|Title 44 - Charitable and Curative Institutions|Chapter 1 - Assisted Living Residence Regulation|Subchapter X - Facility Regulations|§ 44-110.10. Laundry

An ALR shall provide an on-site laundry facility for use of staff for residents personal laundry. All laundry shall be processed and handled in a manner to prevent the spread of infection by: (1) Separate processing and storage of incontinent items; and (2) Sanitizing by hot water and appropriate chemical agents.  (June 24, 2000, D.C. Law 13-127, § 1010, 47 DCR 2647.)
DC Code § 44-110.11 (2021)
2021 District of Columbia Code|Title 44 - Charitable and Curative Institutions|Chapter 1 - Assisted Living Residence Regulation|Subchapter X - Facility Regulations|§ 44-110.11. Special requirements for ALRs with 17 beds or more

(a) An ALR that provides sleeping accommodations for more than 16 residents shall comply with this subchapter. (b) The ALR may be free-standing or a distinct part of an institutional occupancy. (c) The ALR shall be responsible for providing or coordinating personalized care to individuals who reside in their own living units (which may include dually occupied units) which may or may not include a kitchenette or living rooms and which contain bedrooms. (d) Living units may or may not include bathrooms; except that, no more than 4 residents shall share a common bathroom. Shared bathrooms shall be in close proximity and on the same floor as living units or bedrooms. (e) Living units or bedrooms may be locked at the discretion of the residents, except when the resident’s assessment documents indicate otherwise. (f) An ALR shall have a central dining room, living room or parlor, and common activity center (which may also serve as living rooms or dining rooms). (g) An ALR providing 17 beds or more shall be in compliance with section 512 of Title 12 of the District of Columbia Municipal Regulations, making the facility accessible to residents with physical disabilities and aged residents. (h) An ALR shall ensure that all food is prepared and served in accordance with Chapters 20 through 24 of Title 23 of the District of Columbia Municipal Regulations and shall organize plumbing facilities to insure that food is processed and served so as to be safe for human consumption.  (June 24, 2000, D.C. Law 13-127, § 1011, 47 DCR 2647; Apr. 24, 2007, D.C. Law 16-305, § 68(b), 53 DCR 6198.)  Effect of Amendments D.C. Law 16-305, in subsec. (g), substituted “residents with physical disabilities” for “physically handicapped”.
DC Code § 44-110.12 (2021)
2021 District of Columbia Code|Title 44 - Charitable and Curative Institutions|Chapter 1 - Assisted Living Residence Regulation|Subchapter X - Facility Regulations|§ 44-110.12. Certificate of Need

A Certificate of Need shall not be required for Assisted Living Residences licensed under this chapter.  (June 24, 2000, D.C. Law 13-127, § 1012, 47 DCR 2647.)