reglab/statecodes huggingface dataset:
Idaho Administrative Code › Title IDAPA 16 - Health and Welfare, Department of › Rule 16.03.22 - RESIDENTIAL ASSISTED LIVING FACILITIES › Section 16.03.22.110 - FACILITY LICENSE APPLICATION

Current through August 31, 2023
01.
License
			 Application
. License application forms are available online at the
			 Licensing Agency's website at
http://assistedliving.dhw.idaho.gov
.
			 The applicant must provide the following information: (3-15-22)
a. A written statement that the applicant has
			 thoroughly read and reviewed the statute, Title 39, Chapter 33, Idaho Code, and
			 IDAPA 16.03.22, "Residential Assisted Living Facilities," and is prepared to
			 comply with both; (3-15-22)
b. A
			 written statement and documentation that demonstrate no license revocation or
			 other enforcement action has been taken, or is in the process of being taken,
			 against a license held, or previously held, by the applicant in Idaho or any
			 other state or jurisdiction; (3-15-22)
c. When the applicant is a firm, association,
			 organization, partnership, business trust, corporation, government entity, or
			 company, the administrator and other members of the organization who directly
			 influence the facility's operation must provide the information contained in
			 this rule; (3-15-22)
d. Each
			 shareholder or investor holding ten percent (10%) or more interest in the
			 business must be listed on the application; (3-15-22)
e. A copy of the Certificate of Assumed
			 Business Name from the Idaho Secretary of State; (3-15-22)
f. A statement from the local fire authority
			 that the facility is located in a lawfully constituted fire district or
			 affirmation that a lawfully constituted fire authority will respond to a fire
			 at the facility; (3-15-22)
g. A
			 statement from a licensed electrician or the local or state electrical
			 inspector that all wiring in the facility complies with current electrical
			 codes; (3-15-22)
h. When the
			 facility does not use an approved municipal water or sewage treatment system, a
			 statement from a local environmental health specialist with the public health
			 district indicating that the water supply and sewage disposal system meet the
			 Department's requirements and standards; (3-15-22)
i. A complete set of printed operational
			 policies and procedures; (3-15-22)
j. A detailed floor plan of the facility,
			 including measurements of all rooms, or a copy of architectural drawings. See
			 Sections 250 through
			 260, and Sections
			 400 through
			 430 of these rules.
			 (3-15-22)
k. A copy of the Purchase
			 Agreement, Lease Agreement, or Deed; and (3-15-22)
l. For facilities with nine (9) beds or more,
			 signatures must be obtained from the following: (3-15-22)
i. The local zoning official documenting that
			 the facility meets local zoning codes for occupancy; (3-15-22)
ii. The local building official documenting
			 that the facility meets local building codes for occupancy; and
			 (3-15-22)
iii. The local fire
			 official documenting that the facility meets local fire codes for occupancy.
			 (3-15-22)
Idaho Administrative Code › Title IDAPA 16 - Health and Welfare, Department of › Rule 16.03.22 - RESIDENTIAL ASSISTED LIVING FACILITIES › Section 16.03.22.115 - EXPIRATION AND RENEWAL OF LICENSE

Current through August 31, 2023
01.
Application for License Renewal
. The facility must submit to the
			 Licensing Agency an annual report and application for renewal of a license at
			 least thirty (30) days prior to the expiration of the existing license.
			 (3-15-22)
02.
Existing
			 License
. The existing license, unless suspended, surrendered, or
			 revoked, remains in force and effect until the Licensing Agency has acted upon
			 the application renewal, when such application for renewal has been filed.
			 (3-15-22)
Idaho Administrative Code › Title IDAPA 16 - Health and Welfare, Department of › Rule 16.03.22 - RESIDENTIAL ASSISTED LIVING FACILITIES › Section 16.03.22.126 - EFFECT OF ENFORCEMENT ACTION AGAINST A LICENSE

Current through August 31, 2023
The Department will not review an application of an applicant
				who has an action, either current or in process, against a license held by the
				applicant either in Idaho or any other state or jurisdiction. (3-15-22)
Idaho Administrative Code › Title IDAPA 16 - Health and Welfare, Department of › Rule 16.03.22 - RESIDENTIAL ASSISTED LIVING FACILITIES › Section 16.03.22.130 - INSPECTION OF FACILITIES

Current through August 31, 2023
01.
Surveys
			 of Facilities
. As described in Section
			 39-3355, Idaho Code, the Licensing
			 Agency will conduct inspections and investigations at specified intervals to
			 determine compliance with this chapter of rules and Title 39, Chapter 33, Idaho
			 Code. The intervals for surveys are as follows: (3-15-22)
a. Initial surveys will be conducted within
			 ninety (90) days of licensure, followed by a licensure survey within fifteen
			 (15) months. (3-15-22)
b.
			 Facilities without core issue deficiencies during two (2) consecutive surveys,
			 either initial or licensure surveys, will be inspected at least every
			 thirty-six (36) months. For facilities with core issue deficiencies during any
			 survey, surveys will be conducted at the discretion of the Licensing Agency, at
			 least every twelve (12) months. (3-15-22)
c. Complaint investigation surveys will occur
			 based on the potential severity of the complaint. (3-15-22)
Idaho Administrative Code › Title IDAPA 16 - Health and Welfare, Department of › Rule 16.03.22 - RESIDENTIAL ASSISTED LIVING FACILITIES › Section 16.03.22.150 - POLICIES AND PROCEDURES

Current through August 31, 2023
The facility must develop a written, dated set of policies and
				procedures that are specific to the population served in the facility and are
				available to all staff at all times to direct and ensure compliance with these
				rules. Policy topics must include abuse, neglect, exploitation, incidents and
				accidents, activities, admissions, emergency preparedness, infection control,
				nursing, resident rights, staffing, and medications. (3-15-22)
Idaho Administrative Code › Title IDAPA 16 - Health and Welfare, Department of › Rule 16.03.22 - RESIDENTIAL ASSISTED LIVING FACILITIES › Section 16.03.22.151 - ACTIVITY REQUIREMENTS

Current through August 31, 2023
Each facility must develop and implement a written activity
				policy that assists, encourages, and promotes residents to maintain and develop
				their highest potential for independent living through their participation in
				planned, recreational, and other activities. The facility must provide
				opportunities for the following: (3-15-22)
01.
Socialization
. Socialization
			 through group discussion, conversation, recreation, visiting, arts and crafts,
			 and music; (3-15-22)
02.
Physical Activities
. Physical activities such as games, sports,
			 and exercises which develop and maintain strength, coordination, and range of
			 motion; (3-15-22)
03.
Education
. Education through special classes or events; and
			 (3-15-22)
04.
Community
			 Resources for Activities
. The facility will utilize community resources
			 to promote resident participation in integrated activities of their choice both
			 in and away from the facility. (3-15-22)
Idaho Administrative Code › Title IDAPA 16 - Health and Welfare, Department of › Rule 16.03.22 - RESIDENTIAL ASSISTED LIVING FACILITIES › Section 16.03.22.152 - ADMISSION REQUIREMENTS

Current through August 31, 2023
01.
Admissions Policies
. Each facility must develop and implement written
			 admission policies and procedures, which must include: (3-15-22)
a. The purpose, quantity, and characteristics
			 of available services; (3-15-22)
b.
			 Limitations concerning delivery of routine personal care by persons of the
			 opposite gender; (3-15-22)
c.
			 Notification to potential and existing residents and responsible parties if the
			 facility accepts any residents who are on the sexual offender registry. The
			 registry may be accessed online at
http://isp.idaho.gov/sor_id/search.html
;
			 and (3-15-22)
d. Notification to
			 potential and existing residents if non-resident adults or children reside in
			 the facility. (3-15-22)
Idaho Administrative Code › Title IDAPA 16 - Health and Welfare, Department of › Rule 16.03.22 - RESIDENTIAL ASSISTED LIVING FACILITIES › Section 16.03.22.153 - FINANCIAL REQUIREMENTS

Current through August 31, 2023
Each facility must develop and implement financial policies and
				procedures that include: (3-15-22)
01.
Statement
. A statement specifying if the facility does not manage
			 resident funds. (3-15-22)
02.
Safeguarding of Funds
. Policies should specify how residents'
			 funds will be handled and safeguarded, if the facility does manage resident
			 funds. Policies must address the following: (3-15-22)
a. When a resident's funds are deposited
			 with, or handled by the facility, the funds must be managed as described in
			 Section 39-3316, Idaho Code, and Section
			 550 of these rules;
			 (3-15-22)
b. A description of how
			 facility fees are handled; (3-15-22)
c. Resident accounts and funds must be
			 separate from any facility accounts; (3-15-22)
d. The facility cannot require a resident to
			 purchase goods or services from the facility, other than items specified in the
			 admission agreement and facility policies; (3-15-22)
e. Each transaction with resident funds must
			 be documented at the time to include signatures of the resident and facility
			 representative with copies of receipts; (3-15-22)
f. Residents must have access to their
			 personal funds during normal business hours; and (3-15-22)
g. When a resident permanently leaves the
			 facility, the facility can only retain room and board funds prorated to the
			 last day of the thirty (30) day notice, except in situations described in
			 Sections 217 and
			 550 of these rules. All remaining
			 funds are the property of the resident. (3-15-22)
Idaho Administrative Code › Title IDAPA 16 - Health and Welfare, Department of › Rule 16.03.22 - RESIDENTIAL ASSISTED LIVING FACILITIES › Section 16.03.22.154 - STAFF TRAINING REQUIREMENTS

Current through August 31, 2023
The facility must develop and implement policies and procedures
				to address the following: (3-15-22)
01.
Response of Staff to Accidents,
			 Incidents, or Allegations of Abuse, Neglect, or Exploitation of
			 Residents
. The facility must develop policies and procedures to ensure
			 that accidents, incidents, or allegations of abuse, neglect, and exploitation
			 are identified, documented, reported, investigated, and followed-up with
			 interventions to prevent re-occurrence and ensure protection.
			 (3-15-22)
02.
Response of
			 Staff to Emergencies
. How staff are to respond to emergency situations,
			 including: (3-15-22)
a. Medical and
			 psychiatric emergencies; (3-15-22)
b. Resident absence; (3-15-22)
c. Criminal situations; and
			 (3-15-22)
d. Presence of law
			 enforcement officials at the facility. (3-15-22)
Idaho Administrative Code › Title IDAPA 16 - Health and Welfare, Department of › Rule 16.03.22 - RESIDENTIAL ASSISTED LIVING FACILITIES › Section 16.03.22.155 - EMERGENCY PREPAREDNESS REQUIREMENTS

Current through August 31, 2023
Each facility must develop and implement an emergency
				preparedness plan to follow in the event of fire, explosion, flood, earthquake,
				high wind, or other emergency. (3-15-22)
01.
Relocation Agreements
. Each
			 facility must have a written agreement developed between the facility and two
			 (2) separate locations to which residents would be relocated in the event the
			 building is evacuated and cannot be reoccupied. The facility will review the
			 relocation agreements annually. (3-15-22)
02.
Written Procedures
. The
			 facility must have written procedures outlining steps to be taken in the event
			 of an emergency including: (3-15-22)
a. Each
			 person's responsibilities; (3-15-22)
b. Where and how residents are to be
			 evacuated; and (3-15-22)
c.
			 Notification of emergency agencies. (3-15-22)
Idaho Administrative Code › Title IDAPA 16 - Health and Welfare, Department of › Rule 16.03.22 - RESIDENTIAL ASSISTED LIVING FACILITIES › Section 16.03.22.156 - HOURLY ADULT CARE REQUIREMENTS

Current through August 31, 2023
Facilities offering hourly adult care must develop and
				implement written policies and procedures which include the following:
				(3-15-22)
01.
Services
			 Offered
. A description of hourly adult care services, including
			 transportation services (if offered), meals, activities, and supervision.
			 (3-15-22)
02.
Individuals
			 Accepted
. Types of individuals who may or may not be accepted for hourly
			 adult care. See Section
			 152 of these rules.
			 (3-15-22)
03.
Cost of Hourly
			 Adult Care
. Details of the cost of hourly adult care for the person
			 receiving services. (3-15-22)
04.
Hours for Care
. The specific time periods of hourly adult care,
			 not to exceed fourteen (14) consecutive hours in a twenty-four (24) hour
			 period. (3-15-22)
05.
Assistance with Medications
. Assistance with medications in the
			 facility must comply with IDAPA 24.34.01, "Rules of the Idaho Board of
			 Nursing," including: (3-15-22)
a. Copies of
			 all physician or authorized provider orders, including orders for all
			 prescribed medications and treatments. (3-15-22)
b. Appropriately labeled medications and
			 treatments the facility safeguards while the person receives hourly adult care.
			 (3-15-22)
Idaho Administrative Code › Title IDAPA 16 - Health and Welfare, Department of › Rule 16.03.22 - RESIDENTIAL ASSISTED LIVING FACILITIES › Section 16.03.22.161 - SMOKING REQUIREMENTS

Current through August 31, 2023
The facility must develop and implement written rules governing
				smoking. Nothing in this rule requires a facility to permit smoking. Smoking
				policies must be made known to all staff, residents, and visiting public and
				must ensure: (3-15-22)
01.
Combustible Supplies and Flammable Items
. Smoking is prohibited in
			 areas where combustible supplies or materials, flammable liquids, gases, or
			 oxidizers are in use or stored. (3-15-22)
02.
Smoking in Bed
. Smoking in
			 bed is prohibited. (3-15-22)
03.
Unsupervised Smoking
. Unsupervised smoking by residents classified
			 as not mentally or physically responsible, sedated by medication, or taking
			 oxygen is prohibited. (3-15-22)
04.
Designated Smoking Areas
. If smoking is permitted, there must be
			 designated smoking areas which are specified in policy and clearly marked.
			 Designated smoking areas must have non-combustible disposal receptacles.
			 (3-15-22)
Idaho Administrative Code › Title IDAPA 16 - Health and Welfare, Department of › Rule 16.03.22 - RESIDENTIAL ASSISTED LIVING FACILITIES › Section 16.03.22.217 - REQUIREMENTS FOR TERMINATION OF ADMISSION AGREEMENT

Current through August 31, 2023
01.
Conditions for Termination of the Admission Agreement
. The
			 admission agreement cannot be terminated, except under Section
			 39-3313, Idaho Code, as follows:
			 (3-15-22)
a. Giving the other party thirty
			 (30) calendar days written notice; (3-15-22)
b. The resident's death; (3-15-22)
c. Emergency conditions that require the
			 resident to be transferred to protect the resident or other residents in the
			 facility from harm; (3-15-22)
d.
			 The resident's mental or medical condition deteriorates to a level requiring
			 care as described in Section
			 39-3307, Idaho Code, and Section
			 152 of these rules;
			 (3-15-22)
e. Nonpayment of the
			 resident's fees; (3-15-22)
f. When
			 the facility cannot meet resident needs due to changes in services, in-house or
			 contracted, or inability to provide the services; or (3-15-22)
g. Other written conditions as may be
			 mutually established between the resident, the resident's legal guardian or
			 conservator, and the administrator of the facility at the time of admission.
			 (3-15-22)
Idaho Administrative Code › Title IDAPA 16 - Health and Welfare, Department of › Rule 16.03.22 - RESIDENTIAL ASSISTED LIVING FACILITIES › Section 16.03.22.255 - REQUIREMENTS FOR ADDITIONAL PHYSICAL STANDARDS

Current through August 31, 2023
01.
Fire District
. The facility site must be in a lawfully constituted
			 fire district. (3-15-22)
02.
Roads
. The facility must be served by an all-weather road and kept
			 open to motor vehicles at all times of the year. (3-15-22)
03.
Medical Accessibility
. The
			 facility site must be accessible to authorized providers or emergency medical
			 services within thirty (30) minutes driving time. (3-15-22)
Idaho Administrative Code › Title IDAPA 16 - Health and Welfare, Department of › Rule 16.03.22 - RESIDENTIAL ASSISTED LIVING FACILITIES › Section 16.03.22.260 - REQUIREMENTS FOR ENVIRONMENTAL SANITATION

Current through August 31, 2023
01.
Water
			 Supply
. The facility must have an adequate water supply that is safe and
			 of a sanitary quality. (3-15-22)
a. The water
			 supply must be from an approved private, public, or municipal water supply;
			 (3-15-22)
b. Water from a private
			 supply must have water samples submitted annually to either a private
			 accredited laboratory or to the Public Health District Laboratory for
			 bacteriological examination. The Department may require more frequent
			 examinations if warranted; and (3-15-22)
c. There must be a sufficient amount of water
			 under adequate pressure to meet sanitary and fire sprinkler system requirements
			 of the facility at all times. (3-15-22)
Idaho Administrative Code › Title IDAPA 16 - Health and Welfare, Department of › Rule 16.03.22 - RESIDENTIAL ASSISTED LIVING FACILITIES › Section 16.03.22.300 - REQUIREMENTS FOR NURSING SERVICES

Current through August 31, 2023
The administrator must ensure policies and procedures are
				developed and implemented to ensure nursing services are performed in
				accordance with IDAPA 24.34.01, "Rules of the Idaho Board of Nursing" and this
				chapter of rules. The facility must have on staff sufficient nursing personnel
				to meet the requirements in this rule. (3-15-22)
01.
Licensed Registered Nurse
			 (RN)
. A licensed registered nurse (RN) must visit the facility at least
			 once every ninety (90) days to conduct initial and quarterly nursing
			 assessments for each resident as described in Section
			 305 of these rules. The licensed
			 registered nurse is responsible for delegation of nursing functions, according
			 to IDAPA 24.34.01, "Rules of the Idaho Board of Nursing." (3-15-22)
02.
Licensed Nurse
. The licensed
			 nurse must be available to address changes in a resident's health or mental
			 status, review and implement new orders, and notify the physician or authorized
			 provider when a resident repeatedly refuses to follow physician orders.
			 (3-15-22)
Idaho Administrative Code › Title IDAPA 16 - Health and Welfare, Department of › Rule 16.03.22 - RESIDENTIAL ASSISTED LIVING FACILITIES › Section 16.03.22.305 - REQUIREMENTS FOR THE LICENSED REGISTERED NURSING ASSESSMENT

Current through August 31, 2023
For each resident the licensed registered nurse must assess and
				document, including date and signature, the following: (3-15-22)
01.
Resident Medications and
			 Therapies
. Each resident's use of, and response to all medications,
			 (including over-the-counter, and prescribed therapies), the monitoring of side
			 effects, interactions, abuse, or other adverse effects, and ensuring the
			 resident's physician or authorized provider is notified of any identified
			 concerns with medications and therapies. (3-15-22)
02.
Current Medication Orders and
			 Treatment Orders
. Each resident's medication and treatment orders are
			 current and verified for the following: (3-15-22)
a. The medication listed on the medication
			 distribution container, including over-the-counter-medications, is consistent
			 with physician or authorized provider orders; (3-15-22)
b. The physician or authorized provider
			 orders related to therapeutic diets, treatments, and medications for each
			 resident are followed; and (3-15-22)
c. A copy of the actual written, signed, and
			 dated orders are present in each resident's care record.
			 (3-15-22)
Idaho Administrative Code › Title IDAPA 16 - Health and Welfare, Department of › Rule 16.03.22 - RESIDENTIAL ASSISTED LIVING FACILITIES › Section 16.03.22.319 - COMPREHENSIVE ASSESSMENT REQUIREMENTS

Current through August 31, 2023
The facility must complete assessment information as described
				in Subsections 319.01
				through 319.04 of
				this rule, prior to admitting the resident to the residential assisted living
				facility. The remainder of the comprehensive assessment must be completed
				within fourteen (14) days of admission. Comprehensive assessment information
				must be updated when there is a change, or at least every twelve (12) months.
				The comprehensive assessment must contain the following: (3-15-22)
01.
Resident Demographics
.
			 Resident demographic information, including: (3-15-22)
a. Date of birth; (3-15-22)
b. Placement history; (3-15-22)
c. Identification of any medical diagnoses,
			 including any information about specific health problems, such as allergies,
			 that may be useful in a medical emergency; (3-15-22)
d. Prescription and over-the-counter
			 medications and treatments; (3-15-22)
e. Information related to cognitive function;
			 (3-15-22)
f. Legal status, to
			 include copies of legal documents when applicable (e.g., guardianship or power
			 of attorney); and (3-15-22)
g.
			 Names and contact information of representatives and emergency contacts.
			 (3-15-22)
Idaho Administrative Code › Title IDAPA 16 - Health and Welfare, Department of › Rule 16.03.22 - RESIDENTIAL ASSISTED LIVING FACILITIES › Section 16.03.22.320 - NEGOTIATED SERVICE AGREEMENT (NSA) REQUIREMENTS

Current through August 31, 2023
Under Section
				39-3309, Idaho Code, each resident
				must enter into an NSA completed, signed, and implemented no later than
				fourteen (14) calendar days from the date of admission. An interim plan must be
				developed and used while the NSA is being completed as described in Section
				330 of these rules.
				(3-15-22)
01.
Use of NSA
.
			 The NSA provides for the coordination of services and instruction to the
			 facility staff. Upon completion, the agreement must clearly identify the
			 resident, describe services to be provided, the frequency of such services, and
			 how such services are to be delivered. (3-15-22)
02.
Key Elements of the NSA
. A
			 resident's NSA must be based on the comprehensive assessment information
			 described in Section 319 of these
			 rules. NSAs must incorporate information from the resident's care record,
			 described in Section 330 of these
			 rules. (3-15-22)
03.
Signature, Date, and Approval of Agreement
. The administrator,
			 resident, and any legal representative must sign and date the NSA upon its
			 completion. (3-15-22)
04.
Review Date
. The NSA must include the next scheduled date of
			 review. (3-15-22)
05.
Development of the NSA
. The resident, and other relevant persons
			 as identified by the resident, must be included in the development of the NSA.
			 Licensed and professional staff must be involved in the development of the NSA
			 as applicable. (3-15-22)
06.
Copy of Initial Agreement
. Signed copies of the agreement must be given
			 to the resident, their representative, and their legal guardian or conservator,
			 and a copy placed in the resident's record, no later than fourteen (14)
			 calendar days from admission. (3-15-22)
07.
Resident Choice
. A resident
			 must be given the choice and control of how and what services the facility or
			 external vendors will provide, to the extent the resident can make choices. The
			 resident's choice must not violate the provisions of Section
			 39-3307(1), Idaho
			 Code. (3-15-22)
08.
Periodic
			 Review
. The NSA must be reviewed when there is a change in a diagnosis
			 for a resident or other change in condition requiring different, additional, or
			 replacement services, or at least every twelve (12) months. (3-15-22)
Idaho Administrative Code › Title IDAPA 16 - Health and Welfare, Department of › Rule 16.03.22 - RESIDENTIAL ASSISTED LIVING FACILITIES › Section 16.03.22.330 - REQUIREMENTS FOR FACILITY RECORDS

Current through August 31, 2023
The facility must maintain complete, accurate, and authentic
				records which are preserved in a safe location protected from fire, theft, and
				water damage for a minimum of three (3) years. (3-15-22)
01.
Paper Records
. All paper
			 records must be recorded legibly in ink. (3-15-22)
02.
Electronic Records
.
			 Electronic records policies and procedures must be developed and implemented
			 that specify which records will be maintained electronically. Policy
			 development and implementation must ensure: (3-15-22)
a. The facility must print and provide paper
			 copies of electronic records upon the request of the resident, their legal
			 guardian or conservator, advocacy and protection agencies, and the Department.
			 (3-15-22)
b. Security measures must
			 be taken to protect the use of an electronic signature by anyone other than the
			 person to which the electronic signature belongs and to protect that person's
			 identity. The policy must specify how passwords are assigned, and the frequency
			 they are changed. (3-15-22)
c.
			 Security measures must be taken to ensure the integrity of any electronic
			 documentation. (3-15-22)
Idaho Administrative Code › Title IDAPA 16 - Health and Welfare, Department of › Rule 16.03.22 - RESIDENTIAL ASSISTED LIVING FACILITIES › Section 16.03.22.335 - REQUIREMENTS FOR INFECTION CONTROL

Current through August 31, 2023
The administrator is responsible for ensuring that policies and
				procedures consistent with recognized standards that control and prevent
				infections for both staff and residents are developed and implemented
				throughout the facility, to include: (3-15-22)
01.
Staff with an Infectious
			 Disease
. Staff with an infectious disease must not work until the
			 infectious stage no longer exists or must be reassigned to a work area where
			 contact with others is not expected and likelihood of transmission of infection
			 is absent. (3-15-22)
02.
Standard Precautions
. Standard precautions must be used in the care of
			 residents to prevent transmission of infectious disease according to the
			 Centers for Disease Control and Prevention (CDC) guidelines. These guidelines
			 may be accessed on the CDC website at
http://www.cdc.gov/hai/
.
			 (3-15-22)
03.
Reporting of
			 Individual with an Infectious Disease
. The name of any resident or
			 facility personnel with a reportable disease listed in IDAPA 16.02.10, "Idaho
			 Reportable Diseases," must be reported immediately to the local health district
			 authority with appropriate infection control procedures immediately implemented
			 as directed by that local health authority. (3-15-22)
Idaho Administrative Code › Title IDAPA 16 - Health and Welfare, Department of › Rule 16.03.22 - RESIDENTIAL ASSISTED LIVING FACILITIES › Section 16.03.22.400 - REQUIREMENTS FOR FIRE AND LIFE SAFETY STANDARDS

Current through August 31, 2023
A facility's buildings must meet all requirements of the local
				and state codes that are applicable to residential assisted living facilities
				for fire and life safety standards. Facilities' evacuation capability is
				considered "impractical" as defined by NFPA, Standard 101. (3-15-22)
Idaho Administrative Code › Title IDAPA 16 - Health and Welfare, Department of › Rule 16.03.22 - RESIDENTIAL ASSISTED LIVING FACILITIES › Section 16.03.22.401 - FIRE AND LIFE SAFETY STANDARDS FOR NEW BUILDINGS HOUSING THREE THROUGH SIXTEEN RESIDENTS

Current through August 31, 2023
A newly constructed facility, change of ownership, or a
				building converted to a residential assisted living facility on or after
				January 1, 2021, housing three (3) to sixteen (16) residents on the first story
				only must comply with NFPA, Standard 101, Chapter 32, Small Facilities.
				(3-15-22)
Idaho Administrative Code › Title IDAPA 16 - Health and Welfare, Department of › Rule 16.03.22 - RESIDENTIAL ASSISTED LIVING FACILITIES › Section 16.03.22.402 - FIRE AND LIFE SAFETY STANDARDS FOR NEW BUILDINGS HOUSING SEVENTEEN OR MORE RESIDENTS AND MULTI-STORY BUILDINGS

Current through August 31, 2023
A newly constructed facility, change of ownership, or a
				building converted to a residential assisted living facility on or after
				January 1, 2021, housing seventeen (17) residents or more, or any building
				housing residents on stories other than the first story must comply with
				requirements of NFPA, Standard 101, Chapter 32, Large Facilities.
				(3-15-22)
Idaho Administrative Code › Title IDAPA 16 - Health and Welfare, Department of › Rule 16.03.22 - RESIDENTIAL ASSISTED LIVING FACILITIES › Section 16.03.22.403 - FIRE AND LIFE SAFETY STANDARDS FOR EXISTING BUILDINGS LICENSED FOR THREE THROUGH SIXTEEN RESIDENTS

Current through August 31, 2023
Existing facilities licensed prior to January 1, 2021, housing
				three (3) to sixteen (16) residents on the first story only, must comply with
				the requirements of the NFPA, Standard 101, Chapter 33, Small Facilities.
				Existing buildings that are not sprinklered may continue to operate, except
				when Section 401 of these
				rules apply. (3-15-22)
Idaho Administrative Code › Title IDAPA 16 - Health and Welfare, Department of › Rule 16.03.22 - RESIDENTIAL ASSISTED LIVING FACILITIES › Section 16.03.22.404 - FIRE AND LIFE SAFETY STANDARDS FOR EXISTING BUILDINGS LICENSED FOR SEVENTEEN OR MORE RESIDENTS AND MULTI-STORY BUILDINGS

Current through August 31, 2023
Existing facilities licensed prior to January 1, 2021 housing
				seventeen (17) or more residents and multi-story buildings or any building
				housing residents on stories other than the first story must comply with NFPA,
				Standard 101, Chapter 33, Large Facilities. (3-15-22)
Idaho Administrative Code › Title IDAPA 16 - Health and Welfare, Department of › Rule 16.03.22 - RESIDENTIAL ASSISTED LIVING FACILITIES › Section 16.03.22.405 - ADDITIONAL FIRE AND LIFE SAFETY STANDARDS FOR ALL BUILDINGS AND FACILITIES

Current through August 31, 2023
01.
Electrical Installations and
			 Equipment
. Electrical installations and equipment must comply with
			 applicable local or state electrical requirements in NFPA, Standard 101,
			 Mandatory References. (3-15-22)
a. Extension
			 cords and multi-plug adapters are prohibited; (3-15-22)
b. Relocatable Power Taps (RPTs) must be
			 Underwriter Laboratories (U/L) approved with the following requirements:
			 (3-15-22)
i. RPTs must be directly connected
			 to a wall outlet; and (3-15-22)
ii.
			 Have a built-in surge protector. (3-15-22)
Idaho Administrative Code › Title IDAPA 16 - Health and Welfare, Department of › Rule 16.03.22 - RESIDENTIAL ASSISTED LIVING FACILITIES › Section 16.03.22.410 - REQUIREMENTS FOR EMERGENCY ACTIONS AND FIRE DRILLS

Current through August 31, 2023
Fire drills must be conducted not less than six (6) times a
				year on a bimonthly basis, with not less than two (2) conducted during the
				night when residents are sleeping. Records must be maintained on file at the
				facility and contain a description, date, and time of the drill, response of
				the personnel and residents, problems encountered, and recommendations for
				improvement. (3-15-22)
01.
Report of Fire
. A separate report on each fire incident occurring within
			 the facility must be submitted to the Licensing Agency within thirty (30) days
			 of the occurrence. The reporting form, "Facility Fire Incident Report," issued
			 by the Licensing Agency is used to secure specific data concerning date,
			 origin, extent of damage, method of extinguishment, and injuries, if any. A
			 fire incident is considered any activation of the building's fire alarm system
			 other than a false alarm, during testing of the fire alarm system, or during a
			 fire drill. (3-15-22)
02.
Fire Watch
. Where a required fire alarm system or fire sprinkler system
			 is out of service for more than four (4) hours in a twenty-four (24) hour
			 period, the authority having jurisdiction must be notified, and the building
			 evacuated, or an approved fire watch provided for all parties left unprotected
			 by the shutdown until the fire alarm system has been returned to service.
			 (3-15-22)
Idaho Administrative Code › Title IDAPA 16 - Health and Welfare, Department of › Rule 16.03.22 - RESIDENTIAL ASSISTED LIVING FACILITIES › Section 16.03.22.430 - REQUIREMENTS FOR FURNISHINGS, EQUIPMENT, SUPPLIES, AND BASIC SERVICES

Current through August 31, 2023
Each facility must provide to the resident: (3-15-22)
01.
Common Shared Furnishings
.
			 Appropriately designed and constructed furnishings to meet the needs of each
			 resident, including reading lamps, tables, comfortable chairs, or sofas. All
			 items must be in good repair, clean, safe, and provided at no additional cost
			 to the resident. (3-15-22)
02.
Resident Sleeping Room Furnishings
. Comfortable furnishings and
			 individual storage, such as a dresser, for personal items for each resident in
			 each sleeping room. All items must be in good repair, clean, and safe.
			 (3-15-22)
03.
Resident
			 Bed
. Each resident must be provided their own bed, which will be at
			 least thirty-six (36) inches wide, substantially constructed, clean, and in
			 good repair. Roll-away beds, cots, futons, folding beds, or double bunks are
			 prohibited. Bed springs must be in good repair, clean, and comfortable. Bed
			 mattresses must be standard for the bed, clean, and odor-free. A pillow must be
			 provided. (3-15-22)
04.
Resident Telephone Privacy
. The facility must have at least one (1)
			 telephone that is accessible to all residents, and provide local calls at no
			 additional cost. The telephone must be placed in such a manner as to provide
			 the resident privacy while using the telephone. (3-15-22)
05.
Basic Services
. The
			 following are basic services to be provided to the resident by the facility
			 within the basic services rate: (3-15-22)
a.
			 Rent; (3-15-22)
b. Utilities;
			 (3-15-22)
c. Food;
			 (3-15-22)
d. Activities of daily
			 living services; (3-15-22)
e.
			 Supervision; (3-15-22)
f. First
			 aid; (3-15-22)
g. Assistance with
			 and monitoring of medications; (3-15-22)
h. Laundering of linens owned by the
			 facility; (3-15-22)
i. Emergency
			 interventions and coordination of outside services; (3-15-22)
j. Routine housekeeping and maintenance of
			 common areas; and (3-15-22)
k.
			 Access to basic television in common areas. (3-15-22)
Idaho Administrative Code › Title IDAPA 16 - Health and Welfare, Department of › Rule 16.03.22 - RESIDENTIAL ASSISTED LIVING FACILITIES › Section 16.03.22.450 - REQUIREMENTS FOR FOOD AND NUTRITIONAL CARE SERVICES

Current through August 31, 2023
The facility food services must meet the standards in IDAPA
				16.02.19, "Idaho Food Code," as incorporated in Section
				004 of these rules. The facility
				must also implement operational policies for providing proper nutritional care
				for each resident, which includes procedures to follow if the resident refuses
				food or to follow a prescribed diet. (3-15-22)
Idaho Administrative Code › Title IDAPA 16 - Health and Welfare, Department of › Rule 16.03.22 - RESIDENTIAL ASSISTED LIVING FACILITIES › Section 16.03.22.451 - MENU AND DIET PLANNING

Current through August 31, 2023
The facility must provide each resident with at least the
				minimum food and nutritional needs in accordance with the Recommended Dietary
				Allowances established by the Food and Nutrition Board of the National Academy
				of Sciences. These recommendations are found in the Idaho Diet Manual
				incorporated by reference in Section
				004 of these rules. The menu must
				be adjusted for age, sex, and activity as approved by a registered dietitian.
				(3-15-22)
01.
Menu
. The
			 facility must have a menu planned or approved, and signed and dated by a
			 registered dietitian prior to being served to any resident. The planned menu
			 must meet nutritional standards. (3-15-22)
a.
			 Menus will provide a sufficient variety of foods in adequate amounts at each
			 meal; (3-15-22)
b. Food selections
			 must include foods that are served in the community and in season. Food
			 selections and textures should account for residents' preferences, food habits,
			 and physical abilities. (3-15-22)
c. The current weekly menu must be posted in
			 a facility common area; and (3-15-22)
d. The facility must serve the planned menu.
			 If substitutions are made, the menu must be modified to reflect the
			 substitutions. (3-15-22)
Idaho Administrative Code › Title IDAPA 16 - Health and Welfare, Department of › Rule 16.03.22 - RESIDENTIAL ASSISTED LIVING FACILITIES › Section 16.03.22.455 - FOOD SUPPLY

Current through August 31, 2023
The facility must maintain a seven (7) day supply of
				nonperishable foods and a two (2) day supply of perishable foods. The
				facility's kitchen must have the types and amounts of food to be served readily
				available to meet all planned menus during that time. (3-15-22)
Idaho Administrative Code › Title IDAPA 16 - Health and Welfare, Department of › Rule 16.03.22 - RESIDENTIAL ASSISTED LIVING FACILITIES › Section 16.03.22.460 - FOOD PREPARATION AND SERVICE

Current through August 31, 2023
01.
Food
			 Preparation
. Foods must be prepared by methods that conserve nutritional
			 value, flavor, and appearance. (3-15-22)
02.
Frequency of Meals
. Food
			 must be offered throughout the day, as follows: (3-15-22)
a. To provide residents at least three (3)
			 meals daily, at regular times comparable to normal mealtimes in the community;
			 (3-15-22)
b. To ensure no more than
			 fourteen (14) hours between a substantial evening meal and breakfast;
			 (3-15-22)
c. Ensure that residents
			 who are not in the facility for the noon meal are offered a substantial evening
			 meal; and (3-15-22)
d. Offer snacks
			 and fluids between meals and at bedtime. (3-15-22)
Idaho Administrative Code › Title IDAPA 16 - Health and Welfare, Department of › Rule 16.03.22 - RESIDENTIAL ASSISTED LIVING FACILITIES › Section 16.03.22.510 - REQUIREMENTS TO PROTECT RESIDENTS FROM ABUSE

Current through August 31, 2023
The administrator must ensure that policies and procedures are
				developed and implemented to ensure that all residents are free from abuse.
				These policies and procedures should be posted in a conspicuous place in the
				facility, shared with new residents, families upon admission, all residents
				annually thereafter, and made available upon request. (3-15-22)
Idaho Administrative Code › Title IDAPA 16 - Health and Welfare, Department of › Rule 16.03.22 - RESIDENTIAL ASSISTED LIVING FACILITIES › Section 16.03.22.515 - REQUIREMENTS TO PROTECT RESIDENTS FROM EXPLOITATION

Current through August 31, 2023
The administrator must ensure that policies and procedures are
				developed and implemented to ensure that all residents are free from
				exploitation. These policies and procedures should be posted in a conspicuous
				place in the facility, shared with new residents, families upon admission, all
				residents annually thereafter, and made available upon request.
				(3-15-22)
Idaho Administrative Code › Title IDAPA 16 - Health and Welfare, Department of › Rule 16.03.22 - RESIDENTIAL ASSISTED LIVING FACILITIES › Section 16.03.22.520 - REQUIREMENTS TO PROTECT RESIDENTS FROM INADEQUATE CARE

Current through August 31, 2023
The administrator must ensure that policies and procedures are
				developed and implemented to ensure that all residents are free from inadequate
				care. These policies and procedures should be posted in a conspicuous place in
				the facility, shared with new residents, families upon admission, all residents
				annually thereafter, and made available upon request. (3-15-22)
Idaho Administrative Code › Title IDAPA 16 - Health and Welfare, Department of › Rule 16.03.22 - RESIDENTIAL ASSISTED LIVING FACILITIES › Section 16.03.22.525 - REQUIREMENTS TO PROTECT RESIDENTS FROM NEGLECT

Current through August 31, 2023
The administrator must ensure that policies and procedures are
				developed and implemented to ensure that all residents are free from neglect.
				These policies and procedures should be posted in a conspicuous place in the
				facility, shared with new residents, families upon admission, all residents
				annually thereafter, and made available upon request. (3-15-22)
Idaho Administrative Code › Title IDAPA 16 - Health and Welfare, Department of › Rule 16.03.22 - RESIDENTIAL ASSISTED LIVING FACILITIES › Section 16.03.22.550 - REQUIREMENTS FOR RESIDENTS' RIGHTS

Current through August 31, 2023
The administrator must ensure that policies and procedures are
				developed and implemented to ensure that residents' rights are observed,
				promoted, and protected. (3-15-22)
01.
Resident Records
. Upon request, a resident or others authorized by
			 law, must be provided immediate access to information in their record, and
			 copies of information within two (2) business days. The facility must maintain
			 and keep current a record for each resident that contains the information
			 specified in Section 330 of these
			 rules and Section
			 39-3316, Idaho Code.
			 (3-15-22)
02.
Privacy
. Each resident must be ensured the right to privacy with
			 accommodations, medical and other treatment, written and telephone
			 communications, visits, and meetings of family and resident groups.
			 (3-15-22)
03.
Humane Care and
			 Environment
. (3-15-22)
a. Each resident
			 has the right to humane care and a humane environment, including the following:
			 (3-15-22)
i. The right to a diet that is
			 consistent with any religious or health-related restrictions;
			 (3-15-22)
ii. The right to refuse a
			 restricted diet; and (3-15-22)
iii.
			 The right to a safe and sanitary living environment.
			 (3-15-22)
Idaho Administrative Code › Title IDAPA 16 - Health and Welfare, Department of › Rule 16.03.22 - RESIDENTIAL ASSISTED LIVING FACILITIES › Section 16.03.22.560 - NOTICE OF RESIDENTS' RIGHTS

Current through August 31, 2023
Each facility must: (3-15-22)
01.
Inform Residents Orally and in
			 Writing
. Inform each resident, orally and in writing at the time of
			 admission to the facility, of their legal rights during the stay at the
			 facility. (3-15-22)
02.
Written Statements
. Make available to each resident, upon reasonable
			 request, a written statement of such rights and when the rights change the
			 resident is notified. (3-15-22)
03.
Written Description of Rights
. Ensure the written description of
			 legal rights in this rule includes a description of the protection of personal
			 funds and a statement that a resident may file a complaint with the Department
			 respecting resident abuse, neglect, and misappropriation of resident property
			 in the facility. (3-15-22)
04.
Posting of Resident Rights
. Conspicuously post the residents'
			 rights in the facility at all times. (3-15-22)
Idaho Administrative Code › Title IDAPA 16 - Health and Welfare, Department of › Rule 16.03.22 - RESIDENTIAL ASSISTED LIVING FACILITIES › Section 16.03.22.600 - REQUIREMENTS FOR STAFFING STANDARDS

Current through August 31, 2023
The administrator must develop and implement written staffing
				policies and procedures based on the number of residents, resident needs, and
				configuration of the facility, which include: (3-15-22)
01.
On-Duty Staff Up and Awake During
			 Residents' Sleeping Hours
. Qualified and trained staff must be up and
			 awake, and immediately available in the facility during resident sleeping
			 hours. (3-15-22)
02.
Detached Buildings or Units
. Facilities with residents housed in
			 detached buildings or units must have at least one (1) staff present and
			 available in each building or unit when residents are present in the building
			 or unit. The facility must also ensure that each building or unit complies with
			 the requirements for on-duty staff during resident sleeping hours to be up,
			 awake, and immediately available in accordance with the facility's licensed bed
			 capacity as provided in this rule. The Licensing Agency will consider a
			 variance based on the facility's written submitted plan of operation.
			 (3-15-22)
03.
Personnel
			 Management
. The administrator is responsible for the management of all
			 personnel to include contract personnel. (3-15-22)
04.
Sufficient Personnel
. As
			 described in Section
			 39-3322, Idaho Code, the facility
			 will employ and the administrator will schedule sufficient personnel to:
			 (3-15-22)
a. Provide care and supervision,
			 during all hours, as required in each resident's NSA, to ensure residents'
			 health, safety, and comfort, and to ensure the interior and exterior of the
			 facility is maintained in a safe and clean manner; and (3-15-22)
b. To provide for at least one (1) direct
			 care staff with certification in first aid and cardio-pulmonary resuscitation
			 (CPR) in the facility at all times. Facilities with multiple buildings or units
			 will have at least one (1) direct care staff with certification in first aid
			 and CPR in each building or each unit at all times.
			 (3-15-22)
Idaho Administrative Code › Title IDAPA 16 - Health and Welfare, Department of › Rule 16.03.22 - RESIDENTIAL ASSISTED LIVING FACILITIES › Section 16.03.22.620 - REQUIREMENTS FOR TRAINING OF FACILITY PERSONNEL

Current through August 31, 2023
The facility must follow structured, written training programs
				designed to meet the training needs of personnel in relation to
				responsibilities, as specified in the written job description, to provide for
				quality of care and compliance with these rules. Signed evidence of personnel
				training, indicating hours and topic, must be retained at the facility.
				(3-15-22)
Idaho Administrative Code › Title IDAPA 16 - Health and Welfare, Department of › Rule 16.03.22 - RESIDENTIAL ASSISTED LIVING FACILITIES › Section 16.03.22.625 - ORIENTATION TRAINING REQUIREMENTS

Current through August 31, 2023
The administrator must ensure that each staff member completes
				orientation training specific to their job description as described in Section
				39-3324, Idaho Code. Staff who
				have not completed the orientation training requirements must work with a staff
				who has completed the orientation training. (3-15-22)
01.
Number of Hours of Training
.
			 A minimum of sixteen (16) hours of job-related orientation training must be
			 provided to all new personnel before they are allowed to provide unsupervised
			 personal assistance to residents. The means and methods of training are at the
			 facility's discretion. (3-15-22)
02.
Timeline for Completion of
			 Training
. All orientation training must be completed within thirty (30)
			 days of hire. (3-15-22)
03.
Content for Training
. Orientation training must include the following:
			 (3-15-22)
a. The philosophy of residential
			 assisted living and how it guides caregiving; (3-15-22)
b. Resident rights; (3-15-22)
c. Cultural awareness; (3-15-22)
d. Providing personal assistance;
			 (3-15-22)
e. How to respond to
			 emergencies; (3-15-22)
f. Reporting
			 and documentation requirements for resident care records, incidents, accidents,
			 complaints, and allegations of abuse, neglect, and exploitation;
			 (3-15-22)
g. Identifying and
			 reporting changes in residents' health or mental condition; (3-15-22)
h. Advance directives and do not resuscitate
			 (DNR) orders; (3-15-22)
i. Relevant
			 policies and procedures; (3-15-22)
j. The role of the NSA; and
			 (3-15-22)
k. All staff employed by
			 the facility, including housekeeping personnel and contract personnel, must be
			 trained in infection control procedures for universal precautions.
			 (3-15-22)