reglab/statecodes huggingface dataset:
Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Community and Health Systems › Homes for the Aged Facilities › Adult Foster Care Large Group Homes › Part 2 - PROGRAM REQUIREMENTS › Section R. 400.15205 - Health of a licensee, direct care staff, administrator, other employees, those volunteers under the direction of the licensee, and members of the household

Current through Vol. 24-12, July 15, 2024
Rule 205.
(1) A
					 licensee, direct care staff, administrator, other employees, those volunteers
					 under the direction of the licensee, and members of the household shall be in
					 such physical and mental health so as not to negatively affect either the
					 health of the resident or the quality of the resident's care.
(2) A licensee shall have, on file with the
					 department, a statement that is signed by a licensed physician or his or her
					 designee attesting to the physician's knowledge of the physical health of the
					 licensee and administrator. The statement shall be signed within 6 months
					 before the issuance of a temporary license and at any other time requested by
					 the department.
(3) A licensee
					 shall maintain, in the home, and make available for department review, a
					 statement that is signed by a licensed physician or his or her designee
					 attesting to the physician's knowledge of the physical health of direct care
					 staff, other employees, and members of the household. The statement shall be
					 obtained within 30 days of an individual's employment, assumption of duties, or
					 occupancy in the home.
(4) A
					 licensee shall provide the department with written evidence that he or she and
					 the administrator have been tested for communicable tuberculosis and that if
					 the disease is present, appropriate precautions shall be taken. The results of
					 subsequent testing shall be verified every 3 years thereafter.
(5) A licensee shall obtain written evidence,
					 which shall be available for department review, that each direct care staff,
					 other employees and members of the household have been tested for communicable
					 tuberculosis and that if the disease is present, appropriate precautions shall
					 be taken as required by state law. Current testing shall be obtained before an
					 individual's employment, assumption of duties, or occupancy in the home. The
					 results of subsequent testing shall be verified every 3 years thereafter or
					 more frequently if necessary.
(6) A
					 licensee shall annually review the health status of the administrator, direct
					 care staff, other employees and members of the household. Verification of
					 annual reviews shall be maintained by the home and shall be available for
					 department review.
(7) A licensee
					 shall obtain certification from a volunteer that the volunteer is free from
					 communicable disease and that the volunteer's physical and mental health will
					 not negatively affect either the health of the resident or the quality of the
					 residents care.
Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Community and Health Systems › Homes for the Aged Facilities › Adult Foster Care Large Group Homes › Part 2 - PROGRAM REQUIREMENTS › Section R. 400.15206 - Staffing requirements

Current through Vol. 24-12, July 15, 2024
Rule 206.
(1)
					 The ratio of direct care staff to residents shall be adequate as determined by
					 the department, to carry out the responsibilities defined in the act and in
					 these rules and shall not be less than 1 direct care staff to 15 residents
					 during waking hours or less than 1 direct care staff member to 20 residents
					 during normal sleeping hours.
(2) A
					 licensee shall have sufficient direct care staff on duty at all times for the
					 supervision, personal care, and protection of residents and to provide the
					 services specified in the resident's resident care agreement and assessment
					 plan.
(3) Any individual, including
					 a volunteer, shall not be considered in determining the ratio of direct care
					 staff to residents unless the individual meets the qualifications of a direct
					 care staff member.
(4) Direct care
					 staff need not be in the home during the day if all of the residents of the
					 home are at out-of-home supervised activities and the home has provided the
					 means by which a direct care staff member or administrator can be contacted in
					 an emergency situation.
(5) A
					 licensee or administrator shall designate, in writing, a person who shall be
					 on-site or immediately available and who shall have the authority to carry out
					 the licensee's or administrator's responsibilities in the absence of the
					 licensee or administrator and shall ensure that the identity of the designated
					 person is made known to all staff.
Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Community and Health Systems › Homes for the Aged Facilities › Adult Foster Care Large Group Homes › Part 2 - PROGRAM REQUIREMENTS › Section R. 400.15207 - Required personnel policies

Current through Vol. 24-12, July 15, 2024
Rule 207.
(1) A
					 licensee shall have written policies and procedures that include all of the
					 following:
(a) Mandatory reporting, including
					 reporting that is required by law.
(b) Resident care related prohibited
					 practices.
(c) Confidentiality
					 requirements, including requirements specified in law.
(d) Training requirements.
(e) Resident rights.
(f) The process for reviewing the licensing
					 statute and administrative rules.
Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Community and Health Systems › Homes for the Aged Facilities › Adult Foster Care Large Group Homes › Part 2 - PROGRAM REQUIREMENTS › Section R. 400.15208 - Direct care staff and employee records

Current through Vol. 24-12, July 15, 2024
Rule 208.
(1) A
					 licensee shall maintain a record for each employee. The record shall contain
					 all of the following employee information:
(a)
					 Name, address, telephone number, and social security number.
(b) The professional or vocational license,
					 certification, or registration number, if applicable.
(c) A copy of the employee's driver license
					 if a direct care staff member or employee provides transportation to
					 residents.
(d) Verification of the
					 age requirement.
(e) Verification
					 of experience, education, and training.
(f) Verification of reference
					 checks.
(g) Beginning and ending
					 dates of employment.
(h) Medical
					 information, as required.
(i)
					 Required verification of the receipt of personnel policies and job
					 descriptions.
Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Community and Health Systems › Homes for the Aged Facilities › Adult Foster Care Large Group Homes › Part 2 - PROGRAM REQUIREMENTS › Section R. 400.15209 - Home records generally

Current through Vol. 24-12, July 15, 2024
Rule 209.
(1) A
					 licensee shall keep, maintain, and make available for department review, all
					 the following home records:
(a) Admission
					 policy.
(b) Program
					 statement.
(c) Discharge
					 policy.
(d) Resident
					 records.
(e) A resident
					 register.
(f) Resident care
					 contracts, if applicable.
(g)
					 Accident records and incident reports.
(h) Personnel records, as required in
					 R 400.15208.
(i) Personnel policies and procedures as
					 required in
					 R
					 400.15207.
(j) Program certifications, if
					 applicable.
(k) Fire drill
					 records.
(l) Emergency preparedness
					 plans.
(m) Reports of fire or
					 severe property damage.
(n) Records
					 of variances granted, if applicable.
(o) Heating equipment inspection and approval
					 records, if applicable.
(p) Fire
					 detection and sprinkler equipment inspection and approval records, if
					 applicable.
(q) Electrical
					 inspection records, if applicable.
(r) Fire safety reports from the department
					 or the state fire marshal, as required by law.
(s) Environmental inspection reports, as
					 required by law.
(t)
					 Menus.
Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Community and Health Systems › Homes for the Aged Facilities › Adult Foster Care Large Group Homes › Part 2 - PROGRAM REQUIREMENTS › Section R. 400.15210 - Resident register

Current through Vol. 24-12, July 15, 2024
Rule 210. A licensee shall maintain a chronological
						register of residents who are admitted to the home. The register shall include
						all of the following information for each resident:
(a) Date of admission.
(b) Date of discharge.
(c) Place and address to which the resident
					 moved, if known.
Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Community and Health Systems › Homes for the Aged Facilities › Adult Foster Care Large Group Homes › Part 3 - RESIDENT CARE, SERVICES, AND RECORDS › Section R. 400.15301 - Resident admission criteria; resident assessment plan; emergency admission; resident care agreement; physician's instructions; health care appraisal

Current through Vol. 24-12, July 15, 2024
Rule 301.
(1) A
					 licensee shall not accept, retain, or care for a resident who requires
					 continuous nursing care. This does not preclude the accommodation of a resident
					 who becomes temporarily ill while in the home, but who does not require
					 continuous nursing care.
(2) A
					 licensee shall not accept or retain a resident for care unless and until the
					 licensee has completed a written assessment of the resident and determined that
					 the resident is suitable pursuant to all of the following provisions:
(a) The amount of personal care, supervision,
					 and protection that is required by the resident is available in the
					 home.
(b) The kinds of services,
					 skills, and physical accommodations that are required of the home to meet the
					 resident's needs are available in the home.
(c) The resident appears to be compatible
					 with other residents and members of the household.
Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Community and Health Systems › Homes for the Aged Facilities › Adult Foster Care Large Group Homes › Part 3 - RESIDENT CARE, SERVICES, AND RECORDS › Section R. 400.15302 - Resident admission and discharge policy; house rules; emergency discharge; change of residency; restricting resident's ability to make living arrangements prohibited; provision of resident records at time of discharge

Current through Vol. 24-12, July 15, 2024
Rule 302.
(1) A
					 home shall have a written admission and discharge policy. The policy shall be
					 made available to a resident and his or her designated
					 representative.
(2) A licensee may
					 establish house rules. House rules, if established, shall be provided, in
					 writing, to the resident or the resident's designated representative and
					 responsible agency upon admission to the home or, if established after a
					 resident's admission to the home, immediately thereafter. House rules shall not
					 conflict with these rules.
(3) A
					 licensee shall provide a resident and his or her designated representative with
					 a 30-day written notice before discharge from the home. The written notice
					 shall state the reasons for discharge. A copy of the written notice shall be
					 sent to the resident's designated representative and responsible agency. The
					 provisions of this subrule do not preclude a licensee from providing other
					 legal notice as required by law.
(4) A licensee may discharge a resident
					 before the 30-day notice when the licensee has determined and documented that
					 any of the following exists:
(a) Substantial
					 risk to the resident due to the inability of the home to meet the resident's
					 needs or assure the safety and well-being of other residents of the
					 home.
(b) Substantial risk, or an
					 occurrence, of self-destructive behavior.
(c) Substantial risk, or an occurrence, of
					 serious physical assault.
(d)
					 Substantial risk, or an occurrence, of the destruction of property.
Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Community and Health Systems › Homes for the Aged Facilities › Adult Foster Care Large Group Homes › Part 3 - RESIDENT CARE, SERVICES, AND RECORDS › Section R. 400.15303 - Resident care; licensee responsibilities

Current through Vol. 24-12, July 15, 2024
Rule 303.
(1)
					 Care and services that are provided to a resident by the home shall be designed
					 to maintain and improve a resident's physical and intellectual functioning and
					 independence. A licensee shall ensure that all interactions with residents
					 promote and encourage cooperation, self-esteem, self-direction, independence,
					 and normalization.
(2) A licensee
					 shall provide supervision, protection, and personal care as defined in the act
					 and as specified in the resident's written assessment plan.
(3) A licensee shall assure the availability
					 of transportation services as provided for in the resident care
					 agreement.
(4) A licensee shall
					 provide all of the following:
(a) An
					 opportunity for the resident to develop positive social skills.
(b) An opportunity for the resident to have
					 contact with relatives and friends.
(c) An opportunity for community-based
					 recreational activities.
(d) An
					 opportunity for privacy and leisure time.
(e) An opportunity for religious education
					 and attendance at religious services of the resident's choice.
Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Community and Health Systems › Homes for the Aged Facilities › Adult Foster Care Large Group Homes › Part 3 - RESIDENT CARE, SERVICES, AND RECORDS › Section R. 400.15305 - Resident protection

Current through Vol. 24-12, July 15, 2024
Rule 305.
(1) A
					 resident shall be assured privacy and protection from moral, social, and
					 financial exploitation.
(2) All
					 work that is performed by a resident shall be in accordance with the written
					 assessment plan.
(3) A resident
					 shall be treated with dignity and his or her personal needs, including
					 protection and safety, shall be attended to at all times in accordance with the
					 provisions of the act.
Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Community and Health Systems › Homes for the Aged Facilities › Adult Foster Care Large Group Homes › Part 3 - RESIDENT CARE, SERVICES, AND RECORDS › Section R. 400.15306 - Use of assistive devices

Current through Vol. 24-12, July 15, 2024
Rule 306.
(1) An
					 assistive device shall only be used to promote the enhanced mobility, physical
					 comfort, and well-being of a resident.
(2) An assistive device shall be specified in
					 a resident's written assessment plan and agreed upon by the resident or the
					 resident's designated representative and the licensee.
(3) Therapeutic supports shall be authorized,
					 in writing, by a licensed physician. The authorization shall state the reason
					 for the therapeutic support and the term of the authorization.
Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Community and Health Systems › Homes for the Aged Facilities › Adult Foster Care Large Group Homes › Part 3 - RESIDENT CARE, SERVICES, AND RECORDS › Section R. 400.15307 - Resident behavior interventions generally

Current through Vol. 24-12, July 15, 2024
Rule 307.
(1) A
					 licensee shall ensure that methods of behavior intervention are positive and
					 relevant to the needs of the resident.
(2) Interventions to address unacceptable
					 behavior shall be specified in the written assessment plan and employed in
					 accordance with that plan. Interventions to address unacceptable behavior shall
					 also ensure that the safety, welfare, and rights of the resident are adequately
					 protected. If a specialized intervention is needed to address the unique
					 programmatic needs of a resident, the specialized intervention shall be
					 developed in consultation with, or obtained from, professionals who are
					 licensed or certified in that scope of practice.
(3) A licensee and direct care staff who are
					 responsible for implementing the resident's written assessment plan shall be
					 trained in the applicable behavior intervention techniques.
(4) Intervention techniques shall not be used
					 for the purpose of punishment, discipline, or for the convenience of
					 staff.
Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Community and Health Systems › Homes for the Aged Facilities › Adult Foster Care Large Group Homes › Part 3 - RESIDENT CARE, SERVICES, AND RECORDS › Section R. 400.15308 - Resident behavior interventions prohibitions

Current through Vol. 24-12, July 15, 2024
Rule 308.
(1) A
					 licensee shall not mistreat a resident and shall not permit the administrator,
					 direct care staff, employees, volunteers who are under the direction of the
					 licensee, visitors, or other occupants of the home to mistreat a resident.
					 Mistreatment includes any intentional action or omission which exposes a
					 resident to a serious risk or physical or emotional harm or the deliberate
					 infliction of pain by any means.
(2) A licensee, direct care staff, the
					 administrator, members of the household, volunteers who are under the direction
					 of the licensee, employees, or any person who lives in the home shall not do
					 any of the following:
(a) Use any form of
					 punishment.
(b) Use any form of
					 physical force other than physical restraint as defined in these
					 rules.
(c) Restrain a resident's
					 movement by binding or tying or through the use of medication, paraphernalia,
					 contraptions, material, or equipment for the purpose of immobilizing a
					 resident.
(d) Confine a resident in
					 an area, such as a room, where egress is prevented, in a closet, or in a bed,
					 box, or chair or restrict a resident in a similar manner.
(e) Withhold food, water, clothing, rest, or
					 toilet use.
(f) Subject a resident
					 to any of the following:
(i) Mental or
					 emotional cruelty.
(ii) Verbal
					 abuse.
(iii) Derogatory remarks
					 about the resident or members of his or her family.
(iv) Threats.
(g) Refuse the resident entrance to the
					 home.
(h) Isolation of a resident
					 as defined in
					 R
					 400.15102(1)(m).
(i) Any electrical shock device.
Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Community and Health Systems › Homes for the Aged Facilities › Adult Foster Care Large Group Homes › Part 3 - RESIDENT CARE, SERVICES, AND RECORDS › Section R. 400.15309 - Crisis intervention

Current through Vol. 24-12, July 15, 2024
Rule 309.
(1)
					 Crisis intervention procedures may be utilized only when a person has not
					 previously exhibited the behavior creating the crisis or there has been
					 insufficient time to develop a specialized intervention plan to reduce the
					 behavior causing the crisis. If the resident requires the repeated or prolonged
					 use of crisis intervention procedures, the licensee shall contact the
					 resident's designated representative and the responsible agency or, in the
					 absence of a responsible agency, a professional who is licensed or certified in
					 the appropriate scope of practice to initiate a review process to evaluate
					 positive alternatives or the need for a specialized intervention
					 plan.
(2) Crisis intervention may
					 be used only for the following reasons:
(a)
					 To provide for self-defense or the defense of others.
(b) To prevent a resident from harming
					 himself or herself.
(c) To quell a
					 disturbance that threatens physical injury to any person.
(d) To obtain possession of a weapon or other
					 dangerous object that is in the possession or control of the
					 resident.
(e) To prevent serious
					 property destruction.
Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Community and Health Systems › Homes for the Aged Facilities › Adult Foster Care Large Group Homes › Part 3 - RESIDENT CARE, SERVICES, AND RECORDS › Section R. 400.15310 - Resident health care

Current through Vol. 24-12, July 15, 2024
Rule 310.
(1) A
					 licensee, with a resident's cooperation, shall follow the instructions and
					 recommendations of a resident's physician or other health care professional
					 with regard to such items as any of the following:
(a) Medications.
(b) Special diets.
(c) Susceptibility to hyperthermia and
					 hypothermia and related limitations for physical activity, as
					 appropriate.
(d) Other resident
					 health care needs that can be provided in the home. The refusal to follow the
					 instructions and recommendations shall be recorded in the resident's
					 record.
Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Community and Health Systems › Homes for the Aged Facilities › Adult Foster Care Large Group Homes › Part 3 - RESIDENT CARE, SERVICES, AND RECORDS › Section R. 400.15311 - Incident notification, incident records

Current through Vol. 24-12, July 15, 2024
Rule 311.
(1) If
					 a resident has a representative identified in writing on the resident's care
					 agreement, a licensee shall report to the resident's representative within 48
					 hours after any of the following:
(a)
					 Unexpected or unnatural death of a resident.
(b) Unexpected and preventable inpatient
					 hospital admission.
(c) Physical
					 hostility or self-inflicted harm or harm to others resulting in injury that
					 requires outside medical attention or law enforcement involvement.
(d) Natural disaster or fire that results in
					 evacuation of residents or discontinuation of services greater than 24
					 hours.
(e) Elopement from the home
					 if the resident's whereabouts is unknown.
Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Community and Health Systems › Homes for the Aged Facilities › Adult Foster Care Large Group Homes › Part 3 - RESIDENT CARE, SERVICES, AND RECORDS › Section R. 400.15312 - Resident medications

Current through Vol. 24-12, July 15, 2024
Rule 312.
(1)
					 Prescription medication, including dietary supplements, or individual special
					 medical procedures shall be given, taken, or applied only as prescribed by a
					 licensed physician or dentist. Prescription medication shall be kept in the
					 original pharmacy-supplied container, which shall be labeled for the specified
					 resident in accordance with the requirements of Act No. 368 of the Public Acts
					 of 1978, as amended, being S333.1101 et seq. of the Michigan Compiled Laws,
					 kept with the equipment to administer it in a locked cabinet or drawer, and
					 refrigerated if required.
(2)
					 Medication shall be given, taken, or applied pursuant to label
					 instructions.
(3) Unless a
					 resident's physician specifically states otherwise in writing, the giving,
					 taking, or applying of prescription medications shall be supervised by the
					 licensee, administrator, or direct care staff.
(4) When a licensee, administrator, or direct
					 care staff member supervises the taking of medication by a resident, he or she
					 shall comply with all of the following provisions:
(a) Be trained in the proper handling and
					 administration of medication.
(b)
					 Complete an individual medication log that contains all of the following
					 information:
(i) The medication.
(ii) The dosage.
(iii) Label instructions for use.
(iv) Time to be administered.
(v) The initials of the person who
					 administers the medication, which shall be entered at the time the medication
					 is given.
(vi) A resident's refusal
					 to accept prescribed medication or procedures.
(c) Record the reason for each administration
					 of medication that is prescribed on an as needed basis.
(d) Initiate a review process to evaluate a
					 resident's condition if a resident requires the repeated and prolonged use of a
					 medication that is prescribed on an as needed basis.
The review process shall include the resident's
						prescribing physician, the resident or his or her designated representative,
						and the responsible agency.
(e) Not adjust or modify a resident's
					 prescription medication without instructions from a physician or a pharmacist
					 who has knowledge of the medical needs of the resident. A licensee shall
					 record, in writing, any instructions regarding a resident's prescription
					 medication.
(f) Contact the
					 appropriate health care professional if a medication error occurs or when a
					 resident refuses prescribed medication or procedures and follow and record the
					 instructions given.
Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Community and Health Systems › Homes for the Aged Facilities › Adult Foster Care Large Group Homes › Part 3 - RESIDENT CARE, SERVICES, AND RECORDS › Section R. 400.15313 - Resident nutrition

Current through Vol. 24-12, July 15, 2024
Rule 313.
(1) A
					 licensee shall provide a minimum of 3 regular, nutritious meals daily. Meals
					 shall be of proper form, consistency, and temperature. Not more than 14 hours
					 shall elapse between the evening and morning meal.
(2) Meals shall meet the nutritional
					 allowances recommended pursuant to the provisions of "Appendix I: Recommended
					 Dietary Allowances, Revised 1980" contained in the publication entitled "Basic
					 Nutrition Facts: A Nutrition Reference," Michigan Department of Public Health
					 publication no. H-808, 1/89. This publication may be obtained at cost from The
					 Division of Research and Development, Michigan Department of Public Health,
					 P.O. Box 30195, Lansing, Michigan 48909.
(3) Special diets shall be prescribed only by
					 a physician. A resident who has been prescribed a special diet shall be
					 provided such a diet.
(4) Menus of
					 regular diets shall be written at least 1 week in advance and posted. Any
					 change or substitution shall be noted and considered as part of the original
					 menu.
(5) Records of menus,
					 including special diets, as served shall be provided upon request by the
					 department.
(6) Records of menus,
					 including special diets, shall be kept by the licensee for 1 calendar
					 year.
Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Community and Health Systems › Homes for the Aged Facilities › Adult Foster Care Large Group Homes › Part 3 - RESIDENT CARE, SERVICES, AND RECORDS › Section R. 400.15314 - Resident hygiene

Current through Vol. 24-12, July 15, 2024
Rule 314.
(1) A
					 licensee shall afford a resident the opportunity, and instructions when
					 necessary, for daily bathing and oral and personal hygiene. A licensee shall
					 ensure that a resident bathes at least weekly and more often if
					 necessary.
(2) A licensee shall
					 afford a resident facilities, and instructions when necessary, for daily
					 shaving.
(3) A licensee shall
					 afford a resident opportunities, and instructions when necessary, to obtain
					 haircuts, hair sets, or other grooming processes.
(4) A licensee shall afford a resident
					 opportunities, and instruction when necessary, to dress as fashion, fit,
					 cleanliness, and season warrant.
(5) A licensee shall afford a resident who is
					 capable with opportunities, and instructions when necessary, to routinely
					 launder clothing. Clean clothing shall be available at all times.
(6) A licensee shall afford a resident the
					 opportunity to receive assistance in bathing, dressing, or personal hygiene
					 from a member of the same sex, unless otherwise stated in the home's admission
					 policy or written resident care agreement.
Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Community and Health Systems › Homes for the Aged Facilities › Adult Foster Care Large Group Homes › Part 3 - RESIDENT CARE, SERVICES, AND RECORDS › Section R. 400.15316 - Resident records

Current through Vol. 24-12, July 15, 2024
Rule 316.
(1) A
					 licensee shall complete, and maintain in the home, a separate record for each
					 resident and shall provide record information as required by the department. A
					 resident record shall include, at a minimum, all of the following information:
(a) Identifying information, including, at a
					 minimum, all of the following:
(i)
					 Name.
(ii) Social security number,
					 date of birth, case number, and marital status.
(iii) Former address.
(iv) Name, address, and telephone number of
					 the next of kin or the designated representative.
(v) Name, address, and telephone number of
					 the person and agency responsible for the resident's placement in the
					 home.
(vi) Name, address, and
					 telephone number of the preferred physician and hospital.
(vii) Medical insurance.
(viii) Funeral provisions and
					 preferences.
(ix) Resident's
					 religious preference information.
Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Community and Health Systems › Homes for the Aged Facilities › Adult Foster Care Large Group Homes › Part 3 - RESIDENT CARE, SERVICES, AND RECORDS › Section R. 400.15317 - Resident recreation

Current through Vol. 24-12, July 15, 2024
Rule 317.
(1) A
					 licensee shall make reasonable provision for a varied supply of leisure and
					 recreational equipment and activities that are appropriate to the number, care,
					 needs, age, and interests of the residents.
(2) Leisure and recreational equipment shall
					 be safe, clean, in good repair, and easily accessible.
(3) Equipment and materials shall encourage
					 and reinforce all of the following:
(a)
					 Social interaction.
(b) Further
					 growth through firsthand experiences.
(c) Social graces.
(d) Productive utilization of leisure
					 time.
Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Community and Health Systems › Homes for the Aged Facilities › Adult Foster Care Large Group Homes › Part 3 - RESIDENT CARE, SERVICES, AND RECORDS › Section R. 400.15318 - Emergency preparedness; evacuation plan; emergency transportation

Current through Vol. 24-12, July 15, 2024
Rule 318.
(1) A
					 licensee shall have a written emergency procedure and evacuation plan to be
					 followed in case of fire, medical, or severe weather emergencies. The
					 evacuation plan shall be prominently posted in the home. Residents who require
					 special assistance shall be identified in the written procedure.
(2) An evacuation plan shall, at a minimum,
					 include a floor plan that specifies the locations of evacuation routes and the
					 exiting route to be followed in case of fire.
(3) A telephone shall be available and
					 accessible in a home. Emergency telephone numbers shall, at a minimum, include
					 fire, police, and medical emergency services and shall be conspicuously posted
					 immediately adjacent to telephones.
(4) A licensee shall ensure that residents,
					 all employees, volunteers under the direction of the licensee, and members of
					 the household are familiar with emergency and evacuation procedures.
(5) A licensee shall practice emergency and
					 evacuation procedures during daytime, evening, and sleeping hours at least once
					 per quarter. A record of the practices shall be maintained and be available for
					 department review.
(6) A licensee
					 shall assure emergency transportation through the use of a recognized available
					 community service or vehicle that is owned by the licensee, administrator, or
					 direct care staff on duty.
Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Community and Health Systems › Homes for the Aged Facilities › Adult Foster Care Large Group Homes › Part 3 - RESIDENT CARE, SERVICES, AND RECORDS › Section R. 400.15319 - Resident transportation

Current through Vol. 24-12, July 15, 2024
Rule 319. When a home provides transportation for a
						resident, the licensee shall assure all of the following:
(a) That a vehicle is in good operating
					 condition.
(b) That a vehicle
					 carries a basic first aid kit.
(c)
					 That residents who are transported by truck ride only in the cab.
(d) That a vehicle operator has a valid
					 driver's license. A licensee who uses a motor vehicle with a manufacturer's
					 rated seating capacity of 16 or more persons shall comply with the provisions
					 of section 715a of Act No. 300 of the Public Acts of 1949, as amended, being
					 S257.715a of the Michigan Compiled Laws.
Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Community and Health Systems › Homes for the Aged Facilities › Adult Foster Care Large Group Homes › Part 4 - ENVIRONMENTAL CONDITIONS › Section R. 400.15401 - Environmental health

Current through Vol. 24-12, July 15, 2024
Rule 401.
(1)
					 Private water systems shall be in compliance with
					 R
					 325.10101 et seq. of the Michigan Administrative Code.
					 A bacteriological report confirming water quality shall be required during the
					 initial inspection and every 2 years thereafter. Group homes that use a
					 community-approved water system need not be in compliance with this
					 requirement.
(2) Hot and cold
					 running water that is under pressure shall be provided. A licensee shall
					 maintain the hot water temperature for a resident's use at a range of 105
					 degrees Fahrenheit to 120 degrees Fahrenheit at the faucet.
(3) All sewage shall be disposed of in a
					 public sewer system or, in the absence thereof, in a manner that is approved by
					 the health authority.
(4) All
					 garbage and rubbish that contains food wastes shall be kept in leakproof,
					 nonabsorbent containers. The containers shall be kept covered with
					 tight-fitting lids and shall be removed from the home daily and from the
					 premises at least weekly.
(5) An
					 insect, rodent, or pest control program shall be maintained as necessary and
					 shall be carried out in a manner that continually protects the health of
					 residents.
(6) Poisons, caustics,
					 and other dangerous materials shall be stored and safeguarded in nonresident
					 areas and in non-food preparation storage areas.
(7) Each habitable room shall have direct
					 outside ventilation by means of windows, louvers, air-conditioning, or
					 mechanical ventilation. During fly season, from April to November, each door,
					 openable window, or other opening to the outside that is used for ventilation
					 purposes shall be supplied with a standard screen of not less than 16
					 mesh.
(8) Hand-washing facilities
					 that are provided in both the kitchen and bathroom areas shall include hot and
					 cold water, soap, and individual towels, preferably paper towels.
(9) When a resident is discharged, his or her
					 room and its contents shall be thoroughly cleaned. Blankets and spreads shall
					 be sanitized.
Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Community and Health Systems › Homes for the Aged Facilities › Adult Foster Care Large Group Homes › Part 4 - ENVIRONMENTAL CONDITIONS › Section R. 400.15402 - Food service

Current through Vol. 24-12, July 15, 2024
Rule 402.
(1)
					 All food shall be from sources that are approved or considered satisfactory by
					 the department and shall be safe for human consumption, clean, wholesome and
					 free from spoilage, adulteration, and misbranding.
(2) All food shall be protected from
					 contamination while being stored, prepared, or served and during transportation
					 to a facility.
(3) All perishable
					 food shall be stored at temperatures that will protect against spoilage. All
					 potentially hazardous food shall be kept at safe temperatures. This means that
					 all cold foods are to be kept cold, 40 degrees Fahrenheit or below, and that
					 all hot foods are to be kept hot, 140 degrees Fahrenheit or above, except
					 during periods that are necessary for preparation and service. Refrigerators
					 and freezers shall be equipped with approved thermometers.
(4) All food service equipment and utensils
					 shall be constructed of material that is nontoxic, easily cleaned, and
					 maintained in good repair. All food services equipment and eating and drinking
					 utensils shall be thoroughly cleaned after each use.
(5) A home shall be properly equipped as
					 required by the health authority, to prepare and serve adequate
					 meals.
(6) Household and cooking
					 appliances shall be properly installed according to the manufacturer's
					 recommended safety practices. Where metal hoods or canopies are provided, they
					 shall be equipped with filters. The filters shall be maintained in an efficient
					 condition and kept clean at all times. All food preparation surfaces and areas
					 shall be kept clean and in good repair.
Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Community and Health Systems › Homes for the Aged Facilities › Adult Foster Care Large Group Homes › Part 4 - ENVIRONMENTAL CONDITIONS › Section R. 400.15403 - Maintenance of premises

Current through Vol. 24-12, July 15, 2024
Rule 403.
(1) A
					 home shall be constructed, arranged, and maintained to provide adequately for
					 the health, safety, and well-being of occupants.
(2) Home furnishings and housekeeping
					 standards shall present a comfortable, clean, and orderly appearance.
(3) All living, sleeping, hallway, storage,
					 bathroom, and kitchen areas shall be well lighted and ventilated.
(4) A roof, exterior walls, doors, skylights,
					 and windows shall be weathertight and watertight and shall be kept in sound
					 condition and good repair.
(5)
					 Floors, walls, and ceilings shall be finished so as to be easily cleanable and
					 shall be kept clean and in good repair.
(6) All plumbing fixtures and water and waste
					 pipes shall be properly installed and maintained in good working condition.
					 Each water heater shall be equipped with a thermostatic temperature control and
					 a pressure relief valve, both of which shall be in good working
					 condition.
(7) All water closet
					 compartments, bathrooms, and kitchen floor surfaces shall be constructed and
					 maintained so as to be reasonably impervious to water and to permit the floor
					 to be easily kept in a clean condition.
(8) Stairways shall have sturdy and securely
					 fastened handrails. The handrails shall be not less than 30, nor more than 34,
					 inches above the upper surface of the tread. All exterior and interior
					 stairways and ramps shall have handrails on the open sides. All porches and
					 decks that are 8 inches or more above grade shall also have handrails on the
					 open sides.
(9) Stairway risers and
					 treads shall be a uniform and consistent size. Stairways that form a part of a
					 required means of egress shall change direction at landings only.
(10) Scatter or throw rugs on hard finished
					 floors shall have a nonskid backing.
(11) Handrails and nonskid surfacing shall be
					 installed in showers and bath areas.
(12) Sidewalks, fire escape routes, and
					 entrances shall be kept reasonably free of hazards, such as ice, snow, and
					 debris.
(13) A yard area shall be
					 kept reasonably free from all hazards, nuisances, refuse, and litter.
(14) Hot water pipes and steam radiators that
					 are located in resident occupied areas shall be shielded to protect against
					 burns.
(15) A written report shall
					 be made to the adult foster care licensing division of the department, the
					 resident's designated representative, and the responsible agency within 48
					 hours, excluding holidays and weekends, of the occurrence of any fire and
					 property damage of more than $5,000.00.
Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Community and Health Systems › Homes for the Aged Facilities › Adult Foster Care Large Group Homes › Part 4 - ENVIRONMENTAL CONDITIONS › Section R. 400.15404 - Laundry

Current through Vol. 24-12, July 15, 2024
Rule 404. A home shall make adequate provision for the
						laundering of a resident's personal laundry.
Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Community and Health Systems › Homes for the Aged Facilities › Adult Foster Care Large Group Homes › Part 4 - ENVIRONMENTAL CONDITIONS › Section R. 400.15405 - Living space

Current through Vol. 24-12, July 15, 2024
Rule 405.
(1) A
					 licensee shall provide, per occupant, not less than 35 square feet of indoor
					 living space, exclusive of bathrooms, storage areas, hallways, kitchens, and
					 sleeping areas.
(2) A resident
					 shall be provided with reasonable storage space for storing his or her personal
					 belongings.
(3) Living, dining,
					 bathroom, and sleeping areas used by residents who have impaired mobility shall
					 be accessible and located on the street floor level of the home that contains
					 the required means of egress.
(4) A
					 resident shall not be housed above a second floor of a 3-story residence. This
					 subrule shall not apply to those licensees who were approved to house residents
					 above the second floor of a 3-story residence, who were licensed on the
					 effective date of these rules, and whose license has been in continuous
					 effect.
(5) Where there is a change
					 of ownership or a change in licensee for those licensees and homes that were
					 licensed on the effective date of these rules and whose licenses have been in
					 continuous effect, use of living space above the second floor of a 3-story
					 residence shall be allowed to continue without interruption when all of the
					 following conditions have been met:
(a) The
					 resident or his or her designated representative has agreed, in writing, to
					 continue to reside above the second floor of the 3-story residence.
(b) The home is in compliance with all
					 applicable state fire safety and environmental health standards.
(c) The licensee meets all applicable
					 staffing requirements as set forth in
					 R
					 400.15206.
(d) The licensee is in compliance with the
					 emergency preparedness provisions as required in these rules.
Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Community and Health Systems › Homes for the Aged Facilities › Adult Foster Care Large Group Homes › Part 4 - ENVIRONMENTAL CONDITIONS › Section R. 400.15406 - Room temperature

Current through Vol. 24-12, July 15, 2024
Rule 406. All resident-occupied rooms of a home shall be
						heated at a temperature range between 68 and 72 degrees Fahrenheit during
						non-sleeping hours. Precautions shall be taken to prevent prolonged resident
						exposure to stale, noncirculating air that is at a temperature of 90 degrees
						Fahrenheit or above. Variations from the requirements of this rule shall be
						based upon a resident's health care appraisal and shall be addressed in the
						resident's written assessment plan. The resident care agreement shall address
						the resident's preferences for variations from the temperatures and
						requirements specified in this rule.
Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Community and Health Systems › Homes for the Aged Facilities › Adult Foster Care Large Group Homes › Part 4 - ENVIRONMENTAL CONDITIONS › Section R. 400.15407 - Bathrooms

Current through Vol. 24-12, July 15, 2024
Rule 407.
(1)
					 Bathrooms and toilet facilities that do not have windows shall have forced
					 ventilation to the outside. Bathroom windows that are used for ventilation
					 shall open easily.
(2) Toilets,
					 bathtubs, and showers shall provide for individual privacy.
(3) Bathrooms shall have doors. Only
					 positive-latching, non-locking-against-egress hardware may be used. Hooks and
					 eyes, bolts, bars, and other similar devices shall not be used on bathroom
					 doors.
(4) A home shall have a
					 minimum of 1 toilet, 1 lavatory, and 1 bathing facility for every 8 occupants
					 of the home.
(5) At least 1 toilet
					 and 1 lavatory that are available for resident use shall be provided on each
					 floor that has resident bedrooms.
(6) At least 1 bathing facility that is
					 available for resident use shall be provided on each floor that has resident
					 bedrooms.
(7) The provisions of
					 subrule (6) of this rule shall not apply to those licensees who are licensed on
					 the effective date of these rules and whose licenses have been in continuous
					 effect.
Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Community and Health Systems › Homes for the Aged Facilities › Adult Foster Care Large Group Homes › Part 4 - ENVIRONMENTAL CONDITIONS › Section R. 400.15408 - Bedrooms generally

Current through Vol. 24-12, July 15, 2024
Rule 408.
(1) A
					 room shall not be used as a resident bedroom if more than 1/2 of the room
					 height is below grade, except where the ceiling of such portion of a building
					 is located 5 feet or more above grade for more than 25% of the perimeter
					 measurement of the building. Such acceptable bedrooms shall be provided 2
					 acceptable means of egress.
(2) A
					 living room, dining room, hallway, or other room that is not ordinarily used
					 for sleeping or a room that contains a required means of egress shall not be
					 used for sleeping purposes by anyone.
(3) Bedrooms for residents shall be separated
					 from halls, corridors, and other rooms by floor-to-ceiling walls that do not
					 have openings, except for doorways.
(4) Interior doorways of bedrooms that are
					 occupied by residents shall be equipped with a side-hinged, permanently mounted
					 door that is equipped with positive-latching, non-locking-against-egress
					 hardware.
(5) Traffic to and from
					 any room shall not be through a resident bedroom.
(6) For 2 adjoining rooms to be considered as
					 1 bedroom, there shall be a 7-foot horizontal opening between the
					 rooms.
(7) Bedrooms shall have at
					 least 1 easily openable window.
(8)
					 Residents of the opposite sex shall not occupy the same bedroom for sleeping
					 purposes, unless they are husband and wife.
(9) A resident who has impaired mobility
					 shall not sleep in or be assigned a bedroom that is located above the street
					 floor of the home.