reglab/statecodes huggingface dataset:
Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Community and Health Systems › Homes for the Aged Facilities › Homes for the Aged › Part 3 - ADMINISTRATIVE MANAGEMENT OF HOMES › Section R. 325.1923 - Employee's health

Current through Vol. 24-12, July 15, 2024
Rule 23.
(1) A
					 person on duty in the home shall be in good health. The home shall develop and
					 implement a communicable disease policy governing the assessment and baseline
					 screening of employees. A record shall be maintained for each employee, which
					 shall include results of baseline screening for communicable disease. Records
					 of accidents or illnesses occurring while on duty that place others at risk
					 shall be maintained in the employee's file.
(2) A home shall provide initial tuberculosis
					 screening at no cost for its employees. New employees shall be screened within
					 10 days of hire and before occupational exposure. The screening type and
					 frequency of routine tuberculosis (TB) testing shall be determined by a risk
					 assessment as described in the 2005 MMWR "Guidelines for Preventing the
					 Transmission of Mycobacterium tuberculosis in Health-Care Settings, 2005"
					 (
http://www.cdc.gov/mmwr/pdf/rr/rr5417.pdf
),
					 Appendices B and C, and any subsequent guidelines as published by the centers
					 for disease control and prevention. Each home, and each location or venue of
					 care, if a home provides care at multiple locations, shall complete a risk
					 assessment annually. Homes that are low risk do not need to conduct annual TB
					 testing for employees.
(3)
					 Employees with past documented positive TB skin test results or who have
					 received treatment for tuberculosis infection in the past are exempt from the
					 TB skin test. Employees with past documented positive TB skin result, who have
					 never been treated for TB infection, shall be screened for active symptoms of
					 TB disease and the need for evaluation by a qualified health care professional
					 to determine if treatment for TB infection is indicated.
(4) TB skin tests, as well as post-exposure
					 follow-up and treatment evaluations, shall be offered at no cost to the
					 employees at times and locations convenient to the employees. A qualified
					 health care professional shall perform the reading and interpretation of the TB
					 testing.
Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Community and Health Systems › Homes for the Aged Facilities › Homes for the Aged › Part 3 - ADMINISTRATIVE MANAGEMENT OF HOMES › Section R. 325.1924 - Reporting of incidents, quality review program

Current through Vol. 24-12, July 15, 2024
Rule 24.
(1) A
					 home for the aged must implement and maintain a quality review program
					 consistent with section
					 20175(8) of
					 the act, MCL
					 333.20175, and the professional
					 review function. The program is responsible for all of the following:
(a) Reviewing and evaluating
					 incidents.
(b) Identifying
					 effective means to correct any deficient practice.
(c) Ensuring resident safety and quality of
					 care.
(d) Improving
					 procedures.
Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Community and Health Systems › Homes for the Aged Facilities › Homes for the Aged › Part 4 - RESIDENT CARE › Section R. 325.1931 - Employees; general provisions

Current through Vol. 24-12, July 15, 2024
Rule 31.
(1)
					 Personal care and services that are provided to a resident by the home shall be
					 designed to encourage residents to function physically and intellectually with
					 independence at the highest practical level.
(2) A home shall treat a resident with
					 dignity and his or her personal needs, including protection and safety, shall
					 be attended to consistent with the resident's service plan.
(3) The home shall designate 1 person on each
					 shift to be supervisor of resident care during that shift. The supervisor of
					 resident care shall be fully dressed, awake, and on the premises when on
					 duty.
(4) The supervisor of
					 resident care on each shift shall do all of the following:
(a) Assure that residents are treated with
					 kindness and respect.
(b) Protect
					 residents from accidents and injuries.
(c) Be responsible for safety of residents in
					 case of emergency.
Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Community and Health Systems › Homes for the Aged Facilities › Homes for the Aged › Part 4 - RESIDENT CARE › Section R. 325.1932 - Resident's medications

Current through Vol. 24-12, July 15, 2024
Rule 32.
(1)A
					 service plan must identify prescribed medication to be self-administered or
					 managed by the home.
(2) Prescribed
					 medication managed by the home shall be given, taken, or applied pursuant to
					 labeling instructions, orders and by the prescribing licensed health care
					 professional.
(3) Staff who
					 supervise the administration of medication for residents who do not
					 self-administer shall comply with all of the following:
(a) Be trained in the proper handling and
					 administration of the prescribed medication.
(b) Complete an individual medication log
					 that contains all of the following information:
(i) The name of the prescribed
					 medication.
(ii) The prescribed
					 required dosage and the dosage that was administered.
(iii) Label instructions for use of the
					 prescribed medication or any intervening order.
(iv) The time when the prescribed medication
					 is to be administered and when the medication was administered.
(v) The initials of the individual who
					 administered the prescribed medication.
(vi) A record if the resident refuses to
					 accept prescribed medication and notification as required in subdivision (c) of
					 this subrule.
(vii) A record of the
					 reason for administration of a prescribed medication that is on an as-needed
					 basis.
(c) Contact the
					 appropriate licensed health care professional when the prescribed medication
					 has not been administered in accordance with the label instruction, an order
					 from a health care professional, medication log, or a service plan.
Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Community and Health Systems › Homes for the Aged Facilities › Homes for the Aged › Part 4 - RESIDENT CARE › Section R. 325.1933 - Personal care of residents

Current through Vol. 24-12, July 15, 2024
Rule 33.
(1) A
					 home shall provide a resident with necessary assistance with personal care such
					 as, but not limited to, care of the skin, mouth and teeth, hands and feet, and
					 the shampooing and grooming of the hair as specified in the resident's service
					 plan.
(2) A home shall afford a
					 resident the opportunity and instructions when necessary for daily bathing,
					 oral and personal hygiene, daily shaving, and hand washing before meals. A home
					 shall ensure that a resident bathes at least weekly and more often if
					 necessary.
Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Community and Health Systems › Homes for the Aged Facilities › Homes for the Aged › Part 4 - RESIDENT CARE › Section R. 325.1934 - Furniture

Current through Vol. 24-12, July 15, 2024
Rule 34.
(1) A
					 home shall provide an individual bed at least 36 inches wide, with comfortable
					 springs in good condition and a clean protected mattress not less than 5 inches
					 thick, or 4 inches thick if of synthetic construction.
(2) A cot or rollaway cot shall not be used
					 as a resident bed.
(3) A bedside
					 stand or its equivalent shall be available for a resident for the storage of
					 small personal articles.
(4) A
					 resident may use his or her own personal bed, mattress, and bedside stand or
					 its equivalent, and may bring in personal furniture and possessions as space
					 permits. Furniture and other possessions shall fit comfortably within the
					 resident's own or shared living quarters, be safe and in reasonable condition,
					 and be in compliance with
					 R
					 29.1801 to
					 R 29.1861 of the health facility fire
					 safety rules.
Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Community and Health Systems › Homes for the Aged Facilities › Homes for the Aged › Part 4 - RESIDENT CARE › Section R. 325.1935 - Bedding, linens, and clothing

Current through Vol. 24-12, July 15, 2024
Rule 35.
(1)
					 Bedding shall be washable, in good condition, and clean, and shall be changed
					 at least weekly or more often as required.
(2) The home shall assure the availability of
					 clean linens, towels, and washcloths. The supply shall be sufficient to meet
					 the needs of the residents in the home. Individually designated space for
					 individual towels and washcloths shall be provided.
(3) The home shall make adequate provision
					 for the laundering of a resident's personal laundry.
(4) Rooms and all items in them shall be
					 completely cleaned following the discharge of each resident.
Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Community and Health Systems › Homes for the Aged Facilities › Homes for the Aged › Part 5 - RECORDS › Section R. 325.1941 - Records; general

Current through Vol. 24-12, July 15, 2024
Rule 41. A resident register, resident records, accident
						records and incident reports, and employee records and work schedules shall be
						kept in the home and shall be available to the director or the director's
						authorized representative.
Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Community and Health Systems › Homes for the Aged Facilities › Homes for the Aged › Part 5 - RECORDS › Section R. 325.1942 - Resident records

Current through Vol. 24-12, July 15, 2024
Rule 42.
(1) A
					 home shall provide a resident record for each resident.
(2) A home shall assure that a current
					 resident record is maintained and that all entries are dated and
					 signed.
(3) The resident record
					 shall include at least all of the following:
(a) Identifying information, including name,
					 marital status, date of birth, and gender.
(b) Name, address, and telephone number of
					 next of kin or authorized representative, if any.
(c) Name, address, and telephone number of
					 person or agency responsible for the resident's maintenance and care in the
					 home.
(d) Date of
					 admission.
(e) Date of discharge,
					 reason for discharge, and place to which resident was discharged, if
					 known.
(f) Health information, as
					 required by MCL 333.20175(1), and other health information needed to meet the
					 resident's service plan.
(g) Name,
					 address, and telephone number of resident's licensed health care
					 professional.
(h) The resident's
					 service plan.
Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Community and Health Systems › Homes for the Aged Facilities › Homes for the Aged › Part 5 - RECORDS › Section R. 325.1943 - Resident registers

Current through Vol. 24-12, July 15, 2024
Rule 43.
(1) A
					 home shall maintain a current register of residents which shall include all of
					 the following information for each resident:
(a) Name, date of birth, gender, and
					 room.
(b) Name, address, and
					 telephone number of next of kin or authorized representative, if any.
(c) Name, address, and telephone number of
					 person or agency responsible for resident's maintenance and care in the
					 home.
(d) Date of admission, date
					 of discharge, reason for discharge, and place to which resident was discharged,
					 if known.
(e) Name, address, and
					 telephone number of resident's licensed health care professional, if
					 known.
Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Community and Health Systems › Homes for the Aged Facilities › Homes for the Aged › Part 5 - RECORDS › Section R. 325.1944 - Employee records and work schedules

Current through Vol. 24-12, July 15, 2024
Rule 44.
(1) A
					 home shall maintain a record for each employee, which shall include all of the
					 following:
(a) Name, address, telephone
					 number, and social security number.
(b) License or registration number, if
					 applicable.
(c) Date of
					 birth.
(d) Summary of experience,
					 education, and training.
(e)
					 Beginning date of employment and position for which employed.
(f) References, if provided.
(g) Results of initial TB screening as
					 required by
					 R
					 325.1923(2).
(h) Date employment ceases and reason or
					 reasons for leaving, if known.
(i)
					 Criminal background information, consistent with section 20173a, MCL
					 333.20173a,
					 of the code.
Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Community and Health Systems › Homes for the Aged Facilities › Homes for the Aged › Part 6 - FOOD SERVICE › Section R. 325.1951 - Nutritional need of residents

Current through Vol. 24-12, July 15, 2024
Rule 51. A home shall meet the food and nutritional needs
						of a resident in accordance with the recommended daily dietary allowances of
						the food and nutrition board of the national research council of the national
						academy of sciences, adjusted for age, gender, and activity, or other national
						authority acceptable to the department, except as ordered by a licensed health
						care professional.
Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Community and Health Systems › Homes for the Aged Facilities › Homes for the Aged › Part 6 - FOOD SERVICE › Section R. 325.1952 - Meals and special diets

Current through Vol. 24-12, July 15, 2024
Rule 52.
(1) A
					 home shall offer 3 meals daily to be served to a resident at regular meal
					 times. A home shall make snacks and beverages available to residents.
(2) A home shall work with residents when
					 feasible to accommodate individual preferences.
(3) A home shall assure that the temporary
					 needs for meals delivered to a resident's room are met.
(4) Medical nutrition therapy, as prescribed
					 by a licensed health care professional and which may include therapeutic diets
					 or special diets, supplemental nourishments or fluids to meet the resident's
					 nutritional and hydration needs, shall be provided in accordance with the
					 resident's service plan unless waived in writing by a resident or a resident's
					 authorized representative.
(5) A
					 home shall prepare and serve meals in an appetizing manner.
(6) A home shall provide a table or
					 individual freestanding tray of table height for a resident who does not go to
					 a dining room.
Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Community and Health Systems › Homes for the Aged Facilities › Homes for the Aged › Part 6 - FOOD SERVICE › Section R. 325.1953 - Menus

Current through Vol. 24-12, July 15, 2024
Rule 53.
(1) A
					 home shall prepare and post the menu for regular and therapeutic or special
					 diets for the current week. Changes shall be written on the planned menu to
					 show the menu as actually served.
(2) A home shall maintain a copy of all menus
					 as actually served to residents for the preceding 3 months.
Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Community and Health Systems › Homes for the Aged Facilities › Homes for the Aged › Part 6 - FOOD SERVICE › Section R. 325.1954 - Meal and food records

Current through Vol. 24-12, July 15, 2024
Rule 54. The home shall maintain a record of the meal
						census, to include residents, personnel, and visitors, and a record of the kind
						and amount of food used for the preceding 3-month period.
Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Community and Health Systems › Homes for the Aged Facilities › Homes for the Aged › Part 7 - BUILDINGS AND GROUNDS › Section R. 325.1961 - Plans and specifications

Current through Vol. 24-12, July 15, 2024
Rule 61.
(1) A
					 floor plan of the home, with a description of rooms showing size, use, door
					 locations, window area, and number of beds, shall be on file in the
					 home.
(2) Complete plans,
					 specifications, and an operational narrative for new buildings, additions,
					 major building changes, and conversion of existing facilities to use as a home
					 shall be submitted to the department for review to assure compliance with the
					 law and these rules.
(3) An
					 operational narrative shall describe the operational characteristics and
					 special needs of the home that dictate the design of renovation, construction,
					 or conversion needed to support the home's program statement as defined by
					 R
					 325.1901(15). An operational
					 narrative may include any of the following:
(a) Each function to be performed in the
					 home.
(b) Functional space
					 requirements.
(c) Number of staff
					 or other occupants anticipated for the various functional units.
(d) Type of equipment to be required and
					 utilized.
(e) Interrelationship of
					 functional spaces.
(f) Services and
					 equipment to be brought into the home from outside the home and not requiring
					 duplication in the home.
Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Community and Health Systems › Homes for the Aged Facilities › Homes for the Aged › Part 7 - BUILDINGS AND GROUNDS › Section R. 325.1962 - Exteriors

Current through Vol. 24-12, July 15, 2024
Rule 62.
(1) The
					 home shall be located in an area free from hazards to the health and safety of
					 residents, personnel, and visitors.
(2) The premises shall be maintained in a
					 safe and sanitary condition and in a manner consistent with the public health
					 and welfare.
(3) Sufficient light
					 for an exterior ramp, step, and porch shall be provided for the safety of
					 persons using the facilities.
(4)
					 Exterior steps shall have a handrail on both sides. An above grade porch shall
					 have a railing on open sides.
Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Community and Health Systems › Homes for the Aged Facilities › Homes for the Aged › Part 7 - BUILDINGS AND GROUNDS › Section R. 325.1963 - Accessibility

Current through Vol. 24-12, July 15, 2024
Rule 63.
(1) A
					 new construction or a home undergoing addition, major building modification, or
					 conversion shall comply with all of the following:
(a) Applicable statutory accessibility
					 requirements.
(b) Applicable
					 accessibility requirements for common and shared facilities.
(c) Accessibility requirements for 10% of all
					 resident sleeping rooms and the connecting bathing or toilet rooms.
Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Community and Health Systems › Homes for the Aged Facilities › Homes for the Aged › Part 7 - BUILDINGS AND GROUNDS › Section R. 325.1964 - Interiors

Current through Vol. 24-12, July 15, 2024
Rule 64.
(1) A
					 building shall be of safe construction and shall be free from hazards to
					 residents, personnel, and visitors.
(2) A part of a building in use as a home
					 shall not be used for any purpose which interferes with the care, well-being,
					 and safety of residents, personnel, and visitors.
(3) An occupied room shall have a minimum
					 ceiling height of 7 feet, 6 inches, except as otherwise provided in R
					 325.1964(4) and (5).
(4) Floor area
					 under a part of a drop or slant ceiling which is less than 6 1/2 feet from the
					 floor shall not be used in computing the usable floor space or maximum number
					 of beds allowed in any sleeping room.
(5) A bed and the working space around a bed
					 shall not be directly under a part of a drop or slant ceiling that is less than
					 6 1/2 feet from the floor.
(6) Each
					 area of the home shall be provided with lighting commensurate with the use made
					 of each area and in accordance with generally recognized standards.
(7) A stairway or ramp shall have a handrail
					 on both sides.
(8) A room used for
					 living or sleeping purposes shall have a minimum total window glass area on
					 outside walls equal to 10% of the required floor area of the room. Forty-five
					 percent of the window glass area shall be openable unless the room is
					 artificially ventilated.
(9)
					 Ventilation shall be provided throughout the facility in the following manner:
(a) A room shall be provided with a type and
					 amount of ventilation that will control odors and contribute to the comfort of
					 occupants.
(b) Bathing rooms,
					 beauty shops, toilet rooms, soiled linen rooms, janitor closets, and trash
					 holding rooms shall be provided with a minimum of 10 air changes per hour of
					 continuously operated exhaust ventilation that provide discernable air flow
					 into each of these rooms.
Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Community and Health Systems › Homes for the Aged Facilities › Homes for the Aged › Part 7 - BUILDINGS AND GROUNDS › Section R. 325.1965 - Elevators and space requirements for certain homes

Current through Vol. 24-12, July 15, 2024
Rule 65.
(1) A
					 new construction, addition, major building change, or conversion after November
					 14, 1969 shall provide all of the following:
(a) An elevator if resident bedrooms are
					 situated upon more than 1 floor level. An elevator shall have a minimum cab
					 size of 5 feet by 7 feet, 6 inches.
(b) A sleeping, day, dining, recreation, and
					 activity room with a minimum ceiling height of 8 feet.
(c) In a room requiring windows, a clear
					 unobstructed horizontal view of 20 feet from the windows. One additional foot
					 shall be added to the minimum distance of 20 feet for each 2-foot rise above
					 the first story up to a maximum of 40 feet of required unobstructed
					 view.
(d) A minimum of 30 square
					 feet of floor space per licensed bed for day room, dining, recreation, and
					 activity purposes.
Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Community and Health Systems › Homes for the Aged Facilities › Homes for the Aged › Part 7 - BUILDINGS AND GROUNDS › Section R. 325.1966 - Public and employee areas

Current through Vol. 24-12, July 15, 2024
Rule 66.
(1) A
					 lobby or waiting area for visitors shall be separate from resident
					 rooms.
(2) Employees shall have
					 adequate toilet facilities that are separate from resident living
					 quarters.
Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Community and Health Systems › Homes for the Aged Facilities › Homes for the Aged › Part 7 - BUILDINGS AND GROUNDS › Section R. 325.1967 - Resident rooms

Current through Vol. 24-12, July 15, 2024
Rule 67.
(1) A
					 resident bedroom shall have the floor surface at or above grade level along
					 exterior walls with windows.
(2) A
					 single resident room shall have at least 80 square feet of usable floor
					 space.
(3) A multi-bed resident
					 room shall have at least 70 square feet of usable floor space per licensed
					 bed.
(4) A toilet room or closet
					 shall not be included in usable floor space.
(5) A multi-bed resident room shall be
					 designed to allow for a 3-foot clearance between beds.
(6) Residents may have their own rooms
					 arranged in a manner that is comfortable and reflects their preferences,
					 provided that the arrangement does not create an unreasonable fire safety risk
					 or unsanitary conditions.
(7) A
					 resident room shall have at least 2 duplex electrical receptacles.
(8) Each resident occupied floor shall have a
					 janitor's closet.
Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Community and Health Systems › Homes for the Aged Facilities › Homes for the Aged › Part 7 - BUILDINGS AND GROUNDS › Section R. 325.1968 - Toilet and bathing facilities

Current through Vol. 24-12, July 15, 2024
Rule 68.
(1)
					 Resident toilet facilities shall be located in separate rooms or stalls and
					 shall be provided in the ratio of 1 handwashing facility and water closet for
					 every 8 resident beds per floor.
(2) A bathing facility shall be provided for
					 every 15 resident beds.
(3) All
					 water closets and bathing facilities shall have substantially secured grab bars
					 at least 1 foot long.
(4) A
					 resident toilet room or bathroom shall not be used for storage or housekeeping
					 functions.
Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Community and Health Systems › Homes for the Aged Facilities › Homes for the Aged › Part 7 - BUILDINGS AND GROUNDS › Section R. 325.1969 - Additional resident area requirements in certain homes

Current through Vol. 24-12, July 15, 2024
Rule 69.
(1) A
					 new construction, addition, major building change, or conversion after November
					 14, 1969 shall provide all of the following:
(a) A resident room with not more than 4
					 beds.
(b) A minimum of 100 square
					 feet of usable floor space in single resident rooms.
(c) A minimum of 80 square feet of usable
					 floor space per licensed bed in multi-bed resident rooms.
(d) A resident room with a minimum of 5
					 square feet of floor space per licensed bed for wardrobe and closet in addition
					 to other requirements for usable floor space per licensed bed. A bathing or
					 toilet room or vestibule shall not be included in usable floor space.
Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Community and Health Systems › Homes for the Aged Facilities › Homes for the Aged › Part 7 - BUILDINGS AND GROUNDS › Section R. 325.1970 - Water supply systems

Current through Vol. 24-12, July 15, 2024
Rule 70.
(1) A
					 home located in an area served by a public water system shall connect to and
					 use that system.
(2) If a public
					 water system is not available, then the location and construction of a well and
					 the operation of the private water system shall comply with the Safe Drinking
					 Water Act, 1976 PA 399, MCL 325.1001 et seq.
(3) A physical cross-connection shall not
					 exist between water systems that are safe for human consumption and those that
					 are, or may at any time, become unsafe for human consumption.
(4) Minimum water pressure available to each
					 plumbing fixture shall exceed 20 pounds per square inch.
(5) The plumbing system shall be designed and
					 maintained so that the possibility of back flow or back siphonage is
					 eliminated.
(6) The plumbing system
					 shall supply an adequate amount of hot water at all times to meet the needs of
					 each resident and the functioning of the various service areas.
(7) The temperature of hot water at plumbing
					 fixtures used by residents shall be regulated to provide tempered water at a
					 range of 105 to 120 degrees Fahrenheit.
Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Community and Health Systems › Homes for the Aged Facilities › Homes for the Aged › Part 7 - BUILDINGS AND GROUNDS › Section R. 325.1971 - Liquid wastes

Current through Vol. 24-12, July 15, 2024
Rule 71.
(1)
					 Liquid wastes shall be discharged into a public sanitary sewage system if such
					 a system is available.
(2) Homes
					 that use a private wastewater disposal system shall be approved by the
					 department.
(3) A private
					 wastewater disposal system shall consist of a stabilization lagoon or approved
					 "package" treatment plant. Subsurface disposal systems such as septic tanks
					 with tile fields are not allowed.
(4) The licensee shall obtain a discharge
					 permit issued by the Michigan department of environmental quality pursuant to
					 MCL 324.3101 et seq.
Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Community and Health Systems › Homes for the Aged Facilities › Homes for the Aged › Part 7 - BUILDINGS AND GROUNDS › Section R. 325.1972 - Solid wastes

Current through Vol. 24-12, July 15, 2024
Rule 72. All garbage and rubbish 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.
Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Community and Health Systems › Homes for the Aged Facilities › Homes for the Aged › Part 7 - BUILDINGS AND GROUNDS › Section R. 325.1973 - Heating

Current through Vol. 24-12, July 15, 2024
Rule 73.
(1) A
					 home shall provide a safe heating system that is designed and maintained to
					 provide a temperature of at least 72 degrees Fahrenheit measured at a level of
					 3 feet above the floor in rooms used by residents.
(2) A resident's own room or rooms in the
					 home shall be maintained at a comfortable temperature.
Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Community and Health Systems › Homes for the Aged Facilities › Homes for the Aged › Part 7 - BUILDINGS AND GROUNDS › Section R. 325.1974 - Laundry and linen

Current through Vol. 24-12, July 15, 2024
Rule 74.
(1) A
					 home that processes its own linen shall provide a well ventilated laundry of
					 sufficient size which shall be equipped to meet the needs of the
					 home.
(2) A home that uses a
					 commercial or other outside laundry facility shall have a soiled linen storage
					 room and a separate clean linen storage room.
Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Community and Health Systems › Homes for the Aged Facilities › Homes for the Aged › Part 7 - BUILDINGS AND GROUNDS › Section R. 325.1975 - Laundry and linen requirements

Current through Vol. 24-12, July 15, 2024
Rule 75.
(1) A
					 new construction, addition, major building change, or conversion after November
					 14, 1969 shall provide all of the following:
(a) A separate soiled linen storage
					 room.
(b) A separate clean linen
					 storage room.
(c) A separate
					 laundry processing room with handwashing facilities in a home that processes
					 its own linen.
(d) Commercial
					 laundry equipment with a capacity to meet the needs of residents in a home that
					 processes its own linen.
Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Community and Health Systems › Homes for the Aged Facilities › Homes for the Aged › Part 7 - BUILDINGS AND GROUNDS › Section R. 325.1977 - New construction, addition, major building modification, or conversion after effective date of these rules

Current through Vol. 24-12, July 15, 2024
Rule 77.
(1)
					 Exhaust ventilation shall be designed as central systems with the fan at the
					 building exterior and at least 10 feet from all doors, operable windows, and
					 domestic outside air intakes.
(2)
					 Facilities for dispensing of medications shall be designed to be under the
					 control of responsible residents or designated staff. Central dispensing
					 locations shall keep medications locked and equipped with handwashing, work
					 counter, and storage facilities.
(3) Bathing facilities shall have access to
					 handwashing, toilet, and bathing supply storage facilities without entering a
					 common corridor.
Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Community and Health Systems › Homes for the Aged Facilities › Homes for the Aged › Part 7 - BUILDINGS AND GROUNDS › Section R. 325.1978 - Insect and vermin control

Current through Vol. 24-12, July 15, 2024
Rule 78.
(1) A
					 home shall be kept free from insects and vermin.
(2) Pest control procedures shall comply with
					 MCL 324.8301 et seq.
Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Community and Health Systems › Homes for the Aged Facilities › Homes for the Aged › Part 7 - BUILDINGS AND GROUNDS › Section R. 325.1979 - General maintenance and storage

Current through Vol. 24-12, July 15, 2024
Rule 79.
(1) The
					 building, equipment, and furniture shall be kept clean and in good
					 repair.
(2) A room shall be
					 provided in the home or on the premises for equipment and furniture maintenance
					 and repair and storage of maintenance equipment and supplies.
(3) Hazardous and toxic materials shall be
					 stored in a safe manner.
Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Community and Health Systems › Homes for the Aged Facilities › Homes for the Aged › Part 7 - BUILDINGS AND GROUNDS › Section R. 325.1980 - Soap and towels

Current through Vol. 24-12, July 15, 2024
Rule 80. Soap and single use towels shall be available
						for the use of employees and visitors. Use of the common towel is
						prohibited.
Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Community and Health Systems › Homes for the Aged Facilities › Homes for the Aged › Part 8 - EMERGENCY PROCEDURES › Section R. 325.1981 - Disaster plans

Current through Vol. 24-12, July 15, 2024
Rule 81.
(1) A
					 home shall have a written plan and procedure to be followed in case of fire,
					 explosion, loss of heat, loss of power, loss of water, or other
					 emergency.
(2) A disaster plan
					 shall be available to all employees working in the home.
(3) Personnel shall be trained to perform
					 assigned tasks in accordance with the disaster plan.
Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Community and Health Systems › Homes for the Aged Facilities › Certification of Specialized Programs › Subpart 8 - CERTIFICATION OF SPECIALIZED PROGRAMS OFFERED IN ADULT FOSTER CARE HOME TO CLIENTS WITH MENTAL ILLNESS OR DEVELOPMENTAL DISABILITY › Section R. 330.1801 - Definitions

Current through Vol. 24-12, July 15, 2024
Rule 1801. As used in this subpart:
(a) "Certification" means the authorization
					 by the department for a facility to offer a specialized program to clients as
					 defined under
					 R
					 330.1701(a).
(b) "Facility" means an adult foster care
					 facility licensed pursuant to Act No. 218 of the Public Acts of 1979, as
					 amended, being §
											400.701et seq. of the
					 Michigan Compiled Laws.
(c)
					 "Regular certification" means a certification issued by the department to a
					 facility which is in full compliance with these rules and Michigan's statutes
					 and rules for protecting recipient's rights or which is in substantial
					 compliance with these rules and operating under an approved plan of corrective
					 action or a report of progress, or both, in correcting items of noncompliance.
					 A regular certification may be granted for a period of up to 2 years.
(d) "Provisional certification" means a
					 certification issued by the department to a facility that is operating under an
					 approved plan of correction to address items of noncompliance which, by nature
					 or degree, have been determined to seriously compromise program operations or
					 performance. A provisional certification may be issued for a period of up to 3
					 months and may be renewed for 1 additional 3 month period.
(e) "Temporary certification" means a
					 certification issued by the department to a facility which has submitted an
					 application and which has not been previously certified under these rules. A
					 temporary certification may be granted for a period of up to 6 months and may
					 not be renewed.
Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Community and Health Systems › Homes for the Aged Facilities › Certification of Specialized Programs › Subpart 8 - CERTIFICATION OF SPECIALIZED PROGRAMS OFFERED IN ADULT FOSTER CARE HOME TO CLIENTS WITH MENTAL ILLNESS OR DEVELOPMENTAL DISABILITY › Section R. 330.1802 - Application process

Current through Vol. 24-12, July 15, 2024
Rule 1802.
(1) A
					 facility seeking certification of its specialized program shall request
					 certification by submitting a completed application to the
					 department.
(2) The application
					 shall include all of the following information:
(a) The facility's license number.
(b) The facility's proposed or actual
					 licensed capacity.
(c) The type of
					 certification being requested by the facility.
(d) The minimum ratio of direct care staff to
					 clients that the provider assures will be employed and present on each shift
					 when the clients are under the licensee's supervision. The ratios shall ensure
					 the provision of all services delineated in each client's individual plan of
					 service that are the licensee's responsibility.
(e) A description of the specialized program
					 that the facility seeks certification to provide.
Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Community and Health Systems › Homes for the Aged Facilities › Certification of Specialized Programs › Subpart 8 - CERTIFICATION OF SPECIALIZED PROGRAMS OFFERED IN ADULT FOSTER CARE HOME TO CLIENTS WITH MENTAL ILLNESS OR DEVELOPMENTAL DISABILITY › Section R. 330.1804 - Certification inspections and investigations

Current through Vol. 24-12, July 15, 2024
Rule 1804.
(1) A
					 newly opened facility that has a temporary certification shall notify the
					 department when the number of residents of the facility reaches 50% of the
					 licensed capacity. Upon notice, the department will schedule and conduct an
					 on-site review of the facility's specialized program.
A written report of the review shall be provided to the
						department of social services, the licensee, and the placing agency. Based upon
						the review, the department may issue a provisional or regular certification.
						This rule does not apply to facilities certified through the intermediate care
						facilities for the mentally retarded (ICF/MR) program.
(2) Upon receipt of a complaint regarding the
					 provision of specialized program services, the department shall conduct a
					 review within 30 days to determine whether these rules have been violated. The
					 department shall issue a written report of its findings and provide a copy to
					 the department of social services, the complainant, the facility, and the
					 placing agency.
(3) The department
					 shall issue a complaint against a facility if rule violations
					 warrant.
(4) Failure of the
					 licensee to fully cooperate with the department in connection with inspections
					 and investigations is a ground for the denial, suspension, or revocation of, or
					 refusing to renew, a facility's certification.
(5) If a certified facility voluntarily
					 relinquishes its license or has its license revoked, suspended, or not renewed,
					 and if all administrative appeals are exhausted, the facility is decertified as
					 a matter of law.
Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Community and Health Systems › Homes for the Aged Facilities › Certification of Specialized Programs › Subpart 8 - CERTIFICATION OF SPECIALIZED PROGRAMS OFFERED IN ADULT FOSTER CARE HOME TO CLIENTS WITH MENTAL ILLNESS OR DEVELOPMENTAL DISABILITY › Section R. 330.1805 - Accessibility

Current through Vol. 24-12, July 15, 2024
Rule 1805. Common use areas of the facility are
						accessible to all clients in residence or an individual plan of service
						addresses the removal of imposed restrictions. The facility shall be capable of
						meeting the transportation needs of all clients the facility accepts for
						service.
Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Community and Health Systems › Homes for the Aged Facilities › Certification of Specialized Programs › Subpart 8 - CERTIFICATION OF SPECIALIZED PROGRAMS OFFERED IN ADULT FOSTER CARE HOME TO CLIENTS WITH MENTAL ILLNESS OR DEVELOPMENTAL DISABILITY › Section R. 330.1806 - Staffing levels and qualifications

Current through Vol. 24-12, July 15, 2024
Rule 1806.
(1)
					 Staffing levels shall be sufficient to implement the individual plans of
					 service and plans of service shall be implemented for individuals residing in
					 the facility.
(2) All staff who
					 work independently and staff who function as lead workers with clients shall
					 have successfully completed a course of training which imparts basic concepts
					 required in providing specialized dependent care and which measures staff
					 comprehension and competencies to deliver each client's individual plan of
					 service as written. Basic training shall address all the following areas:
(a) An introduction to community residential
					 services and the role of direct care staff.
(b) An introduction to the special needs of
					 clients who have developmental disabilities or have been diagnosed as having a
					 mental illness. Training shall be specific to the needs of clients to be served
					 by the home.
(c) Basic
					 interventions for maintaining and caring for a client's health, for example,
					 personal hygiene, infection control, food preparation, nutrition and special
					 diets, and recognizing signs of illness.
(d) Basic first aid and cardiopulmonary
					 resuscitation.
(e) Proper
					 precautions and procedures for administering prescriptive and nonprescriptive
					 medications.
(f) Preventing,
					 preparing for, and responding to, environmental emergencies, for example, power
					 failures, fires, and tornados.
(g)
					 Protecting and respecting the rights of clients, including providing client
					 orientation with respect to the written policies and procedures of the licensed
					 facility.
(h) Nonaversive
					 techniques for the prevention and treatment of challenging behavior of
					 clients.
Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Community and Health Systems › Homes for the Aged Facilities › Certification of Specialized Programs › Subpart 8 - CERTIFICATION OF SPECIALIZED PROGRAMS OFFERED IN ADULT FOSTER CARE HOME TO CLIENTS WITH MENTAL ILLNESS OR DEVELOPMENTAL DISABILITY › Section R. 330.1807 - Transferability of certification

Current through Vol. 24-12, July 15, 2024
Rule 1807. Certification shall be issued to a specific
						facility at a specific location, specific licensee and shall be nontransferable
						and remain the property of the department.
Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Community and Health Systems › Homes for the Aged Facilities › Certification of Specialized Programs › Subpart 8 - CERTIFICATION OF SPECIALIZED PROGRAMS OFFERED IN ADULT FOSTER CARE HOME TO CLIENTS WITH MENTAL ILLNESS OR DEVELOPMENTAL DISABILITY › Section R. 330.1808 - Suspension, denial, or revocation of certification

Current through Vol. 24-12, July 15, 2024
Rule 1808. The director, after notice to the applicant or
						licensee, may suspend, deny, revoke, or reduce to provisional status, a
						certification if he or she finds that there is substantial failure to comply
						with these rules. The notice shall be sent by certified mail or by personal
						service. The notice shall set forth the particular reasons for the proposed
						action and fix a date, not less than 30 days from the date of service, on which
						the applicant or licensee shall be afforded a hearing in accordance with
						R
						330.1809.
Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Community and Health Systems › Homes for the Aged Facilities › Certification of Specialized Programs › Subpart 8 - CERTIFICATION OF SPECIALIZED PROGRAMS OFFERED IN ADULT FOSTER CARE HOME TO CLIENTS WITH MENTAL ILLNESS OR DEVELOPMENTAL DISABILITY › Section R. 330.1809 - Appeals

Current through Vol. 24-12, July 15, 2024
Rule 1809. A facility which has its application for
						certification denied, a facility which is issued a provisional certification, a
						facility which has its certification proposed for suspension, revocation, or
						reduction to provisional, or a facility which is denied renewal shall be
						provided an opportunity for a hearing in accordance with chapter 4 of Act No.
						306 of the Public Acts of 1969, as amended, being §§
											24.271
						to
						24.287 of
						the Michigan Compiled Laws.
Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Community and Health Systems › Homes for the Aged Facilities › Nurse Aide, Nurse Aide Trainer, and Nurse Aide Training Program, Certificate of Registration and Permit Program › Part 1 - GENERAL PROVISIONS › Section R. 400.303 - Compliance; local; state; federal; law; rule; regulation; standard

Current through Vol. 24-12, July 15, 2024
Rule 303.
(1) An
					 applicant or a certified nurse aide, permitted nurse aide trainer, and
					 permitted nurse aide training program shall comply with applicable local,
					 state, and federal laws, rules, regulations, and standards.
(2) During review of an application or when
					 conducting an inspection or complaint investigation, the department may use or
					 request information or documentation of noncompliance from local, state, or
					 federal authorities.
(3) The
					 department may only cite this rule if the local, state, or federal authority
					 that has jurisdiction regarding the specific law, rule, regulation, or standard
					 has found an applicant, a certified nurse aide, permitted nurse aide trainer,
					 or permitted nurse aide training program to be non-compliant, in writing, and
					 there is a need to protect the health, safety, and welfare of individuals
					 receiving care or services in or from a certified nurse aide, permitted nurse
					 aide trainer, or permitted nurse aide training program.
Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Community and Health Systems › Homes for the Aged Facilities › Nurse Aide, Nurse Aide Trainer, and Nurse Aide Training Program, Certificate of Registration and Permit Program › Part 2 - CERTIFICATION OF NURSE AIDES SUBPART › Subpart A - INITIAL APPLICATION REQUIREMENTS › Section R. 400.311 - Application; nurse aide certification; requirements

Current through Vol. 24-12, July 15, 2024
Rule 311.
(1)
						Before submitting an initial application to the department, an applicant for
						nurse aide certification shall successfully complete both of the following:
(a) A state-approved training
						program.
(b) A state-approved
						testing program.
Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Community and Health Systems › Homes for the Aged Facilities › Nurse Aide, Nurse Aide Trainer, and Nurse Aide Training Program, Certificate of Registration and Permit Program › Part 2 - CERTIFICATION OF NURSE AIDES SUBPART › Subpart B - INITIAL APPLICATION REVIEW AND PROCESSING › Section R. 400.313 - Application for nurse aide certification; processing; registry

Current through Vol. 24-12, July 15, 2024
Rule 313.
(1)
						As authorized in article 17, an application for initial certification must be
						made on the most recent applicable form authorized and provided by the
						department. The department shall process a completed application within 30
						calendar days.
(2) An application
						is not considered complete by the department until both of the following are
						received:
(a) Completed application form and
						required documents as identified in
						R 400.311.
(b) Application fee.