reglab/statecodes huggingface dataset:
Iowa Administrative Code › Agency 481 - Inspections and Appeals Department › Inspections Division › Chapter 63 - Residential Care Facility-three- to Five-bed Specialized License › Rule 481-63.6 - Required Notifications to the Department

Current through Register Vol. 47, No. 3, July 24, 2024
The department shall be notified:
(1) Thirty days before any proposed change in
				the residential care facility's functional operation or addition or deletion of
				required services; (III)
(2) Thirty
				days before the beginning of the renovation, addition, functional alteration,
				change of space utilization, or conversion in the residential care facility or
				on the premises; (III)
(3) Thirty
				days before closure of the residential care facility; (III)
(4) Within two weeks of any change in
				administrator; (III)
(5) Ninety
				days before a change in the category of license; (III)
(6) Thirty days before a change of ownership.
				The licensee shall:
a. Inform the department
				of the pending change of ownership; (III)
b. Inform the department of the name and
				address of the prospective purchaser, transferee, assignee, or lessee;
				(III)
c. Submit a written
				authorization to the department permitting the department to release all
				information of whatever kind from the department's files concerning the
				licensee's residential care facility to the named prospective purchaser,
				transferee, assignee, or lessee. (Ill)
Iowa Administrative Code › Agency 481 - Inspections and Appeals Department › Inspections Division › Chapter 63 - Residential Care Facility-three- to Five-bed Specialized License › Rule 481-63.7 - Administrator

Current through Register Vol. 47, No. 3, July 24, 2024
Each facility shall have one person in charge, duly approved
				  by the department or acting in a provisional capacity in accordance with these
				  rules. (Ill)
(1)
Qualifications of an administrator.
a. The administrator shall be at least 21
				years of age and shall have a high school diploma or equivalent. (Ill) In
				addition, this person shall meet at least one of the following conditions:
(1) Have a two-year degree in human services,
				psychology, sociology, nursing, health care administration, public
				administration, or a related field and have a minimum of two years' experience
				in the field; or (III)
(2) Have a
				four-year degree in human services, psychology, sociology, nursing, health care
				administration, public administration, or a related field and have a minimum of
				one year of experience in the field; or (III)
(3) Have a master's degree in human services,
				psychology, sociology, nursing, health care administration, public
				administration, or a related field and have a minimum of one year of experience
				in the field; or (III)
(4) Be a
				licensed nursing home administrator; or (III)
(5) Have completed a one-year educational
				training program approved by the department for residential care facility
				administrators; or (III)
(6) Have
				passed the National Association of Long Term Care Administrator Boards (NAB)
				RC/AL administrator licensure examination; or
(7) Have two years of direct care experience
				and at least six months of administrative experience in a residential care
				facility. (Ill)
Iowa Administrative Code › Agency 481 - Inspections and Appeals Department › Inspections Division › Chapter 63 - Residential Care Facility-three- to Five-bed Specialized License › Rule 481-63.8 - Personnel

Current through Register Vol. 47, No. 3, July 24, 2024
(1)
Alcohol
				and drug use prohibited.
No person under the influence of intoxicating
				drugs or alcoholic beverages shall be permitted to provide services in a
				residential care facility. (I, II)
(2)
Job description.
There
				shall be a written job description developed for each category of worker. The
				job description shall include the job title, responsibilities and
				qualifications. (Ill)
(3)
Employee criminal record, child abuse and dependent adult abuse checks
				and employment of individuals who have committed a crime or have a founded
				abuse.
The facility shall comply with the requirements found in Iowa
				Code section
				135C.33
				and rule 481-50.9(135C) related to completion of criminal record checks, child
				abuse checks, and dependent adult abuse checks and to employment of individuals
				who have committed a crime or have a founded abuse. (I, II, III)
(4)
Personnel record.
A
				personnel record shall be kept for each employee and shall include but not be
				limited to the following information about the employee: name and address;
				social security number; date of birth; date of employment; position; job
				description; experience and education; results of criminal record checks, child
				abuse checks and dependent adult abuse checks; and date of discharge or
				resignation. (Ill)
(5)
Supervision and staffing.
a.
				The facility shall provide sufficient staff to meet the needs of the residents
				served. (I, II, III)
b. Personnel
				in a specialized residential care facility shall provide 24-hour coverage for
				residential care services. Personnel shall be available and responsive to
				residents' needs at all times while on duty. (I, II, III)
c. Direct care staff shall be present in the
				facility unless all residents are involved in activities away from the
				facility. (I, II, III)
d. Staff
				shall be aware of and provide supervision levels based on the present needs of
				the residents in the staff's care. The facility shall document the supervision
				of residents who require more than general supervision, as defined by facility
				policy. (I, II, III)
e. The
				facility shall maintain an accurate record of actual hours worked by employees.
				(Ill)
Iowa Administrative Code › Agency 481 - Inspections and Appeals Department › Inspections Division › Chapter 63 - Residential Care Facility-three- to Five-bed Specialized License › Rule 481-63.9 - General Policies

Current through Register Vol. 47, No. 3, July 24, 2024
The licensee shall establish and implement written policies
				  and procedures as set forth in this rule. The policies and procedures shall be
				  available for review by the department, other agencies designated by Iowa Code
				  section
				  135C.16(3),
				  staff, residents, residents' families or legal representatives, and the public
				  and shall be reviewed by the licensee annually. (II)
(1)
Facility operation.
The
				licensee shall establish written policies for the operation of the facility,
				including but not limited to the following: (III)
a. Personnel; (III)
b. Admission; (III)
c. Evaluation services; (II, III)
d. Programming and individual program plans;
				(II, III)
e. Registered sex
				offender management; (II, III)
f.
				Crisis intervention; (II, III)
g.
				Discharge or transfer; (III)
h.
				Medication management, including self-administration of medications and
				chemical restraints; (III)
i.
				Resident property; (II, III)
j.
				Resident finances; (II, III)
k.
				Records; (III)
l. Health and safety;
				(II, III)
m. Nutrition;
				(III)
n. Physical facilities and
				maintenance; (III)
o. Resident
				rights; (II, III)
p. Investigation
				and reporting of alleged dependent adult abuse; (II, III)
q. Investigation and reporting of accidents
				or incidents; (II, III)
r.
				Transportation of residents; (II, III)
s. Resident supervision; (II, III)
t. Smoking; (III)
u. Visitors; (III)
v. Disaster/emergency planning; (III)
				and
w. Infection control.
				(Ill)
Iowa Administrative Code › Agency 481 - Inspections and Appeals Department › Inspections Division › Chapter 63 - Residential Care Facility-three- to Five-bed Specialized License › Rule 481-63.10 - Admission, Transfer and Discharge

Current through Register Vol. 47, No. 3, July 24, 2024
(1)
General admission
				policies.
a. Residents shall be
				admitted to a specialized residential care facility only on a written order
				signed by a primary care provider or psychiatrist, specifying the level of
				care, and certifying that the individual being admitted requires no more than
				personal care and supervision and does not require routine nursing care. (II,
				III)
b. No residential care
				facility shall admit or retain a resident who is in need of greater services
				than the facility can provide. (I, II, III)
c. No residential care facility shall admit
				more residents than the number of beds for which the facility is licensed. (II,
				III)
d. A residential care facility
				is not required to admit an individual through court order, referral or other
				means without the express prior approval of the administrator. (Ill)
e. The admission of a resident shall not
				grant the residential care facility the authority or responsibility to manage
				the personal affairs of the resident except as may be necessary for the safety
				of the resident and the safe and orderly management of the residential care
				facility as required by these rules. (Ill)
f. Individuals under the age of 18 shall not
				be admitted to a residential care facility without prior written approval by
				the department. A distinct part of a residential care facility, segregated from
				the adult section, may be established based on a resume of care that is
				submitted by the licensee or applicant and is commensurate with the needs of
				the residents of the residential care facility and that has received the
				department's review and approval. (Ill)
g. No health care facility and no owner,
				administrator, employee or representative thereof shall act as guardian,
				trustee, or conservator for any resident's property unless such resident is
				related within the third degree of consanguinity to the person acting as
				guardian. (Ill)
Iowa Administrative Code › Agency 481 - Inspections and Appeals Department › Inspections Division › Chapter 63 - Residential Care Facility-three- to Five-bed Specialized License › Rule 481-63.11 - Involuntary Discharge or Transfer

Current through Register Vol. 47, No. 3, July 24, 2024
(1)
Involuntary discharge or transfer
				permitted.
A facility may involuntarily discharge or transfer a
				resident for only one of the following reasons:
a. Medical reasons;
b. The resident's welfare or that of other
				residents;
c. Repeated refusal by
				the resident to participate in the resident's service plan;
d. Due to action pursuant to Iowa Code
				chapter 229; or
e. Nonpayment for
				the resident's stay, as described in the residency agreement for the resident's
				stay.
Iowa Administrative Code › Agency 481 - Inspections and Appeals Department › Inspections Division › Chapter 63 - Residential Care Facility-three- to Five-bed Specialized License › Rule 481-63.13 - Medical Examinations

Current through Register Vol. 47, No. 3, July 24, 2024
(1)
				Each resident in a residential care facility shall have a designated primary
				care provider who may be contacted when needed. (II, III)
(2) Each resident admitted to a residential
				care facility shall have a physical examination prior to admission. (II, III)
a. If the resident is admitted directly from
				a hospital, a copy of the hospital admission physical and discharge summary may
				be a part of the record in lieu of an additional physical examination. A record
				of the examination, signed by the primary care provider, shall be a part of the
				resident's record. (II, III)
b. The
				record of the admission physical examination and medical history shall portray
				the current medical status of the resident and shall include the resident's
				name, sex, age, medical history, physical examination, diagnosis, statement of
				medical concerns, and results of any diagnostic procedures. (II, III)
c. Screening and testing for tuberculosis
				shall be conducted pursuant to 481-Chapter 59. (I, II, III)
Iowa Administrative Code › Agency 481 - Inspections and Appeals Department › Inspections Division › Chapter 63 - Residential Care Facility-three- to Five-bed Specialized License › Rule 481-63.15 - Resident Care and Personal Services

Current through Register Vol. 47, No. 3, July 24, 2024
(1) A complete change of bed linens shall be
				provided at least once a week and more often if necessary. (Ill)
(2) Residents shall receive sufficient
				supervision to promote personal cleanliness. (II, III)
(3) Residents shall have clean clothing as
				needed. Clothing shall be appropriate to residents' activities and to the
				weather. (Ill)
(4) Residents shall
				be encouraged to bathe at least twice a week. (II, III)
(5) All nonambulatory residents shall be
				housed on the grade level floor unless the facility has a suitably sized
				elevator. (II)
Iowa Administrative Code › Agency 481 - Inspections and Appeals Department › Inspections Division › Chapter 63 - Residential Care Facility-three- to Five-bed Specialized License › Rule 481-63.16 - Drugs

Current through Register Vol. 47, No. 3, July 24, 2024
(1)
Drug
				storage.
a. Residents who have been
				certified in writing by their primary care provider as capable of taking their
				own medications may retain these medications in their bedroom, but locked
				storage must be provided, with staff and the resident having access, and the
				drug storage shall be kept locked when not in use. Monitoring of the storage,
				administration, and documentation by the resident shall be carried out by a
				person who meets the requirements of subrule 63.16(3) and is responsible for
				administering medications. (II, III)
b. Drug storage for residents who are unable
				to take their own medications and require supervision shall meet the following
				requirements:
(1) Locked storage for drugs,
				solutions, and prescriptions shall be provided. (Ill)
(2) A bathroom shall not be used for drug
				storage. (Ill)
(3) The drug storage
				shall be kept locked when not in use. (Ill)
(4) The drug storage key shall be secured and
				available only to those employees charged with the responsibility of
				administering medications. (II, III)
(5) Schedule II drugs, as defined by Iowa
				Code chapter 124, shall be kept in a locked box within the locked drug storage.
				(II, III)
(6) Medications requiring
				refrigeration shall be kept locked in a refrigerator and separated from food
				and other items. (II, III)
(7)
				Drugs for external use shall be stored separately from drugs for internal use.
				(II, III)
(8) All potent,
				poisonous, or caustic materials shall be stored separately from drugs, shall be
				plainly labeled and stored in a specific, well-illuminated cabinet, closet, or
				storeroom, and shall be made accessible only to authorized persons. (I,
				II)
(9) Inspection of drug storage
				shall be made by the administrator or designee and a registered pharmacist not
				less than once every three months. The inspection shall be verified by a report
				signed by the administrator and the pharmacist and filed with the
				administrator. The report shall include, but not be limited to, certification
				of the absence of the following: expired drugs, deteriorated drugs, improper
				labeling, drugs for which there is no current primary care provider's order,
				and drugs improperly stored. (Ill)
(10) Bulk supplies of prescription drugs for
				multiresident use shall not be kept in a residential care facility.
				(Ill)
Iowa Administrative Code › Agency 481 - Inspections and Appeals Department › Inspections Division › Chapter 63 - Residential Care Facility-three- to Five-bed Specialized License › Rule 481-63.17 - Dental Services

Current through Register Vol. 47, No. 3, July 24, 2024
(1) The
				residential care facility personnel shall assist residents in obtaining annual
				and emergency dental services and shall arrange transportation for such
				services. (Ill)
(2) Dental services
				shall be performed only on the request of the resident, responsible party,
				legal representative, or primary care provider. The resident's primary care
				provider shall be advised of the resident's dental problems. (Ill)
(3) All dental reports or progress notes
				shall be included in the resident record as available. The facility shall make
				reasonable efforts to obtain the records following the provision of services.
				(Ill)
(4) Personal care staff shall
				assist the resident in carrying out the dentist's recommendations.
				(Ill)
Iowa Administrative Code › Agency 481 - Inspections and Appeals Department › Inspections Division › Chapter 63 - Residential Care Facility-three- to Five-bed Specialized License › Rule 481-63.18 - Dietary

Current through Register Vol. 47, No. 3, July 24, 2024
(1)
Dietary
				staffing.
Personnel who are responsible for food preparation or
				service, or both food preparation and service, shall have an orientation on
				sanitation and safe food handling prior to handling food and shall have annual
				in-service training on food protection. (Ill)
(2)
Nutrition and menu
				planning.
a. Menus shall be planned
				and followed to meet the nutritional needs of residents in accordance with the
				primary care provider's orders. Diet orders should be reviewed as necessary,
				but at least quarterly, by the primary care provider. (II, III)
b. In facilities where residents plan and
				prepare their own meals, education and support shall be provided to residents
				regarding proper food preparation, dietary guidelines, and food
				safety.
c. In facilities where food
				is regularly prepared for residents, the following shall apply:
(1) Menus shall be planned and served to
				include foods and amounts necessary to meet federal dietary guidelines. (II,
				III)
(2) At least three meals or
				their equivalent shall be offered daily, at regular hours. (II, III)
1. There shall be no more than a 14-hour span
				between offering a substantial evening meal and breakfast. (II, III)
2. Unless contraindicated, evening snacks
				shall be offered routinely to all residents. Special nourishments shall be
				available when ordered by the primary care provider. (II, III)
(3) Menus shall include a variety
				of foods prepared in various ways. (Ill)
(4) Menus shall be written at least one week
				in advance. The current menu shall be located in an accessible place for easy
				use by persons purchasing, preparing, and serving food. (Ill)
(5) Records of menus as served shall be filed
				and maintained for 30 days and shall be available for review by departmental
				personnel. When substitutions are necessary or requested, they shall be of
				similar nutritive value and recorded on the menu or in a notebook.
				(Ill)
(6) The facility shall
				provide an alternative choice at scheduled meal times. (Ill)
Iowa Administrative Code › Agency 481 - Inspections and Appeals Department › Inspections Division › Chapter 63 - Residential Care Facility-three- to Five-bed Specialized License › Rule 481-63.19 - Orientation and Service Plan

Current through Register Vol. 47, No. 3, July 24, 2024
(1)
Orientation.
Within 24
				hours of admission, each resident shall receive orientation to the facility.
				The orientation program shall be documented in the resident's file and shall
				include, but shall not be limited to, a review of the resident's rights, the
				daily schedule, house rules and the facility's evacuation plan. (II,
				III)
(2)
Initial service
				plan.
Within 48 hours of admission, the administrator or the
				administrator's designee shall develop an initial service plan to address any
				immediate health and safety needs. The plan shall be based on information
				gathered from the resident, family, referring party, primary care provider, and
				other significant persons. The plan shall be followed until the service plan
				required in subrule 63.19(3) is complete. (I, II, III)
(3)
Service plan.
Within 30
				days of admission, the administrator or the administrator's designee, in
				conjunction with the resident and the resident's interdisciplinary team, shall
				develop a written, individualized, and integrated service plan for the
				resident. The service plan shall be developed and implemented to address the
				resident's priorities and assessed needs, such as activities of daily living,
				rehabilitation, activity, and social, behavioral, emotional, physical and
				mental health. (I, II, III)
a. The service
				plan shall include measurable goals and objectives and the specific service(s)
				to be provided to achieve the goals. Each goal shall include the date of
				initiation and anticipated duration of service(s). Any restriction of rights
				shall be included in the service plan. (I, II, III)
b. The service plan shall include the
				documentation procedure for each goal and objective. (II, III)
c. The service plan should be modified to add
				or delete goals and objectives as the resident's needs change. Communications
				related to service plan changes or changes in the resident's condition shall
				occur within five working days of the change and shall be conveyed to all
				individuals inside and outside the residential care facility who work with the
				resident, as well as to the resident's responsible party. (I, II,
				III)
d. The service plan shall be
				reviewed at least quarterly by relevant staff, the resident and appropriate
				others, such as the resident's family, case manager and responsible party. The
				review shall include a written report which addresses a summary of the
				resident's progress toward goals and objectives and the need for continued
				services. (I, II, III)
Iowa Administrative Code › Agency 481 - Inspections and Appeals Department › Inspections Division › Chapter 63 - Residential Care Facility-three- to Five-bed Specialized License › Rule 481-63.20 - Resident Activities Program

Current through Register Vol. 47, No. 3, July 24, 2024
(1)
Activities program.
Each
				residential care facility shall provide suitable group and individual
				activities for residents. (Ill)
a. The
				activities provided shall be designed to meet the needs and interests of each
				resident and to assist residents in continuing normal activities within
				limitations set by the resident's primary care provider. This shall include
				helping residents continue in their individual interests or hobbies.
				(Ill)
b. Residents shall be
				encouraged, but not required, to participate in activities. (Ill)
Iowa Administrative Code › Agency 481 - Inspections and Appeals Department › Inspections Division › Chapter 63 - Residential Care Facility-three- to Five-bed Specialized License › Rule 481-63.21 - Residents Rights

Current through Register Vol. 47, No. 3, July 24, 2024
(1) Each
				facility shall ensure that policies and procedures are written and implemented
				which include, at a minimum, the provisions of this rule and which govern all
				areas of service provided by the facility. These policies and procedures shall
				be available to staff, residents, residents' families or legal representatives
				and the public and shall be reviewed annually. (II, III)
(2) Policies and procedures shall include a
				method for submitting complaints and recommendations by residents or their
				responsible parties and for ensuring a response and disposition by the
				facility. (II, III) The written procedures shall:
a. Ensure the provision of assistance to
				residents as necessary to complete and submit complaints and recommendations;
				(II, III)
b. Ensure protection of
				the resident from any form of reprisal or intimidation; (II, III)
c. Include designation of an employee
				responsible for handling grievances and recommendations; (II, III)
d. Include a method of investigating and
				assessing the validity of a grievance or recommendation; (II, III)
				and
e. Include methods of recording
				grievances and actions taken. (II, III)
Iowa Administrative Code › Agency 481 - Inspections and Appeals Department › Inspections Division › Chapter 63 - Residential Care Facility-three- to Five-bed Specialized License › Rule 481-63.23 - Communications

Current through Register Vol. 47, No. 3, July 24, 2024
Each resident may communicate, associate, and meet privately
				  with persons of the resident's choice, unless to do so would infringe upon the
				  rights of other residents, and may send and receive personal mail unopened.
				  (II)
(1) Subject to reasonable
				scheduling restrictions, visiting policies and procedures shall permit
				residents to receive visits from anyone they wish. Visiting hours shall be
				posted. (II)
(2) Reasonable,
				regular visiting hours shall not be less than 12 hours per day and shall take
				into consideration the special circumstances of each visitor. A particular
				visitor(s) may be restricted by the facility for one of the following reasons:
a. The resident refuses to see the
				visitor(s). (II)
b. The resident's
				primary care provider documents specific reasons why such a visit would be
				harmful to the resident's health. (II)
c. The visitor's behavior is unreasonably
				disruptive to the functioning of the facility. This judgment must be made by
				the administrator, and the reasons shall be documented and kept on file.
				(II)
Iowa Administrative Code › Agency 481 - Inspections and Appeals Department › Inspections Division › Chapter 63 - Residential Care Facility-three- to Five-bed Specialized License › Rule 481-63.24 - Resident Property

Current through Register Vol. 47, No. 3, July 24, 2024
(1)
				Residents shall be permitted to keep reasonable amounts of personal clothing
				and possessions for their use while in the facility. The facility shall offer
				the resident the opportunity to have personal property itemized and documented
				on an inventory sheet upon the resident's admission. The inventory sheet shall
				be kept in a safe location which is convenient for the resident to review and
				update. At discharge, residents may sign off on a list of the personal property
				they are taking with them. (II, III)
(2) The facility shall provide for the
				safekeeping of personal effects, funds and other property of its residents. The
				facility may require that items of exceptional value or that would convey
				unreasonable responsibilities to the licensee be removed from the premises of
				the facility for safekeeping. (Ill)
(3) Any funds or other property belonging to
				or due a resident, or expendable for the resident's account, which is received
				by the facility shall be trust funds; shall be kept separate from the funds and
				property of the facility and of its other residents, or specifically credited
				to such resident; and shall be used or otherwise expended only for the account
				of the resident. (Ill)
Iowa Administrative Code › Agency 481 - Inspections and Appeals Department › Inspections Division › Chapter 63 - Residential Care Facility-three- to Five-bed Specialized License › Rule 481-63.25 - Financial Affairs-management

Current through Register Vol. 47, No. 3, July 24, 2024
Each resident who has not been assigned a guardian or
				  conservator by the court may manage the resident's own personal financial
				  affairs. To the extent the facility assists in management, under written
				  authorization by the resident, the management shall be carried out in
				  accordance with Iowa Code section
				  135C.24.
				  (II)
(1) The facility shall maintain a
				written account of all residents' funds received by or deposited with the
				facility. (II)
(2) An employee
				shall be designated in writing to be responsible for resident accounts.
				(II)
(3) The facility shall keep on
				deposit personal funds over which the resident has control in accordance with
				Iowa Code section
				135C.24.
				Should the resident request these funds, they shall be given to the resident on
				request with receipts maintained by the facility and a copy to the resident. In
				the case of a resident with impaired decision-making skills, the resident's
				legal representative shall designate a method of disbursing the resident's
				funds. (II)
(4) If the facility
				makes financial transactions on a resident's behalf, the facility must document
				that it has prepared and sent an itemized accounting of disbursements and
				current balances at least quarterly. A copy of this statement shall be
				maintained in the resident's financial or business record. (II)
(5) A resident's personal funds shall not be
				used without the written consent of the resident or the resident's legal
				representative. (I, II)
(6) A
				resident's personal funds shall be returned to the resident when the funds have
				been used without the written consent of the resident or the resident's legal
				representative. The department may report findings that resident funds have
				been used without written consent to the department's investigations division
				or to the local law enforcement agency, as appropriate. (II)
Iowa Administrative Code › Agency 481 - Inspections and Appeals Department › Inspections Division › Chapter 63 - Residential Care Facility-three- to Five-bed Specialized License › Rule 481-63.26 - Resident Work

Current through Register Vol. 47, No. 3, July 24, 2024
No resident may be required to perform services for the
				  facility, except as provided by Iowa Code section
				  347B.5.
				  (II)
(1) Residents may not be used to
				provide a source of labor for the facility against their will. Approval by the
				primary care provider or physiatrist is required for all work programs. (I,
				II)
(2) Residents who perform work
				for the facility must receive compensation unless the work is part of their
				approved training program. Persons on the resident census who perform work
				shall not be used to replace paid employees in fulfilling staffing
				requirements. (II)
Iowa Administrative Code › Agency 481 - Inspections and Appeals Department › Inspections Division › Chapter 63 - Residential Care Facility-three- to Five-bed Specialized License › Rule 481-63.27 - Resident Abuse Prohibited

Current through Register Vol. 47, No. 3, July 24, 2024
Each resident shall receive kind and considerate care at all
				  times and shall be free from mental, physical, sexual, and verbal abuse,
				  exploitation, neglect, and physical injury. (I, II)
(1) Mental abuse includes, but is not limited
				to, humiliation, harassment, and threats of punishment or deprivation. (I,
				II)
(2) Physical abuse includes,
				but is not limited to, corporal punishment and the use of restraints as
				punishment. (I, II)
(3) Drugs such
				as tranquilizers shall only be used in accordance with orders of the primary
				care provider. (I, II)
(4)
				Allegations of dependent adult abuse. Allegations of dependent adult abuse
				shall be reported and investigated pursuant to Iowa Code chapter 235E and
				481-Chapter 52. (I, II, III)
(5)
				Staff shall receive training relating to the identification and reporting of
				dependent adult abuse as required by Iowa Code section
				235B.16.
				(I, II, III)
Iowa Administrative Code › Agency 481 - Inspections and Appeals Department › Inspections Division › Chapter 63 - Residential Care Facility-three- to Five-bed Specialized License › Rule 481-63.28 - Crisis Intervention

Current through Register Vol. 47, No. 3, July 24, 2024
If a facility utilizes physical restraints, the facility
				  shall have written policies that define the uses of physical restraints,
				  designate the administrator or designee as the person who may authorize their
				  use, establish a mechanism for monitoring and controlling their use, and
				  provide staff with proper training. (I, II)
(1) Temporary physical restraint of residents
				shall be used only under the following conditions: (I, II)
a. An emergency to prevent injury to the
				resident or to others; or (I, II)
b. For crisis intervention, but shall not be
				used for punishment, for the convenience of staff or as a substitution for
				supervision or programming; (I, II) and
c. No staff person shall use any restraint
				that obstructs the airway of the resident. (I, II)
Iowa Administrative Code › Agency 481 - Inspections and Appeals Department › Inspections Division › Chapter 63 - Residential Care Facility-three- to Five-bed Specialized License › Rule 481-63.29 - Safety

Current through Register Vol. 47, No. 3, July 24, 2024
The licensee of a residential care facility shall be
				  responsible for the provision and maintenance of a safe environment for
				  residents and personnel. (I, II, III)
(1)
Fire safety.
a. All residential care facilities shall meet
				the fire safety rules and regulations as promulgated by the state fire marshal.
				(I, II)
b. The size of the facility
				and needs of the residents shall be taken into consideration in evaluating
				safety precautions and practices.
Iowa Administrative Code › Agency 481 - Inspections and Appeals Department › Inspections Division › Chapter 63 - Residential Care Facility-three- to Five-bed Specialized License › Rule 481-63.30 - Housekeeping

Current through Register Vol. 47, No. 3, July 24, 2024
(1) Each resident
				room shall be cleaned on a routine schedule. (Ill)
(2) All rooms, corridors, storage areas,
				linen closets, attics, and basements shall be kept in a clean, orderly
				condition, free of unserviceable furniture and equipment and accumulations of
				refuse. (II, III)
(3) A hallway or
				corridor shall not be used for storage of equipment. (II, III)
(4) All odors shall be kept under control by
				cleanliness and proper ventilation. (Ill)
(5) Clothing worn by personnel shall be clean
				and washable. (Ill)
(6) All
				furniture, bedding, linens, and equipment shall be cleaned periodically and
				before use by another resident. (II, III)
(7) Polishes used on floors shall provide a
				nonslip finish. (II, III)
(8) Throw
				or scatter rugs shall have nonskid backing. (II, III)
(9) Entrances, exits, steps, and outside
				walkways shall be kept free from ice, snow, and other hazards. (II,
				III)
Iowa Administrative Code › Agency 481 - Inspections and Appeals Department › Inspections Division › Chapter 63 - Residential Care Facility-three- to Five-bed Specialized License › Rule 481-63.31 - Maintenance

Current through Register Vol. 47, No. 3, July 24, 2024
(1) The building,
				grounds, and other buildings shall be maintained in a clean, orderly condition
				and in good repair. (II, III)
(2)
				Window treatments and furniture shall be clean and in good repair. (II,
				III)
(3) Cracks in plaster, peeling
				wallpaper or paint, and tears or splits in floor coverings shall be promptly
				repaired or replaced in a professional manner. (II, III)
(4) The electrical systems, including
				appliances, cords, and switches, shall be maintained to guarantee safe
				functioning and comply with the National Electric Code. (II, III)
(5) All plumbing fixtures shall function
				properly and comply with the state plumbing code. (II, III)
(6) Yearly inspections of the heating and
				cooling systems shall be made to guarantee safe operation. (II, III)
(7) The building, grounds, and other
				buildings shall be kept free of breeding areas for flies, other insects, and
				rodents. (II, III)
(8) The facility
				shall be kept free of flies, other insects, and rodents. (II, III)
Iowa Administrative Code › Agency 481 - Inspections and Appeals Department › Inspections Division › Chapter 63 - Residential Care Facility-three- to Five-bed Specialized License › Rule 481-63.32 - Laundry

Current through Register Vol. 47, No. 3, July 24, 2024
(1) Residents'
				personal laundry shall be marked with an identification if commingled with
				other residents' personal laundry. (Ill)
(2) Bed linens, towels, and washcloths shall
				be clean and stain-free. (Ill)
(3)
				If laundry is done in the facility, a clean, dry, well-lit area to accommodate
				a washer and dryer of adequate size to serve the needs of the facility shall be
				provided. (Ill)
Iowa Administrative Code › Agency 481 - Inspections and Appeals Department › Inspections Division › Chapter 63 - Residential Care Facility-three- to Five-bed Specialized License › Rule 481-63.33 - Garbage and Waste Disposal

Current through Register Vol. 47, No. 3, July 24, 2024
(1)
				All garbage shall be gathered, stored, and disposed of in a manner that will
				not permit transmission of disease, create a nuisance, or provide a breeding or
				feeding place for vermin or insects. (Ill)
(2) All containers for refuse shall be
				watertight and rodent-proof and have tight-fitting covers. (Ill)
(3) All unlined containers inside of the
				facility shall be thoroughly cleaned each time the containers are emptied.
				(Ill)
(4) All waste shall be
				properly disposed of in compliance with local ordinances and state codes.
				(Ill)
Iowa Administrative Code › Agency 481 - Inspections and Appeals Department › Inspections Division › Chapter 63 - Residential Care Facility-three- to Five-bed Specialized License › Rule 481-63.34 - Supplies.

Current through Register Vol. 47, No. 3, July 24, 2024
(1)
Linen
				supplies.
a. There shall be an
				adequate supply of linens so that each resident shall have at least three
				washcloths, hand towels, and bath towels per week. (Ill)
b. A complete change of bed linens shall be
				available in the linen storage area for each bed. (Ill)
c. Sufficient lightweight, clean, serviceable
				blankets shall be available. All blankets shall be laundered as often as
				necessary for cleanliness and freedom from odors. (Ill)
d. Each bed shall be provided with clean,
				washable bedspreads. There shall be a supply available when changes are
				necessary. (Ill)
e. Adequate
				storage shall be provided for linens, pillows, and bedding. (Ill)
Iowa Administrative Code › Agency 481 - Inspections and Appeals Department › Inspections Division › Chapter 63 - Residential Care Facility-three- to Five-bed Specialized License › Rule 481-63.35 - Buildings, Furnishings, and Equipment

Current through Register Vol. 47, No. 3, July 24, 2024
(1)
Buildings
-
general requirements.
a.
				All windows shall be supplied with window treatments that are kept clean and in
				good repair. (Ill)
b. Whenever
				glass sliding doors or transparent panels are used, they shall be marked
				conspicuously. (Ill)
c. The
				facility shall meet the equivalent requirements of the appropriate group
				occupancy of the state building code. (Ill)
d. The facility shall be located in an area
				zoned for single- or multiple-family housing or in an unincorporated area and
				shall be constructed in compliance with applicable local housing codes and
				rules adopted for this classification of license by the state fire marshal.
				(II, III)
Iowa Administrative Code › Agency 481 - Inspections and Appeals Department › Inspections Division › Chapter 63 - Residential Care Facility-three- to Five-bed Specialized License › Rule 481-63.36 - Family and Employee Accommodations

Current through Register Vol. 47, No. 3, July 24, 2024
If the family or employees live within the facility, separate
				  living quarters and recreation facilities shall be required for the family or
				  employees distinct from such areas provided for the residents.
				  (Ill)
Iowa Administrative Code › Agency 481 - Inspections and Appeals Department › Inspections Division › Chapter 63 - Residential Care Facility-three- to Five-bed Specialized License › Rule 481-63.37 - Animals

Current through Register Vol. 47, No. 3, July 24, 2024
No animals shall be allowed to reside in the facility except
				  with written approval of the department and under controlled conditions. (II,
				  III)
Iowa Administrative Code › Agency 481 - Inspections and Appeals Department › Inspections Division › Chapter 63 - Residential Care Facility-three- to Five-bed Specialized License › Rule 481-63.38 - Resident Records

Current through Register Vol. 47, No. 3, July 24, 2024
Each resident shall be ensured confidential treatment of all
				  information contained in the resident's records, including information
				  contained in an automatic data bank. The resident's written consent shall be
				  required for the release of information to persons not otherwise authorized
				  under law to receive it. (II)
(1) The
				facility shall limit access to any medical records to staff and consultants
				providing professional service to the resident. This is not meant to preclude
				access by representatives of state and federal regulatory agencies.
				(II)
(2) Similar procedures shall
				safeguard the confidentiality of residents' personal records, e.g., financial
				records and social services records. Only those personnel concerned with the
				financial affairs of the residents may have access to the financial records.
				This is not meant to preclude access by representatives of state and federal
				regulatory agencies. (II)
(3) The
				resident, or the resident's responsible party, shall be entitled to examine all
				information contained in the resident's record and shall have the right to
				secure full copies of the record at reasonable cost upon request, unless the
				physician determines the disclosure of the record or section thereof is
				contraindicated in which case this information will be deleted prior to making
				the record available to the resident or responsible party. This determination
				and the reasons for it must be documented in the resident's record.
				(II)
Iowa Administrative Code › Agency 481 - Inspections and Appeals Department › Inspections Division › Chapter 63 - Residential Care Facility-three- to Five-bed Specialized License › Rule 481-63.40 - Resident Work

Current through Register Vol. 47, No. 3, July 24, 2024
No resident may be required to perform services for the
				  facility, except as provided by Iowa Code sections
				  35D.14
				  and
				  347B.5.
				  (II)
(1) Residents may not be used to
				provide a source of labor for the facility against their will. Physician's
				approval is required for all work programs. (I, II)
(2) If the plan of care requires activities
				for therapeutic or training reasons, the plan for these activities shall be
				professionally developed and implemented. Therapeutic or training goals must be
				clearly stated and measurable and the plan shall be time-limited and reviewed
				at least quarterly. (II)
(3)
				Residents who perform work for the facility must receive remuneration unless
				such work is part of their approved training program. Persons on the resident
				census performing work shall not be used to replace paid employees in
				fulfilling staff requirements. (II)
Iowa Administrative Code › Agency 481 - Inspections and Appeals Department › Inspections Division › Chapter 63 - Residential Care Facility-three- to Five-bed Specialized License › Rule 481-63.41 - Communications

Current through Register Vol. 47, No. 3, July 24, 2024
Each resident may communicate, associate, and meet privately
				  with persons of the resident's choice, unless to do so would infringe upon the
				  rights of other residents, and may send and receive personal mail unopened.
				  (II)
(1) Subject to reasonable
				scheduling restrictions, visiting policies and procedures shall permit
				residents to receive visits from anyone they wish. Visiting hours shall be
				posted. (II)
(2) Reasonable,
				regular visiting hours shall not be less than 12 hours per day and shall take
				into consideration the special circumstances of each visitor. A particular
				visitor(s) may be restricted by the facility for one of the following reasons:
a. The resident refuses to see the visitor.
				(II)
b. The resident's physician
				documents specific reasons why such a visit would be harmful to the resident's
				health. (II)
c. The visitor's
				behavior is unreasonably disruptive to the functioning of the facility (this
				judgment must be made by the administrator and the reasons shall be documented
				and kept on file). (II)
Iowa Administrative Code › Agency 481 - Inspections and Appeals Department › Inspections Division › Chapter 63 - Residential Care Facility-three- to Five-bed Specialized License › Rule 481-63.42 - Resident Activities

Current through Register Vol. 47, No. 3, July 24, 2024
Each resident may participate in activities of social,
				  religious, and community groups at the resident's discretion unless
				  contraindicated for reasons documented by the attending physician or qualified
				  intellectual disabilities professional as appropriate in the resident's record.
				  (II)
(1) Residents who wish to meet
				with or participate in activities of social, religious, or other community
				groups in or outside of the facility shall be informed, encouraged, and
				assisted to do so. (II)
(2) All
				residents shall have the freedom to refuse to participate in these activities.
				(II)
Iowa Administrative Code › Agency 481 - Inspections and Appeals Department › Inspections Division › Chapter 63 - Residential Care Facility-three- to Five-bed Specialized License › Rule 481-63.43 - Resident Property

Current through Register Vol. 47, No. 3, July 24, 2024
Each resident may retain and use personal clothing and
				  possessions as space permits and provided such use is not otherwise prohibited
				  by these rules. (II)
(1) Residents
				shall be permitted to keep reasonable amounts of personal clothing and
				possessions for their use while in the facility. The personal property shall be
				kept in a safe location which is convenient to the resident. (II)
(2) Residents shall be advised, prior to or
				at the time of admission, of the kinds and amounts of clothing and possessions
				permitted for personal use, and whether the facility will accept responsibility
				for maintaining these items, e.g., cleaning and laundry. (II)
(3) Any personal clothing or possessions
				retained by the facility for the resident during the resident's stay shall be
				identified and recorded on admission and a record placed on the resident's
				chart. The facility shall be responsible for secure storage of such items, and
				they shall be returned to the resident promptly upon request or upon discharge
				from the facility. (II)
(4) A
				resident's personal property shall not be used without the written consent of
				the resident or the resident's guardian. (II)
(5) A resident's personal property shall be
				returned to the resident when it has been used without the written consent of
				the resident or the resident's guardian. The department may report findings
				that a resident's property has been used without written consent to the local
				law enforcement agency, as appropriate. (II)
Iowa Administrative Code › Agency 481 - Inspections and Appeals Department › Inspections Division › Chapter 63 - Residential Care Facility-three- to Five-bed Specialized License › Rule 481-63.44 - Family Visits

Current through Register Vol. 47, No. 3, July 24, 2024
Each resident, if married, shall be ensured privacy for
				  visits by the resident's spouse; if both are residents in the facility, they
				  shall be permitted to share a room, if possible. (II)
(1) The facility shall provide for needed
				privacy in visits between spouses. (II)
(2) Spouses who are residents in the same
				facility shall be permitted to share a room, if available, unless one of their
				attending physicians documents in the medical record those specific reasons why
				an arrangement would have an adverse effect on the health of the resident.
				(II)
(3) Family members shall be
				permitted to share a room, if available, if requested by both parties, unless
				one of their attending physicians documents in the medical record those
				specific reasons why such an arrangement would have an adverse effect on the
				health of the resident. (II)
Iowa Administrative Code › Agency 481 - Inspections and Appeals Department › Inspections Division › Chapter 63 - Residential Care Facility-three- to Five-bed Specialized License › Rule 481-63.45 - Choice of Physician

Current through Register Vol. 47, No. 3, July 24, 2024
Each resident shall be permitted free choice of a physician
				  and a pharmacy, if accessible. The facility may require the pharmacy selected
				  to utilize a drug distribution system compatible with the system currently used
				  by the facility. (II)