reglab/statecodes huggingface dataset:
Iowa Administrative Code › Agency 481 - Inspections and Appeals Department › Inspections Division › Chapter 70 - Adult Day Services › Rule 481-70.8 - Notification of Recertification for a Nonaccredited Program

Current through Register Vol. 47, No. 3, July 24, 2024
(1) The department shall review the
				application and associated documentation and fees. If the application is
				incomplete, the department shall contact the program to request the additional
				information. After all finalized documentation is received, including state
				fire marshal approval, the department shall determine the program's compliance
				with applicable requirements.
(2)
				The department shall conduct a monitoring of the program between 60 and 90 days
				prior to expiration of the program's certification.
(3) If a regulatory insufficiency is
				identified as a result of the monitoring, the process in rule
				481-67.10
				(17A,231B,231C,231D) shall be followed.
(4) If no regulatory insufficiency is
				identified as a result of the monitoring, the department shall issue a report
				of the findings with the final recertification decision.
(5) If the decision is to recertify, the
				department shall issue the program a two-year certification effective from the
				date of the expiration of the previous certification.
(6) If the decision is to deny
				recertification, the department shall issue a notice of denial and provide the
				program the opportunity for a hearing pursuant to rule
				481-67.13
				(17A,231B,231C,231D).
(7) If the
				department is unable to recertify a program through no fault of the program,
				the department shall issue to the program a time-limited extension of
				certification of no longer than one year
Iowa Administrative Code › Agency 481 - Inspections and Appeals Department › Inspections Division › Chapter 70 - Adult Day Services › Rule 481-70.9 - Certification or Recertification of an Accredited Program-application Process.

Current through Register Vol. 47, No. 3, July 24, 2024
(1) An
				applicant for certification or recertification of a program accredited by a
				recognized accrediting entity shall:
a.
				Submit a completed application packet obtained from the department. Application
				materials may be obtained from the health facilities division Web site at
				https://dia-hfd.iowa.gov/DIA_HFD/Home.do [File Link Not Available]; by mail
				from the Department of Inspections and Appeals, Adult Services Bureau, Lucas
				State Office Building, Third Floor, 321 E. 12th Street, Des Moines, Iowa
				50319-0083; or by telephone at (515)281-6325.
b. Submit a copy of the current accreditation
				outcome from the recognized accrediting entity.
c. Apply for certification or recertification
				within 90 calendar days following verification of compliance with the
				requirements of the state fire marshal division of the department of public
				safety pursuant to this chapter.
d.
				Submit the appropriate fees as set forth in Iowa Code section
				231D.4.
Iowa Administrative Code › Agency 481 - Inspections and Appeals Department › Inspections Division › Chapter 70 - Adult Day Services › Rule 481-70.10 - Certification or Recertification of an Accredited Program-application Content

Current through Register Vol. 47, No. 3, July 24, 2024
An application for certification or recertification of an
				  accredited program shall include the following:
(1) A list that includes the names, addresses
				and percentage of stock, shares, partnership or other equity interest of all
				officers, members of the board of directors, and trustees, as well as
				stockholders, partners or any individuals who have greater than a 10 percent
				equity interest in each of the following, as applicable:
a. The real estate owner or lessor;
b. The lessee; and
c. The management company responsible for the
				day-to-day operation of the program.
The program shall notify the department of any changes in the
				  list no later than ten working days after the effective date of the
				  change.
Iowa Administrative Code › Agency 481 - Inspections and Appeals Department › Inspections Division › Chapter 70 - Adult Day Services › Rule 481-70.11 - Initial Certification Process for an Accredited Program

Current through Register Vol. 47, No. 3, July 24, 2024
(1) Within 20
				working days of receiving all finalized documentation, including state fire
				marshal approval, the department shall determine and notify the accredited
				program whether the accredited program meets applicable requirements and
				whether certification will be issued.
(2) If the decision is to certify, a
				certification shall be issued for the term of the accreditation not to exceed
				three years, unless the certification is conditionally issued, suspended or
				revoked by either the department or the recognized accrediting
				entity.
(3) If the decision is to
				deny certification, the department shall provide the applicant an opportunity
				for hearing in accordance with rule
				481-67.13
				(17A,231B,231C,231D).
(4) Unless
				conditionally issued, suspended or revoked, certification for a program shall
				expire at the end of the time period specified on the certificate.
Iowa Administrative Code › Agency 481 - Inspections and Appeals Department › Inspections Division › Chapter 70 - Adult Day Services › Rule 481-70.12 - Recertification Process for an Accredited Program

Current through Register Vol. 47, No. 3, July 24, 2024
(1) The department shall send recertification
				application materials to each program at least 120 calendar days prior to
				expiration of the program's certification.
(2) To obtain recertification, an accredited
				program shall submit one copy of the completed application, associated
				documentation, and the administrative fee as stated in Iowa Code section
				231D.4 to
				the department at the address stated in subrule 70.9(1) at least 90 calendar
				days prior to the expiration of the program's certification.
(3) Within 20 working days of receiving all
				finalized documentation, including state fire marshal approval, the department
				shall determine the program's compliance with applicable requirements and make
				a recertification decision.
(4) The
				department shall notify the accredited program within 10 working days of the
				final recertification decision.
a. If the
				decision is to recertify, a full certification shall be issued for the term of
				the accreditation not to exceed three years, unless the certification is
				conditionally issued, suspended or revoked by either the department or the
				recognized accrediting entity.
b.
				If the decision is to deny recertification, the department shall provide the
				applicant an opportunity for hearing in accordance with rule
				481-67.13
				(17A,231B,231C,231D).
Iowa Administrative Code › Agency 481 - Inspections and Appeals Department › Inspections Division › Chapter 70 - Adult Day Services › Rule 481-70.13 - Listing of All Certified Programs

Current through Register Vol. 47, No. 3, July 24, 2024
The department shall maintain a list of all certified
				  programs, which is available online at
https://dia-hfd.iowa.gov/DIA_HFD/Home.do
,
				  under the "Entities Book" tab.
Iowa Administrative Code › Agency 481 - Inspections and Appeals Department › Inspections Division › Chapter 70 - Adult Day Services › Rule 481-70.14 - Recognized Accrediting Entity

Current through Register Vol. 47, No. 3, July 24, 2024
(1) The department designates CARF as a
				recognized accrediting entity for programs.
(2) To apply for designation by the
				department as a recognized accrediting entity for programs, an accrediting
				entity shall submit a letter of request, and its standards shall, at minimum,
				meet the applicable requirements for programs.
(3) The designation shall remain in effect
				for as long as the accreditation standards continue to meet, at minimum, the
				applicable requirements for programs.
(4) An accrediting entity shall provide
				annually to the department, at no cost, a current edition of the applicable
				standards manual and survey preparation guide, and training thereon, within 120
				working days after the publications are released.
Iowa Administrative Code › Agency 481 - Inspections and Appeals Department › Inspections Division › Chapter 70 - Adult Day Services › Rule 481-70.15 - Requirements for an Accredited Program

Current through Register Vol. 47, No. 3, July 24, 2024
Each accredited program that is certified by the department
				  shall:
(1) Provide the department a
				copy of all survey reports including outcomes, quality improvement plans and
				annual conformance to quality reports generated or received, as applicable,
				within ten working days of receipt of the reports.
(2) Notify the department by the most
				expeditious means possible of all credible reports of alleged improper or
				inappropriate conduct or conditions within the program and any actions taken by
				the accrediting entity with respect thereto.
(3) Notify the department immediately of the
				expiration, suspension, revocation or other loss of the program's
				accreditation.
Iowa Administrative Code › Agency 481 - Inspections and Appeals Department › Inspections Division › Chapter 70 - Adult Day Services › Rule 481-70.16 - Maintenance of Program Accreditation

Current through Register Vol. 47, No. 3, July 24, 2024
(1) An accredited program shall continue to
				be recognized for certification by the department if both of the following
				requirements are met:
a. The program complies
				with the requirements outlined in rule
				481-70.15
				(231D).
b. The program maintains
				its voluntary accreditation status for the duration of the time-limited
				certification period.
Iowa Administrative Code › Agency 481 - Inspections and Appeals Department › Inspections Division › Chapter 70 - Adult Day Services › Rule 481-70.17 - Change of Ownership-notification to the Department

Current through Register Vol. 47, No. 3, July 24, 2024
(1) Certification, unless conditionally
				issued, suspended or revoked, may be transferable. If the program's
				certification has been conditionally issued, the department must approve a
				change of ownership prior to the transfer of the certification.
(2) In order to transfer certification, the
				applicant must:
a. Meet the requirements of
				the rules, regulations and standards contained in Iowa Code chapter 23 ID and
				481-Chapter 67 and this chapter; and
b. At least 30 days prior to the change of
				ownership of the program, make application on forms provided by the
				department.
Iowa Administrative Code › Agency 481 - Inspections and Appeals Department › Inspections Division › Chapter 70 - Adult Day Services › Rule 481-70.18 - Plan Reviews of a Building for a New Program

Current through Register Vol. 47, No. 3, July 24, 2024
(1) Before a building is constructed or
				remodeled for use in a new program, the state fire marshal division of the
				department of public safety shall review the blueprints for compliance with
				requirements pursuant to this chapter. Construction or remodeling includes new
				construction, remodeling of any part of an existing building, addition of a new
				wing or floor to an existing building, or conversion of an existing
				building.
(2) A program applicant
				shall submit blueprints wet-sealed by an Iowa-licensed architect or
				Iowa-licensed engineer and the blueprint plan review fee as stated in Iowa Code
				section
				231D.4 to
				the Department of Public Safety, State Fire Marshal Division, 215 E. 7th
				Street, Third Floor, Des Moines, Iowa 50319.
(3) Failure to submit the blueprint plan
				review fee with the blueprints shall result in delay of the blueprint plan
				review until the fee is received.
(4) The state fire marshal division of the
				department of public safety shall review the blueprints and notify the
				Iowa-licensed architect or Iowa-licensed engineer in writing regarding the
				status of compliance with requirements.
(5) The Iowa-licensed architect or
				Iowa-licensed engineer shall respond to the state fire marshal division of the
				department of public safety to state how any noncompliance will be
				resolved.
(6) Upon final
				notification by the state fire marshal division of the department of public
				safety that the blueprints meet structural and life safety requirements,
				construction or remodeling of the building may commence.
(7) The state fire marshal division of the
				department of public safety shall schedule an on-site visit of the building
				site with the contractor, or Iowa-licensed architect or Iowa-licensed engineer,
				during the construction or remodeling process to ensure compliance with the
				approved blueprints. Any noncompliance must be resolved prior to approval for
				certification.
Iowa Administrative Code › Agency 481 - Inspections and Appeals Department › Inspections Division › Chapter 70 - Adult Day Services › Rule 481-70.19 - Plan Review Prior to the Remodeling of a Building for a Certified Program

Current through Register Vol. 47, No. 3, July 24, 2024
(1) Before a
				building for a certified program is remodeled, the state fire marshal division
				of the department of public safety shall review the blueprints for compliance
				with requirements set forth in rule
				481-70.35
				(23 ID). Remodeling includes modification of any part of an existing building,
				addition of a new wing or floor to an existing building, or conversion of an
				existing building.
(2) A certified
				program shall submit blueprints wet-sealed by an Iowa-licensed architect or
				Iowa-licensed engineer and the blueprint plan review fee as stated in Iowa Code
				section
				231D.4 to
				the Department of Public Safety, State Fire Marshal Division, 215 E. 7th
				Street, Third Floor, Des Moines, Iowa 50319.
(3) Failure to submit the blueprint plan
				review fee with the blueprints shall result in delay of the blueprint plan
				review until the fee is received.
(4) The state fire marshal division of the
				department of public safety shall review the blueprints within 20 working days
				of receipt and immediately notify the Iowa-licensed architect or Iowa-licensed
				engineer in writing regarding the status of compliance with
				requirements.
(5) The Iowa-licensed
				architect or Iowa-licensed engineer shall respond to the state fire marshal
				division of the department of public safety in 20 working days to state how any
				noncompliance will be resolved.
(6) Upon final notification by the state fire
				marshal division of the department of public safety that the blueprints meet
				structural and life safety requirements, remodeling of the building may
				commence.
(7) The state fire
				marshal division of the department of public safety shall schedule an on-site
				visit of the building with the contractor, or Iowa-licensed architect or
				Iowa-licensed engineer, during the remodeling process to ensure compliance with
				the approved blueprints. Any noncompliance must be resolved prior to approval
				for continued certification or recertification of the program.
Iowa Administrative Code › Agency 481 - Inspections and Appeals Department › Inspections Division › Chapter 70 - Adult Day Services › Rule 481-70.20 - Cessation of Program Operation

Current through Register Vol. 47, No. 3, July 24, 2024
(1) If a certified program ceases operation,
				which includes seeking decertification, at any time prior to expiration of the
				program's certification, the program shall submit the certificate to the
				department. The program shall provide, at least 90 days in advance of
				cessation, which includes seeking decertification, unless there is some type of
				emergency, written notification to the department of the date on which the
				program will cease operation, which includes seeking decertification.
(2) If a certified program plans to cease
				operation, which includes seeking decertification, at the time the program's
				certification expires, the program shall provide written notice of this fact to
				the department at least 90 days prior to expiration of the
				certification.
(3) At the time a
				program decides to cease operation, which includes seeking decertification, the
				program shall submit a plan to the department and make arrangements for the
				safe and orderly discharge or transition of all participants within the 90-day
				period specified by subrule 70.20(2).
(4) The department may conduct a monitoring
				during the 90-day period to ensure the safety of participants during the
				discharge process or transition process.
(5) The department may conduct an on-site
				visit to verify that the program has ceased operation as a certified program in
				accordance with the notice provided by the program.
Iowa Administrative Code › Agency 481 - Inspections and Appeals Department › Inspections Division › Chapter 70 - Adult Day Services › Rule 481-70.21 - Contractual Agreement

Current through Register Vol. 47, No. 3, July 24, 2024
(1) The
				contractual agreement shall be in 12-point type or larger, shall be written in
				plain language using commonly understood terms and shall be easy for the
				participant or the participant's legal representative to understand.
(2) In addition to the requirements of Iowa
				Code section 23 ID. 17, the written contractual agreement shall include, but
				not be limited to, the following information in the body of the agreement or in
				the supporting documents and attachments:
a.
				The telephone number for filing a complaint with the department.
b. The telephone number for reporting
				dependent adult abuse.
c. A copy of
				the program's statement on participants' rights.
d. A statement that the program will notify
				the participant at least 90 days in advance of any planned program cessation,
				which includes voluntary decertification, except in cases of
				emergency.
e. A copy of the
				program's admission and discharge criteria.
Iowa Administrative Code › Agency 481 - Inspections and Appeals Department › Inspections Division › Chapter 70 - Adult Day Services › Rule 481-70.22 - Evaluation of Participant

Current through Register Vol. 47, No. 3, July 24, 2024
(1)
Evaluation prior to participation. A
program shall evaluate
				each prospective participant's functional, cognitive and health status prior to
				the participant's signing the contractual agreement and participating in the
				program, with the exception of visiting day(s), to determine the participant's
				eligibility for the program, including whether the services needed are
				available. The cognitive evaluation shall be appropriate to the population
				served. When the cognitive evaluation indicates moderate cognitive decline and
				risk, the Global Deterioration Scale shall be used at all subsequent intervals,
				if applicable. If the participant subsequently returns to the participant's
				mildly cognitively impaired state, the program may discontinue the GDS and
				revert to a scored cognitive screening tool. The evaluation shall be conducted
				by a health care professional or human service professional.
(2)
Evaluation within 30 days of
				participation and with significant change. A
program shall evaluate
				each participant's functional, cognitive and health status within 30 days of
				the participant's beginning participation in the program. A program shall also
				evaluate each participant's functional, cognitive and health status as needed
				with significant change, but not less than annually, to determine the
				participant's continued eligibility for the program and to determine any
				changes to services needed. The evaluation shall be conducted by a health care
				professional or human service professional. A licensed practical nurse may
				complete the evaluation via nurse delegation when the participant has not
				exhibited a significant change.
(3)
Requirements for visiting day(s).
Evaluation of the
				participant is not required during visiting day(s), but the program shall
				provide the participant or the participant's legal representative with a
				written explanation of the expectations for the visiting day(s).
Iowa Administrative Code › Agency 481 - Inspections and Appeals Department › Inspections Division › Chapter 70 - Adult Day Services › Rule 481-70.23 - Criteria for Admission and Retention of Participants

Current through Register Vol. 47, No. 3, July 24, 2024
(1) Persons who may not be admitted or
				retained. A program shall not knowingly admit or retain a participant who:
a. Requires routine, three-person assistance
				with standing, transfer or evacuation; or
b. Is dangerous to self or other participants
				or staff, including but not limited to a participant who:
(1) Despite intervention chronically elopes,
				is sexually or physically aggressive or abusive, or displays unmanageable
				verbal abuse; or
(2) Is in an acute
				stage of alcoholism, drug addiction, or mental illness; or
c. Is under the age of 18.
Iowa Administrative Code › Agency 481 - Inspections and Appeals Department › Inspections Division › Chapter 70 - Adult Day Services › Rule 481-70.24 - Involuntary Discharge From the Program

Current through Register Vol. 47, No. 3, July 24, 2024
(1)
Program initiation of
				discharge.
If a program initiates the involuntary discharge of a
				participant and the action is not the result of a monitoring, including a
				complaint investigation or program-reported incident investigation, by the
				department and if the participant or participant's legal representative
				contests the discharge, the following procedures shall apply:
a. The program shall notify the participant
				or participant's legal representative, in accordance with the contractual
				agreement, of the need to discharge the participant and of the reason for the
				discharge.
b. If, following the
				internal appeal process, the program upholds the discharge decision, the
				participant or participant's legal representative may utilize other remedies
				authorized by law to contest the discharge.
Iowa Administrative Code › Agency 481 - Inspections and Appeals Department › Inspections Division › Chapter 70 - Adult Day Services › Rule 481-70.25 - Participant Documents

Current through Register Vol. 47, No. 3, July 24, 2024
(1)
				Documentation for each participant shall be maintained by the program and shall
				include:
a. A participation record including
				the participant's name, birth date, and home address; identification numbers;
				date of beginning participation; name, address and telephone number of health
				professional(s); diagnosis; and names, addresses and telephone numbers of
				family members, friends or other designated people to contact in the event of
				illness or an emergency;
b.
				Application forms;
c. The initial
				evaluations and updates;
d. A
				nutritional assessment as necessary;
e. The initial individual service plan and
				updates;
f. Signed authorizations
				for permission to release medical information, photographs, or other media
				information as necessary;
g. A
				signed authorization for the participant to receive emergency medical care as
				necessary;
h. A signed managed risk
				policy and signed managed risk consensus agreements, if any;
i. When any personal or health-related care
				is delegated to the program, the medical information sheet; documentation of
				health professionals' orders, such as those for treatment, therapy, and
				medication; and nurses' notes written by exception;
j. Medication lists, which shall be
				maintained in conformance with 481-paragraph 67.5(2)
"d";
k. Advance health care directives
				as applicable;
l. A complete copy of
				the participant's contractual agreement, including any updates;
m. A written acknowledgment that the
				participant or the participant's legal representative, if applicable, has been
				fully informed of the participant's rights;
n. A copy of guardianship, durable power of
				attorney for health care, power of attorney, or conservatorship or other
				documentation of a legal representative;
o. Incident reports involving the
				participant, including but not limited to those related to medication errors,
				accidents, falls, and elopements (such reports shall be maintained by the
				program but need not be included in the participant's medical
				record);
p. A copy of waivers of
				admission or retention criteria, if any;
q. When the participant is unable to advocate
				on the participant's own behalf or the participant has multiple service
				providers, including hospice care providers, accurate documentation of the
				completion of routine personal or health-related care is required on task
				sheets. If tasks are doctor-ordered, the tasks shall be part of the medication
				administration records (MARs); and
r. Authorizations for the release of
				information, if any.
Iowa Administrative Code › Agency 481 - Inspections and Appeals Department › Inspections Division › Chapter 70 - Adult Day Services › Rule 481-70.26 - Service Plans

Current through Register Vol. 47, No. 3, July 24, 2024
(1) A service
				plan shall be developed for each participant based on the evaluations conducted
				in accordance with subrules 70.22(1) and 70.22(2) and shall be designed to meet
				the specific service needs of the individual participant. The service plan
				shall subsequently be updated at least annually and whenever changes are
				needed.
(2) Prior to the
				participant's signing the contractual agreement and participating in the
				program, a preliminary service plan shall be developed by a health care
				professional or human service professional in consultation with the participant
				and, at the participant's request, with other individuals identified by the
				participant, and, if applicable, with the participant's legal representative.
				All persons who develop the plan and the participant or the participant's legal
				representative shall sign the plan.
(3) When a participant needs personal care or
				health-related care, the service plan shall be updated within 30 days of the
				participant's participation and as needed with significant change, but not less
				than annually.
a. If a significant change
				triggers the review and update of the service plan, the updated service plan
				shall be signed and dated by all parties.
b. If a significant change does not exist,
				the program may, after nurse review, add minor discretionary changes to the
				service plan without a comprehensive evaluation and without obtaining
				signatures on the service plan.
c.
				If a significant change relates to a recurring or chronic condition, a previous
				evaluation and service plan of the recurring condition may be utilized without
				new signatures being obtained. For example, with chronic exacerbation of a
				urinary tract infection, nurse review is adequate to institute the previously
				written evaluation and service plan.
Iowa Administrative Code › Agency 481 - Inspections and Appeals Department › Inspections Division › Chapter 70 - Adult Day Services › Rule 481-70.27 - Nurse Review

Current through Register Vol. 47, No. 3, July 24, 2024
If a participant does not receive personal or health-related
				  care, but an observed significant change in the participant's condition occurs,
				  a nurse review shall be conducted. If a participant receives personal or
				  health-related care, the program shall provide for a registered nurse or a
				  licensed practical nurse via nurse delegation:
(1) To monitor, at least every 90 days, or
				after a significant change in the participant's condition, any participant who
				receives program-administered prescription medications for adverse reactions to
				the medications and to make appropriate interventions or referrals, and to
				ensure that the prescription medication orders are current and that the
				prescription medications are administered consistent with such orders;
				and
(2) To ensure that health care
				professionals' orders are current for participants who receive health care
				professional-directed care from the program; and
(3) To assess and document the health status
				of each participant, to make recommendations and referrals as appropriate, and
				to monitor progress relating to previous recommendations at least every 90 days
				and whenever there are changes in the participant's health status;
				and
(4) To provide the program with
				written documentation of the activities under the service plan, as set forth in
				rule
				481-70.26 (231D),
				showing the time, date and signature.
Note: Refer to Table A at the end of this chapter If the
				  program does not provide personal or health-related care to a participant,
				  nurse review is not required.
Iowa Administrative Code › Agency 481 - Inspections and Appeals Department › Inspections Division › Chapter 70 - Adult Day Services › Rule 481-70.28 - Food Service

Current through Register Vol. 47, No. 3, July 24, 2024
(1) The
				program shall provide or coordinate with other community providers to provide a
				hot or other appropriate meal(s) at least once a day or shall make arrangements
				for the availability of meals, unless otherwise noted in the contractual
				agreement.
(2) Meals and snacks
				provided by the program but not prepared on site shall be obtained from or
				provided by an entity that meets the standards of state and local health laws
				and ordinances concerning the preparation and serving of food.
(3) Menus shall be planned to provide the
				following percentage of the daily recommended dietary allowances as established
				by the Food and Nutrition Board of the National Research Council of the
				National Academy of Sciences based on the number of meals provided by the
				program:
a. A minimum of
				331/3 percent if the program
				provides one meal per day;
b. A
				minimum of 662/3percent if
				the program provides two meals per day; and
c. One hundred percent if the program
				provides three meals per day.
Iowa Administrative Code › Agency 481 - Inspections and Appeals Department › Inspections Division › Chapter 70 - Adult Day Services › Rule 481-70.29 - Staffing

Current through Register Vol. 47, No. 3, July 24, 2024
In addition to the general starring requirements in rule
				  481-67.9
				  (231B,231C,231D), the following requirements apply to staffing in
				  programs.
(1) No fewer than two staff
				persons who monitor participants shall be awake and on duty during all hours of
				operation when two or more participants are participating in the
				program.
(2) The owner or
				management corporation of the program is responsible for ensuring that all
				personnel employed by or contracting with the program receive training
				appropriate to assigned tasks and target population.
(3) A program that serves one or more
				participants with cognitive disorders or dementia shall follow written
				procedures that address how the program will respond to the emergency needs of
				the participants.
(4) The program
				shall notify the department in writing within ten business days of a change in
				the program's manager.
Iowa Administrative Code › Agency 481 - Inspections and Appeals Department › Inspections Division › Chapter 70 - Adult Day Services › Rule 481-70.30 - Dementia-specific Education for Program Personnel

Current through Register Vol. 47, No. 3, July 24, 2024
(1) All personnel employed by or contracting
				with a dementia-specific program shall receive a minimum of eight hours of
				dementia-specific education and training within 30 days of either employment or
				the beginning date of the contract, as applicable.
(2) The dementia-specific education or
				training shall include, at a minimum, the following:
a. An explanation of Alzheimer's disease and
				related disorders;
b. The program's
				specialized dementia care philosophy and program;
c. Skills for communicating with persons with
				dementia;
d. Skills for
				communicating with family and friends of persons with dementia;
e. An explanation of family issues such as
				role reversal, grief and loss, guilt, relinquishing the care-giving role, and
				family dynamics;
f. The importance
				of planned and spontaneous activities;
g. Skills in providing assistance with
				instrumental activities of daily living;
h. The importance of the service plan and
				social history information;
i.
				Skills in working with challenging participants;
j. Techniques for simplifying, cueing, and
				redirecting;
k. Staff support and
				stress reduction; and
l. Medication
				management and nonpharmacological interventions.
Iowa Administrative Code › Agency 481 - Inspections and Appeals Department › Inspections Division › Chapter 70 - Adult Day Services › Rule 481-70.31 - Managed Risk Policy and Managed Risk Consensus Agreements

Current through Register Vol. 47, No. 3, July 24, 2024
The program shall have a managed risk policy. The managed
				  risk policy shall be provided to the participant along with the contractual
				  agreement. The managed risk policy shall include the following:
(1) An acknowledgment of the shared
				responsibility for identifying and meeting the needs of the participant and the
				process for managing risk and for upholding participant autonomy when
				participant decision making results in poor outcomes for the participant or
				others; and
(2) A consensus-based
				process to address specific risk situations. Program staff and the participant
				shall participate in the process. The result of the consensus-based process may
				be a managed risk consensus agreement. The managed risk consensus agreement
				shall include the signature of the participant and the signatures of all others
				who participated in the process. The managed risk consensus agreement shall be
				included in the participant's file.
Iowa Administrative Code › Agency 481 - Inspections and Appeals Department › Inspections Division › Chapter 70 - Adult Day Services › Rule 481-70.32 - Life Safety-emergency Policies and Procedures and Structural Safety Requirements

Current through Register Vol. 47, No. 3, July 24, 2024
(1)
				The program shall submit to the department and follow written emergency
				policies and procedures, which shall include the following:
a. An emergency plan, which shall include
				procedures for natural disasters (identify where the plan is located for easy
				reference);
b. Fire safety
				procedures;
c. Other general or
				personal emergency procedures;
d.
				Provisions for amending or revising the emergency plan;
e. Provisions for periodic training of all
				employees;
f. Procedures for fire
				drills;
g. Regulations regarding
				smoking;
h. Monitoring and testing
				of smoke-control systems;
i.
				Participant evacuation procedures; and
j. Procedures for reporting and
				documentation.
Iowa Administrative Code › Agency 481 - Inspections and Appeals Department › Inspections Division › Chapter 70 - Adult Day Services › Rule 481-70.33 - Transportation

Current through Register Vol. 47, No. 3, July 24, 2024
When transportation services are provided directly or under
				  contract with the program:
(1) The
				vehicle shall be accessible and appropriate to the participants who use it,
				with consideration for any physical disabilities and impairments.
(2) Every participant transported shall have
				a seat in the vehicle, except for a participant who remains in a wheelchair
				during transport.
(3) Vehicles
				shall have adequate seat belts and securing devices for ambulatory and
				wheelchair-using passengers.
(4)
				Wheelchairs shall be secured when the vehicle is in motion.
(5) During loading and unloading of a
				participant, the driver shall be in the proximate area of the participants in a
				vehicle.
(6) The driver shall have
				a valid and appropriate Iowa driver's license or commercial driver's license as
				required by law for the vehicle being utilized for transport. If the driver is
				licensed in another state, the license shall be valid and appropriate for the
				vehicle being utilized for transport. The driver shall meet any state or
				federal requirements for licensure or certification for the vehicle
				operated.
(7) Each vehicle shall
				have a first-aid kit, fire extinguisher, safety triangles and a device for
				two-way communication.
Iowa Administrative Code › Agency 481 - Inspections and Appeals Department › Inspections Division › Chapter 70 - Adult Day Services › Rule 481-70.34 - Activities

Current through Register Vol. 47, No. 3, July 24, 2024
(1) The program
				shall provide appropriate activities for each participant. Activities shall
				reflect individual differences in age, health status, sensory deficits,
				lifestyle, ethnic and cultural beliefs, religious beliefs, values, experiences,
				needs, interests, abilities and skills by providing opportunities for a variety
				of types and levels of involvement.
(2) Activities shall be planned to support
				the participant's service plan and shall be consistent with the program
				statement and participation policies.
(3) A written schedule of activities shall be
				developed at least monthly and made available to participants and their legal
				representatives.
(4) Participants
				shall be given the opportunity to choose their levels of participation in all
				activities offered in the program.
Iowa Administrative Code › Agency 481 - Inspections and Appeals Department › Inspections Division › Chapter 70 - Adult Day Services › Rule 481-70.35 - Structural Requirements

Current through Register Vol. 47, No. 3, July 24, 2024
(1)
				The structure, equipment and physical environment of the program shall be
				designed and operated to meet the needs of the participants. The building,
				grounds and equipment shall be well-maintained, clean, safe and
				sanitary.
(2) There shall be at
				least one toilet for every ten participants and staff members.
(3) Toilets and bathing and toileting
				appliances shall be equipped for use by participants with multiple
				disabilities.
(4) There shall be a
				ratio of at least one hand-washing sink for every two toilets. The sink(s)
				shall be proximate to the toilets. Hand-washing facilities shall be readily
				accessible to participants and staff.
(5) Shower and tub areas, if provided, shall
				be equipped with grab bars and slip-resistant surfaces.
(6) Signaling emergency call devices shall be
				installed or placed in all bathroom areas, restroom stalls and showers, if
				any.
(7) A telephone shall be
				available to participants to make and receive calls in a private manner and for
				emergency purposes.
(8) A storage
				area(s) shall be provided for storage of program supplies and participants'
				possessions, which shall be stored in such a manner that, when not in use, will
				prevent personal injury to participants and staff.
(9) The program shall provide a separate area
				to permit privacy for evaluations and to isolate participants who become
				ill.
(10) The program shall meet
				other building and public safety codes, including rules pertaining to
				accessibility contained in the state building code in 661-Chapter 302 and
				provisions of the state building code relating to persons with
				disabilities.
(11) The program
				shall meet the requirements in subrule 70.32(4).
Iowa Administrative Code › Agency 481 - Inspections and Appeals Department › Inspections Division › Chapter 70 - Adult Day Services › Rule 481-70.36 - Identification of Veteran's Benefit Eligibility

Current through Register Vol. 47, No. 3, July 24, 2024
(1) Within 30 days of a participant's
				participation in an adult day services program that receives reimbursement
				through the medical assistance program under Iowa Code chapter 249A, the
				program shall ask the participant or the participant's personal representative
				whether the participant is a veteran or whether the participant is the spouse,
				widow or dependent of a veteran and shall document the response.
(2) If the program determines that the
				participant may be a veteran or the spouse, widow, or dependent of a veteran,
				the program shall report the participant's name along with the name of the
				veteran, if applicable, as well as the name of the contact person for this
				information, to the Iowa department of veterans affairs. When appropriate, the
				program may also report such information to the Iowa department of human
				services.
(3) If a participant is
				eligible for benefits through the U.S. Department of Veterans Affairs or other
				third-party payor, the program first shall seek reimbursement from the
				identified payor source before seeking reimbursement from the medical
				assistance program established under Iowa Code chapter 249A.
Iowa Administrative Code › Agency 481 - Inspections and Appeals Department › Inspections Division › Chapter 71 - Subacute Mental Health Care Facilities › Rule 481-71.1 - Purpose-subacute Mental Health Services

Current through Register Vol. 47, No. 3, July 24, 2024
Subacute mental health services are intended to be
				  short-term, intensive, recovery-oriented services designed to stabilize an
				  individual who is experiencing a decreased level of functioning due to a mental
				  health condition.
Iowa Administrative Code › Agency 481 - Inspections and Appeals Department › Inspections Division › Chapter 71 - Subacute Mental Health Care Facilities › Rule 481-71.3 - Application for Licensure

Current through Register Vol. 47, No. 3, July 24, 2024
(1)
Initial application and licensing.
In order to obtain an
				initial license for a subacute care facility, the applicant must meet all the
				requirements of the rules, regulations, and standards contained in Iowa Code
				chapter 135G and in this chapter and must make application at least 30 days
				prior to the proposed licensure date of the subacute care facility on forms
				provided by the department. The applicant must:
a. Submit a resume of care with a narrative
				which includes the following information:
(1)
				The purpose of the facility.
(2) A
				description of the target population and limitations on resident
				eligibility.
(3) Identification and
				description of the services the facility will provide, which shall minimally
				include specific and measurable goals and objectives for each of the services
				to be made available by the facility and a description of the resources needed
				to provide each of the services, including staff, physical facilities and
				funds.
(4) A description of the
				human services system available in the area including, but not limited to,
				social, public health, visiting nurse, vocational training, and employment
				services, residential living arrangements, and services of private
				agencies.
(5) A description of
				working relationships with human services agencies when applicable, which shall
				include at a minimum:
1. A description of how
				the facility will coordinate with human services agencies to facilitate
				continuity of care and coordination of services to residents; and
2. A description of how the facility will
				coordinate with human services agencies to identify unnecessary duplication of
				services and plan for development and coordination of needed
				services;
Iowa Administrative Code › Agency 481 - Inspections and Appeals Department › Inspections Division › Chapter 71 - Subacute Mental Health Care Facilities › Rule 481-71.4 - Licenses for Distinct Parts

Current through Register Vol. 47, No. 3, July 24, 2024
(1)
				Separate licenses may be issued for distinct parts of a health care facility
				which are clearly identifiable, include specifically designated rooms within
				the facility, and provide separate categories of care and services.
(2) The following requirements shall be met
				for a separate licensing of a distinct part:
a. The distinct part shall serve only
				residents who require the category of care and services immediately available
				to the residents within that part;
b. The distinct part shall meet all the
				standards, rules, and regulations pertaining to the category for which a
				license is being sought;
c. A
				distinct part must be operationally and financially feasible.
Iowa Administrative Code › Agency 481 - Inspections and Appeals Department › Inspections Division › Chapter 71 - Subacute Mental Health Care Facilities › Rule 481-71.5 - Waivers

Current through Register Vol. 47, No. 3, July 24, 2024
(1) Waivers from
				these rules may be granted by the director of the department if, in addition to
				the requirements of 481-Chapter 6:
a. The need
				for a waiver has been established consistent with the rÃ©sumÃ© of
				care or the resident's individual program plan; and
b. There is no danger to the health, safety,
				welfare, or rights of any resident.
Iowa Administrative Code › Agency 481 - Inspections and Appeals Department › Inspections Division › Chapter 71 - Subacute Mental Health Care Facilities › Rule 481-71.6 - Provisional License

Current through Register Vol. 47, No. 3, July 24, 2024
(1)
Provisional license procedure.
The department may issue a
				provisional license to a subacute care facility pursuant to Iowa Code section
				135G.8. The
				procedure for issuance of a provisional license shall be as follows:
a. The department shall first issue to the
				facility a report which identifies the deficiency.
b. Within 10 working days after receipt of
				the report, the facility shall provide the department with a written plan of
				correction.
c. The department shall
				review the written plan of correction within 10 working days of receipt. The
				department may request additional information or revision to the plan, which
				shall be provided as requested.
d.
				After accepting the written plan of correction, the department shall then issue
				a provisional license to the facility, which shall not exceed one year in
				duration.
Iowa Administrative Code › Agency 481 - Inspections and Appeals Department › Inspections Division › Chapter 71 - Subacute Mental Health Care Facilities › Rule 481-71.7 - General Requirements

Current through Register Vol. 47, No. 3, July 24, 2024
(1)
				The license shall be displayed in the facility in a conspicuous place which is
				viewed by the public.
(2) The
				license shall be valid only for the premises and person named on the license
				and is not transferable.
(3) The
				posted license shall accurately reflect the current status of the subacute care
				facility's license.
(4) A license
				shall expire one year after the date of issuance or as indicated on the
				license.
(5) There shall be no more
				beds added than are stipulated on the license.
Iowa Administrative Code › Agency 481 - Inspections and Appeals Department › Inspections Division › Chapter 71 - Subacute Mental Health Care Facilities › Rule 481-71.8 - Required Notifications to the Department

Current through Register Vol. 47, No. 3, July 24, 2024
(1) The
				department shall be notified:
a. Thirty days
				in advance of any proposed change in the subacute care facility's functional
				operation or the addition or deletion of required services;
b. Thirty days before any addition,
				alteration, or new construction is begun in the subacute care facility or on
				the premises;
c. Thirty days in
				advance of any closure of the subacute care facility;
d. Within two weeks of any change in
				administrator;
e. Within 30 days of
				the date on which any change in the category of license is sought;
f. Within 30 days of any proposed change in
				the rÃ©sumÃ© of care for the subacute care facility.