reglab/statecodes huggingface dataset:
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 36 - STANDARDS FOR LICENSURE OF ASSISTED LIVING RESIDENCES, COMPREHENSIVE PERSONAL CARE HOMES, AND ASSISTED LIVING PROGRAMS › Subchapter 16 - PHYSICAL PLANT › Section 8:36-16.3 - Ventilation

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Means of ventilation
				shall be provided in accordance with the Uniform Construction Code, N.J.A.C. 5:23,
				either by windows or by mechanical ventilation for every habitable room.
(b) Means of ventilation shall be provided for
				every bathroom or water closet (toilet) compartment. Ventilation shall be provided
				either by a window with an openable area or by mechanical ventilation.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 36 - STANDARDS FOR LICENSURE OF ASSISTED LIVING RESIDENCES, COMPREHENSIVE PERSONAL CARE HOMES, AND ASSISTED LIVING PROGRAMS › Subchapter 16 - PHYSICAL PLANT › Section 8:36-16.4 - Exit access passageways and corridors

Current through Register Vol. 56, No. 14, July 15, 2024
The width of passageways, aisles and corridors shall have a
				  minimum of 44 inches of clear space.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 36 - STANDARDS FOR LICENSURE OF ASSISTED LIVING RESIDENCES, COMPREHENSIVE PERSONAL CARE HOMES, AND ASSISTED LIVING PROGRAMS › Subchapter 16 - PHYSICAL PLANT › Section 8:36-16.5 - Automatic fire detection system

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Smoke detectors
				shall be provided in all residents' bedrooms, living rooms, and "studio apartment"
				units, whether or not the facility contains a comprehensive automatic fire
				suppression system throughout.
(b) All
				fire detection systems shall be installed in accordance with the Uniform
				Construction Code, N.J.A.C. 5:23, N.J.A.C. 5:70 and the National Fire Alarm Code,
				National Fire Protection Association (NFPA) 72, 1999 Edition, incorporated herein by
				reference, as amended and supplemented. National Fire Protection Association
				publications are available from: NFPA, One Batterymarch Park, Quincy, MA,
				02269-9101.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 36 - STANDARDS FOR LICENSURE OF ASSISTED LIVING RESIDENCES, COMPREHENSIVE PERSONAL CARE HOMES, AND ASSISTED LIVING PROGRAMS › Subchapter 16 - PHYSICAL PLANT › Section 8:36-16.6 - Fire suppression systems

Current through Register Vol. 56, No. 14, July 15, 2024
All facilities shall be provided with a fire suppression system
				  in accordance with the Uniform Construction Code, N.J.A.C. 5:23.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 36 - STANDARDS FOR LICENSURE OF ASSISTED LIVING RESIDENCES, COMPREHENSIVE PERSONAL CARE HOMES, AND ASSISTED LIVING PROGRAMS › Subchapter 16 - PHYSICAL PLANT › Section 8:36-16.7 - Interior finish requirement

Current through Register Vol. 56, No. 14, July 15, 2024
Interior wall, ceiling and floor finishes shall be in compliance
				  with the Uniform Construction Code, N.J.A.C. 5:23.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 36 - STANDARDS FOR LICENSURE OF ASSISTED LIVING RESIDENCES, COMPREHENSIVE PERSONAL CARE HOMES, AND ASSISTED LIVING PROGRAMS › Subchapter 16 - PHYSICAL PLANT › Section 8:36-16.8 - General residential unit requirements

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Residential units
				occupied by one person shall have a minimum of 150 square feet of clear and usable
				floor area. Any calculation of clear and usable floor area shall exclude closets,
				bathroom, kitchenette, hallways, corridors, vestibules, alcoves and foyers unless
				the applicant submits a written request to the Department to consider an alcove,
				foyer or vestibule as clear and usable floor area within the context and purpose of
				these rules and the Department grants such a request. Such request shall be made in
				writing during the certificate of need process or, if exempt, as part of the
				licensing application review process.
(b) In units occupied by more than one resident,
				there shall be a minimum of 80 additional square feet for an additional occupant. No
				residential unit in an assisted living residence shall be occupied by more than two
				individuals.
(c) Residential units shall
				be lockable by the occupant(s). Egress from the unit shall be possible at all times
				and locking hardware shall enable occupant(s) to gain egress from within by means of
				a simple operation. All residential units shall be accessible by means of a master
				key or similar system which is available at all times in the facility, and available
				at all times for use by designated staff.
(d) Each residential unit shall have an exterior
				glazed area equal to at least eight percent of the clear floor area.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 36 - STANDARDS FOR LICENSURE OF ASSISTED LIVING RESIDENCES, COMPREHENSIVE PERSONAL CARE HOMES, AND ASSISTED LIVING PROGRAMS › Subchapter 16 - PHYSICAL PLANT › Section 8:36-16.9 - Toilets, baths and handwashing sinks

Current through Register Vol. 56, No. 14, July 15, 2024
(a) A bathroom with a
				toilet, bathtub and/or shower, and handwashing sink shall be located in each
				residential unit.
(b) Additional toilet
				facilities shall be provided to meet the needs of residents, staff and visitors to
				the facility and shall be located in areas other than the residential units.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 36 - STANDARDS FOR LICENSURE OF ASSISTED LIVING RESIDENCES, COMPREHENSIVE PERSONAL CARE HOMES, AND ASSISTED LIVING PROGRAMS › Subchapter 16 - PHYSICAL PLANT › Section 8:36-16.10 - Kitchenettes

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Each residential
				unit shall contain, at a minimum, a small refrigerator, a wall cabinet for food
				storage, a small bar-type sink, and a counter with work space and electrical outlets
				suitable for small cooking appliances, for example, a microwave, a two-burner
				cooktop, or a toaster-oven.
1. Upon entering the
				assisted living facility, the resident and the resident's family or representative
				shall be asked if they wish to have a cooking appliance. If so, the appliance shall
				be provided by the facility, in accordance with facility policies. If the resident
				and resident's family or representative wish to provide their own cooking appliance,
				it shall meet the facility's safety standards.
2. If the resident and the resident's family or
				representative do not want a cooking appliance or if resident assessments indicate
				that having a cooking appliance in the living unit endangers the resident, no
				cooking appliance shall be provided or allowed in the living unit.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 36 - STANDARDS FOR LICENSURE OF ASSISTED LIVING RESIDENCES, COMPREHENSIVE PERSONAL CARE HOMES, AND ASSISTED LIVING PROGRAMS › Subchapter 16 - PHYSICAL PLANT › Section 8:36-16.11 - Community space

Current through Register Vol. 56, No. 14, July 15, 2024
The facility shall provide a minimum of 30 square feet per
				  resident of community spaces for dining and for active and passive recreation.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 36 - STANDARDS FOR LICENSURE OF ASSISTED LIVING RESIDENCES, COMPREHENSIVE PERSONAL CARE HOMES, AND ASSISTED LIVING PROGRAMS › Subchapter 16 - PHYSICAL PLANT › Section 8:36-16.12 - Laundry equipment

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Each assisted living
				facility shall provide at least one non-commercial washer and dryer to be used
				exclusively for residents' personal items.
(b) Where laundry equipment is limited to
				non-commercial type, (ordinary household or residential types), no special fire
				protective measures shall be required.
(c) When commercial type laundry equipment is
				utilized, it shall be installed in a separate laundry room. The remainder of the
				home shall be protected from the laundry room by fire separation assemblies of at
				least one-hour rated construction. Openings in all fire separation assemblies shall
				be protected in accordance with the Uniform Construction Code, N.J.A.C.
				5:23.
(d) All dryers shall be vented to
				the outside of the building and properly maintained including the removal of lint.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 36 - STANDARDS FOR LICENSURE OF ASSISTED LIVING RESIDENCES, COMPREHENSIVE PERSONAL CARE HOMES, AND ASSISTED LIVING PROGRAMS › Subchapter 16 - PHYSICAL PLANT › Section 8:36-16.13 - Dietary department

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Construction,
				equipment, and installation of food service facilities shall meet the requirements
				of the dietary programs as contained in this chapter.
(b) The facilities shall provide, at a minimum,
				the following:
1. A control station for receiving
				food supplies;
2. Minimum storage
				facilities for four days' food supply, including refrigeration and freezer for cold
				storage items;
3. Food preparation
				facilities;
4. Handwashing facilities
				located in the food preparation area;
5.
				Facilities for food distribution to residents;
6. Warewashing space;
7. Potwashing facilities and facilities for cart
				washing;
8. Storage areas for cans and
				carts;
9. Waste storage
				facilities;
10. Offices or desk space
				for dietitian(s) and the dietary service manager;
11. A janitor's closet; and
12. Self-dispensing icemaking facilities.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 36 - STANDARDS FOR LICENSURE OF ASSISTED LIVING RESIDENCES, COMPREHENSIVE PERSONAL CARE HOMES, AND ASSISTED LIVING PROGRAMS › Subchapter 16 - PHYSICAL PLANT › Section 8:36-16.14 - Administration and public areas

Current through Register Vol. 56, No. 14, July 15, 2024
(a) A grade level
				barrier-free entrance, sheltered from the weather and able to accommodate
				wheelchairs shall be provided, and shall include a reception and information counter
				or desk and waiting space with seating.
(b) Space for private interviews shall be
				provided.
(c) An individual mailbox for
				each resident shall be provided.
(d)
				General or individual offices for records, administrative and professional staffs
				shall be provided.
(e) Space shall be
				provided for storing employee's personal possessions.
(f) Separate space shall be provided for storage
				of office supplies, sterile or pharmaceutical supplies, and housekeeping
				supplies.
(g) A room(s) for examination
				and treatment of residents, which is adequate for an overnight stay and includes
				toilet facilities, may be provided. The room shall have a minimum floor area of 100
				square feet, excluding space for vestibule, toilet and closet. The room shall
				contain a lavatory or sink equipped for handwashing, a work counter, storage
				facilities, and a desk, counter or shelf for writing.
(h) An infirmary may be provided for residents who
				may need 24-hour observation on a temporary basis. Clear space of at least three
				feet shall be provided at each side and at the foot of each bed in the infirmary.
				Toilet facilities shall be provided in the infirmary.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 36 - STANDARDS FOR LICENSURE OF ASSISTED LIVING RESIDENCES, COMPREHENSIVE PERSONAL CARE HOMES, AND ASSISTED LIVING PROGRAMS › Subchapter 16 - PHYSICAL PLANT › Section 8:36-16.15 - Fire extinguisher specifications

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Fire extinguishers
				shall comply with National Fire Protection Association (NFPA) 10, Standards For
				Portable Fire Extinguishers, 2002 edition, incorporated herein by reference, as
				amended and supplemented, available from: NFPA, One Batterymarch Park, Quincy, MA,
				02169-7471,
http://www.nfpa.org
,
				1-800344-3555.
(b) All fire
				extinguishers shall bear the seal of the Underwriters Laboratories.
(c) Nothing in these rules shall supersede or
				imply non-compliance with N.J.A.C. 5:70, the Uniform Fire Code.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 36 - STANDARDS FOR LICENSURE OF ASSISTED LIVING RESIDENCES, COMPREHENSIVE PERSONAL CARE HOMES, AND ASSISTED LIVING PROGRAMS › Subchapter 16 - PHYSICAL PLANT › Section 8:36-16.16 - Sounding devices

Current through Register Vol. 56, No. 14, July 15, 2024
If self-locking doors are used at the main entrance and other
				  entrances which open onto a roof or balconies, they shall be equipped with a
				  sounding device, such as a bell, buzzer or chime, which is in operating condition.
				  The sounding device shall be affixed to the outside of the door or to the adjacent
				  exterior wall for use in the event that a person is unable to enter the building,
				  and shall ring at an area staffed 24 hours a day.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 36 - STANDARDS FOR LICENSURE OF ASSISTED LIVING RESIDENCES, COMPREHENSIVE PERSONAL CARE HOMES, AND ASSISTED LIVING PROGRAMS › Subchapter 16 - PHYSICAL PLANT › Section 8:36-16.17 - Telecommunications

Current through Register Vol. 56, No. 14, July 15, 2024
Each residential unit shall be pre-wired for telephone and
				  television reception.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 36 - STANDARDS FOR LICENSURE OF ASSISTED LIVING RESIDENCES, COMPREHENSIVE PERSONAL CARE HOMES, AND ASSISTED LIVING PROGRAMS › Subchapter 17 - HOUSEKEEPING, SANITATION, SAFETY AND MAINTENANCE › Section 8:36-17.1 - Provision of services

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The facility shall
				provide and maintain a sanitary and safe environment for residents.
(b) The facility shall provide housekeeping,
				laundry, pest control, and maintenance services, and shall provide assistance to
				residents who require assistance with these services in their residential units.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 36 - STANDARDS FOR LICENSURE OF ASSISTED LIVING RESIDENCES, COMPREHENSIVE PERSONAL CARE HOMES, AND ASSISTED LIVING PROGRAMS › Subchapter 17 - HOUSEKEEPING, SANITATION, SAFETY AND MAINTENANCE › Section 8:36-17.2 - Housekeeping

Current through Register Vol. 56, No. 14, July 15, 2024
(a) A written work plan
				for housekeeping operations shall be established and implemented, with
				categorization of cleaning assignments as daily, weekly, monthly, or annually within
				each area of the facility. The facility shall have a written schedule that
				determines the frequency of cleaning and maintenance of all equipment, structures,
				areas, and systems.
(b) Housekeeping
				personnel shall be trained in cleaning procedures, including the use and care of
				equipment.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 36 - STANDARDS FOR LICENSURE OF ASSISTED LIVING RESIDENCES, COMPREHENSIVE PERSONAL CARE HOMES, AND ASSISTED LIVING PROGRAMS › Subchapter 17 - HOUSEKEEPING, SANITATION, SAFETY AND MAINTENANCE › Section 8:36-17.3 - Resident environment

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The housekeeping and sanitation conditions in
				paragraphs 1 through 12 below shall be met. Application of this requirement with
				respect to the individual living environment shall take into consideration
				residents' personal preferences for style of living:
1. The facility and its contents, including all
				surfaces such as tables, floors, walls, beds and dressers, shall be clean to sight
				and touch and free of dirt and debris;
2. All rooms shall be ventilated to help prevent
				condensation, mold growth, and noxious odors;
3. All resident areas shall be free of noxious
				odors;
4. All furnishings shall be
				clean and in good repair, and mechanical equipment shall be in working order. Items
				which are broken or worn to the extent that they may cause discomfort or present
				danger to residents shall be repaired, replaced, or removed promptly;
5. All equipment and materials necessary for
				cleaning, disinfecting, sanitizing, and sterilizing (if applicable) shall be
				provided;
6. For central kitchens,
				thermometers which are accurate to within three degrees Fahrenheit shall be kept in
				a visible location within refrigerators, freezers, and storerooms used for
				perishable and other items subject to deterioration. Temperatures shall be
				maintained in accordance with
				N.J.A.C.
				8:24-3.2;
7. Lighted and ventilated storage spaces shall be
				provided in the facility for the proper storage of residents' clothing, linens,
				drugs, food, cleaning and other supplies;
8. Articles in storage shall be elevated from the
				floor and away from walls (if moisture is present), ceilings, and air vents;
9. Unobstructed aisles shall be
				provided in storage areas;
10.
				Effective and safe controls shall be used to minimize and eliminate the presence of
				rodents, flies, roaches and other vermin in the facility;
11. When facility housekeeping services are
				provided, items such as bedpans, toilets and sinks shall be disinfected, using a
				process for disinfection established by the facility; and
12. Toilet tissue, soap, paper towels or air
				dryers, and waste receptacles shall be provided in each common area toilet facility
				at all times. A self-draining dish or device shall be provided for storage of bar
				soap, if bar soap is used. Residents' personal cloth towels may be used in
				residential units.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 36 - STANDARDS FOR LICENSURE OF ASSISTED LIVING RESIDENCES, COMPREHENSIVE PERSONAL CARE HOMES, AND ASSISTED LIVING PROGRAMS › Subchapter 17 - HOUSEKEEPING, SANITATION, SAFETY AND MAINTENANCE › Section 8:36-17.4 - Waste removal

Current through Register Vol. 56, No. 14, July 15, 2024
(a) All solid or liquid
				waste, garbage, and trash shall be collected, stored, and disposed of in accordance
				with the rules of the New Jersey State Department of Environmental Protection and
				this chapter. Solid waste which is stored within the building shall be stored in
				insect-proof, rodent-proof, fireproof, nonabsorbent, watertight containers with
				tightfitting covers and collected from storage areas regularly so as to prevent
				nuisances such as odors. Procedures and schedules shall be established and
				implemented for the cleaning of storage areas and containers for solid or liquid
				waste, garbage, and trash, in accordance with N.J.A.C. 8:24.
(b) If garbage compactors are used, they shall
				comply with all the International Mechanical Code, 2003 Edition, incorporated herein
				by reference, as amended and supplemented, and local codes. Copies of the
				International Mechanical Code are available from: International Code Council at
				1-800-786-4452 or on the Internet at
http://www.iccsafe.org/
.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 36 - STANDARDS FOR LICENSURE OF ASSISTED LIVING RESIDENCES, COMPREHENSIVE PERSONAL CARE HOMES, AND ASSISTED LIVING PROGRAMS › Subchapter 17 - HOUSEKEEPING, SANITATION, SAFETY AND MAINTENANCE › Section 8:36-17.5 - Heating and air conditioning

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The heating and air
				conditioning system shall be adequate to maintain the required temperature in all
				areas used by residents. Residents may have individually controlled thermostats in
				residential units in order to maintain temperatures at their own comfort level.
1. During the heating season, the temperature in
				the facility shall be kept at a minimum of 72 degrees Fahrenheit (22 degrees
				Celsius) during the day ("day" means the time between sunrise and sunset) and 68
				degrees Fahrenheit (20 degrees Celsius) at night, when residents are in the
				facility.
2. The facility or residents
				shall not utilize portable heaters.
3.
				During warm weather conditions, the temperature within the facility shall not exceed
				82 degrees Fahrenheit.
i. The facility shall
				provide for and operate adequate ventilation in all areas used by
				residents.
ii. All areas of the facility
				used by residents shall be equipped with air conditioning and the air conditioning
				shall be operated so that the temperature in these areas does not exceed 82 degrees
				Fahrenheit.
4. Residents may
				regulate temperature controls in residential units, and may, by choice, exceed 82
				degrees Fahrenheit.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 36 - STANDARDS FOR LICENSURE OF ASSISTED LIVING RESIDENCES, COMPREHENSIVE PERSONAL CARE HOMES, AND ASSISTED LIVING PROGRAMS › Subchapter 17 - HOUSEKEEPING, SANITATION, SAFETY AND MAINTENANCE › Section 8:36-17.6 - Water supply

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The water supply
				used for drinking or culinary purposes shall be adequate in quantity, of a safe and
				sanitary quality, and from a water system which shall be constructed, protected,
				operated, and maintained in conformance with the New Jersey Safe Drinking Water Act,
				58:12A-1 et seq., N.J.A.C. 7:10 and
				local laws, ordinances, and regulations. Copies of the Safe Drinking Water Act can
				be obtained from the Department of Environmental Protection, Bureau of Potable
				Water, P.O. Box 209, Trenton, New Jersey 08625.
(b) The temperature of the hot water used for
				bathing and handwashing shall be at least 105 degrees and shall not exceed 120
				degrees Fahrenheit.
(c) Equipment
				requiring drainage, such as ice machines, shall be drained to a sanitary connection,
				in accordance with the International Mechanical Code, 2003 Edition, incorporated
				herein by reference, as amended and supplemented and local codes. Copies of the
				International Mechanical Code are available from: International Code Council at
				1-800-786-4452 or on the Internet at
http://www.iccsafe.org/
.
(d) The sewage disposal system shall be maintained
				in good repair and operated in compliance with
				52:27D-123 et seq., the Uniform
				Construction Code, N.J.A.C. 5:23, and local ordinances and codes.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 36 - STANDARDS FOR LICENSURE OF ASSISTED LIVING RESIDENCES, COMPREHENSIVE PERSONAL CARE HOMES, AND ASSISTED LIVING PROGRAMS › Subchapter 17 - HOUSEKEEPING, SANITATION, SAFETY AND MAINTENANCE › Section 8:36-17.7 - Building and grounds maintenance

Current through Register Vol. 56, No. 14, July 15, 2024
The building and grounds shall be well maintained at all times.
				  The interior and exterior of the building shall be kept in good condition to ensure
				  an attractive appearance, provide a pleasant atmosphere, and safeguard against
				  deterioration. The building and grounds shall be kept free from fire hazards and
				  other hazards to resident's health and safety.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 36 - STANDARDS FOR LICENSURE OF ASSISTED LIVING RESIDENCES, COMPREHENSIVE PERSONAL CARE HOMES, AND ASSISTED LIVING PROGRAMS › Subchapter 17 - HOUSEKEEPING, SANITATION, SAFETY AND MAINTENANCE › Section 8:36-17.8 - Laundry services

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Written policies and
				procedures shall be established and implemented for the facility's laundry services,
				including, but not limited to, policies and procedures regarding the following:
1. Storage and transportation of
				laundry;
2. Collection and storage of
				soiled laundry in a ventilated area;
3.
				Protection of clean laundry from contamination during processing, transporting, and
				storage; and
4. Handling and laundering
				of resident's clothing and personal items separately from other laundry.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 36 - STANDARDS FOR LICENSURE OF ASSISTED LIVING RESIDENCES, COMPREHENSIVE PERSONAL CARE HOMES, AND ASSISTED LIVING PROGRAMS › Subchapter 18 - INFECTION PREVENTION AND CONTROL SERVICES › Section 8:36-18.1 - Infection control program

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The facility shall
				develop and implement an infection prevention and control program.
(b) The licensed professional nurse, in
				coordination with the administrator, shall be responsible for the direction,
				provision, and quality of infection prevention and control services. The health care
				services director, in coordination with the administrator, shall be responsible for,
				but not limited to, developing and maintaining written objectives, a policy and
				procedure manual, and an organizational plan for the infection prevention and
				control service.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 36 - STANDARDS FOR LICENSURE OF ASSISTED LIVING RESIDENCES, COMPREHENSIVE PERSONAL CARE HOMES, AND ASSISTED LIVING PROGRAMS › Subchapter 18 - INFECTION PREVENTION AND CONTROL SERVICES › Section 8:36-18.2 - Development of infection control policies and procedures

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The facility
				shall develop, implement, and review, at least annually, written policies and
				procedures regarding infection prevention and control. Written policies and
				procedures shall be consistent with the following Centers for Disease Control
				publications and OSHA standards, incorporated herein by reference, as amended and
				supplemented:
1. Guidelines for Hand Hygiene in
				Health Care Settings, MMWR/51 (RR-16), October 25, 2002;
2. Prevention and Control of Tuberculosis in
				Facilities Providing Long-Term Care to the Elderly, Recommendations of the Advisory
				Committee for Elimination of Tuberculosis, MMWR/39 (RR-10), July 13, 1990;
3. Guidelines for Preventing Health
				Care-Associated Pneumonia, MMWR/53 (RR-03), March 26, 2004;
4. Bloodborne Pathogens, Occupational Safety and
				Health Standards,
				29 CFR 1910.1030,
				as amended and supplemented; and
5. Fact
				Sheet on Respiratory Hygiene/Cough Etiquette in Healthcare Settings, December 17,
				2003, Department of Health and Human Services, Centers for Disease Control and
				Prevention.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 36 - STANDARDS FOR LICENSURE OF ASSISTED LIVING RESIDENCES, COMPREHENSIVE PERSONAL CARE HOMES, AND ASSISTED LIVING PROGRAMS › Subchapter 18 - INFECTION PREVENTION AND CONTROL SERVICES › Section 8:36-18.3 - General infection control policies and procedures

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Written policies
				and procedures shall be established and implemented regarding infection prevention
				and control, including, but not limited to, policies and procedures for the
				following:
1. In accordance with Chapter II, New
				Jersey State Sanitary Code, Communicable Diseases, at N.J.A.C. 8:57, a system for
				investigating, reporting, and evaluating the occurrence of all infections or
				diseases which are reportable or conditions which may be related to activities and
				procedures of the facility, and maintaining records for all residents or personnel
				having these infections, diseases, or conditions;
2. Infection control in accordance with OSHA
				Standards
				29 CFR 1910.1030,
				Bloodborne pathogens, incorporated herein by reference, as amended and
				supplemented;
3. Exclusion from work,
				and authorization to return to work, for personnel with communicable
				diseases;
4. Surveillance techniques to
				minimize sources and transmission of infection;
5. Techniques to be used during each resident
				contact, including handwashing before and after caring for a resident;
6. Protocols for identification of residents with
				communicable diseases and education of residents regarding prevention and spread of
				communicable diseases;
7. Sterilization,
				disinfection, and cleaning practices and techniques used in the facility, including,
				but not limited to, the following:
i. Care of
				utensils, instruments, solutions, dressings, articles, and surfaces;
ii. Selection, storage, use, and disposition of
				disposable and nondisposable resident care items. Disposable items shall not be
				reused;
iii. Methods to ensure that
				sterilized materials are packaged, labeled, processed, transported, and stored to
				maintain sterility and to permit identification of expiration dates; and
iv. Care of urinary catheters, intravenous
				catheters, respiratory therapy equipment, and other devices and equipment that
				provide a portal of entry for pathogenic microorganisms; and
8. Needles and syringes used by residents as part
				of home self-care shall be disposed of in accordance with N.J.S.A.
				2C:36-6.1andN.J.A.C. 8:43E-7.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 36 - STANDARDS FOR LICENSURE OF ASSISTED LIVING RESIDENCES, COMPREHENSIVE PERSONAL CARE HOMES, AND ASSISTED LIVING PROGRAMS › Subchapter 18 - INFECTION PREVENTION AND CONTROL SERVICES › Section 8:36-18.4 - Employee health and resident policies and procedures for infection prevention and control

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Each new employee
				upon employment shall receive a two-step Mantoux tuberculin skin test with five
				tuberculin units of purified protein derivative. The only exceptions shall be
				employees with documented negative two-step Mantoux skin test results (zero to nine
				millimeters of induration) within the last year, employees with a documented
				positive Mantoux skin test result (10 or more millimeters of induration), employees
				who have received appropriate medical treatment for tuberculosis, or when medically
				contraindicated. Results of the Mantoux tuberculin skin tests administered to new
				employees shall be acted upon as follows:
1. If the
				first step of the Mantoux tuberculin skin test result is less than 10 millimeters of
				induration, the second step of the two-step Mantoux test shall be administered one
				to three weeks later.
2. If the Mantoux
				test is significant (10 millimeters or more of induration), a chest x-ray shall be
				performed and, if necessary, followed by chemoprophylaxis or therapy.
3. Any employee with positive results shall be
				referred to the employee's personal physician and shall be excluded from work until
				the physician provides written approval to return.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 36 - STANDARDS FOR LICENSURE OF ASSISTED LIVING RESIDENCES, COMPREHENSIVE PERSONAL CARE HOMES, AND ASSISTED LIVING PROGRAMS › Subchapter 18 - INFECTION PREVENTION AND CONTROL SERVICES › Section 8:36-18.5 - Staff education and training for infection prevention and control

Current through Register Vol. 56, No. 14, July 15, 2024
All staff members shall be informed about the facility's
				  infection control procedures, including personal hygiene requirements.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 36 - STANDARDS FOR LICENSURE OF ASSISTED LIVING RESIDENCES, COMPREHENSIVE PERSONAL CARE HOMES, AND ASSISTED LIVING PROGRAMS › Subchapter 18 - INFECTION PREVENTION AND CONTROL SERVICES › Section 8:36-18.6 - Regulated medical waste

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The facility shall
				develop policies and procedures for the collection, storage, and handling of
				regulated medical waste.
(b) The
				facility shall comply with the provisions of
				13:1E-48.1 et seq., the Comprehensive
				Regulated Medical Waste Management Act, and all rules promulgated pursuant to the
				aforementioned Act, including, but not limited to, N.J.A.C. 7:26-3A.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 36 - STANDARDS FOR LICENSURE OF ASSISTED LIVING RESIDENCES, COMPREHENSIVE PERSONAL CARE HOMES, AND ASSISTED LIVING PROGRAMS › Subchapter 19 - ALZHEIMER'S DISEASE AND DEMENTIA PROGRAMS › Section 8:36-19.1 - Scope and purpose

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Assisted living
				facilities may establish programs to meet the needs of residents with Alzheimer's
				disease or other dementias. Such programs shall provide individualized care based
				upon assessment of the cognitive and functional abilities of Alzheimer's and
				dementia residents who have been admitted to the program.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 36 - STANDARDS FOR LICENSURE OF ASSISTED LIVING RESIDENCES, COMPREHENSIVE PERSONAL CARE HOMES, AND ASSISTED LIVING PROGRAMS › Subchapter 19 - ALZHEIMER'S DISEASE AND DEMENTIA PROGRAMS › Section 8:36-19.2 - Alzheimer's/dementia program policies and procedures

Current through Register Vol. 56, No. 14, July 15, 2024
(a) An assisted living
				facility that advertises or holds itself out as having an Alzheimer's/dementia
				program shall have written policies and procedures for the Alzheimer's/dementia
				program that are retained by the administrative staff and available to all staff and
				to members of the public, including those participating in the program.
(b) The facility shall have established criteria
				for admission to the program and criteria for discharge from the program when the
				resident's needs can no longer be met, based upon a registered professional nurse's
				assessment of the resident's cognitive and functional status.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 36 - STANDARDS FOR LICENSURE OF ASSISTED LIVING RESIDENCES, COMPREHENSIVE PERSONAL CARE HOMES, AND ASSISTED LIVING PROGRAMS › Subchapter 19 - ALZHEIMER'S DISEASE AND DEMENTIA PROGRAMS › Section 8:36-19.3 - Staff training program for Alzheimer's disease and dementia

Current through Register Vol. 56, No. 14, July 15, 2024
(a) A facility that
				advertises or holds itself out as having an Alzheimer's disease or dementia program
				shall provide training in specialized care of residents who are diagnosed by a
				physician as having Alzheimer's disease or dementia to all licensed and unlicensed
				staff who provide direct care to residents with Alzheimer's or dementia, in
				accordance withN.J.S.A. 26:2M-7.2.
1. Copies of the mandatory training program may be
				obtained from the Department by submitting a written request to the Division of
				Health Facility Survey and Field Operations.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 36 - STANDARDS FOR LICENSURE OF ASSISTED LIVING RESIDENCES, COMPREHENSIVE PERSONAL CARE HOMES, AND ASSISTED LIVING PROGRAMS › Subchapter 19 - ALZHEIMER'S DISEASE AND DEMENTIA PROGRAMS › Section 8:36-19.4 - Services for residents with Alzheimer's/dementia

Current through Register Vol. 56, No. 14, July 15, 2024
(a) A facility that
				advertises or holds itself out as having an Alzheimer's/dementia program shall,
				pursuant to 26:2M-7.1, compile and maintain daily
				records for each shift in the facility and provide to a member of the public, upon
				request, information that indicates for each shift, as appropriate:
1. The number of licensed and unlicensed staff
				providing direct care to residents diagnosed with Alzheimer's and related
				disorders.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 36 - STANDARDS FOR LICENSURE OF ASSISTED LIVING RESIDENCES, COMPREHENSIVE PERSONAL CARE HOMES, AND ASSISTED LIVING PROGRAMS › Subchapter 20 - STANDARDS FOR RESPITE CARE SERVICES › Section 8:36-20.1 - Scope and purpose

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Assisted living
				facilities are permitted to accept short-term residents whose regular caregivers are
				participating in a respite care program. A "caregiver" is defined as any individual,
				paid or unpaid, who provides regular in-home care for an elderly, disabled, or
				cognitively impaired person.
(b) When a
				caregiver desires respite from this responsibility, continuity of care for the
				elderly, disabled, or cognitively impaired person is available through temporary
				placement in an assisted living facility for a period of time specified in
				advance.
(c) The standards in this
				subchapter apply only to those assisted living facilities that operate a respite
				care program.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 36 - STANDARDS FOR LICENSURE OF ASSISTED LIVING RESIDENCES, COMPREHENSIVE PERSONAL CARE HOMES, AND ASSISTED LIVING PROGRAMS › Subchapter 20 - STANDARDS FOR RESPITE CARE SERVICES › Section 8:36-20.2 - Mandatory policies and procedures

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The assisted living
				facility shall have written respite care policies and procedures that are retained
				by the administrative staff and available to all staff and to members of the public,
				including those participating in the program.
(b) The facility shall obtain the following
				information from the resident's attending physician, advanced practice nurse, or
				physician assistant prior to admission:
1. A
				summary of the resident's medical history and most recent physical
				examination;
2. Signed and dated
				medication and treatment orders for the resident's stay in the facility;
				and
3. Phone numbers of the attending
				physician, advanced practice nurse, or physician assistant, and an alternate
				physician, advanced practice nurse or physician assistant, for consultation or
				emergency services.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 36 - STANDARDS FOR LICENSURE OF ASSISTED LIVING RESIDENCES, COMPREHENSIVE PERSONAL CARE HOMES, AND ASSISTED LIVING PROGRAMS › Subchapter 20 - STANDARDS FOR RESPITE CARE SERVICES › Section 8:36-20.3 - Staffing

Current through Register Vol. 56, No. 14, July 15, 2024
The assisted living facility shall incorporate the care plan, as
				  identified in 8:36-20.2(c) through
				  (e) of each respite care resident into the regular
				  schedule of care provided by the facility.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 36 - STANDARDS FOR LICENSURE OF ASSISTED LIVING RESIDENCES, COMPREHENSIVE PERSONAL CARE HOMES, AND ASSISTED LIVING PROGRAMS › Subchapter 21 - QUALITY IMPROVEMENT › Section 8:36-21.1 - Quality improvement program

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The facility shall
				establish and implement a written plan for a quality improvement program for
				resident care. The plan shall specify a timetable and the person(s) responsible for
				the quality improvement program and shall provide for ongoing monitoring of staff
				and resident care services.
(b) Quality
				improvement activities shall include, but not be limited to, the following:
1. At least annual review of staff qualifications
				and credentials;
2. At least annual
				review of staff orientation and staff education;
3. Establishment of objective criteria for
				evaluation of the resident care provided by each service area;
4. Evaluation of resident care services, staffing,
				infection prevention and control, housekeeping, sanitation, safety, maintenance of
				physical plant and equipment, resident care statistics, and discharge planning
				services;
5. Review of medication errors
				and adverse drug reactions by the pharmacist; and
6. Evaluation by residents and their families of
				care and services provided by the facility.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 36 - STANDARDS FOR LICENSURE OF ASSISTED LIVING RESIDENCES, COMPREHENSIVE PERSONAL CARE HOMES, AND ASSISTED LIVING PROGRAMS › Subchapter 21 - QUALITY IMPROVEMENT › Section 8:36-21.2 - Use of restraints

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The facility shall
				develop policies and procedures that support a restraint-free environment for all
				residents.
(b) The use of any
				restraining device shall be based on an assessment and shall require a physician,
				advanced practice nurse or physician assistant order.
(c) The least restrictive device shall be used, in
				compliance with the prescriber's order.
(d) A specific plan of care shall be developed for
				the use of any restraining device.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 36 - STANDARDS FOR LICENSURE OF ASSISTED LIVING RESIDENCES, COMPREHENSIVE PERSONAL CARE HOMES, AND ASSISTED LIVING PROGRAMS › Subchapter 21 - QUALITY IMPROVEMENT › Section 8:36-21.3 - Personal care services

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The facility shall
				monitor that residents are maintaining personal hygiene, receiving medications as
				prescribed (which includes the renewal of prescriptions as necessary and the
				disposition of outdated or discontinued medications), and are offered the
				opportunity to participate in appropriate social and recreational activities, in
				accordance with residents' personal choice.
(b) Personal care services shall include education
				in assistance with activities of daily living and supervision of personal hygiene.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 36 - STANDARDS FOR LICENSURE OF ASSISTED LIVING RESIDENCES, COMPREHENSIVE PERSONAL CARE HOMES, AND ASSISTED LIVING PROGRAMS › Subchapter 22 - COMPREHENSIVE PERSONAL CARE HOMES › Section 8:36-22.1 - Eligibility

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Eligibility for
				conversion to a comprehensive personal care home shall be open exclusively to the
				following:
1. Freestanding residential health care
				facilities which were either licensed or certificate of need approved on or before
				December 20, 1993;
2. Residential health
				care beds located within a long-term care facility that were licensed or certificate
				of need approved on or before December 20, 1993;
3. Licensed long-term care beds; and
4. "Class C" boarding homes which were licensed by
				the Department of Community Affairs or under construction with approval from the
				Department of Community Affairs on or before December 20, 1993.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 36 - STANDARDS FOR LICENSURE OF ASSISTED LIVING RESIDENCES, COMPREHENSIVE PERSONAL CARE HOMES, AND ASSISTED LIVING PROGRAMS › Subchapter 22 - COMPREHENSIVE PERSONAL CARE HOMES › Section 8:36-22.2 - Services provided to residents

Current through Register Vol. 56, No. 14, July 15, 2024
Each comprehensive personal care home shall comply with the
				  following: N.J.A.C. 8:36-1 through 15, 16.8(c), 16.15, 16.16, 17 (except 17.5(a)4),
				  and 18 through 22.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 36 - STANDARDS FOR LICENSURE OF ASSISTED LIVING RESIDENCES, COMPREHENSIVE PERSONAL CARE HOMES, AND ASSISTED LIVING PROGRAMS › Subchapter 22 - COMPREHENSIVE PERSONAL CARE HOMES › Section 8:36-22.3 - Physical plant

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Each comprehensive
				personal care home shall, at a minimum:
1.
				Maintain substantial compliance with the New Jersey Uniform Construction Code,
				N.J.A.C. 5:23-3, and the Uniform Fire Code, N.J.A.C. 5:70, Use Group I-2 of the
				subcode;
2. Maintain a comprehensive
				automatic fire-suppression system throughout the facility. Buildings presently in
				Use Group I-2 or buildings which comply with the construction requirements for an
				I-2 use may apply to the Department for an exemption to this requirement, provided
				they can document compliance with the New Jersey Uniform Fire Code, N.J.A.C. 5:70,
				with regard to construction type;
3.
				Maintain compliance with N.J.A.C. 5:23-7, regarding barrier-free accessibility,
				applicable at the time plans are approved.
4. Provide smoke detectors in all resident
				bedrooms, living rooms, and public areas; and
5. Provide corridor widths of at least 36 inches
				of clear space.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 36 - STANDARDS FOR LICENSURE OF ASSISTED LIVING RESIDENCES, COMPREHENSIVE PERSONAL CARE HOMES, AND ASSISTED LIVING PROGRAMS › Subchapter 22 - COMPREHENSIVE PERSONAL CARE HOMES › Section 8:36-22.4 - Other requirements

Current through Register Vol. 56, No. 14, July 15, 2024
Each comprehensive personal care home administrator, manager, or
				  their designee shall explain to all residents assisted living concepts, services to
				  be provided based on these concepts, and all charges for these services.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 36 - STANDARDS FOR LICENSURE OF ASSISTED LIVING RESIDENCES, COMPREHENSIVE PERSONAL CARE HOMES, AND ASSISTED LIVING PROGRAMS › Subchapter 22 - COMPREHENSIVE PERSONAL CARE HOMES › Section 8:36-22.5 - Prohibition of resident discharge on conversion of facility

Current through Register Vol. 56, No. 14, July 15, 2024
An eligible existing facility converting to a comprehensive
				  personal care home shall not discharge any current resident solely because of the
				  conversion. If compliance with this section results in more than two individuals per
				  residential unit, the facility shall apply for the exception noted at
				  8:36-22.3(f).
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 36 - STANDARDS FOR LICENSURE OF ASSISTED LIVING RESIDENCES, COMPREHENSIVE PERSONAL CARE HOMES, AND ASSISTED LIVING PROGRAMS › Subchapter 22 - COMPREHENSIVE PERSONAL CARE HOMES › Section 8:36-22.6 - Combination of license categories

Current through Register Vol. 56, No. 14, July 15, 2024
Another licensed bed category may be located within a distinct
				  and separate section of the comprehensive personal care home. The comprehensive
				  personal care home shall comply fully with all licensure requirements applicable to
				  each licensed component.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 36 - STANDARDS FOR LICENSURE OF ASSISTED LIVING RESIDENCES, COMPREHENSIVE PERSONAL CARE HOMES, AND ASSISTED LIVING PROGRAMS › Subchapter 22 - COMPREHENSIVE PERSONAL CARE HOMES › Section 8:36-22.7 - Supplemental Security Income recipients

Current through Register Vol. 56, No. 14, July 15, 2024
(a) In converting to a
				comprehensive personal care home from a residential health care facility or Class
				"C" boarding home, the facility shall maintain its existing residents who are
				Supplemental Security Income (SSI) eligible recipients and those who are former
				psychiatric patients.
(b) On an ongoing,
				annual basis, at least five percent of each comprehensive personal care home's
				residents shall be SSI-eligible recipients, at least half of whom shall be former
				psychiatric patients. This percentage shall be computed based on the number of
				resident days per calendar year. The facility shall report this information to the
				Certificate of Need and Licensing Program by April 15 of each year for the prior
				calendar year.
1. Facilities approved for
				conversion to comprehensive personal care which maintain less than the five percent
				SSI-eligible requirement noted above shall have one year from the date of licensure
				as comprehensive personal care to comply.
2. In the event that the Supplemental Security
				Income payment rate for Comprehensive Personal Care Homes is set at a level below
				the SSI payment rate for residential health care facilities, the five percent
				occupancy requirements for SSI-eligible residents noted above shall not take effect.
				However, comprehensive personal care homes shall maintain their existing residents
				who are Supplemental Security Income-eligible, as required
				above.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 36 - STANDARDS FOR LICENSURE OF ASSISTED LIVING RESIDENCES, COMPREHENSIVE PERSONAL CARE HOMES, AND ASSISTED LIVING PROGRAMS › Subchapter 23 - ASSISTED LIVING PROGRAMS › Section 8:36-23.1 - Tenant/resident eligibility

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Participation in the
				services of an assisted living program shall be voluntary on the part of any tenant
				of any publicly subsidized housing.
(b)
				A tenant voluntarily receiving the services of an assisted living program shall be
				assessed according to the provisions of
				8:36-7.1(a) through
				(g).
(c) Neither the legal rights and responsibilities
				enjoyed by a tenant under law nor the legal requirements pertaining to publicly
				subsidized housing shall be abridged, diminished or abrogated by a resident's
				participation in the assisted living program.