reglab/statecodes huggingface dataset:
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 2600 - PERSONAL CARE HOMES › SECURED DEMENTIA CARE UNITS › Section 2600.232 - Environmental protection

Current through Register Vol. 54, No. 28, July 13, 2024
(a) The
					 home shall provide exercise space, both indoor and outdoor.
(b) No more than two residents may occupy a
					 bedroom regardless of its size. A bedroom shall meet the requirement in §
											2600.101(a), (b) or
					 (c) (relating to resident bedrooms), as
					 applicable. Section
					 2600.101(d) does
					 not apply to a secured dementia care unit.
(c) The home shall provide space for dining,
					 group and individual activities and visits.
(d) The home shall provide a full description
					 of the measures taken to enhance environmental awareness and maximize
					 independence of the residents. The measures to enhance environmental awareness
					 and maximize independence of the residents shall be implemented.
This section cited in 55 Pa. Code 2600.231 (relating to
						  admission).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 2600 - PERSONAL CARE HOMES › SECURED DEMENTIA CARE UNITS › Section 2600.233 - Doors, locks and alarms

Current through Register Vol. 54, No. 28, July 13, 2024
(a) Doors
					 equipped with key-locking devices, electronic card operated systems or other
					 devices that prevent immediate egress are permitted only if there is written
					 approval from the Department of Labor and Industry, Department of Health or
					 appropriate local building authority permitting the use of the specific locking
					 system.
(b) A home shall have a
					 statement from the manufacturer, specific to that home, verifying that the
					 electronic or magnetic locking system will shut down, and that all doors will
					 open easily and immediately when one of more of the following occurs:
(1) Upon a signal from an activated fire
					 alarm system, heat or smoke detector.
(2) Power failure to the home.
(3) Overriding the electronic or magnetic
					 locking system by use of a key pad or other lock-releasing device.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 2600 - PERSONAL CARE HOMES › SECURED DEMENTIA CARE UNITS › Section 2600.234 - Resident care

Current through Register Vol. 54, No. 28, July 13, 2024
(a) Within 72
					 hours of the admission, or within 72 hours prior to the resident's admission to
					 the secured dementia care unit, a support plan shall be developed, implemented
					 and documented in the resident record.
(b) The support plan must identify the
					 resident's physical, medical, social, cognitive and safety needs.
(c) The support plan must identify the
					 individual responsible to address the resident's needs.
(d) The support plan shall be revised at
					 least annually and as the resident's condition changes.
(e) The resident or the resident's designated
					 person shall be involved in the development and the revisions of the support
					 plan.
This section cited in 55 Pa. Code §
													2600.231 (relating to
						  admission).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 2600 - PERSONAL CARE HOMES › SECURED DEMENTIA CARE UNITS › Section 2600.235 - Discharge

Current through Register Vol. 54, No. 28, July 13, 2024
If the home initiates a discharge or transfer of a
						resident, or the legal entity chooses to close the home, the administrator
						shall give a 30-day advance written notice to the resident, the resident's
						designated person and the referral agent citing the reasons for the discharge
						or transfer. This requirement shall be stipulated in the resident-home contract
						signed prior to admission to the secured dementia care unit.
This section cited in 55 Pa. Code §
													2600.231 (relating to
						  admission).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 2600 - PERSONAL CARE HOMES › SECURED DEMENTIA CARE UNITS › Section 2600.236 - Training

Current through Register Vol. 54, No. 28, July 13, 2024
Each direct care staff person working in a secured
						dementia care unit shall have 6 hours of annual training related to dementia
						care and services, in addition to the 12 hours of annual training specified in
						§
											2600.65 (relating to direct care
						staff person training and orientation).
This section cited in 55 Pa. Code §
													2600.231 (relating to
						  admission).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 2600 - PERSONAL CARE HOMES › SECURED DEMENTIA CARE UNITS › Section 2600.237 - Program

Current through Register Vol. 54, No. 28, July 13, 2024
(a) The following
					 types of activities shall be offered at least weekly:
(1) Gross motor activities, such as dancing,
					 stretching and other exercise.
(2)
					 Self-care activities, such as personal hygiene.
(3) Social activities, such as games, music
					 and holiday and seasonal celebrations.
(4) Crafts, such as sewing, decorations and
					 pictures.
(5) Sensory and memory
					 enhancement activities, such as review of current events, movies, story
					 telling, picture albums, cooking, pet therapy and reminiscing.
(6) Outdoor activities, as weather permits,
					 such as walking, gardening and field trips.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 2600 - PERSONAL CARE HOMES › SECURED DEMENTIA CARE UNITS › Section 2600.238 - Staffing

Current through Register Vol. 54, No. 28, July 13, 2024
Each resident in a secured dementia care unit shall be
						considered to be a resident with mobility needs under §
											2600.57(c) 
						(relating to direct care staffing).
This section cited in 55 Pa. Code §
													2600.231 (relating to
						  admission).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 2600 - PERSONAL CARE HOMES › SECURED DEMENTIA CARE UNITS › Section 2600.239 - Notification to Department

Current through Register Vol. 54, No. 28, July 13, 2024
(a)
					 The legal entity shall submit a written request to the Department's personal
					 care home regional office at least 60 days prior to the following:
(1) Opening a secured care dementia
					 unit.
(2) Adding a secured dementia
					 care unit to an existing home.
(3)
					 Increasing the maximum capacity in an existing unit.
(4) Changing the locking system, exit doors
					 or floor plan of an existing unit.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 2600 - PERSONAL CARE HOMES › RESIDENT RECORDS › Section 2600.251 - Resident records

Current through Register Vol. 54, No. 28, July 13, 2024
(a) A
					 separate record shall be kept for each resident.
(b) The entries in a resident's record must
					 be permanent, legible, dated and signed by the staff person making the
					 entry.
(c) The home shall use
					 standardized forms to record information in the resident's record.
(d) Separate resident records shall be kept
					 on the premises where the resident lives.
(e) Resident records shall be made available
					 to the resident and the resident's designated person during normal working
					 hours.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 2600 - PERSONAL CARE HOMES › RESIDENT RECORDS › Section 2600.252 - Content of resident records

Current through Register Vol. 54, No. 28, July 13, 2024
Each resident's record must include the following
						information:
(1) Name, gender,
					 admission date, birth date and Social Security number.
(2) Race, height, weight, color of hair,
					 color of eyes, religious affiliation, if any, and identifying marks.
(3) A photograph of the resident that is no
					 more than 2 years old.
(4) Language
					 or means of communication spoken or used by the resident.
(5) The name, address, telephone number and
					 relationship of a designated person to be contacted in case of an
					 emergency.
(6) The name, address
					 and telephone number of the resident's physician or source of health
					 care.
(7) The current and previous
					 2 years' physician's examination reports, including copies of the medical
					 evaluation forms.
(8) A list of
					 prescribed medications, OTC medications and CAM.
(9) Dietary restrictions.
(10) A record of incident reports for the
					 individual resident.
(11) A list of
					 allergies.
(12) The documentation
					 of health care services and orders, including orders for the services of
					 visiting nurse or home health agencies.
(13) The preadmission screening, initial
					 intake assessment and the most current version of the annual
					 assessment.
(14) A support
					 plan.
(15) Applicable court order,
					 if any.
(16) The resident's medical
					 insurance information.
(17) The
					 date of entrance into the home, relocations and discharges, including the
					 transfer of the resident to other homes owned by the same legal
					 entity.
(18) An inventory of the
					 resident's personal property as voluntarily declared by the resident upon
					 admission and voluntarily updated.
(19) An inventory of the resident's property
					 entrusted to the administrator for safekeeping.
(20) The financial records of residents
					 receiving assistance with financial management.
(21) The reason for termination of services
					 or transfer of the resident, the date of transfer and the
					 destination.
(22) Copies of
					 transfer and discharge summaries from hospitals, if available.
(23) If the resident dies in the home, a copy
					 of the official death certificate.
(24) Signed notification of rights, grievance
					 procedures and applicable consent to treatment protections specified in §
											2600.41 (relating to notification
					 of rights and complaint procedures).
(25) A copy of the resident-home
					 contract.
(26) A termination
					 notice, if any.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 2600 - PERSONAL CARE HOMES › RESIDENT RECORDS › Section 2600.253 - Record retention and disposal

Current through Register Vol. 54, No. 28, July 13, 2024
(a) The resident's entire record shall be
					 maintained for a minimum of 3 years following the resident's discharge from the
					 home or until any audit or litigation is resolved.
(b) Records shall be destroyed in a manner
					 that protects confidentiality.
(c)
					 The home shall keep a log of resident records destroyed on or after October 24,
					 2005. This log must include the resident's name, record number, birth date,
					 admission date and discharge date.
(d) Records required under this chapter that
					 are not part of the resident records shall be kept for a minimum of 3 years or
					 until any audit or litigation is resolved.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 2600 - PERSONAL CARE HOMES › RESIDENT RECORDS › Section 2600.254 - Record access and security

Current through Register Vol. 54, No. 28, July 13, 2024
(a)
					 Records of active and discharged residents shall be maintained in a
					 confidential manner, which prevents unauthorized access.
(b) Each home shall develop and implement
					 policy and procedures addressing record accessibility, security, storage,
					 authorized use and release and who is responsible for the records.
(c) Resident records shall be stored in
					 locked containers or a secured, enclosed area used solely for record storage
					 and be accessible at all times to the administrator or the administrator's
					 designee, and upon request, to the Department or representatives of the area
					 agency on aging.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 2600 - PERSONAL CARE HOMES › ENFORCEMENT › Section 2600.261 - Classification of violations

Current through Register Vol. 54, No. 28, July 13, 2024
(a)
					 The Department will classify each violation of this chapter into one of three
					 categories as described in paragraphs (1)-(3). A violation identified may be
					 classified as Class I, Class II or Class III, depending upon the severity,
					 duration and the adverse effect on the health and safety of residents.
(1)
Class I
. Class I
					 violations have a substantial probability of resulting in death or serious
					 mental or physical harm to a resident.
(2)
Class II
. Class II
					 violations have a substantial adverse effect upon the health, safety or
					 well-being of a resident.
(3)
Class III
. Class III violations are minor violations, which
					 have an adverse effect upon the health, safety or well-being of a
					 resident.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 2600 - PERSONAL CARE HOMES › ENFORCEMENT › Section 2600.262 - Penalties

Current through Register Vol. 54, No. 28, July 13, 2024
(a) The Department
					 will assess a penalty for each violation of this chapter.
(b) Penalties will be assessed on a daily
					 basis from the date on which the citation was issued until the date the
					 violation is corrected, except in the case of Class II and Class III
					 violations.
(c) In the case of a
					 Class II violation, assessment of the penalty will be suspended for 5 days from
					 the date of citation to permit sufficient time for the home to correct the
					 violation. If the home fails to provide proof of correction of the violation to
					 the Department within the 5-day period, the fine will be retroactive to the
					 date of citation. The Department may extend the time period for good
					 cause.
(d) The Department will
					 assess a penalty of $20 per resident per day for each Class I violation. Each
					 Class I violation shall be corrected within 24 hours.
(e) The Department will assess a minimum
					 penalty of $5 per resident per day, up to a maximum penalty of $15 per resident
					 per day, for each Class II violation.
(f) There is no monetary penalty for Class
					 III violations unless the home fails to correct the violation within 15 days.
					 Failure to correct a Class III violation within the 15-day period may result in
					 a penalty assessment of up to $3 per resident per day for each Class III
					 violation retroactive to the date of the citation.
(g) If a home is found to be operating
					 without a license, a penalty of $500 will be assessed. After 14 days, if the
					 home operator cited for operating without a license fails to file an
					 application for a license, the Department will assess an additional $20 for
					 each resident for each day during which the home operator fails to
					 apply.
(h) A home charged with a
					 violation of this chapter or Chapter 20 (relating to licensure or approval of
					 facilities and agencies) has 30 days to pay the assessed penalty in
					 full.
This section cited in 55 Pa. Code §
													2600.266 (relating to revocation
						  or renewal of licenses).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 2600 - PERSONAL CARE HOMES › ENFORCEMENT › Section 2600.263 - Appeals of penalty

Current through Register Vol. 54, No. 28, July 13, 2024
(a) If the
					 home that is fined intends to appeal the amount of the penalty or the fact of
					 the violation, the home shall forward the assessed penalty, not to exceed $500,
					 to the Secretary for placement in an escrow account with the State Treasurer. A
					 letter appealing the penalty shall be submitted with the assessed penalty. This
					 process constitutes an appeal.
(b)
					 If, through an administrative hearing or judicial review of the proposed
					 penalty, it is determined that no violation occurred or that the amount of the
					 penalty shall be reduced, the Secretary will, within 30 days, remit the
					 appropriate amount to the legal entity together with interest accumulated on
					 these funds in the escrow deposit.
(c) Failure to forward payment of the
					 assessed penalty to the Secretary within 30 days will result in a waiver of the
					 right to contest the fact of the violation or the amount of the
					 penalty.
(d) After an
					 administrative hearing decision that is adverse to the legal entity, or a
					 waiver of the administrative hearing, the assessed penalty amount will be made
					 payable to the "Commonwealth of Pennsylvania." It will be collectible in a
					 manner provided by law for the collection of debts.
(e) If a home liable to pay the penalty
					 neglects or refuses to pay the penalty upon demand, the failure to pay will
					 constitute a judgment in favor of the Commonwealth in the amount of the
					 penalty, together with the interest and costs that may accrue on these
					 funds.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 2600 - PERSONAL CARE HOMES › ENFORCEMENT › Section 2600.264 - Use of fines

Current through Register Vol. 54, No. 28, July 13, 2024
(a) Money
					 collected by the Department under this section will be placed in a special
					 restricted receipt account.
(b)
					 Money collected will be used first to defray the expenses incurred by residents
					 relocated under this chapter.
(c)
					 The Department will use money remaining in this account to assist with paying
					 for enforcement of this chapter. Fines collected will not be subject to
					 42 Pa.C.S. §
												3733
					 (relating to deposits into account).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 2600 - PERSONAL CARE HOMES › ENFORCEMENT › Section 2600.265 - Review of classifications

Current through Register Vol. 54, No. 28, July 13, 2024
(a)
					 The Department will review the determinations of Class I, Class II and Class
					 III violations made by the Department's personal care home regional
					 offices.
(b) Semiannually, the
					 Department will review the standard guidelines for the classification of
					 violations and evaluate the use of these guidelines. This review is to ensure
					 the uniformity and consistency of the classification process.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 2600 - PERSONAL CARE HOMES › ENFORCEMENT › Section 2600.266 - Revocation or nonrenewal of licenses

Current through Register Vol. 54, No. 28, July 13, 2024
(a) The Department will temporarily revoke
					 the license of a home if, without good cause, one or more Class I violations
					 remain uncorrected 24 hours after the home has been cited for the
					 violation.
(b) The Department will
					 temporarily revoke the license of a home if, without good cause, one or more
					 Class II violations remain uncorrected 15 days after the citation.
(c) Upon the revocation of a license in the
					 instances described in subsections (a) and (b), or if the home continues to
					 operate without applying for a license as described in §
											2600.262(h)
					 (relating to penalties), residents shall be relocated.
(d) The revocation of a license may terminate
					 upon the Department's determination that its violation is corrected.
(e) If, after 3 months, the Department does
					 not issue a new license for a home, the prior license is revoked under section
					 1087 of the Public Welfare Code (62 P. S. §
												1087).
(1)
					 Revocation or nonrenewal under this section will be for a minimum of 5
					 years.
(2) A home, which has had a
					 license revoked or not renewed under this section, will not be allowed to
					 operate, staff or hold an interest in a home which applies for a license for 5
					 years after the revocation or nonrenewal.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 2600 - PERSONAL CARE HOMES › ENFORCEMENT › Section 2600.267 - Relocation of residents

Current through Register Vol. 54, No. 28, July 13, 2024
(a) If the
					 relocation of residents is due to the failure of the home to apply for a
					 license, the Department will offer relocation assistance to the residents. This
					 assistance will include each resident's involvement in planning the relocation,
					 except in the case of an emergency. Each resident shall have the right to
					 choose among the available alternatives after an opportunity to visit the
					 alternative homes. These procedures will occur even if the residents are placed
					 in a temporary living situation.
(b) A resident will not be relocated if the
					 Secretary determines in writing that the relocation is not in the best interest
					 of the resident.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 2600 - PERSONAL CARE HOMES › ENFORCEMENT › Section 2600.268 - Notice of violations

Current through Register Vol. 54, No. 28, July 13, 2024
(a) The
					 administrator shall give each resident and the resident's designated person
					 written notification of a Class I violation within 24 hours of the
					 citation.
(b) The administrator
					 shall give each resident and the resident's designated person oral or written
					 notification of a Class I or Class II violation, as defined in §
											2600.261 (relating to
					 classification of violations), which remains uncorrected for 5 days after the
					 date of citation.
(c) If a Class II
					 violation remains uncorrected within 5 days following the citation, the
					 administrator shall give written notice of the violation to each resident and
					 the resident's designated person on the 6th day from the date of the
					 citation.
(d) The Department will
					 provide immediate written notification to the appropriate long-term care
					 ombudsman of Class I violations, and notification of Class II violations which
					 remain uncorrected 5 days after the date of citation.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 2600 - PERSONAL CARE HOMES › ENFORCEMENT › Section 2600.269 - Ban on admissions

Current through Register Vol. 54, No. 28, July 13, 2024
(a) The
					 Department will ban new admissions to a home:
(1) That has been found to have a Class I
					 violation.
(2) That has been found
					 to have a Class II violation that remains uncorrected without good cause 5 days
					 after being cited for the violation.
(3) Whose license has been revoked or
					 nonrenewed.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 2600 - PERSONAL CARE HOMES › ENFORCEMENT › Section 2600.270 - Correction of violations

Current through Register Vol. 54, No. 28, July 13, 2024
The correction of a violation cited under section 1086 of
						the Public Welfare Code (62 P. S. §
												1086) does not preclude the Department from
						issuing a provisional license based upon the same violation.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 2610 - FOSTER HOME CARE SERVICES FOR ADULTS › GENERAL PROVISIONS › Section 2610.1 - Service goals

Current through Register Vol. 54, No. 28, July 13, 2024
The service goals of this chapter are:
(1) To provide supportive, home-like,
					 community-based living arrangements for individuals who cannot live
					 independently in the community.
(2)
					 To encourage and assist individuals in developing and maintaining maximum
					 initiative and self-determination, in a home-like setting.
(3) To prevent unnecessary
					 institutionalization, and help individuals in institutions to return to their
					 own community and, ultimately, if possible, to their own homes.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 2610 - FOSTER HOME CARE SERVICES FOR ADULTS › GENERAL PROVISIONS › Section 2610.2 - Definition of services

Current through Register Vol. 54, No. 28, July 13, 2024
(a)
					 Specific service activities performed by administering agencies include, but
					 are not limited to:
(1) Seeking out marginally
					 socially adjusted adults and placing them in foster homes suited to their
					 individual needs.
(2) Continuing
					 periodic contact with adults placed in foster homes to insure adequacy of care
					 and appropriateness of placement.
(3) Identifying and training prospective
					 foster home care providers who are qualified under this chapter.
(4) Maintaining a registry of certified
					 foster homes.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 2610 - FOSTER HOME CARE SERVICES FOR ADULTS › GENERAL PROVISIONS › Section 2610.3 - Client characteristics

Current through Register Vol. 54, No. 28, July 13, 2024
(a) A
					 client placed in a foster home for adults shall:
(1) Be 18 years of age or older.
(2) Have demonstrated, over an extended
					 period of time, marginal social adjustment which prevents independent living in
					 the community.
(3) Not require
					 intermediate care, skilled nursing care or general or special hospital care, on
					 a 24 hour, residential basis.
(4)
					 Have no family or significant others willing or able to provide the necessary
					 support.
(5) Have no in-home
					 service, necessary for independent living, available to
					 him.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 2610 - FOSTER HOME CARE SERVICES FOR ADULTS › GENERAL PROVISIONS › Section 2610.4 - Definitions

Current through Register Vol. 54, No. 28, July 13, 2024
The following words and terms, when used in this chapter,
						have the following meanings unless the contents clearly indicate
						otherwise:
Administering agency
-A private agency
						from which the Department is purchasing services for carrying out functions
						normally fulfilled by State or local governmental agencies.
Department
-The Department of Public
						Welfare of the Commonwealth.
Foster home
-A private home in which the
						foster home care provider lives, and provides a substitute family setting for a
						period exceeding 24 hours, to no more than three clients.
Group foster home
-A residence which
						provides a safe, supportive, substitute home, for a period exceeding 24 hours
						to 4 to 13 clients.
Temporary illness
-An illness which makes
						it necessary for a client to be confined to his room for a period not exceeding
						14 consecutive days, or an illness defined as temporary by the client's
						personal physician.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 2610 - FOSTER HOME CARE SERVICES FOR ADULTS › GENERAL REQUIREMENTS › Section 2610.11 - Responsibilities of administering agencies

Current through Register Vol. 54, No. 28, July 13, 2024
(a) The administering agency shall make
					 placements only with the client's informed consent and concurrence of the
					 client's legal guardian, if any.
(b) The administering agency shall place
					 clients only in homes certified by the Department. Certification shall be made
					 annually, as a minimum.
(c) There
					 shall be a written agreement between the administering agency and the foster
					 home care provider, indicating their respective responsibilities.
(d) The administering agency, after
					 discussion with the client and significant others, shall be responsible for:
(1) Assessing client needs.
(2) Developing a placement plan.
(3) Insuring implementation of the placement
					 plan.
(4) Ongoing monitoring of
					 foster home care services.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 2610 - FOSTER HOME CARE SERVICES FOR ADULTS › GENERAL REQUIREMENTS › Section 2610.12 - Responsibilities of foster home care providers

Current through Register Vol. 54, No. 28, July 13, 2024
(a) There shall be a written agreement
					 between the foster home care provider and the client, specifying the monthly
					 charge for the foster home care services, and indicating the responsibilities
					 of the foster home care provider and the client. A standardized form for this
					 agreement shall be provided by the Department.
(b) The foster home care provider shall
					 insure, and shall so inform the client, that he:
(1) Is not restricted in his right to leave
					 and return to the foster home or group foster home.
(2) Is free to receive visitors at mutually
					 agreed upon times.
(3) Has access
					 to a telephone in the foster home or group foster home and can make local
					 calls, in reasonable privacy, without charge. Arrangements shall be made with
					 the client or a responsible person for payment of long distance
					 calls.
(4) Has access to the United
					 States mail, can write and send uncensored mail at his own expense, and
					 receive, unopened mail addressed to him.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 2610 - FOSTER HOME CARE SERVICES FOR ADULTS › GENERAL REQUIREMENTS › Section 2610.13 - Staffing

Current through Register Vol. 54, No. 28, July 13, 2024
(a) Two written
					 references shall be obtained, and kept on file by the administering agency, as
					 to the suitability of the provider to offer foster home care services,
					 including especially his sensitivity and capability in dealing with potential
					 clients as well as his financial responsibility.
(b) One person shall be designated as
					 responsible for the operation and management of the home. A second person shall
					 be designated to act in his absence.
(c) When there are seven or more clients
					 present in the group foster home, there shall be at least two responsible
					 adults to assist clients with personal care and evacuation in the event of fire
					 or another disaster. The Department may require an increase in the number of
					 personnel as it deems necessary for the health, welfare, and safety of clients
					 in the group foster home.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 2610 - FOSTER HOME CARE SERVICES FOR ADULTS › GENERAL REQUIREMENTS › Section 2610.14 - Building and physical plant

Current through Register Vol. 54, No. 28, July 13, 2024
(a)
					 The following building and physical plant standards apply to foster homes and
					 group foster homes:
(1) Housing arrangements
					 shall meet applicable Federal, State, and local building and health
					 codes.
(2) Water from a source not
					 under public supervision shall be approved as meeting State water quality
					 standards.
(3) The home shall have
					 an adequate supply of piped hot and cold water to each lavatory,
					 bathtub/shower, kitchen sink, dishwasher, and for laundry equipment. Hot water
					 accessible to clients shall not exceed 140°F. at the outlets.
(4) Sewage shall be discharged into a public
					 sewer system or disposed of in a manner approved by the State or local health
					 authorities.
(5) Heating in rooms
					 used by clients shall be maintained at a temperature of not less than
					 68°F.
(6) Space heaters shall
					 not be used.
(7) A living room or
					 recreational area shall be available to clients.
(8) Bedrooms shall be either single or double
					 occupancy. A single occupancy room shall have no less than 80 square feet of
					 floor space. A double occupancy room shall have no less than 70 square feet of
					 floor space for each client.
(9) A
					 minimum total window area on outside walls equal to 1/8 of the floor area shall
					 be provided in each client's bedroom.
(10) Clients' bedrooms shall not be used for
					 another purpose by the foster home care provider.
(11) Space for personal property, such as
					 trunks, suitcases, and seasonal clothing, shall be provided in a dry, protected
					 area, accessible to clients.
(12)
					 Toilet paper in a suitable dispenser shall be provided within reach of each
					 toilet.
(13) Clean linens shall be
					 stored in an area separate from the laundry room. Soiled linens and clothing
					 shall be stored in a separate storage room or area.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 2610 - FOSTER HOME CARE SERVICES FOR ADULTS › GENERAL REQUIREMENTS › Section 2610.15 - Fire protection and safety

Current through Register Vol. 54, No. 28, July 13, 2024
(a) The provider shall request the local fire
					 department to inspect and approve the building for fire safety, determine the
					 type and number of extinguishers required and where they are to be located.
					 Fire safety inspection shall be done for initial occupancy and at least
					 annually thereafter, or as often as indicated.
(b) The telephone number of the local fire
					 department serving the home shall be posted by the telephones.
(c) The home shall have a written plan for
					 the protection of persons within the building in the event of an internal or
					 external disaster.
(d) Fire
					 extinguishers shall be inspected and tested in accordance with local fire
					 department regulations. The provider, and adults assigned to provide personal
					 care and other services to clients, shall be instructed in the operation of the
					 various types of fire extinguishers used in the home.
(e) Simulated fire drills shall be held at
					 least quarterly. Fire drills shall be held during the day and at night. At
					 least one fire drill shall be supervised by the local fire department. A record
					 of each fire drill shall be maintained. The record shall include the date, the
					 time required for evacuation, the number of people evacuated, and the number of
					 people taking part in the drill.
(f) A diagram of each floor, showing
					 corridors, lines of travel, exit doors, location of fire extinguishers and fire
					 doors, as applicable, shall be posted in a clearly visible position and
					 explained to clients.
(g) Proper
					 safeguards shall be taken at all times against the fire hazards involved in
					 smoking.
(h) Exposed heating pipes,
					 hot water pipes, or radiators, in rooms and areas used by clients, and within
					 reach by clients, shall be covered or protected to prevent burns or injury to
					 clients.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 2610 - FOSTER HOME CARE SERVICES FOR ADULTS › GENERAL REQUIREMENTS › Section 2610.16 - Furnishings, equipment and clothing

Current through Register Vol. 54, No. 28, July 13, 2024
(a) Each client shall be provided, in the
					 room he occupies, with at least the items listed in paragraphs (1)-(10). These
					 items shall be clean and maintained in good repair:
(1) Standard single or double bed, without
					 casters or with locked casters, with or without head or foot boards.
(2) Mattress and firm spring.
(3) Bed pillow.
(4) Bedside table and table light.
(5) Dresser and mirror.
(6) Clothes closet or wardrobe.
(7) Lounge chair and rocking chair.
(8) Bed linens and blankets.
(9) Towels and wash cloths.
(10) Towel bars, if not provided in the
					 bathroom.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 2610 - FOSTER HOME CARE SERVICES FOR ADULTS › GENERAL REQUIREMENTS › Section 2610.17 - Nutrition

Current through Register Vol. 54, No. 28, July 13, 2024
(a) Clients shall
					 be served at least three well-balanced meals or their equivalent
					 daily.
(b) The first meal of the
					 day shall be served between 7 and 9 a.m. and the other meals approximately 5
					 hours apart. There shall be no more than 14 hours between the substantial
					 evening meal and the first meal and the first meal of the next day.
(c) Dietary restrictions, prescribed by the
					 client's personal physician, shall be adhered to. Menus for special diets shall
					 be reviewed at least annually by the client's personal physician or by a
					 registered dietitian made available through the agency. Snack foods may be made
					 available if within nutritional and dietary restrictions.
(d) Menus shall be planned at least 1 week in
					 advance. Copies of the menus shall be retained on file for at least 4
					 weeks.
(e) Meals shall be served to
					 clients in a dining room or dining area. Tray service shall only be available
					 for clients confined to their room due to temporary illness.
(f) The dining room shall be properly
					 equipped with tables and chairs. Dishes, glasses, trays, table service,
					 flatware and utensils necessary for food service shall be provided. Equipment
					 and utensils used for eating, drinking, preparing and serving food shall be
					 clean, and free of chips or cracks.
(g) Food stored, prepared, or served shall be
					 clean, wholesome, free from spoilage, and safe for human consumption.
(h) Floors, walls, vents, equipment and fans
					 shall be kept clean and in good repair at all times.
(i) Food returned from individual plates
					 shall be discarded and not used in the preparation of other food dishes, or be
					 served again.
(j) Raw milk shall
					 not be served or used in food preparation.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 2610 - FOSTER HOME CARE SERVICES FOR ADULTS › GENERAL REQUIREMENTS › Section 2610.18 - Housekeeping and maintenance

Current through Register Vol. 54, No. 28, July 13, 2024
(a)
					 The home shall be equipped, arranged, and maintained to provide for the health,
					 safety, and well-being of clients.
(b) The atmosphere and routine of the home
					 shall be such that clients may spend the majority of their nonsleeping hours
					 outside of their bedrooms.
(c)
					 Furnishings and housekeeping standards shall be such that the home is
					 comfortable and clean.
(d) Clients'
					 rooms shall be cleaned as needed.
(e) The building shall be maintained in good
					 repair and free of hazards such as loose or broken window glass, loose or
					 cracked floor coverings, and similar conditions.
(f) The home shall be made safe for
					 functionally disabled clients by elimination of, or protection from, such
					 domestic hazards as slipping rugs and unguarded household appliances. Stairways
					 shall have securely fastened handrails.
(g) Windows and doors opening to the outside,
					 except approved exit doors, shall be effectively covered by
					 screening.
(h) Garbage and rubbish
					 containers shall have tight fitting covers.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 2800 - ASSISTED LIVING RESIDENCES › GENERAL PROVISIONS › Section 2800.1 - Purpose

Current through Register Vol. 54, No. 28, July 13, 2024
(a) The purpose of
					 this chapter is to protect the health, safety and well-being of assisted living
					 residents.
(b) Assisted living
					 residences are a significant long-term care alternative to allow individuals to
					 age in place. Residents who live in assisted living residences that meet the
					 requirements in this chapter will receive the assistance they need to age in
					 place and develop and maintain maximum independence, exercise decision-making
					 and personal choice.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 2800 - ASSISTED LIVING RESIDENCES › GENERAL PROVISIONS › Section 2800.2 - Scope

Current through Register Vol. 54, No. 28, July 13, 2024
(a) This chapter
					 applies to assisted living residences as defined in this chapter, and contains
					 the minimum requirements that shall be met to obtain a license to operate an
					 assisted living residence.
(b) This
					 chapter does not apply to personal care homes, domiciliary care homes,
					 independent living communities or commercial boarding homes.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 2800 - ASSISTED LIVING RESIDENCES › GENERAL PROVISIONS › Section 2800.3 - Inspections and licenses

Current through Register Vol. 54, No. 28, July 13, 2024
(a) The
					 Department will annually conduct at least one onsite unannounced inspection of
					 each assisted living residence.
(b)
					 Additional announced or unannounced inspections may be conducted at the
					 Department's discretion.
(c) A
					 license will be issued to the legal entity by the Department if, after an
					 investigation by an authorized agent of the Department, the requirements for a
					 license are met.
(d) The assisted
					 living residence shall post the current license, a copy of the current license
					 inspection summary issued by the Department and a copy of this chapter in a
					 conspicuous and public place in the assisted living residence.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 2800 - ASSISTED LIVING RESIDENCES › GENERAL PROVISIONS › Section 2800.4a - Statement of Policy-Definition of an Assisted Living Residence

Current through Register Vol. 54, No. 28, July 13, 2024
In the case of premises where a provider renders
						home-based and community-based services that are similar to services governed
						by this chapter, an assisted living residence is not either of the following:
(1) Premises where the owner of the
					 real property of the premises has no ownership, control, or affiliation with
					 any provider of home-based and community-based personal assistance services at
					 those premises.
(2) An independent
					 living unit on the campus of a Continuing Care Retirement Community governed by
					 the Continuing-Care Provider Registration and Disclosure Act (40 P.S.
					 §§
												3201-3225), if the residents of
					 the independent living unit receive, or have the legitimate opportunity to
					 receive, personal assistance services from a home-based and community-based
					 service provider that is not owned or controlled by, or affiliated with, the
					 owner of the independent living unit.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 2800 - ASSISTED LIVING RESIDENCES › GENERAL PROVISIONS › Section 2800.5 - Access

Current through Register Vol. 54, No. 28, July 13, 2024
(a) The
					 administrator, administrator designee or staff person designated under §
											2800.56(c)
					 (relating to administrator staffing) shall provide, upon request, immediate
					 access to the residence, the residents and records to:
(1) Agents of the Department.
(2) Representatives of the area agency on
					 aging.
(3) Representatives of the
					 Long-Term Care Ombudsman Program.
(4) Representatives of the protection and
					 advocacy system for individuals with disabilities designated under the
					 Protection and Advocacy for Individual Rights Program of the Vocational
					 Rehabilitation and Rehabilitation Services Act (29 U.S.C.A. §
													794e), the Protection and Advocacy for
					 Individuals with Mental Illness Act (42 U.S.C.A. §§
													10801-10851) and the Developmental
					 Disabilities Assistance and Bill of Rights Act (42 U.S.C.A. §§
													15041-15043).
(5) The resident's designated person, if so
					 requested by the resident. The access to records under this paragraph is
					 limited to the records of the resident.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 2800 - ASSISTED LIVING RESIDENCES › GENERAL REQUIREMENTS › Section 2800.11 - Procedural requirements for licensure or approval of assisted living residences; special care designation and dual licensure

Current through Register Vol. 54, No. 28, July 13, 2024
(a) Except for §
											20.32 (relating to announced
					 inspections), the requirements in Chapter 20 (relating to licensure or approval
					 of facilities and agencies) apply to assisted living residences.
(b) Before a residence is initially licensed
					 and permitted to open, operate or admit residents, it will be inspected by the
					 Department and found to be in compliance with applicable laws and regulations
					 including this chapter. The Department will reinspect newly licensed residences
					 within 3 months of the date of initial licensure.
(c) After the Department determines that a
					 residence meets the requirements for a license, the Department's issuance or
					 renewal of a license to a residence is contingent upon receipt by the
					 Department of the following fees based on the number of beds in the residence,
					 as follows:
(1) A $300 license application or
					 renewal fee.
(2) A $75 per bed fee
					 that may be adjusted by the Department annually at a rate not to exceed the
					 Consumer Price Index. The Department will publish a notice in the
Pennsylvania Bulletin
when the per bed fee is
					 increased.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 2800 - ASSISTED LIVING RESIDENCES › GENERAL REQUIREMENTS › Section 2800.12 - Appeals

Current through Register Vol. 54, No. 28, July 13, 2024
(a) Appeals related
					 to the licensure or approval of the assisted living residence shall be made in
					 accordance with 1 Pa. Code Part II (relating to General Rules of Administrative
					 Practice and Procedure (GRAPP)).
(b) Appeals related to the licensure or
					 approval of the assisted living residence shall be made by filing a petition
					 within 30 days after service of notice of the action.
(c) Subsection (b) supersedes the appeal
					 period of 1 Pa. Code §
											35.20 (relating to appeals from
					 actions of the staff).
This section cited in 55 Pa. Code §
													2800.19 (relating to
						  waivers).