reglab/statecodes huggingface dataset:
Pennsylvania Code › Title 6 - AGING › Part I - Department of Aging › Chapter 11 - OLDER ADULT DAILY LIVING CENTERS › Subchapter A - LICENSURE AND OPERATION REQUIREMENTS › FIRE SAFETY › Section 11.88 - Fire drills

Current through Register Vol. 54, No. 28, July 13, 2024
(a) A fire
					 drill, complete with evacuation to a designated meeting place outside the
					 building or a fire safe area within a building, shall be held at least once
					 every 6 months.
(b) A written fire
					 drill record shall be kept of the date, time, the amount of time it took for
					 evacuation, the exit route used, problems encountered and whether the fire
					 alarm was operative.
(c) Alternate
					 exit routes shall be used during fire drills.
(d) Fire drills shall be held on different
					 days of the week and at different times of the day.
(e) Fire alarms shall be set off during each
					 fire drill. In a center located in a larger building complex served by a common
					 fire alarm system, a mock fire alarm device may be substituted to signal fire
					 drills which are not held for all the occupants of the entire building complex.
					 In this case, the mock fire alarm device shall have a sound similar to the
					 building fire alarm system, or the difference in sound shall be demonstrated
					 and explained to clients so that they can distinguish between the sound of the
					 building fire alarm system and the mock fire alarm device.
This section cited in 6 Pa. Code §
													11.212 (relating to
						  applicability).
Pennsylvania Code › Title 6 - AGING › Part I - Department of Aging › Chapter 11 - OLDER ADULT DAILY LIVING CENTERS › Subchapter A - LICENSURE AND OPERATION REQUIREMENTS › FIRE SAFETY › Section 11.89 - Exit signs

Current through Register Vol. 54, No. 28, July 13, 2024
(a) Signs
					 bearing the word "EXIT" in plain, legible letters shall be placed at
					 exits.
(b) If the exit or way to
					 reach the exit is not immediately visible to the clients, access to exits shall
					 be marked with readily-visible signs indicating the direction of
					 travel.
(c) Exit sign letters shall
					 be at least 6 inches high with the principal strokes of letters not less than
					 3/4 inch wide.
This section cited in 6 Pa. Code §
													11.212 (relating to
						  applicability).
Pennsylvania Code › Title 6 - AGING › Part I - Department of Aging › Chapter 11 - OLDER ADULT DAILY LIVING CENTERS › Subchapter A - LICENSURE AND OPERATION REQUIREMENTS › FIRE SAFETY › Section 11.90 - Fire safety training for clients

Current through Register Vol. 54, No. 28, July 13, 2024
(a)
					 A client shall be instructed upon initial admission and reinstructed quarterly
					 in general fire safety, evacuation procedures, responsibilities during fire
					 drills and the designated meeting place outside the building or within the fire
					 safe area in the event of an actual fire. A client shall also be instructed in
					 smoking safety procedures if clients or staff persons smoke at the
					 center.
(b) If a client is
					 medically or functionally unable to participate completely in the fire safety
					 training, the client shall nevertheless participate to the maximum extent
					 possible. The center shall document the extent of the client's
					 participation.
(c) A written record
					 of fire safety training, including content of the training and clients
					 attending shall be kept.
This section cited in 6 Pa. Code §
													11.212 (relating to
						  applicability).
Pennsylvania Code › Title 6 - AGING › Part I - Department of Aging › Chapter 11 - OLDER ADULT DAILY LIVING CENTERS › Subchapter A - LICENSURE AND OPERATION REQUIREMENTS › FIRE SAFETY › Section 11.91 - Smoking safety procedures

Current through Register Vol. 54, No. 28, July 13, 2024
(a) If
					 clients or staff persons smoke at the center, there shall be written smoking
					 safety procedures.
(b) Written
					 smoking safety procedures shall be followed.
This section cited in 6 Pa. Code §
													11.212 (relating to
						  applicability).
Pennsylvania Code › Title 6 - AGING › Part I - Department of Aging › Chapter 11 - OLDER ADULT DAILY LIVING CENTERS › Subchapter A - LICENSURE AND OPERATION REQUIREMENTS › PROGRAM COMPONENTS › Section 11.101 - Intake screening

Current through Register Vol. 54, No. 28, July 13, 2024
(a) The
					 center shall complete, or arrange for the completion of, an intake screening
					 for each applicant in order to determine the appropriateness of the older adult
					 daily living center for that individual. The screening shall be completed
					 within 60 days prior to admission.
(b) The following information shall be
					 included in an individual client file:
(1)
					 The applicant's name, address, birth date, social security number and phone
					 number.
(2) The referral
					 source.
(3) The usual living
					 arrangement, describing the following:
(i) The
					 dwelling unit.
(ii) The present
					 address.
(iii) The usual means of
					 transportation.
(4) A
					 social history, including past and present occupation and types of activities
					 enjoyed.
(5) Client-rated health
					 status, allergies or contraindicated medication and current
					 medications.
(6) The names and
					 phone numbers of the primary physician, other physicians or CRNP involved, and
					 of an emergency contact person.
(7)
					 The community agencies involved in providing formal services, and the
					 designation of care manager, if any; a list of informal supports; identity of,
					 and limitations or restraints on, the primary caregiver, problems with
					 caregiving, the extent of perceived caregiver burden, and the extent of
					 caregiver need for support.
(8) The
					 limitations of the client relating to ADLs, IADLs and mobility; and the use of
					 physical aids.
(9) Special
					 instructions for the client's diet, food allergies and special diets.
(10) Cognitive functioning, describing:
(i) The client's orientation.
(ii) Recent memory.
(iii) Distant memory.
(iv) The ability to understand directions and
					 to communicate needs.
(v) The
					 awareness of danger, risks and consequences.
(11) The emotional status and behavior,
					 describing:
(i) Recent stressful
					 events.
(ii) Response to
					 illness.
(iii) Emotional strengths,
					 expectations and motivation.
(iv)
					 Mental health treatment.
(v)
					 Current emotional problems or related behaviors, such as wandering or
					 sleeplessness.
(vi) The need for
					 supervision.
(12) The
					 identity of the person authorized to make decisions under advance directives,
					 such as durable power of attorney.
(13) Religious affiliation, if the client
					 chooses to divulge this information.
Pennsylvania Code › Title 6 - AGING › Part I - Department of Aging › Chapter 11 - OLDER ADULT DAILY LIVING CENTERS › Subchapter A - LICENSURE AND OPERATION REQUIREMENTS › PROGRAM COMPONENTS › Section 11.102 - Client physical examination and medical report

Current through Register Vol. 54, No. 28, July 13, 2024
(a) To be admitted, an applicant whose needs,
					 as determined through intake screening, may appropriately be met in a center,
					 shall also have had a physical examination within 3 months prior to admission
					 and annually thereafter.
(b) A
					 medical report documenting the physical examination and signed and dated by a
					 licensed physician, CRNP or licensed physician's assistant shall be submitted
					 by the client or responsible party to the center upon admission and annually
					 thereafter.
(c) The medical report
					 shall include:
(1) A review of previous health
					 history, current medication regimen, use of medical treatments and therapies;
					 current health problems and conditions; and a schedule for client
					 self-administration of medications.
(2) The record of a general physical
					 examination.
(3) General sensory
					 functioning; sensory aids.
(4) An
					 indication that a tuberculin skin test has been administered with negative
					 results within 2 years; or, if tuberculin skin test is positive, the results of
					 a chest X-ray.
(5) To the extent
					 that confidentiality laws permit, written authorization in the form of a signed
					 statement that the client is free of communicable disease, or that the client
					 has a communicable disease but is able to be in the center if specific
					 precautions are taken which will prevent the spread of the disease to other
					 individuals.
(6) Medical
					 information pertinent to diagnosis and treatment in case of an
					 emergency.
Pennsylvania Code › Title 6 - AGING › Part I - Department of Aging › Chapter 11 - OLDER ADULT DAILY LIVING CENTERS › Subchapter A - LICENSURE AND OPERATION REQUIREMENTS › PROGRAM COMPONENTS › Section 11.103 - Enrollment agreement

Current through Register Vol. 54, No. 28, July 13, 2024
(a) The
					 center shall develop an enrollment agreement and discuss it with the client or
					 the responsible party, or both. The enrollment agreement shall include at least
					 the following elements:
(1) The available
					 services and goals of the center.
(2) The unit of charges and when it is
					 payable.
(3) Conditions for
					 termination from service, or discharge.
(4) The center's rules and
					 regulations.
(5) The release of
					 information form giving the center permission to share limited treatment and
					 diagnostic information with third-party payors for purposes of reimbursement
					 and to transfer the client's records to another facility if the client
					 transfers from the center to that facility.
Pennsylvania Code › Title 6 - AGING › Part I - Department of Aging › Chapter 11 - OLDER ADULT DAILY LIVING CENTERS › Subchapter A - LICENSURE AND OPERATION REQUIREMENTS › PROGRAM COMPONENTS › Section 11.104 - Development of individual care plan

Current through Register Vol. 54, No. 28, July 13, 2024
(a)
					 An individual care plan shall be developed for each client within 30 calendar
					 days following admission to the center.
(b) Center staff persons shall include the
					 client or the responsible party, or both, in the development of the individual
					 care plan.
(c) The individual care
					 plan shall contain at least the following elements:
(1) An identification of needs which can be
					 addressed at the center, and the order in which they will be
					 addressed.
(2) The goals to be
					 achieved.
(3) The methods and
					 activities for reaching these goals within a specified time frame.
(4) Documentation of the client's progress
					 toward meeting each goal and of goal attainment when, as required in §
												11.105 (relating to review and
					 revision of individual care plan), the plan is reviewed and, as necessary,
					 revised.
(5) Predetermined date for
					 the next review.
(6) An
					 identification of staff persons responsible for the implementation of the
					 plan.
Pennsylvania Code › Title 6 - AGING › Part I - Department of Aging › Chapter 11 - OLDER ADULT DAILY LIVING CENTERS › Subchapter A - LICENSURE AND OPERATION REQUIREMENTS › PROGRAM COMPONENTS › Section 11.105 - Review and revision of individual care plan

Current through Register Vol. 54, No. 28, July 13, 2024
(a) A review of the client's progress on the
					 plan shall be completed or coordinated at least every 6 months for clients in
					 attendance at the center. At the time of each semiannual progress review each
					 plan shall also be revised if necessary.
(b) Each semiannual review and, if necessary,
					 revision of the plan shall, except as set forth in subsection (c), be discussed
					 with the client or the responsible party, or both. When parties are unable to
					 be present at the center for a discussion of the plan, centers shall, except as
					 set forth in subsection (c), discuss the plan with them by telephone.
					 Documentation of these discussions shall be kept in the client's
					 record.
(c) When, in the opinion of
					 the center administrator, discussion of relevant portions of the plan with the
					 client, the responsible party, or other parties would be potentially harmful to
					 the health, safety or welfare of the client, centers may refrain from this
					 discussion. Centers shall address these situations in accordance with §
											11.16 (relating to reporting of
					 unusual incidents).
This section cited in 6 Pa. Code §
													11.104 (relating to development of
						  individual care plan); and 6 Pa. Code §
													11.212 (relating to
						  applicability).
Pennsylvania Code › Title 6 - AGING › Part I - Department of Aging › Chapter 11 - OLDER ADULT DAILY LIVING CENTERS › Subchapter A - LICENSURE AND OPERATION REQUIREMENTS › PROGRAM COMPONENTS › Section 11.106 - Implementation of individual care plan

Current through Register Vol. 54, No. 28, July 13, 2024
A center will implement the client's plan as
						written.
This section cited in 6 Pa. Code §
													11.212 (relating to
						  applicability).
Pennsylvania Code › Title 6 - AGING › Part I - Department of Aging › Chapter 11 - OLDER ADULT DAILY LIVING CENTERS › Subchapter A - LICENSURE AND OPERATION REQUIREMENTS › PROGRAM COMPONENTS › Section 11.107 - Copies of individual care plan

Current through Register Vol. 54, No. 28, July 13, 2024
(a)
					 A written copy of all plans and revisions made during reviews shall be kept in
					 the client's record.
(b) The client
					 and the responsible party shall, except as set forth in subsection (c), upon
					 request receive a copy of all plans and revisions.
(c) When, in the opinion of the center
					 administrator, providing copies of relevant portions of plans and revisions to
					 the client, the responsible party or other parties would be potentially harmful
					 to the health, safety or welfare of the client, centers may refrain from
					 providing them. Centers shall address these situations in accordance with
					 §
											11.16 (relating to reporting of
					 unusual incidents).
This section cited in 6 Pa. Code §
													11.212 (relating to
						  applicability).
Pennsylvania Code › Title 6 - AGING › Part I - Department of Aging › Chapter 11 - OLDER ADULT DAILY LIVING CENTERS › Subchapter A - LICENSURE AND OPERATION REQUIREMENTS › PROGRAM COMPONENTS › Section 11.108 - Coordination of care

Current through Register Vol. 54, No. 28, July 13, 2024
The need for coordination of care shall be considered for
						each client. If coordination of care is needed and if the person is a client of
						a human service agency, the center shall make every effort to coordinate its
						services with the services provided by that agency. If the client is in need of
						coordination of care and is not receiving care management from the center
						itself or from another organization or agency, the center shall, with the
						client's permission, refer the client to the appropriate agency providing care
						management.
This section cited in 6 Pa. Code §
													11.212 (relating to
						  applicability).
Pennsylvania Code › Title 6 - AGING › Part I - Department of Aging › Chapter 11 - OLDER ADULT DAILY LIVING CENTERS › Subchapter A - LICENSURE AND OPERATION REQUIREMENTS › PROGRAM COMPONENTS › Section 11.109 - Service documentation

Current through Register Vol. 54, No. 28, July 13, 2024
Progress notes on each client shall be written at least
						monthly and shall also be written as needed to reflect a review of the care
						plan and goals and objectives in light of changes in the client's status.
						Treatment notes and notes on significant events, when appropriate, shall be
						recorded according to professional standards.
This section cited in 6 Pa. Code §
													11.212 (relating to
						  applicability).
Pennsylvania Code › Title 6 - AGING › Part I - Department of Aging › Chapter 11 - OLDER ADULT DAILY LIVING CENTERS › Subchapter A - LICENSURE AND OPERATION REQUIREMENTS › DISCHARGE POLICY › Section 11.110 - Written policy

Current through Register Vol. 54, No. 28, July 13, 2024
(a) A center
					 shall have a written discharge policy available to clients on
					 admission.
(b) The written policy
					 shall include, at a minimum, provisions requiring discharge from a center when
					 one or more of the following apply:
(1) A
					 client does not have a functional impairment.
(2) A client is not capable of being
					 transported to the center.
(3) A
					 client is not in need of the structured program of activities or services
					 provided in the center.
(4) A
					 client cannot be retained, for reasons set forth in §
												11.4(c) (relating
					 to admissions criteria.)
(5) A
					 client or responsible party notifies the center orally or in writing of intent
					 to discontinue participation.
Pennsylvania Code › Title 6 - AGING › Part I - Department of Aging › Chapter 11 - OLDER ADULT DAILY LIVING CENTERS › Subchapter A - LICENSURE AND OPERATION REQUIREMENTS › DISCHARGE POLICY › Section 11.111 - Notification

Current through Register Vol. 54, No. 28, July 13, 2024
(a) When discharge
					 is initiated by the center, the center will give oral and written notification
					 to the client or responsible party, or both, at least 30 days in advance of the
					 impending discharge.
(b) A client
					 who experiences a sudden change in the level of functioning which, as
					 determined by the center, poses a threat to the client or others may be
					 discharged from the center immediately.
This section cited in 6 Pa. Code §
													11.112 (relating to interim
						  immediate action); and 6 Pa. Code §
													11.212 (relating to
						  applicability).
Pennsylvania Code › Title 6 - AGING › Part I - Department of Aging › Chapter 11 - OLDER ADULT DAILY LIVING CENTERS › Subchapter A - LICENSURE AND OPERATION REQUIREMENTS › DISCHARGE POLICY › Section 11.112 - Interim immediate action

Current through Register Vol. 54, No. 28, July 13, 2024
(a) In
					 instances set forth in §
											11.111(b)
					 (relating to notification), the center director shall take appropriate interim
					 immediate action to protect the health and safety of the client and others in
					 the center.
(b) Appropriate interim
					 immediate action includes steps which a responsible person would take in a
					 potentially volatile or dangerous situation, such as one or more of the
					 following:
(1) Preventing the client from
					 harming himself or others.
(2)
					 Calling the police.
(3) Notifying
					 local emergency mental health officials.
(4) Notifying the client's
					 physician.
(5) Notifying the
					 client's responsible party and family.
(6) Arranging to have the client
					 transferred.
Pennsylvania Code › Title 6 - AGING › Part I - Department of Aging › Chapter 11 - OLDER ADULT DAILY LIVING CENTERS › Subchapter A - LICENSURE AND OPERATION REQUIREMENTS › DISCHARGE POLICY › Section 11.113 - Record of discharge

Current through Register Vol. 54, No. 28, July 13, 2024
Documentation relating to discharge shall be recorded in
						the client's file and retained in accordance with §
											11.195 (relating to record
						retention).
This section cited in 6 Pa. Code §
													11.13 (relating to administration
						  and organization); and 6 Pa. Code §
													11.212 (relating to
						  applicability).
Pennsylvania Code › Title 6 - AGING › Part I - Department of Aging › Chapter 11 - OLDER ADULT DAILY LIVING CENTERS › Subchapter A - LICENSURE AND OPERATION REQUIREMENTS › CENTER SERVICES › Section 11.121 - Service goals

Current through Register Vol. 54, No. 28, July 13, 2024
The goals of planned programs of services provided or
						arranged at older adult daily living centers are set forth in §
											11.6 (relating to service
						goals).
This section cited in 6 Pa. Code §
													11.212 (relating to
						  applicability).
Pennsylvania Code › Title 6 - AGING › Part I - Department of Aging › Chapter 11 - OLDER ADULT DAILY LIVING CENTERS › Subchapter A - LICENSURE AND OPERATION REQUIREMENTS › CENTER SERVICES › Section 11.122 - Assurance of service quality

Current through Register Vol. 54, No. 28, July 13, 2024
A center shall take necessary and appropriate measures to
						assure the quality of the services which it provides or makes available, as
						described in §§
											11.123 and
						11.124 (relating to core services;
						and specialized services and additional services). These measures
						include:
(1) Obtaining from service
					 providers proof of licensure, certification or other approval required by the
					 Commonwealth or the relevant specialty, or both.
(2) Assuring that service providers carry
					 professional liability insurance.
This section cited in 6 Pa. Code §
													11.212 (relating to
						  applicability).
Pennsylvania Code › Title 6 - AGING › Part I - Department of Aging › Chapter 11 - OLDER ADULT DAILY LIVING CENTERS › Subchapter A - LICENSURE AND OPERATION REQUIREMENTS › CENTER SERVICES › Section 11.123 - Core services

Current through Register Vol. 54, No. 28, July 13, 2024
The following essential, core services shall be offered
						or arranged in center programs: personal care, nursing, social services,
						therapeutic activities, nutrition and emergency care. The intensity of the
						services shall be modified to meet the functional needs of the clients. It is
						anticipated that the services will be on a continuum to meet the range of
						client needs, with appropriate staff persons to supply or arrange these
						services. Each essential core service shall be addressed during the care
						planning process. The center shall provide and maintain the essential space,
						materials and equipment necessary to provide these services and to protect the
						privacy of the clients receiving the services. Core services are as
						follows:
(1)
Personal
					 care.
The center shall provide needed assistance and supervision with
					 activities of daily living.
(2)
Nursing services.
The center shall directly provide, contract
					 for or otherwise arrange for nursing services. The number of services provided
					 by the nurse, the manner in which a center obtains nursing services (which may
					 range from formal to informal), and the amount of time spent by the nurse in a
					 center (which may, for example, range from the daily services of a registered
					 nurse staffperson to a monthly or quarterly visit by a practical nurse) depend
					 upon the needs of the center's clients. Nursing service includes the following:
(i) Centers shall carry out the following
					 standard nursing functions at least quarterly:
(A) Review of the client's health status,
					 including dietary needs.
(B) Review
					 of medication procedures, if necessary.
(C) Review of policies and procedures for
					 personal care.
(D) Training and
					 education of staff persons regarding the needs of clients in centers, including
					 infection control.
Pennsylvania Code › Title 6 - AGING › Part I - Department of Aging › Chapter 11 - OLDER ADULT DAILY LIVING CENTERS › Subchapter A - LICENSURE AND OPERATION REQUIREMENTS › CENTER SERVICES › Section 11.124 - Specialized and additional services

Current through Register Vol. 54, No. 28, July 13, 2024
The statement of policy at Subchapter B (relating to
						statement of policy) establish guidelines for the provision of a range of
						specialized and of additional services, if appropriate for the center and
						needed by clients.
This section cited in 6 Pa. Code §
													11.122 (relating to assurance of
						  service quality); and 6 Pa. Code §
													11.212 (relating to
						  applicability).
Pennsylvania Code › Title 6 - AGING › Part I - Department of Aging › Chapter 11 - OLDER ADULT DAILY LIVING CENTERS › Subchapter A - LICENSURE AND OPERATION REQUIREMENTS › HEALTH › Section 11.131 - Client physical examination and medical report

Current through Register Vol. 54, No. 28, July 13, 2024
Client physical examination and medical report
						requirements are set forth in §
											11.102 (relating to client physical
						examination and medical report).
This section cited in 6 Pa. Code §
													11.212 (relating to
						  applicability).
Pennsylvania Code › Title 6 - AGING › Part I - Department of Aging › Chapter 11 - OLDER ADULT DAILY LIVING CENTERS › Subchapter A - LICENSURE AND OPERATION REQUIREMENTS › HEALTH › Section 11.132 - Staff physical examination

Current through Register Vol. 54, No. 28, July 13, 2024
(a)
					 Staffpersons who come into direct contact with clients or who prepare or serve
					 food shall have a physical examination within 12 months prior to employment,
					 and every 2 years from the date of the last physical examination
					 thereafter.
(b) A medical report
					 documenting the physical examination shall be signed and dated by a licensed
					 physician or CRNP and submitted to the center prior to the first day of
					 employment.
(c) The medical report
					 shall include:
(1) The record of a physical
					 examination.
(2) Indication that a
					 tuberculin skin test has been administered to the individual with negative
					 results within 2 years; or, if tuberculin skin test is positive, the results of
					 a chest X-ray.
(3) To the extent
					 that confidentiality laws permit, written authorization in the form of a signed
					 statement that the individual is free of communicable diseases or that the
					 individual has a communicable disease but is able to work in the center if
					 specific precautions are taken that will prevent the spread of the disease to
					 clients.
(4) Information on a
					 medical problem which might interfere with the health of the clients.
Pennsylvania Code › Title 6 - AGING › Part I - Department of Aging › Chapter 11 - OLDER ADULT DAILY LIVING CENTERS › Subchapter A - LICENSURE AND OPERATION REQUIREMENTS › HEALTH › Section 11.133 - Communicable disease

Current through Register Vol. 54, No. 28, July 13, 2024
(a) If a staff
					 person, volunteer or client has a communicable disease or a medical problem
					 which might interfere with the health, safety or well-being of others in the
					 center, written authorization from a licensed physician or CRNP, as set forth
					 in §§
											11.102 and
					 11.132 (relating to client physical
					 examination and medical report; and staff physical examination) is required in
					 order for the person to be present at the center.
(b) To the extent that confidentiality laws
					 permit, written authorization from a licensed physician or CRNP shall include a
					 statement that the person with a communicable disease does not pose a serious
					 threat to the health, safety or well-being of others in the center. Specific
					 instructions and precautions shall be provided for the protection of other
					 persons at the center.
(c) The
					 physician's or CRNP's written instructions and precautions shall be
					 followed.
This section cited in 6 Pa. Code §
													11.212 (relating to
						  applicability).
Pennsylvania Code › Title 6 - AGING › Part I - Department of Aging › Chapter 11 - OLDER ADULT DAILY LIVING CENTERS › Subchapter A - LICENSURE AND OPERATION REQUIREMENTS › HEALTH › Section 11.134 - Emergency medical plan

Current through Register Vol. 54, No. 28, July 13, 2024
The center shall have a written emergency medical plan
						listing the following:
(1) The
					 hospital or source of the health care that will be used in an
					 emergency.
(2) The transportation
					 procedure to be used.
(3) An
					 emergency staffing plan.
This section cited in 6 Pa. Code §
													11.21 (relating to emergency
						  procedures); and 6 Pa. Code §
													11.212 (relating to
						  applicability).
Pennsylvania Code › Title 6 - AGING › Part I - Department of Aging › Chapter 11 - OLDER ADULT DAILY LIVING CENTERS › Subchapter A - LICENSURE AND OPERATION REQUIREMENTS › MEDICATIONS › Section 11.141 - Storage of medications

Current through Register Vol. 54, No. 28, July 13, 2024
(a)
					 Prescription and nonprescription medications shall be kept in original or
					 refill labeled containers, except for medications of clients who
					 self-administer medications and keep their medications in personal daily or
					 weekly dispensing containers.
(b)
					 Medications shall be kept in an area or container that is locked.
(c) Medications stored in a refrigerator
					 shall be kept in a separate locked container.
(d) Medications shall be stored under proper
					 conditions of sanitation, temperature, moisture and light.
(e) Medications which are permanently
					 discontinued, outdated or no longer needed shall be disposed of in a safe
					 manner.
(f) Medications of a client
					 who permanently leaves a center shall be given to the client or the responsible
					 party when the client leaves.
(g)
					 The area in which medications are stored shall have sufficient lighting so that
					 labels can be read accurately.
Pennsylvania Code › Title 6 - AGING › Part I - Department of Aging › Chapter 11 - OLDER ADULT DAILY LIVING CENTERS › Subchapter A - LICENSURE AND OPERATION REQUIREMENTS › MEDICATIONS › Section 11.142 - Labeling of medications

Current through Register Vol. 54, No. 28, July 13, 2024
(a) The
					 original or refill container for medications shall be labeled. Centers cannot
					 administer medications from a container whose label does not include the
					 following information, in accordance with regulations of the State Board of
					 Pharmacy at 49 Pa. Code §
											27.18 (relating to standards of
					 practice):
(1) The name, address, telephone
					 number of the pharmacy and the BNDD (The Federal Bureau of Narcotics and
					 Dangerous Drugs) number assigned to it by that Bureau.
(2) The name of the patient.
(3) Full directions for the use of its
					 contents.
(4) The name of the
					 prescriber and a registration number of the prescriber required to be obtained
					 under applicable Federal statute.
(5) The serial number of the prescription and
					 the date originally filled.
(6) The
					 trade or brand name of the drug and proportion or amount of drug dispensed,
					 unless omission is specifically requested by the prescribing doctor in writing.
					 If the name is generic, the manufacturer's name shall also be shown.
(7) On controlled substances, the statement:
					 "Caution: Federal law prohibits the transfer of this drug to any person other
					 than the patient for whom it was prescribed."
Pennsylvania Code › Title 6 - AGING › Part I - Department of Aging › Chapter 11 - OLDER ADULT DAILY LIVING CENTERS › Subchapter A - LICENSURE AND OPERATION REQUIREMENTS › MEDICATIONS › Section 11.143 - Medication records

Current through Register Vol. 54, No. 28, July 13, 2024
(a) A medication
					 log listing medications, dosage, time, date and the name of the person who
					 administered the medication shall be kept for the clients who do not
					 self-administer medication and whose needs require the administration of
					 medication by qualified professionals at the center.
(b) The information in subsection (a) shall
					 be logged immediately after each client's dose of medication.
(c) A list of prescription medications, the
					 prescribed dosage and the name of the prescriber shall be kept for each client
					 who self-administers medication.
This section cited in 6 Pa. Code §
													11.212 (relating to
						  applicability).
Pennsylvania Code › Title 6 - AGING › Part I - Department of Aging › Chapter 11 - OLDER ADULT DAILY LIVING CENTERS › Subchapter A - LICENSURE AND OPERATION REQUIREMENTS › MEDICATIONS › Section 11.144 - Medication errors

Current through Register Vol. 54, No. 28, July 13, 2024
Medication errors and follow-up corrective action taken
						for each error shall be documented.
This section cited in 6 Pa. Code §
													11.212 (relating to
						  applicability).
Pennsylvania Code › Title 6 - AGING › Part I - Department of Aging › Chapter 11 - OLDER ADULT DAILY LIVING CENTERS › Subchapter A - LICENSURE AND OPERATION REQUIREMENTS › MEDICATIONS › Section 11.145 - Adverse reaction

Current through Register Vol. 54, No. 28, July 13, 2024
If a client has an adverse reaction to a medication, the
						center shall notify the prescribing physician or CRNP immediately. If contact
						cannot be made with the practitioner, emergency medical procedures shall be
						followed. Documentation of adverse reactions shall be kept.
This section cited in 6 Pa. Code §
													11.212 (relating to
						  applicability).
Pennsylvania Code › Title 6 - AGING › Part I - Department of Aging › Chapter 11 - OLDER ADULT DAILY LIVING CENTERS › Subchapter A - LICENSURE AND OPERATION REQUIREMENTS › MEDICATIONS › Section 11.146 - Administration of medications

Current through Register Vol. 54, No. 28, July 13, 2024
(a)
					 Medications and injections of substances that are not self-administered by
					 clients shall be administered by one of the following qualified professionals:
(1) A licensed physician, licensed dentist,
					 certified physician's assistant, CRNP, registered nurse and licensed practical
					 nurse.
(2) A graduate of an
					 approved nursing program functioning under the direct supervision of a
					 professional nurse who is present in the center.
(3) A student nurse of an approved nursing
					 program functioning under the direct supervision of a member of the nursing
					 school faculty who is present in the center.
Pennsylvania Code › Title 6 - AGING › Part I - Department of Aging › Chapter 11 - OLDER ADULT DAILY LIVING CENTERS › Subchapter A - LICENSURE AND OPERATION REQUIREMENTS › MEDICATIONS › Section 11.147 - Self-administration of medications

Current through Register Vol. 54, No. 28, July 13, 2024
(a) A
					 center shall provide clients with assistance, as needed, with medication
					 prescribed for self-administration. This assistance includes helping the client
					 to remember the schedule for taking the medication, storing the medication in a
					 secure place and making the medication available at the prescribed
					 times.
(b) When assistance includes
					 helping the client to remember the schedule for taking the medication, the
					 prescribed schedule shall be followed.
(c) If a client refuses to take a prescribed
					 medication, it shall be promptly reported to the responsible party or
					 practitioner, or both, and documented in the client's record.
(d) Medications not requiring special
					 conditions or handling may not be removed from original labeled containers more
					 than 2 hours in advance of scheduled administration. Liquids shall be
					 administered immediately after being withdrawn from their containers.
					 Medications requiring special storage conditions or handling shall be prepared
					 according to label directions.
(e)
					 To be considered capable of self-administration of medications, a client shall
					 be able to:
(1) Identify the
					 medication.
(2) Acknowledge the
					 amount of, and schedule for, medication.
(3) Remember to take the medication on
					 schedule with infrequent reminders from staff persons.
(4) Obtain medication from its container
					 without assistance or with minimal assistance.
Pennsylvania Code › Title 6 - AGING › Part I - Department of Aging › Chapter 11 - OLDER ADULT DAILY LIVING CENTERS › Subchapter A - LICENSURE AND OPERATION REQUIREMENTS › NUTRITION › Section 11.151 - Dining area

Current through Register Vol. 54, No. 28, July 13, 2024
(a) The center
					 shall have a dining area for lunches and breaks.
(b) The dining area shall be clean and
					 sanitary.
(c) The dining area shall
					 have a sufficient number of tables and chairs to accommodate the maximum number
					 of clients scheduled for lunch or break at one time.
(d) The dining area may be used for other
					 purposes throughout the program day.
This section cited in 6 Pa. Code §
													11.123 (relating to core services);
						  and 6 Pa. Code §
													11.212 (relating to
						  applicability).
Pennsylvania Code › Title 6 - AGING › Part I - Department of Aging › Chapter 11 - OLDER ADULT DAILY LIVING CENTERS › Subchapter A - LICENSURE AND OPERATION REQUIREMENTS › NUTRITION › Section 11.152 - Food provided or arranged for by center

Current through Register Vol. 54, No. 28, July 13, 2024
If the center provides or arranges for meals for clients,
						the following requirements apply:
(1)
					 Cold food shall be kept at or below 45° F. Hot food shall be kept at or
					 above 140° F. Frozen food shall be kept at or below 0° F.
(2) Written daily menus shall be prepared and
					 posted in a location visible to the clients. Menus shall be posted at least 1
					 program day prior to the menu date. Written menus shall be followed. Written
					 menus shall be retained for at least 2 months.
(3) At least one complete meal shall be
					 provided if the client is at the center for 4 or more hours. If a client is at
					 the center for more than 6 hours, a nutritional snack shall also be
					 provided.
(4) Each meal served
					 shall contain at least one item from the dairy, protein, fruits and vegetables
					 and grain food groups, unless medically contraindicated for individual
					 clients.
(5) Quantity of foods
					 served at each meal shall contain at least 1/3 of the daily recommended dietary
					 allowances as established by the Food and Nutrition Board of the National
					 Research Council.
(6) Prescribed
					 diets for clients with medically restricted diets shall be followed. A written
					 record of prescribed diets shall be kept in the client's file.
(7) The ethnic and religious preferences of
					 clients shall be considered when planning menus.
(8) Food shall be protected from
					 contamination while being stored, prepared, served and transported. Food shall
					 be stored in sealed containers.
(9)
					 Utensils used for eating, drinking, preparation and serving of food or drink
					 shall be washed after each use by a mechanical dishwasher or by a method
					 approved by the Department of Environmental Resources.
(10) Mechanical dishwashers shall use hot
					 water temperatures exceeding 140° F in the wash cycle and 180° F in the
					 final rinse cycle or shall be of a chemical sanitizing type approved by the
					 National Sanitation Foundation.
This section cited in 6 Pa. Code §
													11.123 (relating to core services);
						  and 6 Pa. Code §
													11.212 (relating to
						  applicability).
Pennsylvania Code › Title 6 - AGING › Part I - Department of Aging › Chapter 11 - OLDER ADULT DAILY LIVING CENTERS › Subchapter A - LICENSURE AND OPERATION REQUIREMENTS › TRANSPORTATION › Section 11.161 - Transportation

Current through Register Vol. 54, No. 28, July 13, 2024
Centers may provide, arrange or contract for
						transportation to enable persons, including persons with handicaps, to attend
						centers and participate in center-sponsored outings. Centers are encouraged to
						make use of community transportation systems and families for the provision of
						transportation to the maximum extent possible.
This section cited in 6 Pa. Code §
													11.212 (relating to
						  applicability).
Pennsylvania Code › Title 6 - AGING › Part I - Department of Aging › Chapter 11 - OLDER ADULT DAILY LIVING CENTERS › Subchapter A - LICENSURE AND OPERATION REQUIREMENTS › TRANSPORTATION › Section 11.162 - Applicability

Current through Register Vol. 54, No. 28, July 13, 2024
Sections
						11.163-11.165 (relating to safety
						equipment; staffing; and driver of vehicle) apply when transportation for
						clients is directly provided by the center.
This section cited in 6 Pa. Code §
													11.212 (relating to
						  applicability).
Pennsylvania Code › Title 6 - AGING › Part I - Department of Aging › Chapter 11 - OLDER ADULT DAILY LIVING CENTERS › Subchapter A - LICENSURE AND OPERATION REQUIREMENTS › TRANSPORTATION › Section 11.163 - Safety equipment

Current through Register Vol. 54, No. 28, July 13, 2024
Each client transported in an automobile or van shall be
						secured by individual safety equipment, appropriate to the client's size and
						physical disability, at all times the vehicle is in motion.
This section cited in 6 Pa. Code §
													11.162 (relating to applicability);
						  and 6 Pa. Code §
													11.212 (relating to
						  applicability).
Pennsylvania Code › Title 6 - AGING › Part I - Department of Aging › Chapter 11 - OLDER ADULT DAILY LIVING CENTERS › Subchapter A - LICENSURE AND OPERATION REQUIREMENTS › TRANSPORTATION › Section 11.164 - Staffing

Current through Register Vol. 54, No. 28, July 13, 2024
Transportation shall include, when necessary, an
						assistant to the driver who will help the driver escort individuals in and out
						of their homes and attend to them during the trip to and from the
						center.
This section cited in 6 Pa. Code §
													11.162 (relating to applicability);
						  and 6 Pa. Code §
													11.212 (relating to
						  applicability).
Pennsylvania Code › Title 6 - AGING › Part I - Department of Aging › Chapter 11 - OLDER ADULT DAILY LIVING CENTERS › Subchapter A - LICENSURE AND OPERATION REQUIREMENTS › TRANSPORTATION › Section 11.165 - Driver of vehicle

Current through Register Vol. 54, No. 28, July 13, 2024
The driver of the vehicle shall be 18 years of age or
						older, possess a valid driver's license, and not have been convicted of a crime
						which would bring into question the driver's ability to transport clients
						safely.
This section cited in 6 Pa. Code §
													11.162 (relating to applicability);
						  and 6 Pa. Code §
													11.212 (relating to
						  applicability).
Pennsylvania Code › Title 6 - AGING › Part I - Department of Aging › Chapter 11 - OLDER ADULT DAILY LIVING CENTERS › Subchapter A - LICENSURE AND OPERATION REQUIREMENTS › PROTECTIVE DEVICES › Section 11.171 - Protective devices and prohibited practices

Current through Register Vol. 54, No. 28, July 13, 2024
(a) The use of restraints, seclusion and
					 aversive conditioning is prohibited.
(b) Protective devices, such as helmets,
					 mitts and muffs, may be used to prevent self-injury on an interim basis not to
					 exceed 3 months after a client is admitted to a center. When they are used, the
					 following apply:
(1) The device shall be
					 checked for proper fit by a staff person at least every 15 minutes.
(2) The client's physical needs shall be met
					 promptly.
(3) The device shall be
					 removed completely for at least 10 minutes during every 2 hour period it is
					 used.
(4) The client shall receive
					 training aimed at eliminating or reducing the need for the device.
(5) The center shall document compliance with
					 paragraphs (1)-(4).
Pennsylvania Code › Title 6 - AGING › Part I - Department of Aging › Chapter 11 - OLDER ADULT DAILY LIVING CENTERS › Subchapter A - LICENSURE AND OPERATION REQUIREMENTS › PROTECTIVE DEVICES › Section 11.172 - Protective device records

Current through Register Vol. 54, No. 28, July 13, 2024
Centers shall keep a record of each use of a protective
						device documenting the following:
(1)
					 The specific behavior addressed.
(2) The methods of intervention tried prior
					 to applying the device.
(3) The
					 date and time the device was administered.
(4) The specific procedures
					 followed.
(5) The staff person who
					 applied the device.
(6) The
					 duration of the use of the device.
(7) The client's condition following the
					 removal of the device.
This section cited in 6 Pa. Code §
													11.212 (relating to
						  applicability).
Pennsylvania Code › Title 6 - AGING › Part I - Department of Aging › Chapter 11 - OLDER ADULT DAILY LIVING CENTERS › Subchapter A - LICENSURE AND OPERATION REQUIREMENTS › PROTECTIVE DEVICES › Section 11.173 - Access and notification

Current through Register Vol. 54, No. 28, July 13, 2024
(a) The
					 client or the responsible party, or both, shall have access to copies of the
					 client's protective devices records and revisions to the records upon
					 request.
(b) When a protective
					 device is used, the responsible party shall be notified on the day it is used.
					 A record of the notification shall be kept.
This section cited in 6 Pa. Code §
													11.212 (relating to
						  applicability).
Pennsylvania Code › Title 6 - AGING › Part I - Department of Aging › Chapter 11 - OLDER ADULT DAILY LIVING CENTERS › Subchapter A - LICENSURE AND OPERATION REQUIREMENTS › PROTECTIVE DEVICES › Section 11.174 - Staff training

Current through Register Vol. 54, No. 28, July 13, 2024
(a) When
					 protective devices are used, there shall be at least one staff person available
					 who has completed training in the use of protective devices, including the use
					 of alternative positive approaches.
(b) Staff persons applying protective devices
					 shall be trained in the use of the specific techniques or procedures
					 used.
(c) Centers shall keep
					 documentation of the training program provided, including the staff person
					 trained, dates of training, description of training and training
					 source.
This section cited in 6 Pa. Code §
													11.212 (relating to
						  applicability).
Pennsylvania Code › Title 6 - AGING › Part I - Department of Aging › Chapter 11 - OLDER ADULT DAILY LIVING CENTERS › Subchapter A - LICENSURE AND OPERATION REQUIREMENTS › CLIENT RECORDS › Section 11.191 - Emergency information

Current through Register Vol. 54, No. 28, July 13, 2024
(a)
					 Emergency information for a client shall be readily accessible at the
					 center.
(b) Emergency information
					 for a client shall include the following:
(1)
					 A written agreement with the client or responsible party regarding emergency
					 care and ambulance transportation, when the agreement is not included as an
					 element in the enrollment agreement in §
												11.103 (relating to enrollment
					 agreement).
(2) The name, address,
					 telephone number and relationship of a designated person to be contacted in
					 case of an emergency.
(3) The name,
					 address and telephone number of the client's physician or source of health care
					 and hospital preference.
(4) The
					 name, address and telephone number of the person able to give consent for
					 emergency medical treatment, if applicable.
(5) A copy of the client's most recent annual
					 physical examination, which shall include information on current diagnosis,
					 medications and allergies.
Pennsylvania Code › Title 6 - AGING › Part I - Department of Aging › Chapter 11 - OLDER ADULT DAILY LIVING CENTERS › Subchapter A - LICENSURE AND OPERATION REQUIREMENTS › CLIENT RECORDS › Section 11.192 - Individual record

Current through Register Vol. 54, No. 28, July 13, 2024
(a) An
					 individual record shall be kept for each client.
(b) Entries in a client's record shall be
					 legible, dated and signed by the person making the entry.
This section cited in 6 Pa. Code §
													11.13 (relating to administration
						  and organization); and 6 Pa. Code §
													11.212 (relating to
						  applicability).
Pennsylvania Code › Title 6 - AGING › Part I - Department of Aging › Chapter 11 - OLDER ADULT DAILY LIVING CENTERS › Subchapter A - LICENSURE AND OPERATION REQUIREMENTS › CLIENT RECORDS › Section 11.193 - Content of records

Current through Register Vol. 54, No. 28, July 13, 2024
Each client's record shall include:
(1) Personal information including:
(i) The name, sex, admission date, birth date
					 and social security number of the client.
(ii) The race, height, weight, color of hair,
					 color of eyes and identifying characteristics.
(iii) The language or means of communication
					 spoken or understood by the client and the primary language used in the
					 client's natural home, if other than English.
(iv) Documentation of a person's designation
					 or appointment as a responsible party, as described in §
												11.8 (relating to responsible
					 party).
(v) A photograph taken
					 within the last 5 years.