reglab/statecodes huggingface dataset:
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 2450 - REHABILITATION TEACHING PROGRAM › IMPLEMENTATION OF INSTRUCTIONAL SERVICES › Section 2450.83 - Schedule of instruction

Current through Register Vol. 54, No. 28, July 13, 2024
(a) The
					 district office will use the flexibility provided in instructional guidelines
					 issued by central office and the option to amend the Individualized Written
					 Rehabilitation Teaching Plan to serve the individual needs of a
					 client.
(b) The rehabilitation
					 teacher shall plan with the client a regular schedule of instruction to be
					 followed and shall inform the client if a modification of the schedule becomes
					 necessary.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 2450 - REHABILITATION TEACHING PROGRAM › IMPLEMENTATION OF INSTRUCTIONAL SERVICES › Section 2450.84 - Aids and appliances purchased for the client

Current through Register Vol. 54, No. 28, July 13, 2024
(a) The rehabilitation teacher shall
					 determine which aids and appliances are necessary for provision of
					 rehabilitation teaching services to individual clients.
(b) The rehabilitation teacher is responsible
					 for evaluating the client's need and capacity to benefit from the use of aids,
					 appliances, and other equipment and for advising staff of the office on the
					 purchase of equipment.
(c) As
					 necessary, the rehabilitation teacher shall furnish a list of recommended aids
					 and appliances to be purchased for a client under authorization of the
					 Vocational Rehabilitation Program or Social Casework Services Program. Written
					 justification of the need for the individual items, as well as a plan for
					 instruction in their use, shall accompany the recommendation.
(d) Aids and appliances recommended by the
					 rehabilitation teacher shall include those items specifically designed to
					 compensate for visual loss and marketed through an agency or organization for
					 the blind. Central office issues a list of approved aids and appliances which
					 may be purchased for individuals as necessary with justification.
					 Rehabilitation teachers recommend additional items which are considered for the
					 list approved by central office. No equipment or special appliances of any type
					 which do not appear on the approved list of items shall be recommended for
					 provision to a client.
(e) The
					 rehabilitation teacher is responsible for current information on resources, for
					 the purchase of aids and appliances related to areas of rehabilitation teaching
					 and provides technical consultation to office staff and agency programs outside
					 the office on the value of aids and appliances to individuals.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 2450 - REHABILITATION TEACHING PROGRAM › IMPLEMENTATION OF INSTRUCTIONAL SERVICES › Section 2450.85 - Progress reports

Current through Register Vol. 54, No. 28, July 13, 2024
(a) If
					 rehabilitation teaching instructional services are furnished, at least one
					 Progress Report shall be entered into the case record to document that
					 rehabilitation teaching instructional services in the Individualized Written
					 Rehabilitation Teaching Plan have been initiated. If the period of instruction
					 exceeds 30 days, a subsequent report shall be prepared and reports are entered
					 into the case record periodically until the case is closed from rehabilitation
					 teaching instructional and follow-up services.
(b) Progress reports shall be completed to
					 indicate the current status of progress and shall be written in sufficient
					 detail to enable another rehabilitation teacher to substitute or accept the
					 teaching assignment. Duplicate copies of the progress reports shall be
					 submitted to central office on a timely basis for program planning and
					 evaluation or for research.
(c) The
					 components listed in paragraphs (1)-(6) shall be included in the initial report
					 or in subsequent reports:
(1) Progress in
					 terms of the rehabilitation teaching objective.
(2) Prognosis and recommendations.
(3) Notations that:
(i) An amendment of the Individualized
					 Written Rehabilitation Teaching Plan has been proposed or approved.
(ii) Adjustments of schedule have been
					 proposed, approved or made.
(iii)
					 Additional services have been proposed or approved after follow-up, before
					 closure or after service is interrupted.
(4) Statement of achievement in terms of what
					 the client has learned and is performing or demonstrating on completion of
					 planned instructional services.
(5)
					 Follow-up services to be furnished.
(6) Statement in terms of the degree of
					 independence achieved and the skills, techniques, and attitudes the client is
					 performing or demonstrating on an ongoing basis at the time of
					 closure.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 2450 - REHABILITATION TEACHING PROGRAM › IMPLEMENTATION OF INSTRUCTIONAL SERVICES › Section 2450.86 - Practices to be followed in furnishing instructional services

Current through Register Vol. 54, No. 28, July 13, 2024
At least the following shall be practiced in the
						provision of rehabilitation teaching instructional services:
(1) The client shall be informed of the
					 services to which he is entitled, conditions attending provision of the
					 services and his right to a fair hearing under the provisions of the
					 Administrative Agency Law.
(2) The
					 client shall actively participate in the planning of the instructional program
					 designed for his benefit and shall be informed concerning any changes in the
					 content or scheduling of instruction to be provided.
(3) The client shall be informed beforehand
					 of the purposes, goals and obligations of the rehabilitation teacher and the
					 client in the provision of services and shall be advised when services are
					 completed or to be discontinued, as well as the reason for
					 discontinuance.
(4) Instructional
					 services shall be discontinued if it becomes evident that the client will not
					 benefit from provision of services.
(5) Provision of services to an individual
					 shall be documented in the Progress Reports contained in the case record and in
					 the Rehabilitation Teaching Case Closure Report, Form OB-515.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 2450 - REHABILITATION TEACHING PROGRAM › FOLLOW-UP SERVICES › Section 2450.91 - Generally

Current through Register Vol. 54, No. 28, July 13, 2024
(a) Before closure
					 and after planned instructional services have been completed, an assessment
					 shall be made of the client's level of functioning in terms of ability to
					 perform daily living tasks and degree of self-sufficiency or self-support
					 achieved through the instructional or training program. The client's case shall
					 be closed from the Rehabilitation Teaching Program if the assessment indicates
					 that:
(1) The client has reached individual
					 objectives with the completion of instructional services.
(2) The client has failed to reach individual
					 objectives and would make no substantial progress toward achieving objectives
					 through the provision of rehabilitation teaching follow-up services.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 2450 - REHABILITATION TEACHING PROGRAM › CASE CLOSURE FROM REHABILITATION TEACHING PROGRAM › Section 2450.101 - Evaluation

Current through Register Vol. 54, No. 28, July 13, 2024
Case closure from the Rehabilitation Teaching Program is
						indicated in situations as follows:
(1) Evaluation completed and client
					 determined to be ineligible for instructional services or evaluation not
					 completed or client refuses services.
(2) Evaluation completed and client accepted
					 for provision of instructional services, but client unable to accept or refuses
					 acceptance of the service.
(3)
					 Evaluation completed, client accepted for service, service discontinued before
					 completion or completed without attainment of objective.
(4) Instructional services completed, and
					 objective attained. Within the week that closure is indicated, the
					 rehabilitation teacher is required to deliver case closure dictation to
					 complete the following:
(i) Application and
					 Referral for Service, Form OB-1.
(ii) Report of visual impairment.
(iii) Communication with referring agency
					 when indicated.
(iv) Correspondence
					 with the client when indicated.
(v)
					 Evaluation and progress reports.
(vi) Data to prepare the Rehabilitation
					 Teaching Case Closure Report, Form OB-515. See §
												2450.102 (relating to
					 rehabilitation teaching case closure report, Form OB-515).
(vii) Data to update registry of the
					 blind.
(viii) Data to maintain
					 statistical records.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 2450 - REHABILITATION TEACHING PROGRAM › CASE CLOSURE FROM REHABILITATION TEACHING PROGRAM › Section 2450.102 - Rehabilitation Teaching Case Closure Report, Form OB-515

Current through Register Vol. 54, No. 28, July 13, 2024
(a) The rehabilitation teacher shall prepare
					 a Case Closure Report, Form OB-515, for a case closed from rehabilitation
					 teaching services. After approval by the district manager or his designee, the
					 original is filed in the case folder and a duplicate is sent to central office,
					 attention of the rehabilitation teaching specialist.
(b) Information on the Rehabilitation
					 Teaching Closure Report to be completed as applicable includes:
(1) Status of closure.
(2) Rehabilitation teaching
					 objective.
(3) Type and amount of
					 instruction provided.
(4) Results
					 achieved in terms of "present level of functioning" at the time of
					 closure.
(5) Reasons for failure to
					 attain the rehabilitation teaching objective.
(6) Referral for other services.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 2450 - REHABILITATION TEACHING PROGRAM › RECORDS AND CONFIDENTIALITY › Section 2450.111 - Confidentiality of information

Current through Register Vol. 54, No. 28, July 13, 2024
Information as to personal facts given to or made
						available to the Department, its representative or its employes, in the course
						of the administration of the Rehabilitation Teaching Program, shall be held to
						be confidential and used only for the purpose for which it was provided or with
						the consent of the client.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 2450 - REHABILITATION TEACHING PROGRAM › RECORDS AND CONFIDENTIALITY › Section 2450.112 - Record maintenance and statistical reporting

Current through Register Vol. 54, No. 28, July 13, 2024
(a) The Department is required to maintain
					 statistical records and to prepare statistical reports to comply with Federal
					 and State regulations governing provision of services to individuals and
					 administering program grants.
(b)
					 The district office is required to maintain statistical records for
					 rehabilitation teaching services provided to individuals and to groups of
					 individuals and is responsible for the maintenance of complete and accurate
					 records for accounting and auditing purposes.
(c) The district office is also required to
					 maintain a current case record on the provision of rehabilitation teaching
					 services to each client and to prepare reports on the status of services. The
					 case record of the client, procurement documents, employe time and payroll
					 records and expense records maintained by the district office are underlying
					 documents in that they are used to verify the validity of data on statistical
					 records.
(d) The district office is
					 responsible for preparing and transmitting records, statistical reports and
					 other data to central office, as may be required, for Federal and State
					 regulations, for program planning and evaluation and for participation in
					 research.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 2600 - PERSONAL CARE HOMES › GENERAL PROVISIONS › Section 2600.1 - 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 personal care
					 home residents.
(b) Personal care
					 homes are designed to provide safe, humane, comfortable and supportive
					 residential settings for adults who do not require the services in or of a
					 licensed long-term care facility, but who do require assistance or supervision
					 with activities of daily living, instrumental activities of daily living, or
					 both. Residents who live in personal care homes that meet the requirements in
					 this chapter will receive the encouragement and assistance they need to develop
					 and maintain maximum independence and self-determination.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 2600 - PERSONAL CARE HOMES › GENERAL PROVISIONS › Section 2600.2 - Scope

Current through Register Vol. 54, No. 28, July 13, 2024
(a) This chapter
					 applies to personal care homes as defined in this chapter, and contains the
					 minimum requirements that shall be met to obtain a license to operate a
					 personal care home.
(b) This
					 chapter does not apply to commercial boarding homes or to facilities operated
					 by a religious organization exclusively for the care of clergy or other
					 individuals in a religious profession.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 2600 - PERSONAL CARE HOMES › GENERAL PROVISIONS › Section 2600.3 - 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 personal care home.
(b) 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.
(c) The personal
					 care home 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 personal care home.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 2600 - PERSONAL CARE HOMES › GENERAL PROVISIONS › Section 2600.4a - Statement of Policy-Definition of a Personal Care Home

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, a personal care home 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 care 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 2600 - PERSONAL CARE HOMES › GENERAL PROVISIONS › Section 2600.5 - Access

Current through Register Vol. 54, No. 28, July 13, 2024
(a) The
					 administrator or a designee shall provide, upon request, immediate access to
					 the home, 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).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 2600 - PERSONAL CARE HOMES › GENERAL REQUIREMENTS › Section 2600.11 - Procedural requirements for licensure or approval of personal care homes

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 personal care homes.
(b) Before a home 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.
					 The Department will reinspect newly licensed homes within 3 months of the date
					 of initial licensure.
(c) After the
					 Department determines that a home meets the requirements for a license, the
					 Department's issuance or renewal of a license to a home is contingent upon
					 receipt by the Department of an application fee based on the number of beds in
					 the home, as follows:
(1) 0-20
					 beds-$15.
(2) 21-50
					 beds-$20.
(3) 51-100
					 beds-$30.
(4) 101 beds and
					 over-$50.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 2600 - PERSONAL CARE HOMES › GENERAL REQUIREMENTS › Section 2600.12 - Appeals

Current through Register Vol. 54, No. 28, July 13, 2024
Appeals related to the licensure or approval of the
						personal care home shall be made in accordance with 1 Pa. Code Part II
						(relating to General Rules of Administrative Practice and
						Procedure).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 2600 - PERSONAL CARE HOMES › GENERAL REQUIREMENTS › Section 2600.13 - Maximum capacity

Current through Register Vol. 54, No. 28, July 13, 2024
(a) The
					 maximum capacity is the total number of residents who are permitted to reside
					 in the home at any time. A request to increase the capacity shall be submitted
					 to the Department and other applicable authorities and approved prior to the
					 admission of additional residents. The maximum capacity is limited by physical
					 plant space and other applicable laws and regulations.
(b) The maximum capacity specified on the
					 license may not be exceeded.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 2600 - PERSONAL CARE HOMES › GENERAL REQUIREMENTS › Section 2600.14 - Fire safety approval

Current through Register Vol. 54, No. 28, July 13, 2024
(a) Prior
					 to issuance of a license, a written fire safety approval from the Department of
					 Labor and Industry, the Department of Health or the appropriate local building
					 authority under the Pennsylvania Construction Code Act (35 P. S.
					 §§
												7210.101-7210.1103) is
					 required.
(b) If the fire safety
					 approval is withdrawn or restricted, the home shall notify the Department
					 orally immediately, and in writing, within 48 hours of the withdrawal or
					 restriction.
(c) If a building is
					 structurally renovated or altered after the initial fire safety approval is
					 issued, the home shall submit the new fire safety approval, or written
					 certification that a new fire safety approval is not required, from the
					 appropriate fire safety authority. This documentation shall be submitted to the
					 Department within 15 days of the completion of the renovation or
					 alteration.
(d) The Department will
					 request additional fire safety inspections by the appropriate agency if
					 possible fire safety violations are observed during an inspection by the
					 Department.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 2600 - PERSONAL CARE HOMES › GENERAL REQUIREMENTS › Section 2600.14a - Fire

Current through Register Vol. 54, No. 28, July 13, 2024
(a) A new applicant
					 applying for a license that intends to serve one or more residents with
					 mobility needs and a licensed home that serves one or more residents with
					 mobility needs is to possess a valid Certificate of Occupancy specifying the
					 use and occupancy classification required by either of the following:
(1) The Pennsylvania Construction Code Act
					 (35
					 P. S. §§
													7210.101-7210.1103) and
					 regulations (34 Pa. Code Chapter 403 (relating to administration)).
(2) A previously promulgated Commonwealth
					 fire and panic law and regulation if the home's building use has not changed
					 since issuance of the Certificate of Occupancy and if no building renovations
					 or alterations have been made since issuance of the Certificate of Occupancy.
					 (See the act of April 27, 1927 (P. L. 465, No. 299) (35 P. S. §§
													1221-1235).)
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 2600 - PERSONAL CARE HOMES › GENERAL REQUIREMENTS › Section 2600.15 - Abuse reporting covered by law

Current through Register Vol. 54, No. 28, July 13, 2024
(a) The home shall immediately report
					 suspected abuse of a resident served in the home in accordance with the Older
					 Adult Protective Services Act (35 P. S. §§
												10225.701-10225.707) and 6 Pa. Code §
											15.21-15.27 (relating to reporting
					 suspected abuse) and comply with the requirements regarding restrictions on
					 staff persons.
(b) If there is an
					 allegation of abuse of a resident involving a home's staff person, the home
					 shall immediately develop and implement a plan of supervision or suspend the
					 staff person involved in the alleged incident.
(c) The home shall immediately submit to the
					 Department's personal care home regional office a plan of supervision or notice
					 of suspension of the affected staff person.
(d) The home shall immediately notify the
					 resident and the resident's designated person of a report of suspected abuse or
					 neglect involving the resident.
This section cited in 55 Pa. Code §
													2600.16 (relating to reportable
						  incidents and conditions).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 2600 - PERSONAL CARE HOMES › GENERAL REQUIREMENTS › Section 2600.16 - Reportable incidents and conditions

Current through Register Vol. 54, No. 28, July 13, 2024
(a) A reportable incident or condition
					 includes the following:
(1) The death of a
					 resident.
(2) A physical act by a
					 resident to commit suicide.
(3) A
					 serious bodily injury or trauma requiring treatment at a hospital or medical
					 facility. This does not include minor injuries such as sprains or minor
					 cuts.
(4) A violation of a
					 resident's rights in §§
												2600.41-2600.44 (relating to resident
					 rights).
(5) An unexplained absence
					 of a resident for 24 hours or more, or when the support plan so provides, a
					 period of less than 24 hours, or an absence of a resident from a secured
					 dementia care unit.
(6) Misuse of a
					 resident's funds by the home's staff persons or legal entity.
(7) An outbreak of a serious communicable
					 disease as defined in 28 Pa. Code §
												27.2 (relating to specific
					 identified reportable diseases, infections and conditions).
(8) Food poisoning of residents.
(9) A physical or sexual assault by or
					 against a resident.
(10) Fire or
					 structural damage to the home.
(11)
					 An incident requiring the services of an emergency management agency, fire
					 department or law enforcement agency, except for false alarms.
(12) A complaint of resident abuse, suspected
					 resident abuse or referral of a complaint of resident abuse to a local
					 authority.
(13) A prescription
					 medication error as defined in §
												2600.188 (relating to medication
					 errors.)
(14) An emergency in which
					 the procedures under §
												2600.107 (relating to emergency
					 preparedness) are implemented.
(15)
					 An unscheduled closure of the home or the relocation of the
					 residents.
(16) Bankruptcy filed by
					 the legal entity.
(17) A criminal
					 conviction against the legal entity, administrator or staff that are subsequent
					 to the reporting on the criminal history checks under §
												2600.51 (relating to criminal
					 history checks).
(18) A termination
					 notice from a utility.
(19) A
					 violation of the health and safety laws listed in §
												2600.18 (relating to applicable
					 health and safety laws).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 2600 - PERSONAL CARE HOMES › GENERAL REQUIREMENTS › Section 2600.17 - Confidentiality of records

Current through Register Vol. 54, No. 28, July 13, 2024
Resident records shall be confidential, and, except in
						emergencies, may not be accessible to anyone other than the resident, the
						resident's designated person if any, staff persons for the purpose of providing
						services to the resident, agents of the Department and the long-term care
						ombudsman without the written consent of the resident, an individual holding
						the resident's power of attorney for health care or health care proxy or a
						resident's designated person, or if a court orders
						disclosure.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 2600 - PERSONAL CARE HOMES › GENERAL REQUIREMENTS › Section 2600.18 - Applicable health and safety laws

Current through Register Vol. 54, No. 28, July 13, 2024
A home shall comply with applicable Federal, State and
						local laws, ordinances and regulations.
This section cited in 55 Pa. Code §
													2600.16 (relating to reportable
						  incidents and conditions).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 2600 - PERSONAL CARE HOMES › GENERAL REQUIREMENTS › Section 2600.19 - Waivers

Current through Register Vol. 54, No. 28, July 13, 2024
(a) A home may
					 submit a written request for a waiver of a specific requirement contained in
					 this chapter. The waiver request must be on a form prescribed by the
					 Department. The Secretary, or the Secretary's appointee, may grant a waiver of
					 a specific requirement of this chapter if the following conditions are met:
(1) There is no jeopardy to the
					 residents.
(2) There is an
					 alternative for providing an equivalent level of health, safety and well-being
					 protection of the residents.
(3)
					 Residents will benefit from the waiver of the requirement.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 2600 - PERSONAL CARE HOMES › GENERAL REQUIREMENTS › Section 2600.20 - Financial management

Current through Register Vol. 54, No. 28, July 13, 2024
(a) A
					 resident may manage his personal finances unless he has a guardian of his
					 estate.
(b) If the home provides
					 assistance with financial management or holds resident funds, the following
					 requirements apply:
(1) The home shall keep a
					 record of financial transactions with the resident, including the dates,
					 amounts of deposits, amounts of withdrawals and the current balance.
(2) Resident funds shall be disbursed during
					 normal business hours within 24 hours of the resident's request.
(3) The home shall obtain a written receipt
					 from the resident for cash disbursements at the time of disbursement.
(4) Resident funds and property shall only be
					 used for the resident's benefit.
(5) Commingling of resident funds and home
					 funds is prohibited.
(6) If a home
					 is holding more than $200 for a resident for more than 2 consecutive months,
					 the administrator shall notify the resident and offer assistance in
					 establishing an interest-bearing account in the resident's name at a local
					 Federally-insured financial institution. This does not include security
					 deposits.
(7) The legal entity,
					 administrator and staff persons of the home are prohibited from being assigned
					 power of attorney or guardianship of a resident or a resident's
					 estate.
(8) The home shall give the
					 resident and the resident's designated person, an itemized account of financial
					 transactions made on the resident's behalf on a quarterly basis.
(9) A copy of the itemized account shall be
					 kept in the resident's record.
(10)
					 The home shall provide the resident the opportunity to review his own financial
					 record upon request during normal business hours.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 2600 - PERSONAL CARE HOMES › GENERAL REQUIREMENTS › Section 2600.21 - Offsite services

Current through Register Vol. 54, No. 28, July 13, 2024
If services or activities are provided by the home at a
						location other than the premises, the home shall ensure that the residents'
						support plans are followed and that resident health and safety needs are
						met.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 2600 - PERSONAL CARE HOMES › GENERAL REQUIREMENTS › Section 2600.22 - Admission

Current through Register Vol. 54, No. 28, July 13, 2024
The following admission documents shall be completed for
						each resident:
(1) Preadmission
					 screening completed prior to admission on a form specified by the
					 Department.
(2) Medical evaluation
					 completed 60 days prior to or 30 days after admission on a form specified by
					 the Department.
(3) Personal care
					 home assessment completed within 15 days after admission on a form specified by
					 the Department.
(4) Support plan
					 developed and implemented within 30 days after admission.
(5) Resident-home contract completed prior to
					 admission or within 24 hours after admission.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 2600 - PERSONAL CARE HOMES › GENERAL REQUIREMENTS › Section 2600.23 - Activities

Current through Register Vol. 54, No. 28, July 13, 2024
(a) A home shall
					 provide each resident with assistance with ADLs as indicated in the resident's
					 assessment and support plan.
(b) A
					 home shall provide each resident with assistance with IADLs as indicated in the
					 resident's assessment and support plan.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 2600 - PERSONAL CARE HOMES › GENERAL REQUIREMENTS › Section 2600.24 - Personal hygiene

Current through Register Vol. 54, No. 28, July 13, 2024
A home shall provide the resident with assistance with
						personal hygiene as indicated in the resident's assessment and support plan.
						Personal hygiene includes one or more of the following:
(1) Bathing.
(2) Oral hygiene.
(3) Hair grooming and shampooing.
(4) Dressing, undressing and care of
					 clothes.
(5) Shaving.
(6) Nail care.
(7) Foot care.
(8) Skin care.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 2600 - PERSONAL CARE HOMES › GENERAL REQUIREMENTS › Section 2600.25 - Resident-home contract

Current through Register Vol. 54, No. 28, July 13, 2024
(a) Prior
					 to admission, or within 24 hours after admission, a written resident-home
					 contract between the resident and the home shall be in place. The administrator
					 or a designee shall complete this contract and review and explain its contents
					 to the resident and the resident's designated person if any, prior to
					 signature.
(b) The contract shall
					 be signed by the administrator or a designee, the resident and the payer, if
					 different from the resident, and cosigned by the resident's designated person
					 if any, if the resident agrees.
(c)
					 At a minimum, the contract must specify the following:
(1) Each resident shall retain, at a minimum,
					 the current personal needs allowance as the resident's own funds for personal
					 expenditure. A contract to the contrary is not valid. A personal needs
					 allowance is the amount that a resident shall be permitted to keep for his
					 personal use.
(2) A fee schedule
					 that lists the actual amount of allowable resident charges for each of the
					 home's available services.
(3) An
					 explanation of the annual assessment, medical evaluation and support plan
					 requirements and procedures, which shall be followed if either the assessment
					 or the medical evaluation indicates the need of another and more appropriate
					 level of care.
(4) The party
					 responsible for payment.
(5) The
					 method for payment of charges for long distance telephone calls.
(6) The conditions under which refunds will
					 be made, including the refund of admission fees and refunds upon a resident's
					 death.
(7) The financial
					 arrangements if assistance with financial management is to be
					 provided.
(8) The home's rules
					 related to home services, including whether the home permits smoking.
(9) The conditions under which the agreement
					 may be terminated including home closure as specified in §
												2600.228 (relating to notification
					 of termination).
(10) A statement
					 that the resident is entitled to at least 30 days' advance notice, in writing,
					 of the home's request to change the contract.
(11) A list of personal care services to be
					 provided to the resident based on the outcome of the resident's support plan, a
					 list of the actual rates that the resident will be periodically charged for
					 food, shelter and services and how, when and by whom payment is to be
					 made.
(12) Charges to the resident
					 for holding a bed during hospitalization or other extended absence from the
					 home.
(13) Written information on
					 the resident's rights and complaint procedures as specified in §
												2600.41 (relating to notification
					 of rights and complaint procedures).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 2600 - PERSONAL CARE HOMES › GENERAL REQUIREMENTS › Section 2600.25a - Personal needs allowance for residents of personal care homes-statement of policy

Current through Register Vol. 54, No. 28, July 13, 2024
The personal needs allowance for residents of personal
						care homes who receive Supplemental Security Income is $85.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 2600 - PERSONAL CARE HOMES › GENERAL REQUIREMENTS › Section 2600.25b - Rent rebates for residents of personal care homes-statement of policy

Current through Register Vol. 54, No. 28, July 13, 2024
(a) The
					 resident-home contract is to include whether the home collects a portion of a
					 resident's rent rebate under §
											2600.25(d)
					 (relating to resident-home contract).
(b) If the home collects a resident's rent
					 rebate under subsection (a), the resident-home contract is to include the
					 following:
(1) The dollar amount or percentage
					 of the rent rebate to be collected.
(2) The home's intended use of the revenue
					 collected from the rent rebate.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 2600 - PERSONAL CARE HOMES › GENERAL REQUIREMENTS › Section 2600.26 - Quality management

Current through Register Vol. 54, No. 28, July 13, 2024
(a) The
					 home shall establish and implement a quality management plan.
(b) The quality management plan shall address
					 the periodic review and evaluation of the following:
(1) The reportable incident and condition
					 reporting procedures.
(2) Complaint
					 procedures.
(3) Staff person
					 training.
(4) Licensing violations
					 and plans of correction, if applicable.
(5) Resident or family councils, or both, if
					 applicable.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 2600 - PERSONAL CARE HOMES › GENERAL REQUIREMENTS › Section 2600.27 - SSI recipients

Current through Register Vol. 54, No. 28, July 13, 2024
(a) If a
					 home agrees to admit a resident eligible for SSI benefits, the home's charges
					 for actual rent and other services may not exceed the SSI resident's actual
					 current monthly income reduced by the current personal needs
					 allowance.
(b) The administrator or
					 staff persons may not include funds received as lump sum awards, gifts or
					 inheritances, gains from the sale of property, or retroactive government
					 benefits when calculating payment of rent for an SSI recipient or for a
					 resident eligible for SSI benefits.
(c) The administrator or staff persons may
					 seek and accept payments from funds received as retroactive awards of SSI
					 benefits, but only to the extent that the retroactive awards cover periods of
					 time during which the resident actually resided in the home and for which full
					 payment has not been received.
(d)
					 The administrator shall provide each resident who is a recipient of SSI, at no
					 charge beyond the amount determined in subsection (a), the following items or
					 services as needed:
(1) Necessary personal
					 hygiene items, such as a comb, toothbrush, toothpaste, soap and shampoo.
					 Cosmetic items are not included.
(2) Laundry services for personal laundry,
					 bed linens and towels, but not including dry cleaning or other specialized
					 services.
(3) Personal care
					 services.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 2600 - PERSONAL CARE HOMES › GENERAL REQUIREMENTS › Section 2600.28 - Refunds

Current through Register Vol. 54, No. 28, July 13, 2024
(a) If, after the
					 home gives notice of discharge or transfer in accordance with §
											2600.228(b)
					 (relating to notification of termination), and the resident moves out of the
					 home before the 30 days are over, the home shall give the resident a refund
					 equal to the previously paid charges for rent and personal care services for
					 the remainder of the 30-day time period. The refund shall be issued within
					 30-days of discharge or transfer. The resident's personal needs allowance shall
					 be refunded within 2 business days of discharge or transfer.
(b) After a resident gives notice of the
					 intent to leave in accordance with §
											2600.228(b) and
					 if the resident moves out of the home before the expiration of the required 30
					 days, the resident owes the home the charges for rent and personal care
					 services for the entire length of the 30-day time period for which payment has
					 not been made.
(c) If no notice is
					 required, as set forth in subsection (d), the resident shall be required to pay
					 only for the nights spent in the home.
(d) If the home does not require a written
					 notice prior to a resident's departure, the administrator shall refund the
					 remainder of previously paid charges to the resident within 30 days of the date
					 the resident moved from the home.
(e) In the event of a death of a resident
					 under 60 years of age, the administrator shall refund the remainder of
					 previously paid charges to the resident's estate within 30 days from the date
					 the room is cleared of the resident's personal property. In the event of a
					 death of a resident 60 years of age and older, the home shall provide a refund
					 in accordance with the Elder Care Payment Restitution Act (35 P. S.
					 §§
												10226.101-10226.107). The home
					 shall keep documentation of the refund in the resident's record.
(f) Within 30 days of either the termination
					 of service by the home or the resident's leaving the home, the resident shall
					 receive an itemized written account of the resident's funds, including
					 notification of funds still owed the home by the resident or a refund owed the
					 resident by the home. Refunds shall be made within 30 days of
					 discharge.
(g) Upon discharge of
					 the resident or transfer of the resident to a higher level of care, the
					 administrator shall return the resident's funds being managed or stored by the
					 home to the resident within 2 business days from the date the room is cleared
					 of the resident's personal property.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 2600 - PERSONAL CARE HOMES › GENERAL REQUIREMENTS › Section 2600.29 - Hospice care and services

Current through Register Vol. 54, No. 28, July 13, 2024
Hospice care and services that are licensed by the
						Department of Health as a hospice may be provided in a personal care home.
This section cited in 55 Pa. Code §
													2600.29a (relating to hospice care
						  and services-statement of policy).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 2600 - PERSONAL CARE HOMES › RESIDENT RIGHTS › Section 2600.41 - Notification of rights and complaint procedures

Current through Register Vol. 54, No. 28, July 13, 2024
(a) Upon admission, each resident and, if
					 applicable, the resident's designated person, shall be informed of resident
					 rights and the right to lodge complaints without intimidation, retaliation, or
					 threats of retaliation of the home or its staff persons against the reporter.
					 Retaliation includes discharge or transfer from the home.
(b) Notification of rights and complaint
					 procedures shall be communicated in an easily understood manner and in a
					 language understood by or mode of communication used by the resident and, if
					 applicable, the resident's designated person.
(c) The Department's poster of the list of
					 resident's rights shall be posted in a conspicuous and public place in the
					 home.
(d) A copy of the resident's
					 rights and complaint procedures shall be given to the resident and, if
					 applicable, the resident's designated person upon admission.
(e) A statement signed by the resident and,
					 if applicable, the resident's designated person acknowledging receipt of a copy
					 of the information specified in subsection (d), or documentation of efforts
					 made to obtain signature, shall be kept in the resident's record.
This section cited in 55 Pa. Code §
													2600.16 (relating to reportable
						  incidents and conditions); 55 Pa. Code §
													2600.25 (relating to resident-home
						  contract); and 55 Pa. Code §
													2600.252 (relating to content of
						  resident records).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 2600 - PERSONAL CARE HOMES › RESIDENT RIGHTS › Section 2600.42 - Specific rights

Current through Register Vol. 54, No. 28, July 13, 2024
(a) A
					 resident may not be discriminated against because of race, color, religious
					 creed, disability, handicap, ancestry, sexual orientation, national origin, age
					 or sex.
(b) A resident may not be
					 neglected, intimidated, physically or verbally abused, mistreated, subjected to
					 corporal punishment or disciplined in any way.
(c) A resident shall be treated with dignity
					 and respect.
(d) A resident shall
					 be informed of the rules of the home and given 30 days' written notice prior to
					 the effective date of a new home rule.
(e) A resident shall have access to a
					 telephone in the home to make calls in privacy. Nontoll calls shall be without
					 charge to the resident.
(f) A
					 resident has the right to receive and send mail.
(1) Outgoing mail may not be opened or read
					 by staff persons unless the resident requests.
(2) Incoming mail may not be opened or read
					 by staff persons unless upon the request of the resident or the resident's
					 designated person.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 2600 - PERSONAL CARE HOMES › RESIDENT RIGHTS › Section 2600.43 - Prohibition against deprivation of rights

Current through Register Vol. 54, No. 28, July 13, 2024
(a) A resident may not be deprived of his
					 rights.
(b) A resident's rights may
					 not be used as a reward or sanction.
This section cited in 55 Pa. Code §
													2600.16 (relating to reportable
						  incidents and conditions).