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 2600.4 - Definitions

Current through Register Vol. 54, No. 28, July 13, 2024
The following words and terms, when used in this chapter,
						have the following meanings, unless the context clearly indicates
						otherwise:
ADL-Activities of daily living-
The term
						includes eating, drinking, ambulating, transferring in and out of a bed or
						chair, toileting, bladder and bowel management, personal hygiene, securing
						health care, managing health care, self-administering medication and proper
						turning and positioning in a bed or chair.
Abuse-
The occurrence of one or more of
						the following acts:
(i) The infliction
					 of injury, unreasonable confinement, intimidation or punishment with resulting
					 physical harm, pain or mental anguish.
(ii) The willful deprivation by the personal
					 care home or its staff persons of goods or services which are necessary to
					 maintain physical or mental health.
(iii) Sexual harassment, rape or abuse, as
					 defined in 23 Pa.C.S. Chapter 61 (relating to protection from abuse).
(iv) Exploitation by an act or a course of
					 conduct, including misrepresentation or failure to obtain informed consent
					 which results in monetary, personal or other benefit, gain or profit for the
					 perpetrator, or monetary or personal loss to the resident.
(v) Neglect of the resident, which results in
					 physical harm, pain or mental anguish.
(vi) Abandonment or desertion by the personal
					 care home or its staff persons.
Adult
-An individual who is 18 years of
						age or older.
Ancillary staff person
-An individual who
						provides services for the residents other than activities of daily
						living.
Agent
-An individual authorized by the
						Department to enter, visit, inspect or conduct an investigation of a personal
						care home.
Appropriate assessment agency-
An
						organization serving adults who are older or adults with disabilities, such as
						a county mental health/intellectual disability agency, a drug and alcohol
						agency, an area agency on aging or another human service agency, or an
						individual in an occupation maintaining contact with adults who are older and
						adults with disabilities, such as medicine, nursing or rehabilitative
						therapies.
CAM-Complementary and alternative
						medications
-Practices, substances and ideas used to prevent or treat
						illness or promote health and well-being outside the realm of modern
						conventional medicine. Alternative medicine is used alone or instead of
						conventional medicine. Complementary medicine is used along with or in addition
						to conventional medicine.
CPR
-Cardiopulmonary
						resuscitation.
Commercial boarding home
-A type of
						residential living facility providing only food and shelter, or other services
						normally provided by a hotel, for payment, for individuals who require no
						services beyond food, shelter and other services usually found in hotel or
						apartment rental.
Complaint
-A written or oral criticism,
						dispute or objection presented by or on behalf of a resident to the Department
						regarding the care, operations or management of a personal care home.
Day
-Calendar day.
Dementia
-A clinical syndrome
						characterized by a decline of long duration in mental function in an alert
						individual. Symptoms of dementia may include memory loss, personality change,
						chronic wandering and the loss or diminishing of other cognitive abilities,
						such as learning ability, judgment, comprehension, attention and orientation to
						time and place and to oneself.
Department
-The Department of Public
						Welfare of the Commonwealth.
Designated person
-An individual who may
						be chosen by the resident and documented in the resident's record, to be
						notified in case of an emergency, termination of service, personal care home
						closure or other situations as indicated by the resident or as required by this
						chapter. A designated person may be the resident's legal representative or an
						advocate.
Designee
-A staff person authorized in
						writing to act in the administrator's absence.
Direct care staff person
-A staff person
						who directly assists residents with activities of daily living, and
						instrumental activities of daily living and provides services or is otherwise
						responsible for the health, safety and well-being of the residents.
Emergency medical plan
-A plan that
						ensures immediate and direct access to medical care and treatment for serious
						injury or illness, or both.
Financial management-
(i) A personal care service provided whenever
					 the administrator serves as representative payee or as a guardian or power of
					 attorney assigned prior to December 21, 1988, for a resident, or when a
					 resident requests and receives assistance in budgeting and spending of the
					 personal needs allowance.
(ii) The
					 term does not include solely storing funds in a safe place as a convenience for
					 a resident.
Fire safety expert
-A member of a local
						fire department, fire protection engineer, Commonwealth-certified fire
						protection instructor, college instructor in fire science, county or
						Commonwealth fire school, volunteer trained and certified by a county or
						Commonwealth fire school, an insurance company loss control representative,
						Department of Labor and Industry building code inspector or construction code
						official.
IADL-Instrumental activities of daily
						living
-The term includes the following activities when done on behalf
						of a resident:
(i) Doing
					 laundry.
(ii) Shopping.
(iii) Securing and using
					 transportation.
(iv) Managing
					 finances.
(v) Using a
					 telephone.
(vi) Making and keeping
					 appointments.
(vii) Caring for
					 personal possessions.
(viii)
					 Writing correspondence.
(ix)
					 Engaging in social and leisure activities.
(x) Using a prosthetic device.
(xi) Obtaining and keeping clean, seasonal
					 clothing.
Legal entity
-A person, society,
						corporation, governing authority or partnership legally responsible for the
						administration and operation of a personal care home.
License
-A certificate of compliance
						issued by the Department permitting the operation of a personal care home, at a
						given location, for a specific period of time, for a specified capacity,
						according to Chapter 20 (relating to licensure or approval of facilities and
						agencies).
Long-term care ombudsman
-A
						representative of the Office of the State Long-Term Care Ombudsman in the
						Department of Aging who investigates and seeks to resolve complaints made by or
						on behalf of individuals who are 60 years of age or older who are consumers of
						long-term care services. These complaints may relate to action, inaction or
						decisions of providers of long-term care services, of public agencies, of
						social service agencies or their representatives, which may adversely affect
						the health, safety, well-being or rights of these consumers.
Mobile resident
-
(i) A resident who is physically and mentally
					 capable of vacating the personal care home on the resident's own power or with
					 limited physical or oral assistance in the case of an emergency, including the
					 capability to ascend or descend stairs if present on the exit path.
(A) Physical assistance means assistance in
					 getting to one's feet or into a wheelchair, walker or prosthetic
					 device.
(B) Oral assistance means
					 giving instructions to assist the resident in vacating the personal care
					 home.