reglab/statecodes huggingface dataset:
Virginia Administrative Code › Title 22 - SOCIAL SERVICES › Agency 40 - DEPARTMENT OF SOCIAL SERVICES › Chapter 60 - STANDARDS AND REGULATIONS FOR LICENSED ADULT DAY CARE CENTERS › Part VII › Section 22VAC40-60-698

Current through Register Vol. 40, No. 24, July 15, 2024
Statutory Authority: §
												63.2-1733
						of the Code of Virginia.
Virginia Administrative Code › Title 22 - SOCIAL SERVICES › Agency 40 - DEPARTMENT OF SOCIAL SERVICES › Chapter 60 - STANDARDS AND REGULATIONS FOR LICENSED ADULT DAY CARE CENTERS › Part VII › Section 22VAC40-60-699

Current through Register Vol. 40, No. 24, July 15, 2024
Statutory Authority: §
												63.2-1733
						of the Code of Virginia.
Virginia Administrative Code › Title 22 - SOCIAL SERVICES › Agency 40 - DEPARTMENT OF SOCIAL SERVICES › Chapter 60 - STANDARDS AND REGULATIONS FOR LICENSED ADULT DAY CARE CENTERS › Part VII › Section 22VAC40-60-700

Current through Register Vol. 40, No. 24, July 15, 2024
Statutory Authority: §
												63.2-1733
						of the Code of Virginia.
Virginia Administrative Code › Title 22 - SOCIAL SERVICES › Agency 40 - DEPARTMENT OF SOCIAL SERVICES › Chapter 60 - STANDARDS AND REGULATIONS FOR LICENSED ADULT DAY CARE CENTERS › Part VII › Section 22VAC40-60-705

Current through Register Vol. 40, No. 24, July 15, 2024
Statutory Authority: §
												63.2-1733
						of the Code of Virginia.
Virginia Administrative Code › Title 22 - SOCIAL SERVICES › Agency 40 - DEPARTMENT OF SOCIAL SERVICES › Chapter 60 - STANDARDS AND REGULATIONS FOR LICENSED ADULT DAY CARE CENTERS › Part VII › Section 22VAC40-60-710 to 22VAC40-60-760

Current through Register Vol. 40, No. 24, July 15, 2024
Statutory Authority: §
												63.2-1733
						of the Code of Virginia.
Virginia Administrative Code › Title 22 - SOCIAL SERVICES › Agency 40 - DEPARTMENT OF SOCIAL SERVICES › Chapter 60 - STANDARDS AND REGULATIONS FOR LICENSED ADULT DAY CARE CENTERS › Part VII › Section 22VAC40-60-770

Current through Register Vol. 40, No. 24, July 15, 2024
Statutory Authority: §
												63.2-1733
						of the Code of Virginia.
Virginia Administrative Code › Title 22 - SOCIAL SERVICES › Agency 40 - DEPARTMENT OF SOCIAL SERVICES › Chapter 60 - STANDARDS AND REGULATIONS FOR LICENSED ADULT DAY CARE CENTERS › Part VII › Section 22VAC40-60-780

Current through Register Vol. 40, No. 24, July 15, 2024
Statutory Authority: §
												63.2-1733
						of the Code of Virginia.
Virginia Administrative Code › Title 22 - SOCIAL SERVICES › Agency 40 - DEPARTMENT OF SOCIAL SERVICES › Chapter 60 - STANDARDS AND REGULATIONS FOR LICENSED ADULT DAY CARE CENTERS › Part VII › Section 22VAC40-60-790

Current through Register Vol. 40, No. 24, July 15, 2024
Statutory Authority: §
												63.2-1733
						of the Code of Virginia.
Virginia Administrative Code › Title 22 - SOCIAL SERVICES › Agency 40 - DEPARTMENT OF SOCIAL SERVICES › Chapter 60 - STANDARDS AND REGULATIONS FOR LICENSED ADULT DAY CARE CENTERS › Part VII › Section 22VAC40-60-800

Current through Register Vol. 40, No. 24, July 15, 2024
Statutory Authority: §
												63.2-1733
						of the Code of Virginia.
Virginia Administrative Code › Title 22 - SOCIAL SERVICES › Agency 40 - DEPARTMENT OF SOCIAL SERVICES › Chapter 60 - STANDARDS AND REGULATIONS FOR LICENSED ADULT DAY CARE CENTERS › Part VII › Section 22VAC40-60-810 to 22VAC40-60-840

Current through Register Vol. 40, No. 24, July 15, 2024
Statutory Authority: §
												63.2-1733
						of the Code of Virginia.
Virginia Administrative Code › Title 22 - SOCIAL SERVICES › Agency 40 - DEPARTMENT OF SOCIAL SERVICES › Chapter 60 - STANDARDS AND REGULATIONS FOR LICENSED ADULT DAY CARE CENTERS › Part VII › Section 22VAC40-60-850

Current through Register Vol. 40, No. 24, July 15, 2024
Statutory Authority: §
												63.2-1733
						of the Code of Virginia.
Virginia Administrative Code › Title 22 - SOCIAL SERVICES › Agency 40 - DEPARTMENT OF SOCIAL SERVICES › Chapter 60 - STANDARDS AND REGULATIONS FOR LICENSED ADULT DAY CARE CENTERS › Part VII › Section 22VAC40-60-860

Current through Register Vol. 40, No. 24, July 15, 2024
Statutory Authority: §
												63.2-1733
						of the Code of Virginia.
Virginia Administrative Code › Title 22 - SOCIAL SERVICES › Agency 40 - DEPARTMENT OF SOCIAL SERVICES › Chapter 60 - STANDARDS AND REGULATIONS FOR LICENSED ADULT DAY CARE CENTERS › Part VII › Section 22VAC40-60-870

Current through Register Vol. 40, No. 24, July 15, 2024
Statutory Authority: §
												63.2-1733
						of the Code of Virginia.
Virginia Administrative Code › Title 22 - SOCIAL SERVICES › Agency 40 - DEPARTMENT OF SOCIAL SERVICES › Chapter 60 - STANDARDS AND REGULATIONS FOR LICENSED ADULT DAY CARE CENTERS › Part VII › Section 22VAC40-60-880

Current through Register Vol. 40, No. 24, July 15, 2024
Statutory Authority: §
												63.2-1733
						of the Code of Virginia.
Virginia Administrative Code › Title 22 - SOCIAL SERVICES › Agency 40 - DEPARTMENT OF SOCIAL SERVICES › Chapter 60 - STANDARDS AND REGULATIONS FOR LICENSED ADULT DAY CARE CENTERS › Part VII › Section 22VAC40-60-885

Current through Register Vol. 40, No. 24, July 15, 2024
Statutory Authority: §
												63.2-1733
						of the Code of Virginia.
Virginia Administrative Code › Title 22 - SOCIAL SERVICES › Agency 40 - DEPARTMENT OF SOCIAL SERVICES › Chapter 60 - STANDARDS AND REGULATIONS FOR LICENSED ADULT DAY CARE CENTERS › Part VII › Section 22VAC40-60-890 to 22VAC40-60-950

Current through Register Vol. 40, No. 24, July 15, 2024
Statutory Authority: §
												63.2-1733
						of the Code of Virginia.
Virginia Administrative Code › Title 22 - SOCIAL SERVICES › Agency 40 - DEPARTMENT OF SOCIAL SERVICES › Chapter 60 - STANDARDS AND REGULATIONS FOR LICENSED ADULT DAY CARE CENTERS › Part VIII - Emergency Preparedness › Section 22VAC40-60-960

Current through Register Vol. 40, No. 24, July 15, 2024
Statutory Authority: §
												63.2-1733
						of the Code of Virginia.
Virginia Administrative Code › Title 22 - SOCIAL SERVICES › Agency 40 - DEPARTMENT OF SOCIAL SERVICES › Chapter 60 - STANDARDS AND REGULATIONS FOR LICENSED ADULT DAY CARE CENTERS › Part VIII - Emergency Preparedness › Section 22VAC40-60-970

Current through Register Vol. 40, No. 24, July 15, 2024
Statutory Authority: §
												63.2-1733
						of the Code of Virginia.
Virginia Administrative Code › Title 22 - SOCIAL SERVICES › Agency 40 - DEPARTMENT OF SOCIAL SERVICES › Chapter 60 - STANDARDS AND REGULATIONS FOR LICENSED ADULT DAY CARE CENTERS › Part VIII - Emergency Preparedness › Section 22VAC40-60-980

Current through Register Vol. 40, No. 24, July 15, 2024
Statutory Authority: §
												63.2-1733
						of the Code of Virginia.
Virginia Administrative Code › Title 22 - SOCIAL SERVICES › Agency 40 - DEPARTMENT OF SOCIAL SERVICES › Chapter 60 - STANDARDS AND REGULATIONS FOR LICENSED ADULT DAY CARE CENTERS › Part VIII - Emergency Preparedness › Section 22VAC40-60-990 to 22VAC40-60-1000

Current through Register Vol. 40, No. 24, July 15, 2024
Statutory Authority: §
												63.2-1733
						of the Code of Virginia.
Virginia Administrative Code › Title 22 - SOCIAL SERVICES › Agency 40 - DEPARTMENT OF SOCIAL SERVICES › Chapter 60 - STANDARDS AND REGULATIONS FOR LICENSED ADULT DAY CARE CENTERS › Part VIII - Emergency Preparedness › Section 22VAC40-60-1010

Current through Register Vol. 40, No. 24, July 15, 2024
Statutory Authority: §
												63.2-1733
						of the Code of Virginia.
Virginia Administrative Code › Title 22 - SOCIAL SERVICES › Agency 40 - DEPARTMENT OF SOCIAL SERVICES › Chapter 60 - STANDARDS AND REGULATIONS FOR LICENSED ADULT DAY CARE CENTERS › Part VIII - Emergency Preparedness › Section 22VAC40-60-1020

Current through Register Vol. 40, No. 24, July 15, 2024
Statutory Authority: §
												63.2-1733
						of the Code of Virginia.
Virginia Administrative Code › Title 22 - SOCIAL SERVICES › Agency 40 - DEPARTMENT OF SOCIAL SERVICES › Chapter 60 - STANDARDS AND REGULATIONS FOR LICENSED ADULT DAY CARE CENTERS › Part VIII - Emergency Preparedness › Section 22VAC40-60-1030 to 22VAC40-60-1060

Current through Register Vol. 40, No. 24, July 15, 2024
Virginia Administrative Code › Title 22 - SOCIAL SERVICES › Agency 40 - DEPARTMENT OF SOCIAL SERVICES › Chapter 60 - STANDARDS AND REGULATIONS FOR LICENSED ADULT DAY CARE CENTERS › Part VIII - Emergency Preparedness › Form - FORMS (22VAC40-60)

Current through Register Vol. 40, No. 24, July 15, 2024
Initial
					 Application for a State License to Operate an Adult Day Care Center,
					 032-05-0316-05-eng (rev. 8/07).
Renewal
					 Application for a State License to Operate an Adult Day Care Center,
					 032-05-0317-04-eng (rev. 8/07).
Report
					 of Tuberculosis Screening, 032-05-0420-00-eng (rev. 02/12).
Report
					 of TB Screening, 032-05-0077-01-eng (rev. 02/12).
Virginia Administrative Code › Title 22 - SOCIAL SERVICES › Agency 40 - DEPARTMENT OF SOCIAL SERVICES › Chapter 61 - STANDARDS AND REGULATIONS FOR LICENSED ADULT DAY CENTERS › Part I - General Provisions › Section 22VAC40-61-20 - Requirements of law and applicability

Current through Register Vol. 40, No. 24, July 15, 2024
A. Chapter 17 (§
										63.2-1700
				  et seq.) of Title 63.2 of the Code of Virginia includes requirements of law
				  relating to licensure, including licensure of adult day care centers.
B. This chapter applies to adult day care
				  centers as defined in §
										63.2-100 of the Code
				  of Virginia and in 22VAC40-61-10.
C. All programs, processes, plans, policies,
				  or procedures required by this chapter must be in writing and must be
				  implemented.
Statutory Authority: §
												63.2-1733
						of the Code of Virginia.
Virginia Administrative Code › Title 22 - SOCIAL SERVICES › Agency 40 - DEPARTMENT OF SOCIAL SERVICES › Chapter 61 - STANDARDS AND REGULATIONS FOR LICENSED ADULT DAY CENTERS › Part I - General Provisions › Section 22VAC40-61-20 - Requirements of law and applicability

Current through Register Vol. 40, No. 24, July 15, 2024
A. Chapter 17 (§
										63.2-1700 et seq.) of Title 63.2
				  of the Code of Virginia includes requirements of law relating to licensure,
				  including licensure of adult day centers.
B. This chapter applies to adult day centers
				  as defined in §
										63.2-100 of the Code of Virginia
				  and in 22VAC40-61-10.
C. All programs, processes, plans, policies,
				  or procedures required by this chapter must be in writing and must be
				  implemented.
Statutory Authority: §§
												63.2-217 and
						63.2-1733 of the Code of
						Virginia.
Virginia Administrative Code › Title 22 - SOCIAL SERVICES › Agency 40 - DEPARTMENT OF SOCIAL SERVICES › Chapter 61 - STANDARDS AND REGULATIONS FOR LICENSED ADULT DAY CENTERS › Part I - General Provisions › Section 22VAC40-61-30 - Program of care

Current through Register Vol. 40, No. 24, July 15, 2024
There shall be a program of care that:
1. Meets the participants' physical,
				  intellectual, emotional, psychological, and spiritual needs;
2. Promotes the participants' highest level
				  of functioning;
3. Provides
				  protection, guidance, and supervision;
4. Promotes a sense of security, self-worth,
				  and independence;
5. Promotes the
				  participants' involvement with activities and services; and
6. Reduces risk in the caregiving
				  environment.
Statutory Authority: §
												63.2-1733
						of the Code of Virginia.
Virginia Administrative Code › Title 22 - SOCIAL SERVICES › Agency 40 - DEPARTMENT OF SOCIAL SERVICES › Chapter 61 - STANDARDS AND REGULATIONS FOR LICENSED ADULT DAY CENTERS › Part I - General Provisions › Section 22VAC40-61-40 - Reserved

Current through Register Vol. 40, No. 24, July 15, 2024
Statutory Authority: §
												63.2-1733
						of the Code of Virginia.
Virginia Administrative Code › Title 22 - SOCIAL SERVICES › Agency 40 - DEPARTMENT OF SOCIAL SERVICES › Chapter 61 - STANDARDS AND REGULATIONS FOR LICENSED ADULT DAY CENTERS › Part I - General Provisions › Section 22VAC40-61-50 - Participant rights and responsibilities

Current through Register Vol. 40, No. 24, July 15, 2024
A. All participants shall be guaranteed the
				  following:
1. The right to be treated as an
				  adult, with consideration, respect, and dignity, including privacy in treatment
				  and care of personal needs.
2. The
				  right to participate in a program of services and activities designed to
				  interest and engage the participant and encourage independence, learning,
				  growth, awareness, and joy in life.
3. The right to self-determination within the
				  center setting, including the opportunity to:
a. Participate in developing or changing
				  one's plan of care;
b. Decide
				  whether or not to participate in any given activity;
c. Be involved to the extent possible in
				  program planning and operation;
d.
				  Refuse treatment and be informed of the consequences of such refusal;
				  and
e. End participation at the
				  center at any time.
4.
				  The right to a thorough initial assessment, development of an individualized
				  participant plan of care, and a determination of the required care needs and
				  necessary services.
5. The right to
				  be cared for in an atmosphere of sincere interest and concern in which needed
				  support and services are provided.
6. The right to a safe, secure, and clean
				  environment.
7. The right to
				  receive nourishment and assistance with meals as necessary to maximize
				  functional abilities and quality and enjoyment of life.
8. The right to confidentiality and the
				  guarantee that no personal or medical information or photographs will be
				  released to persons not authorized under law to receive it without the
				  participant's written consent.
9.
				  The right to voice or file grievances about care or treatment and to make
				  recommendations for changes in the policies and services of the center, without
				  coercion, discrimination, threats, or reprisal for having voiced or filed such
				  grievances or recommendations.
10.
				  The right to be fully informed, as documented by the participant's written
				  acknowledgment, of all participant rights and responsibilities and of all rules
				  and regulations regarding participant conduct and responsibilities.
11. The right to be free from harm or fear of
				  harm, including physical or chemical restraint, isolation, excessive
				  medication, and abuse or neglect.
12. The right to be fully informed, at the
				  time of acceptance into the program, of services and activities available and
				  related charges.
13. The right to
				  communicate with others and be understood by them to the extent of the
				  participant's capability.
Virginia Administrative Code › Title 22 - SOCIAL SERVICES › Agency 40 - DEPARTMENT OF SOCIAL SERVICES › Chapter 61 - STANDARDS AND REGULATIONS FOR LICENSED ADULT DAY CENTERS › Part II - Administration › Section 22VAC40-61-60 - Requirements for licensee

Current through Register Vol. 40, No. 24, July 15, 2024
A. The licensee shall ensure compliance with
				  all regulations for licensed adult day care centers and terms of the license
				  issued by the department; with relevant federal, state, or local laws; with
				  other relevant regulations; and with the center's own policies and
				  procedures.
B. The licensee shall:
1. Be of good character and
				  reputation;
2. Protect the physical
				  and mental well-being of the participants;
3. Keep such records and make such reports as
				  required by this chapter for licensed adult day care centers. Such records and
				  reports may be inspected by the department's representative at any reasonable
				  time in order to determine compliance with this chapter;
4. Meet the qualifications of the director if
				  he assumes those duties;
5. Act in
				  accordance with General Procedures and Information for Licensure
				  (22VAC40-80);
6. Ensure that the
				  current license is posted in the center in a place conspicuous to the
				  participants and the public; and
7.
				  Be responsible for the overall planning of the program and services to be
				  provided by the center, including the following:
a. Develop and keep current a statement of
				  the purpose and scope of the services to be provided by the center, a
				  description of adults who may be accepted into the program as well as those
				  whom the program cannot serve, and policies and procedures under which the
				  center will operate.
b. Appoint and
				  identify in writing a qualified director to be responsible for the day-to-day
				  operation and management of the center. When the business entity is an
				  individual who serves as the director, this shall also be noted in
				  writing.
c. Provide an adequate
				  number of qualified staff capable of carrying out the operation of the program
				  and to develop a staffing plan that includes a staffing schedule.
d. Develop policies and procedures for the
				  selection and supervision of volunteers.
e. Develop a written organizational chart
				  indicating chain of command.
f.
				  Make certain that when it is time to discard records, the records are disposed
				  of in a manner that ensures confidentiality.
Virginia Administrative Code › Title 22 - SOCIAL SERVICES › Agency 40 - DEPARTMENT OF SOCIAL SERVICES › Chapter 61 - STANDARDS AND REGULATIONS FOR LICENSED ADULT DAY CENTERS › Part II - Administration › Section 22VAC40-61-60 - Requirements for licensee

Current through Register Vol. 40, No. 24, July 15, 2024
A. The licensee shall ensure compliance with
				  all regulations for licensed adult day centers and terms of the license issued
				  by the department; with relevant federal, state, or local laws; with other
				  relevant regulations; and with the center's own policies and
				  procedures.
B. The licensee shall:
1. Be of good character and
				  reputation;
2. Protect the physical
				  and mental well-being of the participants;
3. Keep such records and make such reports as
				  required by this chapter for licensed adult day centers. Such records and
				  reports may be inspected by the department's representative at any reasonable
				  time in order to determine compliance with this chapter;
4. Meet the qualifications of the director if
				  the licensee assumes those duties;
5. Act in accordance with General Procedures
				  and Information for Licensure (22VAC40-80);
6. Ensure that the current license is posted
				  in the center in a place conspicuous to the participants and the public;
				  and
7. Be responsible for the
				  overall planning of the program and services to be provided by the center,
				  including the following:
a. Develop and keep
				  current a statement of the purpose and scope of the services to be provided by
				  the center, a description of adults who may be accepted into the program as
				  well as those whom the program cannot serve, and policies and procedures under
				  which the center will operate.
b.
				  Appoint and identify in writing a qualified director to be responsible for the
				  day-to-day operation and management of the center. When the business entity is
				  an individual who serves as the director, this shall also be noted in
				  writing.
c. Provide an adequate
				  number of qualified staff capable of carrying out the operation of the program
				  and develop a staffing plan that includes a staffing schedule.
d. Develop policies and procedures for the
				  selection and supervision of volunteers.
e. Develop a written organizational chart
				  indicating chain of command.
f.
				  Make certain that when it is time to discard records, the records are disposed
				  of in a manner that ensures confidentiality.
Virginia Administrative Code › Title 22 - SOCIAL SERVICES › Agency 40 - DEPARTMENT OF SOCIAL SERVICES › Chapter 61 - STANDARDS AND REGULATIONS FOR LICENSED ADULT DAY CENTERS › Part II - Administration › Section 22VAC40-61-70 - Liability insurance

Current through Register Vol. 40, No. 24, July 15, 2024
The center shall maintain public liability insurance for
					 bodily injury with a minimum limit of at least $1 million for each occurrence
					 or $1 million aggregate. Evidence of insurance coverage shall be made available
					 to the department's representative upon request.
Statutory Authority: §
												63.2-1733
						of the Code of Virginia.
Virginia Administrative Code › Title 22 - SOCIAL SERVICES › Agency 40 - DEPARTMENT OF SOCIAL SERVICES › Chapter 61 - STANDARDS AND REGULATIONS FOR LICENSED ADULT DAY CENTERS › Part II - Administration › Section 22VAC40-61-80 - Electronic records and signatures

Current through Register Vol. 40, No. 24, July 15, 2024
A. Use of electronic records or signatures
				  shall comply with the provisions of the Uniform Electronic Transactions Act
				  (§
										59.1-479 et seq. of the
				  Code of Virginia).
B. In addition
				  to the requirements of the Uniform Electronic Transactions Act, the use of
				  electronic signatures shall be deemed to constitute a signature and have the
				  same effect as a written signature on a document as long as the licensee:
1. Develops and maintains specific policies
				  and procedures for the use of electronic signatures;
2. Ensures that each electronic signature
				  identifies the individual signing the document by name and title;
3. Ensures that the document cannot be
				  altered after the signature has been affixed;
4. Ensures that access to the code or key
				  sequence is limited;
5. Ensures
				  that all users have signed statements that they alone have access to and use
				  the key or computer password for their signature and will not share their key
				  or password with others; and
6.
				  Ensures that strong and substantial evidence exists that would make it
				  difficult for the signer or the receiving party to claim the electronic
				  representation is not valid.
Virginia Administrative Code › Title 22 - SOCIAL SERVICES › Agency 40 - DEPARTMENT OF SOCIAL SERVICES › Chapter 61 - STANDARDS AND REGULATIONS FOR LICENSED ADULT DAY CENTERS › Part II - Administration › Section 22VAC40-61-90 - Incident reports

Current through Register Vol. 40, No. 24, July 15, 2024
A. Each
				  center shall report to the regional licensing office within 24 hours of the
				  occurrence of any major incident that has negatively affected or that threatens
				  the life, health, safety, or welfare of any participant.
B. The report required in subsection A of
				  this section shall include (i) the name of the center, (ii) the name of the
				  participant involved in the incident, (iii) the name of the person making the
				  report, (iv) the date of the incident, (v) a description of the incident, and
				  (vi) the actions taken in response to the incident.
C. The center shall submit a written report
				  of each incident specified in subsection A of this section to the regional
				  licensing office within seven days from the date of the incident. The report
				  shall be signed and dated by the director or his designee and include the
				  following information:
1. Name and address of
				  the center;
2. Name of the
				  participant involved in the incident;
3. Date and time of the incident;
4. Description of the incident, the
				  circumstances under which it happened, and when applicable, extent of injury or
				  damage;
5. Location of the
				  incident;
6. Actions taken in
				  response to the incident;
7. The
				  outcome of the incident;
8. Actions
				  to prevent recurrence of the incident if applicable;
9. Name of staff person in charge at the time
				  of the incident;
10. Names,
				  telephone numbers, and addresses of witnesses to the incident if any;
				  and
11. Name, title, and signature
				  of the person making the report, if other than the director or his
				  designee.
Virginia Administrative Code › Title 22 - SOCIAL SERVICES › Agency 40 - DEPARTMENT OF SOCIAL SERVICES › Chapter 61 - STANDARDS AND REGULATIONS FOR LICENSED ADULT DAY CENTERS › Part III - Personnel › Section 22VAC40-61-100 - General qualifications

Current through Register Vol. 40, No. 24, July 15, 2024
All staff members shall:
1. Be of good character and
				  reputation;
2. Be competent,
				  qualified, and capable of carrying out assigned responsibilities;
3. Be considerate, understanding, and
				  respectful of the rights, dignity, and sensitivities of persons who are aged,
				  infirm, and disabled;
4. Be clean
				  and well groomed;
5. Be able to
				  speak, read, understand, and write in English as necessary to carry out their
				  job responsibilities;
6. Be able to
				  understand and apply the standards in this chapter as they relate to their
				  respective responsibilities; and
7.
				  Meet the requirements specified in the Regulation for Background Checks for
				  Assisted Living Facilities and Adult Day Care Centers (22VAC40-90).
Statutory Authority: §
												63.2-1733
						of the Code of Virginia.
Virginia Administrative Code › Title 22 - SOCIAL SERVICES › Agency 40 - DEPARTMENT OF SOCIAL SERVICES › Chapter 61 - STANDARDS AND REGULATIONS FOR LICENSED ADULT DAY CENTERS › Part III - Personnel › Section 22VAC40-61-100 - General qualifications

Current through Register Vol. 40, No. 24, July 15, 2024
All staff members shall:
1. Be of good character and
				  reputation;
2. Be competent,
				  qualified, and capable of carrying out assigned responsibilities;
3. Be considerate, understanding, and
				  respectful of the rights, dignity, and sensitivities of persons who are aged or
				  infirm or who have disabilities;
4.
				  Be clean and well groomed;
5. Be
				  able to speak, read, understand, and write in English as necessary to carry out
				  their job responsibilities;
6. Be
				  able to understand and apply the standards in this chapter as they relate to
				  their respective responsibilities; and
7. Meet the requirements specified in the
				  Regulation for Background Checks for Assisted Living Facilities and Adult Day
				  Centers (22VAC40-90).
Statutory Authority: §§
												63.2-217 and
						63.2-1733 of the Code of
						Virginia.
Virginia Administrative Code › Title 22 - SOCIAL SERVICES › Agency 40 - DEPARTMENT OF SOCIAL SERVICES › Chapter 61 - STANDARDS AND REGULATIONS FOR LICENSED ADULT DAY CENTERS › Part III - Personnel › Section 22VAC40-61-110 - Staff orientation and initial training

Current through Register Vol. 40, No. 24, July 15, 2024
A. Prior to working directly with
				  participants, all staff shall receive training in:
1. Participant rights and
				  responsibilities;
2. Their
				  individual responsibilities in the event of fire, including the location and
				  operation of any fire extinguishers, fire alarm boxes, and approved
				  exits;
3. Their individual
				  responsibilities in the event of illness or injuries, including the location
				  and use of the first aid kit and emergency supplies;
4. Their individual responsibilities in the
				  event of emergencies, such as a lost or missing participant, severe weather,
				  and loss of utilities;
5. Infection
				  control;
6. Requirements and
				  procedures for detecting and reporting suspected abuse, neglect, or
				  exploitation of participants and for the mandated reporters, the consequences
				  for failing to make a required report (§
											63.2-1606
				  of the Code of Virginia); and
7.
				  Confidential treatment of personal information about participants and their
				  families.
Virginia Administrative Code › Title 22 - SOCIAL SERVICES › Agency 40 - DEPARTMENT OF SOCIAL SERVICES › Chapter 61 - STANDARDS AND REGULATIONS FOR LICENSED ADULT DAY CENTERS › Part III - Personnel › Section 22VAC40-61-110 - Staff orientation and initial training

Current through Register Vol. 40, No. 24, July 15, 2024
A. Prior to working directly with
				  participants, all staff shall receive training in:
1. Participant rights and
				  responsibilities;
2. Their
				  individual responsibilities in the event of fire, including the location and
				  operation of any fire extinguishers, fire alarm boxes, and approved
				  exits;
3. Their individual
				  responsibilities in the event of illness or injuries, including the location
				  and use of the first aid kit and emergency supplies;
4. Their individual responsibilities in the
				  event of emergencies, such as a lost or missing participant, severe weather,
				  and loss of utilities;
5. Infection
				  control;
6. Requirements and
				  procedures for detecting and reporting suspected abuse, neglect, or
				  exploitation of participants and for the mandated reporters, the consequences
				  for failing to make a required report (§
											63.2-1606 of the Code of
				  Virginia); and
7. Confidential
				  treatment of personal information about participants and their
				  families.
Virginia Administrative Code › Title 22 - SOCIAL SERVICES › Agency 40 - DEPARTMENT OF SOCIAL SERVICES › Chapter 61 - STANDARDS AND REGULATIONS FOR LICENSED ADULT DAY CENTERS › Part III - Personnel › Section 22VAC40-61-120 - Reports of abuse, neglect, and exploitation

Current through Register Vol. 40, No. 24, July 15, 2024
A. All staff who are mandated reporters under
				  §
										63.2-1606
				  of the Code of Virginia shall report suspected abuse, neglect, or exploitation
				  of participants in accordance with that section.
B. The center shall notify [ the participant
				  and ] the participant's contact person or legal representative when a report is
				  made as referenced in subsection A of this section, without identifying any
				  confidential information [ unless such notification would jeopardize the
				  participant ].
Statutory Authority: §
												63.2-1733
						of the Code of Virginia.
Virginia Administrative Code › Title 22 - SOCIAL SERVICES › Agency 40 - DEPARTMENT OF SOCIAL SERVICES › Chapter 61 - STANDARDS AND REGULATIONS FOR LICENSED ADULT DAY CENTERS › Part III - Personnel › Section 22VAC40-61-130 - Director

Current through Register Vol. 40, No. 24, July 15, 2024
A. The
				  director, or a designated assistant director who meets the qualifications of
				  the director, shall be responsible for the center's program and day-to-day
				  operations of the center and shall be present at least 51% of the center's
				  weekly hours of operation. The responsibilities of the director shall include
				  the following areas:
1. The content of the
				  program offered to the participants in care.
2. Programmatic functions, including
				  orientation, training, and scheduling of all staff.
3. Management of the supervision provided to
				  all staff.
4. Assignment of a
				  sufficient number of qualified staff to meet the participants' needs for:
a. Adequate nutrition;
b. Health supervision and
				  maintenance;
c. Personal
				  care;
d. Socialization, recreation,
				  activities, and stimulation; and
e.
				  Supervision, safety, and protection.
5. The duties and responsibilities required
				  by this chapter.
Virginia Administrative Code › Title 22 - SOCIAL SERVICES › Agency 40 - DEPARTMENT OF SOCIAL SERVICES › Chapter 61 - STANDARDS AND REGULATIONS FOR LICENSED ADULT DAY CENTERS › Part III - Personnel › Section 22VAC40-61-150 - Staff training

Current through Register Vol. 40, No. 24, July 15, 2024
A. Staff
				  who provide direct care to participants shall attend at least 12 hours of
				  training annually.
1. The training shall be
				  relevant to the population in care and shall be provided by a qualified
				  individual through in-service training programs or institutes, workshops,
				  classes, or conferences.
2. At
				  least two of the required hours of training shall focus on infection control
				  and prevention.
3. When adults with
				  mental impairments participate at the center, at least four of the required
				  hours shall focus on topics related to participants' mental
				  impairments.
Virginia Administrative Code › Title 22 - SOCIAL SERVICES › Agency 40 - DEPARTMENT OF SOCIAL SERVICES › Chapter 61 - STANDARDS AND REGULATIONS FOR LICENSED ADULT DAY CENTERS › Part III - Personnel › Section 22VAC40-61-160 - First aid and CPR certification

Current through Register Vol. 40, No. 24, July 15, 2024
A. First aid.
1. Each direct care staff member shall
				  maintain current certification in first aid from the American Red Cross,
				  American Heart Association, National Safety Council, American Safety and Health
				  Institute, community college, hospital, volunteer rescue squad, or fire
				  department. The certification must either be in adult first aid or include
				  adult first aid. To be considered current, the certification shall have been
				  issued within the past three years.
2. Each direct care staff member who does not
				  have current certification in first aid as specified in subdivision 1 of this
				  subsection shall receive certification in first aid within 60 days of
				  employment.
3. A direct care staff
				  member who is a registered nurse or licensed practical nurse does not have to
				  meet the requirements of subdivisions 1 and 2 of this subsection. With current
				  certification, an emergency medical technician, first responder, or paramedic
				  does not have to meet the requirements of subdivisions 1 and 2 of this
				  subsection.
4. There shall be at
				  least one staff person on the premises at all times who has current
				  certification in first aid that meets the specifications of this section,
				  unless the center has an on-duty registered nurse or licensed practical
				  nurse.
Virginia Administrative Code › Title 22 - SOCIAL SERVICES › Agency 40 - DEPARTMENT OF SOCIAL SERVICES › Chapter 61 - STANDARDS AND REGULATIONS FOR LICENSED ADULT DAY CENTERS › Part III - Personnel › Section 22VAC40-61-170 - Volunteers

Current through Register Vol. 40, No. 24, July 15, 2024
A.
				  Individuals who volunteer at the center shall:
1. Have qualifications appropriate to the
				  services they render; and
2. Be
				  subject to laws and regulations governing confidential treatment of personal
				  information.
Virginia Administrative Code › Title 22 - SOCIAL SERVICES › Agency 40 - DEPARTMENT OF SOCIAL SERVICES › Chapter 61 - STANDARDS AND REGULATIONS FOR LICENSED ADULT DAY CENTERS › Part III - Personnel › Section 22VAC40-61-180 - Staff records and health requirements

Current through Register Vol. 40, No. 24, July 15, 2024
A. A record shall be established for each
				  staff member and shall be kept in a locked cabinet or area, or secured
				  electronically, and retained at the center for currently employed staff and for
				  two years after termination of employment, unless otherwise required by other
				  state or federal regulations.
B.
				  All staff records shall be kept confidential.
C. Records shall be updated and kept current
				  as changes occur.
D. Personal and
				  social data to be maintained on staff are as follows:
1. Name;
2. Birth date;
3. Current address and telephone
				  number;
4. Position title and date
				  employed;
5. Last previous
				  employment;
6. An original criminal
				  record report and a sworn disclosure statement;
7. Previous experience or training or
				  both;
8. Documentation of
				  qualifications for employment related to the staff person's position, including
				  any specified relevant information;
9. Verification of current professional
				  license, certification, registration, or completion of a required approved
				  training course;
10. Name and
				  telephone number of a person to contact in an emergency;
11. Documentation of attendance of formal
				  training received after employment, including title of course, location, date,
				  number of contact hours, and name of the entity that provided the training;
				  and
12. Date of termination of
				  employment.
Virginia Administrative Code › Title 22 - SOCIAL SERVICES › Agency 40 - DEPARTMENT OF SOCIAL SERVICES › Chapter 61 - STANDARDS AND REGULATIONS FOR LICENSED ADULT DAY CENTERS › Part IV - Supervision › Section 22VAC40-61-190 - General supervision

Current through Register Vol. 40, No. 24, July 15, 2024
A. During
				  the center's hours of operation, one staff person on the premises shall be in
				  charge of the administration of the center. This person shall be either the
				  director or a staff member appointed by the licensee or designated by the
				  director. This person may not be a volunteer.
B. At least two staff persons shall be on
				  duty at the center and on field trips at all times when one or more
				  participants are present. The use of volunteers as staff shall be in accordance
				  with 22VAC40-61-170 G.
C. The
				  center shall maintain a daily participant attendance log, documenting the name
				  of the participant and his arrival and departure time.
Statutory Authority: §
												63.2-1733
						of the Code of Virginia.
Virginia Administrative Code › Title 22 - SOCIAL SERVICES › Agency 40 - DEPARTMENT OF SOCIAL SERVICES › Chapter 61 - STANDARDS AND REGULATIONS FOR LICENSED ADULT DAY CENTERS › Part IV - Supervision › Section 22VAC40-61-200 - Staff-to-participant ratio

Current through Register Vol. 40, No. 24, July 15, 2024
A. There shall
				  be at least one staff person on duty providing direct care and supervision for
				  every six participants in care, or portion thereof, whether at the center or on
				  field trips.
B. The
				  staff-to-participant ratio is to be calculated for the center rather than for a
				  room or activity.
C. The number of
				  any additional staff persons required shall depend upon:
1. The program and services the center
				  provides;
2. The assessed
				  functional levels and current needs of the participants; and
3. The size and physical layout of the
				  building.
Virginia Administrative Code › Title 22 - SOCIAL SERVICES › Agency 40 - DEPARTMENT OF SOCIAL SERVICES › Chapter 61 - STANDARDS AND REGULATIONS FOR LICENSED ADULT DAY CENTERS › Part V - Admission, Retention, and Discharge › Section 22VAC40-61-210 - Admission policies

Current through Register Vol. 40, No. 24, July 15, 2024
A. The
				  center shall have admission policies, to include admission criteria, that shall
				  be discussed with each person entering the program, his family members, legal
				  representative, or the public, as appropriate. A copy of the admission policies
				  shall be available upon request.
B.
				  Only those persons who meet the admission criteria shall be admitted to the
				  center.
C. All participants shall
				  be 18 years of age or older.
Statutory Authority: §
												63.2-1733
						of the Code of Virginia.
Virginia Administrative Code › Title 22 - SOCIAL SERVICES › Agency 40 - DEPARTMENT OF SOCIAL SERVICES › Chapter 61 - STANDARDS AND REGULATIONS FOR LICENSED ADULT DAY CENTERS › Part V - Admission, Retention, and Discharge › Section 22VAC40-61-220 - Assessment procedures

Current through Register Vol. 40, No. 24, July 15, 2024
A. A
				  written assessment of a participant shall be secured or conducted prior to [ or
				  on the date of ] admission by the director, a staff person who meets the
				  qualifications of the director, or a licensed health care professional employed
				  by the center.
B. The assessment
				  shall be based upon the information presented by the participant, family
				  members, friends, legal representative, the report of the required physical
				  examination, and from other care providers.
C. The assessment shall identify the person's
				  abilities and needs to determine if and how the program can serve the
				  participant.
D. The assessment
				  shall include at minimum a description of the participant's:
1. Medical and functional condition,
				  including:
a. Ambulatory ability;
b. Ability to perform activities of daily
				  living; and
c. Health status to
				  include diagnoses and medications.
Virginia Administrative Code › Title 22 - SOCIAL SERVICES › Agency 40 - DEPARTMENT OF SOCIAL SERVICES › Chapter 61 - STANDARDS AND REGULATIONS FOR LICENSED ADULT DAY CENTERS › Part V - Admission, Retention, and Discharge › Section 22VAC40-61-230 - Participant plan of care

Current through Register Vol. 40, No. 24, July 15, 2024
A.
				  Prior to or on the date of admission, a preliminary multidisciplinary plan of
				  care based upon the assessment shall be developed for each participant. The
				  plan shall be reviewed and updated, if necessary, within 30 days of
				  admission.
B. The plan shall be
				  developed by the director, a staff person who meets the qualifications of the
				  director, or a licensed health care professional employed by the
				  center.
C. The plan shall be
				  developed in conjunction with the participant and, as appropriate, with the
				  participant's family members, legal representative, direct care staff members,
				  case manager, or health care provider.
D. The plan shall be developed to maximize
				  the participant's level of functional ability and to support the principles of
				  individuality, personal dignity, and freedom of choice. Whenever possible,
				  participants shall be given a choice of options regarding the type and delivery
				  of services. The plan shall include:
1. A
				  description of the identified needs and the date identified;
2. The expected outcome or goal to be
				  achieved in meeting those needs;
3.
				  The activities and services that will be provided to meet those outcomes or
				  goals, who will provide them, and when they will be provided;
4. If appropriate, the time by which the
				  outcome or goals should be achieved; and
5. Date outcome or goal achieved.
Virginia Administrative Code › Title 22 - SOCIAL SERVICES › Agency 40 - DEPARTMENT OF SOCIAL SERVICES › Chapter 61 - STANDARDS AND REGULATIONS FOR LICENSED ADULT DAY CENTERS › Part V - Admission, Retention, and Discharge › Section 22VAC40-61-240 - Participant agreement with the center

Current through Register Vol. 40, No. 24, July 15, 2024
A. At or prior to the time of admission,
				  there shall be a written agreement between the participant and the center. The
				  agreement shall be signed and dated by the participant or legal representative
				  and the center representative.
B.
				  The agreement shall specify the following:
1.
				  Services and care to be provided to the participant by the center. Any
				  additional fees for specific services and care shall be identified.
2. Financial arrangement to include:
a. The amount to be paid, frequency of
				  payments, and rules relating to nonpayment.
b. The amount and purpose of an advance
				  payment or deposit payment and the refund policy for such payment.
c. The policy with respect to increases in
				  charges and the length of time for advance notice of intent to increase
				  charges.
d. The refund policy to
				  apply when transfer of ownership, closing of center, or participant discharge
				  occurs.
e. The fee or notification
				  requirement, if any, associated with participant discharge.
f. The provision of a monthly statement or
				  itemized receipt of the participant's account.
3. Conditions for discharge.
Virginia Administrative Code › Title 22 - SOCIAL SERVICES › Agency 40 - DEPARTMENT OF SOCIAL SERVICES › Chapter 61 - STANDARDS AND REGULATIONS FOR LICENSED ADULT DAY CENTERS › Part V - Admission, Retention, and Discharge › Section 22VAC40-61-250 - Participant record

Current through Register Vol. 40, No. 24, July 15, 2024
A. The center
				  shall establish policies and procedures for documentation and recordkeeping to
				  ensure that the information in participant records is accurate, clear, and well
				  organized. The record shall contain all information, reports, and documents
				  required by this chapter and other information relevant to the plan of
				  care.
B. The following personal
				  information shall be kept current for each participant:
1. Full name of participant, address, and
				  telephone number;
2. Date of
				  admission;
3. Birth date;
4. Marital status;
5. Names, addresses, and telephone numbers of
				  at least two family members, friends, or other designated people to be
				  contacted in the event of illness or an emergency;
6. Names, addresses, and telephone numbers of
				  the participant's local primary care provider, personal physician, any other
				  health or social service provider and the name of the preferred hospital in the
				  event of an emergency;
7. Name,
				  address, and telephone number of any legal representative and documentation
				  regarding the scope of their representation;
8. Known allergies, if any;
9. Information regarding an advance directive
				  or Do Not Resuscitate Order, if applicable;
10. Mental health, substance abuse, or
				  behavioral concerns; and
11. A
				  current photograph or narrative physical description of the participant, which
				  shall be updated annually.
Virginia Administrative Code › Title 22 - SOCIAL SERVICES › Agency 40 - DEPARTMENT OF SOCIAL SERVICES › Chapter 61 - STANDARDS AND REGULATIONS FOR LICENSED ADULT DAY CENTERS › Part V - Admission, Retention, and Discharge › Section 22VAC40-61-260 - Physical examinations and report

Current through Register Vol. 40, No. 24, July 15, 2024
A. Within the 30 days preceding admission, a
				  participant shall have a physical examination by a licensed
				  physician.
B. The report of the
				  required physical examination shall be on file at the center and shall include:
1. The person's name, [ date of birth, ]
				  address, and telephone number.
2.
				  The date of the physical examination.
3. Height, weight, and blood
				  pressure.
4. Significant medical
				  history.
5. General physical
				  condition, including a systems review as is medically indicated.
6. All diagnoses and significant medical
				  problems.
7. Any known allergies
				  and description of the person's reactions.
8. Any recommendations for care including:
a. A list of all medications including
				  dosages, route, and frequency of administration;
b. Any special diet or any food
				  intolerances;
c. Any therapy,
				  treatments, or procedures the individual is undergoing or should receive and by
				  whom; and
d. Any restrictions or
				  limitations on physical activities or program participation.
9. The participant shall obtain an
				  evaluation by a qualified licensed practitioner that completes an assessment
				  for tuberculosis (TB) in a communicable form no earlier than 30 days before
				  admission. The evaluation for tuberculosis shall be consistent with the TB risk
				  assessment as published by the Virginia Department of Health, with additional
				  testing, singly or in combination, as deemed necessary. Documentation of the TB
				  evaluation is required, which includes the information contained on the form
				  "Report of Tuberculosis Screening" recommended by the Virginia Department of
				  Health. The form shall be signed by the qualified licensed practitioner who
				  performs the evaluation.
10. A
				  statement that specifies whether the individual is considered to be ambulatory
				  or nonambulatory.
11. A statement
				  that specifies whether the individual is or is not capable of
				  self-administering medication.
12.
				  The signature of the examining physician or his designee.