reglab/statecodes huggingface dataset:
Virginia Administrative Code › Title 22 - SOCIAL SERVICES › Agency 40 - DEPARTMENT OF SOCIAL SERVICES › Chapter 73 - STANDARDS FOR LICENSED ASSISTED LIVING FACILITIES › Part VI - Resident Care and Related Services › Section 22VAC40-73-560 - Resident records

Current through Register Vol. 40, No. 24, July 15, 2024
A. The facility
				  shall establish written policy and procedures for documentation and
				  recordkeeping to ensure that the information in resident records is accurate
				  and clear and that the records are well-organized.
B. Resident records shall be identified and
				  easily located by resident name, including when a resident's record is kept in
				  more than one place. This shall apply to both electronic and hard copy
				  material.
C. Any physician's notes
				  and progress reports in the possession of the facility shall be retained in the
				  resident's record.
D. Copies of all
				  agreements between the facility and the resident and official acknowledgment of
				  required notifications, signed by all parties involved, shall be retained in
				  the resident's record. Copies shall be provided to the resident and to persons
				  whose signatures appear on the document.
E. All resident records shall be kept
				  current, retained at the facility, and kept in a locked area, except that
				  information shall be made available as noted in subsection F of this
				  section.
F. The licensee shall
				  ensure that all records are treated confidentially and that information shall
				  be made available only when needed for care of the resident. All records shall
				  be made available for inspection by the department's representative.
G. Residents shall be allowed access to their
				  own records. A legal representative of a resident shall be provided access to
				  the resident's record or part of the record as allowed by the scope of his
				  legal authority.
H. The complete
				  resident record shall be retained for at least two years after the resident
				  leaves the facility.
1. For at least the first
				  year, the record shall be retained at the facility.
2. After the first year, the record may be
				  retained off site in a safe, secure area. The record must be available at the
				  facility within 48 hours.
Virginia Administrative Code › Title 22 - SOCIAL SERVICES › Agency 40 - DEPARTMENT OF SOCIAL SERVICES › Chapter 73 - STANDARDS FOR LICENSED ASSISTED LIVING FACILITIES › Part VI - Resident Care and Related Services › Section 22VAC40-73-570 - Release of information regarding resident's personal affairs and records

Current through Register Vol. 40, No. 24, July 15, 2024
A. The
				  resident or the appropriate legal representative has the right to release
				  information from the resident's record to persons or agencies outside the
				  facility.
B. The licensee is
				  responsible for making available to residents and legal representatives a form
				  which they may use to grant their written permission for the facility to
				  release information to persons or agencies outside the facility. The facility
				  shall retain a copy of any signed release of information form in the resident's
				  record.
C. Only under the following
				  circumstances is a facility permitted to release information from the
				  resident's records or information regarding the resident's personal affairs
				  without the written permission of the resident or his legal representative,
				  where appropriate:
1. When records have been
				  properly subpoenaed;
2. When the
				  resident is in need of emergency medical care and is unable or unwilling to
				  grant permission to release information or his legal representative is not
				  available to grant permission;
3.
				  When the resident moves to another caregiving facility;
4. To representatives of the department;
				  or
5. As otherwise required by
				  law.
Virginia Administrative Code › Title 22 - SOCIAL SERVICES › Agency 40 - DEPARTMENT OF SOCIAL SERVICES › Chapter 73 - STANDARDS FOR LICENSED ASSISTED LIVING FACILITIES › Part VI - Resident Care and Related Services › Section 22VAC40-73-580 - Food service and nutrition

Current through Register Vol. 40, No. 24, July 15, 2024
A. When any portion of an assisted living
				  facility is subject to inspection by the Virginia Department of Health, the
				  facility shall be in compliance with those regulations, as evidenced by an
				  initial and subsequent annual reports from the Virginia Department of Health.
				  The report shall be retained at the facility for a period of at least two
				  years.
B. All meals shall be served
				  in the dining area as designated by the facility, except that:
1. If the facility, through its policies and
				  procedures, offers routine or regular room service, residents shall be given
				  the option of having meals in the dining area or in their rooms, provided that:
a. There is a written agreement to this
				  effect, signed and dated by both the resident and the licensee or administrator
				  and filed in the resident's record.
b. If a resident's individualized service
				  plan, physical examination report, mental health status report, or any other
				  document indicates that the resident has a psychiatric condition that
				  contributes to self-isolation, a qualified mental health professional shall
				  make a determination in writing whether the resident should have the option of
				  having meals in his room. If the determination is made that the resident should
				  not have this option, then the resident shall have his meals in the dining
				  area.
Virginia Administrative Code › Title 22 - SOCIAL SERVICES › Agency 40 - DEPARTMENT OF SOCIAL SERVICES › Chapter 73 - STANDARDS FOR LICENSED ASSISTED LIVING FACILITIES › Part VI - Resident Care and Related Services › Section 22VAC40-73-590 - Number of meals and availability of snacks

Current through Register Vol. 40, No. 24, July 15, 2024
A. At least three well-balanced meals, served
				  at regular intervals, shall be provided daily to each resident, unless
				  contraindicated as documented by the attending physician in the resident's
				  record or as provided for in
				  22VAC40-73-580 G.
B. Snacks shall be made available at all
				  times for all residents or in accordance with their physician's or other
				  prescriber's orders.
1. Appropriate
				  adjustments in the provision of snacks to a resident shall be made when orders
				  from the resident's physician or other prescriber in the resident's record
				  limits the receipt or type of snacks.
2. Vending machines shall not be used as the
				  only source for snacks.
Virginia Administrative Code › Title 22 - SOCIAL SERVICES › Agency 40 - DEPARTMENT OF SOCIAL SERVICES › Chapter 73 - STANDARDS FOR LICENSED ASSISTED LIVING FACILITIES › Part VI - Resident Care and Related Services › Section 22VAC40-73-600 - Time interval between meals

Current through Register Vol. 40, No. 24, July 15, 2024
A. Time between the scheduled evening meal
				  and scheduled breakfast the following morning shall not exceed 15
				  hours.
B. There shall be at least
				  four hours between scheduled breakfast and lunch and at least four hours
				  between scheduled lunch and supper.
C. When multiple seatings are required due to
				  limited dining space, scheduling shall ensure that these time intervals are met
				  for all residents. Schedules shall be made available to residents, legal
				  representatives, staff, volunteers, and any other persons responsible for
				  assisting residents in the dining process.
Statutory Authority: §§
												63.2-217,
						63.2-1732,
						63.2-1802,
						63.2-1805,
						and
						63.2-1808
						of the Code of Virginia.
Virginia Administrative Code › Title 22 - SOCIAL SERVICES › Agency 40 - DEPARTMENT OF SOCIAL SERVICES › Chapter 73 - STANDARDS FOR LICENSED ASSISTED LIVING FACILITIES › Part VI - Resident Care and Related Services › Section 22VAC40-73-610 - Menus for meals and snacks

Current through Register Vol. 40, No. 24, July 15, 2024
A.
				  Food preferences of residents shall be considered when menus are
				  planned.
B. Menus for meals and
				  snacks for the current week shall be dated and posted in an area conspicuous to
				  residents.
1. Any menu substitutions or
				  additions shall be recorded on the posted menu.
2. A record shall be kept of the menus served
				  for two years.
Virginia Administrative Code › Title 22 - SOCIAL SERVICES › Agency 40 - DEPARTMENT OF SOCIAL SERVICES › Chapter 73 - STANDARDS FOR LICENSED ASSISTED LIVING FACILITIES › Part VI - Resident Care and Related Services › Section 22VAC40-73-620 - Oversight of special diets

Current through Register Vol. 40, No. 24, July 15, 2024
A.
				  There shall be oversight at least every six months of special diets by a
				  dietitian or nutritionist for each resident who has such a diet. Special diets
				  may also be referred to using terms such as medical nutrition therapy or diet
				  therapy. The dietitian or nutritionist must meet the requirements of §
										54.1-2731
				  of the Code of Virginia,
B. The
				  oversight specified in subsection A of this section shall be on site and
				  include the following:
1. A review of the
				  physician's or other prescriber's order and the preparation and delivery of the
				  special diet.
2. An evaluation of
				  the adequacy of the resident's special diet and the resident's acceptance of
				  the diet.
3. Certification that the
				  requirements of this subsection were met, including the date of the oversight
				  and identification of the residents for whom the oversight was provided. The
				  administrator shall be advised of the findings of the oversight and any
				  recommendations. All of the requirements of this subdivision shall be (i) in
				  writing, (ii) signed and dated by the dietitian or nutritionist, (iii) provided
				  to the administrator within 10 days of the completion of the oversight, and
				  (iv) maintained in the files at the facility for at least two years, with any
				  specific recommendations regarding a particular resident also maintained in the
				  resident's record.
4. Upon receipt
				  of recommendations noted in subdivision 3 of this subsection, the
				  administrator, dietitian, or nutritionist shall report them to the resident's
				  physician. Documentation of the report shall be maintained in the resident's
				  record.
5. Action taken in response
				  to the recommendations noted in subdivision 3 of this subsection shall be
				  documented in the resident's record.
Virginia Administrative Code › Title 22 - SOCIAL SERVICES › Agency 40 - DEPARTMENT OF SOCIAL SERVICES › Chapter 73 - STANDARDS FOR LICENSED ASSISTED LIVING FACILITIES › Part VI - Resident Care and Related Services › Section 22VAC40-73-630 - Observance of religious dietary practices

Current through Register Vol. 40, No. 24, July 15, 2024
A. The resident's religious dietary practices
				  shall be respected.
B. Religious
				  dietary practices of the administrator or licensee shall not be imposed upon
				  residents unless specifically agreed upon in the admission
				  agreement/acknowledgment between administrator or licensee and
				  resident.
Statutory Authority: §§
												63.2-217,
						63.2-1732,
						63.2-1802,
						63.2-1805,
						and
						63.2-1808
						of the Code of Virginia.
Virginia Administrative Code › Title 22 - SOCIAL SERVICES › Agency 40 - DEPARTMENT OF SOCIAL SERVICES › Chapter 73 - STANDARDS FOR LICENSED ASSISTED LIVING FACILITIES › Part VI - Resident Care and Related Services › Section 22VAC40-73-640 - Medication management plan and reference materials

Current through Register Vol. 40, No. 24, July 15, 2024
A. The facility shall have, keep current, and
				  implement a written plan for medication management. The facility's medication
				  plan shall address procedures for administering medication and shall include:
1. Methods to ensure an understanding of the
				  responsibilities associated with medication management;
2. Standard operating procedures, including
				  the facility's standard dosing schedule and any general restrictions specific
				  to the facility;
3. Methods to
				  prevent the use of outdated, damaged, or contaminated medications;
4. Methods to ensure that each resident's
				  prescription medications and any over-the-counter drugs and supplements ordered
				  for the resident are filled and refilled in a timely manner to avoid missed
				  dosages;
5. Methods for verifying
				  that medication orders have been accurately transcribed to medication
				  administration records (MARs) within 24 hours of receipt of a new order or
				  change in an order;
6. Methods for
				  monitoring medication administration and the effective use of the MARs for
				  documentation;
7. Methods to ensure
				  that MARs are maintained as part of the resident's record;
8. Methods to ensure accurate counts of all
				  controlled substances whenever assigned medication administration staff
				  changes;
9. Methods to ensure that
				  staff who are responsible for administering medications meet the qualification
				  requirements of
				  22VAC40-73-670;
10. Methods to ensure that staff who are
				  responsible for administering medications are adequately supervised, including
				  periodic direct observation of medication administration;
11. A plan for proper disposal of
				  medication;
12. Methods to ensure
				  that residents do not receive medications or dietary supplements to which they
				  have known allergies;
13.
				  Identification of the medication aide or the person licensed to administer
				  drugs responsible for routinely communicating issues or observations related to
				  medication administration to the prescribing physician or other
				  prescriber;
14. Methods to ensure
				  that staff who are responsible for administering medications are trained on the
				  facility's medication management plan; and
15. Procedures for internal monitoring of the
				  facility's conformance to the medication management plan.
Virginia Administrative Code › Title 22 - SOCIAL SERVICES › Agency 40 - DEPARTMENT OF SOCIAL SERVICES › Chapter 73 - STANDARDS FOR LICENSED ASSISTED LIVING FACILITIES › Part VI - Resident Care and Related Services › Section 22VAC40-73-650 - Physician's or other prescriber's order

Current through Register Vol. 40, No. 24, July 15, 2024
A. No medication, dietary supplement, diet,
				  medical procedure, or treatment shall be started, changed, or discontinued by
				  the facility without a valid order from a physician or other prescriber.
				  Medications include prescription, over-the-counter, and sample
				  medications.
B. Physician or other
				  prescriber orders, both written and oral, for administration of all
				  prescription and over-the-counter medications and dietary supplements shall
				  include the name of the resident, the date of the order, the name of the drug,
				  route, dosage, strength, how often medication is to be given, and identify the
				  diagnosis, condition, or specific indications for administering each
				  drug.
C. Physician's or other
				  prescriber's oral orders shall:
1. Be charted
				  by the individual who takes the order. That individual must be one of the
				  following:
a. A licensed health care
				  professional practicing within the scope of his profession; or
b. A medication aide.
Virginia Administrative Code › Title 22 - SOCIAL SERVICES › Agency 40 - DEPARTMENT OF SOCIAL SERVICES › Chapter 73 - STANDARDS FOR LICENSED ASSISTED LIVING FACILITIES › Part VI - Resident Care and Related Services › Section 22VAC40-73-660 - Storage of medications

Current through Register Vol. 40, No. 24, July 15, 2024
A. A
				  medicine cabinet, container, or compartment shall be used for storage of
				  medications and dietary supplements prescribed for residents when such
				  medications and dietary supplements are administered by the facility.
				  Medications shall be stored in a manner consistent with current standards of
				  practice.
1. The storage area shall be
				  locked.
2. Schedule II drugs and
				  any other drugs subject to abuse must be kept in a separate locked storage
				  compartment (e.g., a locked cabinet within a locked storage area or a locked
				  container within a locked cabinet or cart).
3. The individual responsible for medication
				  administration shall keep the keys to the storage area on his person.
4. When in use, the storage area shall have
				  adequate illumination in order to read container labels.
5. The storage area shall not be located in
				  the kitchen or bathroom, but in an area free of dampness or abnormal
				  temperatures unless the medication requires refrigeration.
6. When required, medications shall be
				  refrigerated.
a. It is permissible to store
				  dietary supplements and foods and liquids used for medication administration in
				  a refrigerator that is dedicated to medication storage if the refrigerator is
				  in a locked storage area.
b. When it
				  is necessary to store medications in a refrigerator that is routinely used for
				  food storage, the medications shall be stored together in a locked container in
				  a clearly defined area.
7.
				  Single-use and dedicated medical supplies and equipment shall be appropriately
				  labeled and stored. Medical equipment suitable for multi-use shall be stored to
				  prevent cross-contamination.
Virginia Administrative Code › Title 22 - SOCIAL SERVICES › Agency 40 - DEPARTMENT OF SOCIAL SERVICES › Chapter 73 - STANDARDS FOR LICENSED ASSISTED LIVING FACILITIES › Part VI - Resident Care and Related Services › Section 22VAC40-73-670 - Qualifications and supervision of staff administering medications

Current through Register Vol. 40, No. 24, July 15, 2024
When staff administers medications to residents, the
					 following standards shall apply:
1.
				  Each staff person who administers medication shall be authorized by §
										54.1-3408
				  of the Virginia Drug Control Act. All staff responsible for medication
				  administration shall:
a. Be licensed by the
				  Commonwealth of Virginia to administer medications; or
b. Be registered with the Virginia Board of
				  Nursing as a medication aide, except as specified in subdivision 2 of this
				  section.
Virginia Administrative Code › Title 22 - SOCIAL SERVICES › Agency 40 - DEPARTMENT OF SOCIAL SERVICES › Chapter 73 - STANDARDS FOR LICENSED ASSISTED LIVING FACILITIES › Part VI - Resident Care and Related Services › Section 22VAC40-73-690 - Medication review

Current through Register Vol. 40, No. 24, July 15, 2024
A. For each
				  resident assessed for residential living care, except for those who
				  self-administer all of their medications, a licensed health care professional,
				  practicing within the scope of his profession, shall perform an annual review
				  of all the medications of the resident.
B. For each resident assessed for assisted
				  living care, except for those who self-administer all of their medications, a
				  licensed health care professional, practicing within the scope of his
				  profession, shall perform a review every six months of all the medications of
				  the resident.
C. The medication
				  review shall include prescription drugs, over-the-counter medications, and
				  dietary supplements ordered for the resident.
D. If deemed appropriate by the licensed
				  health care professional, the review shall include observation of the resident
				  or interview with the resident or staff.
E. The review shall include the following:
1. All medications that the resident is
				  taking and medications that he could be taking if needed (PRNs).
2. An examination of the dosage, strength,
				  route, how often, prescribed duration, and when the medication is
				  taken.
3. Documentation of actual
				  and consideration of potential interactions of drugs with one
				  another.
4. Documentation of actual
				  and consideration of potential interactions of drugs with foods or
				  drinks.
5. Documentation of actual
				  and consideration of potential negative effects of drugs resulting from a
				  resident's medical condition other than the one the drug is treating.
6. Consideration of whether PRNs, if any, are
				  still needed and if clarification regarding use is necessary.
7. Consideration of a gradual dose reduction
				  of antipsychotic medications for those residents with a diagnosis of dementia
				  and no diagnoses of a primary psychiatric disorder.
8. Consideration of whether the resident
				  needs additional monitoring or testing.
9. Documentation of actual and consideration
				  of potential adverse effects or unwanted side effects of specific
				  medications.
10. Identification of
				  that which may be questionable, such as (i) similar medications being taken,
				  (ii) different medications being used to treat the same condition, (iii) what
				  seems an excessive number of medications, and (iv) what seems an exceptionally
				  high drug dosage.
11. The health
				  care professional shall notify the resident's attending physician of any
				  concerns or problems and document the notification.
Virginia Administrative Code › Title 22 - SOCIAL SERVICES › Agency 40 - DEPARTMENT OF SOCIAL SERVICES › Chapter 73 - STANDARDS FOR LICENSED ASSISTED LIVING FACILITIES › Part VI - Resident Care and Related Services › Section 22VAC40-73-700 - Oxygen therapy

Current through Register Vol. 40, No. 24, July 15, 2024
When oxygen therapy is provided, the following safety
					 precautions shall be met and maintained:
1. The facility shall have a valid
				  physician's or other prescriber's order that includes the following:
a. The oxygen source, such as compressed gas
				  or concentrators;
b. The delivery
				  device, such as nasal cannula, reservoir nasal cannulas, or masks;
				  and
c. The flow rate deemed
				  therapeutic for the resident.
Virginia Administrative Code › Title 22 - SOCIAL SERVICES › Agency 40 - DEPARTMENT OF SOCIAL SERVICES › Chapter 73 - STANDARDS FOR LICENSED ASSISTED LIVING FACILITIES › Part VI - Resident Care and Related Services › Section 22VAC40-73-710 - Restraints

Current through Register Vol. 40, No. 24, July 15, 2024
A. The use of
				  chemical restraints is prohibited. The use of prone or supine restraints is
				  prohibited. The use of any restraint or restraint technique that restricts a
				  resident's breathing, interferes with a resident's ability to communicate, or
				  applies pressure on a resident's torso is prohibited.
B. Physical restraints shall not be used for
				  purposes of discipline or convenience. Physical restraints may only be used (i)
				  as a medical/orthopedic restraint for support, according to a physician's
				  written order and with the written consent of the resident or his legal
				  representative or (ii) in an emergency situation after less intrusive
				  interventions have proven insufficient to prevent imminent threat of death or
				  serious physical injury to the resident or others.
C. If a restraint is used, it must:
1. Be imposed in accordance with a
				  physician's written order that specifies the condition, circumstances, and
				  duration under which the restraint is to be used,; and
2. Not be ordered on a standing, blanket, or
				  "as needed" (PRN) basis.
Virginia Administrative Code › Title 22 - SOCIAL SERVICES › Agency 40 - DEPARTMENT OF SOCIAL SERVICES › Chapter 73 - STANDARDS FOR LICENSED ASSISTED LIVING FACILITIES › Part VI - Resident Care and Related Services › Section 22VAC40-73-720 - Do Not Resuscitate Orders

Current through Register Vol. 40, No. 24, July 15, 2024
A.
				  Do Not Resuscitate (DNR) Orders for withholding cardiopulmonary resuscitation
				  from a resident in the event of cardiac or respiratory arrest may only be
				  carried out in a licensed assisted living facility when:
1. A valid written order has been issued by
				  the resident's attending physician; and
2. The written order is included in the
				  individualized service plan;
Virginia Administrative Code › Title 22 - SOCIAL SERVICES › Agency 40 - DEPARTMENT OF SOCIAL SERVICES › Chapter 73 - STANDARDS FOR LICENSED ASSISTED LIVING FACILITIES › Part VI - Resident Care and Related Services › Section 22VAC40-73-730 - Advance directives

Current through Register Vol. 40, No. 24, July 15, 2024
A. Upon
				  admission or while residing in the facility, whenever the resident has
				  established advance directives, such as a living will or a durable power of
				  attorney for health care, to the extent available, the facility shall obtain
				  the following:
1. The name of and contact
				  information for the individual or individuals who has the document or
				  documents;
2. The location of the
				  documents;
3. Either the advance
				  directives or the content of the advance directives; and
4. The name of and contact information for
				  any designated agent, as related to the development and modification of the
				  individualized service plan.
Virginia Administrative Code › Title 22 - SOCIAL SERVICES › Agency 40 - DEPARTMENT OF SOCIAL SERVICES › Chapter 73 - STANDARDS FOR LICENSED ASSISTED LIVING FACILITIES › Part VII - Resident Accommodations and Related Provisions › Section 22VAC40-73-740 - Personal possessions

Current through Register Vol. 40, No. 24, July 15, 2024
A. Each
				  resident shall be permitted to keep reasonable personal property in his
				  possession at a facility in order to maintain individuality and personal
				  dignity.
B. A facility shall ensure
				  that each resident has his own clothing.
1.
				  The use of a common clothing pool is prohibited.
2. If necessary, resident's clothing shall be
				  inconspicuously marked with his name to avoid getting mixed with
				  others.
3. Residents shall be
				  allowed and encouraged to select their daily clothing and wear clothing to suit
				  their activities and appropriate to weather conditions.
Virginia Administrative Code › Title 22 - SOCIAL SERVICES › Agency 40 - DEPARTMENT OF SOCIAL SERVICES › Chapter 73 - STANDARDS FOR LICENSED ASSISTED LIVING FACILITIES › Part VII - Resident Accommodations and Related Provisions › Section 22VAC40-73-750 - Resident rooms

Current through Register Vol. 40, No. 24, July 15, 2024
A. The resident
				  shall be encouraged to furnish or decorate his room as space and safety
				  considerations permit and in accordance with this chapter.
B. Bedrooms shall contain the following
				  items, except as provided for in subsection C of this section:
1. A separate bed with comfortable mattress,
				  springs, and pillow for each resident. Provisions for a double bed for a
				  married couple shall be optional;
2.
				  A table or its equivalent accessible to each bed;
3. An operable bed lamp or bedside light
				  accessible to each resident;
4. A
				  sturdy chair for each resident;
5.
				  Drawer space for clothing and other personal items. If more than one resident
				  occupies a room, ample drawer space shall be assigned to each
				  resident;
6. At least one mirror -
				  if the resident has an individual adjoining bathroom, the mirror may be in the
				  bathroom; and
7. Window coverings
				  for privacy.
Virginia Administrative Code › Title 22 - SOCIAL SERVICES › Agency 40 - DEPARTMENT OF SOCIAL SERVICES › Chapter 73 - STANDARDS FOR LICENSED ASSISTED LIVING FACILITIES › Part VII - Resident Accommodations and Related Provisions › Section 22VAC40-73-760 - Living room or multipurpose room

Current through Register Vol. 40, No. 24, July 15, 2024
A. Sitting rooms or recreation areas or both
				  shall be equipped with:
1. Comfortable chairs
				  (e.g., overstuffed, straight-backed, and rockers);
2. Tables;
3. Lamps;
4. Television, if not available in other
				  common areas of the facility;
5.
				  Radio, if not available in other common areas of the facility; and
6. Current newspaper, if not available in
				  other common areas of the facility.
Virginia Administrative Code › Title 22 - SOCIAL SERVICES › Agency 40 - DEPARTMENT OF SOCIAL SERVICES › Chapter 73 - STANDARDS FOR LICENSED ASSISTED LIVING FACILITIES › Part VII - Resident Accommodations and Related Provisions › Section 22VAC40-73-770 - Dining areas

Current through Register Vol. 40, No. 24, July 15, 2024
Dining areas shall have a sufficient number of sturdy
					 dining tables and chairs to serve all residents, either all at one time or in
					 reasonable shifts.
Statutory Authority: §§
												63.2-217,
						63.2-1732,
						63.2-1802,
						63.2-1805,
						and
						63.2-1808
						of the Code of Virginia.
Virginia Administrative Code › Title 22 - SOCIAL SERVICES › Agency 40 - DEPARTMENT OF SOCIAL SERVICES › Chapter 73 - STANDARDS FOR LICENSED ASSISTED LIVING FACILITIES › Part VII - Resident Accommodations and Related Provisions › Section 22VAC40-73-780 - Laundry and linens

Current through Register Vol. 40, No. 24, July 15, 2024
A.
				  Residents' clothing shall be kept clean and in good repair.
B. Bed and bath linens shall be changed at
				  least every seven days and more often if needed. In facilities with common
				  bathing areas, bath linens shall be changed after each use.
C. When the facility provides laundry service
				  for residents' clothing or personal linens, the clean items shall be sorted by
				  individual resident.
D. Table
				  coverings and napkins shall be clean at all times.
E. Table and kitchen linens shall be
				  laundered separately from other washable goods.
F. When bed, bath, table, and kitchen linens
				  are washed, the water shall be above 140°F or the dryer shall heat the
				  linens above 140°F as verified by the manufacturer or a sanitizing agent
				  shall be used according to the manufacturer's
				  instructions.
Statutory Authority: §§
												63.2-217,
						63.2-1732,
						63.2-1802,
						63.2-1805,
						and
						63.2-1808
						of the Code of Virginia.
Virginia Administrative Code › Title 22 - SOCIAL SERVICES › Agency 40 - DEPARTMENT OF SOCIAL SERVICES › Chapter 73 - STANDARDS FOR LICENSED ASSISTED LIVING FACILITIES › Part VII - Resident Accommodations and Related Provisions › Section 22VAC40-73-790 - Transportation

Current through Register Vol. 40, No. 24, July 15, 2024
The resident shall be assisted in making arrangements for
					 transportation as necessary.
Statutory Authority: §§
												63.2-217,
						63.2-1732,
						63.2-1802,
						63.2-1805,
						and
						63.2-1808
						of the Code of Virginia.
Virginia Administrative Code › Title 22 - SOCIAL SERVICES › Agency 40 - DEPARTMENT OF SOCIAL SERVICES › Chapter 73 - STANDARDS FOR LICENSED ASSISTED LIVING FACILITIES › Part VII - Resident Accommodations and Related Provisions › Section 22VAC40-73-800 - Incoming and outgoing mail

Current through Register Vol. 40, No. 24, July 15, 2024
A.
				  Incoming and outgoing mail shall not be censored.
B. Incoming mail shall be delivered
				  promptly.
C. Mail shall not be
				  opened by staff or volunteers except upon request of the resident and in his
				  presence or written request of the legal representative.
Statutory Authority: §§
												63.2-217,
						63.2-1732,
						63.2-1802,
						63.2-1805,
						and
						63.2-1808
						of the Code of Virginia.
Virginia Administrative Code › Title 22 - SOCIAL SERVICES › Agency 40 - DEPARTMENT OF SOCIAL SERVICES › Chapter 73 - STANDARDS FOR LICENSED ASSISTED LIVING FACILITIES › Part VII - Resident Accommodations and Related Provisions › Section 22VAC40-73-810 - Telephones

Current through Register Vol. 40, No. 24, July 15, 2024
A. Each building
				  shall have at least one operable, nonpay telephone easily accessible to staff.
				  There shall be additional telephones or extensions as may be needed to summon
				  help in an emergency.
B. The
				  resident shall have reasonable access to a nonpay telephone on the
				  premises.
C. Privacy shall be
				  provided for residents to use a telephone.
Statutory Authority: §§
												63.2-217,
						63.2-1732,
						63.2-1802,
						63.2-1805,
						and
						63.2-1808
						of the Code of Virginia.
Virginia Administrative Code › Title 22 - SOCIAL SERVICES › Agency 40 - DEPARTMENT OF SOCIAL SERVICES › Chapter 73 - STANDARDS FOR LICENSED ASSISTED LIVING FACILITIES › Part VII - Resident Accommodations and Related Provisions › Section 22VAC40-73-820 - Smoking

Current through Register Vol. 40, No. 24, July 15, 2024
A. Smoking by
				  residents, staff, volunteers, and visitors shall be done only in areas
				  designated by the facility and approved by the State Fire Marshal or local fire
				  official. Smoking shall not be allowed in a kitchen or food preparation areas.
				  A facility may prohibit smoking on its premises.
B. All designated smoking areas shall be
				  provided with suitable ashtrays.
C.
				  Residents shall not be permitted to smoke in or on their beds.
D. All common areas shall have smoke-free
				  areas designated for nonsmokers.
Statutory Authority: §§
												63.2-217,
						63.2-1732,
						63.2-1802,
						63.2-1805,
						and
						63.2-1808
						of the Code of Virginia.
Virginia Administrative Code › Title 22 - SOCIAL SERVICES › Agency 40 - DEPARTMENT OF SOCIAL SERVICES › Chapter 73 - STANDARDS FOR LICENSED ASSISTED LIVING FACILITIES › Part VII - Resident Accommodations and Related Provisions › Section 22VAC40-73-830 - Resident councils

Current through Register Vol. 40, No. 24, July 15, 2024
A. The
				  facility shall permit and encourage the formation of a resident council by
				  residents and shall assist the residents in its establishment.
B. The purposes of the resident council shall
				  be to:
1. Work with the administration in
				  improving the quality of life for all residents;
2. Discuss the services offered by the
				  facility and make recommendations for resolution of identified problems or
				  concerns; and
3. Perform other
				  functions as determined by the council.
Virginia Administrative Code › Title 22 - SOCIAL SERVICES › Agency 40 - DEPARTMENT OF SOCIAL SERVICES › Chapter 73 - STANDARDS FOR LICENSED ASSISTED LIVING FACILITIES › Part VII - Resident Accommodations and Related Provisions › Section 22VAC40-73-840 - Pets living in the assisted living facility

Current through Register Vol. 40, No. 24, July 15, 2024
A. Each assisted living facility shall
				  develop and implement a written policy regarding pets living on the premises
				  that will ensure the safety and well-being of all residents and
				  staff.
B. If a facility allows pets
				  to live on the premises, the following applies:
1. The policy specified in subsection A of
				  this section shall include:
a. The types of
				  pets that are permitted in the assisted living facility; and
b. The conditions under which pets may be in
				  the assisted living facility.
Virginia Administrative Code › Title 22 - SOCIAL SERVICES › Agency 40 - DEPARTMENT OF SOCIAL SERVICES › Chapter 73 - STANDARDS FOR LICENSED ASSISTED LIVING FACILITIES › Part VII - Resident Accommodations and Related Provisions › Section 22VAC40-73-850 - Pets visiting the assisted living facility

Current through Register Vol. 40, No. 24, July 15, 2024
If an assisted living facility allows pets to visit the
					 premises, the following shall apply:
1. The facility shall have a written policy
				  regarding such pets;
2. Any pet
				  present at the facility shall be in good health and show no evidence of
				  carrying any disease;
3. Any
				  resident's rights, preferences, and medical needs shall not be compromised by
				  the presence of a pet; and
4. Any
				  pet shall be well-treated while visiting on the premises, have a suitable
				  temperament, and otherwise pose no significant health or safety risks to
				  residents, staff, volunteers, or visitors.
Statutory Authority: §§
												63.2-217,
						63.2-1732,
						63.2-1802,
						63.2-1805,
						and
						63.2-1808
						of the Code of Virginia.
Virginia Administrative Code › Title 22 - SOCIAL SERVICES › Agency 40 - DEPARTMENT OF SOCIAL SERVICES › Chapter 73 - STANDARDS FOR LICENSED ASSISTED LIVING FACILITIES › Part VIII - Buildings and Grounds › Section 22VAC40-73-860 - General requirements

Current through Register Vol. 40, No. 24, July 15, 2024
A.
				  Buildings licensed for ambulatory residents or nonambulatory residents shall be
				  classified by and meet the specifications for the proper use and occupancy
				  classification as required by the Virginia Uniform Statewide Building Code
				  (13VAC5-63).
B. Documentation
				  completed and signed by the building official shall be obtained as evidence of
				  compliance with the applicable edition of the Virginia Uniform Statewide
				  Building Code.
C. Before
				  construction begins or contracts are awarded for any new construction,
				  remodeling, or alterations, plans shall be submitted to the department for
				  review.
D. Doors and windows.
1. All doors shall open and close readily and
				  effectively.
2. Any doorway that is
				  used for ventilation shall be effectively screened.
3. Any operable window (i.e., a window that
				  may be opened) shall be effectively screened.
Virginia Administrative Code › Title 22 - SOCIAL SERVICES › Agency 40 - DEPARTMENT OF SOCIAL SERVICES › Chapter 73 - STANDARDS FOR LICENSED ASSISTED LIVING FACILITIES › Part VIII - Buildings and Grounds › Section 22VAC40-73-870 - Maintenance of buildings and grounds

Current through Register Vol. 40, No. 24, July 15, 2024
A. The interior and exterior of all buildings
				  shall be maintained in good repair and kept clean and free of
				  rubbish.
B. All buildings shall be
				  well-ventilated and free from foul, stale, and musty odors.
C. Adequate provisions for the collection and
				  legal disposal of garbage, ashes, and waste material shall be made.
D. Buildings shall be kept free of
				  infestations of insects and vermin. The grounds shall be kept free of their
				  breeding places.
E. All furnishings,
				  fixtures, and equipment, including furniture, window coverings, sinks, toilets,
				  bathtubs, and showers, shall be kept clean and in good repair and condition,
				  except that furnishings and equipment owned by a resident shall be, at a
				  minimum, in safe condition and not soiled in a manner that presents a health
				  hazard.
F. All inside and outside
				  steps, stairways, and ramps shall have nonslip surfaces.
G. Grounds shall be properly maintained to
				  include mowing of grass and removal of snow and ice.
H. Handrails shall be provided on all
				  stairways, ramps, elevators, and at changes of floor level.
I. Elevators, where used, shall be kept in
				  good running condition and shall be inspected at least annually. Elevators
				  shall be inspected in accordance with the Virginia Uniform Statewide Building
				  Code (13VAC5-63). The signed and dated certificate of inspection issued by the
				  local authority shall be evidence of such inspection.
Statutory Authority: §§
												63.2-217,
						63.2-1732,
						63.2-1802,
						63.2-1805,
						and
						63.2-1808
						of the Code of Virginia.
Virginia Administrative Code › Title 22 - SOCIAL SERVICES › Agency 40 - DEPARTMENT OF SOCIAL SERVICES › Chapter 73 - STANDARDS FOR LICENSED ASSISTED LIVING FACILITIES › Part VIII - Buildings and Grounds › Section 22VAC40-73-880 - Heating, ventilation, and cooling

Current through Register Vol. 40, No. 24, July 15, 2024
A. At least one movable thermometer shall be
				  available in each building for measuring temperatures in individual rooms that
				  do not have a fixed thermostat that shows the temperature in the
				  room.
B. Heating.
1. Heat shall be supplied from a central
				  heating plant or an electrical heating system in accordance with the Virginia
				  Uniform Statewide Building Code (13VAC5-63).
2. Provided their installation or operation
				  has been approved by the state or local building or fire authorities, space
				  heaters, such as but not limited to, wood burning stoves, coal burning stoves,
				  and oil heaters, or portable heating units either vented or unvented, may be
				  used only to provide or supplement heat in the event of a power failure or
				  similar emergency. These appliances shall be used in accordance with the
				  manufacturer's instructions.
3. A
				  temperature of at least 72°F shall be maintained in all areas used by
				  residents during hours when residents are normally awake. During night hours,
				  when residents are asleep, a temperature of at least 68°F shall be
				  maintained. This standard applies unless otherwise mandated by federal or state
				  authorities.
Exception: The facility may allow the temperature in a
					 bedroom in which only one resident resides, which has a thermostat in the room,
					 to be controlled by the resident as long as the temperature does not endanger
					 the health, safety, or welfare of the resident.
Virginia Administrative Code › Title 22 - SOCIAL SERVICES › Agency 40 - DEPARTMENT OF SOCIAL SERVICES › Chapter 73 - STANDARDS FOR LICENSED ASSISTED LIVING FACILITIES › Part VIII - Buildings and Grounds › Section 22VAC40-73-890 - Lighting and lighting fixtures

Current through Register Vol. 40, No. 24, July 15, 2024
A. Artificial lighting shall be by
				  electricity.
B. All interior and
				  exterior areas shall be adequately lighted for the safety and comfort of
				  residents and staff.
C. Glare shall
				  be kept at a minimum in rooms used by residents. When necessary to reduce
				  glare, coverings shall be used for windows and lights.
D. If used, fluorescent lights shall be
				  replaced if they flicker or make noise.
Statutory Authority: §§
												63.2-217,
						63.2-1732,
						63.2-1802,
						63.2-1805,
						and
						63.2-1808
						of the Code of Virginia.
Virginia Administrative Code › Title 22 - SOCIAL SERVICES › Agency 40 - DEPARTMENT OF SOCIAL SERVICES › Chapter 73 - STANDARDS FOR LICENSED ASSISTED LIVING FACILITIES › Part VIII - Buildings and Grounds › Section 22VAC40-73-900 - Sleeping areas

Current through Register Vol. 40, No. 24, July 15, 2024
Resident sleeping quarters shall provide:
1. For not less than 450 cubic feet of air
				  space per resident;
2. For square
				  footage as provided in this subdivision:
a. As
				  of February 1, 1996, all buildings approved for construction or change in use
				  and occupancy classification, as referenced in the Virginia Uniform Statewide
				  Building Code (13VAC5-63), shall have not less than 100 square feet of floor
				  area in bedrooms accommodating one resident; otherwise not less than 80 square
				  feet of floor area in bedrooms accommodating one resident shall be
				  required.
b. As of February 1,
				  1996, all buildings approved for construction or change in use and occupancy
				  classification, as referenced in the Virginia Uniform Statewide Building Code,
				  shall have not less than 80 square feet of floor area per person in bedrooms
				  accommodating two or more residents; otherwise not less than 60 square feet of
				  floor area per person in bedrooms accommodating two or more persons shall be
				  required;
Virginia Administrative Code › Title 22 - SOCIAL SERVICES › Agency 40 - DEPARTMENT OF SOCIAL SERVICES › Chapter 73 - STANDARDS FOR LICENSED ASSISTED LIVING FACILITIES › Part VIII - Buildings and Grounds › Section 22VAC40-73-910 - Common rooms

Current through Register Vol. 40, No. 24, July 15, 2024
As of October 9, 2001, buildings approved for construction
					 or change in use and occupancy classification, as referenced in the Virginia
					 Uniform Statewide Building Code (13VAC5-63), shall have a glazed window area
					 above ground level in at least one of the common rooms (e.g., living room,
					 multipurpose room, or dining room). The square footage of the glazed window
					 area shall be at least 8.0% of the square footage of the floor area of the
					 common room.
Statutory Authority: §§
												63.2-217,
						63.2-1732,
						63.2-1802,
						63.2-1805,
						and
						63.2-1808
						of the Code of Virginia.
Virginia Administrative Code › Title 22 - SOCIAL SERVICES › Agency 40 - DEPARTMENT OF SOCIAL SERVICES › Chapter 73 - STANDARDS FOR LICENSED ASSISTED LIVING FACILITIES › Part VIII - Buildings and Grounds › Section 22VAC40-73-920 - Toilet, face/hand washing, and bathing facilities

Current through Register Vol. 40, No. 24, July 15, 2024
A. In determining the number of toilets,
				  face/hand washing sinks, bathtubs, or showers required, the total number of
				  persons residing on the premises shall be considered. Unless there are separate
				  facilities for household members or staff, they shall be counted in determining
				  the required number of fixtures, except that for bathtubs or showers, the staff
				  count shall include only live-in staff.
1. As
				  of December 28, 2006, in all buildings approved for construction or change in
				  use and occupancy classification, as referenced in the Virginia Uniform
				  Statewide Building Code (13VAC5-63), on each floor where there are residents'
				  bedrooms, there shall be:
a. At least one
				  toilet for each four persons, or portion thereof;
b. At least one face/hand washing sink for
				  each four persons, or portion thereof;
c. At least one bathtub or shower for each
				  seven persons, or portion thereof; and
d. Toilets, face/hand washing sinks and
				  bathtubs or showers in separate rooms for men and women where more than four
				  persons live on a floor. Bathrooms equipped to accommodate more than one person
				  at a time shall be labeled by gender. Gender designation of bathrooms shall
				  remain constant during the course of a day.
Virginia Administrative Code › Title 22 - SOCIAL SERVICES › Agency 40 - DEPARTMENT OF SOCIAL SERVICES › Chapter 73 - STANDARDS FOR LICENSED ASSISTED LIVING FACILITIES › Part VIII - Buildings and Grounds › Section 22VAC40-73-925 - Toilet, face/hand washing, and bathing supplies

Current through Register Vol. 40, No. 24, July 15, 2024
A. The facility shall have an adequate supply
				  of toilet tissue and soap. Toilet tissue shall be accessible to each commode
				  and soap shall be accessible to each face/hand washing sink and each bathtub or
				  shower.
B. Common face/hand washing
				  sinks shall have paper towels or an air dryer and liquid soap for hand
				  washing.
C. Residents may not share
				  bar soap.
D. The facility may not
				  charge an additional amount for toilet paper, soap, paper towels, or use of an
				  air dryer at common sinks and commodes.
Statutory Authority: §§
												63.2-217,
						63.2-1732,
						63.2-1802,
						63.2-1805,
						and
						63.2-1808
						of the Code of Virginia.