reglab/statecodes huggingface dataset:
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 who 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 the physician's 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 V - Admission, Retention, and Discharge › Section 22VAC40-61-270 - Discharge of participants

Current through Register Vol. 40, No. 24, July 15, 2024
A. When
				  actions, circumstances, conditions, or care needs occur that will result in the
				  discharge of a participant, discharge planning shall begin
				  immediately.
B. A written discharge
				  notice shall identify the reasons for discharge and outline the services needed
				  by the participant upon discharge. The discharge notice shall be provided to
				  and discussed with the participant and family members or legal
				  representative.
C. The center shall
				  notify the participant and family members or legal representative at least 30
				  calendar days prior to the actual discharge date.
D. The center shall develop a policy
				  regarding the number of days notice that is required when a participant wishes
				  to leave the center. Any required notice of intent to leave shall not exceed 30
				  calendar days.
E. When a
				  participant's condition presents an immediate and serious risk to the health,
				  safety, or welfare of the participant or others and immediate discharge is
				  necessary, the 30-day notification of planned discharge does not
				  apply.
F. The center shall assist
				  the participant, his family members or legal representative, if any, in the
				  discharge or transfer process. The center shall prepare a transfer report for
				  the new program, if requested.
G.
				  The center shall have a process by which participants, family members, or legal
				  representatives can appeal a center-initiated discharge.
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 VI - Programs and Services › Section 22VAC40-61-280 - Health care supervision

Current through Register Vol. 40, No. 24, July 15, 2024
A.
				  The center shall develop a policy and procedure for monitoring the health
				  status of participants consistent with the particular characteristics and needs
				  of the population served by the center.
B. The center shall provide supervision of
				  participant schedules, care, and activities including attention to specialized
				  needs, such as prevention of falls and wandering.
C. Each participant shall be continually
				  observed and monitored for changes in health status including physical, social,
				  emotional, and mental functioning. Changes shall be discussed with the
				  participant, family, legal representative, physician, or others as appropriate.
				  Documentation of the change and any notifications shall be made in the
				  participant's record.
D. Measures
				  of health status include:
1. Vital
				  signs;
2. Weight;
3. Meal and fluid intake;
4. Elimination;
5. Skin integrity;
6. Behavior;
7. Cognition;
8. Functional ability; and
9. Special needs.
Virginia Administrative Code › Title 22 - SOCIAL SERVICES › Agency 40 - DEPARTMENT OF SOCIAL SERVICES › Chapter 61 - STANDARDS AND REGULATIONS FOR LICENSED ADULT DAY CENTERS › Part VI - Programs and Services › Section 22VAC40-61-290 - Infection control program

Current through Register Vol. 40, No. 24, July 15, 2024
A. The
				  center shall develop and maintain an infection prevention and occupational
				  health program designed to provide a safe, sanitary, and comfortable
				  environment for participants, staff, and the public.
B. The center shall develop infection
				  prevention policies and procedures appropriate for the services provided by the
				  center and including the physical plant and grounds. These shall be based upon
				  evidence-based guidelines such as those published by the Centers for Disease
				  Control and Prevention or the Virginia Department of Health and updated as
				  recommendations change and shall include:
1.
				  Standard precautions to include:
a. Hand
				  hygiene;
b. Use of personal
				  protective equipment such as gloves and masks;
c. Safe injection and blood glucose
				  monitoring practices;
d. Safe
				  handling of potentially contaminated equipment or surfaces in the center
				  environment; and
e. Respiratory
				  hygiene and cough etiquette.
Virginia Administrative Code › Title 22 - SOCIAL SERVICES › Agency 40 - DEPARTMENT OF SOCIAL SERVICES › Chapter 61 - STANDARDS AND REGULATIONS FOR LICENSED ADULT DAY CENTERS › Part VI - Programs and Services › Section 22VAC40-61-300 - Medication management

Current through Register Vol. 40, No. 24, July 15, 2024
A. The center shall have, keep current, and
				  implement a plan for medication management. The center's medication management
				  plan shall address procedures for administering medication and shall include:
1. Standard operating procedures and any
				  general restrictions specific to the center;
2. Methods to ensure an understanding of the
				  responsibilities associated with medication management including the following:
a. Determining that staff who are responsible
				  for administering medications meet the qualification requirements of
				  subdivisions E 7 a and E 7 b of this section;
b. Ensuring that staff who are responsible
				  for administering medications are trained on requirements of the center's
				  medication management plan; and
c.
				  Ensuring that staff who are responsible for administering medications are
				  adequately supervised, including periodic direct observation of medication
				  administration. Supervision shall be provided by (i) an individual employed by
				  the center who is licensed by the Commonwealth of Virginia to administer
				  medications or (ii) the director who has successfully completed a training
				  program as required in subdivisions E 7 a and E 7 b of this section.
3. Methods to ensure that
				  authorizations for the administration of medications are current;
4. Methods to secure and maintain supplies of
				  each participant's prescription medications and any over-the-counter drugs and
				  supplements in a timely manner to avoid missed dosages;
5. Methods for verifying that medication
				  orders have been accurately transcribed to medication administration records
				  (MARs), including within 24 hours of receipt of a new order or a change in an
				  order;
6. Methods for monitoring
				  medication administration and the effective use of the MARs for
				  documentation;
7. Methods to ensure
				  that participants do not receive medications or dietary supplements to which
				  they have known allergies;
8.
				  Methods to ensure accurate accounting for all controlled substances whenever
				  received by center staff, returned to participant, or whenever assigned
				  medication administration staff changes;
9. Procedures for proper disposal of
				  medication; and
10. Procedures for
				  preventing, detecting, and investigating suspected or reported drug
				  diversion.
Virginia Administrative Code › Title 22 - SOCIAL SERVICES › Agency 40 - DEPARTMENT OF SOCIAL SERVICES › Chapter 61 - STANDARDS AND REGULATIONS FOR LICENSED ADULT DAY CENTERS › Part VI - Programs and Services › Section 22VAC40-61-300 - Medication management

Current through Register Vol. 40, No. 24, July 15, 2024
A. The center shall have, keep current, and
				  implement a plan for medication management. The center's medication management
				  plan shall address procedures for administering medication and shall include:
1. Standard operating procedures and any
				  general restrictions specific to the center;
2. Methods to ensure an understanding of the
				  responsibilities associated with medication management, including the
				  following:
a. Determining that staff who are
				  responsible for administering medications meet the qualification requirements
				  of subdivisions E 7 a and E 7 b of this section;
b. Ensuring that staff who are responsible
				  for administering medications are trained on requirements of the center's
				  medication management plan; and
c.
				  Ensuring that staff who are responsible for administering medications are
				  adequately supervised, including periodic direct observation of medication
				  administration. Supervision shall be provided by (i) an individual employed by
				  the center who is licensed by the Commonwealth of Virginia to administer
				  medications or (ii) the director who has successfully completed a training
				  program as required in subdivisions E 7 a and E 7 b of this section.
3. Methods to ensure that
				  authorizations for the administration of medications are current;
4. Methods to secure and maintain supplies of
				  each participant's prescription medications and any over-the-counter drugs and
				  supplements in a timely manner to avoid missed dosages;
5. Methods for verifying that medication
				  orders have been accurately transcribed to medication administration records
				  (MARs), including within 24 hours of receipt of a new order or a change in an
				  order;
6. Methods for monitoring
				  medication administration and the effective use of the MARs for
				  documentation;
7. Methods to ensure
				  that participants do not receive medications or dietary supplements to which
				  they have known allergies;
8.
				  Methods to ensure accurate accounting for all controlled substances whenever
				  received by center staff, returned to participant, or whenever assigned
				  medication administration staff changes;
9. Procedures for proper disposal of
				  medication; and
10. Procedures for
				  preventing, detecting, and investigating suspected or reported drug
				  diversion.
Virginia Administrative Code › Title 22 - SOCIAL SERVICES › Agency 40 - DEPARTMENT OF SOCIAL SERVICES › Chapter 61 - STANDARDS AND REGULATIONS FOR LICENSED ADULT DAY CENTERS › Part VI - Programs and Services › Section 22VAC40-61-310 - Restraints

Current through Register Vol. 40, No. 24, July 15, 2024
The use of chemical or physical restraints is
					 prohibited.
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 VI - Programs and Services › Section 22VAC40-61-320 - Assistance with activities of daily living and ambulation

Current through Register Vol. 40, No. 24, July 15, 2024
A. Dignity,
				  privacy, and confidentiality shall be maintained for participants whenever
				  assistance with activities of daily living (ADLs) is provided.
B. When providing assistance with ADLs, staff
				  shall ensure all necessary supplies and equipment are available and organized
				  to aid in assistance and to maximize the participant's safety.
C. Assistance with eating and feeding.
1. Dining areas shall be supervised by staff
				  whenever meals or snacks are served.
2. Adequate staff shall be present in the
				  dining areas to assist participants who cannot eat independently.
3. Self-feeding skills of participants shall
				  be continuously observed and evaluated so that meals and snacks are not missed
				  because of a participant's inability to feed himself.
4. Appropriate adapted utensils, including
				  adapted plates, bowls, and cups with straws and handles, shall be utilized for
				  those participants who need them. Information about effective eating
				  adaptations shall be shared with the participant and his family. Assistance
				  such as, but not limited to, opening containers and cutting food shall be
				  provided to those participants who need it.
5. Low-stimulus dining areas shall be
				  provided for participants with cognitive deficits or other conditions that
				  impair concentration.
6. Changes in
				  food and liquid intake shall be documented in the participant's record, and
				  changes shall be made to the care plan to ensure adequate intake. The
				  participant and his family shall be notified of such changes.
Virginia Administrative Code › Title 22 - SOCIAL SERVICES › Agency 40 - DEPARTMENT OF SOCIAL SERVICES › Chapter 61 - STANDARDS AND REGULATIONS FOR LICENSED ADULT DAY CENTERS › Part VI - Programs and Services › Section 22VAC40-61-330 - Activities

Current through Register Vol. 40, No. 24, July 15, 2024
A. Activities shall
				  be planned to support the plans of care for the participants and shall be
				  consistent with the program statement and the admission policies.
B. Activities shall:
1. Support the physical, social, mental, and
				  emotional skills and abilities of participants in order to promote or maintain
				  their highest level of independence or functioning;
2. Accommodate individual differences by
				  providing a variety of types of activities and levels of involvement;
				  and
3. Offer participants a varied
				  mix of activities including the following categories: physical; social;
				  cognitive, intellectual, or creative; productive; sensory; reflective or
				  contemplative; outdoor; and nature or the natural world. Community resources as
				  well as center resources may be used to provide activities. Any given activity
				  may fall under more than one category.
Virginia Administrative Code › Title 22 - SOCIAL SERVICES › Agency 40 - DEPARTMENT OF SOCIAL SERVICES › Chapter 61 - STANDARDS AND REGULATIONS FOR LICENSED ADULT DAY CENTERS › Part VI - Programs and Services › Section 22VAC40-61-340 - Food service

Current through Register Vol. 40, No. 24, July 15, 2024
A.
				  Meals and snacks shall be provided by the center. The center shall (i) prepare
				  the food, (ii) have the food catered, or (iii) utilize a contract food
				  service.
B. When any portion of an
				  adult day care center is subject to inspection by the Virginia Department of
				  Health, the center shall be in compliance with those regulations, as evidenced
				  by an initial and subsequent annual report from the Virginia Department of
				  Health. The report shall be retained at the center for a period of at least two
				  years.
C. If a catering service or
				  contract food service is used, the service shall be approved by the local
				  health department. The center shall be responsible for monitoring continued
				  compliance by obtaining a copy of the Virginia Department of Health
				  approval.
D. The center shall
				  encourage, but not require, participants to eat the meals and snacks provided
				  by the center. If a participant brings food from home, the food shall be
				  labeled with the participant's name, dated, and stored appropriately until meal
				  or snack time. The fact that the participant brought food does not relieve the
				  center of its responsibility to provide meals and snacks.
E. A minimum of 45 minutes shall be allowed
				  for each participant to complete a meal. If a participant needs additional time
				  to finish his meal due to special needs, such additional time shall be
				  provided.
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 VI - Programs and Services › Section 22VAC40-61-340 - Food service

Current through Register Vol. 40, No. 24, July 15, 2024
A. Meals
				  and snacks shall be provided by the center. The center shall (i) prepare the
				  food, (ii) have the food catered, or (iii) utilize a contract food
				  service.
B. When any portion of an
				  adult day center is subject to inspection by the Virginia Department of Health,
				  the center shall be in compliance with those regulations, as evidenced by an
				  initial and subsequent annual report from the Virginia Department of Health.
				  The report shall be retained at the center for a period of at least two
				  years.
C. If a catering service or
				  contract food service is used, the service shall be approved by the local
				  health department. The center shall be responsible for monitoring continued
				  compliance by obtaining a copy of the Virginia Department of Health
				  approval.
D. The center shall
				  encourage, but not require, participants to eat the meals and snacks provided
				  by the center. If a participant brings food from home, the food shall be
				  labeled with the participant's name, dated, and stored appropriately until meal
				  or snack time. The fact that the participant brought food does not relieve the
				  center of its responsibility to provide meals and snacks.
E. A minimum of 45 minutes shall be allowed
				  for each participant to complete a meal. If a participant needs additional time
				  to finish the meal due to special needs, such additional time shall be
				  provided.
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 VI - Programs and Services › Section 22VAC40-61-350 - Serving of meals and snacks

Current through Register Vol. 40, No. 24, July 15, 2024
A.
				  Centers shall serve meals and snacks at appropriate times, depending on the
				  hours of operation. For example, a center open during the hours of 7 a.m. to 1
				  p.m. must serve a morning snack and a mid-day meal; a center open during the
				  hours of 8 a.m. to 5 p.m. must serve a morning snack, a mid-day meal, and an
				  afternoon snack; a center open during the hours of 2 p.m. to 6 p.m. must serve
				  an afternoon snack; a center open after 6 p.m. must serve an evening meal.
				  Centers open after 9 p.m. shall serve an evening snack. Snacks shall also be
				  available throughout the day.
B.
				  There shall be at least two hours between scheduled snacks and meals.
C. Adequate kitchen facilities and equipment
				  shall be provided for preparation and serving of meals and snacks or for the
				  catering of meals.
D. Sufficient
				  working refrigeration shall be available to store perishable food and
				  medicine.
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 VI - Programs and Services › Section 22VAC40-61-360 - Menu and nutrition requirements

Current through Register Vol. 40, No. 24, July 15, 2024
A. Food preferences of participants 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 participants.
1. Any menu substitutions or additions shall
				  be recorded on the posted menu.
2.
				  Menus shall be kept at the center for two years.
Virginia Administrative Code › Title 22 - SOCIAL SERVICES › Agency 40 - DEPARTMENT OF SOCIAL SERVICES › Chapter 61 - STANDARDS AND REGULATIONS FOR LICENSED ADULT DAY CENTERS › Part VI - Programs and Services › Section 22VAC40-61-370 - Observance of religious dietary practices

Current through Register Vol. 40, No. 24, July 15, 2024
A. The participant's religious dietary
				  practices shall be respected .
B.
				  Religious dietary practices of the director, staff, or licensee shall not be
				  imposed upon participants unless mutually agreed upon in the participant
				  agreement.
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 VI - Programs and Services › Section 22VAC40-61-380 - Transportation services

Current through Register Vol. 40, No. 24, July 15, 2024
A. Centers
				  that provide participant transportation directly or by contract shall ensure
				  that the following requirements are met:
1.
				  The vehicle shall be accessible and appropriate for the participants being
				  transported. Vehicles shall be equipped with a ramp or hydraulic lift to allow
				  entry and exit if there are participants who remain in their wheelchairs during
				  transport.
2. The vehicle's seats
				  shall be attached to the floor, and wheelchairs shall be secured when the
				  vehicle is in motion.
3.
				  Arrangement of wheelchairs and other equipment in the vehicle shall not impede
				  access to exits.
4. The vehicle
				  shall be insured for at least the minimum limits established by law and
				  regulation.
5. All vehicles shall
				  have working heat and air conditioning systems.
6. The vehicle shall meet the safety
				  standards set by the Department of Motor Vehicles and shall be kept in
				  satisfactory condition to ensure the safety of participants.
Virginia Administrative Code › Title 22 - SOCIAL SERVICES › Agency 40 - DEPARTMENT OF SOCIAL SERVICES › Chapter 61 - STANDARDS AND REGULATIONS FOR LICENSED ADULT DAY CENTERS › Part VI - Programs and Services › Section 22VAC40-61-390 - Field trips

Current through Register Vol. 40, No. 24, July 15, 2024
A. Any center
				  that takes participants on field trips shall develop a policy that addresses
				  the following:
1. A communication plan
				  between staff at the center and staff who are accompanying participants on a
				  field trip;
2. Maintenance of
				  staff-to-participant ratio at both the center and on the field trip as required
				  by 22VAC40-61-200;
3. Provision of
				  adequate food and water for participants during field trips;
4. Safe storage of food to prevent food-borne
				  illnesses; and
5. Medication
				  administration that meets the requirements of 22VAC40-61-300.
Virginia Administrative Code › Title 22 - SOCIAL SERVICES › Agency 40 - DEPARTMENT OF SOCIAL SERVICES › Chapter 61 - STANDARDS AND REGULATIONS FOR LICENSED ADULT DAY CENTERS › Part VII - Buildings and Grounds › Section 22VAC40-61-400 - Physical environment

Current through Register Vol. 40, No. 24, July 15, 2024
A center must provide an environment that ensures the
					 safety and well-being of the participants but is not so restrictive as to
					 inhibit physical, intellectual, emotional, or social
					 stimulation.
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 VII - Buildings and Grounds › Section 22VAC40-61-410 - 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, kept clean and free of rubbish, and free
				  from safety hazards.
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
				  insect and vermin breeding places.
E. Cleaning products, pesticides, and all
				  poisonous or harmful materials shall be stored separately from food and shall
				  be kept in a locked place when not in use.
F. All furnishings, fixtures, and equipment,
				  including furniture, window coverings, sinks, toilets, bathtubs, and showers,
				  shall be kept clean and in good repair and condition.
G. Grounds shall be properly maintained to
				  include mowing of grass and removal of snow and ice.
H. A safe area for participant discharge and
				  pick-up shall be available.
I.
				  Adequate outdoor lighting shall be provided to ensure safe ambulation and the
				  safety of participants during arrival and departure.
J. All interior and exterior stairways and
				  ramps shall have a nonslip surface or carpet that shall be secured to the
				  stairways or ramps.
K. Sturdy
				  handrails shall be provided on all stairways, ramps, and elevators and at all
				  changes in floor level.
L. All
				  interior and exterior stairways, changes in floor level, and ramps shall be
				  indicated by a warning strip or contrast in color.
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 VII - Buildings and Grounds › Section 22VAC40-61-420 - Lighting

Current through Register Vol. 40, No. 24, July 15, 2024
A. All areas of the
				  center shall be adequately lighted for the safety and comfort of the
				  participants.
B. Artificial
				  lighting shall be powered by electricity.
C. Glare shall be kept at a minimum in rooms
				  used by participants. 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.
F. Flashlights or battery lanterns in working
				  order shall be available at all times for emergency lighting.
G. Open flame lighting is
				  prohibited.
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 VII - Buildings and Grounds › Section 22VAC40-61-430 - Heating and cooling

Current through Register Vol. 40, No. 24, July 15, 2024
A. 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).
B. 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 gas stoves, 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. When any of these heating
				  sources are used, care shall be taken to protect participants from
				  injuries.
C. The temperature of the
				  center shall be maintained at a level safe and suitable for the participants in
				  accordance with the following:
1. The inside
				  temperature shall be between 70°F and 84°F. This standard applies
				  unless otherwise mandated by federal or state authorities.
2. Fans and air conditioners shall be placed
				  to avoid direct drafts on participants and to prevent safety hazards. Any
				  electric fans shall be screened and placed for the protection of the
				  participants.
3. The center shall
				  develop a plan to protect participants from heat-related and cold-related
				  illnesses in the event of a loss of heat or cooling due to emergency situations
				  or malfunctioning or broken equipment.
4. 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.
Virginia Administrative Code › Title 22 - SOCIAL SERVICES › Agency 40 - DEPARTMENT OF SOCIAL SERVICES › Chapter 61 - STANDARDS AND REGULATIONS FOR LICENSED ADULT DAY CENTERS › Part VII - Buildings and Grounds › Section 22VAC40-61-440 - General areas

Current through Register Vol. 40, No. 24, July 15, 2024
A. Any center
				  licensed after July 1, 2000, shall provide at least 50 square feet of indoor
				  floor space for each participant, in addition to hallways, office space,
				  bathrooms, storage space, or other rooms or areas that are not normally used
				  for program activities; otherwise the square footage shall be 40 square
				  feet.
B. There shall be sufficient
				  and suitable space for planned program activities that may be interchangeable
				  or adaptable for a variety of activities, including meals.
1. There shall be at least one room with
				  sufficient space for the participants to gather together for large group
				  activities.
2. There shall be rooms
				  or areas appropriate for small group activities and individual
				  activities.
3. An area shall be
				  available and accessible so that participants shall have opportunities for
				  supervised outdoor activities. The area shall be equipped with appropriate
				  seasonal outdoor furniture.
Virginia Administrative Code › Title 22 - SOCIAL SERVICES › Agency 40 - DEPARTMENT OF SOCIAL SERVICES › Chapter 61 - STANDARDS AND REGULATIONS FOR LICENSED ADULT DAY CENTERS › Part VII - Buildings and Grounds › Section 22VAC40-61-450 - Privacy space

Current through Register Vol. 40, No. 24, July 15, 2024
Space shall be available to allow privacy for participants
					 during interviews, visits, telephone conversations, counseling, therapy, and
					 other similar activities.
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 VII - Buildings and Grounds › Section 22VAC40-61-460 - Restroom facilities

Current through Register Vol. 40, No. 24, July 15, 2024
A. There
				  shall be a minimum of one toilet that is suitable to accommodate a participant
				  who needs human assistance or specialized equipment available for every 10
				  participants, or portion thereof. For restrooms that have multiple stalls, only
				  the toilets that accommodate a person who needs human assistance or specialized
				  equipment shall be counted in the total required number of toilets.
B. Restrooms that are equipped with only one
				  toilet may be used by either men or women.
C. Restrooms equipped with more than one
				  toilet shall have each toilet enclosed.
D. Restrooms that are equipped with multiple
				  stalls must be designated for men or for women.
E. Sturdy grab bars or safety frames shall be
				  installed beside all toilets used by participants.
F. There shall be a minimum of one sink for
				  every two toilets and the sinks shall be located close enough to toilets to
				  encourage washing of hands after each toileting procedure.
G. There shall be an ample supply of hot and
				  cold running water from an approved source available to the participants at all
				  times.
H. Hot water at taps
				  available to participants shall be maintained within a temperature range of
				  105°F to 120°F.
I. There
				  shall be an adequate supply of toilet tissue, liquid soap, disposable hand
				  towels, or air dryers and disposable gloves in each restroom at all
				  times.
J. If bathing facilities are
				  provided there shall be:
1. Handrails by
				  bathtubs;
2. Handrails in stall
				  showers; and
3. Seating for use in
				  the shower and seating for use in dressing, if necessary.
Virginia Administrative Code › Title 22 - SOCIAL SERVICES › Agency 40 - DEPARTMENT OF SOCIAL SERVICES › Chapter 61 - STANDARDS AND REGULATIONS FOR LICENSED ADULT DAY CENTERS › Part VII - Buildings and Grounds › Section 22VAC40-61-470 - Dining area

Current through Register Vol. 40, No. 24, July 15, 2024
A. Dining areas
				  shall have a sufficient number of sturdy tables and chairs to serve all
				  participants, either all at one time or in shifts.
B. If the center is licensed for
				  nonambulatory participants, the dining area shall be large enough to provide
				  sufficient table space and floor space to accommodate participants in
				  wheelchairs or other assistive equipment.
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 VII - Buildings and Grounds › Section 22VAC40-61-480 - Rest area

Current through Register Vol. 40, No. 24, July 15, 2024
A. A separate
				  room or area shall be available for participants who become ill, need to rest,
				  or need to have privacy. The separate room or area shall be equipped with one
				  bed, comfortable cot, or recliner for every 12 participants.
B. Additional beds, comfortable cots, or
				  recliners shall be available based on participant needs to accommodate rest
				  periods. In centers that are open for evening or night care, beds shall be
				  available for participants who need them.
C. A minimum of (i) one pillow covered with a
				  pillow case, (ii) two sheets, and (iii) one blanket, spread, or covering per
				  bed or cot shall be provided.
D.
				  All sheets and pillow cases shall be laundered after each use.
E. Additional covering or blankets and
				  pillows shall be available as necessary for recliners.
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 VII - Buildings and Grounds › Section 22VAC40-61-490 - Storage

Current through Register Vol. 40, No. 24, July 15, 2024
A. Sufficient space
				  shall be provided to store coats, sweaters, umbrellas, toilet articles, and
				  other personal possessions of participants and staff.
B. Sufficient space shall be available for
				  equipment, materials, and supplies used at the center.
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 VII - Buildings and Grounds › Section 22VAC40-61-500 - 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, including one that will operate during power
				  outages.
B. Participants shall have
				  reasonable access to a nonpay telephone on the premises.
C. Staff shall provide assistance with
				  telephone usage to any participant 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 VII - Buildings and Grounds › Section 22VAC40-61-510 - Fire safety: compliance with state regulations and local fire ordinances

Current through Register Vol. 40, No. 24, July 15, 2024
A. The
				  center shall comply with the Virginia Statewide Fire Prevention Code
				  (13VAC5-51) as determined by at least an annual inspection by the appropriate
				  fire official. Reports of the inspections shall be retained at the center for
				  at least two years.
B. An adult day
				  care center shall comply with any local fire ordinance.
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 VII - Buildings and Grounds › Section 22VAC40-61-510 - Fire safety: compliance with state regulations and local fire ordinances

Current through Register Vol. 40, No. 24, July 15, 2024
A. The
				  center shall comply with the Virginia Statewide Fire Prevention Code
				  (13VAC5-51) as determined by at least an annual inspection by the appropriate
				  fire official. Reports of the inspections shall be retained at the center for
				  at least two years.
B. An adult day
				  center shall comply with any local fire ordinance.
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 VIII - Emergency Preparedness › Section 22VAC40-61-520 - Emergency preparedness and response plan

Current through Register Vol. 40, No. 24, July 15, 2024
A. The center shall develop an emergency
				  preparedness and response plan that shall address:
1. Documentation of initial and annual
				  contact with the local emergency coordinator to determine (i) local disaster
				  risks, (ii) community wide plans to address different disasters and emergency
				  situations, and (iii) assistance, if any, that the local emergency management
				  office will provide to the center in an emergency.
2. Analysis of the center's potential
				  hazards, including severe weather, biohazard events, fire, loss of utilities,
				  flooding, work place violence or terrorism, severe injuries, or other
				  emergencies that would disrupt normal operation of the center.
3. Emergency management policies and
				  procedures for the provision of:
a.
				  Administrative direction and management of response activities;
b. Coordination of logistics during the
				  emergency;
c.
				  Communications;
d. Life safety of
				  participants, staff, volunteers, and visitors;
e. Property protection;
f. Continued services to
				  participants;
g. Community resource
				  accessibility; and
h. Recovery and
				  restoration.
4.
				  Emergency response procedures for assessing the situation; protecting
				  participants, staff, volunteers, visitors, equipment, medications, and vital
				  records; and restoring services. Emergency response procedures shall address:
a. Alerting emergency personnel and center
				  staff;
b. Warning and notification
				  of participants, including sounding of alarms when appropriate;
c. Providing emergency access to secure areas
				  and opening locked doors;
d.
				  Conducting evacuations and sheltering in place, as appropriate, and accounting
				  for all participants;
e. Locating
				  and shutting off utilities when necessary;
f. Maintaining and operating emergency
				  equipment effectively and safely;
g. Communicating with staff and community
				  emergency responders during the emergency;
h. Conducting relocations to emergency
				  shelters or alternative sites when necessary and accounting for all
				  participants; and
i. Strategies for
				  reunification of participants with their family or legal
				  representative.
5.
				  Supporting documents that would be needed in an emergency, including emergency
				  call lists, building and site maps necessary to shut off utilities, and as
				  applicable, memoranda of understanding with relocation sites and list of major
				  resources such as suppliers of emergency equipment.
Virginia Administrative Code › Title 22 - SOCIAL SERVICES › Agency 40 - DEPARTMENT OF SOCIAL SERVICES › Chapter 61 - STANDARDS AND REGULATIONS FOR LICENSED ADULT DAY CENTERS › Part VIII - Emergency Preparedness › Section 22VAC40-61-530 - Fire and emergency evacuation plan

Current through Register Vol. 40, No. 24, July 15, 2024
A. The center shall have a plan for fire and
				  emergency evacuation that is to be followed in the event of a fire or other
				  emergency. The plan shall be approved by the appropriate fire
				  official.
B. A fire and emergency
				  evacuation drawing showing primary and secondary escape routes, areas of
				  refuge, assembly areas, telephones, fire alarm boxes, and fire extinguishers
				  shall be posted in a conspicuous place.
C. The telephone numbers for the fire
				  department, rescue squad or ambulance, police, and Poison Control Center shall
				  be posted by each telephone shown on the fire and emergency evacuation
				  plan.
D. Staff and volunteers shall
				  be fully informed of the approved fire and emergency evacuation plan, including
				  their duties, and the location and operation of fire extinguishers, fire alarm
				  boxes, and any other available emergency equipment.
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 VIII - Emergency Preparedness › Section 22VAC40-61-540 - Fire and emergency evacuation drills

Current through Register Vol. 40, No. 24, July 15, 2024
A. Fire and emergency evacuation drill
				  frequency and participation shall be in accordance with the current edition of
				  the Virginia Statewide Fire Prevention Code (13VAC5-51).
B. Additional fire and emergency evacuation
				  drills shall be held when there is any reason to question whether the
				  requirements of the approved fire and emergency evacuation plan can be
				  met.
C. Each required fire and
				  emergency evacuation drill shall be unannounced.
D. Immediately following each required fire
				  and emergency evacuation drill, there shall be an evaluation of the drill by
				  the staff in order to determine the effectiveness of the drill. The licensee or
				  director shall immediately correct any problems identified in the evaluation
				  and document the corrective action taken.
E. A record of the required fire and
				  emergency evacuation drills shall be kept in the center for two years. Such
				  record shall include:
1. Identity of the
				  person conducting the drill;
2. The
				  date and time of the drill;
3. The
				  method used for notification of the drill;
4. The number of staff
				  participating;
5. The number of
				  participants participating;
6. Any
				  special conditions simulated;
7.
				  The time it took to complete the drill;
8. Weather conditions; and
9. Problems encountered, if any.
Virginia Administrative Code › Title 22 - SOCIAL SERVICES › Agency 40 - DEPARTMENT OF SOCIAL SERVICES › Chapter 61 - STANDARDS AND REGULATIONS FOR LICENSED ADULT DAY CENTERS › Part VIII - Emergency Preparedness › Section 22VAC40-61-550 - Emergency equipment and supplies

Current through Register Vol. 40, No. 24, July 15, 2024
A. Each building of the center and all
				  vehicles being used to transport participants shall contain a first aid kit
				  which shall include:
1. Scissors;
2. Tweezers;
3. Gauze pads;
4. Adhesive tape;
5. Adhesive bandages in assorted
				  sizes;
6. Triangular
				  bandages;
7. Flexible
				  gauze;
8. Antiseptic cleansing
				  solution;
9. Antibacterial
				  ointment;
10. Bee sting swabs or
				  preparation;
11. Ice pack or ice
				  bag;
12. Thermometer;
13. Small operable flashlight;
14. Single use gloves, such as surgical or
				  examining gloves;
15. Disposable
				  single-use breathing barriers or shields for use with breathing or CPR (e.g.,
				  CPR mask or other type); and
16.
				  The first aid instructional manual.
Virginia Administrative Code › Title 22 - SOCIAL SERVICES › Agency 40 - DEPARTMENT OF SOCIAL SERVICES › Chapter 61 - STANDARDS AND REGULATIONS FOR LICENSED ADULT DAY CENTERS › Part VIII - Emergency Preparedness › Section 22VAC40-61-560 - Plan for participant emergencies

Current through Register Vol. 40, No. 24, July 15, 2024
A. The center shall have a plan for
				  participant emergencies that includes:
1.
				  Procedures for handling medical emergencies, including identifying the staff
				  person responsible for (i) calling the rescue squad, ambulance service,
				  participant's physician, or Poison Control Center and (ii) providing first aid
				  and CPR when indicated.
2.
				  Procedures for handling mental health emergencies such as, but not limited to,
				  catastrophic reaction or the need for a temporary detention order.
3. Procedures for making pertinent medical
				  information and history available to the rescue squad and hospital, including a
				  copy of the current medical administration record, advance directives, and Do
				  Not Resuscitate Orders.
4.
				  Procedures to be followed in the event that a participant is missing, including
				  (i) involvement of center staff, appropriate law-enforcement agency, and others
				  as needed; (ii) areas to be searched; (iii) expectations upon locating the
				  participant such as medical attention; and (iv) documentation of the
				  event.
5. Procedures to be followed
				  in the event of a vehicle emergency to include notifying the center or
				  emergency personnel, telephone numbers for vehicle repair, and options for
				  alternate transportation. Procedures to be followed in the event that a
				  participant's scheduled transportation does not arrive or the participant is
				  stranded at the center shall also be developed. The center shall ensure that
				  these procedures are in place for transportation provided by both the center
				  and contracted services if appropriate.
6. Procedures for notifying the participant's
				  family, and legal representative.
7. Procedures for notifying the regional
				  licensing office as specified in 22VAC40-61-90.
Virginia Administrative Code › Title 22 - SOCIAL SERVICES › Agency 40 - DEPARTMENT OF SOCIAL SERVICES › Chapter 61 - STANDARDS AND REGULATIONS FOR LICENSED ADULT DAY CENTERS › Form - FORMS (22VAC40-61)

Current through Register Vol. 40, No. 24, July 15, 2024
Report
				  of Tuberculosis Screening, Virginia Department of Health (rev.
				  6/2017)
Statutory Authority: §
											63.2-1733
					 of the Code of Virginia.