reglab/statecodes huggingface dataset:
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0003 - Aging Division › Chapter 5 - GRANT APPS/CONTRACTS UNDER OLDER AMERICANS ACT › Section 5-2 - Letters of Intent

Current through July 13, 2024
(a) Letters of
				Intent shall be postmarked no later then May 30 of each year prior to the
				project period.
(b) Letters of
				Intent shall include at a minimum:
(i) Name,
				address and telephone number of Administrator of the Division;
(ii) Types of proposed services to be
				provided;
(iii) Type of funding
				source requested; and
(iv) Board
				chairman's signature.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0003 - Aging Division › Chapter 5 - GRANT APPS/CONTRACTS UNDER OLDER AMERICANS ACT › Section 5-3 - Grant Applications

Current through July 13, 2024
(a) Grant
				applications shall include at a minimum:
(i)
				The Division approved grant format with original notarized signature of the
				project board chairman on cover page;
(ii) Supporting budget pages and budget
				breakout according to the Division of Financial Management and Accounting
				Systems Manual;
(iii) Narrative
				including:
(A) Description of history and
				physical facilities of applicant agency and sites;
(B) Operation of project including services
				to be provided and an outline of services that will be coordinated through
				other agencies;
(C) Administration
				of project including staffing patterns, role of volunteers, and
				responsibilities of Board of Directors; and
(D) Project area geographic and demographic
				information including population, total number of elderly plus numbers of low
				income, minority and socially disadvantaged elderly.
(iv) Objectives shall be completed according
				to the guidelines provided by the Division.
(v) Appendices to the grant application shall
				include:
(A) Signed original
				contracts;
(B) An organizational
				chart of grantee agency;
(C) List
				of the grantee's Board of Directors, with addresses and telephone
				numbers;
(D) A map of proposed
				geographic area;
(E) Hearing
				appeals process for organization;
(F) Signed assurances as prescribed by the
				Division, in compliance with 42 U.S.C. 2000 a (1964);
(G) Letters of support from local government
				agencies;
(H) Job descriptions for
				both paid and volunteer positions;
(I) Copy of public notice and minutes of
				public hearings on the proposed grant; and
(J) List of holidays to be observed and
				proposed method for providing meals not served due to holiday
				closure.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0003 - Aging Division › Chapter 5 - GRANT APPS/CONTRACTS UNDER OLDER AMERICANS ACT › Section 5-4 - Approval or Denial of Grant Applications

Current through July 13, 2024
(a) Grant
				applications will be received by the Division by July 30 of each year, for the
				project period to begin October 1.
(i) Grants
				postmarked after July 30 will not be accepted.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0003 - Aging Division › Chapter 5 - GRANT APPS/CONTRACTS UNDER OLDER AMERICANS ACT › Section 5-5 - Amendments to Grant Applications

Current through July 13, 2024
(a) A proposed
				amendment to an approved grant shall be submitted in writing by the applicant
				agency. If the amendment is approved, the Division will issue a revised
				Notification of Grant Award and the amendments shall be deemed incorporated
				into and become part of the terms of the grant.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0003 - Aging Division › Chapter 5 - GRANT APPS/CONTRACTS UNDER OLDER AMERICANS ACT › Section 5-6 - Contract Application

Current through July 13, 2024
(a) Contracts will
				be submitted in compliance with requirements of the Division and the Wyoming
				Attorney General's Office.
(b)
				Approval or Denial of Contracts:
(i)
				Contracts will be received by the Division from June 15 through July 30 of each
				year, to be processed for the project period beginning the following October
				1.
(ii) Contracts will be reviewed
				by the Division according to the following criteria:
(A) Contract is complete and
				accurate.
(B) Contractor is the
				most appropriate provider in terms of cost effectiveness, access to the client,
				and quality of services provided.
(C) Contract has approval of the Attorney
				General and the Division Administrator.
(iii) If approved, the contractor will be
				notified by the Division.
(iv) If
				denied, the contractor will be informed to its right to an administrative
				hearing under Chapter 2, Section
				4.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0003 - Aging Division › Chapter 5 - GRANT APPS/CONTRACTS UNDER OLDER AMERICANS ACT › Section 5-7 - Funding Formula

Current through July 13, 2024
The Division shall develop and provide information on the
				  anticipated funding level for the project period.
(a) Supportive services will be funded based,
				on but not limited to, such factors as:
(i)
				The number of elderly persons the grantee has served in the previous project
				period;
(ii) A base
				allocation;
(iii) The number of
				low-income elderly persons served in the previous period by grantee;
(iv) The number of minority elderly persons
				served in the previous grant period served by grantee; and
(v) Percentage of federal funds with which
				the geographic area was provided in the previous project period.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0003 - Aging Division › Chapter 5 - GRANT APPS/CONTRACTS UNDER OLDER AMERICANS ACT › Section 5-8 - Match Requirements

Current through July 13, 2024
(a) In each grant
				application, at least twenty-five percent (25%) of the non-federal share, as
				prescribed in the Older Americans Act, shall be in the form of allowable costs
				to the state and local public agencies or in the form of allowable third party
				contributions from local public agencies.
(i)
				At least five percent (5%) of the nonfederal share must be in the form of
				allowable costs to the state.
(ii)
				At least twenty percent (20%) of the non-federal share must be in the form of
				allowable costs to local public agencies.
(iii) Third party in-kind contributions shall
				count toward satisfying this matching requirement only if the payments would be
				allowable costs, such as when the party receiving the contributions were to pay
				for the goods received.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0003 - Aging Division › Chapter 5 - GRANT APPS/CONTRACTS UNDER OLDER AMERICANS ACT › Section 5-9 - Program Income Projections

Current through July 13, 2024
(a) Program income
				shall be estimated based on the amount of income reported in the previous
				project period.
(b) In the case of
				a new project, estimated program income will be determined by the
				Division.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0003 - Aging Division › Chapter 5 - GRANT APPS/CONTRACTS UNDER OLDER AMERICANS ACT › Section 5-10 - Equipment

Current through July 13, 2024
(a) Anticipated equipment will be considered
				in funding for supportive and nutrition services and shall be discussed with
				the Division prior to including the cost the equipment in the grant
				application.
(i) The funding of equipment
				shall be based on the availability of funds.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0003 - Aging Division › Chapter 5 - GRANT APPS/CONTRACTS UNDER OLDER AMERICANS ACT › Section 5-11 - Bid process

Current through July 13, 2024
The grantee shall follow these bid processes:
(a) Equipment items costing over $500.00;
(i) Advertising for bids, must include, at a
				minimum:
(A) The specifications for the
				equipment to be purchased;
(B) A
				specific date and time at which the bidding will be closed; and
(C) A specific date and time at which the
				bids will be opened.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0003 - Aging Division › Chapter 6 - GRANT/CONTRACT FISCAL MANAGEMENT › Section 6-1 - Grant Fiscal Management

Current through July 13, 2024
The Division shall manage all grants and contracts, and shall
				  require:
(a) Compliance with the
				Wyoming Information Network and the Division Financial Management and
				Accounting System Manual;
(b)
				Submission of monthly and quarterly fiscal reports from each grantee, prepared
				in compliance with the above Manual; and
(c) Annual audits will be conducted by each
				grantee for each of the programs funded in the project period.
(i) Grantees will follow the bid process
				contained in the Division Financial Management and Accounting System
				Manual.
(ii) Two copies of the
				annual audits will be sent to the State Audit and Compliance
				Division.
(iii) Resolution of audit
				findings:
(A) Findings will be reviewed and,
				if necessary, discrepancies and/or compliance issues will be resolved by a plan
				of action mutually agreed upon by the Division and grantee within ninety (90)
				days after the audit report.
(B)
				Unallowable costs will be paid back to the Division by the grantee.
(I) Grantee may make payment to the Division;
				or
(II) The Division shall withhold
				funds of grantee; or
(III) The
				grantee may request an administrative hearing under Chapter 2, Section
				4.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0003 - Aging Division › Chapter 6 - GRANT/CONTRACT FISCAL MANAGEMENT › Section 6-2 - Suspension/Termination

Current through July 13, 2024
The Division shall suspend\terminate funding under a grant in
				  the following manner:
(a) Notify the
				grantee of the intention to suspend\terminate the grant by certified mail that
				suspension/termination will occur within thirty (30) days of receipt; this
				notice will include the basis for the decision.
(i) The grantee may propose a written
				agreement with the Division on mutual actions to be taken in a specified period
				of time to avoid suspension\termination.
(ii) If an agreement is reached on a plan of
				action to rectify the situation causing suspension\termination, the Division
				will notify the grantee, in writing, of its decision to continue funding of the
				grantee.
(iii) The grantee may,
				within fifteen (1 5) days from the receipt of the notice to suspend/terminate
				funding, make a written request to the Division for an administrative hearing
				in accordance with Chapter 2, Section
				5.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0003 - Aging Division › Chapter 6 - GRANT/CONTRACT FISCAL MANAGEMENT › Section 6-3 - Reduction of Grant Funds

Current through July 13, 2024
(a) A grant will be
				reduced if:
(i) A project closes a meal
				site.
(ii) A project is not serving
				the number of meals or clients as projected in the grant application.
(iii) An audit finding results in an
				exception.
(iv) A grantee fails to
				provide services as approved in the grant application.
(A) The Division will determine periodically,
				based on reports from the grantee, that the specified services are not being
				provided by that grantee.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0003 - Aging Division › Chapter 7 - PROGRAM ADMINISTRATION FOR ADULT DAY CARE FACILITIES › Section 7-1 - Authority

Current through July 13, 2024
These rules are promulgated by the Department of Health
				  pursuant to Article 12 of the Senior Citizens Act, W.S. §
									
										9-2-1201 et seq., W.S. §
									
										35-2-901 et seq., and are amended by Enrolled
				  Act #0122, House Bill #0233, per W.S. §
									
										35-2-901(a)(xxiii) and the
				  Wyoming Administrative Procedures Act at W.S. §
									
										16-3-101 et seq.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0003 - Aging Division › Chapter 7 - PROGRAM ADMINISTRATION FOR ADULT DAY CARE FACILITIES › Section 7-2 - Purpose

Current through July 13, 2024
These program administration rules have been adopted to
				  provide criteria for the day-to-day operations of adult day care
				  facilities.
(a) The purpose of the
				Program Administration Rules and Regulations for Adult Day Care Facilities is
				to protect aged, blind, or adults with disabilities who are away from their
				homes during a part of the day by:
(i)
				Ensuring that the activities and services of adult day care facilities are
				conducive to the well-being of the participants; and
(ii) Reducing risks in the caregiving
				environment.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0003 - Aging Division › Chapter 7 - PROGRAM ADMINISTRATION FOR ADULT DAY CARE FACILITIES › Section 7-4 - Program Goals

Current through July 13, 2024
(a) Promote the
				participants maximum level of independence.
(b) Maintain the participants present level
				of functioning as long as possible, preventing or delaying further
				deterioration.
(c) Provide support,
				respite and education for families and other caregivers.
(d) Foster socialization and peer
				interaction.
(e) Serve as an
				integral part of the community service network and the long-term care
				continuum.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0003 - Aging Division › Chapter 7 - PROGRAM ADMINISTRATION FOR ADULT DAY CARE FACILITIES › Section 7-5 - Applicability

Current through July 13, 2024
These Program Administration Rules and Regulations for Adult
				  Day Care Facilities apply to any facility that provides supplementary care and
				  protection for four (4) or more adults:
(a) Who are elderly, blind, or
				disabled;
(b) Who are in care for
				less than twenty-four (24) hours per day; and
(c) Who reside elsewhere.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0003 - Aging Division › Chapter 7 - PROGRAM ADMINISTRATION FOR ADULT DAY CARE FACILITIES › Section 7-7 - Target Population

Current through July 13, 2024
(a) The target
				population consists of:
(i) Adults who
				require assistance with activities of daily living (ADL) and instrumental
				activities of daily living (IADL);
(ii) Adults with physical problems that
				require health monitoring and supervision on a regular basis;
(iii) Adults with emotional problems that
				interfere with activities of daily living;
(iv) Adults with significant memory loss and
				cognitive impairment;
(v) Adults
				who require assistance in overcoming the isolation associated with functional
				limitations or disabilities; and/or
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0003 - Aging Division › Chapter 7 - PROGRAM ADMINISTRATION FOR ADULT DAY CARE FACILITIES › Section 7-8 - Administration

Current through July 13, 2024
(a) Deceptive Representation or
				Advertisement.
(i) An adult day care facility
				shall not make, publish, disseminate, circulate, or place before the public, or
				cause, directly or indirectly, to be made an advertisement of any sort
				regarding services or anything so offered to the public, which contains any
				promise, assertion, representation, or statement of fact which is untrue,
				deceptive, or misleading.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0003 - Aging Division › Chapter 7 - PROGRAM ADMINISTRATION FOR ADULT DAY CARE FACILITIES › Section 7-9 - Personnel

Current through July 13, 2024
(a) Qualifications.
(i) The following rules shall apply to all
				staff:
(A) No staff person shall have been
				convicted of a felony or a misdemeanor related to abuse, neglect, exploitation,
				or abandonment of adults or children. The facility shall have written
				verification of a Deparatment of Family Services central registry check or
				State Board of Nursing registry check, where applicable, on all employees hired
				at the time of or after the filing of these rules.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0003 - Aging Division › Chapter 7 - PROGRAM ADMINISTRATION FOR ADULT DAY CARE FACILITIES › Section 7-10 - Supervision

Current through July 13, 2024
(a) At any time when there are two (2) or
				more participants at the adult day care facility, there must be at least one
				(1) adult staff and one (1) other person who is physically and emotionally able
				and willing to assist in an emergency situation. If this individual is not
				within a distance considered reasonable for voice travel from all parts of the
				facility, there must be an alternative system in place, such as an intercom
				system, to notify of needed assistance.
(b) Staff-to-Participant Ratio.
(i) There shall be a minimum of one (1) staff
				person on duty providing direct care and supervision for every six (6)
				participants in care; and
Note: Staff members who are under eighteen (18) years of age
				  shall not be counted in the staff-to-participant ratio.
(ii) The number of any
additional
staff persons required shall depend upon:
(A) The program and services the facility
				provides; and
(B) The functional
				level of the participants.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0003 - Aging Division › Chapter 7 - PROGRAM ADMINISTRATION FOR ADULT DAY CARE FACILITIES › Section 7-12 - Programs and Services

Current through July 13, 2024
(a) Admission
				Policies.
(i) The adult day care facility
				shall have written admission policies consistent with the program
				statement.
(ii) The admission
				policies shall be discussed with each person entering the program, as well as
				with any family member, responsible party, guardian, or conservator who enrolls
				the participant. A copy of the admission policies shall be available upon
				request.
(iii) Only those
				participants whose needs can be met by the facilitys program shall be admitted
				to the facility.
(iv) All
				participants shall be eighteen (18) years of age or older.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0003 - Aging Division › Chapter 7 - PROGRAM ADMINISTRATION FOR ADULT DAY CARE FACILITIES › Section 7-13 - Fire Protection, Emergency, and Evacuation Plans

Current through July 13, 2024
(a) Specialized
				Staff Training.
(i) At least one (1) staff
				person on the premises at all times during the hours of operation shall have
				certification by an appropriate provider in first aid (multimedia, Personal
				Safety, or Standard First Aid Modular) issued within the past three (3) years.
				NOTE: Adult day care facilities operating on the date these rules become
				effective shall comply with this standard within six (6) months of the
				effective date of these rules.
(ii)
				At least one (1) employee or staff member on the premises at all times during
				the hours of operation shall have current certification in cardiovascular
				pulmonary resuscitation (CPR) issued through the American Red Cross or the
				American Heart Association. The CPR certificate must be renewed every (2) two
				years. NOTE: Adult day care facilities operating on the date these rules become
				effective shall comply with this requirement within six (6) months of the
				effective date of these rules.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0003 - Aging Division › Chapter 7 - PROGRAM ADMINISTRATION FOR ADULT DAY CARE FACILITIES › Section 7-14 - Program Evaluation

Current through July 13, 2024
(a) Each adult day
				care program shall have a written plan for internal evaluation of its operation
				and services. The plan shall include the timetable for initiating and
				completing the annual evaluation, the parties to be involved, the areas that
				will be addressed and the methods to be used in conducting the
				evaluation.
(b) A formal evaluation
				shall be conducted at least annually at the end of the State of Wyoming fiscal
				year.
(c) The following parties
				shall be involved, to the extent considered appropriate, in the evaluation
				process:
(i) Governing body;
(ii) Program director;
(iii) Staff;
(iv) Participants;
(v) Families of participants and/or
				guardians; and
(vi) Outside
				agencies/organizations.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0003 - Aging Division › Chapter 7 - PROGRAM ADMINISTRATION FOR ADULT DAY CARE FACILITIES › Section 7-15 - Grievance and Complaints

Current through July 13, 2024
(a) Every
				participant in an adult day care facility shall have the right to:
(i) Upon admission, review with the day care
				staff the grievance complaint process and receive updated information at six
				(6) month intervals.
(ii) Voice
				grievances on behalf of themselves or others without discrimination or
				reprisal. Such grievance includes those with respect to services furnished as
				well as which have not been furnished.
(iii) Have available in a conspicuous place
				the telephone numbers and address of the Long-Term Care Ombudsman offices, the
				Protection and Advocacy office, the local Department of Family Adult Protective
				Services office, the Medicaid Fraud Control Unit, and the facilitys complaint
				representative.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0003 - Aging Division › Chapter 7 - PROGRAM ADMINISTRATION FOR ADULT DAY CARE FACILITIES › Section 7-16 - Investigations

Current through July 13, 2024
(a) Each adult day care facility shall
				establish a system of reviewing complaints and allegations of violations of
				participants rights and develop internal operating procedures for reporting and
				resolution of grievances.
(i) In order to
				ensure that participants continue to be aware of these rights and
				responsibilities outlined in Section
				15,
				a written copy is to be prominently posted in a location that is available to
				all participants.
(ii) Be informed
				in writing that the services of the Wyoming Ombudsman are available if
				participants have concerns regarding the services provided by the adult day
				care facility.
(iii) Prompt efforts
				must be demonstrated by the facility to resolve grievances the resident may
				have, including those with respect to the behavior of other
				residents.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0003 - Aging Division › Chapter 7 - PROGRAM ADMINISTRATION FOR ADULT DAY CARE FACILITIES › Section 7-17 - Licensure

Current through July 13, 2024
(a) Shall be in accordance with the current
				licensure Rules and Regulations for Adult Day Care Facilities promulgated by
				the Wyoming Department of Health.
(b) Licensure Rules and Regulations are
				available at a nominal fee from the Office of Health Quality, 2020 Carey
				Avenue, 8th Floor, Cheyenne, WY
				82002,307-777-7123.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0003 - Aging Division › Chapter 7 - PROGRAM ADMINISTRATION FOR ADULT DAY CARE FACILITIES › Section 7-18 - Hearings

Current through July 13, 2024
(a) Except in matters concerned with the
				spread of communicable disease, the Division on Aging Program Administrator
				shall present the preliminary decisions and reasons to the parties concerned
				and provide an opportunity for a resolution. Any request for a hearing by the
				facility shall adhere to the time frames of (b) below.
(b) Any Adult Day Care Facility aggrieved by
				a decision of the Division on Aging may request a hearing by submitting a
				written request within ten (10) days of the date of the adverse action at Room
				139, Hathaway Building, Cheyenne, WY 82002.
(c) In matters concerned with the spread of
				communicable disease, the Wyoming State Health Officer shall present the
				preliminary decisions and reasons to the parties concerned and provide an
				opportunity for a hearing. Any request for a hearing by the facility shall
				adhere to the time frames of (b) above.
(d) Hearings requested under the terms of
				these rules and regulations shall be held by the Division on Aging in
				accordance with the provisions of the Wyoming Administrative Procedures Act and
				with the contested case rules and regulations of the Wyoming Department of
				Health.
1 It is understood that
				  individuals may participate on an infrequent drop-in basis.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0003 - Aging Division › Chapter 8 - PROGRAM ADMINISTRATION FOR BOARDING HOMES › Section 8-1 - Authority

Current through July 13, 2024
These rules are promulgated by the Department of Health
				  pursuant to W.S. §
									
										9-2-1204 et seq. and the Wyoming
				  Administrative Procedure Act W.S. §
									
										16-3-101 et seq.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0003 - Aging Division › Chapter 8 - PROGRAM ADMINISTRATION FOR BOARDING HOMES › Section 8-4 - Definitions

Current through July 13, 2024
(a) "Abuse" means any physical or mental
				injury or sexual assault inflicted on a resident.
(b) "Adult" means a person who is 18 years of
				age or older.
(c) "Boarding Home"
				means a dwelling or rooming house operated by any person, firm or corporation
				engaged in the business of operating a home for the purpose of letting rooms
				for rent and providing meals and personal care, but not nursing care, for
				persons not related to the owner.
(d) "Chief Administrative Officer" means the
				Director, Department of Health per W.S. §
									
										9-2-101(e), or the
				designated licensure representative.
(e) "Complaint Investigations" means those
				investigations required to be performed by the Long Term Care Ombudsman per
				W.S. §
									
										9-2-1301 through §
									
										9-2-1309.
(f) "LSC" means NFPA 101 Life Safety Code, as
				promulgated by the Wyoming Department of Health, Construction Rules for Health
				Facilities, Chapter III.
(g)
				"Licensing Division" means the Department of Health, Office of Health Quality,
				Planning and Program Evaluation.
(h) "Neglect" means failure to provide care
				necessary to insure the health, safety, and well-being of a resident; failure
				to make reasonable effort to discover what care is necessary for the well-being
				of a resident; or failure to provide a safe and sanitary environment (whether
				intentional, careless, or due to inadequate experience, training, or
				skill.
(i) "HACCP" means the Hazard
				Analysis Critical Control Point.
(j) "NFPA" means the National Fire Protection
				Association.
(k) "Ombudsman" means
				the Long Term Care Ombudsman as established in W.S. §
									
										9-2-1301 through
				9-2-1309.
(l) "Manager or Operator" means the person
				responsible for the overall operation of the boarding home.
(m) "Resident Services" means those services
				a boarding home provides for each resident which include, but are not limited
				to:
(i) Meals;
(ii) Housekeeping and laundry
				services;
(iii) Supervision of self
				administration of medications; and
(iv) A safe and sanitary living
				environment.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0003 - Aging Division › Chapter 8 - PROGRAM ADMINISTRATION FOR BOARDING HOMES › Section 8-5 - Management

Current through July 13, 2024
(a) Manager shall:
(i) Be a responsible adult at least 21 years
				of age or a couple, each of whom is at least 21 years of
				age
;
(ii)
				Be familiar with and follow these rules;
(iii) Be responsible for the daily operation
				of the boarding home and for the safety and well-being of residents. In the
				manager's absence, there shall be a responsible designee at least 21 years of
				age (who is not a resident of the facility) to assume the responsibility of the
				boarding home;
(iv) Provide
				orientation to all new employees which shall include resident rights,
				evacuation and emergency procedures, training in policies and procedures, and
				competent supervision designed to improve resident care;
(v) Have a current tuberculin skin testing
				prior to licensure. The staff shall have tuberculin skin testing prior to
				employment and annually thereafter;
(vi) Provide verification of a Department of
				Family Services central registry check on self and/or manager, and all
				employees hired at the time or after the filing of these rules. The manager is
				responsible for initiating and following this process to completion.
(vii) Not act as, or become, the legal
				guardian of or have power of attorney for any resident.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0003 - Aging Division › Chapter 8 - PROGRAM ADMINISTRATION FOR BOARDING HOMES › Section 8-6 - Complaint Investigations

Current through July 13, 2024
(a) Formall
				complaints and problems of residents shall be referred in writing to the Long
				Term Care Ombudsman.
(b) The office
				of the Ombudsman shall complete all complaint investigations within an
				appropriate time frame depending upon the seriousness of the
				allegations.
(c) Written reports of
				investigations and the status of resolutions shall be provided to the
				Department's Director designee, which is the Licensing Division, within thirty
				(30) days after the investigation.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0003 - Aging Division › Chapter 8 - PROGRAM ADMINISTRATION FOR BOARDING HOMES › Section 8-7 - Grievance Procedure

Current through July 13, 2024
(a) The written
				grievance procedure shall establish a system of reviewing complaints and
				allegations of residents right violations to include, but not limited to:
(i) Resident method to voice
				grievances;
(ii) Documentation of
				the provider's response to verbal and written resident grievances;
(iii) List of agencies, with address and
				telephone numbers for residents to contact if grievances are not addressed
				satisfactorily (e.g. State Long Term Care Ombudsman); and
(iv) Written reports of the grievances and
				resolutions shall be provided to the Department Director's designee, which is
				the Licensing Division, within ten (10) days after the grievance is
				filed.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0003 - Aging Division › Chapter 8 - PROGRAM ADMINISTRATION FOR BOARDING HOMES › Section 8-8 - Residents Rights

Current through July 13, 2024
(a) Every resident
				in a boarding home shall have the right to:
(i) Private and unrestricted communication.
				This right shall include, but is not limited to:
(A) Receive, send and mail sealed, unopened
				correspondence. No resident's incoming or outgoing correspondence shall be
				opened, delayed, held or censored;
(B) Reasonable access to a telephone for
				private communications; and
(C) An
				opportunity for private visits.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0003 - Aging Division › Chapter 8 - PROGRAM ADMINISTRATION FOR BOARDING HOMES › Section 8-9 - Infection Control

Current through July 13, 2024
(a) The provider
				shall maintain a safe and sanitary environment for residents and staff. This
				shall include but not be limited to:
(i)
				Staff shall practice judicious handwashing when there is direct contact with
				residents or their food.
(ii)
				Bathrooms shall have soap and toilet paper. Paper towels or a hand blower or
				rack space adequate for each resident using the bathroom to hang his/her
				personal towel. Use of a common towel is prohibited.
(iii) Clean drinking glasses shall be
				available for the residents. Common drinking glasses are prohibited.
(iv) Each resident shall have an individual
				comb, toothbrush, towels and washcloths.
(v) Housekeeping practices and procedures
				shall be employed to keep the home free of offensive odors and accumulations of
				dirt and dust.
(vi) Floors shall be
				maintained clean.
(vii) Garbage and
				trash shall be stored in tightly covered containers.
(viii) The home shall be maintained free of
				insects, rodents and other vermin.
(ix) Private water systems shall be tested
				and found to be safe and potable before a license will be granted. Subsequent
				testing for safety and potability will be done monthly and records retained for
				at least two (2) years.
(x) Linens
				and laundry. Laundry service for residents personal clothing shall be provided.
				Two complete changes of clean bed linen shall be on hand for each licensed bed.
				The use of torn or unclean bed linen is prohibited. Measures will be taken to
				ensure that residents clothing is not lost or misplaced in the process of
				laundering.
(A) Bed linen will be changed as
				necessary but at least weekly. Additional blankets or pillows will be provided
				as the need arises. Rubber or water protective sheets shall be used if
				needed.
(B) All linens and laundry
				shall be bagged or placed in a hamper before being transported to the laundry
				area.
(C) Soiled linens shall not
				be transported through, sorted, processed or stored in kitchens, food
				preparation areas or food storage areas.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0003 - Aging Division › Chapter 8 - PROGRAM ADMINISTRATION FOR BOARDING HOMES › Section 8-10 - Food Service and Nutrition

Current through July 13, 2024
(a) A minimum of
				three (3) meals in a twenty-four (24) hour period shall be provided each
				resident. When a resident refuses food, substitutes of the same nutritional
				value shall be offered.
(b)
				Individuals with food preparation responsibilities shall be in good health and
				shall practice safe food handling techniques in accordance with the current
				edition of Food Code published by the U.S. Public Health Service, Food and Drug
				Administration.
(i) Such food handling
				techniques include preparing, holding, and storing food at safe
				temperatures.
(ii) Reheating
				potentially hazardous leftover foods shall meet HACCP (Hazard Analysis Critical
				Control Point) temperature guidelines for safety.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0003 - Aging Division › Chapter 8 - PROGRAM ADMINISTRATION FOR BOARDING HOMES › Section 8-11 - Furnishings

Current through July 13, 2024
(a) Provisions shall be made for privacy in
				all bath and toilet rooms.
(b)
				Automatic deodorizers or aerosol freshener shall not be used except in
				bathrooms.
(c) Multiple bedrooms
				shall not be occupied by more than four (4) residents regardless of its
				size.
(d) Married residents shall
				be allowed to occupy the same room and the use of a double bed, if so desired.
				This is subject to limitations provided in Section
				8(a)(v)(B).
(e) No room shall be used for a resident's
				bedroom which can only be reached by passing through another resident's
				room.
(f) Bedrooms shall be clean,
				well lighted, ventilated and equipped with the following:
(i) All bedroom windows shall have drapes,
				curtains, shades or blinds to assure privacy;
(ii) Beds shall be a standard size in width
				(39"), (rollaway-type beds, cots and folding beds shall not be used), equipped
				with comfortable, clean mattresses and pillows. Mattresses shall be
				professionally renovated or replaced as needed. Extra long beds shall be used
				to accommodate tall residents;
(iii) Cabinet or bedside table;
(iv) Noncombustible wastebasket;
(v) Chair; and
(vi) Common closets utilized by two (2) or
				more residents shall be provided with dividers for separation of each
				resident's clothing. All closets shall be equipped with doors. Free-standing
				closets shall be deducted from the square footage in the sleeping
				room.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0003 - Aging Division › Chapter 8 - PROGRAM ADMINISTRATION FOR BOARDING HOMES › Section 8-12 - Medications

Current through July 13, 2024
(a) Drugs shall be
				self-administered.
(b) The manager
				or staff shall be responsible for providing necessary assistance to the
				resident in taking his medications; including but not limited to:
(i) Reminding the resident to take
				medications;
(ii) Removing
				medications containers from storage;
(iii) Assisting with the removal of the
				medication cap;
(iv) Assisting with
				the removal of the medication from a container for residents with a disability
				which prevents independence in this act; and
(v) Observing the resident take the
				medication.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0003 - Aging Division › Chapter 8 - PROGRAM ADMINISTRATION FOR BOARDING HOMES › Section 8-13 - Building and Physical Plant

Current through July 13, 2024
(a) There shall be
				an adequate supply of hot and cold water available at each lavatory,
				bathtub/shower, kitchen sink, dishwasher, and laundry equipment.
(i) All plumbing shall be maintained in good
				repair and in accordance with the requirements of the Uniform Plumbing
				Code.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0003 - Aging Division › Chapter 8 - PROGRAM ADMINISTRATION FOR BOARDING HOMES › Section 8-14 - Evacuation Capability, Emergency Procedures and Fire Safety

Current through July 13, 2024
(a) Evacuation Capability.
(i) Fire safety and evacuation review shall
				meet the requirements of Chapter 23 of the NFPA Life Safety Code 101, 1994
				edition.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0003 - Aging Division › Chapter 8 - PROGRAM ADMINISTRATION FOR BOARDING HOMES › Section 8-15 - Licensing

Current through July 13, 2024
(a) Shall be in accordance with the current
				licensure rules and regulations for Boarding Homes as promulgated by the
				Department of Health.
(b) Copies of
				the licensure rules can be obtained from the Licensing Division, Office of
				Health Quality, 2020 Carey Avenue, 8th Floor, Cheyenne, WY 82002, Telephone:
				(307)777-7123
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0003 - Aging Division › Chapter 9 - PROGRAM ADMINISTRATION OF HOME HEALTH AGENCIES › Section 9-1 - Authority

Current through July 13, 2024
These rules are promulgated by the Department of Health
				  pursuant to the Senior Citizens Act, W.S. §
									
										9-2-1201 et seq., and the Wyoming
				  Administrative Procedures Act at W.S. §
									
										16-3-101 et seq.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0003 - Aging Division › Chapter 9 - PROGRAM ADMINISTRATION OF HOME HEALTH AGENCIES › Section 9-6 - Home Health Aide

Current through July 13, 2024
(a) Must be a CNA
				and have completed training to ensure competency in the home setting. This
				training must be documented and retained in the employee personnel
				record.
(b) If the client requires
				skilled services in the home, the home health aide must be supervised by a RN
				or LPN at least every thirty (30) days.
(c) Provide personal care for the client in
				the home.
(d) Instructions based
				upon written care plans shall be provided to home health aides by the
				supervisory nurse at least every sixty (60) days or as the clients condition
				warrants.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0003 - Aging Division › Chapter 9 - PROGRAM ADMINISTRATION OF HOME HEALTH AGENCIES › Section 9-7 - Homemaker

Current through July 13, 2024
(a) If homemaker services are provided, they
				may be furnished directly by the home health agency or through contract
				agreement with a vendor.
(b) The
				homemaker assists with instrumental activities of daily living, such as
				housekeeping and homemaking services, in order to preserve a safe, sanitary
				home and to enhance family life. The homemaker does not provide any personal
				care.
(i) Examples of duties include but are
				not limited to:
(A) Housekeeping;
(B) Shopping;
(C) Laundry;
(D) Essential errands;
(E) Basic meal preparation;
(F) Meal planning (except for clients on
				therapeutic diets); and
(G)
				Maintaining a safe and sanitary environment.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0003 - Aging Division › Chapter 9 - PROGRAM ADMINISTRATION OF HOME HEALTH AGENCIES › Section 9-8 - Client Records

Current through July 13, 2024
(a) Must be
				maintained for every client receiving services.
(b) Client records must be retained for a
				period of six (6) years by the agency.
(c) All client records must be safeguarded
				against loss or unauthorized use.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0003 - Aging Division › Chapter 9 - PROGRAM ADMINISTRATION OF HOME HEALTH AGENCIES › Section 9-9 - Licensing

Current through July 13, 2024
(a) Shall be in accordance with the current
				Licensure Rules and Regulations for Home Health Agencies as promulgated by the
				Department of Health.
(b) Copies of
				the Licensure rules can be obtained from the Licensing Division.
Office of Health Quality
2020 Carey Avenue, 8th Floor
Cheyenne, WY 82002
Telephone: (307) 777-7123
Fax: (307) 777-7127
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0003 - Aging Division › Chapter 10 - PROGRAM ADMINISTRATION OF HOSPICE PROGRAMS › Section 10-1 - Authority

Current through July 13, 2024
This rule is promulgated by the Wyoming Department of Health
				  pursuant to W.S. §
									
										9-2-1204
et seq
., W.S.
				  §
									
										35-2-901
et seq.,
and the
				  Wyoming Administrative Procedure Act, W.S. §
									
										16-3-101
et
				  seq
.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0003 - Aging Division › Chapter 10 - PROGRAM ADMINISTRATION OF HOSPICE PROGRAMS › Section 10-2 - Purpose

Current through July 13, 2024
This rule has been adopted for the day-to-day operation of
				  Hospice Programs and to protect the health, safety, and welfare of hospice
				  program patients and hospice program employees.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0003 - Aging Division › Chapter 10 - PROGRAM ADMINISTRATION OF HOSPICE PROGRAMS › Section 10-4 - Definitions

Current through July 13, 2024
(a) "Acceptable Plan of Correction" means the
				State Survey Agency approved hospice plan to correct deficiencies following a
				survey conducted by the State Survey Agency or its designated representative.
				The plan of correction shall be a written document and shall provide, but not
				necessarily be limited to, the following information:
(i) Who is responsible for the
				correction;
(ii) What was done or
				will be done to correct the problem;
(iii) How systemic improvement action will be
				implemented into a Quality Improvement and Performance Program in order to
				prevent the likelihood of the deficient practice from reoccurring;
(iv) Who will monitor to ensure the situation
				does not develop again; and
(v) An
				appropriate date, not to exceed forty-five (45) days after the last day of
				survey, for the correction of deficiencies.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0003 - Aging Division › Chapter 10 - PROGRAM ADMINISTRATION OF HOSPICE PROGRAMS › Section 10-6 - Patient Rights and Responsibilities

Current through July 13, 2024
(a) Each hospice patient/family shall receive
				a copy of the Hospice patient bill of rights and responsibilities and each
				non-hospice respite client/family shall receive a copy of the non-hospice
				patient bill of rights and responsibilities.
(b) The hospice program shall keep written
				documentation that each patient has received a copy of the patient rights and
				responsibilities.
(c) By written
				declaration the hospice shall affirm the following hospice patient rights and
				responsibilities:
(i) The right to be
				informed of the hospice concept, admission criteria, services to be provided by
				an interdisciplinary team, options available, and any charges which may be
				incurred;
(ii) The right to
				participate in developing the individual's plan of care;
(iii) The right to expect that all records
				will be confidential;
(iv) The
				right to refuse service or withdraw from the hospice program at any
				time;
(v) The responsibility to
				provide accurate information which may be useful to the hospice in delivering
				appropriate care;
(vi) The right to
				express a grievance without fear of reprisal;
(vii) The right to be free of any verbal or
				physical abuse of any kind; and,
(viii) The right to unrestricted
				visitation.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0003 - Aging Division › Chapter 10 - PROGRAM ADMINISTRATION OF HOSPICE PROGRAMS › Section 10-7 - Admission Criteria

Current through July 13, 2024
(a) Admission criteria shall be clearly
				defined in the hospice program policies and shall include physician's
				orders.
(b) Decisions regarding
				admission shall follow the established criteria of the program.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0003 - Aging Division › Chapter 10 - PROGRAM ADMINISTRATION OF HOSPICE PROGRAMS › Section 10-8 - Hospice Day Care Services for Hospice Patients

Current through July 13, 2024
(a) The Hospice Day Care Center shall be
				staffed with qualified personnel, to include nursing services and any
				additional disciplines needed to ensure adequate care and services are
				provided.
(b) The services shall
				include, but not be limited to:
(i) emergency
				services;
(ii) assistance in the
				development of self-care capabilities;
(iii) personal hygiene;
(iv) social support services;
(v) provision of meals and nourishments
				appropriate to the hours in which the patient is receiving service;
				and
(vi) medication administration
				and monitoring.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0003 - Aging Division › Chapter 10 - PROGRAM ADMINISTRATION OF HOSPICE PROGRAMS › Section 10-9 - Non-Hospice Inpatient Respite Care Services

Current through July 13, 2024
(a) Accepting clients for non-hospice respite
				care under this subsection is voluntary.
(b) Hospice facilities that elect to provide
				non-hospice respite care services shall:
(i)
				Provide medication administration in accordance with federal and state
				physician's orders;
(ii) Provide
				activities and care in accordance with a plan of care developed by primary
				caregivers and hospice staff prior to admission.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0003 - Aging Division › Chapter 10 - PROGRAM ADMINISTRATION OF HOSPICE PROGRAMS › Section 10-10 - Staff In-Service Training

Current through July 13, 2024
(a) The hospice program shall provide an
				initial training and orientation program as well as continuing in-service
				education programs. The programs offered shall be appropriate to the services
				provided by the Hospice offering non-hospice respite care including dementia
				care.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0003 - Aging Division › Chapter 10 - PROGRAM ADMINISTRATION OF HOSPICE PROGRAMS › Section 10-12 - Licensing

Current through July 13, 2024
(a) Licensing Procedure.
(i) For an initial license to be issued, the
				State Survey Agency shall receive:
(A) A
				completed application on the form supplied by the State Survey Agency,
				including the completed items identified on the Hospice Licensure Checklist
				supplied by the State Survey Agency.
(B) Each completed application shall be
				accompanied by the required licensure fee identified in the Wyoming Department
				of Health Aging Division, Healthcare Licensing and Surveys Chapter 1, Rules for
				Health Care Facilities Licensure Fees. The check or money order shall be made
				payable to the Treasurer, State of Wyoming.