Type

Recommended Changes to the Proposed Licensed Assisted Living Facilities Regulation Comprehensive Revision

 

22VAC40-73-30. Program of care.

There shall be a program of care that:

1. Meets the resident’s population's physical, mental, emotional, and psychosocial, and spiritualneeds;

2. Promotes the resident’s highest level of functioning

   2. 3. Provides protection, guidance and supervision;

   3. 4. Promotes a sense of security, self-worth and independence; and

   4.5. Promotes the resident's involvement with appropriate programs and community resources.based on the resident’s needs and interests.

_________________________

 

22VAC40-73-70. Incident reports.

A. Each facility shall report to the regional licensing office within 24 hours or next business day any major incident that has negatively affected or that threatens the life, health, safety or welfare of any resident.

_________________________

 

22VAC40-73-110. Staff general qualifications.

2. Be able to speak, read, understand and write in English as necessary to carry out their job responsibilities; and

_________________________

 

22VAC40-73-290. Work schedule and posting.

B. The facility shall develop and implement a procedure for posting the name of the current on-site person in charge, as provided for in this chapter, in a place in the facility that is conspicuous to the residents and the public.

The facility shall post a sign directing questions or concerns to a specific place in the facility.

_________________________

 

22VAC40-73-325. Fall risk assessment.

A. For residents who meet the criteria for assisted living care, by the time the comprehensive ISP is completed, a fall risk assessment shall be conducted.

B. The fall risk assessment shall be reviewed and updated:when the condition of the resident changes to increase the resident’s fall risk.

1. At least annually;

2. When the condition of the resident changes; and

3. After a fall.

C. Should a resident fall, the facility must show documentation of an analysis of the circumstances of the fall and interventions that were initiated to prevent or reduce additional falls.

 

_________________________

 

22VAC40-73-340. Psychosocial and behavioral history.

A. 1. If the prospective resident is referred by a state or private hospital, community services board, behavioral health authority, or long-term care facility, documentation of the individual’s psychosocial and behavioral functioning shall be acquired. provided prior to admission.

 

_________________________

 

22VAC40-73-430. Discharge of residents.

H. Discharge statement.

 

Exception: In the case of death or the resident being discharged to another level of care within a community, a discharge statement is not necessary.

_________________________

 

22VAC40-73-680. Administration of medications and related provisions.

 

Suggest combining these provision because they are so similar

 

E. Medical procedures or treatments ordered by a physician or other prescriber shall be provided according to his instructions.

 

K. The performance of all medical procedures and treatments ordered by a physician or other prescriber shall be documented and the documentation shall be retained in the resident's record.

_________________________

 

22VAC40-73-750. Resident rooms.

1. The resident shall be encouraged to furnish or decorate his room as space and safety considerations permit and in accordance with this chapter.

   Add: The facility is only responsible to ensure that the furniture is safe for resident use.

_________________________

 

22VAC40-73-760. Living room or multipurpose room.

A. Sitting rooms or recreation areas or both shall be equipped with:

1. Comfortable chairs (e.g., overstuffed, straight-backed, and rockers);

2. Tables;

3. Lamps;

4. Television (if not available in other areas of the facility);

5. Radio (if not available in other areas of the facility); and

6. Current newspaper, if not available in other areas of the facility

_________________________

 

22VAC40-73-860. General requirements

 

C. Before construction begins for resident living areas or contracts are awarded for any new construction, remodeling, or alterations, structural changes plans shall be submitted to the department for review.

_________________________

 

22VAC40-73-950. Emergency preparedness and response plan.

A. The facility shall develop a written emergency preparedness and response plan that shall address:

1. Documentation of initial contact and annual contact, with the local emergency coordinator to determine (i) local disaster risks, (ii) communitywide plans to address different disasters and emergency situations, and (iii) assistance, if any, that the local emergency management office will provide to the facility in an emergency.

 

C. The facility shall develop and implement an orientation and quarterly annual review on the emergency preparedness and response plan for all staff, residents, and volunteers, with emphasis placed on an individual’s respective responsibilities.  The orientation and review shall cover responsibilities for:

 

D. The facility shall review the emergency preparedness plan annually or more often as needed and make necessary revisions.  Such revisions shall be communicated to staff, residents, and volunteers and incorporated into the orientation and quarterly review for staff, residents, and volunteers.

_________________________

 

22VAC40-73-980. Emergency equipment and supplies.

 

2.Antibiotic cream or ointment packets;

17. 81 mg aspirin in single packets or small bottle; and needs to be eliminated because you need a physician order to administer

_________________________

 

22VAC40-73-990. Plan for resident emergencies and practice exercise.

 

B. At least once every six months annually all staff on each shift shall participate in an exercise in which the procedures for resident emergencies are practiced with all staff on duty. Documentation of each exercise shall be maintained in the facility for at least two years.

 

C. The plan for resident emergencies shall be readily available to all staff. And the facility shall ensure the staff is able to execute the emergency plan.

_________________________

 

22VAC40-73-1030. Staff training.

 

B. Commencing immediately upon employment and within four six months, direct care staff shall attend six hours of training in working with individuals who have a cognitive impairment, that meets the requirements of subsection C of this section.

_________________________

 

22VAC40-73-1140. Staff training.

 

B. Commencing immediately upon employment in the safe, secure environment and within four six months, direct care staff shall attend at least 10 hours of training in cognitive impairment that meets the requirements of subsection C of this section.

 

over this text and enter your comments here. You are limited to approximately 3000 words.