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Standards for Licensed Assisted Living Facilities Revised Effective October

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Standards for Licensed Assisted Living Facilities Revised Effective October STANDARDS FOR LICENSED ASSISTED LIVING FACILITIES REVISED EFFECTIVE OCTOBER 15, 2020 STANDARDS FOR LICENSED ASSISTED LIVING FACILITIES Adopted by the State Board of Social Services February 15, 2017 October 18, 2017 Effective: February 1, 2018 Amended by the State Board of Social Services June 20, 2018 Effective: August 23, 2018 (mixed population staffing) Amended by the State Board of Social Services August 21, 2019 Effective: October 17, 2019 Amended by the State Board of Social Services April 9, 2020 Effective: October 15, 2020 VIRGINIA DEPARTMENT OF SOCIAL SERVICES DIVISION OF LICENSING PROGRAMS 801 E. Main Street Richmond, Virginia 23219 STANDARDS AND REGULATIONS FOR LICENSED ASSISTED LIVING FACILITIES CHAPTER 73 Table of Contents PART I GENERAL PROVISIONS ................................................................................... 1 22VAC40-73-10. Definitions ............................................................................................ 1 22VAC40-73-20. Requirements of law and applicability ................................................ 13 22VAC40-73-30. Program of care. ................................................................................ 13 PART II ADMINISTRATION AND ADMINISTRATIVE SERVICES ............................. 14 22VAC40-73-40. Licensee. ........................................................................................... 14 22VAC40-73-45. Minimum amount for liability insurance disclosure. ............................ 16 22VAC40-73-50. Disclosure. ......................................................................................... 16 22VAC40-73-60. Electronic records and signatures ...................................................... 18 22VAC40-73-70. Incident reports .................................................................................. 19 22VAC40-73-80. Management and control of resident funds ........................................ 20 22VAC40-73-90. Safeguarding resident’s funds ........................................................... 21 22VAC40-73-100. Infection control program ................................................................. 22 PART III PERSONNEL ................................................................................................ 24 22VAC40-73-110. Staff general qualifications ............................................................... 24 22VAC40-73-120. Staff orientation and initial training ................................................... 25 22VAC40-73-130. Reports of abuse, neglect, or exploitation ........................................ 26 22VAC40-73-140. Administrator qualifications .............................................................. 26 22VAC40-73-150. Administrator provisions and responsibilities ................................... 27 22VAC40-73-160. Administrator training ....................................................................... 30 22VAC40-73-170. Shared administrator for smaller facilities ........................................ 32 22VAC40-73-180. Administrator of both assisted living facility and nursing home. ....... 35 22VAC40-73-190. Designated direct care staff person in charge. ................................. 36 22VAC40-73-200. Direct care staff qualifications .......................................................... 37 22VAC40-73-210. Direct care staff training ................................................................... 38 22VAC40-73-220. Private duty personnel ..................................................................... 39 22VAC40-73-230. Staff duties performed by residents ................................................. 41 22VAC40-73-240. Volunteers........................................................................................ 41 22VAC40-73-250. Staff health records and requirements ............................................. 42 22VAC40-73-260. First aid and CPR certification.......................................................... 44 22VAC40-73-270. Direct care staff training when aggressive or restrained residents are in care. .......................................................................................................................... 46 PART IV. STAFFING AND SUPERVISION .................................................................. 47 22VAC40-73-280. Staffing............................................................................................. 47 22VAC40-73-290. Work schedule and posting .............................................................. 48 22VAC40-73-300. Communication among staff .............. Error! Bookmark not defined. PART V. ADMISSION, RETENTION AND DISCHARGE OF RESIDENTS ................. 49 22VAC40-73-310. Admission and retention of residents ............................................... 49 22VAC40-73-320. Physical examination and report ...................................................... 53 22VAC40-73-325. Fall risk rating .................................................................................. 54 22VAC40-73-330. Mental health screening ................................................................... 55 22VAC40-73-340. Psychosocial and behavioral history ................................................ 56 22VAC40-73-350. Sex offender information .................................................................. 56 22VAC40-73-360. Emergency placement ..................................................................... 57 22VAC40-73-370. Respite care ..................................................................................... 57 22VAC40-73-380. Resident personal and social information ........................................ 58 22VAC40-73-390. Resident agreement with the facility ................................................ 60 22VAC40-73-400. Monthly statement of charges and payments ................................... 62 22VAC40-73-410. Orientation and related information for residents ............................. 63 22VAC40-73-420. Acceptance back in facility ............................................................... 63 22VAC40-73-430. Discharge of residents ..................................................................... 64 PART VI. RESIDENT CARE AND RELATED SERVICES .......................................... 66 22VAC40-73-440. Uniform assessment instrument (UAI) ............................................. 66 22VAC40-73-450. Individualized service plans ............................................................. 68 22VAC40-73-460. Personal care services and general supervison and care ................ 70 22VAC40-73-470. Health care services ........................................................................ 73 22VAC40-73-480. Restorative, habilitative, and rehabilitative services ......................... 77 22VAC40-73-490. Health care oversight ....................................................................... 78 22VAC40-73-500. Access by community services boards, certain local government departments, and behavioral health authorities ............................................................. 81 22VAC40-73-510. Mental health services coordination and support ............................. 81 22VAC40-73-520. Activity and recreational requirements ............................................. 82 22VAC40-73-530. Freedom of movement ..................................................................... 85 22VAC40-73-540. Visitation in the facility ...................................................................... 85 22VAC40-73-550. Resident rights ................................................................................. 86 22VAC40-73-560. Resident records .............................................................................. 87 22VAC40-73-570. Release of information regarding resident’s personal affairs and records .......................................................................................................................... 88 22VAC40-73-580. Food service and nutrition ................................................................ 89 22VAC40-73-590. Number of meals and availability of snacks ..................................... 90 22VAC40-73-600. Time interval between meals ........................................................... 91 22VAC40-73-610. Menus for meals and snacks ........................................................... 91 22VAC40-73-620. Oversite of special diets ................................................................... 92 22VAC40-73-630. Observance of religious dietary practices ........................................ 93 22VAC40-73-640. Medication management plan and reference materials .................... 93 22VAC40-73-650. Physician’s or other prescriber’s order ............................................. 95 22VAC40-73-660. Storage of medications .................................................................... 95 22VAC40-73-670. Qualifications and supervision of staff administering medications.... 97 22VAC40-73-680. Administration of medications and related provisions ...................... 98 22VAC40-73-690. Medication review .......................................................................... 101 22VAC40-73-700. Oxygen therapy ............................................................................. 102 22VAC40-73-710. Restraints ....................................................................................... 103 22VAC40-73-720. Do Not Resuscite Orders ............................................................... 106 22VAC40-73-730.
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