assisted living facility

388 Pages·2012·8.35 MB·English

ASSISTED LIVING FACILITY
Negotiated
Rulemaking
J U N E - A U G U S T 2 0 1 2
Florida Administrative Weekly Volume 38, Number 19, May 11, 2012
(1) Prior criminal records shall not automatically result in the Department of Health, announces the convening of a
disapproval of visiting. The nature, extent, and recentness of negotiated rulemaking proceeding addressing assisted living
the criminal convictions and adjudications withheld combined facility regulation. The purpose of the negotiated rulemaking is
with the person’s relationship to the inmate shall affect to draft mutually acceptable proposed rules addressing the
approval or disapproval. safety and quality of services and care provided to residents
(2) The assigned institutional classification officer staff within assisted living facilities while being mindful of
shall evaluate a person’s criminal history and visiting unnecessary increases in regulation given the many variations
background using Form DC6-111D, Visitor Screening Matrix. in services provided, the number of residents or size of the
Form DC6-111D is hereby incorporated by reference. A copy facility, and the makeup of resident populations in the
is available from the Forms Control Administrator, 501 South facilities.
Calhoun Street, Tallahassee, Florida 32399-2500, SUBJECT AREA TO BE ADDRESSED: The subject and
http://www.flrules.org/Gateway/reference.asp?No=Ref-01038. scope of the rules to be developed through negotiated
The effective date of this form is______March, 2012. rulemaking will address the following areas: Educational
Requirements, Training, and Competency Exams for
Rulemaking Authority 944.09 FS. Law Implemented 20.315, 944.09,
Administrators and Managers; Training for Staff; Core
944.23 FS. History–New 11-18-01, Amended 9-29-03,
3-22-12,________. Trainers; Training Accessibility; Data Collection; Medication
practices; Emergency management; Licensing and services
DEPARTMENT OF ELDER AFFAIRS provided for limited nursing services, limited mental health,
Federal Aging Programs and extended congregate care designations; Deletion of
RULE NOS.: RULE TITLES: duplicative rules; and, Revision of rules as needed based on
58A-5.0131 Definitions legislative changes.
58A-5.014 License Application, Change of RULEMAKING AUTHORITY: 429.178, 429.23, 429.24,
Ownership, and Provisional 429.255, 429.256, 429.27, 429.275, 429.31, 429.41, 429.42,
Licenses 429.44, 429.52, 429.54 FS.
58A-5.015 License Renewal and Conditional LAW IMPLEMENTED: Part I, Assisted Living Facilities,
Licenses Chapter 429, Florida Statutes, with specific sections to be
58A-5.016 License Requirements determined during the negotiated rulemaking.
58A-5.0161 Inspection Responsibilities NEGOTIATED RULEMAKING COMMITTEE: The
58A-5.0181 Admission Procedures, negotiated rulemaking committee members have been selected
Appropriateness of Placement and from various representative groups that have been invited to
Continued Residency Criteria participate in the negotiated rulemaking process. The
58A-5.0182 Resident Care Standards rulemaking committee members are as follows:
58A-5.0185 Medication Practices 1. Robert Anderson 2. C. Anne Avery, RN, LNC
58A-5.0186 Do Not Resuscitate Orders (DNROs) Director, Adult Protective Services Bureau of Field Operations
Dept. of Children and Families Agency for Health Care
58A-5.019 Staffing Standards
1317 Winewood Boulevard Administration
58A-5.0191 Staff Training Requirements and
Building 6, Floor 3 2727 Mahan Drive
Competency Test
Tallahassee, FL 32399 Tallahassee, FL 32308
58A-5.020 Food Service Standards [phone] [phone]
58A-5.021 Fiscal Standards
3. Jackie Beck 4. Carol Berkowitz, Esq.
58A-5.023 Physical Plant Standards
Chief, Adult Mental Health Sr. Director, Regulatory and
58A-5.024 Records
Dept. of Children and Families Legal Affairs
58A-5.0241 Adverse Incident Report
Mental Health Program Office LeadingAge Florida
58A-5.0242 Liability Claim Report 1317 Winewood Boulevard 1812 Riggins Road
58A-5.025 Resident Contracts Building 6, #287 Tallahassee, FL 32308
Tallahassee, FL 32399 [phone]
58A-5.026 Emergency Management
[phone]
58A-5.029 Limited Mental Health
58A-5.030 Extended Congregate Care Services
5. John Bixler, RN 6. Jim Crochet
58A-5.031 Limited Nursing Services Chief, Emergency Medical Services State Long-Term Care
58A-5.033 Administrative Enforcement Dept. of Health Ombudsman
Emergency Medical Operations Dept. of Elder Affairs
PURPOSE AND EFFECT: The Department of Elder Affairs,
4025 Esplanade Way, Bin #C28 4040 Esplanade Way
in consultation with the Agency for Health Care
Tallahassee, FL 32399-1746 Tallahassee, FL 32399
Administration, the Department of Children and Families, and
[phone] [phone]
1868 Section I - Notices of Development of Proposed Rules and Negotiated Rulemaking
Florida Administrative Weekly Volume 38, Number 19, May 11, 2012
7. Alberta Granger 8. Lee Ann Griffin July 10, 9:00 a.m. – 3:30 p.m., Dept. of Elder Affairs, 4040
Director, Professional Development Director, Quality and Regulatory
Esplanade Way, Room 225F, Tallahassee, FL 32399
Florida Assisted Living Association Services
July 17, 9:00 a.m. – 3:30 p.m., Dept. of Elder Affairs, 4040
2447 Millcreek Court, Ste. 3 Florida Health Care Association
Tallahassee, FL 32308 P.O. Box 1459 Esplanade Way, Room 225F, Tallahassee, FL 32399
[phone] Tallahassee, FL 32302-1459 August 7, 9:00 a.m. – 3:30 p.m., Dept. of Elder Affairs, 4040
[phone]
Esplanade Way, Room 225F, Tallahassee, FL 32399
Pursuant to the provisions of the Americans with Disabilities
9. Shad Haston, Esq. 10. Teresa Jackson, MSW
Unit Manager, Assisted Living Unit Certified Geriatric Care Manager Act, any person requiring special accommodations to
Bureau of Long-Term Care Services Aging Care Advocates participate in this workshop/meeting is asked to advise the
Agency for Health Care Administration 101 American Center Place
agency at least 72 hours before the workshop/meeting by
2727 Mahan Drive, Mail Stop #30 Suite 210
contacting: Demetria Ross, Dept. of Elder Affairs,
Tallahassee, FL 32308 Tampa, FL 33619
[phone],
ASSISTED LIVING FACILITY  
NEGOTIATED RULEMAKING PROCEEDING 

ORGANIZATIONAL PROTOCOLS AND PROCEDURES 
JUNE ‐ AUGUST, 2012 

The Department of Elder Affairs (the “Department”), in consultation with the Agency for 
Health Care Administration, the Department of Children and Families, and the Department 
of Health, intends to utilize negotiated rulemaking as a means for rule development.  This 
process focuses on fostering the collaboration of a representative stakeholder committee to 
reach a consensus‐based agreement that will be translated directly into a proposed rule.  
The following organizational protocols and procedures govern this negotiated rulemaking 
proceeding. 

1.  GOAL 

  The goal of the Negotiated Rulemaking Committee is to reach consensus on proposed 
rules regulating assisted living facilities.  The proposed rules may take the form of an 
outline or actual draft language including repeal, amendment, or proposed new text.  
The subject areas for rulemaking are identified as:  

   Educational Requirements, Training, and Competency Exams for   
   Administrators and Managers;  
   Training for Staff;  
   Core Trainers;  
   Training Accessibility;  
   Data Collection;  
   Medication practices;  
   Emergency management;  
   Licensing and services provided for limited nursing services, limited mental 
    health, and extended congregate care designations;  
   Deletion of duplicative rules; and,  
   Revision of rules as needed based on legislative changes. 

2.  GOOD FAITH NEGOTIATION 

  All participants agree to act in good faith in all aspects of these negotiations.  The 
effectiveness of this consensus‐based process depends upon the fact that it is voluntary, 
informal and flexible in nature.  Participants must be willing to explore ways to reconcile 
competing and conflicting interests.  Participants represent stakeholder groups or 
interests, and not simply themselves.  Specific offers, positions, or statements made 
during the negotiations may not be used for any purpose outside the negotiations as the 
meetings and discussions are intended to be in the nature of settlement discussions. It is 
the intent of the Negotiated Rulemaking Committee that this provision be voluntarily
complied with by all parties in order to support the consensus decision‐making process 
by encouraging the free and open exchange of ideas, views, and information.  

  The Department retains the sole responsibility to promulgate the final rules and intends 
to promulgate the final rules based on the agreed rules reached by consensus of the 
Negotiated Rulemaking Committee.  The promulgation of the final rules are subject to 
both public comment in the proposed rule stage of rulemaking and to additional 
information that the Department is required to consider, including comment of the Joint 
Administrative Procedures Committee. 

3.  COMMITTEE PARTICIPATION 

  All members of the Negotiated Rulemaking Committee have equivalent status.  
Negotiated Rulemaking Committee members are listed on Attachment 1. 

3.1.  ATTENDANCE – Committee members are expected to attend all regularly 
scheduled meetings of this Negotiated Rulemaking Committee and be present at 
such time as sessions are called to order. Absences may be planned (due to a 
conflicting personal or professional obligation that cannot be reasonably altered) or 
unplanned (e.g. sudden illness, accident, injury, or other unanticipated event). In 
either case (including anticipated tardiness to a Committee meeting) Committee 
members are expected to notify Department or Agency staff by email or telephone 
as soon as practicable before the meeting begins (see Attachment 2). 

3.2.  PROXY – No participation by proxies or alternates for Committee members is 
permissible.   

3.3.  ADDITIONAL COMMITTEE MEMBERS ‐  Additional Committee members may be 
added by application to the Department as set forth in the Notice of Development of 
Rulemaking published in the Florida Administrative Weekly dated May 11, 2012.  
However, it is the intent that the Negotiated Rulemaking Committee be kept to an 
optimal number of participants in order to allow for efficient collaboration.   

4.  FACILITATOR 

  A neutral and impartial facilitator will be engaged by the Department; however, the 
facilitator acts independently of the sponsoring agency.  The facilitator is accountable to 
all members and manages the negotiated rulemaking process.  The facilitator chairs the 
Committee’s meetings, sets the pace and tone of negotiations, ensures that each party 
has a full opportunity to be heard, and helps the Committee to finish its tasks in a timely 
manner.  The facilitator ensures that the protocols and procedures are carried out, 
points out when they are not being followed, and seeks to remedy problems.  In 
managing the process, the facilitator may suggest ideas to stimulate debate or 
circumvent impasses, and may encourage parties to move toward each other.  The 
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facilitator has ultimate oversight responsibilities and complete discretion in making 
decisions affecting the collaborative agreement‐seeking process. 

  At the conclusion of the negotiated rulemaking proceeding, the facilitator will prepare a 
report summarizing the proceeding and submit it to the Department’s Legal Staff 
Support. 

5.  DECISIONMAKING BY THE COMMITTEE  

5.1.  QUORUM – A duly noticed Negotiated Rulemaking Committee meeting shall be 
convened when at least two‐thirds of the total members are present at the meeting.  
A roll call of members in attendance shall be taken and the meeting shall be called to 
order if a quorum is present.  

5.2.  CALL FOR VOTING – A Committee member may make a motion to close 
discussion and call for a vote.  A second of the motion is required.  A simple majority 
vote of committee members present is required to pass a motion to close discussion 
and call for a vote.  The facilitator, in his or her sole discretion, may independently 
close discussion and call for a vote without the requirement of making a motion.  

5.3  CONSENSUS VOTE – A consensus on a proposed rule is reached when two‐thirds 
of the members present agree that their major interests have been taken into 
consideration and addressed in a satisfactory manner.  Furthermore, members must 
also agree that given the combination of gains and trade‐offs and given the current 
circumstances and alternative options, the resulting agreement is the best one the 
Committee is likely to make.  A consensus is evidenced by an affirmative two‐thirds 
vote of eligible Committee members in attendance at the particular meeting in which 
the vote is taken on a proposed rule. 

5.4  FAILURE TO REACH CONSENSUS ‐ If the Committee is unable to reach consensus 
on a proposed rulemaking, the Department, in its sole discretion, may consider the 
deliberations presented during the meetings in drafting rules addressing that subject 
matter in any subsequent rule development proceeding. 

6.  INTERNAL ORGANIZATION  

  The proceedings of the Negotiated Rulemaking Committee will not be electronically 
recorded, but draft summaries of Committee meetings will be prepared by the facilitator 
with the assistance of Department staff for the convenience of Committee members. 
Such summaries shall not be construed or taken to represent the official position of the 
Negotiated Rulemaking Committee or any member on what transpired at a Committee 
meeting.  A proposed agenda for each meeting will be prepared by the facilitator with 
the assistance of Department staff for posting prior to all regularly scheduled Committee 
meetings.  Current information about the meetings, including agendas, meeting 
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summaries, notices, and the results of voting will be posted and accessible at the 
Department’s Assisted Living Facility Rulemaking website located at this address: 
http://elderaffairs.state.fl.us/doea/alf_rulemaking.php. 

7.  OPEN MEETINGS  

Meetings of the Negotiated Rulemaking Committee shall be open to the public, however 
participation in the discussion at Committee meetings will be limited to duly‐qualified 
Committee members or as otherwise determined by the facilitator.  A request for public 
testimony may be considered by the facilitator but will not generally be granted as public 
testimony has been substituted with member representation in this rule development (a 
rule development that utilizes a consensus‐based negotiated rulemaking method for 
drafting proposed rules).   Committee members are encouraged to make themselves 
available at reasonable times (other than during convened meeting times) to discuss the 
ideas, concerns, and suggestions of interested parties subject to Florida’s Sunshine Act.  
The facilitator may request the removal of any person whose behavior is causing a 
disturbance to the work of the Committee. 

8.  COMMUNICATIONS 

  Out of respect for the process and all participants and observers, while a meeting is in 
progress, please refrain from the use of electronic communications devices.  Periodic 
breaks will be scheduled during the meetings to allow for the use of communications 
devices and for communications between members of the public and Committee 
members.  
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ATTACHMENT 1 

ASSISTED LIVING FACILITY NEGOTIATED RULEMAKING  
COMMITTEE MEMBERS 
June ‐ August 2012 

1. Robert Anderson 2. C. Anne Avery, RN, LNC
Director, Adult Protective Services Bureau of Field Operations
Dept of Children and Families Agency for Health Care Administration
1317 Winewood Boulevard 2727 Mahan Drive
Building 6, Floor 3 Tallahassee, FL 32308
Tallahassee, FL 32399 [phone]
[phone]

3. Gilda Baldwin, DHSc, MMS 4. Jackie Beck
Chief Executive Officer Chief, Adult Mental Health
Westchester General Hospital Dept of Children and Families
th
2500 SW 75 Avenue Mental Health Program Office
Miami, FL 33155 1317 Winewood Boulevard
[phone] ext. 1700 Building 6, #287
Talahasee, FL 32399
[phone]

5. Carol Berkowitz, Esq. 6. Jim Crochet
Senior Director of Regulatory and Legal Affairs State Long-Term Care Ombudsman
LeadingAge Florida Dept of Elder Afairs
1812 Riggins Road 4040 Esplanade Way
Tallahassee, FL 32308 Tallahassee, FL 32399
[phone] [phone]

7. Alberta Granger 8. Lee Ann Griffin
Director, Prof. Development/Disaster Coordinator Director of Quality and Regulatory Services
Florida Assisted Living Association Florida Health Care Association
2447 Millcreek Court, Ste. 3 P.O. Box 1459
Tallahassee, FL 32308 Tallahassee, FL 32302-1459
[phone] [phone]

9. Shad Haston, Esq. 10. Gail Matillo
Unit Manager, Assisted Living Unit Director, Elder Housing Unit
Bureau of Long-Term Care Services Dept of Elder Affairs
Agency for Health Care Administration 4040 Esplanade Way
2727 Mahan Drive, Mail Stop #30 Tallahassee, FL 32399-7000
Tallahassee, FL 32308 [phone]
[phone]

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