11-100.1- Adult Residential Care Homes (ARCH)

72 Pages·2006·0.47 MB·English

Repeal of Suaprer 1
AU-LOL “Es Liu

Adoptio: of

macy

a. Ghaprar 11-168, haw
Whey 2 Resdeatial Gass lee

niecrarigs Havas, owdtind
is repented.

Chaylee Li-aeL, ga ive waves, eritied
Relerden Care Belntt Ganisent as wars theme"

, is Jepealed.

chapter UL 404-1, tavadi Adsiniat:
honktal ave Wena’, bea

ctive Rules, ennitied

2719
rest

capages ARALTE

SMSCTER 302

BUCLI

Repaciea

te Lt

gorse ed. 1 SEP 1 8 2a

2719
AKA ( ADMINISTRATIVE RILES
TITLE 1

SuzQrHRIT OF 82:

GISSURR Line

ADULT RE!

Suachaptes 2 Genozal Regrireneacs

gui-ige.tea 3
§11-126)1-2 betiartiors
S1L-100.1-2 — frcrasias
SlL-1G,.-4 Keiver
SL-100._-5

5

gubstapter 2 Tyse 1 Axe.

Qii-vag.1-8 — Feimacy care gives quslificetions

Siiaic0l2-9 — Fecsornel, staztizy aud fani ly
beqy: renaats

§11-190.4-19 Rdwtasion policies

§1--190. Activities of daily tiving
Rnezgescy care of resicants a

preparodniezs

futeitzen

Food sand.alior

Medica'iors

Tare services

is and vapors.

Rocrestiana,

and gocis] sore"ces

easter

Regiden'. accounts
Bo1-7ag01-26 Rewident ROS LP Gare stead:
Ql eo.-¥1 Residents” ang primary case givers

fez and roqpors’ bi -ities

gil-ie6 usler and discharge of regido

17216011223 Physics= onyironnant

gy 1-193.1-24 te L.-wld,L 50) aeserved
aeaaptes 3 Type LE ARC!

gil-'g6.2-51 applicability

p1aie0. Peimasy care give- ragcireterts

Leek

erie
qvane. aid szaftiag
egal operat rg pom

neand £30. san:
Tet} Resorved

aqoivemenzs

L0n

Sunchapter ¢ Impanded aRc#

$al-ig0.i-78 Applivabiticy
41-120 .i-73 Pursowe

prrestieet veo 09

$41-i30-1-3" Minin sucucunral vuquivexents
5ll-190.1-82 Primary cace giver suquireronts
5iL-4pa. 1-34 hel ang statting gequizoneqrs
siL-19a 1a DA gegn! wenent.

SU199.1-88 Teacefor 24 of expar dea

roaidents
F.

ze safely
Gane marngaten= qualifesiows acd

S4i-uu0.1-28 Aeaiaardons
S41-480/1-33 kxpanded ARCH resident = ~ights

Shbchapre™ § frofuusicaz] Mizcundacs

plintoa

1 Progussiona: kiscondacr
Syanaapter @ Adaiastcative Enforcexert

conont
icy pnrecedases

geverabili
eansitien

22 Len
aploce 11 103

% SEP 18 2006

erie
Saaetaet

suashapzer 1
Geaszal Reguirermrcs

Sl100.1-7 Furmese, this chapter establishes
tiaium standards ard veqcicenenta for she licensace of
Edit resicoyt sl cnre lores (ARCE) snd expended ARCES
Liogder lo pronect the keults, galouy, velsare and
Lorigass of tie renicuis seeidiny in she Ace ard
sxpunded ARCH, ygvw'oes Snel. be prowcded in
Qoeracive MACHOS woh Tie inert £2 pEeMOle Tae

eity und choices of re res-dere ip 4 homo-1ize
Gnviroimens. the rh'os ara nox ‘otended Le intrade on
the pe-vucy oz infringe an the desice of itdividaals to

provece cure or orv'aes to another ia choir awa bone,
San where wach gorv-cos ave pravided tor a oe, -be
the righk ro wisure corplizace with

IBLE seo Samy. | faa

SZ-LG, 24 62) (apr BRS $522.

-2 uetivizinas. ag used in this

APnse" rei tae wlful infliction of indery,
norensonaa’ # cont-nemenl, intinidacien, or pentshnert
with rasa ziag paysical harm oF pain of mensel anguisa,
er dapeivacion by’ sa pine nding a caseg-veey
bt goods of services racesacry te attain of
haintain physical, nertal ard gsychosoeial wl”-be-ny.
chis proaumes tast “mskarces of abuse of aZl residents,
even thore in a cone, curse plys-su- lige, of valu or
heplal argu:

‘agvivie living", o£ "ADL" sears asic
sorvices requ vadea by she Zacil 2
Bonelil cf ressdewss ir order to ootetn aad maintain 4

ad gaall irelade, bur rot be done, she
P personal cave, srelter, pro
Eupervision, assisvance, guédoice or =

plarued

aerivivies, food serves, larncerirg of persural
CLoLArng, Ferogaizion of ane prav-sior to: cuange Ln
health Suaius, ane arrsagenent “oF wid transportation
Ye medical and detta’ offices.
‘AGULL Sogidensial care Tome", or "ARCH" neans apy

acLLily providing tweycy four hore Tivis

Gmodslions. fers fee, to adults wirelated to tae
anil post Tinnal assiscance “0 the

ving, personal care sare-ces,

400. 1-3

2718
g11-au9. 4-2

protecrivg, and health care sesvicos, pet who do 10:
feed che plolessinca™ aoalsh service: of an
fecneeiuhe, eeil]ed aceging, or acclo care Zacility.

ii'Goes ran iaclide facilivies operated by the Eederal
gaverument. TLeze shall

ey Sypa Ebene for fave oF seiden=s? aad

(2) Type “T hows for six or pare

Advanced directive" menow 2 wr’ shen or oral

ceclasztion mada by a vorpesen= adal%, inateaccirg Fis
So he? phyaicsan to ocuriee, winadeld, of withiras
Tfecsustasniag peovedases vader corza‘r eoadiLion:
svi ag a bernindl cuaditon of whose the ceaisont, has

perranoa™ Bbiliny to eomtunicnte wilh others
due wo. ar: 3 ingery ce come. (Aa. arlvanced
divectiwe is oftea ceLervad to ay a ]’vicg will.)
Advanced vractoce ~agzstezed nacae", o1 TABRN
moans 2 seg'stezed quzse win is Licensed pursuant to
ror 457, ARS.
nba tozy’ goxgs tie ab2lit
Exon plase to place w'shows 2uman
"ARCA rasideal" nents a pore

es

52 wove on foot
Iated to the

peinary cure giver aad liceasee who resi ster.
fadivideais ceucding 19 go ARCL req
nit iu Lhe aetiv' sie: Bud cle
Seed avsigtaace fron s

sorne| ou a regalar Leaqau :
Rosistive Gevines" neans % prysical or veel
parutus of ogu-pmenk sequired by an indici@ral

Enbn lativa or oat ity.
Cardi For
CER cert.
dadiysdual ed a conrse
avcdel By ig taas contalas
GLEECEion ir ae euarqeacy

Tis! and groceduze Uni Eaponing
Ttaiviza a cosides" 8 airway, prov‘ diag
Ertivicia’ vantllation by seacs of fescne brectalog,

and prov'ding ast:(icial cireulatios by meaas of
Gxurins! nazdiac congress
laa" means av
xes. ideas! “ami | Poguareiaa on
sarvogana, cave Manager, Atet? of che MA0M ay expanded
Ages, and resident's pkys'ciaa cx APEN chaz arciculal
Qveral! olan of cave to be peoviand to tue cesid:
SRO with the purpose of
of function oF pre

an developed by he

by Lie MMA ax exoaade

(as it applies te aa expanded ARey)

nie aa

e7
gsll-.99.7-2

woans ay individual o.ter [kev the lirensee or szaff of
the exparded ARCH wie 1s liceweed in the state as A

registered riers or sucial werke™ ard possesses tho
Skills and knowledge required lo deal wita che leag
inks

fern caro neacs of the gor-alzic poytlanion.
individual Saal! hava tha ability Lo gis7, lca:
courdingte, abd moniney roup:

the individnal sesidei's ceeds ba
cotpratiasive assezenens of the 1

‘Gutagocy 3 adel resident:

at which was OsLablshac ard 2 19:
wus peaviding only reoy and bo to
Gnavwidualy tua: gid not sequire ue
mnpewwiasan uad pessonal care services, uhose
Tineraae does nct sect requivenente ase: fo1-b if

sersiot 11-100, 1-8,
Taenieal resraint” rez
Arug naut is used for d'seipline or convenience and 20.
required ta Lecat medical syapzous.
chongive fevassnent" ueuay an ovalbal‘on
y bat ig nat Linited co,
Eciong and prior medica. Sislosy, medica’
measirenant, paysieal gud aen.al carctiors
Las, sengory oad puysical ingairneacs, muuritional
Btatas and reqiirenwars, special Lreatmesks om
Procedures, senzal poychesorss1] slasus, dischasce
Pokersia-, duatel senditton,
Hinbee wsalas aud erg teres
Convenionce” means any n taken by ERO
Liceusue o: are giver to cor ident beaavie.
siden.s with a lesser amourt of effo.

4 psyetiepias

Diy cave cliert" means any verzon ats
seside in Lae ANCA or expanded ARCH and
renpesary supervigion dvrsug tke boars
person's gives, cats:de of the ARCE o: Sxpaadod
ARCH, ig caavallavle. Th-s persoc sequires Ainial

waslance on he aet‘vitzas of det_y living aud coos
lol need LAs prosess-ona- keauta services of at

darerredisie, e#i led oursing, os acute cazo Exc! iity.
TAL3 person does tak stay avera-ght ia tho ARCO oF
Onpaniied ARC baz Saall oe characterized av a coaideat

[or purposes of an ARCH'© or exoaided ARC!'s Licousee
Dejeritens* neone the departzent of Lealth, ste
2 daa,

Sag! nears the depaznnect of sucun services,

00.163

2739
gli-iec.

noo nears + parson who is reg‘ stered by
the Conuizsion on suslo-ieg degésteation of tue
hrericso Tie sonia Assoeda co 9” is eligible fer suul
Togissratioa, "vector" weans the direclor of kealzk,

ia at Eawai! 7 designes.

iessepline” Taare any 20.ior texen Sy _he
Licorsge a2 care giver tor the psrpose sf parishing or
poaalizing residents

Wears un event ar incident oscurcéng
whe oxpandad SRCE renéder= /s uouer Lhe
Garo of a protacy care gives oc ARE or Gxpanued ARCO
Licensee, wiereby a resident oxperveneas paysical ar
mortal esanqed whick necessitate cara o- services «tick
Caries Be provided by tbe ARTE or oxpsndad ARCE
sapouded ARC" cease any Lact l'=y providing

gory tous Ager ving accommedar iors, For a Tee, to
iSo'ss unselated ve the teecly, wha vequice al least
Finita. ausiz.ence in the aelivirios af daily Living,
porssaal cars serviews, pro.cc.ior, ad seslib care

Bo-vices, amd wha nay aed ake profess’ cual Leal -b
Sorvives provised “ra: in.cureiare care Laci@iy or

Shil-ed miceing facil There shall be two Lypes
expanded ARCHS!
(li Sybe € sore skal caxsist of tive or tess
yep'deass wish RO gore Fras two merecng

facility loyal vosiderts; provided that nore

taveiay facility “oval ~escdea_s tay be
EL.oved ZL the Aiscresiorn of Ube departnert;

(2) Type ii aoT# shall consist of 8% ov move
resiganta with ae gece Chan twenty Der cent,

Of (be vone's Licensed capeciry es cussing
fact iny level cesideacs, provided slat so:e
mrratag taciiily level residents amy be

Al owed at the discretion of the depa:tiei;
provided fusthes Ubal Lag department skal
Cxere'se ine descrelion for a res'de
presersly ces-ding ina Type io” Ty2e

nate to Avisw she resident to renaia as ut

hea iewa’ ussing [acility res‘deun based
on the hast interest of che resider:. Tie

Beas iqnerast at tac resisent shall o@
Jclorm'nad by the dapaziment afsor

consi satior wich ste rosideol, the

gogidert's far ly, primacy physician, o:

hanayer, privary care gives and nome

190
g1L-C.1-2

epmcatos.
Fepanded ARC rentoean" wand a pel

lus requirenants of section $2°-15-81(a)-
Fire Gatery Evacuation gyaten retiag", or

nuaug ar aasansaeat concucted
Consulssnl Le ersase compliance with
coda soquirenents of tho ©
Aavocialicn (SPA) =C1 life safety codes.

Test alg cartiticaciea" moans vert
ar individual Tas suecenatul_y vomploleé a course that
Dray'des dusleve.ien or ba st aid principles,
Telndiag bal £o. L'mited te ences brea.hirg
Dracedures

aplive

cation that

“Pally aubacatory* neaas te abilicy La move on
Foon i:on place vo place without tho usc of any
muthenieal Govies ardo= hucun assistance.

Niore Loalzh agency" meand 2 Licensed piblic or
prove ary agercy, a privace lonpoli

br 2 dubiiviston of seek agency o: orga

is primarily eraaced in provid-oy ¢irect or
Bhiled wiraing services and oches lherapeunie
andes a physician's dizection 2 Lomeboard pa
Ripartenize or intesrd tert sasia (in a place used a3
Cre ind-vidusl' hone}. "8 honebound patiews is a
parson ute, Eocauge of a coxsitior dae to —-lucss or
ihiuey, Lad @ restrioned abe ity to eave the po
Eascdeicd excep. With Fhe ais of supportive dovicos
includ bul nol lin‘teo to, esutcues, canes,
wheclebairs, saleers, spacial teansvortation, or vith
the assistance peruoz; 02 a s0rsoh who nar a
‘ond ign which ing hore 28
onlraind: cates.

Infection cont= nd prooed.
ior che ‘dantiticetion, pzoventien ani ¢

of

2 a0La" ishes
palra’ of

Treen 6: meaas 5 care plan developes by
aregisy aa oxoaides ARCH ragicert withiA,
forsy-eigat house of the sapandes ARC recider t's
ndnigaian ze an expanded ARCE. cho entorim care plan
shall idenzify che immediate accas of Lhe oxpanded AXCH
resident aod shal= be bas: Ynelading

bus not -irited to phys. noreR,
tas hospital discharge ary, Rag LAS anergeacy room
Gischarge, The intorin care plas provide

sufficient incormalion .0 -ho licerceo or primacy cava

giver ard sLell se. fort, 2
feeds of the =
car 38 develop:

nL RSL Tha “mrad! ace
sidoul valil a compreacnsive care p'ar
ed wilaia coron days of Lac exgandos ARzI

199.1
residwit's eduivsion Lo ite expanded ARC
Irtersediate care yy 8E
which provides
Referee by a physician;
who need tnealy arn day assistance
with sie activities of eefly Living,
Sho “wed care provided ay Mceasee ouzsing
and parenedicel personel 97 a resclar, ~o6g-
Lom baste; aud
fhe do vor zed =wenty four Four a day
skilled rersing Care.
“nigenses" Tens che paisoa, ySoup of persons, ox
eazity Laat aalés che Liceuse to'egerste am ARCE oF
expanded ARC and who is cuspouzib-e [er the
Supeivisien ef wae ARCH or expardea ARCH and the
therein.
C capac’ ty" meus che aber of vesidects
Of sos'deics verui=ted
Uo chose rules and caspter
ARCH or expended ARCH, and. 5
flowlar ARCH’s or exparded ARCE'S
Sicensed rivsw” awaue & possou who is either a
Liconsed practiqd. uzuu or a registered professisna”

Gis a pfatica’ arse puzscaat to

iicenged pract

porson wre.

Grapzer 45
Lite

leew expe i

} eorigultans* means en individual who
fondgetire tre or Lite 5

dnupectcay ef Facilites “ii lizieg county aad patfona
Tike codes snd standares.
Wininal ses¢sharee to aczivitles of da‘ly Living

means “he provisior ot se=vices includiag bit. nat

Linited lo, stand-by css-stance, sor up, vor
ning, ard visea. supery wlan

Navions ire Troteztiou asuoolation", or “wes

ang Uno associzt-on thet sebuishes ts ational “ive

reams tailaze te ozovide goods ard

sary te avole paystca ‘sci, ten:a1
iliress, with comlete ciscegard Cor

engogvences or reqative resides: oucene

fe g1d0" wears a persen whe perforce » vatiety
rela.ing Lo pavienzs and pariect care uacer
tue Stpeevisiog of a navse, including bat aot Lincsed

ao activitves of deily
also assist a vacse by

LD. 2-8