Colorado Health Care Association & Center for Assisted Living



7.1 IN ORDER TO ENSURE THAT STAFF MEMBERS AND VOLUNTEERS ARE OF GOOD, MORAL AND RESPONSIBLE CHARACTER, THE ASSISTED LIVING RESIDENCE SHALL REQUEST, PRIOR TO HIRE, A NAME-BASED CRIMINAL HISTORY RECORD CHECK FOR EACH PROSPECTIVE STAFF MEMBER AND VOLUNTEER PROVIDING ALR SERVICES.7.3 THE ASSISTED LIVING RESIDENCE SHALL IMPLEMENT POLICIES AND PROCEDURES REGARDING THE HIRING OR CONTINUED SERVICE OF ANY ADMINISTRATOR, STAFF MEMBER OR VOLUNTEER PROVIDING ALR SERVICES WHOSE CRIMINAL HISTORY RECORDS DO NOT REVEAL GOOD, MORAL AND RESPONSIBLE CHARACTER OR DEMONSTRATE OTHER CONDUCT THAT COULD POSE A RISK TO THE HEALTH, SAFETY, OR WELFARE OF THE RESIDENTS. 7.6 THE ASSISTED LIVING RESIDENCE SHALL ESTABLISH WRITTEN POLICIES CONCERNING PRE-EMPLOYMENT PHYSICAL EVALUATIONS AND EMPLOYEE HEALTH.7.7 THE ASSISTED LIVING RESIDENCE SHALL HAVE POLICIES AND PROCEDURES RESTRICTING ON-SITE ACCESS BY STAFF OR VOLUNTEERS WITH DRUG OR ALCOHOL USE THAT WOULD ADVERSELY IMPACT THEIR ABILITY TO PROVIDE RESIDENT CARE AND SERVICES.7.10 THE ASSISTED LIVING RESIDENCE SHALL DEVELOP AND MAINTAIN WRITTEN PERSONNEL POLICIES, JOB DESCRIPTIONS AND OTHER REQUIREMENTS REGARDING THE CONDITIONS OF EMPLOYMENT, MANAGEMENT OF STAFF AND RESIDENT CARE TO BE PROVIDED.8.5 THE ASSISTED LIVING RESIDENCE SHALL ENSURE THAT IT HAS SUFFICIENT STAFF MEMBERS WHO ARE CURRENTLY CERTIFIED IN FIRST AID AND CARDIOPULMONARY RESUSCITATION TO MEET THE REQUIREMENTS OF THIS SECTION.Although not specified as a policy requirement this section will necessitate policy change for many AL’s. AL’s will be required to have a staff member certified in First Aid AND a staff member certified in CPR on duty at all times. It further details the requirement that staff “promptly provide those services in accordance with their training” and if a staff member is not certified in CPR but receives direction from a 911 operator, they are required to comply. SECTION 10 – EMERGENCY PREPAREDNESS10.6 EACH ASSISTED LIVING RESIDENCE’S EMERGENCY POLICIES SHALL ADDRESS… ( SEE 10.6 FOR DETAILS) Lots of detail included here. Requirements are very similar to the nursing home requirements. The CHCA/CCAL Emergency Preparedness Committee is available to help with this requirement as needed. 11.10 AN ASSISTED LIVING RESIDENCE THAT CHOOSES TO HANDLE RESIDENT FUNDS OR PROPERTY, SHALL HAVE A POLICY REGARDING THE MANAGEMENT OF SUCH FUNDS12.5 THE ASSISTED LIVING RESIDENCE SHALL HAVE A POLICY AND PROCEDURE REGARDING WHEN A PRACTITIONER'S ASSESSMENT OF A RESIDENT IS APPROPRIATE.12.15 THE ASSISTED LIVING RESIDENCE SHALL DEVELOP POLICIES AND PROCEDURES TO ESTABLISH A FALL MANAGEMENT PROGRAM.As an example, the CDC developed a program AL’s are now required to train staff and ensure that staff will be available to assist residents up after a fall if there is no apparent injury. AL’s can no longer have policies requiring that emergency personnel be called to help with every fall regardless of whether or not there is an injury. 12.18 THE ASSISTED LIVING RESIDENCE’S POLICY SHALL ALSO REQUIRE DOCUMENTATION OF THE ACTION TAKEN BY STAFF AND ONGOING EFFORTS TO PREVENT A REOCCURRENCE OF THE SITUATION IN THE FUTURE. This is referring to required follow up and developing a plan, post fall, to try to avoid a recurrence of a fall.13.10 EACH ASSISTED LIVING RESIDENCE SHALL DEVELOP AND IMPLEMENT AN INTERNAL PROCESS TO ENSURE THE ROUTINE AND PROMPT HANDLING OF GRIEVANCES OR COMPLAINTS BROUGHT BY RESIDENTS, FAMILY MEMBERS OR ADVOCATES.13.11 THE ASSISTED LIVING RESIDENCE SHALL INVESTIGATE ALL ALLEGATIONS OF ABUSE, NEGLECT OR EXPLOITATION OF RESIDENTS IN ACCORDANCE WITH SECTION 5 AND ITS WRITTEN POLICY14.30 THE ASSISTED LIVING RESIDENCE SHALL HAVE POLICIES AND PROCEDURES FOR DOCUMENTING, INVESTIGATING, REPORTING AND RESPONDING TO ANY ERRORS RELATED TO ACCURATE ACCOUNTING OF CONTROLLED SUBSTANCES AND /OR MEDICATION ADMINISTRATION.14.43 THE ASSISTED LIVING RESIDENCE SHALL HAVE POLICIES AND PROCEDURES REGARDING THE DESTRUCTION AND DISPOSAL OF OUTDATED, UNUSED, DISCONTINUED AND/OR EXPIRED MEDICATIONS WHICH ARE NOT RETURNED TO THE RESIDENT OR LEGAL REPRESENTATIVE.18.3 EACH ASSISTED LIVING RESIDENCE SHALL IMPLEMENT A POLICY AND PROCEDURE FOR AN EFFECTIVE INFORMATION MANAGEMENT SYSTEM THAT IS EITHER PAPER-BASED OR ELECTRONIC.19.2 THE ASSISTED LIVING RESIDENCE SHALL HAVE AND FOLLOW WRITTEN POLICIES AND PROCEDURES THAT ADDRESS THE TRANSMISSION OF COMMUNICABLE DISEASES WITH A SIGNIFICANT RISK OF TRANSMISSION TO OTHER PERSONS AND FOR REPORTING DISEASES TO THE STATE AND/OR LOCAL HEALTH DEPARTMENT.23.1 THE ASSISTED LIVING RESIDENCE SHALL HAVE WRITTEN POLICIES AND PROCEDURES THAT PROVIDE FOR EFFECTIVE CONTROL AND ERADICATION OF INSECTS, RODENTS AND OTHER PESTS.25.13 IN ADDITION TO THE TRAINING REQUIREMENTS IN SECTION 7.9, STAFF ASSIGNED TO A SECURE ENVIRONMENT SHALL RECEIVE TRAINING AND EDUCATION ON ASSISTED LIVING RESIDENCE POLICIES AND PROCEDURES SPECIFIC TO THE SECURE ENVIRONMENT RESIDENT CARE.25.19 IN ADDITION TO THE REQUIREMENTS FOR RESIDENT CARE SERVICES IN SECTION 12, EACH ASSISTED LIVING RESIDENCE WITH A SECURE ENVIRONMENT SHALL ESTABLISH POLICIES AND PROCEDURES FOR THE DELIVERY OF RESIDENT CARE AND SERVICESPlease note: There are many other P&Ps that your individual facility might adopt. This is intended as a reference with section numbers so you can review the referenced regulation in its entirety. ................
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