16 Del. Admin. Code § 3310-9.0

Current through Register Vol. 28, No. 3, September 1, 2024

Section 3310-9.0 - Individual Services

9.1 Healthcare

9.1.1 The provider shall ensure that individuals receive needed medical, dental, visual and behavioral care.

9.1.2 Necessary screenings/appointments are scheduled within five (5) business days of receipt of an order.

9.1.3 Providers assist individuals to the carry out all health related orders as determined by the health care professionals.

9.1.4 Each resident shall have a physical/medical examination annually or more frequently as required by a physician or the affiliated social agency/program.

9.1.5 Medications

9.1.5.1 Medications prescribed for residents shall be kept locked in a cabinet or a lock box set aside for that exclusive purpose.

9.1.5.2 Medications requiring refrigeration shall be kept locked in a separate box within the refrigerator.

9.1.5.3 Medications shall be self-administered or distributed directly to the resident from the prescription container in strict accordance with the prescription directions.

9.1.5.3.1 Administration of medications must be in accordance with the requirements in 24 Del. C. Ch. 19, § 1932.

9.1.5.4 The authorized provider shall ensure that prescription medication is not used by other than the resident for whom the medication was prescribed.

9.1.5.5 Topical (external) medications must be stored separately from oral (internal) medications.

9.1.5.6 Controlled substances must be under a double lock whether stored in a cupboard or refrigerator. A lock on an outside access door can be considered the first lock.

9.1.5.7 Medication must be stored at room temperature (59-86F) unless otherwise indicated by the labeling in a manner that protects the product itself from deterioration or container breakage.

9.1.6 Communicable disease

9.1.6.1 An individual with an active communicable disease must receive prompt medical treatment and supervision.

9.1.6.2 The provider shall assume responsibility for seeing that necessary precautions are taken and that there is a minimum danger of transmission of a communicable disease to any occupant of the home.

9.1.6.3 Minimum requirements for tuberculosis (TB) testing require all occupants to have a base line two step tuberculin skin test.

9.1.6.4 All homes shall have on file evidence of an annual vaccination against influenza for all residents unless refused or medically contraindicated.

9.2 The provider shall provide or assist to arrange for transportation for an individual's appointments.

9.3 Food service

9.3.1 A minimum of three (3) meals shall be available and/or served in each 24 hour period.

9.3.2 There shall not be more than a 14 hour span between the evening and breakfast meals unless suitable nourishment is provided in the interim.

9.3.3 Individuals shall have access to food at all times.

9.3.4 The food served shall be suitably prepared and of sufficient quantity and quality to meet the nutritional needs of the residents.

9.3.5 Special diets shall be served on the written prescription of the resident's physician.

9.3.6 There shall be three day supply of food and water in each home at all times.

16 Del. Admin. Code § 3310-9.0

21 DE Reg. 229( 9/1/2017) (Final)