Rule 111-8-1-.08 - Administration(1) Prior to being granted a license, each adult day center shall develop written policies and procedures outlining the responsibilities of center staff, management and volunteers. The policies and procedures shall at a minimum include the following: (a) A description of the types of services provided by the center including whether the center provides adult day care, adult day health services or both, characteristics of the participants that the center expects to serve and an Alzheimer's Disclosure Form as applicable, in compliance with O.C.G.A. § 31-8-182, et seq.(b) A description of the number and qualifications of staff and/or volunteers who will provide the services; and whether the services will be provided by center staff and/or volunteers or a contract provider;(c) A description of the center's days and hours of operation;(d) The center's policy for fees for service, including the daily charge; any additional fees for specific services, goods, or incidental supplies that are not included in the daily charge (e.g. personal hygiene products, transportation, bathing assistance, personal care assistance, etc.); and the method for notifying participants or their representatives of any changes or adjustments in fees;(e) The center's policy for refunds;(f) The center's policies and procedures for accepting voluntary contributions as compensation from or on behalf of participants;(g) The procedure for documenting any serious or unusual incidents occurring at the center which would affect the health, safety or welfare of participants including procedures for obtaining needed care and procedures for informing participants' representatives and/or legal guardian(s), of any such incidents or major changes in general functioning or medical condition of the participant;(h) An explanation of how emergency medical situations will be handled at the center, including how participants and representatives are informed of the procedures for dealing with emergency medical situations;(i) The procedure for implementing standard precautions;(j) A policy and procedure to assure that no staff member, volunteer, visitor, contractor or any other person may be on the premises of the center during the hours of operation if the person exhibits: symptoms of illness, a communicable disease transmitted by normal contact, or behavior which gives reasonable concern for the safety of the participants and others;(k) A policy for the proper storage, handling and documentation regarding medications where assistance with self-administration is offered and/or medications are administered by a licensed nurse;(l) A non-smoking policy or a statement that the center has designated an appropriate outside area for smoking;(m) A description of the criteria for voluntary and involuntary discharge of a participant from the center, and the time frame for notifying the participant and/or participant's representative prior to an involuntary discharge;(n) A policy for addressing and resolving complaints made by participants, the participant's representative, family or other interested person(s) within a reasonable time not to exceed seven (7) business days, including providing information to such person(s) about appropriate local, county and/or state agency contacts;(2) Each center shall establish core hours and days of operation during which services are available.(3) Each center shall maintain an organizational chart, illustrating the lines of authority and communication within the center.(4) Each center shall ensure that participants and their representatives, if any, shall receive at least 30 days written notice prior to any substantive changes in the participant agreement or fees for service.Ga. Comp. R. & Regs. R. 111-8-1-.08
O.C.G.A. § 49-6-81.
Original Rule entitled "Administration" adopted. F. Dec. 18, 2014; eff. Jan. 7, 2015.