Compilation of Rules and Regulations of the State of Georgia
Department 111 - RULES OF DEPARTMENT OF COMMUNITY HEALTH
Chapter 111-8 - HEALTHCARE FACILITY REGULATION
Subject 111-8-1 - RULES AND REGULATIONS FOR ADULT DAY CENTERS
Rule 111-8-1-.13 - Staffing

Universal Citation: GA Rules and Regs r 111-8-1-.13

Current through Rules and Regulations filed through September 23, 2024

(1) Core Requirements. Each adult day center shall have as many staff and/or volunteers on duty at all times as may be needed to properly safeguard the health, safety and welfare of the participants, as required by these regulations. At a minimum the following shall be observed:

(a) Each center shall have a Director who is responsible for the day to day operation of the center and in the absence of the Director, a staff member shall be designated to supervise the center.

(b) Each center shall have at least one staff member who has current certification in first aid and cardiopulmonary resuscitation ("CPR") shall be in the center at all times.

(c) Each center shall identify which staff person is responsible for directing activities for the center.

(d) Each center shall provide appropriately qualified staff and/or volunteers in sufficient number to meet the needs of the participants and implement the participant's individual plan of care. At a minimum, adult day centers shall provide a staff and/or volunteer to participant ratio of no less than 1:8. The staffing ratio refers to the staff providing direct services to participants and therefore excludes such employees as clerical or office workers and maintenance or food service staff.

(e) Each center shall maintain a monthly work schedule showing that the center has planned for adequate coverage and shall document actual coverage by date, name, and hours worked.

(f) Each center shall ensure sufficient staffing to promptly and safely evacuate all participants in the event of an emergency. The center must adjust staffing as necessary based on the number of non-ambulatory participants at the center.

(2) Adult Day Health Centers. In addition to the requirements above, adult day health centers shall provide the following staffing:

(a) A registered nurse (RN) who shall assess participant's physical and mental health needs. The RN is responsible for the development and supervision of the participant's individual plan of care within three business days of admission.

If the center employs the services of a licensed practical nurse (LPN), the center shall ensure that the LPN is supervised by an RN as required by O.C.G.A. § 43-26-1et seq. The LPN shall be available by phone, pager and/or email when not on site at the center.

The nurse shall:

1. Monitor and record participant's vital signs as needed;

2. Observe participant's functional levels and note any changes in physical condition;

3. Monitor medications brought into the center and observe participants for effectiveness and possible side effects;

4. Teach self-care activities and encourage participant's self-care;

5. Assist participants with medications when indicated;

6. Coordinate each participant's individual plan of care with the physician and other service agencies;

7. Notify the participant's primary health care provider and personal representative of changes in the participant's condition;

8. Supervise the provision of and teach other adult day health personnel to perform assist participants with activities of daily living; and

9. Document the participant's status in the participant's record.

(b) Appropriately qualified staff to perform skilled therapies, e.g. physical therapy, occupational therapy, and speech therapy, as identified in the participant's individual plan of care.

O.C.G.A. § 49-6-81.

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