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-.23 - Reporting Requirements

Current through Rules and Regulations filed through September 23, 2024

(1) Serious Incidents. All adult day centers shall maintain records and submit on a timely basis reports required by the Department.

(2) On forms provided by the Department, no later than the next business day, the adult day center shall report whenever any of the following serious or unusual incidents involving a participant occurs or center has reasonable cause to believe that an incident involving a participant has occurred at the center or off-site during the provision of services:

(a) Any death of a participant;

(b) Any rape of a participant;

(c) Any serious injury to a participant that requires medical attention;

(d) Any suspected abuse, neglect or exploitation of a participant; and

(e) Any time a participant cannot be located and the participant has been missing for more than thirty (30) minutes.

(3) Reports of participant incidents shall include:

(a) The name of the adult day center, the name of the Director, and a contact telephone number for information related to the report;

(b) The date of the incident and the date the adult day center became aware of the incident;

(c) The type of incident, with a brief description of the incident; and

(d) Any immediate corrective or preventive action taken by the adult day center to ensure against the replication of the incident.

(4) The adult day center shall conduct an internal investigation of any of the serious or unusual incidents listed in subparagraph (2) of this rule and shall complete and retain on-site a written report of the results of the investigation within five (5) business days of the discovery of the incident. The complete report shall be readily available to the Department for inspection and shall contain at least the following:

(a) An explanation of the circumstances surrounding the incident, including the results of a root cause analysis or any other system analysis;

(b) Any findings or conclusions associated with the review; and

(c) A summary of any actions taken to correct identified problems associated with the incident and to prevent recurrence of the incident, and also any changes in procedures or practices resulting from the investigation.

(5) Other Incidents Requiring Report.

(a) The adult day center shall report to the Department whenever any of the following events involving adult day center operations occurs or when the adult day center becomes aware that it is likely to occur, to the extent that the event is expected to cause or causes a significant disruption of care for adult day center participants:
1. An external disaster or other community emergency situation which causes a complete disruption in services; or

2. An interruption of services vital to the continued safe operation of an adult day center, such as telephone, electricity, gas, or water services.

(b) The adult day center shall make a report of the event not later than the next business day from when the reportable event occurred or from when the adult day center has reasonable cause to anticipate that the event is likely to occur. The report shall include:
1. The name of the adult day center, the name of the Director, and a contact telephone number for information related to the report;

2. The date of the event, or the anticipated date of the event, and the anticipated duration, if known;

3. The anticipated effect on care and services for adult day center participants; and

4. Any immediate plans the adult day center has made regarding participant management during the event.

(6) Where the Department determines that a rule violation related to any self-reported incident or event has occurred, the Department shall initiate a separate complaint investigation of the incident. The complaint investigation report and the report of any rule violation compiled by the Department arising either from the initial report received from the adult day center or an independent source shall be subject to disclosure in accordance with applicable laws.

O.C.G.A. § 49-6-81.

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