Current through Register Vol. 49, No. 13, September 23, 2024
Subpart
1.
Sanitation and cleanliness.
The residence must be clean, as specified in part
4625.0100, subpart
2, and free from
accumulations of dirt, rubbish, peeling paint, vermin, or insects.
Subp. 2.
Toxic
substances.
Chemicals, detergents, and other toxic substances must not be
stored with food products.
Subp.
3.
Physical examination of resident.
The operator must ensure that each resident is examined by a
physician no more than 30 days before or within three days after placement in
the adult foster home to ensure that the resident is free of the reportable
communicable diseases named in parts
4605.7000 to
4605.7800. Transfer records from a
health care facility licensed by the Department of Health may be substituted
for this requirement.
Subp.
4.
First aid supplies.
The operator shall ensure that the residence is equipped with
accessible first aid supplies including bandages, sterile compresses, scissors,
an ice bag or cold pack, an oral or surface thermometer, mild liquid soap,
adhesive tape, and first aid manual.
Subp. 5.
Emergencies.
The operator shall be prepared for emergencies and ensure
that:
A. a non-coin-operated telephone
and an operable flashlight is located within the residence;
B. the phone numbers of each resident's
representative, physician, and dentist are readily available;
C. phone numbers of the local fire
department, police department, and an emergency transportation service are
posted by the telephone;
D. prior
arrangements are made for a substitute caregiver who meets the qualifications
in part
9555.6125, subpart
4, to provide care during
emergencies;
E. each resident is
informed of a designated area within the residence where the resident shall go
for cover during severe storms or tornadoes;
F. fire drills are conducted at least once
every three months;
G. a written
fire escape plan and a log of quarterly fire drills is on file in the
residence; and
H. the fire escape
plan is approved by the fire marshal and specifies emergency phone numbers, a
place to meet outdoors for roll call, smoke detector and fire extinguisher
locations, plans for quarterly fire and tornado drill sessions, and escape
routes to the outside from the levels used by residents. In buildings with
three or more dwelling units, enclosed exit stairs must be indicated. There
must be an emergency escape plan for each resident.
Subp. 6.
Individual personal
articles.
Individual clean bed linens, towels, and wash cloths must be
available for each resident.
Subp.
7.
Pets.
Pets housed within the residence shall be maintained in good
health. The operator shall ensure that the resident and the resident's
representative is notified before admission of the presence of pets in the
residence.
Subp. 8.
Resident's medication.
Caregivers may administer medication to a resident who is not
capable of self administering medication only if the operator ensures that the
procedures in items A to G are followed.
A. The operator shall get a written statement
from the resident's physician stating the name of the medication prescribed and
whether the resident is capable of taking the medication without
assistance.
B. The operator shall
get written permission from the resident or the resident's legal representative
to administer the medication.
C. A
resident who is not capable of self-administering the medication may be
administered the medication by a caregiver in accordance with the written
instructions from the resident's physician if the written permission has been
obtained from the resident or the resident's legal representative. A
prescription label is sufficient to constitute written instructions from a
physician.
D. Each resident
receiving medication assistance must have a medication record containing:
(1) the information on the prescription
label;
(2) the consequences if the
medication is not taken as directed;
(3) the adverse reactions to the medication
that must be reported to the resident's physician;
(4) instruction from the resident's physician
indicating when the resident's physician must be notified if the medication is
not taken as prescribed;
(5)
notation of when a medication is started, changed, or discontinued;
and
(6) notation of any reports
made to the resident's physician whenever the resident does not take medication
as prescribed or there are any adverse medication reactions.
E. A caregiver must report to the
resident's physician and legal representative:
(1) any adverse medication reaction as
specified in item D, subitem (3); and
(2) the resident's refusal or failure to take
medication as prescribed and in accordance with the physician's instructions in
item D, subitem (4).
F.
A caregiver must immediately report to the local agency whenever the resident's
physician is notified because medication is not taken as prescribed and the
physician determines that the refusal or failure to take medication as
prescribed creates an immediate threat to the resident's health or safety or
the health or safety of other residents or household members.
G. A caregiver shall not give injectable
medication unless:
(1) the caregiver is a
registered nurse or licensed practical nurse with a current Minnesota license,
is authorized to do so in writing by the resident's physician, and is covered
by professional liability insurance; or
(2) there is an agreement signed by the
caregiver, the resident's physician, the resident, and the resident's legal
representative specifying what injections may be given, when, how, and that the
physician shall retain responsibility for the caregiver's giving the
injections. A copy of the agreement must be placed in the resident's personal
record.
Subp.
9.
Storage of medication.
Schedule II controlled substances in the residence that are
named in Minnesota Statutes, section
152.02,
subdivision 3, must be stored in a locked storage area permitting access only
by residents and caregivers authorized to administer the medication as named in
subpart
8.
Subp. 10.
Weapons.
Weapons and ammunition must be stored separately in locked
areas that are inaccessible to residents and prevent contents from being
visible to residents. "Weapons" means firearms and other instruments or devices
designed for and capable of producing bodily harm.
Statutory Authority: MS s
245A.09
