Current through Register Vol. 54, No. 44, November 2, 2024
(a) For
domiciliary care homes with four or more clients, the following special
building recertification standards apply. Domiciliary care homes with four or
more clients shall meet the home recertification standards in this section in
lieu of the standards in §
21.27 (relating to domiciliary care
home certification and recertification standards).
(1) Domiciliary care homes with four to eight
clients shall meet the standards for small group homes in 34 Pa. Code Chapter
56 (relating to division C-3 small group habitation) and shall provide
verification of inspection and approval by the Department of Labor and Industry
under 34 Pa. Code Chapter 49 (relating to administration-buildings) before
recertification is granted by the AAA.
(2) Domiciliary care homes with nine or more
clients shall meet the standards for large facilities in 34 Pa. Code Chapter 55
(relating to division C-2 hotels, motels, apartment buildings, etc.) and shall
provide verification of inspection and approval by the Department of Labor and
Industry under 34 Pa. Code Chapter 49 before recertification is granted by the
AAA.
(3) Homes located in
Philadelphia, Pittsburgh or Scranton shall provide verification of inspection
and approval in accordance with the Occupancy and Fire Safety Codes of the
appropriate city.
(4) Prior to
recertification by the AAA, the home shall provide verification that
remodeling, reconstruction or substantial alteration to the domiciliary care
home has been done in accordance with plans approved by the Department of Labor
and Industry under 34 Pa. Code Chapter 49.
(5) There shall be at least one operational
bathroom, having a toilet, sink and tub or shower, for every eight
clients.
(6) When the home consists
of a cluster of living units rather than a single living unit, the clustered
living units shall be in physical proximity, and each unit shall conform to the
applicable sections of this chapter.
(7) No domiciliary care home may have more
than 13 clients residing within it.
(b) In addition to other program requirements
provided in this chapter, the following special program requirements apply to
domiciliary care homes with four or more clients:
(1)
Mobility. Clients
residing in domiciliary care homes having four or more clients shall be
independently mobile or semimobile. The semimobile clients shall be able to get
out of bed without assistance from another person.
(2)
Staffing.
(i) During the waking hours established by
the home, at least one provider or staff person shall be present and available
on the premises when one or more clients are present in the home. If one or
more of the clients are not independently mobile, at least one provider or
staff person shall be present and available in each building or cluster unit
where clients are present.
(ii)
During hours when clients are sleeping, one provider or staff person shall be
present and available in each building or cluster unit housing clients who are
not independently mobile. For buildings or cluster units with only
independently mobile clients, one provider or staff person who is awake and
circulates to each building or unit hourly or who is on the premises and
available to clients through an intercom system may be substituted for a
provider or staff person in each building or cluster unit.
(iii) The AAA may require an increase in the
number of staff persons as it deems necessary.
This section cited in 6 Pa. Code §
21.27 (relating to domiciliary care
home certification and recertification standards); 6 Pa. Code §
21.29 (relating to redetermination
of provider eligibility and recertification of domiciliary care homes); and 6
Pa. Code §
21.52 (relating to AAA service
responsibilities).
