A. The
assisted living facility shall prepare and provide a statement to the
prospective resident and the prospective resident's legal representative, if
any, that discloses information about the facility. The statement shall be on a
form developed by the department and shall:
2. Be provided in advance of admission and
prior to signing an admission agreement or contract;
3. Be provided upon request; and
4. Disclose the following information, which
shall be kept current:
a. Name of the
facility;
b. Name of the
licensee;
c. Ownership structure of
the facility (e.g., individual, partnership, corporation, limited liability
company, unincorporated association, or public agency);
d. Description of all accommodations,
services, and care that the facility offers;
e. Fees charged for accommodations, services,
and care, including clear information about what is included in the base fee
and all fees for additional accommodations, services, and care;
f. Criteria for admission to the facility and
restrictions on admission;
g.
Criteria for transfer to a different living area within the same facility,
including transfer to another level or type of care within the same facility or
complex;
h. Criteria for
discharge;
i. Categories,
frequency, and number of activities provided for residents;
j. General number, position types, and
qualifications of staff on each shift;
k. Whether the facility has an onsite
emergency electrical power source for the provision of electricity during an
interruption of the normal electric power supply. If the facility does have an
onsite emergency electrical power source, the statement must include (i) the
items for which the source will supply power and (ii) whether staff of the
facility have been trained to maintain and operate the power source. For the
purposes of this subdivision k, an onsite emergency electrical power supply
shall include both permanent emergency electrical power sources and portable
emergency electrical power sources, provided that such temporary electrical
power supply source remains on the premises of the facility at all times.
Written acknowledgment of the disclosure shall be evidenced by the signature or
initials of the resident or the resident's legal representative immediately
following the onsite emergency electrical power source disclosure
statement;
l. Notation that
additional information about the facility that is included in the resident
agreement is available upon request; and
m. The department's website address, with a
note that additional information about the facility may be obtained from the
website.
