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Philip D. Murphy Governor Shelia Y. Oliver Lt. Governor

Philip D. Murphy Governor Shelia Y. Oliver Lt. Governor. Shereef M. Elnahal, MD, MBA Commissioner. Department of Health Assisted Living/CPCH/Medical Day Care and Dementia Care Homes. Presentation: June 7, 2018 Presenter: Cynthia Dunn. Disclaimer.

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Philip D. Murphy Governor Shelia Y. Oliver Lt. Governor

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  1. Philip D. Murphy Governor Shelia Y. Oliver Lt. Governor Shereef M. Elnahal, MD, MBA Commissioner

  2. Department of HealthAssisted Living/CPCH/Medical Day Care and Dementia Care Homes Presentation: June 7, 2018 Presenter: Cynthia Dunn

  3. Disclaimer This power point presentation is an educational tool prepared by the Department of Health and is general in nature. It is not intended to be an exhaustive review of the Department’s administrative code and is not intended as legal advice. Materials presented should not substitute for actual statutory or regulatory language. Always refer to the current edition of a referenced statute, code and/or rule or regulation for language.

  4. Top Ten Deficiencies From: April 1, 2017 through March 31, 2018

  5. 10/8 A0565 General Requirements 8:36-5.10(a)(3) The facility shall notify the Department immediately by telephone at (609)633-8991, (800-792-9770 after business hours), followed within 72 hours by written confirmation, of the following: 3. All suspected cases of resident abuse, neglect, or misappropriation of resident property, including, but not limited to, those which have been reported to the State of New Jersey Office of the Ombudsman for the Institutionalized Elderly for residents over 60 years of age;

  6. 9/8 A517 General Requirements 8:36-5.6(b)(1-7) (b) The facility or program shall develop and implement a staff orientation and a staff education plan, including plans for each service and designation of person(s) responsible for training. All personnel shall receive orientation at the time of employment and at least annual in-service education regarding, at a minimum, the following: 1. The provision of services and assistance in accordance with the concepts of assisted living and including care of residents with physical impairment; 2. Emergency plans and procedures; 3. The infection prevention and control program; 4. Resident Rights; 5. Abuse and neglect; 6. Pain management; 7. The care of residents with Alzheimer’s and related dementia conditions and in accordance with N.J.A.C. 8:36-19.

  7. 8/7 A0355 Resident Rights 8:36-4.1(a)(1) (a) Each assisted living provider will post and distribute a statement of resident rights for all residents of assisted living residences, comprehensive personal care homes, and assisted living programs. Each resident is entitled to the following rights: 1. The right to receive personalized services and care in accordance with the resident’s individualized general service and/or health service plan;

  8. 7/9 A0891 Dining Services 8:36-10.5(a) (a) The facility and personnel shall comply with the provisions of N.J.A.C. 8:24, Retail Food Establishments and Food and Beverage Vending Machines Chapter XII of the New Jersey Sanitary Code.

  9. 6/10 A0935 Pharmaceutical Services 8:36-11.4(b) (b) All medications shall be administered by qualified personnel in accordance with prescriber orders, facility or program policy, manufacturer’s requirements, cautionary or accessory warnings, and all Federal and State laws and regulations.

  10. 5/9 A1249 Housekeeping-Sanitation-Safety- Maintenance 8:36-17.7 The building and grounds shall be well maintained at all times. The interior and exterior of the building shall be kept in good condition to ensure an attractive appearance, provide a pleasant atmosphere, and safeguard against deterioration. The building and grounds shall be kept free from fire hazards and other hazards to resident’s health and safety.

  11. 4/12 A0779 Resident Assessments and Care Plans 8:36-7.5 (c) (c) The registered professional nurse shall be called at the onset of illness, injury or change in condition of any resident to arrange for assessment of the resident’s nursing care needs or medical needs and for needed nursing care intervention or medical care.

  12. 3/13 A1073 Resident Records 8:36-15.6(b) (b) All assessments and treatments by health care and service providers shall be entered according to the standards of professional practice. Documentation and/or notes from all health care and service providers shall be entered according to the standards of professional practice.

  13. 2/16 A0753 Resident Assessments and Care Plans 8:36-7.3 (c) (c) Documentation in the resident’s record shall indicate review and any necessary revision of the resident service plan and/or health service plan.

  14. 1/29 A0310 Administration 8:36-3.4(a) (1) (a) The administrator or designee shall be responsible for, but not limited to, the following: 1. Ensuring the development, implementation, and enforcement of all policies and procedures, including resident rights;

  15. “ Need to Know” A 0569 Reportable Events 8:36-5.10(a)(5) (a) The facility shall notify the Department immediately by telephone at 609-633-8991 (800-792-9770 after business hours), followed within 72 hours by written confirmation, of the following: 5. Occurrence of epidemic disease in the facility;

  16. A 1291 General Infection Control Policies and Procedures 8:36-18.3(a)(1) (a) Written policies and procedures shall be established and implemented regarding infection prevention and control, including, but not limited to, policies and procedures for the following: 1. In accordance with Chapter II, New Jersey State Sanitary Code, Communicable Diseases, at N.J.A.C. 8:57, a system for investigating, reporting, and evaluating the occurrence of all infections or diseases which are reportable or conditions which may be related to activities and procedures of the facility, and maintaining records for all residents or personnel having these infections, diseases, or conditions;

  17. Adult Medical Day Care Frequently cited Administration M-0223 -Refer to 8:43F-3.1(b)(1-7) (b) The administrator shall be responsible for, but not limited to, the following: 1. Ensuring the development, implementation, and enforcement of all policies and procedures, including participant rights; 2. Planning and administering the managerial, operational, fiscal, and reporting Components of the facility; 3. Participating in the quality improvement program for participant care and staff performance;

  18. Adult Medical Day Care Frequent citation REPORTABLE EVENTS: AMDC -Refer to 8:43-3.4(a)5 M-0263 Administration 8:43F-3.4(a)(5) (a) The facility shall notify the Department immediately by telephone at 609-633-8991 (Hotline: 1-800-792-9770 after business hours), followed by written confirmation within 72 hours of the following: 5. All fires, all disasters, and all deaths resulting from accidents or incidents in the facility or related to facility services. The written confirmation shall contain information about injuries to participants and/or personnel, disruption of services,…

  19. Adult Medical Day Care Designation of Director of Nursing Services M-0425 8:43F-7.1(a) A registered professional nurse shall be designated in writing as the director of nursing services and shall be on duty at all times when participants are present in the facility. A registered professional nurse shall be designated in writing to act in the director's absence.

  20. Adult Medical Day Care 8:43F-6.2 General Staffing Requirements M-0403 8:43F-6.2(a) Adult day health service facilities shall provide at least one full-time, or full-time equivalent, direct care staff member for every nine participant equivalents, calculated on the basis of the daily census. Additional staff shall be provided as needed, based on the acuity of the participants. The facility shall have adequate staff capability to provide services and supervision to the participants at all times.

  21. Pediatric Day Care N.J.A.C 8:43J • 8:43J-4.1 Policies and procedures regarding the rights of children (a) The facility shall establish and implement written policies and procedures regarding the rights of children, which shall be available to the child's parent, staff and the public and shall post them in a conspicuous location in the facility in English and the primary language(s) of the children’s parents. (b) The facility shall provide staff with in-service education concerning the implementation of policies and procedures regarding child rights. (c) The facility shall notify the Department of Children and Families, Division of Youth and Family Services, of any suspected child abuse. (d) The facility shall comply with all applicable laws concerning child rights. 8:43J-4.2 Rights of each child (a) The facility shall establish policies and procedures

  22. Dementia Care Homes (DCH) • History June 1, 2016 Department of Health acquired formerly considered Class C boarding houses that advertised as “Memory Care” Facilities- now referred as Dementia Care Homes, to be regulated. Licensing Standards for Dementia Care Homes- Effective as of February 6, 2017 *Refer to N.J.A.C 8:37 Licensing Standards for DCH’s

  23. The End

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