D.C. Mun. Regs. tit. 22, r. 22-B10110

Current through Register Vol. 71, No. 49, December 6, 2024

Rule 22-B10110 - REQUIRED POLICIES AND PROCEDURES

10110.1

An ALR shall develop and implement dated, written policies and procedures concerning its operation which shall be consistent with the Act, this chapter, and all other applicable District or federal law.

10110.2

Policies developed and implemented pursuant to §10110.01 shall include, but not be limited to the following, which shall meet the approval of the Director:

(a) Medication management, administration of medication, medication administration errors, and medication storage;

(b) Developing, reviewing, and revising a resident's ISP, includingpolicies on addressing a resident's (or surrogate's) disagreement with an ISP in part or whole and using a shared responsibility agreement (SRA) to resolve remainingdiscrepancies between the individual resident's right to independence and the ALR's concerns for the safety and wellbeing of the resident and others;

(c) Private duty nurses, aides, and other healthcare professionals;

(d) Companions;

(e) Admission, transfer, and discharge, including guidelines on accommodating a resident's needs prior to an admission, transfer, or discharge;

(f) Complaints and grievances, including policies for use of the mechanism through which a resident mayhave complaints and grievances addressed, and for review ofsubmitted complaints and grievances;

(g) Protecting residents from the threat of retaliation for expressing complaints and grievances;

(h) Preventing, investigating, reporting,and remediating abuse, neglect, and exploitation of residents;

(i) Criteria to determine the care needs required by each resident upon initial assessment and throughout the duration of the resident's stay, including how staffing, emergency triage, and fees assessed to residents are impacted by the level of care needs assigned to a resident;

(j) Alcohol, tobacco, and marijuana use;

(k) Infection control, sanitation, and universal precautions;

(l) Emergency preparedness, which shall meet the same standards for emergency preparedness as those set for long term care facilities by the Centers for Medicare and Medicaid Services, at 42 CFR § 483.73;

(m) Use of audio-visual monitoring systems to monitor the non-private areas of theALR's internal and external premises, including length of retention and the destruction of recordings;

(n) Resident's right to visitation, and visitor conduct;

(o) Monitoring of independent contractors performing work on the ALR's premises on behalf of the ALR or resident;

(p) Availability of the ALA to the ALR staff;

(q) Contacting the ALR's registered nurse;

(r) Determining when an ambulance or emergency medical services are contacted during a health emergency;

(s) Resident falls; and

(t) Notification system to inform residents in the event of emergencies such as utility outages, environmental hazards, and other events that pose a substantial threat to the safety of the general ALR community.

10110.3

Procedures developed and implemented in connection with the policies in §10110.2 shall meet the approval of the Director.

10110.4

An ALR shall train its staff in the proper implementation of its procedures.

10110.5

A resident shall be permitted to view a copy of any policy required under § 10110.2 at his or her request.

10110.6

A resident shall be permitted, at his or her request, to view a copy of the ALR proceduresdeveloped in connection with the policies identified in paragraphs (b)and (f) of § 10110.2.

D.C. Mun. Regs. tit. 22, r. 22-B10110

Final Rulemaking published at 54 DCR 005591 (June 8, 2007); amended by Final Rulemaking published at 67 DCR 3717 (4/3/2020)