Definitions

Question 1

Define Accommodations

Answer 1

means housing, meals, laundry, housekeeping transportation, social or recreational activities, maintenance, security, or similar services that are
not personal care services or skilled nursing care.

Question 2

Define Activities of Daily Living (ADLs)

Answer 2

“Activities of daily living” means walking and moving, bathing, grooming, toileting,
oral hygiene, hair care, dressing, eating, and nail care.

Question 3

Define Administrator

Answer 3

“Administrator” means the person responsible for the daily operation of the
residential care facility. The administrator and the operator may be the same
person.

Question 4

Define Bedroom

Answer 4

“Bedroom” means a room used by a resident or residents for sleeping purposes that
is either a resident unit or a portion of a resident unit.

Question 5

Define Call Signal System

Answer 5

“Call signal system” means a set of devices that are connected electrically,
electronically, by radio frequency transmission, or in a like manner, are resident
activated, and effectively can alert the staff member or members on duty of
emergencies or resident needs.

Question 6

Define Complex Therapeutic Diets

Answer 6

“Complex therapeutic diets” means calculated nutritive regimens that have been
ordered by a physician or other licensed health practitioner acting within their
applicable scope of practice, based upon the individual needs of the resident and
adjusted to the needs of that resident.

Question 7

A complex therapeutic diet includes, but is

not limited to what 4 things?

Answer 7

(1) Diabetic and other nutritive regimens requiring a daily specific kilocalorie level;
(2) Renal nutritive regimens;
(3) Dysphagia nutritive regimens excluding simple textural modifications; and
(4) Any other nutritive regimens requiring a daily maximum or minimum level of
one or more specific nutrients, or a specific distribution of one or more
nutrients.

Question 8

Define Development Delay

Answer 8

“Developmental delay” means that a child has not reached developmental
milestones expected for his or her chronological age as measured by qualified
professionals using appropriate diagnostic instruments and/or procedures.

Question 9

Define Department

Answer 9

“Department” means the department of health.

Question 10

Define Developmental Diagnosis

Answer 10

“Developmental diagnosis” means a severe, chronic disability.

Question 11

Developmental Diagnosis can be characterized under the following

Answer 11

(1) It is attributable to a mental or physical impairment or a combination of mental
and physical impairments, other than a mental impairment solely caused by
mental illness as defined in division (A) of section 5122.01 of the Revised Code.
(2) It is manifested before age twenty-two.
(3) It is likely to continue indefinitely.
(4) It results in one of the following:
(a) In the case of a person under three years of age, at least one
developmental delay or an established risk;
(b) In the case of a person at least three years of age but under six years of
age, at least two developmental delays or an established risk.
(c) In the case of a person six years of age or older, a substantial functional
limitation in at least three of the following areas of major life activity, as
appropriate for the person’s age; self-care, receptive and expressive
language, learning, mobility, self-direction, capacity for independent living,
and if the person is at least sixteen years of age, capacity for economic
self-sufficiency.
(5) It causes the person to need a combination and sequence of special,
interdisciplinary, or other type of care, treatment, or provision of services for an
extended period of time that is individually planned and coordinated for the
person.

Question 12

Define Director

Answer 12

“Director” means the director of health or any division, bureau, agency, official or
employee of the department to which the director has delegated his authority or
duties.

Question 13

Define Dietian

Answer 13

“Dietitian” means an individual licensed under Chapter 4759. of the Revised Code to
practice dietetics.

Question 14

Home means both of the following

Answer 14

(a) Any institution, residence, or facility that provides, for a period of more than
twenty-four hours, whether for a consideration or not, accommodations to
three or more unrelated individuals who are dependent upon the services of
others, including a nursing home, residential care facility, and the Ohio
veterans’ home;
(b) A county home or district home that is or has been licensed as a residential care facility

Question 15

Home DOES NOT mean the following

Answer 15

“Home” does not mean any of the following:

(a) a public hospital or hospital
(b) A residential facility for mentally ill persons
(c) A residential facility
(d) An alcohol or drug addiction program
(e) A facility licensed to provide methadone treatment
(f) A facility providing services under contract with the department of mental retardation and developmental disabilities
(g) A facility operated by a hospice care program that is used exclusively for care of hospice patients;
(h) A facility, infirmary, or other entity that is operated by a religious order, provides care exclusively to members of religious orders who take vows of celibacy and live by virtue of their vows
(i) A county home or district home that has never been licensed as a residential care facility.

Question 16

Define Nonambulatory

Answer 16

“Nonambulatory” means not able to walk or not physically able to leave the
premises without assistance from another individual.

Question 17

Define On Call

Answer 17

“On call” means the person can be contacted at all times and is immediately
available to go on duty in the home upon short notice.

Question 18

Define On Duty

Answer 18

“On duty” means being in the home, awake, and immediately available.

Question 19

Define Operator

Answer 19

“Operator” means the person, firm, partnership, association, or corporation which
is required by section 3721.05 of the Revised Code to obtain a license in order to
open, maintain or operate a home and the superintendent or administrator of a
county home or district home licensed or seeking to be licensed as a residential care
facility.

Question 20

“Personal care services” means services including, but not limited to, the following:

Answer 20

(1) Assisting residents with activities of daily living:
(2) Assisting residents with self-administration of medication, in accordance with
rule 3701-17-59 of the Administrative Code;
(3) Preparing food for special diets, other than complex therapeutic diets, for
residents pursuant to the instructions of a physician, a licensed health care
professional acting within their applicable scope of practice, or a licensed
dietitian, in accordance with rule 3701-17-60 of the Administrative Code.
“Personal care services” does not include “skilled nursing care”. A facility need
not provide more than one of the services listed in this paragraph to be
considered to be providing personal care services.

Question 21

Define Resident

Answer 21

“Resident” means an unrelated individual to whom a residential care facility
provides accommodations.

Question 22

Define Resident Unit

Answer 22

“Resident unit” means the private room or rooms occupied by a resident or
residents.

Question 23

RCF means a home that provides either of the following

Answer 23

(1) Accommodations for seventeen or more unrelated individuals and supervision
and personal care services for three or more of those individuals who are
dependent on the services of others by reason of age or physical or mental
impairment;
(2) Accommodations for three or more unrelated individuals, supervision and
personal care services for at least three of those individuals who are dependent
on the services of others by reason of age or physical or mental impairment,
and to at least one of those individuals, any of the skilled nursing care
authorized by section 3721.011 of the Revised Code.

Question 24

Skilled Nursing Care is

Answer 24

“Skilled nursing care” means procedures that require technical skills and knowledge
beyond those the untrained person possesses and that are commonly employed in
providing for the physical, mental, and emotional needs of the ill or otherwise
incapacitated.

Question 25

“Skilled nursing care” includes, but is not limited to, the following:

Answer 25

(1) Irrigations, catheterizations, application of dressings, and supervision of special
diets;
(2) Objective observation of changes in the resident’s condition as a means of
analyzing and determining the nursing care required and the need for further
medical diagnosis and treatment;
(3) Special procedures contributing to rehabilitation;
(4) Administration of medication by any method ordered by a physician or other
licensed health care professional acting within their applicable scope of practice,
such as hypodermically, rectally, or orally, including observation of the resident
after receipt of the medication;
(5) Carrying out other treatments prescribed by the physician or other licensed
health care professional acting within their applicable scope of practice, that
involve a similar level of complexity and skill in administration.

Question 26

Special Care Unit

Answer 26

Special care unit” means a residential care facility, or part thereof, that is dedicated
to providing care to residents with diagnoses, that include, but are not limited to,
late-stage cognitive impairment with significant ongoing daily living assistance
needs, cognitive impairments with increased emotional needs or presenting
behaviors that cause problems for the resident or other residents, or both; or, serious mental illness

Question 27

Special Diet means

Answer 27

Special diets” means a diet that has been ordered for a resident by a physician or
other licensed health care professional acting within their applicable scope of
practice, based upon the individual needs of that resident and adjusted to the needs
of that resident.

Question 28

Special Diet may include the following

Answer 28

(1) Texture modifications, including chopped, ground and pureed;
(2) Nutrient adjusted, including high protein, no added salt, and no concentrated
sweets;
(3) Volume adjusted, including small, medium and large portions;
(4) Physical needs, including the use of finger foods or bite-sized pieces; or
(5) Complex therapeutic diets.

Question 29

Staff or Staff member means

Answer 29

“Staff member” or “staff” means an individual working in a residential care facility
including the owner; the administrator; a full-time, part-time or temporary paid
employee; or an individual working on contract for the facility.

Question 30

Supervision includes

Answer 30

(1) Watching over a resident, when necessary, while the resident engages in
activities of daily living or other activities to ensure the resident’s health, safety,
and welfare;
(2) Reminding a resident to do or complete such an activity, as by reminding him or
her to engage in personal hygiene or other self-care activity; or
(3) Helping a resident to schedule or keep an appointment, or both, including the
arranging for transportation.

Question 31

Supervision DOES NOT include

Answer 31

“Supervision” does not include reminding a resident to take medication and
watching the resident to ensure that the resident follows the directions on the
container or supervision of special diets as described in paragraph (J) of rule
3701-17-60 of the Administrative Code.

Question 32

“Supervision of complex therapeutic diets” means

Answer 32

“Supervision of complex therapeutic diets” means services, including, but not
limited to, the following:
(1) Monitoring a resident’s access to appropriate foods as required by a complex
therapeutic diet;
(2) Monitoring a resident’s weight and acceptance of a complex therapeutic diet;
(3) Providing assistance to residents on complex therapeutic diets as needed or
requested: and
(4) Providing or preparing complex therapeutic diets.

Question 33

Unrelated Individuals are

Answer 33

“Unrelated individual” means one who is not related to the owner or operator of the
residential care facility or to his or her spouse as a parent, grandparent, child,
grandchild, brother, sister, niece, nephew, aunt, uncle, or as the child of an aunt or
uncle.