RC - OAC 310:680 (Oklahoma State Department of Health) Flashcards
“Abuse” definition
INTENTIONAL OR NEGLIGENT act or omission, directly and proximately resulting in physical or mental injury to a resident of a facility
“Administrator” definition
person who is in charge of a home and denotes 1/2 of his/her fl working time to on the job supervision of such home
“Maintenance” definition
meals, shelter and laundry services
“Neglect” definition
any act of omission or commission by any owner, operator, administrator, licensee or any agent, servant, employee or other person under the employment, supervision, etc. and which act is a direct and proximate cause of any physical or mental injury to a resident
“Personal Care” definition
assistance with meals, dressing, movement, bathing or other personal needs or maintenance or general supervision of the physical and mental well-being of a person who is capable of maintaining a private, independent residence, or who is incapable of managing his person whether or not a guardian has been appointed for such person.
“Residential Care Home”:
- any establishment/institution other than hotel, frat/sorority house, or college/dorm which offers or provides residential accommodations, food service and supportive assistance to any of its residents or houses any resident requiring supportive assistance who are not related to the owner or admin. of home by blood or marriage. Said residents shall be ambulatory and essentially capable of managing their own affairs, but do not routinely require skilled nursing care or intermediate care
- Transitional Living Facility and halway houses are defined in Section 3-403 of Title 43A of Oklahoma Statutes
- A residential care home may consist of a series of units or buildings which are not connected or part of the same structure
How far can the building/units be of the building housing the main kitchen and dining room?
within 175 feet
“Supportive Assistance” definition
service rendered to any person which is sufficent to enable the person to meet an adequate level of daily living
What does Supportive Assistance include?
- housekeeping
- assist in prep of meals
- assist in safe storage
- distribution/admin of medications
- assistance in personal care as is necessary for health and comfort of such person
Where must smoking take place?
more than 15 feet away from each entrance and of any air intakes
How long does a license last?
issued for 24 month period, expiring two years from date of issue
How often shall Department conduct inspections?
at least 3x year and whenever it deems necessary.
at least 1 inspection shall be unannounced
How many days does a home have after receipt of notice of violation to prepare/submit a plan of correction?
10 days
The plan of correction shall include a fixed time period not in excess of ______ which which the violations are to be corrected.
30 calendar days
- an additional 30 days may be requested and approved by the Department
What type of license can a Department issue to a RC home where violations exist?
Conditional license
What does a conditional license do?
shall revoke any license held by the home
What must every RC home conspicuously post in an area of its offices accessible to residents, employees and visitors?
- current license
- name of current administrator and their license posted
- copy of Residents’ Rights
- Complaint procedure
- Copy of any order pertaining to home issued by Department/Court, which is currently in effect
Every residential care home shall retain the following for public inspection:
- copy of every inspection report from Department during past 3 years
- copy of every order issued by Department/Court during past 3 years
- Description of services provided, rates charged for services and items which may be charged separately
- copy of statement of ownership
- list of personnel who are licensed, certified or registered and employed or retained by RC, including area in which individual is credentialed
Who cannot be a member of the Residents’ Advisory Council?
employee or affiliate of the home
The Residents’ Advisory Council shall consist of ____________________________________.
No less than 10 people or 50% of the residents or residents’ family
How often shall the Residents’ Advisory Council meet?
at least monthly
The RC shall have a written policy statement that…
expressly prohibits the abuse or neglect of individuals it serves
Policy shall also include investigative procedures and actions to be taken when incidents occur
What shall an individual do if they become aware of abuse or neglect?
report immediately to Department and comply with other reporting requirements provided in O.S. Title 43A section 10-104
What shall the administrator of RC do if becomes aware of abuse or neglect?
immediately act to rectify the problem and make a report of the incident and its correction to the Department
Staff Training regarding abuse/neglect:
RC shall provide staff training in ID abuse and neglect and home’s policies and procedures concerning the same.
Verification of the provision of the training shall be written, signed by staff attending and retained in the personnel files
Who must certify the electrical, heating and plumbing facilities?
a licensed plumber or licensed electrician
Heating systems shall maintain temperatures of…
not less than 65 degrees F, with maximum temperature of 85 degrees F, unless authorized or recommended by a physician
Fire safety in RC home with more than 6 beds:
shall provide documentation of annual inspection and approval prior to issuance of a license renewal
How many flashlights shall be maintained for ER Lighting?
2
Hot water temperatures at faucets accessible to residents shall be maintained within a range of:
100 - 120 degrees F
How many sq ft of floor space shall each single resident room contain?
minimum of 80 sq ft
Each resident room containing multiple beds shall provide a minimum of how many sq ft per bed?
60 sq ft
Rule of Deodorizers in RCs
Deodorizers shall NOT be used to cover up odors caused by unsanitary conditions or poor housekeeping practices
Visiting animals rule in RCs
RC may allow other animals to visit. Visiting animals shall be under the control of person bringing the pet into the home
How many dogs/cats are allowed per residence?
fill in from slides…
How many meals per day and what should these meals include?
3 meals a day and they SHOULD include the 4 basic food groups in the recommended amounts
How many hours shall there be btw substantial evening meal and following morning meal?
NO MORE THAN 14 hours
How many day supply of food must be in home at all times?
3 day supply
The Dining Room seating capacity shall be a minimum of how many sq ft per resident?
15 sq ft
How many people who are administratively responsible for RC shall there be?
1
There shall be AT LEAST ________ in charge of the home and its operation on duty in RC whenever residents are present.
1 person
There shall be a MINIMUM of _____ hour of personnel per day per resident based on ________________.
3/4
average daily census
All RCs shall have signed, written agreement with ____________ to act as a consultant. Documentat of use of ________________ shall be maintained _________________.
registered nurse
nurse consultant
in the home
How many hours of training shall direct care staff who are responsible for administering or monitoring medication get annually?
8 hours
Where shall RC medications be stored?
in area that is locked, well lighted and room temperature not to exceed 86 degrees F
How shall RC medication requiring refrigeration be stored?
in refrigerator with temps ranging from 36-48 degrees F and separate from food and other items. A method of locking these medications shall be provided.
Discontinued medications
can be kept up to 3 months and must be separate from current medications within the locked medication area.
Unused drugs prescribed for residents who have died…
shall be kept for 1 month and then destroyed in accordance with these rules (ie - policy of RC approved by health department
involuntary discharge requires a minimum written notice of how many days?
10 days
involuntary discharge residents may request a hearing by Department within how many days?
5 days
Decision made by Department is binding unless appealed to who?
Commissioner of Health
Posting and distribution of Residents Rights and Responsibilities
- posted in conspicuous and easily accessible place
- in each residential care home
- provide to each resident or rep PRIOR to or AT admission
