Personal Care Home Program Presented by: Elaine Wright, Director Personal Care Home Program Healthcare Facility Regulation Division Date: 11/21/14

Mission The Georgia Department of Community Health We will provide access to affordable, quality health care to Georgians through effective planning, purchasing and oversight. We are dedicated to a healthy Georgia.

PCH Program PCHs CLAs ALCs UNL PCH

PCH Staff/Organization Statewide program Survey and Certification Complaints Intake Supervisor – Theresa Thompson Applications Yolanda Smith Main # – 404-657-5850

Personal Care Home Any dwelling, whether operated for profit or not, which undertakes through its ownership or management to provide or arrange for the provision of housing, food service, and one or more personal services for two or more adults who are not related to the owner or administrator by blood or marriage. Personal Services includes but is not limited to, individual assistance with ambulation and transfer, and essential activities of daily living such as eating, bathing, grooming, dressing and toileting.

Community Living Arrangement Means any residence, whether operated for profit or not, that undertakes through its ownership or management to provide or arrange for the provision of daily personal services, supports, care or treatment exclusively for two or more adults who are not related to the owner or administrator by blood or marriage an whose residential services are financially supported, in whole or in part, by funds designated through the Department of Behavioral Health and Disabilities Division (DBHDD).

Assisted Living Community Assisted Living Care means the specialized care and services provided by an assisted living community which includes the provision of personal services, the administration of medications by a certified medication aide and the provision of assisted self-preservation. Assisted self-preservation means the capacity of a resident to be evacuated from an assisted living community to a designated point of safety and within an established period of time as determined by the Office of Fire Safety Commissioner.

Assisted Living Community Assisted Self-Preservation is a function of all the following: The condition of the individual The assistance that is available to be provided to the individual by the staff of the assisted living community. The construction of the building in which the ALC is housed, including whether such building meets the state fire and safety requirements applicable to an existing health care occupancy.

Number of PCHs by Year

PCH Beds by Year 3/22/06

New Permits Issued

Complaints Received 4/12/12

Complaints Average 1300 per year 1000 Licensed 300 Unlicensed May conduct with Annual or Other Inspection Variety of Sources for Complaints

Source of Complaints Red is anonymous – represents fair chunk of complaints. Medium blue is family. LTCO is between dark blue and medium blue…. About 100 complaints. Dark blue is PCH – represents increase 128… obviously coded some reports from facilities as complaints as opposed to self reports. Bright green – health providers, hospitals, ERs, etc. Light Blue is former staff Bright yellow represents state agencies – MHDDAD, DFCS, APS, etc.

Incident Reports Received

Number of CLAs by Year

CLAs by Bed Size All 40 changed from PCHs to CLAs in FY 2003. FY 04 number is 226 Already that number has increased to 271 to date.

Number of CLA Complaints

Source of CLA Complaints State Agency – bright yellow, makes sense – MHDDAD. Chuck from LTCO, Family, Other.

Number of ALCs by Year All 40 changed from PCHs to CLAs in FY 2003. FY 04 number is 226 Already that number has increased to 271 to date. 20

Program Responsibilities Issue Permits Conduct Complaint Investigations Conduct Initial Inspections Conduct Annual Inspections Conduct Monitoring Visits Conduct Follow-up Inspections Provide Training Take Enforcement Actions Ensure quality of life, quality of care of residents, facilities meet minimum standards

Issue Permits - PCH 10-25 issued per month Does not include CHOWs (change of ownership) Review within one week Issue or deny within 60 days Currently have 100 applications for conversion to ALC. Licensing and annual fees based on number of beds

Initial Inspections Prior to licensure Complete review of all rules 10-25 per month

Annual Surveys Since January 2000 80-150/month Unannounced Average about 18 months

Follow-up Visits Need to Ensure Resident Care Timeframe Depends Upon Seriousness of Violations May Monitor Facility

Monitoring Visits Ensure resident care Ensure compliance In conjunction with adverse actions

Training Information On-line External and Internal

Enforcement Scope & Severity of Deficiencies Facility’s Compliance History Imposition of Sanction Sanctions against Applicants Sanctions against Licensees

Goals Motivate Facilities to Remain in Compliance Ensure Equitable and Consistent Enforcement Link Appropriate Remedy to Deficiencies

Sanctions Against Applicants Authorized by Chapter 111-8-25, Rules and Regulations for Enforcement of Licensing Requirements Refuse to Grant a License Prohibit Persons in Management or Control Limit or Restrict a License

Sanctions Against Licensees Administer a Public Reprimand Suspend a License Prohibit Persons in Management or Control * Revoke a License * Impose a Fine * Limit or Restrict a License Voluntary Suspension of License

Other Actions Inspection Warrant Injunction - Unlicensed Facilities Fines - Unlicensed Facilities

CLA Adverse Actions Fines Licenses Denied Included in totals with PCHs Revocations

Questions? Contact our office at any time if there are additional questions or if assistance is needed. Phone # 404-657-5850

Contact Information Personal Care Home Program Healthcare Facility Regulation Division Department of Community Health 2 Peachtree St., NW, Suite 31.447 Atlanta, GA 30303 404-657-5850

CONTACTS Elaine Wright, Director, 404-657-5856 ehwright@dch.ga.gov Kay Heidt, Manager, 404-657-4074 kmheidt@dch.ga.gov Shirley Rodrigues, Manager 4-4657-4302 serodrigues@dch.ga.gov Cathy Mullican, Manager, 404-293-9419 clmullican@dch.ga.gov