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

2. 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.

3. PCH Program
PCHs
CLAs
ALCs
UNL PCH

4. PCH Staff/Organization
Statewide program
Survey and Certification
Complaints Intake
Supervisor – Theresa Thompson
Applications
Yolanda Smith
Main # –

5. 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.

6. 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).

7. 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.

8. 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.

9. Number of PCHs by Year

10. PCH Beds by Year
3/22/06

11. New Permits Issued

12. Complaints Received 4/12/12

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

14. 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.

15. Incident Reports Received

16. Number of CLAs by Year

17. 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.

18. Number of CLA Complaints

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

20. 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

21. 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

22. 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

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

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

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

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

27. Training
Information On-line
External and Internal

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

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

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

31. 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

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

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

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

35. Contact Information
Personal Care Home Program Healthcare Facility Regulation Division Department of Community Health 2 Peachtree St., NW, Suite Atlanta, GA

36. CONTACTS Elaine Wright, Director, 404-657-5856 ehwright@dch.ga.gov
Kay Heidt, Manager,
Shirley Rodrigues, Manager
Cathy Mullican, Manager,