District of Columbia Administrative Code

3513 RESIDENCE DIRECTOR 3513.1 A Residence Director shall have the following qualifications: (a) He or she shall be at least twenty-one (21) years of age; (b) He or she shall be certified annually by a physician as being in good physical and mental condition, and be free of commu…

3514 QUALIFIED INTELLECTUAL DISABILITIES PROFESSIONAL (QIDP) 3514.1 The QIDP shall oversee the initial admission assessments of persons, participate in the development of the ISP and monitor, integrate and coordinate services. 3514.2 The QIDP shall be one of the following: A psyc…

3515 STAFF TRAINING 3515.1 For each position, orientation training for each new employee shall be complete within thirty (30) days of the date on which each employee begins work in the CRFPID or directly with the person. 3515.2 Orientation shall be conducted by persons or entitie…

3516 DIRECT CARE STAFF RATIOS 3516.1 Each CRFPID shall ensure that adequate qualified staff is on-site to manage and fulfill the needs of persons supported. 3516.2 Staffing ratios shall be maintained at the persons supported levels of need but no fewer than the following to the e…

3517 RECORDKEEPING 3517.1 The CRFPID shall maintain current and accurate records and reports as required by this section. 3517.2 Each record shall be kept in a centralized file or stored electronically and made available at any time requested for inspection and review by Departme…

3518 PROFESSIONAL SERVICES 3518.1 Each person who resides in a CRFPID shall receive the professional service(s) required to meet his or her needs as identified in his or her ISP, and any other care plan or prescription. 3518.2 Each person who resides in a CRFPID shall receive pro…

3519 MEDICAL AND NURSING SERVICES 3519.1 Each CRFPID shall ensure a designated primary care physician for each person. 3519.2 Each CRFPID shall ensure that all persons have access to appropriate medical and health care providers of their person’s choice, subject to the person’s h…

3520 HABILITATION AND TRAINING 3520.1 Each CRFPID shall provide meaningful, and integrated, community-based adult activities for persons to participate in their communities. The CRFPID must optimize, but not regiment, person’s initiative, autonomy, and independence in making life…

3521 MEDICATIONS 3521.1 The CRFPID shall comply with all federal and local laws and regulations relating to controlled substances. 3521.2 Drugs shall be administered to persons only by licensed physicians, licensed nurses, or professional licensees whose license or certification …

3522 BEHAVIOR SUPPORT 3522.1 The CRFPID shall designate and use a specially constituted committee(s) to review, identify, address and monitor person’s behavior and their rights that the committee(s) deems at risk. This committee shall be called the Human Rights Committee (HRC). 3…

3523 EMERGENCIES 3523.1 Each CRFPID shall maintain written policies and procedures which address emergency situations, including fire or general disaster, missing persons, serious illness or trauma, and death. 3523.2 The policies and procedures shall include, but not limited to: …

3524 ABUSE AND NEGLECT 3524.1 In addition to the reporting requirement in Subsection 3523.13, each CRFPID shall establish mechanisms for the reporting of complaints alleging the neglect, abuse or mistreatment of any person. 3524.2 The CRFPID must comply with all applicable federa…

3525 VENTILATOR SERVICES 3525.1 The CRFPID may care for ventilator person’s in a ventilator care area upon compliance with Title III of the Nursing Home and Community Residence Facility Residents' Protections Act of 1985, effective April 18, 1986, D.C. Law 6-108, D.C. Code § 32-1…

3599 DEFINITIONS When used in this chapter, the following terms and phrases shall have the meaning ascribed: Abuse – the willful infliction of injury, unreasonable confinement, intimidation or punishment with resulting physical harm, pain or personal anguish. Advocate – a person …

3600 GENERAL PROVISIONS 3600.1 The Community Residence Facility Loan Program is intended to improve the quality and quantity of housing for low-income residents of Community Residence Facilities. 3600.2 The loan program shall not be used to promote the convenience, sustenance, or…

3601 RESTRICTIONS 3601.1 The Mayor shall make available three hundred thousand dollars ($300,000) from the Escheated Property Fund for the purpose of the Community Residence Facility Loan Program. 3601.2 Eligibility for loans shall be restricted to new applicants and licensed fac…

3602 APPLICATIONS 3602.1 Applications for Community Residence Facility loans shall be addressed to the Long Term Care Administration, Department of Human Services (DHS), 1875 Connecticut Avenue, Northwest, Washington, D.C. 20009. Complete applications shall consist of the followi…

3603 REVIEW 3603.1 Applications received from facilities meeting the restrictions stated in a previous section and consisting of the complete documentations as described in this section shall be reviewed by officials of the Department of Human Services (including the Chief of the…

3604 EVALUATION CRITERIA 3604.1 Loan applications shall be evaluated according to the following criteria: (a) Ability to serve a low-income population over the long term; (b) Verified need for the proposed improvements to be financed by the loan; and (c) Verification that the imp…

3605 LOAN AWARDS 3605.1 The Office of Financial Management, either through contract with a financial institution or in cooperation with other District agencies, shall supervise the disbursement of loan monies, the negotiation of a repayment period, and the monitoring of repayment…

3606 COMPLIANCE 3606.1 The DHS, Long Term Care Administration shall monitor facilities which are awarded loans to ensure that the loan monies are properly utilized and will work with operators who are reported by the Office of Financial Management to be in default in their loan p…

3607 PENALTY 3607.1 A facility which receives a loan under this program is expected to remain in operation as a licensed CRF throughout the term of repayment and for a minimum of five (5) years thereafter. 3607.2 In the event that unforeseen circumstances force a facility to clos…

3700 SCOPE AND PURPOSES 3700.1 The Mayor shall establish a Central Referral Bureau which shall have the functions provided under this chapter. 3700.2 The Central Referral Bureau shall keep and make available to the public an accurate and current listing of all licensed skilled ca…

3701 RECORDS ON LICENSED COMMUNITY RESIDENCE FACILITIES 3701.1 The Central Referral Bureau shall keep on file for public inspection the following records concerning each licensed facility: (a) For community residence facilities only, the community residence facility's program sta…

3702 PLACEMENT SERVICES 3702.1 The Central Referral Bureau shall recommend placements in community residence facilities for the following: (a) All persons seeking such living arrangements who are receiving a supplement to their Supplementary Security Income from the District; (b)…

3703 FEES 3703.1 The Central Referral Bureau shall charge a fee for its service that takes into account, the income and resources of the prospective resident. SOURCE: Council Regulation No. 74-15 effective June 14, 1977, as amended by §401 of the Community Residence Facilities Li…

3704 PUBLIC INFORMATION 3704.1 The Central Referral Bureau shall advise the public, through the mass media and other reasonable means, of its functions. SOURCE: Council Regulation No. 74-15 effective June 14, 1977, as amended by §401 of the Community Residence Facilities Licensur…

3705 COMPLAINTS 3705.1 The Central Referral Bureau shall receive complaints from residents, prospective residents, next of kin, sponsors of residents (if any), and other interested persons about skilled, intermediate, or community residence facilities and, after an initial screen…

3706 REASSESS PLACEMENT OF RESIDENTS 3706.1 The Central Referral Bureau shall reassess the placement of each resident of a community residence facility who is described in §3702.1 periodically as it deems necessary, but in no case less often than once every two (2) years, for the…

3800 GENERAL PROVISIONS 3800.1 A public or private mental health community residence facility (MHCRF) shall meet the requirements of these rules in order to be licensed. 3800.2 A MHCRF shall be a publicly or privately owned residence that houses individuals, eighteen (18) or olde…

3801 RESIDENT'S RIGHTS AND RESPONSIBILITIES 3801.1 Prior to the admission of each resident to a MHCRF, the Residence Director, or the Residence Director's designee, shall explain to the resident or any designated representative of the resident the rights and responsibilities of t…

3802 ENVIRONMENTAL REQUIREMENTS 3802.1 No MHCRF shall use a name on the exterior of the facility or display any logo that distinguishes the facility from any other residence in the neighborhood. 3802.2 When space permits, a MHCRF shall have landscaping, plantings, trees, and gree…

3803 STRUCTURAL REQUIREMENTS 3803.1 Except as provided in §3803.2 the maximum number of occupants in a MHCRF shall be no greater than ten (10), and must conform to the maximum occupancy standard specified in §§3835 - 3838, unless the maximum number is waived by the Director, DCRA…

3804 LIGHTING 3804.1 Each room in a MHCRF shall have adequate light, and each bedroom having sufficient light for reading (at a minimum one hundred (100) watt bulb). 3804.2 A night light shall be in each bathroom, hallway and offered to residents for use in their sleeping rooms. …

3805 WATER SUPPLY 3805.1 Each MHCRF shall ensure that its water supply and distribution system conform to applicable District laws and regulations and shall report to DCRA the lack of a water supply within twelve hours (12 hrs.) of discontinuation of services. 3805.2 Each MHCRF s…

3806 HEAT, VENTILATION, AND INSULATION 3806.1 Each MHCRF shall have a heating and cooling system that conforms to applicable District laws and regulations, and shall be of sufficient size and capacity to maintain a minimum of sixty-eight degrees Fahrenheit (68° F.) during the hou…

3807 BEDROOMS 3807.1 Each bedroom shall have a minimum of eighty square feet (80 ft.2) for single occupancy and one hundred square feet (80 ft.2) for double occupancy. No bedroom shall have more than four (4) occupants. If a bedroom has more than two (2) occupants there shall be …

3808 BATHING AND TOILET FACILITIES 3808.1 Each MHCRF shall provide toilet and lavatory facilities which comply with the fixture ratios set forth in Chapter 6 of 14 DCMR (D.C. Housing Code). 3808.2 Each toilet room or lavatory shall be adequately equipped with: (a) Toilet paper ho…

3809 FIRE SAFETY 3809.1 Each MHCRF shall comply with Chapter 21 of the current edition of the Life Safety Code of the National Fire Protection Association and the District's Smoke Detection Act, D.C. Code, 2001 Ed. §§6-751.01 to 6-751.10. 3809.2 Where a specific provision of this…

3810 FIRE EXTINGUISHER 3810.1 A fire extinguisher that is effective in extinguishing grease and oil fires shall be located within fifteen feet (15 ft.) of any stove, oven, cooking burner, or other cooking device. 3810.2 Each MHCRF shall have at least one (1) working fire extingui…

3811 EGRESS REQUIREMENTS AND FIRE DOORS 3811.1 Each MHCRF shall have a fire exit that: (a) Is clearly designated on the MHCRF's disaster plan; (b) Is clearly identified for residents; (c) Is kept clear of obstructions; and (d) Is accessible from sleeping rooms. 3811.2 If the area…

3812 PAYMENT OF DISTRICT FUNDS 3812.1 No District Income Maintenance Funds shall be paid to any MHCRF or to any person residing in a MHCRF for his or her maintenance in that facility unless the MHCRF is licensed by the District or otherwise complies with D.C. Code, 2001 Ed. § 44 …

3813 DIETARY SERVICES 3813.1 Each MHCRF shall have a current food handler certificate (23 DCMR, Chapters 20 - 25) and shall apply generally accepted principles of nutrition and management to each menu planning, food preparation, and service for residents of the facility. 3813.2 E…

3814 THERAPEUTIC DIETS 3814.1 Each MHCRF with a resident in need of a special or therapeutic diet shall ensure that the diet is planned, prepared, and served as prescribed by the attending physician. 3814.2 Each MHCRF with residents who are in need of special or therapeutic diets…

3815 HOUSEKEEPING AND LAUNDRY SERVICES 3815.1 The interior and exterior of each MHCRF shall be maintained in a safe, clean, orderly, attractive, and sanitary manner and shall be free from accumulations of dirt, rubbish, and objectionable odors. 3815.2 Each MHCRF shall provide app…

3816 PERSONAL PROPERTY AND FINANCES OF RESIDENTS 3816.1 No Residence Director or licensee shall increase the fee for care in a MHCRF more than once within a twelve (12) month period, unless the following occurs: (a) The increase is justified in writing; (b) The increase is caused…

3817 MEDICAL COVERAGE 3817.1 Each resident shall have the right to choose, and shall provide for his or her own medical or dental care, at his or her own expense, or under relevant provisions of the Social Security Act. Alternatively, each eligible resident may seek medical or de…

3818 RESIDENCE DIRECTOR 3818.1 Each MHCRF shall have a Residence Director who may be the licensee of the community residence facility. and: (a) Is at least twenty-one (21) years of age, has a high school diploma or the equivalent, at least two (2) years of experience in human ser…

3819 PERSONNEL 3819.1 No person who is known to have abused or mistreated any person shall provide services, either as an employee or volunteer, or own or operate a MHCRF. 3819.2 Each MHCRF shall have written personnel policies which shall be available to each staff member and sh…

3820 ADMINISTRATIVE RECORDS 3820.1 Each Residence Director shall maintain current and accurate records in a central file. 3820.2 Each MHCRF shall retain each administrative record and report compiled pursuant to this chapter for five (5) years. 3820.3 Each MHCRF shall retain the …