Pennsylvania Administrative Code

§ 11.107. Copies of individual care plan. (a) A written copy of all plans and revisions made during reviews shall be kept in the client’s record. (b) The client and the responsible party shall, except as set forth in subsection (c), upon request receive a copy of all plans and re…

§ 11.108. Coordination of care. The need for coordination of care shall be considered for each client. If coordination of care is needed and if the person is a client of a human service agency, the center shall make every effort to coordinate its services with the services provid…

§ 11.109. Service documentation. Progress notes on each client shall be written at least monthly and shall also be written as needed to reflect a review of the care plan and goals and objectives in light of changes in the client’s status. Treatment notes and notes on significant …

GENERAL REQUIREMENTS § 11.11. Application. Application for a license shall be made in accordance with § § 11.231 and 11.232 (relating to application). Cross References This section cited in 6 Pa. Code § 11.212 (relating to applicability).

DISCHARGE POLICY § 11.110. Written policy. (a) A center shall have a written discharge policy available to clients on admission. (b) The written policy shall include, at a minimum, provisions requiring discharge from a center when one or more of the following apply: (1) A client …

§ 11.111. Notification. (a) When discharge is initiated by the center, the center will give oral and written notification to the client or responsible party, or both, at least 30 days in advance of the impending discharge. (b) A client who experiences a sudden change in the level…

§ 11.112. Interim immediate action. (a) In instances set forth in § 11.111(b) (relating to notification), the center director shall take appropriate interim immediate action to protect the health and safety of the client and others in the center. (b) Appropriate interim immediate…

§ 11.113. Record of discharge. Documentation relating to discharge shall be recorded in the client’s file and retained in accordance with § 11.195 (relating to record retention). Cross References This section cited in 6 Pa. Code § 11.13 (relating to administration and organizatio…

§ 11.12. Appeals. Appeals related to licensure shall be made in accordance with § § 11.291 and 11.292 (relating to appeals). Cross References This section cited in 6 Pa. Code § 11.212 (relating to applicability).

CENTER SERVICES § 11.121. Service goals. The goals of planned programs of services provided or arranged at older adult daily living centers are set forth in § 11.6 (relating to service goals). Cross References This section cited in 6 Pa. Code § 11.212 (relating to applicability).…

§ 11.122. Assurance of service quality. A center shall take necessary and appropriate measures to assure the quality of the services which it provides or makes available, as described in § § 11.123 and 11.124 (relating to core services; and specialized services and additional ser…

§ 11.123. Core services. The following essential, core services shall be offered or arranged in center programs: personal care, nursing, social services, therapeutic activities, nutrition and emergency care. The intensity of the services shall be modified to meet the functional n…

§ 11.124. Specialized and additional services. The statement of policy at Subchapter B (relating to statement of policy) establish guidelines for the provision of a range of specialized and of additional services, if appropriate for the center and needed by clients. Cross Referen…

§ 11.13. Administration and organization. (a) The statement of policy at Subchapter B (relating to statement of policy) establishes guidelines for the establishment and operation of older adult daily living center advisory committees. (b) A center shall utilize written administra…

HEALTH § 11.131. Client physical examination and medical report. Client physical examination and medical report requirements are set forth in § 11.102 (relating to client physical examination and medical report). Cross References This section cited in 6 Pa. Code § 11.212 (relatin…

§ 11.132. Staff physical examination. (a) Staffpersons who come into direct contact with clients or who prepare or serve food shall have a physical examination within 12 months prior to employment, and every 2 years from the date of the last physical examination thereafter. (b) A…

§ 11.133. Communicable diseases. (a) If a staff person, volunteer or client has a communicable disease or a medical problem which might interfere with the health, safety or well-being of others in the center, written authorization from a licensed physician or CRNP, as set forth i…

§ 11.134. Emergency medical plan. The center shall have a written emergency medical plan listing the following: (1) The hospital or source of the health care that will be used in an emergency. (2) The transportation procedure to be used. (3) An emergency staffing plan. Cross Refe…

§ 11.14. Occupancy permit. (a) Centers shall have a valid occupancy permit listing the appropriate type of occupancy from the Department of Labor and Industry, the Department of Public Safety of the city of Pittsburgh, the Department of Licensing and Inspection of the city of Phi…

MEDICATIONS § 11.141. Storage of medications. (a) Prescription and nonprescription medications shall be kept in original or refill labeled containers, except for medications of clients who self-administer medications and keep their medications in personal daily or weekly dispensi…

§ 11.142. Labeling of medications. (a) The original or refill container for medications shall be labeled. Centers cannot administer medications from a container whose label does not include the following information, in accordance with regulations of the State Board of Pharmacy a…

§ 11.143. Medication records. (a) A medication log listing medications, dosage, time, date and the name of the person who administered the medication shall be kept for the clients who do not self-administer medication and whose needs require the administration of medication by qu…

§ 11.144. Medication errors. Medication errors and follow-up corrective action taken for each error shall be documented. Cross References This section cited in 6 Pa. Code § 11.212 (relating to applicability).

§ 11.145. Adverse reaction. If a client has an adverse reaction to a medication, the center shall notify the prescribing physician or CRNP immediately. If contact cannot be made with the practitioner, emergency medical procedures shall be followed. Documentation of adverse reacti…

§ 11.146. Administration of medications. (a) Medications and injections of substances that are not self-administered by clients shall be administered by one of the following qualified professionals: (1) A licensed physician, licensed dentist, certified physician’s assistant, CRNP…

§ 11.147. Self-administration of medications. (a) A center shall provide clients with assistance, as needed, with medication prescribed for self-administration. This assistance includes helping the client to remember the schedule for taking the medication, storing the medication …

§ 11.15. Abuse, neglect and exploitation. Abuse, neglect and exploitation of clients in a center is prohibited. The occurrence of one or more instances of abuse, neglect or exploitation constitutes a sufficient basis for denial, nonrenewal or revocation of a license by the Depart…

NUTRITION § 11.151. Dining area. (a) The center shall have a dining area for lunches and breaks. (b) The dining area shall be clean and sanitary. (c) The dining area shall have a sufficient number of tables and chairs to accommodate the maximum number of clients scheduled for lun…

§ 11.152. Food provided or arranged for by center. If the center provides or arranges for meals for clients, the following requirements apply: (1) Cold food shall be kept at or below 45° F. Hot food shall be kept at or above 140° F. Frozen food shall be kept at or below 0° F. (2)…

§ 11.16. Reporting of unusual incidents. (a) Written policies and procedures on the prevention, recording, reporting, investigation and management of unusual incidents which occur at the center shall be developed and kept at the center. Procedures for reporting unusual incidents …

TRANSPORTATION § 11.161. Transportation. Centers may provide, arrange or contract for transportation to enable persons, including persons with handicaps, to attend centers and participate in center-sponsored outings. Centers are encouraged to make use of community transportation …

§ 11.162. Applicability. Sections 11.163—11.165 (relating to safety equipment; staffing; and driver of vehicle) apply when transportation for clients is directly provided by the center. Cross References This section cited in 6 Pa. Code § 11.212 (relating to applicability).

§ 11.163. Safety equipment. Each client transported in an automobile or van shall be secured by individual safety equipment, appropriate to the client’s size and physical disability, at all times the vehicle is in motion. Cross References This section cited in 6 Pa. Code § 11.162…

§ 11.164. Staffing. Transportation shall include, when necessary, an assistant to the driver who will help the driver escort individuals in and out of their homes and attend to them during the trip to and from the center. Cross References This section cited in 6 Pa. Code § 11.162…

§ 11.165. Driver of vehicle. The driver of the vehicle shall be 18 years of age or older, possess a valid driver’s license, and not have been convicted of a crime which would bring into question the driver’s ability to transport clients safely. Cross References This section cited…

§ 11.17. Reporting of deaths. (a) The responsible party, the client’s family and the residential service provider, if applicable, shall be immediately notified by phone of a client’s death at the center. (b) Within 24 hours after a death of a client occurs at the center, the cent…

PROTECTIVE DEVICES § 11.171. Protective devices and prohibited practices. (a) The use of restraints, seclusion and aversive conditioning is prohibited. (b) Protective devices, such as helmets, mitts and muffs, may be used to prevent self-injury on an interim basis not to exceed 3…

§ 11.172. Protective device records. Centers shall keep a record of each use of a protective device documenting the following: (1) The specific behavior addressed. (2) The methods of intervention tried prior to applying the device. (3) The date and time the device was administere…

§ 11.173. Access and notification. (a) The client or the responsible party, or both, shall have access to copies of the client’s protective devices records and revisions to the records upon request. (b) When a protective device is used, the responsible party shall be notified on …

§ 11.174. Staff training. (a) When protective devices are used, there shall be at least one staff person available who has completed training in the use of protective devices, including the use of alternative positive approaches. (b) Staff persons applying protective devices shal…

§ 11.18. Criminal history record check. (a) Operators applying to the Department for licensure shall obtain for themselves and for prospective full-time, part-time and temporary program staff persons (including vehicle drivers, but excluding students), the following information: …

§ 11.19. Civil rights. (a) A client may not be discriminated against because of race, color, religious creed, disability, handicap, ancestry, national origin, age or sex. (b) The center operator shall develop and implement civil rights policies and procedures. Civil rights polici…

CLIENT RECORDS § 11.191. Emergency information. (a) Emergency information for a client shall be readily accessible at the center. (b) Emergency information for a client shall include the following: (1) A written agreement with the client or responsible party regarding emergency c…

§ 11.192. Individual record. (a) An individual record shall be kept for each client. (b) Entries in a client’s record shall be legible, dated and signed by the person making the entry. Cross References This section cited in 6 Pa. Code § 11.13 (relating to administration and organ…

§ 11.193. Content of records. Each client’s record shall include: (1) Personal information including: (i) The name, sex, admission date, birth date and social security number of the client. (ii) The race, height, weight, color of hair, color of eyes and identifying characteristic…

§ 11.194. Record location. (a) Record information required in § 11.193(1), (6) and (7) (relating to content of records) shall be kept at the center. (b) The most current copies of record information required in § 11.193(3) and (5) shall be kept at the center. (c) Record informati…

§ 11.195. Record retention. (a) Information in an enrolled client’s record which is periodically updated or is of a nonpermanent nature shall be kept for at least 4 years or until audits or litigation is resolved. Thereafter, these record items may be purged. (b) Client records s…