General - 420-5-20-.

01
1. Legal Authority for Adoption of Rules
2. Definitions
3. Procedures Governing Adoption, Amendment, and Recision of Rules
4. Inspections

The License
1. Types of License

2. Application

3. Licensing

4. Revocation of License

5. Right of Appeal
6. Waivers for Research

Administration - 420-5-20-03
1. The Specialty Care Assisted Living Facility Governing Authority
a. b. c. d.
e. f. g.

Personnel & Training - 420-5-20-.04

1. General

Staff Chart

Table A
2. 3. 4.
Policies and Procedures - 5.
a. Employee Screening 1. 2. 3. 4.
b.
c. Personnel Records, 1. 2. 3.
d. Employee Schedule

(6) Fill in remarks, pg. 11

The Administrator - 7
a. Responsibility 1 2. 3. 4. 5. 6.
b. c.
Medical Director - 8
Registered Professional Nurse - 9
Coordinator - 10
Training - 11
a.
b. 1-19
c.
d.
e.
f.
g.
h.

Records and Reports - 420-50-20-.05

General - 1.
a.
b.
c.
d.
1. 2. 3.
e.
Administrative Records & Documents -2
a.
1. 2. 3. 4.
b. Reports.
1. Disease Reporting
2.
Resident Records - 3
a. Financial Agreement
1.
2. 1-9

3.
b.
c. 1-4

d. Plan of Care
1-5

e. 1-7

f. Incident Investigation
1.
i. - xi

2. Incidents Which Require Investigation are:

i. - xvi
3. ALFacilities Report Faxline:
i. - 11

4. Report to AL Facilities Report Faxline w/in 24hrs:

i. - viii

g. Residents Rights
1-14, 14, i-iii, 15-24
h. Inventory of Personal Effects
1. 2. 3. 4.

Care of Residents 420-5-20-.06

1. Medical Direction and Supervision
a. b. c.
2. Health Supervision
a. b.
c. Assessment
1.
i. ii. Iii.
2. Falls
3.Elopements
4 Behavioral Symptoms
5. Adverse Reactions

d. Resident Care Problem Areas.

E.An RN shall access and communicate

1. 2. 3. 4. 5. 6.
F.
G.
H. Chronic Condition 90 Days
1. 2.
I.
J.
K.
L.
M.
N.
O.
P.
Q.
R.
S.
T.
U.
V. Oxygen Therapy
1. 2. 3. 4. 5. 6.
W.Laboratory Tests.

3. Personal Care and Services.

a. Activity Program
b. Pets
c. Mail
1. 2.
d. Activities of Daily Living
1. 2. 3. 4. 5.
6. 7. 8.
4. Medications
a.
b.
C.
D.
e.
F.
G.
H. The medication administration record shall include at least the following:
1. 2. 3. 4.
5. 6. 7. 8.
I.
J.
K.
L. Disposal of Medications
1. 2. 3.

5. Storage of Medical Supplies and Poisons.

A.
b.
6. Admisssion and Retrention of Residents with Special Needs
A.
B.
C.
7. Resident Transport

Food Services 420-5-20-.07

1. General
A.Direction and Supervision
B. Written Policies and Procedures.
1. 2. 3. 4. 5.
6. 7. 8. 9. 10.
2. Food Handling Procedures.
A. Dish and Utensils Washing, Disinfection and Storage
1.
2.

3.
4.
5.
b. Ice.
c.Protection of Food from Contamination.
1. 2. 3. 4.
5. 6. 7. 8. 9.
d. Storage and Service of Milk and ice Cream
1. 2. 3.
e. Kitchen Garbage and Trash Handling.
1. 2.
F. Employees’ Cleanliness.
1. 2. 3.
G. H.
I. J. K.

3. Dietary Service
A.
B.
C. D. E.
F.

Physical Facilities 420-5-20-.08

1. Administrative Facilities
A. B. C. D.
E.
2. Physical Facilities (Drugs and Medications)
A.Medicine Storage.
1. 2. 3.
B. Refrigerator.
3. Resident Physical Facilities
A.
B. C.
D.
E.Bedroom Size.
1. 2. 3.
F. Bedroom Furnishings.
1. 2. 3. 4.
5. 6. 7. 8.

G. Toilet and Bathing Facilities.

 1.
i. ii. iii.
2.
3.
H.
I.
J.

4. Food Service Facilities

A. B. C. D. E.
F. G. H. I. J.
K. L. M. N.
o. Equipment.
1. 2. 3. 4.
5. 6.
P. Food Storage.
Q.Dining Room
R. Water Heating Equipment.

5. Recreational.
A.
1.
2.
i. ii.
B. Yards and Gardens
c. Hobbies or Leisure Activities

Laundry.
1. General
A.
B.
2. Location and Space Requirements.
A.
B.
C.
D.

420-5-20-.10 Sanitation and Housekeeping

1. Sanitation
A.Water Supply
1.
2.
B. Disposal of Liquid and Human Wastes
1. 2. 3.
C.
D
E
F. Garbage Disposal
1
2
g. Control of Odors.

2. Housekeeping and Physical Plant Maintenance

A. B.
C. D.
1.
2.
3.
4.

420-5-20.11 Fire and Safety.

1. General.
A.
B.
C.

420-5-20-.12 Physical Plant

1. General
A.
1.
2.
3.
4.
5.Dually Licensed facilities
i.
ii.
B. Location
c. Location Restrictions.
D
E
f. Basements

2. Submission of Plans and Specifications

A.
B.
3. General Building Requirements - Family, Group and Congregate.
A. B. C.
D. E. F. G.
H. I. J. K.
L.
m. Doors
1. 2. 3.
 4. 5.
N. Ventilation
o. Fire Extinguishers.
1. 2.
P. Call System
q.
r.
s. fire Alarm System
t. Fire Alarm and Sprinkler System
1

u.
v.Exit Marking.
X. Heating, Lighting, and other Service Equipment.
1. 2. 3.
4. Buuilding Rquirement - Family Specialty Care Assted Living Facility
A.
B.Fire Protection
1. 2.
C.

5. Building Requirements - Group Specialty Care Assted Living Facilities.

A.
B. Required Fire Exits.
1. 2. 3. 4.
5.
C.
D. Smoke Barrier Separations
1. 2. 3. 4.

6. Building Requirements - Congregate Specialty Care Assisted Living Facility.

A. General
B.
C.
D.
E. Utility Rooms
1. 2. 3.
4. 5. 6.

7. Additional Requirements for Specialty Care Assisted Living Facilities.

A.
B.
.
C. Areas to Wander And Secure Perimeter.
1.
2.
3.
4.
5.

D. Locking of Exit Doors.

1.
2.
i.
ii.
iii.
Iv.
V.
VI.

B.

5.