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Personal Care Home Program
Presented by: Elaine Wright, Director Personal Care Home Program Healthcare Facility Regulation Division
Date: 11/21/14
MissionThe Georgia Department of Community HealthWe 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.
0
500
1,000
1,500
2,000
2,500
2000 2002 2004 2006 2008 2010 2012 2013
Facilities
Number of PCHs by Year
0
5,000
10,000
15,000
20,000
25,000
30,000
35,000
2000 2002 2004 2009 2012 2013
Beds
3/22/06
PCH Beds by Year
New Permits Issued
FY 07 FY 08 FY 09 FY 10 FY 11 FY 12 FY 130
100
200
300
400
500
600
700
CLAPCHTotal
Complaints Received 4/12/12
0
200
400
600
800
1000
1200
FY 07 FY 08 FY 09 FY 10 FY 11
CLAs
PCHs
TOTAL
Complaints
• Average 1300 per year– 1000 Licensed– 300 Unlicensed
• May conduct with Annual or Other Inspection• Variety of Sources for Complaints
Source of Complaints
0
20
40
60
80
100
120
140
160 ResidentHlth ProF StaffC StaffPCHLTCOFamilyOtherAnonState AgFriendMD
Incident Reports Received
0
500
1000
1500
2000
2500
3000
3500
FY 07 FY 08 FY 09 FY 10 FY 11
CLA
PCH
Total
Number of CLAs by Year
0
100
200
300
400
500
600
700
800
2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2103
Facilities
CLAs by Bed Size
0
20
40
60
80
100
120
2 3 4 5 6 >6
Res
Number of CLA Complaints
0
20
40
60
80
100
120
140
FY 07 FY 08 FY 09 FY 10 FY 11 FY13
CLAs
Source of CLA Complaints
0
2
4
6
8
10
12ResidentHlth ProF StaffCLALTCOFamilyOtherAnonState AgFriend
Number of ALCs by Year
0
10
20
30
40
50
60
70
80
90
2014
Facilities
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
• Scope & Severity of Deficiencies• Facility’s Compliance History• Imposition of Sanction
– Sanctions against Applicants– Sanctions against Licensees
Enforcement
• Motivate Facilities to Remain in Compliance
• Ensure Equitable and Consistent Enforcement
• Link Appropriate Remedy to Deficiencies
Goals
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 ProgramHealthcare Facility Regulation Division
Department of Community Health2 Peachtree St., NW, Suite 31.447
Atlanta, GA 30303404-657-5850
CONTACTS
Elaine Wright, Director, 404-657-5856 [email protected] Kay Heidt, Manager, 404-657-4074 [email protected] Shirley Rodrigues, Manager 4-4657-4302 [email protected] Cathy Mullican, Manager, 404-293-9419 [email protected]
