1. 1 Assisted Living Administrative Rules Update & Frequently Cited RIs August 2015 Presented by: Rose Boccella, MS Adult Services Bureau Program Coordinator Iowa Department of Inspections and Appeals

2. 2 ASB STAFF Jim Friberg: Bureau Chief (515)281-7624Jim Friberg: Bureau Chief (515)281-7624 james.friberg@dia.iowa.govjames.friberg@dia.iowa.gov Rose Boccella: Program Coordinator (515)281-7039Rose Boccella: Program Coordinator (515)281-7039 rose.boccella@dia.iowa.govrose.boccella@dia.iowa.gov

3. 3 ASB Staff Tamara Brockob: Administrative Assistant (515)281-5721Tamara Brockob: Administrative Assistant (515)281-5721 tamara.brockob@dia.iowa.statetamara.brockob@dia.iowa.state Doran Pruisner: Facilities Engineer (515)725-6152 (SFM)Doran Pruisner: Facilities Engineer (515)725-6152 (SFM) doran.pruisner@dps.state.ia.usdoran.pruisner@dps.state.ia.us ASB FAX (515)242-5022ASB FAX (515)242-5022

4. 4 Others David Werning (515) 281-7376 Abuse Coordinating Unit Jamie Murphy (515) 281-5990 Kristin Hardt (515) 281-4234 Complaints Unit Geri Paul (515) 281-4548

5. 5 Monitors Stephanie Cummins Lori Miner Margaret Kaltefleiter Jana Smith Stephanie Radabaugh Michael Rohner Linda Kellen

6. 6 231C.1 Code of Iowa 3. It is the intent of the general assembly that the department promote a social model for assisted living programs and a consultative process to assist with compliance by assisted living programs.

7. 7 ALP Quiz #1 If a criminal background check returns a response of deferred judgement, no further action is required on the part of the program. TRUE _____________ False____________

8. 8 #2 Programs are required to have policies and procedures related to sexuality. True ______________ False ________________

9. 9 #3 Can a program ever give a tenant a less than 30 day notice to move? Yes_______________ No_______________

10. 10 #4 Direct care staff are required to have nurse delegated training for activities of daily living. Yes ______________ No ____________

11. 11 #5 Direct care staff may use incident reports to document occurrences that differ from the tenant’s normal health, functional and cognitive status. Yes_____________ No _________________

12. 12 #6 Once a dementia specific population becomes dementia specific, it will always be considered to be dementia specific. Yes_______________ No _____________

13. 13 #7 If a program disagrees with a regulatory insufficiency, Rose Boccella will review the information and make a determination. Yes ____________ No __________

14. 14 #7 con’t. House File 579 allows assisted living programs to have program pets without seeking permission from the department. True _______________ False____________ _

15. 15 #8 Respite services may be provided in assisted living for up to 90 days per year. Yes __________ No ____________

16. 16 #9 A person who requires routine 2 person transfer may be accepted into respite, but may not be accepted into the assisted living program. Yes _______________ No ___________

17. 17 #10. An evaluation is always required before updating a service plan. Yes ____________ No _______________

18. 18 # 11 New Application Form and Administrative Rules Effective May 6, 2015, a new application for certification form will be used by the Department of Inspections and Appeals (DIA) for all assisted living programs, elder group homes, and adult day service programs. The use of the new application form coincides with changes to the Department’s administrative rules that clarify the content of an application and the process for notifying DIA of changes in ownership. The new rules also require certified entities to notify DIA when changes occur to the program manager. A copy of the new Application for Certification, as well as updated copies of the administrative rules [481—68, 481—69, and 481—70], can be found in the Documents section of this website.

19. 19 Contact Us Adult Services Bureau Health Facilities Division Department of Inspections and Appeals Lucas State Office Building 321 East 12 th Street Des Moines, IA 50319-0083 (515) 281-6325 THANK YOU