최종 텍스트
파트 I
정의
22VAC30-110-10. 정의.
The following words and terms [ , ] when used in this chapter [ , ] shall have the following meanings [ , ] unless the context clearly indicates otherwise:
"Activities of daily living (ADLs)" or "ADLs" means bathing, dressing, toileting, transferring, bowel control, bladder control, and eating/feeding. A person's An individual's degree of independence in performing these activities is a part of determining appropriate level of care and services.
"신청자(" )란 요양 시설에서 거주할 계획인 성인을 의미합니다.
"Administrator" means the licensee or person designated by the licensee who (i) is responsible for the general administration and management of an assisted living facility and who oversees the day-to-day operation of the facility, including compliance with all regulations for assisted living facilities and (ii) meets the requirements of 22VAC40-72.
"평가" 는 보조 생활 시설에 입소하거나 거주하는 신청자 및 거주자에 대해 적절한 수준의 돌봄과 서비스가 필요한지 판단하기 위해 공통된 정의와 표준화된 방법을 사용하여 충분한 정보를 수집하는 절차입니다. 이 평가는 보조 생활 시설에 입소하거나 거주하는 개인에 대해 수행 됩니다.
"지원형 주거 서비스(" )는 신체적 또는 정신적 장애가 있어 일상 생활 활동에 적어도 중간 정도의 도움이 필요한 성인에게 지원형 주거 시설에서 제공하는 서비스 수준을 의미합니다. 중등도 지원은 일상 생활 활동 중 두 가지 이상의 분야에서 의존을 의미합니다. 이 서비스 수준에는 행동 패턴이 의존적(예: 폭력적, 공격적, 방해적)인 개인이 포함되며, 이는 표준 평가 도구에 기록되어 있습니다.
"Assisted living facility (ALF)" or "ALF" means any public or private assisted living facility ALF that is required to be licensed as an assisted living facility ALF by the Department of Social Services under Chapter 17 (§ 63.2-1700 et seq.) of Title 63.2 of the Code of Virginia, specifically, any congregate residential setting that provides or coordinates personal and health care services, 24-hour supervision, and assistance (scheduled and unscheduled) for the maintenance or care of four or more adults who are aged, infirm or disabled and who are cared for in a primarily residential setting, except (i) a facility or portion of a facility licensed by the State Board of Health or the Department of Behavioral Health and Developmental Services, but including any portion of such facility not so licensed; (ii) the home or residence of an individual who cares for or maintains only persons related to him by blood or marriage; (iii) a facility or portion of a facility serving infirm or disabled persons between the ages of 18 and 21, or 22 if enrolled in an educational program for the handicapped pursuant to § 22.1-214 of the Code of Virginia, when such facility is licensed by the Department of Social Services as a children's residential facility under Chapter 17 (§ 63.2-1700 et seq.) of Title 63.2 of the Code of Virginia, but including any portion of the facility not so licensed; and (iv) any housing project for persons 62 years of age or older or the disabled that provides no more than basic coordination of care services and is funded by the U.S. Department of Housing and Urban Development, by the U.S. Department of Agriculture, or by the Virginia Housing Development Authority. Included in this definition are any two or more places, establishments or institutions owned or operated by a single entity and providing maintenance or care to a combined total of four or more aged, infirm or disabled adults. Maintenance or care means the protection, general supervision and oversight of the physical and mental well-being of an aged, infirm or disabled individual. Assuming responsibility for the well-being of individuals, either directly or through contracted agents, is considered general supervision and oversight.
"요양 시설 관리자(" )란 요양 시설의 일반적인 관리를 담당하는 개인을 의미하며, 해당 시설의 소유권 지분이 있는지 여부와 관계없이 22VAC40-72 에 규정된 요건을 충족하는 경우를 포함합니다.
"Auxiliary Grants Program" means a state and locally funded assistance program to supplement the income of a an individual who is receiving Supplemental Security Income (SSI) recipient or adult an individual who would be eligible for SSI except for excess income, and who resides in an assisted living facility ALF with an approved rate.
"Case management" means multiple functions designed to link individuals to appropriate services. Case management may include a variety of common components such as initial screening of need, comprehensive assessment of needs, development and implementation of a plan of care, service monitoring, and follow-up.
"사례 관리 기관(" )이란 사례 관리 담당자를 고용하거나 사례 관리 서비스를 위탁하는 공공 인간 서비스 기관을 의미합니다.
"사례 관리자(" )란 공공 인간 서비스 기관의 직원으로, 평가를 수행할 자격을 갖추고 돌봄 계획의 수립 및 조정을 담당하도록 지정된 사람을 의미합니다.
"상담" 은 평가 데이터가 특정 사회적, 신체적 및 정신적 건강 상태를 나타낼 경우, 적절한 인간 서비스 기관 및 기타 전문가로부터 정보와 지도를 구하고 받는 과정을 의미합니다.
"부서" 또는 "DARS" 는 버지니아주 노인 및 재활 서비스 부서를 의미합니다.
"Dependent" means, for activities of daily living (ADLs) ADLs and instrumental activities of daily living (IADLs), the individual needs the assistance of another person or needs the assistance of another person and equipment or [ a ] device to safely complete the activity. For medication administration, dependent means the individual needs to have medications administered or monitored by another person or professional staff. For behavior pattern, dependent means the person's individual's behavior is aggressive, abusive, or disruptive.
"퇴소(" )는 거주자가 요양 시설 ( ALF) 에서 퇴소하는 것을 의미하며 , 이는 해당 거주자의 요양 시설에서의 체류를 종료하는 절차입니다.
"긴급 입소(" )는 개인의 건강과 안전이 입소 요건을 충족할 때까지 시설 입소를 허용하지 않을 경우 위협받을 수 있는 경우, 해당 개인이 보조 생활 시설 ( ALF) 에서 일시적으로 머무는 상태를 의미합니다.
"시설" 는 보조 생활 시설 ( ALF)을 의미합니다.
"독립적인 의사(" )란,보조 생활 시설 (ALF) 에 거주하는 개인의 거주자가 선택한 의사로서, 해당 보조 생활 시설 ( ALF) 에 대해 소유자, 임원, 직원 또는 해당 시설과 독립 계약자로서 직접적 또는 간접적으로 어떠한 재정적 이해관계도 없는 의사를 의미합니다.
"Instrumental activities of daily living (IADLs)" or "IADLs" means for the purposes of this chapter, meal preparation, housekeeping, laundry, and money management. A person's An individual's degree of independence in performing these activities is a part of determining appropriate level of care and services.
"최대 신체적 지원" 은 일곱 가지 일상 생활 활동 중 네 가지 이상에서 총 의존도 등급이 통일된 평가 도구에 기록되어 있는 개인을 의미합니다.
"Medication administration" means for purposes of this [ regulation chapter ], assessing the degree of assistance required an individual requires to take medications and is a part of determining the need for in order to determine the individual's appropriate level of care and services.
"개인 부담 보조금 프로그램(" )은 보조 생활 시설에 거주하는 개인의 거주자가 보조금 보조 프로그램(Auxiliary Grants Program)의 혜택을 받을 자격이 없음을 의미합니다.
"Prohibited conditions" means physical or mental health conditions or care needs as described in § 63.2-1805 of the Code of Virginia. An ALF shall not admit or allow the continued residence of an individual with a prohibited condition. Prohibited conditions include, but are not limited to, an individual who requires maximum physical assistance as documented on the uniform assessment instrument and meets nursing facility level of care criteria as defined in the State Plan for Medical Assistance. Unless the individual's independent physician determines otherwise, an individual who requires maximum physical assistance and meets nursing facility level of care criteria as defined on the State Plan for Medical Assistance shall not be admitted to or continue to reside in an ALF.
"Public human services agency" means an agency established or authorized by the General Assembly under Chapters 2 and 3 (§§ [ 63.2-203 63.2-200 ] et seq. and 63.2-300 et seq.) of Title 63.2, Chapter 14 (§ 51.5-116 et seq.) of Title 51.5, Chapters 1 and 5 (§§ 37.2-100 et seq. and 37.2-500 et seq.) of Title 37.2, or Article 5 (§ 32.1-30 et seq.) of Chapter 1 of Title 32.1, or hospitals operated by the state under Chapters 6.1 and 9 (§§ 23-50.4 et seq. and 23-62 et seq.) of Title 23 of the Code of Virginia and supported wholly or principally by public funds, including but not limited to funds provided expressly for the purposes of case management.
"공공 지원 보조금 프로그램(" )은 보조 생활 시설 (ALF) 에 거주하는 개인의 거주자가 보조 보조금 프로그램(Auxiliary Grants Program)의 혜택을 받을 자격이 있음을 의미합니다.
"자격 있는 평가자(" )란, 보조 생활 시설( ALF)에 입소를 희망하는 신청자 또는 해당 시설에 거주하는 거주자에 대해 평가, 재평가, 또는 돌봄 수준 변경을 수행할 권한을 가진 개인을 의미합니다. 공공 급여 수급자 경우, 자격을 갖춘 평가자는 공공 인간 서비스 기관의 직원으로 , 표준 평가 도구의 작성에 대한 교육을 받았으며 , ALF에 입소하거나 거주 중인 개인의 입소 승인을 승인할 권한을 가진 자입니다. 개인 부담자(개인 비용으로 부담하는 경우)의 경우, 자격을 갖춘 평가자는 보조 생활 시설 ( ALF) 에서 근무하며 표준 평가 도구의 작성에 대한 교육을 받은 직원 또는 독립적인 사설 의사 또는 공공 부담자(공공 비용으로 부담하는 경우)의 경우 자격을 갖춘 평가자입니다.
"재평가" 는 초기 평가 이후 언제든지 일관된 평가 도구에 대한 정보를 업데이트하는 것을 의미합니다. 정기적인 연간 재평가 외에도,거주자의 개인적 상태에 중대한 변화가 발생할 때마다 재평가를 실시해야 합니다.
"거주자(" )란 요양 시설에 거주하는 개인을 의미합니다.
"주거형 생활 지원 서비스(" )는 신체적 또는 정신적 장애가 있어 일상 생활 활동에 최소한의 지원이 필요한 성인 개인을 대상으로 보조 생활 시설 ( ALF) 에서 제공하는 서비스 수준을 의미합니다. 최소 지원은 일상생활 활동( ADL) 중 한 가지 활동에 의존하거나, 표준화된 평가 도구(uniform assessment instrument)에 기록된 선택된 일상생활 보조 활동( IADL) 중 하나 이상에 의존하는 것을 의미합니다. 이 서비스 수준에는 일관된 평가 도구(Uniform Assessment Instrument)에 기록된 대로 약물 투여에 의존하는 개인이 포함됩니다. 이 주거형 생활 돌봄의 정의에는 독립 생활 시설 (ALF) 이 자발적으로 면허를 취득하여 , 독립 생활 상태를 유지할 수 있다고 평가된 개인에게 제공하는 서비스가 포함됩니다.
"중대한 변화" 는 거주자의 개인적 상태에 발생한 변화로, 30 에서 정의된 기간보다 더 오래 지속될 것으로 예상되는 경우를 의미합니다. 이 용어에는 다음과 같은 경우가 포함되지 않습니다: 치료 여부와 관계없이 일시적으로 해결되는 변화, 일시적인 급성 질환 또는 간헐적인 사건, 또는 이전에 진단된 질환과 연관된 임상적 증상 및 징후의 잘 확립된 예측 가능한 주기적 패턴으로, 적절한 치료 과정이 진행 중인 경우.
"Targeted case management" means the provision of ongoing case management services by an employee of a public human services agency contracting with the Department of Medical Assistance Services to an auxiliary grant resident of individual who is receiving an auxiliary grant in an assisted living facility ALF who meets the criteria set forth in 12VAC30-50-470.
"완전 의존" 은 개인이 일상 생활 활동( ADL) 의 수행에 전혀 참여할 수 없는 상태를 의미합니다.
"Uniform assessment instrument" or "UAI" means the department-designated assessment form. There is an alternate version of the uniform assessment instrument which that may be used for private pay residents; social individuals paying privately. Social and financial information which that is not relevant because of the resident's individual's payment status is not included on this the private pay version.
"사용자 매뉴얼: 버지니아 통일 평가 도구" 는 부서에서 지정된 평가 양식을 작성하기 위한 공통 정의 및 절차를 포함하는 부서에서 지정된 핸드북을 의미합니다.
"버지니아주 의료 지원 서비스국" 또는 "DMAS" 는 버지니아주에서 의료 지원 서비스 프로그램을 관리하도록 지정된 단일 주 정부 기관을 의미합니다.
제2부
평가 서비스
22VAC30-110-20. 평가 대상자.
A. All residents of and applicants to assisted living facilities must individuals applying to or residing in an ALF shall be assessed face-to-face using the uniform assessment instrument UAI prior to admission, at least annually, and whenever there is a significant change in the resident's individual's condition.
B. For private pay individuals, qualified staff of the assisted living facility ALF or an independent private physician may complete the uniform assessment instrument UAI. Qualified staff of the assisted living facility are ALF employees of the facility who have successfully completed state-approved training on the uniform assessment instrument UAI for either public or private pay assessments. The assisted living facility ALF maintains documentation of the completed training. The administrator or the administrator's designated representative must shall approve and sign the completed uniform assessment instrument UAI for private pay individuals. A private pay individual may request the assessment be completed by a qualified public human services agency assessor. When a public human services agency assessor completes the uniform assessment instrument UAI for a private pay individual, the agency may determine and charge a fee for private pay applicants and residents; the fee assessments that may not exceed the fee paid by amount DMAS reimburses for public pay applicants and residents assessments.
C. For public pay individuals, a uniform assessment instrument the UAI shall be completed by a case manager or a qualified assessor to determine the need for residential care or assisted living care services. The assessor is qualified to complete the assessment if the assessor has completed a state-approved training course on the state-designated uniform assessment instrument UAI. Public human services agency assessors Assessors who prior to January 1, 2004, routinely complete, completed UAIs as part of their job descriptions [ , ] uniform assessment instruments for applicants to or residents of assisted living facilities prior to January 1, 2004 [ , ] may be deemed to be qualified assessors without the completion of the training course. Qualified assessors who may initially authorize assisted living facility ALF services for public pay individuals are employees of (i) local departments of social services; (ii) area agencies on aging; (iii) centers for independent living; (iv) community services boards; (v) local departments of health; (vi) state facilities operated by the Department of Behavioral Health and Developmental Services, (vii) acute-care hospitals, and (viii) Department of Corrections; and independent physicians. [ : ]
1. 지방 사회 복지 부서;
2. 고령화에 관한 지역 기관;
3. 자립 생활 센터;
4. 지역사회 서비스 위원회 또는 행동 건강 당국;
5. 지역 보건부;
6. 행동 건강 및 발달 서비스 부에서 운영하는 주립 시설입니다;
7. 급성 치료 병원;
8. Department of Corrections [ Community Release Units ]; and
9. DMAS와 계약을 체결하여 ALF 평가를 수행하는 독립적인 의사.
D. The assisted living facility must For public pay individuals, the ALF shall coordinate with the assessor to ensure that the uniform assessment instrument UAI is completed as required. If the individual has not been assessed, the local department of social services eligibility worker shall inform the individual or the individual's legal representative of the need to be assessed by a qualified assessor prior to admission. If the individual has not applied for an auxiliary grant, the qualified assessor conducting the assessment shall inform the individual or the individual's legal representative of the need to submit an application for an auxiliary grant.
22VAC30-110-30. 제공할 서비스의 결정.
A. The assessment shall be conducted with the department-designated uniform assessment instrument which using the UAI that sets forth a resident's an individual's care needs. The uniform assessment instrument UAI is designed to be a comprehensive, accurate, standardized, and reproducible assessment of individuals seeking or receiving long-term care services. The uniform assessment instrument UAI is comprised of a short assessment and a full assessment. The short assessment is designed to briefly assess the individual's need for appropriate level of care and services and to determine if a full assessment is needed. The uniform assessment instrument shall contain the following items: Full name of the individual; social security number; current address; date of birth; sex; marital status; racial/ethnic background; education; method for communication of needs; primary caregiver or emergency contact or both; usual living arrangements; problems with physical environmental; use of current formal services; annual income; sources of income; legal representatives; benefits or entitlements received; types of health insurance; performance on functional status which includes ADLs, continence, ambulation and IADLs; physician information; admissions to hospitals, nursing facilities or assisted living facilities for medical or rehabilitation reasons; advance directives; diagnoses and medication profile; sensory functioning; joint motion; presence of fractures/dislocations; missing limbs or paralysis/paresis; nutrition; smoking history; use of rehabilitation therapies; presence of pressure ulcers; need for special medical procedures; need for ongoing medical/nursing needs; orientation; memory and judgment; behavior pattern; life stressors; emotional status; social history which includes activities, religious involvement; contact with family and friends; hospitalization for emotional problems; use of alcohol or drugs; assessment of caregivers; and an assessment summary.
B. Sections The following sections of the uniform assessment instrument which must UAI shall be completed are as follows:
1. The assessment for private pay individuals shall include the following portions of the uniform assessment instrument: name of the individual; social security number; current address; birthdate; sex; marital status; performance on For private pay individuals, the assessment shall include sections related to identification and background, functional status, which includes ADLs, continence, ambulation, IADLs, medication administration, and behavior pattern. In lieu of completing selected parts of the department-designated uniform assessment instrument, the alternate uniform assessment instrument developed for private pay applicants and residents The private pay or public pay UAI may be used.
2. 공공 부문 근로자의 경우, 통일 평가 도구 ( UAI )의 간소화된 양식을 작성해야 합니다. 단축형은 신원 확인 및 배경 정보와 기능 상태 (즉, UAI의 첫 4페이지)와 관련된 섹션, 약물 투여 및 행동 패턴에 대한 섹션을 포함합니다. 평가 결과, 해당 개인이 일상생활 활동 (ADL) 중 두 가지 이상에서 의존적 상태에 있거나 행동 면에서 의존적 상태에 있는 것으로 판단될 경우, 반드시 전체 평가를 완료해야 합니다.
C. 1. The uniform assessment instrument UAI shall be completed within 90 days prior to the date of admission to the assisted living facility ALF. If there has been a significant change in the individual's condition since the completion of the uniform assessment instrument which UAI that would affect the admission to an assisted living facility ALF, a new uniform assessment instrument UAI shall be completed as specified in 22VAC30-110-20.
2 . D. When a resident an individual moves to an assisted living facility ALF from another assisted living facility ALF, a new uniform assessment instrument UAI is not required except that a new uniform assessment instrument UAI shall be completed whenever there is a significant change in the resident's individual's condition or the assessment was completed more than 12 months ago.
3 . E. In emergency placements, the uniform assessment instrument must UAI shall be completed within seven working days from the date of placement. An emergency placement shall occur only when the emergency is documented and approved by a Virginia adult protective services worker for public pay individuals or by a Virginia adult protective services worker or independent physician for private pay individuals.
D. F. The uniform assessment instrument UAI shall be completed at least annually on all residents of assisted living facilities individuals residing in ALFs. Uniform assessment instruments UAIs shall be completed as needed whenever there is a significant change in the resident's individual's condition. All uniform assessment instruments UAIs shall be completed as required by 22VAC30-110-20. The ALF shall provide an area for assessments and reassessment to be conducted that ensures the individual's privacy and protects confidentiality.
E. G. At the request of the assisted living facility ALF, the resident individual residing in the ALF, the resident's individual's legal representative, the resident's individual's physician, the Department of Social Services, or the local department of social services, an independent assessment using the uniform assessment instrument UAI shall be completed to determine whether the resident's individual's care needs are being met in the current placement ALF. An independent assessment is an assessment that is completed by an entity other than the original assessor. The assisted living facility ALF shall assist the resident individual in obtaining the independent assessment as requested. If the request is for a private pay resident individual, and the independent assessment confirms that the resident's placement is appropriate, then the entity requesting the independent assessment shall be responsible for payment of paying for the assessment, if applicable.
F. H. 평가자는 평가를 완료하기 위해 필요에 따라 다른 관련 사회복지 전문가와 상담해야 합니다.
지. I. DMAS는 이 조항에 따라 공공 지원 대상자 및 거주자 개인에 대한 평가 완료 및 보조 생활 시설 (ALF) 입소 승인에 대한 비용을 보상합니다.
22VAC30-110-40. 방전.
A. Discharge is the process that ends the stay in an assisted living facility. Staff of the assisted living facility must plan for post-discharge services when the public pay resident is returned to a home-based placement, a nursing facility, or other placement ALF staff shall assist the individual and legal representative in the discharge or transfer process. Assisted living facility For public pay individuals, ALF staff shall notify in writing provide written notification of the individual's date and place of discharge or of the individual's death to the local department of social services financial eligibility worker in the jurisdiction responsible for authorizing the auxiliary grant and the public human services agency qualified assessor of the date and place of discharge as well as when a resident dies who conducted the most recent assessment. The assisted living facility must ALF shall make these notifications at least 14 calendar days prior to the resident's individual's planned discharge or within five calendar days after the individual's death of the resident. In the event of an emergency discharge as defined by specified in 22VAC40-72-420, the notification shall be made as rapidly as possible, but must be made by close of business on the day following the emergency discharge.
B. Upon issuing a notice of summary order of suspension to an assisted living facility ALF, the Commissioner of the Virginia Department of Social Services or his designee shall contact the appropriate local department of social services to develop a relocation plan. The residents of an assisted living facility Individuals residing in an ALF whose license has been summarily suspended pursuant to § 63.2-1709 of the Code of Virginia shall be relocated as soon as possible to reduce the risk of jeopardizing the to their health, safety, and welfare of residents. An assessment of the relocated resident is New assessments of the individuals who are relocating are not required, pursuant to 22VAC30-110-30 C 2 D.
22VAC30-110-50. 제공될 서비스의 승인.
A. The assessor is responsible for authorizing public payment to the individual for the appropriate level of care for upon admission [ to ] and for continued stay in an assisted living facility ALF.
B. The assisted living facility must ALF staff shall be knowledgeable of the criteria for level of care in an assisted living facility ALF and is are responsible for discharge of the resident whenever a resident discharging the individual when the individual does not meet the criteria for level of care in an assisted living facility ALF upon admission or at any later time.
C. The appropriate level of care must shall be documented on the uniform assessment instrument UAI, and completed in a manner consistent with the definitions of activities of daily living ADLs and directions provided in the User's Manual: Virginia Uniform Assessment Instrument as well as the requirements set forth in this chapter.
D. During an inspection or review, staff from either [ the Department of Social Services ], DMAS, [ DSS ] or the local department of social services may initiate a change in level of care for any assisted living facility resident individual residing in the ALF for whom it is determined that the resident's uniform assessment instrument is not reflective of UAI does not reflect the resident's individual's current status.
22VAC30-110-60. 주거형 생활 돌봄의 기준.
개인은 다음 중 하나 이상의 기능적 능력에 해당될 경우, 통일된 평가 도구 ( UAI )에 기록된 주거 생활 기준을 충족해야 합니다:
1. 7개의 일상생활 활동(ADL) 중 1개 항목에서만 의존적 판정을 받았습니다(즉, 목욕, 옷 입기, 화장실 사용, 이동, 배변 기능, 배뇨 기능, 식사/급식).
2. 4개 중 하나 이상의 선택된 일상생활 활동(IADL)에서 의존적 판정을 받은 경우(예: 식사 준비, 집안일, 세탁, 금전 관리).
3. 약물 투여 시 의존적 상태로 평가되었습니다.
22VAC30-110-70. 요양 지원 서비스의 기준.
개인은 다음 중 하나 이상의 사항이 해당되는 경우,통합 평가 도구 ( UAI) 에 기록된 보조 생활 지원 기준을 충족 해야 합니다:
1. 7개 이상의 일상생활 활동(ADL) 중 2개 이상에서 의존적 상태로 평가되었습니다.
2. 행동 패턴에서 의존적이라고 평가됨 (예: 학대적, 공격적, 방해적).
22VAC30-110-80. 유니폼 평가 도구에서 치료 수준을 평가합니다.
A. The rating of functional dependencies on the uniform assessment instrument must UAI shall be based on the individual's ability to function in a community environment.
B. The For purposes of this chapter, the following abbreviations shall mean: D = dependent; and TD = totally dependent. Mechanical help means equipment or a device or both are used; human help includes supervision and physical assistance. Asterisks (*) denote dependence in a particular function.
1. 일상 생활 활동.
a. 목욕.
(1) 도움 없이
(2) 기계적 도움만 제공합니다.
(3) 인간 지원만 가능* (D)
(4) 기계적 도움과 인간적 도움* (D)
(5) 다른 사람에 의해 수행됨* (TD)
b. 드레싱.
(1) 도움 없이
(2) 기계적 도움만 제공합니다.
(3) 인간 지원만 가능* (D)
(4) 기계적 도움과 인간적 도움* (D)
(5) 다른 사람에 의해 수행됨* (TD)
(6) 수행되지 않음* (TD)
c. 배변.
(1) 도움 없이
(2) 기계적 도움만 제공합니다.
(3) 인간 지원만 가능* (D)
(4) 기계적 도움과 인간적 도움* (D)
(5) 다른 사람들에 의해 연주됨* (TD)
(6) 수행되지 않음* (TD)
d. 전송 중.
(1) 도움 없이
(2) 기계적 도움만 제공합니다.
(3) 인간 지원만 가능* (D)
(4) 기계적 도움과 인간적 도움* (D)
(5) 다른 사람에 의해 수행됨* (TD)
(6) 수행되지 않음* (TD)
e. 장 기능.
(1) 대륙
(2) 주 1회 미만의 요실금
(3) 장루 자기 관리
(4) 주 1회 이상 배뇨 장애* (D)
(5) 장루 관리가 자기 관리가 아닙니다* (TD)
f. 방광 기능.
(1) 대륙
(2) 주 1회 미만의 요실금
(3) 외부 장치, 체내 삽입형 카테터, 장루, 자기 관리
(4) 주 1회 이상 배뇨 장애* (D)
(5) 외부 장치, 자기 관리용이 아님* (TD)
(6) 체내 삽입형 카테터, 자가 관리 불가* (TD)
(7) 장루, 자기 관리가 아닙니다* (TD)
예. 식사/급식.
(1) 도움 없이
(2) 기계적 도움만 제공합니다.
(3) 인간 지원만 가능* (D)
(4) 기계적 도움과 인간적 도움* (D)
(5) 타인에 의해 수행됨 (스푼으로 먹이기, 주사기/관으로 먹이기, 정맥 주사로 먹이기 포함)* (TD)
2. 행동 패턴.
a. 적절하다
b. 방황/수동적 주 1회 미만
c. 방황/수동적 주 1회 이상
d. 폭력적/공격적/방해적 행동이 주 1회 미만* (D)
e. 폭력적/공격적/방해적인 행동이 주 1회 이상 발생함* (D)
3. 일상생활의 도구 사용 활동.
a. 식사 준비.
(1) 도움이 필요 없습니다.
(2) 도움 요청* (D)
b. 청소 및 관리.
(1) 도움이 필요 없습니다.
(2) 도움 요청* (D)
c. 세탁.
(1) 도움이 필요 없습니다.
(2) 도움 요청* (D)
d. 자금 관리.
(1) 도움이 필요 없습니다.
(2) 도움 요청* (D)
4. 약물 관리.
a. 도움 없이
b. 일반인*에 의해 관리/감독됨 (D)
c. 전문 인력에 의해 관리/감독됩니다* (D)
22VAC30-110-90. 통일된 평가 도구가 완료되면 취해야 할 조치.
A. 공공 부문에서 개인에게 급여를 지급합니다.
1. 입학 시 UAI 평가가 완료되거나, 개인적 상태에 중대한 변화가 발생하거나, 연간 재평가가 이루어진 경우, 사례 관리자 또는 자격을 갖춘 평가자는 해당 관할 기관의 department of social services 내 자격 심사 담당자에게, 부서에서 지정된 형식으로, 입학일 또는 돌봄 수준 변경일을 통지해야 합니다. 공적 지원 대상자에 대한 연간 재평가 또는 돌봄 수준 변경을 수행할 수 있는 자격을 갖춘 평가자는 다음 기관의 직원 또는 DMAS와 평가 수행 계약을 체결한 독립적인 의사입니다: (i) 지방 사회 복지국; (ii) 지역 노인 복지 기관; (iii) 독립 생활 지원 센터; (iv) 지역 사회 서비스 위원회 또는 정신 건강 관리 기관; 및 (v) 지방 보건국.
2. The completed uniform assessment instrument UAI, the referral to the financial eligibility worker, and other relevant data shall be maintained in the individual's record at the assisted living facility resident's record ALF.
3. The annual reassessment shall be completed by the qualified assessor conducting the initial assessment. If the original assessor is neither willing nor able to complete the assessment and another assessor is not available, the local department of social services where the resident individual resides following placement in an assisted living facility in the ALF shall be the assessor, except that individuals who receive services from a community service board or behavioral health authority shall be assessed and reassessed by qualified assessors employed by the community services board or behavioral health authority.
4. 지역 사회 서비스 위원회의 고객은 해당 위원회에서 고용한 자격을 갖춘 평가자에 의해 평가 및 재평가를 받아야 합니다.
5 . 4. The facility ALF shall provide to notify the community services board or behavioral health authority notification of uniform assessment instruments that when UAIs indicate observed behaviors or patterns of behavior indicative of mental illness, intellectual disability, substance abuse, or behavioral disorders, pursuant to § 63.2-1805 B of the Code of Virginia.
B. For private pay residents individuals, the assisted living facility ALF shall ensure that assessments for all residents individuals at admission and at subsequent intervals are completed as required in this chapter. The assisted living facility ALF shall maintain in the resident's record the resident's uniform assessment instrument the individual's UAI and other relevant data in the individual's ALF record.
22VAC30-110-100. Targeted case management for auxiliary grant recipients individuals receiving an auxiliary grant.
A. Targeted case management shall be limited to those residents individuals who have multiple needs across multiple providers and this coordination is beyond the scope of the assisted living facility ALF. It shall be the responsibility of the assessor who identifies the individual's need for residential care or assisted living care in an assisted living facility ALF to assess the need for targeted case management services as defined in 12VAC30-50-470.
B. A case management agency must shall have signed an agreement with DMAS to be reimbursed for the provision of targeted case management services to auxiliary grant recipients for individuals receiving an auxiliary grant.
C. 성인 개인이 거주하는 지역의 사회복지국은 해당 개인이 보조 생활 시설에 입소하거나 보조 생활 시설(ALF)에 입소할 경우, 다른 자격을 갖춘 사례 관리 기관이 사례 관리 서비스를 제공할 의향이 없거나 능력이 없는 경우 해당 사례 관리 기관이 됩니다.
D. A qualified case manager must shall possess a combination of relevant work experience in human services or health care and relevant education which indicates that the individual possesses the knowledge, skills, and abilities at entry level as defined in 12VAC30-50-470. This must be documented on the case manager's job application form or supporting documentation [ or observable in the job or promotion interview ]. When the provider agency is a local department of social services, case managers shall meet the qualifications for [ social work/social work supervisor classification family services occupational group ] as specified in 22VAC40-670 22VAC40-670-20.
제3부
거주자 이의 제기
22VAC30-110-110. Resident appeals [ Appeals Notifications ].
Assessors shall advise orally and in writing all applicants to and residents of assisted living facilities public pay individuals [ for ] which [ whom assessment or targeted case management services or both are provided of the right to appeal of ] the outcome of the assessment [ , or ] the annual reassessment, [ or determination of level of care including a statement indicating that the local department of social services will notify the individual whether he is eligible to receive the auxiliary grant ]. Applicants for auxiliary grants An individual who are is denied an auxiliary grant because the assessor determines that they do the individual does not [ require the minimum level of services offered in the meet the care needs for ] residential care level have of care has the right to file an appeal with the Department of Social Services under § 63.2-517 of the Code of Virginia. [ Notification of the right to appeal will be included in the notice of action provided by the local department of social services. ] A determination that the individual does not meet the criteria to receive [ assisted living level of care targeted case management ] is an action [ which that ] is appealable to DMAS [ in accordance with the provisions of 12VAC30-110 ].
양식 (22vac30-110)
참조로 통합된 문서 (22vac30-110)
User's Manual: Virginia Uniform Assessment Instrument (UAI), Commonwealth of Virginia, Revised April 1998.