The residence must be clean, as specified in part 4625.0100, subpart 2, and free from accumulations of dirt, rubbish, peeling paint, vermin, or insects.
Chemicals, detergents, and other toxic substances must not be stored with food products.
The operator must ensure that each resident is examined by a physician no more than 30 days before or within three days after placement in the adult foster home to ensure that the resident is free of the reportable communicable diseases named in parts 4605.7000 to 4605.7800. Transfer records from a health care facility licensed by the Department of Health may be substituted for this requirement.
The operator shall ensure that the residence is equipped with accessible first aid supplies including bandages, sterile compresses, scissors, an ice bag or cold pack, an oral or surface thermometer, mild liquid soap, adhesive tape, and first aid manual.
The operator shall be prepared for emergencies and ensure that:
a non-coin-operated telephone and an operable flashlight is located within the residence;
the phone numbers of each resident's representative, physician, and dentist are readily available;
phone numbers of the local fire department, police department, and an emergency transportation service are posted by the telephone;
prior arrangements are made for a substitute caregiver who meets the qualifications in part 9555.6125, subpart 4, to provide care during emergencies;
each resident is informed of a designated area within the residence where the resident shall go for cover during severe storms or tornadoes;
fire drills are conducted at least once every three months;
a written fire escape plan and a log of quarterly fire drills is on file in the residence; and
the fire escape plan is approved by the fire marshal and specifies emergency phone numbers, a place to meet outdoors for roll call, smoke detector and fire extinguisher locations, plans for quarterly fire and tornado drill sessions, and escape routes to the outside from the levels used by residents. In buildings with three or more dwelling units, enclosed exit stairs must be indicated. There must be an emergency escape plan for each resident.
Individual clean bed linens, towels, and wash cloths must be available for each resident.
Pets housed within the residence shall be maintained in good health. The operator shall ensure that the resident and the resident's representative is notified before admission of the presence of pets in the residence.
Caregivers may administer medication to a resident who is not capable of self administering medication only if the operator ensures that the procedures in items A to G are followed.
The operator shall get a written statement from the resident's physician stating the name of the medication prescribed and whether the resident is capable of taking the medication without assistance.
The operator shall get written permission from the resident or the resident's legal representative to administer the medication.
A resident who is not capable of self-administering the medication may be administered the medication by a caregiver in accordance with the written instructions from the resident's physician if the written permission has been obtained from the resident or the resident's legal representative. A prescription label is sufficient to constitute written instructions from a physician.
Each resident receiving medication assistance must have a medication record containing:
the information on the prescription label;
the consequences if the medication is not taken as directed;
the adverse reactions to the medication that must be reported to the resident's physician;
instruction from the resident's physician indicating when the resident's physician must be notified if the medication is not taken as prescribed;
notation of when a medication is started, changed, or discontinued; and
notation of any reports made to the resident's physician whenever the resident does not take medication as prescribed or there are any adverse medication reactions.
A caregiver must report to the resident's physician and legal representative:
any adverse medication reaction as specified in item D, subitem (3); and
the resident's refusal or failure to take medication as prescribed and in accordance with the physician's instructions in item D, subitem (4).
A caregiver must immediately report to the local agency whenever the resident's physician is notified because medication is not taken as prescribed and the physician determines that the refusal or failure to take medication as prescribed creates an immediate threat to the resident's health or safety or the health or safety of other residents or household members.
A caregiver shall not give injectable medication unless:
the caregiver is a registered nurse or licensed practical nurse with a current Minnesota license, is authorized to do so in writing by the resident's physician, and is covered by professional liability insurance; or
there is an agreement signed by the caregiver, the resident's physician, the resident, and the resident's legal representative specifying what injections may be given, when, how, and that the physician shall retain responsibility for the caregiver's giving the injections. A copy of the agreement must be placed in the resident's personal record.
Schedule II controlled substances in the residence that are named in Minnesota Statutes, section 152.02, subdivision 3, must be stored in a locked storage area permitting access only by residents and caregivers authorized to administer the medication as named in subpart 8.
Weapons and ammunition must be stored separately in locked areas that are inaccessible to residents and prevent contents from being visible to residents. "Weapons" means firearms and other instruments or devices designed for and capable of producing bodily harm.
MS s 245A.09
12 SR 148
October 8, 2007