Md. Code Regs. 10.07.14.15 - Assisted Living Manager
A.
Qualifications.
(1) The assisted living
manager shall at a minimum:
(a) Be 21 years
old or older;
(b) Possess a high
school diploma, a high school equivalency diploma, or other appropriate
education and have experience to conduct the responsibilities specified in
§C of this regulation;
(c) For
level 3 licensed programs, have:
(i) A 4-year,
college-level degree;
(ii) 2 years
experience in a health care related field and 1 year of experience as an
assisted living program manager or alternate assisted living manager;
or
(iii) 2 years experience in a
health care related field and successful completion of the 80-hour assisted
living manager training program;
(d) Be free from tuberculosis in a
communicable form in accordance with Guidelines for Preventing the Transmission
of Mycobacterium Tuberculosis in Health-Care Facilities (that is, tuberculin
skin testing (TST) upon hire or annual sign/symptom screen for those
individuals with previous positive TST);
(e) Be immune to measles, mumps, rubella, and
varicella as evidenced by history of disease or vaccination;
(f) Have no criminal convictions or other
criminal history that indicates behavior that is potentially harmful to
residents, documented through either a criminal history records check or a
criminal background check completed within 1 month before employment;
(g) Have sufficient skills, training, and
experience to serve the residents in a manner that is consistent with the
philosophy of assisted living;
(h)
Have verifiable knowledge in:
(i) The health
and psychosocial needs of the population being served;
(ii) The resident assessment
process;
(iii) Use of service
plans;
(iv) Cuing, coaching, and
monitoring residents who self-administer medications, with or without
assistance;
(v) Providing
assistance with ambulation, personal hygiene, dressing, toileting, and feeding;
and
(vi) Resident rights;
(i) Receive initial and annual
training in:
(i) Fire and life
safety;
(ii) Infection control,
including standard precautions;
(iii) Emergency disaster plans; and
(iv) Basic food safety; and
(j) Receive initial certification
and recertification, when required for:
(i)
Basic first aid by a certified first aid instructor; and
(ii) Basic cardiopulmonary resuscitation
(CPR) by a certified CPR instructor.
(2) An assisted living manager who has
completed the training and passed the examination set forth in Regulation .16
of this chapter shall be presumed to have met the knowledge requirements of
§A(1)(g) and (h) of this regulation.
B. The Department may determine that an
individual is not sufficiently qualified to serve as an assisted living manager
if that individual's managerial or administrative experience, or education, is
not sufficient to perform the responsibilities set forth in §C of this
regulation for the residents the licensee intends to serve.
C. Duties. The assisted living manager shall:
(1) Be on-site or available on call;
and
(2) Have overall responsibility
for:
(a) The management of the assisted living
program, including recruiting, hiring, training, and supervising all staff, and
ensuring that either a criminal history records check or a criminal background
check is conducted consistent with the requirements of Health-General Article,
Title 19, Subtitle 19, Annotated Code of Maryland;
(b) The development and implementation of a
staffing plan, which includes an orientation and ongoing training program for
all staff, with specific training in the management, assessment, and
programming for the resident with cognitive impairment as required by
Health-General Article, §19-319.1, Annotated Code of Maryland;
(c) The development and implementation of all
policies, programs, and services as required by this chapter;
(d) Requiring all employees to perform hand
hygiene with either soap and water or an alcohol-based hand sanitizer before
and after each direct resident contact for which hand hygiene is indicated by
acceptable practice;
(e) Providing
or ensuring, through the coordination of community services, that each resident
has access to appropriate medical and psychosocial services, as established in
the resident service plan developed under Regulation .26 of this
chapter;
(f) Ensuring that there is
appropriate coordination of all components of a resident's service plan,
including necessary transportation and delivery of needed supplies;
(g) Ensuring that there is appropriate
oversight and monitoring of the implementation of each resident's service
plan;
(h) Ensuring that all record
keeping conforms to the requirements of this chapter and other applicable
laws;
(i) Ensuring that all
requirements of this chapter and other applicable laws are met;
(j) Implementing a nursing or clinical order
of the delegating nurse or documenting in the resident's record why the order
should not be implemented;
(k)
Notifying the OHCQ:
(i) When the manager
terminates the program's contract with or employment of a delegating nurse;
and
(ii) Of the reason why the
contract or employment was terminated; and
(l) Notifying the resident and, if
applicable, the resident's legally authorized representative or interested
family member of any:
(i) Significant change
in condition of the resident;
(ii)
Adverse event that may result in a change in condition;
(iii) Outcome of the resident's care that
results in an unanticipated consequence; and
(iv) Corrective action, if any.
Notes
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