DHS 105.14(1)(b)11.a.a. The health care agent under an activated power of attorney for health care under ch. 155, Stats. DHS 105.14(1)(b)12.12. “Medication administration” means the direct injection, ingestion or other application of a prescription or over-the-counter drug or device to a participant, but does not include reminders to take the medication. Medication administration can be performed by any of the following: DHS 105.14(1)(b)15.15. “Nursing care” means nursing procedures, other than personal or supportive care, that a registered nurse or a licensed practical nurse performs directly on or to a participant. DHS 105.14(1)(b)17.17. “Operator” means an individual or business entity to whom a certification is granted and is legally responsible for the operation of the ADCC. DHS 105.14(1)(b)18.18. “Participant” means an adult who attends the ADCC during listed hours of operation and receives care, treatment, or services. DHS 105.14(1)(b)19.19. “Participant group” means a group of participants who need similar services because of a common disability, condition, or status. “Participant group” includes a group of individuals who have any of the following: DHS 105.14(1)(b)20.20. “Physical restraint” means any manual method, article, device, or garment interfering with the free movement of the participant or the normal functioning of a portion of the participant’s body or normal access to a portion of the participant’s body, and which the participant is unable to remove easily, or confinement of a participant in a locked room. DHS 105.14(1)(b)21.21. “Program director” means an employee who is responsible for the management and day-to-day operation of the ADCC. A program director includes any of the following: DHS 105.14(1)(b)22.22. “Psychotropic medication” means a prescription drug, defined in s. 450.01 (20), Stats., that is used to treat or manage a psychiatric symptom or challenging behavior. DHS 105.14(1)(b)23.23. “Qualified Caregiver” means an employee who is at least 18 years of age and has successfully completed all of the applicable orientation and training under sub. (4) (a) and (b). DHS 105.14(1)(b)24.a.a. “Seclusion” means physical or social separation of a participant from others by actions of caregivers. DHS 105.14(1)(b)24.b.b. “Seclusion” does not include separation to prevent the spread of communicable disease or voluntary cool-down periods in an unlocked room. DHS 105.14(1)(b)25.25. “Serious injury” means an injury from any incident or accident which results in any of the following: DHS 105.14(1)(b)25.a.a. A temporary or permanent increase in the level of assistance needed in one or more ADL categories, such as bathing, eating, oral hygiene, dressing, toileting, incontinence care, or mobility and transferring. DHS 105.14(1)(b)26.26. “Significant change” in a participant’s physical or mental condition means any of the following: DHS 105.14(1)(b)26.a.a. A decline in a participant’s medical condition that results in further impairment. DHS 105.14(1)(b)26.d.d. A decline in behavior or mood which requires either a temporary or permanent increase in the level of assistance needed in one or more ADL categories, such as bathing, eating, oral hygiene, dressing, toileting, incontinence care, or mobility and transferring. DHS 105.14(1)(b)27.27. “Standard precautions” are a set of infection control practices used to prevent transmission of diseases that can be acquired by contact with blood, body fluids, non-intact skin (including rashes), and mucous membranes. These measures are used when providing care to all individuals, whether or not they appear infectious or symptomatic. DHS 105.14(1)(b)28.b.b. “Supervision” includes keeping track of a participant’s whereabouts and providing guidance and intervention when needed by a participant. DHS 105.14(1)(b)28m.28m. “Transferee” means the recipient of a property or business in a change of ownership process who will submit application for a new certification. DHS 105.14(1)(b)29.29. “Transferor” means the current operator in a change of ownership process who will voluntarily relinquish the current certification. DHS 105.14(1)(b)31.31. “Utensils” means dishes, silverware and pots and pans used for storing, preparing, serving, or consuming food. DHS 105.14(1)(b)32.32. “Variance” means an alternate means of meeting a requirement in this section, as approved by the department under par. (c). DHS 105.14(1)(b)33.33. “Volunteer” means any person who provides services for participants without compensation. DHS 105.14(1)(b)34.34. “Waiver” means an exemption from a requirement in this section, as approved by the department under par. (c). DHS 105.14(1)(c)1.1. The department may grant approval of a waiver or variance if the department determines that the proposed waiver or variance will not jeopardize the health, safety, welfare or rights of any participant. DHS 105.14(1)(c)2.2. A written request for a waiver or variance shall be sent to the department and include justification that the waiver or variance will not adversely affect the health, safety or welfare of any participant for the requested action. DHS 105.14(1)(c)3.3. A written request for a variance shall include a description of an alternative means planned to meet the intent of the requirement. DHS 105.14(1)(c)4.4. The department may terminate approval of a waiver or variance if any of the following occurs: DHS 105.14(1)(c)4.a.a. The department determines the waiver or variance has adversely affected the health, safety, well-being or welfare of a participant. DHS 105.14(1)(c)4.b.b. The ADCC fails to comply with any of the conditions of the waiver or variance as granted. DHS 105.14(1)(c)4.c.c. A change in circumstances from the time the waiver or variance approval was initially granted. DHS 105.14(2)(a)1.1. No person may receive reimbursement under s. 49.45 (7) (b), Stats., for the provision of services to a participant in an ADCC unless the ADCC is certified by the department. A person who assumes ownership interest in a certified ADCC, regardless of whether the transfer includes title to the real estate, or changes the location of the ADCC shall complete an application as required under this subsection. DHS 105.14(2)(a)2.2. An application for certification shall be on a form or web-based application provided by the department and shall include all of the following: DHS 105.14(2)(a)2.b.b. A floor plan specifying dimensions of the ADCC, including exits and planned room usage. DHS 105.14(2)(a)2.f.f. Evidence that the applicant has 60 days of projected operating funds in reserve. DHS 105.14(2)(a)2.g.g. Proof of transportation liability insurance if the ADCC provides transportation. DHS 105.14(2)(a)3.3. An ADCC may not be located on a parcel of land zoned for industrial or manufacturing use. DHS 105.14(2)(b)1.1. The program description included as part of an application under par. (a) 2. shall include all of the following: DHS 105.14(2)(b)1.a.a. The name of the operator, the program director, and the caregiver position in charge when the operator or program director is away from the ADCC. DHS 105.14(2)(b)1.c.c. A definition of the program goals and a description of the services provided or made available to participants at the ADCC. DHS 105.14(2)(b)1.e.e. A description of any limits the program establishes for providing service to a participant with specific care needs. DHS 105.14(2)(b)1.f.f. A fee schedule which includes the daily charges and additional fees for specific services, goods, or supplies that are not included in the daily charge, and the method for notifying a participant or a legal representative of fee changes. DHS 105.14(2)(b)1.g.g. A procedure for informing the participant’s legal representative, family, or caregiver of any major change in the participant’s general functioning or medical condition. DHS 105.14(2)(b)1.h.h. A procedure for documenting any incident occurring at the site which would affect the health, safety or welfare of a participant. DHS 105.14(2)(b)1.i.i. The participant group to be served and, if serving more than one participant group, an explanation acceptable to the department of how each participant group is compatible with one another. DHS 105.14(2)(b)1.j.j. A grievance procedure for investigating and resolving complaints made by a participant, legal representative, family member, caregiver, or other interested persons about the services provided by the ADCC which includes informing such persons of appropriate local, county and/or state agency contacts and informing such persons that pursuant to s. DHS 13.05 (4) (a) and s. 146.40 (4r) (a), Stats., any individual may report to the department that he or she believes that any person employed by or under contract with the ADCC has neglected or abused a participant or misappropriated the participant’s property. DHS 105.14(2)(b)1.k.k. The criteria for voluntary and involuntary discharge of a participant from the program as defined in sub. (5) (c).
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Chs. DHS 101-109; Medical Assistance
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