DHS 105.14(3)(a)2.b.b. Comply with the requirements set by the Federal 1991 Americans with Disabilities Act, and by the occupation, safety and health administration. DHS 105.14(3)(a)2.d.d. Develop and implement written policies and procedures to investigate allegations of abuse, neglect, and misappropriation of property and injuries of unknown source as described in sub. (2) (m). DHS 105.14(3)(a)2.e.e. Report any change in participant group in writing to the department at least 30 days in advance of the anticipated change. The ADCC shall not implement the change until the operator receives written approval from the department. DHS 105.14(3)(a)2.f.f. Report any change in the ADCC’s capacity in writing to the department. The operator shall not implement the change in capacity until the operator receives written approval from the department. DHS 105.14(3)(a)2.g.g. Provide to each participant, the participant’s legal representative, or third party payer, a 30 day written notice of any change in the ADCC’s capacity or client group. DHS 105.14(3)(a)2.h.h. Post the ADCC certification, any statement of deficiency, notice of revocation and any other notice of enforcement action in a public area that is visually and physically accessible. A statement of deficiency shall remain posted for 90 days following receipt. Notices of revocation or suspension of certification shall remain posted until a final determination is made. DHS 105.14(3)(a)2.i.i. Prohibit the existence or continuation of any condition which creates or may create a substantial risk to the health, safety, well-being or welfare of any participant. DHS 105.14(3)(a)2.j.j. Ensure that the presence of other occupants does not adversely affect the health, safety, well-being or welfare of a participant. DHS 105.14(3)(b)1.1. ‘Qualifications.’ The program director of an ADCC shall be at least 21 years of age and have the capacity to respond to the needs of each participant and manage the day to day operations of the ADCC. The program director shall have at least one of the following qualifications: DHS 105.14(3)(b)1.a.a. An associate degree or higher from an accredited college in a health care related field. DHS 105.14(3)(b)1.b.b. At least 2 years’ experience working in a health care related field which served a population similar to the participant group at the ADCC. DHS 105.14(3)(b)2.a.a. Supervise the daily operation of the ADCC, including participant care and services, personnel, finances, and physical plant. DHS 105.14(3)(b)2.b.b. Provide the supervision necessary to ensure that each participant receive proper care and treatment, that their health and safety are protected and promoted, and that their rights are respected. DHS 105.14(3)(b)3.3. ‘Exemptions.’ The qualified program director of record at the ADCC, at the time this rule becomes effective, shall be exempt from the qualification requirements as specified in subd. 1. DHS 105.14(3)(b)4.4. ‘Program director absence.’ A qualified caregiver who is at least 18 years old shall be designated as in charge whenever the program director is absent from the ADCC. DHS 105.14(3)(c)(c) Caregiver. Each caregiver shall be at least 16 years old and have the skills, education, experience and ability to fulfill the caregiver’s job requirements. DHS 105.14(3)(d)1.1. ‘Caregiver background checks.’ The ADCC shall obtain a background check pursuant to s. 50.065, Stats., and ch. DHS 12, for any person who is, or is expected to be, an employee or contractor of the ADCC, who is or is expected to be under the control of the ADCC, and who has, or is expected to have, regular, direct contact with participants. DHS 105.14(3)(d)2.a.a. The ADCC shall obtain documentation from a physician, physician assistant, clinical nurse practitioner, or a licensed registered nurse indicating all employees have been screened for clinically apparent communicable diseases including tuberculosis. Screening for tuberculosis shall be conducted in accordance with current standards of practice. The screening and documentation shall be completed within 90 days before the start of employment or before assumption of duties in which the caregiver will have direct contact with any participant. The ADCC shall keep screening documentation confidential, except the department shall have access to the screening documentation for verification purposes. DHS 105.14(3)(d)2.b.b. Employees shall be re-screened for clinically apparent communicable diseases as described in this subdivision based on the likelihood of exposure to communicable diseases, including tuberculosis. DHS 105.14(3)(d)2.c.c. A person who has a communicable disease shall not be permitted to work or be present in the ADCC if the disease would present a risk to the health or safety of any participant.