DHS 105.14(2)(a)2.i.i. A program evaluation plan.
DHS 105.14(2)(a)2.j.j. Any additional information requested by the department.
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)(b) Program description.
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.b.b. The participant capacity of 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.d.d. The days and hours of operation of 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).
DHS 105.14(2)(b)2.2. Before finalizing an agreement to provide care, the ADCC shall provide its program description to each person seeking services or to the person’s legal representative, or both.
DHS 105.14(2)(b)3.3. The program description shall be provided to each caregiver and any other person upon request.
DHS 105.14(2)(c)(c) Fit and qualified determination. An applicant may not be certified unless the department determines the applicant is fit and qualified to operate an ADCC. To determine whether a person is fit and qualified, the department shall consider all of the following:
DHS 105.14(2)(c)1.1. Whether the applicant, any operator, or any non-client residents, as defined in s. 50.065 (1) (cn), Stats., meet the requirements of ch. DHS 12 and s. 50.065, Stats.
DHS 105.14(2)(c)2.2. The applicant’s history of compliance with Wisconsin or any other state or federal licensing or certification requirements, including any license revocation or denial.
DHS 105.14(2)(c)3.3. The applicant’s arrest and criminal records, including any of the following:
DHS 105.14(2)(c)3.a.a. Crimes or acts involving abuse, neglect or mistreatment of a person or misappropriation of property of a person.
DHS 105.14(2)(c)3.b.b. Crimes or acts subject to elder abuse reporting under s. 46.90, Stats.
DHS 105.14(2)(c)3.c.c. Crimes or acts related to the manufacture, distribution, use, or dispensing of a controlled substance.
DHS 105.14(2)(c)3.d.d. Fraud or substantial or repeated violations of applicable laws and rules in the operation of any health care center or in the care of dependent persons.
DHS 105.14(2)(c)3.e.e. A conviction or pending criminal charge which substantially relates to the care of adults or minors, to the funds or property of adults or minors, or to the operation of a residential or health care center.
DHS 105.14(2)(c)4.4. The financial history and the financial viability of the applicant or the applicant’s organization, including any outstanding debts, fees, or fines due to the department or other government agencies.
DHS 105.14(2)(d)(d) Department action.