rules and regulations for assisted living facilities level ii - Arkansas ...

esidents from 8:00 p.m. to 7:00 a.m., but in no event shall there be fewer
than two (2) staff persons on-duty at all times, one of which shall be a
CNA. The facility shall designate one staff member as the on-site
manager outside normal business hours. In addition to the staff
requirements set forth above in this subsection, facilities shall have an
administrator on-site during normal business hours, as required in Section
504.2.1.1. Staff persons who live on site but are sleeping shall not be
counted for minimum staffing. All needed direct care staff may be PCAs,
unless otherwise specified elsewhere in these regulations.
Facilities may employ flex staffing. Flex staffing permits facilities to vary
the beginning and ending hours for shifts, so that facilities may maximize
staff time to the benefit of residents. Facilities can designate that their
shifts will begin earlier or later than specified above.
When facilities utilize flex staffing, the shifts must meet the staffing
requirements set forth herein for the entire period of the shift. As way of
example only, if a facility begins a shift at 6:00 a.m., rather than 7:00 a.m.
in the example above, the minimum staffing requirement of one (1) staff
person per fifteen (15) residents will be required until 7:00 p.m., and those
minimums must be maintained throughout the entire period.
The Office of Long Term Care shall be notified in writing when a facility
implements a flex-staffing schedule. The written notice shall state the
beginning and ending hours of each shift under the flex staffing.
c. Each staff person on duty may be counted as direct care staff even if they
are currently involved in housekeeping, laundry or dietary activities as
long as universal precautions are followed.
504.4 All staff and contracted providers having direct contact with residents as well as
all food service personnel shall receive orientation and training on the following
topics within the time frames specified herein, provided, however, that individuals
employed and paid by the resident, resident’s family, or a representative of the
resident are exempt from this requirement:
a. Within seven (7) calendar days of hire:
1. Building safety and emergency measures, including safe operation
of fire extinguishers and evacuation of residents from the building;
2. Appropriate response to emergencies;
3 Abuse, neglect, and financial exploitation and reporting
requirements;
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Assisted Living Facilities Level II R. 08/01/11