Sec. 07.02.19.10. Provider Responsibilities

A. Level of Care.

(1) A CARE home shall provide a level of care based on the provider's ability to:

(a) Respond to the resident's need for supervision;

(b) Teach activities of daily living;

(c) Provide personal care services and encouragement; and

(d) Facilitate the resident's decision making and planning.

(2) The level of care and services provided to an individual resident shall be:

(a) Specified in the residential service agreement;

(b) Based on the initial or most recent assessment of the intensity of the services needed by the resident;

(c) Determined by the case manager using the assessment form provided by the Administration; and

(d) Provided by the care provider according to the service plan developed by the case manager, and based on the applicant's needs described in the applicant's assessment form.

(3) Four Levels of Care, as Determined by the Case Manager's Assessment.

(a) Level A is minimal supervision, assistance, and personal care, where the provider shall:

(i) Perform brief interventions in the applicant's self-care routine; and

(ii) Carry out general supportive oversight.

(b) Level B is moderate supervision, assistance, and personal care, where the provider shall:

(i) Perform substantial or frequent interventions in the applicant's self-care routine; and

(ii) Provide general supervision and oversight of the applicant's activities.

(c) Level C is extensive supervision, assistance, and personal care, where the provider:

(i) Shall perform substantial or frequent interventions in the applicant's self-care routine;

(ii) May implement a plan of teaching elements of activities of daily living; and

(iii) Shall provide supportive supervision and oversight of the applicant's activities.

(d) Level D is specialized and intense supervision, assistance, and personal care, where the provider:

(i) Shall perform very frequent interventions in the applicant's self-care routine;

(ii) May implement a plan of teaching elements of activities of daily living; and

(iii) Shall provide supportive supervision and oversight of the resident's activities.

B. Other Provider Responsibilities. The provider shall:

(1) Designate and utilize a backup support approved by the local department to provide care in emergency situations or in the provider's extended absence;

(2) Provide the resident with three balanced meals per day or other special diet prescribed by the resident's health care provider;

(3) Provide resident with sufficient, weather appropriate, clothing to maintain hygiene;

(4) Maintain all of the home's equipment and supplies in a safe and functioning condition;

(5) If the provider permits smoking, designate a smoking area;

(6) Post the CARE home certification in the area of the residence visible to residents and visitors;

(7) Establish a fire escape plan, instruct each resident about the plan upon arrival in the home, and practice the plan with all residents at least every 3 months;

(8) Maintain records on each resident that include:

(a) Dates of placement and discharge;

(b) Payment sources and amount;

(c) Individualized service plan agreement; and

(d) Emergency data;

(9) Provide an area in the home where the resident may have visitors with a reasonable amount of privacy;

(10) In collaboration with the case manager and resident, establish a written resident-provider agreement which includes the:

(a) Method and amount of payment;

(b) Level and type of service to be provided; and

(c) Provider's house rules;

(11) Except in an emergency, provide at least 30 days notice to the resident and resident's case manager if change in placement is required;

(12) Notify the local department or case manager within 24 hours of any:

(a) Unusual incident or accident involving a resident or provider such as serious illness, accident, death, significant change in behavior, or move; or

(b) Planned or unplanned absence from the home;

(13) Notify the local department at least 90 days before relocating the home; and

(14) Notify the local department at least 30 days before making any other changes affecting certification.