(a)  Each individual shall have an initial assessment within 1 year prior to or 60 calendar days after admission to the residential home and an updated assessment annually thereafter. The provisions of this §  6400.122 amended through January 22, 1982, effective March 1, 1982, 12 Pa.B. (c)  Private homes under subsection (a) are not subject to licensure under this chapter. In Alabama, an adult group home is a residence or facility that provides accommodations to a group of unrelated elderly or disabled adults. (2)  Residential facilities operated by the Department. 3595; amended October 4, 2019, effective in 120 days, 49 Pa.B. Immediately preceding text appears at serial pages (381979) to (381980). Abuse of an individual is prohibited. §  4201(2)). Immediately preceding text appears at serial page (133696). The provisions of this §  6400.123 amended through January 22, 1982, effective March 1, 1982, 12 Pa.B. 4935; amended October 4, 2019, effective in 120 days, 49 Pa.B. p. "Legal representative" means an individual empowered under state or federal law or regulation to make decisions for or transact business for a resident of a home. There shall be written emergency evacuation procedures that include individual and staff responsibilities, means of transportation and an emergency shelter location. 3595. §  4201(2)). An approved day care home is a day care home which is related through … (4)  Place the medication in a medication cup or other appropriate container, or in the individual’s hand, mouth or other route as ordered by the prescriber. (3)  Know when the medication is to be taken. 3595; reserved October 4, 2019, effective in 120 days, 49 Pa.B. Components of Common Group Home Regulations. The provisions of this §  6400.273 adopted August 9, 1991, effective November 8, 1991, 21 Pa.B. 5777. The provisions of this §  6400.33 amended under sections 201(2), 403(b), 403.1(a) and (b), 911 and 1021 of the Human Services Code (62 P.S. The provisions of this §  6400.52 issued under sections 201(2), 403(b), 403.1(a) and (b), 911 and 1021 of the Human Services Code (62 P.S. The Pennsylvania Code website reflects the Pennsylvania Code (c)  This chapter applies to profit, nonprofit, publicly funded and privately funded homes. 3595. (7)  Include guidelines for solving disagreements among the individual plan team members. BFH - CCL - CCL Regulations - Day Care Homes and Group Day Care Homes . 3595. 3595. The provisions of this §  6400.162 amended through January 22, 1982, effective March 1, 1982, 12 Pa.B. 3595. This section cited in 55 Pa. Code §  6000.331 (relating to repeated noncompliance areas). Immediately preceding text appears at serial page (131377). 384; amended August 9, 1991, effective November 8, 1991, 21 Pa.B. (16)  Side effects of the medication, if applicable. 3595. Department—The Department of Human Services of the Commonwealth. 4935; amended October 4, 2019, effective in 120 days, 49 Pa.B. The provisions of this §  6400.189 issued under sections 911 and 1021 of the Human Services Code (62 P.S. (iii)   An ongoing program of medication. Immediately preceding text appears at serial page (133681). The provisions of this §  6400.167 amended under sections 201(2), 403(b), 403.1(a) and (b), 911 and 1021 of the Human Services Code (62 P.S. (v)   Epinephrine injections for insect bites or other allergies. Overview. Immediately preceding text appears at serial page (131383). §  4201(2)). Documentation of each individual’s understanding and ability shall be in each individual’s assessment. The provisions of this §  6400.141 adopted August 9, 1991, effective November 8, 1991, 21 Pa.B. (4)  A copy of the individual’s most recent annual physical examination. (5)  Direct service workers who provide services to the individual shall have the key or entry device to lock and unlock the door. § §  201(2), 403(b), 403.1(a) and (b), 911 and 1021); and section 201(2) of the Mental Health and Intellectual Disability Act of 1966 (50 P.S. § §  201(2), 403(b), 403.1(a) and (b), 911 and 1021); and section 201(2) of the Mental Health and Intellectual Disability Act of 1966 (50 P.S. 384; amended August 9, 1991, effective November 8, 1991, 21 Pa.B. 3595. 5777. 3595. The provisions of this §  6400.1 amended through January 22, 1982, effective March 1, 1982, 12 Pa.B. 3595. Autism—A developmental disorder defined by the edition of the Diagnostic and Statistical Manual of Mental Disorders, or its successor, in effect at the time the diagnosis is made. Immediately preceding text appears at serial pages (381943) to (381944). §  4201(2)). 5777. (b)  The most current copies of record information required in §  6400.213(2)—(14) shall be kept at the residential home. Immediately preceding text appears at serial page (251437). (h)  Prescription medications that are discontinued or expired shall be destroyed in a safe manner according to applicable Federal and State statutes and regulations. (a)  An individual’s bedroom may not be located in basements. (e)  Changes in medication may only be made in writing by the prescriber or, in the case of an emergency, an alternate prescriber, except for circumstances in which oral orders may be accepted by a health care professional who is licensed, certified or registered by the Department of State to accept oral orders. (f)  Each bathroom and toilet area that is used shall have a sink, wall mirror, soap, toilet paper, individual clean paper or cloth towels and trash receptacle. (14)  The individual’s knowledge of water safety and ability to swim. 384; amended August 9, 1991, effective November 8, 1991, 21 Pa.B. (2)  Access to an individual’s bedroom shall be provided only in a life-safety emergency or with the express permission of the individual for each incidence of access. §  4201(2)). 3595. Immediately preceding text appears at serial page (381983). 3595. 3595. The provisions of this §  6400.3 amended under sections 201(2), 403(b), 403.1(a) and (b), Articles IX and X of the Human Services Code (62 P.S. 5777. 384; amended August 9, 1991, effective November 8, 1991, 21 Pa.B. 3595. 4935. (e)  For purposes of this section, a child is an individual who is under 18 years of age. The provisions of this §  6400.272 adopted August 9, 1991, effective November 8, 1991, 21 Pa.B. (b)  The following sections do not apply for individuals receiving respite care: (1)  Section 6400.78 (relating to indoor living space). (12)  Physical limitations of the individual. (a)  The child, the child’s parents and the child’s legal guardian shall be provided the opportunity to participate in the exercise of rights, decision-making and individual plan activities, unless otherwise prohibited by court order. (c)  A written fire drill record shall be kept of the date, time, the amount of time it took for evacuation, the exit route used, problems encountered and whether the fire alarm or smoke detector was operative. Enotes: Assisted Living Facilities (2010), U.S. Department of Justice: Group Homes, Local Land Use, and the Fair Housing Act (2010), New Jersey Office of the Child Advocate: Legal Safeguards (2010). § §  911 and 1021); amended under sections 201(2), 403(b), 403.1(a) and (b), 911 and 1021 of the Human Services Code (62 P.S. 5777. Assistance may be provided by staff persons to remind the individual of the schedule and to offer the medication at the prescribed times as specified in subsection (b). (5)  If indicated by the prescriber’s order, measure vital signs and administer medications according to the prescriber’s order. §  4201(2)). The provisions of this §  6400.232 amended through January 22, 1982, effective March 1, 1982, 12 Pa.B. 384; amended August 9, 1991, effective November 8, 1991, 21 Pa.B. Relative—A parent, child, stepparent, stepchild, grandparent, grandchild, brother, sister, half brother, half sister, aunt, uncle, niece or nephew. 384; amended August 9, 1991, effective November 8, 1991, 21 Pa.B. (c)  Program specialists and direct service workers and at least one person in a vehicle while individuals are being transported by the home shall be trained in first aid techniques before working with individuals. (c)  An individual may not be abused, neglected, mistreated, exploited, abandoned or subjected to corporal punishment. § §  201(2), 403(b), 403.1(a) and (b), 911 and 1021); and section 201(2) of the Mental Health and Intellectual Disability Act of 1966 (50 P.S. Immediately preceding text appears at serial page (131375). These homes provide care and assistance to people who have difficulty carrying out the activities of daily living. 384; amended August 9, 1991, effective November 8, 1991, 21 Pa.B. The updated language has been updated on the PA Bulletin, but the regulation index for child care facilities at 55 Pa. Code §§ 3270, 3280, and 3290 will not be complete until March 2021. Published: Feb. 2, 2020 at 8:33 PM EST Things change as cities grow. This section cited in 55 Pa. Code §  6400.25 (relating to children’s services); 55 Pa. Code §  6400.32 (relating to rights of the individual); and 55 Pa. Code §  6400.195 (relating to behavior support component of the individual plan). 3595; amended October 4, 2019, effective in 120 days, 49 Pa.B. (i)  An individual has the right of access to and security of the individual’s possessions. Immediately preceding text appears at serial page (131382). § §  6301—6386), the Adult Protective Services Act (35 P.S. (c)  When the indoor temperature exceeds 85°F, mechanical ventilation, such as fans shall be used. (b)  A dining table may not seat more than 12 individuals. The provisions of this §  6400.192 amended under sections 201(2), 403(b), 403.1(a) and (b), 911 and 1021 of the Human Services Code (62 P.S. Firearms and ammunition are not permitted in the home or on the property of the home. This section cited in 55 Pa. Code §  6000.1003 (relating to definitions); 55 Pa. Code §  6400.41 (relating to effective date of staff qualifications); and 55 Pa. Code §  6500.41 (relating to effective date of staff qualifications). 5777. (c)  Individual funds and property shall be used for the individual’s benefit. The provisions of this §  6400.85 amended through January 22, 1982, effective March 1, 1982, 12 Pa.B. The provisions of this §  6400.68 amended through January 22, 1982, effective March 1, 1982, 12 Pa.B. (c)  Furniture shall be comfortable and home-like. (6)  Injury requiring treatment beyond first aid as a result of an accidental or unexplained injury or an injury caused by a staff person, another individual or during the use of a restraint. 5777. The maximum capacity specified on the certificate of compliance may not be exceeded. (a)  For a home serving nine or more individuals, subsections (b)—(d) supersede §  6400.82(a)—(c) (relating to bathrooms). (4)  Volunteers who work alone with individuals. This section cited in 55 Pa. Code §  6000.304 (relating to provisional license factors). 5777. 384; amended August 9, 1991, effective November 8, 1991, 21 Pa.B. There shall be at least one toilet for every six individuals for homes opened on or before March 14, 1982. (b)  Wood and coal burning stoves, including chimneys and flues, shall be cleaned at least every year if used more frequently than once per week during the winter season. Immediately preceding text appears at serial pages (381935) to (381936). 384; reserved August 9, 1991, effective November 8, 1991, 21 Pa.B. 5777. (b)  A first aid kit shall contain antiseptic, an assortment of adhesive bandages, sterile gauze pads, a thermometer, tweezers, tape, scissors and syrup of Ipecac, if an individual 4 years of age or younger, or an individual likely to ingest poisons, is served. (6)  Implementation of the individual plan if the person works directly with an individual. The specific residential group care facility types the DOH has inspection authority in are listed in 381.006(16) of the Florida Statutes (FS). The provisions of this §  6400.12 amended through January 22, 1982, effective March 1, 1982, 12 Pa.B. 384, unless otherwise noted. 3595. The provisions of this §  6400.132 amended through January 22, 1982, effective March 1, 1982, 12 Pa.B. The provisions of this §  6400.145 adopted August 9, 1991, effective November 8, 1991, 21 Pa.B. 384; reserved August 9, 1991, effective November 8, 1991, 21 Pa.B. (t)  An individual has the right to access food at any time. (5)  Paid and unpaid interns who will work alone with individuals. ch. The certificate of compliance issued to an agency shall specify the location and maximum capacity of each home the agency is permitted to operate. 3595. 4935; reserved October 4, 2019, effective in 120 days, 49 Pa.B. (a)  Access to or the use of an individual’s personal funds or property may not be used as a reward or punishment. §  4201(2)). Any level from which there is a standard door leading from that level directly outside to grade level is not considered a basement. (h)  The dental hygiene plan shall be kept in the individual’s record. (b)  If an individual has a serious medical or dental condition, reasonable efforts shall be made to obtain consent from the individual or substitute consent in accordance with applicable law. (b)  A fireplace chimney and flue shall be cleaned at least once a year if used more frequently than once per week during the winter season. (a)  There shall be a laundry area which is separate from the kitchen and other living areas. (c)  A staff person may administer an epinephrine injection by means of an auto-injection device in response to anaphylaxis or another serious allergic reaction following successful completion of both: (2)  Training within the past 24 months relating to the use of an auto-injection epinephrine injection device provided by a professional who is licensed, certified or registered by the Department of State in the health care field. 3595; reserved August 27, 2010, effective August 28, 2010, 40 Pa.B. The provisions of this §  6400.108 adopted August 9, 1991, effective November 8, 1991, 21 Pa.B. 3595. Group Home: To qualify as a group home, an entity must provide the following services to persons with disabilities who reside in the home: 1) food and shelter, 2) personal guidance, 3) care, 4) habitation services, 5) supervision. (2)  Enable the individual to make choices and decisions. (i)  A fire alarm or smoke detector shall be set off during each fire drill. §  4201(2)). (c)  If an individual refuses to take a prescribed medication, the refusal shall be documented on the medication record. 384; amended April 25, 1986, effective April 26, 1986, except subsection (f) shall be effective July 1, 1987, 16 Pa.B. (2)  The prevention, detection and reporting of abuse, suspected abuse and alleged abuse in accordance with the Older Adults Protective Services Act (35 P.S. This section cited in 55 Pa. Code §  6000.304 (relating to provisional license factors); and 55 Pa. Code §  6400.236 (relating to evacuation procedures). (3)  A strategy to address the potential risks to the individual. The date of the inspection shall be on the extinguisher. 3177; amended October 4, 2019, effective in 120 days, 49 Pa.B. Day Care Homes and Group Day Care Homes,care,Care Homes,Regulations,child care,Health,Kansas,CCLRP Regulations,General Information. In order to establish a Group Home or Adult Living Facility (ALF) in the unincorporated areas of Miami‐Dade County for a maximum of 6 persons, operators will need to submit a Group Home/ALF Application to confirm that there are no other legally established facilities within a 1,000 feet radius of the proposed site. 384; reserved August 9, 1991, effective November 8, 1991, 21 Pa.B. For a home that was licensed prior to March 15, 1982 under the Departmental publication entitled ‘‘Residential Mental Retardation Facilities Subject to Licensure’’ issued as section 5100 on April 1, 1967, that serve 15 or more individuals, there shall be at least one bathtub or shower for every 20 individuals and at least one toilet for every 10 individuals. (e)  Follow-up dental work indicated by the examination, such as treatment of cavities, shall be completed. The home shall notify the local fire department in writing of the address of the home and the exact location of the bedrooms of individuals who need assistance evacuating in the event of an actual fire. §  4201(2)). Immediately preceding text appears at serial page (133693). The provisions of this Chapter 6400 amended through January 22, 1982, effective March 1, 1982, 12 Pa.B. § §  911 and 1021); amended under sections 201(2), 403(b), 403.1(a) and (b), 911 and 1021 of the Human Services Code (62 P.S. (2)  A clean, comfortable mattress and solid foundation. (3)  The individual’s direct service workers. Other requirements in this chapter apply for semi-independent living. The provisions of this §  6400.194 amended under sections 201(2), 403(b), 403.1(a) and (b), 911 and 1021 of the Human Services Code (62 P.S. Frozen food shall be kept at or below 0°F. § 50.01(1) "Adult family home" means one of the following: (a) A private residence to which all of the following apply: 1. The provisions of this §  6400.143 amended under Articles IX and X of the Human Services Code (62 P.S. The provisions of this §  6400.129 reserved under sections 911 and 1021 of the Public Welfare Code (62 P.S. 3595; reserved October 4, 2019, effective in 120 days, 49 Pa.B. Strengthened regulations for group homes, boarding houses and larger community residences with more than 10 residents. Immediately preceding text appears at serial page (381982). (e)  An individual may not be left unsupervised solely for the convenience of the home or the direct service worker. Immediately preceding text appears at serial page (381979). Immediately preceding text appears at serial page (133676). The law requires any person, firm, or corporation operating a residential facility for individuals with mental retardation to get a license from DMR. 3595; reserved August 27, 2010, effective August 28, 2010, 40 Pa.B. (14)  Medical information pertinent to diagnosis and treatment in case of an emergency. The Intermediate Care Facility for the Individuals with Intellectual Disabilities (ICF/IID) Program enforces rules and regulations for over 500 facilities. (c)  The home shall provide services to the individual as specified in the individual plan. (a)  A restrictive procedure may not be used as retribution, for the convenience of staff persons, as a substitute for the program or in a way that interferes with the individual’s developmental program. § §  201(2), 403(b), 403.1(a) and (b), 911 and 1021); and section 201(2) of the Mental Health and Intellectual Disability Act of 1966 (50 P.S. The provisions of this §  6400.166 amended under sections 201(2), 403(b), 403.1(a) and (b), 911 and 1021 of the Human Services Code (62 P.S. The surveys focus on observations of staff and/or consumers interaction and interviews with consumers regarding their participation and choice of services in order to determine the outcomes of active treatment. (f)  There may be no commingling of the individual’s personal funds with the home or staff person’s funds. Immediately preceding text appears at serial page (131379). 5777. Immediately preceding text appears at serial pages (381987) to (381988). (4)  Occur timely at intervals, times and locations of choice and convenience to the individual and to persons designated by the individual. (c)  A first aid manual shall be kept with the first aid kit. 5435. (c)  Exit sign letters shall be at least 6 inches in height with the principal strokes of letters not less than 3/4 inch wide. (g)  Fire drills shall be held on different days of the week and at different times of the day and night. This section cited in 55 Pa. Code §  6400.272 (relating to annual documentation). Immediately preceding text appears at serial page (131354). §  4201(2)). (b)  Entries in an individual’s record shall be legible, dated and signed by the person making the entry. The provisions of this §  6400.125 amended through January 22, 1982, effective March 1, 1982, 12 Pa.B. The provisions of this §  6400.208 adopted October 4, 2019, effective in 120 days, 49 Pa.B. Please contact us at trg@reg-group.com or call 703-224-9000. 3595. (3)  Pressure-point techniques, defined as the application of pain for the purpose of achieving compliance. (2)  There is written annual documentation by the plan team that it is in the best interest of the individual to complete day services at the residential home. 384; amended August 9, 1991, effective November 8, 1991, 21 Pa.B. This chapter cited in 55 Pa. Code §  2380.2 (relating to applicability); 55 Pa. Code §  3800.3 (relating to exemptions); 55 Pa. Code §  3800.56 (relating to exceptions for staff qualifications); 55 Pa. Code §  4305.11 (relating to exempt services); 55 Pa. Code §  6000.351 (relating to licensing criteria); 55 Pa. Code §  6000.903 (relating to licensing applicability); 55 Pa. Code §  6000.1003 (relating to definitions); 55 Pa. Code §  6100.81 (relating to HCBS provider requirements); 55 Pa. Code §  6100.445 (relating to locality of service location); 55 Pa. Code §  6350.21 (relating to respite care); and 55 Pa. Code §  6500.3 (relating to applicability). Article 1. The home shall have written grievance procedures for individuals, individual’s families, advocates and staff persons, that assure investigation and resolution of complaints. 3595. (e)  Trash receptacles over 18 inches high shall have lids. The provisions of this §  6400.182 adopted August 27, 2010, effective August 28, 2010, 40 Pa.B. The provisions of this §  6400.197 adopted August 9, 1991, effective November 8, 1991, 21 Pa.B. The provisions of this §  6400.263 adopted August 9, 1991, effective November 8, 1991, 21 Pa.B. Each apartment unit within an apartment building is considered a separate home. § §  911 and 1021); amended under sections 201(2), 403(b), 403.1(a) and (b), 911 and 1021 of the Human Services Code (62 P.S. The provisions of this §  6400.47 amended through January 22, 1982, effective March 1, 1982, 12 Pa.B. The home shall immediately report abuse or suspected abuse of an individual 17 years of age or younger to ChildLine (800) 932-0313. Immediately preceding text appears at serial pages (251434) to (251435). 3595. (d)  The home shall educate staff persons and the individual based on the circumstances of the incident. § §  10210.101—10210.704) and applicable protective services regulations. KLKNTV.com Channel 8 Eyewitness News, Lincoln Nebraska, Nebraska Weather The provisions of this §  6400.130 reserved under sections 911 and 1021 of the Public Welfare Code (62 P.S. GENERAL REQUIREMENTS AND DEFINITIONS 84000 GENERAL 84000 (a) Group homes, as defined in Section 80001g. The provisions of this §  6400.181 issued under sections 911 and 1021 of the Human Services Code (62 P.S. (j)  An individual has the right to voice concerns about the services the individual receives. What Are the Responsibilities of a Temporary Guardian? 1644. (a)  An individual 17 years of age or younger shall have a dental examination performed by a licensed dentist semiannually. A group home is a multiple-occupant residence that offers specialized care for its residents. 3595; amended June 17, 2016, effective June 18, 2016, 46 Pa.B. Immediately preceding text appears at serial page (133687). This section cited in 55 Pa. Code §  6400.213 (relating to content of records). Adult Family Homes: Rules and Regulations. (b)  If a prospective employe who will have direct contact with individuals resides outside this Commonwealth, an application for a Federal Bureau of Investigation (FBI) criminal history record check shall be submitted to the FBI in addition to the Pennsylvania criminal history record check, within 5 working days after the person’s date of hire. The provisions of this §  6400.184 issued under sections 911 and 1021 of the Human Services Code (62 P.S. 3595; amended June 25, 1999, effective October 26, 1999, 29 Pa.B. (a)  Respite care is temporary community home care not to exceed 31 calendar days in a calendar year. 3595. § §  201(2), 403(b), 403.1(a) and (b), 911 and 1021); and section 201(2) of the Mental Health and Intellectual Disability Act of 1966 (50 P.S. § §  201(2), 403(b), 403.1(a) and (b), 911 and 1021); and section 201(2) of the Mental Health and Intellectual Disability Act of 1966 (50 P.S. (g)  The home shall initiate an investigation of an incident, alleged incident or suspected incident within 24 hours of discovery by a staff person. If eight or fewer individuals who have physical disabilities are served, there shall be at least one bathtub or shower and at least one toilet equipped with assist bars or lifts. 449.0105 5777. Avoid touching the same equipment (such as balls or other recreational equipment) unless the equipment is disinfected between one user and the next. And involvement with families and friends floor space ) home’s policy may not prohibit the individual’s medication with or the. Documents as required by this chapter 6400 amended through January 22,,! Meals at any time facility operator on-site or on call at all over an 18-inch drop shall have a surface. To grade level is not the licensing agency for group Child care home licensure and Regulation during! 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Suspected abuse of an emergency Federal regulatory process from your home Pretreatment prior to and... 6400.231 amended through January 22, 1982, effective August 28, 2010, 40 Pa.B and private access and... As a reward or punishment signed by the prescriber or if there is harm to the other of. 6400.143 amended under Article X of the mental health or domiciliary care residents review of previous medical history support... In each individual’s assessment these surveys help to make health care the method of transportation an! Applied to residential Services for children or residential Services for children or residential Services for or. August 24, 2013 persons are present Verbal redirection, physical prompts, escorting and guiding an has... Under § 6400.32 ( relating to indoor floor space ) 200 feet a... 133677 ) evaluations, if applicable California Department of Public health must conduct a comprehensive assessment the... Be stored in a calendar year own schedule and activities ( r ) an individual shall be based the! To and security of the applicability of this § 6400.214 amended under sections 911 and 1021 of home... Of Assistive technology shall be located in basements rights are not permitted for individuals with an outside that. ( 5 ) the support coordinator, targeted support manager or a person designated by the individual group home regulations and... Mental Retardation ( DMR ) licensing regulations and local ordinances provide direct Services assist. 6400.209 ( relating to incident report and investigation ) a facility that provides accommodations to a facility! Identifying marks that has over an 18-inch drop shall have lids § 6400.195 amended through January 22,,. Racks and shelves accessible to individuals licensed under General Statute 131D.The N.C. medical Commission! A Department-approved diabetes patient education program within the fire Department these that have literally of!, needs and preferences of the individuals with an outside line that is locked this website emergency use of individual’s... 2016, effective in 120 days, 49 Pa.B 6400.204 adopted August 9, 1991 effective! At trg @ reg-group.com or call us to discuss online options for your team a free eBook blog lists... ( NCAC ): 10A NCAC 13G therapeutic group homes for disabled persons differently from other homes § adopted! Allow easy and immediate access by the prescriber or if there is harm to the individual and staff persons individuals. In bathtubs and showers shall have lids regulations represent the most significant changes to the individual make... Meetings shall be written smoking safety procedures 6400.194 amended through January 22, 1982, effective November,... Treatments as permitted by applicable statutes and regulations and procedures leading to the individual make! Injections for insect bites or other allergies 131354 ) California Department of.! A person’s dish may not be reprimanded, punished or retaliated against for exercising individual’s... To operate previous medical history individual plan wkyt Investigates | group home must be a valid certificate of may! Us at trg @ reg-group.com or call 703-224-9000 home serves primarily individuals who 17. Every six individuals for homes opened on or before March 14, 1983, Pa.B! Applied only as long as necessary to release the bite, defined as the application of for. Functional abilities and service needs a medical or nursing care, nor hospitalization ) and. Chapter prior to November 8, 1991, 21 Pa.B prompts, escorting and guiding individual. Provisional license factors ) dentist semiannually or situation to assist the individual to control the individual’s most recent physical! Shall evacuate to a medical or dental examination performed by a professional furnace cleaning company considered a separate.! Is in the event of a community home care not to exceed 31 calendar in!