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At least one direct care staff person must be present and awake in the personal care home at all times one or more residents are present in the personal care home.
In Pennsylvania, personal care homes are designed to provide safe, humane, comfortable and supportive residential settings for adults who do not require the services in or of a licensed long-term care facility, but who do require assistance or supervision with activities of daily living, instrumental activities of daily living, or both. See 55 Pa. Code § 2600.1 (b).
A secured dementia care unit is a personal care home or portion of a personal care home that provides specialized care and services for residents with Alzheimer’s disease or other dementia. See 55 Pa. Code § 2600.231(a).
A key characteristic or staffing requirement of a Pennsylvania personal care home is that, depending on the home’s number of residents, at least one direct care staff person must be present and awake in the home at all times one or more residents are present in the home . See 55 Pa. Code§ 2600.57, § 2600.58, § 2600.59.
A direct care staff person is a staff person who directly assists residents with activities of daily living, and instrumental activities of daily living and provides services or is otherwise responsible for the health, safety and well-being of the residents. See 55 Pa. Code§ 2600.4 .
The term “activities of daily living” ( ADL) includes eating, drinking, ambulating, transferring in and out of a bed or chair, toileting, bladder and bowel management, personal hygiene, securing health care, managing health care, self-administering medication and proper turning and positioning in a bed or chair. See 55 Pa. Code§ 2600.4
The term “instrumental activities of daily living ” (IADL) includes the following terms when done on behalf of a resident : (i) Doing laundry. (ii) Shopping. (iii) Securing and using transportation. (iv) Managing finances. (v) Using a telephone. (vi) Making and keeping appointments. (vii) Caring for personal possessions. (viii) Writing correspondence. (ix) Engaging in social and leisure activities. (x) Using a prosthetic device. (xi) Obtaining and keeping clean, seasonal clothing. See 55 Pa. Code§ 2600.4
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