<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".13" citation="COMAR 10.07.14.13" title_num="10" subtitle_num="07" chapter_num="14" heading="Administration.">
  <paragraph num="A.">
    <text>Quality Assurance.</text>
    <paragraph num="(1)">
      <text>The assisted living program manager or their designee shall develop and implement a quality assurance plan.</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Quality Assurance Plan.</text>
      <paragraph num="(a)">
        <text>The quality assurance plan shall include an annual facility risk assessment for tuberculosis, in accordance with the CDC Guidelines for Preventing the Transmission of Mycobacterium tuberculosis in Health-Care Settings, 2005.</text>
      </paragraph>
      <paragraph num="(b)">
        <text>The assisted living manager and the delegating nurse shall meet at least every 6 months to review the:</text>
        <paragraph num="(i)">
          <text>Change in status of the assisted living program’s residents;</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Service plan requirements; and</text>
        </paragraph>
        <paragraph num="(iii)">
          <text>Written recommendations, findings, and outcomes of pharmacy reviews, as required by Regulation .31I of this chapter.</text>
        </paragraph>
      </paragraph>
      <paragraph num="(c)">
        <text>The assisted living manager shall document the proceedings of the meeting referred to in §A(2)(b) of this regulation.</text>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>Family Council.</text>
    <paragraph num="(1)">
      <text>If assisted living program residents have a family council, the assisted living program shall make reasonable attempts to support and cooperate with the family council.</text>
    </paragraph>
    <paragraph num="(2)">
      <text>The family council for an assisted living program may include the following members:</text>
      <paragraph num="(a)">
        <text>Members of a current resident’s family;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>An individual appointed by a current resident who has the capacity to appoint an individual;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>A resident representative; or</text>
      </paragraph>
      <paragraph num="(d)">
        <text>An individual appointed by a resident representative.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(3)">
      <text>The assisted living program shall provide the family council the right to privacy for meetings and, if possible, the space to meet privately.</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Staff members may attend a meeting only if requested by the family council.</text>
    </paragraph>
    <paragraph num="(5)">
      <text>The assisted living program shall consider the family council’s recommendations and grievances and attempt to accommodate those recommendations and grievances that affect residents’ quality of life.</text>
    </paragraph>
    <paragraph num="(6)">
      <text>The assisted living program shall respond in writing within 30 calendar days to the family council when it has received written requests or grievances from the council.</text>
    </paragraph>
  </paragraph>
  <paragraph num="C.">
    <text>Resident Council.</text>
    <paragraph num="(1)">
      <text>If an assisted living program has a resident council, the assisted living program shall make reasonable attempts to support and cooperate with the resident council.</text>
    </paragraph>
    <paragraph num="(2)">
      <text>A resident council includes current residents of the assisted living program.</text>
    </paragraph>
    <paragraph num="(3)">
      <text>The assisted living program shall provide the resident council the right to privacy for meetings and, if possible, the space to meet privately.</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Staff members may attend a meeting only if requested by the resident council.</text>
    </paragraph>
    <paragraph num="(5)">
      <text>The assisted living program shall consider the council’s recommendations and grievances and attempt to accommodate those recommendations and grievances that affect the residents’ quality of life.</text>
    </paragraph>
    <paragraph num="(6)">
      <text>The assisted living program shall respond in writing within 30 calendar days to the resident council when it has received written requests or grievances from the council.</text>
    </paragraph>
  </paragraph>
</regulation>