Florida Senate - 2012                        COMMITTEE AMENDMENT
       Bill No. CS for SB 694
       
       
       
       
       
       
                                Barcode 645958                          
       
                              LEGISLATIVE ACTION                        
                    Senate             .             House              
                   Comm: WD            .                                
                  01/25/2012           .                                
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       The Committee on Health Regulation (Fasano) recommended the
       following:
       
    1         Senate Amendment 
    2  
    3         Delete lines 211 - 270
    4  and insert:
    5         (d) Each employee hired on or after July 1, 2012, who
    6  provides direct care to ADRD participants, must receive and
    7  review an orientation plan that includes, at a minimum:
    8         1. Procedures to locate an ADRD participant who has
    9  wandered from the center. These procedures shall be reviewed
   10  regularly with all direct care staff.
   11         2. Information on the Silver Alert program in this state.
   12         3. Information regarding available products or programs
   13  used to identify ADRD participants or prevent them from
   14  wandering away from the center, their home, or other locations.
   15         (7)(a) An ADRD participant admitted to an adult day care
   16  center licensed under this section, or the caregiver when
   17  applicable, must:
   18         1. Require ongoing supervision to maintain the highest
   19  level of medical or custodial functioning and have a
   20  demonstrated need for a responsible party to oversee his or her
   21  care.
   22         2. Not actively demonstrate aggressive behavior that places
   23  himself, herself, or others at risk of harm.
   24         3. Provide the following medical documentation signed by a
   25  licensed physician or a health care provider who is under the
   26  direct supervision of a licensed physician:
   27         a. Any physical, health, or emotional conditions that
   28  require medical care.
   29         b. A listing of the ADRD participant’s current prescribed
   30  and over-the-counter medications and dosages, diet restrictions,
   31  mobility restrictions, and other physical limitations.
   32         4. Provide documentation signed by a health care provider
   33  licensed in this state which indicates that the ADRD participant
   34  is free of the communicable form of tuberculosis and free of
   35  signs and symptoms of other communicable diseases.
   36         (b) Before admitting an ADRD participant to an adult day
   37  care center licensed under this section, the center shall
   38  determine whether:
   39         1. The medical, psychological, safety, and behavioral
   40  support and intervention required by the ADRD participant can be
   41  provided by the center.
   42         2. The resources required to assist with the ADRD
   43  participant’s acuity level of care and support needed can be
   44  provided or coordinated by the center.
   45         (8)(a) An ADRD participant’s file must include a data
   46  sheet, which must be completed within 45 days before or within
   47  24 hours after admission to an adult day care center licensed
   48  under this section. The data sheet must contain:
   49         1. Information regarding the status of the ADRD
   50  participant’s enrollment in an identification or wandering
   51  prevention program, including the name of the program; and
   52         2. A current photograph of the ADRD participant.
   53         (b) Dementia-specific services shall be documented in the
   54  ADRD participant’s file.
   55         (c) Notes regarding services provided to the ADRD
   56  participant must be entered at least monthly in the ADRD
   57  participant’s file, and must indicate the ADRD participant’s
   58  status or progress toward achieving identified goals. Additional
   59  notes must be entered more frequently if indicated by the ADRD
   60  participant’s condition.
   61         (d) An ADRD participant, or the participant's caregiver,
   62  shall annually provide the center with updated medical
   63  documentation required under subparagraphs (7)(a)3. and 4., and
   64  the center must place that documentation in the ADRD
   65  participant’s file.
   66