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BUREAU OF CHILDREN AND ADULT LICENSING Adult Foster Care and Homes for the Aged Licensing FOR LICENSEES PREPARATION and PROCESSES INTERVIEW & OBSERVATION RENEWAL INSPECTIONS

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BCAL AFC/HFA Licensing Oct. 2012 Interviews and observations have become the means of gathering information. The new renewal inspection process consists of practices you have experienced during previous renewal inspections, but with more focus on interviews and observations. INTRODUCTION TO INTERVIEW AND OBSERVATION RENEWAL INSPECTIONS

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BCAL AFC/HFA Licensing Oct. 2012 We will address each of these Adjustments Key Indicators One Day Notice INTRODUCTION of new aspects: Interviews Observations Document Review REVIEW of familiar practices: WHATS IN STORE AN OUTLINE OF WHAT TO EXPECT IN THE PRESENTATION

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BCAL AFC/HFA Licensing Oct. 2012 An inspection will be conducted about this time. PREPARATION LOOK AT YOUR LICENSE EXPIRATION DATE

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BCAL AFC/HFA Licensing Oct. 2012 Its good to do these things because The medication administration schedule. The meal schedule. The best time of day for an inspection. The days you are not available. Within a month of your license expiration date (or sooner), contact your consultant and discuss: AFC ONLY WHAT TO DO BEFORE A RENEWAL INSPECTION

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BCAL AFC/HFA Licensing Oct. 2012 We will accomplish this with a The best way to confirm and commend your program is to become more familiar with it. Services and care occur on a day-to-day basis. Compliance with requirements is not simply planned, it is a way of life. Renewal inspections are no longer scheduled for adult foster care facilities. RENEWAL INSPECTIONS ARE NO LONGER SCHEDULED

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BCAL AFC/HFA Licensing Oct. 2012 Renewal inspections do not occur on weekends. Your licensing consultant will contact you one day before coming to your home to do an inspection. Hello, Ms. Smith, I will be there tomorrow for the renewal inspection. This allows consultants to observe what takes place on a day-to-day basis. Instead of planning a renewal inspection weeks in advance, you will be informed of an inspection the day prior. ONE-DAY NOTICE AFC ONLY ONE DAY NOTICE Okay. Im ready.

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BCAL AFC/HFA Licensing Oct. 2012 Now what? Egads! Available NotIm You just received a call from your consultant saying the inspection is tomorrow and WHAT IF AFC ONLY ADJUSTMENT WHAT IF MY CONSULTANT WANTS TO DO AN INSPECTION AND THE LICENSEE IS NOT AVAILABLE

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BCAL AFC/HFA Licensing Oct. 2012 Remember, AFC renewal inspections are no longer scheduled weeks in advance. Wait to hear from your consultant regarding another inspection date. Provide the days you ARE available. Tell your consultant you can not meet. AFC ONLY WHAT TO DO IF YOU CAN NOT MEET WITH YOUR CONSULTANT

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BCAL AFC/HFA Licensing Oct. 2012 Once you tell your consultant you are not available: 1.Your consultant will not schedule another inspection date. 2.Your consultant will contact you on a different day. 3.An inspection will take place the day after this call. AFC ONLY WHAT YOUR CONSULTANT WILL DO WHEN YOU SAY YOU ARE NOT AVAILABLE

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BCAL AFC/HFA Licensing Oct. 2012 If you are new to adult foster care, dont fret. Think about the first time your consultant came to your home. Remember some of those conversations? Youre ready. Can I get your autograph? Shes so cool! I just happen to be a fabulous caretaker, Bob! Ask anyone. This will happen more often and also include staff and residents. At some point in your past, you had a conversation with your consultant about how you manage your home. Think about it You are not new to the interviewing process. INTERVIEWS

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This includes speaking with residents privately, away from staff and the licensee. Consultants continually keep these in mind and demonstrate this by speaking with residents in a way that encourages comfort and participation. ----------------------------------------------- Keys to positive resident interactions. Protection Dignity Respect BCAL AFC/HFA Licensing Oct. 2012 Resident Interviews

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BCAL AFC/HFA Licensing Oct. 2012 knowledge and abilities. These interviews contribute to quality inspections. Interviews allow staff to magnify their Information commonly documented. Resident care. Daily processes. Staff will be asked to discuss: Staff Interviews

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BCAL AFC/HFA Licensing Oct. 2012 Is that a spider?! Play it cool Sam Sam This will continue. Or, maybe your consultant was present when meals were served and had an opportunity to observe the process. You have seen your consultant walk through your home, confirming compliance with licensing rules. Observations are a regular part of all renewal inspections. OBSERVATIONS

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BCAL AFC/HFA Licensing Oct. 2012 Good questionWhich rules? Still, emphasis will be placed on particular rules. If you are doing a great job in a particular area, you will hear about it. In other words, if a non-compliance is observed, it will be addressed. Your consultant will make observations concerning all rules. HOW CONSULTANTS OBSERVE

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BCAL AFC/HFA Licensing Oct. 2012 KEY INDICATORS AND NOW, INTRODUCING INTRODUCTING KEY INDICATORS

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BCAL AFC/HFA Licensing Oct. 2012 Review Key Indicator worksheets on the licensing website. Consultants will focus on Key Indicators during Interview & Observation Renewal Inspections. While all licensing rules must be followed for compliance Key Indicators are rules identified as the leading areas concerning resident safety and quality of care. KEY INDICATORS

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BCAL AFC/HFA Licensing Oct. 2012 Some documents must be reviewed, but consultants will gather most of their information from interviews and observations. Consultants will review paperwork. VET DOCUMENTATION DOCUMENTATIONS

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BCAL AFC/HFA Licensing Oct. 2012 But if necessary AFC ONLY Resident fund records for at least one resident. Medication records for at least one resident. Fire drill records. E-scores for certified facilities. Documents consultants must review: DOCUMENTS THAT MUST BE REVIEWED

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BCAL AFC/HFA Licensing Oct. 2012 2. If you received citations of non-compliance during previous renewal inspections or special investigations, your consultant will review documents relevant to those citations. 1. If concerns arise, consultants can review any document necessary to ensure rule compliance and resident quality of care. Considerations 2 ADJUSTMENT WHEN ADDITIONAL DOCUMENT REVIEW IS NECESSARY

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BCAL AFC/HFA Licensing Oct. 2012 Consultants will adjust the renewal inspection process as needed. AFC ONLY When residents are non-verbal. When residents are not home. At times, consultants will need to do more than observe, interview and review the documents previously discussed. For example: Is that it? IS THAT IT?

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BCAL AFC/HFA Licensing Oct. 2012 Social activity?Medical appointment?Day program? Now what? Your consultant arrives to conduct the renewal inspection ten minutes after the residents leave the home. We have places to go and people to see. Catch you later! CONCERN OF RESIDENTS ARE NOT HOME WHEN THE CONSULANT ARRIVES When Residents Arent Home ADJUSTMENT

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BCAL AFC/HFA Licensing Oct. 2012 If residents are not home, and they will not return before the inspection is completed, your consultant will change the inspection process. Soin the absence of residents, your consultant must conduct a full review of your documentation. Your consultant must gather enough information to ensure rule compliance and resident quality of care. WHAT TO DO IF RESIDENTS ARE NOT HOME DURING THE INSPECTION

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BCAL AFC/HFA Licensing Oct. 2012 Now what? Does that mean more work for you? resident safety. Consultants interact with non-verbal residents in some manner. But it is not enough to confirm When Residents are Non-Verbal ADJUSTMENT CONCERN IF RESIDENTS ARE NOT VERBAL

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When residents are non-verbal, consultants must speak with either a relative, guardian, case manager or other professional that interacts with the resident. BCAL AFC/HFA Licensing Oct. 2012 This helps consultants determine resident safety and quality of care. Your consultant may request contact information for these individuals. WHAT TO DO WHEN RESIDENTS ARE NOT VERBAL

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BCAL AFC/HFA Licensing Oct. 2012 Now that you know what to expect, you know how to prepare for the inspection. OKAY, IM READY. WHATS NEXT? OKAY, IM READY, WHATS NEXT

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BCAL AFC/HFA Licensing Oct. 2012 Everyone has the ability to contribute to a productive outcome. Share the new process with staff and residents so they know what to expect. Inform Others INFORM OTHERS

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BCAL AFC/HFA Licensing Oct. 2012 Oh, and by the way Also look over the Renewal Inspections brochure. It was developed just for you. It is available on the licensing website. Your consultant has copies, too. ADULT FOSTER CARE AND HOMES FOR THE AGED LICENSE RENEWAL INSPECTION BROCHURE

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BCAL AFC/HFA Licensing Oct. 2012 HERES A PEEK We would like to hear about your renewal inspection experience. Licensing staff will give you the License Renewal Inspection Questionnaire. Participation is voluntary and you can be anonymous. Mail or fax to address on the form or complete it on the AFC/HFA Licensing Website in the Contact Us section. Your feedback is very important!

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BCAL AFC/HFA Licensing Oct. 2012 THE END

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Last slide Gray Curtain representing closing BCAL AFC/HFA Licensing Oct. 2012