La. Admin. Code tit. 48 § I-5003
Accredited - the process of review and acceptance by an accreditation body such as the Joint Commission on Accreditation of Healthcare Organizations (JCAHO), the Commission on Accreditation of Rehabilitation Facilities (CARF) or Council on Accreditation (COA).
Activities of Daily Living (ADLs) - the functions or basic self-care tasks which are performed by an individual in a typical day, either independently or with supervision/assistance. Activities of daily living may include, but are not limited to, bathing, dressing, eating, grooming, walking, transferring and/or toileting.
Adult Day Care Services-structured and comprehensive services provided in a group setting that are designed to meet the individual needs of adults with functional impairments. This program provides a variety of health, social and related support services in a protective setting for a portion of a 24-hour day.
Assistance with Activities of Daily Living - services that provide assistance with activities of daily living. Such assistance may be the actual performance of the tasks for the individual, hands-on assistance with the performance of the tasks, or supervision and prompting to allow the individual to self-perform such tasks.
Branch - an office from which in-home services such as personal care attendant (PCA), supervised independent living (SIL) and respite are provided within the same LDH region served by the parent agency The branch office shares administration and supervision.
Cessation of Business - provider is non-operational and/or has stopped offering or providing services to the community
Change in Health Status - a significant decline in the client's health that will not normally resolve itself without further assessment and/or intervention by staff or licensed medical practitioners.
Client-an individual who is receiving services from a home and community-based service provider.
Department - the Louisiana Department of Health (LDH) or any of its sections, bureaus, offices or its contracted designee.
DHH Region - Repealed.
Developmental Disability- a severe, chronic condition as defined in the Developmental Disabilities Law of 2005, R.S. 28:451.l-455.2.
Employed - performance of a job or task for compensation, such as wages or a salary. An employed person may be one who is contracted or one who is hired for a staff position.
Family Support Services - advocacy services, family counseling, including genetic counseling, family subsidy programs, parent-to-parent outreach, legal assistance, income maintenance, parent training, homemaker services, minor home renovations, marriage and family education, and other related programs.
Geographic Location - the LDH region in which the primary business location of the provider agency operates from.
Health Standards Section (HSS) - the licensing and certification section of the Department of Health.
Home and Community-Based Service Provider-an agency, institution, society, corporation, person(s) or any other group licensed by the department to provide one or more home and community-based services as defined in R.S. 40:2120.2 or these licensing provisions.
Incident-a death, serious illness, allegation of abuse, neglect or exploitation or an event involving law enforcement or behavioral event which causes serious injury to the client or others.
Individual Service Plan - a service plan, person centered and developed for each client, that is based on a comprehensive assessment which identifies the individuals strengths and needs in order to establish goals and objectives so that outcomes to service delivery can be measured.
NOTE: For those client's receiving Medicaid reimbursed home and community-based services, a comprehensive plan of care prepared in accordance with policies and procedures established by Medicaid or by an LDH program office for reimbursement purposes may be substituted or used for the individual service plan.
Individuals with Disabilities Education Act (IDEA)- the law ensuring services to children with disabilities through the U.S. Department of Education which may include vocational training.
Instrumental Activities of Daily Living (IADLs)- the functions or tasks that are not necessary for fundamental functioning but assist an individual to be able to live in a community setting. These are activities such as light housekeeping, food preparation and storage, grocery shopping, laundry, reminders to take medication, scheduling medical appointments, arranging transportation to medical appointments and assistance attending medical appointments if needed.
LDH Region- the geographic administrative regions designated by the Department of Health.
Line of Credit- a credit arrangement with a federally insured, licensed lending institution which is established to assure that the provider has available funds as needed to continue the operations of the agency and the provision of services to client's. The line of credit shall be issued to the licensed entity and shall be specific to the geographic location shown on the license. For purposes of HCBS licensure, the line of credit shall not be a loan, credit card or a bank balance.
Mental Abuse- includes, but is not limited to abuse that is facilitated or caused by taking or using photographs or recordings in any manner that would demean or humiliate a client using any type of equipment (e.g., cameras, smart phones, and other electronic devices) and/or keeping or distributing them through multimedia messages or on social media sites.
1. Mental abuse may occur through either verbal or nonverbal conduct which causes or has the potential to cause the client to experience humiliation, intimidation, fear, shame, agitation, or degradation, regardless of whether the client provided consent and regardless of the client's cognitive status. This may include, but is not limited to:
a. photographs and recordings of client's that contain nudity;
b. sexual and intimate relations;
c. bathing, showering or toileting;
d. providing perineal care such as after an incontinence episode;
e. agitating a client to solicit a response;
f. derogatory statements directed to the resident;
g. showing a body part without the client's face, whether it is the chest, limbs or back;
h. labeling a client's pictures and/or providing comments in a demeaning manner;
i. directing a client to use inappropriate language; and/or
j. showing a client in a compromised position.
Monitored In-Home Caregiving -services provided by a principal caregiver to a client who lives in a private unlicensed residence. The principal caregiver shall reside with the client, and shall be contracted by the licensed HCBS provider having a MIHC service module.
Non-Operational - the HCBS provider location is not open for business operation on designated days and hours as stated on the licensing application and business location signage.
Personal Care Attendant Services- services required for a person with a disability to become physically independent to maintain physical function or to remain in, or return to, the community.
Respite Care - an intermittent service designed to provide temporary relief to unpaid, informal caregivers of the elderly and/or persons with disabilities.
Satellite - an alternate location from which center-based respite or adult day care services are provided within the same LDH region served by the parent agency. The satellite office shares administration and supervision.
Service Area - the LDH administrative region in which the provider's geographic business location is located and for which the license is issued.
Sitter Services-
1. services provided by a person who:
a. spends time with an individual;
b. accompanies such individual on trips and outings;
c. prepares and delivers meals to such individual; or
d. provides housekeeping services.
2. Any person who provides sitter services shall not provide hands-on personal care attendant service with respect to ADLs to the individual.
Sub-License - any satellite or branch office operating at a different physical geographic address.
Substitute Family Care Caregiver-a single or dual parent family living in a home setting which has been certified through a home study assessment as adequate and appropriate to provide care to the client by the SFC provider. At least one family member will be designated as a principal SFC caregiver.
Substitute Family Care Services-provide 24-hour personal care, supportive services and supervision to adults who meet the criteria for having a developmental disability.
Supervised Independent Living via a Shared Living Conversion Model-a home and community-based shared living model for up to six persons, chosen by clients of the Residential Options Waiver (ROW), or any successor waiver, as their living option.
Supervised Independent Living Services - necessary training, social skills and medical services to enable a person who has mental illness or a developmental disability, and who is living in congregate, individual homes or individual apartments, to live as independently as possible in the community.
Supported Employment- a system of supports for people with disabilities in regards to ongoing employment in integrated settings. Supported employment can provide assistance in a variety of areas including:
1. job development;
2. job coaches;
3. job retention;
4. transportation;
5. assistive technology;
6. specialized job training; and
7. individually tailored supervision.
La. Admin. Code tit. 48, § I-5003