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~MORANDUM continued Page <br /> <br /> there are some differences primarily due to the stricter medical requirements for <br /> nursing home patients. The residents' rights speak to the basic rights of'the <br /> individual, and there is provision that no rights can be waived by a facility for <br /> any of its residents. What makes the Declaration of Residents' Rights significant <br /> is that each resident shall be informed of their rights under the law. Although <br /> Rest Homes have operated under certain standards and minimum conditions under the <br /> licensing law, and they are monitored on a monthly basis by the county Department <br /> of Social Services, this law will enhance the residents' understanding of his <br /> rights, and his limitations in this institutional setting. This basic understand- <br /> ing of the individuals' rights by the resident, the responsible family member and <br /> the community~ should con tribute to a better quality of life for the resident in <br /> the home. <br /> <br /> Tbs second major segment of the law is concerned with the implementa- <br />tion of the specified provisions. This section specifies the eeforcement respon- <br />sibilities, and speaks to the revocation of a licenpe and the administrative <br />penalties that may be imposed on a facility if it fails to comply with the pro- <br />visions of the law. Again, tbs existing system for the enforcement of regulations <br />and investigations will be utilized. The county Department of Social Services <br />shall monitor the Bill of Rights in each home as part of its monthly monitoring <br />visits to the home. The law spells out the investigation procedure in detail, <br />when there are instances of alleged violations of the Declaration of Rights. The <br />state Department of Human Resources (Division of Facility Services) is responsible <br />for the enforcement of the residents' rights, and has the authority to initiaEe <br />civil penalties including fines~ along with revoking the home~s license in order <br />to assure compliance with the law. <br /> <br /> The third significant section deals with the Domiciliary Home Community <br />Advisory Committees. As mentioned previously, these committees are optional~ <br />although they are encouraged to be set up in each county which has at least one <br />licensed domiciliary home. The committees are important as they are intended to <br />serve the homes in'the county~ and of course the residents by working for their <br />best interests. <br /> <br /> The committees are supposed to '~maintain the spirit of the Bill of <br />Rights" in each licensed home in the state~ and to promote community invol%~ent <br />and cooperation witb the homes in order to ensure quality of care for the resi- <br />dents. Although the counties will have maximum flexibility in deciding on the <br />size of the committees, the composition of its members, and the length of their <br />terms, there are some minimum qualifications for appointment which should pro- <br />vide enough guidance to the commissioners in order to appoint good people to <br />these committees. <br /> <br /> The functions of the committees are clearly spelled out in the law, <br />and in addition to their community involvement and community education functions~ <br />other responsibilities are included. Committees are encouraged to recruit volun- <br />tary resources to assist the bome in serving its residents, and they are also <br />responsible for preparing an annual report outlining the problems of facilities <br />as well as issues affecting long term care in general. This report will be help- <br />ful in evaluating the impact of this legislation, and may provide the information <br />that can be used for possible future modifications in the law. <br /> <br /> <br />