AGENCY FOR HEALTH CARE ADMINISTRATION
Health Facility and Agency Licensing
RULE NO.:RULE TITLE:
59A-4.1295Additional Standards for Homes That Admit Children 0 Through 20 Years of Age
NOTICE OF CHANGE
Notice is hereby given that the following changes have been made to the proposed rule in accordance with subparagraph 120.54(3)(d)1., F.S., published in Vol. 42 No. 131, July 7, 2016 issue of the Florida Administrative Register.
59A-4.1295 Additional Standards for Homes That Admit Children 0 Through 20 Years of Age.
(1) Nursing homes who accept children with a level of care of Intermediate I or II, skilled or medically fragile intensive skilled must meet the following standards as indicated. Intermediate I and II are defined in Rule 59G-4.180, F.A.C. Children considered skilled have a chronic debilitating disease or condition of one or more physiological or organ systems that generally make the child dependent upon 24 hour per day medical, nursing, or health supervision or intervention. Medically fragile Intensive skilled children are medically complex and the medical condition is such that they are technologically dependent upon medical equipment or procedure(s) to sustain life and who can expire, without warning unless continually under observation.
(2) No change.
(3) Admission criteria:
(3)(a) The child must require intermediate, skilled or medically fragile intensive skilled nursing care, and be medically stable, as documented by the physician determining level of care.
(3)(b) through (7) No change.
(8) For the purposes of this rule, nursing care must consist of the following:
(a) Registered nurses, licensed practical nurses, respiratory therapists, respiratory care practitioners, and certified nursing assistants and must include one registered nurse on duty, on-site 24 hours per day on the unit where children reside.
(b) The nursing home must have at least one registered nurse for every 40 children. This registered nurse must be on duty, on-site, 24 hours per day on the unit where the children reside.
(9) through (14) No change
(15) Prior to initiating or expanding services to pediatric residents, the nursing home licensee or applicant must receive written approval from the Agency. In order to convert Nursing home licensees that wish to convert existing nursing home beds to pediatric beds, nursing home licensees must:
15(a) through (b) No change.
(c) Submit a completed Health Care Licensing Application, Nursing Homes, AHCA Form 3110-6001, July 2014, as incorporated in Rule 59A-4.103, F.A.C., no less than 30 days prior to the anticipated date that services will be provided. The application must include the number and configuration of beds to be used to serve pediatric residents and a listing of services that will be provided.
(16) through (17) No change.
