§ 44-102.01. Definitions.
For purposes of this chapter, the term:
(1) “Activities of Daily Living” or “ADLs” — means activities including eating, bathing,
toileting, grooming, dressing, undressing, mobility, and in place transfers.
(2) “Aging in place” — means minimizing the circumstances which require a person to move
to a different setting when his or her condition changes.
(3) “Assistant Living Administrator” or “ALA”– means the licensee, or a person
designated by the licensee, who oversees the day-to-day operation of the facility, including
compliance with all regulations for licensed assisted living residences.
(4) “Assisted Living Residencb” or “ALR”– means an entity, whether public or private, for
profit or not for profit, that combines housing, health, and personalized assistance, in
accordance to individually developed service plans, for the support of individuals who are
unrelated to the owner or operator of the entity. “Assisted Living Residence” or “ALR” does not
include a group home for persons with mental retardation as defined in § 44-501(5) or a
mental health community residence facility as that term is used in Chapter 38 of Title 22 of
the District of Columbia Municipal Regulations.
(5) “Change of ownership” — means the transfer of ownership by an individual,
partnership, or association to another and includes transfers of the legal or beneficial
ownership of 10% or more of the stock of a corporation that owns or operates an ALR.
(6) “Chemical restraint” — means the use of a psychopharmacologic drug for a purpose
other than to treat a standard psychiatric diagnosis whose criteria are set forth by the
American Psychiatric Association.
(7) “Cognitive impairment”– means the loss of those mental processes that orchestrate
relatively simple ideas, movements, or actions into goal directed behavior including a lack of
judgement, planning, organization, self-control, and the persistence needed to manage normal
demands of the individual’s environment. “Cognitive impairment” refers to •a condition that
interferes with decision-making skills or effective communication including Alzheimer’s
disease, multi-infarct dementia, stroke, Parkinson’s disease, and other neurological conditions.
(8) “Functional assessment”– means an assessment of a resident’s ability to perform
activities of daily living, instrumental activities of daily living, and the degree of assistance
required, if any.
(9) “Health-Care Licensure Act” — means subchapter I of Chapter 5 of this title.
(10) “Health-Care Protection Act”– means Chapter 10 of this title.
(11) “Healthcare practitioner”– means a person licensed as a physician or nurse
(12) “Healthcare provider” — means a healthcare practitioner, home health agency,
hospice, rehabilitation agency, or health management organization.
(13) “In place transfer”– means movements that involve changes in position in place. “In
place transfer” includes an activity such as moving from a bed to a wheelchair or regular chair,
moving from a wheelchair to a toilet, bathtub, shower, or car, and moving from a wheelchair,
regular chair, or toilet seat to a standing position.
(14) “Individualized Service Plan” or “ISP”– means a written plan developed by the
provider, in conjunction with the resident and his or her surrogate, if appropriate, which
identifies, among other things, services that the licensee will provide or arrange for the
(15) “Instrumental Activities of Daily Living” or “IADL” — means daily activities such as
housekeeping, meal preparation, shopping, money management, and travel outside the ALR.
(16) “Licensee” — means any person, association, partnership, or corporation to which a
license is issued pursuant to this chapter.
(17) “Physical restraint”– means any manual method or physical or mechanical device,
material, or equipment attached to or adjacent to the resident’s body, such as mitts or vests,
that the individual cannot remove easily and which restricts freedom of movement or normal
access to one’s own body.
(18) “Physician’s statement” — means the form approved by the Mayor pursuant to § 44-
(19) “Resident”– means an individual admitted to an ALR pursuant to subchapter VI of this
(20) “Resident agreement” — means the admission agreement between the resident, the
resident’s surrogate, when appropriate, and the assisted living residence.
(21) “Shared responsibility” — means a process by which the resident, or the resident’s
surrogate and the ALR arrive at an acceptable balance between the resident’s desire for
independence and the facility’s legitimate concerns for safety, where there is a disagreement.
The purpose of “shared responsibility” is to provide complete information to the resident and
the surrogate so that the parties can arrive at an informed agreement of which services are to
be provided and in what manner.
(22) “Shared responsibility agreement”– means a formal written agreement that outlines
the responsibilities and actions of all parties. The agreement is a process for resolving
discrepancies between the individual resident’s right to independence and the provider’s
concerns for the safety and well-being of the individual and others.
(23) “Surrogate” — means a person designated by a resident to act on the resident’s behalf
pursuant to law.
(24) “Trained Medication Employee” or “TME”– means an individual employed to work in
an ALR who has successfully completed the training program developed by the Mayor pursuant
to § 44-109.06 and who is certified to administer medication to residents.