How Administrators Can Take Time Off And Be Compliant
In the assisted living industry, ensuring regulatory compliance is critical, even when administrators need to take a well-deserved vacation. It’s important to note that if the person temporarily replacing the administrator is not core trained, it is still acceptable, provided they do not hold the title of “manager” and certain guidelines are followed. Additionally, as long as the administrator’s vacation is not more than 21 days, you don’t need someone core trained to be in charge. However, if you have someone who is core trained, they can take your place while you’re gone. Understanding the legal requirements and best practices for managing an administrator’s absence can help maintain smooth operations and compliance with AHCA (Agency for Health Care Administration) standards. Here are some key tips to ensure your facility remains compliant while your administrator takes time off.
1. Proper Designation of Temporary In-Charge Staff
During the temporary absence of an administrator:
Designate a staff member who is at least 21 years old to be in charge.
This designation must be in writing and should be for a period not exceeding 48 hours if residents are on the premises.
Ensure the designated staff member understands their responsibilities and the limits of their authority.
2. Avoiding the Use of the Title “Manager”
Staff members who temporarily perform managerial tasks should not be given the official title of “manager.”
Referring to temporary in-charge staff as “kind of like the manager” can prompt surveyors to request core training certification, leading to compliance issues.
3. Maintaining Clear Documentation
Keep written records of temporary designations during the administrator’s absence.
Ensure these documents are easily accessible in case of a surveyor visit.
4. Training Staff for Interactions with Surveyors
Educate staff on how to properly communicate their roles to surveyors.
Emphasize that they are temporarily in charge but do not hold a managerial title.
5. Understanding Regulatory Limits
No staff member can be in charge for a consecutive period of 21 days or more, or for a total of 60 days within a calendar year, without being officially recognized as an administrator or manager.
Ensure compliance with these limits to avoid regulatory penalties.
Regulatory Guidelines
According to AHCA regulations:
During periods of temporary absence of the administrator or manager of more than 48 hours when residents are on the premises, a staff member who is at least 21 years of age must be physically present and designated in writing to be in charge of the facility. No staff member shall be in charge of a facility for a consecutive period of 21 days or more, or for a total of 60 days within a calendar year, without being an administrator or manager.
Scenario to Avoid
Consider a scenario where a staff member tells a surveyor, “I’m kind of like the manager here.” This statement can prompt the surveyor to request core training certification. To avoid this:
The staff member should instead explain, “I am temporarily in charge during the administrator’s absence, but I do not hold a managerial title.”
By understanding and adhering to these regulations, administrators can take their much-needed vacations without compromising the facility’s compliance and operational integrity.
Conclusion
Proper planning and adherence to AHCA regulations are essential for maintaining compliance during an
administrator’s absence. By designating appropriate temporary in-charge staff, avoiding misuse of titles, maintaining clear documentation, and training staff for surveyor interactions, facilities can ensure smooth operations and legal compliance. Remember, if you have someone core trained to take your place while you’re gone, that’s ideal. But if not, it’s still okay as long as you follow the guidelines.
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