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The rules define core terms such as abuse, activities of daily living, administrator, applicant, client, contingency planning, and documentation expectations. They outline the full licensing lifecycle, including application, renewal, eligibility, site changes, ownership changes, staffing qualifications, quality measures, reporting and investigation processes, agency expectations and grievance procedures, service documentation, record confidentiality, enforcement actions, and appeal 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kinds of agencies are covered by these Maine rules?","Question",{"text":108,"@type":109},"The rules license Personal Care Agencies (PCAs) that provide personal care services to individuals in their place of residence.","Answer",{"name":111,"@type":106,"acceptedAnswer":112},"How do the rules define “abuse” for licensing and enforcement purposes?",{"text":113,"@type":109},"“Abuse” includes infliction of injury, unreasonable confinement, intimidation, or cruel punishment causing likely physical harm or mental anguish, including sexual abuse or exploitation, and intentional or reckless deprivation of essential needs.",{"name":115,"@type":106,"acceptedAnswer":116},"What enforcement actions and due process options are addressed?",{"text":117,"@type":109},"The enforcement section covers inspections and complaint investigations, statements of deficiencies, informal conferences, plans of correction, sanctions, conditional licenses, refusal to issue, suspension or revocation, and appeals.","https://schema.org",{"og:url":78,"og:type":120,"og:title":59,"og:site_name":91,"og:description":61},"article",{"robots":122,"canonical":78},"index,follow",{"doc_id":124,"site_id":56},160164,1788051127,{"code":4,"msg":5,"data":127},{"doc_id":124,"user_id":128,"nickname":88,"user_avatar":129,"doc_module":9,"category_id":35,"category_name":36,"doc_title":59,"doc_description":61,"doc_content":130,"file_id":131,"file_url":132,"file_type":133,"file_size":134,"view_count":9,"is_deleted":4,"is_public":9,"is_downloadable":9,"audit_status":9,"page_count":135,"language":136,"language_code":57,"site_id":56,"html_lang":57,"table_of_contents":137,"faqs":138,"seo_title":139,"seo_description":61,"update_tm":125,"read_time":15},5909887254083,"https://ap-avatar.wpscdn.com/davatar_276721f389ce27ea32af1340a28f341c","STATE OF MAINE\nPERSONAL CARE AGENCY LICENSING RULE\n10-144 CODE OF MAINE RULES\nChapter 129\nDepartment of Health and Human Services\nDivision of Licensing and Certification\n11 State House Station\nAugusta, Maine 04333-0011\nEffective date: August 20, 2024\nTABLE OF CONTENTS\nSECTION 1: PURPOSE AND DEFINITIONS\t\t\t\t\t\t\t\t\t\t\t\t1\nA.\tPurpose\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t1\nB.\tDefinitions\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t1\nSECTION 2: LICENSING\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t5\nA.\tGeneral Requirements\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t5\nB.\tEligibility of Applicant\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t5\nC.\tType and Term of License\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t6\nD.\tLicense Specifications\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t6\nE.\tFees\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t6\nF.\tInitial Application Procedure\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t6\nG.\tLicense Renewal Procedure\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t7\nH.\tChanges Within the Term of the License\t\t\t\t\t\t\t\t\t\t\t\t\t7\nI.\tChange of Ownership\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t8\nJ.\tAdding a Site\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t8\nK.\tInvoluntary Closing of a Licensed Agency\t\t\t\t\t\t\t\t\t\t\t\t9\nL.\tVoluntary Closing of a Licensed Agency\t\t\t\t\t\t\t\t\t\t\t\t9\nSECTION 3: ADMINISTRATION\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t10\nA.\tBusiness Requirements\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t10\nB.\tPosting of License\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t10\nC.\tReferrals and Admissions\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t10\nD.\tDischarges\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t10\nE.\tContract with Client or Legal Representative\t\t\t\t\t\t\t\t\t\t\t\t11\nSECTION 4: STAFFING\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t12\nA.\tQualifications\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t12\nB.\tEligibility for Employment\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t12\nC.\tStaffing\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t12\nD.\tScope of Duties\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t13\nSECTION 5: QUALITY MEASURES\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t14\nA.\tOperations Manual\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t14\nB.\tStaff Orientation\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t15\nC.\tAnnual Staff Training\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t15\nD.\tSupervision\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t16\nE. \tQuality Improvement Measures\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t17\nSECTION 6: ALLEGATIONS OF ABUSE, NEGLECT, AND/OR MISAPPROPRIATION\nOF CLIENT PROPERTY\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t18\nA.\tReporting Requirements\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t18\nB.\tInvestigations\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t19\nSECTION 7: AGENCY EXPECTATIONS\t\t\t\t\t\t\t\t\t\t\t\t\t20\nA.\tExpectations\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t20\nB.\tGrievance Procedures\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t21\nSECTION 8: SERVICES\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t22\nA.\tService Plan Development and Implementation\t\t\t\t\t\t\t\t\t\t\t22\nB.\tDocumentation of Services Provided\t\t\t\t\t\t\t\t\t\t\t\t\t22\nSECTION 9: RECORDS\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t23\nA.\tConfidentiality\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t23\nB.\tClient Records\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t23\nC.\tOwner and Employee Records\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t24\nD.\tBusiness Records\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t24\nSECTION 10: ENFORCEMENT\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t25\nA.\tRight of Entry and Inspection\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t25\nB.\tFrequency and Type of Inspections\t\t\t\t\t\t\t\t\t\t\t\t\t\t25\nC.\tComplaint Investigations\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t25\nD.\tWaiver of a Licensing Rule\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t26\nE.\tStatements of Deficiencies\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t26\nF.\tInformal Conference\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t26\nG.\tPlans of Correction\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t27\nH.\tSanctions for Non-Compliance with this Rule\t\t\t\t\t\t\t\t\t\t\t28\nI.\tConditional License\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t29\nJ.\tRefusal to Issue a License\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t29\nK.\tSuspension or Revocation of License\t\t\t\t\t\t\t\t\t\t\t\t\t30\nL.\tAppeals\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t30\nStatutory authority and rulemaking history\t\t\t\t\t\t\t\t30\nSECTION 1: PURPOSE AND DEFINITIONS\nPURPOSE:\nThe State of Maine Department of Health and Human Services, Division of Licensing and Certification licenses Personal Care Agencies (PCAs) which are agencies that provide personal care services to individuals in their place of residence.\nDEFINITIONS:\nAbuse means the infliction of injury, unreasonable confinement, intimidation, or cruel punishment that causes or is likely to cause physical harm or pain or mental anguish; sexual abuse or sexual exploitation; or the intentional, knowing or reckless deprivation of essential needs. \"Abuse\" includes acts and omissions.\nActivities of Daily Living (ADL) means tasks that are routinely performed by an individual to maintain bodily function, including, but not limited to, bed mobility; transfers between surfaces; locomotion; dressing; eating; toileting; bathing; and personal hygiene assistance.\nAdministrator means the person responsible for the management of a ","cbCaifPOROn68NzO","https://ap.wps.com/l/cbCaifPOROn68NzO","docx",207570,33,"English","# Table of Contents\n## Section 1: Purpose and Definitions\n## Section 2: Licensing\n## Section 3: Administration\n## Section 4: Staffing\n## Section 5: Quality Measures\n## Section 6: Allegations of Abuse, Neglect, and/or Misappropriation of Client Property\n## Section 7: Agency Expectations\n## Section 8: Services\n## Section 9: Records\n## Section 10: Enforcement\n## Statutory authority and rulemaking history","[{\"question\":\"What kinds of agencies are covered by these Maine rules?\",\"answer\":\"The rules license Personal Care Agencies (PCAs) that provide personal care services to individuals in their place of residence.\"},{\"question\":\"How do the rules define “abuse” for licensing and enforcement purposes?\",\"answer\":\"“Abuse” includes infliction of injury, unreasonable confinement, intimidation, or cruel punishment causing likely physical harm or mental anguish, including sexual abuse or exploitation, and intentional or reckless deprivation of essential needs.\"},{\"question\":\"What enforcement actions and due process options are addressed?\",\"answer\":\"The enforcement section covers inspections and complaint investigations, statements of deficiencies, informal conferences, plans of correction, sanctions, conditional licenses, refusal to issue, suspension or revocation, and appeals.\"}]","11 State House Station - Personal Care Agency Licensing Rules | DOCX"]