HAR §11-100.1-2. protection, and health care services, but who do not need the professional health services of an intermediate, skilled nursing, or acute care facility

It does not include facilities operated by the federal government. There shall be two types of ARCHs: (1) Type I home for five or less residents; and (2) Type II home for six or more residents. "Advanced directive" means a written or oral declaration made by a competent adult, instructing his or her physician to provide, withhold, or withdraw life-sustaining procedures under certain conditions such as a terminal condition or where the resident has a permanent loss of ability to communicate with others due to irreversible brain injury or coma. (An advanced directive is often referred to as a living will.) "Advanced practice registered nurse", or "APRN" means a registered nurse who is licensed pursuant to chapter 457, HRS. "Ambulatory" means the ability to move on foot from place to place without human assistance. "ARCH resident" means a person unrelated to the primary care giver and licensee who resides in an ARCH. Individuals residing in an ARCH require minimal assistance in the activities of daily living, and do not need assistance from skilled, professional personnel on a regular long-term basis. "Assistive devices" means a physical or mechanical apparatus or equipment required by an individual for ambulation or mobility. "Cardiopulmonary resuscitation certification", or "CPR certification" means verification that an individual has satisfactorily completed a course provided by a nationally approved source that contains instruction and required participation in an emergency first aid procedure that consists of opening and maintaining a resident's airway, providing artificial ventilation by means of rescue breathing, and providing artificial circulation by means of external cardiac compression. "Care plan" means a written plan developed by the resident, resident's family, legal guardian or surrogate, case manager, staff of the ARCH or expanded ARCH, and resident's physician or APRN that articulates the overall plan of care to be provided to the resident by the ARCH or expanded ARCH with the purpose of achieving the optimal level of function of the resident. "Case manager" (as it applies to an expanded ARCH) 100.1-4 2719 §11-100.1-2 means an individual other than the licensee or staff of the expanded ARCH who is licensed in the state as a registered nurse or social worker and possesses the skills and knowledge required to deal with the long term care needs of the geriatric population. This individual shall have the ability to plan, locate, coordinate, and monitor comprehensive services to meet the individual resident's needs based on a comprehensive assessment of the resident. "Category 3 adult residential care home" means an ARCH which was established and licensed prior to 1986, and was providing only room and board services to individuals that did not require twenty four hour supervision and personal care services, and whose licensee does not meet requirements as set forth in section 11-100.1-8. "Chemical restraint" means a psychopharmacologic drug that is used for discipline or convenience and not required to treat medical symptoms. "Comprehensive assessment" means an evaluation which includes, but is not limited to, medically defined conditions and prior medical history, medical status measurement, physical and mental functional status, sensory and physical impairments, nutritional status and requirements, special treatments or procedures, mental psychosocial status, discharge potential, dental condition, activities potential, cognitive status and drug therapy. "Convenience" means any action taken by the licensee or care giver to control resident behavior or maintain residents with a lesser amount of effort by the licensee or care giver and not in the resident's best interest. "Day care client" means any person who does not reside in the ARCH or expanded ARCH and requires temporary supervision during the hours that the person's care giver, outside of the ARCH or expanded ARCH, is unavailable. This person requires minimal assistance in the activities of daily living and does not need the professional health services of an intermediate, skilled nursing, or acute care facility. This person does not stay overnight in the ARCH or expanded ARCH but shall be characterized as a resident for purposes of an ARCH's or expanded ARCH's licensed capacity. "Department" means the department of health, State of Hawaii. "DHS" means the department of human services, 100.1-5 2719