Small Assisted Living Residence (ALR) Survey

IMPORTANT – PLEASE READ:

THIS SURVEY IS TO BE COMPLETED BY THE ADMINISTRATOR OF THE FACILITY.

ONLY ONE SURVEY PER FACILITY MAY BE COMPLETED. DUPLICATE SUBMISSIONS WILL NOT BE ACCEPTED.

THIS SURVEY IS FOR SMALL CAPACITY ASSISTED LIVING RESIDENCES – MEANING A CAPACITY OF 19 BEDS OR LESS. SURVEYS SUBMITTED FROM LARGER ALRs WILL NOT BE ACCEPTED.

The Colorado Department of Public Health and Environment, Health Facilities and Emergency Medical Services Division wishes to thank you for your participation in the following survey.

The purpose of this survey is to gather information from small capacity residential assisted living facilities, 19 beds and fewer, to better understand how specific areas of the new licensing requirements would be or are applied in small assisted living residences. The information gathered from this survey will be used by a workgroup which is comprised of current ALR providers, to determine where areas of guidance, technical assistance and/or provider training may be of immediate value. This information will also be used to determine if amendments to Chapter 7 Assisted Living Residence licensure rules are necessary for small capacity assisted living residences.

The following links will provide you with information on the current requirements for assisted living residences:

Link to Assisted Living News and Resources:
http://67.231.102.44/HFEMSD/ALR/index.html

Link to newly revised Assisted Living Rules:
https://www.sos.state.co.us/CCR/GenerateRulePdf.do?ruleVersionId=7606&fileName=6%20CCR%201011-1%20Chapter%2007

Link to Crosswalk between old and new Assisted Living Rules:
http://67.231.102.44/HFEMSD/ALR/Rules_Crosswalk.pdf

Link to provider FAQs:
http://67.231.102.44/HFEMSD/ALR/faqs_faqs.html

Question Title

* 1. Demographics

Name of Assisted Living:

Address:

Bed Size:

Question Title

* 2. Are you familiar with the recently revised licensing rules for assisted living facilities?

Yes

Question Title

* 3. Have you read Section 6 – Administrator in the revised assisted living licensing rules?

Yes

No* (*If chosen, please visit the above links for the newly revised assisted living licensing rules or the link for the crosswalk between the old and new assisted living licensing rules to review Section 6 prior to proceeding further.)

Question Title

* 4. Please describe, as the administrator of the facility, what your day-to-day tasks and duties are.

Question Title

* 5. What, if any, concerns do you have regarding the changes to the minimum requirements for assisted living administrators as specified in Section 6 of the new assisted living rules?

Question Title

* 6. What have you changed or what would you need to change or modify immediately in order to be compliant with Section 6 of the new assisted living rules?