* § 4659. Individualized service plan. 1. A written individualized
service plan shall be developed for each resident of an assisted living
residence upon admission.
2. The individualized service plan shall be developed with the
resident, the resident's representative and resident's legal
representative if any, the assisted living operator, and if necessary a
home care services agency. The initial individualized service plan shall
be developed in consultation with the resident's physician; provided
such consultation is documented in writing by the residence. If a
resident is determined by his or her physician not to be in need of home
care services, the participation of a home care services agency in an
evaluation conducted pursuant to this subdivision shall not be
necessary.
3. The individualized service plan shall be developed in accordance
with the medical, nutritional, rehabilitation, functional, cognitive and
other needs of the resident.
4. The individualized service plan shall include the services to be
provided, and how and by whom services will be provided and accessed.
5. The individualized service plan shall be reviewed and revised as
frequently as necessary to reflect the changing care needs of the
resident, but no less frequently than every six months. To the extent
necessary, such review and revision shall be undertaken in consultation
with the resident's physician.
* NB There are 2 § 4659's