Posts in Assisted Living
Do you hire non-U.S. Citizens? If so, don't be like this company

Assisted living operators should be aware of a settlement agreement reached today by the Justice Department with Masterson Staffing Solutions. The staffing company, based in Minnesota, was found to have violated the Immigration and Nationality Act (INA) by routinely discriminating against non-U.S. citizen workers when checking their permission to work in the United States. This article covers basics to help you properly complete the I-9 form.

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Constitutional Challenge Filed to AZ Enforcement Action

The Arizona Superior Court in Maricopa County agreed to issue a temporary stay of the Arizona Department of Health's attempt to enforce a "voluntary surrender" of an assisted living license after Pinkowski Law and co-counsel from Davis Miles McGuire Gardner, PLLC filed suit to contest the enforcement action as an unconstitutional due process violation, and one that would harm the 10 elderly people with disabilities who live in the home.

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Arizona Compliance Checklist

The Arizona Department of Health Services issued a new checklist to help in preparing your Initial Licensing Application. Pinkowski Law recommends that all assisted living providers review their written Policies and Procedures regularly to ensure that they are current and your staff is familiar with them. Also review your state’s licensing agency’s website regularly for postings, such as this new home licensing checklist, to help stay in compliance.

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The Value of Small Assisted Living Homes

Small Assisted Living Homes should be given extra recognition during this National Assisted Living Week, September 12 – 16, 2022. Assisted living homeowners step in to fill a need for our elders and others with disabilities. They are the unsung small business heroes and, this week, all of them deserve to be thanked. We appreciate you and are here for you.

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What does the Fair Housing Act have to do with building codes?

Fair housing problems in the building permit realm generally arise when building code officials don’t fully understand the nature of residential assisted living and try to characterize the use as “commercial” (a term not actually included in the International Building Code) or “institutional” or “medical”. All of these designations are incorrect and can result in the imposition of costly construction requirements that are not actually needed to keep residents safe.

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Can I Provide Services Instead of Capital to a New LLC?

One attractive characteristic of the limited liability company (LLC) is its flexible ownership and management structure. As a result, a common scenario with LLCs is the use of “sweat equity” as a member's contribution. The method that you and the other LLC members arrive at for valuing your capital contributions or your non-cash work efforts or experience, should be documented in writing in the LLC operating agreement. All LLC members should be aware of the potential pitfalls of LLC sweat equity members, including the tax consequences.

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Location, Location, Location

Sometimes you find the perfect location for your assisted living operations, only to find out that there’s another regulated home too close-by to get your proper permits. The other location may not even be an assisted living home, but it poses a hurdle to your business plans. Unreasonable spacing requirements (a/k/a “buffer zones”) imposed by municipalities and counties in Arizona between new and existing assisted living homes have finally been addressed by the state legislature.

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Mandatory Reporting - PART II

Adult protection laws can have an impact on internal hiring decisions of assisted living facilities. Operators and Human Resource managers in Arizona should be aware of the APS Registry, and how to search the list for a name of an applicant or existing staff member. Although AZ Department of Health Services regulations do not presently mandate searching the Arizona APS Registry prior to hire, employers are encouraged to review the list routinely to ensure that no members of your current workforce were added to it.

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Nuances of Mandatory Reporting - Part I

Owners and managers of assisted living facilities may have a duty to report residents’ family members who signed the Residency Agreement as responsible party or Power or Attorney (“POS”) and then fail to pay for services rendered. These family members may be guilty of exploitation or neglect of that resident, particularly if the resident is incapable of handling their own financial affairs. Under state statutes like Arizona’s, the ALF may be a mandatory reporter, required to initiate an investigation with either a peace officer or Adult Protective Services (“APS”). Find out more about your obligations in this post.

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Sept. 30th Deadline is Coming for Colorado ALRs

Colorado licensed healthcare facilities must have 100% of employees having received at least the 1st dose of the COVID-19 vaccine or submit a request for a waiver by September 30, 2021. To request a wavier, facilities must have their policies in place as required by the Board of Health’s Emergency Rule. Reporting on compliance begins October 1st. This blog provides more details on the upcoming requirements. Contact our attorneys today if you need help.

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Colorado Board of Health Adopts COVID-19 Vaccination Mandate - What that means for ALR owners and operators

The Colorado Board of Health met on August 30, 2021 and adopted an emergency regulation requiring mandatory vaccinations for employees in licensed healthcare facilities. The emergency regulation applies to all 3800 licensed healthcare facilities over which the Colorado Department of Public Health and Environment has authority, including assisted living residences. This article provides an overview of the emergency regulation to assist owners and operators in drafting a policy that complies with the emergency regulation.

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Fair Housing and Building Code Enforcement

We certainly want all people - including those with disabilities – to live in a safe and healthy environment. But we also want them to have an equal opportunity to live in neighborhoods and communities alongside people without disabilities, as we know that this has its own positive outcomes for health and wellbeing. There are certain instances when building codes or other safety requirements are too excessive. This generally happens when the “safety” requirements are established or applied based on stereotypes or misperceptions about a given population’s capabilities. In some cases, it can also be a pretext for trying to keep certain people out of the neighborhood altogether. In these instances, the building code or safety requirement may run afoul of the federal Fair Housing Amendments Act (“FHAA”).

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Biden Administration Issues Order that May Benefit RAL Owners

On January 26, 2020, President Biden issued an Executive Order (EO) encouraging the Department of Housing and Urban Development (HUD) to redouble its efforts to implement and enforce the Fair Housing Act. This blog discusses the January 26th EO’s potential impact on the disabled population and assisted living providers. When it comes to housing for the disabled, the EO notes that, “Although Federal fair housing laws were expanded to include protections for individuals with disabilities, a lack of access to affordable and integrated living options remains a significant problem.”

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