4659*2 - Individualized service plan.

* §  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