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The Assisted Living Facility (ALF) regulations were revised in June 2006. Usage of certain restraints was prohibited by legislative mandate. ALFs may provide assistance with activities of daily living (ADLs). There are several types of ALFs. In a Type A ALF, a resident must be mentally and physically capable of evacuating the facility unassisted in the event of an emergency; may not require routine attendance during sleeping hours; and must be capable of following directions. In a Type B ALF, a resident may require staff assistance to evacuate; be incapable of following directions under emergency conditions; require attendance during sleeping hours; may not be permanently bedfast, but may require assistance in transferring to and from bed. A Type C ALF is a four-bed, adult foster care, contracted facility that must meet the contracting requirements. In a Type E ALF, a resident must be physically and mentally capable of evacuating the facility unassisted within three minutes without staff assistance; must not require routine attendance during nighttime sleeping hours; and must be capable of following directions. A facility may provide medication supervision but may not assist with ADLs.

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