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* § 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

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