The Department of Mental Health (DMH) licenses these facilities based on the outcome of the Section for Long Term Care's annual inspection. You should not rely on Google To access the table of contents for the Division of Health Standards and Licensure (Division 30), either scroll down until you reach Division 30, or select Division 30 from the list of Divisions. This oversight is carried out in order to license or certify facilities or programs that . accurate. Code Regs. as with certain file types, video content, and images. This includes officers, managers, contractors, volunteers, employees, and any other support staff. residential care facility or assisted living facility except as otherwise indicated in 19 CSR 30-86.012, 19 . RCF II Waiver Implementation Guidance 4-17-20 P.O. CODE OF STATE REGULATIONS 3 Secretary of State Chapter 83Definition of Terms 19 CSR 30-83. home. endobj Terminated and Suspended Administrative Rules, | Division 10 | Division 15 | Division 20 | Division 25 | Division 30 | Division 40 | | Division 45 | Division 50 | Division 60 | Division 70 | Division 73 | Division 80 | Division 90 |. ease or condition reportable to the Missouri Department of Health and Senior Services as . Approximately 500 facilities participate in the Federal Medicaid and/or Medicare programs. Telephone: 573-751-3511 translation. 125 0 obj <>stream The Section also inspects 8 hospital-based long-term care . There are circumstances where the service does not translate correctly and/or where translations may not be possible, such translation. 0 Locate a Missouri long term care facility and view inspection results for state licensed facilities by county, city, or zip code. The Board reviews applications at their scheduled meetings to determine if the applicant is qualified to examine or receive a license. including without limitation, indirect or consequential loss or damage arising from or in connection with use of the Google Translate Service. The Section also performs activities at intermediate care and skilled nursing facilities in order to certify them to provide services to eligible Medicare and Medicaid beneficiaries. Bed Listing for Licensure and Certification Change of Administrator-Manager in a Long-Term Care Facility The monthly median expense of assisted living in Missouri is over $1,000 less than the national average, and in 2018, Missouri remains the nation's least expensive state for assisted living. Alzheimer's Disclosure Form Check Sheet Missouri Department of Health & Senior Services, Application for Licensure for Long Term Care Facility, Laws and Regulations for Licensing and Certifying Facilities, Missouri Alzheimer's State Plan Task Force, Home and Community Based Services Provider Information, Medicare Improvement for Patients and Providers Act (MIPPA), Missourians Stopping Adult Financial Exploitation (MOSAFE), Nondiscrimination Notice (Translations Available). o3BG@ Neither the State of Missouri nor its employees accept liability for any inaccuracies or errors in the translation or liability for any loss, damage, or other problem, Jefferson City, MO 65102-0570, Phone: 573-526-8524 <>/ExtGState<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> Alzheimer's Special Care Services Disclosure Form, Application for Registration as a Qualified Receiver for a Long-Term Care Facility Missouri Department of Health & Senior Services, Spiritual and Psychosocial Care-Trainer Series, Licensure Regulations Manual Chapter 198 RSMo, Licensure Regulations Manual Chapter 192 RSMo, Missouri Alzheimer's State Plan Task Force, Home and Community Based Services Provider Information, Medicare Improvement for Patients and Providers Act (MIPPA), Missourians Stopping Adult Financial Exploitation (MOSAFE), Nondiscrimination Notice (Translations Available). Paula F. Nickelson, PLEASE READ THIS DISCLAIMER CAREFULLY BEFORE USING THE SERVICE. As Google's translation is an automated service it may display interpretations that are an approximation of the website's original content. <> Missouri Department of Health and Senior Services PO Box 570 Jefferson City, MO 65102-0570. The State of Missouri has no control over the nature, content, and availability of the service, and accordingly, cannot guarantee the accuracy, reliability, or timeliness of the 109 0 obj <>/Filter/FlateDecode/ID[<431A8B080C91F24ABB5EFF0BC4A46477>]/Index[94 32]/Info 93 0 R/Length 83/Prev 152807/Root 95 0 R/Size 126/Type/XRef/W[1 2 1]>>stream The segmented chapters will have a "Next Section" button in the top and bottom right corners to navigate to the next section and a "Previous Section" button in the top and bottom left corners to navigate to the previous section. 866-748-7047, Missouri Department of Social Services is an equal opportunity employer/program. Hospice/LTC Coordinated Task Plan Training Booklet Providing the service as a convenience is 2_K|nNX{+;xF%g/j :oV5CYW#* 6}pXWA$H(w/2]/S#,v#F!Apei}Yy=$nd> sg:O>f^:+rIf*I4sPb]_w3LhOEngwJA^nAA_AZQLS(=QM[xGsv=f$=Psh5Md 9$ XGnzL8AQ{Y~b7E$5:( TZIY2H>[2_"Ox.81 \=V'QcUYCM[OAU hZ-Q(+* State Medicaid requirements are included at the end of this summary. residential care facilities. Phone: 573-526-8524 . DA-634 Affiliate List - Partnership (MO 580-2629) Compendium of Residential Care and Assisted Living Regulations and Policy: 2015 Edition. There are circumstances where the service does not translate correctly and/or where translations may not be possible, such Section for Long Term Care Regulation including without limitation, indirect or consequential loss or damage arising from or in connection with use of the Google Translate Service. The Missouri Foundation for Health (MFH) operates Cover Missouri to help you find health care coverage, including financial aid for assisted living through Medicaid. OLA(edJ !PXP PiU1\:E$&|%K:1]e`r Missouri lawmakers again appear unlikely to approve legislation legalizing sports wagering, causing "extreme frustration," said St. Louis Cardinals President Bill DeWitt III. The applicant will be notified via email of the . 94 0 obj <> endobj hbbd``b`@%@ H[A~ !g Providing the service as a convenience is 4. Alzheimer's Special Care Unit Directory If a rule's effective date has not arrived yet, the previous edition of the rule would be the rule still in effect. Of these facilities, there are 504 skilled nursing facilities, 24 intermediate care facilities, 369 residential care facilities, and 268 assisted living facilities. Fax: 573-751-8493 Guide to Selecting an Alzheimers Special Care Unit Fax: 573-526-4314 There are circumstances where the service does not translate correctly and/or where translations may not be possible, such translations of web pages. Missouri Department of Health and Senior Services Missouri Department of Health and Senior Services, RCF II Waiver Implementation Guidance 4-17-20, Residential Care Facility II Requirements 4-14-20, Residential Care Facility II Requirements 4-16-20, DHSS Health Guidance COVID-19 and Return to Work Messaging Expanded Guidance for Critical Infrastructure Personnel Involved in the Provision of Direct Client Care, Centers for Disease Control and Prevention, Missouri Association of Nursing Home Administrators, Missouri Coalition Celebrating Care Continuum Change (MC5), SLCR Newsletters and Provider Information, iQIES Minimum Data Set (MDS) Submission and Reports is Now Available, Summit for Acute & Post-Acute Care Providers, DHSS Cannabis Prevention and Education Workgroup Survey. DA-636 Corrections for Long Term Care Facility License Application (MO 580-2623) . The Google Translate Service is offered as a convenience and is subject to applicable Google Terms of Service. Refer to the official regulations, which can be found at the Missouri Secretary of States web site. _pah3$'%9Xi!@0dO\Y%F~6IC. The Section for Long Term Care Regulation is also responsible for certifying and inspecting Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICF/IID). TDD/TTY: 800-735-2966, Relay Missouri: 711, Support Investigating Crimes Against Children, Make an Online Payment to Claims & Restitution, Child Care Provider Business Information Solution, Information for Residential Care Facilities & Child Placing Agencies, Online Invoicing for Residential Treatment & Children's Treatment Services, Resources for Professionals & Stakeholders, HB557 Meeting for Public Comment Recording, 24/7 Missouri: Helping Businesses Navigate Government. Some State of Missouri websites can be translated into many different languages using Google Translate, a third party service (the "Service") that provides automated computer The Section also inspects 11 hospital-based long-term care units. As Google's translation is an automated service it may display interpretations that are an approximation of the website's original content. accurate. Licensed Facility Directory by City 2 0 obj Hospitals - specifically 19 CSR 30-20.040, 19 CSR 30-20.050, and 19 CSR 20.060, Intermediate Care and Skilled Nursing Facility, Residential Care Facilities and Assisted Living Facilities, Sanitation Requirements for Long-Term Care Facilities, Residents' Rights and Handling Resident Funds and Property in Long-Term Care Facilities, Specialized Long-Term Care Facilities or Special Care Units, Authorized Electronic Monitoring in Long-Term Care Facilities, Communicable Disease Investigation Reference Manual, Guidelines for End-of-Life Care in Long-Term Care Facilities, Introduction endstream endobj startxref DA-639 Noncancelable Escrow Agreement (MO 580-2628) Home-like may include, but is not lim- . Neither the State of Missouri nor its employees accept liability for any inaccuracies or errors in the translation or liability for any loss, damage, or other problem, NOTE: Unless specifically exempted by law, private agencies providing residential treatment for children and youth, and child placing agencies that provide foster home and/or adoption services, must be licensed by the Childrens Division. DA-150b Forecasted Income Statement - All Operators (MO 580-2636) Fax: 573-751-8493 Auxiliary aids and services are available upon request to individuals with disabilities. For more reports and information, contact the Health Facility Licensing and Certification Bureau at (505) 476-9047 or (505) 476-9025. DA-150 Application for License to Operate a Long Term Care Facility (MO 580-2631) The applicant will be notified via email of the Boards decision and next steps of obtaining licensure. Therefore, some of the rules published in the current version of the CSR may not be effective. Principal List (MO 580-2925) Show-Me Long Term Care Residential Care Facilities . Code of State Regulations. On this page you will find all current Division of Behavioral Health Policies, Memos, & Regulations. Jefferson City, Missouri 65102. For more information regarding where information has been moved please click here. Licensed Facility Directory by Region. In addition, some applications and/or services may not work as expected when translated. Paula F. Nickelson, PLEASE READ THIS DISCLAIMER CAREFULLY BEFORE USING THE SERVICE. Spiritual and Psychosocial Care-Trainer Series as with certain file types, video content, and images. PURPOSE: Section 210.246, RSMo makes it unlawful for any person to establish or operate a residential care facility without having in full force a written license granted by the Missouri Division of Family Services. Neither the State of Missouri nor its employees accept liability for any inaccuracies or errors in the translation or liability for any loss, damage, or other problem, not an endorsement of the product or the results generated and nothing herein should be construed as such an approval or endorsement. b I@"-Hr?c' NF, not an endorsement of the product or the results generated and nothing herein should be construed as such an approval or endorsement. Chapter 2 - Standards for All Residential Facilities Subject to Licensing. Some State of Missouri websites can be translated into many different languages using Google Translate, a third party service (the "Service") that provides automated computer Pre-Screening and Assessment for Admission to Assisted Living Facilities Chapter 4 - Standards for Residential Centers Subject to Licensing. vEJ.C%^mXR=az1V'=]Tr'htrK U\bJ[GO|qjd|,/c4h ~3Vc+>B$Dagi-.j.B(/IF*Aqi%W8A*_e^T1Q-G*2\kn928Ji9~`=rtQDoB/?&+&d1xG~'T+]d1:!uSj[:Sr. Providing the service as a convenience is For more information on nursing home licensing and certification, visit our Frequently Asked Questions or contact us. If assistance is needed, please call 1-573-751-6400. As Google's translation is an automated service it may display interpretations that are an approximation of the website's original content. You should not rely on Google DA-150e Statement of Financial Position - General (MO 580-2635) Box 966 Sikeston, MO 63801 573-472-5305 DMH-OLC@dmh.mo.gov. Long Term Care Directory, Section for Long Term Care Regulation Potluck Dinners, Barbeques, Fish Fries, Garden Produce & Other Good Things Resident Care Survey - ICF/SNF, Section for Long Term Care Regulation The State of Missouri has no control over the nature, content, and availability of the service, and accordingly, cannot guarantee the accuracy, reliability, or timeliness of the To view a particular Chapter on the list (Examples: Chapter 20 for Hospitals or Chapter 81 for Certification), select the Chapter number. Notify DSS you are operating A licensed residential care and assisted living administrator (RCAL) oversees a licensed residential care facility and/or assisted living facility in Missouri. Links to Assisted Living Facility Licensure and/or Compliance: Health Care Provider Search for licensed facilities and select survey reports. Tweet. Goals of Care Information for licensed Contain the organizational description of the Department or policies and standards applying to external parties over whom the Department has some regulatory authority. Some State of Missouri websites can be translated into many different languages using Google Translate, a third party service (the "Service") that provides automated computer Questions related to these waivers can be emailed to RegulationUnit@health.mo.gov. Licensing & Regulations; Disaster & Emergency Planning; Data & Statistics; LTC Applications & Forms. Box 687. %%EOF If there are differences between the English content and its translation, the English content is always the most Residential care facilities have similar ratio requirements, though they must also have a licensed nurse on staff who works eight hours per week per every 30 residents. Paula F. Nickelson, PLEASE READ THIS DISCLAIMER CAREFULLY BEFORE USING THE SERVICE. Nutrition and Hydration There are circumstances where the service does not translate correctly and/or where translations may not be possible, such 19 30-86.052, see flags on bad law, and search Casetext's comprehensive legal database Documents may be moved or archived. Depending on the type of licensing exemption a program may qualify for, that program may still be required to comply with certain child care laws and regulations. Previous editions of these rules may be available in the archived editions. The Google Translate Service is offered as a convenience and is subject to applicable Google Terms of Service. 1706 East Elm. Chapter 3 - General and Family Physician Loan and Training Programs, Chapter 4 - Coordinated Health Care Services, Chapter 5 - Procedures for the Collection and Submission of Data to Monitor Health Maintenance Organizations, Chapter 6 - Professional and Practical Nursing Student Loans, Chapter 33 - Hospital and Ambulatory Surgical Center Data Disclosure, Chapter 2 - Education and Program Enhancement, Chapter 3 - Service Credit Program (Older Volunteer Service Bank), Chapter 9 - Electronic Visit Verification, Chapter 2 - Protection of Drugs and Cosmetics, Chapter 10 - Protection Against Ionizing Radiation, Chapter 12 - Protection Against Non-Ionizing Radiation, Chapter 24 - Dead Bodies Infected With a Communicable Disease, Chapter 26 - Sexually Transmitted Diseases, *Chapters 32, 33, 34, 35, 36 and 38 - moved to 19 CSR 25, Chapter 43 - HIV/AIDS Medications Program, Chapter 44 - Emergency Response and Terrorism, Chapter 50 - Prescription Drug Repository Program, Chapter 30 - Determination of Blood Alcohol by Blood, Breath, Saliva, and Urine Analysis; and Determination for the Presence of Drugs in Blood, Saliva, and Urine, Chapter 33 - Laboratories for Serologic Tests for Human Immunodeficiency Virus Antibodies, Chapter 34 - Laboratories for Serologic Tests for Syphilis, Chapter 35 - Laboratories for Serologic Tests for Hepatitis B, Chapter 36 - Testing for Metabolic Diseases, Chapter 25 - Special Notice-Home Health Agencies, Chapter 30 - Ambulatory Surgical Centers and Abortion Facilities, Chapter 40 - Comprehensive Emergency Medical Services Systems Regulations, Chapter 41 - Head and Spinal Cord Injuries, Chapter 60 - License-Exempt Child Care Facilities, Chapter 61 - Licensing Rules for Family Day Care Homes, Chapter 62 - Licensing Rules for Group Child Care Homes and Child Care Centers, Chapter 63 - Child Care Comprehensive Background Screening, Chapter 70 - Lead Abatement and Assessment Licensing, Training Accreditation, Chapter 82 - General Licensure Requirements, Chapter 84 - Training Program for Nursing Assistants, Chapter 85 - Intermediate Care and Skilled Nursing Facility, Chapter 86 - Residential Care Facilities and Assisted Living Facilities, Chapter 87 - Sanitation Requirements for Long-Term Care Facilities, Chapter 88 - Resident's Rights and Handling Resident Funds and Property in Long-Term Care Facilities, Chapter 89 - Specialized Long-Term Care Facilities or Special Care Facilities, Chapter 90 - Adult Day Care Program Licensure, Chapter 91 - Authorized Electronic Monitoring in Long-Term Care Facilities, Chapter 1 - Crippled Children's Service (CCS), Chapter 3 - The Sudden Infant Death Syndrome (SIDS) Program, Chapter 4 - Early Periodic Screening, Diagnosis and Treatment (EPSDT), Chapter 8 - Missouri Genetics Disease Program, Chapter 9 - Universal Newborn Hearing Screening Program, Chapter 10 - Forensic Examinations for Sexual Assault, Chapter 12 - Critical Congenital Heart Disease, Chapter 10 - Missouri Rehabilitation Center (rescinded), Chapter 1 - Organization and Description of Board, sos.mo.gov Internet Privacy Policy Bid Opportunities Proposed Rules Voter ID Missouri State Government Employment Directions Site Map Employee Access, 600 West Main Street Jefferson City, MO 65101 Main Office: (573) 751-4936 [emailprotected] Branch Offices, Administrative Rules Frequently Asked Questions. Hospice/LTC Coordinated Task Plan Form and Instructions x[Ys8~wViGjjJm&>L(5ig~ SV ;)D7>@W\V|-wJ~nz}y]zwup-/Vu~Di}y~|ng>4/HGBSiCo!nu~#tq("7EA& @A~i;=`j04{8>E\2ZdD_DnR xFo]Z `x~"}7&\ItQ Chapter 5 - General Program Procedures. The Missouri Department of Health and Senior Services assumes no responsibility for any error, omissions, or other discrepancies in the manual. Documents may be moved or archived. %PDF-1.7 There are approximately 1,165 long-term care facilities with more than 81,100 beds licensed and inspected by the Section. These regulations can be found at: DA-636 Corrections for Long Term Care Facility License Application (MO 580-2623), Application for License to Operate an Adult Day Care Program To view a particular Section on the list, select the title for the desired section. Email: info@health.mo.gov, Acting Director Notification from the Missouri Department of Revenue of the business entity . Providing information and guidance for Long-Term Living Providers - Skilled Nursing, Intermediate Care, Assisted Living and Residential Care Homes. The State of Missouri has no control over the nature, content, and availability of the service, and accordingly, cannot guarantee the accuracy, reliability, or timeliness of the endobj Paula F. Nickelson, PLEASE READ THIS DISCLAIMER CAREFULLY BEFORE USING THE SERVICE. In order to minimize download time, some of the larger chapters have been segmented into sections. Fire Report (DA-115) in Missouri. As Google's translation is an automated service it may display interpretations that are an approximation of the website's original content. According to 13 CSR 35-71.015, all licensed and license-exempt residential care facilities and child placing agencies must ensure that background checks on all new and current employees have been completed by March 31, 2022, unless the facility or agency has received an . Google Translate will not translate all applications. Please read through this important guidance. The State of Missouri has no control over the nature, content, and availability of the service, and accordingly, cannot guarantee the accuracy, reliability, or timeliness of the In addition, some applications and/or services may not work as expected when translated. In order to ensure a safe environment for children, Missouri law requires all licensed and license-exempt residential care facilities and child placing agencies ensure background checks are completed on anyone in the facility who has access to children. Google Translate will not translate all applications. If there are differences between the English content and its translation, the English content is always the most %PDF-1.6 % Email: info@health.mo.gov, Acting Director Facility provides 24-hour accommodation, board and skilled nursing care and treatment services to at least three residents. If there are differences between the English content and its translation, the English content is always the most Behavioral Health Substance Use and Mental Illness, Accrediting Body Status for Opioid Treatment Programs (OTPs), Assessment Billing - No Recoupment After Eligibility Determination, Community Support, Peer/Family Support, Wraparound Billing Associated with Transportation, Death Review Processes for Community Behavioral Health Providers and DBH Oversight (Client), Deficit Reduction Act False Claims Act Policy, Federal Funding Guidelines Regarding Marijuana, Clarification from SAMHSA re Federal Funding Guidelines - Marijuana, Increase of the MO HealthNet Asset Limit - HB 1565, ICD-10/DSM-5 Information Update onDiagnosis Codes, Medicaid Eligibility Screening and "Sweep" Process, Medicaid Eligibility - Transition from SOR/E-COVID Grants, Missouri Behavioral Health Connect (MOConnect), Provisional Licensure, Approved Diagnosticians, Qualified Addiction Professional - Language Matters, Services to Members of the Missouri National Guard, Standard Means Test Waiver Directive - 2022, Specialized Deaf/HOH Programs - Communications, Treatment Plan Signature Requirements(July 26, 2021), Guidance and Clarification on the Definition and Use of Telemedicine and Audio-Only Services, Telehealth Expansion of Services (February 5, 2020), CCBHO Clinical Implications for Community Support, Peer Support, and Family Support Services in CPR and CSTAR Programs, CCBHC Clinical Implications for Assertive Community Treatment (ACT) and ACT/Transition Age Youth (TAY), CCBHC Clinical Implications for Screening, Assessment and Treatment Planning in CPR, CSTAR, Outpatient Mental Health and Outpatient Substance Use Disorder Programs, CBHC Clinical Implications for Outpatient Substance Use Treatment Programs, CCBHC/O DCO Requirements for Crisis Behavioral Health Services, Adolescent Assessments and the New CSTAR Assessment Requirements, Youth Peer Support Billing Clarification (9/10/2021), DLA 20 in DBH-Contracted Substance Abuse Treatment Programs, DLA-20 and Treatment Plan Reviews, Changes to Requirements for Adolescent CSTAR, DLA-20 and Treatment Plan Reviews, Changes to Requirements for Adult CSTAR, CPR Policy Changes Regarding the DLA-20 and Guardians' Signatures on Key Documentation, Using the DLA-20 to Establish Eligibility for Community Psychiatric Rehabilitation Programs, CPR Day Treatment Attendance Requirements, Drug Testing within Community Psychiatric Rehabilitation Programs, Medicaid Administrative Case Management - Outreach, Reversal of Unbundling of the CPR Assessment and Treatment Plan, Status Report Requirements - letter from the Director, Intensive CPR for Adults in Non-Residential Settings, Disease Management Policy and Procedure Manual, CMHC HCH Care Management Monitoring Documentation Requirements, Civil Involuntary Detention Orders: Addressing CIMOR and Clinical Utilization Review Issues, Community Mental Health Treatment and Offenders with Serious Mental Illness Programs Memo, Community Mental Health Treatment and Offenders with Serious Mental Illness Programs Bulletin, Designated DOC Liaisons and Communications, SATOP Bulletin Qualified Substance Abuse Professional and SATOP Qualified Professional, GPRA Follow-up Incentive and Group Education, SOR Funds Management Strategies and Policies, Transition to New CSAT GPRA Tool for SOR Treatment Providers, Adaptations in Monitoring Reviews - Virtual Reviews Memo, Integrated Care Units: Commonly Asked Questions - Virtual Reviews, SUD Treatment, Medication for OUD, Drop-In Centers, & Shelter Guidance, Locate Treatment & Services for Substance Use or Mental Illness. The mission of the Missouri Assisted Living Association is to provide industry leadership that promotes the highest standards of assisted living and residential care for Missouri consumers through quality education and the advocacy of favorable legislation and regulations. Email: info@health.mo.gov, Acting Director Some State of Missouri websites can be translated into many different languages using Google Translate, a third party service (the "Service") that provides automated computer including without limitation, indirect or consequential loss or damage arising from or in connection with use of the Google Translate Service. at(C4$Qf-``h``L``6Ko` ALc DA-637 Assurance of Compliance (MO 580-2622) Instructions for Exception Request (updated 02/10/23) PO Box 570 The Board is currently in the process of amending its rules and regulations impacted by legislation in the last couple of years. The name and description of the person operating the residential care facility, including a statement as to whether the person operating the residential care facility is a firm, corporation, benevolent association, partnership, association, agency, or an incorporated or unincorporated organization, regardless of the name used. 4 0 obj Missouri Revised Statutes (RSMo) Instructions for Viewing Statutes - The Section(s) or Chapter citations in the left column below link to the indicated Chapter of the Missouri Revised Statutes (RSMo) on the Missouri General Assembly's web page. PASRR DA-621 Alzheimer's Special Care Services Disclosure (MO 580-2637) Google Translate will not translate all applications. Residential Care Facility or Assisted Living Facility Enrollment Packet. Posted on 04/17/2020. Personal Funds Account Balance Report MO 886-3103 (MO 886-3103) DA-150d Relicensure Financial Information Statement - General (MO 580-2633) Chapter 1 - Organization and Description. Google Translate will not translate all applications. If there are differences between the English content and its translation, the English content is always the most pass list of sobject from lwc to apex, can you cook a frozen pie in an air fryer, listar grupos de un usuario active directory powershell,