reglab/statecodes huggingface dataset:
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-4-4 - RABIES CONTROL PROGRAM › Section 420-4-4-.06 - Rabies Vaccine Requirements

Current through Register Vol. 42, No. 9, June 28, 2024
(1) Every owner of a dog, cat, or ferret
			 required to be immunized shall cause the animal to be immunized by the rabies
			 officer, his or her authorized representative, or any duly licensed
			 veterinarian, when the animal reaches three months of age and subsequently in
			 accordance with the intervals specified in the rabies vaccine's
			 license.
(2) Notwithstanding
			 paragraph (1) above, in order to assure that the maximum number of animals
			 remain vaccinated for the prevention of rabies in humans and animals, the
			 vaccine interval for rabies vaccines administered in public rabies clinics
			 shall be one year.
Authors:
William B. Johnston, D.V.M., Dee Jones,
				  D.V.M.
Statutory Authority:
Code of Ala.
				  1975
, §§
										3-7A-1,
et
				  seq
., (Alabama Legislature Act 2009-636),
				  22-2-2(6).
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-4-4 - RABIES CONTROL PROGRAM › Section 420-4-4-.07 - Evidence Of Immunization

Current through Register Vol. 42, No. 9, June 28, 2024
Evidence of rabies immunization shall be provided to the owner
				of the animal by the issuance of a certificate and a serially numbered
				tag.
(a) The information required by
			 §
								3-7A-2(a),
Code of Ala. 1975
, shall be stated on a printed
			 Certificate of Immunization, dated and signed by the person authorized to
			 administer the vaccine. The certificate of immunization shall be provided to
			 the owner of the animal and shall be accompanied by a serially numbered tag
			 bearing the same number and year as that of the certificate.
(b) Certificates of Immunization may be
			 issued on forms provided by the Department. Alternatively, the NASPHV Form 51,
			 which can be obtained from vaccine manufacturers may be used, as well as any
			 computer generated form containing the information required in §
								3-7A-2(a),
Code of Ala. 1975
.
(c) Certificates and records of immunization
			 shall be maintained by the veterinarian for a period of one year past the
			 expiration date on the certificate.
(d) The NASPHV standard tag system shall be
			 used to aid local animal control and public health authorities in identifying
			 the immunization status of animals. The rabies license tags shall follow NASPHV
			 guidelines, distinguishable in shape and color by year of issuance.
Rule .06 was renumbered to .07 as per certification filed
				  November 18, 2009.
Authors:
William B. Johnston, D.V.M., Dee Jones,
				  D.V.M.
Statutory Authority:
Code of Ala.
				  1975
, §§
										3-7A-1,
et
				  seq
., 22-2-2(6).
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-4-4 - RABIES CONTROL PROGRAM › Section 420-4-4-.08 - Exemptions From Vaccination

Current through Register Vol. 42, No. 9, June 28, 2024
(1) With the written consent of an animal's
			 owner, a veterinarian with a valid client/patient relationship (VC/PR) may
			 issue a certificate exempting an animal from the rabies vaccination
			 requirements in §
								3-7A-2,
Code of Ala.
			 1975
, if he or she determines that it would be medically
			 contraindicated to vaccinate the animal due to an infirmity, other medical
			 condition, or regimen of therapy. The Certificate of Exemption from Rabies
			 Vaccine form in Appendix A to these rules shall be used.
(2) Certification that the animal is exempt
			 from vaccination shall be valid for a period of one year from the date of the
			 issuance of the certificate of exemption, after which time the animal shall be
			 re-examined by a licensed veterinarian and vaccinated against rabies or a new
			 Certificate of Exemption shall be issued to the animal's owner.
(3) An exempt animal must be vaccinated
			 against rabies as soon as its health permits.
(4) The Certificate of Exemption shall be
			 provided to the animal's owner and a copy shall be provided to the Department
			 within seven days from the date of the issuance of the certificate. The
			 veterinarian who issues the certificate shall maintain a copy of the
			 certificate for a minimum of one year from the date of issuance.
(5) An exemption from the rabies vaccination
			 requirements of these rules does not exempt the animal from other laws and
			 regulations related to animal and rabies control. If the exempted animal is
			 exposed or is suspected of being exposed to rabies (e.g., due to an exposure
			 from a rabid or suspect rabid animal), the Health Officer shall require it to
			 be euthanized or quarantined for six months. If the animal is suspected of
			 exposing a human, it shall be quarantined for 10 days.
Authors:
William B. Johnston, D.V.M., Dee Jones,
				  D.V.M.
Statutory Authority:
Code of Ala.
				  1975
, §§
										3-7A-1,
et
				  seq
. (Alabama Legislature, Act 2009-636),
				  22-2-2(6).
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-4-4 - RABIES CONTROL PROGRAM › Section 420-4-4-.09 - Extra-Label Use Of Animal Rabies Vaccines

Current through Register Vol. 42, No. 9, June 28, 2024
Extra-label use of rabies vaccines may be considered under the
				following conditions:
(a) The United
			 States Department of Agriculture regulations and the Food and Drug
			 Administration regulations and guidelines for pharmaceuticals shall be followed
			 relative to the extra-label use of animal rabies vaccines. Notations of
			 extra-label use in domestic animals must also be entered on the animal's
			 veterinary medical record.
(b)
			 Animal rabies vaccines licensed for use in other species may be used in
			 domestic animals when there is a demonstrated need for the product, provided
			 there is evidence that some efficacy can be expected.
(c) Parenteral vaccination of captive native
			 wildlife species shall not be allowed because the period of viral shedding, the
			 clinical syndrome, and the efficacy of vaccines are not established.
(d) Zoos, research institutions, and exotic
			 exhibitors licensed under the United States Department of Agriculture Animal
			 Welfare Act may establish rabies vaccination programs under the supervision of
			 the Department in an attempt to protect valuable animals. These programs should
			 not be in lieu of appropriate quarantine and isolation measures that protect
			 humans.
(e) Due to some
			 uncertainties of the immunologic response to vaccination, the infective period
			 of viral shedding, and the clinical course of disease in hybrid-cross animals,
			 such animals involved in exposures to humans shall be considered for euthanasia
			 on a case-by-case basis by the Department with due consideration given to the
			 species, the circumstances of the exposure, and the epidemiology of rabies in
			 the area.
Rule .07 was renumbered to .09 as per certification filed
				  November 18, 2009.
Authors:
William B. Johnston, D.V.M., Dee Jones,
				  D.V.M.
Statutory Authority:
Code of Ala.
				  1975
, §§
										3-7A-1,
et
				  seq
., 22-2-2(6).
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-4-4 - RABIES CONTROL PROGRAM › Section 420-4-4-.10 - Adoption Of National Compendium

Current through Register Vol. 42, No. 9, June 28, 2024
The
Compendium of Animal Rabies Prevention and
				Control
published in 2008 by the NASPHV and the Centers for Disease
				Control is hereby adopted by reference and shall serve as a guide for the
				Department's animal rabies control activities in situations not specifically
				addressed in the Rules of the State Board of Health. A copy of the
Compendium of Animal Rabies Prevention and Control
may be
				obtained by contacting the Department's Epidemiological Division of the Bureau
				of Communicable Diseases at 201 Monroe Street, Suite 1468, Montgomery, Alabama
				36130. Standard fees for retrieving and making copies of public records, as
				referenced in State Board of Health Rule
				420-1-5-.04, shall
				apply.
Rule .09 was renumbered to .10 as per certification filed
				  November 18, 2009.
Authors:
William B. Johnston, D.V.M., Dee Jones,
				  D.V.M.
Statutory Authority:
Code of Ala.
				  1975
, 3-7A-1,
et seq
seq.,
				  22-2-2(6).
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-4-4 - RABIES CONTROL PROGRAM › Appendix A

Current through Register Vol. 42, No. 9, June 28, 2024
Click to
				view image
Authors:
William B. Johnston, D.V.M., Dee Jones,
				  D.V.M.
Statutory Authority:
Code of Ala.
				  1975
, §§
										3-7A-1, et
seq
. (Alabama Legislature, Act 2009-636),
				  22-2-2(6).
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-4-5 - HEALTHCARE-ASSOCIATED INFECTIONS REPORTING › Section 420-4-5-.02 - Healthcare Facility Responsibilities

Current through Register Vol. 42, No. 9, June 28, 2024
(1) Healthcare facilities shall begin
			 collecting HAI data using NHSN to report to ADPH no later than January 1, 2011.
			 Healthcare facilities may begin collecting HAI data to report to ADPH using
			 NHSN prior to January 1, 2011. Data reported prior to January 1, 2011 will be
			 considered test data and will not be publicly reported.
(2) HAI data shall be reported to ADPH from
			 the following categories:
(a) Central
			 Line-Associated Bloodstream Infections (CLABSI) from the following critical
			 care units within a healthcare facility:
1.
			 Adult Critical Care Units
2.
			 Pediatric Critical Care Units
3.
			 Neonatal Critical Care Units
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-4-5 - HEALTHCARE-ASSOCIATED INFECTIONS REPORTING › Section 420-4-5-.03 - Healthcare Data Advisory Council Responsibilities

Current through Register Vol. 42, No. 9, June 28, 2024
The Advisory Council shall review and serve as consultants to
				ADPH on all matters pertaining to the collection and reporting of HAI rates
				including the cost of providing this information.
(a) Specifically, the Advisory Council shall
			 assist in activities such as the development of reporting categories, the
			 corresponding definitions and the development of reports, both internal and to
			 the public.
(b) The Advisory
			 Council shall review and approve any amendments to the rules and regulations,
			 or policies and procedures, on healthcare facility infection
			 reporting.
(c) All meetings of the
			 Advisory Council shall be announced in advance and conducted pursuant to the
			 Open Meetings Act,
Code of Ala. 1975
, §
								36-25A-1, et seq.
(d) A quorum shall be a majority of the
			 appointed members of the Advisory Council.
(e) Voting by proxy shall not be
			 allowed.
(f) The State Health
			 Officer shall serve as chair of the Advisory Council, without a vote, except
			 where there is a tie vote of the other members present at the
			 meeting.
(g) The Advisory Council
			 may appoint technical advisory committees. The technical advisory committee
			 members do not have to be members of the Advisory Council.
(h) The Advisory Council shall meet at least
			 annually to review reports, and may meet more often at the call of the chair,
			 or upon written request of at least three members of the Advisory Council, to
			 review and approve amendments to the rules and regulations.
Author:
Kelly M. Stevens, M.S.
Statutory Authority:
Code of Ala.
				  1975
, §
										22-11A-113;
				  22-11A-119;
				  22-2-2(6).
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-4-5 - HEALTHCARE-ASSOCIATED INFECTIONS REPORTING › Section 420-4-5-.04 - Collection Methods

Current through Register Vol. 42, No. 9, June 28, 2024
(1) ADPH
			 shall establish a group NHSN account for healthcare facilities to
			 join.
(2) Healthcare facilities
			 shall report inpatient HAI data using the NHSN internet-based surveillance
			 system and submit this information through the established ADPH group NHSN
			 account. Healthcare facilities shall report HAI data monthly. Monthly reporting
			 of HAI data shall be completed by midnight on the final day of the subsequent
			 month.
Authors:
Kelly M. Stevens, M.S., Nina C.
				  Hassell, M.P.H.
Statutory Authority:
Code of Ala.
				  1975
, §
										22-11A-113;
				  22-11A-119;
				  22-2-2(6).
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-4-5 - HEALTHCARE-ASSOCIATED INFECTIONS REPORTING › Section 420-4-5-.05 - Risk Adjustment

Current through Register Vol. 42, No. 9, June 28, 2024
ADPH shall develop policies and procedures, or protocols, or
				both, approved by the Advisory Council, to ensure that reported HAI data are
				risk adjusted to allow for comparisons between healthcare facilities and to
				reduce the possibility that reported data will be misleading.
Authors:
Kelly M. Stevens, M.S., Nina C.
				  Hassell, M.P.H.
Statutory Authority:
Code of Ala.
				  1975
, §
										22-11A-113;
				  22-11A-119;
				  22-2-2(6).
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-4-5 - HEALTHCARE-ASSOCIATED INFECTIONS REPORTING › Section 420-4-5-.06 - Data Validation And Quality Assurance

Current through Register Vol. 42, No. 9, June 28, 2024
(1) ADPH, with input from the Advisory
			 Council, shall devise a method to quality check HAI reported data, and shall
			 develop and test a data validation program. Methodologies for data validation
			 shall be approved by the Advisory Council.
(2) Each healthcare facility shall utilize
			 and maintain the NHSN data dictionary and coding schema contained in the NHSN
			 Patient Safety Component Protocol of the
National Healthcare Safety
			 Network Manual
which is adopted by reference in Rule
			 420-4-5-.02.
(3) The NHSN has several inherent validation
			 checkpoints. ADPH shall monitor and assess the information, and provide
			 operational guidance for healthcare facilities that target the detected
			 issues.
(4) Healthcare facilities
			 shall be open to site visits by ADPH to assure the timeliness of reporting and
			 to cooperate in problem resolution.
Authors:
Kelly M. Stevens, M.S., Nina C.
				  Hassell, M.P.H.
Statutory Authority:
Code of Ala.
				  1975
, §
										22-11A-113;
				  22-11A-119;
				  22-2-2(6).
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-4-5 - HEALTHCARE-ASSOCIATED INFECTIONS REPORTING › Section 420-4-5-.07 - Studies And Publications

Current through Register Vol. 42, No. 9, June 28, 2024
(1) Reports and studies prepared and released
			 by ADPH, and approved by the Advisory Council, based on healthcare facility HAI
			 data shall be public information, and shall follow the privacy and
			 confidentiality provisions as described in Rule 420-4-5.08.
(2) ADPH shall provide comparative HAI rates
			 among healthcare facilities.
(3)
			 ADPH shall allow all healthcare facilities that have submitted HAI data which
			 will be used in any report to review and comment on the healthcare facility
			 specific information prior to its publication or release for general public
			 use.
(a) Comments of healthcare facilities
			 shall be included, at the option of the healthcare facility, with information
			 publically reported if it is not changed based upon those comments.
(b) Comments must be submitted in a format
			 approved by ADPH and the Advisory Council within 45 days of the receipt of the
			 report.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-4-5 - HEALTHCARE-ASSOCIATED INFECTIONS REPORTING › Section 420-4-5-.08 - Privacy And Confidentiality

Current through Register Vol. 42, No. 9, June 28, 2024
(1) Individual patient information submitted
			 to ADPH shall not be public records and shall not be subject to
			 discovery.
(2) ADPH shall not
			 release the HAI data or any information obtained from the data in a form which
			 could be used to identify a patient.
(3) ADPH shall develop policies and
			 procedures, approved by the Advisory Council, addressing the release of HAI
			 data to legitimate research organizations so that patient confidentiality and
			 privilege protections are maintained.
(4) Individual patient data submitted to ADPH
			 by healthcare facilities shall at all times remain confidential and privileged
			 from discovery.
(5) All information
			 and records acquired or developed shall be secured, have restricted access, and
			 shall be maintained based on the policies established by the Advisory Council
			 and ADPH.
Author:
Kelly M. Stevens, M.S.
Statutory Authority:
Code of Ala.
				  1975
, §
										22-11A-113;
				  22-11A-119;
				  22-2-2(6).
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-4-5 - HEALTHCARE-ASSOCIATED INFECTIONS REPORTING › Section 420-4-5-.09 - Penalties

Current through Register Vol. 42, No. 9, June 28, 2024
(1) The willful and
			 intentional failure of a healthcare facility to comply with the HAI reporting
			 requirements of these rules may result in the imposition of a civil monetary
			 penalty not to exceed $5,000 per violation.
(a) Willful and intentional failure to comply
			 with the reporting requirements of these rules includes the following:
1. Failure to submit required data by the
			 deadline set forth in these rules, followed by the facility's failure to submit
			 the data within sixty days of being notified by ADPH of the overdue submission,
			 and
2. Deliberate falsification of
			 data submitted.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-4-5 - HEALTHCARE-ASSOCIATED INFECTIONS REPORTING › Section 420-4-5-.10 - Force Or Effect

Current through Register Vol. 42, No. 9, June 28, 2024
These rules shall no longer have any force or effect and shall
				not be enforceable after ADPH determines that there has been an enactment of a
				United States government program for collecting and disseminating HAI data
				which mandates, at a minimum, the reporting, collection, and dissemination of
				the same categories of data required in Rule
				420-4-5-.02.
Author:
Kelly M. Stevens, M.S.
Statutory Authority:
Code of Ala.
				  1975
, §
										22-11A-113;
				  22-11A-119;
				  22-2-2(6).
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-5-1 - ABORTION OR REPRODUCTIVE HEALTH CENTERS › Section 420-5-1-.02 - Administration

Current through Register Vol. 42, No. 9, June 28, 2024
(1)
Governing
			 Authority.
(a) Responsibility. The
			 governing authority is the person or persons responsible for the management,
			 control, and operation of the facility, including the appointment of persons to
			 fill the minimum staffing requirements. The governing authority shall ensure
			 that the facility is organized, equipped, staffed and administered in a manner
			 to provide adequate care for each patient admitted.
(b) Notification of Clinic Administrator. The
			 State Board of Health shall be advised of the clinic administrator's name
			 within fifteen days of appointment.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-5-1 - ABORTION OR REPRODUCTIVE HEALTH CENTERS › Section 420-5-1-.03 - Patient Care

Current through Register Vol. 42, No. 9, June 28, 2024
(1)
Patient Care.
All patient care must be rendered in accordance with
			 all applicable federal, state, and local laws, these rules, and current
			 standards of care, including all professional standards of practice. As with
			 any surgical procedure, the physician performing the procedure is responsible
			 for the procedure and for ensuring that adequate follow-up care is provided. In
			 order to facilitate continuity of patient care, the facility physician shall
			 contact and communicate with any physician rendering care for complications
			 arising from the abortion as soon as he or she is informed of the existence of
			 such complications. The facility shall develop and follow a policy and
			 procedure for communication with outside physicians, such as emergency
			 department physicians, so that all facility nurses and staff cooperate with any
			 physician rendering care for complications arising from an abortion.
(2)
Policies and Procedures.
The
			 facility shall develop and follow detailed written policies and procedures that
			 are consistent with all applicable federal, state, and local laws, these rules,
			 and current standards of care, including all professional standards of
			 practice. A comprehensive review of these policies and procedures shall be made
			 annually, or whenever it appears that either a comprehensive or limited review
			 is necessary to meet current legal requirements or standards of care. All
			 necessary revisions shall be made and implemented promptly.
(3)
Patients' Rights.
(a) The facility shall have written policies
			 and procedures to ensure the patient the rights to dignity, privacy, and
			 safety.
(b) The telephone number to
			 register complaints with the Alabama Department of Public Health, Division of
			 Health Care Facilities, shall be posted in a prominent location and shall be
			 included in the written material given to the patient upon discharge.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-5-1 - ABORTION OR REPRODUCTIVE HEALTH CENTERS › Section 420-5-1-.04 - Physical Environment

Current through Register Vol. 42, No. 9, June 28, 2024
(1)
Existing Facilities
.
An existing abortion
			 or reproductive health center shall comply with the requirements for Existing
			 Ambulatory Health Care Occupancy in the currently adopted National Fire
			 Protection Association (NFPA) 101, Life Safety Code.
(2)
Submission of Plans and
			 Specifications
.
(a) Scope. A facility
			 constructed or renovated after the effective date of these rules shall be
			 classified as Business Occupancy of the International Building Code, and New
			 Ambulatory Health Care Occupancy of the NFPA Life Safety Code. The facility
			 shall comply with the codes and standards adopted by the State Board of Health
			 in effect at the time of plan submission.
(b) New Facilities, Additions, and
			 Alterations. Plans and specifications shall be submitted for review and
			 approval to the Alabama Department of Public Health, for any building that is
			 intended to contain an abortion center, and for additions and alterations to
			 existing facilities. Submissions shall be in accordance with Alabama
			 Administrative Code Chapter 420-5-22, "Submission of Plans and Specifications
			 for Health Care Facilities."
(c)
			 Minor Alterations and Remodeling. See Alabama Administrative Code Chapter
			 420-5-22, "Submission of Plans and Specifications for Health Care Facilities,"
			 for exceptions to the plan submittal requirements in the case of certain minor
			 alterations or remodeling projects.
(d) Inspections. The State Board of Health
			 and its authorized representatives shall have access to the work for inspection
			 wherever it is in preparation or progress.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-5-1 - ABORTION OR REPRODUCTIVE HEALTH CENTERS › Appendix A - Forms › Attachment to Rule 420-5-1-.03 - NOTICE TO ALL PATIENTS

Current through Register Vol. 42, No. 9, June 28, 2024
Alabama law provides that abortions may be performed only
				  with the voluntary and informed consent of the patient. This form (front and
				  back) is important to ensure that you have been provided all the information
				  you need to make a fully informed decision. Please complete the form truthfully
				  and accurately.
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Authors:
Rick Harris, Walter T. Geary, J.,
					 M.D.
Statutory Authority:
Code of Ala.
					 1975
, §§
											22-21-20, et seq.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-5-1 - ABORTION OR REPRODUCTIVE HEALTH CENTERS › Appendix B › Attachment to Rule 420-5-1-.03 - EMERGENCY MEDICAL ABORTION FORM

Current through Register Vol. 42, No. 9, June 28, 2024
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Authors:
Rick Harris, Walter T. Geary, J.,
					 M.D.
Statutory Authority:
Code of Ala. 1975,
					 §§
											22-21-20, et seq.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-5-1 - ABORTION OR REPRODUCTIVE HEALTH CENTERS › Appendix C › Attachment to Rule 420-5-1-.03

Current through Register Vol. 42, No. 9, June 28, 2024
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Authors:
Rick Harris, Walter T. Geary, J.,
					 M.D.
Statutory Authority:
Code of Ala. 1975,
					 §§
											22-21-20, et seq.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-5-1 - ABORTION OR REPRODUCTIVE HEALTH CENTERS › Appendix D › Attachment to Rule 420-5-1-.03 - CONSENT FOR POST-ABORTION CARE

Current through Register Vol. 42, No. 9, June 28, 2024
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Authors:
Rick Harris, W. T. Geary, Jr., M.D.,
					 Brian Hale
Statutory Authority:
Code of Ala.
					 1975
, §§
											22-21-20, et seq.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-5-2 - AMBULATORY SURGICAL TREATMENT FACILITIES › Section 420-5-2-.02 - Administration

Current through Register Vol. 42, No. 9, June 28, 2024
(1) Governing
			 Authority.
(a) Responsibility. The governing
			 authority or the owner or the person or persons designated by the owner as the
			 governing authority shall be the supreme authority of the facility, responsible
			 for the management, control, and operation of the facility, including the
			 appointment of a qualified medical director.
(b) Organization. The governing authority
			 shall be formally organized in accordance with a written constitution and/or
			 bylaws. In the event the governing authority consists of one person, this
			 requirement must still be met. Such constitution and/or bylaws shall include:
1. Identification of the facility.
2. The purpose for which the facility is
			 organized.
3. Length of tenure and
			 mechanism for appointment of members of the governing body.
4. Appointment and duties of the chief
			 executive officer.
5. Requirement
			 that the medical staff be organized in accordance with bylaws approved by the
			 governing authority.
6. Mechanism
			 for appointment and reappointment at regular intervals of the medical staff
			 members and the medical director in accordance with written bylaws.
7. Mechanism for approval of bylaws or
			 policies governing the activities of the medical director and medical
			 staff.
(c) Meetings. The
			 governing authority shall meet regularly. A copy of the minutes of these
			 meetings shall be kept as a permanent record of the facility.
(d) Notification of Chief Executive Officer.
			 The State Board of Health shall be advised of the chief executive officer's
			 name within 15 days of his appointment.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-5-2 - AMBULATORY SURGICAL TREATMENT FACILITIES › Section 420-5-2-.03 - Patient Care

Current through Register Vol. 42, No. 9, June 28, 2024
(1) Admission
			 and Examination Procedures.
(a) Admission.
			 All persons admitted to the ambulatory surgical center shall be under the care
			 of a medical staff member.
(b)
			 History and Physical Examination. A complete medical history shall be obtained
			 and recorded. A complete physical examination shall be made on all patients
			 registered in the facility.
(c)
			 Diagnostic and Treatment Services.
1.
			 Ambulatory surgical centers operating a laboratory shall comply with Alabama
			 Administrative Code, Chapter 420-5-8, Independent Clinical Laboratories. There
			 shall be a physician's order for laboratory test(s) in the medical record and
			 there shall be at least a copy of the report of results and date in the medical
			 record that shall contain name and address of laboratory performing the test,
			 initials of individual performing the test. If the facility provides
			 radiological services, it shall comply with Alabama Administrative Code,
			 Chapter 420-5-7, Hospitals, rules governing the use of radiological equipment
			 including required protection from radiation and calibration of all equipment
			 used in this facility.
2.
			 Laboratory work referred to outside sources shall be performed only by
			 facilities which have been licensed by the State Board of Health to perform
			 such laboratory procedures. In the case of work sent to an out-of-state
			 laboratory, said laboratory shall be licensed or possess a letter of exemption
			 under the Clinical Laboratory Improvement Act (CLIA) for interstate
			 licensure.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-5-2 - AMBULATORY SURGICAL TREATMENT FACILITIES › Section 420-5-2-.04 - Physical Environment

Current through Register Vol. 42, No. 9, June 28, 2024
(1)
			 Submission of Plans and Specifications.
(a)
			 Scope. A facility constructed or renovated after the effective date of these
			 rules shall be classified as Ambulatory Health Care Occupancy of the Life
			 Safety Code, and Business Occupancy of the building code, and shall comply with
			 the codes and standards adopted by the State Board of Health.
(b) New Construction, Additions, and Major
			 Alterations. When construction is contemplated, for new buildings, conversions,
			 additions, or major alterations to existing buildings coming within the scope
			 of these Rules, plans and specifications shall be submitted for review and
			 approval to the Alabama Department of Public Health, in accordance with Alabama
			 Administrative Code Rule 420-5-22, "Submission of Plans and Specifications for
			 Health Care Facilities." Facilities shall comply with the requirements for
			 Outpatient Surgical Facilities in the Guidelines for Design and Construction of
			 Hospitals and Health Care Facilities, as adopted by the State Board of
			 Health.
(c) Minor Alterations and
			 Remodeling. Minor alterations and remodeling which do not affect the structural
			 integrity of the building, which do not change functional operation, which do
			 not affect fire safety, and which do not add beds or facilities over those for
			 which the surgical center is licensed need not be submitted for
			 approval.
(d) Inspections. The
			 State Board of Health and its authorized representatives shall have access to
			 the work for inspection wherever it is in preparation of progress.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-5-3 - CEREBRAL PALSY TREATMENT CENTERS › Section 420-5-3-.02 - The License

Current through Register Vol. 42, No. 9, June 28, 2024
(1)
			 Issuance of License.
(a) Applications for a
			 license to operate cerebral palsy treatment centers must be made in writing
			 upon a form provided by the State Board of Health and shall contain such
			 information as the licensing agency may require.
(b) The application for a license shall be
			 accompanied by a standard fee of $200.00 plus a fee of $5.00 per bed for each
			 bed to be licensed (over ten beds). Increase in a cerebral palsy treatment
			 center's bed capacity during the calendar year is assessed at the standard fee
			 of $200.00 plus $5.00 each for the net gain in beds. No fee shall be refunded.
			 All fees shall be paid to the State Health Department. (Acts 1949, No. 530, p.
			 835, § 5; Acts 1975, 3rd Ex. Sess., No. 140, p. 382; Acts 1980, No.
			 80-642, p. 1213, Act 88-902).
(c)
			 Every cerebral palsy treatment center shall be designated by a permanent and
			 distinctive name, which shall not be changed without first notifying the Board
			 in writing. Such notice shall specify the name to be discontinued as well as
			 the new name.
(d) Each license
			 shall specify the maximum allowable number of beds in the cerebral palsy
			 treatment center.
(e) A separate
			 license shall be required for each cerebral palsy treatment center when more
			 than one home is operated under the same management; however, separate licenses
			 are not required for separate buildings on the same grounds used by the same
			 home.
(f) The license must be
			 conspicuously posted in the office where patients are admitted.
(g) The license shall not be transferable or
			 assignable, and shall be issued only for the premises named in the
			 application.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-5-3 - CEREBRAL PALSY TREATMENT CENTERS › Section 420-5-3-.03 - The Standards

Current through Register Vol. 42, No. 9, June 28, 2024
(1) The
			 State Board of Health, with the advice and after approval by the Advisory
			 Board, shall have the power to make and enforce, and may modify, amend and
			 rescind reasonable rules governing the operation and conduct of cerebral palsy
			 treatment centers as defined in
Code of Ala. 1975
,
			 §
								22-21-20,
et
seq
.
(2) The Board shall give wide publicity to
			 the initial rules among the cerebral palsy treatment centers likely to be
			 affected, at least ten days prior to the date set for hearing and determination
			 of such rules.
(3) All hearings
			 shall be joint hearings set by the Board of Health and the Advisory Board, at
			 which time any interested cerebral palsy treatment centers may be
			 heard.
(4) Amendment, Recision or
			 New Rules.
(a) Subsequent to the initial
			 hearing as set forth in AAC Rule
			 420-5-3-.03(4)(c),
			 thirty days' notice in writing shall be given all licensed cerebral palsy
			 treatment centers of the date of hearing and of the substance of any new rule
			 proposed to be made.
(b) Any person
			 affected by any rule, amendment or recision thereof may appeal consideration
			 thereof as set forth in AAC Rule
			 420-5-3-.03(4)(c).
(c) Rules adopted hereunder shall become
			 effective upon the expiration of thirty days from the date of adoption,
			 amendment or recision or, if an appeal has been taken, upon the final
			 disposition of the appeal.
L. O'Neal Green
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-5-3 - CEREBRAL PALSY TREATMENT CENTERS › Section 420-5-3-.04 - General Rules

Current through Register Vol. 42, No. 9, June 28, 2024
(1) Personnel.
(a) There shall be one person in charge of
			 the institution at all times. This person may be the owner of the business or a
			 person employed for the purpose who is qualified to assume the management and
			 operation of the institution.
(b)
			 Each institution shall have sufficient employees present at all times for the
			 adequate care of patients or residents and maintenance of the institution. All
			 persons in charge of, employed by, or associated with the institution must be
			 of suitable character and temperament to function in their appointed capacities
			 and to provide for the care and comfort of the patients or residents. Adequacy
			 of personnel shall be determined by the State Board of Health.
1. There shall be housekeeping, cooking, and
			 kitchen personnel sufficient to maintain the institution in a sanitary
			 condition at all times.
2. Adequate
			 personal and nursing care shall be provided when such care is necessary, either
			 through registered nurses, practical nurses, or attendants. A registered nurse
			 may be required when in the opinion of the State Board of Health the patients
			 or residents require skilled nursing care.
(c) Each person employed shall be required to
			 furnish a health certificate showing such employee to be free from communicable
			 disease.
(d) The names and
			 qualifications of all professional employees shall be on file and available for
			 inspection by authorized representatives of the State Board of
			 Health.
(e) If the center conducts
			 a school or educational program as part of the institution's program, staff
			 members should have special qualifications in diagnostic and remedial
			 instruction; special qualifications in physical, occupational, and speech
			 therapy.
(f) The school program and
			 qualifications of teachers should be approved by the county and/or State
			 Department of Education.
(g) There
			 should be one or more persons trained or experienced in medical social case
			 work and social group work.
(h)
			 Each institution shall have an adequate organized medical staff.
(i) Included on the medical staff should be
			 such specialists as pediatricians, orthopedists, neurosurgeons,
			 neuropsychiatrists and physchiatrists. This medical staff should assume
			 responsibility for continuous care and treatment of patients. (It is not
			 considered sufficient if members of the medical staff are called only on
			 presumed need.)
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-5-4 - ASSISTED LIVING FACILITIES › Section 420-5-4-.02 - The License

Current through Register Vol. 42, No. 9, June 28, 2024
(1)
Classifications of Licenses.
All licenses are granted for the
			 calendar year and shall expire on December 31 unless renewed by the owner for
			 the succeeding year.
(a) Regular License. A
			 regular license shall be granted by the State Board of Health upon a
			 determination by the Board or its authorized agents that the operator or
			 operators of the assisted living facility are willing and capable of achieving
			 and maintaining substantial compliance with the rules herein adopted.
(b) Probational License. At its discretion,
			 the Board may grant a probational license when it determines that the following
			 conditions exist:
1. The facility has engaged
			 in one or more deficient practices which are serious in nature, chronic in
			 nature, or which the facility has failed to correct.
2. The facility's current governing authority
			 has demonstrated the capability and willingness to correct cited problems and
			 to maintain compliance.
3. This
			 license shall be granted when the Board is satisfied that the health and safety
			 of residents will not be endangered during this period. Maximum length of time
			 for probationary status is one year.
(c) A facility on probation may not add
			 additional beds during the probational period.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-5-4 - ASSISTED LIVING FACILITIES › Section 420-5-4-.03 - Administration

Current through Register Vol. 42, No. 9, June 28, 2024
(1)
The
			 Assisted Living Facility Governing Authority.
(a) An assisted living facility shall have an
			 identified sole proprietorship, corporation, partnership, limited partnership,
			 or other business entity that is its governing authority, or it shall have a
			 designated individual or group of designated individuals who serve as its
			 governing authority. A facility must give complete information to the
			 Department identifying:
1. Each person who
			 has an ownership interest of 10 percent or more of the governing
			 authority.
2. Each person or entity
			 who has an ownership interest of 10 percent or more in the real property or
			 building used by the assisted living facility to offer its services.
3. Each officer and each director of the
			 corporation if the governing authority is a corporation.
4. Each partner, including any limited
			 partners, if the governing authority is a partnership.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-5-4 - ASSISTED LIVING FACILITIES › Section 420-5-4-.04 - Personnel

Current through Register Vol. 42, No. 9, June 28, 2024
(1) An assisted
			 living facility shall ensure personnel are employed and on duty to meet the
			 care and safety needs of all residents 24 hours a day, 7 days a week.
(a) An assisted living facility shall be
			 staffed at all times by at least one individual who has a current certification
			 in cardiopulmonary resuscitation (CPR).
(b) An assisted living facility must be
			 staffed to ensure the safe evacuation of all residents in the event of a fire
			 or emergency.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-5-4 - ASSISTED LIVING FACILITIES › Section 420-5-4-.05 - Records And Reports

Current through Register Vol. 42, No. 9, June 28, 2024
(1)
General
.
(a) Responsibility for
			 Records. The administrator shall prepare and file all records, or shall oversee
			 the preparation and filing of records. This duty shall be assigned to other
			 employees in the administrator's absence.
(b) All records and reports required by these
			 rules shall be completed in a timely manner, and shall be maintained and filed
			 in an orderly manner within the assisted living facility premises.
(c) Storage and Safety. Provision shall be
			 made for the safe storage of records within the facility. Records shall be
			 stored in a manner to reasonably protect them from water or fire damage.
			 Records shall be safeguarded from unauthorized access.
(d) All facility records, including resident
			 medical records, shall be made readily available for review and copying on
			 demand by representatives of the State Board of Health upon request.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-5-4 - ASSISTED LIVING FACILITIES › Section 420-5-4-.06 - Care Of Residents

Current through Register Vol. 42, No. 9, June 28, 2024
(1)
Medical Direction and Supervision.
The medical care of residents
			 shall be under the direction and supervision of a physician.
(a) Designation of Attending Physician. Upon
			 admission, each resident shall be asked to designate an attending physician of
			 his or her choice. If the resident is unable to designate an attending
			 physician, or does not wish to designate an attending physician, the facility
			 shall assist the resident in identifying an attending physician who will serve
			 the resident. A resident shall be permitted to change the designation of his or
			 her attending physician at any time. Whenever a resident requires medical
			 attention, an attempt shall first be made to contact the resident's attending
			 physician, except in medical emergencies requiring activation of the local EMS
			 system (911 or another emergency call).
(b) Back-up Physician Support. Each assisted
			 living facility shall have an agreement with one or more duly licensed
			 physicians to serve in those instances when a resident's own attending
			 physician cannot be reached, and to provide temporary medical attention to any
			 resident whose attending physician is temporarily not available. A nurse
			 practitioner or physician's assistant shall not serve as the back-up physician
			 in an assisted living facility.
(c)
			 All physician orders shall be written in accordance with community standards.
			 If verbal orders are used, they are to be used infrequently. A physician verbal
			 order shall only be accepted by an RN or LPN employed by the facility and
			 authorized to do so by facility policy and procedures and state law. All verbal
			 orders shall be reduced to writing on the physicians' order sheet by a licensed
			 facility nurse and shall be dated and signed by the nurse receiving the order.
			 All orders, including verbal orders, shall be dated, timed, and authenticated
			 promptly by the ordering practitioner, or another practitioner who is
			 responsible for the care of the resident and authorized to write orders by
			 facility policy. All verbal orders must be authenticated within such time
			 period as provided by facility policy, but in no case shall exceed 30 days
			 following entry of the order.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-5-4 - ASSISTED LIVING FACILITIES › Section 420-5-4-.07 - Food Service

Current through Register Vol. 42, No. 9, June 28, 2024
(1)
General.
(a) Direction and
			 Supervision. The services of a dietitian shall be provided to any resident of
			 an assisted living facility who requires a therapeutic diet. Congregate
			 assisted living facilities shall be under the direction and supervision of a
			 full or part-time professionally qualified dietitian or a consulting dietitian
			 that is licensed in the State of Alabama. Responsibility for the supervision of
			 dietary services shall be delegated to a responsible employee who is a graduate
			 of a Dietary Managers course or has completed an approved course that includes
			 basic sanitation. The facility shall provide meals, fluids, and snacks to the
			 residents that meet the Dietary References Intakes from the basic food groups.
			 The meals shall be of the quality and quantity necessary to meet the residents'
			 needs, and must be in accordance with the recommended dietary allowances of the
			 Food and Nutrition Board of the National Research Council, National Academy of
			 Sciences.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-5-4 - ASSISTED LIVING FACILITIES › Section 420-5-4-.08 - Physical Facilities

Current through Register Vol. 42, No. 9, June 28, 2024
(1)
Administrative Facilities.
Each assisted living facility shall
			 provide office space(s) or administrative office(s) .
(a) As a minimum, the administrative office
			 (s) shall be provided with a desk, file cabinet, and related office equipment
			 and supplies.
(b) Congregate
			 assisted living facilities shall provide separate rooms for administrative and
			 office purposes.
(c) Communication
			 Facilities. Each assisted living facility shall have an adequate number of
			 telephones to summon help in case of fire or other emergency, and these shall
			 be located so as to be quickly accessible from all parts of the
			 building.
(d) Fire Protection
			 Arrangements. The facility shall have arrangements for fire protection with the
			 nearest available fire department for assistance in case of fire. Each facility
			 shall have a monitoring service for its fire alarm system.
(e) Center Staff Station. New Group and
			 Congregate facilities, and existing Group and Congregate facilities that are
			 enlarged or renovated to accommodate bed increases, shall have a centrally
			 located staff station with call for assistance and fire alarm system
			 annunciation panels.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-5-4 - ASSISTED LIVING FACILITIES › Section 420-5-4-.09 - Laundry

Current through Register Vol. 42, No. 9, June 28, 2024
(1)
General
.
(a) Direction and
			 Supervision. Responsibility for laundry services shall be assigned to an
			 employee.
(b) Linen. Linens shall
			 be handled, stored, processed, and transported in a manner consistent with
			 generally accepted infection control practices.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-5-4 - ASSISTED LIVING FACILITIES › Section 420-5-4-.10 - Sanitation and Housekeeping

Current through Register Vol. 42, No. 9, June 28, 2024
(1) Sanitation
(a) Water Supply.
1. If at all possible, all water shall be
			 obtained from a public water supply. If it is impossible to connect to a public
			 water system, the private water supply shall meet the approval of the local
			 County Health Department.
2. Water
			 under pressure of not less than 15 pounds per square inch shall be piped within
			 the building to all sinks, toilets, lavatories, tubs, showers, and other
			 fixtures requiring water. Tubs, showers, sinks, lavatories, and other fixtures
			 used by residents shall have hot water supplied. Hot water accessible to
			 residents shall in no case exceed 110 degrees Fahrenheit.