reglab/statecodes huggingface dataset:
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 97.1 - HOME HEALTH AGENCIES › Section 11-97.1-8 - Emergency preparedness

Current through June, 2024
A home health agency shall develop and maintain an emergency
				  preparedness plan that must be reviewed and updated at least every two (2)
				  years and includes but is not limited to:
(1) Addressing patient population, the types
				of services the agency has the ability to provide in an emergency, and
				continuity of operations;
(2)
				Development and implementation of emergency preparedness policies and
				procedures based on natural or man made disasters;
(3) Procedures to follow with on-duty staff
				and patients to determine services that are needed in the event of an
				interruption in services during or due to an emergency; and
(4) Development and maintenance of an
				emergency preparedness communication plan that includes but is not limited to
				names and contact information for staff, entities providing services under
				arrangement, patients' physicians, APRN, or physician's assistant, and
				volunteers, and a method for sharing information and medical documentation for
				patients under the agency's care with other health providers to maintain the
				continuity of care, and a means of providing information about the general
				condition and location of patients under the agency's care.
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 97.1 - HOME HEALTH AGENCIES › Section 11-97.1-9 - Enforcement and remedies

Current through June, 2024
A person who violates any requirement of this chapter shall
				  be subject to administrative proceeding pursuant to HRS Sec.
				  321-20.
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 97.1 - HOME HEALTH AGENCIES › Section 11-97.1-10 - Validity

Current through June, 2024
If any provisions of this chapter or the application thereof
				  to any person or circumstances is held invalid, the remainder of this chapter,
				  or the application of the provision to other persons or circumstances shall not
				  be affected thereby.
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 98 - SPECIAL TREATMENT FACILITY › Section 11-98-01 - Purpose

Current through June, 2024
This chapter establishes minimum requirements for the
				  protection of the health, welfare, and safety of residents, personnel and the
				  public in special treatment facilities. This chapter shall not be construed as
				  lowering standards or rules established by other divisions or subdivisions of
				  government. In all instances the more stringent rules shall
				  apply.
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 98 - SPECIAL TREATMENT FACILITY › Section 11-98-03 - Licensing

Current through June, 2024
(a) Every facility shall have a current and
				valid license approved by the director and issued when the facility has met all
				of the requirements of this chapter.
(b) The license shall identify the owners or
				operators or both, of the facility and prescribe the maximum number of
				residents to be accommodated in each facility and the name and location of each
				facility. The license shall be posted in a conspicuous place within each
				facility.
(c) In order to obtain a
				license, the administrator or board of directors of a facility shall apply to
				the director upon forms provided by the department, and shall provide any
				information required by the department to demonstrate that the facility has met
				all the requirements of this chapter. The following shall accompany the
				application:
(1) Clearance by the county
				building department;
(2) Clearance
				by the county fire department;
(3)
				Clearance by the sanitation branch of the department;
(4) Clearance by the state health planning
				and development agency, if appropriate;
(5) Floor plans indicating accurate
				measurements to scale of room intended for use;
(6) Ownership information, including
				corporate officers or partners; board of directors, addresses and telephone
				numbers;
(7) Annual budget,
				including all anticipated income and expenses; and
(8) Policy and procedures manual.
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 98 - SPECIAL TREATMENT FACILITY › Section 11-98-04 - Administrative and statistical reports

Current through June, 2024
(a) A permanent
				register shall be maintained in ink or typewritten of all admissions and
				discharges of residents including:
(1)
				Name;
(2) Address;
(3) Social Security number;
(4) Date of birth;
(5) Date of admission;
(6) Dace of discharge;
(7) Source of referral to program;
				and
(8) Disposition of resident
				upon discharge.
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 98 - SPECIAL TREATMENT FACILITY › Section 11-98-05 - Dietetic services

Current through June, 2024
(a) A special
				treatment facility shall have a written plan describing the organization and
				delivery of dietetic services and the utilization of the services of a
				qualified dietitian as required herein.
(b) Overall supervisory responsibilities for
				the food service shall be assigned to a food service manager knowledgeable in
				food values and nutrition, or one who is receiving such training from the
				consultant dietician.
(c) Menus and
				food service shall meet the nutritional needs of the residents.
(d) The food service manager shall have
				special dietary training approved by the department in order for the facility
				to accept residents requiring special diets ordered by a physician.
(e) Information pertinent to special dietetic
				treatment shall be maintained in the resident's record.
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 98 - SPECIAL TREATMENT FACILITY › Section 11-98-06 - Disaster preparedness

Current through June, 2024
(a) The facility
				shall have a written plan for staff and residents to follow in case of fire,
				explosion, or other emergency. The plan shall be posted in conspicuous places
				throughout the facility. This plan shall include, but not be limited to:
(1) Assignments;
(2) Instructions;
(3) Special escape routes; and
(4) A quarterly drill schedule.
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 98 - SPECIAL TREATMENT FACILITY › Section 11-98-07 - Evaluation

Current through June, 2024
(a) The written statement of the program's
				goals and objectives, shall serve as the basis for program
				evaluation.
(b) The evaluation plan
				shall include mechanisms for assessing the attainment of the program's goals
				and objectives.
(c) The evaluation
				plan shall include mechanisms for documenting program achievements not related
				to original goals and objectives.
(d) The evaluation plan shall include
				mechanisms for assessing the effective utilization of staff and program
				resources toward the attainment of the program's goals and
				objectives.
(e) The evaluation plan
				shall include criteria to be applied in determining whether established goals
				and objectives are achieved.
(f)
				The evaluation plan shall be reviewed and updated at least annually.
(g) The evaluation plan shall be available to
				all personnel of the facility as well as the department,
(h) The results of the evaluation process
				should become a part of the continuous planning process.
(i) The results of the evaluation process
				shall be made available to all personnel of the facility as well as the
				department.
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 98 - SPECIAL TREATMENT FACILITY › Section 11-98-08 - Fees for licensing

Current through June, 2024
Appropriate fees as determined by the director in accordance
				  with chapter
				  91, HRS, shall be charged by the
				  department for obtaining a new license or obtaining a license renewal. Prior
				  notice of the amount of the fee shall be provided the
				  licensee.
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 98 - SPECIAL TREATMENT FACILITY › Section 11-98-09 - License suspension, revocation, termination

Current through June, 2024
(a) In
				addition to any other appropriate action to enforce this chapter, the director
				may initiate procedures for invoking fines as provided in chapter 321, HRS, or
				to withdraw the license after hearings held in accordance with chapter 91, HRS,
				or both.
(b) Infractions subject to
				subsection (a) include, but are not limited to:
(1) Operation of a special treatment facility
				without a license granted by the department.
(2) Substantive violations of this chapter
				which are found as a result of routine or unannounced inspection of a special
				treatment facility which has a license.
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 98 - SPECIAL TREATMENT FACILITY › Section 11-98-12 - Minimum standards for licensure; services

Current through June, 2024
Individual records shall be kept on each resident which
				  contain the following:
(1) Within
				twenty-one days of admission, a report of a resident's medical examination or
				written evidence of a physical examination within the prior twelve months shall
				be on file;
(2) A report of a
				tuberculin skin test. If the skin test is positive, or known to be positive,
				there shall be documentation that appropriate medical follow-up has been
				obtained;
(3) Information on any
				necessary special arrangements for emergency medical care;
(4) Information pertinent to special diet
				treatment;
(5) Documentation that a
				physician was consulted within five days of admission as well as for all
				significant illnesses and injuries;
(6) Dental treatment documentation for any
				resident requiring dental care;
(7)
				Identification and summary information including resident's name, Social
				Security number, marital status, veteran's status, date of birth, sex, home
				address, telephone number of referral agency and next of kin or other legally
				responsible person;
(8) Within
				thirty days after admission, a written individualized rehabilitation plan rich
				specific objectives which are measurable and subject to evaluation shall be
				prepared by an appropriate rehabilitation staff in cooperation with each
				resident. The plans shall include:
(A) Those
				services planned for meeting the resident's needs.
(B) Referrals for services not provided by
				the program.
(C) How the resident
				viii participate in the development of the plan.
(D) Regular review and necessary update by
				staff and resident at least monthly.
(E) The staff person responsible for
				monitoring the plan implementation.
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 98 - SPECIAL TREATMENT FACILITY › Section 11-98-13 - Rehabilitation program

Current through June, 2024
Rehabilitation services shall be appropriate to the
				  individual in the facility and may include:
(1) Psychiatric services to provide care or
				program consultation;
(2)
				Psychological services to provide testing for individual assessment purposes,
				program evaluation and research;
(3) If the staff feels it to be advisable for
				a resident, or residents, to receive nutritional instruction, a dietitian shall
				be consulted;
(4) Social
				rehabilitation services to provide opportunities for individuals to learn
				social and self-care skills to foster independent living and which may include
				recreational, educational and vocational activities;
(5) Education services for children to
				provide and meet the scholastic requirements for school age children and
				youth;
(6) Counseling;
				and
(7) Ocher services to provide
				for planned leisure time activities and constructive therapeutic activities
				that enhance social and motor skills.
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 98 - SPECIAL TREATMENT FACILITY › Section 11-98-14 - Physical facility

Current through June, 2024
(a) The design and
				construction of each building or buildings comprising the facility shall meet
				the minimum requirements of the following codes:
(1) The county fire department
				codes;
(2) The county building,
				electrical, plumbing, and zoning codes; and
(3) Applicable rules of the department
				relating to sanitation
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 98 - SPECIAL TREATMENT FACILITY › Section 11-98-15 - Research policy

Current through June, 2024
A special treatment facility that includes human-subject
				  research in its objectives or allows itself to be used as a resource for
				  research shall have written policies and procedures encompassing the purpose
				  and conduct of all research utilizing the program's staff, residents or
				  services. The written policies and procedures shall require informed consent
				  for all research activities.
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 98 - SPECIAL TREATMENT FACILITY › Section 11-98-16 - Resident's rights and responsibilities

Current through June, 2024
Written policies regarding the rights and responsibilities
				  of residents and services to be provided to residents during their stay in the
				  facility shall be established and shall be made avail able to the resident, to
				  any guardian, next of kin, sponsoring agency or representative payee, and to
				  the public. The facility's policies and procedures shall provide that each
				  individual admitted to the facility shall:
(1) Be fully informed, documented by signed
				acknowledgment prior to or at the time of admission and during stay, of these
				rights and of all rules governing resident conduct: and
(2) Be fully informed, prior to or at the
				time of admission and during stay, of services available in or through the
				facility and of related charges, including any charges for services not covered
				by the facility's basic per diem rate.
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 98 - SPECIAL TREATMENT FACILITY › Section 11-98-50 - Severability

Current through June, 2024
(a) If this chapter or the application
				thereof to any persons or circumstances is held invalid, the application of the
				remainder of the chapter to other persons or circumstances shall not be
				affected.
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 99 - INTERMEDIATE CARE FACILITIES FOR THE MENTALLY RETARDED › Subchapter 1 - SMALL INTERMEDIATE CARE FACILITIES FOR THE MENTALLY RETARDED › Section 11-99-1 - Purpose

Current through June, 2024
This subchapter establishes minimum requirements for the
					 protection of health, welfare, and safety of residents, personnel, and the
					 public in small intermediate care facilities for the mentally retarded, and
					 shall not be construed as lowering standards, ordinances, or rules established
					 by other government agencies. In all instances the more stringent rules shall
					 apply.
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 99 - INTERMEDIATE CARE FACILITIES FOR THE MENTALLY RETARDED › Subchapter 1 - SMALL INTERMEDIATE CARE FACILITIES FOR THE MENTALLY RETARDED › Section 11-99-4 - Active treatment program

Current through June, 2024
(a) A plan of
				  treatment shall be developed and implemented for each resident in order to help
				  the residents function at their greatest physical, intellectual, social,
				  emotional, and vocational level.
(b) A provisional treatment plan shall be
				  developed within one week of admission by a qualified mental retardation
				  professional. A definitive treatment plan shall be developed within one month
				  and shall be based on evaluation by an interdisciplinary team including the
				  qualified mental retardation professional and at least a physician, a social
				  worker, a psychologist, and a nurse.
(c) The plan shall be reviewed at least
				  quarterly by a qualified mental retardation professional member of the
				  interdisciplinary team who is designated as the coordinator for the resident's
				  plan of care.
(d) The facility
				  staff shall participate in the quarterly review of the plan.
(e) The plan shall include all aspects of the
				  resident's program including services provided outside the facility.
(f) All reviews and modifications of the plan
				  shall be documented in the resident's record which is retained at the
				  facility.
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 99 - INTERMEDIATE CARE FACILITIES FOR THE MENTALLY RETARDED › Subchapter 1 - SMALL INTERMEDIATE CARE FACILITIES FOR THE MENTALLY RETARDED › Section 11-99-5 - Administrator

Current through June, 2024
(a) The facility shall be administered on a
				  full time basis by a person living in the facility or working in the facility
				  full-time on a regular basis.
(b)
				  The administrator shall be responsible for the daily operation of the facility,
				  the care of the residents on the premises, and the supervision of other
				  facility staff.
(c) The
				  administrator shall be appointed by the governing body and acts for this body
				  in the overall management of the facility.
(d) A chief executive officer trained and
				  experienced in facility management may also be appointed by the governing body
				  and supervise one or more administrators of individual facilities.
(e) The administrator shall as a minimum
				  have:
(1) Training and experience in work
				  with mentally retarded persons.
(2)
				  Sufficient fluency in English so as to communicate with community professionals
				  involved in resident care and provide adequate records for the
				  facility.
(3) No additional duties
				  or responsibilities which would interfere with the ongoing operation of the
				  facility and the care of the residents.
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 99 - INTERMEDIATE CARE FACILITIES FOR THE MENTALLY RETARDED › Subchapter 1 - SMALL INTERMEDIATE CARE FACILITIES FOR THE MENTALLY RETARDED › Section 11-99-6 - Arrangement for services

Current through June, 2024
Where the facility does not employ a qualified person to
					 render a required or necessary service, it shall have a written agreement or
					 contract with an outside person or provider. Written agreements or contracts
					 shall include:
(1) The
				  responsibilities, functions, objectives, and terms of agreement.
(2) Signatures of the administrator and
				  provider or authorized representative of the provider.
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 99 - INTERMEDIATE CARE FACILITIES FOR THE MENTALLY RETARDED › Subchapter 1 - SMALL INTERMEDIATE CARE FACILITIES FOR THE MENTALLY RETARDED › Section 11-99-7 - Construction requirements

Current through June, 2024
(a) The facility
				  shall be accessible to and functional for physically handicapped residents,
				  personnel, and the public.
(b) New
				  construction and remodeling shall be guided by "Minimum Requirements of
				  Construction and Equipment for Hospital and Medical Facilities DHEW #79-14500"
				  as it existed in 1984.
(1) Resident living
				  areas shall be designed and equipped for the comfort and privacy of the
				  resident.
(2) Temperature and
				  humidity shall be maintained within a normal comfort range.
(3) There shall be provisions within the
				  facility for one or more areas for resident dining, diversional, and social
				  activities. Total area for recreational and dining activities shall be not less
				  than fifty square feet per resident.
(A)
				  Dayrooms of at least thirty square feet per resident shall be equipped with
				  reading lamps, tables, chairs, or their equivalent, for the use and comfort of
				  the residents.
(B) Dining areas of
				  at least twenty square feet per resident shall be equipped with tables and safe
				  chairs. A sufficient number of tables shall be of proper height to accommodate
				  wheelchair bound residents.
(C) If
				  a multi-purpose room is used for dining, diversional and social activities,
				  there shall be sufficient space to accommodate all activities and prevent their
				  interference with each other.
(D)
				  In the event that nonresidents utilize all or part of the facilities on a
				  regular basis, additional space and facilities must be provided on the
				  following basis for such persons:
(i) Twenty
				  square feet per person in dining areas;
(ii) Thirty square feet per person in
				  recreational areas;
(iii) One
				  conveniently located toilet for each eight persons;
(iv) Sufficient additional staff persons
				  shall be provided to care for the needs of such persons without compromising
				  the care of the regular residents of the facility.
(4) Illumination shall be provided
				  for the comfort and safety of residents and personnel.
(5) Wall or door mirrors shall be provided
				  and placed at convenient heights for resident's use.
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 99 - INTERMEDIATE CARE FACILITIES FOR THE MENTALLY RETARDED › Subchapter 1 - SMALL INTERMEDIATE CARE FACILITIES FOR THE MENTALLY RETARDED › Section 11-99-8 - Dental services

Current through June, 2024
(a) Emergency and
				  restorative dental services shall be available.
(b) The resident or his guardian shall select
				  the dentist of his choice.
(c) The
				  facility shall assist each resident to obtain necessary dental care and at
				  least an annual evaluation.
(d)
				  Facility staff shall receive inservice training in oral hygiene and denture
				  care at least annually.
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 99 - INTERMEDIATE CARE FACILITIES FOR THE MENTALLY RETARDED › Subchapter 1 - SMALL INTERMEDIATE CARE FACILITIES FOR THE MENTALLY RETARDED › Section 11-99-9 - Dietetic services

Current through June, 2024
(a) The food and
				  nutrition needs of residents shall be met through a nourishing, well-balanced
				  diet in accordance with the recommended dietary allowances of the Food and
				  Nutrition Board of the National Research Council adjusted for age, sex,
				  activity, and disability.
(b) At
				  least three meals shall be served daily, at regular times with:
(1) Not more than a fourteen hour span
				  between a substantial evening meal and breakfast on the following
				  day.
(2) Between meal nourishments
				  consistent with need shall be offered routinely to all residents.
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 99 - INTERMEDIATE CARE FACILITIES FOR THE MENTALLY RETARDED › Subchapter 1 - SMALL INTERMEDIATE CARE FACILITIES FOR THE MENTALLY RETARDED › Section 11-99-10 - Emergency care of residents

Current through June, 2024
(a) There shall be
				  written procedures for personnel to follow in an emergency including:
(1) Care of the resident.
(2) Notification of the attending physician
				  and other persons responsible for the patient.
(3) Arrangements for transportation,
				  hospitalization, or other appropriate services.
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 99 - INTERMEDIATE CARE FACILITIES FOR THE MENTALLY RETARDED › Subchapter 1 - SMALL INTERMEDIATE CARE FACILITIES FOR THE MENTALLY RETARDED › Section 11-99-11 - Resident daily living care and training

Current through June, 2024
(a) There
				  shall be sufficient appropriately qualified facility staff to carry out the
				  active treatment program within the facility and to operate the unit on a daily
				  basis.
(b) The facility staff shall
				  participate in appropriate activities relating to the care and development of
				  the residents including training in activities of daily living and the
				  development of self-help and social skills.
(c) The facility staff shall provide at least
				  the following:
(1) Supportive services to
				  enable residents to participate fully in appropriate daily
				  activities.
(2) Physical care and
				  assistance to keep residents clean, comfortable, well-groomed, and protected
				  from accidents and infections.
(3)
				  Necessary assistance to ensure that the residents are appropriately dressed in
				  their own clothes.
(4) Weighing of
				  each resident at least monthly.
(5)
				  Regular documentation in the resident's record of each resident's participation
				  and progress in activities carried out with the supervision or assistance of
				  facility staff.
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 99 - INTERMEDIATE CARE FACILITIES FOR THE MENTALLY RETARDED › Subchapter 1 - SMALL INTERMEDIATE CARE FACILITIES FOR THE MENTALLY RETARDED › Section 11-99-12 - General policies and practices

Current through June, 2024
(a) There shall be
				  written policies and procedures available to staff, residents, and the public
				  which govern:
(1) All services provided by
				  the facility.
(2) Admission,
				  transfer, and discharge of residents.
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 99 - INTERMEDIATE CARE FACILITIES FOR THE MENTALLY RETARDED › Subchapter 1 - SMALL INTERMEDIATE CARE FACILITIES FOR THE MENTALLY RETARDED › Section 11-99-13 - Governing body and management

Current through June, 2024
Each facility shall have an organized governing body, or
					 designated person or persons so functioning, who have overall responsibility
					 for the conduct of all activities. The facility shall maintain methods of
					 administrative management which assure that:
(1) Staffing
(A) There shall be on duty twenty-four hours
				  of each day, staff sufficient in number and qualifications to carry out the
				  policies, responsibilities and program of the facility.
(B) The numbers and categories of personnel
				  shall be determined by the number of residents and their particular
				  needs.
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 99 - INTERMEDIATE CARE FACILITIES FOR THE MENTALLY RETARDED › Subchapter 1 - SMALL INTERMEDIATE CARE FACILITIES FOR THE MENTALLY RETARDED › Section 11-99-14 - Housekeeping

Current through June, 2024
(a) A plan shall be made for routine periodic
				  cleaning of the entire building and premises.
(b) After discharge of any resident, that
				  resident's unit and equipment shall be thoroughly cleansed prior to
				  re-use.
(c) Lavatories, toilets,
				  showers, and bathtubs in resident areas shall be cleaned as necessary, at least
				  twice a week.
(d) A reasonable
				  accumulation of personal possessions shall be permitted.
(e) All floors, walls, ceilings, windows,
				  furnishings, and fixtures shall be kept clean and in good repair.
(f) All safety procedures shall be in
				  accordance with the rules of the department of labor and industrial relations,
				  State of Hawaii.
(g) All areas
				  which have contained infectious residents and materials shall be thoroughly
				  cleaned by appropriate sanitizing materials.
(h) Sufficient locked storage areas shall be
				  provided for all cleaning materials and equipment.
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 99 - INTERMEDIATE CARE FACILITIES FOR THE MENTALLY RETARDED › Subchapter 1 - SMALL INTERMEDIATE CARE FACILITIES FOR THE MENTALLY RETARDED › Section 11-99-15 - Infection control

Current through June, 2024
(a) Provision shall
				  be made for isolating residents with infectious diseases, until appropriate
				  transfer can be made. There shall be a written policy which outlines proper
				  isolation and infection control techniques and practices.
(b) There shall be appropriate policies and
				  procedures written and implemented for the prevention and control of infections
				  and the isolation of infectious residents.
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 99 - INTERMEDIATE CARE FACILITIES FOR THE MENTALLY RETARDED › Subchapter 1 - SMALL INTERMEDIATE CARE FACILITIES FOR THE MENTALLY RETARDED › Section 11-99-16 - Inservice education

Current through June, 2024
(a) There shall be
				  a staff inservice education program that includes:
(1) Orientation for all new employees to
				  acquaint them with the philosophy, organization, program, policies and
				  procedures, practices, and goals of the facility.
(2) Inservice training for employees who have
				  not achieved the desired level of competence, and continuing inservice
				  education to update and improve the skills and competencies of all
				  employees.
(3) Inservice training
				  shall include annually: prevention and control of infections, fire prevention
				  and safety, accident prevention, resident's rights, and problems and needs of
				  the mentally retarded.
(4)
				  Arrangements shall be made for all members of the staff to receive annual
				  training in cardiopulmonary resuscitation and appropriate first aid
				  techniques.
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 99 - INTERMEDIATE CARE FACILITIES FOR THE MENTALLY RETARDED › Subchapter 1 - SMALL INTERMEDIATE CARE FACILITIES FOR THE MENTALLY RETARDED › Section 11-99-17 - Laundry service

Current through June, 2024
(a) Laundry service
				  shall be managed so that daily cleaning and linen needs are met without
				  delay.
(b) Provision shall be made
				  for the handling, storage, and transportation of soiled and clean laundry, and
				  for satisfactory cleaning procedures.
(1)
				  Provisions may be made for contract service outside the facility in a laundry
				  approved by the department.
(2)
				  Infectious laundry shall be handled in accordance with the provisions of §
											325-7, HRS, relating
				  to potentially infectious laundry.
(3) Clean linen shall be stored in enclosed
				  areas.
(4) Hampers shall be
				  provided for soiled linen.
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 99 - INTERMEDIATE CARE FACILITIES FOR THE MENTALLY RETARDED › Subchapter 1 - SMALL INTERMEDIATE CARE FACILITIES FOR THE MENTALLY RETARDED › Section 11-99-18 - Life safety

Current through June, 2024
(a) Facilities
				  licensed under this chapter shall be inspected at least annually by appropriate
				  fire authorities for compliance with state and county rules and
				  ordinances.
(b) Smoking rules shall
				  be adopted. "No Smoking" signs shall be posted where flammable liquids,
				  combustible gases, or oxygen are used or stored. Smoking by residents shall be
				  permitted only under supervision, and ashtrays shall be provided.
(c) Electric heating pads shall be
				  prohibited.
(d) Facilities shall
				  have written procedures in case of fire and disasters.
(e) Fire drills shall be held at least
				  quarterly under varied conditions and times of the day, and shall be
				  documented.
(f) All employees shall
				  be instructed and kept informed respecting their duties under the fire and
				  disaster programs.
(g) Facilities
				  with residents who are not certified as capable of self-preservation must
				  maintain a staff ratio of one to one for each of these residents, or else have
				  an automatic sprinkler system, as defined in Life Safety Code 1973, as it
				  existed in 1984.
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 99 - INTERMEDIATE CARE FACILITIES FOR THE MENTALLY RETARDED › Subchapter 1 - SMALL INTERMEDIATE CARE FACILITIES FOR THE MENTALLY RETARDED › Section 11-99-19 - Maintenance

Current through June, 2024
(a) There shall be sufficiently trained and
				  experienced personnel to accomplish the required maintenance functions within
				  the facility or available through contract with appropriate community
				  resources.
(b) There shall be
				  records that document compliance with environmental safety codes of the state
				  and county authorities having primary jurisdiction over the facility.
				  Inspection of all devices essential to health and safety of residents and
				  personnel shall be carried out daily or at sufficiently frequent intervals to
				  ensure operational performance.
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 99 - INTERMEDIATE CARE FACILITIES FOR THE MENTALLY RETARDED › Subchapter 1 - SMALL INTERMEDIATE CARE FACILITIES FOR THE MENTALLY RETARDED › Section 11-99-20 - Nursing services

Current through June, 2024
(a) Each facility
				  shall provide nursing services in order to meet the nursing needs of
				  residents.
(b) In facilities with
				  residents certified by a physician as not needing nursing services,
				  arrangements shall be made with a qualified outside resource to provide at
				  least the following:
(1) An assessment of
				  each resident with recommendations to be carried out in the active treatment
				  program.
(2) Consultation and staff
				  training with regard to the maintenance of the health and hygiene of each
				  resident.
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 99 - INTERMEDIATE CARE FACILITIES FOR THE MENTALLY RETARDED › Subchapter 1 - SMALL INTERMEDIATE CARE FACILITIES FOR THE MENTALLY RETARDED › Section 11-99-21 - Ownership and financial capability

Current through June, 2024
(a) The facility
				  shall provide to the department current information in regard to:
(1) The name of each person having (directly
				  or indirectly) an ownership interest of ten percent or more in such facility or
				  who is the owner (in whole or in part) of any mortgage, deed or trust, note or
				  other obligation secured (in whole or in part) by such facility.
(2) Major changes of officers and directors
				  of the corporation in case a facility is organized as a corporation.
(3) The name of each partner in case a
				  facility is organized as a partnership.
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 99 - INTERMEDIATE CARE FACILITIES FOR THE MENTALLY RETARDED › Subchapter 1 - SMALL INTERMEDIATE CARE FACILITIES FOR THE MENTALLY RETARDED › Section 11-99-22 - Pharmaceutical services

Current through June, 2024
(a) The facility
				  shall employ a licensed pharmacist, or shall have formal arrangements with a
				  licensed pharmacist to provide consultation on methods and procedures for
				  ordering, storage, administration, disposal, record-keeping of drugs and
				  biologicals, and provision for emergency service.
(b) Medications administered to a resident
				  shall be ordered either in writing or verbally by a physician so authorized by
				  facility policy.
(1) All verbal or telephone
				  orders for medication shall be recorded and signed by the person receiving them
				  and shall be countersigned by the attending physician within seventy-two
				  hours.
(2) All orders shall be
				  renewed by the physician at the time of the resident's visit to the physician
				  or at least every six months.
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 99 - INTERMEDIATE CARE FACILITIES FOR THE MENTALLY RETARDED › Subchapter 1 - SMALL INTERMEDIATE CARE FACILITIES FOR THE MENTALLY RETARDED › Section 11-99-23 - Physician's services

Current through June, 2024
(a) Admission and
				  ongoing orders and plans of treatment shall be in writing, and carried out by
				  the staff of the facility including arrangement for transfer to other
				  facilities when indicated.
(b) All
				  residents admitted to a facility shall be under the care of a physician
				  selected by the resident or his guardian.
(c) Each resident shall receive prompt
				  medical care as needed.
(d)
				  Physicians shall participate as appropriate in the interdisciplinary evaluation
				  of residents and their plan of care.
(e) Physicians shall conduct an appropriate
				  examination of each resident at least annually.
(f) The administrator shall arrange with a
				  physician to serve as consultant in all matters relating to control of
				  infection and communicable disease within the facility.
(g) Each resident shall have a physical
				  examination by a physician within five days prior to admission or within one
				  week after admission, and must have had tuberculosis clearance as required by
				  (2) (I), (J) within the previous year.
(h) Each resident shall be certified by a
				  physician as to their capability for self-preservation. This certification
				  shall be documented in the resident's record and reviewed at least
				  annually.
(i) Each resident shall
				  be certified by the physician as to their need for nursing services. this
				  certification shall be documented in the resident's record and reviewed at
				  least annually.
(j) The facility
				  shall promptly notify the physician of any accident, injury, or change in the
				  resident's medical condition.
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 99 - INTERMEDIATE CARE FACILITIES FOR THE MENTALLY RETARDED › Subchapter 1 - SMALL INTERMEDIATE CARE FACILITIES FOR THE MENTALLY RETARDED › Section 11-99-24 - Psychological services

Current through June, 2024
(a) The facility
				  shall provide psychological services, as necessary, to facilitate the optimal
				  development of each resident, either directly by qualified staff or through
				  arrangements with qualified outside resources.
(b) Services shall include at least:
(1) An initial evaluation of each
				  resident.
(2) An annual review of
				  each resident and other reviews as may be deemed appropriate.
(3) Staff training as appropriate.
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 99 - INTERMEDIATE CARE FACILITIES FOR THE MENTALLY RETARDED › Subchapter 1 - SMALL INTERMEDIATE CARE FACILITIES FOR THE MENTALLY RETARDED › Section 11-99-25 - Recreation program

Current through June, 2024
(a) A plan for
				  independent and group activities shall be developed for each resident in
				  accordance with their needs, capacity, and interests.
(1) the recreation plan shall be incorporated
				  in the resident's active treatment program, reviewed regularly in conjunction
				  with it, and altered as needed.
(2)
				  Records shall be kept of the extent and level of each resident's participation
				  in the activities program.
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 99 - INTERMEDIATE CARE FACILITIES FOR THE MENTALLY RETARDED › Subchapter 1 - SMALL INTERMEDIATE CARE FACILITIES FOR THE MENTALLY RETARDED › Section 11-99-26 - Rehabilitative services

Current through June, 2024
(a) The facility
				  shall provide specialized and supportive rehabilitation services, including
				  occupational therapy, physical therapy, and speech therapy, according to the
				  needs of each resident, either directly by qualified staff or through
				  arrangements with qualified outside resources. Services shall be programmed to:
(1) Preserve and improve the resident's
				  maximal abilities for independent function.
(2) Prevent, insofar as possible,
				  irreversible or progressive disabilities.
(3) Provide for the procurement and
				  maintenance of aids as needed by the resident to adapt and function within his
				  environment.
(4) Instruct facility
				  staff or person responsible in therapy goals to meet the continuity of resident
				  care.
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 99 - INTERMEDIATE CARE FACILITIES FOR THE MENTALLY RETARDED › Subchapter 1 - SMALL INTERMEDIATE CARE FACILITIES FOR THE MENTALLY RETARDED › Section 11-99-27 - Resident accounts

Current through June, 2024
(a) In the event
				  the facility agrees to manage the resident's funds for personal needs, a
				  written itemized account, available to residents or duly appointed authority or
				  guardian shall be maintained current for each resident with:
(1) Written receipts for all personal
				  possessions and funds received by or deposited with the facility.
(2) Written receipts for all disbursements
				  made to or on behalf of the resident.
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 99 - INTERMEDIATE CARE FACILITIES FOR THE MENTALLY RETARDED › Subchapter 1 - SMALL INTERMEDIATE CARE FACILITIES FOR THE MENTALLY RETARDED › Section 11-99-28 - Resident record system

Current through June, 2024
(a) There shall be
				  available sufficient, appropriately qualified staff and necessary supporting
				  personnel to facilitate the accurate processing, checking, indexing, filing,
				  and prompt retrieval of records and record data.
(b) If the supervisor of medical records is
				  not a registered records administrator, or accredited record technician, there
				  must be qualified consultation available.
(c) The following information shall be
				  obtained and entered in the resident's record at the time of admission to the
				  facility:
(1) Identifying information such
				  as: name, date, and time of admission, date and place of birth, citizenship
				  status, marital status, Social Security number or an admission number which can
				  be used to identify the resident without use of name when the latter is
				  desirable.
(2) Name and address of
				  next of kin or legal guardian.
(3)
				  Sex, height, weight, and identifying marks.
(4) Reason for admission or
				  referral.
(5) Language spoken or
				  understood.
(6) Information
				  relevant to religious affiliation.
(7) Admission diagnosis, summary of prior
				  medical care, recent physical examination, tuberculosis status, and physician's
				  orders.
(8) Pre-admission
				  evaluations completed by an interdisciplinary team not more than three months
				  prior to admission.
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 99 - INTERMEDIATE CARE FACILITIES FOR THE MENTALLY RETARDED › Subchapter 1 - SMALL INTERMEDIATE CARE FACILITIES FOR THE MENTALLY RETARDED › Section 11-99-30 - Sanitation

Current through June, 2024
(a) Sanitation shall be in compliance with
				  all applicable laws of the State of Hawaii and rules of the department relating
				  to sanitation.
(b) Written summary
				  reports of inspections by state or county health authorities and records of
				  action taken in correction of deficiencies and recommendations shall be kept on
				  file at the facility. (c) Every facility shall provide a sufficient number of
				  watertight receptacles of metal, or other materials acceptable to the
				  department, for rubbish, garbage, refuse and other discarded matter.
(1) In kitchen and food preparation areas,
				  receptacles shall be kept closed by tight-fitting covers except in the kitchen
				  during peak hours of food preparation.
(2) An area shall be provided for the washing
				  and cleaning of garbage containers and for the storage of garbage, trash, and
				  solid waste.
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 99 - INTERMEDIATE CARE FACILITIES FOR THE MENTALLY RETARDED › Subchapter 1 - SMALL INTERMEDIATE CARE FACILITIES FOR THE MENTALLY RETARDED › Section 11-99-31 - Social work services

Current through June, 2024
(a) Social work
				  services shall be provided by the facility and made available to all residents,
				  their families, and other significant persons to enable them to deal with the
				  impact of mental retardation on individual and family functioning.
(b) There shall be sufficient, appropriately
				  qualified staff to meet the social service needs of all residents admitted to
				  the facility either through arrangements with outside resources or through
				  qualified staff.
(c) Social work
				  services shall be documented in each resident's record and include at least:
(1) An initial social history and assessment
				  of social and emotional needs.
(2)
				  A current social work plan to meet any identified needs.
(3) Regular progress notes indicating the
				  resident's status with regard to a social work plan.
(4) Discharge plans as appropriate.
(5) Evidence of at least an annual review of
				  psychosocial needs and discharge plans in conjunction with the active treatment
				  program.
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 99 - INTERMEDIATE CARE FACILITIES FOR THE MENTALLY RETARDED › Subchapter 2 - LARGE INTERMEDIATE CARE FACILITIES FOR THE MENTALLY RETARDED › Section 11-99-50 - Purpose

Current through June, 2024
This subchapter establishes minimum requirements for the
					 protection of health, welfare and safety of residents, personnel, and the
					 public in intermediate care facilities for the mentally retarded, and shall not
					 be construed as lowering standards, ordinances, or rules established by other
					 government agencies. In all instances the more stringent rules shall
					 apply.
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 99 - INTERMEDIATE CARE FACILITIES FOR THE MENTALLY RETARDED › Subchapter 2 - LARGE INTERMEDIATE CARE FACILITIES FOR THE MENTALLY RETARDED › Section 11-99-53 - Active treatment program

Current through June, 2024
(a) A plan of
				  treatment shall be developed and implemented for each resident in order to help
				  the residents function at their greatest physical, intellectual, social,
				  emotional, and vocational level.
(b) The plan shall be developed within one
				  week of admission and based on evaluations by an interdisciplinary team
				  including at least a physician, a social worker, a psychologist, and a nurse.
				  At least one evaluation must be by a qualified mental retardation
				  professional.
(c) The plan shall be
				  reviewed at least quarterly by a qualified mental retardation professional
				  member of the interdisciplinary team who is designated as the coordinator for
				  the resident's plan of care.
(d)
				  The facility staff shall participate in the quarterly review of the
				  plan.
(e) The plan shall include
				  all aspects of the resident's program including services provided outside the
				  facility.
(f) All reviews and
				  modifications of the plan shall be documented in the resident's record which is
				  retained at the facility.