reglab/statecodes huggingface dataset:
Compilation of Rules and Regulations of the State of Georgia › Department 111 - RULES OF DEPARTMENT OF COMMUNITY HEALTH › Chapter 111-8 - HEALTHCARE FACILITY REGULATION › Subject 111-8-13 - RULES AND REGULATIONS FOR THE GEORGIA CAREGIVER REGISTRY › Rule 111-8-13-.04 - Use of the Georgia Caregiver Registry

Current through Rules and Regulations filed through June 27, 2024
(1) The Georgia Caregiver Registry will
				enable employers who are family members or guardians of elderly persons in
				Georgia to obtain an employment eligibility determination for applicants or
				employees who are providing personal care services to the employer's family
				members or wards.
(2) The Caregiver
				Registry shall be used solely for those applicants or employees that offer
				personal care related services to an elderly person that is an employer's
				family member or ward in the State of Georgia. Personal care services performed
				pursuant to these rules shall not be performed at facilities licensed by the
				Department.
(3) The use of the
				Georgia Caregiver Registry is voluntary and not required by state or federal
				law.
(4) The Georgia Caregiver
				Registry shall not be used by facilities licensed by the Department, or other
				entities, or individuals who are not employers, as defined in this rule, to
				determine a person's employment status or for any other purpose.
(5) DCH will allow employers to use the
				Georgia Caregiver Registry to inquire about the eligibility status of an
				applicant or current employee as if they were applying to work or working in
				one of the facilities licensed under O.C.G.A. §
									31-7-351(8)  if
				the following requirements are met:
(a) the
				applicant or employee agrees to such request,
(b) the applicant or employee provides his or
				her fingerprints as set forth in O.C.G.A. Article 14, Chapter 7, Title 31;
				and
(c) the applicant or employee
				provides written consent to the inclusion of the results in the Georgia
				Caregiver Registry.
Compilation of Rules and Regulations of the State of Georgia › Department 111 - RULES OF DEPARTMENT OF COMMUNITY HEALTH › Chapter 111-8 - HEALTHCARE FACILITY REGULATION › Subject 111-8-13 - RULES AND REGULATIONS FOR THE GEORGIA CAREGIVER REGISTRY › Rule 111-8-13-.05 - Appeals of Ineligibility Determinations

Current through Rules and Regulations filed through June 27, 2024
(1) If an applicant or employee receives an
				ineligible determination notice by the Department and wishes to appeal the
				ineligible determination, the applicant or employee must appeal by requesting
				an appeal in writing within ten (10) days of receipt of the notice. The
				applicant or employee must submit their request in writing for the Department
				at via submission of the Request for Administrative Appeal form located at the
				Department's website at
https://dch.georgia.gov/divisionsoffices/hfrd/facility-licensure/georgia-criminal-history-check-system-gchexs/request
(or such other location as indicated on the Department's webpage) or via mail
				to the Georgia Department of Community Health, Office of Inspector General,
				19th Floor, 2 M.L.K. Jr. Drive, SW, Atlanta, GA
				30334, or such other mailing address listed for the Department's headquarters
				as set forth on its website located at
www.dch.ga.gov
.
(2) An applicant or employee who receives an
				ineligible determination or whose name appears on a registry check conducted
				pursuant to these rules shall be eligible to appeal such determination pursuant
				to Chapter 13 of Title 50, the "Georgia Administrative Procedure Act." In a
				hearing held pursuant to this paragraph, the hearing officer shall consider in
				mitigation the length of time since the crime was committed, the absence of
				additional criminal charges, the circumstances surrounding the commission of
				the crime, and other indicia or rehabilitation.
O.C.G.A.
				  §§
											31-7-360,
				  31-7-384.
Compilation of Rules and Regulations of the State of Georgia › Department 111 - RULES OF DEPARTMENT OF COMMUNITY HEALTH › Chapter 111-8 - HEALTHCARE FACILITY REGULATION › Subject 111-8-13 - RULES AND REGULATIONS FOR THE GEORGIA CAREGIVER REGISTRY › Rule 111-8-13-.06 - Severability

Current through Rules and Regulations filed through June 27, 2024
In the event that any rule, sentence, clause, or phrase of
				  any of these rules and regulations may be construed by any court of competent
				  jurisdiction to be invalid, illegal, unconstitutional, or otherwise
				  unenforceable, such determination or adjudication shall in no manner affect the
				  remaining rules or portions thereof. The remaining rules or portions of rules
				  shall remain in full force and effect, as if such rule or portions thereof so
				  determined, declared, or adjudged invalid or unconstitutional were not
				  originally a part of these rules.
O.C.G.A. §§
											31-2-5,
				  31-2-7,
				  31-7-386.
Compilation of Rules and Regulations of the State of Georgia › Department 111 - RULES OF DEPARTMENT OF COMMUNITY HEALTH › Chapter 111-8 - HEALTHCARE FACILITY REGULATION › Subject 111-8-16 - DISASTER PREPAREDNESS PLANS › Rule 111-8-16-.01 - Definitions

Current through Rules and Regulations filed through June 27, 2024
Unless a different meaning is required by the context, the
				  following terms as used in these rules and regulations shall have the meaning
				  hereinafter respectively ascribed to them:
(a) "Approved Plan" means a Disaster
				Preparedness Plan which has been found by the Department to meet the
				requirements of these regulations;
(b) "Board" means the Georgia Board of
				Community Health;
(c) "CDC" means
				the U.S. Centers for Disease Control and Prevention;
(d) "Commissioner" means the Commissioner of
				the Georgia Department of Community Health or his designee;
(e) "COVID-19" means coronavirus disease
				2019;
(f) "Department" means the
				Georgia Department of Community Health;
(g) "Direct care staff person" means any
				employee, facility volunteer, or contract staff who provides to residents:
1. Any personal services, including but not
				limited to, medication administration or assistance, assistance with ambulation
				and transfer, and essential activities of daily living such as eating, bathing,
				grooming, dressing, and toileting; or
2. Any other limited nursing services, as
				defined in subsection (b) of Code Section
				31-7-12.
Compilation of Rules and Regulations of the State of Georgia › Department 111 - RULES OF DEPARTMENT OF COMMUNITY HEALTH › Chapter 111-8 - HEALTHCARE FACILITY REGULATION › Subject 111-8-16 - DISASTER PREPAREDNESS PLANS › Rule 111-8-16-.02 - Exemptions

Current through Rules and Regulations filed through June 27, 2024
The following facilities are exempt from these rules and
				  regulations:
(a) Facilities classified
				and licensed by the Department as: "Family Personal Care Homes", "Freestanding
				Emergency Care Centers", "Home Health Agencies", and "Specimen Collection
				Center" or "Health Testing Facilities."
(b) Institutions operated exclusively by the
				federal government or by any of its agencies.
(c) Public health services operated by the
				state, its counties or municipalities.
(d) Health care facilities, other than
				nursing homes, which are certified by the Centers for Medicare and Medicaid
				Services (CMS) for participation in the Medicare program. All licensed nursing
				homes shall remain subject to these rules.
(e) Any health care facility accredited by a
				CMS-approved Accreditation Organization (AO), as long as the facility's
				accreditation status is maintained. Facilities losing accreditation shall
				immediately be subject to these rules.
O.C.G.A.
				  §§
											31-2-4 (1982
				  Supp);
				  31-7, Article
				  1.
Compilation of Rules and Regulations of the State of Georgia › Department 111 - RULES OF DEPARTMENT OF COMMUNITY HEALTH › Chapter 111-8 - HEALTHCARE FACILITY REGULATION › Subject 111-8-16 - DISASTER PREPAREDNESS PLANS › Rule 111-8-16-.03 - Disaster Preparedness Plan

Current through Rules and Regulations filed through June 27, 2024
(1) Unless specifically exempted in Rule
				111-8-16-.02 every facility shall
				have a Disaster Preparedness Plan which meets the requirements of Rule
				111-8-16-.04. Disaster Preparedness
				Plan rehearsals shall be regularly conducted with a minimum of two rehearsals
				in each calendar year.
(2) The
				governing body shall be responsible for the development of the plan. The
				governing body shall designate those individual(s) within the facility who have
				primary responsibility for rehearsal and implementation of the plan.
(3) The facility shall designate staff to
				participate in the healthcare coalition for their region, as designated by the
				Department of Public Health (DPH). Participation in the coalition shall
				include:
(a) Initiation and maintenance of an
				account with the web-based emergency operations center managed by DPH or its
				contractor, agent or designee;
(b)
				Evidence of participation, at least annually, in communication drills with the
				coalition and/or attendance at coalition meetings; and
(c) Evidence of contact, at least annually,
				with the local emergency management agency coordinator for the area in which
				the facility is located.
Compilation of Rules and Regulations of the State of Georgia › Department 111 - RULES OF DEPARTMENT OF COMMUNITY HEALTH › Chapter 111-8 - HEALTHCARE FACILITY REGULATION › Subject 111-8-16 - DISASTER PREPAREDNESS PLANS › Rule 111-8-16-.04 - Content of Plan

Current through Rules and Regulations filed through June 27, 2024
(1) The plan shall contain a section in which
				the unique needs of the facility's residents are identified and
				assessed.
(2) The plan shall
				contain a section which identifies the emergency situations to be addressed by
				the plan. As a minimum the following emergency situations shall be addressed:
(a) fire;
(b) explosion;
(c) unanticipated interruption of each
				utility used by the facility; i.e., electricity, gas, other fuel, water,
				etc.;
(d) loss of air conditioning
				or heat; and
(e) damage to physical
				plant resulting from severe weather, i.e., tornadoes, ice or snowstorms, etc.
				Other emergencies or hazards may be included in the plan.
Compilation of Rules and Regulations of the State of Georgia › Department 111 - RULES OF DEPARTMENT OF COMMUNITY HEALTH › Chapter 111-8 - HEALTHCARE FACILITY REGULATION › Subject 111-8-16 - DISASTER PREPAREDNESS PLANS › Rule 111-8-16-.05 - Special Requirements for Long-Term Care Facilities

Current through Rules and Regulations filed through June 27, 2024
Each Long-term care facility shall:
(1) Inform its residents and their
				representatives or legal surrogates by 5:00 P.M. the next calendar day
				following the occurrence of either a single confirmed infection of COVID-19 or
				another airborne infectious disease identified by the department or the CDC as
				a threat to public health, or three or more residents or staff with new-onset
				of respiratory symptoms occurring within hours of each other. Such information
				shall:
(a) Not include personally identifiable
				information;
(b) Include
				information on mitigating actions implemented to prevent or reduce the risk of
				transmission, including if normal operations of the facility will be altered;
				and
(c) Include any cumulative
				updates for residents and their representatives or legal surrogates at least
				weekly or by 5:00 P.M. the next calendar day following the occurrence of any
				subsequent confirmed infection of COVID-19, or whenever three or more residents
				or staff with new onset of respiratory symptoms occurs within 72 hours of each
				other;
Compilation of Rules and Regulations of the State of Georgia › Department 111 - RULES OF DEPARTMENT OF COMMUNITY HEALTH › Chapter 111-8 - HEALTHCARE FACILITY REGULATION › Subject 111-8-16 - DISASTER PREPAREDNESS PLANS › Rule 111-8-16-.06 - Records

Current through Rules and Regulations filed through June 27, 2024
The facility shall maintain the following records and make
				  them available to authorized Department employees upon request:
(a) a copy of the plan and any subsequent
				changes thereto;
(b) records of
				rehearsals of the plan;
(c) records
				of incidences which required implementation of the plan.
O.C.G.A. §
											31-7-3(c).
Compilation of Rules and Regulations of the State of Georgia › Department 111 - RULES OF DEPARTMENT OF COMMUNITY HEALTH › Chapter 111-8 - HEALTHCARE FACILITY REGULATION › Subject 111-8-16 - DISASTER PREPAREDNESS PLANS › Rule 111-8-16-.07 - Scope of Regulations

Current through Rules and Regulations filed through June 27, 2024
The rules as contained in this chapter expressly do not
				  modify or revoke the provisions of any of the other rules of the Department of
				  Community Health which have been or will be promulgated under the authority of
				  O.C.G.A. Chapter 31-7, Article 1.
O.C.G.A. §
											31-7, Article
				  1.
Compilation of Rules and Regulations of the State of Georgia › Department 111 - RULES OF DEPARTMENT OF COMMUNITY HEALTH › Chapter 111-8 - HEALTHCARE FACILITY REGULATION › Subject 111-8-16 - DISASTER PREPAREDNESS PLANS › Rule 111-8-16-.08 - Notice to the Department

Current through Rules and Regulations filed through June 27, 2024
When an emergency situation occurs which dictates
				  implementation of the plan and results in injury or loss of life, the
				  Department shall be notified within 24 hours. Such notification may be verbal.
				  In other emergency situations which dictate implementation of the plan a record
				  shall be made including a written incident report and a written critique of the
				  performance under the plan. These records shall be filed with the plan and made
				  available to the Department during inspections of the
				  facility.
O.C.G.A. §
											31-7-3(c).
Compilation of Rules and Regulations of the State of Georgia › Department 111 - RULES OF DEPARTMENT OF COMMUNITY HEALTH › Chapter 111-8 - HEALTHCARE FACILITY REGULATION › Subject 111-8-16 - DISASTER PREPAREDNESS PLANS › Rule 111-8-16-.09 - Waivers and Variances

Current through Rules and Regulations filed through June 27, 2024
The Department, upon petition, may grant variances or waivers
				  of specific rules and regulations as provided for in O.C.G.A. §
									31-2-7 when it has been shown that
				  the rule or regulation is not applicable or to allow experimentation and
				  demonstration of new and innovative approaches to the delivery of services, or
				  the center has met the intended purpose of the rule through equivalent
				  standards, provided that the granting of the variance or waiver will not
				  jeopardize the health, safety or care of the residents. The Department may
				  establish conditions which must be met by the facility in order to operate
				  under the variance or waiver.
O.C.G.A.
				  §§
											31-2-7,
				  31-7-3(c).
Compilation of Rules and Regulations of the State of Georgia › Department 111 - RULES OF DEPARTMENT OF COMMUNITY HEALTH › Chapter 111-8 - HEALTHCARE FACILITY REGULATION › Subject 111-8-16 - DISASTER PREPAREDNESS PLANS › Rule 111-8-16-.10 - Enforcement

Current through Rules and Regulations filed through June 27, 2024
A facility which fails to comply with these rules and
				  regulations shall be subject to revocation of its permit or provisional permit
				  and/or other sanctions provided by law. The enforcement and administration of
				  these rules and regulations shall be as prescribed in O.C.G.A. Chapter 31-5,
				  Enforcement and Administrative Procedure, which includes provisions for:
(a) the misdemeanor penalty for violation of
				rules and regulations promulgated under Title 31;
(b) injunctive relief under appropriate
				circumstances; and
(c) the due
				process requirements of notice, hearing and appeals.
O.C.G.A.
				  §§
											31-5,
				  31-7, Article
				  1.
Compilation of Rules and Regulations of the State of Georgia › Department 111 - RULES OF DEPARTMENT OF COMMUNITY HEALTH › Chapter 111-8 - HEALTHCARE FACILITY REGULATION › Subject 111-8-16 - DISASTER PREPAREDNESS PLANS › Rule 111-8-16-.11 - Severability

Current through Rules and Regulations filed through June 27, 2024
In the event that any rule, sentence, clause or phrase of any
				  of these rules and regulations may be construed by any court of competent
				  jurisdiction to be invalid, illegal, unconstitutional, or otherwise
				  unenforceable, such determination or adjudication shall in no manner affect the
				  remaining rules or portions thereof, and such remaining rules or portions
				  thereof shall remain of full force and effect, as if such rules or portions
				  thereof so determined, declared or adjudged invalid or unconstitutional were
				  not originally a part hereof. It is the intent of the Board of Community Health
				  to establish rules and regulations that are constitutional and enforceable so
				  as to safeguard the health and well-being of the people of the
				  State.
O.C.G.A. §
											31-7-3(c).
Compilation of Rules and Regulations of the State of Georgia › Department 111 - RULES OF DEPARTMENT OF COMMUNITY HEALTH › Chapter 111-8 - HEALTHCARE FACILITY REGULATION › Subject 111-8-19 - RULES AND REGULATIONS FOR DRUG ABUSE TREATMENT AND EDUCATION PROGRAMS › Rule 111-8-19-.01 - Legal Authority

Current through Rules and Regulations filed through June 27, 2024
These rules are adopted and published pursuant to the
				  Official Code of Georgia Annotated (O.C.G.A.) Sec.
				  26-5-1
et
				  seq.
O.C.G.A. §
										26-5-1
et
				  seq.
Compilation of Rules and Regulations of the State of Georgia › Department 111 - RULES OF DEPARTMENT OF COMMUNITY HEALTH › Chapter 111-8 - HEALTHCARE FACILITY REGULATION › Subject 111-8-19 - RULES AND REGULATIONS FOR DRUG ABUSE TREATMENT AND EDUCATION PROGRAMS › Rule 111-8-19-.02 - Title and Purposes

Current through Rules and Regulations filed through June 27, 2024
These rules shall be known as the Rules and Regulations for
				  Drug Abuse Treatment and Education Programs. The purpose of these rules is to
				  provide minimal requirements for the licensing and inspection of drug abuse
				  treatment and education programs, not subject to regulation as licensed
				  hospitals, or approved Emergency, Receiving, Evaluation and/or Treatment (ERET)
				  services or licensed Narcotic Treatment Programs monitored by the State
				  Methadone Authority.
O.C.G.A. §
										26-5-1
et
				  seq.
Compilation of Rules and Regulations of the State of Georgia › Department 111 - RULES OF DEPARTMENT OF COMMUNITY HEALTH › Chapter 111-8 - HEALTHCARE FACILITY REGULATION › Subject 111-8-19 - RULES AND REGULATIONS FOR DRUG ABUSE TREATMENT AND EDUCATION PROGRAMS › Rule 111-8-19-.04 - Governing Body

Current through Rules and Regulations filed through June 27, 2024
Each licensed program shall have a clearly identified
				  governing body. The chairperson or chief executive officer of the governing
				  body shall complete a statement of responsibility on behalf of the governing
				  body acknowledging the governing body's responsibility for the operation of the
				  program in accordance with these rules in connection with any application for a
				  license on a form provided by the department. If a program is individually
				  owned, then the owner(s) will complete the statement of
				  responsibility.
O.C.G.A. §
										26-5-1
et
				  seq.
Compilation of Rules and Regulations of the State of Georgia › Department 111 - RULES OF DEPARTMENT OF COMMUNITY HEALTH › Chapter 111-8 - HEALTHCARE FACILITY REGULATION › Subject 111-8-19 - RULES AND REGULATIONS FOR DRUG ABUSE TREATMENT AND EDUCATION PROGRAMS › Rule 111-8-19-.06 - Accreditation

Current through Rules and Regulations filed through June 27, 2024
The department may issue a license to a program that provides
				  proof of accreditation by an accreditation agency approved by the department,
				  if the accreditation agency's requirements are substantially equivalent or more
				  stringent than the requirements of these rules. The license may be issued
				  without an on-site visit by the department, however, the department reserves
				  the right to inspect accredited programs on a sample validation basis or
				  whenever there is reason to believe that the requirements of these rules are
				  not being met. Provided however, any denial, suspension, or revocation of such
				  accreditation shall result in similar licensure actions, and the governing body
				  shall be required to apply for a new license. For purpose of this rule, proof
				  of accreditation shall require a copy of the program's most recent
				  accreditation report together with any supplemental recommendations or reports.
				  Such reports shall be submitted to the department whenever received by a
				  program or whenever requested by the department.
O.C.G.A. §§
										26-5-6,
				  26-5-10,
				  31-2-4,
				  37-1-22,
				  37-7-3.
Compilation of Rules and Regulations of the State of Georgia › Department 111 - RULES OF DEPARTMENT OF COMMUNITY HEALTH › Chapter 111-8 - HEALTHCARE FACILITY REGULATION › Subject 111-8-19 - RULES AND REGULATIONS FOR DRUG ABUSE TREATMENT AND EDUCATION PROGRAMS › Rule 111-8-19-.07 - Applications

Current through Rules and Regulations filed through June 27, 2024
(1) An application
				for a license to operate a drug abuse treatment and education program shall be
				submitted to the department on forms provided by the department, as well as
				requested updating information, and shall include assurances satisfactory to
				the department that the program is in compliance with all applicable federal
				and state laws for the handling and dispensing of drugs, with professional
				practice acts, and all state and local health, safety, sanitation, building,
				and zoning requirements.
(2) False
				or Misleading Information. An application for a license must be truthfully and
				fully completed. In the event that the department has reason to believe that an
				application has not been completed truthfully, the department may require
				additional verification of the facts alleged. The department may refuse to
				issue a license where false statements have been made in connection with an
				application or any other documents required by the department.
O.C.G.A. §§
										26-5-6,
				  26-5-8.
Compilation of Rules and Regulations of the State of Georgia › Department 111 - RULES OF DEPARTMENT OF COMMUNITY HEALTH › Chapter 111-8 - HEALTHCARE FACILITY REGULATION › Subject 111-8-19 - RULES AND REGULATIONS FOR DRUG ABUSE TREATMENT AND EDUCATION PROGRAMS › Rule 111-8-19-.08 - Inspections and Plans of Corrections

Current through Rules and Regulations filed through June 27, 2024
(1) The department is authorized and
				empowered to conduct onsite inspections of any program to verify compliance
				with these rules. A program shall permit any authorized department
				representative to enter upon and inspect any and all program premises which,
				for the purposes of these rules, shall include access to all parts of the
				facility, staff, persons in care, and documents pertinent to initial and
				continued licensure, including but not limited to all clinical records
				maintained on clients. Failure to permit entry and inspection shall constitute
				noncompliance or violation of this rule and, subject to notice of an
				opportunity for a hearing, may result in the denial of any license applied for
				or the suspension or revocation of a license or provisional license.
				Inspections are generally unannounced, and may occur at any time the department
				deems necessary.
(2) If as a result
				of an inspection, violations of these licensing rules are identified, the
				program will be given a written report of the inspection which identifies the
				rules violated. The program must submit a written plan of correction in
				response to the report of inspection which states what the program will do when
				to correct each of the violations identified. The program may offer any
				explanation or dispute the findings of violations in the written plan of
				correction so long as an acceptable plan of correction is submitted within ten
				days of the receipt of the written report of inspection. Failure to submit an
				acceptable plan of correction may constitute cause for the department to deny a
				license or suspend or revoke a license.
O.C.G.A. §§
										26-5-6,
				  26-5-13,
				  26-5-14.
Compilation of Rules and Regulations of the State of Georgia › Department 111 - RULES OF DEPARTMENT OF COMMUNITY HEALTH › Chapter 111-8 - HEALTHCARE FACILITY REGULATION › Subject 111-8-19 - RULES AND REGULATIONS FOR DRUG ABUSE TREATMENT AND EDUCATION PROGRAMS › Rule 111-8-19-.09 - Administration

Current through Rules and Regulations filed through June 27, 2024
(1) Program
				Purpose. A licensed program shall develop and implement written policies and
				procedures that specify its philosophy, purpose, and program orientation. Such
				policies and procedures shall identify the types of drug abusers and the ages
				of the clients that it serves, including referral sources. When the program
				serves persons with special needs, the description shall explain how these
				special needs will be met.
(2)
				Program Operations. A licensed program shall develop and implement written
				policies and procedures for operations to include:
(a) A description of the range of treatment
				and services provided by the program to be reviewed annually and updated as
				needed, specifying which American Society of Addiction Medicine (ASAM) levels
				of care will be offered, what services will be provided directly by the
				program, and what services are provided in cooperation with available community
				or contract resources;
(b) The
				process for intake, assessment, admission, treatment planning, and evaluation
				of treatment;
(c) Discharge
				summaries and aftercare plans;
(d)
				The protection of client's rights and confidentiality of client
				records;
(e) The appropriate use of
				behavior management and emergency safety interventions; and
(f) When the program administers medications,
				policies and procedures related to medication administration.
Compilation of Rules and Regulations of the State of Georgia › Department 111 - RULES OF DEPARTMENT OF COMMUNITY HEALTH › Chapter 111-8 - HEALTHCARE FACILITY REGULATION › Subject 111-8-19 - RULES AND REGULATIONS FOR DRUG ABUSE TREATMENT AND EDUCATION PROGRAMS › Rule 111-8-19-.10 - Staffing

Current through Rules and Regulations filed through June 27, 2024
(1) The program
				shall have sufficient types and numbers of staff as required by these rules to
				provide the treatment and services offered to clients and outlined in its
				program description.
(2) Staff
				subject to professional practice acts must be in compliance with the state
				practice acts.
(3) Counseling
				services are provided by individuals qualified by education, training, and
				experience to provide substance abuse counseling and who are licensed/certified
				if required by state practice acts.
(4) The medical responsibility for each
				client will be vested in a licensed physician who oversees all medical services
				provided by the program. Physician assistants or nurse practitioners may be
				utilized to the extent allowed by state practice acts.
(5) Each program shall have available
				professional mental health consultation to review selected cases and to provide
				assistance to the staff in client management or for referral for psychiatric
				services.
(6) The clinical director
				must be either a doctor of medicine licensed to practice in this state, or a
				licensed practitioner who is licensed to provide treatment, therapeutic advice
				or counsel for the rehabilitation of drug dependent persons in compliance with
				state practice acts, or a certified addiction counselor.
(7) For any employee hired after the
				effective date of these rules, employment and criminal background checks shall
				be conducted prior to employment, and only persons with no history of violence
				or abuse which would pose a risk to the clients in treatment shall be employed
				by the program.
(8) Staff Training
				and Orientation. Prior to working with clients, all staff who provide treatment
				and services shall be oriented in accordance with these rules and shall
				thereafter receive additional training in accordance with these rules.
(a) Orientation shall include instruction in:
1. The program's written policies and
				procedures regarding its program purpose and description; client rights,
				responsibilities, and complaints; confidentiality; and other policies and
				procedures that are relevant to the employee's range of duties and
				responsibilities, including the use of universal precautions for infection
				control, use of behavior management and emergency safety interventions, and
				information about HIV/AIDS;
2. The
				employee's assigned duties and responsibilities; and
3. Reporting client progress and problems to
				supervisory personnel and procedures for handling medical emergencies or other
				incidents that affect the delivery of treatment or services.
Compilation of Rules and Regulations of the State of Georgia › Department 111 - RULES OF DEPARTMENT OF COMMUNITY HEALTH › Chapter 111-8 - HEALTHCARE FACILITY REGULATION › Subject 111-8-19 - RULES AND REGULATIONS FOR DRUG ABUSE TREATMENT AND EDUCATION PROGRAMS › Rule 111-8-19-.11 - Physical Plant and Safety

Current through Rules and Regulations filed through June 27, 2024
(1) Required Approvals.
(a) A program shall be in compliance with all
				applicable local health, sanitation, building, and zoning requirements.
(b) A program shall be in
				compliance with all applicable laws and rules issued by the state fire
				Marshall, the proper local fire marshal or state inspector, and shall have a
				certificate of occupancy if required.
Compilation of Rules and Regulations of the State of Georgia › Department 111 - RULES OF DEPARTMENT OF COMMUNITY HEALTH › Chapter 111-8 - HEALTHCARE FACILITY REGULATION › Subject 111-8-19 - RULES AND REGULATIONS FOR DRUG ABUSE TREATMENT AND EDUCATION PROGRAMS › Rule 111-8-19-.12 - Food Service

Current through Rules and Regulations filed through June 27, 2024
(1) A residential program which provides food
				service shall provide each resident with meals and snacks of food groups and
				serving sizes which meet the nutritional guidelines of the United States
				Department of Agriculture. Meals and snacks shall be varied daily. Modified
				diets based on medical or religious reasons shall be served as
				needed.
(2) If required by the
				local county board of health, a residential program shall obtain a valid food
				service permit from the local county board of health. All residential programs
				providing food services shall meet the following requirements:
(a) Food shall be stored, prepared, and
				maintained in a safe and sanitary manner commensurate with generally accepted
				and recognized food service standards.
(b) There shall be designated and separate
				space for food preparation and storage.
(c) All perishable and potentially hazardous
				foods shall be refrigerated at a temperature of forty-five degrees Fahrenheit
				unless frozen. Freezer temperatures shall be maintained at zero degrees
				Fahrenheit or below.
(d) Food shall
				be in sound condition, free from spoilage and contamination and shall be safe
				for human consumption when served to residents.
(e) Food service equipment and preparation
				areas shall be kept clean and free of accumulation of dust, dirt, food
				particles, and grease deposits.
(f)
				When non-disposable dishes, glasses, and flatware are used, they shall be
				properly cleaned by pre-rinsing and scraping, washing, sanitizing, and
				drying.
Compilation of Rules and Regulations of the State of Georgia › Department 111 - RULES OF DEPARTMENT OF COMMUNITY HEALTH › Chapter 111-8 - HEALTHCARE FACILITY REGULATION › Subject 111-8-19 - RULES AND REGULATIONS FOR DRUG ABUSE TREATMENT AND EDUCATION PROGRAMS › Rule 111-8-19-.14 - Individual Treatment Planning

Current through Rules and Regulations filed through June 27, 2024
A program must develop and implement a complete
				  individualized treatment plan for each client. Such treatment plans shall be
				  modified and updated as necessary, depending upon the clients' needs.
(a) Preliminary Treatment Plan. An initial
				treatment plan will be formulated at the time of admission after assessment
				(within a minimum of ten working days) and will include the initial treatment
				recommendation for the client. The initial treatment plan may be documented in
				the program notes.
(b) Complete
				Treatment Plan. The complete treatment plan must be comprehensive, formulated
				by a multi-disciplinary team with the input of the client, approved by the
				clinical director, completed within thirty days from admission, and shall
				contain sufficient information about the client's expected treatment including:
1. Descriptions of the client's problems and
				needs;
2. Measurable goals and
				desired outcomes that are to be attained by the client, which include both long
				term goals and short term objectives leading to these goals;
3. The interventions and services that the
				program will provide to help the client achieve the individual goals and
				desired outcomes;
4. The expected
				course of treatment; and
5.
				Identification of the staff person who will provide treatment or coordinate the
				treatment.
Compilation of Rules and Regulations of the State of Georgia › Department 111 - RULES OF DEPARTMENT OF COMMUNITY HEALTH › Chapter 111-8 - HEALTHCARE FACILITY REGULATION › Subject 111-8-19 - RULES AND REGULATIONS FOR DRUG ABUSE TREATMENT AND EDUCATION PROGRAMS › Rule 111-8-19-.15 - Medications

Current through Rules and Regulations filed through June 27, 2024
If a program administers medications, written policies and
				  procedures for prescription, administration and security of medications shall
				  be established and implemented. Such policies and procedures shall include the
				  following:
(a) Medications are
				prescribed by a physician, and/or other practitioners as allowed by state law,
				and the risks and benefits of the prescribed medication are explained to the
				client (and parent, guardian, or responsible party if applicable) by the
				physician or a staff person who has been delegated responsibility in writing by
				the physician to explain the risks and benefits. Documentation of such
				explanations of risks and benefits must be maintained by the program.
(b) The program may have written
				pre-medication screening protocols which are completed and approved by the
				physician. Such protocols shall include an assessment as required in rule
				.13(1)(b).
(c) Unless
				self-administered, all medications are administered by a physician, physician's
				assistant, or nurse.
(d) Any
				medications prescribed, administered or self-administered under supervision are
				documented on an individual medication administration record that is filed with
				the individual treatment plan, unless maintained as a clinical record at the
				client's bedside or in the medication room in a residential detoxification
				setting. The record must include:
1. Name of
				medication;
2. Date
				prescribed;
3. Dosage;
4. Frequency;
5. Route of administration;
6. Date and time administered; and
7. Documentation of staff administering
				medication or supervising self-administration.
Compilation of Rules and Regulations of the State of Georgia › Department 111 - RULES OF DEPARTMENT OF COMMUNITY HEALTH › Chapter 111-8 - HEALTHCARE FACILITY REGULATION › Subject 111-8-19 - RULES AND REGULATIONS FOR DRUG ABUSE TREATMENT AND EDUCATION PROGRAMS › Rule 111-8-19-.16 - Quality Assurance

Current through Rules and Regulations filed through June 27, 2024
Written policies and procedures for an ongoing quality
				  assurance process shall be established and implemented. Such process shall
				  identify areas of treatment or treatment problems to be addressed; establish
				  and monitor criteria by which the quality and appropriateness of the treatment
				  are to be measured; analyze the outcomes; make recommendations for change, as
				  needed; and monitor changes to ensure problem resolution. Responsibility for
				  administering and coordinating the quality assurance process shall be delegated
				  to a staff person who has been determined to be qualified by education,
				  training, and experience to perform such tasks. If the program provides medical
				  services, the medical director shall be actively involved in the
				  process.
O.C.G.A. §§
										26-5-5,
				  26-5-6.
Compilation of Rules and Regulations of the State of Georgia › Department 111 - RULES OF DEPARTMENT OF COMMUNITY HEALTH › Chapter 111-8 - HEALTHCARE FACILITY REGULATION › Subject 111-8-19 - RULES AND REGULATIONS FOR DRUG ABUSE TREATMENT AND EDUCATION PROGRAMS › Rule 111-8-19-.17 - Discharge Summaries and Aftercare Plans

Current through Rules and Regulations filed through June 27, 2024
A program must complete an individualized discharge summary
				  for all clients discharged and also an aftercare plan for continuing services
				  and support for those clients who complete their course of treatment.
(a) Discharge Summary. A discharge summary
				shall be completed within seven working days of discharge for clients who leave
				the program before completing treatment. A summary shall be completed by the
				person who has primary responsibility for coordinating or providing for the
				care of the client, and it shall include a final assessment of the client's
				status at the time of discharge, summary of progress towards treatment goals,
				and the reasons the client was discharged prior to completing treatment. For
				those who complete treatment, the discharge summary must be completed within
				ten working days and must include aftercare plans.
(b) Aftercare Plans. Aftercare plans for
				continuing services and support shall be developed and completed prior to
				discharge for clients who complete treatment. The plan shall be completed by
				the person who has primary responsibility for coordinating or providing for the
				care of the client, and it shall include a final assessment of the client's
				status at the time of discharge, summary of progress towards treatment goals, a
				description of what services and supports the client is expected to need
				following discharge, and a description of potential barriers to overcome to
				maintain a drug free life style. The client must participate in aftercare
				planning, and if applicable, parents, or guardians, or responsible persons must
				participate whenever feasible.
O.C.G.A. §§
										26-5-5,
				  26-5-6.
Compilation of Rules and Regulations of the State of Georgia › Department 111 - RULES OF DEPARTMENT OF COMMUNITY HEALTH › Chapter 111-8 - HEALTHCARE FACILITY REGULATION › Subject 111-8-19 - RULES AND REGULATIONS FOR DRUG ABUSE TREATMENT AND EDUCATION PROGRAMS › Rule 111-8-19-.18 - Residential Sub-acute Detoxification Programs

Current through Rules and Regulations filed through June 27, 2024
Programs offering residential sub-acute detoxification
				  programs must meet the rules listed in this subsection (.18), in addition to
				  the general rules set forth.
(a) The
				program shall establish and implement written policies and procedures that
				address how the program manages the medical and detoxification services that it
				provides. The program shall operate 24 hours a day.
(b) Staffing. Treatment is provided by
				qualified medical staff and other professionals who are qualified by education,
				training, experience, and who are licensed/certified if required by state
				practice acts to perform detoxification services that meet the needs of
				clients.
1. Medical Staff. The medical staff
				is headed by a medical director who is licensed to practice medicine in
				Georgia, and all other medical staff are licensed to practice in Georgia. The
				medical director must approve all medical policies and procedures, including
				assessment tools, treatment protocols, and emergency procedures. Such policies
				and procedures shall include provisions for an effective infection control
				program.
2. Director of Nursing. A
				licensed registered nurse determined qualified by education, training, and
				experience to supervise nursing services for detoxification shall be designated
				as the Director of Nursing.
3.
				Medical Coverage.
(i) Physician coverage
				shall be provided in accordance with the treatment protocol. At a minimum,
				there shall be on call physician coverage 24 hours a day, and a physician must
				be on site daily as medically indicated.
(ii) Nursing coverage shall be provided in
				accordance with clients needs as determined by the number and condition of
				client population. At a minimum, there shall be one registered or licensed
				practical nurse awake and on duty on premises 24 hours per day to respond to
				client needs.
4. Other
				Medical Services.
(i) Diagnostic Services.
				Clinical laboratory services and x-ray services shall be provided in accordance
				with the Department of Community Health's Rules for Licensure of Clinical
				Laboratories, Chapter 111-8-10, and Rules for X-Ray, Chapter
				290-5-22.
(ii) Emergency Medical
				Services. The program's medical policies and procedures include provisions for
				the delivery of emergency, medical services, which services are either provided
				directly or through an established procedure specifying how emergency services
				will be accessed.
(iii)
				Pharmaceutical Services. Pharmaceutical services are offered through a licensed
				pharmacy service in the community or by the program's own licensed
				pharmacist.
Compilation of Rules and Regulations of the State of Georgia › Department 111 - RULES OF DEPARTMENT OF COMMUNITY HEALTH › Chapter 111-8 - HEALTHCARE FACILITY REGULATION › Subject 111-8-19 - RULES AND REGULATIONS FOR DRUG ABUSE TREATMENT AND EDUCATION PROGRAMS › Rule 111-8-19-.19 - Ambulatory Detoxification Programs

Current through Rules and Regulations filed through June 27, 2024
Programs offering outpatient ambulatory detoxification
				  services must meet the rules listed in this subsection (.19) in addition to the
				  general rules set forth.
(a) The
				program shall establish and implement written policies and procedures that
				address how the program manages the medical and detoxification services that it
				provides. The program shall be open and operate five days a week with on-call
				physician coverage as outlined below.
(b) Staffing. Treatment is provided by
				qualified medical staff and other professionals who are qualified by education,
				training, experience, and who are licensed/certified if required by state
				practice acts to perform detoxification services that meet the needs of
				clients.
1. Medical Staff. The medical staff
				is headed by a medical director who is licensed to practice medicine in
				Georgia, and all other medical staff are licensed to practice in Georgia. The
				medical director must approve all medical policies and procedures, including
				assessment tools, treatment protocols, and emergency procedures.
2. Medical Coverage. There shall be a
				physician, nurse practitioner, physician's assistant, registered nurse, or
				licensed practical nurse with at least two years of substance abuse experience
				under RN supervision on duty during all hours of operation to provide or
				supervise client treatment and assess individual clients as needed. Each
				physician employed by the program is determined qualified by training,
				education, and experience to manage detoxification treatment and assumes
				responsibility for the medical services provided by the staff.
3. On-Call Coverage. A staff physician shall
				provide 24-hour, on-call coverage when the program is closed or a physician is
				not present on the premises.
4.
				Other Medical Services.
(i) Diagnostic
				Services. Clinical laboratory services and x-ray services shall be provided in
				accordance with the Department of Community Health's' Rules for Licensure of
				Clinical Laboratories, Chapter 111-8-10, and Rules for X-Ray, Chapter
				290-5-22.
(ii) Emergency Medical
				Services. The program's medical policies and procedures include arrangements
				for the delivery of emergency medical services.
(iii) Pharmacy Services. Pharmaceutical
				services are provided through a licensed pharmacy in the community or the
				program's own licensed pharmacist.
Compilation of Rules and Regulations of the State of Georgia › Department 111 - RULES OF DEPARTMENT OF COMMUNITY HEALTH › Chapter 111-8 - HEALTHCARE FACILITY REGULATION › Subject 111-8-19 - RULES AND REGULATIONS FOR DRUG ABUSE TREATMENT AND EDUCATION PROGRAMS › Rule 111-8-19-.20 - Residential Intensive Treatment Programs

Current through Rules and Regulations filed through June 27, 2024
Such residences provide services for clients with significant
				  substance abuse impairment, and who, typically, have not progressed in a less
				  intensive setting, or lack supports and require a highly structured and
				  specialized environment, or are transitioning from detoxification. In addition
				  to the general rules set forth, programs offering residential intensive
				  treatment programs shall meet the requirements of this subsection (.20).
(a) Client intake, assessment, and admission;
				individual treatment planning; and discharge and aftercare, if applicable,
				shall be done in accordance with rules .13, .14, and .17. Additional admission
				requirements, including laboratory tests, may be required by facility policy
				and/or determination of the medical/clinical director.
(b) A program shall provide a minimum of
				eight hours per day of various therapeutic services designed to enable the
				client to function without substance abuse. Such services shall be provided by
				persons who have been determined qualified by education, training, experience,
				and who are licensed/certified if required by state practice acts to render
				such services that meet the needs of clients.
(c) There shall be sufficient types and
				numbers of staff members on duty in the residence to provide for safe
				supervision of clients whenever clients are present.
(d) Provisions shall be made for mandatory
				education of children in care in accordance with O.C.G.A. Sections
				20-2-690
et seq.
or its successor statute.
(e) A program shall have a written agreement
				with a physician for the provision of medical care.
O.C.G.A. §§
										26-5-5,
				  26-5-6.