reglab/statecodes huggingface dataset:
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 6 - HOSPICES › Section R9-10-608 - Care Plan

Current through Register Vol. 30, No. 28, July 12, 2024
A. An
				administrator shall ensure that a care plan is developed for each patient:
1. Based on the:
a. Assessment of the:
i. Patient; and
ii. Patient's family, if
				applicable;
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 6 - HOSPICES › Section R9-10-609 - Transfer

Current through Register Vol. 30, No. 28, July 12, 2024
Except for a transfer of a patient due to an emergency, an
				  administrator shall ensure that:
1. A
				personnel member coordinates the transfer and the services provided to the
				patient;
2. According to policies
				and procedures:
a. An evaluation of the
				patient is conducted before the transfer;
b. Information from the patient's medical
				record, including orders that are in effect at the time of the transfer, is
				provided to a receiving health care institution; and
c. A personnel member explains risks and
				benefits of the transfer to the patient or the patient's representative;
				and
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 6 - HOSPICES › Section R9-10-610 - Patient Rights

Current through Register Vol. 30, No. 28, July 12, 2024
A. An
				administrator shall ensure that:
1. The
				requirements in subsection (B) and the patient rights in subsection (C) are
				conspicuously posted on the premises;
2. At the time of admission, a patient or the
				patient's representative receives a written copy of the requirements in
				subsection (B) and the patient rights in subsection (C); and
3. Policies and procedures include:
a. How and when a patient or the patient's
				representative is informed of patient rights in subsection (C), and
b. Where patient rights are posted as
				required in subsection (A)(1).
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 6 - HOSPICES › Section R9-10-611 - Medical Records

Current through Register Vol. 30, No. 28, July 12, 2024
A. An
				administrator shall ensure that:
1. A
				patient's medical record is established and maintained for each patient
				according to A.R.S. Title 12, Chapter 13, Article 7.1;
2. An entry in a patient's medical record is:
a. Recorded only by a personnel member
				authorized by policies and procedures to make the entry;
b. Dated, legible, and authenticated;
				and
c. Not changed to make the
				initial entry illegible;
3. An order is:
a. Dated when the order is entered in the
				patient's medical record and includes the time of the order;
b. Authenticated by a medical practitioner
				according to policies and procedures; and
c. If the order is a verbal order,
				authenticated by the medical practitioner issuing the order;
4. If a rubber-stamp signature or
				an electronic signature is used to authenticate an order, the individual whose
				signature the rubber-stamp signature or electronic e signature represents is
				accountable for the use of the rubber-stamp signature or electronic e
				signature;
5. A patient's medical
				record is available to an individual:
a.
				Authorized according to policies and procedures to access the patient's medical
				record;
b. If the individual is not authorized according to
				policies and procedures, with the written consent of a patient or the patient's
				representative; or
c. As permitted
				by law; and
6. A patient's medical
				record is protected from loss, damage, or unauthorized use.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 6 - HOSPICES › Section R9-10-612 - Hospice Services

Current through Register Vol. 30, No. 28, July 12, 2024
A. An
				administrator shall ensure that the following are included in the hospice
				services provided by the hospice:
1. Medical
				services;
2. Nursing
				services;
3. Nutritional services,
				including menu planning and the designation of the kind and amount of food
				appropriate for a patient;
4.
				Medical social services, provided as follows:
a. By a personnel member qualified according
				to policies and procedures to coordinate medical social services; and
b. If a personnel member provides medical
				social services that require a license under A.R.S. Title 32, Chapter 33,
				Article 5, by a personnel member who is licensed under A.R.S. Title 32, Chapter
				33, Article 5;
5.
				Bereavement counseling for a patient's family for at least one year after the
				death of the patient; and
6.
				Spiritual counseling services, consistent with a patient's customs, religious
				preferences, cultural background, and ethnicity.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 6 - HOSPICES › Section R9-10-613 - Medication Services

Current through Register Vol. 30, No. 28, July 12, 2024
A. An
				administrator shall ensure that policies and procedures for medication
				services:
1. Include:
a. A process for providing information to a
				patient about medication prescribed for the patient including:
i. The prescribed medication's anticipated
				results,
ii. The prescribed
				medication's potential adverse reactions,
iii. The prescribed medication's potential
				side effects, and
iv. Potential
				adverse reactions that could result from not taking the medication as
				prescribed;
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 6 - HOSPICES › Section R9-10-614 - Infection Control

Current through Register Vol. 30, No. 28, July 12, 2024
An administrator shall
				  ensure that:
1. An infection control
				program is established, under the direction of an individual qualified
				according to policies and procedures, to prevent the development and
				transmission of infections and communicable diseases including:
a. A method to identify and document
				infections;
b. Analysis of the
				types, causes, and spread of infections and communicable diseases;
c. The development of corrective measures to
				minimize or prevent the spread of infections and communicable diseases;
				and
d. Documenting infection
				control activities including:
i. The
				collection and analysis of infection control data,
ii. The actions taken relating to infections
				and communicable diseases, and
iii.
				Reports of communicable diseases to the governing authority and state and
				county health departments;
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 6 - HOSPICES › Section R9-10-615 - Food Services for a Hospice Inpatient Facility

Current through Register Vol. 30, No. 28, July 12, 2024
A. An administrator of a hospice inpatient
				facility shall ensure that:
1.
				Meals and snacks provided by the hospice inpatient facility are served
				according to a patient's dietary needs and preferences;
2.
				Meals and snacks for each day are planned using:
a. The applicable guidelines in
http://www.health.gov/dietaryguidelines/2010.asp
,
				and
b. Preferences for meals and
				snacks obtained from patients;
3. A patient requiring
				assistance to eat is provided with assistance that recognizes the patient's
				nutritional, physical, and social needs, including the use of adaptive eating
				equipment or utensils; and
4. Water is available
				and accessible to patients at all times, unless otherwise stated in a patient's
				care plan.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 6 - HOSPICES › Section R9-10-616 - Emergency and Safety Standards for a Hospice Inpatient Facility

Current through Register Vol. 30, No. 28, July 12, 2024
A. An administrator
				of a hospice inpatient facility shall ensure that:
1. A disaster plan is developed, documented,
				maintained in a location accessible to personnel members and other employees,
				and, if necessary, implemented that includes:
a. When, how, and where patients will be
				relocated, including:
i. Instructions for the
				evacuation or transfer of patients,
ii. Assigned responsibilities for each
				employee and personnel member, and
iii. A plan for providing continuing services
				to meet patient's needs;
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 6 - HOSPICES › Section R9-10-617 - Environmental Standards for a Hospice Inpatient Facility

Current through Register Vol. 30, No. 28, July 12, 2024
A. An administrator of a hospice inpatient
				facility shall ensure that:
1. Policies and
				procedures are established, documented, and implemented to protect the health
				and safety of a patient that cover:
a.
				Cleaning and storing of soiled linens and clothing,
b. Housekeeping procedures that ensure a
				clean environment, and
c. Isolation
				of a patient who may spread an infection;
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 6 - HOSPICES › Section R9-10-618 - Physical Plant Standards for a Hospice Inpatient Facility

Current through Register Vol. 30, No. 28, July 12, 2024
A. An administrator
				shall ensure that a hospice inpatient facility complies with applicable
				physical plant health and safety codes and standards, incorporated by reference
				in R9-10-104.01.
B. An
				administrator of a hospice inpatient facility shall ensure that the premises
				and equipment are sufficient to accommodate:
1. The services stated in the hospice
				inpatient facility's scope of services, and
2. An individual accepted as a patient by the
				hospice inpatient facility.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 6 - HOSPICES › Section R9-10-619

Current through Register Vol. 30, No. 28, July 12, 2024
The following Section was repealed under an exemption from
					 the provisions of the Administrative Procedure Act which means these rules were
					 not reviewed by the Governor's Regulatory Review Council; the Department did
					 not submit notice of proposed rulemaking to the Secretary of State for
					 publication in the Arizona Administrative Register; and the Department was not
					 required to hold public hearings on the repealing of these
					 rules.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 6 - HOSPICES › Section R9-10-620

Current through Register Vol. 30, No. 28, July 12, 2024
The following Section was repealed under an exemption from
					 the provisions of the Administrative Procedure Act which means these rules were
					 not reviewed by the Governor's Regulatory Review Council; the Department did
					 not submit notice of proposed rulemaking to the Secretary of State for
					 publication in the Arizona Administrative Register; and the Department was not
					 required to hold public hearings on the repealing of these
					 rules.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 6 - HOSPICES › Section R9-10-621

Current through Register Vol. 30, No. 28, July 12, 2024
The following Section was repealed under an exemption from
					 the provisions of the Administrative Procedure Act which means these rules were
					 not reviewed by the Governor's Regulatory Review Council; the Department did
					 not submit notice of proposed rulemaking to the Secretary of State for
					 publication in the Arizona Administrative Register; and the Department was not
					 required to hold public hearings on the repealing of these
					 rules.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 6 - HOSPICES › Section R9-10-622

Current through Register Vol. 30, No. 28, July 12, 2024
The following Section was repealed under an exemption from
					 the provisions of the Administrative Procedure Act which means these rules were
					 not reviewed by the Governor's Regulatory Review Council; the Department did
					 not submit notice of proposed rulemaking to the Secretary of State for
					 publication in the Arizona Administrative Register; and the Department was not
					 required to hold public hearings on the repealing of these
					 rules.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 6 - HOSPICES › Section R9-10-623

Current through Register Vol. 30, No. 28, July 12, 2024
The following Section was repealed under an exemption from
					 the provisions of the Administrative Procedure Act which means these rules were
					 not reviewed by the Governor's Regulatory Review Council; the Department did
					 not submit notice of proposed rulemaking to the Secretary of State for
					 publication in the Arizona Administrative Register; and the Department was not
					 required to hold public hearings on the repealing of these
					 rules.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 6 - HOSPICES › Section R9-10-624

Current through Register Vol. 30, No. 28, July 12, 2024
The following Article was repealed and a new Article
					 adopted under an exemption from the provisions of the Administrative Procedure
					 Act which means these rules were not reviewed by the Governor's Regulatory
					 Review Council; the Department did not submit notice of proposed rulemaking to
					 the Secretary of State for publication in the Arizona Administrative Register;
					 and the Department was not required to hold public hearings on these rules
					 (Supp. 98-4).
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 7 - BEHAVIORAL HEALTH RESIDENTIAL FACILITIES › Section R9-10-701 - Definitions

Current through Register Vol. 30, No. 28, July 12, 2024
In addition to the definitions in A.R.S. § 36-401 and
				  R9-10-101, the
				  following applies in this Article unless otherwise specified:
1. "Emergency safety response" means physically holding a
				  resident to manage the resident's sudden, intense, or out-of-control behavior
				  to prevent harm to the resident or another individual
The following Section was repealed and a new Article
					 adopted under an exemption from the provisions of the Administrative Procedure
					 Act which means these rules were not reviewed by the Governor's Regulatory
					 Review Council; the Department did not submit notice of proposed rulemaking to
					 the Secretary of State for publication in the Arizona Administrative Register;
					 and the Department was not required to hold public hearings on these rules
					 (Supp. 98-4).
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 7 - BEHAVIORAL HEALTH RESIDENTIAL FACILITIES › Section R9-10-702 - Supplemental Application and Documentation Submission Requirements

Current through Register Vol. 30, No. 28, July 12, 2024
A. In addition to
				the license application requirements in A.R.S. §
									36-422
				and R9-10-105, an applicant for a license as a behavioral health residential
				facility shall include on the application:
1.
				Whether the applicant is planning to provide:
a. Behavioral health services to individuals
				under 18 years of age, including the licensed capacity requested;
b. Behavioral health services to individuals
				18 years of age and older, including the licensed capacity requested;
				or
c. Respite services;
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 7 - BEHAVIORAL HEALTH RESIDENTIAL FACILITIES › Section R9-10-703 - Administration

Current through Register Vol. 30, No. 28, July 12, 2024
A. A governing
				authority shall:
1. Consist of one or more
				individuals responsible for the organization, operation, and administration of
				a behavioral health residential facility;
2. Establish, in writing:
a. A behavioral health residential facility's
				scope of services, and
b.
				Qualifications for an administrator;
3. Designate, in writing, an administrator
				who has the qualifications established in subsection (A)(2)(b);
4. Adopt a quality management program
				according to
				R9-10-704;
5. Review and evaluate the effectiveness of
				the quality management program at least once every 12 months;
6. Designate, in writing, an acting
				administrator who has the qualifications established in subsection (A)(2)(b),
				if the administrator is:
a. Expected not to be
				present on the behavioral health residential facility's premises for more than
				30 calendar days, or
b. Not present
				on the behavioral health residential facility's premises for more than 30
				calendar days; and
7.
				Except as provided in subsection (A)(6), notify the Department according to
				A.R.S. §
										36-425(I)
				 when there is a change in the administrator
				and identify the name and qualifications of the new administrator.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 7 - BEHAVIORAL HEALTH RESIDENTIAL FACILITIES › Section R9-10-704 - Quality Management

Current through Register Vol. 30, No. 28, July 12, 2024
An administrator shall ensure that:
1. A plan is established, documented, and
				implemented for an ongoing quality management program that, at a minimum,
				includes:
a. A method to identify, document,
				and evaluate incidents;
b. A method
				to collect data to evaluate services provided to residents;
c. A method to evaluate the data collected to
				identify a concern about the delivery of services related to resident
				care;
d. A method to make changes
				or take action as a result of the identification of a concern about the
				delivery of services related to resident care; and
e. The frequency of submitting a documented
				report required in subsection (2) to the governing authority;
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 7 - BEHAVIORAL HEALTH RESIDENTIAL FACILITIES › Section R9-10-705 - Contracted Services

Current through Register Vol. 30, No. 28, July 12, 2024
An administrator shall ensure that:
1. Contracted services are provided according
				to the requirements in this Article, and
2. Documentation of current contracted
				services is maintained that includes a description of the contracted services
				provided.
The following Section was repealed and a new Article
					 adopted under an exemption from the provisions of the Administrative Procedure
					 Act which means these rules were not reviewed by the Governor's Regulatory
					 Review Council; the Department did not submit notice of proposed rulemaking to
					 the Secretary of State for publication in the Arizona Administrative Register;
					 and the Department was not required to hold public hearings on these rules
					 (Supp. 98-4).
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 7 - BEHAVIORAL HEALTH RESIDENTIAL FACILITIES › Section R9-10-706 - Personnel

Current through Register Vol. 30, No. 28, July 12, 2024
A. An administrator
				shall ensure that:
1. A personnel member, an
				employee, or a student is at least 18 years old; 
										
										
										 and
2. A volunteer is at
				least 21 years old.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 7 - BEHAVIORAL HEALTH RESIDENTIAL FACILITIES › Section R9-10-707 - Admission; Assessment

Current through Register Vol. 30, No. 28, July 12, 2024
A. An
				administrator shall ensure that:
1. A resident
				is admitted based upon:
a. The resident's
				primary condition for which the resident is admitted to the behavioral health
				residential facility being a behavioral health issue, and
b. The resident's behavioral health issue and
				treatment needs are within the behavioral health residential facility's scope
				of services;
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 7 - BEHAVIORAL HEALTH RESIDENTIAL FACILITIES › Section R9-10-708 - Treatment Plan

Current through Register Vol. 30, No. 28, July 12, 2024
A. An administrator
				shall ensure that a treatment plan is developed and implemented for each
				resident that:
1. Is based on the medical
				history and physical examination or nursing assessment required in
				R9-10-707(A)(6) or
				(E)(1)(a) and the behavioral health
				assessment required in
				R9-10-707(A)(9) or
				(10) and on-going changes to the behavioral
				health assessment of the resident;
2. Is completed:
a. By a behavioral health professional or a
				behavioral health technician under the clinical oversight of a behavioral
				health professional, and
b. Before
				the resident receives physical health services or behavioral health services or
				within 48 hours after the assessment is completed;
3. Is documented in the resident's medical
				record within 48 hours after the resident first receives physical health
				services or behavioral health services;
4. Includes:
a. The resident's presenting issue;
b. The physical health services or behavioral
				health services to be provided to the resident;
c. The signature of the resident or the
				resident's representative and date signed, or documentation of the refusal to
				sign;
d. The date when the
				resident's treatment plan will be reviewed;
e. If a discharge date has been determined,
				the treatment needed after discharge; and
f. The signature of the personnel member who
				developed the treatment plan and the date signed;
5. If the treatment plan was completed by a
				behavioral health technician, is reviewed and signed by a behavioral health
				professional within 24 hours after the completion of the treatment plan to
				ensure that the treatment plan is complete and accurate and meets the
				resident's treatment needs; and
6.
				Is reviewed and updated on an on-going basis:
a. According to the review date specified in
				the treatment plan,
b. When a
				treatment goal is accomplished or changed,
c. When additional information that affects
				the resident's behavioral health assessment is identified, and
d. When a resident has a significant change
				in condition or experiences an event that affects treatment.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 7 - BEHAVIORAL HEALTH RESIDENTIAL FACILITIES › Section R9-10-709 - Discharge

Current through Register Vol. 30, No. 28, July 12, 2024
A. An administrator
				shall ensure that a discharge plan for a resident is:
1. Developed that:
a. Identifies any specific needs of the
				resident after discharge,
b. Is
				completed before discharge occurs, and
c. Includes a description of the level of
				care that may meet the resident's assessed and anticipated needs after
				discharge;
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 7 - BEHAVIORAL HEALTH RESIDENTIAL FACILITIES › Section R9-10-710 - Transport; Transfer

Current through Register Vol. 30, No. 28, July 12, 2024
A. Except as
				provided in subsection (B), an administrator shall ensure that:
1. A personnel member coordinates the
				transport and the services provided to the resident;
2. According to policies and procedures:
a. An evaluation of the resident is conducted
				before and after the transport,
b.
				Information from the resident's medical record is provided to a receiving
				health care institution, and
c. A
				personnel member explains risks and benefits of the transport to the resident
				or the resident's representative; and
3. Documentation in the resident's medical
				record includes:
a. Communication with an
				individual at a receiving health care institution;
b. The date and time of the
				transport;
c. The mode of
				transportation; and
d. If
				applicable, the name of the personnel member accompanying the resident during a
				transport.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 7 - BEHAVIORAL HEALTH RESIDENTIAL FACILITIES › Section R9-10-711 - Resident Rights

Current through Register Vol. 30, No. 28, July 12, 2024
A. An
				administrator shall ensure that:
1. The
				requirements in subsection (B) and the resident rights in subsection (E) are
				conspicuously posted on the premises;
2. At the time of admission, a resident or
				the resident's representative receives a written copy of the requirements in
				subsection (B) and the resident rights in subsection (E); and
3. Policies and procedures include:
a. How and when a resident or the resident's
				representative is informed of the resident rights in subsection (E),
				and
b. Where resident rights are
				posted as required in subsection (A)(1).
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 7 - BEHAVIORAL HEALTH RESIDENTIAL FACILITIES › Section R9-10-712 - Medical Records

Current through Register Vol. 30, No. 28, July 12, 2024
A. An
				administrator shall ensure that:
1. A medical
				record is established and maintained for each resident according to A.R.S.
				Title 12, Chapter 13, Article 7.1;
2. An entry in a resident's medical record
				is:
a. Recorded only by a personnel member
				authorized by policies and procedures to make the entry;
b. Dated, legible, and authenticated;
				and
c. Not changed to make the
				initial entry illegible;
3. An order is:
a. Dated when the order is entered in the
				resident's medical record and includes the time of the order;
b. Authenticated by a medical practitioner or
				behavioral health professional according to policies and procedures;
				and
c. If the order is a verbal
				order, authenticated by the medical practitioner or behavioral health
				professional issuing the order;
4. If a rubber-stamp signature or an
				electronic signature is used to authenticate an order, the individual whose
				signature the rubber-stamp signature or electronic signature represents is
				accountable for the use of the rubber-stamp signature or electronic
				signature;
5. A resident's medical
				record is available to an individual:
a.
				Authorized according to policies and procedures to access the resident's
				medical record;
b. If the
				individual is not authorized according to policies and procedures, with the
				written consent of the resident or the resident's representative; or
c. As permitted by law;
6. Policies and procedures include the
				maximum time-frame to retrieve a resident's medical record at the request of a
				medical practitioner, behavioral health professional, or authorized personnel
				member; and
7. A resident's medical
				record is protected from loss, damage, or unauthorized use.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 7 - BEHAVIORAL HEALTH RESIDENTIAL FACILITIES › Section R9-10-713 - Transportation; Resident Outings

Current through Register Vol. 30, No. 28, July 12, 2024
A.
				An administrator of a behavioral health residential facility that uses a
				vehicle owned or leased by the behavioral health residential facility to
				provide transportation to a resident shall ensure that:
1. The vehicle:
a. Is safe and in good repair,
b. Contains a first aid kit,
c. Contains drinking water sufficient to meet
				the needs of each resident present in the vehicle, and
d. Contains a working heating and air
				conditioning system;
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 7 - BEHAVIORAL HEALTH RESIDENTIAL FACILITIES › Section R9-10-714 - Resident Time-Out

Current through Register Vol. 30, No. 28, July 12, 2024
An administrator shall ensure that a time-out:
1. Is provided to a resident who voluntarily
				decides to go in a time-out;
2.
				Takes place in an area that is unlocked, lighted, quiet, and private;
3. Is time-limited and does not exceed the
				amount of time as determined by the resident;
4. Does not result in a resident missing a
				meal if the resident is in time-out at mealtime;
5. Includes monitoring of the resident by a
				personnel member at least once every 15 minutes to ensure the resident's health
				and safety and to discuss with the resident if the resident is ready to leave
				time-out; and
6. Is documented in
				the resident's medical record, to include:
a.
				The date of the time-out,
b. The
				reason for the time-out,
c. The
				duration of the time-out, and
d.
				The action planned and taken by the administrator to prevent the use of
				time-out in the future.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 7 - BEHAVIORAL HEALTH RESIDENTIAL FACILITIES › Section R9-10-715 - Physical Health Services

Current through Register Vol. 30, No. 28, July 12, 2024
An administrator of a behavioral health residential facility
				  that is authorized to provide personal care services shall ensure that:
1. Personnel members who provide personal
				care services have documentation of completion of a caregiver training program
				that complies with A.A.C.
				R4-33-702(A)(5);
2. Residents receive personal care services
				according to the requirements in
				R9-10-814(A), (D),
				(E), and (F); and
3. A resident who has a stage 3 or stage 4
				pressure sore is not admitted to the behavioral health residential
				facility.
The following Section was adopted under an exemption from
					 the provisions of the Administrative Procedure Act which means these rules were
					 not reviewed by the Governor's Regulatory Review Council; the Department did
					 not submit notice of proposed rulemaking to the Secretary of State for
					 publication in the Arizona Administrative Register; and the Department was not
					 required to hold public hearings on these rules (Supp.
					 98-4).
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 7 - BEHAVIORAL HEALTH RESIDENTIAL FACILITIES › Section R9-10-716 - Behavioral Health Services

Current through Register Vol. 30, No. 28, July 12, 2024
A. An
				administrator shall ensure that:
1. If a
				behavioral health residential facility is authorized to provide court-ordered
				evaluation or court-ordered treatment:
a.
				Court-ordered evaluation is provided in compliance with the requirements in
				A.R.S. Title 36, Chapter 5, Article 4; and
b. Court-ordered treatment is provided in
				compliance with the requirements in A.R.S. Title 36, Chapter 5, Article
				5;
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 7 - BEHAVIORAL HEALTH RESIDENTIAL FACILITIES › Section R9-10-717 - Outdoor Behavioral Health Care Programs

Current through Register Vol. 30, No. 28, July 12, 2024
A. An administrator of a behavioral health
				residential facility authorized to provide an outdoor behavioral health care
				program shall ensure that:
1. Behavioral
				health services are provided to a resident participating in the outdoor
				behavioral health care program consistent with the age, developmental level,
				physical ability, medical condition, and treatment needs of the
				resident;
2. Continuous protective
				oversight is provided to a resident;
3. Transportation is provided to a resident
				from the behavioral health residential facility's administrative office for the
				outdoor behavioral health care program to the location where the outdoor
				behavioral health care program is provided and from the location where the
				outdoor behavioral health care program is provided to the behavioral health
				residential facility's administrative office for the outdoor behavioral health
				care program; and
4. Communication
				is available between the outdoor behavioral health care program personnel and:
a. A behavioral health
				professional,
b. A registered
				nurse,
c. An emergency medical
				response team, and
d. The
				behavioral health residential facility's administrative office for the outdoor
				behavioral health care program.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 7 - BEHAVIORAL HEALTH RESIDENTIAL FACILITIES › Section R9-10-717.01 - Recidivism Reduction Services

Current through Register Vol. 30, No. 28, July 12, 2024
An administrator of a behavioral health residential facility
				  that is an adult residential care institution and is authorized to provide
				  recidivism reduction services shall ensure that:
1. A personnel member who is recidivism
				reduction staff at the adult residential care institution does not provide:
a. Behavioral health services other than
				recidivism reduction services; or
b. Recidivism reduction services to a
				resident who has not been referred by a physician, behavioral health
				professional, or court of competent jurisdiction to receive recidivism
				reduction services;
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 7 - BEHAVIORAL HEALTH RESIDENTIAL FACILITIES › Section R9-10-718 - Medication Services

Current through Register Vol. 30, No. 28, July 12, 2024
A. An
				administrator shall ensure that policies and procedures for medication
				services:
1. Include:
a. A process for providing information to a
				resident about medication prescribed for the resident including:
i. The prescribed medication's anticipated
				results,
ii. The prescribed
				medication's potential adverse reactions,
iii. The prescribed medication's potential
				side effects, and
iv. Potential
				adverse reactions that could result from not taking the medication as
				prescribed;
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 7 - BEHAVIORAL HEALTH RESIDENTIAL FACILITIES › Section R9-10-719 - Food Services

Current through Register Vol. 30, No. 28, July 12, 2024
A. Except for
				an outdoor behavioral health care program provided by a behavioral health
				residential facility, an administrator shall ensure that:
1. For a behavioral health residential
				facility that has a licensed capacity of more than 10 residents:
a. The behavioral health residential facility
				obtains a license or permit as a food establishment under 9 A.A.C. 8, Article
				1; and
b. A copy of the behavioral
				health residential facility's food establishment license or permit is
				maintained;
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 7 - BEHAVIORAL HEALTH RESIDENTIAL FACILITIES › Section R9-10-720 - Emergency and Safety Standards

Current through Register Vol. 30, No. 28, July 12, 2024
A.
				Except for an outdoor behavioral health care program provided by a behavioral
				health residential facility, an administrator shall ensure that a behavioral
				health residential facility has:
1. A fire
				alarm system installed according to the National Fire Protection Association
				72: National Fire Alarm and Signaling Code, incorporated by reference in
				R9-10-104.01, and a sprinkler system installed according to the National Fire
				Protection Association 13: Standard for the Installation of Sprinkler Systems,
				incorporated by reference in R9-10-104.01, that are in working order;
				or
2. An alternative method to
				ensure resident's safety that is documented and approved by the local
				jurisdiction.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 7 - BEHAVIORAL HEALTH RESIDENTIAL FACILITIES › Section R9-10-721 - Environmental Standards

Current through Register Vol. 30, No. 28, July 12, 2024
A. Except
				for an outdoor behavioral health care program provided by a behavioral health
				residential facility, an administrator shall ensure that:
1. The premises and equipment are:
a. Maintained in a condition that allows the
				premises and equipment to be used for the original purpose of the premises and
				equipment;
b. Cleaned and, if
				applicable, disinfected according to policies and procedures designed to
				prevent, minimize, and control illness or infection; and
c. Free from a condition or situation that
				may cause a resident or other individual to suffer physical injury;
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 7 - BEHAVIORAL HEALTH RESIDENTIAL FACILITIES › Section R9-10-722 - Physical Plant Standards

Current through Register Vol. 30, No. 28, July 12, 2024
A. Except
				for a behavioral health outdoor program, an administrator shall ensure that the
				premises and equipment are sufficient to accommodate:
1. The services in the behavioral health
				residential facility's scope of services, and
2. An individual admitted as a resident by
				the behavioral health residential facility.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 7 - BEHAVIORAL HEALTH RESIDENTIAL FACILITIES › Section R9-10-723

Current through Register Vol. 30, No. 28, July 12, 2024
The following Section was repealed under exempt rulemaking
					 (Supp. 13-2).
The following Section was adopted under an exemption from
					 the provisions of the Administrative Procedure Act which means these rules were
					 not reviewed by the Governor's Regulatory Review Council; the Department did
					 not submit notice of proposed rulemaking to the Secretary of State for
					 publication in the Arizona Administrative Register; and the Department was not
					 required to hold public hearings on these rules (Supp.
					 98-4).
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 8 - ASSISTED LIVING FACILITES › Section R9-10-801 - Definitions

Current through Register Vol. 30, No. 28, July 12, 2024
In addition to the definitions in A.R.S. §
									36-401
				  and
				  R9-10-101, the
				  following definitions apply in this Article, unless the context otherwise
				  requires:
1. "Accept" or "acceptance"
				means:
a. An individual begins living in and
				receiving assisted living services from an assisted living facility;
				or
b. An individual begins
				receiving adult day health care services or respite care services from an
				assisted living facility.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 8 - ASSISTED LIVING FACILITES › Section R9-10-802 - Supplemental Application Requirements; Exemption

Current through Register Vol. 30, No. 28, July 12, 2024
A. In addition to the license application
				requirements in A.R.S. § 36-422 and
				R9-10-105,
				an applicant for a license as an assisted living facility shall include in a
				Department-provided format:
1. Which of the
				following levels of assisted living services the applicant is requesting
				authorization to provide:
a. Supervisory care
				services,
b. Personal care
				services, or
c. Directed care
				services; and
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 8 - ASSISTED LIVING FACILITES › Section R9-10-803 - Administration

Current through Register Vol. 30, No. 28, July 12, 2024
A. A governing
				authority shall:
1. Consist of one or more
				individuals responsible for the organization, operation, and administration of
				an assisted living facility;
2.
				Establish, in writing, an assisted living facility's scope of
				services;
3. Designate, in writing,
				a manager who:
a. Is 21 years of age or
				older; and
b. Except for the
				manager of an adult foster care home, has either a:
i. Certificate as an assisted living facility
				manager issued under A.R.S. §
												36-446.04(C),
				or
ii. A temporary certificate as
				an assisted living facility manager issued under A.R.S. §
												36-446.06;
4. Adopt a quality
				management program that complies with
				R9-10-804;
5. Review and evaluate the effectiveness of
				the quality management program at least once every 12 months;
6. Designate, in writing, an acting manager
				who has the qualifications established in subsection (A)(3), if the manager is:
a. Expected not to be present on the assisted
				living facility's premises for more than 30 calendar days, or
b. Not present on the assisted living
				facility's premises for more than 30 calendar days;
7. Except as provided in subsection (A)(6),
				notify the Department according to A.R.S. §
										36-425(I)
				 when there is a change in the manager and
				identify the name and qualifications of the new manager;
8. Ensure that a manager or caregiver who is
				able to read, write, understand, and communicate in English is on an assisted
				living facility's premises; and
9.
				Ensure compliance with A.R.S. §
										36-411.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 8 - ASSISTED LIVING FACILITES › Section R9-10-804 - Quality Management

Current through Register Vol. 30, No. 28, July 12, 2024
A manager shall ensure that:
1. A plan is established, documented, and
				implemented for an ongoing quality management program that, at a minimum,
				includes:
a. A method to identify, document,
				and evaluate incidents;
b. A method
				to collect data to evaluate services provided to residents;
c. A method to evaluate the data collected to
				identify a concern about the delivery of services related to resident
				care;
d. A method to make changes
				or take action as a result of the identification of a concern about the
				delivery of services related to resident care; and
e. The frequency of submitting a documented
				report required in subsection (2) to the governing authority;
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 8 - ASSISTED LIVING FACILITES › Section R9-10-805 - Contracted Services

Current through Register Vol. 30, No. 28, July 12, 2024
A manager shall ensure that:
1. Contracted services are provided according
				to the requirements in this Article, and
2. Documentation of current contracted
				services is maintained that includes a description of the contracted services
				provided.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 8 - ASSISTED LIVING FACILITES › Section R9-10-806 - Personnel

Current through Register Vol. 30, No. 28, July 12, 2024
A. A manager shall
				ensure that:
1. A caregiver:
a. Is 18 years of age or older; and
b. Provides documentation of:
i. Completion of a caregiver training program
				approved by the Department or the Board of Examiners for Nursing Care
				Institution Administrators and Assisted Living Facility Managers;
ii. For supervisory care services, employment
				as a manager or caregiver of a supervisory care home before November 1,
				1998;
iii. For supervisory care
				services or personal care services, employment as a manager or caregiver of a
				supportive residential living center before November 1, 1998; or
iv. For supervisory care services, personal
				care services, or directed services, one of the following:
(1) A nursing care institution
				administrator's license issued by the Board of Examiners;
(2) A nurse's license issued to the
				individual under A.R.S. Title 32, Chapter 15;
(3) Documentation of employment as a manager
				or caregiver of an unclassified residential care institution before November 1,
				1998; or
(4) Documentation of
				sponsorship of or employment as a caregiver in an adult foster care home before
				November 1, 1998;
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 8 - ASSISTED LIVING FACILITES › Section R9-10-807 - Residency and Residency Agreements

Current through Register Vol. 30, No. 28, July 12, 2024
A. Except as provided in
				R9-10-808(B)(2),
				a manager shall ensure that a resident provides evidence of freedom from
				infectious tuberculosis:
1. Before or within
				seven calendar days after the resident's date of occupancy, and
2. As specified in
				R9-10-113.