reglab/statecodes huggingface dataset:
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 95 - FREESTANDING SURGICAL OUTPATIENT FACILITIES › Section 11-95-28 - Radiology service

Current through June, 2024
The radiology service shall be directed by a qualified
				  radiologist and be staffed by qualified technical personnel. There shall be
				  written policies governing all radiological procedures. Sufficient diagnostic
				  and therapeutic radiological equipment shall be available to satisfy the
				  objectives of the facility.
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 95 - FREESTANDING SURGICAL OUTPATIENT FACILITIES › Section 11-95-29 - Social work service

Current through June, 2024
At the time of discharge from the facility, each patient, or
				  another suitable person, shall be provided with appropriate information
				  concerning community services which are available for home care
				  needs.
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 95 - FREESTANDING SURGICAL OUTPATIENT FACILITIES › Section 11-95-30 - Surgical facilities

Current through June, 2024
(a) Each operating
				room and surgical suite shall be appropriately equipped and supplied for the
				types of procedures to be performed.
(b) Each recovery area shall be appropriately
				equipped and supplied for the post-anesthetic recovery of surgical
				patients.
(c) The following
				equipment and supplies shall be available in all surgical and recovery areas:
(1) Cardiopulmonary resuscitative drugs and
				intubation equipment;
(2) Cardiac
				monitor;
(3) Appropriate oxygen and
				suction equipment;
(4)
				Defibrillator;
(5) Suitable
				anesthetic equipment customarily available for all planned anesthetic
				procedures;
(6) Thorocotomy set
				including a chest tube and a water seal bottle; and
(7) Tracheostomy set.
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 95 - FREESTANDING SURGICAL OUTPATIENT FACILITIES › Section 11-95-31 - Transfer agreement

Current through June, 2024
The facility shall establish transfer agreements which will
				  expedite the transfer of patients to hospitals when needed. There shall be
				  documented evidence that a local hospital has agreed to admit without delay,
				  patients from the facility, should the staff of the facility feel this is
				  advisable.
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 95 - FREESTANDING SURGICAL OUTPATIENT FACILITIES › Section 11-95-100 - Severability

Current through June, 2024
If any provision of this chapter or the application thereof
				  to any person or circumstances is held invalid, the remainder of this chapter
				  or the application of the provisions to other persons or circumstances shall
				  not be affected thereby.
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 96 - FREESTANDING ADULT DAY HEALTH CENTERS › Section 11-96-1 - Purpose

Current through June, 2024
The purpose of this chapter is to establish minimum
				  requirements for the protection of health, welfare, and safety of clients and
				  the public in adult day health centers.
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 96 - FREESTANDING ADULT DAY HEALTH CENTERS › Section 11-96-4 - Administrator

Current through June, 2024
(a) Each center shall have an administrator.
				The administrator shall have the responsibility and authority to carry out the
				policies of the center. The center shall notify the Department in writing
				within fourteen working days following a change of administrator.
(b) The administrator shall make provision
				for continuity of operations, and for assumption of the administrator's
				responsibilities during the administrator's absence.
(c) Centers with a capacity of fifty or more
				clients shall have both an administrator and a full-time program
				director.
(d) The administrator of
				two or more licensed facilities shall not serve as a program
				director.
(e) An individual may be
				an administrator of no more than three centers.
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 96 - FREESTANDING ADULT DAY HEALTH CENTERS › Section 11-96-5 - Admission requirements

Current through June, 2024
(a) Requirements
				for admission to an adult day health center shall include:
(1) Referral from a community or health
				agency, physician, or hospital; and
(2) Need for the health, nursing,
				therapeutic, or social services provided by the adult day health center in
				order to reach or maintain the highest degree of functional status practicable
				for the client.
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 96 - FREESTANDING ADULT DAY HEALTH CENTERS › Section 11-96-6 - Arrangements for services

Current through June, 2024
Where the center does not employ a qualified person to
				  render a required or necessary service, it shall have a written agreement or
				  contract with an outside person or provider to provide the needed
				  service.
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 96 - FREESTANDING ADULT DAY HEALTH CENTERS › Section 11-96-7 - Basic program requirements

Current through June, 2024
The configuration of services available to clients will be
				  appropriate to the assessed needs of the clients. Basic program requirements of
				  an adult day health center shall include provisions for medical services,
				  nursing services, dietetic services and planned therapeutic and social
				  activities, and, if required by clients, social services, speech therapy,
				  physical therapy, occupational therapy, psychiatric or psychological services.
				  Services provided may include transportation.
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 96 - FREESTANDING ADULT DAY HEALTH CENTERS › Section 11-96-8 - Client care management

Current through June, 2024
(a) Each center
				shall make available a multidisciplinary team, either through regular staff or
				contracted arrangement, for the purpose of client assessment and development of
				the plan of care.
(b) A written
				individualized plan of care shall be developed to meet the needs of each client
				and shall include but not be limited to:
(1)
				Days of attendance;
(2) Medical
				diagnosis, including general functional capacity;
(3) Prescribed medications;
(4) Specific types of services needed based
				on functional capacity;
(5)
				Individualized objectives and therapeutic goals;
(6) An individualized activity plan designed
				to meet the needs of the client for social and therapeutic recreation
				activities;
(7) Participation in
				specific group activities;
(8)
				Transportation;
(9) Therapeutic
				diet requirements, if any;
(10) A
				plan to arrange for any services needed which are not routinely available at
				the center;
(11) Anticipated date
				of discharge when appropriate, and projected services and support needs after
				discharge from the program; and
(12) The signature of each member of the
				multidisciplinary team, including the physician.
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 96 - FREESTANDING ADULT DAY HEALTH CENTERS › Section 11-96-10 - Dietetic services

Current through June, 2024
(a) Meals served in
				the center shall meet the recommended dietary allowances of the Food and
				Nutrition Board of the National Research Council, and be adjusted for age, sex,
				activity and disability.
(b) A
				minimum of one meal per day shall be provided in accordance with the following
				requirements stated.
(1) Each client who is
				in the center for four hours or more shall be served a meal that will supply at
				least one-third of the National Research Council recommended dietary
				allowances;
(2) Each client who is
				in the center for eight hours or more shall be served a meal and between meal
				nourishments that will supply at least half of the National Research Council
				recommended dietary allowances;
(3)
				Each client who is in the center for periods longer than ten hours shall be
				served at least two meals and between meal nourishments that will supply at
				least two-thirds of the National Research Council recommended dietary
				allowances; and
(4) Any client
				accepted at 7:00 a.m. or earlier shall be served a breakfast, unless it has
				been determined that the client has received a meal prior to arrival.
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 96 - FREESTANDING ADULT DAY HEALTH CENTERS › Section 11-96-11 - Discharge planning

Current through June, 2024
(a) A plan for
				discharge of each client shall be based on the assessment of the client by the
				multidisciplinary team and shall be reviewed and updated at the time of each
				reassessment if discharge planning is appropriate.
(b) As appropriate, each client's health
				record shall include documentation of the plan for discharge which shall be
				completed within fourteen days of the first assessment.
(c) Referral of clients shall be made to
				outside resources by the multidisciplinary team or by an individual team
				member. Each referral shall be recorded in the client's health
				record.
(d) Consultation shall be
				made available to a client's family prior to any discharge.
(e) If a client decides to terminate
				participation in an adult day health center program prior to the date
				recommended by the multidisciplinary team, the center staff shall, when
				appropriate, discuss the consequences of such action with the client, the
				client's physician, and the client's authorized representative, if any, and
				center staff shall document the discussion in the client's health
				record.
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 96 - FREESTANDING ADULT DAY HEALTH CENTERS › Section 11-96-12 - Disaster plan

Current through June, 2024
(a) Each center
				shall have a written plan for a fire or disaster occurring within the center,
				or a natural disaster occurring in the community.
(b) The disaster plan shall be in writing and
				shall include:
(1) Designation of
				administrative authority and employee assignments; and
(2) A plan for evacuation or relocation of
				clients, if this is appropriate, including:
(A) Means and routes of evacuation;
(B) Transportation of clients when
				necessary;
(C) Supervision of
				clients after evacuation or relocation;
(D) Means for contacting local service
				agencies, such as fire department, law enforcement agencies and other disaster
				authorities of local government; and
(E) Posting of evacuation routes.
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 96 - FREESTANDING ADULT DAY HEALTH CENTERS › Section 11-96-13 - Emergency care of clients

Current through June, 2024
The provider shall establish emergency procedures in
				  writing. These procedures shall include the following:
(1) An easily located file on each client
				listing the name and telephone number of the client's physician, treatments or
				medications for a client's special disabilities, and the name and telephone
				number of a family member, sponsor, or friend, or case manager, to be notified
				in case of emergency;
(2) Emergency
				measures to take in care of the client, as appropriate;
(3) Procedures to obtain emergency
				transportation for treatment and other appropriate emergency
				services;
(4) Provision and
				maintenance of first aid equipment and supplies; and
(5) At least one staff person shall be
				present at all times, who is trained and certified in CPR and basic first
				aid.
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 96 - FREESTANDING ADULT DAY HEALTH CENTERS › Section 11-96-14 - Employee records

Current through June, 2024
(a) Each center
				shall maintain an employee record which shall be available for review by the
				director or designated representative.
(b) Each employee record shall contain at
				least the following:
(1) Full name;
(2) Date of employment;
(3) Credentials and pertinent experience;
				and
(4) A health record containing
				a report of the following:
(A) Tuberculosis
				clearance pursuant to section
				11-96-19;
				and
(B) Health examination signed
				by the examining physician or person lawfully authorized to perform such
				examinations which indicates the employee is free from any infectious or
				communicable disease.
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 96 - FREESTANDING ADULT DAY HEALTH CENTERS › Section 11-96-15 - Employee requirements

Current through June, 2024
(a) Employees shall
				be sufficient in numbers, qualified, and competent to provide the services for
				which the center is licensed.
(b)
				Each supervisor shall be at least eighteen years of age.
(c) Each employee shall have either training
				or related experience in the job assigned.
(d) A planned in service education program,
				including orientation, skill training, and continuing education shall be
				provided for employees.
(e) Each
				employee shall be in good mental and physical health and capable of performing
				assigned tasks.
(f) No client shall
				be used as a substitute for required employees, but may assist employees as
				part of the client's program of rehabilitation or training.
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 96 - FREESTANDING ADULT DAY HEALTH CENTERS › Section 11-96-16 - Equipment and supplies

Current through June, 2024
Medical equipment and supplies in each center shall be of
				  the quality and in the quantity necessary for care of clients as ordered or
				  indicated in the plans of care, and shall include standard first aid supplies.
				  These shall be provided and properly maintained at all times.
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 96 - FREESTANDING ADULT DAY HEALTH CENTERS › Section 11-96-18 - General policies and procedures

Current through June, 2024
(a) There shall be
				written policies and procedures available to staff, clients and the public
				which govern:
(1) All services provided by
				the center; and
(2) Admission and
				discharge of clients,
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 96 - FREESTANDING ADULT DAY HEALTH CENTERS › Section 11-96-19 - Governing body and management

Current through June, 2024
(a) Each licensee
				shall be responsible for the operation of the center.
(b) The licensee shall exercise general
				supervision over the center, shall establish written policies concerning the
				center's operation, and shall make available these written policies for
				inspection by the director.
(c)
				Each licensee shall have written personnel policies and procedures which are
				available to all employees.
(1) There shall
				be written job descriptions for each position. Each employee shall be informed
				of their duties and responsibilities at the time of employment and through
				inservice training sessions thereafter;
(2) All professional employees shall have
				appropriate current licenses as required by law;
(3) Ethical standards of professional conduct
				shall apply to all parts of the program;
(4) Written policy shall prohibit misconduct,
				neglect, or abuse of clients and shall include procedures for investigating and
				reporting any such incidence to the State and governing body; and
(5) There shall be documented evidence that
				every employee has a pre-employment and an annual health evaluation by a
				physician. These evaluations shall be specifically oriented to determine the
				presence of any infectious disease liable to harm a client. Each health
				evaluation shall include a tuberculin skin test or a chest x-ray;
(A) Skin lesions or diarrhea shall be
				considered presumptive evidence of infectious disease. Any employee who
				develops evidence of an infection must be immediately excluded from any duties
				relating to food handling or direct client contact until such time as a
				physician certifies it is safe for the employee to resume such
				duties;
(B) If the tuberculin skin
				test is positive, a standard chest x-ray with appropriate medical follow-up
				must be obtained, as well as three subsequent yearly chest x-rays. If all three
				chest x-rays are negative, no further tuberculin tests shall be required,
				except that additional chest x-rays may be required at the discretion of the
				director;
(C) If the tuberculin
				skin test is negative, a second skin test shall be done after one week, but not
				later than three weeks after the first test. The results of the second test
				shall be considered the baseline test and used to determine appropriate
				treatment and follow-up. That is, if the second skin test is positive, then
				proceed, as in section
				11-96-19(c)
				(5) (B). If the skin test is negative, a single skin test shall be repeated
				yearly; and
(D) When a known
				negative tuberculin skin test on a particular employee or client converts to a
				positive test, it shall be considered a new case of tuberculosis infection and
				shall be reported to the department as required in Chapter 11-164.
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 96 - FREESTANDING ADULT DAY HEALTH CENTERS › Section 11-96-20 - Housekeeping and maintenance

Current through June, 2024
(a) Each center
				shall be kept clean, safe, and in good repair at all times.
(b) There shall be records that document that
				inspection of all devices essential to health and safety of clients and
				personnel shall be carried out daily or at sufficiently frequent intervals to
				ensure operational performance.
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 96 - FREESTANDING ADULT DAY HEALTH CENTERS › Section 11-96-21 - Infection control

Current through June, 2024
(a) There shall be
				appropriate policies and procedures written and implemented for the prevention
				and control of infectious diseases and management and disposal of infectious
				waste.
(b) Efforts shall be made to
				promptly return to their homes those clients who have infectious
				conditions.
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 96 - FREESTANDING ADULT DAY HEALTH CENTERS › Section 11-96-22 - Inservice education

Current through June, 2024
(a) There shall be
				a staff inservice education program that includes:
(1) Orientation for all new employees to
				acquaint them with the philosophy, organization, program, policies and
				procedures, practices, and goals of the center;
(2) Training for employees who have not
				achieved the desired level of competence, and continuing inservice education to
				update and improve the skills and competencies of all employees; and
(3) Annual, or more frequent, training which
				shall include, but not be limited to, prevention and control of infections,
				fire prevention and safety, accident prevention, clients' rights, and problems
				and needs of the aged, ill, and disabled. Provision shall be made for training
				appropriate personnel in cardiopulmonary resuscitation and appropriate first
				aid techniques.
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 96 - FREESTANDING ADULT DAY HEALTH CENTERS › Section 11-96-23 - Laundry

Current through June, 2024
(a) Where laundry service is provided, daily
				clothing and linen needs shall be met without delay.
(b) Provisions shall be made for the proper
				handling, storage, and transportation of soiled and clean laundry and for
				satisfactory cleaning procedures.
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 96 - FREESTANDING ADULT DAY HEALTH CENTERS › Section 11-96-24 - Health record system

Current through June, 2024
(a) There shall be
				available appropriately qualified staff to facilitate the accurate processing,
				checking, indexing, filing, and prompt retrieval of records and record
				data.
(b) The following information
				shall be obtained and entered in the clients' record at the time of admission
				to the center:
(1) Identifying information
				such as: date of admission, date of birth, marital status, social security
				number or an admission number which can be used to identify the client without
				use of name when the latter is desirable;
(2) Name and address of next of kin or legal
				guardian or care taker;
(3) Sex,
				height, weight, race, language spoken and understood; and
(4) Admission diagnosis, summary of prior
				medical care, recent physical examination, to include functional, cognitive,
				tuberculosis status, and physician's orders as described in section
				11-96-5.
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 96 - FREESTANDING ADULT DAY HEALTH CENTERS › Section 11-96-25 - Nursing service

Current through June, 2024
(a) Each program
				shall have nursing staff sufficient in number and qualifications to meet the
				needs of the clients.
(b) Nursing
				services shall be under the supervision of a registered nurse.
(c) If there are clients admitted who require
				skilled nursing, the services will be provided by a registered nurse or under
				the direct supervision of a registered nurse.
(d) Nursing services shall include, but not
				be limited to the following:
(1) Nursing
				assessment of each client and development of an appropriate plan of care by a
				registered nurse;
(2) Nursing
				observations and summaries of the client's status recorded monthly, or more
				frequently if appropriate, by a licensed nurse;
(3) Completion of all physician's orders with
				proper documentation;
(4)
				Supportive services for all clients to encourage them to participate in
				appropriate daily activities;
(5)
				Physical care to keep clients well-groomed, clean, comfortable, and protected
				from accidents and infections;
(6)
				Proper care to prevent decubiti, contractures or deformities;
(7) Coordination of an overall plan of care
				for each client, consistent with the physician's medical care plan and
				developed by the various disciplines involved;
(8) Frequent physical checks to insure that
				all clients are present and accounted for;
(9) Restorative and preventive nursing care
				including client and family education as appropriate for each client;
(10) Weighing each client at least
				monthly;
(11) Provision of
				emergency care, including arrangements for transportation;
(12) Notification of the physician of any
				marked changes in the client's condition; and
(13) Administration of medications or
				monitoring of self-administration of medication by clients.
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 96 - FREESTANDING ADULT DAY HEALTH CENTERS › Section 11-96-26 - Occupational therapy services

Current through June, 2024
(a) Occupational
				therapy services which utilize purposeful activity shall be made available in
				each center as necessary, and be provided under a physician's order, and shall
				include, but not be limited to, the following:
(1) Assessment of the client and formation of
				an individual plan of care in conjunction with the multidisciplinary team;
				and
(2) Progress notes written at
				least quarterly in the clients' health record and signed by the occupational
				therapist.
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 96 - FREESTANDING ADULT DAY HEALTH CENTERS › Section 11-96-27 - Physical therapy services

Current through June, 2024
(a) Physical
				therapy services shall be made available in each center as necessary, and be
				provided under a physician's order, and shall include, but not be limited to,
				the following:
(1) Provide initial and
				continuing assessment of the client by the physical therapist in the formation
				of an individual plan of care in conjunction with the multidisciplinary
				team;
(2) Progress notes written at
				least quarterly in the client's health record and signed by the physical
				therapist; and
(3) Treatment of
				clients to achieve and maintain maximum performance using physical means such
				as exercises, massage, heat, sound, or water.
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 96 - FREESTANDING ADULT DAY HEALTH CENTERS › Section 11-96-28 - Ownership and financial capability

Current through June, 2024
(a) The center
				shall provide to the director current information in regard to:
(1) The name of each person owning 10 percent
				or more of the business, either directly or indirectly;
(2) If a corporation, the names of the
				officers and directors;
(3) If a
				partnership, the names of each partner; and
(4) The names of each person who is the owner
				(in whole or in part) of any mortgage, deed or trust, note or other obligation
				recurred (in whole or in part) by the center,
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 96 - FREESTANDING ADULT DAY HEALTH CENTERS › Section 11-96-29 - Pharmaceutical services

Current through June, 2024
(a) The center
				shall consult with a licensed pharmacist on methods and procedures for storage,
				administration, disposal, and record keeping of drugs and biological
				substances.
(b) A pharmacy policy
				manual shall be developed and kept current by the licensed nursing staff,
				consultant pharmacist or a licensed physician which:
(1) Contains appropriate policies and
				procedures and defines the functions and responsibilities relating to pharmacy
				services;
(2) Is revised as
				necessary to keep up to date with development in overall drug usage;
(3) Specifies the safe administration and
				handling of all drugs; and
(4)
				Includes policies regarding self-administration of drugs.
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 96 - FREESTANDING ADULT DAY HEALTH CENTERS › Section 11-96-30 - Physical plant construction requirements

Current through June, 2024
(a) The
				center shall be fully accessible to and functional for physically handicapped
				clients, personnel, and the public.
(b) Each center shall comply with state and
				local building requirements.
(c)
				Each center shall have a working, listed telephone on the premises.
(d) Temperature and humidity shall be
				maintained within a normal comfort range.
(e) There shall be provisions within the
				center for one or more areas for dining, social activities, secluded areas, and
				therapy areas.
(1) The center shall be
				equipped with adequate natural and artificial lighting, tables, chairs, or
				their equivalent, for the use and comfort of the client;
(2) Dining areas shall be equipped with
				tables and chairs. A sufficient number of tables shall be of proper height to
				accommodate wheelchair clients;
(3)
				If a multi-purpose room is used for dining and recreational activities, there
				shall be sufficient space to accommodate all activities; and (4)A secluded area
				shall be set aside for clients who require bed rest during the day;
(A) The secluded area shall have chaise
				lounges or beds in the number necessary to meet the needs of the clients under
				written order of the staff or attending physician; and
(B) Space around sleeping accommodations
				shall permit easy passage.
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 96 - FREESTANDING ADULT DAY HEALTH CENTERS › Section 11-96-31 - Physicians

Current through June, 2024
(a) All clients admitted to a center shall be
				under the care of a physician selected by the client.
(b) The physician shall authorize the
				client's initial individualized plan of care and major revisions thereafter.
				The plan of care shall be reviewed at least annually.
(c) There shall be a statement from the
				physician as to the medical condition and functional status of the client,
				prescribed therapies, and any special care or observations which is required at
				least annually, with updates whenever there are changes which significantly
				alter the client's medical or functional status.
(d) There shall be a statement from the
				physician that the client does not have active tuberculosis.
(e) There shall be directions from the
				physician as to the procedures to be followed if the physician is not
				immediately available in the event of an emergency.
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 96 - FREESTANDING ADULT DAY HEALTH CENTERS › Section 11-96-32 - Program director

Current through June, 2024
(a) Each center
				shall have a full time program director.
(1)
				The administrator may serve in this capacity except as specified in section
				11-96-4(d);
(2) The program director shall be present on
				the premises and available to clients, employees, and relatives; and
(3) When the program director is temporarily
				absent, another staff member shall be designated in writing to serve as the
				acting program director.
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 96 - FREESTANDING ADULT DAY HEALTH CENTERS › Section 11-96-33 - Psychiatric or psychological services

Current through June, 2024
(a) Every adult day
				health center shall have available appropriate consultant staff trained in
				psychiatric care when there is a client in the adult day health center
				requiring the services while at the center.
(b) The consultant shall:
(1) Participate in the initial and continuing
				assessments for the development of an individual plan of care by the
				multidisciplinary team when indicated;
(2) Maintain signed progress records in the
				client's health record when providing services;
(3) Form liaisons with or be advisory to
				other members of the multidisciplinary team, family members and referral
				agencies that may yield information of value to psychiatric or psychological
				treatment; and
(4) Provide
				counseling and other services as appropriate to client needs.
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 96 - FREESTANDING ADULT DAY HEALTH CENTERS › Section 11-96-34 - Recreation and social activities

Current through June, 2024
(a) Every adult day
				health center shall provide a program of social and recreatioal activities that
				is supervised and directed by an activity coordinator to meet the needs and
				interests of each client.
(b) The
				activity coordinator's duties shall include at least the following:
(1) Participation in initial and continuing
				assessment of the client's needs for the development of the
				individual;
(2) Provision of a
				signed quarterly progress record and individualized activity plan in the
				client's health record;
(3) Posting
				of a schedule of planned activities in a central location readily accessible to
				client, family, guardian, or authorized representative;
(4) Involvement of clients in the planning of
				the program as appropriate;
(5)
				Utilization of volunteers as needed to implement the plan; and
(6) Utilization of the adult day health
				center's transportation to provide activities in the community as indicated by
				client's needs and interests.
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 96 - FREESTANDING ADULT DAY HEALTH CENTERS › Section 11-96-35 - Restraints

Current through June, 2024
(a) There shall be written policies and
				procedures governing the use of restraints.
(b) Physical restraints shall be used only
				under physicians' orders for specified and limited periods of times and their
				use shall be documented.
(1) If physical
				restraints are used in an emergency situation, the attending physician shall be
				contacted immediately for orders supporting or discontinuing the temporary
				use;
(2) Only a staff member so
				designated in the written policy shall have the authority to apply restraints
				in an emergency situation;
(3)
				Regular observation and regular release of client shall be required while
				restraints are in use; and
(4) No
				restraints with locking devices shall be used.
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 96 - FREESTANDING ADULT DAY HEALTH CENTERS › Section 11-96-36 - Sanitation

Current through June, 2024
(a) Every center shall be in compliance with
				all applicable laws of the State of Hawaii and rules of the department relating
				to sanitation.
(b) Reports of
				annual inspections by state or county health authorities and records of action
				taken in correction of deficiencies and recommendations shall be kept on file
				at the facility.
(c) The center
				shall provide a sufficient number of water tight receptacles of metal, or other
				materials acceptable to the department, for rubbish, garbage, refuse and other
				discarded matter. In kitchen and food preparation areas, receptacles shall be
				kept closed by tight fitting covers except in the kitchen during peak hours of
				food preparation.
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 96 - FREESTANDING ADULT DAY HEALTH CENTERS › Section 11-96-37 - Social services

Current through June, 2024
(a) Every adult day
				health center shall have available social services as appropriate to assist
				clients and their families to solve social problems that arise as a result of
				the client's disability.
(b) Social
				services shall consist of the following:
(1)
				Providing initial and continuing assessment of the client by the social worker
				in the formation of an individual plan of care by the multidisciplinary team as
				appropriate;
(2) Maintaining signed
				progress notes in the clients' health record at least quarterly;
(3) Assumption of responsibility for
				implementation and coordination of the discharge plan;
(4) Providing referral to outside resources
				and assisting with counseling when applicable;
(5) Providing problem oriented discussion
				groups among clients;
(6) Serving
				as a liaison with the client's family and home; and
(7) Providing referral and follow-up for
				referred persons not appropriate for adult day health care.
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 96 - FREESTANDING ADULT DAY HEALTH CENTERS › Section 11-96-38 - Speech therapy services

Current through June, 2024
(a) Speech therapy
				services shall be made available in each center as necessary, and be provided
				under a physician's order, and shall include:
(1) Initial and continuing assessment of the
				client by the speech therapist in the multidisciplinary team; and
(2) Progress notes, written at least
				quarterly, or more often, if necessary in the client's health record and signed
				by the speech therapist.
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 96 - FREESTANDING ADULT DAY HEALTH CENTERS › Section 11-96-39 - Staffing

Current through June, 2024
(a) Staffing shall be sufficient to carry out
				daily activities, nursing services, physician orders, and individualized plans
				of care.
(b) The program director
				of a center whose average daily attendance is twenty or less may also serve as
				the registered nurse, social worker, occupational therapist, physical
				therapist, activity coordinator, speech therapist or dietitian provided that
				the program director meets the qualifications, in accordance with
				11-96-32,
				and is not also the administrator.
(c) Support employees shall include aides,
				maintenance, food service, and clerical employees sufficient in number to
				perform the necessary duties.
(d)
				Volunteers may be utilized in centers, but shall not be used to replace
				required professionally qualified employees unless they are so qualified. Each
				volunteer shall receive orientation, training, and supervision.
(e) When regular employees are absent, there
				shall be coverage by employees with suitable qualifications.
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 96 - FREESTANDING ADULT DAY HEALTH CENTERS › Section 11-96-40 - Transportation safety

Current through June, 2024
(a) Every adult day
				health center which provides direct transportation services for clients shall
				meet specific operational standards. The motor vehicle shall:
(1) Be operated only by drivers who have
				appropriate valid Hawaii drivers license;
(2) Be equipped with safety devices to
				protect clients during transportation;
(3) Be maintained in a safe and reliable
				condition and shall meet the provisions of the current Hawaii Vehicle
				Code.
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 96 - FREESTANDING ADULT DAY HEALTH CENTERS › Section 11-96-42 - Severability

Current through June, 2024
If a provision of this chapter or the application thereof to
				  any person or circumstances is held invalid, the remainder of this chapter or
				  the application of the provisions to other persons or circumstances shall not
				  be affected thereby."
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 97.1 - HOME HEALTH AGENCIES › Section 11-97.1-2 - Legal authorization to operate

Current through June, 2024
A home health agency and, in cases where the home health
				  agency is a part of a larger organization, shall at all times comply with the
				  laws of the state of Hawaii and shall, whenever required by the director,
				  submit to the director evidence of compliance therewith. Such evidence shall
				  include but not be limited to, copies of licenses, certificates, permits, or
				  other authorizations required by the laws of the state of
				  Hawaii.
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 97.1 - HOME HEALTH AGENCIES › Section 11-97.1-3 - License

Current through June, 2024
(a) It is unlawful for any person, to
				conduct, maintain, operate, or permit to be maintained or operated, or to
				participate in conducting, maintaining, or operating a home health agency,
				unless the home health agency is licensed by the director.
(b) Any person, organization or corporation
				desiring to operate a home health agency shall make application to the director
				for a license on forms provided by the department. The director shall issue a
				license if the proposed home health agency meets the requirements under this
				chapter.
(c) A license, unless
				sooner suspended or revoked, shall be renewed every two years on date, or
				within 30 days thereafter. Application for renewal of license shall be made by
				the home health agency thirty days prior to the expiration date of the license.
				If an application for renewal is not filed, such license shall be automatically
				cancelled as of the expiration date.
(d) Each license shall be issued only for the
				home health agency named in the application, shall be for a single contiguous
				geographic location, and shall not be transferable nor assignable to any other
				agency or person.
(e) The license
				issued by the director shall be posted in a conspicuous place on the premises
				of the home health agency.
(f) A
				home health agency shall notify each patient concerned and the patient's
				physician, APRN, or physician assistant directly at least thirty days prior to
				the voluntary surrender of its license or as directed under any order of
				revocation or suspension of license by the department. The license shall be
				promptly surrendered to the department when revoked, suspended or when the home
				health agency terminates services.
(g) Unannounced inspections or visits may be
				made to a home health agency at any time by authorized staff of the
				department.
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 97.1 - HOME HEALTH AGENCIES › Section 11-97.1-4 - Licensure revocation

Current through June, 2024
(a) The director,
				after due notice and an opportunity for a hearing, may suspend, revoke, or
				refuse to issue or renew a license to any person because of failure to meet the
				requirements of this chapter.
(b)
				Any person affected by the director's decision for denial, suspension, or
				revocation, may appeal in accordance with the law.
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 97.1 - HOME HEALTH AGENCIES › Section 11-97.1-5 - Governance and administration

Current through June, 2024
(a) A governing
				body or designated persons functioning as a governing body shall have full
				legal authority and responsibility for the agency's overall management and
				operation, the provision of all home health services, fiscal operations, review
				of the agency's budget and its operational plans, and its quality assessment
				and performance improvement program.
(b) Minutes shall be kept of all meetings of
				the governing body.
(c) An
				administrator shall be appointed by and report to the governing body and be
				responsible for the administration of the home health agency to include but not
				be limited to the following:
(1) Responsible
				for all day to day operations of the home health agency,
(2) Ensure that a clinical manager is
				available during all operating hours,
(3) Ensure that the home health agency
				employs qualified personnel, including assuring the development of personnel
				qualifications and policies.
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 97.1 - HOME HEALTH AGENCIES › Section 11-97.1-6 - Policies and procedures and standards

Current through June, 2024
(a) A satisfactory
				statement of policy of the home health agency, including the scope of services,
				the conditions under which they are offered, and the geographic coverage, shall
				be available to the department upon request.
(b) Services provided by the home health
				agency shall be available to any qualified patient in a home setting in the
				geographic area of the home health agency regardless of race, color, or
				national origin. Contracts with other agencies to provide services shall be
				approved by authorized persons of agencies involved,
(c) The basic services of nursing shall be
				provided by the home health agency.
(d) Policies governing medical services shall
				be provided through a governing body or designated persons functioning as a
				governing body.
(e) Policies
				governing nursing and other therapeutic services shall be provided through the
				governing body or an advisory committee which shall include a minimum of at
				least a practicing physician or APRN or physician's assistant, and a registered
				nurse, a representative of other professional services such as dietary,
				occupational therapy, physical therapy, social work, or speech therapy, and
				community members who are aware of the needs of the community. The policies
				recommended by such committee shall meet current and acceptable professional
				practices. Minutes shall be kept of all meetings.
(f) Nursing and other therapeutic service
				policies shall be established and include but not be limited to:
(1) Nursing and other therapeutic services
				provided shall be in accordance with the physician's or APRN's or physician's
				assistant's written order and plan of treatment.
(2) The nurses, therapists, social workers,
				aide, or staff members rendering services shall meet qualifications prescribed
				in the definitions of this chapter.
(3) A home health agency provides nursing
				services, and at least one other therapeutic service such as physical therapy,
				occupational therapy, or speech therapy consistent with the definition of home
				health services.
(4) When a home
				health agency does not provide all the nursing or therapeutic services
				specified above. it shall include in its written policies which govern such
				services, a plan for identifying, utilizing and cooperating with other
				resources and facilities including community social agencies for the purpose of
				providing such services to patients. The home health agency may arrange for the
				services which it does not provide by written agreements with other licensed
				home health agencies or by contracts with health professionals who shall meet
				the requirements of this chapter.
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 97.1 - HOME HEALTH AGENCIES › Section 11-97.1-7 - Patients' rights

Current through June, 2024
(a) Be free from
				verbal, mental, sexual, or physical abuse, including injuries of unknown
				source, neglect, and misappropriation of property.
(b) Be advised of the state toll free home
				health telephone hotline, it's contact information, its hours of operation, and
				that its purpose is to receive complaints or questions about local home health
				agencies.
(c) Be provided written
				notice of patient's rights and responsibilities.
(d) To have complaints made by a patient, the
				patient's representative, or the patient's caregiver or family investigated in
				a timely manner and be- -informed of the investigation results.