Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 98 - SPECIAL TREATMENT FACILITY › Section 11-98-11 - Minimum standards for licensure; personnel

Current through June, 2024
(a) An
				individual shall be designated as administrator who will be responsible for the
				overall operation of the program and facility. During periods of absences of
				the administrator, a designated staff member shall assume the
				responsibilities.
(b) An individual
				shall be designated as program director of the residential program.
(c) The administrator shall be responsible to
				provide staff in sufficient number and qualifications to meet the needs of the
				residents and to carry out the program's services and activities adequately. A
				minimum of one direct service staff to each eight residents is required.
				Whenever residents are in the facility, there shall be a responsible,
				designated, person in charge.
(d)
				The administrator shall be responsible to produce written statements as to the
				education, experience, and personal characteristics required to carry out
				adequately the assigned duties and responsibilities of each position employed
				by or arranged for by the facility. These written statements shall address the
				issue of demonstrated knowledge, skills, and attitudes regarding human
				relationships by staff who have direct contact with residents.
(e) There shall be documented evidence that
				every employee has a preemployment and an annual health evaluation by a
				physician. These evaluations shall be specifically oriented to deter mine the
				presence of any infectious disease liable to harm a resident. Each health
				evaluation shall include a tuberculin skin test or a chest x-ray.
(f) Skin lesions, respiratory tract symptoms,
				and 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 resident contact until such
				time as a physician certifies it is safe for the employee to resume such
				duties.
(g) 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. Additional
				chest x-rays may be required at the discretion of the director.
(h) If the tuberculin skin test is negative,
				a second tuberculin skin test must 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 end
				follow-up. That is, if the second skin test is positive, then proceed, as
				above, with a chest x-ray which should be repeated as indicated in the previous
				paragraph (g). If the second skin test is negative, a single skin test shall be
				repeated yearly until it becomes positive.
(i) When a known negative tuberculin skin
				test on a particular employee or resident 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, relating to tuberculosis.
(j) The administrator shall arrange for
				clerical services to maintain records, correspondence, bookkeeping and files
				current and in conformity with acceptable business practice.
(k) The administrator shall arrange for staff
				development that includes orientation and training of all new staff and
				continuing educational opportunities for all staff. Volunteers, when ever
				utilized, shall be included in the orientation and training programs for staff
				or participate in orientation and training programs geared specifically to
				their needs.
(l) The administrator
				shall see that at least one staff member on each shift possesses a current
				First Aid certificate and CPR training. Recertification of training shall be
				required by all staff at least every two years.