reglab/statecodes huggingface dataset:
Compilation of Rules and Regulations of the State of Georgia › Department 111 - RULES OF DEPARTMENT OF COMMUNITY HEALTH › Chapter 111-8 - HEALTHCARE FACILITY REGULATION › Subject 111-8-1 - RULES AND REGULATIONS FOR ADULT DAY CENTERS › Rule 111-8-1-.11 - Supplies

Current through Rules and Regulations filed through June 27, 2024
(1) Each center
				shall supply soap at the sinks, toilet tissue at each commode, and single use
				towels or mechanical hand dryers in each bathroom.
(2) Each center shall stock and maintain in a
				single location first aid supplies to treat minor burns, cuts, abrasions, and
				accidental poisonings. Staff shall assure that supplies with expiration dates
				are replaced in a timely manner to avoid expiration. The first aid supplies
				shall include the following:
(a)
				Thermometer;
(b) Band aids, tape
				and gauze;
(c) Antiseptic and
				antibiotic solutions; and
(d) Syrup
				of ipecac (to be used only if so instructed by the Georgia Poison Control
				Center).
Compilation of Rules and Regulations of the State of Georgia › Department 111 - RULES OF DEPARTMENT OF COMMUNITY HEALTH › Chapter 111-8 - HEALTHCARE FACILITY REGULATION › Subject 111-8-1 - RULES AND REGULATIONS FOR ADULT DAY CENTERS › Rule 111-8-1-.12 - Services

Current through Rules and Regulations filed through June 27, 2024
(1) The scope of
				services provided or arranged by the center shall be based on the written
				description of the program.
(a) Adult day
				centers may provide a social model adult day care program or a medical model
				adult day health care program, which are differentiated by the intensity and
				scope of service delivery.
(b) Each
				model or program shall comply with all the general licensing standards as well
				as the program specific requirements outlined herein.
Compilation of Rules and Regulations of the State of Georgia › Department 111 - RULES OF DEPARTMENT OF COMMUNITY HEALTH › Chapter 111-8 - HEALTHCARE FACILITY REGULATION › Subject 111-8-1 - RULES AND REGULATIONS FOR ADULT DAY CENTERS › Rule 111-8-1-.13 - Staffing

Current through Rules and Regulations filed through June 27, 2024
(1)
Core
				Requirements.
Each adult day center shall have as many staff and/or
				volunteers on duty at all times as may be needed to properly safeguard the
				health, safety and welfare of the participants, as required by these
				regulations. At a minimum the following shall be observed:
(a) Each center shall have a Director who is
				responsible for the day to day operation of the center and in the absence of
				the Director, a staff member shall be designated to supervise the
				center.
(b) Each center shall have
				at least one staff member who has current certification in first aid and
				cardiopulmonary resuscitation ("CPR") shall be in the center at all
				times.
(c) Each center shall
				identify which staff person is responsible for directing activities for the
				center.
(d) Each center shall
				provide appropriately qualified staff and/or volunteers in sufficient number to
				meet the needs of the participants and implement the participant's individual
				plan of care. At a minimum, adult day centers shall provide a staff and/or
				volunteer to participant ratio of no less than 1:8. The staffing ratio refers
				to the staff providing direct services to participants and therefore excludes
				such employees as clerical or office workers and maintenance or food service
				staff.
(e) Each center shall
				maintain a monthly work schedule showing that the center has planned for
				adequate coverage and shall document actual coverage by date, name, and hours
				worked.
(f) Each center shall
				ensure sufficient staffing to promptly and safely evacuate all participants in
				the event of an emergency. The center must adjust staffing as necessary based
				on the number of non-ambulatory participants at the center.
Compilation of Rules and Regulations of the State of Georgia › Department 111 - RULES OF DEPARTMENT OF COMMUNITY HEALTH › Chapter 111-8 - HEALTHCARE FACILITY REGULATION › Subject 111-8-1 - RULES AND REGULATIONS FOR ADULT DAY CENTERS › Rule 111-8-1-.14 - Personnel

Current through Rules and Regulations filed through June 27, 2024
(1) All adult day
				centers shall maintain written personnel policies and procedures which address
				at least the following:
(a) The hiring,
				training, and supervising of staff members; and
(b) The use, nature and extent of volunteer
				services, including a screening procedure to select volunteers with appropriate
				skills to work with the participants, or otherwise assist the center.
Compilation of Rules and Regulations of the State of Georgia › Department 111 - RULES OF DEPARTMENT OF COMMUNITY HEALTH › Chapter 111-8 - HEALTHCARE FACILITY REGULATION › Subject 111-8-1 - RULES AND REGULATIONS FOR ADULT DAY CENTERS › Rule 111-8-1-.15 - Admission

Current through Rules and Regulations filed through June 27, 2024
(1)
Admission.
Each adult day center shall admit individuals based on
				the center's comprehensive description of the types of services to be provided
				by the center and shall only admit individuals for whom the center can meet the
				participant's needs.
(2) Prior to
				the provision of services, the Director or his/her designee shall have at least
				one in-person interview with the applicant and/or representative to assess the
				applicant's needs and suitability of the program and shall obtain the
				following:
(a) A statement indicating any
				contraindications or limitations to the individual's participation in center
				activities;
(b) Evidence that the
				participant is free of active tuberculosis based upon the results of a negative
				tuberculin skin test or chest x-ray within 12 months prior to
				admission;
(c) A signed participant
				agreement;
(d) Any other
				information as required for the participant's care.
Compilation of Rules and Regulations of the State of Georgia › Department 111 - RULES OF DEPARTMENT OF COMMUNITY HEALTH › Chapter 111-8 - HEALTHCARE FACILITY REGULATION › Subject 111-8-1 - RULES AND REGULATIONS FOR ADULT DAY CENTERS › Rule 111-8-1-.16 - Records

Current through Rules and Regulations filed through June 27, 2024
(1)
Participant Records.
An individual file for each participant shall
				be established and maintained at the adult day center and shall include the
				following:
(a) The participant's full name,
				address, telephone number, date of birth, marital status, and living
				arrangement;
(b) At least two
				emergency contacts to include name, address, telephone number, and relationship
				to participant;
(c) Name, address
				and telephone number of the participant's primary health care
				provider;
(d) A signed participant
				agreement;
(e) Any powers of
				attorney, guardianship orders, or any other documents which identify authorized
				representatives of the participant, if applicable;
(f) All individual plans of care including
				updates;
(g) Copies of all signed
				authorizations for the center to receive and provide confidential information
				on the participant, if applicable;
(h) Signed authorization for the participant
				to receive emergency medical care from any licensed medical practitioner, if
				such emergency care is needed by the participant;
(i) A medical examination report conducted
				within six months prior to admission or within thirty (30) days after
				admission, and updated annually, signed by a licensed physician, physician's
				assistant or nurse practitioner;
(j) A statement signed by the participant or
				representative acknowledging receipt of center policies;
(k) An activity participation record for each
				participant;
(l) Medication
				Assistance Records; and
(m) A
				record of incidents, accidents, injuries, illnesses and emergencies involving
				the participant.
Compilation of Rules and Regulations of the State of Georgia › Department 111 - RULES OF DEPARTMENT OF COMMUNITY HEALTH › Chapter 111-8 - HEALTHCARE FACILITY REGULATION › Subject 111-8-1 - RULES AND REGULATIONS FOR ADULT DAY CENTERS › Rule 111-8-1-.17 - Participant Rights

Current through Rules and Regulations filed through June 27, 2024
(1) The following rights shall be guaranteed
				and cannot be waived by the participant or his or her representative:
(a) The right to be treated as an adult, with
				respect and dignity;
(b) The right
				to participate in a program of services and activities that promotes positive
				attitudes on one's usefulness and capabilities;
(c) The right to be free from physical,
				mental, sexual and verbal abuse, neglect, and exploitation;
(d) The right to be free from actual or
				threatened physical or chemical restraints;
(e) The right to be encouraged and supported
				in maintaining one's independence to the extent that conditions and
				circumstances permit, and to be involved in a program of services designed to
				promote personal independence;
(f)
				The right to self-determination within the day care setting, including the
				opportunity to:
1. Participate in developing
				one's plan of care;
2. Decide
				whether or not to participate in any given activity;
3. Be involved to the extent possible in
				program planning and operation;
4.
				Refuse to participate in treatment, activities or services at the center;
5. The right to be cared about in
				an atmosphere of sincere interest and concern in which needed support and
				services are provided;
6. The right
				to privacy and confidentiality;
7.
				The right to be made aware of the grievance process;
8. The right to file a complaint with the
				Healthcare Facility Regulation Division, including the complete address and
				phone number of the Division, whenever the participant believes that services
				are not being delivered in accordance with these rules;
9. The right to view inspection reports on
				the facilities compliance on the Department's web site; and
10. The right to review personal records.
Compilation of Rules and Regulations of the State of Georgia › Department 111 - RULES OF DEPARTMENT OF COMMUNITY HEALTH › Chapter 111-8 - HEALTHCARE FACILITY REGULATION › Subject 111-8-1 - RULES AND REGULATIONS FOR ADULT DAY CENTERS › Rule 111-8-1-.18 - Nutrition

Current through Rules and Regulations filed through June 27, 2024
(1) All adult day
				centers operating for more than four (4) hours a day and/or operating during
				regularly scheduled mealtimes shall ensure that a nutritious meal is provided
				to each participant in attendance.
(2) Snacks and fluids shall be available and
				offered to meet the participant's nutritional and fluid needs. At a minimum, a
				mid-morning and mid-afternoon snack shall be offered daily to
				participants.
(3) Meals and snacks
				provided by the center shall be planned to keep sugar, salt and cholesterol
				intake to a minimum.
(4)
Adult Day Health Centers.
In addition to the above, adult day
				health centers shall ensure the following:
(a) A meal shall meet at least one-third of
				an adult's daily nutritional requirement as specified by the Dietary Guidelines
				for Americans;
(b) A therapeutic
				diet shall be provided when prescribed in writing by a physician, physician's
				assistant or nurse practitioner;
(c) Menus shall be approved by a dietitian or
				RN;
(d) A dietitian or RN shall
				provide written techniques to staff on basic and special nutritional needs and
				proper food handling techniques and the prevention of food borne illness;
				and
(e) If therapeutic diets are
				prepared by center staff, such staff shall have training in planning and
				preparing therapeutic diets or shall provide documentation of previous training
				and education sufficient to assure ability to prepare meals in accordance with
				a physician's order.
Compilation of Rules and Regulations of the State of Georgia › Department 111 - RULES OF DEPARTMENT OF COMMUNITY HEALTH › Chapter 111-8 - HEALTHCARE FACILITY REGULATION › Subject 111-8-1 - RULES AND REGULATIONS FOR ADULT DAY CENTERS › Rule 111-8-1-.19 - Medications

Current through Rules and Regulations filed through June 27, 2024
(1) All medications
				required by a participant in an adult day center that does not employ a
				licensed RN, LPN or proxy caregiver shall be self-administered by the
				participant.
(2) Centers that
				provide assistance with medication without employing a licensed RN, LPN or
				proxy caregiver may do so to the following extent:
(a) Staff may remind participants of the time
				to take medication;
(b) Staff may
				check the dosage according to the container label; and
(c) Staff may physically assist a participant
				in opening or pouring the medication.
Compilation of Rules and Regulations of the State of Georgia › Department 111 - RULES OF DEPARTMENT OF COMMUNITY HEALTH › Chapter 111-8 - HEALTHCARE FACILITY REGULATION › Subject 111-8-1 - RULES AND REGULATIONS FOR ADULT DAY CENTERS › Rule 111-8-1-.20 - Transportation

Current through Rules and Regulations filed through June 27, 2024
(1) The center may
				provide transportation and/or assist in arranging transportation services for
				participants.
(2) When
				transportation is provided to participants through center-operated vehicles,
				the operation of each vehicle shall comply with all applicable state and
				federal regulations relative to both driver and vehicle.
(3) Where the center contracts for
				transportation services, the center shall require that the contractor provide
				proof of insurance and current vehicle registration.
(4) When the adult day center provides
				transportation, the following requirements shall be met to ensure the health
				and safety of the participants:
(a) Each
				person transported shall have a seat in the vehicle;
(b) Vehicles used to transport participants
				shall be equipped with seatbelts;
(c) Participants shall be required to use
				seatbelts while being transported;
(d) Each vehicle shall have a first aid kit,
				along with fire extinguisher and safety triangles;
(e) The driver or attendant shall be trained
				in first aid procedures which include but are not necessarily limited to the
				following:
1. Care during a seizure;
2. Basic first aid; and
3. CPR;
(f) The driver or attendant shall have
				medical and emergency information in the vehicle for participants being
				transported;
(g) All transportation
				vehicles shall be equipped with a device for two-way communication;
(h) The transportation vehicle shall be in
				safe operating condition; and
(i)
				Each vehicle which transports participants shall have a trip roster which
				contains the addresses of the participants and the emergency contact phone
				numbers for each participant.
Compilation of Rules and Regulations of the State of Georgia › Department 111 - RULES OF DEPARTMENT OF COMMUNITY HEALTH › Chapter 111-8 - HEALTHCARE FACILITY REGULATION › Subject 111-8-1 - RULES AND REGULATIONS FOR ADULT DAY CENTERS › Rule 111-8-1-.21 - Procedures for Change in Condition

Current through Rules and Regulations filed through June 27, 2024
(1) In case of an accident or adverse change
				in a participant's condition or adjustment, the center shall immediately obtain
				needed care and notify the representative or emergency contact.
(2) The center shall immediately investigate
				the cause of an accident or injury involving a participant and take necessary
				steps to prevent recurrence.
(3) A
				record of incidents, accidents, injuries, illnesses and emergencies involving
				the participant shall be maintained in the participant's file.
(4) Accidents. In an emergency situation
				where the participants are subject to an imminent and substantial danger that
				only immediate transfer or discharge will relieve, the center shall transfer or
				arrange for the transfer of the participant to another health facility or call
				911 for emergency medical assistance.
(5) The center shall document in the
				participant's file the reasons for such emergency transfer and shall
				immediately inform the participant's guardian and other persons of the
				participant's choice regarding such transfer and the place where the
				participant is to be transferred.
O.C.G.A. §
										49-6-81.
Compilation of Rules and Regulations of the State of Georgia › Department 111 - RULES OF DEPARTMENT OF COMMUNITY HEALTH › Chapter 111-8 - HEALTHCARE FACILITY REGULATION › Subject 111-8-1 - RULES AND REGULATIONS FOR ADULT DAY CENTERS › Rule 111-8-1-.22 - Immediate Transfer, Discharge and Death

Current through Rules and Regulations filed through June 27, 2024
(1)
Immediate Transfer.
In case
				of emergency, such as acute illness, if family or the participant's
				representative cannot be reached, a signed release shall be on file stating
				that the participant may be sent to the nearest hospital emergency room for
				treatment.
(2)
Discharge.
Each participant agreement shall include a written
				procedure for handling discharge of the participant that complies with these
				rules.
(a) Each participant and/or
				representative shall be given 14 days written notice if the participant is to
				be discharged from the center for other than emergency reasons.
(b) During a participant's placement in a
				center, the participant agreement required by Rule
				111-8-1-.15(7)
				regarding plans for discharge shall be adjusted according to the participant's
				circumstances.
(c) Emergency
				discharges are authorized when the health, safety and welfare of the
				participant or other participants at the center may be endangered by the
				participant's further placement in the center.
Compilation of Rules and Regulations of the State of Georgia › Department 111 - RULES OF DEPARTMENT OF COMMUNITY HEALTH › Chapter 111-8 - HEALTHCARE FACILITY REGULATION › Subject 111-8-1 - RULES AND REGULATIONS FOR ADULT DAY CENTERS › Rule 111-8-1-.23 - Reporting Requirements

Current through Rules and Regulations filed through June 27, 2024
(1)
Serious Incidents.
All adult
				day centers shall maintain records and submit on a timely basis reports
				required by the Department.
(2) On
				forms provided by the Department, no later than the next business day, the
				adult day center shall report whenever any of the following serious or unusual
				incidents involving a participant occurs or center has reasonable cause to
				believe that an incident involving a participant has occurred at the center or
				off-site during the provision of services:
(a) Any death of a participant;
(b) Any rape of a participant;
(c) Any serious injury to a participant that
				requires medical attention;
(d) Any
				suspected abuse, neglect or exploitation of a participant; and
(e) Any time a participant cannot be located
				and the participant has been missing for more than thirty (30)
				minutes.
Compilation of Rules and Regulations of the State of Georgia › Department 111 - RULES OF DEPARTMENT OF COMMUNITY HEALTH › Chapter 111-8 - HEALTHCARE FACILITY REGULATION › Subject 111-8-1 - RULES AND REGULATIONS FOR ADULT DAY CENTERS › Rule 111-8-1-.24 - Quality Assurance

Current through Rules and Regulations filed through June 27, 2024
(1) Adult day centers shall develop and
				implement an annual quality improvement plan to evaluate and improve the
				effectiveness of the program's operation and services to ensure continuous
				improvement in service delivery. The plan shall include the parties to be
				involved and the areas which will be addressed. A formal evaluation shall be
				conducted at regular intervals, but at least annually.
(2) The evaluation process shall include:
(a) A review of the existing program
				including serious incidents and corrective actions taken;
(b) Satisfaction survey results or comments
				and complaints received from staff, participants and/or participant's
				representatives;
(c) Program
				modifications made in response to changing needs of participants; and
(d) Proposed program administrative
				improvements.
Compilation of Rules and Regulations of the State of Georgia › Department 111 - RULES OF DEPARTMENT OF COMMUNITY HEALTH › Chapter 111-8 - HEALTHCARE FACILITY REGULATION › Subject 111-8-1 - RULES AND REGULATIONS FOR ADULT DAY CENTERS › Rule 111-8-1-.25 - Infection Control

Current through Rules and Regulations filed through June 27, 2024
(1) Each adult day center shall develop and
				implement policies and procedures that address infection control issues in all
				components of the adult day center. These policies and procedures shall be
				based on accepted standards of infection control and shall address at least the
				following:
(a) Hand hygiene;
(b) Cleaning, disinfecting, and sanitizing
				participant areas;
(c) Isolation
				precautions;
(d) Handling,
				transport, and disposal of medical waste or bodily fluids;
(e) Center requirements for communicable
				disease health screening, including tuberculosis surveillance and any
				recommended immunizations;
(f) Use
				of personal protective equipment and exposure reporting/follow-up;
(g) Work restrictions for staff with
				potentially infectious diseases;
(h) Evaluation of the participant related to
				infection control risks;
(i)
				Outbreak investigation procedures;
(j) Dietary practices;
(k) Reporting of communicable diseases, as
				required by law; and
(l) Standard
				precautions.
Compilation of Rules and Regulations of the State of Georgia › Department 111 - RULES OF DEPARTMENT OF COMMUNITY HEALTH › Chapter 111-8 - HEALTHCARE FACILITY REGULATION › Subject 111-8-1 - RULES AND REGULATIONS FOR ADULT DAY CENTERS › Rule 111-8-1-.26 - Inspections by Department Staff

Current through Rules and Regulations filed through June 27, 2024
(1) The Department is authorized and
				empowered to conduct complaint investigations and periodic on-site inspections
				of any center when determined necessary.
(2) Prior to licensure and periodically
				thereafter, the Department shall inspect each adult day center to ensure that
				the center is providing adequate care to its participants and is in compliance
				with all applicable rules and regulations.
(3) An application for a license or the
				issuance of a license by the Department constitutes consent by the applicant,
				the proposed holder of the license and the owner of the premises for the
				Department's representative, after displaying proper identification to any
				center staff, to enter the premises at any time during operating hours for the
				purpose of inspecting the center to determine compliance with these rules.
(a) The adult day center staff, facilities,
				and participants shall be accessible during all hours of operation to properly
				identified representatives of the Department for inspections and investigations
				relating to the adult day center's license.
(b) For the purposes of any inspection,
				investigation, or survey conducted by the Department, the adult day center
				shall provide to properly identified representatives of the Department
				meaningful access to all books, records, papers, or other information related
				to the licensing of the adult day center.
Compilation of Rules and Regulations of the State of Georgia › Department 111 - RULES OF DEPARTMENT OF COMMUNITY HEALTH › Chapter 111-8 - HEALTHCARE FACILITY REGULATION › Subject 111-8-1 - RULES AND REGULATIONS FOR ADULT DAY CENTERS › Rule 111-8-1-.27 - Variances and Waivers

Current through Rules and Regulations filed through June 27, 2024
(1) A center may request a waiver or variance
				of a specific rule by application on forms provided by the Department. The
				Department may grant or deny the request for waiver or variance at its
				discretion. If the waiver or variance is granted, the Department may establish
				conditions that must be met by the adult day center in order to operate under
				the waiver or variance. Waivers or variances may be granted with conditions of
				the following:
(a)
Variance.
A
				variance may be granted by the Department upon a showing by the applicant that
				the particular rule or regulation that is the subject of the variance request
				should not be applied as written because strict application would cause undue
				hardship. The applicant must also show that adequate standards exist for
				affording protection for the health, safety, and care of participants, and
				these existing standards would be met in lieu of the exact requirements of the
				rule or regulation.
(b)
Waiver.
The Department may dispense altogether with the
				enforcement of a rule or regulation by granting a waiver upon a showing by the
				applicant that the purpose of the rule or regulation is met through equivalent
				standards affording equivalent protection for the health, safety, and care of
				the participants, or by demonstrating that the purpose of the statute on which
				the underlying rule is based can be or has been achieved by other specific
				means and that strict application of the rule(s) would create a substantial
				hardship for the applicant.
(c)
Experimental Waiver or Variance.
The Department may grant a waiver
				or variance to allow experimentation and demonstration of new and innovative
				approaches to delivery of services upon a showing by the applicant that the
				intended protections afforded by the rule or regulation in question are met and
				that the innovative approach has the potential to improve service
				delivery.
Compilation of Rules and Regulations of the State of Georgia › Department 111 - RULES OF DEPARTMENT OF COMMUNITY HEALTH › Chapter 111-8 - HEALTHCARE FACILITY REGULATION › Subject 111-8-1 - RULES AND REGULATIONS FOR ADULT DAY CENTERS › Rule 111-8-1-.28 - Enforcement and Penalties

Current through Rules and Regulations filed through June 27, 2024
An adult day center that fails to comply with licensing
				  requirements contained in these rules, the Rules and Regulations for the Use of
				  Proxy Caregivers, Chapter 111-8-100 as applicable and the Rules and Regulations
				  for General Licensing and Enforcement Requirements, Chapter 111-8-25, is
				  subject to civil and administrative actions brought by the Department to
				  enforce licensing requirements as provided by law and rules. Such actions will
				  be initiated in compliance with the Georgia Administrative Procedures Act,
				  O.C.G.A. §
									50-13-1
et seq.
,
				  O.C.G.A. §
									31-2-11 and the Rules and
				  Regulations for General Licensing and Enforcement Requirements, Chapter
				  111-8-25.
O.C.G.A. §§
										49-6-84,
				  31-2-7,
				  31-2-8,
				  43-26-12 and
				  50-13-1
et
				  seq.
Compilation of Rules and Regulations of the State of Georgia › Department 111 - RULES OF DEPARTMENT OF COMMUNITY HEALTH › Chapter 111-8 - HEALTHCARE FACILITY REGULATION › Subject 111-8-1 - RULES AND REGULATIONS FOR ADULT DAY CENTERS › Rule 111-8-1-.29 - Severability

Current through Rules and Regulations filed through June 27, 2024
In the event that any rule, sentence, clause, or phrase of
				  any of these rules and regulations may be construed by any court of competent
				  jurisdiction to be invalid, illegal, unconstitutional, or otherwise
				  unenforceable, such determination or adjudication shall in no manner affect the
				  remaining rules or portion thereof. The remaining rules or portions of rules
				  shall remain in full force and effect, as if such rule or portions thereof so
				  determined, declared, or adjudged invalid or unconstitutional were not
				  originally a part of these rules.
O.C.G.A. §
										49-6-81.
Compilation of Rules and Regulations of the State of Georgia › Department 111 - RULES OF DEPARTMENT OF COMMUNITY HEALTH › Chapter 111-8 - HEALTHCARE FACILITY REGULATION › Subject 111-8-4 - AMBULATORY SURGICAL TREATMENT CENTERS › Rule 111-8-4-.02 - Exemptions

Current through Rules and Regulations filed through June 27, 2024
The following types of health care facilities are exempt from
				  the requirements of these regulations:
(a) currently licensed hospitals, or a
				facility as specified in
				111-8-4-.03(12);
(b) a practitioner's private offices or
				treatment rooms in which a practitioner primarily sees, consults with, and
				treats patients;
(c) facilities
				owned and operated by the Federal Government.
O.C.G.A. §§
										31-2-7 and
				  31-7-1
et
				  seq.
Compilation of Rules and Regulations of the State of Georgia › Department 111 - RULES OF DEPARTMENT OF COMMUNITY HEALTH › Chapter 111-8 - HEALTHCARE FACILITY REGULATION › Subject 111-8-4 - AMBULATORY SURGICAL TREATMENT CENTERS › Rule 111-8-4-.04 - Classification of Services

Current through Rules and Regulations filed through June 27, 2024
Each ambulatory surgical center, when applying for a permit
				  shall designate the type(s) or classification(s) of services to be provided in
				  or by the center. These classifications may include, but are not necessarily
				  limited to the following: general surgery; eye, ear, nose, and throat; plastic
				  surgery; oral and maxillofacial; obstetrical-gynecological; oncological;
				  ophthamological; and urological. Provided, however, that any facility providing
				  labor and delivery services must meet the requirements of Rules and Regulations
				  for Hospitals, Maternity and Obstetrical and Newborn Services, Rule
				  111-8-40-.34 or as later revised.
				  The permit for a single ambulatory surgical treatment center may cover one or
				  more types of services. Each ambulatory surgical treatment center shall provide
				  only those services listed on the face of its permit.
O.C.G.A. §§
										31-2-4
et seq.
and
				  31-7-1
et seq.
Compilation of Rules and Regulations of the State of Georgia › Department 111 - RULES OF DEPARTMENT OF COMMUNITY HEALTH › Chapter 111-8 - HEALTHCARE FACILITY REGULATION › Subject 111-8-4 - AMBULATORY SURGICAL TREATMENT CENTERS › Rule 111-8-4-.05 - Application for Permits

Current through Rules and Regulations filed through June 27, 2024
(1) Any person or persons responsible for the
				operation of an ambulatory surgical treatment center as defined and classified
				in these regulations, or who may hereafter propose to establish and operate
				such an institution, shall submit an application to the Department for a permit
				to operate said institution using forms provided by the Department. No such
				institution shall be operated in Georgia without a valid permit which shall be
				displayed in a conspicuous place within the center.
(2) The applicant for a permit to operate an
				ambulatory surgical treatment center shall submit a completed application with
				character references and a certification that the applicant is able and willing
				to comply with the minimum standards for an ambulatory surgical treatment
				center and with the rules and regulations lawfully promulgated. Each
				application shall be accompanied by a statement from the local (city or county)
				fire safety authority stating that an inspection has been made of the premises
				and that state and local fire safety requirements have been met.
(3) The application shall include full and
				complete information concerning the name and address of the applicant and the
				classification(s) of services to be provided; the ownership of the property and
				operation; in case a center is organized as a corporation, the names and
				addresses of each officer and director of the corporation; in case the center
				is organized as a partnership, the names and addresses of each partner; the
				identity of the professional director of the facility; the days and hours the
				center is normally operated; and any other information which the Department may
				require.
(4) Ambulatory surgical
				treatment centers are subject to review by the Department, pursuant to the
				Georgia Certificate of Need Law. Evidence of completion of this review shall be
				made a part of the application for a permit.
(5) Plans for ambulatory surgical treatment
				centers shall be submitted to the Department for review and approved in three
				stages of development:
(a) schematic
				drawings;
(b) design-development
				drawings; and
(c) final working
				drawings and specifications.
Compilation of Rules and Regulations of the State of Georgia › Department 111 - RULES OF DEPARTMENT OF COMMUNITY HEALTH › Chapter 111-8 - HEALTHCARE FACILITY REGULATION › Subject 111-8-4 - AMBULATORY SURGICAL TREATMENT CENTERS › Rule 111-8-4-.06 - Permits

Current through Rules and Regulations filed through June 27, 2024
(1) Following
				inspection and classification of the institution for which application for a
				permit has been made, the Department may issue a permit or a provisional permit
				or refuse to reissue or continue a permit or provisional permit. Each permit or
				provisional permit shall indicate the classifications of services to be
				provided and patient capacity of the center.
(2) Permits issued shall mean that the
				Department grants authorization to the governing body of the applicant
				institution to operate an ambulatory surgical treatment center and signifies
				compliance with these rules and regulations. Permits issued shall remain in
				force and effect until revoked or suspended.
O.C.G.A. §§
										31-2-4
et seq.
and
				  31-7-1
et seq.
Compilation of Rules and Regulations of the State of Georgia › Department 111 - RULES OF DEPARTMENT OF COMMUNITY HEALTH › Chapter 111-8 - HEALTHCARE FACILITY REGULATION › Subject 111-8-4 - AMBULATORY SURGICAL TREATMENT CENTERS › Rule 111-8-4-.07 - Provisional Permits

Current through Rules and Regulations filed through June 27, 2024
Provisional permits may be issued for a limited period
				  specified by the Department based on an acceptable written plan for correcting
				  one or more deficiencies (plan of correction) found during an inspection;
				  provisional permits issued shall remain in force and effect for such limited
				  period of time as specified by the Department, unless earlier revoked due to
				  prevailing circumstances which are not acceptable to the Department. Centers
				  which are established and operating prior to adoption of these rules and
				  regulations may be considered for extension of a provisional permit when needed
				  to meet physical plant standards. If the Department's decision is that a
				  deficiency is of such nature that it would jeopardize the life of a patient, a
				  provisional permit will not be issued.
O.C.G.A. §§
										31-2-4
et seq.
and
				  31-7-1
et seq.
Compilation of Rules and Regulations of the State of Georgia › Department 111 - RULES OF DEPARTMENT OF COMMUNITY HEALTH › Chapter 111-8 - HEALTHCARE FACILITY REGULATION › Subject 111-8-4 - AMBULATORY SURGICAL TREATMENT CENTERS › Rule 111-8-4-.08 - Inspections

Current through Rules and Regulations filed through June 27, 2024
(1) The ambulatory
				surgical treatment center shall be available at all reasonable and/or scheduled
				operating hours for observation and examination by properly identified
				representative of the Department.
(2) The governing body shall notify the
				Department of the anticipated opening date of a newly constructed center in
				order that a preopening licensure inspection of the center may be conducted to
				determine compliance with these rules and regulations.
(3) The administrator or his representative
				shall accompany the Department representative on all tours of inspection and
				shall sign the completed checklist.
(4) Each center shall be periodically
				inspected to determine whether the center is continuing to meet these
				requirements or is making satisfactory progress on approved plans of
				correction.
O.C.G.A. §
										31-2-8.
Compilation of Rules and Regulations of the State of Georgia › Department 111 - RULES OF DEPARTMENT OF COMMUNITY HEALTH › Chapter 111-8 - HEALTHCARE FACILITY REGULATION › Subject 111-8-4 - AMBULATORY SURGICAL TREATMENT CENTERS › Rule 111-8-4-.11 - Personnel

Current through Rules and Regulations filed through June 27, 2024
(1) The governing
				body shall appoint an administrator who is responsible for the day-today
				management and operation of the center.
(2) The administrator shall designate an
				individual to act for him in his absence in order to provide the center with
				administrative direction at all times.
(3) All center personnel shall be currently
				licensed to perform the services they render when such services require
				licensure or registration under the laws of the State of Georgia.
(4) Each center shall require that each
				employee receives a health examination upon employment and a policy shall
				provide for follow-up examinations. The examination shall be in sufficient
				detail, including pertinent laboratory and x-ray data, to assure that the
				employee is physically and mentally qualified to perform the job to which he is
				assigned.
(5) There shall be a
				separate personnel folder maintained for each employee. This file shall contain
				all personnel information concerning the employee, including the application
				and qualifications for employment, physical examination (including laboratory
				and x-ray reports, if applicable), job description and attendance
				record.
(6) Fire and internal
				disaster drills shall be conducted at least quarterly and the results
				documented. There shall be an ongoing program of continuing education for all
				personnel concerning aspects of fire safety and the disaster plan for moving
				personnel and patients to safety, and for handling patient
				emergencies.
O.C.G.A. §§
										31-2-4
et seq.
and
				  31-7-1
et seq.
Compilation of Rules and Regulations of the State of Georgia › Department 111 - RULES OF DEPARTMENT OF COMMUNITY HEALTH › Chapter 111-8 - HEALTHCARE FACILITY REGULATION › Subject 111-8-4 - AMBULATORY SURGICAL TREATMENT CENTERS › Rule 111-8-4-.12 - Records

Current through Rules and Regulations filed through June 27, 2024
(1) A full-time
				employee shall be designated responsible for establishing and maintaining
				medical records required to be kept by these rules and regulations.
(2) Medical records containing sufficient
				information to validate the diagnosis and to establish the basis upon which
				treatment is given shall be maintained on each patient.
Contents of individual medical records shall normally contain
				  the following at least:
(a) Admission
				and discharge data:
1. Name, address, birth
				date, sex, marital status, race, etc.
2. Date and time of admission.
3. Date and time of discharge.
4. Admitting diagnosis.
5. Final diagnosis.
6. Procedures or operations
				performed.
7. Condition on
				discharge.
8. Attending
				practitioner's signature.
Compilation of Rules and Regulations of the State of Georgia › Department 111 - RULES OF DEPARTMENT OF COMMUNITY HEALTH › Chapter 111-8 - HEALTHCARE FACILITY REGULATION › Subject 111-8-4 - AMBULATORY SURGICAL TREATMENT CENTERS › Rule 111-8-4-.13 - Administrative Area and Waiting Rooms

Current through Rules and Regulations filed through June 27, 2024
(1) Each center shall provide administrative
				space and facilities for admitting patients and other service, such as
				telephone and information office files and supplies, patients' personal
				belongings, medical records and files.
(2) A waiting room area shall be provided
				with a seating capacity to accommodate the number of patients and others of the
				public normally present in the facility at one time.
(3) The center shall have adequate and
				conveniently located toilets and handwashing facilities for its staff,
				employees, out-patients and visiting personnel.
O.G.C.A. §§
										31-2-4
et seq.
and
				  31-7-1
et seq.
Compilation of Rules and Regulations of the State of Georgia › Department 111 - RULES OF DEPARTMENT OF COMMUNITY HEALTH › Chapter 111-8 - HEALTHCARE FACILITY REGULATION › Subject 111-8-4 - AMBULATORY SURGICAL TREATMENT CENTERS › Rule 111-8-4-.14 - Clinical Laboratory Services

Current through Rules and Regulations filed through June 27, 2024
(1) Laboratory services utilized by an
				ambulatory surgical treatment center shall be consistent with requirements of
				the Clinical Laboratory Licensure Law, O.C.G.A. §
									31-22-1
et seq.
,
				and applicable amendments and regulations, which provide for clinical
				laboratory services to be either licensed under Rules and Regulations of the
				State of Georgia, Chapter 111-8-10, or to be exempt from licensure as specified
				in the Clinical Laboratory Licensure Law. If exemption is claimed, the
				application shall state the name(s) of the practitioner(s) responsible for the
				operation of the clinical laboratory and there shall be an affidavit by the
				physician that he/she is responsible for the laboratory claims and the
				exemption.
(2) All removed tissues
				shall be examined immediately by the practitioner, whose findings shall be
				recorded in the patient's records, in addition to reports of pathologic
				examinations which may be obtained later.
(3) Laboratory services shall be provided for
				each patient, consistent with accepted medical practice and the conditions and
				needs of the patient. Laboratory reports shall be made a part of patient
				records.
(4) A system shall be
				established for the collection of information and all postoperative surgical
				complications and infections.
(5)
				The center shall report to the Department all communicable diseases detected or
				reported for patients.
O.C.G.A. §§
										31-2-4
et seq.
,
				  31-7-1
et seq.
and
				  31-22-1
et seq.
Compilation of Rules and Regulations of the State of Georgia › Department 111 - RULES OF DEPARTMENT OF COMMUNITY HEALTH › Chapter 111-8 - HEALTHCARE FACILITY REGULATION › Subject 111-8-4 - AMBULATORY SURGICAL TREATMENT CENTERS › Rule 111-8-4-.15 - Housekeeping, Laundry, Maintenance and Sterile Supplies

Current through Rules and Regulations filed through June 27, 2024
(1) Each center
				shall provide sufficient space and equipment and ensure that housekeeping and
				maintenance is sufficient to keep the center and equipment in a clean and tidy
				condition and state of good repair. Proper maintenance shall be provided as
				necessary to correct, prevent, or adjust faulty equipment and/or correct other
				undesirable conditions.
(2) Laundry
				service shall be provided. Separate space and facilities shall be provided for
				receiving, sorting and storing soiled laundry, and for sorting, storing and
				issuing of clean laundry, if reusable items are utilized.
(3) There shall be adequate space and
				facilities for receiving, packaging and proper sterilizing and storage of
				supplies and equipment, consistent with the services to be provided.
(4) Special precaution shall be taken to
				ensure that sterile instruments and supplies are kept separate from non-sterile
				instruments and supplies. Sterilization records shall be kept and sterile items
				shall be dated and utilized, based on established procedures.
(5) A recognized method of checking
				sterilizer performance shall be adopted.
O.C.G.A. §§
										31-2-4
et seq.
and
				  31-7-1
et seq.
Compilation of Rules and Regulations of the State of Georgia › Department 111 - RULES OF DEPARTMENT OF COMMUNITY HEALTH › Chapter 111-8 - HEALTHCARE FACILITY REGULATION › Subject 111-8-4 - AMBULATORY SURGICAL TREATMENT CENTERS › Rule 111-8-4-.16 - Drug Storage and Dispensing

Current through Rules and Regulations filed through June 27, 2024
Each center shall provide adequate space and equipment and
				  staff to assure that drugs are stored and administered in compliance with State
				  and Federal laws and regulations.
O.C.G.A. §§
										31-2-4
et seq.
and
				  31-7-1
et seq.
Compilation of Rules and Regulations of the State of Georgia › Department 111 - RULES OF DEPARTMENT OF COMMUNITY HEALTH › Chapter 111-8 - HEALTHCARE FACILITY REGULATION › Subject 111-8-4 - AMBULATORY SURGICAL TREATMENT CENTERS › Rule 111-8-4-.17 - Blood Supply and Storage

Current through Rules and Regulations filed through June 27, 2024
Each center which provides service for which blood is needed,
				  shall provide separate refrigeration for the storage of blood and shall have a
				  written agreement with a source for meeting its blood needs. If blood is
				  retained overnight, such refrigeration shall be equipped with a temperature
				  alarm device, and shall be tied in on an automatic emergency electrical power
				  system. In all cases, refrigeration equipment shall be provided with a
				  temperature recording device or the temperature shall be checked and recorded
				  each day of use.
O.C.G.A. §§
										31-2-4
et seq.
,
				  31-7-1
et seq.
and
				  31-22-1
et seq.
Compilation of Rules and Regulations of the State of Georgia › Department 111 - RULES OF DEPARTMENT OF COMMUNITY HEALTH › Chapter 111-8 - HEALTHCARE FACILITY REGULATION › Subject 111-8-4 - AMBULATORY SURGICAL TREATMENT CENTERS › Rule 111-8-4-.18 - X-Ray

Current through Rules and Regulations filed through June 27, 2024
All X-Ray facilities in the center shall be registered with
				  and meet the requirements of rules and regulations of governing radiological
				  health as promulgated by the Department. X-Rays and x-ray reports shall be made
				  a part of the patient's record.
O.C.G.A. §§
										31-2-4
et seq.
,
				  31-7-1
et seq.
and
				  31-13-1
et seq.
Compilation of Rules and Regulations of the State of Georgia › Department 111 - RULES OF DEPARTMENT OF COMMUNITY HEALTH › Chapter 111-8 - HEALTHCARE FACILITY REGULATION › Subject 111-8-4 - AMBULATORY SURGICAL TREATMENT CENTERS › Rule 111-8-4-.19 - Electrical Power

Current through Rules and Regulations filed through June 27, 2024
(1) All electrical work and equipment shall
				be designed and installed in accordance with State and local laws and
				ordinances.
(2) All areas of the
				center shall have sufficient artificial lighting for designated
				purpose.
(3) Centers which utilize
				general anesthesia shall provide an emergency electrical system so controlled,
				that, after interruption of the normal electric power supply, an acceptable
				auxiliary power source is available and capable of being brought into use
				within ten seconds with sufficient voltage and frequency to reestablish
				essential in-house services and other emergency equipment needed to effect a
				prompt and efficient transfer of patients to an appropriate licensed hospital,
				when needed.
O.C.G.A. §§
										31-2-4
et seq.
and
				  31-7-1
et seq.
Compilation of Rules and Regulations of the State of Georgia › Department 111 - RULES OF DEPARTMENT OF COMMUNITY HEALTH › Chapter 111-8 - HEALTHCARE FACILITY REGULATION › Subject 111-8-4 - AMBULATORY SURGICAL TREATMENT CENTERS › Rule 111-8-4-.20 - Sanitation and Waste Disposal

Current through Rules and Regulations filed through June 27, 2024
(1) All centers shall provide facilities for
				maintaining sanitary standards throughout the premises, as well as for water
				supply, sewerage, garbage and refuse, disposal systems. Such facilities shall
				meet local and State regulations.
(2) All garbage, trash and waste shall be
				stored and disposed of in a manner, by approved methods, that will not permit
				the transmission of disease, create a nuisance, or provide a breeding place for
				insects or rodents.
(3)
				Arrangements shall be made for proper disposal of all contaminate and/or
				infection dressings and surgical and obstetrical waste.
(4) Effective means shall be provided at all
				outside doors, windows and other openings to the center to prevent entrance and
				harborage of flies, other insects and rodents.
O.C.G.A. §§
										31-2-4
et seq.
and
				  31-7-1
et seq.
Compilation of Rules and Regulations of the State of Georgia › Department 111 - RULES OF DEPARTMENT OF COMMUNITY HEALTH › Chapter 111-8 - HEALTHCARE FACILITY REGULATION › Subject 111-8-4 - AMBULATORY SURGICAL TREATMENT CENTERS › Rule 111-8-4-.21 - Advertising

Current through Rules and Regulations filed through June 27, 2024
Any advertising of the services provided in or by ambulatory
				  surgical treatment center shall include the full name of the center and its
				  Georgia license number, as shown on the face of the permit.
O.C.G.A. §§
										31-2-4
et seq.
and
				  31-7-1
et seq.