reglab/statecodes huggingface dataset:
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 60 - Emergency Medical Transportation Services › Subchapter B - Ambulance Service/Provider Responsibilities › Section I-6055 - Emergency Medical Response Vehicles (Sprint Vehicles)

Current through Register Vol. 50, No. 6, June 20, 2024
A. Emergency Medical Response Vehicle
					 Qualifications. The vehicle may be on either an automobile or truck chassis,
					 have four or more wheels and must have the following external markings:
1. all numbering and lettering shall be
					 reflective;
2. the unit number
					 shall be displayed in numerals 3 inches high or greater on the rear and both
					 sides of the vehicle;
3. the
					 agency's name shall appear on both sides of the vehicle in lettering 3 inches
					 high or greater, or with a logo that is 6 inches or greater in size;
4. the agency's name or logo shall appear on
					 the trunk or rear door in lettering 3 inches high. Agency logos must be
					 specific to the agency and on file with the department; and
5. the vehicle's markings shall indicate its
					 designation as an emergency medical response vehicle such as sprint car,
					 supervisor, chief, special services, etc. No markings on the vehicle may imply
					 that it is an ambulance.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 60 - Emergency Medical Transportation Services › Subchapter C - Emergency Vehicles-Ground Transportation › Section I-6061 - General Provisions

Current through Register Vol. 50, No. 6, June 20, 2024
A. All
					 ground emergency medical response vehicles utilized by ambulance services must
					 be in compliance with the Louisiana Motor Vehicle Regulatory Act and designated
					 as one of the following:
1. emergency medical
					 response sprint vehicle; or
2.
					 ambulance ground transportation service.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 60 - Emergency Medical Transportation Services › Subchapter C - Emergency Vehicles-Ground Transportation › Section I-6063 - Emergency Medical Response Vehicles (Sprint Vehicles)

Current through Register Vol. 50, No. 6, June 20, 2024
A. Emergency Medical Response Vehicle
					 Qualifications. The vehicle may be on either an automobile or truck chassis,
					 have four or more wheels and must have the following external markings:
1. all numbering and lettering shall be
					 reflective;
2. the unit number
					 shall be displayed in numerals 3 inches high or greater on the rear and both
					 sides of the vehicle;
3. the
					 agency's name shall appear on both sides of the vehicle in lettering 3 inches
					 high or greater, or with a logo that is 6 inches or greater in size;
4. the agency's name or logo shall appear on
					 the trunk or rear door in lettering 3 inches high. Agency logos shall be
					 specific to the agency and on file with the department; and
5. the vehicle's markings shall indicate its
					 designation as an emergency medical response vehicle such as sprint car,
					 supervisor, chief, special services, etc. No markings on the vehicle may imply
					 that it is an ambulance.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 60 - Emergency Medical Transportation Services › Subchapter D - Emergency Vehicles-Aircraft Transportation › Section I-6071 - General Provisions

Current through Register Vol. 50, No. 6, June 20, 2024
A. All
					 ambulance services/providers whose aircraft are utilized as air ambulances
					 shall provide the department with copies of the air ambulances' FAA certificate
					 of registrations and certificate of air worthiness. Upon request, the ambulance
					 service/provider shall make their maintenance logs available to the
					 department.
B. Certifications of
					 all air ambulance personnel shall meet FAA requirements and local pilot and
					 medical personnel staffing protocols.
C. All air ambulances shall be equipped with
					 the safety equipment required by the FAA and shall be maintained and remain
					 operable.
D. In accordance with
					 R.S.
					 40:1135.8 et seq., all air ambulances shall
					 be equipped with the medical and safety equipment established under rules
					 promulgated by the Department of Health and based upon the recommendations of
					 an advisory committee. The medical and safety equipment shall conform to local
					 protocol as established by the medical director of the air ambulance service/
					 provider.
E. Air ambulances shall
					 carry the medical equipment that is mandated to them in the protocol by the
					 ambulance service/provider medical director and approved by the ambulance
					 service/provider governing body and, at a minimum, the medical equipment and
					 supplies equivalent to such required by ground ambulance
					 transportation.
F. All air
					 ambulance services shall carry advanced life support equipment and medical
					 supplies dependent on the level of licensure of personnel (paramedic level) and
					 as determined by the ambulance service/provider medical director and governing
					 body who have developed policies and procedures to maintain, update, or delete
					 certain advanced life support equipment and medical supplies as medically
					 indicated or contraindicated for their service area and have documentation
					 available to support the determination.
G. All air ambulances shall be staffed to the
					 advanced life support (paramedic) level. The paramedic(s) and each member of
					 the flight team are each responsible to ensure that equipment and supplies are
					 readily available and operable, as appropriate, for each flight service run to
					 meet the needs of the patients served.
H. All air ambulances shall have a
					 thermometer mounted inside the cabin. Cabin temperatures must be in the range
					 of 50-95 degrees Fahrenheit.
1. Mitigation
					 measures must be documented for when the cabin temperatures are outside this
					 range and the outcomes of these mitigation measures must be documented when the
					 temperature falls outside this range.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 61 - Automated External Defibrillators › Section I-6103 - General Provisions

Current through Register Vol. 50, No. 6, June 20, 2024
A. General
				  requirements of a Possessor
1. A possessor's
				  responsibility and requirements are as follows.
a. The AED must be maintained and tested
				  according to the manufacturer's guidelines; in accordance with state and
				  federal rules and polices, including review of product warranty expirations for
				  AED machine, pads and batteries.
b.
				  Expected AED users must receive appropriate training in CPR and in the use of
				  an AED by the American Heart Association, American Red Cross, the Health and
				  Safety Institute, or the equivalent cardiopulmonary resuscitation credential
				  that has been approved by LDH.
c.
				  The local provider of emergency medical services (EMS) (such as a 911 service,
				  local ambulance service, or fire department) must be activated by the possessor
				  as soon as possible when an individual renders emergency care to an individual
				  in cardiac arrest by using CPR or an AED. It is the responsibility of the
				  individual rendering the emergency care to activate the local EMS
				  provider.
d. The possessor must
				  comply with all applicable requirements of
				  R.S.
				  40:1137.3.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 61 - Automated External Defibrillators › Section I-6105 - Requirements and Reports

Current through Register Vol. 50, No. 6, June 20, 2024
A. General
				  Plan and Usage Review
1. All entities that are
				  required by La.
				  R.S.
				  40:1137.3 or this Chapter to possess an AED
				  must have a written CPR/AED guideline or plan for use during a sudden cardiac
				  arrest (SCA).
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 62 - Therapeutic Group Homes › Subchapter A - General Provisions › Section I-6201 - Introduction

Current through Register Vol. 50, No. 6, June 20, 2024
A. The purpose of
					 this Chapter is to provide for the development, establishment and enforcement
					 of statewide licensing standards for the care of clients in therapeutic group
					 homes (TGHs), to ensure the maintenance of these standards, and to regulate
					 conditions in these facilities through a program of licensure which shall
					 promote safe and adequate treatment of clients of TGHs.
B. Therapeutic group homes provide a 24 hours
					 per day, seven days per week, structured and supportive living environment. The
					 purpose of a TGH is to provide community-based services in a secured, homelike
					 environment to clients under the age of 21 who are determined to need
					 psychiatric or psychological services.
C. Each TGH shall deliver an array of
					 clinical treatment and related services, including psychiatric supports,
					 integration with community resources, and skill building taught within the
					 context of a safe home-like setting under the supervision of a professional
					 staff person.
D. The goal of a TGH
					 is to maintain the client's connections to their community, yet receive and
					 participate in a more intensive level of treatment in which the client lives
					 safely in a 24-hour setting.
1. Community
					 reintegration may be progressive and with individual consideration of the
					 clients safety, prior involvement in and potential for aberrant and criminal
					 activity, mental health status, and elopement consideration.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 62 - Therapeutic Group Homes › Subchapter B - Licensing › Section I-6207 - General Provisions

Current through Register Vol. 50, No. 6, June 20, 2024
A. All TGH
					 providers shall be licensed by the Department of Health. The department is the
					 only licensing authority for TGH providers in Louisiana. It shall be unlawful
					 to operate as a therapeutic group home without possessing a current, valid
					 license issued by the department. Each TGH shall be separately
					 licensed.
B. A TGH license shall:
1. be issued only to the person or entity
					 named in the license application;
2. be valid only for the TGH to which it is
					 issued and only for the specific geographic address of that TGH;
3. enable the provider to operate as a TGH
					 within a specific LDH region;
4. be
					 valid for up to one year from the date of issuance, unless revoked, suspended,
					 or modified prior to that date, or unless a provisional license is
					 issued;
5. expire on the expiration
					 date listed on the license, unless timely renewed by the TGH;
6. not be subject to sale, assignment,
					 donation or other transfer, whether voluntary or involuntary; and
7. be posted in a conspicuous place on the
					 licensed premises at all times.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 62 - Therapeutic Group Homes › Subchapter B - Licensing › Section I-6209 - Initial Licensing Application Process

Current through Register Vol. 50, No. 6, June 20, 2024
A. An initial application for licensing as a
					 TGH shall be obtained from the department. A completed initial license
					 application packet for a TGH shall be submitted to and approved by the
					 department prior to an applicant providing TGH services.
B. Currently licensed DCFS providers that are
					 converting to TGHs shall comply with all of the initial licensure requirements,
					 except plan review, and may be eligible for the exception to the bedroom space
					 requirement of this Chapter.
C. An
					 applicant shall submit a completed initial licensing application packet to the
					 department, which shall include:
1. a
					 completed TGH licensure application and the non-refundable licensing fee as
					 established by statute;
2. a copy
					 of the approval letter of the architectural plans for the TGH from the
					 department and from the OSFM, and any other office/entity designated by the
					 department required to review and approve the providers architectural
					 plans;
3. a copy of the on-site
					 inspection report with approval for occupancy by the Office of the State Fire
					 Marshal;
4. a copy of the health
					 inspection report with approval of occupancy from the Office of Public Health
					 (OPH);
5. a copy of statewide
					 criminal background checks, including sex offender registry status, on all
					 individual owners with a 5 percent or more ownership interest in the TGH, and
					 on all managing employees;
6. proof
					 of financial viability, comprised of the following:
a. a line of credit issued from a federally
					 insured, licensed lending institution in the amount of at least
					 $50,000;
b. general and
					 professional liability insurance of at least $300,000; and
c. worker's compensation insurance;
7. an organizational chart,
					 including the names and position titles of key administrative personnel and the
					 governing body; and
8. an 8 1/2 x
					 11 inch floor sketch or drawing of the premises to be licensed;
9. a letter of intent as to the types of
					 services or specialization that will be provided by the TGH (i.e. sexually
					 offending behaviors, etc.); and
10.
					 any other documentation or information required by the department for
					 licensure, including but not limited to, proof of approvals from local agencies
					 such as local zoning boards and ordinances.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 62 - Therapeutic Group Homes › Subchapter B - Licensing › Section I-6210 - Criminal Background Checks; Prohibitions to Ownership of and Employment at a Therapeutic Group Home; Process; Fees

Current through Register Vol. 50, No. 6, June 20, 2024
A. The provisions of this Section shall apply
					 to the following persons:
1. any person who
					 owns, operates, or manages a licensed therapeutic group home (TGH);
2. any person who has applied for a license
					 to operate a therapeutic group home;
3. any person who is employed by, is
					 contracted by, volunteers at, or interns with a therapeutic group
					 home;
4. any person who has applied
					 to be employed or contracted by a therapeutic group home; and
5. any person who has applied to volunteer or
					 intern with a therapeutic group home.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 62 - Therapeutic Group Homes › Subchapter B - Licensing › Section I-6213 - Changes in Licensee Information or Personnel

Current through Register Vol. 50, No. 6, June 20, 2024
A. Any change regarding the TGHs name, "doing
					 business as" name, mailing address, phone number, or any combination thereof,
					 shall be reported in writing to the department within five days of the change.
					 Any change regarding the TGH name or "doing business as" name requires a change
					 to the provider license and shall require a $25 fee for the issuance of an
					 amended license.
B. Any change
					 regarding the TGHs key administrative personnel shall be reported in writing to
					 the department within five days of the change.
1. Key administrative personnel shall include
					 the:
a. supervising practitioner;
b. clinical director; and
c. house manager.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 62 - Therapeutic Group Homes › Subchapter B - Licensing › Section I-6215 - Renewal of License

Current through Register Vol. 50, No. 6, June 20, 2024
A. To renew a
					 license, a TGH shall submit a completed license renewal application packet to
					 the department at least 30 days prior to the expiration of the existing current
					 license. The license renewal application packet shall include:
1. the license renewal application;
2. a copy of the current on-site inspection
					 report with approval for occupancy from the Office of the State Fire Marshal
					 and the Office of Public Health;
3.
					 proof of financial viability, comprised of the following:
a. a line of credit issued from a federally
					 insured, licensed lending institution in the amount of at least
					 $50,000;
b. general and
					 professional liability insurance of at least $300,000; and
c. worker's compensation insurance;
4. the license renewal fee;
					 and
5. any other documentation
					 required by the department.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 62 - Therapeutic Group Homes › Subchapter B - Licensing › Section I-6217 - Deemed Status

Current through Register Vol. 50, No. 6, June 20, 2024
A. A licensed
					 TGH may request deemed status from the department. The department may accept
					 accreditation in lieu of a routine on-site licensing survey provided that:
1. the accreditation is obtained through an
					 organization approved by the department;
2. all services provided under the TGH
					 license shall be accredited; and
3.
					 the provider forwards the accrediting body's findings to the Health Standards
					 Section within 30 days of its accreditation.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 62 - Therapeutic Group Homes › Subchapter B - Licensing › Section I-6219 - Licensing Surveys

Current through Register Vol. 50, No. 6, June 20, 2024
A. Prior to the
					 initial license being issued to the TGH, an initial licensing survey shall be
					 conducted on-site at the facility to assure compliance with licensing
					 standards. Except for providers currently maintaining a license as a child
					 residential facility from DCFS, a TGH shall not provide services to any client
					 until the initial licensing survey has been performed and the provider found in
					 compliance with the licensing standards. The initial licensing survey shall be
					 an announced survey.
B. Once an
					 initial license has been issued, the department may conduct licensing and other
					 surveys at intervals deemed necessary by the department to determine compliance
					 with licensing standards and regulations, as well as other required statutes,
					 laws, ordinances, rules, regulations, and fees. These surveys shall be
					 unannounced.
C. A follow-up survey
					 may be conducted for any survey where deficiencies have been cited to ensure
					 correction of the deficient practices. The department shall issue written
					 notice to the provider of the results of the follow-up survey.
D. An acceptable plan of correction may be
					 required for any survey where deficiencies have been cited.
E. If deficiencies have been cited during a
					 licensing survey, regardless of whether an acceptable plan of correction is
					 required, the department may issue appropriate sanctions, including, but not
					 limited to:
1. civil fines;
2. directed plans of correction;
3. provisional licensure;
4. denial of renewal; and/or
5. license revocations.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 62 - Therapeutic Group Homes › Subchapter B - Licensing › Section I-6223 - Statement of Deficiencies

Current through Register Vol. 50, No. 6, June 20, 2024
A. The
					 following statements of deficiencies issued by the Department to the TGH shall
					 be posted in a conspicuous place on the licensed premises:
1. the most recent annual survey statement of
					 deficiencies; and
2. any complaint
					 survey statement of deficiencies issued after the most recent annual
					 survey.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 62 - Therapeutic Group Homes › Subchapter B - Licensing › Section I-6225 - Cessation of Business

Current through Register Vol. 50, No. 6, June 20, 2024
A. Except as
					 provided in
					 §6295 of this
					 Chapter, a license shall be immediately null and void if a TGH ceases to
					 operate.
B. A cessation of
					 business is deemed to be effective the date on which the TGH stopped offering
					 or providing services to the community.
C. Upon the cessation of business, the
					 provider shall immediately return the original license to the
					 department.
D. Cessation of
					 business is deemed to be a voluntary action on the part of the provider. The
					 provider does not have a right to appeal a cessation of business.
E. Prior to the effective date of the closure
					 or cessation of business, the TGH shall:
1.
					 give 30 days advance written notice to:
a.
					 HSS;
b. the prescribing physician;
					 and
c. the parent(s) or legal
					 guardian or legal representative of each client; and
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 62 - Therapeutic Group Homes › Subchapter B - Licensing › Section I-6227 - Denial of License, Revocation of License, or Denial of License Renewal

Current through Register Vol. 50, No. 6, June 20, 2024
A. In accordance
					 with the provisions of the Administrative Procedure Act, the department may:
1. deny an application for an initial
					 license;
2. deny a license renewal;
					 or
3. revoke a license.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 62 - Therapeutic Group Homes › Subchapter B - Licensing › Section I-6229 - Notice and Appeal of License Denial, License Revocation, Denial of License Renewal, and Appeal of Provisional License

Current through Register Vol. 50, No. 6, June 20, 2024
A. Notice of a license denial, license
					 revocation or denial of license renewal shall be given to the provider in
					 writing.
B. The TGH provider has a
					 right to an informal reconsideration of the license denial, license revocation,
					 or denial of license renewal. There is no right to an informal reconsideration
					 of a voluntary non-renewal or surrender of a license by the provider.
1. The TGH provider shall request the
					 informal reconsideration within 15 calendar days of the receipt of the notice
					 of the license denial, license revocation, or denial of license renewal. The
					 request for informal reconsideration shall be in writing and shall be forwarded
					 to the Health Standards Section.
2.
					 The request for informal reconsideration shall include any documentation that
					 demonstrates that the determination was made in error.
3. If a timely request for an informal
					 reconsideration is received by the Health Standards Section, an informal
					 reconsideration shall be scheduled and the provider shall receive written
					 notification of the date of the informal reconsideration.
4. The provider shall have the right to
					 appear in person at the informal reconsideration and may be represented by
					 counsel.
5. Correction of a
					 violation or deficiency which is the basis for the denial, revocation or
					 non-renewal shall not be a basis for reconsideration.
6. The informal reconsideration process is
					 not in lieu of the administrative appeals process.
7. The provider shall be notified in writing
					 of the results of the informal reconsideration.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 62 - Therapeutic Group Homes › Subchapter C - Administration and Organization › Section I-6233 - General Provisions

Current through Register Vol. 50, No. 6, June 20, 2024
A. Purpose
					 and Organizational Structure. The purpose of the TGH shall be clearly defined
					 in a statement filed with the department. The statement includes the:
1. program philosophy;
2. program goals and objectives;
3. ages, sex and characteristics of clients
					 accepted for care;
4. geographic
					 area served;
5. types of services
					 provided;
6. description of
					 admission policies; and
7. needs,
					 problems, situations or patterns best addressed by the provider's program;
					 and
8. an organizational chart of
					 the TGH which clearly delineates the line of authority.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 62 - Therapeutic Group Homes › Subchapter C - Administration and Organization › Section I-6237 - Governing Body

Current through Register Vol. 50, No. 6, June 20, 2024
A. A TGH shall have
					 an identifiable governing body with responsibility for and authority over the
					 policies and operations of the home.
1. A TGH
					 shall have documents identifying all members of the governing body, their
					 addresses, their terms of membership, officers of the governing body and terms
					 of office of any officers.
2. The
					 governing body shall be comprised of three or more persons and shall hold
					 formal meetings at least twice a year.
3. There shall be written minutes of all
					 formal meetings of the governing body and by-laws specifying frequency of
					 meetings and quorum requirements.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 62 - Therapeutic Group Homes › Subchapter C - Administration and Organization › Section I-6239 - Policies and Procedures

Current through Register Vol. 50, No. 6, June 20, 2024
A. The TGH
					 shall have written policies and procedures approved by the owner or governing
					 body, which shall be implemented and followed, that address at a minimum the
					 following:
1. confidentiality and
					 confidentiality agreements;
2.
					 security of files;
3. publicity and
					 marketing, including the prohibition of illegal or coercive inducement,
					 solicitation and kickbacks;
4.
					 personnel;
5. client
					 rights;
6. grievance
					 procedures;
7. client
					 funds;
8. emergency
					 preparedness;
9. abuse and
					 neglect;
10. incidents and
					 accidents, including medical emergencies;
11. universal precautions;
12. documentation;
13. admission and discharge
					 procedures;
14. bedroom assignment
					 for clients; and
15. behavior
					 management.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 62 - Therapeutic Group Homes › Subchapter C - Administration and Organization › Section I-6241 - Personnel Records

Current through Register Vol. 50, No. 6, June 20, 2024
A. A TGH shall
					 have a personnel file in the facility for each staff member who provides
					 services for the TGH. Each record shall contain:
1. the application for employment and/or
					 resume;
2. reference letters from
					 former employer(s) and personal references or written documentation based on
					 telephone contact with such references;
3. any required medical
					 examinations;
4. evidence of
					 current applicable professional credentials/certifications according to state
					 law or regulations;
5. annual
					 performance evaluations;
6.
					 personnel actions, other appropriate materials, reports and notes relating to
					 the individual's employment with the center;
7. the employees starting and termination
					 dates; and
8. the results of
					 criminal history and registry checks.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 62 - Therapeutic Group Homes › Subchapter D - Provider Responsibilities › Section I-6245 - General Provisions

Current through Register Vol. 50, No. 6, June 20, 2024
A. The TGH
					 shall have at least one staff member on duty per shift to have current CPR and
					 first aid certification.
B. For
					 contract services, the TGH shall have formal written agreements with
					 professionals or other entities to provide services which may or may not be
					 directly offered by facility staff. Both parties shall review and document
					 review of each agreement annually.
C. The TGH shall ensure that a criminal
					 background check is conducted on employees in accordance with the provisions of
					 R.S.
					 15:587.1 and
					 R.S.
					 46:51.2.
1.
					 The TGH shall have a written policy and procedure for obtaining the criminal
					 background check.
2. No person,
					 having any supervisory or other interaction with clients, shall be hired until
					 such person has submitted his or her fingerprints to the Louisiana Bureau of
					 Criminal Identification and Information, and it has been determined that such
					 person has not been convicted of or pled nolo contendere to a crime listed in
					 R.S.
					 15:587.1(C). This shall
					 include any employee or non-employee, including independent contractors,
					 consultants, students, volunteers, trainees, or any other associated person,
					 who performs paid or unpaid work with or for the TGH.
3. Contractors hired to perform work which
					 does not involve any contact with clients shall not be required to have a
					 criminal background check if accompanied at all times by a staff person if
					 clients are present in the facility.
4. Any employee who is convicted of or has
					 pled nolo contendere to any crime listed in
					 R.S.
					 15:587.1(C) shall not
					 continue employment after such conviction or nolo contendere plea.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 62 - Therapeutic Group Homes › Subchapter D - Provider Responsibilities › Section I-6247 - Staffing Requirements

Current through Register Vol. 50, No. 6, June 20, 2024
A. There
					 shall be a single organized professional staff that has the overall
					 responsibility for the quality of all clinical care provided to clients, for
					 the ethical conduct and professional practices of its members, as well as for
					 accounting therefore to the governing body. The manner in which the
					 professional staff is organized shall be consistent with the TGH's documented
					 staff organization and policies and shall pertain to the setting where the TGH
					 is located. The organization of the professional staff and its policies shall
					 be approved by the TGH's governing body.
B. The staff of a TGH shall have the
					 appropriate qualifications to provide the services required by its clients
					 comprehensive treatment plans. Each member of the direct care staff may not
					 practice beyond the scope of his/her license or certification.
C. Staffing Ratios
1. All staffing shall be adequate to meet the
					 individualized treatment needs of the clients and the responsibilities of the
					 staff. Staffing schedules shall reflect overlap in shift hours to accommodate
					 information exchange for continuity of client treatment, adequate numbers of
					 staff reflective of the tone of the unit, appropriate staff gender mix and the
					 consistent presence and availability of professional staff. In addition,
					 staffing schedules should ensure the presence and availability of professional
					 staff on nights and weekends, when parents are available to participate in
					 family therapy and to provide input on the treatment of their child.
2. A TGH shall have a minimum of two staff on
					 duty per shift in each living unit, with at least one staff person awake during
					 overnight shifts with the ability to call in as many staff as necessary to
					 maintain safety and control in the facility, depending upon the needs of the
					 current population at any given time.
3. A ratio of not less than one staff to five
					 clients is maintained at all times; however, two staff shall be on duty at all
					 times with at least one being direct care staff when there is a client present.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 62 - Therapeutic Group Homes › Subchapter D - Provider Responsibilities › Section I-6249 - Personnel Qualifications and Responsibilities

Current through Register Vol. 50, No. 6, June 20, 2024
A. Professional Staffing Standards. The
					 following are the minimum staffing requirements for TGHs.
1. Supervising Practitioner
a. A supervising practitioner shall be one of
					 the following:
i. a physician with an
					 unrestricted license to practice in Louisiana and who meets all of the
					 following qualifications:
(a). an
					 unrestricted drug enforcement agency (DEA) and Louisiana controlled substance
					 license;
(b). if the physician
					 holds an additional license(s) in another state or jurisdiction, that
					 license(s) shall be unrestricted and be documented in the employment
					 record;
(c). board-certification in
					 general psychiatry; and
(d).
					 satisfactory completion of a specialized psychiatric residency training program
					 accredited by the Accreditation Council for Graduate Medical Education (ACGME),
					 as evidenced by a copy of the certificate of training or a letter of
					 verification of training from the training director, which includes the exact
					 dates of training and verification that all ACGME requirements have been
					 satisfactorily met. If training was completed in a psychiatric residency
					 program not accredited by the ACGME, the physician shall demonstrate that
					 he/she meets the most current requirements as set forth in the American Board
					 of Psychiatry and Neurologys Board policies, rules and regulations regarding
					 information for applicants for initial certification in psychiatry;
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 62 - Therapeutic Group Homes › Subchapter D - Provider Responsibilities › Section I-6251 - Client Records

Current through Register Vol. 50, No. 6, June 20, 2024
A. Client
					 records shall be maintained in the TGH and shall be kept secure and
					 confidential. The provider shall have a written record for each client which
					 shall include:
1. identifying data including:
a. name;
b. date of birth;
c. address;
d. telephone number;
e. social security number; and
f. legal status;
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 62 - Therapeutic Group Homes › Subchapter D - Provider Responsibilities › Section I-6253 - Client Funds and Assets

Current through Register Vol. 50, No. 6, June 20, 2024
A. The TGH
					 shall develop and implement written policies and procedures governing the
					 maintenance and protection of client funds. These policies and procedures shall
					 have provisions which include, but are not limited to, the following:
1. the amount each client can have;
2. the criteria by which clients can access
					 their money;
3. the procedure for
					 disbursement; and
4. staff who can
					 access such funds.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 62 - Therapeutic Group Homes › Subchapter D - Provider Responsibilities › Section I-6255 - Quality Improvement Plan

Current through Register Vol. 50, No. 6, June 20, 2024
A. A TGH
					 shall have a quality improvement (QI) plan which puts systems in place to
					 effectively identify issues for which quality monitoring, remediation, and
					 improvement activities are necessary. The QI plan shall include plans of action
					 to correct identified issues including monitoring the effect of implemented
					 changes and making needed revisions to the action plan.
B. The QI plan shall include:
1. a process for obtaining input annually
					 from the client/guardian/authorized representatives and family members, as
					 applicable. This process shall include, but not be limited to:
a. satisfaction surveys done by mail or
					 telephone;
b. focus groups;
					 and
c. other processes for
					 receiving input regarding the quality of services received;
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 62 - Therapeutic Group Homes › Subchapter E - Admission, Transfer, and Discharge › Section I-6259 - Admission Requirements

Current through Register Vol. 50, No. 6, June 20, 2024
A. A TGH
					 shall have written admissions policies and criteria which shall include the
					 following:
1. intake policy and
					 procedures;
2. admission criteria
					 and procedures;
3. policy regarding
					 the determination of legal status, according to appropriate state laws, before
					 admission;
4. the age of the
					 populations served;
5. the services
					 provided by the TGH; and
6.
					 criteria for discharge.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 62 - Therapeutic Group Homes › Subchapter F - Services › Section I-6265 - General Provisions

Current through Register Vol. 50, No. 6, June 20, 2024
A. Upon
					 admission, the TGH shall conduct an initial diagnostic interview. A nursing
					 assessment shall be completed by a registered nurse within 24 hours of
					 admission.
B. The TGH shall
					 develop and implement an initial plan of care after completion of the initial
					 diagnostic interview and utilizing the information contained in the
					 pretreatment assessment to implement care for the client up to and until the
					 comprehensive treatment plan is developed.
C. The TGH shall ensure that requirements for
					 pretreatment assessment are met prior to treatment commencing.
AUTHORITY NOTE:
						Promulgated in accordance with
						R.S.
						36:254 and
						R.S.
						40:2009.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 62 - Therapeutic Group Homes › Subchapter F - Services › Section I-6267 - Comprehensive Treatment Plan

Current through Register Vol. 50, No. 6, June 20, 2024
A.
					 Within seven days of admission, a comprehensive treatment plan shall be
					 developed by the established multidisciplinary team of staff providing services
					 for the client. Each treatment team member shall sign and indicate their
					 attendance and involvement in the treatment team meeting. The treatment team
					 review shall be directed and supervised by the supervising practitioner at a
					 minimum of every 28 days.
B. The
					 multi-disciplinary team shall be made up of at least the supervising
					 practitioner, clinical director, registered nurse, and therapist. The client
					 and the client's guardian/family shall be included as treatment planning
					 members in the development of the comprehensive treatment plan and in the
					 update of treatment goals as clinically indicated.
C. In the event the supervising practitioner
					 is not present at a treatment team meeting during a review of a comprehensive
					 treatment plan, the supervising practitioner shall review and sign the
					 comprehensive treatment plan within 10 calendar days following the
					 meeting.
D. The TGH shall have an
					 original completed, dated and signed team meeting document with signatures of
					 all who attended as well as evidence of invitations extended to the meeting,
					 such as copies of letters, emails or service logs, as clinically indicated.
E. The multi-disciplinary team
					 shall identify any barriers to treatment and modify the plan in order to
					 continue to facilitate active movement toward the time-limited treatment goals
					 identified in the plan.
F. The TGH
					 shall use a standardized assessment and treatment planning tool such as the
Child and Adolescent Needs and Strengths
(CANS).
G. Each client's treatment plan shall
					 identify individualized strength-based services and supports. The
					 individualized, strengths-based services and supports:
1. are identified in partnership with the
					 client and his or her family and support system to the fullest possible extent
					 and if developmentally appropriate;
2. are based on both clinical and functional
					 assessments;
3. are clinically
					 monitored and coordinated, with 24-hour availability;
4. are implemented with oversight from a
					 licensed mental health professional; and
5. assist with the development of skills for
					 daily living and support success in community settings, including home and
					 school.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 62 - Therapeutic Group Homes › Subchapter F - Services › Section I-6269 - Client Services

Current through Register Vol. 50, No. 6, June 20, 2024
A. The TGH
					 shall ensure services in the following areas to meet the specialized needs of
					 the client:
1. psychological and psychiatric
					 services;
2. physical and
					 occupational therapy;
3. speech
					 pathology and audiology; and
4.
					 other medical and dental services as needed.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 62 - Therapeutic Group Homes › Subchapter F - Services › Section I-6271 - Medications

Current through Register Vol. 50, No. 6, June 20, 2024
A. All TGHs that
					 store and/or dispense scheduled narcotics shall have a site-specific Louisiana
					 controlled substance license and a United States Drug Enforcement
					 Administration (DEA) controlled substance registration for the provider in
					 accordance with the Louisiana Uniform Controlled Dangerous Substance Act and
					 title 21 of the
United States Code
.
B. The TGH shall have written policies and
					 procedures that govern the safe administration and handling of all prescription
					 and nonprescription medications.
C.
					 The TGH shall have a written policy governing the self-administration of all
					 medications. Such policy shall include provisions regarding age limitations for
					 self-administration, multi-disciplinary team recommendations, and parental
					 consent, if applicable. Those clients that have been assessed to be able to
					 safely self-administer medications shall be monitored by licensed or qualified
					 staff to ensure medication is taken as prescribed in the comprehensive
					 treatment plan.
D. The TGH shall
					 ensure that medications are either self-administered or administered by
					 licensed persons according to state law.
E. The TGH shall have a written policy for
					 handling medication taken from the facility by clients on pass.
F. The TGH shall ensure that any medication
					 given to a client for therapeutic and medical purposes is in accordance with
					 the written order of a physician.
1. There
					 shall be no standing orders for prescription medications.
2. There shall be standing orders, signed by
					 the physician, for nonprescription drugs with directions from the physician
					 indicating when he/she is to be contacted. Standing orders shall be updated
					 annually by the physician.
3.
					 Copies of all written orders shall be kept in the client's file.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 62 - Therapeutic Group Homes › Subchapter F - Services › Section I-6273 - Food and Diet

Current through Register Vol. 50, No. 6, June 20, 2024
A. The TGH shall
					 ensure that all dietary services are provided in consultation with a Louisiana
					 licensed registered dietician. The registered dietician shall be available
					 regarding the nutritional needs, the special diets of individual clients and to
					 assist in the development of policies and procedures for the handling, serving
					 and storage of food.
B. The
					 provider shall have written policies and procedures that ensure that a client
					 is, on a daily basis, provided with food of such quality and in such quantity
					 as to meet the recommended daily dietary allowances adjusted for age, gender
					 and activity of the Food Nutrition Board of the National Research Council and
					 doesn't deny any rights of the client.
C. Meals, whether prepared by the provider or
					 contracted from an outside source, shall meet the following conditions:
1. menus shall be written in advance, shall
					 provide for a variety of nutritional foods and shall be reviewed and approved
					 by a licensed registered dietician;
2. records of menus, as served, shall be
					 filed and maintained for at least 30 days;
3. modified diets shall be prescribed by a
					 physician;
4. food preparation
					 areas and utensils shall be maintained in accordance with state and local
					 sanitation and safe food handling standards. Pets are not allowed in food
					 preparation and serving areas; and
5. the clinical director or house manager
					 shall designate one staff member who shall be responsible for meal
					 preparation/serving if meals are prepared in the facility.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 62 - Therapeutic Group Homes › Subchapter F - Services › Section I-6275 - Transportation

Current through Register Vol. 50, No. 6, June 20, 2024
A. A TGH provider
					 shall arrange for or provide transportation necessary for implementing the
					 client's treatment plan.
B. Any
					 vehicle used to transport clients, whether such vehicle is operated by a staff
					 member or any other person acting on behalf of the provider, shall be:
1. properly licensed and inspected in
					 accordance with state law;
2.
					 maintained in a safe condition;
3.
					 operated at a temperature that does not compromise the health, safety or needs
					 of the client; and
4. operated in
					 conformity with all of the applicable motor vehicle laws.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 62 - Therapeutic Group Homes › Subchapter G - Client Protections › Section I-6281 - Grievances

Current through Register Vol. 50, No. 6, June 20, 2024
A. The provider
					 shall have a written grievance procedure for clients designed to allow clients
					 to make complaints without fear of retaliation. The procedure shall include,
					 but not be limited to:
1. a time line for
					 responding to grievances;
2. a
					 method of responding to grievances;
3. a procedure for filing a grievance;
					 and
4. staff responsibilities for
					 handling grievances.