reglab/statecodes huggingface dataset:
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 88 - Nurse Licensure Compact › Section I-8801 - Definitions

Current through Register Vol. 50, No. 6, June 20, 2024
Department
-the Louisiana Department of
					 Health (LDH), the department.
Health Standards Section (HSS)
-the section
					 in LDH responsible for licensing health care facilities and agencies,
					 certifying facilities and agencies applying for participation in the Medicaid
					 (title XIX) and Medicare (title XVIII) programs, and conducting surveys and
					 inspections.
Home State
-the party state which is the
					 nurse's primary state of residence.
Licensing Board
-a party state's regulatory
					 body responsible for issuing nurse licenses.
Multi-State License
-a license to practice
					 as a registered nurse (RN) or a licensed practical nurse/licensed vocational
					 nurse (LPN/LVN) issued by a home state licensing board that authorizes the
					 licensed nurse to practice in all party states under a multi-state licensure
					 privilege.
Multi-State Licensure Privilege
-a legal
					 authorization associated with a multistate license permitting the practice of
					 nursing as either an RN or LPN/LVN in a remote state.
Nurse
-registered nurse (RN) or licensed
					 practical nurse/licensed vocational nurse (LPN/LVN), as defined by each party
					 state's practice laws.
Nurse Licensure Compact (NLC)
-Part V of
					 Chapter 11 of Title 37 of the Louisiana Revised Statutes of 1950, comprised of
					 R.S.
					 37:1018 through 1020.
Party State
-any state that has adopted the
					 Nurse Licensure Compact.
Remote State
-a party state other than the
					 home state.
Single-State License
-a nurse license
					 issued by a party state that authorizes practice only within the issuing state
					 and does not include a multi-state licensure privilege to practice in any other
					 party state.
State
-a state, territory or possession of
					 the United States and the District of Columbia.
State Practice Laws
-a party state's laws,
					 rules and regulations that govern the practice of nursing, define the scope of
					 nursing practice and create the methods and grounds for imposing discipline.
					 State practice laws do not include requirements necessary to obtain and retain
					 a license, except for qualifications or requirements of the home state.
AUTHORITY NOTE:
					 Promulgated in accordance with
					 R.S.
					 36:254 and R.S.
					 37:1018-1020.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 88 - Nurse Licensure Compact › Section I-8803 - General Administration

Current through Register Vol. 50, No. 6, June 20, 2024
A.
				  Pursuant to R.S. 37:1018-1020 et seq., all health care entities licensed and/or
				  certified by the Health Standards Section of LDH including, but not limited to,
				  those specified in §8803.B 1-25 shall:
1. register with the National Council of
				  State Boards of Nursings (NCSBN) Nursys e-Notify system; and
2. provide required nurse data for collection
				  of aggregate data from employees on the number and geographic representation of
				  registered nurses (RNs) and licensed practical nurses/licensed vocational
				  nurses (LPNs/LVNs) employed in Louisiana practicing pursuant to a multi-state
				  or single state license, as determined by the Louisiana State Board of Nursing
				  (LSBN) and the Louisiana State Board of Practical Nurse Examiners
				  (LSBPNE).
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 88 - Nurse Licensure Compact › Section I-8805 - Licensed Facility and Agency Requirements

Current through Register Vol. 50, No. 6, June 20, 2024
A. In accordance with federal, state and
				  local laws, rules and regulations, agencies and facilities licensed by the
				  department shall comply with state nurse licensure laws to ensure the health
				  and safety of the public.
B. The
				  governing body of the health care facility or agency licensed by the department
				  shall be responsible for registering with the NCSBNs Nursys e-Notify system (or
				  other system as designated by the state board of nursing).
C. Facilities and agencies licensed by the
				  department as health care providers shall report data to the applicable state
				  nurse licensing board on the number and geographic representation of RNs and
				  LPNs/LVNs employed by the licensed health care facility or agency practicing
				  pursuant to a multi-state license, as determined by the respective licensing
				  board.
D. The report shall be
				  completed prior to an RN or LPN/LVN furnishing any nursing services in this
				  state. Failure of an employer to submit this data to the board shall not be a
				  basis for disciplinary action against or restriction of the multi-state license
				  of any RN or LPN/LVN.
E. The
				  governing body of the licensed health care facility or agency shall be
				  responsible for the development, implementation and enforcement of policies and
				  procedures related to §8805 A-D, as applicable to the facility or
				  agency.
AUTHORITY NOTE:
					 Promulgated in accordance with
					 R.S.
					 36:254 and R.S.
					 37:1018-1020.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 88 - Nurse Licensure Compact › Section I-8807 - Denial, Revocation or Nonrenewal of License, Appeal Procedure (Repealed)

Current through Register Vol. 50, No. 6, June 20, 2024
AUTHORITY NOTE:
					 Promulgated in accordance with
					 R.S.
					 40:2166.1-2166.8.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 88 - Nurse Licensure Compact › Section I-8809 - Operating Without a License or in Violation of Departmental Regulations; Penalty; Injunctive Relief (Repealed)

Current through Register Vol. 50, No. 6, June 20, 2024
AUTHORITY NOTE:
					 Promulgated in accordance with
					 R.S.
					 40:2166.1-2166.8.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 88 - Nurse Licensure Compact › Section I-8811 - General Authority and Regulations (Repealed)

Current through Register Vol. 50, No. 6, June 20, 2024
AUTHORITY NOTE:
					 Promulgated in accordance with
					 R.S.
					 40:2166.1-2166.8.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 88 - Nurse Licensure Compact › Section I-8813 - Definitions (Repealed)

Current through Register Vol. 50, No. 6, June 20, 2024
AUTHORITY NOTE:
					 Promulgated in accordance with
					 R.S.
					 40:2166.1-2166.8.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 88 - Nurse Licensure Compact › Section I-8815 - Organization and Administration (Repealed)

Current through Register Vol. 50, No. 6, June 20, 2024
AUTHORITY NOTE:
					 Promulgated in accordance with
					 R.S.
					 40:2166.1-2166.8.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 88 - Nurse Licensure Compact › Section I-8817 - Management Responsibilities (Repealed)

Current through Register Vol. 50, No. 6, June 20, 2024
AUTHORITY NOTE:
					 Promulgated in accordance with
					 R.S.
					 40:2166.1-2166.8.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 88 - Nurse Licensure Compact › Section I-8819 - Required Staffing (Repealed)

Current through Register Vol. 50, No. 6, June 20, 2024
AUTHORITY NOTE:
					 Promulgated in accordance with
					 R.S.
					 40:2166.1-2166.8.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 88 - Nurse Licensure Compact › Section I-8821 - Resident Protection (Repealed)

Current through Register Vol. 50, No. 6, June 20, 2024
AUTHORITY NOTE:
					 Promulgated in accordance with
					 R.S.
					 40:2166.1-2166.8.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 88 - Nurse Licensure Compact › Section I-8823 - Admission (Repealed)

Current through Register Vol. 50, No. 6, June 20, 2024
AUTHORITY NOTE:
					 Promulgated in accordance with
					 R.S.
					 40:2166.1-2166.8.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 88 - Nurse Licensure Compact › Section I-8825 - Discharge (Repealed)

Current through Register Vol. 50, No. 6, June 20, 2024
AUTHORITY NOTE:
					 Promulgated in accordance with
					 R.S.
					 40:2166.1-2166.8.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 88 - Nurse Licensure Compact › Section I-8827 - Services (Repealed)

Current through Register Vol. 50, No. 6, June 20, 2024
AUTHORITY NOTE:
					 Promulgated in accordance with
					 R.S.
					 40:2166.1-2166.8.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 88 - Nurse Licensure Compact › Section I-8829 - Environment (Repealed)

Current through Register Vol. 50, No. 6, June 20, 2024
AUTHORITY NOTE:
					 Promulgated in accordance with
					 R.S.
					 40:2166.1-2166.8.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 88 - Nurse Licensure Compact › Section I-8831 - Assisted Living (Repealed)

Current through Register Vol. 50, No. 6, June 20, 2024
AUTHORITY NOTE:
					 Promulgated in accordance with
					 R.S.
					 40:2166.1-2166.8.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 88 - Nurse Licensure Compact › Section I-8833 - Personal Care Home (Repealed)

Current through Register Vol. 50, No. 6, June 20, 2024
AUTHORITY NOTE:
					 Promulgated in accordance with
					 R.S.
					 40:2166.1-2166.8.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 88 - Nurse Licensure Compact › Section I-8835 - Shelter Care Facility (Repealed)

Current through Register Vol. 50, No. 6, June 20, 2024
AUTHORITY NOTE:
					 Promulgated in accordance with
					 R.S.
					 40:2166.1-2166.8.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 89 - Crisis Intervention › Section I-8901 - Purpose

Current through Register Vol. 50, No. 6, June 20, 2024
A. The overall
				  purpose of these regulations is the protection of the health, safety and
				  well-being of persons served by crisis care providers.
AUTHORITY NOTE:
					 Promulgated in accordance with
					 R.S.
					 46:51.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 89 - Crisis Intervention › Section I-8903 - Procedures

Current through Register Vol. 50, No. 6, June 20, 2024
A. Initial
				  Application. Before beginning operation, it is mandatory to obtain a license
				  from the Department of Social Services. To do so, the following steps should be
				  followed:
1. Secure an application form
				  issued by: Department of Social Services Bureau of Licensing, P. O. Box 3078,
				  Baton Rouge, LA 70821-3078. Phone: (504) 922-0015
2. A license will be issued on an initial
				  application when the licensure inspection verifying compliance is completed and
				  verification is received by the Bureau of Licensing.
3. When a Provider changes location, it is
				  mandatory to notify the Bureau of Licensing and program offices as appropriate.
				  Additionally the provider must submit the processing fee to the
				  bureau.
4. When a provider changes
				  ownership, a new application and fee are required.
5. A license is valid for the period for
				  which it is issued but may be revoked if the provider falls below minimum
				  standards.
6. The department is
				  authorized to determine the period during which the license shall be effective.
				  A license is not transferable to another person or location.
7. If a director or member of his immediate
				  family has had a previous license revoked or refused, upon re-application,
				  applicant shall provide satisfactory evidence that the reason for such
				  revocation no longer exists.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 89 - Crisis Intervention › Section I-8905 - Organization and Administration

Current through Register Vol. 50, No. 6, June 20, 2024
A.
				  General Requirements
1. A provider shall
				  allow designated representatives of DSS in the performance of their mandated
				  duties to inspect all aspects of a provider's functioning which impact on
				  clients and to interview any staff member or client (if the client agrees to
				  said interview).
2. A provider
				  shall make any information which the Provider is required to have under the
				  present requirements and any information reasonably related to assessment of
				  compliance with these requirements available to DSS.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 89 - Crisis Intervention › Section I-8907 - Program and Services

Current through Register Vol. 50, No. 6, June 20, 2024
A. Program
				  Description
1. A provider shall have a
				  written program description describing:
a. the
				  overall philosophy of the provider;
b. the long-term and short-term goals of the
				  provider;
c. the types of clients
				  best served by the provider;
d.
				  there shall be written eligibility criteria for each of the services/programs
				  provided;
e. the services provided
				  directly or through subcontract by the provider;
f. a schedule for any fees for services which
				  will be charged the client.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 89 - Crisis Intervention › Section I-8909 - Personnel

Current through Register Vol. 50, No. 6, June 20, 2024
A. Staff Plan. A
				  provider shall have a written plan for recruitment, screening, orientation,
				  ongoing training, development, supervision, and performance evaluation of staff
				  members.
B. Nondiscrimination. A
				  provider shall have a written policy to prevent discrimination and shall comply
				  with all state and federal employment and service delivery laws and regulations
				  pertaining to nondiscrimination.
C.
				  Recruitment. A provider shall actively recruit and, whenever possible, employ
				  qualified persons of both sexes representative of the cultural and racial
				  groups served by the provider. This shall include the hiring of qualified
				  persons with disabilities.
D.
				  Education and Experience Requirements. Provider shall establish requisite
				  education and experience qualifications for the crisis worker doing one-to-one
				  Intervention, which shall include:
1. a
				  bachelor's degree in a human service related field (social work, psychology,
				  counseling, criminal justice, education) and one year successful paid work
				  experience with clients with emotional disorders; or,
2. a high school diploma with two years
				  successful paid work experience with clients with emotional disorders;
				  however,
3. the provider may elect
				  to permit applicants who are parents of children with emotional disorders to
				  substitute their year(s) of successful parenting experience for the requisite
				  years of work experience.
4.
				  provider shall establish requisite education and experience qualifications for
				  crisis workers responsible for mental health assessments, which shall include:
a. A bachelor's degree in a human service
				  related field (social work, psychology, counseling, criminal justice,
				  education); and
b. two years
				  successful paid work experience with clients with emotional
				  disorders.
5. provider
				  shall establish requisite education and experience qualifications for crisis
				  workers responsible for clinical supervision of staff which shall include:
a. a valid Louisiana license in a mental
				  health/counseling profession (board certified social worker, licensed
				  professional counselor, licensed psychologist, physician, registered nurse);
				  and
b. successful work experience
				  with clients with emotional disorders.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 89 - Crisis Intervention › Section I-8911 - Client Rights and Grievance Procedure

Current through Register Vol. 50, No. 6, June 20, 2024
A. A provider shall ensure that clients are
				  provided all rights available to them, be they interdicted or not, and shall
				  document same.
B. A provider shall
				  make every effort to ensure that a client understands his/her rights in matters
				  such as access to services, appeal, grievance, and protection from
				  abuse.
C. A provider shall have a
				  written grievance procedure for clients designed to allow clients to make
				  complaints without fear of retaliation.
AUTHORITY NOTE:
					 Promulgated in accordance with
					 R.S.
					 46:51.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 89 - Crisis Intervention › Section I-8913 - Glossary of Terms

Current through Register Vol. 50, No. 6, June 20, 2024
Crisis
-the subjective reaction to a
					 stressful life experience that compromises the individual's and/or family's
					 stability and ability to cope or function.
Crisis Assessment
-exploration of the
					 precipitating factors, description of current manifestations, identification of
					 available resources, and development of a crisis response plan.
Crisis De-escalation
-techniques for
					 reduction in crisis manifestations and implementation of the crisis response
					 plan.
Crisis Intervention
-treatment which
					 alleviates the impact of a crisis and helps mobilize the resources and improve
					 the coping skills of those affected.
Crisis Intervention Service
-services
					 which provide assessment, de-escalation and referrals to those in
					 emotional/behavioral crisis. This may include one-to-one intervention to
					 prevent harm to self or others. These services may be available 24 hours a day,
					 seven days a week and are usually staffed by crisis clinicians, social workers,
					 and trained paraprofessionals.
Crisis Worker
-professional or
					 paraprofessional worker engaged in direct services delivery or in supervision
					 of direct services delivery.
DSM IV
-fourth edition of the American
					 Psychiatric Association's Diagnostic and Statistical Manual of Mental
					 Disorders.
One-to-one Intervention
-provision of
					 staff, trained in verbal de-escalation and passive physical restraint, to a
					 person in crisis characterized by continuous visual contact, at a minimum, for
					 a specified amount of time, for the purpose of preventing harm to self or
					 others. These staff do not function as alternative care givers or supplant the
					 existing care giver relationships.
Passive Physical Restraint
-the least
					 amount of direct physical contact required on the part of a staff member to
					 prevent a client from harming self or others, and specifically excludes use of
					 restraining devices.
Staff Member
-staff members include the
					 wage and hourly workers (consistent with Department of Labor guidelines) and
					 independent contractors paid by the provider. Staff may be either
					 administrative and clerical support workers or professional and
					 paraprofessional workers engaged in direct service delivery. Due to the
					 unpredictable nature of the demand for crisis services, crisis providers may
					 need to employ independent contractors as staff members on an as-needed
					 basis.
AUTHORITY NOTE:
					 Promulgated in accordance with
					 R.S.
					 46:51.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 90 - Psychiatric Residential Treatment Facilities (under 21) › Subchapter A - General Provisions › Section I-9001 - Purpose

Current through Register Vol. 50, No. 6, June 20, 2024
A. The purpose of
					 this Chapter 90 is to provide for the development, establishment and
					 enforcement of statewide standards for the care of residents who are under 21
					 years of age in psychiatric residential treatment facilities (PRTFs)
					 participating in the Medicaid Program, to ensure maintenance of these
					 standards, and to regulate conditions in these facilities through a program of
					 licensure which shall promote the health, safety and welfare of residents of
					 PRTFs participating in the Medicaid Program.
B. In addition to requirements stated herein,
					 all licensed PRTFs shall comply with applicable local, state, and federal laws
					 and regulations.
AUTHORITY NOTE:
						Promulgated in accordance with R.S. 40:2181-2191 and Title XIX of the Social
						Security Act.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 90 - Psychiatric Residential Treatment Facilities (under 21) › Subchapter B - Licensing › Section I-9007 - General Provisions

Current through Register Vol. 50, No. 6, June 20, 2024
A. All
					 psychiatric residential treatment facilities shall be licensed by the
					 department. A PRTF shall not be established, opened, operated, managed,
					 maintained, or conducted in this state without a current valid license issued
					 by the department. The department is the only licensing authority for PRTFs in
					 the state of Louisiana. It shall be unlawful to operate a PRTF without
					 possessing a current, valid license issued by the department. Each PRTF shall
					 be separately licensed.
B. A PRTF
					 license shall:
1. be issued only to the
					 person or entity named in the license application;
2. be valid only for the facility to which it
					 is issued and only for the specific geographic address of that
					 facility;
3. be valid for up to one
					 year from the date of issuance, unless revoked, suspended, modified, or
					 terminated prior to that date, or unless a provisional license is
					 issued;
4. expire on the expiration
					 date listed on the license, unless timely renewed by the PRTF
					 facility;
5. not be subject to
					 sale, assignment, donation, or other transfer, whether voluntary or
					 involuntary; and
6. 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 90 - Psychiatric Residential Treatment Facilities (under 21) › Subchapter B - Licensing › Section I-9009 - Initial Licensing Application Process

Current through Register Vol. 50, No. 6, June 20, 2024
A. An initial application for licensing as a
					 PRTF shall be obtained from the department. A completed initial license
					 application packet for a PRTF shall be submitted to and approved by the
					 department prior to an applicant providing PRTF services.
B. Licensed DCFS child residential facilities
					 that are converting to PRTFs 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 PRTF licensure application and
					 the non-refundable licensing fee as established by statute;
2. a copy of the approval letters of the
					 architectural and LDH licensing facility plans for the PRTF from the OSFM, and
					 any other office/entity designated by the department to review and approve the
					 facilitys architectural plans, if the facility shall go through plan review;
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 on all individual owners with a 5 percent or more
					 ownership interest in the PRTF entity, and on all administrators or 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 $100,000;
b.
					 general and professional liability insurance of at least $300,000;
					 and
c. worker's compensation
					 insurance;
7. if
					 applicable, Clinical Laboratory Improvement Amendments (CLIA) certificate or
					 CLIA certificate of waiver;
8. a
					 floor sketch or drawing of the premises to be licensed; and
9. any other documentation or information
					 required by the department for licensure.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 90 - Psychiatric Residential Treatment Facilities (under 21) › Subchapter B - Licensing › Section I-9013 - Deemed Status

Current through Register Vol. 50, No. 6, June 20, 2024
A. A licensed
					 PRTF 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 PRTF
					 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 90 - Psychiatric Residential Treatment Facilities (under 21) › Subchapter B - Licensing › Section I-9015 - Licensing Surveys

Current through Register Vol. 50, No. 6, June 20, 2024
A. Prior to the
					 initial license being issued to the PRTF, an initial licensing survey shall be
					 conducted on-site at the facility to assure compliance with licensing
					 standards. Except for facilities that have a Child Residential License issued
					 by DCFS, every PRTF shall not provide services to any resident until the
					 initial licensing survey has been performed and the facility 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 90 - Psychiatric Residential Treatment Facilities (under 21) › Subchapter B - Licensing › Section I-9017 - Changes in Licensee Information or Personnel

Current through Register Vol. 50, No. 6, June 20, 2024
A. A PRTF license shall be valid only for the
					 person or entity named in the license application and only for the specific
					 geographic address listed on the license application.
B. Any change regarding the PRTFs 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 PRTF name or "doing business as" name requires
					 a change to the facility license and the required fee for the issuance of an
					 amended license.
C. Any change
					 regarding the facility's 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. administrator;
b. clinical director; and
c. program manager.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 90 - Psychiatric Residential Treatment Facilities (under 21) › Subchapter B - Licensing › Section I-9019 - Cessation of Business

Current through Register Vol. 50, No. 6, June 20, 2024
A. Except as
					 provided in
					 §9089 of these
					 licensing regulations, a license shall be immediately null and void if a PRTF
					 becomes non-operational.
B. A
					 cessation of business is deemed to be effective the date on which the PRTF
					 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 PRTF 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 resident; and
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 90 - Psychiatric Residential Treatment Facilities (under 21) › Subchapter B - Licensing › Section I-9021 - Renewal of License

Current through Register Vol. 50, No. 6, June 20, 2024
A. To renew a
					 license, a PRTF 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
					 $100,000;
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 90 - Psychiatric Residential Treatment Facilities (under 21) › Subchapter B - Licensing › Section I-9023 - Denial of License, Revocation of License, 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 90 - Psychiatric Residential Treatment Facilities (under 21) › Subchapter B - Licensing › Section I-9025 - Notice and Appeal of License Denial, License Revocation, and Denial of License Renewal

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
					 PRTF 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 PRTF 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 facility shall receive written
					 notification of the date of the informal reconsideration.
4. The facility 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 facility 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 90 - Psychiatric Residential Treatment Facilities (under 21) › Subchapter B - Licensing › Section I-9029 - 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 PRTF 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 90 - Psychiatric Residential Treatment Facilities (under 21) › Subchapter C - Organization and Administration › Section I-9031 - General Provisions [Formerly Section 9027]

Current through Register Vol. 50, No. 6, June 20, 2024
A. Purpose and Organizational Structure. The
					 purpose of the PRTF 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 residents accepted for care;
4. geographical 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.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 90 - Psychiatric Residential Treatment Facilities (under 21) › Subchapter C - Organization and Administration › Section I-9033 - Governing Body [Formerly Section 9029]

Current through Register Vol. 50, No. 6, June 20, 2024
A. The PRTF shall have either an effective
					 governing body or individual(s) legally responsible for the conduct of the PRTF
					 operations. No contracts/arrangements or other agreements may limit or diminish
					 the responsibility of the governing body.
B. The governing body shall:
1. establish PRTF-wide policy;
2. adopt bylaws;
3. appoint an administrator;
4. designate qualified clinical director to
					 assume responsibility for the psychiatric aspects of the program and to provide
					 full-time coverage on an on-site or on-call basis;
5. maintain quality of care;
6. ensure the provider's continual compliance
					 and conformity with all relevant federal, state, local and municipal laws and
					 regulations;
7. meet with
					 designated representatives of the department whenever required to do
					 so;
8. inform the department or its
					 designee prior to initiating any substantial changes in the services provided
					 by the facility; and
9. provide an
					 overall institutional plan and budget, and ensure the facility is adequately
					 funded and fiscally sound.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 90 - Psychiatric Residential Treatment Facilities (under 21) › Subchapter C - Organization and Administration › Section I-9035 - Administrative Policies and Records [Formerly Section 9031]

Current through Register Vol. 50, No. 6, June 20, 2024
A. Every PRTF shall have policies that are
					 clearly written and current. All policies shall be available for review by all
					 staff and LDH personnel. All policies shall be available for review upon
					 request by a resident or a residents parent or legal guardian.
B. All policies shall be reviewed annually by
					 the governing body.
C. The PRTF
					 shall have policies governing:
1. admission
					 and discharge;
2.
					 personnel;
3. volunteers;
4. grievance procedures;
5. behavior management;
6. use of restraint and seclusion;
7. mandatory reporting of abuse or neglect;
8. administering
					 medication;
9. confidentiality of
					 records;
10. participation of
					 residents in activities related to fundraising and publicity;
11. participation of residents in research
					 projects;
12. the photographing and
					 audio or audio-visual recording of residents and clarification of the agencys
					 prohibited use of social media to ensure that all staff, either contracted or
					 directly employed, receive training relative to the restrictive use of social
					 media;
13. all hazards risk
					 assessment and emergency/disaster procedures, including the provision that when
					 the PRTF has an interruption in services or a change in the licensed location
					 due to an emergency situation, the PRTF shall notify the HSS no later than the
					 next stated business day;
14.
					 sentinel events and critical incidents; and
15. factors that determine room assignments,
					 including, but not limited to, age and diagnoses.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 90 - Psychiatric Residential Treatment Facilities (under 21) › Subchapter C - Organization and Administration › Section I-9037 - Notifications [Formerly Section 9033]

Current through Register Vol. 50, No. 6, June 20, 2024
A. The facility shall comply with the
					 following notification requirements.
1. The
					 facility shall notify the department on the next working day in the event of
					 temporary or permanent closing of the facility due to natural or man-made
					 disasters or damage to the premises of the facility caused by fire, accident,
					 or other elements that seriously affects the provision of services.
2. If a resident is absent without
					 permission, the resident's parents or custodians are to be notified
					 immediately.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 90 - Psychiatric Residential Treatment Facilities (under 21) › Subchapter D - Human Resources › Section I-9041 - Personnel [Formerly Section 9043]

Current through Register Vol. 50, No. 6, June 20, 2024
A. The PRTF shall have personnel policies
					 which include, but are not limited to, defining staff, essential job functions,
					 qualifications, and lines of authority.
1.
					 The PRTF shall have:
a. a written plan for
					 recruitment, screening, orientation, ongoing training, development, supervision
					 and performance evaluation of staff members whether directly employed, contract
					 or volunteer;
b. written personnel
					 policies and written job descriptions for each staff position;
c. written employee grievance procedures;
					 and
d. written nondiscrimination
					 policy that shall ensure that the provider does not discriminate in the
					 employment of individuals because of race, color, religion, sex, age, national
					 origin, handicap, political beliefs, veteran's status or any non-merit factor
					 in accordance with all state and federal regulations.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 90 - Psychiatric Residential Treatment Facilities (under 21) › Subchapter D - Human Resources › Section I-9043 - Personnel Qualifications and Responsibilities

Current through Register Vol. 50, No. 6, June 20, 2024
A. Staffing Definitions. All experience
					 requirements are related to paid experience. Volunteer work, college work/study
					 or internship related to completion of a degree cannot be counted as work
					 experience. If experience is in a part-time position, the staff person shall be
					 able to verify the amount of time worked each week. Experience obtained while
					 working in a position for which the individual is not qualified may not be
					 counted as experience.
B. Criminal
					 History Investigation and References
1. The
					 PRTF shall arrange for a criminal history investigation, as required by
					 R.S.
					 15:587.1 for any applicant for employment,
					 contractor, volunteer and other person who will provide services to the
					 residents prior to that person working at the facility.
2. Staff criminal history investigations
					 shall be maintained in a confidential manner, separate from the individual's
					 personnel record.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 90 - Psychiatric Residential Treatment Facilities (under 21) › Subchapter D - Human Resources › Section I-9045 - Personnel Orientation and Training

Current through Register Vol. 50, No. 6, June 20, 2024
A. Orientation. Staff shall receive
					 orientation within 30 days of employment.
1.
					 Staff who will work with residents shall receive orientation before being
					 assigned as the only staff responsible for residents.
2. Orientation includes, but is not limited
					 to:
a. confidentiality;
b. grievance process;
c. fire and disaster plans including
					 evacuations;
d. emergency medical
					 procedures;
e. organizational
					 structure;
f. program
					 philosophy;
g. personnel policy and
					 procedure, including the prohibited use of social media. Such training shall,
					 at a minimum, include confidentiality of resident information, preservation of
					 resident dignity and respect, protection of resident privacy and personal and
					 property rights;
h. detecting and
					 mandatory reporting of resident abuse, neglect or misappropriation of residents
					 funds;
i. detecting signs of
					 illness or dysfunction that warrant medical or nursing intervention;
j. basic skills required to meet the health
					 needs and problems of the resident;
k. crisis de-escalation and the management of
					 aggressive behavior including acceptable and prohibited responses;
l. physical restraint which is to include a
					 practice element in the chosen method; and
m. safe administration and handling of all
					 medications including psychotropic drugs, dosages and side effects.
3. Orientation may be counted
					 toward the total training hours for the first year.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 90 - Psychiatric Residential Treatment Facilities (under 21) › Subchapter D - Human Resources › Section I-9047 - Personnel Requirements

Current through Register Vol. 50, No. 6, June 20, 2024
A. Staffing
					 Requirements. The PRTF shall meet minimum licensure requirements for staffing,
					 staff qualifications and staffing ratios.
1.
					 A PRTF that serves individuals from special risk populations shall modify
					 staffing patterns to fit their increased needs.
2. The PRTF shall ensure that an adequate
					 number of qualified staff members are present with the residents as necessary
					 to ensure the health, safety and well-being of residents. Staff coverage shall
					 be maintained in consideration of the time of day, the size and nature of the
					 PRTF, the ages and needs of the residents, and shall assure the continual
					 safety, protection, direct care and supervision of residents.
3. When residents are at school, work or
					 recreation outside the facility, the provider shall have a plan ensuring the
					 availability and accessibility of direct care staff to handle emergencies or
					 perform other necessary direct care functions.
4. The PRTF shall make sufficient provisions
					 for housekeeping and maintenance to ensure that staff is able to adequately
					 perform direct care functions.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 90 - Psychiatric Residential Treatment Facilities (under 21) › Subchapter D - Human Resources › Section I-9049 - Personnel Records

Current through Register Vol. 50, No. 6, June 20, 2024
A. The facility
					 shall maintain on file a written personnel record for each employee working at
					 the facility, which shall be kept for at least one year following an employee's
					 separation from employment. The personnel record shall include:
1. an application, résumé, or
					 staff information sheet that documents qualifications for the
					 position;
2. any health records
					 required by the facility;
3. annual
					 performance evaluations and any reports and notes relating to the individual's
					 employment with the facility;
4.
					 documentation of the successful completion of orientation, training and
					 demonstrations of competency, the dates of completion and the names of the
					 persons certifying the completion of the orientation, training and
					 demonstrations of competency;
5.
					 date of employment; and
6. date and
					 reason for leaving employment.