reglab/statecodes huggingface dataset:
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 53 - Level III Crisis Receiving Centers › Subchapter B - Licensing › Section I-5329 - Sanctions

Current through Register Vol. 50, No. 6, June 20, 2024
A. The department
					 may issue sanctions for deficiencies and violations of law, rules and
					 regulations that may include, but are not limited to:
1. civil fines;
2. directed plans of correction;
3. provisional licensure; and/or
4. license revocation or denial of license
					 renewal.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 53 - Level III Crisis Receiving Centers › Subchapter B - Licensing › Section I-5331 - Notice and Appeal of License Denial, License Revocation and Denial of License Renewal

Current through Register Vol. 50, No. 6, June 20, 2024
A. The
					 department shall provide written notice to the CRC of the following:
1. license denial;
2. license revocation; or
3. denial of license renewal.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 53 - Level III Crisis Receiving Centers › Subchapter C - Organization and Administration › Section I-5337 - General Provisions

Current through Register Vol. 50, No. 6, June 20, 2024
A. Purpose
					 and Organizational Structure. The CRC shall develop and implement a statement
					 maintained by the center that clearly defines the purpose of the CRC. The
					 statement shall include:
1. the program
					 philosophy;
2. the program goals
					 and objectives;
3. the ages, sex
					 and characteristics of clients accepted for care;
4. the geographic area served;
5. the types of services provided;
6. the admission criteria;
7. the needs, problems, situations or
					 patterns addressed by the provider's program; and
8. an organizational chart of the provider
					 which clearly delineates the lines of authority.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 53 - Level III Crisis Receiving Centers › Subchapter C - Organization and Administration › Section I-5339 - Governing Body

Current through Register Vol. 50, No. 6, June 20, 2024
A. A crisis
					 receiving center shall have the following:
1.
					 an identifiable governing body with responsibility for and authority over the
					 policies and operations of the center;
2. documents identifying the governing
					 body's:
a. members;
b. contact information for each
					 member;
c. terms of
					 membership;
d. officers;
					 and
e. terms of office for each
					 officer.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 53 - Level III Crisis Receiving Centers › Subchapter C - Organization and Administration › Section I-5341 - Policies and Procedures

Current through Register Vol. 50, No. 6, June 20, 2024
A. Each CRC
					 shall develop, implement and comply with center-specific written policies and
					 procedures governing all requirements of this chapter, including, but not
					 limited to the following areas:
1. protection
					 of the health, safety, and wellbeing of each client;
2. providing treatment in order for clients
					 to achieve optimal stabilization;
3. access to care that is medically
					 necessary;
4. uniform screening for
					 patient placement and quality assessment, diagnosis, evaluation, and referral
					 to appropriate level of care;
5.
					 operational capability and compliance;
6. delivery of services that are
					 cost-effective and in conformity with current standards of practice;
7. confidentiality and security of all client
					 information, records and files;
8.
					 prohibition of illegal or coercive inducement, solicitation and
					 kickbacks;
9. client
					 rights;
10. grievance pro
					 cess;
11. emergency
					 preparedness;
12. abuse and
					 neglect;
13. incidents and
					 accidents, including medical emergencies;
14. universal precautions;
15. documentation of services;
16. admission, including descriptions of
					 screening and assessment procedures;
17. transfer and discharge
					 procedures;
18. behavior
					 management;
19. infection control
					 practices that meets current state and federal infection control
					 guidelines;
20.
					 transportation;
21. quality
					 assurance;
22. medical and nursing
					 services;
23. emergency
					 care;
24. photography and video of
					 clients; and
25.
					 contraband.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 53 - Level III Crisis Receiving Centers › Subchapter D - Provider Operations › Section I-5347 - Client Records

Current through Register Vol. 50, No. 6, June 20, 2024
A. The CRC
					 shall ensure:
1. a single client record is
					 maintained for each client according to current professional
					 standards;
2. policies and
					 procedures regarding confidentiality of records, maintenance, safeguarding and
					 storage of records are developed, implemented and followed;
3. safeguards are in place to prevent
					 unauthorized access, loss, and destruction of client records;
4. when electronic health records are used,
					 the most up to date technologies and practices are used to prevent unauthorized
					 access;
5. records are kept
					 confidential according to federal and state laws and regulations;
6. records are maintained at the center where
					 the client is currently active and for six months after discharge;
7. six months post-discharge, records may be
					 transferred to a centralized location for maintenance;
8. client records are directly and readily
					 accessible to the clinical staff caring for the client;
9. a system of identification and filing is
					 maintained to facilitate the prompt location of the client's record;
10. all record entries are dated, legible and
					 authenticated by the staff person providing the treatment, as appropriate to
					 the media;
11. records are disposed
					 of in a manner that protects client confidentiality;
12. a procedure for modifying a client record
					 in accordance with accepted standards of practice is developed, implemented and
					 followed;
13. an employee is
					 designated as responsible for the client records;
14. disclosures are made in accordance with
					 applicable state and federal laws and regulations; and
15. client records are maintained at least 6
					 years from discharge.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 53 - Level III Crisis Receiving Centers › Subchapter D - Provider Operations › Section I-5349 - Client Funds and Possessions

Current through Register Vol. 50, No. 6, June 20, 2024
A. The
					 CRC shall:
1. maintain and safeguard all
					 possessions, including money, brought to the center by clients;
2. maintain an inventory of each client's
					 possessions from the date of admission; and
3. return all possessions to the client upon
					 the client's discharge.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 53 - Level III Crisis Receiving Centers › Subchapter D - Provider Operations › Section I-5351 - Quality Improvement Plan

Current through Register Vol. 50, No. 6, June 20, 2024
A. A CRC
					 shall have a quality improvement (QI) plan that:
1. assures that the overall function of the
					 center is in compliance with federal, state, and local laws;
2. is meeting the needs of the citizens of
					 the area;
3. is attaining the goals
					 and objectives established in the center's mission statement;
4. maintains systems to effectively identify
					 issues that require quality monitoring, remediation and improvement
					 activities;
5. improves individual
					 outcomes and individual satisfaction;
6. includes plans of action to correct
					 identified issues that:
a. monitor the effects
					 of implemented changes; and
b.
					 result in revisions to the action plan;
7. is updated on an ongoing basis to reflect
					 changes, corrections and other modifications.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 53 - Level III Crisis Receiving Centers › Subchapter E - Personnel › Section I-5357 - General Requirements

Current through Register Vol. 50, No. 6, June 20, 2024
A. The CRC
					 shall maintain an organized professional staff who is accountable to the
					 governing body for the overall responsibility of:
1. the quality of all clinical care provided
					 to clients;
2. the ethical conduct
					 and professional practices of its members;
3. compliance with policies and procedures
					 approved by the governing body; and
4. the documented staff organization that
					 pertains to the center's setting and location.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 53 - Level III Crisis Receiving Centers › Subchapter E - Personnel › Section I-5359 - Personnel Qualifications and Responsibilities

Current through Register Vol. 50, No. 6, June 20, 2024
A. A CRC shall have the following minimum
					 staff:
1. a CRC manager who:
a. has a minimum of a master's degree in a
					 human services field or is a licensed registered nurse;
b. has at least one year of qualifying
					 experience in the field of behavioral health;
c. is a full time employee; and
d. has the following assigned
					 responsibilities:
i. supervise and manage the
					 day to day operation of the CRC;
ii. review reports of all accidents/incidents
					 occurring on the premises and identify hazards to the clinical
					 director;
iii. participate in the
					 development of new programs and modifications;
iv. perform programmatic duties and/or make
					 clinical decisions only within the scope of his/her licensure; and
v. shall not have other job responsibilities
					 that impede the ability to maintain the administration and operation of the
					 CRC;
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 53 - Level III Crisis Receiving Centers › Subchapter E - Personnel › Section I-5361 - Personnel Records

Current through Register Vol. 50, No. 6, June 20, 2024
A. A CRC shall
					 maintain a personnel file for each employee and direct care staff member in the
					 center. Each record shall contain:
1. the
					 application for employment and/or resume, including contact information and
					 employment history for the preceding five years, if applicable;
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 or health screens;
4. evidence of current applicable
					 professional credentials/certifications according to state law or
					 regulations;
5. annual performance
					 evaluations to include evidence of competency in performing assigned
					 tasks;
6. personnel actions, other
					 appropriate materials, reports and notes relating to the individual's
					 employment;
7. the staff member's
					 starting and termination dates;
8.
					 proof of orientation, training and in-services;
9. results of criminal background checks, if
					 required;
10. job descriptions and
					 performance expectations;
11. a
					 signed attestation annually by each member of the direct care staff indicating
					 that he/she has not been convicted of or pled guilty or nolo contendere to a
					 crime, other than traffic violations; and
12. written confidentiality agreement signed
					 by the personnel every twelve months.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 53 - Level III Crisis Receiving Centers › Subchapter F - Admission, Transfer and Discharge › Section I-5367 - Admission Requirements

Current through Register Vol. 50, No. 6, June 20, 2024
A. A CRC
					 shall not refuse admission to any individual on the grounds of race, national
					 origin, ethnicity or disability.
B.
					 A CRC shall admit only those individuals whose needs, pursuant to the
					 screening, can be fully met by the center.
C. A CRC shall expect to receive individuals
					 who present voluntarily to the unit and/or individuals who are brought to the
					 unit under an OPC, CEC, or PEC.
D.
					 The CRC shall develop and implement policies and procedures for diverting
					 individuals when the CRC is at capacity, that shall include:
1. notifying emergency medical services
					 (EMS), police and the OBH or its designee in the service area;
2. conducting a screening on each individual
					 that presents to the center; and
3.
					 safely transferring the presenting individual to an appropriate provider;
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 53 - Level III Crisis Receiving Centers › Subchapter F - Admission, Transfer and Discharge › Section I-5369 - Discharge, Transfer and Referral Requirements

Current through Register Vol. 50, No. 6, June 20, 2024
A. The CRC shall develop, implement and
					 comply with policies and procedures that address when and how clients will be
					 discharged and referred or transferred to other providers in accordance with
					 applicable state and federal laws and regulations.
B. Discharge planning shall begin upon
					 admission.
C. The CRC shall ensure
					 that a client is discharged:
1. when the
					 client's treatment goals are achieved, as documented in the client's treatment
					 plan;
2. when the client's issues
					 or treatment needs are not consistent with the services the center is
					 authorized or able to provide; or
3. according to the center's established
					 written discharge criteria.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 53 - Level III Crisis Receiving Centers › Subchapter G - Program Operations › Section I-5375 - Treatment Services

Current through Register Vol. 50, No. 6, June 20, 2024
A. A CRC shall:
1. operate 24 hours per day seven days a
					 week;
2. operate no more than 24
					 licensed beds;
3. operate no more
					 than 36 chairs/recliners for observation and crisis stabilization
4. provide services to either adults or
					 minors but not both; and
a. - f.
					 Repealed.
5. provide
					 services that include, but are not limited to:
a. emergency screening;
b. assessment;
c. crisis intervention and
					 stabilization;
d. 24 hour
					 observation;
e. medication
					 administration; and
f. referral to
					 the most appropriate and least restrictive setting available consistent with
					 the client's needs.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 53 - Level III Crisis Receiving Centers › Subchapter G - Program Operations › Section I-5377 - Laboratory Services

Current through Register Vol. 50, No. 6, June 20, 2024
A. The CRC
					 shall have laboratory services available to meet the needs of its clients,
					 including the ability to:
1. obtain STAT
					 laboratory results as needed at all times;
2. conduct a dipstick urine drug screen;
					 and
3. conduct a breath analysis
					 for immediate determination of blood alcohol level.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 53 - Level III Crisis Receiving Centers › Subchapter G - Program Operations › Section I-5379 - Pharmaceutical Services and Medication Administration

Current through Register Vol. 50, No. 6, June 20, 2024
A. The CRC may provide pharmaceutical
					 services on-site at the center or off-site pursuant to a written agreement with
					 a pharmaceutic al provider.
B. All
					 compounding, packaging, and dispensing of medications shall be accomplished in
					 accordance with Louisiana laws and Board of Pharmacy regulations and be
					 performed by or under the direct supervision of a registered pharmacist
					 currently licensed to practice in Louisiana.
C. The CRC shall ensure that a mechanism
					 exists to:
1. provide pharmaceutical services
					 24 hours per day; and
2. obtain
					 STAT medications, as needed, within an acceptable time frame, at all
					 times.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 53 - Level III Crisis Receiving Centers › Subchapter G - Program Operations › Section I-5381 - Transportation

Current through Register Vol. 50, No. 6, June 20, 2024
A. The CRC shall
					 establish, implement and comply with policies and procedures to:
1. secure emergency transportation in the
					 event of a client's medical emergency; and
2. provide non-emergent medical
					 transportation to the clients as needed.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 53 - Level III Crisis Receiving Centers › Subchapter G - Program Operations › Section I-5383 - Food and Diet

Current through Register Vol. 50, No. 6, June 20, 2024
A. The CRC shall
					 ensure that:
1. all dietary services are
					 provided under the direction of a Louisiana licensed and registered dietician
					 either directly or by written agreement;
2. menus are approved by the registered
					 dietician;
3. meals are of
					 sufficient quantity and quality to meet the nutritional needs of clients,
					 including religious and dietary restrictions;
4. meals are in accordance with Federal Drug
					 Administration (FDA) dietary guidelines and the orders of the authorized
					 licensed prescriber;
5. at least
					 three meals plus an evening snack are provided daily with no more than 14 hours
					 between any two meals;
6. meals are
					 served in a manner that maintains the safety and security of the client and are
					 free of identified contraband;
7.
					 all food is stored, prepared, distributed, and served under safe and sanitary
					 conditions h accordance with the
Louisiana Sanitary
					 Code;
8. all equipment and
					 utensils used in the preparation and serving of food are properly cleaned,
					 sanitized and stored in accordance with the
Louisiana Sanitary
					 Code;
and
9. if meals are
					 prepared on-site, they are prepared in an OPH approved kitchen.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 53 - Level III Crisis Receiving Centers › Subchapter H - Client Rights › Section I-5389 - General Provisions

Current through Register Vol. 50, No. 6, June 20, 2024
A. Lhe CRC
					 shall develop, implement and comply with policies and procedures that:
1. protect its clients' ri ghts;
2. respond to questions and grievances
					 pertaining to these rights;
3.
					 ensure compliance with clients' rights enumerated mR.S.
					 28:171; and
4. ensure compliance with minors' rights
					 enumerated in the
Louisiana Children's Code.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 53 - Level III Crisis Receiving Centers › Subchapter H - Client Rights › Section I-5391 - Grievances

Current through Register Vol. 50, No. 6, June 20, 2024
A. The facility
					 shall develop, implement and comply with a written grievance procedure for
					 clients designed to allow clients to submit a grievance without fear of
					 retaliation. The procedure shall include, but not be limited to:
1. process for filing a grievance;
2. a time line for responding to the
					 grievance;
3. a method for
					 responding to a grievance; and
4.
					 the staff responsibilities for addressing and resolving grievances.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 53 - Level III Crisis Receiving Centers › Subchapter I - Physical Environment › Section I-5397 - Interior Space

Current through Register Vol. 50, No. 6, June 20, 2024
A. The CRC shall:
1. have a physical environment that protects
					 the health, safety and security of the clients;
2. have routine maintenance and cleaning
					 programs in all areas of the center;
3. be well-lit, clean, and
					 ventilated;
4. conduct a risk
					 assessment of each client and the physical environment of the facility in order
					 to ensure the safety and well-being of all clients admitted to the
					 facility;
5. maintain its physical
					 environment, including, but not limited to, all equipment, fixtures, plumbing,
					 electrical, and furnishings, in good order and safe condition in accordance
					 with manufacturer's recommendations;
6. maintain heating, ventilation and cooling
					 systems in good order and safe condition to ensure a comfortable
					 environment;
7. ensure that
					 electric receptacles in client care areas are tamper-resistant or equipped with
					 ground fault circuit interrupters; and
8. maintain separate wings or units for
					 voluntary and involuntary individuals to include areas for admissions,
					 sleeping, shower and toilet areas, and sally ports or other entry areas.
					 Further, the CRC shall provide separate areas (which may be accomplished by
					 providing areas to voluntary individuals at different times than to involuntary
					 individuals) for dining, recreational, educational, vocational, health care,
					 and passageways, for voluntary and involuntary individuals.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 53 - Level III Crisis Receiving Centers › Subchapter I - Physical Environment › Section I-5399 - Exterior Space Requirements

Current through Register Vol. 50, No. 6, June 20, 2024
A. The CRC
					 shall maintain all exterior areas to prevent elopement, injury, suicide and the
					 introduction of contraband, and shall maintain a perimeter security system
					 designed to monitor and control visitor access and client egress.
B. The facility shall maintain all exterior
					 areas and structures of the facility in good repair and free from any
					 reasonably foreseeable hazard to health or safety.
C. The facility shall ensure the following:
1. garbage stored outside is secured in
					 non-combustible, covered containers and are removed on a regular
					 basis;
2. trash collection
					 receptacles and incinerators are separate from any area accessible to clients
					 and located as to avoid being a nuisance;
3. unsafe areas, including steep grades, open
					 pits, swimming pools, high voltage boosters or high speed roads are fenced or
					 have natural barriers to protect clients;
4. fences that are in place are in good
					 repair;
5. exterior areas are well
					 lit; and
6. the facility has
					 appropriate signage that:
a. is visible to the
					 public;
b. indicates the facility's
					 legal or trade name;
c. clearly
					 states that the CRC provides behavioral health services only; and
d. indicates the center is not a hospital or
					 emergency room.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 54 - Crisis Receiving Centers › Subchapter A - Safety and Emergency Preparedness › Section I-5401 - General Safety Provisions

Current through Register Vol. 50, No. 6, June 20, 2024
A. The CRC
					 shall provide additional supervision when necessary to provide for the safety
					 of all clients.
B. The CRC shall:
1. prohibit weapons of any kind
					 on-site;
2. prohibit glass, hand
					 sanitizer, plastic bags in client-care areas;
3. ensure that all poisonous, toxic and
					 flammable materials are:
a. maintained in
					 appropriate containers and labeled as to the contents;
b. securely stored in a locked cabinet or
					 closet;
c. are used in such a
					 manner as to ensure the safety of clients, staff and visitors; and
d. maintained only as necessary;
4. ensure that all equipment,
					 furnishing and any other items that are in a state of disrepair are removed and
					 inaccessible to clients until replaced or repaired; and
5. ensure that when potentially harmful
					 materials such as cleaning solvents and/or detergents are used, training is
					 provided to the staff and they are used by staff members only.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 54 - Crisis Receiving Centers › Subchapter A - Safety and Emergency Preparedness › Section I-5403 - Infection Control

Current through Register Vol. 50, No. 6, June 20, 2024
A. The CRC
					 shall provide a sanitary environment to avoid sources and transmission of
					 infections and communicable diseases.
B. The CRC shall have an active Infection
					 Control Program that requires:
1. reporting
					 of infectious disease in accordance with current OPH and federal
					 guidelines;
2. monitoring of:
a. the spread of infectious
					 disease;
b.handwashing;
c. staff and client education; and
d. incidents of specific infections in
					 accordance with OPH guidelines;
3. corrective actions;
4. a designated infection control coordinator
					 who:
a. has education and/or experience in
					 infection control;
b. develops and
					 implements policies and procedures governing the infection control program that
					 is compliant with most recently published/current state and federal infection
					 control guidelines in preparation for, during, and after a public health
					 emergency or disaster;
c. takes
					 universal precautions, including proper handwashing and face masks, as needed;
					 and
d. strictly adheres to all
					 sanitation requirements;
5. the CRC shall maintain a clean and
					 sanitary environment and shall ensure that:
a. supplies and equipment are available to
					 staff;
b. there is consistent and
					 constant monitoring and cleaning of all areas of the facility;
c. the methods used for cleaning, sanitizing,
					 handling and storing of all supplies and equipment prevent the transmission of
					 infection;
d. directions are posted
					 for sanitizing both kitchen and bathroom and laundry areas;
e. showers and bathtubs are to be sanitized
					 by staff between client usage;
f.
					 clothing belonging to clients must be washed and dried separately from the
					 clothing belonging to other clients; and
g. laundry facilities are used by staff
					 only;
h. food and waste are stored,
					 handled, and removed in a way that will not spread disease, cause odor, or
					 provide a breeding place for pests.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 54 - Crisis Receiving Centers › Subchapter A - Safety and Emergency Preparedness › Section I-5405 - Emergency Preparedness

Current through Register Vol. 50, No. 6, June 20, 2024
A. The CRC
					 shall have a written emergency preparedness plan to:
1. maintain continuity of the center's
					 operations in preparation for, during and after an emergency or
					 disaster;
2. manage the
					 consequences of all disasters or emergencies that disrupt the center's ability
					 to render care and treatment, or threaten the lives or safety of the clients;
					 and
3. comply with recently
					 published/current state and federal infection control guidelines in preparation
					 for, during, and after a public health emergency or disaster.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 54 - Crisis Receiving Centers › Subchapter A - Safety and Emergency Preparedness › Section I-5407 - Inactivation of License due to a Declared Disaster or Emergency

Current through Register Vol. 50, No. 6, June 20, 2024
A. A CRC located in
					 a parish which is the subject of an executive order or proclamation of
					 emergency or disaster issued in accordance with
					 R.S.
					 29:724 or
					 R.S.
					 29:766, may seek to inactivate its license
					 for a period not to exceed one year, provided that the center:
1. submits written notification to HSS within
					 60 days of the date of the executive order or proclamation of emergency or
					 disaster that:
a. the CRC has experienced an
					 interruption in the provisions of services as a result of events that are the
					 subject of such executive order or proclamation of emergency or disaster issued
					 in accordance with
					 R.S.
					 29:724 or
					 R.S.
					 29:766;
b. the CRC intends to resume operation as a
					 CRC in the same service area; and
c. the CRC attests that the emergency or
					 disaster is the sole causal factor in the interruption of the provision of
					 services;
NOTE: Pursuant to these provisions, an extension of the
						60-day deadline for initiation of request may be granted at the discretion of
						the department.
d. includes
					 an attestation that all clients have been properly discharged or transferred to
					 another facility; and
e. lists the
					 clients and the location of the discharged or transferred clients;
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 54 - Crisis Receiving Centers › Subchapter A - Safety and Emergency Preparedness › Section I-5409 - Inactivation of License due to a Non-Declared Emergency or Disaster

Current through Register Vol. 50, No. 6, June 20, 2024
A. A CRC in an area
					 or areas which have been affected by a non-declared emergency or disaster may
					 seek to inactivate its license, provided that the following conditions are met:
1. the CRC shall submit written notification
					 to the HSS within 30 days of the date of the non-declared emergency or disaster
					 stating that:
a. the CRC has experienced an
					 interruption in the provisions of services as a result of events that are due
					 to a non-declared emergency or disaster;
b. the facility intends to resume operation
					 as a CRC in the same service area;
c. the CRC attests that the emergency or
					 disaster is the sole causal factor in the interruption of the provision of
					 services; and
d. the inactivation
					 due to a non-declared emergency or disaster does not exceed one year receipt of
					 notice of approval of renovation/construction plans by OSFM and OPH as
					 required;
NOTE: Pursuant to these provisions, an extension of the
						30-day deadline for initiation of request may be granted at the discretion of
						the department.
EXCEPTION: If the CRC requires an extension of this
						timeframe due to circumstances beyond the CRC's control, upon written request,
						the department may consider an extended time period to complete construction or
						repairs. Such written request for extension shall show the CRC's active efforts
						to complete construction or repairs and the reasons for request for extension
						of the CRC's inactive license. Any approvals for extension are at the sole
						discretion of the department.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 54 - Crisis Receiving Centers › Subchapter B - Voluntary-Only Crisis Receiving Center › Section I-5415 - Voluntary-Only Crisis Receiving Center

Current through Register Vol. 50, No. 6, June 20, 2024
A. Any entity, organization, or person
					 applying to be licensed as a CRC has the option to be licensed as a
					 voluntary-only crisis receiving center (VO-CRC), wherein the licensed entity
					 shall only admit or receive individuals who present voluntarily to the
					 facility.
B. Individuals presenting
					 to a VO-CRC shall have the ability to come and go to the facility for services
					 as the individual deems appropriate; individuals shall not be required to sign
					 a formal voluntary admission form under
					 R.S.
					 28:52 or successor statute.
C. A VO-CRC shall adhere to all the licensing
					 requirements for CRCs, including Chapter 53 and Chapter 54 of this licensing
					 Rule, with the following substitutions:
1.
					 for §5367 C, a
					 VO-CRC shall only receive individuals who present voluntarily to the
					 unit/facility;
2. for
					 §5367.F.1 b, a VO-CRC
					 does not need to establish legal authority for the individual;
3. for
					 §5397.A 8, the VO-CRC
					 does not need to maintain separate spaces for involuntary and voluntary
					 admissions or individuals, since the VO-CRC will only serve voluntary
					 admissions or individuals; and
4.
					 for §5397 G, a
					 VO-CRC shall not have a seclusion room.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 55 - Day Developmental Training Centers › Section I-5503 - Licensure Procedure

Current through Register Vol. 50, No. 6, June 20, 2024
A. Application
				  for license is made by applying in writing to the Licensing and Certification
				  Division, Department of Health and Human Resources, P.O. Box 3767, Baton Rouge,
				  Louisiana 70821. This means that the applicant is requesting that the facility
				  be surveyed for licensure. As soon as possible, a surveyor will visit the
				  facility to determine compliance. At the same time, inspections by the Fire and
				  Health Departments will be requested by the Licensing and Certification
				  Division. Copies of these inspection reports which indicate approval by the
				  Fire and Health Departments must be received by the Licensing and Certification
				  Division.
B. Any deficiencies found
				  by the surveyor will be discussed with the administrator and/or the governing
				  body of the facility. Within 10 days after official notification of
				  deficiencies noted in the survey, the administrator and/or governing body must
				  reply in writing as to how the deficiencies will be corrected and the dates on
				  which these corrections will be effected. This procedure is also applicable to
				  the relicensure process.
AUTHORITY NOTE:
					 Promulgated in accordance with
					 R.S. 46:1971
					 through 1980.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 55 - Day Developmental Training Centers › Section I-5505 - Relicensure Procedure

Current through Register Vol. 50, No. 6, June 20, 2024
A. Ordinarily,
				  licenses are issued for a period of one year. Two months before the expiration
				  date application for relicensure must be made to the Licensing and
				  Certification Division on forms supplied by that office. The relicensure survey
				  is the same procedure as that of the initial.
AUTHORITY NOTE:
					 Promulgated in accordance with
					 R.S. 46:1971
					 through 1980.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 55 - Day Developmental Training Centers › Section I-5507 - Appeal Procedure

Current through Register Vol. 50, No. 6, June 20, 2024
A. If the
				  license is refused, suspended or revoked because a facility is not suitable, is
				  not properly managed, as such, or does not meet minimum requirements for
				  licensure, the procedure is as follows:
1.
				  The secretary, Department of Health and Human Resources, by registered letter,
				  shall advise the facility administrator of the reasons for refusal, suspension,
				  or revocation, and its right of appeal.
2. Within 30 days after receipt of such
				  notice, the facility administrator may request in writing a hearing in order to
				  appeal the decision.
3. The
				  secretary shall set a hearing to be held within 30 days after receipt of such
				  request. The hearing shall be held in the immediate vicinity of the appellant
				  or other location specified by him.
4. The secretary, or his representative,
				  shall conduct the hearing. Within 10 days after the hearing, he shall advise
				  the appellant, by registered letter, of his decision, either confirming or
				  reversing the original decision. If the license is refused, suspended or
				  revoked, the facility shall be given 30 days to meet those standards delineated
				  by the licensing agent.
5. If the
				  facility is unable to meet the standards within this time frame, funding
				  received from the Department of Health and Human Resources shall be
				  discontinued.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 55 - Day Developmental Training Centers › Section I-5509 - General Standards

Current through Register Vol. 50, No. 6, June 20, 2024
A. The
				  following standards must be met by all facilities regardless of the type of
				  disability with which they are primarily concerned.
AUTHORITY NOTE:
					 Promulgated in accordance with
					 R.S. 46:1971
					 through 1980.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 55 - Day Developmental Training Centers › Section I-5511 - Compliance with Federal, State and Local Laws

Current through Register Vol. 50, No. 6, June 20, 2024
A. When state or applicable local law
				  provides for licensing of facilities of this nature, the facility must be
				  licensed pursuant to such law.
B.
				  The facility must be in conformity with federal, state and local laws, codes
				  and regulations pertaining to health and safety, including procurement,
				  dispensing, administration, safeguarding and disposal of medication and
				  controlled substances; fire and safety regulations; building construction,
				  maintenance and equipment standards; education and training; labor laws and
				  regulations; sanitation; communicable and reportable diseases and postmortem
				  procedures.
AUTHORITY NOTE:
					 Promulgated in accordance with
					 R.S. 46:1971
					 through 1980.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 55 - Day Developmental Training Centers › Section I-5513 - Disclosure of Ownership

Current through Register Vol. 50, No. 6, June 20, 2024
A. Any facility
				  which is funded, either directly or indirectly, by the Department of Health and
				  Human Resources must supply to the Licensing and Certification Section full and
				  complete information and promptly report any changes which would affect the
				  current accuracy of such information, as to identify:
1. of each person having (directly or
				  indirectly) an ownership interest of 10 percent or more;
2. in case a facility is organized as a
				  corporation, of each officer and director of the corporation;
3. in case a facility is organized as a
				  partnership, of each partner.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 55 - Day Developmental Training Centers › Section I-5515 - Governing Body and Administration

Current through Register Vol. 50, No. 6, June 20, 2024
A. A
				  governing body of the facility shall exercise general direction and shall
				  establish policies concerning the operation of the facility and the welfare of
				  the individuals served.
B. The
				  governing body shall establish appropriate qualifications for the administrator
				  in terms of education, experience, personal factors, and skills.
C. The administrator shall make arrangements
				  so that a particular individual is responsible for the administrative direction
				  of the facility at all times.
D. A
				  table of organization shall provide for and show the major operating programs
				  of the facility, with staff division and the administrative personnel in charge
				  of program and division, and their lines of authority, responsibility, and
				  communication.
E. The
				  administration of the facility shall provide for effective participation and
				  communication between the staff and individuals attending the facility.
				  Standing committees appropriate to the facility, such as human rights,
				  infection control, admission and dismissal, interdisciplinary, etc., shall be
				  constituted and shall meet regularly. Committees shall include the
				  participation of direct-care staff and the persons served, whenever
				  appropriate. Minutes and reports of staff meetings, and of standing and at hoc
				  committee meetings shall include records of recommendation and their
				  implementation, and shall be kept and filed.
F. There shall be an active program of ready,
				  open, and honest communication with the children and their families. The
				  facility shall maintain active means of keeping the families or surrogates
				  informed of activities related to the children that may be of interest to them
				  or of significant changes in the child's condition. Communication to the
				  facility from a child's relatives shall be promptly and appropriately handled
				  and answered. Close relatives and parent surrogates shall be permitted to visit
				  at any reasonable hour, and without prior notice unless contraindicated by the
				  child's needs. Steps shall be taken, however, so that the privacy and rights of
				  the other individuals are not infringed by this practice. Parents shall be
				  permitted to visit all parts of the facility that provide services to the
				  children. Frequent and informal visits home shall be encouraged and the
				  regulations of the facility shall facilitate rather than inhibit such
				  visitations.
AUTHORITY NOTE:
					 Promulgated in accordance with
					 R.S. 46:1971
					 through 1980.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 55 - Day Developmental Training Centers › Section I-5517 - General Policies and Practices

Current through Register Vol. 50, No. 6, June 20, 2024
A. The facility shall have written
				  philosophy, objectives and goals that are available to the staff, consumer
				  representatives, the interested public and appropriate state agencies. In
				  addition to the philosophy and objectives of the facility, this written policy
				  must contain the facility's goals for the individuals it cares for and its
				  concept of its relationship to parents or their surrogates.
B. The facility shall have a written
				  statement of policies and procedures concerning the rights of the individuals
				  that assures their civil rights.
C.
				  The facility shall have a written statement of policies and procedures
				  concerning the admittance of individuals of all races that would prohibit
				  discrimination.
D. The facility
				  shall have written policies and procedures that protect the individual's
				  financial interests, provide for counseling concerning use of large sums
				  accrued, protect such funds, and permit normalized possession and use of money
				  earned through work payment programs.
E. Policies and procedures in the major
				  operating units (personnel, education and training, resident living, medical,
				  pharmacy, dental, nursing, physical therapy, occupational therapy, speech and
				  audiology, social services, recreation, psychiatric and psychological services,
				  food and nutrition, etc.) of the facility shall be described in manuals that
				  are current, relevant, available, and followed.
F. Written policy shall prohibit
				  mistreatment, neglect, or abuse. Alleged violations shall be reported
				  immediately, and there shall be evidence that:
1. all alleged violations are thoroughly
				  investigated;
2. the results of
				  such investigation are reported to the administrator or his designated
				  representative within 24 hours of the report of the incident;
3. the results of such investigation shall
				  also be reported to the appropriate funding office which then has the right to
				  make its own investigation or to refer the problem to the Licensing and
				  Certification Section for that office to investigate;
4. either the facility, the funding agency or
				  the Licensing and Certification Section may impose appropriate sanctions if the
				  allegations are substantiated.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 55 - Day Developmental Training Centers › Section I-5519 - Personnel Policies

Current through Register Vol. 50, No. 6, June 20, 2024
A. The hiring,
				  assignment, and promotion of employees shall be based on their qualifications
				  and abilities, without regard to sex, race, color, creed, age, ethnic or
				  national origin. Written job descriptions shall be available for all positions.
				  Licensure, certification, or standards such as are required in community
				  practice shall be required for all comparable positions in the facility. These
				  ethical standards of professional conduct, as developed by professional
				  societies, shall be recognized as applying in the facility. There shall be an
				  authorized procedure, consistent with due process, for suspension and/or
				  dismissal of an employee for cause. The facility's personnel policies and
				  practices are in writing and are available to all its employees.
B. Staffing shall be sufficient so that the
				  facility is not dependent upon the use of residents or volunteers for
				  productive services. There shall be a written policy to protect residents from
				  exploitation when engaged in productive work.
C. Appropriate to the size and nature of the
				  facility there shall be a staff training program that includes:
1. orientation for all new employees to
				  acquaint them with the philosophy, organization, program practices, and goals
				  of the facility;
2. inservice
				  training for employees who have not achieved the desired level of competence
				  and continuous inservice training to update and improve the skills and
				  competencies of all employees;
3.
				  supervisory and management training for all employees in, or candidates for,
				  supervisory positions;
4. an
				  individual designated the responsibility for staff development and
				  training;
5. minutes of training
				  sessions which indicate the subjects covered in the session, the names of the
				  staff members in attendance and the date of the session;
6. written policies must be in effect to
				  insure that employees with symptoms or signs of communicable disease are not
				  permitted to work.