reglab/statecodes huggingface dataset:
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43A - MANUAL OF STANDARDS FOR LICENSING OF AMBULATORY CARE FACILITIES › Subchapter 29 - EXTRACORPOREAL SHOCK WAVE LITHOTRIPSY SERVICES › Section 8:43A-29.9 - Policies and procedures

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The governing
				authority shall develop and implement written policies and procedures for
				lithotripsy services, in accordance with the governing authority and medical staff
				bylaws. The policies and procedures shall be reviewed annually and revised as
				needed, and shall include at least the following:
1. Delineation of the lithotripsy services which
				may be performed;
2. Delineation of the
				responsibilities of urologists in providing care to patients;
3. Identifying the staff qualified to participate
				in the provision of lithotripsy services;
4. Developing and implementing operational
				policies addressing at least the following concerns:
i. The maximum number of shocks and/or voltage
				allowable or their equivalent;
ii.
				Bilateral treatment;
iii. Treatment of
				females of childbearing age;
iv. Patient
				weight limitations;
v. Treatment of
				patients with pacemakers;
vi. Post ESWL
				follow-up care;
vii. Contraindicated
				medications;
viii. Pre-admission testing
				requirements;
ix. Patient
				outcomes;
x. Pre-and post-procedure
				calls to the patient;
xi. Pediatric
				cases;
xii. Treatment
				criteria;
xiii. Cancellation
				criteria;
xiv. Retreatment
				criteria;
xv. General safety protocols;
				and
xvi. Treatment simulation;
5. Lithotripters shall be inspected at
				least quarterly by a qualified person in accordance with policies and procedures
				approved by the urologist, all preventive maintenance shall be documented, and a
				service contract shall be maintained on the lithotripter according to manufacturer
				specifications;
6. All lithotripters
				shall be operated by qualified and competent personnel in accordance with facility
				policies and procedures approved by the urologist;
7. Policies for cleaning equipment before and
				after use shall be maintained and followed, including procedures for properly
				covering mobile or transportable equipment upon delivery;
8. Protocols to ensure that procedures are
				performed only after completion and documentation of appropriate history and
				physical examination, any indicated diagnostic tests, and the pre-procedure
				diagnosis;
9. Assurance that every
				patient is examined by a urologist immediately prior to the procedure; and
10. Requirements for written documentation of all
				lithotripsy services provided at the facility, including at least a description of
				the fragmentation, procedures, stones removed, patient's condition, any unusual
				events occurring during the procedure, post-procedure diagnosis, and names of the
				urologist and clinical staff. The procedure note shall be written or dictated
				immediately following the procedure by the urologist performing the procedure and
				incorporated into the patient's medical record.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43A - MANUAL OF STANDARDS FOR LICENSING OF AMBULATORY CARE FACILITIES › Subchapter 29 - EXTRACORPOREAL SHOCK WAVE LITHOTRIPSY SERVICES › Section 8:43A-29.10 - Education of patients and family

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The facility shall
				establish policies for the education of patients and families concerning lithotripsy
				services. These policies shall include efforts to improve patient outcomes by
				promoting healthy behavior and involving the patient and, as appropriate, family in
				care and care decisions. The licensee shall specify in its policies and procedures
				that:
1. Patient education shall be interactive
				and interdisciplinary;
2. Patients'
				learning needs and abilities shall be assessed;
3. Education activities and resources are planned
				and coordinated;
4. Information provided
				orally shall be documented in the medical record;
5. Printed and/or written instructions and
				information for patients, with multilingual instructions as required, shall be
				provided. Information shall include tests and/or procedures needed, possible
				complications, a telephone number to call when needed, and instructions for
				obtaining care in an emergency;
6.
				Patients and families shall receive information about proposed care during the
				treatment entry process; and
7. The
				educational systems used and outcomes shall be evaluated as part of the performance
				improvement process.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43A - MANUAL OF STANDARDS FOR LICENSING OF AMBULATORY CARE FACILITIES › Subchapter 29 - EXTRACORPOREAL SHOCK WAVE LITHOTRIPSY SERVICES › Section 8:43A-29.11 - Equipment and supplies

Current through Register Vol. 56, No. 14, July 15, 2024
The licensee shall provide equipment and supplies which are
				  appropriate to the treatment needs of lithotripsy patients for the types and ages
				  served by the licensee.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43A - MANUAL OF STANDARDS FOR LICENSING OF AMBULATORY CARE FACILITIES › Subchapter 29 - EXTRACORPOREAL SHOCK WAVE LITHOTRIPSY SERVICES › Section 8:43A-29.12 - Financial arrangements

Current through Register Vol. 56, No. 14, July 15, 2024
Licensees shall comply with all applicable requirements of this
				  chapter concerning financial arrangements, and additionally all licensees and all
				  facilities approved to perform lithotripsy services shall provide care to all
				  patients who medically require lithotripsy services, regardless of the patient's
				  ability to pay.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43A - MANUAL OF STANDARDS FOR LICENSING OF AMBULATORY CARE FACILITIES › Subchapter 29 - EXTRACORPOREAL SHOCK WAVE LITHOTRIPSY SERVICES › Section 8:43A-29.13 - Data collection and reporting for performance improvement

Current through Register Vol. 56, No. 14, July 15, 2024
(a) In addition to
				the requirements of N.J.A.C. 8:43A-18, licensees shall maintain the following
				information necessary for outcomes data collection:
1. The number of treatments provided at the
				facility;
2. The number of mortalities;
				and
3. Patients discharged for
				in-patient admission directly from outpatient lithotripsy treatment.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43A - MANUAL OF STANDARDS FOR LICENSING OF AMBULATORY CARE FACILITIES › Subchapter 29 - EXTRACORPOREAL SHOCK WAVE LITHOTRIPSY SERVICES › Section 8:43A-29.14 - Provision of mobile or transportable services by licensed facility

Current through Register Vol. 56, No. 14, July 15, 2024
(a) A licensed
				lithotripsy provider that uses a mobile or transportable lithotripter shall submit
				an amended license application and shall not provide service using the mobile or
				transportable lithotripter until the application is approved.
1. The licensed health care facility where the
				mobile or transportable lithotripsy services will be provided shall be inspected
				prior to the provision of those services to ensure that all applicable requirements
				of this chapter and subchapter are met by the licensed health care facility, the
				licensed lithotripsy provider, or a combination thereof.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43A - MANUAL OF STANDARDS FOR LICENSING OF AMBULATORY CARE FACILITIES › Subchapter 29 - EXTRACORPOREAL SHOCK WAVE LITHOTRIPSY SERVICES › Section 8:43A-29.15 - Physical plant; lithotripsy services

Current through Register Vol. 56, No. 14, July 15, 2024
The lithotripsy suite of any facility which provides ESWL
				  services shall conform with Chapter 9.1 B through H, of the Guidelines for
				  Construction and Equipment of Hospital and Medical Facilities (The American
				  Institute of Architects Press, 1996-1997 edition, 1735 New York Avenue, N.W.,
				  Washington, D.C. 20006) incorporated herein by reference, as amended and
				  supplemented, all applicable equipment manufacturer specifications and shall also
				  satisfy all applicable requirements of this subchapter.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43A - MANUAL OF STANDARDS FOR LICENSING OF AMBULATORY CARE FACILITIES › Subchapter 30 - RADIATION ONCOLOGY › Section 8:43A-30.1 - Radiation oncology policies and procedures

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The radiation
				oncology service shall have written policies and procedures that are reviewed at
				least once every three years, revised more frequently as needed, and implemented.
				These policies and procedures shall include at least:
1. Safety practices;
2. Emergencies;
3. Adverse reactions;
4. Management of the critically ill patient;
				and
5. Infection control.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43A - MANUAL OF STANDARDS FOR LICENSING OF AMBULATORY CARE FACILITIES › Subchapter 30 - RADIATION ONCOLOGY › Section 8:43A-30.2 - Radiology oncology continuous quality improvement methods

Current through Register Vol. 56, No. 14, July 15, 2024
There shall be a program of continuous quality improvement for
				  radiation oncology which includes regularly collecting and analyzing data to help
				  identify health-service problems and their extent, and recommending, implementing,
				  and monitoring corrective actions on the basis of these data.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43A - MANUAL OF STANDARDS FOR LICENSING OF AMBULATORY CARE FACILITIES › Subchapter 30 - RADIATION ONCOLOGY › Section 8:43A-30.3 - Radiation therapy oncology services staff qualifications

Current through Register Vol. 56, No. 14, July 15, 2024
(a) All physicians
				performing radiation oncology services shall have successfully completed an approved
				residency training program in radiology or radiation oncology.
(b) In order to be qualified under this
				subchapter, a radiation oncologist shall be certified by the American Board of
				Radiology in general radiology, radiation oncology or therapeutic radiology prior to
				1976; or certified by the American Board of Radiology or the American Osteopathic
				Board of Radiology in radiation oncology since 1976 or actively engaged in the
				process for certification by the American Board of Radiology or the American
				Osteopathic Board of Radiology.
1. All radiation
				oncologists shall be board certified by the American Board or the American
				Osteopathic Board of Radiology within five years of the initial application for
				board certification.
2. Upon application
				made to the Department by the physician, a waiver of the requirement of board
				certification shall be granted to a radiation oncologist who is licensed by and in
				good standing with the New Jersey Board of Medical Examiners as of September 18,
				2000.
i. If granted, the waiver shall remain for
				the duration of the applicant's career unless the applicant fails to maintain his or
				her status of good standing with the New Jersey Board of Medical
				Examiners.
ii. If the applicant fails to
				maintain good standing with that Board, the waiver shall automatically become null
				and void.
iii. Physicians falling out of
				good standing, and subsequently achieving good standing status, shall be eligible to
				reapply for a subsequent waiver, provided the applicant shall show cause why a
				subsequent waiver should be approved.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43A - MANUAL OF STANDARDS FOR LICENSING OF AMBULATORY CARE FACILITIES › Subchapter 30 - RADIATION ONCOLOGY › Section 8:43A-30.4 - Radiation oncology services staff time and availability

Current through Register Vol. 56, No. 14, July 15, 2024
(a) During regular
				hours, a radiation oncologist shall be physically on site, including the radiation
				oncology facility or radiation oncology facility campus, when patients are receiving
				radiation treatments, except for routine absences of a short duration or for brief
				unexpected absences. Such absences shall not constitute more than 10 percent of the
				time that patients are under treatment.
(b) After the radiation oncology facility is
				closed, a radiation oncologist shall be on call until the facility opens again. The
				on-call radiation oncologist shall provide telephone consultation within one hour of
				being summoned and be physically present and available to evaluate and treat the
				patient within four hours of being summoned for radiation oncologic
				emergencies.
(c) There shall be at least
				one licensed radiation therapist or radiation oncologist present to operate each
				megavoltage unit when it is in use.
(d)
				There shall be at least two radiation therapists present to operate each linear
				accelerator when it is in use except under emergency conditions. A radiation
				oncologist may act as a substitute for one of the two therapists.
(e) A radiation physicist shall be available to
				the radiation oncology service on a full-or part-time basis. Multiple unit programs
				shall have a minimum of one full-time equivalent physicist on site. A radiation
				physicist must supervise all treatment calculations other than
				emergencies.
(f) A registered
				professional nurse shall be available on-site on a full-or part-time basis to the
				radiation oncology facility. In the case of multiple megavoltage radiation oncology
				unit programs, a minimum of one full-time equivalent registered professional nurse
				is required.
(g) The facility shall have
				in place a referral agreement with a social service agency to meet the psychosocial
				needs of the patient.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43A - MANUAL OF STANDARDS FOR LICENSING OF AMBULATORY CARE FACILITIES › Subchapter 30 - RADIATION ONCOLOGY › Section 8:43A-30.5 - Radiation oncology patient services

Current through Register Vol. 56, No. 14, July 15, 2024
(a) A written plan of
				care shall be developed by the radiation oncologist upon initiation of treatment for
				each radiation oncology patient.
(b)
				Individual patient records of radiation oncology treatment shall be maintained for
				at least two years after the death of the patient. If no date of death is known,
				records shall be maintained at least until the patient would have attained the age
				of 90 years, or for five years, whichever is later. A copy of the record of
				radiation oncology treatments shall be included in the patient's medical record, if
				applicable.
(c) Computerized treatment
				planning for radiation oncology shall be available either on-site or by arrangement
				with another provider of services.
(d)
				Each patient's record shall be reviewed at least once each week to assess compliance
				with the plan developed by a radiation oncologist. The review shall be conducted by
				a physicist, chief technologist, or dosimetrist. At least one verification image
				shall be made prior to the initial treatment and then every two weeks thereafter for
				each site of disease under treatment.
(e) During a course of treatment, there shall be
				at least a weekly evaluation of the patient by a radiation oncologist.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43A - MANUAL OF STANDARDS FOR LICENSING OF AMBULATORY CARE FACILITIES › Subchapter 30 - RADIATION ONCOLOGY › Section 8:43A-30.6 - Radiation oncology services supplies and equipment

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Each radiation
				oncology facility shall have at least one dedicated fluoroscopic or computerized
				tomography simulator.
(b) Cobalt-60
				equipment shall have a source distance of greater than or equal to 80
				centimeters.
(c) All single-unit
				facilities shall have dual photon energy equipment with electron
				capability.
(d) New or replacement
				machines shall, at a minimum, provide greater than or equal to 10 MV photon energy
				level capability and greater than or equal to 10MeV electron energy level capability
				unless another machine already exists at that facility with these
				capabilities.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43A - MANUAL OF STANDARDS FOR LICENSING OF AMBULATORY CARE FACILITIES › Subchapter 30 - RADIATION ONCOLOGY › Section 8:43A-30.7 - Radiation oncology services quality improvement methods

Current through Register Vol. 56, No. 14, July 15, 2024
(a) There shall be a
				program of quality improvement for radiation oncology services that is integrated
				into the radiation oncology facility quality improvement program and includes
				regularly collecting and analyzing data to help identify health-service problems and
				their extent, recommending, implementing and monitoring corrective actions on the
				basis of these data.
(b) New and
				existing radiation oncology facilities shall:
1.
				Have and maintain accreditation by the American College of Radiology, the American
				College of Radiation Oncology, or the American Society for Radiation Oncology;
				and
2. Within 45 days of receiving a
				certificate of accreditation from one of the entities in (b)1 above, submit a copy
				of the certificate to the Department as part of State licensure.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43A - MANUAL OF STANDARDS FOR LICENSING OF AMBULATORY CARE FACILITIES › Subchapter 30 - RADIATION ONCOLOGY › Section 8:43A-30.8 - Megavoltage radiation oncology program utilization

Current through Register Vol. 56, No. 14, July 15, 2024
(a) For existing
				facilities or programs, the minimum annual megavoltage radiation oncology treatment
				volume shall be 150 new patients per facility. A new patient is defined as one who
				has never before received radiation oncology treatment or a returning patient with a
				second primary cancer at a different site which has not been previously treated. For
				new facilities or programs, by the second year of operation, the minimum annual
				megavoltage radiation oncology treatment volume shall be 150 new patients per
				facility averaged over a two year period.
(b) For those facilities offering brachytherapy,
				the minimum annual brachytherapy treatment volume shall be an average of 10 patients
				per year, over a two year period.
(c)
				Megavoltage radiation oncology facilities providing potentially curative treatment
				to children under 13 years of age shall be accredited for participation in protocols
				of a national multi-institutional pediatric oncology group such as Children's
				Oncology Group (COG).
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43A - MANUAL OF STANDARDS FOR LICENSING OF AMBULATORY CARE FACILITIES › Subchapter 30 - RADIATION ONCOLOGY › Section 8:43A-30.9 - Independent verification of radiation oncology equipment calibration

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Independent
				verification of megavoltage radiation oncology equipment output shall be made by an
				external accrediting organization such as the Radiation Physics Center or MD
				Anderson or any other external accrediting organization approved by the Department
				prior to the initiation of the megavoltage service, if new, and annually
				thereafter.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43A - MANUAL OF STANDARDS FOR LICENSING OF AMBULATORY CARE FACILITIES › Subchapter 30 - RADIATION ONCOLOGY › Section 8:43A-30.10 - Data to be maintained and reported

Current through Register Vol. 56, No. 14, July 15, 2024
Megavoltage radiation oncology facilities shall submit such
				  utilization, performance and outcome data as the Department may request. Data shall
				  include, but not be limited to, staff qualifications, verification of equipment
				  calibration, program accreditation status and program utilization by service
				  category, on reporting forms developed and annually submitted to the Department on
				  or before March 31.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43A - MANUAL OF STANDARDS FOR LICENSING OF AMBULATORY CARE FACILITIES › Subchapter 31 - WATER SUPPLY AND LAUNDRY › Section 8:43A-31.1 - Water supply

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The water supply used for drinking or culinary
				purposes shall be adequate in quantity, of a safe and sanitary quality, and from a
				water system which shall be constructed, protected, operated, and maintained in
				conformance with the New Jersey Safe Drinking Water Act,
				N.J.S.A.
				58:12A-1et seq., N.J.A.C. 7:10, and local laws,
				ordinances, and regulations. There shall be no back siphonage conditions present.
				Copies of the Safe Drinking Water Act can be obtained from the New Jersey Department
				of Environmental Protection, Division of Water Quality, PO Box 209, Trenton, NJ
				08625-0209.
(b) Hot running water
				(between 105 and 120 degrees Fahrenheit or 41 to 49 degrees Celsius) and cold
				running water shall be provided in patient care areas.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43A - MANUAL OF STANDARDS FOR LICENSING OF AMBULATORY CARE FACILITIES › Subchapter 31 - WATER SUPPLY AND LAUNDRY › Section 8:43A-31.2 - Laundry policies and procedures

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The laundry service
				shall have written policies and procedures, which are reviewed every three years or
				more frequently as needed, revised as needed and implemented. The written policies
				and procedures shall include a policy that identifies special handling practices for
				soiled laundry.
(b) All used laundry
				shall be considered contaminated and handled according to the facility's written
				policies and procedures, as approved by the infection control committee.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43A - MANUAL OF STANDARDS FOR LICENSING OF AMBULATORY CARE FACILITIES › Subchapter 31 - WATER SUPPLY AND LAUNDRY › Section 8:43A-31.3 - Laundry patient services

Current through Register Vol. 56, No. 14, July 15, 2024
(a) All soiled laundry
				from patient care areas shall be collected and transported in a manner to prevent
				any leakage.
(b) Laundry carts shall be
				in good repair, kept clean, and identified for use with either clean linen or soiled
				laundry.
(c) Clean linen shall be
				transported in covered carts and stored in a covered or enclosed area.
(d) Bedding (sheets, pillowcases, drawsheets, and
				blankets) and clothing provided to staff and patients shall be clean and in good
				repair.
(e) Mop heads shall be washed
				separately from all other laundry. A wash cycle using bleach shall be used after
				each mop head washing, unless the washing machine is dedicated to mop heads only.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43A - MANUAL OF STANDARDS FOR LICENSING OF AMBULATORY CARE FACILITIES › Subchapter 31 - WATER SUPPLY AND LAUNDRY › Section 8:43A-31.4 - Laundry space and environment

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Soiled laundry shall
				be stored in containers provided for it in a clean, ventilated, vermin-proof and
				vermin-free area, separate from other supplies. It shall be collected from the
				storage area regularly so that it does not overflow or accumulate beyond the
				capacity of the storage containers.
(b)
				Soiled laundry shall be stored, sorted, rinsed, and laundered only in areas
				specifically designated for those purposes.
(c) If a laundry chute is used, it shall be kept
				locked.
(d) If a laundry chute is used,
				it shall be maintained in good repair and cleaned, and there shall be no build-up of
				visible soil.
(e) Laundry chutes shall
				empty into an enclosed room.
(f) If the
				facility has an in-house laundry for the bulk of the facility's linens, it shall
				provide a receiving, holding, and sorting area with handwashing facilities. The
				walls, floor and ceiling of the area shall be kept clean and in good
				repair.
(g) If the facility has a
				limited-use, home-style laundry (for example, for laundering items such as cubicle
				curtains), the walls, floor, and ceiling of the area shall be kept clean and in good
				repair.
(h) If the facility contracts
				with a commercial laundry service, the facility shall have areas for sorting and
				receiving laundry. These areas shall be kept clean and in good repair.
(i) A written schedule shall be developed and
				implemented for removing lint from laundry areas on a routine basis.
(j) If the facility has an in-house laundry, the
				flow of ventilating air shall be from clean to soiled areas, and ventilation shall
				be adequate to prevent odor build-up. Soiled laundry and clean linen shall be kept
				separate.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43A - MANUAL OF STANDARDS FOR LICENSING OF AMBULATORY CARE FACILITIES › Subchapter 31 - WATER SUPPLY AND LAUNDRY › Section 8:43A-31.5 - Laundry supplies and equipment

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The facility shall
				have on-site an adequate supply in good repair of sheets, pillowcases, drawsheets,
				blankets, towels, washcloths, and scrub suits.
(b) All facilities shall provide laundered scrub
				suits in the following areas: surgical suites, obstetrical surgical suites, stage
				one postanesthesia care units, central processing, and those areas as determined by
				facility policy.
(c) If the facility has
				an in-house laundry, an established protocol shall be followed to reduce the number
				of bacteria in the fabrics. Equipment and surfaces that come into contact with
				soiled laundry and clean linen shall be sanitized.
(d) The laundry service shall monitor and document
				at least the following:
1. Unsafe objects
				found;
2. Linen supply;
3. Stained linen; and
4. pH. A random sample of all laundry batches from
				all sources shall be sour tested to ensure neutralization of alkaline residues from
				built detergents. Sour testing is a test performed to indicate the degree of acidity
				or alkalinity of linens. Built detergents are a mixture of one or more alkaline
				detergents that contains not less than 50 percent anhydrous soap (pure soap, free
				from water). Fabric pH shall be maintained at 7.0 or below after souring when built
				detergents are used.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43A - MANUAL OF STANDARDS FOR LICENSING OF AMBULATORY CARE FACILITIES › Subchapter 31 - WATER SUPPLY AND LAUNDRY › Section 8:43A-31.6 - Laundry staff education and training

Current through Register Vol. 56, No. 14, July 15, 2024
(a) If applicable,
				requirements for the laundry staff education program shall be as provided in
				8:43G-5.9.
(b) If applicable, orientation for new laundry
				employees shall include protocols for handling and receiving soiled laundry and
				clean linen.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43A - MANUAL OF STANDARDS FOR LICENSING OF AMBULATORY CARE FACILITIES › Subchapter 31 - WATER SUPPLY AND LAUNDRY › Section 8:43A-31.7 - Laundry quality improvement methods

Current through Register Vol. 56, No. 14, July 15, 2024
(a) There shall be a
				program of quality improvement for the laundry service that is coordinated with the
				facility quality improvement program and includes regularly collecting and analyzing
				data to help identify problems and their extent, and recommending, implementing, and
				monitoring corrective actions on the basis of these data. (See N.J.A.C. 8:43A-18,
				Quality Assurance Program).
(b)
				Facilities that contract with a commercial laundry service shall use quality
				improvement measures to ensure that the standards of
				8:43A-31.2 through this section are met.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43A - MANUAL OF STANDARDS FOR LICENSING OF AMBULATORY CARE FACILITIES › Subchapter 32 - OTHER SERVICES › Section 8:43A-32.1 - General provisions

Current through Register Vol. 56, No. 14, July 15, 2024
The following standards shall apply to health care services not
				  specifically addressed in these rules. All ambulatory care facilities shall comply
				  with N.J.A.C. 8:43A-1 through 11 and 13 through 19.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43A - MANUAL OF STANDARDS FOR LICENSING OF AMBULATORY CARE FACILITIES › Subchapter 32 - OTHER SERVICES › Section 8:43A-32.2 - Services not described in this chapter

Current through Register Vol. 56, No. 14, July 15, 2024
(a) In the case of a
				licensing application for a health care service for which the Department has no
				specific licensing standards, the Commissioner may impose additional requirements
				beyond the requirements contained in this chapter, in order to protect the health of
				the inhabitants of the State.
(b) If a
				licensing applicant proposes to utilize a new technology for which the Department
				has no specific licensing standards, then the applicant shall provide the Department
				with manufacturer's specifications for the equipment or technology proposed and
				documentation of compliance with these specifications.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43A - MANUAL OF STANDARDS FOR LICENSING OF AMBULATORY CARE FACILITIES › Subchapter 32 - OTHER SERVICES › Section 8:43A-32.3 - Waiver requests

Current through Register Vol. 56, No. 14, July 15, 2024
(a) If a licensing applicant believes that certain
				requirements of this chapter do not apply to the service proposed, then the
				applicant may request a waiver from those specific standards by following the
				process outlined at
				N.J.A.C. 8:43A-2.9.
(b) Waiver forms are available from the Office of
				Certificate of Need and Healthcare Facility Licensure.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43A - MANUAL OF STANDARDS FOR LICENSING OF AMBULATORY CARE FACILITIES › Subchapter 33 - PROGRAMS OF ALL-INCLUSIVE CARE FOR THE ELDERLY PACE ORGANIZATIONS › Section 8:43A-33.1 - Scope

Current through Register Vol. 56, No. 14, July 15, 2024
All PACE organizations as defined at 42 CFR shall be licensed by
				  the Department .
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43A - MANUAL OF STANDARDS FOR LICENSING OF AMBULATORY CARE FACILITIES › Subchapter 33 - PROGRAMS OF ALL-INCLUSIVE CARE FOR THE ELDERLY PACE ORGANIZATIONS › Section 8:43A-33.2 - Purpose

Current through Register Vol. 56, No. 14, July 15, 2024
The purpose of this subchapter is to protect the health, safety
				  and welfare of participants in a PACE organization in New Jersey and to establish
				  PACE licensure standards by appropriately blending Federal and State physical plant
				  and operational requirements.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43A - MANUAL OF STANDARDS FOR LICENSING OF AMBULATORY CARE FACILITIES › Subchapter 33 - PROGRAMS OF ALL-INCLUSIVE CARE FOR THE ELDERLY PACE ORGANIZATIONS › Section 8:43A-33.3 - Compliance requirements

Current through Register Vol. 56, No. 14, July 15, 2024
(a) All PACE
				organizations shall comply with the regulations of the United States Department of
				Health and Human Services at 42 CFR Part 460, incorporated herein by reference, as
				amended and supplemented.
(b) All PACE
				organizations shall comply with requirements for facilities providing primary care
				services at 8:43A-23.1(a)  and 31.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43A - MANUAL OF STANDARDS FOR LICENSING OF AMBULATORY CARE FACILITIES › Subchapter 33 - PROGRAMS OF ALL-INCLUSIVE CARE FOR THE ELDERLY PACE ORGANIZATIONS › Section 8:43A-33.4 - Waiver requests

Current through Register Vol. 56, No. 14, July 15, 2024
(a) An applicant for licensure as a PACE
				organization may request a waiver of specific standards in N.J.A.C. 8:43A that may
				not apply to the service the applicant proposes.
(b) Waiver requests shall follow the process
				outlined at N.J.A.C. 8:43A-2.9.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43B - STANDARDS FOR LICENSURE OF ADULT FAMILY CARE CAREGIVERS AND SPONSOR AGENCIES › Subchapter 1 - GENERAL PROVISIONS › Section 8:43B-1.1 - Purpose and scope

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The purpose of this
				chapter is to implement the New Jersey Adult Family Care Act,
				N.J.S.A.
				26:2Y-1 through
				26:2Y-11(Act).
(b) The rules in this chapter apply to applicants
				for licensure as adult family care (AFC) caregivers and AFC sponsor agencies,
				licensed AFC caregivers who operate AFC homes, and licensed AFC sponsor
				agencies.
(c) The rules in this chapter
				do not apply to persons who care for individuals in their homes through placement by
				a nonprofit religious or charitable organization on a voluntary or informal basis,
				or to the nonprofit religious or charitable organizations that facilitate such
				placements, provided that an entity that is exempt from the application of this
				chapter pursuant to this section shall not advertise itself as, or hold itself out
				to be, an AFC caregiver or an AFC sponsor agency.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43B - STANDARDS FOR LICENSURE OF ADULT FAMILY CARE CAREGIVERS AND SPONSOR AGENCIES › Subchapter 2 - LICENSING PROCEDURES FOR AFC CAREGIVERS AND AFC SPONSOR AGENCIES › Section 8:43B-2.3 - Inspection of applicant for initial licensure and renewal of licensure as AFC caregiver; inspection of premises

Current through Register Vol. 56, No. 14, July 15, 2024
(a) When
				an applicant for licensure or for renewal of licensure as an AFC caregiver
				(applicant) submits an application, and prior to an initiation of AFC services by an
				applicant for initial licensure, the Department shall conduct an inspection to
				determine if the applicant and the prospective adult family care home comply with
				this chapter.
1. The Department shall inspect,
				annually thereafter, each adult family care home.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43B - STANDARDS FOR LICENSURE OF ADULT FAMILY CARE CAREGIVERS AND SPONSOR AGENCIES › Subchapter 2 - LICENSING PROCEDURES FOR AFC CAREGIVERS AND AFC SPONSOR AGENCIES › Section 8:43B-2.4 - Issuance of AFC caregiver license

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The
				Department may issue an AFC caregiver license to an applicant when all of the
				following conditions are met:
1. Reports of
				Department inspections reflect that the applicant and the applicant's home comply
				with N.J.A.C.
				8:43B-2.3;
2. The applicant has submitted to the Department a
				copy of a contract with an AFC sponsor agency that is signed by the applicant and by
				an authorized representative of the AFC sponsor agency;
3. The Department has received the applicant's
				application and determined it to be complete;
4. The Department has received applicable
				licensure and inspection fees;
5. The
				Department has received a completed payment verification from the caregiver's
				mortgagor or lessor documenting the applicant's payment history for the 12 months
				preceding the filing of the application and, if the caregiver has no mortgagor or
				lessor for the preceding 12 months, proof that the AFC caregiver owns the home;
				and
6. The applicant and any non-client
				adult residents of the adult family care home receive clearance following a criminal
				record background check conducted in accordance with
				N.J.A.C.
				8:43B-3.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43B - STANDARDS FOR LICENSURE OF ADULT FAMILY CARE CAREGIVERS AND SPONSOR AGENCIES › Subchapter 2 - LICENSING PROCEDURES FOR AFC CAREGIVERS AND AFC SPONSOR AGENCIES › Section 8:43B-2.5 - Inspection of applicant for AFC sponsor agency license or renewal of license

Current through Register Vol. 56, No. 14, July 15, 2024
(a) When an applicant
				for licensure or for renewal of licensure as an AFC sponsor agency (applicant)
				submits a license application, and prior to an initiation of AFC sponsor agency
				services by an applicant for initial licensure, the Department may conduct an
				inspection to determine if the applicant complies with the requirements of this
				chapter.
(b) The Department shall notify
				the applicant of the findings of the inspection in a report that is written in clear
				and concise language that is easy to understand, including any deficiencies found
				and provide the AFC sponsor agency with a copy of the report.
1. If the inspection identifies deficiencies, the
				applicant shall submit to the Department, in writing, a plan of correction that
				identifies how the applicant will correct the deficiencies and the actions the
				applicant will take to prevent reoccurrence of the deficiencies.
2. The applicant shall notify the Department, in
				writing, when the deficiencies are corrected.
3. The Department may conduct additional
				inspections of an AFC sponsor agency at any time, that may comprise of, among other
				actions, the review of all AFC sponsor agency documents, client records, and records
				of home visits and client conferences.
4. Based on the results of the inspection, the
				Department may deny an application for licensure.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43B - STANDARDS FOR LICENSURE OF ADULT FAMILY CARE CAREGIVERS AND SPONSOR AGENCIES › Subchapter 2 - LICENSING PROCEDURES FOR AFC CAREGIVERS AND AFC SPONSOR AGENCIES › Section 8:43B-2.6 - Issuance of AFC sponsor agency license

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The
				Department may issue or renew an AFC sponsor agency license to an applicant when all
				of the following conditions have been met:
1.
				Department inspections reflect that the sponsor agency complies with this
				chapter;
2. The Department receives the
				applicant's application or information set forth at
				N.J.A.C.
				8:43B-2.1(a)1  and determines it
				to be complete;
3. The Department
				receives applicable licensure and inspection fees;
4. The applicant meets the staffing requirements
				in this chapter; and
5. The applicant
				has submitted to the Department proof of a current liability insurance
				policy.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43B - STANDARDS FOR LICENSURE OF ADULT FAMILY CARE CAREGIVERS AND SPONSOR AGENCIES › Subchapter 2 - LICENSING PROCEDURES FOR AFC CAREGIVERS AND AFC SPONSOR AGENCIES › Section 8:43B-2.7 - Surrender of AFC caregiver license

Current through Register Vol. 56, No. 14, July 15, 2024
(a) An AFC
				caregiver may voluntarily terminate operations by providing, at least 60 days prior
				to termination, written notice of the proposed termination to each client, the AFC
				sponsor agency with which the AFC caregiver contracts, and the Department.
(b) An AFC caregiver seeking to terminate
				operations shall submit a termination plan to the Department for approval 30 days
				prior to implementation that addresses, at a minimum, the procedures for the
				appropriate transfer of all services necessary to protect the health and welfare of
				clients.
(c) An AFC caregiver shall
				return the AFC caregiver license to the Department within seven business days after
				the date of revocation or non-renewal of the license, or voluntary termination of
				operations.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43B - STANDARDS FOR LICENSURE OF ADULT FAMILY CARE CAREGIVERS AND SPONSOR AGENCIES › Subchapter 2 - LICENSING PROCEDURES FOR AFC CAREGIVERS AND AFC SPONSOR AGENCIES › Section 8:43B-2.8 - Surrender of AFC sponsor agency license

Current through Register Vol. 56, No. 14, July 15, 2024
(a) An
				AFC sponsor agency may voluntarily terminate operations by providing, at least 90
				days prior to termination, written notice of the proposed termination to each
				client, client representative, AFC caregiver with whom the AFC sponsor agency
				contracts, and the Department.
(b) An
				AFC sponsor agency seeking to terminate operations shall submit a termination plan
				to the Department for approval 30 days prior to implementation. The plan shall
				address, at a minimum, the procedures for the appropriate transfer of all services
				necessary to protect the health and welfare of clients.
(c) An AFC sponsor agency shall return its AFC
				sponsor agency license to the Department within seven business days after the date
				of revocation or non-renewal of the license, or the voluntary termination of
				operations.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43B - STANDARDS FOR LICENSURE OF ADULT FAMILY CARE CAREGIVERS AND SPONSOR AGENCIES › Subchapter 2 - LICENSING PROCEDURES FOR AFC CAREGIVERS AND AFC SPONSOR AGENCIES › Section 8:43B-2.9 - Enforcement action against a licensee

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Pursuant
				to N.J.S.A.
				26:2Y-9, the Department may impose the following
				enforcement remedies against any licensee for violations of, or failure to comply
				with, this chapter:
1. Civil monetary
				penalties;
2. Denial of an application
				for a license or renewal of a license;
3. Imposition of probationary or provisional
				status on a licensee;
4. Revocation or
				suspension of a license; or
5.
				Relocation of clients.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43B - STANDARDS FOR LICENSURE OF ADULT FAMILY CARE CAREGIVERS AND SPONSOR AGENCIES › Subchapter 2 - LICENSING PROCEDURES FOR AFC CAREGIVERS AND AFC SPONSOR AGENCIES › Section 8:43B-2.10 - Waiver

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The Commissioner, in
				accordance with the general purposes and intent of this chapter, may waive sections
				of this chapter if, in the Commissioner's opinion, such waiver would not endanger
				the life, safety, or health of clients or the public.
(b) An AFC caregiver or AFC sponsor agency seeking
				a waiver of the rules in this chapter shall apply, in writing, to the Department
				using the form known as form CN-28, which is available from the Department's forms
				page at
http://www.nj.gov/health/forms
.
(c) A written request for a waiver shall include
				the following:
1. The specific rule(s) of which a
				waiver is requested;
2. The reasons for
				requesting a waiver, including a statement of the type and degree of hardship that
				would result to the caregiver or sponsor agency upon compliance;
3. An alternative proposal that would ensure
				client safety; and
4. If applicable,
				documentation necessary to support the request.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43B - STANDARDS FOR LICENSURE OF ADULT FAMILY CARE CAREGIVERS AND SPONSOR AGENCIES › Subchapter 3 - CRIMINAL RECORD BACKGROUND CHECK › Section 8:43B-3.1 - Criminal record background check required

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Each
				applicant for licensure, and for renewal of licensure, as an AFC caregiver and each
				non-client adult resident of a proposed AFC home shall submit to a criminal record
				background check, as required pursuant to N.J.S.A. 26:2Y-5.
(b) A person shall be disqualified for licensure
				as an AFC caregiver and a home shall not be approved or licensed as an AFC home if
				the criminal record background check of the applicant or non-client adult resident
				of a proposed AFC home reveals a conviction for any of the crimes or disorderly
				persons offenses enumerated at N.J.S.A. 26:2Y-5.b.
1. A conviction of a crime or disorderly persons
				offense enumerated at N.J.S.A. 26:2Y-5.b shall not result in disqualification, if
				the person provides the Department with clear and convincing evidence that
				affirmatively demonstrates rehabilitation and the Department issues a written
				determination of rehabilitation to the applicant, pursuant to
				N.J.A.C.
				8:43B-3.3.
2. If an applicant or non-client adult resident of
				a proposed AFC home has a disqualifying conviction and does not affirmatively
				demonstrate rehabilitation, as required at N.J.S.A. 26:2Y-5.c, the Department shall
				deny the license application and provide written notice to the client specifying the
				reasons for denial.
i. At no time shall the
				Department disclose information about the conviction to anyone other than the
				disqualified individual, in accordance with
				N.J.A.C.
				13:59-1.2(b)3  and
				28 CFR
				20.33(b).
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43B - STANDARDS FOR LICENSURE OF ADULT FAMILY CARE CAREGIVERS AND SPONSOR AGENCIES › Subchapter 3 - CRIMINAL RECORD BACKGROUND CHECK › Section 8:43B-3.2 - Procedures to obtain fingerprint impressions

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Each
				applicant for licensure as an AFC caregiver and non-client adult resident of a
				proposed AFC home shall submit impressions of their fingerprints in a manner
				specified by the New Jersey State Police. Instructions are available at:
http://www.nj.gov/health/legal/fingerprinting.shtml
.
1. If the initial fingerprint impressions are not
				readable by either the New Jersey State Police or the Federal Bureau of
				Investigation, the applicant caregiver or non-client adult resident of the AFC home
				shall submit a new set of fingerprint impressions.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43B - STANDARDS FOR LICENSURE OF ADULT FAMILY CARE CAREGIVERS AND SPONSOR AGENCIES › Subchapter 3 - CRIMINAL RECORD BACKGROUND CHECK › Section 8:43B-3.3 - Standards for a rehabilitation review

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Within
				30 days of the date of the Department issuing a notice of disqualification pursuant
				to N.J.A.C.
				8:43B-3.1, the disqualified applicant and/or
				non-client adult resident of the proposed AFC home may submit to the Department
				evidence that affirmatively demonstrates rehabilitation.
(b) In determining whether a disqualified person
				is rehabilitated, the Department shall consider the following factors, as
				applicable:
1. The nature and seriousness of the
				offense;
2. The circumstances under
				which the offense was committed;
3. The
				date of the offense;
4. The age of the
				person when the offense was committed;
5. Whether the offense was an isolated or repeated
				incident;
6. Any social conditions that
				may have contributed to the offense; and
7. Any evidence of rehabilitation, including good
				conduct in prison or the community, counseling or psychiatric treatment received,
				acquisition of additional academic or vocational schooling, successful participation
				in correctional work-release programs, or the recommendation of those who have had
				the person under their supervision.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43B - STANDARDS FOR LICENSURE OF ADULT FAMILY CARE CAREGIVERS AND SPONSOR AGENCIES › Subchapter 3 - CRIMINAL RECORD BACKGROUND CHECK › Section 8:43B-3.4 - Non-client adult resident of AFC home subject to criminal record background check

Current through Register Vol. 56, No. 14, July 15, 2024
An AFC caregiver shall not permit a non-client adult to reside in
				  an AFC home unless that person submits to a criminal record background check and is
				  not disqualified under the terms of this subchapter.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43B - STANDARDS FOR LICENSURE OF ADULT FAMILY CARE CAREGIVERS AND SPONSOR AGENCIES › Subchapter 3 - CRIMINAL RECORD BACKGROUND CHECK › Section 8:43B-3.5 - Remedy of denial of licensure

Current through Register Vol. 56, No. 14, July 15, 2024
(a) If the Department
				denies an application for an AFC caregiver license as the result of a criminal
				record background check, the applicant shall have the right to remedy the denial by:
1. Removing the non-client adult resident from the
				AFC home and re-filing the application; or
2. Requesting a hearing pursuant to the
				Administrative Procedures Act,
				N.J.S.A.
				52:14B-1 et seq., and 52:14F-1 et seq., and
				N.J.A.C.
				8:43B-13 to contest the denial.