reglab/statecodes huggingface dataset:
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 111 - FOOD AND DRUGS › Subchapter 2 - LICENSURE PROCEDURES AND ENFORCEMENT › Section 8:111-2.22 - Revocation of a license

Current through Register Vol. 56, No. 14, July 15, 2024
(a) A Notice of the
				Proposed Revocation of a residential substance use disorders treatment facility
				license may be issued in the following circumstances, when:
1. The facility has failed to comply with
				licensing requirements, posing an immediate and serious risk of harm or actual harm
				to the health, safety and welfare of clients, and the facility has not corrected
				such violations in accordance with an approved plan of correction or subsequent to
				imposition of other enforcement remedies issued pursuant to this chapter;
2. The facility has exhibited a pattern and
				practice of violating licensing requirements posing a serious risk of harm to the
				health, safety and welfare of clients. A pattern and practice may be demonstrated by
				more than one finding of violations of the same or similar rule by any Department
				representative or employee and/or contracted agent;
3. The facility has failed to correct identified
				violations that had led to the issuance of an order for suspension of a license or
				issuance of an injunction; or
4. A
				facility has operated under a provisional license that has not met the stipulated
				conditions within 12 months or more.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 111 - FOOD AND DRUGS › Subchapter 2 - LICENSURE PROCEDURES AND ENFORCEMENT › Section 8:111-2.23 - Injunction

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The Commissioner, or
				designee thereof, may determine to seek an injunction of the operation of a
				substance use disorders treatment facility or a component or distinct part of the
				facility upon a finding that violations pertaining to the care of clients or to the
				hazardous or unsafe conditions of the physical structure pose an immediate threat to
				the health, safety and welfare of the public or the clients of the
				facility.
(b) Upon a finding described
				in (a) above, the Commissioner, or designee thereof, shall refer the matter to the
				Office of the Attorney General to file for an injunction and or temporary restraints
				consistent with the New Jersey Rules of Court.
(c) Within five working days, the Department shall
				approve and coordinate the process to transfer/relocate all of the facility's
				current clients. Upon the court issuing an injunction or temporary restraint the
				facility shall cease and desist the provision of substance use disorders treatment
				services and effect an orderly transfer of clients to substance use disorders
				treatment facilities or other services approved by the Department and the facility
				shall document all transfers.
(d)
				Notwithstanding the issuance of an injunction and/or temporary restraint, the
				Department may concurrently or subsequently impose other enforcement actions
				pursuant to this chapter.
(e) The
				Department shall seek to lift the injunction and/or temporary restraint upon its
				determination that the facility has corrected the conditions that were the basis for
				the action.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 111 - FOOD AND DRUGS › Subchapter 2 - LICENSURE PROCEDURES AND ENFORCEMENT › Section 8:111-2.24 - Hearings

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Notice of a proposed
				enforcement action shall be afforded to a facility pursuant to N.J.A.C.
				8:111-2.15.
(b) A facility shall have 30
				days following receipt of a notice to request a hearing to appeal the action(s)
				specified in the notice.
(c) The
				Department shall transmit the hearing request to the New Jersey Office of
				Administrative Law (OAL) within seven working days of its receipt.
(d) Hearings shall be conducted pursuant to the
				Administrative Procedure Act, 52:14B-1 et seq., and 52:14F-1 et seq., and the
				Uniform Administrative Procedure Rules, N.J.A.C. 1:1.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 111 - FOOD AND DRUGS › Subchapter 2 - LICENSURE PROCEDURES AND ENFORCEMENT › Section 8:111-2.25 - Settlement of enforcement actions

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The
				facility may request that the matter be scheduled for settlement conference prior to
				transmittal to the Office of Administrative Law (OAL) for an administrative
				hearing.
(b) The Department shall
				schedule a settlement conference within 30 days but the Department and the party may
				extend that time if both parties agree.
(c) The Department has the discretion to settle
				the matter as it deems appropriate. Settlement terms may include the Department's
				agreement to accept payment of penalties over a schedule not exceeding 18 months
				where a facility demonstrates financial hardship.
(d) All funds received in payment of penalties
				shall be deposited in the State's General Fund.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 111 - FOOD AND DRUGS › Subchapter 3 - GENERAL REQUIREMENTS › Section 8:111-3.1 - Provision of services

Current through Register Vol. 56, No. 14, July 15, 2024
(a) A residential
				substance use disorders treatment facility shall provide or arrange for the
				following services: medical and nursing services (including assessment, diagnostic,
				treatment), counseling, vocational, educational, case management and other
				supportive services. Written agreements detailing services to be provided shall be
				made between the residential substance use disorders treatment facility and any
				other service provider; such agreements shall specify services rendered and be
				supported by documentation of services rendered.
1.
				If the facility contracts with a third-party provider, whether for services to be
				provided within or outside of the facility, the written agreement shall specify each
				party's responsibilities, including submission of reports and treatment and service
				recommendations.
i. Such services shall comply or
				be in accordance with the requirements and rules set forth in this chapter.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 111 - FOOD AND DRUGS › Subchapter 3 - GENERAL REQUIREMENTS › Section 8:111-3.2 - Compliance with laws and rules

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The facility shall
				comply with all applicable Federal, State and local laws, rules and regulations and
				accrediting organizations as applicable.
(b) If a licensed facility provides residential
				substance use disorders treatment services in addition to other health care
				services, the licensee shall comply with the rules in this chapter and all other
				applicable rules and regulations.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 111 - FOOD AND DRUGS › Subchapter 3 - GENERAL REQUIREMENTS › Section 8:111-3.3 - Ownership

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The Division shall
				hold the licensee for a facility responsible for ensuring that the facility is and
				remains in compliance with all applicable statutes, rules, and regulations related
				to the construction and maintenance of the physical plant, regardless of whether the
				licensee owns the physical plant
(b)
				Facilities in which ownership of the physical plant, and/or the property on which it
				is located is by an entity other than the licensee for the facility, shall provide
				notice of the current ownership of the property(ies), upon request.
1. Notice of ownership will be maintained at the
				facility.
2. The facility shall provide
				the Division written notice of any change in ownership of the physical plant or land
				on which it is located at least 30 days prior to such change.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 111 - FOOD AND DRUGS › Subchapter 3 - GENERAL REQUIREMENTS › Section 8:111-3.4 - Submission of documents and data

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Upon
				request, the facility shall submit to the Department any documents required to be
				maintained by the facility, in accordance with this chapter. Information identifying
				clients shall be kept confidential at all times by the Department as required by
				Federal confidentiality regulations at 42 CFR Part 2 and Federal HIPAA requirements
				at 45 CFR Part 160.
(b) The facility
				shall report monthly to the Department all client admissions to, and discharges from
				the facility, and such additional client and service data as the Department may
				require, on the NJSAMS or other Department-designated reporting systems.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 111 - FOOD AND DRUGS › Subchapter 3 - GENERAL REQUIREMENTS › Section 8:111-3.6 - Policy and procedure manual

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The
				administrator shall develop, implement, and ensure the review, at least annually, of
				a policy and procedure manual(s) about the organization and operation of the
				facility.
1. The administrator shall ensure that
				the governing authority shall participate in the review of the facility's policy and
				procedure manual at least annually.
2.
				The policy and procedure manual shall be signed and dated by the administrator and
				governing authority presiding officer, attesting that the policy and procedure
				manual was reviewed.
3. The policy and
				procedure manual shall be maintained on-site at the facility and available for
				review at all times by clients, staff, the Department, and the
				public.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 111 - FOOD AND DRUGS › Subchapter 3 - GENERAL REQUIREMENTS › Section 8:111-3.7 - Employee health

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The policy and
				procedure manual shall include policies and procedures to ensure that physical
				examinations of staff are performed upon initial employment and at subsequent
				intervals. Policies and procedures shall specify the circumstances under which other
				persons providing direct client care services shall receive a physical examination.
				Policies and procedures shall specify the content and the frequency of the
				examination, including follow-up examinations where medically warranted.
(b) The facility shall require all staff employed
				as of July 15, 2013, and all staff hired thereafter, to submit to screening tests
				for rubella and measles.
1. If an employee can
				document seropositivity from a previous rubella screening or inoculation with
				rubella vaccine, the employee shall not be required to submit to any additional
				rubella screenings.
2. If an employee
				cannot provide documentation required by (b)1 above, the employee shall be given a
				rubella hemagglutination inhibition test or other rubella-screening test approved by
				DOH as equivalent or better, on a case-by-case basis.
3. Only employees born in 1957 or later shall be
				required to submit to a measles screening test.
i.
				If the employee can document receipt of a live measles vaccine on or after his or
				her first birthday, physician diagnosed measles or serologic evidence of immunity to
				measles, the employee shall not be required to submit to a measles screening
				test.
ii. If the employee cannot provide
				the documentation required in (b)3i above, the employee shall submit to a measles
				hemagglutination inhibition test, or other measles screening test.
4. All employees hired after July 15,
				2013, that are required to submit to screening tests shall do so upon employment;
				and
5. All employees employed as of July
				15, 2013, that are required to submit to screening tests shall do so within 60
				days.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 111 - FOOD AND DRUGS › Subchapter 3 - GENERAL REQUIREMENTS › Section 8:111-3.8 - Reportable events

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The facility shall
				develop policies and procedures governing the reporting and management of reportable
				events. Such polices shall include, but need not be limited to, the procedures in
				this section.
(b) The facility shall
				immediately notify the Department at (609) 530-7473, as well as immediately fax a
				report to the Department at (609) 530-4850, regarding any event occurring within the
				facility that jeopardizes the health, safety, or welfare of clients or staff as set
				forth in this subchapter, including, but not limited to, the following:
1. All fires, floods, disasters, accidents or
				other unanticipated events that result in serious injury or death of clients or
				staff, evacuation of clients from the facility or closure of the facility;
2. All deaths of clients under the supervision of
				the facility, including deaths known or suspected of resulting from misuse of
				medications prescribed or dispensed by the facility;
3. All outbreaks of communicable disease or other
				conditions adversely effecting multiple clients and/or staff. This does not relieve
				the facility from reporting certain communicable diseases to local or State health
				authorities pursuant to N.J.A.C. 8:57;
4. All alleged or suspected crimes that endanger
				the life or safety of clients or staff or that jeopardize facility operations or
				fiscal stability.
i. Any client or staff member
				against whom an alleged or suspected crime has been committed shall be advised of
				his or her right to report the incident to local police.
ii. Notification, or the refusal to notify police
				authorities, shall be documented in writing in the client or staff record, and the
				administrator shall be notified.
iii.
				The governing body shall be notified of events endangering the life and/or safety of
				clients and staff, or suspected crimes that jeopardize the facility's operations or
				fiscal stability;
5. All
				disciplinary actions of staff, including termination, resulting from inappropriate
				staff interaction with clients; and
6.
				All criminal convictions or disciplinary sanctions imposed on staff, board members
				or representatives of the governing authority by licensing or credentialing boards
				since the prior application for licensure.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 111 - FOOD AND DRUGS › Subchapter 3 - GENERAL REQUIREMENTS › Section 8:111-3.9 - Notices

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The facility shall
				conspicuously post a notice that the following information is available in the
				facility during its normal business hours for clients and the public:
1. All waivers granted by the Division;
2. The list of deficiencies from the last annual
				licensure inspection and the list of deficiencies from any valid complaint
				investigation during the past 12 months and the facility's plan of
				correction;
3. A statement of client
				rights;
4. The names of members of the
				governing authority of the facility and current addresses to which correspondence
				may be sent;
5. The hours of operation
				and the normal business hours of the facility;
6. The complaint telephone number of the
				Department, which is (877) 712-1868; and
7. Emergency telephone
				numbers.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 111 - FOOD AND DRUGS › Subchapter 3 - GENERAL REQUIREMENTS › Section 8:111-3.10 - Reporting to professional licensing boards

Current through Register Vol. 56, No. 14, July 15, 2024
The facility shall comply with all requirements of professional
				  licensing and credentialing boards for reporting termination, suspension, revocation
				  or reduction of privileges of any employee licensed or credentialed in the State of
				  New Jersey.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 111 - FOOD AND DRUGS › Subchapter 3 - GENERAL REQUIREMENTS › Section 8:111-3.11 - Transportation

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The facility shall
				develop and implement a method of client transportation for services provided
				outside of the facility, which shall include plans for security and accountability
				for the client and his or her personal possessions, as well as transfer of client
				information to and from the provider of the services.
(b) The facility shall maintain, or otherwise
				ensure that all vehicles used for transportation of clients are in conformity with
				all motor vehicle and insurance laws and/or rules.
1. The facility shall maintain copies of current
				registration and current insurance information for all vehicles used to transport
				clients.
2. The facility shall keep on
				file the name of each driver responsible for transporting clients, a photocopy of
				each driver's current driver's license and the driver's abstract of all staff who
				may transport clients.
i. Facilities shall have
				policies and procedures ensuring that additional staff coverage for clients is
				provided in facility vehicle(s) when needed.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 111 - FOOD AND DRUGS › Subchapter 3 - GENERAL REQUIREMENTS › Section 8:111-3.12 - Tobacco products

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Facilities shall
				immediately comply with the New Jersey Smoke-Free Air Act,
				P.L.
				2005, c. 383, in which the
				smoking of tobacco products is prohibited within all buildings.
(b) The smoking of tobacco products and the use of
				spit tobacco is prohibited within the facility.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 111 - FOOD AND DRUGS › Subchapter 5 - ADMINISTRATION › Section 8:111-5.1 - Appointment of administrator

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The
				governing authority shall appoint an administrator who shall be accountable to the
				governing authority.
(b) The
				administrator shall be available in the facility at all times during normal business
				hours or available by telephone to designated staff responsible for contacting the
				administrator when the administrator is not in the facility.
(c) In the event that an alternate or designee is
				used in the administrator's absence (except on a short-term emergency basis not to
				exceed two weeks), this individual shall possess the appropriate credentials and
				qualifications to perform the administrator's role. There shall be written
				documentation identifying the individual who will act in the absence of the
				administrator and the length of time this individual shall serve in this capacity.
				This information shall be provided to the facility's staff and approved by the
				governing authority.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 111 - FOOD AND DRUGS › Subchapter 6 - CLIENT CARE POLICIES AND SERVICES › Section 8:111-6.1 - Client care policies and procedures

Current through Register Vol. 56, No. 14, July 15, 2024
(a)
				Every residential substance use disorders treatment facility shall develop,
				establish and ensure the implementation and maintenance of client care policies and
				procedures consistent with the requirements of this chapter. At a minimum, the
				administrator, director of substance abuse counseling, director of nursing services,
				and the medical director or facility's physician shall provide direct input and
				review of all client care policies.
1. A facility
				shall establish a client care policy committee, which shall, at a minimum, be
				composed of the administrator, director of substance abuse counseling, director of
				nursing services, the medical director or the facility's physician and a client.
i. The facility shall provide written
				documentation to the governing authority of the mechanisms by which client care
				policies will be developed, managed and maintained by the facility.
ii. All client care policies related to medical
				services shall be reviewed and approved by the medical director, and shared with the
				facility's physician, pharmacist and director of nursing
				services.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 111 - FOOD AND DRUGS › Subchapter 6 - CLIENT CARE POLICIES AND SERVICES › Section 8:111-6.3 - Standards for preadmission, admission, and retention of clients

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Prior to or at the time of admission to the
				facility, the facility staff shall conduct a preadmission interview with all clients
				and, in the case of an adolescent, his or her family, guardian or legally authorized
				representative. A summary of the interview shall be documented in the client
				clinical record after:
1. The orientation of the
				client to the facility's policies, business hours, fee schedules, services provided,
				client rights, criteria for admission, treatment and discharge;
2. The obtaining of informed consent from the
				parents or legally authorized representative of an adolescent prior to the
				adolescent entering treatment, except as provided for by 9:17A-4, where a minor
				voluntarily seeking treatment for substance abuse shall be considered confidential
				information; and
3. If admission to the
				facility is denied, the documentation of the reasons for denial and referral of the
				client to appropriate treatment services.
i. If a
				client presents for admission to a facility that does not have the capacity to
				support medically assisted therapy, that facility can either seek to provide the
				service through referral to a provider consultation or referral to another facility
				that can support medically assisted therapy and shall document the
				referral.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 111 - FOOD AND DRUGS › Subchapter 6 - CLIENT CARE POLICIES AND SERVICES › Section 8:111-6.4 - Notice of discharge

Current through Register Vol. 56, No. 14, July 15, 2024
(a) A facility shall
				have written policies and procedures governing the involuntary discharge of clients,
				a copy of which shall be given to and signed by the client at intake. All clients
				shall be provided with a verbal and written notice of the facility's intent to
				discharge. If the client is an adolescent, the adolescent's parent(s), guardian or
				legally authorized representative shall be provided with the time the adolescent
				will be released to their care, except for those circumstances in which the
				adolescent has voluntarily sought treatment in accordance with 9:17A-4. The written
				notice shall include the specific reason(s) for the discharge, and shall set forth
				the client's rights and procedures to appeal the discharge decision.
1. In a situation where a client has absconded,
				eloped, or whose whereabouts are unknown, a facility shall make an effort to provide
				verbal and written notice.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 111 - FOOD AND DRUGS › Subchapter 6 - CLIENT CARE POLICIES AND SERVICES › Section 8:111-6.5 - Use of restraints

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Pharmacological
				restraints shall only be used in a facility licensed by the Department to provide
				medical detoxification services. No other types of restraints (for example, physical
				or medical devices) are permitted in Department-licensed substance use disorders
				treatment facilities.
1. The facility shall
				develop and implement written policies and procedures regarding pharmacological
				restraint use including, but not limited to:
i.
				Use on clients posing a threat or harm to self or others, and after other less
				restrictive methods have been utilized and documented in the client record and
				medical record as such;
ii.
				Specification of the circumstances in which pharmacological restraints are
				permitted;
iii. Specification of the
				frequency with which a client shall be monitored by licensed medical or nursing
				personnel (for example, licensed practical nurse, registered nurse, physician's
				assistant, physician);
iv. Specification
				of the documentation required in the client record and medical record describing
				client's reaction and behavior while on pharmacological restraint;
v. Protocols for notifying the facility's medical
				director or facility's physician when a pharmacological restraint is not effective
				and must be re-administered;
vi. A
				requirement that specifies a pharmacological restraint be administered only when
				authorized in writing by the facility's medical director or designee; and
vii. Requirement that medical and nursing staff
				responsible for administering pharmacological restraints have been trained and are
				competent to administer pharmacological restraints.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 111 - FOOD AND DRUGS › Subchapter 6 - CLIENT CARE POLICIES AND SERVICES › Section 8:111-6.6 - Calibration of instruments

Current through Register Vol. 56, No. 14, July 15, 2024
The facility shall ensure that all instruments are calibrated in
				  accordance with manufacturer's instructions, and shall maintain a record of
				  maintenance for all instruments.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 111 - FOOD AND DRUGS › Subchapter 6 - CLIENT CARE POLICIES AND SERVICES › Section 8:111-6.7 - Interpretation services

Current through Register Vol. 56, No. 14, July 15, 2024
The facility shall either provide or make an appropriate referral
				  for a reasonable accommodation for communication access services for clients with
				  hearing impairments or hearing loss; or clients unable to comprehend and/or
				  communicate due to a language barrier, that without such assistance clients would be
				  unable to participate in the substance use disorder treatment process.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 111 - FOOD AND DRUGS › Subchapter 7 - MEDICAL SERVICES › Section 8:111-7.1 - Provision of medical services

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Every
				residential substance use disorders facility shall provide for the rendering of
				medical services to clients. All residential substance use disorders treatment
				facilities governed by this chapter shall comply with all guidelines issued from
				CSAT that mandate any Federal Food and Drug Administration-approved medications for
				detoxification and maintenance. All facilities shall also comply with the
				Buprenorphine Guidelines, incorporated herein by reference as chapter Appendix B and
				with the Vivitrol<(R)> Injectable Guidelines, incorporated herein by
				reference, as chapter Appendix C.
1.
				Hospital-based (medical) detoxification facilities, non-hospital-based (medical)
				detoxification facilities, short-term residential facilities and long-term
				residential facilities shall designate a medical director who shall supervise the
				medical services provided, or supervise the coordination of the medical services
				provided.
i. Hospital-based (medical)
				detoxification facilities, non-hospital-based (medical) detoxification facilities
				and short-term residential facilities shall provide for the rendering of medical
				services on site.
ii. Long-term
				residential facilities may provide for the rendering of medical services on site or
				through written agreements with one or more physicians who provide services outside
				of the facility.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 111 - FOOD AND DRUGS › Subchapter 7 - MEDICAL SERVICES › Section 8:111-7.2 - Medical policies and medical staff bylaws

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The
				medical director, in conjunction with the medical staff, shall develop, implement
				and review annually written medical policies. This shall include medical staff
				bylaws that shall be subject to the review and approval of the governing authority
				and consistent with New Jersey laws and rules.
(b) The written medical policies and bylaws shall
				include, but need not be limited to, the following:
1. A plan for medical staff meetings that are
				documented by minutes;
2. A procedure
				for reviewing credentials and delinating qualifications of medical staff,
				appointments and reappointments, evaluation of medical care and the granting,
				denial, curtailment, suspension or revocation of medical staff privileges;
3. Specifications for verbal and telephone orders,
				including the identification of the licensed medical staff authorized to give and
				receive verbal and telephone orders;
4.
				A system for completion of entries in client clinical records by members of the
				medical staff, including specification of a time limit for completion of the
				clinical record, which must not exceed 30 days following a client's last treatment
				or discharge; and
5. For those
				facilities serving women and dependent children, a plan for ensuring that the needs
				of the children, as well as the mothers, are adequately assessed and met during
				treatment.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 111 - FOOD AND DRUGS › Subchapter 8 - NURSING SERVICES › Section 8:111-8.1 - Provision of nursing services

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Every
				hospital-based (medical) detoxification facility, non-hospital-based (medical)
				detoxification facility, short-term residential facility, long-term residential
				facility, and extended care facility shall provide nursing services, as follows:
1. Hospital-based (medical) detoxification
				facilities and non-hospital-based (medical) detoxification facilities shall dedicate
				at least one registered professional nurse on each of its detoxification nursing
				units 24 hours a day, seven days a week;
2. Short-term residential facilities shall staff
				at least one registered professional nurse on duty eight hours a day Monday through
				Friday, a minimum of five days a week and shall have a registered professional nurse
				available at all other times on an on-call basis;
3. Long-term residential facilities shall staff at
				least one registered professional nurse on duty eight hours a day, Monday through
				Friday, a minimum of five days a week and shall have a registered professional nurse
				available at all other times on an on-call basis;
4. Extended care facilities shall have nursing
				services on-site a minimum of two hours daily.
i.
				Extended care facilities shall comply with N.J.A.C. 8:111-1.5(f).
ii. Extended care facilities that do not have
				nurses on staff shall provide nursing services through written contract;
				and
5. Halfway houses are not
				required to have on-site nursing services but shall have a medical liaison who is
				responsible for ensuring that clients receive appropriate medical follow up as
				indicated in the pre-admission physical examination. In addition, there shall be
				follow up for any additional medical problems that occur during the stay within the
				facility.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 111 - FOOD AND DRUGS › Subchapter 9 - CLIENT ASSESSMENTS AND TREATMENT PLAN › Section 8:111-9.1 - Client assessment

Current through Register Vol. 56, No. 14, July 15, 2024
(a) A residential
				substance use disorders treatment facility shall provide within 72 hours of
				admission, a comprehensive biopsychosocial assessment of all clients using the
				Addiction Severity Index or a similar standardized validated assessment instrument
				that assesses medical status, employment and support, tobacco, drug and alcohol use,
				legal status, family status/social status, psychiatric status, including diagnosis,
				as well as behavioral risk factors for HIV and Hepatitis. In order to ensure that
				the client is placed in the appropriate treatment facility, the client must be
				assessed for level of care determination based upon the ASAM PPC.
1. All client assessments shall document the
				result in a DSM diagnosis for alcohol, tobacco and other drug use, screening for
				other co-occurring disorders and ASAM level of care determination. Such
				documentation shall be included in the client record.
2. At the time of assessment, all clients must be
				screened for co-occurring disorders and, as appropriate, provided with or referred
				for full diagnosis and treatment planning. Such provision to a facility in which
				treatment staff are appropriately licensed to provide a full diagnosis of or
				referral for treatment planning shall be documented in the client's file.
3. If the biopsychosocial assessment indicates
				that the client should be referred to another treatment program or level of care,
				the facility shall coordinate the client's referral to another program. If transfer
				to another facility or level of care is indicated, interim services that are
				responsive at the client's current level of care shall be provided until the
				transfer is made.
4. If the physical
				examination and clearance is not conducted prior to admission, the client shall be
				assessed at admission by a registered professional nurse, licensed physician, or
				other licensed medical practitioner to ensure that the client does not exhibit
				potential symptoms of communicable disease, such as persistent coughing, fever, etc.
				The full physical examination shall be completed within 72 hours of admission,
				except as otherwise required for clients receiving detoxification services, or if
				conducted within 30 days pre-admission and waived pursuant to N.J.A.C.
				8:111-7.1(b)1.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 111 - FOOD AND DRUGS › Subchapter 9 - CLIENT ASSESSMENTS AND TREATMENT PLAN › Section 8:111-9.2 - Client treatment planning

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The facility shall
				establish a client treatment plan that is specific, measurable, and outcomes-focused
				for every client, which shall be developed based on the assessments made of the
				client in accordance with N.J.A.C. 8:111-9.1.
1.
				The facility shall initiate development of a measurable client treatment plan upon
				the client's admission, and shall enter the client's treatment plan into the client
				record within 72 hours following the client's admission.
i. The client treatment plan, shall be revised
				and/or updated as assessments are completed and/or new client information is
				obtained or on an as-needed basis.
ii.
				Clients shall be continually assessed, using the ASAM PPC, to assess level of care
				and needs.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 111 - FOOD AND DRUGS › Subchapter 10 - SUBSTANCE ABUSE COUNSELING AND SUPPORTIVE SERVICES › Section 8:111-10.1 - Provision of substance abuse counseling

Current through Register Vol. 56, No. 14, July 15, 2024
(a)
				Every residential substance use disorder facility shall provide substance abuse
				counseling on-site, and shall assign every client to a substance abuse counselor at
				admission.
(b) A facility shall maintain
				a ratio of substance-abuse-counselors-to-clients on the basis of each facility's
				daily census, with substance abuse counseling required as follows:
1. For hospital-based (medical) detoxification,
				non-hospital-based (medical) detoxification facilities, substance abuse counselors
				shall be provided at the same ratio as that required for non-detoxification beds.
				Clients shall participate in required treatment services as soon as medically able,
				as ordered by the medical director/physician or the detoxification facility's
				supervisor in the client's medical record;
2. For short-term residential facilities, one
				substance abuse counselor for every eight clients, with each client receiving at
				least 12 hours of counseling per week, on at least six separate occasions and shall
				include a minimum of one hour of individual client counseling and 10 hours of group
				counseling;
3. For long-term residential
				facilities, one substance abuse counselor for every 12 clients, with each client
				receiving at least eight hours of counseling per week on at least five separate
				occasions and shall include a minimum of one hour of individual client counseling
				and seven hours of group counseling;
4.
				For extended care facilities, one substance abuse counselor for every 15 clients,
				with each client receiving six hours of counseling per week, on at least three
				separate occasions per client, with at least one hour of individual client
				counseling and five hours of group counseling;
5. For halfway houses, one substance abuse
				counselor for every 20 clients, with each client receiving at least three hours of
				counseling per week, with at least one hour of individual client counseling and two
				hours of group counseling; and
6. Group
				counseling sessions, which shall not apply to educational or family counseling
				sessions, shall be as follows:
i. Short-term
				residential facilities shall have, at a minimum, one counselor for eight or fewer
				clients;
ii. Long-term residential
				facilities and extended care facilities shall have at a minimum one counselor for 12
				or fewer clients; and
iii. Halfway
				houses shall have at a minimum, one counselor for 15 or fewer clients.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 111 - FOOD AND DRUGS › Subchapter 10 - SUBSTANCE ABUSE COUNSELING AND SUPPORTIVE SERVICES › Section 8:111-10.2 - Director of substance abuse counseling services

Current through Register Vol. 56, No. 14, July 15, 2024
Every facility shall appoint a director of substance abuse
				  counseling services with the qualifications and responsibilities specified in
				  N.J.A.C. 8:111-1.8.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 111 - FOOD AND DRUGS › Subchapter 10 - SUBSTANCE ABUSE COUNSELING AND SUPPORTIVE SERVICES › Section 8:111-10.3 - Supportive services

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Every facility shall
				provide or coordinate the following services for each client as appropriate to the
				client's treatment plan:
1. Vocational and
				educational counseling and training;
2.
				Legal services rendered by an attorney, licensed or otherwise authorized to practice
				law in this State, when such services are related to the client's
				treatment;
3. Job placement for clients
				whose plans of care indicate a need for such services;
4. Housing resources;
5. Names, addresses, and telephone numbers of
				offices where information concerning Medicaid coverage may be obtained;
				and
6. The Department's address and
				telephone number shall be conspicuously posted throughout the facility and, at a
				minimum, in the admissions waiting area or room, in the client service area of the
				business office, and in other public areas.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 111 - FOOD AND DRUGS › Subchapter 10 - SUBSTANCE ABUSE COUNSELING AND SUPPORTIVE SERVICES › Section 8:111-10.4 - Co-occurring services

Current through Register Vol. 56, No. 14, July 15, 2024
(a) All agencies shall
				screen for co-occurring disorders and either treat or refer those clients in need of
				co-occurring services.
(b) Facilities
				providing substance use disorders treatment to clients diagnosed with co-occurring
				disorders shall have clearly written policies and procedures governing the
				integrated treatment of substance abuse and mental health treatment (screening,
				assessment, diagnosis and service provision including referrals to mental health
				agencies and integrated treatment plans) or individuals diagnosed with co-occurring
				disorders.
1. Policies and procedures shall
				include the qualifications of clinical and medical staff responsible for screening,
				assessing and diagnosing clients with co-occurring disorders and providing treatment
				and medical services to such clients.
i. Only
				licensed individuals whose licensure scope of practice allows them to render a DSM
				diagnosis for both mental health and substance abuse may assess and diagnosis
				clients with co-occurring disorders.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 111 - FOOD AND DRUGS › Subchapter 11 - EDUCATIONAL SERVICES › Section 8:111-11.1 - Provision of education services for adolescents

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Every residential
				substance use disorders treatment facility shall provide, or coordinate the
				provision of educational services for clients, as specified in the client's
				treatment record and in accordance with New Jersey Department of Education rules.
1. Educational services may be provided in a
				public or private educational institution in the community, in an approved on-site
				school operated by the facility, or on-site pursuant to an agreement with and under
				the direction of the staff of a nearby school district based on a home-instruction
				model.
2. Regardless of the method by
				which the educational services are delivered to clients, substance abuse counselors
				shall confer with teachers and/or their principals on the progress of each
				client.
3. Whenever appropriate, staff
				shall encourage clients to become active in extracurricular school activities and
				shall make arrangements necessary to enable the client to
				participate.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 111 - FOOD AND DRUGS › Subchapter 12 - LABORATORY AND RADIOLOGICAL SERVICES › Section 8:111-12.1 - Provision of laboratory and radiological services

Current through Register Vol. 56, No. 14, July 15, 2024
(a) All residential substance use disorders
				treatment facilities, except halfway houses, shall provide laboratory and
				radiological services directly in the facility or shall ensure the availability of
				services through written affiliation agreements.
1. The facility shall contract only with
				laboratories that are licensed by DOH in accordance with N.J.A.C. 8:44 and
				8:45.
2. The facility shall contract
				only with radiological services that are registered by the New Jersey Department of
				Environmental Protection, Bureau of Radiological Health, in accordance with N.J.A.C.
				7:28.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 111 - FOOD AND DRUGS › Subchapter 13 - RECREATIONAL SERVICES › Section 8:111-13.1 - Provision of recreational services

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Every
				residential substance use disorders treatment facility shall provide a planned,
				diversified program of indoor and outdoor recreational activities that allow clients
				to participate on an individual or group basis in physical, social, intellectual,
				religious and cultural activities.
(b)
				The facility administrator shall be responsible for the direction, provision and
				quality of the recreational service, including the following:
1. Developing and implementing written objectives,
				policies and procedures, an organizational plan and a quality assurance program for
				the recreational service;
2. Ensuring
				that recreational services are provided for each client as specified in the client
				treatment plan and coordinated with other client care services to provide a
				continuum of care for the client, with documentation of services provided in the
				client's clinical record;
3. Assisting
				in the development of written job descriptions for recreational service personnel
				and assigning duties to such personnel;
4. Posting a current weekly recreational
				activities schedule in a location where it can be read by clients and staff;
				and
5. In facilities serving women and
				dependent children, the provision of age appropriate recreational activities for the
				children while the mothers are participating in treatment services, as well as the
				provision of recreational activities for mothers and their
				children.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 111 - FOOD AND DRUGS › Subchapter 14 - CLIENT CARE POLICIES AND SERVICES › Section 8:111-14.1 - Provision of pharmaceutical services

Current through Register Vol. 56, No. 14, July 15, 2024
(a)
				Residential substance use disorders treatment facilities shall make pharmaceutical
				services available to clients 24 hours a day, seven days a week, directly or through
				written affiliation agreements.
1. If a facility
				admits a client who is pursuing medically assisted treatment, it shall support or,
				at a minimum, not interfere with, the client's medically assisted
				treatment.
2. If the facility has an
				institutional pharmacy, the pharmacy shall comply with all laws applicable to any
				pharmacy operated in this State, including N.J.A.C. 13:39 State Board of Pharmacy
				rules, and current registration with the Federal Drug Enforcement Administration and
				the Department, in accordance with N.J.S.A. 24:21-1etseq. (New Jersey Controlled
				Dangerous Substance Act).
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 111 - FOOD AND DRUGS › Subchapter 14 - CLIENT CARE POLICIES AND SERVICES › Section 8:111-14.3 - Standards for storage of medications

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The
				facility shall keep all medications in locked storage areas, stored in accordance
				with manufacturer's instructions at or near the medical unit(s).
1. The facility shall store all medications that
				require refrigeration in a locked box within a refrigerator, in the locked
				medication room, at temperatures that conform with USP-NF Online requirements of 36
				to 46 degrees Fahrenheit.
2. The
				facility shall store all scheduled medications separate from non-scheduled
				medication unless unit dose.
3. The
				facility shall keep all medications for external use physically separated from
				medications for internal use.
4.
				Medications for ophthalmic and optic preparations should each be kept isolated from
				other medications.
5. Each client on
				medications shall have a separate receptacle labeled with his or her first and last
				name and room number that contains his or her own medications.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 111 - FOOD AND DRUGS › Subchapter 14 - CLIENT CARE POLICIES AND SERVICES › Section 8:111-14.4 - Additional standards for facilities that provide medically monitored detoxification services

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Any facility that
				provides medically monitored detoxification services shall, on a quarterly basis,
				require the pharmacist(s) to inspect all areas of the facility where medications are
				dispensed, administered or stored. There shall be written policies and procedures
				requiring the pharmacist(s) to maintain a written record of each
				inspection.
(b) Each facility providing
				detoxification services shall appoint a pharmacist as the director of pharmaceutical
				services or hire a consulting pharmacist to direct, provide and monitor the quality
				of pharmaceutical services and, in so doing, be responsible for the following:
1. Working with the Pharmacy and Therapeutics
				Committee or client care policy committee in developing policies and procedures for
				the delivery of quality pharmaceutical services to clients of the
				facility;
2. Coordinating and
				integrating pharmacy services with other client care services to provide a continuum
				of care;
3. Assisting in the development
				of job descriptions and assignment of duties to pharmacy personnel, if
				any;
4. Working with the
				multidisciplinary team in achieving its goals and duties;
5. Maintaining a record system that identifies the
				signatures of all authorized prescribers;
6. Maintaining all records of all pharmaceutical
				services transactions, including a record system for requisition and distribution of
				pharmaceutical supplies throughout the facility;
7. Conducting a drug regimen review on a schedule
				developed by the Pharmacy and Therapeutics Committee or client care committee;
				and
8. Establishing standards to ensure
				compliance with (c) and (d) below.