New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 161B - STANDARDS FOR LICENSURE OF OUTPATIENT SUBSTANCE USE DISORDER TREATMENT FACILITIES › Subchapter 1 - DEFINITIONS AND STAFF QUALIFICATIONS AND RESPONSIBILITIES › Section 10:161B-1.7 - Qualifications and responsibilities of the administrator of the facility

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The facility shall hire an administrator
				who has, at a minimum, a Master's degree and two years of full-time, or
				full-time equivalent, administrative or supervisory experience in a substance
				use disorder treatment facility.
(b) Individuals who do not meet the
				qualifications in (a) above, shall have a Bachelor's degree and five years of
				full-time, or full-time equivalent, administrative or supervisory experience in
				a substance use disorder treatment facility.
(c) The administrator's responsibilities
				shall include, but need not be limited to, the following:
1. Providing administrative oversight of the
				facility;
2. Ensuring the
				development, implementation, and enforcement of all policies and procedures as
				required under this chapter, including client rights;
3. Planning and administration of all
				operational functions including managerial, personnel, fiscal, and reporting
				requirements of the program;
4.
				Developing an organizational plan, ensuring that programs and services are
				consistent with the organization's mission, and monitoring their
				effectiveness;
5. Establishing and
				implementing a formal quality assurance program that:
i. Is comprehensive and integrated with the
				facility's programmatic quality assurance plans and programs;
ii. Addresses all levels of treatment
				programming and client care;
iii.
				Ensures that all personnel are assigned duties based upon their education,
				training, competencies and job description; and
iv. Uses written, job-relevant criteria to
				make evaluation, hiring and promotional decisions;
6. Selection and hiring responsibility for
				all staff as well as participating in the determination of staffing issues
				including, but not limited to establishing: hiring policies to ensure
				references, credentials and criminal history background checks of all
				prospective staff have been reviewed and verified; written policy regarding
				employment of family members, past and present governing body members and
				volunteers; and written policy regarding hiring of staff with past criminal
				convictions and/or ethical violations which ensures that convictions/violations
				do not impact staff ability to perform duties and that staff are of good moral
				character, assessment of staff performance, and employment and termination
				decisions;
i. The candidate/staff member
				shall be notified by the administrator that he or she must disclose to the
				administrator any disciplinary outcome imposed as a result of an investigation
				by any State licensing agency, law enforcement agency, or professional
				disciplinary review board, such as disciplinary probation, suspension of
				license, revocation of license, or criminal conviction at the time of initial
				employment, and/or during employment if the action occurs after hire;
7. Ensuring the provision of
				timely staff orientation, education and supervision;
8. Establishing and maintaining liaison
				relationships and communication with facility staff, service providers, support
				service providers, community resources, and clients;
9. Overseeing the development and
				implementation of policies and procedures, in conjunction with designated staff
				members, for the various services provided for in this chapter;
i. Ensuring that appropriate policies and
				procedures are shared with the governing authority;
10. Ensuring that admission interviews with
				clients and in the case of juveniles, the client's family, guardian or legally
				authorized representative, be conducted in accordance with established policies
				and procedures;
11. Implementing
				and monitoring the quality of all services provided at the facility, including
				the review of program outcomes available through NJSAMS;
i. When appropriate share program outcome
				data with relevant staff, DMHAS, and where necessary with the governing
				authority;
12. Ensuring
				maintenance of the physical plant as necessary to ensure client and staff
				safety, and otherwise keeping the facility in compliance with all applicable
				building, fire and safety codes;
13. Establishing policies and procedures for
				provision of emergency services to clients, and policies and procedures for
				other broader-based emergency situations resulting from either internal or
				external incidents or natural disasters;
i.
				Such policies shall include guidelines for the immediate notification to DHS of
				such situations, a contingency plan with a minimum of explanation of timeframes
				for closure and reopening of facility and or service interruption to clients,
				and procedures governing the dispensing and, where clinically necessary,
				monitoring of client treatment medications;
14. Establishing written policies and
				procedures for non-emergency closures (for example, holidays);
i. Such policies shall include the timely
				notification to DHS of such closures, the timeframes for closures and
				re-opening, and procedures governing the dispensing and, where clinically
				necessary, monitoring of medications administered to clients;
ii. Facilities shall request approval from
				DOH, in writing, at least 48 hours before closing for non-emergency
				reasons;
iii. Facilities shall not
				close for non-emergency reasons without written approval from DOH to do
				so;
15. Identifying
				priority populations (for example, pregnant, IV drug users, women with
				children, HIV, etc.) for admission and treatment as evidenced by protocol,
				policies and procedures to provide such treatment services, or where
				appropriate, referral procedures with interim services available until transfer
				is completed;
16. Ensuring that DHS
				plans of correction, licensing deficiencies and complaint reports are addressed
				as outlined by DHS;
i. Where necessary,
				ensure that such reports are shared with the governing authority in a timely
				manner;
17. Developing
				and implementing an infection prevention and control program; and
18. Developing, implementing and providing
				administrative oversight of a volunteer services program, if the facility along
				with the governing authority elects to utilize such a program.