reglab/statecodes huggingface dataset:
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 370 - OVERSIGHT OF LICENSED HEALTHCARE FACILITIES AND COMMUNITY BASED WAIVER PROGRAMS › Part 18 - REQUIREMENTS FOR FACILITIES PROVIDING OUTPATIENT MEDICAL SERVICES AND INFIRMARIES › Section 8.370.18.36 - STAFF FIRE AND SAFETY TRAINING

Current through Register Vol. 35, No. 13, July 16, 2024
A.
				All staff of the facility must know the location of and instructed in proper
				use of fire extinguishers and other procedures to be observed in case of fire
				or other emergencies. The facility should request the fire authority having
				jurisdiction to give periodic instruction in fire prevention and techniques of
				evacuation.
B. Facility staff must
				be instructed as part of their duties to constantly strive to detect and
				eliminate potential safety hazards, such as loose handrails, frayed electrical
				cords, faulty equipment, blocked exits or exit ways, and any other condition
				which could cause burns, falls, or other personal injury to the patients or
				staff.
C. Fire and evacuation
				drills: The facility must conduct at least one fire and evacuation drill each
				month. A log must be maintained by the facility showing the date, time, number
				of staff participating and outlining any problems noted in the conduct of the
				drill.
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 370 - OVERSIGHT OF LICENSED HEALTHCARE FACILITIES AND COMMUNITY BASED WAIVER PROGRAMS › Part 18 - REQUIREMENTS FOR FACILITIES PROVIDING OUTPATIENT MEDICAL SERVICES AND INFIRMARIES › Section 8.370.18.37 - EVACUATION PLAN

Current through Register Vol. 35, No. 13, July 16, 2024
Each facility must have a fire evacuation plan conspicuously
				  posted in each separate area of the building showing routes of evacuation in
				  case of fire or other emergency.
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 370 - OVERSIGHT OF LICENSED HEALTHCARE FACILITIES AND COMMUNITY BASED WAIVER PROGRAMS › Part 18 - REQUIREMENTS FOR FACILITIES PROVIDING OUTPATIENT MEDICAL SERVICES AND INFIRMARIES › Section 8.370.18.38 - PROVISIONS FOR EMERGENCY CALLS

Current through Register Vol. 35, No. 13, July 16, 2024
A.
				An easily accessible telephone for summoning help, in case of emergency, must
				be available in the facility.
B. A
				list of emergency numbers, including, but not limited to, fire department,
				police department, ambulance services, and poison control center must be
				prominently posted by the telephone(s).
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 370 - OVERSIGHT OF LICENSED HEALTHCARE FACILITIES AND COMMUNITY BASED WAIVER PROGRAMS › Part 18 - REQUIREMENTS FOR FACILITIES PROVIDING OUTPATIENT MEDICAL SERVICES AND INFIRMARIES › Section 8.370.18.39 - FIRE EXTINGUISHERS

Current through Register Vol. 35, No. 13, July 16, 2024
A.
				Fire extinguishers as approved by the state fire marshal or fire prevention
				authority having jurisdiction must be located in the facility.
B. Fire extinguishers must be properly
				maintained as recommended by the manufacturer, state fire marshal or fire
				authority having jurisdiction.
C.
				All fire extinguishers must be inspected yearly and recharged as specified by
				the manufacturer, state fire marshal, or fire authority having jurisdiction.
				All fire extinguishers must be tagged, noting the date of inspection.
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 370 - OVERSIGHT OF LICENSED HEALTHCARE FACILITIES AND COMMUNITY BASED WAIVER PROGRAMS › Part 18 - REQUIREMENTS FOR FACILITIES PROVIDING OUTPATIENT MEDICAL SERVICES AND INFIRMARIES › Section 8.370.18.40 - ALARM SYSTEM

Current through Register Vol. 35, No. 13, July 16, 2024
A manually operated, electrically supervised fire alarm
				  system shall be installed in each facility as required by national fire
				  protection association 101 (life safety code). Infirmaries, ambulatory surgical
				  centers, and multiple story facilities require manual alarm
				  systems.
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 370 - OVERSIGHT OF LICENSED HEALTHCARE FACILITIES AND COMMUNITY BASED WAIVER PROGRAMS › Part 18 - REQUIREMENTS FOR FACILITIES PROVIDING OUTPATIENT MEDICAL SERVICES AND INFIRMARIES › Section 8.370.18.41 - FIRE DETECTION SYSTEM

Current through Register Vol. 35, No. 13, July 16, 2024
The facility must be equipped with smoke detectors as
				  required by the NFPA 101 (life safety code) and approved in writing by the fire
				  authority having jurisdiction as to number type and
				  placement.
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 370 - OVERSIGHT OF LICENSED HEALTHCARE FACILITIES AND COMMUNITY BASED WAIVER PROGRAMS › Part 18 - REQUIREMENTS FOR FACILITIES PROVIDING OUTPATIENT MEDICAL SERVICES AND INFIRMARIES › Section 8.370.18.42 - JANITORS CLOSET(S)

Current through Register Vol. 35, No. 13, July 16, 2024
A. Each
				facility shall have at least one janitor's closet. If a facility is more than
				one story there must be a janitor's closet on each floor.
B. Each janitor's closet shall contain:
(1) a service sink;
(2) storage for housekeeping supplies and
				equipment.
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 370 - OVERSIGHT OF LICENSED HEALTHCARE FACILITIES AND COMMUNITY BASED WAIVER PROGRAMS › Part 18 - REQUIREMENTS FOR FACILITIES PROVIDING OUTPATIENT MEDICAL SERVICES AND INFIRMARIES › Section 8.370.18.43 - EMERGENCY LIGHTING

Current through Register Vol. 35, No. 13, July 16, 2024
A. A
				facility must be provided with emergency lighting which will activate
				automatically upon disruption of electrical service.
B. The emergency lighting must be sufficient
				to illuminate paths of egress and exits of the facility.
C. Facilities utilizing general anesthesia or
				life support equipment shall be provided essential electrical services in
				accordance with national fire protection association 99. Standard for health
				care facilities.
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 370 - OVERSIGHT OF LICENSED HEALTHCARE FACILITIES AND COMMUNITY BASED WAIVER PROGRAMS › Part 18 - REQUIREMENTS FOR FACILITIES PROVIDING OUTPATIENT MEDICAL SERVICES AND INFIRMARIES › Section 8.370.18.44 - ELECTRICAL STANDARDS

Current through Register Vol. 35, No. 13, July 16, 2024
A. All
				electrical installation and equipment must comply with all current state and
				local codes.
B. Circuit breakers or
				fused switches that provide electrical disconnection and over current
				protection shall be:
(1) enclosed or guarded
				to provide a dead front assembly;
(2) readily accessible for use and
				maintenance;
(3) set apart from
				traffic lanes;
(4) located in a
				dry, ventilated space, free of corrosive fumes or gases;
(5) able to operate properly in all
				temperature conditions;
(6) panel
				boards servicing lighting and appliance circuits shall be on the same floor and
				in the same facility area as the circuits they serve;
(7) each panel board will be marked showing
				the area each circuit breaker or fused switch services;
(8) the use of jumpers or devices to bypass
				circuit breakers or fused switches is prohibited.
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 370 - OVERSIGHT OF LICENSED HEALTHCARE FACILITIES AND COMMUNITY BASED WAIVER PROGRAMS › Part 18 - REQUIREMENTS FOR FACILITIES PROVIDING OUTPATIENT MEDICAL SERVICES AND INFIRMARIES › Section 8.370.18.45 - LIGHTING

Current through Register Vol. 35, No. 13, July 16, 2024
The facility must meet the following requirements for
				  lighting:
A. all spaces occupied by
				people, machinery, or equipment within buildings, approaches to buildings, and
				parking lots shall have lighting;
B. lighting will be sufficient to make all
				parts of the area clearly visible;
C. all lighting fixtures must be
				shielded;
D. lighting fixtures must
				be selected and located with the comfort and convenience of the staff and
				patients in mind;
E. a fixed or
				portable examination light must be provided for all examination and treatment
				rooms.
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 370 - OVERSIGHT OF LICENSED HEALTHCARE FACILITIES AND COMMUNITY BASED WAIVER PROGRAMS › Part 18 - REQUIREMENTS FOR FACILITIES PROVIDING OUTPATIENT MEDICAL SERVICES AND INFIRMARIES › Section 8.370.18.46 - ELECTRICAL CORDS AND ELECTRICAL RECEPTACLES

Current through Register Vol. 35, No. 13, July 16, 2024
A. Electrical cords and extension cords:
(1) Electrical cords and extension cords must
				be U/L approved.
(2) Electrical
				cords and extension cords must be replaced as soon as they show wear.
(3) Under no circumstances shall extension
				cords be used as a general wiring method.
(4) Extension cords must be plugged into an
				electrical receptacle within the room where used and must not be connected in
				one room and extended to some other room.
(5) Extension cords must not be used in
				series.
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 370 - OVERSIGHT OF LICENSED HEALTHCARE FACILITIES AND COMMUNITY BASED WAIVER PROGRAMS › Part 18 - REQUIREMENTS FOR FACILITIES PROVIDING OUTPATIENT MEDICAL SERVICES AND INFIRMARIES › Section 8.370.18.47 - HEATING, VENTILATION AND AIR CONDITIONING

Current through Register Vol. 35, No. 13, July 16, 2024
A. Heating, air conditioning, piping,
				boilers, and ventilation equipment must be furnished, installed and maintained
				to meet all requirements of current state and local mechanical, electrical, and
				construction codes.
B. The heating
				method used by the facility must have a minimum indoor-winter-design capacity
				of 75 degrees farenheit with controls provided for adjusting temperature as
				appropriate for patient and staff comfort.
C. The use of unvented heaters, open flame
				heaters or portable heaters is prohibited.
D. An ample supply of outside air must be
				provided in all spaces where fuel fired boilers, furnaces, or heaters are
				located to assure proper combustion.
E. All fuel fired boilers, furnaces, or
				heaters must be connected to an approved venting system to take the products of
				combustion directly to the outside air.
F. A facility must be adequately ventilated
				at all times to provide fresh air and the control of unpleasant
				odors.
G. All gas-fired heating
				equipment must be provided with a one-hundred percent automatic cutoff control
				valve in event of pilot failure.
H.
				The facility must be provided with a system for maintaining patients and
				staff's comfort during periods of hot weather.
I. All boiler, furnace or heater rooms shall
				be protected from other parts of the building by construction having a fire
				resistance rating of not less than one hour. Door must be self-closing with 3/4
				hour fire resistance.
J. Operating
				room supply air shall be provided from ceiling outlets near the center of the
				work area. Return air from floor level with at least two return inlets located
				as remote as possible shall be provided.
K. All central ventilation and air condition
				systems shall be provided filters having efficiencies greater than twenty-five
				percent. Operating rooms shall have ninety percent filter
				efficiencies.
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 370 - OVERSIGHT OF LICENSED HEALTHCARE FACILITIES AND COMMUNITY BASED WAIVER PROGRAMS › Part 18 - REQUIREMENTS FOR FACILITIES PROVIDING OUTPATIENT MEDICAL SERVICES AND INFIRMARIES › Section 8.370.18.48 - WATER HEATERS

Current through Register Vol. 35, No. 13, July 16, 2024
A. Must be able
				to supply hot water to all hot water taps within the facility at full pressure
				during peak demand periods and maintain a maximum temperature of 120 degrees
				farenheit.
B. Fuel fired hot water
				heaters must be enclosed and separated from other parts of the building by
				construction as required by current state and local building codes.
C. All water heaters must be equipped with a
				pressure relief valve (pop-off-valve).
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 370 - OVERSIGHT OF LICENSED HEALTHCARE FACILITIES AND COMMUNITY BASED WAIVER PROGRAMS › Part 18 - REQUIREMENTS FOR FACILITIES PROVIDING OUTPATIENT MEDICAL SERVICES AND INFIRMARIES › Section 8.370.18.49 - RADIOLOGY

Current through Register Vol. 35, No. 13, July 16, 2024
A. All facilities
				licensed pursuant to these regulations which provide radiological services to
				include portable and dental units must meet the requirements of the New Mexico
				environment department for installation and use of the radiological
				equipment.
B. For those facilities
				providing radiological services the following is required:
(1) radiographic room meeting the
				requirements as stated in Subsection A of 8.370.18.49 NMAC above;
(2) film processing facilities;
(3) storage facilities for exposed
				film;
(4) toilet room with hand
				washing facilities accessible to fluoroscopy room(s), if fluoroscopic
				procedures are part of the services; and
(5) dressing rooms or booths, as required by
				services provided with convenient toilet access.
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 370 - OVERSIGHT OF LICENSED HEALTHCARE FACILITIES AND COMMUNITY BASED WAIVER PROGRAMS › Part 18 - REQUIREMENTS FOR FACILITIES PROVIDING OUTPATIENT MEDICAL SERVICES AND INFIRMARIES › Section 8.370.18.50 - TOILETS, LAVATORIES AND BATHING FACILITIES

Current through Register Vol. 35, No. 13, July 16, 2024
A. All fixtures and plumbing must be
				installed in accordance with current state and local plumbing codes.
B. All toilets must be enclosed and
				vented.
C. All toilet rooms must be
				provided with a lavatory for hand washing.
D. All toilets must be kept supplied with
				toilet paper.
E. All lavatories for
				hand washing, except those for scrub purposes in ambulatory surgical centers,
				must be kept supplied with disposable towels for hand drying or provided with
				mechanical blower.
F. Hand washing
				lavatories for staff in patient care areas shall be trimmed with valves that
				can be operated without hands (single-level devices may be used if they meet
				this requirement).
G. Where blade
				handles are used, they shall not exceed four and a half inches, except that
				handles on clinical sinks shall not be less than six inches.
H. The number of and location of toilets,
				lavatories and bathing facilities will be mandated by requirements for each
				type facility. Such factors as extent of services provided and size of facility
				will also dictate requirements.
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 370 - OVERSIGHT OF LICENSED HEALTHCARE FACILITIES AND COMMUNITY BASED WAIVER PROGRAMS › Part 18 - REQUIREMENTS FOR FACILITIES PROVIDING OUTPATIENT MEDICAL SERVICES AND INFIRMARIES › Section 8.370.18.51 - EXITS

Current through Register Vol. 35, No. 13, July 16, 2024
A. Each facility
				and each floor of a facility shall have exits as required/permitted by national
				fire protection association 101 (life safety code).
B. Each exit must be marked by illuminated
				signs having letters at least six inches high whose principle strokes are at
				least three-fourths of an inch wide. Exception: Limited diagnostic and
				treatment centers may in some cases not be required to have the illuminated
				exit signs but may use non-illuminated signs meeting the requirements as shown
				above.
C. Illuminated exit signs
				must be maintained in operable condition at all times.
D. Exit ways must be kept free from
				obstructions at all times.
E. Exit
				doors:
(1) Exit doors to all exit or exit
				access doors must be at least 36" wide.
(2) Ambulatory surgical centers that use
				general anesthesia or have patients on life support equipment must have exit
				doors 44" in width.
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 370 - OVERSIGHT OF LICENSED HEALTHCARE FACILITIES AND COMMUNITY BASED WAIVER PROGRAMS › Part 18 - REQUIREMENTS FOR FACILITIES PROVIDING OUTPATIENT MEDICAL SERVICES AND INFIRMARIES › Section 8.370.18.52 - CORRIDORS

Current through Register Vol. 35, No. 13, July 16, 2024
A. Ambulatory
				surgical centers:
(1) Minimum corridor width
				shall be six feet.
(2) In operating
				room and surgical suites where patients are transported on stretchers or beds,
				corridors will have a width of eight feet.
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 370 - OVERSIGHT OF LICENSED HEALTHCARE FACILITIES AND COMMUNITY BASED WAIVER PROGRAMS › Part 18 - REQUIREMENTS FOR FACILITIES PROVIDING OUTPATIENT MEDICAL SERVICES AND INFIRMARIES › Section 8.370.18.53 - DOORS

Current through Register Vol. 35, No. 13, July 16, 2024
A. The minimum door
				width for patient's use shall be 34" in width.
B. Patient room doors in infirmaries shall be
				44" in width 1 3/4" solid core.
C.
				Operating rooms and recovery rooms shall have a minimum door width of
				44".
D. Examination and treatment
				rooms shall have a minimum door width of 36".
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 370 - OVERSIGHT OF LICENSED HEALTHCARE FACILITIES AND COMMUNITY BASED WAIVER PROGRAMS › Part 18 - REQUIREMENTS FOR FACILITIES PROVIDING OUTPATIENT MEDICAL SERVICES AND INFIRMARIES › Section 8.370.18.54 - COMMON ELEMENTS FOR OUTPATIENTS FACILITIES

Current through Register Vol. 35, No. 13, July 16, 2024
The following shall apply to each outpatient facility, with
				  additions or modifications as noted for each specific type of outpatient
				  facility in other sections of these regulations or not applicable based on
				  scope of services provided by the facility. Administration and public
				  areas:
A. Entrance shall be able to
				accommodate wheelchairs.
B. Public
				services shall include:
(1) conveniently
				accessible wheelchair storage;
(2)
				a reception and information counter or desk;
(3) waiting areas: where an organized
				pediatric service is provided by the outpatient facility, provisions shall be
				made for separating pediatric and adult patients;
(4) conveniently accessible public
				toilets;
(5) conveniently
				accessible drinking fountain(s).
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 370 - OVERSIGHT OF LICENSED HEALTHCARE FACILITIES AND COMMUNITY BASED WAIVER PROGRAMS › Part 18 - REQUIREMENTS FOR FACILITIES PROVIDING OUTPATIENT MEDICAL SERVICES AND INFIRMARIES › Section 8.370.18.55 - LABORATORY

Current through Register Vol. 35, No. 13, July 16, 2024
Facilities licensed pursuant to these regulations that
				  provide laboratory services must provide the following:
A. laboratory work counter(s) with sink, and
				electric services;
B. lavatory(ies)
				or counter sink(s) equipped for hand washing;
C. storage cabinet(s) or closet(s);
D. specimen collection facilities with a
				toilet and lavatory;
E. blood
				collection facilities shall have seating space, a work counter, and hand
				washing facilities.
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 370 - OVERSIGHT OF LICENSED HEALTHCARE FACILITIES AND COMMUNITY BASED WAIVER PROGRAMS › Part 18 - REQUIREMENTS FOR FACILITIES PROVIDING OUTPATIENT MEDICAL SERVICES AND INFIRMARIES › Section 8.370.18.56 - FLOORS AND WALLS

Current through Register Vol. 35, No. 13, July 16, 2024
A. Floor
				material shall be readily cleanable and wear resistant.
B. In all areas subject to wet cleaning,
				floor materials shall not be physically affected by liquid germicidal or
				cleaning solution.
C. Floors
				subject to traffic while wet including showers and bath areas shall have a slip
				resistant surface.
D. Wall finishes
				shall be washable and, in the proximity of plumbing fixtures, shall be smooth
				and moisture resistant.
E. Wall
				bases in areas subject to wet cleaning shall be covered with the floor, tightly
				sealed within the wall and constructed without voids.
F. Floor and wall areas penetrated by pipes,
				ducts, and conduits shall be tightly sealed to minimize entry of rodents and
				insects. Joints of structural elements shall be similarly sealed.
G. Threshold and expansion joint covers shall
				be flush with the floor surface to facilitate use of wheelchairs and
				carts.
H. Floor drains are not
				permitted in operating rooms.
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 370 - OVERSIGHT OF LICENSED HEALTHCARE FACILITIES AND COMMUNITY BASED WAIVER PROGRAMS › Part 18 - REQUIREMENTS FOR FACILITIES PROVIDING OUTPATIENT MEDICAL SERVICES AND INFIRMARIES › Section 8.370.18.57 - EXAMINATION ROOMS

Current through Register Vol. 35, No. 13, July 16, 2024
A. General
				purpose examination rooms
:
For medical, obstetrical, and similar
				examinations shall meet the following requirements:
(1) minimum floor area of 80 square feet,
				excluding vestibules, toilets, and closets;
(2) room arrangement shall permit at least
				two feet, eight inches clearance at each side and at the foot of the
				examination table;
(3) a lavatory
				or sink for hand washing; and
(4) a
				counter or shelf space for writing.
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 370 - OVERSIGHT OF LICENSED HEALTHCARE FACILITIES AND COMMUNITY BASED WAIVER PROGRAMS › Part 18 - REQUIREMENTS FOR FACILITIES PROVIDING OUTPATIENT MEDICAL SERVICES AND INFIRMARIES › Section 8.370.18.58 - TREATMENT ROOMS

Current through Register Vol. 35, No. 13, July 16, 2024
A. Rooms for
				minor surgical and cast procedures (if these services are provided) shall have
				a minimum floor area of 120 square feet, excluding vestibule, toilet, and
				closets.
B. The minimum room
				dimension shall be 10 feet.
C. A
				lavatory or sink for hand washing shall be provided.
D. A counter or shelf for writing shall be
				provided.
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 370 - OVERSIGHT OF LICENSED HEALTHCARE FACILITIES AND COMMUNITY BASED WAIVER PROGRAMS › Part 18 - REQUIREMENTS FOR FACILITIES PROVIDING OUTPATIENT MEDICAL SERVICES AND INFIRMARIES › Section 8.370.18.59 - OBSERVATION ROOMS

Current through Register Vol. 35, No. 13, July 16, 2024
Those facilities licensed pursuant to these regulations which
				  require an observation room for the isolation of suspect or disturbed patients
				  must meet the following requirements:
A. The minimum floor area must be 80 square
				feet.
B. The observation room must
				be convenient to a nurse or control station to permit close observation of
				patients.
C. A toilet room with
				lavatory must be immediately accessible.
D. An examination room may be modified to use
				as an observation room.
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 370 - OVERSIGHT OF LICENSED HEALTHCARE FACILITIES AND COMMUNITY BASED WAIVER PROGRAMS › Part 18 - REQUIREMENTS FOR FACILITIES PROVIDING OUTPATIENT MEDICAL SERVICES AND INFIRMARIES › Section 8.370.18.61 - SPECIAL REQUIREMENTS FOR INFIRMARIES

Current through Register Vol. 35, No. 13, July 16, 2024
In addition to all other requirements contained in these
				  regulations Infirmaries will provide the following:
A. patient rooms which have a minimum of 100
				square feet for single occupancy or 160 square feet for double
				occupancy;
B. patient rooms must
				have a call system to summon help in case of emergency.
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 370 - OVERSIGHT OF LICENSED HEALTHCARE FACILITIES AND COMMUNITY BASED WAIVER PROGRAMS › Part 18 - REQUIREMENTS FOR FACILITIES PROVIDING OUTPATIENT MEDICAL SERVICES AND INFIRMARIES › Section 8.370.18.62 - GOVERNING BODY

Current through Register Vol. 35, No. 13, July 16, 2024
All facilities licensed pursuant to these regulations must
				  have a governing body that assumes full legal responsibility for determining,
				  implementing, and monitoring policies governing the total operation of the
				  facility and for ensuring that these policies are administered so as to provide
				  quality health care in a safe environment. When services are provided through a
				  contract with an outside resource, the facility assures that these services are
				  provided in a safe and effective manner.
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 370 - OVERSIGHT OF LICENSED HEALTHCARE FACILITIES AND COMMUNITY BASED WAIVER PROGRAMS › Part 18 - REQUIREMENTS FOR FACILITIES PROVIDING OUTPATIENT MEDICAL SERVICES AND INFIRMARIES › Section 8.370.18.63 - ADMINISTRATOR, DIRECTOR OR MANAGER

Current through Register Vol. 35, No. 13, July 16, 2024
Each facility must have an administrator/ director/manager
				  hired or appointed by the governing body to whom authority has been delegated
				  to manage the daily operation of a facility and implement the policies and
				  procedures adopted by the governing body.
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 370 - OVERSIGHT OF LICENSED HEALTHCARE FACILITIES AND COMMUNITY BASED WAIVER PROGRAMS › Part 18 - REQUIREMENTS FOR FACILITIES PROVIDING OUTPATIENT MEDICAL SERVICES AND INFIRMARIES › Section 8.370.18.64 - STAFF EVALUATION AND DEVELOPMENT

Current through Register Vol. 35, No. 13, July 16, 2024
A facility licensed pursuant to these regulations must have a
				  written plan for the orientation, ongoing staff development, supervision and
				  evaluation of all staff members, including but not limited to the
				  following:
A. facility's emergency and
				safety procedures;
B. policies and
				procedures of the facility;
C.
				quality assurance program; and
D.
				staff training.
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 370 - OVERSIGHT OF LICENSED HEALTHCARE FACILITIES AND COMMUNITY BASED WAIVER PROGRAMS › Part 18 - REQUIREMENTS FOR FACILITIES PROVIDING OUTPATIENT MEDICAL SERVICES AND INFIRMARIES › Section 8.370.18.65 - DIRECT SERVICE STAFF

Current through Register Vol. 35, No. 13, July 16, 2024
Each staff member who provides direct medical services to
				  patients, such as physicians, dentists, certified registered nurse
				  anesthetists
,
nurses, physicians assistants, etc., who are
				  required to be licensed, registered or certified by the state of New Mexico
				  must have a current license, registration, or certificate from the state of New
				  Mexico.
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 370 - OVERSIGHT OF LICENSED HEALTHCARE FACILITIES AND COMMUNITY BASED WAIVER PROGRAMS › Part 18 - REQUIREMENTS FOR FACILITIES PROVIDING OUTPATIENT MEDICAL SERVICES AND INFIRMARIES › Section 8.370.18.66 - MINIMUM STAFFING REQUIREMENTS

Current through Register Vol. 35, No. 13, July 16, 2024
A. Ambulatory surgical centers:
(1) Personnel trained in the use of emergency
				equipment and in cardiopulmonary resuscitation must be available whenever there
				is a patient in the facility.
(2)
				Surgical staff of qualified physicians who have been granted clinical
				privileges by the governing body of the facility must perform all surgical
				procedures. A physician must be on duty whenever there is a patient in the
				facility.
(3) A certified
				registered nurse anesthetist or registered nurse must be available for
				emergency treatment whenever there is a patient in the
				facility.
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 370 - OVERSIGHT OF LICENSED HEALTHCARE FACILITIES AND COMMUNITY BASED WAIVER PROGRAMS › Part 18 - REQUIREMENTS FOR FACILITIES PROVIDING OUTPATIENT MEDICAL SERVICES AND INFIRMARIES › Section 8.370.18.67 - EMERGENCY MEDICAL SERVICES

Current through Register Vol. 35, No. 13, July 16, 2024
A.
				Each facility licensed pursuant to these regulations must maintain a crash cart
				or emergency medical tray to provide emergency life saving procedures which may
				be needed in the facility.
B. Crash
				carts or emergency trays will be supplied with the drugs and biologicals
				commonly used in life saving procedures such as analgesics, anesthetics
				(local), antibiotics, anticonvulsants, antidotes and emetics, serums and
				toxoids. Supplies and equipment for the crash carts or emergency trays will be
				determined by the medical director of the facility.
C. Each crash cart or emergency tray will
				have an equipment and supply list to be used as an inventory guide. Crash carts
				or emergency trays must be replenished as supplies or equipment are
				used.
D. Crash carts or emergency
				trays will be checked on a weekly basis for completeness and a log maintained
				with date and by whom the check was made.
E. All direct service medical staff must know
				the location of and be trained in the use of the crash carts or emergency
				trays.
F. Operating rooms of
				ambulatory surgical centers must include at least the following:
(1) emergency call system;
(2) oxygen;
(3) mechanical ventilatory assistance
				equipment including airways, manual breathing bag, and ventilator;
(4) cardiac defibrillator;
(5) cardiac monitoring equipment;
(6) thoracotomy set;
(7) tracheostomy set;
(8) laryngoscopes and endotracheal
				tubes;
(9) suction
				equipment;
(10) emergency drugs and
				supplies specified by the medical staff.
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 370 - OVERSIGHT OF LICENSED HEALTHCARE FACILITIES AND COMMUNITY BASED WAIVER PROGRAMS › Part 18 - REQUIREMENTS FOR FACILITIES PROVIDING OUTPATIENT MEDICAL SERVICES AND INFIRMARIES › Section 8.370.18.68 - HOURS OF OPERATION

Current through Register Vol. 35, No. 13, July 16, 2024
Each facility licensed pursuant to these regulations must
				  post its hours of operation where they can be clearly seen by
				  patients.
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 370 - OVERSIGHT OF LICENSED HEALTHCARE FACILITIES AND COMMUNITY BASED WAIVER PROGRAMS › Part 18 - REQUIREMENTS FOR FACILITIES PROVIDING OUTPATIENT MEDICAL SERVICES AND INFIRMARIES › Section 8.370.18.69 - NURSING SERVICES

Current through Register Vol. 35, No. 13, July 16, 2024
Patient care responsibilities must be delineated for all
				  nursing personnel. Nursing services must be provided in accordance with
				  standards of nursing practice as outlined in the current rules and regulations
				  of the New Mexico board of nursing.
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 370 - OVERSIGHT OF LICENSED HEALTHCARE FACILITIES AND COMMUNITY BASED WAIVER PROGRAMS › Part 18 - REQUIREMENTS FOR FACILITIES PROVIDING OUTPATIENT MEDICAL SERVICES AND INFIRMARIES › Section 8.370.18.70 - ANESTHESIA SERVICES FOR AMBULATORY SURGICAL CENTERS

Current through Register Vol. 35, No. 13, July 16, 2024
A. A physician must examine the patient
				immediately before surgery to evaluate the risk of anesthesia and of the
				procedure to be performed.
B.
				Before discharge from the facility each patient must be evaluated by a
				physician or a certified registered nurse anesthetist for proper anesthesia
				recovery.
C. All patients will be
				discharged in the company of a responsible adult, except those exempted by the
				attending physician.
D. Anesthetics
				must be administered by only:
(1) a qualified
				anesthesiologist;
(2) a physician
				qualified to administer anesthesia, a supervised trainee in an approved
				educational program or an anesthesia assistant. In those cases where a trainee
				or an anesthesia assistant administers the anesthesia, the anesthetist must be
				under the supervision of the operating physician; anesthesia assistants must
				have successfully completed four year education program for physician
				assistants that include two years of specialized academic and clinical training
				in anesthesia;
(3) a certified
				registered nurse anesthetist; certified registered nurse anesthetists shall
				function in an interdependent role as a member of a health care team in which
				the medical care of the patient is directed by a licensed physician,
				osteopathic physician, dentist or podiatrist licensed in New Mexico pursuant to
				Chapter 61, Article 5A, 6, 8 or 10 NMSA 1978; the certified registered nurse
				anesthetist shall collaborate with the licensed physician, osteopathic
				physician, dentist or podiatrist concerning the anesthesia care of the patient;
				as used in this subsection, "collaboration" means the process in which each
				health care provider contributes their respective expertise; collaboration
				includes systematic formal planning and evaluation between the health care
				professionals involved in the collaborative practice arrangement.
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 370 - OVERSIGHT OF LICENSED HEALTHCARE FACILITIES AND COMMUNITY BASED WAIVER PROGRAMS › Part 18 - REQUIREMENTS FOR FACILITIES PROVIDING OUTPATIENT MEDICAL SERVICES AND INFIRMARIES › Section 8.370.18.71 - PHARMACEUTICAL SERVICES

Current through Register Vol. 35, No. 13, July 16, 2024
A. Drugs
				and biologicals must be stored, prepared and administered in accordance to
				acceptable standards of practice and in compliance with the New Mexico state
				board of pharmacy.
B. Outdated
				drugs and biologicals must be disposed of in accordance with methods outlined
				by the New Mexico state board of pharmacy.
C. One individual shall be designated
				responsibility for pharmaceutical services to include accountability and
				safeguarding.
D. Keys to the drug
				room or pharmacy must be made available only to personnel authorized by the
				individual having responsibility for pharmaceutical services.
E. Adverse reactions to medications must be
				reported to the physician responsible for the patient and must be documented in
				the patient's record.
F. Blood and
				blood products must be administered by only physicians, certified registered
				nurse anesthetists, registered nurses, nurse practitioners, or physician's
				assistants.
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 370 - OVERSIGHT OF LICENSED HEALTHCARE FACILITIES AND COMMUNITY BASED WAIVER PROGRAMS › Part 18 - REQUIREMENTS FOR FACILITIES PROVIDING OUTPATIENT MEDICAL SERVICES AND INFIRMARIES › Section 8.370.18.72 - LABORATORY SERVICES

Current through Register Vol. 35, No. 13, July 16, 2024
A. All lab
				test results performed either at the facility or by contract or arrangement
				with another entity must be entered into the patients record.
B. All laboratory procedures will be
				conducted in accordance with acceptable standards of practice.
C. Special requirements for rural health
				clinics: Rural health clinics must provide basic laboratory services essential
				to the immediate diagnosis and treatment of the patient including:
(1) chemical examinations of urine by stick
				or tablet methods or both (including urine ketones).
(2) microscopic examination of urine
				sediment;
(3) hemoglobin or
				hematocrit;
(4) blood
				sugar;
(5) gram stain;
(6) examination of stool specimens for occult
				blood;
(7) pregnancy
				tests;
(8) primary culturing for
				transmittal to a certified laboratory;
(9) test for pinworms.
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 370 - OVERSIGHT OF LICENSED HEALTHCARE FACILITIES AND COMMUNITY BASED WAIVER PROGRAMS › Part 18 - REQUIREMENTS FOR FACILITIES PROVIDING OUTPATIENT MEDICAL SERVICES AND INFIRMARIES › Section 8.370.18.73 - RADIOLOGICAL SERVICES

Current through Register Vol. 35, No. 13, July 16, 2024
A. All
				authenticated radiological reports shall be filed in the patient's medical
				record.
B. Interpretations of
				x-rays shall be written or dictated and signed by qualified physician or other
				individual authorized by the medical director.
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 370 - OVERSIGHT OF LICENSED HEALTHCARE FACILITIES AND COMMUNITY BASED WAIVER PROGRAMS › Part 18 - REQUIREMENTS FOR FACILITIES PROVIDING OUTPATIENT MEDICAL SERVICES AND INFIRMARIES › Section 8.370.18.74 - PATIENT CARE FOR INFIRMARIES

Current through Register Vol. 35, No. 13, July 16, 2024
A.
				Each patient will have a hospital type bed complete with:
(1) mattress and water proof mattress cover
				with pad;
(2) pillow with pillow
				case;
(3) two sheets and blankets
				adequate for comfort.
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 370 - OVERSIGHT OF LICENSED HEALTHCARE FACILITIES AND COMMUNITY BASED WAIVER PROGRAMS › Part 18 - REQUIREMENTS FOR FACILITIES PROVIDING OUTPATIENT MEDICAL SERVICES AND INFIRMARIES › Section 8.370.18.75 - RELATED REGULATIONS AND CODES

Current through Register Vol. 35, No. 13, July 16, 2024
Facilities or agencies subject to these regulations are also
				  subject to other regulations, codes and standards as the same may from time to
				  time be amended as follows:
A. Health
				facility licensure fees and procedures, New Mexico health care authority,
				8.370.3 NMAC.
B. Health facility
				sanctions and civil monetary penalties, 8.370.4 NMAC.
C. Adjudicatory hearings, New Mexico health
				care authority, 8.370.2 NMAC.
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 370 - OVERSIGHT OF LICENSED HEALTHCARE FACILITIES AND COMMUNITY BASED WAIVER PROGRAMS › Part 19 - REQUIREMENTS FOR INHOME AND INPATIENT HOSPICE CARE › Section 8.370.19.1 - ISSUING AGENCY

Current through Register Vol. 35, No. 13, July 16, 2024
New Mexico Health Care Authority.
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 370 - OVERSIGHT OF LICENSED HEALTHCARE FACILITIES AND COMMUNITY BASED WAIVER PROGRAMS › Part 19 - REQUIREMENTS FOR INHOME AND INPATIENT HOSPICE CARE › Section 8.370.19.2 - SCOPE

Current through Register Vol. 35, No. 13, July 16, 2024
A. These
				regulations apply to any hospice facility licensed or required to be licensed
				pursuant to these regulations which provides inpatient hospice services on a 24
				hour basis.
B. These regulations
				apply to any hospital, skilled nursing facility, or intermediate care facility
				which also provides hospice services and is licensed or required to be licensed
				to provide these services pursuant to these regulations.
C. These regulations apply to any agency
				licensed or required to be licensed which provides hospice services in the
				patient's own home.
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 370 - OVERSIGHT OF LICENSED HEALTHCARE FACILITIES AND COMMUNITY BASED WAIVER PROGRAMS › Part 19 - REQUIREMENTS FOR INHOME AND INPATIENT HOSPICE CARE › Section 8.370.19.3 - STATUTORY AUTHORITY

Current through Register Vol. 35, No. 13, July 16, 2024
The regulations set forth herein are promulgated pursuant to
				  the general authority granted under Subsection E of Section 9-8-6 NMSA 1978, as
				  amended; and the authority granted under Subsection D of Section 24-1-2,
				  Subsection I of Section 24-1-3, and Section 24-1-5 of the Public Health Act,
				  NMSA 1978, as amended. Section 9-8-1 et seq. NMSA 1978 establishes the health
				  care authority (authority) as a single, unified department to administer laws
				  and exercise functions relating to health care purchasing and
				  regulation.
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 370 - OVERSIGHT OF LICENSED HEALTHCARE FACILITIES AND COMMUNITY BASED WAIVER PROGRAMS › Part 19 - REQUIREMENTS FOR INHOME AND INPATIENT HOSPICE CARE › Section 8.370.19.5 - EFFECTIVE DATE

Current through Register Vol. 35, No. 13, July 16, 2024
July 1, 2024, unless a different date is cited at the end of
				  a section.
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 370 - OVERSIGHT OF LICENSED HEALTHCARE FACILITIES AND COMMUNITY BASED WAIVER PROGRAMS › Part 19 - REQUIREMENTS FOR INHOME AND INPATIENT HOSPICE CARE › Section 8.370.19.6 - OBJECTIVE

Current through Register Vol. 35, No. 13, July 16, 2024
The purpose of these regulations is:
A. Establish minimum standards for licensing
				of hospice facilities and agencies that provide inhome and inpatient hospice
				care.
B. To monitor hospice
				facilities and agencies providing inhome and inpatient hospice services with
				these regulations through surveys to identify any area which could be dangerous
				or harmful to the patients, family, or staff.
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 370 - OVERSIGHT OF LICENSED HEALTHCARE FACILITIES AND COMMUNITY BASED WAIVER PROGRAMS › Part 19 - REQUIREMENTS FOR INHOME AND INPATIENT HOSPICE CARE › Section 8.370.19.7 - DEFINITIONS

Current through Register Vol. 35, No. 13, July 16, 2024
For purposes of these regulations the following shall
				  apply.
A.
"Administrator"
means the person appointed by the governing body to be in charge of the
				day-to-day operation of a facility or agency providing hospice
				services.
B.
"Applicant"
means the individual who, or organization which,
				applies for a license. If the applicant is an organization, then the individual
				signing the application on behalf of the organization, must have authority from
				the organization. The applicant must be the owner.
C.
"Bereavement"
means a period
				of mourning following the death of a loved one.
D.
"Certified"
means that a
				determination has been made by the New Mexico health care authority that a
				health facility such as a hospital, skilled nursing facility or intermediate
				care facility is in compliance with Conditions of Participation and Conditions
				of Coverage under Title XVIII (Medicare) or Title XIX (Medicaid) of the United
				States federal Social Security Act.
E.
"Dietitian"
means a person
				eligible or required to be licensed under the New Mexico Nutrition and
				Dietetics Practice Act, Sections 61-7A-1 through 61-7A-15 NMSA 1978.
F.
"Exploitation"
of a
				patient/client consists of the act or process, performed intentionally,
				knowingly, or recklessly, of using any patient/client/residents money or
				property, for another person's profit, advantage, or benefit. Exploitation
				includes but is not limited to:
(1)
				manipulating the patient/client/ resident by whatever mechanism to give money
				or property to any agency staff or management member;
(2) misappropriation or misuse of monies
				belonging to a patient/client/ resident or the unauthorized sale, transfer or
				use of a patient/client/residents property;
(3) loans of any kind from
				patient/clients/resident to agency staff or management;
(4) accepting monetary or other gifts from a
				patient/client/resident or their family with a value in excess of $25 or gifts
				which exceed a total value of $300 in one year; all gifts received by agency
				operators, their families or staff of the agency must be documented and
				acknowledged by the person giving the gift and the recipient. Exception:
				Testamentary gifts, such as wills, are not, per se, considered financial
				exploitation.
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 370 - OVERSIGHT OF LICENSED HEALTHCARE FACILITIES AND COMMUNITY BASED WAIVER PROGRAMS › Part 19 - REQUIREMENTS FOR INHOME AND INPATIENT HOSPICE CARE › Section 8.370.19.8 - STANDARD OF COMPLIANCE

Current through Register Vol. 35, No. 13, July 16, 2024
The degree of compliance required throughout these
				  regulations is designated by the use of the words "
shall
" or
				  "
must
" or "
may
". "
Shall
" or
				  "must" means mandatory. "
May
" means permissive. The use of the
				  words "
adequate
", "
proper
",
				  "
appropriate
" and other similar words means the degree of
				  compliance that is generally accepted throughout the professional field by
				  those who provide hospice services to the public and are governed by these
				  regulations.
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 370 - OVERSIGHT OF LICENSED HEALTHCARE FACILITIES AND COMMUNITY BASED WAIVER PROGRAMS › Part 19 - REQUIREMENTS FOR INHOME AND INPATIENT HOSPICE CARE › Section 8.370.19.9 - INITIAL APPLICATIONS

Current through Register Vol. 35, No. 13, July 16, 2024
A. All
				initial applications shall be made on forms provided by the licensing
				authority.
B. Shall be fully
				completed.
C. Signed by the person
				who shall be the licensee.
D. And
				shall be notarized.
E. All initial
				applications shall be accompanied by a resume and three character references
				for the person in charge of the day-to-day operation of the hospice.
(1) References shall not be from a relative
				or employee.
(2) License fees are
				authorized by law, and will be payable to the extent, if any, set out by other
				licensing authority regulations.
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 370 - OVERSIGHT OF LICENSED HEALTHCARE FACILITIES AND COMMUNITY BASED WAIVER PROGRAMS › Part 19 - REQUIREMENTS FOR INHOME AND INPATIENT HOSPICE CARE › Section 8.370.19.10 - INITIAL LICENSURE PROCEDURES

Current through Register Vol. 35, No. 13, July 16, 2024
No license shall be issued without the following:
A. Receipt of the application with all
				attachments listed in Section 9 of these regulations.
B. Survey conducted by the licensing
				authority.
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 370 - OVERSIGHT OF LICENSED HEALTHCARE FACILITIES AND COMMUNITY BASED WAIVER PROGRAMS › Part 19 - REQUIREMENTS FOR INHOME AND INPATIENT HOSPICE CARE › Section 8.370.19.11 - INITIAL SURVEY

Current through Register Vol. 35, No. 13, July 16, 2024
Upon receipt of a properly completed application and all
				  required documentation an initial survey of the proposed hospice facility or
				  agency will be scheduled by the licensing authority.
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 370 - OVERSIGHT OF LICENSED HEALTHCARE FACILITIES AND COMMUNITY BASED WAIVER PROGRAMS › Part 19 - REQUIREMENTS FOR INHOME AND INPATIENT HOSPICE CARE › Section 8.370.19.12 - ISSUANCE OF LICENSE

Current through Register Vol. 35, No. 13, July 16, 2024
Upon completion of the initial survey and determination that
				  the hospice facility or agency is in compliance with these regulations the
				  licensing authority will issue a license.
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 370 - OVERSIGHT OF LICENSED HEALTHCARE FACILITIES AND COMMUNITY BASED WAIVER PROGRAMS › Part 19 - REQUIREMENTS FOR INHOME AND INPATIENT HOSPICE CARE › Section 8.370.19.13 - LICENSES

Current through Register Vol. 35, No. 13, July 16, 2024
A. Annual license:
				An annual license is issued for a one year period to a hospice facility which
				has met all requirements of these regulations.
B. Temporary license: The licensing authority
				may, at its sole discretion, issue a temporary license prior to the initial
				survey, or when the licensing authority finds partial compliance with these
				regulations.
(1) A temporary license shall
				cover a period of time, not to exceed 120 days, during which the facility must
				correct all specified deficiencies.
(2) In accordance with Subsection D of
				Section 24-1-5 NMSA 1978, no more than two consecutive temporary licenses shall
				be issued.
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 370 - OVERSIGHT OF LICENSED HEALTHCARE FACILITIES AND COMMUNITY BASED WAIVER PROGRAMS › Part 19 - REQUIREMENTS FOR INHOME AND INPATIENT HOSPICE CARE › Section 8.370.19.14 - LICENSE RENEWAL

Current through Register Vol. 35, No. 13, July 16, 2024
A. Licensee
				must submit a renewal application on forms provided by the licensing authority,
				along with the required fee at least 30 days prior to expiration of the current
				license.
B. Upon receipt of renewal
				application and required fee prior to expiration of current license, the
				licensing authority will issue a new license effective the day following the
				date of expiration of the current license if the facility is in substantial
				compliance with these regulations.
C. If a licensee fails to submit a renewal
				application with the required fee and the current license expires, the hospice
				facility shall cease operations until it obtains a new license through the
				initial licensure procedures. Subsection A of Section 24-1-5 NMSA 1978, as
				amended, provides that no health facility shall be operated without a
				license.