reglab/statecodes huggingface dataset:
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 321 - SPECIALIZED BEHAVIORAL HEALTH SERVICES › Part 11 - CRISIS TRIAGE CENTERS › Section 8.321.11.19 - FACILITY SURVEYS

Current through Register Vol. 35, No. 13, July 16, 2024
A. Application
				for licensure, whether initial or renewal, shall constitute permission for
				unrestricted entry into and survey of a CTC by authorized licensing authority
				representatives at times of operation during the pendency of the license
				application, and if licensed, during the licensure period.
B. Surveys may be announced or unannounced at
				the sole discretion of the licensing authority.
C. Upon receipt of a report of deficiency
				from the licensing authority, the licensee or their representative shall be
				required to submit a plan of correction to the licensing authority within 10
				working days stating how the CTC intends to correct each violation noted and
				the expected date of completion. All plans of correction for deficiencies, if
				any, shall be disclosed in compliance with applicable statutes and regulations.
				A plan of correction is not confidential once it has been approved and is
				admissible for all purposes in any adjudicatory hearing and all subsequent
				appeals relating to a CTC license, including to prove licensee compliance
				violations. The plan of correction must contain the following:
(1) what measures will be put into place or
				what systematic changes will be made to ensure the deficient practice does not
				recur;
(2) the anticipated
				implementation date (a reasonable time-frame is allowed);
(3) how the corrective action will be
				monitored to ensure compliance;
(4)
				what quality assurance indicators will be put into place;
(5) who will be responsible to oversee their
				monitoring; and
(6) plan of
				correction shall be signed and dated by the administrator or authorized
				representative.
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 321 - SPECIALIZED BEHAVIORAL HEALTH SERVICES › Part 11 - CRISIS TRIAGE CENTERS › Section 8.321.11.20 - REPORTING OF INCIDENTS

Current through Register Vol. 35, No. 13, July 16, 2024
All CTC's licensed under these regulations must comply with
				  all incident intake, processing, training and reporting requirements under
				  these regulations, as well as with all other applicable statutes and
				  regulations. All facilities shall report to the licensing authority any serious
				  incidents or unusual occurrences which have threatened, or could have
				  threatened the health, safety and welfare of the clients, including but not
				  limited to:
A. fire, flood or other
				man-made or natural disasters including any damage to the CTC caused by such
				disasters and any incident which poses or creates any life safety or health
				hazards;
B. any outbreak of
				contagious diseases and diseases dangerous to the public health;
C. any human errors by staff and employees
				which may or has resulted in the death, serious illness, hospitalization, or
				physical impairment of a client or staff; and
D. abuse, neglect, exploitation, and injuries
				of unknown origin and other reportable incidents in accordance with 8.370.9
				NMAC.
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 321 - SPECIALIZED BEHAVIORAL HEALTH SERVICES › Part 11 - CRISIS TRIAGE CENTERS › Section 8.321.11.21 - GOVERNING BODY

Current through Register Vol. 35, No. 13, July 16, 2024
All CTC's licensed under these regulations must have a
				  formally constituted governing body or operate under the governing body of the
				  legal entity, which has ultimate authority over the CTC.
A. The governing body shall:
(1) establish and adopt bylaws that govern
				its operation;
(2) approve policies
				and procedures;
(3) appoint an
				on-site administrator or chief executive officer/administrator for the CTC;
				and
(4) review the performance of
				the administrator/ chief executive officer at least annually.
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 321 - SPECIALIZED BEHAVIORAL HEALTH SERVICES › Part 11 - CRISIS TRIAGE CENTERS › Section 8.321.11.23 - QUALITY IMPROVEMENT SYSTEMS

Current through Register Vol. 35, No. 13, July 16, 2024
Each CTC shall establish and maintain quality improvement
				  systems including policies and procedures for quality assurance and quality
				  improvement and have a quality committee.
A. The CTC shall establish a quality
				committee comprised at a minimum of the administrator, clinical director,
				director of nursing, licensed mental health professional, certified peer
				support worker, and psychiatrist.
Other committee members may be specified by rules governing
				  payor requirements. Members may participate on the quality committee by
				  teleconference. The committee shall establish and implement quality assurance
				  and quality improvement systems that monitor and promote quality care to
				  clients. The systems are approved by the governing body and updated
				  annually.
(1) the quality improvement
				systems must include:
(a) chart
				reviews;
(b) annual review of
				policies and procedures;
(c) data
				collection, and other program monitoring processes;
(d) data analyses;
(e) identification of events, trends and
				patterns that may affect client health, safety or treatment efficacy;
(f) identification of areas for
				improvement;
(g) intervention
				plans, including action steps, responsible parties, and completion time;
				and,
(h) evaluation of the
				effectiveness of interventions.
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 321 - SPECIALIZED BEHAVIORAL HEALTH SERVICES › Part 11 - CRISIS TRIAGE CENTERS › Section 8.321.11.25 - CLIENT ACCEPTANCE, ADMISSION AND DISCHARGE CRITERIA

Current through Register Vol. 35, No. 13, July 16, 2024
A. The CTC shall develop admission and
				discharge criteria related to stabilization of behavioral health crises
				including out-patient and short-term residential stabilization.
B. The CTC shall post operating and admission
				hours in a location visible from the exterior of the facility.
C. If a client is not admitted to the CTC,
				the CTC shall maintain documentation of the rationale for the denial of
				services to the individual and any referrals made.
D. Admission criteria for adults and youth
				must be available in writing to all clients and visitors to the CTC.
E. Materials describing services offered,
				eligibility requirements and client rights and responsibilities must be
				provided in a form understandable to the client with consideration of the
				client's primary language, and the mode of communication best understood by
				persons with visual or hearing impairments, as applicable.
F. The CTC shall not refuse to admit a client
				solely on the basis of the individual living in the community on a court
				ordered conditional release.
G. The
				CTC shall conduct an assessment for each client presenting for admission. The
				admission assessment shall contain an assessment of past trauma or abuse, how
				the individual served would prefer to be approached should he become dangerous
				to himself or to others and the findings from this initial assessment shall
				guide the process for determining interventions.
H. All residential admissions of youth 14
				years of age and older must comply with applicable state and federal
				laws.
I. Staff shall inspect
				clients, their clothing, and all personal effects for contraband and weapons
				before admission to the residential component to ensure the safety of the
				patient and staff.
J. Discharge
				planning shall begin upon admission.
K. Prior to a client returning to a less
				restrictive environment, staff, with the consent of the client, shall work with
				the client's support system, as appropriate, to prepare the client for
				discharge.
L. Discharge plan and
				summary information shall be provided to the client at the time of discharge
				that includes:
(1) significant findings
				relevant to the client's recovery;
(2) client crisis stabilization plan and
				progress;
(3) recommendations and
				documentation for continued care, including appointment times, locations and
				contact information for providers;
(4) recommendations for community services if
				indicated with contact information for the services;
(5) documentation of notification to the
				client's primary care practitioner, if applicable;
(6) evidence of involvement by the client as
				documented by his signature or refusal to sign; and
(7) signatures of all staff participating in
				the development of plan.
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 321 - SPECIALIZED BEHAVIORAL HEALTH SERVICES › Part 11 - CRISIS TRIAGE CENTERS › Section 8.321.11.26 - PROGRAM SERVICES

Current through Register Vol. 35, No. 13, July 16, 2024
A licensed mental health professional must assess each
				  individual with the assessment focusing on the stabilization needs of the
				  client. It must be done in a timely manner congruent with the urgency of the
				  presenting crisis, and consistent with the policies and procedures. The
				  assessment must include: medical and mental health history and status, the
				  onset of illness, the presenting circumstances, risk assessment, cognitive
				  abilities, communication abilities, social history and history as a victim of
				  physical abuse, sexual abuse, neglect, or other trauma as well as history as a
				  perpetrator of physical or sexual abuse.
A. The CTC shall provide education and
				clinical programing designed to meet the stabilization needs of each client and
				implement crisis stabilization plans.
B. Crisis stabilization plan - A licensed
				mental health professional must document a crisis stabilization plan to address
				needs identified in the assessment.
(1) the
				crisis stabilization plan shall include at a minimum:
(a) diagnosis, a problem statement or
				statement of needs to be addressed;
(b) identification of behavioral health
				crisis leading to intake;
(c) goals
				that address the presenting crisis, and are consistent with the client's needs,
				realistic, measurable, linked to symptom reduction, and attainable by the
				client during the client's projected length of stay;
(d) specific treatment(s) provided, method(s)
				and frequency of treatment, and staff responsible for delivering
				treatment;
(e) criteria describing
				evidence of stabilization;
(f)
				discharge planning;
(g) evidence of
				involvement by the client and legal guardian as documented by his signature or
				refusal to sign; and
(h) signatures
				of all staff participating in the development of plan.
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 321 - SPECIALIZED BEHAVIORAL HEALTH SERVICES › Part 11 - CRISIS TRIAGE CENTERS › Section 8.321.11.27 - CLIENT RIGHTS

Current through Register Vol. 35, No. 13, July 16, 2024
A. All licensed
				facilities shall understand, protect and respect the rights of all residents.
				Prior to admission to a CTC, a client, parent, shall be given the applicable
				written description of the adult's or youth's legal rights, translated into
				client's preferred language, if necessary, to meet the client's
				understanding.
B. A written copy of
				the adult client's legal rights shall be provided to the adult client, or
				agent, if applicable, or to the most significant responsible party in the
				following order:
(1) the client's
				spouse;
(2) significant
				other;
(3) any of the client's
				adult children;
(4) the client's
				parents;
(5) the client's
				advocate.
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 321 - SPECIALIZED BEHAVIORAL HEALTH SERVICES › Part 11 - CRISIS TRIAGE CENTERS › Section 8.321.11.28 - CLIENT CLINICAL RECORD

Current through Register Vol. 35, No. 13, July 16, 2024
The client clinical records maintained by a crisis triage
				  center in a paper-based or electronic system shall document the degree and
				  intensity of the treatment provided to clients who are furnished services by
				  the CTC. A client's clinical record shall contain at a minimum:
A. the client's name and address;
B. name, address, and telephone number of
				agent, or representatives;
C. the
				source of referral and relevant referral information;
D. all reports from client assessment (see
				program services assessment);
E.
				the signed and dated informed consent for treatment including all medications
				and transfers;
F. all additional
				medical and clinical documentation;
G. the original crisis stabilization plan and
				all revisions;
H. documentation of
				all treatment;
I. laboratory and
				radiology results, if applicable;
J. documentation of physical restraint
				observations, if utilized;
K. a
				record of all contacts with medical and other services;
L. a record of medical treatment and
				administration of medication, if administered;
M. an original or original copy of all
				physician medication and treatment orders signed by the physician;
N. signed consent for the release of
				information, if information is released;
O. discharge plan.
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 321 - SPECIALIZED BEHAVIORAL HEALTH SERVICES › Part 11 - CRISIS TRIAGE CENTERS › Section 8.321.11.29 - STAFFING REQUIREMENTS

Current through Register Vol. 35, No. 13, July 16, 2024
A. Minimum
				staffing requirements:
(1) The CTC shall have
				an on-site administrator, which can be the same person as the clinical
				director.
(2) The CTC shall have a
				full time clinical director appropriately licensed to provide clinical
				oversight.
(3) The CTC shall have
				an RN present on-site 24 hours a day, seven days a week or as long as clients
				are present in programs that do not offer residential services, to provide
				direct nursing services. This requirement does not apply to CTCs offering 23
				hours or less non-residential services; instead these CTCs may have onsite
				medical professionals who have access to immediate support and supervision by
				an RN or a higher-level provider in accordance with Section 24-25-1 et al. NMSA
				1978 New Mexico Telehealth Act.
(4)
				An on-call physician or advanced practice registered nurse shall be available
				24 hours a day by phone, and available on-site as needed or through
				telehealth.
(5) Consultation by a
				psychiatrist or prescribing psychologist may be provided through
				telehealth.
(6) The CTC shall
				maintain sufficient staff including direct care and mental health professionals
				to provide for supervision and the care of residential and non-residential
				clients served by the CTC, based on the acuity of client needs.
(7) At least one staff trained in basic
				cardiac life support (BCLS) and first aid shall be on duty at all times. In
				addition, one staff trained in the use of the automated external defibrillator
				(AED) equipment shall also be on duty.
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 321 - SPECIALIZED BEHAVIORAL HEALTH SERVICES › Part 11 - CRISIS TRIAGE CENTERS › Section 8.321.11.30 - MINIMUM STAFF QUALIFICATIONS

Current through Register Vol. 35, No. 13, July 16, 2024
A.
				Administrator:
(1) Must be at least 21 years
				of age.
(2) The administrator shall
				possess experience in acute mental health and hold at least a bachelor's degree
				in the human services field or be a registered nurse with experience or
				training in acute mental health treatment.
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 321 - SPECIALIZED BEHAVIORAL HEALTH SERVICES › Part 11 - CRISIS TRIAGE CENTERS › Section 8.321.11.31 - PERSONNEL RECORDS

Current through Register Vol. 35, No. 13, July 16, 2024
A. The CTC
				shall have policies and procedures for managing personnel information and
				records.
B. Staff scheduling
				records shall be maintained for at least three years.
C. Employee records shall be kept at the CTC
				and include:
(1) employment
				application;
(2) training
				records;
(3) licenses and
				certifications;
(4) caregiver
				criminal history screening documentation pursuant to Section 8.370.5 NMAC;
				and
(5) employee abuse registry
				documentation pursuant to Section 8.370.8. NMAC.
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 321 - SPECIALIZED BEHAVIORAL HEALTH SERVICES › Part 11 - CRISIS TRIAGE CENTERS › Section 8.321.11.32 - STAFF TRAINING

Current through Register Vol. 35, No. 13, July 16, 2024
A.
				Training for each new employee and volunteer who provides direct care shall
				include a minimum of 16 hours of training and be completed prior to providing
				unsupervised care to clients.
B. At
				least 12 hours of on-going training shall be provided to staff that provides
				direct care at least annually; the training and proof of competency shall
				include at a minimum:
(1) behavioral health
				interventions;
(2) crisis
				interventions;
(3) substance use
				disorders and co-occurring disorders;
(4) withdrawal management protocols and
				procedures, if withdrawal management is provided;
(5) clinical and psychosocial needs of the
				population served;
(6) psychotropic
				medications and possible side effects;
(7) ethnic and cultural considerations of the
				geographic area served;
(8)
				community resources and services including pertinent referral
				criteria;
(9) treatment and
				discharge planning with an emphasis on crisis stabilization;
(10) fire safety and evacuation
				training;
(11) safe food handling
				practices (for persons involved in food preparation), to include:
(a) instructions in proper storage;
(b) preparation and serving of
				food;
(c) safety in food
				handling;
(d) appropriate personal
				hygiene; and
(e) infectious and
				communicable disease control.
(12) confidentiality of records and client
				information;
(13) infection
				control;
(14) client
				rights;
(15) reporting requirements
				for abuse, neglect or exploitation in accordance with Section 8.370.9
				NMAC;
(16) smoking policy for
				staff, clients and visitors;
(17)
				methods to provide quality client care;
(18) emergency procedures; and
(19) adverse medication reactions;
(20) the proper way to implement a crisis
				intervention plans.
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 321 - SPECIALIZED BEHAVIORAL HEALTH SERVICES › Part 11 - CRISIS TRIAGE CENTERS › Section 8.321.11.33 - MINIMUM SAFETY REQUIREMENTS

Current through Register Vol. 35, No. 13, July 16, 2024
A.
				The CTC shall have policies and procedures regarding authorized entry to or
				exit from the CTC including the residential component.
B. Control of potentially injurious items
				shall be clearly defined in policy to include:
(1) prohibition of flammables, toxins, ropes,
				wire clothes hangers, sharp pointed scissors, luggage straps, belts, knives,
				shoestrings, or other potentially injurious items;
(2) management of housekeeping supplies and
				chemicals, including procedures to avoid access by individuals during use or
				storage. Whenever practical, supplies and chemicals shall be non-toxic or
				noncaustic;
(3) safeguarding use
				and disposal of nursing and medical supplies including drugs, needles and other
				"sharps" and breakable items;
(4)
				the use of durable materials for furniture not capable of breakage into pieces
				that could be used as weapons or present a hanging risk.
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 321 - SPECIALIZED BEHAVIORAL HEALTH SERVICES › Part 11 - CRISIS TRIAGE CENTERS › Section 8.321.11.34 - NUTRITION

Current through Register Vol. 35, No. 13, July 16, 2024
The CTC shall provide planned and nutritionally balanced
				  meals to its residential clients and any client treated at the CTC for eight
				  hours or longer from the basic food groups in accordance with the "recommended
				  daily dietary allowance" of the American dietetic association, the food and
				  nutrition board of the national research council, or the national academy of
				  sciences. Meals shall meet the nutritional needs of the residents in accordance
				  with the current USDA dietary guidelines for Americans, vending machines shall
				  not be considered a source of snacks. Dietary services: The CTC will develop
				  and implement written policies and procedures that are maintained on the
				  premises. All CTC food service operations for residents shall comply with
				  current federal and state laws and rules concerning food service and shall
				  include:
A. at least three nutritious
				meals per day shall be served;
B.
				no more than 14 hours may elapse between the end of an evening meal and the
				beginning of a morning meal;
C.
				therapeutic diets shall be provided when ordered by the physician;
D. under no circumstances may food be
				withheld for disciplinary reasons;
E. each CTC shall have seating capacity to
				reflect the licensed capacity, although clients may eat or be served in shifts
				during daily operations;
F.
				nutritional snacks shall be available to each client; and
G. weekly menus shall be posted in the dining
				area.
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 321 - SPECIALIZED BEHAVIORAL HEALTH SERVICES › Part 11 - CRISIS TRIAGE CENTERS › Section 8.321.11.35 - PHARMACEUTICAL SERVICES

Current through Register Vol. 35, No. 13, July 16, 2024
A.
				Pharmacological services shall be provided only on order by a prescribing
				professional and in accordance with the terms and conditions of such
				professional's license. These services may be administered or monitored, if
				self administered, by nursing staff.
B. The CTC shall establish and implement
				policies, procedures and practices that guide the safe and effective use of
				medications and shall, at a minimum, address the following:
(1) Medications shall be administered upon
				direct order from a licensed prescriber, and the orders for medications and
				care shall be written and signed by the licensed prescriber;
(2) Medications shall be used solely for the
				purposes of providing effective treatment..
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 321 - SPECIALIZED BEHAVIORAL HEALTH SERVICES › Part 11 - CRISIS TRIAGE CENTERS › Section 8.321.11.36 - LABORATORY SERVICES

Current through Register Vol. 35, No. 13, July 16, 2024
A.
				Laboratory work and other diagnostic procedures deemed necessary shall be
				performed as ordered by the physician.
B. The CTC shall comply with clinical
				laboratory improvement amendments of 1988 (CLIA) requirements.
C. All lab test results performed either at
				the CTC or by contract or arrangement with another entity must be entered into
				the patient's record.
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 321 - SPECIALIZED BEHAVIORAL HEALTH SERVICES › Part 11 - CRISIS TRIAGE CENTERS › Section 8.321.11.37 - INFECTION CONTROL

Current through Register Vol. 35, No. 13, July 16, 2024
A. The CTC
				shall develop and implement policies and procedures for infection control and
				prevention. Policies shall include: educational course requirements;
				decontamination; disinfection and storage of sterile supplies; cleaning; and
				laundry requirements, and address the following:
(1) universal precautions when handling
				blood, body substances, excretions, secretions;
(2) proper disposal of biohazards;
(3) proper hand washing techniques;
(4) prevention and treatment of needle stick
				or sharp injuries; and
(5) the
				management of common illness likely to be emergent in the CTC service setting
				and specific procedures to manage infectious diseases.
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 321 - SPECIALIZED BEHAVIORAL HEALTH SERVICES › Part 11 - CRISIS TRIAGE CENTERS › Section 8.321.11.38 - RESEARCH

Current through Register Vol. 35, No. 13, July 16, 2024
A. If a CTC is
				conducting research activities, the CTC must have written policies and
				procedures for conducting research, documentation that the study has received
				institutional review board (IRB) approval, and a consent form for each client
				involved in the research in the client's record.
B. When research is conducted by the CTC or
				by the employees or by affiliates of the CTC or when the CTC is used as a
				research site, such that the CTC's clients and staff are involved in or the
				subjects of research; the research must be conducted:
(1) by qualified researchers, having evidence
				in formal training and experience in the conduct of clinical, epidemiologic or
				sociologic research;
(2) in
				accordance with the written, approved research policies and
				procedures;
(3) by staff trained to
				conduct such research; and
(4) in a
				manner that protects the client's health, safety and right to privacy and the
				CTC and its clients from unsafe practices.
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 321 - SPECIALIZED BEHAVIORAL HEALTH SERVICES › Part 11 - CRISIS TRIAGE CENTERS › Section 8.321.11.39 - CLIENT TRANSFERS

Current through Register Vol. 35, No. 13, July 16, 2024
A. The CTC
				shall have policies and procedures to stabilize and transfer clients in need of
				a higher level of care.
B. The CTC
				shall:
(1) discuss recommendations for
				transfer with the client or client's legal guardian or agent and upon transfer,
				notify the client's legal guardian or agent;
(2) make the determination as to the time and
				manner of transfer to ensure no further deterioration of the client during the
				transfer between facilities;
(3)
				specify the benefits expected from the transfer in the client's
				record;
(4) coordinate care with
				receiving facility prior to transfer; and
(5) send a copy of the client's record with
				the client upon transfer.
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 321 - SPECIALIZED BEHAVIORAL HEALTH SERVICES › Part 11 - CRISIS TRIAGE CENTERS › Section 8.321.11.40 - BUSINESS HOURS

Current through Register Vol. 35, No. 13, July 16, 2024
The CTC shall post hours of operation and admissions on
				  signage exterior to the building.
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 321 - SPECIALIZED BEHAVIORAL HEALTH SERVICES › Part 11 - CRISIS TRIAGE CENTERS › Section 8.321.11.41 - PHYSICAL ENVIRONMENT AND GENERAL BUILDING REQUIREMENTS

Current through Register Vol. 35, No. 13, July 16, 2024
A. When construction of new buildings,
				additions, or alterations to existing buildings are contemplated, plans and
				specifications covering all portions of the work must be submitted to the
				licensing authority for plan review and approval prior to beginning actual
				construction. When an addition or alteration is contemplated, plans for the
				entire CTC must be submitted.
B.
				CTCs licensed pursuant to these regulations must be accessible to and useable
				by disabled employees, staff, visitors, and clients and in compliance with the
				American's with Disabilities Act (ADA), current edition.
C. All buildings of the premises providing
				client care and services will be considered part of the CTC and must meet all
				requirements of these regulations. Where a part of the CTC services is
				contained in another facility, separation and access shall be maintained as
				described in current building and fire codes.
D. A CTC applying for licensure pursuant to
				these regulations may have additional requirements not contained herein. The
				complexity of building and fire codes and requirements of city, county, or
				municipal governments may stipulate these additional requirements. Any
				additional requirements will be outlined by the appropriate building and fire
				authorities, and by the licensing authority through plan review, consultation
				and on-site surveys during the licensing process.
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 321 - SPECIALIZED BEHAVIORAL HEALTH SERVICES › Part 11 - CRISIS TRIAGE CENTERS › Section 8.321.11.42 - COMMON ELEMENTS FOR FACILITIES

Current through Register Vol. 35, No. 13, July 16, 2024
A. Public services shall include:
(1) conveniently accessible wheelchair
				storage;
(2) an ADA compliant
				reception and information counter or desk;
(3) waiting areas;
(4) conveniently accessible public toilets;
				and
(5) drinking fountain (s) or
				water dispensers easily accessible to clients or other visitors.
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 321 - SPECIALIZED BEHAVIORAL HEALTH SERVICES › Part 11 - CRISIS TRIAGE CENTERS › Section 8.321.11.43 - PROVISIONS FOR EMERGENCY CALLS

Current through Register Vol. 35, No. 13, July 16, 2024
A.
				An easily accessible hard-wired telephone for summoning help, in case of
				emergency, must be available in the CTC.
B. A list of emergency numbers including, but
				not limited to, fire department, police department, ambulance services, local
				hospital, poison control center, and the authority's division of health
				improvement's complaint hotline must be prominently posted by the
				telephone(s).
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 321 - SPECIALIZED BEHAVIORAL HEALTH SERVICES › Part 11 - CRISIS TRIAGE CENTERS › Section 8.321.11.44 - PARKING

Current through Register Vol. 35, No. 13, July 16, 2024
Sufficient space for off-street parking for staff, clients
				  and visitors shall be provided. A designated parking space(s) for one
				  emergency, and one police vehicle shall be provided.
Parking should be compliant with local zoning requirements
				  and the 2009 New Mexico commercial building code, or current
				  version.
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 321 - SPECIALIZED BEHAVIORAL HEALTH SERVICES › Part 11 - CRISIS TRIAGE CENTERS › Section 8.321.11.45 - MAINTENANCE OF BUILDING AND GROUNDS

Current through Register Vol. 35, No. 13, July 16, 2024
Facilities must maintain the building(s) in good repair at
				  all times.
Such maintenance shall include, but is not limited to, the
				  following:
A. all electrical,
				mechanical, water supply, heating, fire protection, and sewage disposal systems
				must be maintained in a safe and functioning condition, including regular
				inspections of these systems;
B.
				all equipment and materials used for client care shall be maintained clean and
				in good repair;
C. all furniture
				and furnishings must be kept clean and in good repair; and
D. the grounds of the CTC must be maintained
				in a safe and sanitary condition at all times.
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 321 - SPECIALIZED BEHAVIORAL HEALTH SERVICES › Part 11 - CRISIS TRIAGE CENTERS › Section 8.321.11.46 - HOUSEKEEPING

Current through Register Vol. 35, No. 13, July 16, 2024
A. The CTC must be
				kept free from offensive odors and accumulations of dirt, rubbish, dust, and
				safety hazards.
B. Treatment rooms,
				waiting areas and other areas of daily usage must be cleaned as needed to
				maintain a clean and safe environment for the clients.
C. Floors and walls must be constructed of a
				finish that can be easily cleaned. Floor polishes shall provide a slip
				resistant finish.
D. Deodorizers
				must not be used to mask odors caused by unsanitary conditions or poor
				housekeeping practices.
E. Storage
				areas must be kept free from accumulation of refuse, discarded equipment,
				furniture, paper, et cetera.
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 321 - SPECIALIZED BEHAVIORAL HEALTH SERVICES › Part 11 - CRISIS TRIAGE CENTERS › Section 8.321.11.47 - CUSTODIAL CLOSET(S)

Current through Register Vol. 35, No. 13, July 16, 2024
A. Each
				CTC shall have at least one custodial closet which must be locked and
				restricted from client access.
B.
				Each custodial closet shall contain:
(1) a
				service sink; and
(2) storage for
				housekeeping supplies and equipment.
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 321 - SPECIALIZED BEHAVIORAL HEALTH SERVICES › Part 11 - CRISIS TRIAGE CENTERS › Section 8.321.11.48 - HAZARDOUS AREAS

Current through Register Vol. 35, No. 13, July 16, 2024
A. Hazardous
				areas include the following:
(1) fuel fired
				equipment rooms;
(2) bulk laundries
				or laundry rooms with more than 100 sq. ft.;
(3) storage rooms with more than 50 sq. ft.
				but less than 100 sq. ft. not storing combustibles;
(4) storage rooms with more than 100 sq. ft.
				storing combustibles;
(5) chemical
				storage rooms with more than 50 sq. ft.; and
(6) garages, maintenance shops, or
				maintenance rooms.
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 321 - SPECIALIZED BEHAVIORAL HEALTH SERVICES › Part 11 - CRISIS TRIAGE CENTERS › Section 8.321.11.49 - FLOORS AND WALLS

Current through Register Vol. 35, No. 13, July 16, 2024
A. 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.
B. Threshold and
				expansion joint covers shall be flush with the floor surface to facilitate use
				of wheelchairs and carts.
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 321 - SPECIALIZED BEHAVIORAL HEALTH SERVICES › Part 11 - CRISIS TRIAGE CENTERS › Section 8.321.11.50 - EXITS

Current through Register Vol. 35, No. 13, July 16, 2024
A. Each floor of a
				CTC shall have exits as required by the New Mexico commercial building code and
				applicable version of the National fire protection association 11.
B. Each exit must be marked by illuminated
				exit signs having letters at least six inches high whose principle strokes are
				at least three quarters of an inch wide.
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.
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 321 - SPECIALIZED BEHAVIORAL HEALTH SERVICES › Part 11 - CRISIS TRIAGE CENTERS › Section 8.321.11.51 - CORRIDORS

Current through Register Vol. 35, No. 13, July 16, 2024
A. Minimum corridor
				width shall be five feet except work corridors less than six feet in length may
				be four feet in width.
B. For
				facilities contained within existing commercial or residential buildings, less
				stringent corridor widths may be allowed if not in conflict with building or
				fire codes. A waiver or variance may be requested but must be approved by the
				licensing authority prior to occupying the licensed part of the
				building.
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 321 - SPECIALIZED BEHAVIORAL HEALTH SERVICES › Part 11 - CRISIS TRIAGE CENTERS › Section 8.321.11.52 - STAFF STATION

Current through Register Vol. 35, No. 13, July 16, 2024
A. Each client
				care area in the residential unit shall have a staff station located to provide
				visual or virtual monitoring of all resident room corridors and access to
				secured access to outdoor area, equipped with access to residential clients'
				records, a desk or work counter, a cleaning area with a sink with hot and cold
				running water, operational telephone, and emergency call system.
B. Locked storage area for drugs or pharmacy
				grade, locked medication cart.
C.
				Access to a biohazard disposal unit for needles, and other "sharps," and
				breakable items.
D. A reliable
				monitored emergency call system shall be provided for staff use in the event of
				an emergency.
E. If a kitchen is
				not open at all times to residents, a nourishment station with sink, hot and
				cold running water, refrigerator, and storage for serving residents between
				meal nourishment shall be provided.
F. View of fire alarm control panel,
				generator panel (if any), and any other life safety code components.
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 321 - SPECIALIZED BEHAVIORAL HEALTH SERVICES › Part 11 - CRISIS TRIAGE CENTERS › Section 8.321.11.53 - SECURED ENVIRONMENT/OUTDOOR AREA

Current through Register Vol. 35, No. 13, July 16, 2024
A. The CTC shall provide a secure environment
				for client safety. A secured environment is a CTC and grounds that have secured
				or monitored exits. A secured environment for facilities that offer residential
				services may include but is not limited to: double alarm systems; gates
				connected to the fire alarm; or tab alarms for residents at risk for elopement.
				Locked areas shall have an access code or key which CTC employees shall have on
				their person or available at all times in accordance with the Life Safety Code,
				NPFA 11, 212 or subsequent updates. For a CTC located within an existing
				licensed facility, a request for waiver may be submitted to the licensing
				authority containing an alternate plan for providing security for clients,
				provided that health, safety or welfare of the clients or staff would not be
				adversely affected.
B. In addition
				to the interior common areas required by this rule, a CTC providing residential
				services shall provide an outdoor secured environment independently accessible
				to residents for their yearround use.
(1)
				Fencing or other enclosures, not less than six feet high, shall protect the
				safety, security and privacy of the residents and have emergency egress gates
				that are connected to the emergency call system.
(2) Outdoor area shall not provide access to
				contact with the public.
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 321 - SPECIALIZED BEHAVIORAL HEALTH SERVICES › Part 11 - CRISIS TRIAGE CENTERS › Section 8.321.11.54 - ASSESSMENT ROOMS

Current through Register Vol. 35, No. 13, July 16, 2024
A. general
				purpose assessment rooms shall meet the following requirements:
B. minimum floor area of 80 square feet,
				excluding vestibules, toilets, and closets;
C. room arrangement shall permit at least two
				feet - eight inch clearance around furniture items used for exam or
				assessment;
D. a lavatory or sink
				for hand washing.
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 321 - SPECIALIZED BEHAVIORAL HEALTH SERVICES › Part 11 - CRISIS TRIAGE CENTERS › Section 8.321.11.55 - THERAPY/ TREATMENT ROOMS

Current through Register Vol. 35, No. 13, July 16, 2024
A.
				Shall have a minimum floor area of 120 square feet, excluding vestibule,
				toilet, and closets.
B. All walls
				shall be constructed to a minimum length of 10 feet.
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 321 - SPECIALIZED BEHAVIORAL HEALTH SERVICES › Part 11 - CRISIS TRIAGE CENTERS › Section 8.321.11.56 - ACTIVITY OR MULTIPURPOSE ROOM

Current through Register Vol. 35, No. 13, July 16, 2024
The CTC shall provide a minimum of 250 square feet for common
				  living area, dining and social spaces, or 40 square feet per resident,
				  whichever is greater.
A. The CTC shall
				have a living or multipurpose room for the use of the residents. The
				furnishings shall be well constructed, comfortable and in good
				repair.
B. The activity or
				multi-purpose room may be used as a dining area.
C. The activity room or multipurpose rooms
				shall be provided with supplies to reasonably meet the interests and needs of
				the residents.
D. Each activity
				room shall have a window area of at least one tenth of the floor area with a
				minimum of at least 10 square feet.
E. A dining area shall be provided for meals.
				Facilities shall have tables and chairs in the dining area to accommodate the
				total number of residents in one sitting. All seating arrangements during meals
				shall allow clear access to the exits. Lunch times for adults and youth must be
				separate if there is only one lunch room.
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 321 - SPECIALIZED BEHAVIORAL HEALTH SERVICES › Part 11 - CRISIS TRIAGE CENTERS › Section 8.321.11.57 - MEETING ROOM

Current through Register Vol. 35, No. 13, July 16, 2024
The CTC shall have adequate meeting rooms and office space
				  for use by staff, the interdisciplinary care team and client and family visits.
				  Other rooms may serve as meeting rooms, provided resident confidentiality is
				  maintained. Meeting and treatment rooms must not hold both adults and youth at
				  the same time.
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 321 - SPECIALIZED BEHAVIORAL HEALTH SERVICES › Part 11 - CRISIS TRIAGE CENTERS › Section 8.321.11.58 - RESIDENT ROOMS

Current through Register Vol. 35, No. 13, July 16, 2024
The regulations in Section 8.321.11.58 NMAC apply to those
				  facilities providing a residential treatment program.
A. A CTC providing residential treatment
				shall not exceed the bed capacity approved by the licensing
				authority.
B. Resident rooms may be
				private or semi-private or dormitory style depending on assessed, resident
				acuity and need Resident rooms must be separated by gender.
C. Facilities serving youth and adults must
				locate youth resident rooms and restrooms in a unit or wing that is physically
				separated from the adult facilities.
(1)
				Private rooms shall have a minimum of 100 square feet of floor area. The closet
				and locker area shall not be counted as part of the available floor
				space.
(2) Semiprivate rooms shall
				have a minimum of 80 square feet of floor area for each resident and shall be
				furnished in such a manner that the room is not crowded and passage out of the
				room is not obstructed.
(3) A
				separate closet, bed (at least 36 inch wide), chair, towel bar, and non-metal
				trash receptacle, for each resident shall be provided.
(4) The beds shall be spaced at least three
				feet apart. Bunk beds, roll away beds, stacked beds, hide-a-beds, or beds with
				springs, cranks, rails or wheels, are not allowed.
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 321 - SPECIALIZED BEHAVIORAL HEALTH SERVICES › Part 11 - CRISIS TRIAGE CENTERS › Section 8.321.11.59 - TOILETS, LAVATORIES AND BATHING FACILITIES

Current through Register Vol. 35, No. 13, July 16, 2024
A.
General Requirements:
(1) All fixtures and plumbing must be
				installed in accordance with current state and local plumbing codes.
(2) All toilets must be enclosed and
				vented.
(3) All toilet rooms must
				be provided with a lavatory for hand washing.
(4) All toilets must be kept supplied with
				toilet paper.
(5) All lavatories
				for hand washing must be kept supplied with disposable towels for hand drying
				or provided with mechanical blower.
(6) The number of and location of toilets,
				lavatories and bathing facilities shall be in accordance with International
				Building Code (IBC) requirements. Toilets for public use shall be located
				adjacent to the waiting area. Such factors as extent of services provided and
				size of CTC will also dictate requirements.
(7) Facilities serving youth must provide
				separate toilet and shower facilities for adults and youth.
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 321 - SPECIALIZED BEHAVIORAL HEALTH SERVICES › Part 11 - CRISIS TRIAGE CENTERS › Section 8.321.11.60 - COLLECTION/ DRAW/LAB AREA

Current through Register Vol. 35, No. 13, July 16, 2024
Facilities shall be reward to support laboratory procedures,
				  if provided. Minimum facilities provided on-site shall include space for the
				  following:
A. A urine collection room
				equipped with a toilet and hand washing sink.
B. Blood collection facilities with space for
				a chair, work counter, and lavatory.
C. Each CTC shall have accommodations for
				storage and refrigeration of blood, urine and other specimens in a dedicated
				specimen refrigerator.
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 321 - SPECIALIZED BEHAVIORAL HEALTH SERVICES › Part 11 - CRISIS TRIAGE CENTERS › Section 8.321.11.61 - NUTRITION

Current through Register Vol. 35, No. 13, July 16, 2024
A CTC offering a residential treatment program shall provide
				  planned and nutritionally balanced meals from the basic food groups in
				  accordance with the "recommended daily dietary allowance" of the American
				  dietetic association, the food and nutrition board of the national research
				  council, or the national academy of sciences.
A. Menus must be approved by a licensed
				nutritionist. Meals shall meet the nutritional needs of the residents in
				accordance with the current USDA dietary guidelines for Americans. Vending
				machines shall not be considered a source of snacks.
B. Dietary services.
The CTC will develop and implement written policies and
				  procedures that are maintained on the premises. All CTC food service operations
				  for residents shall comply with current federal and state laws and rules
				  concerning food service and shall include:
(1) at least three nutritious meals per day
				shall be served;
(2) no more than
				14 hours may elapse between the end of an evening meal and the beginning of a
				morning meal;
(3) therapeutic diets
				shall be provided when ordered by the physician;
(4) under no circumstances may food be
				withheld for disciplinary reasons;
(5) each CTC shall have seating capacity to
				accommodate the licensed capacity and be able to feed adult and youth clients
				separately, although clients may eat or be served in shifts during daily
				operations;
(6) nutritional snacks
				shall be available to each client; and
(7) weekly menus shall be posted in the
				dining area.
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 321 - SPECIALIZED BEHAVIORAL HEALTH SERVICES › Part 11 - CRISIS TRIAGE CENTERS › Section 8.321.11.63 - LAUNDRY SERVICES

Current through Register Vol. 35, No. 13, July 16, 2024
A. General
				requirements. The CTC shall provide laundry services, either on the premises or
				through a commercial laundry and linen service.
(1) On-site laundry facilities shall be
				located in areas separate from the resident units and shall be provided with
				necessary washing and drying equipment.
(2) Soiled laundry shall be kept separate
				from clean laundry, unless the laundry facility is provided for resident use
				only.
(3) Staff shall handle,
				store, process and transport linens with care to prevent the spread of
				infectious and communicable disease.
(4) Soiled laundry shall not be stored in the
				kitchen or dining areas. The building design and layout shall ensure the
				separation of laundry room from kitchen and dining areas. An exterior route to
				the laundry room is not an acceptable alternative, unless it is completely
				enclosed.
(5) All linens shall be
				changed as needed and at least weekly or when a new resident is to occupy the
				bed.
(6) The mattress pad, blankets
				and bedspread shall be laundered as needed and when a new resident is to occupy
				the bed.
(7) Bath linens consisting
				of hand towel, bath towel and washcloth shall be changed as needed and at least
				weekly.
(8) There shall be a clean,
				dry, well-ventilated storage area provided for clean linen.
(9) CTC laundry supplies and cleaning
				supplies shall not be kept in the same storage areas used for the storage of
				foods and clean storage and shall be kept in a secured room or
				cabinet.
(10) CTC shall have a
				small washer and dryer for immediate unit needs and to wash clients' clothes.
				These washing and drying units shall be equipped to sanitize clothes as a
				preventive measure of infection control.
(11) Residents may do their own laundry, if
				it is their preference and they are capable of doing so.