New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43F - STANDARDS FOR LICENSURE OF ADULT DAY HEALTH SERVICES FACILITIES › Subchapter 3 - ADMINISTRATION › Section 8:43F-3.3 - Administrative policies and procedures

Current through Register Vol. 56, No. 14, July 15, 2024
(a) If a health care
				facility licensed by the Department provides adult day health services in addition
				to other health care services, the facility shall adhere to the rules in this
				chapter and to the rules for licensure of facilities providing the other health care
				services.
(b) Except in an emergency,
				facilities shall not provide program services to individual participants for more
				than 12 consecutive hours during any calendar day of the year without prior written
				approval by the Department.
(c) The
				facility shall adhere to applicable Federal, State, and local laws, rules,
				regulations, and requirements.
(d) A
				policy and procedure manual(s) for the organization and operation of the facility
				shall be developed, implemented, and reviewed at intervals specified in the
				manual(s). Each review of the manual(s) shall be documented, and the manual(s) shall
				be available in the facility to representatives of the Department at all times. The
				manual(s) shall include at least the following:
1.
				A written statement of the program's philosophy and objectives and the services
				provided by the facility;
2. An
				organizational chart delineating the lines of authority, responsibility, and
				accountability for the administration and participant care services of the
				facility;
3. A description of mechanisms
				for referral of participants to other health care providers, in order to provide a
				continuum of care for the participant;
4. A description of the quality improvement
				program for participant care and staff performance;
5. Specification of the hours and days on which
				services are provided;
6. Policies and
				procedures for the maintenance of personnel records for each employee, including, at
				a minimum, the employee's name, previous employment, educational background,
				credentials, license number with effective date and date of expiration (if
				applicable), certification (if applicable), verification of credentials, records of
				physical examinations, job description, and evaluations of job
				performance;
7. Policies and procedures,
				including content and frequency, for physical examinations upon employment and
				subsequently for employees and for other persons providing direct care services to
				participants; and
8. Policies and
				procedures for complying with applicable statutes and protocols to report abuse or
				mistreatment of participants, elopement, sexual abuse, specified communicable
				disease, rabies, poisonings, and unattended or suspicious deaths. These policies and
				procedures shall include, but not be limited to:
i. The notification of any suspected case of
				participant abuse or exploitation that occurs during the participant's participation
				in adult day health services to the New Jersey Long-Term Care Ombudsman, pursuant to
				N.J.S.A. 52:27G-7.1etseq., if the participant is 60 years of age or older, and if
				less than 60 years of age, to the Division of Health Facility Survey and Field
				Operations of the Department;
ii. The
				notification of any suspected case of participant abuse or exploitation that occurs
				outside of the participant's participation in adult day health services that is
				discovered by facility staff to Adult Protective Services, pursuant to N.J.S.A.
				52:27D-406etseq., if the participant is 60 years of age or older;
iii. The notification of any suspected case of
				abuse or exploitation to the New Jersey Department of Children and Families,
				Division of Youth and Family Services of a participant who is 16 or 17 years of
				age;
iv. The development of written
				protocols for the identification and the treatment of participants who are abused
				and/or neglected;
v. The provision at
				least annually of education and/or training programs to appropriate persons
				regarding the identification and reporting of diagnosed and/or suspected cases of
				sexual abuse; domestic violence; abuse of participants and the facility's policies
				and procedures; and
vi. Policies and
				procedures regarding communicable diseases, in accordance with N.J.A.C.
				8:57.