reglab/statecodes huggingface dataset:
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43F - STANDARDS FOR LICENSURE OF ADULT DAY HEALTH SERVICES FACILITIES › Subchapter 7 - NURSING SERVICES › Section 8:43F-7.1 - Designation of director of nursing services

Current through Register Vol. 56, No. 14, July 15, 2024
(a) A registered
				professional nurse shall be designated in writing as the director of nursing
				services and shall be on duty at all times when participants are present in the
				facility. A registered professional nurse shall be designated in writing to act in
				the director's absence.
1. Additional licensed
				nursing personnel and unlicensed assistive personnel shall be provided in accordance
				with the facility's policies and procedures for determining staffing levels on the
				basis of an assessment of the acuity of participants.
i. In facilities where the daily attendance
				exceeds 60 participants, additional licensed nursing personnel shall be present in
				the facility.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43F - STANDARDS FOR LICENSURE OF ADULT DAY HEALTH SERVICES FACILITIES › Subchapter 7 - NURSING SERVICES › Section 8:43F-7.2 - Qualifications of the director of nursing services

Current through Register Vol. 56, No. 14, July 15, 2024
The director of nursing services shall be a registered
				  professional nurse who has at least one year of full-time experience in nursing
				  supervision and/or administration in a licensed health care facility.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43F - STANDARDS FOR LICENSURE OF ADULT DAY HEALTH SERVICES FACILITIES › Subchapter 7 - NURSING SERVICES › Section 8:43F-7.3 - Responsibilities of the director of nursing services

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The director of
				nursing or designated alternate shall be responsible for the supervision of all
				nursing staff and unlicensed assistive personnel.
(b) The director of nursing services shall be
				responsible for the direction, provision, and quality of nursing services provided
				to participants. The director of nursing services shall be responsible for
				developing and implementing written objectives, standards of practice, policies and
				procedures and an organizational plan for the nursing service.
(c) Written policies and procedures shall include,
				but not be limited to, the following:
1.
				Procedures for the assessment of the health service needs of all
				participants;
2. Procedures for
				monitoring the conditions of the participants on a continuing basis;
3. Procedures for the notification of the
				administrator if there are significant changes in a participant's
				condition;
4. Procedures for the
				assessment of the participant's need for referral to a physician, advanced practice
				nurse or physician assistant;
5.
				Procedures for maintaining records as required by the facility; and
6. A policy statement that each nurse shall serve
				as a resource person and health educator to the participants and to the
				administrator of the facility.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43F - STANDARDS FOR LICENSURE OF ADULT DAY HEALTH SERVICES FACILITIES › Subchapter 7 - NURSING SERVICES › Section 8:43F-7.4 - Provision of nursing services

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The facility shall
				provide nursing services to participants, directly in the facility.
(b) The registered professional nurse shall be
				responsible for, but not limited to, the following:
1. Interviewing the participant and caregivers in
				order to evaluate the participant's health status and health care needs;
2. Maintaining the standards of nursing practice
				including, but not limited to:
i. Monitoring of
				identified medical conditions;
ii.
				Administration and supervision of prescribed medications and treatments;
iii. Coordination of rehabilitative
				services;
iv. Development of a
				restorative nursing plan;
v. Monitoring
				of clinical behavior and nutritional status;
vi. Assisting with the maintenance or
				redevelopment of the activities of daily living skills;
vii. Monitoring growth and development;
viii. Implementing infection control procedures;
				and
ix. Communicating findings to the
				attending physician;
3.
				Managing medical emergencies;
4.
				Documenting the nursing services provided, including the initial assessment and
				evaluation of the participant's health care needs, development of the nursing
				component of the individualized plan of care, evaluation of the participant's
				progress in reaching established goals and defining the effectiveness of the nursing
				component of the individualized plan of care;
5. Overseeing the development of the initial
				individualized interdisciplinary plan of care;
6. Alerting others involved with the participant's
				care about changes in status and the need to change the individualized
				interdisciplinary plan of care;
7.
				Developing community medical referral resources and maintaining ongoing
				communication with those providers;
8.
				Linking the participant to necessary health care services outside the
				program;
9. Coordinating the services
				provided by other staff to meet the mutually identified health care and psychosocial
				needs of each recipient;
10. Providing
				in-service training to facility staff about the participant's health care
				needs;
11. Providing health education
				for a participant's family or primary caregiver; and
12. Serving as an advocate to assist the
				participant/caregiver to resolve problems.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43F - STANDARDS FOR LICENSURE OF ADULT DAY HEALTH SERVICES FACILITIES › Subchapter 7 - NURSING SERVICES › Section 8:43F-7.5 - Responsibilities of licensed nursing personnel

Current through Register Vol. 56, No. 14, July 15, 2024
The registered professional nurse may delegate selected nursing
				  tasks in the implementation of the nursing regimen to licensed practical nurses and
				  unlicensed assistive personnel, in accordance with
				  13:37-6.2.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43F - STANDARDS FOR LICENSURE OF ADULT DAY HEALTH SERVICES FACILITIES › Subchapter 8 - MEDICAL SERVICES › Section 8:43F-8.1 - Provision of medical services

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Medical services
				shall be provided as follows:
1. The facility's
				medical consultant, with the administrator, shall establish written medical and
				administrative policies governing the provision of medical services to the
				participants;
2. Any medical services
				required (including podiatry services, see
				10:57-2.11 ) shall be coordinated by
				the participant's attending physician, advanced practice nurse or physician
				assistant;
3. If the participant has no
				attending physician, advanced practice nurse or physician assistant, the facility
				shall assist the participant to secure one;
4. The participant may choose the medical
				consultant as his or her attending physician, provided the medical consultant
				becomes the participant's attending physician with all the responsibilities
				attendant to such a role over a 24-hour period on a continuing basis;
5. An individual medical record shall be
				maintained for each participant; and
6.
				The attending physician, advanced practice nurse or physician assistant shall
				provide medical orders for treatment of participants, which shall include
				medication; diet; activities permitted; therapies, such as physical therapy,
				occupational therapy, and speech-language pathology services; and other services as
				necessary (that is, laboratory tests, dental, etc.).
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43F - STANDARDS FOR LICENSURE OF ADULT DAY HEALTH SERVICES FACILITIES › Subchapter 8 - MEDICAL SERVICES › Section 8:43F-8.2 - Designation of a medical consultant

Current through Register Vol. 56, No. 14, July 15, 2024
A physician shall be designated to serve as the facility's
				  medical consultant.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43F - STANDARDS FOR LICENSURE OF ADULT DAY HEALTH SERVICES FACILITIES › Subchapter 8 - MEDICAL SERVICES › Section 8:43F-8.3 - Medical consultant's responsibilities

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The medical
				consultant shall be responsible for, but not limited to, the following:
1. Assisting the facility in developing written
				objectives, policies, a procedure manual, an organizational plan, and a quality
				improvement program for the medical service;
2. Assisting in the coordination and integration
				of medical services with other participant care services to provide a continuum of
				care for the participant; and
3.
				Reviewing written medical policies in cooperation with the physicians, advanced
				practice nurses, or physician assistants responsible for providing care to the
				participants.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43F - STANDARDS FOR LICENSURE OF ADULT DAY HEALTH SERVICES FACILITIES › Subchapter 8 - MEDICAL SERVICES › Section 8:43F-8.4 - Responsibilities of physicians, advanced practice nurses, and physician assistants

Current through Register Vol. 56, No. 14, July 15, 2024
(a) A
				physician, advanced practice nurse or physician assistant and an alternate
				physician, advanced practice nurse or physician assistant shall be designated for
				each participant, who can be contacted when necessary, including a medical
				emergency.
(b) The physician, advanced
				practice nurse, or physician assistant who provides care to the participant shall
				provide the following information, which shall be included in the participant's
				medical record:
1. A signed, dated medical history
				and physical examination report, including results of a chest x-ray, if performed.
				The history and physical examination shall be performed within 60 days prior to or
				upon admission to the program;
2. Orders
				for the specific type and intensity of care to be provided to the participant by the
				facility;
3. Specification of the degree
				of participant mobility and specification of any assistive devices that the
				participant requires; and
4.
				Verification that the participant is free of communicable disease.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43F - STANDARDS FOR LICENSURE OF ADULT DAY HEALTH SERVICES FACILITIES › Subchapter 9 - PHARMACEUTICAL SERVICES › Section 8:43F-9.1 - Provision of pharmaceutical services

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The facility shall
				designate a pharmaceutical consultant, who is not the pharmacy provider and who has
				no affiliation with the pharmacy provider.
(b) The designated pharmaceutical consultant shall
				be responsible, in accordance with N.J.A.C. 13:39, for the following:
1. Establishing written policies and procedures to
				ensure the safe use, labeling, storage, integrity, administration, control and
				accountability of all medications stored or administered by the facility;
2. Reviewing the records of all participants at
				least every 90 days to assure that the medication records are accurate, up-to-date
				and that these records indicate that medications are administered or
				self-administered in accordance with the prescriber's orders;
3. Reviewing records at least every 90 days to
				assure medication regimen, laboratory tests, special dietary requirements, and foods
				or natural or herbal medicines used or administered concomitantly with other
				medications to the same participants are monitored for potential adverse reaction,
				allergies, medication interaction, contraindications, rationality, medication
				evaluation, and test modification; and that all irregularities or recommended
				changes are documented on the participant's record and reported to the administrator
				or attending physician, advanced practice nurse or physician assistant;
4. Providing and documenting in-service training
				and consultation with staff and, if appropriate, participants of the facility as
				required to assure pharmaceutical and utilization compliance;
5. Devoting a minimum of one hour a month to carry
				out the responsibilities under this section and documenting his or her attendance at
				the facility; and
6. Maintaining a
				written record of activities, findings and recommendations.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43F - STANDARDS FOR LICENSURE OF ADULT DAY HEALTH SERVICES FACILITIES › Subchapter 9 - PHARMACEUTICAL SERVICES › Section 8:43F-9.2 - Medication administration policies and procedures

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The facility shall
				establish a system to accurately identify participants before any medication is
				administered.
(b) Medications shall be
				accurately administered by properly authorized individuals who shall ensure that the
				right medication is administered to the right person in the right dose through the
				right route of administration at the right time.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43F - STANDARDS FOR LICENSURE OF ADULT DAY HEALTH SERVICES FACILITIES › Subchapter 9 - PHARMACEUTICAL SERVICES › Section 8:43F-9.3 - Pharmacy reporting policies and procedures

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The consultant
				pharmacist shall report any irregularities to the director of nursing services, who
				shall report to the administrator and the attending physician, advanced practice
				nurse or physician assistant. These reports shall be acted upon.
(b) Medication allergies shall be documented in
				the participant's medical record and on its outside front cover and communicated to
				the provider or dispensing pharmacy.
(c)
				Medication errors and adverse reactions shall be reported immediately to the
				director of nursing services or the alternate to the director of nursing services,
				and a description of the error or adverse medication reaction shall be entered into
				the medical record before the end of the employee shift. If the participant has
				erroneously received medication, the participant's physician, advanced practice
				nurse or physician assistant who prescribed the medication shall be notified
				immediately. If a medication error originated in the pharmacy, the pharmacy shall be
				notified immediately.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43F - STANDARDS FOR LICENSURE OF ADULT DAY HEALTH SERVICES FACILITIES › Subchapter 9 - PHARMACEUTICAL SERVICES › Section 8:43F-9.4 - Pharmacy control policies and procedures

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The label of each
				participant's individual medication container or package shall be permanently
				affixed and contain the following information, except as provided by (b) and (c)
				below:
1. The participant's full name;
2. The prescriber's name;
3. The prescription number;
4. The name and strength of the
				medication;
5. The quantity
				dispensed;
6. Directions for
				use;
7. The date upon which the
				medication is dispensed;
8. The
				manufacturer's name if generic;
i. If a generic
				substitute is used, the medication shall be labeled in accordance with the Drug
				Utilization Review Formulary,
				24:6E-1 et seq. and N.J.A.C. 8:71;
				and
9. The expiration date,
				if dispensed in any packaging other than the manufacturers original packaging, and
				in accordance with
				13:39-5.9.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43F - STANDARDS FOR LICENSURE OF ADULT DAY HEALTH SERVICES FACILITIES › Subchapter 10 - DIETARY SERVICES › Section 8:43F-10.1 - Dietary services

Current through Register Vol. 56, No. 14, July 15, 2024
The adult day health services facility shall provide a minimum of
				  one meal per day to participants, as well as nutritionally appropriate snacks. The
				  meal shall supply at least one-third of the daily caloric and protein requirements
				  recommended by the Nutrition Board of the National Academy of Sciences, National
				  Research Council, and shall contain three or more menu items, one of which is or
				  includes a high quality protein food such as meat, fish, eggs or cheese.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43F - STANDARDS FOR LICENSURE OF ADULT DAY HEALTH SERVICES FACILITIES › Subchapter 10 - DIETARY SERVICES › Section 8:43F-10.2 - Qualifications of the food service supervisor

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The food service
				supervisor shall:
1. Be a dietitian;
2. Be a graduate of a dietetic technician or
				dietetic assistant training program approved by the Commission on Dietetic
				Registration (Office on Dietetic Credentialing); or
3. Be a graduate of a New Jersey State-approved
				course in food service management and have at least one year of full-time, or
				full-time equivalent, experience as a food service supervisor in a licensed health
				care facility.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43F - STANDARDS FOR LICENSURE OF ADULT DAY HEALTH SERVICES FACILITIES › Subchapter 10 - DIETARY SERVICES › Section 8:43F-10.3 - Qualifications of the dietitian

Current through Register Vol. 56, No. 14, July 15, 2024
The dietitian must be registered or eligible for registration by
				  the Commission on Dietetic Registration, Office on Dietetic
				  Credentialing.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43F - STANDARDS FOR LICENSURE OF ADULT DAY HEALTH SERVICES FACILITIES › Subchapter 10 - DIETARY SERVICES › Section 8:43F-10.4 - Administrator's responsibilities for dietary services

Current through Register Vol. 56, No. 14, July 15, 2024
(a) If meals are
				prepared in the facility, the administrator shall designate a food service
				supervisor who, if not a dietitian, functions with scheduled consultation from a
				dietitian. The food service supervisor shall be present in the facility during food
				preparation and service.
1. If the food service
				supervisor is not a dietitian, the administrator shall designate a consultant
				dietitian who shall review the dietary services on a regularly scheduled basis, make
				recommendations, assess the nutritional needs of participants and provide
				nutritional counseling.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43F - STANDARDS FOR LICENSURE OF ADULT DAY HEALTH SERVICES FACILITIES › Subchapter 11 - REHABILITATION SERVICES › Section 8:43F-11.1 - Rehabilitative/habilitative services

Current through Register Vol. 56, No. 14, July 15, 2024
(a)
				Rehabilitative/habilitative services, which include physical therapy, occupational
				therapy, audiology and speech-language pathology services, shall be provided by the
				facility to those participants whose need for these services has been documented in
				the individualized plan of care and ordered by the attending physician, advanced
				practice nurse or physician assistant.
(b) Physician, advanced practice nurse or
				physician assistant orders for physical and occupational therapy, audiology and
				speech-language pathology services shall include specific modalities and the
				frequency of treatment, and shall be entered into the participant's medical
				record.
(c) Physician, advanced practice
				nurse or physician assistant orders for medically appropriate audiology and
				speech-language pathology services, physical therapy, and occupational therapy shall
				be properly followed, and the results of these services shall be entered into the
				participant's medical record.
(d)
				Appointments for audiology and speech-language pathology evaluation, physical
				therapy evaluation, and occupational therapy evaluation shall be made within five
				days of the participant's program attendance.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43F - STANDARDS FOR LICENSURE OF ADULT DAY HEALTH SERVICES FACILITIES › Subchapter 11 - REHABILITATION SERVICES › Section 8:43F-11.2 - Rehabilitation/habilitation supplies and equipment

Current through Register Vol. 56, No. 14, July 15, 2024
(a) For participants who
				require rehabilitative/habilitative services, space for such services shall be
				provided in the facility, or, if space is unavailable, arrangements shall be made
				for transportation of these participants to off-site providers of such
				services.
(b) Visual privacy and
				provisions for auditory privacy shall be provided for participants during evaluation
				and rehabilitation and/or habilitation treatment, when clinically
				indicated.
(c) If the facility provides
				physical therapy on-site, physical therapy equipment available to the participants
				shall include at least parallel bars, stairs, mats, and padded tables.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43F - STANDARDS FOR LICENSURE OF ADULT DAY HEALTH SERVICES FACILITIES › Subchapter 12 - SOCIAL WORK SERVICES › Section 8:43F-12.1 - Qualifications of social workers

Current through Register Vol. 56, No. 14, July 15, 2024
All social workers shall be licensed or certified by the New
				  Jersey State Board of Social Work Examiners, pursuant to N.J.S.A. 45:15BB-1 et seq.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43F - STANDARDS FOR LICENSURE OF ADULT DAY HEALTH SERVICES FACILITIES › Subchapter 12 - SOCIAL WORK SERVICES › Section 8:43F-12.2 - Provision of social work services

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The facility shall
				arrange for the provision of social work services to participants who require them,
				in accordance with N.J.S.A. 45:15BB-1 et seq. and N.J.A.C. 13:44G.
(b) Social workers shall provide at least the
				following social services:
1. Interviewing the
				participant and caregiver to obtain a social assessment and evaluation of needs and
				problems;
2. Providing or arranging for
				individual, family and group counseling in reference to psychological, social,
				financial, legal, vocational, and educational needs of the participant;
3. Assisting with obtaining concrete services; for
				example, housing, shopping, clothing, etc;
4. Referring to and/or developing support groups
				and educational programs for caregivers and participants;
5. Arranging and/or providing crisis
				intervention;
6. Providing family
				outreach;
7. Coordinating participant's
				care plans with other community resources;
8. Providing in-service training to staff on
				participant/caregiver psychosocial needs;
9. Participating in the facility's quality
				improvement program;
10. Participating
				in professional organizations and seminars;
11. Participating in participants' case
				conferences; for example, pre-admissions and post-admissions, problem-oriented
				cases;
12. Documenting assessments,
				treatment plans, evaluations and clinical notes (as defined at
				8:43F-1.2 ); and
13. Coordinating discharge planning for
				participants, which shall be in compliance with
				8:86-1.5 and
				8:43F-5.4(d), (e), and
				(f).
i. Discharge
				planning shall include linking the participant to necessary community
				services.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43F - STANDARDS FOR LICENSURE OF ADULT DAY HEALTH SERVICES FACILITIES › Subchapter 13 - ACTIVITIES SERVICES › Section 8:43F-13.1 - Designation of activities director

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The facility shall
				designate an activities director who shall be responsible for the direction,
				provision, and quality of the activities service. The activities director shall be
				responsible for, but not limited to, the following:
1. Participating in developing and implementing
				written objectives, policies, a procedure manual, and an organizational
				plan;
2. Participating in the facility's
				quality improvement program;
3. Ensuring
				that services are provided and are coordinated with other services to provide a
				continuum of care for the participant;
4. Participating in staff education activities and
				providing consultation to facility personnel;
5. Developing and posting a current monthly
				activities schedule where it can be read by participants, staff, and visitors, and
				maintaining a record of such schedules for one year;
6. Participate in all participant
				conferences;
7. Participate in
				professional organizations and seminars; and
8. Document assessments, treatment plans,
				evaluations and clinical notes.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43F - STANDARDS FOR LICENSURE OF ADULT DAY HEALTH SERVICES FACILITIES › Subchapter 13 - ACTIVITIES SERVICES › Section 8:43F-13.2 - Qualifications of activities director

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The activities
				director shall:
1. Be certified or eligible for
				certification as an activity director certified (ADC) by the National Certification
				Council for Activity Professionals (National Certification Council for Activity
				Professionals, 3015 Upton Drive, Suite 103, Kensington, MD 20895);
2. Be certified or eligible for certification as a
				certified therapeutic recreation specialist (CTRS) by the National Council for
				Therapeutic Recreation Certification (National Council for Therapeutic Recreation,
				16 Squadron Boulevard, Suite 101, New City, NY 10956);
3. Have a baccalaureate degree from a college or
				university approved by a State department of education with a major in recreation,
				creative arts therapy, music therapy, therapeutic recreation, art, art education,
				psychology, sociology, occupational therapy, or other health and/or human services
				related degree such as gerontology or early education;
4. Have a high school diploma and at least three
				years of full-time, or full-time equivalent, experience in activities in a licensed
				health care facility and have successfully completed an activities education program
				approved by the New Jersey Department of Health after a review of the specific
				curriculum, consisting of 90 hours of training and incorporating the following
				elements:
i. Overview of the activity
				profession;
ii. Human development: the
				late adult years, or for pediatric facilities, early childhood years;
iii. Standards of practice/practitioner
				behavior;
iv. Activity care planning for
				quality of life; and
v. Methods of
				service delivery in the activity profession; or
5. Have served as director of activities in a
				medical day care facility continuously since February 20, 1990.
i. Activities directors who meet the requirements
				of (a)5 above and who have completed an activities education course which was
				previously approved by the Department shall not be required to complete the course
				described at (a)4 above in order to continue in their present position.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43F - STANDARDS FOR LICENSURE OF ADULT DAY HEALTH SERVICES FACILITIES › Subchapter 13 - ACTIVITIES SERVICES › Section 8:43F-13.3 - Provision of activities services

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Activities staff
				shall arrange a diversity of programs to maintain adult participants' sense of
				usefulness and self-respect.
(b)
				Activities programs shall take place in individual and group settings, on an ongoing
				basis.
(c) Facility activities programs
				shall be available to all participants regardless of their financial status, with
				the exception of special events for which there is a charge for all
				participants.
(d) Facility staff, under
				the direction of the activities director, shall provide a planned program of social,
				physical, spiritual, psychological and cognitive activities. The activities shall
				reflect and be adapted to the needs, interests and capabilities of the participants.
1. The facility may involve volunteers in the
				implementation of the activities program.
2. Activities shall include, but not be limited
				to:
i. Discussion groups (reality orientation,
				remotivation);
ii. Arts and
				crafts;
iii. Specialty groups;
iv. Exercise groups;
v. Educational programs;
vi. A participant council;
vii. Special events (parties,
				entertainment);
viii. Excursions or
				outings;
ix. Community service projects;
				and
x. Individualized
				programs.
3. The participants
				and their families, when possible, shall be involved in the planning and
				implementation of the activities program.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43F - STANDARDS FOR LICENSURE OF ADULT DAY HEALTH SERVICES FACILITIES › Subchapter 14 - PHYSICAL PLANT REQUIREMENTS › Section 8:43F-14.1 - Physical plant

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Construction standards for freestanding
				facilities for new buildings and alterations, renovations, and additions to existing
				buildings for freestanding adult day health services facilities shall comply with
				N.J.A.C.
				5:23-3.2 of the New Jersey Uniform Construction
				Code; the New Jersey Uniform Fire Code, N.J.A.C. 5:70; and with N.J.A.C. 5:23-7, the
				Barrier-Free Subcode of the New Jersey Uniform Construction Code.
(b) Construction standards for facilities within
				long-term care facilities for new buildings and alterations, renovations, and
				additions for adult day health services facilities in existing buildings which are
				part of long-term care facilities shall comply with (a) above.
(c) Prior to any construction, plans shall be
				submitted to the New Jersey Department of Community Affairs, Health Care Plan Review
				Services Unit (609-633-8151) for review.
(d) Facilities existing as of December 19, 2005
				whose physical plant had been approved under rules in this chapter in effect prior
				to December 19, 2005 are not required to upgrade their physical plant to meet the
				requirements in this subchapter effective as of December 19, 2005.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43F - STANDARDS FOR LICENSURE OF ADULT DAY HEALTH SERVICES FACILITIES › Subchapter 14 - PHYSICAL PLANT REQUIREMENTS › Section 8:43F-14.2 - Barrier-free compliance

Current through Register Vol. 56, No. 14, July 15, 2024
Facilities shall be compliant with the New Jersey Uniform
				  Construction Code, N.J.A.C. 5:23-7, Barrier Free Subcode.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43F - STANDARDS FOR LICENSURE OF ADULT DAY HEALTH SERVICES FACILITIES › Subchapter 14 - PHYSICAL PLANT REQUIREMENTS › Section 8:43F-14.3 - Functional service areas

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Each adult day
				health services facility shall provide the following service areas on-site:
1. Administration services;
2. Employees' facilities;
3. Housekeeping services;
4. Social work services;
5. Activities;
6. Nursing services, pharmacy services, medical
				services; and
7. Dietary
				services.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43F - STANDARDS FOR LICENSURE OF ADULT DAY HEALTH SERVICES FACILITIES › Subchapter 14 - PHYSICAL PLANT REQUIREMENTS › Section 8:43F-14.4 - Administration areas

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The entrance to the
				facility shall be barrier-free accessible. The entrance shall be located at grade
				level and shall accommodate wheelchairs and other assistive devices.
(b) The main entrance of the facility shall have a
				lobby/reception area. This area shall contain space for waiting, a public telephone,
				a drinking fountain or bottled water, and space for wheelchair storage.
(c) An office shall be provided for the
				administrator. This office may be shared and may be used for conducting private
				interviews.
(d) The facility shall make
				provisions for conducting private interviews related to credit and
				admission.
(e) General or individual
				office(s) for business transactions, records, administrative, and professional staff
				shall be provided.
(f) Clerical space or
				rooms for typing, clerical work, and filing shall be provided.
(g) General storage facilities for supplies and
				equipment shall be provided as needed for continuing operation.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43F - STANDARDS FOR LICENSURE OF ADULT DAY HEALTH SERVICES FACILITIES › Subchapter 14 - PHYSICAL PLANT REQUIREMENTS › Section 8:43F-14.5 - Employee facilities area

Current through Register Vol. 56, No. 14, July 15, 2024
Employee facilities such as lockers and lounges shall be provided
				  for employees and volunteers.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43F - STANDARDS FOR LICENSURE OF ADULT DAY HEALTH SERVICES FACILITIES › Subchapter 14 - PHYSICAL PLANT REQUIREMENTS › Section 8:43F-14.6 - Housekeeping services area

Current through Register Vol. 56, No. 14, July 15, 2024
A janitor's closet shall be provided, on each floor or
				  immediately accessible, which shall contain a service sink and storage for
				  housekeeping supplies and equipment.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43F - STANDARDS FOR LICENSURE OF ADULT DAY HEALTH SERVICES FACILITIES › Subchapter 14 - PHYSICAL PLANT REQUIREMENTS › Section 8:43F-14.7 - Social work services area

Current through Register Vol. 56, No. 14, July 15, 2024
There shall be an office for the social worker(s) to conduct
				  private interviewing and counseling. The office shall have a record storage area.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43F - STANDARDS FOR LICENSURE OF ADULT DAY HEALTH SERVICES FACILITIES › Subchapter 14 - PHYSICAL PLANT REQUIREMENTS › Section 8:43F-14.8 - Activities area

Current through Register Vol. 56, No. 14, July 15, 2024
(a) A facility shall
				have a total of 30 square feet per person for activities and dining. The dining area
				shall accommodate all participants simultaneously at each meal.
(b) Storage space shall be provided for
				recreational equipment and supplies.
(c)
				An office or designated area, with a desk, shall be provided for the activities
				director.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43F - STANDARDS FOR LICENSURE OF ADULT DAY HEALTH SERVICES FACILITIES › Subchapter 14 - PHYSICAL PLANT REQUIREMENTS › Section 8:43F-14.9 - Nursing service areas

Current through Register Vol. 56, No. 14, July 15, 2024
(a) An office for
				nursing staff shall be provided. If the nurse's office will also serve as the
				pharmacy area, then a minimum of 100 square feet of space shall be provided for the
				combined use area.
(b) The following
				shall be provided for pharmaceutical services:
1.
				A dispensing area with a handwashing facility;
2. A locked storage cart or locked cabinets;
				and
3. A separate lockable refrigerator
				or a locked box within a refrigerator for storage of medications.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43F - STANDARDS FOR LICENSURE OF ADULT DAY HEALTH SERVICES FACILITIES › Subchapter 14 - PHYSICAL PLANT REQUIREMENTS › Section 8:43F-14.10 - Quiet room/area

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Each adult facility
				shall provide a quiet room or a separate, quiet area for participants who wish to
				rest or recline. The quiet room/area shall not be counted as activity or dining
				space.
1. The facility shall provide at least one
				item of comfortable furniture, such as a bed, lounge, recliner, or equivalent,
				selected in accordance with assessments of participants' needs to rest or recline,
				for every 10 adult day health services participant equivalents, calculated on the
				basis of the licensed capacity. This comfortable furniture shall be available for
				use in the quiet room/area.
(i) A minimum of 40
				square feet shall be provided for each bed, lounge, recliner, or equivalent.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43F - STANDARDS FOR LICENSURE OF ADULT DAY HEALTH SERVICES FACILITIES › Subchapter 14 - PHYSICAL PLANT REQUIREMENTS › Section 8:43F-14.11 - Dietary service area

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The construction,
				equipment, and installation of food service facilities shall meet the requirements
				of the functional program. Services may consist of an on-site conventional food
				preparation system, a convenience food service system, a catering service or an
				appropriate combination thereof. The following facilities shall be provided to
				implement the food service selected:
1. A control
				station for receiving food supplies;
2.
				Storage facilities for food supply, including cold storage items;
3. Food preparation facilities as follows:
i. A conventional food preparation system with
				space and equipment for preparing, cooking and baking; and
ii. A convenience food system, such as frozen
				prepared meals, bulk packaged entrees, individually packaged portions, and
				contractual commissary services with space and equipment for thawing, portioning,
				cooking, and/or baking;
4.
				Handwashing facility(ies), located in the food preparation area;
5. Warewashing space, which shall be located in
				the kitchen or an alcove separate from the food preparation and serving
				area;
6. Waste storage facility(ies),
				which shall be located in a separate room easily accessible to the outside for
				direct waste pickup or disposal; and
7.
				Office(s) or desk space(s) for dietitian(s) or the food service manager.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43F - STANDARDS FOR LICENSURE OF ADULT DAY HEALTH SERVICES FACILITIES › Subchapter 14 - PHYSICAL PLANT REQUIREMENTS › Section 8:43F-14.12 - Occupational therapy service area

Current through Register Vol. 56, No. 14, July 15, 2024
(a) If occupational
				therapy services are provided on site, the following areas shall be provided:
1. Office space (may be shared with general
				offices);
2. Activity areas;
				and
3. Storage for supplies and
				equipment.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43F - STANDARDS FOR LICENSURE OF ADULT DAY HEALTH SERVICES FACILITIES › Subchapter 14 - PHYSICAL PLANT REQUIREMENTS › Section 8:43F-14.13 - Physical therapy service area

Current through Register Vol. 56, No. 14, July 15, 2024
(a) If physical therapy
				services are provided on-site, the following spaces shall be provided:
1. Office space;
2. Treatment area(s) with a handwashing sink;
				and
3. An exercise area.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43F - STANDARDS FOR LICENSURE OF ADULT DAY HEALTH SERVICES FACILITIES › Subchapter 14 - PHYSICAL PLANT REQUIREMENTS › Section 8:43F-14.14 - Space for speech language pathology and audiology services

Current through Register Vol. 56, No. 14, July 15, 2024
(a) If speech language
				pathology and audiology services are provided on-site, the following shall be
				provided:
1. Office space for the
				therapist;
2. Space for evaluation and
				treatment; and
3. Space for equipment
				and storage.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43F - STANDARDS FOR LICENSURE OF ADULT DAY HEALTH SERVICES FACILITIES › Subchapter 14 - PHYSICAL PLANT REQUIREMENTS › Section 8:43F-14.15 - Nutritional counseling area

Current through Register Vol. 56, No. 14, July 15, 2024
Nutritional counseling shall be provided in the dietitian's
				  office or in a conference room, based on program requirements.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43F - STANDARDS FOR LICENSURE OF ADULT DAY HEALTH SERVICES FACILITIES › Subchapter 14 - PHYSICAL PLANT REQUIREMENTS › Section 8:43F-14.16 - Laundry service area

Current through Register Vol. 56, No. 14, July 15, 2024
(a) If laundry services
				are provided on-site, the following areas shall be provided:
1. A laundry processing room;
2. Separate, clearly identified covered waste
				containers for soiled linens and/or soiled disposables in a designated area away
				from participant activities and dining area;
3. Storage for laundry supplies;
4. A clean linen or disposables storage, issuing
				and holding room or area; and
5. A
				janitor's closet, containing a floor receptor or service sink and storage space for
				housekeeping equipment and supplies.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43F - STANDARDS FOR LICENSURE OF ADULT DAY HEALTH SERVICES FACILITIES › Subchapter 14 - PHYSICAL PLANT REQUIREMENTS › Section 8:43F-14.17 - Emergency plans and procedures

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The facility shall
				develop written emergency plans, policies, and procedures which shall include plans
				and procedures to be followed in case of medical emergency, equipment breakdown,
				fire, or other disaster.
(b) The
				facility shall maintain emergency equipment, including at a minimum, oxygen,
				suction, airway and ambubag.
1. At least one
				person who is currently certified in cardiac life support shall be immediately
				available on the premises of the adult day health care facility at all times when
				participants are present.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43F - STANDARDS FOR LICENSURE OF ADULT DAY HEALTH SERVICES FACILITIES › Subchapter 15 - MEDICAL RECORDS › Section 8:43F-15.1 - Maintenance of medical records

Current through Register Vol. 56, No. 14, July 15, 2024
(a) A current, complete
				medical record shall be maintained for each participant and shall contain
				documentation of all services provided.
(b) Written objectives, policies, a procedure
				manual, an organizational plan, and a quality improvement program for medical record
				services shall be developed and implemented.
(c) A record system shall be maintained in which
				the participant's complete medical record is filed as one unit in one location
				within the facility.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43F - STANDARDS FOR LICENSURE OF ADULT DAY HEALTH SERVICES FACILITIES › Subchapter 15 - MEDICAL RECORDS › Section 8:43F-15.2 - Assignment of responsibility

Current through Register Vol. 56, No. 14, July 15, 2024
Responsibility for the medical record service shall be assigned
				  to a full-time employee who, if not a medical record practitioner, functions in
				  consultation with a person so qualified.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43F - STANDARDS FOR LICENSURE OF ADULT DAY HEALTH SERVICES FACILITIES › Subchapter 15 - MEDICAL RECORDS › Section 8:43F-15.3 - Contents of medical records

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The participant's
				complete medical record shall include, but not be limited to, the following:
1. Participant identification data, including
				name, date of admission, address, date of birth, race, religion (optional), sex,
				referral source, payment plan, marital status, and the name, address, and telephone
				number of the person(s) to be notified in an emergency, and travel directions to the
				participant's home;
2. The participant's
				signed acknowledgment that the participant or the participant's legally authorized
				representative has been informed of, and given a copy of, participant's
				rights;
3. An assessment of the
				participant's home environment;
4. A
				summary of the admission interview;
5.
				Documentation of the medical history and physical examination signed and dated by
				the physician, advanced practice nurse or physician assistant;
6. Assessments developed by each service providing
				care to the participant;
7. A plan of
				care;
8. Clinical notes, which shall be
				entered on the day service is rendered;
9. Progress notes;
10. A record of medications administered,
				including the name and strength of the medication, date and time of administration,
				dosage administered, method of administration, and signature of the person who
				administered the medication;
11. A
				record of self-administered medications, if the participant self-administers
				medications;
12. Documentation of
				allergies in the medical record and on its outside front cover;
13. Documentation of dental, laboratory, and
				radiological services provided;
14. A
				record of referrals to other health care providers;
15. Documentation of consultations;
16. Any signed written informed consent
				forms;
17. Documentation regarding an
				advance directive, if applicable;
18. A
				record of any treatment, medication, or service offered by personnel of the facility
				and refused by the participant;
19. All
				orders for treatment, medication, and diets, signed by a physician, advanced
				practice nurse or physician assistant. Physician, advanced practice nurse or
				physician assistant orders for speech-language pathology, physical therapy, and
				occupational therapy services shall include specific modalities and the frequency of
				treatment;
20. An attendance record
				listing all of the days on which the participant was in the facility;
21. A current photograph of the participant;
				and
22. The discharge summary, in
				accordance with
				26:8-5 et seq.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43F - STANDARDS FOR LICENSURE OF ADULT DAY HEALTH SERVICES FACILITIES › Subchapter 15 - MEDICAL RECORDS › Section 8:43F-15.4 - Medical records policies and procedures

Current through Register Vol. 56, No. 14, July 15, 2024
(a) All orders for
				participant care shall be prescribed in writing and signed and dated by the
				prescriber.
(b) All entries in the
				participant's medical record shall be written legibly in ink, dated, and signed by
				the recording person or, if a computerized medical records system is used,
				authenticated.
1. If an identifier such as a
				master sign-in sheet is used, initials may be used for signing documentation, in
				accordance with applicable professional standards of practice.
2. If computer-generated orders with an electronic
				signature are used, the facility shall develop a procedure to assure the
				confidentiality of each electronic signature and to prohibit the improper or
				unauthorized use of computer-generated signatures.
3. If a facsimile communications system (FAX) is
				used, entries into the medical record shall be in accordance with the following
				procedures:
i. The physician, advanced practice
				nurse or physician assistant shall sign the order, history and/or examination at an
				off-site location;
ii. The order or
				document shall be faxed to the facility for inclusion into the medical
				record;
iii. The physician, advanced
				practice nurse or physician assistant shall submit the original for inclusion into
				the medical record within seven days; and
iv. The faxed copy shall be replaced by the
				original. If the facsimile reports are produced by a plain-paper facsimile process
				that produces a permanent copy, the plain-paper report may be included as a part of
				the medical records, as an alternative to replacement of the copy by the original
				report.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43F - STANDARDS FOR LICENSURE OF ADULT DAY HEALTH SERVICES FACILITIES › Subchapter 16 - INFECTION CONTROL, SANITATION AND HOUSEKEEPING › Section 8:43F-16.1 - Administrator's responsibilities for infection control

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The administrator
				shall ensure the development and implementation of an infection prevention and
				control program.
(b) The administrator
				shall designate a person who shall be responsible for the direction, provision, and
				quality of infection prevention and control services. The designated person shall:
1. Have education, training and completed course
				work or experience in infection control or epidemiology;
2. Be responsible for developing and maintaining
				written objectives for infection prevention and control services;
3. Be responsible for developing a policy and
				procedure manual for infection prevention and control services; and
4. Be responsible for developing an organizational
				plan and a quality improvement program for infection prevention and control
				services.