reglab/statecodes huggingface dataset:
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43B - STANDARDS FOR LICENSURE OF ADULT FAMILY CARE CAREGIVERS AND SPONSOR AGENCIES › Appendix - Appendix

Current through Register Vol. 56, No. 14, July 15, 2024
CAREGIVER TRAINING COURSE CURRICULUM
1. Module I. Overview of AFC Program
i. Expectations and responsibilities of the sponsor agency and
				caregiver.
2. Module II. Working with the Elderly and Disabled
i. Concepts of communication,
ii. Understanding basic human needs and sensitivity to cultural
				differences,
iii. Psychological/social concerns of the elderly/disabled,
iv. Understanding mental health and mental illness, dementia and
				memory loss,
v. Relocation and readjustment,
vi. From independence to dependence,
vii. Sensitization to sensory changes, and
viii. Recognizing common diseases.
3. Module III. Personal Care Services
i. Bathing, skincare, dressing, mouth care, foot care, hair
				care,
ii. Preventing the spread of disease,
iii. Simple procedures--vital signs, dressing changes,
iv. Medications; drug use; adverse reactions, side effects,
				and
v. Incontinence and constipation.
4. Module IV. Nutrition and Home Management
i. Basics of good nutrition, including hydration,
ii. Special diets, and
iii. Food preparation and spoilage.
5. Module V. Rehabilitation/Restoration Care
i. Body mechanics,
ii. Assisting with ambulation/transfer, and
iii. Range of motion exercises.
6. Module VI. Accident Prevention and Safety in the Home
i. Emergency care and procedures,
ii. Safe proofing the home,
iii. Fire safety, and
iv. First aid.
7. Module VII. Agency Procedures
i. Contract requirements,
ii. Recordkeeping, including plan of care,
iii. Supervision,
iv. Respite care,
v. Client rights, and
vi. Financial management of client funds.
8. Module VIII. Medication
i. Understanding the caregiver's scope and limits of
				responsibility;
ii. Administration and assisting the client with self-administration
				of medications;
iii. Identification of medication terminology and
				abbreviations;
iv. Identification of general classes of medications;
v. Recognition of medication purposes and effects;
vi. Interpretation of prescription labels;
vii. Knowledge of medication use, adverse reactions, side effects,
				and potential drug-drug or drug-food interactions;
viii. The five rights of medication administration;
ix. Measuring vital signs;
x. Documentation of vital signs, medication errors, and client's
				refusal to take medications;
xi. Proper storage of medications;
xii. Storage in accordance with labeling and/or manufacturer's
				instructions;
xiii. Storage conditions: space, temperature, light, and humidity;
				and
xiv. Disposal of medications.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43D - STANDARDS FOR LICENSURE OF PEDIATRIC COMMUNITY TRANSITIONAL HOMES › Subchapter 1 - DEFINITIONS AND QUALIFICATIONS › Section 8:43D-1.1 - Scope

Current through Register Vol. 56, No. 14, July 15, 2024
The rules in this chapter apply to all facilities that are
				  licensed to provide health care services to residents of pediatric community
				  transitional homes in New Jersey. These rules constitute the basis for the licensure
				  of pediatric community transitional homes by the New Jersey Department of
				  Health.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43D - STANDARDS FOR LICENSURE OF PEDIATRIC COMMUNITY TRANSITIONAL HOMES › Subchapter 1 - DEFINITIONS AND QUALIFICATIONS › Section 8:43D-1.2 - Purpose

Current through Register Vol. 56, No. 14, July 15, 2024
The purpose of these rules is to establish minimum licensure
				  standards applicable to pediatric community transitional homes to promote a
				  coordinated array of supportive personal and health care services, available 24
				  hours per day, to medically fragile children in a community living environment.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43D - STANDARDS FOR LICENSURE OF PEDIATRIC COMMUNITY TRANSITIONAL HOMES › Subchapter 2 - LICENSURE PROCEDURES › Section 8:43D-2.1 - Application for licensure

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The Department shall
				charge a nonrefundable fee of $ 300.00 plus $ 10.00 per bed for the filing of an
				application for licensure of a pediatric community transitional care home and for
				the annual renewal of the license.
1. Prior to
				commencement of new or expanded services, a pediatric community transitional care
				home shall complete and submit to the Department an Application for New or Amended
				Acute Care Facility License (CN-7), as set forth at Appendix A.
i. The facility shall receive a license for the
				maximum number of beds approved by the Department.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43D - STANDARDS FOR LICENSURE OF PEDIATRIC COMMUNITY TRANSITIONAL HOMES › Subchapter 2 - LICENSURE PROCEDURES › Section 8:43D-2.2 - Newly constructed, renovated or expanded facilities

Current through Register Vol. 56, No. 14, July 15, 2024
A pediatric community transitional home desiring to construct,
				  expand, or renovate shall submit plans therefor to, and obtain written approval of
				  final construction of the physical plant from, the Health Care Facilities Plan
				  Review Unit in accordance with applicable standards the Unit administers and
N.J.A.C. 8:43D
prior to the initiation of construction or
				  renovation.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43D - STANDARDS FOR LICENSURE OF PEDIATRIC COMMUNITY TRANSITIONAL HOMES › Subchapter 2 - LICENSURE PROCEDURES › Section 8:43D-2.3 - Surveys

Current through Register Vol. 56, No. 14, July 15, 2024
(a) When a written
				application for licensure is approved and a building is ready for occupancy, a
				survey of the facility by representatives of the Department's Division of Health
				Facility Survey and Field Operations shall be conducted to determine if the facility
				complies with the rules in this chapter.
1. The
				Department shall notify in writing the licensed operator of a facility of the
				findings of the survey, including any deficiencies found.
2. The facility shall notify the Department's
				Division of Health Facility Survey and Field Operations when the deficiencies, if
				any, have been corrected, and the Division of Health Facility Survey and Field
				Operations shall schedule one or more resurveys of the facility prior to occupancy
				and licensure.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43D - STANDARDS FOR LICENSURE OF PEDIATRIC COMMUNITY TRANSITIONAL HOMES › Subchapter 2 - LICENSURE PROCEDURES › Section 8:43D-2.4 - License

Current through Register Vol. 56, No. 14, July 15, 2024
(a) A license shall be
				issued for a period of one year or less to a facility when the following conditions
				are met:
1. The initial survey required by
				8:43D-2.3(a)  results
				in a finding of substantial compliance with the requirements of this
				chapter;
2. The completed licensure
				application is on file with the Department;
3. The fee for filing of the application has been
				received by the Department;
4. A copy of
				the admission agreement is on file with the Department;
5. Written approvals are on file with the
				Department from the local zoning, fire, health and building authorities; and a copy
				of the certificate of occupancy or a certificate of continued occupancy that has
				been issued by the appropriate local authority has been submitted to the
				Department;
6. Written approvals of the
				water supply and sewage disposal system from local officials are on file with the
				Department for any water supply or sewage disposal system not connected to an
				approved municipal system;
7. Personnel
				are employed in accordance with the staffing requirements in this chapter;
				and
8. The applicant has demonstrated
				compliance with the track record rules pursuant to
				8:43-5.1(b).
9. If requested by the potential licensed
				operator, a preliminary conference for review of the conditions for licensure and
				operation (see 8:43D-2.1(e)1  through
				7) has taken place between the Department's Office of Certificate of Need and
				Healthcare Facility Licensure and representatives of the facility, who will be
				advised that the purpose of the conference is to allow the Department to determine
				the facility's compliance with
				26:2H-1 et seq., as amended, and the
				rules pursuant thereto.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43D - STANDARDS FOR LICENSURE OF PEDIATRIC COMMUNITY TRANSITIONAL HOMES › Subchapter 2 - LICENSURE PROCEDURES › Section 8:43D-2.5 - Surrender of license

Current through Register Vol. 56, No. 14, July 15, 2024
The facility shall notify each resident, the resident's primary
				  care provider, and any guarantors of payment at least 30 days prior to the voluntary
				  surrender of a license, or as directed under an order of revocation, refusal to
				  renew, or suspension of license. In such cases, the license shall be returned to the
				  Department's Office of Certificate of Need and Healthcare Facility Licensure within
				  seven working days after the voluntary surrender, revocation, non-renewal or
				  suspension of the license.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43D - STANDARDS FOR LICENSURE OF PEDIATRIC COMMUNITY TRANSITIONAL HOMES › Subchapter 2 - LICENSURE PROCEDURES › Section 8:43D-2.6 - Waiver

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The Commissioner or
				his or her designee may, in accordance with the general purposes and intent of
				26:2H-1 et seq., as amended, and this
				chapter, waive sections or partial sections of these rules if, in his or her
				opinion, such waiver would not endanger the health, safety and/or general welfare of
				facility residents or the public.
(b) A
				facility seeking a waiver of these rules shall apply in writing to the Department
				using the Application for Waiver (CN-28), as set forth at Appendix B.
(c) The Department reserves the right to request
				additional information before processing a request for waiver, depending upon the
				waiver requested.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43D - STANDARDS FOR LICENSURE OF PEDIATRIC COMMUNITY TRANSITIONAL HOMES › Subchapter 2 - LICENSURE PROCEDURES › Section 8:43D-2.7 - Action against a license

Current through Register Vol. 56, No. 14, July 15, 2024
(a) If the Department
				determines that operational or safety deficiencies exist, it may require that all
				admissions to the facility cease. This may be done simultaneously with, or in lieu
				of, action to revoke licensure and/or impose a fine. The Commissioner or his or her
				designee shall notify the facility in writing of such determination.
(b) All procedures for the imposition of penalties
				and other enforcement actions/remedies as well as the rights and procedures
				available to facilities to request a hearing to contest survey finding(s) or the
				imposition of penalties shall be in accordance with N.J.A.C. 8:43E-3 and
				4.
(c) The Commissioner may order the
				immediate removal of residents from a facility whenever he or she determines
				imminent danger to any person's health, safety or general welfare.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43D - STANDARDS FOR LICENSURE OF PEDIATRIC COMMUNITY TRANSITIONAL HOMES › Subchapter 2 - LICENSURE PROCEDURES › Section 8:43D-2.8 - Hearings

Current through Register Vol. 56, No. 14, July 15, 2024
All procedures for the imposition of penalties and other
				  enforcement actions/remedies as well as the rights and procedures available to
				  facilities to request a hearing to contest survey findings or the imposition of
				  penalties shall be in accordance with N.J.A.C. 8:43E-3 and 4.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43D - STANDARDS FOR LICENSURE OF PEDIATRIC COMMUNITY TRANSITIONAL HOMES › Subchapter 2 - LICENSURE PROCEDURES › Section 8:43D-2.9 - Advertisement of pediatric community transitional homes

Current through Register Vol. 56, No. 14, July 15, 2024
Only facilities licensed as pediatric community transitional
				  homes may describe and offer themselves to the public as providing pediatric
				  community transitional home services. Violation of this requirement shall constitute
				  operation of a health care facility without a license, and shall be subject to
				  penalty in accordance with
				  26:2H-14 and N.J.A.C. 8:43E.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43D - STANDARDS FOR LICENSURE OF PEDIATRIC COMMUNITY TRANSITIONAL HOMES › Subchapter 3 - PHYSICAL PLANT AND ENVIRONMENT › Section 8:43D-3.1 - Scope

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The standards in
				this subchapter shall apply to new construction of pediatric community transitional
				homes or alterations or renovations to existing buildings to create a pediatric
				community transitional home.
(b) New
				buildings and alterations, renovations and additions to existing buildings for
				pediatric community transitional homes with more than five beds shall conform with
				the New Jersey Uniform Construction Code, N.J.A.C. 5:23-3, Use Group I-2 of the
				subcode.
(c) New buildings and
				alterations, renovations, and additions to existing buildings for pediatric
				community transitional homes with five beds or less shall conform with the New
				Jersey Uniform Construction Code, N.J.A.C. 5:23-3, Use Group R-2 of the subcode and
				shall also require:
1. The boiler/heating unit room
				to be enclosed with a one-hour rated firewall;
2. The kitchen to have two fire extinguishers,
				each bearing the seal of Underwriters Laboratories, one of which shall be mounted
				over the cooking surfaces and the other wall-mounted and easily accessible by
				facility staff;
3. Smoke detectors shall
				be installed in all residents' bedrooms and on each story of the facility including
				the basement and attics in accordance with the New Jersey Uniform Construction Code,
				5:23-3.14; and
4. Carbon monoxide detectors shall be installed in
				new facilities in compliance with the New Jersey Uniform Construction Code,
				5:23-3.20(c)  and in
				all additions, renovations and alterations of existing buildings in compliance with
				N.J.A.C. 5:23-6, Rehabilitation Subcode.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43D - STANDARDS FOR LICENSURE OF PEDIATRIC COMMUNITY TRANSITIONAL HOMES › Subchapter 3 - PHYSICAL PLANT AND ENVIRONMENT › Section 8:43D-3.2 - Ventilation

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Means of ventilation
				shall be provided in accordance with the New Jersey Uniform Construction Code,
				N.J.A.C. 5:23, either by windows or by mechanical ventilation for every habitable
				room.
(b) Means of ventilation shall be
				provided for every bathroom or water closet (toilet) compartment. Ventilation shall
				be provided either by window with an openable area or by mechanical
				ventilation.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43D - STANDARDS FOR LICENSURE OF PEDIATRIC COMMUNITY TRANSITIONAL HOMES › Subchapter 3 - PHYSICAL PLANT AND ENVIRONMENT › Section 8:43D-3.3 - Exit access passageways and corridors

Current through Register Vol. 56, No. 14, July 15, 2024
The width of passageways, aisles and corridors for new buildings
				  shall be in compliance with the New Jersey Uniform Construction Code,
				  5:23-3.14. The width of passageways,
				  aisles and corridors for renovations and alterations to existing buildings shall
				  comply with New Jersey Uniform Construction Code, N.J.A.C. 5:23-6, Rehabilitation
				  Subcode.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43D - STANDARDS FOR LICENSURE OF PEDIATRIC COMMUNITY TRANSITIONAL HOMES › Subchapter 3 - PHYSICAL PLANT AND ENVIRONMENT › Section 8:43D-3.4 - Automatic fire detection system

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Smoke detectors
				shall be installed in all residents' bedrooms, in all public and common rooms and
				areas and in all basements and attics whether or not the facility is protected
				throughout with a comprehensive automatic fire suppression system.
(b) All fire detection systems shall be installed
				in accordance with the New Jersey Uniform Construction Code,
N.J.A.C.
				5:23
, the New Jersey Uniform Fire Code,
N.J.A.C. 5:70
, and
				NFPA 72: National Fire Alarm and Signaling Code, 2016 Edition, published by the
				National Fire Protection Association, incorporated herein by reference, as amended
				and supplemented.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43D - STANDARDS FOR LICENSURE OF PEDIATRIC COMMUNITY TRANSITIONAL HOMES › Subchapter 3 - PHYSICAL PLANT AND ENVIRONMENT › Section 8:43D-3.5 - Fire suppression systems

Current through Register Vol. 56, No. 14, July 15, 2024
All facilities shall be provided with a fire suppression system,
				  in accordance with the New Jersey Uniform Construction Code, N.J.A.C. 5:23.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43D - STANDARDS FOR LICENSURE OF PEDIATRIC COMMUNITY TRANSITIONAL HOMES › Subchapter 3 - PHYSICAL PLANT AND ENVIRONMENT › Section 8:43D-3.6 - Interior finish requirement

Current through Register Vol. 56, No. 14, July 15, 2024
Interior wall, ceiling and floor finishes shall be in compliance
				  with the New Jersey Uniform Construction Code, N.J.A.C. 5:23.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43D - STANDARDS FOR LICENSURE OF PEDIATRIC COMMUNITY TRANSITIONAL HOMES › Subchapter 3 - PHYSICAL PLANT AND ENVIRONMENT › Section 8:43D-3.7 - General residential unit requirements

Current through Register Vol. 56, No. 14, July 15, 2024
(a) A resident occupying
				a standard size bed shall have a minimum of 90 square feet of clear usable floor
				area.
(b) A resident occupying a junior
				size bed shall have a minimum of 60 square feet of clear usable floor
				area.
(c) A resident occupying a crib
				shall have a minimum of 45 square feet of clear usable floor area.
(d) At least three feet of clear and usable space
				shall separate the sleeping accommodations between residents.
(e) Any calculation of clear and usable floor area
				shall exclude closets, bathroom, kitchen, hallways, corridors, vestibules, alcoves,
				and foyers unless the applicant submits a written request to the Department to
				consider an alcove, foyer, or vestibule as clear and usable floor area within the
				context and purpose of these rules and the Department grants such a request. Such
				request shall be made in writing during the licensing application review
				process.
(f) The maximum number of
				sleeping units for a room shall be limited to four.
(g) Egress from each room shall be possible at all
				times.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43D - STANDARDS FOR LICENSURE OF PEDIATRIC COMMUNITY TRANSITIONAL HOMES › Subchapter 3 - PHYSICAL PLANT AND ENVIRONMENT › Section 8:43D-3.8 - Toilets, baths and handwashing sinks

Current through Register Vol. 56, No. 14, July 15, 2024
(a) A bathroom with a
				toilet, bathtub and/or shower, and handwashing sink shall be available for every six
				residents.
(b) An additional toilet
				facility shall be provided to meet the needs of staff and visitors to the facility
				and shall be located in areas other than the residential units.
(c) All bathing and toilet rooms in new buildings
				and new or renovated bathing and toilet rooms in existing buildings shall be barrier
				free in accordance with the New Jersey Uniform Construction Code, N.J.A.C. 5:23-7.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43D - STANDARDS FOR LICENSURE OF PEDIATRIC COMMUNITY TRANSITIONAL HOMES › Subchapter 3 - PHYSICAL PLANT AND ENVIRONMENT › Section 8:43D-3.9 - Community space

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The facility shall provide community spaces,
				both indoor and outdoor, for active and passive recreation.
(b) Indoor space shall be provided at a rate of 15
				square feet for each resident.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43D - STANDARDS FOR LICENSURE OF PEDIATRIC COMMUNITY TRANSITIONAL HOMES › Subchapter 3 - PHYSICAL PLANT AND ENVIRONMENT › Section 8:43D-3.10 - Laundry equipment

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Each pediatric community transitional home
				shall provide at least one non-commercial washer and dryer for residents' personal
				items.
(b) Where laundry equipment is
				limited to non-commercial type (ordinary household or residential types), no special
				fire protective measures shall be required.
(c) When commercial type laundry equipment is
				utilized, it shall be installed in a separate laundry room.
1. The remainder of the home shall be protected
				from the laundry room by fire separation assemblies of at least one-hour rated
				construction.
2. Openings in all fire
				separation assemblies shall be protected in accordance with the New Jersey Uniform
				Construction Code,
N.J.A.C. 5:23
.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43D - STANDARDS FOR LICENSURE OF PEDIATRIC COMMUNITY TRANSITIONAL HOMES › Subchapter 3 - PHYSICAL PLANT AND ENVIRONMENT › Section 8:43D-3.11 - Dietary department

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Construction, equipment, and installation of
				food service facilities shall meet the requirements of the dietary programs as set
				forth in this chapter.
(b) At a minimum,
				a facility shall be equipped as follows:
1. A
				storage area for a minimum four days' food supply, including refrigeration and
				freezer capacity for cold storage items;
2. A food preparation area;
3. Availability of handwashing facilities during
				food preparation and clean up;
4. An
				automatic dishwasher;
5. A waste storage
				area; and
6. A secured storage area for
				cleaning supplies.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43D - STANDARDS FOR LICENSURE OF PEDIATRIC COMMUNITY TRANSITIONAL HOMES › Subchapter 3 - PHYSICAL PLANT AND ENVIRONMENT › Section 8:43D-3.12 - Physical plant designated space

Current through Register Vol. 56, No. 14, July 15, 2024
(a) All new facilities
				shall be equipped with a grade level, barrier free entrance that provides shelter
				from the weather.
1. The cover, canopy or awning
				for this entrance shall extend a sufficient distance from the building face to cover
				the entry door(s) when they are in the open position.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43D - STANDARDS FOR LICENSURE OF PEDIATRIC COMMUNITY TRANSITIONAL HOMES › Subchapter 3 - PHYSICAL PLANT AND ENVIRONMENT › Section 8:43D-3.13 - Fire extinguisher specifications

Current through Register Vol. 56, No. 14, July 15, 2024
(a) There shall be a
				minimum of two fire extinguishers in the basement, at least one on each floor of the
				building and as required in kitchen areas in accordance with the provisions set
				forth in 8:43D-3.1(c)2, all of
				which shall bear the seal of the Underwriters Laboratories.
(b) The following types of extinguishers shall be
				provided:
1. In kitchen areas, because of danger of
				grease fires, extinguishers shall be of the class B dry chemical type 2-B and a
				minimum of five pounds of pressure. The maximum travel distance to an extinguisher
				shall be 50 feet.
2. In the basement
				area, an extinguisher shall be Class B dry chemical type 2-B and a minimum of five
				pounds of pressure, if oil or gas is used as fuel. The maximum travel distance to an
				extinguisher shall be 50 feet.
3. In all
				other areas, a Class A air-pressurized 2 1/2 gallon water type 2-A extinguisher
				shall be provided. The maximum travel distance to an extinguisher shall be 75
				feet.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43D - STANDARDS FOR LICENSURE OF PEDIATRIC COMMUNITY TRANSITIONAL HOMES › Subchapter 3 - PHYSICAL PLANT AND ENVIRONMENT › Section 8:43D-3.14 - Sounding devices

Current through Register Vol. 56, No. 14, July 15, 2024
(a) If self-locking doors are used at the main
				entrance and other entrances that open onto a roof or balcony, they shall be
				equipped with a sounding device, such as a bell, buzzer or chime, which is
				constantly maintained in operating condition.
(b) The sounding device shall be affixed to the
				outside of the door or to the adjacent exterior wall for use by a person who is
				unable to enter the building, and this device shall ring at an area of the building
				that is staffed 24 hours a day.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43D - STANDARDS FOR LICENSURE OF PEDIATRIC COMMUNITY TRANSITIONAL HOMES › Subchapter 4 - GENERAL REQUIREMENTS › Section 8:43D-4.1 - Types of services provided to residents

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The pediatric
				community transitional home shall provide and/or coordinate personal and health care
				services to residents, based on assessment by qualified persons, in accordance with
				the New Jersey Nursing Practice Act,
				45:11-23, and applicable rules
				(N.J.A.C. 13:37), the rules in this chapter and the individual needs of each
				resident.
(b) The pediatric community
				transitional home shall provide at least the following services: assistance with
				personal care, nursing, pharmacy, dining, activities, recreational and social work
				services, transportation services and other necessary services tailored to meet the
				individual needs of each resident.
(c)
				The pediatric community transitional home shall provide supervision of and
				assistance with self-administration of over-the-counter (OTC) medications, and
				administration of prescription medications by trained and supervised personnel, as
				needed by residents.
(d) The pediatric
				community transitional home shall adhere to all applicable Federal, State, and local
				laws, rules, regulations, and requirements.
(e) The pediatric community transitional home
				shall establish written policies and procedures to arrange for the provision of
				age-specific, required education for each resident, as appropriate.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43D - STANDARDS FOR LICENSURE OF PEDIATRIC COMMUNITY TRANSITIONAL HOMES › Subchapter 4 - GENERAL REQUIREMENTS › Section 8:43D-4.2 - Ownership

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The ownership of the facility, as well as the
				property on which it is located shall be disclosed to the Department.
1. A facility shall report a proposed change in
				ownership in writing to the Director of the Office of Certificate of Need and
				Healthcare Facility Licensure, in conformity with
8:43D-2.4(d)
2.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43D - STANDARDS FOR LICENSURE OF PEDIATRIC COMMUNITY TRANSITIONAL HOMES › Subchapter 4 - GENERAL REQUIREMENTS › Section 8:43D-4.3 - Submission and availability of documents

Current through Register Vol. 56, No. 14, July 15, 2024
A facility administrator shall submit to the Director of the
				  Office of Certificate of Need and Healthcare Facility Licensure in writing any
				  requested data related to the utilization, demographics, costs, charges, staffing,
				  planning and financial data for the operation of the facility.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43D - STANDARDS FOR LICENSURE OF PEDIATRIC COMMUNITY TRANSITIONAL HOMES › Subchapter 4 - GENERAL REQUIREMENTS › Section 8:43D-4.4 - Policy and procedure manual

Current through Register Vol. 56, No. 14, July 15, 2024
(a) A facility
				administrator shall maintain a manual of policies and procedures that establishes
				the organization and operation of the facility and shall document the review of each
				policy and procedure every three years, and which shall be available on-site to
				facility employees and representatives of the Department at all times and shall
				address the following:
1. An organizational chart
				delineating the lines of authority, responsibility, and accountability for the
				administration and resident care services of the facility;
2. A description of the services which the
				pediatric community transitional home provides;
3. Policies and procedures for maintaining
				facility security;
4. Policies and
				procedures for reporting all diagnosed and/or suspected cases of child abuse or
				exploitation to the Division of Child Protection and Permanency, as follows:
i. During normal business hours, contact the
				Institutional Abuse Investigation Unit at (609) 292-0617.
ii. After normal business hours, contact the Child
				Abuse Hotline, available 24 hours a day, seven days per week at 1-877-NJ ABUSE
				(1-877-652-2873);
5. Policies
				and procedures for maintaining confidentiality of resident records, including
				policies and procedures for examination of resident records by the resident (if age
				appropriate); resident's parent(s)or legal guardian; and other authorized persons;
				and for release of the resident's records to any individual outside the facility, as
				consented by the resident's parent or legal guardian or as required by law or third
				party payor;
6. Policies and procedures
				for the maintenance of personnel records for each employee, including at least his
				or her name, previous employment, educational background, credentials, driver's
				license number with effective date and date of expiration, (if applicable),
				certification and licensure (if applicable), verification of credentials, prior
				criminal records, records of physical examinations, job description, records of
				orientation and inservice education, and evaluations of job performance;
7. Policies and procedures, including content and
				frequency, for physical examinations and immunizations and tuberculin testing upon
				and during the course of employment for employees both non-contractual and
				contractual as well as volunteers providing direct resident care services in the
				facility;
8. Policies and procedures for
				the collection, storage and handling of regulated medical waste, consistent with all
				applicable Federal, State and local laws, rules and regulations;
9. Policies and procedures related to involuntary
				discharge in accordance with
				8:43D-4.11; and
10. Other policies and procedures as specified in
				this chapter.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43D - STANDARDS FOR LICENSURE OF PEDIATRIC COMMUNITY TRANSITIONAL HOMES › Subchapter 4 - GENERAL REQUIREMENTS › Section 8:43D-4.5 - Resident transportation

Current through Register Vol. 56, No. 14, July 15, 2024
The facility shall provide resident transportation, either
				  directly or by arrangement, to and from health care services provided outside the
				  facility, and shall promote reasonable plans for security and accountability for the
				  resident and his or her personal possessions, as well as transfer of resident
				  information to and from the provider of the service, as required by individual
				  residents and specified in the resident's written plan of care.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43D - STANDARDS FOR LICENSURE OF PEDIATRIC COMMUNITY TRANSITIONAL HOMES › Subchapter 4 - GENERAL REQUIREMENTS › Section 8:43D-4.6 - Written agreements

Current through Register Vol. 56, No. 14, July 15, 2024
The facility shall have a written agreement, or its equivalent,
				  for services not provided directly by the facility. If the facility provides care to
				  residents with psychiatric disorders, the facility shall have a written agreement
				  with one or more community mental health centers specifying which services will be
				  provided by the mental health center. The written agreement, or its equivalent,
				  shall specify that the facility retain administrative responsibility for services
				  rendered, and require that services be provided in accordance with the rules in this
				  chapter.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43D - STANDARDS FOR LICENSURE OF PEDIATRIC COMMUNITY TRANSITIONAL HOMES › Subchapter 4 - GENERAL REQUIREMENTS › Section 8:43D-4.7 - Reportable events and notification requirements

Current through Register Vol. 56, No. 14, July 15, 2024
(a) A facility
				shall notify the Department within three hours by telephone at (609) 292-9900 or
				(800) 792-9770 (after business hours), followed within 72 hours by written
				confirmation to the Department's Office of Certificate of Need and Healthcare
				Facility Licensure, of the following:
1. The
				termination of employment of the administrator, and the name and qualifications of
				his or her replacement;
2. All residents
				who are missing for 24 hours; and
3. All
				suspected cases of child abuse or exploitation reported to the Division of Child
				Protection and Permanency, Institutional Abuse Investigation Unit.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43D - STANDARDS FOR LICENSURE OF PEDIATRIC COMMUNITY TRANSITIONAL HOMES › Subchapter 4 - GENERAL REQUIREMENTS › Section 8:43D-4.8 - Notices

Current through Register Vol. 56, No. 14, July 15, 2024
(a) A facility shall post a notice in a
				conspicuous, easily accessible location of the facility stating that the following
				information is available in the facility during normal business hours of operation:
1. All waivers granted by the
				Department;
2. A copy of the last annual
				licensure inspection survey report and the list of deficiencies from any valid
				complaint investigation during the immediately previous 12 months;
3. Policies and procedures regarding resident
				rights;
4. The business hours of the
				facility;
5. Policies and procedures for
				maintaining security of the facility;
6.
				The toll-free complaint and reportable event hot line number of the Department
				(1-800-792-9770); the telephone numbers of county agencies and the telephone number
				of the Division of Child Protection and Permanency, Institutional Abuse
				Investigation Unit; and
7. The names of,
				and a means to formally contact, the owner and/or members of the governing
				authority.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43D - STANDARDS FOR LICENSURE OF PEDIATRIC COMMUNITY TRANSITIONAL HOMES › Subchapter 4 - GENERAL REQUIREMENTS › Section 8:43D-4.9 - Maintenance of records

Current through Register Vol. 56, No. 14, July 15, 2024
The facility shall maintain an annual chronological listing of
				  residents admitted and discharged, including the destination of residents who are
				  discharged and provide this data to the Department upon request.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43D - STANDARDS FOR LICENSURE OF PEDIATRIC COMMUNITY TRANSITIONAL HOMES › Subchapter 4 - GENERAL REQUIREMENTS › Section 8:43D-4.10 - Admission and retention of residents

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The administrator of
				the pediatric community transitional home or the administrator's designee shall
				conduct an interview (when appropriate) with the resident, the resident's family,
				guardian, or interested agency, prior to or at the time of the resident's admission.
				The interview shall include at least orientation to the facility's policies,
				business hours, fee schedule, services provided, resident rights, and criteria for
				admission and discharge. Documentation of the resident interview shall be included
				in the resident's record.
(b) At the
				initial interview either prior to or at the time of admission of each resident, the
				administrator or the administrator's designee shall be provided with the name,
				address and telephone number of a family member, guardian, responsible party or
				designated community agency who shall be notified in the event of the resident's
				illness, incident, or other emergency.
(c) If a facility has reason to believe, based on
				a resident's behavior, that the resident poses a danger to himself or herself or
				others, and that the facility is not capable of providing proper care to the
				resident, then the attending primary care provider or the provider on call (see
8:43D-5.6(h)
), in consultation with facility staff and a responsible person, shall
				determine whether the resident is appropriately placed in the facility. The facility
				or resident representative shall initiate the mental health screening process in
				accordance with
30:4-27.1
and
N.J.A.C. 10:31
and, based on the results and recommendations of
				that screening process, shall attempt to locate a new placement if
				necessary.
(d) At the written request of
				a parent or guardian of, or designated community agency representing, a child whose
				application for admission to a pediatric community transitional home was denied, the
				facility administrator shall respond to the requestor, in a writing signed by the
				administrator, within 15 days of receipt of the request and provide the reason for
				such denial.
(e) A pediatric community
				transitional home shall not deny a resident admission regardless of their ability to
				pay so long as it has capacity and the appropriate clinical services.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43D - STANDARDS FOR LICENSURE OF PEDIATRIC COMMUNITY TRANSITIONAL HOMES › Subchapter 4 - GENERAL REQUIREMENTS › Section 8:43D-4.11 - Involuntary discharge

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Written notification by the administrator
				shall be provided to a resident and/or his or her family, guardian, or designated
				responsible person, of a decision to involuntarily discharge the resident from the
				facility. The notification shall contain a clear and concise statement of the basis
				for involuntary discharge, and the resident's/responsible person's right to appeal.
				A copy of the notice shall be entered into the resident's medical record.
(b) The resident and/or his or her family,
				guardian or designated responsible person shall have the right to appeal to the
				administrator any involuntary discharge from the facility. The appeal shall be in
				writing and a copy shall be included in the resident's record along with a copy of
				the written disposition or resolution of the appeal. The resident and/or his or her
				family, guardian or designated responsible person shall have the right to retain
				legal counsel to represent the resident in the appeal.
(c) In an emergency situation, for the protection
				of the health, safety and general welfare of a resident or others, a facility may
				transfer the resident without providing 30 days notice.
1. In the event of such discharge, a facility
				shall submit written notice to the Office of Certificate of Need and Healthcare
				Facility Licensure.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43D - STANDARDS FOR LICENSURE OF PEDIATRIC COMMUNITY TRANSITIONAL HOMES › Subchapter 5 - ADMINISTRATION › Section 8:43D-5.1 - Appointment of administrator

Current through Register Vol. 56, No. 14, July 15, 2024
(a) An administrator
				shall be appointed and an alternate shall be designated in writing to act in the
				absence of the administrator.
(b) The
				administrator or a designated alternate shall be available at all times.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43D - STANDARDS FOR LICENSURE OF PEDIATRIC COMMUNITY TRANSITIONAL HOMES › Subchapter 5 - ADMINISTRATION › Section 8:43D-5.2 - Qualifications of the administrator of a pediatric community transitional home

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The administrator of
				a pediatric community transitional home shall be at least 21 years of age; and
1. Possess a bachelor's degree and at least two
				years of experience in management and supervision; or
2. Six years of experience in a health care or
				human services related position, two years of which must be in management or
				supervision.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43D - STANDARDS FOR LICENSURE OF PEDIATRIC COMMUNITY TRANSITIONAL HOMES › Subchapter 5 - ADMINISTRATION › Section 8:43D-5.3 - Administrator's responsibilities

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The administrator or
				designee shall be responsible for the following:
1. Ensuring the development, implementation, and
				enforcement of all policies and procedures including residents rights;
2. Planning for, and administration of, the
				managerial, operational, fiscal, and reporting components of the facility;
3. Ensuring that all personnel are assigned duties
				based upon their ability and professional competency to perform the job and in
				accordance with written job descriptions;
4. Ensuring the provision of staff orientation and
				staff education;
5. Establishing and
				maintaining liaison relationships and communication with facility staff and services
				and with residents and their families;
6. Establishing and maintaining liaison
				relationships and communications with community hospitals, social, and mental health
				service agencies;
7. Ensuring the
				pediatric community transitional home serves as a valuable community resource;
				and
8. Any other act necessary to meet
				the goals of the facility and/or comply with these rules.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43D - STANDARDS FOR LICENSURE OF PEDIATRIC COMMUNITY TRANSITIONAL HOMES › Subchapter 5 - ADMINISTRATION › Section 8:43D-5.4 - Staffing requirements

Current through Register Vol. 56, No. 14, July 15, 2024
(a) A facility shall establish and implement
				written staff schedules and shall maintain records of the actual hours worked by
				each employee.
(b) A facility shall
				maintain a staffing ratio of one awake child care worker to every three residents at
				all times on the premises, unless additional staff are otherwise ordered by a
				primary care provider or identified in the interdisciplinary plan of care.
(c) A facility shall provide direct care staffing,
				including registered professional nurses, licensed practical nurses, and child care
				workers based on a registered professional nurse's assessment of the acuity of the
				residents in the facility and their interdisciplinary care plans.
1. Constant age appropriate monitoring and staff
				supervision, as described in the facility's policies and procedures and the resident
				care plan, shall be provided when residents are awake.
2. While residents are asleep, there shall be
				visual or mechanical observation by a member of the resident care staff of each
				resident at least once per hour or more if necessary to protect the health, safety
				and general welfare of the residents.
3.
				Staff monitoring shall be provided on all levels of the facility where children are
				present.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43D - STANDARDS FOR LICENSURE OF PEDIATRIC COMMUNITY TRANSITIONAL HOMES › Subchapter 5 - ADMINISTRATION › Section 8:43D-5.5 - Staffing policies and procedures

Current through Register Vol. 56, No. 14, July 15, 2024
(a) A facility shall
				develop written policies and procedures to ensure all staff are in good physical and
				mental health, of good moral character and that these policies and procedures
				reflect the applicable standards as set forth in this chapter.
(b) A facility shall develop written job
				requirements specifying licensure and certification as needed in the State of New
				Jersey and written job descriptions for all staff to ensure personnel are assigned
				duties based on their education, training and general professional
				competencies.
(c) A facility shall
				employ a full-time director of nursing or nursing administrator who is responsible
				for coordinating residents' nursing care.
1. At
				least one registered professional nurse shall be on duty at the facility on a
				40-hour per week basis.
2. A registered
				nurse shall be available by telephone at all other times.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43D - STANDARDS FOR LICENSURE OF PEDIATRIC COMMUNITY TRANSITIONAL HOMES › Subchapter 5 - ADMINISTRATION › Section 8:43D-5.6 - Medical director and primary care provider responsibilities

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Each
				facility shall designate a medical director who is to have overall responsibility
				for the medical services provided in the facility.
1. The medical director shall coordinate medical
				care and direct the administrative aspects of medical care in the
				facility.
2. The medical director shall
				approve all medical care policies and procedures.
3. The medical director shall participate in the
				facility's quality assurance program through meetings, interviews, and/or
				preparation or review of reports.
4. The
				medical director shall be an active participant on the facility's infection control
				committee and resident care policy and procedure committee.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43D - STANDARDS FOR LICENSURE OF PEDIATRIC COMMUNITY TRANSITIONAL HOMES › Subchapter 6 - RESIDENT CARE POLICIES › Section 8:43D-6.1 - Resident care policies and procedures

Current through Register Vol. 56, No. 14, July 15, 2024
(a) There shall be a
				resident care policy and procedure committee that shall consist of at least the
				administrator, director of nursing and the medical director, which shall establish
				written resident care policies and procedures, which shall be reviewed at least
				every three years. Each review of the policies and procedures shall be documented.
				Policies and procedures shall include, but not be limited to, those relating to:
1. Resident rights;
2. The determination of staffing levels to ensure
				delivery of services and assistance as needed for each resident of the facility 24
				hours per day. Services may be provided directly by staff employed by the facility
				or by an appropriate contract specialist;
3. Referral of residents to health care providers
				in accordance with individual needs and resident service plans;
4. Emergency medical and dental care of residents,
				including notification of the resident's family, guardian, or designated community
				agency, and care of residents during periods of acute illness;
5. Resident instruction and health
				education;
6. The prohibition of smoking
				in the facility in accordance with
				26:3D-55 et seq.;
7. Discharge, involuntary discharge, termination
				by the facility, transfer, and readmission of residents, including criteria for
				each;
8. The care and control of pets,
				if the facility permits pets in the facility or on its premises;
9. Monitoring the quality of health care services
				provided to residents, which shall include, at a minimum, policies in:
i. Length of stay;
ii. Medication errors;
iii. Resident injury; and
iv. Resident mortality;
10. A planned, diversified program of resident
				activities shall be offered daily, including individual and/or group activities,
				either on-site or off-site, to meet the individual needs of all residents;
				and
11. General infection control
				policies and procedures as set forth in
				8:43D-15.3.