reglab/statecodes huggingface dataset:
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-6.2 - Financial arrangements

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Concerning financial arrangements, the
				facility shall:
1. Upon admission, inform, in
				writing, the resident's parent(s) or guardian or designated responsible person of
				any and all fees for services, charges for supplies routinely provided or specially
				ordered and any price changes associated with these charges, thereafter;
2. Maintain a written record of all financial
				arrangements with the resident's parent(s), guardian, or designated responsible
				person with copies furnished to these parties, respectively;
3. Assess no additional charges, expenses, or
				other financial liabilities in excess of the daily, weekly, or monthly rate included
				in the financial admission arrangements, except:
i. Upon separate written agreement with the
				resident's parent(s), guardian or, designated responsible person who shall be
				provided with a copy of the written agreement;
ii. Upon written orders of the resident's
				physician, stipulating specific services not included in the admission
				agreement;
iii. Upon 30 days prior
				written notice to the resident's parent(s), guardian or the designated responsible
				person of any change in charges, expenses, or other financial liability that are in
				addition to the previously agreed upon daily, weekly, or monthly rate; or
iv. The purchase and cost of supplies are limited
				to the terms of the resident's/responsible person's written agreement; and
4. Provide the resident's parent(s),
				guardian or the designated responsible person with information regarding financial
				assistance available from third-party payors and/or other financial assistance
				programs and referral systems for resident financial assistance.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43D - STANDARDS FOR LICENSURE OF PEDIATRIC COMMUNITY TRANSITIONAL HOMES › Subchapter 7 - RESIDENT ASSESSMENT AND CARE PLANS › Section 8:43D-7.1 - Resident assessment and coordination of interdisciplinary care plans

Current through Register Vol. 56, No. 14, July 15, 2024
A registered professional nurse (RN) shall assess the nursing
				  needs of each resident, coordinate the written interdisciplinary care plan, and
				  ensure the timeliness of all services.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43D - STANDARDS FOR LICENSURE OF PEDIATRIC COMMUNITY TRANSITIONAL HOMES › Subchapter 7 - RESIDENT ASSESSMENT AND CARE PLANS › Section 8:43D-7.2 - Policies and procedures for resident assessment and interdisciplinary care plans

Current through Register Vol. 56, No. 14, July 15, 2024
(a)
				A physician shall issue orders for each resident's medical care prior to or
				beginning on the day of admission.
(b)
				Each primary care provider's order shall be carried out in accordance with
				professional standards of practice by nursing, dietary, social work, resident
				activities, rehabilitation or pharmacy personnel, as appropriate.
(c) A physician shall examine each resident five
				days before, or 48 hours after, admission.
(d) An initial nursing assessment and care plan
				shall be developed on the day of admission and include at least personal hygiene,
				immediate dietary needs, medications, and ambulation.
(e) Within 10 days of admission, a facility shall
				formulate an interdisciplinary care plan for each resident that reflects the
				following:
1. Assessments performed by nursing,
				dietary, activities, and social work staff and other health care professionals, as
				prescribed by a resident's physician;
2.
				Measurable objectives and interventions that are based on a resident's care needs;
				and
3. Updates that are documented
				quarterly, or more frequently, as indicated by a change in the resident's health
				status based on a registered professional nurse's assessment of the
				resident.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43D - STANDARDS FOR LICENSURE OF PEDIATRIC COMMUNITY TRANSITIONAL HOMES › Subchapter 7 - RESIDENT ASSESSMENT AND CARE PLANS › Section 8:43D-7.3 - Provision of health care services

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The facility shall
				arrange for health care services to be provided to residents as needed in accordance
				with assessments and with their interdisciplinary care plan.
(b) At the time of admission, a resident's family,
				legal guardian, or designated community agency shall choose a physician and dentist
				to be called in case of illness, or the person to be called for a resident who,
				because of religious affiliation, is opposed to medical treatment. A resident's
				family, legal guardian, or responsible person shall be permitted free choice of a
				physician.
(c) The initial health care
				assessment shall be documented by the health care professional providing the service
				and shall be updated as required, in accordance with professional standards of
				practice at least quarterly.
(d) A
				facility shall notify a resident's physician of any significant change in the
				resident's physical or psychological condition.
(e) The registered professional nurse or a primary
				care provider shall be called at the onset of illness of any resident to arrange for
				assessment of the resident's nursing care needs or medical needs and for needed
				medical or nursing care intervention.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43D - STANDARDS FOR LICENSURE OF PEDIATRIC COMMUNITY TRANSITIONAL HOMES › Subchapter 8 - DINING SERVICES › Section 8:43D-8.1 - Provision of meals

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The facility shall provide dining services to
				meet the daily nutritional needs of residents.
1.
				Each resident shall have an initial dietary consultation performed by a dietitian
				within 10 days of admission to the facility and a follow-up nutritional consultation
				at least quarterly, or as needed, according to the health status of the
				resident.
2. The initial dietary
				consultation and all follow-up consultations shall be reflected in the medical
				record of each resident.
3. The facility
				shall have written policies and procedures in place which address the training of
				all staff responsible for the preparation of resident's meals. Said training should
				relate to the daily nutritional needs of pediatric residents.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43D - STANDARDS FOR LICENSURE OF PEDIATRIC COMMUNITY TRANSITIONAL HOMES › Subchapter 8 - DINING SERVICES › Section 8:43D-8.2 - Responsibilities of dietitians

Current through Register Vol. 56, No. 14, July 15, 2024
(a) In accordance with
				residents' needs, a dietitian shall be responsible for providing resident dietary
				care, including, but not limited to, the following:
1. Assessing the nutritional needs of the
				resident, preparing the dietary portion of the interdisciplinary care plan on the
				basis of the assessment, providing dietary services to the resident as specified in
				the plan, reassessing the resident, and revising the dietary portion of the
				interdisciplinary care plan. Each of these activities shall be documented in the
				resident's record; and
2. Providing
				nutritional counseling and education to residents.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43D - STANDARDS FOR LICENSURE OF PEDIATRIC COMMUNITY TRANSITIONAL HOMES › Subchapter 8 - DINING SERVICES › Section 8:43D-8.4 - Commercial food management services

Current through Register Vol. 56, No. 14, July 15, 2024
If a commercial food management firm provides dining services,
				  the firm shall be required to conform to the standards of this subchapter.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43D - STANDARDS FOR LICENSURE OF PEDIATRIC COMMUNITY TRANSITIONAL HOMES › Subchapter 9 - PHARMACEUTICAL SERVICES › Section 8:43D-9.1 - Provision of pharmaceutical services

Current through Register Vol. 56, No. 14, July 15, 2024
The pediatric community transitional home shall be capable of
				  ensuring that pharmaceutical services are provided to residents in accordance with
				  primary care provider's orders and with each resident's interdisciplinary care
				  plan.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43D - STANDARDS FOR LICENSURE OF PEDIATRIC COMMUNITY TRANSITIONAL HOMES › Subchapter 9 - PHARMACEUTICAL SERVICES › Section 8:43D-9.2 - Administration of medications

Current through Register Vol. 56, No. 14, July 15, 2024
(a) All medications
				administered by qualified licensed and non-licensed personnel shall be administered
				in accordance with prescriber orders, facility or program policy, and all Federal
				and State laws and regulations.
(b) The
				administration of medications is within the scope of practice and remains the
				responsibility of the registered professional nurse.
1. The registered professional nurse may choose to
				delegate the task of administering prescribed or non-prescribed over-the-counter
				medications only to those child care workers who have completed a training program
				approved by the State Board of Nursing and the Department and provided by the
				Department;
2. At least weekly, a
				registered nurse shall review and sign off on any modifications or additions to the
				over-the-counter medication administration record which were made by the child care
				worker under the nurse's delegation.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43D - STANDARDS FOR LICENSURE OF PEDIATRIC COMMUNITY TRANSITIONAL HOMES › Subchapter 9 - PHARMACEUTICAL SERVICES › Section 8:43D-9.3 - Retention of pharmaceutical services

Current through Register Vol. 56, No. 14, July 15, 2024
(a) A facility shall
				retain pharmaceutical services in accordance with the New Jersey Pharmacy Practice
				Act at
45:14-40
, and the rules
				promulgated pursuant thereto at
N.J.A.C. 13:39
, to develop and
				implement the facility's Pharmaceutical Quality Assurance Plan and provide
				consultation to the primary care provider, facility, staff, and residents, at least
				quarterly or as needed.
(a) In addition
				to the services comprising pharmaceutical services pursuant to
N.J.A.C.
				13:39
, pharmaceutical services include:
1. The training of employees;
2. The education of residents, families and staff
				regarding medications;
3. The
				establishment of policies and procedures, which ensure safe and appropriate
				self-administration and storage of medications;
4. The review of all medication records at least
				quarterly or as needed; and
5. The
				inspection at least quarterly of all common areas that the facility or program has
				designated for storage or administration or disposal of medications and maintaining
				records of such inspections.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43D - STANDARDS FOR LICENSURE OF PEDIATRIC COMMUNITY TRANSITIONAL HOMES › Subchapter 9 - PHARMACEUTICAL SERVICES › Section 8:43D-9.4 - Storage of medications

Current through Register Vol. 56, No. 14, July 15, 2024
(a) A facility's administrator shall provide an
				appropriate and safe medication storage area, either in a common area or in the
				resident's unit, for the storage of medications. The storage area requirement may be
				satisfied through the use of a locked medication cart or other secured locked areas.
1. The storage area shall be kept locked when not
				in use.
2. The storage areas shall be
				used only for storage of medications and medical supplies.
3. The key to the storage area shall be kept on
				the person of the employee on duty who is responsible for resident
				supervision.
4. Each resident's
				medications shall be kept separated from the medications of other residents within
				the storage area, with the exception of large volume medications which may be
				labeled and stored together in the storage area or other secured location.
5. Medications shall be stored in accordance with
				manufacturer's instructions and with requirements of the United States Pharmacopeia
				and the National Formulary (USP-NF), 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 10 - SOCIAL WORK SERVICES › Section 8:43D-10.1 - Provision of social work services

Current through Register Vol. 56, No. 14, July 15, 2024
The facility shall arrange for the provision of social work
				  services to residents who require them, by social workers licensed or certified in
				  accordance with N.J.S.A. 45:15BB-1 et seq. and N.J.A.C. 13:44G.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43D - STANDARDS FOR LICENSURE OF PEDIATRIC COMMUNITY TRANSITIONAL HOMES › Subchapter 11 - EMERGENCY SERVICES AND PROCEDURES › Section 8:43D-11.1 - Emergency medical services

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Emergency medical
				services shall be available to or arranged for residents requiring these
				services.
(b) The facility shall develop
				a written plan for emergency transportation of residents for emergency medical care,
				ensuring transport to and from the pediatric community transitional home for
				care.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43D - STANDARDS FOR LICENSURE OF PEDIATRIC COMMUNITY TRANSITIONAL HOMES › Subchapter 11 - EMERGENCY SERVICES AND PROCEDURES › Section 8:43D-11.2 - 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 for medical emergencies,
				power failures, fire, and natural disasters, and shall maintain them on site at all
				times.
(b) The emergency plans shall
				include a written evacuation diagram specific to the unit and establish an
				evacuation procedure, the location of fire exits, alarm boxes, and fire
				extinguishers.
1. A facility shall post all other
				emergency procedures in conspicuous locations throughout the facility.
2. A facility shall train all employees upon hire
				and annually in procedures to be followed in the event of a fire, in the use of
				fire-fighting equipment, and resident evacuation.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43D - STANDARDS FOR LICENSURE OF PEDIATRIC COMMUNITY TRANSITIONAL HOMES › Subchapter 11 - EMERGENCY SERVICES AND PROCEDURES › Section 8:43D-11.3 - Drills and tests

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The facility shall conduct at least one drill
				of the emergency plans every month. At least annually, a drill of emergency plans
				shall take place during every working shift. The facility shall maintain
				documentation of all drills, including the date, hour, and description of the drill,
				participating staff, and signature of the person in charge. In addition to drills
				for emergencies due to fire, the facility shall conduct at least one drill per year
				for emergencies due to a disaster other than fire, such as storm, flood, other
				natural disaster, bomb threat, or nuclear accident (a total of 12 drills). All staff
				shall participate in at least one drill annually, and the facility may select
				residents to participate in drills.
(b)
				The facility shall request of the local fire department that at least one joint fire
				drill be conducted annually. Upon scheduling a joint fire drill, the facility shall
				notify first aid and civil defense agencies of this drill and shall participate in
				community-wide disaster drills.
(c) The
				facility shall test at least one manual pull alarm each month of the year and
				maintain documentation of test dates, location of each manual pull alarm tested,
				persons testing the alarm, and its condition.
(d) Fire extinguishers shall be:
1. Installed in easily accessible, conspicuous
				locations throughout the facility;
2.
				Inspected and maintained in accordance with manufacturers' and applicable National
				Fire Protection Association (NFPA) requirements and
N.J.A.C. 5:70
;
				and
3. Labelled to show the date of such
				inspection and maintenance.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43D - STANDARDS FOR LICENSURE OF PEDIATRIC COMMUNITY TRANSITIONAL HOMES › Subchapter 12 - RESIDENT RECORDS › Section 8:43D-12.1 - Residents' individual records

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Each resident's
				record shall include at least the following:
1.
				The resident's completed admission application and all records forwarded to the
				facility;
2. The resident's name, last
				address and date of birth; the name and address of sponsor or community agency; the
				date of admission; the date of discharge (including discharge destination) or death;
				the name, address, and telephone number of the physician to be called in either set
				of circumstances; and the name and address of nearest relative, guardian, designated
				responsible person(s), or community agency, together with any other information the
				resident wishes to have recorded;
3. A
				copy of the resident's interdisciplinary care plan, if applicable;
4. All assessments and treatments by health care
				and service providers shall be entered according to the standards of professional
				practice. Documentation and/or notes from all health care and service providers
				shall be entered according to the standards of professional practice and be
				accessible at the facility; and
5.
				Services provided by facility staff or by personnel on a contractual basis apart
				from health care treatment shall be entered into the resident's record.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43D - STANDARDS FOR LICENSURE OF PEDIATRIC COMMUNITY TRANSITIONAL HOMES › Subchapter 12 - RESIDENT RECORDS › Section 8:43D-12.2 - Confidentiality

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Records and information regarding the
				individual resident shall be considered confidential and the resident (if age
				appropriate), resident's parent(s) or guardian, and other responsible persons shall
				have the opportunity to examine such records, in accordance with facility
				policies.
(b) The written consent of the
				resident (if age appropriate), resident's parent(s), legal guardian, or responsible
				person shall be obtained for release of the resident's records to any individual
				outside of the facility, except in the case of the resident's transfer to another
				health care facility, or as required by law, third-party payor, or authorized
				government agencies.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43D - STANDARDS FOR LICENSURE OF PEDIATRIC COMMUNITY TRANSITIONAL HOMES › Subchapter 12 - RESIDENT RECORDS › Section 8:43D-12.3 - Record retention

Current through Register Vol. 56, No. 14, July 15, 2024
All records shall be maintained in accordance with
26:8-5
et
				  seq.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43D - STANDARDS FOR LICENSURE OF PEDIATRIC COMMUNITY TRANSITIONAL HOMES › Subchapter 12 - RESIDENT RECORDS › Section 8:43D-12.4 - Record availability

Current through Register Vol. 56, No. 14, July 15, 2024
The records required by this subchapter shall be maintained for
				  all residents and shall be kept available on the premises for review any time by
				  representatives of the Department.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43D - STANDARDS FOR LICENSURE OF PEDIATRIC COMMUNITY TRANSITIONAL HOMES › Subchapter 12 - RESIDENT RECORDS › Section 8:43D-12.5 - Register

Current through Register Vol. 56, No. 14, July 15, 2024
(a) A register which
				contains a current census of all residents, along with information the facility
				deems pertinent, shall be maintained by each pediatric community transitional home.
				The following standards for maintaining the register shall apply:
1. The administrator or the administrator's
				designee shall make all entries in the register and shall be responsible for its
				maintenance and safe-keeping;
2. The
				register shall be kept up-to-date at all times. Admissions, discharges and discharge
				destination, and other changes shall be recorded within 48 hours;
3. The register, which is a permanent record,
				shall be kept in a safe place; and
4.
				All entries into the register shall be clear, legible, and written in ink or
				typed.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43D - STANDARDS FOR LICENSURE OF PEDIATRIC COMMUNITY TRANSITIONAL HOMES › Subchapter 12 - RESIDENT RECORDS › Section 8:43D-12.6 - Record of death

Current through Register Vol. 56, No. 14, July 15, 2024
Whenever a resident dies in the pediatric community transitional
				  home, the administrator or the administrator's designee shall include written
				  documentation from the physician of the date and time of death, the name of the
				  person who pronounced the death, disposition of the body, and a record of
				  notification of the family. A physician, registered nurse or paramedic may make a
				  determination and pronouncement of death in accordance with
13:35-6.2(d)
and (e).
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43D - STANDARDS FOR LICENSURE OF PEDIATRIC COMMUNITY TRANSITIONAL HOMES › Subchapter 13 - RESIDENT RIGHTS › Section 8:43D-13.1 - Posting and distribution of statement of resident rights

Current through Register Vol. 56, No. 14, July 15, 2024
(a) To assure the
				highest quality of services, each pediatric community transitional home will post
				and distribute a statement of resident rights consistent with the following
				principles:
1. To provide personalized services and
				care to meet each resident's needs;
2.
				To foster the independence and individuality of each resident;
3. To treat each resident with respect, courtesy,
				consideration and dignity;
4. To assure
				each resident the right to make choices with respect to services;
5. To assure each resident's right to privacy and
				personal safety;
6. To nurture the
				personal spirit and uniqueness of each resident;
7. To encourage families' and friends'
				participation in resident services planning and implementation;
8. To provide for each resident an environment
				free from physical or sexual harassment or abuse and corporal punishment;
				and
9. To assure each resident's right
				to personal freedom to the fullest extent possible.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43D - STANDARDS FOR LICENSURE OF PEDIATRIC COMMUNITY TRANSITIONAL HOMES › Subchapter 14 - HOUSEKEEPING, SANITATION, SAFETY AND MAINTENANCE › Section 8:43D-14.1 - Provision of services

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The facility shall
				provide and maintain a sanitary and safe environment for residents.
(b) The facility shall provide housekeeping,
				laundry, pest control, and maintenance services, and shall provide assistance to
				residents who require assistance with these services in their residential
				units.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43D - STANDARDS FOR LICENSURE OF PEDIATRIC COMMUNITY TRANSITIONAL HOMES › Subchapter 14 - HOUSEKEEPING, SANITATION, SAFETY AND MAINTENANCE › Section 8:43D-14.2 - Housekeeping

Current through Register Vol. 56, No. 14, July 15, 2024
(a) A facility shall establish a written work plan
				for housekeeping operations that identifies the frequency of cleaning assignments as
				daily, weekly, monthly, or annually for each area of the facility and maintenance
				schedules for all equipment, structures, areas, and systems.
(b) Personnel with housekeeping duties shall be
				trained in cleaning procedures, including the use and care of equipment.
(c) All cleaning and disinfecting agents shall be
				correctly labeled with the name of the product and its use, including agents that
				have been repackaged from a bulk source.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43D - STANDARDS FOR LICENSURE OF PEDIATRIC COMMUNITY TRANSITIONAL HOMES › Subchapter 14 - HOUSEKEEPING, SANITATION, SAFETY AND MAINTENANCE › Section 8:43D-14.3 - Resident environment

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The housekeeping and sanitation conditions in
				(a)1 through 12 below shall be met. Application of this requirement with respect to
				the individual living environment shall take into consideration a resident's
				personal preferences:
1. The facility and its
				contents, including all surfaces such as tables, floors, walls, beds and dressers,
				shall be clean to sight and touch and free of dirt, dust and debris;
2. All rooms shall be ventilated to help prevent
				condensation, mold growth, and noxious odors;
3. All resident areas shall be free of noxious
				odors;
4. All furnishings shall be clean
				and in good repair, and mechanical equipment shall be in working order. Items which
				are broken or worn to the extent that they may cause discomfort or present danger to
				residents shall be repaired, replaced, or removed promptly;
5. All equipment and materials necessary for
				cleaning, disinfecting, sanitizing, and sterilizing (if applicable) shall be
				provided;
6. For central kitchens,
				thermometers that are accurate to within three degrees Fahrenheit shall be kept in a
				visible location within refrigerators, freezers, and storerooms used for perishable
				and other items subject to deterioration. Temperatures shall be maintained in
				accordance with Chapter XII of the New Jersey Sanitary Code,
				8:24-3.2;
7. Lighted and ventilated storage spaces shall be
				provided in the facility for the proper storage of residents' clothing, linens,
				drugs, food, cleaning and other supplies;
8. Articles in storage shall be elevated from the
				floor and away from walls (if moisture is present), ceilings, and air
				vents;
9. Unobstructed aisles shall be
				provided in storage areas;
10. Effective
				and safe controls shall be used to minimize and eliminate the presence of rodents,
				flies, roaches and other vermin in the facility;
11. When facility housekeeping services are
				provided, items such as bedpans, toilets and sinks shall be disinfected, using a
				process for disinfection established by the facility; and
12. Toilet tissue, soap, paper towels or air
				dryers, and waste receptacles shall be provided in each common area toilet facility
				at all times. A self-draining dish or device shall be provided for storage of bar
				soap, if bar soap is used. Residents' personal cloth towels may be used in
				residential units.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43D - STANDARDS FOR LICENSURE OF PEDIATRIC COMMUNITY TRANSITIONAL HOMES › Subchapter 14 - HOUSEKEEPING, SANITATION, SAFETY AND MAINTENANCE › Section 8:43D-14.4 - Waste removal

Current through Register Vol. 56, No. 14, July 15, 2024
(a) All solid or liquid waste, garbage, and trash
				shall be collected, stored, and disposed of in accordance with
N.J.A.C. 7:26
and this chapter.
1. Solid waste that is
				stored within the building, shall be stored in insect-proof, rodent-proof,
				fireproof, nonabsorbent, watertight containers with tightfitting covers and
				collected from storage areas regularly to prevent nuisances, such as
				odors.
2. Procedures and schedules shall
				be established and implemented for the cleaning of storage areas and containers for
				solid or liquid waste, garbage, and trash, in accordance with
N.J.A.C.
				8:24
.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43D - STANDARDS FOR LICENSURE OF PEDIATRIC COMMUNITY TRANSITIONAL HOMES › Subchapter 14 - HOUSEKEEPING, SANITATION, SAFETY AND MAINTENANCE › Section 8:43D-14.5 - Heating and air conditioning

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The heating and air
				conditioning system shall be adequate to maintain the required temperature in all
				areas used by residents.
1. During the heating
				season, the temperature in the facility shall be kept at a minimum of 72 degrees
				Fahrenheit (22 degrees Celsius) during the day ("day" means the time between sunrise
				and sunset) and 68 degrees Fahrenheit (20 degrees Celsius) at night, when residents
				are in the facility.
2. The facility or
				residents shall not utilize portable heaters.
3. During warm weather conditions, the temperature
				within the facility shall not exceed 82 degrees Fahrenheit, in accordance with
				8:43-15.5(b).
i. The facility shall provide for and operate
				adequate ventilation in all areas used by residents.
ii. All areas of the facility used by residents,
				including resident sleeping areas, shall be equipped with air conditioning and the
				air conditioning shall be operated so that the temperature in these areas does not
				exceed 82 degrees Fahrenheit.
4. Residents may regulate temperature controls in
				residential units, and may, by choice, exceed 82 degrees Fahrenheit.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43D - STANDARDS FOR LICENSURE OF PEDIATRIC COMMUNITY TRANSITIONAL HOMES › Subchapter 14 - HOUSEKEEPING, SANITATION, SAFETY AND MAINTENANCE › Section 8:43D-14.6 - Water supply

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The water supply used for drinking or culinary
				purposes shall be adequate in quantity, of a safe and sanitary quality, and from a
				water system which shall be constructed, protected, operated, and maintained in
				conformance with the New Jersey Safe Drinking Water Act,
				58:12A-1 et seq., N.J.A.C. 7:10 and
				local laws, ordinances, and regulations. Copies of the Safe Drinking Water Act can
				be obtained from the Department of Environmental Protection, Bureau of Potable
				Water, P.O. Box 426, Trenton, New Jersey 08625-0426.
(b) The temperature of the hot water used for
				bathing and handwashing shall be at least 105 degrees and shall not exceed 120
				degrees Fahrenheit (40.6 to 49 degrees Celsius) and shall be appropriately balanced
				to avoid temperature fluctuations during simultaneous use of two or more water
				sources within the facility in accordance with Guidelines for Environmental
				Infection Control in Health-Care Facilities: Recommendations of CDC and the
				Healthcare Infection Control Practices Advisory Committee (HICPAC), MMWR, June 6,
				2003, 52(RR10), 1-42, as may be amended and supplemented.
(c) Equipment requiring drainage, such as ice
				machines, shall be drained to a sanitary connection, in accordance with State and
				local codes.
(d) The sewage disposal
				system shall be maintained in good repair and operated in compliance with State and
				local laws, rules, and ordinances.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43D - STANDARDS FOR LICENSURE OF PEDIATRIC COMMUNITY TRANSITIONAL HOMES › Subchapter 14 - HOUSEKEEPING, SANITATION, SAFETY AND MAINTENANCE › Section 8:43D-14.7 - Building and grounds maintenance

Current through Register Vol. 56, No. 14, July 15, 2024
The building and grounds shall be well maintained at all times.
				  The interior and exterior of the building shall be kept in good condition to ensure
				  an attractive appearance, provide a pleasant atmosphere, and safeguard against
				  deterioration. The building and grounds shall be kept free from fire hazards as well
				  as other residential health and safety hazards.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43D - STANDARDS FOR LICENSURE OF PEDIATRIC COMMUNITY TRANSITIONAL HOMES › Subchapter 14 - HOUSEKEEPING, SANITATION, SAFETY AND MAINTENANCE › Section 8:43D-14.8 - Laundry services

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Written policies and procedures shall be
				established and implemented for the facility's laundry services, including, but not
				limited to, polices and procedures regarding the following:
1. Storage and transportation of
				laundry;
2. Collection and storage of
				soiled laundry in a ventilated area;
3.
				Protection of clean laundry from contamination during processing, transporting, and
				storage; and
4. Handling and laundering
				of resident's clothing and personal items separately from other laundry.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43D - STANDARDS FOR LICENSURE OF PEDIATRIC COMMUNITY TRANSITIONAL HOMES › Subchapter 15 - INFECTION PREVENTION AND CONTROL SERVICES › Section 8:43D-15.1 - Infection control program

Current through Register Vol. 56, No. 14, July 15, 2024
(a) There shall be a
				facility infection control committee which shall develop and implement an infection
				prevention and control program.
1. The infection
				control committee shall consist of at least the administrator, director of nursing
				and the medical director.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43D - STANDARDS FOR LICENSURE OF PEDIATRIC COMMUNITY TRANSITIONAL HOMES › Subchapter 15 - INFECTION PREVENTION AND CONTROL SERVICES › Section 8:43D-15.2 - Development of infection control policies and procedures

Current through Register Vol. 56, No. 14, July 15, 2024
(a) A facility shall
				develop, implement, and review, at least annually, written policies and procedures
				regarding infection prevention and control. Written policies and procedures shall be
				consistent with the following publications and standards, incorporated herein by
				reference, as amended and supplemented, as follows:
1. Guidelines for Environmental Infection Control
				in Health-Care Facilities: Recommendations of CDC and the Healthcare Infection
				Control Practices Advisory Committee (HICPAC), MMWR, June 6, 2003, 52(RR10),
				1-42;
2. Disinfection and Sterilization
				in Healthcare Facilities, 2008, American Journal of Infection Control, 1996,
				224:24-52;
3. "Guidelines for Preventing
				the Transmission of Mycobacterium tuberculosis in Health-Care Facilities, 2005,
				MMWR, December 30, 2005, 54(RR-17), 1-141; and
4. OSHA's Bloodborne Pathogens Standard at
29 CFR 1910.1030
.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43D - STANDARDS FOR LICENSURE OF PEDIATRIC COMMUNITY TRANSITIONAL HOMES › Subchapter 15 - INFECTION PREVENTION AND CONTROL SERVICES › Section 8:43D-15.3 - General infection control policies and procedures

Current through Register Vol. 56, No. 14, July 15, 2024
(a) A facility shall
				establish and implement written policies and procedures addressing infection
				prevention and control practices that include:
1.
				Reporting communicable diseases in accordance with
N.J.A.C. 8:57
,
				as amended and supplemented, and maintaining records for all residents and personnel
				who are diagnosed with reportable diseases;
2. Infection control in accordance with OSHA's
				Bloodborne Pathogens Standard at
29 CFR 1910.1030
, as amended and supplemented;
3. Exclusion from work, and authorization to
				return to work, for personnel with communicable diseases;
4. Surveillance techniques to minimize sources and
				transmission of infection;
5. Techniques
				to be used during each resident contact, including handwashing before and after
				caring for a resident;
6. Protocols for
				identification of residents with communicable diseases and age specific education of
				residents regarding the prevention and spread of communicable diseases;
7. Sterilization, disinfection, and cleaning
				practices and techniques used in the facility, including, but not limited to, the
				following:
i. Care of utensils, instruments,
				solutions, dressings, articles, and surfaces;
ii. Selection, storage, use, and disposition of
				disposable and nondisposable resident care items. Disposable items shall not be
				reused;
iii. Methods to ensure that
				sterilized materials are packaged, labeled, processed, transported, and stored to
				maintain sterility and to permit identification of expiration dates; and
iv. Care of urinary catheters, intravenous
				catheters, respiratory therapy equipment, and other devices and equipment that
				provide a portal of entry for pathogenic microorganisms; and
8. Used needles and syringes shall be disposed of
				in accordance with N.J.S.A. 2A:170-25.1 7 and N.J.A.C. 8:43E, and amendments
				thereto, and shall be placed in puncture-resistant containers prior to
				disposal.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43D - STANDARDS FOR LICENSURE OF PEDIATRIC COMMUNITY TRANSITIONAL HOMES › Subchapter 15 - INFECTION PREVENTION AND CONTROL SERVICES › Section 8:43D-15.4 - Employee health and resident policies and procedures for infection prevention and control

Current through Register Vol. 56, No. 14, July 15, 2024
(a) A pediatric community transitional home shall
				require all personnel who provide direct care to residents, which include those
				employed by, hired under contract with, and who volunteer at, a facility, to be
				tested upon employment for Tb infection using either a two-step Mantoux tuberculin
				skin test or an IGRA in accordance with the publication cited at
8:43D-15.2(a)
3.
1. A facility's medical director may
				grant personnel a written exemption from the requirements at (a) above consistent
				with the facility's infection control policies and procedures and the guidance cited
				at
8:43D-15.2(a)
3.
i. The facility shall maintain a
				record of this exemption on site.
ii.
				Prior to beginning work, and annually thereafter, the facility shall require
				personnel exempt from Tb testing to submit a signed written statement from a primary
				care provider advising that the person exhibits no sign of active Tb
				disease.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43D - STANDARDS FOR LICENSURE OF PEDIATRIC COMMUNITY TRANSITIONAL HOMES › Subchapter 15 - INFECTION PREVENTION AND CONTROL SERVICES › Section 8:43D-15.5 - Staff education and training in infection prevention and control

Current through Register Vol. 56, No. 14, July 15, 2024
A facility shall educate and train all staff members in its
				  policies and procedures governing infection control practices and shall maintain
				  records of such training.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43D - STANDARDS FOR LICENSURE OF PEDIATRIC COMMUNITY TRANSITIONAL HOMES › Appendix A

Current through Register Vol. 56, No. 14, July 15, 2024
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New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43E - GENERAL LICENSURE PROCEDURES AND STANDARDS APPLICABLE TO ALL LICENSED FACILITIES › Subchapter 1 - SCOPE AND GENERAL PURPOSE › Section 8:43E-1.1 - Scope

Current through Register Vol. 56, No. 14, July 15, 2024
The rules in this chapter pertain and apply to all health care
				  facilities licensed by the Department pursuant to the Health Care Facilities
				  Planning Act, 26:2H-1 et seq. The rules set forth the
				  procedures for the conduct of surveys of health care facilities, the basis and
				  procedures for imposition of penalties and other enforcement actions and remedies,
				  and the rights and procedures available to facilities to request a hearing to
				  contest survey findings and the imposition of penalties.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43E - GENERAL LICENSURE PROCEDURES AND STANDARDS APPLICABLE TO ALL LICENSED FACILITIES › Subchapter 1 - SCOPE AND GENERAL PURPOSE › Section 8:43E-1.2 - Purpose

Current through Register Vol. 56, No. 14, July 15, 2024
The rules in this chapter are intended to promote the health,
				  safety, and welfare of patients or residents of health care facilities through
				  establishing rules and regulations implementing the Department's legislative mandate
				  to enforce violations of licensing regulations. The rules also are intended to
				  afford health care facilities with appropriate and adequate due process rights and
				  procedures upon the finding of a violation or assessment of a penalty or other
				  enforcement action.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43E - GENERAL LICENSURE PROCEDURES AND STANDARDS APPLICABLE TO ALL LICENSED FACILITIES › Subchapter 1 - SCOPE AND GENERAL PURPOSE › Section 8:43E-1.3 - Definitions

Current through Register Vol. 56, No. 14, July 15, 2024
The following words and terms, as used in this chapter, shall
				  have the following meanings, unless the context clearly indicates otherwise.
"Commissioner" means Commissioner of the New Jersey Department of
				  Health and Senior Services.
"Curtailment" means an order by the Department which requires a
				  licensed health care facility to cease and desist all admissions and readmissions of
				  patients or residents to the facility or affected service.
"Deficiency" means a determination by the Department of one or
				  more instances in which a State licensing regulation or Federal certification
				  regulation has been violated.
"Department" means the New Jersey Department of Health and Senior
				  Services.
"Division" means Division of Health Care Systems Analysis, New
				  Jersey Department of Health and Senior Services.
"Facility" means the entity which has been issued a license to
				  operate a health care facility pursuant to
				  26:2H-1 et seq. For the purposes of
				  this chapter, "facility" includes ambulance and invalid coach services.
"Immediate and serious threat" means a deficiency or violation
				  that has caused or will imminently cause at any time serious injury, harm,
				  impairment, or even death to residents or patients of the facility and therefore
				  requires immediate corrective action.
"Patient" means an individual under the medical and nursing care
				  and supervision of a licensed health care facility. For purposes of this chapter,
				  "patient" is synonymous with "resident."
"Plan of correction" means a plan developed by the facility and
				  reviewed and approved by the Department which describes the actions the facility
				  will take to correct deficiencies and specifies the time frame in which those
				  deficiencies will be corrected.
"Resident" means an individual residing in a licensed health care
				  facility and under the supervision of that facility for the purpose of receiving
				  medical, nursing, and/or personal care services. For purposes of this chapter,
				  "resident" is synonymous with "patient."
"Survey" means the evaluation of the quality of care and/or the
				  fitness of the premises, staff, and services provided by a facility as conducted by
				  the Department and/or its designees to determine compliance or non-compliance with
				  applicable State licensing regulations, statutes, or Federal Medicare/Medicaid
				  certification regulations or statutes.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43E - GENERAL LICENSURE PROCEDURES AND STANDARDS APPLICABLE TO ALL LICENSED FACILITIES › Subchapter 2 - SURVEY PROCEDURES › Section 8:43E-2.1 - Scope and types of surveys

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The Department, or
				another State agency to which the Department has delegated the authority for conduct
				of surveys either partially or fully, may conduct periodic or special inspections of
				licensed health care facilities to evaluate the fitness and adequacy of the
				premises, equipment, personnel, policies and procedures, and finances, and to
				ascertain whether the facility complies with all applicable State and Federal
				licensure regulations and statutes.
(b)
				The Department or its designee may also conduct periodic surveys of facilities on
				behalf of the U.S. Department of Health and Human Services or other Federal agency
				for purposes of evaluating compliance with all applicable Federal regulations or
				Medicare and Medicaid certification regulations.
(c) The Department may evaluate all aspects of
				patient care, and operations of a health care facility, including the inspection of
				medical records; observation of patient care where consented to by the patient;
				inspection of all areas of the physical plant under the control or ownership of the
				licensee; and interview of the patient or resident, his or her family or other
				individuals with knowledge of the patient or care rendered to him or her.
(d) All information pertaining to an individual
				patient shall be maintained as confidential by the Department and shall not be
				available to the public in a manner that identifies an individual patient, unless so
				consented to by the patient or pursuant to an order by a court of law.
(e) The Department may conduct a survey of a
				facility upon the receipt of complaint or allegation by any person or agency,
				including a patient, his or her family, or any person with knowledge of the services
				rendered to patients or operations of a facility.
(f) The Department may evaluate the quality of
				patient care rendered by a facility through analysis of statistical data reported by
				facilities to the Department or other agency, or by review of reportable event
				information or other notices filed with the Department pursuant to regulation. Upon
				receipt of information indicating a potential risk to patient safety or violations
				of licensing regulations, the Department may conduct a survey to investigate the
				causes of this finding, or request a written response from the facility to ascertain
				the validity of the data and to describe the facility's plan or current actions to
				address the identified findings.
(g)
				Following a reasonable opportunity for facilities to review and comment on the
				validity of the Department's statistical data related to the quality of patient care
				by facilities, the Department may make such information, as appropriately amended
				available to the public.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43E - GENERAL LICENSURE PROCEDURES AND STANDARDS APPLICABLE TO ALL LICENSED FACILITIES › Subchapter 2 - SURVEY PROCEDURES › Section 8:43E-2.2 - Deficiency findings

Current through Register Vol. 56, No. 14, July 15, 2024
(a) A deficiency may be
				cited by the Department upon any single or multiple determination that the facility
				does not comply with a licensure regulation. Such findings may be made as the result
				of either an on-site survey or inspection or as the result of the evaluation of
				written reports or documentation submitted to the Department, or the omission or
				failure to act in a manner required by regulation.
(b) At the conclusion of a survey or within 10
				business days thereafter, the Department shall provide a facility with a written
				summary of any factual findings used as a basis to determine that a licensure
				violation has occurred, and a statement of each licensure regulation to which the
				finding of a deficiency relates.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43E - GENERAL LICENSURE PROCEDURES AND STANDARDS APPLICABLE TO ALL LICENSED FACILITIES › Subchapter 2 - SURVEY PROCEDURES › Section 8:43E-2.3 - Informal dispute resolution

Current through Register Vol. 56, No. 14, July 15, 2024
(a) A facility may
				request an opportunity to discuss the accuracy of survey findings with
				representatives of the Department in the following circumstances during a survey:
1. During the course of a survey to the extent
				such discussion does not interfere with the surveyor's ability to obtain full and
				objective information and to complete required survey tasks; or
2. During the exit interview or other summation of
				survey findings prior to the conclusion of the survey.