Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 662 - Home Care Agencies › Subchapter 3 - Administration › Section 310:662-3-4 - Organization

Current through Vol. 41, No. 20, July 1, 2024
(a)
Governing body.
The home
				care agency shall have an organized governing body which is legally responsible
				for the conduct of the agency. The ownership of the agency shall be fully
				disclosed to the Department. Agency staff shall be currently licensed or
				registered in accordance with applicable laws of the State of Oklahoma. The
				governing body shall be responsible for periodic administrative and
				professional evaluations of the agency.
(b)
Financial.
Sufficient
				financial resources shall be maintained sufficient to ensure the agency's
				ability to provide adequate home care services. The agency shall have an annual
				operating budget which ensures sufficient resources to meet operating costs at
				all times and to maintain the standards required by this Chapter.
(c)
Administrator.
The governing
				body shall be legally responsible for the appointment of a qualified
				administrator and the delegation of responsibility and authority. The
				administrator shall organize and direct the agency's ongoing functions, employ
				qualified personnel, ensure adequate staff in-service, continuing education,
				and evaluations. The administrator shall ensure the accuracy of public
				information materials and activities, and that agency practices are consistent
				with written agency policies. The administrator shall be properly certified as
				required by the Department. Proof of current certification for the
				administrator shall be posted in a conspicuous place at each licensed agency.
(d)
Supervising physician or
				nurse.
Each home care agency providing skilled care shall employ a
				physician or a qualified supervising registered nurse. An agency providing
				personal care only shall employ or contract with a supervising physician or
				registered nurse who shall be available to the agency to advise the client care
				staff whenever personal care is provided. Services of a supervising physician
				or registered nurse in an agency only providing personal care may be provided
				on an on-call basis. A physician or a qualified registered nurse alternate
				shall be designated in writing to serve in the supervising registered nurse's
				absence.
(e)
Personnel
				policies.
The agency shall implement and follow appropriate written
				policies. Personnel policies shall include at least the following:
(1) Employment procedures.
(2) Orientation of all personnel to the
				policies and objectives of the agency, and participation by all personnel in
				appropriate employee in-service programs.
(3) Job descriptions (statement of those
				functions and responsibilities which constitute job requirements) and job
				qualifications (specific education and training necessary to perform the job).
(4) Periodic evaluations of
				employee performance.
(5) Provision
				for disciplinary action(s) and procedures.
(6) Health screening requirements for staff
				with direct client contact including but not limited to tuberculosis
				testing/tuberculin skin tests. All tests and examinations shall be in
				conformance with the "Tuberculosis Controllers Association and CDC, 2019"
				guidelines for preventing the transmissions of mycobacterium tuberculosis in
				healthcare settings as published by the Centers for Disease Control and
				Prevention. Any employee with a proven history of a positive tuberculin skin
				test may be excluded from this requirement if the employee has had a documented
				negative chest x-ray and no symptoms suggestive of tuberculosis.
(7) Each home care agency shall have an
				annual influenza vaccination program consistent with the recommendations of the
				Centers for Disease Control and Prevention Advisory Committee on Immunization
				Practices that shall include at least the following:
(A) The offer of influenza vaccination
				onsite, at no charge to all employees and/or workers in the home care agency or
				acceptance of documented evidence of current season vaccination from another
				vaccine source or hospital;
(B)
				Documentation of vaccination for each employee and/or worker or a signed
				declination statement on record from each individual who refuses the influenza
				vaccination for other than medical contraindications; and
(C) Education of all employees and/or workers
				about the following:
(i) Influenza
				vaccination;
(ii) Non-vaccine
				influenza control measures; and
(iii) The symptoms, transmission, and
				potential impact of influenza.
(D) Each home care agency influenza
				vaccination program shall conduct an annual evaluation of the program including
				the reasons for non-participation.
(F) The requirements to complete vaccinations
				or declination statements for each employee and/or worker may be suspended by
				the agency's medical director in the event of a shortage of vaccine as
				recognized by the Commissioner of Health.