North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 27 - MENTAL HEALTH, COMMUNITY FACILITIES AND SERVICES › Subchapter G - RULES FOR MENTAL HEALTH, DEVELOPMENTAL DISABILITIES, AND SUBSTANCE ABUSE FACILITIES AND SERVICES › Section .0200 - OPERATION AND MANAGEMENT RULES › Section 27G .0201 - GOVERNING BODY POLICIES

Current through Register Vol. 39, No. 2, July 15, 2024
(a) The governing
				  body responsible for each facility or service shall develop and implement
				  written policies for the following:
(1)
				  delegation of management authority for the operation of the facility and
				  services;
(2) criteria for
				  admission;
(3) criteria for
				  discharge;
(4) admission
				  assessments, including:
(A) who will perform
				  the assessment; and
(B) time frames
				  for completing assessment.
(5) client record management, including:
(A) persons authorized to document;
(B) transporting records;
(C) safeguard of records against loss,
				  tampering, defacement or use by unauthorized persons;
(D) assurance of record accessibility to
				  authorized users at all times; and
(E) assurance of confidentiality of
				  records.
(6) screenings,
				  which shall include:
(A) an assessment of the
				  individual's presenting problem or need;
(B) an assessment of whether or not the
				  facility can provide services to address the individual's needs; and
(C) the disposition, including referrals and
				  recommendations;
(7)
				  quality assurance and quality improvement activities, including:
(A) composition and activities of a quality
				  assurance and quality improvement committee;
(B) written quality assurance and quality
				  improvement plan;
(C) methods for
				  monitoring and evaluating the quality and appropriateness of client care,
				  including delineation of client outcomes and utilization of services;
(D) professional or clinical supervision,
				  including a requirement that staff who are not qualified professionals and
				  provide direct client services shall be supervised by a qualified professional
				  in that area of service;
(E)
				  strategies for improving client care;
(F) review of staff qualifications and a
				  determination made to grant treatment/habilitation privileges;
(G) review of all fatalities of active
				  clients who were being served in area-operated or contracted residential
				  programs at the time of death;
(H)
				  adoption of standards that assure operational and programmatic performance
				  meeting applicable standards of practice. For this purpose, "applicable
				  standards of practice" means a level of competence established with reference
				  to the prevailing and accepted methods, and the degree of knowledge, skill and
				  care exercised by other practitioners in the field;
(8) use of medications by clients in
				  accordance with the rules in this Section;
(9) reporting of any incident, unusual
				  occurrence or medication error;
(10) voluntary non-compensated work performed
				  by a client;
(11) client fee
				  assessment and collection practices;
(12) medical preparedness plan to be utilized
				  in a medical emergency;
(13)
				  authorization for and follow up of lab tests;
(14) transportation, including the
				  accessibility of emergency information for a client;
(15) services of volunteers, including
				  supervision and requirements for maintaining client confidentiality;
(16) areas in which staff, including
				  nonprofessional staff, receive training and continuing education;
(17) safety precautions and requirements for
				  facility areas including special client activity areas; and
(18) client grievance policy, including
				  procedures for review and disposition of client grievances.