New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43J - STANDARDS FOR LICENSURE OF PEDIATRIC MEDICAL DAY CARE FACILITIES › Subchapter 3 - ADMINISTRATION › Section 8:43J-3.4 - Administrative policies and procedures

Current through Register Vol. 56, No. 14, July 15, 2024
(a) If a health care
				facility licensed by the Department provides pediatric medical day care in addition
				to other heath care services, the facility shall adhere to this chapter and to the
				applicable rules for licensure of facilities providing the other health care
				services.
(b) The facility shall adhere
				to applicable Federal, State and local laws.
(c) The facility shall develop, implement and
				review, at intervals specified therein, a policy and procedure manual for the
				organization and operation of the facility.
(d) Each review of the manual shall be documented
				and the manual(s) shall be available in the facility to representatives of the
				Department at all times.
(e) The manual
				shall address at least the following:
1. The
				program's philosophy and objectives and the services provided by the
				facility;
2. An organizational chart
				delineating the lines of authority, responsibility and accountability for the
				administration and child care services of the facility;
3. Specifications for each therapeutic
				intervention for use by all staff involved in the care of the children;
i. With respect to this requirement, the facility
				shall review the manual every six months to assure that the facilities procedures
				conform to prevailing and acceptable treatment practices.
4. The maintenance of an admission register
				listing children admitted by name with identifying information about each, the
				referral source, family contacts and emergency contacts;
5. The maintenance of a discharge register with
				final disposition and the discharge date;
6. The maintenance of a daily census
				record;
7. The maintenance of an
				accident and incident record;
8. The
				maintenance of an individual record for each child that contains:
i. Identifying data;
ii. All details of the referral and
				admission;
iii.
				Correspondence;
iv. Payer status;
				and
v. Medical history, signed and dated
				in ink by the health professional providing the service, which contains allergies,
				special precautions, an immunization record, the initial plan for care and updates,
				physician's orders, progress notes and medications dispensed;
9. Referral procedure to other health care
				providers in a manner that ensures the provision of a continuum of care for the
				child;
10. The conduct of an
				interdisciplinary review of each child's interdisciplinary plan of care every two
				months, which requires, at a minimum, that the facility share the interdisciplinary
				plan of care summary and recommendations with the primary health care provider, who
				shall approve or modify any changes in writing, and which requires the facility to
				give a copy of the interdisciplinary plan of care summary and recommendations to the
				child's parent;
11. Discharge procedures
				that require, at a minimum, that the facility conduct a conference involving
				pediatric medical day care facility staff, the child's parent and staff of other
				agencies involved in the child's care to discuss post-discharge care and follow-up
				and which require the facility to develop a written discharge summary and to enter
				it in the child's record within 10 business days following discharge;
12. A quality improvement program for child-care
				and staff performance;
13. Facility
				operation hours and days on which services are provided;
14. The maintenance of personnel records for each
				employee, which require, at a minimum, the employee's name, address, previous
				employment, educational background, credentials, license and/or certification and/or
				registration number, as applicable, with the effective date and date of expiration,
				and the results of the criminal background investigation;
15. The content and frequency of physical
				examinations, upon employment and subsequently, for employees and for other persons
				providing direct care services to children;
16. Procedures for follow-up of a child in the
				event that a child does not appear for services on scheduled days and for
				documentation of the follow-up in the child's medical record; and
17. Procedures for compliance with applicable
				statutes and protocols to report abuse or mistreatment of children, elopement,
				sexual abuse, specified communicable diseases, poisonings, birth defects, and
				unattended or suspicious deaths, which shall address, at a minimum, the following:
i. The notification of any suspected case of child
				abuse or exploitation to the New Jersey Department of Children and Families,
				Division of Child Protection and Permanency;
ii. The development of written protocols for the
				identification and the treatment of children who are abused and/or
				neglected;
iii. The provision at least
				annually of education and/or training programs to appropriate persons regarding the
				identification and reporting of diagnosed and/or suspected cases of sexual abuse,
				domestic violence, child abuse and the facility's policies and procedures;
iv. Communicable disease reporting, in accordance
				with N.J.A.C. 8:57; and
v. Birth defect
				reporting, in accordance with N.J.A.C. 8:20.