reglab/statecodes huggingface dataset:
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-84 - Standards for Licensing Community Residential Care Facilities › Sec2 61-84.800 - ADMISSION/RETENTION › Section 61-84.800.801 - General (I)

Current through Register Vol. 48, No. 6, June 28, 2024
A. Individuals
				seeking admission shall be identified as appropriate for the level of care,
				services, or assistance offered. The facility shall establish admission
				criteria that are consistently applied and comply with local, State, and
				Federal laws and regulations.
B.
				The facility shall admit and retain only those persons appropriate for
				placement in a CRCF in compliance with the standards of this
				regulation.
C. The facility shall
				not admit or retain any of the following persons in compliance with the
				standards of this regulation:
1. Any person
				who is likely to endanger him/herself or others as determined by a physician or
				other authorized healthcare provider;
2. Any person other than an adult;
				(II)
3. Any person needing
				hospitalization or nursing home care;
4. Any person needing daily skilled
				monitoring/observation due to an unstable or complex medical condition,
e.g
., brittle diabetes, dialysis patients with complications
				such as infections in the blood;
5.
				Any person needing medications that require frequent dosage adjustment,
				regulation and/or monitoring,
e.g.
diabetics receiving sliding
				scale insulin;
6. Any person
				needing intravenous medications or fluids, regular intra-muscular and
				subcutaneous injections by staff or by responsible party. This does not include
				injections administered on a part-time or intermittent basis by non-staff
				licensed nurses. Routine injection(s) of insulin scheduled daily or less
				frequently are permitted;
7. Any
				person needing care of urinary catheter that cannot be managed independently by
				the resident;
8. Any person needing
				treatment of stage 2, 3 or 4 decubitus ulcers, or multiple pressure sores or
				other widespread skin disorder (important considerations include: signs of
				infection, full thickness tissue loss, or requirement of sterile
				technique);
9. Any person needing
				nasogatric tube feeding or having to be fed by a syringe or straw due to
				difficulties in swallowing. Gastronomy tube feedings that cannot be managed
				independently by the resident;
10.
				Any person needing suctioning of the nose and/or mouth;
11. Any person needing tracheostomy or
				sterile care of the tracheostomy that cannot be managed independently by the
				resident; or
12. Any person
				receiving oxygen for the first time, which requires adjustment and evaluation
				of oxygen concentration.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-84 - Standards for Licensing Community Residential Care Facilities › Sec2 61-84.900 - RESIDENT CARE/SERVICES › Section 61-84.900.901 - General

Current through Register Vol. 48, No. 6, June 28, 2024
A. Prior to
				admission, there shall be a written agreement between the resident, and/or
				his/her responsible party, and the facility. The agreement shall be revised
				upon any changes and shall include at least the following:
1. An explanation of the specific care,
				services, and/or equipment provided by the facility, e.g., administration of
				medication, provision of special diet as necessary, assistance with bathing,
				toileting, feeding, dressing, and mobility;
2. Disclosure of fees for all care, services,
				and/or equipment provided;
3.
				Advance notice requirements of not less than thirty (30) days to change fee
				amount for care, services and/or equipment;
4. Refund policy to include when monies are
				to be forwarded to resident upon discharge/transfer/relocation;
5. The date a resident is to receive his/her
				personal needs allowance;
6. The
				amount a resident receives for his/her personal needs allowance;
7. Transportation policy;
8. Discharge/transfer provisions to include
				the conditions under which the resident may be discharged and the agreement
				terminated, and the disposition of personal belongings;
9. Documentation of the explanation of the
				Resident's Bill of Rights and the grievance procedure. (II)
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-84 - Standards for Licensing Community Residential Care Facilities › Sec2 61-84.900 - RESIDENT CARE/SERVICES › Section 61-84.900.902 - Fiscal Management (II)

Current through Register Vol. 48, No. 6, June 28, 2024
A.
				Provisions shall be made for safeguarding money and valuables for those
				residents who request this assistance.
B. Residents shall manage their own funds
				whenever possible.
C. Only
				residents may endorse checks made payable to them, unless a legally constituted
				authority has been authorized to endorse their checks.
D. In situations where a resident becomes
				unable to manage his/her funds, the administrator shall contact a family member
				or the county probate court regarding the need for a court-appointed guardian
				or conservator. The licensee, administrator, sponsor, or any of their relatives
				shall not be appointed guardian or conservator.
E. Upon written request of the resident, the
				administrator may maintain the personal monies for the resident.
F. The licensee may be designated payee for a
				resident.
G. There shall be an
				accurate accounting of residents' personal monies and written evidence of
				purchases by the facility on behalf of the residents to include a record of
				items/services purchased, written authorization from residents of each
				item/service purchased, and an accounting of all monies paid to the facility
				for care and services. Personal monies include all monies, including family
				donations. No personal monies shall be given to anyone, including family
				members, without written consent of the resident. If a resident's money is
				given to anyone by the facility, a receipt shall be obtained.
H. A report of the balance of resident
				finances shall be physically provided to each resident by the facility on a
				quarterly basis in accordance with the Resident's Bill of Rights, regardless of
				the balance amount,
e.g.
, zero balance. Documentation of
				quarterly reports to residents shall be readily available for review.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-84 - Standards for Licensing Community Residential Care Facilities › Sec2 61-84.900 - RESIDENT CARE/SERVICES › Section 61-84.900.903 - Recreation

Current through Register Vol. 48, No. 6, June 28, 2024
A. The facility
				shall offer a variety of recreational programs to suit the interests and
				physical/cognitive capabilities of the residents that choose to participate.
				The facility shall provide recreational activities that provide stimulation;
				promote or enhance physical, mental, and/or emotional health; are
				age-appropriate; and are based on input from the residents and/or responsible
				party, as well as information obtained in the initial assessment.
B. There shall be at least one different
				structured recreational activity provided daily each week that shall
				accommodate residents' needs/interests/capabilities as indicated in the
				ICP's.
C. The facility shall
				designate a staff member responsible for the development of the recreational
				program, to include responsibility for obtaining and maintaining recreational
				supplies. At least one staff person shall be responsible for
				providing/coordinating recreational activities for the residents.
D. The recreational supplies shall be
				adequate and shall be sufficient to accomplish the activities
				planned.
E. A current month's
				schedule shall be posted in order for residents to be made aware of activities
				offered. This schedule shall include activities, dates, times, and locations.
				Residents may choose activities and schedules consistent with their interests
				and physical, mental, and psychosocial well-being. If a resident has dementia
				and is unable to choose for him/herself, staff members/volunteers shall
				encourage participation and assist when deemed necessary.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-84 - Standards for Licensing Community Residential Care Facilities › Sec2 61-84.900 - RESIDENT CARE/SERVICES › Section 61-84.900.904 - Transportation (I)

Current through Register Vol. 48, No. 6, June 28, 2024
The facility shall secure or provide transportation for
				  residents when a physician's services are needed. Local (as defined by the
				  facility) transportation for medical reasons shall be provided by the facility
				  at no additional charge to the resident. If a physician's services are not
				  immediately available and the resident's condition requires immediate medical
				  attention, the facility shall provide or secure transportation for the resident
				  to the appropriate health care providers such as, but not limited to,
				  physicians, dentists, physical therapists, or for treatment at renal dialysis
				  facilities.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-84 - Standards for Licensing Community Residential Care Facilities › Sec2 61-84.900 - RESIDENT CARE/SERVICES › Section 61-84.900.905 - Safety Precautions/Restraints (I)

Current through Register Vol. 48, No. 6, June 28, 2024
A. Periodic or continuous mechanical,
				physical or chemical restraints during routine care of a resident shall not be
				used, nor shall residents be restrained for staff convenience or as a
				substitute for care/services. However, in cases of extreme emergencies when a
				resident is a danger to him/herself or others, mechanical and/or physical
				restraints may be used as ordered by a physician or other authorized healthcare
				provider, and until appropriate medical care can be secured.
EXCEPTION:
Antipsychotic medication administered
				  to residents with Alzheimer's disease or dementia is not considered a chemical
				  restraint if the resident has be prescribed the antipsychotic medication in a
				  physician order and/or PRN and the resident only receives the prescribed dosage
				  of medication as indicated on the physician order and/or PRN and every
				  medication administration is recorded pursuant to the requirements of this
				  regulation.
B. Only those
				devices specifically designed as restraints may be used. Makeshift restraints
				shall not be used under any circumstance.
C. Emergency restraint orders shall specify
				the reason for the use of the restraint, the type of restraint to be used, the
				maximum time the restraint may be used, and instructions for observing the
				resident while restrained, if different from the facility's written procedures.
				Residents certified by a physician or other authorized healthcare provider as
				requiring restraint for more than 24 hours shall be transferred to an
				appropriate facility.
D. During
				emergency restraint, residents shall be monitored at least every 15 minutes,
				and provided with an opportunity for motion and exercise at least every 30
				minutes. Prescribed medications and treatments shall be administered as
				ordered, and residents shall be offered nourishment and fluids and given
				bathroom privileges.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-84 - Standards for Licensing Community Residential Care Facilities › Sec2 61-84.900 - RESIDENT CARE/SERVICES › Section 61-84.900.906 - Discharge/Transfer

Current through Register Vol. 48, No. 6, June 28, 2024
A. Residents shall
				be transferred or discharged only as appropriate per the provisions of the
				Resident's Bill of Rights. In cases of medical emergencies, immediate transfer
				is permissible; however, the family member, and the sponsor, if any, shall be
				notified at the earliest practical hour, but not later than 24 hours following
				the transfer. (II)
B. Prior to
				discharge, the resident, his/her appropriate family member, and the sponsor, if
				any, shall be consulted.
C.
				Residents shall be transferred or discharged to a location appropriate to the
				residents needs and abilities. Residents requiring care and/or supervision
				shall not be transferred/discharged to a location that is not licensed to
				provide that care. (II)
D. Upon
				transfer/discharge of a resident, resident information shall be released in a
				manner that promotes continuity in the care that serves the best interest of
				the resident.
E. Upon
				transfer/discharge, the facility shall ensure that medications, as appropriate,
				personal possessions and funds are released to the resident and/or the
				receiving facility in a manner that ensures continuity of care/services and
				maximum convenience of the resident. (II)
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-84 - Standards for Licensing Community Residential Care Facilities › Sec2 61-84.1100 - RESIDENT PHYSICAL EXAMINATION AND TB SCREENING › Section 61-84.1100.1101 - General (I)

Current through Register Vol. 48, No. 6, June 28, 2024
A. A physical
				examination shall be completed for residents within thirty (30) days prior to
				admission and at least annually thereafter. Physical examinations conducted
				within thirty (30) days prior to admission by physicians licensed in states
				other than South Carolina are permitted for new admissions under the condition
				that residents obtain an attending physician licensed in South Carolina within
				thirty (30) days of admission to the facility and undergo a second
				(2nd ) physical examination by that physician within
				thirty (30) days of admission to the facility. The physical examination shall
				be updated to include new medical information if the resident's condition has
				changed since the last physical examination was completed. The physical
				examination shall address:
1. The
				appropriateness of placement in a CRCF;
2. Medications/treatments ordered;
3. Self-administration status;
4. Identification of special conditions/care
				required,
e.g.
, a communicable disease, dental problems,
				podiatric problems, Alzheimer's disease and/or related dementia,
etc.
; and,
5. The
				need of (or lack thereof) for the continuous daily attention of a licensed
				nurse.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-84 - Standards for Licensing Community Residential Care Facilities › Sec2 61-84.1200 - MEDICATION MANAGEMENT › Section 61-84.1200.1201 - General (I)

Current through Register Vol. 48, No. 6, June 28, 2024
A. Medications,
				including controlled substances, medical supplies, and those items necessary
				for the rendering of first aid shall be available and properly managed in
				accordance with local, State, and Federal laws and regulations. Such management
				shall address the securing, storing, and administering of medications, medical
				supplies, first aid supplies, and biologicals, their disposal when discontinued
				or outdated, and their disposition at discharge, death, or transfer of a
				resident.
B. Applicable reference
				materials published within the previous three years shall be available at the
				facility in order to provide staff members/volunteers with adequate information
				concerning medications.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-84 - Standards for Licensing Community Residential Care Facilities › Sec2 61-84.1200 - MEDICATION MANAGEMENT › Section 61-84.1200.1202 - Medication and Treatment Orders (I)

Current through Register Vol. 48, No. 6, June 28, 2024
A. Medications and treatments, to include
				oxygen, shall be administered to residents only upon orders (to include
				standing orders) of a physician or other authorized healthcare provider.
				Medications accompanying residents at admission may be administered to
				residents provided the medication is in the original labeled container and the
				order is subsequently obtained as a part of the admission physical examination.
				Should there be concerns regarding the appropriateness of administering
				medications due to the condition/state of the medication,
e.g.
, expired, makeshift or illegible labels, or the
				condition/state of health of the newly-admitted resident, staff members shall
				consult with or make arrangements to have the resident examined by a physician
				or other authorized healthcare provider, or at the local hospital emergency
				room prior to administering any medications.
B. All orders (including verbal orders) shall
				be received only by staff members authorized by the facility, and shall be
				signed and dated by a physician or other authorized healthcare provider no
				later than three (3) business days after the order is given.
C. Medications and medical supplies ordered
				for a specific resident shall not be provided/administered to any other
				resident.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-84 - Standards for Licensing Community Residential Care Facilities › Sec2 61-84.1200 - MEDICATION MANAGEMENT › Section 61-84.1200.1203 - Administering Medication/Treatments (I)

Current through Register Vol. 48, No. 6, June 28, 2024
A. Doses of medication shall be administered
				by the same staff member who prepared them for administration. Preparation
				shall occur no earlier than one hour prior to administering. Preparation of
				doses for more than one scheduled administration shall not be permitted. Each
				physician ordered treatment or medication dose administered/supervised shall be
				properly recorded by initialing on the resident's medication administration
				record (MAR) as the medication is administered or treatment record as treatment
				is rendered. Recording medication administration shall include medication name,
				dosage, mode of administration, date, time, and the signature of the individual
				administering or supervising the taking of the medication. If the ordered
				dosage is to be given on a varying schedule,
e.g.
, "take two
				tablets the first day and one tablet every other day by mouth with noon meal,"
				the number of tablets shall also be recorded. The treatment record shall
				document the type of treatment, date and time of treatment and signature of the
				individual administering treatment.
B. Facility staff members may administer
				routine medications, acting in a surrogate family role, provided these staff
				members have been trained to perform these tasks in the proper manner by
				individuals licensed to administer medications. Facility staff members may
				administer injections of medications only in instances where medications are
				required for diabetes and conditions associated with anaphylactic reactions
				under established medical protocol. A staff licensed nurse may administer
				influenza and vitamin B-12 injections and perform tuberculin skin tests.
				Although facility staff members may monitor blood sugar levels (provided s/he
				has been appropriately trained and the facility has received a "Certificate of
				Waiver" from Clinical Laboratories Improvement Amendments (CLIA)), the
				provision of sliding scale insulin injections by facility staff members is
				prohibited.
C. Self-administering
				of medications by a resident is permitted only:
1. Upon the specific written orders of the
				physician or other authorized healthcare provider, obtained on a semi-annual
				basis, or
2. The facility shall
				ascertain by resident demonstration to the staff and document, at least
				quarterly, that s/he remains capable of self-administering
				medications.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-84 - Standards for Licensing Community Residential Care Facilities › Sec2 61-84.1200 - MEDICATION MANAGEMENT › Section 61-84.1200.1204 - Pharmacy Services (I)

Current through Register Vol. 48, No. 6, June 28, 2024
A. Any
				pharmacy within the facility shall be provided by or under the direction of a
				pharmacist in accordance with accepted professional principles and appropriate
				local, State, and Federal laws and regulations.
B. Facilities which maintain stocks of legend
				drugs and biologicals for dispensing to residents shall obtain and maintain a
				valid, current pharmacy permit from the S.C. Board of Pharmacy.
C. Labeling of medications dispensed to
				residents shall be in compliance with local, State, and Federal laws and
				regulations, to include expiration date.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-84 - Standards for Licensing Community Residential Care Facilities › Sec2 61-84.1200 - MEDICATION MANAGEMENT › Section 61-84.1200.1205 - Medication Containers (I)

Current through Register Vol. 48, No. 6, June 28, 2024
A.
				Medications for residents shall be obtained from a permitted pharmacy or
				prescriber on an individual prescription basis. These medications shall bear a
				label affixed to the container which reflects at least the following: name of
				pharmacy, name of resident, name of the prescribing physician or other
				authorized healthcare provider, date and prescription number, directions for
				use, and the name and dosage unit of the medication. The label shall be brought
				into accord with the directions of the physician or other authorized healthcare
				provider each time the prescription is refilled. Medication containers having
				soiled, damaged, incomplete, illegible, or makeshift labels shall be returned
				to the pharmacy for re-labeling or disposal. Residents may obtain their
				over-the-counter (OTC) medication from a pharmacy other than a pharmacy
				contracted with the facility.
B.
				Medications for each resident shall be kept in the original container(s)
				including unit dose systems; there shall be no transferring between containers
				(except in instances such as in Section 1203.E above), or opening blister packs
				to remove medications for destruction or adding new medications for
				administration, except under the direction of a pharmacist. In addition, for
				those facilities that utilize the unit dose system or multi-dose system, an
				on-site review of the medication program by a pharmacist shall be conducted on
				at least a quarterly basis to ensure the program has been properly implemented
				and maintained. For changes in dosage, the new packaging shall be available in
				the facility no later than the next administration time subsequent to the
				order.
C. If a physician or other
				authorized healthcare provider changes the dosage of a medication, a label,
				which does not obscure the original label, shall be attached to the container
				which indicates the new dosage, date, and prescriber's name. In lieu of this
				procedure, it is acceptable to attach a label to the container that states,
				"Directions changed; refer to MAR and physician or other authorized healthcare
				provider orders for current administration instructions." The new directions
				shall be communicated to the pharmacist upon receipt of the order.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-84 - Standards for Licensing Community Residential Care Facilities › Sec2 61-84.1200 - MEDICATION MANAGEMENT › Section 61-84.1200.1206 - Medication Storage (I)

Current through Register Vol. 48, No. 6, June 28, 2024
A.
				Medications shall be properly stored and safeguarded to prevent access by
				unauthorized persons. Expired or discontinued medications shall not be stored
				with current medications. Storage areas shall be locked, and of sufficient size
				for clean and orderly storage. Storage areas shall not be located near sources
				of heat, humidity, or other hazards that may negatively impact medication
				effectiveness or shelf life. Medications requiring refrigeration shall be
				stored in a refrigerator at the temperature established by the U.S.
				Pharmacopeia (36-46 degrees F.). Medications requiring refrigeration shall be
				kept in a secured refrigerator used exclusively for medications, or in a
				secured manner in which medications are separated from other items kept in a
				refrigerator (e.g. Lock Box). All refrigerators storing medications shall have
				accurate thermometers (within plus or minus 2 degrees).
B. Medications shall be stored:
1. Separately from poisonous substances or
				body fluids;
2. In a manner which
				provides for separation between topical and oral medications, and which
				provides for separation of each individual resident's medication.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-84 - Standards for Licensing Community Residential Care Facilities › Sec2 61-84.1200 - MEDICATION MANAGEMENT › Section 61-84.1200.1207 - Disposition of Medications (I)

Current through Register Vol. 48, No. 6, June 28, 2024
A.
				Upon discharge of a resident, the facility shall release unused medications to
				the resident, family member, or responsible party, as appropriate, and shall
				document the release with the signature of the person receiving the unused
				medications unless specifically prohibited by the attending physician or other
				authorized healthcare provider.
B.
				Residents' medications shall be destroyed by the facility administrator or
				his/her designee when:
1. Medication has
				deteriorated or exceeded its expiration date;
2. Unused portions remain due to death or
				discharge of the resident, or discontinuance of the medication (may also be
				returned to the dispensing pharmacy). Medication that has been discontinued by
				order may be stored for a period not to exceed thirty (30) days provided they
				are stored separately from current medications.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-84 - Standards for Licensing Community Residential Care Facilities › Sec2 61-84.1300 - MEAL SERVICE › Section 61-84.1300.1301 - General (II)

Current through Register Vol. 48, No. 6, June 28, 2024
A. All
				facilities that prepare food on-site shall be approved by the Department, and
				shall be regulated, inspected, and graded pursuant to R.61-25. Facilities preparing food
				on-site and licensed for 16 beds or more subsequent to the promulgation of
				these regulations shall have kitchen equipment which meets the requirement of
				R.61-25. Existing facilities with 16 licensed beds or more may continue to
				operate with equipment currently in use; however, only certified/classified
				equipment shall be used when replacements are necessary. Those facilities with
				15 beds or less shall be regulated pursuant to R.61-25 with certain exceptions
				in regard to food equipment (may utilize non-certified/non-classified food
				equipment).
EXCEPTION:
In facilities with five beds or less,
				  in lieu of a three-compartment sink, a non-certified/non-classified dishwasher
				  may be used to wash equipment/utensils, provided the facility is equipped with
				  at least a two-compartment sink used to sanitize and adequately air dry
				  equipment/utensils. In facilities with 10 beds or less and licensed prior to
				  May 24, 1991, as CRCF's, in which a two compartment sink serves to wash kitchen
				  equipment/utensils, the facility shall provide an additional container of
				  adequate length, width, and depth to completely immerse all equipment/utensils,
				  for final sanitation. Non-certified/non-classified dishwashers may be utilized
				  in facilities licensed with 10 beds or less prior to May 24, 1991, provided
				  they are approved by the Department.
B. When meals are catered to a facility, such
				meals shall be obtained from a food service establishment graded by the
				Department, pursuant to R.61-25, and there shall be a
				written executed contract with the food service establishment.
C. If food is prepared at a central kitchen
				and delivered to separate facilities or separate buildings and/or floors of the
				same facility, provisions shall be made and approved by the Department for
				proper maintenance of food temperatures and a sanitary mode of
				transportation.
D. Food shall be
				palatable, properly prepared, and sufficient in quantity and quality to meet
				the daily nutritional needs of the residents in accordance with written dietary
				policies and procedures. Efforts shall be made to accommodate the religious,
				cultural, and ethnic preferences of each individual resident and consider
				variations of eating habits, unless the orders of a physician or other
				authorized healthcare provider contraindicate.
E. Liquid or powder soap dispensers and
				sanitary paper towels shall be available at each food service handwash
				lavatory. Alcohol-based waterless hand sanitizers shall not be used in lieu of
				liquid or powder soap.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-84 - Standards for Licensing Community Residential Care Facilities › Sec2 61-84.1300 - MEAL SERVICE › Section 61-84.1300.1302 - Food and Food Storage

Current through Register Vol. 48, No. 6, June 28, 2024
A. Home
				canned food usage shall be prohibited. (I)
B. At least a one-week supply of staple foods
				and a two-day supply of perishable foods shall be maintained on the premises.
				Supplies shall be appropriate to meet the requirements of the menu and special
				or therapeutic diets. (II)
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-84 - Standards for Licensing Community Residential Care Facilities › Sec2 61-84.1300 - MEAL SERVICE › Section 61-84.1300.1303 - Meals and Services

Current through Register Vol. 48, No. 6, June 28, 2024
A. All
				facilities shall provide dietary services to meet the daily nutritional needs
				of the residents in accordance with the recommended dietary allowances of the
				Food and Nutrition Board of the National Research Council, National Academy of
				Sciences. (I)
B. The dining area
				shall provide a congenial and relaxed environment. Table service shall be
				planned in an attractive and colorful manner for each meal and shall include
				full place settings with napkins, tablecloths or place-mats, and nondisposable
				forks, spoons, knives, drink containers, plates, and other eating
				utensils/containers as needed.
C. A
				minimum of three nutritionally-adequate meals, in accordance with Section
				1304.A above, in each 24hour period, shall be provided for each resident unless
				otherwise directed by the resident's physician or other authorized healthcare
				provider. Not more than 14 hours shall elapse between the serving of the
				evening meal and breakfast the following day. (II)
D. Special attention shall be given to
				preparation and prompt serving in order to maintain correct food temperatures
				for serving at the table or resident room (tray service). (II)
E. The same foods shall not be repetitively
				served during each seven-day period except to honor specific, individual
				resident requests.
F. Specific
				times for serving meals shall be established, documented on a posted menu, and
				followed.
G. Suitable food and
				snacks shall be available and offered between meals at no additional cost to
				the residents. (II)
H. Residents
				shall be encouraged to eat in the dining room at mealtime. Tray service shall
				be permitted when the resident is medically unable to access the dining area
				for meals, or if the facility has received written notice from the
				resident/responsible party of a preference to receive tray service, in which
				case it may be provided on an occasional basis unless otherwise indicated in
				the facility's policies and procedures. Under no circumstances, may staff
				members utilize tray service for their own convenience. (II)
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-84 - Standards for Licensing Community Residential Care Facilities › Sec2 61-84.1300 - MEAL SERVICE › Section 61-84.1300.1304 - Meal Service Personnel (II)

Current through Register Vol. 48, No. 6, June 28, 2024
A. Sufficient staff members/volunteers shall
				be available to serve food and to provide individual attention and assistance,
				as needed.
B. Dietary services
				shall be organized with established lines of accountability and clearly defined
				job assignments for those engaged in food preparation and serving. There shall
				be trained staff members/ volunteers to supervise the preparation and serving
				of the proper diet to the residents including having sufficient knowledge of
				food values in order to make appropriate substitutions when necessary. The
				facility shall not permit residents to engage in food preparation.
EXCEPTION:
A resident may engage in food
				  preparation provided the following criteria are met:
1. Approval to engage in food preparation by
				a physician or other authorized medical authority;
2. The ICP of the resident has indicated food
				preparation as suitable/beneficial to the resident;
3. The resident is directly supervised by
				staff members/volunteers (must be in the kitchen with the resident);
4. Preparing food must be part of an
				organized program in which daily living skills are being taught;
5. The utilization of residents for preparing
				food is not a substitute for staff members/volunteers.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-84 - Standards for Licensing Community Residential Care Facilities › Sec2 61-84.1300 - MEAL SERVICE › Section 61-84.1300.1305 - Diets

Current through Register Vol. 48, No. 6, June 28, 2024
A. If the facility
				accepts or retains residents in need of medically-prescribed special diets, the
				menus for such diets shall be planned by a professionally-qualified dietitian
				or shall be reviewed and approved by a physician or other authorized healthcare
				provider. The facility shall maintain documentation that each of these menus
				has been planned by a dietitian, a physician or other authorized healthcare
				provider. At a minimum, documentation for each resident's special diet menu
				shall include the signature of the dietitian, the physician or other authorized
				healthcare provider, his/her title, and the date he/she signed the menu. The
				facility shall maintain staff capable of the preparation/serving of any special
				diet,
e.g.
, low-sodium, low-fat, 1200-calorie, diabetic diet.
				Facility staff preparing a resident's special diet shall be knowledgeable of
				the procedure to prepare each special diet. The preparation of any resident's
				special diet shall follow the written guidance provided by a registered
				dietitian, physician, or other authorized healthcare provider authorizing the
				resident's special diet. For each resident receiving a special diet, this
				written guidance shall be documented in the resident's record. (I)
B. If special diets are required, the
				necessary equipment for preparation of those diets shall be available and
				utilized.
C. A diet manual
				published within the previous five years shall be available and shall address
				at minimum:
1. Food sources and food
				quality;
2. Food protection
				storage, preparation and service;
3. Food worker health and
				cleanliness;
4. Recommended dietary
				allowances of the Food and Nutrition Board of the National Research Council,
				National Academy of Sciences food serving recommendations;
5. General menu planning;
6. Menu planning appropriate to special
				needs, e.g., diabetic, low-salt, low-cholesterol, or other diets appropriate
				for the elderly and/or infirmed.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-84 - Standards for Licensing Community Residential Care Facilities › Sec2 61-84.1300 - MEAL SERVICE › Section 61-84.1300.1306 - Menus

Current through Register Vol. 48, No. 6, June 28, 2024
A. Menus shall be
				planned and written at a minimum of one week in advance and dated as served.
				The current week's menu, including routine and special diets and any
				substitutions or changes made, shall be readily available and posted in one or
				more conspicuous places in a public area. All substitutions made on the master
				menu shall be recorded in writing. Cycled menus shall be rotated so that the
				same weekly menu is not duplicated for at least a period of three
				weeks.
B. Records of menus as
				served shall be maintained for at least 30 days.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-84 - Standards for Licensing Community Residential Care Facilities › Sec2 61-84.1300 - MEAL SERVICE › Section 61-84.1300.1307 - Ice and Drinking Water (II)

Current through Register Vol. 48, No. 6, June 28, 2024
A. Ice from a water system that is in
				accordance with R.61-58, shall be available and
				precautions taken to prevent contamination. The ice scoop shall be stored in a
				sanitary manner outside of the ice container.
B. Potable drinking water shall be available
				and accessible to residents at all times.
C. The usage of common cups shall be
				prohibited.
D. Ice delivered to
				resident areas in bulk shall be in nonporous, covered containers that shall be
				cleaned after each use.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-84 - Standards for Licensing Community Residential Care Facilities › Sec2 61-84.1400 - EMERGENCY PROCEDURES/DISASTER PREPAREDNESS › Section 61-84.1400.1401 - Disaster Preparedness (II)

Current through Register Vol. 48, No. 6, June 28, 2024
A.
				All facilities shall develop, by contact and consultation with their county
				emergency preparedness agency, a suitable written plan for actions to be taken
				in the event of a disaster and/or emergency evacuation and implement the
				written plan for actions at the time of need. Prior to initial licensing of a
				facility, the completed plan shall be submitted to the Department for review.
				Additionally, in instances where there are applications for increases in
				licensed bed capacity, the emergency and disaster evacuation plan shall be
				updated to reflect the proposed new total licensed bed capacity. All staff
				members and volunteers shall be made familiar with this plan and instructed as
				to any required actions. A copy of the emergency and disaster evacuation plan
				shall be available for inspection by the resident and/or responsible party upon
				request. The emergency and disaster evacuation plan shall be reviewed and
				updated annually, as appropriate. Staff members shall rehearse the emergency
				and disaster evacuation plan at least annually and shall not require resident
				participation.
B. The
				disaster/emergency evacuation plan shall include, but not be limited to:
1. A sheltering plan to include:
a. The licensed bed capacity and average
				occupancy rate;
b. Name, address
				and phone number of the sheltering facility(ies) to which the residents will be
				relocated during a disaster;
c. A
				letter of agreement signed by an authorized representative of each sheltering
				facility which shall include: the number of relocated residents that can be
				accommodated; sleeping, feeding, and medication plans for the relocated
				residents; and provisions for accommodating relocated staff members/volunteers.
				The letter shall be updated with the sheltering facility at least every three
				(3) years and whenever significant changes occur. For those facilities located
				in Beaufort, Charleston, Colleton, Horry, Jasper, and Georgetown counties, at
				least one (1) sheltering facility shall be located in a county other than these
				counties.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-84 - Standards for Licensing Community Residential Care Facilities › Sec2 61-84.1400 - EMERGENCY PROCEDURES/DISASTER PREPAREDNESS › Section 61-84.1400.1402 - Emergency Call Numbers

Current through Register Vol. 48, No. 6, June 28, 2024
Emergency call data shall be posted in a conspicuous place
				  and shall include at least the telephone numbers of fire and police
				  departments, ambulance service, and the poison control center. Other emergency
				  call information shall be available, to include the names, addresses, and
				  telephone numbers of staff members/volunteers to be notified in case of
				  emergency.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-84 - Standards for Licensing Community Residential Care Facilities › Sec2 61-84.1400 - EMERGENCY PROCEDURES/DISASTER PREPAREDNESS › Section 61-84.1400.1403 - Continuity of Essential Services (II)

Current through Register Vol. 48, No. 6, June 28, 2024
There shall be a written plan to be implemented to assure the
				  continuation of essential resident support services for such reasons as power
				  outage, water shortage, or in the event of the absence from work of any portion
				  of the workforce resulting from inclement weather or other
				  causes.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-84 - Standards for Licensing Community Residential Care Facilities › Sec2 61-84.1500 - FIRE PREVENTION › Section 61-84.1500.1501 - Arrangements for Fire Department Response/Protection (I)

Current through Register Vol. 48, No. 6, June 28, 2024
A. Each facility shall develop, in
				coordination with its supporting fire department and/or disaster preparedness
				agency, suitable written plans for actions to be taken in the event of fire,
				i.e., fire plan and evacuation plan.
B. Facilities located outside of a service
				area or range of a public fire department shall arrange for the nearest fire
				department to respond in case of fire by written agreement with that fire
				department. A copy of the agreement shall be kept on file in the facility and a
				copy shall be forwarded to the Department. If the agreement is changed, a copy
				shall be forwarded to the Department.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-84 - Standards for Licensing Community Residential Care Facilities › Sec2 61-84.1500 - FIRE PREVENTION › Section 61-84.1500.1502 - Tests and Inspections (I)

Current through Register Vol. 48, No. 6, June 28, 2024
Fire protection and suppression systems shall be maintained
				  and tested in accordance with the provisions of the codes officially adopted by
				  the South Carolina Building Codes Council and the South Carolina State Fire
				  Marshal applicable to community residential care facilities.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-84 - Standards for Licensing Community Residential Care Facilities › Sec2 61-84.1500 - FIRE PREVENTION › Section 61-84.1500.1503 - Fire Response Training (I)

Current through Register Vol. 48, No. 6, June 28, 2024
A. Fire response training shall address at a
				minimum, the following:
1. Fire plan,
				including the training of staff members/volunteers;
2. Reporting a fire;
3. Use of the fire alarm system, if
				applicable;
4. Location and use of
				fire-fighting equipment;
5. Methods
				of fire containment;
6. Specific
				responsibilities, tasks, or duties of each individual.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-84 - Standards for Licensing Community Residential Care Facilities › Sec2 61-84.1500 - FIRE PREVENTION › Section 61-84.1500.1504 - Fire Drills (I)

Current through Register Vol. 48, No. 6, June 28, 2024
A. An
				unannounced fire drill shall be conducted at least quarterly for all shifts.
				Each staff member/volunteer shall participate in a fire drill at least once
				each year. Records of drills shall be maintained at the facility, indicating
				the date, time, shift, description, and evaluation of the drill, and the names
				of staff members/volunteers and residents directly involved in responding to
				the drill. If fire drill requirements are mandated by statute or regulation,
				then provisions of the statute or regulation shall be complied with and shall
				supersede the provisions of Section 1504.
B. Drills shall be designed and conducted in
				consideration of and reflecting the content of the fire response training
				described in Section
				1503 above.
C. All residents shall participate in fire
				drills. In instances when a resident refuses to participate in a drill, efforts
				shall be made to encourage participation, e.g., counseling, implementation of
				incentives rewarding residents for participation, specific staff/volunteer to
				resident assignments to promote resident participation. Continued refusal may
				necessitate implementation of the discharge planning process to place the
				resident in a setting more appropriate to their needs and abilities.
D. In conducting fire drills, all residents
				shall evacuate to the outside of the building to a selected assembly point;
				drills shall be designed to ensure that residents attain the experience of
				exiting through all exits.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-84 - Standards for Licensing Community Residential Care Facilities › Sec2 61-84.1600 - MAINTENANCE › Section 61-84.1600.1601 - General (II)

Current through Register Vol. 48, No. 6, June 28, 2024
The facility shall keep all equipment and building components
				  (
e.g.
, doors, windows, lighting fixtures, plumbing fixtures)
				  in good repair and operating condition. The facility shall document preventive
				  maintenance. The facility shall comply with the provisions of the codes
				  officially adopted by the South Carolina Building Codes Council and the South
				  Carolina State Fire Marshal applicable to community residential care
				  facilities.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-84 - Standards for Licensing Community Residential Care Facilities › Sec2 61-84.1700 - INFECTION CONTROL AND ENVIRONMENT › Section 61-84.1700.1701 - Staff Practices (I)

Current through Register Vol. 48, No. 6, June 28, 2024
Staff/volunteer practices shall promote conditions that
				  prevent the spread of infectious, contagious, or communicable diseases and
				  provide for the proper disposal of toxic and hazardous substances. These
				  preventive measures/practices shall be in compliance with applicable guidelines
				  of the
Blood borne Pathogens Standard of the Occupational Safety and
				  Health Act (OSHA) of 1970
; the Centers for Disease Control and
				  Prevention (CDC); and R.61-105; and other applicable
				  Federal, State, and local laws and regulations.