reglab/statecodes huggingface dataset:
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-78 - Standards for Licensing Hospices › Sec2 61-78.1600 - MEDICATION MANAGEMENT › Section 61-78.1600.1605 - Pharmacy Services (I)

Current through Register Vol. 48, No. 6, June 28, 2024
A. The Hospice
				Facility shall ensure pharmacy operations are in compliance with all applicable
				state and federal regulations regarding ordering, storage, administration, disposal,
				and record keeping of medications and biologicals.
B. Any pharmacy services within a Hospice 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.
C. Labeling of medications
				dispensed to patients shall be in compliance with local, state, and federal laws and
				regulations, to include expiration date.
D. The pharmaceutical services shall establish
				procedures for control and accountability of all medications and biologicals
				throughout the facility. Medications shall be dispensed in compliance with federal
				and state laws. Records of receipt and disposition of all controlled substances
				shall be maintained in sufficient detail to enable an accurate
				reconciliation.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-78 - Standards for Licensing Hospices › Sec2 61-78.1600 - MEDICATION MANAGEMENT › Section 61-78.1600.1606 - Medication Containers (I)

Current through Register Vol. 48, No. 6, June 28, 2024
Medications for patients shall be obtained from a permitted
				  pharmacy or prescriber on an individual prescription basis. The labeling of
				  medications administered to inpatients shall be in compliance with applicable
				  federal, state, and local laws and regulations. The labeling information may also be
				  available through electronic means. The label shall be in accordance 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.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-78 - Standards for Licensing Hospices › Sec2 61-78.1600 - MEDICATION MANAGEMENT › Section 61-78.1600.1607 - Medication Storage (I)

Current through Register Vol. 48, No. 6, June 28, 2024
A. A Hospice
				Facility shall properly store and safeguard medications to prevent access by
				unauthorized persons. Expired or discontinued medications shall not be stored with
				current medications. Storage areas shall be secured 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. Medications requiring
				refrigeration shall be kept in a secured refrigerator used exclusively for
				medications, or in a secured manner, such as a Lock Box, in which medications are
				separated from other items kept in a refrigerator.
B. A Hospice Facility shall store medications:
1. Separately from poisonous substances or body
				fluids;
2. In a manner that provides for
				separation between topical and oral medications and separation of each individual
				patient's medication.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-78 - Standards for Licensing Hospices › Sec2 61-78.1600 - MEDICATION MANAGEMENT › Section 61-78.1600.1608 - Disposition of Medications (I)

Current through Register Vol. 48, No. 6, June 28, 2024
A. Upon
				discharge or death of a patient, a Hospice in possession of unused medications
				belonging to the patient that do not constitute a controlled substance under
				21 U.S.C.
				Section 802 shall release the unused medications
				to the patient, family member, or responsible party, as appropriate.
B. Upon death of a patient receiving services in a
				Hospice Facility, a Hospice Facility in possession of unused medications belonging
				to the patient that constitutes a controlled substance under
				21 U.S.C.
				Section 802 shall release the unused medication to
				an applicable person under
				21 C.F.R. Section
				1317.30 for disposal in accordance with
				requirements of the federal Drug Enforcement Administration. In the alternative, a
				facility that constitutes a long-term care facility under
				21 C.F.R.
				1300.01 may dispose of the unused medications in
				accordance with
				21 C.F.R. Sections
				1317.30 and
				1317.80.
C. Upon death of a patient receiving outpatient
				services, a Hospice shall comply with S.C. Code Section
				44-71-85.
D. Upon discharge of a patient, a Hospice in
				possession of unused medications belonging to the patient that constitutes a
				controlled substance under
				21 U.S.C.
				Section 802 shall release the unused medication to
				the "ultimate user" under
				21 U.S.C.
				Section 802. In the alternative, a facility that
				constitutes a long-term care facility under
				21 C.F.R.
				1300.01 may dispose of the unused medications in
				accordance with
				21 C.F.R. Sections
				1317.30 and
				1317.80
				if authorized by the patient.
E. Expired
				biologicals, medical supplies, and solutions shall be disposed of in accord with
				Hospice Facility policy.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-78 - Standards for Licensing Hospices › Sec2 61-78.1700 - MEAL SERVICE › Section 61-78.1700.1701 - General (II)

Current through Register Vol. 48, No. 6, June 28, 2024
A. Hospice Facility food
				preparation shall be approved by the Department and shall be regulated, inspected,
				and graded pursuant to Regulation Regulation
				61-25, Retail Food
				Establishments.
B. When catered meals
				are served in a Hospice 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.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-78 - Standards for Licensing Hospices › Sec2 61-78.1700 - MEAL SERVICE › Section 61-78.1700.1702 - Meals and Services

Current through Register Vol. 48, No. 6, June 28, 2024
A. A Hospice
				Facility shall include dietary services to meet the daily nutritional needs of the
				patients in accordance with the recommended dietary allowances of the Food and
				Nutrition Board of the National Research Council, National Academy of Sciences.
				(II)
B. Unless otherwise directed by the
				patient's physician or other authorized healthcare provider or by the wishes of the
				patient, a Hospice Facility shall provide a minimum of three (3)
				nutritionally-adequate meals, in accordance with Section 1702.A above, in each
				twenty-four (24) hour period for each patient. Professional judgment may dictate
				that meal service is adjusted to meet variations in the condition of individual
				patients. This may include offering smaller, more frequent meals, or snacks, or
				postponing meals to honor a patient's request (for example, to sleep or not to eat).
				Not more than fourteen (14) hours shall elapse between the serving of the evening
				meal and breakfast the following day. (II)
C. Special attention shall be given to preparation
				and prompt serving in order to maintain correct food temperatures for serving.
				(II)
D. Suitable food and snacks shall
				be available and offered between meals at no additional cost to the patients.
				(II)
E. Tray service shall be permitted
				when the patient is medically unable to access the dining area for meals or if the
				Hospice has received notice from the patient of a preference to receive tray
				service.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-78 - Standards for Licensing Hospices › Sec2 61-78.1700 - MEAL SERVICE › Section 61-78.1700.1703 - Meal Service Staff (II)

Current through Register Vol. 48, No. 6, June 28, 2024
A. Sufficient staff
				members and volunteers shall be available to serve food and to provide individual
				attention and assistance, as needed.
B.
				Employees shall wear clean garments, maintain a high degree of cleanliness, and
				conform to hygienic practices while on duty. Individuals engaged in the preparation
				and service of food shall wear clean hair restraints, such as hair nets, hair wraps,
				hats, that will properly restrain all hair of the face and head and prevent
				contamination of food and food contact surfaces. They shall wash their hands
				thoroughly in an approved hand washing lavatory before starting work, after visiting
				the bathroom and as often as may be necessary to remove soil and
				contamination.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-78 - Standards for Licensing Hospices › Sec2 61-78.1700 - MEAL SERVICE › Section 61-78.1700.1704 - Diets

Current through Register Vol. 48, No. 6, June 28, 2024
A. If a Hospice Facility
				accepts or retains patients 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
				Hospice Facility shall provide supervision of the preparation and serving of any
				special diet, such as low-sodium, low-fat, 1200-calorie, diabetic diet. (II)
EXCEPTION:
Nonadherence to the special diet shall be
				  acceptable provided there is written consent to such nonadherence from the patient
				  or family or responsible party and the physician.
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 (5) 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 USDA food serving recommendations;
5. General menu planning;
6. Menu planning appropriate to special needs,
				such as 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 61-78 - Standards for Licensing Hospices › Sec2 61-78.1700 - MEAL SERVICE › Section 61-78.1700.1705 - Menus

Current through Register Vol. 48, No. 6, June 28, 2024
A. Hospice Facility
				menus shall be planned and written a minimum of one (1) 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.
B. A Hospice
				Facility shall maintain records of menus as served for at least thirty (30)
				days.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-78 - Standards for Licensing Hospices › Sec2 61-78.1700 - MEAL SERVICE › Section 61-78.1700.1706 - Ice and Drinking Water (II)

Current through Register Vol. 48, No. 6, June 28, 2024
A. Ice from
				a Hospice Facility water system that is in accordance with Regulation Regulation
				61-58, State Primary Drinking Water
				Regulations, shall be available and precautions taken to prevent contamination. The
				ice scoop shall be stored in a sanitary manner outside the ice container.
B. Potable drinking water shall be available and
				accessible to patients at all times.
C.
				The use of common cups shall be prohibited in a Hospice Facility.
D. Ice delivered in a Hospice Facility to patient
				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 61-78 - Standards for Licensing Hospices › Sec2 61-78.1700 - MEAL SERVICE › Section 61-78.1700.1707 - Refuse Storage and Disposal (II)

Current through Register Vol. 48, No. 6, June 28, 2024
For Hospice Facilities, refuse storage and disposal shall be in
				  accordance with R.61-25.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-78 - Standards for Licensing Hospices › Sec2 61-78.1800 - EMERGENCY PROCEDURES AND DISASTER PREPAREDNESS › Section 61-78.1800.1801 - Disaster Preparedness (II)

Current through Register Vol. 48, No. 6, June 28, 2024
A. A Hospice
				Facility 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. Prior to providing services, the Hospice
				Facility shall submit the completed plan to the Department for review. The Hospice
				Facility shall update and resubmit the emergency and/or disaster evacuation plan if
				it proposes a 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 disaster plan shall be provided to the patient and/or patient's sponsor
				at the time of admission. The plan shall be reviewed and updated, as appropriate,
				annually and rehearsed at least annually.
B. A Hospice Facility shall maintain a means of
				communication with its local emergency management agency capable of transmitting
				information and/or data during periods when normal communication systems are
				inoperable. The Hospice shall also maintain a back-up system. Both systems shall be
				exercised periodically.
C. Annually,
				prior to June 1st of each year, each Hospice Facility shall validate and provide the
				Department the information required by the Department's Critical Data Sheet (CDS)
				Information system. Hospice data provided to the CDS system will assist the
				Department, during times of disaster and emergencies, determine the appropriateness
				of evacuation or shelter-in-place.
D.
				The disaster and 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 or facilities to which the patients will be relocated
				during a disaster; and
c. A letter of
				agreement signed by an authorized representative of each sheltering facility that
				shall include: the number of relocated patients that can be accommodated; sleeping,
				feeding, and medication plans for the relocated patients; and provisions for
				accommodating relocated staff members and 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 61-78 - Standards for Licensing Hospices › Sec2 61-78.1800 - EMERGENCY PROCEDURES AND DISASTER PREPAREDNESS › Section 61-78.1800.1802 - Emergency Call Numbers (II)

Current through Register Vol. 48, No. 6, June 28, 2024
A Hospice Facility shall post emergency call data 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 and/or volunteers to be notified in case of
				  emergency.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-78 - Standards for Licensing Hospices › Sec2 61-78.1800 - EMERGENCY PROCEDURES AND DISASTER PREPAREDNESS › Section 61-78.1800.1803 - Continuity of Essential Services (II)

Current through Register Vol. 48, No. 6, June 28, 2024
There shall be a plan implemented to assure the continuation of
				  essential patient support services in case of 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 61-78 - Standards for Licensing Hospices › Sec2 61-78.1800 - EMERGENCY PROCEDURES AND DISASTER PREPAREDNESS › Section 61-78.1800.1804 - Safety Precautions and Restraints (I)

Current through Register Vol. 48, No. 6, June 28, 2024
A. Periodic or continuous mechanical or physical
				restraints during routine care of a patient shall not be used, nor shall patients be
				restrained for staff convenience or as a substitute for care, treatment, or
				services. However, in cases of extreme emergencies when a patient is a danger to him
				or herself or others, mechanical and/or physical restraints may be used as ordered
				by a physician or other authorized healthcare provider.
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 patient while restrained, if different from the Hospice's written
				procedures.
D. During emergency
				restraint, patients shall be monitored at least every hour. Prescribed medications
				and treatments shall be administered as ordered and nourishment and fluids provided
				as needed.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-78 - Standards for Licensing Hospices › Sec2 61-78.1900 - MAINTENANCE (II)

Current through Register Vol. 48, No. 6, June 28, 2024
The Hospice Facility shall maintain its institutional structure,
				component parts, and equipment in good repair and operating
				condition.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-78 - Standards for Licensing Hospices › Sec2 61-78.2000 - ENVIRONMENT › Section 61-78.2000.2001 - Housekeeping (II)

Current through Register Vol. 48, No. 6, June 28, 2024
A. The Hospice Facility
				and its grounds shall be uncluttered, clean, and free of vermin and offensive
				odors.
B. The Hospice Facility grounds
				shall be reasonably free of weeds, rubbish, overgrown landscaping, and other
				potential breeding sources for vermin.
C. Interior housekeeping of a Hospice Facility
				shall, at a minimum, include:
1. Cleaning each
				specific area of the Hospice Facility;
2. Cleaning and disinfection, as needed, of
				equipment used and/or maintained in each area appropriate to the area and the
				equipment's purpose or use; and
3. Safe
				storage and use of chemicals indicated as harmful on the product label, cleaning
				materials, and supplies in cabinets or well-lighted closets and/or rooms,
				inaccessible to patients.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-78 - Standards for Licensing Hospices › Sec2 61-78.2000 - ENVIRONMENT › Section 61-78.2000.2002 - Pets (II)

Current through Register Vol. 48, No. 6, June 28, 2024
A. If a Hospice Facility
				permits pets, healthy animals that are free of fleas, ticks, and intestinal
				parasites, and have been screened by a veterinarian prior to entering the Hospice
				Facility, have received required inoculations, if applicable, and that present no
				apparent threat to the health, safety, and well-being of the patients, may be
				permitted in the Hospice Facility, provided they are sufficiently fed and cared for
				and that both the pets and their housing are kept clean.
B. Pets shall not be allowed near patients who
				have allergic sensitivities to pets, or for other reasons such as patients who do
				not wish to have pets near them.
C. Pets
				shall not be allowed in the kitchen area. Pets shall be permitted in patient dining
				areas only during times when food is not being served. If the dining area is
				adjacent to a food preparation or storage area, those areas shall be effectively
				separated by walls and closed doors while pets are present.
D. If personal pets are permitted in a Hospice
				Facility, the housing of those pets shall be in either a patient private room or
				outside the Hospice Facility.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-78 - Standards for Licensing Hospices › Sec2 61-78.2000 - ENVIRONMENT › Section 61-78.2000.2003 - Clean and Soiled Linen (II)

Current through Register Vol. 48, No. 6, June 28, 2024
A. Clean
				Linen. A Hospice Facility shall have available a supply of clean, sanitary linen at
				all times. In order to prevent the contamination of clean linen by dust or other
				airborne particles or organisms, clean linen shall be stored and transported in a
				sanitary manner, for example, enclosed and covered. Clean linen storage rooms shall
				be used only for the storage of clean linen and other clean materials. Clean linen
				shall be separated from storage of other materials.
B. Soiled Linen.
1. For Inpatient Services, a Hospice shall not
				sort, rinse, or wash soiled linen outside of a laundry service area;
2. A Hospice Facility shall have provisions for
				collecting, transporting, and storing soiled linen;
3. A Hospice Facility shall keep soiled linen in
				enclosed or covered containers; and
4.
				For Inpatient Services, a Hospice shall not conduct laundry operations in patient
				rooms, dining rooms, or in locations where food is prepared, served, or stored.
				Freezers and refrigerators may be stored in laundry areas, provided sanitary
				conditions are maintained.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-78 - Standards for Licensing Hospices › Sec2 61-78.2000 - ENVIRONMENT › Section 61-78.2000.2004 - Exit Egress

Current through Register Vol. 48, No. 6, June 28, 2024
Hospice Facility halls, corridors and all other means of egress
				  shall be free from obstructions.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-78 - Standards for Licensing Hospices › Sec2 61-78.2100 - DESIGN AND CONSTRUCTION › Section 61-78.2100.2101 - General (II)

Current through Register Vol. 48, No. 6, June 28, 2024
A Hospice Facility shall be planned, designed, and equipped to
				  provide and promote the health, safety, and well-being of each patient. Hospice
				  Facility design shall be such that all patients have access to required services.
				  There shall be two hundred (200) gross square feet per licensed bed in a Hospice
				  Facility licensed for ten (10) beds or less. In a Hospice Facility licensed for more
				  than ten (10) beds, there shall be an additional one hundred (100) gross square feet
				  per licensed bed.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-78 - Standards for Licensing Hospices › Sec2 61-78.2100 - DESIGN AND CONSTRUCTION › Section 61-78.2100.2102 - Adopted Codes and Standards (II)

Current through Register Vol. 48, No. 6, June 28, 2024
A. Buildings
				shall comply with pertinent local and state laws, codes, ordinances, and standards
				with reference to design and construction. No Hospice Facility shall be licensed
				unless the Department has assurance that responsible local officials (zoning and
				building) have approved the Hospice Facility for code compliance.
B. Facility design and construction shall comply
				with the codes officially adopted by the South Carolina Building Codes Council and
				the South Carolina State Fire Marshal.
C. Unless required otherwise by the Department or
				specific provision(s) of this regulation, all Hospice Facilities shall comply with
				the construction codes and construction regulations applicable at the time its
				license was issued.
D. Any Hospice
				Facility that closes, has its license revoked, or surrenders its license, and
				applies for re-licensure at the same site, shall be considered a new building and
				shall meet the current codes, regulations, and requirements for the building and its
				essential equipment and systems in effect at the time of application for
				re-licensing.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-78 - Standards for Licensing Hospices › Sec2 61-78.2100 - DESIGN AND CONSTRUCTION › Section 61-78.2100.2103 - Submission of Plans (II)

Current through Register Vol. 48, No. 6, June 28, 2024
A. Plans and
				specifications shall be submitted to the Department for review and approval for new
				construction, additions or alterations to existing buildings, replacement of major
				equipment, buildings being licensed for the first time, buildings changing license
				type, and for facilities increasing occupant load or licensed capacity. Final plans
				and specifications shall be prepared by an architect and/or engineer registered in
				South Carolina and shall bear their seals and signatures. Architectural plans shall
				also bear the seal of a South Carolina registered architectural corporation. Unless
				directed otherwise by the Department, submit plans at the schematic, design
				development, and final stages. All plans shall be drawn to scale with the title,
				stage of submission and date shown thereon. Any construction changes from the
				approved documents shall be approved by the Department. Construction work shall not
				commence until a plan approval has been received from the Department. During
				construction the owner shall employ a registered architect and/or engineer for
				observation and inspections. Upon approval of the Department, construction
				administration may be performed by an entity other than the architect. The
				Department shall conduct periodic inspections throughout each project.
B. Plans and specifications shall be submitted to
				the Department for review and approval for projects that have an effect on:
1. The function of a space;
2. The accessibility to or of an area;
3. The structural integrity of the
				facility;
4. The active and/or passive
				fire safety systems (including kitchen equipment such as exhaust hoods or equipment
				required to be under an exhaust hood);
5. Doors;
6. Walls;
7. Ceiling system assemblies;
8. Exit corridors;
9. Life safety systems; or
10. Increase in occupant load or licensed capacity
				of the Hospice Facility.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-78 - Standards for Licensing Hospices › Sec2 61-78.2100 - DESIGN AND CONSTRUCTION › Section 61-78.2100.2104 - Construction Inspections

Current through Register Vol. 48, No. 6, June 28, 2024
All projects shall obtain all required permits from the locality
				  having jurisdiction. Construction without proper permitting shall not be inspected
				  by Department.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-78 - Standards for Licensing Hospices › Sec2 61-78.2100 - DESIGN AND CONSTRUCTION › Section 61-78.2100.2105 - Patient Rooms

Current through Register Vol. 48, No. 6, June 28, 2024
A. Multiple bed rooms
				shall include cubicle curtains with built-in curtain tracks that shield each patient
				completely. Curtains shall be flameproof.
B. Hospice Facility beds shall be placed at least
				three (3) feet apart.
C. A Hospice
				Facility shall provide at least one (1) private room in each nursing unit for
				purposes such as medical isolation, incompatibility, and personality
				conflicts.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-78 - Standards for Licensing Hospices › Sec2 61-78.2100 - DESIGN AND CONSTRUCTION › Section 61-78.2100.2106 - Utility Rooms

Current through Register Vol. 48, No. 6, June 28, 2024
A. Soiled Utility Room:
				A Hospice Facility shall include at least one (1) soiled utility room per nurses'
				station containing a clinical sink, work counter, waste receptacle and soiled linen
				receptacle.
B. Clean Utility Room: A
				Hospice Facility shall include at least one (1) clean utility room per nurses'
				station containing a counter with handwashing sink and space for the storage and
				assembly of supplies for nursing procedures.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-78 - Standards for Licensing Hospices › Sec2 61-78.2200 - FIRE PROTECTION EQUIPMENT AND SYSTEMS (I) › Section 61-78.2200.2201 - Fire Protection

Current through Register Vol. 48, No. 6, June 28, 2024
A. A Hospice
				Facility shall include a partial, manual, automatic, and supervised fire alarm
				system. The system shall be arranged to transmit an alarm automatically to a third
				party by an approved method. The alarm system shall notify by audible and visual
				alarm all areas and floors of the building. The alarm system shall shut down central
				recirculating systems and outside air units that serve the area(s) of alarm
				origination as a minimum.
B. All fire,
				smoke, heat, sprinkler flow, or manual fire alarming devices or systems must be
				connected to the main fire alarm system and trigger the system when they are
				activated.
C. A Hospice Facility shall
				include an NFPA 13 sprinkler system.
D.
				A Hospice Facility shall maintain a fire alarm pull station in or near each nurses'
				station.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-78 - Standards for Licensing Hospices › Sec2 61-78.2200 - FIRE PROTECTION EQUIPMENT AND SYSTEMS (I) › Section 61-78.2200.2202 - Emergency Generator Service

Current through Register Vol. 48, No. 6, June 28, 2024
A. Hospice
				Facilities shall provide certification that construction and installation of
				emergency generator service complies with requirements of all adopted
				codes.
B. In addition to compliance with
				codes adopted in this regulation, a Hospice Facility shall include an emergency
				generator to deliver emergency electrical service during interruption of the normal
				electrical service to the distribution system as follows:
1. Exit lights and exit directional
				signs;
2. Exit access corridor
				lighting;
3. Lighting of means of egress
				and staff work areas;
4. Fire detection
				and alarm systems;
5. In patient care
				areas;
6. Signal system;
7. Equipment necessary for maintaining telephone
				service and all life safety systems;
8.
				Elevator service that will reach every patient floor when rooms are located on other
				than the ground floor;
9. Fire
				pump;
10. Equipment for heating patient
				rooms;
11. Public restrooms;
12. Essential mechanical equipment
				rooms;
13. Battery-operated lighting and
				a receptacle in the vicinity of the emergency generator;
14. Alarm systems, water flow alarm devices, and
				alarms required for medical gas systems;
15. Patient records when solely electronically
				based.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-78 - Standards for Licensing Hospices › Sec2 61-78.2300 - FIRE PREVENTION › Section 61-78.2300.2301 - Arrangements for Fire Department Response and Protection (I)

Current through Register Vol. 48, No. 6, June 28, 2024
Hospice Facilities located outside of a service area or range of a
				  public fire department shall arrange by written agreement with the nearest fire
				  department for it to respond in case of fire. A copy of the agreement shall be kept
				  on file in the Hospice 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 61-78 - Standards for Licensing Hospices › Sec2 61-78.2300 - FIRE PREVENTION › Section 61-78.2300.2302 - Tests and Inspections (I)

Current through Register Vol. 48, No. 6, June 28, 2024
A Hospice Facility shall maintain and test fire protection and
				  suppression systems in accordance with the applicable codes in Section
				  2102.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-78 - Standards for Licensing Hospices › Sec2 61-78.2300 - FIRE PREVENTION › Section 61-78.2300.2303 - Fire Response Training (I)

Current through Register Vol. 48, No. 6, June 28, 2024
A. Fire
				Response Training. A Hospice with Inpatient Services shall provide training for each
				staff member and volunteer within twenty-four (24) hours of his or her first day on
				duty in the Hospice Facility and at least annually thereafter, addressing at a
				minimum, the following:
1. Fire plan, including
				the training of staff members and volunteers;
2. Fire evacuation plan, including routes and
				procedures;
3. Reporting a
				fire;
4. Use of the fire alarm
				system;
5. Location and use of
				fire-fighting equipment;
6. Methods of
				fire containment;
7. Specific
				responsibilities, tasks, or duties of each individual.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-78 - Standards for Licensing Hospices › Sec2 61-78.2300 - FIRE PREVENTION › Section 61-78.2300.2304 - Fire Drills (I)

Current through Register Vol. 48, No. 6, June 28, 2024
A. In addition to
				compliance with codes adopted in this regulation, a Hospice Facility shall conduct
				an unannounced fire drill shall at least once every three (3) months for each shift.
				Each Hospice staff member and volunteer shall participate in a fire drill at least
				once each year. Records of drills shall be maintained at the Hospice Facility,
				indicating the date, time, shift, description, and evaluation of the drill, and the
				names of staff members, volunteers, and patients 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 2304.
B.
				Drills shall be designed and conducted to evaluate the effectiveness of the plans
				and to ensure that all staff members and volunteers:
1. Are capable of performing assigned tasks and
				duties;
2. Know the location, use and
				operation of fire-fighting equipment;
3.
				Are familiar with the fire plan.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-78 - Standards for Licensing Hospices › Sec2 61-78.2400 - PREVENTIVE MAINTENANCE OF LIFE SUPPORT EQUIPMENT (I)

Current through Register Vol. 48, No. 6, June 28, 2024
A written preventive maintenance program for all life support
				equipment including, but not limited to, all HVAC systems, potable water systems,
				patient monitoring equipment, isolated electrical systems, conductive flooring,
				patient grounding systems, and medical gas systems shall be developed and
				implemented. This equipment shall be checked and/or tested at such intervals to
				insure proper operation and a state of good repair. After repairs and/or alterations
				are made to any equipment or system, the equipment or system shall be thoroughly
				tested for proper operation before returning it to service. Records shall be
				maintained on each piece of life support equipment to indicate its history of
				testing and maintenance.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-78 - Standards for Licensing Hospices › Sec2 61-78.2500 - GASES, FURNISHINGS, AND EQUIPMENT › Section 61-78.2500.2501 - Gases (I)

Current through Register Vol. 48, No. 6, June 28, 2024
A. Gases, flammable and
				nonflammable, shall be handled and stored in accordance with the applicable code in
				Section 2102.
B. Safety precautions
				shall be taken against fire and other hazards when oxygen is dispensed,
				administered, or stored. "No Smoking" signs shall be posted conspicuously, and
				cylinders shall be properly secured in place. In "Smoke-Free" Hospice Facilities,
				"No Smoking" signs shall not be required in, or in the vicinity of, patient rooms
				where oxygen is being administered provided all four (4) of the following conditions
				are met:
1. Smoking is prohibited;
2. The Hospice Facility nonsmoking policy is
				strictly enforced;
3. "Smoke-Free" signs
				are strategically placed at all major entrances; and
4. "No Smoking" signs are required in, and in the
				vicinity of, patient rooms where oxygen is being stored, as well as all other
				required areas of the Hospice Facility.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-78 - Standards for Licensing Hospices › Sec2 61-78.2500 - GASES, FURNISHINGS, AND EQUIPMENT › Section 61-78.2500.2502 - Furnishings and Equipment (I)

Current through Register Vol. 48, No. 6, June 28, 2024
A. The
				physical plant shall be maintained free of fire hazards or impediments to fire
				prevention.
B. No portable electric or
				unvented fuel heaters shall be permitted in the Hospice Facility.
C. Fireplaces and fossil-fuel stoves, or
				wood-burning, shall have partitions or screens or other means to prevent burns.
				Fireplaces shall be vented to the outside. Unvented gas logs are not allowed. Gas
				fireplaces shall have a remote gas shutoff within the room and not inside the
				fireplace.
D. Wastebaskets, window
				dressings, portable partitions, cubicle curtains, mattresses, and pillows shall be
				noncombustible, inherently flame-resistant, or treated or maintained
				flame-resistant.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-78 - Standards for Licensing Hospices › Sec2 61-78.2600 - WATER SUPPLY, HYGIENE, AND TEMPERATURE CONTROL (I)

Current through Register Vol. 48, No. 6, June 28, 2024
A. Plumbing fixtures
			 that require hot water and which are accessible to patients shall be supplied with
			 water that is thermostatically controlled to a temperature of at least one hundred
			 (100) degrees Fahrenheit and not to exceed one hundred twenty (120) degrees
			 Fahrenheit at the fixture.
B. The water
			 heater or combination of heaters shall be sized to provide at least six (6) gallons
			 per hour per bed at the above temperature range. (II)
C. Hot water supplied to the kitchen equipment and
			 utensil washing sink shall be supplied at one hundred twenty (120) degrees provided
			 all kitchen equipment and utensils are chemically sanitized. For those Hospice
			 Facilities sanitizing with hot water, the sanitizing compartment of the kitchen
			 equipment and utensil washing sink shall be capable of maintaining the water at a
			 temperature of at least one hundred eighty (180) degrees Fahrenheit.
D. Hot water provided for washing linen shall not
			 be less than one hundred sixty (160) degrees Fahrenheit. Should chlorine additives
			 or other chemicals which contribute to the margin of safety in disinfecting linen be
			 a part of the washing cycle, the minimum hot water temperature shall not be less
			 than one hundred ten (110) degrees Fahrenheit, provided hot air drying is used.
			 (II)
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-78 - Standards for Licensing Hospices › Sec2 61-78.2700 - ELECTRICAL › Section 61-78.2700.2701 - General (I)

Current through Register Vol. 48, No. 6, June 28, 2024
All electrical installations and equipment shall be maintained in
				  a safe, operable condition in accordance with the applicable code in Section 2102
				  and shall be inspected at least annually by a licensed electrician, registered
				  engineer, or certified building inspector.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-78 - Standards for Licensing Hospices › Sec2 61-78.2700 - ELECTRICAL › Section 61-78.2700.2702 - Panelboards (II)

Current through Register Vol. 48, No. 6, June 28, 2024
The directory shall be labeled to conform to the actual room
				  designations. Clear access to the panel shall be maintained. The panelboard
				  directory shall be labeled to conform to the actual room numbers or
				  designations.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-78 - Standards for Licensing Hospices › Sec2 61-78.2700 - ELECTRICAL › Section 61-78.2700.2703 - Lighting

Current through Register Vol. 48, No. 6, June 28, 2024
A. Spaces occupied by
				persons, machinery, equipment within buildings, approaches to buildings, and parking
				lots shall be lighted. (II)
B. Adequate
				artificial light shall be provided to include sufficient illumination for reading,
				observation, and activities.
C. Patient
				rooms shall have general lighting in all parts of the room, and shall have at least
				one (1) light fixture for night lighting. A reading light shall be provided for each
				client.
D. Hallways, stairs, and other
				means of egress shall be lighted at all times. (I)
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-78 - Standards for Licensing Hospices › Sec2 61-78.2700 - ELECTRICAL › Section 61-78.2700.2704 - Receptacles (II)

Current through Register Vol. 48, No. 6, June 28, 2024
A. Each patient room
				shall have duplex grounding type receptacles, to include one (1) at the head of each
				bed in accordance with the applicable code in Section 2102.
B. Each patient bed location shall have a minimum
				of two (2) duplex receptacles.
C. Each
				patient bed location shall be supplied by at least two (2) branch
				circuits.
D. Duplex receptacles for
				general use shall be installed approximately fifty (50) feet apart in all corridors
				and within twenty-five (25) feet of the ends of corridors.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-78 - Standards for Licensing Hospices › Sec2 61-78.2700 - ELECTRICAL › Section 61-78.2700.2705 - Ground Fault Protection (I)

Current through Register Vol. 48, No. 6, June 28, 2024
A. Ground
				fault circuit-interrupter protection shall be provided for all outside receptacles
				and bathrooms.
B. Ground fault
				circuit-interrupter protection shall be provided for any receptacles within six (6)
				feet of a sink or any other wet location. If the sink is an integral part of the
				metal splashboard grounded by the sink, the entire metal area is considered part of
				the wet location.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-78 - Standards for Licensing Hospices › Sec2 61-78.2700 - ELECTRICAL › Section 61-78.2700.2706 - Exit Signs (I)

Current through Register Vol. 48, No. 6, June 28, 2024
A. A Hospice Facility
				shall have exits and ways to access thereto shall be identified by
				electrically-illuminated exit signs bearing the words "Exit" in red letters, six (6)
				inches in height, on a white background.
B. Changes in egress direction shall be marked
				with exit signs with directional arrows.
C. Exit signs in corridors shall be provided to
				indicate two (2) directions of exit.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-78 - Standards for Licensing Hospices › Sec2 61-78.2800 - HEATING, VENTILATION, AND AIR CONDITIONING (HVAC) (II)

Current through Register Vol. 48, No. 6, June 28, 2024
A. No HVAC supply or
			 return grill shall be installed within three (3) feet of a smoke detector.
			 (I)
B. HVAC grills shall not be
			 installed in floors.
C. Intake air ducts
			 shall be filtered and maintained to prevent the entrance of dust, dirt, and other
			 contaminating materials. The system shall not discharge in a manner that would be an
			 irritant to the patients, staff, or volunteers.
D. Each bath or restroom shall have either
			 operable windows or have approved mechanical ventilation.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-78 - Standards for Licensing Hospices › Sec2 61-78.2900 - PHYSICAL PLANT › Section 61-78.2900.2901 - Common Areas

Current through Register Vol. 48, No. 6, June 28, 2024
A. There shall be a
				minimum of thirty (30) square feet per bed of living, recreational, and dining area
				combined, excluding bedrooms, halls, kitchens, bathrooms, and rooms not available to
				the patients.
B. Physical space for
				private patient, family, and responsible party visiting shall be provided.
C. The Hospice Facility shall include
				accommodations for family privacy after a patient's death.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-78 - Standards for Licensing Hospices › Sec2 61-78.2900 - PHYSICAL PLANT › Section 61-78.2900.2902 - Patient Rooms

Current through Register Vol. 48, No. 6, June 28, 2024
A. With the exception of
				furniture (unless otherwise allowed by facility policy), a Hospice or Hospice
				Facility shall not bar a patient from bringing familiar items from home as part of
				the furnishing to his or her room, such as wall pictures, paintings, vases, or
				other. Each patient room shall be equipped with the following as a minimum for each
				patient:
1. A comfortable single bed having a
				mattress with moisture-proof cover, sheets, blankets, bedspread, pillow, and
				pillowcases; roll-away type beds, cots, bunkbeds, and folding beds shall not be
				used. It is permissible to utilize a recliner in lieu of a bed or remove a patient
				bed and place the mattress on a platform or pallet provided the physician or other
				authorized healthcare provider has approved it and the decision is documented in the
				POC. (II)
EXCEPTION:
In the case of a married couple sharing
				  the same room, a double bed is permitted if requested. For all other requirements,
				  this shall be considered a bedroom with two (2) beds. A roll-away type bed or cot
				  may be temporarily used for family/responsible party staying overnight with the
				  patient.
2. A closet or
				wardrobe, a bureau consisting of at least three (3) drawers, and a compartmentalized
				bedside table or nightstand to adequately accommodate each patient's personal
				clothing, belongings, and toilet articles shall be provided. Built-in storage is
				permitted.
3. A comfortable chair shall
				be available for each patient occupying the room. In Hospice Facilities licensed
				prior to the promulgation of this regulation, if the available square footage of the
				patient room will not accommodate a chair for each patient or if the provision of
				multiple chairs impedes patient ability to freely and safely move about within their
				room, at least one (1) chair shall be provided and provisions made to have
				additional chairs available for temporary use in the patient's room by
				visitors.