reglab/statecodes huggingface dataset:
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-97 - Standards for Licensing Renal Dialysis Facilities › Sec2 61-97.1200 - MEDICATION MANAGEMENT › Section 61-97.1200.1203 - Medicine Storage

Current through Register Vol. 48, No. 6, June 28, 2024
A. Medication
				and drugs maintained in the Facility for daily administration shall be properly
				stored and safeguarded in enclosures of sufficient size and that are not
				accessible to unauthorized persons. Refrigerators used for storage of
				Medications shall maintain an appropriate temperature as determined by the
				requirements established on the label of Medications. A thermometer accurate to
				plus or minus three (3) degrees shall be maintained in these refrigerators.
				Only authorized personnel shall have access to storage enclosures. Controlled
				Substances and ethyl alcohol, if stocked, shall be stored under double locks
				and in accordance with applicable state and federal laws. Expired or discounted
				Medications shall not be stored with current Medications. (I)
B. Medicine Preparation Area. Medicines and
				drugs shall be prepared for administration in an area that contains a counter
				and a sink. This area shall be located in such a manner to prevent
				contaminations of medicines being prepared for administration. (II)
C. Stock Medications.
1. Unless the Facility has a permitted
				pharmacy, stocks of Legend Medications shall not be stored except those
				specifically prescribed for individual Patients.
2. Non-legend Medications may be retained and
				labeled as stock in the Facility for administration as ordered by a Physician
				or other Authorized Healthcare Provider.
3. Stocks of naloxone may be stored for
				emergency overdose crises, with or without specific prescription for individual
				Patients.
4. If stock non-Patient
				specific Controlled Substances are to be used, a Controlled Substances
				registration from the Department's Bureau of Drug Control and a Controlled
				Substances registration from the federal Drug Enforcement Administration shall
				be obtained. The registrations shall be displayed in a conspicuous location
				within the Facility. Records shall be kept of all stock supplies of Controlled
				Substances giving an accounting of all items received and/or administered.
				(I)
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-97 - Standards for Licensing Renal Dialysis Facilities › Sec2 61-97.1400 - EMERGENCY PROCEDURES AND DISASTER PREPAREDNESS › Section 61-97.1400.1401 - Disaster Preparedness. (II)

Current through Register Vol. 48, No. 6, June 28, 2024
A.
				The Facility shall develop and maintain a written plan for actions to be taken
				in the event of a disaster or an emergency evacuation. The plan shall be
				implemented as necessary and at the time of need. The plan shall be evaluated,
				updated at least Annually, and available upon request by Patients, Patients'
				families, and the Department.
B.
				During any emergent event the Facility shall provide data, Facility and
				evacuation status, and other requested information as determined by the
				Department, and at a frequency as determined by the Department.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-97 - Standards for Licensing Renal Dialysis Facilities › Sec2 61-97.1400 - EMERGENCY PROCEDURES AND DISASTER PREPAREDNESS › Section 61-97.1400.1402 - Continuity of Essential Services. (II)

Current through Register Vol. 48, No. 6, June 28, 2024
There shall be a plan to be implemented to ensure the
				  continuation of essential Patient services for such reasons as power outage,
				  water shortage, or in the event of the absence from work of any portion of the
				  work force resulting from inclement weather or other causes.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-97 - Standards for Licensing Renal Dialysis Facilities › Sec2 61-97.1500 - FIRE PREVENTION › Section 61-97.1500.1501 - Arrangements for Fire Department Response and 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, such as 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 61-97 - Standards for Licensing Renal Dialysis Facilities › Sec2 61-97.1500 - FIRE PREVENTION › Section 61-97.1500.1502 - 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 the Facility.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-97 - Standards for Licensing Renal Dialysis Facilities › Sec2 61-97.1500 - FIRE PREVENTION › Section 61-97.1500.1503 - Fire Response Training. (I)

Current through Register Vol. 48, No. 6, June 28, 2024
All Facility staff shall complete Annual fire response
				  training in accordance with specific duties and responsibilities outlined in
				  their job description. Training shall be documented in a staff record and
				  maintained in the Facility.
A. Fire
				response training shall address, at a minimum, the following:
1. Reporting a fire;
2. Use of the fire alarm system, if
				applicable;
3. Location and use of
				fire-fighting equipment;
4. Methods
				of fire containment; and
5.
				Specific responsibilities, tasks, or duties of each individual.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-97 - Standards for Licensing Renal Dialysis Facilities › Sec2 61-97.1500 - FIRE PREVENTION › Section 61-97.1500.1504 - Fire Drills

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 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 Patients directly involved in responding to the drill.
				If fire drill requirements are mandated by statute or regulation, then the
				mandated statute or regulation requirements supersede the requirements of this
				regulation, and the Facility shall comply with the provisions of the statute or
				regulation.
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 Patients shall participate in fire
				drills. In instances when a Patient refuses to participate in a drill, efforts
				shall be made to encourage participation, for example, counseling,
				implementation incentives rewarding Patients for participation, specific
				staff-to-Patient assignments to promote Patient participation. Continued
				refusal may necessitate implementation of the discharge planning process to
				place the Patient in a setting more appropriate to his or her needs and
				abilities.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-97 - Standards for Licensing Renal Dialysis Facilities › Sec2 61-97.1500 - FIRE PREVENTION › Section 61-97.1500.1505 - Fire Extinguishers, Standpipes, and Automatic Sprinklers

Current through Register Vol. 48, No. 6, June 28, 2024
The Facility shall provide fire-fighting equipment such as
				  fire extinguishers, standpipes, and automatic sprinklers as required by the
				  provisions of the codes officially adopted by the South Carolina Building Codes
				  Council and the South Carolina State Fire Marshal applicable to the Facility.
				  The Facility shall ensure extinguishers are sized, located, installed, and
				  maintained in accordance with National Fire Protection Association No. 10. The
				  Facility shall install suitable fire extinguishers in all hazardous areas. The
				  Facility shall comply with all state and local fire and safety provisions.
				  (I)
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-97 - Standards for Licensing Renal Dialysis Facilities › Sec2 61-97.1600 - MAINTENANCE › Section 61-97.1600.1601 - General Maintenance

Current through Register Vol. 48, No. 6, June 28, 2024
The Facility shall keep all equipment and building components
				  including, but not limited to, doors, windows, lighting fixtures, and 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 the Facility.
				  (II)
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-97 - Standards for Licensing Renal Dialysis Facilities › Sec2 61-97.1600 - MAINTENANCE › Section 61-97.1600.1602 - Equipment Maintenance

Current through Register Vol. 48, No. 6, June 28, 2024
A written preventive maintenance program for all fire alarm,
				  electrical, mechanical, plumbing, fire protection systems, and for all
				  equipment used in dialysis and related procedures including, but not limited
				  to, all Patient monitoring equipment, isolated electrical systems, conductive
				  flooring, Patient ground systems, and medical gas systems shall be developed
				  and implemented. This equipment shall be checked and/or tested at such
				  intervals to ensure 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 equipment to indicate its history
				  of testing and maintenance. (II)
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-97 - Standards for Licensing Renal Dialysis Facilities › Sec2 61-97.1700 - INFECTION CONTROL › Section 61-97.1700.1701 - Staff Practices

Current through Register Vol. 48, No. 6, June 28, 2024
Staff practices shall promote conditions that prevent the
				  spread of infectious, contagious, or communicable diseases and provide for
				  proper disposal of toxic and hazardous substances. These preventive measures
				  and/or practices shall be in compliance with applicable guidelines of the Blood
				  borne Pathogens Standard of the Occupational Safety and Health Act of 1970; the
				  Centers for Disease Control and Prevention; R.61-105, Infectious Waste
				  Management; and other applicable federal, state, and local laws and
				  regulations.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-97 - Standards for Licensing Renal Dialysis Facilities › Sec2 61-97.1700 - INFECTION CONTROL › Section 61-97.1700.1702 - Committee

Current through Register Vol. 48, No. 6, June 28, 2024
A. The Facility
				shall have an infection control committee composed of at least the
				Administrator, a Physician, and a registered nurse that shall be responsible
				for writing and enforcing policies and procedures for preventing and
				controlling hepatitis and other infections.
B. The policies and procedures for preventing
				and controlling hepatitis and other infections shall include, but not be
				limited to: (II)
1. appropriate procedures for
				prevention of hepatitis and other infectious diseases, to include the
				utilization of universal precautions for prevention of transmission of
				bloodborne pathogens currently recommended by the Centers for Disease
				Control;
2. appropriate procedures
				for surveillance and reporting of infections to include infection
				rates;
3. housekeeping;
4. handling and disposal of waste and
				contaminants;
5. sterilization and
				disinfection of equipment;
6.
				prevention of contamination by blood and other body fluids of units outside of
				the dialysis and Dialyzer reprocessing areas including toilet facilities, staff
				lounge, etc.;
7. protection of
				Patient clothing during the time when blood lines are opened or needles
				inserted or withdrawn; and
8.
				investigation of infections.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-97 - Standards for Licensing Renal Dialysis Facilities › Sec2 61-97.1700 - INFECTION CONTROL › Section 61-97.1700.1703 - Tuberculosis Risk Assessment and Screening. (I)

Current through Register Vol. 48, No. 6, June 28, 2024
A. Tuberculosis Testing. The Facility may
				utilize either Tuberculin skin testing or Blood Assay for Mycobacterium
				tuberculosis ("BAMT") for detecting Mycobacterium tuberculosis infection:
1. Tuberculin skin testing ("TST"). A small
				dose (0.1 mil) of purified protein derivative ("PPD") tuberculin is injected
				just beneath the surface of the skin (by the intradermal Mantoux method), and
				the area is examined for induration (hard, dense, raised area at the site of
				the TST administration) forty-eight to seventy-two (48 to 72) hours after the
				injection (but positive reactions can still be measurable up to a week after
				administering the TST). The size of the indurated area is measured with a
				millimeter ruler and the reading is recorded in millimeters, including zero (0)
				mm to represent no induration. Redness and/or erythema is insignificant and is
				not measured or recorded. Authorized Healthcare Providers are permitted to
				perform tuberculin skin testing and symptom screening.
2. Blood Assay for Mycobacterium tuberculosis
				("BAMT"). A general term to refer to in vitro diagnostic tests that assess for
				the presence of tuberculosis ("TB") infection with Mycobacterium tuberculosis.
				This term includes, but is not limited to, IFN-y; release assays
				("IGRA").
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-97 - Standards for Licensing Renal Dialysis Facilities › Sec2 61-97.1700 - INFECTION CONTROL › Section 61-97.1700.1704 - Staff Hepatitis Screening

Current through Register Vol. 48, No. 6, June 28, 2024
A.
				All Direct Care Staff shall have been vaccinated or have evidence of immunity
				for hepatitis B prior to Patient contact, unless contraindicated or offered and
				declined. The Facility shall maintain records of all Direct Care Staff
				hepatitis B vaccinations in each individual staff file. The HBsAG status of all
				Direct Care Staff shall be known to identify those individuals who are (1)
				HBsAg-positive and therefore potential sources of infection to others; (2)
				anti-HBs-positive and therefore, immune; and (3) HBV-seronegative and therefore
				susceptible to hepatitis B virus.
B. The Facility shall offer hepatitis B
				vaccinations to unvaccinated or partially vaccinated new direct care staff
				members (who do not already exhibit immunity) prior to patient contact . The
				decision to receive or decline a vaccination shall be documented in the
				individual staff file.
1. Each Direct Care
				Staff member who elects vaccination shall start the initial dose of the
				hepatitis B series within ten (10) days of Patient contact and complete the
				series within six (6) months. The Facility shall conduct and document routine
				post-vaccination testing according to the Centers for Disease Control
				guidelines for response to the vaccination.
2. The Facility shall consider the
				individuals declining vaccinations as hepatitis B virus susceptible, and follow
				the Centers for Disease Control guidelines in the event of a reported blood or
				bodily fluid exposure.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-97 - Standards for Licensing Renal Dialysis Facilities › Sec2 61-97.1700 - INFECTION CONTROL › Section 61-97.1700.1705 - Patient Hepatitis Screening

Current through Register Vol. 48, No. 6, June 28, 2024
A.
				All Patients shall be screened within thirty (30) calendar days prior to
				admission to the Facility to determine the hepatitis B virus serological status
				(HBsAg, anti-HBc, and anti-HBs). The HBsAg status of all Patients shall be
				known to identify those individuals who are (1) HBsAg-positive and therefore
				potential sources of infection to others; (2) anti-HBs-positive and therefore
				immune; and (3) HBV-seronegative and therefore susceptible to hepatitis B
				virus. A status result from hepatitis B testing shall be maintained in the
				Patient's record.
B. The Facility
				shall make available to Patients literature describing the risks and benefits
				of the hepatitis B vaccination. The Facility shall offer hepatitis B
				vaccinations to unvaccinated and/or susceptible Patients. The Facility shall
				maintain all Patient vaccination records in each Patient record.
1. Each Patient who elects vaccination shall
				start the initial dose of the hepatitis B vaccine series within ten (10) days
				of admission and complete the series within six (6) months according to Centers
				for Disease Control guidelines for pre-exposure vaccination. The Facility shall
				conduct and document routine post-vaccination testing according to the Centers
				for Disease Control guidelines for response to the vaccination.
2. The Facility shall consider the
				individuals declining vaccinations as hepatitis B virus seronegative, and
				follow the Centers for Disease Control guidelines for routine
				testing.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-97 - Standards for Licensing Renal Dialysis Facilities › Sec2 61-97.1700 - INFECTION CONTROL › Section 61-97.1700.1706 - Isolation Room

Current through Register Vol. 48, No. 6, June 28, 2024
All Facilities accepting hepatitis B surface antigen positive
				  Patients shall provide a separate isolation Dialysis room.
				  (II)
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-97 - Standards for Licensing Renal Dialysis Facilities › Sec2 61-97.1700 - INFECTION CONTROL › Section 61-97.1700.1707 - Housekeeping. (II)

Current through Register Vol. 48, No. 6, June 28, 2024
A. The Facility
				and its grounds shall be clean, and free of vermin and offensive
				odors.
B. Interior housekeeping
				shall, at a minimum, include:
1. Cleaning each
				specific area of the 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;
3. For chemicals indicated as harmful on the
				product label, cleaning materials and supplies shall be in locked storage areas
				and inaccessible to Patients; and
4. During use of chemicals indicated as
				harmful on the product label, cleaning materials and supplies shall be in
				direct possession of the staff member and monitored at all times.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-97 - Standards for Licensing Renal Dialysis Facilities › Sec2 61-97.1700 - INFECTION CONTROL › Section 61-97.1700.1708 - Linen

Current through Register Vol. 48, No. 6, June 28, 2024
A. All reusable
				linens, including those used as sterilizing wrappers, must be laundered before
				re-use.
B. Clean linens shall be
				handled, stored, processed, and transported in such a manner as to prevent the
				spread of infection.
C. The
				Facility shall have available at all times a quantity of linen essential for
				proper care and comfort of Patients.
D. Used linens shall be kept in closed and
				covered containers while being stored or transported.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-97 - Standards for Licensing Renal Dialysis Facilities › Sec2 61-97.1700 - INFECTION CONTROL › Section 61-97.1700.1709 - Refuse and Waste Disposal. (II)

Current through Register Vol. 48, No. 6, June 28, 2024
A. All garbage and waste shall be collected,
				stored, and disposed of in a manner to prevent the transmission of disease.
				Containers shall be washed and sanitized before being returned to work areas.
				Disposable-type containers shall not be reused.
B. Containers for garbage and refuse shall be
				covered and stored outside in durable, rust-resistant, non-absorbent,
				watertight, rodent-proof, easily cleanable containers placed on an approved
				platform to prevent overturning by animals, the entrance of flies or the
				creation of a nuisance. All solid waste shall be disposed of at frequencies in
				a manner so as not to create a rodent, insect, or other vermin
				problem.
C. Containers for garbage
				shall be cleaned and free of debris.
D. All sewage and liquid waste shall be
				disposed of in a manner not to create a public health hazard and by a sanitary
				method approved by the Department.
E. A Sharps disposal system shall be utilized
				and appropriately covered. (II)
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-97 - Standards for Licensing Renal Dialysis Facilities › Sec2 61-97.1700 - INFECTION CONTROL › Section 61-97.1700.1710 - Outside Areas

Current through Register Vol. 48, No. 6, June 28, 2024
All outside areas, grounds and/or adjacent buildings shall be
				  kept free of rubbish, grass, and weeds that may serve as a fire hazard or as a
				  haven for vermin. Outside stairs, walkways, ramps, and porches shall be
				  maintained free from accumulations of water, ice, snow, and other
				  impediments.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-97 - Standards for Licensing Renal Dialysis Facilities › Sec2 61-97.1700 - INFECTION CONTROL › Section 61-97.1700.1711 - Toxic and Hazardous Substances

Current through Register Vol. 48, No. 6, June 28, 2024
The Facility shall have policies and procedures for dealing
				  with toxic and hazardous substances. Such policies and procedures shall conform
				  to current Occupational Safety and Health Administration standards regarding
				  formaldehyde, renalin, or any other sterilizing agents. (II)
A. The Facility shall develop procedures to
				cover at a minimum:
1. Formaldehyde vapor
				concentration;
2. Fire
				prevention;
3. Solution
				exposure;
4. Leaks from
				machines;
5. Large and small
				spills; and
6. Solution contact
				with eyes, skin and/or clothing (appropriate eyewash stations shall be provided
				in all Facilities).
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-97 - Standards for Licensing Renal Dialysis Facilities › Sec2 61-97.1800 - QUALITY IMPROVEMENT PROGRAM

Current through Register Vol. 48, No. 6, June 28, 2024
A.
			 There shall be a written, implemented quality improvement program that provides
			 effective self-assessment and implementation of changes designed to improve the
			 care and services provided by the Facility.
B. The quality improvement program, at a
			 minimum, shall:
1. Establish desired outcomes
			 and the criteria by which policy and procedure effectiveness is regularly,
			 systematically, and objectively accomplished;
2. Identify, evaluate, and determine the
			 causes of any deviation from the desired outcomes;
3. Identify the action taken to correct
			 deviations and prevent future deviation, and the person(s) responsible for
			 implementation of these actions;
4.
			 Analyze the appropriateness of Individual Plans of Care and the necessity of
			 care and services rendered;
5.
			 Analyze all incidents and accidents, to include all medication errors and
			 Patient deaths;
6. Analyze any
			 infection, epidemic outbreaks, or other unusual occurrences which threaten the
			 health, safety, or well-being of the Patients; and
7. Establish a systematic method of obtaining
			 feedback from Patients and other interested persons, as expressed by the level
			 of satisfaction with care and services received.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-97 - Standards for Licensing Renal Dialysis Facilities › Sec2 61-97.1900 - DESIGN AND CONSTRUCTION › Section 61-97.1900.1901 - General

Current through Register Vol. 48, No. 6, June 28, 2024
A Facility shall be planned, designed, and equipped to
				  provide and promote the health, safety, and well-being of each Patient.
				  Facility design shall be such that all Patients have access to required
				  services.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-97 - Standards for Licensing Renal Dialysis Facilities › Sec2 61-97.1900 - DESIGN AND CONSTRUCTION › Section 61-97.1900.1902 - Codes and Standards

Current through Register Vol. 48, No. 6, June 28, 2024
A.
				Facility design and construction shall comply with provisions of the codes
				officially adopted by the South Carolina Building Codes Council and the South
				Carolina State Fire Marshal applicable to the Facility.
B. Unless specifically required otherwise by
				the Department, all Facilities shall comply with the adopted construction codes
				and construction provisions effective at the time its initial License was
				issued.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-97 - Standards for Licensing Renal Dialysis Facilities › Sec2 61-97.1900 - DESIGN AND CONSTRUCTION › Section 61-97.1900.1903 - Submission of Plans and Specifications

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, plans shall be
				submitted 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.
				Periodic inspections shall be conducted by the Department throughout each phase
				of a project.
B. Plans and
				specifications shall be submitted to the Department for review and approval for
				projects involving Dialysis systems that are periodically replaced, reverse
				osmosis systems, or 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;
5. Doors;
6. Walls;
7. Ceiling system assemblies;
8. Exit corridors;
9. Life safety systems; or
10. That increase the occupant load or
				Licensed Capacity of the Facility.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-97 - Standards for Licensing Renal Dialysis Facilities › Sec2 61-97.1900 - DESIGN AND CONSTRUCTION › Section 61-97.1900.1904 - Code and Standards Compliance and Inspections

Current through Register Vol. 48, No. 6, June 28, 2024
Construction work which violates codes or standards will be
				  required to be brought into compliance. All projects shall obtain all required
				  permits from the locality having jurisdiction. Construction performed without
				  proper permitting shall not be inspected by the Department.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-97 - Standards for Licensing Renal Dialysis Facilities › Sec2 61-97.2000 - FIRE PROTECTION, PREVENTION, AND LIFE SAFETY

Current through Register Vol. 48, No. 6, June 28, 2024
A. Facilities shall have a partial, manual,
			 automatic, supervised fire alarm system. The Facility shall arrange the system
			 to transmit an alarm automatically to a third party. The alarm system shall
			 notify by audible and visual alarm all areas and floors of the building. The
			 alarm system shall shut down central recirculation systems and outside air
			 units that serve the area(s) of alarm origination as a minimum.
B. All fire, smoke, heat, sprinkler flow, and
			 manual fire alarming devices shall be connected to and activate the main fire
			 alarm system when activated. (I)
C.
			 Facilities shall not have single and multi-station smoke alarms.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-97 - Standards for Licensing Renal Dialysis Facilities › Sec2 61-97.2100 - GENERAL CONSTRUCTION

Current through Register Vol. 48, No. 6, June 28, 2024
A. Gases,
			 flammable and nonflammable, shall be handled and stored in compliance with
			 provisions of the codes officially adopted by the South Carolina Building Codes
			 Council and the South Carolina State Fire Marshal.
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" Facilities, "No Smoking" signs shall not be
			 required provided all four (4) of the following conditions are met:
1. Smoking is prohibited;
2. The Facility nonsmoking policy is strictly
			 enforced;
3. "Smoke-Free" signs are
			 strategically placed at all major entrances; and
4. A facility shall have "No Smoking" signs
			 where oxygen is stored. (I)
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-97 - Standards for Licensing Renal Dialysis Facilities › Sec2 61-97.2300 - WATER SUPPLY

Current through Register Vol. 48, No. 6, June 28, 2024
A. Water
			 Supply. Water shall be obtained from a community water system and shall be
			 distributed to conveniently located taps and fixtures throughout the Facility
			 and shall be adequate in volume and pressure for all purposes. (II)
B. The Facility shall enter into an agreement
			 with the water district or similar authority whereby the Facility is regularly
			 notified of situations occurring outside the Facility that may adversely impact
			 water quality including, but not limited to: (I)
1. changes in treatment methods and
			 source;
2. municipal water
			 treatment equipment failure;
3.
			 damage to the distribution system; and
4. chemical spills.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-97 - Standards for Licensing Renal Dialysis Facilities › Sec2 61-97.2400 - ELECTRICAL › Section 61-97.2400.2401 - General. (I)

Current through Register Vol. 48, No. 6, June 28, 2024
A. The Facility
				shall equip all buildings containing Chronic Hemodialysis Stations with either:
1. An emergency generator with automatic
				transfer switch(s) that feeds the building and power requirements in Section
				2401.B; or
2. An exterior building
				connection and automatic transfer switch(s) to receive a portable emergency
				generator that is under contract for delivery and connection. The portable
				emergency generator shall feed the building and power requirements in Section
				2401.B.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-97 - Standards for Licensing Renal Dialysis Facilities › Sec2 61-97.2400 - ELECTRICAL › Section 61-97.2400.2402 - Lighting and Electrical Services

Current through Register Vol. 48, No. 6, June 28, 2024
A. All electrical and other equipment used in
				the Facility shall be maintained free of defects that could be a potential
				hazard to Patients or personnel. The Facility shall provide safe lighting for
				individual activities as required by applicable codes.
B. The Facility shall maintain all electrical
				installations and equipment in a safe, operable condition in accordance with
				the applicable codes.
C. The
				Facility shall maintain documentation of Annual electrical system inspection by
				a certified or licensed technician.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-97 - Standards for Licensing Renal Dialysis Facilities › Sec2 61-97.2500 - HEATING, VENTILATION, AND AIR CONDITIONING (HVAC)

Current through Register Vol. 48, No. 6, June 28, 2024
A. The Facility shall maintain documentation
			 of annual Heating, Ventilation, and Air Conditioning system inspection by a
			 certified or licensed technician. (II)
B. The Facility shall maintain a temperature
			 of between seventy-two (72) and seventy-eight (78) degrees Fahrenheit in
			 Patient areas. (II)
C. No Heating,
			 Ventilation, and Air Conditioning supply or return grille shall be installed
			 within three (3) feet of a smoke detector. (I)
D. Heating, Ventilation, and Air Conditioning
			 grilles shall not be installed in floors. (II)
E. 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 such a manner that would be an
			 irritant to the Patients, staff, or volunteers. (II)
F. Each bathroom and/or restroom shall have
			 either operable windows or have approved mechanical ventilation. (II)
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-97 - Standards for Licensing Renal Dialysis Facilities › Sec2 61-97.2600 - PHYSICAL PLANT › Section 61-97.2600.2601 - General

Current through Register Vol. 48, No. 6, June 28, 2024
A. The dialysis
				unit(s) shall be separate from other activities and shall be located in an area
				free of traffic by non-unit staff or Patients. (II)
B. The nursing station shall be located in an
				area that provides adequate visual surveillance of Patients on dialysis
				machines. (I)
C. Treatment areas
				shall be designed and equipped to provide proper and safe treatment as well as
				privacy and comfort for Patients. Sufficient space shall be provided to
				accommodate emergency equipment and staff to move freely to reach Patients in
				emergencies. (I)
D. At least two
				(2) acceptable exits shall be provided for each Facility. (II)
E. If the Facility is located on the ground
				floor there must be one (1) exit to the outside for ambulance and/or
				handicapped use. (II)
F. If the
				dialysis units are located above the ground floor, the Facility must have an
				elevator sized to accommodate a stretcher. (II)
G. Dialysis units shall be at least three (3)
				feet apart with cubicle curtains or other means to provide complete privacy for
				each Patient as needed. (II)
H. All
				rooms shall open onto a corridor leading to an exit and all corridors used by
				Patients shall be at least four (4) feet wide. (II)
I. A waiting room shall be provided with
				sufficient seating for Patients and visitors.
J. Storage rooms shall be provided for
				supplies and equipment. Storage room floor space shall total at least ten (10)
				square feet per station.
K. A clean
				work area that contains a work counter, handwashing sink, and storage
				facilities for the storage of clean and sterile supplies shall be provided.
				(II)
L. A soiled work area that
				contains a work counter, handwashing sink, storage cabinets, and waste
				receptacle shall be provided. (II)
M. Patient toilet facilities shall be
				provided.
N. A separate staff
				toilet and personal storage space shall be provided within the unit.
O. Separate storage space shall be provided
				for oxygen cylinders if a piped system is not provided. (II)
P. A janitor's closet shall be provided
				adjacent to and for the exclusive use of the dialysis Facility.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-97 - Standards for Licensing Renal Dialysis Facilities › Sec2 61-97.2600 - PHYSICAL PLANT › Section 61-97.2600.2602 - Ground Fault Protection

Current through Register Vol. 48, No. 6, June 28, 2024
All electrical and other equipment used in the Facility shall
				  be maintained free of defects that could be a potential hazard to Patients or
				  personnel. There shall be sufficient safe lighting for individual activities,
				  including suitable lighting for corridors and baths. Lighting in work areas
				  shall never be less than fifty (50) foot-candles. (II)
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-97 - Standards for Licensing Renal Dialysis Facilities › Sec2 61-97.2700 - SEVERABILITY

Current through Register Vol. 48, No. 6, June 28, 2024
In the event that any portion of this regulation is construed
				by a court of competent jurisdiction to be invalid, or otherwise unenforceable,
				such determination shall in no manner affect the remaining portions of this
				regulation, and they shall remain in effect as if such invalid portions were
				not originally a part of this regulation.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-98 - STATE UNDERGROUND PETROLEUM ENVIRONMENTAL RESPONSE BANK (SUPERB) SITE REHABILITATION AND FUND ACCESS REGULATION › Section 61-98.II - Site Rehabilitation Risk-Based Corrective Action Procedures

Current through Register Vol. 48, No. 6, June 28, 2024
Risk-Based corrective action procedures outlined in this
				Section shall apply to all petroleum and petroleum product releases from
				underground storage tanks.
A. General
			 Site Rehabilitation Requirements.
1. UST
			 owners or operators shall implement site rehabilitation activities based on
			 this regulation and on performance standards and criteria developed by the
			 Department. Alternate approaches that accomplish the same goals as the
			 performance standards will also be approvable. The UST owner or operator shall,
			 upon Department approval, begin site rehabilitation activity and monitor,
			 evaluate, and report the results of the activity in accordance with a schedule
			 and in a format approved by the Department.
2. The current use and reasonably anticipated
			 future use of sites shall be considered in making risk-based decisions
			 including, but not limited to, the development of site conceptual exposure
			 models, establishment of exposure points, and corrective actions. The
			 reasonably anticipated future use of sites shall be determined based on factors
			 such as: the current use of the site; zoning laws; comprehensive community
			 master plans; population growth patterns and projections; accessibility of the
			 site to existing infrastructure such as transportation and public utilities;
			 site location in relation to urban, residential, commercial, industrial,
			 agricultural, and recreational areas; Federal/State land use designation;
			 historical or recent development patterns; and location of Wellhead Protection
			 Areas.
3. UST owners or operators
			 must take actions to prevent further releases, control fire and explosion
			 hazards, and remove free product pursuant to the UST Control Regulations,
			 R.61-92, Section280.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-98 - STATE UNDERGROUND PETROLEUM ENVIRONMENTAL RESPONSE BANK (SUPERB) SITE REHABILITATION AND FUND ACCESS REGULATION › Section 61-98.III - SUPERB Fund Requirements

Current through Register Vol. 48, No. 6, June 28, 2024
1. Site
			 Rehabilitation Application.
a. A UST owner or
			 operator requesting monies from the SUPERB Fund shall submit to the Department
			 a written application on a form provided by the Department. The written
			 application shall include certification that:
(1) The chemicals of concern resulted from a
			 release from a UST, including supporting documentation.
(2) Site rehabilitation is
			 necessary.
(3) The USTs at the site
			 have been registered in compliance with applicable UST laws and
			 regulations.
(4) The UST
			 registration fees have been paid.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-101 - Water Quality Certification › Section 61-101.A - GENERAL

Current through Register Vol. 48, No. 6, June 28, 2024
1. This regulation
			 establishes procedures and policies for implementing State water quality
			 certification requirements of Section401 of the Clean Water Act, 33 U.S.C.
			 Section 1341.
2. Any applicant for
			 a Federal license or permit to conduct any activity which during construction
			 or operation may result in any discharge to navigable waters is required by
			 Federal law to first obtain a certification from the Department. Potential
			 applicants are encouraged to contact the Department prior to submitting an
			 application. Federal law provides that no Federal license or permit is to be
			 granted until such certification is obtained. Federal permits or licenses for
			 which certification is required as determined by the Federal agency include but
			 are not necessarily limited to:
(a)
			 individual or general Federal permits issued pursuant to Section404 of the
			 Clean Water Act, 33 U.S.C. Section 1344.
(b) Federal permits issued pursuant to
			 Sections9 and 10 of the Federal River and Harbor Act, 33 U.S.C. Sections 401
			 and 403.
(c) permits or licenses
			 issued by the Federal Energy Regulatory Commission, 16 U.S.C. Section1791, et
			 seq.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-101 - Water Quality Certification › Section 61-101.B - DEFINITIONS

Current through Register Vol. 48, No. 6, June 28, 2024
Other than those terms defined below, any term used in this
				regulation shall be the same as defined in Section
				48-1-10
				or Regulation Regulation
				61-68 of the Code of Laws,
				1976.
1. "Board" means the Board of
			 the Department of Health and Environmental Control.
2. "Certification" means certification as
			 required under Section401 of the Clean Water Act, 33 U.S.C. Section
			 1341.
3. "Commissioner" means the
			 Commissioner of the Department of Health and Environmental Control.
4. "Department" means the Department of
			 Health and Environmental Control.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-101 - Water Quality Certification › Section 61-101.C - APPLICATIONS

Current through Register Vol. 48, No. 6, June 28, 2024
1. Any applicant
			 for certification needed for a Federal license or permit must present a
			 complete application to the Department in a manner specified by the Department.
			 Federal application forms or forms provided by the Department will be accepted.
			 Upon receipt of an application, the Department may require additional
			 information to make the application complete. The Department will accept a
			 public notice issued by the Federal permitting or licensing agency as
			 application for certification if it contains sufficient information. Generally,
			 the date of receipt of the public notice will be considered the date of
			 application for certification. As a minimum the application must contain the
			 following information:
(a) the name, address,
			 phone numbers, principal place of business of the applicant and, if applicable,
			 the name and address of the agent for the applicant.
(b) a complete description of the proposed
			 permitted activity, including the location, affected waterbody(s), purpose, and
			 intent of the project; maps, drawings, and plans sufficient for review purposes
			 (detailed engineering plans are not required).
(c) a description of all proposed activities
			 reasonably associated with the proposed permitted project either directly or
			 indirectly, including planned or proposed future development that relate to
			 water quality considerations.
(d) a
			 description of the composition, source, and quantity of any material to be
			 dredged or used as fill and a description of the area to be impacted, including
			 the area of fill in acres.
(e) the
			 method of dredging or filling and specific plans for disposal and control of
			 dredge spoils.
(f) the names and
			 addresses of adjacent property owners.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-101 - Water Quality Certification › Section 61-101.D - PUBLIC NOTICE

Current through Register Vol. 48, No. 6, June 28, 2024
1. Public
			 notice is required of all applications for certification of Federal licenses or
			 permits. When consistent with procedures herein and practical, joint public
			 notice procedures with Federal or State agencies will be used to facilitate
			 processing.
2. The public notice of
			 application shall provide a reasonable period of time, normally thirty (30)
			 days from the date of notice within which interested persons may submit their
			 views and information concerning the certification application to the
			 Department.
3. If the Department
			 determines that an application is of a type that is routinely granted and the
			 impacts are minor, the Department may reduce the notice period to fifteen (15)
			 days. If the Department determines that an application involves a major
			 activity, the notice period may be extended up to sixty (60) days from the date
			 of the initial public notice.
4.
			 Public notice of the application shall be by each of the following methods:
(a) by the Department's mailing a copy of the
			 Notice of Application to:
1. the
			 applicant.
2. any agency with
			 jurisdiction over or interest in the activity or disposal site.
3. owners or residents of property adjoining
			 the area of the proposed activity as identified in the application.
4. newspapers of local and statewide interest
			 in the area.
5. any adjacent State
			 agency of North Carolina or Georgia with jurisdiction over or interest in
			 common waters affected by the proposed activity.
6. anyone who has specifically requested
			 copies of public notices. The list of such person will be updated periodically
			 and persons deleted who fail to respond to normal Department requests to
			 identify continued interest. Nongovernmental interests out-of-state may be
			 charged an annual fee of $25.00 for notices.