reglab/statecodes huggingface dataset:
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-92 - UNDERGROUND STORAGE TANK CONTROL REGULATIONS › Part 280 - TECHNICAL STANDARDS AND CORRECTIVE ACTION REQUIREMENTS FOR OWNERS AND OPERATORS OF UNDERGROUND STORAGE TANKS (UST) › Subpart J - OPERATOR TRAINING › Section 61-92.280.J.302 - APPEALS

Current through Register Vol. 48, No. 6, June 28, 2024
(a) A decision
				  involving the issuance, denial, renewal, modification, suspension, or
				  revocation of a permit or registration may be appealed by an affected person
				  with standing pursuant to applicable law, including S.C. Code Title 44, Chapter
				  1 and Title 1, Chapter 23.
(b) Any
				  person to whom an order is issued may appeal it pursuant to applicable law,
				  including S.C. Code Title 44, Chapter 1 and Title 1, Chapter 23.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-92 - UNDERGROUND STORAGE TANK CONTROL REGULATIONS › Part 280 - TECHNICAL STANDARDS AND CORRECTIVE ACTION REQUIREMENTS FOR OWNERS AND OPERATORS OF UNDERGROUND STORAGE TANKS (UST) › Subpart K - UST SYSTEMS WITH FIELD-CONSTRUCTED TANKS AND AIRPORT HYDRANT FUEL DISTRIBUTION SYSTEMS › Section 61-92.280.K.250 - DEFINITIONS

Current through Register Vol. 48, No. 6, June 28, 2024
For purposes of this subpart, the following definitions
					 apply:
(a)
"
Airport
				  hydrant fuel distribution system (also called airport hydrant system)" means an
				  UST system which fuels aircraft and operates under high pressure with large
				  diameter piping that typically terminates into one or more hydrants (fill
				  stands). The airport hydrant system begins where fuel enters one or more tanks
				  from an external source such as a pipeline, barge, rail car, or other motor
				  fuel carrier.
(b)
				  "Field-constructed tank" means a tank constructed in the field. For example, a
				  tank constructed of concrete that is poured in the field, or a steel or
				  fiberglass tank primarily fabricated in the field is considered
				  field-constructed.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-92 - UNDERGROUND STORAGE TANK CONTROL REGULATIONS › Part 280 - TECHNICAL STANDARDS AND CORRECTIVE ACTION REQUIREMENTS FOR OWNERS AND OPERATORS OF UNDERGROUND STORAGE TANKS (UST) › Subpart K - UST SYSTEMS WITH FIELD-CONSTRUCTED TANKS AND AIRPORT HYDRANT FUEL DISTRIBUTION SYSTEMS › Section 61-92.280.K.251 - GENERAL REQUIREMENTS

Current through Register Vol. 48, No. 6, June 28, 2024
(a)
				  Implementation of requirements
.
Owners and operators must
				  comply with the requirements of this part for UST systems with
				  field-constructed tanks and airport hydrant systems as follows:
(1) For UST systems installed on or before
				  May 26, 2017 the requirements are effective according to the following
				  schedule:
Requirement
Effective date
Upgrading UST systems; general operating
								  requirements; and operator training
May 26, 2020
Release detection
May 26, 2020
Release reporting, response, and investigation;
								  closure; financial responsibility and notification (except as provided in
								  paragraph (b) of this section).
May 26, 2017
(2)
				  For UST systems installed after May 26, 2017, the requirements apply at
				  installation.
(i) Not later than May 26,
				  2020, all owners of previously deferred UST systems must submit a one-time
				  notice of tank system existence to the Department, using EPA form 7530-1, a
				  Department form, a Department approved form, or submitted in a format as
				  approved by the Department in accordance with Section 280.22(c). Owners and
				  operators of UST systems in use as of May 26, 2017 must demonstrate financial
				  responsibility at the time of submission of the notification form.
(ii) Except as provided in Section 280.252,
				  owners and operators must comply with the requirements of Subparts A through H
				  and J of this part.
(iii) In
				  addition to the codes of practice listed in Section 280.20, owners and
				  operators may use military construction criteria, such as Unified Facilities
				  Criteria (UFC) 3-460-01, "Petroleum Fuel Facilities," when designing,
				  constructing, and installing airport hydrant systems and UST systems with
				  field-constructed tanks.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-92 - UNDERGROUND STORAGE TANK CONTROL REGULATIONS › Part 280 - TECHNICAL STANDARDS AND CORRECTIVE ACTION REQUIREMENTS FOR OWNERS AND OPERATORS OF UNDERGROUND STORAGE TANKS (UST) › Subpart L - VARIANCES - VIOLATIONS AND PENALTIES - APPEALS › Section 61-92.280.L.300 - VARIANCES

Current through Register Vol. 48, No. 6, June 28, 2024
The Department may vary the application of any provisions
					 of these regulations, when, in its opinion, the applicant has demonstrated that
					 an equivalent degree of protection will be provided to the State's waters. Any
					 variance granted or denied by the Department shall be in writing and shall
					 contain a brief statement of the reasons for the approval or
					 denial.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-92 - UNDERGROUND STORAGE TANK CONTROL REGULATIONS › Part 280 - TECHNICAL STANDARDS AND CORRECTIVE ACTION REQUIREMENTS FOR OWNERS AND OPERATORS OF UNDERGROUND STORAGE TANKS (UST) › Subpart L - VARIANCES - VIOLATIONS AND PENALTIES - APPEALS › Section 61-92.280.L.301 - VIOLATIONS AND PENALTIES

Current through Register Vol. 48, No. 6, June 28, 2024
Any person or persons violating these regulations shall be
					 subject to the penalties provided in Title 44 Chapter 2 Section 140 of the Code
					 of Laws of South Carolina, as amended.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-92 - UNDERGROUND STORAGE TANK CONTROL REGULATIONS › Part 280 - TECHNICAL STANDARDS AND CORRECTIVE ACTION REQUIREMENTS FOR OWNERS AND OPERATORS OF UNDERGROUND STORAGE TANKS (UST) › Subpart L - VARIANCES - VIOLATIONS AND PENALTIES - APPEALS › Section 61-92.280.L.302 - APPEALS

Current through Register Vol. 48, No. 6, June 28, 2024
(a) A decision
				  involving the issuance, denial, renewal, modification, suspension, or
				  revocation of a permit or registration may be appealed by an affected person
				  with standing pursuant to applicable law, including S.C. Code Title 44, Chapter
				  1 and Title 1, Chapter 23.
(b) Any
				  person to whom an order is issued may appeal it pursuant to applicable law,
				  including S.C. Code Title 44, Chapter 1 and Title 1, Chapter 23.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-93 - Standards for Licensing Facilities for Chemically Dependent or Addicted Persons › Sec2 61-93.100 - DEFINITIONS AND LICENSURE › Section 61-93.100.101 - Definitions

Current through Register Vol. 48, No. 6, June 28, 2024
For the purpose of this regulation, the following definitions
				  shall apply:
A. Abuse. Physical abuse
				or psychological abuse.
1. Physical Abuse. The
				act of intentionally inflicting or allowing infliction of physical injury on a
				Patient by an act or failure to act. Physical abuse includes, but is not
				limited to, slapping, hitting, kicking, biting, choking, pinching, burning,
				actual or attempted sexual battery, use of medication outside the standards of
				reasonable medical practice for the purpose of controlling behavior, and
				unreasonable confinement. Physical abuse also includes the use of a restrictive
				or physically intrusive procedure to control behavior for the purpose of
				punishment except that of a therapeutic procedure prescribed by a licensed
				physician or other legally authorized healthcare professional. Physical abuse
				does not include altercations or acts of assault between Patients.
2. Psychological Abuse. The deliberate use of
				any oral, written, or gestured language or depiction that includes disparaging
				or derogatory terms to a Patient or within the Patient's hearing distance,
				regardless of the Patient's age, ability to comprehend, or disability,
				including threats or harassment or other forms of intimidating behavior causing
				fear, humiliation, degradation, agitation, confusion, or other forms of serious
				emotional distress.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-93 - Standards for Licensing Facilities for Chemically Dependent or Addicted Persons › Sec2 61-93.200 - ENFORCING REGULATIONS › Section 61-93.200.201 - General

Current through Register Vol. 48, No. 6, June 28, 2024
The Department shall utilize Inspections, Investigations,
				  Consultations, and other pertinent documentation regarding a proposed or
				  licensed Facility in order to enforce this regulation.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-93 - Standards for Licensing Facilities for Chemically Dependent or Addicted Persons › Sec2 61-93.200 - ENFORCING REGULATIONS › Section 61-93.200.202 - Inspections and Investigations

Current through Register Vol. 48, No. 6, June 28, 2024
A.
				Inspections by the Department shall be conducted prior to initial licensing of
				a Facility and subsequent Inspections conducted as deemed appropriate by the
				Department.
B. All Facilities are
				subject to Inspection and/or Investigation at any time without prior notice by
				individuals authorized by the South Carolina Code of Laws. When Staff members
				and /or Patients are absent, the Facility shall post information at the
				entrance of the Facility to those seeking legitimate access to the Facility,
				including visitors. The posted information shall include contact information
				and the expected time of return of the Staff members and Patients. The contact
				information shall include the name of a designated contact and his or her
				telephone number. The telephone number for the designated contact shall not be
				the Facility's telephone number. (I)
C. Individuals authorized by South Carolina
				law shall be allowed to enter the Facility for the purpose of Inspection and/or
				Investigation and granted access to all properties and areas, objects,
				requested records, and documentation at the time of the Inspection or
				Investigation. The Department shall have the authority to require the Facility
				to make photocopies of those documents required in the course of Inspections or
				Investigations. Photocopies shall be used only for purposes of enforcement of
				regulations and confidentiality shall be maintained except to verify the
				identity of individuals in enforcement action proceedings. The physical area of
				Department Inspections and Investigations shall be determined by the Department
				based on the potential impact or effect upon patients. (I)
D. When there is noncompliance with the
				licensing standards, the Facility shall submit an acceptable plan of correction
				in a format determined by the Department. The plan of correction shall be
				signed by the Administrator and returned by the date specified on the report of
				Inspection and/or Investigation. The plan of correction shall describe: (II)
1. The actions taken to correct each cited
				deficiency;
2. The actions taken to
				prevent recurrences (actual and similar); and
3. The actual or expected completion dates of
				those actions.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-93 - Standards for Licensing Facilities for Chemically Dependent or Addicted Persons › Sec2 61-93.200 - ENFORCING REGULATIONS › Section 61-93.200.203 - Consultations

Current through Register Vol. 48, No. 6, June 28, 2024
Consultations shall be provided by the Department as
				  requested by the Facility or as deemed appropriate by the Department.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-93 - Standards for Licensing Facilities for Chemically Dependent or Addicted Persons › Sec2 61-93.300 - ENFORCEMENT ACTIONS › Section 61-93.300.301 - General

Current through Register Vol. 48, No. 6, June 28, 2024
When the Department determines that a Facility is in
				  violation of any statutory provision or regulation relating to the operation or
				  maintenance of such Facility, the Department, upon proper notice to the
				  Licensee, may deny, suspend, or revoke Licenses, or assess a monetary penalty,
				  or both.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-93 - Standards for Licensing Facilities for Chemically Dependent or Addicted Persons › Sec2 61-93.300 - ENFORCEMENT ACTIONS › Section 61-93.300.302 - Violation Classifications

Current through Register Vol. 48, No. 6, June 28, 2024
A.
				Violations of standards in this regulation are classified as follows:
1. Class I violations are those that present
				an imminent danger to the health, safety, or well-being of the persons in the
				Facility or a substantial probability that death or serious physical harm could
				result therefrom. A physical condition or one or more practices, means,
				methods, or operations in use in a Facility may constitute such a violation.
				The condition or practice constituting a Class I violation shall be abated or
				eliminated immediately unless a fixed period of time, as stipulated by the
				Department, is required for correction. Each day such violation exists after
				expiration of the time established by the Department shall be considered a
				subsequent violation.
2. Class II
				violations are those, other than Class I violations, that have a negative
				impact on the health, safety, or well-being of persons in the Facility. The
				citation of a Class II violation shall specify the time within which the
				violation is required to be corrected. Each day such violation exists after
				expiration of this time shall be considered a subsequent violation.
3. Class III violations are those that are
				not classified as Class I or II in this regulation or those that are against
				the best practices. The citation of a Class III violation shall specify the
				time within which the violation is required to be corrected. Each day such
				violation exists after expiration of this time shall be considered a subsequent
				violation.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-93 - Standards for Licensing Facilities for Chemically Dependent or Addicted Persons › Sec2 61-93.400 - POLICIES AND PROCEDURES (II)

Current through Register Vol. 48, No. 6, June 28, 2024
A. The Facility
			 shall maintain and adhere to written policies and procedures addressing the
			 manner in which the requirements of this regulation shall be met. The Facility
			 shall be in full compliance with the policies and procedures.
B. The written policies and procedures shall
			 include the following:
1. Staffing and
			 training;
2. Reporting incidents,
			 accidents, reportable diseases, closure and zero census;
3. Patient records;
4. Admission and Discharge;
5. Patient care, treatment, and
			 services;
6. Medication
			 management;
7. Maintenance
			 including doors, windows, heating, ventilation, air conditioning, fire alarm,
			 electrical, mechanical, plumbing, and for all equipment;
8. Infection control and
			 housekeeping;
9. Quality
			 Improvement Program; and
10. Fire
			 Prevention;
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-93 - Standards for Licensing Facilities for Chemically Dependent or Addicted Persons › Sec2 61-93.500 - STAFF AND TRAINING › Section 61-93.500.501 - General (II)

Current through Register Vol. 48, No. 6, June 28, 2024
A. The Facility
				shall develop and implement policies and procedures to provide for appropriate
				Staff and/or Volunteers in numbers and training to suit the needs and condition
				of the Patients and meet the demands of effective emergency on-site action that
				might arise. Training requirements/qualifications for the tasks each performs
				shall be in compliance with all local, state, and federal laws, and current
				professional organizational standards.
B. The Facility shall maintain accurate
				information regarding all Staff and/or Volunteers of the Facility. The
				documentation shall include at least current address, phone number, health and
				work and/or training background, as well as current information. The Facility
				shall ensure all employees are assigned certain duties and responsibilities
				that shall be in writing and in accordance with the individual's capability.
				(II)
C. When a Facility engages a
				source other than the Facility to provide services normally provided by the
				Facility, the Facility shall maintain documentation of the written agreement
				with the source that describes how and when the services are to be provided,
				the exact services to be provided, and that these services are to be provided
				by qualified individuals. The source shall comply with this regulation in
				regard to Patient care, services, and rights.
D. The Facility shall maintain documentation
				to ensure the Facility meets staffing requirements in Sections 503, 504, and
				505.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-93 - Standards for Licensing Facilities for Chemically Dependent or Addicted Persons › Sec2 61-93.500 - STAFF AND TRAINING › Section 61-93.500.502 - Administrator (II)

Current through Register Vol. 48, No. 6, June 28, 2024
A. Each
				Facility shall have a full-time Administrator who is responsible for the
				overall management and operation of the Facility and has at least a bachelor's
				degree in a related field.
B. A
				Staff member shall be designated by name or position, in writing, to act in the
				absence of the Administrator, for example, a listing of the lines of authority
				by position title, including the names of the individuals filling these
				positions.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-93 - Standards for Licensing Facilities for Chemically Dependent or Addicted Persons › Sec2 61-93.500 - STAFF AND TRAINING › Section 61-93.500.503 - Staffing for Residential Facilities (I)

Current through Register Vol. 48, No. 6, June 28, 2024
A. All Staff members and/or Volunteers on
				duty shall be present, awake, and dressed at all times when Patients are
				present in the Facility. All Staff members and/or Volunteers shall know how to
				respond to Patient needs and emergencies.
B. Additional Staff shall be provided if it
				is determined that the minimum Staff requirements are inadequate to provide
				appropriate services and supervision to the Patients of a Facility.
C. Staffing for Residential Treatment
				Programs.
1. The number of Staff members that
				shall be maintained in all Facilities:
a. In
				each building, there shall be at least one (1) Staff member and/or Volunteer on
				duty for each ten (10) Patients or fraction thereof present from 7:00 am until
				7:00 p.m.
b. In each building,
				there shall be at least one (1) Staff member and/or Volunteer for each twenty
				(20) Patie nts or fraction thereof from 7:00 p.m. until 7:00 a.m.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-93 - Standards for Licensing Facilities for Chemically Dependent or Addicted Persons › Sec2 61-93.500 - STAFF AND TRAINING › Section 61-93.500.505 - Staffing for Opioid Treatment Programs (I)

Current through Register Vol. 48, No. 6, June 28, 2024
A. The Opioid Treatment Program Physician
				shall have authority over all medical aspects of care and make treatment
				decisions in consultation with treatment Staff consistent with the needs of the
				Patient, clinical protocols, and research findings. The Facility shall have at
				least one (1) Physician available during dosing and Facility operating hours,
				either in person or by telephone for consultation and for
				emergencies.
B. The Facility shall
				have a pharmacist or other person licensed to dispense Opioid Treatment Program
				Medications pursuant to the South Carolina Code of Laws who is responsible for
				dispensing the amounts of Opioid Treatment Program Medications administered and
				shall record and countersign all changes in dosing schedules.
C. The Facility shall have one (1) Licensed
				Nurse present at all times Medications are being administered to
				Patients.
D. The Opioid Treatment
				Program shall have a least one (1) full-time counselor on staff for every fifty
				(50) Patients or fraction thereof. Counselors shall be qualified as specified
				in Section 508.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-93 - Standards for Licensing Facilities for Chemically Dependent or Addicted Persons › Sec2 61-93.500 - STAFF AND TRAINING › Section 61-93.500.506 - Inservice Training (II)

Current through Register Vol. 48, No. 6, June 28, 2024
A. All
				Facilities shall provide Staff and Volunteers the necessary training to perform
				the duties for which they are responsible in an effective manner. The Facility
				shall require all Staff members and Volunteers to complete the necessary
				training to perform their duties and responsibilities. The Facility shall
				document all in-service training. Staff training shall be signed and dated by
				the individual providing the training and the person receiving the training.
				The signature for the individual providing the training may be omitted for
				online training.
B. All Facilities
				shall provide the following training to all Staff and Volunteers prior to
				Patient contact and at a frequency as determined by the Facility, but at least
				annually:
1. The nature of Substance Use
				Disorder, complications of Chemical Dependency, and withdrawal
				symptoms.
2. Confidentiality of
				Patient information and records and the protection of Patient rights.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-93 - Standards for Licensing Facilities for Chemically Dependent or Addicted Persons › Sec2 61-93.500 - STAFF AND TRAINING › Section 61-93.500.507 - Health Status (I)

Current through Register Vol. 48, No. 6, June 28, 2024
A. All
				Staff and Volunteers who have contact with Patients, including food services
				Staff and Volunteers, shall have a Health Assessment, as defined in Section
				101.X, within twelve (12) months prior to initial Patient contact. The Health
				Assessment shall include tuberculin skin testing as described in Section
				1702.
B. For Staff members and/or
				Volunteers working at multiple Facilities operated by the same Licensee, the
				documented Health Assessment shall be accessible at each Facility, provided the
				information is in compliance with this regulation.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-93 - Standards for Licensing Facilities for Chemically Dependent or Addicted Persons › Sec2 61-93.500 - STAFF AND TRAINING › Section 61-93.500.508 - Counselors (II)

Current through Register Vol. 48, No. 6, June 28, 2024
A. Each
				Facility shall have at least one (1) Staff Counselor who is fully-certified or
				licensed. All non-certified and/or licensed Counselors shall be under the
				direct supervision of an on-site fully-certified or licensed
				Counselor.
B. Staff and Volunteers
				providing clinical counseling services shall have one (1) of the following
				qualifications:
1. Certification:
a. Certification under the system
				administered by the South Carolina Association of Alcohol and Drug Abuse
				Counselors Certification Commission, or currently engaged, as verified and
				documented in the individual's personnel file, in the South Carolina
				Association of Alcohol and Drug Abuse Counselors certification process that is
				to be completed within a three (3)-year period from date of hire as a
				Counselor; or
b. Certification as a
				Counselor by:
(1) The National Association of
				Alcohol and Drug Abuse Counselors;
(2) An International Certification
				Reciprocity Consortium-approved certification board; or
(3) Any other South Carolina Department of
				Alcohol and Other Drug Abuse Services -approved credentialing or certification
				association or commission; or
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-93 - Standards for Licensing Facilities for Chemically Dependent or Addicted Persons › Sec2 61-93.600 - REPORTING › Section 61-93.600.601 - Accidents and Incidents (II)

Current through Register Vol. 48, No. 6, June 28, 2024
A.
				The Facility shall maintain a record of each accident and/or incident,
				including usage of mechanical and/or physical restraints, involving Patients,
				Staff members or Volunteers, occurring in the Facility or on the Facility
				grounds. The Facility shall retain all documented incidents reported pursuant
				to this section six (6) years after the Patient stops receiving services at the
				Facility.
B. The Facility shall
				report the following types of incidents to the next of kin or responsible party
				at the earliest practicable hour, not exceeding twenty-four (24) hours of the
				incident. The Facility shall report the following types of incidents to the
				Department immediately, not to exceed twenty-four (24) hours, via the
				Department's electronic reporting system or as otherwise determined by the
				Department. incidents requiring reporting include, but are not limited to:
1. Confirmed or Suspected Abuse, Neglect or
				Exploitation against a Patient by Facility Staff;
2. Crimes committed against
				Patients;
3. Death: For Residential
				Facilities, any Patient's death in the Facility or on the Facility grounds; for
				Opioid Treatment Programs, any Patient's death regardless of
				location;
4. Overdose reversal
				(naloxone);
5. Elopement
				(Residential Facility only);
6.
				Bone fracture or joint fracture;
7.
				Hospitalization as a result of accident and/or incident;
8. Medication Error;
9. Attempted Suicide; and
10. Severe injury involving use of
				restraint.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-93 - Standards for Licensing Facilities for Chemically Dependent or Addicted Persons › Sec2 61-93.600 - REPORTING › Section 61-93.600.602 - Fire and Disasters (II)

Current through Register Vol. 48, No. 6, June 28, 2024
A. The
				Facility's Administrator or his or her designee shall notify the Department
				immediately via telephone, e-mail, or fax of any fire in the Facility. The
				Facility shall submit a complete written report to include fire reports within
				a time-period determined by the Facility, but not to exceed forty-eight (48)
				hours from the occurrence of the fire.
B. The Facility's Administrator, or his or
				her designee, shall notify the Department immediately of any natural disaster
				or fire that requires displacement of the Patients, or jeopardizes or
				potentially jeopardizes the safety of the Patients. The Facility shall submit a
				complete written report that includes the fire report from the local fire
				department within a time-period as determined by the Facility, but not to
				exceed forty-eight (48) hours.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-93 - Standards for Licensing Facilities for Chemically Dependent or Addicted Persons › Sec2 61-93.600 - REPORTING › Section 61-93.600.603 - Communicable Diseases and Animal Bites (I)

Current through Register Vol. 48, No. 6, June 28, 2024
The Facility shall report all cases of diseases and animal
				  bites that are required to be reported to the appropriate county health
				  department in accordance with R.61-20, Communicable Diseases.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-93 - Standards for Licensing Facilities for Chemically Dependent or Addicted Persons › Sec2 61-93.600 - REPORTING › Section 61-93.600.604 - Administrator Change

Current through Register Vol. 48, No. 6, June 28, 2024
The Licensee shall notify the Department via email, or a
				  means as otherwise determined by the Department within seventy-two (72) hours
				  of any change in Administrator status. The Licensee shall provide the
				  Department in writing within ten (10) days the name of the newly-appointed
				  Administrator and the effective date of the appointment.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-93 - Standards for Licensing Facilities for Chemically Dependent or Addicted Persons › Sec2 61-93.600 - REPORTING › Section 61-93.600.605 - Joint Annual Report

Current through Register Vol. 48, No. 6, June 28, 2024
Residential Facilities providing a Medical Withdrawal
				  Management Program and Outpatient Facilities providing an Opioid Treatment
				  Program, shall complete and return a "Joint Annual Report" to the South
				  Carolina Revenue and Fiscal Affairs Office within the time-period specified by
				  the Department.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-93 - Standards for Licensing Facilities for Chemically Dependent or Addicted Persons › Sec2 61-93.600 - REPORTING › Section 61-93.600.606 - Accounting of Controlled Substances (I)

Current through Register Vol. 48, No. 6, June 28, 2024
Any Facility registered with the Department's Bureau of Drug
				  Control and the federal Drug Enforcement Agency shall report any theft or loss
				  of Controlled Substances to local law enforcement and to the Department's
				  Bureau of Drug Control within seventy-two (72) hours of the discovery of the
				  loss and/or theft. Any Facility permitted by the South Carolina Board of
				  Pharmacy shall report the loss or theft of drugs or devices in accordance with
				  Section
				  40-43-91
				  of the South Carolina Code of Laws.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-93 - Standards for Licensing Facilities for Chemically Dependent or Addicted Persons › Sec2 61-93.600 - REPORTING › Section 61-93.600.607 - Facility Closure

Current through Register Vol. 48, No. 6, June 28, 2024
A. Prior to the
				permanent closure of a Facility, the Licensee shall notify the Department in
				writing of the intent to close and the effective closure date. Within ten (10)
				days of the closure, the Facility shall notify the Department of the provisions
				for the maintenance of the records, the identification of those Patients
				displaced, the relocated site, and the dates. On the date of closure, the
				License shall be returned to the Department.
B. In instances where a Facility temporarily
				closes, the Licensee shall notify the Department in writing within fifteen (15)
				calendar days prior to temporary closure. In the event of temporary closure due
				to an emergency, the Facility shall notify the Department within twenty-four
				(24) hours of the closure via telephone, email, or fax. At a minimum this
				notification shall include, but not be limited to: the reason for the temporary
				closure, the location where the Patients have been and/or will be transferred,
				the manner in which the records are being stored, and the anticipated date for
				re-opening.
C. The Department shall
				consider, upon appropriate review, the necessity of inspecting and determining
				the applicability of current construction standards of the Facility prior to
				its reopening. If the Facility is closed for a period longer than one (1) year,
				and there is a desire to re-open, the Facility shall re-apply to the Department
				for licensure and shall be subject to all licensing requirements at the time of
				that application, including construction-related requirements for a new
				Facility.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-93 - Standards for Licensing Facilities for Chemically Dependent or Addicted Persons › Sec2 61-93.600 - REPORTING › Section 61-93.600.608 - Zero Census

Current through Register Vol. 48, No. 6, June 28, 2024
In instances when there have been no Patients in a Facility
				  for any reason for a period of ninety (90) days or more, the Facility shall
				  notify the Department in writing that there have been no admissions, no later
				  than the one hundredth (100th) calendar day
				  following the date of departure of the last active Patient. At the time of that
				  notification, the Department shall consider, upon appropriate review of the
				  situation, the necessity of inspecting the Facility prior to any new and/or
				  readmissions to the Facility. In the event the Facility is at zero census or
				  temporarily closed, the Licensee is still required to apply and pay the
				  licensing fee to keep the License active. If the Facility has no Patients for a
				  period longer than one (1) year and there is a desire to admit a Patient, the
				  Facility shall re-apply to the Department for licensure and shall be subject to
				  all licensing requirements at the time of that application, including
				  construction-related requirements for a new Facility.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-93 - Standards for Licensing Facilities for Chemically Dependent or Addicted Persons › Sec2 61-93.700 - PATIENT RECORDS › Section 61-93.700.701 - Content (II)

Current through Register Vol. 48, No. 6, June 28, 2024
A. The Facility
				shall initiate and maintain a Patient record for every individual screened,
				assessed and/or treated. The record shall contain sufficient information to
				identify the Patient and the agency and/or person responsible for each Patient,
				support the diagnosis, justify the treatment, and describe the response and/or
				reaction to treatment. The record contents shall also include the provisions
				for release of information, Patient rights, consent for treatment (approval by
				parent and/or guardian of Patient), Medications prescribed and administered,
				and diet (Residential Facilities only), documentation of the course and
				results, and promote continuity of treatment among treatment providers,
				consistent with acceptable standards of practice. In Facilities providing
				services for Parents with children, the name and age of each child shall be
				maintained in the Facility. All entries shall be written legibly in ink, typed,
				or electronic media, and signed and dated or documented in the electronic
				medical record.
B. If the Facility
				permits any portion of a Patient's record to be generated by electronic or
				optical means, there shall be policies and procedures to prohibit the use or
				authentication by unauthorized users.
C. Specific entries and documentation shall
				include at a minimum:
1. Consultations by
				Physicians or other Authorized Healthcare Providers;
2. Signed and dated orders and
				recommendations for all Medication, care, services, and diet (Residential
				Facilities only) from Physicians or other Authorized Healthcare Providers,
				which shall be completed prior to, or at the time of admission, and
				subsequently, as warranted; (I)
3.
				Intake screening and initial physical assessment completed by the nurse or
				Counselor;
4. A signed and dated
				original consent for treatment; (I)
5. The report of the mental status
				examination and other mental health assessments as defined in Section 101.G. as
				appropriate;
6. Notes of counseling
				sessions and any other changes in the Patient's mental and physical condition;
				and
7. Medication management and
				administration, and treatment records.
8. Discharge summary, completed within a
				time-period as determined by the Facility, but no later than three (3) business
				days, and shall include at minimum:
a. Time
				and circumstances of Discharge or transfer, including condition at Discharge or
				transfer, or death; and
b. The
				recommendations and arrangements for further treatments, including
				Aftercare.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-93 - Standards for Licensing Facilities for Chemically Dependent or Addicted Persons › Sec2 61-93.700 - PATIENT RECORDS › Section 61-93.700.702 - Screening (I)

Current through Register Vol. 48, No. 6, June 28, 2024
A. The Facility
				shall have written protocols for screening individuals presenting for
				admission. The Facility shall maintain documentation of the rationale for the
				denial of admission and referral of the individual as applicable.
B. All screening shall be documented for each
				individual presenting to the Facility.
C. For Facilities providing a Medical
				Withdrawal Management Program, the Intake screening shall be conducted by a
				Physician or other Authorized Healthcare Provider to determine the need for
				medical services or referral for serious medical complications.
D. For Facilities providing Social Withdrawal
				Management, the Intake screening shall be provided by Staff or Volunteers
				trained to monitor the Patient's physical condition.
E. For Facilities providing an Opioid
				Treatment Program, screening shall include:
1. Evidence of tolerance to an
				opioid;
2. History of physiological
				dependence for at least one (1) year prior to admission. The Opioid Treatment
				Program Physician may waive the one (1)-year history of dependence when the
				Patient seeking admission meets one (1) of the following criteria:
a. The Patient has been recently released
				from a penal or chronic care Facility with a high risk of relapse;
b. The Patient has been previously treated
				and is at risk of relapse;
c. The
				Patient is pregnant and does not exhibit objective signs of opioid withdrawal
				or physiological dependence;
3. Evidence of multiple and daily
				self-administration of an opioid;
4. Reasonable attempts to confirm that the
				applicant is not enrolled in one (1) or more other Opioid Treatments
				Programs;
5. Controlled Substance
				history to determine dependence on opium, morphine, heroin, or any derivative
				or synthetic controlled substance of that group. The substance history shall
				include:
a. Controlled Substance(s)
				utilized;
b. Frequency of
				use;
c. Amount utilized;
d. Duration of use;
e. Age when first utilized;
f. Route of administration;
g. Previous treatment(s);
h. Unsuccessful efforts to control use;
				and
i. Inappropriate use of
				prescribed opioids.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-93 - Standards for Licensing Facilities for Chemically Dependent or Addicted Persons › Sec2 61-93.700 - PATIENT RECORDS › Section 61-93.700.703 - Assessment for Residential Treatment Programs (II)

Current through Register Vol. 48, No. 6, June 28, 2024
A written assessment of the Patient in accordance with
				  Section 101.G shall be conducted by a designated Counselor as evidenced by his
				  or her signature and date within a time-period determined by the Facility, but
				  no later than five (5) business days after admission.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-93 - Standards for Licensing Facilities for Chemically Dependent or Addicted Persons › Sec2 61-93.700 - PATIENT RECORDS › Section 61-93.700.704 - Assessment for Withdrawal Management Programs (II)

Current through Register Vol. 48, No. 6, June 28, 2024
A written clinical Assessment of the Patient completed by a
				  Licensed Nurse as evidenced by his or her signature and date in accordance with
				  Section 101.G shall be conducted prior to the delivery of treatment. The
				  clinical Assessment shall include a review of the Patient's Controlled
				  Substance misuse/usage and treatment history.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-93 - Standards for Licensing Facilities for Chemically Dependent or Addicted Persons › Sec2 61-93.700 - PATIENT RECORDS › Section 61-93.700.705 - Bio-Psycho-Social Assessment for Opioid Treatment Program (II)

Current through Register Vol. 48, No. 6, June 28, 2024
A comprehensive Bio-Psycho-Social Assessment shall be
				  completed by the Patient's primary Counselor once the Patient is stabilized but
				  not later than thirty (30) calendar days following admission. The Assessment
				  shall include:
A. A description of the
				historical course of the Chemical Dependence to include substances of misuse
				such as alcohol and tobacco, amount, frequency of use, duration, potency, and
				method of administration, previous withdrawal from Opioid Treatment Program
				Medication and/or treatment attempts, and any psychological or social
				complication.
B. A health history
				regarding chronic or acute medical conditions, such as HIV, STDs, hepatitis (B,
				C, D), TB, diabetes, anemia, sickle cell trait, pregnancy, chronic pulmonary
				diseases, and renal diseases.
C.
				Information related to the family of the Patient.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-93 - Standards for Licensing Facilities for Chemically Dependent or Addicted Persons › Sec2 61-93.700 - PATIENT RECORDS › Section 61-93.700.706 - Individual Plan of Care (II)

Current through Register Vol. 48, No. 6, June 28, 2024
The Facility shall develop an Individual Plan of Care with
				  participation by the Patient or responsible party and Interdisciplinary Team as
				  evidenced by their signatures and dates. The Individual Plan of Care shall
				  contain specific goal-related objectives based on the needs of the Patient as
				  identified during the Assessment phase, including adjunct support service needs
				  and other special needs. The Individual Plan of Care shall also include the
				  methods and strategies for achieving these objectives and meeting these needs
				  in measurable terms with expected achievement dates. The type and frequency of
				  counseling, as well as Counselor assignment, shall be included. The criteria
				  for terminating specified interventions shall be included in the Individual
				  Plan of Care. Individual Plan of Care shall be reviewed on a periodic basis as
				  determined by the Facility and/or revised as changes in Patient needs
				  occur.
A. In Residential Treatment
				Programs, an Individual Plan of Care shall be completed no later than seven (7)
				calendar days after admission.
B.
				For a Residential Facility offering a Withdrawal Management Program, an
				Individual Plan of Care shall be completed for supervised withdrawal within a
				time-period determined by the Facility's policies and procedures, but no later
				than seven (7) business days after admission.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-93 - Standards for Licensing Facilities for Chemically Dependent or Addicted Persons › Sec2 61-93.700 - PATIENT RECORDS › Section 61-93.700.707 - Individual Plan of Care for Opioid Treatment Program (II)

Current through Register Vol. 48, No. 6, June 28, 2024
A. The Facility shall develop and document an
				Individual Plan of Care within thirty (30) calendar days of admission with
				participation by the Patient and the primary Counselor.
B. The primary Counselor shall review the
				Patient progress in treatment and accomplishment of Individual Plan of Care
				goals not less than every ninety (90) calendar days during the first year of
				treatment and every six (6) months thereafter. The Counselor and Patient or
				responsible party shall sign and date any changes.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-93 - Standards for Licensing Facilities for Chemically Dependent or Addicted Persons › Sec2 61-93.700 - PATIENT RECORDS › Section 61-93.700.708 - Record Maintenance

Current through Register Vol. 48, No. 6, June 28, 2024
A. The
				Licensee shall provide accommodations, space, supplies, and equipment for the
				protection, storage, and maintenance of Patient records. Patient records shall
				be stored in an organized manner.
B. The Patient record is confidential and
				shall be made available only to individuals authorized by the Facility and in
				accordance with local, state, and federal laws, codes, and regulations.
				(II)
C. The Facility shall maintain
				records generated by organizations or individuals contracted by the Facility
				for care or services.
D. Upon
				Discharge of a Patient, the record shall be completed within thirty (30)
				calendar days and filed in an inactive or closed file maintained by the
				Licensee.
E. Records of adult
				Patients may be destroyed after six (6) years following Discharge of the
				Patient. Records of Minors shall be retained for six (6) years or until
				majority, whichever period of time is greater. Other regulation-required
				documents, e.g., Medication destruction, fire drills, etc., shall be retained
				for at least twelve (12) months or since the last Department routine
				Inspection, whichever is the longer period.
F. Records of current Patients are the
				property of the Facility and shall be maintained at the Facility and shall not
				be removed without court order.
G.
				In the event of change of ownership, all active Patient records or copies of
				active Patient records shall be transferred to the new owner(s).
H. When a Patient transfers from one licensed
				Facility to another within the provider network (same Licensee) the original
				record may follow the Patient; the sending Facility shall maintain
				documentation of the Patient's transfer and/or Discharge dates and
				identification information.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-93 - Standards for Licensing Facilities for Chemically Dependent or Addicted Persons › Sec2 61-93.800 - ADMISSION (I) › Section 61-93.800.801 - General

Current through Register Vol. 48, No. 6, June 28, 2024
Individuals seeking admission shall be identified as
				  appropriate for the level of care or services, treatment, or procedures
				  offered. The Facility shall establish admission criteria that are consistently
				  applied and comply with state and federal laws and regulations. The Facility
				  shall admit only those persons whose needs can be met within the accommodations
				  and services provided by the Facility.