reglab/statecodes huggingface dataset:
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-12 - STANDARDS FOR LICENSING ABORTION CLINICS › Part VIII - DESIGN AND CONSTRUCTION › Section 61-12.VIII.805 - Minor Alterations in Licensed Facilities

Current through Register Vol. 48, No. 6, June 28, 2024
When alterations that involve construction that may affect
				  walls, ceilings, floors, or fire and life safety are contemplated, preliminary
				  drawings and specifications, accompanied by a narrative completely describing
				  the proposed work, shall be submitted to the Department for review and approval
				  to insure that the proposed alterations comply with current safety and building
				  standards and determine if an architect need be involved.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-12 - STANDARDS FOR LICENSING ABORTION CLINICS › Part VIII - DESIGN AND CONSTRUCTION › Section 61-12.VIII.806 - Location

Current through Register Vol. 48, No. 6, June 28, 2024
A. Transportation.
				The facility must be served by roads that are passable at all times and are
				adequate for the volume of expected traffic.
B. Parking. The facility shall have parking
				space to reasonably satisfy the needs of patients, staff, and
				visitors.
C. Communications. A
				telephone must be provided on each floor used by patients and additional
				telephones or extensions must be provided, as required, to summon help in case
				of fire or other emergency. Pay station telephones are not acceptable for this
				purpose.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-12 - STANDARDS FOR LICENSING ABORTION CLINICS › Part VIII - DESIGN AND CONSTRUCTION › Section 61-12.VIII.807 - Physical Facilities

Current through Register Vol. 48, No. 6, June 28, 2024
A. An
				adequate number of examination/procedure rooms shall be provided. A procedure
				room shall be sized, shaped, and arranged to allow unfettered movement for all
				persons involved in the procedure.
B. Each procedure room shall be provided:
1. A suitable gynecological procedure
				table;
2. Equipment necessary to
				treat patients for hemorrhage, shock, cardiac arrest and other emergencies (an
				emergency "crash" cart in the immediate vicinity is acceptable); (I)
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-12 - STANDARDS FOR LICENSING ABORTION CLINICS › Part VIII - DESIGN AND CONSTRUCTION › Section 61-12.VIII.808 - Water Supply and Plumbing. (II)

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 including fire fighting. Patient and staff
				handwashing lavatories shall be supplied with hot water that shall be
				thermostatically controlled to a temperature between 100 and 125 degrees
				Fahrenheit.
B. Plumbing.
1. All plumbing material and plumbing systems
				or parts thereof installed shall meet the minimum requirements of the Standard
				Plumbing Code.
2. All plumbing
				shall be installed in such a manner as to prevent back siphonage or
				cross-connections between potable and non-potable water supplies. There shall
				be, at a minimum, an approved double-check assembly on the water supply to the
				facility.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-12 - STANDARDS FOR LICENSING ABORTION CLINICS › Part VIII - DESIGN AND CONSTRUCTION › Section 61-12.VIII.809 - Emergency Power and Lighting Requirements

Current through Register Vol. 48, No. 6, June 28, 2024
A. The facility shall be equipped with
				automatic emergency power adequate to maintain the operation of lighting for
				procedure rooms, egress, fire detection equipment, and alarms. (I)
B. There shall be sufficient safe lighting
				for all activities, including suitable lighting for corridors. (II)
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-12 - STANDARDS FOR LICENSING ABORTION CLINICS › Part IX - PREREQUISITES FOR INITIAL LICENSURE

Current through Register Vol. 48, No. 6, June 28, 2024
Prior to admission of patients to, and issuance of a license
				for new facilities or additional procedure rooms, the following actions must be
				accomplished:
A. Plans and
			 construction must be approved by the Division of Health Facilities Construction
			 of this Department.
B. The facility
			 shall submit a completed application for license on forms that shall be
			 furnished by the Division of Health Licensing. The following documents shall be
			 submitted with the application:
1. Final
			 construction approval of both water and wastewater systems by the appropriate
			 District Environmental Quality Control Office of this Department (includes
			 satisfactory laboratory reports of water samples).
2. Approval from the appropriate building
			 official stating that all applicable local codes and ordinances have been
			 complied with.
a. If the facility is located
			 within town or city limits, approval by the local fire chief stating that all
			 applicable requirements have been met, or
b. If the facility is located outside town or
			 city limits, a written letter of agreement with the nearest fire department
			 that will provide protection and respond in case of fire at the facility shall
			 be obtained. This letter shall indicate that they have the equipment,
			 personnel, and/or agreements with other departments to adequately respond to
			 this type of facility.
3. Certification and laboratory test reports,
			 provided by the manufacturer or supplier, that all carpeting purchased by the
			 facility meets the requirements of the Standard Building Code.
4. Certification by the contractor that only
			 the carpeting described in B.3 above was installed in the facility.
5. Certification by the manufacturer or
			 supplier that all drapes and cubicle curtains purchased by the facility are
			 flame or fire resistant or retardant.
6. Certification by the owner or contractor
			 that only materials described in B.5 above were installed.
7. Certification by the manufacturer or
			 supplier that all wall covering materials purchased by the facility are fire or
			 flame resistant or retardant.
8.
			 Certification by the contractor that only the materials described in 7 above
			 were installed.
9. Certification by
			 the engineer that all fire alarm and smoke detection systems have been
			 installed according to plans and specifications, have been tested and operate
			 satisfactorily.
10. Certification
			 by the contractor that the automatic sprinkler system, if required or
			 installed, has been completed and tested in accordance with the approved plans
			 and specifications and NFPA No. 13. Include a copy of the approval letter of
			 the sprinkler shop drawings.
11.
			 Certification that all medical gas systems have been properly installed and
			 tested.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-12 - STANDARDS FOR LICENSING ABORTION CLINICS › Part X - GENERAL

Current through Register Vol. 48, No. 6, June 28, 2024
Conditions arising that have not been addressed in these
				regulations shall be managed in accordance with the best practices as
				interpreted by the Department.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-13 - Standards for Licensing Habilitation Centers for Persons with Intellectual Disability or Persons with Related Conditions › Sec2 61-13.100 - DEFINITIONS

Current through Register Vol. 48, No. 6, June 28, 2024
For the purpose of these standards the following definitions
				shall apply:
A. Abuse. Physical Abuse
			 or Psychological Abuse.
1. Physical Abuse. The
			 act of intentionally inflicting or allowing to be inflicted physical injury on
			 a client 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 a therapeutic procedure prescribed by a licensed
			 physician or other legally authorized healthcare professional or that is part
			 of a written individual care plan by a physician or other legally authorized
			 healthcare professional is not considered physical abuse. Physical abuse does
			 not include altercations or acts of assault between clients.
2. Psychological Abuse. The deliberate use of
			 any oral, written, or gestured language or depiction that includes disparaging
			 or derogatory terms to a client or within the client's hearing distance,
			 regardless of the client'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 61-13 - Standards for Licensing Habilitation Centers for Persons with Intellectual Disability or Persons with Related Conditions › Sec2 61-13.200 - LICENSE REQUIREMENTS (II) › Section 61-13.200.201 - Scope of Licensure

Current through Register Vol. 48, No. 6, June 28, 2024
A. No
				person, private or public organization, political subdivision, or governmental
				agency shall establish, maintain, or represent itself (advertise or market) as
				an ICF-IID in South Carolina without first obtaining a license from the
				Department. Admission of clients or the provision of care, treatment, and/or
				services to clients prior to the effective date of licensure is a violation of
				S.C. Code Section
				44-7-260(A).(I)
B. A license shall be effective
				for the period of time specified on its face by the Department.
C. A new facility, or one that has not been
				continuously licensed under these or prior standards, shall not admit clients
				until permission is granted by the Department.
D. Separate licenses are required for
				facilities not maintained on the same premises. Separate licenses may be issued
				for facilities maintained in separate buildings on the same premises. Each
				building of a licensed facility shall be staffed in accordance with Section
				600.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-13 - Standards for Licensing Habilitation Centers for Persons with Intellectual Disability or Persons with Related Conditions › Sec2 61-13.200 - LICENSE REQUIREMENTS (II) › Section 61-13.200.202 - License Application

Current through Register Vol. 48, No. 6, June 28, 2024
Applicants for license shall file an application under oath
				  on a form and frequency specified by the Department. An application shall be
				  signed by the owner(s) if an individual or partnership; or in the case of a
				  corporation, by two (2) of its officers; or in the case of a governmental unit,
				  by the head of the governmental department having jurisdiction over it. The
				  application shall set forth the full name and address of the facility for which
				  the license is sought and owner(s); the names of persons in control thereof;
				  and such additional information as the Department may require, including
				  affirmative evidence of ability to comply with reasonable standards, rules, and
				  regulations as may be lawfully prescribed. No proposed facility shall be named
				  nor may an existing facility have its name changed to the same or similar name
				  as a facility licensed in the state.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-13 - Standards for Licensing Habilitation Centers for Persons with Intellectual Disability or Persons with Related Conditions › Sec2 61-13.200 - LICENSE REQUIREMENTS (II) › Section 61-13.200.203 - Compliance

Current through Register Vol. 48, No. 6, June 28, 2024
An initial license shall not be issued to an applicant until
				  the applicant demonstrates to the Department substantial compliance with the
				  applicable licensing standards. A facility shall make a copy of the licensing
				  standards accessible to all facility staff. In the event a licensee with an
				  existing ICF-IID or other facility licensed by the Department applies for
				  licensure for an additional ICF-IID or other facility, the currently licensed
				  ICF-IID or other facility shall be in substantial compliance.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-13 - Standards for Licensing Habilitation Centers for Persons with Intellectual Disability or Persons with Related Conditions › Sec2 61-13.200 - LICENSE REQUIREMENTS (II) › Section 61-13.200.204 - Compliance with Structural Standards

Current through Register Vol. 48, No. 6, June 28, 2024
Facilities licensed at the time of promulgation of these
				  regulations shall be allowed to continue utilizing the previously-licensed
				  structure without modification.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-13 - Standards for Licensing Habilitation Centers for Persons with Intellectual Disability or Persons with Related Conditions › Sec2 61-13.200 - LICENSE REQUIREMENTS (II) › Section 61-13.200.205 - Licensing Fee

Current through Register Vol. 48, No. 6, June 28, 2024
Each applicant shall pay a license fee prior to the issuance
				  of a license. The annual license fee shall be five dollars ($5.00) per licensed
				  bed. Such fee shall be made payable by check or credit card to the Department
				  and is not refundable.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-13 - Standards for Licensing Habilitation Centers for Persons with Intellectual Disability or Persons with Related Conditions › Sec2 61-13.200 - LICENSE REQUIREMENTS (II) › Section 61-13.200.206 - Change of License

Current through Register Vol. 48, No. 6, June 28, 2024
A facility shall request issue of an amended license, by
				  application to the Department, prior to any of the following
				  circumstances:
A. Change of ownership
				by purchase or lease;
B. Change of
				facility's name or address;
C.
				Addition of licensed beds; or
D.
				Elimination of licensed beds.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-13 - Standards for Licensing Habilitation Centers for Persons with Intellectual Disability or Persons with Related Conditions › Sec2 61-13.200 - LICENSE REQUIREMENTS (II) › Section 61-13.200.207 - Licensed Bed Capacity

Current through Register Vol. 48, No. 6, June 28, 2024
A facility shall not exceed the bed capacity identified on
				  the face of the license. A licensee shall obtain authorization from the
				  Department before establishing new care, treatment, or services or occupying
				  additional beds or renovated space. The midnight census of the facility shall
				  not exceed the rated capacity of the license. (I)
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-13 - Standards for Licensing Habilitation Centers for Persons with Intellectual Disability or Persons with Related Conditions › Sec2 61-13.200 - LICENSE REQUIREMENTS (II) › Section 61-13.200.208 - Exceptions to Licensing Standards

Current through Register Vol. 48, No. 6, June 28, 2024
The Department reserves the right to make exceptions to these
				  standards where it is determined that the health and welfare of the community
				  requires the services of the facility. When an "exception" applies to an
				  existing facility, it will continue to meet the standards in effect at the time
				  it was licensed.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-13 - Standards for Licensing Habilitation Centers for Persons with Intellectual Disability or Persons with Related Conditions › Sec2 61-13.300 - ENFORCEMENT OF REGULATIONS › Section 61-13.300.301 - General

Current through Register Vol. 48, No. 6, June 28, 2024
The Department shall utilize inspections, investigations,
				  consultations, or 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 61-13 - Standards for Licensing Habilitation Centers for Persons with Intellectual Disability or Persons with Related Conditions › Sec2 61-13.300 - ENFORCEMENT OF REGULATIONS › Section 61-13.300.302 - Inspections and Investigations

Current through Register Vol. 48, No. 6, June 28, 2024
A.
				Inspections shall be conducted prior to initial licensing of a facility. The
				Department, at its own determination, may also conduct subsequent inspections.
				(I)
B. All facilities are subject
				to inspection or investigation at any time without prior notice by individuals
				authorized by the South Carolina Code of Laws. (I)
C. Individuals authorized by the Department
				shall be granted access to all properties and areas, objects, and records at
				the time of the inspection. If photocopies are made for the Department
				inspector, they shall be used only for purposes of enforcement of regulations
				and confidentiality shall be maintained except to verify individuals in
				enforcement action proceedings. Physical area of inspections shall be
				determined by the extent to which there is potential impact or effect upon
				clients as determined by the inspector. (I)
D. A facility found noncompliant with the
				standards of this regulation or governing statute shall submit an acceptable
				written plan of correction to the Department that shall be signed by the
				Administrator and returned by the date specified by the Department. The written
				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 61-13 - Standards for Licensing Habilitation Centers for Persons with Intellectual Disability or Persons with Related Conditions › Sec2 61-13.400 - ENFORCEMENT ACTIONS › Section 61-13.400.401 - 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, rule, or regulation relating to the
				  operation or maintenance of a facility, the Department, upon proper notice to
				  the licensee, may impose a monetary penalty, and deny, suspend, or revoke its
				  license.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-13 - Standards for Licensing Habilitation Centers for Persons with Intellectual Disability or Persons with Related Conditions › Sec2 61-13.500 - POLICIES AND PROCEDURES (II)

Current through Register Vol. 48, No. 6, June 28, 2024
A. Policies and
			 procedures addressing each section of this regulation regarding client care,
			 rights, and the operation of the facility shall be developed, implemented, and
			 revised as needed in order to accurately reflect actual facility operation and
			 shall be documented and maintained in the facility. The policies and procedures
			 shall address the provision of any special care offered by the facility.
			 Information shall include the means by which the facility shall meet the
			 specialized needs of the affected clients, such as those who are physically or
			 developmentally disabled, in accordance with any laws which pertain to that
			 service offered. The facility shall establish a time period for review, not to
			 exceed two (2) years, of all policies and procedures and such reviews shall be
			 documented. These policies and procedures shall be accessible at all times in
			 hard copy or electronically.
B. By
			 its application, the licensee agrees to comply with all standards in this
			 regulation. The policies and procedures shall describe the means by which the
			 facility shall ensure the standards described in this regulation are
			 met.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-13 - Standards for Licensing Habilitation Centers for Persons with Intellectual Disability or Persons with Related Conditions › Sec2 61-13.600 - STAFF AND TRAINING › Section 61-13.600.601 - General (II)

Current through Register Vol. 48, No. 6, June 28, 2024
A. A facility
				shall have appropriate staff in numbers and training to meet the needs and
				conditions of the clients. Training and qualifications for the tasks each staff
				member performs shall be in compliance with all professional standards and
				applicable federal and state laws.
B. Prior to being employed or contracted as a
				staff member or direct care volunteer by a facility, a person shall undergo a
				criminal background check pursuant to S.C. Code Section
				44-7-2910.
				(I)
C. The facility shall maintain
				accurate and current information regarding all staff members and volunteers of
				the facility, including at least: address, phone number, and health, work, and
				training background. The facility shall assign duties and responsibilities to
				all staff members and volunteers in writing and in accordance with the
				facility's policy and the individual's capability.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-13 - Standards for Licensing Habilitation Centers for Persons with Intellectual Disability or Persons with Related Conditions › Sec2 61-13.600 - STAFF AND TRAINING › Section 61-13.600.602 - Administrator (II)

Current through Register Vol. 48, No. 6, June 28, 2024
A. Each
				facility shall have a full-time Administrator.
B. The facility Administrator shall be either
				a Qualified Intellectual Disability Professional (QIDP) or a licensed nursing
				home administrator and shall have the necessary authority and responsibility
				for management of the facility. Any change in the position of the Administrator
				shall be reported immediately by the governing board or owner to the Department
				in writing.
1. For facilities utilizing a QIDP
				in this capacity, such notification shall include, at a minimum, the name of
				the appointed individual, effective date of the appointment, educational
				background, professional experience, and professional certificates and/or
				licenses.
2. For facilities
				utilizing a licensed nursing home administrator in this capacity, such
				notification shall include, at a minimum, the name of the appointed individual,
				effective date of the appointment, and the number and expiration date of the
				current South Carolina Nursing Home Administrator's license or written
				verification of an emergency license.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-13 - Standards for Licensing Habilitation Centers for Persons with Intellectual Disability or Persons with Related Conditions › Sec2 61-13.600 - STAFF AND TRAINING › Section 61-13.600.603 - Direct Care Staff (I)

Current through Register Vol. 48, No. 6, June 28, 2024
A. The
				facility shall maintain personnel adequate in number and skill in the facility
				at all times when clients are present to ensure safety and supervise clients in
				accordance with their individual program plans. When there are no clients in
				the facility, a responsible staff member shall be available by telephone.
1. The facility's policy shall clearly define
				the authority, responsibility, and function of each category of personnel.
				(II)
2. Personnel shall be assigned
				only those duties for which they are trained.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-13 - Standards for Licensing Habilitation Centers for Persons with Intellectual Disability or Persons with Related Conditions › Sec2 61-13.600 - STAFF AND TRAINING › Section 61-13.600.604 - Staff (II)

Current through Register Vol. 48, No. 6, June 28, 2024
A. The facility
				shall employ or arrange for licensed nursing services which are sufficient to
				care for the client's health needs including individuals who are determined to
				need twenty-four-hour (24-hour) nursing care. If the facility utilizes only
				licensed practical nurses to provide health services, the facility shall have a
				contractual arrangement with a registered nurse to be available for verbal or
				onsite consultation to the licensed practical nurse in regard to the health
				aspects of the individual plans of care.
B. The facility shall maintain a responsible
				direct care staff person on duty and awake on a twenty-four-hour (24-hour)
				basis (when clients are present) to respond to injuries and symptoms of illness
				and to handle emergencies in each facility building housing clients for whom a
				physician has ordered a medical care plan or clients who are aggressive,
				assaultive, or security risks.
C.
				The facility shall maintain at least one (1) staff member to eight (8) clients
				or a fraction thereof on duty on the first and second shift. The facility shall
				maintain one (1) staff member to sixteen (16) clients or a fraction thereof on
				duty on the third shift. In facilities serving less than sixteen (16) clients,
				the facility shall maintain one (1) additional staff member per shift for each
				eight (8) non-mobile clients or a fraction thereof present in the
				facility.
D. The facility shall
				provide the necessary professional services required to implement each client's
				individual program plan.
E. The
				facility shall require staff members who operate motor vehicles that transport
				clients to possess a valid driver's license.
F. If the facility has a volunteer program, a
				facility staff person shall be designated to direct the program. Volunteers
				shall consult with licensed staff prior to any changes in client care or
				treatment. The facility may elect to prohibit volunteers to work in the
				facility.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-13 - Standards for Licensing Habilitation Centers for Persons with Intellectual Disability or Persons with Related Conditions › Sec2 61-13.600 - STAFF AND TRAINING › Section 61-13.600.605 - Inservice Training (I)

Current through Register Vol. 48, No. 6, June 28, 2024
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 inservice training. The
				  following training shall be provided by appropriate resources, such as,
				  licensed, registered, or certified persons; books; or electronic media, to all
				  staff members prior to client contact and at a frequency determined by the
				  facility, but at least annually unless otherwise specified by certificate, for
				  example, cardiopulmonary resuscitation (CPR):
A. Orientation of the facility organization
				and physical plant;
B. Specific
				duties and responsibilities as outlined in the job description;
C. Provisions of S.C. Code Sections
				43-35-5,
				et seq., "Omnibus Adult Protection Act," and S.C. Code Sections
				44-81-10,
				et seq.;
D. "Bill of Rights for
				Residents of Long-Term Care Facilities" as well as other rights and assurances
				as required in this regulation;
E.
				Confidentiality of client information and records;
F. Emergency procedures and disaster
				preparedness to address various types of potential disasters such as
				evacuation, bomb threat, earthquake, flood, hurricane, tornado, and others
				within forty-eight (48) hours of initial client contact (See Section
				1400);
G. Fire response training
				(See Section 1702);
H. CPR for
				designated staff members and direct care volunteers to ensure that there is a
				certified staff member or direct care volunteer present whenever clients are in
				the facility;
I. Management and
				care of individuals with contagious and/or communicable disease, for example,
				hepatitis, tuberculosis, or HIV infection;
J. Use of restraints that promote client
				safety, including alternatives to physical and chemical restraints, in
				accordance with the provisions of Section 1009 (for designated staff members
				only);
K. OSHA standards regarding
				blood-borne pathogens;
L. Infection
				control procedures; and
M.
				Depending on the type of clients, care of persons specific to the physical or
				mental condition being cared for in the facility, such as, mental illness or
				aggressive, violent, and/or inappropriate behavioral symptoms, to include
				communication techniques (cueing and mirroring), understanding and coping with
				behaviors, safety, and activities.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-13 - Standards for Licensing Habilitation Centers for Persons with Intellectual Disability or Persons with Related Conditions › Sec2 61-13.600 - STAFF AND TRAINING › Section 61-13.600.606 - Health Status (I)

Current through Register Vol. 48, No. 6, June 28, 2024
A. All
				staff members and direct care volunteers who have contact with clients,
				including food service staff members and direct care volunteers, shall have a
				health assessment within twelve (12) months prior to hire. The health
				assessment shall consist of an evaluation of the individual's health status by
				a physician, registered nurse, or other legally authorized healthcare provider
				pursuant to written standing orders and/or protocol approved by a physician's
				signature. The health assessment shall also include tuberculin skin testing as
				described in Section 1503.
B. If a
				staff member or direct care volunteer is working at multiple facilities
				operated by the same licensee, copies of records for tuberculin skin testing
				and the pre-employment health assessment shall be accessible at each
				facility.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-13 - Standards for Licensing Habilitation Centers for Persons with Intellectual Disability or Persons with Related Conditions › Sec2 61-13.600 - STAFF AND TRAINING › Section 61-13.600.607 - Volunteer Workers

Current through Register Vol. 48, No. 6, June 28, 2024
A.
				Facilities shall require that volunteers sign in and out with staff of the
				facility upon entering or leaving the facility. Volunteers shall wear legible
				name and title badges that are visible at all times while on duty.
B. Volunteers and paid feeding assistants (as
				defined in the federal regulations on paid feeding assistants) shall not be
				included in the minimum staffing requirements of Section
				604.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-13 - Standards for Licensing Habilitation Centers for Persons with Intellectual Disability or Persons with Related Conditions › Sec2 61-13.700 - REPORTING › Section 61-13.700.701 - Accidents and/or Incidents

Current through Register Vol. 48, No. 6, June 28, 2024
A. A
				facility shall maintain a record of each accident and/or incident, including
				usage of mechanical or physical restraints, involving clients, staff members or
				volunteers, occurring in the facility or on the facility grounds. A facility's
				record of each accident and/or incident shall be documented, reviewed,
				investigated, and if necessary, evaluated in accordance with facility policies
				and procedures, and retained by the facility for six (6) years after the
				client's death, discharge, or transfer.
B. Accidents and/or incidents occurring to
				clients within the facility or on the facility grounds requiring reporting to
				the Department include, but are not limited to,:
1. Crime(s) against client;
2. Confirmed or suspected cases of abuse,
				neglect, or exploitation;
3.
				Medication error causing adverse reaction;
4. Hospitalization as a result of the
				accident and/or incident;
5.
				Elopement for more than twenty-four (24) hours or due to cognitive
				impairment;
6. Severe hematoma,
				laceration or burn requiring medical attention or hospitalization;
7. Fracture of bone or joint;
8. Severe injury involving use of
				restraints;
9. Attempted suicide;
				or
10. Fire.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-13 - Standards for Licensing Habilitation Centers for Persons with Intellectual Disability or Persons with Related Conditions › Sec2 61-13.700 - REPORTING › Section 61-13.700.702 - Fire and Disasters (II)

Current through Register Vol. 48, No. 6, June 28, 2024
A. The
				facility shall immediately notify the Department via telephone, email, or
				facsimile regarding any fire, regardless of size or damage that occurs in the
				facility, or any natural disaster in the facility which requires displacement
				of the clients or jeopardizes or potentially jeopardizes the safety of the
				clients.
B. The facility shall
				submit a complete written report regarding any fire or natural disaster to the
				Department to include the fire department reports, if any, within a time period
				as determined by the facility but not to exceed five (5) days.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-13 - Standards for Licensing Habilitation Centers for Persons with Intellectual Disability or Persons with Related Conditions › Sec2 61-13.700 - REPORTING › Section 61-13.700.703 - Communicable Diseases and Animal Bites (I)

Current through Register Vol. 48, No. 6, June 28, 2024
A. All cases of reportable diseases, animal
				bites, any occurrences such as epidemic outbreaks or poisonings, or other
				unusual occurrences that threaten the health and safety of clients or staff
				shall be reported in accordance with Regulation Regulation
				61-20, Communicable
				Diseases.
B. The facility shall
				isolate any client who has a communicable disease which poses a threat to the
				health or safety of other clients, if ordered by the attending physician. If
				the attending physician determines the client cannot be managed at the facility
				or the physical layout prohibits isolation, the facility shall make
				arrangements for transfer of the client to an appropriate facility at the
				earliest practical time.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-13 - Standards for Licensing Habilitation Centers for Persons with Intellectual Disability or Persons with Related Conditions › Sec2 61-13.700 - REPORTING › Section 61-13.700.704 - Emergency Placements

Current through Register Vol. 48, No. 6, June 28, 2024
The facility shall notify the Department no later than the
				  following workday when evacuees have been relocated to the facility by
				  providing the names of the individuals received.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-13 - Standards for Licensing Habilitation Centers for Persons with Intellectual Disability or Persons with Related Conditions › Sec2 61-13.700 - REPORTING › Section 61-13.700.705 - 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 facility records as required by
				regulation, the identity of those clients displaced, and the relocated site. On
				the date of closure, the current original 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) days prior to temporary closure. In the event of
				temporary closure due to an emergency, the facility shall notify the Department
				in writing within twenty-four (24) hours of the closure. At a minimum this
				notification shall include, but not be limited to, the reason for the temporary
				closure, the manner in which the records are being stored, the identification
				of those clients displaced, the relocated site, and the anticipated date of
				reopening. The Department shall consider, upon appropriate review, the
				necessity of inspecting and determining the applicability of current
				construction standards to the facility prior to its reopening.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-13 - Standards for Licensing Habilitation Centers for Persons with Intellectual Disability or Persons with Related Conditions › Sec2 61-13.700 - REPORTING › Section 61-13.700.706 - Zero Census

Current through Register Vol. 48, No. 6, June 28, 2024
In instances when there have been no clients in a facility
				  for any reason, for a period of ninety (90) days or more, the facility shall
				  notify, in writing, the Department no later than the one-hundredth (100th) day
				  following the date of discharge or transfer of the last active client. If the
				  facility has no clients for a period longer than one (1) year, and there is a
				  desire to reopen, the facility shall reapply to the Department and shall be
				  subject to all licensing requirements at the time of that application,
				  including Certificate of Need review and construction-related requirements for
				  a new facility. Instances of zero census do not relieve the facility of the
				  requirement to pay licensing fees that may be due during that
				  time.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-13 - Standards for Licensing Habilitation Centers for Persons with Intellectual Disability or Persons with Related Conditions › Sec2 61-13.800 - CLIENT RECORDS › Section 61-13.800.801 - Content (II)

Current through Register Vol. 48, No. 6, June 28, 2024
A. A facility
				shall maintain adequate and complete records for each client. All entries shall
				be legibly written in ink or typed, dated, and signed, including title. If an
				entry is signed on a date other than the date it was made, the date of the
				signature shall also be entered. Although the use of initials in lieu of
				licensed nurses' signatures is not encouraged, initials shall be acceptable
				provided such initials can be readily identified by signature on each sheet on
				which the initials are used, or by signature on a master list which is
				maintained in the record at all times.
B. A minimum client record shall include the
				following:
1. Identification data:
a. Name, county, date of birth, sex, marital
				status, religion, county of birth, father's name, mother's maiden name,
				husband's or wife's name (if applicable), health insurance number, social
				security number, diagnosis, case number dates of care, name of the person
				providing information, and contact information for person(s) to be notified in
				case of emergency.
b. Admission
				agreement specifying available services and costs, and documentation of the
				explanation of the client bill of rights and grievance procedures.
c. Name and telephone number of attending
				physician.
d. Date and time of
				admission.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-13 - Standards for Licensing Habilitation Centers for Persons with Intellectual Disability or Persons with Related Conditions › Sec2 61-13.800 - CLIENT RECORDS › Section 61-13.800.802 - Physician Orders

Current through Register Vol. 48, No. 6, June 28, 2024
A. All
				physician orders for medication and treatment shall be recorded in the client's
				record, signed and dated by the physician or nurse receiving the orders. All
				orders, including verbal orders, shall be signed and dated by the prescribing
				physician or his or her designee within forty-eight (48) hours. (I)
B. No one, except a licensed nurse or
				pharmacist, may accept verbal orders from physicians for medication or nursing
				treatment and care. Verbal orders in other specialized departments or services,
				as authorized in facility policy and procedures, may be accepted by those
				departments or services, for example, orders pertaining to physical therapy may
				be received by a physical therapist. (I)
C. The use of a rubber stamp signature or
				electronic representation shall be acceptable under the following conditions:
1. The physician whose signature the rubber
				stamp represents is the only one who uses it; and
2. The physician places in the administrative
				office of the facility a signed statement to the effect that he or she is the
				only one who has the rubber stamp and is the only one who will use
				it.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-13 - Standards for Licensing Habilitation Centers for Persons with Intellectual Disability or Persons with Related Conditions › Sec2 61-13.800 - CLIENT RECORDS › Section 61-13.800.803 - Individual Program Plan (II)

Current through Register Vol. 48, No. 6, June 28, 2024
The facility shall provide an individual program plan for
				  each client that is developed by the interdisciplinary team made up of the
				  professions, disciplines, and service areas necessary to identify each client's
				  needs and design appropriate programs, and shall be signed and dated by the
				  client or his or her responsible party and a staff member on the
				  interdisciplinary team. The individual program plan shall include the
				  identified needs, the specific objectives to meet these needs, and the methods
				  and schedules for implementing the designed programs. The individual program
				  plan shall be updated and/or revised as changes in client needs occur, but not
				  less than semi-annually by the interdisciplinary team.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-13 - Standards for Licensing Habilitation Centers for Persons with Intellectual Disability or Persons with Related Conditions › Sec2 61-13.800 - CLIENT RECORDS › Section 61-13.800.804 - Record Storage

Current through Register Vol. 48, No. 6, June 28, 2024
A.
				Records of clients are the property of the facility and shall not be removed
				without court order. Access to the medical record shall be granted to the legal
				guardian or any individual legally authorized in writing to act on behalf of
				the client.
B. On discharge,
				transfer, or death of a client, the medical records shall be completed within
				fifteen (15) days and filed in an inactive file in an orderly manner. Records
				shall be retained in a safe storage area or electronically and none shall be
				disposed of less than six (6) years after discharge, transfer, or death of a
				client.
C. Facilities that
				microfilm before six (6) years have expired shall film the entire
				record.
D. In the event of change
				of ownership, all client records shall be transferred to the new owner(s).
				(II)
E. Prior to the closing of a
				facility for any reason, the facility shall arrange for preservation of records
				to ensure compliance with these regulations. The facility shall notify the
				Department, in writing, describing these arrangements.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-13 - Standards for Licensing Habilitation Centers for Persons with Intellectual Disability or Persons with Related Conditions › Sec2 61-13.900 - ADMISSION AND RETENTION (I)

Current through Register Vol. 48, No. 6, June 28, 2024
A. A facility shall
			 make admission decisions based on a preliminary evaluation of the client that
			 is conducted or updated by the facility or outside sources. The preliminary
			 evaluation shall contain background information as well as current assessments
			 of functional, developmental, behavioral, social, health, and nutritional needs
			 and if the client is likely to benefit from placement in the
			 facility.
B. A facility shall admit
			 only those persons having a diagnosis of intellectual disability or other
			 related condition and be in need of a continuous program of training directed
			 toward:
1. The acquisition of behaviors and
			 skills needed to function with greater independence; and/or
2. The prevention or deceleration of the loss
			 of current functions.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-13 - Standards for Licensing Habilitation Centers for Persons with Intellectual Disability or Persons with Related Conditions › Sec2 61-13.1000 - CLIENT CARE AND SERVICES › Section 61-13.1000.1001 - Client Care Policies

Current through Register Vol. 48, No. 6, June 28, 2024
A. A
				facility shall designate a committee to develop client care policies.
				(II)
B. The facility's client care
				policy committee shall include the Administrator and designated professional
				representatives from the healthcare, dietary, pharmaceutical, social services,
				and psychological areas. (II)
C. A
				facility's review of client care policies shall occur at least once every two
				(2) years and shall cover at least the following:
1. Admission and transfer;
2. Dietary services;
3. Habilitation services;
4. Pharmaceutical services;
5. Physician services;
6. Nursing services;
7. Client rights; and
8. Behavior management.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-13 - Standards for Licensing Habilitation Centers for Persons with Intellectual Disability or Persons with Related Conditions › Sec2 61-13.1000 - CLIENT CARE AND SERVICES › Section 61-13.1000.1002 - Training and Habilitation

Current through Register Vol. 48, No. 6, June 28, 2024
A. A
				facility shall provide each client with developmental training utilizing
				assessment-based programs to ensure achievement and maintenance of his or her
				highest level of self-care independence. A facility shall encourage and assist
				each client to achieve his or her highest level of independence. (I)
B. A facility shall provide each client with
				developmental training and/or assistance in the activities of daily living as
				his or her needs indicate.
C. A
				facility shall provide training and assistance on a continuum of care from the
				basic skills of proper body alignment and joint movement to preparation for
				independent community living.