reglab/statecodes huggingface dataset:
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 61-13.1000.1003 - Client Activities

Current through Register Vol. 48, No. 6, June 28, 2024
A. A
				facility shall provide a regular and ongoing program of varied, meaningful
				activities designed to meet the needs and interests of each client and to
				promote his or her physical, social, and emotional well-being. A facility shall
				provide activities that include appropriate group activities and activities for
				individuals with particular interests and needs. A facility shall make
				activities available to give the clients an opportunity for participation. A
				facility shall not force clients to participate in any activity. A facility
				shall provide activities in accordance with the client's individual program
				plan.
B. A facility shall utilize
				community resources and volunteers to the fullest possible extent.
C. A facility shall provide flexible visiting
				hours and encourage visitation by relatives and friends, with minimal
				restrictions. A facility shall grant reasonable exceptions to visiting
				hours.
D. A facility shall provide
				ample space, supplies, and equipment for all pertinent activities. Examples
				include: books, magazines, newspapers, games, arts and crafts, radio, and
				television.
E. If a facility
				implements a pet therapy program, the following guidelines shall be met:
1. Pets utilized for the program shall be
				free of fleas, ticks, and intestinal parasites, and have been screened by a
				veterinarian prior to client contact, and shall present no apparent threat to
				the health, safety, and well-being of the clients;
2. Pets utilized for the program shall be
				inoculated or vaccinated as required by law, with written verification of
				current inoculations on file at the facility; and
3. Pets shall be properly cared for and
				housed, if applicable.
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 61-13.1000.1004 - Therapeutic and Behavioral Services

Current through Register Vol. 48, No. 6, June 28, 2024
A. A facility shall provide therapeutic
				services such as physical therapy, occupational therapy, and speech therapy
				based on each client's individual needs. A facility shall provide these
				therapies based upon the interdisciplinary team's recommendation and shall be
				administered by qualified persons. A facility shall obtain a physician's order
				for physical therapy evaluation and/or treatment.
B. A facility shall provide psychological and
				behavioral management services for clients as needed and recommended by the
				facility's 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 61-13.1000 - CLIENT CARE AND SERVICES › Section 61-13.1000.1005 - Physician Services

Current through Register Vol. 48, No. 6, June 28, 2024
A. An
				annual physical examination by a physician, physician assistant, or nurse
				practitioner shall be performed on each client in addition to preventative and
				general care as deemed necessary by the attending physician.
B. The attending physician shall review all
				prescribed medications at least once every three (3) months.
C. Physician's progress notes shall be
				recorded as needed and shall be consistent with the observed condition of the
				client.
D. Special exams or
				consultations. A facility shall develop written policies and procedures
				regarding the acceptance of unsigned radiological, laboratory, or other
				consultative reports requested by a physician.
E. A facility shall not, under any
				circumstances, restrict client, guardian, or representative choice in attending
				physician coverage provided the physician is licensed to practice in South
				Carolina and agrees to provide medical services required by facility policy and
				applicable regulations.
F. A
				facility shall have at least one (1) licensed physician available on call at
				all times.
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 61-13.1000.1006 - Dental Services

Current through Register Vol. 48, No. 6, June 28, 2024
A. Within
				one (1) month of client admission, a physician, dentist, or registered nurse
				shall conduct an oral assessment on each client to determine the condition of
				gums and teeth.
B. The facility
				shall provide clients with daily dental care assistance as necessary.
C. A facility shall maintain names of
				dentists who can render emergency and other dental treatments. A facility shall
				encourage clients to utilize dental services of their choice.
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 61-13.1000.1007 - Oxygen Therapy

Current through Register Vol. 48, No. 6, June 28, 2024
A. A
				facility shall provide oxygen for the treatment of clients when ordered by a
				physician or other legally authorized healthcare provider. (I)
B. A facility shall post "No Smoking" signs
				conspicuously when oxygen is dispensed, administered, or stored. A facility
				shall appropriately secure all cylinders in an upright position.
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 61-13.1000.1008 - Personal Hygiene (II)

Current through Register Vol. 48, No. 6, June 28, 2024
Each client shall be assured of good personal hygiene, clean
				  clothing, removal or trimming of facial hair, trimming of nails, and freedom
				  from offensive body odors.
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 61-13.1000.1009 - Safety Restraints for Behavioral or Medical Conditions (I)

Current through Register Vol. 48, No. 6, June 28, 2024
A. A facility shall
				develop written policies and procedures on restraints that may be
				used.
B. The client's individual
				program plan and/or the physician's order shall include the length of time the
				restraint is to be used, but use of restraints shall not be used for more than
				twelve (12) consecutive hours.
C.
				The facility may employ safety restraints only:
1. As an integral part of an individual
				program plan intended to manage and eliminate the behaviors for which the
				restraint is utilized; or
2. As an
				emergency measure with a physician's order at the time they are applied;
				or
3. As a health-related
				protection prescribed by a physician.
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 61-13.1100 - HOSPITAL RESOURCES DATA BASE. (II)

Current through Register Vol. 48, No. 6, June 28, 2024
A. A facility shall
			 comply with all current state, federal, and local laws and regulations
			 concerning client care, treatment, procedures, and/or services, client rights
			 and protections, and privacy and disclosure requirements, such as, S.C. Code
			 Section
			 44-81-10,
			 Bill of Rights for Residents of Long-Term Care Facilities, and S.C. Code
			 Sections
			 43-35-5,
			 et seq
.
, Omnibus Adult Protection Act. (I)
B. A facility shall prominently display
			 inside the facility all posted notices required in the Bill of Rights for
			 Residents of Long-Term Care Facilities, the Omnibus Adult Protection Act, and
			 other notices as required by law.
C. A facility shall have a grievance and
			 complaint procedure to be exercised on behalf of the clients to enforce the
			 Bill of Rights for Residents of Long-Term Care Facilities that includes the
			 address and telephone number of the Department and a provision prohibiting
			 retaliation against the client should the grievance right be exercised.
Clients shall be made aware of this procedure and it shall be
				posted adjacent to the Bill of Rights for Residents of Long-Term Care
				Facilities.
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 61-13.1200 - MEDICATION MANAGEMENT › Section 61-13.1200.1201 - General (I)

Current through Register Vol. 48, No. 6, June 28, 2024
A. Medications,
				including controlled substances, medical supplies, and those items necessary
				for the rendering of first aid, shall be properly managed in accordance with
				state, federal, and local laws and regulations. Such management shall address
				the securing, storing, and administering of medications, medical supplies,
				first aid supplies, and biologicals, their disposal when discontinued or
				expired, and their disposition at discharge, transfer, or death of a
				client.
B. Applicable
				medication-related reference materials such as Physicians' Desk Reference and
				information on the use of medications shall be readily available at each staff
				work area in order to provide staff members with adequate information
				concerning medications. At least one (1) such reference in the facility shall
				have been published within the previous year and none shall be older than three
				(3) years.
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 61-13.1200 - MEDICATION MANAGEMENT › Section 61-13.1200.1202 - Medication and Treatment Orders (I)

Current through Register Vol. 48, No. 6, June 28, 2024
A. Medication and treatment, to include
				oxygen, shall be administered to clients only upon orders (to include standing
				orders) of a physician or other legally authorized healthcare
				provider.
B. All orders (including
				verbal) shall be received only by licensed nurses or other legally authorized
				healthcare providers, and shall be authenticated and dated by a physician or
				other legally authorized healthcare provider within forty-eight (48) hours.
				This restriction shall not be construed to prohibit the issuance and acceptance
				of verbal orders in other specialized departments or services in accordance
				with facility policies and procedures, for example, orders pertaining to
				respiratory therapy modalities may be given to respiratory therapy personnel
				and physical therapy orders to physical therapists.
C. Physicians' orders for medication,
				treatment, care, and diet shall be reviewed and reordered no less frequently
				than every three (3) months.
D. All
				medication orders that do not specifically indicate the number of doses to be
				administered or the length of time the medication is to be administered shall
				automatically be stopped in accordance with facility policies and
				procedures.
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 61-13.1200 - MEDICATION MANAGEMENT › Section 61-13.1200.1203 - Administering Medication (I)

Current through Register Vol. 48, No. 6, June 28, 2024
A.
				Medications shall be administered in accordance with orders from the attending
				physician, dentist, or other individual legally authorized to prescribe
				medications.
B. Medications and
				medical supplies ordered for a specific client shall not be provided to or
				administered to any other client.
C. Medications shall be administered in
				accordance with state practice acts by individuals licensed to administer
				medications, including a licensed respiratory care practitioner. The
				administration of medication shall include, but not be limited to,:
1. Removing an individual dose from a
				previously dispensed, properly labeled container (including a unit dose
				container);
2. Verifying the dosage
				with the physician's orders;
3.
				Giving the individual dose to the proper client;
4. Monitoring the ingestion or application of
				the dose; and
5. Promptly recording
				on the medication administration records, as it is administered, the date,
				time, does given, mode of administration, and identification of the individual
				who administered the medication.
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 61-13.1200 - MEDICATION MANAGEMENT › Section 61-13.1200.1204 - Pharmacy Services (I)

Current through Register Vol. 48, No. 6, June 28, 2024
A. The
				facility shall maintain a written agreement with a consulting pharmacist to
				direct, supervise, and be responsible for pharmacy services in the facility in
				accordance with accepted professional principles and appropriate state,
				federal, and local laws and regulations.
B. At least once every three (3) months the
				pharmacist shall:
1. Review the medication
				profile for each client for potential adverse reactions, allergies,
				interactions and laboratory modifications. The attending physician shall be
				advised of recommended changes in the medication regimen, medication therapy
				duplication, incompatibilities or contraindications;
2. Review medication storage areas and
				emergency medication kits;
3.
				Review all medications in the facility for expiration dates and ensure the
				removal of discontinued or expired medications from use;
4. Verify proper storage of medications and
				biologicals in the facility and make recommendations concerning the handling,
				storing, and labeling of medications;
5. Examine the controlled substances records
				and affirm to the Administrator that this inventory is correct; and
6. Assess the facility's pharmaceutical
				services to ensure the services have been properly implemented and maintained
				and submit to the Administrator a written report of each pharmaceutical
				assessment including recommendations.
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 61-13.1200 - MEDICATION MANAGEMENT › Section 61-13.1200.1205 - Medication Containers (I)

Current through Register Vol. 48, No. 6, June 28, 2024
A. The
				labeling of medications and biologicals shall be based on currently accepted
				professional principles. Labels shall identify, at a minimum, the name of the
				medication or biological, strength, and lot number. As appropriate, labels
				shall include client name and any identifying number. The prescribing
				physician's name and directions for use shall be on the label. If a physician
				or other authorized healthcare provider changes the dosage of a medication, the
				medication shall be returned to the pharmacy for relabeling. In lieu of this
				procedure, it is acceptable to attach a label to the container that states,
				"Directions changed; refer to MAR and physician or other authorized healthcare
				provider orders for current administration instructions."
B. Medication containers that have been
				damaged, compromised, or without labels, or that have damaged, incomplete, or
				makeshift labels, are considered to be misbranded and are prohibited and shall
				be destroyed in accordance with Section
				1209.
C. Medications for each client shall be
				maintained in the original container(s) including unit dose systems. Opening
				blister packs to remove medications for destruction or adding new medications
				for administration, except under the direction of a pharmacist, is
				prohibited.
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 61-13.1200 - MEDICATION MANAGEMENT › Section 61-13.1200.1206 - Medication Storage (I)

Current through Register Vol. 48, No. 6, June 28, 2024
A.
				Medications shall be stored and safeguarded in a locked medicine preparation
				room or locked cabinet at or near the staff work area to prevent access by
				unauthorized individuals. Medication carts utilized for storage shall be locked
				when not in use. Expired or discontinued medications shall not be stored with
				current medications. Storage areas shall not be located near sources of heat,
				humidity, or other hazards that may negatively impact medication effectiveness
				or shelf life.
B. Medications
				requiring refrigeration or freezing shall be stored in a refrigerator or
				freezer as appropriate at the temperature range established by the manufacturer
				used exclusively for that purpose in the medicine preparation room, or in a
				locked refrigerator used exclusively for medications. Food and drinks shall not
				be stored in the same refrigerator or freezer in which medications and
				biologicals are stored. Refrigerators and freezers shall be provided with a
				thermometer accurate to plus or minus two (2) degrees Fahrenheit.
C. Medications shall be stored:
1. Under proper conditions of sanitation,
				temperature, light, moisture, ventilation, segregation, safety, and
				security;
2. In accordance with
				manufacturer's directions and in accordance with all applicable state, federal,
				and local laws and regulations;
3.
				Separately from poisonous substances, such as cleaning and germicidal agents,
				or body fluids;
4. In a manner that
				provides for separation between topical and oral medications, and which
				provides for separation of each client's medication; and
5. In medicine preparation rooms or cabinets
				that are well-lighted and of sufficient size to permit orderly storage and
				preparation of medications. Keys to the medicine preparation room, cabinet,
				refrigerator or medication cart at the staff work area shall be under the
				control of a designated licensed nurse.
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 61-13.1200 - MEDICATION MANAGEMENT › Section 61-13.1200.1207 - Medication Control and Accountability (I)

Current through Register Vol. 48, No. 6, June 28, 2024
A. Records of receipt, administration, and
				disposition of all medications shall be maintained in sufficient detail to
				enable an accurate reconciliation. The pharmacist or designee shall verify that
				drug records are in order and that an account of all drugs is
				maintained.
B. Medications that
				have been discontinued may be secured in the staff work area with a written
				order by the attending physician. Such medications shall not be held beyond a
				ninety (90) day period unless so ordered by the physician or other legally
				authorized healthcare provider, but in no case held beyond the expiration date
				of the medication.
C. Separate
				control sheets shall be maintained on any controlled substances listed in
				Schedules II, III, IV, and V, State and Federal "Controlled Substances Act."
				This record shall contain the following information: date, time administered,
				name of client, dose, signature of individual administering, name of physician
				or other legally authorized healthcare provider ordering the medication and all
				scheduled controlled substances balances (See Section 1203.F).
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 61-13.1200 - MEDICATION MANAGEMENT › Section 61-13.1200.1208 - Emergency Medications (I)

Current through Register Vol. 48, No. 6, June 28, 2024
If the facility determines a need for an emergency medication
				  kit or cart, the kit or cart shall comply with the provisions of Regulation
				  Regulation
				  61-4, Controlled
				  Substances.
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 61-13.1200 - MEDICATION MANAGEMENT › Section 61-13.1200.1209 - Disposition of Medications (I)

Current through Register Vol. 48, No. 6, June 28, 2024
A.
				Upon discharge of a client, unused medications, biologicals, medical supplies,
				and solutions may be released to the client, family member, or responsible
				party, unless prohibited by facility policies and procedures, the attending
				physician, or other legally authorized healthcare provider.
B. When client medications, biologicals,
				medical supplies, or solutions have deteriorated or exceeded their expiration
				date or there are partially unused medications, or medication containers are
				misbranded, they shall be destroyed by a licensed nurse or other legally
				authorized healthcare provider.
C.
				When non-controlled legend drugs, biologicals, medical supplies, and solutions
				are destroyed, the following shall be documented: date of destruction,
				medication name, strength, quantity, mode of destruction, and the name of the
				individual performing the destruction and witnessed by a licensed nurse or
				pharmacist.
D. The destruction of
				controlled substances shall be accomplished pursuant to the requirements of
				Regulation 61-4.
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 61-13.1300 - VITAL STATISTICS › Section 61-13.1300.1301 - General

Current through Register Vol. 48, No. 6, June 28, 2024
Facilities shall comply with Regulation Regulation
				  61-19, Vital Statistics, with
				  regard to vital statistics.
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 61-13.1300 - VITAL STATISTICS › Section 61-13.1300.1302 - Death Certificates

Current through Register Vol. 48, No. 6, June 28, 2024
Facilities shall file death certificates in accordance with
				  R.61-19 and the South Carolina
				  Code of Laws.
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 61-13.1400 - EMERGENCY PROCEDURES AND DISASTER PREPAREDNESS › Section 61-13.1400.1401 - Disaster Preparedness (II)

Current through Register Vol. 48, No. 6, June 28, 2024
A.
				All facilities shall develop, by contact and consultation with their county
				emergency preparedness agency, a suitable written plan for actions to be taken
				in the event of a disaster and/or emergency evacuation. In the event of mass
				casualties, the facility shall provide resources as available. The facility
				shall update its plan annually or as needed, and shall rehearse it at least
				annually. The facility shall maintain a record of the rehearsal, including its
				date and time, a summary of actions and recommendations, and the names of the
				participants.
B. The disaster and
				emergency evacuation plan shall include, but not be limited to:
1. A sheltering plan to include:
a. Facility occupancy at the time of the
				disaster;
b. Name, address, and
				phone number of the sheltering facility or facilities to which the clients will
				be relocated during a disaster; and
c. A letter of agreement signed by an
				authorized representative of each sheltering facility which shall include: the
				number of relocated clients that can be accommodated; sleeping, feeding, and
				medication plans for the relocated clients; and provisions for accommodating
				relocated staff members and volunteers. The letter shall be updated with the
				sheltering facility at least every three (3) years and whenever significant
				changes occur. For those facilities located in Beaufort, Charleston, Colleton,
				Horry, Jasper, and Georgetown counties, at least one (1) sheltering facility
				shall be located in a county other than these counties.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-13 - Standards for Licensing Habilitation Centers for Persons with Intellectual Disability or Persons with Related Conditions › Sec2 61-13.1400 - EMERGENCY PROCEDURES AND DISASTER PREPAREDNESS › Section 61-13.1400.1402 - Emergency Call Numbers

Current through Register Vol. 48, No. 6, June 28, 2024
A facility shall post emergency call data in a conspicuous
				  place and shall include at least the telephone numbers of fire and police
				  departments, ambulance service, and the poison control center. Other emergency
				  call information shall be available, to include the names, addresses, and
				  telephone numbers of staff members and volunteers to be notified in case of
				  emergency.
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 61-13.1400 - EMERGENCY PROCEDURES AND DISASTER PREPAREDNESS › Section 61-13.1400.1403 - Continuity of Essential Services (II)

Current through Register Vol. 48, No. 6, June 28, 2024
A facility shall maintain a written plan to be implemented to
				  ensure the continuation of essential client support services for such reasons
				  as power outage, water shortage, or in the event of the absence from work of
				  any portion of the workforce resulting from inclement weather or other
				  causes.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-13 - Standards for Licensing Habilitation Centers for Persons with Intellectual Disability or Persons with Related Conditions › Sec2 61-13.1500 - INFECTION CONTROL AND ENVIRONMENT › Section 61-13.1500.1501 - Staff Practices (I)

Current through Register Vol. 48, No. 6, June 28, 2024
Staff and volunteer practices shall promote conditions that
				  prevent the spread of infectious, contagious, or communicable diseases and
				  provide for the proper disposal of toxic and hazardous substances. These
				  preventive measures and practices shall be in compliance with applicable
				  regulations and guidelines of the Occupational Safety and Health
				  Administration, for example, the Bloodborne Pathogens Standard; the Centers for
				  Disease Control and Prevention, for example, Immunization of Health-Care
				  Workers: Recommendations of the Advisory Committee on Immunization Practices
				  and the Hospital Infection Control Practices Advisory Committee; Regulation
				  Regulation
				  61-105; and other applicable
				  state, federal and local laws and regulations.
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 61-13.1500 - INFECTION CONTROL AND ENVIRONMENT › Section 61-13.1500.1502 - Tuberculosis Risk Assessment (I)

Current through Register Vol. 48, No. 6, June 28, 2024
A.
				All facilities shall conduct an annual tuberculosis risk assessment in
				accordance with CDC guidelines to determine the appropriateness and frequency
				of tuberculosis screening and other tuberculosis related measures to be
				taken.
B. The risk classification,
				such as low risk or medium risk, shall be used as part of the risk assessment
				to determine the need for an ongoing TB screening program for staff and clients
				and the frequency of screening. A risk classification shall be determined for
				the entire facility. In certain settings, such as, healthcare organizations
				that encompass multiple sites or types of services, specific areas defined by
				geography, functional units, client population, job type, or location within
				the setting, may have separate risk classifications.
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 61-13.1500 - INFECTION CONTROL AND ENVIRONMENT › Section 61-13.1500.1503 - Staff Tuberculosis Screening (I)

Current through Register Vol. 48, No. 6, June 28, 2024
A. Tuberculosis Status. Prior to date of hire
				or initial client contact, the tuberculosis status of direct care staff shall
				be determined in the following manner in accordance with the applicable risk
				classification:
B. Low Risk:
1. Baseline two-step Tuberculin Skin Test
				(TST) or a single Blood Assay for
Mycobacterium tuberculosis
(BAMT): All staff (within three (3) months prior to contact with
				clients) unless there is a documented TST or a BAMT result during the previous
				twelve (12) months. If a newly employed staff has had a documented negative TST
				or a BAMT result within the previous twelve (12) months, a single TST (or the
				single BAMT) can be administered to serve as the baseline.
2. Periodic TST or BAMT is not
				required.
3. Post-exposure TST or a
				BAMT for staff upon unprotected exposure to
M. tuberculosis
:
				Perform a contact investigation when unprotected exposure is identified.
				Administer one (1) TST or a BAMT as soon as possible to all staff who have had
				unprotected exposure to an infectious TB case or suspect. If the TST or the
				BAMT result is negative, administer another TST or a BAMT eight to ten (8 to
				10) weeks after that exposure to
M. tuberculosis
ended.
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 61-13.1500 - INFECTION CONTROL AND ENVIRONMENT › Section 61-13.1500.1504 - Client Tuberculosis Screening (I)

Current through Register Vol. 48, No. 6, June 28, 2024
A. Tuberculosis Status. Prior to admission,
				the tuberculosis status of a client shall be determined in the following manner
				in accordance with the applicable risk classification:
B. For Low Risk and Medium Risk:
1. Admission/Baseline two-step TST or a
				single BAMT: All clients within one (1) month prior to admission unless there
				is a documented TST or a BAMT result during the previous twelve (12) months. If
				a newly-admitted client has had a documented negative TST or a BAMT result
				within the previous twelve (12) months, a single TST (or the single BAMT) can
				be administered within one (1) month prior to admission to the facility to
				serve as the baseline.
2. Periodic
				TST or BAMT is not required.
3.
				Post-exposure TST or a BAMT for clients upon unprotected exposure to
M.
				tuberculosis
: Perform a contact investigation when unprotected
				exposure is identified. Administer one (1) TST or a BAMT as soon as possible to
				all clients who have had exposure to an infectious TB case or suspect. If the
				TST or the BAMT result is negative, administer another TST or a BAMT eight to
				ten (8 to 10) weeks after that exposure to
M. tuberculosis
ended.
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 61-13.1500 - INFECTION CONTROL AND ENVIRONMENT › Section 61-13.1500.1505 - Housekeeping (II)

Current through Register Vol. 48, No. 6, June 28, 2024
A. A facility
				and its grounds shall be uncluttered, clean, and free of vermin and offensive
				odors. A facility shall maintain sufficient cleaning supplies and equipment at
				all times. Housekeeping shall at a minimum include:
1. Cleaning each specific area, including
				storage areas, of the facility. Accumulated waste material shall be removed
				daily or more often if necessary;
2. Cleaning and disinfection, as needed, of
				equipment used and/or maintained in each area. Cleaning and disinfection shall
				be appropriate to the area and the equipment's purpose or use and shall include
				client room preparation for new occupants;
3. Storage and/or use of chemicals indicated
				as harmful on the product label, cleaning materials, and supplies shall be
				secure and inaccessible to clients;
4. Cleaning of all exterior areas, such as,
				porches and ramps, and removal of safety impediments such as snow, ice, and
				standing water; and
5. Keeping
				facility grounds free of weeds, rubbish, overgrown landscaping, and other
				potential breeding sources for vermin.
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 61-13.1500 - INFECTION CONTROL AND ENVIRONMENT › Section 61-13.1500.1506 - Clean and Soiled Linen and Clothing (II)

Current through Register Vol. 48, No. 6, June 28, 2024
A. Clean Linen and Clothing.
1. Proper storage facilities shall be
				provided for keeping clean linen, restraints, and client clothes in sanitary
				condition prior to use. Clean linen and clothing storage rooms shall be used
				only for the storage of clean linen and clothing. Clean linen and clothing
				shall be separated from storage of other materials.
2. A supply of clean, sanitary linen and
				clothing shall be available at all times.
3. Clean linen and clothing shall be
				transported in a sanitary manner, such as, covered.
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 61-13.1500 - INFECTION CONTROL AND ENVIRONMENT › Section 61-13.1500.1507 - Contaminated Dressings and Pathological Waste (I)

Current through Register Vol. 48, No. 6, June 28, 2024
A. A facility shall dispose of all
				contaminated dressings, pathological, and other similar waste by incineration
				or other approved means. A facility shall clearly identify containers for
				contaminated waste as such and shall not be accessible by unauthorized
				persons.
B. A facility shall
				dispose of dressings and contaminated wastes in client rooms only if such
				wastes are placed in a closed, clearly identified container, double bagged, and
				removed from the client room after attending the client.
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 61-13.1500 - INFECTION CONTROL AND ENVIRONMENT › Section 61-13.1500.1508 - Refuse Disposal

Current through Register Vol. 48, No. 6, June 28, 2024
A. A
				facility shall deposit all garbage and refuse in suitable watertight
				containers. A facility shall dispose of rubbish and garbage in accordance with
				local requirements.
B. A facility
				shall cover and store refuse containers outside on an approved platform
				constructed of concrete, wood, or asphalt and secured in such a manner so as to
				prevent overturning by animals, the entrance of flies, or the creation of a
				nuisance. A facility shall thoroughly clean garbage and trash containers as
				necessary to prevent the creation of a nuisance.
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 61-13.1500 - INFECTION CONTROL AND ENVIRONMENT › Section 61-13.1500.1509 - Cleaning and Use of Equipment and Supplies

Current through Register Vol. 48, No. 6, June 28, 2024
A facility shall disinfect or sterilize medical equipment
				  coming into contact with clients after each use to maintain such equipment in a
				  clean and sanitary condition. Disposable materials and equipment shall be used
				  by one (1) client only, in accordance with manufacturer's recommendations and
				  then disposed of in an acceptable manner. (II)
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 61-13.1600 - MEAL SERVICE › Section 61-13.1600.1601 - General (II)

Current through Register Vol. 48, No. 6, June 28, 2024
A. Facility
				meal service programs shall be inspected and approved by the Department, and
				shall be regulated, inspected, and permitted pursuant to Regulation Regulation
				61-25, Retail Food
				Establishments. Facilities preparing food on-site and licensed for sixteen (16)
				beds or more subsequent to the promulgation of these regulations shall have
				kitchen equipment which meets the requirements of R.61-25. Existing facilities with
				sixteen (16) licensed beds or more may continue to operate with equipment
				currently in use; however, only certified or classified equipment shall be used
				when replacements are necessary. Those facilities with fifteen (15) beds or
				less shall be regulated pursuant to R.61-25 with certain exceptions in
				regard to food equipment (may utilize non-certified or non-classified food
				equipment).
B. When meals are
				catered to a facility, such meals shall be obtained from a retail food
				establishment permitted by the Department, pursuant to R.61-25.
C. If food is prepared at a central kitchen
				and delivered to separate facilities or separate buildings and/or floors of the
				same facility, the method of transportation shall be in compliance with all
				applicable sections of R.61-25 and approved by the
				Department.
D. Food shall be
				prepared by methods that conserve the nutritive value, flavor and appearance.
				The food shall be palatable, properly prepared, and sufficient in quantity and
				quality to meet the daily nutritional needs of the clients in accordance with
				written dietary policies and procedures.
E. Efforts shall be made to accommodate the
				religious, cultural, and ethnic preferences of each client and consider
				variations of eating habits, unless the orders of a physician or other legally
				authorized healthcare provider contraindicate.
F. Nourishment stations, if provided, shall
				contain a handwashing sink equipped for handwashing, equipment for serving
				nourishment between scheduled meals, refrigerator, and storage
				cabinets.
G. At least one (1)
				dietary refrigerator shall be provided on each client floor and shall have a
				thermometer accurate to plus or minus two (2) degrees Fahrenheit. In addition,
				if a refrigerator(s) is in a client room for food storage, the same thermometer
				requirement applies.
H.
				Medications, nursing supplies, or biologicals shall not be stored in the
				dietary department or any refrigerator or storage area utilized by the dietary
				department.
I. The preparation of
				meals shall only be conducted in areas of the facility that have been approved
				by the Department. Extended operations of a facilities meal service program
				shall not be located in rooms used for other purposes, for example, sleeping,
				living, laundry.
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 61-13.1600 - MEAL SERVICE › Section 61-13.1600.1602 - Food and Food Storage (II)

Current through Register Vol. 48, No. 6, June 28, 2024
A.
				At least a three (3) day supply of staple foods and a two (2) day supply of
				perishable foods shall be maintained on the premises. Supplies shall be
				appropriate to meet the requirements of the menu and prescribed special or
				therapeutic diets.
B. All food in
				the facility shall be from food sources approved or considered satisfactory by
				the Department, and shall be clean, wholesome, free from spoilage, free from
				adulteration and misbranding, and safe for human consumption. Home canned food
				usage shall be prohibited. (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 61-13.1600 - MEAL SERVICE › Section 61-13.1600.1603 - Food Equipment and Utensils (II)

Current through Register Vol. 48, No. 6, June 28, 2024
Drinking containers made of porous materials shall not be
				  used unless the containers have smooth liners which can be easily cleaned.
				  These containers and/or liners shall be sanitized at least weekly or more often
				  as necessary and identified for individual client use. Disposable containers
				  shall be replaced at least weekly.
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 61-13.1600 - MEAL SERVICE › Section 61-13.1600.1604 - Meals and Services

Current through Register Vol. 48, No. 6, June 28, 2024
A. The
				dining area shall provide a comfortable and relaxed environment. Table service
				shall be planned in an attractive and colorful manner for each meal.
B. A minimum of three (3)
				nutritionally-adequate meals in each twenty-four-hour (24-hour) period shall be
				provided for each client unless otherwise directed by the client's physician or
				other legally authorized healthcare provider. Clients shall be allowed to
				choose between a variety of foods offered. Personal preferences as to the times
				clients receive their meals may be honored. This may include offering smaller,
				more frequent meals, or snacks, or postponing meals to honor a client's
				request, such as, to sleep or not to eat. The condition of the client shall
				dictate the manner in which meal service is adjusted to suit personal
				preferences. Meal service systems, such as, four (4) meal plans and/or buffet
				dining, may be offered in order to facilitate the client receiving a variety of
				foods. (II)
C. Not more than
				fourteen (14) hours shall elapse between the scheduled serving of the evening
				meal and breakfast the following day. (II)
EXCEPTION:
There may be up to sixteen (16) hours
				  between the scheduled serving of the evening meal and breakfast the following
				  day if approved by the client's attending physician and the client, and if a
				  nourishing snack is provided after the evening meal.
D. Food shall be cut, chopped, ground or
				blended to meet individual needs.
E. The same menu items shall not be
				repetitively served during each seven (7) day period except to honor specific,
				individual client requests. Substitutes of similar nutritive value shall be
				offered to clients who refuse food served.
F. Food and snacks shall be available and
				offered between meals at no additional cost to the clients. Individual client
				food and snack preferences shall be honored when reasonable. (II)
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 61-13.1600 - MEAL SERVICE › Section 61-13.1600.1605 - Meal Service Staff (II)

Current through Register Vol. 48, No. 6, June 28, 2024
A.
				Sufficient staff members shall be available to serve food and to provide
				individual attention and assistance, as needed.
B. The facility shall maintain trained staff
				members to supervise the preparation and serving of the proper diet to the
				clients including having sufficient knowledge of food values in order to make
				appropriate substitutions when necessary.
C. Clients shall not be permitted to engage
				in food preparation unless the following criteria are met:
1. The individual program plan of the client
				has indicated food preparation as suitable and/or beneficial to the client;
				and
2. The client is directly
				supervised by staff members, for example, a staff member in the food
				preparation area with the client.
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 61-13.1600 - MEAL SERVICE › Section 61-13.1600.1606 - Diets (II)

Current through Register Vol. 48, No. 6, June 28, 2024
A. All diets
				shall be prescribed, dated and signed by the physician and be prepared in
				conformance with physicians' orders giving consideration to individual client
				preferences.
B. The necessary
				equipment for preparation of client diets shall be available and
				utilized.
C. A diet manual
				published within the previous five (5) years shall be available and shall
				address at a minimum:
1. Food sources and
				food quality;
2. Food protection
				storage, preparation and service;
3. Meal service staff health and
				cleanliness;
4. Dietary Reference
				Intakes (DRIs) of the Food and Nutrition Board of the Institute of Medicine,
				National Academy of Sciences food serving recommendations; and
5. Menu planning, including plans appropriate
				to special needs, such as, diabetic, low-salt, low-cholesterol, or other diets
				appropriate for clients.