Rhode Island Code of Regulations › Title 212 - Department of Behavioral Healthcare, Developmental Disabilities and Hospitals › Chapter 10 - Licensing and General Administration › Subchapter 00 - N/A › Part 1 - Rules and Regulations for the Licensing of Organizations and Facilities Licensed by the Department of Behavioral Healthcare, Developmental Disabilities and Hospitals › Section 212-RICR-10-00-1.17 - Licensure

Current through June 14, 2024
1.17.1
Provider Governance
A. Leadership and Organization Planning
1. The Organization shall operate in
				 accordance with all applicable local, state and federal laws, rules, and
				 regulations.
2. Each Organization
				 shall have an organized Board that functions as its governing body and that is
				 ultimately responsible for:
a. Program and
				 fiscal management and operation of the Organization;
b. Assurance of the quality of
				 services;
c. Compliance with all
				 federal, state, and local laws and regulations pertaining to Organizations, and
				 the regulations herein; and
d.
				 Compliance with all applicable components of the Americans with Disabilities
				 Act and other federal and state disability civil rights laws.
3. The Board shall provide
				 appropriate Organizational oversight.
4. The Board shall include persons who
				 represent the greater community, including individual and family participation.
				 At least twenty-five percent (25%) of the Board shall be persons who reflect
				 the population served by the Organization and/or family members of individuals.
				 At a minimum, one (1) Board member shall be an individual served. Evidence of
				 compliance shall be provided to the Department upon request but shall be
				 non-public for purposes of R.I. Gen. Laws Chapter 38-2. Efforts shall be made
				 to recruit members who represent the cultural diversity and population of the
				 local community of the Organization.
5. The Board of Directors shall adopt
				 by-laws, or an acceptable equivalent, that shall:
a. Describe the lines and levels of authority
				 for relationships among itself, the executive director, or equivalent position
				 and the community;
b. Define the
				 ethical standards and the responsibilities for the governance of the operation
				 and performance of the Organization; and
c. Stipulate at least four (4) regular
				 meetings of the Board of Directors each year and shall describe qualifications
				 for membership, quorum requirements and require recording of
				 minutes.
6. There shall
				 be a written statement of the specific responsibilities of the Board of
				 Directors.
7. The Board of
				 Directors shall review and approve major program changes recommended by the
				 executive director, or equivalent position or and equivalent
				 position.
8. The Board of Directors
				 shall adopt an annual budget, approve policies, and receive written reports of
				 income and expenditures by program and receive a copy of the annual
				 audit.
9. The Board of Directors
				 shall be responsible for annually evaluating the performance of the executive
				 director, or equivalent position, or a person serving in an equivalent
				 position, of the Organization.
10.
				 A written plan shall define the mission, vision, and values for the
				 Organization as well as strategic, operational, program-related, and other
				 plans and policies to achieve them.
11. The Organization shall have a written
				 policy and procedure manual that shall be implemented, reviewed, and updated as
				 necessary.
12. The leadership of an
				 Organization shall develop programs to promote staff recruitment, retention,
				 development, and continuing education.