reglab/statecodes huggingface dataset:
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-103 - Residential Treatment Facilities for Children and Adolescents › Sec2 61-103.200 - ENFORCEMENT OF REGULATIONS › Section 61-103.200.203 - Consultations

Current through Register Vol. 48, No. 6, June 28, 2024
Consultations shall be provided by the Department as
				  requested by the facility or as deemed appropriate by the
				  Department.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-103 - Residential Treatment Facilities for Children and Adolescents › Sec2 61-103.300 - ENFORCEMENT ACTIONS › Section 61-103.300.301 - General

Current through Register Vol. 48, No. 6, June 28, 2024
When the Department determines that a facility is in
				  violation of any statutory provision, 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 61-103 - Residential Treatment Facilities for Children and Adolescents › Sec2 61-103.400 - POLICIES AND PROCEDURES (II)

Current through Register Vol. 48, No. 6, June 28, 2024
A. Written policies
			 and procedures addressing each section of this regulation regarding resident
			 care, rights, and the operation of the facility shall be developed and
			 implemented, and revised as required in order to accurately reflect actual
			 facility operation. Each facility shall have a clear written statement of its
			 purpose and objectives. This policy shall include a specifically delineated
			 description of the services the facility offers, in order to provide a frame of
			 reference for judging the various aspects of the program. The policy shall also
			 include:
1. The population to be served, age
			 groups, and other limitations;
2.
			 The initial screening process;
3.
			 Intake and/or admission process;
4.
			 Methods for involving family members or significant others in assessment,
			 treatment, and follow-up plans;
5.
			 An organizational chart with a description of each unit or department and its
			 services, goals, policies and procedures, staffing patterns and its
			 relationship to other services and departments and how these are to contribute
			 to the priorities and goals of the facility; and
6. Plan for cooperation with other public and
			 private entities to ensure that each resident will receive comprehensive
			 treatment, to include any working arrangement contracts and any regularly
			 scheduled conferences.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-103 - Residential Treatment Facilities for Children and Adolescents › Sec2 61-103.500 - STAFF AND TRAINING › Section 61-103.500.501 - Governing Authority

Current through Register Vol. 48, No. 6, June 28, 2024
The governing board, or the owner, or the person or persons
				  designated by the owner as the governing authority shall be the supreme
				  authority responsible for the management control of the facility and is
				  ultimately accountable for the safety of residents and staff and the quality of
				  care, treatment, and services provided.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-103 - Residential Treatment Facilities for Children and Adolescents › Sec2 61-103.500 - STAFF AND TRAINING › Section 61-103.500.502 - Administrator (II)

Current through Register Vol. 48, No. 6, June 28, 2024
A. The facility
				administrator shall be designated by the governing body or licensee and is in
				charge of and responsible for the administration of the facility.
B. An administrator appointed subsequent to
				the promulgation of these regulations shall have a baccalaureate or associate
				degree with at least two (2) years of experience in a health-related field
				within the past five (5) years.
C.
				The administrator shall demonstrate adequate knowledge of these
				regulations.
D. A staff member
				shall be designated in writing to act in the absence of the administrator, for
				example, a listing of the lines of authority by position title, including the
				names of the persons filling these positions.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-103 - Residential Treatment Facilities for Children and Adolescents › Sec2 61-103.500 - STAFF AND TRAINING › Section 61-103.500.503 - Personnel (II)

Current through Register Vol. 48, No. 6, June 28, 2024
A. Prior to
				being employed or contracted as a staff member by a licensed facility, an
				individual shall undergo a criminal background check pursuant to S.C. Code
				Section
				44-7-2910.
				Documentation of the results of the background check shall be maintained by the
				facility. Staff members of the facility shall not have a prior conviction or
				pled no contest (nolo contendere) to abuse, neglect, or exploitation of a child
				or a vulnerable adult.
B. No
				facility shall knowingly employ or retain an individual who has been convicted
				of having committed a crime of violence, an offense against morality and
				decency or contributed to the delinquency of a minor. Violent crimes include,
				but are not limited to, such offenses as simple assault committed within the
				last three (3) years; assault and battery; assault and battery of a high and
				aggravated nature; assault with a deadly weapon; assault with intent to kill;
				pointing and presenting a firearm; criminal sexual conduct in the first,
				second, or third degree (rape); all forms of homicide, such as murder and
				manslaughter; kidnapping; and arson. Offenses against morality and decency
				include, but are not limited to, committing or attempting lewd acts upon a
				child under fourteen (14); knowingly distributing obscene material to a minor
				under sixteen (16); knowingly employing or using a minor under sixteen (16) to
				disseminate or promote obscene matter; photographing of a minor for an obscene
				film or photograph; dissemination of sexually oriented material to minors.
				Conviction includes the results of a jury trial, guilty plea, plea of no
				contest, or forfeiture of bond in cases of a misdemeanor. (I)
C. Staff members shall be provided the
				necessary training to perform the duties for which they are responsible in an
				effective manner. (I)
D. Staff
				members shall have at least the following qualifications: (I)
1. Capable of rendering care and services to
				residents;
2. Sufficient education
				to be able to perform their duties, and to speak, read, and write English;
				and
3. Demonstrate a working
				knowledge of applicable regulations.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-103 - Residential Treatment Facilities for Children and Adolescents › Sec2 61-103.500 - STAFF AND TRAINING › Section 61-103.500.504 - Staff (I)

Current through Register Vol. 48, No. 6, June 28, 2024
A. There shall be a
				direct care staff member actively on duty and present in the facility at all
				times that the facility is occupied by residents and to whom the residents can
				immediately report injuries, symptoms of illness, or emergencies. This staff
				member shall recognize and report significant changes in the physical, mental,
				or behavioral condition of each resident and shall ensure that appropriate
				action is taken.
B. The number and
				qualifications of staff members shall be determined by the number and condition
				of the residents. There shall be sufficient staff members to provide
				supervision, direct care, and basic services for all residents.
C. The facility shall maintain documentation
				to ensure the facility meets the requirements of Section
				505.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-103 - Residential Treatment Facilities for Children and Adolescents › Sec2 61-103.500 - STAFF AND TRAINING › Section 61-103.500.505 - Direct Resident Care Staffing

Current through Register Vol. 48, No. 6, June 28, 2024
A. There shall be a physician or authorized
				healthcare provider on-call twenty-four (24) hours a day, and his or her name
				and where he or she can be reached shall be clearly posted in accessible places
				for all staff. (I)
B. At least one
				(1) registered nurse shall be immediately accessible by phone and available in
				the facility within thirty (30) minutes. Additional onsite coverage by licensed
				nurses shall be required if needed depending upon the size of the facility and
				needs of the residents served. Nursing personnel shall be assigned to duties
				consistent with their training and experience. (I)
C. An adequate number of licensed and direct
				care staff shall be on duty to meet the total needs of the residents. (I)
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-103 - Residential Treatment Facilities for Children and Adolescents › Sec2 61-103.500 - STAFF AND TRAINING › Section 61-103.500.506 - Inservice Training (I)

Current through Register Vol. 48, No. 6, June 28, 2024
A.
				Documentation of all inservice training shall be signed and dated by both the
				individual providing the training and the individual receiving the 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 in the context of their job duties and responsibilities, prior to
				resident contact and at a frequency determined by the facility, but at least
				annually unless otherwise specified by certificate, such as cardiopulmonary
				resuscitation (CPR):
1. Basic first-aid to
				include emergency procedures as well as procedures to manage and/or care for
				minor accidents or injuries;
2.
				Management and care of persons with contagious and/or communicable disease,
				such as hepatitis, tuberculosis, or HIV infection;
3. Medication management including storage,
				administration, receiving orders, securing medications, interactions, and
				adverse reactions;
4. Depending on
				the type of residents, care of persons specific to the physical or mental
				condition being care for in the facility, such as cognitive disability, mental
				illness, or aggressive, violent, and/or inappropriate behavioral symptoms, to
				include understanding and coping with behaviors, safety, and
				activities;
5. Use of restraint
				techniques;
6. Crisis
				management;
7. OSHA standards
				regarding blood-borne pathogens;
8.
				Cardiopulmonary resuscitation (CPR) for designated staff members to ensure that
				there is a certified staff member present whenever residents are in the
				facility;
9. Confidentiality of
				resident information and records;
10. Resident Rights;
11. Fire response training within twenty-four
				(24) hours of their first day on the job in the facility (See Section
				1502);
12. Emergency procedures and
				disaster preparedness within twenty-four (24) hours of their first day on the
				job in the facility (See Section 1401); and
13. Activity training (for designated staff
				only).
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-103 - Residential Treatment Facilities for Children and Adolescents › Sec2 61-103.500 - STAFF AND TRAINING › Section 61-103.500.507 - Health Status (I)

Current through Register Vol. 48, No. 6, June 28, 2024
All staff members who have contact with residents, including
				  food service staff members, shall have a health assessment within twelve (12)
				  months prior to initial resident contact. The health assessment shall include
				  tuberculin skin testing in accordance with Section 1702.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-103 - Residential Treatment Facilities for Children and Adolescents › Sec2 61-103.600 - REPORTING › Section 61-103.600.601 - 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 and/or physical restraints, involving residents, staff
				members, or visitors, 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 resident stops receiving services.
B. The licensee shall report each accident
				and/or incident resulting in unexpected death or serious injury to the next of
				kin or party responsible for each affected individual at the earliest
				practicable hour, not to exceed twenty-four (24) hours. The licensee shall
				notify the Department immediately, not to exceed twenty-four (24) hours, via
				telephone, email, or facsimile. The licensee shall submit a report of the
				licensee's investigation of the accident and/or incident to the Department
				within five (5) days. Accidents and/or incidents requiring reporting include,
				but are not limited to:
1. Crime(s) against
				resident;
2. Confirmed or
				suspected cases of abuse, neglect, or exploitation;
3. Medication error with adverse
				reaction;
4. Hospitalization as a
				result of the accident and/or incident;
5. Severe hematoma, laceration, or burn
				requiring medical attention or hospitalization;
6. Fracture of bone or joint;
7. Severe injury involving the use of restraints;
8. Attempted suicide;
9. Fire; and
10. Resident left without notification or
				elopement.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-103 - Residential Treatment Facilities for Children and Adolescents › Sec2 61-103.600 - REPORTING › Section 61-103.600.602 - Fire and Disasters (II)

Current through Register Vol. 48, No. 6, June 28, 2024
A. The
				administrator or his or her designee shall immediately notify the Department
				via telephone or email of any fire in the facility and submit to the Department
				a complete written report including fire department reports, if any, within
				seventy-two (72) hours of the occurrence of the fire.
B. The administrator or his or her designee
				shall report any natural disaster or fire requiring displacement of the
				residents or jeopardizing or potentially jeopardizing the safety of the
				residents to the Department via telephone or email immediately, with a complete
				written report including the fire department or other applicable reporting
				authority submitted within seventy-two (72) hours.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-103 - Residential Treatment Facilities for Children and Adolescents › Sec2 61-103.600 - REPORTING › Section 61-103.600.603 - Communicable Diseases and Animal Bites (I)

Current through Register Vol. 48, No. 6, June 28, 2024
All cases of diseases and animal bites which are required to
				  be reported to the appropriate county health department shall be accomplished
				  in accordance with Regulation Regulation
				  61-20, Communicable
				  Diseases.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-103 - Residential Treatment Facilities for Children and Adolescents › Sec2 61-103.600 - REPORTING › Section 61-103.600.604 - Administrator Change

Current through Register Vol. 48, No. 6, June 28, 2024
The licensee shall notify the Department in writing within
				  seventy-two (72) hours of any change in administrator status. The licensee
				  shall provide the Department in writing within ten (10) days the name of the
				  newly-appointed administrator, the effective date of the appointment, and the
				  hours each day the individual will be working as the administrator of the
				  facility.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-103 - Residential Treatment Facilities for Children and Adolescents › Sec2 61-103.600 - REPORTING › Section 61-103.600.605 - Accounting of Controlled Substances (II)

Current through Register Vol. 48, No. 6, June 28, 2024
Any facility registered with the Department's Bureau of Drug
				  Control and the United States Drug Enforcement Agency shall report any theft or
				  loss of controlled substances to local law enforcement and to the Department's
				  Bureau of Drug Control upon discovery of the loss or theft.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-103 - Residential Treatment Facilities for Children and Adolescents › Sec2 61-103.600 - REPORTING › Section 61-103.600.606 - Emergency Placement Notification

Current through Register Vol. 48, No. 6, June 28, 2024
In instances where evacuees have been relocated, the
				  Department shall be notified by the relocating facility in writing no later
				  than the following workday, the names of the individuals relocated and the
				  name, address, and phone number of the Department-approved temporary sheltering
				  facility(ies) to which the residents have been relocated. Relocation to the
				  receiving facility shall not exceed five (5) days. Prior to the fifth (5th)
				  day, if the facility determines an extension of time is needed, the facility
				  shall request approval from the Department.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-103 - Residential Treatment Facilities for Children and Adolescents › Sec2 61-103.600 - REPORTING › Section 61-103.600.607 - Facility Closure

Current through Register Vol. 48, No. 6, June 28, 2024
A. Prior to the
				permanent closure of a facility, the licensee shall notify the Department in
				writing of the intent to close and the effective closure date. Within ten (10)
				days of closure, the facility shall notify the Department of the provisions for
				the maintenance of the records, the identification of those residents
				displaced, the relocated site, and the dates and amounts of resident refunds.
				On the date of closure the license shall be returned to the
				Department.
B. In instances where a
				facility temporarily closes, the licensee shall notify the Department in
				writing within fifteen (15) days prior to temporary closure. In the event of
				temporary closure due to an emergency, the facility shall notify the Department
				within twenty-four (24) hours of the closure via telephone, email, or
				facsimile. At a minimum, this notification shall include, but not be limited
				to: the reason for the temporary closure, the location where the residents have
				or will be transferred, the manner in which the records are being stored, and
				the anticipated date for reopening. The Department shall consider, upon
				appropriate review, the necessity of inspecting and determining the
				applicability of current construction standards of the facility prior to its
				reopening. If the facility is closed for a period longer than one (1) year, and
				there is a desire to reopen, the facility shall reapply to the Department for
				licensure and shall be subject to all licensing requirements at the time of
				that application, including construction-related requirements for a new
				facility.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-103 - Residential Treatment Facilities for Children and Adolescents › Sec2 61-103.600 - REPORTING › Section 61-103.600.608 - Zero Census

Current through Register Vol. 48, No. 6, June 28, 2024
In instances when there have been no residents in a facility
				  for any reason for a period of ninety (90) days or more, the facility shall
				  notify the Department in writing that there have been no admissions, no later
				  than the one hundredth (100th) day following the date of departure of the last
				  active resident. At the time of this notification, the Department shall
				  consider, upon appropriate review of the situation, the necessity of inspecting
				  the facility prior to any new and/or readmissions to the facility. The facility
				  shall still submit an application and pay the licensing fee to keep the license
				  active, even though the facility is at zero census or temporarily closed. If
				  the facility has no residents for a period longer than one (1) year, and there
				  is a desire to admit a resident, the facility shall reapply to the Department
				  for licensure and shall be subject to all licensing requirements at the time of
				  that application, including construction-related requirements for a new
				  facility.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-103 - Residential Treatment Facilities for Children and Adolescents › Sec2 61-103.700 - RESIDENT RECORDS › Section 61-103.700.702 - Initial Assessment and Treatment Planning

Current through Register Vol. 48, No. 6, June 28, 2024
A. A written initial assessment of the
				resident shall be conducted and dated and signed by all participants to ensure
				appropriateness of placement prior to admission, but no later than seventy-two
				(72) hours after admission.
B. An
				initial treatment plan shall be formulated, written, and interpreted to the
				staff and resident within seventy-two (72) hours of admission.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-103 - Residential Treatment Facilities for Children and Adolescents › Sec2 61-103.700 - RESIDENT RECORDS › Section 61-103.700.704 - Individual Treatment Plan (II)

Current through Register Vol. 48, No. 6, June 28, 2024
A.
				Using the written assessment, the facility shall develop, within fourteen (14)
				days of admission, an Individual Treatment Plan (ITP) with participation of the
				resident, administrator or designee, and/or the sponsor or responsible party
				when appropriate, as evidenced by their signatures and date. The ITP shall be
				reviewed and/or revised as changes in resident needs occur, but not less than
				semi-annually with the administrator or designee, and/or the sponsor or
				responsible party as evidenced by their signatures and date.
B. The comprehensive treatment plan shall be
				formulated for each resident by a multidiscipline staff, written and placed in
				his or her records within fourteen (14) days of admission. This plan must be
				reviewed at least every ninety (90) days, or more frequently if the objectives
				of the program indicate. Review shall be noted in the record. A psychiatrist as
				well as multidisciplinary professional staff shall participate in the
				preparation of the plan and any major revisions.
C. The ITP shall describe the following:
1. Requirements and arrangements for visits
				by or to physicians or other authorized healthcare providers;
2. Recreational and social activities which
				are suitable, desirable, and important to the well-being of the resident;
				and
3. Nutritional needs.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-103 - Residential Treatment Facilities for Children and Adolescents › Sec2 61-103.700 - RESIDENT RECORDS › Section 61-103.700.705 - Record Maintenance

Current through Register Vol. 48, No. 6, June 28, 2024
A. The
				licensee shall provide accommodations, space, supplies, and equipment adequate
				for the protection and storage of resident records.
B. When a resident is transferred from one
				facility to another, a transfer summary to include, at a minimum, copies of the
				most recent physical examination, the two-step tuberculosis test, the ITP and
				medication administration record (MAR), shall be forwarded to the receiving
				facility at the time of transfer or immediately after the transfer if the
				transfer is of an emergency nature. The transfer summary shall include the date
				sent and the signature of the transferring facility staff member. (I)
C. The resident record is
				confidential and shall be made available only to individuals authorized by the
				facility and/or the South Carolina Code of Laws. (II)
D. Records generated by organizations and/or
				individuals contracted by the facility for care or services shall be maintained
				by the facility that has admitted the resident.
E. The facility shall determine the medium in
				which information is stored.
F.
				Upon discharge of a resident, the record shall be completed within thirty (30)
				days, and filed in an inactive or closed file maintained by the licensee. Prior
				to the closing of a facility for any reason, the licensee shall arrange for
				preservation of records to ensure compliance with these regulations. The
				licensee shall notify the Department, in writing, describing these arrangements
				and the location of the records.
G.
				Records of residents shall be maintained for at least six (6) years following
				the discharge of the resident. Other regulation-required documents, for
				example, fire drills and activity schedules, shall be retained at least twelve
				(12) months or since the most recent Department general inspection, whichever
				is the longer period.
H. Records of
				minors shall be retained until after the expiration of the period of election
				following achievement of majority as prescribed by statute.
I. Records of current residents are the
				property of the facility and shall be maintained at the facility and shall not
				be removed without court order.
EXCEPTION:
When a resident moves from one
				  licensed facility to another within the same provider network, meaning the same
				  licensee, the original record may follow the resident; the sending facility
				  shall maintain documentation of the resident's transfer or discharge date and
				  identification information. In the event of change of ownership of the
				  facility, all active resident records or copies of active resident records
				  shall be transferred to the new owner(s).
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-103 - Residential Treatment Facilities for Children and Adolescents › Sec2 61-103.800 - ADMISSION AND RETENTION

Current through Register Vol. 48, No. 6, June 28, 2024
A. Admission shall
			 be in keeping with stated policies of the facility and shall be limited to
			 those persons for whom the facility is qualified by staff, program, and
			 equipment to give adequate care. (II)
B. The admission procedure shall include
			 documentation concerning: (II)
1. Consent for
			 admission and treatment;
2. Proof
			 of legal guardianship status;
3.
			 Consent for medical, surgical, and dental care and treatment;
4. Guidelines for appropriate family
			 participation in the program, communications, contact, and visits when
			 indicated;
5. Guidelines for
			 appropriate clothing, allowances, and gifts;
6. Guidelines for the resident's leaving the
			 facility with medical or multidisciplinary clinical staff's consent;
			 and
7. Financial
			 responsibility.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-103 - Residential Treatment Facilities for Children and Adolescents › Sec2 61-103.900 - RESIDENT CARE AND SERVICES › Section 61-103.900.901 - General

Current through Register Vol. 48, No. 6, June 28, 2024
A. Prior to
				admission, there shall be a written agreement between the resident, and/or his
				or her responsible party, and the facility, as evidenced by their signatures.
				The agreement shall be revised upon any changes and shall include at least the
				following:
1. An explanation of the specific
				care, services, and/or equipment provided by the facility, such as
				administration of medication or provision of special diet as
				necessary;
2. Disclosure of fees
				for all care, services, and/or equipment provided;
3. The facility shall ensure that each
				resident has a primary physician and a psychiatrist who maintain familiarity
				with the resident's physical and mental health status. Physicians,
				psychiatrists, and other clinicians shall be licensed to practice in South
				Carolina as required by state law;
4. Advance notice requirements of not less
				than thirty (30) days to change fee amount for care, services, and/or
				equipment;
5. Refund policy to
				include when monies are refunded upon discharge, transfer, or
				relocation;
6. The amount a
				resident receives for his or her personal needs allowance, if
				applicable;
7. Transportation
				policy;
8. Discharge and transfer
				provisions to include the conditions under which the resident may be discharged
				and the agreement terminated; and
9. Documentation of the explanation of the
				Resident's Rights and the grievance procedure. (II)
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-103 - Residential Treatment Facilities for Children and Adolescents › Sec2 61-103.900 - RESIDENT CARE AND SERVICES › Section 61-103.900.903 - Transportation (I)

Current through Register Vol. 48, No. 6, June 28, 2024
The facility shall secure or provide transportation for
				  residents when a physician's services are needed. Local, as defined by the
				  facility, transportation for medical reasons shall be provided by the facility.
				  If a physician's services are not immediately available and the resident's
				  condition requires immediate medical attention, the facility shall provide or
				  secure transportation for the resident to the appropriate healthcare providers,
				  such as, but not limited to, physicians, dentists, physical therapists, or for
				  treatment at renal dialysis facilities.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-103 - Residential Treatment Facilities for Children and Adolescents › Sec2 61-103.900 - RESIDENT CARE AND SERVICES › Section 61-103.900.905 - Discharge and Transfer

Current through Register Vol. 48, No. 6, June 28, 2024
A.
				Discharge planning begins at the time of admission. A discharge date shall be
				projected in the treatment plan. Discharge orders shall be signed by a
				physician. A discharge summary shall be included in the resident's record.
				Discharge planning shall include input from the multidiscipline staff.
				(II)
B. Prior to discharge, the
				resident, his or her appropriate family member, and the sponsor, if any, shall
				be consulted.
C. There shall be a
				written plan for follow-up services, either by the facility or another agency.
				(II)
D. Arrangements for
				alternative and more appropriate placement shall be made prior to the
				twenty-first (21st) birthday of any resident who needs continued treatment.
				(II)
E. Upon transfer or discharge
				of a resident, resident information shall be released in a manner that promotes
				continuity in the care that serves the best interests of the
				resident.
F. Upon transfer or
				discharge, the facility shall ensure that medications, as appropriate, personal
				possessions and funds are released to the responsible party and/or the
				receiving facility in a manner that ensures continuity of care and services and
				maximum convenience of the resident. (II)
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-103 - Residential Treatment Facilities for Children and Adolescents › Sec2 61-103.1000 - RIGHTS AND ASSURANCES › Section 61-103.1000.1001 - General

Current through Register Vol. 48, No. 6, June 28, 2024
A. The facility
				shall develop and post in a conspicuous place in a public area of the facility
				a grievance and complaint procedure to be exercised on behalf of the residents
				that includes the address and phone number of the Department and a provision
				prohibiting retaliation should the grievance right be exercised.
B. Care, services, and items provided by the
				facility, the charges, and those services that are the responsibility of the
				resident shall be delineated in writing. The resident shall be made aware of
				such charges and/or services and changes to charges and/or services as verified
				by the signature of the resident or responsible party.
C. The facility shall comply with all
				relevant federal, state, and local laws and regulations concerning
				discrimination, such as Title VII, Section 601 of the Civil Rights Act of 1964,
				and ensure that there is no discrimination with regard to source of payment in
				the recruitment, location of resident, acceptance or provision of goods and
				services to residents or potential residents.
D. Residents shall not be requested or
				required to perform any type of care and/or service in the facility that would
				normally be the duty of a staff member.
E. Adequate safeguards shall be provided for
				protection and storage of residents' personal belongings.
F. Provisions shall be made for safeguarding
				money and valuables for those residents who request this assistance.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-103 - Residential Treatment Facilities for Children and Adolescents › Sec2 61-103.1000 - RIGHTS AND ASSURANCES › Section 61-103.1000.1002 - Statement of Rights of Residents

Current through Register Vol. 48, No. 6, June 28, 2024
A. Each resident shall be afforded the
				following rights: (II)
1. The right to be
				treated with consideration, respect, and dignity, including privacy in
				treatment and in care for personal needs;
2. The right to be cared for in an atmosphere
				of sincere interest and concern in which needed support and services are
				provided;
3. The right to a safe,
				secure, and clean environment;
4.
				The right to confidentiality;
5.
				The right to voice grievances without discrimination or reprisal;
6. The right to be free from harm, including
				isolation, excessive medication if applicable, abuse, or neglect;
7. The right to be fully informed, at the
				time of acceptance into the program, of services and activities available and
				related charges;
8. The right to
				communicate with others and be understood by them to the extent of the
				resident's capability;
9. The right
				to visitation of the resident's family and significant others unless clinically
				contraindicated and documented in the resident's records. Appropriate areas for
				visitation shall be provided;
10.
				The right to conduct private telephone conversations with family and friends
				and to send and receive mail. When restrictions are necessary because of
				therapeutic or practical reasons, these reasons shall be documented, explained
				to the resident and family and reevaluated at least monthly; and
11. The right to be fully informed, as
				evidences by the resident's written acknowledgement of these rights, of all
				rules and regulations regarding resident conduct and
				responsibilities.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-103 - Residential Treatment Facilities for Children and Adolescents › Sec2 61-103.1100 - RESIDENT PHYSICAL EXAMINATION

Current through Register Vol. 48, No. 6, June 28, 2024
A. A physical examination shall be completed
			 by a physician or other authorized healthcare provider for residents within
			 thirty (30) days prior to admission or within forty-eight (48) hours of
			 admission and at least annually thereafter. Physical examinations conducted by
			 physicians or other authorized healthcare providers licensed in other states
			 are permitted for new admissions under the condition that the resident
			 undergoes a second physical examination by a South Carolina licensed physician
			 or other authorized healthcare provider within thirty (30) days of admission to
			 the facility. The physical examination shall be updated to include new medical
			 information if the resident's condition has changed since the last physical
			 examination was completed. The physical examination shall address:
1. Complete medical history;
2. Neurological screening;
3. Motor development and
			 functioning;
4. Dental screening
			 upon admission and at least every six (6) months thereafter;
5. Speech, hearing, and language
			 screening;
6. Vision
			 screening;
7. Review of
			 immunization status and completion;
8. Laboratory work-up, including routine blood work and
			 urinalysis; and
9. Two-step
			 tuberculosis skin test, in accordance with Section 1702.D, unless there is a
			 documented previous positive reaction.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-103 - Residential Treatment Facilities for Children and Adolescents › Sec2 61-103.1200 - MEDICATION MANAGEMENT › Section 61-103.1200.1201 - 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 available and properly managed in
				accordance with local, state, and federal 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 outdated, and their disposition at discharge, death, or transfer of a
				resident.
B. There shall be an
				adequate number of first aid kits stored with appropriate safeguards but
				accessible to staff in appropriate locations such as living units, recreation
				and special purpose areas, buses, and otherwise. A first aid kit shall be
				equipped with at least an antiseptic solution, adhesive bandages, rolled
				bandages, gauze pads, medical adhesive tape, cotton-tip applications, and
				scissors.
C. Applicable reference
				materials published within the previous three (3) years shall be available at
				the facility in order to provide staff members administering medication with
				adequate information concerning medications.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-103 - Residential Treatment Facilities for Children and Adolescents › Sec2 61-103.1200 - MEDICATION MANAGEMENT › Section 61-103.1200.1202 - Medication and Treatment Orders (I)

Current through Register Vol. 48, No. 6, June 28, 2024
A. Medications and treatments shall be
				administered to residents only upon orders, to include standing orders, of a
				physician or other authorized healthcare provider. Medications accompanying
				residents at admission may be administered to residents provided the medication
				is in the original labeled container and the order is subsequently obtained as
				part of the admission physical examination. Should there be concerns regarding
				the appropriateness of administering medications due to the condition or state
				of the medication, for example, expired, makeshift or illegible labels, or the
				condition or state of health of the newly-admitted resident, staff members
				shall consult with or make arrangements to have the resident examined by a
				physician or other authorized healthcare provider, or at the local hospital
				emergency room prior to administering any medications.
B. All orders, including verbal orders, shall
				be received only by legally authorized staff members and shall be signed and
				dated by a physician or other authorized healthcare provider no later than
				seventy-two (72) hours after the order is given.
C. Medications and medical supplies ordered
				for a specific resident shall not be provided or administered to any other
				resident.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-103 - Residential Treatment Facilities for Children and Adolescents › Sec2 61-103.1200 - MEDICATION MANAGEMENT › Section 61-103.1200.1203 - Administering Medication and Treatments (I)

Current through Register Vol. 48, No. 6, June 28, 2024
A. Doses of medication shall be administered
				by the same staff member who prepared them for administration. Preparation
				shall occur no earlier than one (1) hour prior to administering. Preparation of
				doses for more than one (1) scheduled administration shall not be permitted.
				Each physician-ordered treatment or medication dose administered or supervised
				shall be properly recorded by initialing on the resident's medication
				administration record (MAR) as the medication is administered or treatment
				record as treatment is rendered. Recording medication administration shall
				include medication name, dosage, mode of administration, date, time, and the
				signature of the individual administering or supervising the taking of the
				medication. If the ordered dosage is to be given on a varying schedule, such
				as, "take two tablets the first day and one tablet every other day by mouth
				with noon meal," the number of tablets shall also be recorded. The treatment
				record shall document the type of treatment, date and time of treatment, and
				signature of the individual administering treatment.
B. Medications shall be administered only by
				staff members legally authorized to administer the medication(s).
				(II)
C. When residents leave the
				facility for an extended period of time, the proper amount of medications,
				along with dosage, mode, date, and time of administration, shall be given to a
				responsible person who will be in charge of the resident during his or her
				absence from the facility; these details shall be properly documented in the
				MAR. In these instances, the amount of medication needed for the designated
				period of time may be transferred to a prescription vial or bottle that is
				properly labeled.
D. At each shift
				change, there shall be a documented review of the MARs by outgoing staff
				members with incoming staff members that shall include verification by outgoing
				staff members that they have properly administered medications in accordance
				with orders by a physician or other authorized healthcare provider, and have
				documented the administrations. Errors and/or omissions indicated on the MARs
				shall be addressed and corrective action taken at that time.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-103 - Residential Treatment Facilities for Children and Adolescents › Sec2 61-103.1200 - MEDICATION MANAGEMENT › Section 61-103.1200.1204 - Pharmacy Services (I)

Current through Register Vol. 48, No. 6, June 28, 2024
A. Any
				pharmacy within the facility shall be provided by or under the direction of a
				pharmacist in accordance with accepted principles and appropriate local, state,
				and federal laws and regulations.
B. Facilities which maintain stocks of legend
				drugs and biologicals for dispensing to residents shall obtain and maintain a
				valid, current pharmacy permit from the South Carolina Board of
				Pharmacy.
C. Labeling of
				medications dispensed to residents shall be in compliance with local, state,
				and federal laws and regulations, to include expiration date.
D. A consulting pharmacist shall assist in
				developing policies and procedures for the administration of medication. The
				consulting pharmacist shall conduct monthly reviews of medication and
				medication records in all locations where medications are stored and shall
				submit at least monthly reports to the facility administrator and make
				recommendations for improvements concerning the handling, storage, and labeling
				of medications at the facility.
E.
				Provisions shall be made for emergency pharmaceutical service. (II)
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-103 - Residential Treatment Facilities for Children and Adolescents › Sec2 61-103.1200 - MEDICATION MANAGEMENT › Section 61-103.1200.1205 - Medication Containers (I)

Current through Register Vol. 48, No. 6, June 28, 2024
A.
				Medications for residents shall be obtained from a permitted pharmacy or
				prescriber on an individual prescription basis. These medications shall bear a
				label affixed to the container which reflects at least the following: name of
				pharmacy, name of resident, name of the prescribing physician or other
				authorized healthcare provider, date and prescription number, directions for
				use, and the name and dosage unit of the medication. The label shall be brought
				into accord with the directions of the physician or other authorized healthcare
				provider each time the prescription is refilled. Medication containers having
				soiled, damaged, incomplete, illegible, or makeshift labels shall be returned
				to the pharmacy for relabeling or disposal. Residents may obtain their
				over-the-counter (OTC) medication from a pharmacy other than a pharmacy
				contracted with the facility.
B. If
				a physician or other authorized healthcare provider changes the dosage of a
				medication, a label, which does not obscure the original label, shall be
				attached to the container which indicates the new dosage, date, and
				prescriber's name. In lieu of this procedure, it is acceptable to attach a
				label to the container that states, "Directions changes; refer to MAR and
				physician or other authorized healthcare provider orders for current
				administration instructions." The new directions shall be communicated to the
				pharmacist upon receipt of the order.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-103 - Residential Treatment Facilities for Children and Adolescents › Sec2 61-103.1200 - MEDICATION MANAGEMENT › Section 61-103.1200.1206 - Medication Storage (I)

Current through Register Vol. 48, No. 6, June 28, 2024
A.
				Medications shall be properly stored and safeguarded in a locked medicine
				preparation room (See Section 2603) or locked in a cabinet at or near the staff
				work area to prevent access by unauthorized individuals. If medication carts
				are utilized for storage, they shall be locked when not in use. When the
				medication cart is in use, it shall be supervised by staff legally authorized
				to administer medications. 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 shall
				be stored in a refrigerator at the temperature established by the U.S.
				Pharmacopeia, thirty-six to forty-six (36-46) degrees Fahrenheit, and
				recommended by the medication manufacturer. Medications requiring refrigeration
				shall be kept in a secured refrigerator, at or near the staff work area, used
				exclusively for medications, or in a secured manner in which medications are
				separated from other items in the refrigerator, such as a lock box. Food and
				drinks shall not be stored in the same refrigerator. All refrigerators storing
				medications shall have accurate thermometers, within plus or minus three (3)
				degrees Fahrenheit.
C. Medications
				shall be stored:
1. Separately from poisonous
				substances or body fluids; and
2.
				In a manner which provides for separation between topical and oral medications,
				and which provides for separation of each individual resident's
				medication.