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South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-101 - Water Quality Certification › Section 61-101.E - PUBLIC HEARING

Current through Register Vol. 48, No. 6, June 28, 2024
1. Any person
			 may request a public informational hearing during the initial comment period
			 discussed in Article D.2. and D.4. above. Requests shall be in writing and
			 shall state the nature of the issues to be raised at the hearing.
2. The Department shall hold a public
			 informational hearing whenever twenty (20) or more individual written requests
			 are received during the public comment period and which raise water quality and
			 classified use issues. A hearing may also be held whenever the Department staff
			 determines that it may be useful in reaching a decision on an application. Such
			 hearing will be conducted by Department staff personnel.
3. All public hearings shall be reported
			 verbatim. A copy of the transcript shall be made available for public
			 inspection.
4. The public comment
			 period on an application will automatically be extended to fifteen (15) days
			 past the date of the hearing. Further extensions may be granted at the
			 discretion of the hearing officer.
5. The Department will coordinate with other
			 regulatory agencies and conduct joint public hearings where feasible.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-101 - Water Quality Certification › Section 61-101.F - SCOPE OF REVIEW FOR APPLICATION DECISIONS

Current through Register Vol. 48, No. 6, June 28, 2024
1. The Department shall prepare a written
			 assessment on each proposed activity requiring a Federal license or permit.
			 This assessment shall address the water quality impacts of the project and will
			 make conclusions concerning compliance with water quality standards, protection
			 of classified uses, and related water quality impacts. Such assessment shall be
			 available to the applicant and to the public upon request.
2. A certification shall be issued if the
			 applicant has demonstrated that the project is consistent with the provisions
			 of these regulations; the State Water Quality Standards, R.61-68; and the Federal Clean
			 Water Act,
			 33
			 U.S.C. 1341, and regulations promulgated
			 thereunder by the U.S. Environmental Protection Agency.
3. In assessing the water quality impacts of
			 the project, the Department will address and consider the following factors:
(a) whether the activity is water dependent
			 and the intended purpose of the activity;
(b) whether there are feasible alternatives
			 to the activity;
(c) all potential
			 water quality impacts of the project, both direct and indirect, over the life
			 of the project including:
(1) impact on
			 existing and classified water uses;
(2) physical, chemical, and biological
			 impacts, including cumulative impacts;
(3) the effect on circulation patterns and
			 water movement;
(4) the cumulative
			 impacts of the proposed activity and reasonably foreseeable similar activities
			 of the applicant and others.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-101 - Water Quality Certification › Section 61-101.G - NOTICE OF PROPOSED DECISIONS AND ADJUDICATORY HEARINGS FOR CERTIFICATIONS FOR FEDERAL LICENSES OR PERMITS

Current through Register Vol. 48, No. 6, June 28, 2024
1.
			 The Department shall issue a notice of proposed decision on application for
			 certification, including any proposed conditions. Such notice shall advise of
			 availability of the staff assessment and related file information. Such notice
			 shall be mailed to:
(a) the
			 applicant;
(b) agencies having
			 jurisdiction or interest over the disposal site or activity site;
(c) owners or residents of property adjoining
			 the area of the proposed activity; and
(d) those persons providing comment in
			 response to the initial notice of application.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-101 - Water Quality Certification › Section 61-101.H - ENFORCEMENT OF CERTIFICATION DECISIONS AND CONDITIONS

Current through Register Vol. 48, No. 6, June 28, 2024
1. Any certification condition is intended to
			 become a condition of the Federal or State license or permit as specified in
			 Federal or State law.
2.
			 Certification conditions which are included as conditions of such license or
			 permit are subject to enforcement mechanisms available to the Federal or State
			 agency issuing the license or permit. Other mechanisms under State law may also
			 be used to correct or prevent adverse water quality impacts from construction
			 or operation of activities for which certification has been issued.
3. The Department may conduct inspections for
			 determining compliance with certification conditions.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-102 - Standards for Licensing Birthing Centers for Deliveries by Midwives › Section 61-102.B - Licensing Procedures

Current through Register Vol. 48, No. 6, June 28, 2024
(1)
			 Application:
(a) Applicants for a license
			 shall file applications under oath annually with the Department upon forms
			 provided by the Department, and shall pay an annual license fee. The
			 application shall set forth the following:
(1)
			 Name, address, and telephone number of facility;
(2) Name and address of licensee;
(3) Names of all parties with at least five
			 percent ownership;
(4) Name of
			 governing authority;
(5) Name of
			 chief executive officer;
(6)
			 Numerical composition of nurse-midwives and support staff;
(7) Number of birthing rooms;
(8) Description of arrangements for emergency
			 transportation of patients from the facility;
(9) Name of hospital(s) with which a transfer
			 agreement has been made;
(10)
			 Description of arrangements for obstetric and pediatric consultation and
			 referral.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-102 - Standards for Licensing Birthing Centers for Deliveries by Midwives › Section 61-102.C - Governing Authority and Management

Current through Register Vol. 48, No. 6, June 28, 2024
(1) General: Every facility shall be
			 organized, equipped, manned and administered to provide adequate care for each
			 person admitted.
(2) Governing
			 Authority: The governing authority shall be the supreme authority responsible
			 for the management control of the facility and shall develop a written set of
			 bylaws or other appropriate policies and procedures for operation of the
			 facility. These shall: (II)
(a) State the
			 purpose of the facility;
(b)
			 Specify by name the person to whom responsibility for operation and maintenance
			 of the facility is delegated and methods established by the governing authority
			 for holding such individual responsible;
(c) Provide for at least annual meetings of
			 the governing authority;
(d)
			 Provide for a policies and procedures manual which is designed to ensure
			 professional and safe care for the patients to include but not limited to:
(1) admission criteria;
(2) extent of physician participation in the
			 services offered;
(3) rights and
			 responsibilities of patients;
(4)
			 patient grievance procedures;
(5)
			 infection control procedures;
(6)
			 personnel training requirements;
(7) transfer of mothers who, during the
			 course of pregnancy, labor, delivery or recovery, are determined to be
			 ineligible for continued care;
(8)
			 the use of IV's, food, fluids, analgesia/anesthesia, oxytocin, episiotomies,
			 positions for delivery;
(9)
			 provisions for the education of mother, family and others, as appropriate in
			 birthing, newborn care, and maternal postpartum care.
(10) plans for follow-up of mother and infant
			 after discharge from the center;
(11) plans for tests/treatments including,
			 but not limited to, PKU, bilirubin, Rh factor, ophthalmic prophylaxis, and
			 prophylaxis for neonatal hemorrhagic disease;
(12) plan for circumcision.
(e) Provide for annual reviews and
			 evaluations of the facility's policies, procedures, management and
			 operation.
(f) Provide for a
			 facility-wide quality assurance program to evaluate the provision of patient
			 care. The program shall be ongoing and have a written plan of
			 implementation.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-102 - Standards for Licensing Birthing Centers for Deliveries by Midwives › Section 61-102.D - Professional Care

Current through Register Vol. 48, No. 6, June 28, 2024
(1) Limitation of
			 Services Offered by Birthing Center: (I)
In order to be delivered in a birthing center, the woman and/or
				her infant shall exhibit no evidence of:
(a) severe anemia;
(b) diabetes mellitus;
(c) symptomatic heart disease;
(d) severe hypertension or
			 preeclampsia;
(e) renal
			 disease;
(f)
			 thrombophlebitis;
(g) multiple
			 gestation;
(h) active herpes
			 (within one week of delivery), syphilis, or HIV positive;
(i) placental abnormalities;
(j) premature labor;
(k) intrauterine growth
			 retardation;
(l) fetal
			 disease;
(m) previous caesarean
			 delivery with classical incision;
(n) desire for transfer;
(o) anticipated macrosomia;
(p) breech birth;
(q) six or more (nonmiscarriage or
			 nonabortion) pregnancies;
(r)
			 polyhydramnios or oligohydramnios, or chorionitis;
(s) malformed fetus;
(t) any other high risk condition.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-102 - Standards for Licensing Birthing Centers for Deliveries by Midwives › Section 61-102.E - Functional Safety

Current through Register Vol. 48, No. 6, June 28, 2024
(1) General:
(a) The governing authority shall develop
			 written policies and procedures designed to enhance safety within the facility
			 and on its grounds and to minimize hazards to patients, staff and
			 visitors.
(b) The policies and
			 procedures shall include: (II)
(1) safety
			 rules and practices pertaining to personnel, equipment, gases, liquids, drugs,
			 supplies and services;
(2)
			 provisions for reporting and investigating accidental events regarding
			 patients, visitors and personnel and corrective action taken;
(3) provisions for disseminating
			 safety-related information to employees and users of the facility;
(4) provision of syringe and needle storage,
			 handling and disposal.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-102 - Standards for Licensing Birthing Centers for Deliveries by Midwives › Section 61-102.F - Infection Control and Sanitation

Current through Register Vol. 48, No. 6, June 28, 2024
(1) General: The governing authority shall
			 provide adequate space, equipment, and personnel to assure safe and aseptic
			 treatment and protection of all patients and personnel against cross-infection.
			 (II)
(2) Sterilization Procedures:
(a) Policies and procedures shall be
			 established in writing for storage, maintenance and distribution of sterile
			 supplies and equipment. (II)
(b)
			 Sterile supplies and equipment shall not be mixed with unsterile supplies, and
			 shall be stored in dust-proof and moisture-free units. They shall be properly
			 labeled. (I)
(c) Sterilizing
			 equipment of appropriate type shall be available and of adequate capacity to
			 properly sterilize instruments and materials. The sterilizing equipment shall
			 have approved control and safety features. The accuracy of instrumentation and
			 equipment shall be checked at least quarterly by an approved method; periodic
			 calibration and/or preventive maintenance shall be provided as necessary, and a
			 log maintained. (II)
(d) The date
			 of expiration shall be marked on all supplies sterilized in the facility.
			 (I)
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-102 - Standards for Licensing Birthing Centers for Deliveries by Midwives › Section 61-102.G - Dietary Services (II)

Current through Register Vol. 48, No. 6, June 28, 2024
(1)
			 General:
When the birthing center policy provides for allowing the
				preparation and/or storage of food, there shall be adequate means for
				maintaining cold foods at a temperature of 45 degrees Fahrenheit or lower; a
				microwave oven; and a dishwashing machine provided with hot water at a
				temperature of not less than 160 degrees Fahrenheit.
(2) Food Storage:
(a) Food shall not be stored together with
			 medicines requiring refrigeration.
(b) All refrigerated food items shall be
			 labeled and dated.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-102 - Standards for Licensing Birthing Centers for Deliveries by Midwives › Section 61-102.I - Fire Protection and Prevention

Current through Register Vol. 48, No. 6, June 28, 2024
(1) Fire Extinguishers, Standpipes, and
			 Automatic Sprinklers: Fire-fighting equipment such as fire extinguishers,
			 standpipes and automatic sprinklers shall be provided as required by the
			 Standard Building Code. Extinguishers shall be sized, located, installed and
			 maintained in accordance with NFPA No. 10. Suitable fire extinguishers shall
			 also be installed in all hazardous areas. Each facility shall conform with all
			 state and local fire and safety provisions. (II)
(2) Alarms: Where required, a manual fire
			 alarm system in accordance with provisions of "Local Protective Signaling
			 System," NFPA No. 72A, shall be provided. (II)
(3) Gases: Gases (flammable and nonflammable)
			 shall be handled and stored in accordance with the provisions of applicable
			 NFPA codes. (II)
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-102 - Standards for Licensing Birthing Centers for Deliveries by Midwives › Section 61-102.J - Mechanical Requirements

Current through Register Vol. 48, No. 6, June 28, 2024
(1)
			 Emergency Electrical Power: The facility shall be equipped with an emergency
			 power source. The emergency electrical power system shall be adequate to
			 maintain the operation of lighting for egress, fire detection equipment, and
			 alarms. (I)
(2) Lighting and
			 Electrical Services: There shall be sufficient safe lighting for individual
			 activities, including suitable lighting for corridors and baths. Lighting in
			 work area shall not be less than 50 foot candles. (II)
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-102 - Standards for Licensing Birthing Centers for Deliveries by Midwives › Section 61-102.K - General

Current through Register Vol. 48, No. 6, June 28, 2024
Conditions arising which have not been covered in these
				regulations shall be handled in accordance with the best practices as
				interpreted by the Department.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-103 - Residential Treatment Facilities for Children and Adolescents › Section 61-103.B - Licensing Procedures

Current through Register Vol. 48, No. 6, June 28, 2024
(1)
			 Application: Applicants for a license shall annually file applications under
			 oath with the Department upon prescribed forms. Each applicant shall pay an
			 annual license fee prior to issuance of a license. The annual license fee shall
			 be ten dollars ($10.00) for each bed. Such fee shall be paid to the Department
			 for deposit into the State Treasury. If the application is denied the fee will
			 be refunded. An application shall be signed by the owner(s), if an individual
			 or partnership; or in the case of a corporation, by two of its officers; or in
			 the case of a governmental unit, by the head of the governmental department
			 having jurisdiction over it. The application shall set forth the full name and
			 address of the facility for which the license is sought and of the owner in
			 case his address is different from that of the facility, the names of the
			 persons in control of the facility and such additional information as the
			 Department may require, including affirmative evidence of ability to comply
			 with reasonable standards, rules and regulations as may be lawfully
			 prescribed.
(2) Requirements for
			 Issuance of License:
(a) Upon receipt of an
			 application for a license from a facility never before licensed, a duly
			 appointed representative of the Department shall make an inspection of that
			 facility.
(b) Every building,
			 institution or establishment for which a license has been issued shall be
			 annually inspected for compliance with the regulations of the
			 Department.
(c) When it is
			 determined that the facility is in compliance with the requirements of these
			 Standards, and a properly completed application and licensing fee have been
			 received by the Department, a license shall be issued.
(d) No proposed facility shall be named nor
			 may any existing facility have its name changed to the same or similar name as
			 a facility licensed in the State. If it is part of a "chain operation" it shall
			 then have the area in which it is located as part of its name.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-103 - Residential Treatment Facilities for Children and Adolescents › Section 61-103.C - Governing Authority and Management

Current through Register Vol. 48, No. 6, June 28, 2024
(1) General:
Every facility shall be organized, equipped, manned and
				administered to provide adequate care for each person admitted.
(2) Governing Authority: 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 shall develop a written set of bylaws or
			 other appropriate policies and procedures for operation of the facility. These
			 shall: (II)
(a) state the purpose of the
			 facility;
(b) specify by name the
			 person to whom responsibility for operation and maintenance of the facility is
			 delegated and methods established by the governing authority for holding such
			 individual responsible;
(c) provide
			 for at least annual meetings of the governing authority.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-103 - Residential Treatment Facilities for Children and Adolescents › Section 61-103.D - Admission and Intake

Current through Register Vol. 48, No. 6, June 28, 2024
(1) Admission
			 Policies and Procedures: (II)
(a) Admission
			 shall be in keeping with stated policies of the residential treatment facility
			 and shall be limited to those persons for whom the residential treatment
			 facility is qualified by staff, program and equipment to give adequate
			 care.
(b) The admission procedure
			 shall include documentation concerning:
(1)
			 consent for admission and treatment;
(2) proof of legal guardianship
			 status;
(3) responsibility for
			 medical and dental care, including consent for medical, surgical and dental
			 care and treatment;
(4)
			 arrangements for appropriate family participation in the program,
			 communications, contact and visits when indicated;
(5) arrangements for clothing, allowances and
			 gifts;
(6) arrangements regarding
			 the resident's leaving the center with or without medical or multidisciplinary
			 clinical staff's consent;
(7)
			 responsibility for financial support.
(c) Acceptance of a child or adolescent for
			 continuing residential treatment shall be based on a documented assessment
			 which shall be clearly explained to the resident and the family. Whether the
			 family/guardian voluntarily requested services or the resident was referred by
			 the court or other agency, the residential treatment center shall involve the
			 family's participation to the fullest extent possible. Discharge planning is
			 begun at the time of admission and intake.
(d) Acceptance of the child or adolescent for
			 treatment shall be based on the determination by a licensed physician,
			 preferably psychiatrist, that the child or adolescent does not need acute
			 psychiatric hospitalization, but does need treatment of a comprehensive and
			 intensive nature and is likely to benefit by the programs that the residential
			 treatment center has to offer. This determination shall be documented and
			 reviewed by the physician and treatment team at least monthly.
(e) Staff members who will be working with
			 the resident, but who did not participate in the initial assessment, shall be
			 oriented regarding the resident prior to meeting the resident. When the
			 resident is to be assigned to a group, the other residents in the group shall
			 be prepared for the arrival of the new member. There shall be a staff member(s)
			 assigned to the new resident to observe him and help him with the unit
			 orientation period.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-103 - Residential Treatment Facilities for Children and Adolescents › Section 61-103.E - Problem Management

Current through Register Vol. 48, No. 6, June 28, 2024
The facility must have current written policies and procedures
				for using seclusion or any form of restraint. Seclusion or other forms of
				restraint must not be used for staff convenience or as a substitute for
				treatment. (I)
(1) Restraining
			 Measures: All staff working directly with residents must be trained in crisis
			 management and the appropriate use of restraining measures. No staff may use
			 personal restraint or apply protective devices or mechanical restraints unless
			 trained to perform these procedures safely. The training must be documented in
			 the staff's records. (I)
(2)
			 Protective Devices: Protective devices may be used to prevent a resident from
			 injuring or mutilating himself or others. A physician must give signed written
			 authorization for their use. (I)
(a) Use of
			 protective devices must be documented in the resident's record.
(b) Use of protective devices must be
			 evaluated as part of the regular review of the treatment plan.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-103 - Residential Treatment Facilities for Children and Adolescents › Section 61-103.F - Professional Care

Current through Register Vol. 48, No. 6, June 28, 2024
(1) Medical Care:
			 (I)
The facility shall have available, either within its own
				organizational structure or by written arrangements with outside clinicians or
				facilities, a full range of services for the treatment of illnesses and the
				maintenance of general health. The facility's written plan for clinical
				services shall delineate the ways the facility obtains or provides all general
				and specialized medical, surgical, nursing and dental services. Definite
				arrangements shall be made for a licensed medical physician to provide medical
				care for the residents. This shall include arrangements for necessary visits to
				the facility as well as office visits. Each resident shall have a primary
				physician who maintains familiarity with his physical health status.
				Physicians, psychiatrists and other clinicians must be licensed to practice in
				South Carolina as required by South Carolina law.
(a) Residents who are physically ill shall be
			 cared for in surroundings that are familiar to them as long as this is
			 medically feasible. If medical isolation is necessary, there shall be
			 sufficient and qualified staff available to give appropriate care and
			 attention.
(b) Arrangements shall
			 be made in writing for residents from the facility to receive care from outside
			 clinicians and appropriate hospital facilities, e.g., surgery, in the event of
			 serious illness which the facility cannot properly handle.
(c) Every resident shall have a complete
			 physical examination annually and more frequently if indicated. This
			 examination shall be as inclusive as the initial examination. Efforts shall be
			 made by the institution to have physical defects of the residents corrected
			 through proper medical care. Immunization shall be kept current (DPT, polio,
			 measles, rubella), appropriate to the resident's age.
(d) Staff shall have knowledge of basic
			 health needs and health problems of residents, such as mental health, physical
			 health and nutritional health. Staff shall teach attitudes and habits conducive
			 to good health through daily routines, examples and discussion, and shall help
			 the residents to understand the principles of health.
(e) Each institution shall have a definitely
			 planned program of dental care and dental health which shall be consistently
			 followed. Each resident shall receive a dental examination by a qualified
			 dentist and prophylaxis at least twice a year. Reports of all examinations and
			 treatment should be included in the resident's clinical record.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-103 - Residential Treatment Facilities for Children and Adolescents › Section 61-103.G - Clinical Records and Reports

Current through Register Vol. 48, No. 6, June 28, 2024
(1)
			 Clinical Records and Reports: (II)
(a)
			 Physician's Responsibility: It shall be the responsibility of each attending
			 physician to complete and sign the clinical record within a stipulated time
			 after the discharge of the resident consistent with good medical practice. The
			 use of rubber stamp signature is acceptable under the following strict
			 conditions:
(1) The physician whose signature
			 the rubber stamp represents is the only one who has possession of the stamp and
			 is the only one who uses it, and
(2) The physician places in the
			 administrative offices of the residential treatment facility a signed statement
			 to the effect that he is the only one who has the stamp and is the only one who
			 will use it. However, it must be emphasized that use of rubber stamp signatures
			 is not permissible on orders for drugs listed as "controlled substances" under
			 "Rules and Regulations Pertaining to Controlled Substances," R61-4 of the South
			 Carolina Code of Laws of 1976.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-103 - Residential Treatment Facilities for Children and Adolescents › Section 61-103.I - Food Service

Current through Register Vol. 48, No. 6, June 28, 2024
(1) Food: (II)
(a) Nutrition:
(1) The food service program shall provide
			 nutritionally balanced meals which meet USDA guidelines and the Recommended
			 Dietary Allowance of the National Research Council for children and
			 adolescents. Menus shall be developed by a dietitian and shall provide the
			 essential nutrients for proper growth and maintenance for healthy bodies. The
			 food service shall endeavor to provide tasty, nutritious, and eye-appealing
			 meals in an effort to promote the healing process for the total development of
			 the child.
(2) A dietitian shall be
			 employed on a consultative basis. Responsibilities of the dietician shall be:
(a) To observe the operation of the Food
			 Service Program and to provide suggestions for improvement based on those
			 observations.
(b) To develop and/or
			 approve menus which meet acceptable nutrition standards.
(c) To establish dietary policies and
			 procedures.
(d) To prepare
			 specialized menus for residents who have orders from a physician regarding a
			 special diet and provide instruction for the dietary staff as to how to prepare
			 any special food items.
(e) To
			 review resident charts and counsel with a resident and family regarding special
			 dietary needs.
(f) To provide
			 inservice for staff as indicated.
(g) To develop food service documentation
			 procedures and then review records of the documentation.
(h) To prepare quarterly Quality Assurance
			 reports for review of Food Services.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-103 - Residential Treatment Facilities for Children and Adolescents › Section 61-103.J - Fire Protection and Equipment

Current through Register Vol. 48, No. 6, June 28, 2024
(1) Arrangements for Fire Department
			 Protection: Where a facility is located outside of a service area or range of a
			 public fire department, arrangements shall be made to have the nearest fire
			 department respond in case of fire. A copy of the agreement will be kept on
			 file in the facility. (II)
(2)
			 Tests and Inspections: (I)
(a) Fire
			 Protection: The licensee is responsible for ensuring that all fire protection
			 and alarm systems and other fire fighting equipment are inspected and tested at
			 least once each year, and more often if necessary to maintain them in
			 serviceable condition. Fire extinguishers shall be kept in condition for
			 instant use and the date of last inspection shall be included on each fire
			 extinguisher. Records of all inspections shall be kept on file.
(b) Electrical Inspections: Electrical wiring
			 in institutions licensed under these standards shall be inspected at least once
			 every year by a locally recognized and responsible electrician or registered
			 engineer and a signed copy of the inspection report shall be maintained in the
			 facility.
(c) Heating, Ventilating
			 and Air Conditioning (HVAC) Systems and Equipment: The licensee is responsible
			 for ensuring that all heating, ventilating and air conditioning equipment is
			 maintained in a safe operable condition. The HVAC system must be inspected at
			 least once a year and records maintained of deficiencies and
			 corrections.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-103 - Residential Treatment Facilities for Children and Adolescents › Section 61-103.K - Maintenance, Housekeeping and Refuse Disposal

Current through Register Vol. 48, No. 6, June 28, 2024
(1) Maintenance: Facilities, and all
			 equipment such as elevators, furnaces, emergency lights, et cetera, shall be
			 kept in good repair and operating condition.
(2) Housekeeping: (II)
(a) General: The facility shall be kept neat,
			 clean and odor free. Accumulated waste material must be removed daily or more
			 often, if necessary. There must be frequent cleaning of floors, walls,
			 ceilings, woodwork and windows. The premises must be kept free from rodent and
			 insect infestation. Bath and toilet facilities must be maintained in a clean
			 and sanitary condition at all times.
(b) Room Cleaning: All bedside equipment
			 shall be cleaned regularly. Mattresses and pillows shall be aired and if
			 damaged or contaminated, replaced. The bed must be remade with fresh linens, as
			 necessary, to maintain a clean and sanitary condition for each resident. Prior
			 to occupancy by another resident, the linen must also be changed.
(c) Linen: An adequate supply of sanitary
			 linen shall be available at all times.
(d) Soiled Linen: Soiled linen shall be kept
			 in closed containers and stored separately from resident areas.
(e) Janitor Closet: All janitor closets and
			 equipment shall be cleaned daily. Frequent inspections should be made by a
			 responsible person for compliance. Cleaning materials and supplies shall be
			 stored in a safe manner in a well-lighted closet. All harmful agents shall be
			 in a locked cabinet or closet.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-103 - Residential Treatment Facilities for Children and Adolescents › Section 61-103.L - Design and Construction (II)

Current through Register Vol. 48, No. 6, June 28, 2024
(1)
			 General.
(a) Every facility shall be planned,
			 designed and equipped to provide and promote the health, care, treatment,
			 welfare, and safety of each resident.
(b) Each facility shall provide ample living
			 arrangements for everyone residing therein. This shall include bedrooms,
			 bathrooms, living, dining, and recreational areas available for residents'
			 use.
(c) Each facility shall
			 provide an attractive, homelike, and comfortable atmosphere.
(d) There shall be accommodations provided to
			 meet the group needs of residents and their visitors.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-103 - Residential Treatment Facilities for Children and Adolescents › Section 61-103.M - General Construction Requirements (II)

Current through Register Vol. 48, No. 6, June 28, 2024
(1) Occupancy Classification.
(a) Facilities licensed for five (5) beds or
			 less will be classified as "Residential Occupancy" and will follow the
			 requirements in the Standard Building Code for "Residential
			 Occupancy".
(b) Facilities licensed
			 for six (6) beds or more will be classified as "Residential Dormitory
			 Occupancy" and will follow the requirements in the Standard Building Code for
			 "Dormitory Occupancy".
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-103 - Residential Treatment Facilities for Children and Adolescents › Section 61-103.N - Hazardous Elements of Construction (II)

Current through Register Vol. 48, No. 6, June 28, 2024
(1) Furnaces and Boilers.
(a) Not more than two (2) gas fired heating
			 boilers or furnaces shall be permitted in any building unless all are enclosed
			 and separated by walls, partitions, floors and ceilings of one (1) hour fire
			 resistant construction. A water heater is considered a "heating"
			 boiler.
(b) Boilers, furnaces,
			 and/or water heaters of any input capacity installed in a building of
			 seventy-five (75) or more licensed beds shall be separated from the rest of the
			 building by walls, partitions, floor, and ceiling construction having a fire
			 resistant rating of not less than two (2) hours.
(c) Installation of central heating boilers
			 and furnaces shall be in accordance with applicable NFPA standards and the
			 Standard Building Code.
(d)
			 Maintenance of heating boilers and furnaces shall be provided to insure
			 efficient and safe operation.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-103 - Residential Treatment Facilities for Children and Adolescents › Section 61-103.O - Alarms (I)

Current through Register Vol. 48, No. 6, June 28, 2024
(1) Required Smoke
			 and Fire Alarms.
(a) A building licensed for
			 five (5) or less beds must have a smoke alarm in the facility.
(b) A building licensed for six (6) or more
			 beds must have smoke alarms in each sleeping room.
(c) A building licensed for twelve (12) or
			 more beds must have smoke alarms in each sleeping room and they must be tied
			 together or tied to a central system so that when any one is activated, the
			 alarm can be heard in all bedrooms.
(d) A building licensed for fifteen (15) or
			 more beds must have an approved automatic smoke detection system and pull
			 stations at exits to the building.
(e) Pull stations at exits may be eliminated
			 or of lockable type if the following are true:
(1) The presence of pull stations at exits
			 creates a "false alarm" problem through mischief.
(2) There is a pull station located at the
			 control station on that floor.
(3)
			 There is an attendant on duty in the facility at all times familiar with the
			 location of the pull station.
(4)
			 Staff members in the area always carry a key to the pull stations.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-103 - Residential Treatment Facilities for Children and Adolescents › Section 61-103.P - Exits

Current through Register Vol. 48, No. 6, June 28, 2024
(1) Number and
			 Locations. (I)
(a) There shall be more than
			 one (1) exit leading to the outside of the building on each floor.
(b) Exits shall be placed so that the
			 entrance door of every private room and semi-private room shall be not more
			 than one-hundred (100) feet along the line of travel to the nearest
			 exit.
(c) Exits shall be remote
			 from each other.
(d) Exits shall be
			 arranged so that there are no corridor pockets or dead-ends in excess of twenty
			 (20) linear feet.
(e) Each resident
			 room shall communicate directly with an approved exit access corridor without
			 passage through another occupied space or shall have an approved exit directly
			 to the outside at grade level, to a public space free of encumbrances. Maximum
			 travel distance from any point in the room to an exit access corridor shall not
			 exceed 50 feet.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-103 - Residential Treatment Facilities for Children and Adolescents › Section 61-103.Q - Plumbing (II)

Current through Register Vol. 48, No. 6, June 28, 2024
(1) Water Supply.
(a) Quality: When an approved water supply is
			 not available, a water supply shall be provided which meets the requirements of
			 the Department. Prior to construction of such a water supply, the engineer
			 shall obtain a permit to construct from the Department. Before placing the
			 water supply into service, a final approval must be obtained from the
			 Department.
(b) Disinfection of
			 Water Lines: The water system for new facilities shall be disinfected before
			 use in accordance with the regulations of the Department. Samples shall be
			 taken from the water system and forwarded to an approved laboratory for
			 bacterial analysis in accordance with the Department regulations to assure
			 adequacy of the disinfection process. The water shall not be used as a potable
			 supply until certified as satisfactory by a representative of the
			 Department.
(c) Temperature
			 Control.
(1) Hot water supplied to fixtures
			 which are accessible to residents for bathing and handwashing shall be
			 thermostatically controlled to provide a water temperature not exceeding
			 one-hundred twenty five degrees (l25 degrees Fahrenheit) and not less than
			 one-hundred degrees (l00 degrees Fahrenheit) at the fixtures.
(2) The water heater or combination of
			 heaters shall be sized to provide at least six (6) gallons per hour per bed at
			 the above ranges.
(3) Hot water
			 supplied to the pot washing sink in the kitchen shall be supplied at
			 one-hundred-forty degrees (140 degrees F.).
(4) Final rinse temperature of the dishwasher
			 shall be one-hundred-eighty degrees (180 degrees Fahrenheit).
(d) Stop Valves: Each plumbing
			 fixture and each piece of equipment shall have stop valves to permit repairs
			 without disrupting service to other fixtures. Each group of fixtures on a
			 floor, each branch main, and each supply line shall be valved.
(e) Cross Connections: Cross connections in
			 plumbing between safe and potential unsafe water supplies are prohibited. This
			 refers particularly to toilets, laundry fixtures and fixtures of similar
			 nature. Water shall be delivered at least two (2) delivery pipe diameters above
			 the rim or points of over flow to each fixture, piece of equipment, or service
			 unless protected against back siphonage by approved vacuum breakers or other
			 approved back flow preventors. Any faucet or fixture to which a hose may be
			 attached shall have an approved vacuum breaker or other backflow preventor
			 installed.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-103 - Residential Treatment Facilities for Children and Adolescents › Section 61-103.R - Electrical Requirements (II)

Current through Register Vol. 48, No. 6, June 28, 2024
(1)
			 Installation.
(a) Materials including
			 equipment, conductors, controls and signaling devices shall be installed to
			 provide a complete electrical system with the necessary characteristics and
			 capacity to supply the electrical equipment indicated in the specifications or
			 shown on the plans. All materials shall be listed as complying with available
			 standards or Underwriters Laboratories, Inc. or other similarly established
			 standards.
(b) Electrical
			 installation systems shall be in accordance with the National Electrical Code
			 and shall be tested to show that the equipment is installed and operates as
			 planned or specified.
(c) The fire
			 alarm system shall be tested initially by a factory trained manufacturer's
			 representative.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-103 - Residential Treatment Facilities for Children and Adolescents › Section 61-103.S - Mechanical Requirements

Current through Register Vol. 48, No. 6, June 28, 2024
(1) Prior
			 to licensure of the facility all mechanical systems shall be tested, balanced
			 and operated to demonstrate that the installation and performance of these
			 systems conforms to the requirements of the plans and specifications.
(2) Each piece of equipment shall be valved
			 at the supply and return ends.
(3)
			 Design temperatures for all occupied areas shall be seventy-five degrees (75
			 degrees Fahrenheit) minimum at winter design conditions and seventy-eight
			 degrees (78 degrees Fahrenheit) maximum at summer design conditions.
(4) Air handling duct systems shall meet
			 requirements of "Installation of Air Conditioning and Ventilating Systems"
			 (NFPA 90A).
(5) Fire and smoke
			 dampers shall be constructed, located and installed in accordance with the
			 requirements of "Installation of Air Conditioning and Ventilating Systems"
			 (NFPA 90A). Access for maintenance shall be provided at all dampers.
(6) An emergency heating system shall be
			 provided.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-103 - Residential Treatment Facilities for Children and Adolescents › Section 61-103.T - Facilities (II)

Current through Register Vol. 48, No. 6, June 28, 2024
(1) General
			 Requirements.
(a) Floor, Wall and Ceiling
			 Material.
(1) Floors, walls and ceilings
			 shall be constructed of, and the exposed surfaces finished with, materials that
			 will permit the safe care of residents. Check for flamespread rating
			 requirements in Standard Building Code.
(2) Floors shall have smooth, cleanable
			 surfaces and shall be kept clean, in good repair, and free from hazards. If
			 carpeting is used, it shall be cleaned regularly and repaired if torn. All
			 possible safeguards shall be taken in the matter of floor covering and
			 maintenance, such as the elimination of sliding rugs and waxed floors, so that
			 the hazards of falling are minimized.
(3) Walls and ceilings shall be in sound
			 condition and clean. No lead based paint shall be used.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-103 - Residential Treatment Facilities for Children and Adolescents › Section 61-103.U - General

Current through Register Vol. 48, No. 6, June 28, 2024
Conditions arising which have not been covered in these
				regulations shall be handled in accordance with the best practices as
				interpreted by the Department.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-103 - Residential Treatment Facilities for Children and Adolescents › Sec2 61-103.100 - DEFINITIONS AND LICENSE REQUIREMENTS › Section 61-103.100.101 - Definitions

Current through Register Vol. 48, No. 6, June 28, 2024
For the purpose of these standards, the following definitions
				  shall apply:
A. Abuse. Physical abuse
				or psychological abuse.
1. Physical Abuse. The
				act of intentionally inflicting or allowing to be inflicted physical injury on
				a resident by an act or failure to act. Physical abuse includes, but is not
				limited to, slapping, hitting, kicking, biting, choking, pinching, actual or
				attempted sexual battery, use of medication outside the standards of reasonable
				medical practice for the purpose of controlling behavior, and unreasonable
				confinement. Physical abuse also includes the use of a restrictive or
				physically intrusive procedure to control behavior for the purpose of
				punishment except that a therapeutic procedure prescribed by a licensed
				physician or other legally authorized healthcare professional or that is part
				of a written care plan by a physician or other legally authorized healthcare
				professional is not considered physical abuse. Physical abuse does not include
				altercations or acts of assault between residents.
2. Psychological Abuse. Deliberately
				subjecting a resident to threats or harassment or other forms of intimidating
				behavior causing fear, humiliation, degradation, agitation, confusion, or other
				forms of serious emotional distress.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-103 - Residential Treatment Facilities for Children and Adolescents › Sec2 61-103.200 - ENFORCEMENT OF REGULATIONS › Section 61-103.200.201 - General

Current through Register Vol. 48, No. 6, June 28, 2024
The Department shall utilize inspections, investigations,
				  consultations, or other pertinent documentation regarding a proposed or
				  licensed facility in order to enforce this regulation.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-103 - Residential Treatment Facilities for Children and Adolescents › Sec2 61-103.200 - ENFORCEMENT OF REGULATIONS › Section 61-103.200.202 - Inspections and Investigations

Current through Register Vol. 48, No. 6, June 28, 2024
A.
				Inspections shall be conducted prior to initial licensing of a facility. The
				Department, at its own determination, may also conduct subsequent inspections.
				(I)
B. All facilities are subject
				to inspection or investigation at any time without prior notice by individuals
				authorized by the South Carolina Code of Laws. When staff members and/or
				residents are absent, the facility shall provide information to those seeking
				legitimate access to the facility, including visitors, as to the expected
				return of the staff members and/or residents. (I)
C. Individuals authorized by South Carolina
				law shall be allowed to enter the facility for the purpose of inspection and/or
				investigation and granted access to all properties and areas, objects, and
				records in a timely manner, and have the authority to require the facility to
				make photocopies of those documents required in the course of inspections or
				investigations. Photocopies shall be used only for purposes of enforcement of
				regulations and confidentiality shall be maintained except to verify the
				identity of individuals in enforcement action proceedings. Physical area of
				inspections shall be determined by the extent to which there is potential
				impact or affect upon residents as determined by the inspector. (I)
D. A facility found noncompliant with the
				standards of this regulation or governing statute shall submit an acceptable
				written plan of correction to the Department that shall be signed by the
				Administrator and returned by the date specified by the Department. The written
				plan of correction shall describe: (II)
1. The
				actions taken to correct each cite deficiency;
2. The actions taken to prevent recurrences
				(actual and similar); and
3. The
				actual or expected completion dates of those actions.