reglab/statecodes huggingface dataset:
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0026 - Land Commissioners, Board of › Chapter 4 - Grazing and Agricultural Leasing › Section 4-7 - Physical Environment

Current through July 13, 2024
(a) At least one
				(1) flush toilet shall be provided for every two (2) beds.
(b) At least one (1) tub or shower shall be
				provided for every ten (10) beds.
(c) At least one (1) lavatory and mirror
				shall be provided for every two (2) beds.
(d) All toilet-lavatory, shower and tub areas
				shall have floors and walls of impermeable, cleanable, and easily sanitized
				materials.
(e) Every resident shall
				have access to toilet, hand washing and bathing facilities without having to
				pass through another residents sleeping room.
(f) The floor of the tub and shower shall
				have non skid surfaces. Handrails and grab bars shall be appropriately
				installed in or adjacent to the tubs, toilets and showers.
(g) All bathrooms and toilet facilities shall
				be properly lighted, and shall be mechanically vented.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0026 - Land Commissioners, Board of › Chapter 4 - Grazing and Agricultural Leasing › Section 4-9 - Construction/remodeling

Current through July 13, 2024
(a) Any grazing or agricultural lease
				assigned without the approval of the Director is subject to cancellation.
				Lessees shall request approval of assignments, pursuant to
				W.S.
				36-5-105(d), on a form
				provided by the Office.
(b) If a
				request for approval of an assignment is signed by a party other than the
				lessee, the legal instrument authorizing such signature must accompany the
				request.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0026 - Land Commissioners, Board of › Chapter 4 - Grazing and Agricultural Leasing › Section 4-10 - Life Safety and Electrical Safety

Current through July 13, 2024
(a) Any grazing and
				agricultural lease is subject to cancellation if the lessee subleases the
				leased premises or enters into any contract or agreement of any kind concerning
				the leased premises, except "price support and production adjustment" contracts
				of the Farm Service Agency, without the approval of the Director. Lessees shall
				request approval of subleases or other contracts, pursuant to
				W.S.
				36-5-105(d), by submitting a
				copy of the sublease or other agreement to the Office. In no event shall lands
				be subleased unless one-half (1/2) of the excess rental is paid to the
				State.
(b) If the annual rental
				under a sublease agreement is a share of production, the lessee shall report
				annual production to the Office on a form furnished by the Office. The Office
				shall calculate the additional rental due.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0026 - Land Commissioners, Board of › Chapter 5 - LICENSURE OF AMBULATORY SURGICAL CENTERS › Section 5-1 - Authority

Current through July 13, 2024
These rules are promulgated by the Department of Health
				  pursuant to the Health Facilities Licensure Act at W. S.
										35-2-901 et seq. and the Wyoming
				  Administrative Procedures Act at W. S.
				  
										16-3-101 et seq.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0026 - Land Commissioners, Board of › Chapter 5 - LICENSURE OF AMBULATORY SURGICAL CENTERS › Section 5-2 - Purpose

Current through July 13, 2024
These rules have been adopted for the licensure of Ambulatory
				  Surgical Centers. These standards are designed to protect the health and safety
				  of patients and employees.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0026 - Land Commissioners, Board of › Chapter 5 - LICENSURE OF AMBULATORY SURGICAL CENTERS › Section 5-4 - Definitions

Current through July 13, 2024
(a) "Administrator" means the person in
				charge of the operation of the facility; and is:
(i) A Physician,
(ii) A Registered Nurse, or
(iii) A person qualified with training and
				experience in health service management.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0026 - Land Commissioners, Board of › Chapter 5 - LICENSURE OF AMBULATORY SURGICAL CENTERS › Section 5-5 - Licensing

Current through July 13, 2024
(a) Licensing requirements. The Office of
				Health Quality has been authorized to issue licenses to Ambulatory Surgical
				Centers and has established a system of licensure to comply with minimum
				requirements for the purpose of protecting the health, welfare and safety of
				patients receiving this type of service.
(b) Licensing procedure.
(i) For an initial license to be issued the
				Office of Health Quality shall receive:
(A) A
				completed application form as supplied by the Office of Health
				Quality.
(B) The required licensure
				fee is outlined in Chapter 1, Rules and Regulations for Health Care Facilities
				Licensure Fees. The check or money order shall be made payable to the
				Treasurer, State of Wyoming.
(C)
				Demonstrated compliance with the requirements for licensure as required in
				paragraph (c) of this section. This documentation shall be available to the
				Office of Health Quality following the onsite survey.
(D) The effective date of the initial license
				shall be:
(I) The date of the survey, if
				there are no deficiencies, or
(II)
				If deficiencies exist, the date that a plan of correction is
				approved.
(E) The length
				of the license shall be from the effective date of the license until the next
				June 30th.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0026 - Land Commissioners, Board of › Chapter 5 - LICENSURE OF AMBULATORY SURGICAL CENTERS › Section 5-6 - Organization and Administration

Current through July 13, 2024
(a) Governing Body.
				The ambulatory surgical center shall have a governing body which has legal
				authority and responsibility to operate the ambulatory surgical center. The
				governing body shall:
(i) Appoint an
				administrator who is responsible for managing the ambulatory surgical
				center.
(ii) Adopt, revise, and
				approve personnel policies; including:
(A)
				Frequency of employee evaluations;
(iii) Prepare an organizational chart that
				reflects the administrative control and lines of authority for the delegation
				of responsibility from management down to the patient care level.
(iv) The governing body shall ensure that all
				services provided are consistent with accepted standards of practice.
(v) The governing body shall ensure that all
				procedures do not exceed twenty-three (23) hours of combined operating and
				recovery and/or convalescent time.
(vi) The governing body shall be accountable
				for the quality of care provided to the patient.
(vii) Personnel Records.
(A) There shall be one person designated
				responsible for maintaining the confidentiality.
(viii) Employee Health.
(A) Policies and procedures shall be
				developed to protect the employees health, and to prevent the spread of disease
				from employee to patient.
(B)
				Policies shall include but not limited to:
(I) Policies which are specific to blood
				borne pathogens as defined by OSHA;
(II) Communicable disease vaccines as
				recommended by current CDC Prevention Guidelines for Health Care Workers and
				endorsed by the State Health Department, Division of Public Health.
(C) Documentation shall be
				maintained on the communicable disease vaccine given to the employee.
(ix) Notification.
(A) Prior to admission all perspective
				patients shall be notified if the ambulatory surgical center is not
				Medicare/Medicaid certified.
(x) Services.
(A) Furnished services, including the
				contracted services, shall comply with all applicable licensure
				standards;
(B) Medical and nursing
				staff shall be licensed, certified, or registered according to Wyoming laws and
				rules; and
(C) Staff members shall
				provide health services only within the scope of their license, certification
				or registration.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0026 - Land Commissioners, Board of › Chapter 5 - LICENSURE OF AMBULATORY SURGICAL CENTERS › Section 5-7 - Admissions

Current through July 13, 2024
(a) All persons admitted to the ambulatory
				surgical center shall be under the direct care of a member of the provider
				staff. The provider staff shall ensure the continuity of care for each patient
				including pre-operative, intra-operative, and post-operative care. Each patient
				shall be provided prior to admission all necessary instruction and education
				for pre and post-surgical care.
(b)
				Restrictions: Surgical care shall be limited to the following:
(i) Those that do not exceed twenty-three
				(23) hours of combined operating and recovery and/or convalescent time;
				and
(ii) Those that do not
				generally result in extensive blood loss, require major or prolonged invasion
				of body cavities, directly involving major blood vessels, or constitute an
				emergency or life threatening procedure.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0026 - Land Commissioners, Board of › Chapter 5 - LICENSURE OF AMBULATORY SURGICAL CENTERS › Section 5-8 - Physical Environment

Current through July 13, 2024
(a) The ambulatory
				surgical center shall be constructed, arranged, and maintained to ensure health
				and safety of the patient.
(i) The building
				interior and exterior shall be clean, orderly, sanitary, and free of
				odors.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0026 - Land Commissioners, Board of › Chapter 5 - LICENSURE OF AMBULATORY SURGICAL CENTERS › Section 5-9 - Construction/Remodeling

Current through July 13, 2024
This section applies to modernization, renovation, change of
				  space use, and new construction of ambulatory surgical centers.
(a) The ambulatory surgical center shall meet
				all requirements established in:
(i)
				Guidelines for Construction and Equipment of Hospital and Medical Facilities,
				Chapter 9. Outpatient Facilities, specifically described in Outpatient Surgical
				Facilities (Section 9.5 ).
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0026 - Land Commissioners, Board of › Chapter 6 - LICENSURE OF BIRTHING CENTER › Section 6-1 - Authority

Current through July 13, 2024
These rules are promulgated by the Department of Health
				  pursuant to the Health Facilities Act at W.S. §
									
										35-2-901
et seq
. and
				  the Wyoming Administrative Procedures Act at W.S. §
									
										16-3-101
et.seq
.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0026 - Land Commissioners, Board of › Chapter 6 - LICENSURE OF BIRTHING CENTER › Section 6-5 - Licensure

Current through July 13, 2024
Applicants must demonstrate full compliance with paragraphs
				  (a) and (b) of this section.
(a)
				Licensing Procedure.
(i) For an initial
				license to be issued, the Licensing Division shall receive:
(A) A completed application form as supplied
				by the Licensing Division.
(B) Each
				completed application shall be accompanied by the required licensure fee
				identified in Chapter 1, Rules and Regulations for Health Care Facilities
				Licensure Fees. The check or money order shall be made payable to the
				Treasurer, State of Wyoming.
(C)
				Applicant shall demonstrate full compliance with the licensure requirements in
				paragraph (b) of this section.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0026 - Land Commissioners, Board of › Chapter 6 - LICENSURE OF BIRTHING CENTER › Section 6-6 - Governing Body and Administration

Current through July 13, 2024
(a) The birthing
				center shall have a governing body which is legally responsible for overall
				operation and maintenance of the birthing center.
(b) The governing body shall be responsible
				for provision of personnel, facilities, equipment, supplies and special
				services needed to meet the needs of the mother/child admitted to the birthing
				center.
(c) The governing body
				shall appoint an administrator or director who shall be responsible for
				implementing the policies adopted by the governing body.
(d) The governing body and administrator
				shall establish and maintain a current written organizational plan which
				includes all positions and delineates responsibilities, authority, and
				relationship of positions within the birthing center.
(e) The governing body shall have the
				authority and responsibility for appointments of the clinical staff and ensure
				that only members of the clinical staff shall admit patients to the birthing
				center.
(i) Each birthing center shall have a
				written policy and procedure which shall set forth the extent of physician
				supervision in the services offered.
(2) The
				governing body shall develop and adopt bylaws, rules, and regulations which
				shall include requirements for clinical staff membership; delineation of
				clinical privileges and the organization of clinical staff.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0026 - Land Commissioners, Board of › Chapter 6 - LICENSURE OF BIRTHING CENTER › Section 6-7 - Staffing

Current through July 13, 2024
(a) A physician or certified nurse midwife
				shall be present at each birth. A second person in addition to the above, who
				is a registered nurse with adult and infant resuscitation skills shall be
				present during each birth.
(b) A
				certified nurse midwife or registered nurse shall be present in the birthing
				center at all times when mother(s) are in the postpartum period, and a second
				registered nurse shall be present if more than one patient is in
				labor.
(c) Meetings of the
				professional staff shall be held at least monthly to discuss, review and
				evaluate patient care. Written minutes of these meetings shall be maintained
				and distributed to the staff.
(d)
				All personnel shall receive inservice education at least semi-annually which
				shall include, but not be limited to, infection control, fire and safety
				procedures. Written minutes of these meetings shall be maintained and
				distributed to the staff.
(e)
				Physicians certified by the American Board of Obstetrics and Gynecology and
				American Academy of Pediatrics or other physicians who are qualified and
				recognized by peers in the community as experienced, competent practitioners in
				obstetrics and gynecology, and pediatrics, shall be immediately available by
				telephone every twenty-four (24) hours a day. A listing of such services kept
				and updated and maintained at the birthing center.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0026 - Land Commissioners, Board of › Chapter 6 - LICENSURE OF BIRTHING CENTER › Section 6-8 - Policies and Procedures

Current through July 13, 2024
(a) Personnel
				policies.
(1) There shall be on file in the
				birthing center written personnel policies and operating practices which define
				the services of the birthing center.
(a)
				There shall be written job descriptions for each position in the birthing
				center including at least the title, authority, specific responsibilities and
				minimum qualifications. Each employee shall be provided a copy of his or her
				job description.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0026 - Land Commissioners, Board of › Chapter 6 - LICENSURE OF BIRTHING CENTER › Section 6-9 - Equipment and Supplies

Current through July 13, 2024
(a) There shall be
				appropriate equipment and supplies maintained to include, but not be limited
				to:
(1) A bed suitable for labor, birth, and
				recovery.
(2) Oxygen with flow
				meters and masks or equivalent.
(3)
				Mechanical suction and bulb suction.
(4) Cardio pulmonary resuscitation cart shall
				include:
(a) Resuscitation bags;
(b) Endotrachael tubes;
(c) Oral airways;
(d) Needles;
(e) Syringes;
(f) Emergency drugs;
(g) Laryngoscope;
(h) Equipment for delivering positive
				pressure oxygen;
(i) Cardiac
				monitor/defibrillator unit.
(5) Firm surfaces suitable for
				resuscitation.
(6) Emergency
				medications, intravenous fluids, and related supplies and equipment for both
				mother and newborn.
(7) Electronic
				fetal monitoring equipment.
(8)
				Transfer isolette with a temperature control and oxygen capabilities.
(9) Infant scale.
(10) A clock with a sweep second
				hand.
(11) Sterile suturing
				equipment and supplies.
(12)
				Adjustable lighting that is pleasant for the patient and adequate for
				examinations.
(13) Containers for
				soiled linen which shall be closed or covered.
(14) Heavy duty plastic bags shall be used
				for double bagging of patient wastes, as well as sanitary disposal of all
				wastes.
(15) Log book for
				registration of birth which shall contain at least the following:
(a) Mother's name;
(b) Patient medical record number;
(c) Date of delivery;
(d) Time of delivery;
(e) Mother's age;
(f) Gravida, Para;
(g) Newborn weight;
(h) Newborn sex;
(i) Gestational age;
(j) Transport:
(i) mother
(ii) baby
(iii) where
(iv) when
(v) by whom
(k) Death:
(i) neonatal
(ii) maternal
(iii) stillbirth
(l) Type of delivery;
(m) Condition of newborn at
				delivery/congenital anomalies;
(n)
				Delivering person;
(o)
				APGARS.
(16) Access to a
				toilet, lavatory and shower which is not used by visitors or staff.
(17) One (1) or more comfortable chair(s) or
				recliner.
(18) Scrub sink with
				elbow, knee or foot control.
(19)
				Emergency signal and/or communication system.
(20) Adequate ventilation and temperature
				control.
(21) Sphygmomanometer,
				stethoscope and fetoscope.
(22)
				Microscope for routine examinations such as urine and hematocrit.
(23) Any other equipment necessary to provide
				full scope of services and to ensure safety of mother and newborn.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0026 - Land Commissioners, Board of › Chapter 6 - LICENSURE OF BIRTHING CENTER › Section 6-10 - Medical Records

Current through July 13, 2024
The birthing center shall maintain a separate medical record
				  for each patient in accordance accepted professional standards for the purpose
				  of continuity and evaluation of care, preservation as a legal document and as
				  an aid in teaching and training. The birthing center shall maintain written
				  policies and procedures for the preparation, completion, confidentiality,
				  accessibility and preservation of medical records to include but not be limited
				  to the following standards:
(a)
				Staffing.
(1) The administrator shall
				designate in writing an employee who is responsible for medical record
				functions.
(2) Services of a
				qualified medical record consultant, who is a Registered Record Administrator
				(RRA) or Accredited Record Technician (ART), shall be provided at least twice a
				year and shall document all consultant activities.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0026 - Land Commissioners, Board of › Chapter 6 - LICENSURE OF BIRTHING CENTER › Section 6-11 - Pharmaceuticals

Current through July 13, 2024
(a) There shall be written orders signed by a
				physician legally authorized to prescribe for all drugs administered to mother
				and infant within the birthing center.
(b) There shall be policies and procedures
				addressing the receiving, transcribing, and implementing of orders for
				administration, storage and disposing of drugs.
(c) Drugs, medications, and chemicals kept in
				the birthing center shall be clearly labeled with drug name, strength, and
				expiration date.
(d) Drugs,
				medications, and chemicals shall be stored in locked cabinets, closets,
				drawers, or storerooms and made accessible only to authorized
				persons.
(e) Controlled substances.
(1) Birthing Centers having narcotics shall
				maintain a narcotic administration record so that the disposition of any
				particular controlled substance can be readily traced. The date, time
				administered, name of administering nurse, the name and strength of the
				narcotic, the name of the patient and the balance remaining shall be documented
				in the record.
(2) Controlled
				substance shall be destroyed by the Board of Pharmacy according to State
				Statutes and rules and regulations.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0026 - Land Commissioners, Board of › Chapter 6 - LICENSURE OF BIRTHING CENTER › Section 6-12 - Anesthetic Agents

Current through July 13, 2024
(a) Anesthetic
				agents and techniques to be used in any given birthing center shall be
				determined by its governing board.
(b) Analgesia and anesthesia - general and
				conduction anesthesia shall not be administered at birthing centers. Local
				anesthesia for pudendal block and episiotomy repair may be performed if
				procedures are outlined by the clinical staff. Systemic analgesia may be
				administered but pain control should depend primarily on close emotional
				support and adequate preparation for the birth experience.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0026 - Land Commissioners, Board of › Chapter 6 - LICENSURE OF BIRTHING CENTER › Section 6-14 - Physical Environment

Current through July 13, 2024
(a) The Birthing
				Center shall be constructed, arranged, and maintained to ensure health and
				safety of the patient.
(i) The building
				interior and exterior shall be clean, orderly, sanitary, and free of
				odors.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0026 - Land Commissioners, Board of › Chapter 6 - LICENSURE OF BIRTHING CENTER › Section 6-15 - Life Safety and Electrical Safety

Current through July 13, 2024
Department of Health Rules and Regulations for Construction
				  Rules for Health Care Facilities.
(a)
				Facilities licensed prior to the effective date of these rules, shall meet the
				Life Safety Code of the National Fire Protection Association that was in effect
				at the time the facility was licensed as a Birthing Center.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0026 - Land Commissioners, Board of › Chapter 6 - LICENSURE OF BIRTHING CENTER › Appendix I - LIMITATION OF SERVICES

Current through July 13, 2024
In order to be delivered in a birthing center the woman shall
				  exhibit no medical evidence of:
(a)
				Severe anemia (hgb. less than 9.5) or blood disease;
(b) Diabetes mellitus (insulin dependent or
				diet controlled);
(c) Symptomatic
				heart disease;
(d) Hypertension,
				pre-eclampsia or eclampsia;
(e)
				Renal disease;
(f)
				Thrombophlebitis;
(g) Multiple
				gestation (i.e. twins);
(h)
				Sexually transmitted diseases;
(i)
				Viral infection during pregnancy which will adversely affect the infant at
				birth;
(j) Chronic urinary tract
				infections;
(k) Placental
				abnormalities (such as previa or abruptio) which might threaten the
				neonate:
(l) Premature labor (37
				weeks or less) or postmaturity (42 weeks without labor) or chemical stimulation
				at labor, i.e. pitocin;
(m)
				Prolonged rupture of membranes;
(n)
				The need for multiple doses of analgesia or anesthesia other than pudendal or
				local while in labor;
(o)
				Intrauterine growth retardation;
(p) Fetal distress which will adversely
				affect the infant in labor or at birth;
(q) Previous Caesarean delivery;
(r) A desire for transfer from birthing
				center care;
(s) Anticipated
				macrosomia which will adversely affect mother or baby in labor or at
				birth;
(t) Breech or other abnormal
				(non-vertex) presentation;
(u) Six
				or more (non-miscarriage or non-abortion) pregnancies;
(v) Any other condition or need which will
				adversely affect the health of the mother or infant during pregnancy, labor,
				birth, or the immediate postpartum period;
(w) Toxemia, hydramnios or
				chorioamnionitis;
(x) Malformed
				fetus;
(y) Prolonged labor.
Only pregnant women who are at least 16 years of age and
				  under 36 years of age shall be accepted for care.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0026 - Land Commissioners, Board of › Chapter 7 - LICENSURE OF BOARDING HOMES › Section 7-1 - Authority

Current through July 13, 2024
These rules and regulations are promulgated by the
				  Department of Health pursuant to the Health Facilities Act at
				  W.S.
				  35-2-901 et seq. and the Wyoming
				  Administrative Procedures Act at W.S. W.S.
				  W.S.
				  16-3-101 et seq.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0026 - Land Commissioners, Board of › Chapter 7 - LICENSURE OF BOARDING HOMES › Section 7-4 - Definitions

Current through July 13, 2024
(a) "Acceptable Plan of Correction" means the
				Licensing Division approved the plan to correct the deficiencies identified
				during an on-site survey conducted by the Survey Division or designated
				representative. The plan of correction shall be a written document and shall
				provide:
(i) Who is responsible for the
				correction;
(ii) What was done to
				correct the problem;
(iii) Who will
				monitor to ensure that the situation does not develop again; and
(iv) An appropriate date, not to exceed sixty
				(60) days after the last day of survey, for the correction of
				deficiencies.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0026 - Land Commissioners, Board of › Chapter 7 - LICENSURE OF BOARDING HOMES › Section 7-5 - Licensure

Current through July 13, 2024
Applicants must demonstrate full compliance with paragraphs
				  (a) and (b) of this section.
(a)
				Licensing Procedure.
(i) For an initial
				license to be issued, the Licensing Division shall receive:
(A) A completed application form as supplied
				by the Licensing Division.
(B) Each
				completed application shall be accompanied by the required licensure fee
				identified in Chapter 1, Rules and Regulations for Health Care Facilities
				Licensure Fees. The check or money order shall be made payable to the
				Treasurer, State of Wyoming.
(C)
				Applicant shall demonstrate full compliance with the licensure requirements in
				paragraph (b) of this section.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0026 - Land Commissioners, Board of › Chapter 7 - LICENSURE OF BOARDING HOMES › Section 7-6 - Building and Physical Plant

Current through July 13, 2024
(a) At least one
				flush toilet shall be provided for every eight (8) residents.
(b) At least one tub or shower shall be
				provided for every ten (10) residents.
(c) At least one lavatory and mirror shall be
				provided for every eight (8) residents.
(d) All toilet-lavatory, shower tub areas
				shall have floors and walls of impermeable, cleanable, and easily sanitized
				materials.
(e) Residents shall have
				access to toilet, hand washing and bathing facilities without having to pass
				through another residents bedroom.
(f) The floor of the tub and shower shall
				have non-skid surfaces. Handrails and/ or grab bars shall be adjacent to the
				tubs, toilets and showers.
(g) All
				bathrooms and toilet areas shall be properly lighted, and shall be
				vented.
(h) Boarding homes licensed
				prior to March 1, 1987 shall have sleeping rooms to allow for sufficient space
				for not less than seventy-five (75) square feet of floor space per resident in
				a single-bed sleeping room and not less than sixty (60) square feet of floor
				space per resident in a multi-bed sleeping room with minimum of three (3) feet
				between beds.
(i) Boarding homes
				licensed on or after March 1, 1987 shall provide sleeping rooms which allow for
				not less than one hundred (100) square feet of floor space per resident in a
				single-bed sleeping room and not less than seventy (70) square feet of floor
				space per resident in a multi-bed sleeping room with a minimum of three (3)
				feet between beds.
(j) Each
				sleeping room shall be an outside room, provided with windows operable from the
				inside without the use of tools. The bottom of the opening shall not be more
				than 44 inches above the floor.
(k)
				Boarding homes licensed on/or after the date of these Licensure Rules shall not
				have sleeping rooms below grade level; in an attic; basement; stairwell; hall;
				or any room commonly used for other than bedroom purposes.
(l) Ceiling heights in sleeping rooms shall
				not be less than seven feet, six inches (76").
(m) Site requirements. The building locations
				shall be:
(i) In a lawfully constituted fire
				district;
(ii) Serviced by an
				all-weather road kept open to motor vehicles at all times of the year;
				and
(iii) Accessible to physician
				and emergency medical services within thirty (30) minutes driving
				time.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0026 - Land Commissioners, Board of › Chapter 8 - LICENSURE OF FREESTANDING DIAGNOSTIC TESTING CENTERS › Section 8-1 - Authority

Current through July 13, 2024
These rules are promulgated by the Department of Health
				  pursuant to the Health Facilities Licensure Act at W. S.
										35-2-901
et seq
. and
				  the Wyoming Administrative Procedures Act at W. S.
				  
										16-3-101
et seq
.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0026 - Land Commissioners, Board of › Chapter 8 - LICENSURE OF FREESTANDING DIAGNOSTIC TESTING CENTERS › Section 8-2 - Purpose

Current through July 13, 2024
These rules have been adopted for the licensure of Mobile,
				  Transportable or Relocatable Freestanding Diagnostic Testing Centers. The
				  standards adopted in these rules shall not duplicate existing federal
				  regulations, state statutes, or rules adopted by other State of Wyoming
				  Agencies.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0026 - Land Commissioners, Board of › Chapter 8 - LICENSURE OF FREESTANDING DIAGNOSTIC TESTING CENTERS › Section 8-4 - Exceptions

Current through July 13, 2024
The licensing or registration of radioactive material, the
				  control of radiation, the disposal of radioactive material, and the licensing
				  of persons who apply ionizing radiation or radiopharmaceutical agents to humans
				  for diagnostic or therapeutic purposes are not within the purview of these
				  rules.
(a) The Wyoming Workers Safety
				shall be contacted for information related to employee protection from ionizing
				radiation or disposal of waste radioactive material.
(b) The applicable State of Wyoming Licensing
				Board, such as: the Board of Medicine, the Board of Nursing, and the Board of
				Radiologic Technologist Examiners shall be contacted for criteria on the
				licensure of persons who apply ionizing radiation or radiopharmaceuti-cal
				agents.
(c) Freestanding Diagnostic
				Testing Centers which provide services to four or more individuals
				simultaneously, shall meet the standards set forth in the Wyoming Department of
				Healths Chapter III Construction Rules for Health Facilities.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0026 - Land Commissioners, Board of › Chapter 8 - LICENSURE OF FREESTANDING DIAGNOSTIC TESTING CENTERS › Section 8-5 - Exemptions

Current through July 13, 2024
Freestanding Diagnostic Testing Centers which are physically
				  located in the private offices of State of Wyoming licensed health care
				  practitioners or are included in the State of Wyoming licensure of an existing
				  health care facility are exempt from these rules.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0026 - Land Commissioners, Board of › Chapter 8 - LICENSURE OF FREESTANDING DIAGNOSTIC TESTING CENTERS › Section 8-6 - Definitions

Current through July 13, 2024
(a) "Acceptable Plan of Correction" means
				Wyoming Department of Health, Office of Health Quality, Planning and Program
				Evaluation (Office of Health Quality) approved the plan to correct the
				deficiencies identified during a survey. The plan of correction shall be a
				written document and must contain:
(i) Who is
				responsible for the correction,
(ii) What was done to correct the
				problem,
(iii) Who will monitor to
				ensure the situation does not develop again, and
(iv) The correction of each deficiency shall
				not exceed sixty (60) days from the last day of the survey.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0026 - Land Commissioners, Board of › Chapter 8 - LICENSURE OF FREESTANDING DIAGNOSTIC TESTING CENTERS › Section 8-7 - Licensing

Current through July 13, 2024
(a) The Office of Health Quality has been
				authorized to issue licenses to Freestanding Diagnostic Testing Centers which
				are in compliance with:
(i) National Fire
				Protection Associations Life Safety Code 101, 1994 edition;
(ii) Guidelines for Design and Construction
				of Hospital and Health Care Facilities, current edition; and
(iii) The National Fire Protection
				Associations National Electric Code 70 as adopted by the Wyoming State
				Department of Fire Prevention and Electrical Safety.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0026 - Land Commissioners, Board of › Chapter 8 - LICENSURE OF FREESTANDING DIAGNOSTIC TESTING CENTERS › Section 8-8 - Physical Environment

Current through July 13, 2024
(a) Freestanding
				Diagnostic Testing Centers shall meet the following requirements:
(b) Life Safety Code.
(A) The 1994 edition of The National Fire
				Protection Associations, Life Safety Code 101, and all codes referenced
				therein, as modified by the 1996-97 edition of Guidelines for Design and
				Construction of Hospitals and Health Facilities referenced in Section
				8(c).
National Fire Protection Association
#1 Batterymarch Park
P.O. Box 9101
Quincy, MA 02269-9101 Phone: (617) 770-3000
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0026 - Land Commissioners, Board of › Chapter 8 - LICENSURE OF FREESTANDING DIAGNOSTIC TESTING CENTERS › Section 8-9 - Licensure of Out-of-State Freestanding Diagnostic Centers

Current through July 13, 2024
(a)
				Prior to operating in the State of Wyoming, out-of-state based Freestanding
				Diagnostic Testing Centers shall be licensed in Wyoming. Licensure shall be
				obtained by:
(i) Completing an application
				form as supplied by the Office of Health Quality;
(ii) Providing a notarized statement from a
				state licensed architect which attests the Freestanding Diagnostic Testing
				Center is in compliance with the National Fire Protection Associations, Life
				Safety Code 101, 1994 edition, Chapter 27 Existing Business Occupancies and the
				Guidelines for Design and Construction of Hospital and Health Facilities,
				current edition, Chapter 12 Mobile, Transportable, and Relocatable
				Units.
(iii) Providing a notarized
				statement from the licensure applicant which attests the Freestanding
				Diagnostic Testing Center is in compliance with the electrical safety
				requirements as adopted by the State of Wyoming Department of Fire Prevention
				and Electrical Safety.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0026 - Land Commissioners, Board of › Chapter 10 - LICENSURE OF HOME HEALTH AGENCIES › Section 10-1 - Authority

Current through July 13, 2024
These rules are promulgated by the Department of Health
				  pursuant to the Health Facilities Act at W.S. §
									
										35-2-901
et seq
. and
				  the Wyoming Administrative Procedures Act at W.S. §
									
										16-3-101
et.seq
.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0026 - Land Commissioners, Board of › Chapter 10 - LICENSURE OF HOME HEALTH AGENCIES › Section 10-4 - Definitions

Current through July 13, 2024
The following definitions shall apply in the interpretation
				  and enforcement of these rules. Where the context in which words are used in
				  these rules indicates that such is the intent, words in the singular number
				  shall include the plural and vice versa. Throughout these rules gender pronouns
				  are used interchangeable. The drafters have attempted to utilize each gender
				  pronoun in equal numbers, in random distribution. Words in each gender shall
				  include individuals of the other gender.
For purpose of these rules, the following shall apply:
(a) "Acceptable plan of correction" means the
				Licensing Division approved the plan to correct the deficiencies identified
				during an on-site survey conducted by the Survey Division or its designated
				representative. The plan of correction shall be a written document and shall
				provide:
(i) Who is responsible for the
				correction;
(ii) What was done or
				will be done to correct the problem;
(iii) Who will monitor to ensure that the
				situation does not develop again; and
(iv) An appropriate date, not to exceed sixty
				(60) days after the last day of survey, for the correction of
				deficiencies.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0026 - Land Commissioners, Board of › Chapter 10 - LICENSURE OF HOME HEALTH AGENCIES › Section 10-5 - Licensure

Current through July 13, 2024
Applicants must demonstrate full compliance with paragraphs
				  (a) and (b) of this section.
(a)
				Licensing Procedure.
(i) For an initial
				license to be issued, the Licensing Division shall receive:
(A) A completed application form as supplied
				by the Licensing Division;
(B) Each
				completed application shall be accompanied by the required licen-sure fee
				identified in Chapter 1, Rules and Regulations for Health Care Facilities
				Licensure Fees. The check or money order shall be made payable to the
				Treasurer, State of Wyoming; and
(C) An applicant shall demonstrate full
				compliance with the licensure requirements in paragraph (b) of this section.
The effective date of the initial license shall be:
The date of the survey, if there are no deficiencies.
(II) If deficiencies exist, the date that an
				acceptable plan of correction is developed after the survey.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0026 - Land Commissioners, Board of › Chapter 11 - LICENSURE OF HOSPICE PROGRAM › Section 11-1 - Authority

Current through July 13, 2024
These rules are promulgated by the Department of Health
				  pursuant to the Health Facilities Act at W.S. §
									
										35-2-901 et seq. and the Wyoming
				  Administrative Procedures Act at W.S. §
									
										16-3-101 et seq.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0026 - Land Commissioners, Board of › Chapter 11 - LICENSURE OF HOSPICE PROGRAM › Section 11-4 - Definitions

Current through July 13, 2024
The following definitions shall apply in the interpretation
				  and enforcement of these rules. Where the context in which words are used in
				  these rules indicates that such is the intent, words in the singular number
				  shall include the plural and vice versa. Throughout these rules gender pronouns
				  are used interchangeably. The drafters have attempted to utilize each gender
				  pronoun in equal numbers, in random distribution. Words in each gender shall
				  include individuals of the other gender.
For purpose of these rules, the following shall apply:
(a) "Acceptable plan of correction" means the
				Licensing Division approved the Hospice plan to correct the deficiencies during
				an on-site survey conducted by the Survey Division or its designated
				representative. The plan of correction shall be a written document and shall
				provide, but not necessarily be limited to, the following information.
(i) Who is responsible for the
				correction.
(ii) What was done or
				will be done to correct the problem.
(iii) Who will monitor to ensure the
				situation does not develop again.
(iv) An appropriate date, not to exceed sixty
				(60) days after the last day of survey, for the correction of
				deficiencies.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0026 - Land Commissioners, Board of › Chapter 13 - LICENSURE OF INTERMEDIATE CARE FACILITIES FOR THE MENTALLY RETARDED (ICF/MR) › Section 13-1 - Authority

Current through July 13, 2024
These rules are promulgated by the Department of Health
				  pursuant to the Health Facilities Licensure Act at W. S.
										35-2-901
et seq
. and
				  the Wyoming Administrative Procedures Act at W. S.
				  
										16-3-101
et seq
.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0026 - Land Commissioners, Board of › Chapter 13 - LICENSURE OF INTERMEDIATE CARE FACILITIES FOR THE MENTALLY RETARDED (ICF/MR) › Section 13-2 - Purpose

Current through July 13, 2024
These rules have been adopted for the licensure of
				  Intermediate Care Facilities for the Mentally Retarded. These standards are
				  designed to protect the health and safety of clients and employees.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0026 - Land Commissioners, Board of › Chapter 13 - LICENSURE OF INTERMEDIATE CARE FACILITIES FOR THE MENTALLY RETARDED (ICF/MR) › Section 13-3 - Severability

Current through July 13, 2024
If any portion of these rules are found invalid or
				  unenforceable, the remainder shall continue in effect.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0026 - Land Commissioners, Board of › Chapter 13 - LICENSURE OF INTERMEDIATE CARE FACILITIES FOR THE MENTALLY RETARDED (ICF/MR) › Section 13-4 - Definitions

Current through July 13, 2024
(a) "Acceptable plan of correction" means
				Wyoming Department of Health, Office of Health Quality, Planning and Program
				Evaluation (Office of Health Quality) approved the plan to correct the
				deficiencies identified through an onsite survey. The plan of correction shall
				be a written document and must contain who is responsible for correction, what
				was done to correct the problem and who will monitor to ensure that the
				situation does not develop again and must contain a appropriate date for
				completion of the correction.
(b)
				"Acquired Brain Injured" means any combination of focal and diffuse central
				nervous system dysfunction both immediate and/or delayed at the brain stem and
				above. These dysfunctions are acquired through the interaction of any external
				force and the body, oxygen deprivation, infection, toxicity, surgery and
				vascular disorders not associated with aging. These dysfunctions are not
				developmental or degenerative in nature.
(c) "Central Registry" means the registry
				operated by the Wyoming Department of Family Services pursuant to Wyoming
				Statute §
									
										14-3-213, which indexes perpetrators of child
				abuse or neglect and abuse and neglect, exploitation or abandonment of disabled
				adults.
(d) "Related Conditions"
				means acquired brain injured individuals who require services like those
				individuals who are mentally retarded.
(e) "Intermediate Care Facility for the
				Mentally Retarded (ICF/MR)" means a facility which provides on a regular basis
				health related care and training to mentally retarded individuals or persons
				with related conditions, who do not require the degree of care and treatment of
				a hospital or nursing facility and services above the need of a boarding
				home.
(f) "Fidelity bond" means a
				contract of fidelity insurance. One agrees to ensure another against loss
				arising from the want of honesty, integrity or fidelity of an employee of the
				ICF/MR.
(g) "Governing body" means
				the individual(s), group, or agency that has ultimate authority and
				responsibility for establishing client policies, personnel policies, and
				providing for organizational management and planning.
(h) "Licensed Practical Nurse (LPN") means a
				person who is licensed to practice as a licensed practical nurse by the Wyoming
				Board of Nursing pursuant to W.S. §
									
										33-21-120.
(i) "Physician" means a person licensed to
				practice medicine in Wyoming by the Wyoming Board of Medicine.
(j) "Registered Nurse (RN) means a graduate
				of an approved school of professional nursing, who is currently licensed to
				practice as a registered nurse by the Wyoming Board of Nursing pursuant to W.S.
				§
									
										33-21-120.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0026 - Land Commissioners, Board of › Chapter 13 - LICENSURE OF INTERMEDIATE CARE FACILITIES FOR THE MENTALLY RETARDED (ICF/MR) › Section 13-5 - Licensing

Current through July 13, 2024
(a) Licensing requirements. The Office of
				Health Quality has been authorized to issue licenses to ICF/MRs and has
				established a system of licensure to comply with minimum requirements for the
				purpose of protecting the health, welfare and safety of clients receiving this
				type of service.
(b) Licensing
				procedure.
(i) For an initial license to be
				issued the Office of Health Quality shall receive:
(A) A completed application form as supplied
				by the Office of Health Quality.
(B) The required licensure fee as outlined in
				Chapter 1, Rules and Regulations for Health Care Facilities Licensure Fees. The
				check or money order shall be made payable to the Treasurer, State of
				Wyoming.
(C) Demonstrated
				compliance with the requirements for licensure as required in paragraph (c) of
				this section. This documentation shall be available to the Office of Health
				Quality following the onsite survey.
(D) The effective date of the initial license
				shall be:
(1) The date of the survey, if
				there are no deficiencies, or
(2)
				If deficiencies exist, the date that a plan of correction is
				approved.
(E) The length
				of the license shall be from the effective date of the license until the next
				June 30th.