Arizona Administrative Code
Title 9 - HEALTH SERVICES
Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING
Article 11 - ADULT DAY HEALTH CARE FACILITIES
Section R9-10-1103 - Administration
Universal Citation: AZ Admin Code R 9-10-1103
Current through Register Vol. 30, No. 38, September 20, 2024
A. A governing authority shall:
1. Consist of one or more
individuals responsible for the organization, operation, and administration of
an adult day health care facility;
2. Establish, in writing:
a. An adult day health care facility's scope
of services, and
b. Qualifications
for an administrator;
3.
Designate, in writing, an administrator who has the qualifications established
in subsection (A)(2)(b);
4. Adopt a
quality management program according to R9-10-1104;
5. Review and evaluate the effectiveness of
the quality management program at least once every 12 months;
6. Designate , in writing, an acting
administrator, who has the qualifications established in subsection (A)(2)(b)
if the administrator is:
a. Expected not to
be present on an adult day health care facility's premises for more than 30
calendar days, or
b. Not present on
an adult day health care facility's premises for more than 30 calendar days;
and
7. Except as
provided in (A)(6), notify the Department according to A.R.S. §
36-425(I),
when there is a change in an administrator and identify the name and
qualifications of the new administrator.
B. An administrator:
1. Is 21 years of age or older;
2. Is directly accountable to the governing
authority of an adult day health care facility for the daily operation of the
adult day health care facility and all services provided by or at the adult day
health care facility;
3. Has the
authority and responsibility to manage the adult day health care facility;
and
4. Except as provided in
subsection (A)(6), designates, in writing, an individual who is 21 years of age
or older and present on the adult day health care facility's premises and
accountable for the adult day health care facility when the administrator is
not present on the adult day health care facility premises and participants are
present on the adult day health care facility's premises.
C. An administrator shall ensure that:
1. Policies and procedures are established,
documented, and implemented to protect the health and safety of a participant
that:
a. Cover job descriptions, duties, and
qualifications, including required skills, knowledge, education, and experience
for personnel members, employees, volunteers, and students;
b. Cover orientation and in-service education
for personnel members, employees, volunteers, and students;
c. Cover certification in cardiopulmonary
resuscitation and first aid training;
d. Include how a personnel member may submit
a complaint relating to services provided to a participant;
e. Cover the requirements in A.R.S. Title 36,
Chapter 4, Article 11;
f. Include a method to
identify a participant to ensure that the participant receives the appropriate
services;
g. Cover participant rights, including assisting a
participant who does not speak English or who has a disability to become aware
of participant rights;
h. Cover specific steps
for:
i. A participant to file a complaint,
and
ii. The adult day health care
facility to respond to a participant complaint;
i.
Cover medical records, including electronic medical records; and
j.
Cover a quality management program, including incident reports and supporting
documentation;
2.
Policies and procedures for services provided by an adult day health care
facility are established, documented, and implemented to protect the health and
safety of a participant that:
a. Cover
screening, enrollment, and discharge;
b. Cover the provision of the services in the
adult day health care facility's scope of services;
c. Cover dispensing, administering, and
disposing of medications, including provisions for inventory control and
preventing diversion of controlled substances;
d. Cover how personnel members will respond
to a participant's sudden, intense, or out-of-control behavior to prevent harm
to the participant or another individual;
e. Cover food
services;
f. Cover environmental services;
g.
Cover infection control;
h. Cover contracted
services;
i. Cover emergency treatment provided at the adult day
health care facility; and
j. Designate which
employees or personnel members are required to have current certification in
cardiopulmonary resuscitation and first aid training;
3. Policies and procedures are:
a. Available to personnel members, employees,
volunteers, and students, and
b.
Reviewed at least once every three years and updated as needed; and
4. Unless otherwise stated:
a. Documentation required by this Article is
provided to the Department within two hours after a Department request;
and
b. When documentation or
information is required by this Chapter to be submitted on behalf of an adult
day health care facility, the documentation or information is provided to the
unit in the Department that is responsible for licensing and monitoring the
adult day health care facility.
D. An administrator shall:
1. Maintain, and make available to
individuals upon request, a schedule of rates and charges;
2. Ensure that a monthly calendar of planned
activities is:
a. Posted before the beginning
of a month, and
b. Maintained on
the premises for at least 90 calendar days after the end of the
month;
3. Ensure that
materials, supplies, and equipment are provided for the planned activities;
and
4. Assist in the formation of a
participants' council according to R9-10-1112.
Disclaimer: These regulations may not be the most recent version. Arizona may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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