Current through Register Vol. 30, No. 38, September 20, 2024
A. An administrator
shall ensure that:
1. A personnel member is:
a. At least 21 years old, or
b. At least 18 years old and is licensed or
certified under A.R.S. Title 32 and providing services within the personnel
member's scope of practice;
2. An employee is at least 18 years
old;
3. A student is at least 18
years old; and
4. A volunteer is at
least 21 years old.
B. An
administrator shall ensure that:
1. The
qualifications, skills, and knowledge required for each type of personnel
member:
a. Are based on:
i. The type of active treatment or other
physical health services or behavioral care expected to be provided by the
personnel member according to the established job description, and
ii. The acuity of the residents receiving
active treatment or other physical health services or behavioral care from the
personnel member according to the established job description; and
b. Include:
i. The specific skills and knowledge
necessary for the personnel member to provide the expected active treatment or
other physical health services and behavioral care listed in the established
job description,
ii. The type and
duration of education that may allow the personnel member to have acquired the
specific skills and knowledge for the personnel member to provide the expected
active treatment or other physical health services or behavioral care listed in
the established job description, and
iii. The type and duration of experience that
may allow the personnel member to have acquired the specific skills and
knowledge for the personnel member to provide the expected active treatment or
other physical health services or behavioral care listed in the established job
description;
2.
A personnel member's skills and knowledge are verified and documented:
a. Before the personnel member provides
active treatment or other physical health services or and behavioral care,
and
b. According to policies and
procedures; and
3.
Sufficient personnel members are present on an ICF/IID's premises with the
qualifications, skills, and knowledge necessary to:
a. Provide the services in the ICF/IID's
scope of services,
b. Meet the
needs of a resident, and
c. Ensure
the health and safety of a resident.
C. An administrator shall ensure that an
organizational chart of the ICF/IID is established, updated as necessary, and
maintained on the premises:
1. Outlining the
roles, responsibilities, and relationships within the ICF/IID; and
2. Including the name and, if applicable, the
license or certification credential of each individual shown on the
organizational chart.
D.
An administrator shall ensure that, if a personnel member provides services
that require a license under A.R.S. Title 32 or 36, the personnel member is
licensed under A.R.S. Title 32 or 36, as applicable.
E. An administrator shall ensure that an
individual who is a licensed baccalaureate social worker, master social worker,
associate marriage and family therapist, associate counselor, or associate
substance abuse counselor is under direct supervision as defined in 4 A.A.C. 6,
Article 1.
F. An administrator
shall ensure that a personnel member or an employee or volunteer who has or is
expected to have direct interaction with a resident for more than eight hours a
week provides evidence of freedom from infectious tuberculosis:
1. On or before the date the individual
begins providing services at or on behalf of the ICF/IID, and
2. As specified in
R9-10-113.
G. An administrator shall ensure
that:
1. The types and numbers of nurses or
therapists required according to the acuity plan in
R9-10-503(L)
are present in each unit in the ICF/IID;
2. Documentation of the nurses or therapists
present on the ICF/IID's premises each day is maintained and includes:
a. The date;
b. The number of residents;
c. The name, license or certification
credential, and assigned duties of each nurse or therapist who worked that day;
and
d. The actual number of hours
each nurse or therapist worked that day; and
3. The documentation of nurses or therapists
required in subsection (G)(2) is maintained for at least 12 months after the
date of the documentation.
H. An administrator shall ensure that a
personnel member is:
1. On duty, on the
premises, awake, and able to respond, according to policies and procedures, to
injuries, symptoms of illness, or fire or other emergencies on the premises if
the ICF/IID provides services to:
a. More than
16 residents;
b. A resident who has
a nursing care plan or medical care plan; or
c. A resident who requires additional
supervision because the resident:
i. Is
aggressive,
ii. May cause harm to
self or others, or
iii. May attempt
an unauthorized absence; and
2. On duty, on the premises, and able to
respond, according to policies and procedures, to injuries, symptoms of
illness, or fire or other emergencies on the premises if:
a. The ICF/IID provides services to 16 or
fewer residents, and
b. None of the
residents has a nursing care plan or medical care plan or requires additional
supervision according to subsection (H)(1)(c).
I. An administrator shall ensure that a
personnel record is maintained for each personnel member, employee, volunteer,
or student that includes:
1. The individual's
name, date of birth, and contact telephone number;
2. The individual's starting date of
employment or volunteer service and, if applicable, the ending date;
and
3. Documentation of:
a. The individual's qualifications, including
skills and knowledge applicable to the individual's job duties;
b. The individual's education and experience
applicable to the individual's job duties;
c. The individual's compliance with the
requirements in A.R.S. §
36-411;
d. The ICF/IID's check on the individual in
the adult protective services registry established according to A.R.S. §
46-459;
e. Orientation and in-service education as
required by policies and procedures;
f. Training in preventing, recognizing, and
reporting abuse or neglect, required according to
R9-10-503(C)(1)(d)(i);
g. The
individual's license or certification, if the individual is required to be
licensed or certified in this Article or policies and procedures;
h. The individual's qualifications and
on-going training for each type of restraint or seclusion used, as required in
R9-10-515;
i. Cardiopulmonary
resuscitation training, if required for the individual according to
R9-10-503(C)(1)(g);
j. First aid
training, if required for the individual according to this Article or policies
and procedures; and
k. Evidence of
freedom from infectious tuberculosis, if required for the individual according
to subsection (F).
J. An administrator shall ensure that
personnel records are:
1. Maintained:
a. Throughout the individual's period of
providing services in or for the ICF/IID, and
b. For at least 24 months after the last date
the individual provided services in or for the ICF/IID; and
2. For a personnel member who has
not provided active treatment or other physical health services or behavioral
care at or for the ICF/IID during the previous 12 months, provided to the
Department within 72 hours after the Department's request.
K. An administrator shall ensure that:
1. A plan to provide orientation specific to
the duties of a personnel member, an employee, a volunteer, and a student is
developed, documented, and implemented;
2. A personnel member completes orientation
before providing active treatment or other physical health services or
behavioral care;
3. An individual's
orientation is documented, to include:
a. The
individual's name,
b. The date of
the orientation, and
c. The subject
or topics covered in the orientation;
4. A plan to provide in-service education
specific to the duties of a personnel member is developed, documented, and
implemented;
5. A personnel
member's in-service education is documented, to include:
a. The personnel member's name,
b. The date of the training, and
c. The subject or topics covered in the
training; and
6. A work
schedule of each personnel member is developed and maintained at the ICF/IID
for at least 12 months after the date of the work schedule.
L. An administrator shall
designate a qualified individual to provide:
1. Social services, and
2. Recreational activities.