Current through Register Vol. 30, No. 38, September 20, 2024
A. An administrator
shall ensure that:
1. A personnel member, an
employee, or a student is at least 18 years old;
and
2. 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 behavioral health services or
physical health services expected to be provided by the personnel member
according to the established job description, and
ii. The acuity of the residents receiving
behavioral health services or physical health services 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 behavioral health
services or physical health services 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
behavioral health services or physical health services 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 behavioral health
services or physical health services listed in the established job
description;
2. A personnel member's skills and knowledge
are verified and documented:
a. Before the
personnel member provides physical health services or behavioral health
services, and
b. According to
policies and procedures;
3. Sufficient personnel members are present
on a behavioral health residential facility's premises with the qualifications,
experience, skills, and knowledge necessary to:
a. Provide the services in the behavioral
health residential facility'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 comply with the
requirements for behavioral health technicians and behavioral health
paraprofessionals in
R9-10-115.
D. An administrator shall ensure that an
individual who is licensed under A.R.S. Title 32, Chapter 33 as a 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 A.A.C. R4-6-101.
E. 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 behavioral health services or physical health
services;
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 written plan is developed and
implemented to provide in-service education specific to the duties of a
personnel member; and
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.
F.
An administrator shall ensure that a personnel member, or an employee, a
volunteer, or a student who has or is expected to have more than eight hours of
direct interaction per week with residents, provides evidence of freedom from
infectious tuberculosis:
1. On or before the
date the individual begins providing services at or on behalf of the behavioral
health residential facility, and
2.
As specified in
R9-10-113.
G. 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 completed orientation and
in-service education as required by policies and procedures;
d. The individual's license or certification,
if the individual is required to be licensed or certified in this Article or
policies and procedures;
e. If the
behavioral health residential facility is authorized to provide services to
children, the individual's compliance with the fingerprinting requirements in
A.R.S. §
36-425.03;
f. If the individual is a
behavioral health technician, clinical oversight required in
R9-10-115;
g. Cardiopulmonary
resuscitation training, if required for the individual according to
R9-10-303(C)(l)(e);
h. First aid
training, if required for the individual according to this Article or policies
and procedures; and
i. Evidence of
freedom from infectious tuberculosis, if required for the individual according
to subsection (F).
H. An administrator shall ensure that
personnel records are:
1. Maintained:
a. Throughout an individual's period of
providing services at or for the behavioral health residential facility,
and
b. For at least 24 months after
the last date the individual provided services in or for the behavioral health
residential facility; and
2. For a personnel member who has not
provided physical health services or behavioral health services at or for the
behavioral health residential facility during the previous 12 months, provided
to the Department within 72 hours after the Department's request.
I. An administrator
shall ensure that the following personnel members have first-aid and
cardiopulmonary resuscitation training specific to the populations served by
the behavioral health residential facility:
1. At least one personnel member who is
present at the behavioral health residential facility during hours of operation
of the behavioral health residential facility, and
2. Each personnel member participating in an
outing.
J. An
administrator shall ensure that:
1. At least
one personnel member is present and awake at the behavioral health residential
facility when a resident is on the premises;
2. In addition to the personnel member in
subsection (J)(l), at least one personnel member is on-call and available to
come to the behavioral health residential facility if needed;
3. There is a daily staffing schedule that:
a. Indicates the date, scheduled work hours,
and name of each employee assigned to work, including on-call personnel
members;
b. Includes documentation
of the employees who work each calendar day and the hours worked by each
employee; and
c. Is maintained for
at least 12 months after the last date on the documentation;
4. A behavioral health
professional is present at the behavioral health residential facility or
on-call;
5. A registered nurse is
present at the behavioral health residential facility or on-call; and
6. If a resident requires services that the
behavioral health residential facility is not authorized or not able to
provide, a personnel member arranges for the resident to be transported to a
hospital or another health care institution where the services can be
provided.
The following Section was repealed and a new Article
adopted under an exemption from the provisions of the Administrative Procedure
Act which means these rules were not reviewed by the Governor's Regulatory
Review Council; the Department did not submit notice of proposed rulemaking to
the Secretary of State for publication in the Arizona Administrative Register;
and the Department was not required to hold public hearings on these rules
(Supp. 98-4).
