Hawaii Administrative Rules
Title 11 - DEPARTMENT OF HEALTH
Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS
Chapter 96 - FREESTANDING ADULT DAY HEALTH CENTERS
Section 11-96-19 - Governing body and management
Universal Citation: HI Admin Rules 11-96-19
Current through February, 2024
(a) Each licensee shall be responsible for the operation of the center.
(b) The licensee shall exercise general supervision over the center, shall establish written policies concerning the center's operation, and shall make available these written policies for inspection by the director.
(c) Each licensee shall have written personnel policies and procedures which are available to all employees.
(1) There shall
be written job descriptions for each position. Each employee shall be informed
of their duties and responsibilities at the time of employment and through
inservice training sessions thereafter;
(2) All professional employees shall have
appropriate current licenses as required by law;
(3) Ethical standards of professional conduct
shall apply to all parts of the program;
(4) Written policy shall prohibit misconduct,
neglect, or abuse of clients and shall include procedures for investigating and
reporting any such incidence to the State and governing body; and
(5) There shall be documented evidence that
every employee has a pre-employment and an annual health evaluation by a
physician. These evaluations shall be specifically oriented to determine the
presence of any infectious disease liable to harm a client. Each health
evaluation shall include a tuberculin skin test or a chest x-ray;
(A) Skin lesions or diarrhea shall be
considered presumptive evidence of infectious disease. Any employee who
develops evidence of an infection must be immediately excluded from any duties
relating to food handling or direct client contact until such time as a
physician certifies it is safe for the employee to resume such
duties;
(B) If the tuberculin skin
test is positive, a standard chest x-ray with appropriate medical follow-up
must be obtained, as well as three subsequent yearly chest x-rays. If all three
chest x-rays are negative, no further tuberculin tests shall be required,
except that additional chest x-rays may be required at the discretion of the
director;
(C) If the tuberculin
skin test is negative, a second skin test shall be done after one week, but not
later than three weeks after the first test. The results of the second test
shall be considered the baseline test and used to determine appropriate
treatment and follow-up. That is, if the second skin test is positive, then
proceed, as in section
11-96-19(c)
(5) (B). If the skin test is negative, a single skin test shall be repeated
yearly; and
(D) When a known
negative tuberculin skin test on a particular employee or client converts to a
positive test, it shall be considered a new case of tuberculosis infection and
shall be reported to the department as required in Chapter 11-164.
Disclaimer: These regulations may not be the most recent version. Hawaii 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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