Current through Register Vol. 50, No. 9, September 20, 2024
A.
Record keeping shall be in accordance with accepted standards to assure the
development and implementation of facility specific policies and procedures to
adhere to all licensing standards. Specific facility records shall contain:
1. personnel information including:
a. annual health screens in accordance with
CDC/OPH guidelines and facility policy;
b. actual hours of work;
c.
orientation/training/in-services;
d. disciplinary actions;
e. verification of professional credentials,
licensing/certification and renewals; and
f. job descriptions/performance
expectations;
2.
operational information including:
a.
organizational chart;
b. payment
methods in accordance with the Wage and Hour Board;
c. proof of general and professional
liability insurance in the amount of at least, $500,000;
d. projected plan of operations based on the
findings of the facility specific continuous improvement program; and
e. written agreements with other entities to
assure adherence to licensing standards and continuity of care, e.g.,
transplant services, lab services, waste removal, hospital, etc.;
3. identification of a governing
body composed of adults who have legal authority over the policies and
activities of the facility as required by 42 CFR §405.2136 All private
providers must comply with this requirement.
B. Required Facility Reports. The facility
director shall report the following incidents either verbally or by facsimile
to HSS within 24 hours of discovery. If reporting is verbal, it will be
confirmed in writing within seven calendar days.
1. fire and/or natural disasters;
2. any substantial disruption of program
operation;
3. any inappropriate
treatment or service resulting in death or serious injury; and
4. serious violations of laws, rules, and
professional and ethical codes of conduct, e.g. abuse, neglect, exploitation by
facility personnel/volunteers that resulted in harm or the potential for harm
to the patient(s). Patient to patient abuse shall also be reported to the
agency.
C. The facility
shall post a legible copy of the following documents in full view of patients,
visitors, and employees:
1. patient bill of
rights/responsibilities;
2. escape
routes;
3. facility specific rules,
responsibilities and grievance procedures;
4. current license and variances;
and
5. current licensing survey
findings.
D. The
facility shall maintain the following operational records:
1. equipment maintenance;
2. water testing logs;
3. reprocessing logs;
4. fire and safety logs;
5. in-services/attendance records;
6. personnel records; and
7. disinfection logs.
AUTHORITY NOTE:
Promulgated in accordance with
R.S.
46:153 and
R.S.
40:2117.4.
