Current through Register No. 40, October 3, 2024
(a) The program shall develop policies for
how direct care staff shall respond to incidents, including but not limited to:
(1) Addressing threats of self-harm and
suicidal behaviors by residents;
(2) Medical emergencies;
(3) Addressing threatening behaviors such as
physical and sexual assaults on other residents or staff;
(4) The reporting requirements in
He-C
4001.23(g);
(5) Screening any child who runs away for
indications that the child may be a victim of human trafficking and notifying
necessary personnel;
(6) Managing
the behavior of children, including how and under what circumstances seclusion
or restraint is used, pursuant to
RSA
126-U:2;
(7) Accessibility to respite or temporary
care arrangements; and
(8) How
staff will be orientated and trained in accordance with
He-C 4001.19(k) and
(l) to prepare to work with the population
served by the program.
(b) All program staff responsible for the
care and supervision of residents shall be familiar with the program's policies
and procedures for managing injuries and emergencies and have access to
information necessary to handle emergencies.
(c) Each building that residents will spend
time in shall be equipped with a telephone that is operable and accessible to
residents and staff for incoming and outgoing calls.
(d) The licensee shall maintain an
information data sheet in the resident's record and promptly give a copy to
emergency medical personnel in the event of an emergency transfer to a medical
facility.
(e) The information data
sheet referenced in (d) above shall include:
(1) Full name and the name the resident
prefers, if different;
(2) Name,
address, and telephone number of the resident's parent(s), guardian, or agent,
if any;
(3) Diagnosis;
(4) Medications, both prescription and over
the counter, including last dose taken and when the next dose is due;
(5) Allergies;
(6) Functional limitations;
(7) Date of birth;
(8) Insurance information; and
(9) Any other pertinent information not
specified in (1)-(8) above.
(f) At least one residential child care
program staff person, who is trained and currently certified in cardiopulmonary
resuscitation (CPR) and first aid by the American Red Cross, American Heart
Association, Emergency Care and Safety Institute, National Safety Council or
other nationally recognized organization or an individual certified by such
organization to train, shall be present:
(1)
In each building that is used as a residence, at all times when residents are
present; and
(2) When residents
are participating in any field trips off the premises of the residential child
care program.
(g) The
residential child care program director or designee shall obtain and maintain
on file, available for review by the department, copies of current CPR and
first aid certifications documenting coverage as required in (f) above.
(h) Each building and program
vehicle that is used by residents shall be equipped with first aid supplies
adequate to meet the needs of the residents.
(i) The first aid supplies shall be stored in
a container that is accessible by residential child care program staff but not
accessible to residents.
(j) First
aid supplies adequate to meet the needs of the residents shall be available
during all field trips.
(k) When
the first aid treatment provided for minor scrapes or bruises is not effective
or when a resident's injury is more than a minor scrape or bruise, residential
child care program staff shall:
(1) If the
injuries appear to be life threatening or appear to be severe, call emergency
medical services for transport to a medical facility by ambulance;
(2) For all other injuries, take the injured
resident to a licensed health care practitioner for medical evaluation and
treatment;
(3) As soon as possible
after the injury occurs, notify the person or agency responsible for the
resident's placement and the parents of the injured resident whenever possible;
and
(4) Complete a written incident
report as specified in
He-C 4001.23(a) and
(b) within 24 hours of the incident.
(l) The program
director or designee shall notify the unit, the parent, and the person or
agency responsible for the resident's placement within 24 hours of the death of
any resident.
(m) The program
director or designee shall provide a written report, detailing the
circumstances of the death, to the unit and the person or agency responsible
for the resident's placement, within 72 hours of the death of any
resident.
(n) In (l) or (m) above,
in cases involving serious injury or death to a resident subject to restraint
or seclusion in a program, the program shall, in accordance with and addition
to the provisions of
RSA
126-U:10, notify the commissioner, the
attorney general, and the disability rights center (DRC). Such notice shall
include the notification required in
RSA
126-U:7, II.
(o) The program director or designee shall
conduct fire drills once each month in each building that is used as
residential child care space.
(p)
Monthly fire drills required in (o) above shall be held at varying times,
including night time hours.
(q)
Programs shall activate the actual fire alarm system for the building for at
least 2 of the monthly fire drills required each year.
(r) Programs shall ensure that all residents
and program staff evacuate the building during each fire drill including, if
applicable, descent using the route designated on the posted fire evacuation
plan.
(s) The staff person
conducting the fire drill shall complete a written record of each fire drill
that shall:
(1) Be maintained on file at the
program for one year; and
(2) Be
available for review by the fire inspector and the department.
(t) The written record of fire
drills required under (s) above shall include at least the following:
(1) The date and time the drill was
conducted, and whether the actual fire alarm system was activated;
(2) Exits used;
(3) Number of residents evacuated and total
number of people in the building at the time of the drill;
(4) Name of the person conducting
drill;
(5) Time taken to evacuate
the building;
(6) Any problems
encountered; and
(7) A plan for
correcting those problems.
(u) The program director or designee shall
conduct a fire drill in the presence of a representative of the department or
the local fire department upon request by either of those entities.
(v) If providing withdrawal management, any
new SCPs shall comply with the appropriate chapter of NFPA 101 as published by
the National Fire Protection Association and as amended by the state board of
fire control and ratified by the general court pursuant to
RSA 153:5,
consistent with the level of needs of residents being served.
(w) All programs shall have:
(1) Smoke detectors as approved in accordance
with the State Fire Code, under
RSA 153:1,
VI-a, Saf-C 6000, and Saf-FMO 300, including
but not limited to NFPA 1 and NFPA 101, as amended by the state board of fire
control and ratified by the general court pursuant to
RSA 153:5,
consistent with the appropriate level of care being provided by the
program;
(2) At least one UL
Listed, ABC type portable fire extinguisher, with a minimum rating of 2A-10BC
installed on every level of the building with a maximum travel distance to each
extinguisher not to exceed 50 feet and maintained as follows:
a. Fire extinguishers shall be inspected
either manually or by means of an electronic monitoring device or system at
least once per calendar month, at intervals not exceeding 31 days;
b. Records for manual inspection, or
electronic monitoring shall be kept to demonstrate that at least 12 monthly
inspections have been performed;
c. Annual maintenance shall be performed on
each extinguisher by trained personnel, and a tag or label shall be securely
attached that indicates that maintenance was performed; and
d. The components of the electronic
monitoring device or system in a. above, if used, shall be tested and
maintained annually in accordance with the manufacturers listed maintenance
manual; and
(3) A carbon
monoxide monitor on every level of the program, in accordance with
Saf-C
6015.04.
(x) An emergency and fire safety program
shall be developed and implemented to provide for the safety of residents and
personnel.
(y) In addition to the
policies required in (a) above, the program shall develop and implement an
emergency operations plan (EOP), which shall:
(1) Be based on the incident command system
and coordinated with the emergency response agencies in the community in which
the residential program is located;
(2) Contain guidelines for personnel
responsible for critical tasks, including, but not limited to the role of
center incident commander, child care, medical treatment, and parental
notification; and
(3) Include
response actions for natural, human-caused, or technological incidences
including, but not limited to:
a. Evacuation,
both within building and off-site, relocation;
b. Secure campus;
c. Drop, cover, and hold;
d. Lockdown;
e. Reverse evacuation;
f. Shelter-in-place; and
g. Bomb threat and scan.
(z) Programs shall develop a
continuity of operations plan (COOP) to ensure that essential functions
continue to be performed during, or resumed rapidly after, a disruption of
normal activities.
(aa) All response actions
in (y)(3) above shall include accommodations for children with chronic medical
conditions, and children with disabilities or with access and functional
needs.
(ab) Programs shall practice
no less than 2 components of their EOP as described in (y) above with all staff
and children at least twice per year.
(ac) All staff shall review the program's EOP
in accordance with the following:
(1) For
currently employed staff, within the first 30 days of the development of the
EOP pursuant to (y) above; or
(2)
For newly hired staff, within the first 30 days of employment.
(ad) In each building of the
residential program, the written policies and procedures in (a) above and the
EOP in (y) above shall be in an area easily accessible and known to residential
staff.
(ae) Programs operating an
SCP shall appoint an individual who will oversee the development and
implementation of an infection control program that educates and provides
procedures for staff for the prevention, control, and investigation of
infectious and communicable diseases.
(af) The infection control program shall
include written procedures for:
(1) Proper
hand washing techniques;
(2) The
utilization of universal precautions;
(3) The management of residents with
infectious or contagious diseases or illnesses;
(4) The handling, storage, transportation,
and disposal of those items identified as infectious waste in Env-Sw 904; and
(5) The reporting of infectious
and communicable diseases as required by He-P 301.
(ag) The infection control education program
shall address at a minimum the:
(1) Causes of
infection;
(2) Effects of
infections;
(3) Transmission of
infections; and
(4) Prevention and
containment of infections.
#2664, eff 3-30-84, EXPIRED: 3-30-90
New. #8581, eff 4-20-06,
EXPIRED: 4-20-06
New. #10576, INTERIM, eff
4-26-14, EXPIRES: 10-23-14
The amended version of this section by
New
Hampshire Register Number 24, eff.
5/29/2024 is not yet
available.
