New Jersey Administrative Code
Title 5 - COMMUNITY AFFAIRS
Chapter 27A - STANDARDS FOR LICENSURE OF RESIDENTIAL HEALTH CARE FACILITIES NOT LOCATED WITH, AND OPERATED BY, LICENSED HEALTH CARE FACILITIES
Subchapter 4 - GENERAL REQUIREMENTS
Section 5:27A-4.6 - Policy and procedure manual
Universal Citation: NJ Admin Code 5:27A-4.6
Current through Register Vol. 56, No. 24, December 18, 2024
(a) A policy and procedure manual(s) for the organization and operation of the facility shall be developed, implemented, and reviewed at intervals specified in the manual(s). Each review of the manual(s) shall be documented, and the manual(s) shall be available in the facility to representatives of the Department at all times. The manual(s) shall include at least the following:
1. An organizational chart delineating the
lines of authority, responsibility, and accountability for the administration
and resident care services of the facility;
2. A description of the services
provided;
3. Specification of
business hours and visiting hours;
4. Policies and procedures for reporting all
diagnosed and/or suspected cases of resident abuse or exploitation, as follows:
i. All county welfare agencies shall be
notified, in accordance with
N.J.S.A. 55:13B-1 et seq., The Rooming and Boarding
Act of 1979, as amended; and
ii. In
accordance with
N.J.S.A. 52:27G-7.1 et seq., if the resident is 60
years of age or older, the State of New Jersey Office of the Ombudsman for the
Institutionalized Elderly shall also be notified, at 1-877-582-6995;
5. Policies and procedures for
maintaining confidentiality of resident records, including policies and
procedures for examination of resident records by the resident and other
authorized persons and for release of the resident's records to any individual
outside the facility, as consented to by the resident or as required by law or
third party payor;
6. Policies and
procedures for the maintenance and confidentiality of personnel records for
each employee, including at least the employee's name, previous employment,
educational background, credentials, license number with effective date and
date of expiration (if applicable), certification (if applicable), verification
of credentials, prior criminal records, records of physical examinations, job
description, and evaluations of job performance; and
7. Policies and procedures, including content
and frequency, for physical examinations upon employment and subsequently for
employees and persons providing direct resident care services in the facility
through contractual arrangements or written agreement.
(b) The facility shall make all policy and procedure manuals available to residents, guardians, designated responsible persons, prospective applicants, and referring agencies during normal business hours or by prior arrangement.
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