New Jersey Administrative Code
Title 8 - HEALTH
Chapter 43B - STANDARDS FOR LICENSURE OF ADULT FAMILY CARE CAREGIVERS AND SPONSOR AGENCIES
Subchapter 8 - CLIENT CARE SERVICES
Section 8:43B-8.1 - Policies and procedures

i. Periodic monitoring of clients;

ii. Referral of clients to health care professionals or community agencies, as appropriate; and

iii. Maintenance of records;

i. Client self-administration in accordance with labeled prescription containers;

ii. Training requirements for AFC caregivers who will assist clients with the self-administration of medications or who will administer medications. Such training shall include, at a minimum, Module VIII of N.J.A.C. 8:43B Appendix;

iii. Circumstances in which medications may be administered by a qualified person, such as a registered professional nurse;

iv. A system for caregivers to report suspected drug errors and adverse drug reactions to the sponsor agency's registered professional nurse;

v. A system that includes keeping all medications in their original containers and labeled in accordance with the New Jersey Board of Pharmacy requirements at N.J.A.C. 13:39;

vi. A system in which over-the-counter medications repackaged by a pharmacy or other licensed pharmacy provider, manufacturer, or repackager, will be labeled with the name and strength of the medication, date of issue, expiration date, usual dose, lot number, manufacturer's name, and cautionary and/or accessory labels. Original manufacturers' containers shall be marked or labeled with the client's name, and the name shall not obstruct any of the aforementioned information;

vii. A system in which single-use and disposable items will not be reused; and

viii. Medications that require refrigeration shall be properly maintained;

i. Requirements for an inquiry to be made of each client regarding the existence and location of an advance directive;

ii. Requirements for provision to clients of a written statement of client rights regarding advance directives, approved by the Department, prior to placement; and

iii. Requirement for documentation of the existence and location of the client's advance directive in the client's record;

i. Obtaining a client's written authorization for delegation of responsibility to an AFC caregiver or other designated individual, provided that this authorization shall be witnessed, in writing, by a designated representative of the AFC sponsor agency and either a member of the client's family or the client representative, if applicable;

ii. Providing a client and the client's family or legal guardian, if applicable, a quarterly written financial record of the client's funds if the client has delegated financial management responsibilities to an AFC caregiver, which record shall show the amount of funds at the beginning and end of the accounting period, including a list of all deposits and withdrawals, substantiated by receipts given to the client or the client representative; and

iii. Prohibiting AFC caregivers from accepting any form of gift or bequest from a client or any designation of an AFC caregiver as a beneficiary of a client's insurance policy, trust, will, or any other testamentary devices;

i. The reason for, and date of, transfer or discharge;

ii. The condition of the client upon transfer or discharge;

iii. A copy of the current client service plan; and

iv. The destination of the client; and