New York Codes, Rules and Regulations
Title 14 - DEPARTMENT OF MENTAL HYGIENE
Chapter XIII - Office of Mental Health
Part 553 - Visitation And Inspection Of Facilities
Section 553.3 - Scope of reviews and inspections
Universal Citation: 14 NY Comp Codes Rules and Regs ยง 553.3
Current through Register Vol. 46, No. 39, September 25, 2024
(a) For purposes of this Part, "facilities under the jurisdiction of the Office of Mental Health" shall mean facilities required to obtain an operating certificate from the Commissioner pursuant to Article 31 of the Mental Hygiene Law.
(b) Prior to visiting a facility, the reviewer will study reports of previous reviews and inspections and the following information submitted by the facility:
(1) clinical and statistical data,
and
(2) the policies of the
facility.
(c) The onsite review and inspection shall include, as appropriate:
(1) review of program operation in comparison
to programs authorized;
(2) private
conversation with any person receiving mental health services or employee who
so desires;
(3) review of case
records of persons currently or previously served;
(4) review of the legal admission documents
of persons receiving services and the conformity of the facilities admission
procedures with the law and regulations;
(5) review of the records of restraint and
seclusion;
(6) review of the
qualifications of the staff and the staffing pattern in comparison to those
authorized;
(7) inspection of the
records and storage of medications, and procedures for prescription and
dispensing of medications;
(8)
review of the minutes of meetings of the governing body;
(9) inspection of the physical plant and
equipment, and review of protective procedures in relation to structural and
fire hazards;
(10) identification
of any construction or improvements to the premises completed since the last
visit; and
(11) review of written
reports by local inspectors and other authorized inspection, certifying, or
accrediting agencies, and review of conditions about which any recommendations
for improvement have been made.
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