Current through Vol. 41, No. 13, March 15, 2024
Written policies and procedures shall be developed by the
center which include the following:
(1)
Enrollment criteria.
(A) Each center shall have enrollment
policies.
(B) The written
enrollment policies shall contain specific admission criteria to define the
participants who can be served by the center.
(C) The center's enrollment policies shall
prohibit enrollment of persons whose needs exceed the capability of the
center's program, and persons excluded by the Adult Day Care Center
Act.
(2)
Hours and
days of operation. The center shall establish polices and procedures
covering the hours and days of operation.
(3)
Rates and payments. The
center shall establish policies and procedures governing rates and payments
which include the following:
(A) Charges for
basic services.
(B) Services that
may be obtained on a fee basis, but are not included in the basic
services.
(C) Public disclosure of
the above.
(4)
Types of services provided. The center shall have written policies
and procedures which contain the range of services provided by the center,
including specialized services, i.e., speech therapy, physical therapy,
counseling, transportation, etc., and other services that may be arranged
through the center with other resources within the community.
(5)
Medication storage and
administration. The center shall have written policies and procedures
governing the storage, maintenance, and administration of medications as stated
in section
310:605-13-2(2).
(6)
Admission and discharge.
(A)
Admission. The center's
policies and procedures for admission and discharge of participants shall
include, but not be limited to the following:
(i) An application for enrollment to be
completed prior to or upon admission to the center.
(ii) The requirement for a current medical
report and medical assessment by the participant's physician to be obtained
within 5 working days of admission.
(B)
Discharges. The written
policies and procedures regarding discharge from the center shall include but
not be limited to the following:
(i) Provision
for emergency discharge of participant to other health care facilities or to
caregiver when the health or safety of the participant or other participants is
endangered.
(ii) Notice
requirements and causes for involuntary termination of services to a
participant.
(iii) Discharge
planning in accordance with all requirements at
310:605-9-2.
(7)
Personnel
policies and practices. The center shall have written policies and
procedures pertaining to personnel practices.
(8)
Personnel records system. A
personnel record shall be established for each employee and each volunteer
counted in the staffing ratio.
(9)
General record system. Each center shall establish a general
record system.
(A) Records of any incident or
accident involving a participant shall be kept and maintained.
(B) Participant records for social services
and medical information shall be maintained.
(C) All records may be kept and maintained
electronically in a computer system and in a central storage location,
accessible on site. A backup of the computer system shall be
maintained.
(D) The employee and
participant records shall be retained for not less than five years after the
participant's discharge or employee's termination.
(10)
Emergency services.
(A) Each center shall have written policies
for handling emergencies involving participants or staff.
(B) The policies and procedures shall provide
instruction on obtaining outside emergency services.
(C) The policies and procedures shall be
designed to insure that the family member, caregiver, or responsible party
designated in the participant's record is notified when an emergency
occurs.
Added at 8 Ok Reg 2983,
eff 5-28-91 (emergency); Added at 9 Ok Reg 1989, eff 6-11-92; Amended at 20 Ok
Reg 1182, eff 5-27-03
