Ariz. Admin. Code § 9-10-1103

Current through Register Vol. 30, No. 44, November 1, 2024

Section R9-10-1103 - Administration

A. A governing authority shall:

1. Consist of one or more individuals responsible for the organization, operation, and administration of an adult day health care facility;

2. Establish, in writing:

a. An adult day health care facility's scope of services, and

b. Qualifications for an administrator;

3. Designate, in writing, an administrator who has the qualifications established in subsection (A)(2)(b);

4. Adopt a quality management program according to R9-10-1104;

5. Review and evaluate the effectiveness of the quality management program at least once every 12 months;

6. Designate , in writing, an acting administrator, who has the qualifications established in subsection (A)(2)(b) if the administrator is:

a. Expected not to be present on an adult day health care facility's premises for more than 30 calendar days, or

b. Not present on an adult day health care facility's premises for more than 30 calendar days; and

7. Except as provided in (A)(6), notify the Department according to A.R.S. § 36-425(I), when there is a change in an administrator and identify the name and qualifications of the new administrator.

B. An administrator:

1. Is 21 years of age or older;

2. Is directly accountable to the governing authority of an adult day health care facility for the daily operation of the adult day health care facility and all services provided by or at the adult day health care facility;

3. Has the authority and responsibility to manage the adult day health care facility; and

4. Except as provided in subsection (A)(6), designates, in writing, an individual who is 21 years of age or older and present on the adult day health care facility's premises and accountable for the adult day health care facility when the administrator is not present on the adult day health care facility premises and participants are present on the adult day health care facility's premises.

C. An administrator shall ensure that:

1. Policies and procedures are established, documented, and implemented to protect the health and safety of a participant that:

a. Cover job descriptions, duties, and qualifications, including required skills, knowledge, education, and experience for personnel members, employees, volunteers, and students;

b. Cover orientation and in-service education for personnel members, employees, volunteers, and students;

c. Cover certification in cardiopulmonary resuscitation and first aid training;

d. Include how a personnel member may submit a complaint relating to services provided to a participant;

e. Cover the requirements in A.R.S. Title 36, Chapter 4, Article 11;

f. Include a method to identify a participant to ensure that the participant receives the appropriate services;

g. Cover participant rights, including assisting a participant who does not speak English or who has a disability to become aware of participant rights;

h. Cover specific steps for:

i. A participant to file a complaint, and

ii. The adult day health care facility to respond to a participant complaint;

i. Cover medical records, including electronic medical records; and

j. Cover a quality management program, including incident reports and supporting documentation;

2. Policies and procedures for services provided by an adult day health care facility are established, documented, and implemented to protect the health and safety of a participant that:

a. Cover screening, enrollment, and discharge;

b. Cover the provision of the services in the adult day health care facility's scope of services;

c. Cover dispensing, administering, and disposing of medications, including provisions for inventory control and preventing diversion of controlled substances;

d. Cover how personnel members will respond to a participant's sudden, intense, or out-of-control behavior to prevent harm to the participant or another individual;

e. Cover food services;

f. Cover environmental services;

g. Cover infection control;

h. Cover contracted services;

i. Cover emergency treatment provided at the adult day health care facility; and

j. Designate which employees or personnel members are required to have current certification in cardiopulmonary resuscitation and first aid training;

3. Policies and procedures are:

a. Available to personnel members, employees, volunteers, and students, and

b. Reviewed at least once every three years and updated as needed; and

4. Unless otherwise stated:

a. Documentation required by this Article is provided to the Department within two hours after a Department request; and

b. When documentation or information is required by this Chapter to be submitted on behalf of an adult day health care facility, the documentation or information is provided to the unit in the Department that is responsible for licensing and monitoring the adult day health care facility.

D. An administrator shall:

1. Maintain, and make available to individuals upon request, a schedule of rates and charges;

2. Ensure that a monthly calendar of planned activities is:

a. Posted before the beginning of a month, and

b. Maintained on the premises for at least 90 calendar days after the end of the month;

3. Ensure that materials, supplies, and equipment are provided for the planned activities; and

4. Assist in the formation of a participants' council according to R9-10-1112.

Ariz. Admin. Code § R9-10-1103

Adopted effective July 22, 1994 (Supp. 94-3). Section repealed; new Section made by exempt rulemaking at 19 A.A.R. 2015, effective October 1, 2013 (Supp. 13-2). Amended by exempt rulemaking at 20 A.A.R. 1409, effective 7/1/2014.