Ariz. Admin. Code § 9-10-1405

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

Section R9-10-1405 - Personnel

A. An administrator shall ensure that:

1. A personnel member is:

a. At least 21 years old, or

b. If providing behavioral health services, at least 18 years old;

2. An employee is at least 18 years old;

3. A student is at least 18 years old; and

4. A volunteer is at least 21 years old.

B. An administrator shall ensure that:

1. The qualifications, skills, and knowledge required for each type of personnel member:

a. Are based on:

i. The type of behavioral health services or physical health services expected to be provided by the personnel member according to the established job description, and

ii. The acuity of participants receiving behavioral health services or physical health services from the personnel member according to the established job description;

b. Include:

i. The type and duration of experience that may allow the personnel member to have acquired the specific skills and knowledge for the personnel member to provide the expected behavioral health services or physical health services listed in the established job description;

ii. The type and duration of education that may allow the personnel member to have acquired the specific skills and knowledge for the personnel member to provide the expected behavioral health services or physical health services listed in the established job description, and

iii. The type and duration of experience that may allow the personnel member to have acquired the specific skills and knowledge for the personnel member to provide the expected behavioral health services or physical health services listed in the established job description;

2. A personnel member's skills and knowledge are verified and documented:

a. Before the personnel member provides behavioral health services or physical health services, and

b. According to policies and procedures;

3. An emergency medical care technician complies with the requirements in 9 A.A.C. 25 for certification and medical direction;

4. A substance abuse transitional facility has sufficient personnel members with the qualifications, education, experience, skills, and knowledge necessary to:

a. Provide the behavioral health services and physical health services in the substance abuse transitional facility's scope of services,

b. Meet the needs of a participant, and

c. Ensure the health and safety of a participant;

5. A written plan is developed and implemented to provide orientation specific to the duties of a personnel member;

6. A personnel member's orientation is documented, to include:

a. The personnel member's name,

b. The date of the orientation, and

c. The subject or topics covered in the orientation;

7. In addition to the training required in subsections (B)(1) and (B)(5), a written plan is developed and implemented to provide a personnel member with in-service education specific to the duties of the personnel member;

8. A personnel member's skills and knowledge are verified and documented:

a. Before providing services related to participant care, and

b. At least once every 12 months after the date the personnel member begins providing services related to participant care; and

9. An individual's in-service education and, if applicable, training in how to respond to a participant's sudden, intense, or out-of-control behavior is documented, to include:

a. The personnel member's name,

b. The date of the training, and

c. The subject or topics covered in the training.

C. An administrator shall ensure that an individual who is licensed under A.R.S. Title 32, Chapter 33 as a baccalaureate social worker, master social worker, associate marriage and family therapist, associate counselor, or associate substance abuse counselor receives direct supervision as defined in A.A.C. R4-6-101.

D. An administrator shall ensure that a personnel member, or an employee, a volunteer, or a student who has or is expected to have direct interaction with a participant for more than eight hours in a week, provides evidence of freedom from infectious tuberculosis:

1. On or before the date the individual begins providing services at or on behalf of the substance abuse transitional facility, and

2. As specified in R9-10-113.

E. An administrator shall comply with the requirements for behavioral health technicians and behavioral health paraprofessionals in R9-10-115.

F. An administrator shall ensure that a personnel record is maintained for a personnel member, employee, volunteer, or student that contains:

1. The individual's name, date of birth, and contact telephone number;

2. The individual's starting date of employment or volunteer service and, if applicable, the ending date; and

3. Documentation of:

a. The individual's qualifications including skills and knowledge applicable to the individual's job duties;

b. The individual's education and experience applicable to the individual's job duties,

c. The individual's completed orientation and in-service education as required by policies and procedures;

d. The individual's license or certification, if the individual is required to be licensed or certified in this Article or policies and procedures;

e. The individual's completion of the training required in subsection (B)(8), if applicable;

f. If the individual is a behavioral health technician, clinical oversight required in R9-10-115;

g. Cardiopulmonary resuscitation training, if required for the individual according to subsection (H) or policies and procedures;

h. First aid training, if required for the individual according to subsection (H) or policies and procedures; and

i. Evidence of freedom from infectious tuberculosis, if required for the individual according to subsection (D).

G. An administrator shall ensure that personnel records are:

1. Maintained:

a. Throughout an individual's period of providing services at or for a substance abuse transitional facility, and

b. For at least 24 months after the last date the individual provided services at or for a substance abuse transitional facility; and

2. For a personnel member who has not provided physical health services or behavioral health services at or for the substance abuse transitional facility during the previous 12 months, provided to the Department within 72 hours after the Department's request.

H. An administrator shall ensure at least one personnel member who is present at the substance abuse transitional facility during hours of facility operation has first-aid and cardiopulmonary resuscitation training certification specific to the populations served by the facility.

I. An administrator shall ensure that:

1. At least one personnel member is present and awake at a substance abuse transitional facility at all times when a participant is on the premises;

2. In addition to the personnel member in subsection (I)(l), at least one personnel member is on-call and available to come to the substance abuse transitional facility if needed;

3. A substance abuse transitional facility has sufficient personnel members to provide general participant supervision and treatment and sufficient personnel members or employees to provide ancillary services to meet the scheduled and unscheduled needs of each participant;

4. There is a daily staffing schedule that:

a. Indicates the date, scheduled work hours, and name of each individual assigned to work, including on-call individuals;

b. Includes documentation of the employees who work each day and the hours worked by each employee; and

c. Is maintained for at least 12 months after the last date on the documentation;

5. A behavioral health professional is present on the substance abuse transitional facility's premises or on-call; and

6. A registered nurse is present on the substance abuse transitional facility's premises or on-call.

Ariz. Admin. Code § R9-10-1405

Adopted effective February 1, 1994 (Supp. 94-1). 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. Amended by final expedited rulemaking at 26 A.A.R. 3041, effective 11/3/2020.