Ariz. Admin. Code § 9-10-717

Current through Register Vol. 30, No. 45, November 8, 2024

Section R9-10-717 - Outdoor Behavioral Health Care Programs

A. An administrator of a behavioral health residential facility authorized to provide an outdoor behavioral health care program shall ensure that:

1. Behavioral health services are provided to a resident participating in the outdoor behavioral health care program consistent with the age, developmental level, physical ability, medical condition, and treatment needs of the resident;

2. Continuous protective oversight is provided to a resident;

3. Transportation is provided to a resident from the behavioral health residential facility's administrative office for the outdoor behavioral health care program to the location where the outdoor behavioral health care program is provided and from the location where the outdoor behavioral health care program is provided to the behavioral health residential facility's administrative office for the outdoor behavioral health care program; and

4. Communication is available between the outdoor behavioral health care program personnel and:

a. A behavioral health professional,

b. A registered nurse,

c. An emergency medical response team, and

d. The behavioral health residential facility's administrative office for the outdoor behavioral health care program.

B. An administrator of a behavioral health residential facility authorized to provide an outdoor behavioral health care program shall ensure that:

1. Food is prepared:

a. Using methods that conserve nutritional value, flavor, and appearance; and

b. In a form to meet the needs of a resident such as cut, chopped, ground, pureed, or thickened;

2. A food menu is prepared based on the number of calendar days scheduled for the behavioral health care program;

3. Meals and snacks provided by the behavioral health care program are served according to menus;

4. Meals and snacks for each day are planned using the applicable guidelines in http://www.health.gov/dietaryguidelines/2015;

5. A resident is provided:

a. A diet that meets the resident's nutritional needs as specified in the resident's assessment or treatment plan;

b. Three meals a day with not more than 14 hours between the evening meal and breakfast, except as provided in subsection (B)(5)(d);

c. The option to have a daily evening snack or other snack; and

d. The option to extend the time span between the evening meal and breakfast from 14 hours to 16 hours if the resident agrees;

6. Water is available and accessible to residents unless otherwise stated in a resident's treatment plan;

7. Food is free from spoilage, filth, or other contamination and is safe for human consumption;

8. Food is protected from potential contamination; and

9. Food being maintained in coolers containing ice is not in direct contact with ice or water if water may enter the food because of the nature of the food's packaging, wrapping, or container or the positioning of the food in the ice or water.

C. An administrator of a behavioral health residential facility authorized to provide an outdoor behavioral health care program shall ensure that:

1. The location and, if applicable, equipment used by the outdoor behavioral health care program are sufficient to accommodate the activities, treatment, and ancillary services required by the residents participating in the behavioral health care program;

2. The location and equipment are maintained in a condition that allows the location and equipment to be used for the original purpose of the location and equipment;

3. Garbage and refuse are:

a. Stored in plastic bags in covered containers, and

b. Removed from the location used by the outdoor behavioral health care program at least once a week;

4. Common areas:

a. Are lighted when in use to assure the safety of residents, and

b. Have sufficient lighting to allow personnel members to monitor resident activity;

5. The supply of hot and cold water is sufficient to meet the personal hygiene needs of residents and the cleaning and sanitation requirements in this Article;

6. Soiled clothing is stored in closed containers away from food storage, medications, and eating areas;

7. Poisonous or toxic materials are maintained in labeled containers, secured, and separate from food preparation and storage, eating areas, and medications and inaccessible to residents;

8. Combustible or flammable liquids and hazardous materials are stored in the original labeled containers or safety containers, secured, and inaccessible to residents;

9. If a water source that is not regulated under 18 A.A.C. 4 by the Arizona Department of Environmental Quality is used:

a. The water source is tested at least once every 12 months for total coliform bacteria and fecal coliform or E. coli bacteria;

b. If necessary, corrective action is taken to ensure the water is safe to drink; and

c. Documentation of testing is retained for at least 12 months after the date of the test; and

10. Smoking or the use of tobacco products may be permitted away from the residents.

Ariz. Admin. Code § R9-10-717

Adopted effective November 1, 1998, under an exemption from the provisions of the Administrative Procedure Act pursuant to Laws 1998, Ch. 178, §17; filed with the Office of the Secretary of State October 2, 1998 (Supp. 98-4). 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 rulemaking at 25 A.A.R. 1583, effective 10/1/2019.

The following Section was adopted under an exemption from the provisions of the Administrative Procedure Act which means these rules were not reviewed by the Governor's Regulatory Review Council; the Department did not submit notice of proposed rulemaking to the Secretary of State for publication in the Arizona Administrative Register; and the Department was not required to hold public hearings on these rules (Supp. 98-4).