16 Del. Admin. Code § 3375-3.0

Current through Register Vol. 28, No. 3, September 1, 2024

Section 3375-3.0 - Administration

3.1 The administrative structure of the PPECC shall include a policy and procedure manual to assure that standards for licensure and certification are maintained.

3.2 All PPECCs must have the following documents on the premises and available to staff: American Academy of Pediatrics Red Book, Delacare Requirements for Day Care Centers, Approved Standards for Prescribed Pediatric Extended Care, Procedure Manual and a Personnel Manual.

3.3 Personnel policies and procedures shall include at least: a current personnel file; position descriptions; employee benefits; policies for overtime, compensatory time, performance evaluations, termination of employment; etc.

3.4 A formal orientation shall be required for all PPECC employees; staff development programs for all categories of personnel shall be held monthly and documented in the individual personnel file.

3.5 The facility shall be administered on a sound financial basis consistent with good business practice. There shall be financial records which identify all income by source and describe all expenditures by category in such a manner as to be auditable by commonly recognized procedures. Annual budget must be developed and available at the facility.

3.6 Each PPECC facility shall have an Advisory Board. Membership in the Advisory Board shall include, but not be limited to:

3.6.1 Physician familiar with PPECC services;

3.6.2 Registered nurse with special expertise in the care of medically/technologically dependent children;

3.6.3 Developmentalist or child life specialist with expertise in the care of medically/technologically dependent children and their families;

3.6.4 Social worker with expertise in the care of medically/technologically dependent children and their families;

3.6.5 Consumer representative who may be a parent or guardian of a child placed in the PPECC;

3.6.6 An independent or outside program professional.

3.7 Responsibilities of the Advisory Board shall include:

3.7.1 Review of policy and procedure components of the PPECC to assure conformance with the standards for licensure and certification;

3.7.2 Consultation regarding the operational and programmatic components of the PPECC.

3.8 Policies and Procedures pertaining to PPECC services shall be available and shall include the following.

3.8.1 A procedure manual with specifications for each therapeutic intervention shall be available for use by all staff involved in the care of the children; the manual shall be. reviewed every six months to assure that procedures conform to prevailing and acceptable treatment modalities.

3.8.2 An admission and discharge register, listing children admitted by name with identifying information about each and the source from which the child was admitted, the reason for disposition, adequate identifying information and the place to which the individual is to be discharged.

3.8.3 A daily census record.

3.8.4 An accident and incident record.

3.8.5 An individual record for each child. All details of the referral, admission, correspondence, and papers concerning each child shall also be maintained. A general fiscal record for each child, including copies of all agreements or contracts and account records. The record shall also include a protocol for care, physician's orders, progress notes, medications dispensed, medical history, including allergies, special precautions, and an immunization record. Record entries shall be in ink and signed by an RN or MD.

3.8.6 Periodic review of each child's protocol of care to update the protocol in consultation with other professionals involved in the child's care. Changes in the orders must be documented and signed by the primary prescribing physician.

3.8.7 Prior to a discharge, conferences involving PPECC staff, the primary physician, the parent(s) or guardians) and staff of other agencies involved in the child's care shall be held to discuss postdischarge care and follow-up.

3.8.8 A discharge order written by the primary physician shall be documented and entered in the child's record. A discharge summary, which includes the reason for discharge, shall also be included in the record.

3.8.9 Except in emergency situations, other agencies involved in the care of the child/family shall be notified prior to the discharge date.

3.9 The PPECC shall conform to the Patient Bill of Rights and a copy shall be posted in a conspicuous place.

16 Del. Admin. Code § 3375-3.0

25 DE Reg. 779( 2/1/2022) (final)