N.J. Admin. Code § 8:43D-4.4

Current through Register Vol. 56, No. 12, June 17, 2024

Section 8:43D-4.4 - Policy and procedure manual

(a) A facility administrator shall maintain a manual of policies and procedures that establishes the organization and operation of the facility and shall document the review of each policy and procedure every three years, and which shall be available on-site to facility employees and representatives of the Department at all times and shall address the following:

1. An organizational chart delineating the lines of authority, responsibility, and accountability for the administration and resident care services of the facility;

2. A description of the services which the pediatric community transitional home provides;

3. Policies and procedures for maintaining facility security;

4. Policies and procedures for reporting all diagnosed and/or suspected cases of child abuse or exploitation to the Division of Child Protection and Permanency, as follows:

i. During normal business hours, contact the Institutional Abuse Investigation Unit at (609) 292-0617.

ii. After normal business hours, contact the Child Abuse Hotline, available 24 hours a day, seven days per week at 1-877-NJ ABUSE (1-877-652-2873);

5. Policies and procedures for maintaining confidentiality of resident records, including policies and procedures for examination of resident records by the resident (if age appropriate); resident's parent(s)or legal guardian; and other authorized persons; and for release of the resident's records to any individual outside the facility, as consented by the resident's parent or legal guardian or as required by law or third party payor;

6. Policies and procedures for the maintenance of personnel records for each employee, including at least his or her name, previous employment, educational background, credentials, driver's license number with effective date and date of expiration, (if applicable), certification and licensure (if applicable), verification of credentials, prior criminal records, records of physical examinations, job description, records of orientation and inservice education, and evaluations of job performance;

7. Policies and procedures, including content and frequency, for physical examinations and immunizations and tuberculin testing upon and during the course of employment for employees both non-contractual and contractual as well as volunteers providing direct resident care services in the facility;

8. Policies and procedures for the collection, storage and handling of regulated medical waste, consistent with all applicable Federal, State and local laws, rules and regulations;

9. Policies and procedures related to involuntary discharge in accordance with 8:43D-4.11; and

10. Other policies and procedures as specified in this chapter.

(b) The facility shall make all policy and procedure manuals available to residents, guardians, designated responsible persons, prospective applicants, and referring agencies during normal business hours or by prior arrangement.

N.J. Admin. Code § 8:43D-4.4

Amended by 48 N.J.R. 2336(a), effective 11/7/2016