Chapter 10. DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING

An administrator shall ensure that: 1. A plan is established, documented, and implemented for an ongoing quality management program that, at a minimum, includes: a. A method to identify, document, and evaluate incidents; b. A method to collect data to evaluate services provided t…

An administrator shall ensure that: 1. Contracted services are provided according to the requirements in this Article, and 2. Documentation of current contracted services is maintained that includes a description of the contracted services provided. Notes Ariz. Admin. Code § R9-1…

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…

An administrator shall ensure that: 1. A participant is admitted based upon the participant's presenting behavioral health issue and treatment needs and the substance abuse transitional facility's ability and authority to provide behavioral health services or physical health serv…

A. An administrator shall ensure that: 1. If a participant is not being transferred to another health care institution, before discharging the participant from a substance abuse transitional facility, a personnel member: a. Identifies the specific needs of the participant after d…

Except for a transfer of a participant due to an emergency, an administrator shall ensure that: 1. A personnel member coordinates the transfer and the services provided to the participant; 2. According to policies and procedures: a. An evaluation of the participant is conducted b…

A. An administrator shall ensure that: 1. The requirements in subsection (B) and the participant rights in subsection (C) are conspicuously posted on the premises; 2. At the time of admission, a participant or the participant's representative receives a written copy of the requir…

A. An administrator shall ensure that: 1. A medical record is established and maintained for each participant according to A.R.S. Title 12, Chapter 13, Article 7.1; 2. An entry in a participant's medical record is: a. Recorded only by a personnel member authorized by policies and…

A. An administrator shall ensure that counseling is: 1. Offered as described in the substance abuse transitional facility's scope of services, 2. Provided according to the frequency and number of hours identified in the participant's assessment, and 3. Provided by a behavioral he…

A. If a facility provides medication administration or assistance in the self-administration of medication, an administrator shall ensure that policies and procedures for medication services: 1. Include: a. A process for providing information to a participant about medication pre…

A. An administrator shall ensure that: 1. If a substance abuse transitional facility has a licensed capacity of more than 10 participants: a. Food services are provided in compliance with 9 A.A.C. 8, Article 1; and 2. b. A copy of the substance abuse transitional facility's food …

A. An administrator shall ensure that: 1. An evacuation drill for employees and participants on the premises is conducted at least once every six months on each shift; 2. Documentation of each evacuation drill is created, is maintained for at least 12 months after the date of the…

A. An administrator shall ensure that:1. The premises and equipment are sufficient to accommodate the activities, treatment, and ancillary services stated in the substance abuse transitional facility's scope of services; 2. The premises and equipment are:a. Maintained in a condit…

A. An administrator shall ensure that a substance abuse transitional facility has: 1. A fire alarm system installed according to the National Fire Protection Association 72: National Fire Alarm and Signaling Code, incorporated by reference in R9-10-104.01, that is in working orde…

Notes Ariz. Admin. Code § R9-10-1417 Section made by exempt rulemaking at 19 A.A.R. 2015, effective October 1, 2013 (Supp. 13-2). . Renumbered by exempt rulemaking at 20 A.A.R. 1409, effective 7/1/2014. The following Article was adopted under an exemption from the provisions of t…

In addition to the definitions in A.R.S. §§ 36-401, 36-449.01, 36-449.03, 36-2151, 36-2158, and 36-2301.01 and R9-10-101, the following definitions apply in this Article, unless otherwise specified: 1. "Admission" means documented acceptance by a hospital of an individual as an i…

A. An applicant shall submit an application for licensure that meets the requirements in A.R.S. § 36-422 and 9 A.A.C. 10, Article 1. B. A licensee shall submit to the Department the documentation required according to A.R.S. § 36-449.02(B) with the applicable fees required in R9-…

A. A licensee is responsible for the organization and management of an abortion clinic. B. A licensee shall: 1. Adopt policies and procedures for the administration and operation of an abortion clinic; 2. Designate a medical director who: a. Is licensed according to A.R.S. Title …

A medical director shall ensure that: 1. A plan is established, documented, and implemented for an ongoing quality management program that, at a minimum, includes:a. A method to identify, document, and evaluate incidents; b. A method to collect data to evaluate services provided …

A. A licensee shall ensure that the Department is notified of an incident as follows: 1. For the death of a patient, verbal notification the next working day; 2. For a fetus delivered alive, verbal notification the next working day; and 3. For a serious injury of a patient or via…

A licensee shall ensure that: 1. A physician who performs an abortion demonstrates to the medical director that the physician is competent to perform an abortion by:a. The submission of documentation of education and experience, and b. Observation by or interaction with the medic…

A. A licensee shall ensure that there is a sufficient number of patient care staff members and employees to:1. Meet the requirements of this Article, 2. Ensure the health and safety of a patient, and 3. Meet the needs of a patient based on the patient's medical evaluation. B. A l…

A licensee shall ensure that a patient is afforded the following rights, and is informed of these rights: 1. To refuse treatment, or withdraw consent for treatment; 2. To have medical records kept confidential; and 3. To be informed of:a. Billing procedures and financial liabilit…

A. A medical director shall ensure that a medical evaluation of a patient is conducted before the patient's abortion is performed that includes: 1. A medical history including: a. Allergies to medications, antiseptic solutions, or latex; b. Obstetrical and gynecological history; …

A. A medical director shall ensure that: 1. For a patient: a. A patient is transferred to a hospital for an emergency involving the patient; 2. A viable fetus requiring emergency care is transferred to a hospital; 3. b. A patient transfer is documented in the patient's medical re…

A medical director shall ensure that: 1. The abortion clinic complies with the requirements for medications and controlled substances in A.R.S. Title 32, Chapter 18, and A.R.S. Title 36, Chapter 27; 2. A medication is administered in compliance with an order from a physician, phy…

A. A licensee shall ensure that 1. a medical record is established and maintained for a patient that contains: a. 1. Patient identification including: i. a. The patient's name, address, and date of birth; ii b. The designated patient's representative, if applicable; and iii. c. T…

A licensee shall ensure that: 1. The premises: a. Provide lighting and ventilation to ensure the health and safety of a patient, b. Are maintained in a clean condition, c. Are free from a condition or situation that may cause a patient to suffer physical injury, d. Are maintained…

A licensee shall ensure that: 1. Equipment and supplies are maintained in a:a. Clean condition, and b. Quantity sufficient to meet the needs of patients present in the abortion clinic; 2. Equipment to monitor vital signs is in each room in which an abortion is performed; 3. A sur…

A. A licensee shall ensure that an abortion clinic complies with all local building codes, ordinances, fire codes, and zoning requirements. If there are no local building codes, ordinances, fire codes, or zoning requirements, the abortion clinic shall comply with the applicable c…

In addition to the definitions in A.R.S. § 36-401 and R9-10-101, the following apply in this Article unless otherwise specified: 1. "Acceptance" means, after a referral from a collaborating health care institution, an individual receives services from a provider in a behavioral h…

In addition to the license application requirements in A.R.S. § 36-422 and 9 A.A.C. 10, Article 1, an applicant shall include, in a format provided by the Department, the following information for the behavioral health respite home's collaborating health care institution: 1. Name…

A. A provider: 1. Is at least 21 years of age; 2. Resides in the behavioral health supportive home; 3. Is the governing authority of the behavioral health supportive home; 4. Has a written agreement with a collaborating health care institution; 5. Holds current certification in c…

A. A provider shall ensure that: 1. A recipient is treated with dignity, respect, and consideration; 2. A recipient is not subjected to: a. Abuse; b. Neglect; c. Exploitation; d. Coercion; e. Manipulation; f. Sexual abuse; g. Sexual assault; h. Seclusion; i. Restraint; j. Retalia…

A. A provider shall ensure that behavioral health services and ancillary services are provided to a recipient according to the recipient's treatment plan obtained from the behavioral health respite home's collaborating health care institution. B. A provider shall submit to the be…

A. If a provider provides assistance in the self-administration of medication, the provider shall ensure that: 1. If a recipient is receiving assistance in the self-administration of medication, the recipient's medication is stored by the provider; 2. The following assistance is …

A. A provider shall ensure that: 1. A medical record is established and maintained for each recipient according to A.R.S. Title 12, Chapter 13, Article 7.1; 2. An entry in a recipient's medical record is: a. Only recorded by the provider or an individual designated by the provide…

A provider shall ensure that: 1. Food is obtained, handled, and stored to prevent contamination, spoilage, or a threat to the health of a recipient; 2. Three nutritionally balanced meals are served each day; 3. Nutritious snacks are available between meals; 4. Food served meets a…

A provider shall ensure that: 1. A first aid kit is available at a behavioral health respite home sufficient to meet the needs of recipients; 2. If a firearm or ammunition for a firearm is stored at a behavioral health respite home: a. The firearm is stored separate from the ammu…

A. A provider shall ensure that a behavioral health respite home: 1. Is in a building that: a. Is arranged, designed, and used for the living, sleeping, and housekeeping activities for one family on a permanent basis; and b. Is free of any plumbing, electrical, ventilation, mecha…

A. If a provider plans to be absent from an adult behavioral health therapeutic home for 24 hours or more, the provider shall ensure that a resident is transferred to an appropriate placement until the provider returns to the adult behavioral health therapeutic home. B. A provide…

A. A provider may provide children's behavioral health respite services for up to four recipients if at least two of the recipients are siblings. B. For a behavioral health respite home that provides children's behavioral health respite services, a provider shall: 1. Have a valid…

Definitions in A.R.S. § 36-401 and R9-10-101 apply in this Article unless otherwise specified. Notes Ariz. Admin. Code § R9-10-1701 Adopted effective July 6, 1994 (Supp. 94-3). Section amended by exempt rulemaking at 19 A.A.R. 2015, effective October 1, 2013 (Supp. 13-2).

A. A governing authority for a health care institution not otherwise classified or subclassified in A.R.S. Title 36, Chapter 4 or 9 A.A.C. 10 shall: 1. Consist of one or more individuals responsible for the organization, operation, and administration of the health care institutio…

An administrator shall ensure that: 1. A plan is established, documented, and implemented for an ongoing quality management program that, at a minimum, includes: a. A method to identify, document, and evaluate incidents; b. A method to collect data to evaluate services provided t…

An administrator shall ensure that: 1. Contracted services are provided according to the requirements in this Article, 2. Documented of current contracted services is maintained that includes a description of the contracted services provided. Notes Ariz. Admin. Code § R9-10-1704 …

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…