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. The qualifications, skills, and knowledge required for each type of personnel member: a. Are based on: i. The type of physical health services expected to be provided by the personnel member according to the established job description, a…

A. Before admitting an individual as a patient, an administrator shall obtain: 1. The name of the individual's physician; 2. Documentation that the individual has a diagnosis by a physician that indicates that the individual has a specific, progressive, normally irreversible dise…

A. An administrator shall ensure that a care plan is developed for each patient: 1. Based on the: a. Assessment of the: i. Patient; and ii. Patient's family, if applicable; b. Hospice service agency's or inpatient hospice facility's scope of service; 2. With participation from a:…

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

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

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

A. An administrator shall ensure that the following are included in the hospice services provided by the hospice:1. Medical services; 2. Nursing services; 3. Nutritional services, including menu planning and the designation of the kind and amount of food appropriate for a patient…

A. An administrator shall ensure that policies and procedures for medication services: 1. Include: a. A process for providing information to a patient about medication prescribed for the patient including: i. The prescribed medication's anticipated results, ii. The prescribed med…

A.An administrator shall ensure that: 1. An infection control program is established, under the direction of an individual qualified according to policies and procedures, to prevent the development and transmission of infections and communicable diseases including: a. A method to…

A. An administrator of a hospice inpatient facility shall ensure that: 1. Meals and snacks provided by the hospice inpatient facility are served according to a patient's dietary needs and preferences; 2. Meals and snacks for each day are planned using:a. The applicable most recen…

A. An administrator of a hospice inpatient facility shall ensure that: 1. A disaster plan is developed, documented, maintained in a location accessible to personnel members and other employees, and, if necessary, implemented that includes: a. When, how, and where patients will be…

A. An administrator of a hospice inpatient facility shall ensure that: 1. Policies and procedures are established, documented, and implemented to protect the health and safety of a patient that cover:a. Cleaning and storing of soiled linens and clothing, b. Housekeeping procedure…

A. An administrator shall ensure that a hospice inpatient facility complies with applicable physical plant health and safety codes and standards, incorporated by reference in R9-10-104.01. B. An administrator of a hospice inpatient facility shall ensure that the premises and equi…

In addition to the definitions in A.R.S. § 36-401 and R9-10-101, the following applies in this Article unless otherwise specified: 1. "Emergency safety response" means physically holding a resident to manage the resident's sudden, intense, or out-of-control behavior to prevent ha…

A. In addition to the license application requirements in A.R.S. § 36-422 and R9-10-105, an applicant for a license as a behavioral health residential facility shall include on the application:1. Whether the applicant is planning to provide: a. Behavioral health services to indiv…

A. A governing authority shall: 1. Consist of one or more individuals responsible for the organization, operation, and administration of a behavioral health residential facility; 2. Establish, in writing: a. A behavioral health residential facility's scope of services, and b. Qua…

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 to…

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, an employee, or a student is at least 18 years old; a. At least 21 years old, or b. At least 18 years old and is licensed or certified under A.R.S. title 32 and providing services within the personnel member'sscope of …

A. An administrator shall ensure that:1. A resident is admitted based upon:a. The resident's primary condition for which the resident is admitted to the behavioral health residential facility being a behavioral health issue, and b. The resident's behavioral health issue and treat…

A. An administrator shall ensure that a treatment plan is developed and implemented for each resident that: 1. Is based on the medical history and physical examination or nursing assessment required in R9-10-707(A)(6) or (E)(1)(a) and the behavioral health assessment required in …

A. An administrator shall ensure that a discharge plan for a resident is: 1. Developed that: a. Identifies any specific needs of the resident after discharge, b. Is completed before discharge occurs, and c. Includes a description of the level of care that may meet the resident's …

A. Except as provided in subsection (B), an administrator shall ensure that: 1. A personnel member coordinates the transport and the services provided to the resident; 2. According to policies and procedures: a. An evaluation of the resident is conducted before and after the tran…

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

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

A. An administrator of a behavioral health residential facility that uses a vehicle owned or leased by the behavioral health residential facility to provide transportation to a resident shall ensure that: 1. The vehicle: a. Is safe and in good repair, b. Contains a first aid kit,…

An administrator shall ensure that a time-out: 1. Is provided to a resident who voluntarily decides to go in a time-out; 2. Takes place in an area that is unlocked, lighted, quiet, and private; 3. Is time-limited and does not exceed the amount of time as determined by the residen…

An administrator of a behavioral health residential facility that is authorized to provide personal care services shall ensure that: 1. Personnel members who provide personal care services have documentation of completion of a caregiver training program that complies with A.A.C. …

A. An administrator shall ensure that: 1. If a behavioral health residential facility is authorized to provide court-ordered evaluation or court-ordered treatment:a. Court-ordered evaluation is provided in compliance with the requirements in A.R.S. Title 36, Chapter 5, Article 4;…

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 …

An administrator of a behavioral health residential facility that is an adult residential care institution and is authorized to provide recidivism reduction services shall ensure that: 1. A personnel member who is recidivism reduction staff at the adult residential care instituti…

A. An administrator shall ensure that policies and procedures for medication services: 1. Include: a. A process for providing information to a resident about medication prescribed for the resident including: i. The prescribed medication's anticipated results, ii. The prescribed m…

A. Except for an outdoor behavioral health care program provided by a behavioral health residential facility, an administrator shall ensure that: 1. For a behavioral health residential facility that has a licensed capacity of more than 10 residents: a. The behavioral health resid…

A. Except for an outdoor behavioral health care program provided by a behavioral health residential facility, an administrator shall ensure that a behavioral health residential facility has: 1. A fire alarm system installed according to the National Fire Protection Association 72…

A. Except for an outdoor behavioral health care program provided by a behavioral health residential facility, an administrator shall ensure that: 1. The premises and equipment are: a. Maintained in a condition that allows the premises and equipment to be used for the original pur…

A. Except for a behavioral health outdoor program, an administrator shall ensure that the premises and equipment are sufficient to accommodate: 1. The services in the behavioral health residential facility's scope of services, and 2. An individual admitted as a resident by the be…

In addition to the definitions in A.R.S. § 36-401 and R9-10-101, the following definitions apply in this Article, unless the context otherwise requires: 1. "Accept" or "acceptance" means:a. An individual begins living in and receiving assisted living services from an assisted liv…

A. In addition to the license application requirements in A.R.S. § 36-422 and R9-10-105, an applicant for a license as an assisted living facility shall include in a Department-provided format:1. Which of the following levels of assisted living services the applicant is requestin…

A. A governing authority shall: 1. Consist of one or more individuals responsible for the organization, operation, and administration of an assisted living facility; 2. Establish, in writing, an assisted living facility's scope of services; 3. Designate, in writing, a manager who…

A manager 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 to resid…

A manager 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 § R9-10-805 A…

A. A manager shall ensure that: 1. A caregiver: a. Is 18 years of age or older; and b. Provides documentation of: i. Completion of a caregiver training program approved by the Department or the Board of Examiners for Nursing Care Institution Administrators and Assisted Living Fac…

A. Except as provided in R9-10-808(B)(2), a manager shall ensure that a resident provides evidence of freedom from infectious tuberculosis: 1. Before or within seven calendar days after the resident's date of occupancy, and 2. As specified in R9-10-113. B. A manager shall ensure …

A. Except as required in subsection (B), a manager shall ensure that a resident has a written service plan that: 1. Is completed no later than 14 calendar days after the resident's date of acceptance; 2. Is developed with assistance and review from:a. The resident or resident's r…

A. Except as provided in subsection (B), a manager shall ensure that: 1. A caregiver or employee coordinates the transport and the services provided to the resident; 2. According to policies and procedures: a. An evaluation of the resident is conducted before and after the transp…