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

An administrator shall ensure that: 1. A resident is admitted only: a. On a physician’s order; b. If the resident has a developmental disability or cognitive disability, as defined in A.R.S. § 36-551; c. If the resident’s placement evaluation indicates that the resident’s needs c…

A. An administrator, in coordination with the Arizona Department of Economic Security, Division of Developmental Disabilities, shall ensure that: 1. A resident is transferred or discharged if: a. The ICF/IID is not authorized or not able to meet the needs of the resident, or b. T…

A. Except as provided in subsections (B) and (C), an administrator shall ensure that: 1. A personnel member authorized by policies and procedures coordinates the transport and the services provided to the resident; 2. According to policies and procedures: a. An evaluation of the …

A. An administrator of an ICF/IID that uses a vehicle owned or leased by the ICF/IID 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, c. Contains drinking water sufficient to meet the needs of e…

A. An administrator shall ensure that: 1. The requirements in subsection (B) and the resident rights in subsection (C) 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 an individual authorized by policies and procedures…

A. Except as provided in subsection (D), an administrator shall ensure that: 1. Personnel members are available to provide the following rehabilitation services: a. Physical therapy, as defined in A.R.S. § 32-2001; b. Occupational therapy, A.R.S. § 32-3401; c. Psychological servi…

A. An administrator shall ensure that: 1. A comprehensive assessment of a resident: a. Is conducted or coordinated by a qualified intellectual disabilities professional, in collaboration with an interdisciplinary team that includes: i. The resident’s attending physician or design…

A. An administrator shall ensure that: 1. An ICF/IID’s policies and procedures for managing a resident’s inappropriate behavior, as described in R9-10-503(C)(2)(g) are reviewed, approved, and monitored through the quality management process in R9-10-504; and 2. Restraint is provi…

A. An administrator shall ensure that: 1. A resident has an attending physician; 2. An attending physician is available 24 hours a day; 3. An attending physician designates a physician who is available when the attending physician is not available; 4. A physical examination is pe…

A. An administrator shall ensure that: 1. A resident who receives behavioral care from the ICF/IID is evaluated by a behavioral health professional or medical practitioner: a. Within 30 calendar days before the resident is admitted to the ICF/IID or before the resident begins rec…

If clinical laboratory services are authorized to be provided on an ICF/IID’s premises, an administrator shall ensure that: 1. Clinical laboratory services and pathology services are provided through a laboratory that holds a certificate of accreditation, certificate of complianc…

If respiratory care services are authorized to be provided on an ICF/IID’s premises, an administrator shall ensure that: 1. Respiratory care services are provided under the direction of an attending physician; 2. Respiratory care services are provided according to an order that i…

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…

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 i…

A. An administrator shall ensure that: 1. The ICF/IID has a license or permit as a food establishment under 9 A.A.C. 8, Article 1; 2. A copy of the ICF/IID’s food establishment license or permit is maintained; 3. If the ICF/IID contracts with a food establishment, as established …

A. An administrator 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. A floor plan of the facility showing emergency protection equipment, …

A. An administrator shall ensure that: 1. An ICF/IID’s premises and equipment are: a. Cleaned and disinfected according to policies and procedures or manufacturer’s instructions to prevent, minimize, and control illness and infection; and b. Free from a condition or situation tha…

A. An administrator shall ensure that, if an ICF/IID has: 1. More than 16 residents, the ICF/IID complies with: a. The applicable physical plant health and safety codes and standards, incorporated by reference in R9-10-104.01, that were in effect on the earlier of: i. The date th…

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. “Medical social services” means assistance, other than medical services or nursing services, provided by a personnel member to a patient to assist t…

In addition to the license application requirements in A.R.S. § 36-422 and R9-10-105, an applicant for a license as a hospice service agency or hospice inpatient facility shall include on the application: 1. For an application as a hospice service agency: a. The hours of operatio…

A. A governing authority shall: 1. Consist of one or more individuals responsible for the organization, operation, and administration of the hospice; 2. Establish, in writing: a. A hospice’s scope of services, and b. Qualifications for an administrator; 3. Designate, in writing, …

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. Historical Note New Section ma…

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 su…

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 patien…

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…

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 i…

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 rece…

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 procedur…

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…

Historical Note Adopted effective November 6, 1978 (Supp. 78-6). Section R9-10-619 repealed 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…

Historical Note Adopted effective November 6, 1978 (Supp. 78-6). Section R9-10-620 repealed 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…

Historical Note Adopted effective November 6, 1978 (Supp. 78-6). Correction, subsection (H), after “... 105° F” added “nor more than 110° F” as certified effective November 6, 1978 (Supp. 87-2). Section R9-10-621 repealed effective November 1, 1998, under an exemption from the pr…

Historical Note Adopted effective November 6, 1978 (Supp. 78-6). Section R9-10-622 repealed 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…

Historical Note Adopted effective November 6, 1978 (Supp. 78-6). Section R9-10-623 repealed 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…

ARTICLE 7. BEHAVIORAL HEALTH RESIDENTIAL FACILITIES Article 7, consisting of Sections R9-10-701 through R9-7-710, repealed; New Article 7, consisting of Sections R9-10-701 through R9-7-724 adopted; both actions effective November 1, 1998 under an exemption from the Administrative…

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

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 indi…

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 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. Historical Note Adopted as an …

A. An administrator shall ensure that: 1. A personnel member, an employee, or a student is at least 18 years old; and 2. A volunteer is at least 21 years old. B. An administrator shall ensure that: 1. The qualifications, skills, and knowledge required for each type of personnel m…

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 tre…