Arkansas Administrative Code

20 CAR § 43-164. Physical facilities — Cleaning and sanitizing carts, employee facilities, and environmental closets. (a)(1) Facilities shall be provided to clean and sanitize carts serving the central medical and surgical supply department, dietary facilities, and linen services…

20 CAR § 43-165. Physical facilities — Engineering service and equipment areas. (a)(1) Space shall be included in all mechanical and electrical equipment rooms for proper maintenance of equipment. (2) Provisions shall also be made to provide for equipment removal and replacement.…

20 CAR § 43-166. Physical facilities — Waste processing services. (a) Hazardous waste and antineoplastic agent disposal. (1) The facility shall have policies and procedures for the identification, segregation, labeling, storage, transport, and disposal of hazardous waste. (2) The…

20 CAR § 43-167. Physical facilities — Details and finishes. (a) All details for alteration or expansion projects as well as for new construction shall comply with the following. (b) Details. (1)(A) Compartmentation, exits, automatic extinguishing systems, and other details relat…

20 CAR § 43-168. Physical facilities — Construction, including fire-resistive requirements. (a) Design. Every building and every portion thereof shall be designed and constructed to sustain all dead and live loads in accordance with the American Society of Civil Engineers (ASCE),…

20 CAR § 43-169. Physical facilities — Mechanical requirements. (a) General. (1)(A) Prior to acceptance of the facility, all mechanical systems shall be tested and operated to demonstrate to the owner or his or her designated representative that the installation and performance o…

20 CAR § 43-170. Physical facilities — Plumbing and other piping systems. (a) All plumbing systems shall be designed and installed in accordance with the requirements of the latest edition of the: (1) Arkansas Plumbing Code, 17 CAR pt. 65; and (2) Administrative Rules of the Boil…

20 CAR § 43-171. Physical environment — Electrical standards. (a) General. (1)(A) All electrical material and equipment including conductors, controls, and signaling devices shall be: (i) Installed in compliance with and maintained per applicable sections of NFPA 70 and NFPA 99; …

20 CAR § 43-172. Hyperbaric suite. (a) General. (1) The number of treatment stations should be based upon the expected workload and may include several work shifts per day. (2)(A) The location should offer convenient access for outpatients. (B) Accessibility to the unit from park…

20 CAR § 43-173. Physical facilities — Helicopter landing area. (a) Helicopter landing area, if provided, shall be documented. (b) Safe planning for the helicopter service shall include the following: (1) Plot plan showing the heliport for Department of Health files and inspectio…

20 CAR § 43-174. Physical facilities — Outpatient care facilities. (a) General considerations. (1) See 20 CAR § 43-142(a), physical facilities. (2)(A) This section applies to the outpatient care unit licensed under the facility as a department and under the rule of the governing …

20 CAR § 43-175. Physical facilities — Rehabilitation facilities. (a) General considerations. (1) Rehabilitation facilities may be organized under: (A) Hospitals (organized departments of rehabilitation); (B) Outpatient clinics; (C) Rehabilitation centers; and (D) Other facilitie…

20 CAR § 44-101. Preface. (a)(1) This part has been prepared for the purpose of establishing criteria for minimum standards for licensure, operation, and maintenance of freestanding birthing centers. (2) By necessity they are of a regulatory nature but are considered to be practi…

20 CAR § 44-102. Definitions. As used in this part: (1) “Administrator” means an individual designated to provide daily supervision and administration of the freestanding birthing center; (2) “Certified nurse midwife” means a trained and licensed advanced practice nurse in accord…

20 CAR § 44-103. Licensing. (a) Application for license. (1) Application for a license or renewal of a license for a freestanding birthing center shall be made to the Department of Health on forms provided by the Division of Health Facilities Services. (2) The application shall s…

20 CAR § 44-104. Governing body. (a) A freestanding birthing center shall have an organized governing body that shall be legally responsible for: (1) Maintaining patient care; (2) Establishing policies for the facility; and (3) The conduct of the center. (b) Governing body bylaws…

20 CAR § 44-105. General administration. (a)(1) Each institution shall have an administrator responsible for the management of the institution. (2) The responsibilities of the administrator shall include: (A) Keeping the governing body fully informed of the status of the freestan…

20 CAR § 44-106. Services. (a)(1) Care in freestanding birthing centers shall be provided by a licensed physician and/or CNM and other qualified professionals and clinical staff, with access to and availability of consulting clinical specialists. (2) Ancillary personnel shall be …

20 CAR § 44-107. Patient care services. (a) Organization. (1) The center shall be organized to ensure twenty-four-hour registered nurse coverage as needed. (2) A physician, certified nurse midwife, and/or registered nurse shall be available and onsite for patient care during the …

20 CAR § 44-108. Program requirements. (a)(1) The freestanding birthing center shall have written criteria for: (A) Evaluation of risk status; (B) Admission; (C) Transfer; (D) Discharge; and (E) Complications requiring medical or surgical intervention. (2) The criteria shall be: …

20 CAR § 44-109. Health Information Services. (a)(1) The freestanding birthing center shall maintain a system for the completion and storage of the medical record. (2) The record shall provide a format for continuity and documentation of legible, uniform, complete, and accurate m…

20 CAR § 44-110. Pharmaceutical services. (a) Organization. (1)(A) Freestanding birthing centers shall have provisions for pharmaceutical services regarding the procurement, storage, distribution, and control of all medications. (B) The freestanding birthing center shall be in co…

20 CAR § 44-111. Infection control for freestanding birthing centers. (a) General. (1) The facility shall develop and use a coordinated process that effectively reduces the risk of endemic and epidemic nosocomial infections in: (A) Patients; (B) Healthcare workers; and (C) Visito…

20 CAR § 44-112. Nutrition services. (a)(1) Freestanding birthing centers shall develop policies and procedures for the provision of food and nourishments for patient consumption. (2) Food and nourishments may be brought to the center by patients or their families, if allowed by …

20 CAR § 44-113. Physical environment — Freestanding birthing center. (a) Building and grounds. (1) The building and equipment shall be maintained in a state of good repair at all times. (2) Facility premises shall be kept clean, neat, and free of litter and rubbish. (3) All open…

20 CAR § 44-114. Physical facilities, freestanding birthing centers. (a) Definitions. As used in this part: (1) “Accessible” means having access to, but first may require the removal of a panel, door, or similar covering of the item described; (2) “Addition” means an extension or…

20 CAR § 44-115. Clinical facilities — Freestanding birthing centers. (a)(1) The extent (number and types) of the administrative, clinical, and diagnostic facilities to be provided shall be determined by the services contemplated and the estimated patient load as described in the…

20 CAR § 44-116. Physical facilities — Details and finishes. (a) Details. (1) Small freestanding birthing centers shall meet minimum construction requirements as described by NFPA 101: Life Safety Code, Chapter 26 with the exceptions noted herein. (2) Renovation in small freestan…

20 CAR § 44-117. Physical facilities — Mechanical requirements. (a) General. (1)(A) Prior to completion and acceptance of the facility, all mechanical systems shall be tested, balanced, and operated to demonstrate to the owner or his or her representative that the installation an…

20 CAR § 44-118. Physical facilities — Plumbing and other piping systems. (a)(1) All plumbing systems shall be designed and installed in accordance with the requirements of the latest edition of the Arkansas Plumbing Code, 17 CAR pt. 65. (2) Only metal piping or piping material o…

20 CAR § 44-119. Physical facilities — Electrical requirements. (a)(1) All material and equipment including conductors, controls, and signaling devices shall be installed to provide a complete electrical system with the necessary characteristics and capacity to supply the electri…

20 CAR § 45-101. Definitions. As used in this part: (1) "Caregiver services" means the services provided to an individual in the State of Arkansas to assist the recipient of the services in the activities of daily living, and the recipient of services is fifty (50) years of age o…

20 CAR § 45-102. Training requirement. (a) A person who applies for employment to provide caregiver services in this state for compensation shall provide documentation to an in-home services agency of successful completion of training as a trained in-home assistant under this par…

20 CAR § 45-103. Certification of training by employer. The training required under this part may be certified by an employer if that employer maintains records regarding: (1) The identification of the employee who received training; (2) The topic for which the training was condu…

20 CAR § 45-104. Exemptions. (a)(1) A person is exempt from the training specifications in 20 CAR § 45-102 if the person has at least one (1) year of experience working in an institutional setting, including without limitation a: (A) Home health agency; (B) Hospital; (C) Hospice;…

20 CAR § 46-101. Preface. (a)(1) This part has been prepared for the purpose of establishing a criterion for minimum standards for the licensure of home health agencies in Arkansas that is consistent with current trends in patient care practices. (2) By necessity they are of a re…

20 CAR § 46-102. Purpose. (a) In accordance with Arkansas Code § 20-10-801 et seq., rules and minimum standards for home health programs operating in the State of Arkansas are hereby established. (b) This part: (1) Will ensure high quality professional care for patients in their …

20 CAR § 46-103. Definitions. The following words and terms, when used in this part, shall have the stated meanings unless the context clearly indicates otherwise: (1) “Administrator” means a person who is: (A) An agency employee; and (B) A physician, registered nurse, or an indi…

20 CAR § 46-104. Agency location. (a)(1) No person, partnership, association, corporation, or other organization, whether public or private, proprietary or nonprofit, shall provide home health services in the State of Arkansas without a licensed fully operational physical locatio…

20 CAR § 46-105. Exemptions. (a)(1) The act exempts from its licensing requirements persons who: (A) Hold other licenses; or (B) Engage in certain limited activities. (2) A person providing home health services as defined in the act, in addition to the limited activities for whic…

20 CAR § 46-106. Application for license. (a) Any person, partnership, association, corporation, or other organization, whether public or private, proprietary or nonprofit, who supplies individuals to provide any of the services listed below shall be considered an agency. (b)(1) …

20 CAR § 46-107. Inspections. (a) A review and/or inspection shall be conducted before the license is issued. (b) The addition of a service category to an existing license requires approval by the Division of Health Facilities Services. (c)(1) Agencies applying for licensure will…

20 CAR § 46-108. Denial, suspension, revocation of license. (a) A home health agency license may be denied, suspended, or revoked for one (1) or more of the following reasons: (1) Violation of: (A) The provisions of the statute; or (B) Any of the standards in this part; (2) Misst…

20 CAR § 46-109. Training. (a) Home health aide training. (1)(A) Duration of home health aide classroom and supervised practical training shall include classroom and supervised practical training under the direct supervision of a registered nurse. (B) Classroom and supervised pra…

20 CAR § 46-110. General requirements. (a) Policies and procedures. The agency shall have annually reviewed, written policies including: (1) Organizational. (A) A description of the structure showing: (i) Ownership; and (ii) Lines of authority down to the patient service level; (…

20 CAR § 46-111. Standards for skilled care services. In addition to meeting the general requirements, agencies providing skilled care shall meet the following: (1)(A) Acceptance of patients. (B) Agencies shall only accept patients for treatment on the basis of a reasonable expec…

20 CAR § 46-112. Standards for extended care services. (a)(1) Extended care is defined as six (6) or more hours of continuous home health services provided in a twenty-four-hour period by a licensed agency that provides both: (A) Skilled nursing; and (B) Other home health service…

20 CAR § 46-113. Standards for personal care services. (a) All services. (1) The agency shall: (A) Perform an initial evaluation visit and determine the: (i) Needs and condition of the client; (ii) Services to be provided; and (iii) Personnel to provide the services; and (B) Deve…

20 CAR § 46-114. Conditional emergency service. (a)(1) Notwithstanding the provisions of this part, the Division of Health Facilities Services shall be empowered to permit the provision of skilled care. (2) Certifies that the patient requires conditional emergency services that s…

20 CAR § 47-101. Preface. (a)(1) This part has been prepared for the purpose of establishing criteria for minimum standards for the licensure, operation, and maintenance of hospices in Arkansas that are consistent with current trends in patient care practices. (2) By necessity th…