Arkansas Administrative Code

20 CAR § 413-304. Staff training program. (a)(1) Job orientation shall be provided and documented in writing for all personnel to acquaint them with the needs of the clients, the physical facility, disaster plan, and the employee's specific duties and responsibilities. (2) There …

20 CAR § 413-305. Emergency plan. (a) The facility must develop and implement detailed written plans and procedures to meet all potential emergencies and disasters such as: (1) Fire; (2) Severe weather; and (3) Missing clients. (b) The facility must: (1) Communicate with the staf…

20 CAR § 413-306. Emergency call data. (a) The administrator shall be responsible for ensuring that emergency call information is posted in a conspicuous place by each telephone in the facility so as to be immediately available to all personnel of the facility. (b) Emergency call…

20 CAR § 413-307. Reports. The administrator is responsible for development of onsite procedures and their implementation, pursuant to the Department of Human Services’ established rules (DHS 3002-I, March 1, 1988) for: (1) Unusual client death and/or serious injury; (2) Absence …

20 CAR § 413-308. Protection of clients’ rights. (a) The facility must ensure the rights of all clients. (b) Therefore, the facility must: (1) Inform each client, parent (if the client is a minor), or legal guardian, of the client's rights and the rules of the facility; (2) Infor…

20 CAR § 413-309. Client finances. (a) The facility shall allow individual clients to manage their financial affairs and teach them to do so to the extent of their capabilities. (b) The facility shall maintain written accounts for all clients' funds received by or deposited with …

20 CAR § 413-310. Systems. (a) The facility must establish and maintain a system that: (1) Ensures a full and complete accounting of clients' personal funds entrusted to the facility on behalf of the clients; and (2) Precludes any commingling of client funds with facility funds o…

20 CAR § 413-311. Communication with clients, parents, guardians. The facility must: (1) Promote participation of parents, if the client is a minor, and legal guardians in the process of providing active treatment to a client unless their participation is unobtainable or inapprop…

20 CAR § 413-312. Standard — Staff treatment of clients. (a) The facility must develop and implement written policies and procedures that prohibit mistreatment, neglect, or abuse of the client. (b) Staff of the facility must not use physical, verbal, sexual, or psychological abus…

20 CAR § 413-313. Client record maintenance. The facility must develop and maintain a record keeping system that includes a separate record for each client and that documents the client's: (1) Health care; (2) Active treatment; (3) Social information; and (4) Protection of the cl…

20 CAR § 413-314. Contents of records to facilitate retrieving and compiling information. The client records will contain sufficient information to: (1) Identify the client; (2) Identify his or her diagnosis or diagnoses and treatment; and (3) Document the results accurately.…

20 CAR § 413-315. Admission and discharge record. (a) Record number. (b) Date and time of admission. (c) Name. (d) Last known address. (e) Age. (f) Date of birth. (g) Sex. (h) Marital and/or legal status. (i) Name, address, and telephone number of attending physician and dentist.…

20 CAR § 413-316. Index. There will be an index of all clients admitted to the facility including the following: (1) Name of client; (2) Record number; (3) Former address; (4) Name of physician; (5) Date of birth; and (6) Date of discharge.…

20 CAR § 413-317. Retention and preservation of records. (a) Resident records will be retained in the facility for a minimum of five (5) years following the discharge or death of the client. (b) Resident records for minors will be kept for at least one (1) year after they reach e…

20 CAR § 413-318. Confidentiality. (a) The facility must keep confidential all information contained in the clients' records, regardless of the form or storage method of the records. (b) The records will be available to Office of Long-Term Care personnel. (c) The facility must de…

20 CAR § 413-319. Client record personnel. (a) An individual will be designated as responsible for the client record service. (b) There will be written job descriptions for the client record service personnel.

20 CAR § 413-320. General information. (a) All entries in the client records will be recorded in ink. (b) There will be no alteration of information in the client records. (c) If an error is made, a single line will be drawn through the error, the word "error" written above, and …

20 CAR § 413-321. Standards — Services provided under agreements with outside sources. (a) If a service required under this subpart is not provided directly, the facility must have a written agreement with an outside program, resource, or service to furnish the necessary service,…

20 CAR § 413-401. General. Every facility must be maintained, managed, and equipped to provide adequate care, safety, and treatment of each client.

20 CAR § 413-402. Facility grounds and parking. (a) All facilities shall be provided with dust-free drives and parking lots. (b) Parking areas shall be provided in a ratio of one (1) individual parking space for each five (5) licensed beds.

20 CAR § 413-403. Doors. (a) All exterior doors shall be effectively weather-stripped. (b) Doors shall swing into client rooms. (c)(1) Exit doors shall not be locked in such a way that a key is necessary to open the door from the inside of the building. (2) A latch or other faste…

20 CAR § 413-404. Facility condition. (a) All facilities must be maintained, managed, and equipped to provide adequate care, safety, and treatment of each client. (b) A well-lighted, clean, orderly, ventilated room or rooms shall be provided for client activities and for dining a…

20 CAR § 413-405. Standard — Client rooms, bath, and toilet facilities. (a)(1) Each client's room shall have an openable window not less than one-sixteenth (1/16) of the floor space or outside door arranged and located so that it can be opened. (2) The window shall be located on …

20 CAR § 413-406. Day room and dining room. (a)(1) A well-lighted, clean, orderly, and ventilated room or rooms shall be provided for client activities and for dining areas. (2) A minimum of twenty square feet (20 sq. ft.) per bed shall be provided for this purpose. (3) At least …

20 CAR § 413-407. Ceilings. All ceilings shall be a minimum of eight feet (8’) above the subfloor.

20 CAR § 413-408. Walls. (a) The walls of the facility shall have a smooth surface with painted or equally washable finish. (b) They shall be without cracks, and in conjunction with floors, shall be waterproof and free from spaces which may harbor ants and roaches. (c) All walls,…

20 CAR § 413-409. Corridors. [Reserved].

20 CAR § 413-410. Floors. (a)(1) All floor surface throughout the building shall provide a surface or finish which is: (A) Resilient; (B) Nonabrasive; (C) Slip resistant; (D) Smooth; (E) Waterproof; (F) Grease proof; and (G) Resistant to heavy wear. (2) Exposed floor surfaces and…

20 CAR § 413-411. Paint. The facility must use lead-free paint inside the facility and remove or cover interior paint or plaster containing lead so that it is not accessible to clients.

20 CAR § 413-412. Heating and cooling. (a)(1) The facility shall be equipped with heating and cooling equipment that will maintain a minimum temperature of sixty-eight degrees Fahrenheit (68˚ F) during winter and eighty-one degrees Fahrenheit (81˚ F) during summer in all client a…

20 CAR § 413-413. Lighting. (a) Each client's room shall have natural lighting during the day and have general lighting at night. (b) Natural lighting shall be augmented when necessary by artificial illumination.

20 CAR § 413-414. Emergency power. (a) The facility shall provide an emergency source of electrical power necessary to protect the health and safety of clients in the event the normal electrical supply is interrupted. (b) The emergency electrical power system must supply power ad…

20 CAR § 413-415. Water services and hot water heaters. (a) The water supply used by the facility shall meet the requirements of the Department of Health. (b) There shall be procedures to ensure water to all essential areas in the event of loss of normal water supply. (c) The wat…

20 CAR § 413-416. Plumbing and other piping systems. (a)(1) All plumbing systems shall be designed and installed in accordance with the requirements of the Arkansas Plumbing Code, 17 CAR pt. 65. (2) From the cold water service and hot water tanks, cold water and hot water mains a…

20 CAR § 413-417. Direct care stations. (a) Stations shall be provided for direct care staff and so designed that they provide: (1) Adequate storage and preparation area or areas; (2) Lockable medication storage; and (3) Sufficient lighting. (b) Staff lavatory and toilet faciliti…

20 CAR § 413-418. Fire alarm systems and fire safety. (a) The construction of the facility shall comply with the applicable provisions of either the Health Care Occupancies Chapters or the Residential Board and Care Occupancies Chapter 21 of the Life Safety Code (LSC) of the Nati…

20 CAR § 413-501. General. (a)(1) A "new facility" is one (1) which had plans approved by the Office of Long-Term Care and began operations and/or construction or renovation of a building for the purpose of operating a facility on or after the adoption date of this part. (2) The …

20 CAR § 413-502. Site location, inspection, approval, and subsoil investigations. (a)(1) The building site shall afford good drainage and shall not be subject to flooding, or be located near insect breeding areas, noise, or other nuisance producing locations, or hazardous locati…

20 CAR § 413-503. Submission of plans, specifications, and estimates. (a)(1) When construction is contemplated either for new buildings, additions, or major alterations in excess of one hundred thousand dollars ($100,000), plans and specifications shall be submitted in duplicate,…

20 CAR § 413-504. Plans and specifications. (a)(1) All institutions licensed under these standards shall be designed and constructed to substantially comply with pertinent local and state: (A) Laws; (B) Codes; (C) Ordinances; and (D) Standards. (2) All ICF/IID fifteen-bed or less…

20 CAR § 413-505. Codes and standards. The following codes and standards are incorporated into and made a part of this part: (1)(A) The 1985 edition of the National Fire Code (NFPA) applies to new construction and alterations of existing facilities. (B) This edition includes NFPA…

20 CAR § 413-506. Laundries and janitor’s closet. (a) A lavatory for the staff with soap and towels shall be provided in either the laundry area or in an adjacent janitorial area. (b)(1) A janitor's closet shall be provided for each facility. (2) This closet shall be provided wit…

20 CAR § 413-507. Storage. (a)(1) There shall be a minimum of five square feet (5 sq. ft.) per bed of general storage space provided in those cases where built-in closets are provided in client rooms. (2) It is recommended that this be concentrated in one (1) general area except …

20 CAR § 413-508. Dietetic service area — Less dining area. (a)(1) The kitchen shall be located conveniently to the dining area. (2) Separation of kitchen and dining areas by corridors should be avoided. (b)(1) The food service area shall provide adequate space and facilities for…

20 CAR § 413-509. Administrative office. Separate office space shall be provided for administrative and business functions which may be located in a separate building.

20 CAR § 413-510. Linen closet. A closet for clean linen shall be provided.

20 CAR § 413-511. Soiled linen closets. (a) A closet or closed storage compartment for soiled linens shall be provided for each facility. (b) This dirty linen storage shall be in a separate room or closed storage compartment in the laundry room and it shall be mechanically ventil…

20 CAR § 413-512. Call system . [Reserved].

20 CAR § 413-513. Limitations. The following limitations shall apply: (1) No facility shall be connected to any other building; and (2)(A) Occupancies not under the control of, or necessary to the administration of, a facility are prohibited therein with the exception of the resi…

20 CAR § 413-601. Furnishings. The facility must provide each client with: (1) A separate bed of proper size and height for the convenience of the client; (2) A clean, comfortable mattress; (3) Bedding appropriate to the weather and climate; (4) Functional furniture appropriate t…