Arkansas Administrative Code

20 CAR § 417-712. Lighting. (a)(1) Each resident’s room shall have natural lighting during the day and have general lighting at night. (2) Natural lighting shall be augmented when necessary by artificial illumination. (b) Approved exit lights shall be provided at all exit areas a…

20 CAR § 417-713. Emergency power. There shall be a written plan to be implemented to ensure the continuation of essential resident support services for such reasons as power outage, water shortage, or in the event of the absence from work of any portion of the workforce resultin…

20 CAR § 417-714. Water service. (a) The water supply used by the psychiatric residential treatment 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. …

20 CAR § 417-715. Hot water heaters. (a) Plumbing fixtures that require hot water and which are accessible to residents shall be supplied with water that is thermostatically controlled to a temperature of at least one hundred degrees Fahrenheit (100°F) and not to exceed one hundr…

20 CAR § 417-716. Plumbing and other piping systems. (a) All plumbing systems shall be designed and installed in accordance with the requirements of the Arkansas Plumbing Code, 17 CAR pt. 65. (b) From the cold water service and hot water tanks, cold water and hot water mains and …

20 CAR § 417-717. General safety. (a) The psychiatric residential treatment facility shall have an operable telephone or comparable communication system. (b)(1) The psychiatric residential treatment facility shall have a continuous supply of clean drinking water. (2) If the water…

20 CAR § 417-718. Fire safety. (a) All buildings used by residents or staff shall be inspected and approved annually for fire safety by fire department officials. (b) There shall be operational smoke detectors: (1) Near the cooking area and heating units; and (2) Within ten feet …

20 CAR § 417-719. Emergencies. (a) Emergency call data. (1) Emergency call data shall be posted in a conspicuous place and shall include at least the telephone numbers of local fire and police departments, ambulance service, and the poison control center. (2) The administrator sh…

20 CAR § 417-720. Laundry. (a) The provider shall have a laundry space complete with a minimum of one (1) clothes washer and one (1) dryer per fifty (50) residents. (b)(1) An adequate supply of clean, sanitary linen and clothing shall be available at all times. (2) In order to pr…

20 CAR § 417-721. Administrative offices. Separate office space shall be provided for administrative and business functions.

20 CAR § 417-722. Housekeeping — Maintenance. (a) The provider shall ensure that there is evidence of routine maintenance and cleaning programs in all of the areas of the psychiatric residential treatment facility. (b) Sufficient housekeeping and maintenance equipment shall be av…

20 CAR § 417-801. Performance management. (a)(1) The facility shall send appropriate representatives to all meetings established by the Office of Long-Term Care that are deemed by the office to be reasonable and necessary for the administration of services. (2) Such meetings may …

20 CAR § 417-802. Quality assurance. (a)(1) The facility must maintain a continuous quality assurance plan. (2) This plan must review and monitor each service provided by the facility and to the residents on a quarterly basis. (3) The goal is to ensure the highest quality of serv…

20 CAR § 418-101. Purpose. (a) This part sets forth the standards and criteria used in the certification of partial hospitalization providers by the Department of Human Services, Division of Behavioral Health Services. (b) The rules regarding the certification processes including…

20 CAR § 418-102. Applicability. The standards and criteria for services as subsequently set forth in this part are applicable to partial hospitalization providers as stated in each section.

20 CAR § 418-103. Definitions. The following words or terms, when used in this part, shall have the defined meaning unless the context clearly indicates otherwise: (1) "Abuse" means the causing or permitting of harm or threatened harm to the health, safety, or welfare of a reside…

20 CAR § 418-104. Meaning of verbs in rules. The attention of the facility is drawn to the distinction between the use of the words ”shall”, “should”, and "may" in this part: (1) "Shall" is the term used to indicate a mandatory statement, the only acceptable method under the pres…

20 CAR § 418-201. Service definition. (a)(1) Partial hospitalization is an intensive nonresidential, therapeutic treatment program. (2) It can be used as an alternative to and/or a step-down service from inpatient residential treatment or to stabilize a deteriorating condition an…

20 CAR § 418-202. Partial hospitalization provider certification. (a)(1) A partial hospitalization provider shall be certified by the Department of Human Services as a behavioral health agency. (2) A partial hospitalization site shall be certified as a site of a behavioral health…

20 CAR § 418-203. Organizational structure. (a) The partial hospitalization unit shall be as a separate, identifiable organizational unit with its own director or supervisor and staffing pattern. (b)(1) When the unit is a portion of a larger organizational structure, the director…

20 CAR § 418-204. Treatment planning and records. (a)(1) An individualized treatment plan shall be formulated for patients in partial hospitalization programs by the patient’s treatment team. (2)(A) A treatment team shall consist of: (i) A treatment team leader; (ii) A psychiatri…

20 CAR § 418-205. Linkage services to higher or lower levels of care or longer term placement. (a) Persons needing behavioral health services shall be treated with the least restrictive clinically appropriate methods. (b)(1) The partial hospitalization program requires a close re…

20 CAR § 418-206. Treatment policies and procedures. (a) Each facility shall have a written plan describing the policies and procedures of the partial hospitalization program. (b)(1) The plan shall provide for: (A) The services to be provided and the scope of such services; (B) I…

20 CAR § 418-301. Medical recordkeeping system. (a) Each partial hospitalization program shall maintain an organized medical recordkeeping system to collect and document information appropriate to the treatment processes. (b) This system shall be organized, easily retrievable, us…

20 CAR § 418-302. Basic requirements. The partial hospitalization program’s policies and procedures shall: (1) Define the content of the client’s medical record; (2) Define storage, retention, and destruction requirements for client medical records; (3) Require client medical rec…

20 CAR § 418-303. Record access for clinical staff. (a) The partial hospitalization program shall ensure client records are readily accessible to the partial hospitalization staff directly caring for the client. (b) Such access shall be limited to the minimum necessary to carry o…

20 CAR § 418-304. Progress notes. (a) The partial hospitalization program shall have a policy and procedure mandating the chronological documentation of progress notes for clients admitted to the partial hospitalization program. (b) Progress notes shall minimally address the foll…

20 CAR § 418-305. Medication record. (a) The partial hospitalization program shall maintain a medication record on all clients who receive medications or prescriptions in order to provide a concise and accurate record of the medications the client is receiving or has been prescri…

20 CAR § 418-306. Aftercare and discharge planning. (a)(1) Aftercare and discharge planning is to be initiated for the client at the earliest possible point in the partial hospitalization service delivery process. (2) Discharge planning must be matched to the client’s needs and a…

20 CAR § 418-401. Department investigations. The Department of Human Services in any investigation or program monitoring regarding client rights shall have access to: (1) Clients; (2) Partial hospitalization program records; and (3) Partial hospitalization program staff.…

20 CAR § 418-501. Organizational description. (a) The partial hospitalization program shall have a written organizational description which is reviewed annually by both the partial hospitalization program, behavioral health agency, and the Department of Human Services, which mini…

20 CAR § 418-502. Information analysis and planning. (a) The partial hospitalization program shall have a defined plan for conducting an organizational needs assessment that specifies the methods and data to be collected, which shall include but not be limited to information from…

20 CAR § 418-601. Performance improvement program. (a) The partial hospitalization program shall have an ongoing performance improvement program designed to objectively and systematically monitor, evaluate, and improve the quality of client care. (b) The performance improvement p…

20 CAR § 418-602. Incident reporting. (a) The partial hospitalization program shall have written policies and procedures requiring documentation and reporting of critical incidents. (b) The documentation for critical incidents shall contain, minimally: (1) The facility name and n…

20 CAR § 418-701. Personnel policies and procedures. (a) The partial hospitalization program shall have written personnel policies and procedures approved by the governing authority. (b) All employees shall have access to personnel policies and procedures, as well as other rules …

20 CAR § 418-702. Job descriptions. (a) The partial hospitalization program shall have written job descriptions for all positions setting forth minimum qualifications and duties of each position. (b) All job descriptions shall include an expectation of core competencies in relati…

20 CAR § 418-801. Staff qualifications. (a) The partial hospitalization program shall document the qualifications and training of staff providing crisis stabilization services, which shall be in compliance with the partial hospitalization program’s clinical privileging process. (…

20 CAR § 418-802. Staff development. (a) The partial hospitalization program shall have a written plan for the professional growth and development of all administrative, professional clinical and support staff. (b) This plan shall include but not be limited to: (1) Orientation pr…

20 CAR § 418-803. In-service training. (a) Trainings are required annually for all employees who provide clinical services within the partial hospitalization program on the following topics: (1) Fire and safety; (2) Infection control and universal precautions; (3) Client's rights…

20 CAR § 418-901. Standards. (a)(1) Partial hospitalization programs shall apply these standards to all sites operated. (2) The primary concern of the partial hospitalization program should always be the safety and well-being of the clients and staff. (3) Partial hospitalization …

20 CAR § 418-902. Facility environment generally. (a)(1) Adequate space, equipment, and supplies shall be provided in order that the partial hospitalization services can be provided effectively and efficiently. (2) Functional surroundings shall be readily accessible to the patien…

20 CAR § 418-903. Medication clinic — Medication monitoring. (a) Medication administration, storage, and control and client reactions shall be continuously monitored. (b)(1) Partial hospitalization programs shall ensure proper storage and control of medications, immediate respons…

20 CAR § 418-904. Medication — Error rates. The partial hospitalization program shall have an ongoing performance improvement program that specifically, objectively, and systematically monitors medication administration or dispensing or medication orders and prescriptions to eval…

20 CAR § 418-905. Food and nutrition. (a) If the partial hospitalization program prepares meals onsite, the partial hospitalization program shall have a current food establishment health inspection as required by the Department of Health. (b) When meals are provided by a food ser…

20 CAR § 430-1001. Purpose. The purpose of this subpart is to ensure that all area agencies on aging and their subcontractors understand that compliance with the required assurances is a condition for receipt of funds from an area agency on aging.

20 CAR § 430-1002. Scope. This subpart will be used by all subcontractors/grantees of each of the area agencies on aging.

20 CAR § 430-1003. Definitions. As used in this subpart: (1) “Contract” means the document outlining the agreement for services between an area agency on aging and a subcontractor, as defined in subdivision (2) of this section; and (2) “Subcontractor” means any recipient of state…

20 CAR § 430-1004. Policy statement. All service contracts between the area agencies on aging and subcontractors will contain at least the assurances developed by the Division of Aging, Adult, and Behavioral Health Services of the Department of Human Services as outlined in this …

20 CAR § 430-1005. Procedural requirements. (a) All contracts with each area agency on aging must contain all of the assurances listed in Appendix I of this subpart. (b) If any of the items contained in the minimum assurances do not apply to a particular contract, the area agency…

20 CAR § 430-101. Generally. (a) The Division of Aging, Adult, and Behavioral Health Services of the Department of Human Services will assess the administrative, financial, and programmatic performance of each area agency on aging as required by the Older Americans Act, 42 U.S.C.…