Louisiana Administrative Code

A. A center shall have an organized record system which includes a written case record for each participant. The case record shall contain administrative and treatment data from the time of admission until the time that the participant leaves the center. B. The participant’s case…

A. All records shall be maintained in an accessible, standardized order and format and shall be retained and disposed of according to state laws. An ADHC center shall have sufficient space, facilities and supplies for providing effective record-keeping services. B. All records co…

A. A center shall have written procedures for the maintenance and security of records specifying who shall supervise the maintenance of records, who shall have custody of records, and to whom records may be released. Records shall be the property of the ADHC center and as custodi…

A. Each participant shall be informed of his/her rights and responsibilities regarding the ADHC center. The regulations of the ADHC center and all rules governing participant conduct and behavior shall be fully explained to the participant. Before or upon admission, the ADHC cent…

A. There shall be a planned daily program of both individual and group activities which is sufficiently varied and structured so as to directly involve the participants in a stimulated and meaningful use of time while at the center. Emphasis shall be given to maintaining and impr…

A. At a minimum, each center shall provide the following services: 1. individualized training or assistance with the activities of daily living (toileting, grooming, ambulation, etc.); 2. health and nutrition counseling; 3. an individualized, daily exercise program; 4. an individ…

A. The center shall provide transportation to and from the ADHC center at the beginning and end of the program day. The center shall comply with the following requirements governing transportation. 1. The center shall have liability insurance coverage and have proof of such cover…

A. Medical services shall be provided by the participant’s physician of choice. B. The center shall have a listing of available medical services for referral. When referrals are made, the center shall follow-up to see that the participant is receiving services. C. Appropriate sta…

A. All nursing services furnished in the ADHC center shall be provided in accordance with acceptable nursing professional practice standards. B. A licensed registered nurse (RN) shall serve on the interdisciplinary (ID) team and shall monitor the overall health needs of the parti…

A. There shall be a hot, nutritious and palatable noon meal served daily which provides one-third of the recommended dietary allowances (RDA) as established by the National Research Council and American Dietetic Association. Accommodations shall be made for participants with spec…

A. All social work services shall be provided in accordance with acceptable professional social work practice standards. B. A social service designee or social worker shall serve on the ID team and shall monitor the overall social needs of the participant. C. Social services, as …

A. An ADHC center shall have personnel policies that include: 1. a written plan for recruitment, screening, orientation, in-service training, staff development, supervision and performance evaluation of all staff members; 2. written job descriptions for each staff position, inclu…

A. A center's orientation program shall provide training for any new direct care staff, either contracted or employed, to acquaint them with the philosophy, organization, program, practices and goals of the center. The orientation shall also include instruction in safety and emer…

A. In accordance with §4259, an ADHC center shall have a personnel file for each employee, either contracted or staff that contains: 1. the application for employment and/or resume; 2. the statewide criminal background history checks; 3. documentation of proof of DSW registry che…

A. A center shall employ a sufficient number of qualified staff and delegate sufficient authority to such staff to ensure that the center's responsibilities are carried out and that the following functions are adequately performed: 1. administrative functions; 2. fiscal functions…

A. Staff at ADHC centers shall meet the following education and experience requirements. All college degrees shall be from a nationally accredited institution of higher education as defined in §102(b) of the Higher Education Act of 1965 as amended. The following “key” staff posit…

A. There shall be policies and procedures which cover the writing of and disposition of incident reports. 1. The center shall complete incident reports for each participant involved in the following occurrences: a. accidents and injuries; b. the involvement of any participant in …

A. A center shall have a written description of its admission policies and criteria. The admission information for individual participants shall include: 1. the participant's name, date of birth, home address and telephone number; 2. the name, address and telephone number of the …

A. The center shall have written policies and procedures governing voluntary discharges (the participant withdraws from the program on his/her own) and non-voluntary discharges (center initiated discharges). 1. The policy may include the procedures for non-voluntary discharges du…

A. It shall be the responsibility of the ID team to assess and develop an individualized service plan for each participant prior to or within 20 days of admission of a participant. B. Prior to the individual staffing of a participant by the ID team, each team member shall complet…

A. The ID team may be composed of either full-time staff members, contractual consultants or a combination of both. B. The ID team shall be composed of: 1. a registered nurse licensed to practice in the state of Louisiana; 2. a social service designee/social worker; and 3. at lea…

A. The participant's ADHC individualized service plan shall: 1. be developed from the staffing performed by the ID team of each participant; 2. state the individual needs and identified problems of the participant for which intervention is indicated in assessments, progress notes…

A. The individualized service plan shall be reviewed and updated at least quarterly and whenever there is a change in problems, goals or approaches as indicated. B. This review shall be done by the person indicated on the plan as the individual primarily responsible for carrying …

A. A center shall have a written overall plan of emergency and safety procedures. The plan shall: 1. provide for the evacuation of participants to safe or sheltered areas; 2. include provisions for training staff and, as appropriate, participants in preventing, reporting and resp…

A. A center shall not maintain any firearms or chemical weapons where participants may have access to them. B. A center shall ensure that all poisonous, toxic and flammable materials are safely stored in appropriate containers that are labeled as to the contents. Such materials s…

A. The center shall present an attractive outside and inside appearance and be designed and furnished with consideration for the special needs and interests of the population to be served as well as the activities and services to be provided. 1. Illumination levels in all areas s…

A. The center shall have sufficient space and equipment to accommodate the full range of program activities and services. B. The center shall provide at least 40 square feet of indoor space for each participant. The square footage excludes hallways, offices, restrooms, storage ro…

A. The center shall be furnished so as to meet the needs of the participants. All furnishings and equipment shall be kept clean and in good repair. B. Lounge and Recreational Areas. Adequate furniture shall be available and shall be appropriate for use by the participants in term…

A. An adult day health care center that is located within any center or program that is also licensed by the department shall have its own identifiable staff, space, and storage. These centers shall meet specific requirements if they are located within the same physical location …

A. This Chapter uses the following special definitions. Agreement State—a state that has entered into an agreement with the NRC under Section 274.b of the Atomic Energy Act of 1954 (AEA), as amended (68 Stat. 919), to assume responsibility for regulating within its borders by-pro…

A. The storage and treatment conditional exemption exempts your LLMW from the regulatory definition of hazardous waste in LAC 33:V.109 if your waste meets the eligibility criteria in LAC 33:V.4205 and you meet the conditions in LAC 33:V.4207.

A. LLMW, defined in LAC 33:V.4201, is eligible for this conditional exemption if it is generated and managed by you under a single department, NRC, or other NRC agreement state license. (Mixed waste generated at a facility with a different license number and shipped to your facil…

A. For your LLMW to qualify for the exemption, you must notify us in writing by certified delivery that you are claiming a conditional exemption for the LLMW stored on your facility. The dated notification must include your name, address, RCRA identification number, department, N…

A. You may treat your LLMW at your facility within a tank or container in accordance with the terms of your department, NRC, or NRC agreement state license. Treatment that cannot be done in a tank or container without a RCRA permit (such as incineration) is not allowed under this…

A. Your LLMW will automatically lose the storage and treatment conditional exemption if you fail to meet any of the conditions specified in LAC 33:V.4207. When your LLMW loses the exemption, you must immediately manage that waste, which failed the condition as RCRA hazardous wast…

A. You may reclaim the storage and treatment exemption for your LLMW if: 1. you again meet the conditions specified in LAC 33:V.4207; and 2. you send us a notice by certified delivery that you are reclaiming the exemption for your LLMW. Your notice must be signed by your authoriz…

A. In addition to those records required by your department, NRC, or NRC agreement state license, you must keep the following records: 1. your initial notification records, return receipts, reports to us of failure(s) to meet the exemption conditions, and all records supporting a…

A. When your LLMW has met the requirements of your department, NRC, or NRC agreement state license for decay-in-storage and can be disposed of as nonradioactive waste, then the conditional exemption for storage no longer applies. On that date your waste is subject to hazardous wa…

A. Interim status and permitted storage units that have been used to store only LLMW prior to the effective date of this Chapter and, after that date, store only LLMW that becomes exempt under this Chapter are not subject to the closure requirements of LAC 33:V.Chapters 5, 18, 19…

A. This conditional exemption exempts your waste from the regulatory definition of hazardous waste if your waste meets the eligibility criteria under LAC 33:V.4223 and you meet the conditions in LAC 33:V.4225.

A. Eligible waste must be: 1. a LLMW, as defined in this Chapter, that meets the waste acceptance criteria of a LLRWDF; and/or 2. an eligible NARM waste, as defined in this Chapter.

A. You must meet the following conditions for your eligible waste to qualify for and maintain the exemption. 1. The eligible waste must meet or be treated to meet LDR treatment standards, as described in LAC 33:V.4227. 2. If you are not already subject to department, NRC, or NRC …

A. Your LLMW or eligible NARM waste must meet LDR treatment standards specified in LAC 33:V.Chapter 22.

A. If you are not already subject to equivalent department, NRC, or NRC agreement state manifest and transportation regulations for the shipment of your waste, you must meet the manifest requirements under LAC 33:XV.465 and the transportation requirements under LAC 33:XV.Chapter …

A. The exemption becomes effective once all the following have occurred. 1. Your eligible waste meets the applicable LDR treatment standards. 2. You have received return receipts that you have notified us and the LLRWDF, as described in LAC 33:V.4237. 3. You have completed the pa…

A. Your exempted waste must be disposed of in a LLRWDF that is regulated and licensed by LAC 33:XV.Chapters 3 and 13, NRC, or other NRC agreement state, including state NARM licensing regulations for eligible NARM.

A. Your exempted waste must be placed in containers before it is disposed. The container must be: 1. a carbon steel drum; 2. an alternative container with equivalent containment performance in the disposal environment, such as a carbon steel drum; or 3. a high integrity container…