Arizona Administrative Code (Last Updated: November 17, 2016) |
Title 9. HEALTH SERVICES |
Chapter 10. DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING |
Article 14. SUBSTANCE ABUSE TRANSITIONAL FACILITIES |
Section R9-10-1405. Personnel
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A. An administrator shall ensure that:
1. A personnel member is:
a. At least 21 years old, or
b. Licensed or certified under A.R.S. Title 32 and pro- viding services within the personnel member’s scope of practice;
2. An employee is at least 18 years old;
3. A student is at least 18 years old; and
4. 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 member:
a. Are based on:
i. The type of behavioral health services or physi- cal health services expected to be provided by the personnel member according to the estab- lished job description, and
ii. The acuity of participants receiving behavioral health services or physical health services from the personnel member according to the estab- lished job description;
b. Include:
i. The specific skills and knowledge necessary for the personnel member to provide the expected behavioral health services and physical health services listed in the established job descrip- tion,
ii. The type and duration of education that may allow the personnel member to have acquired the specific skills and knowledge for the per- sonnel member to provide the expected behav- ioral health services or physical health services listed in the established job description, and
iii. The type and duration of experience that may allow the personnel member to have acquired the specific skills and knowledge for the per- sonnel member to provide the expected behav- ioral health services or physical health services listed in the established job description;
2. A personnel member’s skills and knowledge are verified and documented:
a. Before the personnel member provides behavioral health services or physical health services, and
b. According to policies and procedures;
3. An emergency medical care technician complies with the requirements in 9 A.A.C. 25 for certification and medical direction;
4. A substance abuse transitional facility has sufficient per- sonnel members with the qualifications, education, expe- rience, skills, and knowledge necessary to:
a. Provide the behavioral health services and physical health services in the substance abuse transitional facility’s scope of services,
b. Meet the needs of a participant, and
c. Ensure the health and safety of a participant;
5. A written plan is developed and implemented to provide orientation specific to the duties of a personnel member;
6. A personnel member’s orientation is documented, to include:
a. The personnel member’s name,
b. The date of the orientation, and
c. The subject or topics covered in the orientation;
7. In addition to the training required in subsections (B)(1) and (B)(5), a written plan is developed and implemented to provide a personnel member with in-service education specific to the duties of the personnel member;
8. A personnel member receives training in how to respond to a participant’s sudden, intense, or out-of-control behavior to prevent harm to the participant or another individual:
a. Before providing services related to participant care, and
b. At least once every 12 months after the date the per- sonnel member begins providing services related to participant care; and
9. An individual’s in-service education and, if applicable, training in how to respond to a participant’s sudden, intense, or out-of- control behavior is documented, to include:
a. The personnel member’s name,
b. The date of the training, and
c. The subject or topics covered in the training.
C. An administrator shall ensure that an individual who is licensed under A.R.S. Title 32, Chapter 33 as a baccalaureate social worker, master social worker, associate marriage and family therapist, associate counselor, or associate substance abuse counselor receives direct supervision as defined in
A.A.C. R4-6-101.
D. An administrator shall ensure that a personnel member, or an employee, a volunteer, or a student who has or is expected to have direct interaction with a participant for more than eight hours in a week, provides evidence of freedom from infectious tuberculosis:
1. On or before the date the individual begins providing ser- vices at or on behalf of the substance abuse transitional facility, and
2. As specified in R9-10-113.
E. An administrator shall comply with the requirements for behavioral health technicians and behavioral health parapro- fessionals in R9-10-115.
F. An administrator shall ensure that a personnel record is main- tained for a personnel member, employee, volunteer, or stu- dent that contains:
1. The individual’s name, date of birth, and contact tele- phone number;
2. The individual’s starting date of employment or volunteer service and, if applicable, the ending date; and
3. Documentation of:
a. The individual’s qualifications including skills and knowledge applicable to the individual’s job duties;
b. The individual’s education and experience applica- ble to the individual’s job duties;
c. The individual’s completed orientation and in-ser- vice education as required by policies and proce- dures;
d. The individual’s license or certification, if the indi- vidual is required to be licensed or certified in this Article or policies and procedures;
e. The individual’s completion of the training required in subsection (B)(8), if applicable;
f. If the individual is a behavioral health technician, clinical oversight required in R9-10-115;
g. Cardiopulmonary resuscitation training, if required for the individual according to subsection (H) or pol- icies and procedures;
h. First aid training, if required for the individual according to subsection (H) or policies and proce- dures; and
i. Evidence of freedom from infectious tuberculosis, if required for the individual according to subsection (D).
G. An administrator shall ensure that personnel records are:
1. Maintained:
a. Throughout an individual's period of providing ser- vices at or for a substance abuse transitional facility, and
b. For at least 24 months after the last date the individ- ual provided services at or for a substance abuse transitional facility; and
2. For a personnel member who has not provided physical health services or behavioral health services at or for the substance abuse transitional facility during the previous 12 months, provided to the Department within 72 hours after the Department's request.
H. An administrator shall ensure at least one personnel member who is present at the substance abuse transitional facility during hours of facility operation has first-aid and cardiopul- monary resuscitation training certification specific to the pop- ulations served by the facility.
I. An administrator shall ensure that:
1. At least one personnel member is present and awake at a substance abuse transitional facility at all times when a participant is on the premises;
2. In addition to the personnel member in subsection (I)(1), at least one personnel member is on-call and available to come to the substance abuse transitional facility if needed;
3. A substance abuse transitional facility has sufficient per- sonnel members to provide general participant supervi-
sion and treatment and sufficient personnel members or employees to provide ancillary services to meet the scheduled and unscheduled needs of each participant;
4. There is a daily staffing schedule that:
a. Indicates the date, scheduled work hours, and name of each individual assigned to work, including on- call individuals;
b. Includes documentation of the employees who work each day and the hours worked by each employee; and
c. Is maintained for at least 12 months after the last date on the documentation;
5. A behavioral health professional is present on the sub- stance abuse transitional facility’s premises or on-call; and
6. A registered nurse is present on the substance abuse tran- sitional facility’s premises or on-call.
Historical Note
Adopted effective February 1, 1994 (Supp. 94-1). Section repealed; new Section made by exempt rulemaking at 19
A.A.R. 2015, effective October 1, 2013 (Supp. 13-2). Section R9-10-1405 renumbered to R9-10-1404; new Section R9-10-1405 renumbered from R9-10-1406 and amended by exempt rulemaking at 20 A.A.R. 1409, pur- suant to Laws 2013, Ch. 10, § 13; effective July 1, 2014
(Supp. 14-2).