Ariz. Admin. Code § 9-10-2206

Current through Register Vol. 30, No. 50, December 13, 2024

Section R9-10-2206 - Personnel

A. An administrator shall ensure that:

1. A personnel member is:

a. At least 21 years old, or

b. At least 18 years old and is licensed or certified under A.R.S. Title 32 and providing 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 physical health services, habilitation services, or behavioral care expected to be provided by the personnel member according to the established job description; and

ii. The acuity of the residents receiving physical health services, habilitation services, or behavioral care from the personnel member according to the established job description; and

b. Include:

i. The specific skills and knowledge necessary for the personnel member to provide the expected physical health services, habilitation services, or behavioral care listed in the established job description;

ii. The type and duration of education that may allow the personnel member to have acquired the specific skills and knowledge for the personnel member to provide the expected physical health services, habilitation services, or behavioral care 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 personnel member to provide the expected physical health services, habilitation services, or behavioral care listed in the established job description;

2. A personnel member's skills and knowledge are verified and documented:

a. Before the personnel member provides physical health services, habilitation services, or behavioral care; and

b. According to policies and procedures; and

3. Sufficient personnel members are present on a nursing-supported group home's premises with the qualifications, skills, and knowledge necessary to:

a. Provide the services in the nursing-supported group home's scope of services,

b. Meet the needs of a resident, and

c. Ensure the health and safety of a resident.

C. An administrator shall ensure that an organizational chart of the nursing-supported group home is established, updated as necessary, and maintained on the premises:

1. Outlining the roles, responsibilities, and relationships within the nursing-supported group home; and

2. Including the name and, if applicable, the license or certification credential of each individual shown on the organizational chart.

D. An administrator shall ensure that, if a personnel member provides services that require a license under A.R.S. Title 32 or 36, the personnel member is licensed under A.R.S. Title 32 or 36, as applicable.

E. An administrator shall ensure that an individual who is a licensed baccalaureate social worker, master social worker, associate marriage and family therapist, associate counselor, or associate substance abuse counselor is under direct supervision as defined in 4 A.A.C. 6, Article 1.

F. An administrator shall ensure that a personnel member or an employee or volunteer who has or is expected to have direct interaction with a resident for more than eight hours a week provides evidence of freedom from infectious tuberculosis:

1. On or before the date the individual begins providing services at or on behalf of the nursing-supported group home, and

2. As specified in R9-10-113.

G. An administrator shall ensure that:

1. The types and numbers of nurses and other personnel members required according to the acuity plan in R9-10-2203(K) are present in the nursing-supported group home;

2. Documentation of the nurses and other personnel members present on the nursing-supported group home's premises each day is maintained and includes:

a. The date;

b. The number of residents;

c. The name, license or certification credential if applicable, and assigned duties of each nurse or other personnel member who worked that day; and

d. The actual number of hours each nurse or other personnel member worked that day; and

3. The documentation of nurses and other personnel members required in subsection (G)(2) is maintained for at least 12 months after the date of the documentation.

H. An administrator shall ensure that a personnel member is on duty, on the premises, awake, and able to respond, according to policies and procedures, to injuries, symptoms of illness, or fire or other emergencies on the premises.

I. An administrator shall ensure that a personnel record is maintained for each personnel member, employee, volunteer, or student that includes:

1. The individual's name, date of birth, and contact telephone 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 applicable to the individual's job duties;

c. The individual's compliance with the requirements in A.R.S. § 36-411;

d. The nursing-supported group home's check on the individual in the adult protective services registry, established according to A.R.S. § 46-459, or the central registry, established according to A.R.S. § 8-804, as applicable;

e. Orientation and in-service education as required by policies and procedures;

f. Training in preventing, recognizing, and reporting abuse or neglect, required according to R9-10-2203(C)(1)(d)(i);

g. The individual's license or certification, if the individual is required to be licensed or certified in this Article or policies and procedures;

h. If applicable, the individual's qualifications and on-going training for each type of restraint used, as required in R9-10-2217;

i. Cardiopulmonary resuscitation training, if required for the individual according to R9-10-2203(C)(1)(g);

j. First aid training, if required for the individual according to this Article or policies and procedures; and

k. Evidence of freedom from infectious tuberculosis, if required for the individual according to subsection (F).

J. An administrator shall ensure that personnel records are:

1. Maintained:

a. Throughout the individual's period of providing services in or for the nursing-supported group home, and

b. For at least 24 months after the last date the individual provided services in or for the nursing-supported group home; and

2. For a personnel member who has not provided physical health services, habilitation services, or behavioral care at or for the nursing-supported group home during the previous 12 months, provided to the Department within 72 hours after the Department's request.

K. An administrator shall ensure that:

1. A plan to provide orientation specific to the duties of a personnel member, an employee, a volunteer, and a student is developed, documented, and implemented;

2. A personnel member completes orientation before providing physical health services, habilitation services, or behavioral care;

3. An individual's orientation is documented, to include:

a. The individual's name,

b. The date of the orientation, and

c. The subject or topics covered in the orientation;

4. A plan to provide in-service education specific to the duties of a personnel member is developed, documented, and implemented;

5. A personnel member's in-service education 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; and

6. A work schedule of each personnel member is developed and maintained at the nursing-supported group home for at least 12 months after the date of the work schedule.

Ariz. Admin. Code § R9-10-2206

New Section made by final exempt rulemaking at 28 A.A.R. 927, effective 4/15/2022.