Ariz. Admin. Code § 9-10-506

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

Section R9-10-506 - 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 active treatment or other physical health 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 active treatment or other physical health 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 active treatment or other physical health services and 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 active treatment or other physical health 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 active treatment or other physical health 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 active treatment or other physical health services or and behavioral care, and

b. According to policies and procedures; and

3. Sufficient personnel members are present on an ICF/IID's premises with the qualifications, skills, and knowledge necessary to:

a. Provide the services in the ICF/IID'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 ICF/IID is established, updated as necessary, and maintained on the premises:

1. Outlining the roles, responsibilities, and relationships within the ICF/IID; 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 ICF/IID, and

2. As specified in R9-10-113.

G. An administrator shall ensure that:

1. The types and numbers of nurses or therapists required according to the acuity plan in R9-10-503(L) are present in each unit in the ICF/IID;

2. Documentation of the nurses or therapists present on the ICF/IID's premises each day is maintained and includes:

a. The date;

b. The number of residents;

c. The name, license or certification credential, and assigned duties of each nurse or therapist who worked that day; and

d. The actual number of hours each nurse or therapist worked that day; and

3. The documentation of nurses or therapists 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:

1. 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 if the ICF/IID provides services to:

a. More than 16 residents;

b. A resident who has a nursing care plan or medical care plan; or

c. A resident who requires additional supervision because the resident:

i. Is aggressive,

ii. May cause harm to self or others, or

iii. May attempt an unauthorized absence; and

2. On duty, on the premises, and able to respond, according to policies and procedures, to injuries, symptoms of illness, or fire or other emergencies on the premises if:

a. The ICF/IID provides services to 16 or fewer residents, and

b. None of the residents has a nursing care plan or medical care plan or requires additional supervision according to subsection (H)(1)(c).

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 ICF/IID's check on the individual in the adult protective services registry established according to A.R.S. § 46-459;

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 R9-10-503(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. The individual's qualifications and on-going training for each type of restraint or seclusion used, as required in R9-10-515;

i. Cardiopulmonary resuscitation training, if required for the individual according to R9-10-503(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 ICF/IID, and

b. For at least 24 months after the last date the individual provided services in or for the ICF/IID; and

2. For a personnel member who has not provided active treatment or other physical health services or behavioral care at or for the ICF/IID 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 active treatment or other physical health 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 ICF/IID for at least 12 months after the date of the work schedule.

L. An administrator shall designate a qualified individual to provide:

1. Social services, and

2. Recreational activities.

Ariz. Admin. Code § R9-10-506

Adopted as an emergency effective October 26, 1988, pursuant to A.R.S. § 41-1026, valid for only 90 days (Supp. 88-4). Emergency expired. Readopted without change as an emergency effective January 27, 1989, pursuant to A.R.S. § 41-1026, valid for only 90 days (Supp. 89-1). Emergency expired. Readopted without change as an emergency effective April 27, 1989, pursuant to A.R.S. § 41-1026, valid for only 90 days (Supp. 89-2). Emergency expired. Readopted without change as an emergency effective July 31, 1989, pursuant to A.R.S. § 41-1026, valid for only 90 days (Supp. 89-3). Permanent rules adopted effective October 30, 1989 (Supp. 89-4). Section repealed, new Section adopted effective April 4, 1994 (Supp. 94-2). Section repealed; new Section made by exempt rulemaking at 19 A.A.R. 2015, effective October 1, 2013 (Supp. 13-2). Amended by exempt rulemaking at 20 A.A.R. 1409, effective 7/1/2014. Adopted by final rulemaking at 25 A.A.R. 1222, effective 4/25/2019. Amended by exempt rulemaking at 26 A.A.R. 72, effective 1/1/2020.