N.J. Admin. Code § 8:43B-8.1

Current through Register Vol. 56, No. 23, December 2, 2024

Section 8:43B-8.1 - Policies and procedures

(a) An AFC sponsor agency shall establish written policies and procedures governing care provided to clients.

1. These policies and procedures shall be reviewed on an annual basis and shall be revised, as needed.

(b) The policies and procedures governing care shall include:

1. Criteria for initial and ongoing placement of clients that are based on a client's needs and shall assure the ability of the AFC caregiver and AFC sponsor agency to safely meet the needs of the client;

2. Policies and procedures for assessing and monitoring the needs of clients, including at least:

i. Periodic monitoring of clients;

ii. Referral of clients to health care professionals or community agencies, as appropriate; and

iii. Maintenance of records;

3. Policies and procedures for the administration of medications to clients within an AFC home, including at least:

i. Client self-administration in accordance with labeled prescription containers;

ii. Training requirements for AFC caregivers who will assist clients with the self-administration of medications or who will administer medications. Such training shall include, at a minimum, Module VIII of N.J.A.C. 8:43B Appendix;

iii. Circumstances in which medications may be administered by a qualified person, such as a registered professional nurse;

iv. A system for caregivers to report suspected drug errors and adverse drug reactions to the sponsor agency's registered professional nurse;

v. A system that includes keeping all medications in their original containers and labeled in accordance with the New Jersey Board of Pharmacy requirements at N.J.A.C. 13:39;

vi. A system in which over-the-counter medications repackaged by a pharmacy or other licensed pharmacy provider, manufacturer, or repackager, will be labeled with the name and strength of the medication, date of issue, expiration date, usual dose, lot number, manufacturer's name, and cautionary and/or accessory labels. Original manufacturers' containers shall be marked or labeled with the client's name, and the name shall not obstruct any of the aforementioned information;

vii. A system in which single-use and disposable items will not be reused; and

viii. Medications that require refrigeration shall be properly maintained;

4. A policy requiring the tuberculin screening of all clients prior to placement pursuant to N.J.A.C. 8:43B-6.10;

5. A policy that, if eligible, keeps all clients up to date with influenza, pneumococcal, and COVID-19 vaccines in accordance with recommendations of the Advisory Committee on Immunization Practices. Persons who are not up to date shall be immunized in accordance with the minimum intervals outlined in the catch-up schedules. Schedules are available at http://www.cdc.gov/vaccines/schedules/hcp/index.html and http://www.cdc.gov/vaccines/covid-19/clinical-considerations/covid-19-vaccines-us;

6. Policies and procedures concerning advance directives, including:

i. Requirements for an inquiry to be made of each client regarding the existence and location of an advance directive;

ii. Requirements for provision to clients of a written statement of client rights regarding advance directives, approved by the Department, prior to placement; and

iii. Requirement for documentation of the existence and location of the client's advance directive in the client's record;

7. Policies and procedures for monitoring and providing oversight of client funds when requested by the client, including:

i. Obtaining a client's written authorization for delegation of responsibility to an AFC caregiver or other designated individual, provided that this authorization shall be witnessed, in writing, by a designated representative of the AFC sponsor agency and either a member of the client's family or the client representative, if applicable;

ii. Providing a client and the client's family or legal guardian, if applicable, a quarterly written financial record of the client's funds if the client has delegated financial management responsibilities to an AFC caregiver, which record shall show the amount of funds at the beginning and end of the accounting period, including a list of all deposits and withdrawals, substantiated by receipts given to the client or the client representative; and

iii. Prohibiting AFC caregivers from accepting any form of gift or bequest from a client or any designation of an AFC caregiver as a beneficiary of a client's insurance policy, trust, will, or any other testamentary devices;

8. Protocols to assure that transportation to all services identified in the client service plan is provided directly or by arrangement;

9. Protocols for transfer or discharge of the client, including the development of a written plan that includes at least:

i. The reason for, and date of, transfer or discharge;

ii. The condition of the client upon transfer or discharge;

iii. A copy of the current client service plan; and

iv. The destination of the client; and

10. Policies and procedures to conduct an initial assessment that shall indicate whether the client requires health care services.

(c) An AFC sponsor agency shall assure appropriate placement of clients who are transferred or discharged.

N.J. Admin. Code § 8:43B-8.1

Adopted by 55 N.J.R. 377(a), effective 3/6/2023