HAR §11-96-19. Governing body and management

(a) Each licensee shall be responsible for the operation of the center. (b) The licensee shall exercise general supervision over the center, shall establish written policies concerning the center's operation, and shall make available these written policies for inspection by the director. (c) Each licensee shall have written personnel policies and procedures which are available to all 96- employees. (1) There shall be written job descriptions for each position. Each employee shall be informed of their duties and responsibilities at the time of employment and through inservice training sessions thereafter; (2) All professional employees shall have appropriate current licenses as required by law; (3) Ethical standards of professional conduct shall apply to all parts of the program; (4) Written policy shall prohibit misconduct, neglect, or abuse of clients and shall include procedures for investigating and reporting any such incidence to the State and governing body; and (5) There shall be documented evidence that every employee has a pre-employment and an annual health evaluation by a physician. These evaluations shall be specifically oriented to determine the presence of any infectious disease liable to harm a client. Each health evaluation shall include a tuberculin skin test or a chest x-ray; (A) Skin lesions or diarrhea shall be considered presumptive evidence of infectious disease. Any employee who develops evidence of an infection must be immediately excluded from any duties relating to food handling or direct client contact until such time as a physician certifies it is safe for the employee to resume such duties; (B) If the tuberculin skin test is positive, a standard chest x-ray with appropriate medical follow-up must be obtained, as well as three subsequent yearly chest x-rays. If all three chest x-rays are negative, no further tuberculin tests shall be required, except that additional chest x-rays may be required at the discretion of the director; (C) If the tuberculin skin test is negative, a second skin test shall be 96- done after one week, but not later than three weeks after the first test. The results of the second test shall be considered the baseline test and used to determine appropriate treatment and follow-up. That is, if the second skin test is positive, then proceed, as in section 11-96-19(c)(5)(B). If the skin test is negative, a single skin test shall be repeated yearly; and (D) When a known negative tuberculin skin test on a particular employee or client converts to a positive test, it shall be considered a new case of tuberculosis infection and shall be reported to the department as required in Chapter ll-l64. [Eff. ] (Auth: HRS §§321-9, 321-11) (Imp: HRS §§321-9, 321-11)