HAR §11-100.1-9. community services and resources

All inservice training and other educational experiences shall be documented and kept current; (11) Have knowledge of the availability of community services which may be utilized by the residents, primary care giver, or licensee; and (12) If it is deemed necessary by the department, be examined by a physician and/or mental health professional as a condition for continued licensure. The examination shall be specifically oriented to determine if the primary care giver is physically and/or mentally capable of caring for the residents; (b) The applicant of more than one Type I ARCH, in addition to the requirements in subsection (a), shall: (1) Establish to the department's satisfaction that the applicant possesses the skills and abilities to successfully operate multiple facilities; (2) Maintain an updated, written staffing plan that assures safety and adequate service administration on a twenty four hour basis in each facility under all circumstances; and (3) Have a current history of operating a licensed Type I ARCH in compliance with the minimum licensing regulations in the State for one year or more. [Eff SEP 18 2008] (Auth: HRS §§321-9, 321-10, 321-11, 321-15.6, 346-224) (Imp: HRS §§321-10, 321-11, 321- 15.6, 346-224) §11-100.1-9 Personnel, staffing and family requirements. (a) All individuals who either reside or provide care or services to residents in the Type I ARCH, shall have documented evidence that they have been examined by a physician prior to their first contact with the residents of the Type I ARCH, and thereafter shall be examined by a physician annually, to certify that they are free of infectious diseases. (b) All individuals who either reside or provide care or services to residents in the Type I ARCH shall have documented evidence of an initial and annual tuberculosis clearance. (c) Any individual providing services to the residents who develops evidence of an infectious 100.1-22 2719 §11-100.1-9 disease shall be immediately relieved of any duties relating to food handling or direct resident contact, or both, and shall continue to be relieved of those duties until such time as a physician or APRN certifies it is safe for the individual to resume the duties. Undiagnosed skin lesions, respiratory tract symptoms or diarrhea shall be considered presumptive evidence of an infectious disease. (d) The primary caregiver or licensee acting as the primary caregiver must be present in the Type I ARCH at all times unless the primary caregiver or licensee acting as the primary caregiver has secured a substitute caregiver to provide temporary coverage for the primary caregiver or licensee acting as the primary caregiver. (e) The substitute care giver who provides coverage for a period less than four hours shall: (1) Be at least eighteen years of age; (2) Have the ability to communicate, read and write in the English language; (3) Be currently certified in first aid; and (4) Be trained by the primary care giver to make prescribed medications available to residents and properly record such action. (f) The substitute care giver who provides coverage for a period greater than four hours in addition to the requirements specified in subsection (e) shall: (1) Be currently certified in cardiopulmonary resuscitation; (2) Be able to provide personal care to the residents, including bathing, dressing, transferring, feeding, and transporting residents, and be able to provide care as stipulated in the schedule of activities or care plan; (3) Have sufficient knowledge and experience in nursing techniques to care for the residents, including taking vital signs, observing for medication efficacy and any untoward reactions; (4) Be able to provide recreational programs as developed; and (5) Follow planned menus, prepare and serve meals, including special menus and be able to make appropriate substitutions, as required. 100.1-23 2719