LAC 48:I.5341
LAC 48:I.5341. Policies and Procedures
Cite as La. Admin. Code tit. 48, pt. I, § 5341
A. Each CRC shall develop, implement and comply with center-specific written policies and procedures governing all requirements of this chapter, including, but not limited to the following areas:
1. protection of the health, safety, and wellbeing of each client;
2. providing treatment in order for clients to achieve optimal stabilization;
3. access to care that is medically necessary;
4. uniform screening for patient placement and quality assessment, diagnosis, evaluation, and referral to appropriate level of care;
5. operational capability and compliance;
6. delivery of services that are cost-effective and in conformity with current standards of practice;
7. confidentiality and security of all client information, records and files;
8. prohibition of illegal or coercive inducement, solicitation and kickbacks;
9. client rights;
10. grievance process;
11. emergency preparedness;
12. abuse and neglect;
13. incidents and accidents, including medical emergencies;
14. universal precautions;
15. documentation of services;
16. admission, including descriptions of screening and assessment procedures;
17. transfer and discharge procedures;
18. behavior management;
19. infection control practices that meets current state and federal infection control guidelines;
20. transportation;
21. quality assurance;
22. medical and nursing services;
23. emergency care;
24. photography and video of clients; and
25. contraband.
B. A center shall develop, implement and comply with written personnel policies in the following areas:
1. recruitment, screening, orientation, ongoing training, development, supervision and performance evaluation of staff including volunteers;
2. written job descriptions for each staff position, including volunteers;
3. conducting staff health assessments that are consistent with OPH guidelines and indicate whether, when and how staff have a health assessment;
4. an employee grievance procedure;
5. abuse reporting procedures that require:
a. staff to report any allegations of abuse or mistreatment of clients pursuant to state and federal law; and
b. staff to report any allegations of abuse, neglect, exploitation or misappropriation of a client to DHH;
6. a non-discrimination policy;
7. a policy that requires all employees to report any signs or symptoms of a communicable disease or personal illness to their supervisor, CRC manager or clinical director as soon as possible to prevent the spread of disease or illness to other individuals;
8. procedures to ensure that only qualified personnel are providing care within the scope of the center's services;
9. policies governing staff conduct and procedures for reporting violations of laws, rules, and professional and ethical codes of conduct;
10. policies governing staff organization that pertain to the center's purpose, setting and location;
11. procedures to ensure that the staff's credentials are verified, legal and from accredited institutions; and
12. obtaining criminal background checks, adverse action, and registry checks.
C. A CRC shall comply with all federal and state laws, rules and regulations in the implementation of its policies and procedures.
D. Center Rules
1. A CRC shall:
a. have a clearly written list of rules governing client conduct in the center;
b. provide a copy of the center's rules to all clients and, where appropriate, the client's parent(s) or legal guardian(s) upon admission; and
c. post the rules in an accessible location in the center.
E. The facility shall develop, implement and comply with policies and procedures that:
1. give consideration to the client's chronological and developmental age, diagnosis, and severity of illness when assigning a sleeping area or bedroom;
2. ensure that each client has his/her own bed; and
3. prohibit mobile homes from being used as client sleeping areas.