LAC 48:I.8425
LAC 48:I.8425. Facility Records
Cite as La. Admin. Code tit. 48, pt. I, § 8425
A. Record keeping shall be in accordance with accepted standards to assure the development and implementation of facility specific policies and procedures to adhere to all licensing standards. Specific facility records shall contain:
1. personnel information including:
a. annual health screens in accordance with CDC/OPH guidelines and facility policy;
b. actual hours of work;
c. orientation/training/in-services;
d. disciplinary actions;
e. verification of professional credentials, licensing/certification and renewals; and
f. job descriptions/performance expectations;
2. operational information including:
a. organizational chart;
b. payment methods in accordance with the Wage and Hour Board;
c. proof of general and professional liability insurance in the amount of at least, $500,000;
d. projected plan of operations based on the findings of the facility specific continuous improvement program; and
e. written agreements with other entities to assure adherence to licensing standards and continuity of care, e.g., transplant services, lab services, waste removal, hospital, etc.;
3. identification of a governing body composed of adults who have legal authority over the policies and activities of the facility as required by 42 CFR §405.2136. All private providers must comply with this requirement.
B. Required Facility Reports. The facility director shall report the following incidents either verbally or by facsimile to HSS within 24 hours of discovery. If reporting is verbal, it will be confirmed in writing within seven calendar days.
1. fire and/or natural disasters;
2. any substantial disruption of program operation;
3. any inappropriate treatment or service resulting in death or serious injury; and
4. serious violations of laws, rules, and professional and ethical codes of conduct, e.g. abuse, neglect, exploitation by facility personnel/volunteers that resulted in harm or the potential for harm to the patient(s). Patient to patient abuse shall also be reported to the agency.
C. The facility shall post a legible copy of the following documents in full view of patients, visitors, and employees:
1. patient bill of rights/responsibilities;
2. escape routes;
3. facility specific rules, responsibilities and grievance procedures;
4. current license and variances; and
5. current licensing survey findings.
D. The facility shall maintain the following operational records:
1. equipment maintenance;
2. water testing logs;
3. reprocessing logs;
4. fire and safety logs;
5. in-services/attendance records;
6. personnel records; and
7. disinfection logs.