LAC 48:I.9603. Licensure Requirements

A. All crisis receiving center specialty units shall be licensed by the department and shall comply with the provisions of §9333 of these hospital licensing standards. B. A crisis receiving center specialty unit (CRC-SU) shall have approval from the Office of Behavioral Health (OBH) and/or the appropriate human service district or authority before applying to become licensed as part of the hospital. C. Prior to securing licensure and operating the CRC-SU, the hospital shall submit architectural plans of the CRC-SU to the Office of the State Fire Marshal (OSFM) for licensing approval. D. A CRC-SU shall not operate until it has been licensed by the Health Standards Section (HSS) as a specialty unit of the hospital. No retroactive licenses shall be granted. E. A CRC-SU shall be located in a designated area of the hospital or offsite campus of the hospital. The CRC-SU shall not relocate to another location, even within the hospital, without prior written approval from HSS. F. If the CRC-SU is located at the main campus of the hospital, the hospital shall have a dedicated emergency department which shall comply with all Emergency Medical Treatment and Active Labor Act (EMTALA) regulations. G. If the CRC-SU is located at an offsite campus or is at a free-standing psychiatric hospital which does not have a dedicated emergency department, the CRC-SU shall be considered a dedicated emergency department. The CRC-SU shall comply with all EMTALA regulations if the unit meets one of the following criteria: 1. the entity is licensed by the state as an emergency department of the hospital; 2. holds itself out to the public as providing emergency care; or 3. during the preceding calendar year, the entity provided at least one-third of its outpatient visits for the treatment of emergency medical conditions. H. The following levels of a CRC-SU may be licensed as an optional service of the hospital: 1. Level I CRC-SU only; or 2. Level I CRC-SU and Level II CRC-SU. I. A CRC-SU shall maintain compliance with the: 1. Office of Public Health (OPH) regulations; and 2. Office of State Fire Marshal regulations. J. The CRC-SU shall develop and implement policies and procedures regarding the segregation of child and adolescent patients from adult patients.