Governance

1. Each facility shall have a governing body responsible for the operation, policies, activities, practice, and overall operations of the facility. The governing body shall: a. Be composed of at least five members. A list of the names and contact information of members of the governing body must be maintained and submitted to the department annually. Each board member annually shall disclose conflicts of interest. Members of the board may not be family or have conflicts of interest with the facility administrator or employees with budget or accounting duties; b. Meet at least every six months; c. Maintain records of the governing body's meetings; d. Develop and review policies for member selection and rotation; e. Ensure each member understands the facility operation and program goals; f. Ensure the facility is funded, housed, staffed, and equipped in a manner required for the provision of services; g. Provide the most recent fiscal year-end financial records to the department for payment purposes, upon request; h. Ensure the facility has an active strategic plan with a schedule to review annually; i. Employ a qualified facility administrator and delegate responsibility to that facility administrator for the administration of the facility; j. Evaluate the performance of the facility administrator at least annually; k. Adopt a written statement of the purpose and philosophy of the facility; and l. Adopt written policies for the facility regarding administration, personnel, buildings, grounds, and program services. Personnel policies for the recruitment and retention of employees necessary to operate the facility must indicate expectations of personnel, detail job descriptions for each position, and ensure a process to review policies and procedures with employee participation at least every three years. 2. All statements and policies required by this chapter must be in writing to demonstrate the intent of the standards are integrated into facility practice. The facility policy must be up to date.