Haw. Code R. § 11-800-50 - Quality assurance

(a) The home shall have documented internal emergency management policies and procedures for emergency situations that may affect the client, such as but not limited to:

(1) Sudden illness or accident;

(2) Death;

(3) Violent acts or abuse;

(4) Natural disasters;

(5) Fire; and

(6) Power and telephone outage.

(b) Adverse events shall be reported.

(1) A verbal report to the case management agency responsible for the client shall be made within twenty-four hours of the occurrence; and

(2) A written report shall be sent to the case management agency within seventy-two hours, excluding weekends and holidays, following the verbal report required under paragraph (1).

(c) The home shall inform the case management agency of any changes occurring in the client's behavior and functioning that may necessitate a change and update of the client's service plan. A verbal report shall be made to the case management agency serving the client within twenty-four hours of the occurrence of any of the following:

(1) Changes in the client's condition requiring emergency treatment;

(2) Hospitalization of the client;

(3) Environmental changes or disasters affecting the delivery of services to client; and

(4) Death of the client. If any of the preceding events also constitutes an adverse event, the requirements of subsection (b) shall be met.

(d) The home shall cooperate at all times with the case management agency serving a client that it has placed in the home. Such cooperation shall include providing the case management agency access to the home and the client at any time requested by the case management agency.

(e) The home shall be subject to investigation by the department at any time.

The investigation may be announced or unannounced and may include but is not limited to, one or more of the following:

(1) Reviews of administrative, fiscal, personnel, and client records;

(2) Inspection of service sites;

(3) Service site visits to interview clients and to observe personnel and subcontractors providing services; and

(4) Interviews with community care foster family home caregivers and other adults in the home, and service subcontractors.

Notes

Haw. Code R. § 11-800-50

[Eff 11/13/2018] (Auth: HRS §§ 321-481, 321-483, 321-485, 346-14) (Imp: HRS §§ 321-481, 321-483, 321-485, 346-14)