Utah Admin. Code R432-201-5 - Governing Body and Management

(1) The licensee shall identify an individual or group to constitute the governing body of the facility responsible to:

(a) exercise general policy, budget, and operating direction over the facility;

(b) set the qualifications for the administrator of the facility; and

(c) appoint, in writing, the administrator of the facility, who is professionally licensed by the Utah Department of Commerce in a health care field.

(2) The licensee shall post a copy of the administrator's license or credentials alongside the facility's license in a place readily visible to the public.

(3) The administrator shall act as the administrator of no more than four small health care facilities, as defined in Rule R432-200, and no more than a total of 60 beds in any type of licensed health care facility.

(4) The administrator shall have enough freedom from other responsibilities to be on the premises of the facility enough hours in each business day, at least four hours per week for every six clients, and as necessary to properly manage the facility and respond to requests by the department and the public.

(5)

(a) The administrator shall designate, in writing, the name and title of the person who shall act as administrator in their absence.

(b) The administrator's designee shall have enough power, authority, and freedom to act in the best interests of client safety and well-being.

(c) The administrator designee may not supplant the licensed administrator.

(6) The licensee shall include the administrator's responsibilities in a written job description on file in the facility and available for department review.

(7) The licensee shall ensure the job description includes the responsibility to ensure the following duties are fulfilled:

(a) complete, submit, and file any records and reports required by the department;

(b) act as a liaison with the licensee, QIDP, and other supervisory staff of the facility;

(c) respond to recommendations made by the facility committees;

(d) ensure employees are oriented to their job functions and receive appropriate and regularly scheduled in-service training;

(e) implement policies and procedures for the operation of the facility;

(f) hire and maintain the required number of licensed and non-licensed staff, as specified in this rule, to meet the needs of clients;

(g) maintain facility staffing records for at least the preceding 12 months;

(h) secure and update contracts for required professional and other services not provided directly by the facility;

(i) verify any required licenses and permits of staff and consultants when hired or on the effective date of contract; and

(j) review any incident and accident reports and document action taken.

(8) The licensee shall ensure incident and accident reports:

(a) are numbered and logged in a manner to account for each report;

(b) have space for written comments by the administrator and, as appropriate, the attending physician and constituted committee; and

(c) are kept on file in the facility and are available for review by the department.

Notes

Utah Admin. Code R432-201-5

Amended by Utah State Bulletin Number 2023-21, effective 10/26/2023