R432-300-8. Administration and Organization

  (1) The licensee is responsible for compliance with Utah law and licensing requirements, management, operation, and control of the facility.

  (2) The licensee is responsible to establish and implement facility policies and procedures. Policies and procedures must reflect current facility practice.

  (3) The licensee must be a licensed nurse with at least two years experience working in a health care setting, and must provide nursing coverage on a daily basis during daytime hours of operation.

  (4) The licensee must employ sufficient staff to meet the needs of the residents.

  (5) All employees must be 18 years of age, and successfully complete an orientation program in order to provide personal care and demonstrate competency.

  (a) The licensee must orient employees to the residents' daily routine and train employees to assist the residents in activities of daily living.

  (b) Employees must be registered, certified or licensed as required by the Utah Department of Commerce.

  (c) Registration, licenses and certificates must be current, filed in the personnel files, and presented to the licensee within 45-days of employment.

  (6) The licensee is responsible to establish and implement written policies and procedures for a personnel health program to protect the health and safety of personnel and clients.

  (a) Each employee must, upon hire, complete a health evaluation that includes a health inventory.

  (b) The health inventory must document the employee's health history of the following:

  (i) conditions that predispose the employee to acquiring or transmitting infectious diseases; and

  (ii) conditions which may prevent the employee from performing certain assigned duties satisfactorily.

  (c) Employee skin testing by the Mantoux Method or other FDA approved in-vitro serologic test and follow up for tuberculosis shall be done in accordance with R388-804, Special Measures for the Control of Tuberculosis.

  (i) The licensee shall ensure that all employees are skin-tested for tuberculosis within two weeks of:

  (A) initial hiring;

  (B) suspected exposure to a person with active tuberculosis; and

  (C) development of symptoms of tuberculosis.

  (ii) Skin testing shall be exempted for all employees with known positive reaction to skin tests.

  (d) The licensee must report all infections and communicable diseases reportable by law to the local health department in accordance with R386-702-2.