Document Citation: 14 NYCRR 71.3

Header:
NEW YORK CODES, RULES AND REGULATIONS
TITLE 14. DEPARTMENT OF MENTAL HYGIENE
CHAPTER IV. REGULATION AND QUALITY CONTROL
SUBCHAPTER A. GENERAL PROVISIONS
PART 71. VISITATION AND INSPECTION OF FACILITIES

Date:
08/31/2009

Document:

§ 71.3 Scope of reviews and inspections

(a) Prior to visiting the facility, the reviewer will study reports of previous reviews and inspections and the following information submitted by the facility:

(1) Clinical and statistical data, and

(2) The policies of the facility.

(b) The onsite review and inspection shall include:

(1) Review of program operation in comparison to programs authorized,

(2) Private conversation with any patient or employee who so desires,

(3) Review of case records of persons currently or previously served,

(4) Review of the legal admission documents of patients and the conformity of the facility's admission procedures with the law and regulations,

(5) Review of the records of restraint and seclusion,

(6) Review of the qualifications of the staff and the staffing pattern in comparison to those authorized,

(7) Inspection of the records and storage of medication and procedures for prescription and dispensing of medications,

(8) Review of the minutes of meetings of the governing body, the special review committee, and other committees,

(9) Inspection of the physical plant and equipment, and review of protective procedures in relation to structural and fire hazards,

(10) Identification of any construction or improvements to the premises completed since the last visit, and

(11) Review of written reports by local inspectors and other authorized inspection, certifying, or accrediting agencies, and review of conditions about which any recommendations for improvement have been made.