R03-201. Governing Authority

A. If the governing authority is:

1. A public organization, it shall describe the administrative framework within which it operates, or
2. A private, non-governmental organization, it shall provide written documentation of source of authority through charter, constitution, or bylaws, or
3. A sole proprietor, the individual shall describe the administrative framework within which the program operates.

Review policy and procedure manual for source of authority and review certified articles of incorporation where applicable.

 

B. The governing authority shall:

1. Exercise general direction over the operation of the program,

2. Develop, implement and comply with policies and procedures for planning, budgeting, and managing resources of the licensee’s operations,

3. Maintain written governing board minutes documenting this activity,

4. Appoint an executive director, whose qualifications, authority, and duties are defined in writing and are available within the Human resource policy and procedure manual, and the Executive director’s personnel record. The executive director’s duties and authority shall include:

a. Authority and responsibility to operate the program according to the requirement in the standards,
b. Access to all areas of the program and premises,
c. Appointing a designee, in writing, to act as the executive director when the executive director is not on the premises, and

5. Ensure the licensee maintains current malpractice and liability insurance.

3. Review board-meeting minutes. Verify that they include R03-201 B 2 - planning, budgeting and managing resources of the licensee’s operations. 4. Review and verify current Executive Director job description and verify it contains required elements of 4 a-c Verify copies are kept in both the policy and procedure manual and personnel record. 5. Review and verify original/copy of current malpractice and liability insurance.

 

C. The governing authority, executive director, or designee shall:

1. Provide operating procedures that describe the:

a. Hours of operation and

b. Program philosophy including the provision of substance abuse services as the focus of treatment efforts,

2. Establish and maintain a current organizational chart with lines of authority inclusive of direct service staff,

3. Develop, implement, and comply with operational policies and procedures,

4. Annually review and update the process for assuring quality service and promoting continuous quality improvement, and

5. Make operational procedures available to all staff.

1. Review operational procedures and verify it contains required elements a-b. 2. Review organizational chart. 3. Review policy and procedure manual. 4. Review policy and procedure manual and verify operational policies and procedures are updated annually and incorporates all elements of 4. 5. Verify operational procedure manual is available to staff.