N.Y. Comp. Codes R. & Regs. tit. 9 § 7404.6

Current through Register Vol. 46, No. 41, October 9, 2024

Section 7404.6 - Records of supervision

(a) All written records pertaining to facility living area supervision required in this section shall be recorded legibly in ink, in a bound ledger of consecutively numbered pages, and shall be maintained for each living area. Such records shall include, but not be limited to, the following information:

(1) the name or designation of the living area for which the supervision is being maintained;

(2) the name(s) of staff conducting the supervision;

(3) where a security post is not located within a living area pursuant to section 7404.2(c)(1) of this Part, each supervisory visit conducted in the course of providing active supervision shall be entered in the living area logbook at the times such visits are made;

(4) the date and time when general supervision is initiated and concluded; and

(5) any significant events or activities occurring during supervision, including, but not limited to:

(i) the date and time of such event or activity;

(ii) the names of all residents and staff involved;

(iii) staff response to such event or activity if applicable, including a summary of what occurred; and

(iv) a description of any change in the physical or mental condition of any resident involved in such event or activity.

(b) Each entry recorded in the ledger required pursuant to this section shall include the signature of the staff member making the entry.

(c) Alterations made by staff to any entries contained within such ledger shall be:

(1) accomplished by staff drawing a single line through the entry to be changed which does not prevent the original entry from being read; and

(2) dated and signed by the staff making the alteration with the reason(s) noted for altering the record.

(d) Notwithstanding the provisions of this section requiring a bound ledger, records pertaining to living area supervision may be recorded on a computerized log. Entries made on a computerized log shall identify the staff making such entry.

N.Y. Comp. Codes R. & Regs. Tit. 9 § 7404.6

Renumbered from subtitle AA of chapter III New York State Register April 11, 2018/Volume XL, Issue 15, eff. 4/11/2018