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12VAC5-381-180 — Written policies and procedures

VirginiaregulationVirginia Department of Health, Office of Licensure and Certification· effective 2006-01-01

What this rule requires your agency to do

  • 1Implement written policies and procedures approved by the governing body (subsection A).(12VAC5-381-180 — Written policies and procedures)
  • 2Maintain personnel policies including written job descriptions, current personnel records, verification of licensure/certification/training, annual performance/competency evaluation, criminal background checks and a drug-free workplace per § 32.1-162.9:1, and reporting of licensed personnel violations to the appropriate board (subsection E).(12VAC5-381-180 — Written policies and procedures)
  • 3Review all policies and procedures at least annually and submit recommended changes to the governing body for approval as necessary (subsection B).(12VAC5-381-180 — Written policies and procedures)
  • 4Maintain admission and discharge/termination policies including acceptance criteria, plan-of-care process, discharge/referral criteria, and a client-notification process with oral and written notice, referral contact information, and record documentation (subsection F).(12VAC5-381-180 — Written policies and procedures)
  • 5Maintain financial policies covering admission agreements, verification of services delivered, billing methods, fee-change notification, billing-error correction/refunds, and delinquent-account collection (subsection D).(12VAC5-381-180 — Written policies and procedures)
  • 6Keep policies and procedures readily available for staff use at all times (subsection H).(12VAC5-381-180 — Written policies and procedures)
  • 7Maintain administrative and operational policies covering the enumerated topics, including client rights, medication management (if applicable), quality improvement, mandated reporting of abuse/neglect/exploitation per § 63.2-1606, client records/confidentiality, record retention, supervision/delivery of services, and infection control (subsection C).(12VAC5-381-180 — Written policies and procedures)
  • 8Make policies available for review upon request to clients and their designated representatives (subsection G).(12VAC5-381-180 — Written policies and procedures)

Applies to: personal care

Requires a home care organization to adopt, annually review, and maintain governing-body-approved written policies and procedures across administrative/operational, financial, personnel, and admission/discharge domains — including mandated abuse reporting, criminal background checks, informed consent, medication management, and client records. Framework topic: Governance / Policies & Procedures.

Regulatory information, not legal advice — always confirm against the cited official source. Verification reduces error; it does not certify compliance.