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Ohio Laws and Rules
(A) No person shall:
(1) Operate a maternity home without a license issued by the director pursuant to this rule;
(2) Interfere with an inspection or investigation of a maternity home; or
(3) Materially misrepresent any information provided to the director pursuant to this rule.
(B) Application for a license to operate a maternity home shall be made in writing on a form furnished by the director, and signed by the applicant or the applicant’s agent, and shall include the following:
(1) The name to appear on the license;
(2) The particular premises in which the business will be carried out; and
(3) The proposed licensed capacity.
(C) Upon receipt of a complete application the director shall send a copy of the application to the board of health of the health district in which the maternity home is located. The board of health of the health district shall approve the application, unless the maternity home is in non-compliance with any applicable local health regulation. The board of health of the health district shall notify the director of its determination within thirty days of receipt of the application. If the board of health of the health district does not notify the director within thirty days of receipt of the application, the application will be deemed to be approved by the board of health of the health district. The director shall issue a license to the applicant if it is determined that the applicant is in compliance with Chapter 3711. of the Revised Code and rules 3701-7-08 to 3701-7-13 of the Administrative Code.
(D) The license shall state the following:
(1) The name of the licensee;
(2) The licensed capacity; and
(3) The particular premises in which the business will be carried out.
(E) The license shall be valid for a period of one year, with review as often as deemed necessary, but at least once annually, in a fashion deemed appropriate by the director to determine whether the maternity home is in compliance with rules 3701-7-08 to 3701-7-13 of the Administrative Code.
(F) Applications for the renewal of a license shall be submitted to the director on or before January fifteenth of each year in accordance with paragraph (B) of this rule.
(G) A license issued for a maternity home is valid only for the premises provided on the license in accordance with paragraph (D) of this rule.
(H) The licensee shall promptly notify the director in writing of any change in administrator, primary agent, or name of the maternity home.
(I) The licensee shall notify the director within seven days in writing of the suspension of operation, closing, or sale of the maternity home, and return the license to the director.
(J) The license shall be posted conspicuously at the entrance to the maternity home.
(K) The licensee shall ensure that resident occupancy does not exceed the licensed capacity at any time.
(L) The licensee shall notify the director prior to any construction, modernization, major acquisition, or significant alteration affecting the type or volume of services.
(M) The licensee shall comply with Chapter 3711. of the Revised Code, and rules 3701-7-08 to 3701-7-13 of the Administrative Code.
(N) If the director determines the existence of a violation of any provision of Chapter 3711. of the Revised Code or rules 3701-7-08 to 3701-7-13 of the Administrative Code, the director may request the licensee to submit an acceptable plan of correction to the director stating the actions being taken or to be taken to correct a violation, the timeframe for completion and the means by which continuing compliance will be monitored.
(O) As authorized by section 3711.06 of the Revised Code, the department of health may revoke a license in accordance with Chapter 119. of the Revised Code.
Effective: 08/01/2008 R.C. 119.032 review dates: 03/26/2008 and 03/01/2013 Promulgated Under: 119.03 Statutory Authority: 3701.34, 3711.02Rule Amplifies: 3711.03, 3711.04, 3711.05, 3711.06Prior Effective Dates: 7/15/1976, 4/30/03
3701-7-08 [Effective 1/1/2012] Maternity unit patient care standards
(A) Each maternity unit shall develop and follow a written service plan for the care of pregnant women and newborns. The plan shall include protocols based on the current guidelines for perinatal care appropriate for the level of care designation of the unit and for the services provided.
(B) Each maternity unit shall develop and follow a written service plan for the following:
(1) Discharge of patients and follow-up patient care;
(2) Inter-service transfers;
(3) Administration of blood and blood products, including protocols for the administration of blood and blood products to newborns requiring intervention. The service shall provide the appropriate equipment and supplies necessary to administer blood and blood products. At a minimum:
(a) Units providing blood transfusions shall have a blood pressure monitor, infusion pump, and appropriate intravenous equipment;
(b) Units providing partial exchange transfusions shall meet the requirements of paragraph (B)(3) of this rule and have umbilical catheter trays,umbilical catheters, a blood drainage system, and intravenous fluids or volume expanders; and
(c) Units providing exchange transfusions shall meet the requirements of paragraphs (B)(3) and (B)(7) of this rule and have a blood warmer and pulse oximeter;
(4) Provision of phototherapy including maintaining the necessary equipment and supplies;
(5) Preparation, administration, maintenance and management of complications of respiratory therapy. The maternity unit shall maintain the necessary equipment, supplies and support services for the administration of oxygen. At a minimum:
(a) Equipment required for the administration of oxygen shall include a flow meter, bag and mask set-up, humidification, pulse oximeter, and suction equipment. A cardiorespiratory monitor shall be maintained if a newborn requires oxygen therapy for more than stabilization;
(b) Units shall have the capability of providing blood gas analysis and portable x-ray;
(c) Units providing oxygen administration by nasal cannula shall have a low flow meter;
(d) Units providing oxygen administration using an oxygen hood shall have an oxygen analyzer, a heat source, and a thermometer;
(e) Units providing incubator oxygen shall have appropriate tubing and an oxygen analyzer;
(f) Units providing oxygen by a continuous positive airway pressure/ventilator shall have intubation equipment, endotracheal tubes,nasal prongs, and an oxygen analyzer; and
(g) Units shall have the capability of treating pneumothorax;
(6) Unit-based surgeries and surgical suite-based surgeries. The plan shall include the type of surgical procedures authorized to be performed on the unit and in surgical suites. The maternity unit shall maintain equipment appropriate to patient size; and
(7) Insertion, maintenance, monitoring and complication management of peripheral, central, and arterial lines. Each maternity unit shall provide the appropriate staff, equipment, supplies, and support services for the insertion, maintenance, and monitoring of lines in accordance with the written service plan. The written plan shall require that infusion pumps regulating flow to newborns be capable of regulating flow to one-tenth cubic centimeter.
Replaces: 3701-7-03,3701-84-43
Effective: 01/01/2012 R.C. 119.032 review dates: 01/01/2017 Promulgated Under: 119.03 Statutory Authority: 3711.12 Rule Amplifies: 3711.05, 3711.12 Prior Effective Dates: 7/15/1976, 3/1/97, 3/24/03, 4/30/03, 3/13/08