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(Here is an unofficial translation of appendices 15 and 16, which list the
documents that a residential drug treatment facility must provide in order to
apply for certification in the province of Quebec)
Appendix15
List of documents that must be provided at the time a certification application
is filed
Article2 - Latest annual registration statement of the legal person in the
Enterprise Register.
Article6 - Hourly schedule describing all activities.
-Program of activities and workshops.
Article 9 - Cohabitation rules.
Article10 - Charter of rights and responsibilities of residents.
Article11 - Code of ethics.
Article12 - The guideline document that describes the mission statement, the
intervention philosophy, and the admission criteria.
Article13 - A copy of the brochure and/or of the promotional material of the
resource.
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Article15 - Documents related to the holding of the latest annual general
assembly: notice of invitation; agenda; minutes; report of activities; financial
statements.
Article16 - The general regulations of the resource.
Article17 - A copy of the complaint procedure displayed by the resource.
- The procedure for the evaluation of services.
- The procedure for the addressing client dissatisfaction.
Article18 - The informed consent form.
Article19 - Organizational chart.
Article20 - Resume and proof of qualification of the person who ensures the
coordination of the intervention team.
Article21 - Up-to-date list of salaried employees and volunteers (Appendix 18).
-Resume and proof of qualification of every member of the
intervention team.
-Staff work schedule.
Article22 - Resume and proof of qualification of the person who ensures the
supervision of the case workers.
- If this persons on contract, a copy of the agreement between the two
parties.
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Article 25- The procedure for admission and integration of a new resident.
- The procedure for admission and integration of a new employee.
Article 26 - The service contract.
Article27 - A copy of the permit from the Quebec Department of Agriculture,
Fisheriesand Food.
Article29 - The evacuation plan.
Article30 - The civil liability insurance policy.
- The professional liability insurance policy.
- The professional liability insurance policy for the administrators and
directors.
Article31 - The building's insurance policy.
Article32 - An unfilled copy of every form that can be entered into a resident's
file.
Article36 - The file management procedure.
Article38 - The intervention plan.
Article44 - A document signed by a doctor attesting his/her collaboration with
theresource.
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Article45 - The intervention protocol for a crisis situation.
Article46 - The procedures to follow in case of a medical emergency.
Article47 - The first aid certificates of staff members.
Article48 - The procedure for managing biomedical waste.
Article49 - Hygiene measures.
Article50 - A copy of menus.
Article51 - A copy of the collaboration agreement with a pharmacist.
- Theprotocol for medication management.
- Theinventory list of medication.
- Thedistribution register for medication.
Article 53 - The specific admission protocol for a person on replacement
therapy.
Article54 - The protocol for the management of replacement medication.
Article55 - Proof of training of staff members assigned to the application of
procedures relative to the management of replacement products.
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Appendix16
List of documents that must be provided at the time of the evaluation visit
Article6 - The written program that specifies the contents of the various
activities.
Article14 - The resource's records.
Article17 - A sample of filled-in service quality questionnaires.
Article21 - Personnel files.
Article32 - A sample of resident files.