(1) Each facility shall employ an administrator who shall:

(a) be responsible for operation of the facility at all times and shall ensure 24-hour supervision of the patients;

(b) maintain daily overall responsibility for the facility operations;

(c) develop and oversee the implementation of all policies and procedures pertaining to the operation and services of the facility;

(d) establish written policies and procedures for all facility human resource services;

(e) establish a process for patient complaints and grievances, to include an opportunity for appeal, and to inform patients of the availability of advocacy organizations to assist them;

(f) establish a patient incident report file on all patient incidents or allegation of abuse;

(g) develop and maintain an organizational chart that delineates the current lines of authority, responsibility, and accountability for the administration and provision of all facility patient treatment programs services; and

(h) develop and implement written orientation and training procedures on all facility policies and procedures for all employees or contractors, relief workers, temporary employees, students, interns, volunteers, and trainees to include but not limited to:

(i) defining the responsibilities, limitations, and supervision of students, interns, and volunteers working for the BHIF; and

(ii) verifying each professional staff member's credentials, when hired, and annually thereafter, to ensure the continued credentialing of required licenses.

(2) The administrator shall develop policies and procedures for screening, hiring, and assessing staff which include practices that assist the employer in identifying employees that may pose risk or threat to the health, safety, or welfare of any resident and provide written documentation of findings and the outcome in the employee's file.