Healthcare Facility Compliance Checklist

Name: Maître AO
Author: Lumina Systèmes

Free

Regulatory compliance self-assessment for hospitals, nursing homes, clinics and medico-social facilities. ARS authorisations, HAS certification, safety, patient rights.

Compliant with CSP L6122 / HAS V2024 / CASF L312

Facility type

Select your facility type

Authorisations

ARS operating licence (CPOM signed)(CSP L6122-1)

Compliance inspection by ARS(CSP L6122-4)

Safety

Positive safety commission opinion (ERP type U/J)(Code construction R143-2)

Emergency and evacuation plan (EHPAD blue plan / hospital white plan)(CSP L3131-7)

DASRI management protocol and agreement with approved provider(CSP R1335-1)

Hot water sanitary logbook and Legionella prevention plan(Arrêté 01/02/2010)

Staff

Nursing staff/residents ratios compliant(Décret 2023-834)

Coordinating physician appointed (EHPAD)(CSP D312-155)

CPD plan (Continuing Professional Development) formalised(CSP L4021-1)

Patient rights

Welcome booklet provided to each resident/patient(CSP L1112-2 / CASF L311-4)

Collection of trusted person designation and advance directives(CSP L1111-6)

Social Life Council (CVS) installed and functional(CASF D311-3)

Quality

HAS external evaluation (formerly ANESM) completed(CASF L312-8)

Quality Improvement Programme (QIP) formalised(HAS / CSP L6144-1)

Serious adverse event reporting system(CSP L1413-14)

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