Page 275

disorders, kidney disease, stroke, or other genetic disorders or family conditions that may be significant; and

(6) infection history, including

(A) exposure to tuberculosis;

(B) whether the client or the baby’s father has a history of acquired immune deficiency syndrome (AIDS), the human immunodeficiency virus (HIV), genital herpes, or any sexually transmitted disease;

(C) whether the client has a history of gram positive Group B Streptococcus; and

(D) whether the client has experienced any rash or viral illness since her last menstrual period. (g) The birth center shall have a written plan for evaluating the services provided, for assessing outcomes, and for making necessary changes based on each evaluation. (h) Before admitting a client, the birth center shall ensure that the client has received ongoing prenatal care. If a client requests the services of the birth center late in pregnancy and has no evidence of ongoing prenatal care, the birth center shall ensure that

(1) the risk assessment conducted in accordance with the standards developed under (f) of this section includes necessary laboratory testing;

(2) the client establishes regular and ongoing prenatal care; and

(3) the period of time before admission for labor and delivery is adequate to establish the client’s appropriateness for birth center services. (i) The birth center shall develop and implement a policy approved by the governing body that provides the protocols, procedures, and parameters for acceptance of a client who requests services late in pregnancy and who has not had regular ongoing prenatal care. (j) The birth center shall develop and implement policies and procedures that

(1) include screening for domestic violence or other relationship safety issues at least once during each trimester; and

(2) describe how the birth center will address a domestic violence or relationship safety issue if encountered, including

(A) informing the client about available resources for assistance; and

(B) reporting to authorities, if appropriate. (k) The birth center shall develop and implement a policy and procedures manual that includes all aspects of birth center practice and care, and shall ensure that the manual is available to the clinical and support staff at all times.