Source: http://rcfereform.org/faq/Frequently-Asked-Questions
Timestamp: 2017-03-30 20:29:04
Document Index: 36382754

Matched Legal Cases: ['§ 87611', '§ 87612', '§ 87405', '§87157', '§87761', '§87756']

Frequently Asked Questions? - FAQs arranged by category | Consumer Advocates For RCFE Reform
Frequently Asked Questions? - FAQs arranged by category
TERMS Glossary Activities of Daily Living (ADLs) Activities of daily living (ADLs) are everyday routines generally involving functional mobility and personal care. Examples include bathing, dressing, toileting and self-feeding.
The most common waiver requested is a hospice waiver. When a facility requests a hospice waiver, it is requesting permission to accept, or retain any resident, at any time in the future, who may require hospice services. The facility must submit a written request for a waiver. Typically, Community Care Licensing (CCL) will approve the waiver if the facility is determined, through a case management visit, to be in substantial compliance. A waiver is in contrast to an "exception" , which is a variance from the regulations based on a unique need or circumstance of a specific resident or staff person. An exception cannot be transferred or applied to any other individual. Date: Facility file last reviewed by CARR The date CARR last reviewed the public file on any specific facility in CARR's database, is featured prominently on the Facility Search profile results - directly under the facility phone number in a large gray box. When the file is next reviewed, the new date of CARR's review will be posted. The data CARR presents for that facility existed in the file on that date. We do not scan all documents in the public file; rather we scan those that have the highest volume of information required by the consumer in order to make a placement decision. During CARR's research, many files were found to be incomplete and outdated. If you are concerned that the specific facility you are considering is missing documentation that you would find helpful in making your placement decision, upon question, CARR will be pleased to reevaluate the file at CCLD for you Contact Us. You can also contact CCLD directly to inquire about file access and updates. If you have public documents about an RCFE, and would like to see them posted, please Contact Us: If they meet our requirements, we will post them for you. UNDERSTANDING RCFEs Understanding RCFE Care & Services Allowable Health Conditions: General Requirements Title 22 § 87611 & § 87612
Understanding the RCFE's Public File at CCLD Public file: What information is contained in a facility's? On this website, CARR has provided relevant information found in the public file on licensed facilities in San Diego and Imperial Counties. CARR collected this information from the public files housed at Community Care Licensing Division (CCLD). These files are physically available at the state's offices for all to view. If you choose to review a file at CCLD you will first have to submit, either in person, or over the phone, a California Public Records Act (CPRA) Request, specifically requesting a file by facility name. Under the CPRA, they must respond to your request within 10 days.
CARR considers the LIC809 and LIC9099 documents to be the most important among those in its document database. These documents are the windows you have regarding how well the Licensee complies with the regulations. From these documents you can infer quality-of-care based on the types and frequency of deficiencies cited. If you don't have time to read any other documents about a facility, please read the LIC809s and LIC9099s for the facility you are interested in. If you need more information regarding certain documents in the file, please take a look at the Understanding California's Oversight & Regulation section and/or Understanding CCLDs Forms in our FAQ section or contact us. Public file: Why review prior to placement? Moving from one's home into the care of others is a very complex transition. And while a welcoming smile, glossy brochure and 20-minute tour of featured amenities may give you and your loved one the reassurance you need to embark on this difficult transition, what you really need to make this transition safely and successfully, is the facts. Familiarizing yourself with a facility's history through review of the public file, or the documents from the public file offered on this site, can help bring into focus the entire picture. Of particular interest to any consumer is a detailed review of the inspection (LIC 809) reports, and the complaint documents (LIC 9099). A facility's file suggests a facility's weaknesses, strengths, any reoccurring challenges, a Licensees' level of responsibility, and the overall oversight of the facility. Understanding Medications Within RCFEs Crushing Medications: Requires Doctor's Orders Title 22, Section 87465 (a)(6)(D): "Incidental Medical and Dental Care Services," provides the state's requirements and guidance for crushing medications. There are only two reasons, per the regulations, when a medication can be crushed: to enhance swallowing, or to disguise the taste. Crushing a medication cannot be done to trick or deceive a resident into taking a medication s/he would otherwise refuse. Prior to any crushing of a resident's medications, the facility administrator must consult with a pharmacist and the physician. The consultation can be done verbally or in writing, but either way, must be documented; documentation becomes part of the resident's permanent medical record. Documentation required includes:
Understanding Facility Practices Administrator: What is? Title 22 (§ 87405 & 87406)
UNDERSTANDING STATE REGULATION Understanding California's Oversight & Regulation Application: Facility - Process and Review Title 22, §87157 CCLD issues a license to an applicant once the following conditions have been met:
Exceptions: Health Conditions Title 22 Section 87209 - Program Flexibility
Notes in italics represent the views and/or experiences of CARR regarding the topic and/or regulation. Understanding CCLD Forms LIC 200: Application LIC 200 - Application for a Community Care Facility or Residential Care Facility for the Elderly License.
Understanding Inspection and Enforcement Civil Penalties: What are? Title 22, §87761
CARR suggests consumers be watchful for repeated citations for violation of the same regulation - from one inspection to the next. These patterns should be discussed to your satisfaction with the Licensee if you are considering the facility for placement of your resident. Evaluations and Deficiencies: Facilities Title 22 §87756
*Complaints are recorded on LIC 9099s. If CARR has scans of this public document, or unofficial excerpts (LIC 9099F) available, they will be found under the Facility Search, by individual facility name. Violation: Type A The Evaluator's Manual Transmittal No. 09RM-18, 3-4200, dated 11/2009 states that a "Type A: Immediate Health, Safety or Personal Rights Impact - are violations of the regulations, and the Health and Safety Code that, if not corrected, have a direct and immediate risk to the health, safety or personal rights of those in care."