reglab/statecodes huggingface dataset:
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 1 - General Acute Care Hospitals › Article 1 - Definitions › Section 70061 - Special Permit

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Special permit means the document issued by the Department
					 which constitutes the authority to perform those supplemental services which
					 are identified as special services in Section
					 70351.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 1 - General Acute Care Hospitals › Article 1 - Definitions › Section 70062 - Special Hospital

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
"Special hospital" means a hospital which provides special
					 services in either rehabilitation, maternity, or dentistry, and which meets all
					 of the requirements for a general acute care hospital, except that it is not
					 required to provide surgical or anesthesia services.
1. New
					 section filed 7-28-78; effective thirtieth day thereafter (Register 78,
					 30.
Note: Authority cited: Sections
						208
						and
						1250,
						Health and Safety Code. Reference: ACR 67, Chapter 83, Statutes of
						1977.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 1 - General Acute Care Hospitals › Article 1 - Definitions › Section 70063 - Sterilization

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Sterilization means a process employed to destroy all
					 living organisms.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 1 - General Acute Care Hospitals › Article 1 - Definitions › Section 70065 - Supervision

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Supervision
				  means to instruct an employee or subordinate in his duties and to oversee or
				  direct his work, but does not necessarily require the immediate presence of the
				  supervisor.
(b) Direct supervision
				  means that the supervisor shall be present in the same building as the person
				  being supervised and available for consultation and/or assistance.
(c) Immediate supervision means that the
				  supervisor shall be physically present while a task is being
				  performed.
1. Editorial
					 correction removing duplicative text (Register 2014, No.
					 40).
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 1 - General Acute Care Hospitals › Article 1 - Definitions › Section 70067 - Supplemental Service

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Supplemental service means an organized inpatient or
					 outpatient service which is not required to be provided by law or
					 regulation.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 1 - General Acute Care Hospitals › Article 1 - Definitions › Section 70069 - Unit Dose Medication System

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Unit dose medication system means a system in which single
					 dosage units of drugs are prepackaged and prelabeled in accordance with all
					 applicable laws and regulations governing these practices. The system shall
					 also comprise, but not be limited to, all equipment and appropriate records
					 necessary and used in making the dose available to the patient in an accurate
					 and safe manner. A pharmacist shall be in charge of and responsible for the
					 system.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 1 - General Acute Care Hospitals › Article 2 - License › Section 70101 - Inspection of Hospitals

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
				  The Department shall inspect and license hospitals.
(b) Any officer, employee or agent of the
				  Department may, upon presentation of proper identification, enter and inspect
				  any building or premises at any reasonable time to secure compliance with, or
				  to prevent a violation of, any provision of these regulations.
(c) All hospitals for which a license has
				  been issued shall be inspected periodically by a representative or
				  representatives appointed by the Department. Inspections shall be conducted as
				  frequently as necessary, but not less than once every two years, to assure that
				  quality care is being provided. During the inspection, the representative or
				  representatives of the Department shall offer such advice and assistance to the
				  hospital as is appropriate. For hospitals of 100 licensed bed capacity or more,
				  the inspection team shall include at least a physician, registered nurse and
				  persons experienced in hospital administration and sanitary
				  inspections.
(d) The Department may
				  provide consulting services upon request to any hospital to assist in the
				  identification or correction of deficiencies or the upgrading of the quality of
				  care provided by the hospital.
(e)
				  The Department shall notify the hospital of all deficiencies of compliance with
				  these regulations and the hospital shall agree with the Department upon a plan
				  of corrections which shall give the hospital a reasonable time to correct such
				  deficiencies. If at the end of the allotted time, as revealed by repeat
				  inspection, the hospital has failed to correct the deficiencies, the Director
				  may take action to revoke or suspend the license.
(f) Reports on the results of each inspection
				  of a hospital shall be prepared by the inspector or inspection team and shall
				  be kept on file in the Department along with the plan of correction and
				  hospital comments. The inspection report may include a recommendation for
				  reinspection. All inspection reports, lists of deficiencies and plans of
				  correction shall be open to public inspection without regard to which body
				  performs the inspection.
(g) The
				  Department shall have the authority to contract for outside personnel to
				  perform inspections of hospitals as the need arises. The Department, when
				  feasible, shall contract with nonprofit, professional organizations which have
				  demonstrated the ability to carry out the provisions of this section. Such
				  organizations shall include, but not be limited to, the California Medical
				  Association Committee on Medical Staff Surveys and participants in the
				  Consolidated Hospital Survey Program.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 1 - General Acute Care Hospitals › Article 2 - License › Section 70103 - License Required

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) No
				  person, firm, partnership, association, corporation, political subdivision of
				  the state or other governmental agency shall establish, operate or maintain a
				  hospital, or hold out, represent, or advertise by any means that it operates a
				  hospital, without first obtaining a license from the Department.
(b) The provisions of this article do not
				  apply to any facility conducted by and for the adherents of any well-recognized
				  church or religious denomination for the purpose of providing facilities for
				  the care or treatment of the sick who depend upon prayer or spiritual means for
				  healing in the practice of the religion of such church or
				  denomination.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 1 - General Acute Care Hospitals › Article 2 - License › Section 70105 - Application Required

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) A
				  verified application shall be forwarded to the Department whenever any of the
				  following circumstances occur:
(1)
				  Construction of a new or replacement facility or addition to an existing
				  facility.
(2) Increase or decrease
				  of licensed bed capacity.
(3) Added
				  service or change from one service to another.
(4) Change of ownership.
(5) Change of name of hospital.
(6) Change of license category.
(7) Change of location of the
				  hospital.
(8) Change of bed
				  classification.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 1 - General Acute Care Hospitals › Article 2 - License › Section 70107 - Content of Application

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
				  Any person, firm, partnership, association, corporation, political subdivision
				  of the state, state agency or other governmental agency desiring to obtain a
				  license shall file with the Department an application on forms furnished by the
				  Department. The application shall contain the following information:
(1) Name of applicant and, if an individual,
				  verification that the applicant has attained the age of 18 years.
(2) Type of facility to be operated and types
				  of services for which approval is requested.
(3) Location of the hospital.
(4) Name of person in charge of the
				  hospital.
(5) If the applicant is
				  an individual, satisfactory evidence that the applicant is of reputable and
				  responsible character.
(6) If
				  applicant is a firm, association, organization, partnership, business trust,
				  corporation or company, satisfactory evidence that the members or shareholders
				  thereof and the person in charge of the hospital for which application for
				  license is made are of reputable and responsible character.
(7) If the applicant is a political
				  subdivision of the State or other governmental agency, satisfactory evidence
				  that the person in charge of the hospital for which application for license is
				  made is of reputable and responsible character.
(8) If the applicant is a partnership, the
				  name and principal business address of each partner.
(9) If the applicant is a corporation, the
				  name and principal business address of each officer and director of the
				  corporation; and for nonpublic corporations, the name and business address of
				  each stockholder owning 10 percent or more of the stock and any corporate
				  member who has responsibility in the operation of the hospital.
(10) Copy of the current organizational
				  chart.
(11) Certificate of Need or
				  a Certificate of Exemption from the Department if required by Chapter 1,
				  Division 7 of this title.
(12) Such
				  other information or documents as may be required by the Department for the
				  proper administration and enforcement of the licensing law and
				  requirements.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 1 - General Acute Care Hospitals › Article 2 - License › Section 70109 - Architectural Plans

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Applications submitted for proposed construction of new
					 hospitals or additions to licensed hospitals shall include architectural plans
					 and specifications. Information contained in such applications shall be on file
					 in the Department and available to interested individuals and community
					 agencies.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 1 - General Acute Care Hospitals › Article 2 - License › Section 70110 - Fee

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Each
				  application for a license shall be accompanied by the prescribed fee as
				  authorized by Health and Safety Code, section
				  1266.
(b) No fee shall be refunded to the applicant
				  if the application is withdrawn or if the application is denied by the
				  Department.
(c) An additional fee
				  of $25.00 shall be paid for processing any change of name. However, no
				  additional fee shall be charged for any change of name, which is processed upon
				  a renewal application or upon an application filed because of a change of
				  ownership.
(d) Fees for licenses
				  which cover periods in excess of 12 months shall be prorated on the basis of
				  the number of months to be licensed divided by 12 months.
(e) Fees shall be waived for any facility
				  conducted, maintained or operated by this state or any state department,
				  authority, bureau, commission or officer or by the Regents of the University of
				  California or by a local hospital district, city or county.
1. New
					 section filed 1-30-80; effective thirtieth day thereafter (Register 80, No.
					 5).
2. Change without regulatory effect amending subsection (a),
					 repealing subsections (b) and (c), relettering subsections and amending NOTE
					 filed 1-9-2013 pursuant to section
					 100, title 1, California Code of
					 Regulations (Register 2013, No. 2).
Note: Authority cited: Sections
						1266,
						1275 and 131200. Health and Safety Code. Reference: Sections
						1266,
						131050,
						131051
						and
						131052,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 1 - General Acute Care Hospitals › Article 2 - License › Section 70111 - Fee. [Repealed]

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
1. Amendment
					 of subsections (a), (b), and (c) filed 10-8-76; effective thirtieth day
					 thereafter (Register 76, No. 41).
2. Amendment of subsections (a),
					 (b) and (c) filed 1-4-77; effective thirtieth day thereafter (Register 77, No.
					 2).
3. Amendment of subsections (a), (b), (c), (e), and (f) filed
					 11-8-78; effective thirtieth day thereafter (Register 78, No.
					 45).
4. Amendment of subsections (a), (b), and (c), and repealer of
					 subsection (g) filed 5-2-79; effective thirtieth day thereafter (Register 79,
					 No. 18).
5. Change without regulatory effect repealing section filed
					 1-9-2013 pursuant to section
					 100, title 1, California Code of
					 Regulations (Register 2013, No. 2).
Note: Authority cited: Sections
						1275, and
						1729 Health and Safety Code.
						Reference: Sections
						1266,
						and
						1729,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 1 - General Acute Care Hospitals › Article 2 - License › Section 70113 - Health Planning Agency Review. [Repealed]

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
1. Repealer
					 filed 12-3-76 as an emergency; effective upon filing (Register 76, No.
					 49).
2. Reinstatement of section as it existed prior to emergency
					 repealer filed 12-3-76 as to filing of 6-13-75 by operation of Section
					 11422.1(b),
					 Government Code (Register 77, No. 22).
3. Repealer filed 3-31-78;
					 effective thirtieth day thereafter (Register 78, No. 13).
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 1 - General Acute Care Hospitals › Article 2 - License › Section 70113 - Projects Requiring a Certificate of Need. [Repealed]

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
1. Repealer
					 filed 5-25-77; effective thirtieth day thereafter (Register 77, No. 22). For
					 prior history, see Register 77, No. 11.
Note: Authority cited: Sections
						208,
						1250,
						1250.1,
						1251,
						1255,
						and
						1268,
						Health and Safety Code. Reference Chapter 854, Statutes of 1976.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 1 - General Acute Care Hospitals › Article 2 - License › Section 70113.1 - Projects Eligible for a Certificate of Exemption. [Repealed]

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
1. Repealer
					 filed 5-25-77; effective thirtieth day thereafter (Register 77, No. 22). For
					 prior history, see Register 77, No. 11.
Note: Authority cited: Sections
						208,
						1250,
						1250.1,
						1251,
						1255,
						and
						1268,
						Health and Safety Code. Reference: Chapter 854, Statutes of
						1976.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 1 - General Acute Care Hospitals › Article 2 - License › Section 70113.2 - Projects Not Subject to Review by a Voluntary Area Health Planning Agency. [Repealed]

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
1. Repealer
					 filed 5-25-77; effective thirtieth day thereafter (Register 77, No. 22). For
					 prior history, see Register 77, No. 11.
Note: Authority cited: Sections
						208,
						1250,
						1250.1,
						1251,
						1255,
						and
						1268,
						Health and Safety Code. Reference: Chapter 854, Statutes of
						1976.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 1 - General Acute Care Hospitals › Article 2 - License › Section 70113.3 - Projects Previously Decided by a Voluntary Area Health Planning Agency. [Repealed]

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
1. Repealer
					 filed 5-25-77; effective thirtieth day thereafter (Register 77, No. 22). For
					 prior history, see Register 77, No. 11.
Note: Authority cited: Sections
						208,
						1250,
						1250.1,
						1251,
						1255,
						and
						1268,
						Health and Safety Code. Reference: Chapter 854, Statutes of
						1976.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 1 - General Acute Care Hospitals › Article 2 - License › Section 70113.4 - Exemption Requests for Remodeling and Replacement Projects. [Repealed]

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
1. Repealer
					 filed 5-25-77; effective thirtieth day thereafter (Register 77, No. 22). For
					 prior history, see Register 77, No. 11.
Note: Authority cited: Sections
						208,
						1250,
						1250.1,
						1251,
						1255,
						and
						1268,
						Health and Safety Code. Reference: Chapter 854, Statutes of
						1976.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 1 - General Acute Care Hospitals › Article 2 - License › Section 70114 - Bed Classification. [Repealed]

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
1. New
					 section filed 10-5-76 as an emergency; effective upon filing (Register 76, No.
					 41).
2. Certificate of Compliance filed 1-31-77 (Register 77, No.
					 6).
3. Change without regulatory effect repealing section filed
					 1-9-2013 pursuant to section
					 100, title 1, California Code of
					 Regulations (Register 2013, No. 2).
Note: Authority cited: Sections
						208
						and
						1250.1,
						Health and Safety Code. Reference: Chapter 854, Statutes of
						1976.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 1 - General Acute Care Hospitals › Article 2 - License › Section 70115 - Safety, Zoning and Building Clearance

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Architectural plans shall not be approved
				  and a license shall not be originally issued to any hospital which does not
				  conform to: the regulations in this chapter; state requirements on seismic
				  safety, fire and life safety and environmental impact; and local fire safety,
				  zoning and building ordinances. Evidence of such compliance shall be presented
				  in writing to the Department.
(b)
				  It shall be the responsibility of the licensee to maintain the hospital in a
				  safe structural condition. If the Department determines that an evaluation of
				  the structural condition of a hospital building is necessary, the licensee may
				  be required to submit a report by a licensed structural engineer which shall
				  establish a basis for eliminating or correcting the structural conditions which
				  are found to be hazardous to occupants.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 1 - General Acute Care Hospitals › Article 2 - License › Section 70117 - Issuance, Expiration and Renewal

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Upon verification of compliance with the
				  licensing requirements, the Department shall issue the applicant a
				  license.
(b) If the applicant is
				  not in compliance with the laws or regulations, the Department shall deny the
				  applicant a license and shall immediately notify the applicant in writing.
				  Within 20 days of receipt of the Department's notice, the applicant may present
				  his written petition for a hearing to the Department. The Department shall set
				  the matter for hearing within 30 days after receipt of the petition in proper
				  form. The proceedings shall be conducted in accordance with Chapter 5
				  (commencing with Section
				  11500) of Part 1 of Division 3 of
				  Title 2 of the Government Code.
(c)
				  Each initial license shall expire at midnight, one year from the date of issue.
				  A renewal license:
(1) May be issued for a
				  period not to exceed two years if the holder of the license has been found not
				  to have been in violation of any statutory requirements, regulations or
				  standards during the preceding license period.
(2) Shall reflect the number of beds that
				  meet construction and operational requirements and shall not include beds
				  formerly located in patient accommodation space which has been permanently
				  converted.
(3) Shall not be issued
				  if the hospital is liable for and has not paid the special fees required by
				  Section 90417, Chapter 1, Division 7, of
				  this Title.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 1 - General Acute Care Hospitals › Article 2 - License › Section 70119 - Provisional Licensing of Distinct Parts

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The initial license, issued by the
				  Department to an applicant when the hospital includes a distinct part which
				  will function as a skilled nursing or intermediate care service, shall include
				  a separate provisional authorization for the distinct part. The provisional
				  authorization for the distinct part service shall terminate six months from the
				  date of issuance. The Department shall give the distinct part, and supporting
				  elements of the hospital, a full and complete inspection within 30 days prior
				  to termination of the provisional authorization. A regular authorization will
				  be included in the license if the hospital and distinct part meet all
				  applicable requirements for licensure. If the hospital does not meet the
				  requirements for licensure but has made substantial progress toward meeting
				  such requirements, as determined by the Department, the initial provisional
				  license shall be renewed for six months. If the Department determines that
				  there has not been substantial progress toward meeting licensure requirements
				  at the time of the first full inspection provided by this section, or if the
				  Department determines upon its inspection made within 30 days of the
				  termination of a renewed provisional license that there is lack of full
				  compliance with such requirements, no further license shall be
				  issued.
(b) An applicant who has
				  been denied provisional licensing may contest such denial by filing a statement
				  of issues, as provided in Section
				  11504 of
				  the Government Code: The proceedings to review such denial shall be conducted
				  pursuant to the provisions of Chapter 5 (commencing with Section
				  11500), Part 1, Division 3, Title
				  2, of the Government Code.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 1 - General Acute Care Hospitals › Article 2 - License › Section 70121 - Separate Licenses

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Separate licenses shall be required for hospitals which are
					 maintained on separate premises even though they are under the same management.
					 This does not apply to outpatient departments or clinics of hospitals
					 designated as such which are maintained and operated on separate premises.
					 Separate licenses shall not be required for separate buildings on the same
					 grounds or adjacent grounds.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 1 - General Acute Care Hospitals › Article 2 - License › Section 70123 - Posting

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
The license, or a true copy thereof, shall be posted
					 conspicuously in a prominent location within the licensed premises and
					 accessible to public view.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 1 - General Acute Care Hospitals › Article 2 - License › Section 70125 - Transferability

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Licenses are not transferable. The licensee shall notify
					 the Department in writing at least 30 days prior to the effective date of any
					 change of ownership. A new application for license shall be submitted by the
					 prospective new owner.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 1 - General Acute Care Hospitals › Article 2 - License › Section 70127 - Report of Changes

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The
				  licensee shall notify the Department in writing any time a change of
				  stockholder owning ten percent or more of the non-public corporate stock
				  occurs. Such notice shall include the name and principal mailing address of the
				  new stockholder.
(b) Each licensee
				  shall notify the Department in writing within ten days prior to any change of
				  the mailing address of the licensee. Such notice shall include the new mailing
				  address of the licensee.
(c) Any
				  change in the principal officer shall be reported in writing within ten days by
				  the licensee to the Department. Such notice shall include the name and
				  principal business address of such officer.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 1 - General Acute Care Hospitals › Article 2 - License › Section 70129 - Program Flexibility

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
				  All hospitals shall maintain continuous compliance with the licensing
				  requirements. These requirements do not prohibit the use of alternate concepts,
				  methods, procedures, techniques, equipment, personnel qualifications or the
				  conducting of pilot projects provided such exceptions are carried out with the
				  provisions for safe and adequate care and with the prior written approval of
				  the Department. Such approval shall provide for the terms and conditions under
				  which the exception is granted. A written request plus supporting evidence
				  shall be submitted by the applicant or licensee to the Department.
(b) Hospitals which by reason of remoteness
				  are unable to comply with provisions of the regulations for basic services and
				  perinatal or pediatric services, shall submit a written request to the
				  Department for exception. In reviewing such request, special attention may be
				  required regarding qualifications of medical staff and personnel.
(c) Special exceptions may be granted under
				  this section for hospitals required to provide services and accommodations for
				  persons who may have dangerous propensities necessitating special precautions,
				  personnel with special qualifications, locked accommodations, special
				  protection for windows, type and location of lighting and plumbing fixtures,
				  signal systems, control switches, beds and other furnishings. This applies to
				  psychiatric units and detention facilities where added protection is necessary
				  for patients, staff members and members of the public.
(d) Any approval of the Department granted
				  under this section or a true copy thereof, shall be posted immediately adjacent
				  to the facility's license that is required to be posted by Section
				  70123.
1. Editorial
					 correction of subsection (b) (Register 95, No.
					 44).
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 1 - General Acute Care Hospitals › Article 2 - License › Section 70131 - Voluntary Suspension of License or Licensed Beds

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Upon written request, a licensee may
				  request that his license or licensed beds be put in suspense. The Department
				  may approve the request for a period not to exceed 12 months.
(b) Any license or portion thereof which ha
				  been temporarily suspended by the Department pursuant to this section shall
				  remain subject to all renewal requirements of an active license, including the
				  payment of license renewal fees, during the period of temporary
				  suspension.
(c) Any license
				  suspended pursuant to this section may be reinstated by the Department within
				  12 months of the date of suspension upon receipt of an application and evidence
				  showing compliance with licensing operational requirements in effect at the
				  time of reinstatement. If the license is not reinstated within the 12 month
				  period, the license shall expire automatically and shall not be subject to
				  reinstatement.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 1 - General Acute Care Hospitals › Article 2 - License › Section 70133 - Voluntary Cancellation of License

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The licensee shall notify the Department
				  in writing as soon as possible and in all cases at least 30 days prior to the
				  desired effective date of cancellation of the license.
(b) Any license voluntarily cancelled
				  pursuant to this section may be reinstated by the Department within 12 months
				  of the date of voluntary cancellation upon receipt of an application along with
				  evidence showing compliance with operational and construction licensing
				  requirements.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 1 - General Acute Care Hospitals › Article 2 - License › Section 70135 - Revocation or Involuntary Suspension of License

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Pursuant to provisions of Chapter 5
				  (commencing with Section
				  11500), Part 1, Division 3, of
				  Title 2, Government Code, the Department may suspend or revoke any license
				  issued under the provisions of Chapter 2 (commencing with Section
				  1250), Division 2, Health and
				  Safety Code, upon any of the following grounds.
(1) Violation by the licensee of any of the
				  provisions of Chapter 2 (commencing with Section
				  1250), Division 2, Health and
				  Safety Code, or the regulations promulgated by the Department.
(2) Aiding, abetting or permitting the
				  violation of any provisions of Chapter 2 (commencing with Section
				  1250), Division 2, Health and
				  Safety Code, or the regulations promulgated by the Department.
(3) Conduct inimical to the public health,
				  morals, welfare or safety of the people of the State of California in the
				  maintenance and operation of the premises or services for which a license is
				  issued.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 1 - General Acute Care Hospitals › Article 2 - License › Section 70136 - Conviction of Crime: Standards for Evaluating Rehabilitation

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
When considering the denial, suspension or revocation of a
					 license based on the conviction of a crime in accordance with Section
					 1265.1
					 or
					 1294
					 of the Health and Safety Code, the following criteria shall be considered in
					 evaluating rehabilitation:
(1) The
				  nature and the seriousness of the crime(s) under consideration.
(2) Evidence of conduct subsequent to the
				  crime which suggests responsible or irresponsible character.
(3) The time which has elapsed since
				  commission of the crime(s) or conduct referred to in subdivision (1) or
				  (2).
(4) The extent to which the
				  applicant has complied with any terms of parole, probation, restitution, or any
				  other sanction lawfully imposed against the applicant.
(5) Any rehabilitation evidence submitted by
				  the applicant.
1. New
					 section filed 9-13-84; effective thirtieth day thereafter (Register 84, No.
					 37).
Note: Authority cited: Sections
						208(a),
						1265.2
						and
						1275,
						Health and Safety Code. Reference: Sections
						1265.1,
						1265.2
						and
						1294,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 1 - General Acute Care Hospitals › Article 2 - License › Section 70137 - Bonds

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Each licensee
				  shall file or have on file with the Department a bond issued by a surety
				  company admitted to do business in this State if the licensee is handling or
				  will handle money in the amount of $25 or more per patient or $500 or more for
				  all patients in any month.
(1) The amount of
				  the bond shall be according to the following schedule:
Amount Handled
Bond
							 Required
$750 or
							 less..........................
..........................$1,000
$751 to
							 $1,500..........................
..........................$2,000
$1,501 to
							 $2,500..........................
..........................$3,000
(2)
				  Every further increment of $1,000 or fraction thereof shall require an
				  additional $1,000 on the bond.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 1 - General Acute Care Hospitals › Article 3 - Basic Services › Section 70201 - Medical Service Definition

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Medical service means those preventive, diagnostic and
					 therapeutic measures performed by or at the request of members of the organized
					 medical staff.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 1 - General Acute Care Hospitals › Article 3 - Basic Services › Section 70203 - Medical Service General Requirements

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) A committee of the medical staff shall be
				  assigned responsibility for:
(1) Recommending
				  to the governing body the delineation of medical privileges.
(2) Developing, maintaining and implementing
				  written policies and procedures in consultation with other appropriate health
				  professionals and administration. Policies shall be approved by the governing
				  body. Procedures shall be approved by the administration and medical staff
				  where such is appropriate.
(3)
				  Developing and instituting, in conjunction with members of the medial staff and
				  other hospital services, a continuing cardiopulmonary resuscitation training
				  program.
(4) Determining what
				  emergency equipment and supplies should be available in all areas of the
				  hospital.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 1 - General Acute Care Hospitals › Article 3 - Basic Services › Section 70205 - Medical Service Staff

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
A physician shall have overall responsibility for the
					 medical service. This physician shall be certified or eligible for
					 certification in internal medicine by the American Board of Internal Medicine.
					 If such an internist is not available, a physician, with training and
					 experience in internal medicine, shall be responsible for the
					 service.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 1 - General Acute Care Hospitals › Article 3 - Basic Services › Section 70207 - Medical Service Equipment and Supplies

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
There shall be adequate equipment and supplies maintained
					 related to the nature of the needs and the services offered.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 1 - General Acute Care Hospitals › Article 3 - Basic Services › Section 70209 - Medical Service Space

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
There shall be adequate space maintained to meet the needs
					 of the service.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 1 - General Acute Care Hospitals › Article 3 - Basic Services › Section 70211 - Nursing Service General Requirements

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The nursing service shall be organized,
				  staffed, equipped, and supplied, including furnishings and resource materials,
				  to meet the needs of patients and the service.
(b) The nursing service shall be under the
				  direction of an administrator of nursing services who shall be a registered
				  nurse with the following qualifications:
(1)
				  Master's degree in nursing or a related field with at least one year of
				  experience in administration; or
(2) Baccalaureate degree in nursing or a
				  related field with at least two years of experience in nursing administration;
				  or
(3) At least four years of
				  experience in nursing administration or supervision, with evidence of
				  continuing education directly related to the job
				  specifications.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 1 - General Acute Care Hospitals › Article 3 - Basic Services › Section 70213 - Nursing Service Policies and Procedures

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Written policies and procedures for
				  patient care shall be developed, maintained and implemented by the nursing
				  service.
(1) Policies and procedures which
				  involve the medical staff shall be reviewed and approved by the medical staff
				  prior to implementation.
(2)
				  Policies and procedures of other departments which contain requirements for the
				  nursing service shall be reviewed and approved by the nursing service prior to
				  implementation.
(3) The nursing
				  service shall review and revise policies and procedures every three years, or
				  more often if necessary.
(4) The
				  hospital administration and the governing body shall review and approve all
				  policies and procedures that relate to the nursing service every three years or
				  more often, if necessary.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 1 - General Acute Care Hospitals › Article 3 - Basic Services › Section 70214 - Nursing Staff Development

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
				  There shall be a written, organized in-service education program for all
				  patient care personnel, including temporary staff as described in subsection
				  70217(m). The
				  program shall include, but shall not be limited to, orientation and the process
				  of competency validation as described in subsection
				  70213(c).
(1) All patient care personnel, including
				  temporary staff as indicated in subsection
				  70217(m), shall
				  receive and complete orientation to the hospital and their assigned patient
				  care unit before receiving patient care assignments. Orientation to a specific
				  unit may be modified in order to meet temporary staffing emergencies as
				  described in subsection
				  70213(e).
(2) All patient care personnel, including
				  temporary staff as described in subsection
				  70217(m), shall
				  be subject to the process of competency validation for their assigned patient
				  care unit or units. Prior to the completion of validation of the competency
				  standards for a patient care unit, patient care assignments shall be subject to
				  the following restrictions:
(A) Assignments
				  shall include only those duties and responsibilities for which competency has
				  been validated.
(B) A registered
				  nurse who has demonstrated competency for the patient care unit shall be
				  responsible for nursing care as described in subsections
				  70215(a) and
				  70217(h)(3), and
				  shall be assigned as a resource nurse for those registered nurses and licensed
				  vocational nurses who have not completed competency validation for that
				  unit.
(C) Registered nurses shall
				  not be assigned total responsibility for patient care, including the duties and
				  responsibilities described in subsections
				  70215(a) and
				  70217(h)(3),
				  until all the standards of competency for that unit have been
				  validated.
(3) The duties
				  and responsibilities of patient care personnel who may be temporarily
				  re-directed from their assigned units are subject to the restrictions in (A),
				  (B), and (C) of subsection (a)(2) above.
(4) Orientation and competency validation
				  shall be documented in the employee's file and shall be retained for the
				  duration of the individual's employment.
(5) A rural General Acute Care Hospital, as
				  defined in Health and Safety Code Section
				  1250(a),
				  may apply for program flexibility pursuant to Section
				  70129 of this Chapter, to meet the
				  requirements of subsections
				  70214(a)(1) through
				  (4) above, by alternate
				  means.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 1 - General Acute Care Hospitals › Article 3 - Basic Services › Section 70215 - Planning and Implementing Patient Care

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) A registered nurse shall directly
				  provide:
(1) Ongoing patient assessments as
				  defined in the Business and Professions Code, section
				  2725(b)(4).
				  Such assessments shall be performed, and the findings documented in the
				  patient's medical record, for each shift, and upon receipt of the patient when
				  he/she is transferred to another patient care area.
(2) The planning, supervision,
				  implementation, and evaluation of the nursing care provided to each patient.
				  The implementation of nursing care may be delegated by the registered nurse
				  responsible for the patient to other licensed nursing staff, or may be assigned
				  to unlicensed staff, subject to any limitations of their licensure,
				  certification, level of validated competency, and/or regulation.
(3) The assessment, planning, implementation,
				  and evaluation of patient education, including ongoing discharge teaching of
				  each patient. Any assignment of specific patient education tasks to patient
				  care personnel shall be made by the registered nurse responsible for the
				  patient.