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 4 - Intermediate Care Facilities › Article 3 - Services › Section 73369 - Pharmaceutical Service-Disposal of Drugs

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Drugs may be sent with the patient upon
				  discharge if so ordered by the discharging physician. Such drugs shall be
				  dispensed in compliance with the California Pharmacy Laws and Regulations. A
				  record of the drugs sent with the patient shall be made in the patient's health
				  record.
(b) Discontinued individual
				  patient's drugs supplied by prescription or those which remain in the facility
				  after discharge shall be destroyed by the facility in the following manner:
(1) Drugs listed in Schedules II, III or IV
				  of the Federal Comprehensive Drug Abuse Prevention and Control Act of 1970
				  shall be destroyed by the facility in the presence of a pharmacist and a
				  registered nurse employed by the facility. The name of the patient, the name
				  and strength of the drug, the prescription number, the amount destroyed, the
				  date of destruction and the signatures of the witnesses required above shall be
				  recorded in the patient's health record or in a separate log. Such log shall be
				  retained for at least three years.
(2) Drugs not listed under Schedules II, III
				  or IV of the Federal Comprehensive Drug Abuse Prevention and Control Act of
				  1970 shall be destroyed by the facility in the presence of a pharmacist or
				  registered nurse. The name of the patient, the name and strength of the drug,
				  the prescription number, if applicable, the amount destroyed, the date of
				  destruction and the signatures of two witnesses shall be recorded in the
				  patient's health record or in a separate log. Such log shall be retained for at
				  least three years.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 4 - Intermediate Care Facilities › Article 3 - Services › Section 73371 - Pharmaceutical Service-Unit Dose Medication System

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
There shall be at least a 24-hour supply of all patient
					 medications on hand at all times, excepting those drugs which are to be
					 discontinued within the 24-hour period. Drugs that are part of the system shall
					 not exceed a 48-hour supply.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 4 - Intermediate Care Facilities › Article 3 - Services › Section 73373 - Pharmaceutical Service-Staff

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Facilities shall have formal arrangements with a licensed
					 pharmacist to provide consultation on methods and procedures for ordering,
					 storage, administration and disposal and record keeping of drugs and
					 biologicals.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 4 - Intermediate Care Facilities › Article 3 - Services › Section 73375 - Pharmaceutical Service-Equipment and Supplies

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) There shall be adequate equipment and
				  supplies necessary for the provision of pharmaceutical services within the
				  facility. This includes:
(1) Refrigerator
				  with thermometer.
(2) Lockable drug
				  cabinets, drawers, or closets or rooms.
(3) Drug service trays and/or
				  carts.
(4) Drug preparation counter
				  area and convenient water source.
(5) Syringes, needles, rubber tubing, clamps,
				  droppers, medicine glasses, cups or other small containers which are accurately
				  calibrated.
(6) Reference materials
				  containing drug monographs on all drugs in use in the facility. Such monographs
				  shall include information concerning generic and brand names if applicable,
				  available strengths and dosage forms and pharmacological data including
				  indications and side effects.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 4 - Intermediate Care Facilities › Article 3 - Services › Section 73377 - Activity Program-Defined

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
An activity program means a program which is staffed and
					 equipped to meet the needs and interests of patients. Patients shall be
					 encouraged to participate in activities suited to their individual needs. An
					 activity program shall have a written planned schedule of social and other
					 purposeful independent or group activities for each patient designed to make
					 his life more meaningful, to stimulate and support his desire to use his
					 physical and mental capabilities to their fullest extent, to enable him to
					 maintain his highest attainable social, physical and emotional functioning, his
					 usefulness and self-respect but not necessarily to correct or remedy a
					 disability.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 4 - Intermediate Care Facilities › Article 3 - Services › Section 73379 - Activity Program-Scope

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The scope of the activity program shall
				  include:
(1) Social activities which involve
				  group participation and are designed to promote group relationships.
(2) Recreational activities, both indoor and
				  outdoor.
(3) Opportunity to
				  participate in activities outside the facility.
(4) Religious programs, including the right
				  of each patient to attend the church or religious program of his
				  choice.
(5) Creative and expressive
				  activities.
(6) Educational
				  activities.
(7)
				  Exercises.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 4 - Intermediate Care Facilities › Article 3 - Services › Section 73381 - Activity Program-Policies and Procedures

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Written policies and procedures governing
				  the conduct of the activity program shall be available for use by the activity
				  leader and other personnel assisting in the program. The policies and
				  procedures shall be developed by the patient care policy committee with the
				  assistance of the activity leader.
(b) The primary objectives of activity
				  programs shall be to encourage the patient toward restoration of self-care and
				  the resumption of normal activities, or for those who cannot realistically
				  resume normal activities, to prevent further mental or physical
				  deterioration.
(c) Opportunities
				  should be provided for patient involvement, both individual and group, in the
				  planning and implementation of the activity program.
(d) The program shall be designed so as to
				  offer patients the opportunity for choice among a variety of activities such as
				  discussion and study groups, reading, gardening, games, simple homemaking
				  tasks, exercise classes, musical and other creative activities and religious
				  programs. Attendance at religious services shall be voluntary.
(e) The facility shall be responsible for
				  encouraging participation by each patient in social and recreational activities
				  at least 10 hours per week unless this is documented to the contrary in the
				  patient's health record.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 4 - Intermediate Care Facilities › Article 3 - Services › Section 73383 - Activity Program-Activity Record

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
The record of each patient shall contain an activity plan.
					 Each plan shall be reviewed at least quarterly and changed according to need.
					 Progress notes shall be recorded at least quarterly in the patient's health
					 record.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 4 - Intermediate Care Facilities › Article 3 - Services › Section 73385 - Activity Program-Staff

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Activity program personnel with
				  appropriate training and experience shall be provided to meet the needs of
				  patients.
(b) Each facility shall
				  designate an activity leader who, under the direction of the administrator,
				  shall:
(1) Develop, implement and supervise
				  the activity program.
(2) Obtain
				  from the supervisor of health services a list of those patients who can
				  participate in each activity program.
(3) Conduct or participate in in-service
				  training of the staff of the facility and where appropriate and permissible,
				  recruit, train and supervise volunteers to assist with or augment the regular
				  program.
(4) Coordinate the
				  activities schedule with other patient services.
(5) Provide the administrator with a current
				  schedule of planned activities.
(6)
				  Post the current activity schedule conspicuously for the information of
				  patients and staff.
(7) Request and
				  maintain equipment and supplies.
(8) Maintain a current record of the type and
				  frequency of activities provided and the names of patients participating in
				  each activity.
(9) Develop and
				  maintain an appropriate schedule of activities for patients unable to leave
				  their rooms.
(10) Develop
				  appropriate contacts with community agencies and
				  organizations.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 4 - Intermediate Care Facilities › Article 3 - Services › Section 73387 - Activity Program-Equipment and Supplies

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
There shall be equipment and supplies necessary for the
					 program, including special equipment and supplies necessary for patients having
					 special needs and for both independent and group activities.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 4 - Intermediate Care Facilities › Article 3 - Services › Section 73389 - Activity Program-Space

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Designated indoor and outdoor activity
				  areas appropriate to independent and group needs of patients shall be
				  maintained. Such areas shall be as follows:
(1) Accessible to wheelchair and ambulatory
				  patients.
(2) Of sufficient size to
				  accommodate necessary equipment and permit unobstructed movement of wheelchair
				  and ambulatory patients or personnel responsible for instruction and
				  supervision.
(3) Have adequate
				  space to store equipment and supplies.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 4 - Intermediate Care Facilities › Article 3 - Services › Section 73391 - Special Disability Services

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Each special disability service shall
				  provide a therapeutic milieu facilitating the individual's ability to cope with
				  social, emotional and physical disabilities to reestablish independence and to
				  attain optimal potential. Each patient shall participate in a special
				  disability service specific to his identified program needs. A facility shall
				  not accept or care for any of the following types of patients who have an
				  identified program need unless a specific special disability program, approved
				  by the Department, is provided:
Group I. Developmentally Disabled
Group II. Substance Abuser
A. Alcohol Substance Abuser
B. Drug Substance Abuser
Group III. Mentally Disordered
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 4 - Intermediate Care Facilities › Article 3 - Services › Section 73393 - Special Disability Services-"Distinct Part"-"Program."

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) A "Special Disability Service Distinct
				  Part" means a licensed intermediate care facility with a separate identifiably
				  and physically independent unit or an entire intermediate care facility that
				  provides therapeutic programs to patients and which is licensed by the
				  Department to provide treatment to an identified special disability population
				  group.
(b) A "Special Disability
				  Program" means a therapeutic program of services and/or functions designed,
				  staffed and implemented by the Special Disability Service Distinct Part for the
				  purpose of meeting the specific needs of an identified population
				  group.
(c) Facilities having
				  multiple programs shall have appropriately designated areas to provide for
				  adequate segregation of patients by program where required by the Department.
				  No facility shall admit or care for patients of a program other than that for
				  which the facility is approved.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 4 - Intermediate Care Facilities › Article 3 - Services › Section 73395 - Special Disability Services-Program Approval

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The facility shall submit to the
				  Department a written description of its Special Disability Program which shall
				  meet all of the requirements of Section
				  73397. The facility shall also
				  specify any alternate requirements needed to implement a specific program. The
				  Department shall review the program and, if it determines that the program and
				  the proposed specific alternate requirements meet the specific needs of the
				  population group to be served, the Department shall issue its written approval
				  of the program and shall designate the specific alternate requirements that
				  shall govern the operation of the program. These specific alternate
				  requirements shall take precedence over the regulations contained in this
				  chapter. The Department may waive any requirement if the implementation of that
				  requirement would be detrimental to the program. Written justification for a
				  waiver request would be required.
(b) A facility shall comply with all
				  requirements of its approved Special Disability Program and also any approved
				  specific alternate requirement which shall govern the operation of the program
				  notwithstanding the provisions of any other regulation contained in this
				  chapter.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 4 - Intermediate Care Facilities › Article 3 - Services › Section 73397 - Special Disability Services-Program Requirements

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The facility shall specify each
				  population group that it plans to serve. For each group there shall be a
				  separate special disability program developed to meet specific needs of the
				  particular group. The program shall consist of the following components:
(1) Description of population group to be
				  served shall include the following:
(A) Age
				  (chronologic and developmental when applicable)
(B) Sex
(C) Physical characteristics
(D) Developmental characteristics
(E) Emotional
				  characteristics
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 4 - Intermediate Care Facilities › Article 3 - Services › Section 73399 - Special Disability Services-Rights of Patients

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Each patient admitted to a special
				  disability program in an intermediate care facility shall have the following
				  rights, a list of which shall be prominently posted in English and Spanish in
				  all facilities providing such services, and otherwise brought to the patient's
				  attention by such additional means as is appropriate:
(1) To wear his or her own clothes; to keep
				  and use his or her own personal possessions including toilet articles; and to
				  keep and be allowed to spend a reasonable sum of his or her own money for small
				  purchases.
(2) To have access to
				  individual storage space for private use.
(3) To see visitors each day.
(4) To have reasonable access to telephones,
				  both to make and receive confidential calls.
(5) To have ready access to letter writing
				  materials, including stamps and to mail and receive unopened
				  correspondence.
(6) To refuse shock
				  treatment.
(7) To refuse
				  lobotomy.
(8) Other rights as
				  provided by law.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 4 - Intermediate Care Facilities › Article 3 - Services › Section 73401 - Special Disability Services-Abuse and Corporal Punishment

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Patients shall not be subjected to verbal or physical abuse
					 of any kind. Corporal punishment of patients is prohibited.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 4 - Intermediate Care Facilities › Article 3 - Services › Section 73403 - Special Disability Services-Restraint and Seclusion

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Restraint and seclusion shall only be
				  used as emergency measures to protect the patient from injury to himself or
				  others. Restraint and seclusion shall not be used as punishment or as a
				  substitute for more effective medical and nursing care program. Restraints may
				  be used for:
(1) The protection of the
				  patient during treatment and diagnostic procedures, as intravenous therapy,
				  tube feeding and catheterization.
(2) To prevent infirm patients from falling
				  out of bed or chairs or otherwise injuring themselves.
(3) To protect the aggressive, assaultive,
				  acutely disturbed or severely confused patient from injuring himself or
				  others.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 4 - Intermediate Care Facilities › Article 3 - Services › Section 73405 - Special Disability Services-Acceptable Forms of Restraint

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Mechanical or
				  behavior restraint consists of any apparatus that interferes with the free
				  movement of a patient. Only the following types of restraint may be used:
(1) Soft tie consisting of cloth which
				  prevents movement of a patient.
(2)
				  Mittens without thumbs which are securely fastened around the wrist with a
				  small tie.
(3) Tie jackets
				  consisting of sleeveless cloth.
(4)
				  Restraining sheet consisting of a wide piece of muslin placed over the body of
				  the patient.
(5) Belts and cuffs,
				  which are well-padded, used to control a seriously disturbed, assaultive
				  patient.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 4 - Intermediate Care Facilities › Article 3 - Services › Section 73407 - Special Disability Services-Restrictions on Applying Restraints

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) In applying
				  restraints each of the following requirements shall be met:
(1) Careful consideration shall be given to
				  the methods by which the restraints may be speedily removed in the event of
				  fire or other emergency.
(2) Except
				  in rooms approved by the Department for seclusion, patients' rooms shall not be
				  locked when occupied.
(3) Patients
				  placed in restraint shall be observed by qualified treatment personnel at least
				  every half hour. This observation shall be noted and initialed in the patient's
				  health record.
(4) Patients placed
				  in seclusion shall be observed by qualified treatment personnel at least every
				  hour. This observation shall be noted and initialed in the patient's health
				  record.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 4 - Intermediate Care Facilities › Article 3 - Services › Section 73409 - Special Disability Services-Orders for Restraint and Seclusion

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Restraint and
				  seclusion shall only be used on the signed order of a licensed healthcare
				  practitioner acting within the scope of his or her professional licensure and
				  shall be renewed every 24 hours. In a clear case of emergency, a licensed
				  healthcare practitioner acting within the scope of his or her professional
				  licensure may give the order by telephone. In such an event, the licensed
				  healthcare practitioner shall sign the order within 48 hours.
(b) A daily log shall be maintained in each
				  facility exercising behavior restraint and seclusion indicating the name of the
				  patient for whom behavior restraint or seclusion is ordered, full documentation
				  of the episode leading to the behavior restraint or seclusion, the type of the
				  behavior restraint or seclusion used, the length of time and the name of the
				  individual applying such measures.
1. Amendment
					 of subsection (a) and new NOTE filed 3-3-2010; operative 4-2-2010 (Register
					 2010, No. 10).
Note: Authority cited: Sections
						1275,
						100275
						and
						131200,
						Health and Safety Code. Reference: Sections
						1276,
						1316.5,
						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 4 - Intermediate Care Facilities › Article 3 - Services › Section 73411 - Special Disability Services - Staff

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Professional staff shall include as a
				  minimum a Special Disability Professional on a full-time, part-time or
				  consultant basis.
(b) A registered
				  nurse, licensed vocational nurse or psychiatric technician shall be employed at
				  least 40 hours a week on the day shift and be responsible for nursing
				  supervision of the distinct part under the direction of the facility's
				  supervisor of health services. This person shall have at least one year of
				  experience or training related to the special disability service
				  offered.
(c) If the facility is
				  devoted entirely to the care of the mentally disordered or the developmentally
				  disabled or substance abusers, the director of nursing services shall have at
				  least one year of experience or training related to the special disability
				  service offered. If the facility is devoted entirely to the care of any
				  combination of the foregoing types of patients, the director of nursing
				  services shall have at least one year of experience or training in one of the
				  special disability services offered.
(d) Charge personnel on all shifts shall have
				  at least one year of experience or training related to the special disability
				  service offered.
(e) If the
				  facility is devoted entirely to the care of the mentally disordered or
				  developmentally disabled or substance abusers, there shall be at least one
				  registered nurse or licensed vocational nurse or psychiatric technician on duty
				  on all three shifts seven days per week.
(f) A psychiatric technician may serve as a
				  charge nurse only in a special disability unit and only under the supervision
				  of a registered nurse or licensed vocational nurse.
(g) Additional personnel shall be employed on
				  all shifts to provide an appropriate level of care as determined by the
				  Department.
(h) A special
				  disability worker may be in charge of a specific program within the distinct
				  part.
(i) A psychiatric technician
				  may administer medications only in a special disability unit.
1. Change
					 without regulatory effect amending section heading and subsections (b)-(c),
					 (e)-(f) and (i) and adding new NOTE filed 3-12-2013 pursuant to section
					 100, title 1, California Code of
					 Regulations (Register 2013, No. 11).
Note: Authority cited: Sections
						1275
						and
						131200,
						Health and Safety Code. Reference: Sections
						1276,
						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 4 - Intermediate Care Facilities › Article 3 - Services › Section 73413 - Special Disability Services-Equipment

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
There shall be sufficient equipment, assistive devices and
					 supplies available to implement the treatment and program as ordered or
					 indicated or necessary for meeting other physical, mental, emotional or
					 recreational needs of patients.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 4 - Intermediate Care Facilities › Article 3 - Services › Section 73415 - Special Disability Services-Space

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The distinct part shall have sufficient
				  accommodations, including dining, recreational and program areas to meet the
				  needs of the program.
(b) Indoor
				  and outdoor areas shall be designated for programs with appropriate equipment,
				  apparatus and adequate supplies which will meet the needs of the
				  patient.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 4 - Intermediate Care Facilities › Article 3 - Services › Section 73419 - Special Rehabilitation Program Services-Staffing

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) At the time of program approval, the
				  facility shall have employed a program director who has been approved by the
				  Department. The program director shall be on duty at least 40 hours per week
				  and shall have the responsibility for the supervision and coordination of the
				  special program staff and implementation of the in-service training program.
				  The program director shall not be the supervisor of health services, charge
				  nurse or facility administrator.
(b) The program director shall be either a
				  social worker, an occupational therapist, a psychologist, a physician, a
				  psychiatric technician, a registered nurse, an art therapist, a dance
				  therapist, a music therapist or a member of another profession approved by the
				  Department. The program director shall have the following minimum
				  qualifications:
(1) At least two years'
				  experience or training in a mental health setting, and
(2) At least one year of experience or
				  training in program development for the mentally
				  disordered.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 4 - Intermediate Care Facilities › Article 3 - Services › Section 73421 - Special Rehabilitation Program Services-in-Service Training

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The facility
				  shall ensure that all new staff providing program services shall receive at
				  least 20 hours of orientation and training within 60 days of employment.
				  Initial training shall include, but not be limited to the following:
(1) Orientation to special needs of the
				  mentally disordered.
(2)
				  Orientation to overall concepts of programs to meet the special needs of the
				  mentally disordered.
(3)
				  Orientation and training in specific program techniques being used in the
				  facility to meet the identified program needs of the
				  patients.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 4 - Intermediate Care Facilities › Article 3 - Services › Section 73423 - Special Rehabilitation Program Services-Patient Health Records

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The facility
				  shall insure that every patient receiving special program services shall have
				  an individual record which includes all of the following:
(1) A list of the patient's problems or
				  needs, as identified from the individual assessment.
(2) The behavioral objectives for resolving
				  problems or meeting needs of the patient. These objectives shall be measurable,
				  observable, within time frames and subject to frequent review and
				  updating.
(3) A statement of the
				  plan for how the behavioral objectives will be met. The statement shall
				  include, but not be limited to all of the following:
(A) Resources to be used.
(B) Frequency of plan review and
				  updating.
(C) Persons responsible
				  for carrying out plans.
(4) The progress notes written by all members
				  of the staff providing program services to the patient. The notes shall be:
(A) Specific to the needs or problems of the
				  patients.
(B) Specific to the
				  patient's program objectives and plans.
(5) A summary of the progress of the patient
				  in the program, the appropriateness of program objectives, the success or
				  failure of the plan and any other pertinent information regarding the patient's
				  program shall be available at the time of the patient's
				  reassessment.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 4 - Intermediate Care Facilities › Article 3 - Services › Section 73427 - Special Subacute Psychiatric Program Services-Staffing

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) At the time of program approval, the
				  facility shall have employed a program director who has been approved by the
				  Department. The program director shall be on duty at least 40 hours per week
				  and shall have the responsibility for the supervision and coordination of the
				  special program staff and implementation of the in-service training program.
				  The program director shall not be the supervisor of health services, charge
				  nurse or facility administrator.
(b) The program director shall be either a
				  social worker, an occupational therapist, a psychologist, a physician, a
				  psychiatric technician, a registered nurse, an art therapist, a dance
				  therapist, a music therapist, a recreation therapist or a member of another
				  profession approved by the Department. The program director shall have the
				  following minimum qualifications:
(1) At
				  least two years' experience or training in a mental health setting,
				  and
(2) At least one year of
				  experience or training in program development for the mentally
				  disordered.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 4 - Intermediate Care Facilities › Article 3 - Services › Section 73429 - Special Subacute Psychiatric Program Services-in-Service Training

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The facility
				  shall ensure that all new staff providing program services shall receive at
				  least 20 hours of orientation and training within 60 days of employment.
				  Initial training shall include, but not be limited to the following:
(1) Orientation to special needs of the
				  mentally disordered.
(2)
				  Orientation to overall concepts of programs to meet the special needs of the
				  mentally disordered.
(3)
				  Orientation and training in specific program techniques being used in the
				  facility to meet the identified program needs of the
				  patients.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 4 - Intermediate Care Facilities › Article 3 - Services › Section 73431 - Special Subacute Psychiatric Program Services-Patient Health Records

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The facility
				  shall insure that every patient receiving special program services shall have
				  an individual record which includes all of the following:
(1) A list of the patient's problems or
				  needs, as identified from the individual assessment.
(2) The behavioral objectives for resolving
				  problems or meeting needs of the patient. These objectives shall be measurable,
				  observable, within time frames and subject to frequent review and
				  updating.
(3) A statement of the
				  plan for how the behavioral objectives will be met. The statement shall
				  include, but not be limited to all of the following:
(A) Resources to be used.
(B) Frequency of plan review and
				  updating.
(C) Persons responsible
				  for carrying out plans.
(4) The progress notes written by all members
				  of the staff providing program services to the patient. The notes shall be:
(A) Specific to the needs or problems of the
				  patients.
(B) Specific to the
				  patient's program objectives and plans.
(5) A summary of the progress of the patient
				  in the program, the appropriateness of program objectives, the success or
				  failure of the plan and any other pertinent information regarding the patient's
				  program shall be available at the time of the patient's
				  reassessment.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 4 - Intermediate Care Facilities › Article 3 - Services › Section 73433 - Special Program Requirements- Developmentally Disabled

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) A facility may, but is not required to,
				  provide special program services to the developmentally disabled. If a facility
				  meets all of the requirements of this section, it shall be entitled to a
				  supplemental program rate under the Medi-Cal program (Title 22, California
				  Administrative Code, Section
				  51335(j)) or by a
				  regional center for the developmentally disabled (Title 17, California
				  Administrative Code, Section
				  50125(c)). Such
				  special program services are those therapeutic services provided to
				  developmentally disabled persons having specifically identified needs in one or
				  more of the following general areas:
(1)
				  Sensory-motor development
(2)
				  Self-help skills
(3) Behavior
				  adjustment
(4)
				  Rehabilitation
(5) Sensory
				  development for the sensory deprived
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 4 - Intermediate Care Facilities › Article 3 - Services › Section 73435 - Special Program Requirements-Staffing

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) At the time of program approval, the
				  facility shall have employed a program director who has been approved by the
				  Department. The program director shall be on duty at least 40 hours per week.
				  The program director shall have the responsibility for the supervision and
				  coordination of the special program staff and implementation of the in-service
				  training program. The program director shall not be the supervisor of health
				  services, a charge nurse or the administrator of the facility.
(1) The program director shall be either a
				  physician, a clinical or educational psychologist, a social worker, a special
				  education teacher, a psychiatric technician, art therapist, dance therapist,
				  music therapist or a member of another related profession approved by the
				  Department.
(2) The program
				  director shall have the following qualifications:
(A) At least two years of experience or
				  training in the care of the developmentally disabled.
(B) At least one year of experience or
				  training in program development for the developmentally
				  disabled.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 4 - Intermediate Care Facilities › Article 3 - Services › Section 73437 - Special Program Requirements-in-Service Training

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The facility shall ensure that all new
				  staff providing program services shall receive at least 20 hours of orientation
				  and training within 60 days of employment. Initial training shall include, but
				  not be limited to the following:
(1)
				  Orientation to special needs of the developmentally disabled.
(2) Orientation to overall concepts of
				  programs to meet the special needs of the developmentally disabled.
(3) Orientation and training in specific
				  program techniques being used in the facility to meet the identified program
				  needs of the patients.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 4 - Intermediate Care Facilities › Article 3 - Services › Section 73439 - Special Program Requirements-Patient Health Records

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The facility shall assure that every
				  patient receiving special program services shall have an individual record
				  which includes all of the following:
(1) A
				  list of the patients' problems or needs, as identified from the individual
				  assessment.
(2) The behavioral
				  objectives for resolving problems or meeting needs of the patient. These
				  objectives shall be measurable, observable, within time frames and subject to
				  frequent review and updating.
(3) A
				  statement of the plans for how the behavioral objectives will be met. The plans
				  shall include, but not be limited to, all of the following:
(A) Resources to be used
(B) Frequency of plan review and
				  updating
(C) Persons responsible
				  for carrying out plans
(4) Progress notes written by all members of
				  the staff providing program services to the patient. The notes shall be:
(A) Specific to the needs or problems of the
				  patients
(B) Specific to the
				  patient's program objectives and plans.
(5) A summary of the progress of the patient
				  in the project, appropriateness of program objectives, the success or failure
				  of the plans, and any other pertinent information regarding the patient's
				  program shall be available at the time of the patient's
				  reassessment.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 4 - Intermediate Care Facilities › Article 3 - Services › Section 73441 - Application, Issuance, Expiration and Renewal

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Any facility desiring approval for a
				  special disability service or program, special rehabilitation program service
				  for the mentally disordered, special subacute psychiatric program service for
				  the mentally disordered or a special program service for the developmentally
				  disabled, shall file with the Department an application on forms furnished by
				  the Department.
(b) The Department
				  shall list on the facility license each such program or service for which
				  approval is granted.
(c) If the
				  applicant is not in compliance with the laws and regulations, the Department
				  shall deny the applicant approval 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.
(d)
				  Each such program or service approval shall expire on the date of expiration of
				  the facility's Provider Participation Agreement.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 4 - Intermediate Care Facilities › Article 3 - Services › Section 73445 - Optional Service Unit

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
				  Optional service unit means a functional unit of a intermediate care facility
				  which is organized, staffed and equipped to provide a specific type or types of
				  patient care. A facility is not required to operate an optional service
				  unit.
(b) Only the following types
				  of optional service units may be operated in an intermediate care facility:
				  physical therapy, occupational therapy, speech pathology and/or audiology,
				  social work services and rehabilitation services.
(c) If outpatient services are to be
				  provided, the following conditions shall be met:
(1) Outpatient service units shall be located
				  or constructed in a manner that will minimize noise, odors, hazards and
				  unsightliness to the facility's inpatients.
(2) Outpatient access to optional service
				  units shall not traverse a nursing unit.
(3) Separate toilets for men and women
				  outpatients shall be provided.
(4)
				  Drinking water facilities of a type approved by the Department shall be
				  available for outpatients and personnel.
(5) Handwashing facilities with hot and cold
				  water supply shall be provided in the optional service units accommodating
				  outpatients.
(6) Waiting areas
				  shall be provided with sufficient floor space to seat the maximum number of
				  persons who are expected to be accommodated at any one
				  time.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 4 - Intermediate Care Facilities › Article 3 - Services › Section 73447 - Optional Services-Revocation or Involuntary Suspension of Approval

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,
				  Government Code, the Department may suspend or revoke the approval of an
				  optional service 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
				  provisions of Chapter 2 (commencing with Section
				  1250), Division 2, Health and
				  Safety Code, or of the optional service 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 of any optional service 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 an optional
				  service.