reglab/statecodes huggingface dataset:
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 1 - General Licensing Requirements › Article 6 - Continuing Requirements › Section 80061 - Reporting Requirements

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
				  Each licensee or applicant shall furnish to the licensing agency reports as
				  required by the Department, including, but not limited to, those specified in
				  this section.
(b) Upon the
				  occurrence, during the operation of the facility, of any of the events
				  specified in (1) below, a report shall be made to the licensing agency within
				  the agency's next working day during its normal business hours. In addition, a
				  written report containing the information specified in (2) below shall be
				  submitted to the licensing agency within seven days following the occurrence of
				  such event.
(1) Events reported shall include
				  the following:
(A) Death of any client from
				  any cause.
(B) In a residential
				  facility, death of any client as a result of injury, abuse, or other than
				  natural causes, regardless of where the death occurred. This includes a death
				  that occurred outside the facility such as at a day program, workshop, job,
				  hospital, en route to or from a hospital, or visiting away from the facility.
1. The licensee shall obtain a certified copy
				  of the client's death certificate as soon as it is available, maintain it in
				  the client's file, and shall send a copy to the Department as soon as it is
				  obtained.
2. For Regional Center
				  clients, the licensee shall also send a copy of the death certificate to the
				  Regional Center.
(C) In
				  an adult CCF or a Group Home for Children with Special Health Care Needs, the
				  use of an Automated External Defibrillator.
(D) Any injury to any client which requires
				  medical treatment.
(E) Any unusual
				  incident or client absence which threatens the physical or emotional health or
				  safety of any client.
1. For community care
				  facilities that serve children, a pregnancy or termination of a pregnancy does
				  not, in and of itself, constitute an unusual incident unless it meets the
				  criteria specified for mandated reporting in Penal Code section
				  11166
				  (a).
(F) Any suspected psychological abuse of any
				  client.
(G) Any suspected physical
				  abuse of any minor.
1. For community care
				  facilities that serve children, a pregnancy or termination of a pregnancy does
				  not, in and of itself, constitute physical abuse of a minor unless it meets the
				  criteria specified for mandated reporting in Penal Code section
				  11166
				  (a).
(H) Epidemic outbreaks.
(I) Poisonings.
(J) Catastrophes.
(K) Fires or explosions which occur in or on
				  the premises.
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 1 - General Licensing Requirements › Article 6 - Continuing Requirements › Section 80062 - Finances

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The licensee
				  shall meet the following financial requirements:
(1) Development and maintenance of a
				  financial plan which ensures resources necessary meet operating costs for care
				  and supervision of clients.
(2)
				  Maintenance of financial records.
(3) Submission of financial reports as
				  required upon the written request of the department or licensing agency.
(A) Such request shall explain the necessity
				  for disclosure.
(B) The licensing
				  agency shall have the authority to reject any financial report, and to request
				  and examine additional information including interim financial statements. The
				  reason(s) for rejection of the report shall be in
				  writing.
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 1 - General Licensing Requirements › Article 6 - Continuing Requirements › Section 80063 - Accountability

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The licensee,
				  whether an individual or other entity, is accountable for the general
				  supervision of the licensed facility, and for the establishment of policies
				  concerning its operation.
(1) If the licensee
				  is a corporation or an association, the governing body shall be active and
				  functioning in order to ensure such accountability.
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 1 - General Licensing Requirements › Article 6 - Continuing Requirements › Section 80064 - Administrator-Qualifications and Duties

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
				  The administrator shall have the following qualifications:
(1) Attainment of at least 18 years of
				  age.
(2) Knowledge of the
				  requirements for providing the type of care and supervision needed by clients,
				  including ability to communicate with such clients.
(3) Knowledge of and ability to comply with
				  applicable law and regulation.
(4)
				  Ability to maintain or supervise the maintenance of financial and other
				  records.
(5) Ability to direct the
				  work of others, when applicable.
(6) Ability to establish the facility's
				  policy, program and budget.
(7)
				  Ability to recruit, employ, train, and evaluate qualified staff, and to
				  terminate employment of staff, if applicable to the
				  facility.
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 1 - General Licensing Requirements › Article 6 - Continuing Requirements › Section 80065 - Personnel Requirements

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
				  Facility personnel shall be competent to provide the services necessary to meet
				  individual client needs and shall, at all times, be employed in numbers
				  necessary to meet such needs.
(b)
				  The licensing agency shall have the authority to require any licensee to
				  provide additional staff whenever the licensing agency determines and documents
				  that additional staff are required for the provision of services necessary to
				  meet client needs. The licensee shall be informed in writing of the reasons for
				  the licensing agency's determination. The following factors shall be taken into
				  consideration in determining the need for additional staff.
(1) Needs of the particular
				  clients.
(2) Extent of the services
				  provided by the facility.
(3)
				  Physical arrangements of the particular facility.
(4) Existence of a state of emergency or
				  disaster.
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 1 - General Licensing Requirements › Article 6 - Continuing Requirements › Section 80066 - Personnel Records

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The
				  licensee shall ensure that personnel records are maintained on the licensee,
				  administrator and each employee. Each personnel record shall contain the
				  following information:
(1) Employee's full
				  name.
(2) Driver's license number
				  if the employee is to transport clients.
(3) Date of employment.
(4) A statement signed by the employee that
				  he/she is at least 18 years of age.
(5) Home address and phone number.
(6) Documentation of the educational
				  background, training and/or experience specified in licensing regulations for
				  the type of facility in which the employee works.
(7) Past experience, including types of
				  employment and former employers.
(8) Duties of the employee.
(9) Termination date if no longer employed by
				  the facility.
(10) A health
				  screening as specified in Section
				  80065(g).
(11) Tuberculosis test documents as specified
				  in Section
				  80065(g).
(12) For employees that are required to be
				  fingerprinted pursuant to Section
				  80019:
(A) A signed statement regarding their
				  criminal record history as required by Section
				  80019(d).
(B) Documentation of either a criminal record
				  clearance or exemption as required by Section
				  80019(e).
1. For Certified Administrators, a copy of
				  their current and valid Administrator Certification meets this
				  requirement.
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 1 - General Licensing Requirements › Article 6 - Continuing Requirements › Section 80068 - Admission Agreements

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
				  The licensee shall complete an individual written admission agreement with each
				  client and the client's authorized representative, if any.
(1) Prior to admitting a developmentally
				  disabled adult recommended by a Regional Center, the licensee of an ARF shall
				  obtain from the Regional Center written certification which states that there
				  was no objection to the placement by any persons specified in Welfare and
				  Institutions Code Section
				  4803.
(2) The licensee shall maintain a copy of the
				  certification in the client's file.
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 1 - General Licensing Requirements › Article 6 - Continuing Requirements › Section 80068.2 - Needs and Services Plan

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The
				  licensee shall complete a Needs and Services Plan for each client as required
				  in Sections
				  81068.2,
				  82068.2,
				  82568.2,
				  84068.2, or
				  85068.2.
(b) If the client has an existing needs
				  appraisal or individual program plan (IPP) completed by a placement agency, or
				  a consultant for the placement agency, the Department may consider the plan to
				  meet the requirements of this section provided that:
(1) The needs appraisal or IPP is not more
				  than one year old.
(2) The licensee
				  and the placement agency agree that the client's physical, mental and emotional
				  status has not significantly changed since the assessment.
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 1 - General Licensing Requirements › Article 6 - Continuing Requirements › Section 80068.3 - Modifications to Needs and Services Plan

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The licensee shall ensure that each
				  client's written Needs and Services Plan is updated as often as necessary to
				  assure its accuracy, but at least annually. These modifications shall be
				  maintained in the client's file.
(b) If the licensee determines that the
				  client's needs cannot be met, the licensee shall inform the client, and his/her
				  authorized representative, if any, and the placement agency, if any, and
				  request that the client relocate to a facility that can provide the needed
				  services.
(1) If the client refuses to
				  relocate, the licensee may evict the client in accordance with Section
				  80068.5.
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 1 - General Licensing Requirements › Article 6 - Continuing Requirements › Section 80068.5 - Eviction Procedures

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
				  Except for children's residential facilities, the licensee may, upon 30 days
				  written notice to the client, evict the client only for one or more of the
				  following reasons:
(1) Nonpayment of the rate
				  for basic services within ten days of the due date.
(2) Failure of the client to comply with
				  state or local law after receiving written notice of the alleged
				  violation.
(3) Failure of the
				  client to comply with general facility policies that are documented in the
				  facility admission agreement, and are for the purpose of making it possible for
				  clients to live together.
(4)
				  Inability to meet the client's needs.
(A) A
				  Needs and Services Plan modification must have been performed, as specified in
				  Section 80068.3(a), which
				  determined that the client's needs cannot be met by the facility and the client
				  has been given the opportunity to relocate as specified in Section
				  80068.3(b).
(5) The client refuses to comply with his/her
				  Restricted Health Condition Care Plan, if any, as specified in Section
				  80092.2.
(6) Change of use of the
				  facility.
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 1 - General Licensing Requirements › Article 6 - Continuing Requirements › Section 80069 - Client Medical Assessments

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
				  Except for licensees of ARFs, prior to or within 30 calendar days following the
				  acceptance of a client, the licensee shall obtain a written medical assessment
				  of the client, as specified in Section
				  80069(c), which
				  enables the licensee to determine his/her ability to provide necessary health
				  related services to the client. The assessment shall be used in developing the
				  Needs and Services Plan.
(1) The assessment
				  shall be performed by a licensed physician or designee, who is also a licensed
				  professional, and the assessment shall not be more than one year old when
				  obtained.
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 1 - General Licensing Requirements › Article 6 - Continuing Requirements › Section 80069.1 - Individual Health Condition Care Plan

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
1. New
					 section filed 1-31-97 as an emergency; operative 2-1-97 (Register 97, No. 5). A
					 Certificate of Compliance must be transmitted to OAL by 6-2-97 or emergency
					 language will be repealed by operation of law on the following
					 day.
2. New section refiled 5-21-97 as an emergency; operative
					 6-1-97 (Register 97, No. 21). A Certificate of Compliance must be transmitted
					 to OAL by 9-29-97 or emergency language will be repealed by operation of law on
					 the following day.
3. New section refiled 9-29-97 as an emergency;
					 operative 9-29-97 (Register 97, No. 40). A Certificate of Compliance must be
					 transmitted to OAL by 1-27-98 or emergency language will be repealed by
					 operation of law on the following day.
4. New section refiled
					 1-26-98 as an emergency; operative 1-27-98 (Register 98, No. 5). A Certificate
					 of Compliance must be transmitted to OAL by 5-27-98 or emergency language will
					 be repealed by operation of law on the following day.
5. Certificate
					 of Compliance as to 1-26-98 order transmitted to OAL 2-6-98; disapproved
					 3-23-98 (Register 98, No. 13).
6. New section refiled 3-23-98 as an
					 emergency; operative 3-23-98 (Register 98, No. 13). A Certificate of Compliance
					 must be transmitted to OAL by 7-21-98 or emergency language will be repealed by
					 operation of law on the following day.
7. Certificate of Compliance
					 as to 3-23-98 order, including renumbering of section
					 80069.1 to section
					 80092.2, transmitted to OAL
					 7-21-98 and filed 9-1-98; amendments operative per agency request 10-1-98
					 (Register 98, No. 36).
Note: Authority cited: Section
						1530,
						Health and Safety Code. Reference: Sections
						1501,
						1502,
						1507
						and
						1530,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 1 - General Licensing Requirements › Article 6 - Continuing Requirements › Section 80069.2 - Functional Capabilities Assessment

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) In order to determine whether the
				  facility's program meets a client's service needs, the licensee of an ARF shall
				  assess the client's need for personal assistance and care by determining
				  his/her functional capabilities. The assessment shall be in writing, shall be
				  used in developing the Needs and Services Plan, and shall include, but not be
				  limited to the following activities:
(1)
				  Bathing:
(A) Does not bathe or shower
				  self.
(B) Performs some bathing or
				  showering tasks.
(C) Bathes or
				  showers self independently.
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 1 - General Licensing Requirements › Article 6 - Continuing Requirements › Section 80069.3 - Mental Health Assessment

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
1. New
					 section filed 1-31-97 as an emergency; operative 2-1-97 (Register 97, No. 5). A
					 Certificate of Compliance must be transmitted to OAL by 6-2-97 or emergency
					 language will be repealed by operation of law on the following
					 day.
2. New section refiled 5-21-97 as an emergency; operative
					 6-1-97 (Register 97, No. 21). A Certificate of Compliance must be transmitted
					 to OAL by 9-29-97 or emergency language will be repealed by operation of law on
					 the following day.
3. New section refiled 9-29-97 as an emergency;
					 operative 9-29-97 (Register 97, No. 40). A Certificate of Compliance must be
					 transmitted to OAL by 1-27-98 or emergency language will be repealed by
					 operation of law on the following day.
4. New section refiled
					 1-26-98 as an emergency; operative 1-27-98 (Register 98, No. 5). A Certificate
					 of Compliance must be transmitted to OAL by 5-27-98 or emergency language will
					 be repealed by operation of law on the following day.
5. Certificate
					 of Compliance as to 1-26-98 order transmitted to OAL 2-6-98; disapproved
					 3-23-98 (Register 98, No. 13).
6. New section refiled 3-23-98 as an
					 emergency; operative 3-23-98 (Register 98, No. 13). A Certificate of Compliance
					 must be transmitted to OAL by 7-21-98 or emergency language will be repealed by
					 operation of law on the following day.
7. Certificate of Compliance
					 as to 3-23-98 order, including renumbering of section
					 80069.3 to new section
					 85069.3, transmitted to OAL
					 7-21-98 and filed 9-1-98; amendments operative per agency request 10-1-98
					 (Register 98, No. 36).
Note: Authority cited: Section
						1530,
						Health and Safety Code. Reference: Sections
						1501,
						1502,
						1507,
						1530,
						1531
						and
						1562.6,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 1 - General Licensing Requirements › Article 6 - Continuing Requirements › Section 80070 - Client Records

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The
				  licensee shall ensure that a separate, complete, and current record is
				  maintained in the facility for each client.
(b) Each record must contain information
				  including, but not limited to, the following:
(1) Name of client.
(2) Birthdate.
(3) Sex.
(4) Date of Admission.
(5) Names, addresses, and telephone numbers
				  of the authorized representative.
(6) A signed copy of the admission agreement
				  specified in Section
				  80068.
(7) Name, address and telephone number of
				  physician and dentist, and other medical and mental health providers, if
				  any.
(8) Medical assessment,
				  including ambulatory status, as specified in Section
				  80069.
(9) Record of any illness or injury requiring
				  treatment by a physician or dentist and for which the facility provided
				  assistance to the client in meeting his/her necessary medical and dental
				  needs.
(10) Record of current
				  medications, including the name of the prescribing physician, and instructions,
				  if any, regarding control and custody of medications.
(11) Restricted Health Condition Care Plan,
				  if required for the client by Section
				  80092.2.
(12) Functional assessment as specified in
				  Section 80069.2.
(13) Date of termination of
				  services.
(14) An account of the
				  client's cash resources, personal property, and valuables entrusted as
				  specified in Section
				  80026.
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 1 - General Licensing Requirements › Article 6 - Continuing Requirements › Section 80071 - Register of Clients

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) In
				  all licensed facilities, the following shall apply:
(1) The licensee shall maintain in the
				  facility a register of all clients. The register shall be immediately available
				  to, and copied for, licensing staff upon request, and must contain current
				  information on the following:
(A) Client's
				  name and ambulatory status as specified in Section
				  80070(b)(1) and
				  (8).
(B) Name, address and telephone number of
				  client's attending physician.
(C)
				  Authorized representative information as specified in Section
				  80070(b)(5).
(D) Client's restricted health condition(s)
				  specified in Section
				  80092(b).
1. The licensee may keep a separate client
				  register with this information.
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 1 - General Licensing Requirements › Article 6 - Continuing Requirements › Section 80073 - Telephones

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) All facilities
				  shall have telephone service on the premises.
Note: Authority cited: Section
						1530,
						Health and Safety Code. Reference: Sections
						1501,
						1528,
						1531
						and
						1539,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 1 - General Licensing Requirements › Article 6 - Continuing Requirements › Section 80074 - Transportation

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Only drivers
				  licensed for the type of vehicle operated shall be permitted to transport
				  clients.
(b) The manufacturer's
				  rated seating capacity of the vehicles shall not be exceeded.
(c) Motor vehicles used to transport clients
				  shall be maintained in a safe operating condition.
Note: Authority cited: Section
						1530,
						Health and Safety Code. Reference: Sections
						1501,
						1528
						and
						1531,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 1 - General Licensing Requirements › Article 6 - Continuing Requirements › Section 80075 - Health-Related Services

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The
				  licensee shall ensure that each client receives first aid and other needed
				  medical or dental services, including arrangement for and/or provision of
				  transportation to the nearest available services.
(b) Clients shall be assisted as needed with
				  self-administration of prescription and nonprescription medications.
(1) In adult CCFs, facility staff who receive
				  training may assist clients with metered-dose inhalers, and dry powder inhalers
				  if the following requirements are met:
(A) In
				  ARFs, facility staff must receive training from a licensed professional.
1. The licensee shall obtain written
				  documentation from the licensed professional outlining the procedures and the
				  names of facility staff who have been trained in those procedures.
2. The licensee ensures that the licensed
				  professional reviews staff performance as the licensed professional deems
				  necessary, but at least once a year.
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 1 - General Licensing Requirements › Article 6 - Continuing Requirements › Section 80075.1 - Automated External Defibrillators (AEDs)

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) In an adult community care facility, a
				  licensee is permitted to maintain and operate an AED at the facility if all of
				  the following requirements are met:
(1) The
				  licensee shall notify the licensing agency in writing that an AED is in the
				  facility and will be used in accordance with all applicable federal and other
				  state requirements.
(2) The AED
				  shall be used in accordance with all applicable federal and other state
				  requirements.
(3) The licensee
				  shall maintain at the facility the following:
(A) A copy of the required physician's
				  prescription for the AED.
(B) A
				  training manual from an American Heart Association- or American Red
				  Cross-recognized AED training class.
(C) A log of checks of operation of the AED
				  containing the dates checked and the name of person checking.
(D) A copy of a valid AED operator's
				  certificate for any employee(s) authorized by the licensee to operate the AED.
				  The certificate shall indicate that the AED training course completed complies
				  with the standards of the American Heart Association or the American Red Cross.
				  If it does not, then other evidence indicating that the AED training course
				  completed complies with the standards of the American Heart Association or the
				  American Red Cross shall be available at the facility.
(E) A log of quarterly proficiency
				  demonstrations for each holder of an AED operator's certificate who is
				  authorized by the licensee to operate the AED. The log shall contain the dates
				  of the demonstrations and the manner of demonstration.
(4) A supply kit shall be maintained at the
				  facility and be readily available for use with the AED. The kit shall contain
				  at least the following:
(A) A back-up battery
				  set.
(B) An extra set of
				  pads.
(C) A safety razor for
				  shaving chest hair when necessary to apply the pads.
(D) A cardiovascular pulmonary resuscitation
				  barrier (a face shield or mask) for protection from transmission of infectious
				  disease.
(E) Two pairs of unused
				  medical examination gloves (latex or non-latex).
(5) Use of an AED shall be reported as
				  specified in Section
				  80061.
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 1 - General Licensing Requirements › Article 6 - Continuing Requirements › Section 80077.2 - Care for Clients Who Rely upon Others to Perform All Activities of Daily Living

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) A
				  licensee of an adult CCF may accept or retain a client who relies upon others
				  to perform all activities of daily living for them.
(b) Prior to accepting a client into care,
				  the licensee shall complete the following:
(1) An approved plan of operation
				  demonstrating the licensee's ability to care for these clients as specified in
				  Section 80022(e).
(2) A Needs and Services Plan, as required by
				  the facility-specific regulations, that includes all of the following:
(A) A plan to monitor the client's skin
				  condition, including:
1. Specific guidelines
				  for turning the client, (time, method, acceptable positions).
2. Skin breakdown.
3. Objective symptoms, observable by a lay
				  person, indicating when a licensed professional must be
				  contacted.
(B) A method
				  for feeding the client and providing him/her with hydration.
(C) A method for determining the client's
				  needs.
(D) A method for
				  communicating with the client.
(E)
				  A list of emergency contacts and a list of readily observable conditions that
				  indicate when emergency intervention is necessary.
(F) A list of persons to contact in the event
				  of non-emergency client distress or discomfort and a list of readily observable
				  conditions that indicate when the licensee is to contact those
				  persons.
(G) A description of the
				  client-specific training that facility staff will receive.
1. The training must be provided by the
				  client's health care provider (physician or nurse) the client's physical or
				  mental health therapist, social worker, and placement worker, within their
				  individual scopes of practice.
2.
				  The training must include the client's needs and objective symptoms that
				  indicate when the licensee is to obtain health care or other type of
				  assistance.
(H) In an
				  ARF, an agreement, signed by the placement agency, or authorized
				  representative, to review the client's care at least once a month. A copy of
				  the agreement shall be maintained in the client's file.
(I) The licensee's agreement to document
				  significant occurrences that result in changes in the client's physical,
				  mental, and/or functional capabilities. This documentation must be retained in
				  the client's record in the facility and be readily available for review by the
				  client's health care providers and the
				  Department.
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 1 - General Licensing Requirements › Article 6 - Continuing Requirements › Section 80077.3 - Care for Clients Who Lack Hazard Awareness or Impulse Control

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) If a client
				  requires protective supervision because of running/wandering away, supervision
				  may be enhanced by fencing yards, using self-closing latches and gates, and
				  installing operational bells, buzzers, or other auditory devices on exterior
				  doors to alert staff when the door is opened. The fencing and devices must not
				  substitute for appropriate staffing.
(1) The
				  licensee may use wrist bands and other client egress-alert devices with the
				  prior written approval of the client or authorized representative, if the
				  client is legally incapable of giving consent, provided that the devices do not
				  violate Section
				  80072.
(2) The licensee of an ARF, GH, SFH, FFH, or
				  CFH may use a delayed-egress device if the client lacks hazard awareness or
				  impulse control and only as specified in Health and Safety Code Section
				  1531.1.
(3) The following initial and continuing
				  requirements must be met for the licensee to utilize delayed egress devices on
				  exterior doors or perimeter fence gates:
(A)
				  The licensee shall notify the Department immediately after determining the date
				  that the device will be installed.
(B) The licensee shall ensure that the fire
				  clearance includes approval of delayed egress devices.
(C) Following the disaster and mass casualty
				  plan specified in Section
				  80023, fire and earthquake drills
				  shall be conducted at least once every three months on each shift and shall
				  include, at a minimum, all facility staff who provide or supervise client care
				  and supervision.
(D) Without
				  violating Section
				  80072(a)(6),
				  facility staff shall attempt to redirect a client who lacks hazard awareness or
				  impulse control and who attempts to leave the facility.
(E) Clients who continue to indicate a desire
				  to leave the facility following an egress delay shall be permitted to do
				  so.
(F) Without violating Section
				  80072(a)(6),
				  facility staff shall ensure the continued safety of clients when they leave the
				  facility.
(G) The licensee shall
				  report to the Department, to the client's responsible representative, if any,
				  and to any family member who has requested notification, each incident in which
				  a client leaves the facility unassisted. The report shall be made by telephone
				  no later than the next working day and in writing within seven calendar
				  days.
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 1 - General Licensing Requirements › Article 6 - Continuing Requirements › Section 80077.4 - Care for Clients with Incontinence

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) A licensee of an adult CCF may accept or
				  retain a client who has bowel and/or bladder incontinence.
(b) If a licensee accepts or retains a client
				  who has bowel and/or bladder incontinence, the licensee is responsible for all
				  of the following:
(1) Ensuring that
				  incontinent care products appropriate to the needs of the client are used
				  whenever they are needed.
(2)
				  Ensuring that clients who can benefit from scheduled toileting are assisted or
				  reminded to go to the bathroom at regular intervals rather than being
				  diapered.
(3) Assisting the client
				  with self-care.
(4) Ensuring that
				  clients with incontinence are kept clean and dry, and that the facility remains
				  free of odors.
(5) Ensuring that,
				  where prescribed, bowel and/or bladder programs are designed by a licensed
				  professional or designee. The person designing the program must have training
				  and experience in care of persons with bowel and/or bladder dysfunction and
				  development of retraining programs for establishing normal patterns of
				  continence.
(A) The licensee shall ensure
				  that clients are assisted with a structured bowel and/or bladder retraining
				  program if one has been designed for the client.
(B) The licensee shall ensure that facility
				  staff responsible for implementing the program receive training from the
				  licensed professional or designee who designed the program.
(C) The licensee obtains from the licensed
				  professional or designee written instructions to facility staff outlining the
				  procedures and shall document the names of facility staff who received the
				  training.
(D) The licensee shall
				  ensure that the licensed professional or designee evaluates the effectiveness
				  of the program and staff as the licensed professional or designee deems
				  appropriate, but at least annually.
(6) Ensuring that the condition of the skin
				  exposed to urine and stool is evaluated regularly to ensure that skin breakdown
				  is not occurring.
(7) Ensuring
				  privacy when care is provided.
(8)
				  Providing needed incontinence supplies when the client or a third party is
				  unable to do so.
(9) Ensuring that
				  fluids are not withheld to control incontinence.
(10) Ensuring that a client with incontinence
				  is not catheterized to control incontinence for the convenience of the licensee
				  or facility staff.
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 1 - General Licensing Requirements › Article 6 - Continuing Requirements › Section 80077.5 - Care for Clients with Contractures

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) A licensee of an adult CCF may accept or
				  retain a client who has contractures.
(b) If a licensee accepts or retains a client
				  who has contractures, the licensee is responsible for all of the following:
(1) Monitoring the client's ongoing ability
				  to care for his/her contractures in accordance with the physician's
				  instructions.
(2) Ensuring that
				  care is provided by a licensed professional or trained facility staff when the
				  client is unable to provide self-care.
(A)
				  The licensee shall ensure that facility staff responsible for assisting with
				  range of motion exercises or other exercise(s) prescribed by the physician or
				  therapist receive supervision and training from a licensed
				  professional.
(B) The licensee
				  obtains from the licensed professional written documentation outlining the
				  procedures for the exercises and the names of facility staff who received the
				  training.
(C) The licensee shall
				  ensure that the licensed professional reviews staff performance as the licensed
				  professional deems necessary, but at least once a
				  year.
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 1 - General Licensing Requirements › Article 7 - Physical Environment › Section 80086 - Alterations to Existing Buildings or New Facilities

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Prior to construction or alterations, all
				  licensees shall notify the licensing agency of the proposed change.
(b) The licensing agency shall have the
				  authority to require that the licensee have a building inspection by a local
				  building inspector if the agency suspects that a hazard to the clients' health
				  and safety exists.
Note: Authority cited: Section
						1530,
						Health and Safety Code. Reference: Sections
						1501
						and
						1531,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 1 - General Licensing Requirements › Article 7 - Physical Environment › Section 80087 - Buildings and Grounds

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The
				  facility shall be clean, safe, sanitary and in good repair at all times for the
				  safety and well-being of clients, employees and visitors.
(1) The licensee shall take measures to keep
				  the facility free of flies and other insects.
(2) The licensee shall provide for the safe
				  disposal of water and other chemicals used for cleaning
				  purposes.
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 1 - General Licensing Requirements › Article 7 - Physical Environment › Section 80088 - Fixtures, Furniture, Equipment and Supplies

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) A comfortable temperature for clients
				  shall be maintained at all areas.
(1) The
				  licensee shall maintain the temperature in rooms that clients occupy between a
				  minimum of 68 degrees F (20 degrees C) and a maximum of 85 degrees F (30
				  degrees C).
(A) In areas of extreme heat the
				  maximum shall be 30 degrees F (16.6 degrees C) less than the outside
				  temperature.
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 1 - General Licensing Requirements › Article 8 - Incidental Medical Services › Section 80090 - Health and Safety Services

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The provisions of this article are
				  applicable to adult CCFs.
(b)
				  Waivers or exceptions will not be granted to accept or retain clients who have
				  health conditions prohibited by Section
				  80091.
(c) The Department may grant an exception
				  allowing acceptance or retention of a client who has a medical or health
				  condition not listed in Section
				  80092 if all of the following
				  requirements are met:
(1) Either the
				  condition is chronic and stable or it is temporary in nature and is expected to
				  return to a condition normal for that client.
(2) The client must be under the medical care
				  of a licensed professional.
(3) The
				  licensee has developed a plan of care for the client as specified in Sections
				  80068.2 and
				  80092.2.
(4) The client is able to care for all
				  aspects of the condition for himself/herself or assistance in the care of the
				  condition is provided either by an appropriately skilled and licensed
				  professional or by facility staff who receive supervision and training from a
				  licensed professional.
(A) Training shall
				  include hands-on instruction in both general procedures and client-specific
				  procedures.
(B) The licensee
				  obtains from the licensed professional written documentation outlining the
				  procedures and the names of facility staff who received the training.
(C) The licensee ensures that the licensed
				  professional reviews staff performance as the licensed professional deems
				  necessary, but at least once a year.
(5) The licensee agrees in writing to comply
				  with all aspects of the client's care plans.
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 1 - General Licensing Requirements › Article 8 - Incidental Medical Services › Section 80091 - Prohibited Health Conditions

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) In adult CCFs clients who require health
				  services or have a health condition including, but not limited to, those
				  specified below shall not be admitted or retained.
(1) Naso-gastric and naso-duodenal
				  tubes.
(2) Active, communicable
				  TB.
(3) Conditions that require
				  24-hour nursing care and/or monitoring.
(4) Stage 3 and 4 dermal ulcers.
(5) Any other condition or care requirements
				  which would require the facility to be licensed as a health facility as defined
				  by Sections
				  1202
				  and
				  1250
				  of the Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 1 - General Licensing Requirements › Article 8 - Incidental Medical Services › Section 80092 - Restricted Health Conditions

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Adult CCFs may accept or retain clients
				  who have the conditions listed in this section only if all requirements of
				  Article 8 are met.
(b) Care for the
				  following health conditions must be provided only as specified in Sections
				  80092.1 through
				  80092.11.
(1) Use of inhalation-assistive devices as
				  specified in Section
				  80092.3.
(2) Colostomy/ileostomies as specified in
				  Section 80092.4.
(3) Requirement for fecal impaction removal,
				  enemas, or suppositories only as specified in Section
				  80092.5.
(4) Use of catheters only as specified in
				  Section 80092.6.
(5) Insulin-dependent Diabetes as specified
				  in Section
				  80092.8.
(6) Stage 1 and 2 dermal ulcers as specified
				  in Section
				  80092.9.
(7) Wounds as specified in Section
				  80092.9.
(8) Gastrostomies as specified in Section
				  80092.10.
(9) Tracheostomies as specified in Section
				  80092.11.
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 1 - General Licensing Requirements › Article 8 - Incidental Medical Services › Section 80092.1 - General Requirements for Restricted Health Conditions

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) A client with a restricted health
				  condition specified in Section
				  80092 may be admitted or retained
				  in an adult CCF if all requirements in Sections
				  80092.1(b) through
				  (o) are met.
(b) The licensee is willing to provide the
				  needed care.
(c) Care is provided
				  as specified in this article.
(d)
				  Either the client's medical condition is chronic and stable, or is temporary in
				  nature and is expected to return to a condition normal for that client,
				  and
(e) The client must be under
				  the medical care of a licensed professional.
(f) Prior to admission of a client with a
				  restricted health condition specified in Section
				  80092, the licensee shall:
(1) Communicate with all other persons who
				  provide care to that client to ensure consistency of care for the medical
				  condition.
(2) Ensure that facility
				  staff who will participate in meeting the client's specialized care needs
				  complete training provided by a licensed professional sufficient to meet those
				  needs.
(A) Training shall include hands-on
				  instruction in both general procedures and client-specific
				  procedures.
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 1 - General Licensing Requirements › Article 8 - Incidental Medical Services › Section 80092.2 - Restricted Health Condition Care Plan

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) If the licensee of an ARF chooses to care
				  for a client with a restricted health condition, as specified in Section
				  80092, the licensee shall develop
				  and maintain, as part of the Needs and Services Plan, a written Restricted
				  Health Condition Care Plan. The plan must include all of the following:
(1) Documentation that the client and the
				  client's authorized representative, if any, the client's physician or a
				  licensed professional designated by the physician, and the placement agency, if
				  any, participated in the development of the plan.
(2) Documentation by the client's physician
				  or a licensed professional designated by the physician, of the following:
(A) Stability of the medical
				  conditions.
(B) Medical conditions
				  that require services or procedures.
(C) Specific services needed.
(D) Client's ability to perform the
				  procedures.
(E) The client does not
				  require 24-hour nursing care and/or monitoring.
(3) Identification of a licensed professional
				  who will perform procedures if the client needs medical assistance.
(4) Identification of the person who will
				  perform incidental medical assistance that does not require a licensed
				  professional.
(5) Name and
				  telephone number of emergency medical contacts.
(6) A date specified by the client's
				  physician or designee, who is also a licensed professional, when the plan must
				  be reviewed by all parties identified in Section
				  80092.2(a)(1).
(7) A signed statement from the client's
				  attending physician that the plan meets medical scope of practice
				  requirements.
(8) For clients of a
				  placement agency, a signed statement from a representative of the placement
				  agency, that they have reviewed and approved the plan and that the placement
				  agency will monitor implementation of the plan.
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 1 - General Licensing Requirements › Article 8 - Incidental Medical Services › Section 80092.3 - Inhalation-Assistive Devices

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) A
				  licensee of an adult CCF may accept or retain a client who requires the use of
				  an inhalation-assistive device if all of the following conditions are met:
(1) The licensee is in compliance with
				  Section 80092.1.
(2) The licensee monitors the client's
				  ongoing ability to operate and care for the device in accordance with the
				  physician's instructions.
(3) The
				  licensee ensures that either:
(A) The device
				  is operated and cared for by a licensed professional when the client is unable
				  to operate the device, or determine his/her own need.
(B) The device can legally be operated by an
				  unlicensed person and is cared for by facility staff who receive training from
				  a licensed professional as specified in Sections
				  80092.1(k) through
				  (k)(2).
(4) The licensee ensures that:
(A) The device is functional.
(B) The device is removed from the facility
				  when no longer prescribed for use by the client.
(5) The licensee ensures that the room
				  containing the device is large enough both to accommodate it and to allow easy
				  passage of clients and staff.
(6)
				  The licensee ensures that facility staff have the knowledge of and ability to
				  care for the device.