California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 3 - Adult Day Programs › Article 8 - Incidental Medical Services › Section 82092.1 - 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
				  82092 may be admitted or retained
				  if all of the following requirements are met:
(1) The licensee is willing to provide the
				  needed care.
(2) Care is provided
				  as specified in this article.
(3)
				  The client's medical condition is chronic and stable, or is temporary in nature
				  and expected to return to a condition normal for that client.
(4) The client must be under the medical care
				  of a licensed professional.
(5)
				  Prior to admission of a client with a restricted health condition specified in
				  Section 82092, the licensee shall:
(A) Communicate with all other persons who
				  provide care to that client to ensure consistency of care for the medical
				  condition.
(B) Ensure that program
				  staff who will participate in meeting the client's specialized care needs
				  complete training provided by a licensed professional sufficient to meet those
				  needs.
1. Training shall include hands-on
				  instruction in both general procedures and client-specific
				  procedures.
(6)
				  All new program staff who will participate in meeting the client's specialized
				  care needs shall complete the training prior to providing services to the
				  client.
(7) The licensee shall
				  ensure that program staff receive instruction in recognizing objective symptoms
				  observable by a lay person, and responding to that client's health problems,
				  including whom to contact. The instruction shall be from the client's physician
				  or other licensed professional.
(8)
				  The licensee shall monitor the client's ability to provide self-care for the
				  restricted health condition, document any change in that ability, and inform
				  the persons identified in Section
				  82092.2(a)(1) of
				  that change.
(9) Should the
				  condition of the client change, all staff providing care and services shall
				  complete any additional training required to meet the client's new needs, as
				  determined by the client's physician or a licensed professional designated by
				  the physician.
(10) If the licensed
				  professional delegates routine care, the following requirements must be met for
				  health conditions specified in Section
				  82092.3,
				  82092.4 and
				  82092.6 through
				  82092.11:
(A) The licensee obtains written
				  documentation from the licensed professional outlining the procedures and the
				  names of the program staff who have been trained in those procedures.
(B) The licensee ensures that the licensed
				  professional reviews staff performance as often as necessary, but at least
				  annually.
(11) All
				  training shall be documented in the personnel files.
(12) The licensee shall ensure that the
				  client's health-related service needs are met and shall follow the approved
				  plan for each client.
(13) The
				  licensee shall document any significant occurrences that result in changes in
				  the client's physical, mental and/or functional capabilities and report these
				  changes to the client's physician and authorized representative.
(14) The licensee shall demonstrate
				  compliance with the restricted health condition care plan by maintaining all
				  relevant documentation at the program site.
(15) The licensee shall report any
				  substantive deviation from the care plan to the client's authorized
				  representative.