reglab/statecodes huggingface dataset:
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 3 - Adult Day Programs › Article 6 - Continuing Requirements › Section 82062 - 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 to 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 licensing agency.
(A) The written request shall explain the
				  necessity for disclosure.
(B) The
				  licensing agency shall have the authority to reject any financial report, and
				  to request, examine, if necessary, and copy additional information including
				  interim financial statements. The reason for rejection of the report shall be
				  in writing.
(C) The licensing
				  agency may remove additional information, if necessary for copying. Removal
				  shall be subject to the following requirements:
1. Prior to removal, a licensing
				  representative shall prepare a list of the records to be removed, sign and date
				  the list upon removal of the records, and leave a copy of the list with the
				  administrator or designee.
2.
				  Licensing representatives shall return the records undamaged and in good order
				  within three business days following the date the records were
				  removed.
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 3 - Adult Day Programs › Article 6 - Continuing Requirements › Section 82063 - 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 day program, 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 3 - Adult Day Programs › Article 6 - Continuing Requirements › Section 82064 - Administrator-Qualifications and Duties

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
				  All adult day programs shall have an administrator who meets either of the
				  following requirements:
(1) A baccalaureate
				  degree in psychology, social work or a related human services field and a
				  minimum of one year experience in the management of a human services delivery
				  system, or
(2) Three years of
				  experience in a human services delivery system including at least one year in a
				  management or supervisory position and two years of experience or training in
				  one of the following:
(A) Care and
				  supervision of clients in a licensed adult day program, or an adult day health
				  care facility.
(B) Care and
				  supervision of one or more of the categories of persons to be served by the day
				  program.
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 3 - Adult Day Programs › Article 6 - Continuing Requirements › Section 82065 - Personnel Requirements

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
				  Program 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 client;
(2) Extent of the services provided by the
				  day program;
(3) Physical
				  arrangements of the particular day program; and
(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 3 - Adult Day Programs › Article 6 - Continuing Requirements › Section 82065.1 - Personnel Qualifications and Duties

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The following requirements shall apply to
				  direct care staff as defined in Section
				  82001(d):
(1) Direct care staff shall be responsible
				  for care and supervision of clients, as defined in Section
				  82001(c).
(2) Direct care staff shall not be assigned
				  to any of the support staff duties specified in Section
				  82065.1(b) unless
				  the care and supervision needs of clients have been met.
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 3 - Adult Day Programs › Article 6 - Continuing Requirements › Section 82065.5 - Staff-Client Ratios

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
				  Whenever a client who relies upon others to perform all activities of daily
				  living is present, the following minimum staffing requirements shall be met:
(1) For Regional Center clients, staffing
				  shall be maintained as specified by the Regional Center.
(2) For all other clients, there shall be a
				  staff-client ratio of no less than one direct care staff to four such
				  clients.
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 3 - Adult Day Programs › Article 6 - Continuing Requirements › Section 82066 - 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, prior and on-going training and/or experience.
(7) Past experience, including types of
				  employment and former employers.
(8) Duties of the employee.
(9) Termination date if no longer employed by
				  the day program.
(10) A health
				  screening, as specified in Section
				  82065(g).
(11) Tuberculosis test results, as specified
				  in Section
				  82065(g)(1).
(12) For employees that are required to be
				  fingerprinted pursuant to Section
				  82019(a):
(A) A signed statement regarding their
				  criminal record history as required by Section
				  82019(d).
(B) Documentation of either a criminal record
				  clearance or exemption as required by Section
				  82019(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 3 - Adult Day Programs › Article 6 - Continuing Requirements › Section 82068 - Admission Agreements

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
				  The licensee shall complete and maintain an individual written admission
				  agreement with each client and the client's authorized representative, if
				  any.
(b) Admission agreements must
				  specify the following:
(1) Basic
				  services;
(2) Available optional
				  services;
(3) Payment provisions,
				  including the following:
(A) Basic
				  rate;
(B) Optional services
				  rates;
(C) Payor;
(D) Due date; and
(E) Frequency of payment.
(4) Modification conditions, including
				  requirement for provision of at least 30 calendar days prior written notice to
				  the client or his/her authorized representative of any basic rate
				  change.
(5) Refund
				  conditions.
(6) Right of the
				  licensing agency to perform the duties authorized in Sections
				  82044(b) and
				  (c).
(7) Conditions under which the agreement may
				  be terminated.
(A) The client's refusal to
				  cooperate with the licensee's implementation of his/her Needs and Services
				  Plan, as specified in Section
				  82068.2 or
				  82068.3, must be one of the
				  conditions.
(8) The
				  program's policy concerning family involvement and participation with
				  clients.
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 3 - Adult Day Programs › Article 6 - Continuing Requirements › Section 82068.2 - Needs and Services Plan

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Prior to admission, the licensee shall
				  determine whether the day program can meet the prospective client's service
				  needs.
(b) If the client is to be
				  admitted and has no restricted health condition(s) as specified in Section
				  82092, then, no later than 30 days
				  after admission, the licensee shall complete a written Needs and Services
				  Plan.
(c) If the client is to be
				  admitted, and has a restricted health condition as specified in Section
				  82092, then the licensee shall
				  develop the Needs and Services Plan prior to admission and must include a
				  Restricted Health Condition Care Plan, as specified in Section
				  82092.2 in addition to the
				  requirements in Section
				  82068.2(f).
(d) 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 3 - Adult Day Programs › Article 6 - Continuing Requirements › Section 82068.3 - 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, but
				  at least annually, to ensure its accuracy, and to document significant
				  occurrences that result in changes in the client's physical, mental,
				  psychological, and/or social functioning.
(1)
				  An updated list of medications currently taken by the client shall be included
				  in the reassessment.
(2) These
				  reassessments shall be maintained in the client's file.
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 3 - Adult Day Programs › Article 6 - Continuing Requirements › Section 82068.5 - Procedures for Discharge

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
				  A minimum of two weeks' notice shall be given to a client and his/her family
				  and care providers if the Adult Day Program determines that the day program can
				  no longer meet the needs of the client, and he/she must be discharged from the
				  day program.
(b) The immediate
				  discharge of an individual shall be allowed when it is determined that the
				  individual's condition has suddenly changed and participation in the day
				  program is likely to cause danger to self or others.
(1) The licensing agency shall be notified by
				  telephone within the agency's next working day during normal business hours and
				  in writing within seven days when a client is discharged without the two weeks'
				  notice.
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 3 - Adult Day Programs › Article 6 - Continuing Requirements › Section 82069 - Client Medical Assessments

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
				  Prior to or within 30 calendar days following the acceptance of a client, the
				  licensee shall obtain a written medical assessment of the client that
				  determines the licensee's 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 3 - Adult Day Programs › Article 6 - Continuing Requirements › Section 82070 - 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. A separate, complete, and current
				  record shall be maintained at the program site for each client.
(b) Each record must contain information
				  including, but not limited to, the following:
(1) Name of client.
(2) Birthdate.
(3) Sex or Gender.
(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
				  82068.
(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
				  82069(b).
(9) Record of any illness or injury requiring
				  treatment by a physician or dentist and for which the day program 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
				  82092.2.
(12) Date of termination of
				  services.
(13) In those cases in
				  which the licensee handles the client's cash, an account of the client's cash
				  resources, personal property, and valuables entrusted as specified in Sections
				  82026(h) through
				  (k).
(14) Needs and Services Plan as specified in
				  Section 82068.2.
(15) Modifications to the Needs and Services
				  Plan as specified in Section
				  82068.3.
(16) Authorization, signed and dated by the
				  client or his/her authorized representative, to specific individuals/agencies
				  for release of medical information, or a statement signed and dated by the
				  client or authorized representative, that the client or authorized
				  representative will not sign an authorization.
(17) Authorization, signed and dated by the
				  client or his/her authorized representative, for the client to receive
				  emergency medical care, if necessary, or a statement signed and dated by the
				  client or authorized representative, that the client will not sign an
				  authorization.
(18) Correspondence
				  and incident reports relating to the client.
(19) Reason for discharge from the
				  center.
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 3 - Adult Day Programs › Article 6 - Continuing Requirements › Section 82071 - Register of Clients

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The
				  licensee shall maintain in the program site a register of all clients. The
				  register shall be updated as needed; shall be immediately available to, and
				  copied for, licensing staff upon request; and must contain current information
				  on the following:
(1) Client's name and
				  ambulatory status as specified in Sections
				  82070(b)(1) and
				  (8).
(2) Name, address, and telephone number of
				  client's attending physician.
(3)
				  Authorized representative information as specified in Section
				  82070(b)(5).
(4) Client's restricted health condition(s)
				  as specified in Section
				  82092(b).
(A) 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 3 - Adult Day Programs › Article 6 - Continuing Requirements › Section 82073 - Telephones

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) All day
				  programs shall have telephone service at the program site.
1. New
					 section filed 12-13-2006; operative 1-12-2007 (Register 2006, No.
					 50).
Note: Authority cited: Sections
						1530
						and
						1530.1,
						Health and Safety Code. Reference: Section
						1531,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 3 - Adult Day Programs › Article 6 - Continuing Requirements › Section 82074 - 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.
1. New
					 section filed 12-13-2006; operative 1-12-2007 (Register 2006, No.
					 50).
Note: Authority cited: Sections
						1530
						and
						1530.1,
						Health and Safety Code. Reference: Section
						1531,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 3 - Adult Day Programs › Article 6 - Continuing Requirements › Section 82075 - Health-Related Services

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The
				  licensee shall ensure that each client receives necessary 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) Program staff who receive training from a
				  licensed professional, may assist clients with metered-dose inhalers, and dry
				  powder inhalers if the following requirements are met:
(A) The licensee obtains written
				  documentation from the licensed professional, outlining the procedures and the
				  names of program staff whom they have trained in those procedures.
(B) The licensee ensures that the licensed
				  professional, reviews staff performance as necessary, but at least
				  annually.
(C) All staff training
				  shall be documented in the facility personnel files.
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 3 - Adult Day Programs › Article 6 - Continuing Requirements › Section 82075.1 - Daily Inspection for Illness

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The licensee shall ensure daily that
				  clients with obvious symptoms of illness are not accepted in the day program
				  unless they are separated from other clients.
1. Amendment
					 of section and NOTE filed 12-13-2006; operative 1-12-2007 (Register 2006, No.
					 50).
Note: Authority cited: Sections
						1530
						and
						1530.1,
						Health and Safety Code. Reference: Sections
						1501,
						1507
						and
						1531,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 3 - Adult Day Programs › Article 6 - Continuing Requirements › Section 82075.2 - Automated External Defibrillators (AEDs)

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) A licensee is permitted to maintain and
				  operate an AED at the day program if all of the following conditions are met:
(1) The licensee shall notify the district
				  office in writing that an AED is at the program site 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
				  program site the following:
(A) A training
				  manual from an American Heart Association- or American Red Cross-recognized AED
				  training class.
(B) A log of checks
				  of operation of the AED containing the dates checked and the name of person
				  checking.
(C) 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.
(4) AED use is
				  limited to staff who are certified by the American Red Cross, American Heart
				  Association, or other training organizations that meet the standards
				  established by either the American Red Cross or American Heart
				  Association.
(5) A supply kit shall
				  be maintained 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).
(6) Use of an AED shall be reported as
				  specified in Section
				  82061(b)(1)(C).
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 3 - Adult Day Programs › Article 6 - Continuing Requirements › Section 82077 - Personal Services

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
				  Information and referral services shall be available to the clients and their
				  families.
(b) The adult day program
				  shall establish linkages with other community agencies and instructions to
				  staff to coordinate services.
1.
					 Renumbering of former section
					 82577 to new section
					 82077, including amendment of
					 section and NOTE, filed 12-13-2006; operative 1-12-2007 (Register 2006, No.
					 50).
Note: Authority cited: Sections
						1530
						and
						1530.1,
						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 3 - Adult Day Programs › Article 6 - Continuing Requirements › Section 82077.2 - 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 may accept or retain a client who relies upon others to perform all
				  activities of daily living for them.
(b) Prior to accepting such 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 82022(d).
(2) A Needs and Services Plan, as required by
				  the program-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 nonemergency 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 program staff will receive.
1. The training may be provided by the
				  client's health care provider (physician or nurse), the client's physical or
				  mental health therapist, social worker, or 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.
3. The training may be
				  provided by the client's primary caregiver, including the client's family or
				  the administrator of the client's residential or health facility providing the
				  primary caregiver has received training as specified in Sections
				  82077.2(b)(2)(G)1.
				  and 2.
(H) 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 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 3 - Adult Day Programs › Article 6 - Continuing Requirements › Section 82077.4 - Care for Clients with Incontinence

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) A licensee 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 a client are used
				  whenever they are needed.
(2)
				  Ensuring that a client who can benefit from scheduled toileting is assisted or
				  reminded to go to the bathroom at regular intervals rather than being
				  diapered.
(3) Assisting a client
				  with self-care.
(4) Ensuring that a
				  client is kept clean and dry, and that the day program 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
				  a client is assisted with a structured bowel and/or bladder retraining program
				  if one has been designed.
(B) The
				  licensee shall ensure that staff responsible for implementing the program
				  receive training from the licensed professional or his/her designee who
				  designed the program.
(C) The
				  licensee obtains from the licensed professional or his/her designee written
				  instructions to staff outlining the procedures and shall document the names of
				  staff who received the training.
(D) The licensee shall ensure that the
				  licensed professional or his/her 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 is not
				  catheterized to control incontinence for the convenience of the licensee or
				  program staff.
(11) The licensee
				  shall obtain a change of clothing from a client in case clothing becomes wet or
				  soiled.
(12) After each incontinent
				  elimination, washcloths, towels, soiled bedding, clothing, and any cloths used
				  for cleansing shall be placed in a sealed container and shall be laundered and
				  sanitized.
(13) Disposable diapers,
				  panty shield products, and disposables used for cleansing shall be disposed of
				  in a sealed bag.
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 3 - Adult Day Programs › Article 6 - Continuing Requirements › Section 82077.5 - Care for Clients with Contractures

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) A licensee 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 program staff when the client is unable to
				  provide self-care.
(A) The licensee shall
				  ensure that program 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 program 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 3 - Adult Day Programs › Article 6 - Continuing Requirements › Section 82078 - Responsibility for Providing Care and Supervision

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The licensee shall provide care and
				  supervision necessary to meet the client's needs and all services specified in
				  the admission agreement.
1. Amendment
					 of section and NOTE filed 12-13-2006; operative 1-12-2007 (Register 2006, No.
					 50).
Note: Authority cited: Sections
						1530
						and
						1530.1,
						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 3 - Adult Day Programs › Article 6 - Continuing Requirements › Section 82079 - Planned Activities

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
				  The licensee shall provide opportunities for, and encourage participation in
				  activities, including but not limited to:
(1)
				  Activities that require group interaction.
(2) Daily living skills, including grooming,
				  personal hygiene, social skills, cooking and simple homemaking tasks, and
				  opportunities to learn about the community.
(3) Physical activities, including, but not
				  limited to, games, sports and exercise unless contraindicated by the medical
				  assessment specified in Sections
				  82069(b) and
				  82068.2, Needs and Services
				  Plan.
(4) Leisure time to pursue
				  personal interests.
(5) Education
				  through special instruction and projects.
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 3 - Adult Day Programs › Article 7 - Physical Environment › Section 82086 - 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.
1. New
					 section filed 12-13-2006; operative 1-12-2007 (Register 2006, No.
					 50).
Note: Authority cited: Sections
						1530
						and
						1530.1,
						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 3 - Adult Day Programs › Article 7 - Physical Environment › Section 82087 - Buildings and Grounds

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The
				  program site 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 site free of flies and other insects.
(2) The licensee shall provide for the safe
				  disposal of water and other chemicals used for cleaning purposes.
(3) Disinfectants, cleaning solutions,
				  poisons, and other items which could pose a danger if readily available to
				  clients shall be stored where inaccessible to clients.
(A) Storage areas for poisons shall be
				  locked.
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 3 - Adult Day Programs › Article 7 - Physical Environment › Section 82087.2 - Outdoor Activity Space

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) If outdoor activity space is provided, it
				  shall:
(1) Be free of hazards.
(2) Provide protection from
				  traffic.
(3) Provide a shaded rest
				  area for the clients.
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 3 - Adult Day Programs › Article 7 - Physical Environment › Section 82087.3 - Indoor Activity Space

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The licensee shall ensure safe and
				  healthy indoor activity space for clients.
(b) A space shall be provided for clients not
				  actively participating in the planned activity programs.
(1) This area may be a library, study room,
				  or place adjacent to the activity.
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 3 - Adult Day Programs › Article 7 - Physical Environment › Section 82087.4 - Storage Space

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
				  There shall be space available for storage of clients' personal
				  belongings.
(b) There shall be
				  space available for storage of equipment and supplies necessary to implement
				  the planned activity program.
(c)
				  There shall be space available for storage of staff members' personal
				  belongings.
(d) There shall be
				  space available on the premises for storage of the program records as specified
				  in Sections
				  82066, Personnel Records,
				  82068(e), 82068.2, Needs and Services Plan, 82068.3, Modifications to Needs and
				  Services Plan, 82070, Client Records, and 82071, Register of Clients.
(e) Storage space may be either permanent or
				  portable.
1. Amendment
					 of section and new NOTE filed 12-13-2006; operative 1-12-2007 (Register 2006,
					 No. 50).
Note: Authority cited: Sections
						1530
						and
						1530.1,
						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 3 - Adult Day Programs › Article 7 - Physical Environment › Section 82087.5 - Delayed Egress Devices

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) To
				  utilize the option of delayed egress devices on exterior doors or perimeter
				  fence gates, the licensee must meet the following initial and continuing
				  requirements:
(1) The licensee shall notify
				  the licensing agency immediately after determining the date that the device
				  will be installed.
(2) The licensee
				  shall ensure that the fire clearance includes approval of delayed egress
				  devices.
(3) Fire and earthquake
				  drills shall be conducted at least once every three months on each shift and
				  shall include, at a minimum, all direct care staff.
(4) Without violating Section
				  82072(a)(6),
				  program staff shall attempt to redirect a client who attempts to leave the
				  program.
(5) Clients who continue
				  to indicate a desire to leave the program site following redirection shall be
				  permitted to do so.
(6) For each
				  incident in which a client wanders away from the program site unsupervised, the
				  licensee shall report the incident to the licensing agency, the client's
				  conservator and/or other responsible person, if any, and to any family member
				  who has requested notification. The report shall be made by telephone no later
				  than the next working day and in writing within seven calendar days.
(7) Delayed egress devices shall not
				  substitute for trained staff in sufficient numbers to meet the care and
				  supervision needs of all clients and to escort clients who leave the
				  program.
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 3 - Adult Day Programs › Article 7 - Physical Environment › Section 82088 - 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 times.
(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 3 - Adult Day Programs › Article 7 - Physical Environment › Section 82088.2 - Drinking Water

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
				  Drinking water from a noncontaminating fixture or container shall be readily
				  available both indoors and outdoors.
(1)
				  Clients shall be permitted to drink water whenever they wish.
(2) Bottled water or portable containers
				  shall be permitted provided that:
(A) The
				  water and containers are kept free of contaminations.
(B) Bottled water containers are secured to
				  prevent tipping and breaking.
(3) All water used for drinking shall be safe
				  for human consumption.
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 82090 - Health and Safety Services

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Waivers or exceptions will not be granted
				  to accept or retain clients who have health conditions prohibited by Section
				  82091(a).
(b) The Department may grant an exception
				  allowing acceptance or retention of a client who has a medical or health
				  condition not listed in Section
				  82092, Restricted Health
				  Conditions, 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
				  82068.2(f) and
				  82092.2(a).
(4) The client is able to care for all
				  aspects of the condition.
(5) If
				  the client is unable to care for all aspects of the condition, a licensed
				  professional, or facility staff who receive supervision and training from a
				  licensed professional, may assist the client in the care of the condition.
(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.
(6) 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 3 - Adult Day Programs › Article 8 - Incidental Medical Services › Section 82091 - Prohibited Health Conditions

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) 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 pressure sores (dermal ulcers).
(5) Any other condition or care requirements
				  which would require the day program to be licensed as a health facility as
				  defined by Health and Safety Code Section
				  1250.
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 - Restricted Health Conditions

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Adult day programs may accept or retain
				  clients who have the conditions listed in Section
				  82092(b) only if
				  all requirements of Article 8, Incidental Medical Services, are met.
(b) Care for the following health conditions
				  must be provided only as specified in Sections
				  82092.1 through
				  82092.11.
(1) Use of inhalation-assistive devices as
				  specified in Section
				  82092.3.
(2) Colostomy/ileostomies as specified in
				  Section 82092.4.
(3) Requirement for fecal impaction removal,
				  enemas, and suppositories, only as specified in Section
				  82092.5.
(4) Use of catheters as specified in Section
				  82092.6.
(5) Staph or other serious, communicable
				  infections as specified in Section
				  82092.7.
(6) Insulin-dependent Diabetes as specified
				  in Section
				  82092.8.
(7) Stage 1 and 2 pressure sores (dermal
				  ulcers) as specified in Section
				  82092.9.
(8) Wounds as specified in Section
				  82092.9.
(9) Gastrostomies as specified in Section
				  82092.10.
(10) Tracheostomies as specified in Section
				  82092.11.
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 82092.2 - Restricted Health Condition Care Plan

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The licensee who chooses to care for a
				  client with a restricted health condition may use a copy of the Restricted
				  Health Care Plan from the client's residential setting provided that the
				  information required in Section
				  82092.2(a)(4),
				  specific to the day program, is added. If the client does not have a Restricted
				  Health Condition Care Plan, the licensee must develop a 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
				  condition.
(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(s) 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
				  82092.2(a)(1). At
				  a minimum, the plan shall be reassessed every 12 months, as required by Section
				  1507(c)(2)(B) of
				  the Health and Safety Code.
(7) A
				  signed statement from the client's 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 he/she has reviewed and approved the plan and that the
				  placement agency will monitor implementation of the plan.
(9) The Restricted Health Condition Care Plan
				  shall neither require nor recommend that the licensee or any program personnel
				  or any other person providing care, other than a physician or licensed
				  professional, implement any health care procedure that may legally be provided
				  only by a physician or licensed professional.