reglab/statecodes huggingface dataset:
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 11 - Chemical Dependency Recovery Hospital Licensing Regulations › Article 1 - Definitions › Section 79063 - Registered Domestic Partner

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Registered domestic partner shall have the same meaning as
					 defined in Family Code Sections
					 297 and
					 297.5.
1. Change
					 without regulatory effect adopting section filed 6-23-2011 pursuant to section
					 100, title 1, California Code of
					 Regulations (Register 2011, No. 25).
Note: Authority cited: Sections
						1275
						and
						131200,
						Health and Safety Code. Reference: Section
						51, Civil Code;
						Sections
						297 and
						297.5, Family
						Code; and Sections
						1276,
						131050,
						131051
						and
						131052,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 11 - Chemical Dependency Recovery Hospital Licensing Regulations › Article 1 - Definitions › Section 79070 - Registered Health Information Administrator

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Registered health information administrator means a person
					 who is registered as a health information administrator by the American Health
					 Information Management Association.
1. New
					 Section filed 12-24-82; effective upon filing pursuant to Government Code
					 Section
					 11346.2(d)
					 (Register 83, No. 4).
2. Change without regulatory effect amending
					 section heading, section and NOTE filed 3-12-2013 pursuant to section
					 100, title 1, California Code of
					 Regulations (Register 2013, No. 11).
Note: Authority cited: Sections
						1275
						and
						131200,
						Health and Safety Code. Reference: Sections
						1276,
						1276.1,
						131050,
						131051
						and
						131052,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 11 - Chemical Dependency Recovery Hospital Licensing Regulations › Article 1 - Definitions › Section 79071 - Significant Others

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Significant others means those persons, identified by the
					 patient or professional staff, as having positive or negative impact on the
					 patient's life.
Note: Authority cited: Sections
						208(a),
						1254,
						1254.2,
						1275
						and
						1275.2,
						Health and Safety Code. Reference: Sections
						1250
						and
						1250.3,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 11 - Chemical Dependency Recovery Hospital Licensing Regulations › Article 1 - Definitions › Section 79073 - Social Worker

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Social Worker means a person licensed as a licensed
					 clinical social worker by the Board of Behavioral Sciences.
1. Editorial
					 correction renumbering former Section
					 79073 to Section
					 79075 and renumbering and amending
					 Section 79041 to Section
					 79073 filed 12-15-82 (Register 82,
					 No. 51).
2. Change without regulatory effect amending section and
					 NOTE filed 3-12-2013 pursuant to section
					 100, title 1, California Code of
					 Regulations (Register 2013, No. 11).
Note: Authority cited: Sections
						1254,
						1254.2,
						1275,
						1275.2
						and
						131200,
						Health and Safety Code. Reference: Sections
						1250,
						1250.3,
						1276,
						1276.1,
						131050,
						131051
						and
						131052,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 11 - Chemical Dependency Recovery Hospital Licensing Regulations › Article 1 - Definitions › Section 79075 - Supervision

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Supervision
				  means to instruct employees or subordinates in their duties and to oversee or
				  direct their work, but does not necessarily require the immediate presence of
				  the supervisor.
(b) Direct
				  supervision means that the supervisor shall be present in the same building as
				  the person being supervised, and available for consultation and
				  assistance.
(c) Immediate
				  supervision means that the supervisor shall be physically present while a task
				  is being performed by the person being supervised.
1. Editorial
					 correction renumbering former Section
					 79073 to Section
					 79075 filed 12-15-82 (Register 82,
					 No. 51).
Note: Authority cited: Sections
						208(a),
						1254,
						1254.2,
						1275
						and
						1275.2,
						Health and Safety Code. Reference: Sections
						1250,
						1250.3
						and
						1276.1,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 11 - Chemical Dependency Recovery Hospital Licensing Regulations › Article 1 - Definitions › Section 79077 - Withdrawal Syndrome

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Withdrawal syndrome means a specific set of signs and
					 symptoms or specific medical disease caused by the cessation of or decrease in
					 the level of the drug or drugs on which a patient is dependent.
(a) Major withdrawal syndrome is that
				  syndrome described above which, as judged by a physician, is life
				  threatening.
(b) Minor withdrawal
				  syndrome is that syndrome described above which, as judged by a physician, is
				  not life threatening.
Note: Authority cited: Sections
						208(a),
						1254,
						1254.2,
						1275
						and
						1275.2,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 11 - Chemical Dependency Recovery Hospital Licensing Regulations › Article 2 - Licensing and Inspection › Section 79101 - Application Required

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) A
				  verified application for a new license shall be submitted to the Department
				  whenever either of the following circumstances occur:
(1) Establishment of a hospital.
(2) Change of ownership.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 11 - Chemical Dependency Recovery Hospital Licensing Regulations › Article 2 - Licensing and Inspection › Section 79105 - Safety, Zoning, and Building Clearance

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) A license shall not be issued to any
				  chemical dependency recovery hospital which does not conform to the State Fire
				  Marshal's requirement for fire and life safety, the state requirements for
				  environmental impact, and local fire safety, zoning and building ordinances.
				  Evidence of such compliances shall be presented in writing to the
				  Department.
(b) It shall be the
				  responsibility of the licensee to maintain the CDRH in a safe structural
				  condition. If the Department determines that an evaluation of the structural
				  condition of a hospital building is necessary, the licensee may be required to
				  submit a report by a licensed structural engineer which shall establish a basis
				  for eliminating or correcting the structural conditions which are found to be
				  hazardous to occupants.
1. Editorial
					 correction of subsection (b) filed 12-15-82 (Register 82, No.
					 51).
Note: Authority cited: Sections
						208(a),
						1254,
						1254.2,
						1275
						and
						1275.2,
						Health and Safety Code. Reference: Section
						1276,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 11 - Chemical Dependency Recovery Hospital Licensing Regulations › Article 2 - Licensing and Inspection › Section 79107 - Issuance, Expiration and Renewal

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Each license shall expire at midnight on the date of
					 expiration.
Note: Authority cited: Sections
						208(a),
						1254,
						1254.2,
						1275
						and
						1275.2,
						Health and Safety Code. Reference: Sections
						442.10(c),
						1250.2,
						1267,
						1268
						and
						1269,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 11 - Chemical Dependency Recovery Hospital Licensing Regulations › Article 2 - Licensing and Inspection › Section 79109 - Separate License

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) A
				  separate license shall be required for each chemical dependency recovery
				  hospital except for those specifically exempted by Section
				  1250.3(d)
				  of the Health and Safety Code.
(b)
				  A separate license shall not be required for an outpatient department of a CDRH
				  regardless of whether the outpatient department is located on or off the
				  premises of the CDRH.
(c) Separate
				  licenses shall not be required for separate buildings on the same grounds or
				  adjacent grounds of the chemical dependency recovery hospital provided that
				  they operate as one chemical dependency recovery hospital.
1. Editorial
					 correction filed 12-15-82 (Register 82, No. 51).
Note: Authority cited: Sections
						208(a),
						1206(d),
						1253,
						1254,
						1254.2,
						1275
						and
						1275.2,
						Health and Safety Code. Reference: Section
						1250.3,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 11 - Chemical Dependency Recovery Hospital Licensing Regulations › Article 2 - Licensing and Inspection › Section 79111 - Posting of License and Consumer Information

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The license, or a true copy thereof,
				  shall be posted in a prominent location within the licensed premises and
				  accessible to public view.
(b) Any
				  approval of the Department granted under program flexibility shall be posted
				  beside the CDRH's license.
(c)
				  Patient rights, as specified in Section
				  79313 shall be prominently posted
				  in both English and the predominant language of the community if other than
				  English and explained in a language or in a medium readily comprehensible by
				  the patient.
(d) The following
				  consumer information shall be posted in a prominent location accessible to
				  public view:
(1) Name and date of employment
				  of the current medical director and administrator of the CDRH.
(2) A listing of all services and special
				  programs provided in the CDRH and those provided through written
				  contracts.
(3) A notice that the
				  CDRH's written admission and discharge policies are available upon request to
				  the public from the administrator.
(4) Written notification that the most recent
				  licensing visit report supported by the related follow-up plan of correction
				  visit reports are available to the public upon request from the
				  administrator.
(5) A notice of the
				  name, address and telephone number of the district office of the Licensing and
				  Certification Division, Department of Health Services, having licensing and
				  certification jurisdiction over the CDRH.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 11 - Chemical Dependency Recovery Hospital Licensing Regulations › Article 2 - Licensing and Inspection › Section 79113 - Report of Changes

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The
				  licensee shall notify the Department, within 10 days, in writing, of any of the
				  following:
(1) Any change in medical director
				  or administrator.
(2) Any change of
				  the principal officers (President, Vice-President, Secretary, Treasurer of the
				  Corporation).
(3) Any change of the
				  mailing address of the licensee.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 11 - Chemical Dependency Recovery Hospital Licensing Regulations › Article 2 - Licensing and Inspection › Section 79115 - Program Flexibility

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
				  All CDRH's shall maintain continuous compliance with the licensing requirements
				  except when the use of alternate concepts, methods, procedures, techniques,
				  equipment, personnel qualifications or the conducting of pilot projects provide
				  for continuous safe and adequate care and are with the prior written approval
				  of the Department. Any approval shall provide for the terms and conditions
				  under which the exception is granted. A written request plus supporting
				  evidence shall be submitted by the applicant or licensee to the
				  Department.
(b) Special exceptions
				  may be granted under this section for a CDRH required to provide services and
				  accommodations for persons who may have dangerous propensities necessitating
				  special precautions, personnel with special qualifications, locked
				  accommodations, special protection for windows, type and location of lighting
				  and plumbing fixtures, signal systems, control switches, beds and other
				  furnishings.
(c) Any approval of
				  program flexibility shall be in writing and shall provide for the terms and
				  conditions under which the program flexibility is granted. Any denial of the
				  request shall be in writing and shall specify the reason for denial.
1. Editorial
					 correction of subsections (a) and (b) filed 12-15-82 (Register 82, No.
					 51).
Note: Authority cited: Sections
						208(a),
						1275 and
						1275.2 Health and Safety Code.
						Reference: Sections
						1254
						and
						1254.2,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 11 - Chemical Dependency Recovery Hospital Licensing Regulations › Article 2 - Licensing and Inspection › Section 79117 - Voluntary Suspension of License or Licensed Beds

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Any license, or portion thereof, which
				  has been suspended for a period of time approved by the Department shall remain
				  subject to all renewal requirements of an active license, including the payment
				  of license renewal fees during the period of suspension.
(b) If the license is not reinstated during
				  the period of approved suspension, the license shall expire automatically and
				  shall not qualify for reinstatement; however, an application may be submitted
				  for a new license.
Note: Authority cited: Sections
						208(a),
						1254.2,
						1275
						and
						1275.2,
						Health and Safety Code. Reference: Sections
						1265
						and
						1300,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 11 - Chemical Dependency Recovery Hospital Licensing Regulations › Article 2 - Licensing and Inspection › Section 79118 - Conviction of Crime: Standards for Evaluating Rehabilitation

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
When considering the denial, suspension or revocation of a
					 license based on the conviction of a crime in accordance with Section
					 1265.1
					 or
					 1294
					 of the Health and Safety Code, the following criteria shall be considered in
					 evaluating rehabilitation:
(1) The
				  nature and the seriousness of the crime(s) under consideration.
(2) Evidence of conduct subsequent to the
				  crime which suggests responsible or irresponsible character.
(3) The time which has elapsed since
				  commission of the crime(s) or conduct referred to in subdivision (1) or
				  (2).
(4) The extent to which the
				  applicant has complied with any terms of parole, probation, restitution, or any
				  other sanction lawfully imposed against the applicant.
(5) Any rehabilitation evidence submitted by
				  the applicant.
1. New
					 section filed 9-13-84; effective thirtieth day thereafter (Register 84, No.
					 37).
Note: Authority cited: Sections
						208(a),
						1265.2
						and
						1275,
						Health and Safety Code. Reference: Sections
						1265.1,
						1265.2
						and
						1294,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 11 - Chemical Dependency Recovery Hospital Licensing Regulations › Article 2 - Licensing and Inspection › Section 79119 - Bonds

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) CDRHs which
				  handle $25.00 or more per patient or $500.00 or more for all patients within
				  any one month, shall post a bond in accordance with the following schedule:
Amount Handled
Bond
							 Required
$0-24 per patient or less than $500 for all patients
							 within one
							 month..........................
..........................0
Over $24 per patient or $500 or over and up to $750
							 for all patients within one
							 month..........................
..........................$1,000
$751 to
							 $1,500..........................
..........................$2,000
$1,501 to
							 $2,500..........................
..........................$3,000
$2,500 and
							 above..........................
..........................additional
							 $1,000
bond for each $1,000 or fraction thereof of
							 patients' funds handled
(b)
				  Each application for an original license or renewal of license shall be
				  accompanied by an affidavit on a form provided by the Department. The affidavit
				  shall state whether the licensee handles or will handle money of patients and
				  the maximum amount of money to be handled for any patient and for all patients
				  in any month.
(c) No licensee shall
				  handle amounts greater than those stated in the affidavit submitted by the
				  licensee without first notifying the Department and filing a new or revised
				  bond if required.
1. Editorial
					 correction of subsection (a) filed 12-15-82 (Register 82, No.
					 51).
Note: Authority cited: Sections
						208(a),
						1275
						and
						1275.2,
						Health and Safety Code. Reference: Sections
						1254.2
						and
						1318,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 11 - Chemical Dependency Recovery Hospital Licensing Regulations › Article 3 - Basic Services › Section 79201 - Basic Services

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
A CDRH shall provide all of the basic services specified in
					 Section
					 1250.3,
					 Health and Safety Code.
1. Editorial
					 correction filed 12-15-82 (Register 82, No. 51).
Note: Authority cited: Sections
						208(a),
						1275
						and
						1275.2,
						Health and Safety Code. Reference: Sections
						1250.3,
						1254.2
						and
						1275.2,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 11 - Chemical Dependency Recovery Hospital Licensing Regulations › Article 3 - Basic Services › Section 79203 - Patient Counseling

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
				  Patient counseling shall consist of an interview or series of interviews
				  conducted by the professional staff with the patient to alleviate or change
				  personal or family situations, attitudes, beliefs, behaviors and communications
				  which present a threat to the recovery or stability of the patient or the
				  family.
(b) Patient counseling
				  shall address the needs identified in the individual patient's recovery
				  plan.
Note: Authority cited: Sections
						208(a),
						1275
						and
						1275.2,
						Health and Safety Code. Reference: Sections
						1250.3,
						1254.2
						and
						1275.2,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 11 - Chemical Dependency Recovery Hospital Licensing Regulations › Article 3 - Basic Services › Section 79205 - Group Therapy

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Group therapy shall consist of a session or series of
					 sessions conducted by the professional staff and designed to promote the
					 interaction of the individuals within the session for the purpose of
					 alleviating or changing personal and/or family situations, attitudes and
					 beliefs which present a threat to the recovery or stability of the patient or
					 the family.
Note: Authority cited: Sections
						208(a),
						1275
						and
						1275.2,
						Health and Safety Code. Reference: Sections
						1250.3,
						1254.2
						and
						1275.2,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 11 - Chemical Dependency Recovery Hospital Licensing Regulations › Article 3 - Basic Services › Section 79207 - Physical Conditioning

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
				  Each patient's maximum level of participation in an organized program of
				  physical activities designed to improve the patient's well being shall be
				  defined in the patient's individual recovery plan and shall be based upon a
				  medical history, physical examination, and medical clearance. Such medical
				  histories, physical examinations, and medical clearances shall be performed by
				  a person lawfully authorized by that person's respective practice act to
				  perform such histories, examinations and clearances.
(b) In evaluating the patient's level of
				  participation in a physical conditioning program, a physician shall consider
				  information contained in the patient's individual recover plan.
(c) The physical conditioning program shall
				  be supervised by designated staff.
(d) Physical conditioning programs shall have
				  written policies and procedures. These policies and procedures shall be
				  implemented, reviewed and revised as needed, and include goals and
				  objectives.
Note: Authority cited: Sections
						208(a),
						1275
						and
						1275.2,
						Health and Safety Code. Reference: Sections
						1250.3,
						1254.2
						and
						1275.2,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 11 - Chemical Dependency Recovery Hospital Licensing Regulations › Article 3 - Basic Services › Section 79209 - Family Therapy Participation

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Participation or refusal to participate by family members
					 or significant others shall be documented in the patient's health
					 record.
1. Editorial
					 correction of section heading filed 12-15-82 (Register 82, No.
					 51).
Note: Authority cited: Sections
						208(a),
						1275
						and
						1275.2,
						Health and Safety Code. Reference: Sections
						1250.3,
						1254.2
						and
						1275.2,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 11 - Chemical Dependency Recovery Hospital Licensing Regulations › Article 3 - Basic Services › Section 79211 - Outpatient Services

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
				  Outpatient services shall be provided as outlined in the CDRH's written program
				  submitted by the CDRH to the Department pursuant to Section
				  79101.
(b) Outpatient services shall include but not
				  be limited to:
(1) Assessment
(2) Referral
(3) After Care
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 11 - Chemical Dependency Recovery Hospital Licensing Regulations › Article 3 - Basic Services › Section 79213 - Dietetic Services

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The
				  total daily diet for patients shall be of the quality and in the quantity
				  necessary to meet the needs of the patients and shall meet the "Dietary
				  Reference Intakes: The Essential Guide to Nutrient Requirements" (2006) adopted
				  by the National Research Council of the National Academy of Sciences, Institute
				  of Medicine, hereby incorporated by reference, adjusted to the age, activity
				  and environment of the group involved. All food shall be selected, stored,
				  prepared and served in a safe and healthful manner. The following shall apply
(1) Arrangements shall be made so that each
				  patient has available at least three meals per day. Exceptions may be allowed
				  on weekends and holidays providing the total daily food needs are met. Not more
				  than fifteen (15) hours shall elapse between the third and first
				  meal.
(2) When a non-inpatient
				  program exceeds four hours, nourishment or snacks shall be available.
(3) In facilities licensed for fifty (50)
				  patients or more, a full-time employee qualified by formal training or
				  experience shall be responsible for the operation of the food service. If this
				  person is not a dietitian, provision shall be made for consultation from a
				  person so qualified. Menus shall be made available for review by the patients
				  served or their designated representatives and the Department upon
				  request.
(4) If patients
				  participate in food preparation and/or service to inpatients as part of their
				  interdisciplinary recovery plan they shall comply with the same policies and
				  procedures as those required of food service employees.
(5) Pesticides and other toxic substances
				  shall not be stored in food storerooms, kitchen areas, or where kitchen
				  equipment or utensils are stored, or accessible to patients.
(6) Supplies of staple foods for a minimum of
				  one week and perishable foods for a minimum of two days shall be maintained on
				  the premises.
(7) All kitchen
				  equipment, fixed or mobile, and dishes, shall be kept clean and maintained in
				  good repair and free of breaks, open seams, cracks or chips.
(8) All utensils used for eating and drinking
				  and in the preparation of food and drink, shall be cleaned and sanitized after
				  each usage.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 11 - Chemical Dependency Recovery Hospital Licensing Regulations › Article 3 - Basic Services › Section 79217 - Interdisciplinary Treatment Team

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The interdisciplinary treatment team
				  shall be composed of those persons who work directly with the patient in each
				  of the disciplines or service areas that provide service to the patient,
				  including the medical director, or in the absence of the medical director, the
				  alternate physician, members of the professional staff, the patient's attending
				  physician and any other persons whose participation is relevant to the
				  treatment and care of the patient.
(b) The interdisciplinary treatment team
				  shall be responsible for the development and implementation of the patient's
				  individual recovery plan in consultation with the patient, members of the
				  patient's family and/or significant others unless their participation has been
				  determined to be inappropriate by the medical director, or in the absence of
				  the medical director, the alternate physician.
Note: Authority cited: Sections
						208(a),
						1275
						and
						1275.2,
						Health and Safety Code. Reference: Sections
						1250.3,
						1254.2
						and
						1275.2,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 11 - Chemical Dependency Recovery Hospital Licensing Regulations › Article 3 - Basic Services › Section 79219 - Individual Recovery Plan

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The individual recovery plan shall:
(1) Be developed in writing by the
				  interdisciplinary treatment team and where possible in collaboration with the
				  patient as soon as possible, but in no event longer than seven (7) days after
				  admission. Therapeutic efforts may begin prior to completion of the
				  plan.
(2) Be reviewed and updated
				  as often as indicated, but no less often than every seven (7) days.
(3) Include goals that identify a continuum
				  of recovery and observable, measurable objectives for each episode of
				  hospitalization towards achieving those goals.
(4) Be consistent with patients'
				  rights.
(5) Document the success or
				  failure in achieving stated objectives. Evaluate the factors contributing to
				  the patients progress or lack of progress towards recovery and state the
				  interdisciplinary team decision for follow-up action.
(6) Assure that the responsibility for the
				  recovery plan shall be assigned to a member of the interdisciplinary treatment
				  team.
(7) Include referrals for
				  needed services not provided directly by the hospital.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 11 - Chemical Dependency Recovery Hospital Licensing Regulations › Article 3 - Basic Services › Section 79221 - Staffing

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The CDRH shall
				  have a medical director who is a physician and an alternate physician who shall
				  provide for the coverage of the duties of the medical director in the medical
				  director's absence. Both the medical director and the alternate physician shall
				  be appointed by the governing body.
(b) When the medical director does not serve
				  as the administrator, an administrator shall be appointed by the governing
				  body.
(c) A physician shall be
				  available at all times for provision of medical services to patients not
				  requiring general acute care or acute psychiatric services. Patients requiring
				  acute medical services shall be transferred to a general acute care hospital.
				  Patients requiring acute psychiatric services shall be transferred to a general
				  acute care hospital approved by the Department to provide acute psychiatric
				  services or an acute psychiatric hospital.
(d) If the CDRH has been approved for medical
				  detoxification services, patients requiring and receiving only that type of
				  acute care need not be transferred, under subsection (c) above, to a general
				  acute care or acute psychiatric hospital.
(e) At least one member of the professional
				  staff, currently certified in cardiopulmonary resuscitation, and choking
				  prevention techniques shall be on duty in the hospital at all times.
(f) Each CDRH shall meet the following
				  applicable minimum professional staffing requirements at all times:
(1)
Licensed Capacity
Minimum Professional
								Staff
1 to 25
1
26 to 50
2
51 to 75
3
76 to 100
4
(2)
				  The required minimum professional staff shall be awake and on duty in the CDRH
				  at all times.
(3) Regardless of the
				  minimum professional staffing required in (f)(1) above, the CDRH shall employ
				  professional and other staff personnel in the number and with the
				  qualifications to provide the necessary services for those patients admitted
				  for care.
(4) In addition to
				  minimum professional staffing requirements in (f)(1), during group therapy
				  and/or counseling sessions, there shall be a minimum of one professional staff
				  member to provide a ratio of one professional staff member to each ten patients
				  in session.
(5) In addition to
				  minimum professional staffing requirements in (f)(1), during family therapy
				  and/or counseling sessions, there shall be a minimum of one professional staff
				  member to provide a ratio of one professional staff member to each 20 persons
				  in session.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 11 - Chemical Dependency Recovery Hospital Licensing Regulations › Article 4 - Optional Services › Section 79251 - Optional Services

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) In
				  addition to the basic services as specified in Sections
				  79201 through
				  79221, a chemical dependency
				  recovery hospital may be approved by the Department to provide one or more of
				  the following optional services:
(1) Medical
				  detoxification.
(2) Treatment
				  programs for adolescents who have a chemical dependency.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 11 - Chemical Dependency Recovery Hospital Licensing Regulations › Article 5 - Administration › Section 79301 - Governing Body

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The
				  governing body shall be responsible for:
(1)
				  Defining and adopting in a written statement, the qualifications, authority,
				  and duties of the medical director and the alternate physician who shall
				  provide for the coverage of the duties of the medical director in the medical
				  director's absence.
(2) Appointment
				  of an administrator when the medical director does not also serve as the
				  administrator.
(3) Defining and
				  adopting, in a written statement, the qualifications, authority, and duties of
				  the administrator.
(4) Granting the
				  medical director direct access to the governing body conjointly with the
				  administrator in all matters relating to the maintenance and improvement of
				  patient care within the CDRH when the medical director does not also serve as
				  the administrator.
(5) Notifying
				  the Department, in writing, whenever a change of administrator or medical
				  director occurs.
(6) Appointment
				  and granting of clinical privileges to the medical staff.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 11 - Chemical Dependency Recovery Hospital Licensing Regulations › Article 5 - Administration › Section 79307 - Residents, Interns and Students

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) (Reserved)
(b) If patient care is provided by residents,
				  interns or medical students, such care shall be in accordance with the
				  provisions of a program approved by and in conformity with the Council on
				  Education of the American Medical Association, the American Dental Association
				  and/or the American Podiatry Association residency training programs of the
				  respective specialty boards or the Education and Training Board of the American
				  Psychological Association.
Note: Authority cited: Sections
						208(a),
						1275,
						1275.2,
						1315,
						1316
						and
						1316.5,
						Health and Safety Code. Reference: Section
						1275.2,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 11 - Chemical Dependency Recovery Hospital Licensing Regulations › Article 5 - Administration › Section 79309 - Medical Director

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The
				  medical director as well as the designated alternate shall be a physician with
				  training and experience in the care and treatment of chemical
				  dependencies.
(b) The medical
				  director, or in the absence of the medical director, the alternate physician
				  shall be responsible for:
(1) Final approval
				  of patient screening and suitability for all services in the CDRH.
(2) Admission of all patients.
(3) Review of all drug
				  therapy.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 11 - Chemical Dependency Recovery Hospital Licensing Regulations › Article 5 - Administration › Section 79311 - Professional Staff

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
				  Each CDRH shall have a professional staff responsible to the governing body for
				  the fitness, adequacy, and quality of service rendered to patients.
(b) The professional staff shall be composed
				  of personnel who, based on their education, life experience, training and/or
				  licensure are qualified to render services to patients in the CDRH. The
				  professional staff shall be limited to the following: physicians, clinical
				  psychologists, psychological assistants, registered nurses, licensed vocational
				  nurses, pharmacists, psychiatric technicians, physician's assistants, chemical
				  dependency counselors, clinical social workers, and licensed marriage, family
				  and child counselors.
(c) All
				  professional staff, prior to employment, shall be free of and have had the last
				  two years free of any chemical dependency.
(d) A chemical dependency counselor shall
				  meet the following prerequisites:
(1) Have
				  successfully completed one academic year of preplanned and verified field
				  experience in the area of care and treatment of chemically dependent persons;
				  or
(2) Have successfully completed
				  one full year of supervised experience in counseling and/or care and treatment
				  of the chemically dependent person in a licensed facility or in a facility
				  exempt from licensure which provided care and treatment to chemically dependent
				  persons.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 11 - Chemical Dependency Recovery Hospital Licensing Regulations › Article 5 - Administration › Section 79313 - Patients' Rights

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The
				  governing body shall adopt and implement a written policy on patients'
				  rights.
(b) A list of these
				  patients' rights shall be posted in English and in the predominant language of
				  the community if other than English, in appropriate places within the CDRH so
				  that such rights may be read by patients. This list shall include but not be
				  limited to the patients' right to:
(1)
				  Considerate and respectful care, including the right to wear appropriate
				  clothing.
(2) Knowledge of the name
				  of the physician who has overall responsibility for their care, the names and
				  professional relationships of others who will be involved in their recovery
				  program.
(3) Be free from
				  discrimination based on sex, race, color, religion, ancestry, national origin,
				  sexual orientation, disability, medical condition, marital status, or
				  registered domestic partner status.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 11 - Chemical Dependency Recovery Hospital Licensing Regulations › Article 5 - Administration › Section 79315 - Restraints

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Physical
				  restraints shall only be used as a measure to protect the patient from injury
				  to self or others.
(b) Treatment
				  restraints shall only be used during medically prescribed treatment or
				  diagnostic procedures.
(c) Physical
				  and treatment restraints shall only be used upon a written or verbal order of a
				  licensed health care practitioner acting within the scope of his or her
				  professional licensure. Telephone orders shall be received only by authorized
				  professional staff, shall be recorded immediately in the patient's health
				  record and shall be signed by the ordering licensed health care practitioner
				  within five days.
(d) Restraints
				  shall not be used as punishment or as a substitute for more effective
				  programming or for the convenience of the staff.
(e) Orders for physical restraints shall be
				  in force for not longer than 24 hours.
(f) There shall be no PRN orders (as needed
				  orders) for physical or treatment restraints.
(g) Patients shall be restrained only in an
				  area that is under direct observation of staff and shall be afforded protection
				  from other patients who may be in the area.
(h) A patient placed in physical restraints
				  shall be checked at least every 15 minutes by professional staff to assure that
				  the restraint remains properly applied. A written record shall be kept of these
				  checks and maintained in the individual patient's health record.
1. New
					 section filed 12-24-82; effective upon filing pursuant to Government Code
					 Section
					 11346.2(d)
					 (Register 83, No. 4).
2. Amendment of subsection (c) and NOTE filed
					 3-3-2010; operative 4-2-2010 (Register 2010, No.
					 10).
Note: Authority cited: Sections
						1275,
						100275
						and
						131200,
						Health and Safety Code. Reference: Sections
						1250.3,
						1254,
						1254.2,
						1275.2,
						1276,
						1316.5,
						131050,
						131051
						and
						131052,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 11 - Chemical Dependency Recovery Hospital Licensing Regulations › Article 5 - Administration › Section 79317 - Postural Supports

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
				  Postural supports are devices, other than orthopedic braces, used to assist the
				  patient in achieving proper body position and balance and shall include only
				  the following:
(1) Soft ties.
(2) Seat belts.
(3) Spring release trays.
(4) Cloth vests.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 11 - Chemical Dependency Recovery Hospital Licensing Regulations › Article 5 - Administration › Section 79319 - Transfer Agreement

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
All CDRHs shall have current written transfer agreement(s)
					 with one or more general acute care hospitals for the provision of acute
					 medical services. Such written agreements shall be available for review by the
					 Department.
1. Editorial
					 correction filed 12-15-82 (Register 82, No. 51).
Note: Authority cited: Sections
						208(a),
						1275
						and
						1275.2,
						Health and Safety Code. Reference: Sections
						1250.3
						and
						1275.2,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 11 - Chemical Dependency Recovery Hospital Licensing Regulations › Article 5 - Administration › Section 79321 - Use of Outside Resources

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
				  If a CDRH does not employ qualified personnel to render a specific service to
				  be provided by the CDRH, there shall be arrangements through a written
				  agreement and/or contract with outside resources. Outside resources shall meet
				  the standards and requirements of these regulations before an agreement and/or
				  contract may be entered into and shall continue to meet these regulations
				  during the term of the agreement and/or contract. Outside resources may include
				  other facilities, organizations, individuals or public or private
				  agencies.
(b) Signed and dated
				  copies of agreements, contracts or written arrangements for advice,
				  consultation, services, training or transportation, with outside resources
				  shall be on file in the CDRH. These agreements and/or contracts shall be
				  readily available for inspection and review by the Department. The agreements
				  and/or contracts shall include, but not be limited to, a description of the
				  services to be provided, the financial arrangements, the methods by which the
				  services are to be provided, and the conditions upon which the agreement or
				  contract can be terminated.
1. Editorial
					 correction filed 12-15-82 (Register 82, No. 51).
Note: Authority cited: Sections
						208(a),
						1275
						and
						1275.2,
						Health and Safety Code. Reference: Sections
						1250.3
						and
						1275.2,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 11 - Chemical Dependency Recovery Hospital Licensing Regulations › Article 5 - Administration › Section 79325 - Admission Policies

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The
				  CDRH shall accept and retain only those patients for whom it can provide
				  adequate care.
(b) Each person
				  admitted shall be evaluated by a staff physician within 24 hours of
				  admission.
(c) Each CDRH shall have
				  and shall implement written admission and discharge policies which include but
				  are not limited to the following:
(1) Types of
				  clinical diagnoses for which patients may be admitted.
(2) Charges for care and extra
				  services.
(3) Terminations of
				  services.
(4) Advance deposits and
				  refund schedules.
(5) Services
				  available in the CDRH.