California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 8 - Intermediate Care Facilities for the Developmentally Disabled › Article 3 - Services › Section 76355 - Nursing Services-Staff

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Direct care personnel shall be employed
				  according to the client/staff ratios as defined in Section
				  76337(g) and with
				  the qualifications determined by the Department to provide the necessary
				  services for those clients admitted for care. The Department may require a
				  facility to provide additional staff when through a written evaluation of
				  client care additional staff is needed to provide for adequate nursing care and
				  the safety of the clients.
(b) The
				  facility shall designate a registered nurse to be responsible for nursing
				  services who shall have knowledge and experience in the field of developmental
				  disabilities. This registered nurse shall have in writing administrative
				  authority, responsibility and accountability for the nursing services within
				  the facility and serve only one facility in this capacity.
(c) The registered nurse in charge of nursing
				  services shall be employed eight hours a day on the day shift, five days a week
				  with a relief registered nurse employed eight hours a day on the day shift for
				  the other two days of the week.
(d)
				  A facility shall have at least one registered nurse, licensed vocational nurse
				  or psychiatric technician awake and on duty at all times, day and
				  night.
(e) Facilities licensed for
				  1-59 beds shall have at least 1 additional licensed nurse on the day
				  shift.
(f) Facilities licensed for
				  60-99 beds shall have at least 1 additional licensed nurse on the day shift and
				  at least 2 licensed nurses on the evening shift.
(g) Facilities licensed for 100 or more beds
				  shall have at least 1 registered nurse awake and on duty at all
				  times.
(h) Facilities licensed for
				  100 beds or more shall have at least 2 additional registered nurses, licensed
				  vocational nurses or psychiatric technicians on duty during the day shift and
				  at least 1 additional licensed nurse on the evening shift.
(i) Charge personnel on all shifts shall have
				  at least one year of experience or training related to developmental
				  disabilities.
(j) Each facility or
				  distinct part of a facility shall employ staff to provide a minimum average of
				  2.7 nursing hours per client-day.
1. Amendment
					 of subsection (j) filed 9-23-85 as an emergency; effective upon filing
					 (Register 85, No. 39). A Certificate of Compliance must be transmitted to OAL
					 within 120 days or emergency language will be repealed on
					 1-21-86.
2. Certificate of Compliance transmitted to OAL 1-17-86 and
					 filed 2-10-86 (Register 86, No. 7).
Note: Authority cited: Sections
						208(a),
						1276
						and
						1276.5,
						Health and Safety Code. Reference: Sections
						1276
						and
						1276.5,
						Health and Safety Code; and Section
						14110.87,
						Welfare and Institutions Code.