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 7.1 - Specialty Clinics › Article 6 - Hemodialyzer Reuse › Section 75200 - Facilities

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) All dialyzer
				  reprocessing procedures and tests, except rinsing of the dialyzer, shall be
				  performed in a room separate from the dialysis treatment area, or in the
				  patient treatment area if no patients are present or as otherwise noted in this
				  Article.
(b) The reprocessing room
				  or area shall be restricted to authorized personnel.
(c) For the purpose of minimizing the
				  potential for dialyzer/patient mixup and cross-contamination, the reprocessing
				  area shall be of sufficient size to allow for dialyzer reprocessing, storage,
				  and testing.
(d) The reprocessing
				  area shall be maintained in a clean and sanitary manner, and shall have a
				  method of disposal of air and chemical effluents which will not contaminate
				  patients.
(e) Air levels of
				  disinfectants in the reprocessing area and in the patient treatment area shall
				  be in compliance with California Administrative Code, Title 8, Section
				  5155, "Airborne
				  Contaminants."
(f) Reprocessing
				  rooms and/or the reprocessing area shall be in compliance with the ventilation
				  requirements of odorous and patient treatment rooms specified in the California
				  Administrative Code, Title 24, Chapter 4-21, Part 4, "Air Conditioning,
				  Heating, and Ventilation Systems for Hospitals."
1. New
					 section filed 4-8-87; effective thirtieth day thereafter (Register 87, No.
					 16).
Note: Authority cited: Sections
						208(a),
						417.10,
						1225
						and
						1275,
						Health and Safety Code. Reference: Sections
						417.10-
						417.15,
						1226
						and
						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 7.1 - Specialty Clinics › Article 6 - Hemodialyzer Reuse › Section 75201 - Personnel

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Personnel shall
				  be trained to understand and perform the procedures contained in each record
				  described in Section
				  75198(b).
(b) Personnel shall be trained in the
				  procedures and assigned tasks as specified in the dialysis facility's Training
				  Record which shall include, but not be limited to:
(1) Dangers associated with an inadequately
				  reprocessed dialyzer.
(2)
				  Reprocessing operations which affect the safety and integrity of the
				  dialyzer.
(3) The importance of
				  maintaining a high level of personal and field cleanliness.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 7.1 - Specialty Clinics › Article 6 - Hemodialyzer Reuse › Section 75202 - Labeling

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Prior to
				  dialysis treatment, the dialyzer shall be labeled with: patient's name (last
				  name, first name or initial), current date of dialysis treatment, and reuse
				  number.
(b) The label shall be
				  nonremovable.
(c) All markings on
				  the label shall be in indelible ink.
(d) The label shall be placed so as not to
				  obscure the name of the dialyzer manufacturer, model number, serial and/or lot
				  number, or arterial blood compartment-side indicator.
(e) All subsequent markings on the label as
				  required by other sections in this Article shall be made by the reprocessing
				  technician.
1. New
					 section filed 4-8-87; effective thirtieth day thereafter (Register 87, No.
					 16).
Note: Authority cited: Sections
						208(a),
						417.10,
						1225
						and
						1275,
						Health and Safety Code. Reference: Sections
						417.10-
						417.15,
						1226
						and
						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 7.1 - Specialty Clinics › Article 6 - Hemodialyzer Reuse › Section 75203 - Water Quality

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) All
				  water used in the reprocessing of dialyzers including solution makeup water
				  shall be first passed through a reverse osmosis (RO) membrane unit.
(b) Water shall not exceed 200 colony forming
				  units (CFU) as tested using a standard plate count method.
(c) Bacterial testing of the water shall be
				  done monthly and the results documented in the Equipment Record.
(d) The water treatment system shall be
				  regularly maintained and verification of maintenance so noted according to the
				  schedule in the Equipment Record.
(e) Dialysis facilities may store water
				  according to written water storage procedures.
(1) Water storage shall be validated for the
				  maximum time of water storage at the 200 CFU standard and for pyrogens using
				  either the USP Rabbit Test for Pyrogens or the Limulus Amebocyte Lysate (LAL)
				  test.
(2) Water stored for more
				  than eight (8) hours shall not be used in reprocessing and shall be drained
				  from the storage tank unless stored water is continuously recirculated through
				  a reverse osmosis membrane or other filter having a maximum pore size of 0.45
				  m. All filter systems shall be maintained to provide effective removal of
				  micro-organisms and to prevent microbiological accumulation on or within the
				  filter.
(3) Bacterial testing of
				  the stored water shall be done monthly at the maximum time of water storage and
				  the results documented in the Equipment Record. A count of greater than 200 CFU
				  shall require the facility to revalidate the water storage procedures for
				  pyrogens and bacterial growth.
(4)
				  A consistent rise in patient post-dialysis treatment temperatures to greater
				  than or equal to 100 degrees F and/or symptoms of chills and/or fever traced to
				  water storage shall require the facility to revalidate the water storage
				  procedures for pyrogens and bacterial growth.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 7.1 - Specialty Clinics › Article 6 - Hemodialyzer Reuse › Section 75204 - Cleaning

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The dialyzer
				  blood and dialysate ports or attached tubing shall be capped with a clean and
				  highly disinfected closure immediately after the patient dialysis treatment and
				  isolated from any other dialyzers so as to preclude
				  cross-contamination.
(b) Cleaning
				  of the dialyzer shall begin within two (2) hours after the completion of the
				  dialysis treatment unless the dialyzer is stored under refrigeration within two
				  (2) hours after treatment.
(c) The
				  cleaning solution shall be water, isotonic, or physiologic saline
				  solution.
(d) Dialysis facilities
				  may use hydrogen peroxide or sodium hypochlorite (bleach) or other chemicals
				  approved by the Federal Food and Drug Administration for use as a cleansing
				  agent providing a suitable test is performed prior to storage of the dialyzer
				  to insure against the presence of the cleansing agent in amounts which would
				  critically degrade the structure of the dialyzer or pose a health threat to the
				  patient.
(e) The dialyzer shall be
				  externally cleaned.
(f) A length of
				  clean, highly disinfected tubing shall be incorporated between blood ports or
				  tubing and any permanent cleaning apparatus, and replaced after the cleaning
				  procedure.
(g) The cleaning
				  solution shall be administered to the blood compartment and dialysate
				  compartment for a sufficient time to assure that effluents are clear and free
				  of clotted blood material.
1. New
					 section filed 4-8-87; effective thirtieth day thereafter (Register 87, No.
					 16).
2. Editorial correction of Reference cite (Register 95, No.
					 25).
Note: Authority cited: Sections
						208(a),
						417.10,
						1225
						and
						1275,
						Health and Safety Code. Reference: Sections
						417.10-
						417.15,
						1226
						and
						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 7.1 - Specialty Clinics › Article 6 - Hemodialyzer Reuse › Section 75205 - Performance

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The dialyzer
				  shall be subjected to in-vitro functional tests after the cleaning procedure
				  has been completed. Such test shall include:
(1) Clearance test using the test solutes,
				  i.e.: urea, creatinine, insulin, vitamin B12, or other
				  solutions formulated to allow assessment of low and middle molecule weight
				  molecular clearances. Dialyzers with a reduction in the clearance of urea or
				  creatinine greater than 10 percent or of insulin or vitamin
				  B12 greater than 20 percent of that specified by the
				  manufacturer for new dialyzers of the same model shall not be reused.
(2) Ultrafiltration test over the range of
				  transmembrane pressures spanning those encountered clinically, but never at
				  pressures exceeding the maximum specified by the manufacturer. Dialyzers with a
				  reduction in the ultrafiltration rate greater than 10 percent of that specified
				  by the manufacturer for new dialyzers of the same model shall not be
				  reused.
(3) Membrane Integrity test
				  shall be performed on the reprocessed dialyzer if the leak rate observed
				  clinically for reprocessed dialyzers exceeds that for new dialyzers of the same
				  type and model.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 7.1 - Specialty Clinics › Article 6 - Hemodialyzer Reuse › Section 75206 - Disinfection and Storage

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) If
				  a disinfectant chemical other than formaldehyde is used, a process validation
				  to assess and assure the safety and effectiveness as a disinfectant shall be
				  performed and the results submitted to the Department for approval prior to use
				  as a disinfectant for the reprocessing of dialyzers; otherwise the remainder of
				  the subsections contained in this section shall apply. Within 30 days of
				  receipt of the request for approval of a disinfectant chemical other than
				  formaldehyde,the Department shall inform the applicant, in writing, that the
				  request is complete and accepted for consideration or that the request is
				  deficient and what specific information is required. The Department shall
				  approve or disapprove the request within 90 days of receipt.
(b) Alternative disinfectant chemical(s) may
				  be used and the remainder of this section shall not apply provided that the
				  following requirements are met:
(1) The
				  disinfectant chemical(s) shall have marketing approval for use as a dialyzer
				  disinfectant from the federal Food and Drug Administration.
(2) Labeling of the disinfectant chemical(s)
				  shall include procedures and adequate directions for use for the disinfection
				  and storage of dialyzers and disinfection chemical(s).
(3) The dialysis facility shall follow the
				  procedures of the manufacturer for the disinfection and storage of
				  dialyzers.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 7.1 - Specialty Clinics › Article 6 - Hemodialyzer Reuse › Section 75207 - Disinfectant Rinsing

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) If
				  a disinfectant chemical other than formaldehyde is used, a process validation
				  to assess and assure the safety and effectiveness of the disinfectant rinsing
				  procedure shall be performed and the results submitted to the Department for
				  approval prior to use as a disinfectant rinsing procedure for the reprocessing
				  of dialyzers; otherwise, the remainder of the subsections contained in this
				  section shall apply. Within 30 days of receipt of the request for approval of a
				  rinsing procedure for an alternative disinfectant chemical, the Department
				  shall inform the applicant, in writing, that the request is complete and
				  accepted for consideration or that the request is deficient and what specific
				  information is required. The Department shall approve or disapprove the request
				  within 90 days of receipt.
(b)
				  Alternative procedures for the rinsing of disinfectant chemicals complying with
				  Section 75206(b) may be
				  used, if the following requirements are met:
(1) The labeling of the disinfectant
				  chemical(s) shall include procedures and adequate directions for use for
				  disinfectant rinsing of dialyzers.
(2) The maximum residual limit which defines
				  the limit for patient safety given acute and long-term exposure to the
				  disinfectant chemical shall be specified on the disinfectant chemical
				  labeling.
(3) A test method for
				  detecting the residual limit shall be specified on the disinfectant chemical
				  labeling and shall be used by the dialysis facility. No dialyzer shall be used
				  when tests indicate an amount of disinfectant chemical residual greater than
				  the minimum residual limit required under (2) above.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 7.1 - Specialty Clinics › Article 6 - Hemodialyzer Reuse › Section 75208 - Quality Assurance Audits

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) An independent quality assurance audit of
				  all procedures and tests specified in this Article shall be performed at a
				  dialysis facility which initially implements this Article within six months of
				  implementation and at least yearly thereafter.
(b) The audits shall be performed by an
				  individual(s) knowledgeable in the procedures and tests contained in this
				  Article and who does not have direct responsibility for implementing the
				  procedures and tests being audited.
(c) The results of the audit shall be
				  included as part of the Audit Record.
(d) Authorized representatives of the
				  Department may conduct at any reasonable time a complete or partial quality
				  assurance audit of procedures and tests specified in this Article and may
				  collect any sample(s) for testing.
1. New
					 section filed 4-8-87; effective thirtieth day thereafter (Register 87, No.
					 16).
Note: Authority cited: Sections
						208(a),
						417.10,
						1225
						and
						1275,
						Health and Safety Code. Reference: Sections
						417.10-
						417.15,
						1226
						and
						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 7.2 - Psychology Clinics › Article 1 - Definitions › Section 75301 - Registered Health Information Technician

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Registered health information technician means a person
					 registered as a health information technician by the American Health
					 Information Management Association.
1. New
					 Chapter 7.2 (Articles 1-5, Sections
					 75301-75371, not consecutive)
					 filed 3-13-87; effective thirtieth day thereafter (Register 87, No.
					 12).
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
						1225,
						1275
						and
						131200,
						Health and Safety Code. Reference: Sections
						1226,
						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 7.2 - Psychology Clinics › Article 1 - Definitions › Section 75303 - Clinic

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Clinic means psychology clinic when used in this
					 chapter.
1. New
					 section filed 3-13-87; effective thirtieth day thereafter (Register 87, No.
					 12).
Note: Authority cited: Sections
						208(a)
						and
						1225,
						Health and Safety Code. Reference: Sections
						1204.1
						and
						1226,
						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 7.2 - Psychology Clinics › Article 1 - Definitions › Section 75305 - Psychologist

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Psychologist means a person licensed as a psychologist by
					 the Board of Psychology.
1. New
					 section filed 3-13-87; effective thirtieth day thereafter (Register 87, No.
					 12).
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
						1225,
						1275
						and
						131200,
						Health and Safety Code. Reference: Sections
						1204.1,
						1226,
						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 7.2 - Psychology Clinics › Article 1 - Definitions › Section 75307 - 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 3-13-87; effective thirtieth day thereafter (Register 87, No.
					 12).
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
						1225,
						1275
						and
						131200,
						Health and Safety Code. Reference: Sections
						1226,
						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 7.2 - Psychology Clinics › Article 2 - License › Section 75309 - Application Required

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) A
				  signed application shall be submitted to the Department for prior approval in
				  any of the following circumstances:
(1)
				  Establishment of a psychology clinic.
(2) Change of ownership.
(3) Change of license
				  classification.
(4) Operation of a
				  psychology clinic at a new location.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 7.2 - Psychology Clinics › Article 2 - License › Section 75311 - Content of Application

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
				  In addition to the contents of an application as required by Section
				  1212,
				  Health and Safety Code, an application shall contain the following:
(1) The applicant's principal place of
				  business.
(2) The date and state of
				  incorporation for all incorporated applicants, corporation number and, if a
				  foreign corporation, evidence of authority to do business in the State of
				  California.
(3) A copy of the
				  Internal Revenue Service determination letter, pursuant to Section
				  501(c)(3) of the
				  Internal Revenue Code of 1954, as amended, which is required for all nonprofit
				  corporations.
(4) Name of the
				  administrator and a description of the administrator's experience and
				  background and, where the same person is the administrator of more than one
				  clinic, the name of, and the number of hours spent in each clinic per
				  week.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 7.2 - Psychology Clinics › Article 2 - License › Section 75313 - Fees

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The application
				  fee for licensure shall not be refunded to the applicant if the application is
				  withdrawn by the applicant or denied by the Department.
1. New
					 section filed 3-13-87; effective thirtieth day thereafter (Register 87, No.
					 12).
Note: Authority cited: Sections
						208(a)
						and
						1225,
						Health and Safety Code. Reference: Sections
						1204.1
						and
						1214.5,
						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 7.2 - Psychology Clinics › Article 2 - License › Section 75315 - Posting

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
The license shall be conspicuously posted in a location
					 accessible to public view.
1. New
					 section filed 3-13-87; effective thirtieth day thereafter (Register 87, No.
					 12).
Note: Authority cited: Sections
						208(a)
						and
						1225,
						Health and Safety Code. Reference: Sections
						1204.1
						and
						1205,
						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 7.2 - Psychology Clinics › Article 2 - License › Section 75317 - Report of Changes

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Any
				  change in the principal officer such as chairperson, president, or general
				  manager of the governing board shall be immediately reported in writing to the
				  Department, but in no case later than 10 days following such change. Such
				  written notice shall include the name and principal business address of each
				  new principal officer.
(b) When a
				  change in administrator occurs, the Department shall be immediately notified in
				  writing, but in no case later than 10 days following such change. Such
				  notification shall include the name of the new administrator, the mailing
				  address, the date of assuming office and a brief description of his or her
				  background and qualifications.
1. New
					 section filed 3-13-87; effective thirtieth day thereafter (Register 87, No.
					 12).
Note: Authority cited: Sections
						208(a)
						and
						1225,
						Health and Safety Code. Reference: Sections
						1204.1,
						1212
						and
						1226,
						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 7.2 - Psychology Clinics › Article 3 - Basic Services › Section 75321 - Basic Services-General Requirements

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) All advice, diagnosis, and treatment
				  shall be provided only by persons authorized by law to provide such
				  services.
(b) Diagnostic and
				  therapeutic services for the care and treatment of patients for whom the clinic
				  accepts responsibility shall be provided in the clinic, or arranged for by the
				  clinic with other licensed, certified, or registered providers.
(c) A psychology clinic shall provide
				  reference materials and written patient care policies and procedures as
				  described in Section
				  75325, which are approved by the
				  Governing Body and are readily available to clinic personnel.
(d) The clinic may be required by the
				  Department to obtain consultation where necessary to meet the patient care
				  standards specified in these regulations.
1. New
					 section filed 3-13-87; effective thirtieth day thereafter (Register 87, No.
					 12).
Note: Authority cited: Sections
						208(a)
						and
						1225,
						Health and Safety Code. Reference: Sections
						1204.1
						and
						1226,
						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 7.2 - Psychology Clinics › Article 3 - Basic Services › Section 75323 - Basic Services-Psychology Staff

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Every psychology clinic shall have a
				  clinical psychologist as defined in Section
				  1316.5(c),
				  Health and Safety Code, designated as the professional director.
(b) The professional director's
				  responsibilities, acting alone or through an organized staff, shall include:
(1) Establishing, reviewing, and maintaining
				  psychological policies and standards, which shall be reviewed at least
				  annually.
(2) Assuring the quality
				  of psychological services provided to all patients treated by the
				  clinic.
(3) Establishing and
				  implementing a system of peer review, pursuant to written procedures.
(4) Ensuring that all personnel are qualified
				  by training and experience to perform those services they are assigned to
				  provide.
(5) Reviewing credentials
				  of the psychologists providing service in the clinic.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 7.2 - Psychology Clinics › Article 3 - Basic Services › Section 75325 - Basic Services-Policies and Procedures

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Written policies and procedures which the
				  clinic shall implement shall include, but not be limited to:
(1) Description of the type and scope of
				  services which the clinic will provide.
(2) Policies relating to patient
				  care.
(3) Provisions for the
				  education of patients in preventive, therapeutic and mental health maintenance
				  care.
(4) Plans for follow-up of
				  patients treated in the clinic which may include home care consistent with
				  Section
				  1200.1,
				  Health and Safety Code.
(5)
				  Referral of patients to other agencies or health facilities.
(6) Provisions for handling emergencies and
				  unusual occurrences.
(7) Procedures
				  ensuring compliance with the legal requirements relative to the treatment of
				  minors and persons who are under guardianship or
				  conservatorship.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 7.2 - Psychology Clinics › Article 4 - Administration › Section 75327 - Governing Body

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The
				  governing body shall have full legal authority and responsibility for the
				  operation of the psychology clinic including compliance with all applicable
				  federal, state and local laws and regulations.
(b) The governing body shall operate pursuant
				  to articles of incorporation and by-laws.
(c) Written records of all proceedings of the
				  governing body shall be maintained and made available to the Department upon
				  request.
(d) The governing body
				  shall appoint an administrator by governing body resolution.
1. New
					 section filed 3-13-87; effective thirtieth day thereafter (Register 87, No.
					 12).
Note: Authority cited: Sections
						208(a)
						and
						1225,
						Health and Safety Code. Reference: Sections
						1204.1
						and
						1226,
						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 7.2 - Psychology Clinics › Article 4 - Administration › Section 75329 - Administrator

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The governing
				  body shall delegate to the administrator authority to carry out the day-to-day
				  functions of the psychology clinic and the responsibility for ensuring that the
				  psychology clinic conforms to all applicable federal, state and local laws and
				  regulations.
(b) The
				  qualifications, authority, and duties of the administrator shall be defined in
				  a job description approved by the governing body.
(c) The administrator shall devote sufficient
				  time to administrative responsibilities to ensure the proper administration and
				  management of the psychology clinic. The administrator may be responsible for
				  more than one psychology clinic only if all clinics are operated by the same
				  governing body.
(d) The
				  administrator shall designate in writing an individual to act in his or her
				  absence, in order to provide the clinic with administrative direction at all
				  times.
1. New
					 section filed 3-13-87; effective thirtieth day thereafter (Register 87, No.
					 12).
Note: Authority cited: Sections
						208(a)
						and
						1225,
						Health and Safety Code. Reference: Sections
						1204.1
						and
						1226,
						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 7.2 - Psychology Clinics › Article 4 - Administration › Section 75331 - Written Administrative Policies

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Written administrative policies shall be
				  established and implemented and shall be reviewed at least annually and revised
				  as necessary.
(b) The policies
				  shall include but not limited to the following:
(1) Management and personnel policies which
				  include job descriptions detailing the functions of each classification of
				  employee or volunteer.
(2) Policies
				  for acceptance of a patient and termination of services shall include rate of
				  charge for care, charges for outside services, limitation of services, cause
				  for termination of services and refund policies applying to termination of
				  services. These policies shall be made available to patients or their agents
				  upon admission and upon request and shall be made available to the public upon
				  request.
(3) Policies and
				  procedures governing patient treatment records.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 7.2 - Psychology Clinics › Article 4 - Administration › Section 75333 - Employees

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The psychology
				  clinic shall recruit qualified personnel and provide initial orientation of new
				  employees, a continuing in-service training program, and supervision designed
				  to improve patient services and employee efficiency.
(b) The clinic shall provide a copy of the
				  appropriate job description to each person employed or volunteering to work in
				  the clinic.
1. New
					 section filed 3-13-87; effective thirtieth day thereafter (Register 87, No.
					 12).
Note: Authority cited: Sections
						208(a)
						and
						1225,
						Health and Safety Code. Reference: Sections
						1204.1
						and
						1226,
						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 7.2 - Psychology Clinics › Article 4 - Administration › Section 75335 - Employee Health Examinations and Health Records

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) A health examination, performed by a
				  person lawfully authorized to perform such an examination shall be performed as
				  a prerequisite for employment within six months prior to employment or within
				  one week after employment. Written examination reports, signed by the person
				  performing the examination, shall verify that employees are able to perform
				  assigned duties and do not have any health condition that would create a hazard
				  for the employee, fellow employees, patients or visitors. The initial health
				  examination shall include a test for tuberculosis infection that is recommended
				  by the federal Centers for Disease Control and Prevention (CDC) and licensed by
				  the federal Food and Drug Administration (FDA) and a chest X-ray if the
				  tuberculosis test is positive. The psychology clinic shall establish a policy
				  regarding subsequent health examinations and tuberculosis screening tests based
				  on an assessment of the following:
(1) The
				  risk of a previously infected person developing tuberculosis and then possibly
				  infecting others.
(2) The risk of a
				  non-infected person becoming infected and developing a
				  disease.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 7.2 - Psychology Clinics › Article 4 - Administration › Section 75337 - Employee Records

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) All
				  psychology clinics shall maintain current and accurate personnel records for
				  all persons working for the clinic. The record shall include the person's full
				  name, social security number, license, registration or certification number, if
				  any, and date of expiration, employment classification, date of beginning
				  employment, date of termination of employment and performance evaluations. Such
				  records shall be retained for at least three years following termination of
				  employment.
(b) Employee personnel
				  records shall be maintained in a confidential manner and shall be made
				  available to representatives of the Department upon request in order to ensure
				  compliance with the requirements of these regulations.
1. New
					 section filed 3-13-87; effective thirtieth day thereafter (Register 87, No.
					 12).
Note: Authority cited: Sections
						208(a)
						and
						1225,
						Health and Safety Code. Reference: Sections
						1204.1
						and
						1226,
						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 7.2 - Psychology Clinics › Article 4 - Administration › Section 75339 - Unusual Occurrences

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Occurrences such as epidemic outbreaks, poisonings, fires,
					 major accidents, deaths from unnatural cause or other catastrophes and unusual
					 occurrences which threaten the welfare, safety or health of patients, personnel
					 or visitors shall be reported by the facility within 24 hours either by
					 telephone (and confirmed in writing) or by telegraph to the local health
					 officer and the Department. An incident report shall be retained on file by the
					 facility for one year. The facility shall furnish such other pertinent
					 information related to such occurrences as the local health officer or the
					 Department may require. Every fire or explosion which occurs in or on the
					 premises shall be reported within 24 hours to the local fire authority or, in
					 areas not having an organized fire service, to the State Fire
					 Marshal.
1. New
					 section filed 3-13-87; effective thirtieth day thereafter (Register 87, No.
					 12).
Note: Authority cited: Sections
						208(a)
						and
						1225,
						Health and Safety Code. Reference: Sections
						1204.1
						and
						1226,
						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 7.2 - Psychology Clinics › Article 4 - Administration › Section 75341 - Patient Treatment Record Service

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Each psychology clinic shall establish
				  and maintain a patient treatment record service which is systematically
				  organized to provide a complete, accurate, correlated, and current treatment
				  record for each patient which is filed in a centrally located area.
(b) The treatment record service shall be
				  located to facilitate immediate retrieval of required information.
(c) A person working in the clinic shall be
				  responsible for the direction and supervision of the treatment record service
				  to ensure that all patient records are accurately documented, completed,
				  indexed, and filed in the unit system. When the Department finds the treatment
				  record service does not meet the standards set forth in these regulations, the
				  clinic may be required to obtain the services of either a registered health
				  information technician or registered health information administrator to assist
				  in establishing and maintaining the treatment record service.
1. New
					 section filed 3-13-87; effective thirtieth day thereafter (Register 87, No.
					 12).
2. Change without regulatory effect amending subsections (a)
					 and (c) and amending NOTE filed 3-12-2013 pursuant to section
					 100, title 1, California Code of
					 Regulations (Register 2013, No. 11).
Note: Authority cited: Sections
						1225,
						1275
						and
						131200,
						Health and Safety Code. Reference: Sections
						1204.1,
						1226,
						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 7.2 - Psychology Clinics › Article 4 - Administration › Section 75343 - Unit Patient Treatment Records

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Records shall be permanent, either
				  typewritten or legibly written in ink, and shall be kept on all patients
				  accepted for treatment. All treatment records of discharged patients shall be
				  completed and filed within 30 days after termination of each episode of
				  treatment and such records shall be kept for a minimum of 7 years, except for
				  minors whose records shall be kept at least until one (1) year after the minor
				  has reached the age of 18, but in no case less than seven (7) years. All
				  required records, either originals or accurate reproductions thereof, shall be
				  maintained in such form as to be legible and readily available upon the request
				  of the attending psychologist, the clinic or any authorized officer, agency or
				  employee of either, or any other person authorized by law to make such
				  request.
(b) Information contained
				  in the treatment records shall be confidential and shall be disclosed only to
				  authorized persons in accordance with federal, state or local laws.
(c) If a psychology clinic ceases operation,
				  arrangements shall be made for the safe preservation of the patients' treatment
				  records. The Department shall be informed by the clinic of these arrangements
				  prior to the 48 hours before cessation of operations.
(d) The Department shall be informed within
				  48 hours, in writing, by the licensee whenever patient treatment records are
				  defaced or destroyed before termination of the required retention
				  period.
(e) If the ownership of the
				  clinic changes, both the licensee and the applicant for the new license shall,
				  prior to the change of ownership, provide the Department with written
				  documentation stating:
(1) That the licensee
				  shall have custody of the patients' treatment records and these records shall
				  be available to the former licensee, the new licensee and other authorized
				  persons; or
(2) That other
				  arrangements have been made by the current licensee for the safe preservation
				  and the location of the patients' treatment records and they are available to
				  both the new and former licensees and other authorized
				  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 7.2 - Psychology Clinics › Article 4 - Administration › Section 75345 - Admission Records

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The
				  clinic shall complete an admission record for each patient which shall include
				  the following:
(1) Name.
(2) Current address.
(3) Age and date of birth.
(4) Sex.
(5) Diagnosis.
(6) Date services began.
(7) Last date of services.
(8) If the patient is under guardianship or
				  conservatorship, the name, address and telephone number of guardian or
				  conservator.
(9) Consent for
				  treatment authorizations.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 7.2 - Psychology Clinics › Article 4 - Administration › Section 75347 - Disaster Program

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
				  Each clinic shall adopt a written disaster program and all personnel shall be
				  instructed in its requirements. A copy of the program shall be available in the
				  clinic for review by the Department.
(b) The program shall provide plans for
				  disaster occurring within the facility. The written program shall include at
				  least the following:
(1) Administrative
				  procedures, including designated authority, and personnel duty assignments.
				  There shall be provisions for simulated fire drills at least semi-annually and
				  records to verify that such drills were conducted.
(2) Plans for evacuation of patients when
				  necessary, including means of egress, methods of handling and transporting
				  patients, and disposition and care of patients after removal from the
				  clinic.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 7.2 - Psychology Clinics › Article 4 - Administration › Section 75349 - Posting of Clinic Schedule

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
A schedule of the hours and days during which the clinic is
					 open shall be conspicuously posted in the clinic for public view and
					 information. The clinic shall be open and service available during the posted
					 times. Changes in such schedules shall be posted in advance of the
					 change.
1. New
					 section filed 3-13-87; effective thirtieth day thereafter (Register 87, No.
					 12).
Note: Authority cited: Sections
						208(a)
						and
						1225,
						Health and Safety Code. Reference: Sections
						1204.1
						and
						1226,
						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 7.2 - Psychology Clinics › Article 4 - Administration › Section 75351 - Quality Assurance Evaluation Program

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
The clinic shall have a system for annual evaluation of its
					 operation and the services it provides. This system shall include written
					 procedures for evaluating the efficiency and effectiveness of the psychological
					 services provided, and written procedures for he evaluation of utilization of
					 services.
1. New
					 section filed 3-13-87; effective thirtieth day thereafter (Register 87, No.
					 12).
Note: Authority cited: Sections
						208(a)
						and
						1225,
						Health and Safety Code. Reference: Sections
						1204.1
						and
						1226,
						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 7.2 - Psychology Clinics › Article 5 - Physical Plant › Section 75353 - Alterations and New Construction

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Alterations to existing buildings, or new construction,
					 shall be in conformance with the applicable provisions of Chapter 1, Division
					 T17, Part 6, Title 24, California Administrative Code.
1. New
					 section filed 3-13-87; effective thirtieth day thereafter (Register 87, No.
					 12).
Note: Authority cited: Sections
						208(a)
						and
						1225,
						Health and Safety Code. Reference: Sections
						1204.1
						and
						1226,
						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 7.2 - Psychology Clinics › Article 5 - Physical Plant › Section 75355 - Fire Safety

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Each clinic shall maintain compliance with the rules and
					 regulations of the State Fire Marshal as verified by an initial fire clearance
					 issued by the State Fire Marshal.
1. New
					 section filed 3-13-87; effective thirtieth day thereafter (Register 87, No.
					 12).
Note: Authority cited: Sections
						208(a)
						and
						1225,
						Health and Safety Code. Reference: Sections
						1204.1
						and
						1226,
						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 7.2 - Psychology Clinics › Article 5 - Physical Plant › Section 75357 - Maintenance and Operation

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
				  The clinic shall be clean, sanitary and in good repair at all times.
				  Maintenance shall include provision and surveillance of maintenance services
				  and procedures for the safety and well-being of patients, personnel and
				  visitors.
(b) Flashlights shall be
				  in readiness for use at all times. Open flame light shall not be
				  used.
(c) A clinic shall be
				  required to submit a report by a licensed structural engineer when the
				  Department has determined that a structural condition of the clinic exists that
				  may present a danger to the health and safety of occupants of the clinic. Such
				  report shall provide a basis for a plan of correction.
1. New
					 section filed 3-13-87; effective thirtieth day thereafter (Register 87, No.
					 12).
Note: Authority cited: Sections
						208(a)
						and
						1225,
						Health and Safety Code. Reference: Section
						1226,
						Health and Safety Code.