California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 8 - Residential Care Facilities for the Elderly (RCFE) › Article 8 - Resident Assessments, Fundamental Services and Rights › Section 87465 - Incidental Medical and Dental Care Services

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) A plan for incidental medical and dental
				  care shall be developed by each facility. The plan shall encourage routine
				  medical and dental care and provide for assistance in obtaining such care, by
				  compliance with the following:
(1) The
				  licensee shall arrange, or assist in arranging, for medical and dental care
				  appropriate to the conditions and needs of residents.
(2) The licensee shall provide assistance in
				  meeting necessary medical and dental needs. This includes transportation which
				  may be limited to the nearest available medical or dental facility which will
				  meet the resident's need. In providing transportation the licensee shall do so
				  directly or make arrangements for this service.
(3) When residents require prosthetic
				  devices, vision and hearing aids, the staff shall be familiar with the use of
				  these devices, and shall assist such persons with their utilization as
				  needed.
(4) The licensee shall
				  assist residents with self-administered medications as needed.
(5) Facility staff, except those authorized
				  by law, shall not administer injections, but staff designated by the licensee
				  may assist persons with self-administration as needed. Assistance with
				  self-administered medications shall be limited to the following:
(A) Medications usually prescribed for
				  self-administration which have been authorized by the person's
				  physician.
(B) Medications during
				  an illness determined by a physician to be temporary and minor.
(C) Assistance required because of tremor,
				  failing eyesight and similar conditions.
(D) Assistance with self-administration does
				  not include forcing a resident to take medications, hiding or camouflaging
				  medications in other substances without the resident's knowledge and consent,
				  or otherwise infringing upon a resident's right to refuse to take a
				  medication.
(6) When
				  requested by the prescribing physician or the Department, a record of dosages
				  of medications which are centrally stored shall be maintained by the
				  facility.
(7) There shall be
				  adequate privacy for first aid treatment of minor injuries and for examination
				  by a physician if required.
(8) If
				  a facility has no medical unit on the grounds, a complete first aid kit shall
				  be maintained and be readily available in a specific location in the facility.
				  The kit shall be a general type approved by the American Red Cross, or shall
				  contain at least the following:
(A) A current
				  edition of a first aid manual approved by the American Red Cross, the American
				  Medical Association or a state or federal health agency.
(B) Sterile first aid dressings.
(C) Bandages or roller bandages.
(D) Scissors.
(E) Tweezers.
(F) Thermometers.
(9) The licensee shall ensure that infection
				  control practices are maintained in the facility as specified in Section
				  87470, Infection Control
				  Requirements.