California Code of Regulations › Title 9 - Rehabilitative and Developmental Services › Division 1 - Department of Mental Health › Chapter 12 - Mental Health Program Standards for the Community Treatment Facility › Article 5 - Continuing Requirements › Section 1919 - Plan of Operation

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) An
				  applicant shall submit a written plan of operation, as defined in Section
				  1919(c) of this
				  article, as part of the application process for initial review and approval by the
				  Department.
(b) Any changes to a plan of
				  operation, as described in subsection (c) shall be mailed or faxed to the Department
				  within ten (10) calendar days of the change.
(c) The plan of operation of a CTF, for the
				  purposes of this chapter, shall include the following:
(1) The philosophy and goals of the facility's
				  mental health services program including the proposed average length of stay and
				  criteria under which a briefer or longer stay would be authorized;
(2) A description of the facility's proposed
				  target population by range of age, gender, ethnicity, culture or special
				  needs;
(3) A description of the array of
				  mental health treatment services that can be made available to a child during his
				  placement within a CTF;
(4) Written
				  documentation demonstrating the proposed or existing facility's capability to
				  provide those mental health services required by a child placed within the facility,
				  to include:
(A) Job descriptions and staffing
				  patterns for the mental health program director, services team staff, and licensed
				  mental health professionals who will be working directly with children in a CTF with
				  appropriate documentation of the staff's cultural competence as described in Section
				  5600.2(g)
				  of the Welfare and Institutions Code;
(B) The name of the proposed mental health program
				  director, with his professional license number, who shall be qualified in accordance
				  with these regulations;
(C) An
				  organizational chart which lists functions and licenses, if applicable, of the
				  administrative and licensed mental health professional staff and contracted licensed
				  mental health professionals providing the interventions and services described in
				  the provider's overall program plan;
(D)
				  A detailed staff development plan, describing staff orientation procedures,
				  on-the-job training requirements and proposed continuing education
				  activities;
(5) Written
				  policies and procedures for providing access to community resources to be utilized
				  in the delivery of prescribed services, including medical and crisis intervention,
				  inpatient psychiatric hospitalization and educational placements and classes as
				  necessary;
(6) Written policies,
				  procedures and criteria for:
(A) Recording daily
				  observations and interactions with each child by CTF staff;
(B) Admission;
(C) Discharge;
(D) Psychotropic medication control;
(E) The inclusion of the child and his parent or
				  conservator in the development and implementation of an individualized needs and
				  services plan, hereinafter referred to as NSP;
(F) The monthly review of each child's
				  NSP;
(G) Physical restraint and
				  seclusion;
(H) Staff training to ensure
				  due process rights of children while in the CTF;
(I) Visitation and phone use;
(J) Confidentiality pursuant to Section
				  5328.15
				  of the Welfare and Institutions Code;
(K) Transitioning a child from a non-secure
				  portion of the facility to a secure one and vice versa.
(L) Proposed documents to be used to inform
				  children and their parents or conservators of the above
				  requirements;
(7) A quality
				  assurance program designed to enhance services and care through an objective
				  assessment of the facility's overall program to ensure the correction of identified
				  problems;
(A) The quality assurance program shall
				  include procedures for ensuring the accountability of the facility's licensed mental
				  health professionals and child care staff for the services and care provided to
				  children residing in the facility and for the implementation of any necessary
				  changes.
(8) A utilization
				  review plan and program to monitor the appropriateness of a child's admission and
				  continued stay or discharge to establish the basis for identifying and assessing the
				  utilization of mental health program services and the continued need for placement;
(A) The utilization review plan shall include a
				  description of the procedures to be used by the facility staff to determine the
				  placement or transfer of a child into either the secure or non-secure portion of the
				  facility.
(B) These procedures shall
				  include documentation of approval of the proposed change of a child's placement
				  within the facility by a licensed mental health professional.
(9) A listing and copies of all agreements,
				  contracts or memorandums of understanding with participating private or public
				  mental health providers;
(10) Detailed
				  plans of the buildings and grounds, including the number of beds in the secure and
				  non-secure portions of the facility, security features and procedures, proposed
				  offices, staff areas, visitor areas, physical restraint and seclusion rooms,
				  educational sites and outdoor recreational areas;
(11) A proposed budget for the facility, including
				  demonstration of sufficient funds or resources to ensure adequate start up
				  activities and treatment services.