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 8 - Intermediate Care Facilities for the Developmentally Disabled › Article 5 - Physical Plant › Section 76633 - Linen

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Linen services
				  shall be managed so that daily clothing and linen needs are met without
				  delay.
(b) There shall be written
				  procedures pertaining to the handling, storage, transportation and processing
				  of linens.
(c) A supply of clean
				  wash cloths and towels shall be provided and available to meet the needs of
				  each client.
Note: Authority cited: Section
						208(a),
						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 8 - Intermediate Care Facilities for the Developmentally Disabled › Article 5 - Physical Plant › Section 76635 - Soiled Linen

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
				  Soiled linen shall be handled, stored and processed in a manner that will
				  prevent the spread of infection.
(b) Soiled linen shall be sorted in a
				  separate room by methods affording protection from contamination.
(c) Soiled linen shall be stored and
				  transported in a closed container which does not permit airborne contamination
				  of corridors and areas occupied by clients and which precludes cross
				  contamination of clean linen.
(d)
				  When laundry chutes are used to transport soiled linen, they shall be
				  maintained in a clean, sanitary state.
Note: Authority cited: Section
						208(a),
						Health and Safety Code. Reference: Sections
						1276
						and
						15007,
						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 8 - Intermediate Care Facilities for the Developmentally Disabled › Article 5 - Physical Plant › Section 76637 - Clean Linen

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
				  Clean linen shall be stored, handled and transported in a way that precludes
				  cross contamination.
(b) Clean
				  linen shall be stored in clean, ventilated closets, rooms, or alcoves used only
				  for that purpose.
(c) Clean linen
				  from a commercial laundry shall be delivered to a designated clean
				  area.
(d) Linens shall be
				  maintained in good repair.
Note: Authority cited: Section
						208(a),
						Health and Safety Code. Reference: Sections
						1276
						and
						15007,
						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 8 - Intermediate Care Facilities for the Developmentally Disabled › Article 5 - Physical Plant › Section 76639 - Provisions for Emptying Bedpans

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Bedpans shall be cleaned in utility or
				  hopper rooms unless toilets adjoining clients' rooms are equipped with flushing
				  attachments and vacuum breakers. Bathtubs, lavatories or laundry trays shall
				  not be used for cleaning bedpans.
(b) Bedpan covers shall be provided and shall
				  not be used interchangeably.
Note: Authority cited: Section
						208(a),
						Health and Safety Code. Reference: Sections
						1276
						and
						15007,
						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 8 - Intermediate Care Facilities for the Developmentally Disabled › Article 5 - Physical Plant › Section 76641 - Client Call Systems

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
The facility shall provide a means of communication for
					 clients which enables clients, when in need of attention, to signal
					 staff.
Note: Authority cited: Section
						208(a),
						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 8 - Intermediate Care Facilities for the Developmentally Disabled › Article 5 - Physical Plant › Section 76643 - Utility Rooms

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
				  Utility rooms shall be maintained in each health support area and shall be
				  designed for separation of clean and dirty work areas. The following spaces and
				  equipment shall be maintained as a minimum:
(1) Work counters.
(2) Cabinets.
(3) Rim-flush clinic sink with an integral
				  7.6 centimeter (3-inch) trap and wasteline flushometer valve and hot and cold
				  water supply.
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 5 - Physical Plant › Section 76645 - Handrails

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Corridors shall be equipped with properly secured handrails
					 when necessary.
Note: Authority cited: Section
						208(a),
						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 8 - Intermediate Care Facilities for the Developmentally Disabled › Article 5 - Physical Plant › Section 76647 - General Maintenance

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
				  The facility, including grounds, shall be maintained in a clean and sanitary
				  condition, and in good repair at all times to insure safety and well being of
				  clients, staff and visitors.
(b)
				  Buildings shall be free of pollutants such as noise, vermin, flies and other
				  insects as may adversely affect the health or welfare of clients.
(c) All buildings, fixtures, equipment and
				  spaces shall be maintained in operable condition.
(d) Paint used inside the facility shall be
				  lead-free. Old paint or plaster containing lead shall have been removed or
				  covered in such a manner that it is not accessible to clients.
(e) There shall be personnel for preventive
				  maintenance and to carry out the required maintenance program.
(f) Floors shall provide a resilient,
				  nonabrasive and slip-resistant surface. Carpeting used in units serving clients
				  who crawl or creep shall be nonabrasive.
(g) Equipment provided must meet any and all
				  applicable California Occupational Safety and Health Act requirements in effect
				  as of the time of purchase. All portable electrical equipment designed for
				  110-120 volts, 60 hertz current shall be equipped with a 3-wire grounded power
				  cord with a hospital grade 3-prong plug. The cord shall be an integral part of
				  the plug. Nothing in this Section shall preclude the use of small nonhospital
				  electrical appliances.
Note: Authority cited: Section
						208(a),
						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 8 - Intermediate Care Facilities for the Developmentally Disabled › Article 5 - Physical Plant › Section 76649 - Air Filters

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The
				  licensee shall be responsible for regular inspection, cleaning or replacement
				  based on manufacturers criteria of all filters installed in heating, air
				  conditioning and ventilating systems, as necessary to maintain the systems in
				  normal operating condition.
(b) A
				  written record of inspection, cleaning or replacement, including static
				  pressure drop, shall be maintained and available for inspection. The record
				  shall include a description of the filters originally installed, the efficiency
				  rating according to "Standard 52.2-2017 -- Method of Testing General
				  Ventilation Air-Cleaning Devices for Removal Efficiency by Particle Size"
				  (2017) by the American Society of Heating, Refrigerating and Air-Conditioning
				  Engineers (ASHRAE), hereby incorporated by reference, and the criteria
				  established by the manufacturer or supplier to determine when replacement or
				  cleaning is necessary.
(c)
				  Following filter replacement or cleaning, the installation shall be visually
				  inspected for torn media and by-pass in filter frames by means of a flashlight
				  or equivalent, both with fans in operation and stopped. Tears in filter media
				  and by-pass in filter frames shall be eliminated in accordance with the
				  manufacturer's directions or as required by the Department.
(d) Where filter maintenance is performed by
				  an equipment service company, a certification shall be provided to the licensee
				  that the requirements listed in this Section have been accommodated.
1. Amendment
					 of subsection (b) filed 5-30-2023; operative 5-30-2023. Submitted to OAL for
					 filing and printing only pursuant to Health and Safety Code section
					 1275(g)
					 (Register 2023, No. 22).
Note: Authority cited: Section
						208(a),
						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 8 - Intermediate Care Facilities for the Developmentally Disabled › Article 5 - Physical Plant › Section 76651 - Emergency Lighting and Power System

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Auxiliary lighting and power facilities
				  shall be readily available in case of necessity. Flashlights shall be in
				  readiness for use at all times. Open-flame type of light shall not be
				  used.
(b) The licensee shall
				  provide and maintain an emergency electrical system in safe operating condition
				  and in compliance with subsections (d), (e) and (f). The system shall serve all
				  lighting, signals, alarms and equipment required to permit continued operation
				  of all necessary functions of the facility for a minimum of six
				  hours.
(c) If the Department
				  determines that an evaluation of the emergency electrical system of a facility
				  or portion thereof is necessary, the Department may require the licensee to
				  submit a report by a registered electrical engineer which shall establish a
				  basis for alteration of the system to provide reasonable compliance with
				  Subarticle E702-B, Part 3, Title 24, California Administrative Code (Emergency
				  Electrical Systems for Existing Nursing Homes). Essential engineering data,
				  including load calculations, assumptions and tests, and where necessary, plans
				  and specifications acceptable to the Department, shall be submitted in
				  substantiation of the report. When corrective action is determined to be
				  necessary, the work shall be initiated and completed within an acceptable time
				  limit.
(d) The emergency lighting
				  and power system shall be maintained in operating condition to provide
				  automatic restoration of power for emergency circuits within 10 seconds after
				  normal power failure.
(e) Emergency
				  generators shall be tested as follows:
(1)
				  Non-diesel generators installed in the facilities shall be tested under load
				  conditions for at least 30 minutes at intervals of not less than 14
				  days.
(2) Diesel generators
				  installed in intermediate care facilities for the developmentally disabled
				  shall be tested as required by Health and Safety Code, section
				  41514.1.
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 5 - Physical Plant › Section 76653 - Storage and Disposal of Solid Waste

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Solid wastes shall be stored and
				  eliminated in a manner to preclude the transmission of communicable disease.
				  These wastes shall not be a nuisance or a breeding place for insects or rodents
				  nor be a food source for either.
(b) Solid waste containers shall be stored
				  and located in a manner that will eliminate odors into client areas.
(c) Syringes and needles, before being
				  discarded into waste containers, shall be rendered unusable.
Note: Authority cited: Section
						208(a),
						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 8 - Intermediate Care Facilities for the Developmentally Disabled › Article 5 - Physical Plant › Section 76655 - Solid Waste Containers

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
				  All containers, except movable bins used for storage of solid wastes, shall
				  have tight-fitting covers in good repair, external handles and shall be
				  leakproof and rodent proof.
(b)
				  Movable bins when used for storing or transporting solid wastes from the
				  premises shall have approval of the local health department and shall meet the
				  following requirements:
(1) Have
				  tight-fitting covers, closed when not being loaded.
(2) Be in good repair.
(3) Be leakproof.
(4) Be rodent proof unless stored in a room
				  or screened enclosure.
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 5 - Physical Plant › Section 76657 - Infectious Waste

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Infectious waste, as defined in Health and Safety Code
					 Section
					 25117.5,
					 shall be handled and disposed of in accordance with the Hazardous Waste Control
					 Law, Chapter 6.5, Division 20, Health and Safety Code (beginning with Section
					 25100) and the regulations adopted
					 thereunder (beginning with Section
					 66100 of this
					 Title).
1. Repealer
					 and new section filed 12-30-83 as an emergency; effective upon filing (Register
					 84, No. 3). A Certificate of Compliance must be transmitted to OAL within 120
					 days or emergency language will be repealed on 4-29-84.
2.
					 Certificate of Compliance transmitted to OAL 4-30-84 and withdrawn 5-30-84
					 (Register 84, No. 24).
3. Repealer and new section filed 5-30-84 as
					 an emergency; effective upon filing (Register 84, No. 24). A Certificate of
					 Compliance must be transmitted to OAL within 120 days or emergency language
					 will be repealed on 9-27-84.
4. Certificate of Compliance
					 transmitted to OAL 9-26-84 and filed 10-26-84 (Register 84, No.
					 42).
Note: Authority cited: Sections
						208,
						1254,
						25150
						and
						25157.3,
						Health and Safety Code. Reference: Sections
						1250,
						25117
						and
						25117.5,
						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 8 - Intermediate Care Facilities for the Developmentally Disabled › Article 5 - Physical Plant › Section 76659 - Gases for Medical Use

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
				  Gases for medical use covered by this section are: carbon dioxide,
				  cyclopropane, ethylene, helium, nitrous oxide, oxygen, helium-oxygen mixtures
				  and carbon dioxide-oxygen mixtures.
(b) Provision shall be made for safe handling
				  and storage of medical gas cylinders.
(c) Transfer of gas by facility personnel
				  from one cylinder to another shall be rohibited.
(d) The piped oxygen on nitrous oxide
				  system(s) shall be tested in accordance with the National Fire Protection
				  Association "NFPA 99: Health Care Facilities Code" (2012) by the National Fire
				  Protection Association, hereby incorporated by reference, and a written report
				  shall be maintained in each of the following instances:
(1) Upon completion of initial
				  installation.
(2) Whenever changes
				  are made to a system.
(3) Whenever
				  the integrity of a system has been breached.
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 5 - Physical Plant › Section 76661 - Water Supply and Plumbing

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
				  Where water for human consumption is from an independent source, it shall be
				  subjected to bacteriological analysis by the local health department, the
				  Department or a licensed commercial laboratory at least every three months. A
				  copy of the most recent laboratory report shall be available for
				  inspection.
(b) Plumbing and
				  drainage facilities shall be maintained in compliance with Part 5, Title 24,
				  California Administrative Code, Basic Plumbing Requirements. Drinking water
				  supplies shall comply with Group 4, Subchapter 1, Chapter 5, Division T17, Part
				  6, of Title 24, California Administrative Code.
(c) Vacuum breakers shall be maintained in
				  operating condition where required by Section T17-210(c), Division T17, Part 6,
				  Title 24, California Administrative Code.
(d) Hot water temperature controls shall be
				  maintained to automatically regulate temperature of hot water delivered to
				  plumbing fixtures used by clients to attain a hot water temperature not less
				  than 40.5°C (105°F) and not more than 48.8°C (120°F).
(e) Hot water at a minimum temperature of
				  83°C (180°F) at the manifold shall be maintained at the final rinse
				  section of dishwashing facilities unless alternate methods are approved by the
				  Department.
(f) Taps delivering
				  water at 51.6°C (125°F) or above shall be prominently identified by
				  warning signs in letters at least five centimeters (two inches) high. Special
				  precautions shall be taken to prevent the scalding of clients.
(g) Grab bars shall be maintained at toilets,
				  bathtubs and showers as needed by clients.
(h) Toilet, handwashing and bathing
				  facilities shall be maintained in operating condition.
(i) If the facility accepts physically
				  handicapped clients, water closets, drinking fountains, and bathing and
				  toileting appliances shall be equipped for use by the physically
				  handicapped.
Note: Authority cited: Section
						208(a),
						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 8 - Intermediate Care Facilities for the Developmentally Disabled › Article 5 - Physical Plant › Section 76663 - Lighting

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) All rooms,
				  attics, basements, passageways and other spaces shall be provided with
				  artificial illumination.
(b)
				  Adequate illumination shall be provided for the safety and comfort of clients
				  and personnel.
(c) Each living unit
				  shall have a minimum of 30 foot-candles of light delivered to reading or
				  working surfaces and not less than 10 foot-candles of light in the rest of the
				  unit.
(d) All corridors,
				  storerooms, stairways, ramps, exits and entrances shall have a minimum of five
				  foot-candles of light measured in the darkest corner.
(e) Lighting fixtures shall have suitable
				  enclosures to control fixture brightness and to prevent accidental lamp
				  breakage. Where exposed lamp fixtures are permitted in closets, storage spaces,
				  equipment rooms and similar areas, suitable guards shall be installed in
				  locations where accidental lamp breakage could be hazardous to
				  personnel.
Note: Authority cited: Section
						208(a),
						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 8 - Intermediate Care Facilities for the Developmentally Disabled › Article 5 - Physical Plant › Section 76665 - Maintenance Manual

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) A
				  written manual on maintenance of heating, air conditioning and ventilation
				  systems shall be adopted by each facility.
(b) A maintenance log shall be
				  maintained.
(c) Where maintenance
				  is performed by an equipment service company, a certification shall be provided
				  to the licensee that the required work has been performed in accordance with
				  acceptable standards. This certification shall be retained on file in the
				  facility.
Note: Authority cited: Section
						208(a),
						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 8 - Intermediate Care Facilities for the Developmentally Disabled › Article 5 - Physical Plant › Section 76667 - Mechanical Systems

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
				  Heating, air conditioning and ventilating systems shall be maintained in normal
				  operating conditions to provide a comfortable temperature. These systems shall
				  meet the construction requirements of Title 24 of the California Administrative
				  Code in effect at the time plans were approved for the facility.
(b) Temperature and humidity shall be
				  maintained within a normal comfort range by heating, air conditioning or other
				  means. The heating apparatus employed shall not constitute a burn hazard to the
				  clients.
Note: Authority cited: Section
						208(a),
						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 8 - Intermediate Care Facilities for the Developmentally Disabled › Article 5 - Physical Plant › Section 76669 - Screens

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Where necessary to protect against flies and other insects,
					 screens of 6 mesh per centimeter (16 mesh per inch) shall be provided on doors
					 and windows. Screen doors shall be of a type and installed as approved by the
					 State Fire Marshal.
Note: Authority cited: Section
						208(a),
						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 8 - Intermediate Care Facilities for the Developmentally Disabled › Article 5 - Physical Plant › Section 76671 - Storage

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) General and
				  specialized storage space shall be adequate and maintained to meet the needs of
				  clients, for efficient operation of the facility and as required at the time of
				  licenser. Storage shall not be permitted in air distribution chambers of
				  heating, air conditioning or ventilating systems.
(b) Facilities shall maintain combined
				  general and specialized storage in accordance with the following schedule:
1-10
							 beds....................................................
11 square
							 meters (120 square feet) minimum.
11-100
							 beds...............................................
1.1 square meters
							 (12 square feet) per bed.
over 100
							 beds............................................
111 square meters
							 plus 0.5 square meters (1,200 square feet plus 5 square feet) per bed for each
							 bed over 100.
Note: Authority cited: Section
						208(a),
						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 8 - Intermediate Care Facilities for the Developmentally Disabled › Article 5 - Physical Plant › Section 76673 - Space

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) All spaces
				  located in the facility or internally connected to a licensed facility shall be
				  considered a part of the facility and subject to licensing
				  regulations.
(b) Space and
				  equipment shall be provided to meet the program, physical and medical needs of
				  clients.
Note: Authority cited: Section
						208(a),
						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 8 - Intermediate Care Facilities for the Developmentally Disabled › Article 5 - Physical Plant › Section 76675 - Ice

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Ice which is
				  used in connection with food or drink shall be from a sanitary source and shall
				  be handled and dispensed in a sanitary manner.
(b) Ice scoops shall be handled and stored in
				  a sanitary manner.
(c)
				  Bacteriological sampling procedures shall be carried out when indicated by
				  specific problems or epidemiological findings.
Note: Authority cited: Section
						208(a),
						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 8 - Intermediate Care Facilities for the Developmentally Disabled › Article 5 - Physical Plant › Section 76677 - Cleaning, Disinfecting and Sterilizing

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) A written manual on cleaning,
				  disinfecting and sterilizing procedures shall be adopted. The manual shall
				  include procedures used in the care of utensils, instruments, solutions,
				  dressings, articles and surfaces and shall be available at all times for use by
				  facility personnel. All procedures shall be carried out in accordance with the
				  manual.
(b) Each facility shall
				  make provision for the cleaning and disinfection of contaminated articles and
				  surfaces which cannot be sterilized.
(c) Bedside equipment including but not
				  limited to washbasins, emesis basins, bedpans and urinals shall be sanitized
				  only by one of the following methods:
(1)
				  Submersion in boiling water for a minimum of 30 minutes.
(2) Autoclaving at 15 pounds pressure and
				  44.5°C (121°F) for 20 minutes.
(3) Gas sterilization.
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 5 - Physical Plant › Section 76679 - Health Support Area

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) A
				  health support area shall be maintained in each living unit.
(b) Health support areas shall be maintained
				  with a cabinet, a desk, space for records, a bulletin board, a telephone and a
				  specifically designated and well-illuminated medicine storage compartment with
				  a lockable door. If a separate medicine room is maintained, it shall have a
				  lockable door and a medicine sink with water connections for care of equipment
				  and handwashing. If a nourishment refrigerator is used, that appliance shall:
(1) Be located in a clean area not subject to
				  contamination.
(2) Maintain
				  temperatures at or below 7°C (45°F) for chilling.
(3) Maintain freezer at minus 7°C
				  (20°F).
(4) Have a reliable
				  thermometer in refrigerator at all times.
(5) Contain refrigerated foods which are
				  covered, clearly labeled and dated.
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 5 - Physical Plant › Section 76681 - Pest Control Program

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
The facility shall be maintained free from insects and
					 rodents through operation of a pest control program. The pest control program
					 shall include main client buildings, all out buildings on the property and all
					 adjacent grounds.
Note: Authority cited: Section
						208(a),
						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 8 - Intermediate Care Facilities for the Developmentally Disabled › Article 6 - Violations and Civil Penalties › Section 76701 - Definitions

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The following
				  definitions shall apply to this Article:
(1)
				  "Substantial probability" means that the more likely consequence of a violation
				  is death or serious physical harm to a client.
(2) "Serious physical harm" means that type
				  of bodily injury in which:
(A) A part of the
				  body would be permanently removed, rendered functionally useless, or
				  substantially reduced in capacity, either temporarily or permanently,
				  or
(B) A part of an internal
				  function of the body would be inhibited in its normal performance to such a
				  degree as to shorten life or cause reduction in physical or mental
				  capacity.
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 6 - Violations and Civil Penalties › Section 76703 - Class "a" Violations

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
A class "A" violation is any violation of a statute or
					 regulation relating to the operation or maintenance of any facility which
					 presents an imminent danger to the clients of the facility or a substantial
					 probability that death or serious physical harm would result therefrom. A
					 physical condition or one or more practices, means, methods or operations in
					 use in a facility may constitute such a violation.
Note: Authority cited: Section
						208(a),
						Health and Safety Code. Reference: Section
						1424(a),
						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 8 - Intermediate Care Facilities for the Developmentally Disabled › Article 6 - Violations and Civil Penalties › Section 76705 - Class "B" Violations

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
A class "B" violation is any violation of a statute or
					 regulation relating to the operation or maintenance of any facility which has a
					 direct or immediate relationship to the health, safety or security of the
					 clients of the facility, other than class "A" violations.
Note: Authority cited: Section
						208(a),
						Health and Safety Code. Reference: Section
						1424(b),
						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 8 - Intermediate Care Facilities for the Developmentally Disabled › Article 6 - Violations and Civil Penalties › Section 76707 - Class "C" Violations

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
A class "C" violation is any violation of a statute or
					 regulation relating to the operation or maintenance of any facility which the
					 Department determines has only a minimal relationship to the health or safety
					 of facility clients.
Note: Authority cited: Section
						208(a),
						Health and Safety Code. Reference: Section
						1427,
						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 8 - Intermediate Care Facilities for the Developmentally Disabled › Article 6 - Violations and Civil Penalties › Section 76709 - Filing of Names and Addresses

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The licensee of each facility shall file
				  with the Department the address of the licensee to which all citations and
				  notices concerning any class "A" or class "B" violations shall be mailed by the
				  Department.
(b) Each such licensee
				  shall also designate one or more persons who is authorized to accept on the
				  licensee's behalf any citations to be served by any representative of the
				  Department.
(c) Each such licensee
				  shall file with the Department the names or titles of those persons who are
				  such designees of the licensee.
(d)
				  Each such licensee shall also file with the Department a written notice of any
				  change in address or of any change of designee. The Department shall mail all
				  citations or notices to the latest address on file with the
				  Department.
Note: Authority cited: Section
						208(a),
						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 8 - Intermediate Care Facilities for the Developmentally Disabled › Article 6 - Violations and Civil Penalties › Section 76711 - Complaints

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Any person may
				  request an inspection of any facility by giving notice to the Department of an
				  alleged violation of applicable requirements of law or regulations.
(b) Any such notice shall be in writing,
				  signed by the complainant and shall set forth with reasonable particularity the
				  matters complained of. The substance of the complaint shall be provided to the
				  licensee no earlier than at the commencement of the inspection. Neither the
				  name of the individual complainant nor other person mentioned in the complaint
				  shall be disclosed by the Department, unless the complainant specifically
				  requests the release of such name or names or the matter results in a judicial
				  proceeding.
(c) Upon the request of
				  either the complainant or the Department, the complainant or complainant's
				  representative or both may be allowed to accompany the inspector to the site of
				  the alleged violations during the inspector's tour of the facility, unless the
				  inspector determines that the privacy of any client would be
				  violated.
Note: Authority cited: Section
						208(a),
						Health and Safety Code. Reference: Sections
						1276,
						1419,
						and
						1420,
						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 8 - Intermediate Care Facilities for the Developmentally Disabled › Article 6 - Violations and Civil Penalties › Section 76715 - Penalties

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The condition
				  or practice constituting a class "A" violation shall be abated or eliminated
				  immediately, unless a fixed period of time, as determined by the Department, is
				  required for correction. A class "A" violation is subject to a civil penalty in
				  an amount not less than $1,000 and not exceeding $5,000 for each and every
				  violation. In fixing the amount of the civil penalty to be imposed for a class
				  "A" violation, the district administrator, or designee, shall consider:
(1) The gravity of the violation, which shall
				  include:
(A) The degree of substantial
				  probability that death or serious physical harm to a client will result and, if
				  applicable, did result from the violation.
(B) The severity of serious physical harm
				  most likely to result and, if applicable, that did result from the
				  violation.
(C) The extent to which
				  the provisions of the applicable statutes or regulations were
				  violated.
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 6 - Violations and Civil Penalties › Section 76717 - Review Procedures

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
				  If a licensee does not wish to contest a citation, he or she may transmit to
				  the Department within 4 business days after the issuance of the citation, the
				  sum of $1,000 for each class "A" violation and the sum of $50 for each class
				  "B" violation.
(b) If a licensee
				  desires to contest a citation, the assessment of a proposed civil penalty, or
				  the date specified for correction of a violation, the licensee shall, within
				  four business days after service of the citation or assessment of the proposed
				  civil penalty, as the case may be, serve upon the district administrator or
				  designee, either personally or by registered or certified mail, the licensee's
				  written notice that:
(1) An informal
				  conference be scheduled to review the matter with the district administrator or
				  designee; or
(2) The case be
				  presented to the Superior Court for appropriate action.
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 6 - Violations and Civil Penalties › Section 76719 - Informal Conference

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
				  The district administrator or designee shall hold, within four business days
				  from the receipt of the licensee's request, an informal conference.
(1) The licensee shall have the right to be
				  represented by legal counsel, to present oral and written evidence or other
				  information on its behalf, and to explain any mitigating
				  circumstances.
(2) The
				  representatives of the Department who issued the citation should attend the
				  conference and present whatever evidence or information, oral or written, in
				  substantiation of the alleged violation.
(3) The conference shall be a simple informal
				  proceeding, and shall not be conducted in the manner of a judicial hearing or
				  as a hearing under the Administrative Procedure Act, Chapter 5, commencing with
				  Section 11500, of Part 1 of Division 3 of
				  Title 2 of the Government Code, and need not be conducted according to
				  technical rules relating to evidence and witnesses.
(4) Neither the licensee nor the Department
				  shall have the right to subpoena any witness to attend the conference, nor to
				  formally cross-examine any person testifying at the conference. However, both
				  the licensee and the Department may present any witness on its behalf at the
				  conference.
(5) At the conclusion
				  of the informal conference, the district administrator or the designee
				  conducting the conference, may affirm, modify or dismiss the citation, the
				  proposed assessment of a civil penalty, or the date of correction of a
				  violation.
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 6 - Violations and Civil Penalties › Section 76721 - Posting of Citations

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
				  Each citation for a class "A" violation which has become final, or a copy or
				  copies thereof, shall be prominently posted by the licensee until the violation
				  is corrected to the satisfaction of the Department, up to a maximum of 120
				  days. The citation or copy shall be posted in a place or places in plain view
				  of the clients in the facility, persons visiting those clients and persons who
				  inquire about placement in the facility.
(b) Each citation for class "A" or class "B"
				  violations which has become final, or a copy or copies thereof, shall be
				  retained by the licensee at the facility cited until the violation is corrected
				  to the satisfaction of the Department. Each such citation shall be made
				  promptly available by the licensee for inspection or examination by any member
				  of the public who so requests. In addition, every licensee shall post in a
				  place or places in plain view of the clients in the facility, persons visiting
				  those clients and persons who inquire about placement in the facility, a
				  prominent notice informing such persons that copies of all final uncorrected
				  violations issued by the Department to the facility will be made promptly
				  available by the licensee for inspection by any person who so
				  requests.
Note: Authority cited: Section
						208(a),
						Health and Safety Code. Reference: Sections
						1276
						and
						1429,
						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 8 - Intermediate Care Facilities for the Developmentally Disabled › Article 6 - Violations and Civil Penalties › Section 76723 - Interference with Official Duties

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Any duly authorized officer, employee or
				  agent of the Department may enter and inspect any facility, including, but not
				  limited to, interviewing clients and reviewing records at any time. Inspections
				  conducted pursuant to complaints filed with the Department shall be conducted
				  in such a manner as to ensure maximum effectiveness. No advance notice shall be
				  given of any inspection unless previously and specifically authorized by the
				  Director or required by federal law.
(b) No licensee or employee of any facility
				  shall:
(1) Willfully prevent, interfere with
				  or attempt to impede in any way the work of any duly authorized representative
				  of the Department in the lawful enforcement of his or her inspection
				  duties.
(2) Willfully prevent or
				  attempt to prevent any such representative from examining any relevant books or
				  records in the conduct of his or her inspection duties.
(3) Willfully prevent or interfere with any
				  such representative in the preserving of evidence of any violation of these
				  regulations.
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 6 - Violations and Civil Penalties › Section 76725 - Discrimination or Retaliation

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) No licensee shall discriminate or
				  retaliate in any manner against a client or employee in its facility on the
				  basis of or for the reason that such client or employee or any other person has
				  initiated or participated in any proceeding specified in these regulations. A
				  licensee who violates this provision is also subject under Section
				  1432
				  of the Health and Safety Code to a civil penalty of no more than
				  $500.
(b) Any attempt to expel a
				  client from a facility or any type of discriminatory treatment of a client by
				  whom, or upon whose behalf, a complaint has been submitted to the Department or
				  any proceeding instituted under or related to this Article within 120 days of
				  the filing of the complaint or the institution of such action, shall raise a
				  rebuttable presumption that such action was taken by the licensee in
				  retaliation for the filing of the complaint.
Note: Authority cited: Section
						208(a),
						Health and Safety Code. Reference: Sections
						1276
						and
						1432,
						Health and Safety Code.