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 12 - Correctional Treatment Centers › Article 4 - Optional Services › Section 79759 - Mental Health Treatment Program Staffing-Nonacute Care Requirements

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Nonacute 24-hour mental health care may be provided by any
					 correctional treatment center meeting the basic staffing requirements specified
					 in Section
					 79631, Nursing Service Staff,
					 including the requirements for 2.5 nursing hours per patient day and by the
					 Mental Health Treatment Program Staffing--Basic Requirements, set forth in
					 Section 79755.
1. New
					 section filed 6-10-94; operative 1-1-96 pursuant to Health and Safety Code
					 section
					 1250
					 (Register 94, No. 23).
Note: Authority cited: Sections
						208(a)
						and
						1267.10(a),
						Health and Safety Code. Reference: Sections
						1250(j)
						and
						1254,
						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 12 - Correctional Treatment Centers › Article 4 - Optional Services › Section 79761 - Mental Health Treatment Program-Space

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Space shall be provided for the conduct
				  of the mental health treatment program and shall include:
(1) A consultation room for
				  interviewing.
(2) An observation
				  room for acutely disturbed inmate-patients.
(3) Indoor or outdoor facilities for
				  therapeutic activities.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 12 - Correctional Treatment Centers › Article 4 - Optional Services › Section 79763 - Standby Emergency Medical Services, Physician on Call, Definition

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Standby emergency medical service, physician on call, means
					 the provision of emergency medical care in a specifically designated area of
					 the correctional treatment center which is equipped and maintained at all times
					 to receive patients with urgent medical problems and capable of providing
					 physician service within a reasonable time.
1. New
					 section filed 6-10-94; operative 1-1-96 pursuant to Health and Safety Code
					 section
					 1250
					 (Register 94, No. 23).
Note: Authority cited: Sections
						208(a)
						and
						1267.10(a),
						Health and Safety Code. Reference: Sections
						1250(j)
						and
						1254,
						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 12 - Correctional Treatment Centers › Article 4 - Optional Services › Section 79765 - Standby Emergency Medical Service, Physician on Call, General Requirements

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Written policies and procedures shall be
				  developed and maintained by the physician responsible for the service in
				  consultation with other appropriate health professionals and administration.
				  Policies shall be approved by the governing body. Procedures shall be approved
				  by the administration and medical staff.
(b) The responsibility and the accountability
				  of the emergency medical service to the medical director, administration and
				  governing body shall be defined.
(c) There shall be a roster of names and
				  telephone numbers of physicians who are available to provide emergency
				  service.
(d) A communication system
				  employing telephones, radiotelephone or similar means shall be in place for
				  establishing and maintaining contact with law enforcement authorities, rescue
				  squads, and other emergency medical services of the community.
(e) The correctional treatment center shall
				  require continuing education of all emergency medical service
				  personnel.
(f) Medical records
				  shall be maintained on all inmate-patients who are admitted for emergency
				  medical care. These records shall become part of the inmate-patient's medical
				  record. Past medical records shall be available to the emergency medical
				  service.
(g) An emergency room log
				  shall be maintained and shall contain at least the following inmate-patient
				  information: name, date, time and means of arrival, age, sex, record number,
				  nature of complaint, treatment, disposition and time of departure. The names of
				  those dead on arrival shall also be entered in the log.
(h) Standardized emergency nursing procedures
				  shall be developed and approved by the patient care policy committee and
				  administration.
(i) A list of
				  referral services shall be available in the emergency service. This list shall
				  include the name, address, and telephone number of the following:
(1) Police department, if
				  applicable.
(2) Blood bank, if
				  applicable.
(3) Antivenin
				  service.
(4) Burn center.
(5) Poison control information
				  center.
(6) Director of State
				  Department of Health Services or designee.
(7) Local health department.
(8) Clergy.
(9) Emergency psychiatric service.
(10) Chronic hemodialysis service.
(11) Intensive care newborn nursery (if
				  applicable).
(12) Emergency
				  maternity service (if applicable).
(13) Radiation accident management
				  service.
(14) Ambulance transport
				  and rescue services.
(15) County
				  coroner or medical examiner.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 12 - Correctional Treatment Centers › Article 4 - Optional Services › Section 79767 - Standby Emergency Medical Service, Physician on Call, Staff

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) A physician
				  shall have overall responsibility for the service. That physician, or his or
				  her designee, shall be responsible for:
(1)
				  Implementation of established policies and procedures.
(2) Development of a system for assuring
				  physician coverage on call 24-hours a day to the emergency medical
				  service.
(3) Assurance that
				  physician coverage is available within a reasonable length of time, relative to
				  the inmate-patient's illness or injury.
(4) Development of a roster of specialty
				  physicians available for consultation.
(5) Assurance of continuing education in
				  emergency care procedures for the medical and nursing
				  staff.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 12 - Correctional Treatment Centers › Article 4 - Optional Services › Section 79769 - Standby Emergency Medical Service, Physician on Call, Equipment and Supplies

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Equipment and supplies necessary for life support shall be
					 available. Equipment shall include, but not be limited to: airway control and
					 ventilation equipment; suction devices; cardiac monitor defibrillator;
					 intravenous fluids, including blood expanders; and administering
					 devices.
1. New
					 section filed 6-10-94; operative 1-1-96 pursuant to Health and Safety Code
					 section
					 1250
					 (Register 94, No. 23).
Note: Authority cited: Sections
						208(a)
						and
						1267.10(a),
						Health and Safety Code. Reference: Sections
						1250(j)
						and
						1254,
						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 12 - Correctional Treatment Centers › Article 4 - Optional Services › Section 79771 - Standby Emergency Medical Service, Physician on Call, Space

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The following
				  space provisions and designations shall be met:
(1) Designated emergency treatment
				  area.
(2) Observation
				  room.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 12 - Correctional Treatment Centers › Article 5 - Administration › Section 79773 - 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 correctional treatment center including compliance with all
				  applicable laws and regulations.
(b) The governing body shall appoint a
				  medical director with delegated authority to carry out the functions of the
				  correctional treatment center and the responsibility for ensuring that the
				  correctional treatment center conforms to all applicable federal, state and
				  local laws and regulations. The governing body shall appoint an administrator
				  whose authority, qualifications and duties shall be defined in
				  writing.
(c) The governing body
				  shall adopt administrative policies and procedures designating in writing all
				  services provided and shall oversee the management and fiscal affairs of the
				  correctional treatment center.
1. New
					 article 5 and section filed 6-10-94; operative 1-1-96 pursuant to Health and
					 Safety Code section
					 1250
					 (Register 94, No. 23).
Note: Authority cited: Sections
						208(a)
						and
						1267.10(a),
						Health and Safety Code. Reference: Sections
						1250(j)
						and
						1254,
						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 12 - Correctional Treatment Centers › Article 5 - Administration › Section 79775 - Medical Director

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
				  Each correctional treatment center shall employ or otherwise provide a medical
				  director. The medical director shall be a licensed physician. The medical
				  director shall be responsible for the daily administration and clinical
				  management of only one correctional treatment center unless both of the
				  following apply:
(1) All facilities for which
				  the medical director is responsible are in the same geographic region and are
				  operated by the same governing body.
(2) The medical director shall designate a
				  physician who is knowledgeable in the policies and procedures of the
				  correctional treatment center to fulfill the functions of the medical director
				  during the medical director's absence.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 12 - Correctional Treatment Centers › Article 5 - Administration › Section 79777 - Administrator

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The governing
				  body shall appoint an administrator. The administrator's responsibilities
				  include, but are not limited to, the following:
(1) Establishing written administrative,
				  management and personnel policies and procedures.
(2) Maintaining policies and procedures for
				  each basic and optional service provided by the correctional treatment center.
				  These policies and procedures shall be reviewed annually.
(3) Informing appropriate staff of applicable
				  additions, deletions and changes to correctional treatment center
				  regulations.
(4) Maintaining and
				  monitoring contracts for professional consultant staff and health service
				  support agencies.
(5) Reviewing
				  employee accident and incident reports and taking appropriate corrective
				  action.
(6) Assuring that current
				  copies of the California Code of Regulations, Title 22 regulations pertaining
				  to correctional treatment centers are available to all personnel.
(7) Assuring that the correctional treatment
				  center provides only those services for which it is organized, staffed and
				  equipped.
(8) Informing the
				  Department within 24 hours of any unusual occurrences, as specified in 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 12 - Correctional Treatment Centers › Article 5 - Administration › Section 79779 - Administrative Policies and Procedures

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Written administrative, management and
				  personnel policies shall be established and implemented to govern the
				  administration and management of the correctional treatment center. Policies
				  and procedures shall not supersede the custody and security requirements of the
				  correctional treatment center.
(b)
				  Policies and procedures shall be reviewed at least annually, revised as needed,
				  and approved in writing by the governing body.
(c) Each correctional treatment center shall
				  establish at least the following:
(1)
				  Personnel policies and procedures which shall include:
(A) Written job description detailing
				  qualifications, duties and limitations of each classification of employee shall
				  be available to all personnel.
(B)
				  Employee orientation to facility, job, patient population, policies, procedures
				  and staff.
(C) Staff
				  development.
(D) Employee
				  health.
(E) Verification of
				  licensure, credentials and references.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 12 - Correctional Treatment Centers › Article 5 - Administration › Section 79781 - Required Committees

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
				  Each correctional treatment center shall have at least the following
				  committees: patient care policy, infection control and pharmaceutical
				  service.
(b) Minutes of every
				  committee meeting shall be maintained in the facility and indicate names of
				  members present, date, length of meeting, subject matter discussed and action
				  taken.
(c) In those correctional
				  treatment centers where appropriate, these functions may be performed by a
				  committee of the whole.
(d)
				  Committee composition and function shall be as follows:
(1) Patient Care Policy Committee.
(A) A patient care policy committee shall
				  establish policies governing the following services: Physician, psychiatrist,
				  psychologist, dental, nursing, dietetic, pharmaceutical, health records,
				  housekeeping and such additional services as are provided by the
				  facility.
(B) The committee shall
				  be composed of at least the medical director, the administrator (if appointed),
				  the director of nursing service, a pharmacist and a representative of each
				  required service as appropriate.
(C) The committee shall meet at least
				  annually.
(D) The patient care
				  policy committee shall have the responsibility for reviewing and approving all
				  policies relating to patient care. Based on reports received from the facility
				  administrator, the committee shall review the effectiveness of policy
				  implementation and shall make recommendations for the improvement of patient
				  care.
(E) The committee shall
				  review patient care policies annually and revise as necessary. Minutes shall
				  list policies reviewed.
(F) The
				  patient care policy committee shall implement the provisions of Health and
				  Safety Code Sections
				  1315,
				  1316,
				  and
				  1316.5,
				  by means of written policies and procedures.
(G) Only physicians shall assume the overall
				  medical care of patients, including performing the admitting history, and the
				  physical examinations and the issuance of orders for medical
				  care.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 12 - Correctional Treatment Centers › Article 5 - Administration › Section 79783 - Use of Outside Resources

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
				  If a correctional treatment center does not employ qualified personnel to
				  render a specific service to be provided by the correctional treatment center,
				  there shall be arrangements through a written agreement and/or contract with
				  outside resources. Outside resources shall meet the standards and requirements
				  of all applicable regulations before an agreement and/or contract may be
				  entered into and shall continue to meet all applicable regulations during the
				  term of the agreement and/or contract. Outside resources may include other
				  facilities, organizations, individuals, or public or private
				  agencies.
(b) Signed and dated
				  copies of agreements, contracts, or written arrangements for advice,
				  consultation, services, training or transportation, with outside resources
				  shall be on file in the facility. Copies of these agreements and/or contracts
				  shall be readily available for inspection and review by the Department. The
				  agreements and/or contracts shall include, but not be limited to, a description
				  of the services to be provided, the financial arrangements, the methods by
				  which the services are to be provided, the conditions upon which the agreement
				  or contract can be terminated, signatures of parties to the agreement, and
				  effective dates for the agreement.
(c) The governing body shall be responsible
				  and accountable for all services provided through agreements and/or
				  contracts.
1. New
					 section filed 6-10-94; operative 1-1-96 pursuant to Health and Safety Code
					 section
					 1250
					 (Register 94, No. 23).
Note: Authority cited: Sections
						208(a)
						and
						1267.10(a),
						Health and Safety Code. Reference: Sections
						1250(j)
						and
						1254,
						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 12 - Correctional Treatment Centers › Article 5 - Administration › Section 79785 - First Aid and Referrals

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
If a correctional treatment center does not maintain an
					 emergency medical service, its employees shall exercise reasonable care to
					 determine whether an emergency exists, render necessary life-saving first aid,
					 and transfer the inmate-patient to the nearest hospital that can render the
					 needed services.
1. New
					 section filed 6-10-94; operative 1-1-96 pursuant to Health and Safety Code
					 section
					 1250
					 (Register 94, No. 23).
Note: Authority cited: Sections
						208(a)
						and
						1267.10(a),
						Health and Safety Code. Reference: Sections
						1250(j)
						and
						1254,
						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 12 - Correctional Treatment Centers › Article 5 - Administration › Section 79787 - Reporting

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Reportable
				  communicable diseases shall be reported to the local health officer and all
				  unusual occurrences shall be reported to the Department by the licensed
				  correctional treatment center within twenty-four (24) hours, either by
				  telephone with written confirmation or by telephone facsimile (FAX).
(b) The reporting of communicable diseases
				  and outbreaks shall be in conformance with Sections
				  2500,
				  2502,
				  2503 and
				  2504 of Title 17, California Code
				  of Regulations.
(c) Events
				  constituting an unusual occurrence shall include, but not be limited to:
(1) Poisonings.
(2) Fires or explosions.
(3) Death of an inmate-patient, employee, or
				  visitor because of unnatural causes.
(4) Sexual acts involving inmate-patients who
				  are minors, nonconsenting adults, or persons incapable of consent.
(5) Physical assaults on inmate-patients,
				  employees, or visitors.
(6) All
				  suspected criminal acts involving inmate-patients, employees, or
				  visitors.
(7) All suspected
				  incidents of physical or sexual abuse to an inmate-patient.
(8) Unexplained or illicit disappearance or
				  loss of an inmate-patient or inmate-patient remains.
(9) Disruption of services of the licensed
				  correctional treatment center.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 12 - Correctional Treatment Centers › Article 5 - Administration › Section 79789 - Patient Transfer

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The
				  licensee shall maintain written transfer agreements with one or more general
				  acute care hospitals to make the services of those facilities accessible and to
				  facilitate the transfer of patients. Complete and accurate patient information,
				  in sufficient detail to provide for continuity of care, shall be transferred
				  with the patient at the time of transfer. A copy of the current agreement shall
				  be available for review by the Department.
(b) No patient shall be transferred or
				  discharged for purposes of effecting a transfer from a facility to another
				  facility, unless arrangements have been made in advance for admission to such a
				  health facility.
(c) When a patient
				  is transferred to another facility, the following shall be entered in the
				  patient health record:
(1) The date, time,
				  condition of the patient and a written statement of the reason for the
				  transfer.
(2) Documentation that
				  the receiving facility has been informed of the patient's
				  transfer.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 12 - Correctional Treatment Centers › Article 5 - Administration › Section 79791 - Personnel Policies

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
				  Each correctional treatment center shall adopt and implement written personnel
				  policies concerning qualifications, responsibilities, and conditions of
				  employment for each classification employed which shall be available to all
				  personnel. Such policies shall include but not be limited to:
(1) Hours of work.
(2) A plan for orientation for all new staff
				  members that shall ensure that all new staff providing program services shall
				  receive at least 20 hours of orientation and training within 14 days of
				  employment. Staff attendance shall be documented. Initial training shall
				  include, but not be limited to, the following:
(A) Orientation to all policies, procedures
				  and objectives of the facility.
(3) A plan for at least annual evaluation of
				  employee performance.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 12 - Correctional Treatment Centers › Article 5 - Administration › Section 79793 - Employee Personnel Records

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) All facilities shall maintain personnel
				  records of all employees. Such records shall be retained for at least three (3)
				  years following termination of employment.
(b) The record shall include the employee's
				  full name, Social Security number, the license or registration number, if any,
				  a brief resume of experience, employment classification, date of beginning
				  employment and date of termination of employment.
(c) Records of hours and dates worked by all
				  employees during at least the most recent six-month period shall be kept on
				  file at the place of employment.
1. New
					 section filed 6-10-94; operative 1-1-96 pursuant to Health and Safety Code
					 section
					 1250
					 (Register 94, No. 23).
Note: Authority cited: Sections
						208(a)
						and
						1267.10(a),
						Health and Safety Code. Reference: Sections
						1250(j)
						and
						1254,
						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 12 - Correctional Treatment Centers › Article 5 - Administration › Section 79795 - 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 ninety (90) days prior to employment or
				  within one (1) 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 conditions that would create
				  a hazard for the employee, fellow employees, patients or visitors.
(b) 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). If the result is positive, a chest X-ray
				  shall be obtained. If a person has a previously documented positive
				  tuberculosis test result, a test for tuberculosis infection need not be done
				  but a baseline chest X-ray shall be obtained.
(1) Policies and procedures that address the
				  identification, employment utilization and medical referral of persons with
				  positive tuberculosis tests, including those who have converted from negative
				  to positive, shall be written and implemented.
(2) An annual test for tuberculosis shall be
				  performed on those individuals with a previously documented negative
				  tuberculosis test. If an individual with a previously documented negative
				  tuberculosis test has a subsequent positive result, a chest X-ray shall be
				  obtained.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 12 - Correctional Treatment Centers › Article 5 - Administration › Section 79797 - Staff Development

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
				  Each correctional treatment center shall have an ongoing educational program
				  planned and conducted for the development and improvement of necessary skills
				  and knowledge for all facility personnel. Each program shall include but not be
				  limited to:
(1) Orientation of all newly
				  employed staff to all appropriate facility policies and procedures and specific
				  job requirements.
(2) Prevention
				  and control of infections.
(3) Fire
				  prevention and safety.
(4)
				  Cardiopulmonary resuscitation.
(5)
				  All newly developed policies and procedures.
(6) Internal and external disaster
				  plans.
(7) Applicable security
				  policies and procedures of the correctional institution or detention
				  facility.
(8) Suicide prevention
				  techniques.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 12 - Correctional Treatment Centers › Article 5 - Administration › Section 79799 - Inmate-Patients' Rights

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
				  Written policies regarding the rights and restrictions of inmate-patients
				  admitted to a correctional treatment center shall be established and
				  implemented, and made available to the inmate-patient and to the public.
				  Inmate-patients will be afforded such rights as are commonly afforded to
				  medical/mental patients and are consistent with jail or prison policies and
				  procedures. Such policies and procedures shall ensure that each inmate-patient
				  admitted to the correctional treatment center shall have the following rights
				  and be notified of the treatment center's obligations:
(1) To be fully informed, prior to or at the
				  time of admission and during his or her stay, of these rights and of all rules
				  and regulations governing inmate-patient conduct.
(2) To be fully informed, prior to, or at the
				  time of admission and during his or her stay, of services available in the
				  correctional treatment center.
(3)
				  To be fully informed by a physician of his or her medical condition and to be
				  afforded the opportunity to discuss medical treatment.
(4) To give informed consent or to refuse any
				  treatment or procedure or participation in experimental research.
(5) To be informed of and provided access to
				  grievance forms and procedures.
(6)
				  To be free from mental and physical abuse.
(7) To be free from chemical and (except in
				  emergencies) clinical and treatment restraints except when necessary to protect
				  the patient from injury to himself or to others.
(8) To be assured confidential treatment of
				  personal and medical records and to approve or refuse their release to any
				  individual outside the correctional treatment center, except in the case of
				  transfer to another health care facility, or as required by law or third party
				  payment contract.
(9) To be treated
				  with consideration, respect, and full recognition of dignity and individuality,
				  including privacy in treatment and in care of personal needs, when not in
				  conflict with security and custodial policies.
(10) To refuse convulsive treatment
				  including, but not limited to, any electroconvulsive treatment, any treatment
				  of a mental condition which depends on the induction of a convulsion by any
				  means, and insulin coma treatment.
(11) To refuse psychosurgery as defined in
				  Section
				  5325
				  of the Welfare and Institutions Code.
(12) To review his or her medical or
				  psychiatric record upon request and consistent with statutory and case
				  law.
(13) To be free from
				  discrimination based on sex, race, color, religion, ancestry, national origin,
				  sexual orientation, disability, medical condition, marital status, or
				  registered domestic partner status.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 12 - Correctional Treatment Centers › Article 5 - Administration › Section 79803 - Health Record Service

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The
				  correctional treatment center shall maintain a health record service in
				  accordance with accepted professional standards and practices. The health
				  record service shall have sufficient staff, facilities, and equipment, and be
				  conveniently located to facilitate the accurate processing, checking, indexing
				  and filing of all health records.
(b) The health record service shall be under
				  the direction of a staff member with at least two years of training and
				  experience in records administration, at a level of responsibility equivalent
				  to a health record technician, or a medical record technician. This designated
				  staff member shall be assisted by such qualified personnel as are necessary to
				  conduct the service. A registered health information administrator or
				  registered health information technician shall provide consultation on at least
				  a quarterly basis to designated staff members responsible for record
				  administration.
(c) If a facility,
				  in addition to inpatient services, is providing outpatient, emergency, day
				  treatment, or crisis intervention service, a unit health record system shall be
				  established.
(d) The facility shall
				  have a continuing system of collecting and recording data that describe
				  patients served in such form as to provide for continuity of care, program
				  services, and data retrieval for program patient care evaluation and research.
				  Health records shall be stored and systematically organized to facilitate
				  retrieval of information. Retrievability shall be assured by the use of an
				  acceptable coding system such as the latest version of the International
				  Classification of Diseases (ICD-9).
(e) Policies and procedures shall be
				  established and implemented to ensure the confidentiality of access to patient
				  health information, in accordance with federal, state and local laws and
				  acceptable standards of practice.
1. New
					 section filed 6-10-94; operative 1-1-96 pursuant to Health and Safety Code
					 section
					 1250
					 (Register 94, No. 23).
2. Change without regulatory effect amending
					 subsection (b) 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
						1275
						and
						131200,
						Health and Safety Code. Reference: Sections
						1250(j),
						1254,
						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 12 - Correctional Treatment Centers › Article 5 - Administration › Section 79805 - Inmate-Patient Health Record Content

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Each inmate-patient's health record for
				  inpatient services shall consist of at least the following:
(1) Admission and discharge record
				  identification data including, but not limited to, the following:
(A) Name.
(B) Inmate-patient identification
				  number.
(C) Date of
				  Birth.
(D) Sex.
(E) Marital status.
(F) Religion (optional on part of
				  inmate-patient).
(G) Date of
				  admission.
(H) Date of
				  discharge.
(I) Name, address and
				  telephone number of person or agency responsible for the inmate-patient, or
				  next of kin.
(J) Initial diagnostic
				  impression.
(K) Discharge or final
				  diagnosis.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 12 - Correctional Treatment Centers › Article 5 - Administration › Section 79807 - Inmate-Patient Health Record Availability

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Records shall be kept on all
				  inmate-patients admitted or accepted for treatment. All required records,
				  either as originals or as accurate reproductions of the contents of such
				  originals, shall be maintained in a confidential manner, and be legible, and
				  readily accessible upon request of persons authorized by law to have access to
				  such records including, but not limited to persons authorized pursuant to
				  Health and Safety Code, Section
				  1795
				  et seq., those professional persons who are providing services to the patient
				  and authorized representatives of the Department.
(b) The correctional treatment center shall
				  safeguard the information in the record against loss, defacement, tampering, or
				  use by unauthorized persons.
(c)
				  Inmate-patient health records or reproductions thereof, shall be safely
				  preserved for a minimum of seven years following discharge of the
				  inmate-patient, except that the records of unemancipated minors shall be kept
				  at least one year after such minor has reached the age of 18 years and, in any
				  case, not less than seven years.
(d) If a correctional treatment center ceases
				  operation, the Department shall be informed, within 48 hours prior to
				  cessation, of the arrangements made for safe preservation of inmate-patient
				  health records.
(e) Inmate-patient
				  records shall be filed in an easily accessible manner in the facility or in an
				  approved health record storage facility off the facility premises.
(f) Inmate-patient records shall be completed
				  within 14 days following the inmate-patient's discharge.
1. New
					 section filed 6-10-94; operative 1-1-96 pursuant to Health and Safety Code
					 section
					 1250
					 (Register 94, No. 23).
Note: Authority cited: Sections
						208(a)
						and
						1267.10(a),
						Health and Safety Code. Reference: Sections
						1250(j)
						and
						1254,
						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 12 - Correctional Treatment Centers › Article 5 - Administration › Section 79809 - Transfer Summary

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
A transfer summary shall accompany or precede the
					 inmate-patient upon transfer to another facility where continuing care will be
					 provided. The transfer summary shall include essential information relative to
					 the inmate-patient's diagnosis, treatment course, medications, dietary
					 requirements, known allergies and treatment plan.
1. New
					 section filed 6-10-94; operative 1-1-96 pursuant to Health and Safety Code
					 section
					 1250
					 (Register 94, No. 23).
Note: Authority cited: Sections
						208(a)
						and
						1267.10(a),
						Health and Safety Code. Reference: Sections
						1250(j)
						and
						1254,
						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 12 - Correctional Treatment Centers › Article 5 - Administration › Section 79811 - Fire and Internal Disasters

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) A written fire and internal disaster
				  program, incorporating evacuation procedures, shall be developed with the
				  assistance of local fire, safety and other appropriate experts. A copy of the
				  program shall be available on the premises for review by the
				  Department.
(b) The written program
				  shall be implemented in the event of a fire, or internal or external disaster,
				  and shall include but not be limited to the following:
(1) Plans for the assignment of personnel to
				  specific tasks and responsibilities.
(2) Instructions relating to the use of alarm
				  systems and signals.
(3)
				  Information concerning methods of fire containment.
(4) Systems for notification of appropriate
				  persons.
(5) Information concerning
				  the location of fire fighting equipment.
(6) Identification of evacuation routes and
				  procedures.
(7) Other provisions as
				  the local situation dictates.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 12 - Correctional Treatment Centers › Article 5 - Administration › Section 79813 - Custodial Personnel

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
				  Custodial personnel, or other nonmedical staff, may perform patient care
				  support activities. At no time shall custodial personnel be used as
				  replacements for required nursing staff.
(b) Custodial personnel assigned to the
				  correctional treatment center shall receive orientation to the correctional
				  treatment center and instruction in any patient care support activity they will
				  perform prior to commencing the activity. Permitted inmate-patient care support
				  activities, conducted in conjunction with nursing staff, may include:
(1) Supervision of ambulatory, self-care
				  inmate-patients.
(2) The serving of
				  meals to self-feed inmate-patients.
(3) The serving of snacks or nourishment to
				  inmate-patients.
(4) Ambulating
				  (exercising) independent, ambulatory inmate-patients.
(5) Holding or immobilizing a patient during
				  a treatment or a diagnostic procedure.
(6) Observation of inmate-patient mental
				  behavior in conjunction with regular observation performed by nursing
				  staff.
(7) Cardiopulmonary
				  resuscitation and first aid, in emergencies, by personnel certified to perform
				  those specific activities.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 12 - Correctional Treatment Centers › Article 5 - Administration › Section 79815 - Inmate-Patient Identification

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Each inmate-patient shall be provided with a wristband
					 identification tag or other means of identification which shall be worn at all
					 times. Minimum information shall include the name of the inmate-patient and the
					 name of the correctional treatment center and/or correctional
					 institution.
1. New
					 section filed 6-10-94; operative 1-1-96 pursuant to Health and Safety Code
					 section
					 1250
					 (Register 94, No. 23).
Note: Authority cited: Sections
						208(a)
						and
						1267.10(a),
						Health and Safety Code. Reference: Sections
						1250(j)
						and
						1254,
						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 12 - Correctional Treatment Centers › Article 5 - Administration › Section 79817 - Equipment and Supplies

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
				  Equipment and supplies in each correctional treatment center shall be of the
				  quality and in the quantity necessary for care of inmate-patients as ordered or
				  indicated. At least the following items shall be provided and properly
				  maintained at all times:
(1)
				  Airways.
(2) Bedpans.
(3) Catheter equipment.
(4) Clerical supplies and
				  equipment.
(5) Denture
				  cups.
(6) Drug service trays and/or
				  carts.
(7) Ear syringes.
(8) Emergency oxygen supply and equipment for
				  administration.
(9) Emesis
				  basins.
(10) Examination
				  light.
(11) First aid supplies, as
				  determined by the patient care policy committee.
(12) Flashlights.
(13) Gloves (sterile and
				  unsterile).
(14) Ice
				  caps.
(15) Intravenous therapy
				  supplies, if the correctional treatment center provides such
				  services.
(16) Medicine
				  droppers.
(17) Medicine glasses,
				  cups, or other small containers which are accurately calibrated.
(18) Mortar and pestle.
(19) Rectal speculum.
(20) Refrigerator with accurate
				  thermometer.
(21) Rubber
				  tubing.
(22) Scales for weighing
				  all inmate-patients.
(23) Shower
				  and commode chairs, wheelchairs, and walkers.
(24) Soap for bathing.
(25) Soap dishes or soap
				  containers.
(26)
				  Sphygmomanometers/cuffs.
(27)
				  Sterile dressings.
(28)
				  Stethoscopes.
(29) Suction
				  apparatus.
(30) Suture
				  tray.
(31) Suture removal
				  equipment.
(32) Syringes and
				  needles.
(33) Test supplies
				  necessary to perform urine sugar and acetone testing.
(34) Thermometers.
(35) Tongue depressors.
(36) Urinals.
(37) Vaginal speculum, if
				  applicable.
(38)
				  Washbasins.
(39) Water pitchers and
				  drinking vessels.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 12 - Correctional Treatment Centers › Article 6 - Physical Plant and Safety › Section 79819 - Alterations to Existing Buildings or New Construction

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Alterations to existing buildings
				  licensed as correctional treatment centers or new construction shall be in
				  conformance with Chapter 10F, Part 2, Title 24, California Code of Regulations,
				  other applicable sections of the California Building Standards Code, and the
				  requirements of the State Fire Marshal.
(b) Facilities licensed or subject to
				  licensure and in operation prior to the effective date of Title 24 regulations
				  for correctional treatment centers shall not be required to institute
				  corrective alternatives or construction to comply with such new requirements
				  except where specifically required or where the Department determines that a
				  definite hazard to health and safety exists. Any facility for which preliminary
				  or working drawings and specifications have been approved by the Office of
				  Statewide Health Planning and Development prior to the effective date of
				  changes to construction regulations shall not be required to comply with such
				  new requirements provided substantial actual construction is commenced within
				  one year of the effective date of the new requirements.
(c) Patients and/or correctional treatment
				  center services shall not occupy buildings or spaces which have been remodeled
				  or newly constructed without the written approval of the Department.
(d) The correctional treatment center shall
				  maintain in operating condition all buildings, fixed equipment, utilities and
				  spaces in the numbers and types as specified in the construction requirements
				  under which the facility or unit was first licensed, unless the correctional
				  treatment center has made alterations in compliance with subsequent
				  requirements.
1. New
					 article 6 and section filed 6-10-94; operative 1-1-96 pursuant to Health and
					 Safety Code section
					 1250
					 (Register 94, No. 23).
Note: Authority cited: Sections
						208(a)
						and
						1267.10(a),
						Health and Safety Code. Reference: Sections
						1275
						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 12 - Correctional Treatment Centers › Article 6 - Physical Plant and Safety › Section 79821 - Space Conversion and Remodeling

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Spaces approved for specific uses at the
				  time of licensure shall not be converted to other uses or remodeled without the
				  written approval of the Department, and shall also be in compliance with the
				  requirements of the California Building Standards Code and the State Fire
				  Marshal.
(b) Where remodeling,
				  space conversion or new construction involves displacement or disruption of
				  services which result in relocating a patient, the facility shall develop an
				  implementation plan. Such plans shall be submitted to and be approved by the
				  Department.
1. New
					 section filed 6-10-94; operative 1-1-96 pursuant to Health and Safety Code
					 section
					 1250
					 (Register 94, No. 23).
Note: Authority cited: Sections
						208(a)
						and
						1267.10(a),
						Health and Safety Code. Reference: Sections
						1276
						and
						15007,
						Health and Safety Code.