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 3 - Required Services › Section 79635 - Nursing Service-Administration of Medications and Treatments

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Medications and
				  treatments shall be administered as follows:
(1) No medication or treatment shall be
				  administered except on the order of a person lawfully authorized to give such
				  an order.
(2) Medications and
				  treatments shall be administered as prescribed.
(3) Tests and measurement of vital signs,
				  upon which administration of medications or treatments are conditioned, shall
				  be performed as required and the results recorded.
(4) Preparation of doses for more than one
				  scheduled administration time shall not be permitted.
(5) All medications and treatments shall be
				  administered only by licensed medical or licensed nursing personnel with the
				  following exceptions:
(6)
				  Unlicensed employees may, under the direct supervision of licensed nursing or
				  licensed medical personnel, during training or after completion of training and
				  demonstrated evidence of competence, administer the following:
(A) Medical shampoos and baths.
(B) Laxative suppositories and laxative
				  enemas.
(C) Nonlegend topical
				  ointments, creams, lotions, and solutions.
(7) Medications shall be administered as soon
				  as possible, but no more than two hours after doses are prepared, and shall be
				  administered by the same person who prepares the doses for administration.
				  Doses shall be administered within one hour of the prescribed time unless
				  otherwise indicated by the prescriber.
(8) Patients shall be identified by wristband
				  or other established means of identification prior to administration of a drug
				  or treatment.
(9) Drugs may be
				  administered in the absence of a specific duration of therapy on a licensed
				  prescriber's new drug order if the facility implements its stop order policy
				  for such drugs. The prescriber shall be contacted prior to discontinuing
				  therapy as established by stop order policy.
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 3 - Required Services › Section 79637 - Nursing Service-Patient Care

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) No patient shall be admitted or accepted
				  for care by a correctional treatment center except on the order of a licensed
				  healthcare practitioner acting within the scope of his or her professional
				  licensure.
(b) Each patient shall
				  be treated as an individual with dignity and respect, and shall not be
				  subjected to verbal or physical abuse of any kind from employees or independent
				  contractors of the licensee.
(c)
				  Each patient, upon admission, shall be given orientation to the unit, emergency
				  call system, patients' rights and rules of behavior.
(d) Each patient shall be provided care which
				  shows evidence of good personal hygiene, except where staff safety may be
				  compromised, including care of the skin, shampooing and grooming of hair, oral
				  hygiene, shaving or beard trimming (except where contraindicated due to
				  criminal identification purposes), cleaning and cutting of fingernails and
				  toenails. The patient shall be kept free of offensive odors.
(e) Patients, when indicated, shall be given
				  care to prevent formation and progression of decubiti, contractures, and
				  deformities. Such care shall include:
(1)
				  Changing position of bedfast and chairfast patients with preventive skin care
				  in accordance with the needs of the patient.
(2) Encouraging, assisting and training in
				  self-care and activities of daily living.
(3) Maintaining proper body alignment and
				  joint movement to prevent contractures and deformities.
(4) Using pressure-reducing devices where
				  indicated.
(5) Providing care to
				  maintain clean, dry skin free from feces and urine.
(6) Changing of linens and other items in
				  contact with the patient, as necessary, to maintain a clean, dry skin free from
				  feces and urine.
(7) Carrying out
				  of physician's orders for treatment of decubitus ulcers. The facility shall
				  notify the physician when a decubitus ulcer first occurs, as well as when
				  treatment is not effective, and shall document such
				  notification.
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 3 - Required Services › Section 79639 - Nursing Service-Patients with Infectious Diseases

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Patients with infectious diseases shall
				  not be admitted to, or cared for, in the facility unless the following
				  requirements are met:
(1) A patient suspected
				  of, or diagnosed as having an airborne infectious or reportable communicable
				  disease, or being in a carrier state, who the attending medical staff
				  determines is a potential danger, shall be accommodated in a room, vented to
				  the outside if airborne, and provided with a separate toilet, hand washing
				  facility, soap dispenser and individual towels.
(2) There shall be:
(A) Separate provisions for handling
				  contaminated linens.
(B) Separate
				  provisions for handling contaminated dishes.
(C) Separate provisions for handling any
				  object, article, substance or material capable of transmission of a
				  communicable disease.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 12 - Correctional Treatment Centers › Article 3 - Required Services › Section 79641 - Nursing Service-Cleaning, Disinfecting, and Sterilizing

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Each
				  correctional treatment center shall adopt a written manual on cleaning,
				  disinfecting and sterilizing procedures. The manual shall include procedures to
				  be used in the care of utensils, instruments, solutions, dressings, articles
				  and surfaces and shall be available for use by facility personnel. All
				  procedures shall be carried out in accordance with the manual.
(b) Each facility shall make provisions for
				  the cleaning and disinfecting 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 waster for a
				  minimum of 30 minutes.
(2)
				  Autoclaving at 15 pounds pressure and 121°C (250°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 12 - Correctional Treatment Centers › Article 3 - Required Services › Section 79643 - Nursing Service-Space

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) An office or other suitable space shall
				  be provided for the director of nursing service.
(b) A nursing station shall be maintained in
				  each nursing unit.
(c) Each nursing
				  station shall have a cabinet, a desk, space for records, a bulletin board, a
				  telephone and a specifically designated and well illuminated medication storage
				  compartment with a lockable door. If a separate medication room is maintained,
				  it shall have a lockable door and a sink with water connections for care of
				  equipment and for hand washing.
(d)
				  If a refrigerator is provided in a nursing station, the refrigerator shall meet
				  the following standards:
(1) Be located in a
				  clean area not subject to contamination by human waste.
(2) Maintain temperatures at or below 7°C
				  (45°F) for chilling.
(3)
				  Maintain the freezer at minus 18°C (0°F).
(4) Contain an accurate thermometer at all
				  times.
(5) If foods are retained in
				  the refrigerator, they shall be covered and clearly identified as to contents
				  and date initially covered. Drugs shall be kept in a separate, closed container
				  in a separate area of the refrigerator.
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 3 - Required Services › Section 79645 - Pharmaceutical Service

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Pharmaceutical service means the procuring, manufacturing,
					 compounding, dispensing, distributing, and storing, of drugs, biologicals, and
					 chemicals by appropriate staff and having space, equipment, and supplies to
					 perform that service. Pharmaceutical services also include the provision of
					 drug information to other health professionals and to
					 inmate-patients.
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(l),
						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 3 - Required Services › Section 79647 - Pharmaceutical Service-General Requirements

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Arrangements shall be made with
				  pharmacists licensed by the California State Board of Pharmacy to assure that
				  pharmaceutical services are available to provide patients with prescribed drugs
				  and biologicals.
(b) Dispensing,
				  labeling, storage, and disposal of drugs and biologicals shall be in
				  conformance with state and federal laws.
(c) If a pharmacy is located on the
				  correctional treatment center premises, the pharmacy shall have a limited
				  permit or license issued by the California State Board of Pharmacy. Pharmacies
				  located on the licensed premises of the facility shall be opened for inspection
				  upon the request of an authorized Department representative.
(d) The facility shall not accept money,
				  goods, or services free, or below cost from any pharmacist or pharmacy as
				  compensation or inducement for referral of business to any pharmacy.
(e) Written policies and procedures shall be
				  developed for establishment of safe and effective systems for procurement,
				  storage, distribution, dispensing, and use of drugs and chemicals. The
				  pharmacist in consultation with other appropriate health professionals and
				  administration shall be responsible for the development and implementation of
				  procedures. Policies shall be approved by the governing body. Procedures shall
				  be approved by the administration and medical staff.
(f) There shall be a system maintained
				  whereby no person other than a pharmacist or a legally qualified individual
				  under the immediate supervision of a pharmacist shall dispense
				  medications.
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 3 - Required Services › Section 79649 - Pharmaceutical Services-Other Requirements

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Pharmaceutical service shall include, but
				  not be limited to, the following:
(1)
				  Obtaining necessary drugs including the availability of 24-hour prescription
				  service on a prompt and timely basis as follows:
(A) Drugs ordered "STAT" that are not
				  available in the facility emergency drug supply shall be available and
				  administered within one hour of the time ordered during normal pharmacy hours.
				  For those hours during which the pharmacy is closed, drugs ordered "STAT" shall
				  be available and administered within two hours of the time ordered. Drugs
				  ordered "STAT" which are available in the emergency drug supply shall be
				  administered immediately.
(B)
				  Institutional formulary anti-infectives and institutional formulary drugs used
				  to treat severe pain, nausea, agitation, diarrhea or other severe discomfort
				  shall be available and administered within one hour of the time ordered, unless
				  ordered "STAT".
(C) Refills of
				  prescription drugs shall be available within 24 hours.
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 3 - Required Services › Section 79651 - Pharmaceutical Service-Labeling and Storage of Drugs

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Containers which are cracked, soiled or
				  without secure closures shall not be used. Drug labels shall be legible. No
				  medication shall be dispensed by prescription except in a new
				  container.
(b) All drugs obtained
				  by prescription shall be labeled in compliance with state and federal laws
				  governing prescription dispensing.
(c) Nonlegend drugs shall be labeled in
				  conformance with state and federal food and drug laws.
(d) Test reagents, germicides, disinfectants
				  and other household substances shall be stored separately from drugs and shall
				  not be accessible to patients.
(e)
				  External use drugs in liquid, tablet, capsule or powder form shall be stored
				  separately from drugs for internal use.
(f) Drugs shall be stored at appropriate
				  temperatures. Drugs required to be stored at room temperature shall be stored
				  at a temperature between 15°C (59°F) and 30°C (86°F). Drugs
				  requiring refrigeration shall be stored in a refrigerator between 2°C
				  (36°F) and 8° (46°F). When drugs are stored in the same
				  refrigerator with food, the drugs shall be kept in a closed container clearly
				  labeled "drugs".
(g) Drugs shall be
				  stored in an orderly manner in cabinets, drawers or carts of sufficient size to
				  prevent crowding.
(h) Dose
				  preparation and administration areas shall be well lighted.
(i) Drugs shall be accessible only to
				  licensed health professionals designated in writing by the licensee.
(j) Medication shall not be kept at the
				  patient's bedside, with the exception of prescribed sublingual or inhalation
				  forms of drugs.
(k) Drugs shall not
				  be kept in stock after the expiration date on the label and no contaminated or
				  deteriorated drugs shall be available for use.
(l) The drugs of each inmate-patient shall be
				  kept and stored in their originally received containers. No drugs shall be
				  transferred between containers.
(m)
				  Discontinued drug containers shall be marked, or otherwise identified, to
				  indicate that the drug has been discontinued, or shall be stored in a separate
				  location which shall be identified solely for this purpose. Discontinued drugs
				  shall be disposed of within ninety (90) days of the date the drug order was
				  discontinued, unless the drug is reordered within that 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 3 - Required Services › Section 79653 - Pharmaceutical Service-Stop Orders

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Written policies shall be established and implemented
					 limiting the duration of new drug orders in the absence of a prescriber's
					 specific indication for duration of therapy. The prescriber shall be contacted
					 for new orders prior to the termination time established by the policy. Such
					 policies shall include all categories of drugs.
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 3 - Required Services › Section 79655 - Pharmaceutical Service-Orders for Drugs

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) No drugs shall be administered except
				  upon the order of a person lawfully authorized to prescribe for and treat human
				  illness.
(b) All drug orders shall
				  be written, dated, and signed by the person lawfully authorized to give such an
				  order. The name, quantity or specific duration of therapy, dosage and time or
				  frequency of administration of the drug and route of administration if other
				  than oral shall be specified. "P.R.N." orders shall also include the indication
				  for the use of the drug.
(c) Verbal
				  orders for drugs and treatment shall be received only by licensed nurses,
				  psychiatric technicians, pharmacists, physicians and physician's assistants
				  from their supervising physicians and others consistent with their practice
				  acts. Such orders shall be recorded immediately in the patient's health record
				  by the person receiving the order, and shall include the date and time of the
				  order and the signature of the person receiving the order. The order shall be
				  signed by the prescriber within forty-eight (48) hours, excluding weekends and
				  holidays.
(d) The signing of orders
				  shall be by signature or a personal computer key. Signature stamps shall not be
				  used.
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 3 - Required Services › Section 79657 - Pharmaceutical Service-Drug Order Processing

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Signed orders for drugs shall be transmitted to the issuing
					 pharmacy within twenty-four (24) hours, either by written prescription of the
					 prescriber, or by an order form which produces a direct copy of the
					 order.
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 3 - Required Services › Section 79659 - Pharmaceutical Service-Drug Order Records

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Correctional treatment centers shall
				  maintain a record which includes, for each drug ordered by prescription, the
				  name of the inmate-patient, the drug name, and strength, the date ordered, the
				  date and amount received and the name of the issuing pharmacy.
(b) The record shall be maintained in the
				  correctional treatment center, or in the pharmacy with which the correctional
				  treatment center contracts for pharmaceutical services, for at least three
				  years following the date of the last entry to the record so that the record may
				  be accessible to the correctional treatment center.
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),
						1250.1(l)
						and
						1267.10(l),
						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 3 - Required Services › Section 79661 - Pharmaceutical Service-Personal Medications

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Medications brought by or with the
				  patient on admission to the correctional treatment center shall not be used
				  unless the contents of the containers have been examined and positively
				  identified after admission by the inmate-patient's physician or a pharmacist
				  retained by the licensed correctional treatment center.
(b) The licensed correctional treatment
				  center may use drugs from other licensed health care facilities or those drugs
				  dispensed or obtained after admission from any licensed or governmental
				  pharmacy and may accept the delivery of those drugs if identified and approved
				  by a physician or pharmacist.
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(l),
						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 3 - Required Services › Section 79663 - Pharmaceutical Service-Controlled Drugs

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Drugs listed in Schedules II, III, IV and
				  V of the Federal Comprehensive Drug Abuse Prevention and Control Act of 1970,
				  Title 21, United States Code, Section
				  801 et seq., shall not be
				  accessible to other than licensed nursing, pharmacy and medical personnel
				  designated by the licensee. Drugs listed in Schedule II of the above Act shall
				  be stored in a locked cabinet or a locked drawer, separate from noncontrolled
				  drugs, unless they are supplied on a scheduled basis as part of a unit dose
				  medication system.
(b) Separate
				  records of use shall be maintained on all Schedule II drugs. Such records shall
				  be maintained accurately and shall include the name of the patient, the
				  prescription number, the drug name, strength and dose administered, the date
				  and time of administration and the signature of the person administering the
				  drug. Such records shall be reconciled at least daily and shall be retained for
				  at least one year. If such drugs are supplied on a scheduled basis as part of a
				  unit dose medication system, such records need not be maintained
				  separately.
(c) Drug records shall
				  be maintained for drugs listed in Schedules III and IV of the above Act in such
				  a way that the receipt and disposition of each dose of any such drug may be
				  readily traced. Such records need not be separate from other medication
				  records.
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(l),
						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 3 - Required Services › Section 79665 - Pharmaceutical Service-Disposition of Drugs

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Drugs which have been dispensed for
				  individual inmate-patient use and are labeled in conformance with state and
				  federal law may be furnished to inmate-patients on discharge on the order of a
				  physician.
(b) A record of the
				  drugs sent with the inmate-patient shall be made in the inmate-patient's health
				  record.
(c) An inmate-patient's
				  drugs which remain in the facility after discharge of the inmate-patient shall
				  be destroyed by the facility in the following manner:
(1) Drugs listed in Schedules II, III, IV and
				  V of the Federal Comprehensive Drug Abuse Prevention and Control Act of 1970,
				  Title 21, United States Code, Section
				  801 et seq., shall be destroyed by
				  the facility in the presence of a pharmacist and a registered nurse or two
				  pharmacists employed by the facility. The name of the patient, the name and
				  strength of the drug, the prescription number, the amount destroyed, the date
				  of destruction and the signature of the witness required above shall be
				  recorded in the patient's health record in a separate log. Such log shall be
				  retained for at least three years.
(2) Drugs not listed under schedules II, III,
				  IV or V of the above Act shall be destroyed by the facility in the presence of
				  a pharmacist or licensed nursing personnel. The name of the patient, the name
				  and strength of the drug, and prescription number (if applicable), the amount
				  destroyed, the date of destruction, the signature of the pharmacist or nurse
				  witnessing the destruction, and one other witness shall be recorded in the
				  patient's health record or in a separate log. Such log shall be retained for at
				  least three years.
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 3 - Required Services › Section 79667 - Pharmaceutical Service-Unit Dose Medication System

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
In correctional treatment centers employing a unit dose
					 medication system, there shall be at least a twenty-four (24)-hour supply of
					 all inmate-patient medications on hand at all times, except those drugs which
					 are to be discontinued within the twenty-four (24)-hour period. Drugs that are
					 a part of a unit dose medication system shall not exceed a forty-eight
					 (48)-hour supply excepting weekends and holidays.
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 3 - Required Services › Section 79669 - Pharmaceutical Service Staff

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
A pharmacist shall have overall responsibility for the
					 pharmaceutical service. He or she shall be responsible for the procurement,
					 storage, distribution and disposal of all drugs as well as the development,
					 coordination, supervision and review of pharmaceutical services in the
					 correctional treatment center. Correctional treatment centers with a limited
					 pharmacy permit shall employ a pharmacist on at least a consulting basis.
					 Responsibilities shall be set forth in a job description or agreement between
					 the pharmacist and the correctional treatment center. The pharmacist shall be
					 responsible to the administrator and shall furnish him or her written reports
					 and recommendations regarding the pharmaceutical services within the
					 correctional treatment center. Such reports shall be provided no less often
					 than quarterly.
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 3 - Required Services › Section 79671 - Pharmaceutical Service-Equipment and Supplies

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) There shall be equipment and supplies
				  necessary for the provision of pharmaceutical services within the correctional
				  treatment center, including at least the following:
(1) Refrigerator with an accurate
				  thermometer.
(2) Lockable drug
				  cabinets, drawers, closets or rooms.
(3) Drug service trays and/or
				  carts.
(4) Drug preparation counter
				  area and convenient water source.
(5) Reference materials containing drug
				  monographs on all drugs in use in the facility. Such monographs shall include
				  information concerning generic and brand names, if applicable, available
				  strengths, and dosage forms and pharmacological data including indications and
				  side effects.
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 3 - Required Services › Section 79673 - Dental Service

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Dental service means the provision of emergency dental care
					 and may include diagnostic, preventive, or corrective procedures performed by
					 dentists with appropriate staff, space, equipment, and
					 supplies.
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 3 - Required Services › Section 79675 - Dental Service-General Requirements

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Written policies and procedures for the
				  scope of services to be provided shall be developed and maintained by the
				  person responsible for the service. Procedures shall be approved by the
				  administration.
(b) The
				  responsibility and the accountability of the dental service to the
				  administration shall be defined.
(c) There shall be a well-defined plan for
				  oral health care, based on patient need, the size of the treatment center and
				  the type of service provided.
(d)
				  There shall be a well-organized plan for emergency dental care.
(e) There shall be a record of all dental
				  services provided to the inmate-patient and this shall be made a part of the
				  inmate-patient's medical record.
(f) Periodically, an appropriate committee of
				  staff members shall evaluate the services provided and make appropriate
				  recommendations to the treatment center administration.
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 3 - Required Services › Section 79677 - Dental Service Staff

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) A
				  dentist shall have overall responsibility for the dental service.
(b) The dental service shall be staffed by a
				  sufficient number of dentists along with auxiliary dental personnel to render
				  proper dental care.
(c) When dental
				  hygienists or dental laboratory technicians are employed, they shall work under
				  the supervision of the dentist who is responsible for the dental
				  service.
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 3 - Required Services › Section 79679 - Dental Service Equipment and Supplies

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) There shall be equipment, instruments and
				  supplies maintained to meet the needs of the services offered.
(b) There shall be equipment for
				  sterilization of instruments and supplies.
(c) All equipment installed shall comply with
				  standards of infection control as defined by the infection control committee,
				  whose duties and responsibilities are delineated in Section
				  79781(d)(2) of
				  this Chapter.
(d) The following
				  materials shall be available for immediate use whenever dental treatment is
				  provided:
(1) Oxygen.
(2) Appropriate drugs.
(3) Resuscitation
				  equipment.
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 3 - Required Services › Section 79681 - Dental Service Space

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
				  There shall be adequate space maintained for the dental service.
(b) There shall be facilities for dental
				  radiography.
(c) There shall be
				  space provided for the sterilization and storage of instruments and lockable
				  storage for bulk supplies.
(d)
				  There shall be a secure storage area for patient records.
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 3 - Required Services › Section 79683 - Dietary Service

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Dietary service means the provision of nutritionally
					 adequate food for inmate-patients with appropriate staff, space, equipment and
					 supplies.
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 3 - Required Services › Section 79685 - Dietary Service General Requirements

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The food and nutrition needs of patients
				  in the correctional treatment center shall be met in accordance with "Dietary
				  Reference Intakes: The Essential Guide to Nutrient Requirements" (2006), by the
				  National Research Council of the National Academy of Sciences, Institute of
				  Medicine, and "California Food Guide: Fulfilling the Dietary Guidelines for
				  Americans" (2008) by the California Department of Health Care Services and
				  California Department of Public Health, hereby incorporated by reference. Daily
				  menus shall follow these recommendations.
(b) Substitutions shall be within the same
				  food group.
(c) Not less than 3
				  meals shall be served daily, and with not more than a 14-hour span between the
				  third meal and the first meal of the following day.
(d) Nourishment or between meal snacks shall
				  be provided as required by a person lawfully authorized to give a dietary
				  order.
(e) Food shall be prepared
				  by methods that conserve nutritive value, flavor, and appearance. Food shall be
				  served at appropriate temperatures and in a form to meet individual
				  needs.
(f) When food is provided by
				  an outside source, the correctional treatment center shall ensure that all
				  federal, state and local requirements are met.
(g) All regular and therapeutic diets shall
				  be prescribed by a person lawfully authorized to give such an order and shall
				  be planned, prepared and served under the supervision or consultation of a
				  dietitian.
(h) A written plan shall
				  be followed for uniform handling of inmate-patients with diabetes, pregnant
				  women, and others whose condition requires a medically prescribed diet as part
				  of therapeutic treatment.
(i) A
				  current therapeutic diet manual, approved by the dietitian, shall be readily
				  available to all medical, nursing and dietetic personnel. The manual shall be
				  reviewed annually and revised at least every five years.
1. New
					 section filed 6-10-94; operative 1-1-96 pursuant to Health and Safety Code
					 section
					 1250
					 (Register 94, No. 23).
2. Amendment of subsection (a) 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: 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 3 - Required Services › Section 79687 - Dietary Service Policies and Procedures

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
A dietary services policy and procedure manual shall be
					 developed and available to all personnel. The manual shall be developed with
					 the assistance of a dietitian and other appropriate staff. The manual shall
					 address at least the following:
(a)
				  Organization of the dietary service.
(b) Personnel management.
(c) Staff development.
(d) Menu planning.
(e) Food storage.
(f) Food preparation and services.
(g) Maintenance, sanitation and
				  hygiene.
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 3 - Required Services › Section 79689 - Dietary Service Therapeutic Diets

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Therapeutic diets shall be provided as
				  ordered by the attending licensed healthcare practitioner acting within the
				  scope of his or her professional licensure and shall be planned by a registered
				  dietitian. Therapeutic diets shall be prepared and served with supervision or
				  consultation from a registered dietitian.
(b) Dietary service staff who prepare and
				  serve therapeutic diets shall have received in-service training on the dietary
				  standards and food groups and therapeutic diets and shall have sufficient
				  knowledge of food values to make appropriate substitutions.
1. New
					 section filed 6-10-94; operative 1-1-96 pursuant to Health and Safety Code
					 section
					 1250
					 (Register 94, No. 23).
2. Amendment of subsection (a) and NOTE filed
					 3-3-2010; operative 4-2-2010 (Register 2010, No.
					 10).
Note: Authority cited: Sections
						1267.10(a),
						100275
						and
						131200,
						Health and Safety Code. Reference: Sections
						1250(j),
						1254,
						1316.5,
						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 3 - Required Services › Section 79691 - Dietary Service Menus

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
				  Menus for regular and therapeutic diets shall be planned by a registered
				  dietitian and written at least one week in advance, dated and posted in the
				  kitchen at least three days in advance.
(b) If any meal served varies from the
				  planned menu, the change shall be noted in writing on the posted menu in the
				  kitchen.
(c) Menus shall provide a
				  variety of foods and indicate standard portions at each meal. If a cycle menu
				  is used, the cycle shall be of no less than three weeks duration and shall be
				  revised quarterly.
(d) A copy of
				  the menu as planned and as served shall be kept on file for at least thirty
				  (30) days.
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 3 - Required Services › Section 79693 - Dietary Service Food Storage

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
				  Food storage areas shall be kept clean at all times.
(b) All foods not requiring refrigeration
				  shall be stored at least twelve inches above the floor, on shelves, racks,
				  dollies, or other surfaces which facilitate thorough cleaning, in a ventilated
				  room not subject to contamination by waste water backflow, condensation,
				  leakage, rodents or vermin.
(c)
				  Readily perishable foods or beverages shall be maintained at temperatures of
				  7°C (45°F) or below, or at 60°C (140°F) or above, at all times,
				  except during necessary periods of preparation or service. Frozen foods shall
				  be stored at -18°C (0°F) or below.
(d) Soaps, detergents, cleaning compounds,
				  pesticides and other toxic substances shall be stored separately.
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 3 - Required Services › Section 79695 - Dietary Service Sanitation

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
				  All kitchen areas shall be kept clean, free from litter and rubbish, and
				  protected from rodents, roaches, flies and other insects.
(b) All utensils, counters, shelves and
				  equipment shall be kept clean and maintained in good repair.
(c) 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. Bacteriological testing shall be performed when indicated by
				  specific problems, epidemiological findings, or recommendations by the
				  infection control committee of the licensed correctional treatment
				  center.
(d) Kitchen wastes not
				  disposed of by mechanical means shall be kept in leak-proof, nonabsorbent,
				  tightly closed containers and disposed of as frequently as necessary to prevent
				  a nuisance or contamination of food preparation areas.
(e) Soiled containers shall be cleaned inside
				  and outside in a way that will not contaminate food, equipment, utensils or
				  food preparation areas.
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.