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 1 - General Acute Care Hospitals › Article 7 - Administration › Section 70739 - Infection Control Program

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) A written hospital infection control
				  program for the surveillance, prevention and control of infections shall be
				  adopted and implemented. The program shall include policies and procedures
				  that:
(1) Define and require methods to handle
				  all patients, all blood and body fluids and all materials that are soiled with
				  blood and/or body fluids from all patients. The methods prescribed shall be
				  designed to reduce the risk of transmission of potentially infectious etiologic
				  agents from patient to patient and between patient and healthcare worker. The
				  methods shall include handwashing, the use of gloves, the use of other
				  barriers, the handling of needles/sharps and the disposal of materials that are
				  soiled with or contain blood and/or body fluids.
(2) Define practices to reduce the risk of
				  transmission of airborne infectious etiologic agents including tuberculosis and
				  addressing the assignment of rooms and/or roommates.
(3) Provide for and document the education of
				  all personnel.
(A) Each new employee shall
				  receive training appropriate to his/her job classification and work activities
				  to acquaint him/her with infection control policies and procedures of the
				  healthcare facility.
(B) Training
				  material shall be kept current and conform to new information pertaining to the
				  prevention and control of infectious diseases. Revised training material shall
				  be presented to all healthcare workers.
(4) Provide a plan for the surveillance and
				  control of nosocomial infections including procedures for the investigation and
				  management of outbreaks.
(5) Define
				  the equipment, instruments, utensils and disposable materials that are to be
				  identified as biohazardous.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 1 - General Acute Care Hospitals › Article 7 - Administration › Section 70741 - Disaster and Mass Casualty Program

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) A written disaster and mass casualty
				  program shall be developed and maintained in consultation with representatives
				  of the medical staff, nursing staff, administration and fire and safety
				  experts. The program shall be in conformity with the "State of California
				  Emergency Plan" (2017) and the "State of California Coroners' Mutual Aid Plan"
				  (2014) by the California Governor's Office of Emergency Services, hereby
				  incorporated by reference. The program shall be approved by the medical staff
				  and administration. A copy of the program shall be available on the premises
				  for review by the Department.
(b)
				  The program shall cover disasters occurring in the community and widespread
				  disasters. It shall provide for at least the following:
(1) Availability of adequate basic utilities
				  and supplies, including gas, water, food and essential medical and supportive
				  materials.
(2) An efficient system
				  of notifying and assigning personnel.
(3) Unified medical command.
(4) Conversion of all usable space into
				  clearly defined areas for efficient triage, for patient observation and for
				  immediate care.
(5) Prompt transfer
				  of casualties, when necessary and after preliminary medical or surgical
				  services have been rendered, to the facility most appropriate for administering
				  definite care.
(6) A special
				  disaster medical record, such as an appropriately designed tag, that
				  accompanies the casualty as he is moved.
(7) Procedures for the prompt discharge or
				  transfer of patients already in the hospital at the time of the disaster who
				  can be moved without jeopardy.
(8)
				  Maintaining security in order to keep relatives and curious persons out of the
				  triage area.
(9) Establishment of a
				  public information center and assignment of public relations liaison duties to
				  a qualified individual. Advance arrangements with communications media will be
				  made to provide organized dissemination of information.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 1 - General Acute Care Hospitals › Article 7 - Administration › Section 70743 - 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 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 include at
				  least 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) Specification 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 1 - General Acute Care Hospitals › Article 7 - Administration › Section 70745 - Fire Safety

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
All hospitals shall be maintained in conformity with the
					 regulations adopted by the State Fire Marshal for the prevention of fire and
					 for the protection of life and property against fire and panic. All hospitals
					 shall secure and maintain a clearance relative to fire safety from the State
					 Fire Marshal.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 1 - General Acute Care Hospitals › Article 7 - Administration › Section 70746 - Disruption of Services

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
				  Each hospital shall develop a written plan to be used when a discontinuance or
				  disruption of services occurs.
(b)
				  The administrator shall be responsible for informing the Department, via
				  telephone, immediately upon being notified of the intent of the discontinuance
				  or disruption of services or upon the threat of a walkout of a substantial
				  number of employees, or earthquake, fire, power outage or other calamity that
				  causes damage to the facility or threatens the safety or welfare of patients or
				  clients.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 1 - General Acute Care Hospitals › Article 7 - Administration › Section 70747 - Medical Records Service

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The
				  hospital shall maintain a medical record service which shall be conveniently
				  located and adequate in size and equipment to facilitate the accurate
				  processing, checking, indexing and filing of all medical records.
(b) The medical records service shall be
				  under the supervision of a registered health information administrator or
				  registered health information technician. The registered health information
				  administrator or registered health information technician shall be assisted by
				  such qualified personnel as are necessary for the conduct of the
				  service.
1. Change
					 without regulatory effect amending subsection (b) and adding new 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
						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 1 - General Acute Care Hospitals › Article 7 - Administration › Section 70749 - Patient Health Record Content

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Each inpatient medical record shall
				  consist of at least the following items:
(1)
				  Identification sheets which include but are not limited to the following:
(A) Name.
(B) Address on admission.
(C) Identification number (if applicable).
1. Social Security.
2. Medicare.
3. Medi-Cal.
(D) Age.
(E) Sex.
(F) Martial status.
(G) Religion.
(H) Date of admission.
(I) Date of discharge.
(J) Name, address and telephone number of
				  person or agency responsible for patient.
(K) Name of patient's admitting licensed
				  health care practitioner acting within the scope of his or her professional
				  licensure.
(L) Initial diagnostic
				  impression.
(M) 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 1 - General Acute Care Hospitals › Article 7 - Administration › Section 70751 - Medical Record Availability

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
				  Records shall be kept on all patients admitted or accepted for treatment. All
				  required patient health records, either as originals or accurate reproductions
				  of the contents of such originals, shall be maintained in such form as to be
				  legible and readily available upon the request of:
(1) The admitting licensed healthcare
				  practitioner acting within the scope of his or her professional
				  licensure.
(2) The nonphysician
				  granted privileges pursuant to Section
				  70706.1.
(3) The hospital or its medical staff or any
				  authorized officer, agent or employee of either.
(4) Authorized representatives of the
				  Department.
(5) Any other person
				  authorized by law to make such a request.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 1 - General Acute Care Hospitals › Article 7 - Administration › Section 70753 - Transfer Summary

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
A transfer summary shall accompany the patient upon
					 transfer to a skilled nursing or intermediate care facility or to the distinct
					 part skilled nursing or intermediate care service unit of the hospital. The
					 transfer summary shall include essential information relative to the patient's
					 diagnosis, hospital course, medications, treatments, dietary requirement,
					 rehabilitation potential, known allergies and treatment plan and shall be
					 signed by the licensed healthcare practitioner acting within the scope of his
					 or her professional licensure.
1. Amendment
					 of section and new NOTE filed 3-3-2010; operative 4-2-2010 (Register 2010, No.
					 10).
Note: Authority cited: Sections
						1275,
						100275
						and
						131200,
						Health and Safety Code. Reference: Sections
						1276,
						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 1 - General Acute Care Hospitals › Article 7 - Administration › Section 70754 - Special Hospital Transfer Agreement

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
A special hospital shall have an effective written
					 agreement with a general acute care hospital in the same geographic area for
					 the provision of surgical and anesthesia services and any other service which
					 may be required and which the special hospital does not
					 provide.
1. New
					 section filed 7-28-78; effective thirtieth day thereafter (Register 78, No.
					 30).
Note: Authority cited: Section
						208
						and
						1250,
						Health and Safety Code. Reference: ACR 67, Chapter 83, Statutes of
						1977.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 1 - General Acute Care Hospitals › Article 7 - Administration › Section 70755 - Patients' Monies and Valuables

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) No licensee shall use patients' monies or
				  valuables as his own or mingle them with his own. Patients' monies and
				  valuables shall be separate, intact and free from any liability the licensee
				  incurs in the use of his own or the institutions' funds and
				  valuables.
(b) Each licensee shall
				  maintain adequate safeguards and accurate records of patients' monies and
				  valuables entrusted to his care.
(1) Records
				  of patients' monies which are maintained as a drawing account shall include a
				  control account for all receipts and expenditures, an account for each patient
				  and supporting vouchers filed in chronological order. Each account shall be
				  kept current with columns for debits, credits and balance.
(2) Records of patients' monies and other
				  valuables entrusted to the licensee for safekeeping shall include a copy of the
				  receipt furnished to the patient or to the person responsible for the
				  patient.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 1 - General Acute Care Hospitals › Article 7 - Administration › Section 70757 - First Aid and Referrals

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
				  If a hospital does not maintain an emergency medical service, its employees
				  shall exercise reasonable care to determine whether an emergency exists, render
				  necessary lifesaving first aid and shall direct the persons seeking emergency
				  care to the nearest hospital which can render the needed services and shall
				  assist the persons seeking emergency care in obtaining such services, including
				  transportation services, in every way reasonable under the
				  circumstances.
(b) Hospitals not
				  providing emergency medical service shall not advertise or make any other
				  representation to the public that may convey or connote the availability of
				  such service. The posting of signs to designate entrances for use by
				  outpatients and ambulances such as ambulance entrance, referred patients,
				  outpatient service or other words of similar connotation is not prohibited.
				  Such hospitals may represent to the public in any form or manner and only in
				  its entirety, the phrase first aid and referral service.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 1 - General Acute Care Hospitals › Article 7 - Administration › Section 70759 - Exercise Stress Testing

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Where exercise stress testing is performed, there shall be
					 appropriate monitoring and resuscitative equipment and persons trained in
					 cardiopulmonary resuscitative techniques physically present.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 1 - General Acute Care Hospitals › Article 7 - Administration › Section 70761 - Medical Library

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
				  Each hospital shall maintain a medical library consistent with the needs of the
				  hospital.
(b) The medical library
				  shall be located in a convenient location, and its contents shall be organized,
				  easily accessible and available through authorized personnel at all
				  times.
(c) The library shall
				  contain modern textbooks in basic sciences and other current textbooks,
				  journals and magazines pertinent to the clinical services maintained in the
				  hospital.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 1 - General Acute Care Hospitals › Article 7 - Administration › Section 70763 - Medical Photography

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
The hospital shall have a policy regarding the obtaining of
					 consent for medical photography.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 1 - General Acute Care Hospitals › Article 7 - Administration › Section 70765 - Conference Room

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Suitable space for conferences shall be provided in the
					 hospital.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 1 - General Acute Care Hospitals › Article 8 - Physical Plant › Section 70801 - 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 hospitals or new constructions shall be in conformance with Chapter
				  1, Division T17, Part 6, Title 24, California Administrative Code.
(b) Hospitals licensed and in operation prior
				  to the effective date of changes in these regulations shall not be required to
				  institute corrective alterations or construction to comply with such changes
				  except where specifically required or where the Department determines that a
				  definite hazard to health and safety exists. Any hospital for which preliminary
				  or working drawings and specifications have been approved by the Department
				  prior to the effective date of changes to these regulations shall not be
				  required to comply with such changes provided substantial, actual construction
				  is commenced within one year after the effective date of such
				  changes.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 1 - General Acute Care Hospitals › Article 8 - Physical Plant › Section 70803 - Application for Architectural Plan Review

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Drawings and specifications for
				  alterations to existing buildings or new construction shall be submitted to the
				  Department for approval and shall be accompanied by an application for plan
				  review on forms furnished by the Department. The application shall:
(1) Identify and describe the work to be
				  covered by the plan review for which the application is made.
(2) Describe the land on which the proposed
				  work is to be done, by lot, block, tract or house and street address or similar
				  description that will readily identify and definitely locate the proposed
				  building or work.
(3) Show the
				  present and proposed use or occupancy of all parts of the building or
				  buildings.
(4) State the number of
				  square meters (feet) of floor area involved in new construction and in
				  alterations.
(5) Give such other
				  information as may be required by the Department for unusual design
				  circumstances.
(6) Be signed by the
				  person designing the work or the owner of the work.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 1 - General Acute Care Hospitals › Article 8 - Physical Plant › Section 70805 - Space Conversion

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Spaces approved for specific uses at the time of licensure
					 shall not be converted to other uses without the written approval of the
					 Department.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 1 - General Acute Care Hospitals › Article 8 - Physical Plant › Section 70807 - Notice to Department

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
The licensee shall notify the Department in writing not
					 later than ten days after the date when construction of a new hospital is
					 commenced or when construction involving an increase in bed capacity or change
					 of services of an existing hospital is commenced.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 1 - General Acute Care Hospitals › Article 8 - Physical Plant › Section 70809 - Patient Accommodations

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) No hospital shall have more patients or
				  beds set up for overnight use by patients than the approved licensed bed
				  capacity except in the case of justified emergency when temporary permission
				  may be granted by the Director or his designee. Beds not used for overnight
				  stay such as labor room beds, recovery beds, beds used for admission screening
				  or beds used for diagnostic purposes in X-ray or laboratory departments are not
				  included in the approved licensed bed capacity.
(b) Five percent of a facility's total
				  licensed bed capacity may be used for a classification other than that
				  designated on the license. Upon application to the Director and a showing that
				  seasonal fluctuations justify, the Director may grant the use of an additional
				  five percent of the beds for other than the classified use.
(c) Patients shall not be housed in areas
				  which have not been approved by the Department for patient housing and which
				  have not been granted a fire clearance by the State Fire Marshal, except as
				  provided in paragraph (a) above.
(d) The number of licensed beds shown on a
				  license shall not exceed the number of beds for which the facility meets
				  applicable construction and operational requirements.
1. Amendment
					 filed 11-12-76 as an emergency; effective upon filing (Register 76, No.
					 46).
2. Certificate of Compliance filed 3-8-77 (Register 77, No.
					 11).
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 1 - General Acute Care Hospitals › Article 8 - Physical Plant › Section 70811 - Patient Rooms

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
				  Patients shall be accommodated only in rooms with the following minimum floor
				  area:
(1) Single rooms: 10.2 square meters
				  (110 square feet) of floor area, except for private rooms in pediatric units
				  which shall have at least 9.3 square meters (100 square feet).
(2) Multi-patient rooms: 7.4 square meters
				  (80 square feet) of floor area per bed with one meter (three feet) between
				  beds, except in specialized units.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 1 - General Acute Care Hospitals › Article 8 - Physical Plant › Section 70813 - Patient Property Storage

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Patients shall be provided with closet or locker space for
					 clothing, toilet articles and other personal belongings. Bedside tables or the
					 equivalent shall be provided for each patient.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 1 - General Acute Care Hospitals › Article 8 - Physical Plant › Section 70815 - Patient Room Furnishings

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
A bed with a suitable mattress and a chair shall be
					 provided for each patient. In hospitals all beds, except cribs and bassinets,
					 shall be adjustable.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 1 - General Acute Care Hospitals › Article 8 - Physical Plant › Section 70817 - Provisions for Emptying Bedpans

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Bedpans shall be emptied and cleaned in utility rooms or in
					 toilets adjoining patients' rooms when such toilets are equipped with flushing
					 attachments and vacuum breakers.
1. Amendment
					 filed 6-15-89 as an emergency; operative 6-15-89 (Register 89, No. 25). A
					 Certificate of Compliance must be transmitted to OAL within 120 days or
					 emergency language will be repealed on 10-13-89.
2. Certificate of
					 Compliance as to 6-15-89 order transmitted to OAL on 10-13-89 and disapproved
					 by OAL on 11-13-89 (Register 89, No. 46).
3. Amendment refiled
					 11-16-89 as an emergency; operative 11-16-89 (Register 89, No. 46). A
					 Certificate of Compliance must be transmitted to OAL within 120 days or the
					 section will be reinstated as it existed prior to the emergency on
					 3-16-90.
4. Certificate of Compliance as to 11-16-89 order
					 transmitted to OAL 3-15-90 and filed 4-16-90 (Register 90, No.
					 17).
Note: Authority cited: Sections
						208(a)
						and
						1275,
						Health and Safety Code. Reference: Section
						1276,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 1 - General Acute Care Hospitals › Article 8 - Physical Plant › Section 70819 - Provision for Privacy

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
A method of assuring visual privacy for each patient shall
					 be maintained in patient rooms and in tub, shower and toilet
					 rooms.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 1 - General Acute Care Hospitals › Article 8 - Physical Plant › Section 70821 - Public Telephone

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Each floor accommodating patients shall have a telephone
					 installed for patient use. Such telephones shall be readily accessible to
					 patients who are limited to wheel chairs and stretchers. This may not be
					 required in separate buildings having six (6) or fewer beds which are
					 restricted to occupancy by ambulatory patients.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 1 - General Acute Care Hospitals › Article 8 - Physical Plant › Section 70823 - Isolation Facilities

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
A private room shall be available for any patient in need
					 of physical separation as defined by the infection control committee. Private
					 toilet facilities shall be immediately adjacent to this room.
1. Amendment
					 filed 6-15-89 as an emergency; operative 6-15-89 (Register 89, No. 25). A
					 Certificate of Compliance must be transmitted to OAL within 120 days or
					 emergency language will be repealed on 10-13-89.
2. Certificate of
					 Compliance as to 6-15-89 order transmitted to OAL on 10-13-89 and disapproved
					 by OAL on 11-13-89 (Register 89, No. 46).
3. Amendment refiled
					 11-16-89 as an emergency; operative 11-16-89 (Register 89, No. 46). A
					 Certificate of Compliance must be transmitted to OAL within 120 days or the
					 section will be reinstated as it existed prior to the emergency on
					 3-16-90.
4. Certificate of Compliance as to 11-16-89 order
					 transmitted to OAL 3-15-90 and filed 4-16-90 (Register 90, No.
					 17).
Note: Authority cited: Sections
						208(a)
						and
						1275,
						Health and Safety Code. Reference: Section
						1276,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 1 - General Acute Care Hospitals › Article 8 - Physical Plant › Section 70825 - Laundry Service

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
				  Laundry and linen.
(1) An adequate supply of
				  clean linen shall be provided for at least three complete bed changes for the
				  hospital's licensed bed capacity.
(2) There shall be written policies and
				  procedures developed and implemented pertaining to the handling, storage,
				  transportation and processing of linens.
(3) If the hospital operates its own laundry,
				  such laundry shall be:
(A) Located in such
				  relationship to other areas that steam, odors, lint and objectionable noises do
				  not reach patient or personnel areas.
(B) Well-lighted and ventilated and adequate
				  in size for the needs of the hospital and for the protection of
				  employees.
(C) Maintained in a
				  sanitary manner and kept in good repair.
(D) Not part of a storage
				  area.
(4) Hospital linens
				  shall be washed according to the following method: All linens shall be washed
				  using an effective soap or detergent and thoroughly rinsed to remove soap or
				  detergent and soil. Linens shall be exposed to water at a minimum temperature
				  of 71°C (160°F) for at least 24 minutes during the washing
				  process.
(5) Separate rooms shall
				  be maintained in the hospital for storage of clean linen and for storage of
				  soiled linen. Linen storage rooms shall not be used for any other purpose.
				  Storage shall not be permitted in attic spaces, corridors or plenums (air
				  distribution chambers) of air conditioning or ventilating systems.
(6) Handwashing and toilet facilities for
				  laundry personnel shall be provided at locations convenient to the
				  laundry.
(7) Soiled and clean linen
				  carts shall be so labeled and provided with covers made of washable materials
				  which shall be laundered or suitably cleaned daily. Linen carts used for the
				  storage or transportation of dirty linen shall be washed before being used for
				  the storage and transportation of clean linen.
(8) If the hospital does not maintain a
				  laundry service, the commercial laundry utilized shall meet the standards of
				  this section.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 1 - General Acute Care Hospitals › Article 8 - Physical Plant › Section 70827 - Housekeeping

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Each hospital
				  shall make provision for the routine cleaning of articles and surfaces such as
				  furniture, floors, walls, ceilings, supply and exhaust grills and lighting
				  fixtures with a detergent/disinfectant.
(b) There shall be written policies and
				  procedures developed and implemented to include but not be limited to the
				  following:
(1) Cleaning of occupied patient
				  areas, nurses' stations, work areas, halls, entrances, storage areas, rest
				  rooms, laundry, pharmacy, offices, etc.
(2) Cleaning of specialized areas such as
				  nursery, operating and delivery rooms.
(3) Cleaning of isolation areas.
(4) Cleaning of kitchen and associated
				  areas.
(5) Cleaning of walls and
				  ceilings.
(6) Terminal cleaning of
				  patient unit upon discharge of patient.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 1 - General Acute Care Hospitals › Article 8 - Physical Plant › Section 70829 - Morgue

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Hospitals with
				  a licensed bed capacity of 50 or more shall maintain a well-ventilated morgue
				  with autopsy facilities unless adequate morgue and autopsy facilities are
				  available in the local community.
(b) Hospitals with a licensed bed capacity of
				  100 or more shall maintain a well-ventilated morgue with autopsy
				  facilities.
(c) Refrigerated
				  compartments shall be maintained if human remains are held unembalmed. The air
				  temperature shall not be higher than 7°C (45°F).
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 1 - General Acute Care Hospitals › Article 8 - Physical Plant › Section 70831 - Central Sterile Supply

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
				  Each hospital shall provide, prepare, sterilize and store sufficient sterile
				  supplies and medical and surgical equipment and shall dispense them to all
				  services in the hospital. The operation of this service shall be carried out in
				  an area designated, equipped and staffed for this purpose.
(b) A person shall be designated to be in
				  charge of the central sterile supply.
(c) There shall be written procedures
				  developed and maintained pertaining to the cleaning, preparation, disinfection
				  and sterilization of utensils, instruments, solutions, dressings and other
				  articles.
(d) There shall be
				  effective separation of soiled or contaminated supplies and equipment from the
				  clean and sterilized supplies and equipment.
(e) Sterile supplies and equipment shall be
				  stored in clean cabinets, cupboards or other satisfactory spaces. An orderly
				  system of rotation of supplies shall be used so that supplies stored first will
				  be used first.
1. Amendment
					 filed 6-15-89 as an emergency; operative 6-15-89 (Register 89, No. 25). A
					 Certificate of Compliance must be transmitted to OAL within 120 days or
					 emergency language will be repealed on 10-13-89.
2. Certificate of
					 Compliance as to 6-15-89 order transmitted to OAL on 10-13-89 and disapproved
					 by OAL on 11-13-89 (Register 89, No. 46).
3. Amendment refiled
					 11-16-89 as an emergency; operative 11-16-89 (Register 89, No. 46). A
					 Certificate of Compliance must be transmitted to OAL within 120 days or the
					 section will be reinstated as it existed prior to the emergency on
					 3-16-90.
4. Certificate of Compliance as to 11-16-89 order
					 transmitted to OAL 3-15-90 and filed 4-16-90 (Register 90, No.
					 17).
Note: Authority cited: Sections
						208(a)
						and
						1275,
						Health and Safety Code. Reference: Section
						1276,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 1 - General Acute Care Hospitals › Article 8 - Physical Plant › Section 70833 - Autoclaves and Sterilizers

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
				  Autoclaves and sterilizers shall be maintained in operating condition at all
				  times.
(b) Instructions for
				  operating autoclaves and sterilizers shall be posted in the area where the
				  autoclaves and sterilizers are located.
(c) Written procedures shall be developed,
				  maintained and available to personnel responsible for sterilization of supplies
				  and equipment that include, but are not limited to the following:
(1) Time, temperature and pressure for
				  sterilizing the various bundles, packs, dressings, instruments, solutions,
				  etc.
(2) Cleaning, packaging,
				  storing and issuance of supplies and equipment.
(3) Dating and outdating of materials
				  sterilized.
(4) Loading of the
				  sterilizer.
(5) Daily checking of
				  recording and indicating thermometers and filing for one year of recording
				  thermometer charts.
(6) Monthly
				  bacteriological test, the bacterial organism used and filing for one year of
				  the test results.
(7) Length of
				  aeration time for materials gas-sterilized.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 1 - General Acute Care Hospitals › Article 8 - Physical Plant › Section 70835 - Disinfecting

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
1. Repealer
					 flied 6-15-89 as an emergency; operative 6-15-89 (Register 89, No. 25). A
					 Certificate of Compliance must be transmitted to OAL within 120 days or the
					 section will be reinstated as it existed prior to the emergency on
					 10-13-89.
2. Certificate of Compliance as to 6-15-89 order
					 transmitted to OAL on 10-13-89 and disapproved by OAL on 11-13-89 (Register 89,
					 No. 46).
3. Repealer refiled 11-16-89 as an emergency; operative
					 11-16-89 (Register 89, No. 46). A Certificate of Compliance must be transmitted
					 to OAL within 120 days or the section will be reinstated as it existed prior to
					 the emergency on 3-16-90.
4. Certificate of Compliance as to
					 11-16-89 order transmitted to OAL 3-15-90 and filed 4-16-90 (Register 90, No.
					 17).
Note: Authority cited: Sections
						208(a)
						and
						1275,
						Health and Safety Code. Reference: Section
						1276,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 1 - General Acute Care Hospitals › Article 8 - Physical Plant › Section 70837 - General Safety and Maintenance

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The hospital shall be clean, sanitary and
				  in good repair at all times. Maintenance shall include provision and
				  surveillance of services and procedures for the safety and well-being of
				  patients, personnel and visitors.
(b) Hospital buildings and grounds shall be
				  maintained free of such environmental pollutants and such nuisances as may
				  adversely affect the health or welfare of patients to the extent that such
				  conditions are within the reasonable control of the hospital.
(c) All hospitals shall maintain in operating
				  condition all buildings, fixtures and spaces in the numbers and types as
				  specified in construction requirements under which the hospital or unit was
				  first licensed.
(d) A written
				  manual on maintenance of heating, air conditioning and ventilation systems
				  shall be adopted by each hospital and a maintenance log shall be
				  maintained.
(e) Equipment provided
				  must meet any and all applicable California Occupational Safety and Health Act
				  requirements in effect as of the time of purchase. All portable electrical
				  equipment using 110-120 volt 60 hertz current shall be equipped with a
				  three-wire grounded power cord with an Underwriters Laboratories approved
				  hospital grade three-prong plug. The cord grip shall be an integral part of the
				  plug.
(f) All gauging and measuring
				  equipment shall be regularly calibrated as specified by the manufacturer and
				  records of such testing kept for at least two 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 1 - General Acute Care Hospitals › Article 8 - Physical Plant › Section 70839 - Air Filters

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The
				  licensee shall be responsible for regular inspection, cleaning or replacement
				  of all filters installed in heating, air conditioning and ventilating systems,
				  as necessary to maintain the systems in normal operating condition. The
				  efficiency of the replacement filters shall be equal to the efficiency rating
				  of the replaced filters.
(b) A
				  written record of inspection, cleaning or replacement including static pressure
				  drop shall be regularly maintained and available for inspection. The record
				  shall include a description of the filters originally installed, the
				  atmospheric dust spot test efficiency rating according to "Standard 52.2-2017
				  -- Method of Testing General Ventilation Air-Cleaning Devices for Removal
				  Efficiency by Particle Size" (2017) by the American Society of Heating,
				  Refrigerating and Air-Conditioning Engineers (ASHRAE), hereby incorporated by
				  reference, and the criteria established by the manufacturer or supplier to
				  determine when replacement or cleaning is necessary.
(c) Following filter replacement or cleaning,
				  the installation shall be visually inspected for torn media and bypass in
				  filter frames by means of a flashlight or equivalent, both with fans in
				  operation and stopped. Tears in filter media and bypass in filter frames shall
				  be eliminated in accordance with the manufacturer's directions and as required
				  by the Department.
(d) Where filter
				  maintenance is performed by an equipment service company, a certification shall
				  be provided to the licensee that the requirements listed in Section
				  70839(a) and (b)
				  have been accommodated.
(e) If
				  filter maintenance as required in Section
				  70839(a) and (b)
				  is performed by employees of the hospital, a written record shall be maintained
				  by the licensee.
1. Amendment
					 of subsection (b) and new NOTE 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
						20,
						21,
						1275
						and
						1276,
						Health and Safety Code. Reference: Sections
						1250
						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 1 - General Acute Care Hospitals › Article 8 - Physical Plant › Section 70841 - Emergency Lighting and Power System

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Auxiliary lighting and power facilities
				  shall be readily available at all times.
(1)
				  The emergency lighting and power system shall be maintained in operating
				  condition to provide automatic restoration of power for emergency circuits
				  within ten seconds after normal power failure.
(2) Emergency generators shall be tested as
				  follows:
(A) Non-diesel generators installed
				  in hospitals shall be tested under load conditions for at least 30 minutes at
				  intervals of not more than 7 days.
(B) Diesel backup generators installed in
				  hospitals shall be tested as required by Health and Safety Code, section
				  41514.1.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 1 - General Acute Care Hospitals › Article 8 - Physical Plant › Section 70843 - Storage and Disposal of Solid Wastes

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Solid wastes shall be stored and
				  eliminated in a manner to preclude the transmission of communicable disease.
				  These wastes shall not be a nuisance or a breeding place for insects or rodents
				  nor be a food source for either.
(b) Solid waste containers shall be stored
				  and located in a manner that will protect against odors.
(c) Syringes and needles shall be disposed of
				  safely as biohazardous waste in puncture proof containers.
1.
					 Certificate of Compliance as to 11-16-89 order including amendment of
					 subsection (c) transmitted to OAL 3-15-90 and filed 4-16-90 (Register 90, No.
					 17).
Note: Authority cited: Sections
						208(a)
						and
						1275,
						Health and Safety Code. Reference: Section
						1276,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 1 - General Acute Care Hospitals › Article 8 - Physical Plant › Section 70845 - Solid Waste Containers

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
				  All containers, except movable bins used for storage of solid wastes, shall
				  have tight-fitting covers in good repair, external handles and be leakproof and
				  rodent proof.
(b) Movable bins,
				  when used for storing or transporting solid wastes from the premises, shall
				  have approval of the local health department and meet the following
				  requirements:
(1) Have tight-fitting
				  covers.
(2) Be in good
				  repair.
(3) Be leakproof.
(4) Be rodent proof unless stored in a room
				  or screened enclosure.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 1 - General Acute Care Hospitals › Article 8 - Physical Plant › Section 70847 - Infectious Waste

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Infectious waste, as defined in Health and Safety Code
					 Section
					 25117.5,
					 shall be handled and disposed of in accordance with the Hazardous Waste Control
					 Law, Chapter 6.5, Division 20, Health and Safety Code (beginning with Section
					 25100) and the regulations adopted
					 thereunder (beginning with Section
					 66100 of this
					 Title).
1. Repealer
					 and new section filed 12-30-83 as an emergency; effective upon filing (Register
					 84, No. 3). A Certificate of Compliance must be transmitted to OAL within 120
					 days or emergency language will be repealed on 4-29-84.
2.
					 Certificate of Compliance transmitted to OAL 4-30-84 and withdrawn 5-30-84
					 (Register 84, No. 24).
3. Repealer and new section filed 5-30-84 as
					 an emergency; effective upon filing (Register 84, No. 24). A Certificate of
					 Compliance must be transmitted to OAL within 120 days or emergency language
					 will be repealed on 9-27-84.
4. Certificate of Compliance
					 transmitted to OAL 9-26-84 and filed 10-16-84 (Register 84, No.
					 42).
Note: Authority cited: Sections
						208,
						1254,
						25150
						and
						25157.3,
						Health and Safety Code. Reference: Sections
						1250,
						25117
						and
						25117.5,
						Health and Safety Code.