reglab/statecodes huggingface dataset:
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 8 - Intermediate Care Facilities for the Developmentally Disabled › Article 3 - Services › Section 76359 - Dental Services-General Requirements

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) There shall be comprehensive diagnostic
				  services for all clients which include a complete extraoral and intraoral
				  examination, utilizing all diagnostic aids necessary to properly evaluate the
				  client's oral condition within a period of one month following admission unless
				  such an examination was done within six months of admission and the results are
				  received and reviewed by the facility and are entered in the client's
				  record.
(b) There shall be
				  comprehensive treatment services for all clients which include:
(1) Provision for dental treatment.
(2) A system that will assure that each
				  client is reexamined at specified intervals in accordance with his needs but at
				  least annually.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 8 - Intermediate Care Facilities for the Developmentally Disabled › Article 3 - Services › Section 76361 - Food and Nutrition Services-Defined

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
"Food and nutrition services" means a service organized,
					 staffed and equipped to assure that food served to clients is safe, appetizing
					 and meets their nutritional needs.
Note: Authority cited: Section
						208(a),
						Health and Safety Code. Reference: Section
						1276,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 8 - Intermediate Care Facilities for the Developmentally Disabled › Article 3 - Services › Section 76365 - Food and Nutrition Services-Policies and Procedures

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
A food and nutrition services policies and procedures
					 manual shall be developed and available to all personnel. The manual shall be
					 developed with the assistance of the dietitian and other appropriate
					 staff.
Note: authority cited: Section
						208(a),
						Health and Safety Code. Reference: Section
						1276,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 8 - Intermediate Care Facilities for the Developmentally Disabled › Article 3 - Services › Section 76367 - Food and Nutrition Services-Diet Manual

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
A current therapeutic diet manual approved by the dietitian
					 and the Client Care Policy Committee shall be readily available to the program,
					 health support and dietetic personnel. It shall be reviewed annually and
					 revised at least every five years.
Note: Authority cited: Section
						208(a),
						Health and Safety Code. Reference: Section
						1276,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 8 - Intermediate Care Facilities for the Developmentally Disabled › Article 3 - Services › Section 76369 - Food and Nutrition Services-Modified Diets

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Modified diets shall be as follows:
(1) Specified by the client's
				  interdisciplinary team with a copy in the kitchen.
(2) Planned, prepared and served by persons
				  who have received training in food and nutrition services.
(3) Periodically reviewed and adjusted as
				  needed.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 8 - Intermediate Care Facilities for the Developmentally Disabled › Article 3 - Services › Section 76371 - Food and Nutrition Services-Therapeutic Diets

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Therapeutic diets shall be provided as prescribed by the
					 attending physician and shall be planned, prepared and served with supervision
					 or consultation from the dietitian. Persons responsible for therapeutic diets
					 shall have knowledge of food values in order to make appropriate substitutions
					 when necessary.
Note: Authority cited: Section
						208(a),
						Health and Safety Code. Reference: Section
						1276,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 8 - Intermediate Care Facilities for the Developmentally Disabled › Article 3 - Services › Section 76373 - Food and Nutrition Services-Menus

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Menus for regular and modified diets
				  shall be 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. Menus shall be different for the
				  same day of consecutive weeks. If a cycle menu is used, the cycle shall be of
				  no less than three weeks duration and shall be revised quarterly.
(d) Menus shall be adjusted to include
				  seasonal commodities.
(e) Menus
				  shall be planned with consideration for cultural background and food habits of
				  clients.
(f) A copy of the menu as
				  planned and as served shall be kept on file for at least 30 days.
(g) Records of specific food types purchased
				  shall be kept for one year and available for review by the
				  Department.
Note: Authority cited: Section
						208(a),
						Health and Safety Code. Reference: Section
						1276,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 8 - Intermediate Care Facilities for the Developmentally Disabled › Article 3 - Services › Section 76375 - Food and Nutrition Services-Orientation and in-Service Training

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Orientation and in-service training shall be provided for
					 all food service personnel and a record of subject areas covered, date and
					 duration of each session and attendance lists shall be
					 maintained.
Note: Authority cited: Section
						208(a),
						Health and Safety Code. Reference: Section
						1276,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 8 - Intermediate Care Facilities for the Developmentally Disabled › Article 3 - Services › Section 76377 - Food and Nutrition Services-Food Storage

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Food storage areas shall be clean at all
				  times.
(b) All foods or food items
				  not requiring refrigeration shall be stored above the floor, on shelves, racks,
				  dollies or other surfaces which facilitate thorough cleaning, in a ventilated
				  room, not subject to sewage or wastewater backflow or contamination by
				  condensation, leakage, rodents or vermin. All packaged food, canned foods or
				  food items stored shall be kept clean and dry a all times.
(c) Fixed and mobile equipment in the
				  dietetic service area shall be located to assure sanitary and safe operation
				  and shall be of sufficient size to handle the needs of the facility. Such
				  equipment shall meet the requirements contained in Standard No. 2 as amended in
				  April 1965 of the National Sanitation Foundation, P.O. Box 1468, Ann Arbor, MI
				  48106.
(d) All readily perishable
				  foods or beverages capable of supporting rapid and progressive growth of
				  microorganisms which can cause food infections or food intoxication 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 and service. Frozen foods shall be stored at minus 18°C
				  (0°F) or below at all times. There shall be a reliable thermometer in each
				  refrigerator and freezer and in storerooms used for perishable food.
(e) Pesticides, other toxic substances and
				  drugs shall not be stored in the kitchen area or in storerooms for food or food
				  preparation equipment and utensils.
(f) Soaps, detergents, cleaning compounds or
				  similar substances shall be stored in separate defined storage areas.
Note: Authority cited: Section
						208(a),
						Health and Safety Code. Reference: Section
						1276,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 8 - Intermediate Care Facilities for the Developmentally Disabled › Article 3 - Services › Section 76379 - Food and Nutrition Services-Sanitation

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) All kitchens and 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, maintained in
				  good repair and shall be free from breaks, corrosions, open seams, cracks and
				  chipped areas.
(c) Plastic ware,
				  china and glassware that are unsightly, unsanitary or hazardous because of
				  chips, cracks or loss of glaze shall be discarded.
(d) Ice which is used with food or drink
				  shall be from a sanitary source and shall be handled and dispensed in a
				  sanitary manner.
(e) Ice scoops
				  shall be handled and stored in a sanitary manner.
(f) Kitchen wastes that are not disposed of
				  by mechanical means shall be kept in clean, leakproof, nonabsorbent, tightly
				  closed containers and shall be disposed of as frequently as necessary to
				  prevent a nuisance or unsightliness.
Note: Authority cited: Section
						208(a),
						Health and Safety Code. Reference: Section
						1276,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 8 - Intermediate Care Facilities for the Developmentally Disabled › Article 3 - Services › Section 76381 - Food and Nutrition Services-Cleaning and Disinfection of Utensils

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) All utensils
				  used for eating, drinking and in the preparation and serving of food and drink
				  shall be cleaned and disinfected or discarded after each use.
(b) Gross food particles shall be removed by
				  careful scraping and prerinsing in running water.
(c) The utensils shall be thoroughly washed
				  in hot water (minimum temperature of 43°C (110°F)), using soap or
				  detergent, rinsed in hot water to remove soap or detergent and disinfected by
				  one of the following methods or equivalent, as approved by the Department:
(1) Immersion for at least two minutes in
				  clean water at 77°C (170°F).
(2) Immersion for at least 30 seconds in
				  clean water at 83°C (180°F).
(3) Immersion in water containing
				  bactericidal chemical as approved by 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 8 - Intermediate Care Facilities for the Developmentally Disabled › Article 3 - Services › Section 76383 - Food and Nutrition Services-Staff

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) A dietitian shall be employed on at least
				  a part-time basis in all facilities. A part-time dietitian shall provide at
				  least 13 hours of services each calendar month.
(b) If a dietitian is not employed full-time,
				  a full-time person shall be employed who meets the requirements of a dietary
				  service supervisor and shall be responsible for the operation of the food
				  service. The dietetic supervisor may also cook, provided time is allowed to
				  meet managerial responsibilities.
(c) Staff shall be employed, oriented,
				  trained and their working hours scheduled to provide for the nutritional needs
				  of the clients and to maintain the dietetic service areas. If dietetic service
				  employees are assigned duties in other services, those duties shall not
				  interfere with the sanitation, safety or time required for dietetic work
				  assignments.
(d) Current work
				  schedules by job titles and weekly time schedules shall be posted.
(e) Food and nutrition services personnel
				  shall be trained in basic food sanitation techniques, wear clean clothing,
				  including a cap or a hair net, and shall be excluded from duty when affected by
				  skin infection, or communicable diseases. Beards and mustaches which are not
				  closely cropped and neatly trimmed shall be covered.
(1) Employees' street clothing stored in the
				  kitchen shall be in a closed area.
(2) Kitchen sinks shall not be used for
				  handwashing. Separate handwashing facilities with soap, running water and
				  individual towels shall be provided.
(3) Persons other than food and nutrition
				  services personnel shall not be allowed in the kitchen areas unless required to
				  do so in the performance of their duties. This does not exclude from the
				  kitchen area clients in an organized training program as specified in their
				  individual program plans.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 8 - Intermediate Care Facilities for the Developmentally Disabled › Article 3 - Services › Section 76385 - Food and Nutrition Services-Equipment and Supplies

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Equipment of the type and in the amount
				  necessary for the proper preparation, serving and storing of food and proper
				  dishwashing shall be provided and maintained in good working order.
(1) The service area shall be ventilated in a
				  manner that will maintain comfortable working conditions, remove objectionable
				  odors, fumes and prevent excessive condensation.
(2) Fixed and mobile equipment shall be
				  located to assure sanitation and safety and shall be of sufficient size to
				  handle the needs of the facility.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 8 - Intermediate Care Facilities for the Developmentally Disabled › Article 3 - Services › Section 76387 - Pharmaceutical Services-General

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Arrangements shall be made to assure that
				  pharmaceutical services are available to provide clients with prescribed drugs
				  and biologicals.
(b) There shall be
				  conformance with state, federal and local laws regarding dispensing, labeling,
				  storage and administration of drugs.
(c) If a pharmacy is located on the premises,
				  the pharmacy shall be licensed by the California State Board of Pharmacy and
				  approved by the Department. The pharmacy shall not serve the general public
				  unless a separate public entrance or a separate public serving window is
				  utilized. Pharmacies located on the licensed premises of intermediate care
				  facilities shall be opened for inspection upon the request of an authorized
				  Department representative.
Note: Authority cited: Section
						208(a),
						Health and Safety Code. Reference: Section
						1276,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 8 - Intermediate Care Facilities for the Developmentally Disabled › Article 3 - Services › Section 76389 - Pharmaceutical Services-Requirements

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Pharmaceutical service shall include, but
				  is not 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 during normal pharmacy hours. For those hours
				  during which the pharmacy is closed, drugs ordered "Stat" shall be available
				  and administered within three hours. Drugs ordered "Stat" which are available
				  in the emergency drug supply shall be administered immediately.
(B) Anti-infectives and drugs used to treat
				  severe pain, nausea, agitation, diarrhea or other severe discomfort shall be
				  available and administered within four hours.
(C) Except as indicated above, all new drug
				  orders shall be available on the same day ordered unless the drug would not
				  normally be started until the next day.
(D) Refill prescriptions shall be available
				  when needed.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 8 - Intermediate Care Facilities for the Developmentally Disabled › Article 3 - Services › Section 76391 - Pharmaceutical Services-Policies and Procedures

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) There shall be written policies and
				  procedures for safe and effective distribution, control and use of drugs
				  developed by the client care policy committee. The committee shall monitor
				  implementation of the policies and procedures and make recommendations for
				  improvement.
(b) There shall be a
				  written policy governing the self-administration of drugs, whether prescribed
				  or not.
Note: Authority cited: Section
						208(a),
						Health and Safety Code. Reference: Section
						1276,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 8 - Intermediate Care Facilities for the Developmentally Disabled › Article 3 - Services › Section 76393 - Pharmaceutical Services-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 such orders shall
				  be in writing and dated and signed by the person giving the order. The name,
				  quantity or specific duration of therapy, dosage and time or frequency of
				  administration of the drug, and the route of administration if other than oral
				  shall be specified. PRN orders shall also include the indication for
				  use.
(c) Telephone orders may be
				  given to a licensed pharmacist, registered nurse, licensed vocational nurse or
				  psychiatric technician and any other persons lawfully authorized to receive
				  such orders in their specialty areas and shall be immediately recorded in the
				  client record and shall be signed by the prescriber within 48 hours.
(d) The signing of orders shall be by
				  signature or a personal computer key. Signature stamps shall not be
				  used.
Note: Authority cited: Section
						208(a),
						Health and Safety Code. Reference: Section
						1276,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 8 - Intermediate Care Facilities for the Developmentally Disabled › Article 3 - Services › Section 76395 - Pharmaceutical Services-Stop Orders

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Written policies shall be established limiting the duration
					 of drug therapy in the absence of a prescriber's specific indication of
					 duration of therapy. Stop orders shall be established for all therapeutic drug
					 categories. The prescriber shall be contacted for new orders prior to the
					 termination time established by the policy.
Note: Authority cited: Section
						208(a),
						Health and Safety Code. Reference: Section
						1276,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 8 - Intermediate Care Facilities for the Developmentally Disabled › Article 3 - Services › Section 76397 - Pharmaceutical Services-Drug Order Processing

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Written orders for drugs shall be transmitted to the
					 issuing pharmacy within 48 hours, either by written prescription of the
					 prescriber by an order form which produces a direct copy of the order or by an
					 electronically reproduced facsimile.
Note: Authority cited: Section
						208(a),
						Health and Safety Code. Reference: Section
						1276,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 8 - Intermediate Care Facilities for the Developmentally Disabled › Article 3 - Services › Section 76399 - Pharmaceutical Services-Drug Order Records

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Facilities shall maintain a record which includes, for each
					 drug ordered by prescription, the drug name, strength, the name of the client,
					 the date ordered, the date received and the name of the issuing pharmacy. The
					 records shall be kept at least one year.
Note: Authority cited: Section
						208(a),
						Health and Safety Code. Reference: Section
						1276, Health and Safety
						Cod.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 8 - Intermediate Care Facilities for the Developmentally Disabled › Article 3 - Services › Section 76401 - Pharmaceutical Services-Personal Medications

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Medications brought by or with the client
				  on admission to the facility shall not be used, unless the contents of the
				  containers have been examined and positively identified after admission by the
				  client's physician or pharmacist retained by the facility.
(b) This regulation shall not apply to drugs
				  transferred from other licensed health facilities or those drugs dispensed or
				  obtained after admission from any licensed or governmental pharmacy and shall
				  not preclude the delivery of those drugs by any agent of the client.
Note: Authority cited: Section
						208(a),
						Health and Safety Code. Reference: Section
						1276,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 8 - Intermediate Care Facilities for the Developmentally Disabled › Article 3 - Services › Section 76405 - Pharmaceutical Services-Controlled Drugs

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Drugs listed in Schedules II, III and IV
				  of the Federal Comprehensive Drug Abuse Prevention and Control Act of 1970
				  shall not be accessible to other than licensed nursing, pharmacy and medical
				  personnel designated in writing by the facility. The registered nurse in charge
				  of nursing services shall be designated by the licensee to be responsible for
				  the control of such drugs. 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 client, 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 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.
Note: Authority cited: Section
						208(a),
						Health and Safety Code. Reference: Section
						1276,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 8 - Intermediate Care Facilities for the Developmentally Disabled › Article 3 - Services › Section 76407 - Pharmaceutical Services-Disposal of Drugs

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Drugs shall be sent with the client upon
				  discharge if so ordered by the discharging physician. Drugs discharged with
				  clients shall be dispensed in compliance with the California Pharmacy Laws and
				  Regulations. A record of the drugs sent with the client shall be in the
				  client's record.
(b) Drugs
				  remaining in the facility after discharge shall be destroyed in the facility
				  within 30 days of the date of discharge.
(c) Discontinued drugs shall be destroyed in
				  the facility within 90 days of the date the drug orders were discontinued,
				  unless the drug is reordered within that time.
(d) Drugs shall be destroyed in the facility
				  in the following manner:
(1) Drugs listed in
				  Schedules II, III or IV of the Federal Comprehensive Drug Abuse Prevention and
				  Control Act of 1970 shall be destroyed in the facility in the presence of a
				  pharmacist and a registered nurse employed by the facility. The name of the
				  client, the name and strength of the drug, the prescription number, the amount
				  destroyed, the date of destruction and the signatures of the witnesses required
				  above shall be recorded in the client's record or in a separate log. The record
				  of disposal shall be retained for at least three years.
(2) Drugs not listed under Schedules II, III
				  or IV of the Federal Comprehensive Drug Abuse Prevention and Control Act of
				  1970 shall be destroyed in the facility in the presence of a pharmacist or
				  registered nurse who with one other witness shall sign a record which lists the
				  name of the client, the name and strength of the drug, the prescription number
				  if applicable, the amount destroyed and the date of destruction. The record may
				  be in the client's record or in a separate log. The record of disposal 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 8 - Intermediate Care Facilities for the Developmentally Disabled › Article 3 - Services › Section 76409 - Pharmaceutical Services-Unit Dose Medication System

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
In facilities which have unit dose medication systems,
					 there shall be at least a 24-hour supply of all client medications on hand at
					 all times, excepting drugs which are to be discontinued within the 24-hour
					 period. Drugs that are part of the system shall not exceed a 48-hour
					 supply.
Note: Authority cited: Section
						208(a),
						Health and Safety Code. Reference: Section
						1276,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 8 - Intermediate Care Facilities for the Developmentally Disabled › Article 3 - Services › Section 76411 - Pharmaceutical Services-Staff

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Facilities shall retain a pharmacist who
				  devotes the number of hours necessary during a regularly scheduled visit for
				  the purpose of coordinating, supervising and reviewing the pharmaceutical
				  services within the facility. The pharmacist shall submit a written report on
				  the status of the pharmaceutical service and staff performance to the client
				  care policy committee at least semiannually. The report shall include a log or
				  record of time spent in the facility. There shall be a written agreement
				  between the pharmacist and the facility which includes duties, responsibilities
				  and qualifications of the pharmacist and the responsibilities of the
				  facility.
(b) A pharmacist shall
				  serve on the client care policy committee and shall be responsible for the
				  developing, coordinating and directing or supervising of all pharmaceutical
				  services. A pharmacist or registered nurse shall effectively review the drug
				  regimen of each client at least monthly and prepare appropriate reports. If the
				  drug regimen review is performed by a registered nurse, a pharmacist shall
				  review the drug regimen quarterly. The review of the drug regimen of each
				  client shall include all drugs currently ordered, information concerning the
				  client's condition relating to drug therapy, medication administration records,
				  and, where appropriate, physician's progress notes, nurse's notes and
				  laboratory test results. The pharmacist shall be responsible for reporting, in
				  writing, irregularities in the dispensing and administration of drugs and other
				  matters relating to the review of the drug regimen to the registered nurse in
				  charge of nursing services.
Note: Authority cited: Section
						208(a),
						Health and Safety Code. Reference: Section
						1276,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 8 - Intermediate Care Facilities for the Developmentally Disabled › Article 3 - Services › Section 76413 - Pharmaceutical Services-Equipment and Supplies

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) There shall be available equipment and
				  supplies necessary for the provision of pharmaceutical services within the
				  facility. This includes, but is not limited to:
(1) Refrigerator with reliable
				  thermometer.
(2) Lockable drug
				  cabinets, drawers, closets or rooms.
(3) Drug service trays or carts.
(4) Drug preparation counter area and
				  convenient water source.
(5)
				  Syringes, needles, rubber tubing, clamps, droppers, medicine glasses, cups or
				  other small containers which are accurately calibrated. Single use equipment
				  shall be discarded after each use.
(6) Current reference materials containing
				  drug monographs on all drugs in use in the facility shall be available at each
				  health support area where such drugs are used. Such monographs shall include
				  information concerning generic and brand names if applicable, available
				  strengths and dosage forms and pharmacological data including contraindications
				  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 8 - Intermediate Care Facilities for the Developmentally Disabled › Article 4 - Administration › Section 76501 - Licensee-General Duties

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The
				  licensee shall be responsible for compliance with licensing requirements and
				  for the organization, management, operation and control of the licensed
				  facility. The delegation of any authority by a licensee shall not diminish the
				  responsibilities of such licensee. It is the responsibility of the licensee to
				  carry out the requirements placed on the facility by these
				  regulations.
(b) The licensee, if a
				  licensed administrator, may act as the administrator or shall appoint a
				  licensed administrator, to carry out the policies of the licensee. A
				  responsible adult shall be appointed, in writing, to carry out the policies of
				  the licensee in the absence of the administrator. If the licensed administrator
				  is to be absent for more than 30 consecutive days, the licensee shall appoint
				  another licensed administrator to carry out the day-to-day functions of the
				  facility.
(c) The licensee shall
				  delegate to the designated licensed administrator the authority in writing to
				  organize and carry out the day-to-day functions of the facility, through
				  appropriate delegation of duties.
(d) Except where provided for in approved
				  continuing care agreements, no owner, administrator, employee or representative
				  thereof shall act as guardian or conservator of the client's estate.
(e) The licensee shall employ qualified
				  personnel to carry out all the functions of the facility and shall provide for
				  initial orientation of all new employees, a continuing in-service training
				  program and competent supervision.
(f) The Department may require a facility to
				  provide additional professional, administrative and supportive personnel
				  whenever the Department determines through a written evaluation that additional
				  staff are needed to provide for the health and safety of clients.
(g) If a language or communication barrier
				  exists between facility staff and a client, arrangements shall be made for an
				  interpreter or for the use of other mechanisms to insure communication between
				  the client and personnel.
Note: Authority cited: Section
						208(a),
						Health and Safety Code. Reference: Section
						1276,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 8 - Intermediate Care Facilities for the Developmentally Disabled › Article 4 - Administration › Section 76503 - Consumer Information to be Posted

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The following consumer information shall
				  be conspicuously posted in the facility in a prominent location accessible to
				  public view:
(1) Name, license number and
				  date of employment of the current facility's administrator.
(2) A listing of all services and special
				  programs provided in the facility and those provided through written
				  contracts.
(3) A notice that the
				  facility's written admission and discharge policies are available upon
				  request.
(4) The most recent
				  licensing visit report supported by the related follow-up plan of correction
				  visit reports so that each page is readable.
(5) The names and addresses of all previous
				  owners.
(6) A listing of all other
				  skilled nursing and intermediate care facilities owned by the same person,
				  firm, partnership, association, corporation or parent or subsidiary
				  corporation, or a subsidiary of the parent corporation.
(7) A statement that an action to revoke the
				  facility's license is pending, if such an action has been initiated by the
				  filing of an accusation, pursuant to Section
				  11503 of
				  the Government Code, and the accusation has been served on the
				  licensee.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 8 - Intermediate Care Facilities for the Developmentally Disabled › Article 4 - Administration › Section 76505 - Client Transfer Procedures

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
				  The licensee shall maintain written transfer agreements with other nearby
				  health facilities to make the services of the other facilities more readily
				  accessible and to facilitate the easy transfer of clients and essential client
				  information along with the client.
(b) When a client is transferred to another
				  facility, there shall be:
(1) Written
				  evidence of the reason or the transfer; and
(2) Prior informed and written consent of the
				  client, parent of a minor or authorized representative except in an
				  emergency.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 8 - Intermediate Care Facilities for the Developmentally Disabled › Article 4 - Administration › Section 76506 - Bed Hold

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) If a
				  client of an intermediate care facility/developmentally disabled is transferred
				  to a general acute care hospital as defined in Section
				  1250(a)
				  of the Health and Safety Code, the intermediate care facility/developmentally
				  disabled shall afford the client a bed hold of seven (7) days, which may be
				  exercised by the client or the client's representative.
(1) Upon transfer to a general acute care
				  hospital, the client or the client's representative shall notify the
				  intermediate care facility/developmentally disabled within twenty-four (24)
				  hours after being informed of the right to have the bed held, if the client
				  desires the bed hold.
(2) Except as
				  provided in Section
				  51535.1, Title 22, California
				  Administrative Code, any client who exercises the bed hold option shall be
				  liable to pay reasonable charges, not to exceed the client's daily rate for
				  care in the facility, for bed hold days.
(3) If the client's attending physician
				  notifies the intermediate care facility/developmentally disabled in writing
				  that the client's stay in the general acute care hospital is expected to exceed
				  seven (7) days, the intermediate care facility/developmentally disabled shall
				  not be required to maintain the bed hold.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 8 - Intermediate Care Facilities for the Developmentally Disabled › Article 4 - Administration › Section 76507 - Use of Outside Resources

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
				  If a facility does not employ qualified personnel to render a specific service
				  to be provided by the facility, there shall be arrangements through a written
				  agreement with outside resources which shall meet the standards and
				  requirements of these regulations.
(b) Copies of affiliation agreements,
				  contracts or written arrangements for advice, consultation, services, training
				  or transportation, with other facilities, organizations or individuals, public
				  or private agencies shall be on file in the facility's administrative office
				  and shall be reviewed and revised as needed.
(c) Written agreements with outside sources
				  shall be readily available for inspection and review by the
				  Department.
(d) The written
				  agreements with outside sources shall include, but not be limited to:
(1) Description of the services to be
				  provided.
(2) Frequency and minimum
				  number of hours of each visit.
(3)
				  Financial arrangements.
(4) Methods
				  by which the services are to be provided.
(5) Conditions upon which the agreement or
				  contract can be terminated.
(6)
				  Effective date of contract.
(7)
				  Date contract was signed.
(8)
				  Signatures of all parties to the agreement.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 8 - Intermediate Care Facilities for the Developmentally Disabled › Article 4 - Administration › Section 76509 - Fire Safety

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
The licensee shall conform to the regulations adopted by
					 the State Fire Marshal establishing minimum standards for the prevention of
					 fire and for the protection of life and property against fire and panic. A copy
					 of the State Fire Marshal's current fire clearance shall be on the
					 premises.
Note: Authority cited: Section
						208(a),
						Health and Safety Code. Reference: Section
						1276,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 8 - Intermediate Care Facilities for the Developmentally Disabled › Article 4 - Administration › Section 76511 - Smoking

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Clients shall
				  be permitted to smoke in bed only when a facility staff member or responsible
				  adult is present to ensure safety against fire hazards.
(b) The facility shall provide designated
				  areas for smoking. The designated areas shall be under the periodic observation
				  of facility personnel or responsible adults. This does not preclude the
				  designation of the client rooms as smoking areas.
(c) The facility shall provide a designated
				  area for nonsmoking clients. Such designated area shall be identified by
				  prominently posted "No Smoking" signs.
(d) Smoking or open flames shall be
				  prohibited in all rooms or spaces where oxygen cylinders are stored or where
				  oxygen is in use. Such rooms or spaces shall be identified with "No Smoking" or
				  "No Open Flame" signs prominently posted.
(e) The facility shall make every reasonable
				  effort to assign clients to rooms according to the client's nonsmoking or
				  smoking preference.
Note: Authority cited: Section
						208(a),
						Health and Safety Code. Reference: Section
						1276,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 8 - Intermediate Care Facilities for the Developmentally Disabled › Article 4 - Administration › Section 76513 - Administrator

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Each facility
				  shall employ a licensed administrator to administer the policies of the
				  licensee.
(b) A fingerprint card
				  for any new administrator employed by the facility shall be submitted previous
				  to or within 10 days of employment for the purpose of a criminal record review.
				  No person may act as an administrator if the criminal review indicates grounds
				  for denial of a license application as specified in Section
				  76209.
(c) The administrator shall be responsible
				  for the administration and management of only one facility with the following
				  exceptions:
(1) If an administrator is
				  responsible for more than one facility, he shall not be responsible for more
				  than three facilities with an aggregate total of 200 beds and these facilities
				  shall be within 30 minutes travel time of each other.
(2) If an administrator is responsible for
				  more than one facility, the administrator shall designate a responsible adult
				  in each facility to be responsible for carrying out the policies of the
				  licensee in the administrator's absence.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 8 - Intermediate Care Facilities for the Developmentally Disabled › Article 4 - Administration › Section 76515 - Advertising

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) No facility
				  shall make, disseminate false or misleading statements, or advertise false
				  claims regarding facilities and services provided or use the words "Approved by
				  the California Department of Health Services" or use any words conveying the
				  impression of approval in any advertising material.
(b) The name or title "hospital" shall not be
				  used by any intermediate care facility for the developmentally disabled without
				  a qualifying term such as convalescent, geriatrics, rehabilitation or
				  nursing.
Note: Authority cited: Section
						208(a),
						Health and Safety Code. Reference: Sections
						1276
						and
						1277,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 8 - Intermediate Care Facilities for the Developmentally Disabled › Article 4 - Administration › Section 76517 - Client Brokerage

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
				  Except where expressly authorized pursuant to Chapter 5 of this Division, no
				  licensee nor any administrator, employee or any representative thereof shall
				  give or receive any compensation, service or anything else of value or
				  advantage for the placement, transfer or receipt of a client.
(b) No licensee nor any administrator,
				  employee or representative thereof shall give or receive any compensation,
				  services or anything of value or advantage for any referral of any
				  client.
Note: Authority cited: Section
						208(a),
						Health and Safety Code. Reference: Sections
						445
						and
						1276,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 8 - Intermediate Care Facilities for the Developmentally Disabled › Article 4 - Administration › Section 76519 - Admission of Clients

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The
				  licensee shall:
(1) Accept and retain only
				  those clients for whom it can provide specific programming and care under the
				  provisions of these regulations.
(2) Admit only clients who have had a
				  comprehensive evaluation covering physical, emotional, social and cognitive
				  factors conducted by an appropriately constituted interdisciplinary
				  team.
(3) Admit only
				  developmentally disabled clients in a facility or distinct part licensed or
				  certified as an intermediate care facility for the developmentally
				  disabled.