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 4 - Intermediate Care Facilities › Article 4 - Administration › Section 73527 - Employee Personnel Records

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) All facilities shall maintain employee
				  records of all personnel. The record shall include the employee's full name,
				  social security number, professional license or registration number, if any,
				  employment classification, information as to past employment and/or
				  qualifications, date of beginning employment and date of termination of
				  employment. Such records shall be retained for at least three years following
				  termination of employment.
(b)
				  Records of hours and dates worked by all employees during at least the most
				  recent six-month period shall be kept on file at the place of employment or at
				  a central location within the State of California. Such records shall be made
				  available to the Department upon 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 4 - Intermediate Care Facilities › Article 4 - Administration › Section 73529 - Employee Name Badges

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
All personnel serving patients or the public shall wear
					 name and title badges unless contraindicated.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 4 - Intermediate Care Facilities › Article 4 - Administration › Section 73531 - Patients with Communicable Disease

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Patients acquiring a communicable disease
				  while in the facility shall be transferred to an appropriate facility as soon
				  as possible. While awaiting transfer, the following requirements shall be met:
(1) Any patient diagnosed as having a
				  reportable communicable disease or being in a carrier state who the attending
				  physician determines is a potential danger to other patients or personnel,
				  shall be accommodated in a room provided with a separate toilet, handwashing
				  facility, soap dispenser and individual towels.
(2) The intermediate care facility shall
				  adopt and observe written procedures approved by the local health officer. Such
				  procedures shall be posted at the nurses' station or other appropriate
				  location. The procedures shall outline the technique to be used in the care of
				  patients with a communicable disease and shall include:
(A) Handwashing upon entering and leaving
				  patient's room.
(B) Proper handling
				  and disposal of infectious material.
(C) Procedures for medical and nursing
				  personnel providing for proper isolation techniques.
(D) Health education provided to the
				  patient.
(E) Proper handling of
				  dishes.
(F) Proper handling of
				  patient care equipment.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 4 - Intermediate Care Facilities › Article 4 - Administration › Section 73533 - Reporting of Communicable Disease

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Each facility shall report to the local health officer each
					 case of reportable communicable disease.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 4 - Intermediate Care Facilities › Article 4 - Administration › Section 73535 - Reporting of Outbreaks

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Each facility having knowledge of any outbreak or undue
					 prevalence of infectious or parasitic disease or infestation shall report the
					 facts promptly to the local health officer.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 4 - Intermediate Care Facilities › Article 4 - Administration › Section 73537 - Occurrence of Unusual Disease

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Each facility having knowledge of a case of an unusual
					 disease shall convey the facts promptly to the local health
					 officer.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 4 - Intermediate Care Facilities › Article 4 - Administration › Section 73539 - Unusual Occurrences

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Occurrences such as epidemic outbreaks, poisoning, fires,
					 major accidents, deaths from unnatural causes or other catastrophes and unusual
					 occurrences which threaten the welfare, safety or health of patients, personnel
					 or visitors shall be reported by the facility within 24 hours either by
					 telephone (and confirmed in writing) or by telegraph to the local health office
					 and the Department. An incident report shall be retained on file in the
					 facility. The facility shall furnish such other pertinent information related
					 to such occurrences as the local health officer or the Department may require.
					 Every fire or explosion which occurs in or on the premise shall be reported
					 within 24 hours to the local fire authority or in areas not having an organized
					 fire service, to 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 4 - Intermediate Care Facilities › Article 4 - Administration › Section 73541 - Annual Reports

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Each facility on or before the 15th day of February of each
					 year shall file with the Department upon forms furnished by the Department a
					 report for the preceding calendar year upon all matters requested 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 4 - Intermediate Care Facilities › Article 4 - Administration › Section 73543 - Patients' Health Records

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
				  Records shall be permanent, either typewritten or legibly written with pen and
				  ink and shall be kept on all patients admitted or accepted for treatment. All
				  health and social records of discharged patients shall be completed and filed
				  within 30 days and such records shall be kept for a minimum of seven years,
				  except for minors whose records shall be kept at least until one year after the
				  minor has reached the age of 18 but in no case less than seven years. If a
				  facility operates an X-ray unit, all exposed X-ray film shall be retained for
				  seven years. All required records, either originals or faithful and accurate
				  reproductions thereof, shall be maintained in such form as to be legible and
				  readily available upon request of the attending licensed healthcare
				  practitioner acting within the scope of his or her professional licensure, the
				  facility or any authorized officer, agent or employee of either or any other
				  person authorized by law to make such request.
(b) Information contained in the records
				  shall be treated as confidential and disclosed only to authorized
				  persons.
(c) If a facility ceases
				  operation, the Department shall be informed immediately of the arrangements
				  made for the safe preservation of the patients' records.
(d) The Department shall be informed in
				  writing immediately whenever patients' health records are defaced or destroyed
				  before termination of the required retention period.
(e) If the ownership of the facility changes,
				  both the licensee and the new applicant for the new license shall, prior to the
				  change of ownership, provide the Department with written documentation,
				  stating:
(1) That the new licensee will have
				  custody of the patients' records and these records will be available to the
				  former licensee, the new licensee and other authorized persons; or
(2) That other arrangements have been made by
				  the current licensee for the safe preservation and location of the patients'
				  health records, and that they are available to both the new and former
				  licensees and other authorized persons; or
(3) The reasons for the unavailability of
				  such patients' health records.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 4 - Intermediate Care Facilities › Article 4 - Administration › Section 73545 - Admission Records

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) A
				  facility shall complete for each patient an admission record which shall
				  include the following:
(1) Name and Social
				  Security number.
(2) Current
				  address.
(3) Age and date of
				  birth.
(4) Sex.
(5) Date of admission.
(6) Date of discharge.
(7) Name, address and telephone number of
				  person or agency responsible for patient and next of kin.
(8) Name, address and telephone number of
				  attending physician and of the podiatrist, dentist or clinical psychologist if
				  such practitioner is primarily responsible for the treatment of the
				  patient.
(9) Name, address and
				  telephone number of the designated alternate physician.
(10) Admission diagnosis, known allergies and
				  final diagnosis.
(11) Medicare and
				  Medi-Cal numbers when appropriate.
(12) An inventory including but not limited
				  to:
(A) Items of jewelry.
(B) Items of furniture.
(C) Radios, television and other
				  appliances.
(D) Prosthetic
				  devices.
(E) Other valuable items,
				  so identified by the patient, family or authorized
				  representative.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 4 - Intermediate Care Facilities › Article 4 - Administration › Section 73549 - 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 adopted. The program shall be developed with the advice and
				  assistance of qualified fire and safety experts and 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. A copy of the Program
				  shall be available on the premises for review by the Department.
(b) The program shall provide plans for local
				  disasters occurring in the community and widespread disasters. The written
				  program shall include 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
				  definitive care.
(6) Arrangements
				  for provision of transportation of patients including emergency housing where
				  indicated.
(7) Arrangements for
				  care of patients during transporting and while occupying emergency
				  housing.
(8) Disposition and care
				  of patients after evacuation of facility.
(9) A special disaster medical record, such
				  as an appropriately designed tag that accompanies the casualty as he is
				  moved.
(10) Procedures for the
				  prompt discharge or transfer of inpatients at the time of the disaster who can
				  be moved without jeopardy.
(11)
				  Maintaining security in order to keep relatives and curious persons out of the
				  triage area.
(12) Establishment of
				  a public information center and assignment of public relations liaison duties
				  to a responsible individual.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 4 - Intermediate Care Facilities › Article 4 - Administration › Section 73551 - 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 qualified fire, safety and other appropriate experts. A copy of
				  the program shall be available on the premises for review by the
				  Department.
(b) Program Coverage.
				  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.
(8)
				  List of persons and telephone numbers to call in the event of fire or
				  disaster.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 4 - Intermediate Care Facilities › Article 4 - Administration › Section 73553 - Disruption of Services

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Each intermediate care facility shall develop a written
					 plan to be used when a discontinuance or disruption of service
					 occurs.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 4 - Intermediate Care Facilities › Article 4 - Administration › Section 73555 - Patient Identification

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Each patient shall be provided with a wristband
					 identification tag or other means of identification at all times unless the
					 attending physician notes in the health record that the patient's condition
					 would not permit such identification. Minimum information shall include the
					 name of the patient and the name 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 4 - Intermediate Care Facilities › Article 4 - Administration › Section 73558 - Liability for Rent and Return of Rental Advance

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) This section shall apply to all hiring
				  agreements executed on or after January 1, 1979.
(b) Whenever accommodations in an
				  intermediate care facility are rented by or for a patient on a month to month
				  basis, the renter or his heir, legatee or personal representative shall not be
				  liable for any rent due under the rental agreement for accommodations beyond
				  the date on which the patient died.
(c) Any advance payment of rent by the renter
				  shall be returned to the heir, legatee or personal representative of the
				  patient no later than two weeks after the death of the patient.
(d) The rights described in subsections (b)
				  and (c) of this section shall not be modified or waived in the rental
				  agreement.
1. New
					 section filed 12-6-79; effective thirtieth day thereafter (Register 79, No.
					 49).
Note: Authority cited: Sections
						208
						and
						1275,
						Health and Safety Code. Reference: Section
						1934.5, Civil
						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 4 - Intermediate Care Facilities › Article 5 - Physical Plant › Section 73601 - 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 intermediate care facilities or new construction shall be in
				  conformance with Chapter 1, Division T17, Part 6, Title 24, California
				  Administrative Code.
(b)
				  Intermediate care facilities licensed and in operation prior to the effective
				  date of changes in construction regulations shall not be required to institute
				  corrective alterations or construction to comply with such new requirements
				  except where specifically required or where the Department determines that a
				  definite hazard to health and safety exists. Any intermediate care facility for
				  which preliminary or working drawings and specifications have been approved by
				  the Department prior to the effective date of changes to construction
				  regulations shall not be required to comply with such new requirements provided
				  substantial actual construction is commenced within one year of the effective
				  date of such new requirements.
(c)
				  All intermediate care facilities shall maintain in operating condition all
				  buildings, fixtures and spaces in the numbers and types as specified in the
				  construction requirements under which the intermediate care facility or unit
				  was first licensed.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 4 - Intermediate Care Facilities › Article 5 - Physical Plant › Section 73603 - Application for 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 (square
				  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 4 - Intermediate Care Facilities › Article 5 - Physical Plant › Section 73605 - 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 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 4 - Intermediate Care Facilities › Article 5 - Physical Plant › Section 73607 - Notice to Department

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
The Department shall be notified, in writing, by the owner
					 or licensee of the intermediate care facility, within five days of the
					 commencement of any construction, remodeling or alterations to such
					 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 4 - Intermediate Care Facilities › Article 5 - Physical Plant › Section 73609 - Patient Capacity

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) An
				  intermediate care facility shall not have more patients or beds set up for use
				  than the number for which it is licensed except in case of emergency when
				  temporary permission may be granted by the Director or his designee.
(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 given 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 4 - Intermediate Care Facilities › Article 5 - Physical Plant › Section 73611 - Patient Rooms

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
				  Each patient room shall be labeled with a number, letter or combination of the
				  two for identification.
(b) Each
				  resident shall be provided clean, comfortable and reasonably private living
				  accommodations with no more than four residents occupying a room.
(c) Residents shall be accommodated only in
				  rooms approved by the Department with the following minimum floor area:
(1) Single rooms: 10 square meters (110
				  square feet)
(2) Multibed rooms:
				  7.5 square meters (80 square feet per bed)
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 4 - Intermediate Care Facilities › Article 5 - Physical Plant › Section 73613 - Patients' 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 4 - Intermediate Care Facilities › Article 5 - Physical Plant › Section 73615 - Patients' Room Furnishings

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
A clean and comfortable bed with an adequate mattress,
					 pillow, blankets, bed linen, night stand, a comfortable arm chair and reading
					 lamp shall be provided for each bed licensed.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 4 - Intermediate Care Facilities › Article 5 - Physical Plant › Section 73617 - Recreation and Dining Areas

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Lounge, recreation and dining areas shall be provided apart
					 from sleeping quarters.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 4 - Intermediate Care Facilities › Article 5 - Physical Plant › Section 73619 - Provision for Privacy

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Visual privacy for each patient shall be provided in
					 patient rooms, tub, shower and toilet rooms. Doors providing access to the
					 corridor shall not be considered as meeting this requirement.
1. Editorial
					 correction of printing error restoring section heading (Register 91, No.
					 32).
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 4 - Intermediate Care Facilities › Article 5 - Physical Plant › Section 73621 - Public Telephone

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
				  A telephone shall be installed on each floor accommodating patients. This may
				  not be required in separate buildings having six beds or less which are
				  restricted to occupancy by ambulatory patients.
(b) The telephone shall be at appropriate
				  height for use by patients in wheelchairs.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 4 - Intermediate Care Facilities › Article 5 - Physical Plant › Section 73623 - Special Rooms

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Special rooms shall be maintained for the isolation of a
					 single patient in the ratio of one room for each 35 beds or major fraction
					 thereof. These rooms shall be used for isolation of patients with infectious
					 disease, acute or terminal illness or those who become agitated and create a
					 disturbance. At least one special room shall be maintained with adjoining
					 toilet and handwashing facilities which are not shared with other
					 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 4 - Intermediate Care Facilities › Article 5 - Physical Plant › Section 73625 - Nursing Stations

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
				  Nursing stations shall be maintained in each nursing unit or
				  building.
(b) Nursing stations
				  shall be maintained with a cabinet, a desk, space for records, a bulletin
				  board, a telephone and a specifically designated and well-illuminated medicine
				  storage compartment with a lockable door. If a separate medicine room is
				  maintained, it shall have a lockable door and a medicine sink with water
				  connections. If a nourishment refrigerator is used, the following standards
				  shall apply:
(1) Be located in a clean area
				  not subject to contamination by human waste and subject to the same conditions
				  specified in Section
				  73337(c).
(2) Maintain temperatures at or below 7°C
				  (45°F) for chilling.
(3)
				  Maintain freezer at or below minus 7°C (20°F).
(4) Have a reliable thermometer in
				  refrigerator at all times.
(5) Food
				  in the refrigerator subject to the same conditions as specified in Section
				  73345(b)(6).
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 4 - Intermediate Care Facilities › Article 5 - Physical Plant › Section 73627 - Central Supply and Sterilizing

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Intermediate care facilities having a
				  licensed bed capacity of 60 or more beds shall maintain a central supply and
				  sterilizing area which shall be adequate to maintain the following services,
				  spaces and equipment as a minimum:
(1) Work
				  space.
(2) Sterilizing
				  space.
(3) Storage space for
				  sterile supplies.
(4) Storage space
				  for unsterile supplies.
(5)
				  Equipment for clean-up and sterilization of dressings, utensils, supplies and
				  solutions.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 4 - Intermediate Care Facilities › Article 5 - Physical Plant › Section 73629 - Utility Rooms

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
				  Utility rooms shall be maintained in each nursing unit and shall be designed
				  for separation of clean and dirty work areas. The following spaces and
				  equipment shall be maintained as a minimum:
(1) Work counters.
(2) Cabinets.
(3) Rim-flush clinic sink with an integral
				  7.6 centimeters (3-inch) trap and waste-line flushometer valve and hot and cold
				  water supply.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 4 - Intermediate Care Facilities › Article 5 - Physical Plant › Section 73631 - Special Systems

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) A
				  nurses' call system shall be maintained in operating order in all nursing
				  units. Nurses' call systems shall be maintained in a manner that will provide
				  visible and audible signal communication between nursing personnel and
				  patients. The minimum requirements are:
(1) A
				  call station or stations providing detachable extension cords to each patient's
				  bed in the patients' rooms. These extension cords shall be readily accessible
				  to patients at all times unless attending physician orders otherwise.
(2) A visible signal in the corridor above
				  the corridor door of each patient's bedroom, visible from all parts of the
				  corridor.
(3) An audible signal and
				  a nurses' call annunciator indicating the room from which the call originates
				  or an alternate system, approved in writing by the Department, shall be located
				  at the nurses' station. The sounding of the audible signal shall be continuous
				  or intermittent until answered.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 4 - Intermediate Care Facilities › Article 5 - Physical Plant › Section 73633 - Handrails

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Corridors shall be equipped with handrails on each side
					 properly secured.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 4 - Intermediate Care Facilities › Article 5 - Physical Plant › Section 73635 - General Maintenance

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
				  The facility shall be clean, sanitary and in good repair at all times.
				  Maintenance shall include provision and surveillance of services and procedures
				  assuring safety and well-being of patients, staff and visitors.
(b) Buildings ad grounds shall be free of
				  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 facility.
(c) All buildings, fixtures, equipment and
				  spaces shall be maintained in operable condition.
(d) There shall be appropriate personnel for
				  preventive maintenance and to carry out the required maintenance
				  program.
(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 designed for 110-120 volts, 60 hertz current shall be equipped with a
				  three wire grounded power cord with a hospital grade three prong plug. The cord
				  shall be an integral part of the plug.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 4 - Intermediate Care Facilities › Article 5 - Physical Plant › Section 73637 - 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.
(b) A written record of inspection, cleaning
				  or replacement, including static pressure drop, shall be maintained and
				  available for inspection. The record shall include a description of the filters
				  originally installed, the efficiency rating according to "Standard 52.2-2017 --
				  Method of Testing General Ventilation Air-Cleaning Devices for Removal
				  Efficiency by Particle Size" (2017) by the American Society of Heating,
				  Refrigerating and Air-Conditioning Engineers (ASHRAE), hereby incorporated by
				  reference, and the criteria established by the manufacturer or supplier to
				  determine when replacement or cleaning is necessary.
(c) Following filter replacement or cleaning,
				  the installation shall be visually inspected for torn media and 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 this section have
				  been accommodated.
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 4 - Intermediate Care Facilities › Article 5 - Physical Plant › Section 73639 - Emergency Lighting and Power System

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Auxiliary lighting and power facilities
				  shall be readily available in case of necessity. Flashlights shall be in
				  readiness for use at all times. Open-flame type of light shall not be
				  used.
(b) The licensee shall
				  provide and maintain an emergency electrical system in safe operating condition
				  and in compliance with subdivisions (d), (e) and (f). The system shall serve
				  all lighting, signals, alarms and equipment required to permit continued
				  operation of all necessary functions of the facility for a minimum of six
				  hours.
(c) If the Department
				  determines that an evaluation of the emergency electrical system of a facility
				  or portion thereof, is necessary, the Department may require the licensee to
				  submit a report by a registered electrical engineer which shall establish a
				  basis for alteration of the system to provide reasonable compliance with
				  Subarticle E702-B, Part 3, Title 24, California Administrative Code (Emergency
				  Electrical Systems For Existing Nursing Homes). Essential engineering data,
				  including load calculations, assumptions and tests, and where necessary, plans
				  and specifications, acceptable to the Department, shall be submitted in
				  substantiation of the report. When corrective action is determined to be
				  necessary, the work shall be initiated and completed within an acceptable time
				  limit.
(d) The emergency lighting
				  and power system shall be maintained in operating condition to provide
				  automatic restoration of power for emergency circuits within 10 seconds after
				  normal power failure.
(e) Emergency
				  generators shall be tested as follows:
(1)
				  Non-diesel generators installed in intermediate care facilities shall be tested
				  under load conditions for at least 30 minutes at intervals of not less than 14
				  days.
(2) Diesel generators
				  installed in intermediate care facilities 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 4 - Intermediate Care Facilities › Article 5 - Physical Plant › Section 73641 - Storage and Disposal of Solid Waste

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Solid wastes shall be stored and
				  eliminated in a manner to preclude the transmission of communicable disease.
				  These wastes shall not be a nuisance or a breeding place for insects or rodents
				  nor be a food source for either.
(b) Solid waste containers shall be stored
				  and located in a manner that will protect against odors.
(c) Syringes and needles, before being
				  discarded into waste containers, shall be rendered unusable.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 4 - Intermediate Care Facilities › Article 5 - Physical Plant › Section 73643 - 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, closed when
				  not being loaded.
(2) Be in good
				  repair.
(3) Be leakproof.
(4) Be rodent proof unless stored in a room
				  or screened enclosure.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 4 - Intermediate Care Facilities › Article 5 - Physical Plant › Section 73645 - 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.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 4 - Intermediate Care Facilities › Article 5 - Physical Plant › Section 73647 - Gases for Medical Use

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
				  Gases for medical use covered by this section are: carbon dioxide,
				  cyclopropane, ethylene, helium, nitrous oxide, oxygen, helium-oxygen mixtures
				  and carbon dioxide-oxygen mixtures.
(b) Provision shall be made for safe handling
				  and storage of medical gas cylinders.
(c) Transfer of gas by facility personnel
				  from one cylinder to another shall be prohibited.
(d) All medical gas cylinders, pressure
				  regulators, wall outlets from piping systems and external removable connection
				  hoses used therewith shall, by physical design, be so constructed that
				  connections for different gases are not interchangeable. This standardization
				  shall be accomplished by installing permanent fittings as indicated in this
				  section:
(1) Outlet valves for small
				  compressed gas cylinders (Style E and smaller) shall conform with the Pin Index
				  Safety System contained in "V-1: Standard for Compressed Gas Cylinder Valve
				  Outlet and Inlet Connections" 15th Edition (2021),
				  by the Compressed Gas Association and the American National Standards
				  Institute, hereby incorporated by reference.
(2) Valve outlet connections for large
				  cylinders (Style F and larger) for oxygen and nitrous oxide shall conform with
				  the standards contained in "V-1: Standard for Compressed Gas Cylinder Valve
				  Outlet and Inlet Connections" 15th Edition (2021),
				  by the Compressed Gas Association and the American National Standards
				  Institute, hereby incorporated by reference. Standard Connection No. 540 shall
				  be used with oxygen cylinders and Standard Connection No. 326 shall be used
				  with nitrous oxide cylinders.
(3)
				  Removable exposed threaded connections, where employed in medical gas piping
				  systems and equipment used in conjunction with resuscitators and oxygen therapy
				  apparatus, shall be provided with noninterchangeable connections which conform
				  with Pamphlet "V-5: Diameter-Index Safety System (Noninterchangeable Low
				  Pressure Connections for Medical Gas Applications)"
				  7th Edition (2019) by the Compressed Gas
				  Association, hereby incorporated by reference.
(4) Station outlets from piped oxygen and
				  nitrous oxide systems shall conform with the standards contained in "NFPA 99:
				  Health Care Facilities Code" (2012) by the National Fire Protection
				  Association, hereby incorporated by reference.
(5) Removable connection hoses from outlets
				  shall be fitted with permanently connected fittings to match the standards
				  listed above in subsections (1), (2), (3) and (4).
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 4 - Intermediate Care Facilities › Article 5 - Physical Plant › Section 73649 - Water Supply and Plumbing

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
				  Where water for human consumption is from an independent source, it shall be
				  subjected to bacteriological analysis by the local health department, the State
				  Department or a licensed commercial laboratory at least every three months. A
				  copy of the most recent laboratory report shall be available for
				  inspection.
(b) Plumbing and
				  drainage facilities shall be maintained in compliance with Part 5, Title 24,
				  California Administrative Code, Basic Plumbing Requirements. Drinking water
				  supplies shall comply with Group 4, Subchapter 1, Chapter 5, Division T17, Part
				  6, of Title 24, California Administrative Code.
(c) Vacuum breakers shall be maintained in
				  operating condition where required by Section T17-210 (c), Division T17, Part
				  6, Title 24, California Administrative Code.
(d) Hot water temperature controls shall be
				  maintained to automatically regulate temperature of hot water delivered to
				  plumbing fixtures used by patients to attain a hot water temperature not less
				  than 40.5°C (105°F) and not more than 48.9°C (120°F).
(e) Hot water at a minimum temperature of
				  83°C (180°F) shall be maintained at the final rinse section of
				  dishwashing facilities unless alternate methods are approved by the
				  Department.
(f) Taps delivering
				  water at 51.6°C (125°F) or above shall be prominently identified by
				  warning signs in letters at least five centimeters (two inches) high. Special
				  precautions shall be taken to prevent the scalding of patients.
(g) Grab bars readily accessible to patients
				  shall be maintained at each toilet, bathtub and shower used by patients, where
				  required by Section T17-212 (b), Division T17, Part 6, of Title 24, California
				  Administrative Code.
(h) Toilet,
				  handwashing and bathing facilities shall be maintained in operating condition
				  and in the number and types specified in construction requirements in effect at
				  the time the building or unit was constructed. Those handwashing facilities
				  listed in Section T17-208, Division T17, Part 6, Title 24, California
				  Administrative Code, shall not be equipped with aerators.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 4 - Intermediate Care Facilities › Article 5 - Physical Plant › Section 73651 - Lighting

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) All rooms,
				  attics, basements, passageways and other spaces shall be provided with
				  artificial illumination.
(b)
				  Adequate illumination shall be provided for the comfort of patients, operating
				  functions in work areas and for the safety of patients and personnel.
(c) All patient rooms shall have a minimum of
				  30 lumens of light delivered to reading or working surfaces and not less than
				  10 lumens of light in the rest of the room.
(d) All corridors, storerooms, stairways,
				  ramps, exits and entrances shall have a minimum of five lumens of light
				  measured in the darkest corner.
(e)
				  Lighting fixtures shall have suitable enclosures to control fixture brightness
				  and to prevent accidental lamp breakage. Where exposed lamp fixtures are
				  permitted, such as, closets, storage spaces, equipment rooms and similar areas,
				  suitable guards shall be installed in locations where accidental lamp breakage
				  could be hazardous to personnel.