reglab/statecodes huggingface dataset:
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 8.5 - Residential Care Facilities for the Chronically Ill › Article 6 - Continuing Requirements › Section 87874 - Transportation

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Only drivers
				  licensed for the type of vehicle operated shall be permitted to transport
				  residents.
(b) The manufacturer's
				  rated seating capacity of the vehicles shall not be exceeded.
(c) Motor vehicles used to transport
				  residents shall be maintained in a safe operating condition.
1. New
					 section filed 6-7-91 as an emergency; operative 6-7-91 (Register 91, No. 38). A
					 Certificate of Compliance must be transmitted to OAL by 10-7-91 or emergency
					 language will be repealed by operation of law on the following
					 day.
2. New section refiled 12-3-91 as an emergency; operative
					 12-3-91 (Register 92, No. 9). A Certificate of Compliance must be transmitted
					 to OAL 4-1-92 or emergency language will be repealed by operation of law on the
					 following day.
3. Certificate of Compliance as to 12-3-91 order
					 transmitted to OAL 4-1-92 and filed 5-13-92 (Register 92, No.
					 23).
Note: Authority cited: Section
						1568.072,
						Health and Safety Code. Reference: Sections
						1568.02
						and
						1568.072,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 8.5 - Residential Care Facilities for the Chronically Ill › Article 6 - Continuing Requirements › Section 87877 - Personal Services (Reserved)

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
1. New
					 section filed 6-7-91 as an emergency; operative 6-7-91 (Register 91, No. 38). A
					 Certificate of Compliance must be transmitted to OAL by 10-7-91 or emergency
					 language will be repealed by operation of law on the following
					 day.
2. New section refiled 12-3-91 as an emergency; operative
					 12-3-91 (Register 92, No. 9). A Certificate of Compliance must be transmitted
					 to OAL 4-1-92 or emergency language will be repealed by operation of law on the
					 following day.
3. Certificate of Compliance as to 12-3-91 order
					 transmitted to OAL 4-1-92 and filed 5-13-92 (Register 92, No.
					 23).
Note: Authority cited: Section
						1568.072,
						Health and Safety Code. Reference: Section
						1568.072,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 8.5 - Residential Care Facilities for the Chronically Ill › Article 6 - Continuing Requirements › Section 87878 - Responsibility for Providing Care and Supervision

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The licensee shall provide care and
				  supervision as necessary to meet the resident's needs.
1. New
					 section filed 6-7-91 as an emergency; operative 6-7-91 (Register 91, No. 38). A
					 Certificate of Compliance must be transmitted to OAL by 10-7-91 or emergency
					 language will be repealed by operation of law on the following
					 day.
2. New section refiled 12-3-91 as an emergency; operative
					 12-3-91 (Register 92, No. 9). A Certificate of Compliance must be transmitted
					 to OAL 4-1-92 or emergency language will be repealed by operation of law on the
					 following day.
3. Certificate of Compliance as to 12-3-91 order
					 transmitted to OAL 4-1-92 and filed 5-13-92 (Register 92, No.
					 23).
Note: Authority cited: Section
						1568.072,
						Health and Safety Code. Reference: Sections
						1568.02
						and
						1568.072,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 8.5 - Residential Care Facilities for the Chronically Ill › Article 6 - Continuing Requirements › Section 87879 - Activities (Reserved)

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
1. New
					 section filed 6-7-91 as an emergency; operative 6-7-91 (Register 91, No. 38). A
					 Certificate of Compliance must be transmitted to OAL by 10-7-91 or emergency
					 language will be repealed by operation of law on the following
					 day.
2. New section refiled 12-3-91 as an emergency; operative
					 12-3-91 (Register 92, No. 9). A Certificate of Compliance must be transmitted
					 to OAL 4-1-92 or emergency language will be repealed by operation of law on the
					 following day.
3. Certificate of Compliance as to 12-3-91 order
					 transmitted to OAL 4-1-92 and filed 5-13-92 (Register 92, No.
					 23).
Note: Authority cited: Section
						1568.072,
						Health and Safety Code. Reference: Section
						1568.072,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 8.5 - Residential Care Facilities for the Chronically Ill › Article 7 - Physical Environment › Section 87886 - Alterations to Existing Buildings or New Facilities

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Prior to construction or alterations, all
				  licensees shall notify the Department of the proposed change.
(b) The Department shall have the authority
				  to require that the licensee have a building inspection by a local building
				  inspector if the Department suspects that a hazard to the residents' health and
				  safety exists.
1. New
					 section filed 6-7-91 as an emergency; operative 6-7-91 (Register 91, No. 38). A
					 Certificate of Compliance must be transmitted to OAL by 10-7-91 or emergency
					 language will be repealed by operation of law on the following
					 day.
2. New section refiled 12-3-91 as an emergency; operative
					 12-3-91 (Register 92, No. 9). A Certificate of Compliance must be transmitted
					 to OAL 4-1-92 or emergency language will be repealed by operation of law on the
					 following day.
3. Certificate of Compliance as to 12-3-91 order
					 transmitted to OAL 4-1-92 and filed 5-13-92 (Register 92, No.
					 23).
Note: Authority cited: Section
						1568.072,
						Health and Safety Code. Reference: Section
						1568.072,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 8.5 - Residential Care Facilities for the Chronically Ill › Article 7 - Physical Environment › Section 87887 - Buildings and Grounds

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The
				  facility shall be clean, safe sanitary and in good repair at all times for the
				  safety and well-being of residents, employees, volunteers and visitors.
(1) The licensee shall take measures to keep
				  the facility free of flies and other insects.
(2) The licensee shall provide for the safe
				  disposal of water and other chemicals used for cleaning
				  purposes.
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 8.5 - Residential Care Facilities for the Chronically Ill › Article 7 - Physical Environment › Section 87888 - Fixtures, Furniture, Equipment and Supplies

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) A comfortable temperature for residents
				  shall be maintained at all times.
(1) The
				  licensee shall maintain the temperature in rooms that residents occupy between
				  a minimum of 68 degrees F (20 degrees C) and a maximum of 85 degrees F (30
				  degrees C).
(A) In areas of extreme heat the
				  maximum shall be 30 degrees F (16.6 degrees C) less than the outside
				  temperature.
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 8.5 - Residential Care Facilities for the Chronically Ill › Article 7 - Physical Environment › Section 87889 - Safety and Sanitation

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
				  Contaminated and hazardous waste, such as soiled diapers, used needles and
				  syringes, soiled surgical dressings, disposable wipes, gloves and other items
				  and/or equipment used for the hygienic care and treatment of residents shall be
				  disposed of by a hazardous waste company.
(1)
				  Needles and syringes shall be disposed of in a "container for sharps" provided
				  by the hazardous waste company.
(2)
				  The collection of the waste shall occur at least twice a month or more often if
				  needed.
(3) Contaminated and
				  hazardous waste shall be double bagged and stored in a locked bin/shed or other
				  area.
(4) The exterior of the
				  storage bins/sheds or other area designated for storing the contaminated waste
				  shall be clearly labeled "contaminated".
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 8.5 - Residential Care Facilities for the Chronically Ill › Article 7 - Physical Environment › Section 87889.1 - Animals and Pets in Facilities

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Animals and pets shall be permitted in
				  the facility under the following conditions:
(1) Litter boxes shall not be kept in
				  residents' bedrooms or bathrooms, kitchens or dining rooms.
(2) Litter boxes shall be cleaned
				  daily.
(3) Residents shall not be
				  allowed to clean the litter boxes.
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 8.5 - Residential Care Facilities for the Chronically Ill › Article 8 - Medical and Health Related Care › Section 87890 - Allowable Conditions

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
				  A licensee may accept or retain the following residents whose condition has
				  been diagnosed as chronic and life threatening and who require different levels
				  of care, except those conditions as specified in Section
				  87891:
(1) Residents whose illness is in a state of
				  remission.
(2) Residents whose
				  illness is intensifying and causing a deterioration in their condition,
				  provided they do not require inpatient care in an Acute Care Hospital or a
				  skilled nursing facility as determined by the resident's physician.
(3) Residents whose condition has
				  deteriorated to a point where death is imminent.
(4) Residents who have in addition to (a)
				  above, other medical conditions or needs or require the use of medical
				  equipment including the following:
(A)
				  Diabetes
(B) Colostomy
(C) Ileostomy
(D) Tracheotomy
(E) Gastrostomy
(F) Total Parenteral Nourishment
(G) Intermittent Intravenous
				  Therapy
(H) Wounds
(I) Dermal Ulcers
(J) Nasal Gastric Tube Feeding
(K) Indwelling Catheters
(L) Intermittent Catheterization
(M) External Catheters
(N) Incontinence
(O) Oxygen Administration
(P) Dementia
(Q) Other medical conditions which may
				  confine the residents to bed.
(R)
				  Noncommunicable Tuberculosis
(5) The licensee shall request an approval to
				  accept or retain residents who have medical conditions or needs or require use
				  of medical equipment not specified in (4) above.
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 8.5 - Residential Care Facilities for the Chronically Ill › Article 8 - Medical and Health Related Care › Section 87891 - Prohibited Conditions

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
				  The licensee shall not accept or retain a resident who:
(1) Requires in-patient care in an acute
				  hospital.
(2) Requires treatment
				  and/or observation by the appropriately skilled professionals for more than
				  eight hours per day in the facility.
(3) Has communicable tuberculosis or any
				  other reportable disease as specified in Title 17, California Code of
				  Regulations, Sections
				  2500,
				  2502 and
				  2503.
(A) This requirement is not applicable to
				  AIDS.
(4) Requires
				  24-hour intravenous therapy.
(5)
				  Has a psychiatric condition(s) and is exhibiting behaviors which could present
				  a danger to self or others.
(6) Has
				  a stage III or greater decubitus ulcer.
(7) Requires renal dialysis treatment in the
				  facility.
(8) Requires life support
				  systems, including, but not limited to, ventilators and respirators.
(9) Has a diagnosis that does not include one
				  denoting a chronic life-threatening illness.
(10) Has a primary diagnosis of
				  Alzheimers.
(11) Has a primary
				  diagnosis of Parkinson's Disease.
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 8.5 - Residential Care Facilities for the Chronically Ill › Article 8 - Medical and Health Related Care › Section 87893 - General Requirements for Allowable Conditions

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The licensee shall complete and maintain
				  a current, written record of the medical care for each resident that includes,
				  but is not limited to, the following:
(1)
				  Documentation from the physician of the following:
(A) Condition(s) which requires medical
				  services;
(B) Treatment
				  ordered;
(C) Resident's ability to
				  perform the required medical procedure; and
(D) The classification of the appropriately
				  skilled professional who will perform the medical procedure, if the resident
				  needs assistance.
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 8.5 - Residential Care Facilities for the Chronically Ill › Article 8 - Medical and Health Related Care › Section 87894 - Resident Medical Assessments

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
				  Prior to or within 30 days of the acceptance of a resident, the licensee shall
				  obtain a written medical assessment of the resident which enables the licensee
				  to determine his/her ability to provide the necessary health-related services
				  required by to the resident's medical condition.
(1) Such assessment shall be performed by, or
				  under the supervision of, a licensed physician, and shall not be more than
				  three months old when obtained.
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 8.5 - Residential Care Facilities for the Chronically Ill › Article 8 - Medical and Health Related Care › Section 87895 - Functional Capabilities

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
				  The licensee shall ensure that an assessment of the person's functional
				  capabilities is completed, including activities of daily living, which include,
				  but are not limited to the following:
(1)
				  Bathing, including need for assistance:
(A) In
				  getting in and out of the bath/shower.
(B) In bathing one or more parts of his/her
				  body.
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 8.5 - Residential Care Facilities for the Chronically Ill › Article 8 - Medical and Health Related Care › Section 87895.5 - Infection Control Requirements

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) A licensee shall ensure that infection
				  control practices are maintained as follows:
(1) All staff and volunteers shall perform
				  hand hygiene.
(A) Hand hygiene shall include
				  hand washing with soap and water or using an alcohol-based sanitizer or any
				  other sanitizing method recommended by a medical professional, local health
				  official, health department, or other research-based medical
				  authority.
(B) Hand hygiene shall
				  be conducted as follows:
1. Immediately
				  before and after resident care.
2.
				  Before and after handling, preparing or eating foods.
3. Before and after assisting with
				  medications.
4. After contact with
				  blood, body fluids or other potentially infectious material, or contaminated
				  surfaces.
5. Immediately before
				  putting gloves on and immediately after removing gloves.
6. When hands are visibly soiled.
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 8.5 - Residential Care Facilities for the Chronically Ill › Article 8 - Medical and Health Related Care › Section 87896 - Resident Individual Services Plan/Team

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The licensee shall ensure that there is
				  an Individual Services Plan for each resident, developed by the Individual
				  Services Team, as specified in Subsection (b).
(1) The licensee shall ensure that there
				  shall be a Registered Nurse Case Manager who is responsible for the
				  coordination and/or the provisions of the services specified in the Individual
				  Services Plan.
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 8.5 - Residential Care Facilities for the Chronically Ill › Article 8 - Medical and Health Related Care › Section 87896.1 - Resident Services

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The
				  licensee shall ensure that, in addition to the services required in the
				  Resident's Individual Services Plan, each resident's weight shall be taken and
				  documented in the resident's record, as specified in Section
				  87870:
(b) The licensee shall ensure that any
				  resident who has to be transferred to an acute hospital or transported to the
				  emergency room of an acute hospital is either:
(1) Accompanied by a facility staff person,
				  who can either provide information verbally or written documentation which will
				  ensure continuity of care to the resident.
OR
(2)
				  If the resident is not accompanied by a facility staff person, the licensee
				  must ensure that written documentation is sent with him/her which will ensure
				  continuity of care.
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 8.5 - Residential Care Facilities for the Chronically Ill › Article 8 - Medical and Health Related Care › Section 87897 - Oxygen Administration

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The licensee shall be permitted to accept
				  or retain a resident who requires the use of oxygen administration, under the
				  following circumstances:
(1) The resident is
				  mentally and physically capable of operating the equipment, is able to
				  determine his/her need for oxygen, and is able to administer it him/herself.
OR
(2)
				  The administration of the oxygen is under the supervision of an appropriately
				  skilled professional.
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 8.5 - Residential Care Facilities for the Chronically Ill › Article 8 - Medical and Health Related Care › Section 87898 - Colostomy/Ileostomy

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The licensee
				  shall be permitted to accept or retain a resident who has a colostomy or
				  ileostomy under the following circumstances:
(1) The resident is mentally and physically
				  capable of providing all routine care for his/her ostomy, and the
				  physician/surgeon has documented that the ostomy is completely healed.
OR
(2)
				  Assistance in the care of the ostomy is provided by an appropriately skilled
				  professional.
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 8.5 - Residential Care Facilities for the Chronically Ill › Article 8 - Medical and Health Related Care › Section 87899 - Enema and/or Suppository and Fecal Impaction Removal

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The licensee shall be permitted to accept
				  or retain a resident who requires manual fecal impaction removal, enemas, or
				  use of suppositories under the following circumstances:
(1) The resident is capable of
				  self-care.
(2) Manual fecal
				  impaction, enemas, and/or suppositories shall be permitted if administered
				  according to physician's orders by either the resident or an appropriately
				  skilled professional.
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 8.5 - Residential Care Facilities for the Chronically Ill › Article 8 - Medical and Health Related Care › Section 87900 - Indwelling Urinary Catheter/Catheter Procedure/Intermittent Catheterization

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The licensee shall be permitted to accept
				  or retain a resident who requires the use of an indwelling catheter and/or
				  intermittent catheterization under the following circumstances:
(1) The resident is physically and mentally
				  capable of caring for all aspects of the condition except insertion and
				  irrigation.
OR
(2)
				  The care is performed by the appropriately skilled professional.
(A) Irrigation shall only be performed by the
				  appropriately skilled professional in accordance with the physician's
				  orders.
(B) A catheter shall only
				  be inserted and removed by an appropriately skilled professional in accordance
				  with physician's orders.
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 8.5 - Residential Care Facilities for the Chronically Ill › Article 8 - Medical and Health Related Care › Section 87901 - External Catheters

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
				  The licensee shall be permitted to accept or retain a resident who requires the
				  use of an external catheter under the following circumstances:
(1) The resident is physically and mentally
				  capable of self care.
OR
(2)
				  The direct care staff have been instructed by the appropriately skilled
				  professional in the application and care of the appliance.
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 8.5 - Residential Care Facilities for the Chronically Ill › Article 8 - Medical and Health Related Care › Section 87902 - Managed Bowel and/or Bladder Incontinence

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The licensee shall be permitted to accept
				  or retain a resident who has a manageable bowel and/or bladder incontinence
				  condition if the condition can be managed by:
(1) Self-care by the resident.
(2) A program of scheduled toileting at
				  regular intervals.
(3) The use of
				  incontinent care products to keep the resident clean and dry at all
				  times.
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 8.5 - Residential Care Facilities for the Chronically Ill › Article 8 - Medical and Health Related Care › Section 87903 - Diabetes

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The licensee
				  shall be permitted to accept or retain a resident who has diabetes under the
				  following circumstances:
(1) The resident is
				  physically and mentally capable of self-care, which includes:
(A) The ability to perform his/her own
				  glucose testing of blood or urine specimens; and
(B) The ability to administer his/her own
				  medication, orally or by injection.
OR
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 8.5 - Residential Care Facilities for the Chronically Ill › Article 8 - Medical and Health Related Care › Section 87904 - Injections

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The licensee
				  shall be permitted to accept or retain a resident who requires intravenous,
				  intramuscular, subcutaneous, or intradermal injections under the following
				  circumstances:
(1) The resident is physically
				  and mentally capable of administering his/her own injections; or
(2) The resident's injections are
				  administered by the appropriately skilled professional.
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 8.5 - Residential Care Facilities for the Chronically Ill › Article 8 - Medical and Health Related Care › Section 87905 - Wounds

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The licensee
				  shall be permitted to accept or retain a resident who has a wound under the
				  following circumstances:
(1) When care is
				  performed by or under the supervision of the appropriately skilled
				  professional.
(2) If the wound
				  becomes infected, all aspects of care must be performed by the appropriately
				  skilled professional.
(3) For
				  residents with Stage I or II decubitus ulcer, the condition must be diagnosed
				  by a physician and care for the decubitus ulcer must be given by the
				  appropriately skilled professional.
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 8.5 - Residential Care Facilities for the Chronically Ill › Article 8 - Medical and Health Related Care › Section 87906 - Transfer Dependency

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
				  The licensee shall be permitted to accept or retain a resident who cannot
				  independently transfer to and from bed and/or chair, under the following
				  circumstances:
(1) An appropriate fire
				  clearance is obtained.
(2)
				  Sufficient direct care staff are available to meet the special needs of the
				  resident.
(3) The local fire
				  department is notified by the licensee and the dates and times of these
				  contacts are documented.
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 8.5 - Residential Care Facilities for the Chronically Ill › Article 8 - Medical and Health Related Care › Section 87907 - Dementia

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The licensee
				  shall be permitted to accept or retain a resident who has been diagnosed as
				  having "dementia", under the following circumstances:
(1) The resident does not present a danger to
				  him/herself.
(2) The resident's
				  behavior does not pose a threat or danger to other residents or the facility
				  staff.
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 8.5 - Residential Care Facilities for the Chronically Ill › Article 8 - Medical and Health Related Care › Section 87908 - Tracheostomy

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The licensee
				  shall be permitted to accept or retain a resident who has had a tracheostomy
				  tube inserted if the resident is physically and mentally able to perform all
				  aspects of care or all aspects of care of the tracheostomy, including
				  suctioning, are performed by an appropriately skilled professional as defined
				  in Section
				  87801(a)(6).
(b) The appropriately skilled professional
				  shall document in the resident's file all aspects of care performed.
1. New
					 section filed 6-7-91 as an emergency; operative 6-7-91 (Register 91, No. 38). A
					 Certificate of Compliance must be transmitted to OAL by 10-7-91 or emergency
					 language will be repealed by operation of law on the following
					 day.
2. New section refiled 12-3-91 as an emergency; operative
					 12-3-91 (Register 92, No. 9). A Certificate of Compliance must be transmitted
					 to OAL 4-1-92 or emergency language will be repealed by operation of law on the
					 following day.
3. Certificate of Compliance as to 12-3-91 order
					 transmitted to OAL 4-1-92 and filed 5-13-92 (Register 92, No.
					 23).
4. Amendment filed 11-4-96; operative 12-4-96 (Register 96, No.
					 45).
Note: Authority cited: Section
						1568.072,
						Health and Safety Code. Reference: Sections
						1568.03
						and
						1568.072,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 8.5 - Residential Care Facilities for the Chronically Ill › Article 8 - Medical and Health Related Care › Section 87909 - Total Parenteral Nourishment

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
				  The licensee shall be permitted to accept or retain a resident who receives
				  nourishment through a Hickman Tube (or equivalent), under the following
				  circumstances:
(1) The resident is physically
				  and mentally able to perform all aspects of the procedure him/herself.
OR
(2)
				  All aspects of the feeding and tube care are performed by the appropriately
				  skilled professional.
(A) The appropriately
				  skilled professional shall document in the resident's file all aspects of care
				  performed.
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 8.5 - Residential Care Facilities for the Chronically Ill › Article 8 - Medical and Health Related Care › Section 87910 - Gastrostomy Tube Feeding

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The
				  licensee shall be permitted to accept or retain a resident who requires feeding
				  through a gastrostomy tube, under the following circumstances:
(1) The resident is physically and mentally
				  able to perform all aspects of the procedure him/herself.
OR
(2)
				  All aspects of the feeding and tube care are performed by the appropriately
				  skilled professional.
(A) The appropriately
				  skilled professional shall document in the resident's file all aspects of care
				  performed.
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 8.5 - Residential Care Facilities for the Chronically Ill › Article 8 - Medical and Health Related Care › Section 87911 - Naso-Gastric Tube Feeding

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
				  The licensee shall be permitted to accept or retain a resident who requires
				  feeding through a naso gastric tube, under the following circumstances:
(1) The resident is physically and mentally
				  able to perform all aspects of the procedure him/herself.
OR
(2)
				  All aspects of the feeding and tube care are performed by the appropriately
				  skilled professional.
(A) The appropriately
				  skilled professional shall document in the resident's file all aspects of care
				  performed.
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 8.5 - Residential Care Facilities for the Chronically Ill › Article 8 - Medical and Health Related Care › Section 87912 - Care of Residents Confined to Bed

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The licensee shall be permitted to accept
				  or retain a resident who is confined to bed, if the requirements of (a)(1) and
				  (2) below are met.
(1) All licensees shall
				  ensure that the equipment and appliances are available to assist and protect
				  the residents who are confined to bed.
(2) The equipment and appliances shall
				  include, but not be limited to:
(A) An
				  egg-crate mattress (or equivalent to relieve pressure).
(B) Heel and elbow protectors.
(C) Partial bed rails.
(D) Screens and/or curtains to ensure privacy
				  if the resident shares a room with another resident.
(E) Over-bed table.
(F) Bedside commode.
(G) Urinal.
(H) Bed Pan.
(I) Wheelchair.
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 8.5 - Residential Care Facilities for the Chronically Ill › Article 8 - Medical and Health Related Care › Section 87913 - Smoking

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The licensee
				  shall prohibit smoking in the facility, except in a designated area.
(1) This prohibition shall be applicable to
				  both residents and facility personnel.
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 8.5 - Residential Care Facilities for the Chronically Ill › Article 8 - Medical and Health Related Care › Section 87914 - Medications

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) In facilities
				  which accept or retain residents who require assistance with the taking of
				  medications, the following shall apply.
(b) Assistance with medications shall be
				  given by:
(1) The licensee, if he/she has the
				  qualifications specified in Section
				  87865.
(2) The administrator, if he/she has the
				  qualifications specified in Section
				  87865.
(3) The facility house manager.
(4) Paid direct care
				  staff.
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 8.5 - Residential Care Facilities for the Chronically Ill › Article 8 - Medical and Health Related Care › Section 87915 - Storage of Medications

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
				  The following requirements shall apply to medications which are centrally
				  stored:
(1) Medications shall be kept in a
				  safe and locked place that is not accessible to persons other than employees
				  responsible for the supervision of the centrally stored medication.
(A) Keys used to secure the medications shall
				  not be accessible to residents.
(B)
				  Medications which require refrigeration shall be stored in a locked
				  container.
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 8.5 - Residential Care Facilities for the Chronically Ill › Article 8 - Medical and Health Related Care › Section 87916 - Self-Administered Medications

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
				  Residents who are physically and mentally able to be responsible for their own
				  medications shall be permitted to do so under the following circumstances:
(1) All members of the Individual Services
				  Team are in agreement.
(2) The
				  resident's Individual Services Plan includes a statement that the resident is
				  capable of self administration of medication.
(3) The licensee provides the resident with a
				  locked container in which to store the medications.
(4) There is more than one key to the
				  container. One key shall be given to the resident and the others kept by direct
				  care staff.
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 8.5 - Residential Care Facilities for the Chronically Ill › Article 8 - Medical and Health Related Care › Section 87918 - Medication Procedures

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
				  The appropriately skilled professional shall not pre-pour medication which has
				  not been prepackaged pursuant to Section
				  87914(f) more
				  than 12 hours prior to being taken by the resident.
(b) Pre-poured medications shall be stored in
				  a locked area.
(c) The name of the
				  resident shall be on each medication cup and/or other utensil used in the
				  distribution of medications.
(d)
				  Direct care staff shall observe the taking of the medication by the
				  resident.
(e) No resident shall be
				  forced to take any medication.
(f)
				  Medication shall not be disguised in food or liquid without the resident's
				  knowledge and permission.
(g) The
				  appropriately skilled professional shall not give more medication than
				  prescribed or make any decisions to withhold medications without consultation
				  with the physician.
(1) When the resident
				  refuses medication, it shall be documented on the resident's medication record
				  and the prescribing physician and the Registered Nurse Case Manager shall be
				  contacted.
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 8.5 - Residential Care Facilities for the Chronically Ill › Article 8 - Medical and Health Related Care › Section 87919 - Medication Documentation

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The licensee shall ensure the
				  maintenance, for each resident, of a record of centrally stored medications
				  other than scheduled and controlled drugs/medications which is retained for at
				  least three years and includes the following:
(1) The name of the resident for whom the
				  medication is prescribed.
(2) The
				  name of the prescribing physician.
(3) The medication name, strength and
				  quantity.
(4) The date
				  filled.
(5) The prescription number
				  and the name of the issuing pharmacy.
(6) Expiration date.
(7) Number of refills.
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 8.5 - Residential Care Facilities for the Chronically Ill › Article 8 - Medical and Health Related Care › Section 87920 - Scheduled and Controlled Drugs/Medications

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) For medications/drugs determined by the
				  Drug Enforcement Administration to be in the categories of "Scheduled or
				  Controlled", the following shall apply:
(1)
				  The licensee shall be responsible for obtaining a list from the pharmacist of
				  the scheduled and/or controlled drugs in use in the facility.
(2) All such drugs/medications shall be
				  centrally stored.
(3) All such
				  drugs shall be kept in a locked container inside a safe locked place.
(4) There shall be one key only for the
				  locked container which is held by the administrator or designated person who is
				  on the premises at the time.
(5) At
				  the change of shift the incoming staff person shall count the medications/drugs
				  with the outgoing staff person and obtain the key for the locked
				  medication.
(6) There shall be a
				  separate medication record maintained regarding the giving of the
				  medication/drug which shall contain:
(A) Name
				  of the resident.
(B) Name of
				  medication/drug, strength and dosage.
(C) Prescribing physician.
(D) Dispensing pharmacist.
(E) Number of pills dispensed.
(F) Time and date medication/drug was
				  taken.
(G) Results of pain
				  medication/drug.
(H) Side effects,
				  if any.
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 8.5 - Residential Care Facilities for the Chronically Ill › Article 8 - Medical and Health Related Care › Section 87920.1 - Disposal of Scheduled and Controlled Drugs/Medications

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) There shall be written instructions
				  regarding the disposition of scheduled and controlled drugs/medication under
				  the following conditions:
(1) The resident's
				  physician orders that the resident discontinue taking the
				  medications.
(2) The resident's
				  facility placement is terminated.
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 8.5 - Residential Care Facilities for the Chronically Ill › Article 8 - Medical and Health Related Care › Section 87921 - PRN Medications

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
				  The licensee shall be permitted to accept or retain a resident who requires PRN
				  medications (as needed medications) including prescription or nonprescription
				  medications under one of the following circumstances:
(1) The resident is able to determine his/her
				  own need for the PRN medication.
OR
(2)
				  There is a Registered Nurse or a Licensed Vocational Nurse on the facility
				  premise and available to make the determination for the PRN medication if the
				  resident cannot determine his/her own need prior to each dose being taken by
				  the resident.
OR
(3) A
				  physician is contacted to make the determination for the PRN medication if the
				  resident cannot determine his/her own need prior to each dose being taken by
				  the resident.
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 8.5 - Residential Care Facilities for the Chronically Ill › Article 8 - Medical and Health Related Care › Section 87922 - Disposal of Routine Prescription Medications

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Prescription medications which are not
				  taken with the resident upon termination of placement, or which are not to be
				  retained shall be destroyed by the facility administrator and the facility
				  manager.
(1) Both shall sign a record, to be
				  retained for at least three years, which lists the following:
(A) Name of the resident.
(B) The prescription number and the name of
				  the pharmacy.
(C) The medication
				  name, strength and quantity destroyed.
(D) The date of destruction.
(E) Method of
				  destruction.
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 8.5 - Residential Care Facilities for the Chronically Ill › Article 8 - Medical and Health Related Care › Section 87923 - First Aid Requirements

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
				  All direct care staff and the facility manager shall have first aid training
				  from persons qualified by agencies including, but not limited to, the American
				  Red Cross.
(1) A copy of the current First
				  Aid card shall be maintained in the personnel record.
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 8.5 - Residential Care Facilities for the Chronically Ill › Article 8 - Medical and Health Related Care › Section 87924 - DO Not Resuscitate Order

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) A licensee shall not be required to
				  accept or retain a resident who has or requests a Do Not Resuscitate
				  Order.
(b) All of the following
				  conditions shall be met in order for a licensee to ensure that the Do Not
				  Resuscitate Order is implemented:
(1) The
				  resident or the individual who holds Durable Power of Attorney for Health Care
				  of the resident has signed and dated a Do Not Resuscitate Directive.
(A) The resident or the individual who holds
				  Durable Power of Attorney for Health Care of the resident shall have the right
				  to rescind the Do Not Resuscitate Directive.
1. The rescinding statement may be given
				  either verbally or in writing. For verbal rescinding statements, the licensee
				  shall ensure that the rescission is documented immediately in the resident's
				  record.
2. Effective immediately
				  upon the rescinding of the Do not Resuscitate Directive, the Do Not Resuscitate
				  Order shall no longer be applicable.
3. The licensee shall ensure that the
				  resident s primary care physician is contacted immediately to rescind the Do
				  Not Resuscitate Order and the contact is documented in the resident's
				  record.
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 8.5 - Residential Care Facilities for the Chronically Ill › Article 8 - Medical and Health Related Care › Section 87925 - Automated External Defibrillators (AEDs)

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) A licensee is permitted to maintain and
				  operate an AED at the facility if all of the following requirements are met:
(1) The licensee shall notify the licensing
				  agency in writing that an AED is in the facility and will be used in accordance
				  with all applicable federal and other state requirements.
(2) The AED shall be used in accordance with
				  all applicable federal and other state requirements.
(3) The licensee shall maintain at the
				  facility the following:
(A) A copy of the
				  required physician's prescription for the AED.
(B) A training manual from an American Heart
				  Association- or American Red Cross-recognized AED training class.
(C) A log of checks of operation of the AED
				  containing the dates checked and the name of person checking.
(D) A copy of a valid AED operator's
				  certificate for any employee(s) authorized by the licensee to operate the AED.
				  The certificate shall indicate that the AED training course completed complies
				  with the standards of the American Heart Association or the American Red Cross.
				  If it does not, then other evidence indicating that the AED training course
				  completed complies with the standards of the American Heart Association or the
				  American Red Cross shall be available at the facility.
(E) A log of quarterly proficiency
				  demonstrations for each holder of an AED operator's certificate who is
				  authorized by the licensee to operate the AED. The log shall contain the dates
				  of the demonstrations and the manner of demonstration.
(4) A supply kit shall be maintained at the
				  facility and be readily available for use with the AED. The kit shall contain
				  at least the following:
(A) A back-up battery
				  set.
(B) An extra set of
				  pads.
(C) A safety razor for
				  shaving chest hair when necessary to apply the pads.
(D) A cardiovascular pulmonary resuscitation
				  barrier (a face shield or mask) for protection from transmission of infectious
				  disease.
(E) Two pairs of unused
				  medical examination gloves (latex or non-latex).
(5) Any use of an AED shall be reported as
				  specified in Section
				  87861(b).
(6) Requests to Forego Resuscitative
				  Measures, Advance Directives and Do-Not-Resuscitate Orders shall be observed as
				  specified in Section
				  87924.
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 8.8 - Foster Family Agencies › Article 1 - General Requirements and Definitions › Section 88000 - General

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Foster family
				  agencies as defined in Section
				  88001(f)(1) shall
				  be governed by the provisions in this chapter. In addition, such foster family
				  agencies, except where specified otherwise in this chapter, shall be governed
				  by Chapter 1, General Licensing Requirements.
(b) Where the term, "facility," is used in
				  Chapter 1, General Licensing Requirements, it includes all components of a
				  foster family agency program including its administrative function, the
				  operation of certified family homes and the subsequent placement of
				  children.
1. New
					 chapter 8.8 and section filed 9-30-93; operative 11-1-93 (Register 93, No.
					 40).
Note: Authority cited: Section
						1530,
						Health and Safety Code. Reference: Sections
						1502,
						1506
						and
						1530,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 8.8 - Foster Family Agencies › Article 1 - General Requirements and Definitions › Section 88001 - Definitions

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
In addition to Section
					 80001, the following shall
					 apply:
(a)
(1) "Administrative Office" means the central
				  administrative headquarters of the foster family agency and specified on the
				  license(s) as such.
(2)
				  "Administrator" means the person designated by the Board of Directors to be
				  responsible for the operation of the foster family agency.