California Code of Regulations › Title 15 - Crime Prevention and Corrections › Division 1 - Board of State and Community Corrections › Chapter 1 - Board of State and Community Corrections › Subchapter 5 - Minimum Standards for Juvenile Facilities › Article 8 - Health Services › Section 1430 - Medical Clearance/Intake Health and Screening

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
The health administrator/responsible physician, in
						cooperation with the facility administrator and behavioral/mental health
						director shall establish policies and procedures for a documented intake health
						screening procedure to be conducted immediately upon entry to the facility.
						Policies and procedures shall also define when a health evaluation and/or
						treatment shall be obtained prior to acceptance for booking.
For adjudicated youth who are confined in any juvenile
						facility for successive stays, each of which totals less than 96 hours, the
						responsible physician shall establish a policy for a medical evaluation and
						clearance. This evaluation and clearance shall include screening for
						communicable disease.
The responsible physician shall establish criteria
						defining the types of apparent health conditions that would preclude acceptance
						of a youth into the facility without a documented medical clearance. The
						criteria shall be consistent with the facility's resources to safely hold the
						youth.
Intake personnel shall ensure that youth who are
						unconscious, semi-conscious, profusely bleeding, severely disorientated, known
						to have ingested substances, intoxicated to the extent that they are a threat
						to their own safety or the safety of others, in alcohol or drug withdrawal or
						otherwise urgently in need of medical attention shall be immediately referred
						to an outside facility for medical attention and clearance for booking.
Written documentation of the circumstances and reasons
						for requiring a medical clearance whenever a youth is not accepted for booking
						is required.
Written medical clearance, and when possible, a medical
						evaluation with progress notes are required for admission to the
						facility.
Procedures for an intake health screening shall consist
						of a defined, systematic inquiry and observation of every youth booked into the
						juvenile facility. The screening shall be conducted immediately upon entry to
						the facility and may be performed by either health care personnel or trained
						youth supervision staff.
Screening procedures shall include but not be limited
						to:
(a) Medical, dental and
					 behavioral/mental health concerns that may pose a hazard to the youth or others
					 in the facility;
(b) Health
					 conditions that require treatment while the youth is in the facility;
					 and,
(c) Identification of the need
					 for accommodations eg. physical or developmental disabilities, gender identity
					 or medical holds.
Any youth suspected to have a communicable disease that
						could pose a significant risk to others in the facility shall be separated from
						the general population pending the outcome of an evaluation by healthcare
						staff.
Procedures shall require timely referral for health care
						commensurate with the nature of any problems or complaint identified during the
						screening process.
1. New
						section filed 3-6-97; operative 4-5-97 (Register 97, No. 10).
2.
						Amendment of first paragraph and subsection (b) filed 6-23-2003; operative
						7-23-2003 (Register 2003, No. 26).
3. Amendment of section heading
						and section filed 11-14-2018; operative 1-1-2019 (Register 2018, No.
						46).
Note: Authority cited: Sections
						  210
						  and
						  885,
						  Welfare and Institutions Code; and Assembly Bill 1397, Chapter 12, Statutes of
						  1996. Reference: 1995-96 Budget Act, Chapter 303, Item Number 5430-001-001,
						  Statutes of 1995; Assembly Bill 904, Chapter 304, Statutes of 1995; and
						  Assembly Bill 1397, Chapter 12, Statutes of 1996.