California Code of Regulations › Title 17 - Public Health › Division 2 - Health and Welfare Agency-Department of Developmental Services Regulations › Chapter 3 - Community Services › Subchapter 23 - Community Crisis Homes › Article 7 - Records Maintenance › Section 59012 - Consumer Files

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Each facility shall maintain individual consumer files
						for each consumer. Consumer files shall be available on site at the facility,
						which may be stored as electronic records, and shall be made available for
						review, inspection, audit, or copy upon request. Each individual consumer file
						shall contain at least the following:
(a) Medical assessment required in Section
					 59009(c)(1);
(b) Individual Behavior Supports
					 Plans;
(c) Updated Individual
					 Behavior Supports Plan(s);
(d)
					 Emergency contact information;
(e)
					 Current Individual Program Plan;
(f) Special incident reports, pursuant to
					 Section 54327;
(g) Data collection, including but not
					 limited to, progress notes, professional/consultant visits and
					 interventions/outcomes;
(h) Record
					 of medications administered, including the initials of the staff providing
					 assistance;
(i) Functional Behavior
					 Assessment(s) required in Section
					 59009(e)(2)(A);
(j) Debrief documentation required in Section
					 59010.4(f);
					 and
(k) Any other records
					 containing current emergency or health-related information for current
					 consumers.
1. New
						section filed 3-20-2017 as an emergency; operative 3-20-2017 (Register 2017,
						No. 12). Pursuant to Welfare and Institutions Code section
						4698.1(b),
						a Certificate of Compliance must be transmitted to OAL by 3-19-2019 or
						emergency language will be repealed by operation of law on the following
						day.
2. Certificate of Compliance as to 3-20-2017 order, including
						amendment of first paragraph and subsections (b) and (f), transmitted to OAL
						2-8-2019 and filed 3-25-2019; amendments operative 3-25-2019 pursuant to
						Government Code section
						11343.4(b)(3)
						(Register 2019, No. 13).
3. Amendment of subsections (d), (f) and
						(g) and new subsections (h)-(j) filed 6-25-2021 as a deemed emergency;
						operative 6-25-2021 (Register 2021, No. 26). Pursuant to Welfare and
						Institutions Code section
						4698.1(b),
						a Certificate of Compliance must be transmitted to OAL by 6-25-2023 or
						emergency language will be repealed by operation of law on the following
						day.
4. Amendment of subsections (d), (f) and (g) and new
						subsections (h)-(j) refiled 4-25-2022 as a deemed emergency; operative
						4-25-2022 (Register 2022, No. 17). Pursuant to Welfare and Institutions Code
						section
						4698.1(b),
						a Certificate of Compliance must be transmitted to OAL by 6-25-2023 or
						emergency language will be repealed by operation of law on the following
						day.
5. Amendment of subsections (d), (f) and (g) and new
						subsections (h)-(j) refiled 7-25-2022 as a deemed emergency; operative
						7-25-2022 (Register 2022, No. 30). Pursuant to Welfare and Institutions Code
						section
						4698.1(b),
						a Certificate of Compliance must be transmitted to OAL by 6-25-2023 or
						emergency language will be repealed by operation of law on the following
						day.
6. Updating certificate of compliance information in History 3,
						4 and 5.
7. Certificate of Compliance as to 7-25-2022 order,
						including amendment of section, transmitted to OAL 5-30-2023 and filed
						7-12-2023; amendments effective 7-12-2023 pursuant to Government Code section
						11343.4(b)(3)
						(Register 2023, No. 28).
Note: Authority cited: Sections
						  4698
						  and
						  4698.1,
						  Welfare and Institutions Code. Reference: Sections
						  4698
						  and
						  4698.1,
						  Welfare and Institutions Code.