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 10 - Adult Day Health Centers › Article 2 - License › Section 78203 - License Required

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
				  Each corporation, company, partnership, or city or county government, which
				  operates, establishes, manages, conducts or maintains an adult day health
				  center or holds out, advertises or represents by any means that it does so,
				  shall obtain a license from the Department.
(b) The Department shall notify any center
				  which provides adult day health care services without a license or special
				  permit to cease and desist or to file an application for a license within 15
				  days of the date of notification by the Department.
1. Change
					 without regulatory effect amending subsection (a) and adding NOTE filed
					 6-20-2022 pursuant to section
					 100, title 1, California Code of
					 Regulations (Register
					 2022,
					 No. 25).
Note: Authority cited: Sections
						20,
						1254,
						1275
						and
						131200,
						Health and Safety Code. Reference: Sections
						1575.1,
						1575.2,
						131050,
						131051
						and
						131052,
						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 10 - Adult Day Health Centers › Article 2 - License › Section 78205 - Content of Application

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
				  Any corporation, company, partnership, or city or county government, which
				  desires to obtain a license or a special permit shall file with the Department
				  an application on forms furnished by the Department. The application shall
				  contain the following information:
(1) Name
				  of applicant.
(2) Name and address
				  and professional qualifications of the administrator and program
				  director.
(3) A copy of articles of
				  incorporation, constitution and bylaws of the corporation, company, or
				  partnership.
(4) A copy of the
				  current organizational chart.
(5) A
				  brief history and general description of the function of the
				  organization.
(6) Information about
				  each member of the governing board.
(7) A statement of projected revenues,
				  expenditures and cashflow on a monthly basis for a one-year period.
(8) Name, address and location of center and
				  a map identifying the service area.
(9) Plan of operation as specified in Section
				  78403.
(10) A statement as to whether the applicant
				  is licensed or has ever been licensed to operate a health or community care
				  facility.
(11) A copy of each
				  subcontract related to securing health care services, administrative and
				  management services or any other services necessary to fulfill the center's
				  provider obligations.
(12) A copy
				  of each agreement with at least a general acute care hospital, a physician and
				  an ambulance service for the provision of emergency service.
(13) A copy of each agreement with other
				  community services, such as home health agencies, homemaker/chore, visiting
				  nurses, transportation and nutrition programs designed for the disabled and
				  elderly and senior centers.
(14) A
				  copy of the nondiscrimination policy.
(15) A copy of the participant grievance
				  procedure.
(16) A copy of the
				  procedure for utilization review.
(17) Any other information 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 10 - Adult Day Health Centers › Article 2 - License › Section 78207 - Fees

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Each
				  application for a license shall be accompanied by the prescribed fee. The
				  annual license fee under this section shall be effective for the calendar year
				  of 1978.
(b) The fee for a license
				  to operate an adult day health center which is being licensed for the first
				  time or for any change in existing license shall be $470.00.
(c) The license renewal fee for all other
				  adult day health centers shall be determined 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 10 - Adult Day Health Centers › Article 2 - License › Section 78209 - Public Hearing

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
				  Evidence shall be available that public hearings have been held in accordance
				  with Section
				  1572(c)
				  of the Health and Safety Code at the time of:
(1) Initial proposal for an adult day health
				  center after the application has been reviewed by the Adult Day Health Care
				  Review Committee and the county Adult Day Health Planning Council.
(2) Renewal application for Medi-Cal
				  certification if the Director requests such a hearing.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 10 - Adult Day Health Centers › Article 2 - License › Section 78213 - Denial of Initial Application

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The Department may deny the application
				  for licensure if the requirements for licensure or certification are not met.
				  An application shall be denied if the applicant:
(1) Has failed to comply with the approved
				  county adult day health plan.
(2)
				  Previously violated Department regulations and there is probability of
				  noncompliance by the applicant.
(3)
				  Has not been certified as an adult day health care provider.
(4) Has past conviction of any crime,
				  especially any crime involving misuse of funds or physical
				  abuse.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 10 - Adult Day Health Centers › Article 2 - License › Section 78215 - Inspections

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The Department
				  shall conduct an inspection of each licensed center at least
				  annually.
(b) The inspection shall
				  include at least a personal interview with the licensee or administrator and an
				  inspection of the center to assure compliance with these regulations.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 10 - Adult Day Health Centers › Article 2 - License › Section 78217 - Program Flexibility

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
				  All adult day health centers shall maintain compliance with these licensing
				  requirements. These requirements do not prohibit the use of alternate concepts,
				  methods, procedures, techniques, equipment, personnel qualifications or the
				  conducting of pilot projects, provided such exceptions are carried out with the
				  provisions for safe and adequate care and with the prior written approval of
				  the Department. Such approval shall provide for the terms and conditions under
				  which the exception is granted. A written request and substantiating evidence
				  supporting the request shall be submitted by the applicant or licensee to the
				  Department.
(b) Any approval by the
				  Department granted under this section, or a true copy thereof, shall be posted
				  immediately adjacent to the center's license.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 10 - Adult Day Health Centers › Article 2 - License › Section 78219 - Issuance of License

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The
				  Department shall grant a license if the applicant meets the standards as
				  specified in these regulations and the application is in agreement with the
				  county plan.
(b) The Department
				  shall issue or deny a license within 90 days of the receipt of the completed
				  application forms and supporting documents.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 10 - Adult Day Health Centers › Article 2 - License › Section 78221 - Limitations on Participants Admitted

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) A license shall specify the maximum
				  number of participants who may receive services at any one time in a center. A
				  center shall not operate beyond the conditions and limitations of its license
				  unless it receives prior approval from the Department.
(b) The Department shall state in writing to
				  the applicant the reasons for limiting the number of participants if the
				  license is issued for fewer participants than requested.
(c) A new application shall be submitted by
				  the licensee for an increase in center capacity, unless:
(1) The basic services provided by the center
				  have not changed.
(2) The center
				  has fire clearance for the increased capacity.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 10 - Adult Day Health Centers › Article 2 - License › Section 78223 - Posting of License

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
The license shall be posted in a prominent location in the
					 center accessible to public view.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 10 - Adult Day Health Centers › Article 2 - License › Section 78225 - License Not Transferable

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
				  The license shall not be transferable. The licensee shall notify the Department
				  in writing at least 30 days prior to the effective date of any change of
				  ownership. A new application for license shall be submitted by the prospective
				  new owner.
(b) The Department may
				  approve a change of location and continuation of the existing license for a
				  reasonable period of time when the change is due to accidental destruction of
				  the center or similar emergency conditions, and the new location does not
				  create a hazard to the health and safety of the participants.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 10 - Adult Day Health Centers › Article 2 - License › Section 78227 - New Application Required

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) A
				  new verified application shall be submitted to the Department by the licensee
				  for any of the following reasons:
(1)
				  Construction of a new or replacement center.
(2) Change of ownership.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 10 - Adult Day Health Centers › Article 2 - License › Section 78229 - License Expiration and Renewal

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) An initial license shall expire one year
				  from the date of issue. A renewal license may be issued for one year provided
				  the Department determines that the licensee has complied with all statutory
				  requirements and regulations during the preceding license period.
(b) The Department shall send each licensee a
				  renewal application form at least 90 days before the license expires.
(c) The licensee shall file a renewal
				  application with the Department not less than 30 days prior to the expiration
				  date. The renewal application shall be accompanied by the full applicable
				  fee.
(d) If the licensee fails to
				  apply for renewal within the prescribed time, the license shall
				  expire.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 10 - Adult Day Health Centers › Article 2 - License › Section 78231 - Revocation or Suspension of License

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) A license may be suspended or revoked by
				  the Department for any of the following:
(1)
				  Violation by the licensee of any of the statutory provisions of the Adult Day
				  Health Care Act or regulations adopted by the Department under the
				  Act.
(2) Aiding, abetting or
				  permitting the violation of any said statutory provisions or regulations of the
				  Department.
(3) Conduct in the
				  operation or maintenance, or both the operation and maintenance of an adult day
				  health center which is inimical to the health, morals, welfare or safety of
				  either participants receiving services from the center or the people of the
				  State of California.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 10 - Adult Day Health Centers › Article 2 - License › Section 78233 - Voluntary Suspension and Reinstatement

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Any licensee may make a written request
				  to the Department to surrender the license for suspension by the Department for
				  a temporary period not to exceed 12 consecutive months. The Department may
				  approve such request at its discretion.
(b) Any license which has been temporarily
				  suspended by the Department pursuant to this section shall remain subject to
				  all renewal requirements of an active license including the payment of license
				  renewal fees, during the period of temporary suspension.
(c) Any license suspended pursuant to this
				  section may be reinstated by the Department within 12 months of the date of
				  suspension upon receipt of an application and evidence showing compliance with
				  licensing operational requirements in effect at the time of reinstatement. If
				  the license is not reinstated within the 12-month period, the license shall
				  expire automatically and shall not be subject to reinstatement.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 10 - Adult Day Health Centers › Article 3 - Services › Section 78301 - Basic Program Services; General

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Each adult day health center shall
				  provide at the center the following basic services:
(1) Rehabilitation services which include:
(A) Occupational therapy.
(B) Physical therapy.
(C) Speech therapy.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 10 - Adult Day Health Centers › Article 3 - Services › Section 78303 - Basic Program Services: Assessment

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The multidisciplinary team shall be
				  composed of at least a staff or attending physician, a registered nurse, a
				  social worker, an occupational therapist and a physical therapist.
(b) The multidisciplinary team, in
				  collaboration with the participant or the participant's authorized
				  representative and the placement agency, if any, shall assess each
				  participant's need for services prior to the acceptance of that
				  participant.
(c) The
				  multidisciplinary team shall determine and document in the participant's health
				  record that:
(1) The amount of care,
				  supervision and type of services required by the participant are available in
				  the center.
(2) The participant is
				  ready and can benefit from the program the center has to
				  offer.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 10 - Adult Day Health Centers › Article 3 - Services › Section 78305 - Basic Program Services: Occupational Therapy Services

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Occupational therapy services which
				  utilize purposeful activity shall be provided and shall include at least the
				  following:
(1) Initial and continuing
				  assessment of the participant by an occupational therapist in the
				  multidisciplinary team, including the treatment plan, method and interval of
				  delivery of services to meet identified needs and discharge summary.
(2) Notation made after each treatment
				  specifying method of treatment and the reaction of the participant to the
				  treatment. Narrative notes shall be entered in the participant's health record
				  when indicated and shall be signed by the occupational therapist.
(3) Progress notes shall be written at least
				  quarterly in the participant's health record and shall be signed by the
				  occupational therapist.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 10 - Adult Day Health Centers › Article 3 - Services › Section 78307 - Basic Program Services: Physical Therapy Services

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Physical therapy services shall include
				  at least the following:
(1) Initial and
				  continuing assessment of the participant by the physical therapist in the
				  multidisciplinary team.
(2)
				  Notation made after each treatment specifying method of treatment and the
				  reaction of the participant. Narrative notes shall be entered in the
				  participant's health record when indicated and shall be signed by the physical
				  therapist.
(3) Progress notes shall
				  be written at least quarterly in the participant's health record and shall be
				  signed by the physical therapist.
(4) Treatment of participants to achieve and
				  maintain maximum performance using physical means such as exercise, massage,
				  heat, sound, water, light or electricity.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 10 - Adult Day Health Centers › Article 3 - Services › Section 78309 - Basic Program Services: Speech Therapy Services

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Speech therapy services shall include at
				  least the following:
(1) Initial and
				  continuing assessment of the participant by the speech therapist in the
				  multidisciplinary team.
(2)
				  Notation made after each treatment specifying method of treatment and reaction
				  of the participant. Narrative notes shall be entered in the participant's
				  health record when indicated and shall be signed by the speech
				  therapist.
(3) Progress notes shall
				  be written at least quarterly in the participant's health record and signed by
				  the speech therapist.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 10 - Adult Day Health Centers › Article 3 - Services › Section 78311 - Basic Program Services: Medical Services

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Medical services shall be provided to
				  each participant by a personal or a staff physician.
(b) Medical services shall include at least
				  the following:
(1) The initial health
				  assessment as specified in Section
				  78303(e).
(2) Authorization of the participant's
				  initial individualized plan of care and each quarterly revision of the
				  plan.
(3) Emergency care or
				  provision for emergency care as needed.
(4) Documentation of services
				  provided.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 10 - Adult Day Health Centers › Article 3 - Services › Section 78313 - Basic Program Services: Nursing Services

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Skilled nursing care shall be available
				  to each participant and shall include at least the following:
(1) Initial and continuing assessment of the
				  participant by the registered nurse in the multidisciplinary team and
				  development of a written plan of care.
(2) Administration of medications or
				  monitoring of self-administration of medications by participants.
(3) Supervision of personal care given by
				  program aides.
(4) Maintenance of a
				  participant's health record which includes:
(A) Signed quarterly progress notes from each
				  member of the multidisciplinary team and outside consultants.
(B) Records of medications and treatments
				  administered.
(C) Quarterly
				  narrative nursing note, unless a participant's condition requires a more
				  frequent note, indicating participant's progress toward achieving health
				  goals.
(5) Provision of
				  emergency care, including arrangements for transportation.
(6) Notification of the physician of any
				  marked change in the participant's condition.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 10 - Adult Day Health Centers › Article 3 - Services › Section 78315 - Nursing Services-Restraints

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Restraints shall be used only as measures
				  to protect the participant from injury to self, based on the assessment of the
				  participant by the multidisciplinary team.
(b) Restraints shall be used only under the
				  following conditions:
(1) Treatment
				  restraints for the protection of the participant during treatment and
				  diagnostic procedures.
(2)
				  Supportive restraints for positioning the participant and to prevent the
				  participant from falling out of a chair or from a treatment table or
				  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 10 - Adult Day Health Centers › Article 3 - Services › Section 78317 - Nursing Services: Medications

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Each participant's health record shall
				  include a drug history which lists all medications currently being taken by the
				  participant and any medications to which the participant is allergic.
(b) Medications stored in the center or
				  administered by center personnel shall be labeled in conformance with state and
				  federal laws and regulations. Center personnel shall not alter prescription
				  labels.
(c) Center personnel,
				  except those lawfully authorized to do so, shall not dispense, repackage or
				  label drugs or transfer drugs between containers.
(d) No medication shall be administered to a
				  participant by center personnel unless the name, dosage and frequency of
				  administration of the drug and the name of the prescriber is recorded in that
				  participant's record. P.R.N. drug orders shall include an indication for
				  use.
(e) Medications not
				  self-administered shall be administered only by licensed medical or licensed
				  nursing personnel.
(f) The
				  self-administration of medications shall be permitted only under the following
				  conditions:
(1) Center shall have approved
				  policies permitting self-administration of medications when approved by the
				  multidisciplinary team.
(2)
				  Training in self-administration of medications shall be provided to all
				  participants based on the recommendation of the multidisciplinary
				  team.
(3) The health record of each
				  participant who is capable of self-medication shall name all drugs which are to
				  be self-administered.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 10 - Adult Day Health Centers › Article 3 - Services › Section 78321 - Nutrition Services: Menus

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Meals shall consist of a variety of food
				  and shall be planned with consideration for medical needs, cultural and
				  religious background and food habits and age of each participant
				  served.
(b) Between meal
				  nourishments shall consist of but not be limited to a beverage and either
				  fruits, vegetables or a grain product such as crackers, cookies or
				  bread.
(c) Menus for all meals,
				  between meal nourishments, and for therapeutic diets shall be written one week
				  in advance, approved by a dietitian and posted in the kitchen. Menus shall be
				  available for review by each participant served or the participant's designated
				  representative.
(1) If any meal or between
				  meal nourishment varies from the planned menu, the change shall be noted in
				  writing on the menu posted in the kitchen.
(2) A copy of the menu as served shall be
				  kept on file for at least 30 days.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 10 - Adult Day Health Centers › Article 3 - Services › Section 78323 - Nutrition Services: Quality of Food

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) All food shall be of good
				  quality.
(b) Prepared foods shall
				  be approved by appropriate federal, state and local authorities.
(c) Food in unlabeled, rusty, leaking, broken
				  containers or cans with side seam dents, rim dents or swells shall not be
				  accepted, retained or used.
(d)
				  Home-canned foods shall not be used.
(e) Milk, milk products and products
				  resembling milk shall be processed or manufactured in milk product plants,
				  meeting the requirements of Division 15 of the California Food and Agricultural
				  Code. When milk is served as a beverage it shall be pasteurized, Grade "A" milk
				  or certified milk unless otherwise prescribed by a physician. Powdered milk
				  shall not be used as a beverage but may be used in cooking. Instant liquid or
				  powdered cream substitutes may be used only when dispensed from their original
				  containers. When milk is served in individual containers, the cap or seal shall
				  not be removed except in the presence of the participant. Milk may be served
				  from an approved dispensing device and shall be dispensed directly into the
				  glass or other container from which the participant drinks.
(f) Meat, poultry and meat products shall not
				  be used unless they have met inspection standards of state or federal
				  authorities.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 10 - Adult Day Health Centers › Article 3 - Services › Section 78325 - Nutrition Services: Food Sanitation

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Kitchens and kitchen areas shall be kept
				  clean, free from litter and rubbish and protected from rodents, roaches, flies
				  and other vermin.
(b) Utensils,
				  counters, shelves and equipment shall be kept clean and maintained in good
				  repair.
(c) Plastic ware, china and
				  glassware that is insanitary or hazardous because of chips, cracks or loss of
				  glaze shall be discarded.
(d) Food
				  shall be protected against contamination and spoilage. Contaminated or spoiled
				  food shall not be served.
(e) Foods
				  held in refrigerators or other storage space shall be covered.
(f) Foods which have been opened or prepared
				  and are to be stored shall be labeled and dated.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 10 - Adult Day Health Centers › Article 3 - Services › Section 78327 - Nutrition Services: Food Service

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Foods shall be prepared by methods that
				  conserve nutritive value, flavor and appearance and shall be served at
				  appropriate temperatures.
(b) A
				  dining area equipped for serving at meal time shall be provided.
(c) Dishes, beverage containers and eating
				  utensils appropriate for use with the food being served shall be
				  provided.
(d) Each participant
				  shall be seated for meals on an individual chair, at a table, or as appropriate
				  if the participant is in a wheelchair.
(e) Each participant shall be assisted by
				  employees during meals as needed.
(f) Special equipment and utensils shall be
				  provided for self-help in eating as needed.
(g) Sufficient food shall be prepared to
				  provide additional servings as requested by the participant served, unless the
				  participant is on a restricted diet prescribed by a physician.
(h) When necessary, food shall be cut,
				  chopped or ground to meet the needs of individual participants.
1. Amendment
					 of subsection (d) filed 9-20-79; effective thirtieth day thereafter (Register
					 79, No. 38).
Note: Authority cited: Section
						208(a),
						Health and Safety Code. Reference: Section
						1580,
						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 10 - Adult Day Health Centers › Article 3 - Services › Section 78329 - Nutrition Services: Cleaning of Utensils

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Multiuse utensils used for eating,
				  drinking, preparing and serving of food and drink shall be cleaned after each
				  use.
(b) Food particles shall be
				  removed by scraping and prerinsing in running water.
(c) Multiuse utensils not washed by
				  mechanical means shall be thoroughly washed in hot water with a minimum
				  temperature of 43°C (110°F) using soap or detergent, shall be rinsed in
				  hot water and disinfected by one of the following methods or equivalent as
				  approved by the Department:
(1) Immersion in
				  water containing bactericidal chemical as approved by the Department.
(2) Immersion for at least two minutes in
				  clean water at 77°C (170°F).
(3) Immersion for at least 30 seconds in
				  clean water at 82°C (180°F).
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 10 - Adult Day Health Centers › Article 3 - Services › Section 78331 - Nutrition Services: Supplies and Equipment

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Food supplies shall be available to meet
				  the planned menus and shall be in sufficient quantity to serve the
				  participants.
(b) There shall be
				  sufficient equipment of the type and amount necessary for proper preparation,
				  serving and storage of food for the number of participants served by the
				  center.
1. Amendment
					 of subsection (a) filed 9-20-79; effective thirtieth day thereafter (Register
					 79, No. 38).
Note: Authority cited: Section
						208(a),
						Health and Safety Code. Reference: Section
						1580,
						Health and Safety Code; Section
						14550(d),
						Welfare and Institutions 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 10 - Adult Day Health Centers › Article 3 - Services › Section 78333 - Nutrition Services: Staff

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) A dietitian shall be employed on a
				  consulting basis. Part-time or consultant services shall be provided on the
				  premises at appropriate times on a regularly scheduled basis. A written record
				  of the frequency, nature and duration of the consultant's visits shall be
				  maintained.
(b) When a dietitian is
				  not employed full-time, the administrator shall designate a staff person to be
				  responsible for the operation of the food service.
(c) Sufficient employees shall be employed,
				  trained and their working hours scheduled to provide for the nutritional needs
				  of the participants in the adult day health center.
(1) If these employees are assigned duties in
				  other services, those duties shall not interfere with food service work
				  assignments.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 10 - Adult Day Health Centers › Article 3 - Services › Section 78335 - Nutrition Services: Food Storage

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Food storage areas of adequate size to
				  accommodate the required food supply shall be provided.
(b) Food storage areas shall be clean at all
				  times.
(c) Dry or staple food items
				  shall be stored above the floor on shelves, racks or dollies which permit easy
				  and regular cleaning in a ventilated room not subject to sewage or waste water
				  backflow or contamination by condensation, leakage, rodents or
				  vermin.
(d) The temperature for
				  refrigerator, cold storage shall be maintained at 7°C (45°F) or
				  below.
(e) Hot foods shall be
				  maintained at 60°C (140°F) if they are not served immediately upon
				  completion of cooking.
(f) The
				  temperature for frozen food storage shall be maintained minus 18°C
				  (0°F) or below.
(g) Pesticides
				  and other toxic substances shall not be stored in food storeroom, kitchen areas
				  or where kitchen equipment or utensils are stored.
(h) Soaps, detergents, cleaning compounds,
				  craft supplies or similar substances shall be stored in areas separate from
				  food supplies.
(i) Employees'
				  street clothing and purses shall be stored in an enclosed area separated from
				  food, paper goods, utensils, kitchen equipment and other supplies used in the
				  preparation or service of food.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 10 - Adult Day Health Centers › Article 3 - Services › Section 78337 - Basic Program Services: Psychiatric or Psychological Services

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The adult day
				  health center shall have consultant staff available at a minimum of three hours
				  per month and consisting of a psychiatrist, clinical psychologist, psychiatric
				  social worker or psychiatric nurse. For purposes of this section a psychiatric
				  nurse shall meet either of the following requirements:
(1) Be a registered nurse with a graduate
				  degree in psychiatric nursing and one year of psychiatric nursing experience
				  within the past five years.
(2) Be
				  a registered nurse with a baccalaureate degree in nursing and three years of
				  psychiatric nursing experience in an acute psychiatric setting or in a
				  psychiatric health facility, one year of which shall have been within the past
				  five years.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 10 - Adult Day Health Centers › Article 3 - Services › Section 78339 - Basic Program Service: Social Services

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The adult day health center shall provide
				  social services to assist participants and their families to solve medical
				  social problems that arise as a result of the participant's
				  disability.
(b) An unlicensed
				  social worker shall only provide those social work services for which no
				  license is required under Business and Professions Code section
				  4996.
(c) Medical social services shall consist of
				  at least the following:
(1) Initial and
				  continuing assessment of the participant by the medical social worker in the
				  formation of an individual plan of care by the multidisciplinary
				  team.
(2) Maintaining signed
				  progress records in the participant's health record at least
				  quarterly.
(3) Assuming
				  responsibility for implementation and coordination of the discharge
				  plan.
(4) Providing referral to
				  outside resources and assisting with counseling when applicable.
(5) Providing problem oriented discussion
				  groups among participants.
(6)
				  Serving as a liaison with the participant's family and home.
(7) Providing referral and follow-up for
				  referred persons not appropriate for adult day health care.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 10 - Adult Day Health Centers › Article 3 - Services › Section 78341 - Basic Services. Recreation or Planned Social Activities

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The adult day health center shall provide
				  an activity program that is supervised and directed by an activity coordinator
				  to meet the needs and interests of each participant. The activity program shall
				  assist the participant to resume self-care and normal activities or to prevent
				  further deterioration.
(b) An
				  activity coordinator shall meet at least one of the following qualifications:
(1) Have two years of experience in a social,
				  recreational or educational program within the past five years, one year of
				  which was full-time employment in a patient activities program in a health care
				  setting, mental health setting or setting for the care of the
				  handicapped.
(2) Be an occupational
				  therapist, art therapist, music therapist, dance therapist, recreation
				  therapist, occupational therapy assistant or a qualified social
				  worker.
(3) Have completed at least
				  36 hours of training in a course designed specifically for this position and
				  approved by the Department and shall receive regular consultation from an
				  occupational therapist, occupational therapy assistant, recreation therapist,
				  art therapist, music therapist or dance therapist who has had one year of
				  experience in a health care setting.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 10 - Adult Day Health Centers › Article 3 - Services › Section 78343 - Transportation Services

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
				  Transportation for participants to and from home shall be provided or arranged
				  by the center if necessary.
(b) The
				  center shall develop written policies and procedures for the provision of
				  transportation services.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 10 - Adult Day Health Centers › Article 3 - Services › Section 78345 - Basic Program Services-Plan for Discharge

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) A plan for discharge of each participant
				  shall be based on the assessment of the participant by the multidisciplinary
				  team and shall be reviewed and updated at the time of each
				  reassessment.
(b) Each
				  participant's health record shall include documentation of the plan for
				  discharge which shall be completed by the time of the first
				  reassessment.
(c) Referral of
				  participants shall be made to outside resources by the multidisciplinary team
				  or by an individual team member. Each referral shall be recorded on the
				  participant's health record.
(d)
				  Consultation shall be made available to a participant's family prior to
				  discharge.
(e) Home visit shall be
				  made by the appropriate multidisciplinary team member prior to discharge of the
				  participant if recommended by multi disciplinary team and documented in the
				  participant's health record
(f) If
				  a participant decides to terminate participation in an adult day health center
				  program prior to the date recommended by the multidisciplinary team, the center
				  staff shall discuss the consequences of such action with the participant, the
				  participant's physician and authorized representative, if any, and center staff
				  shall document the discussion in the participant's health record.
1. Amendment
					 filed 9-20-79; effective thirtieth day thereafter (Register 79, No.
					 38).
Note: Authority cited: Section
						208(a),
						Health and Safety Code. Reference: Section
						1580,
						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 10 - Adult Day Health Centers › Article 3 - Services › Section 78347 - Optional Services

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
				  Optional services may be provided and may include:
(1) Podiatry services provided by a
				  podiatrist.
(2) Optometric
				  screening and advice provided for participants with vision problems by an
				  ophthalmologist licensed by the Medical Board of California or an optometrist
				  licensed by the State Board of Optometry.
(3) Dental screening provided by a
				  dentist.
(4) Other services as
				  approved by the Department.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 10 - Adult Day Health Centers › Article 4 - Administration › Section 78401 - Licensee Responsibility

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Each licensee shall have legal
				  responsibility and administrative authority for operation of the
				  center.
(b) The licensee shall
				  exercise general supervision over the affairs of the center and establish
				  policies concerning its operation in conformance with these regulations and the
				  welfare of the participants it serves.
(c) Each licensee which is a corporation,
				  company, or partnership, shall be legally organized as follows:
(1) The governing board shall be active,
				  functioning and shall have regularly scheduled meetings.
(2) Minutes shall be kept of all board
				  meetings and shall be available for review by the Department.
(3) The board shall delegate to the
				  administrator the responsibility for administration of the center.
(4) A change in the chairman of the governing
				  board shall be reported to the Department in writing within 14 working days
				  following such change. Such notification shall include the name, address and
				  the Social Security number of the new principal 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 10 - Adult Day Health Centers › Article 4 - Administration › Section 78403 - Plan of Operation

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
				  Each center shall have a written plan of operation submitted with the license
				  application and which shall be kept current.
(b) The plan shall include the following:
(1) Hours and days of operation.
(2) Number of participants to be served, age
				  and type of participants.
(3)
				  Description of basic services and any optional services for which departmental
				  approval is required.
(4) Policies
				  and procedures for admission and discharge planning.
(5) Policies and procedures for assessment of
				  participants.
(6) Staffing pattern
				  which includes a description of multidisciplinary professional staff by
				  discipline.
(7) A plan for
				  utilizing community resources.
(8)
				  Policies and procedures for in-service training of employees and
				  volunteers.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 10 - Adult Day Health Centers › Article 4 - Administration › Section 78405 - Composition of Governing Board

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The governing board of an adult day
				  health center shall have final authority and responsibility for the conduct of
				  the center.
(b) The board shall be
				  comprised of four or more persons, at least one-half of whom shall be:
(1) Recipients of the services of the adult
				  day health center.
(2) Relatives of
				  such recipients.
(3)
				  Representatives of community organizations with particular interest in programs
				  for the elderly.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 10 - Adult Day Health Centers › Article 4 - Administration › Section 78407 - Requirements for Participant Admission

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Requirements for admission shall include:
(1) Authorization by the Department for
				  Medi-Cal beneficiaries which shall be initiated by the provider and shall
				  include the results of initial assessment by the multidisciplinary team and the
				  individual plan of care, signed by each member of the team.
(2) Application by the participant.
(3) Referral from community or health
				  agencies, physician, hospital, family, friends or self-referral.
(4) Residence within the service area for the
				  adult day health center.
(5) Need
				  for the health and rehabilitative and social services provided by adult day
				  health center in order to achieve or maintain personal
				  independence.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 10 - Adult Day Health Centers › Article 4 - Administration › Section 78409 - Fire Clearance

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Each center shall secure and maintain a fire clearance from
					 the State Fire Marshal.