reglab/statecodes huggingface dataset:
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 1401 - Patient Treatment Decisions

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Clinical decisions about the treatment of individual
						youth are the sole province of licensed health care professionals, operating
						within the scope of their license and within facility policy defining health
						care services.
Safety and security policies and procedures that are
						applicable to youth supervision staff also apply to health care
						personnel.
1. New
						section filed 3-6-97; operative 4-5-97 (Register 97, No. 10).
2.
						Amendment of section and NOTE filed 12-2-2013; operative 4-1-2014 (Register
						2013, No. 49).
3. Amendment of last paragraph filed 11-14-2018;
						operative 1-1-2019 (Register 2018, No. 46).
Note: Authority cited: Sections
						  210
						  and
						  885,
						  Welfare and Institutions Code. Reference: Section
						  209,
						  Welfare and Institutions Code.
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 1402 - Scope of Health Care

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
					 The health administrator, in cooperation with the facility administrator, shall
					 develop and implement written policy and procedures to define the extent to
					 which health care shall be provided within the facility and delineate those
					 services that shall be available through community providers. Each facility
					 shall provide:
(1) at least one health care
					 provider to provide treatment; and,
(2) health care services which meet the
					 minimum requirements of these regulations and be at a level to address
					 emergency, acute symptoms and/or conditions and avoid preventable deterioration
					 of health while in confinement.
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 1403 - Health Care Monitoring and Audits

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
					 In juvenile facilities with on-site health care staff, the health
					 administrator, in cooperation with the facility administrator, shall develop
					 and implement written policy and procedures to collect statistical data and
					 submit at least annual summaries of health care services to the facility
					 administrator.
(b) The health
					 administrator, in cooperation with the responsible physician and the facility
					 administrator, shall establish policies and procedures to assure that the
					 quality and adequacy of health care services are assessed at least annually.
(1) Policy and procedures shall identify a
					 process for correcting identified deficiencies in the medical, dental, mental
					 health and pharmaceutical services delivered.
(2) Based on information from these
					 assessments, the health administrator shall provide the facility administrator
					 with an annual written report on medical, dental, mental health and
					 pharmaceutical services.
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 1404 - Health Care Staff Qualifications

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
					 The health administrator shall, at the time of recruitment for health care
					 positions, develop education and experience requirements that are consistent
					 with the community standard and the needs and understanding of the facility
					 population. Hiring practices will take into consideration cultural awareness
					 and linguistic competence.
(b) In
					 all juvenile facilities providing on-site health care services, the health
					 administrator, in cooperation with the facility administrator, shall establish
					 policy and procedures to assure that State licensure, certification, or
					 registration requirements and restrictions that apply in the community, also
					 apply to health care personnel who provide services to youth.
(c) Appropriate credentials shall be
					 accessible for review. Policy and procedures shall provide that these
					 credentials are periodically reviewed and remain current.
(d) The health administrator shall assure
					 that position descriptions and health care practices require that health care
					 staff receive the supervision required by their license and operate within
					 their scope of practice.
1. New
						section filed 3-6-97; operative 4-5-97 (Register 97, No. 10).
2.
						Amendment 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.
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 1405 - Health Care Staff Procedures

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
The responsible physician for each facility providing
						on-site health care may determine that a clinical function or service can be
						safely and legally delegated to health care staff other than a physician. When
						this is done, the function or service shall be performed by staff operating
						within their scope of practice pursuant to written protocol, standardized
						procedures or direct medical order.
1. New
						section filed 3-6-97; operative 4-5-97 (Register 97, No. 10).
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.
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 1406 - Health Care Records

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
In juvenile facilities providing on-site health care, the
						health administrator, in cooperation with the facility administrator, shall
						maintain individual and dated health records that include when applicable, but
						are not limited to:
(a) intake health
					 screening form;
(b) health
					 appraisals/medical examinations;
(c) health service reports (e.g., emergency
					 department, dental, psychiatric, and other consultations);
(d) complaints of illness or
					 injury;
(e) names of personnel who
					 treat, prescribe, and/or administer/deliver prescription medication;
(f) location where treatment is
					 provided;
(g) medication records in
					 conformance with Title 15, Section
					 1438;
(h) progress notes;
(i) consent forms;
(j) authorizations for release of
					 information;
(k) copies of previous
					 health records;
(l) immunization
					 records;
(m) laboratory reports;
					 and,
(n) individual treatment plan.
Written policy and procedures shall provide for
						maintenance of the health record in a locked area or secured electronically,
						separate from the confinement record. Access to the medical and/or
						behavioral/mental health record shall be controlled by the health administrator
						and shall assure that all confidentiality laws related to the provider-patient
						privilege apply to the health record.
Health care records shall be retained in accordance with
						community standards.
1. New
						section filed 3-6-97; operative 4-5-97 (Register 97, No. 10).
2.
						Amendment of first paragraph, subsections (l)-(m), new subsection (n) and
						amendment of penultimate paragraph 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.
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 1407 - Confidentiality

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
					 For each juvenile facility that provides on-site health services, the health
					 administrator, in cooperation with the facility administrator, shall establish
					 policy and procedures, consistent with applicable laws, for the
					 multi-disciplinary sharing of health information. These policies and procedures
					 shall address the provision for providing information to the court, child
					 supervision staff and to probation. Information in the youth's case file shall
					 be shared with the health care staff when relevant. The nature and extent of
					 information shared shall be appropriate to treatment planning, program needs,
					 protection of the youth or others, management of the facility, maintenance of
					 security, and preservation of safety and order.
(b) Medical and behavioral/mental health
					 services shall be conducted in a private manner such that information can be
					 communicated confidentially consistent with HIPAA.
(c) Youth shall not be used to translate
					 confidential medical information for other non-English speaking
					 youth.
1. New
						section filed 3-6-97; operative 4-5-97 (Register 97, No. 10).
2.
						Amendment filed 6-23-2003; operative 7-23-2003 (Register 2003, No.
						26).
3. Amendment designating existing section as subsection (a) and
						adopting new subsection (b) filed 6-18-2007; operative 7-18-2007 (Register
						2007, No. 25).
4. Amendment 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: Section
						  209,
						  Welfare and Institutions Code; 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.
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 1408 - Transfer of Health Care Summary and Records

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
The health administrator, in cooperation with the
						facility administrator, shall establish written policy and procedures to assure
						that a health care summary and relevant records are forwarded to health care
						staff in the receiving facility when a youth is transferred to another
						jurisdiction, and to the local health officer, when applicable. Policies shall
						include:
(a) a summary of the health
					 record, or documentation that no record exists at the facility, is sent in an
					 established format, prior to or at the time of transfer;
(b) relevant health records are forwarded to
					 the health care staff of the receiving facility;
(c) notification to health care staff of the
					 receiving facility prior to or at the time of the release or transfer of youth
					 with known or suspected communicable diseases;
(d) applicable authorization from the youth
					 and/or parent-legal guardian is obtained prior to transferring copies of actual
					 health records, unless otherwise provided by court order, statute or regulation
					 having the force and effect of law; and,
(e) confidentiality of health records is
					 maintained.
1. New
						section filed 3-6-97; operative 4-5-97 (Register 97, No. 10).
2.
						Amendment 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.
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 1408.5 - Release of Health Care Summary and Records

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
After youth are released to the community, health record
						information shall be promptly transmitted to specific physicians or health care
						facilities in the community, upon request and with the written authorization of
						the youth and/or parent/guardian.
In special purpose juvenile halls and other facilities
						that do not have on-site health care staff, policy and procedures shall assure
						that youth supervision staff forward non-confidential information on
						medications and other treatment orders prior to or at the time of
						transfer.
1. New
						section filed 11-14-2018; operative 1-1-2019 (Register 2018, No. 46).
Note: Authority cited: Sections
						  210
						  and
						  885,
						  Welfare and Institutions Code. Reference: Section
						  209,
						  Welfare and Institutions Code.
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 1409 - Health Care Procedures Manual

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
For juvenile facilities with on-site health care staff,
						the health administrator, in cooperation with the facility administrator, shall
						develop, implement and maintain a facility-specific health services manual of
						written policies and procedures that address, at a minimum, all health care
						related standards that are applicable to the facility.
Health care policy and procedure manuals shall be
						available to all health care staff, to the facility administrator, the facility
						manager, and other individuals as appropriate to ensure effective service
						delivery.
Each policy and procedure for the health care delivery
						system shall be reviewed at least every two years and revised as necessary
						under the direction of the health administrator. The health administrator shall
						develop a system to document that this review occurs. The facility
						administrator, facility manager, health administrator and responsible physician
						shall designate their approval by signing the manual.
1. New
						section filed 3-6-97; operative 4-5-97 (Register 97, No. 10).
2.
						Amendment of section and NOTE filed 12-2-2013; operative 4-1-2014 (Register
						2013, No. 49).
Note: Authority cited: Sections
						  210
						  and
						  885,
						  Welfare and Institutions Code. Reference: Section
						  209,
						  Welfare and Institutions Code.
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 1410 - Management of Communicable Diseases

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
The health administrator/responsible physician, in
						cooperation with the facility administrator and the local health officer, shall
						develop written policies and procedures to address the identification,
						treatment, control and follow-up management of communicable diseases. The
						policies and procedures shall address, but not be limited to:
(a) intake health screening
					 procedures;
(b) identification of
					 relevant symptoms;
(c) referral for
					 medical evaluation;
(d) treatment
					 responsibilities during detention;
(e) coordination with public and private
					 community-based resources for follow-up treatment;
(f) applicable reporting requirements;
					 and,
(g) strategies for handling
					 disease outbreaks.
The policies and procedures shall be updated as necessary
						to reflect communicable disease priorities identified by the local health
						officer and currently recommended public health interventions.
1. New
						section filed 3-6-97; operative 4-5-97 (Register 97, No. 10).
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.
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 1411 - Access to Treatment

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
The health administrator, in cooperation with the
						facility administrator, shall develop written policy and procedures to provide
						unimpeded access to health care.
1. New
						section filed 3-6-97; operative 4-5-97 (Register 97, No. 10).
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.
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 1412 - First Aid/AED and Emergency Response

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
The health administrator/responsible physician, in
						cooperation with the facility administrator, shall establish facility-specific
						policies and procedures to assure access to first aid and emergency
						services.
(a) First aid kits shall be
					 available in designated areas of each juvenile facility. The responsible
					 physician shall approve the contents, number, location and procedure for
					 periodic inspection of the kits.
(b) Automated external defibrillators (AED)
					 shall be available in each juvenile facility. The facility administrator shall
					 ensure that device is maintained properly per manufacturer standard.
Youth supervision and health care staff shall be trained
						and written policies and procedures established to respond appropriately to
						emergencies requiring first aid and AED.
1. New
						section filed 3-6-97; operative 4-5-97 (Register 97, No. 10).
2.
						Amendment of section heading and first and last paragraphs filed 1-11-2001;
						operative 2-10-2001 (Register 2001, No. 2).
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.
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 1413 - Individualized Treatment Plans

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
With the exception of special purpose juvenile halls, the
						health administrator and behavioral/mental health director responsible
						physician, in cooperation with the facility administrator, shall develop and
						implement policy and procedures to assure that coordinated and integrated
						health care treatment plans are developed for all youth who are receiving
						services for significant medical, behavioral/mental health or dental health
						care concerns. Policies and procedures shall assure:
(a) Health care treatment plans are
					 considered in facility program planning.
(b) Health care restrictions shall not limit
					 participation of a youth in school, work assignments, exercise and other
					 programs, beyond that which is necessary to protect the health of the youth or
					 others.
(c) Relevant health care
					 treatment plan information shall be shared with youth supervision staff in
					 accordance with Section
					 1407 for purposes of programming,
					 implementation and continuity of care.
(d) Accommodations for youth who may have
					 special needs when using showers and toilets and dressing/undressing.
Treatment planning by health care providers shall
						address:
(a) Pre-release and discharge
					 planning for continuing medical, dental and behavioral/mental health care,
					 including medication, following release or transfer, which may include relevant
					 authorization for transfer of information, insurance, or communication with
					 community providers to ensure continuity of care.
(b) Participation in relevant programs upon
					 return into the community to ensure continuity of care.
(c) Youth and family participation (if
					 applicable and available).
(d)
					 Cultural responsiveness, awareness and linguistic competence.
(e) Physical and psychological
					 safety.
(f) Traumatic stress and
					 trauma reminders when applicable.
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 1413 - Individualized Treatment Plans

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
With the exception of special purpose juvenile halls, the
						health administrator/responsible physician, in cooperation with the facility
						administrator, shall develop and implement policy and procedures to assure that
						health care treatment plans are developed for all youth who have received
						services for significant health care concerns.
(a) Policies and procedures shall assure that
					 health care treatment plans are considered in facility program
					 planning.
(b) Health care
					 restrictions shall not limit participation of a youth in school, work
					 assignments, exercise and other programs, beyond that which is necessary to
					 protect the health of the youth or others.
(c) Medical and mental health information
					 shall be shared with youth supervision staff in accordance with Section
					 1407 for purposes of programming,
					 treatment planning and implementation.
(d) Program planning shall include
					 pre-release arrangements for continuing medical and mental health care,
					 together with participation in relevant programs upon return into the
					 community.
(e) Policies and
					 procedures shall address accommodations for youth who may have special needs
					 when using showers and toilets and dressing/undressing.
Policy and procedures shall require that any youth who is
						suspected or confirmed to be developmentally disabled is referred to the local
						Regional Center for the Developmentally Disabled for purposes of diagnosis
						and/or treatment within 24 hours of identification, excluding holidays and
						weekends.
1. New
						section filed 3-6-97; operative 4-5-97 (Register 97, No. 10).
2.
						Amendment of section and NOTE filed 12-2-2013; operative 4-1-2014 (Register
						2013, No. 49).
3. Amendment filed 11-14-2018; operative 1-1-2019
						(Register 2018, No. 46).
Note: Authority cited: Sections
						  210
						  and
						  885,
						  Welfare and Institutions Code. Reference: Section
						  209,
						  Welfare and Institutions Code.
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 1414 - Health Clearance for in-Custody Work and Program Assignments

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
The health administrator/responsible physician, in
						cooperation with the facility administrator, shall develop health screening and
						monitoring procedures for work and program assignments that have health care
						implications, including, but not limited to, food handlers.
1. New
						section filed 3-6-97; operative 4-5-97 (Register 97, No. 10).
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.
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 1415 - Health Education

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
With the exception of special purpose juvenile halls, the
						health administrator for each juvenile facility, in cooperation with the
						facility administrator, shall develop written policies and procedures to assure
						that interactive and gender and developmentally appropriate medical,
						behavioral/mental health and dental health education and disease prevention
						programs are provided to youth.
The education program content shall be updated as
						necessary to address current health and community priorities that meet the
						needs of the confined population.
1. New
						section filed 3-6-97; operative 4-5-97 (Register 97, No. 10).
2.
						Amendment of first paragraph filed 6-23-2003; operative 7-23-2003 (Register
						2003, No. 26).
3. Amendment 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.
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 1416 - Reproductive Services and Sexual Health

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
For all juvenile facilities, the health administrator, in
						cooperation with the facility administrator, shall develop written policies and
						procedures to assure that reproductive and sexual health services are available
						to all youth in accordance with current public health guidelines.
Such services shall include but not be limited to those
						prescribed by Welfare and Institutions Code Sections
						220,
						221
						and
						222
						and Health and Safety Code Section
						123450.
1. New
						section filed 3-6-97; operative 4-5-97 (Register 97, No. 10).
2.
						Change without regulatory effect amending section filed 8-25-97 pursuant to
						section 100, title 1, California Code of
						Regulations (Register 97, No. 35).
3. Amendment of first paragraph
						filed 6-23-2003; operative 7-23-2003 (Register 2003, No. 26).
4.
						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: Section
						  209,
						  Welfare and Institutions Code; 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.
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 1417 - Pregnant/Post-Partum Youth

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
With the exception of special purpose juvenile halls, the
						health administrator for each juvenile facility, in cooperation with the
						facility administrator, shall develop written policies and procedures
						pertaining to pregnant and post-partum youth as required by Penal Code Section
						6030(e)
						and limitations on the use of restraints in accordance with Penal Code Section
						6030(f)
						and Welfare and Institutions Code Sections
						220,
						221,
						and
						222.
Written policies and procedures shall also include the
						following:
(a) Pregnant youth will
					 receive information regarding options for continuation of pregnancy,
					 termination of pregnancy and adoption.
(b) Pregnant youth receive prenatal care,
					 including physical examination, nutrition guidance, childbirth, breast feeding
					 and parenting education, counseling and provisions for follow up and
					 post-partum care,
(c) Availability
					 of a breast pump and procedures for storage, delivery or disposal for lactating
					 youth.
(d) Qualified medical
					 professionals develop a plan for pregnant youth that includes direct
					 communication of medical information and transfer of medical records regarding
					 prenatal care to the obstetrician who will be providing prenatal care and
					 delivery in the community.
1. New
						section filed 5-23-2008 as an emergency; operative 5-23-2008 (Register 2008,
						No. 21). Pursuant to Penal Code section
						5058.3, a
						Certificate of Compliance must be transmitted to OAL by 10-30-2008 or emergency
						language will be repealed by operation of law on the following
						day.
2. Certificate of Compliance as to 5-23-2008 order transmitted
						to OAL 9-10-2008 and filed 10-23-2008 (Register 2008, No. 43).
3.
						Amendment of section heading, section, and NOTE filed 11-14-2018; operative
						1-1-2019 (Register 2018, No. 46).
Note: Authority cited: Sections
						  210
						  and
						  885,
						  Welfare and Institutions Code. Reference: Section
						  6030(e),
						  Penal Code; and Sections
						  220,
						  221
						  and
						  222,
						  Welfare and Institutions Code.
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 1418 - Youth with Developmental Disabilities

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Policy and procedures shall require that any youth who is
						suspected or confirmed to have a developmental disability is referred to the
						local Regional Center for the Developmentally Disabled for purposes of
						diagnosis and/or treatment within 24 hours of identification, excluding
						holidays and weekends.
1. New
						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.
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 1431 - Intoxicated Youth and Youth with a Substance Use Disorder

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
					 The responsible health administrator/physician, in cooperation with the
					 facility administrator, shall develop and implement written policy and
					 procedures that address the identification and management of alcohol and other
					 substance intoxication. Withdrawal, and treatment of substance use disorder in
					 accordance with Section
					 1430.
(b) Policy and procedures shall address:
(1) a medical clearance shall be obtained
					 prior to booking any youth who is intoxicated to the extent that they are a
					 threat to themselves or others;
(2)
					 designated housing, including use of any protective environment for placement
					 of intoxicated youth;
(3) symptoms
					 known history of ingestion or withdrawal that should prompt immediate referral
					 for medical evaluation and treatment;
(4) determining when the youth is no longer
					 considered intoxicated and documenting when the monitoring requirements of this
					 regulation are discontinued;
(5)
					 medical responses to youth experiencing intoxication or withdrawal
					 reactions;
(6) management of
					 pregnant youth who use alcohol or other substances;
(7) initiation of substance abuse counseling
					 and/or treatment during confinement and referral procedures for continuation
					 upon release to the community consistent with Section
					 1413 and Section
					 1355;
(8) coordination with behavioral/mental
					 health services in cases of substance abusing youth with known or suspected
					 mental illness.
(9) how, when and
					 by whom the youth will be monitored when intoxicated;
(10) the frequency of monitoring and the
					 documentation required;
(11) that
					 when a youth is intoxicated, experiencing progressive or severe intoxication or
					 withdrawal, they shall be immediately medically evaluated; and,
(12) that intoxication beyond four hours from
					 the time of admission shall require a medical evaluation.
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 1433 - Requests for Health Care Services

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
The health administrator, in cooperation with the
						facility administrator, shall develop policy and procedures to establish a
						daily routine for youth to convey requests for emergency and non-emergency
						medical, dental and behavioral/mental health care services.
(a) Youth shall be provided the opportunity
					 to confidentially convey either through, written or verbal communications,
					 request for medical, dental or behavioral/mental health services. Provisions
					 shall be made for youth who have language or literacy barriers.
(b) Youth supervision staff shall relay
					 requests from the youth, initiate referrals when a need for services is
					 observed, and advocate for the youth when the need for medical, dental and
					 behavioral/mental services appears to be urgent.
(c) Staff shall inquire and make observations
					 of each youth regarding their medical, dental and behavioral/mental health
					 including the presence of trauma-related behaviors, injury and
					 illness.
(d) There shall be
					 opportunities available on a twenty-four hour per day basis for youth and staff
					 to communicate the need for emergency medical and behavioral/mental health care
					 services.
(e) Provision shall be
					 made for any youth requesting medical, dental and behavioral/mental health care
					 attention, or observed to be in need of health care, to be given that attention
					 by licensed or certified health care personnel.
(f) All medical, dental and behavioral/mental
					 health care requests shall be documented and maintained.
1. New
						section filed 3-6-97; operative 4-5-97 (Register 97, No. 10).
2.
						Amendment of section and NOTE filed 12-2-2013; operative 4-1-2014 (Register
						2013, No. 49).
3. Amendment filed 11-14-2018; operative 1-1-2019
						(Register 2018, No. 46).
Note: Authority cited: Sections
						  210
						  and
						  885,
						  Welfare and Institutions Code. Reference: Section
						  209,
						  Welfare and Institutions Code.
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 1434 - Consent and Refusal for Health Care

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
The health administrator, in cooperation with the
						facility administrator, shall establish written policy and procedures to obtain
						informed consent for health care examinations and treatment.
(a) All immunizations, examinations,
					 treatments, and procedures requiring verbal or written informed consent in the
					 community also require that consent for confined youth.
(b) There shall be provision for obtaining
					 parental consent and obtaining authorization for health care services from the
					 court when there is no parent/guardian or other person standing in loco
					 parentis, including the requirements in Welfare and Institutions Code Section
					 739.
(c) Policy and procedures shall be consistent
					 with applicable statutes in those instances where the youth's consent for
					 testing or treatment is sufficient or specifically required.
(d) Conservators can provide consent only
					 within limits of their court authorization.
Youth may refuse, verbally or in writing, non-emergency
						medical, dental and behavioral/mental health care.
1. New
						section filed 3-6-97; operative 4-5-97 (Register 97, No. 10).
2.
						Amendment of section and NOTE filed 12-2-2013; operative 4-1-2014 (Register
						2013, No. 49).
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. Reference: Section
						  209,
						  Welfare and Institutions Code.
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 1435 - Dental Care

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
The health administrator, in cooperation with the
						facility administrator, shall develop and implement written policy and
						procedures to require that dental treatment be provided to youth as necessary
						to respond to acute conditions and to avert adverse effects on the youth's
						health and require preventive services as recommended by a dentist. Treatment
						shall not be limited to extractions.
Annual dental exams shall be provided to any youth
						detained for longer than one year.
1. New
						section filed 3-6-97; operative 4-5-97 (Register 97, No. 10).
2.
						Amendment of section and NOTE filed 12-2-2013; operative 4-1-2014 (Register
						2013, No. 49).
Note: Authority cited: Sections
						  210
						  and
						  885,
						  Welfare and Institutions Code. Reference: Section
						  209,
						  Welfare and Institutions Code.
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 1436 - Prostheses and Orthopedic Devices

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
					 The health administrator, in cooperation with the facility administrator and
					 the responsible physician shall develop written policy and procedures regarding
					 the provision, retention and removal of medical and dental prostheses,
					 including eyeglasses and hearing aids.
(b) Prostheses shall be provided when the
					 health of the youth would otherwise be adversely affected, as determined by the
					 responsible physician.
(c)
					 Procedures for retention and removal of prostheses shall comply with the
					 requirements of Penal Code Section
					 2656.
1. New
						section filed 3-6-97; operative 4-5-97 (Register 97, No. 10).
2.
						Amendment of subsection (b) 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.
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 1437.5 - Transfer to a Treatment Facility

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
The health administrator/responsible physician, in
						cooperation with the behavioral/mental health director and the facility
						administrator, shall establish policies and procedures for the transfer of
						youth to a treatment facility. These policies and procedures shall include but
						are not limited to:
(a) Youth who
					 appear to be a danger to themselves or others, or to be gravely disabled, due
					 to a mental health condition shall be evaluated either pursuant to applicable
					 statute or by on-site health personnel to determine if treatment can be
					 initiated at the juvenile facility, and
(b) Provision for timely referral,
					 transportation, and admission to licensed mental health facilities, and
					 follow-up for youth whose psychiatric needs exceed the treatment capability of
					 the facility.
1. New
						section filed 11-14-2018; operative 1-1-2019 (Register 2018, No. 46).
Note: Authority cited: Sections
						  210
						  and
						  885,
						  Welfare and Institutions Code. Reference: Section
						  209,
						  Welfare and Institutions Code.
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 1438 - Pharmaceutical Management

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
For all juvenile facilities, the health administrator, in
						consultation with a pharmacist and in cooperation with the facility
						administrator, shall develop and implement written policy, establish
						procedures, and provide space and accessories for the secure storage,
						controlled administration, and disposal of all legally obtained drugs.
(a) Such policies, procedures, space and
					 accessories shall include, but not be limited to, the following:
(1) securely lockable cabinets, closets, and
					 refrigeration units;
(2) a means
					 for the positive identification of the recipient of the prescribed
					 medication;
(3)
					 administration/delivery of medicines to youth as prescribed;
(4) confirmation that the recipient has
					 ingested the medication;
(5)
					 documenting that prescribed medications have or have not been administered, by
					 whom, and if not, for what reason;
(6) prohibition of the delivery of medication
					 from one youth to another;
(7)
					 limitation to the length of time medication may be administered without further
					 medical evaluation;
(8) the length
					 of time allowable for a physician's signature on verbal orders, not to exceed
					 seven (7) days;
(9) training by
					 medical staff for non-licensed personnel which includes, but is not limited to:
					 delivery procedures and documentation; recognizing common symptoms and
					 side-effects that should result in contacting health care staff for evaluation;
					 procedures for consultation for confirming ingestion of medication; and,
					 consultation with health care staff for monitoring the youth's response to
					 medication;
(10) a written report
					 shall be prepared by a pharmacist, no less than annually, on the status of
					 pharmacy services in the institution. The pharmacist shall provide the report
					 to the health authority and the facility administrator; and,
(11) transition planning, including plan for
					 uninterrupted continuation of medication.