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 9 - Psychiatric Health Facilities › Article 1 - Definitions › Section 77028 - Sanction

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Sanction means a penalty imposed against a psychiatric
					 health facility for noncompliance with regulations and laws pertaining to
					 psychiatric health facilities. Sanctions may include:
(a) Cease and desist orders.
(b) Monetary penalties.
(c) License suspension.
(d) License revocation.
1. New
					 section filed 5-7-99; operative 6-6-99 (Register 99, No.
					 19).
Note: Authority cited: Section
						4080(j)(2),
						Welfare and Institutions Code; and Section
						1275,
						Health and Safety Code. Reference: Section
						4080(j),
						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 9 - Psychiatric Health Facilities › Article 1 - Definitions › Section 77029 - Seclusion

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Seclusion means the isolation of a patient in a locked
					 area, for the purpose of modifying a behavior.
1. New
					 section filed 4-15-87, operative 5-15-87 (Register 87, No.
					 16).
Note: Authority cited: Sections
						208(a)
						and
						1275,
						Health and Safety Code. Reference: Section
						1275.1,
						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 9 - Psychiatric Health Facilities › Article 1 - Definitions › Section 77030 - Structured Outpatient Services

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Structured Outpatient Services (SOPS) are services provided
					 on a less than 24-hour basis by a psychiatric health facility with special
					 permit from the Department.
1. New
					 section filed 5-7-99; operative 6-6-99 (Register 99, No.
					 19).
Note: Authority cited: Sections
						1254(e)
						and
						1275,
						Health and Safety Code. Reference: Sections
						1250.2(b)
						and
						1266.1(f),
						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 9 - Psychiatric Health Facilities › Article 1 - Definitions › Section 77031 - Supervision

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Supervision
				  means the instruction of employees or subordinates in the manner of carrying
				  out their duties and overseeing or directing of their work.
(b) Direct supervision means that the
				  supervisor shall be present in the same building as the person being supervised
				  and available for consultation and/or assistance.
(c) Immediate supervision means that the
				  supervisor shall be physically present while a task is being
				  performed.
1. New
					 section filed 4-15-87, operative 5-15-87 (Register 87, No.
					 16).
Note: Authority cited: Sections
						208(a)
						and
						1275,
						Health and Safety Code. Reference: Section
						1275.1,
						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 9 - Psychiatric Health Facilities › Article 1 - Definitions › Section 77033 - Treatment Restraint

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Treatment restraint means the use of a restraining device
					 during medically prescribed treatment or diagnostic procedures such as, but not
					 limited to, intravenous therapy, tube feeding or
					 catheterization.
1. New
					 section filed 4-15-87, operative 5-15-87 (Register 87, No.
					 16).
Note: Authority cited: Sections
						208(a)
						and
						1275,
						Health and Safety Code. Reference: Section
						1275.1,
						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 9 - Psychiatric Health Facilities › Article 1 - Definitions › Section 77035 - Unit Patient Health Record

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Unit patient health record means a patient's health record
					 that contains, in one file, all records of inpatient and outpatient care and
					 treatment rendered to a patient by the facility.
1. New
					 section filed 4-15-87, operative 5-15-87 (Register 87, No.
					 16).
Note: Authority cited: Sections
						208(a)
						and
						1275,
						Health and Safety Code. Reference: Section
						1275.1,
						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 9 - Psychiatric Health Facilities › Article 1 - Definitions › Section 77036 - Unusual Occurrences

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
An unusual occurrence means any condition or event which
					 has jeopardized or could jeopardize the health, safety, security or well-being
					 of any patient, employee or any other person while in the facility and shall
					 include, but not be limited to:
(1) An
				  epidemic outbreak of any disease, prevalence of communicable disease, whether
				  or not such communicable disease is required to be reported by Title 17,
				  California Administrative Code, Section
				  2500, or epidemic infestation by
				  parasites or vectors.
(2)
				  Poisonings.
(3) Fires.
(4) Physical injury to any person which,
				  consistent with good medical and professional practice, would require treatment
				  by a physician.
(5) Death of a
				  patient, employee or visitor from unnatural causes.
(6) Sexual acts involving patients who are
				  nonconsenting.
(7) Physical
				  assaults on patients, employees or visitors.
(8) All instances of patient abuse.
(9) Actual or threatened walkout, or other
				  curtailment of services or interruption of essential services provided by the
				  facility.
1. New
					 section filed 4-15-87, operative 5-15-87 (Register 87, No.
					 16).
Note: Authority cited: Sections
						208(a)
						and
						1275,
						Health and Safety Code. Reference: Section
						1275.1,
						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 9 - Psychiatric Health Facilities › Article 2 - Licensing and Inspection › Section 77037 - Application Required

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) A
				  signed application for a new license shall be submitted to the State Department
				  of Health Care Services whenever any of the following circumstances occur:
(1) Establishment of a facility.
(2) Change in the entity that operates,
				  conducts, maintains, or manages the facility.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 9 - Psychiatric Health Facilities › Article 2 - Licensing and Inspection › Section 77038 - Application Procedure for Obtaining a License

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Whenever an application is submitted
				  pursuant to Sections
				  77037 or
				  77070:
(1) The Department shall inform the
				  applicant, within 30 calendar days of receipt of an application for a license
				  or special permit, that the application is complete and accepted for filing, or
				  that the application is deficient and what specific information, documentation,
				  or fee is required to complete the application.
(2) It is considered complete when all
				  documents, information or fees required to be submitted on or with an
				  application have been received 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 9 - Psychiatric Health Facilities › Article 2 - Licensing and Inspection › Section 77039 - Safety, Zoning and Building Clearance

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) A license shall not be issued to any
				  psychiatric health facility which does not conform to the State Fire Marshal's
				  requirement for fire and life safety, the State requirements for environmental
				  impact, and local fire safety, zoning and building ordinances. The following
				  evidence of such compliance shall be presented in writing to the Department:
(1) The facility must obtain a fire clearance
				  consistent with State Fire Marshal standards for psychiatric health
				  facilities.
(2) The evidence of
				  compliance must contain approval for the facility to use restraint and
				  seclusion as required in Section
				  77101(a) and
				  (b).
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 9 - Psychiatric Health Facilities › Article 2 - Licensing and Inspection › Section 77041 - Issuance, Expiration and Renewal

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Each initial license shall be issued in
				  accordance with Section
				  1267,
				  Health and Safety Code, and shall expire at midnight, one year from the date of
				  issue.
(b) Each renewal license
				  shall be issued in accordance with Section
				  1267,
				  Health and Safety Code.
1. New
					 section filed 4-15-87, operative 5-15-87 (Register 87, No.
					 16).
Note: Authority cited: Sections
						208(a)
						and
						1275,
						Health and Safety Code. Reference: Sections
						1267
						and
						1275.1,
						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 9 - Psychiatric Health Facilities › Article 2 - Licensing and Inspection › Section 77043 - Separate License

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) A
				  separate license shall be required for each psychiatric health facility that is
				  maintained on separate premises even though they are under the same
				  management.
(b) Separate licenses
				  shall not be required for separate buildings on the same grounds or adjacent
				  grounds provided that they operate as one psychiatric health
				  facility.
(c) A licensed
				  psychiatric health facility shall not provide services other than those
				  provided in these regulations, or hold any other license or certificate to
				  provide services, without the written permission of the Department.
(d) A psychiatric health facility shall not
				  be dependent upon any other facility for its staff, facility or
				  program.
1. New
					 section filed 4-15-87, operative 5-15-87 (Register 87, No. 16).
2.
					 New subsections (c) and (d) and amendment of NOTE filed 5-7-99; operative
					 6-6-99 (Register 99, No. 19).
Note: Authority cited: Section
						1275,
						Health and Safety Code. Reference: Sections
						1250.2,
						1253
						and
						1275.1,
						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 9 - Psychiatric Health Facilities › Article 2 - Licensing and Inspection › Section 77045 - Posting of License and Consumer Information

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The license, or a true copy thereof,
				  shall be posted in a prominent location within the licensed premises and
				  accessible to public view.
(b) Any
				  approval of the Department granted under program flexibility shall be posted
				  immediately adjacent to the facility's license.
(c) The following consumer information shall
				  be posted in a prominent location accessible to public view.
(1) Name of the current administrator of the
				  facility.
(2) A notice that the
				  facility's written admission and discharge policies are available upon
				  request.
(3) Most recent licensing
				  visit report supported by the related follow-up plan of correction visit
				  reports or a posted statement that such documents are available upon request
				  for public review at the facility.
(4) A notice of the name, address and
				  telephone number of the Department of Health Care Services division having
				  jurisdiction over the facility.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 9 - Psychiatric Health Facilities › Article 2 - Licensing and Inspection › Section 77047 - Report of Changes

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
The licensee shall notify the Department within 10 days, in
					 writing, of any of the following:
(a)
				  Any change of clinical director or administrator of business and support
				  services.
(b) Any change of the
				  principal officers of the corporation if other than a public entity.
(c) Any change of the mailing address of the
				  licensee.
1. New
					 section filed 4-15-87, operative 5-15-87 (Register 87, No.
					 16).
Note: Authority cited: Sections
						208(a)
						and
						1275,
						Health and Safety Code. Reference: Sections
						1265
						and
						1275.1,
						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 9 - Psychiatric Health Facilities › Article 2 - Licensing and Inspection › Section 77049 - Program Flexibility

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
All facilities shall maintain continuous compliance with
					 the licensing requirements. Such requirements, however, do not prohibit the use
					 of alternate concepts, pursuant to Section
					 1276(b)
					 of the Health and Safety Code.
1. New
					 section filed 4-15-87, operative 5-15-87 (Register 87, No.
					 16).
Note: Authority cited: Sections
						208(a)
						and
						1275,
						Health and Safety Code. Reference: Sections
						1268,
						1275.1
						and
						1276(b),
						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 9 - Psychiatric Health Facilities › Article 2 - Licensing and Inspection › Section 77051 - Voluntary Suspension of Licensure or Licensed Beds

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Any license or portion thereof, which has
				  been suspended for a period of time approved by the Department shall remain
				  subject to all renewal requirements of an active license, including the payment
				  of license renewal fees during the period of suspension.
(b) If the license is not reinstated during
				  the period of approved suspension, the license shall expire automatically and
				  shall not qualify for reinstatement; however, an application may be submitted
				  for a new license.
1. New
					 section filed 4-15-87, operative 5-15-87 (Register 87, No.
					 16).
Note: Authority cited: Sections
						208(a)
						and
						1275,
						Health and Safety Code. Reference: Sections
						1275.1
						and
						1300,
						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 9 - Psychiatric Health Facilities › Article 2 - Licensing and Inspection › Section 77052 - Imposition of Sanctions

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
The suspension and revocation of a license shall be
					 initiated in accordance with Health and Safety Code, Section
					 1294.
					 The Director may impose sanctions when a facility demonstrates a failure to
					 comply with the laws and regulations that govern psychiatric health
					 facilities.
(a) The Department shall
				  issue a cease and desist order if, in the opinion of the Department, an
				  immediate danger to the health, welfare and safety of the facility's patients
				  exists.
(b) Monetary penalties
				  levied against a facility shall be in accordance with Welfare and Institutions
				  Code, Section
				  4080(j)(1)(B).
1. New
					 section filed 4-15-87, operative 5-15-87 (Register 87, No. 16).
2.
					 Amendment of section heading, section and NOTE filed 5-7-99; operative 6-6-99
					 (Register 99, No. 19).
Note: Authority cited: Section
						1275,
						Health and Safety Code; and Section
						4080(f) and
						(j), Welfare and Institutions Code.
						Reference: Sections
						1275.1
						and
						1294,
						Health and Safety Code; and Section
						4080(j),
						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 9 - Psychiatric Health Facilities › Article 2 - Licensing and Inspection › Section 77052.5 - Appeal of Sanctions

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
				  All appeals of denial of licensure or imposition of a sanction, imposed in
				  accordance with Section
				  77028, shall be made pursuant to
				  this section and shall be conducted in accordance with Chapter 5 (commencing
				  with Section
				  11500) of Part 1 of Division 3 of
				  Title 2 of the Government Code.
(b)
				  The Director shall notify in writing an applicant of a denial of licensure and
				  a licensee of an imposed sanction.
(c) All notifications and all accompanying
				  information may be served personally or by registered mail to the
				  applicant's/licensee's latest address on file with the agency.
(d) The notice shall contain the following:
(1) The effective date of the denial or
				  sanction, written delineation of the bases for the denial/sanction, and a copy
				  of this section, governing the procedure for an appeal of a
				  denial/sanction.
(2) A written
				  statement of charges which shall set forth in ordinary and concise language the
				  acts or omissions with which the applicant/licensee is charged, in a manner
				  that the applicant/licensee will be able to prepare his defense.
(3) Specificity regarding the statutes and
				  regulations which the applicant/licensee is alleged to have violated, but shall
				  not consist merely of charges phrased in the language of such statutes and
				  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 9 - Psychiatric Health Facilities › Article 2 - Licensing and Inspection › Section 77053 - Bonds

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Psychiatric
				  health facilities with the exception of psychiatric health facilities operated
				  by public entities, which handle $25.00 or more per patient or $500.00 or more
				  for all patients within any one month, shall post a bond in accordance with the
				  following schedule:
Amount Handled
Bond
							 Required
$25 or more per patient or $500 or over and up to
							 $750 for all patients within one
							 month..........................
.......................... $1,000
$751 to
							 $1,500..........................
.......................... $2,000
$1,501 to
							 $2,500..........................
.......................... $3,000
$2,500.01 and
							 above..........................
.......................... additional
							 $1,000
bond for each $1,000 or fraction thereof of
							 patients funds handled in excess of $2,500
(b)
				  Each application for an original license or renewal of license, with the
				  exception of psychiatric health facilities operated by public entities, shall
				  be accompanied by an affidavit on a form provided by the Department. The
				  affidavit shall state whether the licensee handles or will handle money of
				  patients and the maximum amount of money to be handled for any patient and for
				  all patients in any month.
(c) No
				  licensee shall handle amounts greater than those stated in the affidavit
				  submitted by the licensee without first notifying the Department and filing a
				  new or revised bond if required.
1. New
					 section filed 4-15-87, operative 5-15-87 (Register 87, No.
					 16).
Note: Authority cited: Sections
						208(a)
						and
						1275,
						Health and Safety Code. Reference: Sections
						1275.1
						and
						1318,
						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 9 - Psychiatric Health Facilities › Article 2 - Licensing and Inspection › Section 77055 - Convictions of Crime: Standards for Evaluating Rehabilitation

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) When considering the denial, suspension
				  or revocation of a license based on the conviction of a crime in accordance
				  with Section
				  1265.1
				  or
				  1294
				  of the Health and Safety Code, the following criteria shall be considered in
				  evaluating rehabilitation.
(1) The nature and
				  the seriousness of the crime(s) under consideration.
(2) Evidence of conduct subsequent to the
				  crime which suggests responsible or irresponsible character.
(3) The time which has elapsed since
				  commission of the crime or conduct referred to in subsection (1) or (2)
				  above.
(4) The extent to which the
				  applicant has complied with any terms of parole, probation, restitution, or any
				  other sanctions lawfully imposed against the applicant.
(5) Any rehabilitation evidence submitted by
				  the applicant.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 9 - Psychiatric Health Facilities › Article 3 - Services › Section 77059 - Basic Services

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
The facility may provide services to patients either
					 directly or by written agreement with outside resources as specified in Section
					 77109.
1. New
					 section filed 4-15-87, operative 5-15-87 (Register 87, No.
					 16).
Note: Authority cited: Section
						208(a)
						and
						1275,
						Health and Safety Code. Reference: Sections
						1250.2
						and
						1275.1,
						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 9 - Psychiatric Health Facilities › Article 3 - Services › Section 77061 - Staffing

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The facility
				  shall have a clinical director who shall be a licensed mental health
				  professional and qualified in accordance with Section
				  77093 of these
				  regulations.
(b) The clinical
				  director may also serve as the administrator.
(c) The clinical director shall designate a
				  clinical psychologist or psychiatrist to review and approve interdisciplinary
				  treatment plans.
(d) A physician
				  shall be on-call at all times for the provision of physical health care and
				  those services which can only be provided by a physician. The person in charge
				  of patient care services on each shift shall be provided with the name(s) and
				  means of locating and contacting the available physician. Patients requiring
				  general acute physical health care shall be diverted from admission or
				  transferred to a general acute care hospital. An individual patient may be
				  admitted to a psychiatric health facility if the individual's physical health
				  care could otherwise be managed on an outpatient basis.
(e) If the clinical director is not a
				  physician, responsibility for those aspects of an individual treatment plan
				  which may only be performed by a physician, shall be assumed by a
				  physician.
(f) During the absence
				  of any staff required in subsection (h)(1) below there shall be a substitute
				  person with the required qualifications to provide the number of hours of
				  services required.
(g) Community
				  practitioners who are approved to admit and/or attend patients in the facility
				  may be calculated as part of the staffing pattern only if they are retained by
				  written contract to provide services for a specified number of hours to the
				  patients at the facility.
(h) Each
				  facility shall meet the following full-time equivalent staff to census ratio,
				  in a 24 hour period:
(1) Inpatient
							 Census:
1-10
11-20
21-30
31-40
41-50
51-60
61-70
71-80
81-90
91-100
Staff
Psychiatrist or Clinical Psychologist or Clinical
							 Social Worker or Marriage, Family and Child
							 Counselor
1
2
3
4
5
6
7
8
9
10
Registered Nurse or Licensed Vocational Nurse or
							 Psychiatric
							 Technician
4
5
6
8
10
12
14
16
18
20
Mental Health
							 Worker
3
5
8
10
13
15
18
20
23
25
Totals
8
12
17
22
28
33
39
44
50
55
(2) For
				  facilities in excess of 100 beds, staffing shall be provided in the ratios as
				  in (1) above.
(3) A registered
				  nurse shall be employed 40 hours per week.
(4) There shall be a registered nurse, a
				  licensed vocational nurse, or a psychiatric technician awake and on duty in the
				  facility at all times.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 9 - Psychiatric Health Facilities › Article 3 - Services › Section 77063 - Psychiatric, Psychological and Counseling Services

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Psychiatric services shall be provided by
				  licensed physicians with training and/or experience in psychiatry.
(b) Psychological services shall be provided
				  by clinical psychologists in accordance with Business and Professions Code,
				  Section
				  2903
				  and Health and Safety Code, Section
				  1316.5.
(c) Counseling services shall be provided by
				  licensed clinical social workers in accordance with Business and Professions
				  Code, Sections
				  4996
				  and
				  4996.9,
				  or licensed marriage, family and child counselors in accordance with Business
				  and Professions Code, Sections
				  4980
				  and
				  4980.02.
1. New
					 section filed 4-15-87, operative 5-15-87 (Register 87, No.
					 16).
Note: Authority cited: Sections
						208(a)
						and
						1275,
						Health and Safety Code. Reference: Sections
						1250.2
						and
						1275.1,
						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 9 - Psychiatric Health Facilities › Article 3 - Services › Section 77065 - Psychiatric Nursing Services

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Psychiatric nursing services shall be
				  designed to meet the objectives of each patient's interdisciplinary treatment
				  plan.
(b) Policies and procedures
				  for the administration of medications shall be implemented by the psychiatric
				  nursing service.
(c) Nursing
				  services shall include the development of a nursing care plan based upon an
				  initial written and continuing assessment with input from health professionals
				  involved in the care of the patient. Initial assessments shall commence at the
				  time of admission of the patient and be completed within 72 hours after
				  admission. Nursing care plans shall either be included as a part of the
				  interdisciplinary treatment plan or occupy a unique section of the patient
				  record.
(d) Written nursing
				  services policies and procedures shall be developed which include:
(1) A current nursing procedure manual
				  appropriate to the patients served by the facility.
(2) Provision for the inventory and
				  identification of patients' personal possessions, equipment and
				  valuables.
(3) Screening of all
				  patients for tuberculosis upon admission. A tuberculosis screening procedure
				  may not be required if there is satisfactory written evidence available that a
				  tuberculosis screening procedure has been completed within 90 days of the date
				  of admission to the facility. Subsequent tuberculosis screening procedures
				  shall be determined by a physician.
(4) Notification of practitioner regarding
				  sudden or marked adverse change in a patient's condition.
(5) Conditions under which restraints are
				  used, the application of restraints, and the mechanism used for monitoring and
				  controlling their use.
(6) A
				  planned and systematic process for the monitoring and evaluation of the quality
				  and appropriateness of patient care and for resolving identified
				  problems.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 9 - Psychiatric Health Facilities › Article 3 - Services › Section 77067 - Social Services

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
				  Social services shall be designed to meet the objectives of each patient's
				  interdisciplinary treatment plan in accordance with established policies and
				  procedures.
(b) Social services
				  shall be organized, directed and supervised by a licensed clinical social
				  worker.
1. New
					 section filed 4-15-87, operative 5-15-87 (Register 87, No.
					 16).
Note: Authority cited: Sections
						208(a)
						and
						1275,
						Health and Safety Code. Reference: Sections
						1250.2
						and
						1275.1,
						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 9 - Psychiatric Health Facilities › Article 3 - Services › Section 77069 - Rehabilitation Services

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
				  Rehabilitation services mean those activities provided by occupational
				  therapists, physical therapists or recreation therapists under the general
				  direction of the clinical director to restore, establish and maintain optimum
				  levels of social, vocational and physical functioning and to minimize residual
				  disabilities of patients. Rehabilitation services provided in a psychiatric
				  health facility are to be designed to meet the needs of acute psychiatric
				  inpatients.
(b) In accordance with
				  established policies and procedures, the scope of these activities shall
				  include at least the following:
(1) Social
				  activities which involve group participation.
(2) Recreational activities, both indoor and
				  outdoor.
(3) Opportunity to
				  participate in activities outside of the facility if appropriate.
(4) Exercises.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 9 - Psychiatric Health Facilities › Article 3 - Services › Section 77070 - Structured Outpatient Services Program

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) An application for a special permit for
				  structured outpatient services shall include all of the following:
(1) The identification of a structured
				  outpatient services coordinator.
(2) A written policy that the facility will
				  have staffing based on census consistent with Section
				  77061(h), for the
				  services to be provided under the special permit.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 9 - Psychiatric Health Facilities › Article 3 - Services › Section 77071 - Aftercare Services

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
				  Prior to or at the time of discharge, each patient shall be evaluated
				  concerning the patient's need for aftercare services with the result of that
				  evaluation noted in the patient's health record.
(b) Aftercare services are those services to,
				  and on behalf of, a patient following discharge from the psychiatric health
				  facility for the purpose of enabling the patient to achieve an optimum level of
				  functioning.
(c) Aftercare services
				  shall include but not be limited to the following:
(1) Arranging for out-of-home placement if
				  necessary.
(2) Arranging for
				  medication supervision if indicated.
(3) Obtaining community social, vocational
				  and educational services if appropriate.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 9 - Psychiatric Health Facilities › Article 3 - Services › Section 77073 - Interdisciplinary Treatment Plan

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) A written interdisciplinary treatment
				  plan shall be developed and implemented by the interdisciplinary treatment team
				  for each patient as soon as possible after admission but no longer than 72
				  hours following the patient's admission, Saturdays, Sundays and holidays
				  excepted.
(b) The interdisciplinary
				  treatment plan shall include as a minimum:
(1) A statement of the patient's physical and
				  mental condition, including all diagnoses.
(2) Specific goals of treatment with
				  interventions and actions, and observable, measurable objectives.
(3) Methods to be utilized, the frequency for
				  conducting each treatment method and the person(s) or discipline(s) responsible
				  for each treatment method.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 9 - Psychiatric Health Facilities › Article 3 - Services › Section 77075 - Transfer Summary

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
A transfer summary shall accompany the patient upon
					 transfer to another health facility. The transfer summary shall include
					 information relative to the patient's diagnosis, known residual behaviors or
					 symptoms of mental disorder, medications, treatments, dietary requirements,
					 rehabilitation potential, and known allergies and shall be signed by the
					 clinical director or the clinical director's designee as specified in Section
					 77061(c).
1. New
					 section filed 4-15-87, operative 5-15-87 (Register 87, No.
					 16).
Note: Authority cited: Sections
						208(a)
						and
						1275,
						Health and Safety Code. Reference: Section
						1275.1,
						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 9 - Psychiatric Health Facilities › Article 3 - Services › Section 77077 - Dietetic Services

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The
				  total daily diet for patients shall be of the quality and in the quantity
				  necessary to meet the needs of the patients and shall meet the "Dietary
				  Reference Intakes: The Essential Guide to Nutrient Requirements" (2006) adopted
				  by the National Research Council of the National Academy of Sciences, Institute
				  of Medicine, hereby incorporated by reference, adjusted to the age, activity
				  and environment of the group involved. All food shall be of good quality and be
				  selected, stored, prepared and served in a safe and healthful manner. The
				  following shall apply:
(1) Arrangements shall
				  be made so that each patient has available at least three meals per day. Not
				  more than fourteen (14) hours shall elapse between the third and first
				  meal.
(2) A facility may choose to
				  purchase, store and prepare the required food for its patients, or it may
				  choose to purchase prepared meals from other appropriate sources, through a
				  written contract.
(3) When a
				  non-inpatient program exceeds four hours, nourishment or snacks shall be
				  available.
(4) A person shall be
				  designated by the administrator to be responsible for the management and
				  operation of the food service. This may be provided by a full-time or part-time
				  employee with the facility, or through a written contract with an outside
				  supplier or food service. If this person is not a dietitian, provision shall be
				  made for consultation from a person so qualified, who shall provide this
				  consultation at least 4 hours every three months. If total food service is by
				  contract, a staff member will be designated to monitor the operation of the
				  food service within the facility.
(5) If patients participate in food
				  preparation and/or service to inpatients as part of their interdisciplinary
				  treatment plan, they shall comply with the same policies and procedures as
				  those required for food service employees.
(6) Pesticides and other toxic substances
				  shall not be stored in the food store rooms, kitchen areas, or where kitchen
				  equipment or utensils are stored, or accessible to patients.
(7) Supplies of staple foods for a minimum of
				  two days shall be maintained on the premises.
(8) All kitchen equipment, fixed or mobile,
				  and dishes, shall be kept clean and maintained in good repair and free of
				  breaks, open seams, cracks or chips.
(9) All utensils used for eating and drinking
				  and in the preparation of food and drink shall be cleaned and sanitized after
				  each usage.
(10) The facility shall
				  maintain a written plan to provide patients' food service in
				  emergencies.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 9 - Psychiatric Health Facilities › Article 3 - Services › Section 77079.1 - Pharmaceutical Services-General

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Arrangements shall be made with
				  pharmacists licensed by the California Board of Pharmacy to assure that
				  pharmaceutical services are available to provide patients with prescribed drugs
				  and biologicals.
(b) Dispensing,
				  labeling, storage, disposal and administration of drugs and biologicals shall
				  be in conformance with state and federal laws.
(c) If a pharmacy is located on the premises,
				  the pharmacy shall be approved by the Department. The pharmacy shall not serve
				  the general public unless a separate public entrance or a separate public
				  serving window is utilized. Pharmacies located on the licensed premises of the
				  facility shall be opened for inspection upon the request of an authorized
				  Department representative.
(d) The
				  facility shall not accept money, goods or services free or below cost from any
				  pharmacist or pharmacy as compensation or inducement for referral of business
				  to any pharmacy.
1. New
					 section filed 4-15-87, operative 5-15-87 (Register 87, No.
					 16).
Note: Authority cited: Sections
						208(a)
						and
						1275,
						Health and Safety Code. Reference: Section
						1275.1,
						Health and Safety Code; Sections
						650
						and
						651,
						Business and Professions 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 9 - Psychiatric Health Facilities › Article 3 - Services › Section 77079.2 - Pharmaceutical Services-Requirements

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Pharmaceutical service shall include, but
				  not be limited to, the following:
(1)
				  Obtaining necessary drugs including the availability of 24-hour prescription
				  service on a prompt and timely basis as follows:
(A) Drugs ordered "Stat" that are not
				  available in the facility emergency drug supply shall be available and
				  administered within one hour of the time ordered during normal pharmacy hours.
				  For those hours during which the pharmacy is closed, drugs ordered "Stat" shall
				  be available and administered within two hours of the time ordered. Drugs
				  ordered "Stat" which are available in the emergency drug supply shall be
				  administered immediately.
(B)
				  Anti-infectives and drugs used to treat severe pain, nausea, agitation,
				  diarrhea or other severe discomfort shall be available and administered within
				  four hours of the time ordered.
(C)
				  Except as indicated above, all new drug orders shall be available on the same
				  day ordered unless the drug would not normally be started until the next
				  day.
(D) Refill of prescription
				  drugs shall be available when needed.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 9 - Psychiatric Health Facilities › Article 3 - Services › Section 77079.3 - Pharmaceutical Services-Labeling and Storage of Drugs

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Containers which are cracked, soiled or
				  without secure closures shall not be used. Drug labels shall be
				  legible.
(b) All drugs obtained by
				  prescription shall be labeled in compliance with state and federal laws
				  governing prescription dispensing. No person other than the dispenser or
				  prescriber of the drug shall alter any prescription label.
(c) Nonlegend drugs shall be labeled in
				  conformance with state and federal food and drug laws.
(d) Test reagents, germicides, disinfectants
				  and other household substances shall be stored separately from drugs and shall
				  not be accessible to patients.
(e)
				  External use drugs in liquid, tablet, capsule or powder form shall be stored
				  separately from drugs for internal use.
(f) Drugs shall be stored at appropriate
				  temperatures. Drugs required to be stored at room temperature shall be stored
				  at a temperature between 15°C (59°F) and 30°C (86°F). Drugs
				  requiring refrigeration shall be stored in a refrigerator between 2°C
				  (36°F) and 8°C (46°F). When drugs are stored in the same
				  refrigerator with food, the drugs shall be kept in a closed container clearly
				  labeled "drugs."
(g) Drugs shall be
				  stored in an orderly manner in cabinets, drawers or carts of sufficient size to
				  prevent crowding.
(h) Dose
				  preparation and administration areas shall be well-lighted.
(i) Drugs shall be accessible only to
				  personnel designated in writing by the licensee.
(j) Medication shall not be kept at the
				  patient's bedside.
(k) Drugs shall
				  not be kept in stock after the expiration date on the label and no contaminated
				  or deteriorated drugs shall be available for use.
(l) The drugs of each patient shall be kept
				  and stored in their originally received containers. No drug shall be
				  transferred between containers.
(m)
				  Discontinued drug containers shall be marked, or otherwise identified, to
				  indicate that the drug has been discontinued, or shall be stored in a separate
				  location which shall be identified solely for this purpose. Discontinued drugs
				  shall be disposed of within 90 days of the date the drug order was
				  discontinued, unless the drug is reordered within that time.
1. New
					 section filed 4-15-87, operative 5-15-87 (Register 87, No.
					 16).
Note: Authority cited: Sections
						208(a)
						and
						1275,
						Health and Safety Code. Reference: Section
						1275.1,
						Health and Safety Code; Sections
						650
						and
						651,
						Business and Professions 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 9 - Psychiatric Health Facilities › Article 3 - Services › Section 77079.4 - Pharmaceutical Services-Stop Orders

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Written policies shall be established and implemented
					 limiting the duration of new drug orders in the absence of a prescriber's
					 specific indication for duration of therapy. the prescriber shall be contacted
					 for new orders prior to the termination time established by the policy. Such
					 policies shall include all categories of drugs.
1. New
					 section filed 4-15-87, operative 5-15-87 (Register 87, No.
					 16).
Note: Authority cited: Sections
						208(a)
						and
						1275,
						Health and Safety Code. Reference: Section
						1275.1,
						Health and Safety Code; Sections
						650
						and
						651,
						Business and Professions 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 9 - Psychiatric Health Facilities › Article 3 - Services › Section 77079.5 - Pharmaceutical Services-Orders for Drugs

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) No drugs shall be administered except
				  upon the order of a person lawfully authorized to prescribe for and treat human
				  illness.
(b) All drug orders shall
				  be written, dated, timed and signed by the person lawfully authorized to give
				  such an order. The name, quantity or specific duration of therapy, dosage and
				  time or frequency of administration of the drug and route of administration if
				  other than oral shall be specified. "P.R.N." orders shall also include the
				  indication for the use of the drug.
(c) Verbal orders for drugs and treatment
				  shall be received only by licensed nurses, psychiatric technicians,
				  pharmacists, physicians and physician's assistants from their supervising
				  physicians only. Such orders shall be recorded immediately in the patient's
				  health record by the person receiving the order and shall include the date and
				  time of the order. The order shall be signed by the prescriber within 24 hours
				  excluding weekends and holidays.
(d) The signing of orders shall be by
				  signature or a personal computer key. Signature stamps shall not be
				  used.
1. New
					 section filed 4-15-87, operative 5-15-87 (Register 87, No. 16).
2.
					 Amendment of subsection (b) and amendment of NOTE filed 5-7-99; operative
					 6-6-99 (Register 99, No. 19).
Note: Authority cited: Section
						1275,
						Health and Safety Code. Reference: Section
						1275.1,
						Health and Safety Code; Sections
						650
						and
						651,
						Business and Professions Code.