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 8 - Intermediate Care Facilities for the Developmentally Disabled › Article 4 - Administration › Section 76521 - Policies and Procedures

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
				  Written administrative, management and personnel policies shall be implemented
				  to govern the administration and management of the facility.
(b) All policies and procedures required of
				  these regulations shall be in writing, made available upon request to clients
				  or their agents, employees and the public, and shall be carried out as written.
				  Policies and procedures shall be reviewed at least annually, and revised as
				  needed.
(c) Each facility shall
				  establish the following policies and procedures:
(1) The overall philosophy, objectives and
				  goals the facility is striving to achieve shall include but not be limited to:
(A) The facility's role in the state
				  comprehensive program for the developmentally disabled.
(B) The facility's goals for its
				  clients.
(C) The facility's concept
				  of its relationship to the parents or representatives of the
				  clients.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 8 - Intermediate Care Facilities for the Developmentally Disabled › Article 4 - Administration › Section 76527 - Clients' Rights-Cause for Denial of Clients' Rights

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Good cause for denying a client the
				  exercise of a right exists when the professional person in charge of a facility
				  has good reason to believe:
(1) That the
				  exercise of the specific right would be injurious to the client; or
(2) There is evidence that the specific
				  right, if exercised would seriously infringe on the rights of others;
				  or
(3) The facility would suffer
				  serious damage if the specific right is not denied; and
(4) That there is no less restrictive way of
				  protecting the interests specified in (1), (2) or (3).
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 8 - Intermediate Care Facilities for the Developmentally Disabled › Article 4 - Administration › Section 76531 - Clients' Rights-Complaint Procedure

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The list of rights that shall be posted,
				  and provided or explained to the client shall contain:
(1) Notification that any client who believes
				  a right of his or hers has been abused, punitively withheld or unreasonably
				  denied may file a complaint with the clients' advocate or the local licensing
				  office of the Department.
(2) The
				  name of the clients' advocate and district administrator of the local licensing
				  office who have been assigned to handle such complaints, their telephone
				  numbers and the times during which they may be contacted.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 8 - Intermediate Care Facilities for the Developmentally Disabled › Article 4 - Administration › Section 76533 - Clients' Rights-Reports of Clients' Rights Denied

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) All facilities providing services to
				  developmentally disabled clients shall submit reports on Department of
				  Developmental Services approved forms of all clients' rights that have been
				  denied. These reports shall be submitted to the agency that is designated in
				  the procedures developed by the Department of Developmental Services.
(b) Each facility shall note in its report
				  that, when a client is denied a specific right, the client's record is
				  identifiable and can be located for purposes of analysis and investigation by
				  the Department of Developmental Services.
Note: Authority cited: Section
						208(a),
						Health and Safety Code. Reference: Section
						1278,
						Health and Safety Code. Sections
						4502,
						4503,
						4504,
						and
						4505,
						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 8 - Intermediate Care Facilities for the Developmentally Disabled › Article 4 - Administration › Section 76535 - Client's Rights-Access to Denial of Rights Information

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Information in a client's record pertaining to a denial of
					 a right shall be available on request to the client, the client's parents, if
					 the client is a minor, or the client's attorney or authorized representative
					 and authorized agents or employees of the Department of Health Services and the
					 Department of Developmental Services.
Note: Authority cited: Section
						208(a),
						Health and Safety Code. Reference: Section
						1276,
						Health and Safety Code. Sections
						4502,
						4503,
						4504,
						and
						4505,
						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 8 - Intermediate Care Facilities for the Developmentally Disabled › Article 4 - Administration › Section 76539 - Employees' Health Examination and Health Records

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The licensee and all employees working in
				  the facility shall have a health examination within 6 months prior to
				  employment or within 15 days after employment and at least annually thereafter
				  by a person lawfully authorized to perform such examinations. Each such
				  examination shall include a medical history, physical evaluation and laboratory
				  work as indicated. The report signed by the examiner shall indicate that the
				  individual is sufficiently free of disease to perform assigned duties and does
				  not have any health condition that would create a hazard for the employee,
				  fellow employees, visitors or clients.
(b) The initial health examination and
				  subsequent annual examination shall include a test for tuberculosis infection
				  that is recommended by the federal Centers for Disease Control and Prevention
				  (CDC) and licensed by the federal Food and Drug Administration (FDA) or a chest
				  X-ray. A positive result from the tuberculosis test shall be followed by a
				  chest X-ray.
(c) The facility shall
				  maintain a health record of the administrator and each employee which includes
				  reports of all employment-related health examinations. These records shall be
				  kept for a minimum of three years following termination of
				  employment.
(d) Employees known to
				  have or evidencing signs or symptoms of infectious disease shall not be
				  permitted to work until they submit a physician's certification that they are
				  sufficiently free of infectious disease to return to their assigned
				  duties.
1. Amendment
					 of subsections (a) and (b) and amendment of NOTE filed 5-30-2013; operative
					 5-30-2013 pursuant to Government Code section
					 11343.4(b)(3)
					 (Register 2013, No. 22).
Note: Authority cited: Sections
						1275,
						121357
						and
						131200,
						Health and Safety Code. Reference: Sections
						1250,
						1276,
						121362,
						131050,
						131051
						and
						131052,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 8 - Intermediate Care Facilities for the Developmentally Disabled › Article 4 - Administration › Section 76541 - Employee Personnel Records

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) All facilities shall maintain
				  confidential employee records of all personnel. The record shall include the
				  employee's full name, Social Security number, professional license or
				  registration number, if any, employment classification, information as to past
				  employment and qualifications, date of beginning employment and date of
				  termination of employment and performance evaluations. Such records shall be
				  retained for at least three years following termination of employment and shall
				  be available to authorized agents or representatives of the Department upon
				  request.
(b) Records of hours and
				  dates worked by all employees during at least the most recent six-month period
				  shall be kept on file at the place of employment or at a central location
				  within the State of California. Such records shall be made available to the
				  Department within one working day.
(c) A record of the registry staff utilized
				  in the facility shall be kept and shall include the following:
(1) Employee's full name.
(2) Records of hours and dates
				  worked.
(3) Professional license or
				  registration number and date of expiration.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 8 - Intermediate Care Facilities for the Developmentally Disabled › Article 4 - Administration › Section 76543 - Clients with Communicable Diseases

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Clients with a communicable disease shall
				  not be cared for in the facility unless the following requirements are met:
(1) Any client diagnosed as having a
				  reportable communicable disease or being in a carrier state who the attending
				  physician determines is a potential danger to other clients or personnel, shall
				  be accommodated in a room provided with a separate toilet, handwashing
				  facility, soap dispenser and individual towels.
(2) The facility shall adopt and observe
				  written procedures approved by the local health officer. Such procedures shall
				  be posted at the appropriate location. The procedures shall outline the
				  technique to be used in the case of clients with a communicable disease, and
				  shall include:
(A) Handwashing upon entering
				  and leaving client's room.
(B)
				  Proper handling and disposal of infectious material.
(C) Procedures for medical and nursing
				  personnel providing for proper isolation techniques.
(D) Health education provided to the
				  client.
(E) Proper handling of
				  dishes.
(F) Proper handling of
				  client care equipment.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 8 - Intermediate Care Facilities for the Developmentally Disabled › Article 4 - Administration › Section 76545 - Reporting of Communicable Disease

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
All cases of reportable diseases shall be reported to the
					 local health officer in accordance with Section
					 2500, Article 1, Subchapter 4,
					 Chapter 4, Title 17, California Administrative Code.
Note: Authority cited: Section
						208(a),
						Health and Safety Code. Reference: Section
						1276,
						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 8 - Intermediate Care Facilities for the Developmentally Disabled › Article 4 - Administration › Section 76547 - Reporting of Outbreaks

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
All cases of any outbreak or undue prevalence of infections
					 or parasitic disease or infestation shall be reported to the local health
					 officer in accordance with Section
					 2502, Article 1, Subchapter 4,
					 Chapter 4, Title 17, California Administrative Code.
Note: Authority cited: Section
						208(a),
						Health and Safety Code. Reference: Section
						1276,
						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 8 - Intermediate Care Facilities for the Developmentally Disabled › Article 4 - Administration › Section 76549 - Occurrence of Unusual Diseases

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Any facility having knowledge of a case of an unusual
					 disease shall convey the facts promptly to the local health
					 officer.
Note: Authority cited: Section
						208(a),
						Health and Safety Code. Reference: Section
						1276,
						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 8 - Intermediate Care Facilities for the Developmentally Disabled › Article 4 - Administration › Section 76551 - Unusual Occurrences

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
				  Occurrences such as epidemic outbreaks, poisonings, fires, major accidents,
				  deaths from unnatural causes or other catastrophes and unusual occurrences
				  which threaten the welfare, safety or health of clients, personnel or visitors
				  shall be reported by the facility within 24 hours either by telephone, with
				  written confirmation, or by telegraph to the local health officer and the
				  Department.
(b) In the event of any
				  unusual occurrence, including serious illness or accident, impending death or
				  death, the client's parent, guardian or authorized representative shall be
				  notified promptly.
(c) An unusual
				  occurrence report shall be retained on file by the facility for five years. The
				  facility shall furnish such other pertinent information related to such
				  occurrences as the local health officer or the Department may require. Every
				  fire or explosion which occurs in or on the premises shall be reported within
				  24 hours to the local fire authority or in areas not having an organized fire
				  service, to the State Fire Marshal.
(d) Any facility receiving a client
				  exhibiting a physical injury or condition, which, in the opinion of the
				  admitting physician, reasonably appears to be the result of neglect or abuse,
				  shall report such fact by telephone, and in writing as soon as possible, not to
				  exceed 36 hours, to the local police authority having jurisdiction, the local
				  health department, placement agency and to the Department. Written reports in
				  the client's health record shall state the character and extent of the physical
				  injury or condition.
Note: Authority cited: Section
						208(a),
						Health and Safety Code. Reference: Section
						1276,
						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 8 - Intermediate Care Facilities for the Developmentally Disabled › Article 4 - Administration › Section 76553 - Annual Reports

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Each facility on or before the 15th day of February of each
					 year shall file with the Department, upon forms furnished by the Department, a
					 report for the preceding calendar year concerning all matters requested by the
					 Department which are within the scope of its regulatory
					 authority.
Note: Authority cited: Section
						208(a),
						Health and Safety Code. Reference: Section
						1276,
						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 8 - Intermediate Care Facilities for the Developmentally Disabled › Article 4 - Administration › Section 76555 - Admission Agreement

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
				  Each facility shall have a written agreement with each client or client's
				  authorized representative. Such an agreement shall be completed prior to or at
				  the time of admission. It shall be dated and signed by the licensee or
				  licensee's authorized representative, the client, if possible, and the client's
				  authorized representative and the placement agency, if a party to the contract.
				  A new agreement shall be signed if there is any change in the terms of the
				  original admission agreement. A signed copy of the admission agreement shall be
				  provided to the client if appropriate, or the client's authorized
				  representative and the placement agency, if any. A signed copy of the admission
				  agreement shall be retained in the client's record. In state hospitals, the
				  signing of the admission form and acceptance of admission packet shall meet the
				  admission agreement requirement.
(b) The agreement shall specify:
(1) Services to be provided by the
				  facility.
(2) Rate of charge for
				  service.
(3) When and by whom
				  payment shall be made.
(4)
				  Conditions for modification of the agreement, including provisions for at least
				  30 days' prior written notice of any rate change. For the client whose care is
				  funded at rates prescribed by government funded programs, the agreement may
				  specify that the facility's rate may be changed effective on the operative date
				  of any rate change made in that program.
(5) Conditions under which refunds shall be
				  made, and the time period within which they shall be received.
(6) That services shall at all times be
				  provided without discrimination based on sex, race, color, religion, ancestry,
				  national origin, sexual orientation, disability, medical condition, marital
				  status, or registered domestic partner status.
(7) Conditions under which the agreement may
				  be terminated.
(8) That no client
				  shall have his or her services summarily terminated by the licensee unless the
				  client is clearly engaged in behavior which is a threat to property or to the
				  safety of others in 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 8 - Intermediate Care Facilities for the Developmentally Disabled › Article 4 - Administration › Section 76557 - Client Records

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
				  Records shall be permanent, either typewritten or legibly written in ink and
				  shall be kept on all clients admitted or accepted for care. All records of
				  discharged clients shall be completed and filed within 30 days after the
				  discharge date and the records shall be kept for a minimum of 7 years, except
				  for minors whose records shall be kept at least until 1 year after the minor
				  has reached the age of 18, but in no case less than 7 years. If a facility
				  operates an X-ray unit, all exposed X-ray film shall be retained for seven
				  years. All required records, either originals or faithful and accurate
				  reproductions shall be maintained in a legible form and available upon the
				  request of the attending physician; the facility or any authorized officer,
				  agent or employee of either the physician or the facility; any authorized
				  employee or agent of the Department or any other person authorized by law to
				  make a request.
(b) Information
				  contained in a client's records, including information contained in an
				  automated data bank, shall be considered confidential and shall be protected
				  from unauthorized access or use and released only to authorized persons in
				  accordance with federal, state and local laws.
(c) Written consent of the client, parent of
				  a minor, guardian or authorized representative shall be required for the
				  release of information to persons not otherwise authorized to receive
				  it.
(d) If a facility ceases
				  operation, the Department shall be informed within 24 hours of the arrangements
				  made for the safe preservation of the client's records.
(e) The Department shall be informed within
				  48 hours, in writing, whenever client records are defaced or destroyed before
				  termination of the required retention period.
(f) If the ownership of the facility changes,
				  both the licensee and the applicant for the new license shall, prior to the
				  change of ownership, provide the Department with written documentation stating:
(1) That the new licensee will have custody
				  of the client's records and these records will be available to the former
				  licensee, the new licensee and other authorized persons; or
(2) That other arrangements have been made by
				  the current licensee for the safe preservation and the location of the client's
				  records, and that they are available to both the new and former licensees and
				  other authorized persons; or
(3)
				  The reasons for the unavailability of the records.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 8 - Intermediate Care Facilities for the Developmentally Disabled › Article 4 - Administration › Section 76559 - Admission Records

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) A
				  facility shall complete for each client an admission record which shall include
				  the following:
(1) Name and Social Security
				  number or other identifying number.
(2) Current address.
(3) Age and date of birth.
(4) Sex.
(5) Marital status.
(6) Date of admission.
(7) Date of discharge.
(8) Name, address and telephone number of
				  next of kin, guardian, authorized representative and agency responsible for
				  client.
(9) Name, address and
				  telephone number of attending physician and of the podiatrist, dentist or
				  clinical psychologist, if such practitioner is primarily responsible for the
				  treatment of the client.
(10) Name,
				  address and telephone number of the designated alternate physician.
(11) Admission diagnosis, known allergies and
				  final diagnosis.
(12) Medicare and
				  Medi-Cal numbers when appropriate.
(13) Reason for admission or referral
				  problem.
(14) Type and legal status
				  of admission.
(15) Legal competency
				  status.
(16) Language spoken or
				  understood.
(17) Information
				  relevant to religious affiliation.
(18) Citizenship.
(19) Parents' marital status.
(20) Medication history, as required by
				  Section 76589(a)(5).
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 8 - Intermediate Care Facilities for the Developmentally Disabled › Article 4 - Administration › Section 76563 - External Disaster and Mass Casualty Plan

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) A written external disaster and mass
				  casualty plan shall be adopted. The plan shall be developed with the advice and
				  assistance of county or regional and local planning offices and shall not
				  conflict with county and community disaster plans. A copy of the plan shall be
				  available on the premises for review by the Department.
(b) The plan shall provide procedures in
				  event of community and widespread disasters. The written plan shall include at
				  least the following:
(1) Sources of emergency
				  utilities and supplies, including gas, water, food and essential medical and
				  supportive materials.
(2)
				  Procedures for assigning personnel and recalling off-duty personnel.
(3) A chart of lines of authority in the
				  facility.
(4) Procedures for
				  conversion of all usable space in client activity areas for immediate care of
				  emergency admissions.
(5)
				  Procedures for moving clients from damaged areas of the facility to undamaged
				  areas.
(6) Procedures for emergency
				  transfers of clients who can be moved to other health facilities, including
				  arrangements for safe andefficient transportation.
(7) Procedures for emergency discharge of
				  clients who can be discharged without jeopardy into the community, including
				  prior arrangements for their care, arrangements for safe and efficient
				  transportation and 24-hour follow up to ascertain the clients are receiving
				  their required care.
(8) Procedures
				  for maintaining a record of client relocation.
(9) An evacuation plan, including evacuation
				  routes, emergency phone numbers of physicians, health facilities, the fire
				  department and local emergency medical services agencies and arrangements for
				  the safe transfer of clients after evacuation.
(10) A disaster tag containing all pertinent
				  personal and medical information to accompany each client who is moved,
				  transferred, discharged or evacuated.
(11) Procedures for maintaining security in
				  order to keep relatives, visitors and curious persons out of the facility
				  during a disaster, if necessary.
(12) Assignment of public relations liaison
				  duties to a responsible individual to release information to the public during
				  a disaster.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 8 - Intermediate Care Facilities for the Developmentally Disabled › Article 4 - Administration › Section 76565 - Fire and Internal Disasters

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) A written fire and internal disaster plan
				  incorporating evacuation procedures, shall be developed with the assistance of
				  qualified fire, safety and other appropriate experts. A copy of the plan shall
				  be available on the premises for review by the Department.
(b) The written plan shall include at least
				  the following:
(1) Procedures for the
				  assignment of personnel to specific tasks and responsibilities.
(2) Procedures for the use of alarm systems
				  and signals.
(3) Procedures for
				  fire containment.
(4) Procedures
				  for notification of appropriate persons, including a list of names and
				  telephone numbers.
(5) Location of
				  fire-fighting equipment.
(6)
				  Procedures for evacuation and specification of evacuation routes.
(7) Other provisions as the local situation
				  dictates.
(8) Procedures for moving
				  clients from damaged areas of the facility to undamaged areas.
(9) Procedures for emergency transfers of
				  clients who can be moved to other health facilities, including arrangements for
				  safe and efficient transportation.
(10) Procedures for emergency discharge of
				  clients who can be discharged without jeopardy into the community, including
				  prior arrangements for their care, arrangements for safe and efficient
				  transportation and a 24-hour follow up to ascertain the clients are receiving
				  their required care.
(11) A
				  disaster tag containing all pertinent personal and medical information to
				  accompany each client that is moved, transferred, discharged or
				  evacuated.
(12) Procedures for
				  maintaining a record of client relocation.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 8 - Intermediate Care Facilities for the Developmentally Disabled › Article 4 - Administration › Section 76566 - Disruption of Services

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Each facility shall develop a written plan to be used when
					 a discontinuance or disruption of service occurs.
Note: Authority cited: Section
						208(a),
						Health and Safety Code. Reference: Section
						1276,
						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 8 - Intermediate Care Facilities for the Developmentally Disabled › Article 4 - Administration › Section 76567 - Client Identification

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Each client shall be identified by wristband identification
					 or other method which meets the approval of the Department.
Note: Authority cited: Section
						208(a),
						Health and Safety Code. Reference: Section
						1276,
						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 8 - Intermediate Care Facilities for the Developmentally Disabled › Article 4 - Administration › Section 76570 - Liability for Rent and Return of Rental Advance

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) This section shall apply to all hiring
				  agreements executed on or after January 1, 1979.
(b) Whenever accommodations in an
				  intermediate care facility for the developmentally disabled are rented by or
				  for a client on a month to month basis, the renter or his heir, legatee or
				  personal representative shall not be liable for any rent due under the rental
				  agreement for accommodations beyond the date on which the client
				  died.
(c) Any advance payment of
				  rent by the renter shall be returned to the heir, legatee or personal
				  representative of the client no later than two weeks after the death of the
				  client.
(d) The rights described in
				  subsections (b) and (c) of this section shall not be modified or waived in the
				  rental agreement.
1. New
					 section filed 12-6-79; effective thirtieth day thereafter (Register 79, No.
					 49).
Note: Authority cited: Sections
						208
						and
						1275,
						Health and Safety Code. Reference: Section
						1934.5, Civil
						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 8 - Intermediate Care Facilities for the Developmentally Disabled › Article 4 - Administration › Section 76571 - Equipment and Supplies

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
				  Equipment and supplies in each facility shall be of the quality and in the
				  quantity necessary for care of clients as ordered or indicated. These shall be
				  provided and properly maintained at all times and shall include at least the
				  following:
(1) Airways.
(2) Appropriate record forms.
(3) Assistive devices, equipment, supplies
				  and instructions for use as required by clients.
(4) Bedpans.
(5) Catheter clamps.
(6) Clerical supplies and
				  equipment.
(7) Denture
				  cups.
(8) Drug service trays or
				  carts.
(9) Ear syringes.
(10) Emergency oxygen supply and equipment
				  for administration.
(11) Emesis
				  basins.
(12) Examination
				  light.
(13) First aid equipment and
				  supplies, as determined by the client care policy committee, readily available
				  at all times.
(14)
				  Flashlights.
(15) Gloves (sterile
				  and unsterile).
(16) Ice
				  caps.
(17) Medicine
				  droppers.
(18) Medicine glasses,
				  cups or other small containers which are accurately calibrated.
(19) Ophthalmoscope/Otoscope.
(20) Rectal speculum.
(21) Refrigerator with a reliable
				  thermometer.
(22) Rubber
				  tubing.
(23) Scales for clients'
				  use.
(24) Shower and commode
				  chairs, wheelchairs, walkers, canes and crutches.
(25) Soap for bathing.
(26) Soap dishes.
(27) Sphygmomanometers.
(28) Sterile dressings.
(29) Stethoscopes.
(30) Suction apparatus.
(31) Suture tray.
(32) Suture removal equipment.
(33) Syringes and needles.
(34) Test supplies necessary to perform urine
				  sugar and acetone testing.
(35)
				  Thermometers, oral and rectal.
(36)
				  Tongue depressors.
(37)
				  Urinals.
(38) Vaginal
				  speculum.
(39) Wash
				  basins.
(40) Water
				  pitchers.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 8 - Intermediate Care Facilities for the Developmentally Disabled › Article 5 - Physical Plant › Section 76601 - Alterations to Existing Buildings or New Construction

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Alterations to existing buildings
				  licensed as intermediate care facilities for the developmentally disabled or
				  new construction shall be in conformance with Chapter 1, Division T17, Part 6,
				  Title 24, California Administrative Code.
(b) Facilities licensed or exempt from
				  licensure and in operation prior to the effective date of changes in
				  construction regulations shall not be required to institute corrective
				  alterations or construction to comply with such new requirements except where
				  specifically required or where the Department determines in writing that a
				  definite hazard to health and safety exists. Any facility for which preliminary
				  or working drawings and specifications have been approved by the Department
				  prior to the effective date of changes to construction regulations shall not be
				  required to comply with such new requirements provided substantial actual
				  construction is commenced within one year of the effective date of such new
				  requirements.
(c) All facilities
				  shall maintain in operating condition all buildings, fixtures and spaces in the
				  numbers and types as specified in the construction requirements under which the
				  facility or unit was first licensed.
Note: Authority cited: Section
						208(a),
						Health and Safety Code. Reference: Sections
						1276
						and
						15007,
						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 8 - Intermediate Care Facilities for the Developmentally Disabled › Article 5 - Physical Plant › Section 76603 - Application for Plan Review

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Drawings and specifications for alterations to existing
					 buildings or new construction shall be submitted to the Department for approval
					 and shall be accompanied by an application for plan review on forms furnished
					 by the Department. The application shall meet the requirements of California
					 Administrative Code, Title 22, Division 7, Chapter 6, Article 1, Sections
					 93001 through
					 93019.
Note: Authority cited: Section
						208(a),
						Health and Safety Code. Reference: Sections
						1276
						and
						15007,
						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 8 - Intermediate Care Facilities for the Developmentally Disabled › Article 5 - Physical Plant › Section 76605 - Space Conversion

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Spaces approved for specific uses at the time of licensure
					 shall not be converted to other uses without the approval of the
					 Department.
Note: Authority cited: Section
						208(a),
						Health and Safety Code. Reference: Sections
						1276
						and
						17007,
						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 8 - Intermediate Care Facilities for the Developmentally Disabled › Article 5 - Physical Plant › Section 76607 - Notice to Department

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
The Department shall be notified, in writing, by the owner
					 or licensee of the facility within five days of the commencement of any
					 construction, remodeling or alterations to such facility.
Note: Authority cited: Section
						208(a),
						Health and Safety Code. Reference: Sections
						1276
						and
						15007,
						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 8 - Intermediate Care Facilities for the Developmentally Disabled › Article 5 - Physical Plant › Section 76609 - Client Capacity

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) A
				  facility shall not have more clients or beds set up for use than the number for
				  which it is licensed except in case of emergency when temporary permission may
				  be granted by the Director or designee.
(b) Clients shall not be housed in areas
				  which have not been approved by the Department for client housing and which
				  have not been given a fire clearance by the State Fire Marshal except as
				  provided in subsection (a) above.
(c) The number of licensed beds shown on a
				  license shall not exceed the number of beds for which the facility meets
				  applicable construction and operational requirements.
Note: Authority cited: Section
						208(a),
						Health and Safety Code. Reference: Sections
						1276
						and
						15007,
						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 8 - Intermediate Care Facilities for the Developmentally Disabled › Article 5 - Physical Plant › Section 76611 - Client Rooms

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
				  Each client's bedroom shall have a name, numeral, letter or symbol for
				  identification.
(b) Client rooms
				  shall not be locked when occupied unless the client has the means to easily
				  unlock the door.
(c) The facility
				  shall conspicuously post in a prominent location a directional guide to
				  clients' rooms.
(d) Only upon the
				  written approval of the Department may any exit door, corridor door, yard
				  enclosure or perimeter fence be locked to egress.
(e) Each client shall be provided clean,
				  comfortable and reasonably private living accommodations with no more than four
				  clients occupying a room. Any deviation from this requirement shall be
				  justified on the basis of meeting program needs of the specific clients being
				  served. Such justification shall be provided by the attending physician or a
				  psychologist. Approval for more than four clients per room shall be given only
				  by the Medical Social Review Team.
(f) Clients shall be accommodated only in
				  rooms which have been approved by the Department and which have the following
				  minimum floor area:
(1) Single rooms: 7.2
				  square meters (80 square feet).
(2)
				  Multibed rooms: 5.4 square meters (60 square feet per bed).
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 8 - Intermediate Care Facilities for the Developmentally Disabled › Article 5 - Physical Plant › Section 76613 - Client Property Storage

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
				  Each client shall be provided:
(1) Furniture
				  appropriate to the client's needs, such as a chest of drawers, a table or desk,
				  and an individual closet with clothes racks and shelves accessible to the
				  client.
(2) Suitable storage for
				  personal possessions, such as toys and individual prosthetic equipment, so that
				  they are accessible to the client.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 8 - Intermediate Care Facilities for the Developmentally Disabled › Article 5 - Physical Plant › Section 76615 - Client Room Furnishings

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
				  Each client shall be provided in the client's room, at least the following:
(1) A separate bed of proper size and
				  height.
(2) A clean, comfortable
				  mattress.
(3) Bedding appropriate
				  for weather and climate and in good repair.
(4) Proper means for illumination.
(5) Overbed tables as needed by
				  client.
(6) Chair, as needed by
				  client.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 8 - Intermediate Care Facilities for the Developmentally Disabled › Article 5 - Physical Plant › Section 76617 - Recreation and Dining Areas

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Lounge, recreation and dining areas shall be provided apart
					 from sleeping quarters.
Note: Authority cited: Section
						208(a),
						Health and Safety Code. Reference: Sections
						1276
						and
						15007,
						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 8 - Intermediate Care Facilities for the Developmentally Disabled › Article 5 - Physical Plant › Section 76619 - Provision for Privacy

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Visual privacy for each client shall be provided in client
					 rooms, tub, shower and toilet rooms. Doors providing access to the corridor
					 shall not be considered as meeting this requirement.
Note: Authority cited: Section
						208(a),
						Health and Safety Code. Reference: Sections
						1276
						and
						15007,
						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 8 - Intermediate Care Facilities for the Developmentally Disabled › Article 5 - Physical Plant › Section 76621 - Telephone

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) A telephone
				  shall be available for client use for private conversation.
(b) The telephone shall be at an appropriate
				  height for use by clients in wheelchairs.
Note: Authority cited: Section
						208(a),
						Health and Safety Code. Reference: Section
						1276,
						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 8 - Intermediate Care Facilities for the Developmentally Disabled › Article 5 - Physical Plant › Section 76623 - Space and Equipment for Autoclaving, Sterilizing and Disinfecting

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Facilities
				  shall maintain sterilized supplies by one of the following:
(1) Disposable sterile supplies.
(2) Contractual arrangements for outside
				  sterilizing services.
(3) Autoclave
				  equipment and space for sterilizing goods on premises.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 8 - Intermediate Care Facilities for the Developmentally Disabled › Article 5 - Physical Plant › Section 76625 - Centralized Services Shared by Several Facilities

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Nothing in these requirements shall prohibit the provision
					 of required services from a centralized service facility serving two or more
					 licensed facilities when approved in writing by the
					 Department.
Note: Authority cited: Section
						208(a),
						Health and Safety Code. Reference: Section
						1276,
						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 8 - Intermediate Care Facilities for the Developmentally Disabled › Article 5 - Physical Plant › Section 76627 - Special Rooms

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
At least one room shall be designated for use as a special
					 room for isolation of clients suspected of or diagnosed as having an infectious
					 disease. Each special room shall be maintained with adjoining toilet and
					 handwashing facilities which are not shared with other
					 clients.
Note: Authority cited: Section
						208(a),
						Health and Safety Code. Reference: Sections
						1276
						and
						15007,
						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 8 - Intermediate Care Facilities for the Developmentally Disabled › Article 5 - Physical Plant › Section 76629 - Housekeeping

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Each facility
				  shall routinely clean articles and surfaces such as furniture, floors, walls,
				  ceilings, supply and exhaust grills and lighting fixtures.
(b) There shall be routines and procedures
				  indicating daily, weekly and monthly cleaning schedules, for all areas of the
				  facility.
(c) There shall be
				  cleaning supplies and equipment available to housekeeping staff to meet the
				  needs of the facility.
(1) Cleaning supplies
				  and equipment shall be stored in rooms for housekeeping use only and shall not
				  be accessible to clients unless so specified in the client's individual program
				  plan.
(2) A commercial detergent
				  germicide shall be used for all cleaning.
(3) Mop heads shall be removable and changed
				  after each day's use.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 8 - Intermediate Care Facilities for the Developmentally Disabled › Article 5 - Physical Plant › Section 76631 - Laundry

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) When a facility
				  operates its own laundry, such a laundry shall be:
(1) Located in relationship to other areas so
				  that steam, odors, lint and objectionable noises do not reach client or
				  personnel areas.
(2) Well-lighted,
				  ventilated, clean and sanitary and shall meet the needs of the
				  facility.
(3) Provided with laundry
				  equipment of suitable capacity, kept in good repair and maintained in sanitary
				  condition.