California Code of Regulations › Title 15 - Crime Prevention and Corrections › Division 1 - Board of State and Community Corrections › Chapter 1 - Board of State and Community Corrections › Subchapter 5 - Minimum Standards for Juvenile Facilities › Article 8 - Health Services › Section 1432 - Health Assessment

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
The health administrator/responsible physician, in
						cooperation with the facility administrator for each juvenile hall, shall
						develop and implement written policy and procedures for a health assessment of
						youth and for the timely identification of conditions necessary to safeguard
						the health of the youth.
(a) The
					 health assessment shall be completed within 96 hours of admission, excluding
					 holidays, to the facility and result in a compilation of identified problems to
					 be considered in classification, treatment, and the multi-disciplinary
					 management of the youth while in custody and in pre-release planning. It shall
					 be conducted in a location that protects the privacy of the youth and conducted
					 by a physician, or other licensed or certified health professional working
					 within his/her scope of practice and under the direction of a physician.
(1) At a minimum, the health assessment shall
					 include, but is not limited to, health history, examination, laboratory and
					 diagnostic testing, and immunization reviews as outlined below:
(A) The health history includes but is not
					 limited to: Review of the intake health screening, history of illnesses,
					 operations, injuries, medications, allergies, immunizations, systems review,
					 exposure to communicable diseases, family health history, habits (e.g.,
					 tobacco, alcohol and other substances), developmental history including
					 strengths and supports available to the youth (e.g., school, home, and peer
					 relations, activities, interests), history of recent trauma-exposure which may
					 require immediate attention (including physical and sexual abuse, sexual
					 assault, neglect, violence in the home, traumatic loss) and current traumatic
					 stress symptoms, pregnancy needs, sexual activity, contraceptive methods,
					 reproductive history, physical and sexual abuse, neglect, history of mental
					 illness, self-injury, and suicidal ideation.
(B) The physical examination includes but is
					 not limited to: Temperature, height, weight, pulse, blood pressure, appearance,
					 gait, head and neck, a preliminary dental and visual acuity screening, hearing
					 screening, lymph nodes, chest and cardiovascular, breasts, abdomen, genital
					 (pelvic and rectal examination, with consent, if clinically indicated),
					 musculoskeletal, neurologic.
(C)
					 Laboratory and diagnostic testing includes, but is not limited to: Tuberculosis
					 screening and testing for sexually transmitted diseases for sexually active
					 youth. Additional testing should be available as clinically indicated,
					 including pregnancy testing, urinalysis, hemoglobin or hematocrit.
(D) Review and update of the immunization
					 records within two weeks in accordance with current public health
					 guidelines.