reglab/statecodes huggingface dataset:
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 2 - Social Rehabilitation Facilities › Subchapter 1 - Basic Requirements › Article 6 - Continuing Requirements › Section 81075.1 - Automated External Defibrillators (AEDs)

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The licensee is permitted to maintain and
					 operate an AED at the facility if all of the following requirements are met:
(1) The licensee shall notify the licensing
					 agency in writing that an AED is in the facility and will be used in accordance
					 with all applicable federal and other state requirements.
(2) The AED shall be used in accordance with
					 all applicable federal and other state requirements.
(3) The licensee shall maintain at the
					 facility the following:
(A) A copy of the
					 required physician's prescription for the AED.
(B) A training manual from an American Heart
					 Association - or American Red Cross-recognized AED training class.
(C) A log of checks of operation of the AED
					 containing the dates checked and the name of person checking.
(D) A copy of a valid AED operator's
					 certificate for any employee(s) authorized by the licensee to operate the AED.
					 The certificate shall indicate that the AED training course completed complies
					 with the standards of the American Heart Association or the American Red Cross.
					 If it does not, then other evidence indicating that the AED training course
					 completed complies with the standards of the American Heart Association or the
					 American Red Cross shall be available at the facility.
(E) A log of quarterly proficiency
					 demonstrations for each holder of an AED operator's certificate who is
					 authorized by the licensee to operate the AED. The log shall contain the dates
					 of the demonstrations and the manner of demonstration.
(4) A supply kit shall be maintained at the
					 facility and be readily available for use with the AED. The kit shall contain
					 at least the following:
(A) A back-up battery
					 set.
(B) An extra set of
					 pads.
(C) A safety razor for
					 shaving chest hair when necessary to apply the pads.
(D) A cardiovascular pulmonary resuscitation
					 barrier (a face shield or mask) for protection from transmission of infectious
					 disease.
(E) Two pairs of unused
					 medical examination gloves (latex or non-latex).
(5) Use of an AED shall be reported as
					 specified in Section
					 81061.
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 2 - Social Rehabilitation Facilities › Subchapter 1 - Basic Requirements › Article 6 - Continuing Requirements › Section 81077.2 - Care for Clients Who Rely upon Others to Perform All Activities of Daily Living

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) A
					 licensee may admit or retain a client who has bowel and/or bladder
					 incontinence.
(b) Prior to
					 admitting a client into care, the licensee shall complete the following:
(1) An approved plan of operation
					 demonstrating the licensee's ability to care for these clients as specified in
					 Section 81022(g).
(2) A Needs and Services Plan, as required by
					 Section 81068.2 that includes all of the
					 following:
(A) A plan to monitor the client's
					 skin condition, including:
1. Specific
					 guidelines for turning the client, (time, method, acceptable
					 positions).
2. Skin
					 breakdown.
3. Objective symptoms,
					 observable by a lay person, indicating when a licensed professional must be
					 contacted.
(B) A method
					 for feeding the client and providing him/her with hydration.
(C) A method for determining the client's
					 needs.
(D) A method for
					 communicating with the client.
(E)
					 A list of emergency contacts and a list of readily observable conditions that
					 indicate when emergency intervention is necessary.
(F) A list of persons to contact in the event
					 of non-emergency client distress or discomfort and a list of readily observable
					 conditions that indicate when the licensee is to contact those
					 persons.
(G) A description of the
					 client-specific training that facility staff will receive.
1. The training must be provided by the
					 client's health care provider (physician or nurse), the client's physical or
					 mental health therapist, social worker, and placement worker, within their
					 individual scopes of practice.
2.
					 The training must include the client's needs and objective symptoms that
					 indicate when the licensee is to obtain health care or other type of
					 assistance.
(H) An
					 agreement, signed by the placement agency, or authorized representative, to
					 review the client's care at least once a month. A copy of the agreement shall
					 be maintained in the client's file.
(I) The licensee's agreement to document
					 significant occurrences that result in changes in the client's physical,
					 mental, and/or functional capabilities. This documentation must be retained in
					 the client's record in the facility and be readily available for review by the
					 client's health care providers and the
					 Department.
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 2 - Social Rehabilitation Facilities › Subchapter 1 - Basic Requirements › Article 6 - Continuing Requirements › Section 81077.3 - Care for Clients Who Lack Hazard Awareness or Impulse Control

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) If a client
					 requires protective supervision because of running/wandering away, supervision
					 may be enhanced by fencing yards, using self-closing latches and gates, and
					 installing operational bells, buzzers, or other auditory devices on exterior
					 doors to alert staff when the door is opened. The fencing and devices must not
					 substitute for appropriate staffing.
(1) The
					 licensee may use wrist bands and other client egress-alert devices with the
					 prior written approval of the client or authorized representative, if the
					 client is legally incapable of giving consent, provided that the devices do not
					 violate Section
					 81072.
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 2 - Social Rehabilitation Facilities › Subchapter 1 - Basic Requirements › Article 6 - Continuing Requirements › Section 81077.4 - Care for Clients with Incontinence

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) A licensee may admit or retain a client
					 who has bowel and/or bladder incontinence.
(b) If a licensee admits or retains a client
					 who has bowel and/or bladder incontinence, the licensee is responsible for all
					 of the following:
(1) Ensuring that
					 incontinent care products appropriate to the needs of the client are used
					 whenever they are needed.
(2)
					 Ensuring that clients who can benefit from scheduled toileting are assisted or
					 reminded to go to the bathroom at regular intervals rather than being
					 diapered.
(3) Assisting the client
					 with self-care.
(4) Ensuring that
					 clients with incontinence are kept clean and dry, and that the facility remains
					 free of odors.
(5) Ensuring that,
					 where prescribed, bowel and/or bladder programs are designed by a licensed
					 professional or designee. The person designing the program must have training
					 and experience in care of persons with bowel and/or bladder dysfunction and
					 development of retraining programs for establishing normal patterns of
					 continence.
(A) The licensee shall ensure that
					 clients are assisted with a structured bowel and/or bladder retraining program
					 if one has been designed for the client.
(B) The licensee shall ensure that facility
					 staff responsible for implementing the program receive training from the
					 licensed professional or designee who designed the program.
(C) The licensee obtains from the licensed
					 professional or designee written instructions to facility staff outlining the
					 procedures and shall document the names of facility staff who received the
					 training.
(D) The licensee shall
					 ensure that the licensed professional or designee evaluates the effectiveness
					 of the program and staff as the licensed professional or designee deems
					 appropriate, but at least annually.
(6) Ensuring that the condition of the skin
					 exposed to urine and stool is evaluated regularly to ensure that skin breakdown
					 is not occurring.
(7) Ensuring
					 privacy when care is provided.
(8)
					 Providing needed incontinence supplies when the client or a third party is
					 unable to do so.
(9) Ensuring that
					 fluids are not withheld to control incontinence.
(10) Ensuring that a client with incontinence
					 is not catheterized to control incontinence for the convenience of the licensee
					 or facility staff.
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 2 - Social Rehabilitation Facilities › Subchapter 1 - Basic Requirements › Article 6 - Continuing Requirements › Section 81077.5 - Care for Clients with Contractures

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) A licensee may admit or retain a client
					 who has contractures.
(b) If a
					 licensee admits or retains a client who has contractures, the licensee is
					 responsible for all of the following:
(1)
					 Monitoring the client's ongoing ability to care for his/her contractures in
					 accordance with the physician's instructions.
(2) Ensuring that care is provided by a
					 licensed professional or trained facility staff when the client is unable to
					 provide self-care.
(A) The licensee shall
					 ensure that facility staff responsible for assisting with range of motion
					 exercises or other exercise(s) prescribed by the physician or therapist receive
					 supervision and training from a licensed professional.
(B) The licensee obtains from the licensed
					 professional written documentation outlining the procedures for the exercises
					 and the names of facility staff who received the training.
(C) The licensee shall ensure that the
					 licensed professional reviews staff performance as the licensed professional
					 deems necessary, but at least once a year.
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 2 - Social Rehabilitation Facilities › Subchapter 1 - Basic Requirements › Article 6 - Continuing Requirements › Section 81078 - Responsibility for Providing Care and Supervision

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The licensee shall provide care and
					 supervision as necessary to meet the client's needs
(b) In any instance where the Department does
					 not suspend the facility license and the licensing agency requires that a
					 client be relocated, as specified in Section
					 81094, the licensee shall prepare
					 a written relocation plan. The plan shall contain all necessary steps to be
					 taken to reduce stress to the client which may result in transfer trauma.
(1) The written relocation plan shall
					 include, but not be limited to the following:
(A) A specific date for beginning and a
					 specific date for completion of the process of safely relocating the client.
					 The time frame for relocation may provide for immediate relocation but shall
					 not exceed 30 days or 30 days after the date of the written conclusion of the
					 client's appeal of the relocation order, if appealed.
(B) A specific date when the client and the
					 client's authorized representative, if any, shall be notified of the need for
					 relocation.
(C) A specific date
					 when consultation with the client's physician shall occur to obtain a current
					 medical assessment of the client's health needs, to determine the appropriate
					 facility type for relocation and to ensure that the client's health care needs
					 continue to be met at all times during the relocation process.
(D) The method by which the licensee shall
					 participate in the identification of an acceptable relocation site with the
					 client and the authorized representative if any. The licensee shall advise the
					 client and/or the authorized representative that if the client is to be moved
					 to another nonmedical community care facility, a determination must be made
					 that the client's needs can be legally met in the new facility before the move
					 is made. If the client's needs cannot be legally met in the new facility, the
					 client must be moved to a facility licensed to provide the necessary
					 care.
(E) A list of contacts made
					 or to be made by the licensee with community resources, including but not
					 limited to, social workers, family members, Long Term Care Ombudsman, clergy
					 and others as appropriate to ensure that services are provided to the client
					 before, during and after the move. The need for the move shall be discussed
					 with the client and the client assured that support systems will remain in
					 place.
(F) Measures to be taken
					 until relocation to protect the client and/or meet the client's health and
					 safety needs.
(G) An agreement to
					 notify the licensing agency when the relocation has occurred, including the
					 client's new address, if known.
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 2 - Social Rehabilitation Facilities › Subchapter 1 - Basic Requirements › Article 6 - Continuing Requirements › Section 81079 - Activities

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The licensee
					 shall ensure that planned recreational activities, which include the following,
					 are provided for the clients:
(1) Activities
					 that require group interaction.
(2)
					 Physical activities including but not limited to games, sports, and
					 exercises.
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 2 - Social Rehabilitation Facilities › Subchapter 1 - Basic Requirements › Article 6 - Continuing Requirements › Section 81080 - Resident Councils

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
					 Each facility, at the request of a majority of its residents, shall assist its
					 residents in establishing and maintaining a resident-oriented facility council.
(1) The licensee shall provide space for, and
					 post notice of, meetings, and shall provide assistance in attending council
					 meetings for those residents who request it.
(A) If residents are unable to read the
					 posted notice because of physical or functional disabilities, the licensee
					 shall notify the residents in a manner appropriate to that disability including
					 but not limited to verbal announcements.
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 2 - Social Rehabilitation Facilities › Subchapter 1 - Basic Requirements › Article 7 - Physical Environment › Section 81086 - Alterations to Existing Buildings or New Facilities

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Prior to construction or alterations, all
					 licensees shall notify the licensing agency of the proposed change.
(b) The licensing agency shall have the
					 authority to require that the licensee have a building inspection by a local
					 building inspector if the agency suspects that a hazard to the clients' health
					 and safety exists.
1. Change
						without regulatory effect adopting new section filed 1-5-2016 pursuant to
						section 100, title 1, California Code of
						Regulations (Register 2016, No. 2).
Note: Authority cited: Section
						  1530,
						  Health and Safety Code. Reference: Sections
						  1501
						  and
						  1531,
						  Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 2 - Social Rehabilitation Facilities › Subchapter 1 - Basic Requirements › Article 7 - Physical Environment › Section 81087 - Buildings and Grounds

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The
					 facility shall be clean, safe, sanitary and in good repair at all times for the
					 safety and well-being of clients, employees and visitors.
(1) The licensee shall take measures to keep
					 the facility free of flies and other insects.
(2) The licensee shall provide for the safe
					 disposal of water and other chemicals used for cleaning
					 purposes.
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 2 - Social Rehabilitation Facilities › Subchapter 1 - Basic Requirements › Article 7 - Physical Environment › Section 81087.2 - Outdoor Activity Space

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The licensee shall ensure that outdoor
					 activity areas are provided, are easily accessible to clients and protected
					 from traffic.
(b) The licensee
					 shall ensure that the outdoor activity areas are shaded, comfortable, and
					 furnished for outdoor use.
1. New
						section filed 1-7-91; operative 2-2-91 pursuant to Government Code section
						11346.2(d)
						(Register 91, No. 12).
2. Change without regulatory amending NOTE
						filed 1-5-2016 pursuant to section
						100, title 1, California Code of
						Regulations (Register 2016, No. 2).
Note: Authority cited: Section
						  1530,
						  Health and Safety Code. Reference: Sections
						  5670
						  and
						  5671,
						  Welfare and Institutions Code; and Sections
						  1501
						  and
						  1502(a)(7),
						  Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 2 - Social Rehabilitation Facilities › Subchapter 1 - Basic Requirements › Article 7 - Physical Environment › Section 81087.3 - Indoor Activity Space

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) As a condition of licensure, there shall
					 be common rooms, including a living room, dining room, den or other
					 recreation/activity room, which provide the necessary space and/or separation
					 to promote activity programs within the facility and to prevent such activities
					 from interfering with other functions.
(1) At
					 least one such room shall be available to clients for relaxation and visitation
					 with friends and/or relatives.
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 2 - Social Rehabilitation Facilities › Subchapter 1 - Basic Requirements › Article 7 - Physical Environment › Section 81088 - Fixtures, Furniture, Equipment and Supplies

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) A comfortable temperature for clients
					 shall be maintained at all areas.
(1) The
					 licensee shall maintain the temperature in rooms that clients occupy between a
					 minimum of 68 degrees F (20 degrees C) and a maximum of 85 degrees F (30
					 degrees C).
(A) In areas of extreme heat the
					 maximum shall be 30 degrees F (16.6 degrees C) less than the outside
					 temperature.
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 2 - Social Rehabilitation Facilities › Subchapter 1 - Basic Requirements › Article 8 - Incidental Medical Services › Section 81090 - Health and Safety Services

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Waivers or exceptions will not be granted
					 to admit or retain clients who have health conditions prohibited by Section
					 81091.
(b) The Department may grant an exception
					 allowing admission or retention of a client who has a medical or health
					 condition not listed in Section
					 81092 if all of the following
					 requirements are met:
(1) Either the
					 condition is chronic and stable, or it is temporary in nature and is expected
					 to return to a condition normal for that client.
(2) The client must be under the medical care
					 of a licensed professional.
(3) The
					 licensee has developed a plan of care for the client as specified in Sections
					 81068.2 and
					 81092.2.
(4) The client is able to care for all
					 aspects of the condition for himself/herself or assistance in the care of the
					 condition is provided either by an appropriately skilled and licensed
					 professional or by facility staff who receive supervision and training from a
					 licensed professional.
(A) Training shall
					 include hands-on instruction in both general procedures and client-specific
					 procedures.
(B) The licensee
					 obtains from the licensed professional written documentation outlining the
					 procedures and the names of facility staff who received the training.
(C) The licensee ensures that the licensed
					 professional reviews staff performance as the licensed professional deems
					 necessary, but at least once a year.
(5) The licensee agrees in writing to comply
					 with all aspects of the client's care plans.
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 2 - Social Rehabilitation Facilities › Subchapter 1 - Basic Requirements › Article 8 - Incidental Medical Services › Section 81091 - Prohibited Health Conditions

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Clients who require health services or
					 have a health condition including, but not limited to, those specified below
					 shall not be admitted or retained.
(1)
					 Naso-gastric and naso-duodenal tubes.
(2) Active, communicable TB.
(3) Conditions that require 24-hour nursing
					 care and/or monitoring.
(4) Stage 3
					 and 4 dermal ulcers.
(5) Any other
					 condition or care requirements which would require the facility to be licensed
					 as a health facility as defined by Sections
					 1202
					 and
					 1250
					 of the Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 2 - Social Rehabilitation Facilities › Subchapter 1 - Basic Requirements › Article 8 - Incidental Medical Services › Section 81092 - Restricted Health Conditions

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) A licensee may admit or retain clients
					 who have the conditions listed in this section only if all requirements of
					 Article 8 are met.
(b) Care for the
					 following health conditions must be provided only as specified in Sections
					 81092.1 through
					 81092.11.
(1) Use of inhalation-assistive devices as
					 specified in Section
					 81092.3.
(2) Colostomy/ileostomies as specified in
					 Section 81092.4.
(3) Requirement for fecal impaction removal,
					 enemas, suppositories only as specified in Section
					 81092.5.
(4) Use of catheters as specified in Section
					 81092.6.
(5) Staph or other serious, communicable
					 infections as specified in Section
					 81092.7.
(6) Insulin-dependent Diabetes as specified
					 in Section
					 81092.8.
(7) Stage 1 and 2 dermal ulcers as specified
					 in Section
					 81092.9.
(8) Wounds as specified in Section
					 81092.9.
(9) Gastrostomies as specified in Section
					 81092.10.
(10) Tracheostomies as specified in Section
					 81092.11.
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 2 - Social Rehabilitation Facilities › Subchapter 1 - Basic Requirements › Article 8 - Incidental Medical Services › Section 81092.1 - General Requirements for Restricted Health Conditions

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) A client with a restricted health
					 condition specified in Section
					 81092 may be admitted or retained
					 if all requirements in Sections
					 81092.1(b) through
					 (o) are met.
(b) The licensee is willing to provide the
					 needed care.
(c) Care is provided
					 as specified in this article.
(d)
					 Either the client's medical condition is chronic and stable, or is temporary in
					 nature and is expected to return to a condition normal for that
					 client.
(e) The client must be
					 under the medical care of a licensed professional.
(f) Prior to admission of a client with a
					 restricted health condition specified in Section
					 81092, the licensee shall:
(1) Communicate with all other persons who
					 provide care to that client to ensure consistency of care for the medical
					 condition.
(2) Ensure that facility
					 staff who will participate in meeting the client's specialized care needs
					 complete training provided by a licensed professional sufficient to meet those
					 needs.
(A) Training shall include hands-on
					 instruction in both general procedures and client-specific
					 procedures.
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 2 - Social Rehabilitation Facilities › Subchapter 1 - Basic Requirements › Article 8 - Incidental Medical Services › Section 81092.2 - Restricted Health Condition Care Plan

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) If the licensee chooses to care for a
					 client with a restricted health condition, as specified in Section
					 81092, the licensee shall develop
					 and maintain, as part of the Needs and Services Plan, a written Restricted
					 Health Condition Care Plan. The plan must include all of the following:
(1) Documentation that the client and the
					 client's authorized representative, if any, the client's physician or a
					 licensed professional designated by the physician, and the placement agency, if
					 any, participated in the development of the plan.
(2) Documentation by the client's physician
					 or a licensed professional designated by the physician, of the following:
(A) Stability of the medical
					 condition.
(B) Medical conditions
					 that require services or procedures.
(C) Specific services needed.
(D) Client's ability to perform the
					 procedures.
(E) The client does not
					 require 24-hour nursing care and/or monitoring.
(3) Identification of a licensed professional
					 who will perform procedures if the client needs medical assistance.
(4) Identification of the person who will
					 perform incidental medical assistance that does not require a licensed
					 professional.
(5) Name and
					 telephone number of emergency medical contacts.
(6) A date specified by the client's
					 physician or designee, who is also a licensed professional, when the plan must
					 be reviewed by all parties identified in Section
					 81092.2(a)(1).
(7) A signed statement from the client's
					 attending physician that the plan meets medical scope of practice
					 requirements.
(8) For clients of a
					 placement agency, a signed statement from a representative of the placement
					 agency that they have reviewed and approved the plan and that the placement
					 agency will monitor implementation of the plan.
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 2 - Social Rehabilitation Facilities › Subchapter 1 - Basic Requirements › Article 8 - Incidental Medical Services › Section 81092.3 - Inhalation-Assistive Devices

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) A
					 licensee may admit or retain a client who requires the use of an
					 inhalation-assistive device if all of the following conditions are met:
(1) The licensee is in compliance with
					 Section 81092.1.
(2) The licensee monitors the client's
					 ongoing ability to operate and care for the device in accordance with the
					 physician's instructions.
(3) The
					 licensee ensures that either:
(A) The device
					 is operated and cared for by a licensed professional when the client is unable
					 to operate the device, or determine his/her own need.
(B) The device can legally be operated by an
					 unlicensed person and is cared for by facility staff who receive training from
					 a licensed professional as specified in Sections
					 81092.1(k) through
					 (k)(2).
(4) The licensee ensures that:
(A) The device is functional.
(B) The device is removed from the facility
					 when no longer prescribed for use by the client.
(5) The licensee ensures that the room
					 containing the device is large enough both to accommodate it and to allow easy
					 passage of clients and staff.
(6)
					 The licensee ensures that facility staff have the knowledge of and ability to
					 care for the device.
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 2 - Social Rehabilitation Facilities › Subchapter 1 - Basic Requirements › Article 8 - Incidental Medical Services › Section 81092.4 - Colostomy/Ileostomy

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) A licensee may
					 admit or retain a client who has a colostomy or ileostomy if all of the
					 following conditions are met:
(1) The client
					 is mentally and physically capable of providing all routine care for his/her
					 ostomy, and the physician has documented that the ostomy is completely
					 healed.
(2) A licensed professional
					 provides assistance in the care of the ostomy.
(3) The licensee is in compliance with
					 Section 81092.1.
(4) The licensee monitors the client's
					 ongoing ability to provide care for his/her ostomy in accordance with the
					 physician's instructions.
(5) The
					 licensee ensures that:
(A) A licensed
					 professional provides ostomy care when the client is unable to provide
					 self-care.
(B) The ostomy bag and
					 adhesive may be changed by facility staff who receive training from the
					 licensed professional as specified in Sections
					 81092.1(k) through
					 (k)(2).
(6) The licensee ensures that used bags are
					 discarded as specified in Section
					 81088(f)(2).
(7) The licensee ensures privacy when ostomy
					 care is provided.
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 2 - Social Rehabilitation Facilities › Subchapter 1 - Basic Requirements › Article 8 - Incidental Medical Services › Section 81092.5 - Fecal Impaction Removal, Enemas, or Suppositories

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) A licensee may admit or retain a client
					 who requires manual fecal impaction removal, enemas, or use of suppositories if
					 all of the following conditions are met:
(1)
					 The licensee is in compliance with Section
					 81092.1.
(2) The licensee monitors the client's
					 ongoing ability to provide his/her own routine care in accordance with the
					 physician's instructions.
(3) The
					 licensee ensures that a licensed professional administers the fecal impaction
					 removal, the enemas, or suppositories when the client is unable to do so for
					 himself/herself.
(4) The licensee
					 ensures that a licensed professional performs manual fecal impaction removal
					 whenever it is necessary.
(5) The
					 licensee ensures privacy when care is being provided.
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 2 - Social Rehabilitation Facilities › Subchapter 1 - Basic Requirements › Article 8 - Incidental Medical Services › Section 81092.6 - Indwelling Urinary Catheter/Catheter Procedure

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) A licensee may admit or retain a client
					 who requires an indwelling catheter if all of the following conditions are met:
(1) The client is physically and mentally
					 capable of caring for all aspects of the condition except insertion, removal
					 and irrigation.
(A) Irrigation shall only be
					 performed by a licensed professional in accordance with the physician's
					 orders.
(B) Insertion and removal
					 shall only be performed by a licensed professional.
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 2 - Social Rehabilitation Facilities › Subchapter 1 - Basic Requirements › Article 8 - Incidental Medical Services › Section 81092.7 - Staph or Other Serious, Communicable Infections

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) A licensee may admit or retain a client
					 who has a staph or other serious communicable infection if all of the following
					 conditions are met:
(1) The licensee is in
					 compliance with Section
					 81092.1.
(2) The licensee has obtained a statement
					 from the client's physician that the infection is not a risk to other
					 clients.
(3) The licensee monitors
					 the client's ongoing ability to care for his/her own condition by complying
					 with the instructions of the licensed professional who is managing the client's
					 care.
(A) The licensed professional may
					 delegate certain aspects of the care providing the facility staff responsible
					 for providing the care receive training from a licensed professional as
					 specified in Sections
					 81092.1(k) through
					 (k)(2) prior to providing
					 care.
(4) The licensee
					 ensures that a licensed professional assesses the infection and evaluates the
					 treatment at intervals set by the physician or a licensed professional
					 designated by the physician.
(5)
					 The licensee ensures that prior to providing care, staff are trained in and
					 follow Infection Control Requirements, pursuant to Section
					 81095.5 and any other procedures
					 recommended by the licensed professional for protection of the client who has
					 the infection, other clients and staff.
(6) The licensee ensures that all aspects of
					 care performed in the facility by the licensed professional and facility staff
					 are documented in the client's file.
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 2 - Social Rehabilitation Facilities › Subchapter 1 - Basic Requirements › Article 8 - Incidental Medical Services › Section 81092.8 - Diabetes

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) A licensee may
					 admit or retain a client who has diabetes if all of the following conditions
					 are met:
(1) The licensee is in compliance
					 with Section
					 81092.1.
(2) The client is mentally and physically
					 capable of administering his/her own medication and performing his/her own
					 glucose testing if applicable, or a licensed professional administers the tests
					 and injections.
(A) The licensed professional
					 may delegate to trained facility staff glucose testing provided all of the
					 following conditions are met:
1. The blood
					 glucose-monitoring test is performed with a blood glucose-monitoring instrument
					 that has been approved by the federal Food and Drug Administration for
					 over-the-counter sale.
2. The
					 licensee ensures that facility staff responsible for glucose testing receive
					 training from a licensed professional as specified in Sections
					 81092.1(k) through
					 (k)(2).
3. Facility staff comply with the
					 instructions of the licensed professional regarding the performance of the test
					 and the operation of the blood glucose-monitoring instrument.
4. Facility staff immediately notify the
					 client's physician if the results are not within the normal range for the
					 client.
5. The licensee ensures
					 that the results of each blood glucose test performed by facility staff are
					 documented and maintained in the client's record in the
					 facility.
(3)
					 The licensee ensures that sufficient amounts of medicines, testing equipment,
					 syringes, needles, and other supplies are maintained and stored in the
					 facility.
(4) The licensee ensures
					 that injections are administered immediately after a syringe is filled unless
					 the client is using prefilled syringes prepared by a registered nurse,
					 pharmacist or drug manufacturer.
(5) The licensee ensures that syringes and
					 needles are disposed of in accordance with California Code of Regulations,
					 Title 8, Chapter 4, Subchapter 7, Group 16, Article 109, Section
					 5193.
(6) The licensee provides a modified diet as
					 prescribed by a client's physician, as specified in Section
					 81076(a)(6). Any
					 substitutions shall be made by the facility dietitian or in consultation with a
					 registered dietician or the client's physician or medical provider.
(7) The licensee ensures that all facility
					 staff who provide care receive training in recognizing the signs and symptoms
					 of hyperglycemia and hypoglycemia and in taking appropriate action for client
					 safety.
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 2 - Social Rehabilitation Facilities › Subchapter 1 - Basic Requirements › Article 8 - Incidental Medical Services › Section 81092.9 - Wounds

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) A licensee may
					 admit or retain a client who has a serious wound if all of the following
					 conditions are met:
(1) The licensee is in
					 compliance with Section
					 81092.1
(2) The wound is either an unhealed,
					 surgically closed incision or wound, or determined by the physician or a
					 licensed professional designated by the physician to be a Stage 1 or 2 dermal
					 ulcer and is expected by the physician or designated professional to completely
					 heal.
(3) The licensee ensures that
					 a licensed professional in accordance with the physician's instructions
					 provides the wound care.
(A) The licensed
					 professional may delegate simple dressing to facility staff who receive
					 training from a licensed professional as specified in Sections
					 81092.1(k) through
					 (k)(2).
(4) The licensee ensures that a licensed
					 professional assesses the wound at intervals set by the physician, or a
					 licensed professional designated by the physician, to evaluate treatment and
					 progress toward healing.
(5) The
					 licensee ensures that all aspects of care performed by the licensed
					 professional facility staff are documented in the client's
					 file.
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 2 - Social Rehabilitation Facilities › Subchapter 1 - Basic Requirements › Article 8 - Incidental Medical Services › Section 81092.10 - Gastrostomy Feeding, Hydration, and Care

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) A licensee may admit or retain a client
					 who requires gastrostomy care, feeding, and/or hydration if all of the
					 following conditions are met:
(1) The
					 licensee is in compliance with Section
					 81092.1.
(2) The physician has documented that the
					 gastrostomy is completely healed.
(3) The licensee monitors the client's
					 ongoing ability to provide all routine feeding, hydration and care for his/her
					 gastrostomy in accordance with the physician's instructions.
(4) The licensee ensures that gastrostomy
					 feeding, hydration, medication administration through the gastrostomy, and
					 stoma cleaning are provided by a licensed professional when the client is
					 unable to provide his/her own feeding, hydration and care.
(A) The licensed professional may delegate
					 the following tasks to facility staff who receive training from a licensed
					 professional as specified in Sections
					 81092.1(k) through
					 (k)(2):
1.
					 Gastrostomy feeding, hydration, and stoma cleaning.
2. For routine medications, trained staff may
					 add medication through the gastrostomy per physician's or nurse practitioner's
					 orders.
3. For PRN medications,
					 trained staff may add medications through the gastrostomy in accordance with
					 Sections 81075(b) through
					 (e).
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 2 - Social Rehabilitation Facilities › Subchapter 1 - Basic Requirements › Article 8 - Incidental Medical Services › Section 81092.11 - Tracheostomies

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) A licensee may
					 admit or retain a client who has a tracheostomy if all of the following
					 conditions are met:
(1) The licensee is in
					 compliance with Section
					 81092.1.
(2) Either the client is mentally and
					 physically capable of providing all routine care for his/her tracheostomy and
					 the physician has documented that the tracheostomy opening (stoma) is
					 completely healed, or assistance in the care of the tracheostomy is provided by
					 a licensed professional.
(A) The licensed
					 professional may delegate routine care for the tracheostomy to facility staff
					 who receive supervision and training from the licensed professional as
					 specified in Sections
					 81092.1(k) through
					 (k)(2).
1.
					 Suctioning shall not be delegated to facility
					 staff.
(3) The
					 licensee monitors the client's ongoing ability to provide all routine care for
					 his/her tracheostomy in accordance with the physician's instructions.
(4) The licensee ensures that tracheostomy
					 care is provided by a licensed professional when the client is unable to
					 provide self-care.
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 2 - Social Rehabilitation Facilities › Subchapter 1 - Basic Requirements › Article 8 - Incidental Medical Services › Section 81093 - Department Review of Health-Related Conditions

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The Department may review actual or
					 suspected health-related conditions, including those specified in Section
					 81092 to determine if a client is
					 appropriately placed in the facility and if the client's health-related needs
					 are being met. The Department will inform the licensee that the client's
					 health-related condition requires review and will specify documentation that
					 the licensee shall submit to the Department.
(1) Documentation includes, but is not
					 limited to, the following:
(A) Restricted
					 Health Condition Care Plan, if applicable.
(B) Needs and Services Plan.
(C) Copies of prescriptions for medical
					 services and/or medical equipment.
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 2 - Social Rehabilitation Facilities › Subchapter 1 - Basic Requirements › Article 8 - Incidental Medical Services › Section 81094 - Health Condition Relocation Order

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The Department will order relocation of a
					 client if the Department makes any of the following determinations:
(1) The client has a prohibited health
					 condition, as specified in Section
					 81091.
(2) The licensee has not met all of the
					 requirements in Sections
					 81092.1 and applicable
					 requirements in Sections
					 81092.3 through
					 81092.11.
(3) The client has a health condition that
					 cannot be cared for within the limits of the license or within the abilities of
					 that specific facility.
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 2 - Social Rehabilitation Facilities › Subchapter 1 - Basic Requirements › Article 8 - Incidental Medical Services › Section 81094.5 - Client's Request for Review of a Health Condition Relocation Order by the Interdisciplinary Team (IDT)

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) A client or the client's authorized
					 representative, if any, may request a review of the Department's health
					 condition relocation order by the Interdisciplinary Team.
(b) The client or the client's authorized
					 representative, if any, has 10 working days from receipt of the relocation
					 order to submit to the licensee a written, signed, and dated request for a
					 review and determination by the Interdisciplinary Team.
(1) For purposes of this section, a working
					 day is any day except Saturday, Sunday, or an official state
					 holiday.
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 2 - Social Rehabilitation Facilities › Subchapter 1 - Basic Requirements › Article 8 - Incidental Medical Services › Section 81095.5 - Infection Control Requirements

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) A licensee shall ensure that infection
					 control practices are maintained as follows:
(1) All staff and volunteers shall perform
					 hand hygiene.
(A) Hand hygiene shall include
					 hand washing with soap and water or using an alcohol-based sanitizer or any
					 other sanitizing method recommended by a medical professional, local health
					 official, health department, or other research-based medical
					 authority.
(B) Hand hygiene shall
					 be conducted as follows:
1. Immediately
					 before and after client care.
2.
					 Before and after handling, preparing or eating foods.
3. Before and after assisting with
					 medications.
4. After contact with
					 blood, body fluids or other potentially infectious material, or contaminated
					 surfaces.
5. Immediately before
					 putting gloves on and immediately after removing gloves.
6. When hands are visibly soiled.
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 3 - Adult Day Programs › Article 1 - General Requirements › Section 82000 - General

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Adult day
				  programs, as defined in Health and Safety Code Section
				  1502(a)(2),
				  shall be governed by the provisions specified in this chapter. In addition,
				  Subchapter 1 of this chapter shall apply when a licensee either uses or
				  reasonably foresees the use of a manual restraint or seclusion unless otherwise
				  stated.
(1) Notwithstanding 82000(a)(2)
				  below, Section
				  82102 shall apply to all Adult Day
				  Programs.
(2) If an Adult Day
				  Program does not accept or have clients that may require the use of manual
				  restraint or seclusion for emergency interventions, then the Adult Day Program
				  is exempt from Subchapter 1 of this chapter.