reglab/statecodes huggingface dataset:
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 5 - Group Homes › Subchapter 7 - Group Homes for Children with Special Health Care Needs › Article 6 - Continuing Requirements › Section 84775.1 - Hospice Care

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) A
					 Group Home for Children with Special Health Care Needs may allow a child who
					 has been diagnosed as terminally ill by their physician or surgeon to remain in
					 the facility or to be placed in the facility if that child is already receiving
					 hospice services and would continue to receive hospice services without
					 disruption after being admitted to the facility, if all of the following
					 conditions are met:
(1) The child's authorized
					 representative has obtained and approved the services of a hospice certified by
					 the federal Medicare program and licensed by the state for the terminally ill
					 child.
(2) The licensee remains in
					 substantial compliance with the requirements of this chapter, and those
					 provisions of Chapters 1 and 5, Division 6, of Title 22, California Code of
					 Regulations (CCR), governing the operation of a Group Home for Children with
					 Special Health Care Needs.
(3) The
					 hospice has agreed to provide for care, services, and necessary medical
					 intervention related to the child's terminal illness as necessary to supplement
					 the care and supervision provided by the facility.
(A) The medical intervention shall not exceed
					 the care and supervision for a residential facility, as specified in this
					 chapter and Chapters 1 and 5, Division 6, of Title 22, CCR, governing the
					 operation of a Group Home for Children with Special Health Care
					 Needs.
(4) A written
					 hospice care plan is developed for each terminally ill child. Prior to the
					 initiation of hospice services in the facility for a child, the plan must be
					 agreed upon by the licensee and the child's authorized representative. A
					 written request to allow the child's acceptance or retention in the facility
					 while receiving hospice services shall be signed by the child's authorized
					 representative and maintained in the child's record. All plans must be fully
					 implemented by the licensee and the hospice.
(5) The acceptance or retention of any
					 terminally ill child in the facility does not threaten the health and safety of
					 any other child in the facility or result in a violation of the personal rights
					 of any child in the facility.
(6)
					 The hospice and the child's authorized representative agree to provide the
					 licensee with all information necessary to allow the licensee to comply with
					 all regulations and to assure that the child's needs are met.
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 5 - Group Homes › Subchapter 7 - Group Homes for Children with Special Health Care Needs › Article 6 - Continuing Requirements › Section 84787 - Buildings and Grounds

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
In addition to Sections
						80087 and
						84087 the following shall
						apply:
(a) Areas in the home,
					 including bedrooms, bathrooms, toilets, dining areas, passageways and
					 recreational spaces shall be large enough to accommodate any medical equipment
					 needed by a child residing in the home.
(1)
					 Bedrooms shall be large enough to allow the storage of each child's personal
					 items and any required medical equipment or assistive devices, including
					 wheelchairs, adjacent to the child's bed.
(A)
					 Bedrooms shall be large enough to permit unobstructed bedside ministration of
					 medical procedures and medications.
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 6 - Adult Residential Facilities › Article 1 - General Requirements and Definitions › Section 85000 - General

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Adult
				  Residential Facilities, as defined in Section
				  80001(a)(5),
				  shall be governed by the provisions specified in this chapter and in Chapter 1,
				  General Requirements. In addition, Subchapter 1 of this chapter shall apply
				  when a licensee utilizes or reasonably foresees that he or she will utilize a
				  manual restraint or seclusion.
(1) Section
				  85102 shall apply to all Adult
				  Residential Facilities.
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 6 - Adult Residential Facilities › Article 1 - General Requirements and Definitions › Section 85001 - Definitions

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
In addition to Section
					 80001, the following shall
					 apply.
(a)
(1) "Adult protective services agency" means
				  a county welfare department, as defined in Welfare and Institutions Code
				  Section
				  15610.13.
(2) "Advance Health Care Directive" means a
				  written instruction that relates to the provision of health care when the
				  individual is incapacitated. An Advance Health Care Directive includes, but is
				  not limited to, a Power of Attorney for Health Care; an Individual Health Care
				  Instruction; a Request to Forego Resuscitative Measures; or a
				  Do-Not-Resuscitate form. In this written instruction, a person states choices
				  for medical treatment and/or designates who should make treatment choices if
				  the person creating the advance directive should lose decision-making
				  capacity.
(3) "Allowable Health
				  Condition" means any health condition that the licensee is allowed to care for
				  either in accordance with a specific regulation or with an exception approved
				  by the licensing agency.
(4)
				  "Appropriately Skilled Professional" means an individual that has training and
				  is licensed to perform the necessary medical procedures prescribed by a
				  physician. This term includes, but is not limited to, the following: Registered
				  Nurse (RN); Licensed Vocational Nurse (LVN); Physical Therapist (PT);
				  Occupational Therapist (OT); and Respiratory Therapist (RT). These
				  professionals may include, but are not limited to, those persons employed by a
				  home health agency, the resident, or adult residential
				  facilities.
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 6 - Adult Residential Facilities › Article 1 - General Requirements and Definitions › Section 85002 - Definitions-Forms

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
The following forms, which are incorporated by reference,
					 apply to the regulations in Title 22, Division 6, Chapter 6 (Adult Residential
					 Facilities). Additional forms applicable to Adult and other residential
					 facilities are incorporated by reference in Section
					 87102.
(a) Core of Knowledge Guideline (01/16) --
				  ARF 35-Hour Initial Certification.
1. New
					 section filed 1-5-2001; operative 1-5-2001 pursuant to Government Code section
					 11343.4(c)
					 (Register 2001, No. 1).
2. Change without regulatory effect amending
					 section filed 11-8-2001 pursuant to section
					 100, title 1, California Code of
					 Regulations (Register 2001, No. 45).
3. Amendment of first
					 paragraph, repealer and new subsection (a) and repealer of subsections (b)-(d)
					 filed 12-30-2015; operative 1-1-2016 pursuant to Government Code section
					 11343.4(b)(3)
					 (Register 2016, No. 1).
Note: Authority cited: Section
						1530,
						Health and Safety Code. Reference: Sections
						1530
						and
						1562.3,
						Health and Safety Code; and Section
						15376,
						Government Code.
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 6 - Adult Residential Facilities › Article 2 - Licensing › Section 85009 - Posting of License

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) In
				  facilities with a licensed capacity of seven or more, the license shall be
				  posted in a prominent, publicly accessible location in the facility.
(b) In facilities with a licensed capacity of
				  six or fewer the license shall be retained in the facility and be available for
				  review upon request.
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 6 - Adult Residential Facilities › Article 3 - Application Procedures › Section 85018 - Application for License

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) In
				  addition to Section
				  80018, the following shall
				  apply.
(b) Each applicant shall
				  submit a financial plan of operation on forms provided or approved by the
				  department.
(1) Start-up funds shall be
				  available which shall include funds for the first three months of
				  operation.
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 6 - Adult Residential Facilities › Article 3 - Application Procedures › Section 85022 - Plan of Operation

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
				  In addition to Section
				  80022, the following shall apply.
(1) The plan of operation and related
				  materials shall contain the Infection Control Plan pursuant to Section
				  85095.5(c).
(2) The plan of operation shall contain
				  written evidence of arrangements for any consultants and community resources
				  which are to be utilized to meet regulatory requirements or requirements of the
				  facility's plan of operation.
(3)
				  When the licensee intends to admit or care for one or more clients with a staph
				  or other serious communicable infection as specified in Section
				  85092.7, the licensee shall
				  include a plan for serving that client.
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 6 - Adult Residential Facilities › Article 5 - Enforcement Provisions › Section 85051 - Serious Deficiencies

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(See Manual of Policies and Procedures)
Note: Authority cited: Section
						1530,
						Health and Safety Code. Reference: Sections
						1530
						and
						1534,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 6 - Adult Residential Facilities › Article 6 - Continuing Requirements › Section 85060 - Basic Services

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) For
				  SSI/SSP recipients who are residents, the basic services shall be provided
				  and/or made available at the basic rate with no additional charge to the
				  resident.
(1) This shall not preclude the
				  acceptance by the facility of voluntary contributions from relatives or others
				  on behalf of an SSI/SSP recipient.
(2) An extra charge to the resident shall be
				  allowed for a private room if a double room is made available but the resident
				  prefers a private room, provided the arrangement is documented in the
				  admissions agreement and the charge is limited to 10% of the Board and Room
				  portion of the SSI/SSP grant.
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 6 - Adult Residential Facilities › Article 6 - Continuing Requirements › Section 85061 - Reporting Requirements

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
				  In addition to Section
				  80061, the following shall
				  apply.
(b) The licensee shall
				  notify the Department, in writing, within thirty (30) days of a change of
				  administrator. The notification shall include the following:
(1) Name, and residence and mailing addresses
				  of the new administrator.
(2) Date
				  he/she assumed his/her position.
(3) Description of his/her background and
				  qualifications, including documentation of required education and administrator
				  certification.
(A) A photocopy of the
				  documentation shall be permitted.
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 6 - Adult Residential Facilities › Article 6 - Continuing Requirements › Section 85064 - Administrator Qualifications and Duties

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) In addition to Section
				  80064, the following shall
				  apply.
(b) All adult residential
				  facilities shall have a qualified and currently certified
				  administrator.
(c) The
				  administrator shall be at least 21 years of age.
(d) Have a high school diploma or pass a
				  general educational development test (GED).
(1) Administrators employed prior to July 1,
				  1996 are exempt from this requirement.
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 6 - Adult Residential Facilities › Article 6 - Continuing Requirements › Section 85064.2 - Administrator Certification Requirements

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) An individual shall be an adult
				  residential facility certificate holder prior to being employed as an
				  Administrator.
(b) To receive
				  his/her certificate an applicant shall:
(1)
				  Successfully complete a Department approved Initial Certification Training
				  Program as described in Section
				  85090(h).
(2) Pass a written exam developed and
				  administered by the Department within sixty (60) days of completion of an
				  Initial Certification Training Program and within three (3) attempts.
(3) Submit a completed Application for
				  Administrator Certification form LIC 9214 to the Department's Administrator
				  Certification Section within thirty (30) days of being notified of having
				  passed the exam. The application shall contain the following:
(A) The applicant's name, address, e-mail
				  address, phone number(s), and date of birth.
(B) A statement of whether or not the
				  applicant:
(i) Held or currently holds a
				  license, certification or other approval as a professional in a specified field
				  and the certificate or license number(s).
(ii) Held or currently holds a State-issued
				  care facility license or was or is employed by a State-licensed care facility
				  and the license number.
(iii) Was
				  the subject of any legal, administrative or other action involving licensure,
				  certification or other approvals as specified in Sections
				  85064(b)(3)(B)(i) and
				  (ii).
(C) Proof that the applicant has successfully
				  completed a Department approved Initial Certification Training
				  Program.
(D) Documentation of
				  passing the written exam.
(E) A
				  statement certifying that the information submitted is true and
				  correct.
(F) A completed Criminal
				  Record Statement (LIC 508).
(G) A
				  completed Request for LiveScan Service form LIC 9163, signed and dated by the
				  live scan vendor, to document that the applicant has submitted fingerprints to
				  the Department of Justice at a livescan location, or a statement that the
				  applicant has a current criminal record clearance or an exemption on file with
				  the Department.
(H) A
				  non-refundable one hundred dollar ($100) processing
				  fee.
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 6 - Adult Residential Facilities › Article 6 - Continuing Requirements › Section 85064.3 - Administrator Recertification Requirements

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Administrators shall complete at least
				  forty (40) classroom hours of continuing education during each two-year
				  certification period, including:
(1) At least
				  four (4) hours of instruction in laws, regulations, policies, and procedural
				  standards that impact adult residential facilities, including but not limited
				  to the regulations contained in this Chapter.
(2) If not included in the certified
				  administrator's Initial Certification Training Program, at least one (1) hour
				  of instruction in cultural competency and sensitivity in issues relating to the
				  underserved aging lesbian, gay, bisexual, and transgender
				  community.
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 6 - Adult Residential Facilities › Article 6 - Continuing Requirements › Section 85064.4 - Administrator Certificate Denial or Revocation

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The Department may deny or revoke any
				  administrator certificate upon any of the grounds specified in Health and
				  Safety Code section
				  1550
				  and/or on any of the following grounds:
(1)
				  The certificate holder or applicant procured or attempted to procure a
				  certificate by fraud, misrepresentation, bribery, or other unlawful
				  behavior.
(2) The certificate
				  holder or applicant knowingly made or gave a false statement or information in
				  conjunction with the application for a certificate.
(3) The Department has issued an exclusion
				  order against the certificate holder pursuant to Health and Safety Code
				  sections
				  1558,
				  1568.092,
				  1569.58
				  or
				  1596.8897
				  after the Department issued the certificate, and:
(A) The certificate holder did not appeal the
				  exclusion order, or
(B) After the
				  appeal, the Department issued a decision and order that upheld the exclusion
				  order.
(4) The
				  certificate holder or applicant does not have a current criminal record
				  clearance or exemption.
(5) The
				  certificate holder fails to comply with certificate renewal requirements.
(A) The Department may reinstate a
				  certificate that has been revoked for failure to comply with certification
				  renewal requirements provided all conditions for recertification have been
				  satisfied, including payment of all appropriate renewal and delinquency
				  fees.
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 6 - Adult Residential Facilities › Article 6 - Continuing Requirements › Section 85064.5 - Administrator Certificate Forfeiture

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Unless otherwise ordered by the
				  Department, the certificate shall be considered forfeited under any of the
				  following conditions:
(1) The Department has
				  revoked any license held by the certificate holder after the Department issued
				  the certificate.
(2) The Department
				  has issued an exclusion order against the certificate holder pursuant to Health
				  and Safety Code sections
				  1558,
				  1568.092,
				  1569.58,
				  or
				  1596.8897,
				  after the Department issued the certificate, and:
(A) The certificate holder did not appeal the
				  exclusion order or,
(B) After the
				  appeal, the Department issued a decision and order that upheld the exclusion
				  order.
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 6 - Adult Residential Facilities › Article 6 - Continuing Requirements › Section 85065 - Personnel Requirements

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
				  In addition to Section
				  80065, the following shall
				  apply.
(b) The licensee shall
				  employ staff as necessary to ensure provision of care and supervision to meet
				  client needs.
(c) The licensee
				  shall employ support staff as necessary to perform office work, cooking, house
				  cleaning, laundering, and maintenance of buildings, equipment and
				  grounds.
(d) The licensee shall
				  ensure that the following personnel requirements are met in the provision of
				  planned activities:
(1) In facilities with a
				  licensed capacity of 16 to 49 clients, one employee shall be designated by the
				  administrator to have primary responsibility for the organization, conduct and
				  evaluation of planned activities.
(A) The
				  designated employee shall possess at least six months of experience in
				  organizing and providing planned group activities.
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 6 - Adult Residential Facilities › Article 6 - Continuing Requirements › Section 85065.5 - Day Staff-Client Ratio

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Whenever a client who relies upon others
				  to perform all activities of daily living is present, the following minimum
				  staffing requirements shall be met:
(1) For
				  Regional Center clients, staffing shall be maintained as specified by the
				  Regional Center but no less than one direct care staff to three such
				  clients.
(2) For all other clients,
				  there shall be a staff-client ratio of no less than one direct care staff to
				  three such clients.
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 6 - Adult Residential Facilities › Article 6 - Continuing Requirements › Section 85065.6 - Night Supervision

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
				  Night supervisory staff shall meet the personnel requirements specified in
				  Section 80065, and the requirements
				  below.
(b) Employees providing
				  night supervision from 10:00 p.m. to 7:00 a.m., as specified in (c) through (f)
				  below, shall be available to assist in the care and supervision of clients in
				  the event of an emergency, and shall have received training in the following:
(1) The facility's planned emergency
				  procedures.
(2) First aid, as
				  specified in Section
				  80075.
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 6 - Adult Residential Facilities › Article 6 - Continuing Requirements › Section 85066 - Personnel Records

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) In
				  addition to Section
				  80066, the following shall
				  apply.
(b) A dated employee time
				  schedule shall be developed at least monthly, shall be displayed conveniently
				  for employee reference and shall contain the following information for each
				  employee:
(1) Name.
(2) Job title.
(3) Hours of work.
(4) Days off.
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 6 - Adult Residential Facilities › Article 6 - Continuing Requirements › Section 85068 - Admission Agreements

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
				  In addition to Section
				  80068, the following shall
				  apply.
(b) The admission agreement
				  must specify the following:
(1) Payment
				  provisions, including the client's funding source.
(A) Such disclosure shall be at the client's
				  discretion.
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 6 - Adult Residential Facilities › Article 6 - Continuing Requirements › Section 85068.1 - Admission Procedures

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
				  The licensee shall develop, maintain, and implement admission procedures which
				  shall meet the requirements specified in this section.
(b) No client may be admitted prior to a
				  determination of the facility's ability to meet the needs of the client, which
				  must include an appraisal of his/her individual service needs as specified in
				  Sections 80068.2 and
				  85068.2.
(c) Prior to accepting a client for care and
				  supervision, the person responsible for admissions shall:
(1) Interview the prospective client, and
				  his/her authorized representative, if any.
(A) The interview shall provide the
				  prospective client with information about the facility, including the
				  information contained in the Admission Agreement and any additional policies
				  and procedures, house rules, and activities.
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 6 - Adult Residential Facilities › Article 6 - Continuing Requirements › Section 85068.3 - Modifications to Needs and Services Plan

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The written Needs and Services Plan
				  specified in Section
				  85068.2 shall be updated as
				  frequently as necessary to ensure its accuracy, and to document significant
				  occurrences that result in changes in the client's physical, mental and/or
				  social functioning.
(b) If
				  modifications to the plan identify an individual client service need which is
				  not being met by the general program of facility services, the following
				  requirements shall be met:
(1) Consultation
				  shall be secured from a dietitian, physician, social worker, psychologist, or
				  other consultant as necessary to assist in determining if such needs can be met
				  by the facility within the facility's program of services.
(2) If it is determined that the client's
				  needs can be met, the licensee in conjunction with the consultant shall develop
				  and maintain in the facility a written Needs and Services Plan that must
				  include the following:
(A) Objectives, within
				  a time frame, that relate to the client's problems and/or needs.
(B) Plans for meeting the
				  objectives.
(C) Identification of
				  any individuals or agencies responsible for implementing and evaluating each
				  part of the plan.
(D) Method of
				  evaluating progress.
(3)
				  If it is determined that the client's needs cannot be met, the licensee shall
				  inform the client and/or his/her authorized representative, if any, or
				  responsible person, if there is no authorized representative, of this fact and
				  shall request that the client relocate.
(A) If
				  the client refuses to relocate, the licensee may evict the client in accordance
				  with Section
				  80068.5.
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 6 - Adult Residential Facilities › Article 6 - Continuing Requirements › Section 85068.4 - Acceptance and Retention Limitations

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The licensee shall not accept or retain
				  the following:
(1) Persons with prohibited
				  health conditions specified in Section
				  80091.
(2) Persons who require inpatient care in a
				  health facility.
(3) Persons who
				  have needs that are in conflict with the needs of other clients or the program
				  of services offered.
(4) Persons
				  who require more care and supervision than is provided by the
				  facility.
(5) Any person whose
				  primary need is acute psychiatric care due to a mental
				  disorder.
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 6 - Adult Residential Facilities › Article 6 - Continuing Requirements › Section 85068.5 - Eviction Procedures

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
				  The licensee shall be permitted to evict a client by serving the client with a
				  30-day written notice to quit for any of the following reasons:
(1) Nonpayment of the rate for basic services
				  within ten days of the due date.
(2) Failure of the client to comply with
				  state or local law after receiving written notice of the alleged
				  violation.
(3) Failure of the
				  client to comply with the general facility policies as specified in the
				  Admission Agreement.
(4) A needs
				  and services plan modification has been performed, as specified in Section
				  85068.3, which determined that the
				  client's needs cannot be met by the facility and the client has been given an
				  opportunity to relocate as specified in Section
				  85068.3(b)(3).
(5) Change of use of the
				  facility.
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 6 - Adult Residential Facilities › Article 6 - Continuing Requirements › Section 85069.3 - Mental Health Intake Assessment

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) In order to determine his/her ability to
				  provide the services needed by a client with mental illness, the licensee of an
				  ARF shall ensure that a written intake assessment is prepared as required by
				  Health and Safety Code Section
				  1562.6(a).
1.
					 Renumbering and amendment of heading and section of former section
					 80069.3 to section
					 85069.3, transmitted to OAL
					 7-21-98 and filed 9-1-98; amendments operative per agency request 10-1-98
					 (Register 98, No. 36).
Note: Authority cited: Section
						1530,
						Health and Safety Code. Reference: Sections
						1501,
						1502,
						1507,
						1530,
						1531
						and
						1562.6,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 6 - Adult Residential Facilities › Article 6 - Continuing Requirements › Section 85070 - Client Records

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) In
				  addition to Section
				  80070, each client record must
				  contain the following information:
(1) Last
				  known address.
(2) Religious
				  preference, and name and address of clergyman or religious advisor, if
				  any.
(3) Needs and Services Plan
				  and any modifications thereto, as specified in Sections
				  80068.2,
				  80068.3,
				  85068.2 and
				  85068.3.
(4) Mental Health Intake Assessment specified
				  in Section
				  85069.3
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 6 - Adult Residential Facilities › Article 6 - Continuing Requirements › Section 85072 - Personal Rights

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) In
				  addition to Section
				  80072, the following shall
				  apply.
(b) The licensee shall
				  insure that each client is accorded the following personal rights.
(1) To visit the facility with his/her
				  relatives or authorized representative prior to admission.
(2) To have the facility inform his/her
				  relatives and authorized representative, if any, of activities related to
				  his/her care and supervision, including but not limited to notification of any
				  modifications to the needs and services plan.
(3) To have communications to the facility
				  from his/her relatives or authorized representative answered promptly and
				  completely.
(4) To have visitors,
				  including advocacy representatives, visit privately during waking hours,
				  provided that such visitations do not infringe upon the rights of other
				  clients.
(5) To wear his/her own
				  clothes.
(6) To possess and use
				  his/her own personal items, including his/her own toilet articles.
(7) To possess and control his/her own cash
				  resources.
(8) To have access to
				  individual storage space for his/her private use.
(9) To have access to telephones in order to
				  make and receive confidential calls, provided that such calls do not infringe
				  upon the rights of other clients and do not restrict availability of the
				  telephone during emergencies.
(A) The
				  licensee shall be permitted to require reimbursement from the client or his/her
				  authorized representative for long distance calls.
(B) The licensee shall be permitted to
				  prohibit the making of long distance calls upon documentation that requested
				  reimbursement for previous calls has not been received.
(10) To mail and receive unopened
				  correspondence.
(11) To receive
				  assistance in exercising the right to vote.
(12) To move from the facility in accordance
				  with the terms of the Admission Agreement.
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 6 - Adult Residential Facilities › Article 6 - Continuing Requirements › Section 85075 - Health-Related Services

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) In
				  addition to Section
				  80075, the following shall
				  apply.
(b) The facility shall
				  develop and implement a plan which ensures that assistance is provided to the
				  clients in meeting their medical and dental needs.
Note: Authority cited: Section
						1530,
						Health and Safety Code. Reference: Sections
						1501,
						1507
						and
						1531,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 6 - Adult Residential Facilities › Article 6 - Continuing Requirements › Section 85075.1 - Hospice Care

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) A
				  licensee shall be permitted to retain terminally ill clients who receive
				  hospice services from a hospice agency or to accept terminally ill persons as
				  clients if they are already receiving hospice services from a hospice agency
				  and would continue to receive those services without disruption after becoming
				  a client, when all of the following conditions (1) through (7) are met:
(1) The licensee has received a facility
				  hospice care waiver from the Department.
(2) The licensee remains in substantial
				  compliance with the requirements of this section, and those provisions of
				  Chapters 1 and 6, Division 6, of Title 22, California Code of Regulations
				  (CCR), governing Adult Residential Facilities, and with all terms and
				  conditions of the waiver.
(3)
				  Hospice services are individually contracted for by each client who is
				  terminally ill or, if the client is incapacitated, by his or her Health Care
				  Surrogate Decision Maker. The licensee shall not contract for hospice services
				  on behalf of an existing or prospective client. The hospice agency must be
				  licensed by the state and certified by the federal Medicare program to provide
				  hospice services.
(4) A written
				  hospice care plan is developed for each existing or prospective terminally ill
				  client by that client's hospice agency. Prior to the initiation of hospice
				  services in the facility for that client, the plan must be agreed upon by the
				  licensee and the client, or the client's Health Care Surrogate Decision Maker,
				  if any. A written request to allow his or her acceptance or retention in the
				  facility while receiving hospice services shall be signed by each existing or
				  prospective client or the existing Health Care Surrogate Decision Maker, if
				  any, and maintained by the licensee in the client's record. All plans must be
				  fully implemented by the licensee and by the hospice agency.
(5) The acceptance or retention of any
				  terminally ill client in the facility does not represent a threat to the health
				  and safety of any other facility client or results in a violation of the
				  personal rights of any other facility client.
(6) The hospice and the client agree to
				  provide the licensee with all information necessary to allow the licensee to
				  comply with all regulations and to assure that the client's needs are
				  met.
(7) The hospice agrees to
				  provide necessary medical intervention related to the client's terminal
				  illness.
(A) The medical intervention shall
				  not exceed the care and supervision for a residential facility, as defined in
				  Chapters 1 and 6, Division 6, of Title 22, CCR, governing Adult Residential
				  Facilities.
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 6 - Adult Residential Facilities › Article 6 - Continuing Requirements › Section 85075.2 - Facility Hospice Care Waiver

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) In order to accept or retain terminally
				  ill clients and permit them to receive care from hospice, the licensee shall
				  have requested in writing and been granted a Facility Hospice Care Waiver from
				  the Department. The licensee's written request shall include, but not be
				  limited to, the following:
(1) The maximum
				  number of terminally ill clients that the facility will care for at any one
				  time.
(2) A statement by the
				  licensee or designated representative that this section, and all other
				  requirements within Chapters 1 and 6, Division 6, of Title 22, CCR, governing
				  Adult Residential Facilities, have been read and that the licensee will ensure
				  compliance with these requirements.
(3) A statement that the licensee shall
				  comply with the terms and conditions of all plans which are designated as the
				  responsibility of the licensee or under the control of the licensee.
(4) A statement that additional care staff
				  will be provided if required by the hospice care plan.
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 6 - Adult Residential Facilities › Article 6 - Continuing Requirements › Section 85075.3 - Advance Directives and Requests Regarding Resuscitative Measures

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) A client shall
				  be permitted to have an Advance Health Care Directive in the client's
				  file.
(b) If a client experiences a
				  medical emergency and has an advance directive and/or request regarding
				  resuscitative measures on file, the facility staff shall do one of the
				  following:
(1) Immediately telephone 9-1-1,
				  present the advance directive and/or request regarding resuscitative measures
				  to the responding emergency medical personnel and identify the client as the
				  person to whom the directive or request refers; or
(2) Immediately give the advance directive
				  and/or request regarding resuscitative measures to a physician, RN or LVN if he
				  or she is in the client's presence at the time of the emergency and if he or
				  she assumes responsibility; or
(3)
				  Specifically for a terminally ill client that is receiving hospice services who
				  has completed an advance directive and/or request to forego resuscitative
				  measures, and who is experiencing a life-threatening emergency and is
				  displaying symptoms of impending death directly related to the expected course
				  of the client's terminal illness, the facility may immediately notify the
				  client's hospice agency in lieu of calling emergency response (9-1-1). For
				  emergencies not directly related to the client's terminal illness, the facility
				  staff shall immediately telephone emergency response
				  (9-1-1).
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 6 - Adult Residential Facilities › Article 6 - Continuing Requirements › Section 85075.4 - Observation of the Client

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
				  The licensee shall regularly observe each client for changes in physical,
				  mental, emotional and social functioning.
(b) The licensee shall provide assistance
				  when observation reveals needs which might require a change in the existing
				  level of service, or possible discharge or transfer to another type of
				  facility.
(c) The licensee shall
				  bring observed changes, including but not limited to unusual weight gains or
				  losses, or deterioration of health condition, to the attention of the client's
				  physician and authorized representative, if any.
(d) A client suspected of having a contagious
				  or infectious disease shall be isolated and a physician contacted to determine
				  suitability of the client's retention in the facility.
1.
					 Renumbering of former section
					 85075.3 to new section
					 85075.4, including amendment of
					 NOTE, filed 12-17-2003; operative 1-16-2004 (Register 2003, No.
					 51).
Note: Authority cited: Section
						1530,
						Health and Safety Code. Reference: Sections
						1501,
						1507,
						1507.3,
						1521
						and
						1531,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 6 - Adult Residential Facilities › Article 6 - Continuing Requirements › Section 85076 - Food Service

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) In
				  addition to Section
				  80076, the following shall
				  apply.
(b) The licensee shall meet
				  the food service personnel requirements specified in Section
				  85065(e).
(c) The following requirements shall be met
				  when serving food:
(1) Meals served on the
				  premises shall be served in one or more dining rooms or similar areas in which
				  the furniture, fixtures and equipment necessary for meal service are provided.
(A) Such dining areas shall be located near
				  the kitchen so that food may be served quickly and easily.
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 6 - Adult Residential Facilities › Article 6 - Continuing Requirements › Section 85077 - Personal Services

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
				  Licensees shall provide necessary personal assistance and care, as indicated in
				  the needs and services plan, with activities of daily living including but not
				  limited to dressing, eating, and bathing.
(b) Licensees shall provide basic laundry
				  services, including washing and drying of clients' personal clothing.
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 6 - Adult Residential Facilities › Article 6 - Continuing Requirements › Section 85078 - Responsibility for Providing Care and Supervision

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) In addition to Section
				  80078, the following shall apply:
(1) The licensee shall provide those services
				  identified in the client's needs and services plan as necessary to meet the
				  client's needs.
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 6 - Adult Residential Facilities › Article 6 - Continuing Requirements › Section 85079 - 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
				  exercise.
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 6 - Adult Residential Facilities › Article 6 - Continuing Requirements › Section 85080 - 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 and post
				  notice for 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 a physical or
				  functional disability, 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 6 - Adult Residential Facilities › Article 6 - Continuing Requirements › Section 85081 - Requirements for Emergency Adult Protective Services Placements

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The licensee shall be permitted to accept
				  emergency placements by an adult protective services (APS) agency, if the
				  licensee has received approval from the Department to provide emergency shelter
				  services.
(1) To obtain approval, the
				  licensee shall submit a written request to the Department. The request shall
				  include, but not be limited to, the following:
(A) A letter of interest from the county APS
				  agency stating that if the request to provide emergency shelter services is
				  approved, the APS agency may enter into an agreement with the licensee to
				  provide such services.
1. A copy of the
				  written agreement between the APS agency and the licensee, listing the
				  responsibilities of each party, shall be sent to the Department within seven
				  calendar days of signing.
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 6 - Adult Residential Facilities › Article 7 - Physical Environment › Section 85087 - Buildings and Grounds

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) In
				  addition to Section
				  80087, bedrooms must meet, at a
				  minimum, the following requirements:
(1) Not
				  more than two clients shall sleep in a bedroom.
(2) Bedrooms must be large enough to allow
				  for easy passage and comfortable use of any required client-assistive devices,
				  including but not limited to wheelchairs, walkers, or oxygen equipment, between
				  beds and other items of furniture specified in Section
				  85088(c).
(3) No room commonly used for other purposes
				  shall be used as a bedroom for any person.
(A) Such rooms shall include but not be
				  limited to halls, stairways, unfinished attics or basements, garages, storage
				  areas, and sheds, or similar detached buildings.
(4) No client bedroom shall be used as a
				  public or general passageway to another room, bath or
				  toilet.
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 6 - Adult Residential Facilities › Article 7 - Physical Environment › Section 85087.2 - Outdoor Activity Space

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Outdoor activity areas shall be provided
				  which are easily accessible to clients and protected from traffic.
(b) The outdoor activity area shall provide a
				  shaded area, and shall be comfortable, and furnished for outdoor use.
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 6 - Adult Residential Facilities › Article 7 - Physical Environment › Section 85087.3 - 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 and facilitate the program of planned activities specified in
				  Section 85079, 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.