reglab/statecodes huggingface dataset:
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 8.5 - Intermediate Care Facilities/Developmentally Disabled-Habilitative › Article 2 - License › Section 76852.2 - Bonds

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The amount of
				  the Bond required by Section
				  1318
				  of the Health and Safety Code shall be in accordance with the following
				  schedule:
(1)
Total Amount Handled per month
Bond Required
$750 or
								less...........................
.............. $1,000
$751 to
								$1,500...........................
.............. $2,000
$1,501 to
								$2,500...........................
.............. $3,000
(2) Every
				  further increment of $1,000 or fraction thereof shall require an additional
				  $1,000 on the bond.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 8.5 - Intermediate Care Facilities/Developmentally Disabled-Habilitative › Article 3 - Services › Section 76853 - Required Services

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
				  Intermediate Care Facilities/Developmentally Disabled--Habilitative shall
				  provide as a minimum, but not be limited to, the following required services:
				  active treatment, health support, food and nutrition, recreational and
				  pharmaceutical services.
(b)
				  Clients shall be provided those services as specified in CAC, Title 22,
				  Division 3, Section
				  51510.2(b) as
				  recommended by the interdisciplinary professional staff/team in accordance with
				  each client's individual service plan.
(c) Provision shall be made for social
				  services as determined by the interdisciplinary professional staff/team and in
				  accordance with each client's individual service plan.
(d) If diagnostic and therapeutic services
				  are not provided in the facility, written arrangements shall be made for
				  obtaining all diagnostic and therapeutic services prescribed by the attending
				  physician, podiatrist, dentist, licensed psychologist or interdisciplinary
				  professional staff/team subject to the scope of their practice and the policies
				  of the facility. If the services cannot be brought into the facility, the
				  facility shall assist the client, if necessary, in arranging for transportation
				  to and from the service location.
(e) Arrangements shall be made for one or
				  more physicians to be called in a medical emergency and their telephone numbers
				  shall be prominently displayed near the facility's telephone.
Note: Authority cited: Sections
						208.4
						and
						1267.7,
						Health and Safety Code. Reference: Sections
						1250.1,
						1276,
						1315,
						1316
						and
						1316.5,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 8.5 - Intermediate Care Facilities/Developmentally Disabled-Habilitative › Article 3 - Services › Section 76855 - Developmental Program Services

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Each client shall participate in a developmental services
					 program as specified in his or her individual service plan.
Note: Authority cited: Sections
						208.4 and
						1267.7 Health and Safety Code.
						Reference: Section
						1276,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 8.5 - Intermediate Care Facilities/Developmentally Disabled-Habilitative › Article 3 - Services › Section 76856 - Developmental Program Services-Program Approval for Developmental Services

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) A facility
				  program plan shall be submitted to the Department of Developmental Services as
				  specified in Section
				  1267.7
				  of the Health and Safety Code.
(b)
				  The Department shall not issue or renew a license for a facility unless the
				  licensee's program plan has been reviewed and approved by the Department of
				  Developmental Services.
Note: Authority cited: Sections
						208.4
						and
						1267.7,
						Health and Safety Code. Reference: Section
						1276,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 8.5 - Intermediate Care Facilities/Developmentally Disabled-Habilitative › Article 3 - Services › Section 76857 - Developmental Program Services-Facility Program Plan Requirements

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The facility
				  program plan shall include but not be limited to:
(1) The number of eligible clients.
(2) A profile of the client population using
				  the Client Development Evaluation Report (C.D.E.R.) furnished by the Department
				  of Developmental Services.
(3) A
				  summary of clients' identified needs.
(4) Description of the program elements as
				  specified in Section
				  76862.
(5) A week's program schedule for clients in
				  the facility.
(6) The facility
				  program staffing pattern including:
(A) The
				  facility's organizational chart.
(B) The interdisciplinary professional
				  staff/team utilized indicating their disciplines and hours worked per
				  week.
(7) Description of
				  the space provided for program elements.
(8) Description of the equipment available or
				  to be obtained for program use.
(9)
				  The in-service training program plan for at least the next twelve months which
				  shall include, but not be limited to; those topics contained in Section
				  76873(c).
(10) A plan for utilization of community
				  resources.
(11) Provisions for
				  accomplishing the following:
(A) An initial
				  assessment of each client to identify the current level of needs and function.
				  The assessment shall be standardized on forms prescribed and furnished by the
				  Department of Developmental Services or other approved forms.
(B) An individual service plan developed by
				  the interdisciplinary professional staff/team under the direction of a
				  qualified mental retardation professional.
(C) Semi-annual review of service
				  plan.
(12) A plan for the
				  behavior modification program, if used, as defined in Section
				  76869.
(13) A training program for drug
				  administration for nonlicensed personnel who administer drugs in the facility
				  in accordance with Section
				  76876(f).
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 8.5 - Intermediate Care Facilities/Developmentally Disabled-Habilitative › Article 3 - Services › Section 76858 - Developmental Program Services -Interdisciplinary Professional Staff/Team

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The
				  interdisciplinary professional staff/team shall be composed as required in
				  Section 76872(d).
(b) A client's interdisciplinary professional
				  staff/team shall jointly meet to:
(1) Assess
				  the client's developmental needs.
(2) Develop an integrated and coordinated
				  individual service plan.
(3)
				  Evaluate the client's response to the service plan and revise the plan as
				  needed.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 8.5 - Intermediate Care Facilities/Developmentally Disabled-Habilitative › Article 3 - Services › Section 76859 - Developmental Program Services-Client Assessment

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The facility qualified mental retardation
				  professional, interdisciplinary professional staff/team, member(s) of the
				  direct care staff, if the client is registered with the regional center, a
				  representative from that agency, the client, and when lawful the client's
				  parents or authorized representative shall:
(1) Review and update the preadmission
				  evaluation within 30 days following the client's admission.
(2) Assess the client's developmental status
				  which includes prioritized problems, disabilities, developmental strengths and
				  weaknesses, and the client's needs and discharge plan, all of which shall
				  provide the basis for formulating an individual service plan for the
				  client.
(3) Write an evaluation
				  stating the recommendations for development of the individual service
				  plan.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 8.5 - Intermediate Care Facilities/Developmentally Disabled-Habilitative › Article 3 - Services › Section 76860 - Developmental Program Services-Individual Service Plan

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Each client shall have an individual
				  service plan that:
(1) Implements the
				  prescriptive requirements of the Regional Center individual program
				  plan.
(2) Is based on assessment
				  data pursuant to Section
				  76859 and is completed within 30
				  days following admission.
(3) Is
				  developed by the facility interdisciplinary professional staff/team, and
				  includes participation of the client, direct care staff, and should include all
				  relevant staff of other agencies involved in serving the client. Prior to
				  development of the individual service plan, the client's parents, if the client
				  is a minor, or the client's authorized representative shall be invited to
				  attend the service plan conference.
(4) Identifies the client's developmental,
				  social, behavioral, recreational and physical needs.
(5) Includes established prioritized
				  objectives, written in behavioral and/or developmental terms, that are
				  measurable and time limited, for meeting the client's identified
				  needs.
(6) Identifies the method
				  and frequency of evaluation.
(7)
				  Includes a daily program schedule which specifies:
(A) Time and duration of all activities of
				  daily living.
(B) Time, duration
				  and location of all specified programs.
(8) Specifies the persons and agencies
				  responsible for implementing and coordinating the service plan.
(9) Contains monthly progress notes related
				  to the service plan, goals and objectives.
(10) Includes, when discharge is anticipated,
				  plans for services, including the specific agencies or persons responsible for
				  those follow-up services in the client's new environment. Procedures shall be
				  established so that when lawful parents, guardians or legal representatives who
				  request discharge of a client are counseled concerning the advantages and
				  disadvantages of discharge.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 8.5 - Intermediate Care Facilities/Developmentally Disabled-Habilitative › Article 3 - Services › Section 76861 - Developmental Program Services-Grouping Criteria

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Clients of grossly differing ages,
				  developmental levels and social needs shall not be housed together.
(b) Clients shall be integrated with peers of
				  comparable social and intellectual development and shall not be segregated on
				  the basis of their physical handicaps.
Note: Authority cited: Sections
						208.4
						and
						1267.7,
						Health and Safety Code. Reference: Section
						1276,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 8.5 - Intermediate Care Facilities/Developmentally Disabled-Habilitative › Article 3 - Services › Section 76862 - Developmental Program Services-Program Elements

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The facility shall have the capability to
				  provide program services to those developmentally disabled clients it serves.
				  These program services shall be based on the client's specific needs as
				  identified through the individual client assessment and include as appropriate:
(1) Sensory motor development.
(2) Self-help skills training.
(3) Behavior management program.
(4) Habilitation program.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 8.5 - Intermediate Care Facilities/Developmentally Disabled-Habilitative › Article 3 - Services › Section 76863 - Developmental Program Services-Recreational Activities

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Each facility shall employ or contract
				  for the services of a Registered Recreation Therapist or an Occupational
				  Therapist for not less than four hours every three months to assess the
				  recreational needs of each client and train staff in the implementation of each
				  recreation activity plan.
(b) A
				  recreational activity plan as part of the individual service plan shall be
				  developed for each client. This plan shall be included in the daily program
				  schedule. The recreational activities plan shall include:
(1) Individual or group activities with age
				  appropriate materials.
(2)
				  Opportunities to interact with nonhandicapped persons.
(3) Regularly scheduled recreational
				  activities away from the facility.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 8.5 - Intermediate Care Facilities/Developmentally Disabled-Habilitative › Article 3 - Services › Section 76864 - Developmental Program Services-Client Mobility

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) All clients including the
				  multiple-handicapped and nonambulatory shall:
(1) Spend at least 75 percent of their waking
				  day out of bed.
(2) Spend at least
				  75 percent of their waking day out of their bedroom.
(3) Be mobile to the extent
				  possible.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 8.5 - Intermediate Care Facilities/Developmentally Disabled-Habilitative › Article 3 - Services › Section 76865 - Developmental Program Services-Health, Hygiene and Grooming

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Each client shall be encouraged and
				  assisted to achieve and maintain maximum independence in health, hygiene and
				  grooming including bathing, brushing teeth, shampooing, combing and brushing
				  hair, shaving, dressing, undressing and caring for toenails and
				  fingernails.
(b) Each client shall
				  exhibit good personal hygiene and grooming and shall be free of offensive
				  odors.
(c) Each client shall have
				  and use only his or her own personal toilet articles.
(d) Each client shall have neat, clean,
				  suitable, age appropriate and seasonable clothing to meet his or her
				  needs.
(e) Clients shall have their
				  own clothing which is properly and inconspicuously marked when
				  necessary.
(f) Clients shall be
				  dressed daily in their own clothing, suitable to the activities in which they
				  are participating.
(g) Clients
				  shall be taught and encouraged as appropriate to:
(1) Select their daily clothing.
(2) Dress themselves.
(3) Change their clothes to suit the
				  activities in which they participate.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 8.5 - Intermediate Care Facilities/Developmentally Disabled-Habilitative › Article 3 - Services › Section 76866 - Developmental Program Services-Types of Restraints

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Only the following types of physical
				  restraints shall be used:
(1) Mittens and/or
				  soft ties.
(2) Jackets consisting
				  of sleeveless cloth webbing.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 8.5 - Intermediate Care Facilities/Developmentally Disabled-Habilitative › Article 3 - Services › Section 76867 - Developmental Program Services-Restraints

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Restraints shall only be used as
				  temporary emergency measures to protect the client from injury to self or
				  others and only upon a written or telephone order of a physician or clinical
				  psychologist. Telephone orders shall be recorded immediately in the client's
				  record and shall be signed by the prescriber within five days. Restraints shall
				  not be used as punishment, a substitute for more effective programming or for
				  the convenience of the staff.
(b)
				  Orders for physical restraints shall be in force for not longer than 12
				  hours.
(c) There shall be no PRN
				  (as needed) orders for physical restraints.
(d) The client's record shall include an
				  entry noting the time of application and removal of restraints, justification
				  for and authorization of all periods of restraints and signature of the person
				  applying the restraints.
(e)
				  Clients shall not be placed in a room that is locked or where the door is held
				  closed by any means.
(f) No
				  restraint with locking devices shall be used.
1.
					 Certificate of Compliance including amendment of subsection (a) filed by the
					 Department of Health Services with the Secretary of State on 11-28-84.
					 Submitted to OAL for printing only pursuant to Government Code Section
					 11343.8
					 (Register 85, No. 25).
Note: Authority cited: Sections
						208.4
						and
						1267.7,
						Health and Safety Code. Reference: Section
						1276,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 8.5 - Intermediate Care Facilities/Developmentally Disabled-Habilitative › Article 3 - Services › Section 76868 - Developmental Program Services-Application of Restraints

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) In the use of physical restraints, each
				  of the following requirements shall be met:
(1) Restraints shall be applied in such a
				  manner that they can be speedily removed in case of emergency.
(2) A client placed in restraint shall be
				  checked at least every 15 minutes by staff to assure that the restraint is
				  properly applied. Written documentation of these checks identifying staff
				  responsible for performing the check shall be kept in the Unit Client
				  Record.
(3) Physical restraints
				  shall be designed and used in such a way as not to cause physical injury and to
				  assure the least possible discomfort to the client. Opportunity for motion and
				  exercise shall be provided for a period of not less than 10 minutes during each
				  2 hours in which restraint is applied. The exercise periods shall be documented
				  in the client's record.
(4) Clients
				  in restraint shall remain in staff's constant line of vision and shall be
				  protected from other clients.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 8.5 - Intermediate Care Facilities/Developmentally Disabled-Habilitative › Article 3 - Services › Section 76870 - Developmental Program Services-Client Abuse

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Clients shall not be subjected to corporal punishment,
					 humiliation or verbal or mental abuse.
Note: Authority cited: Sections
						208.4
						and
						1267.7,
						Health and Safety Code. Reference: Section
						1276,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 8.5 - Intermediate Care Facilities/Developmentally Disabled-Habilitative › Article 3 - Services › Section 76871 - Developmental Program Services-Postural Supports

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Postural supports are devices other than
				  orthopedic braces used to assist clients to achieve proper body alignment and
				  balance.
(b) Postural supports
				  shall be designed and applied in such a manner so that they can be speedily
				  removed in case of emergency.
(c)
				  Postural supports shall be designed and applied:
(1) Under the supervision of a physical or
				  occupational therapist.
(2) In
				  accordance with principles of proper body alignment, with concern for
				  circulation and allowance for change of position.
(3) To improve a client's mobility and
				  independent functioning.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 8.5 - Intermediate Care Facilities/Developmentally Disabled-Habilitative › Article 3 - Services › Section 76872 - Developmental Program Services-Staffing

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The facility shall provide through direct
				  employment or contractual arrangement a qualified mental retardation
				  professional who shall have the responsibility for supervising the
				  implementation of each client's individual service plan, integrating the
				  various aspects of the facility's program plan, assuring continuity of facility
				  services with those provided by outside agencies, recording each client's
				  progress and initiating periodic review of each individual service plan for
				  necessary modifications or adjustments.
(b) The facility shall provide through direct
				  employment or contractual arrangement a qualified mental retardation
				  professional who shall provide a minimum of 1.75 hours of service per week per
				  client.
(c) In addition to the
				  qualified mental retardation professional, the facility shall provide either
				  through direct employment or by contractual arrangement an interdisciplinary
				  professional staff/team to assist in the development and implementation of
				  individual service plans and provide training to the facility staff.
(d) The interdisciplinary professional
				  staff/team shall be composed of at least three (3) persons from any of the
				  following disciplines and the composition of the staff/team shall be of the
				  numbers and disciplines appropriate to meet the clients' needs.
(1) Clinical psychologist.
(2) Recreation therapist.
(3) Occupational therapist.
(4) Physical therapist.
(5) Social worker with a master's
				  degree.
(6) Speech
				  therapist.
(7)
				  Audiologist.
(8)
				  Physician.
(9)
				  Pharmacist.
(10)
				  Educator.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 8.5 - Intermediate Care Facilities/Developmentally Disabled-Habilitative › Article 3 - Services › Section 76873 - Developmental Program Services-Orientation and in-Service Training

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) An individual
				  shall be designated to be responsible for staff development and
				  training.
(b) The facility shall
				  require that all new staff, prior to providing direct care services, receive
				  eight (8) hours of orientation which shall be documented and be completed
				  during the first 40 hours of employment.
(1)
				  The orientation shall include.
(A) Tour of
				  the facility.
(B) Description of
				  the client population.
(C) Special
				  needs of developmentally disabled clients.
(D) Overall concepts of the facility's
				  program which meet the needs of the clients, including normalization.
(E) Developmental growth and
				  assessment.
(F) Implementation of
				  the individual service plan.
(G)
				  The clients' activities of daily living.
(H) Use of adaptive equipment or
				  devices.
(I) Unusual occurrences
				  with clients, including but not limited to, emergency procedures for relief of
				  choking.
(J) Fire and disaster
				  plans.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 8.5 - Intermediate Care Facilities/Developmentally Disabled-Habilitative › Article 3 - Services › Section 76874 - Health Support Services-Physician Services

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Physician services provided shall include
				  but not be limited to:
(1) Continuing
				  supervision by a physician who sees the client every 60 days or more frequently
				  as needed. The Medi-Cal consultant as specified in the California
				  Administrative Code, Title 22, Division 3, Section
				  51343.1 may approve an alternate
				  schedule of visits. An alternative schedule of visits shall not result in more
				  than three months elapsing between physician visits.
(2) Annual physical examinations which shall
				  include:
(A) Examination of vision and
				  hearing.
(B) Laboratory
				  examinations as determined necessary by the physician.
(3) Immunizations, using as a guide the
				  recommendations of the United States Public Health Service Advisory Committee
				  on Immunization Practices and of the Committee on the Control of Infectious
				  Disease of the American Academy of Pediatrics.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 8.5 - Intermediate Care Facilities/Developmentally Disabled-Habilitative › Article 3 - Services › Section 76875 - Health Support Services-Nursing Services

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Facilities shall provide registered
				  nursing services in accordance with the needs of the clients for the purpose
				  of:
(1) Training in personal hygiene, family
				  life, and sex education including family planning and venereal disease
				  counseling.
(2) Development and
				  implementation of a written plan for each client to provide for nursing
				  services as a part of the individual service plan, consistent with diagnostic,
				  therapeutic and medication regimens.
(3) Review and revision, as necessary, of the
				  nursing services section of the individual service plan at least every six
				  months.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 8.5 - Intermediate Care Facilities/Developmentally Disabled-Habilitative › Article 3 - Services › Section 76876 - Nursing Services-Administration of Medications and Treatments

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Medications and
				  treatments shall be given only on the order of a person lawfully authorized to
				  prescribe.
(b) Medications and
				  treatments shall be administered as prescribed and shall be recorded in the
				  unit client record. The name, title of the person administering the medication
				  or treatment, the date, time and dosage of the medication administered shall be
				  recorded. Initials may be used provided the signature of the person
				  administering the medication or treatment is recorded on the medication or
				  treatment record.
(c) Preparation
				  of dosages for more than one scheduled administration time shall not be
				  permitted.
(d) Persons
				  administering medications shall confirm each client's identity prior to the
				  administration.
(e) Medications
				  shall be administered within two (2) hours after dosages are prepared and shall
				  be administered by the same person who prepared the dosages. Dosages shall be
				  administered within one (1) hour of the prescribed time unless otherwise
				  indicated by the prescriber.
(f)
				  All medications shall be administered only by those persons specifically
				  authorized to do so by their respective practice act with the following
				  exception:
(1) Direct care staff, who are so
				  designated by the facility registered nurse, may administer medications, except
				  injections, provided the individual has successfully completed a program in
				  medication administration either through a college system or through the
				  facility medication training program taught by the facility registered nurse
				  and/or consultant pharmacist. The medication training program shall include,
				  but not be limited to the following:
(A) Use,
				  action and side effects of drugs used in the facility.
(B) General practices, procedures and
				  techniques for administering oral, rectal, eye, ear, nose, and topical
				  medications.
(C) Prescriber's
				  verbal orders.
(D) Automatic stop
				  orders.
(E) Medication storage and
				  labeling.
(F) Disposition of unused
				  and outdated medications.
(G)
				  Requirements for documentation of medications and treatments.
(H) Requirements for documentation and
				  physician notification of medication errors.
(I) Metric and apothecary dosages.
(J) Commonly used abbreviations.
(K) Locating and using reference
				  materials.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 8.5 - Intermediate Care Facilities/Developmentally Disabled-Habilitative › Article 3 - Services › Section 76877 - Nursing Services-Standing Orders

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Standing orders for medications and treatments shall not be
					 used.
Note: Authority cited: Sections
						208.4
						and
						1267.7,
						Health and Safety Code. Reference: Section
						1276,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 8.5 - Intermediate Care Facilities/Developmentally Disabled-Habilitative › Article 3 - Services › Section 76878 - Nursing Services-Staff

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The facility shall provide by employment
				  or formal contract for the services of a registered nurse to visit the facility
				  for health services and client health assessment as needed, but no less than
				  one hour per week per client.
(b)
				  The licensee shall delegate to the registered nurse the authority, in writing,
				  to carry out the nursing functions as required in these regulations. The
				  registered nurse shall have the authority to make judgments regarding
				  client-health issues, within the scope of the Nursing Practice Act.
1.
					 Certificate of Compliance including amendment filed by the Department of Health
					 Services with the Secretary of State on 11-28-84. Submitted to OAL for printing
					 only pursuant to Government Code Section
					 11343.8
					 (Register 85, No. 25).
Note: Authority cited: Sections
						208.4
						and
						1267.7,
						Health and Safety Code. Reference: Section
						1276,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 8.5 - Intermediate Care Facilities/Developmentally Disabled-Habilitative › Article 3 - Services › Section 76878.1 - Equipment and Supplies

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
				  Equipment and supplies in each facility shall be of the quality and in the
				  quantity necessary for the care of clients as ordered or indicated. These shall
				  be provided and properly maintained at all times and shall include at least the
				  following:
(1) Airways.
(2) Adaptive devices.
(3) Bulb syringes.
(4) Emesis basins.
(5) Examination light.
(6) First aid equipment and supplies, as
				  determined by the registered nurse, readily available at all times.
(7) Flashlights.
(8) Gloves (unsterile).
(9) Ice bag.
(10) Medicine droppers.
(11) Medicine glasses, cups or other small
				  containers which are accurately calibrated.
(12) Scales for weighing clients.
(13) Mobility assistive devices such as
				  wheelchairs, walkers, canes and crutches as needed by clients and as indicated
				  by the interdisciplinary professional staff/team.
(14) Sphygmomanometer.
(15) Sterile dressings.
(16) Stethoscope.
(17) Syringes and needles.
(18) Thermometers, oral and rectal.
(19) Tongue depressors.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 8.5 - Intermediate Care Facilities/Developmentally Disabled-Habilitative › Article 3 - Services › Section 76879 - Health Support Services-Dental Services

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Dental services are those services provided by dentists and
					 registered dental hygienists.
Note: Authority cited: Sections
						208.4
						and
						1267.7,
						Health and Safety Code. Reference: Sections
						1276
						and
						1315,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 8.5 - Intermediate Care Facilities/Developmentally Disabled-Habilitative › Article 3 - Services › Section 76880 - Dental Services-General Requirements

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) There shall be comprehensive diagnostic
				  services for all clients which include a complete extraoral and intraoral
				  examination, utilizing all diagnostic aids necessary to properly evaluate the
				  client's oral condition within a period of one month following admission,
				  unless such an examination was done within six months of admission and the
				  results are received and reviewed by the interdisciplinary professional
				  staff/team and are entered in the unit client's record.
(b) There shall be comprehensive treatment
				  services for all clients which include:
(1)
				  Provision for dental treatment.
(2)
				  A system that will assure annual reexamination in accordance with the client's
				  needs.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 8.5 - Intermediate Care Facilities/Developmentally Disabled-Habilitative › Article 3 - Services › Section 76881 - Food and Nutrition Services

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Food and nutrition services shall be organized, staffed ad
					 equipped to assure that food served to clients is safe, appetizing and meets
					 their nutritional needs.
Note: Authority cited: Sections
						208.4
						and
						1267.7,
						Health and Safety Code. Reference: Section
						1276,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 8.5 - Intermediate Care Facilities/Developmentally Disabled-Habilitative › Article 3 - Services › Section 76882 - Food and Nutrition Services-Food Services

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The food and nutritional needs of clients
				  shall be met and adjusted for age, sex, activity, and disability through a
				  nourishing, balanced diet.
(b) Food
				  services shall include:
(1) Not less than 3
				  meals served daily, with not less than 10 hours between the first meal and the
				  last meal of the day, and not more than 14 hours between the third meal and the
				  first meal of the following day.
(2) Mealtimes comparable to existing norms in
				  the community.
(3) Nourishment or
				  between meal snacks shall be provided as required. Bedtime nourishments shall
				  be offered to all clients unless contraindicated by the interdisciplinary
				  professional staff/team, attending physician or the dietitian.
(4) Food items that are repeatedly refused by
				  individual clients shall be replaced with food items from the same food group
				  for those individuals. Clients who routinely refuse to eat most foods from a
				  food group shall be evaluated by a physician or a dietitian for nutritional
				  status and the need for substitutions and/or diet counseling
				  determined.
(5) Condiments such as
				  salt, pepper and sugar shall be provided at each meal unless
				  contraindicated.
(6) All clients
				  shall eat in dining rooms, except where contraindicated for health reasons upon
				  the written order of the attending physician. Table service shall be provided
				  for all clients who can eat at a table, including clients in wheelchairs.
				  Dining areas shall be equipped with tables, chairs, eating utensils and dishes
				  designed to meet the developmental needs of each client.
(7) Food shall be served attractively at
				  appropriate temperatures and in a form to meet individual client
				  needs.
(8) Withholding food shall
				  not be used as a punishment, nor shall the timely service of regularly
				  scheduled meals or snacks be made contingent upon a client's
				  behavior.
(9) Clients shall be
				  encouraged and assisted in feeding themselves whenever possible. Clients shall
				  be permitted to eat in a manner consistent with their developmental needs.
				  Whenever self-feeding is not possible, clients shall be provided assistance in
				  eating.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 8.5 - Intermediate Care Facilities/Developmentally Disabled-Habilitative › Article 3 - Services › Section 76883 - Food and Nutrition Services-Policies and Procedures

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Written policies and procedures governing food and
					 nutritional services shall be developed and available to all staff. These
					 policies and procedures shall be developed with the assistance of a
					 dietitian.
Note: Authority cited: Sections
						208.4
						and
						1267.7,
						Health and Safety Code. Reference: Section
						1276,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 8.5 - Intermediate Care Facilities/Developmentally Disabled-Habilitative › Article 3 - Services › Section 76884 - Food and Nutrition Services-Therapeutic Diet Manual

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
A current therapeutic diet manual approved by the dietitian
					 shall be readily available in the facility whenever any client requires a
					 therapeutic diet.
Note: Authority cited: Sections
						208.4
						and
						1267.7,
						Health and Safety Code. Reference: Section
						1276,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 8.5 - Intermediate Care Facilities/Developmentally Disabled-Habilitative › Article 3 - Services › Section 76884.1 - Food and Nutrition Services-Modified Diets

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Modified diets shall be ordered by the interdisciplinary
					 professional staff team to meet the needs of the clients.
Note: Authority cited: Sections
						208.4
						and
						1267.7,
						Health and Safety Code. Reference: Section
						1276,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 8.5 - Intermediate Care Facilities/Developmentally Disabled-Habilitative › Article 3 - Services › Section 76885 - Food and Nutrition Services-Therapeutic Diets

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Therapeutic diets shall be provided as prescribed by the
					 attending physician and shall be planned, prepared and served with supervision
					 or consultation from the dietitian.
Note: Authority cited: Sections
						208.4
						and
						1267.7,
						Health and Safety Code. Reference: Section
						1276,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 8.5 - Intermediate Care Facilities/Developmentally Disabled-Habilitative › Article 3 - Services › Section 76886 - Food and Nutrition Services-Menus

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Menus for regular, therapeutic and
				  modified diets shall be written at least one week in advance, dated and posted
				  in the facility at least three days in advance.
(b) If any meal served varies from the
				  planned menu, the change shall be noted n writing on the posted menu.
(c) Menus shall provide a variety of foods
				  and indicate standard portions for each meal. Menus shall be different for the
				  same day of consecutive weeks. If a cycle menu is used, the cycle shall be of
				  no less than three weeks duration and shall be revised quarterly.
(d) Menus shall be adjusted to include
				  seasonal commodities.
(e) A copy of
				  the menu as planned and as served shall be kept on file for at least 30
				  days.
(f) Records of food purchases
				  shall be kept for one year and available for review by the
				  Department.
Note: Authority cited: Sections
						208.4
						and
						1267.7,
						Health and Safety Code. Reference: Section
						1276,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 8.5 - Intermediate Care Facilities/Developmentally Disabled-Habilitative › Article 3 - Services › Section 76888 - Food and Nutrition Services-Food Storage

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Food storage areas shall be clean at all
				  times.
(b) All foods or food items
				  not requiring refrigeration shall be stored above the floor, on shelves, racks,
				  or other surfaces which facilitate thorough cleaning, in a ventilated room, not
				  subject to sewage or wastewater backflow or contamination by condensation,
				  leakage, rodents or vermin. All packaged food, canned foods or stored food
				  shall be kept clean and dry at all times.
(c) All readily perishable foods or beverages
				  shall be maintained at temperatures of 7°C (45°F) or below, or at
				  60°C (140°F) or above, at all times, except during necessary periods of
				  preparation and service. Frozen foods shall be stored at minus 18°C
				  (0°F) or below at all times. There shall be an accurate thermometer in each
				  refrigerator and freezer and in any other storage space used for perishable
				  food.
(d) Pesticides, other toxic
				  substances and drugs shall not be stored in the kitchen area or in storage
				  space for food preparation equipment and utensils.
(e) Soaps, detergents, cleaning compounds or
				  similar substances shall not be kept in food storage cabinets or
				  bins.
Note: Authority cited: Sections
						208.4
						and
						1267.7,
						Health and Safety Code. Reference: Section
						1276,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 8.5 - Intermediate Care Facilities/Developmentally Disabled-Habilitative › Article 3 - Services › Section 76889 - Food and Nutrition Services-Sanitation

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) All kitchens and kitchen areas shall be
				  kept clean, free from litter and rubbish and protected from rodents, roaches,
				  flies and other insects.
(b) All
				  utensils, counters, shelves and equipment shall be kept clean, maintained in
				  god repair and shall be free from breaks, corrosions, open seams, cracks and
				  chipped areas.
(c) Plasticware,
				  china and glassware that are unsanitary or hazardous because of chips, cracks
				  or loss of glaze shall be discarded.
(d) Ice which is used with food or drink
				  shall be from a sanitary source and shall be handled and dispensed in a
				  sanitary manner.
(e) If ice scoops
				  are utilized they shall be handled and stored in a sanitary manner.
(f) Kitchen wastes that are not disposed of
				  by mechanical means shall be kept in clean, leakproof, nonabsorbent, tightly
				  closed containers and shall be disposed of as frequently as necessary to
				  prevent a nuisance or health hazard.
Note: Authority cited: Sections
						208.4
						and
						1267.7,
						Health and Safety Code. Reference: Section
						1276,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 8.5 - Intermediate Care Facilities/Developmentally Disabled-Habilitative › Article 3 - Services › Section 76890 - Food and Nutrition Services-Cleaning and Disinfection of Utensils

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) All utensils
				  used for eating, drinking and in the preparation and serving of food and drink
				  shall be cleaned and disinfected or discarded after each use.
(b) All utensils shall be thoroughly washed
				  in hot water (minimum temperature of 43°C (110°F), using soap or
				  detergent and rinsed in hot water to remove soap or detergent.
(c) Drying cloths shall not be
				  used.
(d) Dishwashing machines
				  shall be operational and in good repair.
Note: Authority cited: Sections
						208.4
						and
						1267.7,
						Health and Safety Code. Reference: Section
						1276,
						Health and Safety Code.