reglab/statecodes huggingface dataset:
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 3 - Adult Day Programs › Article 8 - Incidental Medical Services › Section 82092.3 - Inhalation-Assistive Devices

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) A
				  licensee may accept or retain a client who requires the use of an
				  inhalation-assistive device, as defined in Section
				  82001(i), if all
				  of the following conditions are met:
(1) The
				  licensee is in compliance with Section
				  82092.1, General Requirements for
				  Restricted Health Conditions.
(2)
				  The licensee monitors the client's ongoing ability to operate and care for the
				  device in accordance with the physician's instructions.
(3) The licensee ensures that either:
(A) The device is operated and cared for by a
				  licensed professional when the client is unable to operate the device, or
				  determine his/her own need; or
(B)
				  The device can legally be operated by an unlicensed person and is cared for by
				  program staff who receive training from a licensed professional as required by
				  Section 82092.1(a)(5)(B).
(4) The licensee ensures that:
(A) The device is functional; and
(B) The device is removed from the day
				  program when no longer prescribed for use by the client.
(5) The licensee ensures that the room
				  containing the device is large enough both to accommodate it and to allow easy
				  passage of clients and staff.
(6)
				  The licensee ensures that program staff have the knowledge of and ability to
				  care for the device.
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 3 - Adult Day Programs › Article 8 - Incidental Medical Services › Section 82092.4 - Colostomy/Ileostomy

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) A licensee may
				  accept or retain a client who has a colostomy or ileostomy if all of the
				  following conditions are met:
(1) The client
				  is mentally and physically capable of providing all routine care for his/her
				  ostomy, and the physician has documented that the ostomy is completely
				  healed.
(2) A licensed professional
				  provides assistance in the care of the ostomy.
(3) The licensee is in compliance with
				  Section 82092.1, General Requirements for
				  Restricted Health Conditions.
(4)
				  The licensee monitors the client's ongoing ability to provide care for his/her
				  ostomy in accordance with the physician's instructions.
(5) The licensee ensures that:
(A) A licensed professional provides ostomy
				  care when the client is unable to provide self-care; and
(B) The ostomy bag and adhesive may be
				  changed by program staff who receive training from the licensed professional as
				  required by Section
				  82092.1(a)(5)(B).
(6) The licensee ensures that used bags are
				  discarded as specified in Section
				  82088(f).
(7) The licensee ensures privacy when ostomy
				  care is provided.
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 3 - Adult Day Programs › Article 8 - Incidental Medical Services › Section 82092.5 - Fecal Impaction Removal, Enemas, or Suppositories

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) A licensee may accept or retain a client
				  who requires manual fecal impaction removal, enemas, or use of suppositories if
				  all of the following conditions are met:
(1)
				  The licensee is in compliance with Section
				  82092.1, General Requirements for
				  Restricted Health Conditions.
(2)
				  The licensee monitors the client's ongoing ability to provide his/her own
				  routine care in accordance with the physician's instructions.
(3) The licensee ensures that a licensed
				  professional administers the fecal impaction removal, the enemas, or
				  suppositories when the client is unable to do so for himself/herself.
(4) The licensee ensures that a licensed
				  professional performs manual fecal impaction removal whenever it is
				  necessary.
(5) The licensee ensures
				  privacy when care is being provided.
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 3 - Adult Day Programs › Article 8 - Incidental Medical Services › Section 82092.6 - Indwelling Urinary Catheter/Catheter Procedure

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) A licensee may accept or retain a client
				  who requires an indwelling catheter if all of the following conditions are met:
(1) The client is physically and mentally
				  capable of caring for all aspects of the condition except insertion, removal
				  and irrigation.
(A) Irrigation shall only be
				  performed by a licensed professional in accordance with the physician's
				  orders.
(B) Insertion and removal
				  shall only be performed by a licensed professional.
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 3 - Adult Day Programs › Article 8 - Incidental Medical Services › Section 82092.7 - Staph or Other Serious, Communicable Infections

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) A licensee may accept or retain a client
				  who has a staph or other serious communicable infection if all of the following
				  conditions are met:
(1) The licensee is in
				  compliance with Section
				  82092.1, General Requirements for
				  Restricted Health Conditions.
(2)
				  The licensee has obtained a statement from the client's physician that the
				  infection is not a risk to other clients.
(3) The licensee monitors the client's
				  ongoing ability to care for his/her own condition by complying with the
				  instructions of the licensed professional who is managing the client's care.
(A) The licensed professional may delegate
				  certain aspects of the care providing the program staff responsible for
				  providing the care receive training from a licensed professional as required by
				  Section 82092.1(a)(5)(B)
				  prior to providing care.
(4) The licensee ensures that a licensed
				  professional assesses the infection and evaluates the treatment at intervals
				  set by the physician or a licensed professional designated by the
				  physician.
(5) The licensee ensures
				  that prior to providing care, staff are trained in and follow Infection Control
				  Requirements, pursuant to Section
				  82095.5, and any other procedures
				  recommended by the licensed professional for protection of the client who has
				  the infection and other clients and staff.
(6) The licensee ensures that all aspects of
				  care performed in the program by the licensed professional and program staff
				  are documented in the client's file.
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 3 - Adult Day Programs › Article 8 - Incidental Medical Services › Section 82092.8 - Diabetes

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) A licensee may
				  accept or retain a client who has diabetes if all of the following conditions
				  are met:
(1) The licensee is in compliance
				  with Section
				  82092.1, General Requirements for
				  Restricted Health Conditions.
(2)
				  The client is mentally and physically capable of administering his/her own
				  medication and performing his/her own glucose testing if applicable or a
				  licensed professional administers the tests and injections.
(A) The licensed professional may delegate to
				  trained program staff glucose testing provided all of the following conditions
				  are met:
1. The blood glucose monitoring test
				  is performed with a blood glucose monitoring instrument that has been approved
				  by the federal Food and Drug Administration for over-the-counter
				  sale.
2. The licensee ensures that
				  program staff responsible for glucose testing receive training from a licensed
				  professional as required by Section
				  82092.1(a)(5)(B).
3. Program staff comply with the instructions
				  of the licensed professional regarding the performance of the test and the
				  operation of the blood glucose monitoring instrument.
4. Program staff immediately notify the
				  client's physician if the results are not within the normal range for the
				  client.
5. The licensee ensures
				  that the results of each blood glucose test performed by program staff are
				  documented and maintained in the client's record.
(3) The licensee ensures that sufficient
				  amounts of medicines, testing equipment, syringes, needles, and other supplies
				  are maintained and stored at the program site.
(4) The licensee ensures that injections are
				  administered immediately after a syringe is filled unless the client is using
				  prefilled syringes prepared by a registered nurse, pharmacist or drug
				  manufacturer.
(5) The licensee
				  ensures that syringes and needles are disposed of in accordance with Title 8,
				  California Code of Regulations, Section
				  5193.
(6) The licensee provides a modified diet as
				  prescribed by a client's physician, as specified in Section
				  82076(a)(5). Any
				  substitutions shall be made by the program dietitian or in consultation with a
				  registered dietician or the client's physician or medical provider.
(A) Where food is provided, the licensee
				  shall provide a modified diet as specified by the client's physician or family
				  or primary caregiver.
(7)
				  The licensee ensures that all program staff who provide care receive training
				  in recognizing the signs and symptoms of hyperglycemia and hypoglycemia and in
				  taking appropriate action for client safety.
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 3 - Adult Day Programs › Article 8 - Incidental Medical Services › Section 82092.9 - Wounds

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) A licensee may
				  accept or retain a client who has a serious wound if all of the following
				  conditions are met:
(1) The licensee is in
				  compliance with Section
				  82092.1, General Requirements for
				  Restricted Health Conditions.
(2)
				  The wound is either an unhealed, surgically closed incision or wound, or
				  determined by the physician or a licensed professional designated by the
				  physician to be a Stage 1 or 2 pressure sore (dermal ulcer) and is expected by
				  the physician or designated professional to completely heal.
(3) The licensee ensures that a licensed
				  professional provides the wound care in accordance with the physician's
				  instructions.
(A) The licensed professional
				  may delegate simple dressing to program staff who receive training from a
				  licensed professional as required by Section
				  82092.1(a)(5)(B).
(4) The licensee ensures that a licensed
				  professional assesses the wound at intervals set by the physician, or a
				  licensed professional designated by the physician, to evaluate treatment and
				  progress toward healing.
(5) The
				  licensee ensures that all aspects of care performed by the licensed
				  professional and program staff are documented in the client's
				  file.
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 3 - Adult Day Programs › Article 8 - Incidental Medical Services › Section 82092.10 - Gastrostomy Feeding, Hydration, and Care

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) A licensee may accept or retain a client
				  who requires gastrostomy care, feeding, and/or hydration if all of the
				  following conditions are met:
(1) The
				  licensee is in compliance with Section
				  82092.1, General Requirements for
				  Restricted Health Conditions.
(2)
				  The physician has documented that the gastrostomy is completely
				  healed.
(3) The licensee monitors
				  the client's ongoing ability to provide all routine feeding, hydration and care
				  for his/her gastrostomy in accordance with the physician's
				  instructions.
(4) The licensee
				  ensures that gastrostomy feeding, hydration, medication administration through
				  the gastrostomy, and stoma cleaning are provided by a licensed professional
				  when the client is unable to provide his/her own feeding, hydration and care.
(A) The licensed professional may delegate
				  the following tasks to program staff who receive training from a licensed
				  professional as specified in Section
				  82092.1(a)(5)(B):
1. Gastrostomy feeding, hydration, and stoma
				  cleaning.
2. For routine
				  medications, trained staff may add medication through the gastrostomy per
				  physician's or nurse practitioner's orders.
3. For PRN medications, trained staff may add
				  medications through the gastrostomy in accordance with Sections
				  82075(b) through
				  (d).
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 3 - Adult Day Programs › Article 8 - Incidental Medical Services › Section 82092.11 - Tracheostomies

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) A licensee may
				  accept or retain a client who has a tracheostomy if all of the following
				  conditions are met:
(1) The licensee is in
				  compliance with Section
				  82092.1, General Requirements for
				  Restricted Health Conditions.
(2)
				  The client is mentally and physically capable of providing all routine care for
				  his/her tracheostomy and the physician has documented that the tracheostomy is
				  completely healed, or assistance in the care of the tracheostomy is provided by
				  a licensed professional.
(A) The licensed
				  professional may delegate routine care for the tracheostomy to program staff
				  who receive supervision and training from the licensed professional as
				  specified in Section
				  82092.1(a)(5)(B).
1. Suctioning shall not be delegated to
				  facility staff.
(3) The licensee monitors the client's
				  ongoing ability to provide all routine care for his/her tracheostomy in
				  accordance with the physician's instructions.
(4) The licensee ensures that tracheostomy
				  care is provided by a licensed professional when the client is unable to
				  provide self-care.
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 3 - Adult Day Programs › Article 8 - Incidental Medical Services › Section 82093 - Department Review of Health-Related Conditions

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The Department may review actual or
				  suspected health-related conditions, including those specified in Section
				  82092, Restricted Health
				  Conditions, to determine if a client is appropriately placed in the day program
				  and if the client's health-related needs are being met. The Department will
				  inform the licensee that the client's health-related condition requires review
				  and will specify documentation that the licensee shall submit to the
				  Department.
(1) Documentation includes, but
				  is not limited to, the following:
(A)
				  Restricted Health Condition Care Plan, if applicable.
(B) Needs and Services Plan.
(C) Copies of prescriptions for medical
				  services and/or medical equipment.
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 3 - Adult Day Programs › Article 8 - Incidental Medical Services › Section 82095.5 - Infection Control Requirements

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) A licensee shall ensure that infection
				  control practices are maintained as follows:
(1) All staff and volunteers shall perform
				  hand hygiene.
(A) Hand hygiene shall include
				  hand washing with soap and water or using an alcohol-based sanitizer or any
				  other sanitizing method recommended by a medical professional, local health
				  official, health department, or other research-based medical
				  authority.
(B) Hand hygiene shall
				  be conducted as follows:
1. Immediately
				  before and after client care.
2.
				  Before and after handling, preparing or eating foods.
3. Before and after assisting with
				  medications.
4. After contact with
				  blood, body fluids or other potentially infectious material, or contaminated
				  surfaces.
5. Immediately before
				  putting gloves on and immediately after removing gloves.
6. When hands are visibly soiled.
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 3 - Adult Day Programs › Subchapter 1 - Emergency Intervention › Article 1 - General Requirements › Section 82100 - General Provisions

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
					 In addition to Chapter 3, the licensee of an Adult Day Program is governed by
					 the provisions of this subchapter when a licensee utilizes or reasonably
					 foresees that they will utilize a manual restraint or seclusion.
(1) If an Adult Day Program does not accept
					 or have clients that may require the use of manual restraint or seclusion for
					 emergency interventions, then the Adult Day Program is exempt from this
					 subchapter.
(2) Notwithstanding
					 Section 82100(a)(1), all
					 Adult Day Programs shall comply with Subchapter 1, Article 2, Section
					 82102.
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 3 - Adult Day Programs › Subchapter 1 - Emergency Intervention › Article 1 - General Requirements › Section 82101 - Definitions

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
In addition to the definitions in Section
						82001, the following shall
						apply:
(a) (Reserved)
(b)
(1)
					 "Behavior Management Consultant" means a person who designs and/or implements
					 behavior modification intervention services and meets one of the following
					 requirements:
(A) A Licensed Clinical Social
					 Worker, pursuant to Business and Professions Code sections
					 4996-
					 4998.5.
(B) A Licensed Marriage and Family Therapist,
					 pursuant to Business and Professions Code sections
					 4980-
					 4984.7.
(C) A psychologist, licensed by the Medical
					 Board of California or Psychology Examining Board.
(D) A licensed registered nurse, pursuant to
					 Business and Professions Code section
					 2700
					 and subsequent Sections, possessing a master's degree in psychiatric-mental
					 health nursing and listed as a psychiatric-mental health nurse by the Board of
					 Registered Nursing.
(E) An advanced
					 practice registered nurse, certified as a clinical nurse specialist, pursuant
					 to Business and Professions Code section
					 2838
					 and subsequent sections, and participating in expert clinical practice in the
					 specialty of psychiatric-mental health nursing.
(F) A Nurse Practitioner, as defined in the
					 Business and Professions Code section
					 2834.
(G) A professional with training and
					 expertise in human behavior with California licensure, which permits the design
					 of behavior modification intervention services.
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 3 - Adult Day Programs › Subchapter 1 - Emergency Intervention › Article 2 - Prohibitions › Section 82102 - Emergency Intervention Prohibitions

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Notwithstanding 82100(a), Section
						82102 shall apply to all Adult Day
						Programs as follows:
(a) The following
					 emergency interventions shall not be used on a client:
(1) Mechanical restraints;
(2) Manual restraint as an extended
					 procedure;
(3) Manual restraint or
					 seclusion when imminent danger is not present;
(4) Adverse behavior modifications, including
					 but not limited to body shaking, water spray, slapping, pinching, ammonia
					 vapors, sensory deprivation and electric shock;
(5) Pain, including but not limited to arm
					 twisting, finger bending, joint extensions and headlocks;
(6) AnyS manual restraint technique that
					 obstructs a client's airway or impairs or restricts breathing or
					 circulation;
(7) Manual restraint
					 with the client's hands held or restrained behind the client's back;
(8) Any manual restraint technique in which a
					 staff member places pressure on a client's back or places his or her body
					 weight against the client's torso or back;
(9) Placement of an item that covers the head
					 or face;
(A) Padding, placed under the head,
					 to prevent injury is permitted, provided it does not impair
					 breathing.
(10) Chemical
					 restraint or psychotherapeutic or behavior modifying drugs in a manner
					 prohibited by Health and Safety Code section
					 1180.4(k);
(11) Techniques reasonably expected to cause
					 serious injury that may require medical treatment from a health practitioner,
					 licensed under Division 2 of the Business and Professions Code;
(12) Verbal abuse or physical
					 threats;
(13) Isolation in an area
					 from which the client cannot voluntarily exit including, but not limited to,
					 denying a request from a non-ambulatory client to exit a chair or an unlocked
					 room. This prohibition does not apply to a Seclusion Room;
(14) Manual restraint or seclusion for more
					 than 15 consecutive minutes unless the licensee is in compliance with Section
					 82122(e)(6);
(15) Punishment, discipline, harassment,
					 humiliation, coercion or retaliation.
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 3 - Adult Day Programs › Subchapter 1 - Emergency Intervention › Article 3 - Application and Licensing Procedures › Section 82122 - Emergency Intervention Plan

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) If staff use, or it is reasonably
					 foreseeable that staff will use, manual restraint or seclusion, the applicant
					 or licensee shall be responsible to ensure an Emergency Intervention Plan is
					 developed and approved by the Department prior to the use of such techniques.
(1) The Emergency Intervention Plan shall be
					 designed and approved by the applicant or licensee in conjunction with a
					 Behavior Management Consultant and shall be part of the Plan of
					 Operation.
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 3 - Adult Day Programs › Subchapter 1 - Emergency Intervention › Article 6 - Continuing Requirements › Section 82161 - Emergency Intervention Documentation and Reporting Requirements

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Each use of
					 manual restraint or seclusion shall be reported to the client's authorized
					 representative, by telephone, no later than the next calendar day. This report
					 shall include the type of emergency intervention used, the duration of the
					 manual restraint or seclusion, the time the event was reported to the
					 authorized representative, and the time and response of the authorized
					 representative and shall be documented in the client's file.
(b) Each use of manual restraint or seclusion
					 shall be reported to the Department in writing no later than the next business
					 day. This time frame shall supersede the reporting time frame required by
					 Section 82061(a).
(1) An incident report of the use of the
					 manual restraint or seclusion shall be reviewed for accuracy and completeness
					 and signed by the licensee or licensee's designee prior to submission to the
					 Department.
(2) If a manual
					 restraint or seclusion technique that was not part of the program's Emergency
					 Intervention Plan or the Individual Emergency Intervention Plan was used during
					 the emergency intervention, the plan for corrective action, at minimum, shall
					 require staff to repeat the emergency intervention training. Within 24 hours of
					 the licensee's discovery of non-compliance with the Emergency Intervention
					 Plan, the licensee shall also submit a plan for corrective action to the
					 Department detailing how another violation of the Emergency Intervention Plan
					 will be prevented. This plan for corrective action shall not restrict the
					 Department's authority to enforce applicable law.
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 3 - Adult Day Programs › Subchapter 1 - Emergency Intervention › Article 6 - Continuing Requirements › Section 82165 - Emergency Intervention Staff Training

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The licensee shall ensure staff who use,
					 participate in, approve, or provide visual checks of manual restraint or
					 seclusion only use techniques specified in the Emergency Intervention Plan and
					 which are not prohibited in Section
					 82102.
(b) Staff who use, participate in, approve or
					 provide visual checks of manual restraint or seclusion, shall have a minimum of
					 sixteen hours of emergency intervention training and be certified for having
					 successfully completed the training.
(1)
					 Staff who use, participate in, approve, or provide visual checks of manual
					 restraints or seclusions, shall be trained in the manual restraint or seclusion
					 technique utilized.
(2) Staff shall
					 maintain valid certification.
(3)
					 Staff shall have a minimum of 6 hours of annual refresher training following
					 the initial training certification. The provisions specified in Sections
					 82165(c)-(e) and
					 (g) shall also apply to this
					 training.
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 3 - Adult Day Programs › Subchapter 1 - Emergency Intervention › Article 6 - Continuing Requirements › Section 82168 - Admission Agreements

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
					 In addition to Section
					 82068, the Admission Agreement
					 shall include a list and short description of each of the emergency
					 interventions the licensee may use.
(1) The
					 program's plan regarding the use of emergency interventions shall be reviewed
					 with and approved by the client and his/her authorized representative, if any,
					 prior to its implementation.
(2)
					 The licensee shall provide a copy of the Emergency Intervention Plan to the
					 client and their authorized representative, if any, at
					 admission.
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 3 - Adult Day Programs › Subchapter 1 - Emergency Intervention › Article 6 - Continuing Requirements › Section 82168.2 - Needs and Services Plan

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
In addition to Section
						82068.2, the following shall
						apply:
(a) If the licensee will use or
					 it is reasonably expected the licensee will use manual restraint or seclusion
					 with a client when that client is an imminent danger to self or others, the
					 licensee shall develop an Individual Emergency Intervention Plan for that
					 client.
(1) The Individual Emergency
					 Intervention Plan shall be based on the assessment required by Section
					 82068.2(h).
(2) The Individual Emergency Intervention
					 Plan shall be updated as needed to ensure it meets the safety needs of
					 clients.
(3) The client and
					 authorized representative, if any, shall receive a copy of and approve the
					 Individual Emergency Intervention Plan and any modification to the Plan prior
					 to implementation.
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 3 - Adult Day Programs › Subchapter 1 - Emergency Intervention › Article 6 - Continuing Requirements › Section 82168.3 - Manual Restraint or Seclusion Review

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The Licensee shall ensure that a
					 debriefing occurs in accordance with Section
					 1180.5(b)
					 of the Health and Safety Code.
(b)
					 The debriefing required by Section
					 82168.3(a) shall
					 include:
(1) An evaluation of whether the
					 emergency intervention action taken by the staff was consistent with the
					 program Emergency Intervention Plan, Individual Emergency Intervention Plan,
					 program policies, and training.
(A) If the use
					 of any de-escalation technique causes an escalation of the client's behavior,
					 the use of the technique shall be evaluated for effectiveness. De-escalation
					 techniques that are ineffective or counter-productive shall be
					 discontinued.
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 3 - Adult Day Programs › Subchapter 1 - Emergency Intervention › Article 6 - Continuing Requirements › Section 82169 - Medical Examination

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
In addition to Section
						82069, the following shall
						apply:
(a) Immediately following each
					 manual restraint or seclusion, the administrator or administrator's designee
					 shall have an in-person communication with the client to assess and determine
					 whether there is a physical injury or suspected physical injury and whether a
					 medical examination by a qualified medical professional is needed.
(1) The decision and rationale whether to
					 seek a medical examination shall be documented in the client's
					 record.
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 3 - Adult Day Programs › Subchapter 1 - Emergency Intervention › Article 7 - Physical Environment › Section 82175 - Seclusion Room

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) In
					 addition to Section
					 82122, a licensee at a program
					 with a seclusion room, shall not:
(1) Use the
					 seclusion room for another purpose such as a bedroom, a bathroom, or for
					 storage.
(2) Use the seclusion room
					 without a fire clearance allowing the use of the seclusion room from the city,
					 county, or city and county fire department or district providing fire
					 protection services, or the State Fire Marshal.
(A) The request for the fire clearance for
					 use of the seclusion room shall be made through the Department and compliance
					 with it shall be maintained by the licensee.
(3) Use the seclusion room without prior
					 approval by the Department.
(A) The licensee
					 shall submit the following to the Department in order to receive approval from
					 the Department for the use of the seclusion room:
1. if applicable, Program Sketch
					 and
2. the staffing plan to be
					 maintained for the use of the seclusion room.
(4) Deprive a client placed in the seclusion
					 room of daily living functions, as specified in Section
					 82072(a)(3).
(5) Include a locking or jamming device on
					 the door of the seclusion room.
(A) The
					 seclusion room door shall only be shut in a manner providing for immediate
					 release upon removal of a staff member's foot, hand, and/or
					 body.
(6) Place a person
					 with a developmental disability in seclusion, in accordance with California
					 Code of Regulations, Title 17, Division 2, Chapter 1, Subchapter 5, Article 2,
					 Section 50515.
(7) Use a room or another area for a
					 seclusion that is not identified as the seclusion room in the Plan of
					 Operations.
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 3.5 - Adult Day Support Center › Article 1 - GENERAL REQUIREMENTS › Section 82500 - General

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Note: Authority cited: Section
						1530,
						Health and Safety Code. Reference: Sections 1501,1502.2 and 1531, Health and
						Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 3.5 - Adult Day Support Center › Article 1 - GENERAL REQUIREMENTS › Section 82501 - Definitions

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Note: Authority cited: Section
						1530,
						Health and Safety Code. Reference: Sections 1501,1502.2, 1507 and 1531, Health
						and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 3.5 - Adult Day Support Center › Article 3 - APPLICATION PROCEDURES [REPEALED] › Section 82522 - Plan of Operation. [Repealed]

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Note: Authority cited: Section
						1530,
						Health and Safety Code. Reference: Sections 1501,1502.2, 1520 and 1531, Health
						and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 3.5 - Adult Day Support Center › Article 6 - CONTINUING REQUIREMENTS › Section 82564 - Administrator - Qualifications and Duties. [Repealed]

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Note: Authority cited: Section
						1530,
						Health and Safety Code. Reference: Sections 1501,1502.2, 1531 and 1562, Health
						and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 3.5 - Adult Day Support Center › Article 6 - CONTINUING REQUIREMENTS › Section 82565 - Personnel Requirements. [Repealed]

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Note: Authority cited: Section
						1530,
						Health and Safety Code. Reference: Sections 1501,1502.2, 1531 and 1562, Health
						and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 3.5 - Adult Day Support Center › Article 6 - CONTINUING REQUIREMENTS › Section 82565.1 - Personnel Qualifications and Duties. [Repealed]

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Note: Authority cited: Section
						1530,
						Health and Safety Code. Reference: Sections 1501,1502.2, 1531 and 1562, Health
						and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 3.5 - Adult Day Support Center › Article 6 - CONTINUING REQUIREMENTS › Section 82565.5 - Staff-Participant Ratio. [Repealed]

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Note: Authority cited: Section
						1530,
						Health and Safety Code. Reference: Sections 1501,1502.2, 1507, 1531 and 1562,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 3.5 - Adult Day Support Center › Article 6 - CONTINUING REQUIREMENTS › Section 82568.2 - Needs and Services Plan. [Repealed]

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Note: Authority cited: Section
						1530,
						Health and Safety Code. Reference: Sections 1501,1502.2, 1507 and 1531, Health
						and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 3.5 - Adult Day Support Center › Article 6 - CONTINUING REQUIREMENTS › Section 82568.3 - Modifications to the Needs and Services Plan. [Repealed]

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Note: Authority cited: Section
						1530,
						Health and Safety Code. Reference: Sections 1501,1502.2, 1507 and 1531, Health
						and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 3.5 - Adult Day Support Center › Article 6 - CONTINUING REQUIREMENTS › Section 82568.5 - Procedures for Discharge. [Renumbered]

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Note: Authority cited: Section
						1530,
						Health and Safety Code. Reference: Sections 1501,1502.2 and 1531, Health and
						Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 3.5 - Adult Day Support Center › Article 6 - CONTINUING REQUIREMENTS › Section 82570 - Participant's Records. [Renumbered]

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Note: Authority cited: Section
						1530,
						Health and Safety Code. Reference: Sections 1501,1502.2, 1507 and 1531, Health
						and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 3.5 - Adult Day Support Center › Article 6 - CONTINUING REQUIREMENTS › Section 82575 - Health-Related Services. [Repealed]

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Note: Authority cited: Section
						1530,
						Health and Safety Code. Reference: Sections 1501,1502.2, 1507 and 1531, Health
						and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 3.5 - Adult Day Support Center › Article 6 - CONTINUING REQUIREMENTS › Section 82575.1 - Daily Inspections for Illness. [Repealed]

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Note: Authority cited: Section
						1530,
						Health and Safety Code. Reference: Sections 1501,1502.2, 1507 and 1531, Health
						and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 3.5 - Adult Day Support Center › Article 6 - CONTINUING REQUIREMENTS › Section 82576 - Food Services. [Repealed]

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Note: Authority cited: Section
						1530,
						Health and Safety Code. Reference: Sections 1501,1502.2 and 1531, Health and
						Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 3.5 - Adult Day Support Center › Article 6 - CONTINUING REQUIREMENTS › Section 82577 - Personal Services

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
				  When necessary, personal care assistance and supervision shall be provided to
				  participants. This service shall include, but is not limited to, assistance
				  with activities of daily living, suchas walking, eating, grooming, toileting,
				  and supervision of personal hygiene.
(b) Psychosocial support services shall be
				  available to each participant and his/her family.
(1) The center shall assist participants and
				  careproviders to understand and provide for each other's needs.
(2) The center shall inform the family and
				  careprovider of changes in the participant's physical, emotional, or cognitive
				  status.
(3) The center shall help
				  the careprovider to understand any changes in the participant and make
				  referrals as necessary.
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 3.5 - Adult Day Support Center › Article 6 - CONTINUING REQUIREMENTS › Section 82579 - Activities. [Repealed]

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Note: Authority cited: Section
						1530,
						Health and Safety Code. Reference: Sections 1501,1502.2, 1507 and 1531, Health
						and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 4 - Small Family Homes › Article 1 - General Requirements and Definitions › Section 83000 - General

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Small family
				  homes, as defined in section
				  80001(s)(3),
				  shall be governed by the provisions specified in this chapter. In addition,
				  such small family homes, except where specified otherwise shall be governed by
				  chapter 1. General Requirements.
1.
					 Renumbering and amendment of former chapter 4 (articles 1 and 2, sections
					 83001-83181, not consecutive) to
					 chapter 9, and new *chapter 4 (articles 1-7, sections
					 83000-83088, not consecutive)
					 filed 10-7-83; designated effective 1-1-84 (Register 83, No. 42). For prior
					 history see Registers 80, No. 8; 77, No. 2; and 76, No. 41.
* The
					 reorganization of various sections in division 6 into new chapter 4 is printed
					 as an adoption for clarity.
2. Change without regulatory effect
					 amending subsection (a) filed 1-9-91 pursuant to section
					 100, title 1, California Code of
					 Regulations (Register 91, No. 8).
3. Change without regulatory
					 effect amending lettering and correcting cross-references filed 5-25-91
					 pursuant to section
					 100, title 1, California Code of
					 Regulations (Register 91, No. 28).
4. Amendment of subsection (a)
					 filed 2-6-2012; operative 3-7-2012 (Register 2012, No.
					 6).
Note: Authority cited: Sections
						1530
						and
						1530.5,
						Health and Safety Code. Reference: Sections
						1501,
						1502,
						1530
						and
						1531,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 4 - Small Family Homes › Article 1 - General Requirements and Definitions › Section 83001 - Definitions

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
In addition to Section
					 80001, the following shall
					 apply.
(a)
(1) "Age or developmentally appropriate"
				  means as defined in Welfare and Institutions Code section
				  362.05(c)(2).
(2) "Assistant Caregiver" means an adult who
				  assists the licensee of a specialized small family home caring for four or more
				  children in the administration of specialized in-home health
				  care.
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 4 - Small Family Homes › Article 2 - Licensing › Section 83009 - Availability of License

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The
				  license shall be retained in the home and shall 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 4 - Small Family Homes › Article 2 - Licensing › Section 83010 - Limitations on Capacity and Ambulatory Status

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) In addition to Section
				  80010, the following shall
				  apply.
(b) The licensee shall not
				  accept more than two infants, including infants in the licensee's family,
				  without obtaining additional household help.
Note: Authority cited: Section
						130,
						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 4 - Small Family Homes › Article 2 - Licensing › Section 83010.1 - Limitations on Capacity for Specialized Small Family Homes

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) No more than two children with or without
				  special health care needs shall reside even on a temporary basis in a
				  specialized small family home, with the following exceptions:
(1) A specialized small family home may
				  accept a third child with or without special health care needs provided that
				  the licensed capacity, as determined by the licensing agency under Section
				  80028 is not exceeded, and all of
				  the following conditions are met:
(A) The
				  county social worker, regional center caseworker or authorized representative
				  responsible for the placement of the child determines the following:
1. That in the county or, if the child is a
				  regional center client, the regional center catchment area, in which the home
				  is physically located,
a. No other
				  specialized small family home, foster family home or certified family home is
				  available to meet the needs of the child without exceeding the two child limit;
				  and
b. If the child does not have
				  special health care needs, that no other nonspecialized small family home,
				  foster family home or certified family home is available to meet the needs of
				  the child.
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 4 - Small Family Homes › Article 2 - Licensing › Section 83010.2 - Prohibition of Dual Licensure for Specialized Small Family Homes

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) A small family
				  home licensee shall not hold any day care, other residential or health care
				  home license for the same premises as the small family home while caring for
				  children with special health care needs.
(1)
				  Any small family home licensee planning to care for a child with special health
				  care needs who holds a license as specified in Section
				  83010.2(a) shall
				  surrender the license to the licensing agency prior to accepting a child with
				  special health care needs.
(2) The
				  provisions specified in Sections
				  83010.2(a) and
				  (a)(1) shall not apply to existing licensed
				  small family homes that meet both of the following:
(A) All children with special health care
				  needs were accepted prior to the effective date of this Section
				  83010.2(a)(2);
				  and
(B) No application for a day
				  care, other residential or health care home license was approved for the
				  premises on or after the effective date of this Section
				  83010.2(a)(2).
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 4 - Small Family Homes › Article 3 - Application Procedures › Section 83017 - Applicant Qualifications

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) An applicant for a license shall:
(1) Attend and complete an orientation
				  provided by the licensing agency.
(2) Be educated, trained, or experienced in
				  providing family home care and supervision appropriate to the type of children
				  to be served.
(A) Applicable education shall
				  be documented through submission, to the licensing agency, of a copy of a
				  certificate, transcript or credentials.
(B) Applicable training shall be documented
				  through submission, to the licensing agency, of a copy of a certificate of
				  training.
(C) Applicable experience
				  shall be documented in writing, by a person other than the applicant, and
				  submitted to the licensing agency.
California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 4 - Small Family Homes › Article 3 - Application Procedures › Section 83018 - 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) The application shall
				  contain a health screening report on the applicant, meeting the standards
				  required in section
				  80065(g).
1. Amendment
					 of subsection (b) filed 5-30-90; operative 6-29-90 (Register 90, No.
					 28).
2. Editorial correction of printing error restoring subsection
					 (a) (Register 91, No. 32).
Note: Authority cited: Section
						1530,
						Health and Safety Code. Reference: Sections
						1501,
						1520
						and
						1531,
						Health and Safety Code.