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 3 - Skilled Nursing Facilities › Article 5 - Administration › Section 72535 - Employees' Health Examination and Health Records

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) All employees working in the facility,
				  including the licensee, shall have a health examination within 90 days prior to
				  employment or within seven days after employment and at least annually
				  thereafter by a person lawfully authorized to perform such a procedure. Each
				  such examination shall include a medical history and physical evaluation. The
				  report signed by the examiner shall indicate that the person is sufficiently
				  free of disease to perform assigned duties and does not have any health
				  condition that would create a hazard for himself, fellow employees, or patients
				  or visitors.
(b) The initial health
				  examination and subsequent annual examination shall include a test for
				  tuberculosis infection that is recommended by the federal Centers for Disease
				  Control and Prevention (CDC) and licensed by the federal Food and Drug
				  Administration (FDA). A chest X-ray is indicated if the employee has previously
				  had a positive tuberculosis test result or is currently being treated for
				  tuberculosis. A positive tuberculosis test result shall be followed by a chest
				  X-ray. Evidence of tuberculosis screening within 90 days prior to employment
				  shall be considered as meeting the intent of this Section.
(c) The facility shall maintain a health
				  record of the administrator and for each employee which includes reports of all
				  employment-related health examinations. Such records shall be kept for a
				  minimum of three years following termination of employment.
1. Amendment
					 of subsection (b) and NOTE filed 5-30-2013; operative 5-30-2013 pursuant to
					 Government Code section
					 11343.4(b)(3)
					 (Register 2013, No. 22).
Note: Authority cited: Sections
						1275,
						121357
						and
						131200,
						Health and Safety Code. Reference: Sections
						1250,
						1276,
						121362,
						131050,
						131051
						and
						131052,
						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 3 - Skilled Nursing Facilities › Article 5 - Administration › Section 72537 - Reporting of Communicable Diseases

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
All cases of reportable communicable diseases shall be
					 reported to the local health officer in accordance with Section
					 2500, Article 1, Subchapter 4,
					 Chapter 4, Title 17, California Administrative Code.
Note: Authority cited: Sections
						208(a)
						and
						1275,
						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 3 - Skilled Nursing Facilities › Article 5 - Administration › Section 72539 - Reporting of Outbreaks

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Any outbreak or undue prevalence of infectious or parasitic
					 disease or infestation shall be reported to the local health officer in
					 accordance with Section
					 2502, Article 1, Subchapter 4,
					 Chapter 4, Title 17, California Administrative Code.
Note: Authority cited: Sections
						208(a)
						and
						1275,
						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 3 - Skilled Nursing Facilities › Article 5 - Administration › Section 72541 - Unusual Occurrences

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Occurrences such as epidemic outbreaks, poisonings, fires,
					 major accidents, death from unnatural causes or other catastrophes and unusual
					 occurrences which threaten the welfare, safety or health of patients, personnel
					 or visitors shall be reported by the facility within 24 hours either by
					 telephone (and confirmed in writing) or by telegraph to the local health
					 officer and the Department. An incident report shall be retained on file by the
					 facility for one year. The facility shall furnish such other pertinent
					 information related to such occurrences as the local health officer or the
					 Department may require. Every fire or explosion which occurs in or on the
					 premises shall be reported within 24 hours to the local fire authority or in
					 areas not having an organized fire service, to the State Fire
					 Marshal.
Note: Authority cited: Sections
						208(a)
						and
						1275,
						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 3 - Skilled Nursing Facilities › Article 5 - Administration › Section 72543 - Patients' Health Records

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
				  Records shall be permanent, either typewritten or legibly written in ink, be
				  capable of being photocopied and shall be kept on all patients admitted or
				  accepted for care. All health records of discharged patients shall be completed
				  and filed within 30 days after discharge date and such records shall be kept
				  for a minimum of 7 years, except for minors whose records shall be kept at
				  least until 1 year after the minor has reached the age of 18 years, but in no
				  case less than 7 years. All exposed X-ray film shall be retained for seven
				  years. All required records, either originals or accurate reproductions
				  thereof, shall be maintained in such form as to be legible and readily
				  available upon the request of the attending licensed healthcare practitioner
				  acting within the scope of his or her professional licensure, the facility
				  staff or any authorized officer, agent, or employee of either, or any other
				  person authorized by law to make such request.
(b) Information contained in the health
				  records shall be confidential and shall be disclosed only to authorized persons
				  in accordance with federal, state and local laws.
(c) If a facility ceases operation, the
				  Department shall be informed within three business days by the licensee of the
				  arrangements made for the safe preservation of the patients' health
				  records.
(d) The Department shall
				  be informed within three business days, in writing, whenever patient health
				  records are defaced or destroyed before termination of the required retention
				  period.
(e) If the ownership of the
				  facility changes, both the licensee and the applicant for the new license
				  shall, prior to the change of ownership, provide the Department with written
				  documentation stating:
(1) That the new
				  licensee shall have custody of the patients' health records and that these
				  records or copies shall be available to the former licensee, the new licensee
				  and other authorized persons; or
(2) That other arrangements have been made by
				  the licensee for the safe preservation and the location of the patients' health
				  records, and that they are available to both the new and former licensees and
				  other authorized persons; or
(3)
				  The reason for the unavailability of such records.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 3 - Skilled Nursing Facilities › Article 5 - Administration › Section 72545 - Admission Records

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) For
				  each patient a facility shall complete an admission record which shall include
				  the following:
(1) Name and Social Security
				  number.
(2) Current
				  address.
(3) Age and date of
				  birth.
(4) Sex.
(5) Date of admission.
(6) Date of discharge.
(7) Name, address and telephone number of
				  guardian, authorized representative, person or agency responsible for patient
				  and next of kin.
(8) Name, address
				  and telephone number of attending physician and the name, address and telephone
				  number of the podiatrist, dentist or clinical psychologist if such practitioner
				  is primarily responsible for the treatment of the patient.
(9) Name, address and telephone number of the
				  designated alternate physician.
(10) Admission diagnoses, known allergies and
				  final diagnoses.
(11) Medicare and
				  Medi-Cal numbers when appropriate.
(12) An inventory including but not limited
				  to:
(A) Items of jewelry.
(B) Items of furniture.
(C) Radios, television and other
				  appliances.
(D) Prosthetic and
				  orthopedic devices.
(E) Other
				  valuable items, so identified by the patient, family or authorized
				  representative.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 3 - Skilled Nursing Facilities › Article 5 - Administration › Section 72549 - Patient Death Reports

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) All
				  patients' deaths shall be reported by the licensee when requested by the
				  Department or its designee. The report shall be made accurately at a time and
				  in such a manner as may be requested by the Department or its
				  designee.
Note: Authority cited: Sections
						208(a)
						and
						1275,
						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 3 - Skilled Nursing Facilities › Article 5 - Administration › Section 72553 - Fire and Internal Disasters

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) A written fire and internal disaster plan
				  incorporating evacuation procedures shall be developed with the assistance of
				  qualified fire, safety and other appropriate experts. A copy of the plan shall
				  be available on the premises for review by the staff and the
				  Department.
(b) The written plan
				  shall include at least the following:
(1)
				  Procedures for the assignment of personnel to specific tasks and
				  responsibilities.
(2) Procedures
				  for the use of alarm systems and signals.
(3) Procedures for fire
				  containment.
(4) Priority for
				  notification of staff including names and telephone numbers.
(5) Location of fire-fighting
				  equipment.
(6) Procedures for
				  evacuation and specification of evacuation routes.
(7) Procedures for moving patients from
				  damaged areas of the facility to undamaged areas.
(8) Procedures for emergency transfer of
				  patients who can be moved to other health facilities, including arrangements
				  for safe and efficient transportation.
(9) Procedures for emergency discharge of
				  patients who can be discharged without jeopardy into the community, including
				  prior arrangements for their care, arrangements for safe and efficient
				  transportation and at least one follow-up inquiry within 24 hours to ascertain
				  that patients are receiving their required care.
(10) A disaster tag containing all pertinent
				  personal and medical information to accompany each patient who is moved,
				  transferred, discharged or evacuated.
(11) Procedures for maintaining a record of
				  patient relocation.
(12) Procedures
				  for handling incoming or relocated patients.
(13) Other provisions as dictated by
				  circumstances.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 3 - Skilled Nursing Facilities › Article 5 - Administration › Section 72555 - Patient Identification

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Each patient shall be provided with a wristband
					 identification tag or other means of identification which shall be worn at all
					 times unless the attending physician notes in the health record that the
					 patient's condition would not permit such identification. Minimum information
					 shall include the name of the patient and the name of the
					 facility.
Note: Authority cited: Sections
						208(a)
						and
						1275,
						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 3 - Skilled Nursing Facilities › Article 5 - Administration › Section 72557 - 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 care of patients as ordered or indicated. At least the
				  following items shall be provided and properly maintained at all times:
(1) Airways.
(2) Bedpans.
(3) Catheter equipment.
(4) Clerical supplies and
				  equipment.
(5) Denture
				  cups.
(6) Drug service trays and/or
				  carts.
(7) Ear syringes.
(8) Emergency oxygen supply and equipment for
				  administration.
(9) Emesis
				  basins.
(10) Examination
				  light.
(11) First aid supplies, as
				  determined by the patient care policy committee.
(12) Flashlights.
(13) Gloves (sterile and
				  unsterile).
(14) Ice
				  caps.
(15) Intravenous therapy
				  supplies if facility provides such services.
(16) Medicine droppers.
(17) Medicine glasses, cups or other small
				  containers which are accurately calibrated.
(18) Mortar and pestle.
(19) Rectal speculum.
(20) Refrigerator with accurate
				  thermometer.
(21) Rubber
				  tubing.
(22) Scales for weighing
				  all patients.
(23) Shower and
				  commode chairs, wheelchairs and walkers.
(24) Soap for bathing.
(25) Soap dishes or soap
				  containers.
(26)
				  Sphygmomanometers.
(27) Sterile
				  dressings.
(28)
				  Stethoscopes.
(29) Suction
				  apparatus.
(30) Suture
				  tray.
(31) Suture removal
				  equipment.
(32) Syringes and
				  needles.
(33) Test supplies
				  necessary to perform urine sugar and acetone testing.
(34) Thermometers, oral and rectal.
(35) Tongue depressors.
(36) Urinals.
(37) Vaginal speculum.
(38) Washbasins.
(39) Water pitchers and drinking
				  vessels.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 3 - Skilled Nursing Facilities › Article 6 - Physical Plant › Section 72601 - Alterations to Existing Buildings or New Construction

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Alterations to existing buildings
				  licensed as skilled nursing facilities or new construction shall be in
				  conformance with Chapter 1, Division 17, Part 6, Title 24, California
				  Administrative Code and requirements of the State Fire Marshal.
(b) Facilities licensed and in operation
				  prior to the effective date of changes in construction regulations shall not be
				  required to institute corrective alterations or construction to comply with
				  such new requirements except where specifically required or where the
				  Department determined in writing that a definite hazard to health and safety
				  exists. Any facility for which preliminary or working drawings and
				  specifications have been approved by the Department prior to the effective date
				  of changes to construction regulations shall not be required to comply with
				  such new requirements provided substantial actual construction is commenced
				  within one year of the effective date of such new requirements.
(c) All facilities shall maintain in
				  operating condition all buildings, fixtures and spaces in the numbers and types
				  as specified in the construction requirements under which the facility or unit
				  was first licensed.
Note: Authority cited: Sections
						208(a)
						and
						1275,
						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 3 - Skilled Nursing Facilities › Article 6 - Physical Plant › Section 72603 - Space Conversion

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Spaces approved for specific uses at the time of licensure
					 shall not be converted to other uses without the approval of the
					 Department.
Note: Authority cited: Sections
						208(a)
						and
						1275,
						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 3 - Skilled Nursing Facilities › Article 6 - Physical Plant › Section 72605 - Notice to Department

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
The Department shall be notified in writing, by the owner
					 or licensee of the skilled nursing facility, within five days of the
					 commencement of any construction, remodeling or alterations to such
					 facility.
Note: Authority cited: Sections
						208(a)
						and
						1275,
						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 3 - Skilled Nursing Facilities › Article 6 - Physical Plant › Section 72607 - Patient Capacity

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) A
				  facility shall not have more patients or beds set up for use than the number
				  for which it is licensed except in case of emergency when temporary permission
				  may be granted by the Director or designee.
(b) Patients shall not be housed in areas
				  which have not been approved by the Department for patient housing and which
				  have not been given a fire clearance by the State Fire Marshal except as
				  provided in (a) above.
(c) The
				  number of licensed beds shown on a license shall not exceed the number of beds
				  for which the facility meets applicable construction and operational
				  requirements.
(d) In the event that
				  a vacant licensed bed is not available for training purposes, facilities with
				  approved precertification training programs may request approval from the
				  appropriate district office for the designation of a certain bed for clinical
				  practice which would not be included as a bed licensed for the use of patients.
				  The following criteria must be met in order to obtain approval:
(1) The bed is to be designated and utilized
				  for training purposes only.
(2) The
				  bed is to be located in nonpatient sleeping areas, e.g., classroom, examining
				  room, etc. The location of the bed is to be indicated.
(3) The bed shall not be equipped with linen
				  except during staff training hours.
(4) Under no circumstances is a patient to be
				  assigned to the bed designated for training purposes.
(5) The approval of a bed for training
				  purposes only shall be contingent upon the approval of the facility's
				  precertification training program. If the facility discontinues its
				  precertification training program, the approval for use of this bed for
				  training purposes is automatically cancelled.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 3 - Skilled Nursing Facilities › Article 6 - Physical Plant › Section 72609 - Patient Rooms

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
				  Each patient room shall be labeled with a number, letter or combination of the
				  two for identification.
(b)
				  Patients' rooms shall not be kept locked when occupied except in rooms approved
				  by the Department for seclusion of psychiatric patients.
(c) Only upon the written approval of the
				  Department may any exit door, corridor door, yard enclosures or perimeter
				  fences be locked to egress.
(d)
				  Patient rooms approved for use by ambulatory patients only shall be identified
				  as follows: The words "Reserved for Ambulatory Patient" in letters at least
				  1.25 centimeters (one-half inch) high shall be posted on the outside of the
				  door or on the wall alongside the door where they are visible to persons
				  entering the room.
Note: Authority cited: Sections
						208(a)
						and
						1275,
						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 3 - Skilled Nursing Facilities › Article 6 - Physical Plant › Section 72611 - Special Rooms

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Special rooms shall be maintained to meet the requirements
					 of Section T17-410 of Title 24.
Note: Authority cited: Sections
						208(a)
						and
						1275,
						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 3 - Skilled Nursing Facilities › Article 6 - Physical Plant › Section 72613 - Patient's Property Storage and Room Furnishings

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Each patient room shall be provided wit a
				  closet or locker space for clothing, toilet articles and other personal
				  belongings.
(b) For each licensed
				  bed there shall be provided:
(1) A clean
				  comfortable bed with an adequate mattress, sheets, pillow, pillow case and
				  blankets, all of which shall be in good repair, and consistent with individual
				  patient needs.
(2) A bedside table,
				  chair, overbed table and reading light all of which shall be in good
				  repair.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 3 - Skilled Nursing Facilities › Article 6 - Physical Plant › Section 72615 - Provision for Privacy

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Visual privacy for each patient shall be provided to meet
					 the requirements of Section T17-070 of Title 24. Doors providing access to the
					 corridor shall not be considered as meeting this requirement.
Note: Authority cited: Sections
						208(a)
						and
						1275,
						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 3 - Skilled Nursing Facilities › Article 6 - Physical Plant › Section 72617 - Public Telephone

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
				  A telephone shall be installed to meet the requirements of Section E702-32 of
				  Title 24. This may not be required in separate buildings having six beds or
				  less which are restricted to occupancy by ambulatory patients.
(b) The telephone at the nurses station shall
				  not be considered as meeting the requirements of this section.
Note: Authority cited: Sections
						208(a)
						and
						1275,
						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 3 - Skilled Nursing Facilities › Article 6 - Physical Plant › Section 72619 - Space and Equipment for Autoclaving, Sterilizing and Disinfecting

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) A facility
				  shall:
(1) Maintain disposable sterile
				  supplies in the amount necessary to meet the anticipated needs of the patients,
				  or
(2) Maintain autoclave
				  equipment, or
(3) Make contractual
				  arrangements for outside autoclaving and sterilizing
				  services.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 3 - Skilled Nursing Facilities › Article 6 - Physical Plant › Section 72621 - Housekeeping

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Each facility
				  shall routinely clean articles and surfaces such as furniture, floors, walls,
				  ceilings, supply and exhaust grills and lighting fixtures.
(b) Schedules and procedures shall be posted
				  which indicate the areas of the facility which shall be cleaned daily, weekly
				  or monthly. The cleaning schedules and procedures shall be
				  implemented.
(c) Cleaning supplies
				  and equipment shall be available to housekeeping staff. Such cleaning supplies
				  and equipment shall meet the following requirements:
(1) Cleaning supplies and equipment shall be
				  stored in rooms for housekeeping use only.
(2) A commercial detergent germicide shall be
				  used for all cleaning.
(3) Mop
				  heads shall be removable and changed at least daily.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 3 - Skilled Nursing Facilities › Article 6 - Physical Plant › Section 72623 - Laundry

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) When a facility
				  operates its own laundry, such laundry shall be:
(1) Located in relationship to other areas so
				  that steam, odors, lint and objectionable noises do not reach patient or
				  personnel areas.
(2) Adequate in
				  size, well-lighted and ventilated to meet the needs of the facility.
(3) Laundry equipment shall be of a suitable
				  capacity, kept in good repair and maintained in a sanitary condition.
(4) The laundry space shall be maintained in
				  a clean and sanitary condition.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 3 - Skilled Nursing Facilities › Article 6 - Physical Plant › Section 72625 - Clean Linen

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
				  Clean linen shall be stored, handled and transported in a way that precludes
				  cross-contamination.
(b) Clean
				  linen shall be stored in clean, ventilated closets, rooms or alcoves, used only
				  for that purpose.
(c) Clean linen
				  not in covered storage shall be covered.
(d) Clean linen from a commercial laundry
				  shall be delivered to a designated clean area in a manner that prevents
				  contamination.
(e) Linens shall not
				  be threadbare and shall be maintained in good repair.
(f) A supply of linen shall be provided
				  sufficient for not less than three complete bed changes for the facility's
				  licensed capacity.
(g) A supply of
				  clean wash cloths and towels shall be provided and available to staff to meet
				  the care needs of the patients.
Note: Authority cited: Sections
						208(a)
						and
						1275,
						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 3 - Skilled Nursing Facilities › Article 6 - Physical Plant › Section 72627 - Soiled Linen

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
				  Soiled linen shall be handled, stored and processed in a manner that will
				  prevent the spread of infection.
(b) Soiled linen shall be sorted in a
				  separate room by methods affording protection from contamination.
(c) Soiled linen shall be stored and
				  transported in a closed container which does not permit airborne contamination
				  of corridors and areas occupied by patients and precludes cross contamination
				  of clean linen.
(d) When laundry
				  chutes are used to transport soiled linen, they shall be maintained in a clean,
				  sanitary state.
Note: Authority cited: Sections
						208(a)
						and
						1275,
						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 3 - Skilled Nursing Facilities › Article 6 - Physical Plant › Section 72629 - Provisions for Emptying Bedpans

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Bedpans shall be emptied and cleaned in utility rooms
					 unless toilets adjoining patients' rooms are equipped with flushing attachments
					 and vacuum breakers. Bathtubs, lavatories or laundry sinks shall not be used
					 for cleaning and emptying bedpans.
Note: Authority cited: Sections
						208(a)
						and
						1276,
						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 3 - Skilled Nursing Facilities › Article 6 - Physical Plant › Section 72631 - Signal Systems

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) A
				  nurses' signal system shall be maintained in operating order as required by
				  Section E702-30 of Title 24.
(b)
				  Detachable extension cords shall be readily accessible to patients at all
				  times.
Note: Authority cited: Sections
						208(a)
						and
						1275,
						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 3 - Skilled Nursing Facilities › Article 6 - Physical Plant › Section 72633 - Utility Rooms

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Utility rooms shall be maintained as required by Section
					 T17-408 of Title 24.
Note: Authority cited: Sections
						208(a)
						and
						1275,
						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 3 - Skilled Nursing Facilities › Article 6 - Physical Plant › Section 72635 - Handrails

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Corridors shall be equipped with firmly secured handrails
					 as required by Section T17-058(e), Title 24.
Note: Authority cited: Sections
						208(a)
						and
						1275,
						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 3 - Skilled Nursing Facilities › Article 6 - Physical Plant › Section 72637 - General Maintenance

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
				  The facility, including the grounds, shall be maintained in a clean and
				  sanitary condition and in good repair at all times to ensure safety and
				  well-being of patients, staff and visitors.
(b) Buildings and grounds shall be free of
				  environmental pollutants and such nuisances as may adversely affect the health
				  or welfare of patients to the extent that such conditions are within the
				  reasonable control of the facility.
(c) All buildings, fixtures, equipment and
				  spaces shall be maintained in operable condition.
(d) Personnel shall be employed to provide
				  preventive maintenance and to carry out the required maintenance
				  program.
(e) Equipment provided
				  shall meet all applicable California Occupational Safety and Health Act
				  requirements in effect at the time of purchase. All portable electrical medical
				  equipment designed for 110-120 volts, 60 hertz current, shall be equipped with
				  a three wire grounded power cord with a hospital grade three prong plug. The
				  cord shall be an integral part of the plug.
(f) The facility shall be maintained free
				  from vermin and rodents through operation of a pest control program. The pest
				  control program shall be conducted in the main patient buildings, all
				  outbuildings on the property and all grounds.
Note: Authority cited: Sections
						208(a)
						and
						1275,
						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 3 - Skilled Nursing Facilities › Article 6 - Physical Plant › Section 72639 - Air Filters

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The
				  licensee shall be responsible for regular inspection, cleaning or replacement
				  of all filters installed in heating, air conditioning and ventilating systems,
				  as necessary to maintain the systems in normal operating condition.
(b) A written record of inspection, cleaning
				  or replacement, including static pressure drop, shall be maintained and
				  available for inspection. The record shall include a description of the filters
				  originally installed, the efficiency rating according to "Standard 52.2-2017 --
				  Method of Testing General Ventilation Air-Cleaning Devices for Removal
				  Efficiency by Particle Size" (2017) by the American Society of Heating,
				  Refrigerating and Air-Conditioning Engineers (ASHRAE), hereby incorporated by
				  reference, and the criteria established by the manufacturer or supplier to
				  determine when replacement or cleaning is necessary.
(c) Following filter replacement or cleaning,
				  the installation shall be visually inspected for torn media and by-pass in
				  filter frames by means of a flashlight or equivalent, both with fans in
				  operation and stopped. Tears in filter media and by-pass in filter frames shall
				  be eliminated in accordance with the manufacturer's directions and as required
				  by the Department.
(d) Where a
				  filter maintenance is performed by an equipment service company, a
				  certification shall be provided to the licensee that the requirements listed in
				  this section have been accommodated.
1. Amendment
					 of subsection (b) filed 5-30-2023; operative 5-30-2023. Submitted to OAL for
					 filing and printing only pursuant to Health and Safety Code section
					 1275(g)
					 (Register 2023, No. 22).
Note: Authority cited: Sections
						208(a)
						and
						1275,
						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 3 - Skilled Nursing Facilities › Article 6 - Physical Plant › Section 72641 - Emergency Lighting and Power System

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Auxiliary lighting and power facilities
				  shall be provided as required by Sections E702-5, E702-6, E702-8 and E702-21 of
				  Title 24, California Administrative Code. Flashlights shall be in readiness for
				  use at all times. Open-flame type of light shall not be used.
(b) The licensee shall provide and maintain
				  an emergency electrical system in safe operating condition and in compliance
				  with subsections (d), (e), and (f). The system shall serve all lighting,
				  signals, alarms and equipment required to permit continued operation of all
				  necessary functions of the facility for a minimum of six hours.
(c) If the Department determines that an
				  evaluation of the emergency electrical system of a facility or portion thereof,
				  is necessary, the Department may require the licensee to submit a report by a
				  registered electrical engineer which shall establish a basis for alteration of
				  the system to provide reasonable compliance with Subarticle E702-B, Part 3,
				  Title 24, California Administrative Code (Emergency Electrical Systems for
				  Existing Nursing Homes). Essential engineering data, including load
				  calculations, assumptions and tests, and where necessary, plans and
				  specifications, acceptable to the Department, shall be submitted in
				  substantiation of the report. When corrective action is determined to be
				  necessary, the work shall be initiated and completed within an acceptable time
				  limit.
(d) The emergency lighting
				  and power system shall be maintained in operating condition to provide
				  automatic restoration of power for emergency circuits within ten seconds after
				  normal power failure.
(e) Emergency
				  generators shall be tested as follows:
(1)
				  Non-diesel generators shall be tested at least every 14 days under full load
				  condition for a minimum of 30 minutes.
(2) Diesel backup generators in skilled
				  nursing facilities shall be tested as required by Health and Safety Code,
				  section
				  41514.1.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 3 - Skilled Nursing Facilities › Article 6 - Physical Plant › Section 72643 - Storage and Disposal of Solid Wastes

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Solid wastes shall be stored and
				  eliminated in a manner to preclude the transmission of communicable disease.
				  These wastes shall not be a nuisance or a breeding place for insects or rodents
				  nor be a food source for either.
(b) Solid waste containers shall be stored
				  and located in a manner that will minimize odors in patient or dietary
				  areas.
(c) Syringes and needles,
				  before being discarded into waste containers, shall be rendered
				  unusable.
Note: Authority cited: Sections
						208(a)
						and
						1275,
						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 3 - Skilled Nursing Facilities › Article 6 - Physical Plant › Section 72645 - Solid Waste Containers

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
				  All containers, except movable bins used for storage of solid wastes, shall
				  have tight-fitting covers in good repair, external handles and be leakproof and
				  rodent proof.
(b) Movable bins when
				  used for storing or transporting solid wastes from the premises shall have
				  approval of the local health department and shall meet the following
				  requirements:
(1) Have tight-fitting covers,
				  closed when not being loaded.
(2)
				  Be in good repair.
(3) Be
				  leakproof.
(4) Be rodent proof
				  unless stored in a room or screened enclosure.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 3 - Skilled Nursing Facilities › Article 6 - Physical Plant › Section 72647 - Infectious Waste

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Infectious waste, as defined in Health and Safety Code
					 Section
					 25117.5,
					 shall be handled and disposed of in accordance with the Hazardous Waste Control
					 Law, Chapter 6.5, Division 20, Health and Safety Code (beginning with Section
					 25100) and the regulations adopted
					 thereunder (beginning with Section
					 66100 of this
					 Title).
1. Repealer
					 and new section filed 12-30-83 as an emergency; effective upon filing (Register
					 84, No. 3). A Certificate of Compliance must be transmitted to OAL within 120
					 days or emergency language will be repealed on 4-29-84.
2.
					 Certificate of Compliance transmitted to OAL 4-30-84 and withdrawn 5-30-84
					 (Register 84, No. 24).
3. Repealer and new section filed 5-30-84 as
					 an emergency; effective upon filing (Register 84, No. 24). A Certificate of
					 Compliance must be transmitted to OAL within 120 days or emergency language
					 will be repealed on 9-27-84.
4. Certificate of Compliance
					 transmitted to OAL 9-26-84 and filed 10-16-84 (Register 84, No.
					 42).
Note: Authority cited: Sections
						208,
						1254,
						25150
						and
						25157.3,
						Health and Safety Code. Reference: Sections
						1250,
						25117
						and
						25117.5,
						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 3 - Skilled Nursing Facilities › Article 6 - Physical Plant › Section 72649 - Gases for Medical Use

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
				  Gases for medical use covered by this section are: carbon dioxide,
				  cyclopropane, ethylene, helium, nitrous oxide, oxygen, helium-oxygen mixtures
				  and carbon dioxide-oxygen mixtures.
(b) Provision shall be made for safe handling
				  and storage of medical gas cylinders.
(c) Transfer of gas by facility personnel
				  from one cylinder to another shall not be permitted.
(d) The piped oxygen or nitrous oxide
				  system(s) shall be tested in accordance with the "NFPA 99: Health Care
				  Facilities Code" (2012) by the National Fire Protection Association, hereby
				  incorporated by reference, and a written report shall be maintained in each of
				  the following instances:
(1) Upon completion
				  of initial installation.
(2)
				  Whenever changes are made to a system.
(3) Whenever the integrity of a system has
				  been breached.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 3 - Skilled Nursing Facilities › Article 6 - Physical Plant › Section 72651 - Water Supply and Plumbing

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
				  Where water for human consumption is from an independent source, it shall be
				  subjected to bacteriological analysis by the local health department or a
				  licensed commercial laboratory at least every three months. A copy of the most
				  recent laboratory report shall be available for inspection.
(b) Plumbing and drainage facilities shall be
				  maintained in compliance with Part 5, Title 24, California Administrative Code,
				  Basic Plumbing Requirements. Drinking water supplies shall comply with Group 4,
				  Subchapter 1, Chapter 5, Division T17, Part 6, of Title 24, California
				  Administrative Code.
(c) Vacuum
				  breakers shall be maintained in operating condition where required by Section
				  T17-210(c), Division T17, Part 6, Title 24, California Administrative
				  Code.
(d) Hot water temperature
				  controls shall be maintained to automatically regulate temperature of hot water
				  delivered to plumbing fixtures used by patients to attain a hot water
				  temperature in compliance with Section T17-210(e), Title 24, California
				  Administrative Code.
(e) Minimum
				  hot water temperature shall be maintained at the final rinse section of
				  dishwashing facilities as required by Section T17-210(f), Division T17, Part 6,
				  Title 24, California Administrative Code unless alternate methods are approved
				  by the Department.
(f) Taps
				  delivering water at or above the stated temperatures shall be in compliance
				  with requirements specified in Section T17-214(e), Division T17, Part 6, Title
				  24, California Administrative Code. Special precautions shall be taken to
				  prevent the scalding of patients.
(g) Grab bars, readily accessible to
				  patients, shall be maintained at each toilet, bathtub and shower used by
				  patients.
(h) Toilet, handwashing
				  and bathing facilities shall be maintained in operating condition and in the
				  number and types specified in construction requirements in effect at the time
				  the building or unit was constructed. Those handwashing facilities listed in
				  Section T17-208, Division T17, Part 6, of Title 24, California Administrative
				  Code, shall not be equipped with aerators.
(i) If the facility accepts physically
				  handicapped patients, the water closets, bathing and toileting appliances shall
				  be equipped for use by the physically handicapped.
Note: Authority cited: Sections
						208(a)
						and
						1275,
						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 3 - Skilled Nursing Facilities › Article 6 - Physical Plant › Section 72653 - Lighting

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) All rooms,
				  attics, basements, passageways, and other spaces shall be provided with
				  artificial illumination. As set forth in Parts 2 and 3 and Sections E702-e and
				  E702-4, Part 3, Title 24, California Administrative Code.
(b) All patient rooms shall have a minimum of
				  30 foot candles of light delivered to reading or working surfaces and not less
				  than 20 foot candles of light in the rest of the room.
(c) All accessible areas of corridors,
				  storerooms, stairways, ramps, exits and entrances shall have a minimum of 20
				  foot candles of light.
Note: Authority cited: Sections
						208(a)
						and
						1275,
						Health and Safety Code. Reference: Section
						1276,
						Health and Safety Code.