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 4 - Intermediate Care Facilities › Article 3 - Services › Section 73449 - Social Work Service Unit

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
				  Social work services are those services that assist staff, patients, and
				  patients' families to understand and cope with the patient's personal,
				  emotional, and related health and environmental problems.
(b) An unlicensed social worker shall only
				  provide those social work services for which no license is required under
				  Business and Professions Code section
				  4996.
(c) A social work service unit shall meet the
				  following requirements:
(1) Within five days
				  after admission, each patient shall be interviewed and a social work assessment
				  completed. When indicated, a social work treatment plan reviewed and approved
				  by the social worker shall be carried out, as appropriate, by the social
				  worker, social work assistant, or social work aide.
(2) The social worker, social work assistant,
				  or social work aide shall develop a plan, including goals and treatment, for
				  social work services for each patient who needs them, with participation of the
				  patient, the family, the patient's licensed healthcare practitioner acting
				  within the scope of his or her professional licensure, the supervisor of health
				  services, and other appropriate staff.
(3) Signed and dated progress reports shall
				  be written at least monthly in the health record of each patient receiving
				  social services, by the social worker, social work assistant, or social work
				  aide.
(4) The social worker, social
				  work assistant, or social work aide shall participate in regular staff
				  conferences with the attending licensed healthcare practitioner acting within
				  the scope of his or her professional licensure, the director of nursing
				  service, and other appropriate personnel.
(5) There shall be discharge planning and
				  implementation through liaison with local health and welfare agencies, other
				  community personnel, and the patient's family or authorized
				  representative.
(6) Orientation and
				  in-service training of other staff members on all shifts shall be conducted at
				  least monthly by the social worker in charge of the social work service, to
				  assist in the recognition and understanding of the emotional problems and
				  social needs of patients and families, and to learn how to implement
				  appropriate action to meet such identified needs. Orientation and training
				  shall include informing the staff about available community resources and
				  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 4 - Intermediate Care Facilities › Article 3 - Services › Section 73451 - Social Work Service Unit-Policies and Procedures

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) There shall be written patient care
				  policies, procedures and job descriptions developed and maintained governing
				  the provision of social service within the intermediate care facility,
				  including all of the requirements of Section
				  73449, and the relating of these
				  services to other patient care services. Such policies, procedures and job
				  descriptions shall be developed whether provided by (1) an organized social
				  service within the intermediate care facility or (2) a social worker employed
				  on a part-time basis or (3) consultant services from a community
				  agency.
(b) The policies,
				  procedures and job description shall be developed by the social worker in
				  consultation with the Patient Care Policy Committee.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 4 - Intermediate Care Facilities › Article 3 - Services › Section 73453 - Social Work Service Unit-Staff

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) There shall be a social work staff
				  employed a sufficient number of hours in the facility to meet the social work
				  needs of the patient.
(b) The
				  social work service unit shall be organized, directed and supervised by the
				  social worker, who has responsibility for supervision of other social work
				  staff, including social work assistants and social work aides.
(c) Social work service staff may include the
				  social work assistant and/or the social work aide. Assigned functions and tasks
				  shall be supervised by the social worker. Under conditions specified in the
				  written patient care policies, procedures and job descriptions, the social work
				  aide may be under the supervision of the social work assistant.
(d) Adequate clerical support services shall
				  be provided for social work staff, including those employed on a contractual
				  basis.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 4 - Intermediate Care Facilities › Article 3 - Services › Section 73455 - Social Work Service Unit-Equipment and Supplies

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Office equipment and supplies necessary
				  for the social work service unit shall be available. These include, but are not
				  limited to:
(1) Appropriate professional
				  literature and references on subjects including psychosocial problems and needs
				  of the patient population in the facility.
(2) Directories, listing and other reference
				  materials on available community resources.
(3) Necessary clerical equipment and
				  supplies.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 4 - Intermediate Care Facilities › Article 3 - Services › Section 73457 - Social Work Service Unit-Space

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Adequate office or other accessible space for privacy in
					 interviewing, telephoning and conferences shall be provided.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 4 - Intermediate Care Facilities › Article 3 - Services › Section 73459 - Physical Therapy Service Unit

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
				  Physical therapy services are those services ordered by a physician or upon a
				  physician's referral and provided to a patient by or under the supervision of a
				  physical therapist to achieve and maintain the highest level of functional
				  ability.
(b) Physical therapy
				  services, include but are not limited to, the following:
(1) Assisting the physician in an evaluation
				  of the patient's rehabilitation potential.
(2) Applying muscle, nerve, joint and
				  functional ability tests.
(3)
				  Treating patients to relieve pain, develop or restore function.
(4) Assisting patients to achieve and
				  maintain maximum performance using physical means such as exercise, massage,
				  heat, sound, water, light and electricity.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 4 - Intermediate Care Facilities › Article 3 - Services › Section 73461 - Physical Therapy Service Unit-Policies and Procedures

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
There shall be written policies and procedures governing
					 the physical therapy service unit, including all of the requirements of Section
					 73459 and the relating of these
					 services to other patient care services. The patient care policy committee
					 shall be responsible for the development and implementation of physical therapy
					 policies, procedures and job descriptions, with the assistance of the physical
					 therapist.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 4 - Intermediate Care Facilities › Article 3 - Services › Section 73463 - Physical Therapy Service Unit-Staff

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The physical therapy service unit shall
				  be under the direction of a physical therapist.
(b) A physical therapist assistant shall
				  treat patients only under the supervision of a physical therapist in accordance
				  with the Physical Therapy Practice Act, Article 4.5 (beginning with Section
				  2655) of the Business and
				  Professions Code.
(c) A physical
				  therapy aide shall work only under the direct supervision of a physical
				  therapist.
(d) The physical
				  therapist, physical therapist assistant and physical therapy aide shall work
				  the hours necessary to accomplish those tasks listed in Section
				  73459.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 4 - Intermediate Care Facilities › Article 3 - Services › Section 73465 - Physical Therapy Service Unit-Equipment

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Physical therapy equipment shall be
				  sufficient to provide an adequate physical therapy service. This shall include,
				  but not be limited to:
(1) Parallel
				  bars
(2) Full view mirror
(3) Overhead pulley and weights
(4) Set of training stairs
(5) Treatment table enclosed by cubicle
				  curtains for privacy
(6)
				  Availability of wheelchairs, walkers, canes, crutches and other ambulation
				  aids.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 4 - Intermediate Care Facilities › Article 3 - Services › Section 73467 - Physical Therapy Service Unit-Space

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Adequate space shall be maintained for
				  the necessary equipment needed to provide physical therapy service. The minimum
				  floor area for physical therapy service shall be 28 square meters (300 square
				  feet), no dimension of which shall be less than 3.7 meters (12 feet).
(b) A sink shall be provided in the treatment
				  area and shall have controls other than hand controls.
(c) The toilet facilities shall be located
				  nearby and equipped with grab bars on both sides of the commode and the space
				  shall be of sufficient size to allow for patient transfer activities.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 4 - Intermediate Care Facilities › Article 3 - Services › Section 73469 - Occupational Therapy Service Unit

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Occupational therapy is a service ordered
				  by the licensed healthcare practitioner acting within the scope of his or her
				  professional licensure, in which selected purposeful activity is used as
				  treatment in the rehabilitation of persons with a physical or emotional
				  disability.
(b) Occupational
				  therapy service includes:
(1) Assisting the
				  licensed healthcare practitioner acting within the scope of his or her
				  professional licensure in his or her evaluation of a patient's level of
				  function by applying diagnostic and prognostic tests.
(2) Reevaluating the patient as his condition
				  changes and modifying treatment goals consistent with these changes.
(3) Decreasing or eliminating disability
				  during a patient's initial phase of recovery following injury or
				  illness.
(4) Increasing or
				  maintaining a patient's capability for independence.
(5) Enhancing a patient's physical, emotional
				  and social well-being.
(6)
				  Developing function to a maximum level so that early testing can be applied for
				  future job training and employment.
(7) Guiding patients in their use of
				  therapeutic, creative and self-care activities for improving
				  function.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 4 - Intermediate Care Facilities › Article 3 - Services › Section 73471 - Occupational Therapy Service Unit-Policies and Procedures

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
There shall be written policies and procedures governing
					 the occupational therapy service unit, including all of the requirements of
					 Section 73469 and the relating of these
					 services to other patient care services. The patient care policy committee
					 shall be responsible for the development and implementation of occupational
					 therapy policies, procedures, and job descriptions, with the assistance of the
					 occupational therapist.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 4 - Intermediate Care Facilities › Article 3 - Services › Section 73473 - Occupational Therapy Service Unit-Staff

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The occupational therapy service unit
				  shall be under the direction of an occupational therapist.
(b) An occupational therapy assistant shall
				  work only under direct supervision of an occupational therapist.
(c) The occupational therapist and
				  occupational therapy assistant shall work the hours necessary to accomplish
				  those tasks listed in Section
				  73469.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 4 - Intermediate Care Facilities › Article 3 - Services › Section 73475 - Occupational Therapy Service Unit-Equipment

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Equipment necessary to enable patients to
				  increase their functional capacity or capability shall be provided. This shall
				  include, but not be limited to:
(1)
				  Supportive slings, supportive and/or assistive hand splints and the materials
				  from which to fabricate these and other assistive devices.
(2) Adapted devices to aid in the performance
				  of daily living skills such as eating, dressing, grooming, writing, with
				  instruction for their use.
(3)
				  Equipment and supplies for creative skills to include but not be limited to
				  leatherwork, weaving, needlework, ceramics, woodworking, painting and graphic
				  arts.
(4) Means and supplies for
				  adapting equipment for reeducation in activities of daily
				  living.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 4 - Intermediate Care Facilities › Article 3 - Services › Section 73477 - Occupational Therapy Service Unit-Space

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Adequate space shall be provided for the necessary
					 equipment needed to provide occupational therapy. The minimum floor area shall
					 be 28 square meters (300 square feet), no dimension of which shall be less than
					 3.7 meters (12 feet).
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 4 - Intermediate Care Facilities › Article 3 - Services › Section 73479 - Speech Pathology and/or Audiology Service Unit

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Speech pathology and/or audiology
				  services are services referred by a licensed healthcare practitioner acting
				  within the scope of his or her professional licensure or certification for the
				  provision of diagnostic screening, preventive and corrective therapy for
				  individuals with speech, hearing and/or language disorders.
(b) Speech pathology and/or audiology
				  services include:
(1) Evaluation of patients
				  to determine the type of speech, language and/or hearing disorder.
(2) Determination and recommendation of the
				  appropriate speech, language and hearing therapy.
(3) Instruction of other health team
				  personnel and family members in methods of assisting the patient to improve
				  and/or correct speech or hearing disorders.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 4 - Intermediate Care Facilities › Article 3 - Services › Section 73481 - Speech Pathology and/or Audiology Service Unit-Policies and Procedures

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
There shall be written policies and procedures governing
					 the speech pathology and audiology service unit, including all of the
					 requirements of Section
					 73479, and the relating of these
					 services to other patient care services. The patient care policy committee
					 shall be responsible for the development and implementation of policies,
					 procedures and job descriptions in conjunction with the speech pathologist
					 and/or audiologist.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 4 - Intermediate Care Facilities › Article 3 - Services › Section 73483 - Speech Pathology and/or Audiology Service Unit - Staff

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) There shall be a speech pathologist
				  and/or audiologist employed a sufficient number of hours to accomplish those
				  tasks listed in Section
				  73479.
(b) There may be at least one speech
				  pathology and/or audiology aide to assist in the testing and implementation of
				  the service. The aides shall be registered as speech pathology and/or audiology
				  aides with the Speech-Language Pathology and Audiology and Hearing Aid
				  Dispensers Board and shall work only under the supervision of a speech
				  pathologist and/or audiologist.
1. Change
					 without regulatory effect amending section heading and subsection (b) and
					 adding new NOTE filed 3-12-2013 pursuant to section
					 100, title 1, California Code of
					 Regulations (Register 2013, No. 11).
Note: Authority cited: Sections
						1275
						and
						131200,
						Health and Safety Code. Reference: Sections
						1276,
						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 4 - Intermediate Care Facilities › Article 3 - Services › Section 73485 - Speech Pathology and/or Audiology Service Unit-Equipment

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) There shall be sufficient equipment,
				  tests, materials and supplies to implement the treatment and program required
				  by each patient seen by the speech pathologist and/or audiologist.
(b) The following equipment shall be
				  provided:
(1) An appropriate diagnostic
				  clinical audiometer.
(2) Diagnostic
				  tests and materials.
(3) Other
				  equipment and materials deemed necessary by the speech pathologist and/or
				  audiologist to meet the needs of patients being seen.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 4 - Intermediate Care Facilities › Article 3 - Services › Section 73487 - Speech Pathology and/or Audiology Service Unit-Space

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Space shall be adequately free of ambient noise to produce
					 valid test results.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 4 - Intermediate Care Facilities › Article 3 - Services › Section 73489 - Rehabilitation Service Unit

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
				  Rehabilitation service is a service ordered by a licensed healthcare
				  practitioner acting within the scope of his or her professional licensure for
				  the purpose of maximum reduction of physical and/or psychological disability
				  and restoration of the patient to the highest possible functional
				  level.
(b) A rehabilitation service
				  unit shall include all of the following services:
(1) Physical Therapy.
(2) Occupational Therapy.
(3) Speech Pathology and/or
				  Audiology.
(4) Social Work
				  Services.
(5) Rehabilitation
				  Nursing 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 4 - Intermediate Care Facilities › Article 3 - Services › Section 73491 - Rehabilitation Service Unit-Policies and Procedures

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
There shall be written policies and procedures governing
					 the rehabilitation service unit, including all of the requirements of Section
					 73489 and the relating of these
					 services to other patient care services. The patient care policy committee
					 shall be responsible for the development and implementation of the
					 rehabilitation service policies, procedures and job descriptions with the
					 assistance of the director of the rehabilitation services unit, the registered
					 nurse, the physical therapist, the occupational therapist, the speech
					 pathologist and/or audiologist and the social worker.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 4 - Intermediate Care Facilities › Article 3 - Services › Section 73493 - Rehabilitation Service Unit-Staff

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The director of the rehabilitation
				  service unit shall be a physician, physical therapist or occupational therapist
				  who has at least three years of active practice in rehabilitation.
(b) Physical therapy shall meet all the
				  standards set forth in Section
				  73463.
(c) Occupational therapy shall meet all the
				  standards set forth in Section
				  73473.
(d) Speech pathology and audiology shall meet
				  all the standards set forth in Section
				  73483.
(e) Social work services shall meet all the
				  standards set forth in Section
				  73453.
(f) Rehabilitation nursing shall include at
				  least a full-time (40 hours per week) registered nurse, in addition to the
				  director of nursing service of the facility, who has had two years of
				  rehabilitative nursing practice or has completed a recognized program in
				  rehabilitative nursing within the past five years.
(g) Additional personnel shall be employed to
				  carry out the functions of the rehabilitation service.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 4 - Intermediate Care Facilities › Article 3 - Services › Section 73495 - Rehabilitation Service Unit-Equipment

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Equipment of the quality and in the quantity necessary for
					 care of patients as ordered or indicated shall be provided to include but not
					 limited to that which meets the standards set forth in Section
					 73455, Section
					 73465, Section
					 73475 and Section
					 73485.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 4 - Intermediate Care Facilities › Article 3 - Services › Section 73497 - Rehabilitation Service Unit-Space

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) There shall be sufficient space to meet
				  all standards set forth in Section
				  73467, Section
				  73477, Section
				  73487 and Section
				  73457.
(b) There shall be toilet facilities equipped
				  with grab bars and of sufficient size to accommodate wheelchair
				  patients.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 4 - Intermediate Care Facilities › Article 4 - Administration › Section 73501 - Licensee-General Duties

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The
				  licensee shall be responsible for compliance with licensing requirements and
				  for the organization, management, operation and control of the licensed
				  facility.
(b) The licensee, if a
				  licensed administrator, may act as the administrator or shall appoint a
				  licensed administrator to carry out the policies of the licensee. A responsible
				  adult shall be appointed, in writing, to carry out the policies of the licensee
				  in the absence of the administrator. If the licensed administrator is to be
				  absent for more than 30 consecutive days, the licensee shall appoint another
				  licensed administrator to carry out the day-to-day functions of the
				  intermediate care facility.
(c) The
				  licensee shall delegate to the designated licensed administrator in writing
				  authority to organize and carry out the day-to-day functions of the
				  intermediate care facility through appropriate delegation of duties.
(d) Except where provided for in approved
				  continuing care agreements, no intermediate care facility, owner,
				  administrator, employee or representative thereof shall act as guardian, or
				  conservator of the patient or the estate or both of such intermediate care
				  facility.
(e) The licensee shall
				  employ an adequate number of qualified personnel to carry out all the functions
				  of the facility and shall provide for initial orientation of all new employees,
				  a continuing in-service training program and competent supervision.
(f) If language or communication barriers
				  exist between intermediate care facility staff and a significant number of
				  patients, arrangements shall be made for interpreters or for the use of other
				  mechanisms to insure adequate communication between patients and
				  personnel.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 4 - Intermediate Care Facilities › Article 4 - Administration › Section 73502 - Consumer Information to be Posted

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The following consumer information shall
				  be conspicuously posted in a prominent location accessible to public view:
(1) Name, license number and date of
				  employment of the current facility's administrator.
(2) A listing of all services and special
				  programs provided in the facility and those provided through written
				  contracts.
(3) A notice that the
				  facility's written admission and discharge policies are available upon
				  request.
(4) Most recent licensing
				  visit report supported by the related follow-up plan of correction visit
				  reports.
(5) The names and
				  addresses of all previous owners.
(6) A listing of all other skilled nursing
				  and intermediate care facilities owned by the same person, firm, partnership,
				  association, corporation or parent or subsidiary corporation, or a subsidiary
				  of the parent corporation.
(7) Any
				  revocation and/or suspension actions instituted against the facility during the
				  current or prior licensing period.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 4 - Intermediate Care Facilities › Article 4 - Administration › Section 73503 - Transfer Agreements

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
The licensee shall maintain, where appropriate, written
					 transfer agreements with other nearby health facilities to make the services of
					 the other facilities more readily accessible and to facilitate the easy
					 transfer of patients and essential patient information along with the
					 patient.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 4 - Intermediate Care Facilities › Article 4 - Administration › Section 73504 - Bed Hold

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) If a
				  patient of an intermediate care facility is transferred to a general acute care
				  hospital as defined in Section
				  1250(a)
				  of the Health and Safety Code, the intermediate care facility shall afford the
				  patient a bed hold of seven (7) days, which may be exercised by the patient or
				  the patient's representative.
(1) Upon
				  transfer to a general acute care hospital, the patient or the patient's
				  representative shall notify the intermediate care facility within twenty-four
				  (24) hours after being informed of the right to have the bed held, if the
				  patient desires the bed hold.
(2)
				  Except as provided in Section
				  51535.1, Title 22, California
				  Administrative Code, any patient who exercises the bed hold option shall be
				  liable to pay reasonable charges, not to exceed the patient's daily rate for
				  care in the facility, for bed hold days.
(3) If the patient's attending physician
				  notifies the intermediate care facility in writing that the patient's stay in
				  the general acute care hospital is expected to exceed seven (7) days, the
				  intermediate care facility shall not be required to maintain the bed
				  hold.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 4 - Intermediate Care Facilities › Article 4 - Administration › Section 73505 - Affiliations

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Copies of affiliation agreements, contract or written
					 arrangements for advice, consultation, services, training or transportation,
					 with other facilities, organizations or individuals, public or private
					 agencies, shall be on file in the facility's administrative office. These shall
					 be readily available for inspection and review by the Department. The agreement
					 and/or contracts shall include, but not be limited to, the description of the
					 services to be provided, the financial arrangements, the methods by which the
					 services are to be provided to the particular patient, the conditions upon
					 which the agreement or contract can be terminated.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 4 - Intermediate Care Facilities › Article 4 - Administration › Section 73507 - Fire Safety

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
The licensee shall conform to the regulations adopted by
					 the State Fire Marshal establishing minimum standards for the prevention of
					 fire and for the protection of life and property against fire and panic. A copy
					 of the State Fire Marshal's current fire clearance shall be on the
					 premises.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 4 - Intermediate Care Facilities › Article 4 - Administration › Section 73509 - Smoking

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Patients shall
				  not be permitted to smoke in bed except under observation.
(b) Patients shall be permitted to smoke only
				  in areas so designated. Such areas shall be under periodic observation when
				  patients are smoking.
(c) Smoking
				  or open flame is prohibited in all rooms or spaces where oxygen is being
				  administered or stored.
(d) No
				  smoking signs shall be prominently posted in any room where oxygen cylinders
				  are in use or stored.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 4 - Intermediate Care Facilities › Article 4 - Administration › Section 73511 - Administrator

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Each
				  intermediate care facility shall employ or otherwise provide a licensed
				  administrator to carry out the policies of the licensee. Such administrator
				  shall not be responsible for the administration and management of more than one
				  intermediate care facility unless other intermediate care facilities for which
				  he is responsible are operated by the same governing body, are in the same
				  vicinity and within reasonable travel time. If an administrator is responsible
				  for more than one facility, he shall not be responsible for more than three
				  facilities or more than 200 beds total and shall designate an individual in
				  each facility to be responsible for carrying out the policies of the
				  licensee.
(b) The administrator
				  shall have sufficient freedom from other responsibilities and shall be on the
				  premises of the intermediate care facility a sufficient number of hours to
				  permit adequate attention to the management and administration of the facility.
				  The Department may require that the administrator spend additional hours in the
				  facility whenever the Department determines through a written evaluation that
				  such additional hours are needed to provide adequate administrative
				  management.
(c) A copy of the
				  current intermediate care facility regulations contained in this chapter shall
				  be maintained by the administrator and shall be available to all
				  personnel.
(d) The administrator
				  shall be responsible for informing appropriate staff of applicable additions,
				  deletions and changes to intermediate care facility regulations.
(e) The administrator shall be responsible
				  for informing the Department, via telephone, immediately upon being notified of
				  the intent of the discontinuance or disruption of services or upon the threat
				  of a walkout of a substantial number of employees, or earthquake, fire, power
				  outage, or other calamity that causes damage to the facility or threatens the
				  safety or welfare of patients or clients.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 4 - Intermediate Care Facilities › Article 4 - Administration › Section 73513 - Advertising

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) No intermediate
				  care facility shall make or disseminate false or misleading statements or
				  advertise by any other manner or means, false claims regarding facilities or
				  services provided.
(b) No
				  intermediate care facility shall use the words "Approved by the California
				  Department of Health" or any other words conveying the same idea in any
				  advertising material.
(c) The name
				  or title "hospital" shall not be used by any intermediate care
				  facility.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 4 - Intermediate Care Facilities › Article 4 - Administration › Section 73515 - Inspection Reports

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
The latest report of inspection by state or local health
					 authorities shall be kept on file in the facility with notations made of the
					 action taken to comply with any recommendations.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 4 - Intermediate Care Facilities › Article 4 - Administration › Section 73517 - Admission of Patients

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The
				  licensee shall:
(1) Admit a patient only on
				  orders of a licensed healthcare practitioner acting within the scope of his or
				  her professional licensure.
(2)
				  Accept and retain only those patients for whom it can provide adequate
				  care.
(3) Admit each patient only
				  after a preadmission personal interview according to the written policies of
				  the facility, with the patient's licensed healthcare practitioner acting within
				  the scope of his or her professional licensure, referring health practitioner,
				  the patient, the patient's next of kin and/or sponsor, as appropriate. A
				  telephone interview may be substituted when a personal interview is not
				  feasible.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 4 - Intermediate Care Facilities › Article 4 - Administration › Section 73518 - Standard Admission Agreement

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The licensee shall use the California
				  Standard Admission Agreement for Skilled Nursing and Intermediate Care
				  Facilities, form number CDPH 327 (05/11), which is incorporated by reference
				  herein, as the sole contract of admission between residents and the
				  licensee.
(b) Except to enter
				  information specific to the facility or the resident in blank spaces provided
				  in the Standard Admission Agreement form or its attachments, the licensee shall
				  not alter the Standard Admission Agreement, unless directed to do so by the
				  Department. A licensee wishing to receive direction from the Department that
				  would enable the licensee to alter the Standard Admission Agreement shall
				  submit a request to the Department. The request shall:
(1) Include the identity of the
				  facility;
(2) Identify the specific
				  language in the Standard Admission Agreement that the facility is unable to
				  employ; and/or,
(3) Identify the
				  specific location and language that is to be deleted, amended or appended to
				  the form; and,
(4) Contain
				  substantiating evidence identifying the reason that the use of the Standard
				  Admission Agreement without the requested modification would not be possible
				  because of some unique aspect of the facility's operation or would make it
				  highly likely that the use of the language will create a new cause of action
				  against the facility related to its compliance with existing statutory or
				  regulatory requirements governing the care provided to nursing facility
				  residents. The Department shall respond within 60 days of the receipt of the
				  request.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 4 - Intermediate Care Facilities › Article 4 - Administration › Section 73519 - Administrative Policies and Procedures

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Written administrative policies shall be
				  reviewed and revised at least annually and shall include the following:
(1) Written management and personnel policies
				  to govern the administration of the intermediate care facility shall be
				  established and implemented. Job descriptions detailing the functions of each
				  classification of employee shall be written and available to all personnel.
				  Facility policies shall adhere to the requirements of Sections
				  1316
				  and
				  1316.5
				  of the Health and Safety Code.
(2)
				  All intermediate care facilities shall have written admission and discharge
				  policies which shall include rate of charge for care, charges for extra
				  services, limitation of services, cause for termination of services and refund
				  policies applying to termination of services. These policies shall be made
				  available to patients or their agents upon admission and upon request and shall
				  be made available to the public upon request.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 4 - Intermediate Care Facilities › Article 4 - Administration › Section 73521 - Patient Care Policy Committee

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Written patient care policies shall be established and
					 followed in the care of patients governing the following services: physician,
					 dental, nursing, dietetic, pharmaceutical and an activity program and such
					 diagnostic, social, psychological and therapy services as may be provided. Such
					 policies shall be developed by a committee whose membership shall consist of at
					 least one physician, the administrator, the supervisor of health services and
					 such other professional personnel as may be appropriate. These policies shall
					 be reviewed and revised by the committee at least annually and minutes of the
					 committee meetings shall be maintained on file indicating the names of members
					 present, the subject matter discussed and action taken.
1. Amendment
					 filed 2-8-83; designated effective 3-2-83 (Register 83, No.
					 7).
Note: Authority cited: Sections
						208(a)
						and
						1275,
						Health and Safety Code. Reference: Sections
						1276,
						1315
						and
						1316.5,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 4 - Intermediate Care Facilities › Article 4 - Administration › Section 73524 - Informed Consent Requirements

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
				  It is the responsibility of the attending licensed healthcare practitioner
				  acting within the scope of his or her professional licensure, to determine what
				  information a reasonable person in the patient's condition and circumstances
				  would consider material to a decision to accept or refuse a proposed treatment
				  or procedure. Information that is commonly appreciated need not be disclosed.
				  The disclosure of the material information and obtaining informed consent shall
				  be the responsibility of the licensed healthcare practitioner who, acting
				  within the scope of his or her professional licensure, performs or orders the
				  procedure or treatment for which informed consent is required.
(b) The information material to a decision
				  concerning the administration of a psychotherapeutic drug or physical
				  restraint, or the prolonged use of a device that may lead to the inability of
				  the patient to regain use of a normal bodily function shall include at least
				  the following:
(1) The reason for the
				  treatment and the nature and seriousness of the patient's illness.
(2) The nature of the procedures to be used
				  in the proposed treatment including their probable frequency and
				  duration.
(3) The probable degree
				  and duration (temporary or permanent) of improvement or remission, expected
				  with or without such treatment.
(4)
				  The nature, degree, duration and the probability of the side effects and
				  significant risks, commonly known by the health professions.
(5) The reasonable alternative treatments and
				  risks, and why the health professional is recommending this particular
				  treatment.
(6) That the patient has
				  the right to accept or refuse the proposed treatment, and if he or she
				  consents, has the right to revoke his or her consent for any reason at any
				  time.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 4 - Intermediate Care Facilities › Article 4 - Administration › Section 73525 - Employees' Health Examinations 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 by a physician prior to
				  employment or within seven days after employment and at least annually
				  thereafter. Each such examination shall include a medical history, physical
				  evaluation and laboratory work as indicated. The examination shall be in
				  sufficient detail to indicate that the employee is sufficiently free of disease
				  to perform his assigned duties and that he does not have any health condition
				  that would create a hazard for himself, fellow employees or patients. A report
				  shall be made of each examination, signed by the examining physician.
(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) or a chest
				  X-ray. A positive result from the tuberculosis test shall be followed by a
				  chest X-ray.
(c) The facility shall
				  maintain a health record for each employee, including reports of all
				  employment-related health examinations. Such records shall be kept a minimum of
				  three years following termination of employment.
1. Amendment
					 of subsection (b) and new 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,
						121362,
						131050,
						131051 and
						131052, Health and Safetty
						Code.