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 12 - Correctional Treatment Centers › Article 3 - Required Services › Section 79697 - Dietary Service Cleaning and Disinfection of Utensils

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) All utensils used for eating and drinking
				  and in the preparation and service of food and drink shall be cleaned and
				  disinfected or discarded after each usage.
(b) Gross food particles shall be removed by
				  careful scraping and rinsing in running water.
(c) Utensils not washed by mechanical means
				  shall be placed in hot water with a minimum temperature of 43°C
				  (110°F), washed using soap or detergent, rinsed in hot water to remove soap
				  or detergent and disinfected by one of the following methods or an equivalent,
				  as approved by the Department.
(1) Immersion
				  for at least two minutes in clean water at 77°C (170°F).
(2) Immersion for at least 30 seconds in
				  clean water at 83°C (180°F).
(3) Immersion in water containing a
				  bactericidal chemical as approved by the Department.
(4) After disinfection the utensils shall be
				  allowed to drain and dry in racks or baskets on nonabsorbent surfaces. Drying
				  cloths shall not be used.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 12 - Correctional Treatment Centers › Article 3 - Required Services › Section 79699 - Dietary Service Equipment, Space, and Supplies

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Equipment of the type and in the amount
				  necessary for the proper preparation, serving and storage of food and for
				  proper dish washing shall be provided and maintained in good working
				  order.
(b) All food shall be of
				  good quality. Food in unlabeled, rusty, leaking broken containers or cans with
				  side seam dents, rim dents or swells shall not be retained or used.
(c) Foods held in refrigerated or other
				  storage areas shall be covered. Liquids and foods which are prepared and not
				  served shall be tightly covered, clearly labeled and dated.
(d) Spoiled or contaminated food shall not be
				  served.
(e) The dietetic service
				  area shall be ventilated in a manner that will maintain comfortable working
				  conditions, remove objectionable odors and fumes and prevent excess
				  condensation.
(f) Persons other
				  than dietetic service personnel shall not be allowed in the kitchen areas
				  unless required to do so in the performance of their duties.
(g) Smoking shall not be permitted in kitchen
				  areas.
(h) An office or other
				  suitable space shall be provided for the dietitian or dietetic service
				  supervisor.
(i) Kitchen sinks shall
				  not be used for hand washing. Separate hand washing facilities with soap,
				  running water, individual towels and waste receptacles shall be
				  provided.
1. New
					 section filed 6-10-94; operative 1-1-96 pursuant to Health and Safety Code
					 section
					 1250
					 (Register 94, No. 23).
Note: Authority cited: Sections
						208(a)
						and
						1267.10(a),
						Health and Safety Code. Reference: Sections
						1250(j)
						and
						1254,
						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 12 - Correctional Treatment Centers › Article 3 - Required Services › Section 79701 - Dietary Service Staff

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) A
				  dietitian shall be employed on at least a part-time or consulting basis in all
				  correctional treatment centers. A part-time dietitian shall provide the number
				  of hours of service in each calendar month to meet the needs of the
				  inmate-patients. Services shall be of sufficient duration to ensure continuing
				  liaison with medical and nursing staffs, patient care counseling, approval of
				  menus and planning and conducting of in-service education programs.
(b) If a dietitian is not employed full time,
				  a full time person who is a graduate of a state approved course that provides
				  90 or more hours of classroom instruction in food supervision shall be employed
				  to be responsible for the operation of the food service. The dietetic
				  supervisor may also cook, provided sufficient time is allowed for managerial
				  responsibilities.
(c) Staff
				  (civilian and inmate workers) shall be employed, oriented, and their working
				  hours scheduled to provide for the nutritional needs of inmate-patients and to
				  maintain the dietetic service area.
(d) Dietetic service personnel shall be
				  trained in basic food sanitation techniques, shall be clean, wear clean
				  clothing, including cap or hair net, and shall be excluded from duty when
				  affected by skin infection or communicable diseases. Beards and mustaches which
				  are not closely cropped and neatly trimmed shall be covered.
1. New
					 section filed 6-10-94; operative 1-1-96 pursuant to Health and Safety Code
					 section
					 1250
					 (Register 94, No. 23).
Note: Authority cited: Sections
						208(a)
						and
						1267.10(a),
						Health and Safety Code. Reference: Sections
						1250(j)
						and
						1254,
						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 12 - Correctional Treatment Centers › Article 4 - Optional Services › Section 79703 - Optional Services

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) A
				  correctional treatment center may provide the following services:
(1) Laboratory.
(2) Radiology.
(3) Perinatal.
(4) Outpatient surgery.
(5) Mental health treatment
				  program.
(6) Standby Emergency
				  Medical Services.
(7) Any other
				  services requested in writing and approved by the state department in
				  writing.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 12 - Correctional Treatment Centers › Article 4 - Optional Services › Section 79705 - Optional Services-Laboratory Services

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Clinical laboratories shall be operated
				  in conformance with the California Business and Professions Code, Division 2,
				  Chapter 3 (Sections
				  1200 to
				  1322, inclusive) and the
				  California Code of Regulations, Title 17, Division 1, Chapter 2, Subchapter 1,
				  Group 2 (Sections
				  1030 to
				  1057, inclusive).
(b) The correctional treatment center shall
				  maintain clinical laboratory services and equipment for routine laboratory work
				  such as urinalysis, complete blood counts, and such tests necessary to meet the
				  needs of the correctional treatment center.
(c) The correctional treatment center shall
				  maintain or make provision for clinical laboratory services for performance of
				  tests in chemistry, microbiology, serology, hematology, pathology and blood
				  banking.
(d) Written policies and
				  procedures shall be developed and maintained by the physician responsible for
				  the service in consultation with other appropriate health professionals and
				  administration. Policies and procedures shall be approved by the patient care
				  policy committee, medical director, and the governing body. Policies and
				  procedures shall be reviewed annually.
(e) The responsibility and the accountability
				  of the clinical laboratory service to the medical director shall be
				  defined.
(f) The director of the
				  clinical laboratory shall assure that:
(1)
				  Examinations are performed accurately and in a timely fashion.
(2) Procedures are established governing the
				  provision of laboratory services for outpatients.
(3) Laboratory systems identify the patient,
				  test requested, date and time the specimen was obtained, the time the request
				  reached the laboratory, the time the laboratory completed the test and any
				  special handling which was required.
(4) Procedures are established to ensure the
				  satisfactory collection of specimens.
(5) A communications system to provide
				  efficient information exchange between the laboratory and related areas of the
				  correctional treatment center is established.
(6) A quality control system within the
				  laboratory designed to ensure medical reliability of laboratory data is
				  established. The results of control tests shall be readily available in the
				  correctional treatment center.
(7)
				  Reports of all laboratory examinations are made a part of the inmate-patient's
				  medical record as soon as is practical.
(8) No laboratory procedures are performed
				  except on the order of a person lawfully authorized to give such an
				  order.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 12 - Correctional Treatment Centers › Article 4 - Optional Services › Section 79707 - Laboratory Service Staff

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) A physician shall have overall
				  responsibility for the clinical laboratory service. The physician shall be
				  certified or eligible for certification in clinical pathology and/or pathologic
				  anatomy by the American Board of Pathology or the American Osteopathic Board of
				  Pathology. If such a pathologist is not available on a full-time, regular
				  part-time, or consulting basis, a physician or a licensed clinical laboratory
				  bioanalyst who is available on a full-time, regular part-time, or consulting
				  basis may administer the clinical laboratory provided a pathologist, qualified
				  as above, is available for consultation.
(b) There shall be sufficient staff with
				  adequate training and experience to meet the needs of the service being
				  offered.
1. New
					 section filed 6-10-94; operative 1-1-96 pursuant to Health and Safety Code
					 section
					 1250
					 (Register 94, No. 23).
Note: Authority cited: Sections
						208(a)
						and
						1267.10(a),
						Health and Safety Code. Reference: Sections
						1250(j)
						and
						1254,
						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 12 - Correctional Treatment Centers › Article 4 - Optional Services › Section 79709 - Laboratory Service-Equipment and Supplies

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) There shall be sufficient equipment and
				  supplies maintained to perform the laboratory services being offered.
(b) When the correctional treatment center
				  maintains blood storage facilities, such facilities shall be in conformance
				  with the provisions of Section
				  1002(g), Title
				  17, California Code of Regulations. Blood storage facilities shall be inspected
				  by the correctional treatment center at least daily for compliance with these
				  requirements.
1. New
					 section filed 6-10-94; operative 1-1-96 pursuant to Health and Safety Code
					 section
					 1250
					 (Register 94, No. 23).
Note: Authority cited: Sections
						208(a)
						and
						1267.10(a),
						Health and Safety Code. Reference: Sections
						1250(j)
						and
						1254,
						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 12 - Correctional Treatment Centers › Article 4 - Optional Services › Section 79711 - Optional Services-Radiology Services

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Radiology service means the use of X-ray, other ionizing
					 radiation, and/or magnetic resonance imaging, and/or ultrasound in the
					 detection, diagnosis, and treatment of human illnesses and injuries with
					 appropriate staff, space, equipment and supplies.
1. New
					 section filed 6-10-94; operative 1-1-96 pursuant to Health and Safety Code
					 section
					 1250
					 (Register 94, No. 23).
Note: Authority cited: Sections
						208(a)
						and
						1267.10(a),
						Health and Safety Code. Reference: Sections
						1250(j)
						and
						1254,
						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 12 - Correctional Treatment Centers › Article 4 - Optional Services › Section 79713 - Radiology Service General Requirements

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Written policies and procedures shall be
				  developed and maintained by the person responsible for the service in
				  consultation with other appropriate health professionals and administration.
				  Policies and procedures shall be approved by the governing body, the
				  administration and the medical director. Policies and procedures shall be
				  reviewed annually.
(b) The
				  responsibility and the accountability of the radiological service to the
				  medical staff and administration shall be defined.
(c) The use, storage and shielding of all
				  radiation machines and radioactive materials shall comply with the California
				  Radiation Control Regulations, Section
				  30100 et seq., Subchapter 4,
				  Chapter 5, Title 17, California Code of Regulations.
(d) All persons operating or supervising the
				  operation of X-ray machines shall comply with the requirements of the
				  Radiologic Technology Regulations, Section
				  30400 et seq., Subchapter 4.5,
				  Chapter 5, Title 17, California Code of Regulations.
(e) Diagnostic radiological services shall
				  only be performed on the order of a person lawfully authorized to give such an
				  order.
(f) The original reports of
				  radiological service examinations shall be filed in the inmate-patient's
				  medical record and a copy maintained in the radiology unit.
(g) X-ray films, or reproductions thereof,
				  shall be retained for seven years.
1. New
					 section filed 6-10-94; operative 1-1-96 pursuant to Health and Safety Code
					 section
					 1250
					 (Register 94, No. 23).
Note: Authority cited: Sections
						208(a)
						and
						1267.10(a),
						Health and Safety Code. Reference: Sections
						1250(j)
						and
						1254,
						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 12 - Correctional Treatment Centers › Article 4 - Optional Services › Section 79715 - Radiology Service Staff

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) A physician shall have overall
				  responsibility for the radiological service. This physician shall be certified
				  or eligible for certification by the American Board of Radiology or the
				  American Osteopathic Board of Radiology. If such a radiologist is not available
				  on a full-time or regular part-time basis, a physician, with training and
				  experience in radiology, may administer the service. In this circumstance, a
				  radiologist, qualified as above, shall provide consultation services.
(b) Sufficient certified radiologic
				  technologists shall be employed to meet the needs of the service being
				  offered.
(c) Radiological services
				  shall be available to the correctional treatment center at all times for the
				  provision of services on all shifts and for emergencies. Such services may be
				  provided on the correctional treatment center or through a contractual
				  arrangement.
1. New
					 section filed 6-10-94; operative 1-1-96 pursuant to Health and Safety Code
					 section
					 1250
					 (Register 94, No. 23).
Note: Authority cited: Sections
						208(a)
						and
						1267.10(a),
						Health and Safety Code. Reference: Sections
						1250(j)
						and
						1254,
						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 12 - Correctional Treatment Centers › Article 4 - Optional Services › Section 79717 - Radiology Service Equipment and Supplies

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) There shall be equipment and supplies
				  maintained or available to perform the radiological services that are offered
				  in the correctional treatment center. As a minimum, the following equipment
				  shall be available:
(1) At least one
				  radiographic unit. If fluoroscopic services are provided, fluoroscopes shall be
				  equipped with image intensifiers.
(2) Film processing
				  equipment.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 12 - Correctional Treatment Centers › Article 4 - Optional Services › Section 79719 - Radiology Service Space

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) There shall be sufficient space
				  maintained to provide radiological services. This shall include but not be
				  limited to the following:
(1) A separate
				  X-ray room large enough to accommodate the necessary radiographic equipment and
				  to allow easy maneuverability of stretchers and wheelchairs.
(2) Toilet facilities located in the
				  radiology service space or in the immediate vicinity.
(3) Dressing rooms for patients if not
				  otherwise provided by toilet facilities.
(4) Film processing area.
(5) Sufficient storage space for all the
				  necessary X-ray equipment, supplies, and for exposed X-ray film, and copies of
				  reports.
(6) Suitable area for
				  viewing and reporting of radiographic examinations.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 12 - Correctional Treatment Centers › Article 4 - Optional Services › Section 79721 - Optional Services-Perinatal Services

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
A perinatal unit means a maternity unit and newborn service
					 of the correctional treatment center for the provision of care during
					 pregnancy, labor, delivery, postpartum and neonatal periods.
1. New
					 section filed 6-10-94; operative 1-1-96 pursuant to Health and Safety Code
					 section
					 1250
					 (Register 94, No. 23).
Note: Authority cited: Sections
						208(a)
						and
						1267.10(a),
						Health and Safety Code. Reference: Sections
						1250(j)
						and
						1254,
						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 12 - Correctional Treatment Centers › Article 4 - Optional Services › Section 79723 - Perinatal Service General Requirements

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) A perinatal unit shall provide or arrange
				  for:
(1) Care for the patient during
				  pregnancy, labor, delivery, and the postpartum period. Labor, delivery, and
				  neonatal care may be provided outside the correctional treatment center under a
				  contractual agreement with a general acute care hospital, in which case only
				  emergency delivery services will be provided by the correctional treatment
				  center.
(2) Care for the normal
				  infant and the infant with abnormalities which usually do not impair function
				  or threaten life. Newborns shall not be retained beyond 24 hours at the
				  correctional treatment center without the approval of the medical
				  director.
(3) Care for mothers and
				  infants needing emergency or immediate life support measures to sustain life up
				  to 12 hours or to prevent major disability.
(4) Formal arrangements for consultation
				  and/or transfer of an infant to an intensive care newborn nursery, or a mother
				  to a hospital with the necessary services, for problems beyond the capacity of
				  the perinatal unit.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 12 - Correctional Treatment Centers › Article 4 - Optional Services › Section 79725 - Perinatal Service Staff

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) A physician shall have overall
				  responsibility for the service. This physician shall be certified or eligible
				  for certification by the American Board of Obstetrics and Gynecologists, the
				  American Board of Pediatrics, the American Osteopathic Board of Obstetrics and
				  Gynecology or the American Osteopathic Board of Pediatrics. If a physician with
				  one of the above qualifications is not available, a physician with training and
				  experience in obstetrics and gynecology or pediatrics may administer the
				  service. In this circumstance, a physician with either of the required
				  qualifications shall provide consultation to the service.
(b) A physician who is certified or eligible
				  for certification by the American Board of Pediatrics shall be responsible for
				  the nursery.
(c) There shall be one
				  registered nurse on duty on each shift assigned to the labor and delivery
				  suite. In addition, there shall be sufficient trained personnel to monitor and
				  evaluate labor and to assist with a delivery.
(d) There shall be one registered nurse on
				  duty for each shift assigned to the antepartum and postpartum areas. In
				  addition, there shall be sufficient licensed personnel to assess patients and
				  provide care.
(e) A registered
				  nurse who has had training and experience in neonatal nursing shall be
				  responsible for the nursing care in the nursery.
(1) A registered nurse trained in infant
				  resuscitation shall be on duty on each shift.
(2) A ratio of one licensed nurse to eight or
				  fewer infants shall be maintained for normal infants.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 12 - Correctional Treatment Centers › Article 4 - Optional Services › Section 79727 - Perinatal Service Equipment and Supplies

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) General equipment shall include at least
				  the following:
(1) Amniocentesis
				  tray.
(2) DC defibrillator
				  immediately available.
(3) Blanket
				  warmer.
(4) Solutions and supplies
				  for intravenous fluids, blood, plasma and blood substitutions or
				  fractions.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 12 - Correctional Treatment Centers › Article 4 - Optional Services › Section 79729 - Optional Services-Outpatient Surgical Care

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Outpatient surgical care means the provision of surgical
					 services to patients not requiring hospitalization, with appropriate staff,
					 space, equipment, and supplies.
1. New
					 section filed 6-10-94; operative 1-1-96 pursuant to Health and Safety Code
					 section
					 1250
					 (Register 94, No. 23).
Note: Authority cited: Sections
						208(a)
						and
						1267.10(a),
						Health and Safety Code. Reference: Sections
						1250(j)
						and
						1254,
						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 12 - Correctional Treatment Centers › Article 4 - Optional Services › Section 79731 - Outpatient Surgical Care-General Requirements

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) If outpatient surgery is performed, the
				  written policies and procedures, approved by the governing body of the
				  correctional treatment center, shall make provision for at least the following:
(1) The types of operative procedures that
				  may be performed shall be specified.
(2) The types of anesthesia that may be used
				  shall be specified.
(3)
				  Preoperative evaluation of the patient, meeting the same standards as apply to
				  inpatient surgery.
(4) Informed
				  consent.
(5) The delivery of all
				  anatomical parts, tissues and foreign objects removed to a pathologist
				  designated by the hospital with a report of findings to be filed in the
				  patient's medical record.
(6)
				  Written preoperative instructions to patients covering:
(A) Applicable restrictions upon food and
				  drugs before surgery.
(B) Any
				  special preparations to be made by the patient.
(C) Any postoperative requirements.
(D) An understanding that admission to a
				  hospital may be required in the event of an unforeseen
				  circumstance.
(7)
				  Examination of each patient by a physician prior to
				  discharge.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 12 - Correctional Treatment Centers › Article 4 - Optional Services › Section 79733 - Outpatient Surgical Care Staff

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) A physician shall have overall
				  responsibility for the surgical service. This physician shall be certified or
				  eligible for certification in surgery by the American Board of Surgery or the
				  American Osteopathic Board of Surgery. If such a surgeon is not available, a
				  physician, with additional training and experience in surgery, shall be
				  responsible for the service.
(b) A
				  registered nurse with training and experience in operating room techniques
				  shall be responsible for the nursing care and nursing management of the
				  operating room service.
(c) There
				  shall be registered nurses, licensed vocational nurses, and operating room
				  technicians in the appropriate ratio to ensure that a registered nurse is
				  available at all times to serve as the circulating assistant when a licensed
				  vocational nurse or operating room technician is serving as a scrub
				  assistant.
(d) There must be a
				  registered nurse available for emergency treatment whenever there is an
				  outpatient surgical care patient in the correctional treatment
				  center.
(e) The correctional
				  treatment center shall maintain records of continuing education and training
				  programs fro the nursing staff to be available to the Department upon
				  request.
1. New
					 section filed 6-10-94; operative 1-1-96 pursuant to Health and Safety Code
					 section
					 1250
					 (Register 94, No. 23).
Note: Authority cited: Sections
						208(a)
						and
						1267.10(a),
						Health and Safety Code. Reference: Sections
						1250(j)
						and
						1254,
						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 12 - Correctional Treatment Centers › Article 4 - Optional Services › Section 79735 - Outpatient Surgical Care Equipment and Supplies

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Equipment and supplies shall be maintained to meet the
					 needs of the services offered, including at least the following monitoring
					 equipment and supplies:
(a) Cardiac
				  monitor, with a pulse rate meter, for each patient receiving a general
				  anesthetic.
(b) DC
				  defibrillator.
(c)
				  Electrocardiographic machine.
(d)
				  Oxygen and respiratory rate alarms.
(e) Supplies and drugs for emergency
				  use.
1. New
					 section filed 6-10-94; operative 1-1-96 pursuant to Health and Safety Code
					 section
					 1250
					 (Register 94, No. 23).
Note: Authority cited: Sections
						208(a)
						and
						1267.10(a),
						Health and Safety Code. Reference: Sections
						1250(j)
						and
						1254,
						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 12 - Correctional Treatment Centers › Article 4 - Optional Services › Section 79737 - Outpatient Surgical Care Space

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) A correctional treatment center providing
				  outpatient surgical care shall maintain an operating room, or operating rooms,
				  as follows:
(b) Construction of the
				  operating room shall be in compliance with provisions of California Code of
				  Regulations, Title 24, Chapter 10C, Section
				  1020 C(a) and applicable sections
				  of the California Building Standards Code.
(c) Operating room space shall conform to the
				  provisions of California Code of Regulations, Title 24, Chapter 10C, Section
				  1020 C(a).
(d) Special rooms such as cast rooms,
				  fracture rooms, and cystoscopic rooms, if provided, shall maintain space in
				  accordance with the provisions of California Code of Regulations, Title 24,
				  Chapter 10C, Section
				  1020 C(b).
(e) Postanesthesia recovery areas shall
				  maintain space as required in California Code of Regulations, Title 24, Chapter
				  10C, Section
				  1020 C(c).
(f) Laboratory, radiology and pharmacy
				  services shall be readily accessible to the outpatient surgical
				  service.
(g) The operating room
				  shall be located so that is does not connect directly with a corridor designed
				  and used for through traffic.
(h)
				  Facilities shall be maintained for the sterilization of equipment and
				  supplies.
1. New
					 section filed 6-10-94; operative 1-1-96 pursuant to Health and Safety Code
					 section
					 1250
					 (Register 94, No. 23).
Note: Authority cited: Sections
						208(a)
						and
						1267.10(a),
						Health and Safety Code. Reference: Sections
						1250(j)
						and
						1254,
						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 12 - Correctional Treatment Centers › Article 4 - Optional Services › Section 79739 - Mental Health Treatment Program

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
A mental health treatment program is organized, staffed and
					 equipped to provide mental health treatment services for inmate-patients who
					 require 24-hour inpatient care and treatment for acute or nonacute mental
					 health disorders.
1. New
					 section filed 6-10-94; operative 1-1-96 pursuant to Health and Safety Code
					 section
					 1250
					 (Register 94, No. 23).
Note: Authority cited: Sections
						208(a)
						and
						1267.10(a),
						Health and Safety Code. Reference: Sections
						1250(j)
						and
						1254,
						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 12 - Correctional Treatment Centers › Article 4 - Optional Services › Section 79741 - Mental Health Treatment Program-General Requirements

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The mental health treatment program shall
				  only be for inmate-patients with diagnosable mental disorder who require
				  24-hour mental health care.
(b)
				  Each mental health treatment program shall have a clinical director who shall
				  direct the clinical program, provide general direction to professional and
				  nonprofessional staff and be responsible for the quality of clinical services
				  performed in the facility.
(c) The
				  clinical director of mental health treatment program, in consultation with
				  other mental health professionals, shall develop and implement written policies
				  and procedures for the mental health treatment program.
(d) There shall be preadmission patient
				  screening for each inmate-patient completed by the clinical director or his or
				  her designee.
(e) Release of
				  medical records or mental health treatment information concerning any
				  inmate-patient shall be only as authorized under Section
				  5328
				  of the Welfare and Institutions Code.
(f) Involuntary mental health treatment
				  including involuntary medication, shall be provided only as authorized under
				  Section
				  5328
				  of the Welfare and Institutions Code, as interpreted by the courts.
1. New
					 section filed 6-10-94; operative 1-1-96 pursuant to Health and Safety Code
					 section
					 1250
					 (Register 94, No. 23).
Note: Authority cited: Sections
						208(a)
						and
						1267.10(a),
						Health and Safety Code; and Sections
						5325
						and
						5328,
						Welfare and Institutions Code. Reference: Sections
						56 et seq. and 1798 et seq., Civil
						Code; Sections
						990 et seq.
						and
						1158,
						Evidence Code; Sections
						1250(j),
						1254,
						1278,
						1293.9 and
						1795, et seq., Health and Safety
						Code; Sections
						5150
						et seq. and
						5328-
						5330,
						Welfare and Institutions Code; and Keyhae v. Rushen, 178 Cal App. 3d 526
						(1986).
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 12 - Correctional Treatment Centers › Article 4 - Optional Services › Section 79743 - Mental Health Treatment Program-Admission and Discharge Policies

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Each mental
				  health treatment program shall develop and implement written admission and
				  discharge policies approved by the Governing Body encompassing which staff
				  members authorized by law to diagnose and treat may admit or discharge
				  inmate-patients, the types of diagnoses for which inmate-patients may be
				  admitted, limitations imposed by law or licensure, staffing limitations,
				  preadmission patient screening, rules governing emergency admission, limitation
				  of services, termination of services, discharge of patients and other relevant
				  functions.
(b) No inmate-patient
				  may be placed in a mental health treatment program who is not admitted as an
				  inmate-patient by a member of the mental health treatment program
				  staff.
(c) The inmate-patient's
				  condition, provisional diagnosis and a plan for initial treatment shall be
				  determined by the admitting staff within 24 hours of admission.
1. New
					 section filed 6-10-94; operative 1-1-96 pursuant to Health and Safety Code
					 section
					 1250
					 (Register 94, No. 23).
Note: Authority cited: Sections
						208(a)
						and
						1267.10(a),
						Health and Safety Code. Reference: Sections
						1250(j)
						and
						1254,
						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 12 - Correctional Treatment Centers › Article 4 - Optional Services › Section 79745 - Mental Health Treatment Program-Multidisciplinary Treatment Team

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The
				  multidisciplinary treatment team shall be comprised of those persons who work
				  directly with the inmate-patient in each of the disciplines or service areas
				  that provide service to the inmate-patient, including the clinical director or
				  designee, a psychiatrist, a clinical psychologist, a licensed clinical social
				  worker, a member of the nursing staff and any other staff person who is
				  involved in the treatment and care of the inmate-patient.
(b) The multidisciplinary treatment team
				  shall provide assessment, and any reassessment, of an inmate-patient's need for
				  services and shall develop and implement the inmate-patient's individual
				  treatment plan.
1. New
					 section filed 6-10-94; operative 1-1-96 pursuant to Health and Safety Code
					 section
					 1250
					 (Register 94, No. 23).
Note: Authority cited: Sections
						208(a)
						and
						1267.10(a),
						Health and Safety Code. Reference: Sections
						1250(j)
						and
						1254,
						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 12 - Correctional Treatment Centers › Article 4 - Optional Services › Section 79747 - Mental Health Treatment Program-Individual Treatment Plan

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The individual treatment plan shall:
(1) Be developed in writing by the
				  multidisciplinary treatment team and, where possible, in collaboration with the
				  inmate-patient. The treatment plan shall be developed as soon as possible, but
				  no longer than 72 hours following the patient's admission.
(2) Be based on a comprehensive assessment of
				  the inmate-patient's physical, mental, emotional and social needs.
(3) Be reviewed and updated as often as
				  indicated, but no less often than every seven (7) days, weekends and holidays
				  excepted, for acute mental health patients and every thirty (30) days for
				  nonacute mental health patients.
(4) Include, but not be limited to:
(A) A statement of the patient's physical and
				  mental condition, including all mental health diagnoses.
(B) Prescribed medication, dosage and
				  frequency of administration.
(C)
				  Specific goals of treatment with intervention and actions that identify steps
				  toward improvement or recovery and observable, measurable objectives.
(D) Identification of methods to be utilized,
				  the frequency for conducting each treatment method and the person(s) or
				  discipline(s) responsible for each treatment method.
(E) Documentation of the success or failure
				  in achieving stated objectives.
(F)
				  Evaluation of the factors contributing to the inmate-patient's progress or lack
				  of progress toward recovery and a statement of the multidisciplinary treatment
				  decision for follow-up action.
(G)
				  An activity plan.
(H) A plan for
				  other services needed by the inmate-patient which are not provided by the
				  mental health treatment program.
(I) Goals for aftercare and a plan for
				  post-discharge follow-up.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 12 - Correctional Treatment Centers › Article 4 - Optional Services › Section 79749 - Mental Health Treatment Program-Services

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Psychiatric and psychological services.
(1) Psychiatrists or clinical psychologists,
				  within the scope of their licensure and subject to the rules of the facility,
				  shall be responsible for the initial diagnosis of each
				  inmate-patient.
(2) Inmate-patients
				  shall be evaluated as soon as possible but not later than seventy-two (72)
				  hours from the time staff determines that the inmate-patient requires or may
				  require psychotropic medication.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 12 - Correctional Treatment Centers › Article 4 - Optional Services › Section 79751 - Acute Mental Health Care

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Acute mental health care means that level of voluntary or
					 involuntary 24-hour care that is required to provide ongoing intensive
					 evaluation and treatment by mental health staff to inmate-patients suffering
					 from severe mental disorder. Acute levels of care include, but are not limited
					 to:
(1) treatment of acute levels of
				  severe mental disorder or
(2)
				  clinical restraint and seclusion. Such inmate-patients would be those who, if
				  in the community, would require a licensed health facility providing 24-hour
				  acute mental health hospitalization. Such facilities include but are not
				  limited to psychiatric health facilities or acute psychiatric
				  hospitals.
1. New
					 section filed 6-10-94; operative 1-1-96 pursuant to Health and Safety Code
					 section
					 1250
					 (Register 94, No. 23).
Note: Authority cited: Sections
						208(a)
						and
						1267.10(a),
						Health and Safety Code. Reference: Sections
						1250(j)
						and
						1254,
						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 12 - Correctional Treatment Centers › Article 4 - Optional Services › Section 79753 - Nonacute 24-Hour Mental Health Care

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Nonacute 24-hour mental health care means that level of
					 voluntary or involuntary care that is required to provide mental health
					 services to mentally disordered inmate-patients who are not in need of acute
					 mental health care, but who require general mental health evaluation,
					 diagnostic assessment, treatment, nursing and/or related services, on a
					 24-hour-per-day basis in order to achieve stabilization and/or an optimal level
					 of functioning. Such inmate-patients would be those who, if in the community,
					 would require a licensed health facility providing 24-hour subacute mental
					 health care. Such facilities include but are not limited to skilled nursing
					 facilities with special treatment programs. Subacute has the same meaning as
					 nonacute as defined in this section.
1. New
					 section filed 6-10-94; operative 1-1-96 pursuant to Health and Safety Code
					 section
					 1250
					 (Register 94, No. 23).
Note: Authority cited: Sections
						208(a)
						and
						1267.10(a),
						Health and Safety Code. Reference: Sections
						1250(j)
						and
						1254,
						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 12 - Correctional Treatment Centers › Article 4 - Optional Services › Section 79755 - Mental Health Treatment Program Staffing-Basic Requirements

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Each mental health treatment program
				  shall have a clinical director who shall be a psychiatrist, clinical
				  psychologist, licensed clinical social worker, licensed marriage, family, and
				  child counselor, or a psychiatric mental health nurse operating within his or
				  her scope of licensure. The clinical director shall have at least three years
				  of direct clinical experience with the severely mentally disordered after
				  completion of his or her last year of graduate education.
(b) Only that portion of correctional
				  treatment center staff or contracted employee hours spent on the care of
				  patients in the mental health treatment program may be counted as part of the
				  required staffing pattern.
(c) The
				  required minimum staffing ratios shall be calculated based upon the actual
				  census of inmate-patients receiving 24-hour mental health care.
(d) Mental health treatment program nursing
				  services shall be provided under the direction of a registered nurse who shall
				  meet at least the following qualifications:
(1) Master's degree in psychiatric nursing or
				  related field with experience in administration; or
(2) Two years of experience in psychiatric
				  nursing; or
(3) Two years of
				  experience in nursing administration or supervision and one year experience in
				  psychiatric nursing.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 12 - Correctional Treatment Centers › Article 4 - Optional Services › Section 79757 - Mental Health Treatment Program Staffing-Acute Care Requirements

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Mental health treatment programs that provide acute 24-hour
					 mental health care shall meet the following dedicated full-time equivalent
					 staff to census ratio only for acute inmate-patients in any 24-hour period.
					 This staffing pattern includes all staff that is required for the treatment of
					 acute patients. Staff required by earlier sections of this Chapter for the
					 disciplines listed in this section may be counted toward meeting the staffing
					 pattern required in this section for that portion of their time that is spent
					 in caring for acute patients. The above staffing requirements in this Section
					 for registered nurse, licensed vocational nurse or psychiatric technician shall
					 be followed instead of the requirement of 2.5 nursing hours per patient day
					 required for other correctional treatment center inmate-patients. That portion
					 of the time of a psychiatric mental health nurse that is counted toward one
					 category of the staffing requirements shall not be counted toward another
					 category of the staffing requirements. Unlicensed custody staff, to the degree
					 they do work that would otherwise be done by mental health workers and who meet
					 the qualifications of mental health workers, as defined in this chapter, may be
					 counted toward the mental health worker requirement.
Acute Mental Health Care Census:
1-5
6-10
11-20
21-30
31-40
41-50
51-60
61-70
71-80
81-90
91-100
Staff: Psychiatrist or Clinical Psychologist or
							 Licensed Clinical Social Worker or Licensed Marriage, Family and Child
							 Counselor, or Psychiatric Mental Health
							 Nurse
.5
1
2
3
4
5
6
7
8
9
10
Registered Nurse or Licensed Vocational Nurse or
							 Psychiatric
							 Technician
3
4
5
6
8
10
12
14
16
18
20
Mental Health
							 Worker
1.5
3
5
8
10
13
15
18
20
23
25
TOTALS
5
8
12
17
22
28
33
39
44
50
55
1. New
					 section filed 6-10-94; operative 1-1-96 pursuant to Health and Safety Code
					 section
					 1250
					 (Register 94, No. 23).
Note: Authority cited: Sections
						208(a)
						and
						1267.10(a),
						Health and Safety Code. Reference: Sections
						1250(j)
						and
						1254,
						Health and Safety Code.