California Administrative Code

“Guardian” means a person appointed by the court to take care of the person or property, or both of a ward under Section 1400 et seq., of the Probate Code.

Dietitian means a registered dietitian who meets the qualifications specified in section 2585 of the Business and Professions Code.

Existing hospital building means an extant structure intended for proper hospital use. This excludes physician offices contiguous with the hospital and independent of the hospital as far as ownership.

(a) Part B of the permit application consists if the general information requirements of this section, and the specific information requirements in sections 66270.14 through 66270.23 applicable to the facility. The Part B information requirements presented in sections 66270.14 th…

(a) Adequate space shall be maintained for the equipment and supplies necessary 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 4 meters (12 feet). (b) O…

(a) There shall be adequate and appropriate equipment for the delivery of anesthesia and postanesthesia recovery care. (1) The anesthetist shall check the readiness, availability, and cleanliness of all equipment used prior to the administration of the anesthetic agents. (2) At l…

“Music therapist” means a person who is registered or eligible for registration as a registered music therapist by the National Association for Music Therapy.

(a) Request for Review. For a dispute regarding a decision made by the Department under the provisions of this chapter other than article 6, a responsible entity may, within thirty (30) days following the mailing of the notice or the website posting of the Department's decision t…

Except as otherwise provided in Section 66264.1, owners and operators of facilities that have process vents to which Article 27 of Chapter 14 applies must provide the following additional information: (a) For facilities that cannot install a closed-vent system and control device …

Intermediate care bed classification means beds designated for patients requiring skilled nursing and supported care on less than a continuous basis.

(a) A universal waste transporter shall comply with all applicable U.S. Department of Transportation (DOT) regulations in 49 CFR parts 171 through 180 for transport of any universal waste that meets the definition of a hazardous material in 49 CFR 171.8. For purposes of DOT regul…

Licenses are not transferable. The licensee shall notify the Department in writing at least 30 days prior to the effective date of any change of ownership. A new application for license shall be submitted by the prospective new owner.

(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 shall be approved by the governing body. Procedures shall be approved by the ad…

(a) No patient shall be admitted or accepted for care by a skilled nursing facility except on the order of a physician. (b) Each patient shall be treated as individual with dignity and respect and shall not be subjected to verbal or physical abuse of any kind. (c) Each patient, u…

(a) Catheterization laboratory space shall include: (1) A minimum floor area of 40 square meters (450 square feet) for the procedure room. (2) A minimum floor area of 9 square meters (100 square feet) for each of the following: (A) Control, monitoring and recording equipment. (B)…

(a) On or before January 1, 2008 and every 5 years thereafter, a business that uses perchlorate-containing fertilizers, road safety flares, commercial explosives, or commercial blasting agents, in an amount greater than 500 pounds in any month, shall: (1) Review the use of these …

(a) Pharmaceutical service shall include, but not be limited to, the following: (1) Obtaining necessary drugs on a prompt and timely basis, including the availability of 24-hour emergency prescription service. (2) Preparation for administration of drugs and biologicals. (3) Monit…

The owner or operator of a facility that operates pursuant to a standardized permit issued pursuant to Health and Safety Code section 25201.6 shall comply with chapter 14, article 8, except as follows: (a) Series A facilities, as defined by Health and Safety Code section 25201.6(…

(a) Equipment of the type and in the amount necessary for the proper preparation, serving and storing of food and for proper dishwashing shall be provided and maintained in good working order. (1) The dietetic service area shall be ventilated in a manner that will maintain comfor…

Section 70765 shall be modified as follows: A hospital shall either provide suitable space for conferences within the facility or shall otherwise provide access to suitable space for conferences.

(a) Sufficient floor area shall be provided so that there is at least 7.2 square meters (80 square feet) per bassinet. (b) A work room or control station shall be maintained which shall provide for handwashing, gowning and charting. (c) There shall be 100 foot candles of light at…

(a) Unless otherwise specified in this chapter, the following definitions shall apply to health care personnel: (1) Administrator. Administrator means the individual who is appointed by the governing body to act in its behalf in the overall management of the hospital. (2) Art The…

All hospitals shall submit annual reports to the Department on forms supplied by the Department and by the date specified on the form.

(a) The regulations for Intermediate Care Facilities, Chapter 4, Division 5, Title 22, California Administrative Code, shall be met with the following exceptions: (1) The administrator of the hospital does not need to possess a license as a nursing home administrator and his serv…

“Planning and Service Area (PSA)” means a geographical area, the boundaries of which are determined by the Department pursuant to federal law and regulation. The Department allocates funds to an AAA to provide services to older individuals residing within a specific PSA.

(a) Patients shall not be permitted to smoke in or on the bed except when a facility staff member or responsible adult is present in the room to ensure safety against fire hazards. (b) The facility shall provide designated areas for smoking. Patients shall be permitted to smoke o…

Radiation therapy service means the use of external ionizing radiation including X-rays and teletherapy and brachytherapy using sealed sources of radioactive material in the treatment of human illnesses with appropriate staff, space, equipment and supplies.

Dietitian means a registered dietitian who meets the qualifications specified in section 2585 of the Business and Professions Code.

(a) All patients' deaths shall be reported by the licensee when requested by the Department or its designee. The report shall be made accurately at a time and in such a manner as may be requested by the Department or its designee.

(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…

(a) Alterations to existing buildings licensed as hospitals or new construction shall be in conformance with Chapter 1, Division 17, Part 6, Title 24, California Administrative Code. (b) Hospitals licensed and in operation prior to the effective date of changes in these regulatio…

(a) Upon written request and good cause, a licensee may request that a special permit be put in suspense. The Department may approve the request for a period not to exceed 12 months. (b) Any special permit which has been temporarily suspended by the Department pursuant to this se…

(a) Rebuttable presumption. Used oil containing more than 1,000 ppm total halogens is presumed to be a RCRA hazardous waste because it has been mixed with halogenated hazardous waste listed in Subpart D of Part 261, Title 40, Code of Federal Regulations (commencing with section 2…

(a) Noncompetitive awards may be used by an AAA when the award of the contract is infeasible for competitive bid because one of the following conditions exist: (1) The item or service is available only from a single source. (2) There is a public exigency or emergency that will no…

A pharmacist shall have overall responsibility for the pharmaceutical service. He shall be responsible for the procurement, storage and distribution of all drugs as well as the development, coordination, supervision and review of pharmaceutical services in the hospital. Hospitals…

Speech pathology and/or audiology service means diagnostic evaluation, screening, testing and rehabilitation services for individuals with speech, hearing and/or language disorders with appropriate staff, space, equipment and supplies.

(a) An intermediate care facility shall not have more patients or beds set up for use than the number for which it is licensed except in case of emergency when temporary permission may be granted by the Director or his designee. (b) Five percent of a facility's total licensed bed…

“Skilled nursing facility” means a health facility which provides the following basic services: skilled nursing care and supportive care to patients whose primary need is for availability of skilled nursing care on an extended basis. It provides 24-hour inpatient care and, as a m…

(a) “Supervision” means to instruct an employee or subordinate in his duties and to oversee or direct his work, but does not necessarily require the immediate presence of the supervisor. (b) Direct Supervision. “Direct supervision” means that the supervisor shall be present in th…

(a) All rooms, attics, basements, passageways and other spaces shall be provided with artificial illumination. (b) Adequate illumination shall be provided for the comfort of patients, operating functions in work areas and for the safety of patients and personnel. (c) All patient …

“Unit dose medication system” means a system in which single dosage units of drugs are prepackaged and prelabeled in accordance with all applicable laws and regulations governing these practices and are made available separated by patient and by dosage time. The system shall also…

(a) When a facility operates it own laundry such laundry shall be: (1) Located in relationship to other areas that steam, odors, lint and objectionable noises do not reach patient or personnel areas. (2) Adequate in size, well-lighted and ventilated to meet the needs of the facil…

(a) The dermatotoxicity hazard trait is defined as the occurrence of adverse effects on the structure or function of the skin including its barrier properties and its ability to maintain heat, fluid, or electrolyte homeostasis following exposure to a chemical substance. (b) Toxic…

A small and rural hospital may request and the department may approve modification of an administrative penalty under the procedures set forth in Section 70960.

(a) Where bed patients are cared for, a call system shall be maintained in operating order in all nursing units. Call systems shall be maintained to provide visible and audible signal communication between nursing personnel and patients. The minimum requirements are: (1) A visibl…

An adequate supply of clean wash cloths and towels shall be provided for each patient.

(a) In making its recommendation to the Site Designation Committee pursuant to Health and Safety Code section 25396.5 (as it read on June 26, 2012), the Department shall consider the condition set forth in H&SC section 25396.6(b) (as it read on June 26, 2012) to be satisfied if t…

(a) A provider identification training number shall be issued to all existing nursing facilities who have an in-service training program. (b) A provider identification training number shall be issued in accordance with the time frames indicated in Sections 71845(b) and 71847(c). …

Public educational institution means a community college, university, a regional occupation center, a high school, an adult education center, accredited school of professional nursing or accredited school of vocational nursing whose certified nurse assistant training programs hav…

Nothing in these requirements shall prohibit the provision of required services from a centralized service facility serving two or more licensed facilities when approved in writing by the Department.