California Administrative Code

Alterations to existing buildings, or new construction, shall be in conformance with the applicable provisions of Chapter 1, Division T17, Title 24, California Administrative Code and approved by the Office of Statewide Health Planning and Development unless the Department approv…

(a) Each applicant must submit an application to the Department demonstrating the applicant meets the minimum qualifications to serve as a temporary manager. Applicants must provide evidence showing: (1) The applicant is qualified to oversee correction of deficiencies in a long-t…

(a) The licensee shall notify the Department in writing as soon as possible and in all cases at least 30 days prior to the desired effective date of cancellation of the license. (b) Any license voluntarily cancelled pursuant to this section may be reinstated by the Department on …

(a) Each hospital shall develop a written plan to be used when a discontinuance or disruption of services occurs. (b) The administrator shall be responsible for informing the Department, via telephone, immediately upon being notified of the intent of the discontinuance or disrupt…

“Unit of general purpose local government” means either: (a) A political subdivision of the State the authority of which is general and not limited to only one function or combination of related functions. (b) An Indian tribal organization.

A class “B” violation is any violation of a statute or regulation relating to the operation or maintenance of any intermediate care facility which has a direct or immediate relationship to the health, safety or security of the patients of the intermediate care facility, other tha…

(a) Each clinic shall make provision in the clinic, or by acceptable arrangements with an outside service, for proper sterilization of instruments, utensils, supplies and solutions used in the clinic. (b) All sterilization of instruments and equipment in the clinic shall be under…

(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 prea…

(a) Soiled linen shall be handled, stored and processed in a manner that will prevent the spread of infection. (b) Soiled linen shall be sorted in a separate room by methods affording protection from contamination. (c) Soiled linen shall be stored and transported in a closed cont…

(a) A facility shall maintain for each patient a health record which shall include the following: (1) Diagnoses (current). (2) Drug and treatment orders. (3) Diet orders. (4) Progress notes written at the time of visit by professional personnel in attendance to the patient. (5) N…

(a) Soiled linen shall be handled, stored and processed in a manner that will prevent the spread of infection. (b) Soiled linen shall be sorted in a separate room by methods affording protection from contamination. (c) Soiled linen shall be stored and transported in a closed cont…

(a) All advice, diagnosis, and treatment shall be provided only by persons authorized by law to provide such services. (b) Diagnostic and therapeutic services for the care and treatment of patients for whom the clinic accepts responsibility shall be provided in the clinic, or arr…

(a) District office responsibility: (1) Request for appeal of a licensing evaluator's decision may be made by the licensee or administrator to the evaluator's supervisor. Such requests should be in writing and give specific reason for the request. If the matter is not resolved to…

(a) The facility shall submit to the Department a written description of its Special Disability Program which shall meet all of the requirements of Section 73397. The facility shall also specify any alternate requirements needed to implement a specific program. The Department sha…

Department means the State Department of Health Services.

(a) The agency shall establish and maintain for each patient accepted for care a health record which shall include the following information: (1) Admission record. The admission record shall include: (A) Name. (B) Current address. (C) Date of birth. (D) Sex. (E) Date of admission…

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.

Formaldehyde means Formaldehyde Solution, USP, (nominal 37% aqueous solution).

(a)(1) “Treatments containing perfluoroalkyl or polyfluoroalkyl substances for use on converted textiles or leathers” means any product containing any member of the class of perfluoroalkyl and polyfluoroalkyl substances (PFASs) that may be marketed or sold for the purpose of: (A)…

(a) Utility rooms shall be maintained in each nursing unit and shall be designed for separation of clean and dirty work areas. The following spaces and equipment shall be maintained as a minimum: (1) Work counters. (2) Cabinets. (3) Rim-flush clinic sink with an integral 7.6 cent…

The space requirements in Section 70499 for intensive care units shall be provided.

Reprocessing technician means a person who is experienced and/or trained in dialyzer reprocessing procedures and who has been assigned the task of dialyzer reprocessing.

“Consultant” means a qualified person who gives professional advice or service, with or without remuneration.

Validation or process validation, means the establishment of a rigid set of process controls, with quality assurance audit challenges, to assure an acceptable product quality based upon a defined set of standards.

Alteration means any change in the construction or configuration other than maintenance in an existing building and which does not increase the floor or roof area or the volume of enclosed space.

“License” means the basic document issued by the Department permitting the operation of an intermediate care facility. This document constitutes the authority to receive patients and to perform the services included within the scope of these regulations and as specified on the in…

(a) Records shall be permanent, either typewritten or legibly written in ink, be capable of being photocopied and shall be kept on all patients admitted or accepted for care. All health records of discharged patients shall be completed and filed within 30 days after discharge dat…

(a) The facility shall be clean, sanitary and in good repair at all times. Maintenance shall include provision and surveillance of services and procedures assuring safety and well-being of patients, staff and visitors. (b) Buildings ad grounds shall be free of environmental pollu…

The Department shall be notified in writing, by the owner or licensee of the skilled nursing facility, within five days of the commencement of any construction, remodeling or alterations to such facility.

(a) Physical therapist means a person licensed as a physical therapist by the Physical Therapy Board of California. (b) Physical therapist assistant means a person who is approved as a physical therapist assistant by the Physical Therapy Board of California. (c) Physical therapis…

“Skilled nursing care bed classification” means beds designated for patients requiring skilled nursing care on a continuous and extended basis.

Psychotherapeutic drug means a medication to control behavior or to treat thought disorder processes.

(a) A telephone shall be installed to meet the requirements of Section E702-32 of Title 24. This may not be required in separate buildings having six beds or less which are restricted to occupancy by ambulatory patients. (b) The telephone at the nurses station shall not be consid…

(a) A licensee may request in writing to the Department that a license, service or beds be put in suspense if necessary for modernization or alteration of the facility. The Department shall approve the request for a period necessary to complete alteration or modernization, not to…

(a) The facility shall assure that every patient receiving special program services shall have an individual record which includes all of the following: (1) A list of the patients' problems or needs, as identified from the individual assessment. (2) The behavioral objectives for …

(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) A license shall not be issued to any skilled nursing facility which does not conform to the State Fire Marshal's requirements on fire and life safety and the state requirements on environmental impact and to local fire safety, zoning and building ordinances. Evidence of such …

(a) The licensee of each intermediate care facility shall file with the Department the address of the licensee to which all citations and notices concerning any class “A” or class “B” violations shall be mailed by the Department. (b) Each such licensee shall also designate one or…

Authorized Representative means a person authorized to act on behalf of the client by law, by court order or by a written statement which shall be signed by the client, unless the client has been judicially declared incompetent or gravely disabled. Except in state operated facili…

Core curriculum means a description of each category of study within a program which covers the minimum knowledge and skills required for nurse assistants and builds on their knowledge in a logical and methodical manner.

Permanently converted beds means client accommodation space which is not available for client accommodation because the facility has converted the client accommodation space to some other use and such space could not be reconverted to client accommodation within 24 hours.

“Private agency” means a nonprofit agency or a proprietary agency, as defined in subsections (a) and (b) below. (a) A “nonprofit agency” is a home health agency not operated by a state or local government and which is exempt from federal income taxation under 26 USC Section 501 (…

(a) The facility shall have a physician who shall be responsible for standards of medical care, coordination, surveillance and planning for improvement of medical care in the facility. (b) The physician: (1) Shall act as a liaison between administration and attending physicians. …

Occurrences such as epidemic outbreaks, poisoning, fires, major accidents, deaths from unnatural causes or other catastrophes and unusual occurrences which threaten the welfare, safety or health of patients, personnel or visitors shall be reported by the facility within 24 hours …

(a) Except as specified in (g) and Section 7360, an AAA shall obtain goods and services through open and competitive awards. Each AAA shall have written policies and procedures, including application forms, for conducting an open and competitive process, and any protests resultin…

Each facility on or before the 15th day of February of each year shall file with the Department, upon forms furnished by the Department, a report for the preceding calendar year concerning all matters requested by the Department which are within the scope of its regulatory author…

(a) Containers which are cracked, soiled or without secure closures shall not be used. Drug labels hall be legible. (b) All drugs obtained by prescription shall be labeled in compliance with state and federal laws governing prescription dispensing. No person other than the pharma…

(a) Psychologist means a person licensed as such by the California Board of Psychology. (b) Clinical psychologist means a psychologist licensed by the Board of Psychology who (1) possesses an earned doctorate degree in psychology from an educational institution meeting the criter…

In facilities which have unit dose medication systems, there shall be at least a 24-hour supply of all client medications on hand at all times, excepting drugs which are to be discontinued within the 24-hour period. Drugs that are part of the system shall not exceed a 48-hour sup…

(a) During the bid/proposal development period, an AAA shall publish as much information as necessary to assure consistent interpretations and fair treatment for all bidders. Any information given to a prospective bidder shall be furnished promptly to all other prospective bidder…