Cal. Code Regs. Tit. 22, § 76355 - Nursing Services-Staff
(a) Direct care personnel shall be employed
according to the client/staff ratios as defined in Section
76337(g) and with
the qualifications determined by the Department to provide the necessary
services for those clients admitted for care. The Department may require a
facility to provide additional staff when through a written evaluation of
client care additional staff is needed to provide for adequate nursing care and
the safety of the clients.
(b) The
facility shall designate a registered nurse to be responsible for nursing
services who shall have knowledge and experience in the field of developmental
disabilities. This registered nurse shall have in writing administrative
authority, responsibility and accountability for the nursing services within
the facility and serve only one facility in this capacity.
(c) The registered nurse in charge of nursing
services shall be employed eight hours a day on the day shift, five days a week
with a relief registered nurse employed eight hours a day on the day shift for
the other two days of the week.
(d)
A facility shall have at least one registered nurse, licensed vocational nurse
or psychiatric technician awake and on duty at all times, day and
night.
(e) Facilities licensed for
1-59 beds shall have at least 1 additional licensed nurse on the day
shift.
(f) Facilities licensed for
60-99 beds shall have at least 1 additional licensed nurse on the day shift and
at least 2 licensed nurses on the evening shift.
(g) Facilities licensed for 100 or more beds
shall have at least 1 registered nurse awake and on duty at all
times.
(h) Facilities licensed for
100 beds or more shall have at least 2 additional registered nurses, licensed
vocational nurses or psychiatric technicians on duty during the day shift and
at least 1 additional licensed nurse on the evening shift.
(i) Charge personnel on all shifts shall have
at least one year of experience or training related to developmental
disabilities.
(j) Each facility or
distinct part of a facility shall employ staff to provide a minimum average of
2.7 nursing hours per client-day.
Notes
2. Certificate of Compliance transmitted to OAL 1-17-86 and filed 2-10-86 (Register 86, No. 7).
Note: Authority cited: Sections 208(a), 1276 and 1276.5, Health and Safety Code. Reference: Sections 1276 and 1276.5, Health and Safety Code; and Section 14110.87, Welfare and Institutions Code.
2. Certificate of Compliance transmitted to OAL 1-17-86 and filed 2-10-86 (Register 86, No. 7).
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