Cal. Code Regs. Tit. 22, § 76916 - Policies and Procedures
(a)
Each facility shall establish and implement the following policies and
procedures:
(1) The overall philosophy,
objectives and goals the facility is striving to achieve shall include, but not
be limited to:
(A) The facility's role in the
State comprehensive program for the developmentally disabled.
(B) The facility's goals for its
clients.
(C) The facility's concept
of its relationship to the parents or legal representatives of the
clients.
(2) Personnel
policies which include:
(A) Job descriptions
detailing qualifications, duties and limitations of each classification of
employee.
(B) Procedures for
employee orientation to the facility, their duties, the client population
served and the facility's policies and procedures.
(C) Procedures, consistent with due process,
for suspension and/or dismissal of an employee for cause.
(D) A plan for at least an annual evaluation
of employee performance.
(3) Policies and procedures on client
admission, leave of absence, transfer and discharge which shall include rate of
charge for services included in basic rate, charges for extra services,
limitation of services, cause for termination of services and refund policies
applying to termination of services.
(4) Policies and procedures to assure that
all clients are screened for tuberculosis upon admission as required by Section
76874(b)(4).
(5) Policies and procedures assuring that
admission, treatment, or discharge of a client shall not be based on sex, race,
color, religion, ancestry, national origin, sexual orientation, disability,
medical conditions, marital status, or registered domestic partner
status.
(6) Written policies and
procedures governing the client record service, record maintenance, access to,
duplication of, and release of information from unit client records. These
policies and procedures shall be developed and implemented with the assistance
of a registered health information administrator or a registered health
information technician.
(7) A
policy and procedure establishing an ongoing program of open and honest
communication with the clients and families and/or authorized representatives
as follows:
(A) The facility shall have a
written plan for informing families or authorized representatives of
significant changes in the client's condition and of activities related to the
clients that may be of interest to them and to assure that communications to
the facility from clients' families or representatives be promptly and
appropriately handled and answered.
(B) Policies and procedures to assure that
parents and authorized representatives shall be permitted to visit all parts of
the facility that provide services to clients.
(C) Frequent and informal visits home shall
be encouraged, and the regulations of the facility shall facilitate rather than
inhibit such visits.
(8)
A procedure by which allegations of client abuse are immediately reported to
the administrator. Such procedures shall assure that:
(A) All alleged violations are thoroughly
investigated.
(B) The results of
the investigation are reported to the administrator within 24 hours of the
report of the incident.
(C)
Substantiated instances of client abuse are reported to the Department by
telephone within 24 hours of the report of the incident, and confirmed in
writing.
(D) Appropriate action is
taken by the administrator when the allegation is
substantiated.
(9) A
written policy to assure that clients are protected from exploitation when they
are engaged in work that benefits the facility. The policy shall assure that
all work programs shall be included in the client's individual service plan and
have specific goals and objectives.
(10) Policies and procedures for reporting
unusual occurrences, as required by Section
76923.
(11) Policies and procedures for smoking by
clients.
(12) Policies and
procedures developed in concurrence with the local health officer to properly
manage outbreaks or prevalence of infectious or parasitic disease or
infestation, and to correct such conditions.
(13) Policies and procedures that assure that
client's equipment and valuables shall be inventoried as required by Section
76927(e)(20) and
that client's personal possessions shall be identified by
label.
(b) The facility
shall have a written plan for a continuing management audit to insure
compliance with state laws and regulations and the effective implementation of
its stated policies and procedures.
(c) The facility shall have a written
organizational chart showing the major operating programs of the facility, with
staff divisions, the administrative personnel in charge of the programs and
divisions and their lines of authority, responsibility and
communication.
(d) All policies and
procedures required by Section
76916 shall be in writing, made
available upon request to clients or their agents, employees and the public,
and shall be carried out as written. Policies and procedures shall be reviewed
at least annually, and revised as needed.
Notes
2. Change without regulatory effect amending subsections (a)(6), (a)(10) and (a)(12) filed 3-12-2013 pursuant to section 100, title 1, California Code of Regulations (Register 2013, No. 11).
Note: Authority cited: Sections 1267.7, 1275 and 131200, Health and Safety Code. Reference: Section 51, Civil Code; Sections 297 and 297.5, Family Code; and Sections 1276, 131050, 131051 and 131052, Health and Safety Code.
2. Change without regulatory effect amending subsections (a)(6), (a)(10) and (a)(12) filed 3-12-2013 pursuant to section 100, title 1, California Code of Regulations (Register 2013, No. 11).
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