Cal. Code Regs. Tit. 22, § 82022 - Plan of Operation
(a) Each licensee of an adult day program
shall have and maintain on file a current, written, definitive plan of
operation.
(b) The plan and related
materials shall contain the following:
(1)
Statement of purposes, and program methods and goals.
(2) Statement of admission policies and
procedures regarding acceptance of clients.
(3) Description of services to be
provided.
(4) Hours of operation
consistent with the plan of operation and program purpose and goals.
(5) Description of the client group to be
served.
(6) A copy of the admission
agreement.
(7) Administrative
organization, if applicable.
(8)
Staffing plan, qualifications, and duties.
(9) Plan for in-service education of staff,
if required by regulations.
(10) A
sketch of the building(s) to be occupied, including a floor plan which
describes the capacities of the buildings for the uses intended, room
dimensions, and a designation of the rooms to be used for nonambulatory
clients, if any.
(11) A sketch of
the grounds showing buildings, driveways, fences, storage areas, pools,
gardens, recreation areas, and other space used by the clients.
(A) The sketch shall include the dimensions
of all areas which will be used by the clients.
(12) In day programs providing meals to
clients, sample menus and a schedule for one calendar week indicating the time
of day that meals and snacks are to be served.
(13) Transportation arrangements for clients
who do not have independent arrangements.
(14) Fee policy including, but not limited
to, policy on refunds.
(15)
Consultant and community resources to be utilized as part of its
program.
(16) A statement of the
program's policy concerning family visits and other communications with the
client pursuant to Health and Safety Code Section 1512.
(17) The plan of operation and related
materials shall contain the Infection Control Plan pursuant to Section
82095.5(b).
(c) If the licensee intends to
admit or care for one or more clients who have a restricted health condition
specified in Section
82092, the program policies and a
program description shall be included. At a minimum, the information related to
those clients and their needs shall specify all of the following:
(1) The type of restricted health condition
that the licensee plans to admit.
(2) The licensee's plans for serving that
client.
(A) If the licensee plans to admit or
care for one or more clients who have a staph or other serious, communicable
infection, the plan must include:
1. A
statement that all staff will receive training in Infection Control pursuant to
Section 82095.5, within the first 10 days
of employment, and before providing care to clients.
2. A statement of how the licensee will
ensure that the training is obtained, and the name and qualifications of the
person or organization that will provide the
training.
(3)
The services that will be provided.
(4) Staffing adjustments, if needed in order
to provide the proposed services.
(A) This may
include increased staffing, hiring staff with additional or different
qualifications, utilizing licensed professionals as consultants, or hiring
licensed professionals.
(d) If the licensee intends to admit or care
for one or more clients who rely upon others to perform all activities of daily
living, the plan of operation must also include a statement that demonstrates
the licensee's ability to care for these clients. The evidence or ability may
include, but not be limited to:
(1) The
licensee's experience in providing care to these clients.
(2) The licensee's experience providing care
to a family member with this condition.
(3) The licensee's plan to hire staff who
have experience providing care to these clients, and documentation of what the
staff person's experience has been.
(4) Documentation of training that the
licensee and/or staff have completed specific to the needs of these
clients.
(5) History of continued
placements by a regional center.
(e) If the licensee intends to admit and/or
specialize in care for one or more clients who have a propensity for behaviors
that result in harm to self or others, the program plan of operation shall
include a description of precautions that will be taken to protect that client
and all other clients.
(f) A plan
for internal evaluation of its operation and services. The plan shall include a
timetable for completing an annual evaluation, the areas that will be addressed
in this evaluation, and the methodology to be used. A copy of the final annual
evaluation shall be kept on file at the center and shall be available to the
licensing agency during site visits.
(g) Any changes in the plan of operation
which affect the services to clients shall be subject to licensing agency
approval and shall be reported as specified in Section
82061, Reporting
Requirements.
(h) The day program
shall operate in accordance with the terms specified in the plan of operation
and may be cited for not doing so.
Notes
2. New subsection (b)(17) and amendment of subsection (c)(2)(A)1. filed 2-7-2022 as an emergency; operative 2-7-2022 (Register 2022, No. 6). A Certificate of Compliance must be transmitted to OAL by 8-8-2022 or emergency language will be repealed by operation of law on the following day.
3. New subsection (b)(17) and amendment of subsection (c)(2)(A)1. refiled 8-8-2022 as an emergency; operative 8-8-2022 (Register 2022, No. 32). A Certificate of Compliance must be transmitted to OAL by 11-7-2022 or emergency language will be repealed by operation of law on the following day.
4. New subsection (b)(17) and amendment of subsection (c)(2)(A)1. refiled 11-7-2022 as an emergency; operative 11-7-2022 (Register 2022, No. 45). A Certificate of Compliance must be transmitted to OAL by 2-6-2023 or emergency language will be repealed by operation of law on the following day.
5. Certificate of Compliance as to 11-7-2022 order transmitted to OAL 2-3-2023 and filed 3-20-2023 (Register 2023, No. 12).
Note: Authority cited: Sections 1530 and 1530.1, Health and Safety Code. Reference: Sections 1501, 1507, 1520 and 1531, Health and Safety Code.
2. New subsection (b)(17) and amendment of subsection (c)(2)(A)1. filed 2-7-2022 as an emergency; operative
3. New subsection (b)(17) and amendment of subsection (c)(2)(A)1. refiled 8-8-2022 as an emergency; operative
4. New subsection (b)(17) and amendment of subsection (c)(2)(A)1. refiled 11-7-2022 as an emergency; operative
5. Certificate of Compliance as to 11-7-2022 order transmitted to OAL 2-3-2023 and filed
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