Cal. Code Regs. Tit. 22, § 81077.2 - Care for Clients Who Rely upon Others to Perform All Activities of Daily Living
(a) A
licensee may admit or retain a client who has bowel and/or bladder
incontinence.
(b) Prior to
admitting a client into care, the licensee shall complete the following:
(1) An approved plan of operation
demonstrating the licensee's ability to care for these clients as specified in
Section 81022(g).
(2) A Needs and Services Plan, as required by
Section 81068.2 that includes all of the
following:
(A) A plan to monitor the client's
skin condition, including:
1. Specific
guidelines for turning the client, (time, method, acceptable
positions).
2. Skin
breakdown.
3. Objective symptoms,
observable by a lay person, indicating when a licensed professional must be
contacted.
(B) A method
for feeding the client and providing him/her with hydration.
(C) A method for determining the client's
needs.
(D) A method for
communicating with the client.
(E)
A list of emergency contacts and a list of readily observable conditions that
indicate when emergency intervention is necessary.
(F) A list of persons to contact in the event
of non-emergency client distress or discomfort and a list of readily observable
conditions that indicate when the licensee is to contact those
persons.
(G) A description of the
client-specific training that facility staff will receive.
1. The training must be provided by the
client's health care provider (physician or nurse), the client's physical or
mental health therapist, social worker, and placement worker, within their
individual scopes of practice.
2.
The training must include the client's needs and objective symptoms that
indicate when the licensee is to obtain health care or other type of
assistance.
(H) An
agreement, signed by the placement agency, or authorized representative, to
review the client's care at least once a month. A copy of the agreement shall
be maintained in the client's file.
(I) The licensee's agreement to document
significant occurrences that result in changes in the client's physical,
mental, and/or functional capabilities. This documentation must be retained in
the client's record in the facility and be readily available for review by the
client's health care providers and the
Department.
(c)
The Department may require any additional information it considers necessary to
ensure the safety of clients.
Notes
2. Amendment of subsections (a) and (b) filed 9-7-2017; operative 9-7-2017 pursuant to Government Code section 11343.4(b)(3) (Register 2017, No. 36).
Note: Authority cited: Section 1530, Health and Safety Code. Reference: Sections 1501, 1507 and 1530, Health and Safety Code.
2. Amendment of subsections (a) and (b) filed 9-7-2017; operative
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