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[Pages:40]Manual of Policies and Procedures

COMMUNITY CARE LICENSING DIVISION

GENERAL LICENSING REQUIREMENTS

Title 22 Division 6 Chapter 1

STATE OF CALIFORNIA HEALTH AND HUMAN SERVICES AGENCY

DEPARTMENT OF SOCIAL SERVICES

Distributed Under the Library Distribution Act

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Regulations

GENERAL LICENSING REQUIREMENTS

TABLE OF CONTENTS

TITLE 22, DIVISION 6

CHAPTER 1 GENERAL LICENSING REQUIREMENTS

Article 1. General Definitions

Section

General .............................................................................................................................................. 80000 Definitions ......................................................................................................................................... 80001

Article 2. License

License Required ............................................................................................................................... Operation Without a License ............................................................................................................. Exemption From Licensure ............................................................................................................... Licensing of Integral Facilities .......................................................................................................... Limitations on Capacity and Ambulatory Status ............................................................................... Advertisements and License Number ................................................................................................. False Claims ......................................................................................................................................

80005 80006 80007 80008 80010 80011 80012

Article 3. Application Procedures

Nondiscrimination of Applicants ....................................................................................................... 80017 Application for License ..................................................................................................................... 80018 Criminal Record Clearance ............................................................................................................... 80019 Criminal Record Exemption............................................................................................................... 80019.1 Child Abuse Central Index ................................................................................................................. 80019.2 Fire Clearance ................................................................................................................................... 80020 Water Supply Clearance .................................................................................................................... 80021 Plan of Operation .............................................................................................................................. 80022 Disaster and Mass Casualty Plan ....................................................................................................... 80023 Waivers and Exceptions .................................................................................................................... 80024 Bonding ............................................................................................................................................. 80025 Safeguards for Cash Resources, Personal Property, and Valuables ................................................... 80026 Initial Application Review ................................................................................................................ 80027 Capacity Determination ..................................................................................................................... 80028 Withdrawal of Application ................................................................................................................ 80029 Provisional License ........................................................................................................................... 80030 Issuance of License ........................................................................................................................... 80031 Repealed by CDSS Manual Letter No. CCL-01-07, effective 6/29/01 .............................................. 80032 Repealed by CDSS Manual Letter No. CCL-01-07, effective 6/29/01............................................... 80033 Submission of New Application ........................................................................................................ 80034 Conditions for Forfeiture of a Community Care Facility License ..................................................... 80035 Licensing Fees ................................................................................................................................... 80036

CALIFORNIA-DSS-MANUAL-CCL MANUAL LETTER NO. CCL-08-02

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Effective 8/8/08

GENERAL LICENSING REQUIREMENTS

Regulations

TABLE OF CONTENTS (Continued)

Article 4. Administrative Actions

Section

Denial of Initial License .................................................................................................................... Repealed by CDSS Manual Letter No. CCL-01-07, effective 6/29/01............................................... Revocation or Suspension of a License ............................................................................................. Licensee/Applicant Complaints ......................................................................................................... Inspection Authority of the Licensing Agency .................................................................................. Evaluation Visits ............................................................................................................................... Exclusions .........................................................................................................................................

80040 80041 80042 80043 80044 80045 80046

Article 5. Enforcement Provisions

Serious Deficiencies .......................................................................................................................... 80051 Deficiencies in Compliance ............................................................................................................... 80052 Follow-up Visits to Determine Compliance ...................................................................................... 80053 Penalties ............................................................................................................................................ 80054 Administrative Review ...................................................................................................................... 80055 Denial or Revocation of License for Failure to Pay Civil Penalties ...................................................... 80055.1 Exemption from Civil Penalties ........................................................................................................ 80056 Unlicensed Facility Penalties.............................................................................................................. 80058 Unlicensed Facility Administrative Appeal........................................................................................ 80059

CALIFORNIA-DSS-MANUAL-CCL MANUAL LETTER NO. CCL-05-01

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Effective 6/8/05

Regulations

GENERAL LICENSING REQUIREMENTS

TABLE OF CONTENTS (Continued)

Article 6. Continuing Requirements

Section

Reporting Requirements .................................................................................................................... Finances ............................................................................................................................................ Accountability ................................................................................................................................... Administrator-Qualifications and Duties ........................................................................................... Personnel Requirements .................................................................................................................... Personnel Records ............................................................................................................................. Admission Agreements ..................................................................................................................... Needs and Services Plan .................................................................................................................... Modifications to Needs and Services Plan ......................................................................................... Eviction Procedures............................................................................................................................ Client Medical Assessments .............................................................................................................. Renumbered and amended to Section 80092.2 by Manual Letter No. CCL-98-05,

effective 10/1/98............................................................................................................................. Functional Capabilities Assessment ................................................................................................... Renumbered to Section 85069.3 by Manual Letter No. CCL-98-09, effective 10/1/98 ..................... Client Records ................................................................................................................................... Register of Clients ............................................................................................................................. Personal Rights .................................................................................................................................. Telephones ........................................................................................................................................ Transportation ................................................................................................................................... Health-Related Services .................................................................................................................... Automated External Defibrillators (AEDs) ........................................................................................ Food Service ...................................................................................................................................... Personal Services (Reserved) ............................................................................................................ Care for Clients Who Rely Upon Others to Perform All Activities of Daily Living .......................... Care for Clients Who Lack Hazard Awareness or Impulse Control ................................................... Care for Clients with Incontinence ..................................................................................................... Care for Clients with Contractures ..................................................................................................... Responsibility for Providing Care and Supervision ........................................................................... Activities (Reserved) .........................................................................................................................

80061 80062 80063 80064 80065 80066 80068 80068.2 80068.3 80068.5 80069

80069.1 80069.2 80069.3 80070 80071 80072 80073 80074 80075 80075.1 80076 80077 80077.2 80077.3 80077.4 80077.5 80078 80079

Article 7. Physical Environment

Alterations to Existing Buildings or New Facilities .......................................................................... 80086 Buildings and Grounds ...................................................................................................................... 80087 Fixtures, Furniture, Equipment and Supplies .................................................................................... 80088

CALIFORNIA-DSS-MANUAL-CCL MANUAL LETTER NO. CCL-02-11

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Effective 9/8/02

GENERAL LICENSING REQUIREMENTS

Regulations

TABLE OF CONTENTS (Continued)

Article 8. Incidental Medical Services

Section

Health and Safety Services ................................................................................................................. Prohibited Health Conditions ............................................................................................................. Restricted Health Conditions.............................................................................................................. General Requirements for Restricted Health Conditions.................................................................... Restricted Health Condition Care Plan............................................................................................... Inhalation-Assistive Devices .............................................................................................................. Colostomy/Ileostomy .......................................................................................................................... Fecal Impaction Removal, Enemas or Suppositories.......................................................................... Indwelling Urinary Catheter/Catheter Procedure ............................................................................... Staph or Other Serious, Communicable Infections............................................................................. Diabetes .............................................................................................................................................. Wounds .............................................................................................................................................. Gastrostomy Feeding, Hydration, and Care........................................................................................ Tracheostomies................................................................................................................................... Renumbered to Section 80092.11 by Manual Letter No. CCL-98-05, effective 10/1/98 ................... Department Review of Health-Related Conditions ............................................................................ Health Condition Relocation Order .................................................................................................... Client's Request for Review of a Health Condition Relocation Order

by the Interdisciplinary Team (IDT)................................................................................................. Repealed by Manual Letter No. CCL-02-10, effective 9/8/02............................................................

80090 80091 80092 80092.1 80092.2 80092.3 80092.4 80092.5 80092.6 80092.7 80092.8 80092.9 80092.10 80092.11 80092.12 80093 80094

80094.5 80095

CALIFORNIA-DSS-MANUAL-CCL MANUAL LETTER NO. CCL-07-01

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Effective 1/12/07

GENERAL LICENSING REQUIREMENTS

This Users' Manual is issued as an operational tool.

This Manual contains:

a) Regulations adopted by the Department of Social Services (DSS) for the governance of its agents, licensees, and/or beneficiaries

b) Regulations adopted by other State Departments affecting DSS programs

c) Statutes from appropriate Codes which govern DSS programs

d) Court decisions; and

e) Operational standards by which DSS staff will evaluate performance within DSS programs.

Regulations of DSS are printed in gothic type as is this sentence.

Handbook material, which includes reprinted statutory material, other department's regulations and examples, is separated from the regulations by double lines and the phrases "HANDBOOK BEGINS HERE", "HANDBOOK CONTINUES", and "HANDBOOK ENDS HERE" in bold print. Please note that both other departments' regulations and statutes are mandatory, not optional.

In addition, please note that as a result of the changes to a new computer system revised language in this manual letter and subsequent community care licensing manual letters will now be identified by a vertical line in the left margin.

Questions relative to this Users' Manual should be directed to your usual program policy office.

CALIFORNIA-DSS-MANUAL-CCL MANUAL LETTER NO. CCL-98-05

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Effective 10/1/98

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