Cal. Code Regs. tit. 22 § 78303

Current through Register 2024 Notice Reg. No. 45, November 8, 2024
Section 78303 - Basic Program Services: Assessment
(a) The multidisciplinary team shall be composed of at least a staff or attending physician, a registered nurse, a social worker, an occupational therapist and a physical therapist.
(b) The multidisciplinary team, in collaboration with the participant or the participant's authorized representative and the placement agency, if any, shall assess each participant's need for services prior to the acceptance of that participant.
(c) The multidisciplinary team shall determine and document in the participant's health record that:
(1) The amount of care, supervision and type of services required by the participant are available in the center.
(2) The participant is ready and can benefit from the program the center has to offer.
(d) A written individualized plan of care shall be developed to meet the needs of each participant and shall include but not be limited to:
(1) Scheduled days of attendance.
(2) Medical diagnoses.
(3) Prescribed medications and frequency of administration.
(4) Specific element of the service needed.
(5) Individualized objectives, therapeutic goals and duration of each service.
(6) An individualized activity plan designed to meet the needs of the participant for social and therapeutic recreational activities.
(7) Participation in specific group activities.
(8) A plan for transportation needs.
(9) Therapeutic diet requirements and if indicated, the plan for dietary counselling and education.
(10) A plan for other services needed by the participant.
(11) Discharge planning.
(12) The signature of each member of the multidisciplinary team including a physician.
(e) Prior to or at the time of the admission of a participant, the program director shall obtain a written health assessment of the participant which has been completed within 90 days by the participant's physician or staff physician. The assessment shall be included in the participant's health record and shall include at least the following:
(1) Previous medical history.
(2) Identification of any health condition including communicable disease.
(3) Identification of physical limitations including ambulatory status.
(4) Current diagnosis of any health problem and the prescribed treatment.
(5) Evidence of tuberculosis screening.

Cal. Code Regs. Tit. 22, § 78303

1. Amendment of subsection (e) filed 9-20-79; effective thirtieth day thereafter (Register 79, No. 38).

Note: Authority cited: Section 208(a), Health and Safety Code. Reference: Section 1580, Health and Safety Code; Section 14528, Welfare and Institutions Code.

1. Amendment of subsection (e) filed 9-20-79; effective thirtieth day thereafter (Register 79, No. 38).