Cal. Code Regs. tit. 22 § 86580

Current through Register 2024 Notice Reg. No. 45, November 8, 2024

Section 86580 - Crisis Day Services

(a) Notwithstanding Health and Safety Code Section 1596.80, a crisis nursery may provide crisis day services, as defined in Section 86501(c), for children under six years of age at the same site that it is providing crisis residential overnight services.

(1) A child shall not receive crisis day services at a crisis nursery for more than 30 calendar days, maximum of 12 hours per day, or a total of 360 hours, in a six-month period unless the Department issues an exception to allow a child to receive additional crisis day services in a six-month period as specified in Section 86524(e).

(2) A child who has been voluntarily placed in a crisis residential overnight program shall be included in the licensed capacity for crisis day services.

(b) A crisis nursery offering crisis day services shall be governed by all the provisions in this chapter, including the following:

(1) The licensee shall maintain and implement a written procedure to sign the child in and out of the crisis nursery and shall, at a minimum, include the following:

(A) The person who brings the child to, and removes the child from, the crisis nursery shall sign the child in and out.

(2) The authorized representative as specified in Section 86570(b)(5) who signs the child in/out shall use his/her full legal signature and shall record the time of day.

(3) The licensee may use LIC 9219A as a sign in and out form.

(4) The sign-in and sign-out sheets with the signatures required by this section shall be maintained by the crisis nursery for one month and available to the Department pursuant to Section 86544(d).

(5) The licensee shall ensure that children with obvious symptoms of illness including, but not limited to, fever or vomiting, are not accepted.

(6) The licensee shall ensure that a written acceptance procedure is developed and implemented and includes the following:

(A) No child shall be accepted without contact between crisis nursery staff and the person bringing the child to the crisis nursery.

(B) The person bringing the child to the crisis nursery shall remain until the child is accepted.

1. After the child has been determined to be without obvious signs of illness and has been accepted, the crisis nursery shall require that the person sign the child in.

(7) A crisis nursery shall be equipped to isolate and care for any child who becomes ill during the day. The isolation area shall:

(A) Be located to afford easy supervision of children by staff.

(B) Be equipped with a mat, cot, couch, crib or bed for each ill child.

(C) Not be located in the kitchen area or the general-use toilet area.

(8) When the child becomes ill enough to require isolation, the licensee shall ensure that every effort is made to immediately notify the child's authorized representative, and shall ask to have the child removed from the crisis nursery as soon as possible.

(9) Any unusual behavior, any injury or signs of illness requiring assessment or administration of first aid by staff shall be reported to the child's authorized representative and documented and the document placed in the child's file.

(10) Crisis nursery napping equipment shall meet the following requirements:

(A) Cots used for napping shall be maintained in a safe condition.

(B) Floor mats used for napping shall be:

1. Constructed of foam at least 3/4 inch thick.

2. Covered with vinyl or similar material that can be wiped.

3. Marked or colored so that the sleeping side can be distinguished from the floor side.

4. Wiped with a detergent/disinfectant weekly or when soiled or wet.

5. Maintained in a safe condition with no exposed foam.

(C) Each cot or mat shall be equipped with a sheet to cover the cot or mat and, depending on the weather, a sheet and blanket to cover the child.

1. Bedding shall not be shared by different children without first laundering the bedding.

2. Bedding shall be individually stored so that each child's bedding is identifiable and no child's used bedding comes into contact with other bedding.

3. Sheets shall be washed weekly or when soiled or wet.

4. Blankets shall be cleaned or changed when soiled.

(D) Napping equipment shall be arranged so that each child has access to a walkway without having to walk on or over the cots or mats of other children.

Cal. Code Regs. Tit. 22, § 86580

1. New section filed 10-26-2006 as an emergency; operative 10-26-2006 (Register 2006, No. 43). Pursuant to Statutes 2004, chapter 664, section 11 (SB 855) this regulatory action is deemed to be an emergency and necessary for the immediate preservation of the public peace, health, safety, or general welfare, exempt from review by OAL. A Certificate of Compliance must be transmitted to OAL by 2-23-2007 or emergency language will be repealed by operation of law on the following day.
2. New section refiled 2-23-2007 as an emergency; operative 2-23-2007 (Register 2007, No. 8). Pursuant to Statutes 2004, chapter 664, section 11 (SB 855) this regulatory action is deemed to be an emergency and necessary for the immediate preservation of the public peace, health, safety, or general welfare, exempt from review by OAL. A Certificate of Compliance must be transmitted to OAL by 6-25-2007 or emergency language will be repealed by operation of law on the following day.
3. Certificate of Compliance as to 2-23-2007 order transmitted to OAL 6-25-2007 and disapproved 8-7-2007; Notice of Disapproval of Certificate of Compliance and Order of Deletion filed 8-7-2007 (Register 2007, No. 32).
4. New section refiled 8-7-2007 as an emergency; operative 8-7-2007 (Register 2007, No. 32). Pursuant to Statutes 2004, chapter 664, section 11 (SB 855) this regulatory action is deemed to be an emergency and necessary for the immediate preservation of the public peace, health, safety, or general welfare, and is exempt from OAL review and approval. A Certificate of Compliance must be transmitted to OAL by 12-5-2007 or emergency language will be repealed by operation of law on the following day.
5. Certificate of Compliance as to 8-7-2007 order, including amendment of section, transmitted to OAL 11-21-2007 and filed 12-31-2007 (Register 2008, No. 1).
6. Change without regulatory effect amending section heading and subsections (a)-(a)(2), repealing subsection (a)(3) and amending subsections (b)-(b)(1)(A), (b)(6)(B) and (b)(10) filed 8-17-2016 pursuant to section 100, title 1, California Code of Regulations (Register 2016, No. 34).
7. Amendment of subsections (b)(2) and (b)(8)-(9) filed 2-25-2021; operative 4-1-2021 (Register 2021, No. 9).

Note: Authority cited: Section 1530, Health and Safety Code. Reference: Sections 1501, 1516, 1531 and 1596.792, Health and Safety Code.