Section 4356 - Hospital Access System Levels; Monitoring(a) The Department of State Hospitals' Hospital Access System provides two levels of patient access to move about on state hospital grounds. (1) Escorted Access is a patient's privilege to move about on state hospital grounds when accompanied by staff.(2) Unescorted Access is a patient's privilege to move about on state hospital grounds when unaccompanied by staff.(b) Pursuant to the provisions of section 4358 of this regulation, a patient's access level is determined by their Treatment Team and, if necessary, Program Staff or Executive Staff. Any Program Staff review, or any Executive Staff review shall be in collaboration with the Treatment Team.(c) A patient's access level shall be indicated in the patient's medical record. A patient's access level shall also be indicated on an identification card, to be worn by each patient when off unit.(d) Unit Staff shall keep a log, noting a patient's access level and destination and location while off the unit.(e) Locked Units. (1) Routine. (A) All units shall be locked during a state hospital's respective curfew hours, with the exception of units requiring enhanced security which shall be locked at all times for safety and security.(B) All units shall be locked during count and mealtimes.(2) Unit-Wide Lockdown. (A) In cases of emergency or to ensure the safety and security of the hospital, the patients, and staff, a unit may be placed on lockdown.(B) A unit may be locked for no more than 4 continuous hours, without the approval of the state hospital's Executive Director or designee.(C) Regardless of patient access level, all patients are prohibited from leaving a unit during a unit-wide lockdown, unless escorted.(3) Hospital-Wide Lockdown(A) In cases of emergency or to ensure the safety and security of the hospital, the patients, and staff, a state hospital may be placed on lockdown.(B) A hospital-wide lockdown must be approved by the Executive Director, or designee. A hospital-wide lockdown of more than 8 continuous hours, must be approved by the state hospital's Executive Director or designee in consultation with the Director or Chief Deputy Director of the Department.(C) Regardless of patient access level, all patients are prohibited from leaving a unit during a hospital-wide lockdown, unless escorted.Cal. Code Regs. Tit. 9, § 4356
1. New section filed 4-6-2020; operative 4-6-2020 pursuant to Government Code section 11343.4(b)(3) (Register 2020, No. 15). Note: Authority cited: Sections 4005.1, 4011, 4027, 4101 and 4312, Welfare and Institutions Code. Reference: Sections 4011 and 4312, Welfare and Institutions Code.
1. New section filed 4-6-2020; operative 4/6/2020 pursuant to Government Code section 11343.4(b)(3) (Register 2020, No. 15).