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§ 1406. Health Care Records.

15 CA ADC § 1406BARCLAYS OFFICIAL CALIFORNIA CODE OF REGULATIONS

Barclays Official California Code of Regulations Currentness
Title 15. Crime Prevention and Corrections
Division 1. Board of State and Community Corrections
Chapter 1. Board of State and Community Corrections
Subchapter 5. Minimum Standards for Juvenile Facilities
Article 8. Health Services
15 CCR § 1406
§ 1406. Health Care Records.
In juvenile facilities providing on-site health care, the health administrator, in cooperation with the facility administrator, shall maintain individual and dated health records that include when applicable, but are not limited to:
(a) intake health screening form;
(b) health appraisals/medical examinations;
(c) health service reports (e.g., emergency department, dental, psychiatric, and other consultations);
(d) complaints of illness or injury;
(e) names of personnel who treat, prescribe, and/or administer/deliver prescription medication;
(f) location where treatment is provided;
(g) medication records in conformance with Title 15, Section 1438;
(h) progress notes;
(i) consent forms;
(j) authorizations for release of information;
(k) copies of previous health records;
(l) immunization records;
(m) laboratory reports; and,
(n) individual treatment plan.
Written policy and procedures shall provide for maintenance of the health record in a locked area or secured electronically, separate from the confinement record. Access to the medical and/or behavioral/mental health record shall be controlled by the health administrator and shall assure that all confidentiality laws related to the provider-patient privilege apply to the health record.
Health care records shall be retained in accordance with community standards.
Note: Authority cited: Sections 210 and 885, Welfare and Institutions Code; and Assembly Bill 1397, Chapter 12, Statutes of 1996. Reference: 1995-96 Budget Act, Chapter 303, Item Number 5430-001-001, Statutes of 1995; Assembly Bill 904, Chapter 304, Statutes of 1995; and Assembly Bill 1397, Chapter 12, Statutes of 1996.
HISTORY
1. New section filed 3-6-97; operative 4-5-97 (Register 97, No. 10).
2. Amendment of first paragraph, subsections (l )-(m), new subsection (n) and amendment of penultimate paragraph filed 11-14-2018; operative 1-1-2019 (Register 2018, No. 46).
This database is current through 7/22/22 Register 2022, No. 29
15 CCR § 1406, 15 CA ADC § 1406
End of Document