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§ 72463. Special Treatment Program Service Unit - Restrictions on Applying Restraints and Utili...

22 CA ADC § 72463BARCLAYS OFFICIAL CALIFORNIA CODE OF REGULATIONS

Barclays Official California Code of Regulations Currentness
Title 22. Social Security
Division 5. Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies
Chapter 3. Skilled Nursing Facilities
Article 4. Optional Services (Refs & Annos)
22 CCR § 72463
§ 72463. Special Treatment Program Service Unit - Restrictions on Applying Restraints and Utilizing Seclusion.
Note: See Executive Order N-55-20 (2019 CA EO 55-20), issued in response to the COVID-19 pandemic, which suspends certain provisions related to the operation of treatment and rehabilitation facilities that could restrict staffing flexibility.
(a) In applying physical restraints, each of the following requirements shall be met in addition to those set forth in Section 72319:
(1) Careful consideration shall be given to the methods by which the restraints may be speedily removed in the event of fire or other emergency.
(2) Patients placed in restraint shall be observed by qualified treatment personnel at least every half hour. This observation shall be noted and initialed in the patient's health record following each observation.
(3) Each individual program plan authorizing restraint shall specify the behavior to be modified, the method to be used, the schedule for use of the method, the person responsible for the program and the effectiveness of the modality in attaining stated objectives.
(4) Opportunity for motion and exercise shall be provided for a period of not less than ten minutes during each two hours in which restraint is applied. The exercise periods shall be documented in the patient's record.
(b) In utilizing seclusion each of the following requirements shall be met:
(1) Patients placed in seclusion shall be observed by qualified treatment personnel at least every half hour. This observation shall be noted and initialed in the patient's health record.
(2) Each individual program plan authorizing seclusion shall specify the behavior to be modified, the method to be used, the schedule for use of the method, the person responsible for the program and the effectiveness of the modality in attaining stated goals.
(3) Opportunity for motion and exercise shall be provided for a period of not less than ten minutes during each two hours in which seclusion is applied. The exercise periods shall be documented in the patient's record.
(c) Medication shall not be used as punishment, as a substitute for a program or for the convenience of staff.
Note: Authority cited: Sections 208(a) and 1275, Health and Safety Code. Reference: Section 1276, Health and Safety Code.
HISTORY
1. Governor Newsom issued Executive Order N-55-20 (2019 CA EO 55-20), dated April 22, 2020, which suspended certain provisions related to the operation of treatment and rehabilitation facilities that could restrict staffing flexibility, due to the COVID-19 pandemic.
This database is current through 11/13/20 Register 2020, No. 46
22 CCR § 72463, 22 CA ADC § 72463
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