(a) The CDRH shall have a medical director who is a physician and an alternate physician who shall provide for the coverage of the duties of the medical director in the medical director's absence. Both the medical director and the alternate physician shall be appointed by the governing body.
(b) When the medical director does not serve as the administrator, an administrator shall be appointed by the governing body.
(c) A physician shall be available at all times for provision of medical services to patients not requiring general acute care or acute psychiatric services. Patients requiring acute medical services shall be transferred to a general acute care hospital. Patients requiring acute psychiatric services shall be transferred to a general acute care hospital approved by the Department to provide acute psychiatric services or an acute psychiatric hospital.
(d) If the CDRH has been approved for medical detoxification services, patients requiring and receiving only that type of acute care need not be transferred, under subsection (c) above, to a general acute care or acute psychiatric hospital.
(e) At least one member of the professional staff, currently certified in cardiopulmonary resuscitation, and choking prevention techniques shall be on duty in the hospital at all times.
(f) Each CDRH shall meet the following applicable minimum professional staffing requirements at all times:
(1)
Licensed Capacity
Minimum Professional Staff
1 to 25
1
26 to 50
2
51 to 75
3
76 to 100
4
(2) The required minimum professional staff shall be awake and on duty in the CDRH at all times.
(3) Regardless of the minimum professional staffing required in (f)(1) above, the CDRH shall employ professional and other staff personnel in the number and with the qualifications to provide the necessary services for those patients admitted for care.
(4) In addition to minimum professional staffing requirements in (f)(1), during group therapy and/or counseling sessions, there shall be a minimum of one professional staff member to provide a ratio of one professional staff member to each ten patients in session.
(5) In addition to minimum professional staffing requirements in (f)(1), during family therapy and/or counseling sessions, there shall be a minimum of one professional staff member to provide a ratio of one professional staff member to each 20 persons in session.
(g) When volunteers are utilized, a professional staff member shall be assigned to select and evaluate volunteers and coordinate volunteer activities.
(h) Programs for staff development, related to the approved program plan, including orientation and inservice education programs, for administrative, program, and support personnel shall be provided.
Credits
Note: Authority cited: Sections 208(a), 1275 and 1275.2, Health and Safety Code. Reference: Sections 1250.3, 1254.2 and 1275.2, Health and Safety Code.
History
1. New subsection (f) filed 12-24-82; effective upon filing pursuant to Government Code Section 11346.2(d) (Register 83, No. 4).
2. Editorial correction of subsections (a) and (d) filed 8-31-83; effective thirtieth day thereafter (Register 83, No. 36).
