Header:
CALIFORNIA CODE OF REGULATIONS
TITLE 22. SOCIAL SECURITY
DIVISION 6. LICENSING OF COMMUNITY CARE FACILITIES
CHAPTER 1. GENERAL LICENSING REQUIREMENTS
ARTICLE 6. CONTINUING REQUIREMENTS
Date:
08/31/2009
Document:
22 CCR 80077.3 (2011)
ยง 80077.3. Care for Clients Who Lack Hazard Awareness or Impulse Control
(a) If a client requires protective supervision because of running/wandering away, supervision may be enhanced by fencing yards, using self-closing latches and gates, and installing operational bells, buzzers, or other auditory devices on exterior doors to alert staff when the door is opened. The fencing and devices must not substitute for appropriate staffing.
(1) The licensee may use wrist bands and other client egress-alert devices with the prior written approval of the client or authorized representative, if the client is legally incapable of giving consent, provided that the devices do not violate Section 80072.
(2) The licensee of an ARF, GH, SFH, FFH, or CFH may use a delayed-egress device if the client lacks hazard awareness or impulse control and only as specified in Health and Safety Code Section 1531.1.
(3) The following initial and continuing requirements must be met for the licensee to utilize delayed egress devices on exterior doors or perimeter fence gates:
(A) The licensee shall notify the Department immediately after determining the date that the device will be installed.
(B) The licensee shall ensure that the fire clearance includes approval of delayed egress devices.
(C) Following the disaster and mass casualty plan specified in Section 80023, fire and earthquake drills shall be conducted at least once every three months on each shift and shall include, at a minimum, all facility staff who provide or supervise client care and supervision.
(D) Without violating Section 80072(a)(6), facility staff shall attempt to redirect a client who lacks hazard awareness or impulse control and who attempts to leave the facility.
(E) Clients who continue to indicate a desire to leave the facility following an egress delay shall be permitted to do so.
(F) Without violating Section 80072(a)(6), facility staff shall ensure the continued safety of clients when they leave the facility.
(G) The licensee shall report to the Department, to the client's responsible representative, if any, and to any family member who has requested notification, each incident in which a client leaves the facility unassisted. The report shall be made by telephone no later than the next working day and in writing within seven calendar days.
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