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 California Code of Regulations (Last Updated: August 6, 2014)
 Title 22. Social Security
 Division 5. Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies
 Chapter 9. Psychiatric Health Facilities
 Article 3. Services

  § 77061. Staffing.  

Latest version.
  • (a) The facility shall have a clinical director who shall be a licensed mental health professional and qualified in accordance with Section 77093 of these regulations.
    (b) The clinical director may also serve as the administrator.
    (c) The clinical director shall designate a clinical psychologist or psychiatrist to review and approve interdisciplinary treatment plans.
    (d) A physician shall be on-call at all times for the provision of physical health care and those services which can only be provided by a physician. The person in charge of patient care services on each shift shall be provided with the name(s) and means of locating and contacting the available physician. Patients requiring general acute physical health care shall be diverted from admission or transferred to a general acute care hospital. An individual patient may be admitted to a psychiatric health facility if the individual's physical health care could otherwise be managed on an outpatient basis.
    (e) If the clinical director is not a physician, responsibility for those aspects of an individual treatment plan which may only be performed by a physician, shall be assumed by a physician.
    (f) During the absence of any staff required in subsection (h)(1) below there shall be a substitute person with the required qualifications to provide the number of hours of services required.
    (g) Community practitioners who are approved to admit and/or attend patients in the facility may be calculated as part of the staffing pattern only if they are retained by written contract to provide services for a specified number of hours to the patients at the facility.
    (h) Each facility shall meet the following full-time equivalent staff to census ratio, in a 24 hour period:
    (1) Inpatient Census:
    1-
    11-
    21-
    31-
    41-
    51-
    61-
    71-
    81-
    91-
    10
    20
    30
    40
    50
    60
    70
    80
    90
    100
    Staff
    Psychiatrist or Clinical
    Psychologist or
    Clinical Social
    Worker or Mar-
    riage, Family and
    Child Counselor
    Registered Nurse or
    Licensed Voca-
    tional Nurse or
    Psychiatric
    Technician
    4
    5
    6
    8
    10
    12
    14
    16
    18
    20
    Mental Health
    3
    5
    8
    10
    13
    15
    18
    20
    23
    25
    Worker
    Totals
    8
    12
    17
    22
    28
    33
    39
    44
    50
    55
    (2) For facilities in excess of 100 beds, staffing shall be provided in the ratios as in (1) above.
    (3) A registered nurse shall be employed 40 hours per week.
    (4) There shall be a registered nurse, a licensed vocational nurse, or a psychiatric technician awake and on duty in the facility at all times.
    (i) The required staffing ratio shall be calculated based upon the inpatient census and shall provide services only to psychiatric health facility patients.
    (j) Regardless of the minimum staffing required in subsection (h)(1) above, the facility shall employ professional and other staff on all shifts in the number and with the qualifications to provide the necessary services for those patients admitted for care.
HISTORY
1. New section filed 4-15-87, operative 5-15-87 (Register 87, No. 16).
2. Amendment of subsection (d) and amendment of Note filed 5-7-99; operative 6-6-99 (Register 99, No. 19).

Note

Note: Authority cited: Section 1275, Health and Safety Code. Reference: Sections 1250.2 and 1275.1, Health and Safety Code