Chapter 1. General Acute Care Hospitals

1 Title 22 Chapter 5 Acute care Hospitals Section 70001 1 Chapter 1. General Acute care Hospitals Article 1. Definitions 70001. Meaning of Words. Note History Words shall have their usual meaning unless the context or a definition clearly indicates a different meaning. Words used in the present tense include the future; words in the singular number include the plural number; words in the plural number include the singular number; and words in the masculine include the feminine. Shall means mandatory. May means permissive. Should means suggested or recommended. NOTE Authority cited for Division 5: Sections 208, 1255, 1266, 1402, 1426, 38254 and 38255, Health and Safety Code; Sections 7354, 14105 and , Welfare and Institutions Code. Reference: Sections 1222, 1229, 1250, 1251, , 1252, 1253, 1254, 1255, 1256, 1257, 1265, , , , 1266, 1267, 1268, 1269, 1270, 1275, 1276, 1277, 1278, 1279, 1280, 1282, 1294, 1295, 1296, 1297, 1298, 1300, 1315, 1316, 1317, 1318, 1400, 1401, 1402, 1403, 1404, 1405, 1410, 1411, 1412, , 1418, 1419, 1420, 1421, 1422, 1423, 1424, 1425, 1426, 1427, 1428, 1429, 1430, 1431, 1432, 1437, 1439, 1729, 1734, 38254, and 38255, Health and Safety Code; Sections 7354, 14105 and , Welfare and Institutions Code.

2 HISTORY 1. New Division 5 (Chapters 1, 2, 3, 4 and 5 (Sections 70001-74515, not consecutive)) filed 6-13-75; effective thirtieth day thereafter (Register 75, No. 24). 2. Change without regulatory effect of Division 5 heading filed 7-16-87; operative 7-16-87 (Register 87, No. 30). 70003. Hospital. Hospital means a General Acute care hospital. 70005. General Acute care Hospital. Note History (a) General Acute care hospital means a hospital, licensed by the Department, having a duly constituted governing body with overall administrative and professional responsibility and an organized medical staff which provides 24-hour inpatient care , including the following basic services: medical, nursing, surgical, anesthesia, laboratory, radiology, pharmacy, and dietary services.

3 (b) A General Acute care hospital shall not include separate buildings which are used exclusively to house personnel or provide activities not related to hospital patients . NOTE Authority cited: Section (a), Health and Safety Code. Reference: Section 1250(a), Health and Safety Code. HISTORY 1. Change without regulatory effect pursuant to section 100(b)(3), Title 1, California Code of Regulations, repealing subsection (c), filed 4-2-90 (Register 90, No. 17). Title 22 Chapter 5 Acute care Hospitals Section 70001 2 70006. Acute psychiatric care Bed Classification. Note History Acute psychiatric care bed classification means beds designated for Acute psychiatric , developmentally disabled or drug abuse patients receiving 24-hour medical care . NOTE Authority cited: Sections 208 and , Health and Safety Code.

4 Reference: Chapter 854, Statutes of 1976. HISTORY 1. New section filed 10-5-76 as an emergency; effective upon filing (Register 76, No. 41). 2. Amendment filed 11-12-76 as an emergency; effective upon filing (Register 76, No. 46). 3. Certificate of Compliance as to filing of 10-5-76 filed 1-31-77 (Register 77, No. 6). 4. Certificate of Compliance as to filing of 11-12-76 filed 3-8-77 (Register 77, No. 11). 70007. Alteration. Alteration means any change in the construction or configuration other than maintenance in an existing building and which does not increase the floor or roof area or the volume of enclosed space. 70009. Autoclaving. Autoclaving means the process of sterilization by steam under pressure. 70011. Basic Services. Basic services means those essential services required by law for licensure as a hospital including medical, nursing, surgical, anesthesia, laboratory, radiology, pharmacy and dietary services.

5 70012. Certificate of Exemption. Note History Certificate of Exemption means a document containing Department approval for the exemption of a specified project from Certificate of Need review. NOTE Authority cited: Sections 208, 1250, , 1251, 1255, and 1268, Health and Safety Code. Reference: Chapter 854, Statutes of 1976. HISTORY 1. New section filed 11-12-76 as an emergency; effective upon filing (Register 76, No. 46). 2. Certificate of Compliance filed 3-8-77 (Register 77, No. 11). Certificate of Need. Title 22 Chapter 5 Acute care Hospitals Section 70001 3 Note History Certificate of need means a document containing Department approval for a specified project. NOTE Authority cited: Sections 208, 1250, , 1251, 1255, and 1268, Health and Safety Code.

6 Reference: Chapter 854, Statutes of 1976. HISTORY 1. New section filed 11-12-76 as an emergency; effective upon filing (Register 76, No. 46). 2. Certificate of Compliance filed 3-8-77 (Register 77, No. 11). 70013. Child. History HISTORY 1. Repealer filed 11-12-76 as an emergency; effective upon filing (Register 76, No. 46). 2. New section filed 12-3-76 as an emergency; effective upon filing (Register 76, No. 49). 3. Certificate of Compliance filed 3-8-77 as to filing of 11-12-76 (Register 77, No. 11). 4. Reinstatement of section as it existed prior to emergency amendment filed 12-3-76, by operation of Section (b), Government Code (Register 77, No. 22). 70015. Cleaning. Cleaning means the process employed to free a surface from dirt or other extraneous material.

7 70016. Competency Validation for Patient care Personnel Other Than Registered Nurses. Note History Competency validation for patient care personnel other than registered nurses is a determination based on an individual's satisfactory performance of each specific element of his/her job description, and of the specific requirements for the patient care unit in which he or she is employed. NOTE Authority cited: Sections 100275(a) and 1275, Health and Safety Code. Reference: Section 1276, Health and Safety Code. HISTORY 1. New section filed 11-26-96; operative 12-26-96 (Register 96, No. 48). Competency Validation for Registered Nurses. Note History (a) Competency validation for registered nurses is a determination based on the satisfactory performance of: Title 22 Chapter 5 Acute care Hospitals Section 70001 4(1) The statutorily recognized duties and responsibilities of the registered nurse, as set forth in Business and Professions Code Section 2725, et seq.

8 , and regulations promulgated thereunder; and (2) The standards required under Section 70213(c) which are specific to each patient care unit. NOTE Authority cited: Sections 100275(a) and 1275, Health and Safety Code. Reference: Section 2725, Business and Professions Code; and Section 1276, Health and Safety Code. HISTORY 1. New section filed 11-26-96; operative 12-26-96 (Register 96, No. 48). 70017. Conservator. Conservator means a person appointed by the court to take care of the person, the property, or both, of a conservatee under Section 5350, et seq., of the Welfare and Institutions Code, or under Section 1701, et seq., of the Probate Code. 70018. Critical Burn. (a) Critical burn means any one or more of the following types of burns: (1) Second degree burns exceeding 30 percent of the body surface.

9 (2) Third degree burns of the face, hands, feet and/or genitals. (3) Third degree burns exceeding 10 percent of the body surface. (4) Burns complicated by respiratory tract injury, major soft tissue injury or fractures. (5) Electrical burns. (6) Any combination of second and third degree burns which in the aggregate poses a medical problem equivalent in seriousness to (1) through (5). 70019. Defined. Defined means defined in writing. 70021. Department. Note History Department means the State Department of Health Services. NOTE Authority cited: Sections 208, 1255, 1266, 1275, 1402 and 1426, Health and Safety Code; Sections 7354, 14105 and , Welfare and Institutions Code. Reference: Sections 1222, 1229, 1250, 1251, , 1252, 1253, 1254-1257, 1265, , , 1266-1270, 1275-1280, 1282, 1294-1298, 1300, 1315-1318, 1400-1405, 1410-1412, , 1418-1432, 1437, 1439, 1729, 1734, 38254 and 38255, Health and Safety Code; Sections 7354, 14105 and , Welfare and Institutions Code.

10 Specific reference: Chapter 1252, Statutes of 1977. HISTORY Title 22 Chapter 5 Acute care Hospitals Section 70001 5 1. Amendment filed 6-30-78 as an emergency; designated effective at 11:59 on 6-30-78 (Register 78, No. 26). 2. Certificate of Compliance transmitted to OAH 10-27-78; filed 10-31-78 (Register 78, No. 44). 3. Editorial correction of Note (Register 97, No. 50). 70023. Director. Note History Director means the Director of the State Department of Health Services. NOTE Authority cited: Sections 208, 1255, 1266, 1275, 1402 and 1426, Health and Safety Code; Sections 7354, 14105 and , Welfare and Institutions Code. Reference: Sections 1222, 1229, 1250, 1251, , 1252-1257, 1265, , , , 1266-1270, 1275-1280, 1282, 1294-1298, 1300, 1315-1318, 1400-1405, 1410-1412, , 1418-1432, 1437, 1439, 1729, 1734, 38254 and 38255, Health and Safety Code; Sections 7354, 14105 and , Welfare and Institutions Code.