Section 1763.4 Of Chapter 8.6. Pediatric Day Health And Respite Care Facilities From California Health And Safety Code >> Division 2. >> Chapter 8.6.
1763.4
. (a) For purposes of this chapter, the following definitions
shall apply:
(1) "Distinct part" means an identifiable unit accommodating beds
or patient space, including, but not limited to, contiguous beds or
patient space, a wing, floor, or building approved by the state
department for a specific purpose.
(2) "Older children" means patients who are 18 to 21 years of age,
inclusive.
(3) "Transitional Health Care Needs Optional Service Unit" or
"optional service unit" means a functional unit of a pediatric day
health and respite care facility that is organized, staffed, and
equipped to provide care to individuals who are 22 years of age or
older.
(A) Patients receiving care in the optional service unit shall be
in age-appropriate groupings as provided for in the pediatric day
health and respite care facility's policies and procedures. Older
children are not precluded from being cared for in the same optional
service unit as the patients who are 22 years of age or older. If a
pediatric day health and respite care facility proposes to provide
care to older children in the optional service unit, the facility
shall have policies, procedures, equipment, and supplies to meet the
needs of those patients. Patients who are 15 to 17 years of age,
inclusive, may also be considered for care in the optional service
unit if the pediatric day health and respite care facility obtains an
individual age waiver from the regional center, with the concurrence
of the department. A pediatric day health and respite care facility
is not required to operate an optional service unit.
(B) In order to continue receiving care in the pediatric day
health and respite care facility, patients who are 22 years of age or
older shall have a developmental age of 18 years of age or younger,
as evidenced by the patient's Individual Education Plan (IEP),
Regional Center Assessment, physician's assessment, or other
assessment using a standardized assessment tool that is nationally
recognized in the field. A patient who previously received services
from a pediatric day health and respite care facility, who is 22
years of age or older, and who satisfies the requirements of this
subparagraph may also receive services in an optional service unit.
(b) An optional service unit shall be subject to the approval of
the state department. A pediatric day health and respite care
facility desiring approval for an optional service unit shall file an
application on forms furnished by the state department. The state
department shall list on the facility license each optional service
for which approval is granted.
(c) Except as provided in subparagraph (A) of paragraph (3) of
subdivision (a), care for patients who are 22 years of age or older
shall be provided in a distinct part of the pediatric day health and
respite care facility or optional service unit, separate from the
area where care is provided to patients who are 21 years of age or
younger. The facility shall establish and implement policies and
procedures for determining the age ranges of patients who are cared
for in the optional service unit. These policies and procedures shall
include, but not be limited to, consideration of the patient's
chronological age, developmental age, and size, and shall reflect the
needs of individual patients through a comprehensive assessment.
(d) The pediatric day health and respite care facility shall
ensure that its staffing and equipment are sufficient to provide
services to patients who are 22 years of age or older.
(e) A Transitional Health Care Needs Optional Service Unit shall
have written policies and procedures for the management of the
service. The policies and procedures shall be established and
implemented by the patient care policy committee described in Section
1760.4
(f) (1) The state department may review and approve the policies
and procedures for an optional service unit.
(2) The State Department of Developmental Services and the
regional centers may review the policies and procedures for an
optional service unit.