0
Q
ICF: An application is required if a person wishes to acquire a beneficial interest of _________ or more in any corporation or partnership licensed to operate an intermediate care facility, or to become an officer or director of, or general partner in, such a corporation or partnership, such a person shall obtain prior written approval of the Department.
§73203. Application Required.
A
10 percent:
1
Q
“Intermediate care bed classification” means beds designated for patients requiring skilled nursing and supportive care on ____ than a continuous basis.
A
less
2
Q
The fee for a license to operate an intermediate care facility which is being licensed for the first time or upon a change of ownership or change of location or renewal of license shall be that specified in the following schedule:
1-59 inclusive: $____ plus $13.00 per licensed bed
60-99 inclusive: $___ plus $13.00 per licensed bed
100 and over: $_____plus $13.00 per licensed bed
A
1-59 inclusive: $948.00 plus $13.00 per licensed bed
60-99 inclusive: $1,186.00 plus $13.00 per licensed bed
100 and over: $1,540.00 plus $13.00 per licensed bed
3
Q
ICF: The Department may deny the application of any prospective licensee if:
1.
2.
(Two things)
§73215. Issuance, Expiration and Renewal.
A
- Has failed to comply with reporting requirements
2. Has failed to obtain approvals in the Health and Safety Code
4
Q
ICF required services: 1. 2. 3. 4. 5.
§ 73301. Required Services.
A
- Physician
- intermittent nursing
- Dietary
- Pharmaceutical
- Activities
5
Q
In an Intermediate Care Facility, which nursing services are required to be provided? Section 73301
- intermediate nursing care
- intermittent nursing care
- supervised nursing care
- interdisciplinary nursing care
A
- intermittent nursing care
6
Q
What is the minimum number of nursing hours required per patient day in an Intermediate Care Facility? Section 73319 1. 3.0 2. 2.3 3. 0.7 4. 1.1
A
- 1.1
7
Q
ICF: Regular and modified diets shall be written at least ____ in advance, dated and posted in the kitchen at least ____ in advance.
Section 73333
- one week, seven days
- three weeks, one week
- one week, three days
- three days, three days
A
- one week, three days
8
Q
ICF: Dry or staple food items shall be stored at least _____ inches above the floor?
Section 73337
- no inches are required
- 16
- above the floor on racks and dollies
- 12
A
4.12 inches (30 cm)
9
Q
Which of the following is not an optional services unit in an Intermediate Care Facility?
Section 73445
- social work
- physical therapy
- speech pathology
- skilled nursing
A
- skilled nursing
Only the following types of optional service units may be operated in an intermediate care facility: physical therapy, occupational therapy, speech pathology and/or audiology, social work services and rehabilitation services.
10
Q
ICF: How often are signed and dated Social Service progress reports written?
Section 73449
- weekly
- every 7 days
- every 14 days
- monthly
A
- monthly
(3) Signed and dated progress reports shall be written at least monthly in the health record of each patient receiving social services, by the social worker, social work assistant or social work aide.
11
Q
ICF: Only sterile ______ water shall be used in vaporizer bottles.
Section 73647
- de-ionized
- distilled
- demineralized
- all of the above
A
- distilled
Vaporizer bottles on oxygen equipment shall be sterilized after each use. Only sterile distilled water shall be used in vaporizer bottles. Vaporizer bottles shall be changed at least every 24 hours. (f) Oxygen Equipment. (1) (2) (3)
12
Q
ICF: How many mesh per inch should be provided on screens?
Section 73657
- 6
- 8
- 12
- 16
A
- 16 per inch (6 per cm)
13
Q
Topic: CA FC - ICF
ICF…..In an Intermediate Care Facility _____ privacy must be provided for the room, tub, shower and toilet rooms.
A
Visual
- Provision for Privacy.
Visual privacy for each patient shall be provided in patient rooms, tub, shower and toilet rooms.
Doors providing access to the corridor shall not be considered as meeting this requirement.
14
Q
ICF…..When using autoclaving equipment a recording thermometer chart must be kept on file for _______.
A
one year
- Autoclaving, Sterilizing and Disinfecting.
(4) Autoclaves shall be checked at least weekly to verify that recording thermometers and indicating thermometers reasonably coincide.
Records of recording thermometers shall be checked for each load to verify that the performance of the autoclave is in accordance with established standards forsterilization. Records of recording thermometers shall be preserved for one year.Recording thermometers are not required on portable sterilizers and autoclaves.
15
Q
ICF…..What is the name of the only committee in an ICF?
A
Patient Care Policy Committee
- Patient Care Policy Committee.
Written patient care policies shall be established and followed in the care of patients governing the following services: physician, dental, nursing, dietetic, pharmaceutical and an activity program and such diagnostic, social, psychological and therapy services as may be provided.
Such policies shall be developed by a committee whose membership shall consist of at least one physician, the administrator, the supervisor of health services and such other professional personnel as may be appropriate. These policies shall be reviewed and revised by the committee at least annually and minutes of the committee meetings shall be maintained on file indicating the names of members present, the subject matter discussed and action taken.
16
Q
ICF…..Is Social Services a required or optional service?
A
optional
- Optional Service Unit.
(a) Optional service unit means a functional unit of a intermediate care facility which is organized, staffed and equipped to provide a specific type or types of patient care. A facility is not required to operate an optional service unit.
(b) Only the following types of optional service units may be operated in an intermediate care facility: physical therapy, occupational therapy, speech pathology and/or audiology, social work services and rehabilitation services.
17
Q
ICF…..Can the facility use the services of a registered nurse or licensed vocational nurse eight hours a day on the day shift, seven days per week?
A
yes
- Nursing Service–Staff.
(b) Facilities shall employ a registered nurse or licensed vocational nurse eight hours per day on the day shift, seven days per week. In case of facilities where a licensed vocational nurse serves as supervisor of health services, consultation shall be provided by a registered nurse, through formal contract, at regular intervals, but not less than four hours weekly.
18
Q
ICF…..How soon must the Department be notified that patients’ records in an Intermediate Care Facility are defaced or destroyed before the retention period is over?
A
immediately
- Patients’ Health Records.
d) The Department shall be informed in writing immediately whenever patients’ health records are defaced or destroyed before termination of the required retention period.
19
Q
ICF…..In a Special Rehabilitation Program Services for the Mentally Disordered what is the professional staff time needed for 50-69 patients seen per week?
A
32 hours per week
- Special Rehabilitation Program Services–Staffing.
(c) (3)(B) For facilities having an average of between 50-69 certified patients per week, 32hours per week of professional staff time are required.
20
Q
ICF…..In a single room the minimum floor area is ______.
A
110 square feet
- Patient Rooms.
(c) Residents shall be accommodated only in rooms approved by the Department with thefollowing minimum floor area:
(1) Single rooms: 10 square meters (110 square feet)
(2) Multibed rooms: 7.5 square meters (80 square feet per bed)
21
Q
ICF….Are all personnel serving patients or the public required to wear a name badge?
A
Yes
- Employee Name Badges.
All personnel serving patients or the public shall wear name and title badges unlesscontraindicated.
22
Q
ICF…..Outpatient access to optional service units shall not _______ nursing units.
A
traverse
- Optional Service Unit.
(c) If outpatient services are to be provided, the following conditions shall be met:
(1) Outpatient service units shall be located or constructed in a manner that will minimizenoise, odors, hazards and unsightliness to the facility’s inpatients.
(2) Outpatient access to optional service units shall not traverse a nursing unit.
23
Q
ICF…..A special disability professional has at least _____year(s) experience or training in the care of the mentally disordered, developmentally disabled or substance abusers.
A
one
- Special Disability Professional.
“Special disability professional” means a physician, a psychiatrist, a clinical psychologist, a social worker, a special education teacher, or a person with an academic degree in learning disabilities, who has at least one year experience or training in the care of the mentally
disordered, developmentally disabled or substance abusers.
24
ICF.....Are rehabilitation services an optional service unit in an intermediate care facility?
yes
73445. Optional Service Unit.
(a) Optional service unit means a functional unit of a intermediate care facility which is organized, staffed and equipped to provide a specific type or types of patient care. A facility is not required to operate an optional service unit.
(b) Only the following types of optional service units may be operated in an intermediate care facility: physical therapy, occupational therapy, speech pathology and/or audiology, social work services and rehabilitation services.
25
ICF.....In an Intermediate Care Facility, standing orders for medications and treatments are _____ allowed in any facility.
Never
73355. Pharmaceutical Service--Standing Orders.
No facility shall use any standing order for medications or treatments.
26
ICF.....A Class A citation must be prominently posted until the violation is corrected up to a maximum of ____ days.
120
73723. Posting of Citations.
(a) Each citation for a class "A" violation which has become final, or copy or copies thereof, shall be prominently posted by the licensee until the violation is corrected to the satisfaction of the Department, up to a maximum of 120 days. The citation or copy shall be posted in a place or places in plain view of the patients in the intermediate care facility, persons visiting those patients and persons who inquire about placement in the facility.
27
ICF.....When is the Intermediate Care Facility annual report deadline due with the State Department of Health Services ?
on or before the 15th day of February of each year
73541. Annual Reports.
Each facility on or before the 15th day of February of each year shall file with the Department upon forms furnished by the Department a report for the preceding calendar year upon all matters requested by the Department.
28
ICF.....What is the minimum floor area required for an Occupational Therapy service unit?
300 square feet
73477. Occupational Therapy Service Unit--Space.
(a) Adequate space shall be provided for the necessary equipment needed to provide occupational therapy. The minimum floor area shall be 28 square meters (300 square feet), no dimension of which shall be less than 3.7 meters (12 feet).
29
ICF.....In an Intermediate Care Facility can a person with a communicable disease be admitted?
No
73519. Administrative Policies and Procedures.
(b) The following types of patients shall not be admitted, nor cared for, in an intermediate care facility:
(1) Persons with a communicable disease.
(2) Mentally disturbed persons who require special services not available in the intermediate care facility.
(3) Mentally retarded persons requiring special services not available in the intermediate care facility.
(4) Persons requiring skilled nursing care and observation on a 24-hour basis.
(5) Those requiring daily care by the admitting licensed health care practitioner acting within the scope of his or her professional licensure.
30
ICF.....How many mesh per inch should be provided on screens?
16
73657. Screens.
Where necessary to protect against flies and other insects, screens of six mesh per centimeter (16 mesh per inch) shall be provided on doors and windows. Screen doors shall be of a type or installed as approved by the State Fire Marshal.
31
ICF.....Does a clean bed with an adequate mattress satisfy the bed requirement for a patient room?
No
73615. Patients' Room Furnishings.
A clean and comfortable bed with an adequate mattress, pillow, blankets, bed linen, night stand, a comfortable arm chair and reading lamp shall be provided for each bed licensed.
32
ICF.....How often must individual progress notes for services provided in an physical therapy service unit be written?
weekly
73459. Physical Therapy Service Unit.
(c) A physical therapy service unit shall meet the following requirements:
(5) Progress notes shall be written and signed at least weekly by the physical therapist.
33
ICF.....In an Intermediate Care Facility what is the minimum daily average nursing hours per patient day?
1. 1
73319. Nursing Service--Staff.
(e) Each facility shall employ sufficient staff to provide a minimum average of 1.1 nursing hourper patient day.
34
ICF.....In the case where a LVN is the supervisor of health services, consultation shall be provided by a _______.
registered nurse
73319. Nursing Service--Staff.
(b) Facilities shall employ a registered nurse or licensed vocational nurse eight hours per day on the day shift, seven days per week. In case of facilities where a licensed vocational nurse serves as supervisor of health services, consultation shall be provided by a registered nurse, through formal contract, at regular intervals, but not less than four hours weekly.
35
ICF.....A Speech Pathologist must write progress notes at least ______________.
at least monthly
73479. Speech Pathology and/or Audiology Service Unit.
(c) A speech pathology and/or audiology service unit shall meet the following requirements:
(1) Health records shall include all pertinent information of patient history and background and a signed order for the service.
(2) Progress notes, including the patient's reaction to treatment and any change in condition, shall be written at least monthly and be signed by the speech pathologist and/or audiologist.
(3) Personnel policies shall define the duties of the speech pathology and audiology director and allied personnel in the speech and audiology service unit.
36
ICF.....No licensee shall discriminate or ________ in any manner against a patient or employee in its intermediate care facility on the basis or for the reason that such patient or employee or any other person has initiated or participated in any proceeding specified in these regulations.
retaliate
73727. Discrimination or Retaliation.
(a) No licensee shall discriminate or retaliate in any manner against a patient or employee in its intermediate care facility on the basis or for the reason that such patient or employee or any other person has initiated or participated in any proceeding specified in these regulations. A licensee who violates this provision is also subject under Section 1432 of the Health and Safety Code to a civil penalty of no more than five hundred dollars ($500).
37
ICF.....Do procedures pertaining to the transportation of linens need to be posted?
Yes
73663. Linen.
(a) A supply of linen shall be provided sufficient for not less than three complete bed changes for the facility's licensed capacity. Particular attention shall be given to assuring a supply of clean linen during and after weekends, holidays and other periods when laundry service is not available.
(b) There shall be written procedures posted pertaining to the handling, storage, transportation and processing of linens.
38
ICF.....In an Intermediate Care Facility, a 100 plus bed facility must have ____ square feet of storage.
1200 plus five square feet per bed for each bed over 100
73659. Storage.
(a) General and specialized storage space shall be maintained adequate to meet the needs of patients, for efficient operation of the facility and as required at the time of licensure. Storage shall not be permitted in air distribution chambers of heating, air conditioning or ventilating systems.
(b) Intermediate care facilities shall maintain combined general and specialized storage in accordance with the following schedule:
1-10 bed 11 square meters (120 square feet) minimum
11-100 beds 1.1 square meters (12 square feet) per bed
over 100 beds 111 square meters plus 0.5 square meters (1200 square feet plus five square feet) per bed for each bed over 100
39
ICF.....When must the Department be notified when construction, remodeling or alterations are done to the facility?
Within five days of the commencement
73607. Notice to Department.
The Department shall be notified, in writing, by the owner or licensee of the intermediate care facility, within five days of the commencement of any construction, remodeling or alterations to such facility.
40
ICF.....In an ICF menus must be posted at least _____ in advance.
three days
73333. Dietetic Service--Menus.
(a) Menus for regular and modified diets shall be written at least one week in advance, dated and posted in the kitchen at least three days in advance.
41
ICF.....In an Intermediate Care Facility the Mentally Disordered Special Rehabilitation Program Services _______ execute a Medi-Cal provider participation agreement.
must
73417. Special Rehabilitation Program Services--Mentally Disordered.
(4) Executed an approved Medi-Cal provider participation agreement.
42
ICF.....No more than ____ residents can occupy one room in an Intermediate Care Facility.
four
73611. Patient Rooms.
(b) Each resident shall be provided clean, comfortable and reasonably private living accommodations with no more than four residents occupying a room.
43
ICF.....Is a Class C violation subject to monetary civil penalties?
No
73717. Penalties.
(c) A class "C" violation is not subject to any monetary civil penalty. A notice of all such violations shall be issued and an appropriate plan of correction obtained at the time of completion of inspection.
44
ICF.....Speech pathologist is licensed by the ____________.
California Board of Medical Examiners
73109. Speech Pathologist.
"Speech pathologist" means a person licensed as a speech pathologist by the California Board of Medical Examiners.
45
ICF.....In an Intermediate Care Facility, patient rooms must have a minimum of ______ lumens of light delivered to reading or working surfaces.
30
73651. Lighting.
(c) All patient rooms shall have a minimum of 30 lumens of light delivered to reading or working surfaces and not less than 10 lumens of light in the rest of the room.
46
ICF.....In an ICF menus must be written at least _______ in advance.
one week
73333. Dietetic Service--Menus.
(a) Menus for regular and modified diets shall be written at least one week in advance, dated and posted in the kitchen at least three days in advance.
(b) If any meal served varies from the planned menu, the change shall be noted in writing on the posted menu in the kitchen.
(c) Menus shall provide a variety of foods in adequate amounts at each meal. Menus shall be different for the same day of consecutive weeks. If a cycle menu is used, the cycle shall be of no less than three weeks' duration and shall be revised quarterly.
(d) Menus shall be adjusted to include seasonal commodities.
(e) Menus shall be planned with consideration for cultural background and food habits of patients.
(f) A copy of the menu as served shall be kept on file for at least 30 days.
(g) Records of food purchased shall be kept for one year and available for review by the Department.
47
ICF.....When determining the amount of a civil penalty in a class "A" violation the _____ of the violation must be considered.
gravity
73717. Penalties. (a) The condition or practice constituting a class "A" violation shall be abated or eliminated immediately, unless a fixed period of time, as determined by the Department, is required for correction. A class "A" violation is subject to a civil penalty in an amount not less than one thousand dollars ($1,000) and not exceeding five thousand dollars ($5,000) for each and every violation. In fixing the amount of the civil penalty to be imposed for a class "A" violation, the district administrator, or his designee, shall consider:
(1) The gravity of the violation, which shall include:
(A) The degree of substantial probability that death or serious physical harm to a patient will result, and if applicable, did result, from the violation.
(B) The severity of serious physical harm most likely to result, and if applicable, that did result, from the violation.
(C)The extent to which the provisions of the applicable statutes or regulations were violated.
48
ICF.....In an Intermediate Care Facility does an application for plan review include a signature by the person designing the work or the owner of the work?
May be either the person designing the work or the owner of the work
73603. Application for Plan Review.
(a) .....the application shall:
(1) Identify and describe the work to be covered by the plan review for which the application is made.
(2) Describe the land on which the proposed work is to be done, by lot, block, tract or house and street address or similar description that will readily identify and definitely locate the proposed building or work.
(3) Show the present and proposed use or occupancy of all parts of the building or buildings.
(4) State the number of square meters (square feet) of floor area involved in new construction and in alterations.
(5) Give such other information as may be required by the Department for unusual design circumstances.
(6) Be signed by the person designing the work or the owner of the work.
49
ICF.....In an Intermediate Care Facility what type of plan must be developed to be used when a discontinuance or disruption of service occurs?
written
73553. Disruption of Services.
Each intermediate care facility shall develop a written plan to be used when a discontinuance or disruption of service occurs.
50
ICF.....The Department must be informed in writing _________whenever patients' health records are defaced or destroyed before termination of the required retention period.
immediately
73543. Patients' Health Records.
(d) The Department shall be informed in writing immediately whenever patients' health records are defaced or destroyed before termination of the required retention period.
51
ICF.....In an Intermediate Care Facility can gas sterilization be used to sanitize wash basins and bed pans?
Yes
73679. Disinfecting and Sterilizing.
(a) All facilities shall make provision for disinfection of contaminated articles or surfaces such as mattresses, linen, thermometers and oxygen tents.
(b) Equipment such as washbasins and bedpans shall be sanitized by one of the following methods:
(1) Submersion in boiling water for a minimum of 30 minutes.
(2) Autoclaving at 15 pounds pressure and 121 degrees C (250 degrees F) for 20 minutes.
(3) Gas sterilization. The use of chemicals is not approved as a substitute for the above methods.
52
ICF.....Under a unit dose medication system, a ______ hour supply must be maintained unless the medication is discontinued within _____ hours.
24, 24
73371. Pharmaceutical Service--Unit Dose Medication System.
There shall be at least a 24-hour supply of all patient medications on hand at all times, excepting those drugs which are to be discontinued within the 24-hour period. Drugs that are part of the system shall not exceed a 48-hour supply.
53
ICF.....In an ICF emergency, automatic restoration of power must be restored within _____seconds after a normal power failure.
10
73639. Emergency Lighting and Power System.
(d) The emergency lighting and power system shall be maintained in operating condition to provide automatic restoration of power for emergency circuits within 10 seconds after normal power failure.
54
ICF.....A Program Director must be available ____ hours per week in a Special Rehabilitation Program.
at least 40
73419. Special Rehabilitation Program Services--Staffing.
(a) At the time of program approval, the facility shall have employed a program director who has been approved by the Department. The program director shall be on duty at least 40 hours per week and shall have the responsibility for the supervision and coordination of the special program staff and implementation of the in-service training program. The program director shall not be the supervisor of health services, charge nurse or facility administrator.
55
ICF.....Perishable Foods must be maintained at ____ degrees Fahrenheit or below, or at 140 degrees Fahrenheit or above, at all times except during necessary periods of preparation and service.
45
73337. Dietetic Service--Food Storage.
(c) All readily perishable foods or beverages capable of supporting rapid and progressive growth of microorganisms which can cause food infections or food intoxication shall be maintained at temperatures of 7 degrees C (45 degrees F) or below, or at 60 degrees C (140 degrees F) or above, at all times, except during necessary periods of preparation and service. Frozen foods shall be stored at minus 18 degrees C (0 degrees F) or below at all times. There shall be a reliable thermometer in each refrigerator freezer and in storerooms used for perishable food.
56
ICF....Single resident rooms approved by the Department shall have a minimum floor area of _______square feet.
110
73611. Patient Rooms.
(a) Each patient room shall be labeled with a number, letter or combination of the two for identification.
(b) Each resident shall be provided clean, comfortable and reasonably private living accommodations with no more than four residents occupying a room.
(c) Residents shall be accommodated only in rooms approved by the Department with the following minimum floor area:
(1) Single rooms: 10 square meters (110 square feet)
(2) Multibed rooms: 7.5 square meters (80 square feet per bed)
57
ICF.....Is the transfer of gas by staff from one cylinder to another permitted?
No
73647. Gases for Medical Use.
(a) Gases for medical use covered by this section are: carbon dioxide, cyclopropane, ethylene, helium, nitrous oxide, oxygen, helium-oxygen mixtures and carbon dioxide-oxygen mixtures.
(b) Provision shall be made for safe handling and storage of medical gas cylinders.
(c) Transfer of gas by facility personnel from one cylinder to another shall be prohibited.
58
ICF.....Licensee shall notify the ____ for a change of address.
Department
73711. Filing of Names and Addresses.
(a) The licensee of each intermediate care facility shall file with the Department the address of the licensee to which all citations and notices concerning any class "A" or class "B" violations shall be mailed by the Department.
(b) Each such licensee shall also designate one or more persons who is authorized to accept on the licensee's behalf, any citations to be served by any representative of the Department.
(c) Each such licensee shall file with the Department the names or titles of those persons who are such designees of the licensee.
(d) Each such licensee shall also file with the Department a written notice of any change in address or of any change of designee. The Department shall mail all citations or notices to the latest address on file with the Department.
59
ICF.....In an Intermediate Care Facility who must approve the type and/or installation of screen doors?
State Fire Marshall
73657. Screens.
Where necessary to protect against flies and other insects, screens of six mesh per centimeter (16 mesh per inch) shall be provided on doors and windows. Screen doors shall be of a type or installed as approved by the State Fire Marshal.
60
ICF.....In an Intermediate Care Facility an activity leader must have satisfactorily completed _____ hours of Department approved training.
36
73385. Activity Program--Staff.
(d) The activity leader shall:
(1) Have two years experience in a social or recreational program within the past five years, one year of which was full-time in a patient activities program in a health care setting;
or
(2) Be an occupational therapist, art therapist, music therapist, dance therapist, recreation therapist or occupational therapy assistant; or
(3) Have completed at least 36 hours training in a course designated specifically for this position and approved by the Department.
61
ICF.....In an Intermediate Care Facility designated smoking areas will be under ______ observation when patients are smoking.
periodic
73509. Smoking.
(a) Patients shall not be permitted to smoke in bed except under observation.
(b) Patients shall be permitted to smoke only in areas so designated. Such areas shall be under periodic observation when patients are smoking.
(c) Smoking or open flame is prohibited in all rooms or spaces where oxygen is being administered or stored.
(d) No smoking signs shall be prominently posted in any room where oxygen cylinders are in use or stored.
62
ICF.....In an Intermediate Care Facility, a ______ request is needed for license suspension.
Written
73229. Voluntary Suspension of License, Service or Licensed Beds.
(a) Upon written request a licensee may request that a license, service or beds be put in suspense. The Department may approve the request for a period not to exceed 12 months.
(b) Any license or portion thereof which has been temporarily suspended by the Department pursuant to this section shall remain subject to all renewal requirements of an active license, including the payment of license renewal fees, during the period of temporary suspension.
(c) Any license suspended pursuant to this section may be reinstated by the Department within 12 months of the date of suspension, upon receipt of an application and evidence showing compliance with licensing operational requirements in effect at the time of reinstatement. If license is not reinstated within the 12-month period, the license shall expire automatically and shall not be subject to reinstatement.
63
ICF.....What is the civil penalty for retaliation?
No more than $500
73727. Discrimination or Retaliation.
(a) No licensee shall discriminate or retaliate in any manner against a patient or employee in its intermediate care facility on the basis or for the reason that such patient or employee or any other person has initiated or participated in any proceeding specified in these regulations. A licensee who violates this provision is also subject under Section 1432 of the Health and Safety Code to a civil penalty of no more than five hundred dollars ($500).
64
ICF.....Is dietary a required service?
Yes
Article 3. Services
73301. Required Services.
(a) Intermediate care facilities shall provide as a minimum, but shall not be limited to, the following required services: Physician, intermittent nursing, dietary, pharmaceutical and an activity program.
65
ICF.....In an Intermediate Care Facility vaporizer bottles on oxygen equipment shall be sterilized _____.
after each use
73647. Gases for Medical Use.
(f) Oxygen Equipment.
(1) Vaporizer bottles on oxygen equipment shall be sterilized after each use.
(2) Only sterile distilled water shall be used in vaporizer bottles.
(3) Vaporizer bottles shall be changed at least every 24 hours.
66
ICF.....In an Intermediate Care Facility, one purpose of the rehabilitation service is ______________.
maximum reduction of physical disability
73489. Rehabilitation Service Unit.
(a) Rehabilitation service is a service ordered by a licensed healthcare practitioner acting within the scope of his or her professional licensure for the purpose of maximum reduction of physical and/or psychological disability and restoration of the patient to the highest possible functional level.
67
ICF.....When can an ICF have more patients or beds set up for use than the number for which it is licensed?
in case of emergency
73609. Patient Capacity.
(a) An intermediate care facility shall not have more patients or beds set up for use than the number for which it is licensed except in case of emergency when temporary permission may be granted by the Director or his designee.
68
ICF.....There shall be ___________ cleaning and culturing techniques posted near the equipment when hydrotherapy is offered.
written
73459. Physical Therapy Service Unit.
(c) (6) When hydrotherapy is offered, there shall be written cleaning and culturing techniques posted near the equipment.
69
ICF.....Who can admit a patient to an ICF?
a licensed healthcare practitioner acting within the scope of his or her professional licensure
73517. Admission of Patients
(a) The licensee shall:
(1) Admit a patient only on orders of a licensed healthcare practitioner acting within the scope of his or her professional licensure.
(2) Accept and retain only those patients for whom it can provide adequate care.
(3) Admit each patient only after a preadmission personal interview according to the written policies of the facility, with the patient's licensed healthcare practioner acting within the scope of his or her professional licensure, referring health practitioner, the patient, the patient's next of kin and/or sponsor, as appropriate. A telephone interview may be substituted when a personal interview is not feasible.
70
ICF.....A freezer located at the nursing station in an Intermediate Care Facility must be at or below _____ degrees Fahrenheit.
20
73625. Nursing Stations.
(a) Nursing stations shall be maintained in each nursing unit or building.
(b) Nursing stations shall be maintained with a cabinet, a desk, space for records, a bulletin board, a telephone and a specifically designated and well-illuminated medicine storage compartment with a lockable door. If a separate medicine room is maintained, it shall have a lockable door and a medicine sink with water connections. If a nourishment refrigerator is used, the following standards shall apply:
(1) Be located in a clean area not subject to contamination by human waste and subject to the same conditions specified in Section 73337 (c).
(2) Maintain temperatures at or below 7 degrees C (45 degrees F) for chilling.
(3) Maintain freezer at or below minus 7 degrees C (20 degrees F).
71
ICF.....In an Intermediate Care Facility, telephone orders must be signed by the prescriber within _____ hours.
48
73313. Nursing Service--Drug Administration.
(h) Telephone orders shall be received only by a licensed nurse or pharmacist and shall be recorded immediately in the patient's health record and shall be signed by the prescriber within 48 hours.
72
ICF.....Within ____ days of filing the complaint, any attempt to expel a patient will raise a rebuttable presumption that such action was taken in retaliation.
120
73727. Discrimination or Retaliation.
(a) No licensee shall discriminate or retaliate in any manner against a patient or employee in its intermediate care facility on the basis or for the reason that such patient or employee or any other person has initiated or participated in any proceeding specified in these regulations. A licensee who violates this provision is also subject under Section 1432 of the Health and Safety Code to a civil penalty of no more than five hundred dollars ($500).
(b) Any attempt to expel a patient from an intermediate care facility or any type of discriminatory treatment of a patient by whom, or upon whose behalf, a complaint has been submitted to the Department or any proceeding instituted under or related to this article within 120 days of the filing of the complaint or the institution of such action, shall raise a rebuttable presumption that such action was taken by the licensee in retaliation for the filing
of the complaint.
73
ICF.....The information on a wristband must include: ____________________________ and __________________________.
name of the patient and name of the facility
73555. Patient Identification.
Each patient shall be provided with a wristband identification tag or other means of identification at all times unless the attending physician notes in the health record that the patient's condition would not permit such identification. Minimum information shall include the name of the patient and the name of the facility.
74
ICF.....What is the minimum number of nursing hours required per patient day in an intermediate care facility?
1. 1
73319. Nursing Service--Staff.
(e) Each facility shall employ sufficient staff to provide a minimum average of 1.1 nursing hours per patient day.
(1) Facilities which provide care for mentally disordered or developmentally disabled patients and in which licensed psychiatric technicians provide patient care shall meet the following standards:
(A) If patients are not certified for special treatment programs, facilities shall employ sufficient staff to provide a minimum average of 1.1 nursing hour per patient day.
(B) For patients certified for special treatment programs, facilities shall employ sufficient staff to provide a minimum average of 0.7 nursing hour per patient day for each patient certified to the special treatment program, exclusive of additional staff required to meet the staffing standards of the special treatment program.
75
A licensed ________ _________ may serve as a charge nurse only in a special disability unit and only under the supervision of a registered nurse or licensed vocational nurse.
psychiatric technician
76
ICF: Social Work Service Unit (Optional)
Each patient within ______ _____ after admission shall be interviewed and a social work assessment completed
five days
77
ICF: Occupational Therapy
The minimum floor area shall be ___ square meters (___ square feet), no dimension of which shall be less than 3.7 meters (__ feet).
28 square meters (300 square feet), no dimension of which shall be less than 3.7 meters (12 feet).
78
Intermediate care facilities having a licensed bed capacity of __ or more beds shall maintain a central supply and sterilizing area
60
Title 22: 4 ICF
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