Section 82077.4 - Care for Clients with Incontinence(a) A licensee may accept or retain a client who has bowel and/or bladder incontinence.(b) If a licensee accepts or retains a client who has bowel and/or bladder incontinence, the licensee is responsible for all of the following: (1) Ensuring that incontinent care products appropriate to the needs of a client are used whenever they are needed.(2) Ensuring that a client who can benefit from scheduled toileting is assisted or reminded to go to the bathroom at regular intervals rather than being diapered.(3) Assisting a client with self-care.(4) Ensuring that a client is kept clean and dry, and that the day program remains free of odors.(5) Ensuring that, where prescribed, bowel and/or bladder programs are designed by a licensed professional or designee. The person designing the program must have training and experience in care of persons with bowel and/or bladder dysfunction and development of retraining programs for establishing normal patterns of continence.(A) The licensee shall ensure that a client is assisted with a structured bowel and/or bladder retraining program if one has been designed.(B) The licensee shall ensure that staff responsible for implementing the program receive training from the licensed professional or his/her designee who designed the program.(C) The licensee obtains from the licensed professional or his/her designee written instructions to staff outlining the procedures and shall document the names of staff who received the training.(D) The licensee shall ensure that the licensed professional or his/her designee evaluates the effectiveness of the program and staff as the licensed professional or designee deems appropriate, but at least annually.(6) Ensuring that the condition of the skin exposed to urine and stool is evaluated regularly to ensure that skin breakdown is not occurring.(7) Ensuring privacy when care is provided.(8) Providing needed incontinence supplies when the client or a third party is unable to do so.(9) Ensuring that fluids are not withheld to control incontinence.(10) Ensuring that a client is not catheterized to control incontinence for the convenience of the licensee or program staff.(11) The licensee shall obtain a change of clothing from a client in case clothing becomes wet or soiled.(12) After each incontinent elimination, washcloths, towels, soiled bedding, clothing, and any cloths used for cleansing shall be placed in a sealed container and shall be laundered and sanitized.(13) Disposable diapers, panty shield products, and disposables used for cleansing shall be disposed of in a sealed bag.Cal. Code Regs. Tit. 22, § 82077.4
1. New section, including renumbering of portions of former section 82588 to new subsections 82077.4(b)(11)-(13), filed 12-13-2006; operative 1-12-2007 (Register 2006, No. 50). Note: Authority cited: Sections 1530 and 1530.1, Health and Safety Code. Reference: Sections 1501, 1502 and 1507, Health and Safety Code.
1. New section, including renumbering of portions of former section 82588 to new subsections 82077.4(b)(11)-(13), filed 12-13-2006; operative 1-12-2007 (Register 2006, No. 50).