Section 87894 - Resident Medical Assessments(a) Prior to or within 30 days of the acceptance of a resident, the licensee shall obtain a written medical assessment of the resident which enables the licensee to determine his/her ability to provide the necessary health-related services required by to the resident's medical condition. (1) Such assessment shall be performed by, or under the supervision of, a licensed physician, and shall not be more than three months old when obtained.(b) The medical assessment shall provide the following:(1) A record of any infectious or contagious disease which would preclude care of the person by the licensee.(2) A test for tuberculosis by:(A) Chest X-ray which was obtained no more than three months prior to placement; or,(B) Mantoux tuberculin skin test recorded in millimeters which was performed no more than three months prior to placement.(C) A person who has had a previously positive reaction shall not be required to obtain a Mantoux tuberculin skin test but shall only be required to obtain the chest x-ray results and a physician's statement that he/she does not have communicable tuberculosis.(3) A record of all prescriptions and over-the-counter medications being taken by the resident.(4) Identification of the resident's special medical problems.(5) Ambulatory status of the resident.(c) If the facility is unable to obtain the resident's medical assessment prior to placement, the licensee shall ensure that a Registered Nurse Case Manager completes the following before the person is placed: (1) A review of the person's health history to determine his/her ambulatory status.(2) A determination as to whether the person requires immediate health care which would preclude placement. (A) If it is determined that the person requires immediate health care, the licensee shall ensure that the person is referred to the appropriate health facility and that a medical assessment is performed.(3) For each person, obtain the results of a chest x-ray and Mantoux tuberculin skin test recorded in millimeters.(A) The chest x-ray and the Mantoux tuberculin skin test shall be obtained no more than three months prior to placement.(B) A person who has had a previously positive reaction shall not be required to obtain a Mantoux tuberculin skin test but shall only be required to obtain the chest x-ray results and a physician's statement that he/she does not have communicable tuberculosis.(d) The Mantoux tuberculin skin test shall be updated once per year, except for residents who have had a previously positive reaction. (1) If the resident's Mantoux tuberculin skin test results are positive, in order to remain in placement, the licensee shall ensure that the resident is examined by his/her physician and obtain a statement from the physician that he/she does not have communicable tuberculosis.(2) A resident who has had a previously positive reaction shall not be required to obtain a Mantoux tuberculin test but shall only be required to obtain the chest x-ray results and a physician's statement that he/she does not have communicable tuberculosis.(e) The Department shall have the authority to require the licensee to obtain a current written medical assessment, if such an assessment is necessary to verify the appropriateness of a resident's placement.(f) The licensee shall ensure that a current log is maintained for all residents which includes the dates and results of Mantoux tuberculin skin tests measured in millimeters and chest x-rays and the physician's statement verifying that the resident does not have communicable tuberculosis.Cal. Code Regs. Tit. 22, § 87894
1. New section filed 6-7-91 as an emergency; operative 6-7-91 (Register 91, No. 38). A Certificate of Compliance must be transmitted to OAL by 10-7-91 or emergency language will be repealed by operation of law on the following day.
2. New section refiled 12-3-91 as an emergency; operative 12-3-91 (Register 92, No. 9). A Certificate of Compliance must be transmitted to OAL 4-1-92 or emergency language will be repealed by operation of law on the following day.
3. Certificate of Compliance as to 12-3-91 order including amendment of section transmitted to OAL 4-1-92 and filed 5-13-92 (Register 92, No. 23).
4. Amendment of subsection (b)(2)(A) filed 11-4-96; operative 12-4-96 (Register 96, No. 45). Note: Authority cited: Section 1568.072, Health and Safety Code. Reference: Sections 1568.072 and 1568.08, Health and Safety Code.
1. New section filed 6-7-91 as an emergency; operative 6-7-91 (Register 91, No. 38). A Certificate of Compliance must be transmitted to OAL by 10-7-91 or emergency language will be repealed by operation of law on the following day.
2. New section refiled 12-3-91 as an emergency; operative 12-3-91 (Register 92, No. 9). A Certificate of Compliance must be transmitted to OAL 4-1-92 or emergency language will be repealed by operation of law on the following day.
3. Certificate of Compliance as to 12-3-91 order including amendment of section transmitted to OAL 4-1-92 and filed 5-13-92 (Register 92, No. 23).
4. Amendment of subsection (b)(2)(A) filed 11-4-96; operative 12-4-96 (Register 96, No. 45).