Section 81068.3 - Modifications to Needs and Services Plan(a) The program director or an experienced staff person who has been trained in the development and modification of a needs and services plan shall, with the client's participation, update the needs and services plan specified in Section 81068.2.(b) The licensee shall ensure that each client's written Needs and Services Plan is updated as often as necessary to assure its accuracy, but at least annually. These modifications shall be maintained in the client's file.(c) If the licensee determines that the client's needs cannot be met, the licensee shall inform the client, and his/her authorized representative, if any, and the placement agency, if any, and request that the client relocate to a facility that can provide the needed services.(1) If the client refuses to relocate, the licensee may evict in accordance with Section 81068.5(d) The program director or staff person specified in (a) above shall, with the client's participation, review the treatment/rehabilitation plan according to the schedule set forth in California Code of Regulations, Title 9, Division 1, Chapter 3, Article 3.5, Section 532.2(c).(e) The program director shall ensure that the updated needs and services plan includes documentation of all changes in the client's physical, mental, emotional, and social functioning. (1) The program director shall ensure that all changes are considered when modifying the needs and services plan.(2) The program director shall ensure that all changes are brought to the attention of the client's physician, mental health professional, or authorized representative, if any.(f) If modifications to the plan identify an individual client need which is not being met by the program of services, the following requirements shall apply: (1) The program director shall secure consultation from a dietitian, physician, social worker, psychologist, or other consultant as necessary to assist in determining if such needs can be met by the facility within the facility's program of services.(2) If it is determined that the needs can be met, the program director, in conjunction with the consultant, shall develop and maintain in the facility a written services plan which shall include the following:(A) Objectives, within a time frame, which relate to the client s problems and/or needs;(B) Plans for meeting the objectives;(C) Identification of any individuals or agencies responsible for implementing and evaluating each part of the plan; and(D) Method of evaluating progress.(3) If it is determined that the needs cannot be met, the licensee shall bring this fact to the attention of the client and/or his/her authorized representative or mental health professional, if any, and request that the client relocate. (A) If the client refuses to relocate, the licensee shall be permitted to evict the client in accordance with Section 81068.5.Cal. Code Regs. Tit. 22, § 81068.3
1. New section filed 1-7-91; operative 2-2-91 pursuant to Government Code section 11346.2(d) (Register 91, No. 12).
2. Editorial correction of printing error in subsection (d) (Register 91, No. 32).
3. Change without regulatory amending section and NOTE filed 1-5-2016 pursuant to section 100, title 1, California Code of Regulations (Register 2016, No. 2). Note: Authority cited: Section 1530, Health and Safety Code. Reference: Sections 5670 and 5671,Welfare and Institutions Code; and Sections 1501, 1502(a)(7), 1507 and 1531, Health and Safety Code.
1. New section filed 1-7-91; operative 2-2-91 pursuant to Government Code section 11346.2(d) (Register 91, No. 12).
2. Editorial correction of printing error in subsection (d) (Register 91, No. 32).
a1 The reorganization of Chapter 2 is printed as a repealer and adoption for clarity.
3. Change without regulatory amending section and Note filed 1-5-2016 pursuant to section 100, title 1, California Code of Regulations (Register 2016, No. 2).