Section 81077.4 - Care for Clients with Incontinence(a) A licensee may admit or retain a client who has bowel and/or bladder incontinence.(b) If a licensee admits 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 the client are used whenever they are needed.(2) Ensuring that clients who can benefit from scheduled toileting are assisted or reminded to go to the bathroom at regular intervals rather than being diapered.(3) Assisting the client with self-care.(4) Ensuring that clients with incontinence are kept clean and dry, and that the facility 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 clients are assisted with a structured bowel and/or bladder retraining program if one has been designed for the client.(B) The licensee shall ensure that facility staff responsible for implementing the program receive training from the licensed professional or designee who designed the program.(C) The licensee obtains from the licensed professional or designee written instructions to facility staff outlining the procedures and shall document the names of facility staff who received the training.(D) The licensee shall ensure that the licensed professional or 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 with incontinence is not catheterized to control incontinence for the convenience of the licensee or facility staff.Cal. Code Regs. Tit. 22, § 81077.4
1. Change without regulatory effect adopting new section filed 1-5-2016 pursuant to section 100, title 1, California Code of Regulations (Register 2016, No. 2).
2. Amendment of subsections (a) and (b) filed 9-7-2017; operative 9-7-2017 pursuant to Government Code section 11343.4(b)(3) (Register 2017, No. 36). Note: Authority cited: Section 1530, Health and Safety Code. Reference: Sections 1501, 1502, 1507 and 1530, Health and Safety Code.
1. Change without regulatory effect adopting new section filed 1-5-2016 pursuant to section 100, title 1, California Code of Regulations (Register 2016, No. 2).
2. Amendment of subsections (a) and (b) filed 9-7-2017; operative 9/7/2017 pursuant to Government Code section 11343.4(b)(3) (Register 2017, No. 36).