Section 1919 - Plan of Operation(a) An applicant shall submit a written plan of operation, as defined in Section 1919(c) of this article, as part of the application process for initial review and approval by the Department.(b) Any changes to a plan of operation, as described in subsection (c) shall be mailed or faxed to the Department within ten (10) calendar days of the change.(c) The plan of operation of a CTF, for the purposes of this chapter, shall include the following: (1) The philosophy and goals of the facility's mental health services program including the proposed average length of stay and criteria under which a briefer or longer stay would be authorized;(2) A description of the facility's proposed target population by range of age, gender, ethnicity, culture or special needs;(3) A description of the array of mental health treatment services that can be made available to a child during his placement within a CTF;(4) Written documentation demonstrating the proposed or existing facility's capability to provide those mental health services required by a child placed within the facility, to include: (A) Job descriptions and staffing patterns for the mental health program director, services team staff, and licensed mental health professionals who will be working directly with children in a CTF with appropriate documentation of the staff's cultural competence as described in Section 5600.2(g) of the Welfare and Institutions Code;(B) The name of the proposed mental health program director, with his professional license number, who shall be qualified in accordance with these regulations;(C) An organizational chart which lists functions and licenses, if applicable, of the administrative and licensed mental health professional staff and contracted licensed mental health professionals providing the interventions and services described in the provider's overall program plan;(D) A detailed staff development plan, describing staff orientation procedures, on-the-job training requirements and proposed continuing education activities;(5) Written policies and procedures for providing access to community resources to be utilized in the delivery of prescribed services, including medical and crisis intervention, inpatient psychiatric hospitalization and educational placements and classes as necessary;(6) Written policies, procedures and criteria for:(A) Recording daily observations and interactions with each child by CTF staff;(D) Psychotropic medication control;(E) The inclusion of the child and his parent or conservator in the development and implementation of an individualized needs and services plan, hereinafter referred to as NSP;(F) The monthly review of each child's NSP;(G) Physical restraint and seclusion;(H) Staff training to ensure due process rights of children while in the CTF;(I) Visitation and phone use;(J) Confidentiality pursuant to Section 5328.15 of the Welfare and Institutions Code;(K) Transitioning a child from a non-secure portion of the facility to a secure one and vice versa.(L) Proposed documents to be used to inform children and their parents or conservators of the above requirements;(7) A quality assurance program designed to enhance services and care through an objective assessment of the facility's overall program to ensure the correction of identified problems; (A) The quality assurance program shall include procedures for ensuring the accountability of the facility's licensed mental health professionals and child care staff for the services and care provided to children residing in the facility and for the implementation of any necessary changes.(8) A utilization review plan and program to monitor the appropriateness of a child's admission and continued stay or discharge to establish the basis for identifying and assessing the utilization of mental health program services and the continued need for placement; (A) The utilization review plan shall include a description of the procedures to be used by the facility staff to determine the placement or transfer of a child into either the secure or non-secure portion of the facility.(B) These procedures shall include documentation of approval of the proposed change of a child's placement within the facility by a licensed mental health professional.(9) A listing and copies of all agreements, contracts or memorandums of understanding with participating private or public mental health providers;(10) Detailed plans of the buildings and grounds, including the number of beds in the secure and non-secure portions of the facility, security features and procedures, proposed offices, staff areas, visitor areas, physical restraint and seclusion rooms, educational sites and outdoor recreational areas;(11) A proposed budget for the facility, including demonstration of sufficient funds or resources to ensure adequate start up activities and treatment services.Cal. Code Regs. Tit. 9, § 1919
1. New section filed 6-24-98; operative 7-1-98 pursuant to Government Code section 11343.4(d) (Register 98, No. 26).
2. Governor Newsom issued Executive Order N-55-20 (2019 CA EO 55-20), dated April 22, 2020, which suspended certain provisions related the operation of treatment and rehabilitation facilities that could restrict staffing flexibility, due to the COVID-19 pandemic. Note: Authority cited: Section 4094, Welfare and Institutions Code. Reference: Sections 4094 et seq. and 5600.2(g), Welfare and Institutions Code; and Section 1502, Health and Safety Code.
1. New section filed 6-24-98; operative 7-1-98 pursuant to Government Code section 11343.4(d) (Register 98, No. 26).