Section 1921 - Licensed Mental Health Treatment Staffing(a) A certificate holder shall employ sufficient numbers of licensed mental health professionals and licensed nursing staff.(b) All mental health professionals providing services in a CTF shall meet all professional licensing and certification requirements.(c) All program nursing services shall be provided by licensed nursing staff. Program nursing services shall include but not be limited to physical assessment, dispensing psychotropic medication, providing discipline, and monitoring seclusion and restraint.(d) All program nursing services shall be provided under the direction of a registered nurse who shall meet at least the following qualifications: (1) A master's degree in psychiatric nursing or related field with experience in administration; or(2) Two years of experience in psychiatric nursing; or(3) Two years of experience in nursing administration or supervision and one year of experience in psychiatric nursing.(e) A CTF shall not be required by the Department to have 24-hour onsite licensed nursing staff, but shall retain at least one full-time, or full-time equivalent, registered nurse onsite if both of the following are applicable: (1) The facility does not use mechanical restraint.(2) The facility only admits children who have been assessed, at the point of admission, by a licensed primary care provider and a licensed psychiatrist, who have concluded, with respect to each child, that the child does not require medical services that require 24-hour nursing coverage. For purposes of this section, a "primary care provider" includes a person defined in Section 14254 of the Welfare and Institutions Code, or a nurse practitioner who has the responsibility for providing initial and primary care to patients, for maintaining the continuity of care, and for initiating referral for specialist care.(f) Other medical or nursing staff shall be available on call to provide appropriate services, when necessary, within one hour.Cal. Code Regs. Tit. 9, § 1921
1. New section filed 6-24-98; operative 7-1-98 pursuant to Government Code section 11343.4(d) (Register 98, No. 26).
2. Change without regulatory effect repealing former subsection (e), adopting new subsections (e)-(f) and amending NOTE filed 4-29-2004 pursuant to section 100, title 1, California Code of Regulations (Register 2004, No. 18).
3. Change without regulatory effect amending subsection (e) and NOTE filed 8-26-2015 pursuant to section 100, title 1, California Code of Regulations (Register 2015, No. 35).
4. 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: Sections 4094, 10725 and 14700, Welfare and Institutions Code. Reference: Sections 4094 et seq. and 14254, 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).
2. Change without regulatory effect repealing former subsection (e), adopting new subsections (e)-(f) and amendingNote filed 4-29-2004 pursuant to section 100, title 1, California Code of Regulations (Register 2004, No. 18).
3. Change without regulatory effect amending subsection (e) and Note filed 8-26-2015 pursuant to section 100, title 1, California Code of Regulations (Register 2015, No. 35).