Cal. Code Regs. tit. 9 § 865.3

Current through Register 2024 Notice Reg. No. 49, December 6, 2024
Section 865.3 - Documentation of Denial of Rights
(a) Each denial of a patient's/resident's right shall be noted in his treatment record. Documentation shall take place immediately whenever a right has been denied. The notation shall include:
(1) Date and time the right was denied.
(2) Specific right denied.
(3) Good cause for denial of right.
(4) Date of review if denial was extended beyond 30 days.
(5) Signature of the professional person in charge of the facility or his designee authorizing denial of right.
(b) The patient/resident shall be told of the content of the notation.
(c) Each denial of a right shall be documented regardless of the gravity of the reason for the denial or the frequency with which a specific right is denied in a partiular facility or to a particular individual.

Cal. Code Regs. Tit. 9, § 865.3