California Code of Regulations
Title 22 - Social Security
Division 6 - Licensing of Community Care Facilities
Chapter 3 - Adult Day Programs
Article 8 - Incidental Medical Services
Section 82092.8 - Diabetes
Universal Citation: 22 CA Code of Regs 82092.8
Current through Register 2024 Notice Reg. No. 38, September 20, 2024
(a) A licensee may accept or retain a client who has diabetes if all of the following conditions are met:
(1) The licensee is in compliance with Section 82092.1, General Requirements for Restricted Health Conditions.
(2) The client is mentally and physically capable of administering his/her own medication and performing his/her own glucose testing if applicable or a licensed professional administers the tests and injections.
(A) The licensed professional may delegate to trained program staff glucose testing provided all of the following conditions are met:
1. The blood glucose monitoring test is performed with a blood glucose monitoring instrument that has been approved by the federal Food and Drug Administration for over-the-counter sale.
2. The licensee ensures that program staff responsible for glucose testing receive training from a licensed professional as required by Section 82092.1(a)(5)(B).
3. Program staff comply with the instructions of the licensed professional regarding the performance of the test and the operation of the blood glucose monitoring instrument.
4. Program staff immediately notify the client's physician if the results are not within the normal range for the client.
5. The licensee ensures that the results of each blood glucose test performed by program staff are documented and maintained in the client's record.
(3) The licensee ensures that sufficient amounts of medicines, testing equipment, syringes, needles, and other supplies are maintained and stored at the program site.
(4) The licensee ensures that injections are administered immediately after a syringe is filled unless the client is using prefilled syringes prepared by a registered nurse, pharmacist or drug manufacturer.
(5) The licensee ensures that syringes and needles are disposed of in accordance with Title 8, California Code of Regulations, Section 5193.
(6) The licensee provides a modified diet as prescribed by a client's physician, as specified in Section 82076(a)(5). Any substitutions shall be made by the program dietitian or in consultation with a registered dietician or the client's physician or medical provider.
(A) Where food is provided, the licensee shall provide a modified diet as specified by the client's physician or family or primary caregiver.
(7) The licensee ensures that all program staff who provide care receive training in recognizing the signs and symptoms of hyperglycemia and hypoglycemia and in taking appropriate action for client safety.
(b) For clients who provide self-care, the licensee shall:
(1) Monitor the client's ongoing ability to perform his/her glucose testing and administer his/her medication in accordance with the physician's instructions; and
(2) Assist clients with self-administered medication, as specified in Section 82075, Health Related Services.
1. New section filed 12-13-2006; operative 1-12-2007 (Register 2006, No. 50).
Note: Authority cited: Sections 1530 and 1530.1, Health and Safety Code. Reference: Sections 1501, 1502 and 1507, Health and Safety Code.
Disclaimer: These regulations may not be the most recent version. California may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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