CALIFORNIA CODE OF REGULATIONS - State of California

Page 677
TITLE 22. DIVISION 5 — LICENSING & CERTIFICATION OF HEALTH FACILITIES § 79705
in racks or baskets on nonabsorbent surfaces. Drying cloths shall not
be used.
(d) Results obtained with dish washing machines shall be equal to
those obtained by the methods outlined above and all dish washing
machines shall meet the most current requirements contained in
Standard No. 3 of the National Sanitation Foundation, which is hereby
incorporated by reference. Hot water at a minimum temperature of
83 0 C (180 0 F), shall be maintained at the manifold of the final rinse.
NOTE: Authority cited: Sections 208(a) and 1267.10(a), Health and
Safety Code. Reference: Sections 1250(j) and 1254, Health and Safety
Code.
§ 79699. Dietary Service Equipment, Space, and Supplies.
(a) Equipment of the type and in the amount necessary for the
proper preparation, serving and storage of food and for proper dish
washing shall be provided and maintained in good working order.
(b) All food shall be of good quality. Food in unlabeled, rusty,
leaking broken containers or cans with side seam dents, rim dents or
swells shall not be retained or used.
(c) Foods held in refrigerated or other storage areas shall be
covered. Liquids and foods which are prepared and not served shall
be tightly covered, clearly labeled and dated.
(d) Spoiled or contaminated food shall not be served.
(e) The dietetic service area shall be ventilated in a manner that will
maintain comfortable working conditions, remove objectionable
odors and fumes and prevent excess condensation.
(f) Persons other than dietetic service personnel shall not be
allowed in the kitchen areas unless required to do so in the
performance of their duties.
(g) Smoking shall not be permitted in kitchen areas.
(h) An office or other suitable space shall be provided for the
dietitian or dietetic service supervisor.
(i) Kitchen sinks shall not be used for hand washing. Separate hand
washing facilities with soap, running water, individual towels and
waste receptacles shall be provided.
NOTE: Authority cited: Sections 208(a) and 1267.10(a), Health and
Safety Code. Reference: Sections 1250(j) and 1254, Health and Safety
Code.
§ 79701. Dietary Service Staff.
(a) A dietitian shall be employed on at least a part–time or
consulting basis in all correctional treatment centers. A part–time
dietitian shall provide the number of hours of service in each calendar
month to meet the needs of the inmate–patients. Services shall be of
sufficient duration to ensure continuing liaison with medical and
nursing staffs, patient care counseling, approval of menus and
planning and conducting of in–service education programs.
(b) If a dietitian is not employed full time, a full time person who
is a graduate of a state approved course that provides 90 or more hours
of classroom instruction in food supervision shall be employed to be
responsible for the operation of the food service. The dietetic
supervisor may also cook, provided sufficient time is allowed for
managerial responsibilities.
(c) Staff (civilian and inmate workers) shall be employed, oriented,
and their working hours scheduled to provide for the nutritional needs
of inmate–patients and to maintain the dietetic service area.
(d) Dietetic service personnel shall be trained in basic food
sanitation techniques, shall be clean, wear clean clothing, including
cap or hair net, and shall be excluded from duty when affected by skin
infection or communicable diseases. Beards and mustaches which are
not closely cropped and neatly trimmed shall be covered.
NOTE: Authority cited: Sections 208(a) and 1267.10(a), Health and
Safety Code. Reference: Sections 1250(j) and 1254, Health and Safety
Code.
Article 4.
Optional Services
§ 79703. Optional Services.
(a) A correctional treatment center may provide the following
services:
(1) Laboratory.
(2) Radiology.
(3) Perinatal.
(4) Outpatient surgery.
(5) Mental health treatment program.
(6) Standby Emergency Medical Services.
(7) Any other services requested in writing and approved by the
state department in writing.
(b) A correctional treatment center may provide outpatient surgical
care with anesthesia if the correctional treatment center meets the
same requirements as a surgical clinic licensed pursuant to Section
1204 of the Health and Safety Code, except for the requirement that
patients remain less than 24 hours.
NOTE: Authority cited: Sections 208(a) and 1267.10(a), Health and
Safety Code. Reference: Sections 1250(j) and 1254, Health and Safety
Code.
§ 79705. Optional Services—Laboratory Services.
(a) Clinical laboratories shall be operated in conformance with the
California Business and Professions Code, Division 2, Chapter 3
(Sections 1200 to 1322, inclusive) and the California Code of
Regulations, Title 17, Division 1, Chapter 2, Subchapter 1, Group 2
(Sections 1030 to 1057, inclusive).
(b) The correctional treatment center shall maintain clinical
laboratory services and equipment for routine laboratory work such
as urinalysis, complete blood counts, and such tests necessary to meet
the needs of the correctional treatment center.
(c) The correctional treatment center shall maintain or make
provision for clinical laboratory services for performance of tests in
chemistry, microbiology, serology, hematology, pathology and blood
banking.
(d) Written policies and procedures shall be developed and
maintained by the physician responsible for the service in
consultation with other appropriate health professionals and
administration. Policies and procedures shall be approved by the
patient care policy committee, medical director, and the governing
body. Policies and procedures shall be reviewed annually.
(e) The responsibility and the accountability of the clinical
laboratory service to the medical director shall be defined.
(f) The director of the clinical laboratory shall assure that:
(1) Examinations are performed accurately and in a timely fashion.
(2) Procedures are established governing the provision of
laboratory services for outpatients.
(3) Laboratory systems identify the patient, test requested, date and
time the specimen was obtained, the time the request reached the
laboratory, the time the laboratory completed the test and any special
handling which was required.
(4) Procedures are established to ensure the satisfactory collection
of specimens.
(5) A communications system to provide efficient information
exchange between the laboratory and related areas of the correctional
treatment center is established.
(6) A quality control system within the laboratory designed to
ensure medical reliability of laboratory data is established. The results
of control tests shall be readily available in the correctional treatment
center.
(7) Reports of all laboratory examinations are made a part of the
inmate–patient’s medical record as soon as is practical.
(8) No laboratory procedures are performed except on the order of
a person lawfully authorized to give such an order.
(g) Tissue specimens, where obtained, shall be examined by a
physician who is certified or eligible for certification in anatomical
and/or clinical pathology by the American Board of Pathology or
possesses qualifications which are equivalent to those required for
certification. Oral specimens may be examined by a dentist who is
certified or eligible for certification as an oral pathologist by the
American Board of Oral Pathology. A record of their findings shall