重点内容：住户记录

法规原文（英文）

Each facility shall document in writing the findings of the pre-admission appraisal and any reappraisal or assessment which was necessary in accordance with Sections 87457, Pre-Admission Appraisal, and 87463, Reappraisals. If supporting documentation from a physician is required, this input shall also be obtained and may be the same assessment as required in Section 87458, Medical Assessment.Part 3, Page 143

法规原文（英文）

(a) The licensee shall ensure that a separate, complete, and current record is maintained for each resident in the facility or in a central administrative location readily available to facility staff and to licensing agency staff.Part 3, Page 143

(b) Each resident's record shall contain at least the following information: (1) Resident's legal name and preferred name, as indicated by the resident. (2) Social Security number. (4) Dates of admission and discharge. (6) Birthdate. (7) Religious preference, if any, and name and address of clergyman or religious advisor, if any. (10) Reports of the medical assessment specified in Section 87458, Medical Assessment, and of any special problems or precautions. (11) The documentation required by Section 87611 for residents with an allowable health condition.Part 3, Page 143

法规原文（英文）

(12) Ambulatory status.Part 3, Page 144

(14) Current centrally stored medications as specified in Section 87465, Incidental Medical and Dental Care Services.Part 3, Page 144

(15) The admission agreement and pre-admission appraisal, specified in Sections 87507, Admission Agreements and 87457, Pre-admission Appraisal.Part 3, Page 144

法规原文（英文）

(c) All information and records obtained from or regarding residents shall be confidential. (1) The licensee shall be responsible for storing active and inactive records and for safeguarding the confidentiality of their contents. The licensee and all employees shall reveal or make available confidential information only upon the resident's written consent or that of his designated representative.Part 3, Page 144

(d) All resident records shall be available to the licensing agency to inspect, audit, and copy upon demand during normal business hours. Records may be removed if necessary for copying. Removal of records shall be subject to the following requirements:Part 3, Page 144

法规原文（英文）

(1) Licensing representatives shall not remove the following current records for current residents unless the same information is otherwise readily available in another document or format: (A) Religious preference... (B) Name, address, and telephone number of responsible person(s)... (C) Name, address, and telephone number of the resident's physician and dentist... (D) Information relating to the resident's medical assessment and any special problems or precautions... (E) Documentation required for residents with an allowable health condition... (F) Information on ambulatory status... (G) Continuing record of any illness, injury, or medical or dental care... (H) Records of current medications... (I) Any other records containing current emergency or health-related information for current residents.Part 3, Page 145

(2) Prior to removing any records, a licensing representative shall prepare a list of the records to be removed, sign and date the list upon removal of the records, and leave a copy of the list with the administrator or designee. (3) Licensing representatives shall return the records undamaged and in good order within three business days following the date the records were removed.Part 3, Page 145

(e) Original records or photographic reproductions shall be retained for a minimum of three (3) years following termination of service to the resident.Part 3, Page 145

法规原文（英文）

(a) The licensee shall complete an individual written admission agreement, as defined in Section 87101(a), with each resident or the resident's representative, if any. (1) The text of the admission agreement, including any attachments and modifications, shall be: (A) Printed in black type of not less than 12-point type size, on plain white paper. The print shall appear on one side of the paper only. (B) Written in clear, understandable, coherent, and unambiguous language, using words with common and everyday meanings, and shall be appropriately divided with each section appropriately titled.Part 3, Page 146

(b) The licensee shall complete and maintain in the resident's file a Telecommunications Device Notification form (LIC 9158, 11/04) for each resident whose pre-admission appraisal or medical assessment indicates he/she is deaf, hearing-impaired, or otherwise disabled in accordance with Public Utilities Code sections 2881(a) and (c).Part 3, Page 146

(c) Admission agreements shall be signed and dated, acknowledging the contents of the document, by the resident or the resident's representative, if any, and the licensee or the licensee's designated representative no later than seven days following admission.Part 3, Page 146

(d) The licensee shall retain in the resident's file the original signed and dated admission agreement and all subsequent signed and dated modifications. (e) The licensee shall provide a copy of the signed and dated current admission agreement, and all subsequent signed and dated modifications, to the resident or the resident's representative, if any, immediately upon signing the admission agreement or modification. (1) The licensee shall provide blank copies of the most current approved admission agreement, modifications and attachments immediately to the public upon request. (2) The licensee shall conspicuously post in a location accessible to public view in the facility a complete copy of the approved admission agreement, modifications and attachments, or notice of their availability from the facility. (f) The licensee shall comply with all applicable terms and conditions set forth in the admission agreement, including all modifications and attachments.Part 3, Page 146

法规原文（英文）

(g) Admission agreements shall specify the following: (1) Basic services, as defined in Section 87101(b), to be made available. (2) Additional items and services which are available. (3) Payment provisions, including the following: (A) Rate for all basic services which the facility is required to provide in order to obtain and maintain a license. Basic services rate(s), including: 1. A comprehensive description of any items and services provided under a single fee, such as monthly fee for room, board and other items and services shall be listed.Part 3, Page 147

法规原文（英文）

(D) Payor of all items and services. (E) Due Date. (F) Funding source, provided that the resident may refuse to disclose such source. (G) A comprehensive description of billing and payment procedures. (H) A provision indicating that an itemized monthly statement that lists all separate charges incurred by the resident that are collected by the facility shall be provided to the resident or the resident's representative, if any.Part 3, Page 148

法规原文（英文）

(4) Modification conditions, including the requirement for the provision of at least 60 days prior written notice to the resident of any rate or rate structure change, or as soon as the licensee is notified of SSI/SSP rate changes.Part 3, Page 148.1

(a) If a licensee of a residential care facility for the elderly increases the rates of fees for residents or makes increases in any of its rate structures for services, the licensee shall provide no less than 60 days' prior written notice to the residents or the residents' representatives setting forth the amount of the increase, the reason for the increase, and a general description of the additional costs, except for an increase in the rate due to a change in the level of care of the resident.Part 3, Page 148.1

(b) No licensee shall charge nonrecurring lump-sum assessments... all increases in rates shall be to the monthly rate amortized over a 12-month period.Part 3, Page 148.1

法规原文（英文）

(a) For any rate increase due to a change in the level of care of the resident, the licensee shall provide the resident and the resident's representative, if any, written notice of the rate increase within two business days after initially providing services at the new level of care. The notice shall include a detailed explanation of the additional services to be provided at the new level of care and an accompanying itemization of the charges.Part 3, Page 148.2

(5) Refund conditions. (A) Facility policy concerning refunds, including the conditions under which a refund for advanced monthly fees will be returned in the event of a resident's death, pursuant to Health and Safety Code section 1569.652.Part 3, Page 148.2

法规原文（英文）

(a) A residential care facility for the elderly shall not require advance notice for terminating an admission agreement upon the death of a resident. No fees shall accrue once all personal property belonging to the deceased resident is removed from the living unit.Part 3, Page 148.3

(b) Upon the death of a resident, a licensee shall not impede the removal of the resident's personal property from the facility during reasonable hours by an individual or individuals authorized by the resident or the resident's responsible person, as identified in the admission agreement or attachment, or by a court-appointed executor or administrator of the decedent's estate, if applicable.Part 3, Page 148.3

(c) A refund of any fees paid in advance covering the time after the resident's personal property has been removed from the facility shall be issued to the individual, individuals, or entity contractually responsible for the fees or, if the deceased resident paid the fees, to the resident's estate, within 15 days after the personal property is removed.Part 3, Page 148.3

法规原文（英文）

(6) The Department or licensing agency's authority to examine residents' records as a part of their evaluation of the facility.Part 3, Page 148.6

法规原文（英文）

(7) The facility's policy concerning family visits and other communication with residents, pursuant to Health and Safety Code section 1569.313.Part 3, Page 148.7

Health and Safety Code section 1569.313 provides in part: "The facility's policy concerning family visits and communication shall be designed to encourage regular family involvement with the resident client and shall provide ample opportunities for family participation in activities at the facility."Part 3, Page 148.7

(8) General facility policies that are for the purpose of making it possible for residents to live together. (A) All facility policies shall be reasonable, and shall not violate any applicable rights, laws or regulations. (B) Procedures for residents to suggest changes to facility policies shall be specified. (C) All policies concerning the retention or prohibition of firearms by residents of the facility. 1. If the licensee permits residents to retain firearms at the facility, such firearms shall be stored in compliance with Health and Safety Code section 1569.282.Part 3, Page 148.7

(9) Notification of the availability of the facility grievance procedure(s) to address and resolve resident complaints regarding facility practices.Part 3, Page 148.7