12 CCR s 503

Cal. Admin. Code tit. 12, s 503

CALIFORNIA CODE OF REGULATIONS
TITLE 12. MILITARY AND VETERANS AFFAIRS
DIVISION 2. DEPARTMENT OF VETERANS' AFFAIRS
CHAPTER 4. VETERANS' HOME OF CALIFORNIA
SUBCHAPTER 1. ADMINISTRATION
This database is current through 12/22/06, Register 2006, No. 51.
s 503. Definitions for Levels of Care.

Levels of Care at the Home - The Veterans Home is licensed by the State of
California Department of Health Services, and shall provide the following
levels of care:
(a) Residential (Domiciliary) - For self-sufficient residents who are able
to perform all the activities of daily living. Minimum personal care and
supervision shall be provided by non-nursing personnel. Access to medical
care shall be available at all times. Applications for direct admission
shall be accepted.

(b) Residential Care (Licensed) - For self-sufficient residents who, with
minimal assistance, are able to perform daily living activities. Potential
residents of this level are placed in Intermediate Care until their
physical capabilities for self-care have been evaluated. Applications for
direct admission are not accepted. Residential Care (Licensed) is not
available at the Veterans Home of California, Barstow. All residential
care will be in the domiciliary at the Barstow facility.

(c) Couple Housing - A veteran with a spouse who is or is not a veteran
shall be provided living arrangements to share. Such couples must
demonstrate that they are able to function on a mutually supportive basis.
In such cases, the spouse shall be provided the same medical benefits
within the Veterans Home as the veteran. Applications for direct admission
are accepted. There are no apartments for couples at the Veterans Home of
California, Barstow. Only double rooms for couple housing are available at
the Barstow facility.

(d) Social Rehabilitation - This program, through the Veterans Home
Alcohol Treatment Service, provides care for alcohol related problems.
Admission to and continued stay is dependent on the applicant's voluntary
dedication to sobriety and to an ongoing effort to overcome alcohol
addiction and upon the continuous participation in the programs provided.
Applicants shall sign an informed consent for treatment. The Veterans Home
shall use an additional questionnaire covering the applicant's history and
previous drinking pattern in the screening. Applications for direct
admission shall be accepted. No Alcohol Treatment Service is available at
the Veterans Home of California, Barstow.

(e) Intermediate Care - Provides, as set forth in Section 73051, Title 22,
CCR, skilled nursing and supervision on less than a continuous basis.
Applications for direct admission shall be accepted.

(f) Skilled Nursing Care - Provides skilled nursing and supportive care to
patients whose primary need is for this type of care on an extended basis.
It provides 24-hour in-patient care and includes medical, nursing,
dietary, pharmaceutical services and an activity program. No direct
admission to this level of care is allowed from outside sources except
when the Skilled Nursing Facility (SNF) occupancy rate is below 75%.

(g) Acute Hospital Care - Provides intensive care on a 24-hour in-patient
basis (medical, nursing, surgical, anesthesia, laboratory, radiology,
pharmacy and dietary services). No direct admission to this level of care
is permitted from outside sources. This care is for existing Veterans Home
members only. No acute hospital care exists at the California Veterans
Home, Barstow. Acute hospital care is provided at Barstow Hospital,
Victorville Community Hospital, or the United States Department of
Veterans Affairs Medical Center, Loma Linda.

Note: Authority cited: Sections 700 and 1044, Military and
Veterans Code. Reference: Sections 1011, 1012 and 1043, Military and
Veterans Code.

HISTORY

1. New section filed 1-13-92; operative 2-13-92 (Register 92, No. 12).

2. Change without regulatory effect amending subsections (b)-(d), (g) and
Notefiled 9-25-95 pursuant to
section 100, title 1, California Code ofRegulations (Register 95, No. 39).

3. Amendment of subsection (f) filed 10-8-2004 as an emergency; operative
10-8-
2004 (Register 2004, No. 41). A Certificate of Compliance must be
transmitted to OAL by 2-7-2005 or emergency language will be repealed by
operation of law on the following day.

4. Reinstatement of section as it existed prior to 10-8-2004 emergency
amendment by operation of Government Code section 11346.1(f) (Register
2005, No. 6).

5. Amendment of subsection (f) filed 2-16-2005 as an emergency; operative
2-16-
2005 (Register 2005, No. 7). A Certificate of Compliance must be
transmitted
to OAL by 6-16-2005 or emergency language will be repealed by operation of
law
on the following day.

6. Amendment of subsection (f) refiled 6-14-2005 as an emergency;
operative 6-
14-2005 (Register 2005, No. 24). A Certificate of Compliance must be
transmitted to OAL by 10-12-2005 or emergency language will be repealed by
operation of law on the following day.

7. Reinstatement of section as it existed prior to 2-16-2005 and 6-14-2005
emergency amendments by operation of
Government Code section11346.1(f) (Register 2006, No. 7).

12 CCR s 503, 12 CA ADC s 503
1CAC

12 CA ADC s 503

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