State of California
Health and Human Services Agency
Department of Health Care Services
WRITTEN PROGRAM PLAN FOR SOCIAL REHABILITATION PROGRAMS
(To be included with application for program certification)
1)
Written medical psychiatric policies and practices in the health care and monitoring of medication of clients, as required
by Section 532.1.
2)
Financial records and financial plan of facility operations, as required by Section 533 (a)(2) and 533(d). Please include a
copy of the program or agency’s most recent financialaudit.
3)
Written description of range of program services offered, as required by Section 532.
4)
Length of stay of clients, as required by Section531.
5)
Written policy of arrangements with consultants and involvement of community resources for clients, as required by
Section 532.2(d) and (e).
6)
Written plan of supervision and in-service training of staff, as required by Sections 532.2(g), and 532.6(h) and (j).
7)
Statement of purposes, profile of program services and goals, as required by Section 533(a)(1).
8)
Statement of admission and discharge criteria, including policy and procedure for orienting new clients, as required by
Section 532.3(a), (b), and (c), include copy of admissionagreement.
9)
Organization chart.
10)
Ratios of clients to direct program staff include latest 2 weeks staffing schedule.
11)
Interdisciplinary professional staff resources and workschedules.
12)
Facility’s acknowledgment of, and procedures for implementation of client’s rights (Title 22, Section 72453).
13)
Statement of how clients are involved in the development and implementation of his/her treatment plan.
14)
It is the responsibility of the facility to update the Department of Health Care Services of any changes in the above
criteria within 30 days.
*All citations referenced are California Code of Regulations (CCR), Title 9 unless
otherwise indicated.
DHCS 1734 (05/19)
