{"ref":"CA-HC-SP-02","title":"Changes in Condition and Coordination with Family and Health Care Providers","category":"Service delivery","summary":"Requires aides to observe and report changes in a client's condition, home or needs within the time frames the Agency sets as its own standard, requires supervisors to respond, update the service plan and refer the client to a physician or licensed home health agency when needs move beyond non-medical care, and sets the rules for sharing information with family and health care providers.","inShort":["In an emergency, call 911 first, then the office.","Report suspected abuse or neglect at once, and make your own report as the law requires.","Report a fall, new pain, new confusion, fever or a missed medication by phone before you leave the home.","Report gradual changes and problems in the home the same day.","You observe and report. Never give medical advice or decide on treatment."],"primaryCitation":"Cal. Health & Safety Code §1796.12(n)","citations":["Cal. Health & Safety Code §1796.12(n)","Cal. Health & Safety Code §1725(b)","Cal. Health & Safety Code §1796.44(c)(2), (3)","Cal. Welf. & Inst. Code §15630","Cal. Penal Code §11166"],"federalCitations":[],"surveyorAsks":["What would an aide do if this client seemed more confused than usual today?","Show me a change in condition report and what the supervisor did about it."],"forms":[{"ref":"CA-HC-SP-02-A","title":"Change in Condition Report"}],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (Cal. Health & Safety Code §1796.12(n))","5. What Aides Report, and How Fast","6. How the Supervisor Responds","7. Reports from the Client, Family or Others","8. Coordinating with Family and Other Providers","9. When Needs Move Beyond Non-Medical Care","10. Changes That May Signal Abuse or Neglect","11. Responsibilities","12. Records and Compliance Monitoring","13. Staff Training","14. References","15. Related Policies and Forms","16. Approval","17. Revision History"],"version":"1.0","sample":false,"pack":"ca-hca","state":"California","service":"Home care","guides":[{"path":"/guides/home-care-agency-policies/","h1":"What policies does a home care agency need?"}],"agency":{"name":"Sample Agency","legalName":"Sample Agency, LLC","logo":null}}