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GIFT OF




State Boanfor C.haritie$ aji^, Corrections



vy ~i f\ r\

'lules and Regulations

Governing Maternity Hospitals and Homes



Compiled and published by the

California State Board of Charities
and Corrections

995 Market Street, San Francisco
1018 Pacific Finance Building, Los Angeles



:



September, 1922



California State Printing Office
Sacramento, California



21117



LAW GOVERNING L!-GJENSK AND SUPHR-.

\ VISION OF MATEKNIT.Y HGSF!TAL.S. MND
HOMES BY THE CALIFORNIA STATE
BOARD OF CHARITIES AND COR-
RECTIONS.

CHAPTER 69, STATUTES 1913.

An act to provide for the licensing, inspecting
and regulating of maternity hospitals or
lying-in asylums, and institutions, boarding
houses and homes for the reception and care
of children, by the state board of charities
and corrections, and providing a penalty for
the violation of the provisions of this act.

[Approved April 23, 1913. In effect August 10,
1913.]

The people of the State of California do enact as
follows:

SECTION 1. No person, association, or cor-
poration shall hereafter maintain or conduct in
this state any maternity hospital or lying-in
asylum where females may be received, cared
for or treated during pregnancy, or during or
after delivery ; or any institution, boarding
house, home or other place conducted as a place
for the reception and care of children, without
first obtaining a license or permit therefor, in
writing, from the state board of charities and
corrections, such permit or license once issued
to continue until revoked for cause after a
hearing.

>SBC. 2. The state board of charities and cor-
rections is hereby authorized to issue licenses
or permits to persons or associations to conduct
maternity hospitals, lying-in asylums, or homes
for children, as provided in section one of this
act, and to prescribe the conditions upon which
such licenses or permits shall be granted, and
such rules and regulations as it may deem best
for the government and regulation of maternity
hospitals, lying-in asylums and institutions,
boarding houses, or homes for the reception and
care of children, and said board is further
authorized, by one or more of its members, sec-
retary, or duly authorized representative, to

3

a-21117



and t ^!"*! w*T>$n *the conditions prevail-!
In.*; 1 11 SIH^*I fiijiti<iins.

""* 3. Any persSn whp maintains or con-(
"nTjig or conducting as
9 maternity hospital/
^tistitution, boarding
house, home or other place conducted as a
pi, i ro for the reception and care of children, or
who keeps at any such place any child under the
age of twelve years, not his relative, apprentice
or ward, without first having obtained a license
or permit therefor in writing, as provided in
section one of this act, shall be punished upon
conviction by imprisonment in the county jail
for not more than one year, or by a fine not to
exceed five hundred dollars, or both a fine and
imprisonment may be imposed at the discretion
of the court.



RULES AND REGULATIONS FOR
THE GOVERNMENT OF MATER-
NITY HOSPITALS AND HOMES.

In accordance with Chapter CO, Statutes 11)13.

Definitions.

Any place into which women are received
to be cared for before, during 1 or after
parturition shall be considered as a maternity
hospital or home.

Institutions caring for maternity patients are
classified as follows, according to equipment :

Class A. Separate class A building with com-
plete equipment caring for maternity patients
only.

Class B. Hospital with maternity depart-
ment with fully equipped delivery room and
nursery.

Class C. General hospital with either deliv-
ery room or nursery and general hospital using
the operating room for delivery.

For rules and regulations for Class A, B and
C maternity hospitals, see page C.

Class D. Private homes.

For rules and regulations for Class D private
maternity homes, see page 13.



RULES AND REGULATIONS GOVERNING
'- '. * ; /-MAVK^RNITY/HpSLPITALS.

'(Classes* A, B and C.)



Granting and revoking license.

1. All maternity hospitals and homes are re-
quired, in accordance with Section 3, Chapter
69, Statutes 1913, to secure the license of the
State Board of Charities and Corrections, and
to conform to the standards set by that board.

2. Application for license must be made on
blanks furnished by the State Board of Chari-
ties and Corrections.

3. Every applicant must have the approval of
the local board of health or health officer.

4. Every licensee shall post his license in a
conspicuous place.

5. Any change of ownership, management,
location or name shall be promptly reported to
the State Board of Charities and Corrections.
When any such change is contemplated an appli-
cation for a new license shall be made. In
such instance the new license may be granted
on surrender of the license held.

6. No greater number of women and infants
shall be cared for at one time on such premises
than is authorized by the license and no women
or infants shall be kept in a building or place
not designated in the license.

Physical equipment.

1. All rooms and wards occupied by patients
shall be outside rooms and the window space
shall not be less than one-fifth of the floor space.

2. The rooms and wards shall be of sufficient
size to allow not less than 800 cu. ft. of air space
and 100 sq. ft. of floor space for each- adult
patient and 250 cu. ft. of air space for each
infant therein. Ventilation shall conform with
state housing laws.



3. All plumbing, drainage and other arrange-
ments for the disposal of excreta and household
waste shall be in accordance with the rules and
regulations of the State Board of Health and
local health ordinances.

4. Toilets and hoppers shall be properly and
adequately ventilated to the external air.

5. In order that the heating of all rooms shall
be safe and adequate no gas stove shall be used
which is not directly connected with an outside
flue and all gas connections should be of metal
piping.

6. Fire protection shall be according to the
rules and regulations of the local fire commis-
sion or city ordinance and the rules and regula-
tions of the State Board of Charities and
Corrections. These standards will be furnished
with the application.

7. Provision for isolation of contagious dis-
eases shall be made.

8. There shall be sanitary equipment for
thorough bathing of patients and infants.

9. An adequate supply of clean' bedding, body
linen and towels shall be kept on hand at all
times.

Bed pan sterilizers are recommended for hos-
pitals. A separate bed pan marked for use of
individual patients is strongly advocated.

Delivery room.

1. A delivery room shall be provided ; it must
be ready at all times and used for no other
purpose.

2. The floors, walls and ceiling shall be of
such material as will permit of being easily
washed. Provision must be made for steriliza-
tion of water, basins, instruments and dressings.
There shall be running water with a properly
trapped and vented basin.

3. The delivery room shall be furnished with
a delivery table or bed, instrument table, irri-
gating apparatus, basins and pitchers. There
shall be an ample supply of sterile linen and

7



. Drugs ordinarily needed for use

shall In- kept in i he nn;in at all times.

I. Tw.i infants' tulis shall be provided for
resnsritation in delivery room.

.". Kvery infant shall be marked for identifi-
caiii n before il is taken from delivery room.

Nursery.

1. A separate room for a nursery shall be
provided.

2. Infants' cribs or baskets shall have firm,
clean mattresses, covered with rubber sheeting
and xvashaltlc pads. Clean woolen blankets shall
IK- used. There shall be a separate bed for each
infant.

3. It is recommended that the nursery be
provided with stationary bathing facilities, a
properly protected dressing table and correct



4. The nursery shall be heated and ventilated.
V A wall thermometer must be provided in order
to be sure that an even temperature is main-
tained.

."i. A covered container for soiled linen shall
be provided.

G. A dressing tray shall be set up at all times.
The following articles are recommended in
dressing and caring for infants : Sterile gauze,
absorbent cotton, medium and small safety pins,
bottle of alcohol, a bar of pure mild soap, a
proper lubricant (albolene or olive oil), boric
acid solution, pure powder, abdominal binder for
infant.

7. Bottles and nipples shall be properly
sterilized after each use.

8. A minimum of one doz-en diapers per child
sli a 11 be provided for each 24 hours. Freshly
laundered diapers only shall be used.

9. If hot water bags are ordered by physician,
they must be covered with a flannel bag before
being placed in the crib, and must not come in
direct contact with the baby's body.



Care of patients.

1. Immediately upon the beginning of labor, a
loyally qualified physician shall be notified and
shall be present and in attendance at the time of
birth.

2. The eyes of all new born infants shall be
treated immediately after birth with a one per
cent solution of nitrate of silver, two drops in
each eye, or with other approved solution and
during the first few days cleansed daily with
saturated boric acid solution. Ampoules of ni-
trate of silver solution may be obtained free of
charge by charitable institutions upon applica-
tion to State Board of Health, 713 Wells Fargo
Building, San Francisco, or 821 Pacific Finance
Building, Los Angeles.

3. Attention is called to Chapter 724, Stat-
utes 1915, which requires the reporting of red-
dened or inflamed eyes of an infant, within
two weeks after birth, to the local health officer
of the county or municipality within which the
mother of such infant resides.

4. If the child is kept in the hospital and is
not breast fed by the mother, the feeding and
selection of food, shall be under the direction of
a registered physician. If a wet-nurse is pro-
vided, she shall meet the approval of the
physician. Whenever advisable the mother shall
be urged to nurse her child.

5. Each maternity hospital shall employ at
least one graduate nurse.

6. Any patients afflicted with a venereal or
other communicable disease shall be properly
isolated in a separate room and all necessary
precautions taken to prevent the spread of such
disease to other persons.

Disposal of child.

1. Attention is called to section 224 of the
Civil Code in accordance with which a child not
retained by the mother must be legally
relinquished before it can be adopted. This

9



relinquishment must be expressed in writing,
signed and acknowledged before an officer
authorized to take acknowledgments, or before
the secretary of one of the organizations men-
tioned below. Before adoption can take place a
copy of the relinquishment must be filed with
the State Board of Charities and Corrections.

2. Attention is called to Chapter 569, Stat-
utes 1911, providing for the supervision and
control by the State Board of Charities and
Corrections of the placing of dependent children
into homes, which makes it a misdemeanor for
any person, association or society to engage in
the work of placing children into homes without
a license from the State Board of Charities and
Corrections. The following agencies have been
licensed to place dependent children into homes
and to arrange for adoption :

Berkeley Welfare Society, 2120 Grove street,
Berkeley.

Children's Home Society, 919 E. Twenty-fifth
street, Los Angeles.

Children's Home Society (Branch), 3491
Sixty-sixth street, Oakland.

Catholic Ladies' Aid Society, City Hall, Oak-
land.

Oakland Associated Charities, City Hall, Oak-
land.

Little Children's Aid>, 995 Market street, San
Francisco.

^ Children's Agency of the Associated Chari-
ties, 1500 Jackson street, San Francisco.

Eureka Benevolent Society, 436 O'Farrell
street, San Francisco.

Native Sons' and Daughters' Central Com-
mittee on Homeless Children, 955 Phelan Build-
ing San Francisco, 322 N. Van Ness avenue, Los
Angeles.

3. Each licensee shall use due diligence to
prevent the abandonment of children, which is,
according to section 270-271 and 271-a of the
Penal Code, a penal offense.

4. A licensee shall not be permitted to adver-
tise that he will procure the adoption of children

10



or to hold out inducements to mothers to part
with their offspring.

5. Maternity hospitals shall report on the
usual report forms to the State Board of Chari-
ties and Corrections within twenty-four hours
the name and address of any person other than
a parent or relative, by blood or marriage, or .
the name and address of the organization or
institution into whose custody a child is given
on discharge from the licensed premises.

Records.

1. Every licensee must have a register
wherein he shall enter the name and address of
every maternity patient, the date of admission
and discharge of every patient, the name and
sex of every child born or boarded on the
premises, the date of every birth, the legitimacy
or illegitimacy of every child, the name and resi-
dence of the father, the date of removal of the
child, the name and address of the person taking
it away, and, if relinquished by the mother, the
date of relinquishment, the name and address
of the person to whom the child is relinquished,
and the reasons therefor ; and if adopted, the
date of adoption, the name of the person sign-
ing the consent to adoption, and the name and
address of the person adopting the child.
Every admission, discharge, birth, death, relin-
quishment or adoption must be recorded in the
register within twenty-four hours after its
occurrence.*



*The State Board of Charities and Corrections
does not furnish the maternity hospital regis-
ter, it merely prescribes the form. A book may
be obtained from A. Carlisle and Co., 251 Bush
street, Schwabacher, Prey and Company, 611
Market street, or H. S. Crocker, 565 Market
street, San Francisco, and from Morris and Le
Leviere, 218 New High street, Dos Angeles.
These forms are kept in duplicate, the per-
forated sheets to be removed and sent to the
office of the State Board of Charities and Cor-
rections, as the semi-annual report. The car-
bon copy remains permanently bound for the
hospital record.

11



2. A somi-annual report, which shall be an
exact transcript of this register, shall be made
!<> tli.- SIMM- Px.anl of Charities and Corrections,
!!!)." Market street, San Francisco, January 1
;nnl July 1 of each year.

.">. A detailed medical record of mothers' and
infants' physical condition shall be maintained.
< Sample forms provided by State Board of
Charities and Corrections, upon request.)

4. It is recommended that all orders from
physicians regarding mothers and infants be
written in ink on charts OT in order book.

5. It is recommended that attending physician
examine mother and infant on day of discharge
and attach signature to statement of findings.

(). All births and deaths must be reported
promptly to the local authorities by the attend-
in - physician. (See Political Code, Section 3077,
Chapter 378, Statutes 1915.)

Inspections.

The proprietor or person in charge of a
maternity hospital shall give the inspectors of
the State Board of Charities and Corrections all
information required and shall afford them every
facility fcr examining the records, inspecting the
premises, and seeing the inmates, and inquire
into all matters concerning such hospital or
house and the inmates thereof.



12



RULES AND REGULATIONS GOVERNING
MATERNITY HOMES.

(Class D.)



No private maternity home shall receive at
any one time more than three patients. No
other type of patient shall be eared for in this
home. Delivery shall take place in a room with
washable walls, ceilings and floors.

Granting and revoking license.

1. All maternity homes are required, in ac-
cordance with Section 3, Chapter 60, Statutes
1913, to secure the license of the State Board of
Charities and Corrections, and to conform to
the standards set by the board.

2. Application for license must be made on
blanks furnished by the State Board of Chari-
ties and Corrections.

3. Every applicant must have the approval of
the local board of health or health officer.

4. Every licensee shall post his license in a
conspicuous place.

5. Any change of ownership, management,
location or name shall be promptly reported to
the State Board of Charities and Corrections.
When any such change is contemplated an appli-
cation for a new license shall be made. In
such instance the new license may be granted
on surrender of the license held.

6. No greater number of women and infants
shall be cared for at one time on such premises
than is authorized by the license and no women
or infants shall be kept in a building or place
not designated in the license.





Physical equipment.

1. All rooms occupied by patients shall be
outside rooms and the window space shall not*
be less than one-fifth of the floor space.

2. The rooms shall be of sufficient size to
allow not less than 800 cu. ft. of air space and
100 sq. ft. of floor space for each adult patient
and 250 cu. ft. of air space for each infant
therein. Ventilation shall conform with state
housing laws.

3. All plumbing, drainage and other arrange-
ments for the disposal of excreta and household
waste shall be in accordance with the rules and
n '-illations of the State Board of Health and
local health ordinances.

4. Toilets and hoppers shall be properly and
adequately ventilated to the external air.

5. In order that the heating of all rooms shall
be safe and adequate no gas stove shall be used
which is not directly connected with an outside
flue and all gas connections should be of metal
piping.

6. Fire protection shall be according to the
rules and regulations of the local fire commis-
sion or city ordinance and the rules and regula-
tions of the State Board of Charities and
Corrections. These standards will be furnished
with the application.

7. There shall be sanitary equipment for
thorough bathing of patients and infants.

8. An adequate supply of clean bedding, body
linen and towels shall be kept on hand at all
times.

A separate bed pan marked for use of indi-
vidual patients is strongly advocated.

The following equipment shall be provided:

For delivery.

1. Suitable table or hospital bed for delivery.

2. At least three pitchers.

3. Two basins.

4. Two tubs or large basins for resuscitation.

5. One pail for waste material.

14



6. Ample supply of sterile dressings, towels,
leggings, sheets.

7. Two nail brushes for doctor's use only;
should be boiled before and after using and kept
in a weak solution of bichloride of mercury, or
lysol, in a glass jar.

8. All linen should be marked and kept sepa-
rate for patients.

9. Wooden blocks 4? and 6 inches high shall
be provided for use in case of hemorrhage,
where surgical bed is not in use.

10. At the time of delivery plenty of hot and
cold sterile water (boiled for 20 minutes).

11. Facilities for sterilizing instruments shall
be provided.

12. The following supplies are recommended
to be kept on hand : Fl. extract of ergot, lysol,
bichloride tablets (blue), sterile cord tape and
blunt scissors, nitrate of silver (1%), or argyrol,
two pieces of linen tape.

For infant.

1. Separate cribs or baskets for babies clean
mattresses covered with rubber sheeting and
clean flannel blankets are to be used.

2. Correct scales for weighing infants.
3. Nitrate of silver one per cent solution.

4*. A tray or basket equipped with necessary
articles to be used in dressing and caring for
infants ; to contain sterile gauze, absorbent cot-
ton, medium and small safety pins, cotton appli-
cators, bottle of alcohol, a bar of pure mild soap,
a proper lubricant (albolene or olive oil), boric
acid solution, pure powder, abdominal binder for
infant.

5. If hot water bags are ordered by physician
they must be covered with a flannel bag before
being placed in the crib, and must not come in
direct contact with the baby's body.

(). All nursing bottles and nipples must be
boiled at least once a day, and individual nipples
must be provided for each child.

15



For mother.

1. Clean piece of rubber sheeting for each
patient's bed.

2. Individual bed pans marked with name of
patient.

3. Metal douche cans instead of rubber irri-
gating bags.

4. Glass tips and nozzles to be boiled before
and after using and kept in lysol solution.

5. Clinical thermometers ; to be washed in
alcohol before and after using.

Care of patients.

1. This board urges the attendance of a legally
qualified physician at all confinements. The law
permits midwifes to assist women only in cases
of normal child birth. (See Statutes 1917, Sec.
8, page 1)6.) In any but a normal case the
midwife must immediately call a legally qualified
physician.

2. The eyes of all new born infants shall be
treated immediately after birth with a one per
cent solution of nitrate of silver, two drops in
each eye, or with other approved solution and
during the first few days cleansed daily with
saturated boric acid solution. Ampoules of ni-
trate of silver solution may be obtained free of
charge by charitable institutions upon applica-
tion to State Board of Health, 713 Wells Fargo
Building, San Francisco, or 821 Pacific Finance
Building, Los Angeles.

3. Attention is called to Chapter 724, Stat-
utes 1915, which requires the reporting of red-
dened or inflamed eyes of an infant, within
two weeks after birth, to the local health officer
of the county or municipality within which the
mother of such infant resides.

4. If the child is kept in the home and is
not breast fed by the mother, the feeding and
selection of food, shall be under the direction of
a registered- physician. If a wet-nurse is pro-
vided, she shall meet the approval of the
physician. Whenever advisable the mother shall
be urged to nurse her child.

16



5. Any patients afflicted with a venereal or
other communicable disease shall be properly
isolated in a separate room and all necessary
precautions taken to prevent the spread of such
disease to other persons.

Disposal of child.

1. Attention is called to section 224 of the
Civil Code in accordance with which a child not
retained by the mother must be legally
relinquished before it can be adopted. This
relinquishment must be expressed in writing,
signed and acknowledged before an officer
authorized to take acknowledgments, or before
the secretary of one of the organizations men-
tioned below. Before adoption can take place a
copy of the relinquishment must be filed w r ith
the State Board of Charities and Corrections.

2. Attention is called to Chapter 569, Stat-
utes 1911, providing for the supervision and
control of the State Board of Charities and
Corrections of the placing of dependent children
into homes, which makes it a misdemeanor for
any person, association or society to engage in
the work of placing children into homes without
a license from the State Board of Charities and
Corrections. The following agencies have been
licensed to place dependent children into homes
and to arrange for adoption :

Berkeley Welfare Society, 2120 Grove street,
Berkeley.

Children's Home Society, 919 E. Twenty-fifth
street, Los Angeles.

Children's Home Society (Branch), 3491
Sixty-sixth street, Oakland.

Catholic Ladies' Aid Society, City Hall, Oak-
land.

Oakland Associated Charities, City Hall, Oak-
land.

Little Children's Aid, 995 Market street, San
Francisco.



17



Children's Agency of the Associated Chari-
ties, 1500 Jackson street, San Francisco.

Eureka Benevolent Society, 436 O'Farrell
street, San Francisco.

Native Sons' and Daughters' Central Com-
mittee on Homeless Children, 955 Phelan Build-
ing, San Francisco, 322 N. Van Ness avenue, Los
Angeles.

3. Each licensee shall use due diligence to
prevent the abandonment of the children, which
is, according to sections 270-271 and 271a of the
Penal Code, a penal offense.

4. A licensee shall not be permitted to adver-
tise that he will procure the adoption of children
or to hold out inducements to mothers to part
with their offspring.

5. Maternity hospitals and homes shall re-
port on the usual report forms to the State
Board of Charities and Corrections within
twenty-four hours the name and address of any
person other than a parent or relative by blood
or marriage, or the name and address of the
organization or institution into whose custody
a child is given on discharge from the licensed


1

Online LibraryCalifornia. State Board of Charities and CorrectioRules and regulations governing maternity hospitals and homes ... September, 1922 → online text (page 1 of 2)