You may submit a request for any of the following records in accordance with applicable public records laws. The departments have included a direct link to some of the records; if there is no link for the record you are seeking, and/or you would like to request additional information regarding that record, please contact the department or division directly using the contact information provided for that specific record.

Laguna Honda Hospital (DPH)

http://lagunahonda.org

Ratified on:11/19/2018 2:10:49 PM

Department Contact:

Frances Culp

415-554-2795

frances.culp@sfgov.org

Accident (Or Incident) Reports (Subject to Civil Action)
Category:
Administrative Records
Remarks:
CAHHS Guide to Hospital Records Retention (& SFGH Policy)
Retention Type:
2 - Current
Retained On-Site:
6 years
Admission & Discharge Reports
Category:
Administrative Records
Remarks:
Administrative Decision
Retention Type:
3 - Storage
Retained Off-Site:
6 years
AOD Admin Manual
Category:
Administrative Records
Remarks:
CAHHS Guide, Title 22, 70733, retain period unspecified.
Retention Type:
2 - Current
Retained On-Site:
6+ years
Applied Pest Control
Category:
Administrative Records
Retention Type:
2 - Current
Retained On-Site:
6 years
Attendance Reports
Category:
Administrative Records
Retention Type:
2 - Current
Retained On-Site:
2 years
Attendance/Sign-In Sheets
Category:
Administrative Records
Remarks:
Administrative Decision
Division:
Retention Type:
2 - Current
Retained On-Site:
1 year
Biennial Controlled Substance. Inventory
Category:
Administrative Records
Remarks:
CFR 1304.04(a)
Division:
Retention Type:
2 - Current
Retained On-Site:
2 years
Billing Material
Category:
Administrative Records
Retention Type:
2 - Current
Retained Off-Site:
6 years
Budget Prep. Working Documents
Category:
Administrative Records
Remarks:
Division policy
Retention Type:
2 - Current
Retained On-Site:
12 mos
Bylaws
Category:
Administrative Records
Retention Type:
1 - Permanent
Retained On-Site:
Indefinitely
C.A. Claims Responses/Risk
Category:
Administrative Records
Remarks:
CAHHS Guide
Retention Type:
2 - Current
Retained On-Site:
6 years
Cash Receipts
Category:
Administrative Records
Retention Type:
2 - Current
Retained Off-Site:
6 years
Charge to Patients
Category:
Administrative Records
Retention Type:
2 - Current
Retained Off-Site:
6 years
City Memos Received
Category:
Administrative Records
Remarks:
Hospital Practice
Retention Type:
2 - Current
Retained On-Site:
2 years
Claims and Charges
Category:
Administrative Records
Retention Type:
2 - Current
Retained Off-Site:
6 years
Cleaning Records, Policies, and Procedure
Category:
Administrative Records
Retention Type:
2 - Current
Retained On-Site:
2 years
Clinics and Charges to Participants
Category:
Administrative Records
Retention Type:
2 - Current
Retained On-Site:
6 years
Combined Char. Comp. (Working Documents)
Category:
Administrative Records
Remarks:
Hospital Practice
Retention Type:
2 - Current
Retained On-Site:
2 years
Communicable Disease Reports to State and Local Health Departments
Category:
Administrative Records
Retention Type:
2 - Current
Retained On-Site:
3 years
Community Advisory Board Minutes
Category:
Administrative Records
Retention Type:
2 - Current
Retained On-Site:
2 years
Continuing Education Record
Category:
Administrative Records
Retention Type:
1 - Permanent
Retained On-Site:
Indefinitely
Contracts
Category:
Administrative Records
Retention Type:
2 - Current
Retained On-Site:
Life of contract plus 6 years
Controlled Substances Sign Out
Category:
Administrative Records
Remarks:
CFR 1304.04, 1304.24
Division:
Retention Type:
2 - Current
Retained On-Site:
3 years
Correspondence
Category:
Administrative Records
Retention Type:
2 - Current
Retained Off-Site:
6 years
Correspondence
Category:
Administrative Records
Retention Type:
2 - Current
Retained On-Site:
6 years
Correspondence - In-House
Category:
Administrative Records
Remarks:
Div. Practice
Retention Type:
2 - Current
Retained On-Site:
12 months
Correspondence - Out of Hospital
Category:
Administrative Records
Remarks:
CAHHS Guide
Retention Type:
2 - Current
Retained On-Site:
2 years
Correspondence- General
Category:
Administrative Records
Retention Type:
2 - Current
Retained On-Site:
2 years
Death Certificates
Category:
Clinical Records
Retention Type:
1 - Permanent
Retained On-Site:
Indefinitely
Diet Manual
Category:
Administrative Records
Retention Type:
2 - Current
Retained On-Site:
On going
Dietetic Service
Category:
Administrative Records
Remarks:
Title 22
Retention Type:
2 - Current
Retained On-Site:
2 years
Discontinued & Returned Drug Records
Category:
Administrative Records
Remarks:
Title 22, 72371
Division:
Retention Type:
2 - Current
Retained On-Site:
3 years
Drapery Cleaning
Category:
Administrative Records
Retention Type:
3 - Storage
Retained Off-Site:
life of contract, plus 6 years
Emergency Equipment Checklist
Category:
Administrative Records
Remarks:
Administrative Decision
Division:
Retention Type:
2 - Current
Retained On-Site:
2 years
Emergency Preparedness Plan
Category:
Administrative Records
Remarks:
CAHHS Guide
Retention Type:
2 - Current
Retained On-Site:
6+ years
Employee Health Records
Category:
Administrative Records
Remarks:
Title 22 S70723
Division:
Retention Type:
2 - Current
Retained On-Site:
5 Years
Employee Uniforms
Category:
Administrative Records
Retention Type:
2 - Current
Retained On-Site:
life of contract, plus 6 years
Employee's X-Ray Film
Category:
Clinical Records
Division:
Retention Type:
1 - Permanent
Retained On-Site:
Life
End of Month Report
Category:
Administrative Records
Remarks:
Administrative Decision
Division:
Retention Type:
2 - Current
Retained On-Site:
1 year
Food Cost
Category:
Administrative Records
Retention Type:
2 - Current
Retained On-Site:
2 years
Food Invoices
Category:
Administrative Records
Remarks:
Title 22
Retention Type:
2 - Current
Retained On-Site:
1 year
Grants - Hill Burton Related
Category:
Administrative Records
Remarks:
CAHHS Guide, 45 CFR, 7420, 7421
Retention Type:
2 - Current
Retained On-Site:
3 years
Hazard Communication Records (Pesticides)
Category:
Administrative Records
Retention Type:
3 - Storage
Retained Off-Site:
5 years
Health Inspections
Category:
Administrative Records
Remarks:
Title 22
Retention Type:
2 - Current
Retained On-Site:
5 years
Hospital Guide Policy and Procedures Manual
Category:
Administrative Records
Remarks:
CAHHS Guide, Title 22, 70733
Retention Type:
2 - Current
Retained On-Site:
6+ years
Infection Control
Category:
Administrative Records
Remarks:
Title 22 S70703
Division:
Retention Type:
2 - Current
Retained On-Site:
5 years
Inservice Education/Training
Category:
Administrative Records
Remarks:
Title 22 S71847
Division:
Retention Type:
2 - Current
Retained On-Site:
5 years
Inservice Records
Category:
Administrative Records
Remarks:
Title 22
Retention Type:
2 - Current
Retained On-Site:
6 years
Inspection Reports By Local, State or Federal Agents
Category:
Administrative Records
Retention Type:
2 - Current
Retained On-Site:
6 years
Laundry Chemicals
Category:
Administrative Records
Retention Type:
3 - Storage
Retained Off-Site:
life of contract, plus 6 years
Linen Supplies
Category:
Administrative Records
Retention Type:
3 - Storage
Retained Off-Site:
life of contract, plus 6 years
Mammography Quality Control Test Results
Category:
Clinical Records
Remarks:
FDA/MQSE 900.12
Division:
Retention Type:
2 - Current
Retained On-Site:
2 years
Meal Counts
Category:
Administrative Records
Retention Type:
2 - Current
Retained On-Site:
2 years
Medi-Cal Documents
Category:
Administrative Records
Remarks:
Title Calif. code 51476
Retention Type:
3 - Storage
Retained Off-Site:
5 years
Medical Device Reports and Records of Mdr Reportable Events
Category:
Administrative Records
Remarks:
Retain only if of continuing interes. Review annually
Retention Type:
2 - Current
Retained On-Site:
6 years
Medical Records
Category:
Clinical Records
Remarks:
Title 22, 78415
Retention Type:
2 - Current
Retained On-Site:
10 years
Medical Staff Applications, Rejected
Category:
Administrative Records
Retention Type:
1 - Permanent
Retained On-Site:
Indefinitely
Medical Staff Committee Reports, Including Minutes, Reports and Other Records
Category:
Administrative Records
Remarks:
Must include incident file containing record or oral and written communications relating to reportable events; must be clearly identified; must be kept at least 2 years
Retention Type:
1 - Permanent
Retained On-Site:
5 years
Retained Off-Site:
Indefinitely
Medical Staff Credentialing Files
Category:
Administrative Records
Retention Type:
1 - Permanent
Retained On-Site:
5 years
Retained Off-Site:
Indefinitely
Medical Staff P.O. Manual
Category:
Administrative Records
Remarks:
CAHHS Guide, Title 22, 70733
Retention Type:
2 - Current
Retained On-Site:
6+ years
Medicare Documents
Category:
Administrative Records
Remarks:
Medicare Hospital Manual
Retention Type:
3 - Storage
Retained Off-Site:
5 years
Memoranda Received
Category:
Administrative Records
Retention Type:
2 - Current
Retained On-Site:
Discretionary
Memoranda Sent
Category:
Administrative Records
Retention Type:
2 - Current
Retained On-Site:
2 years
Memorandum Received
Category:
Administrative Records
Retention Type:
2 - Current
Retained On-Site:
Discretionary
Memorandum Sent
Category:
Administrative Records
Retention Type:
2 - Current
Retained On-Site:
2 years
Menus
Category:
Administrative Records
Remarks:
Title 22
Retention Type:
2 - Current
Retained On-Site:
3 months
Minutes of Meetings
Category:
Administrative Records
Remarks:
Administrative Decision
Division:
Retention Type:
2 - Current
Retained On-Site:
5 years
Moving Services
Category:
Administrative Records
Retention Type:
2 - Current
Retained On-Site:
life of contract, plus 6 years
MPI
Category:
Clinical Records
Retention Type:
1 - Permanent
Retained On-Site:
Indefinitely
NAC Cards
Category:
Administrative Records
Remarks:
Title 22
Retention Type:
2 - Current
Retained On-Site:
10 years
Paper Products
Category:
Administrative Records
Retention Type:
2 - Current
Retained On-Site:
life of contract, plus 6 years
Patient Accounts
Category:
Administrative Records
Retention Type:
2 - Current
Retained Off-Site:
6 years
Patient Index Cards
Category:
Clinical Records
Retention Type:
1 - Permanent
Retained On-Site:
Indefinitely
Patient Medical Record-Adult
Category:
Clinical Records
Retention Type:
2 - Current
Retained Off-Site:
15 years after discharge and, if problem, until resolution.
Patient Medical Record-Minor
Category:
Clinical Records
Retention Type:
2 - Current
Retained Off-Site:
3 years after 18th birthday and not less than 15 years after dates of discharge and, if problem, until resolution.
Patient X-Ray Film
Category:
Clinical Records
Remarks:
Title 22 S70-751c
Division:
Retention Type:
2 - Current
Retained On-Site:
7 years after discharge or death
Permission to Release Information/Photograph
Category:
Administrative Records
Retention Type:
3 - Storage
Retained Off-Site:
15 Years
Personnel Records, Departmental
Category:
Administrative Records
Remarks:
Title 22 Cal. code request 70827
Retention Type:
2 - Current
Retained On-Site:
2 years
Policies & Procedures
Category:
Administrative Records
Remarks:
Administrative Decision
Division:
Retention Type:
2 - Current
Retained On-Site:
1 year after revision
Policy & Procedure Manual
Category:
Administrative Records
Remarks:
Administrative Decision
Retention Type:
2 - Current
Retained On-Site:
Discretionary
Policy & Procedures
Category:
Administrative Records
Remarks:
Title 22
Retention Type:
2 - Current
Retained On-Site:
Ongoing
Policy and Procedure Manuals
Category:
Administrative Records
Retention Type:
2 - Current
Retained On-Site:
Life of manual, plus 6 years
Prescriptions
Category:
Administrative Records
Remarks:
CFR 1304.04(f)
Division:
Retention Type:
2 - Current
Retained On-Site:
3 years electronic
Prop Q Orig. (Audit) Documents
Category:
Administrative Records
Remarks:
Discretionary
Retention Type:
2 - Current
Retained On-Site:
2 years
Publications (In-House)
Category:
Administrative Records
Retention Type:
1 - Permanent
Retained On-Site:
Indefinitely
Purchase Orders
Category:
Administrative Records
Retention Type:
3 - Storage
Retained Off-Site:
6 years
Radiation Reports (Film Badges)
Category:
Clinical Records
Division:
Retention Type:
1 - Permanent
Retained On-Site:
Indefinitely
Rate Schedules
Category:
Administrative Records
Retention Type:
2 - Current
Retained Off-Site:
6 years
Recall Records
Category:
Administrative Records
Remarks:
Internal Policy
Division:
Retention Type:
2 - Current
Retained On-Site:
3 years
Reports of Unusual Occurrences
Category:
Administrative Records
Retention Type:
2 - Current
Retained On-Site:
2 years, longer if continuing interest
Reports to H.C.
Category:
Administrative Records
Remarks:
Hospital Practice
Retention Type:
2 - Current
Retained On-Site:
6 years
Requisitions
Category:
Administrative Records
Retention Type:
2 - Current
Retained On-Site:
Discretionary
Safety Emergency Prep. Comm. Minutes
Category:
Administrative Records
Remarks:
CAHHS Guide
Retention Type:
2 - Current
Retained On-Site:
6 years
Smoking Comm. Min.
Category:
Administrative Records
Remarks:
CAHHS Guide
Retention Type:
2 - Current
Retained On-Site:
6 years
Soap, Cleaners and Disinfectants
Category:
Administrative Records
Retention Type:
3 - Storage
Retained Off-Site:
life of contract, plus 6 years
Staffing Pattern & Methodology
Category:
Administrative Records
Remarks:
Title 22 S70213
Division:
Retention Type:
2 - Current
Retained On-Site:
6 months
Statistics and Reports Departmental
Category:
Administrative Records
Retention Type:
2 - Current
Retained On-Site:
6 years
Statistics-Mssr
Category:
Administrative Records
Retention Type:
2 - Current
Retained On-Site:
6 years
Student Occupancy Agreement
Category:
Administrative Records
Remarks:
Division policy
Retention Type:
2 - Current
Retained On-Site:
12 mos
Surveys
Category:
Administrative Records
Retention Type:
2 - Current
Retained On-Site:
3 years
Temperature - Refer
Category:
Administrative Records
Remarks:
Title 22
Retention Type:
2 - Current
Retained On-Site:
2 years
Temperature - Storeroom
Category:
Administrative Records
Remarks:
Title 22
Retention Type:
2 - Current
Retained On-Site:
2 years
Temperature - Trayline
Category:
Administrative Records
Remarks:
Title 22
Retention Type:
2 - Current
Retained On-Site:
2 months
Transportation Logs
Category:
Clinical Records
Retention Type:
3 - Storage
Retained Off-Site:
3 years
Utilization Review Committee
Category:
Administrative Records
Retention Type:
2 - Current
Retained On-Site:
2 years
Ward Census Report
Category:
Administrative Records
Remarks:
Administrative Decision
Division:
Retention Type:
2 - Current
Retained On-Site:
2 years
Ward/Emergency Drug Inspection
Category:
Administrative Records
Remarks:
Title 22, 70263(f)
Division:
Retention Type:
2 - Current
Retained On-Site:
3 years
Welfare Agency Record
Category:
Administrative Records
Remarks:
Administrative Decision
Retention Type:
3 - Storage
Retained Off-Site:
7 years
Window Cleaning Service
Category:
Administrative Records
Retention Type:
2 - Current
Retained On-Site:
life of contract, plus 6 years
Work Order Agreement (Orig.)
Category:
Administrative Records
Remarks:
CAHHS guide, 42 CFR 420.302(d)
Retention Type:
2 - Current
Retained On-Site:
6 mos