{"id":4057,"date":"2026-10-12T13:16:57","date_gmt":"2026-10-12T20:16:57","guid":{"rendered":"https:\/\/www.cdcr.ca.gov\/hcdom\/?post_type=dom&#038;p=4057"},"modified":"2026-10-12T13:16:58","modified_gmt":"2026-10-12T20:16:58","slug":"3-1-23-presence-of-a-chaperone-in-health-care-examinations","status":"publish","type":"dom","link":"https:\/\/www.cdcr.ca.gov\/hcdom\/dom\/chapter-3-health-care-operations\/article-1-complete-care-model\/3-1-23-presence-of-a-chaperone-in-health-care-examinations\/","title":{"rendered":"3.1.23 Presence of a Chaperone in Health Care Examinations"},"content":{"rendered":"\t<ul class=\"cdcr-dom-group-block\">\n\t\t\n\t<li class=\"cdcr-dom-item-block\">\n\t\t\t\t\t<p><strong>Policy<\/strong><br>California Correctional Health Care Services (CCHCS) shall ensure a Chaperone is present for a health care examination as required by law or policy.<\/p>\n\t\t\t\t\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block\">\n\t\t\t\t\t<p><strong>Procedure<\/strong><\/p>\n\t\t\t\t\n\t<ul class=\"cdcr-dom-group-block\">\n\t\t\n\t<li class=\"cdcr-dom-item-block\">\n\t\t\t\t\t<p><strong>Requirements for Presence of a Chaperone<\/strong><\/p>\n\t\t\t\t\n\t<ul class=\"cdcr-dom-group-block\">\n\t\t\n\t<li class=\"cdcr-dom-item-block\">\n\t\t\t\t\t<p>A Chaperone shall be present:<\/p>\n\t\t\t\t\n\t<ul class=\"cdcr-dom-group-block\">\n\t\t\n\t<li class=\"cdcr-dom-item-block\">\n\t\t\t\t\t<p>During health care examinations involving genitalia, rectum, or breast, except for mammography.<\/p>\n\t\t\t\t\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block\">\n\t\t\t\t\t<p>When requested by the patient or health care provider.<\/p>\n\t\t\t\t\t<\/li>\n\t\n\t<\/ul>\n\t\n\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block\">\n\t\t\t\t\t<p>A Chaperone shall not be required in an emergency when waiting may jeopardize patient safety.<\/p>\n\t\t\t\t\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block\">\n\t\t\t\t\t<p>Dental encounter requirements shall be governed pursuant to Health Care Department Operations Manual (HCDOM), Section <a href=\"https:\/\/www.cdcr.ca.gov\/hcdom\/dom\/chapter-3-health-care-operations\/article-3-dental-care-5-dental-clinic-operations\/3-3-5-13-access-to-care\/\" data-type=\"link\" data-id=\"https:\/\/www.cdcr.ca.gov\/hcdom\/dom\/chapter-3-health-care-operations\/article-3-dental-care-5-dental-clinic-operations\/3-3-5-13-access-to-care\/\">3.3.5.13, Access to Dental Care<\/a>.<\/p>\n\t\t\t\t\t<\/li>\n\t\n\t<\/ul>\n\t\n\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block\">\n\t\t\t\t\t<p><strong>Professional Expectations of a Chaperone<\/strong><br>The Chaperone shall:<\/p>\n\t\t\t\t\n\t<ul class=\"cdcr-dom-group-block\">\n\t\t\n\t<li class=\"cdcr-dom-item-block\">\n\t\t\t\t\t<p>Be health care staff;<\/p>\n\t\t\t\t\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block\">\n\t\t\t\t\t<p>Be present during the portion of the encounter for which the Chaperone\u2019s presence is required or requested;<\/p>\n\t\t\t\t\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block\">\n\t\t\t\t\t<p>Serve as an impartial observer; and<\/p>\n\t\t\t\t\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block\">\n\t\t\t\t\t<p>Report any concerns regarding potential staff misconduct in accordance with the Department Operations Manual, Chapter 3, Article 14, Internal Affairs Investigations, Sections <a href=\"https:\/\/www.cdcr.ca.gov\/operations-manual\/dom\/chapter-3-personnel-training-and-employee-relations\/article-14-internal-affairs-investigations\/\">31140.1-31140.45<\/a>.<\/p>\n\t\t\t\t\t<\/li>\n\t\n\t<\/ul>\n\t\n\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block\">\n\t\t\t\t\t<p><strong>Documentation Requirements<\/strong><br>The health care provider performing the exam shall document the presence of a Chaperone in accordance with HCDOM, Section <a href=\"https:\/\/www.cdcr.ca.gov\/hcdom\/dom\/chapter-1-health-care-governance-and-administration\/article-4-2-professional-workforce-medical-services\/1-4-2-4-medical-provider-documentation-expectations\/\">1.4.2.4, Medical Provider Documentation Expectations<\/a>.<\/p>\n\t\t\t\t\t<\/li>\n\t\n\t<\/ul>\n\t\n\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block is-style-no-marker\">\n\t\t\t\t\t<p><strong>References<\/strong><\/p>\n\t\t\t\t\n\t<ul class=\"cdcr-dom-group-block\">\n\t\t\n\t<li class=\"cdcr-dom-item-block is-style-bullet\">\n\t\t\t\t\t<p>California Code of Regulations, Title 15, Division 3, Chapter 2, Article 1, Section 3999.303, Scheduling and Access to Care<\/p>\n\t\t\t\t\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block is-style-bullet\">\n\t\t\t\t\t<p>Health Care Department Operations Manual, Chapter 1, Article 2, Section 1.2.7, Institution Patient Safety Program<\/p>\n\t\t\t\t\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block is-style-bullet\">\n\t\t\t\t\t<p>Health Care Department Operations Manual, Chapter 1, Article 4.2, Section 1.4.2.4, Medical Provider Documentation Expectations<\/p>\n\t\t\t\t\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block is-style-bullet\">\n\t\t\t\t\t<p>Health Care Department Operations Manual, Chapter 3, Article 3.5, Section 3.3.5.13, Access to Dental Care<\/p>\n\t\t\t\t\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block is-style-bullet\">\n\t\t\t\t\t<p>Department Operations Manual, Chapter 3, Article 14, Sections 31140.1 \u2013 311140.45<\/p>\n\t\t\t\t\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block is-style-bullet\">\n\t\t\t\t\t<p>American College Health Association, <a href=\"https:\/\/www.acha.org\/wp-content\/uploads\/2024\/06\/ACHA_Best_Practices_for_Sensitive_Exams_October2019-1.pdf\" data-type=\"link\" data-id=\"https:\/\/www.acha.org\/wp-content\/uploads\/2024\/06\/ACHA_Best_Practices_for_Sensitive_Exams_October2019-1.pdf\">ACHA Guidelines Best Practices for Sensitive Exams. October 2019<\/a><\/p>\n\t\t\t\t\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block is-style-bullet\">\n\t\t\t\t\t<p>American Medical Association, <a href=\"https:\/\/code-medical-ethics.ama-assn.org\/ethics-opinions\/use-chaperones\" data-type=\"link\" data-id=\"https:\/\/code-medical-ethics.ama-assn.org\/ethics-opinions\/use-chaperones\">AMA Code of Medical Ethics, Use of Chaperones<\/a><\/p>\n\t\t\t\t\t<\/li>\n\t\n\t<\/ul>\n\t\n\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block is-style-no-marker\">\n\t\t\t\t\t<p><strong>Policy Control<br><\/strong>Executive Sponsor: Deputy Director, Medical Services<br>Effective: 10\/12\/2026<\/p>\n\t\t\t\t\t<\/li>\n\t\n\t<\/ul>\n\t","protected":false},"parent":179,"template":"","class_list":["post-4057","dom","type-dom","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.8 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>3.1.23 Presence of a Chaperone in Health Care Examinations - Health Care Department Operations Manual (HCDOM)<\/title>\n<meta name=\"robots\" content=\"noindex, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"3.1.23 Presence of a Chaperone in Health Care Examinations - Health Care Department Operations Manual (HCDOM)\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.cdcr.ca.gov\/hcdom\/dom\/chapter-3-health-care-operations\/article-1-complete-care-model\/3-1-23-presence-of-a-chaperone-in-health-care-examinations\/\" \/>\n<meta property=\"og:site_name\" content=\"Health Care Department Operations Manual (HCDOM)\" \/>\n<meta property=\"article:modified_time\" content=\"2026-10-12T20:16:58+00:00\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/www.cdcr.ca.gov\\\/hcdom\\\/dom\\\/chapter-3-health-care-operations\\\/article-1-complete-care-model\\\/3-1-23-presence-of-a-chaperone-in-health-care-examinations\\\/\",\"url\":\"https:\\\/\\\/www.cdcr.ca.gov\\\/hcdom\\\/dom\\\/chapter-3-health-care-operations\\\/article-1-complete-care-model\\\/3-1-23-presence-of-a-chaperone-in-health-care-examinations\\\/\",\"name\":\"3.1.23 Presence of a Chaperone in Health Care Examinations - Health Care Department Operations Manual (HCDOM)\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/www.cdcr.ca.gov\\\/hcdom\\\/#website\"},\"datePublished\":\"2026-10-12T20:16:57+00:00\",\"dateModified\":\"2026-10-12T20:16:58+00:00\",\"breadcrumb\":{\"@id\":\"https:\\\/\\\/www.cdcr.ca.gov\\\/hcdom\\\/dom\\\/chapter-3-health-care-operations\\\/article-1-complete-care-model\\\/3-1-23-presence-of-a-chaperone-in-health-care-examinations\\\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/www.cdcr.ca.gov\\\/hcdom\\\/dom\\\/chapter-3-health-care-operations\\\/article-1-complete-care-model\\\/3-1-23-presence-of-a-chaperone-in-health-care-examinations\\\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/www.cdcr.ca.gov\\\/hcdom\\\/dom\\\/chapter-3-health-care-operations\\\/article-1-complete-care-model\\\/3-1-23-presence-of-a-chaperone-in-health-care-examinations\\\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\\\/\\\/www.cdcr.ca.gov\\\/hcdom\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"HCDOM\",\"item\":\"https:\\\/\\\/www.cdcr.ca.gov\\\/hcdom\\\/dom\\\/\"},{\"@type\":\"ListItem\",\"position\":3,\"name\":\"Chapter 3 &#8211; 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