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Nursing care facilities may pay overtime over 40 hours each 7 day week, or, under an 8 and 80agreement with employees, pay overtime over 8 hours a day and 80 hours every 14 days.
California's new law requires the Department of Health Services to develop regulations, which must become effective by August 1, 2003, that establish direct care staff-to-patient ratios. In no case can the regulations require less than the current 3.2 nursing hours of care per patient day.