RCFE Regulations in California

Residential Care Facilities for the Elderly (RCFEs) in California, which encompass Assisted Living, Memory Care, and Continuing Care Retirement Communities (CCRCs), are highly regulated with a robust body of laws and regulations designed to promote resident independence and self-direction to the greatest extent possible in a residential, nonmedical setting. The California Department of Social Services, Community Care Licensing Division (CCLD) and Continuing Care Contracts Branch enforces these laws and regulations through the initial licensing process and periodic inspections.

RCFEs are regulated by the California Code of Regulations Title 22 , Division 6, Chapter 8. In addition, the RCFE Act establishes additional statutory requirements in many of the same areas as Title 22, and the Evaluator Manual is used for the application and enforcement of laws, policies, and procedures. Additional rules governing Continuing Care Retirement Communities are found in the Health and Safety Code and in the Evaluator Manual for RCFEs with Continuing Care.

There are also new laws which are not yet reflected in the regulations. Although the state has fallen behind in updating the regulations to reflect these new laws, the statutory requirements are in effect and being enforced throughout the state.

CALA’s Commitment to Quality

In an effort to promote compliance with all laws and regulations, CALA provides an archive of DSS Implementation Plans and distributes Regulatory Reminders through a members-only e-newsletter. In addition, CALA has developed a Compliance Audit program through which provider members can ensure compliance in between inspections.