Welcome to Consumer Advocates For RCFE Reform

You've probably seen the Reveal articles on RCFE worker exploitation:  "Elder care homes rake in profits as legions of workers earn a pittance for long hours of care.  

The investigative reporter, Jen Gollan, contacted CARR over the last few months for background and details to make sure she was getting the content right.   After reading her expose, CARR recognized there was much unsaid.  This commentary is intended to level the playing field for consumers and policymakers, to give recognition to the broader issues at play and the assisted living facilities who are playing by the rules.

CARR, with Golden Gate Law (GGL) School’s Associate Professor of Law and Director of the Women’s Employment Rights Clinic, Hina Shah, has been pressing for legislation that would improve caregiver rights. Read on...

More trending news …

CARR turned 10 this year!  And, to celebrate we want to honor one of the communities we serve.

CARR Gives Back seeks to spotlight the San Ysidro Senior Center as the vibrant, community space it truly is.  Read on to learn more about CARR's Give Back Project and how YOU can be a part.

 CARR received notification from Lilys McCoy, the San Diego County Bar Association (SDCBA) president, that CARR is the 2019 recipient of the Distinguished Organization Award.  This award is given to a distinguished citizen or organization not composed primarily of lawyers or judges whose contributions over a period of time have had a significant and favorable impact on some facet of the legal system or legal community or civics education.  CARR will receive the honor at the 2019 Annual Awards Luncheon held by the SDCBA on May 1. 

Most of the public and many residents of assisted living facilities (also called residential care facilities for the elderly, or RCFEs) and their families will be surprised to learn that California's regulations allow an RCFE owner to accept, retain and store firearms, ammunition and other dangerous weapons (Title 22, Section 87309).  

What isn't included in the regulations are uniform requirements for safe and secure storage of these weapons, a weapons inventory for each firearm and type of ammunition stored, nor a public disclosure by the facility to residents and third-parties that firearms are or are not retained in the facility.   CARR is proud to have partnered with California State Senator Anthony Portantino (D - SD 25) to draft SB 172 - Firearms consisting of two parts: 

Launching this March, CARR gerontologists, Chris Murphy and Christina Selder, will be conducting Pop-up Senior Care Coaching Clinics throughout San Diego, starting in Balboa Park, San Ysidro, and La Jolla. The clinics are open to the public and aim to give older adults in our community greater confidence and clarity. 

FREQUENTLY ASKED QUESTIONS (Click here for all the FAQs)



Title 22, §87411

Volunteers may be used in RCFEs, but may not be included in the facility staffing plan.  They must be supervised and are not authorized to assist residents with activities of daily living.

This FAQ is in category: Understanding Facility Practices

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Substantial compliance: What is?


According to Title 22, §87101(s)(9), "substantial compliance" means the absence of any deficiencies which would threaten the physical health, mental health, safety and/or welfare of the residents. 

This FAQ is in category: TERMS

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Basic Services: What services are RCFEs required to provide?


Under  §87464(f), RCFEs are required to provide safe and healthful living accommodations and services, regular observation of the resident's physical and mental condition, three meals per day plus snacks, personal assistance with ADLs, medication management, social and recreational activities, transportation, housekeeping and maintenance.

This FAQ is in category: Understanding RCFE Care & Services

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Vital signs: Who is authorized to take resident's


Any staff may take the vital signs of a resident.  However, if the reading is to be used to determine the need for medication, the reading must be taken by an appropriately skilled professional.  

This FAQ is in category: Understanding Facility Practices

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LIC 9099: Facility Complaint Report


The LIC 9099 or Facility Complaint Report is another key record to be used as evidence of the state's oversight of RCFEs.  Any person can file a complaint with CCLD against a particular Licensee or facility.  CCLD is obliged to initiate investigation of a complaint within 10 working days after the date of complaint filing.

For each specific complaint filed with CCLD, CCLD must make a finding;

This FAQ is in category: Understanding CCLD Forms

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See these sections inside …


Keep in touch with what’s happening in California about assisted living and RCFE legislation and related items.

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