Welcome to Consumer Advocates For RCFE Reform

CARR's October 2019 Newsletter is out! In this issue, we cover citations in the world of assisted living. Here's an excerpt.

"One indicator that consumers can use to evaluate a facility's regulatory compliance is the citation. In this issue, we do a deeper dive into citations--contextualizing them from a policy and consumer point of view. We also give you data about citation counts by facility size."

More trending news …

Did you catch Reveal from The Center for Investigative Reporting & Jennifer Gollan's latest article on assisted living? We certainly did. We've followed some leads in the article to uncover more about the facilities and how CCLD handled them.

By Rebecca Ruiz

San Diego's Superior Court's Judge Maino delivered justice for two vulnerable women who were raped by an 18-year old dishwasher-cum-caregiver - Bradley Thomas.  CARR attended the sentencing hearing in Dept 1302 on 29 August 2019 and was privileged to sit among victims' family members and law enforcement personnel as the sentence was delivered:  8 years in prison. This is a triumph for elder justice advocates and for the District Attorney's Office - specifically Scott Pirrello.  It may go on to serve as an example for DA's around the state to aggressively pursue criminal actions against individuals who commit crimes inside California's assisted living facilities (also called residential care facilities for the elderly - RCFEs). 


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...

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.

FREQUENTLY ASKED QUESTIONS (Click here for all the FAQs)

LIC 622: Centrally Stored Medication and Destruction Record


This document is available to RCFEs if they centrally store their medications.

To view the form: http://www.cdss.ca.gov/cdssweb/entres/forms/English/LIC622.PDF

This FAQ is in category: Understanding CCLD Forms

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Pressure Sores - Stage I and Stage II: Allowable Health Conditions


Title 22 §87631

Stage I and Stage II pressures sores (aka bedsores) are medical conditions allowed to be treated within a Residential Care Facility for the Elderly (RCFE).  They are listed under Healing Wounds in Title 22.  The regulations are summarized below.   RCFEs are allowed to accept and/or retain residents with a healing wound under the following circumstances:

(1) Care for healing wounds is performed by or under the supervision of an appropriately skilled professional.

(2) Stage I or II pressure sores must be diagnosed by an appropriately skilled professional. 

This FAQ is in category: Understanding Facility Practices

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LIC 400: Affidavit Regarding Client Cash Resources


Facilities handling residents' cash resources must be bonded for not less than $1,000.  This provision does not apply, however, if the facility handles amounts less than $50 per person or $500 for all persons per month.  Facilities may also choose not to handle residents' cash resources.  Bonding requirements are stipulated in Title 22, §87216.

This FAQ is in category: Understanding CCLD Forms

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Title 22 §87606 and the H&S Code §1569.72(b)(1) :  Bedridden means any of the following:

(1) A resident who requires ". . . assistance in turning and repositioning in bed", and is unable to leave a building unassisted under emergency conditions.

This FAQ is in category: TERMS

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Activities of Daily Living (ADLs)


Activities of daily living (ADLs) are everyday routines of individuals  - tasks and behaviors that are necessary for functional mobility and personal care.  Examples include bathing, dressing, toileting and self-feeding.

This FAQ is in category: Understanding RCFE Care & Services

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

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