Welcome to Consumer Advocates For RCFE Reform

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.

More trending news …

 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. 

This legislative session Assemblymember Ash Kalra (D-San Jose) has reintroduced a bill proposing an expansion of California's MediCal Assisted Living Waiver Program.

FREQUENTLY ASKED QUESTIONS (Click here for all the FAQs)

Incontinence: Allowable Health Conditions


Title 22 §87625

Facilities are permitted to accept or retain residents who have a manageable bowel and/or bladder incontinence condition provided the condition can be managed with any of the following:

(1) Self care by the resident

(2) A structured bowel/bladder retraining program designed by an appropriately skilled professional that assists the resident in restoring a normal pattern of continence

(3) A program of scheduled toileting at regular intervals

(4) The use of incontinent care products

If a facility chooses to provide care for a resident with an incontinence issue, they are responsible for ensuring all of the following:

This FAQ is in category: Understanding Facility Practices

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Public file: Why review prior to placement?


Moving from one's home into the care of others is a very complex transition. And while a welcoming smile, glossy brochure and 20-minute tour of featured amenities may give you and your loved one the reassurance you need to embark on this difficult transition, what you really need to make this transition safely and successfully, is the facts.

Familiarizing yourself with a facility's history through review of the public file, or the documents from the public file offered on this site, can help bring into focus the entire picture. Of particular interest to any consumer is a detailed review of the inspection (LIC 809) reports, and the complaint documents (LIC 9099).  

This FAQ is in category: CARR's Methods and Public Record Policies

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LIC 309: Administrative Organization


If a facility's Licensee is a legal entity (corporation, public agency, limited liability corporation, limited liability partnership), the form is required as part of the application process.   

This FAQ is in category: Understanding CCLD Forms

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A licensee must give 30 days written notice delivered in person or via mail to the resident and/or resident's responsible party.  Three (3) day evictions (aka expedited evictions) are possible with approval from the Department.  Approval for an expedited eviction will only be granted if the Department finds good cause.  Good cause exists if the facility can prove the resident is engaging in behaviors threatening to the well-being of other residents.

Title 22 87224: A facility may evict a resident for 1 or more of the following reasons:

This FAQ is in category: TERMS

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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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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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