Welcome to Consumer Advocates For RCFE Reform

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, for the District Attorney's Office - specifically Scott Pirrello.  And it should be 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). 

More trending news …

The current edition of CARR's Quarterly Newsletter - Full Disclosure introduces CARR's Pop-Up Senior Coaching Clinics. (To read the newsletter, click on the words Full Disclosure above.)  Our newsletter features three short pieces, each having a different focus in describing our Coaching Clinics: from information-delivery disruption to the data we've collected at our clinics.  Each quarter, we collectively decide on a theme, then we tackle that storyline from a different point of view - generally the consumer viewpoint, policy and policy implications, and of course data (after all, we are an evidence-based organization). 

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.

 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. 

FREQUENTLY ASKED QUESTIONS (Click here for all the FAQs)

"May" in the regulations


Title 22, §87101(s)(2) states that  "'may' means permissive."

This FAQ is in category: TERMS

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Violation: Type B


Pursuant to Transmittal No 09RM-18 dated 11/2009, §3-4200, a "Type B: Potential Health, Safety or Personal Rights Impact - Violations of the regulations and the Health and Safety Code that, without correction, could become an immediate risk to the health, safety or personal rights of clients, or record keeping violation that would impact the care of clients and/or protection of t

This FAQ is in category: Understanding Inspection and Enforcement

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Bedridden: When can a facility accept and/or retain a resident


Title 22, §87606 

(e) & (H&S Code 1569.72(e):   ". . . a bedridden resident may be retained in an RCFE in excess of 14 days if all of the following requirements are satisfied:

"(1) The facility notifies [CCLD] in writing regarding the temporary illness or recovery from surgery.

"(2) The facility submits to [CCLD], with notification, a physician and surgeon's written statement  that the resident's illness or recovery is of a temporary nature.  The statement shall contain an estimated date upon which the illness or recovery will end or upon which the resident will no longer be confined to a bed.

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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Contractures: Restricted Health Condition


Title 22 §87626

Contractures are the shortening of the muscle or joint resulting from and/or exacerbated by (among other things) inactivity.

Title 22 §87626(a)(1) ". . . the Licensee shall be permitted to accept or retain a resident who has contractures under the following circumstances:

(1) If the contractures do not severely affect functional ability and the resident is able to care for the contractures by him/herself (i.e. perform physical therapy exercises independently) ; or

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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