5 lessonsAbout 32 minutesNo CE or licensure credit

Centrally stored medications: storage, counts, refills and records

Five short lessons for RCFE medication helpers and administrators: when a medication must be centrally stored, how it is stored, the centrally stored medication record (CDSS form LIC 622), counts, refills and running out, and what happens to medications that leave the home or are no longer needed.

Written for

  • Caregivers and aides
  • Facility and direct-care teams
  • Facility leadership
Course version
2026.10.4
Text checked against its sources

Before you begin

What you will be able to do

  • Decide whether a resident's medication must be centrally stored, using the three reasons in section 87465(h)(1), and leave each finding to the person the rule names: the physician, the administrator or the Department.
  • Keep centrally stored medications in a safe, locked place, in their original labeled containers, and report a key, label or container problem without fixing it yourself.
  • Check a resident's centrally stored medication record, such as CDSS form LIC 622, for every item the rule lists, and keep it at least one year.
  • Handle a delivery, a count that does not match, a refill and a medication running out under your home's procedures, without moving or borrowing any medication.
  • Send a prescription medication that is no longer needed down the right path, and destroy it only with the administrator and one other adult who is not a resident, with a signed record kept at least three years.

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Sources

Sources behind this course

Each lesson lists the sources it uses. Open the original for the exact rule, form or instruction that applies to your work. The source library describes each one in more detail.

California CDSS (regulation text on Cornell LII)

Title 22, section 87465: Incidental medical and dental care

Centrally stored medications and the destruction of prescription medications no longer needed.

Where to look: Subdivisions (h) and (i).

Open section 87465 on Cornell LII
California CDSS (regulation text on Cornell LII)

Title 22, section 87101: Definitions

The RCFE definitions, including care and supervision, which names the central storing and distribution of medications.

Where to look: Subdivision (c)(3)(C).

Open section 87101 on Cornell LII
California CDSS (regulation text on Cornell LII)

Title 22, section 87506: Resident records

Where resident records are kept, what they hold (including current centrally stored medications), licensing access and how long they are kept.

Where to look: Subdivisions (a), (b)(14), (d) and (e).

Open section 87506 on Cornell LII
California Legislature

Health and Safety Code section 1569.69

The medication-helper training topics on procedures and the documentation system, the storage, security and documentation of centrally stored medications, and ordering, refills and receipt from the pharmacy.

Where to look: Subdivision (a)(4)(F), (G) and (H).

Open section 1569.69 on the Legislature’s site
California CDSS

Community Care Licensing forms

The current LIC forms, including LIC 622 (9/19), the Centrally Stored Medication and Destruction Record.

Where to look: The I to L list: the LIC 622 entry and its revision date.

Open the CDSS forms library
California Department of Social Services, Community Care Licensing

LIC 622 (9/19): Centrally Stored Medication and Destruction Record

The CDSS form: Part I, the centrally stored medication record, and Part II, the medication destruction record, with the RCFE instructions.

Where to look: Part I instructions and columns (page 1); Part II instructions for RCFEs and columns (page 3).

Open CDSS form LIC 622 (PDF)
Call the ALW teamFit check