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Dementia care rules: the steps to remember

The short step lists from each lesson of Dementia care in residential care: what the rules ask of staff, on one page. Print it for the station or the break room. Each list points back to its lesson, where the sources are linked.

Open the coursePrint a poster with a QR code

Lesson 1

The training the law requires

A new caregiver asks when she may work alone with residents. A CNA asks if the dementia training applies to her. The law sets the answers, and every home owes the hours to all its direct-care staff. This lesson prepares you to say which dementia hours are owed, and when.

  1. 6 dementia hours before independent work
  2. 6 more within the first four weeks
  3. 8 dementia hours every year
  4. Counted inside the 40 starting and 20 yearly hours
  5. CNAs still owe the dementia hours and the annual training
  6. Payroll and paperwork are not orientation time

Lesson: alwbeta.com/training/courses/dementia-care-rules-for-staff#lesson-dementia-training-hours

Lesson 2

Read a behavior as a message, and check the body first

A resident who is usually calm starts to shout, pace or refuse food. The first question is not which pill. It is what changed in her body or her day. The regulation names physical causes staff must be able to recognize. This lesson prepares what you check and report when a resident with dementia acts differently.

  1. Name what changed and when it began
  2. Check fluids: is the resident drinking less?
  3. Look for signs of a urinary tract infection
  4. Look for trouble swallowing
  5. Note any new medicine and what changed after it
  6. Report through your procedure; the licensed professional decides

Lesson: alwbeta.com/training/courses/dementia-care-rules-for-staff#lesson-behavior-as-communication

Lesson 3

Exits, alerts, delayed egress and locked doors

A resident at risk of elopement stands at the front door with her coat on. What you do next depends on the door and the rules for it. The regulation allows alerts, delayed-egress devices and locked doors under conditions. This lesson prepares your response at an exit, and the reports you make if a resident gets out.

  1. Resident safe, or search under way
  2. Representative told immediately
  3. Written report (section 87211) in the record
  4. Licensing Officer of the Day by the next working day
  5. Review what let it happen

Lesson: alwbeta.com/training/courses/dementia-care-rules-for-staff#lesson-exits-and-wandering

Lesson 4

Night supervision, and the limits of devices

A device tells you a door opened at 2 a.m. It cannot calm a resident who is confused and afraid. The regulation still asks for a person. This lesson prepares the night staffing decision: when a small home must have a staff person awake and on duty.

  1. Fewer than sixteen residents? This rule may apply
  2. Diagnosed with dementia? (Mild cognitive impairment is not dementia here)
  3. Appraisal, reappraisal or observation shows a need for awake night supervision
  4. Then one night staff person awake and on duty
  5. Section 87415 still applies too
  6. Alarms help staff; they do not replace staff

Lesson: alwbeta.com/training/courses/dementia-care-rules-for-staff#lesson-night-supervision-and-staffing

Lesson 5

Find the current rule before you teach it

A coworker hands you a training binder from 2019 and says the dementia rules are all in it. The dementia-care regulations changed on January 1, 2025, and CDSS keeps the package, the guide and the questions on one page. This lesson prepares where you look before you teach or repeat a dementia rule.

  1. Open the CDSS dementia-care page
  2. In effect since January 1, 2025
  3. The changes: PIN 24-09-ASC and the guide
  4. Medical Assessment: LIC 602A (April 2025), PIN 25-05-ASC
  5. Provider questions: FAQs 2.0 (August 2025)
  6. Teach from the current text, not a saved copy

Lesson: alwbeta.com/training/courses/dementia-care-rules-for-staff#lesson-where-the-dementia-rules-live

Beta’s ALW team, course version 2026.10.5, text checked against its sources on October 22, 2026. Educational only. Not continuing-education, licensure or regulatory credit. Follow your employer’s current procedure and the person’s current plan. Call 911 for a medical emergency.

Call the ALW teamFit check