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Dementia program daily care: the steps to remember

The short step lists from each lesson of Running a dementia care program: daily life, safety and families, 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

Decision guide

Can a resident use this item or area, and with what safeguards?

Is it a swimming pool, hot tub, wading pool, fishpond or similar larger body of water?

  • Yes

    When residents are not actively using it, make it inaccessible by fencing, covering or other means. When they use it or are near it, supervise as each resident's appraisal says.

  • No

    Is it a range, oven, heater, fireplace, wood stove or other heating device?

    • Yes

      Supervise as each resident's appraisal says while she is near it or it is in use. When it is not in use, a protective mechanism or other measure blocks access or makes it inoperable.

    • No

      Is it a cleaning product, knife, tool, sharp object, alcohol, cigarettes, a supplement, or a garden or auto supply?

      • Yes

        Does her appraisal, reappraisal or medical assessment document that her access would put her or others at risk?

        • Yes

          She does not have the item for personal use. Keep it in locked storage, or stored so it poses no hazard, and keep her appraisal current as her needs change.

        • No

          Do the home's layout, or other residents' condition or habits, make her access a hazard to others?

          • Yes

            Use a reasonable intervention, such as a locked cabinet in her room or a closed door while she uses it, or require central storage.

          • No

            She may keep and use the item for personal use. Observe her regularly, and update her appraisal if her condition changes.

      • No

        Check the rule for that feature. A birdbath or fountain needs supervision set by the appraisal; ramps and porches need sturdy railings and good light; recreational equipment is stored where it is not a hazard. Ask the administrator if unsure.

This guide follows Title 22 as read on 2026-10-22. It does not decide a case. The appraisal decisions are the licensee's, made with the resident, her representative and her licensed medical professional; questions about how a rule applies to your home go to your Adult and Senior Care Regional Office.

Step through it one question at a time: alwbeta.com/training/courses/dementia-program-daily-care#decision-guide

Lesson 1

Hazards, heat and water: guard some, supervise the rest

A resident with dementia likes to sit by the fish pond. Another heads for the kitchen when dinner smells good. The rules do not ask you to wall off every hazard. Some need a barrier. Others need supervision set by each resident's appraisal. This lesson prepares you to tell which is which.

  1. Ramps, stairs, porches: sturdy railing and good light, or closed off
  2. Heating devices: supervise as the appraisal says; block or disable when not in use
  3. Pools, hot tubs, fishponds: fenced or covered when not in use
  4. Fountains and birdbaths: supervision as the appraisal says
  5. Outdoor areas: shaded, easy to reach, protected from traffic
  6. Safety steps never lock a resident into a room

Lesson: alwbeta.com/training/courses/dementia-program-daily-care#lesson-dcp-hazards-heat-water

Lesson 2

Cleaning products, tools and other items: locked, kept or watched

A new resident unpacks a toolbox, a bottle of wine and her own cleaning spray. Since 2025 the answer is not the same for every resident with dementia. It depends on the item, her appraisal and the people around her. This lesson prepares you to decide what she keeps and what the home stores.

  1. Group (a): cleaning solutions, knives, matches, tools, sharp objects: locked, never left unattended
  2. Chemicals apart from food; moved products labeled with name and warnings
  3. Group (c): supplements, alcohol, cigarettes, plants, garden and auto supplies: stored so they pose no hazard
  4. Personal use allowed unless the record documents a risk
  5. Ask the medical professional and the representative; put their input in the appraisal
  6. Protect others: reasonable interventions, or central storage

Lesson: alwbeta.com/training/courses/dementia-program-daily-care#lesson-dcp-items-and-storage

Lesson 3

The daily program: planned activities that fit each resident

A daughter visits at 2 p.m. and finds her mother asleep in front of the television again. She asks what her mother does all day. A planned activities program is a basic service of every RCFE, and the rules say what it includes. This lesson prepares you to review the calendar and fix what is missing.

  1. A planned activities program is a basic service
  2. Aim: quality of life, fitted to interests and capabilities
  3. Cover the list: social, daily living, cognitive, sensory, leisure, physical, education, free time
  4. Physical activities aim at balance, strength and flexibility
  5. Residents help plan, run and critique; use community resources
  6. 7+ beds: post notices, keep six months; 16-49: a named lead; 50+: full-time

Lesson: alwbeta.com/training/courses/dementia-program-daily-care#lesson-dcp-activities

Lesson 4

Planning care with the resident and her representative

A son calls to say he heard about his mother's new care plan from a caregiver, not from you. The rules give residents and their representatives a seat at the table before admission, soon after it and each time needs change. This lesson prepares you to plan those meetings and keep the family informed.

  1. Before admission: interview her and her representative; they help shape the appraisal
  2. Include any placement agency or consultant needs assessment
  3. Within two weeks: meet, write her care and preferences, copy to her physician
  4. Review at a significant change or 12 months, whichever comes first
  5. She directs her planning and may bring people she chooses
  6. Answer representatives promptly; report changes such as weight loss

Lesson: alwbeta.com/training/courses/dementia-program-daily-care#lesson-dcp-care-planning-families

Lesson 5

When a resident's needs go beyond what the home provides

A resident's needs grow until the home's usual program no longer meets them. The rules do not start with a move-out notice. They start with the record, a consultant and a plan, and they set limits that only the licensing agency can lift. This lesson prepares the next regulated step when a need outgrows the program.

  1. Accepted means responsible: meet appraised needs directly or through outside resources
  2. Unmet need: get advice from a physician, social worker or other consultant
  3. Can be met: plan of action with timed objectives, plans, owners and a progress check
  4. Barred: active TB, 24-hour skilled nursing, the section 87615 conditions
  5. New barred condition: significant change; exception only with prior written approval
  6. Not appropriate: reappraisal first, then 30 days' written notice with reasons

Lesson: alwbeta.com/training/courses/dementia-program-daily-care#lesson-dcp-needs-beyond-home

Beta’s ALW team, course version 2026.10.3, 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