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.
Dementia care information and resources
The CDSS hub for the Dementia Care in RCFEs and Miscellaneous Regulation Changes package, effective January 1, 2025: the summary of key updates, the final approved text, the guide, the PINs, the LIC 602A and the FAQ 2.0.
Where to look: Background and Summary of Updates, then each resource section.
Open the CDSS dementia-care pagePIN 24-09-ASC, Updated dementia care and miscellaneous regulations for RCFEs
The notice, dated December 16, 2024, announcing the package: the guiding principles, the sections updated, the repeal of section 87707, the highlights, the posting instruction and the Summary for Residents.
Where to look: The summary, Updated Requirements, Miscellaneous Regulation Updates and the Summary for Residents.
Open PIN 24-09-ASC (PDF)PIN 25-05-ASC, Updated medical assessment for RCFEs (LIC 602A) form
The notice, dated May 27, 2025, releasing the updated LIC 602A courtesy form for section 87458, the form changes and the advice on addenda to older forms.
Where to look: The summary, Form Updates and Additional Information.
Open PIN 25-05-ASC (PDF)Guide to navigating substantive changes: Dementia care in RCFEs and miscellaneous regulation changes
The December 2024 section-by-section table of the substantive changes and their intended benefits, including the repeal of section 87707.
Where to look: The Introduction and the rows for 87101, 87208, 87309, 87455, 87457, 87458, 87463, 87705, 87706 and 87707.
Open the CDSS guide to the changes (PDF)Dementia care in RCFEs and misc. regulation changes: Frequently asked questions (version 2.0)
The August 2025 answers to provider questions: the plan of operation, CARE Tools, secured environments, access to items, the medical assessment and routine visit, significant change, elopement and staffing.
Where to look: The question list on pages 1 to 3, then each answer.
Open the FAQ 2.0 (PDF)Final OAL-approved regulation text, Dementia care in RCFEs and miscellaneous regulation changes (ORD No. 0423-03)
The approved amendments shown against the former text, used here only to state what the rules said before January 1, 2025.
Where to look: The amendments to sections 87208, 87455, 87458, 87705 and 87706, and the repeal of section 87707.
Open the approved regulation text (Word)Title 22, section 87101: Definitions
The definitions the package added or revised: behavioral expression, delayed egress device, dementia, elopement, major neurocognitive disorder, mild cognitive impairment, representative, significant change in condition and unsafe wandering.
Where to look: Subsections (b)(3), (d)(3), (d)(4), (e)(3), (m)(1), (m)(4), (r)(3), (s)(4) and (u)(2).
Open section 87101 on Cornell LIITitle 22, section 87208: Plan of operation
The duty to operate by the plan, the training plan, the behavioral-expression description and the added information for homes that advertise dementia care.
Where to look: Subsections (a), (a)(6), (a)(11) and (b).
Open section 87208 on Cornell LIITitle 22, section 87309: Storage space and access
Locked storage of items that could pose a danger, resident access for personal use unless the appraisal documents a risk, reasonable interventions and central storage.
Where to look: Subsections (a) through (f).
Open section 87309 on Cornell LIITitle 22, section 87411: Personnel requirements, general
Staff sufficient in numbers and competent to meet resident needs at all times.
Where to look: Subsection (a).
Open section 87411 on Cornell LIITitle 22, section 87455: Acceptance and retention limitations
Acceptance and retention that allow residents to age in place in the least restrictive environment, including persons who display behavioral expression, and the conditions that still bar acceptance.
Where to look: Subsections (a), (b)(4) and (c).
Open section 87455 on Cornell LIITitle 22, section 87457: Pre-admission appraisal
The appraisal before admission, including whether access to specified items would put the prospective resident or others at risk.
Where to look: Subsection (c)(1).
Open section 87457 on Cornell LIITitle 22, section 87458: Medical assessment
The medical assessment before acceptance: the signer, the one-year window, updates when the Department requires, and its contents, including cognitive conditions and behavioral expression.
Where to look: Subsections (a), (b) and (c).
Open section 87458 on Cornell LIITitle 22, section 87463: Reappraisals
Reappraisal timing, significant changes, documentation of harmful behavioral expression, communication with the licensed medical professional and the resident, the annual routine visit, the reappraisal meeting and staffing.
Where to look: Subsections (a) through (j).
Open section 87463 on Cornell LIITitle 22, section 87705: Care of persons with dementia
Who the section covers, the dementia training topics, awake night supervision in homes with fewer than 16 residents, egress alert and location tracking devices, exit alerts, delayed egress and locked doors.
Where to look: Subsections (a), (b), (c), (e) and (f).
Open section 87705 on Cornell LIITitle 22, section 87706: Advertising dementia special care, programming, and environments
The plan-of-operation narrative for homes that advertise dementia care, record keeping, the program description and the steps to stop advertising.
Where to look: Subsections (a) and (b).
Open section 87706 on Cornell LIITitle 22, section 87707: Training requirements if advertising dementia special care (repealed)
The history note showing the section's repeal, filed October 17, 2024 and operative January 1, 2025.
Where to look: The history notes, item 7.
Open section 87707 on Cornell LIIHealth and Safety Code section 1569.626
The twelve initial and eight annual dementia-care training hours for all direct-care staff, the methods allowed and the exclusion of administrative instruction.
Where to look: Subdivision (a)(1) and (a)(2).
Open section 1569.626 on the Legislature’s site