5 lessonsAbout 35 minutesNo CE or licensure credit

Fire safety and emergencies in a small care home

Five short lessons for RCFE staff on the California rules behind emergencies: the emergency and disaster plan and your part in it, the fire clearance, evacuating residents who need help by day and at night, drills and fire devices, and power outages, heat and when to call 911.

Written for

  • Caregivers and aides
  • Facility and direct-care teams
  • Facility leadership
Course version
2026.10.3
Text checked against its sources

Before you begin

What you will be able to do

  • Name your assignment in the home's emergency and disaster plan, and find the exits, assembly points, shut-offs, keys and resident information it lists, before an emergency.
  • Spot a resident change that may affect the fire clearance, such as a new walker, a bedridden resident or a resident who does not react to the alarm, and tell the administrator right away.
  • Evacuate and account for every resident, by day or at night, including residents with dementia, on hospice or bedridden, following the plan's steps and the roster.
  • Run or join a drill and record it as section 1569.695 requires, and report a fire or a broken fire device to the right people on time.
  • Keep residents safe through a power outage or heat, and call 911 at once when a resident's health faces an imminent threat, handling an advance directive as section 87469 says.

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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 Legislature

Health and Safety Code section 1569.625

The RCFE staff training topics, including topic (6), building and fire safety and the appropriate response to emergencies.

Where to look: Subdivision (c)(6).

Open section 1569.625 on the Legislature’s site
California Legislature (statute text on california.public.law)

Health and Safety Code section 1569.695

The RCFE emergency and disaster plan: evacuation, 72-hour self-reliance, transportation, contacts, shelters, shut-offs, procedures for power, call buttons, communication, medications, powered devices, special needs and locating residents; staff training; quarterly drills; annual review; information and keys on hand; who may see the plan.

Where to look: Subdivisions (a) through (g).

Open section 1569.695
California Legislature (statute text on california.public.law)

Health and Safety Code section 1569.72

Bedridden residents in an RCFE: the definition, the fire clearance for homes with bedridden residents, and the 48-hour notice to the local fire authority.

Where to look: Subdivisions (b)(1), (c) and (f).

Open section 1569.72
California Legislature (statute text on california.public.law)

Health and Safety Code section 13131

The State Fire Marshal definition of a nonambulatory person, including a person who cannot respond to an approved signal or a spoken instruction about fire danger.

Where to look: The whole section (one paragraph).

Open section 13131
California Legislature (statute text on california.public.law)

Health and Safety Code section 13113

Automatic sprinkler systems in homes caring for more than six people, and the fire alarm system with detectors in a one-story home for six or fewer ambulatory older adults.

Where to look: Subdivisions (a) and (c).

Open section 13113
California Legislature (statute text on california.public.law)

Health and Safety Code section 13145

Who enforces the State Fire Marshal's fire and panic safety rules: the State Fire Marshal and the city, county or district fire chiefs.

Where to look: The whole section (one paragraph).

Open section 13145
California CDSS (regulation text on Cornell LII)

Title 22, section 87101: Definitions

The RCFE definitions, including ambulatory person, nonambulatory person and elopement.

Where to look: Subdivisions (a)(7) and (n)(2).

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

Title 22, section 87202: Fire Clearance

The fire clearance every RCFE keeps, and the notice and clearance needed before accepting or keeping nonambulatory or bedridden persons.

Where to look: Subdivision (a).

Open section 87202 on Cornell LII
California CDSS (regulation text on Cornell LII)

Title 22, section 87203: Fire Safety

The rule that every RCFE is kept in line with the State Fire Marshal's regulations for protection against fire and panic.

Where to look: The whole section (one sentence).

Open section 87203 on Cornell LII
California CDSS (regulation text on Cornell LII)

Title 22, section 87204: Limitations-Capacity and Ambulatory Status

Licensed capacity, the catastrophic-emergency exception, and rooms approved for ambulatory residents only.

Where to look: Subdivisions (a) and (b).

Open section 87204 on Cornell LII
California CDSS (regulation text on Cornell LII)

Title 22, section 87211: Reporting Requirements

The reports a licensee makes, including fires or explosions on the premises.

Where to look: Subdivision (a)(3).

Open section 87211 on Cornell LII
California CDSS (regulation text on Cornell LII)

Title 22, section 87212: Emergency Disaster Plan

The written disaster and mass casualty plan: authority and staff assignments, the evacuation plan, hospice notice, and posted exit plans and phone numbers.

Where to look: Subdivisions (a), (b) and (c).

Open section 87212 on Cornell LII
California CDSS (regulation text on Cornell LII)

Title 22, section 87303: Maintenance and Operation

Safe and good repair, heating and cooling temperatures, and emergency lighting with no open-flame lights.

Where to look: Subdivisions (a), (b) and (h).

Open section 87303 on Cornell LII
California CDSS (regulation text on Cornell LII)

Title 22, section 87415: Night Supervision

Night staff from 10 p.m. to 6 a.m.: familiar with emergency procedures, trained in first aid, and on call or awake by the number of residents.

Where to look: Subdivision (a)(1) and (a)(2).

Open section 87415 on Cornell LII
California CDSS (regulation text on Cornell LII)

Title 22, section 87465: Incidental medical and dental care

Posted emergency numbers and the duty to telephone 9-1-1 when a resident's health faces an imminent threat.

Where to look: Subdivisions (f)(2) and (g).

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

Title 22, section 87469: Advance Health Care Directives, Requests to Forego Resuscitative Measures, and Do-Not-Resuscitate Forms

What staff do in a medical emergency when a resident has an advance directive or a request regarding resuscitative measures on file, including the hospice exception.

Where to look: Subdivisions (b), (c) and (d).

Open section 87469 on Cornell LII
California CDSS (regulation text on Cornell LII)

Title 22, section 87606: Care of bedridden residents

The 48-hour notice to the fire authority, the fire clearance, the evacuation plan for bedridden residents and the register of residents.

Where to look: Subdivisions (b), (c) and (f).

Open section 87606 on Cornell LII
California CDSS (regulation text on Cornell LII)

Title 22, section 87705: Care of persons with dementia

Fire clearance approval for delayed-egress devices and locked exterior doors, unlocking on all shifts, devices never replacing staff, and the awake night staff rule for small homes.

Where to look: Subdivisions (b)(2), (e)(2), (e)(7) and (f)(2).

Open section 87705 on Cornell LII
California CDSS, Community Care Licensing Division

LIC 610E (12/25), Emergency and Disaster Plan for Residential Care Facilities for the Elderly

The CDSS courtesy form for the RCFE emergency and disaster plan: emergency numbers, staff assignments, resident information, shut-offs, exits, assembly points, shelters, shelter in place, evacuation and emergency procedures, and the administrator's review.

Where to look: Page 1 (explanation), page 2 (assignments) and pages 3 to 8 (the plan sections).

Open the LIC 610E form (PDF)
California CDSS, Community Care Licensing Division

PIN 25-06-CCLD, Extreme Heat Prevention

The notice, dated March 27, 2025, on the risks of extreme heat, the supplies and plan for heat waves, and the immediate report of heat-related incidents, injuries or illnesses.

Where to look: Page 2, Emergency Plan Updates, Reporting Requirements, and CCLD Assistance.

Open PIN 25-06-CCLD (PDF)
Call the ALW teamFit check