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.
Title 22, section 87101: Definitions
The RCFE definitions used here: basic services, care and supervision (help with dressing, grooming, bathing and hygiene; monitoring food intake), responsible person and significant change in condition.
Where to look: Subdivisions (b)(2), (c)(3), (r)(6) and (s)(4).
Open section 87101 on Cornell LIITitle 22, California Code of Regulations, section 87464: Basic services
The basic services every RCFE must give, including independence and self-direction, meals and snacks, personal help with daily living tasks, and regular observation.
Where to look: Subdivisions (a) to (d) and (f)(1) to (f)(5).
Open section 87464 on Cornell LIICalifornia Code of Regulations, title 22, section 87466 (Observation of the resident)
Regular observation for changes in physical, mental, emotional and social functioning; documenting changes and bringing them to the physician and responsible person.
Where to look: The whole section (one paragraph).
Open section 87466 on Cornell LIICalifornia Code of Regulations, title 22, section 87307 (Personal accommodations and services)
Privacy in toilet, bath and shower areas, and the space and safety rules: nonslip material on rugs, handrails and lighting, night lights and clear passageways.
Where to look: Subdivisions (c) and (d).
Open section 87307 on Cornell LIITitle 22, section 87468.1: Personal rights of residents in all facilities
Dignity, freedom from punishment and humiliation, own clothes and toilet articles, and the right to receive or reject care.
Where to look: Subdivisions (a)(1), (a)(3), (a)(12), (a)(16) and (b)(6).
Open section 87468.1 on Cornell LIICalifornia Code of Regulations, title 22, section 87468.2 (Additional personal rights of residents in privately operated facilities)
Privacy in personal care and the right to make choices about daily life.
Where to look: Subdivisions (a)(1) and (a)(6).
Open section 87468.2 on Cornell LIICalifornia Code of Regulations, title 22, section 87555 (General food service requirements)
Three meals a day, between-meal snacks, culture and food habits, modified diets, food cut or ground as needed, and adaptive devices for eating.
Where to look: Subdivision (b), paragraphs (1), (3), (4), (5), (7), (10) and (34).
Open section 87555 on Cornell LIICalifornia Code of Regulations, title 22, section 87625 (Managed incontinence)
Scheduled toileting rather than diapering, clean and dry care, regular skin checks, privacy, and fluids not withheld to control incontinence.
Where to look: Subdivision (b).
Open section 87625 on Cornell LIICalifornia Code of Regulations, title 22, section 87631 (Healing wounds)
A stage one or two pressure injury is diagnosed and cared for by a physician or appropriately skilled professional, and documented.
Where to look: Subdivision (a)(3).
Open section 87631 on Cornell LIIHealth and Safety Code section 1569.625
The forty initial and twenty annual training hours for RCFE staff who help with activities of daily living, the dementia hours inside them, the topic list and the exemptions.
Where to look: Subdivisions (b), (c) and (d).
Open section 1569.625 on the Legislature’s siteFalls and Fractures in Older Adults: Causes and Prevention
How often older adults fall, what causes falls, steps to prevent them, assistive devices, and what to do after a fall.
Where to look: What causes falls, Steps to take to prevent falls, and the steps after a fall.
Open the NIA falls pageSkin Care and Aging
How skin changes with age, dry skin, bruises, and how caregivers can help keep skin healthy and prevent pressure sores.
Where to look: How does skin change, Dry skin, Bruises, and the caregiver section.
Open the NIA skin care pageAlzheimer's Caregiving: Bathing, Dressing, and Grooming
Tips for helping a person with dementia bathe, dress and groom with dignity and as much independence as possible.
Where to look: The bathing, dressing and grooming sections.
Open the NIA bathing and dressing pageCare in the Last Stages of Alzheimer's Disease
Moving a person safely, help with eating and swallowing, and skin and pressure-sore care.
Where to look: The sections on moving, eating, swallowing and skin care.
Open the NIA late-stage care pageUrinary Incontinence in Older Adults
What urinary incontinence is and its types, including trouble reaching the toilet in time.
Where to look: The opening paragraph and the types of incontinence.
Open the NIA incontinence pageAgePage: Healthy Eating After 50 (2019)
Changes in taste, smell and chewing, and why older adults should drink before they feel thirsty.
Where to look: Problems older adults have with eating, and Do older adults need to drink water?
Open the NIA healthy eating sheet (PDF)Postural Hypotension: What It Is and How to Manage It (STEADI)
What postural hypotension is, its symptoms, when they happen, and how to change position safely.
Where to look: Both pages of the brochure.
Open the CDC postural hypotension brochure (PDF)Family Caregivers: Protect Your Loved Ones from Falling (STEADI)
What caregivers can do: speak up about falls, keep moving, eyes and feet, and a safe home.
Where to look: The Take Action page.
Open the CDC caregiver brochure (PDF)Older Adult Falls Data
How often older adults fall, how few tell their doctor, and fear of falling.
Where to look: The facts about older adult falls.
Open the CDC falls data pageClinical Safety: Hand Hygiene for Healthcare Workers
When to clean hands, when to use soap and water, alcohol-based hand rub, and gloves.
Where to look: The moments for hand hygiene and the gloves section.
Open the CDC hand hygiene page