5 lessonsAbout 35 minutesNo CE or licensure credit

Postural supports, restricted health conditions and working with a hospice team

Five lessons for RCFE caregivers on the topics of section 1569.696: what a postural support is and how it differs from a restraint, the restricted health conditions and what trained staff may do for each, and working with the hospice team when a resident gets hospice care in the home.

Written for

  • Caregivers and aides
  • Facility and direct-care teams
Course version
2026.10.4
Text checked against its sources

Before you begin

What you will be able to do

  • Judge a device on shift as a postural support or a restraint, using the physician's order, quick release, the hands-and-feet rule and the bed-rail rule.
  • Name the tasks you may and may not do for a resident with a restricted health condition, from her record of care and the training you have completed.
  • Report a significant change, a refusal of care or a problem with a resident's condition to the right person at once, without fixing it yourself.
  • Follow a resident's hospice care plan within your role, and report a hospice stop, a plan deviation or a safety threat the day it happens.

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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 1569.696

Four initial and four annual hours of training for direct-care staff on postural supports, restricted conditions or health services, and hospice care; the methods allowed; development with people who have expertise.

Where to look: Subdivisions (a)(1), (a)(2) and (b).

Open section 1569.696 on the Legislature’s site
California CDSS (regulation text on Cornell LII)

Title 22, section 87101: Definitions

The definitions of an allowable health condition, an appropriately skilled professional and a licensed professional.

Where to look: Subdivisions (a)(6), (a)(10) and (l)(3).

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

California Code of Regulations, title 22, section 87608 (Postural supports)

What a postural support is, the physician's written order, quick release, fire clearance before a support changes ambulatory status, the ban on tying or limiting hands or feet, and bed rails.

Where to look: Subdivision (a)(1) to (5).

Open section 87608 on Cornell LII
California CDSS (regulation text on Cornell LII)

California Code of Regulations, title 22, section 87611 (General requirements for allowable health conditions)

Department approval for licensees with recent enforcement history; the record of care; monitoring.

Where to look: Subdivisions (a) to (f).

Open section 87611 on Cornell LII
California CDSS (regulation text on Cornell LII)

California Code of Regulations, title 22, section 87612 (Restricted health conditions)

The eleven restricted health conditions and health services, each with its own section.

Where to look: Subdivision (a)(1) to (11).

Open section 87612 on Cornell LII
California CDSS (regulation text on Cornell LII)

California Code of Regulations, title 22, section 87613 (General requirements for restricted health conditions)

Communication and hands-on training before admission; changes in condition; refusals.

Where to look: Subdivisions (a) to (d).

Open section 87613 on Cornell LII
California CDSS (regulation text on Cornell LII)

California Code of Regulations, title 22, section 87615 (Prohibited health conditions)

The conditions with which a person shall not be admitted or retained.

Where to look: Subdivision (a)(1) to (6).

Open section 87615 on Cornell LII
California CDSS (regulation text on Cornell LII)

Title 22, section 87618: Oxygen administration, gas and liquid

When a home may accept or retain a resident who uses oxygen, and the home's duties.

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

Open section 87618 on Cornell LII
California CDSS (regulation text on Cornell LII)

California Code of Regulations, title 22, section 87619 (Intermittent positive pressure breathing (IPPB) machine)

When a home may accept or retain a resident who uses an IPPB machine, and the home's duties.

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

Open section 87619 on Cornell LII
California CDSS (regulation text on Cornell LII)

California Code of Regulations, title 22, section 87621 (Colostomy/ileostomy)

When a home may accept or retain a resident with an ostomy, what instructed staff may do, and the professional's review.

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

Open section 87621 on Cornell LII
California CDSS (regulation text on Cornell LII)

Title 22, section 87622: Fecal impaction removal, enemas and suppositories

Who may perform fecal impaction removal, enemas and suppositories, and privacy.

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

Open section 87622 on Cornell LII
California CDSS (regulation text on Cornell LII)

California Code of Regulations, title 22, section 87623 (Indwelling urinary catheter)

Who inserts, removes and irrigates a catheter, who changes the bag and tubing, and what instructed staff may do.

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

Open section 87623 on Cornell LII
California CDSS (regulation text on Cornell LII)

California Code of Regulations, title 22, section 87625 (Managed incontinence)

Scheduled toileting, checks, keeping residents clean and dry, skin checks, and the bans on withholding fluids and catheterizing for convenience.

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

Open section 87625 on Cornell LII
California CDSS (regulation text on Cornell LII)

California Code of Regulations, title 22, section 87626 (Contractures)

When a home may accept or retain a resident with contractures, and who performs prescribed exercises.

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

Open section 87626 on Cornell LII
California CDSS (regulation text on Cornell LII)

Title 22, section 87628: Diabetes

When a home may accept or retain a resident with diabetes, and the home's duties on medication help, supplies and diets.

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

Open section 87628 on Cornell LII
California CDSS (regulation text on Cornell LII)

Title 22, section 87629: Injections

Who gives injections, and the home's duties on supplies and infection control.

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

Open section 87629 on Cornell LII
California CDSS (regulation text on Cornell LII)

California Code of Regulations, title 22, section 87631 (Healing wounds)

Who cares for a healing wound or a stage 1 or 2 pressure injury, documentation, and skin tears.

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

Open section 87631 on Cornell LII
California CDSS (regulation text on Cornell LII)

Title 22, section 87633: Hospice care waiver

The conditions for hospice care in the home, the care plan, reports and the exception for restricted and prohibited conditions.

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

Open section 87633 on Cornell LII
California DHCS

Application for a 1915(c) HCBS Waiver, CA.0431.R04.00 (the Assisted Living Waiver, from March 1, 2024)

The approved ALW waiver, including how ALW settings meet and keep meeting the federal settings requirements, and the safeguards on restraints, restrictive interventions and seclusion.

Where to look: Appendix C-5 (Home and Community-Based Settings) and Appendix G-2 (restraints, restrictive interventions and seclusion).

Open the ALW waiver application (PDF)
Call the ALW teamFit check