Decision guide
A right seems at risk: what do I do?
Is a resident in danger right now, or hurt and not getting help?
This guide helps you act on shift. It does not decide whether a home broke a rule: licensing, DHCS and the Ombudsman each look into their own part, and the resident chooses what to do about their own concern.
Step through it one question at a time: alwbeta.com/training/courses/resident-rights-at-work#decision-guide
Lesson 1
The rights list you work under
Every task on your shift touches a resident's rights: knocking on a door, helping at a meal, handing over mail. The rights are written on a state form the resident signs at move-in. This lesson shows you where the list is and what it covers, so you can answer one question on shift: does this touch a right?
- RCFE run by a person or company: LIC 613C-2
- RCFE run by a city or county: LIC 613C
- ARF: LIC 613 (section 80072)
- Rights and complaint poster: main entryway
- Dignity always; no punishment through money, food, sleep or the toilet
- No form or house rule takes a right away
Lesson: alwbeta.com/training/courses/resident-rights-at-work#lesson-rra-rights-list
Lesson 2
ALW setting rights: schedule, food, visitors and a door that locks
Some residents in your home may be in the Assisted Living Waiver (ALW). A federal rule gives them added protections, on top of the state rights every resident has. They cover schedule, food, visitors and a door they can lock. This lesson gets you ready to check a routine against them, and to know who may limit one.
- ALW: privacy, dignity, respect; no coercion or restraint
- Her own schedule; food at any time
- Visitors of her choosing, at any time
- A door she can lock; roommate choice; her own decor
- A limit only in the ISP, for a specific need, with consent
- Think a limit is needed? Tell your supervisor
Lesson: alwbeta.com/training/courses/resident-rights-at-work#lesson-rra-alw-setting-rights
Lesson 3
Privacy and dignity in personal care
Bathing, dressing and toileting are the most private moments of a resident's day. How you give that help can protect their dignity or take it away. This lesson covers privacy in care, private information, mail and calls, and the name a resident asks for, so you give care the way the rules expect.
- Close the door; keep her covered; explain each step
- Care that fits her body, never demeaning
- Her health information stays private
- Mail unopened; calls private; her own things and money
- Her preferred name and pronouns, every shift
- The same clothing and makeup choices as others
Lesson: alwbeta.com/training/courses/resident-rights-at-work#lesson-rra-privacy-in-care
Lesson 4
Consent and choice in daily routines
Many times a shift, a resident says yes or no: to a shower, a meal, an activity, a medical visit. This lesson shows what the rules say about choice and refusal, so you can respect a no without pressure and know what to pass on to your supervisor.
- Her day, her choices, unless health or safety is at risk
- Yes or no to care is her right; she may stop a service
- No threats; no trading rights for privileges
- Pass on what she wants for her care plan
- She may leave; never lock her in
- No restraints; ask before any device
Lesson: alwbeta.com/training/courses/resident-rights-at-work#lesson-rra-consent-and-choice
Lesson 5
When a right seems at risk
Sometimes you see a right pushed aside: a phone taken away, a threat after a complaint, a resident who seems afraid. This lesson gets you ready to decide what to do first, who to tell, and how to keep the resident's own route to help open.
- Danger now: call 911, then your supervisor
- Suspected abuse: your home's procedure; Ombudsman line 1-800-231-4024
- A complaint: listen, note it, pass it on the same day
- Never block calls to licensing (1-844-538-8766) or the Ombudsman
- An ALW limit not in the ISP: tell your supervisor
- Watch for anyone getting back at the resident; report it
Lesson: alwbeta.com/training/courses/resident-rights-at-work#lesson-rra-right-at-risk