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5 lessonsAbout 35 minutesNo CE or licensure credit

Staff training an RCFE must give and keep on file

Five short lessons for RCFE administrators and licensees on the training California requires of staff: the forty starting and twenty yearly hours, the dementia and special-conditions hours inside them, medication-helper training, who may teach and what counts, and the personnel and training records to keep, and for how long.

Begin the courseSee the sourcesPrint the job aids

Written for

  • Facility leadership
Course version
2026.10.5
Text checked against its sources

Before you begin

What you will be able to do

  • Plan a new direct-care hire's first four weeks so that twenty hours, with six dementia hours and four special-conditions hours inside them, are done before she works independently with residents.
  • Set each staff member's yearly training to the statutes: twenty hours with eight dementia and four special-conditions hours, plus eight medication in-service hours for each medication helper.
  • Check a medication helper's training against section 1569.69: the hours for the home's licensed size, shadowing before assisting, the exam, the repeat rules and the trainer's qualifications.
  • Accept or refuse a trainer, a training material or a licensed professional's exemption against section 87411(c) and section 1569.625(d).
  • Keep personnel and training records that show the trainer, subjects, dates and hours, at the facility, for at least three years after employment ends.

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In this course

  1. The forty starting hours and the twenty yearly hoursAbout 7 minutes · Not yet
  2. Dementia hours and special-conditions hoursAbout 7 minutes · Not yet
  3. Medication-helper training: hours, exam and who teachesAbout 7 minutes · Not yet
  4. Who may teach, what counts, and licensed staffAbout 7 minutes · Not yet
  5. Personnel and training records: what to keep and for how longAbout 7 minutes · Not yet
  6. Course check · 10 questions0 of 5 lessons done

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 forty initial and twenty annual training hours for RCFE staff who assist with personal activities of daily living, the dementia and special-conditions hours inside them, the hands-on hours, the topic list and the exemptions for CNAs, LVNs and RNs.

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

Open section 1569.625 on the Legislature’s site
California Legislature

Health 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
California Legislature

Health and Safety Code section 1569.69

Medication-helper training by licensed size, the exam, the yearly in-service, the repeat rules, the exemption, trainer qualifications and the trainer and consultant records.

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

Open section 1569.69 on the Legislature’s site
California Legislature

Health and Safety Code section 1569.696

Four initial and four annual hours of training on postural supports, restricted conditions or health services, and hospice care.

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

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

Title 22, section 87411: Personnel requirements, general

Staff training duties in an RCFE: first aid, the general training topics, trainer qualifications, approved materials, training documentation, on-the-job training, health screening and criminal record clearance.

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

Open section 87411 on Cornell LII
California CDSS (regulation text on Cornell LII)

Title 22, section 87412: Personnel records

What each RCFE personnel record holds, how staff training is documented, where records are kept, licensing access, and how long records are retained.

Where to look: Subdivisions (a), (b), (c), (e), (f), (g) and (h).

Open section 87412 on Cornell LII
California CDSS (regulation text on Cornell LII)

Title 22, section 87633: Hospice care waiver

The hospice care waiver, including the training named in the hospice care plan and the three-year record of hospice-related training.

Where to look: Subdivisions (b)(6) and (f).

Open section 87633 on Cornell LII
Call the ALW teamFit check