California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 8 - Residential Care Facilities for the Elderly (RCFE) › Article 7 - Personnel › Section 87411 - Personnel Requirements-General

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Facility personnel shall at all times be
				  sufficient in numbers, and competent to provide the services necessary to meet
				  resident needs. In facilities licensed for sixteen or more, sufficient support
				  staff shall be employed to ensure provision of personal assistance and care as
				  required in Section
				  87608, Postural Supports.
				  Additional staff shall be employed as necessary to perform office work,
				  cooking, house cleaning, laundering, and maintenance of buildings, equipment
				  and grounds. The licensing agency may require any facility to provide
				  additional staff whenever it determines through documentation that the needs of
				  the particular residents, the extent of services provided, or the physical
				  arrangements of the facility require such additional staff for the provision of
				  adequate services.
(b) All persons
				  who supervise employees or who supervise or care for residents shall be at
				  least eighteen (18) years of age.
(c) All RCFE staff who assist residents with
				  personal activities of daily living shall receive initial and annual training
				  as specified in Health and Safety Code sections
				  1569.625
				  and
				  1569.69.
(1) Staff providing care shall receive
				  appropriate training in first aid from persons qualified by such agencies as
				  the American Red Cross.
(2) This
				  training shall be administered on the job, in a classroom setting, or any
				  combination of the two.
(3) The
				  training shall include, but not be limited to, the following:
(A) The aging process and physical
				  limitations and special needs of the elderly.
(B) Importance and techniques of personal
				  care services, including but not limited to, bathing, grooming, dressing,
				  feeding, toileting, and infection control, as specified in Section
				  87470, Infection Control
				  Requirements.
(C) Residents'
				  rights, as specified in Section
				  87468, Personal Rights.
(D) Policies and procedures regarding
				  medications, including the knowledge in Section
				  87411(d)(4). Any
				  on-the-job training provided for the requirements in Section
				  87411(d)(4) may
				  also count towards the requirement in this subsection.
(E) Psychosocial needs of the elderly, such
				  as recreation, companionship, independence, etc.
(F) Recognizing signs and symptoms of
				  dementia in individuals.
(4) All training shall be conducted by a
				  person who is knowledgeable in a subject that is relevant to the subject area
				  in which training is to be provided, and who satisfies at least one of the
				  following criteria related to education and experience:
(A) Both a four-year college degree, graduate
				  degree or professional degree, and two (2) years of experience in an area
				  relevant to caring for the needs of the elderly, or
(B) License to work as a health care provider
				  in California, or
(C) At least two
				  years of experience in California as an administrator of an RCFE, within the
				  last eight years, and with a record of administering facilities in substantial
				  compliance, as defined in Section
				  87101(s).
(5) Training may include use of books, video
				  instruction tapes, interactive CD-ROMs and similar materials, upon the approval
				  of that material by a trainer who satisfies the criteria of Section
				  87411(c)(3).
(6) The licensee shall maintain documentation
				  pertaining to staff training in the personnel records, as specified in Section
				  87412(c)(2). For
				  on-the-job training, documentation shall consist of a statement or notation,
				  made by the trainer, of the content covered in the training. Each item of
				  documentation shall include a notation that indicates which of the criteria of
				  Section 87411(c)(3) is
				  met by the trainer.