Violation

California Code § 87463(h)Annual Medical Visits

How CCLD inspectors cite this regulation, what operators do to stay clear of it, and where it appears in the public record.

Type B, generalAffects rcfe103 facilities cited in the last 90 days

What does Type A vs Type B mean?

Type A. Serious citation. Imminent or substantial risk to residents. The regulator requires corrective action immediately and may impose a civil penalty.

Type B. Lower-severity citation. Corrective action required, no imminent risk. The regulator monitors compliance on the next visit.

Educational reference based on public CCLD inspection records. Not legal or compliance advice. Verify requirements with official sources. Full disclaimer

Regulation text

What California Code § 87463(h) actually says

California Code § 87463(h)

The licensee shall request that all residents receive an annual routine visit with a licensed medical professional once every twelve months, either in person or by video appointment.

From the field

What operators tell us about this citation

Based on community experience, not official guidance.

94 California RCFEs were cited because residents went over 12 months without a doctor visit. LPAs compare the admission date to the last physician signature. Schedule telehealth visits for residents 60 days before their deadline to prevent an automatic Type B citation.

By the numbers

103^*CCLD: facilities cited in the last 90 days
23^*CCLD: counties where this citation appeared
--^*CCLD: rank among most-common citations
Trajectory: Steady; Last 90 days vs. previous 90 days.

103 facilities were cited for this in the last 90 days. See if yours is one of them.

Check a facility

What other operators do

Common practices to stay clear of Annual Medical Visits

Common practices shared by operators. Confirm requirements with your licensing analyst.

Common practices

Ensure every resident sees a medical professional every 12 months
Allow for either in-person or video appointments
Document the visit in the resident file

What to avoid

Losing track of the 12-month deadline for each resident
Failing to document a video appointment properly
Not following up when a resident refuses to go to the doctor

Regional record

Where this citation appeared in the past 90 days

Citation counts and rates by California county, drawn from CCLD inspection records.

Regional citations for Annual Medical Visits, last 90 days
County	Citations
Los Angeles	28
Orange	11
San Mateo	7
Santa Clara	7
Contra Costa	6
San Bernardino	6
Solano	4
Alameda	4
Riverside	4
San Diego	4

SOURCE

*CCLD: California Community Care Licensing Divisionviolation_citations2026-07-13Updated weekly

FAQ

Frequently asked questions

Answers based on public CCLD data and regulation text. May not reflect recent changes.

What is a Section 87463(h) violation?

Title 22, Section 87463(h) requires an assisted living facility to ensure every resident has a routine visit with a licensed medical professional at least once every 12 months. This visit can happen in person or via video. It confirms residents remain healthy enough for community living.

How common is this violation in California assisted living?

Data shows 94 California RCFEs were cited for missing annual medical visits. These Type B citations occur frequently in large counties like Los Angeles and Orange. Licensing program analysts track the exact dates of these yearly appointments.

What happens if an RCFE is cited for missing an annual medical visit?

The California CCLD issues a Type B citation when a resident goes over 12 months without a documented medical visit. The operator must schedule the appointment immediately and submit a plan of correction. Type B citations carry civil penalties and require prompt action.

How do I fix or prevent an annual medical visit citation?

Set up a tracking system for all resident physician visits, either on a calendar or in your software. Offer video telehealth appointments for residents who cannot easily travel. File the signed physician report immediately after the visit occurs.

Does missing a medical visit affect my RCFE license?

Yes, the Community Care Licensing Division considers this a gap in resident care. Repeated failure to secure annual medical visits can trigger a follow-up inspection. You must document these yearly visits to keep your facility in good standing.

Related violations

Other citations in this regulation family

This information is educational and does not constitute legal advice. Consult a licensed residential care compliance consultant for guidance specific to your facility. Citation data is sourced from California Community Care Licensing Division public records and is refreshed regularly.

Every California assisted living facility's citation record is free to read. Browse facilities by county or look one up by name.

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