Violation

California Code § 87464(f)(1)Care & Supervision

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

Type A, seriousAffects rcfe369 facilities cited in the last 90 days

ℹ️ 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 § 87464(f)(1) actually says

California Code § 87464(f)(1)

Care and supervision as defined in Section 87101(c)(3) and Health and Safety Code section 1569.2(c).

From the field

What providers tell us about this citation

Based on community experience, not official guidance.

281 California RCFEs were cited for this. One unattended fall or a resident no one can locate is a Type A citation. Staff to your residents' real acuity and check on higher-risk residents on a set schedule, not just when something goes wrong.

By the numbers

369^*CCLD: facilities cited in the last 90 days
31^*CCLD: counties where this citation appeared
--^*CCLD: rank among most-common citations
Trajectory: Steady

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

Check a facility

What other providers do

Common practices to stay clear of Care & Supervision

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

Common practices

Provide help with daily activities and ongoing supervision for each resident
Match staffing and attention to resident acuity
Keep service plans current so supervision reflects real needs

What to avoid

Staffing to license capacity instead of resident acuity
Losing track of a higher-risk or wandering resident
Service plans that no longer match a resident's needs

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 Care & Supervision, last 90 days
County	Citations	Facilities	Citation rate
Orange	81	--	--
Sacramento	37	--	--
Los Angeles	31	--	--
San Diego	19	--	--
Ventura	15	--	--
San Mateo	15	--	--
Santa Clara	9	--	--
Contra Costa	8	--	--
Riverside	6	--	--
San Luis Obispo	6	--	--

SOURCE

*CCLD: California Community Care Licensing Divisionviolation_citations2026-05-30Updated weekly

FAQ

Frequently asked questions

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

What is a Section 87464(f)(1) violation?

A Section 87464(f)(1) violation means an RCFE did not provide the care and supervision its residents need, as defined in state regulations and the Health & Safety Code. Care and supervision covers help with daily activities and ongoing awareness of each resident's whereabouts and needs. When that supervision lapses, residents can fall, wander, or go without help, so CCLD treats it as a Type A deficiency.

How common is this violation in California assisted living?

Gaps in basic care and supervision are among the most cited RCFE deficiencies in California. According to CCLD inspection records, 281 California RCFEs have been cited under Section 87464(f)(1), and it is classified as a Type A violation because inadequate supervision creates a direct, immediate risk to residents. Orange County reports the most citations, followed by Sacramento and Los Angeles counties.

What happens if an RCFE is cited for inadequate supervision?

An LPA who finds a supervision gap will cite the facility for a Type A deficiency, often after an incident such as a fall or an unaccounted-for resident. The facility must correct the gap by a set deadline and show how it will prevent a repeat. Type A citations carry higher civil penalties than Type B, and inspectors usually return to confirm supervision has improved.

How do I fix or prevent this violation?

Match staffing and attention to the actual acuity of your residents, not just the license capacity. Know where higher-risk residents are and check on them on a set schedule. Train staff to assist with daily activities promptly and to report when a resident needs more help than the plan allows. Keep service plans current so supervision tracks each resident's real needs.

Does this violation affect my RCFE license?

Yes. Providing care and supervision is the core duty of an RCFE, so citations here carry weight. A Type A violation under Section 87464(f)(1) can trigger a noncompliance conference, and repeated supervision failures can support action against your license. Staffing to acuity, checking on residents on schedule, and updating service plans keep supervision citations from threatening the license.

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.

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