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Violation

California Code § 87705(b)(2)Dementia Night 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 rcfe61 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 § 87705(b)(2) actually says

California Code § 87705(b)(2)

For facilities with fewer than 16 residents, ensuring there is at least one night staff person awake and on duty if any resident with dementia is determined through a pre-admission appraisal, reappraisal, or observation, to require awake night supervision. This requirement is in addition to requirements specified in Section 87415, Night Supervision.

From the field

What providers tell us about this citation

Based on community experience, not official guidance.

59 California RCFEs received Type A citations for this violation. CCLD inspectors conduct unannounced nighttime visits, especially in small communities with dementia residents. If any resident's appraisal indicates awake night supervision is needed, an awake staff member must be on duty every single night. One missing shift can trigger a Type A citation on your public record.

By the numbers

61*CCLD
facilities cited in the last 90 days

That is 1 in 244 facilities CCLD inspected.

SOURCE

*CCLD: California Community Care Licensing Divisionviolation_citationsUpdated weekly

16*CCLD
counties where this citation appeared

SOURCE

*CCLD: California Community Care Licensing Divisionviolation_citationsUpdated weekly

--*CCLD
rank among most-common citations

SOURCE

*CCLD: California Community Care Licensing Divisionviolation_citationsUpdated weekly

Trajectory
Steady

Last 90 days vs. previous 90 days.

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

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What other providers do

Common practices to stay clear of Dementia Night Supervision

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

Common practices

What to avoid

  • Using an on-call or sleeping staff person instead of a fully awake employee on duty
  • Not reassessing dementia residents whose wandering or confusion increases over time
  • Assuming a small six-bed facility is exempt from this staffing rule
  • Failing to document the clinical rationale for why night supervision is or is not needed

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 Dementia Night Supervision, last 90 days
CountyCitations
Los Angeles7
Solano6
Riverside6
Sacramento5
Contra Costa5
Marin4
Sonoma4
Alameda4
Fresno3
Orange2

SOURCE

*CCLD: California Community Care Licensing Divisionviolation_citationsUpdated weekly

Public record

Check any facility for § 87705(b)(2)

Free public record. No account needed.

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FAQ

Frequently asked questions

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

What is the dementia night supervision requirement for small RCFEs?
California RCFEs with fewer than 16 residents must have at least one awake staff member on duty overnight when any resident with dementia requires awake night supervision. Title 22, Section 87705(b)(2) establishes this as a separate requirement from general night supervision rules. The determination comes from the pre-admission appraisal, reappraisal, or direct staff observation.
How common is the dementia night supervision violation in California assisted living?
According to California CCLD inspection records, 59 RCFEs were cited for violating dementia night supervision requirements. These are classified as Type A citations, reflecting the direct and immediate risk to residents who wander unsupervised at night. Marin County led with 8 citations, followed by Los Angeles with 7. A total of 71 citations were issued across 17 counties.
What happens if an RCFE is cited for lacking dementia night supervision?
Type A citations carry higher civil penalties than Type B citations and require immediate correction. CCLD will conduct a follow-up visit to verify that awake night staffing is in place. Operating without required overnight supervision puts residents with dementia at serious risk of elopement, falls, and injury. This citation appears prominently on your public inspection record.
How do I fix or prevent a dementia night supervision citation?
Review every resident's pre-admission appraisal and reappraisal for night supervision needs. If any dementia resident requires awake overnight monitoring, schedule an awake staff member for every night shift. Update staffing plans immediately when a resident's condition changes. LPAs often verify overnight staffing during unannounced inspections, including after-hours and nighttime visits.
Does a dementia night supervision citation affect my RCFE license?
Yes. Type A citations are the most serious deficiency classification CCLD issues. Multiple Type A citations can trigger a compliance review and possible temporary suspension of your license. Your facility's ability to admit new residents may be restricted until CCLD confirms correction. This citation is visible to families reviewing your licensing history.

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.