Violation

California Code § 87465(a)Medical Care Plan

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

Type A, seriousAffects rcfe37 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 § 87465(a) actually says

California Code § 87465(a)

A plan for incidental medical and dental care shall be developed by each facility. The plan shall encourage routine medical and dental care and provide for assistance in obtaining such care, by compliance with the following:

From the field

What operators tell us about this citation

Based on community experience, not official guidance.

33 California RCFEs were cited for this Type A violation. During walk-throughs, LPAs ask to see your written plan for coordinating medical care. Keep a signed, dated copy in the administrator's office and update it annually to avoid immediate risk citations.

By the numbers

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

37 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 Medical Care Plan

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

Common practices

Develop a written incidental medical and dental care plan.
Include procedures to assist residents in obtaining routine care.
Encourage residents to seek preventative dental and medical services.
Ensure the plan addresses individual transportation needs.

What to avoid

Assuming the admission agreement covers the incidental medical care plan.
Failing to outline specific steps staff take to schedule appointments.
Not updating the plan when a resident's mobility changes.
Lacking a process to track routine dental visits.

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 Medical Care Plan, last 90 days
County	Citations
Los Angeles	5
Monterey	4
San Diego	3
Sacramento	3
Contra Costa	3
Kern	2
Marin	2
Ventura	2
Riverside	2
San Mateo	2

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 Title 22 Section 87465(a) violation?

It occurs when an assisted living facility fails to develop a plan for incidental medical and dental care. This required plan must outline exactly how staff help residents access routine healthcare. Without this framework in place, your residents may miss important medical appointments and face declining health.

How common is the incidental medical care plan violation in California assisted living?

According to public CCLD inspection records, 33 California RCFEs were cited for this deficiency. LPAs classify this as a Type A citation because of the direct risk to resident health. It appears most frequently in Los Angeles and Monterey counties, impacting a significant number of assisted living communities.

What happens if an RCFE is cited for missing a medical care plan?

Your facility receives a Type A citation, which demands an immediate plan of correction. Type A citations carry higher civil penalties than Type B citations. Your administrator must quickly create the required medical care plan and submit verifiable proof of compliance to the state to resolve the issue.

How do I fix or prevent an 87465(a) citation?

Draft a complete policy that explains how your staff arrange transportation and coordinate medical visits. Be sure to include a dedicated section on dental care access and preventative services. Update this plan annually, or whenever a resident's care needs change significantly, to ensure continuous compliance with Title 22 regulations.

Does a missing medical care plan affect my RCFE license?

Yes, a missing or inadequate medical care plan is a Type A violation that directly jeopardizes your license. California CCLD views the inability to coordinate medical care as a direct threat to residents. Repeated citations lead to mandatory follow-up inspections and potential restrictions on new admissions.

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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