Violation
California Code § 87465(b)PRN Self-Administration
How CCLD inspectors cite this regulation, what providers do to stay clear of it, and where it appears in the public record.
Regulation text
What California Code § 87465(b) actually says
California Code § 87465(b)
If the resident's physician has stated in writing that the resident is able to determine and communicate his/her need for a prescription or nonprescription PRN medication, facility staff shall be permitted to assist the resident with self-administration of his/her PRN medication.
From the field
What providers tell us about this citation
Based on community experience, not official guidance.
38 California RCFEs were cited for missing PRN physician authorizations. Los Angeles County alone had 13 citations. Before your next LPA visit, pull every PRN medication record and confirm a physician's written statement is on file. An LPA finding even one missing statement will review every PRN resident in the building.
By the numbers
- 38*CCLD
- facilities cited in the last 90 days
- 15*CCLD
- counties where this citation appeared
- --*CCLD
- rank among most-common citations
- Trajectory
- Steady
That is 1 in 357 facilities CCLD inspected.
SOURCE
*CCLD: California Community Care Licensing Divisionviolation_citationsUpdated weekly
SOURCE
*CCLD: California Community Care Licensing Divisionviolation_citationsUpdated weekly
SOURCE
*CCLD: California Community Care Licensing Divisionviolation_citationsUpdated weekly
Last 90 days vs. previous 90 days.
38 facilities were cited for this in the last 90 days. See if yours is one of them.
What other providers do
Common practices to stay clear of PRN Self-Administration
Common practices shared by providers. Confirm requirements with your licensing analyst.
Common practices
What to avoid
- Allowing staff to assist with PRN medication based on a verbal order alone
- Failing to obtain an updated statement after a resident's cognitive decline
- Not filing the physician statement in a location LPAs can easily find
- Assuming a standing pharmacy order substitutes for the physician's written statement
Regional record
Where this citation appeared in the past 90 days
Citation counts and rates by California county, drawn from CCLD inspection records.
| County | Citations |
|---|---|
| Los Angeles | 12 |
| Sacramento | 5 |
| San Bernardino | 4 |
| Kern | 2 |
| Orange | 2 |
| Shasta | 2 |
| Riverside | 2 |
| Amador | 1 |
| Fresno | 1 |
| Madera | 1 |
SOURCE
*CCLD: California Community Care Licensing Divisionviolation_citationsUpdated weekly
Public record
Check any facility for § 87465(b)
Free public record. No account needed.
FAQ
Frequently asked questions
Answers based on public CCLD data and regulation text. May not reflect recent changes.
What is a PRN self-administration violation?
How common is this violation in California assisted living?
What happens if an RCFE is cited for a PRN self-administration error?
How do I fix or prevent a PRN self-administration citation?
Does a PRN self-administration citation affect my RCFE 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.