Violation

California Code § 87411(f)Staff Health Screening

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 rcfe496 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 § 87411(f) actually says

California Code § 87411(f)

All personnel, including the licensee and administrator, shall be in good health, and physically and mentally capable of performing assigned tasks. Good physical health shall be verified by a health screening, including a chest x-ray or an intradermal test, performed by a physician not more than six (6) months prior to or seven (7) days after employment or licensure. A report shall be made of each screening, signed by the examining physician. The report shall indicate whether the person is physically qualified to perform the duties to be assigned, and whether he/she has any health condition that would create a hazard to him/herself, other staff members or residents. A signed statement shall be obtained from each volunteer affirming that he/she is in good health. Personnel with evidence of physical illness or emotional instability that poses a significant threat to the well-being of residents shall be relieved of their duties.

From the field

What operators tell us about this citation

Based on community experience, not official guidance.

451 California RCFEs have been cited for this. LPAs pull personnel files on most visits, so a single new hire working without a signed TB screening on file is an easy Type B citation. Make the screening a hard gate before any resident contact.

By the numbers

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

496 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 Staff Health Screening

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

Common practices

Obtain a physician health screening with a chest x-ray or TB test for each staff member
Time the screening within six months before or seven days after the start date
Keep a signed good-health statement from each volunteer
File the signed physician report in each personnel record

What to avoid

Hiring staff before the health screening is completed and on file
Missing the seven-day post-hire window for the TB test
Filing an unsigned or undated physician report

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 Staff Health Screening, last 90 days
County	Citations
Los Angeles	96
Orange	48
Alameda	41
Contra Costa	35
San Mateo	28
Sonoma	26
Sacramento	21
San Joaquin	20
San Bernardino	19
San Diego	17

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 87411(f) staff health screening violation?

Title 22, Section 87411(f) requires every RCFE staff member, including the licensee and administrator, to be in good health and physically and mentally able to do their assigned tasks. Good health is verified by a physician health screening that includes a chest x-ray or an intradermal TB test, done no more than six months before or seven days after hire. The rule protects residents from communicable disease and unfit caregivers.

How common is this violation in California assisted living?

Missing or late health screenings are a routine RCFE finding. CCLD inspection records show 451 California RCFEs have been cited under Section 87411(f), with 496 total citations across 28 counties. Inspectors usually classify it as a Type B violation, meaning it could become a risk to residents if it is not corrected. Los Angeles (95), Orange (48), and Alameda (41) counties report the most citations.

What happens if an RCFE is cited for a staff health screening gap?

The facility receives a Type B citation and a Plan of Correction with a deadline to obtain the missing screening or report. Type B violations are less severe than Type A but still carry civil penalties and an expectation of prompt correction. An LPA will recheck the affected staff files on a follow-up visit. Leaving a Type B uncorrected past its deadline can escalate the matter and invite closer review.

How do I fix or prevent a staff health screening citation?

Make a signed physician health screening, with a TB test result, part of every hire packet, dated within six months before or seven days after the start date. Collect a signed good-health statement from each volunteer. Keep every report in the personnel file and track expiration or follow-up dates on a roster. Pull a new hire from resident contact until the screening is on file.

Does a staff health screening violation affect my RCFE license?

Yes. The citation appears on your facility's public CCLD record. A single Type B screening gap that you correct quickly rarely affects your license, but a backlog of missing staff health records shows the Community Care Licensing Division a weak hiring process and can lead to more frequent file audits. Closing the Plan of Correction and keeping a current screening roster keeps your standing solid.

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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