Violation

California Code § 87412(a)(11)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 rcfe261 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 § 87412(a)(11) actually says

California Code § 87412(a)(11)

A health screening as specified in Section 87411, Personnel Requirements - General.

From the field

What operators tell us about this citation

Based on community experience, not official guidance.

Keep every staff health screening in the front of each personnel file. LPAs ask for these in the first records review, and a single missing form is enough for a Type B citation.

By the numbers

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

261 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

Complete a health screening for each staff member before resident contact
Keep the screening documents in the personnel file
Meet the screening elements set in Title 22, Section 87411

What to avoid

Letting a new hire start before the screening is filed
Incomplete screening forms missing a required element
Screening documents kept in scattered locations a Licensing Program Analyst cannot find

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	64
Orange	29
Riverside	25
San Bernardino	21
Contra Costa	17
Sacramento	15
Santa Clara	12
San Mateo	8
Sonoma	7
Ventura	7

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 staff health screening for an RCFE?

A staff health screening is documented proof that an employee is healthy enough to work safely around residents, including the health record required under Title 22, Section 87411. California RCFEs must keep this on file for each staff member who has resident contact. It protects residents, many of them frail or immunocompromised, from communicable illness. Missing or incomplete screening documents are a frequent Type B citation.

How common is missing staff health screening in California assisted living?

According to California CCLD inspection records, 239 California RCFEs have been cited under Section 87412(a)(11), with 260 total citations across 26 counties. This is a Type B violation, meaning it poses a potential risk if left uncorrected rather than an immediate one. Los Angeles County leads with 63 citations, followed by Orange with 29. Roughly 1.8% of California RCFEs carry this citation.

What happens if an RCFE is cited for missing health screening?

A Licensing Program Analyst issues the deficiency and sets a correction date. You submit a plan of correction and show the missing screening documents at a follow-up visit. As a Type B citation, it carries civil penalties, though lower than a Type A. Repeated or uncorrected personnel deficiencies escalate and can draw closer licensing scrutiny from CCLD over time.

How do I fix or prevent missing staff health screening?

Build a hiring checklist that blocks a new employee from resident contact until the health screening is complete and filed. Audit every personnel file each quarter against the Section 87411 requirements. Keep documents in one consistent place so a Licensing Program Analyst can produce them on request. Set calendar reminders for any screening element that needs renewal.

Does a health screening citation affect my RCFE license?

A single Type B citation will not cost you your license, but California CCLD tracks every deficiency in your facility's record. A pattern of uncorrected personnel violations weakens your standing at renewal and during complaint investigations. Correcting the citation by the analyst's deadline and documenting the fix keeps the deficiency from compounding into more serious enforcement action.

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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