Violation

California Code § 87458(c)(1)(A)TB Screening Records

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

Type B, generalAffects rcfe141 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 § 87458(c)(1)(A) actually says

California Code § 87458(c)(1)(A)

Communicable tuberculosis.

From the field

What providers tell us about this citation

Based on community experience, not official guidance.

Make TB clearance a hire-blocking step. LPAs open personnel files early in a visit, and an undocumented clearance becomes a Type B citation even when the staff member tested clear. A one-line checklist entry prevents the write-up.

By the numbers

141^*CCLD: facilities cited in the last 90 days
18^*CCLD: counties where this citation appeared
--^*CCLD: rank among most-common citations
Trajectory: Steady

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

Check a facility

What other providers do

Common practices to stay clear of TB Screening Records

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

Common practices

Document TB clearance findings for staff before resident contact
Keep the clearance and its date in the personnel file
Make records available for CCLD review on request

What to avoid

Hiring or scheduling staff before the TB result is on file
Losing or never filing the documented findings
Letting required reassessments lapse without a tracking system

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 TB Screening Records, last 90 days
County	Citations	Facilities	Citation rate
Los Angeles	49	--	--
Orange	23	--	--
San Diego	8	--	--
Ventura	6	--	--
San Bernardino	6	--	--
Butte	5	--	--
Sacramento	5	--	--
Sonoma	4	--	--
Alameda	4	--	--
Riverside	4	--	--

SOURCE

*CCLD: California Community Care Licensing Divisionviolation_citations2026-05-30Updated weekly

FAQ

Frequently asked questions

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

What is a TB screening records violation in an RCFE?

A TB screening records violation means your RCFE failed to document tuberculosis clearance findings, usually for a staff member. Title 22 requires written evidence that anyone in contact with residents is free of communicable tuberculosis. Older adults are at higher risk for severe TB, so this record protects a vulnerable population. Licensing Program Analysts treat the missing or incomplete record itself as the deficiency, even when the underlying test was clear.

How common is this violation in California assisted living?

This is among the more frequently cited health-record deficiencies in California RCFEs. As of 2026, 135 California assisted living facilities were cited under this requirement, producing 149 citations across 19 counties. CCLD classifies most of these as Type B violations, meaning the gap could become a risk to residents if it goes uncorrected. Los Angeles County leads with 52 facilities cited, followed by Orange County with 23.

What happens if an RCFE is cited for missing TB records?

When an LPA cites your RCFE for missing TB records, you receive a written deficiency and a deadline to correct it. The facility must submit a plan of correction and prove the clearance is now documented. As a Type B citation, it signals a potential risk rather than immediate harm, but unresolved Type B items can be reclassified or trigger a follow-up visit. Repeated health-record gaps draw closer scrutiny at your next inspection.

How do I fix or prevent TB record citations?

Build TB clearance into your hiring checklist so no staff member starts resident care without a documented result on file. Keep each clearance in the personnel record, with the date and the examining source noted. Set a calendar reminder for any required reassessments so nothing lapses. Run a quick file audit before each known inspection window. Treating the record as a hire-blocking step, not an afterthought, keeps this deficiency off your report.

Does a TB records citation affect my RCFE license?

Yes, health-record deficiencies are part of your RCFE's licensing history with CCLD. A single corrected Type B citation rarely threatens your license on its own, but it stays on the public record that families and placement professionals can review. A pattern of repeated or uncorrected citations can lead to escalated enforcement, including civil penalties. Keeping TB records complete and current is one of the simplest ways to protect both residents and your standing with licensing.

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.

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