California Code § 101223(a)(1): Dignity in Care

📋Type B Violation🏢Affects: Child Care Centers

What Is California Code § 101223(a)(1): Dignity in Care?

California Code § 101223(a)(1)

To be accorded dignity in his/her personal relationships with staff and other persons.

💡Insider's Tips

This regulation is about how your staff treats children, not their qualifications. Inspectors watch staff interactions during the entire visit, especially during transitions like mealtimes and diaper changes. They listen for tone of voice, watch for rough handling, and note whether staff speak to children respectfully or bark orders. A verbal warning usually happens when an inspector sees a staff member being dismissive or impatient once. Repeated incidents, or anything that looks like shaming a child in front of peers, gets documented. Train your staff that every interaction is being observed, because during a visit, it is.

26
facilities cited recently
That's 1 in 1667 facilities
11
counties affected
27
most common citation
📉
Decreasing
Last 90 days vs. previous 90 days
26 facilities (was 30)4 facilities

Source: California CCLD inspection records | Data: last 90 days as of Feb 16, 2026

How to Avoid Dignity in Care Citations

✓ Prevention Checklist

❌ Common Mistakes

  • Using group discipline that singles out or embarrasses a child in front of others. Providers think redirecting behavior loudly is effective, but inspectors see it as a dignity violation when a child is called out by name for misbehavior in front of the group.
  • Rushing children through personal care routines like diapering or toileting. Staff sometimes treat these moments as tasks to complete quickly rather than opportunities to respect a child's body and pace. Inspectors notice when children are moved roughly or without verbal communication.
  • Speaking about children's challenges within earshot of other children or parents. Discussing a child's behavioral issues or developmental concerns where others can hear violates their right to dignity. Inspectors document overheard conversations.
  • Allowing older children to tease or belittle younger ones without staff intervention. The regulation covers dignity in all personal relationships, not just staff-to-child. Inspectors note whether staff actively protect children's dignity among peers.

What's Being Cited in Each Region Over the Past 90 Days

Based on facility inspection reports filed with California's Community Care Licensing Division, here's how this citation appears across different regions in the past 90 days.

Alameda County

5 citations

Los Angeles County

4 citations

Orange County

3 citations

Riverside County

3 citations

Kern County

2 citations

San Diego County

2 citations

San Mateo County

2 citations

Santa Clara County

2 citations

Fresno County

1 citations

Lassen County

1 citations

Data updated weekly from CCLD public records. Last update: 2/16/2026

See California Code § 101223(a)(1): Dignity in Care Citations in Your County

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Frequently Asked Questions

What is Dignity in Care?
California Code 101223(a)(1) requires that every child in your care be treated with dignity in their personal relationships with staff and other persons. This covers tone of voice, physical handling, and how staff address children during routines like diapering, mealtimes, and transitions. For your facility, it means inspectors are watching every staff interaction from the moment they arrive, evaluating whether children are spoken to respectfully and handled gently throughout the day.
How common is this citation?
According to California CCLD inspection records as of February 08, 2026, 29 facilities have been cited for this violation in the past 90 days across 12 California counties. That's roughly 1 in 1,379 inspected facilities. Los Angeles leads with 6 citations, followed by Alameda with 5 and Santa Clara with 4. Riverside recorded 3 citations and Fresno recorded 2 during this period.
What triggers this citation during an inspection?
Inspectors observe staff-child interactions throughout the entire visit, paying close attention during transitions and personal care routines. Based on CCLD inspection patterns, they document instances where a staff member raises their voice to single out a child by name in front of others, rushes through diapering without speaking to the child, or discusses a child's behavioral challenges within earshot of other families. They also note whether staff intervene when older children tease or belittle younger ones. A pattern of dismissive or impatient interactions gets written up.
How can I prevent this citation?
Train staff that every interaction is observed during inspections. Practice redirecting behavior privately rather than calling children out in front of the group. During diapering and toileting, staff should narrate what they're doing and give children time to participate at their own pace. Discuss children's challenges only in private settings where no other children or parents can overhear. Model respectful language and tone during daily team huddles.
What should I do if I receive this citation?
Hold an immediate staff meeting to review the specific behavior documented in the citation. Implement a written policy on respectful interactions that covers tone of voice, physical handling, and private communication about children's needs. Schedule monthly observation sessions where you watch staff interactions and provide feedback. Document all training with dates and staff signatures. For complex situations, consider consulting a licensed childcare compliance specialist.

Related Violations

This information is educational and does not constitute legal advice. Consult a licensed childcare compliance consultant for guidance specific to your facility. Citation data is sourced from California Community Care Licensing Division public records and is refreshed regularly.