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

📋Type B Violation🏢Affects: Child Care Centers
ℹ️ Educational reference based on public CCLD inspection records. Not legal or compliance advice. Verify requirements with official sources. Full disclaimer →

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.

💬What Providers Tell Us

Based on community experience — not official guidance

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.

27
facilities cited (last 90 days)
That's 1 in 1667 facilities
13
counties affected
22
most common citation
Stable
Last 90 days vs. previous 90 days
27 facilities (was 29)2 facilities

Source: California CCLD inspection records | Data as of Mar 19, 2026. Updated weekly.

27 facilities were cited for this in the last 90 days.

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What Other Providers Do for Dignity in Care

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

✓ Common Practices

❌ 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.

Data updated weekly from CCLD public records. Last update: 3/19/2026

Learn More About This Topic

A single Type A citation can cost $150–$500+ in civil penalties — not counting the follow-up inspection it triggers.

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Frequently Asked Questions

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

What is Dignity in Care?
California Code 101223(a)(1) requires that every child in your facility be treated with dignity in their personal relationships with staff and other children. This goes beyond basic kindness. It covers tone of voice during redirections, how staff handle diapering and toileting, and whether adults discuss a child's challenges within earshot of others. For your daily operations, it means every staff interaction is held to a respect standard that inspectors actively observe during visits.
How common is this citation?
According to California CCLD inspection records as of March 15, 2026, 27 facilities have been cited for this violation in the past 90 days across 13 California counties. That's roughly 1 in 1,481 inspected facilities. Citations are spread across the state, with Los Angeles (5), Orange (3), Alameda (3), San Diego (3), and Santa Clara (3) reporting the most. This citation often results from observed behavior during unannounced visits rather than paperwork reviews.
What triggers this citation during an inspection?
Inspectors watch staff interactions throughout the entire visit, especially during transitions like mealtimes and diaper changes. Based on CCLD inspection patterns, common triggers include staff raising their voice to single out a child by name in front of peers, rushing children through toileting without verbal communication, and discussing a child's behavioral issues where other families can overhear. Inspectors also note whether staff intervene when older children tease younger ones. A single observed incident of shaming or rough handling gets documented immediately.
How can I prevent this citation?
Train staff that every interaction is observed during licensing visits. Practice redirecting children privately, not across the room. During diapering and toileting, staff should narrate what they're doing and let the child set the pace. Establish a rule: never discuss a child's challenges anywhere another family might hear. Role-play these scenarios during monthly staff meetings so respectful responses become automatic, not something staff have to think about under pressure.
What should I do if I receive this citation?
Document the specific interaction that was cited and hold a staff meeting within 48 hours to review dignity standards. Create or update your written policy on respectful interactions, covering tone of voice, private redirections, and confidential discussions about children. Have each staff member sign an acknowledgment. Include specific training dates and topics in your Plan of Correction. 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.