Frequently Asked Questions

The LIC 602 is the official Physician’s Report for Residential Care Facilities for the Elderly (RCFE) required by the California Department of Social Services (CDSS). It is a medical assessment completed by a licensed physician that outlines a prospective resident’s physical and mental health, medications, and level of assistance needed.

According to Title 22, Section 87458, the LIC 602 must be completed within 6 months prior to the resident’s admission to the facility. Once admitted, the form is typically updated annually or whenever there is a significant change in the resident's condition.

PPD stands for Purified Protein Derivative. It is a skin test, also known as the Mantoux Tuberculin Skin Test (TST), used to determine if a person has been infected with the bacteria that causes tuberculosis (TB).

A healthcare provider injects a small amount of PPD fluid just under the top layer of skin on the forearm. This creates a small, pale bump. You must return to the clinic within 48 to 72 hours to have a professional "read" the reaction.

A positive skin test usually means you have been exposed to TB. It does not necessarily mean you have "active" (contagious) TB.

1. Follow-up: You will likely be required to get a Chest X-ray to rule out active disease.

2. Medical Clearance: A physician must provide a written statement confirming you are "free from infectious tuberculosis" before you can work or reside in an RCFE.

If the bump is a standard reaction to the injection, it will disappear on its own within a few days. Do not rub it, scratch it, or cover it with a bandage/cream before it is read by a professional, as this can interfere with the accuracy of the result.

The process is managed by the Community Care Licensing Division (CCLD) and involves:

1. Orientation: Complete the mandatory RCFE component orientation.

2. Application: Submit a detailed application (Parts A & B) including your Plan of Operation and Financial Statements.

3. Background Clearance: All owners and staff must complete a Live Scan fingerprinting.

4. Property Inspection: The facility must pass a fire clearance and a final site visit by a licensing evaluator.

Under Title 22, Section 87411, a facility can only accept a resident if:

• The facility has the appropriate license and staff to meet the resident's specific needs.

• The resident does not require 24-hour skilled nursing care (unless under hospice).

• The resident’s needs are compatible with other residents in the facility.

Diabetes is considered a Restricted Health Condition under Section 87628. A resident with diabetes can live in an RCFE only if:

• They can perform their own glucose testing and insulin injections (Self-Care).

• OR the injections are administered by a licensed medical professional (RN/LVN).

California law (Health and Safety Code 1569.69) requires specific training for staff assisting with self-administration of medication:

• Facilities with 1-15 residents: 10 hours of initial training + 4 hours annually.

• Facilities with 16+ residents: 24 hours of initial training + 8 hours annually.

• Training must include "hands-on" instruction and be conducted by a qualified professional (Nurse, Pharmacist, or Physician).