A comprehensive infection control manual for California RCFEs covering standard precautions, PPE requirements, outbreak response protocols, communicable disease reporting, and TB surveillance.
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CDSS expects written policies covering standard precautions, hand hygiene, PPE, cleaning and disinfection schedules, outbreak response, and communicable disease reporting. CCR §87303 addresses facility cleanliness and sanitation requirements. Cal/OSHA §5193 covers bloodborne pathogen exposure control.
Standard precautions are infection control practices applied to every resident regardless of diagnosis. They include hand hygiene before and after resident contact, appropriate PPE use, and safe handling of linens and waste. They are the baseline infection prevention requirement for all healthcare settings.
California requires reporting of specific communicable diseases and outbreaks. A GI illness outbreak (two or more residents with similar symptoms within a 72-hour period) must be reported to the local public health department within 24 hours. TB cases, COVID-19 in certain settings, and other reportable diseases follow specific reporting timelines.
Under CDSS regulations, new residents must have TB risk assessment and testing or a recent result on file before or within 7 days of admission. Staff must have TB clearance before working with residents. Annual reassessment is required for staff and any resident who tests negative but has ongoing exposure risk.
Food handlers must follow California Retail Food Code requirements, including food handler certification, temperature controls for hot and cold foods, proper handwashing practices, and immediate response to any resident with suspected foodborne illness.