Checklists & Guides

RCFE Resident Admission Checklist

Every form, signature, and care step in the correct order from pre-admission appraisal through the first 30 days. Structured as a completion checklist so your administrator and staff never miss a required admission step.

Regulatory requirement CCR §§87455, 87507, 87457 - CDSS admission documentation requirements

What’s included

Pre-admission phase: appraisal, physician clearance, and CDSS form requirements
Day-of-admission: agreement signing sequence with signature checklist
Required CDSS forms at admission: LIC 601, LIC 602, and supplemental forms
Medication review and MAR setup steps
Care plan initiation checklist within required timeframe
Resident rights review and acknowledgment documentation
Emergency contact, physician contact, and insurance documentation
30-day follow-up: reassessment, care plan update, and documentation review
Fillable PDF format for use as a live working document during admission

Who needs this

RCFE administrators managing resident admissions and wanting a reliable completion checklist
New administrators who have not been through a CDSS-compliant admission process before
Facilities that received a CDSS citation for incomplete admission documentation

Checklists & Guides $49

Instant download
California RCFE compliant
Editable Word format
One-time purchase

View cart

Secure checkout · Instant delivery

Simple process

How it works

Purchase online

Add to cart and complete your order securely in minutes. We accept all major cards.

Receive your document

Download instantly. Your document is emailed and available in your order confirmation immediately after purchase.

Customize and use

Fill in your facility-specific details in the editable Word file and include it in your CDSS application or operations.

Questions answered

Frequently asked questions

What documents must be completed at the time of RCFE admission?

At admission, CDSS requires the execution of a signed admission agreement (LIC 625), a pre-admission appraisal (LIC 601 or equivalent), a physician report confirming the resident's capacity for residential care (LIC 602), and a resident rights acknowledgment. The care plan must be initiated and completed within 30 days.

What is the pre-admission appraisal?

The pre-admission appraisal is an assessment conducted before admission to determine whether the resident's needs can be met in an RCFE. It covers functional abilities, health conditions, behavioral history, medication needs, and special care requirements. CCR §87457 requires this assessment before or at the time of admission.

When must the initial care plan be completed?

CCR §87468 requires that a care plan be developed for each resident. Best practice and CDSS expectation is that an initial care plan is in place within 30 days of admission. The checklist includes a 30-day milestone review to ensure the plan is initiated, documented, and signed by the appropriate parties.

What is a MAR and when must it be set up?

A Medication Administration Record (MAR) or Medication Assistance Record documents every medication the resident takes, who assisted, the dose, and the date and time. For residents receiving medication assistance, the MAR must be in place before the first dose is given. This checklist walks through the MAR setup steps immediately following the admission agreement signing.

Can this checklist be customized for my facility?

Yes. The checklist is delivered in fillable PDF format. You can print it for each new admission and complete it as a paper record, or use it digitally. The checklist covers the standard CDSS admission sequence and can be supplemented with any facility-specific steps your administrator requires.