Skip to content
Sevana
Book a demo

Forms library

LIC 9282: Residential Infection Control Plan

By Sevana Care · Checked against cdss.ca.gov and Title 22 on

When it is due
The plan goes to CDSS "with the license application" as part of the plan of operation [3][4].CDSS says an initial application, or an application for a change of ownership, location or facility type, "must include a completed LIC 9282" [5]. After that, § 87470(c)(1)(D) says "The licensee shall review the use of infection control procedures in the facility at least annually, if local government public health determines an epidemic outbreak has occurred, or if the review is requested by the local licensing agency" [4]. When an emergency for a contagious disease is proclaimed or declared, a separate Emergency Infection Control Plan must be completed and sent to CDSS within 15 calendar days of the proclamation or declaration [4].
Who fills it out
The licensee develops the plan [4].The form asks for the facility's administrator, a named Infection Control Lead (a staff member), and a date, name, title and signature on each review [1].
Where it is kept
The Infection Control Plan is part of the plan of operation, and § 87208(a) says the plan and related materials "shall be on file in the facility" [3][4].The form says "maintained on file at the facility" [1].
How long to keep
The form, § 87470 and § 87208 give no retention period [1][3][4].The form asks an applicant to "keep it updated" [1].

LIC 9282 is the California Department of Social Services (CDSS) "Residential Infection Control Plan." One form covers six kinds of adult and senior care homes, including Residential Care Facilities for the Elderly (RCFEs) [1]. Title 22 § 87470(c) requires the licensee to develop an Infection Control Plan and include it in the plan of operation [4]. The rule names no form [4].

The form says "its use is voluntary," and that an applicant "may choose to either provide the required information on this form or on a separate written submission" [1]. CDSS's page for applicants says all application submissions "must include a completed LIC 9282, LIC 9283, or LIC 9282 MFHV" [5]. The form's first sentence also says an applicant "must submit an Infection Control Plan" [1]. We found no CDSS text that explains how "must include a completed LIC 9282" fits with "its use is voluntary."

Who fills it out

Section 87470(c): "An Infection Control Plan shall be developed by the licensee and shall be included in the Plan of Operation required by Section 87208" [4]. Section 87208(a)(12) lists "The Infection Control Plan pursuant to Section 87470" among the contents of the plan of operation [3].

The form asks for [1]:

  • the facility name and license number, the administrator, the address, a telephone number, an optional alternate telephone number and an email address
  • the Infection Control Lead, by staff member name and telephone number
  • a date, name, title and signature on each line of the two review logs

The form says "A licensee or administrator should sign and date the plan to show that it has been reviewed and updated as necessary" [1]. Its only signature lines are in the review logs [1].

Section 87470(c)(1)(A) says the plan must include identification of "a staff position to perform the duties of an Infection Control Lead for the facility." Contact information for the lead "shall be made available to the department upon request" [4].

When it is due

With the application. Section 87208(a) says the plan of operation "shall be submitted to the licensing agency with the license application" [3]. CDSS says an initial application, or an application for a change of ownership, location or facility type, must include a completed LIC 9282 [5]. The form says an applicant for a new license must submit an Infection Control Plan "with their initial license application and keep it updated" [1].

Reviews. Section 87470(c)(1)(D): "The licensee shall review the use of infection control procedures in the facility at least annually, if local government public health determines an epidemic outbreak has occurred, or if the review is requested by the local licensing agency" [4]. The form says the plan "shall be reviewed annually, updated as necessary" [1].

Training. The Infection Control Lead trains new staff "before staff works independently with residents" and trains all staff on an ongoing basis [4].

Changes to the plan. Section 87208(a): "Any significant changes in the plan of operation which would affect the services to residents shall be submitted to the licensing agency for approval" [3]. It gives no number of days. The form lists a 10-working-day report for five other kinds of homes: adult residential facilities, enhanced behavioral supports homes, community crisis homes, residential care facilities for the chronically ill and social rehabilitation facilities. For RCFEs it says only that they "are required to have a current Plan of Operation pursuant to" § 87208 [1].

The emergency plan. When an emergency under Government Code § 8558, or a federal emergency for a contagious disease, is proclaimed or declared, § 87470(d) requires an Emergency Infection Control Plan [4]:

  • it "shall be completed and sent to the Department within 15 calendar days from the date the state or federal emergency is proclaimed or declared" (d)(1)
  • "If there are no additional infection control measures to be taken to prevent, contain, and mitigate the associated contagious disease that are not already addressed in the Infection Control Plan, then the licensee shall notify the Department of this determination within 15 calendar days from the date on which the state or federal emergency is proclaimed or declared" (d)(2)
  • "The licensee shall complete and send to the Department within 15 calendar days any updates to the Emergency Infection Control Plan should additional infection control measures to prevent, contain, and mitigate the associated contagious disease be recommended by federal, state, and local government public health authorities or the Department that are not already addressed in the Infection Control Plan" (d)(2)(A)
  • it "shall be made available to residents, facility staff and, if applicable, each residents' representative" (d)(4)
  • "All staff shall be trained on the Emergency Infection Control Plan immediately but no later than 10 calendar days after submission to the Department" (d)(5)
  • it "shall be reviewed and updated as necessary or whenever new infection control measures are recommended by the federal, state, and local government public health authorities, or as determined by the Department, until the proclaimed or declared state of emergency is no longer in effect", and "Any updates to the plan shall be made available to staff, residents and if applicable, each resident's representative, and submitted to the Department" (d)(6)

Where it is kept

The plan is part of the plan of operation [4]. Section 87208(a): "The plan and related materials shall be on file in the facility" [3]. The form says the plan is "maintained on file at the facility" and "must be in writing and made available upon request" to residents onsite, any responsible party for a resident, the local Long-Term Care Ombudsman, and CDSS [1]. The form adds that resident and employee information on it "must be kept confidential" [1].

How long to keep it. The form, § 87470 and § 87208 name no retention period [1][3][4].

What the record must show

Section 87470(c)(1) lists what the plan "shall include" [4]:

  • a staff position for the Infection Control Lead, and how that person is trained
  • how the licensee meets the practice rules in subsections (a), (b) and (d)
  • an Infection Control Training Plan, with initial and ongoing training
  • the review at least annually
  • staff encouraging residents to follow infection control practices as necessary

The form has three parts [1]:

  • A. Infection Control Requirements. A.1 is the plan for § 87470(a): hand hygiene, cleaning and disinfecting, injections, gloves, respiratory etiquette and reusable medical equipment [1][4]. A.2 is the plan for § 87470(b), when one or more residents are diagnosed with a contagious disease: enhanced cleaning, personal protective equipment, and separation of residents [1][4].
  • B. Infection Control Training Plan. The lead's name and telephone, how the lead is trained, initial training for new staff, ongoing training for all staff, and a review and update log with 10 lines [1].
  • C. Emergency Infection Control Plan. The requirements of the emergency plan, the measures public health authorities recommend and a review and update log with 10 lines [1]. Section 87470(d)(1) says the plan "shall include the applicable infection control measures required by the federal, state, and local government public health authorities for the contagious disease" [4].

The form says both logs are "provided as a courtesy" [1].

Questions

Does an RCFE have to use LIC 9282?

Title 22 requires the plan, not the form [4]. The form says its use is voluntary [1]. CDSS's applicant page says applications must include a completed LIC 9282 [5].

Is the Emergency Infection Control Plan the same as the Infection Control Plan?

No. Section 87470(d) says the emergency plan covers measures "that are not already addressed in the Infection Control Plan." It applies when an emergency or federal emergency for a contagious disease is proclaimed or declared [4]. LIC 9282 has a part C for it [1].

Is there a different form for other kinds of homes?

Yes. CDSS lists LIC 9282 MFHV (5/26) for Medical Foster Homes for Veterans [2], and its applicant page names LIC 9283 for adult day programs [5]. LIC 9282 itself covers Adult Residential Facilities, Enhanced Behavioral Supports Homes, Community Crisis Homes, RCFEs, Residential Care Facilities for the Chronically Ill and Social Rehabilitation Facilities [1].

Does LIC 311F list LIC 9282?

No. CDSS's records list for RCFEs, LIC 311F, is dated 4/05 and does not name LIC 9282 [6].

More in Medication, incident reports and safety plans

  • LIC 622: The record of medications you keep in one locked place and of any you destroy
  • LIC 624: The report you file after a serious injury or an unusual incident
  • LIC 624A: The report you file when a resident dies
  • SOC 341: The report you file when you suspect abuse of a resident

Sources

  1. CDSS, LIC 9282 (6/23), Residential Infection Control Plan (PDF)
  2. CDSS, Forms and Publications (I-L)
  3. California Code of Regulations, Title 22, § 87208, Plan of Operation (Westlaw)
  4. California Code of Regulations, Title 22, § 87470, Infection Control Requirements (Westlaw)
  5. CDSS, ASCP Centralized Application Bureau, "LICENSURE REQUIREMENT: Infection Control Plan"
  6. CDSS, LIC 311F (4/05), Records To Be Maintained At The Facility, Residential Care Facility For The Elderly (PDF)