California Assisted Living Regulations
The Community Care Licensing Division of The Department of Social Services is in charge of regulating assisted living facilities in California. The state has an exceptional rating in terms of record accessibility and reporting. You can find the California care facility violation database here.
There are a number of definitions that pertain to senior living facilities in California that distinguish each community based on their size and the services provided:
Residential Care Facility for the Elderly (RCFE): This type of facility provides care, supervision, and assistance with activities of daily living. They may also provide incidental medical services under special care plans. These facilities tend to provide care to seniors 60 years of age and over. These communities may also be known as assisted living facilities, retirement homes, and board-and-care homes. The facilities can range in size from six beds or less to over 100 beds. The residents in these facilities require varying levels of personal care and protective supervision.
Continuing Care Retirement Communities (CCRC): These communities offer a long-term continuing care contract that provides for housing, residential services, and nursing care. These services tend to be administered in one location and usually for a resident’s lifetime. All providers offering continuing care contracts must first obtain a certificate of authority and a residential care facility for the elderly (RCFE) license. In addition, CCRCs that offer skilled nursing services must hold a Skilled Nursing Facility License issued by the Department of Health Services.
Cost of Living
California is considered to be one of the most expensive states in the country. The main reason for this is that the state has some of the most densely-populated cities in the US, as well hundreds of miles of pristine coastline. This leads to California having extremely high property values, especially in major cities such as Los Angeles or San Francisco. These scores are based on a scale where 100 is equal to the national average.
- Cost of Living: 139
- Groceries: 121
- Housing: 227
- Utilities: 118
- Transportation: 139
California is considered to be one of the most liberal cities in the country, both politically and socially. The state has consistently voted Democratic in the past several elections and the California supreme court was one of the first to legalize same-sex marriages in the United States. Most, if not all of the major cities in California are considered to be very friendly to members of the LGBTQ+ community. Outside of the cities, California tends to be more conservative within its significant rural population. California is also the most diverse state in the country with the largest Hispanic and Latino community on the West Coast.
2016 Presidential Election
- Voted Democratic: 62%
- Voted Republican: 32%
- Voted third party: 7%
- Median age: 37
- Over the age of 55: 26%
- 2018 population: 39,557,045
- 2020 population: 39,874,333
- Estimated 2025 population: 40,678,732
- 31% regularly attend a religious service
- 46% consider themselves atheist, agnostic, or a non-believer
- Across the state there are a total of 23,558 congregations
- There are 395 Masonic lodges in the state
Climate and Weather
As one of the largest states in the country, California has an extremely varied climate. Southern California has a desert-type climate that experiences long periods of droughts. On the other end of the extreme, Northern California is a mountainous, temperate rainforest that can receive lots of snowfall during the winter. Many people choose to live in California because of the state’s relatively low humidity levels and its proximity to the ocean. However, some seniors who live in any of the more densely-packed cities may experience respiratory difficulty from air pollution. The state also often experiences forest fires which can severely impact the air quality rating.
Humidity and Precipitation
- Average monthly precipitation: 2”
- Average maximum precipitation: 16” (December)
- Average humidity level: 61%
- Average air quality rating: 57 (Moderate)
- Peak air quality rating: 83 in August (Moderate)
Moderate conditions means that those who are sensitive to particulates in the air should limit the amount of time spent on outdoor activities.
- Average temperature: 59°F
- Average summer temperature: 71°F
- Typical summer high: 116°F (July)
- Typical summer low: 34°F (June)
- Average winter temperature: 47°F
- Typical winter high: 76°F (February)
- Typical winter low: 8°F (January)
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