How to Fill Out the LIC 9282: California Residential Infection Control Plan

Form LIC 9282 is the Residential Infection Control Plan template published by the California Department of Social Services (CDSS) for adult and senior care licensees, and completing it means filling in three sections: your day-to-day infection control practices, your staff training plan with a named Infection Control Lead, and your emergency plan for declared contagious disease events. You then sign it, keep it on file at the facility, and submit it with any initial license application, change of ownership, change of location, or change of facility type. The form itself is technically a courtesy template, but the written plan it produces is required by Title 22 of the California Code of Regulations.¹

Which Facilities Actually Use This Form

LIC 9282 is for residential adult and senior care settings: Adult Residential Facilities (ARF), Community Crisis Homes (CCH), Enhanced Behavioral Support Homes (EBSH), Residential Care Facilities for the Chronically Ill (RCFCI), Residential Care Facilities for the Elderly (RCFE), and Social Rehabilitation Facilities (SRF).²

If you run something else, you need a different form. Adult Day Programs and Adult Day Support Centers use LIC 9283. Medical Foster Homes for Veterans use LIC 9282 MFHV.³ Childcare centers and family childcare homes are outside this form entirely; they have their own infection control and employee notification requirements. LIC 9282 is also not an employee rights notice. That document, LIC 9052, covers Health and Safety Code sections 1596.881 and 1596.882 for childcare facilities and has nothing to do with residential infection control.⁴

Where to Download the Current Version

CDSS hosts LIC 9282 as a free PDF in its forms library under the “I–L” listings. The current revision is dated June 2023.¹ You can complete it on screen or print and fill it in by hand. The form states that using the template is voluntary, but you still have to produce a written plan covering everything the template addresses, so most licensees use it.

Section A: Describe Your Infection Control Practices

Section A asks how your facility meets the specific infection control requirements in Title 22. The applicable regulation depends on facility type. RCFEs work from Section 87470; other community care facilities generally work from Section 81095.5. The form lists both so you can point to the one that applies to you.¹

In this section you write out your actual procedures for hand hygiene, environmental cleaning, and handling contaminated items. For hand hygiene, spell out when staff must wash or sanitize: before and after resident care, before and after handling food, before and after assisting with medications, after contact with blood or body fluids, and before donning or after removing gloves. For environmental cleaning, describe how and how often you clean floors, counters, toilets, and chairs, and how walls and window coverings in resident care areas get regular dusting or cleaning. Spills of blood or other infectious material must be cleaned and disinfected promptly. For items that cannot be properly disinfected, describe how they are discarded in a covered waste receptacle, and for a resident’s personal belongings that cannot be disinfected, describe how you work with the resident to limit contact or transmission.⁵

Be specific. “We clean regularly” will not pass a licensing analyst’s review. Name the products, the frequency, and the staff position responsible.

Section B: Staff Training and Your Infection Control Lead

Section B has more moving parts than the other two, and this is where most plans need real detail.

Start by designating an Infection Control Lead. This must be a specific staff position, not “all staff.” The lead’s contact information must be available to CDSS on request. Describe how that person will be trained; the training must come from a medical professional, local health official, health department, or another research-based medical authority.⁶

Next, describe initial training for new staff. Under Section 81095.5, new staff must be trained by the Infection Control Lead within 10 calendar days of employment. Under Section 87470, which governs RCFEs, training must occur before staff work independently with residents.⁵ The content has to cover hand hygiene, environmental cleaning, and the emergency infection control provisions.

Then describe ongoing training for all staff. The regulations do not set a minimum number of hours. They do require that the Infection Control Lead keep training staff on the same core topics as initial training. Many facilities pair this with an annual refresher, though more frequent training is fine.

Finally, Section B asks you to confirm that infection control procedures will be reviewed at least once a year, or sooner if a local public health authority identifies an epidemic outbreak or if the local licensing agency requests a review.⁶

Section C: Emergency Infection Control Plan

Section C covers what your facility will do when a state or federal emergency is declared for a contagious disease. The point of the section is that a declared emergency calls for enhanced protocols on top of your baseline plan, not a repeat of Section A.

Describe how your facility will follow infection control measures recommended by federal, state, and local public health authorities for the specific disease involved. The plan must be reviewed and updated whenever new recommendations come from public health authorities or when CDSS directs you to update it.¹

For contagious disease situations, staff and volunteers must perform enhanced environmental cleaning and disinfection regardless of whether they have direct resident contact. The type of enhanced cleaning is determined in consultation with a medical professional or local health official based on the specific disease involved.⁵

Signing the Plan and Keeping It Accessible

Once all three sections are complete, the licensee or administrator signs and dates the form. The plan must be in writing and maintained on file at the facility at all times.¹

You must make the completed plan available on request to:

Residents and clients currently at the facility
Any responsible party for a resident or client, such as a family member or legal representative
The local Long-Term Care Ombudsman
The California Department of Social Services

Keep it somewhere staff can produce it quickly. A plan buried in offsite storage does not satisfy an on-request review.

When You Have to Submit LIC 9282

The Infection Control Plan is part of your facility’s Plan of Operation.⁵ Beyond keeping it on file, you must submit a completed LIC 9282 (or the applicable variant) with your application package for:

An initial license application
A change of ownership
A change of location
A change of facility type

Applications go through the CDSS Adult and Senior Care Program (ASCP) Centralized Application Bureau.³ Leaving the form out makes the application incomplete and stalls processing.

Annual Review and Updates

The plan is not one-and-done. You must review your infection control procedures at least annually. You also must review and update the plan if a local public health authority determines an epidemic outbreak has occurred, or if the local licensing agency asks for a review.⁶

After each review, the licensee or administrator should re-sign and re-date the form. Even if nothing has changed, the fresh signature documents that the review happened. A signature dated three years back invites questions from any analyst who opens the file.

What a Licensing Analyst Checks

On routine or unannounced visits, a Licensing Program Analyst will confirm the plan is on file, current, and complete, and that it addresses each required element: practices, the training plan with a named Infection Control Lead, and the emergency plan. The analyst may also verify the plan is actually being followed, for example by pulling training records for new hires or asking about cleaning schedules. The plan must be produced immediately when requested.

If the plan is missing, incomplete, or outdated, the analyst can issue a deficiency citation. First-citation civil penalties start at $50 per violation per day and can go up to $150 per violation per day until the deficiency is corrected. A second citation for the same regulation within 12 months triggers an immediate $150 penalty per violation, followed by $50 per day per violation until corrected. For RCFEs and facilities for the chronically ill, a third citation within 12 months brings an immediate $1,000 penalty per violation, then $100 per day per violation until correction.⁷

Common Mistakes to Avoid

Using the wrong form. LIC 9282 is only for residential facilities. Adult day programs use LIC 9283, and medical foster homes for veterans use LIC 9282 MFHV. The wrong form with an application creates delays.²
Writing vague procedures. “Staff will maintain hygiene” does not satisfy the regulation. Name the practice, the frequency, and the responsible position.
Leaving the Infection Control Lead blank or listing “all staff.” The regulation requires a designated position.
Not re-signing after the annual review. Even with no changes, a fresh date shows the review occurred.
Confusing this with an employee rights notice. LIC 9282 has nothing to do with whistleblower protections or employee rights. That document is LIC 9052 and applies to childcare, not residential adult and senior care.⁴

1
California Department of Social Services. LIC 9282 – Residential Infection Control Plan
2
California Department of Social Services. PIN 22-18-ASC – Infection Control Plan Courtesy Forms for Adult and Senior Care Facilities
3
California Department of Social Services. ASCP Centralized Application Bureau
4
California Department of Social Services. LIC 9052 – Employee Rights Notification
5
Legal Information Institute. California Code of Regulations Title 22 87470 – Infection Control Requirements
6
Legal Information Institute. California Code of Regulations Title 22 81095.5 – Infection Control Requirements
7
California Department of Social Services. LIC 421 – Civil Penalty Assessment