{"ref":"CA-HC-SVC-04","title":"Dementia Care","category":"Service delivery","summary":"Sets how the Agency cares for clients living with dementia: a dementia care profile for each client, consistent aides trained in dementia care, communication and calm responses to distress, no restraint, a wandering plan, home safety, daily living support and same-day reporting of changes. From January 1, 2027 the annual training of every aide includes the special care needs of clients with dementia (Cal. Health & Safety Code §1796.44(c)(6), added by SB 412).","inShort":["Read the client's Dementia Care Profile before your first visit and follow the client's routine.","Speak slowly, one step at a time. Do not argue or correct; respond to the feeling.","If the client refuses or gets upset, stop and try again later. Never force care and never restrain.","If the client is missing, search the home and right outside quickly, then call 911 and the office.","Tell the office the same day about new confusion, falls, not eating or drinking, or signs of pain."],"primaryCitation":"Cal. Health & Safety Code §1796.44(c)(6)","citations":["Cal. Health & Safety Code §1796.44(c)(6) (operative January 1, 2027)","Cal. Health & Safety Code §1796.44(c)(1) to (5)","SB 412 (Stats. 2025, ch. 414)","PIN 26-02-HCS (March 27, 2026)","Cal. Welf. & Inst. Code §15610.63"],"federalCitations":[],"surveyorAsks":["How many of your clients have dementia, and how do your aides learn about each one?","Show me the dementia training in your training plan and how it is documented."],"forms":[{"ref":"CA-HC-SVC-04-A","title":"Dementia Care Profile"}],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (Cal. Health & Safety Code §1796.44(c)(6))","5. Getting to Know the Client","6. Who Cares for the Client","7. Communicating with the Client","8. Responding to Distress and Refusals","9. No Restraint","10. Wandering and Exit-Seeking","11. Home Safety for a Client with Dementia","12. Daily Living Support","13. Changes, Abuse and Family Support","14. Responsibilities","15. Records and Compliance Monitoring","16. Staff Training","17. References","18. Related Policies and Forms","19. Approval","20. Revision History"],"version":"1.0","sample":false,"pack":"ca-hca","state":"California","service":"Home care","guides":[{"path":"/guides/home-care-agency-policies/","h1":"What policies does a home care agency need?"}],"agency":{"name":"Sample Agency","legalName":"Sample Agency, LLC","logo":null}}