California LIC forms
Operational

LIC 610EEmergency Disaster Plan for Residential Care Facilities for the Elderly

LIC 610E is the RCFE emergency and disaster plan. It documents evacuation routes, staff assignments, supplies, and how the facility will communicate with families and licensing during an emergency.

Revision 12/25Commonly requiredSource verified 2026-08-20

Official PDF

The current LIC 610E is published by the California Department of Social Services. We link to the live source rather than hosting a copy, so you always get the latest revision.

Open LIC 610E on cdss.ca.gov

Who completes it and when

The administrator, with input from staff who would run the plan on shift.

Maintained on file and reviewed annually.

How to complete LIC 610E

  1. 1Map primary and secondary evacuation routes and the relocation site, with an address and a contact person.
  2. 2Assign roles by shift so nights and weekends are covered, not just the day the plan was written.
  3. 3List supplies, water, food, and medication continuity arrangements with quantities on hand.
  4. 4Record how families, emergency services, and Community Care Licensing will be contacted.
  5. 5Post the plan, drill it, log the drills, and review the whole document annually.

Mistakes evaluators flag

  • A plan naming staff who no longer work at the facility.
  • No documented drills to show the plan has actually been practiced.
  • Relocation site listed with no confirmation that the site has agreed.

Questions about LIC 610E

How often should the emergency plan be reviewed?

Review it at least annually and any time staffing, layout, or the relocation site changes, and keep drill records with the plan.

Fill this form from data you already have

  • Resident, staff, and facility details populate the form fields automatically.
  • Track which forms are on file, which are missing, and which are about to expire.
  • Incident reports draft the LIC 624 narrative and finalize an immutable PDF.
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Related operational forms

RCFE OS is not affiliated with the California Department of Social Services. This guide is operational information for licensees, not legal advice. Always follow the current form instructions and guidance from your licensing analyst.