The landscape of adult and senior care in California is overseen by the Centralized Applications Bureau (CAB), an entity dedicated to streamlining the licensing process for various care facilities. This structured approach ensures consistency and efficiency, aiming to process applications within 90 to 120 days. For those looking to establish facilities that contribute to the Adhc Community Care Support Program network, understanding CAB’s role is crucial.
CAB handles applications for a wide array of facility types, each playing a vital role in the spectrum of adult and senior care. These include Adult Residential Facilities (ARF), Enhanced Behavioral Support Homes-ARF (EBSH), Community Crisis Homes-ARF (CCH), Social Rehabilitation Facilities (SRF), Residential Care Facilities for the Chronically Ill (RCFCI), Adult Residential Facilities for Persons with Special Health Care Needs (ARFPSHN), Adult Day Programs (ADP), Residential Care Facility for the Elderly (RCFE), and Residential Care Facility for the Elderly-Continuing Care Retirement Community (RCFE-CCRC). Each of these facility types contributes uniquely to the adhc community care support program, offering different levels and kinds of care to meet diverse needs within the community.
Essential New Requirement: Infection Control Plan
Reflecting the critical importance of health and safety, a new Infection Control Requirement, as outlined in PIN 22/13/ASC, mandates that all Adult and Senior Care (ASC) facilities integrate an infection control plan into their operational framework. This proactive measure is designed to safeguard the well-being of adults and seniors within licensed community care settings. Crucially, every application—whether for initial licensing, change of ownership, location, or facility type—must now include a completed LIC 9282 or LIC 9283 form. This requirement underscores the commitment to maintaining high standards of hygiene and health within the adhc community care support program environment.
Residential Infection Control Plan form (LIC 9282)
Adult Day Program Infection Control Plan (LIC 9283)
For RCFE Licensees, it’s important to keep your contact information current. You can update your e-mail address here. Guidance on Adding or Changing Management Companies (ACMC) for RCFEs is available here, and RCFE Disclosure Requirements are detailed in LIC 606.
Understanding Facility Types within the Community Care Spectrum
To effectively navigate the licensing process and contribute to the adhc community care support program, it’s essential to understand the definitions of each facility type:
-
Adult Residential Facilities (ARF): These facilities offer 24/7 non-medical care and supervision for adults aged 18-59, or those 60 and older under specific conditions, who may have mental, physical, or developmental disabilities. They form a cornerstone of the adhc community care support program by providing essential living assistance.
-
Enhanced Behavioral Support Homes-ARF (EBSH): Certified by the Department of Developmental Services (DDS) and licensed as ARFs, EBSHs provide specialized 24-hour nonmedical care for individuals with developmental disabilities requiring enhanced behavioral support, integral to specialized adhc community care support programs.
-
Community Crisis Homes-ARF (CCH): Also DDS-certified and licensed as ARFs, CCHs offer 24-hour nonmedical care for individuals with developmental disabilities needing crisis intervention services, a critical component of the adhc community care support program‘s emergency response capabilities.
-
Social Rehabilitation Facilities (SRF): SRFs provide 24/7 non-medical care and supervision in a group setting for adults recovering from mental illness who require temporary assistance, guidance, or counseling. These facilities require Mental Health certification from the California Department of Health Care Services and are vital for mental health support within the adhc community care support program.
-
Residential Care Facilities for the Chronically Ill (RCFCI): RCFIs cater to adults, emancipated minors, or families affected by HIV/AIDS or terminal illnesses, offering essential care and supervision as part of the broader adhc community care support program.
-
Adult Residential Facilities for Persons with Special Health Care Needs (ARFPSHN): These facilities provide 24-hour services for up to five adults with developmental disabilities who have special health care and intensive support needs, requiring program approval from the Department of Developmental Services and representing a specialized segment of the adhc community care support program.
-
Adult Day Programs (ADP): ADPs are community-based facilities offering non-medical care and supervision to adults 18 and older needing personal services or assistance with daily living activities in a daytime setting, forming a crucial outpatient component of the adhc community care support program.
-
Residential Care Facility for the Elderly (RCFE): RCFEs, often known as assisted living facilities or board and care homes, provide 24-hour non-medical care and supervision for individuals 60 years and older, a cornerstone of elderly adhc community care support programs.
-
Residential Care Facility for the Elderly-Continuing Care Retirement Community (RCFE-CCRC): RCFE-CCRCS offer comprehensive long-term contracts that include housing, residential services, and nursing care, typically within one location for a resident’s lifetime, representing an all-encompassing model within the adhc community care support program.
Steps to Obtain Your License
Securing a license to operate an adult or senior care facility involves a detailed process with the Centralized Applications Bureau. To begin, mail your completed application along with the required payment to:
Department of Social Services
Centralized Applications Bureau
Community Care Licensing
Adult and Senior Care Program
744 P Street, MS 9-14-8201
Sacramento, CA 95814
Key steps in the licensing process include:
- Criminal Record Clearance: Applicants and other specified individuals must undergo a criminal record clearance.
- Fire Clearance: Identifying the local fire authority is necessary for CAB to order a fire clearance.
- Overconcentration Review: Certain facility types will be assessed for overconcentration in the area.
- Application Document Review: A thorough review of all submitted application documents.
- Financial Verification: Ensuring sufficient start-up funds are available.
- Credit History Review: A review of the applicant’s credit history.
- Compliance History Review: Examination of the applicant’s prior compliance history, if applicable.
- Conditional Use Permit (for larger facilities): Obtaining a conditional use permit for larger facilities.
- Pre-Licensing Inspection: A mandatory pre-licensing inspection of the facility.
- Video Surveillance Guidelines: If video surveillance is planned, adherence to Video Surveillance guidelines EM 2-5800 Evaluator Manual 2-5800 GUIDELINES FOR USE OF VIDEO SURVEILLANCE is required.
Refer to the Fee Schedule (effective January 1, 2015) and Frequently Asked Questions for more details.
Important Reminders for Applicants
Licensees and administrators are expected to have a comprehensive understanding of the relevant statutes and regulations to effectively manage their facilities. As you prepare your application to contribute to the adhc community care support program, remember these critical points:
- Retain Copies: Always keep a copy of all application documents for your records.
- Complete Application: Ensure your application is complete with all necessary documents, including orientation and administrator certificates, and the correct application fee.
- Licensure Readiness: Be fully prepared for licensure before submitting your application, ensuring construction is complete, funding is secured, and permits are obtained.
- Verify Fire Authority Information: Double-check the accuracy of local fire authority contact details.
- Provide Contact Information: Include a reliable daytime phone number and email address.
- Document Presentation: Do not use sheet protectors for application documents.
- Direct Submission: Submit applications directly to the Centralized Application Bureau.
Centralized Applications Bureau
Community Care Licensing Adult and Senior Care Program
744 P Street, MS 9-14-8201 Sacramento, CA 95814
Phone: (833) 827-6084
Fax: (916) 651-7916
Temporary Managers: An Opportunity to Serve
The California Department of Social Services (CDSS) also seeks qualified Temporary Managers to manage facilities during emergencies. This role is crucial for ensuring resident safety and health in critical situations within adult community care facilities and Residential Care Facilities for the Elderly. If you are interested in becoming a Temporary Manager, further information is available here: LIC 215TM Temporary Manager Candidate List Application Information.
Ref: PIN 22-33-ASC – Updating The Temporary Manager (TM) List
By understanding these guidelines and requirements, you can effectively navigate the licensing process and contribute to the vital adhc community care support program network, ensuring high-quality care for adults and seniors in California.
