Guidelines for 4I Adult Residential Licensed Home

Letter of Interest


Harbor Regional Center is accepting applications for the following:

Service Code / Type:                   Service Code 915 – Adult Residential Home Level 4I

Reimbursement:                         Up to the current Community Care Facility ARM Level 4I rate

Location:                                       San Pedro/Harbor City, CA

The Resource Development Team at Harbor Regional Center must visit and approve any property that will be used as an ARF or SRF PRIOR to acquisition. A prospective service provider should NOT purchase or sign a lease without prior approval from the Harbor Regional Center Resource Development team.

Service Description:

An adult residential home is a Community Care Licensed home which serves the needs of individuals with Intellectual and Developmental Disabilities (IDD). Residents may range in age from eighteen (18) through fifty-nine (59) and may be non-ambulatory. This licensed home will provide four (4) individuals with permanent housing. A home with all beds licensed for non-ambulatory individuals is preferred, but a minimum of one (1) non-ambulatory bed is required. The home will provide a nurse consultant, BCBA, or a combination of both driven by client need and in accordance with Title 17 regulations.

Home and Community-Based Services (HCBS) were developed to offer support to individuals in community settings, as an alternative to institutional care. In 2014, new federal rules were released by the Centers for Medicare & Medicaid Services (CMS), requiring homes and programs where HCBS are delivered to meet new criteria. The Department and its partners are working to implement the requirements for home and community-based settings in accordance with this Final Rule.

Licensed homes must meet the new regulations issued by the Centers for Medicare and Medicaid Services (CMS) regarding standards that must be met in order for home and community-based services (HCBS) to continue to receive federal funding beyond March 2023. The prospective provider must ensure that services developed as part of this project are provided in accordance with person-centered plans that focus on the achievement of goals the individual values.

Applicants responding to this LOI who are currently vendored service providers for HRC or any other regional center must have services in good standing.

Applicants must disclose any potential conflicts of interest per Title 17, Section 54500. Applicants, including members of governing boards, must be in good standing in regards to all services vendored with any regional center. For partnership submissions, all partners should have full knowledge of the contents of the proposal submitted and must demonstrate commitment to the project during start-up as well as on-going operations.

General Requirements:

Must meet all applicable Title 17 and Title 22 regulations.

Must meet applicable Americans with Disabilities Act (ADA) standards.

Must meet the CMS HCBS Final Rule regulations.

Location and home must be approved by Harbor Regional Center PRIOR to acquisition.

Licensed home must be a minimum of 1700 square feet.

Single story home only.

Anti-scald device installation is required.

Must have the capacity to support up to four (4) individuals.

Private, individual bedrooms with full-sized beds required at minimum.

Must be licensed to support at least one (1) non-ambulatory individual (Having all beds licensed for non-ambulatory individuals is preferred)

Administrator, Staff, and Consultants Requirements:

Administrator and Direct Support Professionals (DSP) must meet at least minimum certification, training and experience requirements of Title 17 for this level of service.

The Licensee and Administrator must have and provide proof of a minimum of twelve (12) months full-time experience providing direct supervision and services in a licensed residential home for individuals with IDD, preferably from an existing service provider within the HRC catchment area.

Administrator must have completed DSP I & II training prior to becoming an Administrator. The challenge test is not accepted by HRC.

Administrator and Licensee must both obtain current Administrator Certification.

Administrator must complete forty (40) hours of continuing education within the first twelve (12) months and then twenty four (24) hours every year after the first year.

Administrator must possess a valid California driver’s license and have a vehicle in good working condition.

Administrator shall be present in the Administrative role for a minimum of twenty (20) hours per week at the licensed home. No more than two (2) licensed homes shall be overseen by one (1) Administrator.

All staff and consultants must be able to speak and read English. The ability to furnish staff who are bilingual English/Spanish-communicators is encouraged.

All staff and consultants must demonstrate the capacity to provide services in a linguistically and culturally competent manner.

It is preferred that direct care staff have a minimum of (6) months prior experience providing direct services to individuals with developmental disabilities.

DSPs must satisfactorily complete the DSP I and II competency-based training course as described in Title 17. The challenge test is not accepted by HRC.

DSPs must complete a minimum of twelve (12) hours of continuing education within each twelve-month period following the assumption of DSP duties.

The program services must include consultants certified to provide positive behavioral supports (i.e., BCBA), mental health and/or nursing consultation as needed to maintain optimal health for the individuals served. The consultants will be expected to conduct assessments, develop plans and provide training to direct care staff.

Consultants must be professionally licensed and qualified to practice within their field of expertise.

All staff and consultants must demonstrate an understanding of Person Centered Practices, the IPP process, and the legal rights of individuals with developmental disabilities in California.

Interested Parties shall submit the following documentation by February 18th, 2022 at 5PM

Submit via email to:

  • Summary of services (10 pages maximum) which address:
  • Overview of Services
  • Entrance and Exit Criteria
  • Interdisciplinary assessment and person centered planning process
  • Administrator, Staff, and Consultant Job Qualifications and Responsibilities

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