Guidelines for Specialized Adult Residential Licensed Home- Negotiated Rate

Letter of Interest

Post

Harbor Regional Center is accepting applications for the following:

Service Code / Type: Service Code 113 – Specialized Adult Residential Home

Reimbursement rate: Negotiated Rate home for 3 permanent individual bedrooms and 1 respite bedroom (4 bedrooms total)

Location:   Torrance, 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:

Specialized Adult Residential Home – A specialized adult residential home is a Community Care Licensed home which serves the needs of individuals with developmental disabilities. This licensed home will provide three (3) individuals with permanent housing plus provide one (1) bedroom that will be available for individuals that require out-of-home, short-term respite services. The respite bed may only be used up to 21 days maximum for an individual. The home will require, at minimum, two (2) bedrooms that will be designated as “non-ambulatory”, one of which must be the respite bedroom. The home will be licensed for ages 18-59 with an emphasis for individuals between 18-26 years of age. This home is needed to support individuals living in the HRC catchment area who present with intense behavior challenges including, but not limited to, aggression, self-injurious behavior (with the potential for serious bodily injury to themselves or others), property destruction, and elopement. This home will not accept court involved or forensically involved individuals. The home will provide supervision and staff training to address the complex needs of the individuals as well as environmental design to ensure the health and safety for everyone living there. Staff may include a Registered Behavior Technician (RBT) or Licensed Psychiatric Technician (LPT). The home will provide a nurse consultant, BCBA, or a combination of both. The home will be required to provide 6-8 hours of consultant services per individual per month. The respite bedroom is needed to assist families and individuals that have emergencies/crisis situations and need temporary out of home services not to exceed 21 days.

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.

Licensed home must be licensed to support at least two (2) non-ambulatory individuals- one of which must be the respite bedroom. (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: Resource.Development@harborrc.org

  • 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

Also attach: