Frequently Asked Questions

If you desire to open a Community Care Facility (CCF) in California serving adults, the elderly, or a Regional Center (ARF-DD, ARF-MD, or  RCFE) we can prepare parts A and B applications for a facility license, and Level 2, 3, and 4 Program Designs for Regional Center vendorization. 

 It can take up to 6 months or more to obtain a facility license after submitting a complete application.  There are many steps you must finish before you will be ready to submit an application. Are you familiar with those steps? 

An Online Orientation:  The Adult Care licensing categories include Adult  Residential Facilities (ages 18-59), Adult Day Programs (ages 18+),  Social Rehabilitation Facilities, and Residential Care Facilities for  the Chronically Ill and Adult Residential Care Facilities for Persons  with Special Health Care Needs. 

https://www.cdss.ca.gov/inforesources/community-care/ascp-centralized-application-units/online-orientations

 The interview typically lasts 45 minutes to 1 hour.   

During the interview, you’ll be asked questions pertaining to your application and program.  The following, and more, will be discussed:

• Section  A  of  the application.    The  LPA  will  go  over  the  forms  with
you and ensure they are completed properly.
• Facility organization, including administrative and staff
responsibilities.
• Section  B  of  the  application.    The  program  description,  admission
policies, restricted and prohibited health conditions will be discussed.
• Administrator qualifications and educational requirements.
• Financial verification, including the information acquired from
banking institutions.
• Previous experience, if any, as licensee, administrator, or staff.
• The facility admission agreement.
• Staff training and documentation.
• Answering applicant questions.
• Conducting client activities.
• Client medical/dental appointments and how the facility will
accommodate such appointments.
• Medication procedures and storage.
• Reporting incidents and client abuse.
• The  Licensee/Administrator’s  background  and  reason/desire  to  open
a facility.  
 

You  should  have  your  Component  I  Orientation  certificate,  a  valid  photo
ID,  and  a  current  and  complete  copy  of  the  sections  of  Title  22  relevant  to your facility type available for the interview.  If  you pass the Component II interview,  you  will  proceed  to  the  next  step  of  a  Component  III  facility
inspection.
 
**We  recommend  you  begin  reading  your  application  as  soon  as  you
submit it and that you spend as much time as possible studying the materials in the days prior to your interview.

 Component III is category-specific training and discussion in areas not often understood by new licensees intended to promote successful facility operation. 

This checklist after the fire clearance has been granted. The Pre-Licensing
visit can only be scheduled after the fire clearance is completed and all items on this form are certified  to be complete.  This  form  is  to be returned to the Analyst assigned to the application.


Please check each box to assure completion of each item.

The  section  of  each  relevant  Title  22  (T22)  or  Health  and  Safety  Code  (HSC)
regulation is indicated in parentheses.

MEDICATIONS  

[ ]    There is  a locked, centralized storage area for client medications. (T22 80075)

PHYSICAL PLANT
 
[ ]    The facility is clean, sanitary, and in good repair. (T22 80087)

[ ]      Protective  devices  are  in  place  to  include  non-slip  material  under   
rugs.   (T22 80087)

[ ]    Indoor and outdoor passageways, stairways, inclines, ramps, open
porches, and other areas of potential hazard are free of
obstructions. (T22 80087)

[ ] Pools  an  bodies  of  water  have  fencing  at  least  five  (5)  feet  high
with  self-closing,  self-latching  gates,  or  locking  covers  that  can
support the weight of an adult. (T22 80087)

[ ] There is a locked storage area for firearms, poisons, and
dangerous  weapons.    There  is  a  separate  locked  storage  area  for
ammunition. (T22 80087)

[ ] All window screens are clean and in good repair. (T22, 80088) 

CCLD Adult and Senior Care Program
  
Adult Residential Facility
Pre-Licensing Inspection Self-Certification

[ ] Facility temperature is between 68 degrees and 85 degrees. (T22
80088)

[ ] Fireplaces and open-faced hearths are inaccessible to clients.  
(T22, 80088)

[ ] Stairways, inclines, ramps, open porches, and areas of potential
hazard are well-lit and equipped with sturdy hand railings.  (T22
85087)

[ ] For facilities of 16 or more capacity, there is a private office for
the Administrator a reception area, and bathroom for visitors.  
(T22 85087)

[ ] For facilities of 16 or more capacity, and facilities having separate
floors or buildings without full-time staff, there are signal systems
in place.   (T22 85087)

[ ] Fire alarms and smoke alarms operate properly.   (HSC 1548)

[ ] Carbon monoxide detectors operate properly.   (HSC 1503.2)

BEDROOMS

[ ] Rooms  not  to  be  used  as  client  bedrooms  include,  but  are  not
limited to halls, stairways, unfinished attics or basements, garages,
storage areas and sheds, or similar detached buildings.   (T22  85087)

[ ] Client bedrooms are large enough to allow for easy passage and to
accommodate furniture and assistive-devices such as wheelchairs,
walkers, or oxygen equipment.   (T22 85087)

[ ] No client bedroom is a passageway to another room, bath or toilet.  
(T22 85087)

[ ] There  is  a  bed  for  each  client  with  a  mattress,  mattress  pad,
bedsprings,  and  pillow(s)  which  are  clean  and  in  goof  repair.
M at t r e sse s  a n d  pi l l ow s  ar e  f l a me  r et a r da nt   (T22 85088)

[ ] There is a dresser and  closet  space for each  client that includes  at
least  two  (2)  drawers  or  eight  (8)  cubic  feet  of  dresser  space  per
client (T22 85088) 

CCLD Adult and Senior Care Program
  
Adult Residential Facility
Pre-Licensing Inspection Self-Certification

[ ] There  is  a  chair  and  a  lamp  for  each  client  and  at  least  one  (1)
nightstand per two (2) clients.   (T22 85088)

[ ] If applicable, resident bedrooms with security bars on
windows/doors have at least one (1) window/door in the bedroom
with  an  approved  safety  release  (or  no  security  bar)  to  allow
emergency evacuation.   (HSC 1569.6991)

BATHROOMS  

[ ] There  is  at  least  one  (1)  toilet  and  washbasin  per  six  (6)  clients,
family, and personnel.   (T22 85088)

[ ] There  is  at  least  one  (1)  shower  or  bathtub  per  ten  (10)  client,
family, and personnel.   (T22 85088)

[ ] Hot water temperature is between 105-120 degrees Farenheit.   (T22
85088)

[ ] Bathroom(s) are located near client bedrooms.   (T22 85088)

[ ] There are nightlights in the hallways outside non-private
bathrooms.   (T22 85088)

SUPPLIES  

[ ] There  are  client  personal  hygiene  supplies  to  include  feminine
napkins (except in all male facilities), soap, toothpaste, toilet paper,
and combs.   (T22 85088)

[ ] There  is  a  sufficient  supply  of  clean  linens  to  permit  weekly
changing, or more often as needed, of client top and bottom sheets,
bedspreads,  blankets,  pillowcases,  mattress  covers,  bathe  towels,
hand towels, and washcloths.   (T22 85088)

FOOD SERVICE  

[ ] The dining room is near the kitchen.   (T22 85076)

[ ] Refrigerator(s)  and  freezer(s)  are  clean  and  large  enough  for  the
storage of at least two (2) days of perishable foods.   (T22 85076)

[ ] The freezer(s) is kept at 0 degrees Farenheit.   (T22 85076) 

CCLD Adult and Senior Care Program
  
Adult Residential Facility
Pre-Licensing Inspection Self-Certification

[ ] The refrigerator(s) is kept at a maximum of 45 degrees Farenheit.  
(T22 85076)

[ ] A seven (7) day supply of non-perishable food is present.   (T22 85076)

[ ] There  are  sufficient  amounts  of  tableware,  tables,  dishes,  and
utensils.   (T22 80076)

[ ] There are sufficient amounts of equipment for the storage,
preparation, and service of food.   (T22 80076)

[ ] All equipment, dishes, and utensils are clean and well-maintained.  
(T22 80076)

[ ] All kitchen, food storage, and preparation areas are clean.  (T22 80076)

RECORDS

[ ] There is confidential storage of personnel records at the facility.  (T22
80066)

[ ] There  is  confidential  storage  of  client  records  at  the  facility.   (T22
80070)

ADMINISTRATION

[ ] The  emergency  exiting  plan  and  emergency  phone  numbers  are
posted.   (T22 80023)

[ ] Client Personal Rights (LIC 613) are posted.   Posting  both  sides   of   
t he  P er so nal   Ri g ht s  f or m   m e et s  t h i s  r eq ui r e m e nt   (T22 80072)

[ ] The facility visiting policy is posted.   (T22 80072)

[ ] The licensing complaint poster (1-844-LET-US-NO) is posted.  (T22
80072)

[ ] There is space available for resident council meetings and resident
council postings.   (T22   85080)



 

CCLD Adult and Senior Care Program
  
Adult Residential Facility
Pre-Licensing Inspection Self-Certification

ACTIVITIES

[ ] For facilities of seven (7) or more capacity, and activity calendar is
posted.   (T22 85079)

[ ] There is an outdoor activity space with a shaded area and furnished
for outdoor use.   (T22 85087.2)

[ ] There  is  at  least  one  (1)  common  room  available  to  clients  for
visitors.   (T22 85087.3)

[ ] There are activity supplies to include newspapers, magazines, and
a variety of reading material.   (T22  85088)

MISCELLANEOUS

[ ] There  are  first-aid  supplies  to  include  sterile  first-aid  dressings,
bandages, adhesive tapes, scissors, tweezers, thermometer,
antiseptic solution, and a current first-aid manual.   (T22  80075)

[ ] There is space and equipment for laundry.  There is space for clean
linen storage and a separate space for soiled linen.   (T22   85087)

[ ] For facilities of sixteen (16) or more capacity, there is a designated
laundry space.   (T22  85087)

[ ] There is an operating telephone available to clients.   (T22 80073)

[ ] There is emergency lighting and supplies to include flashlights with
batteries.   (T22 85088)

[ ] Vehicles  used  to  transport  clients  are  in  safe  operating  condition.  
(T22  80074)

VISA, MASTERCARD, AMERICAN EXPRESS, CASHIER'S CHECK, CASH, BANK WIRE TRANSFER.

 Once you have opened your facility, we can prepare many documents that you may need, such as CCLD exception and waiver requests, Individual Service  Plans or Quarterly and Semi-Annual Reports for the Regional Center, or  guide you in setting up and maintaining an efficient, streamlined, and  effective program. 

A facility or home, that provides 24-hour care for six or fewer children who have mental health disabilities, or developmental, or physical disabilities, and who require special care and supervision as a result of their disabilities. 

Adult Residential Facilities (ARFs) are non–medical facilities that provide room, meals, housekeeping, supervision, storage and distribution of medication, and. personal care assistance with basic  activities like hygiene, dressing, eating, bathing and transferring. 

To be certified as an ARF  Administrator you must meet the qualifications outlined in regulation  85064. This includes being at least 21 years of age; having a high school diploma, GED, or equivalent; and having the knowledge and ability  to meet regulatory requirements and provide care and supervision. 

LEARN MORE

 Year 1 Training

               The Direct Support Professional (DSP) training is 70  hours of training which is designed to be completed over a two-year period, 35 hours in each year. In Year 1, you will learn about:             

• The California Developmental Disabilities Service System  
• The Individual Program Plan  
• Risk Management and Incident Reporting  
• 7 Rights of the Self-Administration of Medication  

• Medication Management  
• Maintaining the Best Possible Health and Oral Health  
• Positive Behavior Supports  
• Communication  

LEARN MORE

Year 2 Training

               The Direct Support Professional (DSP) training is 70  hours of training which is designed to be completed over a two-year period, 35 hours in each year. In Year 2, you will learn about:             

• Making Choices  
• Person Centered Planning  
• 7 Rights of Self-Administration of Medication  
• Preventative Health Care  

• Nutrition and Exercise  
• Strategies for Successful Teaching  
• Positive Behavior Support  
• Life Quality  

LEARN MORE

The Registered Behavior Technician® (RBT®) is a  paraprofessional certification in behavior analysis. RBTs assist in delivering behavior analysis services and practice under the direction and close supervision of an RBT Supervisor and/or an RBT Requirements  Coordinator, who are responsible for all work RBTs perform. 

LEARN MORE

Enhanced Behavioral Support Home means a facility certified by the  Department of Developmental Services (DDS) and licensed by the  Department (CCLD) as an Adult Residential Facility that provides 24-hour  nonmedical care to individuals with developmental disabilities who  require enhanced behavioral supports under specified requirements. 

Provide 24 hours a day non-medical care and supervision in a group setting to adults recovering from a mental illness who temporarily need assistance, guidance, or counseling. Mental Health certification from the  California Department of Mental Health is required for this type of  facility.  

 Any community-based facility or program that provides non-medical care  and supervision to persons 18 years of age or older in need of personal services, supervision, or assistance essential for sustaining the  activities of daily living or for the protection of these individuals,  in a day care setting, on less than a 24-hour basis.  

Provide 24-hour a day services for up to five adults with developmental disabilities, who have special health care needs and intensive support needs. This facility type requires certification of program approval  from the Department of Developmental Services. [http://www.dds.ca.gov/] 

 Mail completed application with 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  

Yes, CLICK HERE to view fees.

Depending on the facility type and other factors, you can VIEW HERE and print at your convenience.