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Author Topic: RESIDENTIAL CARE FACILITIES  (Read 4895 times)
 
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The valetudinarian
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« on: December 09, 2008, 06:23:33 PM »

Residential Care Facilities

It seems that a great many people, auditors and underwriters alike have difficulty in determining the proper classification for the various residential care facilities.  For the most part, the key to the proper determination of classification is the facility license.  Every audit conducted on these type of facilities should really advise how and by whom the facility is licensed.  Likewise, the license information should be obtained by the underwriter when issuing a new policy.  As a handy reference, we recap them here with the pertinent information need to make a proper classification determination:

8804(1) Alcoholic and Drug Recovery Homes:
This is a non-medical residential facility providing a transitional non-institutional environment usually on a short term basis which emphasizes rehabilitation through guidance and counseling.  These are generally licensed by the California Department of Social Services for short term social rehabilitation.

8804(2) Social Rehabilitation Facilities for Adults:
This too is also a non-medical residential facility providing a transitional non-institutional environment normally on a temporary basis which emphasizes rehabilitation through guidance and counseling.  These are generally licensed by the California Department of Social Services for short term social rehabilitation.  These may include such places as homeless shelters, homes for unwed mothers, battered women's shelters and similar facilities.

8823 Residential Care Facilities for Children:
Per the footnote, this classification applies to nonmedical residential care facilities for children who are neglected, delinquent or emotionally disturbed.  Generally these homes are licensed by California Department of Social Services as a Residential Care Facility for Children.

8829(1) Nursing Homes
8829(2) Convalescent Homes or Convalescent Hospitals - all employees
8829(4) Rest Homes - all employees
8829(5) Sanitariums - all employees:
Skilled nursing facilities, rest homes, and intermediate care facilities are required to be licensed as such by the California Department of Health Services.  The license stipulates the number of residents permitted within the facility.  These facilities provide 24-hour inpatient care and must be licensed to administer medications and monitor resident's vital signs.  These operations are not to be assigned to 9043 Hospitals.  It is not uncommon for these facilities to be operated in connection with residential care facilities (9070) and/or congregate living facilities (8851).

8851 Congregate Living Facilities for the Elderly - no care or supervision:
A retirement facility providing a package that typically includes a living unit, meals, housekeeping and laundry services for a monthly fee.  These facilities are permitted to provide emergency care as required, but are not permitted to provide care or supervision such as regular assistance in taking medication, dressing, etc. and they are not licensed by the California Department of Social Services or the Department of Health.  Age-restricted apartment or condominium complexes that do not provide meals, housekeeping, etc. are assigned to 9007 Apartments or Condominiums.

9070(1) Residential Care Facilities for the Elderly
9070(2) Residential Care Facilities for Adults:
Generally, these facilities are licensed by the Department of Social Services to provide assisted care services.  Licensing for a residential care facility for the elderly (RCFE) does not permit 24-hour skilled nursing care.  Twenty-four hour skilled nursing care requires a skilled nursing facility license from the California Department of Health Services.

From the Rulings and Interpretations section of the manual, 9070 applies to concerns operating residential care facilities providing non-medical care and supervision to adult or elderly individuals who either need or desire assisted care but who do not require 24-hour-a-day medical care.  For an extensive definition of "care and supervision" refer to the Rulings and Interpretations section under Residential Care Facilities.

* Republished with the permission and courtesy of Morrison Insurance Services Inc.
« Last Edit: September 07, 2011, 06:05:55 PM by beancounter, Reason: spelling » Logged
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« Reply #1 on: August 24, 2011, 11:11:13 PM »

Here are a couple of good resources:

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Facility Types
on the California Department of Social Services website. (You must login to view links.
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license lookup
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Intermediate Care Facilities
on the California Department of Developmental Services website.

Both have several relevant links.
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beancounter
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« Reply #2 on: August 25, 2011, 11:14:34 AM »

Here's a good source for searching facilities of all types: You must login to view links.
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CA Health Facilities Consumer Information Service


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« Last Edit: April 14, 2016, 03:51:37 PM by beancounter » Logged

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