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Business ICTP ARF3 HoursSmart SeminarsDay 1Day One8AM – 9AMIntroductions Requirements to Be ARF AdministratorCriminal Record Clearance Certain felony crimes are not eligible for an exemption 80019.1Many crimes are eligible with proof of rehabilitation 80019.121 Years of Age 85061High School Diploma 85061On premises hours necessary 85061Non-Exemptible Crimes: 80019.1Review in Class Check Instructions: 80019 to Become an ARF Administrator 80064 85064.2Complete ICTP courseTake Standardized Exam within 60 daysExtension Request for good reason: Title 22 85064.2 Pass exam with score of 70%50 questionsMultiple choice, true/false)If you fail take retake exam (three times)Exam scored within 7 daysDo not hear from ACS in 14 days contact 916.653.9300 admincertinfo@dss..Test-Taking StrategiesAssociate regulation with the sectionWe naturally think and organize into categoriesMemory more efficient in recall with knowing larger category/sectionExamples from RegulationsUse of postural supports hails from 80072 Personal Rights Temperature of freezer hails from 85076 Food ServiceRequirement for nutritionist from 85076 Personnel RequirementsMattresses are flame retardant 85088 Fixtures, Furniture, SuppliesHIV AIDS TB Course Requirement 85064 Administrator Qualifications30-day notice to evict client 80068.5 Eviction proceduresTalk about regulations - The more you talk, the more you recallIntroduce WorkbookRegulations presented in easy-to-read formatPractice questions are a study aidReview Handouts: 85064.2How to Become a Certified AdministratorHow to Register for ExamExam ScheduleHow to Check Exam ResultsRequest for ExtensionHandout:How to Become a Certified Administrator ACS Section handout updated 1/20/20Handout: Exam Schedule ACS Section handout updated 1/22/20Handout: Register For Exam ACS Section handout last updated 1/22/20Handout: How to Check Exam Results you provided your Social Security Number on the scantron, you can call (916) 653-9300 (option #2) on the evening of the day your proctor told you to call, which is generally 7 calendar days from the day you took your exam, if not soonerCCL ACS Section handout Handout: Request for Extension ACS Section handout: Model Extension Request rev 10/19License ApplicationWhat Is an ARF? 80001 DefinitionsNon-Medical Facility that provides care and supervision to clients ages 18-59Most facilities are small, single family homes with capacity of 4-6Established in California as part of movement away from institutions.Type of Residents: Cal. Health & Safety Code 1502(a)Ages 18-59Condition causes disability and need assistance with daily livingClients with severe mental illness Mental Health clients who are recovering from substance abuse dependenceDevelopmentally disabledVeteransLicense Application Steps 85018License is for the Property - held by the licenseeLicensee must be fingerprinted and have medical clearanceLIC 503 TB and First Aid Certificate.Licensed Program Analyst evaluates application 8002790 days to respond to application. Most likely request new information or correctionsOnline or Live Orientation By Community Care Licensing $50.00 No expiration.9AM -10AM License Application LIC 281 Application Instructions for a Facility License by DPSSDownload individual forms from CCL web site have propertyOverconcentration 300-foot rule Cal. Health & Safety Code 1267.9(b)(2)Cannot be within 300 feet of another ARF or GH. Ok within 300 feet of RCFE and Foster Care Check property distance with facility searchZoning approval not necessary Unless capacity is over 6If over 6, must receive conditional use permit from building departmentCal. Health & Safety Code 1267.9(b)(2)LicenseeWho is the licensee?IndividualLIC 200If joint application, all applicants must sign CorporationLOC 200Corporations and other organizations also complete Administrative Organization, (LIC 309) LIC 200 of Licensee (LIC 215)Personal Financial Information: Assets and liabilities equals net worth Board of Directors for corporation (organizational chart)Surety Bond: Required to protect client assets form theft of mishandling.?Facility Issues (LIC 200)CapacityName of FacilityNon-AmbulatoryUnable to leave a building unassisted in emergencyUnable to respond to oral instruction in an emergencyControl of Property: Title or leaseFinancial Plan (85018)Show funds for three times operating budget.Plan of Operation (85022)Include community resourcesInclude consultantsLicense (advertisement and posting)Advertisements License Number (Title 22, 80011)False ClaimsDisseminate misleading or false information about servicesTitle 22, 80012Posting of LicenseOnly required if capacity is seven or more. Title 22, 85009Staff Job DescriptionsNot etched in stoneEmployees can perform other jobs as necessaryStaff/client ratioStaff Schedule reflects staff-to-client ratio (LIC 500) PoliciesMust be specific to residential care Must include HIPPA policy Must include abuse reporting Staff Training ProgramAttorney General Abuse Reporting RequirementMedicationHousekeeping and SanitationRequired documentation – Staff and administratorMedical screening with TB testFingerprint clearanceFirst Aid certificateMedical screening with TB (LIC 503) Clearance (LIC 508) Detail RequirementsExitsSmoke detectorsFire extinguishersDimensions of rooms, outside area, exitsSketch is posted at facilityEmergency disaster planRelocation sitesPhysiciansLaw enforcementMental health emergencyEmergency Disaster Plan: (LIC 610D) InspectionLast stepYou are responsible for locating local fire inspection authorityLIC 999 Licensing makes request to fire dept. to conduct fire inspectionCapacity determination 80028Fire ClearanceIncludes any other household members Facility Program Description (plan of operation) 85018Number of staff to meet care and supervision needsNarrative of medication policies, activity schedule, meals, and basic servicesHouse Rules (Discipline) Personal Rights 80072 Can be viewed as house valuesNo need to include obvious lawsConsider rules such as:ABC care encourages clients to respect each other’s propertyResidents must ask permission to use someone’s thingsNo cooking or storing food in roomsAdmission and RetentionResponsible for assessment if client is a good fitCapabilities and functioning Any physical limitations Ability to carry out tasks of daily livingAssessment Needs and Services Plan Sample Admission Agreement HandoutHandout: Sample admission agreementFood Service 80076: 30-day Sample Menu?Handout: Licensing Fees of New Application (Title 22, 80034)Change in Ownership, Location, Sale Transfer of Majority StockChange in ambulatory status or capacity (only need new fire clearance)Forfeiture of License 85064Licensee decides to surrender license to departmentLicensee moves from one location to anotherConvicted of a crime Licensee dies or abandons facility (see regulation for more detail)Revocation or Suspension of License 80042Conduct that is inimical to health, morals, and welfare of those receiving servicesFinancial malfeasanceTo protect residents from physical or mental abuseLicensee has right to hearing to defendOperating Without A LicenseProviding care and supervision to clients who need assistance with tasks of daily living. (Title 22 80006)Exemption from License (ARF) Title 22 80008ClinicHealth Care FacilityChurchBoard and Care with No Supervision - Title 22 80007Regional Center Contract: Business Aspects21 different Regional Centers (governed by Title 17)Non-Profit entity contracts with DDS to provide services to DD populationRegional Centers operate by adherence to philosophy of normalizationHow To obtain a contract with Regional CenterTitle 17 experience requirement: Level 2: 6 Months Level 3: 9 MonthsLevel 4: 12 monthsLevels equate with physical needs and behavior challenges and staffing ratioHandout: RatesHandout: Staffing Matrix by LevelsIdentify catchment area of your property to see which Regional CenterAttend Regional Center OrganizationWrite Letter of Intent to Resource DeveloperDevelop program design based on principles of normalization Title 17Guidelines of generic design available Title 17Each Regional Center publishes its own unique guidelines for program design10 - 1015 AM Break10:15AM – 11:15AM Steps to Forming BusinessHandout: Business FormationReview in Class Entity For Profit Corporation/LLC AdvantagesSole ProprietorEasy to start Keep all profitsMinimum government interferencePartnershipVaried skills/abilitiesPartnership opportunitiesCombined financial resourcesCorporationLimited liabilityMost investment capitalUtilization of specialistsNon-Profit BenefitsFundraisingGrant WritingThe Grantmanship Center of State - FilingCA Secretary of State Website Guide - Small Business Administrationbusiness-guide.Liability and InsuranceCommon Accidents in Residential Care MedicationFallsSexual Abuse Training Staff as Insurance Records managementRegular maintenanceIncident reportingLawsuitsInsurance Residential Care - NEK Insurance Handout and AccountingProfit making and tax filingKeep receiptsSummarize income and expendituresCreate financial reportsThree times operating expense for license applicationBudget is a forecast and always changingConsider using a bookkeeperHandout: Bookkeeping Budget an AuditMaintain records and receiptsScanning systemUse computer program or spreadsheet to track expenses and incomeDon’t mix personal expenses with business (separate accounts)Surviving an IRS AuditDeal with it immediatelyHave tax pro respond if possibleBe prepared and organizedNext Ave Website SecurityI-9 FormIdentity/employment verificationCitizens and noncitizensI-9 Form (Employment Verification Form)i-9.Citizen Green Card or Work PermitRisks of hiring undocumented immigrants MarketingMarketing Handoutwp-content/uploads/2015/09/b-marketing.pdf.Who is your customer - small community?Who do you market to?Marketing strategiesMaking a pitch - How to craft itTracking marketing efforts and contactsCommunication skills are correlated with successBrochureWeb Page FacebookTwitterHow you treat your employees - the culture you createGetting involvedArea Board MeetingsVendor Advisory CommitteeInterfacing with day programs and other servicesHow you feed and take care of your clients is marketingFunding SourcesRegional CenterSSI ratesDDS residential ratesDDS Residential Rates published by DDS 2017 Rates Social Security Website“Application Instructions for a Facility License.” California Department of Social Services, Sep. 2004, “Background Check Instructions.” California Department of Social Services, 2019, “Bookkeeping Handout B-4.” Smart Seminars, 2015, wp-content/uploads/2015/09/b-bookkeeping.pdf.“Business Entities.” Alex Padilla, California Secretary of State, 2019, sos.business-programs/business-entities/.“Business Formation.” Smart Seminars, 2015, wp-content/uploads/2015/09/b-forming-business.pdf.“Business Guide.” U.S. Small Business Administration, business-guide.“Community Care Facility Rates: Five or More Beds Per Facility.” California Department of Developmental Services, 1 Jan. 2017, dds.Rates/docs/CCF_rate_January2017.pdf.“Community Care Licensing.” California Department of Social Services, 2019, resources/community-care-licensing.“Criminal Record Statement LIC 508.” California Department of Social Services, Jul. 2015, cdss.cdssweb/entres/forms/English/LIC508.PDF.Eisenberg, Richard. “IRS Audits: Your Odds and Best Strategies.” Next Avenue, 15 Apr. 2015, irs-audits-your-odds-and-best-strategies/“Emergency Disaster Plan for Adult Day Programs, Adult Residential Facilities, Residential Care Facilities for the Chronically Ill and Social Rehabilitation Facilities LIC 610D.” California Department of Social Services, Oct. 2003, cdss.cdssweb/entres/forms/English/LIC610D.PDF.“The Grantmanship Center.” The Grantmanship Center, 2019, .“I-9, Employment Eligibility Verification.” U.S. Citizenship and Immigration Services, 27 Nov. 2019, i-9.“Non-Exemptible Crimes.” California Department of Social Services, 2019, of California, California Department of Social Services, 2019.“Health Screening Report – Facility Personnel LIC 503.” California Department of Social Services, Mar. 1999, cdss.cdssweb/entres/forms/English/LIC503.pdf.“Insurance.” Smart Seminars, 2015, wp-content/uploads/2015/09/b-insurance1.pdf.“Marketing.” Smart Seminars, 2015, wp-content/uploads/2015/09/b-marketing.pdf.“Monthly Operating Statement LIC 401.” California Department of Social Services, Mar. 2001, wp-content/uploads/2015/09/budget-sample-lic-401-level-3.pdf.“On-line Forms and Publications I – L.” California Department of Social Services, 2019, resources/forms-brochures/forms-alphabetic-list/i-l - lic.“Personnel Report LIC 500.” California Department of Social Services, Nov. 2003, cdss.cdssweb/entres/forms/English/LIC500.pdf.“SSI Federal Payment Amounts For 2020.” Social Security Administration, oact/cola/SSI.html. ................
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