About Me

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Chico, CA, United States
Tom Cullen is the owner of Community Care Options, a California State approved vendor operated by a team of caring professionals with more than 30 years of experience in the field. Community Care Options is dedicated to providing continuing education to administrators of both Residential Care Facilities for the Elderly and Adult Residential Facilities and assist in keeping those facilities compliant with state regulations.

Tuesday, January 11, 2011

Employee Fingerprint Clearance

Just a quick tip this week with regards to fingerprint clearances.

 
A common question I receive in classes and in consulting is how can you get quick results on a fingerprint clearance?

 
Naturally, the clearance itself may take a while, but once it clears it is posted on the California Background Clearance Listing.  If a name shows up there then the individual is cleared to work in a community care facility.  Most often you will see the name of the individual listed twice.  Without this second clearance listed you need to wait for a clearance letter from the State.  If the individual's name appears twice then you can hire them immediately.

 
We've created a shortcut to this listing.  Go to our website at www.communitycareoptions.com and look for the Fingerprint Clearance link at the bottom left.  This link will take you directly to the search page and you can bypass all of the CCLD pages.  You can also click HERE to view it.

 
 
If you have a question that you would like to have answered on Tuesdays with Tom send him an email.  Use the subject line Questions for Tom in your email. 
Email Tom at communitycareoptions@usa.net

Monday, January 3, 2011

Generating Positive Emotions for Alzheimer's Patients

Happy New Year!  While making your New Year Resolutions, it might be worthwhile to consider the attached article when you are caring for your dementia residents.  Remember, if you have an Adult Facility with clients with Down's Syndrome you will most likely be dealing with Dementia when they get into their fifties.

This is a great article and talks about some non-medical techniques that include using food, scheduling, art, music and exercise to generate positive emotions; engaging patients in activities that salvage fragments of their skills; and helping caregivers be more accepting and competent.

Click HERE for the NYTimes article.
If you have a question that you would like to have answered on Tuesdays with Tom send him an email.  Use the subject line Questions for Tom in your email.

Tuesday, December 7, 2010

Update on RCFE Orientations

There have been some rumors floating around about California Community Care Licensing Division reinstating the RCFE orientation classes in January 2011.  While it is true that some licensing offices throughout the state have made this admission, there is no definite word from C.C.L.D. regarding this action.  I have heard from only one individual that they have been contacted and asked to appear for their orientation class in early January.  We have made contact with several licensing offices and have had mixed messages regarding a schedule.  It sounds like we may nearly be back to business as usual.  You should check with your local licensing office for more information.

Tuesday, November 23, 2010

How do I evict a resident?

Q - I am having trouble with one of my residents and would like to evict him.  How do I do this and stay in compliance with licensing?
A - There are two ways to evict a resident within licensing regulations.
The first is to give the resident a 30 day notice.  You do have to have a reason for the 30 day notice.  The regulations say one of the following five problems are reason for eviction; Title 22 Section 87224(a) (Page 71)
1.    Nonpayment of the rate for basic services within ten days of the due date.
2.    Failure of the resident to comply with state or local law after receiving written notice of the alleged violation.
3.    Failure of the resident to comply with general policies of the facility. Said general policies must be in writing, must be for the purpose of making it possible for residents to live together and must be made part of the admission agreement.
4.    If, after admission, it is determined that the resident has a need not previously identified and a reappraisal has been conducted pursuant to Section 87463, and the licensee and the person who performs the reappraisal believe that the facility is not appropriate for the resident.
5.    Change of use of the facility.

You do not need permission from licensing but you need to send them a notice of the eviction within 5 days.

The second way is to give the Resident a 3 day notice.  You do need permission from licensing before you give a 3 day notice.  The licensee may, upon obtaining prior written approval from the licensing agency, evict the resident upon three (3) days written notice to quit. The licensing agency may grant approval for the eviction upon a finding of good cause. Good cause exists if the resident is engaging in behavior which is a threat to the mental and/or physical health or safety of himself or to the mental and/or physical health or safety of others in the facility.  Title 22 Section 87224(b)-(Page 71)

You need to send a copy of the notice to licensing within 5 days.  Title 22 Section 87224(f)-(Page 71)

The licensee shall, in addition to either serving thirty (30) days notice or seeking approval from the Department and service three (3) days notice on the resident, notify or mail a copy of the notice to quit to the resident's responsible person. Title 22 Section 87224(c)-(Page 71) 

My first recommendation is trying to fix the problem with the resident.  If that is impossible, and to avoid the formal paperwork, you may want to suggest to the resident that it may be best for them to relocate.  If the resident chooses to leave based on your suggestion it makes things much easier.

Remember even if you get permission for a 3 day notice or the 30 days is up you cannot simply roll the resident to the curb and leave him/her there.  It then might help to get the Ombudsman, the Public Guardian and/or APS involved to help you.   If none of this will work you will have to go to court and do an eviction similar to the resident being a tenant.

Good Luck!

Tuesday, November 16, 2010

Be Ready for Your Inspection!



The new Fall Licensing Update is out.  Please follow this link for a copy.

One of the items to follow in this update is the new proposal for inspections.  Currently, CCLD's inspection protocol is to conduct compliance inspections of all facilities at least once every five years, with an additional annual 30 percent random sampling of all facilities receiving inspections.  All of these inspections include a comprehensive review of compliance with all licensing laws and regulations. Due to budget constraints, the CCLD is unable to meet these inspection mandates and has made the proposal to align its resources with its mandates while also strengthening health and safety protections.

The "Strengthening Health and Safety Protections" proposal will require annual unannounced inspections of all facilities with the exception of family child care homes, which will receive a biannual inspection.  Certain facilities will not be eligible for a key indicator inspection and will, therefore, receive an unannounced comprehensive health and safety compliance inspection.  This would include facilities that are under a noncompliance plan, are on probation, or are pending administrative action.  Facilities that do not fall within the parameters described above would receive an inspection using the Health and Safety Compliance Review Tool to review the key indicators of compliance and risk.  The CCLD's annual compliance inspections would expand to a comprehensive review when warranted.  The CCLD anticipates that inspections conducted using the Health and Safety Compliance Review Tool will take approximately half the time it currently takes to complete a health and safety compliance inspection.

We should always be ready for a visit from licensing.  You can use the self inspection tools from licensing to prepare your facility for any inspection.

The first tool is the Facility Review Worksheet. 

The second tool is the Administrative Assessment Tool which covers the whole facility operations.
 http://www.ccld.ca.gov/res/pdf/RCFEAdministrativeAssessment.pdf

If you have a question that you would like to have answered on Tuesdays with Tom send him an email.  Use the subject line Questions for Tom in your email.