California Assisted Living Admission Requirements

Before accepting a resident the licensee or designated representative must complete an admission agreement with the resident and his/her responsible party. The agreement must include basic and optional services, service rates, payment provisions, and refund conditions. Written notice must be given to the resident 60 days prior to rate changes. For any rate increase due to a change in the resident’s level of care, the licensee shall provide the resident and the resident’s representative written notice of the rate increase within two business days after providing services at the newer level of care. The notice shall include an explanation of the additional services at the new level of care, along with an itemization of charges. The agreement must include eviction policies. The licensee must provide the basic services and assistance with daily living activities, and must have a criminal background clearance. Licensee can provide services including companionship or additional baths. They can assist with self administration of medication if the resident’s physician documents that the resident can store and administer his/her own medications. Residents cannot be admitted or retained if they have active communicable tuberculosis; require 24-hour skilled nursing, intermediate care; have a mental disorder resulting in behavior upsetting the resident group; would require a greater amount of care and supervision than the other residents; or cannot benefit from program services provided by the facility. A facility may issue a 30-day notice to a resident for: nonpayment of the rate for services within 10 days of due date; failure to comply with state or local laws; failure to comply with facility policies; a need not previously identified if it is the facility is unable to meet the new need; or if there is a change in the use of the facility. The department may grant a three-day eviction notice if evidence supports the licensee’s assertion that the resident poses a threat to themselves or to others.

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