Table of Content
You can also look through Gunzenhausen, Bavaria, Germany photos to find examples of yards that you like, then contact the Bavaria contractor who worked on them. Overview of RCFE staffing requirements in California along with links to helpful resources. Thank you for the essential care RCFE’s deliver to the aging community, and we hope the information here will help you continue to achieve that goal. While these regulations do govern the facilities licensed by CCLD, they are not hosted on CCLD's website or maintained by the CCLD webmaster. If you have problems accessing them, please send your comments to or contact the CCLD Webmaster at for questions about this site. Undergo a physical examination of the facility, including patient facilities, feeding preparation, and vehicles used to transport residents.
As these homes do not provide medical care, it may not be ideal for people requiring 24-hour attention from health-care providers. On the other hand, board and care staff members usually worked 40 hours per week or less with almost the same percentage working part time as full time . The mean number of hours worked per week by staff who did not work 40 hours or around the clock was 37 (Exhibit 5-9). Of direct care operators who received training, 43 percent got their training from a combination of sources.
Deciding On What Board And Care Home Is Right For You
The small residential care home, licensed for 2 to 6 people provides a safe, comfortable and dignified environment for those who need help intermittently throughout the day and night. Although families continue to be the major source of long-term care, a variety of residential settings with supportive services have emerged to supplement their efforts. These arrangements support families whose members need more care than the family can provide and those elderly and disabled who have no family. Other than nursing homes, the most common form of residential setting with services for people with disabilities is board and care homes.
This will allow you to see how the board and care address’s your inquiry. I like to describe two seniors, so I get a thorough idea of how the owner deals with residents of very different abilities. For example, I might describe a sixty-eight senior who likes socializing with roommates and needs help with cleaning, laundry, and meals. And a second senior that’s eighty that has some dementia and needs help with cleaning, laundry, meals, showers, medication reminders, and wander monitoring. The two differing capabilities reflected the current state and what we believed might be the state fifteen years down the road. Attend an orientation session given by the Community Care Licensing Division.
2 Training and Experience
Primary data collection in 385 licensed and 129 unlicensed board and care homes, including interviews with 490 operators, 1,138 staff, 3,257 residents, and observations of the physical environment and care of residents. If you need additional help as a resident of board and care, you can hire private caregivers or nurses, but of course, that adds to the cost. Transportation might also be limited to specific times and days, and activities will not be as robust or diverse. Someone is on-site 24-hours a day, but the residence may not have the level of security that a larger assisted living has. One crucial requirement is that the resident must be ambulant, or at least able to move around independently. While walking around may be a prerequisite, most board and care facilities will usually accept those using wheelchairs and walkers, too.
Most board and care residents seemed to feel that they are safe and that their needs are adequately met. Overwhelmingly residents who were able to respond for themselves reported that they rarely or never went without needed assistance with activities of daily living (Exhibit 6-12). Less than 5 percent of residents felt that they could use more assistance in dressing, toileting, locomotion, or eating than they received.
How To Find Board And Care Homes
Mor et al. reported that 23 percent of the older residents were taking an antipsychotic agent, 10 percent were taking a tranquilizer, and 9 percent were taking an antidepressant. Fully 32 percent of respondents were taking either an antipsychotic agent or a tranquilizer. Prior history of mental illness was related to taking psychotropic medication (61 vs. 20 percent), and those in large homes were more likely to be taking a psychotropic medication than were similar residents in small homes. Seventy-seven percent of the direct care operators of board and care homes were trained in caring for the elderly, mentally ill , and/or people with mental retardation or developmental disabilities (MR/DD) as well as in medication management. Eleven percent had been trained in caring for the elderly, MI, and/or MR/DD only, and 1 percent had been trained in medication management only.
During the summer and early fall of 1993, RTI field interviewers conducted in-person interviews in the sampled facilities with operators, staff, and residents in 10 States. In addition, interviewers followed a protocol to conduct a structured observational “walk-through” of the home, rating various qualities of the facility. We conducted site visits to 386 licensed and 126 unlicensed board and care homes.
CCLD Services and Notifications
Sixteen percent were RNs, and 9 percent were LVNs or LPNs (Exhibit 5-4). Almost half of the board and care home staff members were between the ages of 35 and 54. Another 29 percent were younger than 35, including 10 percent who were younger than 25. The mean age of staff in board and care homes was 43 (Exhibit 5-1). There was wide disparity in personal income reported by board and care operators.

Certain floors might be designated as independent, assisted, or memory care. Transportation might be provided to other healthcare appointments. Additional monthly fees may be charged for more extensive care based on the resident’s assessed care needs. Additional staff shall be employed as necessary to perform office work, cooking, house cleaning, laundering, and maintenance of buildings, equipment and grounds.
Residents residing in the extensively regulated States tended to be older than those living in homes in States with limited regulations . Residents in licensed homes were slightly younger than residents in unlicensed homes (Exhibit 6-2). With respect to arranging for outside services, the differences were not as consistent. In almost one-fourth of the homes, the operator was the only paid staff person. We observed no difference in the average number of residents per direct care staff as a function of regulatory extensiveness.
Large facilities employed more white staff members than small facilities (72 vs. 53 percent), while small facilities employed more Asians or Pacific Islanders than large facilities (18 vs. 3 percent). However, African Americans and Asian Americans made up a significant percentage of the operators, 21 and 14 percent, respectively (Exhibit 4-1). The demographic profiles of operators in licensed and unlicensed facilities were virtually the same. It seems clear that board and care homes do, in fact, fit in the “niche” between residential settings with few services and nursing homes.
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