Chapter 13Habilitation Services For Persons With Developmental Disabilities
Section § 4850
This law section emphasizes that habilitation services, which help adults with developmental disabilities learn life skills, should be part of a range of services. These services aim to help them live like other people their age without disabilities. It also stresses that these services are essential to ensure their rights are upheld, as mentioned in another legal section.
Section § 4850.1
Starting from July 1, 2004, the State Department of Developmental Services took over the responsibilities previously handled by the Department of Rehabilitation when it comes to running the Habilitation Services Program. This program was originally set up under a previous chapter.
Section § 4850.2
This section says that the chapter's rules mainly cover habilitation services bought by regional centers, with certain exceptions. It also clarifies that this section doesn't limit any rights mentioned in another part of the law, specifically Section 4502.
Section § 4851
This law section defines key terms related to habilitation services for adults with developmental disabilities, provided through regional centers. 'Habilitation services' are designed to support individuals in achieving their highest vocational functioning. These services include the Work Activity Program and Supported Employment Program, aimed at preparing individuals for employment or vocational rehabilitation.
'Individual program plan' refers to the comprehensive plan developed by a regional center, while 'individual habilitation service plan' is specific to employment goals. The terms 'work activity program' and 'supported employment program' describe different types of job-related services and settings for people with disabilities.
The 'Department' referenced is the State Department of Developmental Services, and 'CARF' is the Commission on Accreditation of Rehabilitation Facilities. The law also describes 'integrated work,' which involves employment settings where people with disabilities work alongside those without disabilities.
'Supported employment placement' includes ongoing support services for job retention, while 'allowable supported employment services' are outlined as job development and necessary ongoing support. 'Group services' and 'individualized services' refer to different levels of job coaching support.
Section § 4852
This law section states that an adult with a diagnosed developmental disability can be referred to a provider for habilitation services if they need these services and choose them as part of their individual program plan.
Section § 4853
If a person is sent to a work activity program for job training services, they are assumed to be eligible for up to 90 days. During this time, the program must report on the person's work skills in five areas: safe behavior at work, attention span, ability to follow simple directions, basic communication skills, and attendance.
This report helps a team decide if the referral to the work program was appropriate.
Section § 4854
This law requires that when developing a personalized service plan for a person receiving habilitation services, the service provider must set clear objectives. These goals help measure if the person can achieve or maintain employment goals in several areas. Specifically, the plan should address the person's ability to work for a certain time, maintain a specific level of productivity and attendance, and demonstrate suitable behavior in a work environment.
Section § 4854.1
This law requires the individual program plan planning team to meet and review certain aspects when necessary. They must check if a person's job placement is suitable, whether the services provided at a Work Activity or Supported Employment Program are appropriate, and assess the individual's habilitation service plan.
Section § 4855
If a person qualifies for habilitation services and is sent to the Department of Rehabilitation for job-related services but ends up on a waiting list, the regional center must provide the necessary services in the meantime. This temporary support continues until the vocational rehabilitation program can take over.
Section § 4856
This law requires regional centers to keep an eye on habilitation services providers to ensure they meet certain standards related to service quality, protection for individuals, and regulatory compliance. If providers don't comply, regional centers can impose sanctions like halting new referrals, creating corrective action plans, removing consumers for safety reasons, or ending their approved status (vendorization).
If a provider is sanctioned, they may need to adjust their services quickly to avoid further consequences. Providers have the right to request a review if they disagree with the sanctions. If problems are fixed, individuals removed from a program for safety can return at their discretion.
Section § 4857
This law states that a regional center will pay for habilitation services based on an individual's program plan. These services will continue as long as the person is making good progress towards their goals, or if the regional center decides that the services are needed to help the person maintain their best level of work skills, or to get ready for vocational rehabilitation services.
Section § 4857.1
This law states that regional centers in California can buy habilitation services only from authorized providers. These providers must be officially approved, or 'vendored,' according to certain regulations. If a habilitation service provider was already offering services as of July 1, 2004, they are automatically considered approved.
Section § 4858
This law section requires that every work activity program must annually evaluate the participants in their program to see if they would benefit from vocational rehabilitation services like supported employment. If it looks like these services would be helpful, the program must work with the regional center to refer the participant to the Department of Rehabilitation, following the individual's program plan.
Section § 4859
This law requires the department to create rules for setting fair and cost-effective rates for work activity program services. These rates should reflect the actual reasonable cost of providing services and will be reviewed every two years. The department will evaluate and adopt the rates that were in place as of July 1, 2004, until the next time rates are set. Additionally, regional centers are required to pay these established rates for the work activity programs.
Section § 4860
This section outlines the regulations for supported employment services, including how hourly rates for individualized and group services are determined and posted by the department. Travel reimbursement for job coaches is allowed under specific conditions. For group services, consumers should start and end work simultaneously unless an exception is approved, and funding might be terminated if the group size drops below the required number. Fees are specified for intake, placement in a job, and retention, with conditions on when these fees apply. Regional centers must pay rates set by this section despite other statutes, and they are involved in an annual survey that collects information on placements, types of jobs, rate costs, and consumer work details. The survey results are included in the department's fiscal estimate.
Section § 4861
This law allows regional centers to partner with new work activity or supported employment programs, provided these programs can deliver effective services and plan to meet accreditation standards. Approved programs for supported employment will receive payment rates specified by related laws, while new work activity programs get their rates from the department's website. Even if a program isn't yet CARF-accredited, the regional center can buy services from them if they comply with Department of Rehabilitation standards, commit to apply for CARF accreditation within three years, and receive accreditation within four years. The regional center will approve new or existing vendor proposals based on the community need for these programs, the vendor's service capacity, compliance with requirements, and success in integrating paid employment for consumers.
Section § 4862
This section outlines rules on the minimum length of the workday for work activity programs, which are programs designed to help individuals with disabilities gain work skills. The standard day must be at least five hours, not counting lunch. Generally, the length should be consistent with a previously established period, unless changes are approved.
If a program wants to change the length of its workday, it must get written approval from a regional center, which may also adjust program rates. Adjustments for individual consumer needs can be made with the regional center's approval based on the individual program planning team's recommendation. Any changes must be documented with reasons provided to the regional center.
Section § 4863
This law section allows work activity programs and regional centers to switch from full-day to hourly billing, but only if it doesn't cost the regional center more money. To do this, the program must submit a request at least 60 days before they want to start billing hourly. Once they start hourly billing, they must use it for at least a year. Also, certain definitions from Section 4851 won't apply when they're using hourly billing.
Section § 4864
This law requires the department to approve payments for missed days in work activity and supported employment programs when a State of Emergency is declared by the Governor. Vendors can charge for these absences but only for days missed beyond their usual average from the past year.
Section § 4865
If there is suspected abuse, the Department of Rehabilitation can ask work activity or supported employment programs to provide reports on accreditation, state licensing, and special incidents involving consumers, as required by law or regulations.
Section § 4865.1
This law states that regional centers in California must continue paying the pre-existing rate for supported employment groups with a coach-to-client ratio of 1:3 as it was on June 30, 2004. This only applies if certain conditions are met: the group must have been established before July 1, 2002, had a 1:3 ratio by May 1, 2004, and the employer is willing to accommodate no more than three clients. The State Department of Developmental Services, in consultation with the regional center, will decide if these conditions are met, and their decision is final. Groups must meet specific requirements by July 1, 2005, or risk losing funding.
Section § 4866
This section allows the Department of Developmental Services to create emergency regulations quickly when needed to protect public peace, health, safety, or general welfare. These regulations are considered essential under a specific government code.
Section § 4867
This law clarifies that work activity and supported employment programs are allowed to serve individuals who receive funding from various agencies, not just regional centers. This includes agencies like the Department of Rehabilitation.