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(7.18) If I have complex health care needs, are there places in the community I could live, other than a skilled nursing home?

(7.18) If I have complex health care needs, are there places in the community I could live, other than a skilled nursing home?

 An “Adult Residential Facility for Persons with Special Healthcare Needs,” or “SB 962 Home,”[1]Section 4684.50 and Health & Safety Code sections 1538.55 and 1567.50. “SB” just means Senate Bill. is a home designed to meet the unique needs of people with developmental disabilities with a combination of specialized health care and intensive support needs.

Each SB 962 home serves up to five people. A resident of an SB 962 home can receive specialized health services, including:

  • nutritional support (total parenteral nutrition, gastrostomy feeding, and hydration),
  • kidney dialysis, and
  • special medication regimes, such as injections, intravenous medications, management of insulin dependent diabetes, catheterization, indwelling urinary catheter management, pain management, and palliative care.[2]Section 4684.50(g)(1)-(14).

All SB 962 homes must have:

  • Licensed nurses on staff 24 hours a day, seven days a week.[3]Section 4684.63(a)(1)(A).
  • An Individual Health Care Plan developed for each resident.[4]Section 4684.68. The plan must be updated at least once every six months.[5]Section 4684.68(a)(12).
  • Face-to-face visits with the resident by a regional center nurse at least once a month.[6]Section 4684.70(d).
  • Examinations by the resident’s primary care physician once every 60 days, or more often if required.[7]Section 4684.63(a)(2).

Priority for SB 962 placements was given to people living in state developmental centers. But, the law allows a person not residing in a developmental center to move to an SB 962 home if:

(1) there is a vacancy,

(2) no developmental center resident meets the requirements for admission, and

(3) the placement is necessary to protect the person‘s health or safety.[8]Section 4684.65(b)(3)

References
1 Section 4684.50 and Health & Safety Code sections 1538.55 and 1567.50. “SB” just means Senate Bill.
2 Section 4684.50(g)(1)-(14).
3 Section 4684.63(a)(1)(A).
4 Section 4684.68.
5 Section 4684.68(a)(12).
6 Section 4684.70(d).
7 Section 4684.63(a)(2).
8 Section 4684.65(b)(3)