INSPECTION PROCESS PROJECT

About the Inspection Process Project

The Community Care Licensing Division (CCLD) is focusing its efforts on three priority areas: prevention, compliance and enforcement.

Prevention

Enhancing technical support to licensees from LPAs and the Technical Support Program; developing resource guides and trainings for licensees and potential licensees; and deploying online resources, including quarterly updates and provider information notices.

Compliance

Creating clear and consistent expectations for licensees to address issues in real-time to ensure the health and safety of the individuals that are served and provide technical assistance to licensees on statutory and regulatory requirements.

Enforcement

Providing LPAs with a compendium of inspection's tools to ensure inspections are thorough and consistent; bolstering the LPA Training Academies; and deploying ongoing staff training and data analytics to target resources in priority areas.

Improving the effectiveness and quality of the inspection process, which includes developing and deploying comprehensive, data-driven inspection tools is essential to these efforts. CCLD is starting with the development and deployment of tools for the Adult and Senior Care (ASC) Program and will subsequently complete tools for the Children's Residential and Child Care programs.

Inspection Project Vision

 

Inspection Project Tool Development 

Inspection Tool Development Methodology

 

Adult and Senior Care

Senior Care Domains

The Senior Care inspection tools contain requirements in the following licensing domains:

  • Operational Requirements: plan of operation, required insurances, fire clearance, etc.
  • Physical Plant/Environmental Safety: facility maintenance, living accommodations, storage space, etc.
  • Staffing: administrator presence, sufficient staffing, night supervision, etc.
  • Personnel Records/Staff Training: criminal record clearance/exemption, training, etc.
  • Resident Rights/Information: resident councils, family councils, resident rights, etc.
  • Resident Records/Incident Reports: admission agreements, register of residents, etc.
  • Food Service: meal requirements, food supply, menus, food preparation, etc.
  • Planned Activities: resident participation, community-centered activities, etc.
  • Incidental Medical and Dental: plan for incidental medical and dental care, medications, etc.
  • Residents with Special Health Needs: hospice care, residents with dementia, postural supports, etc.
  • Disaster Preparedness: emergency plan/disaster & mass casualty plan, etc.

Senior Care Inspection Tool Pilot

Highlights of the RCFE Pilot Findings from CSUS
Pilot Plan

Statwide Senior Care Inspection Tools

Child Care

Child Care Domains

The Child Care inspection tools contain requirements in the following licensing domains for Child Care Centers:

  • Care and Supervision: protecting children in care, monitoring food intake or special diets, assistance in diapering, toileting, dressing, grooming, other personal hygiene needs, taking medication, etc.
  • Children's Records: documentation on special diet or medical needs, individual development plans, etc.
  • Food service: food and beverages provided to children in care
  • Personal Rights: children's personal rights
  • Physical Plant: furniture, toys, flooring, cleanliness, etc.
  • Reporting Requirements: reporting incidents, etc.
  • Staff Records: staff experience, qualifications, training, general information applicable to staff, etc.
  • Staffing Ratio and Capacity: staffing ratios per number of children in care
  • Toddler Component: children 18 months to three years of age

The Child Care inspection tools contain requirements in the following licensing domains for Family Child Care Homes:

  • Care and Supervision: protecting children in care, monitoring food intake or special diets, assistance in diapering, toileting, dressing, grooming, other personal hygiene needs, taking medication, etc.
  • Facility Administration: documentation related to criminal record clearances and exemptions, personnel requirements, reporting requirements, etc.
  • Personal Rights: children's personal rights
  • Physical Plant: furniture, toys, flooring, cleanliness, etc.
  • Records: documentation related to immunization, emergency contact information, etc.
  • Staffing Ratio and Capacity: staffing ratios per number of children in care

Child Care Inspection Tool Pilot

Information regarding the Child Care inspection tool pilot can be found in the following documents. The standard and specialty tools for each facility type have been consolidated into one document, in which items from the specialty tool are indicated in a separate column in each document. 

 

Child Care Inspection Tool Pilot Documents

Child Care Standard Tool Pilot Presentation (September 2018 Stakeholder Meeting)

Pilot Operations Manual


Operations Manual Support Material

FAS Inspection Tool Manual

Facility Inspection Checklist - Child Care Centers & Infant Centers

Facility Inspection Checklist - Family Child Care Home 

Staff Interview Questions


Licensee Surveys

Licensee Survey for Pilot Inspections

 

Child Care Tools

Child Care Infant Tool

Child Care Pre School Tool

Child Care School Age Tool

Family Child Care Home Tool

 

Children's Residential

Children's Residential Domains

The Children’s Residential tools contain requirements in the following licensing domains for Foster Family Agencies:

  • Physical Plant/ Environmental Safety: facility furniture, equipment, supplies, safety and cleanliness
  • Operational Requirements: facility accreditation, licensure, board of directors’ information, register of clients, emergency procedures
  • Staffing/Personnel Records: staff roster, trainings, clearances, personnel requirements, qualifications, and duties
  • Client Records: admission agreement, intake procedures, health records, bedroom sharing arrangements, needs and services plan
  • Core-Therapeutic Services: core services and mental health supports provided to children/youth
  • Clients with Special Health Care Needs: individualized health care plans, postural support and protective devices, records for specialized resource family and certified family homes
  • Resource Family Records: applicant requirements, clearances, training, home environment assessment, family evaluation, certificate of approval
  • Resource Family Portability Records: documentation of resource family portability application and approval
  • Certified Family Records: applicant requirements, clearances, training, written record of home study, certificate of approval

The Children’s Residential tools contain requirements in the following licensing domains for Transitional Housing Placement Program:

  • Physical Plant/ Environmental Safety: facility furniture, equipment, fire clearance, telephone access
  • Operational Requirements: safeguards for youth’s cash allowances and personal valuables, identification of participant living units, register of clients, participant expectations and consequences
  • Staffing/Personnel Records: staff roster, trainings, clearances, personnel requirements, qualifications, and duties
  • Client Records: admission agreement, intake procedures, health records, cash allowances, needs and services and transitional independent living plan

The Children’s Residential tools contain requirements in the following licensing domains for Group Homes:

  • Physical Plant/ Environmental Safety: home supplies (i.e. food/kitchen, bath/bedroom), children/youth’s personal property, medication storage, front and backyard, facility cleanliness and safety
  • Operational Requirements: facility accreditation, planned activities, register of clients, safeguards for children/youth’s cash allowances, emergency procedures
  • Emergency Intervention Plan: protective separation room requirements, emergency intervention staff training, documentation and reporting requirements
  • Staffing/Personnel Records: staff roster, trainings, clearances, personnel requirements, qualifications, and duties, staff ratio
  • Client Records: admission agreement, intake procedures, health records, medications, cash allowances, needs and services plan, personal rights
  • Clients with Special Health Care Needs: individualized health care plans, additional personnel records, postural support and protective devices

The Children’s Residential tools contain requirements in the following licensing domains for Short-Term Residential Therapeutic Program:

  • Physical Plant/ Environmental Safety: home supplies (i.e. food/kitchen, bath/bedroom), children/youth’s personal property, medication storage, front and backyard, facility cleanliness and safety, protective separation room requirements
  • Operational Requirements: continuous quality improvement written policies, complaint procedures, facility accreditation, register of clients, safeguards for children/youth’s cash allowances, emergency procedures
  • Emergency Intervention Plan: emergency intervention staff training, documentation and reporting requirements
  • Staffing/Personnel Records: staff roster, trainings, clearances, personnel requirements, qualifications, and duties, staff ratio
  • Client Records: admission agreement, intake procedures, health records, medications, cash allowances, needs and services plan, personal rights
  • Clients with Special Health Care Needs: individualized health care plans, additional personnel records, postural support and protective devices
  • Core-Therapeutic Services: core services and mental health supports provided to children/youth, planned activities, trauma-informed interventions and treatment practices

The Children’s Residential tools contain requirements in the following licensing domains for Small Family Homes:

  • Physical Plant/ Environmental Safety: first aid supplies, swimming pools, telephone access, home supplies (i.e. food/kitchen, bath/bedroom), home water, children/youth’s personal property, medication storage, facility cleanliness and safety
  • Operational Requirements: clearances, register of clients, planned activities, safeguards for children/youth’s cash allowances, emergency procedures
  • Staffing/Personnel Records: staff roster, trainings, clearances, personnel requirements, qualifications, and duties, staff ratio
  • Client Records: admission agreement, intake procedures, health records, medications, cash allowances, needs and services plan, personal rights
  • Clients with Special Health Care Needs: individualized health care plans, additional personnel records, postural support and protective devices

Children's Residential Inspection Tool Pilot

Information regarding the Child Care inspection tool pilot can be found in the following documents. The standard and specialty tools for each facility type have been consolidated into one document, in which items from the specialty tool are indicated in a separate column in each document. 

Children's Residential Tools

Foster Family Agencies Tool

Group Homes Tool

Short-Term Residential Therapeutic Program Tool

Small Family Homes Tool

Transitional Housing Placement Program Tool