SOUTH CENTRAL LOS ANGELES REGIONAL CENTER
FOR DEVELOPMENTALLY DISABLED PERSONS, INC.
South Central Los Angeles Regional Center
Unfunded Request for Proposals (RFP) Announcement
Fiscal Year 2015-2016
Project #1
3-4 Bed Non-Ambulatory Specialized Residential Facility for
Consumers with Diabetes and/or Similar Medical Conditions
Project #2
3-4 Bed Ambulatory Specialized Residential Facility for
Consumers with Diabetes and/or Similar Medical Conditions
INSTRUCTIONS AND FORMS
Written Proposals Due: Monday, October 5, 2015 by 4:30pm
South Central Los Angeles Regional Center
Unfunded Request for Proposals (RFP) Announcement
Fiscal Year 2015-2016
Overview
South Central Los Angeles Regional Center (SCLARC) is requesting proposals from interested parties to develop
and operate a three or four bed, specialized adult residential facility. The home will accommodate three to four
consumers (male or female) with mild to moderate mental retardation and diabetes and/or similar medical
conditions that do not require intense nursing supervision (similar to an ICF-DDN). Consumers exhibit
inappropriate behaviors related to being noncompliant with the lifestyle requirements necessary to manage
their diabetes or similar medical condition. The individuals require structured environment and close staff
supervision.
All 3 beds must be wheelchair accessible and sound proofed. Consumers exhibit physical aggression, selfinjurious behavior (SIB) and some may be wheelchair dependent, have gait or mobility issues. All require a very
structured environment and constant staff supervision.
The ongoing reimbursement will be negotiated, based on the applicant’s budget and median rate limitations.
The rate accommodates the following requirements:
 The facility will provide individual bedrooms for each consumer.
 During awake hours staffing will include at least 1 LVN per shift.
 The staffing level during awake hours will be as follows:
o 1 consumer in placement- 1 direct care LVN
o 2 consumers in placement- 1 direct care LVN
o 3 consumers in placement- 1 direct care LVN and 1 direct support person
o 4 consumers in placement- 1 direct care LVN and 2 direct support persons
 The staffing level during overnight hours will be as follows:
o 1-2 consumers in placement- 1 awake direct support person
o 3-4 consumers in placement- 2 awake direct support persons
 RN consultant hours that will exceed the typical 4I requirement.
The applicant chosen for this development must agree to accept consumers identified by SCLARC for
placements into this home.
Applicant Eligibility and Minimum Service Requirements
 Applicants must be in good standing. Applicants with a history of deficiencies issued by a
licensing agency, corrective actions issued by the regional center or similar actions taken by a
placement or oversight agency may not be considered for this development.
 Applicants must have at least 3 years- experience as a regional center vendor or facility
administrator, operating a level 4I or specialized adult residential facility serving consumers with
significant maladaptive behavioral and health care issues.
 Applicants must have an identified administrator with a minimum of 3 years-experience working
with the target population in a licensed residential setting. This individual must have a current
administrator’s certificate from Community Care Licensing and have completed the Direct
Support Professional Training year one and two course work (challenge tests cannot be
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accepted). The individual must also be PCMA, CPI or PRO-ACT certified. If the individual has not
completed SCLARC’s residential services orientation, they must enroll in the January 2016 class.
The administrator is required to be present at the facility a minimum of 20 hours per week. At
least 75% of this time must be when consumers are present in the home.
The administrator must not oversee more than 10 facility beds at any location.
Applicants must have an identified behavior management consultant. This individual must be a
BCBA with the appropriate national certification. If an individual other than a BCBA is used,
he/she must have completed twelve semester units in applied behavior analysis and possess a
valid license as a psychologist, a clinical social worker, licensed marriage and family therapist, or
licensed professional whose California licensure permits the design and/or implementation of
behavior modification intervention services. The behavior management consultant identified by
the applicant, must be the actual individual providing direct services to the consumers. This
function cannot be assigned to a behavioral assistant.
The behavior management consultant must have a minimum of 3 years experience designing
and implementing behavior modification intervention services to consumers with significant
behavioral issues, medical conditions and mild to moderate mental retardation.
Applicant’s behavior management consultant must provide services at no less than four (4)
hours per consumer, per month.
Applicants must have an identified registered nurse consultant, with a minimum of 2 years
experience working with persons with developmental disabilities. The minimum number of
consultant hours per month will be individualized to each consumer’s needs, but will average a
minimum of 8 hours per month per consumer.
Applicants must have an identified registered dietitian who is familiar with providing services to
diabetics.
Applicants must identify community medical and health care resources as soon as the location
of the property is identified. This includes an endocrinologist, neurologist, psychiatrist, and
general practitioner. Applicant must submit written confirmation that each has admitting
privileges at a local hospital.
Direct support professionals must have a minimum of 2 years experience providing services to
persons with developmental disabilities with significant behaviors and medical conditions.
These individuals must also have a high school diploma or equivalent. Each shift must be staffed
with at least 1 LVN.
All staff must be PCMA, PRO-ACT or CPI trained before they are allowed to work with consumers
in the facility. Staffing must be in place on the date the facility becomes operational.
Direct care staff must meet the Direct Support Professional Training year one requirement prior
to employment. LVNs not meeting the requirement must begin the course work within 45 days
of hire.
Direct support professionals must be paid a minimum of 150% of the State’s pending minimum
wage. Applicant’s LVNs will be funded at the MediCal rate.
Applicants will be required to operate a structured living environment with constant consumer
supervision. Consumers will not be allowed in the community without staff supervision unless
it is indicated in the consumer’s IPP.
Some consumers may not be able to participate in a traditional day program. The applicant
must be prepared to provide structured activities during hours the consumer would normally be
at a community based day program. Applicants should consider this periodic additional staffing
requirement in their initial ongoing budget because additional funding may not be available
once the facility becomes operational.
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Applicants must make arrangements for supplemental services to be provided to the
consumers.
Applicants will be required to have a scale for measuring weight that is appropriate for the
target population. For example, if the consumer is wheel chair dependent, have gait/mobility
issues etc., a scale for measuring a non-ambulatory consumer’s weight will be required.
Applicants must have a gradual dose reduction plan in place for psychotropic medications.
Applicants must have a written plan to address all of the compliance requirements associated
with the drug Clozaril. This includes contracting with a medical service provider that provides inhome services for the weekly blood monitoring.
Applicants must have a written shift transition procedure which will allow for a 10 to 15 minute
overlap so off-going and on-coming staff at every shift will be informed about important
behaviors and/or medical issues. Applicants will account for the overtime costs in the initial
ongoing budget.
SCLARC’s quality assurance staff will conduct facility monitoring visits on a semi-annual basis.
A vehicle that can accommodate the transportation needs of the consumers must be assigned
to the facility.
Direct support professionals must be trained to safely escort consumers to outside services and
programs and address behavioral issues that may occur in the van.
The applicant is required to accept the consumers SCLARC identifies for placement. The
applicant must commit to modifying services and supports to address any challenges
encountered. Issuing a 30 day termination notice is not acceptable unless a full ID team
meeting is held and the team agrees that the placement is not appropriate, and SCLARC gives
approval for the service termination.
Each consumer will have their own bedroom, with a full or queen size bed. The individuals will
be involved in choosing their own décor.
Applicants are asked to be prepared to begin providing direct services to consumers by
January 1, 2017.
Applicants Ineligible
The following agencies or individuals are not eligible:
 The State of California, its officers or its employees;
 A Regional Center, its employees, or their immediate family members;
 Area Board members, their employees or their immediate family members;
 Any applicants with a conflict of interest with either its board members or employees.
Proposal Submission
 The Proposal will not be considered for review if it is received after the 10/5/15 deadline.
 Three (3) copies of the proposal are due on 10/5/15 at 4:30 p.m.
 The contact person for this project is Monica Mahon. She can be reached at
monicam@sclarc.org.
Timeline
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Request for Proposals Announcement………………………………………....
Proposal Submission Deadline………………………………………………………..
Proposal Review and Selection……………………………………………………….
Executive Director Review and Approval………………………………………..
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9/04/15
10/05/15
10/19/15 –10/28/15
10/28/15-11/13/15
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Vendor Notification……………………………..………………………………………..
Applicant Serves Consumers…………………………….…………………………...
11/16/15
07/01/2016
Selection Procedures
The proposals will be reviewed, scored and prioritized. Failure to follow RFP guidelines or the
submission of incomplete documents will result in rejection. Scoring will be as follows:
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Organization Background and Experience…………………………………….
Proposal Narrative and Program Design..……………………………………..
Implementation Plan…………………………………………………………………….
Evaluation of Previous Performance (service track record)………….
Number and type of current projects throughout CA……………………
Total……………………………………………………………………………………………..
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100
Rights Reservations
 SCLARC reserves the right to reject any or all proposals received as a result of this Request for
Proposals or to negotiate separately with any contractor when it is determined to be in the best
interest of SCLARC.
 SCLARC reserves the right to select any one of the finalists interviewed regardless of the
proposal score.
 SCLARC’s decision will be final in any manner of interpretation of the RFP (Request for
Proposals).
Proposal Narrative
Organization Background and Experience
1. Contact Information-name, address, email address and telephone number of applicant and for the
individual to interface with SCLARC during the proposal review process.
2. Company Information- indicate whether applicant is applying as a corporation, non-profit
corporation, limited partnership, or limited liability corporation. Include copies of the articles of
incorporation and corporation by-laws; certificate of limited partnership and any amendments; or a
copy of the limited liability company articles of incorporation and certificate of amendment (if any).
3. Proposal Author- Provide names of all parties involved in writing all or parts of the proposal.
4. Summary of applicant’s experience providing residential services to the target population.
5. Summary of applicant’s commitment to quality services. This section must address each minimum
requirement and include the applicant’s “continuous quality improvement plan”.
6. List of References- provide letters of reference relevant to experience and other qualifications
required to complete this or similar services.
7. List of all vendorizations with SCLARC and any other of the California Regional Centers.
Program Design
1. Statement that the facility will be ambulatory or non-ambulatory.
2. Statement of purpose.
3. Facility entrance criteria/description of consumers served. The description must be consistent with
the consumer characteristics described in the RFP.
4. Description of consumers not appropriate for placement, including those who smoke.
5. Exit criteria.
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6. Description of consumer services provided. Include a statement indicating who plans, conducts and
assists consumers in participating in the services and activities described in this section. At a
minimum, this section must include:
 Basic services
 Daily Living Skills Training
 Health Care Services
 Transportation Services
 Behavioral Services
7. Description of procedure used to develop consumer individual service plans. Include a sample of a
consumer specific individual service plan (ISP) prepared in conjunction with the designated RN and
behavioral consultants. Include a sample ISP for an individual with diabetes.
8. Description of the health care services provided for consumers. Include the following:
 A statement that applicant will comply with CCR Title 22 Section 80092- Requirements for
Restricted Health Care Conditions.
 A statement that applicant is willing to provide the needed care for consumers who have
Restricted Health Conditions;
 A statement that prior to admission the applicant will communicate with all other persons
who provide care to that consumer to ensure consistency of care for the medical condition;
 A statement that the applicant will be responsible for monitoring the consumer’s ability to
provide self-care for the medical condition, document any change in that ability, and inform
the appropriate persons of that change; and
 A statement that should the condition of the consumer change, all staff providing care and
services will complete any additional training required to meet the consumer’s new needs,
as determined by the consumer’s physician or a licensed professional designated by the
physician.
 Include a description of the procedure used to develop individual health condition care
plans. Address the following in this section:
o that the consumer and the consumer’s authorized representative, if any, the consumer’s
physician or a licensed professional designated by the physician, and the placement
agency, if any, participated in the development of the plan;
o that the consumer’s physician or a licensed professional designated by the physician,
will include in the plan the stability of the medical condition, the medical conditions that
require services or procedures, the specific services needed, and the consumer’s ability
to perform the procedures.
o that the consumer does not require 24-hour nursing care and/or monitoring;
o the identification of a licensed professional who will perform procedures if the
consumer needs medical assistance;
o the identification of the person(s) who will perform incidental medical assistance that
does not require a licensed professional;
o the name and telephone number of emergency medical contacts; a date specified by
the consumer’s physician or designee, who is also a licensed professional, when the plan
must be reviewed by all parties;
o a signed statement from the consumer’s attending physician that the plan meets
medical scope of practice requirements; and
o a signed statement from a regional center representative that they have reviewed and
approved the plan and that the regional center will monitor implementation of the plan.
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Include a description of training to be provided to staff if consumers with Restricted Health
Conditions will be considered for admission into the facility. The description should address
the following–that prior to admission of a consumer with a restricted health condition the
applicant will:
o Communicate with all other persons who provide care to that consumer to ensure
consistency of care for the medical condition.
o Ensure that facility staff who will participate in meeting the consumer’s specialized care
needs complete training provided by a licensed professional sufficient to meet those
needs.
o Ensure that training on condition includes hands-on instruction in both general
procedures and consumer specific procedures.
o Ensure that all new facility staff who will participate in meeting the consumer’s
specialized care needs will complete the training prior to providing services to the
consumer.
o Ensure that facility staff receives instruction from the consumer’s physician or other
licensed professional to recognize objective symptoms, observable by a lay person, and
how to respond to that consumer’s health problems, including who to contact.
o Ensure that if the condition of the consumer changes, that all staff providing care and
services will complete any additional training required to meet the consumer’s new
needs, as determined by the consumer’s physician or a licensed professional designated
by the physician.
Description of consumer services provided. Include a statement indicating who plans, conducts and
assists consumers in participating in the services and activities described in this section. At a
minimum, this section must include:
 Basic and daily living skills services
 Health Care Services
 Transportation Services
 Behavioral Services
An intensely structured living environment is required. Include a sample weekly consumer schedule,
showing structured activities occupying every waking hour.
Provide a sample monthly social activity schedule to include community outings for consumers.
Address how special dietary and medical issues related to having diabetes or similar health
conditions will be addressed.
Statement of commitment that a vehicle that can accommodate the transportation needs of
ambulatory (non-ambulatory for project #2) consumers will be assigned to the facility.
Statement of commitment to secure a scale that is appropriate for the target population. For
example, if the consumer is wheel chair dependent, have gait /mobility issues etc., an appropriate
scale for measuring the consumer’s weight will be required.
Description of measurable anticipated service outcomes.
Description of instructional curricula, skills training strategies and other techniques will be utilized to
assist consumers with gaining greater independence in activities of normal living.
Data methodology used to measure consumer progress. Include how measurement and reporting
of progress on skill training goals will differ from measurement and reporting on the reduction of
targeted behavior problems. Include how and for what time period data will be summarized for
reporting.
Statement that a behavioral assessment will be completed and direct support staff trained to
implement the plan.
Description of medication preparation and dispensing procedures.
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19. Statement indicating that medication logs will be maintained.
20. Add a statement confirming that the facility will maintain a Consumer Treatment Profile (CTP) that
will list current medical and maladaptive behaviors. Each medication prescribed will be related to
one or more conditions on the CTP. The CTP must be reviewed at the time of each clinical
appointment for accuracy and updates.
Medications used for the management of maladaptive behaviors will have a Gradual Dose Reduction
(GDR) statement developed by the ID team and approved by the treating psychiatrist. A GDR may
be contraindicated if used to treat a psychiatric disorder or if a prior attempt resulted in behavioral
de-compensation that is well documented. The format for the GDR is as follows:
The Gradual Dose Reduction (GDR) statement for each consumer will include in its plan… “When
___(behavior) is at ____(frequency) for _____(months), ____(medication name) will be reduced by
____(dose).” Psychiatric and behavioral disorders must have a behavioral objective in the Behavior
Intervention Plan if treated with a medication.
21. Develop a written plan to address all of the compliance requirements associated with the drug
Clozaril. This includes contracting with a medical service provider that provides in-home services for
the weekly blood monitoring.
22. Statement of commitment to preparing and maintaining daily on-going written consumer notes.
23. Statement of commitment regarding the preparation and maintenance of quarterly reports of
consumer progress. Agreement to submit the report within 30 days of the end of the quarter. The
date and signature of the behavior consultant, RN consultant, and administrator must be included.
24. Consumer rights.
25. House values (rules).
26. Statement that the facility and ground will be a non-smoking environment.
27. Consumer theft and loss policy. This must include a commitment to take inventory of the
consumer’s personal property at the time of admission. There must be a plan for modifying the
inventory when the consumer’s personal property changes and a description of the practices used
to safeguard personal property upon the death of the resident.
28. Consumer grievance procedure.
29. Special incident reporting procedures.
30. Emergency disaster plan.
31. Consumer medical emergency procedures.
32. Staffing emergency procedures.
33. Policy regarding the frequency of night time bed checks.
34. Consumer hydration policy.
35. Sample menu along with a statement indicating that a menu will be posted. Include a statement
that the facility agrees to provide the foods necessary to comply with any physician prescribed
special diet.
36. Neighborhood complaint procedure.
37. Organizational chart for the facility listing all positions.
38. Sample direct care staff schedule. The minimum requirement is Administrator qualifications
statement. This must include statements that the administrator will have a minimum of 3 years’
experience as an administrator of a specialized or level 4I facility and experience working with the
target population in a licensed residential setting. This individual will have a current administrator’s
certificate from Community Care Licensing and has completed the Direct Support Professional
Training year one and two course work at the time of hire (challenge tests cannot be accepted). The
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individual will be PCMA, CPI or PRO-ACT certified at the time of hire. The individual will have a
SCLARC residential services orientation certificate.
Administrator’s duties statement.
A statement that the administrator will manage no more than a total of 10 beds total.
Statements that the administrator will be present at the facility a minimum of 20 hours per week,
with 75% of the hours being when consumers are present. Attach a sample schedule of the
administrator’s hours.
Direct support professionals’ qualifications. This will include a statement that direct care staff will
have a minimum of 2 years’ experience providing services to persons with developmental disabilities
who exhibit behavioral deficits. These individuals will also have a high school diploma or equivalent.
Direct care staff will also have completed the Direct Support Professional Training year one training
course work at the time of employment.
Direct support professional’s duties statement.
A statement confirming that applicant will have staffing in place on the date the facility becomes
operational.
A statement that the direct support professional initial base wage will be a minimum of 150% of the
minimum wage.
Licensed vocational nurse (LVN) qualifications. LVNs without DSP training must be enrolled in the
DSP Training Year One within 45 days of hire.
Statement that staff will take “in person” CPR and First Aid Courses.
Statement that staff will maintain current CPR and First Aid Certifications.
Statement that all staff providing direct care and supervision to consumers will be CPI or Pro-Act
trained.
Statement that staff will maintain current PCMA, CPI or PRO-ACT Certifications.
A statement that the facility will have a Register Nurse consultant.
A statement that the facility will have a Register Dietitian consultant.
Consultant qualifications and duty statement. This individual must be a BCBA with the appropriate
national certification. If an individual other than a BCBA is used, he/she must have completed
twelve semester units in applied behavior analysis and possess valid license as a psychologist, a
clinical social worker, licensed marriage and family therapist, or licensed professional whose
California licensure permits the design and/or implementation of behavior modification intervention
services. The behavior management consultant identified by the applicant, must be the actual
individual providing direct services to the consumers. This function cannot be assigned to a
behavioral assistant.
A statement that the consultant will work with consumers for a minimum of 4 hours per consumer,
per month. This individual must be a BCBA with the appropriate national certification. If an
individual other than a BCBA is used, he/she must have completed twelve semester units in applied
behavior analysis and possess valid license as a psychologist, a clinical social worker, licensed
marriage and family therapist, or licensed professional whose California licensure permits the design
and/or implementation of behavior modification intervention services. This individual must be a
BCBA with the appropriate national certification. If an individual other than a BCBA is used, he/she
must have completed twelve semester units in applied behavior analysis and possess valid license as
a psychologist, a clinical social worker, licensed marriage and family therapist, or licensed
professional whose California licensure permits the design and/or implementation of behavior
modification intervention services.
Staff training plan.
Copy of personnel policies.
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57. Description of the governing body. Specify if facility will be licensed and vendored as an
individual/sole proprietor, partnership, limited liability company or corporation.
58. Provide a list of the general partners or corporate offices and the percentage of shares owned by
each.
59. Policy for refusal of medical care/treatment by a consumer’s conservator.
60. Statement that the vendor will maintain current general and professional liability and worker’s
compensation insurance, and name SCLARC as additional insured.
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