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10 Types of Housing for Adults with IDD – Jill Esher

May 10, 2024

1. State-Operated Centers

DDS operates 2 developmental centers (a dying breed), one community facility and 2 acute crisis homes

2. ICFs – Intermediate Care Facilities (ICF/DD)

Somewhat larger, licensed facilities with comprehensive care

Medi-Cal (Medicaid) pays

3. Community Care Facilities – Licensed Residential Homes

Different service levels, eg, 2, 3, 4 (A-I); eg, LSA Homes

Enhanced Behavioral Supports Homes (EBSHs)

Regional Centers pay (“winning the lottery”)

4. Family Home Agencies (adult foster care)

Agency is vendored by a regional center; they recruit, train, monitor family homes

Variant – Family Teaching Model, eg, CCO duplexes

Cool fact: staff do not pay income taxes!

Regional Centers pay

5. A Community Home/Apt with Regional Center-Funded Supports

Supported Living Services – wrap-around service

Independent Living Services – more intermittent, to help build skills

Another mix of RC-funded staff (eg, personal aide or self-determination) and IHSS (I use various income streams for my 25 year-old son)

RCs pay part or all services; housing itself is — (a) private pay (Special Needs Trust or ABLE account), (b) Section 8 housing

vouchers from the Housing Authority, or (c) “affordable housing” set-asides in larger developments

As a landlord, I use Section 8 model to provide highly subsidized housing to adults with autism, I/DD

6. Nonprofit-Owned Community of Homes/Amenities

• Sweetwater Spectrum, Sonoma

• Sunflower Hill, Pleasanton

• Camphill communities

• Casa de Amma, So Cal

• Services: RC funding for ILS, SLS, or self-determination

7. Privately Owned Family-formed LLCs

• Peralta Apartments, Fremont

• Coastal Families, Santa Cruz

• Mustang Court Commons, Petaluma

• Services: RC funding for ILS, SLS, or self-determination

8. In your home

• ILS, behavioral respite, personal aide, IHSS, “coordinated family supports”

9. Variant: ADU on your property

• SLS available as well

10. After you’re gone – Legacy Home Program

• Bay Area Housing Corporation (BAHC)

• Donate your house to BAHC, which then manages the property, with you child as a beneficiary

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10 Types of Housing for Adults with IDD – Jill Esher

1. State-Operated Centers

2. ICFs – Intermediate Care Facilities (ICF/DD)

3. Community Care Facilities – Licensed Residential Homes

4. Family Home Agencies (adult foster care)

5. A Community Home/Apt with Regional Center-Funded Supports

6. Nonprofit-Owned Community of Homes/Amenities

7. Privately Owned Family-formed LLCs

8. In your home

9. Variant: ADU on your property

10. After you’re gone – Legacy Home Program

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