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

Learn more about how LSA provides services for intellectual or developmental disabilities (I/DD)