Plan for the Closure of Lanterman Developmental Center

to fill a critical gap in the existing state community living residential licensure
categories. Under the ARFPSHN the consumers’ health conditions must be predictable
and stable at the time of admission, as determined by the individual health care plan
team and stated in writing by a physician. In addition to 24/7 nursing supervision, the
law requires:
• Development of an Individual Health Care Plan that lists the intensive health care
and service supports for each consumer that is updated at least every six
months;
• Examination by the consumer’s primary care physician at least once every
60 days;
• At least monthly face-to-face visits with the consumer by a regional center nurse;
• DDS approval of the program plan and on-site visits to the homes at least every
six months; and
• California Department of Social Services’ licensure of the homes, which includes
criminal background clearance, Administrator orientation, annual facility
monitoring visits and complaint resolution.
Evaluation of the Pilot Project
Statute requires evaluation of the pilot project by an independent contractor and a report
to the Legislature. The University of California, Davis, Center for Human Services was
selected to conduct the evaluation and the report is being finalized for submission.
Preliminary findings indicate the following:
• Individual Health Care Plans are effective and are a key strength of the model;
• Most consumers and families appear to be satisfied with the homes;
• The types, qualifications, and sufficiency of staffing meet or exceed the minimum
requirements;
• Administrators and Direct Service Professionals could benefit from additional
training;
• Quality of health care provided through this residential model is good and meets
generally accepted standards; and
• The model is cost-effective and the cost per consumer is less than private and
public modalities of care (Acute Care, Sub Acute Care, DC, Skilled Nursing
Facility) serving similar consumers.
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