CDA Oversight

Under an interagency agreement between the Department of Health Care Services (DHCS) and the California Department of Aging (CDA), CDA administers the CBAS Program and certifies providers for participation in CBAS. Prior to participation as CBAS Medi-Cal waiver providers, CBAS providers must be licensed to operate adult day health care (ADHC) centers by the California Department of Public Health (CDPH) .

The information below illustrates the types of onsite surveys conducted by CDA in Fiscal Year 2013-14, and the types and frequency of citations from those visits.

CDA conducts the following types of onsite certification surveys:

FY 2013-14
CBAS Onsite Survey
Certification Renewal 112
Follow-Up 7
Reconsideration 1
1st Quarter 2
Total Surveys 122

  1. Certification Renewal - at least every 24 months
  2. Follow-Up - between renewal visits to ensure a plan to correct deficiencies is implemented
  3. Reconsideration - revisit post Certification Renewal where significant non-compliance is identified
  4. First Quarter - visit within 90 days of certifying a new provider

Citations are based on record reviews, observations, and/or interviews during onsite surveys and are categorized as follows:

  1. Repeat - counted if the same citation was recorded during the previous onsite survey.
  2. Health and Safety - findings that demonstrate non-compliance with specified laws and regulations, the scope and severity of which demonstrate harm or potential harm to a participant and/or are at a pattern level across multiple disciplines and/or participants.
  3. Administrative - findings that demonstrate non-compliance with specified laws and regulations, but that do not rise in scope or severity to a Health and Safety level. For example, isolated and/or less consequential instances such as failures to provide complete documentation.
FY 2013-14
Types of Citations # As Percentage of Total Citations
Repeat 292 22%
Health and Safety 95 11%
Administrative 796 89%

FY 2013-14
Most Frequently Cited Findings
# Citation Explanation # of
1 W&I Code, Section 14529(d)(2) IPC developed does not meet participant need 79
2 W&I Code, Section 14529(d)(1)(3) Incomplete reassessments 77
3 W&I Code, Section 14530(a) Services not provided or substantiated in written record 68
4 Title 22, CCR, Section 54425(a)(4) Incomplete participant records 65
5 Title 22, CCR, Section 54323(a)(8) Failure to liaison with Personal Health Care Provider 61
6 W&I Code, Section 14552(a) Standards for Certification and Licensing not met 33
7 W&I Code, Section 14529(d)(3 Reassessments not done, late, not signed, etc. 29
8 Title 22, CCR, Section 54211(a) Initial assessments do not support IPC 27
9 Title 22, CCR, Section 54323(a)(6)(A)(B)(C)(D) Medications not monitored, administered, and/or recorded properly 24
10 Title 22, CCR, Section 54207(a)(7) Incomplete information obtained from Personal Health Care Provider 21

Source: CDA CBAS Database, Citation Statistics and Post-Survey Statistics Reports, 07/01/13-06/30/14, run date 10/30/14..

Updated October 8, 2015

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Community-Based Adult Services (CBAS)

1300 National Drive, Suite 200
Sacramento, CA 95834-1992

Phone: (916) 419-7545
Fax: (916) 928-2507