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 2015-16, and the types and frequency of citations from those visits.

CDA conducts the following types of onsite certification surveys:

FY 2015-16
CBAS Onsite Survey
Certification Renewal 100
Follow-Up 7
Reconsideration 0
1st Quarter 1
Total Surveys 108

  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 2015-16
Types of Citations # As Percentage of Total Citations
Repeat 167 26%
Health and Safety 153 24%
Administrative 487 76%

FY 2015-16
Most Frequently Cited Findings
# Citation Explanation # of
1 W&I Code, Section 14529(d)(2) IPC developed does not meet participant need 68
2 Title 22, CCR, Section 54323(a)(8) Failure to liaison with Personal Health Care Provider 49
3 Title 22, CCR, Section 54425(a)(4) Incomplete participant records 47
4 W&I Code, Section 14530(a) Services not provided or substantiated in written record 47
5 W&I Code, Section 14552(a) Standards for Certification and Licensing not met 41
6 W&I Code, Section 14529(d)(1)(3) Incomplete reassessments 33
7 Title 22, CCR, Section 54401(a)(7) Failure to provide appropriate staff to meet participant needs 22
8 Title 22, CCR, Section 54411(a)(8) Failure to provide timely and/or accurate reports 19
9 Title 22, CCR, Section 54207(a)(1) Incomplete information obtained from Personal Health Care Provider 18
10 W&I Code, Section 14529(d)(3) Reassessments not done, late, not signed, etc. 18

Source: CDA CBAS Database, Citation Statistics and Post-Survey Statistics Reports, 07/01/15-06/30/16, run date 07/28/16.

Updated August 9, 2017

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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