KRC is a private non-profit agency under contract to the State Department of Developmental Services to provide services to persons with developmental disabilities in Kern, Inyo and Mono Counties. Developmental disabilities include intellectual disability, cerebral palsy, autism, epilepsy, and other neurological conditions. Consistent with the Lanterman Developmental Disabilities Services Act and the promotion of community-based services for all people with Developmental Disabilities, Kern Regional Center is currently accepting proposals and invites the community at large to develop one (1) Adult Residential Facility for Persons with Special Healthcare Needs-Behavioral (ARFPSHN-B) in Kern County. All applications, including those that propose innovative approaches to the resource needed will be considered. Proposals submitted after the indicated timelines and/or are not complete per this RFP will not be considered. Per the Welfare and Institutions Code, section 4684.50(a)(1) an “Adult Residential Facility for Persons with Special Health Care Needs" means any adult residential facility that provides 24-hour health care and intensive support services in a homelike setting that is licensed to serve up to five adults with developmental disabilities. The facility will be certified, licensed by Department of Social Services Community Care Licensing, and vendored to serve a maximum of five (5) adults. The adults to be considered for admission are Three (3) residents of a Skilled Nursing Facility, and Two (2) within the community. The facility is to be prepared to serve both male and female adults, who may be ambulatory or non-ambulatory or Bedridden with private rooms and may have behavioral challenges. The individuals for this facility will be selected and placed by KRC through its Admissions Committee and identified through the CPP. The contract developed from this RFP will be based on the provider’s commitment to the long-term success of clients living in the community. Furthermore, the program will maintain policies and procedures that exemplify a commitment to meeting the specialized needs of these clients. The admission criterion also includes the following: • Adults • Medically appropriate for ARFPSHN-B services/supports • Diagnosis of intellectual disability, mild to profound • Each adult’s service needs are compatible with the service needs of any current resident at the time placement is being considered; 4 • Requires physical assistance in performing four (4) or more of these ADL’s (eating, dressing, bathing, transferring, toileting, and continence) • May have dual diagnosis (Developmental Disability and Mental Illness) • Non-ambulatory (functional and physical) • Accommodations for special equipment • Special health care needs are predictable and stable (as determined by the Individual Health Care Plan (IHCP) Team) and for which the person requires nursing supports for the following: o Nutrition support: total parenteral feeding, G-tube feeding, and hydration o Cardio respiratory monitoring o Oxygen support including continuous positive airway pressure and bi-level positive airway pressure, and use of other inhalation-assistive devices o Nursing interventions for tracheostomy care and suctioning o Nursing interventions for colostomy, ileostomy, or other medical or surgical procedures o Special medication regimes including injection and intravenous medications o Management of insulin-dependent diabetes o Manual fecal impaction, removal, enemas, or suppositories o Indwelling urinary catheter/catheter procedure o Treatment of staphylococcus infection o Treatment for wounds or pressure ulcers (stage 1 and 2) o Postoperative care and rehabilitation o Pain management and palliative care and o Renal dialysis
