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Top-of-Mind . . .
WEDNESDAY, JULY 15 | 10:30 AM - 12 PM PDT
ALEwebtalk Part 4: Infection Control for Adult Day Services in the Time of COVID-19
WHAT WE WILL COVER
Dr. Vanessa Tatum, M.D., will discuss the evolving understanding about the novel coronavirus including transmission, COVID-19 symptomatology, and the latest advice on infection control. Whether or not you are currently or plan to provide essential in-center or in-home services, keeping up to date on the latest science and recommendations regarding the pandemic and COVID-19 is critical to your goal of keeping participants, caregivers and your staff safe and healthy. We will discuss what to listen and watch for as you conduct your weekly calls, what to do if you suspect an infection, and answer your questions about surface cleaning, face coverings, PPE testing and more. This is a MUST ATTEND webinar for all staff.
PRESENTER:
Lydia Missaelides, MHA , Executive Director, Alliance for Leadership and Education
Dr. Vanessa Tatum, Board Certified Pulmonary Specialist and 21 years as Administrator, Helping Hands for Better Living ADHC & CBAS
CAADS Members: No Charge (A benefit of membership)
Non-member: $129 per registration
REGISTRATION FORM: FILL-IN :: WRITE-ON
Registration Questions: Contact Pamela Amundsen, Manager of Education & Events pam@caads.org
What's New . . . July 10, 2020
Stakeholder Position Paper Proposed New Medi-Cal Benefit: Long-Term Care at Home
JULY 9, 2020 | California Association for Adult Day Services - CAADS
POSITION LETTER
Background and Introduction
The Long Term Care at Home (“LTC at Home”) Proposal was first released as a “trailer bill” proposal in May and then introduced to stakeholders by the California Department of Health Care Services (DHCS) in June 2020. Development of this new statewide Medi-Cal benefit is being fast tracked, with implementation planned for early 2021, pending CMS approval.
The initial reason given for creating a new 1915(i) State Plan benefit was to “decompress” California’s skilled nursing facilities, diverting an as-yet undefined set of Medi-Cal beneficiaries from hospital settings to home by providing alternative support. The proposal provided to the Long Term Services and Supports Subcommittee in late June indicated that the initial concept has expanded to include a broader set of goals. The proposal includes creation of a new licensure category through emergency regulations promulgated by the California Department of Public Health. Home health agencies and hospices would be categorically eligible to apply. Licensed LTC at Home agencies would be responsible for coordinating and delivering services to a limited group of Medi-Cal beneficiaries.
Please read the entire CAADS LTC at Home position paper HERE
UPDATED STATEWIDE WAIVERS FOR LICENSING REQUIREMENTS FOR ADULT AND SENIOR CARE FACILITIES DUE TO CORONAVIRUS DISEASE 2019 (COVID-19)
JULY 6, 2020 | Ca. Dept. of Social Services - CCLD | PIN 20-24-ASC
TO:
ALL ADULT AND SENIOR CARE PROGRAM LICENSEE
Provider Information Notice (PIN) Summary:
PIN 20-24-ASC informs Adult and Senior Care (ASC) licensees of updates to specified statewide waivers for certain licensing statutes and regulations in PIN 20-09-CCLD dated April 2, 2020 and PIN 20-12-ASC dated April 16, 2020, and updates the specified waivers with a new effective date through September 30, 2020.
Read the entire PIN 20-24-ASC HERE
INFORMATIONAL CALL REGARDING CORONAVIRUS DISEASE 2019 (COVID-19): THE CRITICAL ROLE OF TESTING, MODIFICATION OF VISITATION GUIDELINES, NEED FOR INFECTION PREVENTION AND CONTROL, AND USE OF FACE COVERINGS IN ADULT AND SENIOR CARE FACILITIES
JULY 3, 2020 | Ca. Dept. of Social Services - CCLD | PIN 20-25-ASC
TO:
ALL ADULT AND SENIOR CARE PROGRAM LICENSEE
Provider Information Notice (PIN) Summary:
PIN 20-25-ASC announces an informational call scheduled for July 7, 2020 to update licensees on PIN 20-23-ASC: Updated Guidance on Coronavirus Disease 2019 (COVID-19) Related to the Critical Role of Testing, Modification of Visitor Guidelines, Need for Infection Prevention and Control, and Use of Face Coverings in Adult and Senior Care (ASC) facilities.
Read the entire PIN 20-25-ASC HERE
GUIDANCE FOR SANITIZING LAUNDRY AND A LIMITED WAIVER OF HOT WATER TEMPERATURE LIMITS IN CARE FACILITIES
JUNE 29, 2020 | Ca. Dept. of Social Services - CCLD | PIN 20-14-CCLD
TO:
ALL ADULT CARE, SENIOR CARE, AND CHILDREN’S RESIDENTIAL LICENSED PROVIDERS
Provider Information Notice (PIN) Summary:
PIN 20-14-CCLD provides guidance on sanitizing laundry and a limited waiver of hot water temperature limits in care facilities during the current Coronavirus Disease 2019 (COVID-19) pandemic.
Read the entire PIN 20-14-CCLD HERE
Suspension of Regulatory Enforcement of Specified ADHC Requirements
(This AFL supersedes AFL 20-34)
JUNE 26, 2020 | Ca. Dept. of Public Health | AFL 20-34.1
All Facilities Letter (AFL) Summary
This AFL notifies ADHCs of a temporary waiver of specified regulatory requirements due to the state of emergency related to the Coronavirus Disease 2019 (COVID-19) outbreak. This AFL has been updated to extend the waiver until March 1, 2021.
Read the entire AFL 20-34.1 HERE
EXECUTIVE SUMMARY
COUNTY FISCAL LETTER NO. 19/20-94
JUNE 26, 2020 | Ca. Dept. of Social Services | CFL 19/20-94
The purpose of this letter is to notify counties of updated claiming instructions for funds allocated for the In-Home Supportive Services (IHSS) Emergency Provider Back-Up System, Essential Protective Gear, IHSS Provider Paid Sick Leave, IHSS Provider Name-Based Criminal Background Check, and APS Outreach program components during the current public health crisis caused by COVID-19. These claiming instructions are an update to the instructions for these components that were provided for the June 2020 quarter in County Fiscal Letter No. 19/20-91, dated June 2, 2020.
Read the entire CFL 19/20-94 HERE
UPDATED GUIDANCE ON CORONAVIRUS DISEASE 2019 (COVID-19) RELATED TO THE CRITICAL ROLE OF TESTING, MODIFICATION OF VISITATION GUIDELINES, NEED FOR INFECTION PREVENTION AND CONTROL, AND USE OF FACE COVERINGS IN ADULT AND SENIOR CARE FACILITIES
JUNE 26, 2020 | Ca. Dept. of Social Services | PIN 20-23-ASC
TO:
ALL ADULT AND SENIOR CARE PROGRAM LICENSEES
Provider Information Notice (PIN) Summary:
PIN 20-23-ASC provides updated guidance to Adult and Senior Care (ASC) licensees related to the critical role of testing for COVID-19, modification of visitor guidelines, guidance for vigilant adherence to infection control and prevention practices to prevent the transmission of COVID-19 in ASC facilities, and mandated use of face coverings.
Read the entire PIN 20-23-ASC HERE
CBAS Temporary Alternative Services (TAS) Guidance on Provision of In-Center Services
Purpose
JUNE 25, 2020 | Ca. Dept. of Aging - CBAS Branch | ACL 20-14
TO:
CBAS Temporary Alternative Services (TAS) Guidance on Provision of In-Center Services Purpose
Purpose:
This ACL reiterates and clarifies CDA guidance issued since the beginning of the COVID-19 outbreak in March 2020, regarding expectations for CBAS TAS providers when delivering in-person services. It provides additional framework of both requirements and best-practice recommendations for providers currently providing and/or those planning to begin offering services in the center.
Read the entire All Center Letter 20-14 HERE
New Fact SHeet - How the ACA is Helping Older Adults During COVID-19
JUNE 25, 2020 | Justice in Aging | Fact Sheet
COVID-19 is putting a spotlight on our nation’s healthcare system—exposing both the ways in which programs that serve older adults are essential and the gaps. In particular, the pandemic is emphasizing how older adults’ lives are at stake in California v. Texas, when the U.S. Supreme Court decides whether to uphold the Affordable Care Act (ACA). Today, 18 states, led by Texas and the Trump Administration, submitted briefs asking the Supreme Court to strike down the ACA as unconstitutional.
Justice in Aging’s new fact sheet outlines the ways the ACA is acting as a lifeline for older adults during this pandemic. It ensures that more older adults have health insurance coverage, expands access to home and community-based services (HCBS), and prevents discrimination based on age and disability.
Eliminating the ACA’s Medicaid expansion and anti-discrimination protections would exacerbate the devastating effects of systemic racism that are causing older adults of color who to contract and die from COVID-19 at disproportionate rates.
For more on what’s at risk for low-income older adults if the ACA is struck down read our amicus brief and our 10-Year Checkup Issue Brief.
Read the Fact Sheet
CAADS ALERT: Deal to REJECT cuts to CBAS, MSSP and Disability Services Included in Final Budget Agreement with the Governor
JUNE 22, 2020 | California Association for Adult Day Services (CAADS) | ALERT
On June 15, the Legislature wrapped up their work and sent Governor Gavin Newsom their joint budget plan that attempted to preserve CBAS and MSSP in the State Budget.
Today, Governor Gavin Newsom, Senate President pro Tempore Toni G. Atkins and Assembly Speaker Anthony Rendon announced that they reached an agreement on the 2020-21 State Budget.
Just minutes ago, CAADS has learned that the final budget agreement is very similar to the Legislative version of the State Budget, which passed in the Legislature last week. The final budget agreement that the Governor and Legislative leadership agreed to today continues to reject several billion dollars in draconian health and human services, including:
- Rejecting cuts to Aging Programs MSSP and CBAS.
- Rejecting cuts to IHSS.
- Rejecting cuts to employment and other services in CalWORKs.
- Rejecting cuts to Medi-Cal optional benefits and Prop 56.
- Rejecting cuts to Disability Services.
Read the entire CAADS alert HERE and the Floor Report of the 2020-21 State Budget HERE.
ADDITIONAL GUIDANCE ON PAYMENTS FOR NONRESIDENTIAL SERVICES DURING THE STATE OF EMERGENCY
JUNE 18, 2020 | Ca. Dept. of Social Services (CDSS) | Guidance Letter
TO: REGIONAL CENTER EXECUTIVE DIRECTORS
This correspondence provides clarification to the Department of Developmental Services’ (Department) May 7, 2020, guidance regarding offsetting nonresidential service reimbursement during the State of Emergency declared due to COVID-19 with other received COVID-19 relief funds.
The Department is authorizing payments to nonresidential providers for consumer absences through July 31, 2020. The Department continues to engage with service providers regarding options for coordinating, providing, and/or funding services differently. The Department will issue additional guidance regarding alternative approaches to service delivery.
Read the entire Guidance Letter
California Public Health Officials Release Guidance Requiring Californians to Wear Face Coverings in Most Settings Outside the Home
JUNE 18, 2020 | Ca. Dept. of Public Health (CDPH) - Office of Public Affairs | ANNOUNCEMENT #NR20-128
Updated Guidance isssued June 18, 2020
CDSS issues ALL COUNTY LETTER (ACL) NO.: 20-66
JUNE 11, 2020 | Ca. Dept. of Social Services (CDSS) | ACL 20-66
TO: ALL COUNTY APS PROGRAM MANAGERS
SUBJECT: CHANGE IN APS PROTOCOLS
REFERENCE: Welfare and Institutions Code (WIC) Section 15763;
manual of policies and procedures (MPP) Section 33-510
The purpose of this All County Letter is to alert counties to the transition in practices and procedures when responding to reports of abuse and conducting 30-day welfare checks as California moves through the stages of reopening. County Adult Protective Services (APS) agencies should work with their local public health departments and consult their County Counsel’s office to determine their community level of risk.
Read the entire ACL 20-66
California SARS-CoV-2 Pandemic Crisis Care Guidelines
CONCEPT OF OPERATIONS HEALTH CARE FACILITY SURGE OPERATIONS AND CRISIS CARE
JUNE 2020 | Ca. Dept. of Public Health (CDPH) | FULL GUIDELINES
Dear Health Care Delivery Leaders and County Health Entities,
Planning for the current pandemic we are in the midst of started over a decade ago. While we hoped that it would never happen, those plans and our deep partnerships across the state have allowed us to move expeditiously into a strong position of readiness for the potential surge COVID-19 could impose on our care delivery system.
The California Department of Public Health (CDPH) shares with you here the California State SARS-CoV-2 Crisis Care Guidelines. California is one of a number of states with such guidance. Anchored in best practices from across the country, and guided by ethical principles and a commitment to equity, it provides a framework to help health care facilities and county health departments plan for the potential of a COVID-19 surge that is overwhelming. It aims to ensure that, should conditions push our systems into providing crisis care, we do so in a coordinated and thoughtful manner, using a common framework, procedures, and decision making that best protects the health of all Californians.
Read the entire Introduction Letter and Guidelines
DEPARTMENT DIRECTIVE 01-060820: EXTENSION AND RESCISSION OF WAIVERS, MODIFICATIONS AND DIRECTIVES DUE TO COVID-19
JUNE 8, 2020 | Ca. Dept. of Developmental Services (DDS) | DIRECTIVE
TO:
REGIONAL CENTER EXECUTIVE DIRECTORS
Pursuant to Governor Gavin Newsom’s Proclamation of a State of Emergency dated March 4, 2020, and Governor Newsom’s Executive Order N-25-20 issued on
March 12, 2020, the Director of the Department of Developmental Services (Department) issued numerous Directives to regional centers waiving or modifying certain requirements of the Lanterman Developmental Disabilities Services Act, the California Early Intervention Services Act, and/or certain provisions of Title 17, Division 2 of the California Code of Regulations. Additionally, the Director of the Department issued several Directives pursuant to Welfare and Institutions (W&I) Code section 4639.6 to protect consumer rights, health, safety, or welfare, or in accordance with W&I Code section 4434.
Any waivers, modifications or directives contained in the following Directives are extended an additional 30 days from the current date of expiration, and specified sections within certain Directives are amended, as follows:
Read the entire DIRECTIVE
Telephonic Surveys for CBAS Certification Renewal
JUNE 1, 2020 | Ca. Dept. of Aging - CBAS | ACL 20-13
TO:
Community-Based Adult Services (CBAS) Center Administrators and Program Directors
This ACL provides notice that effective June 1, 2020, CDA will begin temporarily conducting tele-surveys of providers who are due for certification renewal.
Read the entire All Center Letter 20-13 HERE
The Long-Term Services and Supports Subcommittee Report
MAY 26, 2020 | Ca. Dept. of Aging - Master Plan for Aging
COMPLETE REPORT
TO:
The Master Plan for Aging Stakeholder Advisory Committee
In early March, the Committee members unanimously adopted the final draft of the Long-Term Services and Supports Subcommittee (LTSS) Stakeholder Report, prepared in accordance with requirements outlined in Governor Newsom’s Executive Order for the Master Plan for Aging. However, due to the COVID-19 pandemic, the final report was not formally transmitted to the Committee nor to the Governor. Today, we are transmitting the final report that includes a preface providing commentary on the report’s importance in light of the COVID-19 crisis as well as the drastic budget reductions proposed by the Administration.
Read the entire PREFACE Letter HERE
Monthly Statistical Summary Report (MSSR)
MAY 19, 2020 | Ca. Dept. of Aging - CBAS | ACL 20-12
TO:
Community-Based Adult Services (CBAS) Center Administrators and Program Directors
This All Center Letter (ACL) is to notify CBAS Providers of the resumption of MSSR reporting beginning with the May 2020 reporting period.
Read the entire All Center Letter 20-12 HERE
CAADS Members Only Alert:
GOVERNOR’S MAY REVISION RELEASED - ADHC/CBAS PROPOSED FOR ELIMINATION AS MEDI-CAL BENEFIT
MAY 15, 2020 | Ca. Association for Adult Day Services (CAADS)
Members Only Alert
The Newsom Administration released its May Revision of the Budget yesterday. Given the impact of COVID-19, it reflects an anticipated budget deficit of $54.3 billion, and unfortunately, it calls for the elimination of the Adult Day Health Care/Community Based Adult Services (ADHC/CBAS) program by January 1, 2021. Following are some of the highlights from the Health and Human Services Budget Summary, and the reference to the CBAS program and other Medi-Cal programs starts on page 61 of the summary.
Over the next few weeks, both houses in Legislature (Assembly and Senate) will negotiate, make proposals and adopt their version of a proposed budget. In addition, during this time CAADS, advocates and providers will have to work with the Legislature to help them understand why eliminating ADHC/CBAS is a very shortsighted proposal.
Please read the entire alert HERE
Policy Cheat Sheet: Translating COVID-19’s Impact on Medicaid Policy
MAY 15, 2020 | Centers for Health Care Strategies, Inc. | Newsletter Link
Medicaid plays a central role in the U.S. health care system and is often essential in times of crisis such as natural disasters, economic downturns, and public health emergencies. In the midst of the COVID-19 pandemic, Medicaid programs and policies at the state and federal levels are adapting at a rapid pace.
To help translate emerging policies during the pandemic, CHCS is offering this new resource to provide a clear, digestible, and informal way to clarify COVID-19’s impact on select Medicaid policies. Originally, CHCS staffers created this Policy Cheat Sheet series for internal CHCS use, but we thought it might also be useful to external stakeholders. Clear policy explanations are in demand these days!
If you would like to continue receiving these updates, sign up here.
New Participant Enrollment during CBAS Temporary Alternative Services (TAS)
MAY 13, 2020 | Ca. Dept. of Aging - CBAS | ACL 20-11
TO:
Community-Based Adult Services (CBAS) Center Administrators and Program Directors
This letter provides guidance to providers regarding expectations for enrolling new participants during this period of CBAS TAS.
Read the entire All Center Letter 20-11 HERE
Frequently Asked Questions (FAQ) #4 – COVID-19, CBAS Temporary Alternative Services (TAS)
MAY 9, 2020 | Ca. Dept. of Public Health | AFL 20-51
All Facilities Letter (AFL) Summary
This AFL notifies health facilities of the Centers for Disease Control and Prevention's (CDC's) update on COVID-19 symptoms. Health facilities should ensure their screening process and policies and procedures reflect the updated symptoms.
The CDC has updated the list of COVID-19 symptoms to include a wide range of symptoms, ranging from mild symptoms to severe illness. Symptoms may appear 2-14 days after exposure to the virus.
Read the entire AFL 20-51
UPDATED STATEWIDE WAIVERS FOR BACKGROUND CHECK REQUIREMENTS DUE TO CORONAVIRUS DISEASE 2019 (COVID-19)
MAY 8, 2020 | Ca. Dept. of Social Services (CDSS) - CCLD | PIN 20-12-CCLD
TO:
ALL ADULT AND SENIOR CARE PROGRAM LICENSEES
HOME CARE ORGANIZATION LICENSEES AND HOME CARE AIDES
ADULT AND SENIOR CARE CERTIFIED ADMINISTRATORS
PIN 20-12-CCLD provides updated guidance to Adult and Senior Care (ASC) Program licensees and administrators (conditionally certified and certified), Home Care Organization (HCO) licensees, and Home Care Aides (HCAs) regarding the statewide waivers for background checks, and supersedes the background check waivers issued in PIN 20-09-CCLD dated April 2, 2020.
Read the entire PIN 20-12-CCLD HERE
CAADS COVID-19 Participant Wellness Check & Risk Assessment
May 8, 2020 | California Association for Adult Day Services (CAADS)
Revised Checklist as of May 8,2020
Frequently Asked Questions (FAQ) #4 – COVID-19, CBAS Temporary Alternative Services (TAS)
MAY 8, 2020 | Ca. Dept. of Aging - CBAS Branch | ACL 20-10
The purpose of this All Center Letter (ACL) is to notify CBAS providers that the Department of Aging (CDA) has released a Frequently Asked Questions (FAQ) document pertaining to ACL 20-09, CBAS TAS Documentation Guidance, released on May 1, 2020. The FAQ is attached.
Read the entire ACL 20-10
Transfers to Low Acuity Alternate Care Sites During Coronavirus Disease 2019 (COVID-19) Pandemic (This AFL supersedes guidance provided in AFL 20-48)
May 6, 2020 | Ca. Dept. of Public Health (CDPH) | AFL 20-48.1
All Facilities Letter (AFL) Summary
- This AFL provides information on state-run low-acuity alternate care sites and guidance for the transfer of COVID-19 positive patients to alleviate strain on hospitals and skilled nursing facilities (SNFs) and ensure patient safety.
- The guidance in this AFL has been updated for clarity and to address transfers to congregate living health facilities licensed by the California Department of Social Services (CDSS).
Please read the entire AFL 20-48.1 HERE
Expanding Access to Testing: Updated Interim Guidance on Prioritization for Coronavirus Disease 2019 (COVID-19) Laboratory Testing
(This AFL supersedes guidance provided in AFL 20-44)
May 2, 2020 | Ca. Dept. of Public Health (CDPH) | AFL 20-44.1
All Facilities Letter (AFL) Summary
- This AFL informs health facilities of the availability of both Polymerase Chain Reaction (PCR) and serology testing for COVID-19 across California hospital, academic, commercial, and public health laboratories.
- This interim guidance supports the local public health department, health care providers, and laboratories in determining prioritization of specific groups for PCR molecular testing.
- This AFL modifies the guidance provided in AFL 20-44, changing the four priority levels to two tiers and provides guidance for quarantine/Isolation.
Please read the entire AFL 20-44.1 HERE
Visitor Limitations Guidance
(This AFL supersedes AFL 20-38)
May 2, 2020 | Ca. Dept. of Public Health (CDPH) | AFL 20-38.1
All Facilities Letter (AFL) Summary
- This AFL notifies all facilities of new visitor limitation guidelines for pediatric patients, patients in labor and delivery, and patients at end-of-life.
- This AFL clarifies that health facilities may permit a support person to accompany a patient for whom a support person has been determined to be essential to the care of the patient (medically necessary), including patients with physical, intellectual, and/or developmental disabilities and patients with cognitive impairments.
Please read the entire AFL 20-38.1 HERE
Your Donations Help!
Two (2) great opportunities to further support Adult Day Services:
- CAADS | State Advocacy Fund
- ALE | Nina M. Nolcox Scholarship Fund
Learn more and DONATE today -- thank you!
California Association for Adult Day Services, a 501 (c) 6 non-profit grassroots-driven organization, advocates for the growth and development of adult day services in California and nationally. Centers in membership with CAADS provide innovative day programs that support individuals with physical or mental disabilities and older adults with Alzheimer's disease and their families.
Learn more about CAADS
 The Alliance for Leadership and Education (A.L.E.) is a non-profit 501(c)(3) public benefit arm of CAADS. Its mission is to advance innovation and quality in Adult Day Service through research and analysis, education and training, and leadership for the benefit of consumers and their caregivers.
Lydia Missaelides, MHA
Executive Director of the Alliance for Leadership and Education
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NATIONAL ADULT DAY SERVICES ASSOCIATION (NADSA)
CAADS is a proud member of the National Adult Day Services Association.
California representatives currently serving on the NADSA Board of Directors:
Corinne Jan, RN, PHN (NADSA Chair)
CEO, Family Bridges
Oakland, CA
Kathleen Kolenda (NADSA Treasurer)
Vice President, Adult Day Services Easterseals Southern California
Irvine, CA
Amanda Sillars, MSW, LCSW
CEO, Total ADHC Solutions, Inc.
Thousand Oaks
CARING FOR A VETERAN?
For help, call the VA Caregiver Support Line (toll-free):
1-855-260-3274
For more Information and Resources visit their WEBSITE
Mon - Fri 8 AM - 11 PM (EST) || Sat 10:30 AM - 6 PM (EST)
TO REPORT FRAUD AND ABUSE
Call DHCS Medi-Cal Fraud Hotline:
1-800-822-6222
The call is free and you can remain anonymous.
TO FILE A COMPLAINT AGAINST A HEALTH CARE FACILITY LICENSED BY THE CALIFORNIA DEPARTMENT OF PUBLIC HEALTH
Use the California Department of Public Health's Cal Health Find website
or
call, write, fax the Center for Health Care Quality,
Licensing and Certification District Office nearest you.
FREE FRAUD PREVENTION EDUCATION
The California Senior Medicare Patrol offers free fraud prevention education throughout the state.
To schedule a presentation, call 855-613-7080
See the SMP/Medicare fraud section at www.cahealthadvocates.org, for more information on ways to protect yourself from healthcare fraud and how to detect it.
If you come across any suspicious activity,
PLEASE REPORT IT AT
855-613-7080
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California Association for Adult Day Services
1107 9th Street, Suite 701 || Sacramento, CA 95814–3610
T: (916) 552-7400 || F: (866) 725-3123
E: caads@caads.org |
