CA Welf & Inst Code Section 4684.50


(1)“Adult Residential Facility for Persons with Special Health Care Needs (ARFPSHN)” 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 as defined in Section 4512.


For purposes of this article, an ARFPSHN may only be established in a facility approved pursuant to Section 4688.5 or through an approved regional center community placement plan pursuant to Section 4418.25.


“Consultant” means a person professionally qualified by training and experience to give expert advice, information, training, or to provide health-related assessments and interventions specified in a consumer’s individual health care plan.


“Direct care personnel” means all personnel who directly provide program or nursing services to consumers. Administrative and licensed personnel shall be considered direct care personnel when directly providing program or nursing services to clients. Consultants shall not be considered direct care personnel.


“Individual health care plan” means the plan that identifies and documents the health care and intensive support service needs of a consumer.


“Individual health care plan team” means those individuals who develop, monitor, and revise the individual health care plan for consumers residing in an Adult Residential Facility for Persons with Special Health Care Needs. The team shall, at a minimum, be composed of all of the following individuals:


Regional center service coordinator and other regional center representative, as necessary.


Consumer, and, where appropriate, his or her parents, legal guardian or conservator, or authorized representative.


Consumer’s primary care physician, or other physician as designated by the regional center.


ARFPSHN administrator.


ARFPSHN registered nurse.


Others deemed necessary for developing a comprehensive and effective plan.


“Intensive support needs” means the consumer requires physical assistance in performing four or more of the following activities of daily living:














“Special health care needs” means the consumer has health conditions that are predictable and stable, as determined by the individual health care plan team, and for which the individual requires nursing supports for any of the following types of care:


Nutrition support, including total parenteral feeding and gastrostomy feeding, and hydration.


Cardiorespiratory monitoring.


Oxygen support, including continuous positive airway pressure and bilevel positive airway pressure, and use of other inhalation-assistive devices.


Nursing interventions for tracheostomy care and suctioning.


Nursing interventions for colostomy, ileostomy, or other medical or surgical procedures.


Special medication regimes including injection and intravenous medications.


Management of insulin-dependent diabetes.


Manual fecal impaction, removal, enemas, or suppositories.


Indwelling urinary catheter/catheter procedure.


Treatment for staphylococcus infection.


Treatment for wounds or pressure ulcers (stages 1 and 2).


Postoperative care and rehabilitation.


Pain management and palliative care.


Renal dialysis.
Last Updated

Aug. 19, 2023

§ 4684.50’s source at ca​.gov