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    Document Summary
    - Report Published -

    Senate Document No. 08
    PUBLICATION YEAR 1991

    Document Title
    Homes for Adults in Virginia

    Author
    Joint Legislative Audit and Review Commission

    Enabling Authority
    Appropriation Act - Item 545 (Regular Session, 1991)

    Executive Summary
    Item 545 of the 1990 Appropriations Act directed JLARC to conduct a follow-up study to the 1979 JLARC report on Homes for Adults in Virginia. In addition, JLARC was instructed to report the findings to the Commission on Health Care for All Virginians prior to the 1991 Session. This report presents staff findings and recommendations regarding the regulation of homes for adults and funding provided residents through the Auxiliary Grants Program.

    The 1979 JLARC identified significant problems affecting adult home regulation, the Auxiliary Grants Program, and the health and safety of adult home residents. Since 1979, improvements have been made in the ability of the adult home system to protect the basic health and safety of residents. However, the regulatory and funding systems have failed to keep pace with the changing nature of adult home care over the past ten years.

    Adult homes are caring for larger numbers of residents, many of whom suffer from serious mental and physical impairments. Yet only one set of licensing standards exists to regulate care in all adult homes. In addition, almost all adult homes are receiving the same auxiliary grant rate despite the differences in care provided to the more seriously impaired residents.

    This report presents recommendations for the development of a tiered approach to regulating and funding the adult home system. The tiered system would be based on the different levels of care provided adult home residents and would ensure that adequate safeguards exist, especially for the care of those with serious mental and physical disabilities.

    I am pleased to not that the general approach recommended in this report has received the support of the Secretary of Health and Human Resources, as well as the Department of Social Services; the Department of Mental Health, Mental Retardation and Substance Abuse Service; and the Department of Health.