CAADS - California Association for Adult Day Services

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Balance Billing Webinar - DEC 7 - 2:30 PM to 3:30 PM (Pacific)
CAADS Webinar with Special Guest Denny Chan from Justice in Aging.
FREE for CAADS members: Register on Members Only page
$49 for non-members: Fill-in registration form | Write-on registration form
Advance registration is required by 4:00 PM Monday, DEC 5.

HELP II Loan Program -- Affordable Capital
The HELP II Loan Program, administered by the California Health Facilities Financing Authority (CHFFA) within the State Treasurer’s Office, offers low cost loans to assist eligible health facilities wanting to expand and improve services to their clients and the greater community. Learn more at

What's New . . . DECEMBER 7, 2016

Revised Federal Regulations for Nursing Facilities

DEC 5, 2016 | Justice in Aging Health Network Alert

The federal government issued revised nursing facility regulations in September, and most provisions became effective on November 28. Now is the time for advocates, providers, and others to learn and implement the new regulations.

Justice in Aging, in partnership with The National Consumer Voice for Quality Long-Term Care, and the Center for Medicare Advocacy, is developing a series of issue briefs on the revised regulations, entitled A Closer Look at the Revised Nursing Facility Regulations. The first brief, available now, is Assessments, Care Planning, and Discharge Planning.

As explained in more detail in the issue brief, the revised regulations offer some new tools for residents and advocates. The assessment process, for example, now places greater emphasis on a resident’s preferences, goals, and life history. Also, care planning must include planning for discharge, to give residents an increased ability to move out of the facility into the community. The issue brief outlines the new requirements and concludes with practical tips for residents and advocates.


Additional Clarification Regarding Phishing Email Alert
Audits of Business Associates Are Underway

NOV 30, 2016 | National Institute of Health (NIH)

On November 28, 2016, the HHS Office for Civil Rights issued a listserv announcement warning covered entities and their business associates about a phishing email that disguises itself as an official communication from the Department. The email prompts recipients to click a link regarding possible inclusion in the HIPAA Privacy, Security, and Breach Rules Audit Program, and directs individuals to a non-governmental website, marketing a firm’s cybersecurity services.

OCR would like to further share that this phishing email originates from the email address and directs individuals to a URL at This is a subtle difference from the official email address for our HIPAA audit program,, but such subtlety is typical in phishing scams.

Covered entities and business associates should alert their employees of this issue and take note that official communications regarding the HIPAA audit program are sent to selected auditees from the email address

In addition, OCR has notified select business associates of their inclusion in the Phase 2 HIPAA audits. For more information on the Phase 2 HIPAA audit program, please visit our website at


Women and Poverty in California: We Must Do More

2016 | California Commission on Aging, the California Women’s Law Center, and the California Commission on the Status of Women and Girls

In California, approximately one in five older adults is currently living in poverty. Women, and particularly women of color, are disproportionately impacted due to a confluence of factors, including, for example, unequal pay, lower retirement income, caregiving responsibilities, longevity, and higher health care costs.

A new report, Aging, Women and Poverty in California: We Must Do More, written in collaboration by the California Commission on Aging, the California Women’s Law Center, and the California Commission on the Status of Women and Girls, with participation from Justice in Aging, outlines the reasons older women are more likely to live in poverty, describes the impact poverty has on women’s lives, and offers recommendations and action steps to ensure older women can age in dignity.

With a new administration in Washington, the work of Justice in Aging and other advocates to improve the lives of low-income older Californians is going to depend on our ability to defend critical programs from cuts. The new administration and members of Congress need to be educated on senior poverty and the importance of the programs and services poor seniors rely on. It is critical that we tell the stories of poor older adults, and use our expertise to provide strong recommendations for strengthening and expanding programs that reduce and prevent senior poverty.

Additional Resources
How to Prevent and End Homelessness Among Older Adults
The Faces of Senior Poverty are Likely Women of Color


Cal Duals Update

NOV 2016 Update (PDF) (Word) | (11/28/2016)


A Long-Term Outlook: Disability Among California's Seniors

NOV 28, 2016 | California Legislative Analyst's Office

The senior population (adults aged 65 and older) in California is projected to increase more than twofold—from roughly 5 million in 2015 to nearly 12 million in 2060. The demographics of the senior population are also projected to change during this period. For example, the senior population is projected to shift from being majority white to majority nonwhite by 2030. The rapid growth and changing demographics of California’s senior population raise issues about seniors’ long-term supports and services (LTSS) needs, LTSS system capacity, and the financial impact of LTSS on personal and state finances. (LTSS are defined broadly as services and supports provided to the disabled—of any age—who have difficulty performing daily activities.) California-specific projections are necessary to inform the conversation around the future of the LTSS system as California’s senior population grows over the next several decades.

We project the number of seniors in California with disabilities (as defined by limitations in routine activities of daily living, such as dressing or bathing) will increase from 1 million in 2015 to 2.7 million in 2060. This represents 160 percent growth in the population of seniors with disabilities, while California’s overall senior population is projected to grow by 135 percent over this period.

On average, seniors turning 65 between 2015 and 2019 are projected to live for 23.6 years after age 65 and spend 4.5 of these years with a disability. The average number of years lived with a disability varies based on demographics of the seniors in this cohort. For example, white seniors in this cohort are projected to spend 3.6 years on average with a disability, while Hispanic seniors are projected to spend 5.8 years on average with a disability and nonwhite, non-Hispanic seniors are projected to spend 5.6 years on average with a disability.

This report, an infographic, and a companion video are available using the following link:


Call for California CBAS Centers to Participate in the
National Study of Long-Term Care Providers (NSLTCP)

NOV 10, 2016 | California Department of Aging, CBAS Branch

The U.S. Centers for Disease Control and Prevention (CDC) National Center for Health Statistics (NCHS) is fielding its third wave of the NSLTCP survey of Adult Day Services centers nationwide to compile national data about the characteristics of Adult Day Service centers and their participants. CDA strongly encourages all CBAS providers to respond to the NSLTCP Adult Day Services Center Questionnaire to assist in this national effort and ensure that information obtained for California is as accurate as possible. Please refer below for additional information.

Have you completed and returned the 2016 National Study of Long Term Care Providers (NSLTCP) questionnaire?

Informed decisions can only be made with accurate data. Adult day centers in California have an opportunity to provide input about the characteristics of adult day services centers and the participants they serve by responding to a brief federal survey that is a valuable resource to state and federal policymakers, providers and researchers.

The U.S. Centers for Disease Control and Prevention's (CDC) National Center for Health Statistics (NCHS) is currently fielding the third wave of the National Study of Long-Term Care Providers (NSLTCP). NCHS encourages all directors of adult day services centers that received a 2016 NSLTCP Adult Day Services Center questionnaire to complete and submit it by web, or by mailing in a hard-copy version, by November 23.

As of November 4th, NCHS has accounted for only 27% of adult day services centers surveyed in California. NCHS needs a sufficient number of adult day services centers to submit completed questionnaires in order to report on the characteristics of the adult day services sector in each state and across the nation. Participation is voluntary. The power of this survey depends on participation. In order to ensure that the adult day services sector in California is represented in future NSLTCP products, please submit your 2016 Adult Day Services Center questionnaire as soon as possible.

NCHS has contracted with RTI International, an independent, nonprofit research organization, to collect 2016 NSLTCP data. If you have questions about completing the questionnaire, or received a questionnaire packet in the mail but no longer have it or cannot find it, please contact the NSLTCP Help Desk today at 1-866-245-8078. For more information please visit the NSLTCP website:

Please contact CDA if you have any questions: (916) 419-7545;


General Election Preliminary Results

NOV 9, 2016 | Karen Keeslar | California Collaborative for Long Term Services and Supports

The Secretary of State has posted preliminary results of the General election. While data is not available yet, I think there are thousands of provisional ballots that still have to be counted. Election officials have 30 days to complete the tallying and certify the election results.

Close Contests:
There are a few districts where the election results are officially scored by the Secretary of State as “close contests.” These are contests in which there is less than a two percent difference between first and second place candidates. The final outcome in these districts could change the projected outcomes from the preliminary election results. The Assembly and Senate races that are scored as close contests are:

  • AD 65 (incumbent is Kim-R): Sharon Quirk-Silva-D is leading with 49,626 votes (50.8%) over Young Kim-R, who has 48,084 votes (49.2%).
  • SD 29 (termed out member is Huff-R): Ling Ling Chang-R is leading with 108,779 votes (50.9%) over Josh Newman-D, who has 104,892 votes (49.1%).

Composition of the Legislature:
Assembly Democrats picked up three districts and will hold a total of 55 seats; Assembly Republicans will hold 25 seats. The partisan composition of the Senate if unchanged with Democrats holding 26 seats and Republicans holding 24 seats.

Incumbents who lost:
There are four Assembly Members who lost their attempt to return to the legislature; no incumbent Senators were defeated. The asterisk denotes the incumbents who were defeated.

  • AD 47
    * Cheryl R. Brown (Party Preference: DEM)
    Votes: 34,258 | Percent: 46.7%

    Eloise Reyes (Party Preference: DEM)
    Votes: 39,092 | Percent: 53.3%
  • AD 60
    Sabrina Cervantes (Party Preference: DEM)
    Votes: 44,103 | Percent: 55.2%

    * Eric F. Linder (Party Preference: REP)
    Votes: 40,350 | Percent: 47.8%
  • AD 65
    Sharon Quirk-Silva (Party Preference: DEM)
    Votes: 49,626 | Percent: 50.8%

    * Young Kim (Party Preference: REP)
    Votes: 48,084 | Percent: 49.2%
  • AD 66
    Al Muratsuchi (Party Preference: DEM)
    Votes: 69,410 | Percent: 53.0%

    * David Hadley (Party Preference: REP)
    Votes: 61,489 | Percent: 47.0%

Free Fraud Prevention Education
The California Senior Medicare Patrol offers free fraud prevention education throughout the state. Call 855-613-7080 to schedule a presentation.

See the SMP/Medicare fraud section of our website,, 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.


Your Donations Help!

Three (3) great opportunities to further support Adult Day Services:


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. CAADS was the first state association formed in the United States for the purpose of advancing adult day services. 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.

A nationally recognized leader in the field of aging, the Association is governed by the CAADS Board of Directors and provides timely information, analysis, advocacy, technical assistance, education, and networking opportunities for its members. CAADS members agree to abide by the Association's Bylaws, Code of Ethics, and Anti-trust Policy.

CAADS Board of Directors: 2017 | 2016
CAADS Annual Report: 2016 | 2015
Bylaws | Code of Ethics | Anti-trust Policy

The CAADS Members Only page features information and technical assistance specific to Adult Day Services, as highlighted below. For membership information, click here.

  • State Budget Proposals, Legislative Alerts & Advocacy
  • CBAS Waiver
  • Medi-Cal Issues
  • Medicare and Medi-Cal Dual Beneficiaries News & CCI / CalDuals Updates
  • Managed Care Health Plans & CA Dept of Managed Health Care Updates
  • ADHC / CBAS Licensing & Regulations (DPH, DHCS, CDA)
  • Adult Day Program (ADP) Licensing & Regulations (DSS, CCLD)
  • Funding Sources
  • Education & Training Materials / Webinar Recordings
  • Membership Roster


ALE logoThe 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.


CAADS is a proud member of the National Adult Day Services Association.

Three representatives from California currently serve on the NADSA Board of Directors:

Corinne Jan, RN, PHN (NADSA Treasurer)
CEO, Family Bridges / Hong Fook Centers

Lydia Missaelides, MHA
Executive Director, CAADS

Amanda Sillars, MSW, LCSW
CEO, Total ADHC Solutions, Inc.


For help, call the VA Caregiver Support Line (toll-free):


Mon - Fri 8 AM - 11 PM (EST) || Sat 10:30 AM - 6 PM (EST)


Call DHCS Medi-Cal Fraud Hotline:


The call is free and you can remain anonymous.


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, for more information on ways to protect yourself from healthcare fraud and how to detect it.

If you come across any suspicious activity,





California Association for Adult Day Services
1107 9th Street, Suite 701 || Sacramento, CA 95814–3610
T: (916) 552-7400 || F: (866) 725-3123

Human Kindness--it just flows around here
[Download Real Player]

Click to view the clip from CAADS 25th anniversary video
Honoring Adult Day Services pioneers and those they serve.

Media Coverage

6/20/16 California Healthline
California Budget: Small Health Gains, Advocates Look To Nov. Ballot For Big-Ticket Items

4/12/16 California Healthline
State Junks $179 Million Medi-Cal IT System, Will Start From Scratch

Media Coverage

The Oakland Hotel Village’s Remedy for Chinese Elders’ Epidemic of Loneliness
DEC 5, 2016
New America Media
Matt Perry
affordable housing for Asian elders | Hotel Oakland Village | health effects of social isolation | adult day health care | Community Based Health Home | Hong Fook adult day health care

Adult day care for Alzheimer’s patients set to close in Modesto
DEC 3, 2016
Modesto Bee
Ken Carlson
adult day care program | ResCare Adult Day Program | age-related memory disorders | adult day health care | State Department of Social Services

The Future of California's Seniors: More Diverse, But More Disabled Too
NOV 29, 2016
Carrie Feibel
seniors in California | seniors who are disabled | long-term care | California’s Medicaid program, Medi-Cal | Unpaid caregivers

South County Adult Day opens in new Laguna Woods location
NOV 22, 2016
Orange County Register
Marie Ekberg Padilla
South County Adult Day Services | Americans with Disabilities Act | Alzheimer’s Orange County | The adult day center | offer two models of service – social model and a health model | CalOptima

California Faces Major Reversal If Trump, Congress Scrap Health Law
NOV 9, 2016
California Healthline
Chad Terhune
Obamacare | Affordable Care Act | Medicaid | Medi-Cal | Molina Healthcare | Medicaid managed care | Anthem Inc. | Blue Shield of California

Prior Coverage

Videos / Podcasts

Bayview Senior Services
David Baker Architects
HOME: The Dr. George W. Davis Senior Center and Residence [2:59 min]
If you like this video, please VOTE for HOME for the People's Choice Award!


South County Adult Day Services (SCADS)
KSBR 88.5 Podcast
Collage: South County Adult Day Services
[30:12 min]
South County Adult Day Services (SCADS) strives to enchance the lives of seniors and disabled adults. KSBR News Director Dawn Kamber wlcomes SCADS Program Director Glen Goldsmith and Executive Director Mallory Vega.


Institute on Aging
We believe the future should be something to look forward to, at every age.

[1:36 min]

If you like this video, please share and/or give it a thumbs up. To subscribe to IOA's YouTube channel, just click the "subscribe" button next to the logo below the video.


Insight Memory Care Center
Caregiver Cruise
Caregiver Cruise Video
Caregiver Cruise Blog


Easter Seals Supports Employment of Veterans
PSA Video Series
What to Wear
Morning Routine
The Bank


Abraham Verghese
A doctor’s touch
Physician and writer Abraham Verghese describes our strange new world where patients are merely data points, and calls for a return to the traditional one-on-one physical exam.


“Forget About Living Paycheck to Paycheck. Let’s talk about Day to Day”
1 in 5 senior women lives in poverty. Dollie, Myrtle, Sandy, and Lidia share stories about what life is like for low-income older women.


San Ysidro Health Center, Inc.
Caring for Our Greatest Generations
Celebrating SYHC’s 45th Anniversary


Your Money, Your Life
What are Adult Day Services
Elder Law Attorney Ramsey A. Bahrawy interviews Amanda Sillars of Total ADHC Solutions

What Are Adult Day Services

Adult Day Services - a win, win, win opportunity

Resistance and Dementia

Adult Day Services vs. Home Care: “It's about value”


PBS NewsHour
Innovating technology for the needs and health of elders
Featuring Institute on Aging


Marin Adult Day Health Care
“A Day in the Life”: LifeLong Medical Care’s Marin Adult Day Health Care Center


The Falling Monologues

Full Length
The Falling Monologues

The Ladder
The Bus
The Sidewalk
Scatter Rug
Don’t Ask


Photo of Lydia Missaelides

Lydia Missaelides, MHA
Executive Director

Photo of Kathryn Atkinson

Kathryn Atkinson
Membership & Communications Director

Photo of Sherice Dean

Sherice Dean
Education & Events Manager

Photo of Coni Segretto-Ricci

Coni Segretto-Ricci
Office Assistant

Phyliss Regino
Office Assistant
(not pictured)
Please Direct Questions and Comments to

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