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California State Auditor Report Number : 2016-108

Department of Developmental Services
It Cannot Verify That Vendor Rates for In‑Home Respite Services Are Appropriate and That Regional Centers and Vendors Meet Applicable Requirements

Appendices

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Appendix A

TOTAL NUMBER OF VENDORS, CONSUMERS, AND RESPITE WORKERS BY REGIONAL CENTER AND REGION IN CALIFORNIA

As of June 30, 2016, the 21 regional centers in California had authorized more than 250 vendors to provide in‑home respite services. Those vendors provide services to almost 60,000 consumers each year. Figure A shows the five regions we identified in California and the regional centers within those regions. Table A shows the number of vendors, consumers, and respite workers by regional center and region in California as of June 30, 2013, June 30, 2014, and March 1, 2016. Over the past two and a half years, the number of vendors and respite workers providing in‑home respite services has generally increased, as has the number of consumers receiving this type of service.


Figure A
Department of Developmental Services Regional Centers Identified by Region

A map of California showing counties and DDS's regional centers, organized by regions: Northern California, Bay Area, Central California, Los Angeles Area, and Southern California.

Source: Department of Developmental Services.


Table A
Vendors, Consumers, and Respite Workers by Regional Center and Region in California as of June 30, 2014, June 30, 2015 and March 1, 2016

REGIONAL CENTER BY REGION As of June 30, 2014   As of June 30, 2015   As of March 1, 2016  
NUMBER OF VENDORS NUMBER OF CONSUMERS NUMBER OF RESPITE WORKERS NUMBER OF VENDORS NUMBER OF CONSUMERS NUMBER OF RESPITE WORKERS NUMBER OF VENDORS NUMBER OF CONSUMERS NUMBER OF RESPITE WORKERS
Northern California 36 7,603 4,644   37 8,224 4,698   37 8,977 4,697
Far Northern 12 1,823 1,033 13 1,959 1,171 14 2,132 1,226
Redwood Coast 7 552 552 7 597 597 7 599 297
Alta California 17 5,228 3,059 17 5,668 2,930 16 6,246 3,174
Bay Area 62 12,256 8,762 71 12,709 9,144 73 14,283 9,343
Golden Gate 13 2,674 3,061 14 2,696 2,972 13 2,982 2,620
North Bay 7 792 996 8 793 927 8 1,657 824
East Bay 16 3,522 2,704 18 3,617 2,780 19 3,816 2,863
San Andreas 26 5,268 2,001* 31 5,603 2,465* 33 5,828 3,036*
Central California 22 4,834 6,297 21 4,817 5,638 20 5,058 6,139
Central Valley 3 1,411 1,533 3 1,487 1,969 3 1,507 2,299
Kern 11 1,304 399 11 1,157 416 11 1,453 432
Valley Mountain 8 2,119 4,365 7 2,173 3,253 6 2,098 3,408
Los Angeles Area 88 16,087 19,328 99 17,268 21,274 107 17,772 22,015
Eastern Los Angeles 15 2,874 3,157 16 3,027 3,365 16 2,894 3,355
Harbor 2 3 4 4 6 12 4 11 17
Frank D. Lanterman 14 1,499 2,638 17 1,544 3,101 17 1,490 3,588
North Los Angeles County 28 5,070 5,594 31 5,590 6,069 33 6,284 5,946
San Gabriel/Pomona 17 1,240 2,609 17 1,614 2,918 19 1,654 3,126
South Central Los Angeles 8 3,037 3,953 9 3,040 4,433 12 3,045 4,702
Westside 4 2,365 1,373 5 2,447 1,376 6 2,396 1,281
Southern California 95 20,208 12,141 100 22,265 13,543 112 23,134 18,747
Inland 28 7,809 3,367* 29 8,823 4,111* 31 9,482 9,048
Orange County 24 4,057 1,849 24 4,545 1,849 27 4,779 1,939
Tri-Counties 13 2,433 4,271 12 2,894 4,755 13 2,835 4,787
San Diego 30 5,909 2,654 35 6,003 2,828 41 6,038 2,973
Totals for California 303 60,988 51,172* 328 65,283 54,297* 342† 69,224 60,941*

Source: Information provided by regional centers and vendors for the period of June 30, 2014, through March 1, 2016.

Note: The five regional centers in italics are those we selected for review as discussed in Table 1.

* The number of respite workers is understated because some vendors did not provide information on the number of respite workers.

† As of June 30, 2016, more than 250 vendors provide in‑home respite services; the number presented in this table is larger because in‑home respite vendors can provide services to consumers from various regional centers.


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Appendix B

IN-HOME HOURLY RESPITE RATES PAID TO VENDORS AND RESPITE WORKERS’ HOURLY RATES BY REGIONAL CENTER AND REGION IN CALIFORNIA

The 21 regional centers authorize vendors to provide in‑home respite services to consumers. The hourly rate the Department of Developmental Services (DDS) pays to each vendor varies, as does the amount the vendor pays its respite workers. Table B shows the hourly vendor rates by payment model and respite workers’ hourly wages as of June 30, 2014, June 30, 2015, and March 1, 2016. Overall, Table B shows that the amount DDS pays the vendors has increased at a greater rate than the hourly wage vendors pay their respite workers. For example, as of June 30, 2014, vendors statewide received on average $17.76 per hour under the Full Service model, while the vendors paid their workers a weighted average hourly wage of $9.89.8 As of March 1, 2016, the statewide average hourly rate paid to vendors under the Full Service model had increased by $3.45 to $21.21, while the amount paid to respite workers had only increased by $1.25 to $11.14.

We further analyzed the data by determining an average hourly rate and hourly respite worker wage by region. The Southern California region had the highest average hourly rate paid to vendors, yet it did not have the highest average hourly wage paid to respite workers. Specifically, Table B shows that as of March 1, 2016, the average hourly rate paid to vendors in the Southern California region was $22.23 under the Full Service model, and the average hourly wage paid to respite workers was $11.42. In comparison, the Bay Area region has the highest average rate paid to respite workers of $11.71. Although, the average hourly wage was the highest in the Bay Area region, the average rate paid to vendors in the region was $20.87. A key reason for the difference between the regions is the local wage increases that have taken effect in some cities in the Bay Area region.


Table B
Vendor Rates by Payment Model and Respite Workers’ Hourly Wages as of June 30, 2014, June 30, 2015 and March 1, 2016

VENDOR NAME* AS OF JUNE 30, 2014   AS OF JUNE 30, 2015   AS OF MARCH 1, 2016  
FULL SERVICE RATE EMPLOYER OF RECORD RATE† AVERAGE WORKER HOURLY WAGE FULL SERVICE RATE EMPLOYER OF RECORD RATE† AVERAGE WORKER HOURLY WAGE FULL SERVICE RATE EMPLOYER OF RECORD RATE† AVERAGE WORKER HOURLY WAGE
California—weighted average $17.76 $14.39 $9.89   $19.02 $15.05 $10.43   $21.21 $16.64 $11.14
     
Northern California $17.60 $14.35 $8.97 $18.71 $14.54 $10.04 $21.11 $15.79 $10.80
     
Far Northern Regional Center $15.91 $14.33 $9.62 $16.94 $14.46 $9.98 $19.41 $16.26 $10.90
Accredited Respite Services   14.33 10.12   14.33 9.38   16.80 12.50
ARC of Butte County, Inc. 15.61   8.81 16.78   9.81 19.39   10.81
Arcadi Home Care & Staffing—Redding 18.12   9.88 19.29   9.15 21.63   9.61
Carry On Special Care       19.29   10.00 21.63   10.50
Home Health Care Management, Inc. 18.34   10.00 19.51   12.00 21.87   15.00
Lassen Life Skills & Job Training 17.23   9.00 18.40   10.00 20.69   10.00
Mains'l California, LLC   10.71† 8.61   11.88† 9.40   13.10† 10.00
Maxim Healthcare Services   14.33 9.09   14.33 9.09   15.16 10.00
Modoc Work Activity Center 20.50   9.00 21.67   9.00 24.15   10.00
Plumas Rural Services, Inc.  19.00   12.90 20.17   10.81 22.56   11.30
Premier Healthcare Services   10.71† 8.77   11.88† 9.73   13.10† 10.79
Premier Healthcare Services   14.33 10.12   14.73 10.12   16.81 10.12
Rowell Family Empowerment 18.12   11.00 19.29   11.00 21.63   11.50
Work Training Center             21.63   10.50
     
Redwood Coast Regional Center $16.72 $14.91 $9.11 $17.91 $14.91 $9.50 $20.55 $15.27 $10.39
Community Care Respite 17.11   9.00 18.28   9.50 20.99   10.00
CTFS In Home Respite 16.24   9.00 17.41   9.50 20.03   10.00‡
DNADS Respite 16.38   9.00 17.55   9.50 19.90   10.00
Families United—Respite 15.39   9.00 16.56   9.50 19.15   10.65
HCAR In Home Respite 15.87   9.00 17.04   9.50 19.64   10.00
People Services, Inc./Konocti Respite Services 18.66   9.00 19.83   9.50 22.55   10.00‡
Premier Healthcare Services 18.12 14.91 9.50 19.29 14.91 9.50 22.01 15.27 11.00
     
Alta California Regional Center $18.28 $13.80 $8.72 $19.41 $14.26 $10.17 $21.74 $15.84 $10.81
AccentCare Unskilled Div § § 8.00‡            
Accredited FMS   10.71† 8.00‡   11.88† 9.76   13.10† 10.97
Colusa Support Services 21.27   9.00 22.44   10.00 24.97   10.00
Desire Home Care/Choice Home Care, Inc. 18.12   11.88 20.41   12.38 21.85 17.26 12.38
Elder Options 18.35   10.00 19.52   10.15 21.88   10.15
Family Respite Services 18.89   8.00‡ 20.06   11.03 21.68   11.50
Grace In Home Respite/Community Resource 21.27   9.25 22.44   9.50 25.17   10.00
Mains'l California, LLC   10.71† 8.61   11.88† 9.40   13.10† 10.00
Mains'l California, LLC   10.71† 8.61   11.88† 9.40   13.10† 10.00
Manos Home Care 20.65   10.50            
Maxim Healthcare 18.12 13.80 9.00 19.29 13.80 9.00 21.63 16.17 10.50
Maxim Healthcare Services 18.12   9.50 19.29   9.50 21.99   10.50
Pacific Homecare 18.12 13.80 9.61 19.29 13.80 9.61 22.00 14.97 10.50
Pacific Homecare         15.62 10.11      
Premier Healthcare Services   10.71† 8.77   11.88† 9.73   13.10† 10.79
Premier Healthcare 18.12 13.80 8.00‡ 19.29 13.80 10.49 22.00 14.97 10.49
Personalized Homecare 18.12   10.00 19.29   9.00 21.63   10.00‡
Serenity Respite Services       19.29   10.06 21.63   11.75
Tri-Counties Caregiver Relief 17.94   10.82 19.11   10.05 21.78   11.35
     
Bay Area—weighted average $17.30 $15.01 $9.88 $18.42 $15.20 $10.59 $20.87 $16.41 $11.71
     
Golden Gate Regional Center $14.09 $17.29 $9.43 $15.28 $17.29 $10.21 $17.71 $17.78 $11.34
24Hr HomeCare, LLC       19.29   13.50 22.18   15.00
Abilities United 21.27   8.00‡ 22.44   9.00‡ 25.25   10.00‡
Accredited Respite 18.71   11.88 21.04   12.00 22.54   11.37
Arcadia Health Care 18.12 17.29 11.59 19.29 17.29 11.92 21.63 17.78 12.38
Bay Respite 18.70   10.18 19.64   10.80 22.00   11.45
ComForCare Senior Services 18.12   13.25 19.29   13.75 21.63   14.50
Innovative Home Care Services § § 8.00‡ § § 9.00‡      
Golden Valley Home Care, LLC 18.12   10.74 19.29   12.25 21.63   12.25
Kindred at Home/Professional Healthcare 21.27   10.50 22.44   10.50 24.97   11.38
Levana Autism Support Service, LLC 18.12   14.00 19.29   14.75 21.63   14.75
Neighborhood Nursing Care 19.20   8.00‡ 20.37   9.00‡ 22.78   10.00‡
Precious Heritage Respite Program 18.12   10.50 19.29   15.00 21.63   15.00
Public Partnerships   10.71† 8.00‡   11.88† 9.00‡   13.10† 10.00‡
Special Home Needs 19.21   12.25 20.38   11.25 23.40   11.40
     
North Bay Regional Center $18.62 $15.11 $10.16 $19.54 $15.11 $10.78 $22.02 $15.11 $11.54
AccentCare, Inc. 18.12   8.00‡ 18.12   9.00‡ 18.12   10.00‡
Accredited Respite Services 19.29   13.99 19.29   13.99 22.54   12.72
Arcadia Health Care   15.53 10.56   15.53 10.56   15.53 10.56
Bay Respite Care 18.70 14.76 10.18 19.64 14.76 10.80 22.00 14.76 11.45
Maxim Healthcare Services   14.52 10.00   14.52 11.00   14.52 11.00
Maxim Healthcare Services 19.29   10.00 19.29   11.00 21.63   11.00
Pacific Homecare   15.62 9.61   15.62 10.11 22.01 15.62 11.50
People Services       19.83   9.00 19.83   10.00
     
Regional Center of the East Bay $19.08 $13.99 $10.38 $19.66 $14.05 $10.91 $22.75 $16.23 $12.02
24Hr HomeCare, LLC 18.12 13.00 11.90 18.12   12.75 22.18 16.63 12.50
AccentCare 18.12   11.80 § § 12.45 20.41   12.50
Accredited Respite Services 18.71   9.50 21.04   10.08 22.54 16.51 12.50
Arcadia Employee Services   15.53 8.90 § § 9.15   16.21 9.87
Bay Area Caregivers       19.29   9.00 20.41   11.75
Bay Respite Care 18.70 14.76 10.18 19.64 14.76 10.80 22.00 14.76 11.45
ComForCare 18.12   11.00 19.29   11.00 20.41   12.25
East Bay Innovations 18.12   13.40 19.29   13.40 20.41   13.40
Family Support Services 20.72   11.25 21.89   12.00 26.51   13.00
FCSN 18.12   13.00 20.41   13.00 20.86   13.25
Hatch § § 12.50 20.41   13.63 21.63   13.63
Manos Home 20.65   10.50 20.85   11.50 23.88 16.60 12.00
Maxim Healthcare Services 18.12   12.00 20.41   11.50 21.97   14.75
Pacific Homecare 18.12 13.00 10.00 19.29 14.17 10.00 22.03 16.21 13.00
Praising Hands       § § 13.00 21.63   13.00
Premier Healthcare Services 18.12 13.65 9.05 20.41 14.27 9.05 22.06 16.69 10.00
Professional Healthcare 21.27   9.50 22.44   9.50 24.97   11.00
Quality Respite 18.12   9.78 19.80 13.00 9.78 22.56   10.65
Superior Quality Home             21.63   12.88
     
San Andreas Regional Center $17.54 $13.65 $9.75 $18.96 $14.35 $10.61 $20.92 $16.53 $11.78
24Hr HomeCare, LLC       19.29 18.00 14.50 22.17   14.50
24Hr HomeCare, LLC             22.07   10.00
Abilities United 21.27   8.00‡ 22.44   9.00‡ 25.25   10.00‡
AccentCare of California 18.12   8.00‡ 19.29   9.00‡ 21.63   10.00‡
Amelia Spencer, Mother's Nest Home Care 18.12   8.00‡ 20.41   9.00‡ § § 10.00‡
Arcadi Employee Services       § § 9.00‡      
Balance4Kids 18.12   11.25 20.41   11.25 21.63   11.25
Care at Home 18.12   10.58 19.29   10.58 22.15   10.30
CareFocus Companion Services 18.12   12.00 20.41   11.50      
Caregivers That Deliver 19.29   8.00‡ 20.41   9.00‡ 22.46   10.00‡
ComForCare—Santa Cruz 18.12   10.13 19.29   10.13 21.95   10.50
ComForCare Home Care       20.41   9.00‡ 21.63   10.00‡
ComForCare Senior Services 18.12   8.00‡ 20.41   9.00‡ § § 10.00‡
Central Coast Kids & Families 18.12   8.00‡ 20.41   9.00‡ 21.63   10.00‡
Easter Seals Central 18.12   8.00‡ 19.29   9.00‡ 21.63   10.00‡
Friends of Children with Special Needs 18.12   13.00 19.29   13.00 21.99   11.50
Golden Valley Home Care, LLC 18.12   10.58 20.41   11.65 21.63   11.65
Home of Guiding Hands             22.30   10.93
Maxim Healthcare Services       19.29 13.80 9.00 21.63 16.17 10.50
Maxim Healthcare Services             22.02   10.75
Maxim Healthcare Services 21.27 13.65 9.40 22.44 14.67 9.85 25.36 16.19 12.50
Maxim Healthcare Services (FMS)   10.71† 8.00‡   11.88† 9.00‡   13.10† 10.00‡
Maxim Healthcare—San Jose 18.12 13.65 11.05 19.29 14.67 11.00 22.03 17.08 13.25
Neighborhood Nursing Care 20.37   8.00‡ 21.56   9.00‡ 22.78   10.00‡
NP Plus, LLC 18.12   8.00‡ 20.41   9.00‡      
Orela, Inc.       19.29   9.00‡ 21.63   10.00‡
Organization of Special Needs Families 18.12   10.00 20.41   9.50 21.63   11.00
Praising Hands             21.63   13.00
Premier Healthcare—San Jose 18.12 13.65 8.00‡ 20.41 14.27 10.75 22.06 16.69 11.75
Premier Healthcare Services (FMS)   10.71† 8.00‡   11.88† 9.00‡   13.10† 10.00‡
Quality Respite—Santa Clara 18.12   11.83 19.80   12.13 22.56   13.40
Rowell Family Empowerment 18.12   11.00            
Special Home Needs 19.21   12.25 20.38   11.25 23.40   11.40
Special Kids Crusade, Inc. (FMS)         11.88† 9.00‡   13.10† 10.00‡
United Cerebral Palsy—San Joaquin             25.19   10.13
Victorian Home Care 18.12   8.00‡ 20.41   9.00‡ 21.63   10.00‡
Victorian Home Care 18.12   8.00‡ 20.41   9.00‡ § § 10.00‡
     
Central California—weighted average $15.53 $14.48 $9.79 $16.42 $15.03 $10.09 $18.42 $17.18 $10.99
     
Central Valley Regional Center $13.14   $9.83 $14.09   $10.29 $15.53   $11.72
Accredited Respite Services   13.75 10.78   14.92 11.12   14.92 10.27
Maxim Healthcare Services 14.52   10.22 15.69   10.50 18.17   13.67
Premier Healthcare Services   10.71† 8.77   11.88† 9.73   13.10† 10.26
Kern Regional Center $15.90 $14.34 $8.85 $16.59 $15.51 $9.34 $18.43 $17.55 $10.31
Accredited Respite Services   14.34 9.38   15.51 9.38   18.17 10.00
Alternative Care 18.12   9.50 19.29   10.00 21.63   10.50
Aven Care Providers 18.12   8.00‡ 19.29   9.00‡ 21.63   10.00‡
Delano Association Development for Disabled 19.81   8.00 22.44   9.00 24.97   10.00
Full Circle Support 18.12 14.34 9.81 19.29 15.51 9.81 20.47 16.80 10.75
In Home Respite 18.12   9.00 19.29   9.00 21.63   10.00
Maxim Healthcare 18.12   8.00‡ 19.29   9.00‡ 21.96   10.00‡
Maxim Healthcare Services   14.34 8.00‡   15.51 9.00‡   17.01 10.00‡
Premier Healthcare Services   14.34 9.67   15.51 9.67   18.23 10.00
Premier Healthcare Services (FMS)   10.71† 8.77   11.88† 9.73   13.10† 10.79
Respite Works 18.12   8.00‡ 19.29   9.00‡ 21.63   10.00‡
     
Valley Mountain Regional Center $16.90 $14.62 $9.86 $17.92 $14.55 $10.06 $20.48 $16.81 $10.59
Accredited Respite   13.85 11.88   13.90 12.00   16.24 11.37
Family Respite Services 18.89   9.50            
Howard Training Center 18.12   12.00 19.29   12.00 21.63   12.00
Manos Home Care 19.38   9.50            
Maxim Healthcare 13.65   10.22       18.17   13.67
Pacific Homecare Services 17.93 15.62 9.61 19.29 15.62 9.61 22.01 17.50 10.50
Premier Healthcare         14.27 9.50      
Premier Healthcare Services   14.40 9.50   14.40 10.49   16.69 10.49
Quality Respite and Home       19.29   9.50      
United Cerebral Palsy—San Joaquin 21.27   9.68 22.44   9.78 25.19   10.13
     
Los Angeles Area—weighted average $17.90 $13.80 $10.01 $19.43 $14.63 $10.26 $21.01 $16.27 $10.76
     
Eastern Los Angeles Regional Center $17.88   $9.70 $18.83   $10.17 $21.67   $10.95
24Hr HomeCare, LLC             22.07   10.38
Accredited Respite Services (FMS)   10.71† 8.88   11.88† 9.76   13.10† 10.97
Accredited Respite Services 18.71   9.10 19.88   9.84 22.54   10.31
Acumen Fiscal Agent   11.30 8.77   11.88 9.00   13.10 10.00
California Respite Care       § § 9.00 21.97   10.00
Cambrian Homecare 18.12   10.00 18.12   10.10 18.12   10.10
Cherish Care Staffing and Caregiving Services       19.29   10.00 20.41   10.00
ComForCare, Inc. 18.12   9.50 19.29   10.00 19.29   10.50
Connections for Care 18.12   8.00‡ 19.29   9.00‡      
Cordova Consulting 18.12   9.50 19.29   9.50 22.07   10.00
GSG Supported Services 18.12   10.50            
Glen-Park 24/7 Homecare       18.12   9.00‡ 18.12   10.00‡
Li, Jen Juan 18.80   8.00            
Maxim Healthcare Services 18.12   10.31 19.29   11.25 22.00   12.50
Premier Healthcare Services 18.12   9.63 19.29   9.63 22.01   10.00
Premier Healthcare Services   10.71† 8.67   11.88† 9.73   13.10† 10.00
Respite Reachout 16.76   8.81 17.93   9.25 20.48   10.25
Tender Touch Homecare 18.12   9.00 19.29   9.00 21.97   10.00
Volunteers of America 16.94   8.81 18.11   9.81 20.38   10.81
     
Harbor Regional Center $18.12   $9.10 $18.18   $9.23 $19.79   $9.86
24Hr HomeCare, LLC 18.12   9.50 19.29   9.50 22.07   10.00
Libertana Home Health of Sherman Oaks       19.87   9.00‡ 20.59   10.00‡
Maxim Healthcare Services 18.12   8.31 19.29   9.38 22.01   9.50
Premier Healthcare Services       15.66   9.00‡ 16.22   10.00‡
     
Frank D. Lanterman Regional Center $17.71 $12.88 $9.24 $18.88 $13.82 $9.49 $21.17 $15.36 $10.87
24Hr Homecare, LLC       19.29   9.50 21.63   11.00
AccentCare, Inc.             21.63   10.30
Accredited Respite Services 18.12   9.50 19.29   9.50 21.63   11.00
Alternative Care 18.12   9.50 19.29   10.00 21.63   10.50
California Respite 18.12   9.50 19.29   9.50 22.00   10.00
Care 4 U             21.63   11.00
Caring Connection, Inc. 18.12   10.00 19.29   9.50 21.63   10.00
Choice Homecare 18.12   9.50 19.29   9.50 21.63   11.00
Connections for Care 18.12   9.50 19.29   9.50      
Cordova Consulting       19.29   9.50 21.63   11.00
DCC Staffing Services, Inc. 18.12   10.00 19.29   10.00 21.63   10.50
Glen‑Park 24/7 Home Care       19.29   9.00‡      
Helpful Hands Health Services 18.12   9.50 19.29   9.75 21.63   10.50
Maxim Healthcare Services   12.88 10.31   13.82 11.25   15.36 12.50
Maxim Healthcare Services 18.12   9.11 19.29   10.00 22.02   10.75
Premier Healthcare 18.12   9.50 19.29   9.50 21.63   11.00
Right Choice 18.12   11.00 20.41   11.00 21.90   11.75
Tender Touch Homecare 18.12   9.50 19.29   9.50 21.63   11.00
Volunteers of America 16.94   8.00‡ 18.11   9.00‡ 20.38   10.00‡
     
North Los Angeles County Regional Center $17.61 $14.40 $10.77 $20.07 $15.10 $11.08 $21.93 $16.98 $11.28
24Hr Homecare, LLC 18.12 14.33 8.00 19.29 15.26 9.50 22.05 17.45 10.50
24Hr Homecare, LLC (FMS)   § 8.00   11.88† 9.00   13.10† 10.00
AccentCare, Inc. 18.12 14.33 8.00‡ 19.29 15.26 9.00‡      
Accredited (FMS)   10.71† 9.00   11.88† 9.76   13.10† 10.97
Accredited Respite Services 18.71   11.88 21.04   12.00 22.54   11.37
All Saints Home Care 18.12   10.00 19.29   10.00 21.63   10.00
Assisted Healthcare Services 18.12   9.50 19.29   10.00 22.06 17.43 10.50
Aven Care Providers 18.12   10.25 19.29   10.25 21.63 17.12 10.50
Bell Homecare Staffing, LLC 18.12   9.75 19.29   9.75 21.63 17.12 10.00
Care 4 You, LLC             21.63   11.00
Caring Connection, Inc. 18.12   10.00 19.29 15.26 9.50 21.63 17.12 10.00
Channel Islands Social Services 21.27   10.25 22.44   11.25 25.41   12.50
Choice Home Care, Inc. 18.12   11.88 20.41   12.38 21.85 17.26 12.38
ComForCare Senior Services             21.63 17.12 11.00
Connections for Care 18.12 14.33 8.00‡ 19.29 15.26 9.00‡ 21.63   10.00‡
Continuity Care Staffing 18.12   9.00 19.29   10.00 21.63   10.00
DCC Staffing Services, Inc. 18.12   10.00 19.29   10.00 21.63 17.12 10.50
Helpful Hands Health Services § § 9.50 20.41   9.75 21.63   10.50
Home Care Solutions             21.63   12.00
In-Home Respite and Caregivers 18.12 14.33 9.00 20.41 15.26 9.00 21.63   10.00
Libertana Home Health 18.12   9.50 19.29   10.00 22.01 17.40 11.00
Maxim Healthcare Services 18.12   10.08 19.29   10.50 22.03 17.41 10.75
Maxim Healthcare Services   12.88 10.31   13.82 11.25   15.36 12.50
Maxim Healthcare Services 18.12   10.19 19.29   10.35 22.01 16.03 10.00
Needed Respite Care 18.12     19.29   9.00 21.63   10.00
Noble Care Providers, LLC             21.63 17.12 11.00
Premier Healthcare Services 18.12   9.85 19.29   9.85 22.01 16.04 10.00
Respite Works, Inc. 18.12   9.88 19.29   11.00 21.63   11.50
Right Choice In-Home Care 18.12   11.00 20.41   11.00 21.90   11.75
Road to Independence, Inc.       19.29   9.33 21.63 17.12 10.25
Tender Touch Homecare 18.12   10.00 19.29 15.26 10.50 21.97 17.39 11.00
Uni Healthcare, Inc. 18.12 14.33 10.00 19.29 15.26 10.00 21.63   11.00
Vincent Child and Health Care 18.12   8.00‡ § § 9.00‡ § § 10.00‡
Vincent Child and Health Care       19.29 15.26 9.00 § § 10.00‡
Volunteers of America   16.29 8.00‡     9.00‡      
     
San Gabriel/Pomona Regional Center $18.18 $14.13 $9.34 $19.35 $14.96 $9.71 $22.04 $16.70 $10.51
Accredited Respite Services 18.71 15.23 10.05 19.88 15.43 10.33 22.54 17.27 10.58
Assisted Health Care Services 18.12   14.50 19.29   14.50 22.08   15.50
California Respite Care  18.12 14.47 8.50 19.29 14.71 9.50 21.97 16.48 10.00
Care Unlimited Health 19.74   8.00‡ 20.91   9.00 23.35   10.00‡
Cherish Care Staffing 18.12   9.50 19.29   9.58 21.63 17.30 10.00
Choice Home Care, Inc. 18.12   8.00‡ 19.29   12.38 21.63   12.38
ComForCare, Inc. 18.12 16.23 8.00‡ 19.29 17.17 9.00 22.03 19.39 10.00‡
Cordova Consulting 18.12   9.50 19.29   9.50 22.07 16.23 10.00
Homewatch Caregivers             21.63   11.00
In-Roads Creative Programs, Inc. 18.75   9.00 19.92   10.15 22.30   10.15
Inland Respite 21.27 12.72 8.69 22.44 12.88 9.50 24.97 16.32 10.00
Mary & Friends, Inc. 17.70   9.30 18.87   9.50 21.52   10.00
Maulin Home Care Services, Inc. 18.12 12.88 9.00 19.29 16.06 10.50 22.05 17.43 10.75
Maxim Healthcare Services 18.12 13.58 10.31 19.29 13.75 11.25 22.00 14.18 12.50
Pacific Homecare Services               15.62 10.00‡
Premier Healthcare Services 18.12 13.80 9.02 19.29 14.69 9.02 22.01 16.73 10.00
Respite Reachout 16.76   8.81 17.93   9.25 20.48   10.25
SGVTC/RF Respite Agency 18.48   13.50 19.65   13.50 22.01   15.00
Volunteers of America 16.94   8.00‡ 18.11   9.00‡ 20.38   10.00‡
     
South Central Los Angeles Regional Center $18.19   $10.20 $19.32   $10.23 $17.08   $10.29
24Hr HomeCare, LLC 18.12   9.50 18.12   9.50 17.98   10.00
Accredited Respite Services 18.71 14.33 11.88 19.88 15.23 12.00 17.27   11.37
All About Loving Care             19.29   10.00
All Stints Homecare             20.41   10.00
Cambrian Homecare             19.64   10.75
Choice Homecare 18.12   11.88 19.29   12.38 20.63   16.01
Cordova Consulting 18.12   9.50 19.29   9.50 22.07   10.00
Manuel Green   10.71† 10.71   11.88† 11.88   11.88† 11.88
Maxim Healthcare Services 18.12 14.94 9.85 19.29 15.90 9.85 18.15   10.00
Premier Healthcare Services 18.12 14.77 9.85 19.29 14.77 9.85 16.04   10.00
Tender Touch Homecare       19.29   10.50 21.97   11.00
Volunteers of America 16.94   9.50 18.11   9.50 20.38   11.00
     
Westside Regional Center $18.12   $9.80 $19.29   $9.80 $22.03 $16.04 $10.00
24Hr HomeCare, LLC 18.12   9.50 19.29   9.50 22.07 16.05 10.00
BrightStar Care 18.12   11.00 19.29   11.00 21.63   10.00‡
Livewell Homecare, Inc.             21.63   13.00
Maxim Healthcare 18.12   10.19 19.29   10.35 22.01 16.03 10.00
Premier Healthcare 18.12   9.85 19.29   9.85 22.01 16.04 10.00
ResCare HomeCare       19.29   9.00‡ 21.63   11.00
     
Southern California—weighted average $18.53 $14.31 $10.10 $19.72 $15.87 $10.88 $22.23 $17.53 $11.42
     
Inland Regional Center $19.36 $13.29 $8.98 $20.57 $15.82 $9.90 $23.29 $17.10 $10.36
24Hr HomeCare, LLC       19.29     21.63 16.44 10.00‡
24Hr HomeCare, LLC 18.12   9.50 19.29   9.50 22.07   10.00
24Hr HomeCare, LLC       19.29 14.87 9.00‡ 22.01 17.59 10.00‡
AccentCare, Inc. 18.12   8.00 19.29 14.41 9.50 21.63 15.25 10.00
Accredited Nursing Care Respite Registry 14.39   14.34 15.56   12.85      
Accredited Respite Services, Inc. 18.12   9.50 19.29   10.00 22.06   10.50
Alta Home Care, Inc.       19.29 16.49 10.00 22.19 17.87 10.00
Angel Care       19.29     21.63   11.50
California Psychcare, Inc. 18.12   8.00‡ 19.29     21.63    
California Respite Care 18.12 12.88 9.50 19.29 16.73 9.50 21.63 17.70 10.00
California Respite Care § § 8.00‡            
California Respite Care 18.12 14.47 8.50 19.29 14.71 9.50 21.97 16.48 10.00
Cambrian Homecare 18.12 12.88 10.00 19.29 15.64 10.50 22.00 16.97 10.75
Care Unlimited Health Services, Inc.       20.91   9.00‡ 23.35   10.00‡
Care Unlimited Health Systems, Inc. 19.74   8.00‡ 20.91   9.00‡      
Choice Home Care, Inc.       19.29     21.63 15.98 10.50
ComForCare, Inc. 18.12 16.23 8.00‡ 19.29 17.17 9.00‡ 22.03 19.39 10.00‡
Community Interface In Home Respite 18.12   9.55            
Cordova Consulting 18.12   9.50 19.29   9.50 22.07   10.00
Desertarc 21.27   9.00 22.44   9.00 25.29   10.00
Desire Home Care             21.63   11.00
Extra Help at Home 18.12   9.00 19.29   9.00 20.41   10.00
Grace In Home Respite       19.29     21.63   10.00‡
Inland Respite, Inc. 21.27 12.88 8.69 22.44 15.93 9.50 25.26 17.27 10.00
In-Roads Creative Programs, Inc. 18.75 12.88 8.48 19.92 16.62 10.08 22.71 17.96 10.08
Mary & Friends, Inc. § § 8.00‡ § § 9.00‡ § § 10.00‡
Maulin Home Care Services, Inc. 18.12 12.88 8.25 19.29 16.06 9.75 22.05 17.43 10.00
Maxim Healthcare Services, Inc. 18.12 12.88 8.91 19.29 16.35 9.50 22.01 17.71 11.00
Maxim Healthcare Services, Inc. 18.12 12.88 8.98 19.29 16.35 9.75 22.02 17.64 10.00
Maxim Healthcare Services, Inc.   12.88 10.31   13.82 11.25   15.36 12.50
Premier Healthcare Services 18.12   9.85 19.29   9.85 22.01 16.04 10.00
ResCare HomeCare       19.29     21.63   11.50
Respite, Inc. § § 8.00‡ § § 9.00‡      
Rest & Relax Respite Agency 18.12   10.50 19.29   10.50 21.63   11.50
Right Choice in Home Care, Inc.       20.41   11.00      
Shella Care Management 18.12 12.88 8.50 19.29 16.00 9.50 21.97 17.24 11.00
United Cerebral Palsy 20.62   9.25 21.79   9.75 24.65   10.63
We Care 4 You, LLC 18.12 12.88 11.25 19.29 16.17 12.00 22.10 17.54 12.46
     
Regional Center of Orange County $17.90 $13.97 $9.20 $19.09 $14.87 $9.77 $21.67 $17.35 $10.82
24Hr Homecare, LLC 18.12 13.97 8.00‡ 19.29 14.87 9.00‡ 22.01 17.59 10.00‡
AccentCare, Inc. 18.12   8.00‡ 19.29 14.87 9.00‡ 21.63 17.21 10.00‡
Accredited Respite Services 18.12 13.97 10.33 19.29 14.87 10.55 22.08 17.66 12.50
Alta Home Care, Inc.             21.63   10.00‡
BHH Services, Inc. 18.12   10.63 19.29   10.85 21.96   11.30
BrightStar Care of Huntington Beach 18.12   11.00 19.29   11.00 21.63   11.50
BrightStar of San Juan Capistrano 18.12   8.00‡ 19.29   9.00‡      
California Respite Care, Inc.             21.97 16.48 10.00‡
Cambrian Homecare 18.12 13.97 8.00‡ 19.29 14.87 9.00‡ 21.63 17.21 10.00‡
Caring Matters Home Care             21.63   10.00‡
Choice Home Care, Inc. 18.12 13.97 8.00‡ 19.29 14.87 9.00‡ 21.63 17.21 10.00‡
College Nannies & Tutors 18.12   8.00‡ 19.29   9.00‡ 21.63   10.00‡
College Nannies & Tutors 18.12   11.00 19.29   11.50 21.63   12.00
ComForCare Home Care             21.63   12.00
Foreside Management Company             21.63   10.00‡
GSG Support Services 18.12   10.13 19.29   10.25 21.95   11.00
Mary & Friends, Inc. 17.70   9.30 18.87   9.50 21.52   10.00
Maxim Healthcare Services 18.12 13.97 10.25 19.29 14.87 10.38 22.00 17.58 14.00
Orange County Homecare, LLC 18.12   8.00‡ 19.29   9.00‡ 21.63   10.00‡
Oxford Services 18.12 13.97 8.00‡ 19.29 14.87 9.00‡ 21.99 17.57 10.00‡
Premier Healthcare Services   10.71† 8.00‡   11.88† 9.00‡   13.10† 10.00‡
Premier Healthcare Services 18.12 13.97 9.25 19.29 14.87 9.50 22.01   10.00
R&N Family Support Services 18.12   13.00 19.29   13.00 21.63   13.00
Respite Connection 21.27 13.97 10.03 22.44 14.87 10.91 25.34 17.77 12.19
Respite Works, Inc. 18.12   8.00‡ 19.29   9.00‡ 21.63   10.00‡
Right At Home 18.12   10.25 19.29   10.75 21.63   11.13
Roz Home Care 18.12 13.97 9.58 19.29 14.87 10.58 21.68 17.26 15.00
Shella Care Management Services 18.12   9.00 19.29   10.00 21.96   11.00
Straight Enteprises, Inc.—BrightStar 18.12   8.00‡ 19.29   9.00‡      
     
Tri-Counties Regional Center $18.86 $15.66 $10.99 $19.78 $16.91 $11.93 $21.16 $18.12 $13.24
24Hr Homecare, LLC   10.71† 11.00   11.88† 12.25   12.49† 15.00
24Hr Homecare, LLC   15.88 11.00 19.29 16.91 12.25 20.96 18.37 15.00
AccentCare of California             21.63   10.00‡
Accredited Respite Services 18.71 14.33 9.16 § § 9.38 § § 10.00
Acumen Fiscal Agent   10.71† 8.65            
Channel Islands Social Services 21.27   10.25 22.44   11.25 24.14   12.50
Choice Home Care, Inc. 18.12 15.88 11.88 19.29 16.91 12.38 20.89 19.35 12.38
Continuity Care Home Nurses § § 10.50 § § 11.00 20.41   11.50
Maxim Healthcare Services 18.12 15.88 9.38 19.29 16.91 9.50   16.91 10.00
Maxim Healthcare Services 18.12 15.88 8.00 19.29 16.91 9.00‡ 20.72 18.06 10.00‡
New Heights, Inc. 18.12   10.25 19.29   11.25 21.63   12.13
Premier Healthcare Services 18.12 15.88 9.20 19.26 16.91 9.68 22.07 18.13 10.40
Respite, Inc. 18.12 15.88 11.75 19.29 16.91 12.50 20.46 17.94 13.50
United Cerebral Palsy—San Luis Obispo 15.78   9.50 16.95   9.50 18.24   9.50
     
San Diego Regional Center $17.72   $10.70 $18.90   $11.28 $21.54   $12.09
24Hr Homecare, LLC 18.12   10.25 19.29   10.63 22.07   11.50
24Hr Homecare, LLC             22.17   10.00‡
A Better Solution In Home 18.12   8.00‡ 19.29   9.00‡ 21.63   10.00‡
A Subtle In Home Care             21.63   10.00‡
AccentCare, Inc. 18.12   10.75 19.25   10.25 21.63   11.90
Access Autism, Inc.       19.29   10.75 21.63   10.00
Accredited Respite Services 14.39   11.95 15.56   12.85 18.12   12.85
Accredited Respite Services 17.25   11.95 18.42   12.85 21.16   12.85
Act Respite Services             21.63   10.50
Affirmative Home Care 18.12   12.25 19.29   12.25 21.63   12.25
Affordable Home Care 18.12   11.80 19.29   11.80 21.91   12.30
All Valley Home Health 18.12   8.00‡ 19.29   9.00‡ 21.63   10.00‡
American Respite Services 18.12   9.50 19.29   9.50 21.63   9.50
ARCC Center In Home Respite 18.12   10.50 19.29   11.00 22.19   11.25
ARC—San Diego Respite Care 14.87   8.94 16.04   9.81 18.43   10.95
At Your Home Family Care 15.43   8.25 16.60   9.00 19.21   10.00
Avid Respite Services       19.29   12.50 22.16   12.50
BrightStar Care             21.63   12.00
BrightStar Care—Escondido       19.29   12.00 21.63   13.00
Cambrian Homecare       19.29   9.00‡ 21.63   10.00
Circle of Life       19.29   14.00 21.63   14.00
College Nannies & Tutors 18.12   11.00 19.29   12.63 22.08   13.00
ComForCare Home Care             21.63   10.00‡
ComForCare Home Care 18.12   9.00 19.29   10.00 22.08   10.00
Community Interface In Home 18.12   9.55 19.29   9.60 21.63   10.05
East County Respite 21.27   9.50 22.44   10.38 24.97   11.38
Home of Guiding Hands 18.37   8.00‡ 19.54   9.00‡ 22.30   10.00‡
Imperial Valley Respite 16.08   12.12 17.25   12.38 19.83   14.38
Inland Respite, Inc. 21.27   8.00‡ 21.27   9.00‡ 21.27   10.00‡
Ivey Ranch Park Association 17.95   14.00 19.12   14.50 21.45   15.00
Maxim Healthcare Services               12.88† 10.00‡
Maxim Healthcare Services 18.12   10.63 19.29   11.13 22.01   11.50
Premier Healthcare Services 18.12   8.00‡ 19.29   9.00‡ 22.10   10.00‡
Premier Healthcare Services   10.71† 8.00‡   11.88† 9.00‡   13.10† 10.00‡
Rest & Relax Respite Agent 18.12   10.50 19.29   10.50 21.63   11.50
San Diego Respite Project 18.12   8.00‡ 19.29   9.00‡ 21.63   10.00‡
Shella Care Management 18.12   10.00 19.29   11.00 21.94   11.50
South Bay Respite 18.30   12.12 19.47   12.38 22.16   14.38
TERI—In Home Respite 21.27   10.88 22.44   12.38 25.35   13.28
Western Health Home Care 18.12   8.00‡ 19.29   9.00‡ 21.63   10.00‡
YMCA CRS 19.64   11.03 20.81   11.03 23.65   11.03

Sources: Information provided by regional centers and vendors for the period of June 30, 2014, through March 1, 2016.

Note 1: The five regional centers in italics are those we selected for review as discussed in Table 1.

Note 2: Blank cells reflect that the vendor did not provide services under the respective service model and during the respective period of time.

* As of June 30, 2016, more than 250 vendors provide in‑home respite services; the number presented in this table is larger because in‑home respite vendors can provide services to consumers from various regional centers.

† Although the rates paid under the financial management service (FMS) model are presented in this table under the column titled Employer of Record Rate, we removed them from our calculation of the weighted average hourly rate for the Employer of Record’ model. Specifically, the FMS rates are considerably lower than the EOR rates and, had we included them in the weighted average, the weighted average for the Employer of Record model rates would have been understated.

‡ These rates were not reported by the respective vendor. Therefore, we presented the statewide minimum wage to ensure that the weighted averages would not be understated.

§ The vendor did not provide any information after numerous requests.



Footnote

8 The average hourly wage paid to the respite worker at the statewide level, region in the State, and for each regional center is a weighted average. This average takes into consideration the numbers of consumers served by each vendor as a proportion of the total number of consumers served by the respective regional center.  Go back to text



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