CAADS New Logoadult day health care
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Use THIS LINK to determine if your respresentative signed. Copy their Twitter Handle, return to this page and CLICK BELOW ON THE "Thank You for Saving CBAS & MSSP!" Tweet picture to launch Twitter and Retweet using their handle to share with them directly. Let them know we appreciate their support!



Quick Links . . .

  •   Consultants, Vendors, Health Plans, Networks
CBAS   •   CCI / CAL MediConnect

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WEDNESDAY, AUG 5, 2020 | 10:30 - 12 PM PDT
ALEwebtalk Part 7: Details available soon!

WHAT WE WILL COVER
Details available soon!

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Lydia Missaelides, MHA , Executive Director, Alliance for Leadership and Education
and special guests

CAADS Members: No Charge (A benefit of membership)
Non-member: $129 per registration ($199 if you pre-register for Parts 7 & 8 in advance)
REGISTRATION FORM: FILL-IN :: WRITE-ON

Registration Questions: Contact Pamela Amundsen, Manager of Education & Events pam@caads.org


THE CAADS HISTORY & PHYSICAL FORM — A CDA-Approved Standardized Tool
Frequently Asked Questions | Order Form Fill-in : Write-on


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FEDERAL RELIEF AVAILABLE TO LICENSEES DURING THE CORONAVIRUS DISEASE 2019 (COVID-19) EMERGENCY

JULY 31, 2020 | Ca. Dept. of Social Services - CCLD | PIN 20-17-CCLD

Primary Audience:
ALL COMMUNITY CARE PROVIDERS

Summary:
PIN 20-17-CCLD provides information on Coronavirus Aid, Relief, and Economic Security (CARES) Act federal relief that may be available to licensees experiencing economic hardship as a result of the COVID-19 emergency.

Read the entire PIN 20-17-CCLD HERE

 

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JULY 29, 2020 | Ca. Dept. of Social Services - CCLD | expressvnp中文官网

 

CAADS ALERT: New DDS Directive: Providing and Claiming for Nonresidential Services during COVID-19

JULY 23, 2020 | California Association for Adult Day Services (CAADS) | ALERT

On July 17, 2020, the Department of Developmental Services (DDS) issued a new directive that extends the expiration date for "absence billings" for non-residential services to August 31, 2020. Those billings were set to expire on July 31, 2020. The directive also includes a framework for the delivery of alternative services for those non-residential services that would go into effect September 1, 2020, that, prior to the State of Emergency due to COVID-19, were provided in site-based programs.

What the new directive does:
ABSENCE BILLINGS: Extends the "absence billings" to nonresidential providers for consumer absences through August 31, 2020.

Read the entire CAADS alert HERE

 

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JULY 20, 2020 | California Association for Adult Day Services (CAADS) | expressvnp中文官网

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 currently being fast tracked, with implementation planned for early 2021, pending CMS approval.

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The medical care and home and community-based services (HCBS) to be provided through this proposed benefit would be determined by conducting person-centered assessments. While the proposal indicates that services will be tailored to individual needs, it is not clear what these services will entail nor whether this will include 24-hour health care and support as skilled nursing facilities do, as the full range of services available through this benefit has not been described.

Read the entire CAADS alert expressvnp中文官网

 

DEPARTMENT DIRECTIVE 01-071720: PROVIDING AND CLAIMING FOR NONRESIDENTIAL SERVICES DURING THE STATE OF EMERGENCY

JULY 17, 2020 | Ca. Dept. of Developmental Services (DDS)
Directive Issued July 17, 2020

To: REGIONAL CENTER EXECUTIVE DIRECTORS

As follow up to the Department of Developmental Services’ (Department) June 18, 2020 guidance, the purpose of this correspondence is to extend retention payments to nonresidential providers for consumer absences through August 31, 2020

In addition, this correspondence previews the structure for subsequent reimbursement of claims for providing nonresidential services using alternative service delivery approaches during the COVID-19 State of Emergency. The structure described would have an effective date of September 1, 2020, pending the issuance of an additional directive by the Department. The procedure outlined in this correspondence is a step toward reimagined service delivery, reflecting modifications that may be necessary during the COVID-19 pandemic. These modifications are driven by the Department’s priority to maintain federal funding and its intent that services be provided to regional center consumers based on consumer preferences.

For all of the details read the entire Directive HERE

 

California Department of Aging Summary of The Budget Act of 2020 (July 16, 2020)

JULY 16, 2020 | Ca. Dept. of Aging (CDA) | Summary Link

This document summarizes the California Department of Aging’s (CDA) budget, as authorized in the Budget Act of 2020. This budget reflects the adjustments made based on the agreement of the Administration and the Legislature after the publication of the Governor’s Proposed May Revision. The tables below summarize the dollar for the departments various items of appropriation.

Find all of the details of the Summary of The Budget Act of 2020 HERE

 

Frequently Asked Questions (FAQ) #5, CBAS Temporary Alternative Services (TAS) – In-Center Services

JULY 16, 2020 | Ca. Dept. of Aging (CDA)- CBAS Branch | ACL 20-15

To:
Community-Based Adult Services (CBAS) Center Administrators and Program Directors

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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 20-14, CBAS Temporary Alternative Services (TAS) Guidance on Provision of In-Center Services, released on June 25, 2020. The FAQ is attached.

For all of the details read the entire ACL 20-15 HERE

 

INFORMATIONAL CALL REGARDING CORONAVIRUS DISEASE 2019 (COVID-19): PLANNED ACTIVITIES: SOCIAL VS. PHYSICAL ISOLATION IN ADULT AND SENIOR CARE FACILITIES

JULY 16, 2020 | Ca. Dept. of Social Services - CCLD | expressvnp中文官网

Primary Audience:
ALL ADULT AND SENIOR CARE PROGRAM LICENSEES

Summary:
PIN 20-26-ASC announces an informational call scheduled for July 23, 2020 to provide guidance to licensees on planned activities during COVID-19.

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Informational Call – COVID-19: Planned Activities
Thursday, July 23, 2020
1:00 – 3:00 PM PDT
Toll-Free Call-In Number: 888-889-4956
Participant Passcode: 4738549
Note: Participants may begin calling in at 12:45 PM.

For all of the details and presentation materials
read the entire PIN 20-26-ASC HERE

 

CDC Updates Public Data Portal on the Health of Older Adults

JULY 15, 2020 | Centers for Disease Control and Prevention | Portal Link

The CDC recently updated the Alzheimer’s Disease and Healthy Aging Data Portal, which provides access to a range of national, regional, and state data on older adults. This resource allows users to examine data on key indicators of health and well-being for older Americans, including caregiving and cognitive decline, by age group, gender, and race/ethnicity.

The Portal was updated with 2018 BRFSS data, including data on cognitive decline from 50 states and data on caregivers from 44 states. Portal users can retrieve CDC data by indicator or by geographic area, and then use these data to develop reports and create customized maps, charts, and graphics.

Public health professionals can use the data to create a snapshot of the health of older adults in their states, which can help them prioritize and evaluate public health interventions.

 

Visitor Limitations Guidance (This AFL supersedes AFL 20-38.2)

JULY 13, 2020 | Ca. Dept. of Public Health - CDPH | AFL 20-38.3

TO:
All Facilities

All Facilities Letter (AFL) Summary

  • This AFL notifies all facilities of updated visitor guidelines for pediatric patients, patients in labor and delivery, neonatal intensive care unit (NICU) patients, pediatric intensive care unit patients (PICU) patients, and patients at end-of-life and patients with physical, intellectual, and/or developmental disabilities and patients with cognitive impairments.
  • 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.
  • This AFL has been updated to clarify that long-term care facilities and hospitals may permit students obtaining their clinical experience as part of an approved nurse assistant, vocational nurse, or registered nurse training program into the facility if they meet the CDC guidelines for healthcare workers.

Read the entire AFL 20-38.3 HERE

 

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JULY 13, 2020 | Ca. Dept. of Public Health - CDPH | LINK

Summary
COVID-19 transmission rates continue to rise across the state, including increasing numbers of cases in rural counties that had not previously experienced significant infection rates. Despite the closure of certain indoor sectors in counties on the County Monitoring list, those counties continue to demonstrate concerning levels of disease transmission that impact not only the general population but vulnerable populations in the community.

This guidance and the Statewide Public Health Officer Order, dated July 13, 2020:

  • Closes, on a statewide basis, indoor operations for certain sectors, and both indoor and outdoor operations for bars and similar establishments, consistent with the June 28 and July 1 restrictions on counties on the County Monitoring List.
  • Closes, for counties on the County Monitoring List for three or more consecutive days, indoor operations for additional sectors which promote the mixing of populations beyond households and make adherence to physical distancing with face coverings difficult. Within these sectors, and in the affected counties, those specified businesses that are not able to continue their business through outdoor operations must close that portion of their business effective immediately in order to further mitigate the spread of the virus.

Please read the entire guidance and public health officer order expressvnp中文官网

 

Suspension of Regulatory Enforcement of Specified ADHC Requirements (This AFL supersedes AFL 20-34.1)

JULY 10, 2020 | Ca. Dept. of Public Health - CDPH | AFL 20-34.2

TO:
Adult Day Health Care Centers (ADHCs)

AUTHORITY: Executive Order N-35-20 (PDF)

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.
  • This AFL has been updated to provide a deadline for ADHCs to complete Live Scan submission requirements following the resumption of Live Scan services.

Read the entire AFL 20-34.2 HERE

 

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.

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Please read the entire CAADS LTC at Home position paper HERE

 

Summary of the Enacted 2020-21 Budget: Impact on California’s Older Adults, People with Disabilities, and Family Caregivers

JULY 9, 2020 | The SCAN Foundation
Summary

On June 29, 2020, California Governor Gavin Newsom signed California’s 2020-21 budget. The budget addresses the $54.3 billion deficit while maintaining funding for critical programs serving older adults, people with disabilities, and family caregivers.

Please read the entire budget summary paper HERE

 

Fiscal Year (FY) 2020-21 Health Care Facility License Fee Schedule

JULY 7, 2020 | Ca. Dept. of Public Health - CDPH | AFL 20-58

TO:
All Health Facilities

All Facilities Letter (AFL) Summary
This AFL informs licensees of FY 2020-21 license renewal fees as approved by the Governor and effective on July 1, 2020.

Read the entire AFL 20-58 HERE

 

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JULY 6, 2020 | Ca. Dept. of Social Services | expressvnp中文官网

TO:
ALL COUNTY WELFARE DIRECTORS ALL IN-HOME SUPPORTIVE SERVICES (IHSS) PROGRAM MANAGERS

The purpose of this All County Letter (ACL) is to provide counties with guidance regarding the extension of Coronavirus (COVID-19) related exceptions to IHSS rules and requirements.

Read the entire ACL 20-75 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

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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 expressvnp中文官网

 

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 | expressvnp中文官网

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 expressvnp中文官网

 

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 | expressvnp中文官网

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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.

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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.

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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



Your Donations Help!

Two (2) great opportunities to further support Adult Day Services:

  • CAADS | State Advocacy Fund
  • ALE | 正在跳转至官网,请稍候...:2021-6-8 · 正在跳转至官网,请稍候...

Learn more and DONATE today -- thank you!


CAADS

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



CAADS - A.L.E.

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.


Lydia Missaelides

Lydia Missaelides, MHA
Executive Director of the Alliance for Leadership and Education




BACK TO TOP



NATIONAL ADULT DAY SERVICES ASSOCIATION (NADSA)

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

California representatives currently serving on the expressvnp中文官网:

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




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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

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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.
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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

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1107 9th Street, Suite 701 || Sacramento, CA 95814–3610
T: (916) 552-7400 || F: (866) 725-3123
E: caads@caads.org

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HIGHLIGHTED
MEDIA COVERAGE

ALE Supports Adult Day Services During COVID-19 Pandemic
expressvnp中文官网
Archstone Foundation
By Melissa Devaney


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Five Reason The Coronavirus Pandemic Has Caused a Surge in Alzheimer’s Deaths
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JULY 14, 2020
Hartford Institute for Geriatric Nursing
By Tina Sadarangani, PhD, RN, ANP-BC, GNP-BC, Assistant Professor, NYU Rory Meyers College of Nursing


Caregivers and Frail Seniors Worried About Community-Based Adult Services Cuts
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Spectrum News 1
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California Lawmakers Block Health Care Cuts
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California Healthline
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California must support care for our elders
JUNE 16, 2020
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California Legislature OK’s budget, but changes coming
JUNE 16, 2020
APNews - The Associated Press
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Already devastated by the coronavirus, seniors stand to lose again in Newsom’s budget
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Los Angeles Times
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Social isolation ‘cannot become the new normal,’ senators say during Aging Committee hearing
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Budget cuts to California senior programs during pandemic is ‘ageism,’ lawmaker charges
JUNE 10, 2020
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By Mara Hoplamazian


California budget cuts could end adult day care
Centers for frail and disabled adults help thousands of Orange County families
JUNE 10, 2020
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By Theresa Walker

 


RECENT
MEDIA COVERAGE

People with Dementia and Caregivers Share the Significant Burden of Visual Hallucinations and Paranoid Delusions, New Survey Highlights
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Yahoo Finance
Business Wire


After COVID-19: What Housing for America’s Oldest Could Be Like
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Next Avenue
By Bart Astor


Living Alone in Your 50s and 60s? Dementia Found to Be 30% More Likely: Study
JULY 22, 2020
The Science Times
By Carla Simmons


Large study links gum disease with dementia
JULY 9, 2020
National Institute on Aging

COVID-19 Sheds Light on Hospice, Palliative Patients Non-medical Health Needs
JULY 7, 2020
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By Holly Vossel


Immune Health and Aging in the Age of the Coronavirus
JULY 6, 2020
Next Avenue
By Steven N. Austad, AFAR Scientific Director


How Health Care Professionals Can Support Family Caregivers
JUNE 30, 2020
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By Sarah Lindenfeld Hall, Next Avenue Contributor


COVID is Delaying Private Equity Hospice Transactions
JUNE 24, 2020
Hospice News
By Jim Parker


6,000-plus: California shatters its single-day record for most new coronavirus cases
JUNE 22, 2020
San Francisco Chronicle
By Matt Kawahara


Families of adults with special needs face unique challenges during pandemic
JUNE 17, 2020
Today
By Terri Peters & Caroline Gottlieb

The Future of Aging in America
JUNE 15, 2020
Next Avenue
By Richard Eisenberg

The Lost Generation: Living With Alzheimers And Dementia During The Coronavirus
JUNE 9, 2020
Forbes
By Chris Westfall

People With Developmental Disabilities More Likely To Die From COVID-19
JUNE 8, 2020
Disability Scoop
By Shaun Heasley

MORE Media Coverage

 


VIDEOS / PODCASTS

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Palliative Care

Palliative Care Video
Serious illness impacts all facets of a person’s life. Palliative care, which focuses on providing relief from symptoms and stress of serious illness, offers an extra layer of support. This expressvnp中文官网 explains how.


The Importance of Geriatric Care

The Importance of Geriatric Care
Click on the picture to watch the video


Tech tips for our aging population


Seniors Embracing Technology Video
Click on the picture to watch the video


Senior community explores the world with virtual reality

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Click on the picture to watch the video


More younger people forced to step into caregiver role amid earlier Alzheimer's diagnoses

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Click on the picture to watch the video


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.

MORE Videos / Podcasts

 


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Please Direct Questions and Comments to
caads@caads.org




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expressvnp中文官网

Christin Hemann, MAG
Executive Director




Danielle Hanlon - Director of Membership & Communications

Danielle Hanlon
博客页面 | ExpressVNP中文官网-应用下载与教程:ExpressVNP官网注册与购买非常简单,因为本教程已翻译成中文,你可以对照本文教程注册和购买。购买任何一个计划都可享受如下服务: 24小时在线客户支持(非常实用) 覆盖94个国家超快速的服务器 应...




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Pam Amundsen
Education & Events Manager




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Coni Segretto-Ricci
Office Assistant




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Phyliss Regino
Office Assistant





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