Program Administrator (Mini House Residential Program)

Position Purpose:

The Program Administrator is responsible for supervising and managing all aspects of the Azusa Residential Board and Care program, a state licensed 96-bed Residential Care Facility for the Elderly (“RCFE”) that provides comprehensive assisted living to ambulatory and non-ambulatory residents. This role encompasses a variety of administrative aspects to ensure compliance with County, State, and Federal regulations; adherence to Title 22 guidelines and mandates; and the effectuation of JWCH Policies & Procedures promulgated specifically for the RCFE program. Additionally, the Program Administrator shall be a skilled manager, as well as a compassionate leader that strives to maintain the highest standards of resident care and promote a safe and positive environment for residents, families, visitors and staff.

Principal Responsibilities:

• Supervise and manage staff across all departments within the program.
• Recruit, hire, train and evaluate qualified staff to ensure high-quality care.
• Lead staff meetings and organize trainings to maintain compliance and cultivate a work environment that embraces high quality standards.
• Ensure compliance with County, State, and federal regulations, including Title 22 guidelines.
• Oversee the creation, implementation and reinforcement of policies and procedures in line with regulatory and JWCH standards.
• Oversee the creation of workflows for intake, discharge, and other client activities.
• Ensure residents receive the highest standard of care, focusing on safety and well-being. Make special provisions for the safety and guidance of residents with visual or auditory deficiencies.
• Address and resolve resident and family concerns and complaints in a timely and effective manner.
• Maintain the physical upkeep of the facility, ensuring it meets safety and health standards.
• Oversee housekeeping, repairs, and conduct environmental checks.
• Manage facility budget in a fiscally responsible manner. Prepare financial reporting, census data and resource allocation for the program.
• Ensure financial sustainability while maintaining high-quality care.
• Oversee procurement of program supplies such as toiletries, client activities, food, and supply purchases.
• Ensure that residents receive personal care, three daily meals and snacks, access to medical care, case management, and wellness resources.
• Coordinate transportation for residents to and from medical appointments and social services.
• Support reunification services for residents who have lost contact with family or support networks.
• Collaborate with external partners, social service agencies, and community organizations to improve resident care and access to additional services.
• Attend scheduled meetings, “in-service”, training and continued education with funders, partner agencies, providers and internal administration.
• Ensure that personnel and client files are maintained on site in accordance with licensing requirements.
• Adhere to rules and regulations of Welfare and Institutions Code, Section 15630(a) and form SOC 341A, regarding the obligations of “Mandated Reporters” to report suspected elder abuse.
• Participate in JWCH’s customer service training called AIDET on an annual basis:
• Demonstrate an understanding of AIDET (Acknowledge, Introduce, Duration, Explanation, and Thank You) to apply in patient encounters or team discussions.
• Utilize the AIDET communication framework to communicate with patients and team members in a manner that reduces patient anxiety, increases patient compliance, and improves clinical outcomes.
• Other duties as assigned.

General Requirements & Qualifications:

• The administrator shall have the qualifications specified in Title 22, Sections 87405(d)(1) through (7):
• Knowledge of the requirements for providing care and supervision appropriate to the residents.
• Knowledge of and ability to conform to the applicable laws, rules and regulations.
• Ability to maintain or supervise the maintenance of financial and other records.
• When applicable, the ability to direct the work of others.
• Good character and a continuing reputation of personal integrity.
• Have a high school diploma or equivalent, such as a General Education Development (GED) certificate. (Notwithstanding preferred educational and/or experience stated below).
• Be at least 21 years of age.
• Bachelor’s degree in healthcare administration, human services, social work, nursing, or a related field. Master’s degree preferred.
• Minimum of 5 years of experience in program management, preferably in healthcare, residential care, or a related field.
• Current license and completion of the Residential Care for the Elderly Administrator Certification Program in California (or equivalent state license).
• Experience with regulatory compliance and staff supervision.
• Strong leadership, communication, problem-solving skills and risk assessment.
• Ability to engage in conflict resolution with hostile/emotionally agitated residents, family, visitors and/or personnel in a thoughtful, non-confrontational manner.
• Knowledge of County, State, and federal regulations, particularly Title 22.
• Ability to manage multiple departments and balance priorities.
• Financial management and budgeting experience.
• Understanding of rate for services models, including SSI/SSP (RCFE facility type rate and representative payee), CBEST, CAPI, Medicaid, Veteran’s Disability compensation, long-term health care insurance, life insurance with LTC coverage, and private pay.
• Compassionate approach to resident care and ability to resolve conflicts diplomatically.

Core Knowledge Requirements:

• Laws, regulations, policies, and procedural standards impacting RCFE, including:
• Health & Safety Code 1569
• Overview of Title 22, CCR, Division 6, Chapter 8, RCFE, Articles 1-15
• State Fire Code Regulations
• Program Flexibility Exceptions Waivers
• Accounting and tax filing requirements
• Plan of Operation
• Business Operations, including:
• Title 22, CCR, Division 6, Chapter 8, RCFE, Article 4 – Operating Requirements
• Wage Order 5 liability issues
• Insurance types
• Budgeting and fiscal documentation
• Monitoring of ongoing operations
• Overview of labor laws – Federal requirements
• Personnel/wages
• Classification of employees
• Marketing of facility
• Rate setting/record keeping
• Other agencies – IRS/EDD/INS
• Contract compliance audits
• Legal fund raising
• Phones/vehicles
• Management/Supervision of Staff, including:
• Title 22, CCR, Division 6, Chapter 8, RCFE, Article 6 – Background check and Article 7 Personnel
• Staffing requirements – day/night supervision
• Hiring practices
• Personnel records requirements
• Administration and staff training requirements
• General personnel requirements and training
• Psychosocial Needs of the Elderly, including:
• Title 22, CCR, Division 6, Chapter 8, RCFE, Article 8 – Resident Assessments, Fundamental Services, and Rights
• Identifying characteristics and special needs of client population
• Evaluation and observation
• Mental health issues
• Family involvement/participation and dynamics
• Bereavement/stress issues
• Activities/Interests/Resident Councils
• Basic services
• Training – type/frequency
• Advanced health care directives
• DNR orders
• End of life planning
• Physical Needs for Elderly Persons, including:
• Title 22, CCR, Division 6, Chapter 8, RCFE, Article 11 – Health Background Check
• Personnel hydration
• Understanding the client needs
• Individual health care needs
• Sexuality in the aging adult
• Nutritional support/food service
• Basic services
• Annual physical
• Ongoing assessment and observation
• Areas of neglect in direct client care
• Community and Support Services, including:
• Responsibility and expectations of referral agencies
• Mental health resources
• Ombudsman
• Adult Protective Services
• Resident and support services
• Suicide prevention
• Funding sources
• Other sources – Local agencies, assisted living waiver program, VA, SSI, etc.
• Medication Management, including:
• Title 22, CCR, Division 6, Chapter 8, RCFE, Article 8 – Resident Assessments, Fundamental Services, and Rights
• Health & Safety Code
• AB 1570
• Administration of medication
• Regulatory requirements – storage, documentation and disposal
• Role of medication in treatment plan, including typical interactions
• Misuse and adverse effects of medication, communication with pharmacists and MDs and other medical professionals
• Drug interaction and pharmaco-dynamics
• Common medications and common medication errors
• Client advocacy related to medication use
• Medi-Cal, medical and dental funding
• Address toxic medication precautions
• Hospice
• Resident Admission, Retention & Assessment Procedures, including:
• Title 22, CCR, Division 6, Chapter 8, RCFE, Article 12 – Dementia
• Program statement
• Allowable vs. prohibited conditions
• Appraisals/Re-appraisals
• Needs and service plan – development and review
• Charting and documentation
• Admissions agreement
• Adult Protective Services/emergency placement
• Incidental medical services
• Client satisfaction
• Contract compliance
• Age exceptions
• Relocation/eviction procedures
• Evaluation and observation – initial and ongoing
• Assessment tools
• Home health and other allied professional relationships
• Managing Alzheimer’s Disease and Related Dementias, including:
• Title 22, CCR, Division 6, Chapter 8, RCFE, Article 8 – Resident Assessments, Fundamental Services, and Rights
• Non-pharmacologic person-center approaches to dementia care
• Overview of Alzheimer’s disease and dementia
• Understanding dementia-related behaviors
• How the patient communicates
• Personal care
• Medications
• Environment and physical plant
• Storage of dangerous items
• Individualized Service Plan (ISP)
• Marketing and advertising
• Dementia care
• Dementia Plan of Operation
• Cultural Competency and Sensitivity to Aging LGBTQ Community, including:
• Issues related to the underserved aging, lesbian, gay, bisexual, and transgender community
• LGBTQ:
• Ethics and values
• Self-awareness
• Education/skills/resouces/advocacy
• Staff
• Training Requirements
• Care – equality
• Managing the Physical Environment
• Title 22, CCR, Division 6, Chapter 8, RCFE, Article 5 – Physical Environment and Accommodations
• Maintenance requirements
• Housekeeping requirements
• Health and safety considerations
• System disaster plan
• Capacity
• Use of space and storage
• Physical plant
• Changes to Plan of Operation
• Building and Safety Code
• State Fire Code Regulations
• R2 occupancies/R3.1 occupancies
• Residents’ Rights
• Title 22,CCR, Division 6, Chapter 8, RCF, Article 8 – Resident Assessments, Fundamental Services, and Rights
• Statutory Personal Rights afforded by AB 2171
• Initial and ongoing staff training to ensure residents rights are fully respected and implemented
• Resident and family councils
• Basic Services
• Safeguard resident’s cash, valuables, etc.
• Conservatorship
• Abuse prevention
• POLST
• Postural Supports, Restricted Health Conditions and Hospice Care, including:
• Postural support
• Restricted Health conditions or health services
• Hospice care/waiver
• Bedridden resident
• Exception requests and conditions for them
• Home health and other allied professional relationships

Physical Requirements:

• Ability to walk, stand, and move around the facility for extended periods.
• Capacity to lift or move up to 25 pounds, such as assisting with supplies or resident belongings.
• Frequent use of hands for typing, writing, and other administrative tasks.
• Visual and auditory ability to respond to resident and staff needs promptly.
• Occasional need to assist with resident mobility, including helping residents into vehicles or moving around the facility.

*All JWCH, Wesley Health Centers workforce members are recommended to be fully vaccinated against COVID-19.

Employee Benefits:

At JWCH Institute, Inc., we believe in taking care of those who take care of others. If you work 30+ hours per week, you’ll enjoy competitive pay and a robust benefits package that includes:

• Medical, Dental, Vision
• Monthly employer-sponsored allowance for assistance with health premiums.
• Funded Health Savings Account (up to deductible) to assist with carrier-approved medical expenses.
• Paid time off (vacation, sick leave) and 13 paid holidays.
• 401(k) Safe Harbor Profit Sharing plan.
• Mileage reimbursement.
• Short- and long-term disability plans (LTD/STD).
• Life insurance policy & AD&D, and more!

Become part of a team where your work matters. Apply today and help us change lives, one patient at a time. JWCH Institute, Inc + Wesley Health Centers is an Equal Opportunity and Fair Chance Employer.