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.