6Beds, Inc. is an advocacy organization committed to ensuring state and federal law does not create unfair and over-burdensome regulations that will prevent senior citizens from choosing small, home-like settings like six-bed facilities.

We support reforms to improve our sector, and are proud to work with the State Legislature on creating responsible legislation that will address the issues without affecting the quality and affordability of six-bed facilities.

Advocacy, All Posts, Events

URGENT: DSS Requests Input to Latest Draft of Overhauled Incidental Medical Care Regulations

Calling all 6Beds members:

Join our call-to-action phone conference this Thursday, Nov 8, from 2PM – 3PM to review and provide your input to upcoming DSS regulations that will soon impact how we deliver care to our residents.

DSS has requested input from 6Beds and its members to the latest draft of the overhauled Incidental Medical Care Regulations (see topics below) before they are ratified.

As a DSS stakeholder, 6Beds is the only organization representing 6-bed RCFEs to be given a first-hand look at these proposed regulations, as well as the opportunity to influence what the final regulations will be.

In effect, we now have a golden opportunity to determine how these regulations will impact our delivery of care — to ensure that they are both beneficial to our residents, as well as pragmatic and cost effective to our operations.

The topics include but are not limited to the following:

  • When to Call 9-1-1
  • Clarification and Examples of Assistance with Self-Administration of Medication
  • Use of Medication Administration Record (MAR)
  • Recording of Missed/Refused Medication Doses
  • PRN Medications
  • How to release medications that are going outside the facility with the resident during an outing
  • And more!

This phone conference is open and limited to 6Beds members only. Instructions on how you can participate in this important dialogue will be emailed to 6Beds members this Wednesday.

If you are not yet a 6Beds member and wish to participate, please take a moment to join our collective to protect and advance the residential care industry.



George Kutnerian, MS, MBA
Director, Senior Vice President of Public Policy & Legislation
RCFE Operator

Advocacy, All Posts

TAKE ACTION NOW: Help Streamline Our Caregiver Criminal Clearance Process

The legislature has already passed 6Beds’ sponsored bill, Assembly Bill 1437 (Criminal Record Clearances); Governor Brown just needs to sign it.

AB 1437 allows a cleared worker to be associated with all the facilities operated by the same owner by filing a single form eliminating the need for filing multiple forms for transfer among those facilities. AB 1437 will also allow licensees to designate a single Central Administrative Facility within a region to which all of a licensee’s employees may be associated to.

Help us urge Governor brown to sign AB 1437 by end of September.

Currently, every time a worker goes to work at another facility even on a temporary basis to fill in for an absent worker, a form must be filed with the Community Care Licensing Division to transfer the worker’s criminal background clearance to that other location even if the location is operated by the same licensee. Failure to file the form before the worker transfers can draw fines of $100 a day up to $500 — even though the worker in fact has a criminal background clearance.

Do you support AB 1437? If so, let Governor Brown know ASAP.


Advocacy, All Posts

TAKE ACTION NOW: Help Expand ALW by Signing Our Petition to Governor Brown

The legislature has already passed Assembly Bill 2233 (Assisted Living Waiver); Governor Brown just needs to sign it.

AB 2233 impacts our industry and the growing communities we serve. Let us stand united in support of one another and all older adults in California.

Help us urge Governor Brown to sign AB 2233 by end of September.

AB 2233 offers many benefits:

  • Enrollment increase from 5,700 to as high as 18,500.
  • Expansion of ALW beyond the 15 counties currently approved participation.
  • Increased transparency in how the wait list is administered.

Do you support AB 2233? If so, let Governor Brown know ASAP.


The program is currently limited to 5,700 people but the need is much greater. The current wait list requires people to wait months and sometimes years in order to receive services.

AB 2233 will allow enrollment in the assisted living program to increase up to 18,500 people and improves several other aspects of the program. The legislation already passed through the Senate and the Assembly without any “no” votes. And for good reason – an improved ALW program benefits both consumers and the state, which saves thousands of dollars monthly when a Medi-Cal beneficiary receives necessary services through the ALW rather than in a nursing home.


Advocacy, Events

Oct 8 and 22: Outrage. We Are All Affected. We All Must Do Better.

While we at 6Beds express our deepest outrage in the strongest possible sense over the labor exploitation and alleged human trafficking, which took place in six Rainbow Bright care centers in the Bay Area, it is a blatant reminder for all of us operators that we are responsible not only for our own care homes, but for how we ALL conduct business in the communities we love and serve.

One bad apple can ruin our industry’s reputation for the rest of us and bring about onerous audits and legislative enforcement (much like the RCFE Reform Act of 2014) that may potentially set back our operations and our viability to provide care for our residents.

While there will always be constant give-and-take with our employees, our industry is heavily regulated, with labor laws being a game-changer if we are callous and indifferent of our employees’ legal rights.

That is why it is vital that we all do our part to (1) work with, (2) educate and (3) encourage one another to comply with the labor laws — to ensure that nothing like this ever happens again in our communities.

We are all affected.
We all must do better.
As operators, it is our moral obligation to ensure that all caregivers in our industry are treated fairly with respect, common decency and dignity.

To that end, 6Beds is hosting two joint federal and state labor training seminars this coming October 8th, in San Jose (NorCal) and October 22nd, in Brea (SoCal). See details below:

Joint Federal and State Labor Presentation & The How To’s for ARFs & RCFEs

You are Invited to 6Beds’ Labor Workshops
Free Admission, Breakfast, Lunch & Snacks Courtesy of 6Beds Preferred Vendor Sponsors


Monday, October 8, 2018
7:30 AM – 5:30 PM
San Jose Masonic Center, 2500 Masonic Drive, San Jose CA 95125

Seats are limited. Please RSVP today!


BREA (SoCal)

Monday, October 22, 2018
7:30 AM – 5:30 PM
Brea Community Center, 695 E. Madison Way, Brea CA 92821

Seats are limited. Please RSVP today!


We highly encourage you to bring your friends and colleagues to attend these game-changing seminars. Your livelihood and the well-being of your residents may depend on it.


6Beds Delivers Compelling Testimony In Support of AB 2233 (Assisted Living Waiver)

6Beds Senior Vice President of Public Policy & Legislation, George Kutnerian, offered compelling testimony before the Senate Health Committee in support of AB 2233, which would (1) increase the capacity of the Assisted Living Waiver, (2) provide for geographic expansion and (3) increase provider rates to account for past minimum wage increases, as well as other programmatic changes.



May 9, 2018 – Join Us to Seek Support for AB2744 from Assemblymember Ken Cooley

If you are a resident of Rancho Cordova, please join us this Wednesday, May 9, and make your voice heard at the office of Assemblymember Ken Cooley (D-Rancho Cordova) to help him understand how AB2744: Referral Agency, is crucial to the health of residential care homes in his district.

As you know, 6Beds sponsored AB2744 to help regulate referral agencies. This bill has so many important parts that will be good for our care homes!

When bills are being voted on by the politicians in the Assembly, it is critical for them to hear from their constituents— whom they serve —about how their businesses are affected by the laws that they author and vote on.

We have an appointment at 1 PM with Assemblymember Cooley’s field representative at his district office at the Rancho Cordova City Hall.

We will meet in front of his office at 12:45 PM so that we can unify our message. See you there!

May 9, 2018, 12:45 PM

Rancho Cordova City Hall
2729 Prospect Park Dr.
Rancho Cordova, CA 95670

If you have ever been wronged or have been taken advantage of by a referral agency, now is your chance to take a stand and make a difference!

Advocacy, All Posts, Events

Apr 17 – Support Referral Agency Bill Hearing Before the Assembly Aging and Long-Term Care Committee

This Tuesday, April 17, AB 2744 – RCFE Referral Agency, will be heard before the Assembly Aging and Long-Term Care Committee at the Capitol in room 127, at 3 PM in the afternoon.

AB2744 - April 17 Hearing

We encourage all RCFE operators to show their support for this Bill by attending the hearing and making your voices heard. If you have ever been wronged or have been taken advantage of by a referral agency, now is your chance to take a stand and make a difference!

Our group will meet before the event to discuss proceedings protocols before the hearing at 2 PM at  Zia’s Delicatessen on the corner of O St. and 14th:  1401 O St, Sacramento, CA 95814

If you cannot make it to our meeting point, please proceed directly to the hearing at the Capitol in room 127 by 3PM.

Please RSVP to let us know how many of you are joining us.

We are looking forward to see many of you there! Make sure to wear your 6Beds t-shirts if you have one.



Advocacy, All Posts, RCFE

Governor’s Budget Proposes Adding 2,000 Slots to the Assisted Living Waiver Program – 6Beds Advocacy Efforts Paying Off

by George Kutnerian
As many of you may be aware, the Assisted Living Waiver (ALW) program reached its capacity of 3,700 slots in March of 2017 and has since been operating with a waitlist that is now fast approaching 3,000 individuals.

Governor’s Budget Proposes Adding 2,000 Slots to Assisted Living Waiver Program -- 6Beds Advocacy Efforts Paying Off

6Beds has been advocating for an expansion to the ALW program since last year’s Advocacy Day in spring of 2017.

Since then, in its efforts to expand and improve the ALW, 6Beds has joined a broad coalition that includes LeadingAge CA, California Assisted Living Association, Alzheimer’s Association, The SCAN Foundation, California Hospital Association, the California Long-Term Care Ombudsman Association, and Justice in Aging.

This broad coalition had been advocating to the Department of Health Care Services and the Department of Finance for an expansion of the ALW.  The Governor’s proposal to add 2,000 slots to the ALW is a significant first step towards expanding the ALW.  We will keep you posted on how the proposal to add 2,000 slots to the ALW progresses through the budget process.  Even if approved, the addition of the 2,000 slots would not be operational until at least this summer as the Department of Health Care Services will be required to apply for a waiver amendment with the Centers for Medicare and Medicaid Services.  Stay tuned for updates.

Advocating for expanding and improving the ALW is a part of 6Beds’ 2018 Advocacy Day agenda.

Please join us for Advocacy Day in Sacramento on April 11, 2018 at the California Chamber of Commerce, beginning at 8AM.

Click here to learn more.


George K. Kutnerian
Senior Vice President
Public Policy & Legislation

Advocacy, All Posts, Events

April 10 – Support 6Beds Sponsor AB 2744: Referral Agency Bill

After more than one unsuccessful attempt by other groups at passing referral agency legislation, 6Beds is taking the lead in sponsoring Assembly Bill 2744 – Residential Care Facilities for the Elderly Referral Agency.

6Beds Sponsors AB 2744 Referral Agency Bill

AB 2744 is co-authored by Assemblymember Eloise Reyes and Assemblymember Blanca Rubio to bring about much needed regulations and accountability to referral agencies.

If you have ever been wronged or have been taken advantage of by a referral agency, now is your chance to take a stand and make a difference!

AB 2744 will first be heard by the Legislature on April 10 at 1:30 PM in room 437 at the Capitol. Please join our 6Beds leaders to support this bill.

While not all referral agencies are predatory — as many do really help to place clients fairly into appropriate homes — there are those (we won’t name them here) who have really exploited their marketing and technological positions to exert dominance over this industry’s referral services. In the process, they’ve taken shortcuts to place clients in care homes, charge exorbitant referral fees, are unyielding in their approach to getting paid regardless of extenuating circumstances, are under-trained in our industry’s practices and regulations, and above all, do not completely disclose their marketing practices to their clients.

AB 2744 will require registration of all referral agencies (person or entity that provides referrals for a fee) with DSS and will impose various regulations to ensure fair and transparent dealings with clients and facilities. The bill has many provisions. Click here to read them in their entirety. Below are some provisions deemed noteworthy by the bill’s author:


(a) A referral agency shall not provide a referral to a facility unless registered with the department pursuant to this section.


(a) Before providing a referral, a referral agency shall provide the client with a disclosure that includes all of the following in clear language:
(6) A statement as to whether the referral agency has visited the facility or communicated with another referral agency or health care professional who has visited the facility.
(7) A list of the names, addresses, and telephone numbers of all the facilities to which the referral agency has supplied the name of the client or the potential resident.
(10) A description of the training the referral agency has provided or required of employees pursuant to subdivision (b) of Section 1569.907.

1569.903. If the referral agency has an Internet Web site, it shall prominently display on the first page, prior to the client being asked to sign up for services or agree to terms, all of the following:

(b) The statement: “If you are referred to a residential care facility for the elderly, the facility you use may be required to pay the referral agency a fee.”

1569.905. A referral agency shall not do any of the following:

(a) Sell placement information to a facility or marketing affiliate without obtaining affirmative consent from the client each time the information is sold.
(d) Hold any power of attorney for a client or potential resident or hold that person’s property in any capacity.

1569.906. An employee of a referral agency who will be in direct contact with the potential resident shall be required to obtain either a criminal record clearance or a criminal record exemption from the department before his or her initial contact with a potential resident, as provided in Section 1569.17.


(a) A contract between a referral agency and a facility shall include all of the following:
(b) (1) If a referred client decides not to use the facility, the facility is entitled to a refund of 100 percent of the referral fee, if paid by the facility.
(2) Except as provided in paragraph (1), if the potential resident leaves the facility for any reason, including death, referral fees that have been paid by a facility shall be refunded as follows:
(A) During the first month of residency, the facility shall be entitled to a refund of at least 80 percent of the referral fee.
(B) During the second month of residency, the facility shall be entitled to a refund of at least 60 percent of the referral fee.
(C) During the third month of residency, the facility shall be entitled to a refund of at least 40 percent of the referral fee.
(c) A facility may rely on the client’s written declaration as to which referral agency the client used and shall not be required to pay a fee to any other referral agency.

Again, to better understand and fully grasp AB 2744, please read its full description and provisions by clicking here.



Advocacy, All Posts, Events

Attend April 11 – 6Beds Advocacy Day with Labor Training & Workshop for RCFE & ARF

April 11 - 6Beds Advocacy Day - Sacramento

6Beds Advocacy Day
APRIL 11, 2018
California Chamber of Commerce
Esquire Plaza
1215 K St., Suite 1400
Sacramento, CA 95814



Yes, it’s that time of the year again! 6Beds is hosting its 4th Annual Advocacy Day Conference in Sacramento on April 11th.

This year, 6Beds is sponsoring AB 2744 – RCFE Referral Agencies, co-authored by Assemblymember Eloise Reyes and Assemblymember Blanca Rubio, advocating for much needed regulations for predatory referral agencies.

We are also moving forward with AB 1437 – Modernizing Regulations, our very first sponsored bill, co-authored by Assemblymember Jim Paterson and Senator Scott Wiener.

6Beds is also co-sponsoring AB 3098 – Emergency Plans, authored by Assemblymember Laura Friedman. In addition, 6Beds is also lobbying to expand government funded programs, such as the Assisted Living Waiver (ALW), for both RCFE and ARF.

Join us in support of these much needed initiatives to protect as well as provide housing and care to our residents, especially with the growing need for our services amidst California’s daunting housing crisis.

Our guest speakers this year are:

  • Senator Scott Wiener (D-San Francisco), Chair of Senate Committee on Human Services
  • Deputy Director Pam Dickfoss, DSS Community Care Licensing Division
  • Senator Joel Anderson (D-San Diego)
  • and more…

While 6Beds leaders and lobbyists advocate at the Capitol, a Joint DOL/DLSE Labor Compliance Training will be held at the California Chamber of Commerce at the Esquire Plaza in downtown Sacramento.

We invite all operators to attend this session to learn what you need to know to comply with both federal and state labor laws that govern our care homes.

This training session is FREE to all operators!

In addition, we invite current 6Beds members to attend our very first Wage and Hour Compliance Workshop for Residential Care Facilities that builds on top of the DOL/DLSE labor training.

It will help you learn how to comply with the labor laws to optimize delivery of care while legally minimizing your labor costs. We will deconstruct a typical work week staffing schedule, analyze it for compliance violations and costs, then apply compliance solutions and optimizations.

If you have live-ins or plan to employ them as part of your care solution, DO NOT miss this compliance workshop (current 6Beds membership required)!

Contact us to learn more about this workshop.


Seats are limited to our venue’s 140 seating capacity.
Reserve yours today as these will go fast.