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.


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.



Advocacy, All Posts, ARF, RCFE

CCL To Make Significant Changes to Inspection Process – 6Beds Calling for Greater Consistency and Transparency

by George Kutnerian
Community Care Licensing (CCL) has announced that it intends to make significant changes to the inspection process in an effort to improve the effectiveness and quality of that process.  6Beds has been invited by CCL to provide feedback on how its new inspection process vision gets implemented in the field.  6Beds is stressing that the new inspection process be more consistent and transparent.

6Beds attended a first meeting with CCL in December, 2017 and will be attending a second meeting with CCL in March, 2018 to further discuss the rollout of the inspection process.  CCL anticipates piloting the new inspection process this spring and 6Beds will provide updates as more information becomes available.

Best Regards,
George K. Kutnerian
Senior Vice President
Public Policy & Legislation
6Beds, Inc.

Advocacy, Events

6Beds Packs a Full House! (see pix and vids)

by Ferdinand Ebio
2017 AR and RCFE ConferenceLines started forming early Friday morning, August 18, 2017, for 6Beds’ third annual ARF and RCFE Conference in Buena Park. As anticipated, we had a full house of over 300 participants before 9 AM!

More chairs were brought out to accommodate all the latecomers. The event was standing room only!

With speakers from DSS, DOL, Orange County Regional Center (OCRC) and Littler Law Firm, operators were briefed with the latest in residential care regulations and labor compliance (eg changes in civil penalties, admissions agreement, live-in caregiver requirements, etc) in addition to the strides 6Beds has made with its very first sponsored bill, AB 1437, and its various regulations advocacy work with DSS. Watch the video clips below for all the details.

George Kutnerian
6Beds Senior Vice President of Public Policy & Legislation
Kutnerian provides update on AB 1437, various Admission Agreement regulations that 6Beds fought to keep that DSS proposed to change, and various legislations and regulations that 6Beds is currently tackling pertinent to the well being of residential care homes.

Claire Matsushita
Assistant Program Administrator, DSS
(Members Only Access) Matsushita talks about AB 2231 updates pertaining to civil penalties,
upcoming new role and regulations pertaining to temporary managers to help failing facilities and new changes to the admission agreement.
Claire Matsushita

Benita Gates
Regional Manager, El Segundo Regional Center
(Members Only Access) Gates talks about reporting requirements pertaining to the emergency notification requirement and its various new nuances. She also talked about notice of extreme heat in California.
Benita Gaes

Jack Stanton
Manager of Consumer and Community Relations, OCRC
(Members Only Access) Stanton provides an overview of new policy updates to the regional centers regarding the new 4-bed model and its relation to the recent rates increases.
Jack Stanton

Min-Park Chung
Investigator, DOL Wage and Hour Division
(Members Only Access) Chung provides valuable insights to what a labor investigator looks for during a facility visit and how to ensure that facility owners remain compliant with labor laws pertinent to care homes.
(DOL) Min-Park Chung

Attendees were able to get cross-agency answers to key questions from a panel of speakers represented by the aforementioned agencies and organizations above. Watch the panel videos below.

Q and A Panel (Part 1)
(Members Only Access) DSS, DOL, OCRC and Littler Law Firm guest speakers answer many pertinent questions from facility operators ranging from employment issues to residential care regulations.
Q and A Panel 1

Q and A Panel (Part 2)
(Members Only Access) DSS, DOL, OCRC and Littler Law Firm guest speakers answer many pertinent questions from facility operators ranging from employment issues to residential care regulations.
Q and A Panel - 2

We sincerely thank our guest speakers above and their respective organizations for their insightful contributions to our conference.

This event was also an opportunity for many to receive a promotional discount or payment plan to purchase the must-have Wage and Hour Guide for Residential Care Facilities (The Guide). Though many have purchased The Guide, it remains misunderstood, undervalued and overlooked by many operators. The Guide contains all the pertinent employment agreements necessary to classify your employees as live-ins, relievers or 24-hour workersso as to legally exempt payment of sleep time and off duty hours. Watch the introductory video clip below presented by Littler attorneys to learn more.

Introduction to the Wage and Hour Guide for Residential Care Facilities
by Littler Attorneys, Ashley Brick and Sarah Ross

(Click here to learn more about The Guide.)

To that effect, 6Beds is hosting a labor compliance seminar this coming November 14, 2017, in Southern California. Click here to RESERVE YOUR SEAT!

During last month’s conference, participants were also able to connect with our event sponsor vendors who offered promotional products and services. We thank the various vendors who sponsored this very successful event:

  • Alta Hospitals
  • Alzheimer’s Orange County
  • Austin Drugs
  • Clear Choice Senior Services
  • Fobi Pharmacy
  • Gerinet Hospice
  • KCK
  • Mountain View
  • Perlas Insurance
  • Ramloquoi Foundation
  • Sea Crest Hospice
  • Sierra Professional  Insurance Services
  • Sun Solar
  • Vitas Hospice

We especially thank Sierra Professional Insurance Services and Fobi Pharmacy for providing the free CEU classes.

A great many thanks and accolades go to Ines Otbo, Delia Pardo, Ron Simpson, Olivia Deanda and their countless volunteer helpers who marshaled a very well executed conference day and awards night gala the following evening.

Click to view event photos below.

Click to see 2017 ARF & RCFE Conference Pics

Advocacy, Issues, Survey

Emergency Call to Action: Don’t Lose Your Rate Increase!

WHO: Community Care Facilities (CCF) serving individuals with developmental disabilities (DD)

RE: ABX2-1 Rate Increase Survey

WHEN: September 7, 2017 (Thur)
TIME: 10 AM – 11 AM

LOCATION: Phone Conference

  • Call: 515-739-1548
  • Enter Code: 2947#

If you do not complete this survey you will lose your rate increase as of October 1, 2017.

With Assembly Bill (ABX2-1) many service providers received a rate increase through the ABX2-1 funds effective July 1, 2016.

The rate increase was for the purpose of increasing wages and/or benefits for staff.

This mandated survey that must be completed no later than Sunday, October 1, 2017 and on or before Friday, September 15, 2017 to be on time.


  • Who are required to take survey?
  • Who are exempt from taking survey?
  • Where to take survey?
  • Simplest way to take survey?
  • Questions and Answers

Click here to learn more about the ABX2-1 Rate Increase Survey.

To join the call-to-action conference, please RSVP:


Advocacy, All Posts, ARF, Issues, RCFE


by George Kutnerian
The SSI/SSP non-medical out-of-home care (NMOHC) payment that SSI/SSP recipients who live in residential care facilities receive, has increased to $1,158.37 as follows:

Supplemental Security Income (SSI) $   735.00
State Supplementary Payment (SSP) $   423.37

Of the $1,158.37, the SSI/SSP recipient is entitled to a personal and incidental needs allowance of $132.  This leaves $1,026.37 as the amount payable to the facility for basic services.

Please note that recipients who have income in addition to their SSI/SSP check (for example, a pension, Social Security Retirement, or disability benefits) can be charged the $1,026.37 amount for basic services plus an additional $20.  Because federal rules do not count the first $20 of a recipient’s income against his or her SSI/SSP grant, an SSI/SSP recipient with other income has an extra $20 that people who receive only an SSI/SSP check do not have.  Neither federal nor state law restricts the recipient in how this additional $20 amount is spent.  Therefore, if the recipient agrees in the admission agreement to pay the additional $20 for basic services, the facility may charge the additional amount resulting in a total monthly basic services charge of $1,046.37.

DSS’ Provider Information Notice regarding this topic can be found here (click to download).


George K. Kutnerian
Senior Vice President of Public Policy & Legislation

Advocacy, All Posts, ARF, RCFE

CCL Announces the Launch of Provider Information Notices (PINs)

by George Kutnerian
On October 21, 2016, Community Care Licensing (CCL) announced the launch of Provider Information Notices (PINs), which it will use moving forward to formally communicate to CCL-licensed facilities.

On the homepage for CCL, you will find the link to the Provider Information Notices (PIN) at the top of “Featured Information.”  These notices will also be available by selecting the “Tools/Resources” tab and then “Information Releases.”

PIN 16-01-CCLD is for all Community Care Licensed Providers and it provides an overview of the PIN process.  PIN 16-01-ASC is specifically for Residential Care Facilities for the Elderly (RCFEs) and it releases an updated Medication Guide for RCFEs to use as a resource. PIN 16-02-ASC addresses the protection of residents in RCFEs during flu season.

If you are a licensee and CCL has a contact email for you, you may have already received an email notifying you of the launch of PINs.  However, to ensure that everyone has current information, we will announce individual PINs as we are made aware of them by CCL.

Best Regards,
George Kutnerian
Senior Vice President – Public Policy & Legislation