Embedded Files
Our Mission Statement: To serve and empower persons with developmental disabilities and their families to achieve their goals with community partners.
Important Forms
All forms will be uploaded soon, please reach out to your Resource Coordinator if you need pdfs sent to you
Parent Verification Form
Section 4686.31 of the Welfare and Institutions Code requires any vendor who provides Behavioral Services as specified in Title 17 of the California Code of Regulations* to submit a completed verification form to the regional center for services provided to clients under the age of 18 years who reside in the family home.
Business Services provided this information for vendors to follow to bill 612/620 ASMT hours with the Parent Verification Form (PVF). This information regarding indirect report writing hours applies only to 612/620 ASMT behavior assessment funding.
1 All direct observation/assessment hours require a parent signature when the client is a minor.
2 Indirect hours to write the report should be on a separate line by date - please add this note in place of the signature: “NO DIRECT SERVICES PROVIDED”
3 Please note: You may use 2 lines for the same date if direct hours & indirect hours were provided on the same day. Direct hours & indirect should not be on the same line. Direct & indirect hours can be on the same PVF form for the same month of service.
Important Announcements
Our 2024 Behavioral Services Roundtable Schedule:
Wednesday, September 11, 2024 @ 1 pm
Audio Transcript
https://sdrc-org.zoom.us/rec/share/nrCxJuUY_eDoiDCokpUrB1f__CjC7A9mQTWLx7Cbg3jaIcjz24ePmJ5sRLHV3BYU.dpV0Ng7ubdN7HE_f
Passcode: PY6x4@Ht
Wednesday, December 11, 2024 @ 1 pm
https://sdrc-org.zoom.us/j/87454127969?pwd=XBv1eACrlVx4cDtTJeb0CzDVqIRraR.1
Meeting ID: 874 5412 7969
Passcode: Bx2024
Vendor File Compliance
Please ensure your vendor file is in compliance at all times. Please submit the following documents on a yearly basis or as they expire: Professional Liability Insurance, Professional License (BCBA, BCaBA, RBT, LMFT, LSW, Psychology, etc.), W9, and the DS1891. Expired documents could result in a pended vendor file or further action. The DS1891 form can be found here: https://www.dds.ca.gov/wp-content/uploads/2019/05/DS1891.pdf
Biennial Vendor File Audits
SDRC has begun completing mandatory Biennial Vendor File Audit for all service provider files. We are ensuring all required documents are in the vendor file and are also up to date. SDRC will be reaching out to you individually in order to obtain necessary information and documents. The Title 17 Regulation regarding the review of vendor files can be found here: https://govt.westlaw.com/calregs/Document/ID1AAAE835A2011EC8227000D3A7C4BC3?viewType=FullText&originationContext=documenttoc&transitionType=CategoryPageItem&contextData=(sc.Default)
Staffing Requirements
612: Supervisor: BCBA Credential, resume, and diploma; Direct Service Provider: Resume, applicable certification, and diploma
620: License (Psychologist, LMFW, Social Worker), resume, diploma, and transcripts with 12 units in ABA Therapy; Direct Service Provider: Resume, applicable certification, and diploma
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