Regulatory Compliance
Home and Community Based Services Compliance
LFP Corporation is fully committed to the federal HCBS Settings Final Rule. Every program we operate is designed to protect individual rights, promote community integration, and deliver truly person-centered care.
What Is the HCBS Settings Final Rule?
The Home and Community Based Services (HCBS) Settings Final Rule (42 CFR § 441.301) is a federal regulation issued by the Centers for Medicare & Medicaid Services (CMS) that governs how and where Medicaid-funded long-term services and supports are delivered. The rule was finalized in 2014 and requires all HCBS settings to meet specific standards that ensure individuals live and receive care in integrated, home-like environments — not institutional ones.
In California, the Department of Health Care Services (DHCS) oversees HCBS compliance for Medicaid (Medi-Cal) waiver programs, including those serving adults with intellectual and developmental disabilities. LFP Corporation operates in full alignment with both federal CMS requirements and California DHCS implementation guidance.
The rule applies to all settings where individuals receive HCBS — including residential homes, supported living arrangements, and day programs. Settings that do not meet the rule's standards are considered 'institutional in nature' and are not eligible for Medicaid funding.
Federal Requirements
HCBS Settings Requirements
Under the HCBS Settings Final Rule, all settings where individuals receive services must meet the following requirements. LFP Corporation's programs are designed to satisfy each requirement fully.
Integration in the Community
42 CFR § 441.301(b)(1)(i)Federal Requirement
Settings must be integrated in and support full access to the greater community — including opportunities to seek employment and work in competitive integrated settings, engage in community life, control personal resources, and receive services in the community to the same degree as individuals who do not receive HCBS.
How LFP Complies
All LFP residential homes are located in ordinary residential neighborhoods. We actively support individuals in accessing employment, shopping, dining, recreation, faith communities, and civic life alongside their neighbors.
Individual Choice of Setting
42 CFR § 441.301(b)(1)(ii)Federal Requirement
Individuals must be provided with options for settings that include non-disability-specific settings. The setting must be selected by the individual from among options, including non-disability-specific settings.
How LFP Complies
We present each individual and their support team with real, meaningful options for living arrangements. No placement is made without the informed consent and active choice of the individual.
Individual Rights of Privacy, Dignity, and Respect
42 CFR § 441.301(b)(1)(iii)Federal Requirement
Individuals must have the right to privacy, dignity, and respect, and freedom from coercion and restraint. This includes the right to a private or semi-private room with a lockable door, the right to furnish and decorate their own space, and the right to have visitors at any time.
How LFP Complies
Every resident has a private or semi-private room with a lockable door. Residents may furnish and personalize their space. Visitors are welcome at any time. Physical and chemical restraints are prohibited except in documented emergency situations consistent with the individual's care plan.
Optimizing Autonomy and Independence
42 CFR § 441.301(b)(1)(iv)Federal Requirement
Settings must optimize individual initiative, autonomy, and independence in making life choices, including but not limited to daily activities, physical environment, and with whom they interact.
How LFP Complies
Support plans are built around each individual's goals and preferences. Individuals choose their own schedules, meals, activities, and social interactions. Staff are trained to support — not direct — the choices of the people they serve.
Freedom of Movement and Access
42 CFR § 441.301(b)(1)(v)Federal Requirement
Individuals must be able to move freely within and outside the setting without unnecessary restriction. Any restriction on movement must be documented, individually justified, and subject to regular review.
How LFP Complies
Residents are free to come and go as they choose. Any limitation on movement is documented in the individual's person-centered support plan, justified by a specific assessed need, and reviewed at least annually.
Choice of Services and Providers
42 CFR § 441.301(b)(1)(vi)Federal Requirement
Individuals must have the freedom to choose their services and supports, as well as who provides them. Individuals must be informed of their right to change providers.
How LFP Complies
We inform every individual of their right to choose and change providers. We actively support transitions when an individual wishes to change their service arrangement, and we never condition services on remaining with LFP Corporation.
Individual Rights
Resident Rights
In addition to HCBS Settings Rule requirements, every individual served by LFP Corporation holds the following rights under California law and our organizational policy.
Right to Dignity
To be treated with dignity, respect, and courtesy at all times, regardless of the nature or degree of their disability.
Right to Privacy
To private communications — including phone calls, mail, and electronic communications — without monitoring or interference.
Right to Information
To receive clear, accessible information about their services, rights, support plan, and any changes to their care.
Right to Participate in Planning
To actively participate in the development, review, and revision of their person-centered support plan.
Right to File a Complaint
To file a complaint or grievance without fear of retaliation, and to receive a timely, documented response.
Right to Refuse Services
To refuse any service or support, with the understanding that staff will document the refusal and explore alternatives.
How We Stay Compliant
Our Compliance Process
LFP Corporation maintains HCBS compliance through a structured, ongoing process that includes annual self-assessments, staff training, individual support plan reviews, and coordination with regional center service coordinators. We welcome oversight visits from the California Department of Social Services (CDSS) and the Department of Health Care Services (DHCS), and we maintain all required documentation for audit and review.
Annual Self-Assessment
Each residential and supported living setting undergoes a formal HCBS self-assessment every year, reviewed by our compliance team and shared with regional center partners.
Staff Training
All Direct Support Professionals and supervisors complete HCBS-specific training at hire and annually, covering resident rights, person-centered practices, and documentation requirements.
Person-Centered Support Plans
Every individual's support plan is reviewed at least annually — and whenever their needs or goals change — to ensure services remain aligned with their preferences and HCBS standards.
Incident Reporting & Review
All incidents are documented, reported to the appropriate agencies, and reviewed internally to identify corrective actions and prevent recurrence.
Questions About Our Compliance?
If you are an individual we serve, a family member, a regional center coordinator, or a licensing agency representative with questions about LFP Corporation's HCBS compliance, please contact us directly.