Enhancing Sacramento Residential Care Facilities

Published on February 26, 2025
Utility and Residential Services

Sacramento County’s Department of Child, Family and Adult Services (DCFAS) is working to preserve housing for vulnerable residents in our community. DCFAS is distributing funds from the CA Dept. of Social Services Community Care Expansion (CCE) Preservation Program. DCFAS is investing nearly $12 million to preserve facilities; maintain dedicated beds for qualified residents, which includes disabled and older adults; and avoid homelessness. 

California has a shortage of licensed adult and senior residential facilities that accept individuals receiving or applying for Supplemental Security Income/State Supplementary Payment (SSI/SSP) or Cash Aid Assistance Program for Immigrants (CAPI).  Many of these facilities are closing or reducing the number of beds available to SSI/SSP and CAPI residents (also known as “Qualified Residents”) as benefit amounts have not kept up with the cost of facility operations and maintenance. 

Funding Breakdown

The county has been allocated $11,993,597 in CCE funding as follows:

  • $5,162,415 for Operational Subsidy Payments (OSP): Funding to support the day-to-day cost of operations. These funds must be used by June 2029.
  • $6,831,182 for Capital Projects (CP): Funding for facilities to make needed repairs and upgrades. These funds must be used by March 2028.

Projects and Facility Improvements

DCFAS is currently working with six licensed adult and senior residential facilities to support their ongoing operations and capital improvements. These facilities accept the SSI Non-Medical Board and Care rate, which is significantly lower than the market rate. At St. Mary’s Home, a 14-bed adult residential facility, CP funds were used to replace toilets, upgrade resident furniture and install a new roof.  At Wholesome Elderly, a 6-bed facility for older adults, CP funds were used to replace original windows, and a sliding glass door and to complete plumbing repairs. Other projects are scheduled to be completed during the contract period with DCFAS to ensure these facilities are safe and up to date. 

The Importance of Preservation

“This project is important because our low-income older adults and adults with disabilities need an affordable, safe and stable place to call home; a place where they can live with dignity.  These facilities provide, assistance with activities of daily living, medication management and opportunities to socialize with others. ​Without preservation, many facilities have to defer needed repairs; they have difficulty meeting operating expenses and can eventually close which leads to displacement of residents,” says DCFAS Human Services Program Planner Mary Parker. 

By investing in licensed residential adult and senior facilities, Sacramento County is ensuring that low-income, vulnerable residents have a safe and well-maintained place to live. This funding plays a critical role in helping facilities that prevent homelessness in older and disabled adults.

Sacramento County is still accepting applications for OSP and CP from facilities.  For more information contact Mary Parker (916) 875-4242 or email DCFAS SAS-CCE@saccounty.gov​

For more information, visit the Community Care Expansion Preservation Program website.​

Contact Information

Macy Obernuefemann

Sacramento County Public Information Office​​​​​​