📝 For California Regional Center Vendors | In-Home & Community-Based Services

Format: Instant Digital Download (.docx)
License: For use by the purchasing agency only
 
✅ Your Shortcut to a Compliant Program Design – Ready to Customize and Submit
 
Getting vendorized for respite services can feel overwhelming—especially when each California Regional Center has slightly different expectations. That’s why we created this DIY Customizable Program Design: a professionally formatted, regulation-aligned template designed to help your home care agency get started fast and right.
 
Whether you're expanding into respite or applying for the first time, this editable Word document includes the exact sections and structure most Regional Centers require—plus clear prompts to help you complete it quickly and confidently.
 
🔧 What’s Included:
✔️ Professionally formatted Program Design Template (.docx)
✔️ Step-by-step Instruction Guide
✔️ Placeholder Prompts for:
Agency name, DBA, licensee, and contact info
Counties served, hours, and emergency contacts
Emergency relocation sites and transportation plan
Program Director qualifications and resume
Required attachments and documents
✔️ Built-in compliance with California Title 17 and DDS Respite Service expectations
✔️ Statement of “in-home only” services (in place of facility floor plan)
 
🛠️ Built-In Flexibility for Regional Center Differences
While each Regional Center may ask for slightly different documentation or formatting, this Program Design gives you a solid, regulation-compliant foundation that saves hours of guesswork. Customize it for your agency and your Regional Center’s preferences—no starting from scratch needed.
 
📂 BONUS TEMPLATES AVAILABLE (Included):
Emergency Relocation Site Authorization Letters
Sample Program Director Resume & Reference Template
Client Rights, Incident Reporting, and Confidentiality Policies
Interpreter, Cultural Competency, and Infection Control Policies
 
👥 Who This Is For:
Home care agencies seeking vendorization for Respite (Service Code 420)
Agencies expanding services to Regional Center clients
Administrators needing a fast, compliant Program Design template
New or experienced providers looking to streamline the application process
 
⚡ Why You'll Love It:
Saves you dozens of hours of writing and formatting
Regulation-aligned and field-tested
Editable, professional, and ready for submission
Reusable as your agency grows and expands into other service codes
 
📥 Instant Download. Immediate Progress.
Ready to simplify your vendor application process?
 
Download your DIY Program Design Template now and take the next confident step toward Regional Center approval.