FOLLOW-UP REVIEW OF THE JOINT LEGISLATIVE AUDIT AND REVIEW COMMISSION ON HOMES FOR ADULTS IN VIRGINIA - SENATE DOCUMENT NO.8 - 1991

Sep 15, 2026

Uploaded by Sarah

Follow-up review of the Joint Legislative Audit and Review Commission on adult homes in Virginia, submitted to the Governor and the General Assembly of Virginia (Senate Document No. 8, 1991). The report examines regulation of homes for adults and the Auxiliary Grants Program, addressing health and safety concerns, shortcomings in licensure and monitoring, and inadequate administration of state funding. It notes improvements since 1979, while arguing that the regulatory and funding systems have not kept pace with increasing numbers of residents with serious mental and physical impairments.

LanguageEnglish

CategoryResearch & Report

FormatPDF

Pages122

Reading Time5 h 7 min

AccessFree to download

Preface

JLARC Report Summary

Findings on health and safety concerns

Licensing, monitoring, and state funding administration

| | FOLLOW-UP REVIEW
OF THE JOINT LEGISLATIVE
AUDIT AND REVIEW COMMISSION ON
Homes for Adults
in Virginia
TO THE GOVERNOR AND
THE GENERAL ASSEMBLY OF VIRGINIA
SENATE DOCUMENT NO.8
COMMONWEALTH OF VIRGINIA
RICHMOND
1991 | | | --- | --- | --- | | | | | Members of theJoint Legislative Audit and Review Commission ChairmanSenator John C.Buchanan Vice Chairman Delegate Ford C.Quillen Senator Hunter B.AndrewsDelegate Robert B.Ball,Sr.Delegate Vincent F.Callahan,Jr.Delegate Jay W.DeBoerSenator Clive L.DuVal 2dDelegate Thomas W.Moss,Jr.Delegate William Tayloe Murphy,Jr.Delegate Lewis W.Parker,Jr.Delegate Lacey E.PutneyDelegate Alson H.Smith,Jr.Senator William A.TrubanSenator Stanley C.WalkerMr.Walter J.Kucharski,Auditor of Public Accounts Director Philip A.Leone Preface Item 545 of the 1990 Appropriations Act directed JLARC to conduct a follow-up study to the 1979 JLARC report on Homes for Adults in Virginia.In addition,JLARC was instructed to report the findings to the Commission on Health Care for AllVirginians prior to the 1991 Session.This report presents staff findings and recom-mendations regarding the regulation of homes for adults and funding provided resi-dents through the Auxiliary Grants Program. The 1979 JLARC report identified significant problems affecting adult homeregulation,the Auxiliary Grants Program,and the health and safety of adult homeresidents.Since 1979,improvements have been made in the ability of the adult homesystem to protect the basic health and safety of residents.However,the regulatory andfunding systems have failed to keep pace with the changing nature of adult home careover the past ten years. Adult homes are caring for larger numbers of residents,many of whom sufferfrom serious mental and physical impairments.Yet only one set of licensing standardsexists to regulate care in all adult homes.In addition,almost all adult homes arereceiving the same auxiliary grant rate despite the differences in care provided to themore seriously impaired residents. This report presents recommendations for the development of a tiered ap-proach to regulating and funding the adult home system.The tiered system would bebased on the different levels of care provided adult home residents and would ensurethat adequate safeguards exist,especially for the care of those with serious mental andphysical disabilities. I am pleased to note that the general approach recommended in this reporthas received the support of the Secretary of Health and Human Resources,as well asthe Department of Social Services;the Department of Mental Health,Mental Retarda-tion and Substance Abuse Services;and the Department of Health.On behalf of theJLARC staff,I would like to thank the staff of these departments and the staff of theadult homes,provider associations,and other local and State agencies that assistedinour review. ili Philip A.Leone Director November 28,1990 JLARC Report Summary Concerns have been raised about the healthand safety of residents,the effectivenessof adult home licensure and monitoring,and the adequacy of State funding throughthe auxiliary grants program for some adulthome residents.Additional concerns havesurfaced about the effective administrationof the Auxiliary Grants Program. In 1979,JLARC evaluated the adulthome system and identified numerous prob-lems affecting the health and safety of resi-dents,licensing standards and procedures,and the Auxiliary Grants Program.This fol-low-up review,directed by Item 545 of the1990 Appropriations Act,generally foundimprovements in the system to protect thebasic health and safety of residents.How-ever,no action has been taken on a num-ber of previous recommendations,and theproblem of providing adequate care andprotection has been exacerbated by asharpincrease in residents who have seriousmental health or medical needs.In addi-tion,administration of State funding throughthe Auxiliary Grants Pro

FAQs

Why does the report recommend a tiered approach to regulation and funding?

The report states that adult homes now serve larger numbers of residents with serious mental and physical impairments, while regulatory and funding systems have not kept pace; a tiered approach based on levels of care would ensure adequate safeguards.

Sep 15, 2026

Uploaded by Sarah