It Takes a Village Adult Day Services

It Takes a Village Adult Day Services ITAV is a community-based, active day program for adults with developmental or behavioral disabilities, or are medically fragile.

02/15/2026

Hello all.

Last weekend, after spending probably 10 days trying to rework my original plans into the current service code alignments that SDRC has requested, I realized that what I am trying to do just doesn't fit. The populations of young people that I am trying to serve don't really exist according to the SDRC--medical kids HAVE to be in a center-based program, regardless of their medical stability. Behavioral kids are often put into restrictive behavior programs, whether they need those restrictions or not. So I put together an email that really laid out who it is I am trying to serve: in short, those who may look really scary on paper but are actually quite stable and do well out in the community. I pointed out that they are served appropriately via the TRACE program in SDUSD, and that is what I am trying to mirror. I keep hearing that the school district is "its own thing", but it has the same boss the SDRC does: the State. If the State agrees that this population exists and can be served in the community when they are school-aged, then it is contingent upon the SDRC to continue to serve them appropriately as adults. If fact, the law says they *have* to.

SDRC has not responded to my email.

So am trying to figure out who to talk to, either at SDRC or further up the food chain at the state's Department of Developmental Services.

I knew this was going to be a huge project, but I really had no idea how huge.

Meanwhile, Cormac's nursing contact at San Ysidro Health has asked us to come speak at their next quarterly staff meeting. They asked for a presentation on Cormac--who he is, what he loves, the places he's been and things he's achieved with the WPCS support that HCBA provides, and they also want to hear about ITAV and how it's going. HCBA will pay for 1:1 nursing care for MedFrag participants, but if they do, I am not allowed to bill SDRC for them. That's fine by me; we'll figure out another way to pay the bills!

So send out good juju, lift a prayer, do a little voodoo, whatever your specialty is! If you are inclined to reach out to your child's SDRC worker to specifically request an active, community-based program (and get it written into their IPP as a goal!), that would be amazing! If they tell you one doesn't exist, you can request that it goes into the IPP, anyway. Once those requests are documented, we get a little more legal pull.

Thanks for checking in! It takes a village to keep these young people living their best lives, and you are a huge part of it!

Hello friends!I wanted to provide a somewhat detailed update on the SDRC paperwork end of things.As things stand now, SD...
01/31/2026

Hello friends!

I wanted to provide a somewhat detailed update on the SDRC paperwork end of things.

As things stand now, SDRC will only vendorize Service Code 533 (read: medically fragile program) as part of a CENTER-based program. It Takes a Village is currently a COMMUNITY-based program. We have plans to expand into a center, but thought we would have a few years to build up company history and clientele so we would have a better idea of what we could afford for rent, or if the planets aligned, a mortgage.

When SDRC told me we couldn't operate our MedFrag program like I'd originally hoped, they *did* give me some workarounds.

The first option would be for our MedFrag clients to become part of the Self Determination Program (SDP). You and your kiddo would choose ITAV as a program to participate in, but provide your own nurse or caregiver. This is doable. We'd set a nominal day fee for supplies and whatnot, and a caregiver of your choosing brings and supports your child during the program. I spoke to our Nursing Supervisor down at San Ysidro Health who oversees the HCBA program, and she said they would pay for nursing care to attend the program as long as we weren't "double dipping" eg; the state is paying for both the nursing care and the program (hence the nominal supply fee). Ultimately, the care responsibility falls on the parents to provide--either a parent or your own nursing/respite staff--but ITAV can still provide the day programming. I'm unsure of the service code at this point, but I think it's doable. It just means more work on your end as parent.

The other option is to open a center much sooner than anticipated. We will have to be licensed as an Adult Day Health Care Program through the CA Dept of Public Health and, strangely, the CA Dept of Aging. This is a long and expensive process, but one I decided early on to commit to so that we can eventually offer long term, overnight respite services, similar to what the Bernardy Center over at Rady Children's offers its pediatric patients.

That said, we have to get our hands on a center before we can even start.

I stumbled across an unused church in Linda Vista that is for sale and looks like it would be an ideal place to settle, though I need to get inside to be sure. The challenge there is that I don't have $4 million sitting around to purchase it! The building is currently owned by the LDS church, so if any of y'all have a rich uncle, a contact at the church, or is interested in buying it then donating it to ITAV for some super fat tax breaks, let me know!

Meanwhile, I would love it if you would share our Patreon with your community, especially if it includes kids we can one day serve as adults!

It takes a village! If you've got any ideas, please share them! We appreciate your support!

https://patreon.com/ITAVSD?utm_medium=unknown&utm_source=join_link&utm_campaign=creatorshare_creator&utm_content=copyLink

Address

San Diego, CA

Opening Hours

Monday 9am - 3pm
Tuesday 9am - 3pm
Wednesday 9am - 3pm
Thursday 9am - 3pm
Friday 9am - 3pm

Alerts

Be the first to know and let us send you an email when It Takes a Village Adult Day Services posts news and promotions. Your email address will not be used for any other purpose, and you can unsubscribe at any time.

Share

Share on Facebook Share on Twitter Share on LinkedIn
Share on Pinterest Share on Reddit Share via Email
Share on WhatsApp Share on Instagram Share on Telegram