A Description of Board and Care Facilities, Operators, and Residents. Notes


  1. The Keys Amendments to the Social Security Act (Section 1616[e]) were enacted in 1976 with the goal of preventing Supplemental Security Income (SSI) recipients from being in substandard board and care homes. Under Keys, the States are required to certify to DHHS that all facilities in which significant number of SSI recipients reside meet appropriate standards. GAO (1989) found that the oversight exercised by DHHS is limited, and the sanction for substandard care is rarely used.

  2. Unlicensed homes may be subject to regulatory control of a number of different authorities other than board and care home regulators including health and public safety inspectors, and these agents may impose independent sanctions on unlicensed homes.

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