ICF/DD-H & ICF/DD-N Consulting · California

Modern operations for your 6-bed ICF/DD facility

DirectCare helps owners and administrators of ICF/DD-H and ICF/DD-N homes modernize operations, stay survey-ready, and spend more time on resident care, with hands-on consulting from Victor Ramayrat, operations and IT consultant.

Get the Program Plan Template

On-site within 30 miles of San Jose · Remote consulting anywhere in California

DirectCare (DirectCareHQ) is an ICF/DD consultant for California. We help owners of ICF/DD-H and ICF/DD-N homes, the 4 to 6 bed intermediate care homes for Californians with developmental disabilities, open a new home, pass licensing surveys and run daily operations.

Consulting Services

Operations consulting, built for direct care

Running a small ICF/DD facility means wearing every hat at once. We help you put systems in place so compliance, staffing, and paperwork stop competing with resident care.

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Digital Operations Manuals

Convert binders of policies and procedures into searchable, always-current digital manuals your staff actually use, accessible from any device.

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HR & Operations Modernization

Streamline hiring, onboarding, training records, and scheduling. Replace paper workflows with simple digital systems sized for a 6-bed home.

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Payroll Setup & Support

Set up reliable payroll that handles overnight shifts, overtime, and differentials correctly, and keeps you audit-ready.

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Home Automation

Practical smart-home technology for care settings: entry monitoring, environmental controls, and safety alerts that support staff and residents.

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Licensing Survey Response

Turn survey findings into accepted plans of correction, then build the documentation habits that prevent repeat deficiencies. How surveys work

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Initial Licensing & Program Plans

Opening a new ICF/DD-H or ICF/DD-N? We guide you through the application, program plan, policies, and survey readiness from day one. Licensing consulting

Digital Download

ICF/DD Program Plan Document

A complete, editable Program Plan written for California ICF/DD-H and ICF/DD-N facilities. Instead of starting from a blank page, customize a professionally structured plan that follows the format licensing reviewers expect.

  • Philosophy, goals, admission & discharge criteria
  • Client assessment & pre-admission evaluation process
  • Interdisciplinary team structure and responsibilities
  • Individual Service Plan (ISP) development & implementation
  • Program elements: habilitation, communication, sensory & mobility training
  • Nursing care activities & health services (DD-N specific content flagged)
  • Editable Word document you customize for your facility
  • This is not the free template that CA DDS provides for free. This is a full example of a document that can get you started to customize for your facility.

Want it customized for your facility instead? Book a free consultation. Compare the versions and the free DDS template on the program plan page.

ICF/DD Program Plan

$499 one-time · digital delivery

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Includes training plans

ICF/DD-N Program Plan Plus

$899 one-time · instant digital delivery

  • Everything in the ICF/DD Program Plan Template
  • Example Attendant Training Plan
  • Example Medication Training Plan

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Victor Ramayrat, Principal Consultant at DirectCare
Your Administrative Consultant

Victor Ramayrat

Principal Consultant, Operations & Information Technology

Victor works directly with ICF/DD owners and administrators to bring modern, practical systems into small care facilities. His approach combines operations experience with hands-on IT expertise: he doesn't just recommend tools, he sets them up, trains your staff, and makes sure they stick.

Every engagement starts with a free consultation: a plain conversation about where your facility is today and what modernizing would actually look like for a home your size.

More about DirectCare

Where We Work

Serving San Jose and all of California

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On-Site: Greater San Jose

In-person consulting within a 30-mile radius of San Jose, including Santa Clara, Sunnyvale, Milpitas, Fremont, Campbell, Los Gatos, and Morgan Hill.

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Remote: All of California

Video consulting statewide. Most operations and licensing work, such as manuals, program plans, and survey responses, is done effectively remotely.

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On-Site Beyond San Jose

Need in-person help elsewhere in California? On-site engagements are available with client-covered travel expenses.

Common Questions

Frequently asked questions

What is DirectCareHQ?

DirectCareHQ is DirectCare, a California consulting firm at directcarehq.com for owners of ICF/DD-H and ICF/DD-N homes. It helps with initial licensing, program plans, licensing surveys and daily operations, and it sells example program plan documents. DirectCare is the trade name of MarketGrowth CX LLC.

Who can help me open an ICF/DD home in California?

DirectCare is a California ICF/DD consultant. We help owners open ICF/DD-H and ICF/DD-N homes: the regional center conversation, the DDS program plan package, the CDPH license application and readiness for the first survey. The first consultation is free.

How do I prepare for a California licensing survey?

Make sure the written plan, the data, the progress notes and what staff do on shift all agree, every day. Surveys are unannounced and surveyors watch first. A monthly self-check of one resident and a quarterly mock survey find most problems before a surveyor does.

Where can I get a program plan template for an ICF/DD home in California?

DDS offers a free, optional program plan template on its website. DirectCare sells complete example program plans for ICF/DD-H and ICF/DD-N homes: the ICF/DD Program Plan for $499, and the ICF/DD-N Program Plan Plus for $899 with example training plans.

Where can I get a medication training plan for ICF/DD-N staff?

The ICF/DD-N Program Plan Plus from DirectCare includes an example medication training plan and an example attendant training plan for ICF/DD-N homes. DDS publishes the checklist that a DDS nurse consultant uses to review the plan.

Who provides QIDP services for ICF/DD homes in California?

QIDP Consulting (qidpconsulting.com), the sister service of DirectCare, matches California ICF/DD-H and ICF/DD-N homes with experienced contract QIDPs at a flat $90 an hour. The home pays the QIDP directly.

Who offers the DDS sixteen hour new provider orientation?

Only agencies that DDS approved. DDS lists them on its New Provider Training page, which named three agencies when it was last updated in June 2025. Check the current list before you register.

What is an ICF/DD-H or ICF/DD-N facility?

ICF/DD-H (Habilitative) and ICF/DD-N (Nursing) are Intermediate Care Facilities for individuals with developmental disabilities, typically licensed for 4 to 6 beds in California. DD-H facilities focus on habilitation training; DD-N facilities additionally provide licensed nursing care for residents with medical needs.

What areas does DirectCare serve?

DirectCare provides on-site consulting within a 30-mile radius of San Jose, California, and remote consulting throughout California. On-site visits outside the San Jose area are available when travel expenses are covered by the client.

What does the free consultation include?

The free consultation is a no-obligation conversation about your facility's operations, licensing status, and modernization goals. You leave with an honest assessment of where consulting can help and where it can't.

Can DirectCare help with a licensing survey deficiency?

Yes. DirectCare helps ICF/DD facilities prepare plan-of-correction responses to licensing survey findings and build the documentation and processes needed to prevent repeat deficiencies.

What is included in the ICF/DD Program Plan?

The editable document covers all major sections expected in an ICF/DD-H or ICF/DD-N program plan: philosophy and goals, admission and discharge criteria, client assessment, interdisciplinary team process, Individual Service Plan (ISP) development, program elements, nursing and health services, and habilitation programming. It is delivered as an editable document you customize for your facility. Two versions are available: the ICF/DD Program Plan Template at $499, and ICF/DD-N Program Plan Plus at $899, which adds an example Attendant Training Plan and an example Medication Training Plan.

Does DirectCare work with new facilities that are not yet licensed?

Yes. Initial licensing support is a core service, including application preparation, program plan creation, policy and procedure development, and readiness for the initial licensing survey.

Ready to modernize your facility?

Start with a free, no-pressure consultation. Tell us about your home, and we'll tell you exactly how we can help.