Happy New Year. May 2016 be a productive year for everyone.

This year, while we focus on achievement and accomplishments, it is also important to remember to take regular, periodic breaks from work. These pauses are essential to being productive, creative and innovative. A respite from work refreshes the body and the brain. A brief rest is an effective ‘pin-prick’ to burst that stagnant bubble and clear the mind.

Rejuvenate your energy and restore your focus – step away from your work area and engage in a calming, pleasant activity. Have a cup of coffee with a friend, read, write, knit, crochet, listen to music. . .

In our modern, technology-filled society that pressures everything and everyone to be available 24/7, it behooves us all to pause and reflect on the benefits of taking a time-out.



The debate over vaccinations for children, stirred by the recent measles outbreak, continues. Several states, including California, are considering legislation concerning mandatory vaccination and attendance in public schools. Below is a link to a recent infographic published in California Healthline illustrating the opinion of parents of preschool age children and attendance at day care centers, and a graph from Centers for Disease Control(CDC) depicting the relative magnitude of the current measles outbreak.

Daycare Vaccination Poll

Measles cases and outbreaks from January 1-February 6, 2015. 121 cases reported in 17 states: Arizona, California, Colorado, Delaware, Illinois, Michigan, Minnesota, Nebraska, Nevada, New Jersey, New York, Oregon, Pennsylvania, South Dakota, Texas, Utah, and Washington. One outbreak represents 85% of reported cases this year. Annual reported cases have ranged from a low of 37 in 2004 to a high of 644 in 2014. Data are provisional for cases in 2015.Va

Listening to NPR’s ‘Morning Edition’ on my daily walk this morning, I heard a report about homelessness and children. The reporter informed listeners that children under the age of five years old make up about fifty percent of the population of homeless children. These children, said the reporter, are often invisible, and then explained:  These children are seemingly invisible because homelessness is not restricted to those leaving on the streets and in open spaces. Homelessness includes families who have taken up residence with relatives, and frequently move from the home of one relative to another when the family can no longer be accommodated, as well as families living in shelters and transitional housing. The segment included interviews with several persons who work with these children, including preschool teachers. One teacher commented that she no longer has ‘Share Day’ because some of the children have no toys to share. Why eliminate ‘Share Day’? Instead, re-engineer ‘Share Day’ and create an opportunity for any child who wishes to participate by allowing the child to share a thought, idea, dream, or something about her-/himself, such as a favorite (least favorite) color, food, day of the week, season of the year, thing to do, etc. This ‘Share Day’ may provide wonderful insight for the teacher, and may even inspire future lessons.

The Senior Housing sector, including Assisted Living, has remained resilient throughout the recession during the past 5 years. The cost/rates for Assisted Living continue to closely parallel the multi-family and hospitality sectors.

Assisted Living Costs Rise 5 Percent Long Term Care Insurance Reports American Association for Long Term Care Insurance.

Pre-K Funding Drops

Children are one of our most precious natural resources. It is not only logical, but imperative that the nation invest in its children. Early Childhood Education benefits the child academically and behaviorally, helping to ensure that the child will complete his/her formal education and become a productive citizen and self-sufficient adult. These children are the individuals to whom the older generation will be entrusting their futures. By investing in our children we are investing in ourselves.

Children are the only form of immortality we can be sure of.   –  Peter Ustinov


The transition of adult day health care centers in California into the newly created Community Based Adult Services programs includes a proposal that all providers must become non-for-profit entities to be eligible to receive Medi-Cal payments.

The proposed new requirement that CBAS providers be not-for-profit to qualify for Medi-Cal funding goes back to the inception of the program in 1978 at which time the majority of the providers were non-profit. Not until the mid-1990’s, when the program mushroomed, did a majority of s providers become for-profit. Historical statistics indicate that prior to about 1996, 75% of ADHC centers in California were not-for-profit and 25% for-profit, whereas after about 1996, the reverse was true – approximately 75% of adult day health care centers were for-profit and 25% not-for-profit.Certainly exempting specialty and rural centers whose populations might otherwise not have access to the services currently provided by ADHCs is one method of attempting to insure that the frail elderly with acute needs who rely on and benefit from the services will continue to receive them under the CBAS model. Other strategic for-profit centers that may elect not to convert to a non-profit status might be targets for acquisition by not-for-profit centers seeking to expand their services.

Read the California Healthline Capitol Desk post by David Gorn, Monday, January 9, 2012:








Affordable Seniors Developer Launches New Website Targeting Its Market.

Seniors housing continues to become an integral part of the main stream housing sector, as seniors adapt to and embrace technology.