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2025 Grants Challenge

Advancing Healthcare, Providing Affordable Housing & Preventing Homelessness for Vulnerable Low Income Adults

The Licensed Adult Residential Care Association (LARCA) is focused on creating an online marketplace hub for it’s over 430 state licensed Adult Residential Facilities (ARF's) and Residential Care Facilities for the Elderly (RCFE's). LARCA member facilities provide care and housing for more than 20,000 low income residents in LA County. The LARCA Community Marketplace Hub portal will modernize and streamline care coordination connecting managed care plans, government agencies, medical facilities and providers to optimize whole-person care.


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What is the primary issue area that your application will impact?

Health care access

In which areas of Los Angeles will you be directly working?

Central LA County of Los Angeles (select only if your project has a countywide benefit)

In what stage of innovation is this project, program, or initiative?

Pilot or new project, program, or initiative (testing or implementing a new idea)

What is your understanding of the issue that you are seeking to address?

The market of ARFs and RCFEs serving the identified, vulnerable populations in Los Angeles County is not optimally utilized, due to a lack of centralized coordination and significant differences in access to real-time information among Market’s Users. Public agencies, nonprofit entities, and other entities utilizing the Market largely compete to reserve and access bed space to serve specific segments of vulnerable populations, maintain semi-exclusive or contractual relationships with facilities utilizing their own navigation processes, and utilize a wide range of relatively complex public funding streams, especially in transitioning people experiencing homelessness to ARFs and RCFEs.
There is an identified, unmet need from Market Users for a single government agency or entity to provide consistent information about the service capabilities and care rates of every ARF and RCFE for all Market Users. There's no current centralized, system of care for low income residents of LA County.



Describe the project, program, or initiative this grant will support to address the issue.

The LARCA Community Marketplace Hub will address the crisis of a non centralized or standardized care coordination system in Los Angeles County. Transitioning or diverting individuals from skilled nursing facilities to state-licensed ARF's and RCFE's will create system flow making available skilled nursing beds available for individuals needing a higher acuity of care. In addition, the LARCA Community Marketplace Hub will allow for individuals who are capable and willing to transition back into a residential setting within the community as they continue in their recovery process. The residents' care will be coordinated among governmental agencies and LARCA to ensure dignified whole person care is provided and consistent throughout the individuals recovery process. This project will also ensure transparency and accountability among all entities responsible for the healthcare of some of Los Angeles County's most vulnerable residents.

Describe how Los Angeles County will be different if your work is successful.

Los Angeles County will have provided permanent stable housing and care for more than 6,400 Los Angeles County residents who are low-income, living with a serious mental illness or co-occurring disorder and are in need of immediate housing and care. Angelenos will also have access to an innovative portal system that connects previously siloed agencies, providers, health facilities, managed care plans and families to available beds in the most appropriate residential care facility.

Approximately how many people will be impacted by this project, program, or initiative?

Direct Impact: 6,400

Indirect Impact: 20,000