In-Home Respite Agencies – Training Curriculum Review Protocol

The training curriculum review protocol is provided to assist In-Home Respite Agencies in developing training to respite workers in the provision of incidental medical services – gastrostomy feeding, colostomy/ileostomy, and urinary catheter care. Incidental medical services were added to the Lanterman Developmental Disabilities Services Act (Welfare and Institutions Code Section 4686) by the 2009 Statutes, Assembly Bill 4th Extraordinary, Chapter 9. The Department of Developmental Services (DDS) developed the review protocol with input from regional center clinicians.


The three review protocol checklists below outline specific details of how DDS will review each proposed training curriculum for respective procedures.

The training curriculum for each procedure the respite agency plans to provide must be submitted to DDS for final approval. Please submit the training curriculum via email to or mail to:

Department of Developmental Services 1215 O Street (MS 7-10) Sacramento, CA 95814 Attn: Clinical Services


For additional information regarding this topic, please contact Mai Moua, at 916-654-1605. You may also refer to the letters to all In-Home Respite Agencies:


Last modified: January 7, 2022