Director’s

Packet

May

2017

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DIRECTOR’S REPORT May 19, 2017

Table of Contents

Page Number

ADMINISTRATION/FINANCIAL Purchase of Service Projection Overview FY 2016/17 and graphs .............. 1-8 Purchase of Service Expense Projection by DDS Acct. Categories ................. 9 Projected Non-CPP POS Expenses by DDS Account Categories ................... 10 Operations Status Report FY 2016/17 ..................................................... 11 Operations Comparison of Projected Expenses & Spending Authority .......... 12 Actual and Projected Operations Expenses FY 2016/17 ............................. 13

MANAGEMENT REPORT Dashboard Indicators for the Month Ending April 30, 2017 .................... Legal

COMMUNITY SERVICES REPORT May 2017 ...................................................................................... 22-23

HUMAN RESOURCES REPORT Personnel Report ................................................................................. 24

EDUCATION, OUTREACH & ADVOCACY UPDATE Quarterly Training Report ................................................................ 25-26 Casual Conversations ........................................................................ ivory Peer Advocates ............................................................................... white

MISCELLANEOUS ARCA – DRAFT letter to Senator Scott Wiener ................................................. lilac Understanding Barriers …California with Developmental Disabilities .................... tan Strategic Plan for Employment .................................................................... gray CMCS Information Bulletin: Extension of Transition Period… ....................... salmon

Far Northern Regional Center Budget Overview, continued

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Out of Home expenses This category shows the cost of clients in residential care, or Out of Home, facilities. An increase of almost $7.1 million, or 21.8%, is projected compared to the prior fiscal year. The vast majority of the increase in expenses was caused by rate increases given to facilities as a result of Assembly Bill ABX2 1 (ABX rate increases), including higher rates for some facilities that reduced their bed capacity from six to four beds. In addition, the number of consumers placed in more expensive Specialized Residential and geriatric facilities increased slightly compared to the prior year. However, the number of consumers in out of home facilities actually declined from June 30, 2016 (766) to March 31, 2017 (753) due in part to some facilities reducing their bed capacity for six beds to four beds. Many of the consumers impacted by these actions are now served in Supported Living because rate freezes stopped development of new facilities. The ABX rate increases may inspire providers to develop more facilities.

Far Northern Regional Center Budget Overview, continued

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Supported Living expenses These expenses are incurred to provide direct care for consumers who are able to live in their own homes. This category is projected to increase by almost $4.4 million, or 30.1%. ABX and minimum wage rate increases accounted for approximately 20% of the percentage increase, plus expenses rose due to new placements for difficult consumers and consumers who used to be in Out of Home facilities.

Far Northern Regional Center Budget Overview, continued

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Community Integrated Training expenses Community Integrated Training Programs are sometimes referred to as “like” day programs. These programs are replacing traditional day programs and cater to consumers with specialized needs or emphasize work in a subsidized business. Consumers are paid at the State minimum wage rate. These programs are more expensive than traditional day programs. This category is projected to increase by $3.7 million. The increase is due to ABX rate increases, full year costs for four programs that started late last fiscal year, and increased rates and expenses associated with reclassification of transformed Supported Employment and Work Activity programs into this category.

Far Northern Regional Center Budget Overview, continued

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Day Programs expenses This category is expected to increase by almost $1.6 million due to ABX rate increases. The number of consumers served is not increasing due to development of programs in the Community Integrated Training category.

Far Northern Regional Center Budget Overview, continued

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Specialized Autism programs expenses These programs serve clients aged 0-5. Expenses are projected to increase by $945 thousand, or 17.2%. About half the increase is due to ABX rate increases and the remaining half is due to increased numbers of hours served due to more referrals of consumers.

Personal Assistance expenses This category is expected to increase by $883 thousand due to ABX rate and minimum wage related increases, the addition of a high cost consumer formerly served in the Day Programs category, and increased use of services for some consumers with intense needs. Respite expenses This category is projected to increase by $830 thousand, or 21.6%. The increase is due primarily to ABX and minimum wage related rate increases.

Far Northern Regional Center Budget Overview, continued

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Transportation expenses This category is projected to increase by $766 thousand, or 11.0%. The increase is due primarily to ABX rate increases. Work programs expenses The $885 thousand decrease in this category is due to transformation of traditional Work programs into Community Integrated Training programs. This transformation is occurring to improve the quality of the programs and to comply with Federal funding requirements. Community Placement Plan (CPP) expenses: Almost $2.1 million in spending authority

allocated, including separate funds relating to the Sonoma Developmental Center (SDC) closure The Regional Center’s plan and goal is to place six consumers from developmental centers into the community. The current CPP plan requests projects expenses of almost $2.3 million, including almost $1.5 million in start up cost funding. One ($1.0) million in start up cost funding has been allocated specifically to develop facilities and programs for persons leaving the SDC, including two five-bed Adult Residential Facilities for Persons with Specialized Healthcare Needs (ARFPSHN). These facilities are in the process of construction would provide twenty-hour health care and intensive support services in a homelike setting. Questions or want more detailed information? Contact Michael Mintline at 530-226-4081 or mmintline@farnorthernrc.org

5/15/2017 Prepared by: M. Mintline 11

FAR NORTHERN REGIONAL CENTER OPERATIONS STATUS REPORT

FISCAL YEAR 2016/17

MAY 2017

The Regional Center is projecting $4 thousand in remaining operations spending

authority at this time and projected the same amount in the March 2017 report. If necessary, expenses will be reduced to ensure spending authority is not exceeded.

Regional Center contract spending authority Projected contract spending authority increased by $664 thousand. The increase was caused primarily by allocation of $671 thousand for a two year Promotores project. The purpose of this project is to increase the equity of services and decrease disparities in providing and funding of services for Hispanic and Southeast Asian families. Regional Center salaries or overhead are not allowable project expenses. The Regional Center has contracted with Northern Valley Catholic Social Services, Inc. to perform the project. In addition, $33 thousand was allocated for caseload growth, but Community Placement Plan (CPP) funding was also cut by $40 thousand because prior year placement targets were not met. Interest Projected interest revenue increased by $2 thousand from the March 2017 report because of earnings on higher than expected cash balances. Personal Services expenses

Projected Personal Services expenses decreased by $9 thousand from the March 2017 report due primarily to changes in projected health insurance costs.

Operating expenses

Operating expenses are projected to increase $675 thousand from the March 2017 report. Projected expenses will increase due primarily to:

A $ 671 thousand increase in Promotores contract expenses; A $23 thousand increase for purchases of standing worktables, meeting room

tables and chairs, workstations and a copier; A $16 thousand increase resulting from a payment to increase postage meter

inventories; A $16 thousand cut in projected software expenses for a new payroll and

human resource information system; A $10 thousand decrease in travel costs due to more local travel from the

Yreka office and fewer visits to the Porterville Developmental Center; A $9 thousand in net decreases to leasehold improvement, care provider

training, and other expenses.

FAR NORTHERN REGIONAL CENTERDASHBOARD INDICATORS

FOR THE MONTH ENDING APRIL 30, 2017

Clients by CountyButte Glenn Lassen Modoc Plumas Siskiyou Tehama Trinity Other Total

April 30, 2017 3,129 337 193 63 135 394 839 65 40 7,606Percent 41.14% 4.43% 2.54% 0.83% 1.77% 5.18% 11.03% 0.85% 0.53% 100.00%

Client LanguageEnglish Spanish Miao (Hmong) Mien Laotian Other Total

April 30, 2017 7,113 389 48 17 7 23 7,606Percent 93.52% 5.11% 0.63% 0.22% 0.09% 0.30% 100.00%

90.12%

Sign Language

2,41131.70%

Shasta

Butte41.14%

Glenn4.43%

Lassen2.54%Modoc

0.83%

Plumas1.77%

Shasta31.70%

Siskiyou5.18%

Tehama11.03%

Trinity0.85%

Other0.53%

Clients by County

English93.52%

Spanish5.11%

Miao (Hmong)0.63%Mien

0.22%

Laotian0.09% Sign Language

0.12%

Other0.30%

Client Language

COMMUNITY SERVICES DIVISION BOARD NEWSLETTER MAY 2017

The above chart shows the percentage of contracts paid by category. Far Northern Regional Center (FNRC) paid a total of $3,212,608.89 in March 2017 and

$2,415,022.79 in April 2017.

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COMMUNITY PLACEMENT PLAN

Far Northern Regional Center (FNRC) currently has four (4) clients living at Sonoma Developmental Center (SDC). Those four clients will transition into the community this summer when construction is completed on a triplex that is being built with hardened materials and open floor plans for better supervision. Construction should be complete by June 2017. The Department of Developmental Services (DDS) has calls with FNRC staff for updates on the 3-year SDC Closure Plan every other month.

Two sites have been purchased by a non-profit housing organization to be remodeled and used as an Adult Residential Facility for Persons with Special Health Care Needs (ARFPSHN) for individuals who require intensive medical care. While FNRC does not currently have any clients living in Developmental Centers who require this level of care, we will take transfers of clients from other regional centers who do need this level of care. We will also be able to move some individuals who currently live in the community into these homes.

PEND FOR DIANA TO COMPLETE

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VENDORIZATIONS

In March 2017, (18) packets were sent out to prospective vendors; vendorization was completed for (10) new service providers and (141) vendor files were closed.

In April 2017, (14) packets were sent out to prospective vendors; vendorization was completed for (20) new service providers and (5) vendor files were closed.

The chart below shows the details listed above:

WHISTLEBLOWER COMPLAINTS

No new Whistleblower complaints received

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FAR NORTHERN REGIONAL CENTER

PERSONNEL REPORT

(March 2017) RETIREMENT ANNOUNCED: Jim Cox, long-time Service Coordinator out of our Lake Almanor office, has announced that he intends to retire June 30, 2017. We are grateful from Jim’s devoted service to our mountain communities. Marge Troester, Nurse/Health Program Administrator in our Chico office, will retire August 15, 2017. We wish Marge all of the best in her retirement. RESIGNATION: Anai Abarca-Sanchez, Service Coordinator in Chico’s Children’s Unit, will leave her employment with FNRC on June 2, 2017. NEW EMPLOYEES: Sou Saechao began work with us as our new Employment Services Specialist on April 3, 2017. Director of Community Services Diana Anderson is Sou’s immediate supervisor. CURRENT OPEN POSITIONS: --Service Coordinator (Bilingual – English/Spanish) – Redding Office (Client Services Division)

Total Number of Employees: 199

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Quarterly Training Report May-July 2017

May 20th – Behavior Tools

This training will be in Redding and will be specifically for parents. It will be taught by Jesse Daniels. Up to 20 parents will be in attendance.

Therap Training: A training for providers on the use of the Therap System to submit Special Incident Reports to FNRC.

May 1, 8:30, 11:00 & 2:30 May 2, 8:30, 11:00, & 2:30 May 3, 8:30, 11:00, & 2:30 May 8, 8:30, 11:00, & 2:30 May 9, 8:30, 11:00, & 2:30 May 10, 8:30, 11:00 & 2:30

June 13th & June 20th – CAPTAIN- Part of the Casual Conversations Series This is a training for parents and providers discussing the use of evidence based practices in our service delivery to people with Autism.

June 20th – World Café- Part of the Casual Conversations Series

A discussion with parents & providers on integrating the new federal rules into our service system. 25

July 13th & 18th – Self Determination- Part of the Casual Conversations Series

A discussion with parents & providers on Self Determination- What is it and when will it start?

Aug 7th 10:30 & 2:00- CalABLE- Part of the Casual Conversations Series

A training on the program that allows you to save money while receiving government assistance.

June 16th – Clients’ Right Training

This training will be given by CRA Kimberly Candella specifically for residential administrators and their staff in Shasta County.

July 13th, 17th, 18th, & 24th – HIPPA Business Associate Agreement Training

This training is for providers

July 14th – Focus Film Presents Life, Animated & Right Footed

Life, Animated is the real-life story of Owen Suskind, the son of Pulitzer Prize winning journalist Ron Suskind and his wife, Cornelia. An autistic boy who couldn’t speak for years, Owen memorized dozens of Disney movies, turned them into a language to express love and loss, kinship, brotherhood. The family was forced to become animated characters, communicating with him in Disney dialogue and song; until they all emerge, together, revealing how, in darkness, we all literally need stories to survive.

-An Oscar nominated film by Roger Ross Williams

Right Footed tells the incredible story of Jessica Cox, who was born without arms but managed to become fully independent, learning to type with her toes, drive a car with her feet an most amazingly- fly an airplane with her feet. This inspiring documentary follows her over the course of two years as she gets married, becomes a mentor for children with disabilities, and a disability rights advocate working on the world stage.

-A film by Nick Spark

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