36
SAN ANDREAS REGIONAL CENTER BOARD OF DIRECTORS MEETING MEETING NOTICE/AGENDA ____________________________________________ Date: Monday June 15, 2015 Location: Watsonville Office Time: 6:00 - 8:00 pm 1110 Main Street Suite #8 Watsonville, CA. 95076 _______________________________________________________________________________________ AGENDA 6:00—6:02 l. Call to Order & Introduction. . . . . . . . . . . . . . . . .Lisa Lopez 6:02—6:05 ll. Vision Statement. . . . . . . . . . . . . . . . . . . . . . . . . .Lisa Lopez 6:05—6:09 lll. Approval of Minutes 1. Board Meeting Minutes - (5/18/15) 2. Fiscal Committee Meeting Minutes - (5/18/15) 3. Service Provider Advisory Committee Meeting Minutes-(5/27/15) 4. Program Policy Committee Meeting Minutes - (6/2/15) 5. Board Development Committee Meeting Minutes - (6/2/15) 6. Executive Committee Meeting Minutes - (6/2/15) 7. People’s Advisory Committee Meeting Minutes– (5/2015) 8. Quality Assurance Advisory Committee Meeting Minutes—(6/9/15) 6:09—6:20 lV. State Council on Developmental Disabilities, Silicon Valley/Monterey Bay . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . David Grady Note: Time is allowed for public input on all agenda items prior to board action on that item. Time is also allowed for public input on any issue not included on the agenda. (Welfare and Institutions Code Section 4116). People wishing to give input are invited to use the lectern or remain at their seats while speaking.

San Andreas Regional Center · Mia Garza Lourdes González ... Analyze the “Actual ratio” vs. the “Required ratio ... SAN ANDREAS REGIONAL CENTER BOARD OF DIRECTORS MEETING

Embed Size (px)

Citation preview

SAN ANDREAS REGIONAL CENTER

BOARD OF DIRECTORS MEETING

MEETING NOTICE/AGENDA

____________________________________________ Date: Monday June 15, 2015 Location: Watsonville Office

Time: 6:00 - 8:00 pm 1110 Main Street Suite #8

Watsonville, CA. 95076

_______________________________________________________________________________________

AGENDA

6:00—6:02 l. Call to Order & Introduction. . . . . . . . . . . . . . . . .Lisa Lopez

6:02—6:05 ll. Vision Statement. . . . . . . . . . . . . . . . . . . . . . . . . .Lisa Lopez

6:05—6:09 lll. Approval of Minutes

1. Board Meeting Minutes - (5/18/15)

2. Fiscal Committee Meeting Minutes - (5/18/15) 3. Service Provider Advisory Committee Meeting Minutes-(5/27/15)

4. Program Policy Committee Meeting Minutes - (6/2/15)

5. Board Development Committee Meeting Minutes - (6/2/15)

6. Executive Committee Meeting Minutes - (6/2/15)

7. People’s Advisory Committee Meeting Minutes– (5/2015)

8. Quality Assurance Advisory Committee Meeting Minutes—(6/9/15)

6:09—6:20 lV. State Council on Developmental Disabilities, Silicon Valley/Monterey Bay . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . David Grady

Note: Time is allowed for public input on all agenda items prior to board action on that item. Time is

also allowed for public input on any issue not included on the agenda. (Welfare and Institutions Code

Section 4116). People wishing to give input are invited to use the lectern or remain at their seats

while speaking.

6:20 —6:45 V. Presidents Report

1. The Lanterman’s 10, A Parent And Board’s Perspective

3. New and Closing Programs . . . . . . . . . . . . . . . . . .Robert Avery

6:45—7:05 Vl. Executive Director’s Report. . . . . . . . . . . . . . . . . . . Javier Zaldivar 1. FY 2015-16 Budget

7:05—7:20 Vll. Director of Consumer Services Report. . . . .. . . . . . .Mike Keeley

1. New Trailer Bill Language Impact

2. Forensic Conference Update

3. Self– Determination Update

7:20—7:45 Vlll. Committee Reports

1. Fiscal . . . . . . . . . . . . . . . . .. . . . . . . . . . . Yessica Vega-Rincon 2. Board Development . . . . . . . . . . . . . . .. . . . . . . . .Michele Alanis

ACTION ITEM: Recommendation to approve the election of Kim Yen Nguyen to her first two-year term on the Board.

ACTION ITEM: Recommendation to approve the election of Danette Zuniga to her first two-year term on the Board.

3. People’s Advisory Committee . . . . . . . . . . . . . .Barbara Altmann

4. Quality Assurance Advisory . . . . . . . . . . . . . . . Troy Hernandez

5. Service Provider Advisory . . . . . . . . . . . . . . . . . . . . . Debbie Ellis

6. Program Policy . . . . . . . . . . . . . . . . . . . . . . . . . . .Maya Bareket

7. ARCA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Maya Bareket

7:45—7:50 lX. Public Comment

7:50—7:55 X. Board Comment

- Spanish Conference

7:55—8:00 Xl. Announcements

- Hope Services Soccer Fundraiser 6/25/2015

8:00 Xll. Adjournment

SAN ANDREAS REGIONAL CENTER Board of Directors Meeting Minutes

Campbell Office May 18, 2015

Presiding: Lisa Lopez Board Members Present: Michele Alanis Barbara Altmann Maya Bareket Mitsuno Baurmeister

Debbie Ellis Mary Lu Gonzalez Jenna Hanecak Troy Hernandez Jesse Lechuga Dr. Lori Riggio Yessica Vega-Rincon Board Members Absent: Jacob Atteberry

Staff Present: Robert Avery Angel Burnett Scott Blow Erica Chen Mia Garza Lourdes González Janet Juarez Mike Keeley Tucker Liske Catherine McCoy Carrie Molho Arushie Nugapitiya Phien Phan Marilyn Pollard Irene de la Rosa Fawni Tornel Francisco Valenzuela Javier Zaldivar Community Present: Cele Glover David Grady

Sharmean Heffernan Veronica Lopez Kim Yen Nguyen Susan Skotzke

Danette Zuniga CALL TO ORDER Ms. Lisa Lopez Board President, called to order the regularly scheduled business meeting of San Andreas Regional Center at 6:23 p.m. Ms. Lisa Lopez also called attention to the note on the agenda stating that time is allowed for public input on any issue not included on the agenda (Welfare and Institutions Code Section 4116). Self-introductions were made and the vision statement was read by Mr. Jesse Lechuga. APPROVAL OF MINUTES M/S/C Moved to approve the following meeting minutes. (Altmann/Alanis) No further discussions. All in favor. Motion carries. SAN ANDREAS REGIONAL CENTER BOARD OF DIRECTORS MEETING Page 1 of 8 May 18, 2015

1. Board Meeting Minutes - (4/20/15) 2. Fiscal Committee Meeting - (4/20/15) 3. Service Provider Advisory Committee Meeting Minutes – No Minutes 4. Program Policy Committee Meeting Minutes – No Minutes 5. Board Development Committee Meeting Minutes (5/2/15) 6. Executive Committee Meeting Minutes – (5/2/15) 7. Quality Assurance Advisory Committee – (5/12/15) 8. People’s Advisory Committee Meeting Minutes – No Minutes

RECOGNITION The San Andreas Regional Center was recognized by Senator Jim Beall’s office for our commitment to people with developmental disabilities and for helping them be part of our community. Mr. Domingo Candelas staffer to the Senator’s office made the presentation of the Resolution plaque at our Board meeting we are honored and proud of this acknowledgment. Plaques The Board presented Mr. Jesse Lechuga a recognition plaque to thank him for his two and half years of service. Mr. Lechuga expressed heartfelt thanks to the Board for their passion in serving. A plaque was also awarded to Ms. Mary Lu Gonzalez for her completion of three terms of service, her leadership and her advocacy. Ms. Gonzalez thanked the Board and the staff for her recognition and their dedication in serving. STATE COUNCIL ON DEVELOPMENTAL DISABILITIES SILICON VALLEY/MONTEREY BAY Mr. David Grady Executive Director congratulated SARC for the great commendation from Senator Beall. He also expressed his disappointment in the May budget revise, but he said that our requests are long term goals and the fight will continue. SCDD will participate and support in swaying the opinions of legislators. Mr. Grady said that the State Planning meetings have been completed and they had an average of 8 to 10 people per meeting. They continue their trainings in:

• Self Determination • Rights and Advocacy • Disparity – a taskforce that works to improve the knowledge base of families in

their native language. Mr. Grady informed that they are looking to form the Self Determination Advisory Committee by June 1st and have a meeting by June 30, 2015. SARC will also help recruit people to the committee. PRESIDENT’S REPORT Ms. Lisa Lopez Board President gave a brief summary on the challenges being faced by the families and the providers.

SAN ANDREAS REGIONAL CENTER BOARD OF DIRECTORS MEETING Page 2 of 8 May 18, 2015

The challenges are due to the lack of funding facing the system and it is a disappointment that the May Revise did not approve any of the talking points supported by the Lanterman Coalition. It is time to come together as a community and put pressure on the legislatures to make the governor take a closer look at the funding of the system. The community can be more effective with united voices let’s all work together. New and Closing Programs Mr. Robert Avery’s reported on new and closing programs: 1 Closed

1. Easter Seals providing respite in Monterey, Santa Cruz, and San Benito Counties

9 Opened 1. Crisis Intervention Facility - Los Gatos 2. Speech Pathologist – Santa Cruz 3. Independent Living Services – Marina 4. Independent Living Services – Mountain view 5. Translator Services - Gilroy 6. Community Integration Training Services -Salinas

Be aware that MV Transportation is in danger of closing by the end of July, due to the non-competitive rates that we are subject to. SARC is working with them diligently on finding a solution that will help them continue with the contract. EXECUTIVE DIRECTOR’S REPORT: Mr. Javier Zaldivar Executive Director discussed a page that was given out to the legislators. It gives an overview of what San Andreas Regional Center is and does, who we serve, and where. It shows that the number of individuals has grown, but the funding and support has not kept pace. Since 2008-09 the system has suffered a reduction of funds of $1 billion and the quality of services has become very limited. The government has not kept the promise of the Lanterman Act. The May Budget Revise was released May 15, 2015 unfortunately we did not get any of the things with asked for. It is a time to call and contact our legislatures to ask them to pressure the governor to approve the Lanterman Coalition’s talking points. The sub- committee hearings are coming up and it gives us an opportunity to continue asking for a funding increase to our system. The increase that has been approved already is tied up to mandated events already such as the closure of the Developmental Center of Sonoma. Mr. Zaldivar shared the article “Crafting the 2015-16 State Budget: Constraints and Opportunities” he emphasized that we are a land of propositions and the money has been spoken for mainly by Education and now we must abide by those mandates. It is our responsibility to let the Governor know the possible future scenario for our system, and that if it continues unfunded it will suffer a systemic collapse. More often now we are seeing programs closing or limiting their services and the quality of services is not there anymore. Mr. Zaldivar passed out the “Autism Rising” report that gives an analysis of autism and autism services.

SAN ANDREAS REGIONAL CENTER BOARD OF DIRECTORS MEETING Page 3 of 8 May 18, 2015

DIRECTOR OF CONSUMER SERVICES REPORT: Mr. Mike Keeley Director of Consumer Services gave the Caseload Ratio report as mandated by DDS because we are not in compliance. None of the other 21 regional centers are in compliance either. The chart below gives a snapshot in time of SARC’s progress. Analyze the “Actual ratio” vs. the “Required ratio” rows.

The steps SARC has taken to reduce the loads and be on our way to compliance are:

• Three new service coordinator positions have been added. • Many back-filled positions have been filled • One floater position has been added, this person moves from unit to unit. • One Quality Assurance position has been filled. • A person for scanning only has been added. • A resource person has been added to the unit.

In order to be in compliance we would need about 60 more service coordinators, but that would also increase the need for support people in all other departments and building space, it is not possible with our current budget. Ms. Arushie Nugapitiya and Ms. Irene de la Rosa made a presentation to make public their waiver AB 637 Proposal request. The request proposes that SARC have the ability to negotiate with contracted Speech and Language Vendors and Early Intervention Programs to utilize Speech and Language Pathologists with Required Professional Experience Temporary License (SLP-RPE). This is done to lessen the disparity in services to children that need it, especially monolingual speakers. Here are some of the questions and feed-back raised in the presentation:

1. David Grady Executive Director for State Council Developmental Disabilities asked if it would cover Monterey County Response – Yes it would cover Monterey County and all of SARC’s catchment area. 2. Fawni Tornel asked what the average waiting time is for individuals on the waiting list.

SAN ANDREAS REGIONAL CENTER BOARD OF DIRECTORS MEETING Page 4 of 8 May 18, 2015

Response – Ms. De la Rosa said that the average wait is 3 to 4 months for English speaking, and 6 to 8 months for Spanish and Vietnamese speaking individuals. 3. Yessica Vega-Rincon Board member wanted to know if the contract can be written in a way that guarantees coverage for individuals in the southern counties. 4. Mr. Grady asked what a temporary license means and is it like an internship, and what kind of supervision would be implemented. Response – Ms. De la Rosa responded that the supervision would be on a weekly basis. Mr. Javier Zaldivar explained that the temporary license is more than an internship, these individuals are already licensed they just need to complete certain services to get fully licensed it is similar to the fellowship of a resident doctor. Response – Ms. Nugapitiya said that yes the contract will be for the entire catchment area of San Andreas Regional Center. Feedback: The Waiver discussion came about due to an issue in the Monterey County so yes all counties will be covered. Presently there are 3 potential providers that are ready to be deployed once the waiver has been granted. Mr. Grady requested that the contract language be clear and concise in a way that all individuals that need services are covered, not just the minimum to cover a quota. Overall he said it was a good idea and wished us luck.

COMMITTEE REPORTS: FISCAL POS (Non-CPP only) Mr. Jesse Lechuga Board treasurer reported the Monthly Fiscal Summary. Purchase of Services for the month of March 2015 was $23,924,026 and the Year-to-Date was $219,637,500. The Fiscal Year Projection is $300,421,679. The current allocation is $285,182,283. The projected deficit is $15,239,396. Individuals Served The number of individuals served as of March 28, 2015 was 14,893. This is an increase of 207 since March 2014. Operations (OPS) Expenses for the month April 2015 were $2,721,335 and the Year-to-Date was $22,164,242. The Fiscal Year Projection is $29,492,829. The allocation is $29,574,580 projecting a surplus of $81,751. SAN ANDREAS REGIONAL CENTER BOARD OF DIRECTORS MEETING Page 5 of 8 May 18, 2015

Current Year Cash Flow The cash position through the end of April was $41,627,356. Donations Account The balance in the Donation Fund through the end of April was $154,810 this was a net increase of $3,207 in April. Medicaid Waver Enrollment The Enrollment as of the end of March was 6,781. The target for 2014-2015 is 6,814. Mr. Robert Avery informed that from FY 2013-14 there is $335,000 surplus that should be used to pay the unfunded liability. Also that from FY 2009-10 $100,000 had been approved by the Board to be paid but it was never done it will be done now. M/S/C Moved to approve payment of $335,000 to the unfunded liability from the FY 2013-14, plus the $100,000 from FY 2009-10 that had been approved already. Total payment will be $435,000. (Bareket/Alanis) No further discussions. All in favor. Motion carries. BOARD DEVELOPMENT COMMITTEE Minutes are included in the packet. PEOPLE’S ADVISORY COMMITTEE (PAC) Minutes are included in the packet. QUALITY ASSURANCE ADVISORY COMMITTEE Minutes are included in the packet. Mr. Troy Hernandez made the comment that the cost of education is very high and difficult to access it for many. Mr. Grady mentioned that a family had attended the QA meeting to share some of the issues they are going through due to the Medi Cal and ABA regulations. Mr. Zaldivar explained that many families have to transition to the Medi Cal regulations and it has been difficult but SARC is working with them to make the process smoother. SERVICE PROVIDER ADVISORY COMMITTEE Ms. Debbie Ellis SPAC chair informed that they had their retreat on May 17, 2015 they worked on their goals and objectives for 2015-16. One of their goals is to reach out to the community. Ms. Ellis encouraged the audience to call and get in touch with their legislator to ask for support of the Lanterman Coalition asking points.

- SPAC will have a Career Fair on May 28, 2015 to find and share resources. - There will be a presentation on Federal Labor Standards Act (FLSA) on June 9,

2015.

SAN ANDREAS REGIONAL CENTER BOARD OF DIRECTORS MEETING Page 6 of 8 May 18, 2015

Ms. Ellis recommended two individuals to be voted into SPAC to fill the vacancies Ms. Sharmean Heffernan of California Mentor and Mr. Brian Pienta of Trumpet. M/S/C Moved to approve Ms. Sharmean Heffernan to her first two-year term in SPAC. (Vega-Rincon/Alanis) No further discussions. All in favor. Motion carries. M/S/C Moved to approve Mr. Brian Pienta to his first two-year term in SPAC, but due to an objection from a community member the decision was tabled for a later time after further investigation. (Gonzalez/Hanecak) No further discussions. All in favor. Motion carries. PROGRAM POLICY COMMITTEE There will be a meeting in June 2015. ARCA Ms. Bareket will attend the call and the ARCA meeting in June PUBLIC COMMENT None BOARD COMMENT Ms. Bareket announced the HOPE Annual Music Performance on July 24, 2015. Ms. Ellis shared that she attended a Self-Determination class and got certified and it was very informative. Ms. Michele Alanis shared her attendance at the 10th Annual Autism Speaks event very informative she spoke to a lot of vendors and promoted San Andreas Regional Center. She also attended the rally in Sacramento on that day to support our issues.

SAN ANDREAS REGIONAL CENTER BOARD OF DIRECTORS MEETING Page 7 of 8 May 18, 2015

ANNOUNCEMENTS Mr. Francisco Valenzuela gave these announcements. May 30, 2015 San Andreas Regional Center Services’ Spanish Conference 7th Annual Disability Awareness Night July 16, 2015 Special Olympics July 25 – August 2, 2015 first time in Los Angeles. Service Above Self Awards Dinner nominations will be from July 1st to August 30, 2015, notifications will be done in September and the dinner in October 17, 2015. The parent stress workshops will continue: June 6, 2015 in Spanish in Campbell Later in the Santa Cruz, and then in Vietnamese. ADJOURNMENT Meeting adjourned at 8:15 p.m. by the President Ms. Lisa Lopez Recording Secretary, Ms. Lourdes González Submitted by, ______________________________ Ms. Yessica Vega-Rincon, Board Secretary

SAN ANDREAS REGIONAL CENTER BOARD OF DIRECTORS MEETING Page 8 of 8 May 18, 2015

San Andreas Regional Center Board of Directors

Fiscal Committee - Meeting Minutes May 18, 2015

Committee Members Present: Jenna Hanecak Mary Lu Gonzalez Jesse Lechuga (Chair)

Committee Member Absent: Yessica Vega-Rincon Staff Present: Robert Avery Lourdes González Javier Zaldivar Meeting called to order at 5:10 p.m. 1. POS (Non-CPP only) Mr. Robert Avery Chief Financial Officer, reported the Monthly Fiscal Summary. Purchase of Services for the month of March 2015 was $23,924,026 and the Year-to-Date was $219,637,500. The Fiscal Year Projection is $300,421,679. The current allocation is $285,182,283. The projected deficit is $15,239,396. The deficit will continue to shrink as POS allocation amendments come in.

2. Individuals Served The number of individuals served as of March 28, 2015 was 14,893. This is an increase of 207 since March 2014. 3. Operations (OPS) Expenses for the month April 2015 were $2,721,335 and the Year-to-Date was $22,164,242. The Fiscal Year Projection is $29,492,829. The allocation is $29,574,580 projecting a surplus of $81,751. 4. Cash Position The cash position through the end of April was $41,627,356. 5. Donation Fund The balance in the Donation Fund through the end of April was $154,810 this was a net increase of $3,207 in April. 6. Medicaid Waver Enrollment The Enrollment as of the end of March was 6,781. The target for 2014-2015 is 6,814.

Fiscal Committee Page 1 of 2

7. Other Mr. Robert Avery informed the committee that from FY 2013-14 there is $335,000 surplus that should be used to pay the unfunded liability. He requested the committee recommend to the Board the approval of the transaction since anything over $50,000 has to be approved by the Board. He also informed that it was noted that from FY 2009-10 $100,000 had been approved by the Board to be paid but it was never done. It will be done now a total of $435,000 will be paid into the unfunded liability which stands around $14 million. M/S/C Moved to recommend to the full Board approval of payment of $335,000 to the unfunded liability. (Gonzalez/Hanecak) No further discussions. All in favor. Motion carries. 8. Next Meeting Date June 15, 2015 at 5:00 pm. Watsonville Office 9. Adjournment The meeting was adjourned at 5:20pm.

Fiscal Committee Page 2 of 2

San Andreas Regional Center

Board of Directors SERVICE PROVIDER ADVISORY COMMITTEE (SPAC)

Meeting Minutes May 27, 2015

Members Present Katy Chevalier Debbie Ellis (Chair) Raymond Fierro Sharmean Heffernan Sean Galvin Wesley Moss Rebekah Jackson Monica Pritchett Soheila Razban Ramon Robles Members absent Staff Present Jeff Darling Lourdes González Mike Keeley Phien Phan Francisco Valenzuela Javier Zaldivar Community Members Cathy Bouchard Kim Dodd Duran Duncan Rauscher Ryan Easterly

David Grady Kendall Kluthe Dominic Ordaz Doug Pascover Alastair Powell Jamie Rivera-Vallestero Dylan Wales Sandy Zipagan

Introductions Ms. Debbie Ellis called the meeting to order at 10:10 am beginning with introductions. Committee Updates Ms. Ellis introduced Ms. Sharmean Heffernan of California Mentor as a new member of SPAC. She also presented a certificate of recognition for his services to Mr. Sean Galvin who is leaving the committee. Executive Director Update Mr. Javier Zaldivar Executive Director shared with the audience the disappointing news of the May Revise. There was no movement towards approving the Lanterman Coalition’s request of 10% increase. Mr. Zaldivar encouraged the audience to call their representatives and asked them to support the 10% increase as things are moving behind the scenes still and the final budget decision has not been made. Providers are having a hard time staying afloat and when they fail it causes a ripple effect, programs, individuals, and their families are affected. The changes in labor laws will change fundamentals in doing business so be prepared. The good news is that we do have legislators that understand our plight and support us, such as Tony Thurmond and Senator Holly Mitchell. Mr. Zaldivar discussed that DDS plans to close all the developmental centers within 10 years, and Sonoma Developmental Center after getting in trouble with the federal government has almost completed placing most of its individuals in the community. Mr. Zaldivar said that the placing is the easy part the hard part is having a safety net of quality services in the community. Housing alone is out of control and good medical services are difficult to establish.

Service Provider Advisory Committee Page 1 of 4

Mr. Zaldivar informed the group that our principal transportation provider is having a hard time competing with the stablished rates and there is no alternative to step up and absorb the responsibility if they go under, but SARC is working hard on a resolution. Mr. Zaldivar urged the committee to read the “Autism Rising” report posted in our website it illustrates the huge spike in diagnosis in California. He mentioned the “Intentional Communities” where only individuals served live and can be taken care of, however these communities go against CMS regulations that state that individuals must live in the general community. He mentioned the DDS discussions of the Task force on sheltered workshops and we are waiting for their decision on what will ultimately happen with them. Mr. Zaldivar expressed his concern with the fact that not a lot of applications came in for the Self Determination Advisory Committee. He invited the audience to invite participants to be part of the committee and have at least one meeting by June 30, 2015. MySupport Mr. Ryan Easterly and Mr. Ari Ne’eman presented “MySupport” a web-based platform designed to help seniors and people with disabilities find the right support workers and manage their schedules. By having consumer and workers answer questions about what they’re looking for in a support relationship, potential matches can be made based on personality fit rather than just the support services they need. It gives the consumers the ability to connect with workers to get the support they need to lead the lives they want. The Program contains these categories to navigate through:

• Profile • Matching • Scheduling • Filtered Searching • Messaging • Notifications and Reminders

The audience questioned the security of the program, Mr. Ne’eman answered that their program is well secured, and available 24/7, the approximate cost will be $30.00 per person, but right now under the pilot program the participation is free. For more information go to mysupport.com. Mandated Reporter Mr. Javier Zaldivar Executive Director passed out the “Mandated Reporter” chart that makes it easy to know when to call the police or the appropriate agency. He also passed out a copy of form SOC341 to report physical abuse that it is distributed by the Department of Social Services. The committee discussed various scenarios of what constitutes physical and financial abuse. What does it meant to go missing and the penalties for staff that do not report an abuse. Mr. Zaldivar told the providers that they are the ones that know the individuals better than anyone they should pay attention to their gut instinct if something feels wrong they should report it.

Service Provider Advisory Committee Page 2 of 4

Program Design Mr. Mike Keeley Director of Consumer Services told the providers that their program designs should be updated with SARC as soon as a change occurs. The designs should spell out everything that occurs there. The personnel list should always be updated and current. The program should not charge different rates to different people. There is a formal way to update the program design for more information you can contact Mr. Jeffrey Darling. Announcements Mr. Zaldivar announced that SARC will have a Summer Carnival for the families in August. On August 1, 2015 it will be in Salinas and August 8, 2015 it will be in San Jose. He shared that the Coffee Socials have had great success as well as the Legislative Luncheon. The Coffee Socials will be replicated in the outer offices. The SPAC Job fair will be May 28, 2015. FLSA Presentation June 9, 2015 The Holiday Schedule hearing was on 5/9/15 but no decision has been released. Ms. Debbie Ellis announced that the committee had their annual retreat and they worked on their goals and objectives for the next fiscal year. People’s Advisory Committee Mr. Francisco Valenzuela announced that there a five groups that are meeting regularly and they are discussing the Lanterman Act, and soon will discuss the top areas of concern from the National Core Indicators (NCI) report. Community Events July 9, 2015 Legislative Tour July 16, 2015 Disability Awareness Night San Jose Giants Vendor Fairs: September 3, 2015 Watsonville Office September 10, 2015 Salinas Office September 17, 2015 Gilroy Office September 24, 2015 Campbell Community Center October 1, 2015 Disability Awareness Day at City Hall SARC signed the MOU with Santa Cruz Housing that will provide housing vouchers for certain individuals.

Service Provider Advisory Committee Page 3 of 4

State Council on Developmental Disabilities Silicon Valley/Monterrey Bay (SCDD) Mr. David Grady Executive Director informed that they continue working on self-determination, the disparity supporting SARC, and educating families. Potential Presentation Topics & Presenters

Next SPAC Committee Meeting: July 22, 2015 at 10:00 a.m. Room 35

Adjournment

The meeting was adjourned at 11:52 pm.

Service Provider Advisory Committee Page 4 of 4

San Andreas Regional Center Board of Directors PEOPLE’S ADVISORY COMMITTEE

Greater Opportunities: North First St. San Jose March 5, 2015

Members Present: Liz Bartolone Cathy McAfee Ernie Strassman (Pres.) Philip Nguyen Members Absent: Andrew Archuleta Barbara Altmann Ashley Mr. Francisco Valenzuela Committee Facilitator led the group in a discussion about the crisis issues facing California’s programs and policies that need to be passed. Ernie read a summary that listed:

• Shortage of support staff in the programs • Underfunding of system and programs struggling to stay open due to low

rates. • The high cost of living in our area and the high cost of doing business. • The need for 10% increase in the Developmental Disabilities system so it

can stop the bleeding. • The need for a 5% annual increase to sustain the system. • The need to reform the core staffing formula.

Mr. Valenzuela requested the help of the group for the March 18, 2015 letter writing campaign where the message is we “speak with one voice”. It will be an opportunity to be advocates and write why the programs are important. Mr. Valenzuela also told the group that they would be attending the Legislative Luncheon on April 24, 2015. Ernie Strassman PAC president will be one of the speakers along with Javier Zaldivar, Santi Rogers, Senator Monning and Rick Rollins. Senator Beall will be speaking at the Press conference as well. Mr. Valenzuela mentioned that he would be attending the Assembly and Senate Hearings in Sacramento to support the issues they discussed. He requested help from the group for the upcoming Grass roots day they will work on the logistics. Many members showed their interest in attending the People First Conference on May 1-2, 2015. Next PAC Committee Meeting: April, 2015 at 11:00 am.

People’s Advisory Committee Minutes Transcribed by Lourdes Gonzalez Page 1 of 1

San Andreas Regional Center Board of Directors PEOPLE ADVISORY COMMITTEE

Hope Services: Santa Cruz March 20, 2015

Members present were: Toby Ames Sarah Bush Amy Colendick Jared Gorham Aaron Grushkin Jennifer Herschkorn Brianne Holeman Mike Nichols Allison Orr Canaan Vaage Diane

Members absent were: Mitch Douglas Jennifer Herschkorn Mr. Francisco Valenzuela Committee Facilitator requested the help of the group for the March 18, 2015 letter writing campaign he told them it would be a good opportunity to be advocates and write in support of the issues impacting the system. The message is “we speak with one voice” Mr. Valenzuela told the group that they should write a letter to a legislator telling him/her that we need support in these three issues:

• The need for 10% increase in the Developmental Disabilities system so it can stop the bleeding.

• The need for a 5% annual increase to sustain the system. • The need to reform the core staffing formula that has been used since

1991. The letters should contain their personal stories and their picture and they will be delivered on Grass roots day and at the Legislative Luncheon. At the luncheon they will show videos from Grass roots day and show the message “we speak with one voice”. Discussion of the Lanterman Act will continue in the future months. Next PAC Committee Meeting: April, 2015

People’s Advisory Committee Minutes Transcribed by Lourdes Gonzalez Page 1 of 1

San Andreas Regional Center Board of Directors PEOPLE ADVISORY COMMITTEE

Hope Services: Whittier March 25, 2015

Members present were: Milta Alfaro Febbie Casingal Sandra Do Lina Leeper Chris Gianola Shaunte Kirkman Frank Tarling Cathy Whitmore Ashley Mr. Francisco Valenzuela Committee Facilitator informed the individuals that

SARC is advocating at Grass roots day in Sacramento on April 15, 2015. He

requested their help in writing letters to the politicians. Francisco requested that

the letters include the three talking points.

• The need for 10% increase in the Developmental Disabilities system so it

can stop the bleeding.

• The need for a 5% annual increase to sustain the system.

• The need to reform the core staffing formula that has been used since

1991.

He explained that the programs need more money to be run because the cost of

everything has gone up but not the funding for the programs. He told the group

that their letters will be turned in on Grass roots day as well as at the Luncheon.

Mr. Valenzuela invited the committee to attend the San Andreas Legislative

Luncheon on April 24, 2015 to continue advocating for our system.

Mr. Valenzuela announced that at next month’s meeting they will focus in

learning the Lanterman Act booklet.

Next PAC Committee Meeting: April 23, 2015

People’s Advisory Committee Minutes Transcribed by Lourdes Gonzalez Page 1 of 1

San Andreas Regional Center Board of Directors PEOPLE ADVISORY COMMITTEE

Hope Services: Santa Cruz May 14, 2015

Members present were: Toby Ames Amy Colendick Mitch Douglas Aaron Grushkin

Brianne Holeman Branden Kenny Phillip Nguyen Allison Orr Canaan Vaage Savanah Sheri

Mr. Francisco Valenzuela Committee Facilitator held a PAC meeting on May 14, 2015. The topics discussed were: The Legislative Luncheon held on April 24, 2015 and Quality of Life Topics. Next PAC Committee Meeting: June 2015

People’s Advisory Committee Minutes Transcribed by Lourdes Gonzalez Page 1 of 1

San Andreas Regional Center Board of Directors PEOPLE ADVISORY COMMITTEE

Hope Services: Whittier May 27, 2015

Members present were: Milta Alfaro Cecilia Amorsas Maya Bareket Febbie Casingal Theresa Casper Sandra Do John Leeper Lina Leeper Chris Gianola Cathy Whitmore Ashley Mr. Francisco Valenzuela Committee Facilitator led the individuals in a

discussion on the following issues:

• Governor’s Budget

• Grass Roots Day

• Satisfaction Survey

Next PAC Committee Meeting: June 2015

People’s Advisory Committee Minutes Transcribed by Lourdes Gonzalez Page 1 of 1

San Andreas Regional Center Board of Directors PEOPLE’S ADVISORY COMMITTEE

Greater Opportunities: North First St. San Jose June 4, 2015

Members Present: Andrew Archuleta Debbie Beck Ashley Harding Cathy McAfee Ernie Strassman (Pres.) Philip Nguyen Mr. Francisco Valenzuela Committee Facilitator led the individuals in a

discussion on the following issues:

• Governor’s Budget

• Grass Roots Day

• Satisfaction Survey

Next PAC Committee Meeting: July 2015 at 11:00 am.

People’s Advisory Committee Minutes Transcribed by Lourdes Gonzalez Page 1 of 1

San Andreas Regional Center Board of Directors

Program Policy Committee Minutes June 2, 2015

Committee Members Present: Michele Alanis Maya Baraket (Chair) Mitsuno Baurmeister Debbie Ellis Committee Members Absent: Staff Present: James Elliot Lourdes González Mike Keeley Javier Zaldivar The meeting was called to order at 5:11 p.m. by Ms. Maya Bareket Committee chair. 1. Conference Policy The committee met to review a new policy that will be implemented by SARC once it has been approved by DDS. The policy was crafted to regulate the number of requests and the medical validity of the conferences the parents ask to attend.

SAN ANDREAS REGIONAL CENTER CONFERENCE POLICY

I. Purpose: It is the intent of San Andreas Regional Center to encourage and assist families to care for their children and adult children at home and in the community. In order to meet the needs of individuals served by the regional center, the regional center shall insure the continuing ability of parents or caregivers to use appropriate methods when working with the individual.

II. Definitions: • Consumer, Individual, and person served are used interchangeably in

regional center policy and the Lanterman Developmental Disabilities Services Act, and mean a person who has been found eligible and receives services from the regional center.

• Parent or caregiver means the biological, adoptive, or foster parent; conservator; or legal representative of an individual, or another person responsible for providing direct care and supervision to the individual in the individual’s home and who does not receive purchase of service funding from the regional center in order to do so.

• A conference or seminar is a structured, facilitated event in order to instruct the participants regarding particular information.

Program Policy Committee Page 1 of 4

III. Policy: Under ordinary circumstances San Andreas Regional Center will not purchase conferences for individuals as their needs are usually met via other direct services. However, there are occasions where either the individuals or family parents/guardians may get more information that is not otherwise available outside of a conference, in those cases, San Andreas may provide a purchase of service for conferences when a family can demonstrate a financial need, and when doing so will enable the individual to remain in the family home. San Andreas Regional Center shall assist individuals or families when the following criteria are met: • The individual must live with the parent or caregiver or in their own

residence. • The information, techniques, and/or methods the participant is meant to

learn are valid, clinically-accepted, and evidenced-based. • The proposed conference or seminar must provide information or training

that is directly applicable to one or more of the individual’s needs as indicated in the individual program plan.

• There exists no generic public or private source for receiving comparable training or information.

• The conference must be sponsored or vendored with San Andreas Regional Center, or the parent must have a reimbursable service code via their vendor agreement with the regional center.

IV. Purchase of Service Standard: The cost authorized will be for tuition/registration only. Transportation, lodging, and any meals not included as part of the registration/tuition, if applicable, are the responsibility of the parent/caregiver. Funding is only available for one parent/caregiver per family. Such funding may be granted up to $300 per year per individual.

V. Exception Process: The executive director has full discretion to authorize purchases of service which are exceptions to the board-adopted purchase of service policies and standards. The executive director has designated certain individuals within the regional center who are authorized to grant an exception in the executive director’s stead; these individuals are referred to as director’s designees.

Program Policy Committee Page 2 of 4

The first formal discussion of a request for service takes place at the planning team meeting. If the request falls within the service policy, the request is granted.

If the request for service is not consistent with the policy, the service coordinator starts the exception review process by exploring the basis for the request. A time line for the director’s exception review is set by agreement between the individual/family and the service coordinator but the time line may not exceed fifteen (15) days. Within that time, another planning team meeting will be convened. In the meantime the coordinator presents the information to the manager to determine whether a director’s exception may be warranted. At the scheduled planning team meeting the decision will be made. The director’s designee will attend the planning team meeting if necessary. If the exception is granted, the service coordinator amends the person-centered individual program plan, notifies the individual/family, and gives a copy of the amended plan to the individual/family.

VI. Notice of Action: If the exception is not granted, the service coordinator promptly

informs the consumer/family that it has not been granted, informs the individuals/family of their appeal rights, and sends a notice of action and a fair hearing form.

2. Adult Day Programs Policy The committee reviewed and revised the policy Adult Day Programs wherever the word consumer appeared it has been replaced with the word individual and the rest of the revisions are in marked in red.

• Participant-Directed Community-Based Training Service for Adults is an individualized adult day program service that assists the adult individual in the development of skills required for community integrated employment and/or participation in volunteer activities and to secure employment and/or volunteer positions or pursue secondary education. This service shall be provided in natural environments in the community, separate from the individual’s residence. This service is limited to 150 hours per quarter. The vendor of this service can be either the adult individual, family member or conservator. However the direct support staff cannot be any of the previous previously mentioned individuals. The service is delivered by a skilled person chosen by the individual/family.

• Tailored Day Service for Adults is an individualized adult day program that encourages

opportunities to further the development or maintenance of employment, volunteer activities, or the pursuit of postsecondary education; maximize the individual’s direction of the service and increase the individual’s ability to lead an integrated and inclusive life. This service is delivered by a vendored agency of the regional center. The service design may

Program Policy Committee Page 3 of 4

include but not be limited to, fewer days or hours than in the program’s existing design. This service also may not exceed the equivalent cost of four-fifths eighty percent (80%) of the current vendor rate, either hourly or daily.

IV. Purchase of Service Standard: San Andreas Regional Center shall purchase the

services of an Adult Day Program for a individual when the planning team has determined that:

• The individual has graduated from the special education generic program and is at least

22 years of age; or is between the age of 18 and 22 years and has received a certificate of completion and/or diploma from their school district; and is no longer appropriate for a free publicly-funded education service.

• An adult day program service is the most appropriate service that will meet the needs of

the individual.

• There is no generic service available that will meet the individual's needs.

• There is an adult day program available that can appropriately meet the individual's needs.

• The program is the closest to the individual’s residence of those programs that are appropriate to meet the individual’s needs.

• The individual agrees to attend the adult day program.

• San Andreas Regional Center may purchase up to five days per week of adult day program

services for an adult individual. The amount purchased shall be based on the needs of the individual as determined through the planning team process.

The committee agreed to meet next month to revise the Day Care Policy as some changes need to be made. The Supportive Living Arrangements Policy is coming up for review in August, but Mr. Javier Zaldivar suggested that the review be postponed until the Supported Living Services Ad-Hoc Committee gives its recommendations. Mr. Mike Keeley is the Chair of the Supported Living Services Ad-Hoc Committee and they meet and discuss issues of philosophy, legal, and mental health, what works and what does not. 3. Next Committee Meeting July 7, 2015 at 5:00 pm 4. Adjournment There being no further discussion, the meeting adjourned at 6:00 pm.

Program Policy Committee Page 4 of 4

San Andreas Regional Center Board of Directors

BOARD DEVELOPMENT COMMITTEE MINUTES June 2, 2015

Committee Members Present: Michele Alanis (Chair) Maya Baraket Debbie Ellis Troy Hernandez Lisa Lopez Committee Members Absent: Staff Present: Lourdes Gonzalez Mike Keeley Javier Zaldivar Community: The Board Development Committee Meeting was called to order at 6:05 p.m., by Ms. Michele Alanis Committee Chair. 1. Confirm Board Education The Committee agreed that the Board Education on June 15, 2015 in the Watsonville office will be on the “Management System for Effective Personnel and Morale Development” presented by Mr. Roger Lara. 2. Applicants Update Ms. Alanis informed that Ms. Kim Yen Nguyen is ready to join the Board and she will be voted in at the June 15, 2015. The Committee also interviewed Ms. Danette Zuniga and she will be voted in as a Board member as well in June. Ms. Alanis asked for a motion to recommend the two ladies to the Board. M/S/C Moved to recommend to the full Board to vote Ms. Kim Yen Nguyen to her first two-year term as a Board member. (Baraket/Lopez) No further discussions. All in favor. Motion carries. M/S/C Moved to recommend to the full Board to vote Ms. Danette Zuniga to her first two-year term as a Board member. (Ellis/Baraket) No further discussions. All in favor. Motion carries. Ms. Alanis announced that she has some potential members that she is reaching out to, to see if they want to join the Board. Mr. Zaldivar emphasized that the committee should focus their recruiting on people that have the skills that will make us compliant to DDS, such as legal, accounting, and financial. Also recruiting from the San Benito County is needed as we don’t have much representation from that area.

Board Development Committee Minutes Recorded by Lourdes González Page 1 of 2

3. Other Ms. Debbie Ellis recommended to the committee that there should be training for all the members on conflict resolution and how to deal with upset people, it should became mandatory for all the new Board members. The committee agreed to plan such an event. 4. Next Committee Meeting Date/Time July 7, 2015 Campbell Office Room 35 at 6:00 p.m. 5. Adjournment: There being no further discussion, the meeting adjourned at 6:36 p.m.

Board Development Committee Minutes Recorded by Lourdes González Page 2 of 2

San Andreas Regional Center Board of Directors

EXECUTIVE COMMITTEE MINUTES June 2, 2015

Committee Members Present: Michele Alanis Barbara Altmann Maya Bareket Mitsuno Baurmeister Debbie Ellis Troy Hernandez Lisa Lopez Yessica Vega-Rincon Committee Members Absent: Staff Present: Lourdes González Mike Keeley Katie Magleby Francisco Valenzuela

Javier Zaldivar Community Present: Board President, Lisa Lopez called the meeting to order at 6:40 p.m. 1. Special Incident Reports (SIR) Ms. Katie Magleby Risk Assessment Standards Compliance Coordinator presented

the SIR report. Report on Special Incidents for the Month of May 2015. Total Incidents 513 97 Incidents reportable to DDS.

416 Incidents not reportable to DDS.

5 Deaths

8 Consumers reported missing with 0 not yet located

9 Suspected Abuse/Exploitation

1 Injuries Require Treatment Beyond First Aid

29 Medical Need/Accident

3 Victim of Crime

8 Suspected Neglect

34 Unplanned hospitalizations

114 Aggressive Acts

Ms. Magleby went over the specific details of the incidents. The committee discussed

the levels of consequences for a provider that has been found with substantial inadequacies. San Andreas gives a CAP (Corrective Action Plan) and reports it to licensing and any appropriate agency. While the provider is being investigated SARC does not place or refer any individual to that home.

Executive Committee Minutes Meeting Minutes recorded by Lourdes González Page 1 of 4

2. Development of the June 15, 2015 Board Meeting in Watsonville. There will be a Board Education prior to the Board meeting.

Mr. David Grady will present the State Council on Developmental Disabilities Silicon

Valley/Monterey Bay report. a. President’s Report: Lisa Lopez 1. The Lanterman’s 10, A Parent and Board’s Perspective 2. New and Closing Programs . . . . . . . . . . . . . . . . . . Robert Avery b. Executive Director’s Report: Javier Zaldivar 1. FY 2015-16 Budget c. Director of Consumer Services Report: Mike Keeley 1. New Trailer Bill Language Impact 2. Forensic Conference Update 3. Self– Determination Update d. Committee Reports:

Fiscal – There will be a report.

Board Development – There will be a report and two action items to vote-in two new Board members.

People’s Advisory Committee – There will be a report.

Quality Assurance Advisory – There will be a report

Service Provider Advisory Committee - Ms. Debbie Ellis SPAC Chair will inform on the career fair, and as far as filling their vacancies they will stay with nine members for the next six months.

Program Policy Committee – There will be a report as a new Conference

Policy was sent to DDS for approval. ARCA Update – There will be a report and the ARCA meeting will be on June 18, 19, 2015.

Executive Committee Minutes Meeting Minutes recorded by Lourdes González Page 2 of 4

3. Property Management Update Mr. Mike Keeley Salinas – The phones will be updated to the current version. Campbell – The secretarial cubes have been turned to the outward position for more privacy. Interactive screens will be placed in the lobby for the families to use.

4. Legislative Update Mr. Javier Zaldivar Executive Director informed the committee that there really has been no movement on the Lanterman Coalition’s asking points, after the calls and e-mails to prod the legislators into supporting our cause some issues were reopened. These are the key issues discussed at the sub-committee Hearing on May 19, 2015.

• Proposal to Increase Sick Leave • Proposal to adopt the Minimum Wage Increase • Proposal of Restoration of Eligibility Criteria; General Fund Backfill for

Reduced Federal Grant • Behavioral Health Treatment • Enhanced Behavioral Homes and Crisis Homes; SARC has awarded the

property piece to two vendors already and have requested proposals to award the services piece of it.

Developmental Centers Issues:

• Expansion of Secured Treatment Program at Porterville Developmental Center they recognize that Supportive Living Services is not equipped to handle all the critical needs

• Sonoma Developmental Center had its first meeting to start its closure it is happening. A meeting to speak with the families has been scheduled already. SARC has seven individuals there that still require placement. SARC will use the Sonoma profile for the Mulberry home to develop it.

Issues that will be affected by Trailer Bill Language are:

• Sick Leave Requirements • Minimum Wage Increase • Behavioral Health Treatment • DC Closure Plan

5. Other Mr. Troy Hernandez suggested that training the individuals on food expiration labels

is a good idea. Mr. Zaldivar informed of a data breach incident and that all pertinent parties have

been notified including DDS.

Executive Committee Minutes Meeting Minutes recorded by Lourdes González Page 3 of 4

6. Announcements. Mr. Francisco Valenzuela passed out the following events: FLSA Federal Labor Standards Act presentation June 9, 2015 at San Andreas. Legislative Tour July 9, 2015

17th Annual Service Above Self Awards Dinner October 24, 2015 location to be determined. Special Olympics Southern California Summer Games June 13-14, 2015

Special Olympics World Games Los Angeles July 25 – August 2, 2015.

7. Next committee/meeting date/time Tuesday, July 7, 2015 Campbell Office – Room 35 at 6:30 p.m. 8. Adjournment There being no further discussion, the meeting adjourned at 8:10 p.m.

Executive Committee Minutes Meeting Minutes recorded by Lourdes González Page 4 of 4

San Andreas Regional Center

Quality Assurance Advisory Committee June 9, 2015

Committee Members Present: Maya Bareket Mitsuno Baurmeister Troy Hernandez - Chair Committee Members Absent: Staff Present: Lourdes González Hazel Jordan Katie Magleby Lisa Rund Javier Zaldivar Community Present: Vivian Chung Kim Dodd David Grady Angel Ocampo Meeting called to order by Mr. Troy Hernandez Committee Chair at 5:10 p.m. The following information was collected for the month of May 2015: I. Special Incident Reports: 513 Total number of incidents. 5 Total number of deaths. 97 Incidents reportable to DDS. 416 Incidents not reportable to DDS. 34 Unplanned hospitalizations with _7_ consumers remaining hospitalized. 25 Planned hospitalizations. 8 Consumers reported missing with 0 not yet located. Breakdown of Incident Reports by Residence type:

RCH 232 ICF 21 SNF/NF 4 ILS 37 SLS 79 Family Home 120 Foster Home 0 Family Home Agency 16 Psych Treat. 4 Highlights: Ms. Magleby went over the specific details of the incidents. One big concern was with a home where substantial inadequacies were found, all the residents have been moved out of the home and home has been issued a corrective action plan (CAP). It was all due to bad management. Ms. Katie announced that the printed report will be truncated and not print graphs to be more environmentally conscious. ll. Quality Assurance (QA): A. QA Facility Monitoring - Residential Care, Level 4I only 7 Out of 7 scheduled FM’s completed. 0 Facilities received recommendations 0 Facilities received corrective action plans B. QA Unannounced Visits - Residential Care, Level 4I only 7 Out of 7 scheduled QA’s completed. 1 Facilities received recommendations 0 Facilities received corrective action plans Quality Assurance Advisory Committee Recorder: Lourdes Gonzalez

C. Trainings : New Employee Orientation – , 5/4/15 24 attendees. D. Standing QA Meetings: Mortality and Morbidity Committee: 5 attendees. QA around the Bay Quarterly Mtg.: 16 attendees Mortality and Morbidity: 5 Number of deaths 0 Infants 0 Children 5 Adults 0 Elderly

E. Highlights: Ms. Hazel announced that they are re-launching the “Certificate of Achievement” program to recognize those providers that do excellent work. All the criteria to participate in the program are on our website. The quality assurance section has recently been updated. The Quality Assurance team also wants to bring back the observance program, where a team visits and observes different programs to give insight, get ideas, or share working procedures. Ms. Hazel also announced that interested families on individuals are welcome to accompany her home monitoring appointments. Ill. Health Services: A. Health-Related Trainings Presented by San Andreas Health Services Unit:

Class # Complete

d

Total Attendees

Test 1 Pass/Fa

il

Test 2 Pass/Fail

Assisting with Medications (32) 1 28 25/3 3/0 Basic Skills I (24) 1 18 17/1 1/0 Basis Skills II (24) 1 16 14/2 2/0 Basics of Nutrition and Obesity (30) Basics of Skin Care/Pressure Sores (32) Difficulty Swallowing and Aspiration (30) Emergency Planning (25) 1 15 15/0 --- Recognizing Signs of Abuse (32) Restricted Health Conditions – Gilroy (20) 1 12 12/0 --- RN Training Signs/Symptoms of Illness/Injury (32) 1 17 16/1 1/0 Special Incident Report (32) 1 33 28/5 4/1 Special Incident Report – Beyond Potential Day Program (CAP)

1 19 19/0 --

Thinking Ahead (30) What is Epilepsy – (32) 1 23 18/5 1/4 Totals 9 181 164/17 12/5 B. Current projects/activities: A Corrective Action Plan (CAP) was written for a Day Program, so all 30 DSPs were required to receive training on SIRs by the end of June.

Quality Assurance Advisory Committee Recorder: Lourdes Gonzalez

The previously scheduled trainings were full, so two extra trainings were added just to take care of this. It is not an option that can easily be repeated, as it entails a lot of extra time from SARC trainer and administrative assistant. C. Highlights: Health Services Unit continues to meet with the 962 Administrators, Directors, SCHFP and the DDS RN to review any quality issues related to the health of the individuals living in those homes. Only a few RNs are interested in writing care plans for restricted health conditions and doing training in CCL homes and Adult Day Programs. That said, we have one RN who is going through the vendorization process. He lives in Salinas and is willing to help out in San Benito County and Santa Cruz County as well. Ms. Lisa Rund informed that her classes are going well and she notices that when a person takes the test for the second time they usually pass, the only times they do not it has to do with the language barrier. She urges those people to prepare themselves better in the language and come back for the training. lV. Supported Living Services (SLS): A. SLS QA’s: QA evaluations for SLS agencies are not a requirement of Title 17 regulations, however, however it has previously has been a practice at San Andreas. Currently QA’s are not being facilitated as the department focuses on providing resources and supports to Service Providers. B. SLS Roundtable: Resource Specialist Jeff Darling/Valerie Reeder presented the following information at the May 13, 2015, Roundtable held at the Watsonville office.. • SARC Policy/Procedure: • Update - Uniform Holiday Schedule • Update - Health and Safety Waiver process • Update - FLSA changes – Appeal by Department of Labor • Update - Workforce Innovation and Opportunities Act • Update on the latest DOL overtime lawsuit hearing • Vacancy reporting Community Events: Terry Brickley Scholarship Fund – Cabrillo College Scholarships to persons with disabilities. EXTRA CURRICULAR Activities: DANCENTER 810 Bay Ave., Capitola 95010 475-5032 • www.dancenterinfo.com Rising Stars/Special Dance: Dance classes geared for students with physical limitations and/or developmental disabilities. Also Jazz/Tap for special needs. Sliding scale tuition. Quality Assurance Advisory Committee Recorder: Lourdes Gonzalez

Highlights: The next Roundtable Meeting will be conducted at the Campbell office on June 11, 2015. Following that, the July 2015 meeting will be held at the Watsonville office on July 9, 2015. V. Resource Services: Residential Service Orientation (RSO) Completed, Total attendees RSO (mini for FHA) 1 Completed, 8 Total attendees Highlights: Mr. Javier Zaldivar announced that SARC has signed an MOU with Housing Coalition in San Cruz that will give priority to SARC’s individual for a certain number of units. Individuals that have been incarcerated will have priority in the units. VI. Emergency Response Plan Report Emergency Preparedness Plan training for providers was given on May 15th. 15 service providers attended. Evacuation Marshals in Campbell office have updated their evacuation lists to reflect the many newly hired staff. A. Current projects/activities: ERP team will meet next to finalize the overall agency Emergency Response Plan. Use of the Everbridge Mass Notification System will be incorporated into the plan at a later date. Highlights: The plans must be updated since most of the offices have been redesigned in one way or another. Vll. Open Agenda: Mr. Zaldivar announced that SARC has submitted to DDS the AB 637 waiver request to allow the use of language pathologists that only have their temporary licenses while they complete their hours (SLP-RPE and SLPA’s). Some children have waiting periods of up to eight months due to the limited resources we have now. Mr. Grady announced that at their Regional Advisory Committee a college announced a free Dental clinic. Vlll. Next QAAC meeting is scheduled for: July 14, 2015 5:00 pm. - 6:30 pm. Campbell Office, Room 35 lX. Adjournment There being no further discussion, the meeting adjourned at 6:15 p.m.

Quality Assurance Advisory Committee Recorder: Lourdes Gonzalez