SAN ANDREAS REGIONAL CENTER
BOARD OF DIRECTORS
MEETING NOTICE/AGENDA
____________________________________________
Date: Monday, March 20, 2017
Location: Campbell Office
Time: 6:00 - 8:00 pm
300 Orchard City Dr. Suite 170
Campbell, CA. 95008
_______________________________________________________________________________________
AGENDA
6:00—6:02 l.
Call to Order & Introduction. . . . . . . . . . . . . . .Mitsuno Baurmeister
6:02—6:05 ll.
Vision Statement. . . . . . . . . . . . . . . . . . . . . . . . . . Dr. Lori Riggio
6:05—6:09 lll. Approval of Minutes
1. Board Meeting Minutes - (1/17/17)
2. Fiscal Committee Meeting Minutes - (1/17/17)
3. Service Provider Advisory Committee Meeting Minutes - (1/25/17),
(2/22/17)
4. Program Policy Committee Meeting Minutes - (2/7/17, 3/7/17)
5. Board Development Committee Meeting Minutes - (2/7/17, 3/7/17)
6. Executive Committee Meeting Minutes - (2/7/17, 3/7/17)
7. Quality Assurance Advisory Committee Meeting Minutes - 2/14/17),
(3/14/17)
8. People’s Advisory Committee Meeting Minutes–
6:09—6:20 lV.
State Council on Developmental Disabilities CC ……..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 . . . . . . . . . . . . . . . . . . . . . .Mitsuno Baurmeister
1. Immigration Statement
6:45—7:05 Vl.
Executive Director’s Report. . . . . . . . . . . . . . . . . . . Javier Zaldivar
1. Disparity Meetings and Support of all Individuals
2. Budget Update
7:05—7:20 Vll.
Director of Consumer Services Report. . . . .. . . . . . . .Mike Keeley
1. New and Closing Programs
2. DNR (Do-Not-Resuscitate)
3. Mission Moment
7:20—7:45 Vlll.
Committee Reports
1. Fiscal . . . . . . . . . . . . . . . . . .. . . . . . .. . . . . . . . . .Sherrie Ganier
2. Board Development . . . . . . . . . . . . . . . .. . . . . . . . .Michele Alanis
Action Item: Recommendation to approve Mr. Wes Moss to his third
two-year term in SPAC
Action Item: Recommendation to approve Dr. Lori Riggio to her
second two-year term in the Board of Directors.
Action Item: Vote to move committee meetings to 4/3/17 or cancel
them due to Grass Roots Day
3. People’s Advisory Committee . . .. . . . . . . . . . . Christine Gianola
4. Quality Assurance Advisory . . . . . . . . . . . . . . . . Troy Hernandez
5. Service Provider Advisory . . . . . . . . . . . . . . . . . . . . . . Wes Moss
Action Item: Recommendation to approve Ms. Monica Pritchett to her
third two-year term in SPAC.
6. Program Policy . . . . . . . . . . . . . . . . . . . . . . . . . . . Maya Bareket
Action Item: Recommendation to Adopt the Role of SARC in Securing
Services for Consumers Policy
7. ARCA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Maya Bareket
7:45—7:50 lX.
Public Comment
7:50—7:55 X.
Board Comment
7:55—8:00 Xl.
Announcements
*Disparity Meetings
*Vietnamese Conference 4/1/17
*Legislative Luncheon 4/28/17
8:00
Xll.
Adjournment
SAN ANDREAS REGIONAL CENTER
Board of Directors Meeting Minutes
Campbell Office
January 17, 2017
Presiding:
Michele Alanis (Board Vice - President)
Board Members Present:
Maya Bareket
Sherrie Ganier
Troy Hernandez
Pamela Kerman
Virginia Manguray
Kim Yen Nguyen
Board Members Absent:
Mitsuno Baurmeister
Staff Present:
Lourdes González
Denise Hart
Angel Johnson
Arushie Nugapitiya
Irene De La Rosa
Saskia Vandekamp
Jeff Darling
Greg Hoffman
Mike Keeley
Phien Phan
Francisco Valenzuela
Javier Zaldivar
Community Present:
Carl Gianola
Lean Nguyen
David Grady
Allan Smith (DDS)
Jon Drennan
Christine Gianola
Martha Johanson
Mary Le
Wesley Moss
Dr. Lori Riggio
CALL TO ORDER
Ms. Michele Alanis Board Vice-President called to order the regularly scheduled
business meeting of San Andreas Regional Center at 6:00 p.m. Ms. Alanis 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). Selfintroductions were made and the vision statement was read by Ms. Kim Yen Nguyen.
APPROVAL OF MINUTES
M/S/C Moved to approve the following meeting minutes. (Bareket/Kerman) No
further discussions. All in favor. Motion carries.
1. Board Meeting Minutes - (11/21/16)
2. Fiscal Committee Meeting - (11/21/16)
3. Service Provider Advisory Committee Meeting – (12/7/16)
4. Program Policy Committee Meeting Minutes – (1/3/17)
5. Board Development Committee Meeting - (1/3/17)
6. Executive Committee Meeting Minutes – (1/3/17)
7. Quality Assurance Advisory Committee – (1/10/17)
8. People’s Advisory Committee Meeting Minutes – 1/2017
SAN ANDREAS REGIONAL CENTER BOARD OF DIRECTORS MEETING
January 17, 2017
Page 1 of 6
PRESIDENT’S REPORT
Ms. Michele Alanis announced that the Board of Directors will meet for only 10 times this
year there will be no meeting in July and December. The Board of Directors meets to
determine the goals and priorities of the regional center. It is an opportunity to
brainstorm, plan, prioritize, and determine the best way possible to serve the community.
These are the priority items the Board and SARC will focus in 2017:
1. Disparity - to provide equal access to all families
2. Social Media outlets - to maximize outreach via Facebook, Twitter, and electronic
letter
3. Support gainful and meaningful employment for the individuals
4. Recruitment of members from all the catchment areas
5. Full support to the Executive Team on the move to a different location
EXECUTIVE DIRECTOR’S REPORT:
Mr. Javier Zaldivar Executive Director informed on the “End of Life” law that was
approved June 16, 2016 which is very controversial and has raised concerns for our
community. Mr. Zaldivar advised that provisions have been made to ensure that the
individuals have choices in their lives. The law has safeguards and does not allow for
anyone to make a decision on behalf of someone else. The law states that the person
must have a cognitive discussion with his or her doctor. Even if an individual is nonverbal he or she must have an understanding of what the law means. SARC does not
make assumptions and act on behalf of hospitals, there are always discussions with the
families and assistance is given to understand the situation. In dire circumstances the
Bioethics committee meets with hospitals to have discussions and make a decision.
Individuals from the Developmental Centers can participate in the law as well as long as
they are adults and have the capacity to understand the act. If there is a question of
understanding a competency evaluation can be done. Timelines and bench marks must
be followed.
The question was asked on whether a conservator could make the decision for an
individual. The answer is no, a conservator does not have life and death rights. The
most common rights granted to conservators are medical, financial, and where and
individual can live.
Mr. Zaldivar gave a legislative update by reminding the audience that from now until the
2017-18 budget is approved there will be a lot of hearings where you can join and hear
the discussions. He does not foresee ramifications for our system just yet. He told the
audience not to take their voice for granted he reminded them that thanks to their
advocacy our system has received much needed increases such as the:
• 7% restoration to the IHSS
• Support to meet the caseload mandate
• Funding for providers to continue:
o Doing business and respond to the minimum wage increases
o Comply with the “Final Rule” and add more staff
The compliance day for the “Final Rule” is March 19, 2019 and providers must be ready,
SARC is providing them technical assistance to help them be compliant.
SAN ANDREAS REGIONAL CENTER BOARD OF DIRECTORS MEETING
January 17, 2017
Page 2 of 6
STATE COUNCIL ON DEVELOPMENTAL DISABILITIES CENTRAL COAST
Mr. David Grady discussed the following topics:
 The Self Determination Advisory Committee (SDAC) which is a good resource to
learn of the program that is rolling out slowly.
 Disparity issues and what SARC intends to do to close the gap, such as:
o Community outreach with public forums
o Manuals and parent mentoring
 Trainings on “Positive Planning” how to negotiate at meetings
o Video Translations done by families and individuals
 Will present at Spanish Speaking conferences in Greenfield and Pajaro Valley,
also at College of Adaptive Arts
 Outreach to the public libraries continues
 Will collaborate with SPAC/SARC to do a workshop on “Best Practices on HCBS
Issues”
 Support of the Employment First model and will request providers to participate in
the effort.
 At the Quality Assurance Advisory Committee he requested that training be
offered to providers on :
o Stress Management
o Mindfulness
o Self-Awareness
DIRECTOR OF CONSUMER SERVICES REPORT:
NEW AND CLOSING PROGRAMS
Mr. Mike Keeley gave the report:
2 Closed
 Terra Bella Intermediate Care Facility (ICF) due to financials
 Meadow Glen Manor Residential facility due to financials
5 Opened
 Son Kim - communication aide in Santa Clara
 Drogueria – pharmaceutical services Santa Clara
 Drexal Home – residential facility Santa Clara
 Independent Solutions Community – Adult programs Santa Clara
 Therapeutic Learning – behavioral support Santa Clara
Mr. Keeley gave a presentation on the “California Competitive Integrated Employment
(blueprint) it is “real work for real pay in the real world”.
 Blueprint is:
o Plan written collaboratively between Department of Education (DOE) and
Department of Rehabilitation (DOR).
 Three big goals are
o Improve collaboration with DDS, DOR and DOE
o Increase work opportunities
o Support choices and transition to work
 Laws and Regulations
o Workforce innovation and opportunities act
o Home and community based Final Rule
SAN ANDREAS REGIONAL CENTER BOARD OF DIRECTORS MEETING
January 17, 2017
Page 3 of 6


o Employment first policies
o Local federal employment laws
o Regional Center and education regulations
Goals and Outcomes
o Increase competitive, integrated employment
o 2016-17 goal: increase by 300 people
o 2018-19 goal: increase by 500 people
o Internship programs SARC to have 6 agencies
o Incentives for agencies that successfully secure jobs for people.
What to Expect
o More transition planning from schools
o Agencies working together
o People to have jobs that they chose, pay a competitive wage, and that they
love.
COMMITTEE REPORTS:
FISCAL
Ms. Sherrie Ganier Treasurer and committee chair gave the report.
POS (Non-CPP only)
The Purchase of Service expense for the month of November 2016 was $27,537,312
and the year to date was $147,715,221. The current allocation is $359,834,403 and the
current projection is $369,322,051. This leaves a deficit of $9,487,648 a decrease of
$211,055 over last month.
Individuals Served
The number of individuals served as of November 30, 2016 was 16,155. This is an
increase of 743 since November 2015.
Operations (OPS)
Expenses for the month of December 2016 were $2,710,413 and Year-to Date were
$16,092,190. The Fiscal Year Projection is $35,177,767. The allocation is $35,279,049
leaving a surplus of $101,282, a decrease of $4,378 over last month.
Current Year Cash Flow
The cash position through the end of October was $63,531,279.
Donations Account
The balance in the Donation Fund through the end of October was $136,793. This was
a net increase of $237 for the month. This change consisted of loan repayments of $989,
loan payments of $1,017, donations of $259 and interest of $6.
Medicaid Waver Enrollment
The enrollment for SARC at the end of November was 7,228, statewide it was 122,995.
The targets for San Andreas and the regional centers statewide have not been set as
yet.
SAN ANDREAS REGIONAL CENTER BOARD OF DIRECTORS MEETING
January 17, 2017
Page 4 of 6
BOARD DEVELOPMENT
Minutes are in the packet.
The Board approved revisions to the 2017 Board Meeting Schedule.
M/S/C Moved to approve revisions to the 2017 Meeting Schedule. (Gianola/Bareket)
No further discussions. All in favor. Motion carries.
PEOPLE’S ADVISORY COMMITTEE (PAC)
Ms. Christine Gianola committee chair informed that the PACs have resumed their
meetings after the holidays and have been discussing our political system which
concerns them. Mr. Valenzuela is working on finding individuals to have a PAC
meeting in Hollister.
QUALITY ASSURANCE ADVISORY COMMITTEE
Mr. Hernandez committee chair is concerned with the health issues of individuals as
they age.
SERVICE PROVIDER ADVISORY COMMITTEE
Mr. Wes Moss SPAC chair informed that a cheat sheet on the minimum wage increases
is almost ready to be shared.
PROGRAM POLICY COMMITTEE
The Board approved the revisions to the Transportation and Living Arrangement
policies.
M/S/C Moved to approve revisions to the Transportation and Living Arrangements
policies. (Kerman/Ganier) No further discussions. All in favor. Motion carries.
ARCA
None
PUBLIC COMMENT
None
BOARD COMMENT
None
ANNOUNCEMENTS
Mr. Zaldivar shared that SARC is partnering with companies that are being sensitive to
our community, such as Chuck e Cheese that is providing sensory friendly experiences,
and some theaters that allow for behaviors.
SAN ANDREAS REGIONAL CENTER BOARD OF DIRECTORS MEETING
January 17, 2017
Page 5 of 6
Certificates of achievement given to homes that go above and beyond the requirements
are:
• Darwin House
• Capri Home 1
• Nantucket Care Home
• Abby’s Home
• Seacove RCH
• Sierra Vista Home
Recognition for years of service of SARC staff, the Board congratulates them.
• Mike Keeley 20 years
• Javier Zaldivar 20 years
• Penny Scott 30 Years
• Tom Novak 25 Years
ADJOURNMENT
Meeting adjourned at 7:40 p.m. by the President Ms. Michele Alanis
Recording Secretary, Ms. Lourdes González
Submitted by,
______________________________
Ms. Maya Bareket, Board Secretary
SAN ANDREAS REGIONAL CENTER BOARD OF DIRECTORS MEETING
January 17, 2017
Page 6 of 6
San Andreas Regional Center
Board of Directors
Fiscal Committee - Meeting Minutes
January 17, 2017
Committee Members Present: Sherrie Ganier
Virginia Manguray
Committee Member Absent:
Mitsuno Baurmeister
Staff Present:
Lourdes González
Javier Zaldivar
Mary Le
Greg Hoffman
Meeting called to order at 5:07 pm. by Mr. Greg Hoffman Chief Financial Officer and he
presented the report.
1. Purchase of Services (Non-CPP only)
The Purchase of Service expense for the month of November 2016 was $27,537,312 and
the year to date was $147,715,221. The current allocation is $359,834,403 and the
current projection is $369,322,051. This leaves a deficit of $9,487,648 a decrease of
$211,055 over last month.
2. Individuals Served
The number of individuals served as of November 30, 2016 was 16,155. This is an
increase of 743 since November 2015.
3. Operations (OPS)
Expenses for the month of December 2016 were $2,710,413 and Year-to Date were
$16,092,190. The Fiscal Year Projection is $35,177,767. The allocation is $35,279,049
leaving a surplus of $101,282, a decrease of $4,378 over last month.
4. Cash Position
The cash position through the end of October was $63,531,279.
5. Donation Fund
The balance in the Donation Fund through the end of October was $136,793. This was a
net increase of $237 for the month. This change consisted of loan repayments of $989,
loan payments of $1,017, donations of $259 and interest of $6.
6. Medicaid Waiver Enrollment
The enrollment for SARC at the end of November was 7,228, statewide it was 122,995.
The targets for San Andreas and the regional centers statewide have not been set as yet.
Fiscal Committee
Page 1 of 2
7. Other
The committee agreed to extend the meeting and meet half hour earlier to review the
contracts for the upcoming fiscal year.
Ms. Ganier praised the fiscal team for their good work in the Audit.
8. Next Meeting Date
February 21, 2016 at 4:30 pm. Watsonville Office
9. Adjournment
The meeting was adjourned at 5:24 pm.
Fiscal Committee
Page 2 of 2
San Andreas Regional Center Board of Directors
SERVICE PROVIDER ADVISORY COMMITTEE (SPAC)
Meeting Minutes
February 22, 2017
Members Present
Rebekah Jackson
Wesley Moss (Chair)
Monica Pritchett
Ramon Robles
Monique Migdol
Doug Pascover
Soheila Razban
Members absent
Sharmean Heffernan
Staff Present
Jeff Darling
Denise Hart
Mike Keeley
De La Rosa
Javier Zaldivar
Lourdes Gonzalez
Greg Hoffman
Arushie Nugapitiya Irene
Francisco Valenzuela
Community Members
Vivian Chung
Lauren Council
Sean Galvin
Hazel Huynh
Wayne Jasper
Eric Lewis
Mah Mahaney
Dylan Wales
Amparo Contreras
Mark Fleming
Dolores Garcia
Christina Hunt
Kristi Ledbetter
Stephanie Lyon
Jeromy Tilmant
Sylvia Yeh
Mr. Wes Moss Committee Chair called the meeting to order at 10:03 a.m. beginning with
introductions.
Committee Updates
• Mr. Moss announced that the SPAC member roster is available for any vendor
that might need support in technical, policy, or any other issues.
• The Employment Fair will be held in August to address staffing needs of the
providers; Ms. Soheila Razban and Mr. Ray Robles are the lead members in the
planning process.
Director Update
Executive Director Javier Zaldivar discussed the emergency evacuations in the city of
San Jose due to the flooding. He advised the providers to have a solid ready emergency
plan in case of disaster. He opened the floor for questions and said that SARC can
always help with technical issues.
• Questions asked were if SARC would pay overtime to employees that were forced
to work extra due to the disaster. Mr. Zaldivar said that he expects a formal notice
to go out soon to advise programs that they should be paid from the “Emergency
Funding Source”, but SARC will always work with the vendors to find solutions.
Service Provider Advisory Committee
Page 1 of 4
•
•
•
It was pointed out that there should be better communication and stablished
protocols between Day Programs, Supported Living Services and IHSS (In Home
Supported Services in case of emergency.
Mr. Zaldivar shared that by using the Everbridge program SARC can map out all
the individuals that are affected by the Evacuation orders; it is a good resource for
coordination efforts.
He advised vendors to have plans for individuals that are sensitive to changes
and environments; have up to date emergency supplies.
Mr. Zaldivar announced that the Board of Directors meeting had been cancelled the
previous day due to weather conditions, but he gave a statement that had been prepared
for the meeting on Immigration. He said that there are a lot of concerns with the current
immigration policies, but he reminded the providers that SARC does not ask for statuses
or reports who uses services. SARC is here to support all communities that need it.
Some parent groups have stopped congregating for fear of immigration policies this goes
hand in hand with the disparity issues facing SARC. In fact the disparity presentations
have been scheduled for March and April, and SARC has done all outreach possible.
SARC’s role is to remain neutral and work towards a stronger community.
Mr. Zaldivar announced the:
• HCBS Presentation where Ms. Laura Brackin will discuss all the affected
programs and it will be Live on Facebook
• CA ABLE Act presentations where individuals are able to increase the amount in
their savings account
• Grief Awareness Training
Mr. Zaldivar gave a summary of the budget:
• Budget hearing March 16 to learn about the proposals
• The department is committed to the HCBS program and the budget seems solid
for the upcoming Fiscal year
• The Self Determination program should be approved hopefully by 2018 but it all
depends on the Federal government
• Trailer Bill Language (TBL) to be aware of
o State Employees will be able to open programs simultaneously to the
Developmental Centers closing
o Changes to CPP (Community Placement Plan) will allow regional centers
to develop community resources
o Rate updates for Supported Living & voucher day programs
o HCBS Regulations issued ahead of time to be compliant it gives flexibility
to the department
o Measures that will allow regional centers to work on the Employment First
movement
o Allow Enhanced Behavioral Support Homes (EBSH)to be built without
federal funds being available
 SARC has three homes that will open soon
• One EBSH in San Martin
• One Transition home in San Martin
• One special residential home in Santa Cruz
• Working on homes that will have a nursing component
Service Provider Advisory Committee
Page 2 of 4
o TBL will allow flexibility in using state funds for regional centers to meet
their responsibility and allow individuals their personal choice.
Announcements
March 3, 2017 Autism Transition Fair at PHP 9 – 1 pm
March 18, 2017 Special Needs Talent Show
March 18, 2017 Fundraiser Rummage Sale Fair grounds
March 25, 2017 Autism Conference
Therapeutic Recreation classes available - www.SantaclaraCA.gov
CRP Crisis Response Project
Ms. Amparo Contreras and Ms. Dolores Garcia did a presentation on Crisis Prevention
and Intervention. They are available 24 hours a day and their goal is to minimize 5150s.
They discussed:
• What is a crisis
• Triggers & Antecedents
• Communication with an individual
• Mental Disorder Diagnosis
• What life is like for an individual
• Crisis Intervention
o Amount of Intervention
o Monitoring the individual
o Assessing the environment
o Safety first
o Communication
• De-Escalation Techniques
o Choices
o Reflective listening
o Validation
o Redirect
o Give space
o Set limits
• Things to Avoid
o Threats
o Power Struggles
o Physical intimidation
o Seclusion
o Bribes
o Reprimanding
• Crisis Prevention
o Identifying Stressors
o Transition Strategies
o Changing Behavior
o Tips to remain calm
Service Provider Advisory Committee
Page 3 of 4
New and Closing Programs
Mr. Mike Keeley gave the report.
2 Closed
 Intermediate Care Facility for rehabilitation San Benito Area
 Level 4I Residential San Benito Area
4 Opened
 Communication aide in Santa Clara
 Occupational Therapy Santa Clara
 Beacon ILS Santa Cruz
 Paid Internship Employment Program
SARC Events
Ms. Francisco Valenzuela announced the following events.
Board of Supervisors is voting for Inclusive Parks send letters for support.
March 3, 2017 HCBS presentation 1- 5 pm at the Campbell community Center
March 8, 2017 Coffee Social at Gilroy office 11- 2 & 5-7 pm
Disparity Presentations at 6:00 to 7:30 pm:
March 9, 2017 Louden Nelson Community Center - 301 Center Street, Santa Cruz
March 23, 2017 Millennium Charter School, 901 Blanco Circle, Salinas
April 6, 2017 Gilroy Senior Center - 7371 Hanna St., Gilroy
April 6, 2017 Camden Community Center - 3369 Union Avenue, San Jose
March 20, 2017 CA ABLE Act presentation Salinas office
March 30, 2017 Grief Awareness Training
April 4-5 2017 Grass Roots
April 14, 2017 Legislative Tour
April 28, 2016 Legislative Luncheon at the Holiday Inn North 1st St. San Jose
Next SPAC Committee Meeting:
March 22, 2017 at 10:00 a.m. Room 35
Adjournment
The meeting was adjourned at 11:36 pm.
Service Provider Advisory Committee
Page 4 of 4
San Andreas Regional Center Board of Directors
SERVICE PROVIDER ADVISORY COMMITTEE (SPAC)
Meeting Minutes
January 25, 2017
Members Present
Members absent
Staff Present
Community Members
Sharmean Heffernan
Monique Migdol
Doug Pascover
Soheila Razban
Rebekah Jackson
Wesley Moss (Chair)
Monica Pritchett
Ramon Robles
Jacqueline Aviles
Lourdes Gonzalez
Arushie Nugapitiya
Francisco Valenzuela
Wendy-Ann Francis
Mike Keeley
Irene De La Rosa
Javier Zaldivar
Adegboyega Akintade
Bill Coker
Nina Duncan
Hazel Huynh
Wayne Jasper
Stephanie Lyon
Jeromy Tilmont
Vivian Chung
Lauren Council
Robert Gebo
Christina Hunt
Kristi Ledbetter
Erica Thomas
Lauren Rosiles
Mr. Wes Moss Committee Chair called the meeting to order at 10:07 a.m. beginning with
introductions.
Committee Updates
• Mr. Moss shared with the audience a spreadsheet of the minimum wage for
different cities in our catchment area.
• Mr. Zaldivar advised the vendors to fallow labor regulations to avoid trouble he
said that the majority of troubled vendors is due to labor violations. The regional
center is here to give technical assistant but not to tell you how to run your
business.
• Mr. Zaldivar recapped that anticipated rate adjustments can only be done for Day
Programs all other requests need to be done via Health & Safety Waivers based
on the individual’s need. The exact instructions for the Health & Safety Waivers
and the negotiated rates have been posted on SARC’s website.
• SPAC, SARC, and the State Council Central Coast will collaborate to do a
presentation on Day of Employment in April or May guest speaker will be Joseph
Nacario.
• Mr. Zaldivar shared a flyer distributed by DDS on HCBS Final Rule it is a great
cheat sheet for individuals, families and providers.
• March 3, 2017 presentation by Laura Brackin on HCBS Final Rule.
Provider Input
− Ms. Razban of Abilities United advised that all the HCBS rules should be shared
with all the staff so they can learn to embrace them.
Service Provider Advisory Committee
Page 1 of 4
− Employment Recognition Day for Abilities United will be 2/24/2017
− Ms. Migdol announced a Rummage Sale at the Fair Grounds on 3/18/2017 open
to the public
− Lauren Council of Therapeutic Parks and Recreation announced the upcoming
classes
SARC Events
Mr. Valenzuela announced the following events:
January 21, 2017 Spanish Speaking Conference in Greenfield
January 28, 2017 Spanish Speaking Conference in Watsonville
March18, 2017 Fundraiser Rummage Sale Fair grounds
April 4-5 2017 Grass Roots
April 14, 2017 Legislative Tour
April 28, 2016 Legislative Luncheon at the Holiday Inn North 1st St. San Jose
Transportation
Mr. Robert Gebo of VTA gave a progress report:
• They have expanded their committee to make it better and move in a positive
direction.
• There will be more oversight over the eligibility program
• Have purchased more big buses and wheelchair accessible vehicles
• More Taxis will be wheelchair accessible
• All their drivers will receive equal training
• Will be doing more community outreach
New and Closing Programs
Mr. Mike Keeley gave the report.
2 Closed
 Lina’s Home Intermediate Care Facility (ICFDH) in Hollister
 Terra Bella Home (ICFDH) in Gilroy
1 Opened
 Son Kim - communication aide in Santa Clara
 Special Residential homes for people leaving Sonoma Developmental Center
and difficult to serve population will be ready soon.
o Residential Facility for children in Santa Cruz
o Behavior support home for adults in San Martin
o Transitional home for adults in San Martin
Revised Audit Requirements
Ms. Wendy-Ann Francis Controller handed out the “Audit Requirements for Regional
Center Vendors” regulations flyer to the audience it will help them be compliant with their
audits and reports. Some highlights are:
Service Provider Advisory Committee
Page 2 of 4
•
•
•
•
•
Rules Prior to June 2016
− Financial Review required if receive between $250,000 and $500,000
− Independent Financial Audit required if receive more than $500,000
− DDS requires that vendors provide audits to regional center for their review
Rules June 9, 2016 to December 31, 2017
− Financial Review required if receive between $500,000 and $2,000,000
− Independent Financial Audit required if receivs more than $2,000,000
− If report is unqualified vendor may request two year exemption
− DDS requires that vendors provide audits to regional center for their review
Rules January 1, 2018
− Financial Review required if receive between $500,000 and $2,000,000
− Independent Financial Audit required if receives more than $2,000,000
− If report is unqualified vendor may request two year exemption
− DDS requires that vendors provide audits to regional center for their review
and require the regional centers to pass them on to DDS
SARC needs your audits from all years send them in
Management letter should be included to indicate that deficiencies are being
corrected
Director Update
Executive Director Javier Zaldivar gave a brief legislative update he said that we are in
interesting times and that we should strive to be levelheaded and our representatives
should be thoughtful of what we need as a community. He shared the “Lanterman
Coalition 2017 Goals” and he stressed that the Coalition was instrumental in getting
changes done to get the increases we did.
Highlighted Budget and Legislative Goals:
• Prevent the loss of federal funds that would result from noncompliance with the
new Home and Community Based Services rules
• Developmental Centers (DC) should close by 2021 therefore it is important to
retain state funds and assets currently devoted to the DCs and utilizing them for
the community based system
Currently one of our priorities is to acquire community properties which represent an
expensive huge task and unfortunately the money does not follow the individual into the
community.
Priorities to look at in the released budget:
• Medicaid a federal program
• Medi Cal the state program
• Rainy Day Fund - what defines it? Who can tap into it?
• Bullet train the governor’s legacy
Mr. Zaldivar shared that most regional centers are out of compliance with the case load
ratios however now SARC is able to release several positions that will help us in that
endeavor.
On the transportation issue at the loss of the MV contract SARC has had to replace the
service by paying more than the requested increase MV asked for, but do to the set rates
the increase was not granted, we need a legislature change but any trailer bill language
with money attached automatically dies.
Service Provider Advisory Committee
Page 3 of 4
Mr. Zaldivar shared the “Governor’s Budget Highlights” reiterating that if the Regional
Centers show a surplus of funds is due to all the vendors that have gone out of business
and not being there to provide the services needed.
He advised to keep in mind the possible changes that have and can occur under the new
presidency:
• Medicaid’s allotment of money could be either proportional or a block gran
• Affordable Act can be repealed
• Many federal agencies have been eliminated
• Representatives should be on a collaborate state
Information and announcements distributed to the audience:
• Instructions for Requesting Health and Safety Waiver Exemptions
• Annual People First of California State Wide Self Advocacy Gathering on
June 23-25, 2017
• FAQs on the CMS (Centers for Medicare and Medicaid Services) Requirements
• African American Flag Raising Ceremony February 3, 2017
• Survey Monkey to collect ideas for the Disparity binders will be available soon
binders should be printed by March 2017
• Coffee Social in Gilroy March 8, 2017 11:00 to 2:00 pm and 5:00 to 7:00 pm
• There are $15 million for providers that propose an HCBS complaint proposal,
DDS received 500 responses 25 proposals have been chosen they must be
ranked now.
• The Self Determination Program received and informal response but it is not
approved yet.
• PHP - Adult Transition and Adult Services Fair March 23, 2017
• Friends of Children with Special Needs (FCSN) talent show March 18, 2017
Next SPAC Committee Meeting:
February 22, 2017 at 10:00 a.m. Room 35
Adjournment
The meeting was adjourned at 11:47 pm.
Service Provider Advisory Committee
Page 4 of 4
San Andreas Regional Center
Board of Directors
Program Policy Committee Minutes
March 7, 2017
Committee Members Present:
Maya Baraket (Chair) Michele Alanis
Mary Le
Kim Yen Nguyen
Committee Members Absent:
Mitsuno Baurmeister
Staff Present:
Jacqueline Aviles
Mike Keeley
Irene De La Rosa
Lourdes González
Arushie Nugapitiya
The meeting was called to order at 4:41 p.m. by Ms. Maya Bareket Committee 7 Chair.
The following policies were reviewed:
1. Adult Work Services Policy
This policy was revised with the but it was decided that more review and incorporation
of regulations needs to be done, it will be postponed for the time being.
2. In-Home Skilled Nursing Services
This policy was revised with the following changes:
I.
II.
IN-HOME SKILLED NURSING SERVICES POLICY
Purpose: It is the intent of San Andreas Regional Center to assist families to secure needed
skilled nursing care for consumers individuals living in their family home, in compliance with
all state and federal laws, regulations, and court decisions.
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.
•
Skilled Nursing Services are services provided by a registered nurse or a licensed
vocational nurse. Nursing services are provided to a patient under the direction or
supervision of a physician registered to practice in this state.
•
Licensed Vocational Nurse (LVN) is a nurse licensed by the California State Board of
Vocational Nurses and Psychiatric Technician Examiners who must have periodic
supervision by a Registered Nurse or Medical Doctor.
•
Registered Nurse (RN) is a nurse licensed by the California State Board of Registered
Nurses.
•
Shift Nursing is hourly skilled nursing service for ongoing continuous intermittent nursing
care for shifts of no less than eight (8) hours to assist families with medically fragile
individuals who remain in the family home.
Program Policy Committee
Page 1 of 5
•
Nursing Respite is intermittent, temporary medical care for consumers individuals to assist
family members in maintaining the consumer individual in the family home.
•
Independent Nurse Practitioner (INP) is a registered nurse who is a certified Medi-Cal
provider and is able to bill Medi-Call directly for payment.
•
Home Health Agency is a licensed and certified private for- or not-for-profit public
organization that provides, or arranges for the provision of, skilled nursing services to
persons in their place of residence.
•
Early Periodic Screening, Diagnosis and Treatment (EPSDT) is a Medi-Cal service which
funds in-home shift nursing care that is deemed medically necessary for consumers
individuals under the age of 21. Once consumers are qualified for in-home nursing
services, they may be able to receive expanded Medi-Cal services such as dental services,
medical supplies etc.
•
Nursing Facility Waiver (NF Waiver) is a Medi-Cal service that funds medically necessary
in-home shift nursing services for consumers individuals over the age of 18.
•
The Financial Management Services (FMS) / Nursing is a service established by the
Department of Developmental Services that permits regional center funding of a family
member to hire and otherwise arrange for skilled nursing services for a consumers
individuals in a family home with the use of a Financial Management Services (FMS).
Through the Financial Management Services (FMS) process the family can secure skilled
nursing services through a nurses’ registry or other private source.
•
Nurses' Registry is a list of nurses eligible to be hired by a family member vendored under
the Financial Management Services (FMS) / Nursing
III. Policy: San Andreas Regional Center recognizes that funding for in-home nursing services is
generally available from generic sources.
The regional center shall assist families and consumers individuals to obtain and coordinate
such services from generic sources.
The regional center may authorize funding for in-home skilled nursing services
•
•
•
•
when an application for a generic service and funding is in process;
when an application for a generic service has been denied;
when an appeal of a generic agency service decision is in process;
or when services are not available through a home health agency.
IV. Purchase of Service Standard: When identified as a need by the planning team, San Andreas
Regional Center shall assist families to secure in-home skilled nursing services. The regional
center nursing staff, in consultation with the primary care physician, will determine the level of
nursing care (LVN/RN) required by the consumer individual. An Order from the primary care
physician is also required.
Program Policy Committee
Page 2 of 5
All provision of in-home shift nursing services, regardless of funding source, must first be
sought from a home health agency. If services are not available through a home health
agency or an Independent Nurse Practitioner (INP), the regional center may fund in-home
skilled nursing services through the Financial Management Services (FMS) / Nursing. When
the family needs nursing respite, the Financial Management Services (FMS) / Nursing is
available for the consumer 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.
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 individual/family that it has not been granted, informs the consumer
individual/family of their appeal rights, and sends a notice of action and a fair hearing form.
If a decision is made to deny, reduce, or cancel the service without the agreement of the
consumer individual or the consumer’s individual’s representative, a Notice of Action will be
sent.
Revised: March 7, 2017
3. Independent Living Skills Service
This policy was revised with the following changes:
I.
II.
Independent Living Skills Policy
Purpose: It is the intent of San Andreas Regional Center to support the maximum development
of an consumer's individual’s potential to live independently, in compliance with all state and
federal laws, regulations, and court decisions.
Definitions:
•
Consumer, individual, and person served are used interchangeably in regional
center policy and the Lanterman Developmental Disabilities Services Act, and mean
Program Policy Committee
Page 3 of 5
a person who has been found eligible and receives services from the regional
center.
•
Independent Living Skills (ILS) Training means a continuum of functional skills training that
adult consumers individuals need to secure or maintain a self-sustaining level of
independence in the parental home or in an independent living situation in the
community.
ILS training focuses on teaching functional skills to adult consumers individuals who
generally have acquired basic self-help skills or who have attendant care and require
additional skills to maintain themselves in their chosen living arrangement.
Training areas may include, but are not limited to: cooking, cleaning, shopping, menu
planning, meal preparation, money management, parenting, sexuality training, use of
public transportation, health care, hygiene, appointment management, homemaking
skills, community inclusion training, personal safety, community resource awareness (for
example, police, fire, and other emergency help).
III. Policy: It is the policy of San Andreas Regional Center to support consumers individuals in
acquiring the skills necessary to develop and maintain their functional abilities at their highest
level and to access the independent living option of their choice.
Independent living skills training is usually provided to consumers individuals currently living
in the parental home who are expecting to move to an independent community living option
in the near future or who want to become more independent while living at home with their
family. Consumers Individuals already living independently may use independent living skills
training to help maintain and improve their skills.
IV. Purchase of Service Standard: The Planning Team determines the amount of ILS training hours,
taking into consideration the level of the consumer’s individual’s skill and how many hours
the consumer individual may be able to participate in training.
If a consumer individual needs to be assessed to determine the current skill level and to
develop a plan to address the training needed, this assessment usually is completed within
twenty ten to fifteen hours. Additional hours may be authorized as needed.
The Planning Team reviews the consumer’s eligibility for and use of In-Home Support Services
(IHSS) as the generic service.
Individuals must access all generic resources before accessing all Independent Living Services
(ILS). These generic resources include school services.
The Planning Team is encouraged to authorize services which are tailored to meet the needs
of the specific consumer individual. Hours and plans should be flexible and individualized.
Training may be offered to consumers individuals in a group, on an individual basis, or a
combination of both.
The IPP must contain specific, measurable, time-limited objectives for securing the level of
independence for which functional skill training is necessary. The usual amount of ILS training
ranges from 8 to 24 hours per month and is authorized and reviewed on a six-month basis.
Program Policy Committee
Page 4 of 5
Individuals may receive maintenance services when needed to maintain the consumer’s
individual’s current skill level. Maintenance hours usually range from 1 to 12 hours a month,
and can continue for as many months as necessary.
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.
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 individual/family that it has not been granted, informs the consumer
individual/family of their appeal rights, and sends a notice of action and a fair hearing form.
If a decision is made to deny, reduce, or cancel the service without the agreement of the
consumer individual or the consumer’s individual’s representative, a Notice of Action will be
sent.
Adopted: June 6, 2014
Revised: March 7, 2017
4. Other
The committee agreed to spread out the review of the upcoming policies throughout the
year.
5. Next Committee Meeting Date/Time
April 4, 2017 Campbell Office Room 35 at 4:30 p.m.
6. Adjournment
There being no further discussion, the meeting adjourned at 5:33 pm.
Program Policy Committee
Page 5 of 5
San Andreas Regional Center
Board of Directors
Program Policy Committee Minutes
February 7, 2017
Committee Members Present:
Michele Alanis
Mary Le
Committee Members Absent:
Maya Baraket (Chair)
Staff Present:
Jacqueline Aviles
Lourdes González
Irene De La Rosa
Mitsuno Baurmeister
Kim Yen Nguyen
Jim Elliott
Mike Keeley
Javier Zaldivar
The meeting was called to order at 4:46 p.m. by Ms. Michele Alanis Committee
Member.
The following policies were reviewed:
1. Adult Work Services Policy
The policy was postponed in order to incorporate feedback from DDS. Sheltered
workshops are no longer allowed and they are transitioning to other forms of
employment and that has to be incorporated into the policy. It will be reviewed next
month.
2. Emergency Intervention Services Policy
This policy was revised with the following changes. The tittle changed to “Urgent
Intervention Services” as San Andreas does not provide Emergency services those are
the responsibility of the County.
EMERGENCY URGENT INTERVENTION SERVICES POLICY
I.
Purpose: It is the intent of San Andreas Regional Center to have a mechanism, in compliance
with all state and federal laws, regulations, and court decisions, to address the emergency urgent
needs of consumers individuals so that in order for consumers individuals will be to maintained in
a safe and healthy living arrangements. Emergency needs are the responsibility of generic
municipal, county, state, and federal services and supports.
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.
• An emergency is a need requiring immediate response by emergency services.
• Emergency services are those services which are required to immediately protect the life,
health and safety of the consumer individual and/or others. This includes services by
municipal, county, state, and/or federal law enforcement, emergency medical or
psychiatric services, adult or child protective services, or other emergency management
systems and services (e.g. Federal Emergency Management Agency).
Program Policy Committee
Page 1 of 4
•
•
•
Urgent needs are non-emergency threats to an individual’s health or safety requiring an
expedited response by generic /non regional center or other supports.
Emergency Urgent intervention services are those services necessary to maintain the
consumer individual safely in his or her live at home or the community. in his or her
current living arrangement.
Emergency Urgent relocation services are those services necessary to move an consumer
individual from his or her current living arrangement to a safe, temporary alternative until
the consumer’s individual’s long term needs can be addressed.
III. Policy: All consumers individuals, families, care givers and program staff shall use the generic
emergency services available to the community, e.g., police, fire, medical services, as warranted by
the situation.
San Andreas Regional Center has an emergency maintains a twenty four-hour response system
that consumers individuals, families, service providers, and the public can access by calling the
main phone number at the office from which the consumer individual normally receives service
(Campbell San Jose, Gilroy, Salinas or Watsonville). The San Andreas on-call managers shall
respond within 30 minutes to an emergency call.
The regional center provides emergency urgent intervention services. When available, an
emergency response team regional center staff or appropriate vendor may be sent to the site of
the emergency incident or concern (e.g. residence, day program/work site, and emergency
psychiatric center) to:
• Assess the situation
• Identify Provide the support necessary to ensure the health and safety of
the consumer individual and others
• Maintain the consumer individual in his or her residence the community
The regional center provides emergency urgent relocation services. In response to an emergency
urgent need, an consumer individual may be placed in an available alternative environment for up
to twenty-one days until a safe and appropriate living arrangement can be located.
IV. Purchase of Service Standard: Authorization for emergency urgent services is available twentyfour hours a day. Purchases of the required service to address the urgent need will conform to
the existing purchase of service policy for that service.
V. Exception Process: The exception process is not pertinent/relevant to this
policy.
VI. Notice of Action: A Notice of Action is not pertinent/relevant to this policy.
Revised: February 7, 2017
3. Health Care Policy
This policy was revised with the following changes:
I.
HEALTH CARE POLICY
Purpose: It is the intent of San Andreas Regional Center to ensure, preserve and protect the
health of regional center consumers individuals, in compliance with all state and federal laws,
Program Policy Committee
Page 2 of 4
regulations, and court decisions. The consumers individuals of San Andreas Regional Center
may have special health care needs in addition to routine health maintenance. Optimal health
is a function of the individual, the environment, and appropriate health care.
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.
• Conditions Which Are a Developmental Disability include intellectual disability, cerebral
palsy, epilepsy, autism and other handicapping conditions closely related to intellectual
disability or requiring treatment similar to that required for intellectually disabled
individuals, but do not include conditions that are solely physical or psychiatric in nature
or solely learning disability.
• Medical Conditions Related to the Developmental Disability are conditions which arise as a
direct result of the developmental disability the health status of the individual changes.
They frequently require multi-disciplinary team involvement and medical/nursing
monitoring of their health status. Examples of these include conditions which necessitate
such things as wound care, urinary catheters, tube feeding, tracheotomy, ventilator
support, intravenous lines and apnea monitors.
• Routine Health Care Maintenance includes routine medical, hearing, vision, and dental
evaluations; treatment; follow-ups; and immunizations; and specialty clinic or physician
consultation.
III. Policy: San Andreas Regional Center will assist consumers individuals and families in obtaining
health care services through referral, advocacy, and monitoring of existing generic, public and
private resources. Routine health care maintenance is the responsibility of the consumer
individual, the parents, the guardians (of minors), and conservators (of adults), and caregivers.
Health care for persons without generic, public or private resources becomes the
responsibility of the county in which they reside. The regional center is not responsible for
funding diagnostic or treatment services related to routine health care maintenance of the
consumer individual when generic resources are available. The regional center will assist the
individual in obtaining generic services (e.g. People Residing Under the Color of Law
(PRUCOL) Medi-Cal) for the long-term benefit of the individual served.
The Lanterman Act (California Welfare & Institution Code §4655(a)-(c)) gives the regional
center executive director or their designee the authority to provide consent for urgent
medical treatment when no legally responsible person family member can be contacted
within a reasonable period of time. The Regional Center will make every attempt to include
family members in decisions regarding the medical treatment of an individual.
IV. Purchase of Service Standard: Health care needs that are directly related to an individual's
developmental disability may become the responsibility of the regional center if no other
generic, public or private resource is available. This may include evaluation, treatment,
medication, equipment, and appliances. The purchase must be a recommendation of the
planning team and identified in the consumer’s individuals’ program plan (IPP).
The regional center will purchase only those services that are generally recognized by clinical
professionals as safe, effective, and which are intended to maximize the consumer’s
individuals’ potential.
Program Policy Committee
Page 3 of 4
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.
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 individual/family that it has not been granted, informs the consumer individual
/family of their appeal rights, and sends a notice of action and a fair hearing form.
If a decision is made to deny, reduce, or cancel the service without the agreement of the
consumer individual or the consumer's individual’s representative, a Notice of Action will be
sent.
Revised: February 7, 2017
4. Other
The committee agreed to spread out the review of the upcoming policies throughout the
year.
5. Next Committee Meeting Date/Time
March 7, 2017 Campbell Office Room 35 at 4:30 p.m.
6. Adjournment
There being no further discussion, the meeting adjourned at 5:46 pm.
Program Policy Committee
Page 4 of 4
San Andreas Regional Center
Board of Directors
BOARD DEVELOPMENT COMMITTEE MINUTES
March 7, 2017
Committee Members Present: Michele Alanis (Chair)
Mitsuno Baurmeister
Troy Hernandez
Pamela Kerman
Committee Members Absent:
Staff Present:
Jacqueline Aviles
Greg Hoffman
Arushie Nugapitiya
Javier Zaldivar
Maya Baraket
Christine Gianola
Martha Johanson
Kim Yen Nguyen
Lourdes González
Mike Keeley
Irene De La Rosa
The Board Development Committee Meeting was called to order at 5:42 p.m., by
Ms. Michele Alanis Committee Chair.
1. Confirm Board Education
There will be a Board Education on March 20, 2017 at the Campbell office. The
topic will be “Medicaid Waiver and other Federal Funding” Mr. Mike Keely and
Mr. Edgar Naranjo will present. The committee decided to keep the topic from
the cancelled Board Education in February and bump the leftover topics to 2018.
2. Applicants Update
The Board continues to look for representatives of the Monterey and Santa Cruz
Counties
3. Vacancies
2 Vacancies in the Board
• 1 Monterey County
• 1 Santa Cruz County
4. Member Terms
Mr. Wes Moss and Dr. Lori Riggio will be re-elected at the March Board Meeting.
5. Other
The committee agreed to have the whole Board vote on whether to have the
committee meetings on the first Tuesday of April. Due to Grass Roots Day on
April 4-5, 2017 the Board will vote on either moving the meetings to Monday,
April 3, 2017 or cancelling them.
Board Development Committee Minutes
Recorded by Lourdes González
Page 1 of 2
Ms. Maya Bareket shared that she went on a cruise by herself for the first time.
She shared her trip experience and that she is very proud of her
accomplishments.
6. Next Committee Meeting Date/Time
April 4, 2017 Campbell Office Room 35 at 5:30 p.m.
7. Adjournment:
There being no further discussion, the meeting adjourned at 5:52 p.m.
Board Development Committee Minutes
Recorded by Lourdes González
Page 2 of 2
San Andreas Regional Center
Board of Directors
BOARD DEVELOPMENT COMMITTEE MINUTES
February 7, 2017
Committee Members Present:
Michele Alanis (Chair) Mitsuno Baurmeister
Christine Gianola
Troy Hernandez
Pamela Kerman
Kim Yen Nguyen
Committee Members Absent:
Maya Baraket
Martha Johanson
Staff Present:
Jacqueline Aviles
Greg Hoffman
Irene De La Rosa
Lourdes González
Mike Keeley
Javier Zaldivar
The Board Development Committee Meeting was called to order at 5:46 p.m., by
Ms. Michele Alanis Committee Chair.
1. Confirm Board Education
There will be a Board Education on February 21, 2017 at the Watsonville office.
The topic will be “Medicaid Waiver and other Federal Funding” Mr. Mike Keely
and Mr. Edgar Naranjo will present.
2. Applicants Update
The Board continues to look for representatives of the Monterey and Santa Cruz
Counties
3. Vacancies
2 Vacancies in the Board
• 1 Monterey County
• 1 Santa Cruz County
4. Member Terms
Mr. Wes Moss and Dr. Lori Riggio will be re-elected at the February Board
Meeting.
5. Other
Mr. Javier Zaldivar shared that DDS is recruiting individuals for the Consumer
Advisory Committee (CAC) and he invited the Board members to share the
information and application package with interested individuals.
6. Next Committee Meeting Date/Time
March 7, 2017 Campbell Office Room 35 at 5:30 p.m.
7. Adjournment:
There being no further discussion, the meeting adjourned at 5:56 p.m.
Board Development Committee Minutes
Recorded by Lourdes González
Page 1 of 1
San Andreas Regional Center
Board of Directors
EXECUTIVE COMMITTEE MINUTES
March 7, 2017
Committee Members Present: Michele Alanis
Maya Bareket
Mitsuno Baurmeister (chair) Sherrie Ganier
Christine Gianola
Troy Hernandez
Martha Johanson
Wesley Moss
Committee Members Absent:
Staff Present:
Jacqueline Aviles
Lourdes González
Greg Hoffman
Mike Keeley
Katie Magleby
Arushie Nugapitiya
Irene De La Rosa
Francisco Valenzuela
Javier Zaldivar
Ms. Mitsuno Baurmeister Committee Chair called the meeting to order at 6:00 p.m.
1. Special Incident Reports (SIR)
Ms. Katie Magleby Risk Assessment Standards Compliance Coordinator presented the
SIR reports for the month of February 2017.
Total Incidents 553
123 Incidents reportable to DDS.
430 Incidents not reportable to DDS.
12 Deaths
16 Consumers reported missing with 0 not yet located
10 Suspected Abuse/Exploitation
2
32
Injuries Require Treatment Beyond First Aid
Medical Need/Accident
3
Victim of Crime
7
Suspected Neglect
41 Unplanned hospitalizations
130↑Aggressive Acts
Ms. Magleby went over the specific details of the incidents that are true, false,
unsubstantiated, and under investigation. She informed on the cause of death of
several children with each incident there is always an opportunity to train the staff on
how to do their job better.
Executive Committee Minutes
Meeting Minutes recorded by Lourdes González
Page 1 of 4
Mr. Javier Zaldivar gave an update on the individuals that were affected by the flood in
San Jose. 96 individuals were affected but only 11 were evacuated everyone is doing
fine now. Thanks to the use of the Everbridge program SARC can efficiently determine
affected individuals during emergencies. Several incidents were discussed that shows
the need for good communication to families and good training for staff.
2. Development of the March 20, 2017 Board Meeting in Campbell
There will a Board Education and the topic will be “Medicaid Waiver and other Federal
Funding” Mr. Mike Keely and Mr. Edgar Naranjo will present
Mr. David Grady will present the State Council on Developmental Disabilities Central
Coast report.
a.
President’s Report: Mitsuno Baurmeister
1. Immigration Statement
b.
Executive Director’s Report: Javier Zaldivar
1. Disparity Meetings and Support of All Individuals
2. Budget Update
c.
Director of Consumer Services: Mike Keeley
1. New and Closing Programs
2. DNR (Do Not Resuscitate)
3. Mission Moment
d.
Committee Reports:
Fiscal – There will be a report.
Board Development – There will be a report.
Action Item: Recommendation to approve the re-election of Mr. Wes Moss to
his third two-term in SPAC
Action Item: Recommendation to approve the re-election of Dr. Lori Riggio to
her second two-year term in the Board.
Action Item: Vote to move committee meetings to 4/3/17 or cancel them due to
Grass Roots day.
Service Provider Advisory Committee - There will be a report.
Action Item: Recommendation to approve the re-election of Ms. Monica
Pritchett to her third two-year term in SPAC.
People’s Advisory Committee – There will be a report
Quality Assurance Advisory – There will be a report
Executive Committee Minutes
Meeting Minutes recorded by Lourdes González
Page 2 of 4
Program Policy Committee – There will be a report
Action Item: Recommendation to adopt “Role of SARC in Securing Services
for Consumers” policy.
ARCA Update – There will be a report.
3. Property Management Update
Mr. Greg Hoffman Chief Financial Officer gave the report
Salinas office – In the negotiation process for lease renewal and office reconfiguration.
Gilroy Office – Office will be relocated to the new building in San Jose working on the
particulars.
Campbell Office – Relocation effort is on schedule.
4. Director’s Update
Mr. Javier Zaldivar Executive Director informed that due to the current political situation
a group of parents has disbanded in the Monterey County. SARC has met with Special
Kids Crusade and has requested that they expand their auspice and inform them that
SARC does not ask for legal status or report anyone to anybody.
Mr. Zaldivar mentioned these topics to the committee to keep in mind:
• He reminded the committee that there is a lot of Legislature pending that is why it
is a good thing to attend events like Grass Roots Day where a coordinated effort
in talking points is presented.
• A lot of things in the budget are pending on federal dollars what will happen if:
o California declares itself a sanctuary state
o Affordable Care Act is repealed
• Historically the Department of Health and Human Services is always looked at
first for budget cuts.
• The Sub Committee Hearings have begun
o Gloria Wong of East Los Angeles Regional Center will speak on
Disparities
• Update on the money released to the regional center marked for special projects:
o Headsets for meeting translations completed
o One on One parent mentor interaction working on it
o Welcome binder finalizing final prototype
o Website redesign will be postponed until the office relocation
5. Announcements/Events
Disparity Presentations at 6:00 to 7:30 pm:
March 9, 2017 Louden Nelson Community Center - 301 Center Street, Santa Cruz
March 23, 2017 Millennium Charter School, 901 Blanco Circle, Salinas
April 6, 2017 Gilroy Senior Center - 7371 Hanna St., Gilroy
April 6, 2017 Camden Community Center - 3369 Union Avenue, San Jose
Executive Committee Minutes
Meeting Minutes recorded by Lourdes González
Page 3 of 4
April 1, 2017 Annual Vietnamese Conference Mayfair Community Center
April 4, 2017 Grass Roots Day
April 13, 2017 Legislative Tour
April 28, 2017 Legislative Luncheon Holiday Inn, 1350 North 1st Street, San Jose
6. Other
None
7. Next committee/meeting date/time
April 4, 2016 Campbell Office – Room 35 at 6:00 p.m.
8. Adjournment
There being no further discussion, the meeting adjourned at 7:03 p.m.
Executive Committee Minutes
Meeting Minutes recorded by Lourdes González
Page 4 of 4
San Andreas Regional Center
Board of Directors
EXECUTIVE COMMITTEE MINUTES
February 7, 2017
Committee Members Present: Michele Alanis
Sherrie Ganier
Troy Hernandez
Committee Members Absent:
Maya Bareket
Staff Present:
Jacqueline Aviles
Greg Hoffman
Katie Magleby
Javier Zaldivar
Mitsuno Baurmeister (chair)
Christine Gianola
Wesley Moss
Lourdes González
Mike Keeley
Irene De La Rosa
Ms. Michele Alanis Committee member called the meeting to order at 6:05 p.m.
1. Special Incident Reports (SIR)
Ms. Katie Magleby Risk Assessment Standards Compliance Coordinator presented the
SIR reports for the month of January 2017.
Total Incidents 518
105 Incidents reportable to DDS.
413 Incidents not reportable to DDS.
11 Deaths
8 Consumers reported missing with 0 not yet located
12 Suspected Abuse/Exploitation
0
35
2
Injuries Require Treatment Beyond First Aid
Medical Need/Accident
Victim of Crime
3 Suspected Neglect
34 Unplanned hospitalizations
89↓ Aggressive Acts
Ms. Magleby went over the specific details of the incidents that are true, false,
unsubstantiated, and under investigation. The question was asked if it was illegal for an
individual to be locked in his or her room. Mr. Mike Keeley explained that yes it is illegal
in a licensed facility, however it is difficult to monitor in the family home.
Executive Committee Minutes
Meeting Minutes recorded by Lourdes González
Page 1 of 4
2. Development of the February 21, 2017 Board Meeting in Watsonville
There will a Board Education and the topic will be “Medicaid Waiver and other Federal
Funding” Mr. Mike Keely and Mr. Edgar Naranjo will present
Mr. David Grady will present the State Council on Developmental Disabilities Central
Coast report.
a.
President’s Report: Mitsuno Baurmeister
1. Immigration Statement
b.
Executive Director’s Report: Javier Zaldivar
1. Disparity Meetings and Support of All Individuals
2. Budget Update
c.
Director of Consumer Services: Mike Keeley
1. New and Closing Programs
2. DNR (Do Not Resuscitate)
3. Mission Moment
d.
Committee Reports:
Fiscal – There will be a report.
Board Development – There will be a report.
Action Item: Recommendation to approve the re-election of Mr. Wes Moss to
his third two-term in SPAC
Action Item: Recommendation to approve the re-election of Dr. Lori Riggio to
her second two-year term in the Board.
Service Provider Advisory Committee - There will be a report.
Action Item: Recommendation to approve the re-election of Ms. Monica
Pritchett to her third two-year term in SPAC.
People’s Advisory Committee – There will be a report
Quality Assurance Advisory – There will be a report
Program Policy Committee – There will be a report
Action Item: Recommendation to adopt “Role of SARC in Securing Services
for Consumers” policy.
ARCA Update – There will be a report.
Executive Committee Minutes
Meeting Minutes recorded by Lourdes González
Page 2 of 4
3. Property Management Update
Mr. Greg Hoffman gave the report
Salinas and Gilroy offices – Lease is expiring this year will meet with respective
landlords to negotiate renewals.
Campbell Office – Relocation effort moving ahead.
4. Director’s Update
Mr. Javier Zaldivar Executive Director informed that the Sonoma project is moving along
SARC has 4 individuals in the Developmental Center (DC) but very soon 2 will be
placed and only 2 will be left. SARC is in the process of buying properties that will be
homes to individuals leaving the DCs and locked facilities. They will provide nursing for
medically fragile individuals and /or behavior supports. SARC is the leading regional
centers in developing Enhanced Behavioral Support Homes (EBSH) three homes are
almost ready.
• Transition Home for adults in San Martin
• EBSH for adults in San Martin
• EBSH for children in Santa Cruz
The homes will be compliant with the final rule and have 24 hour awake staff.
Mr. Zaldivar gave a summary of the budge he said that the budget looks solid for the
next fiscal year, but there are concerns with the new administration and the possible
changes that can occur. The Medical/Medicaid program can be impacted if the
Affordable Care Act is repealed. It is unclear what the consequences for the final rule
will be and all the programs that are tied to it. There are talks of going to a grant block
budget but what if the money is not enough to cover all the programs. We are living on
very uncertain times.
Mr. Zaldivar announced that:
• SARC has released 14 service coordinators positions total number of SARC
employees is 305 now.
• Ms. Saskia Vandekamp has been hired as the manager for the Watsonville
office.
• Human Resources is working on filling the Employment Specialist and Cultural
Diversity Specialist positions
• San Andreas’ Community Placement Plan (CPP) Housing Coordinator position
has been filled by Ms. Alex Ostell
• The Disparity presentations have been scheduled for the months of March and
April; it shows data on how money is used among the different populations.
5. Announcements/Events
Disparity Presentations at 6:00 to 7:30 pm:
March 9, 2017 Louden Nelson Community Center - 301 Center Street, Santa Cruz
March 23, 2017 Millennium Charter School, 901 Blanco Circle, Salinas
April 6, 2017 Gilroy Senior Center - 7371 Hanna St., Gilroy
April 6, 2017 Camden Community Center - 3369 Union Avenue, San Jose
Executive Committee Minutes
Meeting Minutes recorded by Lourdes González
Page 3 of 4
March 8, 2017 Social Coffee Gilroy office 11:00 – 2:00 pm and 5:00 – 7:00 pm
6. Other
None
7. Next committee/meeting date/time
March 7, 2016 Campbell Office – Room 35 at 6:00 p.m.
8. Adjournment
There being no further discussion, the meeting adjourned at 7:00 p.m.
Executive Committee Minutes
Meeting Minutes recorded by Lourdes González
Page 4 of 4
San Andreas Regional Center
Quality Assurance Advisory Committee
March14, 2017
Committee Members Present:
Maya Bareket
Troy Hernandez - Chair
Pamela Kerman
Committee Members Absent:
Dr. Lori Riggio
Staff Present:
Jeffery Darling
Hazel Jordan
Katie Magleby
Irene De La Rosa
Community Present:
Lynn Bariteau
Christine Gianola
Martha Johanson
Lourdes Gonzalez
Mike Keeley
Arushie Nugapitiya
Debbie Salazar
David Grady
Meeting called to order by Ms. Maya Bareket Co-Chair of the Committee at 5:10 p.m.
The following information was collected for the month of February 2017:
Ms. Katie Magleby gave the SIR Special Incident Report (SIR) for the month of
February 2017.
l. Special Incident Reports:
553 Total number of incidents.
12 Total number of deaths.
123 Incidents reportable to DDS.
430 Incidents not reportable to DDS.
41 Unplanned hospitalizations with 3 consumers remaining hospitalized.
14 Planned hospitalizations.
16 Consumers reported missing with 0 not yet located.
Breakdown of Incident Reports by Residence type:
RCH:
201
ICF: 24
Family Home: 162
SNF/NF: 5
Foster Home: 0
ILS: 41
SLS: 91
Family Home Agency: 16
Psych Treat: 13
Highlights: Ms. Magleby went over the specific details of the incidents that are true,
false, unsubstantiated, and under investigation.
Questions asked were:
1.
Why are some reports so late?
a. The response was that sometimes the agency does not feel it merits
reporting, but later when events are relayed to service coordinators they
feel that it should be reported as an incident report.
Quality Assurance Advisory Committee
Recorder: Lourdes Gonzalez
2.
What are the repercussions for agencies that behave badly?
a. SARC looks for ways that it does not affect more individuals
b. SARC gives them a Correction Action Plan (CAP)
c. SARC suspends referrals and ultimately removes all individuals from their
care.
d. Depending on the issue the proper agencies are called such as the police,
Child Protective Services (CPS), Adult Protective Services (APS) and
Licensing.
i. These agencies can cause the staff to be fired
ii. Give sanctions
iii. Arrest people
iv. Close Agencies
The committee discussed the fact that when abuse happens to an individual the family
suffers as well.
Mr. Jeff Darling explained that trends are checked statewide by an agency contracted
with DDS called “Mission Analytics”. He also said that a high number of SIRs does not
necessarily mean a bad thing. It means that reporting has gotten better and more
frequent.
ll. Quality Assurance (QA):
A. QA Facility Monitoring - Residential Care, Level 4I only
5 Out of 5 scheduled FM’s completed.
3 Facilities received recommendations
0 Facilities received corrective action plans
B.
5
0
0
QA Unannounced Visits - Residential Care, Level 4I only
Out of 5 scheduled QA’s completed.
Facilities received recommendations
Facilities received corrective action plans
C. Trainings:
Service Provider Facility Monitoring, 02/16/17 30 attendees.
Service Coordinator Facility Monitoring 00/00/00 00 attendees.
Behavior Skills Training-DP’s/RCH’s/SARC SC’s 00/00/00 attendees
Residential Services Orientation (RSO) 00/00/00 00 attendees
New Employees Orientation 00/00/00 00 attendees
Service Provider & RC staff, Hot Topics Training 00/00/00 attendees.
D. Standing QA Meetings:
Quality Assurance around the Bay: 00/00/
Let’s Talk QA: Cancelled
Quality Assurance Advisory Committee
00 attendees.
Recorder: Lourdes Gonzalez
DSP Interview w/SARC – as needed
QA Rap Session (Roundtable) 00/00/00
00 attendees
Mortality and Morbidity: 12 Number of deaths
0
Infants
2 Children 5
Adults
5
Elderly
E. Highlights:
Certificate of Achievement
2/17/17 – Miranda’s RCH
Ill. Health Services:
A. Health-Related Trainings Presented by San Andreas Health Services Unit:
Class (Max attendance)
#
Total
Test 1
Test 2
Completed Attendees Pass/Fail Pass/Fail
Assisting with Medications (30)
1
22
21/1
1/0
Assisting with Medications – Gilroy (20)
1
9
9/0
--Basics of Dementia – Part 1 (30)
Basics of Dementia - Part 2 (30)
1
20
20/0
--Basics of Nutrition and Obesity (20)
Gilroy
Difficulty Swallowing and Aspiration (24)
Emergency Planning (20)
1
10
10/0
--Oral Health (20)
1
17
16/1
1/0
Pressure Sore Prevention & Recognition
(30)
Recognizing Signs of Abuse (30)
Restricted Health Conditions (30)
1
19
18/1
1/0
RN Training
Signs/Symptoms of Illness/Injury (30)
Special Incident Report (30)
1
25
25/0
--Thinking Ahead (30)
What is Epilepsy (30)
1
23
23/0
--Totals
8
145
142
3
B. Current projects/activities:
One SARC Registered Nurse (RN) retired and we are actively seeking replacement.
Meanwhile Ms. Debbie Salazar and Ms. Lisa Rund will be assisting with the ARFPSHN
(962) home meetings.
C. Highlights:
With the population aging, and better medical intervention, there is a trend toward
individuals becoming more dependent with complex medical issues.
Quality Assurance Advisory Committee
Recorder: Lourdes Gonzalez
Some care providers feel unequipped for these challenges and noticeably this month
there is a trend toward disallowing the person to go back into their home once
hospitalized. This causes long hospitalizations and exposure to hospital acquired
infections. This issue is currently a huge concern for the Health Services Department.
The hope was that training and providing qualified RNs to do care planning and training
for the homes would be beneficial but there is more work to do to ensure the health and
safety of individuals served.
SARC vendors a dentist by the name of Dr. Steve Kerba; Dr. Steve has decided to
bring another dentist into his Sunnyvale office to cover his private patients and plans to
dedicate himself almost entirely to people we serve who need general anesthesia or
conscious sedation dentistry. He says. “I love these guys. They make me laugh and I
help them not be scared of a dentist”. If you ever get to meet him, give him a high five.
IV. Supported Living Services (SLS):
A. SLS QA’s: No SLS QAs were conducted during this report period.
B. SLS Roundtable: Resource Manager, Jeff Darling presented the following information
at the February Roundtable held at the Campbell office.
• SARC Policy/Procedure:
• ABX 2-1 rate adjustments to median rates
• HCBS Final Rule
o Laura Brackin Presentation on March 3
o Position at RC’s
• CPP Residential Services Report
• Employment changes
o Paid Internship Program
o CIE Incentive Payments
o Employment Position at RC’s
Disparity – Position at RC’s
Highlights:
The next Roundtable Meeting will be conducted at the Campbell office on April 12,
2017.
Supported Living Orientation For Individuals and Families
One Orientation was held with 7 people in attendance.
SLS New Vendor Orientation
One Orientation was held with 4 people in attendance.
V. Resource Services:
Residential Service Orientation (RSO)
RSO (mini for FHA)
Quality Assurance Advisory Committee
0
Completed,
Completed,
0
Total attendees
Total attendees
Recorder: Lourdes Gonzalez
VI. Emergency Response Plan Report
A. Current projects/activities:
Mr. Edgar Naranjo will be assigned a role in Everbridge and be trained to assist in
emergencies.
Highlights:
In the early morning hours of Wed, February 22nd, Coyote Creek flooded a large part of
downtown San Jose. Jeff entered the Everbridge Emergency Notification System and
determined that approximately 96 people served by San Andreas lived in the mandatory
evacuation zone declared by the City of San Jose. A list was generated, based on the
info in Everbridge, containing the names and addresses of the people, along with the
names of their Service Coordinators’ (SC) and managers. SC’s were then asked to
contact the people to determine if they were safely evacuated and if they needed any
assistance from San Andreas. DDS was notified of the above steps within hours of the
flood happening.
All the people were fine. One service provider, Parkside Villa, had to evacuate from the
area. They served about 35 people. They evacuated the people to one of the
emergency shelters set up by the city. They were able to return home in less than 24
hours. None of the homes where the 35 people live were damaged by the flood in any
way.
SARC is on the Leadership Committee of CADRE (Collaborate Agencies Disaster Relief
Efforts), a consortium of agencies in Santa Clara County who have roles in times of
emergencies. The City of San Jose asked CADRE to activate in response to the flood
emergency. As such, CADRE was asked to staff a table at the Local Assistance Center
that the city set up as a resource for people needing long term recovery assistance. San
Andreas did not need to have a presence at the Local Assistance Center, as no one
served was in need of long term recovery assistance.
Dr. Carrie Molho and Ms. Lisa Rund belong to the Functional Assessment Service
Team (FAST) that helps during emergencies. During the recent flood Dr. Molho was
called to assist. We are very proud of her.
Vll. Open Agenda:
Mr. David Grady shared that he has met with Ms. Debbie Salazar and Ms. Lisa Rund to
work on the “Wellness and Stress Management” classes. They will begin once the
move has been completed.
Mr. Mike Keeley announced that the Stress Workshops will be repeated soon.
Ms. Maya Bareket shared that she went on a cruise by herself for the first time she is
very proud of her accomplishments.
Quality Assurance Advisory Committee
Recorder: Lourdes Gonzalez
Ms. Martha Johanson shared that the Santa Clara County Suicide Prevention Report
recently released showed an increase of suicides in the Hispanic population ages 10 to
24 years it is very sad.
Ms. Anna Wang of Friends of Children with Special Needs (FCSN) was on the
newspaper for her recognition as “21 Woman you Need to Know” for the great service
she does for individuals with developmental disabilities.
Vlll. Next QAAC meeting is scheduled for:
April 11, 2017 at 5:00 p.m. - 6:30 p.m. Campbell Office, Room 35
lX. Adjournment
There being no further discussion, the meeting adjourned at 6:30 p.m.
Quality Assurance Advisory Committee
Recorder: Lourdes Gonzalez
San Andreas Regional Center
Quality Assurance Advisory Committee
February 14, 2017
Committee Members Present:
Maya Bareket
Troy Hernandez - Chair
Christine Gianola
Pamela Kerman
Committee Members Absent:
Martha Johanson
Dr. Lori Riggio
Staff Present:
Jacqueline Aviles
Hazel Jordan
Katie Magleby
Lisa Rund
Lourdes Gonzalez
Mike Keeley
Irene De La Rosa
Community Present:
David Grady
Meeting called to order by Ms. Maya Bareket Co-Chair of the Committee at 5:10 p.m.
The following information was collected for the month of January 2017:
Ms. Katie Magleby gave the SIR report for the months of January
l. Special Incident Reports:
518 Total number of incidents.
11 Total number of deaths.
105 Incidents reportable to DDS.
413 Incidents not reportable to DDS.
34 Unplanned hospitalizations with 6 consumers remaining hospitalized.
14 Planned hospitalizations.
8 Consumers reported missing with 0 not yet located.
Breakdown of Incident Reports by Residence type:
RCH:
201
ICF: 15
Family Home: 135
SNF/NF: 4
Foster Home: 0
ILS: 35
SLS: 105
Family Home Agency: 16
Psych Treat: 7
Highlights: Ms. Magleby went over the specific details of the incidents that are true,
false, unsubstantiated, and under investigation.
ll. Quality Assurance (QA):
A. QA Facility Monitoring - Residential Care, Level 4I only
3 Out of 3 scheduled FM’s completed.
0 Facilities received recommendations
0 Facilities received corrective action plans
Quality Assurance Advisory Committee
Recorder: Lourdes Gonzalez
B.
3
0
0
QA Unannounced Visits - Residential Care, Level 4I only
Out of 3 scheduled QA’s completed.
Facilities received recommendations
Facilities received corrective action plans
C. Trainings:
Service Provider Facility Monitoring, 00/00/00 00 attendees.
Service Coordinator Facility Monitoring 00/00/00 00 attendees.
Behavior Skills Training-DP’s/RCH’s/SARC SC’s 00/00/00 attendees
Residential Services Orientation (RSO) 00/00/00 00 attendees
New Employees Orientation 00/00/00 00 attendees
Service Provider & RC staff, Hot Topics Training 00/00/00 attendees.
D. Standing QA Meetings:
Quality Assurance around the Bay: 01/27/17 17 attendees.
Let’s Talk QA: Cancelled
DSP Interview w/SARC – as needed
QA Rap Session (Roundtable) 00/00/00 00 attendees
Mortality and Morbidity: 11 Number of deaths
0
Infants
2 Children 5
Adults
4
Elderly
E. Highlights:
Certificate of Achievement: 1/19/17 – P.A.C.E Lamar House
The committee discussed the reasons for the monthly deaths Ms. Rund said that always
the number one reason for our individuals is pneumonia the symptoms sometimes are
subtle and escalate quickly. She reminded the committee that she offers a training that
teaches how to check and be aware of pneumonia signs.
Ms. Magleby informed that DDS’ current Safety Net flyer has information on pneumonia
check the SARC website for more information.
Quality Assurance Advisory Committee
Recorder: Lourdes Gonzalez
Ill. Health Services:
A. Health-Related Trainings Presented by San Andreas Health Services Unit:
Class (Max attendance)
#
Total
Test 1
Test 2
Completed Attendees Pass/Fail Pass/Fail
Assisting with Medications (30)
1
23
20/3
2/1
Basics of Dementia – Part 1 (30)
1
19
19/0
--Basics of Dementia - Part 2 (30)
Basics of Nutrition and Obesity (20)
1
6
6/0
--Gilroy
Difficulty Swallowing and Aspiration
1
16
16/0
--(24)
Emergency Planning (20)
Oral Health (20)
1
7
6/1
1/0
Pressure Sore Prevention &
1
13
13/0
-Recognition (30)
Recognizing Signs of Abuse (30)
Restricted Health Conditions (30)
RN Training
Signs/Symptoms of Illness/Injury
1
18
17/1
0/1
(30)
Special Incident Report (30)
1
5
4/1
1/0
Thinking Ahead (30)
What is Epilepsy (30)
Totals
8
107
101/6
4/2
B. Current projects/activities:
We have a nurse retiring from SARC who has covered Tucker’s Adult unit in Campbell,
962 homes and CCO. Her last day is March 3rd. Her work will be absorbed by our
current staff until we are able to find a replacement.
C. Highlights:
Flu has hit California, as it has throughout the nation. Although California is not ranked
high on the per capita diagnosis of flu, in our population hospitalizations this winter have
often been due to flu and pneumonia. Here is a graphic from the CDC indicting we are
in the months of highest incidence of flu. Therefore, we encourage everyone to cover
their mouth when coughing, and wash your hands every chance you get.
Quality Assurance Advisory Committee
Recorder: Lourdes Gonzalez
The CDC website describes how the flu shot is evolving over time to help the public:
“This season, a flu vaccine with adjuvant will be available for the first time in the United
States.
Adjuvant is a vaccine ingredient that helps create a stronger immune response in the
patient’s body. This new vaccine (“FLUAD™”) is approved for use in people 65 years
and older.
This season, a flu shot that protects against four flu viruses made with virus grown in
cell culture will be available for the first time in the U.S (“FLUCELVAX™”). (Last season,
FLUCELVAX™ protected against three flu viruses.) FLUCELVAX™ is approved for use
in people 4 years and older.”
IV. Supported Living Services (SLS):
A. SLS QA’s: Postponed due to reporting person (Ann) being out of the office.
B. SLS Roundtable: The meeting was held in San Jose and a small number of people
attended due to rain.
Issues discussed:
• HCBS and Final Rule
• Self Determination
Highlights:
The next Roundtable Meeting will be conducted at the Watsonville office on March 8,
2017. Following that, the April meeting will be held at the Campbell office on April 12,
2017.
Quality Assurance Advisory Committee
Recorder: Lourdes Gonzalez
Supported Living Orientation For Individuals and Families
SLS New Vendor Orientation
V. Resource Services:
Residential Service Orientation (RSO)
RSO (mini for FHA)
1
Completed,
Completed,
Total attendees
8 Total attendees
Highlights:
Mr. Keeley informed the committee of the upcoming resources for SARC. SARC is
currently working on the development of Enhanced Behavioral Support Homes (EBSH);
homes designed to serve individuals who need some nursing care or oversight and who
have behaviors.
Three homes will be ready soon.
• EBSH for adults in San Martin
• Transition Home for adults in San Martin
• EBSH for children in Santa Cruz
The question was asked if Licensing was aware of the final rule regulations and who
oversees them, Mr. Keeley said that they are getting there slowly and they are overseen
by the Department of Social Services.
Mr. Keeley gave a simplified version of what the final rule is to the committee as they
had questions on what it means. He explained that individuals have the right to be fully
integrated into the community and have meaningful paying jobs. The individual will
work with his or her interdisciplinary support team to achieve his or her goal.
The individuals in the Board shared their own personal experiences of what the final
rule means to them. Ms. Gianola said that she has observed individuals react excited
when they find out that they will go out in the community and not be stuck in the
workshops all day. Ms. Gianola who works at Target has been a great example of what
our individuals are capable of because of her good work she has shown her bosses that
they can hire more individuals and they have.
Ms. Bareket feels very proud of the job she holds as a receptionist, and she has helped
train others for her type of work.
Mr. David Grady explained that the final rule is the next step for people with disabilities,
it went from Developmental Centers to workshops, and now to community integration
but it is an expensive endeavor.
VI. Emergency Response Plan Report
A. Current projects/activities: Emergency Response Plan team did not meet in January.
No new planning is taking place yet, due to Campbell office moving in the spring.
Quality Assurance Advisory Committee
Recorder: Lourdes Gonzalez
Highlights: The two SARC staff who are FAST members participated in the quarterly
FAST meeting on 01/25/17. FAST is Functional Assessment Services Team and is
made up of volunteers who have knowledge and experience in working with people with
various disabilities.
FAST members can be deployed to emergency shelters to assist with getting their
access and functional needs identified and met. SARC Executive Team had approved 3
people originally to be members, and would allow up to 10 days off work (if deployed) to
assist in times of disaster. This is one way San Andreas Regional Center puts into
practice our mission of service, advocacy, respect and choice.
Ms. Rund shared that at her trainings she advises the vendors to practice emergency
drills often, act different scenarios, and at different times.
Vll. Open Agenda:
Mr. David Grady informed that he will coordinate a meeting with Ms. Debbie Salazar,
Ms. Rund, and other SARC staff to discuss the idea of putting together a Vendor
Training on stress management, mindfulness, and self-care.
Vlll. Next QAAC meeting is scheduled for:
March 14, 2017 at 5:00 p.m. - 6:30 p.m. Campbell Office, Room 35
lX. Adjournment
There being no further discussion, the meeting adjourned at 6:05 p.m.
Quality Assurance Advisory Committee
Recorder: Lourdes Gonzalez
San Andreas Regional Center Board of Directors
PEOPLE ADVISORY COMMITTEE
Hope Services: Santa Cruz
February 9, 2017
No meeting took place as all members were in the community. The PAC group in
Santa Cruz needs to find a new meeting time to keep the group going.
The plan will be to meet with members on second Thursday of the month in the
morning before they all go their own ways.
Next PAC Committee Meeting:
April 2017
People’s Advisory Committee Minutes
Transcribed by Lourdes Gonzalez
Page 1 of 1
San Andreas Regional Center Board of Directors
PEOPLE ADVISORY COMMITTEE
Paradigm: Salinas
February 16, 2017
Members present were: Jeff Dozier
Laura Gutierrez
David Hoff
Abigail Jensen
Marilyn
Johnny Gomez
Gene Hambey
Nick Holloway
Ashley
Mr. Francisco Valenzuela Committee Facilitator informed that members were
treated to pizza and spoke about goals they have set for 2017 and the on-going
activities that have been keeping them busy as they go forward with
programming at Paradigm.
PAC members spoke about their concerns regarding the on-going issues the
trump administration has been having. Their main concern is around the services
they receive if their services are in jeopardy.
Next PAC Committee Meeting:
March 2017
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 (Parkmoor), San Jose
February 22, 2017
Members Present:
Milta Alfaro
Febbie Casingal
Shaunte Kirkman
Catherine Whitmore
Maya Bareket
Chris Gianola
Lina Pasamante
Gina
Mr. Francisco Valenzuela Committee Facilitator informed that the committee
members had a project of putting together Homeless Kits that included supplies
that will be handed out to the Homeless. Toothpaste, toothbrushes, soap,
deodorant, mouth wash, lotion, and other supplies were part of the kits. Each
PAC member participated with this task.
The discussion during this task was the importance of helping those who are less
fortunate and the need to be helpful to others.
Each member enjoyed the task they were involved with and looked forward to the
packets being handed out.
Next PAC Committee Meeting:
March 2017
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
March 14, 2017
Members Present:
Barbara Altmann
Debbie Beck
Ernie Strassman (Pres.)
Liz Bartolone
Phillip Nguyen
Mr. Francisco Valenzuela Committee Facilitator informed that the Members were
treated to Pizza and spoke about the goals for 2017. Members shared how
thankful they were for receiving from Greater Opportunities.
Members spoke about their concerns over their Medical / Medicare services and
if they will be affected by the proposed cuts coming from Washington, D.C.
Member Liz is concerned that her medication co-pay will go up if Obama Care is
taken away. Members fear that their services are at risk with the proposed
budget.
Members Phillip and Debbie spoke about their work at BJ's and how much they
enjoy working.
Next PAC Committee Meeting:
April 2017
People’s Advisory Committee Minutes
Transcribed by Lourdes Gonzalez
Page 1 of 1