SEPTEMBER MEETING OF THE BOARD OF TRUSTEES TUESDAY ... · Ms. Colleen Mock, Director of Community...

SEPTEMBER MEETING OF THE BOARD OF TRUSTEES TUESDAY, September 19, 2017

6:30 p.m. Conference Room A4 – Ground Floor

A G E N D A

1. CALL TO ORDER & INTRODUCTIONS..................................................MARIANO SANZ PRESIDENT

2. PRESIDENT'S REPORT..............................................................................MARIANO SANZ

PRESIDENT

4. MINUTES .......................................................................................................DR. JAMES FLORES OF THE JULY 18, 2017 MEETING SECRETARY 5. TREASURER'S REPORT............................................................................FU-TIEN CHIOU

TREASURER

6. EXECUTIVE REPORT................................................................................ PATRICIA DEL MONICO EXECUTIVE DIRECTOR

7. COMMITTEE REPORTS: a) AUDIT……………………………………………………LA VELLE GATES, CHAIRPERSON b) BOARD DEVELOPMENT .................................................MARIANO SANZ, CHAIRPERSON c) CLIENT ADVISORY. .....................................................DAVID GAUTHIER, CHAIRPERSON d) CLIENT SERVICES*.....................................................PATRICIA JORDAN, CHAIRPERSON e) COMMUNITY RELATIONS...……….……….DR. MONICA SIFUENTES, CHAIRPERSON f) SERVICE PROVIDER ADVISORY......................................PAUL QUIROZ, CHAIRPERSON g) BOARD PLANNING*...……………………………….....RON BERGMANN, CHAIRPERSON h) RETIREMENT...............................................................DR. JAMES FLORES, CHAIRPERSON i) SELF DETERMINATION ADVISORY………………………….MARIANO SANZ, LIAISON j) ARCA……………………………………………………………..……JOE CZARSKE, LIAISON k) HOPE (Home Ownership for Personal Empowerment)..........................BOB IRLEN, LIAISON

8. PUBLIC INPUT/ANNOUNCEMENTS 9. EXECUTIVE SESSION……………………………………………………. MARIANO SANZ PRESIDENT 10. ADJOURNMENT – 8:00 p.m. *indicates “action” cc: All Board members HRC Receptionist

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MINUTES OF THE JULY 18, 2017 MEETING OF THE BOARD OF TRUSTEES OF THE HARBOR DEVELOPMENTAL DISABILITIES

FOUNDATION, INC.

BOARD PRESENT: Mr. Ron Bergmann, Board Member Mr. Fu-Tien Chiou, Treasurer Mr. Joe Czarske, Vice President Dr. James Flores, Secretary Mr. La Velle Gates, Board Member Mr. David Gauthier, Board Advisor Mr. Bob Irlen, Board Advisor Ms. Patricia Jordan, Board Member Ms. Paul Quiroz, Board Member Dr. Bobbie Rendon-Christensen, Vice-President Ms. Kim Vuong, Board Member BOARD ABSENT: Mr. Jeffrey Herrera, Board Member Mr. Mariano Sanz, Board Member Dr. Monica Sifuentes, Board Member STAFF PRESENT: Ms. Patricia Del Monico, Executive Director Ms. Judy Wada, Chief Financial Officer Ms. Nancy Spiegel, Director of Information & Development Ms. Colleen Mock, Director of Community Services Ms. Mary Hernandez, Director of Adult Services Ms. LaWanna Blair, Director of Early Childhood Services Ms. Antoinette Perez, Director of Children’s Services Ms. Cheryl Perez, Executive Assistant Ms. Jennifer Lauro, Executive Assistant Ms. Arelis Matos, Executive Assistant Team Assistant GUESTS: Mr. Fernando Nunez, LRA Interpreter Mr. Mead Duley, HRC Client Mr. Doug Erber, HRC Parent Ms. Rubi Saldana Mr. David Oster, HRC Client

GUESTS: Ms. Dilma Luna Ms. Ana Maria Ms. Gilberta Castellanos Ms. Angela Robles Ms. Ameila Castellano Ms. Gail Carrier, HRC Parent Ms. Annette Lombardi Ms. Ronda Kopito, HRC Parent Ms. Paula Martinez, HRC Parent Mr. Boris Mita Ms. Irma Ramirez Ms. Maria Osorio Ms. Mayra Garcia, HRC Parent Mr. Fernando Gomez Ms. Kim Sinclair, HRC Parent Mr. Christopher Arroyo, SCDD Ms. Mari Anne Kehler, HRC Parent Ms. Roxy Zaza Ms. Selene Mercado, HRC Parent Mr. Shige Yoshiea, HRC Parent Ms. Cheri Weeks, HRC Manager Ms. Kathy Platnick, HRC Parent Ms. Tracy Barrow, HRC Parent Ms. Sindee Smolowiz, HRC Parent Ms. Guadalupe Nolasco, HRC Parent Ms. Cristina Eglitis, HRC Parent Mr. Brandon Eglitis, HRC Client Mr. David Mezquita Ms. Myra Mezquita Ms. Denise Thornquest, DDS Ms. Maria Teresa G. Mr. Andy Kopito, HRC Parent Ms. Fabiola Medina, HRC Parent Ms. Tina Nathan, HRC Parent Ms. Kelly Rain Gross, HRC Parent Mr. Daerick Gross, HRC Parent Mr. Mario Prado, HRC Parent Mr. Juan Nunez Diaz, HRC Parent Ms. Deborah Hurwicz, HRC Parent

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CALL TO ORDER In Mr. San’s absence, Mr. Joe Czarske called the Board Meeting to order at 6:40 p.m. PRESIDENT’S REPORT Mr. Joe Czarske led in the Pledge of Allegiance to the Flag. In Mr. San’s absence, Mr. Czarske welcomed new Board members Christopher Patay and Paul Quiroz. Paul is the new representative from the Service Provider Advisory Committee and is taking over from Terri Nishimura. Mr. Czarske asked the Board members, staff and guests to introduce themselves. Mr. Czarske announced that there will be an opportunity for the Board to receive comments from the public prior to the start of the regular business meeting. Mr. Czarske requested that visitors present who wish to address the Board during the public comment time complete the Public Comment Request form and submit it to the Executive Assistant. Mr. Czarske informed that our Board President, Mariano Sanz, is unable to be with us because he is out of the country on family business. He has sent us a memo which he has asked us to make available to everyone present this evening and the memo has been distributed to both Board members and visitors tonight. Mr. Czarske advised that our Executive Committee has also taken this opportunity to address some of the questions which have been posed by visitors to our recent meetings. We have distributed a memo to Board members and visitors and we have included some attachments, all of which we hope will be helpful and responsive. Mr. Czarske asked that the record reflect the Executive Committee of the Board met on July 11, 2017 to prepare the agenda for tonight’s meeting. Mr. Czarske announced that we will have an Executive Session to discuss a personnel matter immediately following our regular business meeting tonight. Mr. Czarske reminded everyone that there will be no meeting of the Board in the month of August. PUBLIC INPUT/ANNOUNCEMENTS Mr. Czarske advised that public input was next on the agenda. He advised that the Board welcomes visitors and provides an opportunity for public comment at the beginning of each Board meeting. Up to 20 minutes are scheduled for the Board to receive comments from those in the audience and each person wishing to address the Board is requested to restrict their comments to 1 minute in order to accommodate everyone. Mr. Czarske indicated that twenty-five (25) public comment forms had been received and he called upon those wishing to provide input. Most of those who did so read directly from written documents which they drafted and submitted to the Board. Per request of those presenting, one of these documents will be attached to these minutes.

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Mr. Czarske stated that our Board is very interested in all comments made by those present and listens carefully to them, but the Board is not prepared to provide a response at the time of the meeting. Mr. Czarske advised that presenters seeking information or some other response should leave their contact information and one of our staff will respond within the next few days. APPROVAL OF THE MINUTES OF THE MAY 16, 2017 BOARD MEETING Mr. Gates moved to approve the MAY 16, 2017 minutes of the Board meeting and Mr. Chiou seconded the motion, which was approved by the Board. TREASURER’S REPORT Mr. Chiou reviewed the following financial statements: Harbor Regional Center Monthly Financial Report Fiscal Year 2016-17, dated April 17; Harbor Regional Center Functional Expenditures, dated April 17; Harbor Regional Center Line Item Report, dated April 17; Harbor Regional Center POS Contract Summary, dated April 17; Harbor Regional Center Monthly Financial Report Fiscal Year 2016-17, dated May 17; Harbor Regional Center Functional Expenditures, dated May 17; Harbor Regional Center Line Item Report, dated May 17 and the Harbor Regional Center POS Contract Summary, dated May 17. EXECUTIVE REPORT

1. FY 16/17 BUDGET UPDATE Ms. Del Monico referred the Board to the updated Sufficiency of Allocation Report (SOAR) for 2016/17 that was provided in their board packet. Ms. Del Monico provided the Board with an update concerning changes in the report.

2. FY 17/18 BUDGET

Ms. Del Monico informed the Board about the 2017 Budget Act and provided a link to a summary of the state budget to show where and how much funds are being appropriated.

3. BUDGET TRAILER BILL: Ms. Del Monico advised the Board that at this time of year, the Administration prepares Budget Trailer Bills which are intended to constitute proposed changes to statute required to implement provisions of the Budget Bill. Ms. Del Monico summarized a few of the key trailer bill provisions related to regional centers and our clients.

4. DDS PLAN FOR CRISIS AND OTHER SAFETY NET SERVICES: Ms. Del Monico informed the Board that the Department of Developmental Services has created a plan, called the “Safety Net Plan” for the provision of access to crisis services after the closure of a developmental center. This plan also describes the way in which the state will maintain its role in providing residential services for those whom private sector residential service providers cannot or will not serve. Ms. Del Monico briefly summarized the main points of the plan.

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5. DDS FACTBOOK: Ms. Del Monico advised the Board that the Department of Developmental Services released its most recent “Fact Book”, which provides client characteristic and demographic information derived from data stored in DDS automated systems. Ms. Del Monico reported on a couple of interesting facts found in the most recent fact book as it pertains to funding for services.

6. REVIEW OF POLICIES AND PRACTICES: Ms. Del Monico reported that HRC will engage in a comprehensive review of HRC policies and practices related to key services and supports and will identify any areas appropriate for modification. Board members have agreed to participate and a schedule of reviews and meetings has been prepared and posted on our website and provided in our Resource Center and on our weekly e-bulletin. Ms. Del Monico referred the Board and visitors to our Service Review Notice, which has been emailed to thousands of our clients, parents and service providers. Ms. Del Monico provided the Board and visitors with the dates, times and location of these service reviews and encouraged visitors to attend.

7. FY 17/18 BUDGET Ms. Del Monico announced that the Association of Regional Center Agencies meetings will take place at Harbor Regional Center on August 17 and 18 and encouraged Board members who are interested in attending the Friday meeting on the 18th to attend in Conference Rooms A1 and A2 from 8:00 am to 1:00 pm.

COMMITTEE REPORTS

A. AUDIT Mr. Gates reported that Windes will begin the fiscal year 2016-17 Independent Audit next week and a report will be provided at the September meeting.

B. BOARD DEVELOPMENT In Mr. San’s absence, Ms. Del Monico informed that the committee did not meet.

C. BOARD PLANNING Mr. Bergmann advised that there is no report for tonight’s meeting.

D. CLIENT ADVISORY Mr. Gauthier advised that the committee met on May 13, 2017 and members were given a presentation from Christopher Arroyo of the State Council on Developmental Disabilities on the self-determination program. The next meeting is scheduled for August 12, 2017 at HRC Torrance office.

E. CLIENT SERVICES Ms. Perez provided an update on the committee’s series review on Transition for the April and May meetings. Additionally, at the May meeting, members received information on the Project Search program, the C2C program and on LAUSD Transition Planning.

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F. COMMUNITY RELATIONS

In Dr. Sifuentes’s absence, Ms. Spiegel said that the committee met just prior to tonight’s board meeting and she will provide a full report at the September meeting.

G. SELF-DETERMINATION ADVISORY In Mr. Sanz’s absence, Ms. Hernandez reported that the Committee met on June 14, 2017 and discussed the pre-enrollment process and the fact that there is still uncertainty and delay in the SDP application process with the federal government. Ms. Hernandez advised that there will be no meetings in July and August and will resume on September 13, 2017.

H. SERVICE PROVIDER ADVISORY Mr. Quiroz reported that the committee met on June 6, 2017 and the committee was updated on CMS, minimum wage and service provider trainings. The next meeting will be on August 1, 2017.

I. RETIREMENT

Dr. Flores advised that the Retirement Committee will have no meetings in the summer months and will resume meetings in the fall.

J. ARCA Mr. Czarske summarized the matters discussed at the July ARCA meetings that took place recently in Sacramento.

K. HOPE (Home Ownership for Personal Empowerment) Mr. Irlen announced that HOPE has scheduled its next Golf fundraiser to be on November 13, 2017 at the Virginia County Club in Long Beach and asked all to mark their calendars.

EXECUTIVE SESSION There was a motion made by the Board from Dr. Bobbie Rendon Christensen and seconded by Dr. James Flores for the Board to go into Executive Session to discuss a Personnel issue. The Board went into Executive Session at 8:06 p.m. to discuss a Personnel issue and no action was taken. ADJOURNMENT Mr. Czarske adjourned the meeting at 8:30 p.m.

Submitted by: Mr. Fu-Tien Chiou, Secretary Harbor Developmental Disabilities Foundation, Inc. Board of Trustees

HARBOR REGIONAL CENTER INFORMATION ABOUT OUR BOARD of TRUSTEES

The regional center concept is unique in the field of human services. We combine the most compassionate and professional elements of the social services with the best features of business practice. The result is a remarkable partnership between people with developmental disabilities, interested citizens and government. Our center is a private, non-profit, community-based corporation that operates under contract with state government. We provide services and supports for people with developmental disabilities and their families who live in the greater South Bay and greater Long Beach geographic regions of Los Angeles County, and we are governed by a community-based board of trustees which includes individuals with developmental disabilities, family members and local leaders. Our Board Members: Our policies and major financial decisions are made by a volunteer Board of Trustees whose members include individuals with developmental disabilities, family members, and leaders in our community. The members of our governing board are required to be composed of individuals with demonstrated interest in, or knowledge of, developmental disabilities and our board membership is also required to include:

• Persons with legal, management, public relations, and developmental disability program skills;

• Representatives of the various categories of disability served by our center; • Representatives reflecting the geographic and ethnic characteristics of the area served by our

center; • A minimum of 50 percent of the members of the governing board must be persons with

developmental disabilities or their parents or legal guardians; • No less than 25 percent of the members of the governing board must be persons with

developmental disabilities; • One member of our board must be a representative of our service provider community.

All members of our Board are required to either live or work in the geographic area served by our center. Members of our governing board are not permitted to serve more than seven years within each eight-year period. Our Board Meetings: All interested persons are welcome to attend Harbor Regional Center board meetings which are held bi-monthly on the third Tuesday evening of January, March, May, July, September and November beginning at 6:30 pm. Most of our meetings take place at our Torrance location but occasionally they are scheduled to take place at our Long Beach site. Those interested in attending are encouraged to check for specifics on our website: www.harborrc.org or to call our Executive Office at 310-543-0632.

http://www.harborrc.org/

How to Apply for Board Membership: If you are interested in serving on the Board of Trustees for Harbor Regional Center we encourage you to contact our Executive Office at 310-543-0632 to let us know of your interest. We will provide you with an application and after you have completed and returned it to us we will keep in on file for review and consideration as vacancies occur. Each year our Board Development Committee determines how many vacancies we expect to occur in the coming fiscal year and, before the end of each calendar year, the Committee members review all applications on hand to select candidates for interview. When we expect to have vacancies, the Board Development Committee schedules and conducts interviews in the months of January, February and March and advises Board members by April of those candidates whom they will recommend. Candidates are voted on at our annual meeting in May and, those elected are seated on the Board at the beginning of the fiscal year in July. Other Opportunities to Get Involved: There are many additional ways to get involved with Harbor Regional Center as well. We encourage you to consider any and all of these and to contact us if you have questions:

• We have at least three committees of our Board that are open to participation from interested HRC clients, family members and service providers. These include:

o Our Client Advisory Committee which consists of HRC adult clients who discuss matters of common interest and also plan activities (recent activities include mini conferences for clients, a speaker series and a campaign to encourage clients to register to vote)

o Our Client Services Committee consists of clients, family members and service providers who explore various issues of interest related to client services

o Our Community Relations Committee which plans various events (such as a legislative reception) and helps us with our holiday giving campaign

• HRC facilitates quite a number of parent support groups. Some are designed for family members who have children with a specific diagnosis, others are designed for family members who speak a specific language, and others are open to any family member who has a child or relative with a developmental disability. All of these groups provide both support and education as well as opportunities to take on leadership roles in the service delivery system

• HRC offers training for parents who are interested in learning how to support other parents on a one to one basis. We then connect these “mentor parents” who are ready to listen and provide support with other parents who may be facing challenges and concerns

• HRC also facilitates a large number of sibling support groups which provide opportunities for siblings of our clients to become more involved with our organization while learning about developmental disabilities and meeting other siblings

• Many organizations with which we work very closely have opportunities for participation from clients and family members. For example, our closely related affordable housing organization, HOPE, and many of our service provider partner organizations are always looking for volunteers

Thank you for your interest in Harbor Regional Center.

Memorandum

TO: HRC Board and Executive Team

FROM: Mariano Sanz

RE: Please Excuse My Absence DATE: July 10, 2017

I very much regret that I am unable to be present for the first Board meeting of my tenure as President. Many of you are aware that my father passed away a few months ago and it has been necessary for me to return to Spain, this time to look after some family business. If it hadn’t been for these pressing and personal matters, I would surely be with you in July. I want to thank Joe Czarske, our Vice President, for stepping in as Chair in my absence. I do want to take this opportunity to express my commitment to Harbor Regional Center and the important work that we do. Recently some parents in attendance at our May Board meeting requested that I respond to several of their questions. Even though I am unable to join you in person, I want to be sure to respond to these questions, if only in writing. And I am asking that this memo be distributed to all in attendance at the July meeting in addition to being attached to the minutes of the meeting. First, the parents asked what caused me to accept the position as President of the Harbor Regional Center Board. In response I should point out that it is my understanding the HRC Board Development Committee is charged with preparing a slate of officers each year for presentation to and subsequent election by the full Board. I have been advised that both the Board Development Committee and the Executive Committee considered two major issues that HRC is likely to face in the coming year: the probability of another budget deficit and the hoped-for implementation, at last, of the self-determination program. It is my understanding that both the Board Development Committee and the Executive Committee were hoping to nominate as President a seasoned Board member who could provide historical perspective especially with regard to these important matters. I was honored that they invited me to be placed in nomination and I do believe that my long tenure with HRC has prepared me to be of useful service. Another question posed to me was whether I had “changed my way of thinking” with regard to families who do not speak English. This question was puzzling to me and I am not certain what to make of it. I am a proud Spanish speaker who has been a teacher and a counselor to Spanish speaking students and their families in California. As a teacher I have taught students to read and write in Spanish, I have held family and individual counseling sessions in Spanish and I have helped non-English speaking families understand their children’s IEP. I hope this information is helpful to those who have posed this question. I have also been asked “what should we expect from you as President?” I think this is a good question and I have given it a lot of thought. I believe that in the next 12 months I would like to see our Board 1) ensure that services and supports for clients are not affected by a projected deficit in our budget, 2) see that self-determination becomes a reality for as many families as possible, and 3) conduct an effective and inclusive review of HRC service practices and policies.

The last question asked of me was “will you now support us and provide us support?” This question is another one that has puzzled me and I do not understand its objective. I can say only that I have dedicated my professional life, 32 years so far, to help and support others in need. Since the birth of my daughter Cristina, 27 years ago, I have been involved with many different groups to support all people with developmental disabilities. I plan to continue to dedicate myself to this mission and I hope this response will assure everyone of my commitment to all families who are served by our center. Once again in closing, to all Board members, executive staff and visitors to our July meeting I regret that I cannot be with you in person at the July Board meeting and I look forward to seeing you all in September.

Memorandum

TO: HRC Board Meeting Visitors

FROM: HRC Executive Committee

DATE: July 10, 2017

We would like to respond to some of the comments and questions that have been raised at our recent Board meetings as follows:

• We have listened to your comments and have determined that our review of HRC policies and practices will be the most effective way to identify any changes that might be indicated. We have scheduled to begin our reviews in the month of August and we hope that you will participate in each of the reviews of particular interest to you. We are taking this occasion to attach a copy of the Service Review Notice which we have posted on our website, have emailed to subscribers to our e-bulletin and have placed in our Resource Centers in both Torrance and Long Beach. We have also advised our staff about these reviews and they are encouraging clients and service providers to participate. We are looking forward to your participation with us as well.

• There have been some questions about how HRC communicates general matters to our clients and their families (such as our responses to questions or concerns that have been raised at our Board meetings). We typically communicate using our website at www.harborrc.org or through our weekly e-bulletin. We can reach nearly all of our clients, families and service providers in this way. If you have not signed up to receive our e-bulletin you can make a request to become a subscriber by sending an email to [email protected].

• We have noted that there is interest among our visitors in applying for HRC Board membership. We want you to know that we have observed the same process for many years for the recruitment, screening, interviewing and selecting of candidates to be presented to the full Board for election. This process has been and continues to be posted on our website and is attached to this memo. We do welcome all applications and we do appreciate your interest in participating with HRC.

http://www.harborrc.org/

mailto:[email protected]

HARBOR REGIONAL CENTER

MONTHLY FINANCIAL REPORT

FISCAL YEAR 2017- 18

Jul- 17

D- 1 Y-T-D Proj. Annual Proj. FundsAllocation Month Exp Expenses Expenses* Available

Operations

Salaries & Benefits** 23, 167, 159 1, 936,646 1, 936,646 $ 23, 167, 159 0

Operating Expenses 7, 947, 706 1, 082,726 1, 082,726 7, 947, 706 0

less other income 368, 746) 33, 644) 33, 644) 368, 746)

Total Operations 30, 746, 119 2, 985, 728 2, 985,728 $ 30, 746, 119 0

Purchase of Service

Regular* 177, 880, 321 $ 12, 392,231 $ 12, 392,231 $ 177,880, 321 0

less other income 4, 987,409) 384, 553) 384,553) ($ 4,987,409)

Subtotal Regular 172, 892, 912 $ 12, 007,678 $ 12, 007,678 $ 172, 892, 912 0

CPP** 2,414, 350 871 871 2,414, 350

Total Purchase of Service 175,307,262 $ 12, 008,550 $ 12, 008,550 $ 175,307, 262 0

TOTAL 206,053, 381 $ 14, 994,278 $ 14, 994,278 $ 206,053, 381 0

of Budget 100. 00% 7. 28% 7. 28% 100. 00%

This is a very preliminary budget. The letter of intent for the D- 1 amendment was received from DDS on August 25, 2017. The allocation for RegularOperations was increased from FY 2016- 17 to FY 2017- 18 by 3. 6%. The allocation for Regular Purchase of Service( POS) was increased by 8. 5%. The

Allocation for Community Placement Program( CPP) POS includes$ 1. 875 million in funding for the Southern California Integrated Health and LivingProject.


FUNCTIONAL EXPENDITURES

Jul- 17

D- 1 Purchase of Service ' Salaries& Benefits Operating Expenses Total Expended

Allocation Month Y-T- D Month Y- T- D Month Y- T- D Month Y-T- D

PROGRAM SERVICES

Intake 5, 245, 966 326,519 326, 519 182, 548 182,548 509, 066 509, 066

Case Management 20, 181, 101 1, 256, 109 1, 256, 109 702, 256 702, 256 1, 958, 365 1, 958, 365

Program Development 690, 750 42,994 42, 994 24, 037 24, 037 67,030 67, 030

Other Client Services 1, 571, 301 97, 801 97,801 54, 678 54,678 152,478 152,478

Out-of-Home Living* 72,461, 500 5, 452, 891 5, 452, 891 5, 452, 891 5, 452, 891

Day Programs 61, 241, 590 4,678,807 4, 678, 807 4, 678, 807 4,678, 807

Transportation 9, 135,256 716, 058 716, 058 716, 058 716, 058

Other Services 35,041, 975 1, 544,474 1, 544,474 1, 544,474 1, 544,474

CPP, PDF, Other 2, 414, 350 871 871 871 871

Total Program Services 207, 983, 789 12, 393, 102 12, 393, 102 1, 723,421 1, 723,421 963, 518 963, 518 15, 080, 042 15, 080, 042

SUPPORTING SERVICES

Administration 3, 425, 747 213, 225 213, 225 119, 208 119,208 332, 433 332,433

SUBTOTAL 211, 409, 536 12, 393, 102 12, 393, 102 1, 936,646 1, 936, 646 1, 082, 726 1, 082, 726 15, 412,475 15, 412,475

Revenue 5, 356, 155) 418, 197) ( 418, 197)

TOTAL 206, 053, 381 14, 994, 278 14, 994, 278

Net of Client Support


LINE ITEM REPORT

Jul-17

FY 2017- 18

D- 1 Net Expended Projected Proj Annual Proj. FundsAllocation Month Y-T- D Expenses Expenses Available

PURCHASE OF SERVICE

Regular

320** Out-of-Home 72, 461, 500 5,452, 891 5,452, 891 67,008, 609 72,461, 500 0

430** Day Programs 61, 241, 590 4, 678,807 4,678, 807 56, 562, 783 61, 241, 590 0

6505* Transportation 9, 135,256 716,058 716, 058 8,419, 198 9, 135,256 0

650** Other Services 35, 041, 975 1, 544,474 1, 544,474 33,497,501 35,041, 975 0

HCBS Compliance 0 0 0 0 0 0

Subtotal Regular POS 177, 880, 321 12, 392, 231 12,392, 231 165,488,090 177, 880, 321 0

Community Placement& Program Development

32010 CPP Start- up 2, 325,000 0 0 2,325, 000 2,325, 000 0

65*** Placement/Assessment 89,350 871 871 88,479 89, 350 0

Subtotal CPP 2, 414,350 871 871 2,413,479 2,414, 350 0

Revenue

ICF SPA Income 4, 987,409) 384,553) ( 384, 553) ( 4,602, 856) ( 4,987,409) 0

TOTAL PURCHASE OF SERVICE 175,307,262 12, 008,550 12,008, 550 163,298, 712 175,307, 262 0

OPERATIONS

Salaries& Benefits

2501- Salaries and Wages 18, 215,880 1, 310,918 1, 310, 918 16,904, 962 18,215, 880 0

2503- Benefits 4. 951. 279 625.728 625. 728 4, 325, 551 4,951, 279 0

Subtotal Salaries& Benefits 23, 167, 159 1, 936,646 1, 936, 646 21, 230, 513 23, 167, 159 0

Operating Expenses30020 Equipment Maint 237,816 19,830 19, 830 217, 986 237, 816 0

30030 Facility Rental 4, 047,016 939,819 939, 819 3, 107, 197 4,047, 016 0

30035 Facility Rent Subleases 365, 109 50,736 50, 736 314, 373 365, 109 0

30040 Facility Maint 198, 593 8,867 8, 867 189, 726 198, 593 0

30050 Communication 358,517 18,552 18, 552 339, 965 358, 517 0

30060 General Office Exp 111, 971 343 343 111, 628 111, 971 0

30070 Printing 42,517 4,330 4, 330 38, 187 42, 517 0

30080 Insurance 173,811 2, 728 2, 728 171, 083 173, 811 0

30090 Utilities 6,268 1, 414 1, 414 4, 854 6, 268 0

30110 Data Processing Maint 405,259 1, 100 1, 100 404, 159 405,259 0

30123 Interest/Bank Expense 2,405 100 100 2, 305 2, 405 0

30140 Legal Fees 43,735 0 0 43,735 43,735 0

30150 Board of Dir. Exp 15, 588 4,830 4, 830 10, 758 15, 588 0

30160 Accounting Fees 58, 126 0 0 58, 126 58, 126 0

30170 Equipment Purchases 334,300 195 195 334, 105 334, 300 0

30180 Contr/Consult Services 325,067 12, 078 12, 078 312, 989 325, 067 0

30184 Clinical Services 0 0 0 0 0 0

30185 Employee Conferences 46,664 600 600 46,064 46,664 0

30220 Travel in State 46,627 804 804 45,823 46,627 0

30223 Staff Mileage 130,405 282 282 130, 123 130,405 0

30230 ARCA Dues 88, 575 0 0 88,575 88,575 0

30240 General Expenses 909,337 16, 119 16, 119 893, 218 909, 337 0

30241 Diversity Funding 0 0 0 0 0 0

Subtotal Operating Expenses 7, 947,706 1, 082,726 1, 082, 726 6,864, 980 7,947, 706 0

Other Revenue

20040 Interest Income 15,787) 1, 570) 1, 570) ( 14, 217) ( 15, 787) 0

20050 Other Income 8,693) 25) 25) 8, 668) 8, 693) 0

20055 Other Income- Subleases 250,791) 27,455) 27,455) ( 223, 336) ( 250, 791) 0

20100 ICF SPA Admin Fee 93,475) 4,595) 4, 595) ( 88,880) ( 93,475) 0

Subtotal Other Revenue 368,746) 33,644) 33, 644) ( 335, 102) ( 368, 746) 0

TOTAL OPERATIONS 30, 746, 119 2, 985,728 2,985, 728 27,760, 391 30,746, 119 0

TOTAL 206, 053, 381 14, 994,278 14,994,278 191, 059, 103 206,053, 381 0

of Budget 100.00% 7. 28% 7. 28% 92. 72% 100. 00% 0.00%


POS CONTRACT SUMMARY

Jul- 17

Current Projected

Fiscal Reg POS Reg POS Balance/ Projected Balance/

Year Contract Fund Budget Claimed Deficit) Expenses Deficit)

2017- 18 D- 1 Reg POS $ 172, 892,912 $ 12, 007, 678 $ 160, 885, 234 $ 160, 885,234 0

CPP 2, 414, 350 871 2,413,479 2, 413,479

TOTAL $ 175, 307,262 $ 12, 008,550 $ 163,298, 712 $ 163,298,712 0

2016- 17 C- 3 Reg POS $ 160, 000, 260 $ 159, 542, 396 457, 864 1, 342,989 ($ 885, 125)

CPP 13, 067, 347 1, 902, 189 11, 165, 158 $ 11, 165, 158

TOTAL $ 173, 067, 607 $ 161, 444, 585 11, 623, 022 $ 12, 508, 147 ($ 885, 125)

2015- 16 B- 4 Reg POS $ 137, 581, 267 $ 132, 968, 517 4,612, 750 649,363 $ 3, 963, 387

CPP 4, 594,411 2, 637, 336 1, 957, 075 1, 957,075

TOTAL $ 142, 175, 678 $ 135,605, 853 6, 569, 825 2, 606,438 $ 3, 963, 387

Harbor Developmental Disabilities Foundation

Harbor Help Fund

Statement of Income and Expense

July 1, 2016 to June 30, 2017

FY 2016- 17

FY 2014- 15 FY 2015- 16 Qtr EndingTotal Total Jun 30, 2017 YTD Total

Income

Donations

Employee Donations 5, 146 6, 579 2, 788 9,578

General Donations 2, 291 9,817 359 377

Holiday Donations 38,873 28,228 0 24,508

Total Donations 46, 310 44,624 3, 147 34,463

Interest 45 1, 527 6 1, 524

Total Income 46, 355 46, 151 3, 153 35,987

Expenses

Holiday Giving Campaign 27,753 29,991 0 36,499

Autism Awareness Event 0 250 0 250

Grants to Clients 450 1, 545 0 678

Total Expenses 28,203 31, 786 0 37,427

Net Increase/(Decrease) 18, 152 14, 365 3, 153 1, 440)

Beginning Balance 128, 390 146, 542 156, 313 160, 906

Income 46, 355 46, 150 3, 153 35,987

Expenses 28,203 31, 786 0 37,427

Ending Balance 146, 542 160,906 159,466 159,466

Ending Balance DetailCash 18, 725 84,666 83, 701 83, 701

CD 127, 052 75, 000 75,000 75, 000

Receivables 765 1, 240 765 765

Total Balance 146,542 160,906 159,466 159,466

HHF Quarterly Financials 2016- 2017

HARBOR REGIONAL CENTER EXECUTIVE REPORT SEPTEMBER 19, 2017

FY 16/17 BUDGET UPDATE: An updated Sufficiency of Allocation Report for 2016/17, based on the most recent C3 amendment to our contracts, indicates that the projection for statewide POS expenditures is in a net surplus position (SOAR.pdf). As you can see, in the best case scenario based upon expenditures through June, 2017, there is a $61 million surplus in the system and even in the worst case estimate the combined system-wide projection indicates a surplus of at least $58 million. There are now fourteen (14) centers reporting a clear surplus position. The seven (7) remaining centers (including HRC) have reduced their combined deficit projections substantially since the preceding month’s report due, largely, to additional allocations in the C3 amendments. Unfortunately the seven centers still in deficit will have to wait until the C4 amendment to be in a position to claim any funds expended beyond current contract authority. AB 279: We are disappointed to report that AB 279, Assemblymember Chris Holden's bill to cover local minimum wage costs, died in committee. ARCA and the regional centers have been working with the service provider community to advocate for this bill, which would have provided rate increases for providers in places with local minimum wages that are higher than the state's. As you know, HRC has several cities in our service area that have taken action to increase the minimum wage above that of the state. We will continue to work on ways to make sure the state gives an honest accounting of the cost of doing business. It's not just about business - it's about people with developmental disabilities living full, independent, and integrated lives of their choosing. Unless service provider rates are fixed, our community service system will continue to suffer. We are committed to working to improve rates - and the service system - for people with developmental disabilities, their families, and the providers who serve them! DEVELOPMENTAL SERVICES TASK FORCE: The Developmental Services Task Force met on 7/18/17 and you will find their agenda as well as a Draft of the DS Task Force Report here: http://www.chhs.ca.gov/pages/DCsTaskForce.aspx. Below is a summary of the meeting:

• (State Budget) John Doyle, Chief Deputy Director of the Department of Developmental Services (DDS) provided a summary of the State Budget of 2017-2018. The State’s Budget includes an increase of 4.2% from the 2016-2017 budget.

• (Rate Study) John Doyle (DDS) indicated that the state has contracted with Burns and Associates to conduct the required rate study. The task force members raised concerns about the lack of funding adjustments until after the rate study is completed in 2019. Members voiced concerns about programs losing good staff and going out of business due to an inability to pay staff an adequate wage until after the rate study is completed.

• (Developmental Center Closures) At the time of the meeting there were 531 individuals residing at the Developmental Centers throughout the state. The resident population at Sonoma Developmental Center is 255 individuals. The resident population at Fairview

http://www.chhs.ca.gov/pages/DCsTaskForce.aspx

Developmental Center is 161 and the resident population is 116 individuals at Porterville Developmental Center’s General Treatment Area.

• (Enhanced Behavioral Supports Homes and Community Crisis Homes) The first Enhanced Behavioral Support Home opened in Visalia, CA in June.

• (Disparity Funding) ABX2 1 funding of $11 million was allocated to the regional centers last fiscal year for proposed initiatives to decrease disparities. Each regional center and DDS received funding for a Cultural Specialist position. DDS is in the process of developing guidelines for the ABX2 1 funding for 2017-2018.

• (Safety Net) Stakeholder meetings throughout the state have informed the Safety Net plan. DDS is in the process of developing guidelines for Community Crisis Homes. DDS plans on distributing the guidelines by December of 2017.

• (Self Determination) Jim Knight (DDS) informed the meeting participants that the Department has submitted all but one question to DHCS for approval before the application will be sent to the Center for Medicaid and Medicare Services (CMS). The remaining question is in regard to the state’s handling of funding duplications between the Self-Determination Waiver and Medi-Cal. After DDS has adequately answered the question, they will submit the complete application to DHCS. The application will be sent to CMS after it is approved by DHCS.

• (Home and Community Based Waiver) Jim Knight informed the meeting participants that the HCBS compliance deadline has been extended from 2019 to 2022. However, DDS continues to move forward toward the development of a statewide transition plan, which still must be completed by March 2019. CMS has requested that California specify how it plans on implementing the laws and requirements to meet the settings requirements. DDS will distribute $15 million in funding to 108 providers in order to implement plans to meet HCBS requirements. A draft of guidelines for 2017-2018 proposals will be distributed to regional centers soon.

• (Wrap Up of Workgroup Efforts) The final housing workgroup document was reviewed by the members. The issue of housing accessibility was discussed in detail. Members are concerned about the cost of housing and the housing shortage. Members also voiced concerns about the high cost of rent and a lack of subsidies.

RESPITE: We want to remind the Board and our visitors that, as part of the budget trailer bill process, the Legislature took action to repeal Welfare and Institutions Code section 4686.5. Currently, regional centers are limited to purchasing no more than 90 hours per quarter of in-home respite and 21 days of out-of-home respite for a family, unless an exemption is granted. Effective January 1, 2018, these limits on the purchase of respite services will no longer apply. HRC has been and will continue to make sure that families, service providers and local community organizations are aware of the repeal of these restrictions on the purchase of respite and we will be prepared to authorize respite as needed per each client’s IPP. In addition to implementing the changes effective in January, HRC is planning to begin a review of three additional policies and practices after the new year and we will include “respite services” as one of these that will be under review. It is clear that the HRC policy will need to be revised as part of this process. REVIEW OF POLICIES AND PRACTICES – PROGRESS REPORT: The planned for review of HRC policies and practices began in August and is continuing. As you know, the first set of three service reviews have been focused on “employment”, “adult day

programs”, and “supported living services”. By the time of the Board meeting each of these focus areas will have held two service review sessions and, though summaries are not yet available for the second set of reviews, we have attached a summary of each of the first three review sessions here (Service Review Summaries.pdf). Although we have been disappointed that more clients and families have not joined us at the reviews, those who have participated have asked excellent questions and made helpful comments. Many thanks to the twelve Board members who have devoted extra time to participating on the review panels. We do hope to have three completed service reviews and final reports available at the January Board meeting. We expect there will be recommendations for policy and practice changes as part of these reports and we will then proceed to develop plans for implementation. After January, we are also hoping to get started with three additional service reviews and will announce topics and dates as soon as possible. HOLIDAY GIVING: We are getting ready early again this year to begin our campaign to provide food and gifts to needy families during the holidays. As always, we give thanks to those of you who are personally able to support this effort financially. We ask that the Board as a whole consider a gift from the Harbor Help Fund in the amount of $35,000 with which we will purchase food certificates from Ralphs and gift certificates from Target as has been our custom. We thank you all in advance for your thoughtfulness and your kind generosity as we try to ensure that our neediest families will have a joyous holiday season. PRESENTATION: Tonight we will have a brief presentation from Nancy Spiegel, Erika Braxton-White, and our partner in our new parent/mentor diversity program, Patricia Herrera. They will share with us the progress that has been made in the implementation of this program and the next steps that are planned. In addition, we are taking this occasion to provide copies of the progress reports we recently submitted to DDS about all of the disparity projects for which we received funding last fiscal year (Disparity Progress Reports.pdf).

SUMMARY OF REGIONAL CENTER EXPENDITURE PROJECTION REPORTSAUGUST 10, 2017Based on Expenditures July 2016 - June 2017Fiscal Year 2016-17% of Year Elapsed: 100%

Projected Expenditures Expended YTD Late Bills 100.0% year elapsedC-3 Revised Less Estimated Estimated as % of

Regional Center High Estimate Low Estimate Contract Low High Actual Late Bills ICF-SPA Rcpts Late Bills YTD Exp Actual YTD Actual + Late Minimum Maximum Minimum Maximum

Alta 331,478,080 331,370,080 336,876,535 5,506,455 5,398,455 333,872,892 1,968,188 329,372,892 1,968,188 0.60% 97.8% 98.4% 335,260,651 337,771,746 (3,890,571) (6,293,666)

Central Valley 226,067,236 226,067,236 228,991,991 2,924,755 2,924,755 233,322,587 868,599 225,198,637 868,599 0.39% 98.3% 98.7% 225,382,123 226,324,669 685,113 (257,433)

East Bay 340,591,497 339,497,380 351,599,889 12,102,509 11,008,392 338,009,372 3,924,064 331,948,754 3,924,064 1.18% 94.4% 95.5% 345,978,412 348,344,836 (6,481,032) (7,753,339)

East LA 186,075,943 186,075,943 192,140,026 6,064,083 6,064,083 182,641,693 4,590,882 181,485,061 4,590,882 2.53% 94.5% 96.8% 190,943,402 194,220,859 (4,867,459) (8,144,916)

Far Northern 135,013,478 134,863,478 135,318,747 455,269 305,269 135,813,037 2,071,551 132,941,927 2,071,551 1.56% 98.2% 99.8% 136,430,297 137,118,423 (1,566,819) (2,104,945)

Golden Gate 245,545,515 245,545,515 249,909,203 4,363,688 4,363,688 240,574,515 4,971,000 240,574,515 4,971,000 2.07% 96.3% 98.3% 253,181,071 253,181,071 (7,635,556) (7,635,556)

Harbor 160,588,864 160,492,117 159,420,353 (1,071,764) (1,168,511) 162,725,992 2,700,236 157,791,881 2,700,236 1.71% 99.0% 100.7% 163,145,675 164,148,097 (2,653,558) (3,559,233)

Inland 381,119,614 382,339,578 387,107,570 4,767,992 5,987,956 385,969,726 12,175,713 370,105,347 12,175,713 3.29% 95.6% 98.8% 371,046,306 370,776,168 11,293,272 10,343,446

Kern 148,597,187 148,446,026 156,355,281 7,909,255 7,758,094 149,250,751 1,142,546 145,657,191 1,142,546 0.78% 93.2% 93.9% 146,961,502 149,993,639 1,484,524 (1,396,452)

Lanterman 150,129,577 150,129,577 149,712,249 (417,328) (417,328) 148,769,605 3,077,684 147,051,893 3,077,684 2.09% 98.2% 100.3% 148,517,069 149,517,069 1,612,508 612,508

North Bay 175,285,481 173,497,888 176,712,429 3,214,541 1,426,948 177,967,888 760,000 172,737,888 760,000 0.44% 97.8% 98.2% 170,450,504 173,855,694 3,047,384 1,429,787

North LA 366,186,103 365,973,874 368,638,985 2,665,111 2,452,882 361,971,708 9,615,721 353,679,202 9,615,721 2.72% 95.9% 98.6% 366,791,457 373,600,035 (817,583) (7,413,932)

Orange 329,259,041 329,259,041 325,158,884 (4,100,157) (4,100,157) 329,106,362 10,595,020 318,664,021 10,595,020 3.32% 98.0% 101.3% 326,596,253 329,739,652 2,662,788 (480,611)

Redwood Coast 98,920,681 98,920,681 97,329,680 (1,591,001) (1,591,001) 95,341,941 1,048,761 95,175,438 1,048,761 1.10% 97.8% 98.9% 97,031,340 97,031,340 1,889,341 1,889,341

San Andreas 364,179,537 364,179,537 363,483,587 (695,950) (695,950) 361,014,953 4,905,712 359,273,826 4,905,712 1.37% 98.8% 100.2% 365,838,810 369,110,995 (1,659,273) (4,931,458)

San Diego 312,056,900 312,056,900 322,145,725 10,088,825 10,088,825 319,161,900 4,895,000 307,161,900 4,895,000 1.59% 95.3% 96.9% 315,424,165 316,871,246 (3,367,265) (4,814,346)

San Gabriel 195,447,002 195,328,936 204,120,431 8,791,495 8,673,429 196,903,991 5,648,623 189,208,048 5,648,623 2.99% 92.7% 95.5% 204,129,059 206,754,176 (8,800,123) (11,307,174)

South Central 192,766,505 192,766,505 194,893,528 2,127,023 2,127,023 192,905,902 1,903,941 190,862,564 1,903,941 1.00% 97.9% 98.9% 191,315,554 191,489,527 1,450,951 1,276,978

Tri Counties 247,556,438 246,985,348 249,726,707 2,741,359 2,170,269 250,137,606 5,710,899 241,845,539 5,710,899 2.36% 96.8% 99.1% 250,685,598 252,723,018 (3,700,250) (5,166,580)

Valley Mountain 173,729,050 173,724,389 167,283,948 (6,440,441) (6,445,102) 170,437,516 224,906 170,437,516 224,906 0.13% 101.9% 102.0% 168,615,075 168,715,657 5,109,314 5,013,393

Westside 179,896,947 179,896,947 181,448,994 1,552,047 1,552,047 178,354,947 3,542,000 176,354,947 3,542,000 2.01% 97.2% 99.1% 179,543,931 179,613,591 353,016 283,356

Totals 4,940,490,676 4,937,416,976 4,998,374,742 60,957,766 57,884,066 4,944,254,884 86,341,046 4,837,528,987 86,341,046 1.78% 96.8% 98.5% 4,953,268,254 4,990,901,508 (15,851,278) (50,410,832)

Prior Month 4,952,813,016 4,947,234,987 4,970,082,000 22,847,013 17,268,984 4,508,468,393 84,671,234 4,410,503,777 84,671,234 4,953,268,254 4,990,901,508 (6,033,267) (38,088,492)Change from Prior Month

(12,322,340) (9,818,011) 28,292,742 38,110,753 40,615,082 435,786,491 1,669,812 427,025,210 1,669,812 0 0 (9,818,011) (12,322,340)

Non-CPP Projected Expenditures Projected Surplus/Deficit Percent Expended

CPP NOT INCLUDED

Original SOAR Projected ExpendituresChange From Original SOARNon-CPP

EMPLOYMENT SERVICES

SERVICE REVIEW SUMMARY AUGUST 2, 2017

ATTENDANCE: Eight (8) parents of seven (7) HRC clients were in attendance at the employment service review session on August 2, 2017. This does not include the four (4) HRC Board members/advisors who were participating as part of the Board Review Panel. Of the four (4) Board members, two (2)are parents of HRC clients and two (2) are HRC clients. In addition, there were two (2) representatives from two supported employment agencies in attendance. One HRC client was also in attendance, one representative from the State Council on Developmental Disabilities and one representative from the Office of Clients Rights Advocacy were also present. PRESENTATION SUMMARY: Mary Hernandez, HRC Director of Adult Services, facilitated the review session. She reviewed HRC’s policy on Employment First and highlighted key points regarding our policy, specifically the definition and our philosophy on employment. Ms. Hernandez then informed the participants that she had included policies from four (4) surrounding Regional Centers. She briefly touched on the similarities between the different polices and pointed out the differences: some polices make no mention of sub minimum wages or any mention of collaboration with the school districts. Ms. Hernandez then shared with the participant’s three (3) documents which have been developed and published by Harbor Regional Center and which discuss employment. (Planning for the Future, Working with the Schools on Transition and Facing Transition) All threes booklets are available in Spanish. She advised the participants that these booklets were currently under consideration for revision and suggestions for changes would be welcome. Ms. Hernandez introduced a bibliography of books currently available in our Family Resource Center. The bibliography contains current information for parents and support staff regarding the topic of transition services and life after high school that includes employment as an option. A brief summary about our Family Resource center was also provided. Ms. Hernandez introduced Antoinette Perez and Pablo Ibanez who spoke to the group about the importance of a strong collaborative relationship between school, families and HRC. Mr. Ibanez, using a Power Point presentation, spoke about how HRC partners with eleven (11) different school districts to ensure there is a strong transition plan developed and implemented by the school district that allows for students to gain employment readiness skills. Mr. Ibanez also spoke about HRC’s partnership with LAUSD, Best Buddies and Kaiser, South Bay and gave a brief presentation on this program which is called Project Search. A handout was also included that highlights Project Search. Following Mr. Ibanez’s presentation, Ms. Hernandez introduced Rick Travis, Community Services Manager and Brent Fryhoff, Provider Relations Specialist, to present on HRC’s job preparation classes. Mr. Travis reviewed the job preparation course outline and discussed various topics addressed within each of the 4 classes. Mr. Travis spoke about HRC’s expectations for our supported employment job developers. Handouts were given for both the expectations as well as for the job preparation course outline.

HANDOUTS: The following documents were handed out to those in attendance:

• Service Review Meeting Protocol • Board Member Review Panel and Staff Facilitator names and roles • Summary of Employment Review Schedule • Sections 4869 of the Lanterman Act • Harbor Regional Center booklet “Planning for Your Future: A Roadmap to Your Goals” • Harbor Regional Center booklet “A Look at Your Adolescents Future; Facing Transition” Harbor

Regional Center booklet “Working with the Schools on Transition; A Booklet for Parents of Younger Teens

• Harbor Regional Center Employment First Policy • Supported Living Policies for four other Los Angeles County regional centers • Harbor Regional Center : Recommended Materials for Transition • Harbor Regional Center; Job Preparation Course Outline • Harbor regional center : Expectations for Job Development • South Bay Project Search

QUESTIONS/COMMENTS: Several parents expressed interest in obtaining more details about Project Search and there was interest in expanding this program. Some parents asked questions related to the job preparation classes.

• There was interest in parental participation in the classes; • Parents made positive comments about the revised job preparation curriculum and observed that

voluntary participation is preferable. • One parent suggested that some clients might learn more effectively in a 1:1 learning environment

as opposed to a classroom setting.

Several families had questions about customized employment and internships. One parent encouraged HRC to explore alternatives to employment for clients with significant disabilities and suggested that volunteer work might be more appropriate for some clients. There was some discussion about “person-centered practices” and several parents expressed interest in how HRC trains staff about this process. In addition, there was discussion about the transition process for students/clients getting ready to complete school. One parent observed that it is important for the schools and the regional center to improve the transition process and she encouraged the regional center to provide comprehensive and effective training about transition for service coordinators. Ms. Hernandez advised that the second Employment Review Session is scheduled to take place on the evening of September 6, 2017 from 6:30 to 8:30 in HRC Conference Room A4. During this meeting, we will share information on the number and demographics of HRC clients who are employed. We will share information about the service providers currently available to provide supported employment services in the HRC service area and the numbers these agencies serve. We will review a short film and other materials developed by HRC regarding supported employment. We will have a brief presentation on our College to Career program and we will hear from one of our recent graduates about his experience.

ADULT DAY SERVICES REVIEW SUMMARY AUGUST 2, 2017

ATTENDANCE: Twelve (12) parents of ten (10) HRC clients were in attendance at the first adult day services review session on August 2, 2017. This does not include the one (1) HRC Board member/advisor who is also a parent of an HRC client who was participating as part of the Board Review Panel. In addition, there were four (4) representatives from three (3) adult day service programs in attendance. One representative from the State Council on Developmental Disabilities and one representative from the Office of Client Rights Advocacy were also present. PRESENTATION SUMMARY: Ms. Colleen Mock, HRC Director of Community Services, facilitated the review session. She then shared with the participants three (3) documents which had been developed and published by Harbor Regional Center and which are pertinent to individuals transitioning from the school system to adult services. She advised the participants that these booklets were currently under consideration for revision and suggestions for changes would be welcome. Ms. Mock also shared the two (2) HRC handouts: one that describes the range of day program models within the Harbor Regional Center service area and the second that describes the HRC Adult Resources Team (ART). She introduced Mr. Rick Travis, Manager of the Health Services Team who spoke briefly about the membership, purpose and process of the HRC Adult Resources Team. Next, Ms. Mock discussed the current Harbor Regional Center policy on adult day services and shared the adult day service policies of seven (7) other regional centers in Southern California. At the end of the meeting, Ms. Mock invited the participants to sign up if they are interested in touring an adult day program. Three (3) families signed up to tour day programs in the Long Beach area and two (2) families and one service provider signed up to tour day programs in the Torrance area. HANDOUTS: The following documents were handed out to those in attendance:

• Service Review Meeting Protocol • Board Member Review Panel and Staff Facilitator names and roles • Summary of Adult Day Services Review Schedule • Harbor Regional Center booklet “Planning for Your Future: A Roadmap to Your Goals” • Harbor Regional Center booklet “Working with the Schools on Transition: A Booklet for

Parents of Younger Teens” • Harbor Regional Center booklet “Facing Transition: A Look at Your Adolescent’s Future” • Harbor Regional Center handout: “Work and Day Activity Services”

• Department of Developmental Services handout: “Home and Community-based Services (HCBS) Final Rule—for Consumers and Families”

• Harbor Regional Center handout: “Adult Resource Team (ART)” • Harbor Regional Center Supported Adult Day Activity Policy • Adult Day Services Policies for seven other Southern California regional centers

QUESTIONS/COMMENTS There was a question about the effect employment might have on SSI and other benefits and whether there are financial incentives for people who work. Some parents expressed concern about various aspects of job coaching. There was agreement that job coaching should not be entirely faded out, but rather maintained, at least minimally, on an ongoing basis. Some questions arose concerning the HRC Adult Resources Team. It was confirmed that HRC does have a standard format that is used by service coordinators for their presentations and recommendations from the ART. It was also confirmed that, while typically the ART provides three day program options for families to explore, additional options may be suggested and provided upon request. There were also several questions about HRC’s current day programs. Ms. Mock advised that, while HRC day programs offer a range of hours of service, we have heard from families they would like to have more choice of programs longer than 4 hours and that we are placing priority on this as we develop new programs. Ms. Mock also responded that when a client/family is not satisfied with a given day program, HRC will provide them with other options to explore. Finally, Ms. Mock shared that some programs do have waiting lists but that there are always others with vacancies so that clients can be accommodated elsewhere while they await an opening in a preferred setting. Ms. Mock responded to a question about whether HRC could provide funding for horseback riding by explaining that changes to the Lanterman Act in 2009 prohibited the centers from funding therapies that are not “evidence based”. One parent expressed her hope that HRC could provide some help for clients who are resistant to identifying as disabled and therefore resistant to accepting HRC supports. The representative from the State Council on Developmental Disabilities thanked HRC for holding the service review meetings and noted that they can help to educate parents and clients. Ms. Mock advised that the second Adult Day Services Review Session is scheduled to take place on the evening of September 7, 2017 from 6:30 pm to 8:30 pm in HRC Conference Room A4. During this meeting we will share information on the number and demographics of HRC clients who participate in each type of day program. We will share detailed information about the service providers themselves. We will review with those present the HRC Expectations for Adult Day Activities and the Quality Review Format HRC uses when conducting periodic reviews of the programs. We will share the various materials that service providers use to implement their programs and that are available to them from our HRC Resource Center. We will also hear from a client who participates in one of the programs.

SUPPORTED LIVING SERVICES

REVIEW SUMMARY AUGUST 14, 2017

ATTENDANCE: Fourteen (14) parents of eleven (11) HRC clients were in attendance at the first supported living service review session on August 14, 2017. This does not include the four (4) HRC Board members/advisors who are also parents of HRC clients (one of whom is also an HRC client) who were participating as part of the Board Review Panel. In addition there were five (5) representatives from two (2) supported living agencies in attendance. One representative from the State Council on Developmental Disabilities and one representative from the Office of Clients Rights Advocacy were also present. PRESENTATION SUMMARY: Patricia Del Monico, HRC Executive Director, facilitated the review session. She provided a definition of “supported living services” and reviewed pertinent sections of the Lanterman Act and Title 17 of the California Code of Regulations. Ms. Del Monico then shared with the participants three (3) documents which had been developed and published by Harbor Regional Center and which are pertinent to general living arrangements for adults or which specifically relate to supported living arrangements. She advised the participants that these booklets were currently under consideration for revision and suggestions for changes would be welcome. Next Ms. Del Monico discussed the current Harbor Regional Center policy on supported living services (SLS) as well as the SLS policies of the six (6) other regional centers in Los Angeles County. Ms. Del Monico advised those in attendance that HRC has identified three major issues related to SLS as follows:

• Housing costs have become a significant barrier to accessing SLS: Housing costs prevent regional center clients from accessing living arrangements outside of the family home, especially supported living arrangements, even in barely marginally safe neighborhoods;

• Conflicting values (choice vs. health and safety) must be balanced in the provision of SLS: we are committed to promoting client choice but regularly face obstacles when clients choose lifestyles that jeopardize health and safety; and

• Rates affect quality: the people who provide personal care, guidance and supervision for our clients in SLS deserve to make a living wage; rates DO affect quality of services and cannot remain frozen.

Ms. Del Monico introduced Kristin Martin, Executive Director of Home Ownership for Personal Empowerment, who spoke briefly to the group about the crisis in affordable housing. HANDOUTS: The following documents were handed out to those in attendance:

• Service Review Meeting Protocol • Board Member Review Panel and Staff Facilitator names and roles • Summary of Supported Living Review Schedule • Sections 4689 and 4689.05 of the Lanterman Act

• Sections 58600 to 58680 of CCR Title 17 • Harbor Regional Center booklet “Planning for Your Future: A Roadmap to Your Goals” • Harbor Regional Center booklet “Living on Your Own: A Guide to Supported Living Services” • Harbor Regional Center booklet “It’s All About Options: Living Alternatives for Adults with

Developmental Disabilities” • Harbor Regional Center Supported Living Policy • Supported Living Policies for six other Los Angeles County regional centers • Excerpt from Public Policy Institute of California: California Poverty by County entitled “Los

Angeles County Renters in Crisis: A Call for Action” • Excerpt from Out of Reach 2017: National Low Income Housing Coalition

QUESTIONS/COMMENTS: Several parents expressed their need to have more information about how to make a supported living arrangement happen for their children. They indicated they had many questions, especially about such things as housing costs and providing rent subsidies without jeopardizing their family members’ benefits.

• There was a recommendation that HRC put together a “frequently asked questions” fact sheet addressing these supported living questions.

• There was also a recommendation that HRC have a seminar/workshop/training about housing issues that includes information about financing options such as special needs trusts, ABLE accounts, etc. (i.e. combine training about SLS in general and SLS housing with legal consultation about how to finance the housing portion without jeopardizing benefits…specifically SSI).

A few parents asked questions related to rates/payment for SLS.

• Several parents requested information about how rates for SLS providers compare to rates paid to group homes. Ms. Del Monico advised that she would provide more information about rates in future SLS review sessions.

• On a somewhat related topic, one parent observed that SLS agencies tend to be for-profit organizations and speculated that this distinction might impact quality of services (i.e. low rates would make it difficult to realize profit without cutting corners on expenditures?) Ms. Del Monico advised she would provide more detailed information about SLS service providers and about rates in a future SLS review session.

One parent asked whether it was possible for a combination of IHSS and HRC SLS to provide 24 hour/day services and supports for an adult who needed 24 hour/day care and supervision. Ms. Del Monico responded that if 24 hour/day care is needed this could be provided in SLS. She advised that she would provide more information in a future SLS review session about the range of SLS supports currently being provided for HRC clients in SLS. Ms. Del Monico advised that the second SLS Review Session is scheduled to take place on the evening of September 11, 2017 from 6:30 to 8:30 in HRC Conference Room A4. During this meeting we will share information on the number and demographics of HRC clients who live in supported living arrangements. We will share information about the service providers currently available to provide SLS in the HRC service area. We will review with those present the HRC Expectations for SLS as well as the various assessment formats and progress reporting guidelines we expect to receive from SLS service providers on a regular basis. And, we will share some of the various materials that service providers use to implement their programs and that are available to them from our HRC Resource Center.

Enclosure

ABX2 1 FUNDING TO PROMOTE EQUITY AND REDUCE DISPARITIES APPROVED ACTIVITIES SURVEY

DUE MAY 31, 2017

Regional Center Date Harbor May 26, 2017

Contact Name and Title

Nancy Spiegel, Director of Information and Development

Contact E-mail Address Contact Phone Number

[email protected] 310 543-0658

ABX2 1 allocated funds to the Department to assist regional centers in the implementation of strategies to reduce purchase of service (POS) disparities. Regional centers were required to submit proposals to the Department outlining specific activities for review and approval. Regional centers must maintain records, collect data, and track qualitative and quantitative outcomes of each approved activity. Survey instructions: Please submit a survey for each approved activity in a Word or converted PDF format (please do not send scanned copies).

Activity Name Activity Start Date Promotora Program January 2017

Description of Activity Approved Funding Amount Develop a parent peer mentor and care coordination program to improve access and utilization of regional center services and generic community resources by underserved families.

$180,000 plus $105,000 addendum

Target Population and/or Disparity Issue Number of Individuals Impacted (consumers, families, staff, etc.) or Projected Impact

Hispanic clients and families with limited or no English proficiency . 75 families over 18 months

1. How is/was the activity delivered (please include details regarding executed contracts, progress/status of tasks, etc.)? We estimated in our September, 2016 proposal that this effort would take up to two years to fully implement. In the seven months since the proposal was approved, we have:

• Researched the promotora model and gathered information from agencies using this model for family support.

• Entered into contract with 211 LA County for development Parent Peer Mentor and Care Coordination program.

• Received approval to extend the program an additional six months with additional funding, and amended the contract.

• Held biweekly planning and development meetings to design the program. • Identified local community-based agency partners to support this program. • Developed job description for Parent Peer Mentor position. • Began recruitment for 2 full time Parent Peer Mentors. • Began meeting with parent groups in the community to provide information on this

program.


2. Describe the process for maintaining records, collecting data, and tracking qualitative and quantitative outcomes for the activity. (Qualitative outcomes are descriptions, such as what participants say they learned in an orientation; quantitative outcomes can be measured, such as the number of orientation participants.) We will maintain records, collect data and track outcomes as follows:

• Conduct assessments of families referred to the program utilizing the Protective Factor Survey to identify barriers encountered by families when accessing services, and to develop family plans for obtaining needed services

• Prepare monthly data analysis reports of demographic data, identified barriers, and confirmation of services received.

• Measure family outcomes with a satisfaction survey.

3. Describe the annual qualitative outcomes the activity has produced to date. This project is still in the planning and development phase.

4. Describe the annual quantitative outcomes the activity has produced to date. 5. This project is still in the planning and development phase.

6. What is the total amount expended on the activity thus far?

$8,062.98 has been expended thus far. A contract is in place for the remaining $276,937.02

7. Have any changes to the activity been made, including cost and projected implementation dates, from what was approved by the Department? No

8. What is the estimated duration of the activity and when do you anticipate

completion? We indicated in our September 2016 proposal that this activity would take up to two years to fully implement. Work is in progress and will be completed by June of 2018.

Enclosure


DUE MAY 31, 2017







Activity Name Activity Start Date Develop and Translate Materials in Multiple Languages November 2016

Description of Activity Approved Funding Amount In collaboration with other regional centers through the statewide Training and Information group, develop and translate easy-to-understand informative publications in multiple languages, which can be used by all regional centers

$30,000


clients and families with limited or no English proficiency 2000 at HRC, more at other RCs who utilize the materials.

1. How is/was the activity delivered (please include details regarding executed contracts, progress/status of tasks, etc.)? This collaborative project is in progress with other collaborating regional centers, under leadership of HRC. We indicated in our 9/16 proposal that it would take up to two years to fully implement. Thus far we have:

• Identified five high priority topics in need by families at our collective regional centers.

• Inventoried and reviewed available materials on selected topics from all regional centers.

• Drafted, in simplified language, fact sheets on the topics of respite services, living options, employment, adult day services, and transition to adulthood.

• Obtained estimates for translation from various service providers. • Identified a non-profit video production company for development short informative

videos in target languages and held pre-production meetings with crew.


• Entered into contracts with providers of LRA Translation Services and Change Agent Productions video production services, for implementation of projects.

2. Describe the process for maintaining records, collecting data, and tracking qualitative and quantitative outcomes for the activity. (Qualitative outcomes are descriptions, such as what participants say they learned in an orientation; quantitative outcomes can be measured, such as the number of orientation participants.) We will evaluate the effectiveness of informational materials developed as follows:

• We will distribute drafts of informational fact sheets to staff and client/family representatives of regional centers participating on the workgroup, for their input.

• We will seek their qualitative rating of the materials for clarity, relevance, usefulness, etc.

• When finalized and translated these new materials will be shared to Regional Centers for wide distribution.

• Regional Centers who utilize the materials will be asked to report on how many client families have been reached with this information.

3. Describe the annual qualitative outcomes the activity has produced to date.

This project is still in the content development/draft writing phase.

4. Describe the annual quantitative outcomes the activity has produced to date. This project is still in the content development/draft writing phase.

5. What is the total amount expended on the activity thus far? No funds have been expended thus far. Contracts are being executed for translation and video production for content now in development.



completion? We indicated in our September 2016 proposal that this activity would take up to two years to fully implement. All training sessions under this contract will be completed by June of 2018.

Enclosure


DUE MAY 31, 2017







Activity Name Activity Start Date Training and Support for Families January 2017

Description of Activity Approved Funding Amount

Develop and Translate an Orientation Curriculum $30,000


clients and families including those with limited or no English proficiency

2000 at HRC, more at other RCs who utilize the materials.

1. How is/was the activity delivered (please include details regarding executed contracts, progress/status of tasks, etc.)? We estimated in our September, 2016 proposal that this effort would take up to 18 months to fully implement. In the seven months since the proposal was approved, we have:

• Gathered and reviewed parent training curriculum from other agencies, and information and training materials already available at HRC for use in development of this curriculum.

• Entered into contract with 211 LA County for development of a curriculum. • Entered into contract with a non-profit video production agency Change Agent

Productions, for development of video to be used in training. • Entered into contract with providers of translation services.


• We will review the draft curriculum with selected staff and parents for their input. • We will obtain translation into Spanish prior to piloting the curriculum.


• We will pilot the use of the curriculum with parent peer mentors. • We will screen the videos to a test audience of staff and parents. • We will seek their qualitative rating of the materials for clarity, relevance,

usefulness, etc., and edit materials as needed. • We will complete translation into two more languages by June 2018.


This project is still in the content development phase.

4. Describe the annual quantitative outcomes the activity has produced to date. 5. This project is still in the content development phase.

6. What is the total amount expended on the activity thus far?

$2.233.05 has been expended thus far. Contracts for $22,489.95 are in place, and are being executed for the remaining $5,277.



completion? We indicated in our September 2016 proposal that this activity would take up to 18 months to fully implement. Work is in progress and will be completed by June of 2018.

Enclosure


DUE MAY 31, 2017







Activity Name Activity Start Date Public Information: Expand Availability of Informational Materials November 2016

Description of Activity Approved Funding Amount Expand availability of informational materials, in multiple languages, on topics requested by our clients and families: lists and descriptions of available services, by age group, service planning and coordination, and accessing services.

$100,000


HRC clients and families with limited or no English proficiency 2000 clients/families.

1. How is/was the activity delivered (please include details regarding executed contracts, progress/status of tasks, etc.)? This project is in progress. We indicated in our September, 2016 proposal that it would be ongoing through 2017-18. Thus far we have:

• Created content describing available services for three age groups: Infants and Toddlers, School-age Children and Families, and Adults.

o Obtained estimates for translation from various service providers. o Obtained completed translations of lists of services by age, in Spanish,

Khmer, Korean, Farsi, Japanese, Vietnamese, and Chinese. o Distributed translations for review of translation quality and clarity. This

process has been completed for Spanish, Khmer, Farsi, and Korean. o Printed and distributed completed booklets in Spanish and Khmer. This

distribution process is now getting underway for Farsi and Korean. o Review of translation is still in progress for Japanese, Vietnamese, and

Chinese. Upon approval, these will be published and distributed.


• Printed and distributed Spanish language informational fact sheets and brochures on the Self Determination Program and Therapy services

• Now executing contracts with providers of translation services, video production services, layout/design and printing services for development of additional informational print and video materials through 2017-18.


• We distributed drafts of informational booklets to staff and client/family members of support groups, for their feedback on clarity and accuracy of translation before finalizing.

• We received feedback and made recommended changes as needed. • Copies were distributed to our clients and families through individual planning

meetings with service coordinators, through the HRC Family Resource and Assistive Technology Center, and at outreach events in the community.

• We will seek their qualitative rating of the materials for clarity, relevance, usefulness, etc.


This project is still in progress. . We will seek qualitative ratings of the materials by bilingual staff and clients/families for clarity, relevance, usefulness, etc.

4. Describe the annual quantitative outcomes the activity has produced to date.

6000 copies of Spanish language booklets on services available by age (infants/toddlers, school-age, and adult) have been distributed in the six month period from December 2016 to May 2017. A second printing of 6000 additional copies in Spanish has been obtained for continued distribution. 100 copies of Khmer language booklets on services available by age have been distributed since they completed review, at client/family service planning meetings and an information and outreach event. 500 copies of fact sheets on the upcoming Self Determination Program have been distributed in Spanish, and an additional 500 copies have been reprinted. 500 copies of a booklet on Therapy Services have been printed.

5. What is the total amount expended on the activity thus far? We have expended $11,572.96 thus far. Contracts are in place or are in process of being executed for remaining funds.



completion? We indicated in our September 2016 proposal that this activity would continue over fiscal years 2016-17 and into 2017-18. In the 7 months since the project was approved in late October of 2016, we have completed translation, review, and publication of materials in multiple languages. We will continue this process to expand our library of print and video informational materials to be completed until all funds are expended, by June of 2018.

Enclosure


DUE MAY 31, 2017







Activity Name Activity Start Date Promote Cultural Competency with Network of Service Providers November 2016

Description of Activity Approved Funding Amount Coordinate service provider training by guest trainer(s) with expertise in the areas of inclusion, diversity, and communication $10,000


Harbor Regional Center staff 600 service providers

1. How is/was the activity delivered (please include details regarding executed contracts, progress/status of tasks, etc.)? We gathered information to identify and select leading trainers in the field in cultural competency, by attending conferences and webinars, and by surveying fellow regional centers, and other local community agencies.

• We have contracted with Dr Barbara Stroud Training and Consultation to provide up to eight training sessions on Culturally Responsive Services, over fiscal years 2016-17 and 2017-18.

• We have scheduled four of eight sessions thus far. • The first two sessions were completed in March 2017. Over 100 service providers

attended these two sessions. • We are currently registering service providers for two sessions scheduled to take place

in October 2017. • We will schedule dates for up to four additional sessions to take place by June 30,

2017.


• 2. Describe the process for maintaining records, collecting data, and tracking

qualitative and quantitative outcomes for the activity. (Qualitative outcomes are descriptions, such as what participants say they learned in an orientation; quantitative outcomes can be measured, such as the number of orientation participants.) We will register all appropriate service providers in each of the planned trainings and will track their attendance/completion of training. Participating service providers will complete training evaluations to include feedback on how they used the information to train their direct care staff, and future service provider development.

3. Describe the annual qualitative outcomes the activity has produced to date. In evaluations received thus far the following outcomes have been reported:

Describe three ways you could use the information presented during this training to modify your work process in a way to that helps Harbor Regional Center provide supports and services that are more culturally responsive to our clients.

Increase my awareness of my own attitudes and beliefs that may impact my interactions with clients and families.

Engage in conversations with cultural curiosity to learn about others to establish a foundation for our communication.

Work with community based cultural organizations to mutually develop communication and trust in our communities.

to understand the adult client's own definition of personal success

to understand the client's and their family's experience of culture

to understand the cultural perspectives of the support staff

There is bias in various topics and learning to not impose beliefs on others.

Understanding various culture values

thinking about myself as a "culture of one" and how that shapes my personal style

being aware of my responses to cultural differences in the field

Better understand the biases I possess to avoid applying them to my staff, co workers, and stakeholders

Improve my understanding of my staff and co workers needs in relation to perspective and approach to relationship building & communication.

To be more aware in my interactions with others that their culture is unique unto the individual, though there may be shared values within one's ethnic group

Use the information presented to look at examine our current processes for intake and orientation to make sure they are culturally responsive

I'll be more cognizant of and honor individual's values. Which will help me deliver sensitive person-centered support and services.

I seek to support families and individuals where they are; opposed to forcing them to navigate existing systems/structures. Honoring individuals' values and flexing existing agency practice and policy to better meet families where they are may facilitate equitable access across ethnicities to supports and services.

Utilize information learned to improve understanding of families conveyed information

Utilize information learned to improve clarity of information presented to families

Utilize information learned to improve respect and improve colllaborations towards individuals and families wishes

Understand how the family defines successful goal completion

It is important to remember the ethnicity doesn't define the person

I'm to make clients and families feel respected, heard and supported

Makes me aware of the fact that every family has their own story to share.

Reminds me to be respectful when interacting with our families.

Remember to ask families what are their standards

Consider that the cultural environment means more than language or country of origin

Make sure clients understand HRC's desire to support them

I am extremely grateful for the experience. I realized that there is so much more work to do to learn about how my values might impact my work. I would benefit from continued lectures, workshops in cultural responsiveness. I recommend we re-visit this topic as often as possible in an effort to adopt an agency-wide cultural responsiveness.

4. Describe the annual quantitative outcomes the activity has produced to date..

The first two sessions were completed in March 2017. Over 100 service providers attended these two sessions.

5. What is the total amount expended on the activity thus far? $5209 has been expended thus far. We have contracted with Dr Barbara Stroud for remaining funds, for additional training sessions in 2017-18.



completion? We indicated in our September 2016 proposal that this activity would take up to two years to fully implement. We estimate that this project will be completed by June, 2018.

Enclosure


DUE MAY 31, 2017







Activity Name Activity Start Date Staff Training November 2016

Description of Activity Approved Funding Amount Coordinate staff training by guest trainer(s) with expertise in the areas of inclusion, diversity, and communication $10,000


Harbor Regional Center staff at least 300 staff members and selected service providers

1. How is/was the activity delivered (please include details regarding executed contracts, progress/status of tasks, etc.)? We gathered information to identify and select leading trainers in the field in identified topic areas, by attending conferences and webinars, and by surveying fellow regional centers. We selected two trainers for this activity:

• We have contracted with Lisa Prosser-Dodds (through Max Muller Associates) to provide a keynote address on resilience and celebrating diversity. This training will take place on June 23, 2017.

• We have contracted with Lynne Seagle (Relentless Leadership) to provide training on Person-Centered thinking. This training will be provided to six groups of service coordinators, community services staff, managers and selected service providers over three days in September of 2017,


• 2. Describe the process for maintaining records, collecting data, and tracking

qualitative and quantitative outcomes for the activity. (Qualitative outcomes are descriptions, such as what participants say they learned in an orientation; quantitative outcomes can be measured, such as the number of orientation participants.) We will register all appropriate staff in each of the planned trainings and will track their attendance/completion of training. Participating staff will complete training evaluations. Managers will discuss training content and practical application with their staff and provide feedback for future training and development.

3. Describe the annual qualitative outcomes the activity has produced to date. This training has not yet taken place.

4. Describe the annual quantitative outcomes the activity has produced to date. This training has not yet taken place.

5. What is the total amount expended on the activity thus far? A $1000 deposit has been paid to Max Muller and Associates for training to take place in June 2016. The remaining $9000 has been encumbered in the contracts listed above.



completion? We indicated in our September 2016 proposal that this activity would take up to two years to fully implement. We estimate that this project will be completed by December 2017.

Harbor Regional Center Board Planning Committee

Minutes: July 28, 2017

Ron Bergman, Chair. Members: Patricia Jordan, Lavelle Gates, Steve Goclowski, Barry Finley, Erika Braxton-White, Nancy Spiegel Harbor Regional Center Performance Plan

Nancy reported on the public input process which has gotten underway, for the review of our 2017 Performance Plan and development of the plan for 2018. The Department of Developmental Services directs each Regional Center in California to work on a set of desired outcomes that are listed below and in our Performance Plan. They ask us to update our Performance Plans each year and to maintain or improve performance on each of the desired outcomes. The committee discussed the plan areas below.

• Living in the Community - Decreasing the number of people served by HRC who live in state institutions know as State Developmental Centers and assisting those who are living in the institutions to move into community living.

• Children Living with Families - Increasing the percentage of children served by HRC who are able to live with families, rather than in out-of-home care.

• Adults Living in Home Settings - Increasing the percentage of adults served by HRC who live in home environments (in their own home with or without supported living services as needed, or with their family).

• Living in Large Licensed Homes - Decreasing the percentage of children and adults living in large congregate settings for 7 or more people, and assisting them to move into smaller more integrated living environments.

• Cultural Differences - Reducing differences in patterns of purchased services (authorized and utilized) according to age, diagnosis, ethnicity, and language.

• Added this year: Employment - Increasing the number of adults served by HRC who find employment.

Sharing Information and gathering input about this plan:

Community meetings are now taking place, to provide information on our progress and receive input. Several presentations are scheduled during the latter part of July and throughout August. Revisions and additions to the plan are being made based upon the questions and comments that we are receiving. Information on this public process, the proposed plan and dates of upcoming meetings and a draft plan for 2018 has been posted on our website on this date, and is being distributed to the 12,300 subscribers of our HRC Electronic newsletter. We will invite all interested members of our community who have not already had the opportunity to hear the presentation at the following public meetings.

The proposed plan will be presented at public meetings to take place in Long Beach and Torrance:

• Tuesday, September 5, 2017 6:00 pm – 7:30 pm Harbor Regional Center 21231 Hawthorne Blvd Torrance Ca 90503 Conference Room A4

• Saturday, September 9, 2017 10:00 am - 11:30 am Harbor Regional Center 1155 E San Antonio Drive Long Beach, CA 90807

Diversity Initiatives at HRC

The Performance Plan includes outcome measures and planned activities to reduce disparity in provide equal access to information and services for our clients and families, especially those who are underserved, regardless of disability, age, ethnicity and language. We have shared general information and answered questions about these projects as we have been meeting with community groups. Erika provided this committee with progress reports submitted to DDS in May, and highlighted some of the more recent progress on these ongoing projects.

For example:

• A Parent Peer Mentoring program has been in development for the past several months. Two parents who are bilingual English and Spanish speaking were recently hired as Peer Mentors for this project and are currently going through their training and orientation process.

• Translations of new service booklets are completed for English, Spanish, Khmer, and Korean and are nearing completion of the quality review process for Farsi, Japanese, and Chinese.

• New informative fact sheets are being developed in collaboration with other regional centers on topics requested by families in all of our service areas, such as respite services, transition to adulthood, adult services, living options, and employment, and will be translated upon completion.

• We are in production for the first of several short informational videos in various languages.

• New training materials are being developed to provide parents with information about our services.

• Continued staff and service provider training are scheduled for coming months.

HARBOR REGIONAL CENTER PERFORMANCE PLAN 2018

Measures of Success: ●Maintain or show improved performance over prior year, and/or ●Equal to or better than statewide average.

PUBLIC POLICY OUTCOMES

Public Policy Measures Statewide Average

HRC Outcomes Planned Activities

Clients who have lived in State Developmental Centers will live in the community; Reduce Percentage of clients in State Developmental Centers

Achieving Desired Outcome? YES

12/11 0.73% 12/12 0.63% 12/13 0.51% 12/14 0.42% 12/15 0.36% 12/16 0.30%

12/11 0.65% 68 clients 12/12 0.54% 59 clients 12/13 0.5% 56 clients 12/14 0.36% 42 clients 12/15 0.23% 28 clients 12/16 - 0.10% - 12 clients 6/17 - 0.6% 8 clients

Continue to develop resources as Community Placement Plan funds allow.

Continue to assess and assist developmental center residents to move into homes in the community.



Public Policy Measures Statewide Average HRC Outcomes Planned Activities

Children served by HRC will live with families; Increase percentage of minors living with families: includes own family, foster family, and guardian.


12/12 98.92% 12/13 98.98% 12/14 99.10% 12/15 99.15% 12/16 – 99.24%

12/12 - 99.63% 12/13 - 99.78% 12/14 - 99.80% 12/15 - 99.80%

12/16 – 99.78% 6/17 – 99.80%

To promote child development and family stability, continue to provide support, information, and training to families, including but not limited to:

• Orientation to HRC Services for new and continuing families

• Informative workshops for clients/families by specialists, in varied locations in our service area.

• Support for families through support groups and parent peer mentors , in multiple languages.

• Resources and Information sharing via publications, website, newsletter, social media

• Respite and in home nursing services • Social Skills training • Mommy/Daddy and Me and language development

groups, providing tools for supporting child development • Group and individual parent training in behavior

management, safety and sexuality

Children served by HRC who live in licensed homes shall live in small homes. (Maintain low percentage of minors living in licensed homes serving greater than 6). Achieving Desired Outcome? YES

12/12 0.08% 12/13 0.07% 12/14 0.07% 12/15 0.06% 12/16 – 0.05%

12/12 - 0.00% 12/13 - 0.00% 12/14 - 0.00% 12/15 - 0.00% 12/16 - 0.00% 6/17 - 0.00%

Continue to avoid use of large licensed settings, and provide support for children to live with families (their own, foster, or guardian).



Public Policy Measures Statewide Average HRC Outcomes Planned Activities

Adults served by HRC will live in home settings; Increase percentage of adults living in independent & supported living, with parent, or with adult family home agency.


12/12 - 75.29% 12/13 - 76.49% 12/14 - 77.30% 12/15 - 78.04% 12/16 – 78.89%

12/12 - 78.36% 12/13 - 79.05% 12/14 - 80.07% 12/15 - 80.92%

12/16 - 81.90% 6/17 - 82.15%

Continue to promote and maintain options for adults to live in home environments with families, or in their own homes, with supports as needed. These may include but are not limited to:

• Independent living skills training • Supported Living services • Post-secondary education • Job preparation • Supported Employment. • Adult day options tailored to varied individual needs,

such as Inclusion Centers, Partial Inclusion/Work options, Therapeutic Centers, etc.

Continue to work with community partners to advocate and support development of affordable housing options for adults.



Public Policy Measures Statewide

Average HRC Outcomes Planned Activities

Adults served by HRC who live in licensed homes shall live in small homes; Reduce percentage of adults living in licensed homes serving greater than 6.


12/11 - 3.50% 12/12 - 3.31% 12/13 - 3.12% 12/14 - 2.96% 12/15 - 2.78% 12/16 – 2.60%

12/11 2.22% 12/12 2.05% 12/13 1.84% 12/14 1.74% 12/15 1.50%

12/16 – 1.08% 6/17 – 1.29%

Continue to avoid use of large licensed settings and to support adults moving from larger settings into more integrated/less restrictive living options. Increase access to living options through continued development of residential resources, as funds allow; Work to create additional resources, including the replacement of resources lost during the recession and long standing rate freeze.



Public Policy Measures Planned Activities

Adults who want to work will be supported to prepare for, find and maintain employment; Increase percentage of adults who are employed).

• Discuss employment options with clients and families when they reach

transition age and adulthood. • Work in partnership with school districts, community colleges, and the

Department of Rehabilitation to promote opportunities for volunteerism, work training, and internships.

• Offer Employment Orientations to inform clients and families about employment services.

• Offer Training courses to prepare clients for employment. • Work in partnership with supported employment service providers and the

Department of Rehabilitation to develop jobs for individuals who want to work, and support their success on the job..

• Work with adult day activity service providers to offer work and volunteer opportunities and experiences



Public Policy Measure Planned Activities HRC Clients and Families will have access to information and services regardless of age, diagnosis, ethnicity, or language; Indicator showing the relationship between annual authorized services and expenditures by individual’s residence type and ethnicity. Percent of total annual purchase of service authorizations and expenditures by individual’s ethnicity and age

• Birth to age two, inclusive • Age three to twenty-one, inclusive • Twenty-two and older

Harbor Regional Center will provide services and supports in a culturally and linguistically responsive manner. Continue to: • Provide community outreach so that the ethnic, language and cultural demographics of our client population reflect that of the general population in our service area. • Recruit and maintain a culturally diverse staff whose ethnicity, language and cultural background reflect that of our client population. • Provide information and training for staff and service providers to promote culturally-responsive service delivery. • Provide training and information for clients and families to increase awareness of and access to available services and supports. • Distribute and post written guide to available services by age

group. • Expand our library of translated materials as funds allow. • Facilitate and share information through parent support

groups and peer mentors • Gather input from our community regarding access and

utilization of services and reduction of barriers.



2015-16 Purchase of Service Expenditures by Ethnicity and Age

Ethnicity Birth to 2 3 to 21 22 and older Asian 0.4% 1.3% 6.5% Black/African American 0.5% 1.6% 10.7% Filipino 0.2% 0.6% 3.1% Hispanic 2.3% 4.5% 18.6% Native American 0.0% 0.0% 0.2% Other Ethnicity or Race 0.9% 2.1% 3.4% Polynesian 0.0% 0.0% 0.4% White 0.9% 2.8% 39.0% TOTAL 5.2% 12.9% 81.9%

Percent of Regional Center Expenditures by Primary Language (7 most common) Language Consumer Count Percent of total Expenditures ENGLISH 11,122 85.1% SPANISH 2,511 9.3% KOREAN 95 1.2% TAGALOG 66 0.9% FARSI (PERSIAN) 107 0.8% CAMBODIAN 72 0.4% JAPANESE 47 0.4%



Compliance Measures

HRC Baseline Planned Activities Unqualified independent audit with no material findings

Yes Continue generally accepted accounting principles Maintain good business practices Maintain compliance with state contract and Medicaid Waiver requirements

Substantial compliance with DDS fiscal audit Yes Accuracy/percent of POS fiscal projections based on February Sufficiency of Allocation Report (SOAR)

Yes

Operates within Operations budget Yes Certified to participate in Waiver Yes Compliance with vendor audit requirements Yes Individuals with updated CDERs and ESRs (Client Development Evaluation Report or Early Start Report)

98.74%%

Continue timely completion/updates of the CDER/ESR.

Intake/assessment timelines, ages 3 and above - 142 days or less

100%

Continue to provide timely completion of intake/assessment for children & adults 3 years of age and above.

Intake/IFSP development, for infants/toddlers ages 0-2

95.26%

Continue to provide timely completion of intake/assessment and Individual/Family Service planning for infants and toddlers birth - 2 years of age.

IPP development, ages 3 and above (Individual/Family Service Plan, Welfare and Institutions Code requirements)

99.29%

Continue to provide timely completion of individual person-centered plans (IPP) for clients receiving services under the Lanterman Act.

Harbor Regional Center Client Advisory Committee

August 18, 2017 Meeting Minutes

Members Present: David Gauthier-Chairperson; Deaka Mc Clain-CAC Co-Chairperson ; Rita Teodore; Constance Leuck; Danielle Schorr; Debbie Howard; Michelle Roach; Mead Duley; Tom Basch; Wesley Dale; Kelly Sutton

HRC Staff Present: Brent Fryhoff; Kris Zerhusen

Life Steps Staff Present: Jenelle Reyes-Tenorio

Call to Order & Minutes Approved

David called the meeting to order at 1:07 p.m.

The minutes were unanimously approved by all committee members.

Client Services & Self Determination update

Deaka and David reminded the CAC group that Self-Determination meetings are open to the public and that all CAC members are encouraged to attend these meetings. Deaka shared that the state is close to getting their revisions approved by the federal government and that soon the pilot program for self-determination will roll out. The program will be implemented gradually. Upon approval of the Waiver application or federal funding, the SDP will be implemented for up to 2, 500 participants in the state, to be phased in during the first three years. David shared that the next meeting will be held on Wednesday, September 13, 2017 from 6:00-8:00 p.m. These meetings typically take place on the 2nd Wednesday of the month and are open to the public.

DDS CAC Update Deaka shared that she was recently nominated as the DDS Client Advisory Committee Chairperson. Deaka let the CAC members know that she is humbled and grateful for the opportunity to represent not only Harbor Regional Center, but also all 21 Regional Centers across the state as the new DDS CAC Chairperson. Deaka shared with the group that she will be attending the DDS CAC meetings three times a year. She also shared the statistics of the National Core Indicators that was presented at the DDS meeting. Deaka is very hopeful that when the next NCI survey goes out that HRC will score better since the numbers are quite low and there is room for HRC to improve in all areas of the survey.

HRC Client Advisory Committee Meeting August 18, 2017 Minutes Page 2 Community Outreach The HRC Client Advisory Committee recently participated in the Special Olympic Games by cheering on athletes at the Basketball event hosted at Cal State Long Beach. The CAC group met on Sunday June 11th at the Cal State Long Beach Pyramid. The CAC members who participated enjoyed being fans on that day and stood alongside 24 Hour Home Care in the stands. The CAC group would like to participate in two upcoming events in October for community outreach. On Saturday October 14th CAC members agreed to volunteer for the second year in a row at the Rat Beach Bike Tour. The volunteer location will be at the USS Iowa again and the group will assist in passing out water and cheering on the bikers. The CAC group would also like to volunteer on October 7th at Harbor Regional Center’s next Transition which will be held at the Long Beach office from 10:00 a.m. to 2:00 p.m. The CAC is planning on having a booth at this event and will promote the HRC Client Advisory Committee. Both of these events are great opportunities to get more involved in the community during National Disability Awareness Month in October. Feeling Safe, Being Safe DDS Training Deaka presented a video on Feeling Safe, Being Safe. This is a mandatory training that DDS wanted Deaka to present to the group. The training stressed the importance of being prepared at all times for any natural disaster. The training also went over how everyone should have an emergency back pack prepared close to their front door that should include the following: personal items: copy of medical insurance cards, copy of identification cards, money, food/water, emergency supplies, and pet supplies if needed. Also, Deaka talked about the importance of getting to know your neighbors in order to have a natural network of support in case of an emergency. It is important to have a working phone in case you need to call 911 and to also have an emergency radio with batteries in your home. You can never be too prepared and Deaka encouraged all CAC members to get an emergency backpack in their home and or vehicle. Regional Center Performance Plan Brent shared the Harbor Regional Center Performance Plan with the CAC members. The State of California Department of Developmental Services wants each Regional Center to work on the following desired outcomes, which they call a Performance Contract. Brent shared that DDS has asked us to update our performance plans each year. They want us to work to maintain or improve performance for each desired outcome.

HRC Client Advisory Committee Meeting August 19, 2017 Minutes Page 3

The following is a summary from Nancy Spiegel that Brent shared with CAC members. The purpose of the presentation was to share information on how HRC is doing on the outcomes identified by the State of California, and get any input. Nancy’s summary: Outcome #1: Living in the Community DDS wants regional centers to decrease the number of people served in state institutions (called developmental centers).

• Since 2005 we have helped 120 people move from a state institution into the community…11 of these have moved from state institutions into the community in the past year.

• As of June 2017, HRC has only 8 people served by HRC (0.06%) who currently remain in one of the State Developmental Centers, compared to about 800 (0.26%) statewide.

HRC is performing better than the statewide average in this area.

Outcome #2: Living in Families

DDS wants regional centers to continue to increase the percentage of children served who can live with families, (rather than require some type of out of home care)..

• 99.8% of HRC children live in family homes.

• This is just slightly higher than the statewide average of 99.2% HRC is performing better than the statewide average in this area. Outcome #3: Adults will live in home settings

The Department of Developmental Services also wants regional centers to continue to increase the percentage of adults with developmental disabilities who are able to live in home settings. “Home Settings” include living with their families, independent and supported living.

• Over 82% of HRC clients who are adults live in these home settings. • the statewide average of 79.27% • About 17% of adults served by HRC live in out of home settings such as group homes,

compared to about 20% statewide. HRC is performing better than the statewide average in this area. Outcome #4: Employment

The Department of Developmental Services has added a new desired outcome, to measure and to increase the number of individuals with developmental disabilities who are employed.

HRC Client Advisory Committee Meeting May 13, 2017 Minutes Page 4

We will support our clients who are in transition to adulthood, and who are adults who want to work, to prepare for and obtain employment. Ways that we do this include

• Telling our clients and families about employment services, as they reach transition age and adulthood.

• Promote opportunities for work related trainings and internships, in partnership with school districts.

• Employment Orientations to inform clients and families about employment services • Job preparation courses to prepare adult clients for employment. • Supported employment services to find jobs and provide job coaching for clients who

want to work

Outcome #5: Living in Licensed Homes

The Department of Developmental Services wants regional centers to decrease the number of children and adults who live in large licensed home settings (for seven or more people). Some clients do need to live in large places such as skilled nursing care homes, but we work to help them move to more individualized care in the community as early as possible.

• Only 80 adults, or 1.29% of HRC adults lived in these larger settings, compared to 2.25% statewide.

• NO HRC children live in large licensed care settings, compared to 66 or 0.04% statewide. HRC is performing better than the statewide average in this area.

Outcome #6: Cultural Diversity

The Department of Developmental Services wants regional centers to make sure that all clients have information and access to services regardless of their ethnic background, language, age, or diagnosis.

We still have differences at HRC in how different groups are receiving and accessing services. We want to reduce these differences and help all clients have improved information and access to services.

• For clients birth to three years of age and live with families, expenditures are highest for Asian clients; They are lowest for this age group for African American

• For clients who are school-aged and live with families, expenditures are highest for White clients. They are lowest for this age group for Hispanic clients.

• For clients who are over 22 and live with families, expenditures are highest for Asian clients. They are lowest for this age group for Hispanic clients.

• For adults living outside the family home, expenditures are highest for Hispanic clients, and lowest for African American clients.

HRC Client Advisory Committee Meeting May 13, 2017 Minutes Page 5

To reduce differences in these areas, HRC has met and will continue to work on these goals:

• outreach to cultural and language groups in the community . • culturally diverse staff whose ethnicity, language and cultural background continue to

reflect that of our client population. • 50% of HRC staff are bilingual in Spanish (164) • 8% of HRC staff speak other languages such as Farsi, Korean, Khmer, Japanese,

Mandarin, Vietnamese etc. (25). • training for staff and service providers to promote culturally-competent service

delivery.

In addition, HRC is working on the following changes:

• Increase training and information for clients and families about available services and supports,

• Develop more informational materials in multiple languages. • Develop a new training for families on understanding services and how to access them.

This training will be offered in the community in various languages • Develop short informational videos • Seek input from our community regarding barriers to receiving services, and ways to

overcome these barriers. • Develop a program of Parent Peer Mentors to help families overcome barriers and

increase access to services. Brent and Kris let the CAC members know that HRC is doing very well with the majority of these outcomes and continues to make these goals a priority. Adjournment

David adjourned the meeting at 3:07 p.m.

Next CAC Meeting

The next Client Advisory Meeting will be held on Saturday November 18th, 2017 at HRC Torrance office.

Client Service Committee July 25, 2017

Present: LaWanna Blair, Antoinette Perez, Colleen Mock, Nancy Spiegel, Patricia Jordan, David Gauthier, Rhonda Kopito, Patricia Flores, Melanie Brossus, Kim Vuong, Deaka McClain HRC Performance Plan – Nancy Spiegel (Director of Information and Development) HRC has worked diligently to transition clients out of State Developmental Centers (SDC). As of June 2017 HRC has 8 clients left in an SDC. Work is being done to remove the remaining clients out by 2019. HRC has fewer children living in out of home placements and the number of children living with their family continues to increase. There were 13 children that did not live in the family home however; almost all of the parents remained involved in their child’s life. 82% of adult clients serviced by HRC resided out of their family home. HRC strives to create homes where clients can have a private room. HRC will continue to support adult clients with being more included in the community. HRC will also continue to advocate for funds that will allow for the development of additional resources, specifically in the areas of living, education, and employment. Assistance with accessing other generic services and support (ex. SSI, IHSS, etc.) will also be provided. There was discussion about when and how a parent would know to ask for out of home placement; the group felt it would be helpful if a parent knew the timelines on when and how to apply for certain things as some parents reportedly do not understand that their adult child does not have to live with the until their demise. Cultural Diversity It was shared that HRC recruits staff that reflects the diversity of the client population. In an effort to be culturally sensitive staff receive training that will promote culturally competent service delivery. To enhance resources, HRC will be developing videos and new trainings on understanding the series and how to access them. There was discussion that some staff may not be sensitive to working with people with developmental disabilities. The suggestion was to insure that staff received ongoing training on cultural sensitivity. Some individuals with a developmental disability are not able or confident enough to speak up for themselves and should have staff that can support them. A suggestion was made for clients to receive training on self-advocacy. Day Programs/Job Development & Coaching – Colleen Mock HRC continues to look at ways to improve how we connect clients to meaningful day activities when they transition from school to adulthood. We will begin offering tours for our clients who are still receiving transition services through the school as a way to prepare them for the options that are out there. HRC is also excited to begin working with some school districts to develop paid internship opportunities (10,000 max per internship) and so far 3 jobs have been obtained. Internships are yet another opportunity for clients to get some job experience that may be used in securing employment quickly after. Internships are also helpful for those clients who do not interview well.

HRC does have a Day Program Resource group and this consists of employment and day program specialist, a nurse, behaviorist. The group acts as a resource to service coordinators and streamlines the process of identifying potential day program activities for our clients. HRC is working on developing programs that are designed to better support our clients with mental health issues and we are exploring a possible mentor program.

Harbor Regional Center Service Policy

INSURANCE, CO-PAYMENTS, COINSURANCE, AND DEDUCTIBLES

DEFINITION:

Co-payment or “co-pay” is a specific charge that a health insurance plan may require of the insured for each use of a specific service or supply covered under the insurance plan/ policy.

Co-Insurance is a type of insurance that requires the insured to pay a portion of the payment made for a specific service or supply.

Deductible is a specified dollar amount that the insured must pay before an insurance company will pay for covered services or supplies.

PHILOSOPHY:

Access to insurance-funded services and supplies can enhance a client’s overall quality of life and can be essential to their day to day care needs. Harbor Regional Center recognizes that some families with a developmentally disabled family member are not able to meet all or part of the costs associated with accessing needed services and supports through their health insurance plan/policy.

POLICY:

Harbor Regional Center may purchase insurance co-payments, coinsurance and deductibles for a client if the following criteria are met:

1. there is no other third party having liability for the cost of the services or support, as provided in §4659.10 (a) of the Welfare and Institution Code;

2. the client is covered by a private health insurance plan/policy of their own (if an adult) or that of his or her parent, guardian, or caregiver;

3. access to the support or service funded by a health insurance plan/policy is a) necessary because of the developmental disability or developmental delay; and b) identified as needed in the client’s Individual Family Services Plan (IFSP) or Individual Person-centered Plan (IPP);

4. the family has an adjusted gross income that does not exceed 400% of the federal poverty level and certifies such by providing copies of a W2 Wage Earners Statement, payroll stubs, prior year’s income tax returns or other appropriate documents;

5. the client, parent, guardian, or caregiver agrees to notify Harbor Regional Center when a change in income occurs that would result in a change in eligibility for coverage of the health insurance plan/policy co-payments, coinsurance;

6. the payment will be made directly by the regional center to the provider of support and

the provider of support must be an authorized regional center service provider. An exemption to the limit set forth in paragraph 4 immediately above may be granted by the Executive Director when the client, parent, guardian, or caregiver can provide evidence of a) a catastrophic loss that temporarily limits the ability to make co-payments or co-insurance payments; b) an extraordinary event that impacts their ability to meet co-payment/co-insurance requirements; or c) significant unreimbursed medical costs associated with the care of the client or another child who is also a regional center client.

HARBOR REGIONAL CENTER Community Relations Committee

July 18, 2017

Monica Sifuentes, David Gauthier, Terri Nishimura, David Bourassa, and Nancy Spiegel

Legislative Advocacy

In recent months, local legislators and their representatives had opportunities to see HRC services up close at three events: a tour of HRC by Assemblymember Muratsuchi, a ribbon cutting to celebrate a new Long Beach location for Pediatric Therapy Network, and a reception at Harbor Regional Center’s Long Beach office followed by a ribbon cutting at the new affordable housing and supported living service developed by HOPE and Harbor Regional Center.

Members of this committee, David Gauthier and Terri Nishimura, along with Board member LaVelle Gates, visited legislators as HRC’s team of parent, client, and service provider We met personally with legislators Muratsuchi, Bradford, O’Donnell and Lara, and with key staff from all other local representatives’ offices. In follow up communications we reiterated the needs for of people developmental disabilities and their services/service providers and how they could provide support:

• We asked them to support restoration of funding for social recreation services and camps, and to lift the cap on respite service, during the spring budget process. We noted that suspension of these services in 2009 had a disparate impact upon underserved communities. ARCA worked behind the scenes with legislators to introduce this during the budget process. We now know that the 2017/18 Budget Bill lifts the cap on respite services effective January 1st, 2018. However the prohibition of funding for social recreation and camp services will remain in effect.

• We asked them to provide authority for vendor rate increases when quality programs are in danger of closing. 2017/18 Trailer Bill Language requires DDS to convene a task force to look at options to adjust vendor rates: The State Department of Developmental Services shall convene a working group consisting of regional centers, service providers, advocates, family members, and consumers to consider simplified processes for providers seeking rate adjustments pursuant to a health and safety waiver or an unanticipated rate adjustment request. The working group may also make recommendations on alternative criteria and procedures for considering requests for rate adjustments. The department shall report on the working group process and product during the 2018 budget subcommittee process.

Committee member Terri Nishimura expressed strong interest in gathering more information regarding the above workgroup. We will watch closely for additional information and share with our members.

Harbor Help Fund, In-Kind Support, and Holiday Giving Campaign

The South Bay Beer and Wine Festival was held on May 21st and a portion of proceeds will benefit the Harbor Help Fund. HRC volunteers helped to support the event by selling tickets and working at the event. We expect to hear shortly about the proceeds of this event and the portion to be donated to the Harbor Help Fund. .

Kerry Ryerson provided an update on upcoming events she is coordinating with community organizations to provide support to HRC clients, including three upcoming school/backpack giveaways for clients in need. She is working with our service coordinators to identify children in need that meet each organization’s referral criteria, and is currently recruiting volunteers to work with her on for:

• 24 Homecare Wishpack giveaway for 25-35 HRC families,Thursday August 10 from 10:00 – 12:00 pm

• South Bay Sunrise the South Bay Sunrise Rotary Club’s Back To School event for 5 clients (Rotarians are covering volunteer needs).

• Backpack giveaway sponsored by a private family for 10 HRC families of school age children with autism, Friday Aug 11 3:15-5pm and Sunday August 13 10:30-2:30pm

• Southbay Sunrise Rotary RAT Beach Ride October 14th early morning - afternoon

Our proposal to Boeing’s Employee Charitable Organization was awarded $3000 for the Holiday Giving Program.

Harbor Regional Center

Service Provider Advisory Committee August 1, 2017 Meeting Minutes

Members Present: Paul Quiroz, Cambrian Homecare; Terri Nishimura, Pediatric Therapy Network; Patricia Solorzano, Oxford Home Care; Kristy Glass, Able Arts Work; Dee Prescott, Easter Seal Southern California; Rob Haupt, Autism Spectrum Therapies; Ben Espitia , Goodwill, SOLAC; Jose Guzman, Ambitions; Louise Scott, ICAN; Clare Gray, South Bay Vocational Center; Jessica Beltran, Roundtrip Transportation; Nancy Langdon, Canyon Verde College; Steve Goclowski, California Mentor; Adriane Moto; ECF; Kristine Engels, Patricia Flores, Life Steps Foundation; Harry Van Loon, ARC-Long Beach; Brian Lockhart, Aacres; Jazmin Zinnerman, Dungarvin HRC Staff Present: Nancy Spiegel, Director of Information and Training; Judy Wada, CFO, Ashley Ayala, HRC Fiscal Monitor; Kaye Quintero, HRC Controller; Tess Castillo, Accounting Supervisor; Colleen Mock, HRC Community Services Director. Introduction of Members and New Chair of the Service Provider Advisory Committee Ms. Colleen Mock, thanked Ms. Terri Nishimura for her time as Chair of the Committee and introduced Mr. Paul Quiroz as the new chair effective August 1, 2017. Presentation on Draft HRC Performance Ms. Nancy Spiegel reviewed the proposed 2018 Harbor Regional Center Performance Plan. She reviewed six outcomes for living in the community; living in families, adults living in home settings; employment; living in licensed home and cultural diversity. The committee members had no comments or additional suggestions. Presentation on HRC Resource Center Ms. Maria Elena Walsh made a presentation on some of the materials available for service providers to use. She reviewed some information on emotional well-being; video on grief; video and curriculum for working with adults with a diagnosis of autism and challenging behaviors; and Life Facts, a curriculum for working with clients on self-management of emotions. She also announced a new Spanish speaking support group that will meet monthly in the HRC Long Beach office. The first meeting is September 14, 2017. CMS-HCBS: Ms. Mock noted that although CMS may allow states to delay the CMS Final Rule date from March 17, 2019 to March 17, 2022, the State of California has not announced they will be requesting this time extension.

HRC Service Provider Advisory Committee 8/1/17 Meeting Minutes Page 2 Self-Determination Update Ms. Mock noted DDS has been preparing the training materials that have not yet been made available for distribution. ABX2-1 Service Provider Rate Increase Survey Ms. Colleen Mock announced that this survey must be completed by October 1 for every vendor number that received the ABX2-1 rate increase. HRC has Ms. Wada noted that service providers will complete the survey through a portal and HRC will schedule several sessions for HRC providers to come to HRC to complete the surveys with assistance. Budget Update Ms. Wada reported that HRC has a $4 million deficit that will be made up because of the statewide surplus. Harbor Regional Center Update Ms. Mock discussed the three service policy reviews that will begin this August. Employment, Adult Day Services and Employment will be reviewed. Board Members, service providers, families and clients are invited to participate. It is anticipated that these reviews will be a six month process. The schedules will be posted on the HRC website and she invited the service providers to attend. Ms. Mock noted that the Long Beach office is being remodeled and parking is limited. Ms. Nancy Spiegel encouraged service providers to contact their legislators regarding SB 279 that will allow service provider rates to be increased with local minimum wage increases. Service Provider Training Ms. Mock announced that HRC will be offering two additional sessions of cultural diversity training for service providers on October 17, 2017. The HRC Service Provider Advisory Meeting Schedule for 2017 October 3, 2017 December 5, 2017

Harbor Regional Center Retirement Plan Balances as of 06-30-2017

401(k) Employer

Contributions

401(k) Employee

Contributions

457(b) Employee

Contributions Total BalanceFixed Income $2,787,339 $1,128,078 $73,426 $3,988,842Guaranteed $3,510,172 $2,139,444 $537,025 $6,186,641Money Market $3,730,338 $864,307 $33,862 $4,628,507Equities $15,720,051 $6,864,530 $287,395 $22,871,976Multi-Asset $3,819,257 $1,321,833 $0 $5,141,089Real Estate $904,927 $637,653 $2,159 $1,544,739Total $30,472,084 $12,955,844 $933,866 $44,361,795

* Plan Balances include active and terminated employees still in the Retirement Plan.** Employee Contributions include $1,884,005 in Rollover funds.

9%

14%

10%

52%

12%

3%

Balance by Fund

Fixed Income

Guaranteed

Money Market

Equities

Multi-Asset

Real Estate

69%

29%

2%

Source of Funds

401(k) Employer Contributions

401(k) Employee Contributions

457(b) Employee Contributions

Retirement Plan 2017-06-30.xlsx 1

Harbor Regional CenterRetirement Plan Performance

401(k) 457(b)

Fund Balance 3/31/17 $42,260,603 $903,258

Activity 4/1/17 - 6/30/17Distributions ($121,149) $0Contributions $650,090 $14,195Net $42,789,544 $917,453

Fund Balance 6/30/17 $43,427,929 $933,866

Gain/(Loss) $638,385 $16,414% Gain/(Loss) for the Period 1.51% 1.82%

ParticipantsActive Employees in Retirement Plan 306 6 56%Terminated Employees in Retirement Plan 241 4 44%

Active Employees Total Balance $31,257,809 $664,629 72%Terminated Employees Total Balance $12,170,120 $269,238 28%

ContributionsEmployer

Defined (10%) $389,925 $0Matching (50% of Employee Matched) $64,921 $0

EmployeeMatched (up to 6%) $129,868 $0Unmatched $65,376 $14,195

$650,090 $14,195

59%19%

10%

10%

2%

4th Quarter FY 2017 Contributions by Source

401(k) Employer Defined Contributions

401(k) Employee Matched

401(k) Employee Unmatched

401(k) Employer Matching

457(b) Employee


Harbor Regional CenterRetirement Plan Performance

Loan Information as of 3/31/2017 as of 6/30/2017Increase/

(Decrease)Employees with Loans

Active Employees with Loans 29 29 0Terminated Employees with Loans 7 7 0Total 36 36 0

Average Balance Amount $6,409.18 $6,642.15 $233

Loan ValueEmployee Contributions $229,257 $237,947 $8,691Employer Contributions $1,474 $1,170 ($304)Total $230,731 $239,117 $8,387


SEPTEMBER MEETING OF THE BOARD OF TRUSTEES TUESDAY ... · Ms. Colleen Mock, Director of Community...

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