GOOD AFTERNOON.
THIS WILL BEGIN TODAY'S SUB ONE
HEARING ON MARCH SIX OF TWENTY
NINETEEN THANK YOU EVERYONE FOR
PARTICIPATING IN TODAY'S MEETING.
A FEW NOTES BEFORE WE START.
FIRST AS NOTED IN THE AGENDA ALL
PANELISTS ARE ASKED.
TO PLEASE BE SUCCINCT AND BRIEF
IN THEIR PRESENTATIONS TWO TO
THREE MINUTES IF WE CAN IN ORDER
TO FACILITATE THE FLOW OF THIS
HEARING.
SECOND DUE TO BOTH THE VOLUME OF
ISSUES WE NEED TO COVER TODAY AS
WELL AS THE LARGE TURNOUT.
WE'RE GOING TO ASK FOR PUBLIC
COMMENT NOT AFTER EACH ISSUE BUT
AS FOLLOWS.
AFTER ISSUE ONE ON THE
DEPARTMENT OF REHABILITATION'S
BUDGET CHANGE PROPOSAL.
AFTER ISSUED TO ON THE RATE
STUDY FROM THE DEPARTMENT OF
DEVELOPMENTAL SERVICES.
THEN WILL PROCEED WITH THE
PANELS FOR ISSUES THREE THROUGH
TEN TAKING PUBLIC COMMENT ONCE
WE CONCLUDE AT THE END OF ISSUE.
TEN SO AGAIN PUBLIC COMMENT WILL
BE TAKEN FOR ISSUES THREE
THROUGH TEN AT THE CONCLUSION OF
ISSUE.
TEN I'LL ASK IF THERE IS ANY
PUBLIC COMMENT ON THE NON
DISCUSSION ITEMS AT THE
CONCLUSION OF THE HEARING.
AND LASTLY AS THIS IS OUR FIRST
HUMAN SERVICES HEARING OF SUB
ONE AND WE'RE STARTING WITH A
VERY IMPORTANT ISSUES IN
REHABILITATION AND DEVELOPMENTAL
SERVICES.
I'D LIKE TO INVITE ANY BRIEF
OPENING REMARKS FROM OTHER
MEMBERS OF THE SUBCOMMITTEE.
THANK YOU MISTER CHAIR --
I THINK EVERYBODY'S EXCITED
YOU'RE MOVING FORWARD WITH OUR
COMMITTEE HEARINGS TO REALLY
LOOK AT WHAT DON IN THE BUDGET --
ESPECIALLY WITH TO RESPECT OF
OUR NEW GOVERNOR MR NEWSOME AND
WHAT -- THE
AGENDA ULTIMATELY IS I KNOW A
LOT OF US --
ON BOTH SIDES OF THE AISLE WHEN
I SEE A WHOLE LOT MORE FOR OUR
DD COMMUNITY.
AND WE ALL INTEND ARE WORKING
HARDER ON THOSE ISSUES SO.
WITHOUT FURTHER ADO LET'S GET TO
IT.
THANK YOU ASSEMBLYMEMBER FRAZIER.
THANK YOU MISTER CHAIR --
WATER READING LATELY FOLKS --
TWO THOUSAND ONE HUNDRED SOME
PAGES.
YEAH WELL OF EVERY MINUTE I
SPENT READING IS IT WAS AN
OPPORTUNITY TO LEARN MORE.
AND I'M LOOKING FORWARD --
TO ASKING SOME TOUGH QUESTIONS
TODAY.
LOOKING FOR SOME GOOD ANSWERS
AND LOOKING FOR SOME COMMITMENTS
ON MOVING THIS POPULATION BOARD.
THANK YOU VERY MUCH.
WITH THAT LET'S GET STARTED IN
HERE ABOUT ISSUE ONE THE BUDGET
CHANGE PROPOSAL FOR THE
DEPARTMENT OF REHABILITATION.
THANK YOU THANK YOU CHAIR AND
AND MEMBERS --
JOKE SAVER DEPARTMENT OF
REHABILITATION THANK YOU FOR THE
OPPORTUNITY TO PRESENT TO YOU IN
A BUDGET ITEMS AND TED TAKE ANY
QUESTIONS THAT YOU HAVE.
TODAY I HAVE KATHY MAUER'S MORE
WITH ME JOHN PROGRAM IN IRAN
WILL LAY LOW WHO WILL ALSO WILL
BE ADDRESSING EACH OF THE THREE
ITEMS.
THE AGENDA DOES A GOOD JOB OF
THE HIGHLIGHT A COUPLE OF KEY
MENTIONS FOR OF THE THE THE
COMMITTEE [inaudible]
I AM.
WE ARE A DEPARTMENT THAT
PROVIDES EMPLOYMENT SERVICES --
ANOTHER SERVICES SO PEOPLE CAN
LIVE INDEPENDENTLY --
AND ENJOY EMPLOYMENT
INDEPENDENCE INEQUALITY IN THE
COMMUNITY AND SOCIETY.
WE HAVE ABOUT A HUNDRED OR FOUR
HUNDRED SEVENTY SIX MILLION
DOLLAR BUDGET BUT A HUNDRED
EIGHTEEN HUNDRED AND EIGHTY TWO
POSITIONS.
OUR DEPARTMENT OF REHABILITATION
VOCATIONAL REHABILITATION
PROGRAM IS OUR LARGEST PROGRAM.
WE PROVIDE SERVICES ANNUALLY TO
A HUNDRED THOUSAND INDIVIDUALS
AND THOSE SERVICES ARE TO GAIN A
RETAIN OR ADVANCE IN EMPLOYMENT.
AND WE HAVE ABOUT THIRTEEN
THOUSAND INDIVIDUALS TO GO TO
WORK EVERY YEAR INDIVIDUALS WITH
DISABILITY WHICH SET SOME OTHER
PATH OUT OF POVERTY.
THE INDIVIDUALS THAT WE SERVE
HAVE SIGNIFICANT DISABILITIES
INCLUDING INCLUDING PHYSICAL
SENSORY AND COGNITIVE
DISABILITIES --
AND I THINK WHAT'S REALLY
IMPORTANT WHEN YOU THINK ABOUT
THE WORK THAT WE DO.
IT'S NOT JUST A PERSON WHO HAS A
DISABILITY TODAY.
BUT THAT IF IT WHO IS BEING BORN
TODAY WITH A SIGNIFICANT
DISABILITY AS WELL AS THAT
PERSON WHO'S GOING HOME IN
REGRET PLEASE IN A SEVERE
VEHICLE ACCIDENT AND TOMORROW
ONCE A QUADRIPLEGIC.
SO WE ARE HERE TO MEET THEM WHEN
THEY'RE READY FOR EMPLOYMENT
INDEPENDENCE IN ADVANCE THAT FOR
THEM.
WE DELIVER SERVICES I'M AN
EIGHTY FIVE OFFICES AROUND THE
STATE WE ARE IN WHAT IS CALLED
THE ORDER OF SELECTION CATEGORY
THREE IS CLOSE BECAUSE IT'S A
WAY OF CONTAINING THE COSTS FOR
THE SERVICES THAT WE PROVIDE.
THE RE AUTHORIZATION OF THE RE
HAVE BACK BACK IN TWO THOUSAND
AND FOURTEEN WHICH IS BRING SAYS
80% OF OUR FUNDING.
EMPHASIZES SERVICES TO STOOD
THEY ARE BETTER PREPARED TO
ENTER THAT WHIRL OF EMPLOYMENT.
AND ENSURING THAT COMPETITIVE
INTEGRATED EMPLOYMENT --
IS THE PRIMARY OPTION PROVIDED
TO INDIVIDUALS WITH DISABILITIES
WE ALSO OF COURSE FOCUS ON OUR
BUSINESS COMMUNITY.
BECAUSE FOR PEOPLE TO GET
EMPLOYED SOMEBODY HAS TO HIRE
THEM AND SO WE WORK CLOSELY WITH
OUR BUSINESS COMMUNITY TO ENSURE
WERE -- THAT
THEY ARE THEY ARE AND WHAT
MEETING THEIR TALENT NEEDS AS WE
PREPARE PEOPLE TO GO TO WORK.
I'M MORE COMMON PERFORMANCE
MEASURES FOR THE STATE REALLY
EMPHASIZE.
THAT THE WORK THAT WE DO IS NOT
JUST ABOUT GETTING SOMEBODY A
JOB WITH MAKING SURE THEY HAVE
THE KIND OF JOB.
THE ALLOW THEM TO CONTINUE AND
EMPLOYMENT THROUGHOUT.
OUR INDEPENDENT LIVING PROGRAM.
KAT IS TWENTY EIGHT NONPROFIT
ORGANIZATIONS THROUGHOUT THE
STATE OF CALIFORNIA --
THAT ALLOWS THE PROVIDES THE
SERVICES THAT ALLOWS INDIVIDUALS
TO LIVE INDEPENDENTLY AND THEIR
COMMUNITY.
WE SERVE ON THE AVERAGE ABOUT
TWENTY THOUSAND INDIVIDUALS.
ABOUT FORTY NINE THOUSAND HOURS
OF COMMUNITY ENGAGEMENT AND BOTH
SERVICES ARE ONE OF THE ELEMENTS
THAT ADVANCES THE OLMSTEAD
DECISION HERE IN CALIFORNIA.
CUMULATIVELY IT'S ABOUT --
TWENTY THREE TWENTY THREE
MILLION FUNDED TWENTY EIGHT
INDEPENDENT LIVING CENTERS ARE
TRAUMATIC BRAIN INJURY PROGRAM
SEVEN PROVIDERS SERVING OVER
NINE HUNDRED INDIVIDUALS.
ABOUT SEVEN THOUSAND SERVICES
ARE PROVIDED.
THERE'S ABOUT SIX THOUSAND
INFORMATION REFERRAL THAT ARE
PROVIDED TO THE TRAUMATIC BRAIN
INJURY COMMUNITY.
AND AGAIN THOSE SERVICES ALSO
ADVANCE THE OLMSTEAD DECISION.
IT'S ABOUT ONE POINT ONE ONE
POINT TWO MILLION DOLLARS OF
STATE FUNDING FOR THE TRAUMATIC
BRAIN INJURY PROGRAM.
WE HAVE OUR OLDER INDIVIDUALS
WHO ARE BLIND.
OP PROGRAM ABOUT EIGHTEEN
PROVIDER SERVING FIFTY SEVEN OF
THE FIFTY EIGHT COUNTIES --
SERVING ABOUT FIVE THOUSAND
INDIVIDUALS IN OUTREACH.
TO ANOTHER --
SEVEN THOUSAND PLUS INDIVIDUALS
AROUND THE STATE.
THOSE SERVICES ARE ALSO FOR
INDIVIDUALS --
TO HAVE THE OPPORTUNITY
INDIVIDUALS WHO ARE BLIND TO
HAVE THE OPPORTUNITY TO LIVE IN
THE COMMUNITY.
IT'S ABOUT THREE POINT TWO
MILLION DOLLARS OF FUNDING SO IN
THE INTEREST OF TIME MOST OF MY
COMMENTS HERE IN TURN THIS OVER.
TO MY COLLEAGUE CATHY.
MY WAS MORE TO SPEAK ABOUT THE
THE RATES ISSUE.
GOOD AFTERNOON THANK YOU CHAIR
AND THANK YOU THE MEMBERS MY
NAME IS KATHY MY HOURS MORE AND
I'M DEPUTY DIRECTOR FOR POLICY
AND RESOURCE DEVELOPMENT WITH
THE DEPARTMENT OF REHABILITATION
AND WE THANK YOU FOR YOUR TIME
TODAY.
I'LL BE SPEAKING VERY BRIEFLY
THIS MORNING AROUND THE FIRST
ITEM WHICH IS THAT THREE POINT
FOUR MILLION DOLLARS.
SET ASIDE PROPOSED TO BE USED
FOR A RATE INCREASE FOR A
COMMUNITY REHABILITATION
PROGRAMS CORD PRIMARILY NOT FOR
PROFIT PROGRAM SERVING CONSUMERS
THROUGHOUT THE STATE.
THIS FIRST THIS IS DIVIDED INTO
TWO COMPONENTS THE FIRST
COMPONENT IS THE 10% RATE
INCREASE ACROSS THE BOARD FOR
ALL SERVICES.
AND THE SECOND.
THE SECOND COMPONENT OF THIS
SPECIFIC IT'S THOSE SERVICES
WERE OUR COMMUNITY
REHABILITATION PROGRAMS PAY OUR
CONSUMERS A MINIMUM WAGE
COMPONENT.
NONE OF THESE SERVICES HAVE HAD
A RATE INCREASE SINCE TWO
THOUSAND AND NINE AND BY NATURE
OF THAT.
THE MINIMUM WAGE THAT OUR
COMMUNITY WE HAVE PROGRAMS ARE
PAYING TO OUR CONSUMERS HAS
INCREASED FOUR DOLLARS AN HOUR
IN THAT TIME FRAME AND SO.
THIS RATE PROPOSAL DOES TWO
THINGS THAT MITIGATES THE ISSUE
OF THE AMP --
THE A MINIMUM WAGE FOR THE
CONSUMERS IN ADDITIONAL A PAYS A
10% RATE INCREASE FOR OUR
COMMUNITY REHAB PROGRAMS.
THE SERVICES THAT WOULD RECEIVE
A 10% RATE INCREASE INCLUDE
VOCATIONAL ASSESSMENT.
PERSONAL IN VOCATIONAL SOCIAL
ADJUSTMENT EMPLOYMENT SERVICES
LEAD SERVICES WHICH ARE FORMALLY
KNOWN AS COMMUNICATION AND
LANGUAGE SKILLS TRAINING.
INDEPENDENT LIVING SKILLS
TRAINING ORIENTATION AND
MOBILITY SKILLS A MERCHANT
SERVICES RE HAVE TECHNOLOGY
WHICH INCLUDES ASSISTIVE
TECHNOLOGY EVALUATION AND
TRAINING SERVICES.
SITUATIONAL ASSESSMENT AND WORK
IT JUST MEANT.
AND IT'S THE SERVICES OF
SITUATIONAL ASSESSMENT AND WORK
ADJUSTMENT THAT WILL ALSO
RECEIVE AN ADDITIONAL FOUR
DOLLARS OF OUR INCREASE IN
SERVICE COST.
IT IS CONNECTED TO THE RATES
THAT ARE PAID TO THE CONSUMERS
THEMSELVES.
THE PROPOSED BUDGET PROPOSAL
DOES NOT SPECIFICALLY INCLUDE A
RATE INCREASE FOR SIGN LANGUAGE
INTERPRETING.
NON EMPLOYMENT JOB NON SUPPORTED
EMPLOYMENT JOB COACHING AND
SUPPORTED EMPLOYMENT JOB
COACHING SERVICES THEIR SPECIFIC
REASONS FOR THAT.
OUR SIGN LANGUAGE INTERPRETING
SKILLS WERE LAST INCREASED IN
APRIL OF TWO THOUSAND AND
SIXTEEN AND THAT'S WE DID NOT
PRIORITIZE A RATE INCREASE IN
THAT ARENA.
IN REGARDS TO SUPPORTED
EMPLOYMENT DID EMPLOYMENT JOB
COACHING OUR RATES HAVE
CONSISTENTLY BEEN CONNECTED TO
THE DEPARTMENT OF DEVELOPMENTAL
SERVICES RATES.
AND THEY WERE LAST INCREASED IN
TWO THOUSAND AND SIXTEEN TO BE
IN ALIGNMENT WITH THE NEW RATE
INCREASES THAT DDS.
THROUGH ASSEMBLY BILL X. TWO
DASH.
ONE IF THIS APPROVED THIS BUDGET
PROPOSAL IS APPROVED WE EXPECT
THAT WE WILL IMPLEMENT THIS RATE
CHANGE EFFECTIVE JULY.
ONE AND WE ARE MOVING FORWARD
WITH ALL DUE HASTE TO DO THE
NECESSARY I. T. CHANGES EXETER
TO MAKE THAT EFFECTIVE
IMMEDIATELY.
WE'RE AVAILABLE WITH ANY
QUESTIONS.
THANK YOU VERY MUCH DEPARTMENT
OF FINANCE A LEO.
WE SUPPORT WHAT APARTMENT
FINANCE NOTHING AD BUT HAPPENING
ANSWER ANY QUESTIONS YOU MAY
HAVE THANK YOU.
GOOD AFTERNOON MISTER CHAIR
SONYA PICK FROM THE LEGISLATIVE
ANALYST'S OFFICE.
WE WOULD JUST NOTE THAT --
WE AGREE WITH THE DEPARTMENT --
THAT THERE IS LIKELY YOU NEED
FOR A RATE INCREASE FOR THESE
PROVIDERS --
FOR THE SERVICES THAT HAVE NOT
HAD AN INCREASE SINCE.
TWO THOUSAND NINE HOWEVER IT WAS
DIFFICULT TO ASSESS WHETHER 10%
ACROSS THE BOARD WAS THE RIGHT
AMOUNT --
THE THERE'S NOT A SPECIFIC BASIS
ON WHICH THE 10% WAS DETERMINED --
AND SO IT'S IT'S DIFFICULT TO
KNOW -- WHAT
THAT 10% WILL GET HOW FAR IT
WILL GO TO ADDRESS SOME OF THE
PROBLEMS THE DEPARTMENT HAS
IDENTIFIED IN TERMS OF ACCESS TO
SERVICES AND IT SERVICE
PROVIDERS CLOSING --
LOCATIONS --
IN ADDITION.
WE WOULD.
SUGGESTS THAT THE LEGISLATURE
JUST REQUEST MORE INFORMATION
FROM THE DEPARTMENT TO DETERMINE --
HOW FAR THIS RATE INCREASE MIGHT
GO TO SOLVING THOSE PROBLEMS AND
HOW IT MIGHT PLAN IN THE FUTURE
TO ADDRESS ANY OUTSTANDING --
NEED.
THANK YOU VERY MUCH.
HOW WILL NOT TAKE PUBLIC
COMMENTS ON ISSUE?
ONE THERE ARE OTHER ISSUES.
FOR DO YOU WANT TO ADDRESS THE
INFORMATION TECHNOLOGY AND THE
TV I PROGRAM PRIOR TO THAT
SHORTLY IF THAT'S OKAY WITH THAT
THE CHECK WAS ONLY CAN DO THAT
AND OKAY.
JOHN.
GOOD AFTERNOON MISTER CHAIRMAN
MEMBERS THE COMMITTEE THANKS FOR
THE OPPORTUNITY TO PRESENT TODAY
MY NAME IS JOHN KERR CAM I'M THE
CHIEF INFORMATION OFFICER AT THE
DEPARTMENT.
IN ADDITION TO THE THE FUNDS
THAT WERE REQUESTING FOR THE IN
IN THE GOVERNOR'S BUDGET FOR THE
RATE INCREASES IT THE BUDGET
ALSO INCLUDES ONE POINT SIX
MILLION ANNUALLY.
FOR INFORMATION TECHNOLOGY
MODERNIZATION AND IMPROVEMENTS.
AS DIRECTOR EXHIBIT MENTIONED
EARLIER WE HAVE EIGHTY FIVE
OFFICES THROUGHOUT THE STATE.
AND APPROXIMATELY THIRTEEN
HUNDRED STORE EMPLOYEES WHO ARE
THERE AND ARE INTERACTING WITH
OUR CONSUMERS TO PROVIDE
SERVICES.
AND IN THOSE OFFICES ARE OUR
TECHNOLOGY IS FALLING BEHIND.
SO WE WILL BE.
WITH THIS THESE FUNDS WE WOULD
BE PROPOSING TO ADD.
INTERNET BANDWIDTH TO THE
OFFICES WHICH WILL HELP ADDRESS
INEFFICIENCIES ASSOCIATED WITH
SLOW INTERNET RESPONSE TIMES.
AND ALLOW THE USE OF VIDEO
TRAINING FOR CONSUMERS VIDEO
CONFERENCING FOR COLLABORATING
AND ONLINE COLLABORATION AND
SCREEN SHARING.
WE ALSO GONNA BE ADDING.
WIFI SO THAT CONSUMERS CAN BRING
THEIR OWN ON DEVICES AND TO AND
WORK WITH CAN WITH COUNSELORS --
ON THE THE THE DIFFERENT
DOCUMENTS THAT THEY HAVE TO
PREPARE FOR FOR THEIR SERVICES.
ALSO IN THE OFFICES WERE GOING
TO BE INCREASING EFFICIENCY IN
OUR INTERACTIONS WITH THE
CONSUMERS AND AND WITH THE
SERVICE PROVIDERS.
BY MODERNIZING CERTAIN
VOCATIONAL REHABILITATION
BUSINESS PROCESSES WITH
ELECTRONIC SIGNATURES AND
ELECTRONIC WORK FLOWS --
IN FINALLY WILL BE UTILIZING
CLOUD COMPUTING TO FURTHER
INCREASE EFFICIENCY SO --
JUST SOME INCREASE IN TECHNOLOGY
AND GETTING US UP TO UP TO SPEC
ACROSS THE BOARD.
THANK YOU NOW THE DVR.
GOOD AFTERNOON THANK YOU CHAIR
AND COMMITTEE MEMBERS THIS IS
IRENE WILL LAY Là.
I'M THE DEPUTY DIRECTOR FOR
INDEPENDENT LIVING IN COMMUNITY
ACCESS TO VISION.
AND AND THANKS TO DIRECTOR
SAVIOR FOR PROVIDING THEM A
SUMMARY OF THE TV I PROGRAM.
THIS BUDGET PROPOSAL PROVIDES
ONE POINT TWO NEWLY FOR THE TV I
PROGRAM. TO RESTORE THE
HISTORICAL FUNDING OF A HUNDRED
AND FIFTY THOUSAND DOLLARS.
PER EACH OF THE SEVEN SITES THAT
ARE CURRENTLY SERVING AS
MENTIONED OVER NINE HUNDRED
INDIVIDUALS WITH TRAUMATIC BRAIN
INJURY PER YEAR.
THESE ARE INDIVIDUALS WHO ARE --
SEEKING POST ACUTE SERVICES.
WHO ARE --
NOT YET --
READY FOR INDEPENDENT LIVING OR
VOCATIONAL REHABILITATION
SERVICES.
SO THIS MEETS A UNIQUE AND
SIGNIFICANT GAP IN THEIR RETURN
TO INDEPENDENCE AND POTENTIAL
EMPLOYMENT --
THE THE SEVEN SITES ARE SERVING
A TWENTY COUNTIES WITH THAT
FUNDING --
AND THE HISTORICAL FUNDING WOULD
BE RESTORED --
BY THE GENERAL FUND IN A MORE
SUSTAINABLE APPROACH TILL THE
SUN SET OF TWENTY TWENTY FOUR
GREAT WE WILL.
NOW TAKE.
WOULD YOU LIKE TO ANSWER THE
QUESTION REGARDING THE SUNSET.
THAT AND NO WONDER.
YOU HAVE SOMETHING ELSE YOU
WANTED AT WE JUST WE JUST HAD A
COMMENT ON THE TWO PROPOSALS
WHICH IS THAT WE WOULD RECOMMEND
APPROVAL OF BALL FOR ONE THE
TECHNOLOGY PROPOSAL WOULD LIKELY
INCREASE EFFICIENCIES AND
REPLACING THE TO CALL THESE.
STATE PENALTY FUND AS THE SOURCE
TO SUPPORT THE TBI PROGRAM --
MAKES A LOT OF SENSE IN THAT
IT'S A RELATIVELY MORE STABLE
SOURCE OF FUNDING.
THANK YOU.
WELL NOW TAKE PUBLIC COMMENT ON
ISSUE [inaudible] ONE FIVE WILL
SEVERAL FEATURES EXPLORER RISE
IN SUPPORT OF THE INCREASING
SPECIALLY THE MINIMUM WAGE OKAY
THE RAMP --
INCREASE WHICH WE'VE HAD TO
ABSORB IN OUR RATES OVER THE
LAST FOUR YEARS --
IT'S VERY VERY DIFFICULT TO
SUPPORT THOSE VERY IMPORTANT
WAYS TO HELP PEOPLE GET JOBS
MAKE SURE THE GET OUT TRY IT AND
DO THAT.
I WOULD ABSOLUTELY SUPPORT
ANYTHING THAT HELPS DEPARTMENT
RE HAVE TO BE MORE EFFICIENT AND
FASTER IN OPENING CASES SO
ELECTRONIC --
PAPERWORK WOULD BE A HUGE STEP
IN THE RIGHT DIRECTION SO I
SUPPORT BOTH OF US THANK YOU SIR.
HENRIK INTEREST FOR THE
CALIFORNIA FOUNDATION OF
INDEPENDENT LIVING CENTERS WE'RE
IN SUPPORT OF THE GOVERNOR'S
PROPOSAL OF RELATIVE TO THE TV I
PROGRAM.
A TWO OF OUR MEMBER AYE ELSIE'S
ARE AMONG THE SEVEN SITES AND WE
SUPPORT EVERYTHING THAT THEY DO.
THANK YOU SIR.
AT NANCY CHANCE RIGHT NOW I'M
HERE AS A FAMILY MEMBER --
I SUPPORT THE ANY FUNDING TO THE
DRAMATIC BRAIN INJURY --
FIND MY HUSBAND --
WAS.
BECAME HAD GOT A TV I IN TWO
THOUSAND AND SIX FROM A VERY BAD
ACCIDENT AND I AM ALWAYS
SADDENED WHEN I LOOK AT THE
BUDGET FOR TO BE AYE BECAUSE ONE
MY HUSBAND'S HOSPITAL BILL WAS --
AND WE GIVE ONE POINT.
ONE POINT TWO MILLION TO HELP
PEOPLE THAT ARE I MEAN I CAN
NEVER BE THE SAME AND SO I JUST
THINK SO I'M HERE SUPPORT
FUNDING FOR THIS BUT I THINK
THAT THERE NEEDS TO BE MORE.
THANK YOU THANK YOU MA'AM.
GOOD AFTERNOON VERY JEDINI
CALIFORNIA DISABILITY SERVICES
ASSOCIATION --
ON BEHALF OF OUR PROVIDERS WHO
ARE C. R. PEAS WITH DEAL ARE WE
DO WANNA.
AS I WANNA STAND UP AND SUPPORT
THE INCREASE FOR THE WORK
INVESTMENT SERVICES --
MUCH OF LANGUAGE FOR A LONG TIME
AND I HOPE THIS A GOOD START
THANK YOU THANK YOU SIR.
PRODUCTION AND STROKES FIVE FROM
THE STATE INDEPENDENT LIVING
COUNCIL.
WE ARE A LONG TIME COLLABORATIVE
PARTNER THE DEPARTMENT OF
REHABILITATION AND WE STRONGLY
SUPPORT.
THE IMPROVEMENT FOR VOCATIONAL
SERVICES AND DRAMATIC --
BRAIN INJURY PROGRAM AND ITS
EXTENSION THANK YOU THANK YOU
MA'AM.
MARTY MOTOR CALIFORNIA
DISABILITY IN YOUR COMMUNITY
ACTION NETWORK IN THE CALIFORNIA
PERSON CENTERED ADVOCACY
PARTNERSHIP STRONG SUPPORTER OF
THE GOVERNOR'S --
PROPOSALS.
AND ALSO APPRECIATE THE WORK OF
THE DEPARTMENT --
JUST LIKE TO UNDERSCORE THOUGH
WE ALL NEED TO WORK TOGETHER THE
LEGISLATURE STAKEHOLDERS
ADVOCATES.
AND OTHERS --
TO REALLY INCREASED INJURY --
PEOPLE --
THEY DESPERATELY NEED THAT HELP
THANK YOU THANK YOU SIR --
HI KATIE SHINODA WITH --
MERCY GENERAL HOSPITALS --
PROGRAM FOR DRAMATIC BRAIN
INJURY --
WE'RE HERE IN STRONG SUPPORT OF
THE DEPARTMENT OF THE GOVERNOR'S
PROPOSED BUDGET FOR DRAMATIC
BRAIN INJURY AND HOPEFULLY AN
INCREASE IN THE FUTURE THANK YOU.
THANK YOU MA'AM.
HI MY NAME IS MARK ANDERSON AND
I'M WITH KATIE'S GROUP --
FOUR YEARS AGO I WAS REAR ENDED
BY MAN TEXTING.
AND GOT A TRAUMATIC BRAIN INJURY
HOUSE ONE OF THE TOP FORTY TWO
SALES REPS IN THE WORLD FOR UPS.
ALL THAT'S GONE AWAY NOW I CAN'T
HARDLY FUNCTION.
I'VE HAD TO LEARN HOW TO READ
AND WRITE AGAIN.
AND KATIE'S ROOF HAS BEEN A
LIFESAVER.
BECAUSE THEY UNDERSTAND BRAIN
INJURIES AND THEY UNDERSTAND HOW
TO TREAT IT AND VERY FEW PEOPLE
KNOW HOW TO TREAT IT WE GET REAL
GRUDEN WE'RE TOLD THAT WERE
MENTALLY ILL AND WE'RE NOT
[inaudible]
WERE DAMAGED.
WE MAY LOOK LIKE WE'RE ALL RIGHT
BUT WE'RE NOT.
AND A LOT OF US HAVE LOST OUR
HEALTH INSURANCE OUR CAREERS
WE'VE GONE BROKE.
AND WE CAN'T THE PEOPLE WHO DO
HAVE INSURANCE CAN'T GET
APPROVED TO GET THE SERVICES
THEY NEED BUT THIS GRANT.
FUNDS KATIE'S GROUP AND IT
ALLOWS PEOPLE. TO GO TO RECRUIT.
WITHOUT HEALTH INSURANCE WITHOUT
GET -- HMO
OR WHATEVER HEALTH INSURANCE
THEY HAVE.
SO IT WAS VERY IMPORTANT FOR ME
TO GO THERE FOR SPEECH THERAPY.
FOR DOCTOR JOEL SOLOMON MY NEURO
PSYCHOLOGIST.
WHO WORKS FOR KTM REPORTS TO TO
HER?
HELLO DECORATIVE VERY CRITICAL
AND IT'S SO.
IT'S REALLY SAVED A LOT OF
PEOPLE FROM FROM.
FROM FROM --
GETTING.
I MIXED UP TODAY HIGH I WOULD
NOT HAVE BEEN ABLE TO DRIVE
DOWNTOWN TODAY TO COME HERE
UNLESS A FRIEND IN THE GROUP
OFFERED TO DRIVE ME BECAUSE I'M
HAVING A BAD DAY.
COGNITIVELY --
BUT I THINK IT'S IMPORTANT THAT
YOU CONTINUE FUNDING THAT
PROGRAMMER CE.
AND I ALSO SO YOU INCREASE THE
FUNDING --
BECAUSE THERE'S LITERALLY
HUNDREDS OF US PROBABLY
THOUSANDS OF US IN SACRAMENTO
ALONE.
I KNOW A LOT OF THEM COULDN'T
COME HERE TODAY BECAUSE OF THE
WEATHER.
BECAUSE OUR CARE GIVERS COULDN'T
TAKE THEM DOWN HERE AND THEY HAD
NO WAY OF GETTING HERE.
BUT TRUST ME THERE'S A LOT OF
PEOPLE WHO DO BENEFIT FROM THIS
PROGRAM SO THANK YOU FOR YOUR
TIME YOUR CONSIDERATION.
THANK YOU SIR.
HI I'M NANCY BITTNER AND AND I
WAS A HEAD TRAUMA YOU A YEAR AND
A HALF AGO FROM FALLING DOWN
STAIRS -- I
WAS MISDIAGNOSED --
HAD ISSUES --
DIDN'T GET INTO SPEECH DUE TO
HELP MYSELF.
I NEEDED A I HAD ASKED FOR ALL
ALL THE HELP.
I GOT IN BUT BOND IN THE JOB
DON'T KNOW NOT ABOUT THE TV I
GROUPS AND OTHER BUT WITH A
THERE ARE VERY IMPORTANT THAT
THEY'VE HELPED A LOT.
ANSWERED QUESTIONS --
HELP HELPED WITH THERAPY HELP
WITH THAT THING THINGS I CAN'T
FIGURE OUT AND I USED TO BE ON
OUR END ON THE CARDIAC TELL YOU
WHAT.
FOR AND I'VE LOST MY MY CAREER
FROM A BRAIN INJURY.
I CAN'T MULTITASK I I HAVE A LOT
NOT A ISSUES --
AND THE MORE EMOTIONAL A I I GET
YOU KNOW THE WORST MY SPEECH
GETS.
SO.
YOU KNOW I I THINK THERE NEEDS
TO BE A LOT MORE FUNDING OUT
THERE.
OF FOR OUR PREFERRED TV I
BECAUSE THE PEOPLE THAT THAT HOW
MILD TO MODERATE INJURIES DON'T
DON'T DON'T GET THE SERVICES --
WEREN'T WERE LOOKED OVER --
YOU KNOW BUT YOU KNOW I
OBVIOUSLY I WAS WANT ONE OF THE
ONES A FILTER THE CRACKS SO IF
YOU COULD --
INCREASE THE FUN FUN VOTE OF
EACH.
AND GIVE MORE MORE PEOPLE HELP
YOU PROBABLY SAVE SOME WHITE
LIES AND I HAD A LOT OF PROGRESS
REGION.
SO THANK THANK YOU.
AND OF SEE WHERE LIFE GOES FROM
HERE.
THANK YOU MA'AM AND THANK YOU
YOU DID A GREAT JOB.
MY NAME IS DOCTOR MELISSA ROSE
I'M A LICENSED CLINICAL
PSYCHOLOGIST OR I SHOULD SAY I
WAS BECAUSE A YEAR AND A HALF
AGO.
DRIVING HOME FROM WORK THINKING
I WAS SHOWING UP TO WORK THE
NEXT DAY I GOT SANDWICHED IN A
CAR ACCIDENT AND AS A RESULT OF
THE TBI --
I'VE LOST MY JOB --
I CAN'T I'M NOT EVEN CLOSE TO
GETTING A JOB EVEN DOING.
SORT OF BASIC TASKS AT THIS
POINT BECAUSE THE FATIGUE AND
THE COGNITIVE.
MISH MOSH MAKES IT IMPOSSIBLE
FOR ME TO THINK AND TO FOCUS --
I DIDN'T AT THE HELP THAT I GOT
FROM MY HMO WAS NOW MY MIND YOU
I'M A PSYCHOLOGISTWAS FOR THEM
TO SEND ME TO A PSYCHIATRIC
FACILITY.
BECAUSE CLEARLY WHAT WENT RONG
HERE WAS THAT I WAS DEPRESSED --
YOU KNOW CLEARLY WHEN YOU DRIVE
HOME FROM WORK AND YOUR LIFE
CHANGES JUST LIKE THAT IT IT'S A
LITTLE ANXIETY PROVOKING AND
EVEN MAYBE A LITTLE DEPRESSING
ON OCCASION --
THE SERVICES THAT HAVE BEEN
OFFERED OUTSIDE OF MY HMO
THROUGH THE COMMUNITY
SPECIFICALLY WILL --
WITH MERCY ON ALSO WITH EASTER
SEALS HAS BEEN A LIFESAVER
BECAUSE I ALMOST I KNOW MYSELF
AND I KNOW THAT THIS WAS NOT
BECAUSE OF DEPRESSION.
BUT BECAUSE THE PROFESSIONALS
AROUND ME WHO WERE SUPPOSED TO
UNDERSTAND WHAT'S GOING ON WITH
MY BODY WERE TELLING ME.
THAT I WAS CRAZY I ALMOST GOT TO
THE POINT WHERE I BELIEVED THAT
THIS MUST BE ABOUT DEPRESSION --
SO I REALLY SUPPORT ANY FUNDING
IN ANY ASSISTANCE FOR FOLKS I'M
NOT SURE WHAT MY FUTURE IS GONNA
COLDER OR HOW I'M GOING TO
CONTINUE TO SUPPORT MY CHILDREN --
BUT I KNOW THAT I'M SPEAK FOR
AND ASK FOR SUPPORT AND I KNOW
THAT THERE ARE PEOPLE AND I HAD
A HARD TIME.
AND I KNOW THERE ARE PEOPLE WITH
SORT OF LESS CAPACITY TO ASK FOR
WHAT THEY NEED THAT ARE REALLY
NOT GETTING WHAT THEIR NEEDS.
MY MY HOPE IS TO GO BACK OUT
INTO THE COMMUNITY AND TRY TO
EDUCATE MORE IN THE HEALTH CARE
SITUATION YOU KNOW OUR COMMUNITY --
ABOUT THIS --
BUT THERE NEEDS TO BE A WHOLE
LOT OF HELP BECAUSE I I HAVE NO
IDEA WHAT THE FUTURE'S GOING TO
HOLD FOR ME AND I HAVE A LOT OF
RESOURCES.
SO THANK YOU VERY MUCH FOR YOUR
TIME THANK YOU THANK YOU.
HI MY NAME'S EMILY APPARENT IN
TWENTY ONE YEARS OLD AND I MOVED
HERE IN TWO THOUSAND SIXTEEN TO
COME TO COLLEGE COME TO THE
AMAZING CALIFORNIA SCHOOLS.
AND LESS THAN A MONTH LATER I
WAS IN A CAR ACCIDENT AND HAD TO
WITHDRAW DUE TO MY TRAUMATIC
BRAIN INJURY SO MY GRADUATING
YEARS COMING UP AND I'M STILL A
FRESHMAN.
I HAVE HAD A LOT OF TROUBLE
FINDING ADEQUATE ADEQUATE
DOCTORS --
AGAIN LIKE SHE SAID --
I'VE BEEN DIAGNOSED AS DEPRESSED
STORAGE IS CRAZY --
SO THERE NEEDS TO BE A PUSH
TOWARDS EDUCATION A PUSH TOWARDS
OUT REACH AND A PUSH TOWARDS
ADVOCACY FOR ARCH MEDIC BRAIN
INJURY PATIENTS AND I REALLY
HOPE THAT.
YOU GUYS SUPPORT THIS BY FUNDING
THE MEDIC BRAIN INJURY PROGRAM
AND IT'S A REALLY GREAT PROGRAM
THANK YOU.
GOOD AFTERNOON MY NAME IS BART
WILCOX AND I WORK FOR MARCY
OUTPATIENT REHAB CENTER --
I ALSO HELP FACILITATE ON
BRIDGES WHICH IS OUR TV I
SUPPORT GROUP.
AND I DON'T THINK I CAN SAY
ANYTHING AS ELOQUENT AS SOME OF
THESE PEOPLE WHO'VE HAD
TRAUMATIC BRAIN INJURIES.
THEY JUST.
IT'S NOT SOMETHING THAT GOES
AWAY AND IT ALSO AFFECTS NOT
ONLY THEM BUT IT EFFECTS THEIR
FRIENDS IT AFFECTS THEIR
FAMILIES AND THE CIRCLE JUST
KßT.
KEEPS GETTING BIGGER AND BIGGER.
AND IT ALSO AFFECTS OUR SOCIETY
AT LARGE.
WE HAVE SOME REALLY GOOD PEOPLE
THAT NO LONGER CAN BE AS
PRODUCTIVE AS THEY ONCE WANTED
TO BE.
AND THEY HAVE TAUGHT ME A LOT
JUST LISTENING TO THESE PEOPLE.
AND THE OTHER THING IS THAT A TV
I IS LIKE A FINGERPRINT NO TWO
ARE THE SAME YOU CAN'T PUT HIM
IN A NICE NEAT CATEGORY.
AND SO I REALLY APPRECIATE THE
GOVERNOR'S BUDGET AND I WANT --
TO PUT MY A AND FOR THE SUPPORT
OF THAT BUDGET.
THANK YOU SO MUCH THANK YOU SIR.
DO YOU LIKE ME TO KNOW.
MY NAME IS KRISTEN GOOD
AFTERNOON THIS IS MY SON RAYMOND.
IN APRIL OF TWO THOUSAND
EIGHTEEN HE WAS A MOTORCYCLE
ACCIDENT THAT HAS.
COMPLETELY CHANGED ALL OF OUR
LIVES.
AND WE ARE HERE TODAY TO ASK YOU.
TO CONTINUE THE FUNDING. FOR
KATIE SHOULD IT IS TO BE AYE
PROGRAM THAT SHE DOESN'T MERCY
BUT JUST.
NOT THAT ONE BUT ALL OF THEM IN
THE OVEN IT IT'S IT CAN HAPPEN
TO YOU IN YOU AND YOU AND EVERY
SINGLE BACK TO BUY THIS AS WE
HAVE BEEN.
AND WE JUST APPRECIATE YOUR
CONSIDERATION AND WOULD LIKE TO
KEEP.
GOING IF AT ALL POSSIBLE.
THIS LAST MONDAY WAS MY SON'S --
FOR FIRST VISIT TO BRIDGES AND
THREE WEEKS BEFORE THAT HE WAS
QUESTIONING HIS EXISTENCE AND
WHY HE WAS.
LIVING AND NOT SURE THAT HE
WANTED TO AND IT BREAKS MY HEART
EVERY SINGLE DAY TO WANT TO
FIGHT THIS.
BUT MEETING KATIE AND COMING TO
HER PROGRAM.
JUST ONCE HE WENT THERE ONCE HAS
MADE A DIFFERENCE HE ASKED TO BE
HERE TODAY.
HE ASKED TO COME AND TELL THE
STORY WHICH OBVIOUSLY I'M DOING
FOR IT FOR HIM TODAY BUT HE ARM.
WE'VE SEEN A DIFFERENCE A LIGHT
HAS COME ON IN HE HAS CHANGED IN
JUST A FEW DAYS WE'VE SEEN THE
DIFFERENCE AND IN.
HIS WANTING TO PARTICIPATE AND
BEING IN.
A LITTLE MORE ACTIVE SO PLEASE
PLEASE CONTINUE THIS.
THANK YOU FOR YOUR TIME THANK
YOU MA'AM.
HELLO MY NAME THINK CLARK
RETIRED --
RE HAVE ACCOUNTS FROM THE PART
IN REHAB --
I CAN'T.
EXPLAIN YOU'VE HEARD IT FROM THE
CONSUMER'S HERE.
I'M JUST AGO COMMUNITY ADVOCATE
FOR TBI.
BUT I JUST ONE OF MY BIKE CLEAR
POINT IS THAT WE DO A LOT.
MEDICALLY TO HELP PEOPLE GET
BACK GO TO THE HOSPITAL GO TO
REHAB.
BUT THE RETURN ON INVESTMENT IS
REALLY WHAT HAPPENS IN THE
COMMUNITY.
AND THIS PROGRAM.
MEANS A LOT I WANT TO THANK YOU
ALL FOR LOOK IN THE PIECE OF
LEGISLATION THAT WE HAVE NOW.
IT'S GOING TO GO A LONG WAYS TO
HELP STABILIZE HELP US MAYBE
MOVE FORWARD.
AND A AND I WANT TO THANK
EVERYBODY BEHIND THE SCENES TO
HELP MAKE THAT HAPPEN THANKS
THANK YOU SIR.
HELP HI MY NAME IS ANNA A GRIN
I'M A PROGRAM MANAGER FOR FREE
FOR ONE OF THE SEVEN SITES THAT
SUPPORT.
PEOPLE WITH TBI --
I HAVE A FRIEND WITH ME WHO IS A
PART OF OUR PEERS SUPPORT GROUP
AT FREED --
I WOULD LIKE TO STAND FOR FREED
IN STRONG SUPPORT.
OF THIS LEGISLATION GOING
FORWARD AND I APPROVE STRONGLY
OF THE GOVERNOR'S BUDGET.
IT ALSO SAYS LIKE TO SPEAK JUST
BRIEFLY AS A FAMILY MEMBER OF A
PERSON WITH A TBI.
I HAD A BROTHER.
AND HE HAS PASSED RECENTLY BUT
HE SUFFERED A TBI IS A YOUNG MAN
BECAUSE HE WAS HIT BY A CAR.
AND FELL ON HIS HEAD --
HE WENT UNDIAGNOSED FOR QUITE
AWHILE AND ONE ONCE HE WAS
DIAGNOSED WAS VERY FRUSTRATING
TRYING TO FIND SERVICES FOR HIM.
IN PARTICULAR I WORKED.
AS SIMULTANEOUSLY.
UNDER THE ALTER REGIONAL CENTER
SERVICES AND SAW PEOPLE.
WHO HAD BEEN INJURED AS YOUNG
PEOPLE --
EXPERIENCING TPI.
RECEIVE SERVICES AT MY BROTHER
NEEDED.
AND THAT'S BEEN A FRUSTRATION
FOR ME FOR YEARS SO I'M REALLY
APPRECIATIVE OF THE BUDGET THAT
IS IN PLACE AND I HOPE THAT
YOU'LL.
SEE YOUR WAY CLEAR TO INCREASE
THAT BUDGET THANK YOU THANK YOU
MA'AM.
HI MY NAME'S EVELYN I'M IN THE
SURVIVOR FROM TO RUN FEIGN
INJURY IN NINETY ONE FOR A
MOTORCYCLE ACCIDENT AND I THANK
YOU FOR ALL THE HELP THAT I
RECEIVED FROM THE FREE PROGRAM.
HOWEVER HOMES.
THERE IS NOT ENOUGH FOR THE TV I
PATIENTS WHEN THEY GET OUT OF
THE HOSPITAL HAN THERE'S NONE OF
FUNDING BECAUSE WHEN I TRIED TO
FIND HEALTHCARE WITHIN ANY OF
THEM.
NOW THERE IS AND I'M GLAD THERE
IS REPORTING [inaudible]
THANK YOU.
THANK YOU MA'AM.
CARLENE HOLDEN ON BEHALF OF
EASTER SEAL AFFILIATES IN
CALIFORNIA A CLEARLY ALL OF THE
WE'RE IN FAVOR OF THE GOVERNOR'S
PROPOSAL OBVIOUSLY.
AND A STRONG PROPONENT OF
EVERYTHING THAT ENCOURAGES AND
AND ASSIST WITH EMPLOYMENT.
I HAVE TO MAKE A SPECIAL CALL
OUT HOWEVER FOR THE TV I I I
HAVE NEVER SEEN ANYTHING SO
FREQUENTLY MISDIAGNOSED AND THEN
UNDER SUPPORTED.
SO ALL YOU CAN DO WOULD BE
GREATLY APPRECIATED THANK YOU.
THANK YOU MA'AM.
SEEING NO FURTHER PUBLIC COMMENT
ON BRING IT BACK UP TO THE
COMMITTEE FOR ANY COMMENTS OR
QUESTIONS WE MAY HAVE.
SOME LIMóN MATHIS [inaudible]
SO.
FIRST.
I I'VE GOT TO ASK ON THE
TECHNOLOGY SIDE WHAT OPERATING
SYSTEM ARE WE CURRENTLY USING.
THAT'S WHERE WE ARE NOW UPGRADED
TO WINDOWS.
TEN ON WINDOWS TEN WINDOWS TEN
CORRECT OKAY BECAUSE I'VE I'VE
HEARD NEWS ARTICLES ABOUT LIKE
SAN FRANCISCO STILL OPERATING
AND LIKE DAWSON DA FEES IN DOS I
WANNA MAKE SURE AT LEAST DOING
BETTER THAN THAT BUT WE WE WE
ARE WHERE WERE BEHIND AS I
MENTIONED IN --
IS WHERE WE WE COULD USE HELP
FOR PAPER PROCESSES AND MAKING
ELECTRONIC SIGNATURES ELECTRONIC
WORK FLOW.
THE NORM --
BUT WE'RE GOOD ON OUR O. S. SAYS
WE GOT THE FILE SHARING ALL
THAT'S GOING TO BE.
CORRECT AND THAT'S WHERE SOME OF
THAT THE CLOUD SERVICES COMMAND
WILL BE MOVING TO CLOUD SERVICES
FOR FILE SHARING AND AGAIN MORE
FLEXIBILITY FOR FOR OUR STAFF.
OKAY.
AND THEN THE OTHER COMMON I
WANTED TO MAKE --
IS IN REGARDS TO THE TV I I'M
PROBABLY THE ONLY MEMBER IN THIS
BUILDING THAT SUFFERED A
TRAUMATIC BRAIN INJURY --
AND LISTEN TO THE TESTIMONY SO I
THINK EVERYBODY THAT HAVE THE
COURAGE TO STEP OFF AND STRUGGLE
THROUGH IT --
I I UNDERSTAND THE THEY THEIR
STATISTICS OUT THERE AND GRANT
OF MINE WAS IN COMBAT BLIGHTS.
THE SAD FACT IS IS YOU HAVE D
HIGHER RISK DRIVING HOME FROM
WORK THEN YOU ARE AN ENTIRE YEAR
IN A COMBAT ZONE --
WE'VE VASTLY VASTLY NEED THESE
SERVICES --
A LOT OF THE PROBLEMS THAT GET
MIXED UP THAT WERE MENTIONED IN
THE PUBLIC COMMENT WITH DRAMATIC
BRAIN INJURIES --
WITH THE DEPRESSION THE ANXIETY
ALSO STEM FROM THE P. T. S. D.
THAT USUALLY RELATED TO THE
TRAUMA -- SO
IT'S KIND OF A A VERY DANGEROUS
MIXTURE --
THAT OFTEN GETS OVERLOOKED.
AND OFTEN TIMES --
THE SAD PART IS IN THIS PART OF
THE REASON WHY VETERAN SUICIDE
AS HELL HI.
IS THE PATIENTS ARE GIVEN A MASS
COCKTAIL OF DRUGS BECAUSE THEY
ARE COMPLETELY MISDIAGNOSED --
SO I THINK WE IT'S VERY VITAL
THAT WE GET THE RESOURCES THERE --
BECAUSE THE SUICIDE RATES NOT
NOT ONLY FOR VETERANS BUT A
ROUTE ACROSS THE BOARD ARE
INCREASING IN IN PART OF THIS IS
THIS MAKES DIAGNOSIS PROBLEM
THAT WE'RE HAVING --
SO AGAIN.
FROM FROM SOMEBODY THAT'S BEEN
THROUGH IT AND BEING THROUGH ALL
THE COGNITIVE RETRAINING THERAPY
WHO UNDERSTANDS --
THE STRUGGLES OF CREATING NEW
NEURAL PATHWAYS --
THANK YOU ALL FOR BEING ABLE TO
COME UP I KNOW IT'S HARD TO PUT
OUR WORDS TOGETHER --
ESPECIALLY WHEN WE GET EMOTIONAL --
SO THANK YOU ALL FOR DOING THAT
IN FOR PUSHING ON THIS FUNDING
I'M PRETTY SURE ON THE YOU'LL
FIND A LOT OF SUPPORT --
IN THIS LEGISLATOR.
AND I WILL PUT MY FULL WEIGHT
BEHIND THAT THANK YOU
[inaudible]
ASSEMBLYMEMBER FRAZIER.
THANK YOU MISTER CHAIR OF
OPENING A QUESTION DOES ANYBODY --
WISER THIS A SENSE IN THE
DRAMATIC END OF BRAIN INJURY
PROGRAM.
SO THE SUNSET WAS IS IN SB THREE
NINE EIGHT WHICH WAS PASSED IN
THE LAST SESSION THAT WAS IN THE
BILL.
SO DO YOU FIND IT NECESSARY.
SEVEN AS UCL'S SUCCESSFUL THE
PROGRAM IS.
WELL IN THE I THINK THIS IS IN
RESPONSE TO THAT QUESTION IN THE
AGENDA AND DEMONSTRATIONS TAKING
A POSITION AT THIS TIME.
JUSTIN SOME CONTACTS.
WE IN A GIVEN THE PASSAGE OF
THAT ACT THAT THE PROGRAM WAS
EXTEND FOR FIVE YEARS WE WERE
LOOKING FOR A SUSTAINABLE
FUNDING SOLUTION.
GIVEN THE DECLINING REVENUES
INTO THE STATE COUNTY FUND.
WE BELIEVE THAT YOU KNOW A
PROPOSAL OF GENERAL FUND UNTIL
THE SUNSET DATE IS A REASONABLE
WAY TO ACHIEVE THIS.
THE OTHER QUESTION IS A AND I
HEARD FROM THE PUBLIC ABOUT --
EFFICIENCIES GAINED ABOUT TIMING --
WHAT IS THE THE PLAN OF?
FOR OFFICIALS HE'S GAINED IN
WHAT'S THE METRICS ON THE SEC.
TO REPEAT THE QUESTION PLEASE SO
THERE WAS A COMMENT FROM THE
PUBLIC ABOUT.
EFFICIENCIES BEING GAINED ABOUT
SERVICING THE CONSUMER.
WHAT IS THE METRICS AND WHAT HE
CAN PERFORM AND HOW YOU CAN
REPORT THAT OUT?
I THINK IF I RECALL THE THE
PUBLIC COMMA CORRECTLY IT WAS
ABOUT OF MOVING TO ELECTRONIC SO
THAT WE CAN OPEN OUR CASES --
AND AND DO SOME OF THE
TRANSACTIONS FASTER.
THE DEPARTMENT TODAY --
IS STILL USING SNAIL MAIL TO
MISSION ACROSS THE STATE.
SO THE TECHNOLOGY THAT JOHN IS
DESCRIBED WILL GIVE US --
THAT PATHWAY TO BE ABLE TO MOVE
INTO MORE OF AN ELECTRONIC
METHOD OF OF PROVIDING THOSE
SERVICES.
I WOULD ADD THAT.
WE DO HAVE --
MATTRESSES THAT ARE SET BY THE
FEDERAL GOVERNMENT IN TERMS OF
HOW LONG IT TAKES. TO OPEN CASES
AS WELL AS ESTABLISH PLANS --
WE ALSO HAVE AN INITIATIVE UNDER
WAY.
THAT THAT WE ROLLED OUT ACROSS
THE STATE IN TWENTY EIGHTEEN
WHICH IS TO OPEN CASES OR TO
ASSESS ELIGIBILITY AND PROVIDE
SERVICES AND SAME DAY TURNAROUND.
SO WE CONTINUE TO ADVANCE THAT
INITIATIVE BECAUSE OUR ULTIMATE
GOAL IS YESTERDAY [inaudible]
GOOD ANSWER.
I I JUST GOT ASSESSMENT SO WE
ARE STILL USING SNAIL MAIL. TO
TO DO THIS.
YES SIR WHEN WE HAVE WHEN WE
HAVE TO SUBMIT INVOICES WHETHER
IT WAS FROM A BRANCH OFFICERS TO
SACRAMENTO.
AMBER USING IN SOME PLACES WERE
ABLE TO USE SCANNERS OTHER
PLACES WE NEED OUR SIGNATURES
WERE SENDING SNAIL MAIL SO.
IT'S A WEB IT'S CERTAINLY NOT A
LIGHT SWITCH THING THAT WE CAN
JUST FLIP THE SWITCH ON BUT THE
THIS WILL CERTAINLY MOVE US IN
THE DIRECTION TO BEA MUCH MORE
EFFECTIVE.
AT NIGHT.
TRULY HOPE SO BECAUSE XBOX LIVE
FIGURE THIS OUT ABOUT TEN YEARS
AGO.
INDEED.
YOU KNOW I'D LIKE TO AND ISSUE
ONE IF I MAY WITH TABLE FIVE
WHICH REFERENCES THE SEVEN
PROGRAM SITES.
AND THE TWENTY COUNT AND
COUNTIES THAT YOU REFERENCED AND
YET I DON'T SEE ANY IN THE
CENTRAL VALLEY.
AND I'M WONDERING --
IF WE WERE LOOKING AT THE
LEGISLATURE IN SCALING UP
ANOTHER PROGRAM WHAT WE WOULD
NEED TO OPEN UP A NEW PROGRAM
SITE.
AND HOW YOU USE OR WHAT CRITERIA
YOU USE TO MAKE THOSE SELECTIONS.
I'M JUST GONNA ADD MY BIAS
BECAUSE I'M KNOWN TO DO THAT --
BUT I TRAINED AT THE BUSIEST
TRAUMA E. R. WE HAVE IN OUR
STATE WHICH IS AN FRESNO IN THE
CENTRAL VALLEY.
AND SO I BELIEVE THAT WE WOULD
HAVE OUR FAIR SHARE OF TV EYES
AS WELL AND COULD BENEFIT FROM --
THE PROGRAMS THAT WE'VE HEARD --
FROM THE OTHER PEOPLE WHO ARE
HERE TODAY.
SO. TO GO AHEAD.
OKAY.
THANK YOU FOR THAT FOR THAT
INSIGHT SHARE THE THE PROCESS BY
WHICH THE FUNDS ARE DISTRIBUTED
AS THE COMPETITIVE GRANT MAKING
PROCESS.
FAMILY DO OF SEEK TO HAVE JAY
GOT GEOGRAPHIC REPRESENTATION
ACROSS THE STATE.
WHICH IS SOMEWHAT LIMITED BY WHO
APPLIES --
AND ALSO BY THE AMOUNT OF
FUNDING IN ORDER TO PROVIDE THE
HUNDRED FIFTY THOUSAND PER SITE --
THERE'S LIMITATIONS ON HOW
FUNDED BUT CERTAINLY --
THEY THEY NEED HAS BEEN REPORTED --
AND IS SHOWN IN EMERGENCY ROOM
ADMISSIONS AND OTHER STATISTICS.
THAT WE HOPE --
TO ENHANCE AND IN FOR FUTURE
WORK -- BUT
THE THE THAT IS THE LIMITATION
THAT YOUR SCENE.
AND WHAT WE ARE DOING NOW AND
THE LIMITATION ON THE COUNTIES
AS WELL.
IF I MAY THEN I'LL HAVE --
STAFF REACH OUT FOR TO SEE IF WE
CAN -- WORK
ON THIS BUT WITH THAT WE WILL
HOLD ISSUE ONE OPEN AND WANT TO
THANK THIS PANEL.
THINKING AT THIS TIME WE WILL
PLEASE CALL ROLE.
DR ARAMBULA PRESENT FRAZIER.
AT THIS YEAR PATTERSON
[inaudible]
RAMOS.
RUBIO.
DOCTOR WOULD [inaudible]
QUORUM.
IF WE COULD HAVE THE PANEL FOR
ISSUE TO COME FORWARD PLEASE
.
THIS IS MY NATURE
[inaudible]
ONE ONE WHENEVER YOU'RE READY
DIRECTOR OF THANK YOU.
I NANCY PARCHMENT DIRECTORY DDS --
I WANT TO THANK.
THE COMMITTEE MEMBERS MISTER
CHAIR --
FIRST OF ALL I'D LIKE TO
ACKNOWLEDGE THE THE WELL DEFINED
AGENDA AND COMMEND THE STAFF
FUND.
CERTAINLY A A COMPLEX AGENDA
TODAY SO THANK YOU --
THE FIRST ISSUE ON THE AGENDA IS
THE RATE STUDY.
I'M A. B. X. TWO ONE WHICH WAS
SIGNED IN TWO THOUSAND SIXTEEN
REQUIRED DDS TO SUBMIT TO THE
LEGISLATURE.
I RATE STUDY AFFECTED OF MARCH
FIRST. TO COMPLY WITH THE RATE
STUDY --
REQUIREMENTS A. B. X. TWO ONE
DDS ISSUED A REQUEST FOR
PROPOSAL TO SOLICIT --
A CONTRACTOR TO MOVE FORWARD
WITH THE RATE STUDY.
THROUGH THE COMPETITIVE BID
PROCESS A NATIONAL.
HEALTH POLICY CONSERVE BURNS AND
ASSOCIATE.
TODAY I WANT TO GIVE YOU AN
UPDATE AS TO THE STATUS OF THE
RATE STUDY.
SO BEFORE PRESENTING THE DETAIL
I'M A ONE TO FIRST APOLOGIZE TO
THIS COMMITTEE AND TO YOUR
COUNTERPARTS.
AND TO THE COMMUNITY FOR THE
DELAY IN THE STUDY WE ARE GOING
TO BE ABLE TO RELEASE THE STUDY
ON MARCH FIFTEENTH.
AND AS SUCH WILL ALSO BE ABLE TO
EXTEND THE COMMENT PERIOD --
PART OF THE RIGHT STUDY THAT IS
GOING TO BE RELEASED YES SIR
CHAIR I'D I'D LIKE TO MAKE A A
MOTION THAT WE TABLE THE
PRESENTATION ON THE RATE STUDY
UNTIL IT'S BEEN RELEASED IN IS
INTACT -- I
HAVE CONCERNS ABOUT --
WELL TO HAVE A SECOND FOR THE
MOTION -- MY
CONCERNS JUST TO BE TRANSPARENT.
WITH YOU IS --
WE HAVE A FULL AGENDA AND WE
HAVE -- LOT
OF COMMUNITY MEMBERS WHO HAVE
TAKEN TIME TO COME HERE TODAY TO
TESTIFY AND SO --
IF IT'S OKAY SINCE THE
DEPARTMENT HAS DECIDED ON A DATE
THAT THEY ARE GOING TO BE
RELEASING THE RATE STUDY AT THAT
THAT THAT'S THAT'S FINE MISTER
CHAIRMAN I JUST THINK THAT.
YOU KNOW.
WE WE'VE GOT OVER THIS MANY
TIMES WE BY THE LEGISLATURE SO
IT'S KIND OF OUR JOBS TOLD YOU
ALL ACCOUNTABLE --
WITH THIS RATE STUDIES SO I'D
AGREE TO CONTINUE TO MOVE
FORWARD BUT WENT WHEN WE SET
THESE TIME LINES WE NEED TO MAKE
SURE THAT EVERYBODY'S MEETING
THEM -- NOW
I UNDERSTAND THE CONSTRAINTS
WITH GETTING PEOPLE TO DO ALL OF
THIS WORK --
BUT DEADLINES ARE DEADLINES AND
IF WE DIDN'T MEET A DEADLINE OUR
PEOPLE BACK HOME WOULD.
HAVE OUR HEADS SO.
IF THE SINK A BALL THAT MIND.
PLEASE CONTINUE KIRK AT THANK
YOU AND AND AGAIN WE DO EXTEND
OUR APOLOGIES BUT CERTAINLY MAKE
SURE THAT WE CONTINUE THAT
COMMUNICATION WITH OUR
STAKEHOLDERS.
SO IT CONTINUES TO BE A AND
ENGAGE PROCESS AND I'LL TALK A
LITTLE BIT ABOUT THAT
[inaudible]
SO.
JUST TO GIVE YOU A LITTLE BIT OF
BACKGROUND AS FAR AS WHAT'S
INFORMING THE RATE STUDY AT THIS
POINT BY --
THE WORK THAT WE'VE BEEN DOING --
I DO WANT TO GIVE YOU JUST A A
CONTEXT WE HAVE A HUNDRED FIFTY
DIFFERENT SERVICE CODES USED BY
REGIONAL CENTERS THAT PROVIDE
SERVICES TO THE THREE HUNDRED
THIRTY THOUSAND INDIVIDUALS THAT
WE SERVE THROUGH THE RESULT
CENTER SERVICE SYSTEM.
HOWEVER NOT ALL OF THE SERVICE
CODES ACTUALLY ARE A PART OF THE
RATE STUDY.
SO THE ONLY --
CODES THAT ARE ESTABLISHED BY
STATUTE OR SET BY THE DEPARTMENT
OR THAT ARE BY A NEGOTIATION OF
THE REGIONAL CENTER INCLUDED SO
I'VE THE HUNDRED FIFTY DIFFERENT
SERVICE CODE SIXTY TWO OF THEM.
ARE ACTUALLY INCLUDED BUT I DO
WANT SENSE OF ACTUALLY THE
SERVICES THAT WE PROVIDE AND THE
EXPENDITURES ARE WITHIN THOSE
SIXTY TWO SERVICE CODES. SIX KEY
KIND OF PROCESS THAT WAS
UNDERTAKEN --
THROUGH THE THE LAST YEAR AND A
HALF IN THE RATE RATE STUDY AND
TO BE INFORMED BY --
ED THAT THE END RESULT OF THE
RATE STUDY THAT IS GOING TO BE
RELEASED IS A DETAILED REVIEW OF
THE SERVICE REQUIREMENTS
IDENTIFYING AND ANALYZING THE
DIFFERENT DATA ELEMENTS THAT
WOULD BE INFORMING THE RATE
STUDY.
AND EVALUATING THE NUMBER IN THE
DIFFERENT SERVICE CODES THAT ARE
ARE OUT AND PRESENT.
SO OF NOTE IS THAT WITHIN THOSE
SERVICE CODES WE HAVE THOUSANDS
OF THOUSANDS OF DIFFERENT RATES
THAT ARE WITHIN THOSE SERVICE
CODES.
THE PROCESS AND CERTAINLY
OUTLINED IN A B. X. TWO ONE WAS
C. IMPORTANT ELEMENT WAS
INFORMING AND INCLUDING OUR
STAKEHOLDERS.
SO -- PART
OF THAT WAS THAT YES TASK FORCE
THAT WE HAD TO ENGAGE.
PART OF THAT A AND ENGAGEMENT IN
THE ROLLOUT THAT WE DID WAS AS
LAST WEEK SO OVER THIS LAST WEEK
AND CERTAINLY --
MISTER MATHIS TO THE THE CONCERN
THAT YOU HAVE AS FAR AS MAKING
SURE THAT THE COMMUNITIES
INFORMED OF THE RATE MODELS.
IS THAT LAST WEEK WE WERE ABLE
TO WALK THROUGH REALLY A DAY AND
A HALF WITH THE COMMUNITY WITH
THE DS TASK FORCE WE MADE SURE
THAT WE LIVE STREAM THAT SO THE
ENTIRE COMMITTEE COULD HAVE
ACCESS TO IT. TO REALLY WALK
THROUGH THE DETAIL OF WHAT WAS
INCLUDED IN THE ASSESSMENTS TO
MAKE SURE THAT WE SURVEY WHAT
WAS ALSO INCLUDED IN THE FAMILY
AND CONSUMER SURVEY.
BUT IT JUST WAY TO USE --
TO OUTLINED WHAT'S INCLUDED IN
THE RATE MODELS ALL OF THAT IS
POSTED AND IS AVAILABLE --
WE OFTEN TELL OUR OUR COMMUNITY
TO BE CAREFUL WHEN THEY ACCESS
THAT INFORMATION THAT'S ON THE
WEBSITE BECAUSE THE DETAIL
ACTUALLY IS WITHIN LIKE TWO
THOUSAND PAGES.
SO WE WANT TO MAKE SURE THAT
PEOPLE DON'T PUSH PRINT TO GET
ALL THOSE TWO THOUSAND PAGES BUT
WANTED TO MAKE SURE THAT
EVERYTHING WAS AVAILABLE TO THE
COMMUNITY.
SO WE DID HAVE I MENTIONED JUST
BRIEFLY THAT THERE ARE TWO
ELEMENTS A PROVIDER SURVEY IN
THE FAMILY AND CONSUMER SURVEY.
I DO WANT TO MAKE NOTE THAT THE%
DS TASK FORCE DID GIVE US TO THE
INFORMATION THAT WAS IMPORTANT
TO THEM AS FAR AS INCLUDING AS
FAR AS THE DETAIL WITHIN THE
PROVIDER SURVEY.
BUT ALSO MAKING SURE THAT THE
VOICE OF OUR CONSUMERS AND
FAMILIES AS TO WHAT WAS
IMPORTANT TO THEM.
THAT WOULD BE CONSIDERED AS WE
WERE LOOKING AT THE DIFFERENT
ELEMENTS FOR THE PROVIDER FOR
THE RIGHT STUDY.
SO WITH THAT I KNOW THAT I'D
LIKE TO BE ABLE TO INTRODUCE
MISTER PULASKI WHO IS OUR
CONSULTANT FROM BIRDS AN
ASSOCIATE.
I'M SO WITH THE CHURCH
PREVENTION.
GOOD AFTERNOON MISTER CHAIRMAN
MEMBERS THE COMMITTEE.
MY NAME STEVEN PLAUT SCANNED THE
VICE PRESIDENT BIRDS ASSOCIATES
THE HEAD OF OUR EIGHT CBS
PRACTICE AND THE PROJECT MANAGER
BUT THIS PARTICULAR ENGAGEMENT.
I GREATLY APPRECIATE THE
OPPORTUNITY TO SPEAK. TO ME
SPEAK WITH YOU HERE TODAY
PROVIDE AN UPDATE ON WHAT IS
WITH ACCOMPLISHED OVER THE PAST.
AS THE DIRECTOR MENTIONED WE
SPENT A DAY AND A HALF BOTH THE
NORTHERN CALIFORNIA SOUTHERN
CALIFORNIA LAST WEEK GOING OVER
THE RESULTS AND THE RESULTANT
RATE MODELS.
SO GIVEN A VERY LIMITED TIME
THAT I HAVE HERE TODAY I WILL
TRY TO COMPRESS TWELVE HOURS OF
MATERIAL INTO JUST A FEW MINUTES.
I THOUGHT WHAT I SURE THE
COMMITTEE IS KIND OF THE KEY
ELEMENTS OF OUR APPROACH TO RATE
SETTING.
AND THE DIRECTOR'S ALREADY
ALLUDED TO AT LEAST THE FIRST.
ONE WHENEVER WE BEGAN IN EIGHT
CBS RATE SETTING PROJECT WE
ALWAYS BEGIN WITH A DETAILED
REVIEW OF AN INDIVIDUAL STATES
SERVICE REQUIREMENTS.
WE'VE DONE SIMILAR PROJECTS AND
TEN OTHER STATES RATE SETTING
PROJECTS FOR PEOPLE WITH
INTELLECTUAL ABOUT ON THE
DISABILITIES AND WE'VE DONE
OTHER CONSULTANT WORK IN THE IT
SYSTEM AND PROBABLY ANOTHER TEN
STATES ON TOP THAT'S WE'VE DONE
A LOT OF WORK ACROSS THE COUNTRY
THIS FIELD.
AND ONE THING THAT WE HAVE FOUND
IS THAT WHEN YOU'VE SEEN.
ONE IT SYSTEM YOU'VE SEEN. ONE
ID SYSTEM THAT'S WHAT'S VERY
IMPORTANT TO US THAT WE ALWAYS
BEGIN WITH AND FUNDAMENTAL
UNDERSTANDING WHAT THE STATE'S
SERVICE EXCEPT VERY SO VERY MUCH
FROM ONE STATE TO THE NEXT.
SO THAT WAS REALLY KIND OF THE
THE FIRST COUPLE FEW MONTHS OF
OUR ENGAGEMENT IS IS TRYING TO
GET A FEEL FOR WHAT THOSE
REQUIREMENTS ARE BEING
REGULATIONS POLICIES PREVIOUS
REPORTS AND THE LIKE.
I THINK THE SECOND ELEMENTS THAT
I WANTED TO DRAW YOUR ATTENTION
TO IN TERMS OF OUR APPROACH IS
THAT WE'VE COINED THE TERM IN
INDEPENDENCE RATE MODEL APPROACH.
TO TO FIND THAT WE ARE NOT
DEPENDENT ON A SINGLE SOURCE OF
INFORMATION.
SO THE DOCUMENTS THAT WE HAVE A
PROVIDER SURVEY WHAT WE GATHER
INFORMATION ABOUT THE COST THE
BANKER TO DELIVER SERVICES.
AND THAT'S CERTAINLY AN
IMPORTANT CONSIDERATION ARE
FEDERATION.
AND THE REASONS FOR THAT I THINK
ARE KIND OF OBVIOUS WHEN YOU
THINK IT THROUGH THAT RIGHT NOW
COSTS ARE GOING TO BE A
REFLECTION MORE THAN ANYTHING
ELSE OF THE RATE THE PROVIDERS
ARE BEING PAID.
IT'S NOT LIKE SAY HOSPITAL
SYSTEMS RATHER PAYERS PRIVATE
INSURANCE PUB --
PRIVATE PAY EVEN IN SOME
INSTANCES WHEN WE'RE TALKING
ABOUT HOME AND COMMUNITY
SERVICES IT REALLY IS ONLY THE
STATE PAYING FOR THE SERVICES.
AND WE ALSO KNOW THAT OVER A
PARTICULAR BEFORE THE PASSAGE OF
AB X. TWO ONE RATES WERE LARGELY.
FLAT THERE WAS NOT A WHOLE LOT
OF INCREASE SO IF ALL WE LOOKED
OUR PROVIDER COST OUT OF WILL BE
EFFECTIVELY VALIDATING THE RATES
ARE IN PLACE TODAY.
SO ALTHOUGH THAT'S AN IMPORTANT
CONSIDERATION WE DO LOOK TO
OTHER SOURCES LIKE THE STATE'S
REQUIREMENTS FOR SERVICES.
AND RESEARCH OF BENCHMARK DATA
SO AN EXAMPLE THAT IS WAGE
INFORMATION PUBLISHED BY THE
BUREAU OF LABOR STATISTICS OR
USE THE IRS IS RESEARCH AROUND
MILEAGE REIMBURSEMENT A PLUGIN
ACOSTA TRANSPORTATION TO OUR
RATE MODELS.
AND OF COURSE WE ALSO RELY UPON
STAKEHOLDER INPUT SO AS THE
DIRECTOR MENTIONED WERE IN THE
MIDST OF A PUBLIC COMMENT
PROCESS WE PUT OUR RATE MODELS
OUT AND WE'RE NOW VERY
INTERESTING GETTING FEEDBACK ON
THOSE RATES TO CONSIDER WHETHER
NOT ANY SORT OF REVISIONS WOULD
POTENTIALLY.
BE APPROPRIATE.
AND THEN THE THIRD ELEMENT I
WANTED TO TALK ABOUT IS THE
TRANSPARENCY OF OUR APPROACH.
SO WE DON'T JUST REPORT WE THINK
A RATE OUGHT TO BE FOR EXAMPLE
FORTY DOLLARS AN HOUR WE SAY
IT'S BASED UPON A NUMBER OF
UNDERLYING ASSUMPTIONS.
THIS IS THE WAY TO SOMETHING WE
BUILT ON THE RIGHT MODEL FOR THE
DIRECT CARE WORKER THIS ABOUT
THEIR BENEFITS PACKAGES THIS IS
HOW MUCH WE BUILT IN FOR AGENCY
OVERHEAD COSTS.
THIS IS THE MILEAGE THAT WE
ASSUME FOR A GIVEN SERVICE THIS
IS HOW MUCH WE THINK FACILITY
COSTS ARE.
NOT ALLOWS US TO REALLY HAVE AN
INFORMED CONVERSATION WITH A
COMMUNITY RATHER THAN ARGUE OVER
BOTTOM LINES WERE ABLE TO HAVE A
CONVERSATION ABOUT THE
UNDERLYING ELEMENTS.
AND GAUGE THE APPROPRIATENESS OR
INAPPROPRIATENESS OF OUR
ASSUMPTIONS.
AND I THINK THE OTHER BENEFIT OF
THIS PARTICULAR APPROACH AS RATE
MODEL SIX ME AS OUR DATA SOURCES.
BECOME UPDATED WE CAN CONSIDER
WHAT NOT CHANGED THOSE RIGHT
MODELS OUGHT TO BE MADE WITHOUT
HAVING TO GO THROUGH A FULL
BLOWN A FULL BLOWN RIGHT STUDY
ONCE AGAIN.
CANCEL THE DROP RATE MODELS THAT
WE PUT FORWARD FOR CONSIDERATION
LAST WEEK I THINK INCLUDE A
COUPLE KEY FEATURES I WANT TO
DRAW YOUR ATTENTION STILL.
THE FIRST IS WE'VE INCLUDED
RATES THAT STANDARDIZE THE
REIMBURSEMENT FOR SERVICES --
WITHIN A REGIONAL CENTER.
AND THE PREMISE THERE IS THAT A
PROVIDER DELIVERING THE SAME
SERVICE IN THE SAME AREA ON
RECEIVE THE SAME RATE OF PAY
RIGHT NOW THERE'S A LOT OF VERY
ABILITY FOR THE SAME SERVICE THE
SAME AREA JUST BECAUSE OF THE
WAY.
THE RIGHT SYSTEM AS A INVOLVED
OVER THE PAST COUPLE OF DECADES.
AND SO THE IDEA THERE IS TO BOTH
INCREASE THE FAIRNESS OF
SERVICES BUT ALSO TO ENHANCE THE
TRANSPARENCY [inaudible]
SECONDLY.
WE RELY UPON AS I MENTIONED
MOMENT AGO MARKET BASED COST
DATA SO.
WE HOPE ACTUALLY REFLECT THE
COSTS DURING SERVICES WHICH IS
SUPPORT AN ADEQUATE SUPPLY
PROVIDERS ACROSS THE STATE.
AND THAT INCLUDES MAKING
ADJUSTMENTS FOR REGIONAL VERY
BUILDING COSTS SO WE RECOGNIZE
THAT WE CANNOT BUILD STATE WIDE
RATES IN CALIFORNIA LIKE WE DO
MOST THE STATE'S WHICH WE WORK
BECAUSE CALIFORNIA IS MORE THAN
JUST A SINGLE ECONOMY.
SO WE HAVE A NUMBER OF
ADJUSTMENTS TO COUNTER
DIFFERENCES RELATED TO WAGES
TRAVEL REAL ESTATE ON THE LIKE
NOT AND THE LIKE THOSE THREE
FACTORS WAY JUST REAL ESTATE IN
TRAVEL --
AND THEN LASTLY THAT I WANT TO
DRAW YOUR ATTENTION TO IN TERMS
OF WHAT WE ARE TRYING TO
ACCOMPLISH WITH THOSE WRAPPED
RATE MODELS.
IS THE RECOGNITION THAT THE
PRIMARY DETERMINANT OF THE
QUALITY SERVICES AN OUTCOME FOR
INDIVIDUALS IS OF STAFF WHO ARE
DELIVERING THOSE SERVICES THAT
IS REALLY THE FACE THE SYSTEM OF
THE DIRECTOR WORK OR THE DRUG
SUPPORT PROFESSIONAL.
SO OUR RATE MODELS INCLUDE WHAT
WE BELIEVE TO BE MARKET BASED
WAY JUST FOR THOSE PROFESSIONALS.
A COMPREHENSIVE BENEFITS PACKAGE --
AND THEN. ONE FOR FUTURE
CONSIDER THE POTENTIALLY A
CAREER LADDER FOR DIRECT SUPPORT
PROFESSIONALS WHERE THEY CAN
ACCESS HIGHER RATES BASED UPON
ACHIEVEMENT OF MORE TRAINING AND
MORE EXPERIENCE.
IN CLOSING I JUST LIKE TO SAY
THAT WE'RE PROUD OF WHAT IT IS
WE RELEASED LAST WEEK --
WE THINK IT'S A SOLID PRODUCT
BUT AS A DIRECTOR MENTIONED WE
ARE TALKING ABOUT TWENTY ONE
HUNDRED PAGES WORTH OF MATERIAL
SO I THINK WITHIN THAT TWENTY
ONE HUNDRED PAGES THERE'S AMPLE
OPPORTUNITY FOR PEOPLE OF GOOD
FAITH TO DISAGREE.
AND THAT'S WHY WERE IN BARKING
UPON THIS PUBLIC COMMENT PROCESS
TO GET THAT FEEDBACK AND WE
CERTAINLY WELCOME.
THAT IMPORTS AND WE LOOK FORWARD
TO IN CONTINUING GETS WHAT THE
COMMUNITY OVER THE NEXT FEW
SHORT WEEKS.
THANK YOU DEPARTMENT OF FINANCE
ELIA.
IT'S A NEW PIC ELADIO.
I'M OUR OFFICE JUST LIKE
EVERYBODY ELSE IS IN THE PROCESS
OF OBVIOUSLY TRYING TO DIGEST
ALL OF THE MATERIAL ALL OF THE
INFORMATION PROVIDED ABOUT THE
RATE MODELS --
WE HAD THE OPPORTUNITY TO ATTEND
THE TWELVE HOURS OF A BRIEFING
ABOUT THE RATE MODELS AND
THOUGHT WE'D PROVIDE JUST SOME
INITIAL COMMENTS WHICH WE A YOU
KNOW WHAT WILL BE CONTINUING TO
LOOK AT THAT THE INFORMATION
PROVIDED BY --
THE DEPARTMENT OVER THE COMING
MONTHS BUT AHEAD OF THAT WE HAVE
SOME INITIAL COMMENTS.
FIRST FROM AN INITIAL TAKE --
FROM AN INITIAL LOOK AT THEIR AT
TO BE.
RATIONAL AND TRANSPARENT WE
AGREE --
DEFINITELY WITH THAT --
THEY DO USE REPUTABLE A CREDIBLE
SOURCES OF DATA BUREAU OF LABOR
STATISTICS IT CETERA THAT --
THAT MAKE A LOT OF SENSE THEY
ALSO ALLOW --
IMPORTANTLY FOR A REGIONAL
ADJUSTMENTS --
BASED ON DIFFERENCES IN COST AND
THEY ALLOW FOR SOME ADD ONS FOR
EXAMPLE THEY ALLOW AN ADD ON IF --
TO PAY.
THE EXTRA FOR A SERVICE PROVIDER
WHO'S NON ENGLISH SPEAKING --
WHICH AS YOU KNOW IN OUR IN THE
STUDIO SYSTEM IS IS QUITE
IMPORTANT.
I'M SOME OF THE ISSUES THAT --
AND LASTLY A ED NOTE THAT ONE OF
THE THINGS THAT MAKES A LOT OF
SENSE IS THAT THE RATE STE COULD
BE SUSTAINED OVER TIME.
IF YOU WERE TO UPDATE --
THE DIFFERENT COMPONENTS THAT GO
INTO THE VARIOUS RATE MODELS SO
IT REALLY COMES DOWN TO A POLICY
DECISION --
BY THE LEGISLATURE IN THE ADMIN
CAN AFFORD --
TO CONTINUALLY MAINTAIN THOSE
RATES BUT TO DO SO WOULD BE
WOULD BE VERY EASY BASED ON
THESE RATE MODELS.
SOME OF THE ISSUES THAT --
STILL NEED TO BE DISCUSSED AND
FIGURED OUT ASIDE FROM THE
BOTTOM LINE THE FISCAL LINE --
INCLUDE SOME OF THE
IMPLEMENTATION ISSUES WHAT TYPES
OF POLICIES AND REGULATIONS
WOULD ACTUALLY NEED TO CHANGE IN
ORDER.
TO IMPLEMENT THESE NEAR IT
MODELS AND ALL THAT I'D LIKE TO
JUST GIVE YOU ONE EXAMPLE I WAS
TALKING TO SOMEBODY YESTERDAY
ABOUT.
AS THE RATES FOR PHYSICAL
THERAPY.
THE RATES FOR PHYSICAL THERAPY
FOLLOW THE MEDI CAL RATES THAT'S
THE SCHEDULE OF MAXIMUM
ALLOWANCES BUT THE RATE MODELS
RECOMMEND --
PROVIDING AN OPPORTUNITY TO
INCREASE THE RATE IF THERE IS IF
IF IT'S NECESSARY BECAUSE OF AN
AXIS ISSUE OR OR WHAT HAVE YOU
SO IT'S IT ALLOWS FOR AN
INCREASE OF 37%.
ON TO THE RATE BASED ON WHAT
HAPPENS IN THE CHILDREN SERVICES --
SO THE MORE I WAS THINKING ABOUT
THIS IT'S LIKE WELL WHAT WOULD
DETERMINE.
WHO WOULD DECIDE FIRST OF ALL
WHEN IT'S NECESSARY TO ADD A
SUPPLEMENTAL REYES WHO WOULD
MAKE THAT DECISION?
WHAT DETERMINES IF IT'S
NECESSARY TO MAKE THAT
SUPPLEMENTAL PAYMENT --
WHAT KIND OF DOCUMENTATION WITH
THE PROVIDER REGIONAL CENTER
NEED TO PROVIDE TO PROVE THAT
THE RATE THE ADDITIONAL RATE IS
NECESSARY --
SO THESE ARE THE TYPES OF
DECISIONS THAT --
WALL A WALL THE THE RATE
SUGGESTION ITSELF MADE A LOT OF
SENSE -- IT
COULD TAKE SOME TIME. TO THINK
ABOUT THOSE TYPES OF EMPLOYMENT --
WE ALSO KNOW THAT --
WERE A LITTLE BIT --
CONCERNED ABOUT THINKING OF
EXCEPTIONS SO FOR EXAMPLE LET'S
SAY YOU'RE IN AN AREA --
THAT HAS A REGIONAL ADJUSTMENT
TO THE RATE --
BUT THE REGIONAL CENTER IS STILL
HAVING A PROBLEM FINDING SERVICE
PROVIDERS --
WILL WE USE THE HEALTH AND
SAFETY WAIVER PROCESS THAT'S
CURRENTLY IN PLACE OR WILL THERE
BE A NEW TYPE OF PROCESS TO TO
HANDLE THESE TYPES OF EXCEPTIONS --
BUT LASTLY I'D JUST LIKE TO END
BY SAYING --
ONE OF THE THINGS THAT ARE THAT
ARE OFFICE HIGHLIGHTED IN OUR
RECENT ANALYSIS OF THE DDS
BUDGET.
IS THAT A BILL IT WILL BE REALLY
IMPORTANT TO THINK ABOUT WHAT TO
DO IN TIMES OF FINANCE WELL.
DURING ECONOMIC DOWNTURNS AND
THEN HOW TO RESTORE OF FUNDING
TO THE SYSTEM --
AS WE ALL KNOW WE'VE GOTTEN INTO
A SITUATION IN IN RECENT YEARS
WHERE --
THERE HAD TO BE CUTS AND RATE
FREEZES AND THEN SUBSEQUENT SORT
OF PIECEMEAL RESTORATIONS OF
RATES AND IT'S GOTTEN US TO A
PLACE WHERE EVERYTHING IS QUITE
COMPLICATED AND NOTHING IS
REALLY TIED BACK TO THE ORIGINAL
RATE SETTING PROCESS.
THESE THREE MODELS MAKE A LOT OF
SENSE NOW AND COULD BE EASILY
UPDATED BUT IF WE WANT TO
MAINTAIN FIDELITY TO THE RATES
OF SOME DEEP THINKING WILL HAVE
TO HAPPEN AS TO HOW TO DO THAT
IN TIMES OF WHERE WE HAVE.
YOU KNOW AT TIMES OF FISCAL.
A CHALLENGE I GUESS I WOULD SAY --
AND FINALLY ONE SUGGESTION OUR
OFFICE WOULD LIKE TO MAKE IS
WHETHER IT WOULD BE A GOOD TIME
TO CONSIDER.
WHETHER THERE SHOULD BE A
PERIODIC --
REGULAR BUT PERIODIC REVIEW OF
THE RATE SETTING PROCESS
GENERALLY SO FOR EXAMPLE IN
SHOULD WE TAKE ANOTHER LOOK AT
THE RATE SETTING PROCESS THE
YEARS AND I'M NOT I'M NOT
SUGGESTING DOING ANOTHER WHOLE.
RATE STUDY BUT PERHAPS IT MIGHT
BE GOOD TO REVISIT THIS PROCESS
ON A REGULAR BASIS TO MAKE SURE.
THINGS ARE STILL TRANSPARENT
STILL RATIONAL YOU KNOW STILL
SUSTAINABLE THERE'S STILL AN
ADEQUATE SUPPLY OF OF SERVICE
PROVIDERS.
THANK YOU VERY MUCH [inaudible]
THANK YOU.
NEXT WE'RE GOING TO HEAR --
AND ASSOCIATED INVESTMENT
PROPOSAL FROM ASSEMBLYMEMBER
HOLDEN FRAZIER AND MATHIS SO IF
WE CAN.
CREATE A LITTLE ON THE PANEL
[inaudible]
OKAY.
WHEN YOU'RE READY?
THANK YOU MISTER CHAIR AND
MEMBERS.
THANK YOU FOR ALLOWING ME THE
OPPORTUNITY TO EXPRESS THE
IMPORTANCE.
OF ALLOCATING TEMPORARY FUNDING.
TO PROVIDERS OF SERVICES TO A
COMMUNITY NEAR AND DEAR TO MY
HEART.
ALSO WANT TO THANK ASSEMBLY
MEMBER HOLDEN.
AND ASSEMBLYMEMBER MATHIS FOR
HIS THEIR DILIGENCE IN
SUPPORTING THE INDIVIDUALS WITH
DEVELOPMENTAL DISABILITIES AND
SITTING HERE.
WITH ME TODAY.
AS CHAIR OF THE SELECT COMMITTEE
ON AN INTELLECTUAL AND
DEVELOPMENTAL DISABILITIES.
I HAVE HEARD FROM FAMILIES IN
DIFFERENT REGIONS OF CALIFORNIA
THROUGH HEARINGS THAT WE'VE HAD
ATTENDED.
THAT THEY ARE IN DESPERATE NEED
OF SERVICES FOR LOVED ONES.
IT IS IMPERATIVE WE CONSIDER IN
THIS YEAR'S BUDGET.
HOW WE CAN ENSURE A POPULATION
WE CARE FOR HIS ADEQUATELY
FUNDED?
WE PROPOSE A REQUEST AN 8%
ACROSS THE BOARD INCREASE.
IN PROVIDER REIMBURSEMENT RATES.
WHICH EQUATES TO TWO HUNDRED AND
NINETY MILLION DOLLARS.
FROM THE GENERAL FUND.
THIS ALLOCATION OF FUNDING WOULD
ALSO YIELD AN ADDITIONAL TWO
HUNDRED MILLION DOLLARS IN
FEDERAL MATCHING FUNDS.
WE HAVE EXPERT EXPERTS HERE
TODAY WHO CAN GO INTO FURTHER
DETAIL ABOUT THE TECHNICAL
TECHNICALITIES OF THE PROPOSAL
AND IT'S DIRE URGENCY.
GIVEN THE COMPLEXITY OF THE
RATES THE STUDY THE STATE IS
CURRENTLY UNDERTAKING.
IT IS IMPORTANT WE CONSIDER THIS
ALLOCATION AS A DOWN PAYMENT.
AS A NECESSARY PATH TO RETURN.
TO TO WHERE WE SHOULD BE.
AFTER YEARS OF UNDERFUNDING.
PROVIDERS NEED SUPPORT PEOPLE
DON'T WANT TO BE PROVIDERS
BECAUSE THERE'S NOT ENOUGH MONEY
IN THE SYSTEM. TO ACTUALLY DO
SUPPORT.
THIS THEY NEED.
AND THE RELIEF.
AS YOU KNOW THE LAST RAISE STUDY
WAS CONDUCTED IN NINETEEN NINETY
SEVEN OVER TWENTY YEARS AGO.
LITTLE OVER DO. TO WAIT ANOTHER
YEAR FOR RATE REFORM COULD BREAK
PROVIDERS.
BASED ON THE FACT THAT THEY HAVE
TO THEY HAVE BEEN WAITING FOR
OVER A DECADE TO REVERSE
RECESSION ERA CUTS.
AND HAVE BEEN RESTRICTED MUCH
LONGER THAN THAT.
BUY FROZEN RATES. SIXTEEN
THOUSAND FIVE HUNDRED
INDIVIDUALS ARE EXPECTED TO
ENTER THE SYSTEM THIS YEAR.
ALONE RESULTING IN OVER THREE
HUNDRED AND FIFTY THOUSAND
INDIVIDUALS.
CALIFORNIANS [inaudible]
BEING SERVED.
IN THE LAST DECADE THE
POPULATION HAS RISEN 25%.
DUE TO THE DIAGNOSIS OF AUTISM
SPECTRUM DISORDERS AND DUAL
DIAGNOSIS IS.
I AM OPTIMISTIC THAT THE
DEPARTMENT AND LEGISLATURE WILL
TAKE THE RATE STUDY.
RECOMMENDATIONS AND DETERMINE
THE BEST PATH MOVING FORWARD.
IN THE MEANTIME I LOOK FORWARD
TO CONTINUING THE DIALOGUE WITH
MY COLLEAGUES AND THE DEPARTMENT
OF HOW TO FUND THE SYSTEM. FOR
THIS UPCOMING FISCAL YEAR.
MISTER CHAIR HI THANK YOU FOR
YOUR DILIGENCE AND YOUR
CONSIDERATION OF OUR REQUEST.
NOW ALL HEADED OFF TO MR HOLDEN.
THANK YOU MISTER CHAIR LET ME
JUST.
SAY THAT THIS IS A VERY
IMPORTANT --
AREA AND I KNOW YOU RECOGNIZE
THAT IN THE COMMITTEE AND I DO
APPRECIATE THE THE COMMITMENT TO
DIGGING BACK IN AND TRYING TO
FIGURE OUT THE SOLUTIONS HERE
AND JUST SO YOU KNOW.
HOW IMPORTANT THIS IS I I LEFT
MY COMMITTEE THAT I'M SHARING TO
COME HERE? TO MAKE SURE THAT I
WAS ABLE TO JOIN WITH MY
COLLEAGUES AND SOLIDARITY BEHIND
THIS VERY IMPORTANT SUBJECT.
AS WAS STATED WE'RE HERE TODAY
BECAUSE DECADES RATES FOR
SERVICES HAVE ONLY BEEN
INCREASED TWICE.
LAGGED FAR BEHIND THE INCREASED
COST OF DOING BUSINESS.
IMMEDIATE ACTION IS REQUIRED TO
STABILIZE THE DEVELOPMENTAL
DISABILITY SYSTEM AND ENSURE
THAT THE STATE IS MEETING ITS
OBLIGATION. TO PROVIDE SERVICES
TO INDIVIDUALS WITH DISABILITIES.
FOR SO LONG THIS COMMUNITY HAS
BEEN TOLD TO WAIT.
WAIT FOR AN INCREASE IN RATES
BECAUSE WE'RE IN A RECESSION.
WAIT BECAUSE RATES STUDY IS
UNDER WAY [inaudible]
WAIT [inaudible]
PEOPLE.
AND THESE IS DIS DISPARITY
DESPERATELY.
IMPORTANT SERVICES CANNOT WAIT
ANY LONGER.
AS WE EAGERLY AWAIT. FOR THE
FINAL RATE STUDY TO BE RELEASED
WE ARE WELL AWARE WE CANNOT
IMPLEMENT ALL OF THE
RECOMMENDATIONS AND ONE YEAR.
I REQUEST IS THAT WE COMMIT TO
AN 80% DOWN PAYMENT.
ON THE SYSTEM THIS YEAR.
THIS SYSTEM IS IN CRISIS. TO
STABILIZE THE SYSTEM
APPROXIMATELY TWO HUNDRED AND
NINETY MILLION GENERAL FUND IS
REQUIRED WHICH REPRESENTS THE 8%
ACROSS THE BOARD INCREASE AND
PROVIDE A REIMBURSEMENTS.
AND THEIR RATES.
THIS APPROPRIATION WOULD ALSO
YIELD NEARLY TWO HUNDRED MILLION
AND FEDERAL MATCHING FUNDS.
THE COMMUNITY CANNOT WAIT ANY
LONGER.
WE MUST ACT NOW AND NOT CONTINUE
TO TELL INDIVIDUALS WHO DEPEND
ON THESE COMMUNITY SERVICES TO
WAIT.
I RESPECTFULLY ASK FOR YOUR
SUPPORT OF THIS INPUT PORT IN
BUDGET REQUEST.
THANK YOU MISTER CHAIRMAN.
YEAH I REALLY WANT TO THANK.
MY COLLEAGUES TO SUMMER MEMBERS
FRAZIER AND HOLDEN FOR TAKING UP
THIS OUT.
FOR IN SHOWING THAT THIS CAN BE
A BIPARTISAN ISSUE.
AS IT SHOULD BE --
AS MANY OF YOU KNOW [inaudible]
I'VE.
GROWN UP WITH THIS ISSUE WITHIN
MY FAMILY.
I HAVE CHILDREN THAT ARE WITHIN
THIS COMMUNITY AND FOR ME THIS
IS VERY DEEP AND VERY PERSONAL.
TO SEE THESE THINGS TAKE PLACE
AND TO MOVE FORWARD --
FROM DAY ONE BEING UP HERE I'VE
ATTIC VACATED. TO MAKE THIS
HAPPEN --
THAT I'M VERY VERY PROUD TO NOTE
THAT --
WE'VE BEEN ABLE TO WITH THE
ENTIRE ASSEMBLY REPUBLICAN
CAUCUS IN SUPPORTING THIS
PROPOSAL.
ARE REALLY SHOWING THE WAY IN
THE MEANING THAT THIS CARRIES IN
THE ENTIRE LEGISLATURE.
ON SO YOU WILL SEE NO OPPOSITION
ON OUR SIDE --
I KNOW THE DEPARTMENT.
IS IN THE PROCESS THE CLEARLY
THEY'VE THEY'VE GOT THE RATE
STUDY DONE NOW MARCH FIFTEENTH
BUT AGAIN WE ASKED FOR THIS THIS
WAS SUPPOSED TO BE DONE.
ON THE FIRST IT WAS SUPPOSED TO
BE DONE BEFORE THIS WAS
PRESENTED --
YOU KNOW WE ALL KNOW HOME.
THE STUDY HAS THE POTENTIAL.
THE PROPOSED SWEEPING CHANGES TO
OUR SYSTEM BOTH IN TERMS OF
FUNDING AND AVAILABILITY OF
PROGRAMS.
WE ALSO NOW THERE'S VERY LITTLE
CHANCE OF THIS BEING IMPLEMENTED.
THIS BUDGET.
BUT THIS PROPOSAL BEFORE US.
IS WHAT WE NEED.
A AS YOU'VE ALREADY HEARD YOU
KNOW IT'S BEEN FROZEN FOR
DECADES [inaudible] FOR DECADES
AND WE HAVEN'T GONE BACK TO
WHERE THE NUMBERS WERE PRE THE
RECESSION.
WE'RE AT A POINT WHERE ARE
GENERAL FUND IS.
PRETTY MUCH DOUBLED.
IN SIZE IN THE LAST COUPLE YEARS.
THESE FAMILIES DESERVE THIS
[inaudible]
SHOWN.
AGAIN --
HAPPY THAT WE HAVE SUCH POWERFUL
MEMBERS ON BOTH SIDES OF ME
TODAY I'M VERY PROUD THAT.
WAS ABLE TO GET MY WHOLE
CAUCUSES SUPPORT THIS I
ENCOURAGE THE ENTIRE LEGISLATURE
TO GET BEHIND THIS.
AND SHOW THAT WE ARE READY TO
MOVE FORWARD WE ARE READY TO
MOVE PAST THREE SESSION WE ARE
TRULY READY TO TAKE CARE OF
THESE FAMILIES.
AND OUR FOLKS IN THE COMMUNITY
THAT TRULY NEED THE SERVICES
BECAUSE THIS IDEA OF JUST WAIT
AND WAIT AND WAIT OR HEY LET'S
PUT YOU IN A PROGRAM THAT
DOESN'T NECESSARILY FIT BUT THIS
IS THE BEST WE CAN DO.
I'M SORRY THE BEST WE CAN DO WE
WE ARE THE FIFTH LARGEST ECONOMY
IN THE WORLD.
WE BRAG ABOUT IT ALL OF THE TIME
THE BEST WE CAN DO IS TO MAKE
THIS HAPPEN FOR THESE PEOPLE.
SELL ALL LEAVE IT WITH THAT AND
ASK FOR THE SUPPORT OF THE FULL
COMMITTEE IN THAT.
BODY THANK YOU.
THANK YOU ASSEMBLYMEMBERS --
IN THE INTEREST OF TIME WE'RE
GONNA CONTINUE WITH THIS ISSUE
IF WE CAN.
AND NEXT WE WILL BE PROGRESSING
ON TO JORDAN LINSEED IN THE WEST
WING.
AND JUDY MARK.
FINELY MINCED DILLARD FOX
.
THANK YOU MISTER CHAIR AND
MEMBERS --
AND AND THANK YOU TO ASSEMBLY
MEMBERS HOLDEN AND FRAZIER AND
MATHIS FOR THEIR COMMENTS AND
CONTINUED LEADERSHIP.
ON THIS IMPORTANT ISSUE IN FOR
COMMUNITY.
AS WELL AS THE MEMBERS OF THIS
COMMITTEE.
HI MY NAME IS JORDAN LINDSAY I'M
EXECUTIVE DIRECTOR OF THE RQ
CALIFORNIAN YOUR CAN UNITED
THROUGH THE POLLS THE CLOCK
CALIFORNIA COLLABORATIVE --
BETWEEN THE LA --
REPORT WHICH IS VERY THOROUGH IN
THE AGENDA AT WHICH AS WELL
THROW A YOU HAVE INCREDIBLE
INFORMATION FRONT OF YOU.
I THINK WHAT CAN BE REALLY
HELPFUL FOR FOR ME IS JUST TO BE
ABLE TO PROVIDE A LITTLE BIT OF
CONTEXT OF HOW WE GOT INTO THIS
CRISIS WERE IN.
AND THEN WHAT IS THE IMPACT SOME
DATA THAT WE HAVE THE
DEMONSTRATES WHAT IS THE IMPACT
IT'LL DO IT AS QUICKLY AS I
POSSIBLY CAN.
AND TO REFLECT.
UPON OUR HISTORY TO UNDERSTAND
HOW WE GOT INTO THIS CRISIS.
APPEARED FOR SERVICES AS WE'VE
ALREADY HEARD SINCE --
TWO THOUSAND TO THREE AS WELL AS
DECREASES IN THE RECESSION.
AND THE ONLY TO INCREASES IN IN
THE PAST DECADES WITH THE TWO
THOUSAND SIX SEVEN AND THE A. B.
TWO X. ONE AS PART OF THE MCO
TAX ORGANIZATION.
SUCH AS CHRONIC UNDERFUNDING
NEXT WE LAYER ON TOP OF THE
CHRONIC UNDERFUNDING.
GROWING CASELOAD.
FROM 200-082-2000 EIGHTEEN CASE
WHAT IS INCREASE FROM TWO
HUNDRED THIRTY THANK
300-002-30030 THOUSAND A 41%
INCREASE HOWEVER PERHAPS MORE
INFLUENTIAL.
THAN INDEX THIS CRISIS DIDN'T
INDIAN NUMBERS AS THE MAKE UP OF
THAT CASE LOAD.
WITH THE RAPID RISE ROCK RAPID
RISE OF AUTISM DIAGNOSES OUR
SYSTEM DESIGN OF SUPPORTS AND
SERVICES DOES NOT HAVE THAT
PROPER INFRASTRUCTURE.
AND BECAUSE OF THE CHRONIC
UNDERFUNDING FROZEN RATES WE ARE.
UNABLE TO ADAPT TO THAT CHANGE
IN CASELOAD AND THE TYPE OF
INDIVIDUALS WE ARE SERVING.
NOW LAY ON TOP OF THAT.
UNDER FUNDING IN THE CASE SO
CHANGESTHE MORE RECENT AND
IMMEDIATE IMPACTS WHICH IS FIRST
WAGES IN CALIFORNIA HAVE RISEN
ON AVERAGE THE LAST TEN YEARS
THREE POINT 6% PER YEAR.
LAST TWO YEARS THAT NUMBER THAT
6% PER YEAR THAT WE JUST HAVE
INCREASE IN CALIFORNIA.
THEN LAYER ON TOP OF THAT THE
MINIMUM WAGE INCREASE.
LAWS PASSED BY THE LEGISLATURE
WHICH WE ARE NOT BEING FUNDED
FOR NOW YOU HAVE A PERFECT STORM.
WE ARE.
STE.
REIMBURSEMENT RATES STAYING THE
SAME STRESS IN AN ALREADY
CHRONICALLY UNDERFUNDED SYSTEM
OF SUPPORTS AND SERVICES.
THIS 8% ASKED BARELY KEEPS PACE
WITH CPI INCREASES IN FALL SHORT
EVEN OF INCREASES IN WAGES
SIMPLY SINCE THE LAST ROUND OF
EMERGENCY FUNDING.
SO WHAT WHAT'S THE IMPACT.
WHY DO WE CARE?
WELL THROUGH SURVEYS WE'VE DONE
THROUGHOUT THE STATE WE HAVE
FIVE THOUSAND SEVEN HUNDRED AND
TWENTY SIX DIRECT SUPPORT
PROFESSIONALS TO ANSWER THE
QUESTION. FIVE HUNDRED AND NINE
SERVICE PROVIDER ORGANIZATIONS
DANCE THAT QUESTION AND ALL
TWENTY ONE REGIONAL CENTERS WHO
CAN ANSWER THAT QUESTION.
FIRST THE DIRECT SUPPORT WORKERS
THEMSELVES.
BECAUSE OF THE LOW WAGES AS A
RESULT OF LOW RATES. 42% HAVE
CHILDREN ON MEDI CAL. 20%
RECEIVE PUBLIC FOOD ASSISTANCE.
34% WORK TWENTY HOURS OR MORE AT
A SECOND JOB. 36% OF THEMSELVES
AROUND MEDI CAL.
WHAT ABOUT THE SERVICE PROVIDER
ORGANIZATIONS 45% OR TURNING
AWAY?
OR PLACING ON WAITING LISTS
INDIVIDUALS WHO HAVE BEEN
REFERRED BY THE REGIONAL CENTERS.
49% REPORT DOWNSIZING PROGRAM
CAPACITY OR CLOSING PROGRAMS DUE
TO DEFICITS IN FINDING.
AND ALL TWENTY ONE REGIONAL
CENTERS [inaudible]
ANSWERED. FOUR THOUSAND EIGHT
HUNDRED THREE BEDS HAVE BEEN
LOST BETWEEN TWO THOUSAND ELEVEN
IN TWO THOUSAND EIGHTEEN BECAUSE
NINE HUNDRED TO TWENTY EIGHT
HOMES CLOSED.
AND FIVE THOUSAND SLOTS BETWEEN
200-011-2000 EIGHTEEN HAVE BEEN
LOST BECAUSE NINETY FOUR
WORKADAY PROGRAMS HAVE BEEN
CLOSED.
THAT IS THE IMPACT.
I ALSO WANT TO IT.
BRING UP THE IMPACT TO FAMILIES
THEMSELVES.
IT'S NOT REPRESENTED IN SURVEY
DATA IT'S YOU'RE NOT GOING TO
HEAR ABOUT IT OTHER THAN
ANECDOTES.
BUT IF A FAMILY MEMBER FINDS A
GOOD DIRECT SUPPORT PROFESSIONAL
AND THEY WANT TO KEEP THEM.
UNDER THE TABLE OFTEN TO MAKE
SURE THAT THEY DON'T LEAVE.
THOSE FAMILIES WHO CAN'T.
DO THAT THOSE WHO CANNOT.
SIMPLYMAY NOT RECEIVE SERVICES
THIS IS THE IMPACT THAT'S
HAPPENED [inaudible]
I'M.
WE ARE IN CRISIS AND WE NEED A
PLAN TO GET OUT OF IT BECAUSE
PEOPLE IN FAMILIES ARE SUFFERING
AND ALSO BECAUSE IF WE DON'T
HAVE A PLAN.
THEN WE CAN RISK AS YOU KNOW.
A BILLION DOLLARS IN FEDERAL
MATCHING DOLLARS.
AS SOON AS TWENTY TWENTY TWO IN
A PERCENT RATE INCREASE IS THE
FIRST STEP OF THAT PLAN IT WILL
BRING IMMEDIATE RELIEF AND ALLOW
PROGRAMS TO EXPAND CAPACITY.
KEEP PROGRAMS OPEN AND DECREASE
STAFF TURNOVER IT IS NOT THE
FINAL SOLUTION IT'S NOT THE THE
MAGIC BILL THAT'S GOING TO MAKE
EVERYTHING BETTER.
BUT WILL BRING IMMEDIATE RELIEF.
AND SO THAT WE CAN MOVE TOWARD A
TWO OR THREE YEAR INVESTMENT
PLAN.
I URGE THE COMMITTEE TO APPROVE
THE REQUEST BY ASSEMBLY MEMBERS
HOLDEN AND FRAZIER.
BECAUSE TO DO NOTHING THIS YEAR
WOULD CONTINUE WAITING LISTS.
AND PROGRAM CLOSURES.
IT COULD VERY WELL BECAUSE THE
REBEL HARM.
THANK YOU.
THANK YOU SIR [inaudible]
THE REQUESTED [inaudible]
GOOD AFTERNOON.
FIRST THANK YOU TO THE MEMBERS
OF THE COMMITTEE FOR SPENDING
YOUR AFTERNOON HERE CONSIDERING
THIS ESSENTIALLY ISSUE THANK YOU
ALSO TO YOUR STAFF FOR INCLUDING
AMPLE TIME TO DISCUSS IT ON
TODAY'S AGENDA.
IT'S IMPORTANT TO REMEMBER THAT
THE RATE STUDY.
WAS BORN OUT OF AN INTEREST IN
ENSURING THE LONG TERM
SUSTAINABILITY OF THIS SERVICE
SYSTEM.
BUT NEXT YEAR WILL SERVE CLOSE
230-010-00300 FIFTY THOUSAND
INDIVIDUALS WITH DEVELOPMENTAL
DISABILITIES.
THE RATE STUDY WAS INTENDED TO
ENSURE THAT GOING FORWARD WE
HAVE AN ADEQUATE SITE SUPPLIER
PROVIDERS.
THAT FAMILIES AND INDIVIDUALS
BEING SUPPORTED HAVE CHOICE.
AND THAT SERVICES ARE OF GOOD
QUALITY [inaudible]
WE APPRECIATE.
THE OPPORTUNITY THE THIS MOMENT
IN TIME GIVES US TO RECONNECT
RATES WITH THE ACTUAL COST OF
DOING BUSINESS WITH THE ACTUAL
COST OF SERVICE PROVISION.
JUST LIKE EVERYONE ANTICIPATED
THE RECOMMENDATIONS ENCOMPASSED
IN THE RATE MODELS AND WHAT WE
EXPECT TO SEE IN THE STUDY ARE
VERY COMPLEX.
BECAUSE THE SYSTEM HAS FALLEN
INTO SUCH DISARRAY OVER TIME.
AND THEIR COMPLEX BECAUSE OF THE
PROPOSED REALIGNMENT OF SERVICE
CODES UPDATED ASSUMPTIONS ABOUT
SERVICE DELIVERY THAT WILL
REQUIRE STATUTORY AND REGULATORY
UPDATES TO IMPLEMENT.
SPECIFICALLY IN THE AREA OF
STAFF QUALIFICATIONS STAFF
TRAINING AND VARIOUS OTHER AREAS.
WE APPRECIATE THAT MR POLANSKI
AND HIS TEAM AS WELL AS THE
DEPARTMENT HAVE BEEN RESPONSIVE
TO QUESTIONS THROUGHOUT THE
PROCESS.
AND THAT THE RESULTING MODELS
THAT WE'VE SEEN ARE INDEED
TRANSPARENT ALBEIT COMPLEX.
IN THE MEANTIME.
THIS SYSTEM.
NEEDS INVESTMENT THIS YEAR.
AS PROGRAMS CONTINUE TO CLOSE.
DATA FROM THE DEPARTMENT SHOWS
THAT BETWEEN FISCAL YEAR FIFTY
FISCAL YEARS FOURTEEN FIFTEEN
AND SEVENTEEN EIGHTEEN THERE WAS
A NET LOSS OF TWO POINT 76% OF
RESIDENTS OF ARM RATE FACILITIES.
AND A SLIGHT DECREASE IN CORE
DAY PROGRAM SERVICES THE LOWER
PAID PROGRAMS.
DESPITE SEEING A TWELVE POINT
67% IN THE WINTER MEN POPULATION
DURING THAT TIME.
SO WE WERE SEEING PRO WE WERE
SAYING POPULATION GROWTH AND
PROGRAM DECLINE.
OUR CONTRACTS PROVIDER CLOSURES
AND NOTE DOWN IN FISCAL YEAR
SIXTEEN SEVENTEEN IMMEDIATELY
AFTER THE INFUSION OF MONEY FROM
A. B. X..
TWO ONE THEY BEGAN TO RISE AGAIN
IN FISCAL YEAR.
SEVENTEEN EIGHTEEN AS HAS BEEN
NOTED CASELOAD GROWTH OF MORE
THAN SIXTEEN THOUSAND PEOPLE IN
THE COMING YEAR.
MEANS WE NEED TO NOT ONLY RETAIN
CURRENT CAPACITY.
BUT ALSO BUILD CAPACITY FOR
THOSE PEOPLE WHO ARE GOING TO BE
ENTERING THE SYSTEM WHAT WE WORK
OUT THE VERY COMPLEX DETAILS
ASSOCIATED WITH THE RATE STUDY.
ONE OF THE UNIQUE THINGS THAT.
BURNS AND ASSOCIATES INCLUDED IN
THIS STUDY WHICH THEY
ACKNOWLEDGE THEY HAVEN'T HAD THE
OPPORTUNITY TO DO WHAT OTHER
STATES.
WITH A FAMILY AND CONSUMER
SURVEY.
AND IT'S NOTABLE THAT 50%.
OF RESPONDENTS TO THAT SURVEYS.
REPORTED THAT THEY WERE THAT
THEY HAD GOOD LUCK FINDING
SERVICES QUALITY STAFF FOR
GETTING SPECIALIZED SERVICES.
THAT MEANS 50% REPORTED LESS.
AS SUCH RK HAS BEEN A PROUD
PARTNER IN WORKING WITH THE LAND
I'M IN COALITION IN SHAPING THE
PROPOSAL --
THAT MISTER FRAZIER MR HOLDEN
ADVANCE TODAY FOR AN 8% ACROSS
THE BOARD PROVIDER RATE INCREASE
THIS YEAR.
WE ALSO PROPOSE A SIMILAR
INCREASE FOR REGIONAL CENTER
OPERATIONS IN THE COMING YEAR.
BECAUSE WE RECOGNIZE THE NEED
FOR ADEQUATE FUNDING. FOR
SERVICE PROVIDERS BUT ALSO FOR
REGIONAL CENTERS WHICH PROVIDE
CRITICAL INTAKE SERVICE
COORDINATION AND PLAY A KEY ROLE
IN ENSURING THAT SERVICES ARE
FEDERALLY BILLABLE.
WELL THAT'S BEEN THE STRUCTURE
OF OUR SYSTEM SINCE ITS
INCEPTION THE SEPARATION OF
SERVICE COORDINATION FROM
SERVICE PROVISION.
IT'S NOW ALSO A FEDERAL
EXPECTATION.
SIMILAR TO SERVICE PROVIDERS
REGIONAL CENTERS ARE SEEING
ESCALATING COSTS OF EMPLOYING
STAFF AND OTHER BUSINESS COSTS.
AND ARE STRUGGLING NOW TO
COMPETE WITH COUNTIES AND STATE
AGENCIES FOR STAFF.
SIMILAR TO SERVICE PROVIDERS WE
SAW IT.
STE -- WE
SUDDEN LOWER TURNOVER RATES.
IN RESPONSE TO A B. X. TWO ONE
PRESSURES THAT.
MISTER LINDSEY OUTLINED CONTINUE
TO MOUNT AN ART AGAIN HAVING AN
IMPACT [inaudible]
THANK YOU.
THANK YOU TO MARK.
HI THANK YOU FOR INVITING ME MY
NAME IS JUDY MARK AND I'M THE
PRESIDENT OF DISABILITY VOICES
UNITED AS STATEWIDE ADVOCACY
ORGANIZATION DIRECTED
EXCLUSIVELY BY INDIVIDUALS WITH
DEVELOPMENTAL DISABILITIES AND
THEIR FAMILY MEMBERS.
I'M ALSO THE PARENT OF A TWENTY
TWO YEAR OLD SON NAMED JOSHUA
WHO HAS AUTISM AND I'M ALSO A
PROFESSOR AT IN DISABILITY
STUDIES AT UCLA.
I WANT TO MAKE JUST A FEW POINTS
TODAY THAT ARE BASED ON THE
VALUES THAT WE BELIEVE SHOULD
INFORM ANY DECISIONS THAT THE
LEGISLATURE IS GOING TO MAKE
BASED ON THE RATE STUDY.
NUMBER ONE WE BELIEVE THE
CALIFORNIA'S DEVELOPMENTAL
DISABILITY SYSTEM AND THE
SERVICES IT PROVIDES ARE UNDER
FUNDED.
NUMBER TWO WE STRUGGLE TO HIRE
AND RETAIN EXPERIENCED AND
RELIABLE STAFF AT MINIMUM WAGE
OR SLIGHTLY ABOVE PARTICULARLY
TO SUPPORT THOSE WHO HAVE
BEHAVIOR OR HEALTH CHALLENGES.
NUMBER THREE MEANINGFUL OUTCOMES.
THE THING THAT MATTERS THE MOST
TO LAST.
OUTCOMES LIKE INCLUSION GOOD
HEALTH EMPLOYMENT FRIENDS AND
HAPPINESS.
AND NUMBER FOUR WE NEED TO
REWARD GREAT PROVIDERS WHO
SUPPORT PEOPLE TO MAKE THOSE
GOOD OUTCOMES REALITY.
SO WITH THOSE VALUES IN MIND OUR
RECOMMENDATIONS ARE. TO
INCENTIVIZE BETTER OUTCOMES BY
TYING RATE INCREASES TO
COMPLIANCE WITH THE NEW HOME AND
COMMUNITY BASED SERVICES ROLE.
THIS RULE IS A ROAD MAP TO
BETTER OUTCOMES BECAUSE IT
MANDATES INCLUSION AND CHOICE
REQUIRES PERSON CENTERED
PLANNING AND ENSURE THE OPTION
OF COMPETITIVE INTEGRATED
EMPLOYMENT.
PROVIDERS MUST COMPLY WITH THESE
NEW RULES WITHIN THREE YEARS SO
OFFERING HIGHER RATES WILL PUSH
THEM TO MOVE MORE QUICKLY.
AND REWARD THEM FOR HELPING
THEIR CLIENTS WITH BETTER LIES
IN THE COMMUNITY.
SECOND WE WANT TO ENSURE THAT
RATE INCREASES ARE TARGETED
TOWARDS RATE RAISING THE WAGES
OF STAFF WHO WORKS DIRECTLY WITH
FAST.
READ INCREASES GO TO AGENCIES
THEY DON'T GO DIRECTLY TO THE
WORKERS WE HOPE THAT THE
LEGISLATURE IN DDS WILL CONSIDER
STRATEGIES TO ENSURE THEIR
INCREASED RATES EQUAL INCREASED
WAGES FOR THE STAFF THAT WE RELY
ON NEXT RATES SHOULD BE HIGHER
FOR SUPPORTING PEOPLE WITH
GREATER NEEDS.
INDIVIDUALS WITH SIGNIFICANT
BEHAVIOR HEALTH CHALLENGES NEED
MORE EXPERIENCE SUPPORT STAFF
WHO REQUIRE HIGHER SALARIES.
TODAY THE ONLY WAY TO GET AN
INCREASED RATE HEALTH AND SAFETY
WAY OF OUR OUR PROCESS IS
UNNECESSARILY BUREAUCRATIC.
BURDENSOME AND LENGTHY FOR
FAMILIES.
FINALLY HIGHER RATES SHOULD ALSO
BE GIVEN. TO PROVIDERS WHO OFFER
SERVICES TO UNDERSERVED
COMMUNITIES AND IN LANGUAGES
OTHER THAN ENGLISH.
INDIVIDUALS FROM LATINO AFRICAN
AMERICAN ASIAN AND RURAL
COMMUNITIES ALREADY FACE
SIGNIFICANT DISPARITIES IN
SERVICES SO IT MAKES SENSE TO
PROVIDE AN INCENTIVE TO AGENCIES
THAT INTENTIONALLY HIRE STAFF.
THE CONCERT.
SO IN CONCLUSION.
AS THE LEGISLATURE DDS THE
REGIONAL CENTERS THE PROVIDER
ORGANIZATIONS MOVE FORWARD IN
THESE DISCUSSIONS ON THE RATE
STUDY WE ASK THAT YOU KEEP
PEOPLE WITH DEVELOPMENTAL
DISABILITIES AND FAMILY MEMBERS.
AT THE TABLE AS EQUAL PARTNERS.
ARE INDEPENDENT VOICES HAVEN'T
ALWAYS BEEN HEARD IN THIS DEBATE
UP UNTIL THIS TIME.
AND WE MAY HAVE A DIFFERENT VIEW
THAT HASN'T BEEN CONSIDERED.
WE MAY NOT BE PROFESSIONALS BUT
WE ARE ON THE JOB TWENTY FOUR
SEVEN AND WE CAN NEVER RETIRE.
SO THANK YOU AND I'M HAPPY TO
ANSWER ANY QUESTIONS THANK YOU
MA'AM.
HELLO MY NAME IS JACKIE DILLARD
FOSS AND I'M WITH THE CALIFORNIA
SUPPORTED LIVING NETWORK AND I'M
ALSO A PROVIDER I'M HERE LOCALLY
WITH WITH THE STEP PROGRAM.
I WANT TO THANK YOU FOR THE
OPPORTUNITY TO PROVIDE A
PROVIDER PERSPECTIVE ON THE
RIGHT STUDY.
IN MY THIRTY YEAR CAREER THIS
RATE STUDY IS ONE OF THE MOST
IMPORTANT UNDERTAKING THAT I'VE
WITNESSED.
IS THE FIRST DATA DRIVEN LOOK AT
THE AND WE NEED TO GET THIS
RIGHT. THREE AND THIRTY THOUSAND
AND A LOT AND IT INDIVIDUALS
WITH INTELLECTUAL DISABILITIES
OF CALIFORNIA SIR BY THE
LETTERMAN ACT APPEND ON IT.
IT IS EVIDENT FROM THE RATE
STUDY THAT WE ARE SEVERELY
UNDERFUNDED SYSTEM WE WANT TO
THANK ASSEMBLY MEMBER FRAZIER
ASSEMBLY MEMBER HOLDEN ASSEMBLY
MEMBER MATHIS FOR BRINGING FOR
THEIR PROPOSAL.
WE FULLY SUPPORT THIS PROPOSAL
BECAUSE SOMETHING NEEDS TO BE
DONE THIS YEAR.
THE CALIFORNIA SUPPORTED LIVING
NETWORK IS A MEMBERSHIP
ORGANIZATION OF SUPPORTED LIVING
INDEPENDENT LIVING RESPITE
PERSONAL ATTENDANCE AND
SUPPORTED EMPLOYMENT.
THIS THAT PROVIDES SERVICES TO
HELP FOLKS LIVE INCLUSIVE LIES
IN THE COMMUNITY AND HELP KEEP
FAMILIES TOGETHER.
THE BLS DATA THAT WAS USING THE
BURNS --
ASSOCIATES RATE STUDY I'M WE
THINK IS FLAWED BUT IT'S A
REALLY IMPORTANT STEP FORWARD
CONSIDERING WHERE WE'RE AT RIGHT
NOW.
CSL AND FELT SO STRONGLY ABOUT
THE RATES BEING PAID TO OUR WORK
FORCE.
THAT WE COMMISSIONED A
INDEPENDENT.
WAGE COMPENSATION STUDY WITH
GALLAGHER EQUAL ALONG WITH THE
CALIFORNIA RESTAURANT
ASSOCIATION WE WANT TO GIVE THAT
TO THE MEMBERS TODAY.
THE WORK FORCE CRISIS THAT I
JUST WANT TO GIVE YOU A GLIMPSE
OF THIS.
IN THE STATE OF CALIFORNIA MY
WORKFORCE IN THE ROOM WHEN I
TELL YOU THIS THERE'S A HUNDRED
AND FIFTY THOUSAND OPEN
POSITIONS ANY OF THEM CAN LEAVE
FOR TODAY THE PACE FIFTEEN FIFTY
OR MORE AN HOUR.
I SUPPORTED LIVING DOT COM YOU
CAN SEE THE INTERACTIVE MAP IF
YOU WANT TO SEE YOUR DISTRICT
AND HOW THAT APPLIES.
ALTHOUGH THE STATE OF I AS I
SAID BEFORE THE BLS DATA IS
FLAWED IT IS A RIGHT STEP
FORWARD.
MY OBJECTIVE AS A PROVIDER IS A
QUALITY WORKFORCE AND I'M
ASSUMING THAT'S THE STATE'S THEM
OBJECTIVE.
WE NEED TO PAY COMPETITIVE WAGE
RIGHT NOW WE'RE A MINIMUM WAGE
WORKFORCE.
AND I THINK SOMETIMES WHEN OUR
OUR EMPLOYEES COME TO US AND SAY
WHAT'S MY WORTH I WORK WITH
COMPLEX FOLKS.
I'M EXPECTED FOR THESE QUALITY
OUTCOMES I SIR TO EACH ONE OF
THOSE EMPLOYEES WHAT IS THEIR
WORK ARE THEY A MINIMUM WAGE
EMPLOYEE OR DO WE EXPECT A
QUALITY WORKFORCE.
BECAUSE RIGHT NOW THAT'S THE
STRUGGLE EVERY PROVIDER EVERY
PARENT AND EVERY CONSUMERS
DRESSING EVERY SINGLE DAY.
SO THE THIS IS --
THE IMPORTANT MOMENT IN TIME I
WHAT WE WANT TO ADDRESS
SPECIFICALLY WITH THE RATE STUDY
I DO AGREE THAT BEING THERE FOR
THE TWELVE HOURS I SPENT THE
WHOLE TWELVE HOURS I PAID
ATTENTION.
DE WAS A VERY GOOD TEACHER TUTOR
IN WHAT WE WERE GOING THROUGH.
THE RATES AS THEY APPLY TO SLS
PROVIDERS IT'S OF BUT TO GIVE
YOU A GLIMPSE OF WHAT WE'RE
DEALING WITH HERE.
THEY'RE INCONSISTENT THEIR
INEFFICIENT AND THEIR
INCOMPREHENSIBLE.
IF YOU'RE AN **** AS PROVIDER IN
THE STATE OF CALIFORNIA YOU CAN
EXPECT TO PAY A FLAT RATE A
MONTHLY RATE A TIERED RATE A
UNIT RATE A DAILY RATE AB.
HOURLY RATE ARE POTENTIALLY YOU
GETS THREE DIFFERENT SERVICE
GOES TO PAY ONE RATE TO SERVE
ONE PERSON.
SO WHAT IS REALLY NICE WHEN I
SAW THAT RATE STUDY.
IT LOOKED AT AS AN HOURLY RATE.
IT STARTED TO MAKE SENSE TO US
WE'RE SAYING WAIT WE UNDERSTAND
THIS WE KNOW FOR CALIFORNIA FOR
QUITE SOME TIME THEY'VE ASKED
FOR US AS PROVIDERS WE NEED TO
LOOK AT AN HOURLY RATE SYSTEM.
WE'VE KIND OF BEEN SHOVED INTO
AN HOURLY RATE SYSTEM IN OUR
CURRENT METHODOLOGY MADE BASED
ON THE RATE FREEZES.
SO WE WOULD LIKE TO WORK WITH
DDS IN A COLLABORATIVE EFFORT.
MOVING FORWARD FOR SUPPORTIVE
LIVING SERVICES RATE I THINK THE
SAME CAN BE SAID FOR SOME OF THE
REST BUT PROVIDERS AND PERSONAL
ATTENDANT PROVIDERS.
IT'S A DIRECTION A STATED IN
MOVING IN AND WE THINK IT'LL
BENEFITS SUPPORTED LIVING
OVERALL.
THE OTHER THING I WANT TO
RECOGNIZE THAT BURNS AND
ASSOCIATE AND IT'S REALLY
PERSONAL TO ME AS THEY RECOGNIZE
BILINGUAL PAY.
I MYSELF HAVE A HUNDRED FIFTY
DEAF EMPLOYEES SERVING ALL OF MY
INDIVIDUALS THAT ARE DEAF FOR
DEAF BLIND WITH A DEVELOPMENTAL
DISABILITY WHEN A PERSON
RECEIVES SERVICES IN THEIR
NATIVE LANGUAGE.
SUCCESS BEGINS TO HAPPEN BECAUSE
THEY BEGIN TO UNDERSTAND THAT SO
IT'S THE FIRST I'VE SEEN THAT
BILINGUAL PAYS MEAN RECOGNIZED
AND I REALLY WANT TO RECOGNIZE.
THEM FOR SEEING THAT AND FINALLY
SAYING HEY THAT'S WHAT I'VE BEEN
YELLING ABOUT SINCE NINETEEN
NINETY FOUR WHEN I STARTED MY
COMPANY.
THE OTHER PIECE OF THIS IS
TRAINING IF WE'RE GOING TO
PROFESSIONAL EYES THE WORK FORCE
AS WE BRING THEIR PAY UP TO
PROVIDE QUALITY SERVICES WE HAVE
TO GIVE THEM THE TOOLS TO DO THE
JOB.
BRIDGET ASSOCIATES RECOMMENDED A
DIRECT SUPPORT PROFESSIONAL ONE
TWO AND THREE THIS WILL BE
HAPPENING IN THIS YEAR IT IS
SOMETHING THE NETWORK IS
PASSIONATE ABOUT TO CREATE THAT
CURRICULUM SO WE HAVE A
CERTIFIED WORK FORCE.
WE WANT A CERTIFIED WORKFORCE
THAT FEELS COMPETENT THEY WANT
TO PROVIDE PROFESSIONAL I
SERVICES BUT WE MUST PAY THEM A
COMPETITIVE WAGE SO WE RETAIN
AND WE STOP THE TURNOVER WE'VE
GOT TO STOP THIS.
SO WE REALLY WANT TO THANK YOU
FOR THE TIME TO HAVE THIS
CONVERSATION WE THINK THIS IS A
CONVERSATION THAT MATTERS.
AND ABOUT PROFESSIONALS IN THE
WORKFORCE BECAUSE WHAT IT REALLY
DOES AND SPEAKING TO WHAT JUDY
TO SAID EVERY SINGLE PERSON WITH
A DEVELOPMENTAL DISABILITY
DESERVES A QUALITY WORKFORCE.
HELPING THEM ACHIEVE THEIR
QUALITY OUTCOMES THEIR FAMILY
AND THEY DESIRE SO THANK YOU FOR
YOUR TIME.
THANK YOU SO MUCH THANK YOU.
HAVING COMPLETED THIS PANEL I
MAY.
ASK THAT WE HAVE THE DEPARTMENT
COME BACK FORWARD IF WE COULD
HAVE -- AND
THEN WE WILL BEGIN PUBLIC
COMMENT AS SOON AS THE
DEPARTMENT IS IN PLACE
.
WILL NOW TAKE PUBLIC COMMENT ON
ISSUE
[inaudible]
TO YEAH.
GOOD AFTERNOON WE'RE READY.
MY NAME IS BRANDY BROOKS AND I
AM LIKE.
CARE PROVIDER I ALSO HAVE A
DAUGHTER THAT HAS THE
DISABILITIES THAT'S BEEN
UNDIAGNOSED --
COUPLE YEARS AGO MAYBE FOUR
YEARS AGO I HAD A CORPORATE JOB
I WAS --
EXECUTIVE CHIEF OF STAFF FOR A
V. P..
FOUR MAJOR TELECOM CORPORATION
AND I DECIDED I KNEW AT SOME
POINT I HAD TO FOLLOW MY PASSION
AND THAT WAS TO CARE FOR PEOPLE
WITH DISABILITIES.
RIGHT NOW I DO CARE --
FOR INDIVIDUALS WITH JUST MANY
OF THEM DON'T EVEN HAVE FAMILY
MEMBERS SO WE'RE ALL THEY HAVE.
SO I'VE DEDICATED MY LIFE AND SO
HAVE MY STAFF TO CARING IN
PROVIDING --
SERVICES AND LOVE. TO THE PEOPLE
THAT WE SERVICE.
BUT TO THE POINT OF THE 8% THAT
WE DESPERATELY NEED WE ARE
STRUGGLING TO KEEP.
STAFF AND NOT HAVE THAT HIGH
TURNOVER BECAUSE THEY COULD GO
TO CHICK FILLET AND GET A JOB
MAKING YOU KNOW TWO THREE
DOLLARS MORE OR EQUAL TO WHAT WE
CAN PAY.
WHEN WE'RE REALLY?
HAVE I FEEL LIKE WE CARE FOR
THESE PEOPLE AND WE HAVE THEIR
LIVES IN OUR HANDS WHETHER IT'S
THE MEDICATIONS OTHER SERVICES --
GIVING BASS THINGS THAT YOU
DON'T DO A CHICK FILLET BUT IT'S
A LOT EASIER SO WE DO NEED THE
FUNDING TO BE ABLE TO HAVE LIKE
QUALITY STAFF. TO PROVIDE A
QUALITY LIFE FOR THE PEOPLE WE
CARE.
FOR THANK YOU FOR YOUR
CONSIDERATION THANK YOU MA'AM.
GOOD AFTERNOON THANK YOU FOR THE
OPPORTUNITY TO JUST I MAKE A
COMMENT MY NAME IS KIMBERLY
ISAAC AND I'M A SERVICE PROVIDER
I'M ALSO A MEMBER OF THE SOCIETY
OF CALIFORNIA CARE HOME
OPERATORS ALSO KNOWN AS PSYCHO.
AND I'M HERE TO SUPPORT THE
PROPOSAL FOR THE 8% INCREASE --
I HAVE -- MY
FAMILY THIS IS A PASSION AND A
OF MISSION IN A VOCATION FOR MY
FOR THIS UP THIS SERVICE.
SINCENINETEEN EIGHTY SIX A MANY
OF OUR RESIDENTS HAVE LIVED WITH
US SINCE NINETEEN EIGHTY SIX
THEY'RE MY FAMILY MEMBERS.
AND IT IS SO IMPORTANT TO ME
THAT [inaudible]
WE TREAT [inaudible]
THIS POPULATION --
WHO'S VERY VULNERABLE THEY
DESERVE THE BEST LEVEL THE
HIGHEST LEVEL OF CARE PEOPLE
WITH -- THE
HIGHEST LEVEL OF QUALIFICATIONS
AND IT'S VERY IT'S IMPOSSIBLE TO
DO IT AT THE RATES THAT WE
CURRENTLY RECEIVE THERE'S BEEN
NO -- NOT
VERY MANY --
IN THAT INCREASES TO THE ARM
RATE AND SO WE HAVE HAD
INCREASES IN ALL OF OUR COSTS
FROM THE WATER BILL ALL THE WAY
TO THE COST OF WHAT RIGHT.
RIGHT --
YOUR MORTGAGE ALL OF THOSE COSTA
CONTINUE TO RISE SINCE NINETEEN
EIGHTY SIX BUT THE ARM RATE HAS
NOT.
THERE'S NO MORE OUT COST
STATEMENTS WHERE YOU COULD
ACTUALLY SAY WHAT WAS GOING ON
WITH HOW YOU PROVIDING SERVICES
IN YOUR COST AND IT'S JUST
REALLY CRIPPLING THE SYSTEM.
I HAVE STAFF MEMBERS WHO HAVE TO
HAVE SUBSIDIZED CHILDCARE WHO
LIKE YOU SAID ARE ON MEDICARE A
META MEDI CAL.
AND IT'S JUST KIND OF
UNCONSCIONABLE THEY HAVE TO DO
SO MUCH FOR SO MANY THEY HAVE TO
BE A COUNSELOR A COOK.
UP OF THERAPIST A CARETAKER
REALLY DESERVE.
ADDITIONAL FUNDING THANK YOU
VERY MUCH THANK YOU MA'AM.
HELLO MY NAME IS ST HAMILTON
I'VE BEEN A PROVIDER SINCE.
NINETEEN EIGHTY ONE I HAVE SIX
CHILDREN.
AND FOUR OF THEM HAVE A PASSION
LIKE I DO.
AND THEY ALL WENT INTO THE
BUSINESS AND IT'S VERY HURTFUL
TO SEE STAFF MEMBERS AND
SPECIALLY IF YOU'RE YOUR OWN
CHILDREN WHO HAVE.
GROWN UP IN THE BUSINESS HAVE TO
TAKE SECOND JOBS.
AND THERE'S NOTHING YOU CAN DO A
LOT OF THEM CAN'T EVEN AFFORD
CHILDCARE.
AND ARE REALLY SUPPORT THIS A
PERCENT INCREASE BECAUSE SOME OF
THE BEST PEOPLE.
IN THE WORLD THAT WOULD WORK
WITH OUR CLIENTS CAN NO LONGER
DO IT BECAUSE THEY CAN'T AFFORD
IT.
SO WE REALLY REALLY DO NEED THIS
8% THANK YOU THANK YOU MA'AM.
HI MY NAME IS VANESSA MERAZ --
MY MOM HAS HAD --
HER GRUPOM SINCE NINETEEN EIGHTY
SIX I GREW UP --
WITH THE PEOPLE THAT WE SUPPORT
AND MY DREAM IS TO CONTINUE TO
BUSINESS AND LIVE HER LEGEND --
BUT IT IS SO DIFFICULT TO DO
THAT -- WITH
NOT HAVING THE FUNDING AND WE
CONTINUE TO WAIT AND WAIT --
MY DREAM IS TO CONTINUE TO
SUPPORT THE PEOPLE WE SUPPORT --
I'M KNOWN THEM SINCE I WAS FIVE
YEARS OLD AND NOW THEY YOU KNOW
I LIKE FAMILY TO ME.
AND JUST LIKE ON THE OTHER
MEMBERS OF SO GO HERE WE
STRONGLY PER --
SUPPORT THEY PERCENT WE NEED IT
DESPERATELY --
TO RUN OUR HOME TO STAY IN
BUSINESS --
TO CONTINUE TO PROVIDE A HOME
FOR THE PEOPLE WE SUPPORT.
AND TO CONTINUE TO GIVE PEOPLE
ARE A DIRECT PROFESSIONALS IN
ORDER TO WAGE THEY SO
DESPERATELY DESERVE THANK YOU
FOR HAVING ME TODAY THANK YOU
MA'AM.
GOOD AFTERNOON MY NAME IS JAY
SMITH -- I'M
ALSO WITH PSYCHO --
I HAVE BEEN --
SERVICE PROVIDER FOR TWENTY FIVE
YEARS I ALSO GREW UP --
WORKING WITH INDIVIDUALS WITH
INTELLECTUAL TO ACROSS MULTIPLE
SERVICE CODES OKAY --
AS WELL AS WITH MULTIPLE
REGIONAL CENTERS AND I
DEFINITELY SUPPORT THE 8% DOWN
PAYMENT OFFER SERVICE PROVIDER
ORGANIZATIONS --
I'M NOT GOING TO TOUCH ON THE
THE VERY SENSITIVE ISSUE OF
DEALING WITH OUR POPULATION THAT
WE SERVE BUT SPECIFICALLY WITH
THE STAFFING AND RECRUITMENT I
JUST WANT TO GIVE AN EXAMPLE.
I JUST RECENTLY DID A CAMPAIGN
AND RECRUITMENT FOR PROBABLY
FOUR POSITIONS I NEEDED TO FILL.
OF COURSE MANY OF US USE THE
ONLINE SERVICES AND DEEDS OF
RECRUITER ACROSS THE BOARD --
I HAD THREE INDIVIDUALS IN THE
OFFICE WE WENT THROUGH LITERALLY
TWO HUNDRED APPLICATIONS OF
INDIVIDUALS THAT SAID THEY WERE
QUALIFIED WHITTLE IT DOWN TO
PROBABLY A HUNDRED PEOPLE.
THAT COULD POSSIBLY WORK OF
WHICH FIFTY OF THOSE HAD
TRANSPORTATION TO GET TO THE
LOCATION TO APPLY FOR THE
POSITION.
OF WHICH SCHEDULING AN INTERVIEW.
HALF OF THEM SHOWING UP.
YOU KNOW HALF OF THAT I MEAN I
CAN GO ON AND ON AT THE END OF
THE DAY I PROBABLY HIRED TWO
PEOPLE AND OF THOSE TWO PEOPLE
PROBABLY ONE OF THEM IS
AVAILABLE.
AND THE BIGGEST THING WHEN I
HAVE TO SAY HOW MUCH DO YOU PAY.
AND I HAVE TO SAY.
YOU KNOW THIS IS THE RIGHT I CAN
I CAN PAY.
THEY LOOK AT ME AND THEY LAUGHED
OKAY WE PROVIDE A VERY VALUABLE
SERVICE IT'S IMPORTANT EVERYONE
HERE BEHIND ME IS GOING TO
PROBABLY MIMIC THE SAME THING.
THE STUDY THAT BURNS DONE I
THINK IT'S A GREAT FIRST STEP I
AM -- I HAVE
SEEN THE THE RATE DISPARITIES
SAME SERVICE DIFFERENT RATES YOU
CAN PROVIDE THE SERVICE BUT YOU
CAN'T PAY THE STAFF.
THE MINIMUM WAGE FOR ONE OF THE
SERVICE CALL IS HIGHER THAN THE
REIMBURSEMENT RATE FOR THE SAME
SERVICE.
IT'S INSANE.
WE NEED TO DO SOMETHING A NEEDS
TO HAPPEN NOW YOU HAVE THE
ABILITY TO DO IT YOU HAVE THE
SUPPORT OF THE PROVIDER
COMMUNITY WE HAVE THE SUPPORT OF
THE REGIONAL CENTERS LET'S MAKE
SOMETHING HAPPEN LET'S MAKE
CHANGE.
A PERCENT DOWN PAYMENT
[inaudible]
YES SIR.
I JUST WANT TO SAY THAT THE
PEOPLE THAT JUST SPOKE WE FLEW
UP HERE AND THE RAIN AND
LIGHTNING THUNDER.
THAT'S HOW PASSIONATE WORDS WERE
TO COME UP AND TALK WITH YOU.
THANK YOU FOR SHARING THANK YOU
MA'AM.
GOOD AFTERNOON AGAIN MR CHAIR OF
MEMBERS OF THE COMMITTEE BERRY
JUTTING WITH THE CALIFORNIA
DISABILITY SERVICES ASSOCIATION
JUST WANT.
TO STATE ARE STRONG SUPPORT AND
GRATITUDE FOR OUR CHAMPIONS IN
ASSEMBLYMEMBER FRAZIER AND
HOLDEN AND CARING THE 8% ASK --
WE KNOW THAT THE SYSTEM IS
CRUMBLING NOW MISTER LINDSEY
RAIN YOU SEE THROUGH SOME OF THE
STATISTICS --
I DON'T WHY DON'T WANT TO REPEAT
ALL THOSE BUT WE KNOW THAT THIS
IS A SYSTEM THAT RIGHT NOW HAS
SIGNIFICANT NEEDS IN ORDER TO
MAKE SURE THAT PEOPLE ARE
GETTING THE SERVICES THEY NEED.
AND THE SUPPORT THEY NEED AND
THAT THE SUPPORT STAFF IS BEING
PAID A RATE THAT IS ADEQUATE AND
EQUITABLE FOR THE WORK THAT
THEY'RE DOING --
I WANT EXPRESSED GRATITUDE TO
THE DEPARTMENT AND BIRDS AND
ASSOCIATES FOR THE HARD WORK
THEY'VE DONE ON THE RATE STUDY
SO FAR WE LOOK FORWARD TO
CONTINUING WORKING WITH THEM AS
WE GET TOWARD THE FINAL REPORT --
WITH THE NEWS THAT THE
PRELIMINARY DRAFT OR THE FIRST
DRAFT IS GONNA BE DELIVERED ON
MARCH FIFTEENTH THAT MEANS I
EXPECT THAT THE FINAL DRAFT WILL
BE PUSHED BACK FROM THE ORIGINAL
ESTIMATED DATE OF MAY FIRST.
GETTING US CLOSER AND CLOSER TO
ME REVISED I'VE COME TO THAT
THERE'S JUST NO WAY WE CAN
IMPLEMENT SYSTEMS CHANGE THIS
LARGE IN THIS BUDGET YEAR.
AND FRANKLY I MEAN I THINK THE
POINT WAS WELL MADE WE CANNOT
WAIT ANOTHER YEAR FOR SOME
RELIEF SO THE 8% IS THAT DOWN
PAYMENT WE EXPECT THAT TO BE THE
FIRST STEP IN GETTING THE
FUNDING FOR THE SYSTEM UP TO THE
LEVEL THAT IT NEEDS TO BE AT AND
WE WE HOPE. FOR YOUR SUPPORT IN
PUSHING THIS THROUGH THE ACT
THANK YOU SO MUCH THANK YOU SIR.
HI MY NAME IS TAMMY SMITH AND
I'M WITH THE STEP STRATEGIES TO
EMPOWER PEOPLE.
AND I'M WEARING WHAT'S MY WORTH
BECAUSE I'VE BEEN DOING THIS FOR
EIGHTEEN YEARS.
I HAVE LIVED IN BRIEF THIS WITH
MY BACKGROUND I CAN GO WORK
SOMEWHERE ELSE AND MAKE MORE
MONEY BUT MY PASSION IS HERE.
I LOVE THE PEOPLE THAT I SUPPORT
AND GET THE PRIVILEGE TO WORK
WITH TO THE POINT WHERE MY OWN
SON WORKS IN THIS FIELD.
BUT HE'S ALSO GOING TO COLLEGE
FULL TIME BECAUSE HE KNOWS THAT
EVENTUALLY HE WANTS TO BE ABLE
TO SUPPORT A FAMILY AND HE'S NOT
GOING TO BE ABLE TO DO THAT ON
WHAT WE'RE FUNDED.
HE ALSO KNOWS THE FACT THAT.
WE HAVE NOT HAD ANY RELIEF FOR
COMPRESSION.
MINIMUM WAGE GOES UP MORE STAFF.
OUR TRAINING.
IS NOT WE DON'T HAVE THE FUNDING
TO DO THE TRAINING THAT IS
NEEDED WE HAVE COMPLEX MEDICAL
NEEDS COMPLEX BEHAVIORAL NEEDS
THAT ARE BOTH NEED THEY NEED
SUPPORT.
THEY NEED PEOPLE WHO WILL VALUE
THE JOB THAT THEY DO AND THEY'RE
PAID APPROPRIATELY FOR IT.
I HAD A STAFF ON FRIDAY WHO HAD
TO RESIGN EFFECTIVE IMMEDIATELY.
BECAUSE SHE CANNOT AFFORD. TO
CONTINUE WORKING THE JOB THAT
SHE LOVES WITH THE PERSON THAT
SHE LIVES.
BECAUSE SHE HAS THREE KIDS SHE'S
A SINGLE PARENT.
SHE ALREADY GETS ALL THE OTHER
GOVERNMENT FUNDING SHE CAN
POSSIBLY GET BUT MCDONALD'S
OFFERED HER FIFTEEN DOLLARS AN
HOUR.
THAT'S REALLY SAD. FOR SOMEONE
TO LOSE THEIR STAFF THAT THEY'VE
HAD FOR TWO YEARS.
BECAUSE WE CAN'T MATCH
MCDONALD'S.
I DON'T KNOW WHAT TO SAY TO THAT
TO MY PERSON WHO CALLED ME
CRYING BECAUSE HER STAFF CAN'T
COMMIT.
WE REALLY APPRECIATE THE FACT
THAT YOU GUYS TOOK THE TIME TO
DO THE STUDY PLEASE PLEASE
PROVIDE THAT FUNDING WE NEED IT
WE NEED IT NOT JUST FOR THAT WE
NEED FOR THE HOUSING.
WE NEED IT FOR THE PROGRAMS WE
NEED IT FOR OUR PEOPLE TO HAVE
THE QUALITY OF LIFE THEY DESERVE.
SO THAT THEY NO LONGER HAVE TO
BE SUBJECTED TO ANY FORMS OF
ABUSE.
AND FACILITIES.
IT'S JUST.
UNACCEPTABLE AND ACCEPTING PAR
STAFF BECAUSE YOU NEED A BODY
THERE IS NOT ACCEPTABLE.
I DON'T WANT SOMEBODY JUST
BECAUSE THEY'RE GOING TO BE
THERE.
I WANT TO BE HE'S GONNA BE THERE
THAT'S GOING TO DO THE JOB.
IT'S GOING TO HELP THAT PERSON
DO WHAT THEY NEED.
HELP THE PERSON FIND HOUSING.
PLEASE WE WE APPRECIATE ITEM
THANK YOU.
HI JAMIE DAVIS EXECUTIVE
DIRECTOR MARIN VENTURES A
PROGRAM IN CENTER FILE ALSO
MEMBER OF CALIFORNIA DISABILITY
SERVICES ASSOCIATION --
MOST OF THE PEOPLE I SERVE 60%
70% DO NOT HAVE FAMILIES.
ARE THE AVERAGE AGE OF OUR
CLIENTS IS MORE THAN FIFTY YEARS
OLD.
WE HAVE ABOUT TWELVE CLIENTS ARE
IN THEIR SEVENTIES.
SOME OF THEM HAVE BEEN WITH US
SINCE WE OPENED IN.
NINETEEN NINETY AND A COUPLE OF
THEM I'VE KNOWN LONGER THAN THAT
I HAVE A REAL COMMITMENT TO THIS
WORK.
I LEARNED ADVOCACY FROM SOME OF
THE FAMILIES THAT WERE THERE
WHEN LANDER MEN.
OF LETTERMAN ACT WAS BEING
PROMULGATED AND THEY TAUGHT ME
HOW TO SPEAK UP.
SO I DO.
I HAD A MAN MY OFFICE HE'S WORK
FOR ME ALMOST NINE YEARS.
HE'S AN EMIGRATE HE HAS A FOUR
YEAR COLLEGE DEGREE.
HE WORKS FOR US EIGHT HOURS A
DAY AND HE GOES TO ANOTHER EIGHT
HOUR JOB FIVE DAYS A WEEK SO IS
BASICALLY TWO FULL TIME JOBS.
WE WERE TRYING TO COORDINATE A
LEAVE.
AND WHEN IT BECAME CLEAR THAT WE
HAVE BEEN ABLE TO TO WORK IT OUT
FOR HIM SO HE COULD GO VISIT
FAMILY.
HE STARTED TO CRY.
I WAS LIKE OH NO SOMEONE'S
CRYING IN MY OFFICE.
I SAID WHAT'S WRONG HE SAID I
LOVE MY JOB HERE SO MUCH.
I DON'T WANNA LOSE IT AND I
DON'T HAVE TO QUIT.
HE MAKES HE'S HE'S A LEAD STAFF
AND SO HE MAKES MORE THAN OUR
AVERAGE STAFF.
BUT THE LIFE HE HAS TO LIVE TURN
THAT MONEY TO HAVE A JOB THAT HE
LOVES AND THE LOVE THAT HE HAS
FOR THE CLIENTS IS SO OBVIOUS.
HE'S IS ONE EXAMPLE OF MANY MANY
PEOPLE I WORK WITH WHO HAVE THAT
KIND OF LOVE AND COMMITMENT FOR
CLIENTS.
IT IS SO CRITICAL FOR US TO GET
THE 8% DOWN PAYMENT.
THANK YOU.
THANK YOU OFFER --
FOR EVERYTHING THAT YOU'RE DOING
HERE TODAY MY NAME IS DAN HOGAN
I'M THE EXECUTIVE DIRECTOR OF
LAS TRAMPAS IN LAFAYETTE
CALIFORNIA.
CELEBRATING SIXTY YEARS SERVING
PEOPLE WITH DEVELOPMENTAL
DISABILITIES TEN YEARS PRIOR TO
THE LAND CAM AND ACT.
I'VE BEEN IN THE FIELD SINCE
NINETEEN NINETY THREE AND I'VE
SEEN ITS UPS AND DOWNS AND WE
ARE WAY DOWN.
IN THE LAST THREE YEARS WE HAVE
HAD TO CLOSE TO ADULT
RESIDENTIAL FACILITIES FOR
LOSING A HUNDRED AND TWENTY FIVE
THOUSAND DOLLARS EACH.
A YEAR.
I'M WE HAVE HAD TO INCREASE OUR
STAFF WAGES LAST YEAR WITHOUT
INCREASES FROM THE STATE.
JUST TO TRY TO MAINTAIN STAFFING
RIGHT ORDER TRY TO GET MORE
STAFF SO WE CAN GET CLOSE TO OUR
STAFFING RATIO.
WITH NO SUCCESS.
THAT IN OF ITSELF PUT US IN THAT
IT IN A DEFICIT THIS YEAR OF
ANOTHER TWO HUNDRED AND FIFTY
THOUSAND DOLLARS.
SO I APPRECIATE THE EFFORTS OF
THE 8% INCREASE THAT WILL HELP
US TO ACTUALLY GET TO A BREAK
EVEN [inaudible]
HOWEVER.
IN ORDER TO MAKE THAT BREAK EVEN
WE WILL BE CLOSING TO MORE
RESIDENTIAL HOMES THIS YEAR --
BECAUSE WE CANNOT SUSTAIN THIS
ANY LONGER WE'VE EATEN THROUGH
MUCH OF OUR RESERVES AND WE NEED
TO REIMBURSE OURSELVES IF WE'RE
GOING TO KEEP OUR DOORS OPEN.
FOR YEARS IN THE PAST SO LET'S
NOT DELUDE OURSELVES 58% IS
STABILIZATION.
LET'S MAKE SURE THAT IT IS I
PROMISE.
THAT THINGS WILL CHANGE PASS
THIS NEXT YEAR AND THAT WE WILL
GET REAL RATES THAT SUPPORT THE
PEOPLE THAT WE SERVE AND THE
STAFF THAT WE HAVE.
THANK YOU FOR YOUR TIME
[inaudible]
THANK YOU.
GOOD AFTERNOON EVERYONE MY
NAME'S LERI ANGLE AND I
REPRESENT THE ARC OF PLASTER
COUNTY [inaudible]
AND JUST WANT TO SAY ABOUT THAT.
HOW IMPORTANT THESE UP SERVICES
HOW THE SUPPORTS AND SERVICES
ARE TO NOT JUST ME BUT TO MANY
PEOPLE THAT I ADVOCATED FOR WITH
INTELLECTUAL AND DEVELOPMENTAL
DISABILITIES?
I'M FIFTY SIX YEAR OLD AND I
HAVE AUTISM [inaudible]
AND THIS.
THE SERVICES HAVE REALLY HELPED
ME OUT IN WAYS NOT COULD BE OLD
AT LEAST.
BECOME SELF SUFFICIENT AND BE
ABLE TO GO OUT AND DO.
THINGS IN THE COMMUNITY AND FOR
ALL RIGHT KIND OF STUFF AND I
REALLY APPRECIATE THE IDEA THAT
YOU CAN RUN THE INCREASE IT TO A
WE HAVEN'T 8% INCREASE WHICH I
WHICH I REALLY APPRECIATE IN ALL
OF THE AYE THANK YOU VERY MUCH
FOR THAT.
AND ON A SIDE NOTE I JUST WANTED
TO SAY I BEEN INVOLVED WE HAVE.
MY PREVIOUS ART PROGRAM IN
VENTURA FOR ABOUT EIGHT YEARS.
AND I'VE WORKED WITH SO MANY
GREAT STAFF THERE AND A LOT OF
ROOM.
THE NUMBER OF COURSE OUT.
HAVE SAID THAT THEY HAVE BEEN
GROWTH THAT EVEN VERY MUCH
UNDERPAID AND LOT OF ROOM THAT I
HOLD DEAR.
HAD TO LEAVE BECAUSE THEY JUST
COULDN'T.
YEAH BY ON THAT [inaudible]
AND I'M.
I REALLY APPRECIATE THAT THAT'S
THAT YOU NOT THAT THAT EVERYBODY
IS WILLING TO WORK IN ARM TO OUT.
MAKE AN INCREASE IN RATES AND
EVERYTHING LIKE THAT.
NOT A SIDE NOTE I JUST WANT TO
SAY.
IT WOULD BE TRULY DEVASTATING IF
THE SERVICES AND SUPPORTS WITH A
CUT OR ELIMINATED BECAUSE MANY
OF THE PEOPLE THAT I HAVE HAVE A
CAVE FOR IT.
WITH INTELLECTUAL AND
DEVELOPMENTAL DISABILITIES THE
PANEL ON THE SERVICES.
THEY WOULDN'T BE ABLE TO GET BY
WITH.
ANY OF THEM.
AND FOR THAT I JUST WANNA SAY AT
BEST WAY AT BUDGET TIME IN WHICH
I ALWAYS.
IN THE RECENT YEARS OF COURSE
WITH THAT OUR THE SYSTEM BEYOND.
IN A POSITION WHERE I MAYBE OF
COLLAPSING OR SOMETHING LIKE
THAT.
I DON'T WANT TO SEE THAT HAPPEN
AND I MEAN I'M NOT JUST SPEAKING
FOR MYSELF I'M SPEAKING TO ALL
THE PEOPLE THAT I REPRESENT.
THAT.
HAVE IN ALLEGE ONE DEVELOPMENTAL
DISABILITIES.
I'D HATE TO SEE THE SERVICES.
DELIVERY CUT OR TOTALLY
ELIMINATED.
YES I KNOW THEY DEPEND ON THEM.
TO MAKE THEIR LIVES SO MUCH
BETTER THANK YOU THANK YOU SIR.
MISTER CHAIR MEMBERS ROBERT
HARRISON BEHALF ABOUT CSU
CALIFORNIA WE WOULD SAY WE
REPRESENT FOUR THOUSAND WORKERS
IN IN IN THAT LETTERMAN SYSTEM
THE TRUTH OF THE MATTER IS IT'S
ACTUALLY A LOT MORE.
BECAUSE A LOT OF OUR HOME CARE
PROVIDERS.
WHO ARE MEMBERS ALSO WORK FOR
SLS? FOR THEIR SECOND INCOME AND
THAT'S PROBABLY IN THE SEVERAL
THOUSAND MORE SO WE SUPPORT THE
8%. FOR ALL OUR PEOPLE WORK IN
THE SERVICE INDUSTRY AND FOR THE
PEOPLE THEY CARE FOR THEY CAN
ALL GO OUT TOMORROW AND FIND A
BETTER PAYING JOB AND I DO THIS
BECAUSE THEY LOVE IT.
AND THEY DO IT BECAUSE THEY LOVE
IT AND MAKE ALL THE TIME YOU
TALKED HIM HOW ARE YOU WELL I'M
STARVING THOUGH IN THAT I LIKE
MY JOB.
WHICH IS LIKE AT THE HORDE THING
THEY HAVE TO SAY TO PEOPLE.
FROM PEOPLE WHO WORK SO HARD AND
CARE SO MUCH.
THE SECOND THING IS WE ALSO
REPRESENT A LOT OF PEOPLE WHO
WERE THE OF REGIONAL CENTER LIKE
CASE MANAGERS.
AND WERE TOTALLY.
AS THE PYLON.
MISS WRESTLING'S COMMENTS WERE
TOTALLY OUT OF WHACK ON OUR
FEDERAL RATIOS FOR THAT.
WE HAVE DATA WILL BE SHOWING YOU
SPREADSHEETS.
THE CHILDREN IT'S A LOT WORSE
THAN WHAT YOU HEAR ABOUT.
AND ALL OF THOSE PEOPLE TO GO TO
WORK FOR COUNTY AND MAKE MORE
MONEY TOMORROW.
THEY COULD ALL AS SOCIAL WORKERS
I COULD GO ALL GO TO WORK FOR
CITY THEY CAN GO TO WORK FOR
PRIVATE COMPANIES TOMORROW.
AND THEY DON'T WANT TO BECAUSE
THEY LOVE WHAT THEY DO AND THEY
LOVE WHO THEY WORK WITH.
SO WHEN WE TALK ABOUT THIS 8%
WE'RE ALSO TALKING ABOUT TRYING
TO GET THE STAFFING UP BECAUSE
IF YOU HAVE THE PEOPLE TO GET
THE TO DIRECT CLIENTS TO
SERVICES.
THEN THE SITE CLIENTS DON'T GET
THE SERVICES THEY NEED.
SO WE SUPPORT 8% YOUR THING AND
REALIZE THAT A LOT HAS TO BE
DONE A LOT HAS TO CHANGE IN THE
SYSTEM IN THE MEANTIME THERE'S
EXTRA CASH. 8% IT'S POSSIBLE TO
DO IF IT IS WHETHER OR NOT IT'S
TIED THE ON GOING BECAUSE THE
ONGOING THINGS.
A BIGGER NOT TO CRACK.
BUT ONCE WE MAKE THE INVESTMENT.
TO START WITH THEN IT GETS
EASIER AND THEN WE GET BETTER
SERVICES AND THEN WE GET BETTER
OUTCOMES.
AND WE'RE ALL BETTER OFF FOR IT
THANK YOU.
THANK YOU SIR.
AS A KID.
GOOD AFTERNOON MY NAME IS ROBERT
NEIGHBOR AND I SUPPORT AND I
SUPPORT OUR STUDIO.
SEVEN HUNDRED I HAVE AUTISM.
AND I GO TO STUDIO SEVEN HUNDRED
EVERY DAY.
AND THEN WITHOUTTHE STUDIO
SEVEN AND I WOULD KNOW WHAT TO
DO WITH MYSELF I WOULD THAT BE
SITTING AROUND DOING NOTHING.
WITHOUT STUDIO SEVEN HUNDRED
THERE'S A LOT OF PEOPLE THERE AT
MY MAKE FRIENDS WITH A LOT OF
PEOPLE THAT.
RICK WHAT REQUIRE AND AND WANT
TO GO THERE.
I'VE SEEN A LOT OF THINGS A LOT
OF PEOPLE.
SO DON'T DON'T DON'T CUT MY
PROGRAM PLEASE I JUST WANT TO
KEEP GOING.
MAKE FRIENDS AS A LOT OF AS A
LOT OF PEOPLE THERE THERE'S A
LOT.
AND THEY ALL ASKED ME IF THEY'RE
GOING TO BE LOSING THEIR PROGRAM
THEY HAVE NOTHING TO DO BY
THEMSELVES OR THE US.
THEY GET DEVASTATED THEY THEY
GOT NOWHERE TO GO.
MY GOD I'M FINE INDEPENDENT
LIVING I LIVE ON MY OWN BUT I
ONLY HAVE MY SISTER.
THE TAKE CARE MAN THAT WITHOUT
THAT I JUST DON'T KNOW I WOULD
LOSE MY PLACE.
SO I NEED ALL THE SUPPORT I NEED.
WITH MY SISTER MEDICAL AND ALL
THAT GOOD STUFF BUT STUDIO SEVEN
HUNDRED IS WHAT KEEPS ME GOING
DURING THE DAY.
THE DAY PROGRAM VERY VERY GOOD
PLACE I APPRECIATE EVERYTHING
AND I HOPE I HOPE IT HELPS BUT
THE VOICE AND ALL THE INCREASE
AND YOU'RE TRYING TO DO.
SO YEAH.
I APPRECIATE EVERYTHING THIS IS
MY FIRST TIME HERE SO I'M DOING
THE BEST THANK.
YOU DID GREAT THANK YOU ON A
RAINY AFTERNOON HERE.
WHAT I'M DOING THE BEST THANK
YOU THANK YOU [inaudible]
WE WERE [inaudible]
REPORTER.
HELLO.
I'M MY NAME IS JANE SLICK HEAT I
AM THE PARENT OF A TWENTY SIX
YEAR OLD --
SON AND THAT HAS A PARTIAL
COMPLEX SEIZURE DISORDER.
YEAH HE'S GOT INTELLECTUAL
DEVELOPMENTAL DISABILITIES.
THROUGHOUT HIS LIFE WE'VE BEEN --
BRETT IT'S BEEN RECOMMENDED BY
THE PROFESSIONALS THAT WORK WITH
THEM TO TRY MAKE HIM AS
INDEPENDENT AS YOU CAN POSSIBLY
BE.
SO WE'VE DONE OUR JOB HE WORKS
THE COURTESY CLERK ANNE'S LIVING.
ON HIS OWN.
IN AN APARTMENT BUT HE CAN'T DO
IT WITHOUT SUPPORTED LIVING
SERVICES.
SO WE'RE VERY DEPENDENT ON THAT
SERVICE AS WELL AS THE REGIONAL
CENTER.
OF THE EAST BAY SERVICES.
I IT JUST MAKES LIFE SO MUCH
BETTER AND OFTEN AT HIS ANNUAL
REVIEWS WE OFTEN ASK THEM WHAT
HAPPENS WHEN HIS DAD AND HIS MOM
ARE NO LONGER HERE.
WHO'S GOING TO TAKE CARE OF THEM --
AND THE ANSWER IS ALWAYS THE
REGIONAL CENTER WILL AND SO WILL
SUPPORTED LIVING SERVICES SO WE
NEED TO KEEP THE SERVICES GOING.
SO I I'M HERE --
TO ASK YOU TO SUPPORT THE 8% ASK
THANK YOU THANK YOU MA'AM.
GOOD AFTERNOON MY NAME IS KEVIN
ROTH FOR A REPRESENT THE
CALIFORNIA SUPPORTER LIVING.
NETWORK BUT AND THE CALIFORNIA
RESPITE ASSOCIATION COMPLIMENTS
ASSOCIATION HAS --
SERVICE OVER FIFTY THOUSAND
CLIENTS WITH DEVELOPMENTAL
DISABILITIES IN PLACE PROBABLY
AROUND FORTY THOUSAND WE LIKE TO
SUPPORT EVERYTHING THAT JACKIE
SAID.
ON BEHALF OF THE SUPPORTED
LIVING NETWORK WE'VE CO
PARTNERED THIS STUDY --
THAT FOCUSED ON COMPETING
OCCUPATIONS SO AS SONYA --
TALKED ABOUT THE INPUTS ARE
REALLY GOOD MODEL THAT BURNS AND
ASSOCIATES HAS CREATED
ELIMINATING MASSIVE
INCONSISTENCIES AND RATE
SETTINGS.
BUT YET WE FEEL THERE'S MORE TO
DO AND IN THE SPIRIT OF
CONSTRUCTIVE CRITICISM --
WE'VE ALSO --
IF ALSO SET UP THE FIRST
COMMENTS THAT WE'VE HAD ON THE
ON AT ANALYZING THE PROPOSED
DIRECT CARE STAFF.
RATIO AND WE THINK THAT --
THAT.
THE WAGES --
CAN BE MORE ACCURATELY
REPRESENTED IF COMPETING
OCCUPATIONS ARE INCLUDED ALL THE
STORIES YOU HEAR TODAY ARE NOT
OF PEOPLE LEAVING FROM. FOUR TO
SERVE A PERSON WITH A
DEVELOPMENTAL DISABILITY TO WORK
IN A CONVALESCENT HOSPITAL IT'S
ABOUT GOING TO GAS STATIONS AND
FAST FOOD FAST CASUAL FOOD.
AND I CAN ADD SECURITY GUARDS
ACCOUNTING CLERKS --
RECEPTIONS JOBS ALL OF THOSE
JOBS PAY --
MORE THAN WHAT WE CAN PROVIDE
AND WE HAVE TO LOOK AT THOSE
JOBS IN A SYSTEMATIC MANNER. TO
MAKE SURE THAT OUR WORKERS ARE
PAID SOMETHING NOT ONLY THAT
THEY NOT ONLY SO THAT THEY'RE
HAPPY WHICH THEY SHOULD BE IN
CAN AFFORD TO LIVE IN CALIFORNIA.
BUT ALSO SO THEY DON'T QUIT.
THE STATE HAS SAID WE'RE GOING
TO SIR AS A PRACTICAL PROBLEMS.
THEY CAN'T COMPETE WITH ENTRY
LEVEL AND LOW MID LEVEL JOBS.
AND THEY'RE LOSING THEIR WORK
FORCE WHICH IS OUR FORCE.
AND SO THAT STUDY THAT WE'RE
ANNOUNCING TODAY AND GIVING TO
THE LEGISLATOR MANY OF YOU HAVE
THE PRESIDENT SO SHE'S HAD IT
FOR MONTHS THEY'VE HAD A METHOD
FOR MONTHS WE HOPE THAT YOU TAKE
THAT INTO CONSIDERATION.
I'D ALSO LIKE TO SAY MUCHAS
GRACIAS FOR THE RECOGNITION THAT
FINING PEOPLE WHO SPEAK SPANISH
AND OTHER LANGUAGES.
IS EXTREMELY IMPORTANT MONSTERS.
HUNDREDS IF NOT THOUSANDS OF
THOSE PEOPLE SO --
I'LL TRY --
TO STOP NOW ON BEHIND.
AND SUBMIT THIS TO YOU AND WE
LOOK FORWARD TO WORKING WITH DTS
AND FRIENDS AND ASSOCIATES IN
THEIR STUDY AND REFORMS.
THANK YOU SIR.
HELLO.
MY NAME IS BECAUSE OF THE MANY
EVENTS AND I HAVE TWO TWO SONS
TWO ADULTS THAT HAVE AUTISM.
THEIR CLIENTS OF EASTER LOS
ANGELES REGIONAL CENTER AND
NUMBER PERCENT IN THEY
INTEGRATED COMMUNITY COLLABORATE.
AN AS A MOTHER OF TWO KIDS THAT
ARE ON THE SPECTRUM IN A VERY
DIFFERENT LEVELS I UNDERSTAND.
HOW IMPORTANT IT IS TO PAY FOR
YOUR CASE HAVING TWO KIDS?
EVERYBODY WANTED TO WORK WITH
THE HIGHER FUNCTIONING KIT BUT
NOBODY WANTED TO WORK WITH MY
DAD.
IS LIKE.
IT WAS LIKE YOU REALLY BAD BACK
I MEAN THEY'RE ADULTS NOW IF YOU
THINK I'M.
BETTER NOW [inaudible]
BUT I REMEMBER THOSE THINGS
[inaudible]
THANK YOU.
BECAUSE EVERYBODY WANTED TO WORK
WITH THIS STORE AND NOBODY
WANTED TO WORK WITH THAT.
THAT WAS VERY HARD I'VE BEEN.
THERE ARE DOGS AND I THINK THEY
DID THE BEST THAT I COULD.
BUT I DIFFERENT SUPPORT 8%.
INCREASE.
IN A SPECIALLY THEM.
HIGHER RATES FOR HIGHER NEEDS.
THAT THAT WILL MAKE A DIFFERENCE
INDICATES MIGHT.
THINK.
THANK YOU HOST OF IN.
MY NAME IS CONNIE LIFE AND I'M
THE MOTHER OF A SON WHO'S NOT
GOING TO BE.
FIFTY ONE SO THIS ISN'T MY FIRST
TIME HERE.
I WISH IT WAS MY FIRST TIME --
AND I I I AGREE WITH SO MANY
PEOPLE THAT ARE TELLING YOU WHEN
I I WANT TO THANK YOU. FOR BEING
SO PASSIONATE HAVING A HEART AND
BUT I WANT TO TALK ABOUT A
LITTLE OTHER PIECE THAT I FEEL
HAS BEEN SPOKEN OF BUT NOT
ENOUGH.
WE AS FAMILY MEMBERS AND
CONSUMERS DON'T FEEL LIKE WE'RE
STILL AT THE TABLE WE MAY SERVE
AND STAKEHOLDER I I'VE BEEN ON
EVERY STAKEHOLDER GROUP. FOR
YEARS I'M WE WANT TO BE FIRST IN
LINE THE PEOPLE THAT ARE
RECEIVING THE SERVICES WE WANT
TO SAY HOW WE FEEL ALSO.
THIS SURVEY WAS ON I FELT AN
AFTER THOUGHT IT WASN'T IN THE
BEGINNING OF THE RATE STUDY.
AND I WANT TO ASK AND I HOPE YOU
ASKED HOW THE RESPONSES WILL
ULTIMATELY RELATE TO THE
RECOMMENDATIONS.
OF HOW WE'RE GOING TO FIND THE
SYSTEM.
SO I'M A PASSION FOR THERE ARE
SELF DETERMINATION.
PROJECT PROJECT TIE I DON'T EVEN
KNOW WHAT TO SAY BECAUSE IT'S
GOING TO BE IMPLEMENTED.
BUT THE IMMINENT START OF THE
SELF DETERMINATION PROGRAM
DIDN'T WASN'T TAKEN INTO ACCOUNT
ON THIS RATE STUDY --
MANY INDIVIDUALS AS YOU'VE HEARD
AND BELIEVE ME I CAN'T TAKE
PEOPLE WALK IN THE DOOR THEY
MEET MY SON MY SON IS NON VERBAL
STU LEE DIAGNOSE TIAS SEVERE
AUTISM.
AND I I GUESS WHAT I DO I'VE
LEARNED TO DO I'M A CHEERLEADER
HE IS SO FANTASTIC GREAT SENSE
OF HUMOR.
I MEAN HE DOES A FEW OTHER
THINGS BY AND AND SO I FEEL THE
PAIN OF FAMILIES IN PEOPLE WITH
MORE SEVERE CHALLENGES.
I'M I FEEL THE PAIN FOR
EVERYBODY BUT IT'S REALLY A
STRUGGLE TO GET STAFF.
AND WE WANT TO COMPENSATE STAFF
ADEQUATELY WE WANTED TO BE A
CAREER PATH WE WANT SOMEBODY TO
FEEL GOOD ABOUT WHAT THEY'RE
DOING AND NOT LEAVE US.
I HAVE MORE WAR STORIES I WISH I
COULD TELL YOU AND I WISH I HAD
A MAGIC WAND AND I CAN ANSWER
ALL OF MY WAR STORIES TO YOU.
ANY RATE ADJUSTMENTS ALLOW IT
SHOULD ALLOW FOR THE PEOPLE WITH
HIGHER NEEDS AND I WANT TO ASK
STAFF BECAUSE I READ THESE
THINGS REALLY CAREFULLY LIKE.
IS IT THE SEXY PART HERE IS THIS
THE PART I'M REALLY GLUCK KING
FOR THAT AND NUMBER TWO OUR
OUTCOMES AND CONDITIONS OF
CONSUMERS PART OF THE
METHODOLOGY AND THE RATE STUDY.
AND IF NOT IF THERE ARE WAYS TO
EDDIE INTO ANY NEW RATE SETTING
SYSTEM THAT MIGHT BE ADOPTED AND
BUILD WE'RE HERE.
WE WANT TO BE IN CHARGE OF OUR
LIVES AND SO I THANK YOU FROM
THE BOTTOM OF MY HEART.
THANK YOU MA'AM.
HI.
I'M PAM JOHNSON I'M FROM BECAUSE
I CALIFORNIA.
I'VE BEEN WORKING WITH BOTH WITH --
DEVELOPMENTAL DISABILITIES SINCE.
NINETEEN SEVENTY FIVE WE'RE ALL
GETTING OLD TOGETHER.
AND WE WATCH EACH OTHER EXCEPT I
COLOR SO THEY DON'T NOTICES MUCH.
I I THINK YOU'VE HEARD QUITE A
BIT.
ABOUT THE CRISIS WERE HAVING
THAT WE WE CAN'T FIND PEOPLE TO
WORK WITH SOME OF THE MOST
VULNERABLE PEOPLE WHO WAS OUT.
THE PEOPLE WERE HUMAN SERVICES
WE NEED HIM THAT'S BECAUSE OF WE
DON'T HAVE THE HUMANS WE CAN'T
PROVIDE THE SERVICE WE CAN'T
PROVIDE THE SAFETY NET.
SO ALL I WANT TO ADD TO THE
CONVERSATION.
IS IT CALIFORNIA'S HAVING CRISIS
AFTER CRISIS.
WE'RE HAVING FLOODS [inaudible]
READING FIRES.
WE CAN'T DO ANYTHING ABOUT THEM
BUT WE CAN RESPOND TO THEM
QUICKLY AND ABLY.
THE CRISIS IN THE SYSTEM.
CAN BE DEALT WITH.
IT DOESN'T HAVE TO BE A CRISIS
SO I URGE YOU TO DO WHAT YOU CAN
TO PREVENT THIS VERY TRAGIC
HUMAN CRISIS.
IF PROVIDERS KEEP FALLING AWAY.
AND THE PARENTS OF MY FOLKS
AREN'T STILL ALIVE.
WHO'S GONNA LOOK OUT FOR THEIR
BEST INTERESTS.
SO THANK YOU VERY MUCH THANK YOU
MA'AM.
MISTER CHAIR MEMBERS --
GUY HOUSTON FROM MISSION HOPE
DAY PROBE AND TODAY WERE ALL
HERE WE HAVE WE HAVE SOME
CHAMPIONS HERE WE HAVE.
A SIMILAR FRAZIER HOLDEN AND
MATHIS AND WE'RE ALL HERE TO SAY
WE WANT ALL OF YOU TO BE OUR
CHAMPIONS.
AND WE NEED THAT WE NEED TO SAY
PERCENT INCREASE AS A DOWN
PAYMENT --
WE HAVE A 40% TURNOVER ADMISSION
HOPE -- SO
OBVIOUSLY PAYING OUR MEMBERS OR
OR OR OR EMPLOYEES ARE VERY VERY
IMPORTANT --
BUT WE ALSO IN THE LAST DECADE
OR MORE WE HAVE RENT INCREASES
P. JEANNIE GOES UP A
TRANSPORTATION GOES UP ALL THE
COSTS GO UP AND SO WE'VE HAD A
ZERO FOR OVER A DECADE --
AND SO THE OPERATION OF THE
COMPANIES --
AS WELL AS THE HEALTH OF OUR OF
THE CLIENTS THAT WERE SERVING IS
ESSENTIAL THAT WE HAVE THIS A
PERCENT DOWN PAYMENT. ONE LAST
THING I'D LIKE TO SAY THAT I
THINK IS IMPORTANT IT HAS BEEN
TALKED ABOUT TOO MUCH IS WE TALK
ABOUT SELF DETERMINATION ALL THE
GREAT THINGS WHEN TO GET PEOPLE
ON THE COMMUNITY.
AND IF YOU DON'T HAVE
TRANSPORTATION OR MOBILITY --
FOR FOLKS IT'S NOT GONNA HAPPEN.
AND SO THERE NEEDS TO BE UP IN
ABOVE THIS RATE STUDY KIND OF AN
EMPHASIS ON HOW WE'RE GOING TO
ENABLE PEOPLE TO IT TO GET
AROUND.
AND AND ENJOY AND BE PART OF THE
GREATER COMMUNITY TRANSPORTATION
SINCE YOU WILL NEED TO LOOK AT
THANK YOU VERY MUCH.
THANK YOU SIR AND WELCOME BY.
THIS GERMAN MEMBERS SEVEN OF US
CARL WANTED I'M HERE ON BEHALF
OF THE ALLIANCE SUPPORTING
PEOPLE WITH INTELLECTUAL
DEVELOPMENT DISABILITIES.
I'LL JUST NOTE THAT I'M ALSO A
PARENT --
ALSO THE TWENTY TWO YEAR OLD --
THAT SEEMS TO BE A MAGIC GAUGING
THE SYSTEM AND RIGHT NOW WE'RE
IN THE MIDDLE OF INTERVIEWING
AGENCIES AND LOOKING AT THE THE
FUTURE.
FOR OUR SON --
I ALSO SERVE ON A BOARD OF A
COMMUNITY BASED NONPROFIT THAT
SERVES SIX HUNDRED PEOPLE IN
THIS IN THE SACRAMENTO REGION.
SO TRYING TO PUT MY MONEY WHERE
OUR MOUTH IS ON EVERY LEVEL.
AND FEEL LIKE OF A PRETTY GOOD
COMMAND UNDERSTANDING THE SYSTEM
THESE DAYS I'M GONNA START TODAY
BY.
THANKING ASSEMBLY MEMBERS --
HOLDEN AND FRAZIER --
IN REALLY APPRECIATE THAT ALSO
WHEN I THINK MISTER MATHIS --
IN IN PARTICULAR --
HIS STAFF MEMBERS WELL FOR
HELPING TO RALLY THE REPUBLICAN
CAUCUS.
I DON'T REALLY THINK THIS IS A
PARTISAN ISSUE HOWEVER YOU GUYS
GOT THERE IN SUPPORT OF THIS --
I'M YOU KNOW I'M I'M GREATLY
APPRECIATIVE OF THAT --
I DO WANT TO REITERATE THE NOTE
THAT -- IT'S
HIGHLY UNLIKELY THAT THE STREET
STUDY GETS IMPLEMENTED IN THIS
BUDGET IS JUST NOT GONNA HAPPEN
THERE'S NOT ENOUGH TIME TO DO
THAT WE'RE GONNA BE IMPLEMENTING
IT. FOR A LONG TIME IF AT ALL --
WOULD NOTE THAT IN THE PAST
WE'VE HAD.
SIMILAR DISCUSSIONS ABOUT RATES
AND IT'S ONLY PARTS OF THOSE
HAVE BEEN IMPLEMENTED SO --
WHEN THIS PRICE AG ONLY COMES
DOWN YOU GUYS LOVE IMPORTANT
POLICY DECISION TO MAKE?
TODAY THOUGH THE BIGGEST ISSUE
FACING THE SYSTEM WITHOUT IT OUT
AS CAPACITY.
AND WHETHER THE DEPARTMENT OR
OTHER PEOPLE ELECTED MATHIS OR
NOT WE HAVE A PROBLEM THROUGHOUT
THE SYSTEM STATEWIDE.
WITH --
WAITING LESS AND PROGRAMS AND
WERE NOT ACCEPTING PEOPLE OR
PUTTING PEOPLE INTO PROGRAMS
THAT ARE NOT QUITE APPROPRIATE
FOR THEM BUT THE BEST THEY CAN
OFFER AT THIS TIME BECAUSE OF
THE STAFFING.
AS HAPPENING OVER THE ENTIRE
STATE A SURE YOU IN DISCUSSIONS
WITH OUR PROVIDERS THAT'S
HAPPENING --
THE RATE STUDY WILL COME OUT
WITH THE WINNERS AND LOSERS
MENTALITY AT SOME POINT IT WILL
PICK SOME PROGRAMS.
I DO WANT TO TAKE A LITTLE BIT
EXCEPTION WHAT WAS SAID EARLIER
ABOUT TRYING TO TIE THESE TO
EACH CBS TODAY.
THE MOST IMPORTANT THING I THINK
WHEN NEW AT THIS MOMENT IS
PRESERVE CAPACITY WE HAVE NEW
PEOPLE COMING INTO THE SYSTEM.
WE DON'T EVEN HAVE ENOUGH SLOTS
TODAY LET'S PRESERVE WHAT WE
HAVE AND GIVE PEOPLE THE
OPPORTUNITY TO CHANGE IF THEY'RE
GOING TO HAVE TO CHANGE LATER.
BUT KEEP AS MANY PEOPLE IN THE
SYSTEM AS POSSIBLE SERVED THE
IMPORTANT THING THERE.
IS THAT EVERY PERSON IS IN A
PROGRAM WITH YOU LIKE IT OR NOT
OR WHETHER NOT SEEN A FAVORED
PROGRAM OR NOT.
THAT PROGRAM IS SITTING IN AN I.
P. P..
IN SOMEONE'S FILE AT A REGIONAL
CENTER IT'S BEEN APPROVED.
AND THERE'S NOTHING ILLEGAL
ABOUT IT SO TO WALK AWAY FROM
THAT AND START TO PICK WINNERS
THE FULL.
SET OF WHAT YOU'RE GOING TO BE
DOING IN YOUR CONSIDERATIONS ON
THIS RATE STUDY.
IS ABSOLUTELY NONSENSICAL SO I
DISAGREE WITH ANYBODY WHO TAKES
THAT VIEW TODAY IT MAY BE WHERE
WE GO BECAUSE WE HAVE TO WITH
EACH CBS.
AND THE RATE STUDY
IMPLEMENTATION IF INDEED WE
IMPLEMENT.
AND YOUR THE WAY CSUS AND SAVING
IT RIGHT NOW.
THANK YOU VERY MUCH THANK YOU
SIR THANK YOU.
WELL SEVERAL FEATURES EXPORT I
RISE IN SUPPORT OF THE PERCENT
FROM AND THANK SOMERS FRAZIER
HOLE FOR BRINGING FORWARD.
I ALSO BELIEVE THAT THE RATE
STUDY HAS GREAT MERITS.
I AM HAVE CONCERNS ON A NUMBER
OF THE INPUTS AND SOME OF THE
ASSUMPTIONS THAT ARE BURIED
INSIDE OF THAT.
WHICH MAY CAUSE SOME SERVICES TO
ACTUALLY NO LONGER BE PROVIDED
BECAUSE IT THE RATES THAT CAME
OUT OF THESE IN THE REPOSE ALL.
ARE ONES ARE LESSEN GETTING PAID
TODAY IN A SERVICE A WE ALREADY
DON'T HAVE ENOUGH PROVIDERS FOR
SUPPORT EMPLOYMENT INDEPENDENT
LIVING.
SOME OF THOSE WHICH ARE KEY
SERVICES ARE ARE IN THAT
CATEGORY SO I THINK WE DO NEED
TAKES A LOOK AT IT.
I DO LIKE THE TRANSPARENCY I DO
LIKE THE ABILITY TO MOVE FORWARD.
I AGREE WITH THE EFFORTS THAT
DONE BY CSL LAND AND SEA ARRAY
RELATED TO THE MARKET RATES.
IN THE BAY AREA THE ENTRY LEVEL
WAGES SEVENTEEN DOLLARS.
THE ENTRY LEVEL WAGE IN THE
STUDY IS.
FOURTEEN SIXTY NINE WERE OUT OF
WHACK THERE SOME HOUSE WE NEED
EVEN WITH OUR JUSTICE RECENTLY
TO DEAL WITH IT SO CAN THINK IF
YOUR TIME I LOOK FORWARD TO THE
DELIVERY REPORT I DID HERE I
BELIEVE THE DIRECTOR SAY THAT
THERE. ONE COMMENT BUT I DIDN'T
CATCH THE DATES.
OR SHE MAY NOT HAVE SAID IT SO I
MAY PUT ON THE SPOT I APOLOGIZE
FOR THAT BUT IF I MISSED IT I
WOULD LIKE TO KNOW WHAT AND IF.
OTHERWISE I SOME TO GET AMOUNTS.
TO THANK YOU SIR.
HI NANCY CHANCE --
THE I AM EXECUTIVE DIRECTOR OF
CHOICES PERSON CENTERED SERVICES
ON I'M ALSO A MEMBER OF THE THE
PERSON CENTERED ADVOCACY
PARTNERSHIP.
I AM HERE --
WELL THANK YOU TO EVERYBODY
WHO'S.
WHO'S BEEN INVOLVED IN ALL OF
THE BUT EVERYTHING WE'RE TRYING
TO DO TO SUPPORT THE SYSTEM --
I TOO WAS A MEMBER OF THE THE
WORK GROUP AND HAD SAT THROUGH
MANY MANY HOURS AND I KNOW THAT
THE EFFORTS THAT HAVE GONE INTO
THIS AND WHILE I MAY NOT AGREE
WITH EVERYTHING.
I DO THINK IT'S TRANSPARENT AND
I APPRECIATE THAT VERY MUCH --
I WANT TO SAY THAT --
AND I WHEN I I I AGREE WITH
PRETTY MUCH EVERYTHING JACQUI
DILLARD BOSS SAID.
BUT MY BIGGEST CONCERN IS OUR
WORKFORCE --
I CAN'T TAKE MORE PEOPLE BECAUSE
THEY CAN'T HIRE ENOUGH PEOPLE TO
TAKE MORE PEOPLE I HAVE A
WAITING LIST MAN THE OTHER THING
IS IS THAT.
I'VE ALWAYS WORKED REALLY HARD
TO STAY AHEAD OF THE MINIMUM
WAGE YOU DIDN'T WANT TO BE A
MINIMUM WAGE PROVIDER AND
WHERE MINIMUM WAGE PROVIDER AND
I'M EMBARRASSED TO SAY THAT BUT
I DON'T HAVE AN OPTION SO THESE
ARE THINGS THAT ARE REALLY
WORRISOME BECAUSE THEN I BRING
WE BRING PEOPLE IN THAT ARE NOT
SUSTAINABLE THAT?
DON'T REALLY UNDERSTAND OUR
SERVICES AND WE LOSE THOSE
PEOPLE THAT HAVE BEEN HERE FOR A
REALLY LONG TIME AND WHO DO
UNDERSTAND HOW TO PROVIDE
SERVICES IN A WAY THAT NEED TO
BE PROVIDED SO.
I SUPPORT ANYTHING THAT GIVES US
A FRAMEWORK FOR PROFESSIONAL
ISING HOURS WORK FORCE I THINK
IT'S A REALLY IMPORTANT AND I
DON'T THINK WE CAN KEEP.
ASKING TO HAVE INCREASES AND FOR
OUR WORKS WERE FORCED TO BE
SUPPORTED WITHOUT SOME SORT OF
FRAMEWORK SO --
THANK YOU THANK YOU MA'AM
[inaudible] FOR MARTY MOTO
CALIFORNIA DISABILITY SENIOR
COMMUNITY ACTION NETWORK TO YOU
CAN ALSO CALIFORNIA PERSON
CENTERED ADVOCACY PARTNERSHIP
MOST IMPORTANT OBAMA FAMILY MY
OLDER SISTER ELENA.
HAD DEVELOPMENTAL DISABILITIES
AND PHYSICAL DISABILITIES MENTAL
HEALTH NEEDS PASSED AWAY IN TWO
THOUSAND THREE I WORKED WITH HER
ALL HER LIFE --
AND IT WAS A STRUGGLE MOVING HER
UP THE PROVERBIAL MOUNTAIN. TO
INCLUSIVE LIVING.
AND MORE INDEPENDENCE.
AND IT WAS HARD ALL THE WAY AND
IT WAS HARD TRYING TO STOP HER
FROM SLIPPING DOWN THE OTHER
SIDE.
WHEN SHE FINALLY DID DIE?
AND I WORKED BECAUSE OF HER IN
THIS INDUSTRY IS DIRECT CARE
WORKER BACK IN THE MID NINETEEN
SEVENTIES.
BUT I HAD TO WORK TWO JOBS.
BECAUSE THE THE JOB I HAD IN THE
DE IN THE IN THE PROGRAM DIDN'T
PROVIDE HEALTH INSURANCE.
AND FLASH FOR FORTY FIVE YEARS
LATER.
AND YOU FIND WORKERS WHO ARE
DOING THE SAME THING DAY AFTER
WORK TWO JOBS THEY CAN'T AFFORD.
TO MAKE ENDS MEET OR SUPPORT
THEIR OWN FAMILIES AND MOST
IMPORTANT OF ALL THE ISSUE RIGHT
NOW THAT WAS THE SAME ISSUE
FORTY FIVE YEARS AGO FROM MY
SISTER'S THE ISSUE.
OF QUALITY OF OUTCOMES.
IN MAKING SURE THAT PEOPLE.
ARE NOT HARMED.
AND THAT THEY ARE SERVED.
AND I THINK THERE IS NOTHING
INCONSISTENT.
OF DOING THE RIGHT THING.
IN OTHER WORDS.
THERE'S AN URGENCY TO EVERYTHING
THAT WE HAVE SAID THERE'S
NOTHING WHY THE STATE OF
CALIFORNIA CAN'T MOVE FORWARD.
ON THE RATE STUDY.
JULY FIRST IS NOT A MAGIC GATE
THE STATE HAS DONE.
TRAILER BILL LANGUAGE OR TRAILER
BILLS OR JUNIOR BUDGET BILLS IN
THE MONTH OF AUGUST. TO ACTUALLY
ADDRESSED CERTAIN SITUATIONS
THAT IT WASN'T ABLE TO ADDRESS
DURING THE NORMAL BUDGET PROCESS.
WE SHOULD NOT LET.
THE FACT THAT THERE IS A COMPLEX
ISSUES CONFRONTING US DEALING
WITH UNMET NEED REDUCING
DISPARITIES [inaudible]
TYING SERVICES TO QUALITY AND
GOOD OUTCOMES.
AND THAT'S WHY WE PAY. FOR THOSE
SERVICES.
WE CAN DO THOSE THINGS.
AND WE SHOULD MAKE SURE THAT WE
DIRECT ALWAYS WORKING TO
TOGETHER LEGISLATURE DIRECTS THE
DEPARTMENT TO WORK WITH
STAKEHOLDERS. TO COME UP WITH
SOME.
THE IMPLEMENTATION STEPS THAT
CAN TAKE AFFECT.
AND THEN IN THE COMING BUDGET
YEAR.
WE CAN DO THIS RIGHT.
AND WE CAN I THINK THE PROBLEM
FOR THE PAST FORTY FIVE FIFTY
YEARS IF WE KEEP DOING IT WRONG.
AND PEOPLE ARE HARMED.
SILICEOUS REMEMBER THAT NAME
LASTLY I JUST WANT TO THANK THE
DEPARTMENT AND ALSO THE
CONTRACTOR --
BURNS AND ASSOCIATES AND ALSO
YOU THE SUBCONTRACTOR FOR
WORKING WITH FAMILIES.
AND BEING IS TRANSPARENT.
THE RATE STUDY IS NOT PERFECT WE
HAVEN'T ACTUALLY SEEN THE RATES
STAY ITSELF.
BUT THIS IS AN OPEN PROCESS AND
WE REALLY APPRECIATE THAT THANK
YOU.
THANK YOU SIR.
I THANK YOU FOR LETTING ME SPEAK --
REBEKAH LINE HARD TERRIBLE SOUL
FOUNDATION I'M ACTUALLY A CO
CHAIR OF OUR LA COALITION.
AND WE'RE A COALITION OF
EIGHTEEN PROVIDER ORGANIZATIONS
SERVING OVER THIRTY THOUSAND
INDIVIDUALS IN SOUTHERN
CALIFORNIA AND WE STAND IN
SUPPORT OF THE 8% INCREASE.
TYPICALLY IS OUR ORGANIZATION --
I WANTED [inaudible] TO TO I
GUESS SHARE SOME INITIAL
ANALYSIS OF THE RATE OF THE RATE
STUDY TO OUR SPECIFIC
ORGANIZATION WE PROVIDE SOME
VERY UNIQUE SERVICES TO OVER
SEVEN HUNDRED AND FIFTY THOUSAND
INDIVIDUALS --
IN LOS ANGELES COUNTY WE HAVE A
NATIONALLY RECOGNIZED CAREER IN
THE ARTS PROGRAM.
AND THAT PROGRAM WILL BE
DECIMATED BY ABOUT NINE HUNDRED
AND SIXTY THOUSAND DOLLARS WITH
THE NEW RATE STUDY.
WE SERVE ABOUT THREE HUNDRED AND
TWENTY INDIVIDUALS OF WHICH
WE'VE LAUNCHED A HUNDRED AND
FIFTY INDIVIDUALS OF THE LAST
TWO YEARS AND A FULL INCLUSION
TO THE COMMUNITY THROUGH
VOLUNTEERISM PAID INTERNSHIPS IN
PAID EMPLOYMENT.
THAT PROGRAM ALONE WILL RESULT
IN ANOTHER HUNDRED AND TWENTY
THOUSAND DOLLAR DEVASTATION TO
THAT.
ARE WE SUPPORT A HUNDRED AND
FIFTY UNIQUE INDIVIDUALS IN
COLLEGE ACROSS FIVE COMMUNITY
COLLEGES ONE TECH SCHOOL.
AND ONE FOUR FOUR YEAR
UNIVERSITY.
THAT PROGRAM OF SUFFERING EIGHTY
ONE THOUSAND DOLLAR LOSS TO THE
RATE STUDY.
ACROSS OUR ORGANIZATIONAL LOAN
WILL SORT WILL SUFFER ABOUT TWO
MILLION DOLLARS IN LOSS OF
REVENUE.
AT THAT POINT TIME ALL SEVEN
HUNDRED AND FIFTY THE PEOPLE
WILL HAVE TO BE GIVEN A THIRTY
DAY NOTICE WE WILL NOT BE ABLE
TO STAY IN BUSINESS.
SO I ASKED THAT WE WORK TOGETHER
IN COLLABORATION TO ESTABLISH
RATES THAT WORK FOR ALL
PROVIDERS AND TO MEET THE UNIQUE
NEEDS OF ALL OF THE INDIVIDUALS
AND ALL OF THE UNIQUE SERVICES
THAT HAVE BEEN DEVELOPED OVER
THE LAST FIFTY YEARS OF THE
LANHAM ACTS OF THANK YOU VERY.
MUCH.
THANK YOU MA'AM.
THANK YOU --
FOR ALLOWING PUBLIC COMMENT I'M
A MY NAME IS MICHELLE HEIGHT AND
I'M A BOARD CERTIFIED BEHAVIOR
ANALYSTS I AM THE DIRECTOR OF A
SMALL AGENCY AND I AM THE
NORTHERN LOS ANGELES COUNTY AREA.
AND MORE IMPORTANTLY TODAY I'M
I'M ALSO A PARENT OF AN EIGHTEEN
YEAR OLD I'M ON THE AUTISM
SPECTRUM WHO BENEFITED FROM
SERVICES LUCKILY BEFORE THE
RECESSION BEFORE THE CUTS.
AND HE HIS JOURNEY REALLY PROVES
THAT FOR SOME EARLY SERVICES CAN
REALLY CHANGE A PERSON'S
TRAJECTORY IN LIFE HE I HAVE
ABOUT SIX MONTHS AGO WENT AWAY
TO COLLEGE.
AND WHILE HE HAS SOME STRUGGLE
STILL RELATED TO HIS AUTISM HE'S.
DOING SIX DOING WELL AT COLLEGE --
BUT I WANT TO SPEAK TODAY ON
BEHALF OF ALL OF THE OTHER
PEOPLE THAT REQUIRE SERVICES
THROUGHOUT THEIR LIFETIME WITH
DEVELOPMENTAL DISABILITIES I
THINK WE REALLY OWE IT TO THEM
TO ENSURE THAT THEY HAVE THE
QUALITY.
SERVICES AND SUPPORT THAT THEY
NEED TO LIVE LIVES IN THEIR
COMMUNITY I WAS SHARING WITH MY
SON --
STORIES OF PEOPLE WHO LIVE AND
DEVELOPMENTAL CENTERS AND HIS
COMMENT WHEN HE WAS FOURTEEN WAS
YOU MEAN THEY'VE NEVER HAD AND
AN HOUR.
AND I SAID YES AND SOME OF THEM
HAVE MAY HAVE --
THAT ALL PEOPLE CAN LIVE IN THE
COMMUNITY WHERE THEY CAN ACCESS
AND IN AND OUT HAMBURGER BECAUSE
THEY ARE VERY GOOD.
AND I'M NOT BEING PAID BY THEM.
BUT AS A B. HERO SERVICE
PROVIDER THE RATES PAID BY
REGIONAL CENTERS ARE
[inaudible]
GROSSLY UNDER MARKET RATES SO AS
A SERVICE PROVIDER WE CHOOSE TO
TAKE A PORTION OF OUR CLIENTS AS
REGIONAL CENTER --
FUNDED BUT THEY THE RATES ARE
FAR LESS THAN WE ARE GETTING
FROM.
OR MORE TRADITIONAL FUNDERS SO I
JUST LIKE --
TO ASK FOR YOUR SUPPORT IN THE
RATE IN THE 8% AND THEN I WOULD
ALSO LIKE TO ASK THAT WE LOOK AT
AN ADDRESS MEDIAN RATES AS WE
MOVE FORWARD THANK YOU VERY MUCH.
THANK YOU MA'AM.
HELLO MY NAME IS CARL AND MY
STOCK WORK WITH ME AT THIS STEP
PROGRAM AND I KNOW SO MANY OF
THEM HAVE STARTED QUIT I LOST MY
FRIEND.
PLEASE MAKE SURE AND CONSIDER.
INVESTING IN STEP PROGRAM.
I NEED MY FRIENDS MY NETWORK OF
FRIENDS TO GROW I LIKE GOING OUT
I LIKE THE MOVIES I ENJOY MY
LIFE.
AND HAVE A GREAT DAY.
THANK YOU SIR.
HELLO COMMITTEE HEARING
CARRUTHERS EXECUTIVE DIRECTOR OF
THE STATE COUNCIL ON
DEVELOPMENTAL DISABILITIES I
FIRST WANT TO THANK YOU FOR YOUR
LEADERSHIP ON THIS ISSUE THINK
THE ASSEMBLY MINISTRATION FOR
THEIR LEADERSHIP ON THIS ISSUE.
THIS OF THE STATE COUNCIL'S AN
ORIGINAL MEMBER OF THE DS TASK
FORCE AND THIS WAS A
RECOMMENDATION FROM THE DS TASK
FORCE OF WHAT WAS NEEDED TO
ADDRESS SOME OF THE CHALLENGES
IN THE SYSTEM.
THE REASON FOR IT IS MANY OF YOU
HER BUT THEY CAN SPEAK
SUMMARIZED IN THREE CATEGORIES
OF WILL WE NEED TO READ STUDY
THAT WILL LOOK AT THE
SUSTAINABILITY OF THE SYSTEM.
THE QUALITY OF SERVICES WITHIN
THE SYSTEM AND TRANSPARENCY OF A
FUNDING STRUCTURE --
THINK WITH THE RATE STRUCTURE
RATES.
STEADY YOU HAVE BEFORE YOU DOES
HAVE TRANSPARENCY WILL KNOW
EXACTLY WHAT'S FUND AND HOW THE
BE CREATE UNIFORMITY ACROSS THE
REGIONAL CENTER ACROSS THE STATE.
ACROSS SERVICE DELIVERY SYSTEMS
AND ACROSS HOUSING FOR THE
COUNSELORS WILL IT REALLY RESULT
IN TO BETTER QUALITY SERVICES SO
COUNCIL MEMBERS WITH
INTELLECTUAL DEVELOPMENT
STABILITY CITY ME ERIN WHAT'S
IMPORTANT MEANS THE PERSON WHO
COMES INTO MY HOME TO GET ME OUT
OF BED IS SOMEONE THAT I KNOW.
IT'S THE SAME PERSON TO BE THERE
TODAY'S THEY'RE GONNA BE THERE
TOMORROW IT'S SOMEONE I CAN
TRUST I'M NOT THE SAME TYPE OF
RELATIONSHIP WE WANT IN OUR
FAMILIES FOR EVERYBODY WHO
SERVING US.
OF THE THIRD CRITERIA
SUSTAINABILITY IS REALLY GOING
TO BE UP TO YOU --
AS YOU DETERMINE IF AND HOW MUCH
TO FUND THE STUDY ADDITIONALLY --
AS YOU CONSIDER THE REQUESTED A
GOOD ASSEMBLY MEMBER OF FRAZIER
AND HOLDEN REGARDING THE
TEMPORARY STOPGAP FUNDING.
OUR UNDERSTANDING IS IT ANY
OTHER STATES THAT HAVE
IMPLEMENTED BIRDS AND ASSOCIATES
RATE STUDIES HAVE TAKEN THREE TO
FIVE YEARS. TO FULLY IMPLEMENT --
AND NONE OF BEEN HAPPENING
STATES IS LARGE AND COMPLEX IS
CALIFORNIA'S OF THANK YOU FOR
CONSIDERATION.
THANK YOU SIR.
GOOD AFTERNOON CATHERINE OCCUR
GONNA ON BEHALF OF WE FIND HER
FAMILY SERVICES IN CALIFORNIA
MENTOR NETWORK WE WOULD LIKE TO
STATE OR STRONG SUPPORT FOR THE
8% RATE INCREASE PROPOSAL.
AND WOULD LIKE TO THINK ASSEMBLY
MEMBERS FRAZIER AND HOLDEN FOR
PUTTING IT FORWARD THANK YOU.
THANK YOU MA'AM.
HI GOOD AFTERNOON AMERICA'S
EGGMAN THE DIRECTOR OF GOLDEN
GATE REGIONAL CENTER I RULE
REPRESENT NINETY SIX HUNDRED
INDIVIDUALS WITH DEVELOPMENTAL
DISABILITIES AND SAN MATTEO SAN
FRANCISCO IN MARIN COUNTY IS
WHICH OF THE THREE HIGHEST COST
COUNTIES IN THE STATE WE ARE
GROUND ZERO FOR HIGH COSTS WERE.
A ROOM CAN COST YOU OVER TWO
THOUSAND DOLLARS A MONTH AND A
COCKTAIL FOR THE LUCKY FEW WHO
CAN AFFORD COCKTAILS COST
SIXTEEN DOLLARS --
IN THE SECOND PARAGRAPH OF THE
LANHAM ACT IT CHARGES US WITH
THE RESPONSIBILITY OF NOT
DISLOCATING PEOPLE FROM THEIR
HOME COMMUNITIES AND WE HAVE
HEART BREAKING STORIES OF PEOPLE
HAVE TO LEAVE AFTER MANY DECADES.
IN OUR HIGH COST AREA SO I THINK
THERE IT IN MY THIRTY YEARS OF
WORK IN THIS FIELD I DON'T THINK
THERE'S ANY MORE IMPORTANT WORK
AND RECONNECTING THE COST OF
PROVIDING SERVICES.
WITH THE RATES FOR SERVICES. FOR
SOME OF THE MORE MAJOR SERVICES
THOSE OF THAT CONNECTION AND IT
IN NINETY SIX NINETY SEVEN WHEN
THE LAST COST STATEMENTS WERE
TURNED IN SO.
I REALLY APPLAUD THE DEPARTMENT
AND THE ONLY OTHER THING I'D
LIKE TO SAY IS THAT --
WANT TO SUPPORT THE ASSOCIATION
REGIONAL CENTERS --
AGENCIES ASKED FOR THE A PERCENT
INCREASE --
FOR PROVIDERS AS WELL AS FOR
REGIONAL CENTERS.
M. IN MY REGIONAL CENTER YOU
KNOW THERE AND IN ALL REGIONAL
CENTERS THERE ARE PEOPLE WHO
ONLY RECEIVE INDIVIDUALS WHO
ONLY RECEIVE CASE MANAGEMENT AS
THERE ARE SERVICE AND THAT MEANS
THEIR SOCIAL WORKER.
AT THE REGIONAL CENTER.
THAT CASE LOADS OF EIGHTY OR
NINETY INDIVIDUALS PER SOCIAL
WORKER -- IT
IMPACTS MY BEST SOCIAL WORKERS
THE MOST AND NOT BEING ABLE TO
PROVIDE SERVICES TO THOSE FOLKS
NOT JUST. FOR THE PEOPLE IT'S SO
YOU KNOW CONTINUOUS CIRCLE IF
THERE ARE PROVIDERS --
AND SERVICES AVAILABLE MORE
PEOPLE ARE WITHOUT OTHER
SERVICES ON THE REGIONAL CENTER
BUT IF YOU HAVE HIGH CASELOADS
THOSE SERVICE COORDINATOR SOCIAL
WORKERS CAN'T SERVE INDIVIDUAL
WELL.
THEY CAN'T FIND THE SIR YOU KNOW
SERVICES THAT MEET THEIR NEEDS
SO -- I
REALLY THINK THAT --
A PERCENT FOR REGIONAL CENTERS
AS WELL AS PROVIDERS IS REALLY
WARRANTED THANK YOU SO MUCH
THANK YOU SIR.
THANK YOU FOR THE OPPORTUNITY TO
SPEAK MY NAME'S LEN HYTNER.
I AM A PROGRAM DIRECTOR AT AN
AGENCY THAT PROVIDES SUPPORT OF
LIVING AND I A LESS SERVICES IN
NAPA SOLANO AND SONOMA COUNTIES.
I WANT YOU TO UNDERSTAND THIS IS
WHERE THE RUBBER MEETS THAT I
HAVE NOT ACCEPTED A REFERRAL
SINCE OCTOBER OF TWENTY EIGHTEEN
AND ALL THIRTEEN REFERRALS THAT
I TOOK IN THE TWO YEARS PREVIOUS
WERE EMERGENCY PLACEMENTS
BECAUSE THE AGENCIES THAT WERE
CURRENTLY SERVING THOSE PEOPLE.
GAVE NOTICE TO THE REGIONAL
CENTER BECAUSE THEY COULD NOT
FIND PEOPLE TO FILL.
THE THE RATIOS.
OF STAFFING.
I'M IN THE SAME SITUATION YOU
CAN NOT GOING TO BUSINESS IN
NAPA --
SANTA ROSA IT WHEREVER YOU WANT
TO GO AND THEY HAVE AN
ADVERTISEMENT WHERE THEY HAVE
OPEN POSITIONS THAT PAY FIFTEEN
FIFTEEN FIFTY TO MAKE HAMBURGERS
OR CAR GROCERIES OUT TO YOUR CAR.
BUT WE WOULD YOU PAY THE PEOPLE
THAT DO DIRECT SUPPORT WORK IN
THOSE COUNTIES. FOURTEEN SEVENTY
FIVE AN HOUR.
IF THEY HAVE TO USE AYE HSS THEY
GET TWELVE TEN AN HOUR AND THEY
GO NGUYEN I LOVE THIS WORK I
LOVE THESE PEOPLE I'D LOVE TO
MAKE THIS MY CAREER.
BUT I CAN'T I HAVE A FAMILY I
HAVE TO GO DO SOMETHING ELSE
THAT PAYS MORE YOU HAVE TO
ADDRESS THIS YOU CAN'T KICK THE
CAN DOWN THE ROAD ANYMORE.
PLEASE FIND THE RATE STUDY BUT
8% IS A NICE START.
THANK YOU MA'AM [inaudible]
AT NOON.
MY NAME IS JOE MARRIAGE.
I SUPPOSE STRUCK BY A YEARS AGO.
AND THEN I GOT --
KNOWLEDGE MY APARTMENT I TEST SO
FROM MY STROKE EIGHT YEARS AGO.
YEAH I GOT PUT INTO A POSITION.
LIVE AT HOME.
WITH --
FOLKS.
IT WAS A MAJOR ABOUT.
TO OPEN THIS IS HIS NOMINAL OF
YOUNGEST GUY.
INNER --
SPECTER FOR EIGHT MONTHS
[inaudible]
THEN.
A USER I GOT PUT INTO
[inaudible]
I GOT.
INTO SUPPORT LEVIN.
AND TODAY I'M LIMóN SUPPORT
ELEMENT.
LIMóN INTO POLAND FOR THE LAST
EIGHT YEARS.
WITH A PAIR ROOM.
NINE WHO PAN HE DEPENDS ON
CELLPHONE.
TWENTY FOUR SEVEN BUT MAY I DID
BUT THIRTY DOLLARS A MONTH.
AND WE DO.
I TO EACH OTHER YOU TOO MANY FOR
EXAMPLE THIS SPRING SUMMER.
WE WERE WE WILL GO DOWN THE
STREET. TO SUPPORT THE
SACRAMENTO RIVER CATS
[inaudible]
CHAU.
WE WERE BOTH OF VOTERS TAXPAYERS.
AND AND WE CONTRIBUTE TO OUR
COMMUNITY DIFFERENT.
DIFFERENT TYPES OF WAYS
[inaudible]
SO.
WE STRONGLY SUPPORT.
OUR STAFF.
DOES THE NEW ADDITION WAGE.
BECAUSE WHAT WE ARE NO.
REAL SUPPORT PAM.
HELLO SUPPORTERS. TO ACCOMPLISH
OUR DREAMS AND GOALS IN LIFE.
SO DOES WHAT WE SUPPORT. 8% SO.
WHEN YOU THINK ABOUT IT?
PLEASE DON'T FORGET [inaudible]
FIGURES.
THANK YOU VERY MUCH THANK YOU
SIR.
I HAVE TO FOLLOW THAT.
I'M GOOD AFTERNOON MY NAME IS
FOR KELLERMAN DERIS IN THEM
THANK YOU FOR LISTENING TO ALL
THE PUBLIC --
COMMENTS IN SUPPORT I JUST WANT
TO ECHO EVERYONE SENTIMENT AND
THE APPROVAL OF THE IN SUPPORT
OF THE A PERCENT RATE INCREASE.
DOWN PAYMENT THANK YOU.
THANK YOU MA'AM.
MOLLY TRANSLATING THE ORDER.
A MY NAME IS IN A KIND OF A
NASTY.
I HAVE A THIS HAVE A TO GIVE
HE'S A PLAN.
THE PMR SEE BY LIMóN PAYING.
I COME FROM I SEE SEE COMMUNITY
AND I SUPPORT IN A A PERCENT.
INCREASE.
IN GRACE FOR THE STAFF.
THAT A SEAT OUR CHILDREN THANK
YOU.
WHEN IS THE BEST NUMBER IS
NINETY CENTERS GOOD AFTERNOON MY
NAME IS NANCY SCIENTISTS?
ME CASKEY INTO THEIR MONEY
MONTEREY CHANNEL CENTER MIKE
THAT ARE SICK WAY IN THE VALLEY
MONTH AND REGIONAL CENTER I MEAN
SIGNED THAT OUT OF THE ACC AND
I'M ON THE DATA FROM THE AYE
INTEGRATED COMMUNITY
COLLABORATIVE.
APPLE YOU LITTLE PERCENT FOCUS
INSTEAD OF A PERSONAL.
GOOD EVENING MY NAME IS CANDACE
CLAYTON I'M ALSO A MEMBER OF THE
SOCIETY OF CALIFORNIA CARE
OPERATORS.
I JUST WANTED TO SAY THAT I AM
IN SUPPORT OF THE 8% AND
HOPEFULLY THAT THE RATE STUDIED
WHEN IT IS COMPLETED AND FINISH
IT AS AMENDED TO INCLUDE ALL OF
THE WINNING AWAY AGES AND THINGS
THAT HAVE.
IMPACTED US OVER THIS TIME SO
WHEN WE FINALLY GET THE RATE.
STUDY.
M. IT REFLECTS EVERYTHING THAT
WE NEEDED TO REFLECT.
THINKS.
THANK YOU MA'AM.
GOOD AFTERNOON THERESA ANDERSON
WITH THE ARK IN YOU SEE P.
CALIFORNIA COLLABORATION --
BEFORE I JUMP INTO THE TEST
MONEY THAT I'VE BEEN ASKED TO
GIVE TODAY I WANTED --
TO THANK YOU MISTER CHAIR AND
MEMBERS FOR HAVING THIS --
BUDGET HEARING GIVING AMPLE TIME
FOR COMMENT --
IN ADDITION A FRIEND COLLEAGUE
OF MINE CALLED ME IN THE HALLWAY
AND ASKED FOR ME TO EXPAND THIS
THANKS TO ASSEMBLY MEMBER FRASER
AND HOLDEN --
MISTER HARRIS ROBERT HER SOUTH
LIKE THEY DIDN'T GET A CHANCE.
TO SO --
WITH THAT I'M GONNA GO AHEAD
EARLIER ABOUT THE DIRECT SUPPORT
PROFESSIONALS THAT DID THE
SURVEY.
OVER TWO THOUSAND OF THEM --
ANSWERED WITH OPEN ENDED
QUESTIONS THEN THIS ONE AND IN
PARTICULAR WE WANTED TO BRING TO
YOUR ATTENTION --
IS FROM FRESNO COUNTY A WOMAN
WHO IDENTIFIES AS AN AFRICAN
AMERICAN WOMEN BETWEEN THE AGES
OF THIRTY FIVE AND FORTY FOUR
SINGLE MOTHER WITH FOUR CHILDREN.
WHO HAS BEEN A DEATH FOR MORE
THAN TEN YEARS?
AND WHAT SHE WANTED YOU TO KNOW
WHAT IS --
WORKING ONE JOB AS A DISABILITY
SERVICE PROVIDER STILL LEFT ME
UNABLE TO PAY MY BILLS I EVEN
RECEIVED ALL GOVERNMENT
ASSISTANCE FOOD STAMPS SECTION.
EIGHT NOW I HAVE TO WORK TWO
JOBS WHICH DOESN'T ALLOW ME TO
SEE MY KIDS AS MUCH.
MY SECOND JOB ALSO AS A
DISABILITY SERVICE PROVIDER
RENTS ARE UP FOOD IS THAT WE ARE
VERY UNDERPAID AND IT'S SAD
BECAUSE I LOVE THE SERVICES THAT
I PROVIDE.
SO THAT THAT'S ONE OF THE TECH
SUPPORT VESSELS --
THE NEXT ONE IS ALSO FROM A
DIRECT SUPPORT AND SHE SAYS IT
SAID THAT YOU GET WHAT YOU PAY
FOR BUT THAT'S NOT TRUE BECAUSE
THE HUNDRED AND THIRTY THOUSAND
DIRECT SUPPORT PROFESSIONAL
THROUGHOUT THE STATE HAVE GIVEN
SO MUCH MORE.
THAN WHAT THEY'VE BEEN PAID --
FOR THERE'S SORRY I THINK.
MAYBE SEMI CLASS OF WHO KNOWS
LAURIE NEXT --
BUT BUT THERE'S COMING A
BREAKING POINT --
AND WE ARGUE THAT THAT BREAKING
POINT IS HAPPENING RIGHT NOW SO --
WE ASK FOR YOUR SUPPORT ON THE
PRESENT THANK YOU.
HI HARRY BRAWL WITH PATH POINT
THANK YOU FOR TAKING OUR TIME
THAT I'VE TWO COMMENTS ONE ON
THE RATE STUDY I WAS ON THE RATE
SUBCOMMITTEE.
I APPRECIATE THAT THE STUDY WAS
DONE THERE ARE A LOT OF
INNOVATIVE AND THE REFORMS I
THINK THEY'RE COMING OUT OF THAT
THERE'S SOME STRONG METHODOLOGY
THERE ARE SOME ASSUMPTIONS THAT
WE ARE GOING.
TO DISAGREE WITH PRETTY STRONGLY --
FOR ONE PRETTY KIDDING THE WAGE
ON SOMETHING HEY.
SO IT'S HARD TO BUILD A RAID ON
SOMETHING THAT WE WE CAN'T BY
LAW PAY THEIR FEW OTHERS AROUND
TTENDANCE RATES MOVING NARROWLY.
ATTENDANCE NOT HAVING
SUPERVISION AND ALL THE SERVICES
SO I WERE ENCOURAGED BY THE RATE
STUDY WE KNOW IN OUR VIEW IT
NEEDS SOME WORK ON THE
ASSUMPTIONS PIECE OF IT.
THE SECOND COMMENT IS ON THE THE
OVERALL SYSTEM AND THE FACT OF
THE LANHAM ACT PROMISE.
WE HAVE A SIMILAR TO WHAT YOU'VE
HEARD HERE WERE TURNING PEOPLE
AWAY WHERE WE EACH DAY AND ONE
OF OUR PROGRAMS WE FIGURE OUT
WHICH PEOPLE WE HAVE TO SEND
HOME.
WHICH PEOPLE WE CAN ACCEPT IN
OUR PROGRAMS BECAUSE WE CAN'T
HIRE STAFF IF THE LANHAM ACT AS
AN ENTITLEMENT IT DOESN'T FEEL
LIKE RIGHT NOW IT WOULD MEETING
THAT ENTITLEMENT BECAUSE WE
CAN'T SERVE PEOPLE.
SO I I THINK THAT THE 8% AS A
RESPONSIBLE FIRST STEP TOWARDS
ADDRESSING THIS PROBLEM AND WE
WHOLEHEARTEDLY SUPPORT IT AND
HOPE YOU WILL.
TOO THANK YOU SIR.
HI MY NAME IS APRIL CAPPING I
REQUEST THAT STRATEGIES TO
EMPOWER PEOPLE I'M A PROGRAM
MANAGER.
FOR VOCATIONAL DEPARTMENT AS
WELL AS INDEPENDENT LIVING
SKILLS I ALWAYS SEE MY STOP
COMMAND WE WORK FOR THE DEAF
PEOPLE THERE REALLY HARD. TO
FIND MORE STOP AND IT'S SAD TO
SEE THEM ALL LEAVING THE AGENCY
JUST BECAUSE OF THE MONEY.
THIS IS THE CAMP THERE AND
THEY'RE TRYING GOING BACK TO SO
SECURITY AND IT'S NOT NOT NOT
ANYWAY WOULD GO SOME OF MY STUFF
FOR TRYING TO WORK TWO TIMES TO
WORK IN MORNING SHIP THE NIGHT
SHIFT.
AND IT'S STILL NOT ENOUGH.
YOU GUYS HAVE TO DO THE 8%
INCREASE THANK YOU.
THANK YOU MA'AM.
HELLO MY NAME IS EDWARD HER SHE
WITH HOME OF GUIDING HANDS A
SERVICE PROVIDER IN SAN DIEGO.
I'M ALMOST ALSO A MEMBER OF
CALIFORNIA DISABILITY SERVICES
ASSOCIATION AT THE CAPITOL TODAY
ASKING FOR SUPPORT FOR THE 8%.
BUT MOST IMPORTANTLY AND WHAT
I'D LIKE TO ADDRESS YOU GUYS
TODAY AS IS I'M A PARENT OF A
YOUNG ADULT THE REESE RECEIVE
SERVICES.
SO MY DAUGHTER JULIA RECEIVE
SERVICES HER GOAL LIKE ANY OTHER
YOUNG ADULT IS TO BECOME
INDEPENDENT AND MOVE OUT FROM
OUR PARENTS.
AND TO LIVE HER OWN LIFE IS
INDEPENDENT THAT SHE CAN THE
TURN OVER THAT YOU'VE HEARD FROM
THE DIRECT SERVICE PROVIDERS
FROM A NUMBER OF MY COLLEAGUES.
IS IT NEGATIVELY AFFECTING HER
THE LAST TWO YEARS SHE'S HAD TO
SERVICE OUR THREE SERVICE
COORDINATORS.
FROM THE REGIONAL CENTER SHE'S
ON OUR FOURTH DIRECT SERVICE
PROVIDER OVER THE LAST TWO YEARS.
SO EVERY PROGRESS SHE MAKES HAS
TO START OVER AGAIN AND AGAIN.
CURRENTLY SHE'S AT ALL --
HER LAST SERVICE PROVIDER TOLD
OUR LAST WEEK THAT SHE WAS
LEAVING THE STATE CAN NO LONGER
AFFORD TO LIVE IN CALIFORNIA.
AT THE RATES THAT SHE WAS BEING
PROVIDED.
SO MY DAUGHTERS AT HOME WAITING
FOR ANOTHER SERVICE.
PROVIDER TO COME WHICH THEY'RE
TELLING US WILL BE ABOUT TWO TO
THREE WEEKS THEY HOLE --
SO.
UNFORTUNATELY JULIA STORY IS IS
THE NORM IT'S NOT THE EXCEPTION --
SO I'D LIKE TO THANK YOU GUYS
I'D LIKE TO THANK BURNS
ASSOCIATE.
DDS FOR THE WORK YOU GUYS ARE
DOING THIS RATE STUDY --
MY HOPE IS THAT SOMETHING WILL
COME OUT OF THIS THAT WILL KEEP --
JULIE AND OTHER INDIVIDUALS LIKE
HER.
ENGAGED IN A PROGRAM AND THEN
SUCCESSFULLY MEETING WHAT THEIR
GOALS ARE LIFE SO THANK YOU FOR
THE OPPORTUNITY TO SPEAK THANK
YOU SIR [inaudible]
HELLO.
HI THERE FRAZIER AND HOLDING IN
MADNESS THANK YOU FOR YOUR TIME.
ON AND ALLOWING ME TO SPEAK
TODAY.
SO.
I WANT TO EXPLAIN I'M A LITTLE
BIT ABOUT MYSELF MY NAME IS
CALVIN CASSIDY I LIVE IN OR VAL
AND I COMMUTE TO SACRAMENTO ONE
HOUR TWENTY FIVE MINUTES EVERY
DAY I DO THAT BECAUSE THE COST
OF LIVING IS CHEAPER THEIR RENT
IS CHEAPER --
I CAN'T AFFORD TO LIVE HERE HERE
IN SACRAMENTO IT'S MAYBE SIXTEEN
HUNDRED DOLLARS A MONTH FOR RENT
SO IT'S JUST NOT POSSIBLE THAT
PARENTS ARE CAMINO [inaudible]
ALSO.
I THERE'S A LOT OF PEOPLE
THERE'S A LOT OF HIGH COST HERE
IN SACRAMENTO.
I HAVE A FOUR RUNNER TRACKING
IT'S IT YOU KNOW IT'S A GAS
GUZZLER AT SIXTY DOLLARS BACK
AND FORTH TO COMMUTE.
TO I ORDERED THE ORANGE AT OR
ABOUT.
YOU KNOW THERE'S FOOD IN BILLS
UTILITIES THERE'S YOU KNOW ALL
THOSE LIVING COSTS AND I'M
STRUGGLING --
YOU KNOW ALONG WITH MY CO
WORKERS THE DIRECT SUPPORT
PROFESSIONALS SO I'M BEGGING YOU
I'M IMPLORING YOU TO PLEASE LOOK
AT OUR PERSPECTIVE.
IN OUR SITUATIONS IN OUR LIVES
AND OUR STRUGGLES I THANK YOU
FOR YOUR TIME.
THANK YOU.
GOOD AFTERNOON THANK YOU FOR
THIS OPPORTUNITY MY NAME IS
JASON T. LETTER WORK FOR VTC
ENTERPRISES IN SANTA MARIA
CALIFORNIA.
AND IT SIMPLY LIKE THAT CONTINUE
TO ASK YOUR SUPPORT LIKE YOU'RE
FROM AERIALS FOR THE 8% INCREASE
TO HELP.
INCREASE FUNDING FOR PROVIDERS
FOR INDIVIDUALS WITH
DISABILITIES --
I THINK WHAT WE'VE SEEN IN A
OVER OVER IN THIS IN THIS
TESTIMONY YOU'VE HEARD THAT
UNFORTUNATELY THE DEPARTMENTS
CREATED A VERY LOW PAYING JOB.
AND I THINK FROM YOUR
PERSPECTIVE HERE WERE IN
SACRAMENTO WEEK YOU GET TO LOOK
AT THE ENTIRE BUDGET IN
AGGREGATE.
SO WE DID A STUDY THROUGH
CALIFORNIA JUST ASSOCIATION OR
FIVE THOUSAND STAFF AND WE
LEARNED THAT 42% OF OUR
EMPLOYEES ARE ON MEDICARE AL.
ANOTHER 12% 15% OR RECEIVING CAL
FOR SERVICES SO IN FACT THE
DEPARTMENT AVAILABLE SERVICES
PASSING ON THE TRUE COSTS OF
THEIR SERVICES ON TO OTHER
PROGRAMS SO WHEN YOU LOOK AT
THIS A PERCENT ASK.
I'VE I CAN ONLY DO COCKTAIL
NAPKIN MATH I CAN'T DO WHAT I'M
TRYING TO EXPLAIN TO YOU RIGHT
NOW BUT IF YOU WERE TO LOOK AT
THAT IN THE AGGREGATE I MEAN
YOU'VE GOT SOME COST SAVING SO
WHAT WITH THAT.
WHAT WOULD THAT THE DIRECT
PROFESSIONALLY TO EARN SO THEY
DIDN'T QUALIFY FOR CALAVERAS
THAT INQUIRE OF CALIFORNIA? FOR
MEDI CAL.
IF WE CAN GET TO THAT POINT THAT
I THINK YOU SEE THE TRUE COST OF
THE SERVICES AND BE ABLE TO
RETAIN --
INDIVIDUALS AND NOT HAVE THIS
TRANSITION BECAUSE AGAIN THAT'S
SO DISRUPTIVE I MEAN I'M TRYING
TO ESTABLISH A REPORT WITH THE
THIRTEEN OF YOU HERE RIGHT NOW
STARTED COUNTY SHOULD ACCOUNT
ONLINE --
YOUR TRYING TO GET A CONNECTION
BUT IMAGINE THAT SO YOU'RE
WORKING WITH A NEW PERSON
EVERYDAY YOU'RE TRYING TO
IMAGINE OKAY WHAT.
WHAT'S GOOD WORKING WITH ITS
INDIVIDUAL WHAT'S NOT SO GOOD I
WORK WITH ZERO HOW DO I
INTERACTED HAD I BEEN SPECIALLY
TO RELY ON THEM FOR THEIR CARE
IT'S REALLY IMPORTANT TO GET
THAT'S TRUST ESTABLISHED AS
QUICKLY AS POSSIBLE.
AGAIN THANK YOU FOR YOUR TIME.
THANK YOU SIR.
HI MY NAME IS SANDRA JONES I'M
AN HR DIRECTOR FOR A PROGRAM
HERE IN SACRAMENTO THAT PROVIDE
SUPPORTED LIVING INDEPENDENT
LIVING SKILLS TRAINING --
AS I'M LOOKING OVER THIS ATA
THAT WE'VE PROVIDED TO YOU WHAT
I WOULD ASK FOR YOU TO DO IS
PLEASE REVIEW THE DATA IT IS
EXCELLENT IT'S CONCISE --
AND YOU'RE GOING TO RECEIVE THE
ADDITIONAL DATA BUT LET US NOT
FORGET IT'S NOT A STORY ABOUT
DATA IT'S A STORY ABOUT HUMAN
BEINGS FELLOW CALIFORNIANS --
AND THESE ARE PEOPLE THAT ARE
JUST TRYING TO HAVE A LIFE ON IN
THE COMMUNITY LIKE THE REST OF
US AND THE PEOPLE THAT ARE
TRYING TO HELP THEM DO THAT AND
SUPPORT THEM.
WE HAVE TO MAKE IT A JOB THAT IS
WORTH COMING.
TO I HAVE BEEN AS HIGH AS A 48%
TURN.
IN THE SACRAMENTO AREA I CAN'T
COMPETE WITH ANYBODY.
I'M AND I DO WANNA NAME OTHER
COMPANIES BUT YOU CAN MOVE THE
BOX FROM POINT A TO POINT B. AND
WAREHOUSE.
AND GET PAID FIFTEEN DOLLARS AN
HOUR ON THE FIRST DAY.
I CAN'T MATCHA.
THERE IS NO WAY FOR ME TO
COMPETE AND I CAN'T TELL YOU HOW
MANY.
OF OUR DIRECT SUPPORT
PROFESSIONALS HAVE SET MY OFFICE
OF THEIR EXIT MEETING SAYING I
CAN'T STATE AND THERE IN TEARS
THEY WANT TO DO THIS WORK THEY
ARE DRAWN TO IT.
BUT WE CAN'T PAY THEM ENOUGH TO
MAKE A LIVING AND RAISE A FAMILY
HERE IN ONE OF THE RICHEST
ECONOMIES ON THE PLAN.
THAT'S NOT RIGHT LET'S FIX IT
OKAY THANK YOU AND YES FOR THE
PERCENT THANK YOU THANK YOU
MA'AM.
GOOD AFTERNOON CATHOLIC FORM THE
DIRECTOR OF DISABILITY RIGHTS
CALIFORNIA --
AND I BELIEVE --
THAT THE THE DOLLARS WE SPEND
REFLECT A SET OF VALUES.
THAT WE WANT AS A SYSTEM OR RE
INSPIRED TO WAS A SYSTEM AND SO
HAS WERE THINKING ABOUT THIS
RATE STUDY.
I ENCOURAGE US TO BE TRAINED
VALUES ARE SO THAT WE CAN THEN
KNOW IF THE RATES ARE DEAD
REFLECTING THOSE VALUES BECAUSE
THAT'S HOW WE'RE MAKING A CHOICE
TO SPEND DOLLARS.
AND YOUR VALUES THAT ARE
IMPORTANT TO DISABILITY RIGHTS
CALIFORNIA ARE.
DUE THE RATES PROMOTE INCLUSION
AS REQUIRED BY THE LANTERN AND
ACTED IN A THE NEW SETTINGS
RULES UNDER FEDERAL LAW TO THEY
ALLOW PEOPLE.
TO DIRECT THEIR LIVES AND HAVE
MEANINGFUL CHOICE ARE THERE
PROVIDERS WHO CAN PROVIDE
QUALITY SERVICES.
AND CAN WE ACHIEVE OUTCOMES THAT
ARE DIRECTED BY THE PERSON SO I
THINK THERE'S BEEN AMAZING
TESTIMONY HERE TODAY I REALLY
APPRECIATE ALL THE ATTENTION
THAT.
THE COMMITTEE HAS GIVEN TO THIS --
AND JUST ENCOURAGE AS THE
ADMINISTRATION WHO'S DONE A LOT
OF WORK ON THE STUDY AS WELL
THINK ABOUT THOSE VALUES AND
THEN BE TRANSPARENT ABOUT THOSE
SO ALL OF US CAN AGREE THAT SOME
GREAT SET OF VALUES IN.
THE STUDIES GOING TO LEAD US IN
THAT DIRECTION THANK YOU.
THANK YOU MA'AM.
HI MY NAME IS KRISTEN JACOBSON
AND I'M A PARENT --
I WAS JUST PLANNING TO COME HERE
AND LISTEN AND LEARN TODAY WHICH
I HAVE A LOT I'VE BEEN REALLY
IMPRESSED WITH THE HEARING --
IT'S I DON'T FEEL I'VE BEEN TO A
LOT OF THESE AND I DON'T FEEL
LIKE I'VE HEARD ONE WHERE IT
SEEMS LIKE.
THERE'S A LOT OF CLARITY FROM
THE ADMINISTRATION FROM THE
LEGISLATORS AND FROM ALL THE
PEOPLE WHO CAME AND TALKED.
AND PEOPLE LISTENED --
SO I JUST WANT TO SAY I THOUGHT
IT WAS A REALLY EXCELLENT
HEARING AND I CAN'T LOSE MY
YEARS THAT I SPENTWORKING ON
LETTERMAN COALITION AND OF
COURSE SUPPORT PERSONALLY THAT
THEY PERCENT SO THANK YOU.
THANK YOU MA'AM.
ANY FURTHER PUBLIC COMMENT ON
ISSUE [inaudible]
TO NOT MAKE.
SEEING NONE I'LL BRING IT UP TO
THE COMMITTEE FOR ANY QUESTIONS
THAT WE MAY HAVE [inaudible]
ASSEMBLYMEMBER ALMOST.
THANK YOU MISTER CHAIR AND
CERTAINLY --
BRINGING UP THE THE 8% AND THE
DIFFERENT --
DIALOGUE A LOT OF THE POST
PUBLIC TESTIMONY THAT WE'RE VERY
MUCH LOOKING FORWARD TO
SUPPORTING [inaudible]
ASSEMBLYMEMBER MATHIS.
SO I WANT TO THANK EVERYBODY FOR
THE THE LONG PROCESS AND WE'VE
GOT A LONG WAY TO COVER TONIGHT --
THERE'S A LOT OF MENTION OF WAIT
LESS -- TO
THE QUESTION OF THE AGENCIES IS
THERE WAIT LIST ONE OF THESE
LOCALIZED --
IN CAN YOU CONFIRM OR DENY A
WEIGHTLESS.
THANK YOU NANCY PARCHMAN --
DIRECTOR DDS --
WE'VE HEARD FROM SOME OF THAT
PROVIDERS AND SOME FAMILY
MEMBERS AS FAR AS WAIT LIST OR
WANTING SERVICES WHETHER IT'S
WITHIN A CERTAIN SERVICE
PROVIDER.
YOU KNOW BUT WHAT WE DON'T HAVE
VISIBILITY INTO IS TO SEE IF
THAT IS A PARTICULAR PROVIDER OF
CHOICE OR IF IT IS ACROSS THE
BOARD AS FAR AS NOT BEING ABLE
TO ACCESS THOSE SERVICES.
SO BASED ON SOME OF THE
INFORMATION THAT WE'VE HAD WE'VE
WE'VE CERTAINLY RECOGNIZE THIS
IS A CONCERN AN ISSUE AND AND BY
LOOKING BROADLY ACROSS THE STATE
AS FAR AS WITH THE THE BARRIERS
THAT HAVE BEEN SHARED WITH US
FROM THE COMMUNITY --
ONE OF THE THE LENSES THAT WAS
IN THE DISCUSSION WITH THE THE
RATE STUDY AND THE RIGHT MODELS
WAS TAKING A LOOK AT AND OF THE
STANDARDIZED APPROACH YOU KNOW
ME --
ADDRESSING SOME OF THE
COMPLEXITY AN EXAMPLE THAT THAT
HAS BEEN SHARED WITH ME A COUPLE
OF TIMES.
IN -- ONE
REGIONAL CENTER IN SOUTHERN
CALIFORNIA --
A NEIGHBORING REGIONAL CENTER
YOU CAN SEE BASED ON THE RATES
THAT -- THEY
WERE DIFFERENT SIGNIFICANTLY
DIFFERENT AND SO THE REGIONAL
CENTER AND THE COMMUNITY HAS
SHARED A NUMBER OF TIMES THAT
BEING ABLE TO HAVE THE PROVIDERS
THAT THEY ARE WANTING TO ACCESS
OR TO HAVE THE SUPPLY A
PROVIDERS IN THAT AREA HAS BEEN
A CHALLENGE BECAUSE THEY'VE BEEN
GOING TO THE NEIGHBORING.
REGIONAL CENTER WHERE THE RATES
WERE HIGHER SO AGAIN TAKING A
LOOK AT IT THROUGH THAT LENS IS
SOME OF THE DISCUSSIONS THAT
WE'VE HAD WITH THE COMMUNITY
DAVE BUT YOU DON'T HAVE A ACTUAL
NUMBER OF WEIGHTLESS WE DO NOT
LOOKS LIKE --
IS THERE ANYBODY IN THE AUDIENCE
THAT THAT WORKS WITH THIS AND
THE COMMUNITY THEY CAN ANSWER ON
THIS VERY SOME LIKE CARL LUNDEN
OR SOMEBODY ELSE WHO'S REALLY
INTIMATE WITH THIS THAT COULD
COME UP AND GIVE US SOME
INFORMATION.
ANY TAKERS.
AND I'D LOVE TO HEAR IT BECAUSE
I KNOW THERE'S A LOT OF FOR
FOLKS HERE FROM THE COMMUNITY SO.
IF WE'VE GOT ANY NUMBERS ON A
WAIT LIST OR ANYTHING WHAT THOSE
LOOK LIKE.
THANK YOU OF MISTER CHAIRMAN AT
THIS BASS I'M NOT AWARE OF
SPECIFIC DATA AND THAT'S WHEN
THE BIG PROBLEMS WE HAVE WE DO
KNOW FROM THE RECENT SERVICE
HAVE BEEN DONE THAT.
THIS IS A PROBLEM THAT EXISTS
ALL OF THE STATE --
LET ME TALK ABOUT THAT SINCE HIS
ORGANIZATION DID A SURVEY.
BUT YOU KNOW I CAN I CAN TELL
YOU YOU KNOW A VERY STRAIGHT
FACE THAT IN TALKING PROGRAMS
ALL OVER THE STATE THERE.
THEIR PROGRAMS ARE EITHER CLOSED.
OR THEY HAVE PRO IN OTHER WORDS
ARE NOT TAKING ANY NEW PEOPLE
AND THEY TELL PEOPLE IN THE
COMMUNITY THAT AS WELL AS
REGIONAL CENTER OR THEY HAVE
PROGRAMS THAT.
I WITH ALL STATE ASSEMBLY LOOK
WE CAN PUT YOU IN THIS WE KNOW
IT'S NOT EXACTLY THE RIGHT FIT.
BUT THIS THE BEST WE KNEW RIGHT
NOW AND IF SOMETHING OPENS OVER
HERE YOU CAN GET AN AND SOME
CASES THEY'RE ACTUALLY
DEVELOPING A WAIT LIST AND YOU
KNOW AGAIN AS A PARENT IS
CONFRONTING THIS RIGHT NOW WITH
THE TWENTY TWO YEAR OLD IN OUT
SHOPPING AGENCIES.
I CAN TELL YOU IN THIS REGION
I'VE BEEN TOLD VERY DIRECTLY WE
HAVE ABOUT A YEAR WAITING LIST
IN SOME INSTANCES FOR SUPPORTED
LIVING.
AT A LONG TIME SO YOU KNOW I I
DON'T KNOW HOW WE'RE GONNA MAKE
THAT WORK.
THANK YOU ASSEMBLY MEMBER JUST A
JUST A FOLLOW UP I THINK WHEN
MISTER LINDSEY PRESENTED ON THE
PANEL HE SPOKE A LITTLE BIT TO
THE PROVIDER SURVEYS THAT WE'VE
DONE.
AND WE HAVE FIVE HUNDRED NINE
SERVICE ORGANIZATIONS RESPOND
WITHIN ABOUT A TWO WEEK WINDOW
EARLIER THIS YEAR TO SPEAK TO
THEIR SITUATION AND 45% REPORTED
EITHER WAIT LISTS ARE TURNING
WAY CLIENTS FROM SERVICES.
WHILE [inaudible]
THANK YOU.
SO I HOPE IS IS THE RATE STUDY
COMES OUT A HOPEFULLY SOMETHING
LIKE THAT IS [inaudible]
IN THAT --
ANOTHER PART OF THAT INFORMATION.
IT IS THE ANY OTHER COMMENT ON
THAT.
I KNOW I'M SORRY WITH WITH THE
INFORMATION THAT THAT WE HAVE I
JUST WANT TO MAKE OF OF NOTE
AGAIN WITHOUT HAVING CLARITY AND
TO KIND OF THE THE THE
DISCUSSIONS AND I'M I'M NOT
MINIMIZING THE CONCERNS OF THE
COMMUNITY BY ANY MEANS BUT AT
THE SAME TIME.
YOU KNOW IT HAS NOT COME TO OUR
ATTENTION AS FAR AS HAVING --
DETAILED DATA THAT WOULD
DEMONSTRATE THAT THERE'S A WAIT
LIST AS FAR AS NOT HAVING ANY
SERVICES --
SO AGAIN WE WE IT'S REALLY TO
MONITOR YOU KNOW TO SEE WHAT
SERVICES ARE AVAILABLE TO THE
INDIVIDUALS THAT WE HAVE IN
CALIFORNIA --
AGAIN WE WE CONTINUE HAVE THE
DIALOGUE WITH THE COMMUNITY TO
TRY TO GET GREATER CLARITY INTO
THOSE ISSUES WHAT WAS THAT
DISCUSSED WITHIN THE RATE STUDY
AT ALL.
ANY PART OF THE MATRIX SO AS AS
I SHARED I THINK THAT'S MORE FOR
THE I'M SUPPOSED TO ICE.
YOU CAN ANSWER IF YOU WANT BUT I
MEAN.
IF I GOT SOMETHING THAT WAS LIKE
THAT YEAH IF I CAN JUST KIND OF
SHARE WITH WHAT I WAS --
SAYING A LITTLE BIT EARLIER IS
THAT --
BEING ABLE TO TAKE A LOOK AT
STANDARDIZING AND AND
UNDERSTANDING THE ISSUES BUT AS
FAR AS A FORMAL STUDY TO
IDENTIFY --
THE SUPPLY A PROVIDER SIX CETERA
THAT WAS NOT ADDRESSED WITHIN --
SPECIFICALLY AND AND THE STUDY
HOWEVER IN ADDRESSING THE ISSUES
ACROSS THE BOARD THAT WERE
TAKING A LOOK AT BEING ABLE TO
HAVE A MODEL THAT --
ADDRESSES KIND OF THE ISSUE OF
SUPPLIER PROVIDERS BY TAKING
DOWN SOME OF THOSE --
ISSUES AND AND BRINGING THEM
FORWARD WITHIN THE RIGHT MODELS
[inaudible]
ALRIGHT.
THANK YOU ON'T.
I TO WANT TO ECHO THE COMMENTS
OF THE LAST BAKER I THOUGHT THIS
WAS A VERY PRODUCTIVE AND
HELPFUL DISCUSSION THAT WE HAD.
BUT IN THE INTEREST OF TRYING TO
READY US FOR POSSIBLE ACTION IN
THE FORMULATION OF THE TWENTY
NINETEEN BUDGET.
I'M GOING TO SUGGEST SOME
ACTIVITY TO KEEP THE WHEELS
TURNING ON THE SUBJECT BETWEEN
NOW AND THE MAY REVISION
HEARINGS.
FIRST I'D LIKE TO ASK THE LA
DEPARTMENT USING THE COMPLETE
RATE STUDY.
WITH THE FISCAL ANALYSIS
AVAILABLE TO PROVIDE A MEMO TO
THIS SUBCOMMITTEE WITH POSSIBLE
OPTIONS OF WHAT COULD BE
CONSIDERED FOR ACTION IN THE
TWENTY NINETEEN BUDGET.
I'D LIKE TO ASK THE DEPARTMENT
AS WELL AS BURNS AND ASSOCIATE.
TO PLEASE PROVIDE AS MUCH
TECHNICAL ASSISTANCE AND SUPPORT
AS YOU CAN UNDERSTANDING THAT
THE ADMINISTRATION IS NOT
COMMITTING TO ANY PARTICULAR
APPROACH.
WE ASK THIS HUMBLY BECAUSE THIS
KIND OF OPTION DEVELOPMENT
CANNOT OCCUR WITHOUT YOUR
EXPERTISE AND YOUR COLLABORATION.
I'D LIKE TO REQUEST THAT THIS
OPTIONS MA'AM MA'AM I'LL INCLUDE
A FEW SCENARIOS ON FIRST STEPS
THAT COULD BE TAKEN.
GIVEN THE INTELLIGENCE THE RATE
STUDY AFFORDS FOR EXAMPLE COULD
RIGHT SIZING OF THE SERVICE
CODES HAPPEN AND RATIONAL WAVES.
INFORMED BY THE PRIORITIZATION
THAT CUSTOMERS FAMILIES
PROVIDERS REGIONAL CENTERS AND
OTHER STAKEHOLDERS IN THE
COMMUNITY HAVE ALREADY WEIGHED
IN.
REGARDING IN THE COURSE OF THE
STUDIES COMPLETION.
I'D LIKE TO ASK FOR THIS OPTIONS
MEMO TO COME BACK TO THE
SUBCOMMITTEE ON MONDAY APRIL
TWENTY SECOND.
SECOND I'D LIKE TO ASK FOR STAFF
TO WORK WITH THE LA --
ON A RECOMMENDATION FOR THE SUB
COMMITTEE TO CONSIDER FOR THE
MAY REVISION HEARINGS THAT
TRANSITIONS THE QUARTERLY
OVERSIGHT BRIEFINGS CURRENTLY
REQUIRED TO TRACK DC MOVEMENT.
TO A NEW VERSION OF OVERSIGHT
ACTIVITY THAT FOCUSES ON RATE
SETTING ISSUES SAFETY NET
PLANNING.
THE IMPLEMENTATION OF THE
DEPARTMENT'S REORGANIZATION AND
OTHER CURRENT ISSUES IT'S MY
HOPE THAT WE CAN ADOPT A
CONSENSUS RECOMMENDATION ON THIS
AT THE MAY REVISION HEARINGS IF
POSSIBLE.
WITH THAT WE'RE GOING TO HOLD
THIS ISSUE ISSUE.
THREE SENATE PADDOCK LEGISLATIVE
ANALYST'S OFFICE.
I AM WE'D LIKE TO RAISE AN ISSUE
CONCERNING RATE ADJUSTMENTS THAT
ARE RELATED TO STATE MINIMUM
WAGE INCREASES AND AS YOU MAY
RECALL WE RAISE THIS ISSUE LAST
YEAR -- I'LL
GET TO WHY WERE RAISING IT AGAIN.
THIS YEAR --
BUT JUST TO IT FIRST TO LAY OUT
WHAT THE ISSUE IS.
AS YOU KNOW MANY SERVICE
PROVIDERS HAVE.
STAFF THAT ARE PAID AT THE
MINIMUM WAGE WE ALSO KNOW THAT
THE STATE MINIMUM WAGE HAS
INCREASED SEVERAL TIMES --
IN RECENT YEARS NUMEROUS TIMES
IN RECENT YEARS.
I'M IN ADDITION WE KNOW THAT IN
MORE THAN TWENTY CITIES ACROSS
THE STATE AND IN ALL OF LA
COUNTY.
THE LOCAL MINIMUM WAGE EXCEEDS
BUT LOCALLY MANDATED MINIMUM
WAGE EXCEEDS THE STATE'S MINIMUM
WAGE.
AND WE KNOW THAT IN FOURTEEN BAY
AREA CITIES THE MINIMUM THE
LOCAL MINIMUM WAGE IS ALREADY AT
FIFTEEN DOLLARS OR MORE PER HOUR.
OUR OFFICE ESTIMATES THAT ABOUT
40% OF THE STATE'S POPULATION
LIVE IN AREAS WITH LOCAL MINIMUM
WAGES THAT EXCEED THE STATE'S
MINIMUM WAGE.
AS YOU KNOW STATE STATUTE ALLOWS
FOR RATE ADJUSTMENTS FOR SERVICE
PROVIDERS THAT ARE RELATED TO
THE COST TO COVER THEIR STAFF
WAGE INCREASES RELATED TO STATE
MINIMUM WAGE INCREASES.
AT THE SAME TIME THE STATE --
HAS NOT PASSED THE STATUTE TO
TAKE ON THE FISCAL
RESPONSIBILITY FOR THE DECISIONS
THAT LOCAL GOVERNMENTS HAVE MADE
SO --
VENDORS ARE NOT ABLE TO RECEIVE.
ANY RATE ADJUSTMENT FOR TO
ACCOUNT FOR THE COST OF LOCAL
MINIMUM WAGES [inaudible]
THIS -- BOTH
OF THESE ISSUES HAVE LED TO SORT
OF A QUIRK IN THE THE PROCESS
FOR REQUESTING RATE ADJUSTMENTS
FROM THE DEPARTMENT OF
DEVELOPMENTAL SERVICES TO COVER.
STATE MINIMUM WAGE INCREASES.
IF A SERVICE PROVIDER HAS
EMPLOYEES WHO ALREADY EARNED
MORE THAN THE STATE MINIMUM WAGE
BECAUSE THEY ARE IN AN AREA WITH
EXCEEDS THE STATE'S MINIMUM WAGE.
THAT SERVICE PROVIDER CANNOT
SEEK AN ADJUSTMENT RELATED TO
THE STATE MINIMUM WAGE.
SO NOT ONLY DO THEY HAVE TO PAY
HIGHER WAGES TO THEIR STAFF
WITHOUT ANY COMMENSURATE RATE
ADJUSTMENT BECAUSE OF THE LOCAL
MINIMUM WAGE.
THEY ARE ALSO AN ABLE TO ACCESS
THE INCREASES ASSOCIATED WITH
THE STATE MINIMUM WAGE.
I'M. ONE OF THE REASONS WE
WANTED TO RAISE THIS IS ISSUE
AGAIN THIS YEAR IS THAT WE
ASSUME THAT THIS QUIRK IN THE
PROCESS IS LEADING TO SIZEABLE
DOWNWARD ADJUSTMENTS IN THE
DEPARTMENT'S BUDGET ESTIMATES.
SO FOR EXAMPLE IN THE CURRENT
YEAR BUDGET ESTIMATE FOR TWENTY
EIGHTEEN NINETEEN THE DEPARTMENT
REVISED DOWNWARD ITS PURCHASE OF
SERVICE BUDGET BY A HUNDRED AND
FORTY FOUR MILLION DOLLARS.
ABOUT EIGHTY OF WHICH WAS
GENERAL FUND THIS AMOUNT WAS
RELATED TO THE STATE MINIMUM
WAGE INCREASES THAT TOOK EFFECT
IN TWENTY EIGHTEEN AND TWENTY
NINETEEN OUR RECOMMENDATION --
THEN IS TO IF IF THE LEGISLATURE
INDEED ONCE ALL VENDORS ACROSS
THE STATE TO BE ABLE --
TO SECRET ADJUSTMENTS RELATED TO
STATE.
MINIMUM WAGE INCREASES TO
CLARIFY STATUTE AND TO CONSIDER
DOING THIS FOR THE TWENTY TWENTY
INCREASE THE MINIMUM WAGE
INCREASE THAT WILL HAPPEN
JANUARY FIRST TWENTY TWENTY THE
DOLLAR.
INCREASE AND WE SUGGEST --
THAT THE LEGISLATURE ASK THE
DEPARTMENT AND DEPARTMENT OF
FINANCE TO PROVIDE A FISCAL
ESTIMATE FOR WITH THIS WILL COST
IN.
TWENTY NINETEEN TWENTY THANK YOU.
THANK YOU VERY MUCH.
DIRECTOR DEPARTMENT OF FINANCE.
ANY COMMENTS.
ANY PUBLIC COMMENTS ON ISSUE.
THREE THANK YOU MISTER CHAIR
MEMBER JORDAN INTO THE ARK IN
CALIFORNIA AND MEMBERS --
REALLY WANT TO THANK YOU FOR
BRINGING THIS ISSUE TO THE
FOREFRONT --
AS WHAT WAS JUST PROPOSED BY THE
CHAIR IT SOUNDS LIKE PERHAPS
THERE MIGHT BE AN AN OPTION FOR
CREATING A A ROAD MAP WHAT CAN
BE DONE THIS YEAR WHICH IS
REALLY EXCITING.
THERE IS ABSOLUTELY NO REASON
WHY THIS SHOULD BE INCLUDED AND
WHAT CAN BE DONE THIS YEAR --
BECAUSE IT'S JUST GONNA HAPPEN
AGAIN WOMEN WHICH WAS UP AS
AGAIN.
WE'RE GOING TO BE THAT PERFECT
STORM I I MENTIONED EARLIER IS
JUST CAN BE EXASPERATED EVEN
MORE SO.
SO WE REALLY HOPE THAT THIS CAN
INCLUDED IN FORD BUT ESPECIALLY
THIS YEAR AS WELL THANK YOU VERY
MUCH THANK YOU SIR.
CARL LUNDEN A MAP THE ALLIANCE
STRONGLY SUPPORT AND BELIEVE
THAT THE THIS PARTICULAR.
LEGEND WAS STAFFERS PROBABLY THE
SMARTEST PERSON IN THIS ROOM
TODAY.
THANK YOU SIR.
MISTER CHAIR MEMBERS A WRECK
ROLLINS REPRESENTED ARCA SO SHE
XIN REGIONAL CENTER AGENCIES A
COUPLE YEARS AGO WE BROUGHT THIS
ISSUE UP --
HAS HAS AN IMPORTANT ISSUES TO
OUR PROVIDER COMMUNITY WERE HERE
IN SUPPORT AND WANT TO THANK
YOUR STAFF FOR INCLUDED ON THE
AGENDA AND WE SUPPORT THE
ALEJO'S RECOMMENDATION THANK YOU.
THANK YOU SIR.
THANK YOU MISTER CHAIR VERY
JEDINI CDSA.
YOU KNOW I KNOW ASSEMBLYMEMBER
HOLDING IT DID A LOT OF WORK ON
THIS ISSUE FOR THE LAST COUPLE
OF YEARS --
THE RESULT IN THE BRIDGE FUNDING
IN THE END OF THE DAY.
THE BRIDGE FUNDING DIDN'T GO ALL
THE WAY TO ACCEPTING THE REAL
COST OF THESE LOCAL MINIMUM WAGE
ORDINANCES AND WE KNOW THAT YOU
IN FACT FOUGHT REALLY HARD --
TO MAKE THAT A LARGER
APPROPRIATION WE REALLY ARE
GRATEFUL FOR THAT SO I WANT TO
THINK MISS PATRICK FOR THIS
PUTTING THIS ON THE AGENDA AND
REALLY HIGHLIGHTING THIS ISSUE
BECAUSE IT IS A CRITICAL ISSUE.
PROVIDERS IN THIS HIGH COST
AREAS REALLY ARE.
DROWNING RIGHT NOW I MEAN
THEY'RE JUST NOT SEEING THEIR
RATES MOVE WE KNOW WE HAVE THE
RATE STUDY SOME OF THIS MAY GET
INCORPORATED IN THE GEOGRAPHICAL
DIFFERENCES ON WAGES.
BUT AGAIN I THINK IT'S GOING TO
TAKE US AWHILE TO GET THAT
ROLLING AND IN THE MEANTIME WE
CAN'T WAIT FOR SOME OF THAT
RELIEF IN THOSE IN THOSE HIGH
COST AREAS SO THANK YOU MISS PAT
AGAIN THANK YOU. TO THE CHAIR
MEMBERS THANK YOU SIR.
HI HARRY BROUGHT PATH POINT US
STRONGLY ENDORSE THIS THANK YOU
VERY MUCH FOR BRINGING IT UP --
PROVIDERS AND REALLY PEOPLE WITH
DEVELOPMENTAL DISABILITIES
SHOULD BE ABLE TO HAVE SERVICES
NO MATTER WHERE THEY LIVE IN
CALIFORNIA SO JUST BECAUSE THEY
LIVE IN CAL IN LOS ANGELES OR
SAN FRANCISCO.
XIN MEAN THEY DON'T GET THE SAME
LEVEL OF SERVICES AS SOMEONE WHO
LIVES IN FRESNO BAKERSFIELD SO
THANK YOU FOR DOING THIS THANK
YOU SIR.
THE BACK A LINE HARD AGAIN WITH
THE LA COALITION ONLY REALLY
APPRECIATE YOU BRING THAT UP AND
ALLOWING FOR PUBLIC COMMENT AT
THIS POINT IN TIME AFTER NUMBER
THREE WE STRONGLY SUPPORT --
THE OPPORTUNITY TO RAISE MINIMUM
WAGES ACCORDING TO WHERE WE LIVE
THANK YOU MA'AM.
HELLO GOOD AFTERNOON MY NAME IS
STEVE AS THE IRA AND I AM WITH
MODEST HOME CARE A SERVICE
PROVIDER IN THE EAST BAY WEEK
SIX OF THE LOCAL MINIMUM WAGE
DISTRICTS IN THE EAST BAY. SEVEN
STARTING IN JULY --
WE ALSO HAVE TO ADHERE TO THREE
LOCAL SICK LEAVE PAY ORDINANCES
THAT HAVE BEEN REALLY STRESSING
ARE HUGE AND FEE OUT --
IT'S REALLY DIFFICULT WITH
SERVICE PROVIDERS IN THIS AREA
WHERE.
PROVIDERS ARE THE DIRECT SUPPORT
PROFESSIONALS DON'T WANT TO WORK
IN OTHER AREAS THAT DON'T HAVE
LOCAL MINIMUM WAGES AND SO WE
HAVE A LOT OF PEOPLE THAT ARE
ACTUALLY TO WORK IN OAKLAND
EMERYVILLE BERKELEY.
RICHMOND ALL OF THOSE OTHER
CITIES OF THAT LEAVES ARE
CONSUMERS THAT PART NEED
SERVICES --
WITHOUT PROVIDERS FOR THEM --
THE OTHER ISSUE THAT WE HAVE IS
WITH ASKING FOR THE LOCAL
MINIMUM WAGE ADJUSTMENTS
ACCORDING TO THE HEALTH AND
SAFETY WAIVER PROCESS.
AND IT'S BEEN VERY TIME
CONSUMING WE'VE SUBMITTED TWENTY
FIVE THIRTY TIMES IN ONE YEAR
TRYING TO GET AN INCREASE AND WE
RECEIVED A LETTER FROM THE
DEPARTMENT IN --
JULY OF LAST YEAR FOR MAY OF
TWENTY SEVENTEEN WHICH ACTUALLY
LOWERED OUR RATE SO WE JUST HAVE
TO RESEND IT WE COULDN'T DO
ANYTHING WITH IT.
SO WE REALLY APPRECIATE THAT --
THE LA --
SUGGESTION WE REALLY WANT --
THIS TO CONTINUE TO BE SPOKEN
ABOUT THERE'S ALSO A CURRENT
GLITCH THAT'S ON THE FORM BACK
PROVIDERS A FILLING OUT NOW IN
WHICH WE THERE'S NO WAY FOR US
TO ASK.
FOR A MINIMUM WAGE ADJUSTMENT
AND WE'D BE VERY HAPPY TO THAT
ISSUE THEN.
THANK YOU THANK YOU MA'AM.
WELL SEVERAL FEATURES EXPLORE
THIS IS CLEARLY A HUGE ISSUE FOR
ACCESS FOR EVERYONE YOU WANT
ACCESS AND SERVICES YOU NEED TO
BUILD PROVIDE A WHEREVER.
THE LOCAL AGENCIES HAVE TAKEN IT
ON TO INCREASE THE MINIMUM WAGE
WE HAVE TO COMPLY WITH THAT
REGARDLESS --
IT ACTUALLY DOESN'T AFFECT ME
DIRECTLY IF EXPAND I'VE LOST A
SICKENING NUMBER STAFF FROM
LAFAYETTE TO OAKLAND BECAUSE I
MAKE TWO DOLLARS AN HOUR MORE.
SO AGAIN HOW YOU MAKE THE
VEHICLE BUT ALSO MY SUPPORT THIS
AND AS I SAID LAST YEAR.
THAT WAS THE BEST TWO PARAGRAPH
DESCRIPTION OF THAT ISSUE I'VE
EVER SEEN SO.
THANK YOU SIR.
CARLENE HELD IN CLEARLY AGREE
WITH EASTER SEALS CLEARLY AGREE
THANK YOU FOR BRINGING IT TO THE
ATTENTION AND HOPING SUPPORT
THANK YOU.
THANK YOU MA'AM.
NANCY CHANCED A CALIFORNIA
PERSON CENTERED ADVOCACY
PARTNERSHIP AND CHOICES PERSON
CENTERED SERVICES WE SUPPORT THE
PROPOSAL BY THE LA THEM THANK
YOU.
CAN HER GLASS TRUMP A C. N.
LAFAYETTE --
WE'LL IS OUR NEIGHBOR AND HE
BROUGHT UP A VERY GOOD POINT AND
I THINK THAT THERE NEEDS TO ALSO
BE CONSIDERATION FOR THOSE IN
NEIGHBORING COMMUNITIES THAT MAY
NOT HAVE.
MINIMUM --
AT LOCAL MINIMUM WAGE INCREASES
BUT WE'RE LOSING ALL OF OUR
STAFF TO EVERYBODY RIGHT AROUND
US AND IT'S MAKING IT VERY
DIFFICULT FOR US TO PROVIDE THE
SERVICES TO THE PEOPLE IN OUR
COMMUNITY.
BECAUSE OUR STAFF ARE GOING
ELSEWHERE SO PLEASE KEEP THAT IN
CONSIDERATION AS WELL THANK YOU
THANK YOU SIR.
HI MICHELLE HIDING AGAIN I'M A
SERVICE PROVIDER IN THE LA
COUNTY AREA WHERE WE DO IN FACT
HAVE LOCAL MINIMUM WAGE THAT'S
HIGHER THAN THE STATE MINIMUM
WAGE.
AND I APPRECIATE THE COMMENTS
ABOUT THIS QUIRK AS ITYOU KNOW
DISALLOWS AND SERVICE PROVIDERS
FOR REQUESTING INCREASES DUE TO
INCREASES IN THE LOCAL MINIMUM
WAGE.
IT'S YOU KNOW IT'S BEEN A REALLY
AND BIG PROBLEM TO TWO PEOPLE
WHY THIS IS SUCH AN ISSUE FOR US
BUT YOU KNOW AGAIN GOING BACK TO
THE IN AND OUT EXAMPLES.
PEOPLE CAN GO WORK AT IN AND OUT
AND MAKE MORE MONEY.
THAN WORKING IN OUR COMMUNITY
AND I THINK OUR PEOPLE DESERVES --
HIGHER QUALITY OF SERVICE THAN
THAT SO THANK YOU VERY MUCH FOR
YOUR TIME THANK YOU MA'AM.
SEEING NO FURTHER PUBLIC COMMENT
ON ISSUES THREE I'M GONNA BRING
IT BACK TO THE COMMITTEE --
I'D LIKE TO ASK FOR A FISCAL
ESTIMATE OF THE COST OF THE
STATUTORY CLEANUP PURSUANT TO
THE LA --
RECOMMENDATION REGARDING THE
MINIMUM WAGE CAN THE DEPARTMENT
AND DO F. PLEASE PROVIDE THIS TO
THE SUBCOMMITTEE BY MONDAY APRIL
FIRST.
THAT'S ACTUALLY A QUESTION.
YES SIR WE CAN'T GREAT.
WITH THAT WE'RE GOING TO HOLD
THIS ISSUE OPEN AND MOVE ON TO
ISSUE.
FOR OKAY THANK YOU NANCY
PARCHMENT DIRECTOR DDS --
I'VE BEEN ASKED TO PROVIDE AN
UPDATE -- ON
THE SAFETY NET SERVICES AND THEN
I WILL ALSO JUST REVIEW WITH YOU --
A REQUEST THAT WE HAVE IN THE A
BUDGET.
I'M JUST REAL QUICKLY I I WANT
TO JUST TALK ABOUT THE
SIGNIFICANCE AND THE IMPORTANCE
OF OUR SAFETY NET SERVICES --
WE'VE REFERENCE THROUGH THE
RIGHT DS TASK FORCE HAS BEEN
DOING -- AND
THE DS TASK FORCE JUST BY WAY OF
A LITTLE BIT OF BACKGROUND IT
STARTED AS A DEVELOPMENTAL
CENTER SERVICES OR DEVELOPMENTAL
CENTER TASK FORCE.
ON BACK IN --
TWO THOUSAND THIRTEEN CALL BY
THE SECRETARY I'M AT THE TIME
SECRETARY DULY --
IT EVOLVED OVER TIME TO THE D.
S. TASK FORCE TO TAKE A LOOK AT
THE DEVELOPMENTAL SERVICES
SYSTEMAND HAS BEEN --
A BODY THAT'S BEEN VERY HELPFUL
IN --
PROVIDING US AND PUT ON SOME
REALLY IMPORTANT ISSUES
REPRESENTATIVES INCLUDE
CONSUMERS FAMILY MEMBERS
ADVOCATES PROFESSIONALS --
THAT SO REALLY THE
REPRESENTATION HAS BEEN REALLY
CRITICAL --
PART OF THAT ALSO INCLUDED THE
INPUT --
FROM THE D. S. TASK FORCE THAT
RESULTED IN OUR SAFETY NET --
PLANNED THAT WAS RELEASED A
COUPLE YEARS AGO --
ONE OF THE THINGS THAT I OFTEN
SAY ABOUT OUR SAFETY NET
SERVICES AND SAFETY NET PLAN
THAT IT'S NOT AN EVENT.
IT REALLY IS SOMETHING THAT HAS
TO CONTINUE TO A FAULT WITH THE
CLOSURES OF THE DEVELOPMENTAL
CENTERS --
BUT ALSO WITH THE MORATORIUM A
PLACEMENT REALLY THE SIR THE
VISUALS IN THE COMMUNITY
CONTINUES TO GROW THAT ARE VERY
VERY COMPLEX WE HAVE NOT ONLY OF
GROWING POPULATION WITHIN.
OUR SERVICE DELIVERY BUT WE ALSO
HAVE A VERY COMPLEX POPULATION
THAT IS EMERGING WHEN WE TAKE A
LOOK AT THE INDIVIDUALS THAT ARE
GRADUATING.
I'M IN THE NUMBER OF INDIVIDUALS
THAT HAVE AUTISM BUT ALSO CO
OCCURRING A MENTAL HEALTH ISSUES
WE ARE RECOGNIZING THAT THE
SERVICE NEEDS ARE ALSO EVOLVING
AND CHANGING --
SO TO THAT I JUST REAL BRIEFLY
WILL WILL SAY THAT WITH THE
UPDATES THAT WE'VE BEEN --
I'M DOING AT THE QUARTERLY --
BRIEFINGS WITH THE LEAD STAFF AS
FAR AS OUR SAFETY NET WE'VE BEEN
ABLE TO PROVIDE UPDATES ON THE
DEVELOPMENT ON PRIOR ACTION THAT
WAS BEEN TAKEN --
SO WITH THE STATE OPERATED ACUTE
CRISIS SERVICES NOR STAR SOUTH
STAR -- WE
ARE IN THE PROCESS OF THE OF
MOVING BOTH THE NORTH AND SOUTH
STAR FROM THE DEVELOPMENTAL
CENTERS TO THE COMMUNITY.
A NOR STAR WILL BE MOVING IN --
BUT I WOULD SAY WITHIN A MATTER
OF THE NEXT FEW WEEKS --
CERTAINLY AND BY BY MAY OF THIS
YEAR -- WE
ARE ALSO DEVELOPING TO
ADDITIONAL HOMES THAT THAT WILL
ALSO BE IN THIS CALENDAR YEAR
THAT WILL BE IN OPERATION AND
OPERATED BY THE STATE --
SO WE'RE ALSO THEN --
EXPANDING WITH THIS --
YOU A YEAR BE --
TRANSITIONING THE CELL STAR FROM
FAIRVIEW DEVELOPMENTAL CENTER TO
THE COMMUNITY AS WELL AS
PART OF THAT PROCESS WAS ALSO
EXPANDING INTO A STATE OPERATED
MOBILE CRISIS SERVICE --
I'M I'M PLEASED TO SAY THAT --
AND I DO HAVE DOCTOR BACKSTROM
HERE SO SHOULD THERE BE ANY
QUESTIONS.
THROUGH HIS LEADERSHIP THROUGH
THE START THE ACUTE CRISIS HOMES
AS WELL AS WITH THE CAST THAT
WE'VE BEEN ABLE TO PROVIDE
SERVICES AND SUPPORTS TO A
NUMBER OF INDIVIDUALS.
AND THAT HAVE EXTREMELY COMPLEX
NEEDS A PART OF OUR PROPOSAL IS
ALSO EXPANDING INTO THE CENTRAL
VALLEY.
SO HAVING I'M TWO OF THE THE
ACUTE CRISIS HOMES IN AN AIRPORT
AVAIL BUT ALSO EXPANDING THE
CAST SERVICES --
SO WHEN WE'RE TAKING A LOOK AT
WHERE WE CAN BEST PROVIDE THOSE
SUPPORTS AND SERVICES CERTAINLY
ONE OF THE FEEDBACK THAT WE'VE
HAD FROM OUR COMMUNITY IS IS
HAVING THE EXPANSION TO OTHER
PARTS OF THE STATE.
WHEN WE TAKE A LOOK AT THE
CENTRAL PORTION OF CALIFORNIA
AND THE SERVICES THAT ARE WITHIN
THOSE REGIONAL CENTERS IT DOES
REPRESENT ABOUT 18%?
OF OUR POPULATION THAT WE SERVE --
WE ALSO I JUST WANNA MAKE NOTE
THAT BY HAVING ON THE THE STAR
SERVICES IN THE CAST SERVICES
THAT OUR STATE OPERATED THAT WE
REALLY DO HAVE THE RESOURCES AS
FAR AS THE STAFFING.
THERE IS A SCHOOL THAT IS OUT
THE GLOBAL WITHIN THAT
PROFESSIONAL STAFF OF THE SITE
TAX SO WE DO SEE THAT AS AN
OPPORTUNITY TO BE ABLE TO
PROVIDE THAT STAFFING RESOURCES
TO BE ABLE TO MEET THAT NEED --
I DO ALSO WANT TO ACKNOWLEDGE
THE IMPORTANCE OF BEING ABLE TO
BRING INDIVIDUALS FROM
RESTRICTIVE SETTINGS TO THE
COMMUNITY AND PRIOR ACTION HAS
BEEN TAKEN.
TO DEVELOP RESOURCES TO SUPPORT
THAT -- ONE
OF WHICH IS SUPPORTING
INDIVIDUALS MOVING FROM
INSTITUTIONS FOR MENTAL DISEASES
WHICH IS SPENDING CONCERNED BY
THE COMMUNITY AS WELL AS
CERTAINLY BY US AS WELL.
YOU KNOW AS FAR AS THE
INDIVIDUALS THAT HAVE BEEN --
IN DIFFERENT --
I AM TO USE AS A REFERENCE --
TO FOR EXTENDED PERIODS OF TIME
PLEASED TO SAY THAT --
THE SERVICES THAT ARE BEING
DEVELOPED ARE ARE REALLY I'M
STARTING TO COME INTO FRUITION.
SO THE WRAPAROUND SERVICES FOR
INDIVIDUALS MOVING FROM THE I AM
DAYS WE ARE ACTUALLY PROVIDING
SERVICES THE PROVIDER THAT WAS
SELECTED.
IS TRANSITIONING INDIVIDUALS AT
THIS TIME I'M TO THE COMMUNITY
THE HOMES THAT WERE BEING
DEVELOPED THERE FOR HOMES FOR
TRANSITIONS FOR THOSE
INDIVIDUALS ALSO TO GO TO THE
COMMUNITY WE WOULD ALSO SEE.
ALL OF THEM BEING AN OPERATION
BY THE END OF THIS CALENDAR YEAR
BEGINNING OF NEXT NEXT YEAR SO
THAT WOULD BRING ADDITIONAL
CAPACITY TO ADDRESS THAT ISSUE.
I'M SOAGAIN AS WE CONTINUE TO
MOVE FORWARD WITH US WE ARE --
ASSESSING IT. ONE OF FAMILIES --
WHO HAVE YOUNG CHILDREN THAT ARE
FACING CHALLENGES AS FAR
SUPPORTING THEM IN THEIR HOME?
AND LOOKING OUT WHAT ARE THOSE
OPTIONS WE TOOK --
THE CPP THE COMMITTEE PLACE THAT
PLAN GUIDELINES ON THIS YEAR AND
INCORPORATED THAT A PRIORITY
FORCED FUNDING FOR SERVICES HAD
TO BE -- FOR
CRISIS SERVICES THROUGH THE
REGIONAL CENTERS TO MEET THE
NEEDS --
OTHER LOCAL COMMUNITY SO WE
CONTINUE TO WORK WITH THE
REGIONAL CENTERS OF MAKING SURE
THAT THEY PRIORITIZE THAT SAFETY
NET WITHIN THE LOCAL COMMUNITY
JUST TO SUPPORT THE INDIVIDUALS.
SO AGAIN IT'S A REALLY COMPLEX --
AREA THAT IS --
CONTINUES TO BE A PRIORITY FOR
THE DEPARTMENT --
WE WILL CONTINUE TO TO BE
FOCUSING ON THIS --
BUT I DID WANT TO HIGHLIGHT TO
ADDITIONAL THINGS THAT ARE
WITHIN OUR PROPOSED BUDGET THIS
YEAR SO IN ADDITION TO THE STATE
OPERATED --
SERVICES THAT WE'RE LOOKING AT I
ALSO -- WE
HAVE PROPOSED A THREE COMMUTER
OPERATED PROVIDER FOCUSED ON
CHILDREN THIS WOULD REQUIRE
TRAILER BILL LANGUAGE THAT WAS
SUPPORT CHILDREN WHO ARE NEEDING
SERVICES THAT HAVE --
THAT ARE AND CUT DAY CUTIE THAT
THEIR NEEDS ARE --
REALLY DOES WARRANT
STABILIZATION --
UNFORTUNATELY RIGHT NOW WE ARE
SEEING THAT KIDS --
SOME KIDS ARE ACTUALLY BEING
REFERRED TO OUT OF STATE
SERVICES OR GOING INTO
PSYCHIATRIC --
HOSPITALS THAT MAY NOT BE ABLE
TO MEET THEIR NEEDS BY
DEVELOPING A SERVICES VERY
UNIQUE FOR THAT THE CHILDREN AND
THEIR COMPLEX NEEDS.
THAT IS REALLY BY PROFESSIONALS
THAT ARE FOCUSED FOR INDIVIDUALS
WITH DEVELOPMENTAL DISABILITIES
IS REALLY THE INTENT OF
DEVELOPING THESE RESOURCES.
ADDITIONALLY --
WE WE HAVE IN THE PROPOSED --
BUDGET THIS YEAR.
IS ADDRESSING SOME ADDITIONAL
THINGS ONE IS FOR THE REGIONAL
CENTER STAFF TO SUPPORT THE
UNIQUE HOMES THAT HAVE BEEN
DEVELOPED THROUGH THE CLOSURES
ENHANCE BEER WILL SUPPORTS HOMES.
COMMUNITY CRISIS HOMES THAT
REQUIRE THEIR OVERSIGHT REGIONAL
CENTERS ARE RESPONSIBLE FOR
PROVIDING MONTHLY VISITS TO
THOSE HOMES THE UNIQUE NEEDS OF
THE INDIVIDUAL CERTAINLY WARRANT
THAT OVERSIGHT AND SUPPORT.
AND SO -- WE
HAVE PROPOSED FIVE POINT FIVE
MILLION TOTAL FUNDS --
THREE POINT SEVEN OF IT IS
GENERAL FUND TO SUPPORT REGIONAL
CENTER STAFF TO PROVIDE THAT
MONITORING.
ADDITIONALLY WE HAVE --
FOR REGIONAL CENTER OPERATION
SPECIALIZED CASELOAD RATIOS SO --
AS THE REGIONAL CENTERS ARE
WORKING WITH INDIVIDUALS THAT
ARE ARE RELEASED DEMONSTRATING
THAT COULD VERY COMPLEX NEEDS.
HAVING THE INTENSIVE SUPPORTS BY
THE SERVICE COORDINATOR --
WITH A CASELOAD RATIO OF NO MORE
THAN --
TWENTY FIVE THAT THEY WOULD BE
ABLE TO WORK WITH THE FAMILIES --
THEIR COMMUNITY PARTNERS AND THE
RESOURCES TO BE ABLE TO ASSIST
IN SUPPORTING THOSE COMPLEX
NEEDS AND AND HELPING THE
FAMILIES --
NAVIGATE THROUGH THESE --
VERY SIGNIFICANT ISSUES.
DEPARTMENT OF FINANCE ELIA.
STEPHEN PUBLIC BERMAN OF FINANCE --
WERE IN SUPPORT OF THE SICK IN
THE PROPOSALS.
AS SOON YOU PICK LA --
AND I'D LIKE TO JUST START BY
NOTING THAT THE TABLE THAT
APPEARS ON PAGE TWENTY TWO OF
THE AGENDA WAS TAKEN FROM OUR
REPORT TO AND I APOLOGIZE THAT
SOME OF THE NUMBERS IN THAT
TABLE ARE INCORRECT AND I'VE GOT --
I DON'T KNOW IF YOU HAVE COPIES
BUT I'VE GOT --
UPDATED NUMBERS FOR YOUR
REFERENCE --
LET ME JUST START BY SAYING THAT --
WE RECOGNIZE AND APPRECIATE THAT
IT IS A COMPLEX PROCESS TRYING
TO PLAN FOR SAFETY NET AND
CRISIS SERVICES AND WE
APPRECIATE.
WHAT DIRECTOR BARGE MEN SAID
THAT THIS IS A PROCESS AND NOT
AN EVENT THAT HAS TO BE AN
ONGOING?
DISCUSSION M. PROCESS.
AT THE SAME TIME IT'S IT'S QUITE
DIFFICULT TO ASSESS WHETHER THE
CURRENT --
RESOURCES AVAILABLE AND THE
PROPOSED TO RESOURCES ARE THE
RIGHT AMOUNTS ARE THEY MORE THAN
ADEQUATE ADEQUATE --
NOT ADEQUATE ENOUGH --
THERE IS A LOT OF ANECDOTAL
EVIDENCE AND QUALITATIVE INPUT
TO SUGGEST THAT THERE IS A NEED
FOR ADDITIONAL SAFETY NET
RESOURCES THIS LIKELY JUSTIFIES
THE CURRENT REQUEST.
BUT AT THE SAME TIME THERE ARE
MANY UNKNOWNS.
SO ONE OF OUR RECOMMENDATIONS IS --
TO FOR THE LEGISLATURE TO
REQUEST THAT THE DEPARTMENT --
DEVELOP AN UPDATE TO TEEN SAFETY
NET PLAN.
THAT COULD BE PREPARED --
ALONG SIDE THERE ARE TWENTY
TWENTY BUDGET PROPOSAL. TWENTY
TWENTY TWENTY TWENTY ONE BUDGET
PROPOSAL NEXT JANUARY.
I'M.
FOR HOW THE DEPARTMENT WILL GO
ABOUT PLANNING FOR ADDITIONAL
CAPACITY IS IN THEIR SAFETY NET
SERVICES --
SO FOR EXAMPLE.
WHAT ADDITIONAL CAPACITY MIGHT
BE NEEDED --
QUANTITATIVELY HOW DO THEY
MEASURE CONSUMER.
DEMAND HOW DO THEY MEASURE
ACCESS HOW DID THEY MEASURE THE
OUTCOMES THAT ARE A RESULT OF
THE SAFETY NET AND CRISIS
SERVICES THAT ARE PROVIDED --
ANOTHER EXAMPLE IS.
A LOT OF THESE NEW HOMES AND
SERVICES ARE NEW TYPES OF
SERVICES --
THINGS THAT HAVEN'T REALLY BEEN
DONE IN THE SYSTEM BEFORE NEW
MODELS OF HOMES --
NEW NEW --
WAYS OF SERVING CONSUMERS.
I'M IT WOULD BE REALLY GREAT IT
TO START HEARING ABOUT SOME OF
THE OUTCOMES OF THESE NEW
PRACTICES AT NEW HOMES.
AND TO SEE IF THERE MIGHT BE
SOME BEST PRACTICES --
IS THERE ADDITIONAL TRAINING
BIRDS ARE SERVICE PROVIDERS
COULD UNDERGO TO TRY TO PREVENT
CRISES FROM HAPPENING. TO SORT
OF RECOGNIZE THE MARKERS THAT
ARE CRISIS IS ABOUT TO HAPPEN
[inaudible]
I'M.
AND THE FINALLY YOU A WE'D ALSO
SUGGESTED THAT --
FOR MORE INFORMATION AT THAT THE
PLAN INCLUDE MORE INFORMATION
ABOUT WHAT THE REGIONAL CENTERS
HAVE IN TERMS OF CRISIS AND
SAFETY NET SERVICES AND HOW.
ACCESSIBLE THOSE ARE TO
CONSUMERS --
I'D LASTLY LIKE TO JUST NOTE ON
THE THE OTHER COMPONENTS OF THE
DEPARTMENT SAFETY NET PROPOSAL
THAT OUR OFFICE WOULD RECOMMEND
APPROVAL OF THE PROPOSAL TO
INCREASE MONITORING BY REGIONAL
CENTERS OF THE SPECIALIZED HOMES.
NOT ONLY IS OVERSIGHT IMPORTANT
BUT THIS ALSO HELPS ENSURE
CONTINUED RECEIPT OF FEDERAL
FUNDS.
A IN ADDITION WE'D RECOMMEND
APPROVAL OF THE SPECIALIZED --
CASELOAD RATIOS FOR SERVICE
PROVIDERS TO WORK WITH --
CONSUMERS WITH COMPLEX NEEDS.
WE DO HAVE ONE CONCERN IN THIS
AREA WHICH WAS RAISED IN EARLIER
TESTIMONY IN THAT --
A LOT OF THE SERVICE PROVIDER
CASELOAD RATIOS ARE OUT OF
COMPLIANCE WITH STATUTORY
REQUIREMENTS --
SO WE DON'T WANT TO FORGET OTHER
CONSUMERS WHO DON'T HAVE COMPLEX
NEEDS AND TO TO ENSURE THAT THEY
ALSO HAVE THE ATTENTION THEY
NEED -- WE
DO HAVE A A I KNOW DIRECTOR
BRIDGMAN NOTED THAT THE THAT
PLEASE SEEING SOME OF THE THE
TWO NEW.
CENTRAL VALLEY HOMES IN THE PART
OF EL áREA --
WOULD MEAN THAT THERE IS THE
STAFF CURRENTLY AVAILABLE WHO'S
WELL TRAINED BECAUSE OF HAVING
WORKED AT PORTERFIELD
DEVELOPMENTAL CENTER IN BECAUSE
OF THE SCHOOL PROGRAM LOCATED IN
THAT AREA --
WE AGREE THAT THAT MIGHT BE GOOD
IN THE THE IMMEDIATE TERM BUT WE
DO RAISE SOME QUESTIONS ABOUT
WHETHER THAT'S THE RIGHT
LOCATION FOR HOMES IN THE FUTURE --
WILL THEY BE ABLE TO ENSURE
ADEQUATE STAFFING GOING FORWARD
IS THAT REALLY --
THAT RIP SORT OF FAIRLY REMOTE
LOCATION WHERE --
CONSUMERS IS THAT AND THEIR
FAMILIES --
THANK YOU VERY MUCH.
THANK YOU IF WE CAN MAKE A
LITTLE SPACE WITH KATHERINE --
BLEAK MORE CONNIE LEE BEN AND
AMY WESLEY.
THANKS [inaudible]
SEX CALIFORNIA
.
WHEN YOU'RE READY CATHOLIC?
THANK YOU A CATHOLIC FOR A
DISABILITY RIGHTS CALIFORNIA
EXECUTIVE DIRECTOR --
AND THANK YOU TO THE MEMBERS OF
THE COMMITTEE THAT ARE HERE AND
THEIR STAFF FOR ALL THE WORK
YOU'VE DONE IN ADVANCE AND ARE
THOSE OF THE ADMINISTRATION.
I WANT TO SPEAK FIRST --
TO A COUPLE OF ITEMS IN THE
DEPARTMENTS PROPOSALS --
AND AT THE SAME TIME SUPPORT THE
LEGISLATIVE ANALYST --
SUGGESTION THAT WE LEE OUT WHAT
WE NEED FOR A SAFETY NET IT'S
VERY HARD TO PLAN SOMETHING WHEN
YOU DON'T QUITE KNOW WHERE
YOU'RE GOING AND SO YES IT'S A
PROCESS.
BUT IT ALSO NEEDS TO HAVE SOME
SENSE OF DATA AND ANALYSIS OF
THAT DATA THAT TELLS US WHERE
WE'RE GOING.
AND I SAY THAT BECAUSE WE HAVE A
BOTH.
OF EXTERNAL EVENTS LIKE FIRES
THAT DISPLACED PEOPLE WITH
DISABILITIES WE HAVE --
PEOPLE FROM THOSE FIRES THAT END
UP ITS STATE INSTITUTIONS LONG
DISTANCES FROM THEIR HOUSE
BECAUSE THERE'S NOWHERE ELSE FOR
THEM TO GO AND THEN WE HAVE
INDIVIDUALS FOR WHOM WE HAVE NOT
YET FOUND A PLACE FOR THEM.
ARM TO BE SUCCESSFUL WE ARE WE
ARE REPRESENTING CURRENTLY A
YOUNG MAN WHO WAS IN THE GENERAL
ACUTE HOSPITAL FOR NINE MONTHS
MEDICATED AND RESTRAINED IN FOUR
POINT RESTRAINTS. FOR NINE
MONTHS ON HIS ABILITY TO WALK
WAS IMPAIRED BECAUSE HE WAS NOT
UP WALKING.
SO THAT'S A TRAGEDY AND I DON'T
I DON'T SAY THAT TO BE ALARMING
OR THAT'S HAPPENS EVERY DAY BUT
TO SIMPLY SAY THAT WE NEED A
PLAN THAT.
HELPS US LOOK AT THE BREADTH OF
WHAT WE NEED --
THE DEPARTMENT ALSO HAS PROPOSAL
SOME SB QUICKLY TO TWO OF THOSE --
ONE IS TO CHILDREN'S CRISIS HOME
THE YOUNG MAN THAT I INDICATED
WAS UNDER AGE EIGHTEEN SO HAVING
THAT KIND OF SERVICE WOULD BE
HELPFUL --
TO HIM --
BUT IN ADDITION THAT'S WHAT THE
PROPOSED I IMAGINE THAT THOSE
TWELVE BEDS ARE ADEQUATE.
AND I KNOW THAT THEY ARE PUT
GEOGRAPHICALLY THREE IN SOME IN
CALIFORNIA ONE IN CENTRAL IN FOR
FURTHER UP NORTH WHICH MEANS FOR
INDIVIDUALS WHONEED THOSE
SERVICES MAY BE REMOVED FROM
WHERE THEIR FAMILIES LIVE. TO
RECEIVE THE CARE AND TREATMENT
THAT THEY UNDOUBTEDLY NEED BUT
BAD IS COUNTER INDICATED FOR
CHILDREN TO BE REMOVED FROM
THEIR FROM THEIR FAMILIES SO I
ENCOURAGE US AS WERE THINKING
ABOUT CRISIS SERVICES TO THINK.
HOW DO WE DO MORE AND MORE
QUICKLY WE KNOW THAT ONCE WE
APPROVE THEM IT TAKES YEARS FOR
THINGS TO GET --
GET DEVELOPED BUT SECOND POINT
ON DDS IS PROPOSAL IS TOUGH I
ABSOLUTELY SUPPORT AND
APPRECIATE THE REDUCE CASELOAD.
IN READING THE LANGUAGE I AM
ACTUALLY TROUBLED ABOUT WHAT IT
SAYS IS THAT YOU GET TO BE PART
OF THAT REDUCE CASELOAD FOR
TWELVE MONTHS.
AND THEN YOU GET TO HAVE
POTENTIALLY ONE EXTENSION IF THE
DIRECTOR FOR SIX MONTHS IF THE
DIRECTOR OR DESIGNEES HE SAYS
THAT YOU --
THAT THAT THAT IT'S NECESSARY.
WE ALLOW PEOPLE TO BE IN.
CRISIS HOMES FOR EIGHTEEN MONTHS.
SO AT THE POINT THAT YOU'RE
READY TO TRANSITION WE'RE NOW
GOING TO SAY YOU NO LONGER GAP
BUT REDUCED CASELOAD THAT'S
GOING TO HELP YOU SUCCESSFULLY
TRANSITIONS THE COMMUNITY AND
YOU'RE.
GOING TO GO BACK AND BE PART OF
THE LARGER CASE SO THAT
THEORETICALLY IS ONE TO SIXTY
TWO AND AS WE HEARD FROM.
AT LEAST ONE REGIONAL CENTER DR
DAY MIGHT BE EIGHTY OR NINETY
PEOPLE SO THAT SEEMS FLOOD TO ME
AND WE'RE GOING TO MAKE THE
INVESTMENT.
AND RELY ON CASE WORKERS BEING
ABLE TO DO THAT AND HELP WITH
THOSE TRANSITIONS WE NEED TO
ADDRESS KIND OF THAT FLAW OF
TIME LIMITED.
AND VERTICALLY TIMELY THAT'S MY
MY THOUGHTS ABOUT THAT --
I I WANT TO JUST QUICKLY TALK
ABOUT A COUPLE OF OUR PROPOSALS
TO YOUR CD HAS WORKED ON SAFETY
NET ISSUES WITH THE DEPARTMENT.
FOR MANY MANY OF THE LAST FEW
YEARS AND WE APPRECIATE THE
TREMENDOUS PROGRESS THAT'S BEEN
MADE -- BUT
WE THINK THERE IS MORE THAT CAN
BE DONE THE FIRST PROPOSAL I
WANT TO SPEAK TO IS PROVIDING
MOBILE CRISIS SERVICES IN LOCAL
COMMUNITIES.
IT'S GREAT THAT THE STATE IS
DEVELOPING SOME CRISIS SERVICES
BUT WHEN YOU OR A FAMILY AND
YOUR EYES SON OR DAUGHTER IS IN
THE MIDST OF A CRISIS.
YOU NEED RESOURCES TODAY AND NOW
AND YOU NEED A MECHANISM BY
WHICH YOU CAN QUICKLY ACCESS
THOSE SERVICES THE ENTIRE GOAL
OF FILLING INTERMENT ACT IS TO
KEEP PEOPLE IN THEIR HOME.
AND IT IS REALLY UNFORTUNATE IF
THE OUTCOME IS --
INSTEAD YOU NEED TO CALL THE
POLICE OR INSTEAD YOU NEED TO GO
TO A PSYCHIATRIC HOSPITAL WHICH
ACTUALLY MEAN TO GO TO THE
EMERGENCY ROOM AS I'M SURE
DOCTOR ARAMBULA KNOWS.
AND YOU MAY BE HELD THERE FOR
THE SEVENTY TWO HOURS AND THEN
YOU MAY BE RELEASED BUT YOU WILL
NOT HAVE RECEIVED ANY.
TREATMENT SO FUNDAMENTALLY WE
NEED TO GET SERVICES TO WHERE
PEOPLE ARE AND WE NEED TO PAY
FOR THOSE SERVICES SO THAT
PEOPLE CAN REMAIN WITH THEIR OWN
FAMILIES ARE WITH WITH THE
PROVIDER THAT THEY CURRENTLY NO --
THE SECOND PROPOSAL --
THAT I WANT TO MENTION TO YOU IS
ONE TO SAY WE NEED TO FIGURE OUT
WAYS TO MEANINGFULLY HAVE
CORDONED NATION.
BETWEEN THE MENTAL HEALTH SYSTEM
AND THE DEVELOPMENTAL DISABILITY
SYSTEM.
I DON'T KNOW WHAT THE ANSWERS
ARE I'M A LAWYER.
I CAN TALK A LOT BUT I I DON'T
I'M NOT A I'M NOT A MEDICAL
PROFESSIONAL.
BUT WHAT I KNOW IS THAT
SOMETIMES WE DEVELOP VERY GOOD
MODELS BY ALLOWING PILOTS TO
DEVELOP OUT THE LOCAL AREA FOR
PEOPLE WHO ARE DOING THAT WORK
ON A DAILY BASIS.
ALL REGIONAL CENTER GETS
TOGETHER WITH THE MENTAL HEALTH
PROFESSIONALS IN THEIR COMMUNITY
OR OTHER CUT COUNTY PARTNERS.
AND SAYS WHAT'S GOING TO WORK
HERE SO THAT IF SOMEONE DOES END
UP IN AN EMERGENCY ROOM WE'RE
GOING TO HAVE A CORDON DATED
PLAN OF CARE WE'RE NOT GONNA
LEAVE SOMEONE IN THE GURNEY ON A
WHOLE WAY FOR SEVENTY TWO HOURS
WERE INSTEAD GOING TO SAY.
WE HAVE A SYSTEM IN PLACE WHERE
WE WE HAVE WORKED TOGETHER TO
SAY HOW ARE WE GOING TO PROVIDE
SERVICES TO THAT INDIVIDUAL SO
THAT'S THE THAT'S THE MAJOR
SECOND PROPOSAL.
AND THEN WE HAVE SOME SORT OF TO
WHAT WE WOULD CALL TECHNICAL
CLEAN UP THINGS LIKE ENSURING
OUR CLIENTS RIGHTS ADVOCATES GET
NOTICES THE PEOPLE WHO ARE
ADMITTED TO PSYCHIATRIC
HOSPITALS WE WANT TO ENSURE THAT
THE WORK THAT'S HAPPENING AND I
AM DES.
ACTUALLY MOVES FORWARD WE WANT
TO TIGHTEN UP SOME OF THE
DEFINITIONS ABOUT WHO GETS IT
MUTED TO THOSE --
FACILITIES --
AND SO FORTH THE LAST
RECOMMENDATION --
IS JUST ABOUT THE CHILDREN'S
CRISIS HOMES AND TO SAY THERE IS
NOTHING IN THE PROPOSAL THAT
SUGGEST HOW WE'RE GOING TO LIMIT
THE USE OF RESTRAINT IN THOSE
FACILITIES --
WE KNOW RESTRAINT [inaudible]
AND WE KNOW THAT WE SHOULDN'T
USE RESTRAINT EXCEPT IN
EXTRAORDINARY SERVICE OF
SITUATIONS TO PREVENT A KIND OF
IMMEDIATE HARM WE ALL ARE TO
AWARE OF WHAT HAPPENED TO A
YOUNG MAN AT THE SCHOOL WHERE HE
WAS RESTRAINED FOR AN HOUR AND A
HALF.
WE KNOW WHAT HAPPENED TO THE
CLIENT I MENTIONED AT THE
BEGINNING WHO WAS RESTRAINED IN
FOUR POINT RESTRAINTS. FOR FOR
NINE MONTHS SO WE ENCOURAGE IN
THE DEVELOPMENT OF THOSE
CHILDREN'S CRISIS HOMES THE AB
ABE A MECHANISM BYWHICH WE
CAREFULLY CONSIDER WHEN
RESTRAINT SHOULD BE USED AND
MAKE IT EXPLICIT AS PART OF OF
THE PROPOSAL APPROVING THOSE.
THANK YOU THANK YOU.
NEXT MISS WHAT WHAT ALL I CAN I
COUNTY LATE AND I'M I'M A MOM AS
I SAID AND I AM A BOARD MEMBER
OF TV YOU AND I WANT TO SAY ON
THE END IS THAT OKAY.
I I MILLION TIMES AND I WANT TO
THANK LA OUT.
ON MY SON HAS A SEVERE CHALLENGE
[inaudible]
AND SPREAD NON VERBAL AND MANY
NIECES ALTERED.
THE MEANS OF COMMUNICATION
PEOPLE JUST DON'T COUNT ON HIM
TELLING.
ON AND BECAUSE OF MY EXPERIENCE
PERSONALLY AND AS AN ADVOCATE.
I AM EXTREMELY AND FAMILIAR WITH
THE NEED FOR A COMPREHENSIVE
TIMELY MEANINGFUL SAFETY NET
SERVICES.
I'M SADLY IN THE NAME OF BATES
BEST PRACTICES AND SHOWS YOU HOW
OLD I AM AND MY SON WAS TWO OR
THREE OBVERSES REDUCE PAIN AS
TREATMENT AND IT WAS EVIDENCE
BASED.
AND SO MY SON WAS ABUSED AND AT
FIFTY ONE HILL STILL SAY BAD BOY.
NO HIT ME.
AND IT KILLS ME I MEAN AND I
UNITED SIDE THAT THE MOM THAT
GOT UP AND TALKED ABOUT HER
CHILD I DON'T WANT THAT TO
HAPPEN TO ANYBODY ELSE.
DB YOU AGREES WITH THE R. C. EN
LA OWES POSITION THAT THE AMOUNT
OF SAFETY NET FACILITIES CRISIS
SERVICES BEING DEVELOPED ARE
STILL INADEQUATE I KNOW ITS
COMPLEX.
BUT I'M THE REALITY FACTOR AND
AND AGAIN I SAID I'M OF A
CERTAIN AGE SO I'M THE TRUTH
TELLER.
I AM SCARED I'M I'M GONNA BE AT
THIS YEAR MY HUSBAND TO ME
EIGHTY TWO I NEVER THOUGHT I'D
BE THE PARENT SAYING I'M REALLY
SCARED TIME'S RUNNING OUT.
AND WE DON'T HAVE A
COMPREHENSIVE PLAN HENCE OF
PLANNED AS DC'S CLOSE I'M
STEALING YOUR LINES THAT I SWEAR
WAS WRITTEN HERE FIRST.
THAT WE CANNOT HAVE OUR SAFETY
NET BE THE JAILS.
THE STREETS THE I AM THESE I
HATE I CAN'T EVEN SAY INSTITUTE
FOR MENTAL DISEASE EVEN THOUGH I
DID THE EMERGENCY ROOM
HOSPITAL'S.
STILL TODAY WERE USING CHEMICAL
AND PHYSICAL RESTRAINTS.
OVER MEDICATION SO SERIOUS ABUSE
AND NEGLECT SPIRAL INTO CRISIS
THERE'S NOT ENOUGH PROPOSED
IMMEDIATE WRAPAROUND SERVICES
THEY MUST BE AT A FASTER PACE
WITH SPECIFIC DEADLINES TO
SUPPORT SOMEONE IN THEIR OWN
HOME [inaudible]
PLACES HOMES.
TAKE A VERY LONG TIME A VERY
VERY VERY LONG TIME TO DEVELOP
AND IF YOU LOOK AT THE DATA AT
THE PROPOSED HOMES AN ACTUAL
DELAY TIME LINES YOU CAN SEE
IT'S TAKEN YEARS.
WE CAN NEVER BUILT OUR WAY OUT
OF THE INTENSIVE NEEDS OF MANY
IN OUR COMMUNITY WITHOUT MOVING
BACKWARDS TOWARD
INSTITUTIONALIZATION.
THE WORD ASYLUM AND WAS SUPPOSED
TO BE A PLACE OF REFUGE WE
LEARNED THAT DOESN'T DOESN'T
WORK NOBODY WANTS TO BUILD AGAIN
MANY INSTITUTIONS I'M NOT SAYING
THEY ARE.
BUT THE FIRST REACTION I HEAR
LET'S BUILD A PLACE NO LET'S
BUILD LET'S MAKE SURE WE CAN
SUPPORT THAT PERSON IN THEIR OWN
PLACE.
THE BIGGEST TAKE AWAY I AM
SAYING IS THAT A SAFETY NET AND
THAT.
IS ABOUT AND FOR A PERSON FIRST
NOT A PLACE I AM NOT SAYING
PLACES AREN'T NEEDED PLEASE
UNDERSTAND THAT BUT YOU SEE FOR
HOW FEW PEOPLE THERE BEING
SERVED AND WHAT THE NEED IS.
DO WE TALK ABOUT PREVENTION.
WHAT ARE WE DOING TO NAVIGATE
AND PREVENT CRISIS IN THE FIRST
PLACE?
TV YOU SUPPORTS THE R. C.'S
PROPOSAL PROVIDING FIVE MILLION
IN ADDITIONAL FUNDING FOR
LOCALLY DEVELOP PILOT PROGRAMS --
AT FOR PEOPLE THAT AT THE RISK
OF INSTITUTIONALIZATION OPENING
CHILDREN'S HOMES ARE GREAT IDEA
BUT I WANT TO ECHO WHAT
KATHERINE SAID.
THEY NEED REGULATE REGULATION
SECLUSION AND RESTRAINT WE WANT
TO PREVENT ABUSE.
HEALTH AND SAFETY WAIVERS I CAN
TALKING THAT ABOUT THAT FOR
YEARS YEAH THEY'RE GETTING
BETTER BUT NOT MORE BETTER
THERE'S SUCH A TERM.
ON THEY MUST BE TIMELY AND NOT
BURDENS AND AND IT AND ANY
EXCEPTION OR EXEMPTION
INFORMATION.
SHOULD BE DISTRIBUTED TO
FAMILIES AND CONSUMERS ALSO NOT
JUST A REGIONAL CENTERS WE HAVE
A PROBLEM IN OUR SYSTEM.
TRUTHFULLY DDS AND REGIONAL
CENTERS COMMUNICATE WITH EACH
OTHER BUT SOMEWHERE I KNOW THAT
I MAKING THE SAME MESSAGING AND
WE'VE GOT TO BE AND I DON'T.
WE'RE NOT SCOOTED BECAUSE WE
PEOPLE SAY WE DON'T EVEN THINK
OF YOU KNOW BUT WE SHOULD BE
FIRST BECAUSE IT'S ABOUT ASKING
OF THIS THING NOTHING ABOUT US
WITHOUT US.
REQUIRED ANNUAL CRISIS
INTERVENTION REPORTS I READ THEM
MUST DEAL WITH HOW THESE
SERVICES ARE IMPLEMENTED NOT
JUST A LIST OF VENDORS I'M GLAD
TO SEE THE LIST BUT I CAN TELL
YOU IN REAL TIME.
I ASKED MY CASE MANAGER OKAY
WHAT HAPPENS WHEN MY SON HAS A
CRISIS WILL BASICALLY IT WAS.
PHONE.
I'LL HELP YOU AND AND AND MAYBE
WILL COME OUT BUT WE CAN'T
REALLY DO THIS A HOSPITAL THAT'S
WHAT I QUALITY ASSURANCE IS
MEASURED BY CONSUMER
SATISFACTION AND SELF
DETERMINATION AS HOT AS WHO'S IN
CHARGE OF THEIR LIVES.
FINALLY THAT WE AGREE WITH
ALLEGE STAFF AND WE THANK THEM
FOR THEIR COMMENTS THAT THERE IS
A LACK OF DATA. TO
COMPREHENSIVELY ASSESS THE
DEMAND FOR SERVICES BECAUSE
PEOPLE WHAT HAPPENS THERE'S A
MEDIAN RATE.
SO YOU HAVE TO GET A HEALTH AND
SAFETY WAIVER IF YOU'RE IN A
CRISIS.
SO HOW DO YOU --
HOW DO YOU LOOK AT AT TAKE DATA
ON HOW MANY PEOPLE ARE ASKING OR
THEY JUST GIVE UP?
I WOULD LIKE THE TWO OF ALL THE
PEOPLE THAT GIVE UP.
I'M WE LOOK FORWARD TO THE
CREATION OF A NEW SAFETY NET
PLAN THAT COULD BE SUBMITTED AS
PART OF THE GOVERNOR'S BUDGET.
IN TWENTY TWENTY AND THANK YOU
SO MUCH FOR MAKING THIS PANEL
EXIST AND LISTENING TO FAMILY
MEMBERS PERSPECTIVE [inaudible]
THIS WASN'T.
AB WESTLING ASSOCIATION OF
REGIONAL CENTER AGENCIES.
FIRST AND FOREMOST I WANT TO
ACKNOWLEDGE THAT THIS IS A POINT
IN TIME THAT WE'VE ALL BEEN
WAITING FOR FOR YEARS.
WE ARE STARTING TO CONTEMPLATE
AND THINK ABOUT A POST
DEVELOPMENTAL CENTER WORLD IN
OUR SYSTEM AND THAT'S WHY WE'RE
ALL HERE THE SYSTEM WAS CREATED
SO THAT PEOPLE WOULD BE
APPROPRIATELY SERVED IN THEIR
COMMUNITIES.
AND WE NEED TO PAY ATTENTION AND
THINK ABOUT.
HOW DO WE DEVELOP ADDITIONAL
CAPACITY TO MEET THE NEEDS OF
THOSE PEOPLE WITH THE MOST
CHALLENGING PSYCHIATRIC AND
BEHAVIOURAL NEEDS?
ARGUS SUPPORTS THE PROPOSALS FOR
MOST MORE CRISIS SUPPORT
SERVICES CONTAINED IN THE
GOVERNOR'S BUDGET.
AS PROVIDING SERVICES CLOSER TO
SOMEONE'S HOME AS AS CLOSE TO
SOMEONE TIME AS POSSIBLE WITH
APPROPRIATE CLINICAL SUPPORTS
INCREASES THE LIKELIHOOD.
THEY WILL REMAIN IN OR RETURN TO
THEIR HOME COMMUNITY AS QUICKLY
AS POSSIBLE.
THIS IS PARTICULARLY IMPORTANT
FOR CHILDREN IT'S HEARTBREAKING
TO SEE CHILDREN.
HAVE TO LEAVE THEIR HOME
COMMUNITIES AND THE LIKELIHOOD
THAT THEY'LL RETURN IS DECREASED
THE FURTHER THEY ARE PLACED FROM
HOME.
ARCO ALSO SUPPORTS THE INCLUSION
OF FUNDING FOR REGIONAL CENTER
CLINICAL CLINICAL MONITORING OF
SPECIALIZED MEDICAL AND
BEHAVIORAL HOMES.
THESE ARE VERY COMPLEX SYSTEMS
THAT WE'VE SET UP TO DEAL WITH
PEOPLE WITH SOME OF THE MOST
COMPLEX NEEDS.
AND THESE HOMES REQUIRE
INTENSIVE CLINICAL SUPPORT NOT
ONLY IN THE HOME BUT INTENSIVE
CLINICAL MONITORING.
BUT WE BELIEVE THAT FURTHER
DISCUSSION IS NEEDED REGARDING
HOW MANY HOMES A SINGLE
CLINICIAN REALLY SHOULD OVERSEE.
AS WELL AS THE ESTIMATED SALARY
LEVEL FOR A LIST.
WE OWE IT TO THE PEOPLE THAT WE
SUPPORT TO ENSURE THAT WE'RE
BUILDING THESE ASSUMPTIONS BASED
ON WHAT IT ACTUALLY COSTS TO
EMPLOY SOMEONE AND PLACE THEM IN
THAT POSITION.
ARCO ALSO SUPPORTS THE PROPOSED
FUNDING FOR THE ENHANCED ONE TO
TWENTY FIVE CASELOADS
[inaudible]
BUT WE NEED TO ENSURE THAT THE
CASELOAD RATIO THE HAD INTENSIVE
CASELOAD.
ATTENTION THAT INTENSIVE CASE.
SERVICE COORDINATION ATTENTION
IS AVAILABLE TO PEOPLE NOT JUST
TO HAVE ALREADY LEFT THEIR HOME
COMMUNITIES BUT THOSE WHO ARE
ALSO.
ON THAT BRINK AND WE NEED TO
LOOK CAREFULLY ABOUT THE
DEFINITION FOR WHO QUALIFIES FOR
THAT SERVICE.
WE APPRECIATE THE LA --
POINTING OUT.
THE INABILITY OF REGIONAL
CENTERS TO MEET OTHER CASELOAD
RATIOS FOR OTHER PEOPLE THAT
THEY SERVE.
AND WE REMAIN CONCERNED ABOUT
THAT AS WELL.
CASELOAD RATIOS ARE ONE OF THE
THINGS THAT WE THE STATE.
PROMISES TO THE FEDERAL
GOVERNMENT IN PART TO DRAW DOWN
FEDERAL FUNDS. FOR THE SYSTEM.
AS OF MARCH TWO THOUSAND
EIGHTEEN THE SYSTEM NEEDED SIX
HUNDRED TWENTY FOUR ADDITIONAL
SERVICE COORDINATORS.
JUST TO MEET STATUTORY
REQUIREMENTS.
WE APPRECIATE THE DOWN PAYMENT
OF AN ADDITIONAL FIFTY BUT WE
STILL HAVE A LONG WAY TO GO AND
WE KNOW THAT THIS NUMBER WILL BE
INCREASED.
POTENTIALLY WHEN THE NUMBERS ARE
REVISED AGAIN IN LATER THIS
MONTH.
FILLING THIS GAP WITH SERVICE
COORDINATORS AN APPROPRIATE
SUPERVISION FOR THAT SIX HUNDRED
TWENTY FOUR SERVICE COORDINATORS
WOULD COST ABOUT THIRTY FOUR
POINT FIVE MILLION DOLLARS
ANNUALLY.
WE ALSO KNOW THAT REGIONAL
CENTERS ARE SPENDING MORE IN
SERVICE COORDINATION THAN THEIR
BUDGETED FOR THAT PURPOSE FOR
EACH SERVICE COORDINATION
POSITION.
REGIONAL CENTERS RECEIVE FUNDING
FOR UNDER 60% OF THOSE POSITIONS.
AND THE WAY THAT THEY CLOSE THE
GAP IS THEY HAVE LESS STAFF THAN
THEY REALLY NEED IN RESOURCE
DEVELOPMENT QUALITY ASSURANCE
CLINICAL SERVICES RISK
MITIGATION.
AND JUST AS AN EXAMPLE UPDATING
ALL OF THOSE SALARIES WOULD COST
A SIGNIFICANT AMOUNT SOMEWHERE
IN THE NEIGHBORHOOD OF A HUNDRED
SEVENTEEN MILLION DOLLARS
GENERAL FUND ANNUALLY.
WHICH IS A LOT OF MONEY BUT IT
HIGHLIGHTS WHAT HAPPENS WINDS
BUDGETED SALARIES REMAIN FROZEN
FOR FIFTEEN YEARS.
ADDITIONALLY ARCA SUPPORTS YOUR
SEATS PROPOSAL RELATED TO PILOT
FUNDS TO SUPPORT COLLABORATIVE
EFFORTS AND PROJECTS BETWEEN
REGIONAL CENTERS IN THEIR LOCAL
COMMUNITIES.
AND WE ARE PLEASED THAT
COLLABORATIVE CONVERSATIONS HAVE
BECOME AN HAVE BEGUN WITH TVS
AND DEAR SEE ABOUT DATA
COLLECTION AND BETTER
UNDERSTANDING THE NEED FOR
SAFETY NET SERVICES AT BOTH THE
INDIVIDUAL AND SYSTEMS LEVELS.
SUPPORTING PEOPLE TO REMAIN OUT
OF RESTRICTIVE ENVIRONMENTS
WHENEVER POSSIBLE IS A SHARED
GOAL OF ALL OF US IN THIS AREA
AND ARE COMPLEX FORWARD TO
CONTINUING THESE CONVERSATIONS
THANK YOU [inaudible]
THANK YOU.
WELL NOW BRING IT BACK UP TO THE
COMMITTEE ASSEMBLYMEMBER MATHIS.
WE'RE DOING PUBLIC COMMENT AFTER
ISSUE.
TEN JUST GOT ISSUE THREE WRONG.
RIGHT ON TRACK WITH THAT ALL
RIGHT I'M LIMóN MATHIS SO.
I HONESTLY ONE MA'AM FOR EIGHTY
YOU LOOK REMARKABLE.
CELL.
THANK YOU MAYBE IT'S THE NEW
GLASSES --
DRESS IT IS A GREAT [inaudible]
ON THIS ISSUE A IG.
I THINK ONE OF THE THINGS THAT
CONCERNS ME THE MOST AND AND I
THINK --
REALLY THE LEGISLATURE NEEDS TO
DO A JOINT HEARING IN AND BRING
IN THE PUBLIC SAFETY ELEMENT. TO
THIS AS WELL [inaudible]
SO.
WHAT HAPPENS UNFORTUNATELY IS?
SOMETHING.
THAT AN EVENT WILL TAKE PLACE.
WHETHER IT'S AT SCHOOL OR
WHEREVER AND OFTENTIMES LAW
ENFORCEMENT'S CALLED IN.
BECAUSE IN AND I'M GONNA WALK
THROUGH THIS.
LAW ENFORCEMENT'S CALL THEN.
BECAUSE AT THAT POINT THERE IS A
CRISIS THEY DON'T KNOW IF THE
CHILD SAFE TO STAY IN THE HOME
OR NOT --
CIVILIANS OR NOT OR WHAT'S GOING
ON WHICH THEN TRIGGERS FROM LAW
ENFORCEMENT. TO NOW YOU HAVE THE
NOW YOU HAVE CHILD PROTECTIVE
SERVICES INVOLVED THERE'S OTHER
CHILDREN INVOLVED --
CHILD WELFARE SERVICES --
REGIONAL CENTERS.
AND NAY AND WE HAVE THE FACT
THAT.
THERE'S NOT ENOUGH HOMES.
AND AND THE CASE.
PERTAINING TO THIS COMMITTEE IN
THIS TOPIC.
YOU HAVE TO HAVE A HOME THAT
MATCHES THE I EP.
OF THE PERSON IN CRISIS.
OR THEY CAN'T GO THERE.
AND I KNOW IN MY AREA WE HAVE
LIKE ONE PERSON WHO CAN SIGN.
IN THE ENTIRE COUNTY
[inaudible]
SEOUL.
WE HAVE SOME SERIOUS SERIOUS
ISSUES.
AND I THINK.
AFTER LISTENING ALL THE
TESTIMONY REALLY STRUCK ME THAT
WE REALLY NEED TO HAVE A A
BROADER.
DISCUSSION AND BRING IN THE
PUBLIC SAFETY GUYS BECAUSE THE
WAY THESE THINGS GET HANDLED AND
IT'S DIFFERENT EVERY SINGLE CASE
IS DIFFERENT.
I THINK IT'S A VERY CONFUSING
AND I I'VE HEARD A LOT OF
COMPLAINTS FROM PARENTS --
THAT ON THE LAW ENFORCEMENT SIDE
I MEAN IT IT'S LITERALLY WHAT
HAPPENS --
TO SPECIALNESS CHILDREN.
IT'S REALLY REALLY MESSY --
BUT EVEN AT ADULT CHILDREN IT
GETS MESSY BECAUSE IF THAT
COMMUNITY THAT COUNTY ESPECIALLY
IF IT'S A RURAL COUNTY
[inaudible]
DOESN'T HAVE.
THAT CARE THAT MATCHES UP WITH
THAT I EP FOR THAT INDIVIDUAL.
THEY COULD END UP ON THE
COMPLETE OTHER INTO THE STATE
[inaudible]
OVERNIGHT [inaudible]
WHICH IS DETRIMENTAL BUT NOT
ONLY TO TO THE PERSON WITH THE
DISABILITY BUT ALSO TO THAT
FAMILY.
AND ANY OF LAW ENFORCEMENT AND
THIS WHOLE GROUP THAT'S INVOLVED
TRYING TO COORDINATE ACROSS
COUNTY LINES.
IN.
IT'S A MESS.
AND I'LL JUST LEAVE IT THAT I'D.
LIKE WE NEED TO HAVE A HEARING
TO TALK ABOUT IT A LOT MORE.
YOU KNOW I I AGREE WITH A LOT OF
WHAT I'M HEARING AND THAT WE
NEED TO WORK TOWARDS A MORE.
AND BETTER AND MORE TRANSPARENT
DATA.
COMPREHENSIVELY ASSESS THE NEEDS
FOR SAFETY NET SERVICES.
I'D AGAIN LIKE TO ASK THE LA --
TO WORK WITH AS THE DEPARTMENT
OF FINANCE TO FORMULATE WHAT
CRITERIA COULD BE ADOPTED.
IN BUDGET TRAILER BILL THIS YEAR
TO BEGIN. TO FRAME THE
PARAMETERS OF DATA THAT CAN BE
REASONABLY BE EXPECTED TO BE
COLLECTED.
ON A CONSISTENT AND THOROUGH
BASIS ACROSS THE STATE.
I WOULD ALSO LIKE TO ASK THE
ADMINISTRATION TO CONSIDER A
COMMITMENT TO BE MADE AS PART OF
THE TWENTY NINETEEN BUDGET.
THAT PRESCRIBES THE CREATION OF
A NEW SAFETY NET PLAN.
THAT WOULD BE SUBMITTED AS PART
OF THE INTRODUCTION OF THE
GOVERNOR'S BUDGET IN JANUARY OF
TWENTY TWENTY LASTLY I'M GOING
TO SUGGEST STRONGLY THAT THE
ADVOCACY PROPOSALS BE
PRIORITIZED.
AND THE CONVERSATIONS TO CONSULT
ON A TECHNICAL LEVEL OF KERR AS
SOON AS POSSIBLE.
THIS IS IN THE INTEREST OF
PRODUCING VIABLE ALTERNATIVES IN
THE EVENT THAT THE TWENTY
NINETEEN BUDGET ALLOWS FOR US TO
APPROVE AN FUND INVESTMENT
PROPOSALS.
WITH THAT WE WILL HOLD ISSUE FOR
OPEN IN THE BOND ISSUE FIVE CAN
I SAY THANK YOU [inaudible]
ONE
YES THANK YOU --
ISSUE.
FIVE UPDATE ON THE DEVELOPMENTAL
CENTER CLOSURES --
BRIEFLY IT WAS --
DISCUSSED --
AS IT RELATES TO THE SAFETY NET --
BUT I WOULD DO YOU WANT TO
PROVIDE YOU AN UPDATE ON THE
CLOSURES.
SO WITH THE IN MAY OF TWENTY
FIFTEEN REALLY WAS THE POINT OF
THE ANNOUNCEMENT OF THE CLOSURES
OF THE THREE DEVELOPMENTAL
CENTERS.
THE LAST PERSON FROM CINEMA
DEVELOPMENTAL CENTER HAS MOVED
TO THE COMMUNITY AND THAT WAS IN
DECEMBER --
TWENTY EIGHTEEN PROCESS OF
WORKING WITH THE ADDITIONAL
INDIVIDUALS THAT ARE OVER AT
FAIRVIEW AND THEN AT PORTER BILL
WITH THE IN THE GENERAL
TREATMENT AREA.
SO AS OF A COUPLE OF DAYS AGO --
OUR CLOSURE --
POPULATION FOR THE INDIVIDUALS
THAT ARE AT PORTER BILL GENERAL
TREATMENT AS WELL AS OVER AT
FAIRVIEW IS A TOTAL OF A HUNDRED
EIGHTEEN INDIVIDUALS WE HAVE
SEVENTY SEVEN THAT ARE OVER AT
FAIRVIEW.
AND THEN FORTY ONE AT PORTER
BELT.
SO BASED ON THE PROJECTIONS THE
DEVELOPMENT OF THE RESOURCES
EVERY INDIVIDUAL THAT IS WITHIN
ON THE CENTERS THAT I JUST
MENTIONED.
ACTUALLY WOULD BE TRANSITIONING
TO THE COMMUNITY BY THE END OF
THIS CALENDAR YEAR --
I DO WANT TO ALSO JUST MAKE NOTE
THAT IN THE POPULATION THAT WE
CURRENTLY HAVE IN THE GENERAL
TREATMENT AREA PORTER BILL.
THAT IT --
PORTABLE STAFF WELCOMES A
SIXTEEN INDIVIDUALS THAT WERE ON
DISPLAY SPACED ON THE FIRES OUT
OF PARADISE AND WE'RE HAPPY TO
REPORT.
THAT EIGHT OF THEM HAVE ACTUALLY
RETURNED BACK TO THEIR HOME
COMMUNITY AND WE WERE GOING TO
SEE.
THE THE REST OF THEM GOING TO
SOME NEW HOMES IN THEIR
COMMUNITY OVER THE NEXT COUPLE
OF MONTHS.
SO WHILE WE WE HAVE A POP I HAVE
SOME GUEST THAT HAVE JOINED US
FOR A WHILE --
AGAIN WITH THE TRANSITIONS
THINGS ARE GOING VERY SMOOTHLY
WE DO HAVE SOME INDIVIDUALS WITH
REAL COMPLEX NEEDS OVER AT
FAIRVIEW THAT WE'RE WORKING WITH
THAT REGIONAL CENTERS AND THE
FAMILIES.
AND THE SERVICE PROVIDERS AND
MAKING SURE THAT WERE ATTENDING
TO KIND OF THOSE UNIQUE NEEDS.
SO WE'VE ALSO BEEN ASKED TO
PROVIDE AN UPDATE REGARDING --
THE THE LAND AND SO I HAVE A
DEBT THE CHIEF DEPUTY DIRECTOR
JOHN DOYLE HERE WITH ME.
MISTER CHAIR.
SOME MORE MATHIS JOHN DOYLE
DEVELOPMENTAL SERVICES --
AS DIRECTOR BARGE MEN SAID.
THE LAST RESIDENT TRANSITIONED
OUT OF CINEMA MID DECEMBER SO
THE PROPERTY IS NOW IN ONE SHUT
DOWN.
AND WHAT THAT MEANS IS THAT WE
MAINTAIN THE PROPERTY --
WE KEEP THE CENTRAL PLANT
OPERATIONAL WE MAINTAIN FIRE
SERVICES AND SECURITY SERVICES.
OUR INTENTION IS TO TURN THE
PROPERTY OVER TO THE DEPARTMENT
OF GENERAL SERVICES ON JUNE
THIRTIETH OF THIS YEAR --
THE DEPARTMENT AND GENERAL
SERVICES ARE CONTINUING TO WORK
WITH SONOMA COUNTY.
AND A NUMBER OF ADVOCACY GROUPS
UP THERE ON THE FUTURE
DISPOSITION AND USE OF THE
PROPERTY THAT'S STILL AN ONGOING
DISCUSSION.
THE IT MINISTRATION MADE IT
CLEAR WHEN WE WROTE THE CLOSURE
PLAN FOR CINEMA THAT.
THAT PROPERTY WOULD NOT GO
THROUGH THIS.
AND WE'RE CONTINUING ON THAT
PATH [inaudible]
THE ARM.
VIEW --
PROPERTY.
IN COSTA MESA THE PROPERTY THE
LAST RESIDENT IS EXPECTED TO
TRANSITION NOW.
DURING THIS CALENDAR YEAR --
THE DEPARTMENT EXPECTS THAT WE
WILL OPERATE THE FACILITY AGAIN
IN WARM SHUT DOWN MODE UNTIL
JUNE THIRTIETH OF TWENTY TWENTY
M. AT THAT TIME THE PROPERTY
WILL BE TURNED OVER TO THE
DEPARTMENT OF GENERAL SERVICES.
WITH THE EXCEPTION OF PORTIONS
OF THE PROPERTY THAT DEPARTMENT
WILL CONTINUE TO OPERATE.
NAMELY THE HARBOR VILLAGE
PROJECT WHICH IS A MIXED USE
COMMUNITY PROJECT.
UP TO APPROXIMATELY A FIVE
HUNDRED AND FIFTY ACRE APARTMENT.
COMPLEX THAT PROVIDES.
SERVICES TO A INDIVIDUALS
DEVELOPMENTAL DISABILITIES WILL
ALSO CONTINUE OPERATION OF THE
STAR HOMES THAT ARE BEING
DEVELOPED ON MARK LANE THERE TO
HOMES THAT ARE PROPOSED FOR
DEVELOPMENT THERE.
AND THEN THE SHANNON'S MOUNTAIN
PROJECT WITCHES ARE CURRENTLY
UNDER CONSIDERATION WE DID
RECEIVE A RESPONSE TO BID FROM --
APPROACH I WANTED TO DEVELOP A
DEVELOPER TO TOUR THE PROPERTY
SUBMITTED A BID AND THEIR BID
WAS RESPONSIVE AND WAS REVIEWED
IN DECEMBER.
OF TWENTY EIGHTEEN SO WE'RE
LOOKING AT ABOUT WHAT HAPPENS
NEXT THEIR CHANCE MENTAL.
AND THEN WITH PORTER VILLE --
WE ARE EXPECTING ALSO TO
TRANSITIONAL LAST RESIDENT OUT
INTO THE COMMUNITY THIS CALENDAR
YEAR.
QUARTER BILL BECAUSE THE SECURE
TREATMENT PROGRAM WILL REMAIN
OPEN IS NOT GOING TO GO THROUGH
A WARM SHUT DOWN PROCESS.
AND WE'RE WORKING WITH THE
ADMINISTRATION AND D. G. S. ON
HOW.
TO BEST USE THAT PROPERTY IN THE
FUTURE.
BERMAN FINANCE A LIVE
[inaudible]
ASSEMBLYMEMBER MATHIS
.
THANK YOU MISTER CHAIR --
I I'VE GOT THE THE THREE PAGE
LONGER VERSION OF THIS BUT ALL
OF SAVE SOME TIME --
THAT AND I ALSO WANT TO THANK --
THE AGENCY BECAUSE I DID GET TO
GO ON A FABULOUS HER OF HARBOR
VILLAGE IN AND SEE WHAT'S GOING
ON THERE --
THE AND I REALLY DON'T THINK THE
COMMITTEE STAFF AND EVERYBODY
FOR HELPING WITH THIS AND THE LA --
YOU KNOW WE NOTICE THIS THREE
YEARS AGO THAT THESE CLOSURES
WERE GONNA HAPPEN.
AND THAT THE STATE WAS GOING TO
HAVE THAT MONEY GO BACK TO THE
GENERAL FUND AND I THINK THAT'S
A DISHONOR. TO THE COMMUNITY AND
TO EVERYBODY INVOLVED FOR THE
THAT FUNDING JUST TO GO AWAY.
ONE OF THE BIGGEST PROBLEMS WE
HAVE IN THE STATE IS AFFORDABLE
HOUSING.
EXPRESSLY WITHIN THE ID DE
COMMUNITY.
WHO ARE ON LIMITED BUDGETS THEY
DON'T HAVE THE ABILITY OF FUNDS?
AND YOU KNOW THEY REALLY DESERVE
THE OPPORTUNITY TO LIVE
INDEPENDENTLY.
WE'VE SAT HERE TODAY LISTENING
TO MANY PROGRAMS.
MANY WAYS MANY BUDGET PROPOSALS
ON ENSURING THAT.
OUR FRIENDS OUR FAMILY THAT ARE
WITHIN THIS COMMUNITY HAVE
ACCESS TO THOSE SERVICES IN THAT
WE DON'T LOSE THOSE.
AND I THINK IT'S VITAL.
THAT WE INSURE THAT AS WE ARE
DOING THIS TRANSFORMATION AS WE
ARE DOING WARM SHUT DOWNS AS WE
ARE DOING ALL OF THESE THINGS.
YOU KNOW REALLY THE IDEA HERE
[inaudible]
IS. TO CREATE AN ENVIRONMENT.
WHERE EVERYBODY IN THE AYE IDT
COMMUNITY HAS THE OPPORTUNITY TO
BE INDEPENDENT BUT TO HAVE THAT
HOUSING THAT'S CLOSE TO THEIR
FAMILY?
INSTEAD OF HAVING TO SHIFT
ACROSS THE STATE LINE OR NOT
STATE LINE FOR COUNTY LINES.
ON SO I REALLY THINK.
THAT HARBOR VILLAGE MODEL.
WITH THE PUBLIC.
PRIVATE PARTNERSHIP WITH A
PROVEN TRACK RECORD.
ON AS WE MOVE FORWARD TO THE
STAR CLUSTERS IN IN THE SHANNON
MOUND AND ALL OF THESE THINGS.
I I REALLY THINK WE NEED TO TAKE
THAT SAVINGS AND LOOK AT HOW.
AS A STATE IS A COMMUNITY THAT
CARES ABOUT THE ID COMMUNITY.
THAT WE TAKE IT AND WE MOVE IT
STATE WIDE.
THAT WAY WE CAN HAVE A HARBOR
VILLAGE AND FRESNO WE CAN HAVE A
HARBOR VILLAGE AND ALL OF OUR
OTHER AREAS ACROSS THE STATE.
SO THAT WAY AS OUR FAMILY
THROUGH THESE THINGS AND THEY
NEED.
YOU KNOW WE WANT THEM TO BE ABLE
TO BE INDEPENDENT BUT WE ALSO
WANT THEM TO BE ABLE. TO HAVE
THE SERVICES THAT THEY NEED AND
BE SOMEWHERE THAT SAFE THAT HAS
THE TRAINED PROFESSIONALS THERE.
AND THAT'S WHAT THIS MODEL GIVES
US.
WE HAVE THE ABILITY NOW. TO
ENSURE THAT THAT FUNDING DOESN'T
JUST GO AWAY THAT WE CAN INVEST
IN A IN DO THOSE PARTNERSHIPS IN
EVERY CITY ACROSS THE STATE OF
CALIFORNIA. TO ENSURE THAT OUR
FAMILY MEMBERS.
THAT ARE IN.
THE IDT COMMUNITY.
OUR RIGHT DOWN THE ROAD FROM US.
OUR FIVE MINUTES AWAY OUR TEN
MINUTES AWAY.
VERSUS HAVING TO GO THROUGH A
SYSTEM WHERE THE MONEY'S GONE.
AND THEY GET LEFT BEHIND IN THE
CONTINUE TO FALL THROUGH THE
CRACKS.
IT'S TIME WE WE WE TAKE THIS WE
TAKE THAT OPPORTUNITY.
WE MOVE FORWARD IN ENSURE THAT.
YOU KNOW IT'S ALL THERE
SOMETHING WRONG WITH THEM AND
LET'S PUT THEM AWAY SOMEWHERE.
THOSE DAYS ARE OVER AND IT'S
TIME TO MOVE FORWARD WE HAVE ALL
THE GREAT PROGRAMS HERE IN THE
STATE.
WHERE WE HAVE PARTNERSHIPS WHERE
OUR FOLKS ARE WORKING IN THE
COMMUNITY THEY'RE TEAMING UP
THERE SO MANY AMAZING GREAT
PROGRAMS OUT THERE?
THAT EXIST IN TO BE ABLE TO HAVE
THAT ABILITY FOR THEM TO HAVE
THE INDEPENDENT LIVING BUT STILL
HAVE THOSE RESOURCES AVAILABLE
TO THEM.
I I THINK THAT'S THE ULTIMATE
GOAL HERE COLOGNE ON THIS AND I
JUST REALLY APPRECIATE.
EVERYBODY HELPING THE COMMITTEE
ON THIS AND AFTER THAT OTHERS
JOIN ME ON THE SUFFERS.
THANK YOU.
THANK YOU ASSEMBLY MEMBER MATHIS.
YOU KNOW WE HAVEN'T SEEN
SOMETHING IN WRITING THAT SHARES
THE STATUS AND PLANS AROUND THE
DC PROPERTIES.
CAN THE ADMINISTRATION PROVIDE
THIS INFORMATION BY MONDAY APRIL
FIRST FOR ALL PROPERTIES
INCLUDING AND SINCE THE CLOSURE
OF AGNES --
DEVELOPMENTAL CENTER.
MISTER CHAIR I I WOULD JUST
POINT OUT THAT --
YOU KNOW WE WE ARE TENANTS AT
DEPARTMENT OF GENERAL SERVICES
IS THE LANDLORD BUT WE ARE HAPPY
TO REACH OUT TO THEM AND WORK
WITH THEM ON A STATUS UPDATE.
GREAT.
WITH THAT WE WILL HOLD ISSUE
FIVE OPEN IN THE BOND ISSUE SIX
THANK YOU MISTER CHAIR
.
WHEN YOU'RE READY DIRECTOR YES
THANK YOU SO ISSUE? SIX CORRECT.
TRYING TO KEEP TRACK OF OUR
ISSUES -- SO.
AGAIN MUCH DISCUSSION HAS BEEN
AROUND THE CHANGES IN OUR
COMMUNITY AND OUR SERVICE
DELIVERY SYSTEM --
CERTAINLY WITH THE CLOSURES OF
THE DEVELOPMENTAL CENTERS AND IT
GOES BACK.
TO AG NEWS LETTER MEN A NUMBER
OF OF CLOSURES YOU KNOW WHERE WE
REALLY AS AID THE DEVELOPMENTAL
SERVICE DELIVERY SYSTEM HAVE
EVOLVED.
FROM --
OPERATING IN KIND OF ITS
DEVELOPMENTAL CENTERS TO REALLY
BE IN A COMMUNITY BASED FOCUS
SYSTEM.
AND WHEN YOU TAKE A LOOK AT THE
GROWTH WITHIN THE SYSTEM THAT
WE'VE HAD YOU KNOW WE ARE --
GROWING BY AT ABOUT TWELVE TO
SIXTEEN THOUSAND INDIVIDUALS ON
ANNUAL BASIS.
ADDITIONALLY WHEN WE TAKE A LOOK
AT THE CHANGES OF THE NEEDS OF
THE INDIVIDUAL SAYS I HAD
REFERENCED EARLIER.
AND THEN ALSO JUST CHANGING --
WHAT THE THE FEDERAL MANDATES
WITH EIGHT CBS FEDERAL RULE FOR
US TO BE ABLE TO BE IN
COMPLIANCE AND MAKING SURE THAT
WERE CAPTURING THE FEDERAL
DOLLARS --
PUTTING FORWARD AND MAKING SURE
THAT WE AS A DEPARTMENT ARE
RESPONSIVE TO THE REALLY
IMPORTANT INITIATIVES THAT --
HAVE DECISIONS HAD MADE MADE
AROUND SOME EXAMPLES INCLUDE --
AS I MENTIONED THE H. CBS
FEDERAL RULE WHERE THERE'S
FUNDING AVAILABLE --
TO SUPPORT PROVIDERS AND MOVIE
TOWARDS COMPLIANCE WITH THE NEW
FEDERAL RULE.
THERE'S ALSO CERTAINLY SELF
DETERMINATION PROGRAM --
WHEN WE WERE MOVING FORWARD WITH
THE APPLICATION FOR THE WAIVER
BUT NOW ON IMPLEMENTATION --
AS WE'RE LOOKING AT AND ON THE
DISPARITIES AND HAVING THE
ABILITY WITHIN A. B. X. TWO ONE
TO HAVE ELEVEN MILLION DOLLARS
IS THE GRANTS BUT EVEN MORE
IMPORTANTLY TO REALLY UNDERSTAND
THE ISSUES SO WE CAN BEST MOVE
DECISIONS.
ALL OF THOSE THINGS REALLY DO
RELY ON THE DEPARTMENT BEING
ABLE TO BE --
INFORMED AS TO WHAT'S GOING ON
IN THE COMMUNITY BUT ALSO BEING
ABLE TO BE RESPONSIVE AND MOVING
THINGS FORWARD.
NOW THE REALLY CRITICAL
RESPONSIBILITY THAT WE HAVE THIS
OUR ROLE AS THE DEPARTMENT IS
HAVING OVERSIGHT OF THE REGIONAL
CENTERS. TWENTY ONE REGIONAL
CENTERS HAVE THE RESPONSIBILITY
OF PROVIDING THE SERVICES IT
WITHIN THEIR COMMUNITY --
WE HAVE STATUTORY I'M
REQUIREMENTS THAT HAVE TO HAVE
COMPLIANCE AND WE AS A
DEPARTMENT HAVE RESPONSIBILITY
TO HAVE INSURANCE NOT ONLY TO
THOSE --
KIND OF MANDATES BUT ALSO I
THINK REALLY IS KIND OF THE
HEART OF WHAT YOU'VE HEARD TODAY
IS ALSO UNDERSTANDING WHAT IS
THE IMPORTANCE TO THE
INDIVIDUALS THAT WERE.
SUPPORTED CONSERVING AND THEIR
FAMILY MEMBERS.
AND WE AS A DEPARTMENT HAVE A
PRETTY IMPORTANT ROLE IN MAKING
SURE THAT THOSE SERVICES ARE
BEING DELIVERED TO YOU KNOW SO
TO THAT END WHEN WHEN I WE ARE
TAKING A STEP BACK IS TO HOUSE.
HOW CAN WE AS HEADQUARTERS BE
ABLE TO IT?
TAKE A LOOK AT THESE REALLY
IMPORTANT ISSUES IN [inaudible]
SO LOOKING AT CHANGING WITHIN
HEADQUARTERS THE DEVELOPMENTAL
CENTER DIVISION AS ONE EXAMPLE
YOU KNOW REALLY BEING ABLE TO
TAKE A LOOK AT HOW DO WE MAKE
SURE THAT WE USE THE EXPERTISE
WITH THAT OUR HEADQUARTERS STAFF.
BUT ALSO TAKE A LOOK AT HOW
WE'RE GOING TO BE ABLE TO
PROVIDE THE SUPPORT THROUGHOUT
THE STATE.
SO TWO THINGS ONE IS WE TOOK A
LOOK AT HOW CAN WE HAVE THE
EXTENDED OVERSIGHT TO REGIONAL
CENTERS AND THE SUPPORT AT A
LOCAL LEVEL ONE WAS BY EXPANDING
THE WORK THAT THE LATEST ON SOME
THAT THE STAFF THAT WOULD BE
WORKING WITH EACH REGIONAL
CENTER.
RIGHT NOW WE HAVE FOUR LAYERS.
THAT ARE RESPONSIBLE FOR TWENTY
ONE REGIONAL CENTERS IN THE
STATE THEY'RE RESPONSIBLE FOR
MONITORING YOUR COMPLIANCE WITH
THE REQUIREMENTS THAT THE
REGIONAL CENTERS NEED TO ME --
BUT ALSO BEING RESPONSIVE TO I'M
KIND OF IMPORTANT ISSUES.
SO THE PROPOSAL --
PUT FORWARD WITH THE FIFTY FOUR
POSITIONS PLUS WE HAVE THREE ON
A LIMITED TERM.
REALLY DOES GET TO THE HEART OF
BEING ABLE TO HAVE KIND OF THAT
EXTENSIVE --
BROAD OVERSIGHT WITHIN THE
REGIONAL CENTERS IT ALSO THAN
CENTRALIZES SOME REALLY
IMPORTANT FUNCTIONS AS I SAID
THAT WITH THE CLOSURE THE
DEVELOPMENTAL CENTERS AND MAKING
SURE THAT WE AS A STATE OPERATED
SYSTEM WHICH IS NOW REALLY BASED
IN THE COMMUNITY.
THAT WERE NOT DOING THINGS IN A
SILO THAT WE'RE NOT JUST LOOKING
AT STATE OPERATED WERE NOT JUST
LOOKING AT REGIONAL CENTER
SERVICES.
SO BRINGING TOGETHER AND USING A
CENTRALIZED APPROACH --
PARTICULARLY AS AN EXAMPLE RISK
MANAGEMENT QUALITY ASSURANCE
THAT THIS IS REALLY SOMETHING
THAT WE CAN LOOK IS A STATE WIDE
AS OPPOSED TO AGAIN THOSE TWO
DIFFERENT SYSTEMS --
WE HAVE WITHIN OUR RESTRUCTURE
IN THE PROPOSAL IS TO INCREASE I
BELIEVE IT'S LIKE NINE POSITIONS
WITHIN THE RISK MANAGEMENT
QUALITY ASSURANCE.
YOUR BEING ABLE TO REALLY TAKE A
LOOK AT THAT KIND OF RISK
MANAGEMENT APPROACH AS OPPOSED
TO DOING THINGS FROM JUST
MEASURING DATA.
YOU'RE LOOKING AND WORKING
WITHIN THEIR REGIONAL CENTERS
AND HAVING TEAMS THAT ARE AT A
LOCAL LEVEL.
ABOUT FIFTY STAFF THAT WE WOULD
ANTICIPATE YOU KNOW KIND OF A A
MIXTURE OF THE RESPONSIBILITIES
FOR THE LATEST ON A MONITORING --
SOME OF THE AUDITOR'S THAT WOULD
BE LOCATED IN SOUTHERN
CALIFORNIA.
THIS IS IMPORTANT BECAUSE WHEN
YOU TAKE A LOOK AT THE SIZE OF
CALIFORNIA AND TAKING A LOOK AT
THE ISSUES AS AN EXAMPLE YOU
KNOW IN THE LOWER DESERT YOU
KNOW AND SEPARATE DINO COUNTY
YOU KNOW WHEN THERE'S PARTICULAR
CHALLENGES IN THAT AREA AND THE
FAMILIES THAT HAVE BEEN.
VERY THEY'RE CONCERNED ABOUT
BEING ABLE TO HAVE ACCESS TO
SERVICES YEAH WE'RE IN
SACRAMENTO TAKES US A WHILE TO
BE ABLE TO SAY HOW ARE WE GOING
TO BEST BE ABLE.
TO UNDERSTAND WE DO NOT AND NOR
SHOULD WE BE DOING THE JOB OF
THE REGIONAL CENTERS BUT WE DO
HAVE A RESPONSIBILITY OF MAKING
SURE THAT SERVICES ARE BEING
DELIVERED.
I'M SO WITH THAT IN THE PROPOSAL
OF THE RE ORG YOU DO HAVE AN ORG
CHART THAT IS WITHIN THE AGENDA --
AND I THINK THAT TAKE AWAY THAT
I'D LIKE TO LEAVE WITH YOU TODAY
IS IS A COUPLE OF THINGS ONE IS
LIKE I SAID BEING RESPONSIVE.
BEING ABLE TO ADDRESS THE ISSUES
IN A TIMELY MANNER IS SUPPOSED.
TO I'M HAVING JUST A FEW STAFF
THAT ARE OVER A KIND OF LIVE
RESPONSES BY ALL THAT WE WOULD
BE ABLE TO HAVE A PRESENCE AT
EVERY REGIONAL CENTER --
BOARD MEETING THAT WE WOULD BE
ABLE TO ATTEND THE COMMUNITY
MEETINGS FOR THE DISPARITY
DISCUSSIONS WE WOULD BE ABLE TO
THEN TAKE THOSE DISCUSSIONS LIKE
PULLING THEM.
AS WERE MAKING THE DECISIONS
SAID AS TO THE GRANTS THAT ARE
BEING APPROVED TO ADDRESS SOME
OF THOSE IMPORTANT --
TO ISSUES THAT WE'RE WE'RE
REALLY ABLE TO AND REAL TIME BE
ABLE TO MAKE THAT LINK.
WERE ABLE TO THEN ALSO WORK WITH
THE BOARD OF DIRECTORS TO DO
SOME TRAINING WITH THEM SO THEY
UNDERSTAND THE RESPONSIBILITY
UNDER THEIR BOARD GOVERNANCE IN
THEIR RESPONSIBILITY --
SO AGAIN I I DO JUST KIND OF
LEAVE YOU WITH THE GROWING
SYSTEM THAT WE HAVE MAKING SURE
THAT WE'RE BUILDING THE
EXPERTISE WHETHER IT'S WITHIN
OUR CLINICAL TEAMS ARE RISK
MANAGEMENT REGIONAL CENTER
OVERSIGHT --
AND BEING A PART OF OF KIND OF
OUR EXISTING SYSTEM THAT IT'S
EVOLVED TO TODAY AND THEN ALSO
BE ABLE TO START TAKING A LOOK
AT YOU KNOW WHAT TO THE DRIVERS
AND THE TRENDS THAT ARE GOING TO
BE IMPORTANT DISCUSSIONS.
I'M AS WE MOVE FORWARD AND AND
MAKING SURE THAT WERE MINDFUL.
OF THOSE EMERGING TRENDS AS WE
MAKE SOME IMPORTANT DECISIONS
AND POLICY AS WELL.
THE FINANCE TO LIVE --
STEPHEN PUBLIC DEPARTMENT OF
FINANCE --
WERE IN SUPPORT OF THIS PROPOSAL --
THESE RESOURCES ARE NEEDED
SYSTEMS TRANSITION ONGOING
TRANSITION TOWARDS PROVIDING
SERVICES IN THE COMMUNITY.
AS SUCH APPELLATE KALLIO --
WE WOULD NOTE THAT THE THE
REQUESTED AMOUNT OF FUNDING FOR
THIS PROPOSAL IS RELATIVELY
SMALL --
COMPARED TO THE ENTIRE DDS
BUDGET BUT IT'S IT REPRESENTS --
A SHIFT IN THINKING AND A SHIFT
IN POLICY.
IN OUR OFFICE CONSIDERS ITSELF
CONSIDERS IT A THOUGHTFUL AND
TIMELY PROPOSAL AND AND BELIEVE
THAT THAT THE BENEFITS LIKELY
OUTWEIGH ANY DOWNSIDE --
NOT ONLY DOES IT BETTER REFLECT --
THE CURRENT RESPONSIBILITIES OF
THE DEPARTMENT IN THE IS SENSE
THAT MOST OF MOST SERVICES ARE
NOW DELIVERED --
IN A COMMUNITY BASED SETTING --
BUT WE ALSO AGREE THAT
ADDITIONAL OVERSIGHT OF REGIONAL
CENTERS IS IS LIKELY A GOOD IDEA --
AND THE THE PROPOSALS FOR
INCREASED --
RISK MANAGEMENT TO AND JUST THE
THE PUTTING THE THE OPERATIONS
OVER THE WHOLE SYSTEM SORT OF
CENTRALIZING THOSE THOSE THOSE
IDEAS MAKE A LOT OF SENSE TO US.
WE WOULD JUST ALSO NOTE THAT --
AS DIRECTOR BARGE MEN --
COMMENTED ON THE DEPARTMENT'S
REALLY AT A CRITICAL JUNCTURE
THEY'RE CLOSING THE
DEVELOPMENTAL CENTERS THEY'RE
MOVING EVERYTHING INTO THE
COMMUNITY THE ROLLING OUT SELF
DETERMINATION --
THEY HAVE TO COME INTO
COMPLIANCE HOME AND COMMUNITY
BASED SERVICES FEDERAL RULES.
SO WE REALLY THINK THIS IS A
GOOD TIME --
TO POTENTIALLY THINK ABOUT.
LONGER TERM WAYS OF
STRATEGICALLY PLANNING FOR THE
FUTURE -- SO
FOR EXAMPLE --
YOU KNOW WHAT ARE THE DEPARTMENT
STREET NEAR TERM AND LONG TERM.
GOALS ESPECIALLY FROM A CONSUMER
PERSPECTIVE AND HOW DOES THIS
REORGANIZATION REALLY HELP
FACILITATE MEETING THOSE GOALS --
THE DEPARTMENT'S PROPOSAL
INCLUDES A NUMBER OF POSITIONS
ACROSS A VARIETY OF THE UNITS --
INCLUDING --
SOMEBODY WHO SPECIALIZES IN
AUTISM --
SOME ADDITIONAL FUNCTIONS IN THE
RESEARCH UNIT --
SOME ADDITIONAL FUNCTIONS IN THE
THE GROUP THAT WORKS WITH
FAMILIES.
A MORE WHAT OUR OFFICES
WONDERING IS HOW THE DEPARTMENT
WILL TAKE SOME OF THOSE
DISPARATE PIECES OF INFORMATION
AND CONSOLIDATE THEM TO
STRATEGICALLY THINK ABOUT THE
FUTURE.
I'M FOR EXAMPLE WOULD THEY BE
ABLE TO ANSWER SUCH QUESTIONS AS
IS TWENTY ONE REGIONAL CENTERS
THE RIGHT NUMBER OF REGIONAL
CENTERS --
HOW DO YOU RECONCILE FISCAL
CONSTRAINTS WITH CONSUMER CHOICE?
I'M.
HOW DO YOU MEASURE QUALITY OF
SERVICES --
THESE I THINK ARE THE THE
DEPARTMENT CAN REALLY START TO
THINK ABOUT AS IT AS IT --
TAKES THIS OPPORTUNITY TO TO
REORGANIZE ITS DEPARTMENTS --
JUST TO TO LAST NOTES ONE IS
THAT -- WE
RECOMMEND REQUESTING A BIT MORE
INFORMATION ABOUT HOW THE
SOUTHERN CALIFORNIA OFFICE WOULD
WORK HOW IT REPORT TO SACRAMENTO
HEADQUARTERS.
WE WOULD ALSO NOTE THAT THE
PROPOSAL CURRENTLY PLACES THAT.
OFFICE ON THE FEAR VIEW
DEVELOPMENTAL CENTER PROPERTY IN
THE ADMINISTRATION BUILDING ONCE
FAIRVIEW DEVELOPMENTAL CENTER IS
CLOSED.
PRESUMABLY THE DEPARTMENT WOULD
HAVE TO MOVE INTO NEW OFFICE
SPACE BUT THEY'RE NOT COSTS
ASSOCIATED WITH THAT IN THE
PROPOSAL.
I I IMAGINE WE WOULD SEE --
SOME OF THOSE COSTS AND IN NEXT
YEAR'S BUDGET --
AND THE LAST COMMENT THAT WE
WOULD MAKE HAS TO DO WITH
THINKING AHEAD ABOUT DATA --
ONE OF THE THINGS THAT HAS BEEN
A STRUGGLE FOR THE DEPARTMENT
AND FOR THE PEOPLE THAT ASSESS
THEIR PROPOSALS.
IS THAT IT'S HARD TO UNDERSTAND --
CONSUMER DEMAND FOR SERVICES --
SERVICE PROVIDER CAPACITY AND
UNMET SERVICE NEEDS IN THE
SYSTEM -- AS
THE DEPARTMENT STE.
A PROPOSES TO REORGANIZE ITS ITS
DEPARTMENT MIGHT BE A GOOD TIME
TO THINK ABOUT WAYS TO IMPROVE
THE DATA COLLECTION.
SYSTEM TO MORE SYSTEMATICALLY --
COLLECT THAT DATA AND PROVIDE
THE ABILITY TO ACRE GATE THE
DATA SYSTEM WIDE AND CONDUCT
GREATER ANALYSIS ABOUT WHERE THE
THE SERVICE GAPS ARE --
AMONG DIFFERENT GROUPS AND THANK
YOU.
THANK YOU.
X. WE HAVE MISSED --
WEST WING HORNBERGER AND MARANTZ
IF WE CAN CREATE SPACE ON THE
PANEL PLEASE
.
WHEN YOU'RE READY WESTLING
ASSOCIATION OF REGIONAL CENTER
AGENCIES?
I APPRECIATE THE OPPORTUNITY TO
BE HERE TONIGHT TO TALK ABOUT
THE PROPOSAL TO RESTRUCTURE AND
REORGANIZE DS'S HEADQUARTERS.
REALLY WHEN YOU THINK ABOUT OUR
SERVICE SYSTEM.
IT IS A SYSTEM THAT RELIES ON
THREE DISTINCT PARTS TO FUNCTION
WELL.
WE MUST HAVE ON GOING DIRECT
SERVICE DELIVERY PROVIDED BY.
SERVICE PROVIDERS.
THE VENDORS THAT WE'VE SPENT A
LOT OF TIME TALKING ABOUT THIS
EVENING RELATED TO THE RATE
STUDY.
INDIVIDUAL SERVICE COORDINATION
CLINICAL SUPPORT LOCAL COMMUNITY
ENGAGEMENT THOSE ARE ALL THINGS
THE REGIONAL CENTERS PROVIDE.
AND FINELY DDS IS ROLE IS.
TO PROVIDE SUPPORT FOR STATEWIDE
BUDGETING MONITORING AND
PLANNING OF THE SYSTEM.
IN ORDER FOR THE SYSTEM TO WORK
WELL ALL THREE BRANCHES ALL
THREE PIECES MUST WORK
EFFECTIVELY.
AS INVESTMENTS ARE NEEDED
THROUGHOUT THE SYSTEM TO IMPROVE
SERVICE DELIVERY.
WE RECOGNIZE THAT AT THIS
PIVOTAL POINT THAT WE'VE BEEN
TALKING ABOUT AS THE
DEVELOPMENTAL CENTERS CLOSE AND
IS THE DEPARTMENT MOVES ITS
FOCUS -- TO
BEING MORE OF A COMMUNITY BASED
SYSTEM MORE EXCLUSIVELY
COMMUNITY BASED WITH NINETY NINE
POINT 8% OF PEOPLE CURRENTLY
SERVED IN THE SYSTEM CURRENTLY
IN THE COMMUNITY SYSTEM.
WE APPRECIATE THE INTENTION TO
FOCUS MORE ON THE COMMUNITY AND
FOR THE DEPARTMENT TO PUT ITS
ENERGY THERE --
AS DIRECTOR PARCHMAN NOTED THERE
ARE AREAS WHERE THIS WILL HELP
IN TERMS OF ASSISTING THE
DEPARTMENT TO BE BECOME MORE
RESPONSIVE IN TERMS OF DISPARITY
GRANTS H. CBS PROPOSALS
COMMUNITY PLACEMENT PLANNER
COMMUNITY RESOURCE DEVELOPMENT
PLANS.
THESE ARE AREAS WHERE REGIONAL
CENTERS.
AND SERVICE PROVIDERS SUBMIT
PROPOSALS TO THE DEPARTMENT AND
THEY NEED THE DEPARTMENT.
GREEN LIGHT TO GO AHEAD SO
ADDITIONAL STAFF IN THIS AREA TO
ENABLE THIS SYSTEM TO WORK
BETTER IS APPRECIATED.
WE ALSO SUPPORT THE EFFICIENCY
AFFECTED MISS AND SUPPORT THE
DDS PROVIDES FOR REGIONAL
CENTERS BUT IT NEEDS TO BE
PAIRED WITH ADEQUATEFUNDING FOR
SERVICE PROVIDERS AND REGIONAL
CENTER STAFF FOR CRITICAL
FUNCTIONS.
RELATED TO SERVICE COORDINATION
RESOURCE DEVELOPMENT QUALITY
ASSURANCE AND RISK MITIGATION
[inaudible]
WE EXPECT.
AS WE'VE BEEN TALKING ABOUT
TODAY AND INTO THE EVENING NOW.
THAT THIS WILL BE A PROPOSAL
THAT WILL ADVANCE THE SYSTEM BUT
THAT REGIONAL CENTERS IN.
ORDER TO PROVIDE ADDITIONAL
INFORMATION THAT THE DEPARTMENT
MAY SEEK.
WILL NEED TO DEVOTE ADDITIONAL
RESOURCES TO COMPLIANCE RISK
MANAGEMENT AND DATA MANAGEMENT
IN ORDER TO MAKE THIS PROPOSAL
MOST EFFECTIVE.
ADDITIONALLY WE CAN'T LOSE SIGHT
OF THE FACT THAT OUR SYSTEM WAS
ESTABLISHED INTENTIONALLY WITH
NONPROFIT REGIONAL CENTERS.
MEANT TO REFLECT THE NEEDS AND
PRIORITIES OF THEIR INDIVIDUAL
COMMUNITIES.
THROUGH THEIR INDEPENDENT
NONPROFIT BOARDS THAT ARE ALL
FILLED WITH COMMUNITY MEMBERS.
SO WE WANT TO ENSURE THAT WHILE.
THE DEPARTMENT IS PLAYING A
CRITICAL FUNCTION IN ENSURING
THAT REGIONAL CENTERS ARE LIVING
UP TO THE TERMS OF THEIR
CONTRACTS IN SERVING THEIR
COMMUNITIES APPROPRIATELY.
THAT THERE'S STILL THE ABILITY
FOR SERVICES AND SUPPORTS TO BE
FLEXIBLE AND DRIVEN BY THE
COMMUNITY --
RATHER THAN FROM THE TOP DOWN.
AND THAT IS HOW ARE SO WE NEED
TO RESPECT THAT ORIGINAL INTENT
THANK YOU.
THIS ONE BURGER.
GOOD EVENING I'M KATIE
HORNBERGER AND I'M THE DIRECTOR
OF THE OFFICE OF CLIENTS RIGHTS
ADVOCACY IT DISABILITY RIGHTS
CALIFORNIA.
MY UNIT PROVIDES FREE ADVOCACY
SERVICES TO REGIONAL CENTER
CONSUMERS STATEWIDE LAST FISCAL
YEAR WE ADDRESSED MORE THAN TEN
THOUSAND MATTERS AND GAVE OVER
FIVE HUNDRED TRAININGS AND THE
COMMUNITY SO I CONSIDER US TO BE
VERY MUCH THE ON THE GROUND
FOLKS WORKING WITH CONSUMERS AND
THEIR FAMILIES AND THE COMMUNITY.
OF AND WHEN I LOOK AT THE THE
REORGANIZATION OF THE DEPARTMENT --
WE REALLY DEEP THE DIFF.
DISABILITY RATES CALIFORNIA
AGREES THAT --
IT MAKES SENSE AT THIS JUNCTURE
WITH THE CLOSURE OF THIS LARGE
STATE INSTITUTIONS UNIFYING
THOSE BUDGETS.
MAKES SENSE --
IT WAS REALLY QUITE FRANKLY AN
ARTIFICIAL DISTINCTION ALL ALONG
AND SO IT REALLY MAKES SENSE TO
DO.
HOWEVER WE WILL.
ASK THAT WHEN WHEN YOU TALK
ABOUT ADDING PETITIONS AND AND
ADDING OVERSIGHT --
THIS RESTRUCTURE HASTA LEASING
CONSUMERS N BECAUSE THOSE ARE
THE PEOPLE THAT THE SYSTEM
EXISTS.
FOR ON IN WITH WHEN WE THINK OF
THOSE OUT COME AREAS THINGS LIKE
COMPETITIVE INTEGRATED OF
EMPLOYMENT REDUCING RELIANCE ON
INSTITUTIONAL SETTINGS LIKE I AM
DES FOR EXAMPLE.
ENSURING THAT PEOPLE WITH
CHALLENGING NEEDS LIVE IN THE
LEAST RESTRICTIVE ENVIRONMENT.
REDUCING POS DISPARITIES --
MANY OF THESE TOPICS YOU'RE
GONNA.
CONTINUE ON THIS EVENING TALKING
ABOUT -- IT
WE NEED TO IMPLEMENT THE SELF
DETERMINATION PROGRAM AND WE
NEED TO ENSURE THAT PEOPLE'S DUE
PROCESS RIGHTS ARE AFFORDED AT
EACH STEP OF THE PROCESS.
WE NEED TO ENSURE THAT THE HOME
AND COMMUNITY BASED SETTINGS
RULES ARE IMPLEMENTED FULLY.
AND THAT THOSE INCREASE CHOICE
AND OPTIONS FOR OUR CONSUMERS.
ON THERE'S BEEN A LOT OF TALK
ABOUT DATA TODAY --
IN AND PART OF THAT IS BECAUSE
DATA GOOD QUALITY DATA SO DRIVES
OUR DECISION MAKING AND WE NEED
THAT DATA TO IT TO ENSURE THAT
WE ARE MAKING THE BEST DECISIONS
IN MOVING OUR SYSTEM FOR WORD.
OF SO MANY MANY OF THE DISTINCT
PROPOSALS THAT DEAR SEE HAS IN
REGARDS --
TO REALLY LOOKING AT OUTCOMES
FOR FAMILIES REALLY GO INTO
ISSUE NINE AND SO DURING ISSUE
NINE I'LL GO MORE INTO THOSE IN
DETAIL THANK YOU THANK YOU.
MISTER BURNS.
I'M A LOT OF MY COMMENTS WILL
ECHO THOSE OF ADMINS HORNBERGER
SO MY NAME IS ALLISON RANTS I AM
THE MOTHER OF A THIRTEEN YEAR
OLD BOYS SERVE BY SAN ANDREAS
REGIONAL CENTER.
AND I'M A LAW PROFESSOR AT
STANFORD I'M HERE TODAY IN MY
CAPACITY AS A BOARD MEMBER FOR
D. V. YEAR WHICH STANDS FOR
DISABILITY VOICES UNITED --
SO FIRST WE WANT TO COMMEND --
DDS FOR THINKING SERIOUSLY ABOUT
WAYS TO IMPROVE TRANSPARENCY AND
ACCOUNTABILITY THOSE ARE GOALS
WE STRONGLY SHARE.
BUT A KEY QUESTION THAT WE FEEL
HAS NOT YET BEEN ANSWERED AGAIN
ECHOING IN THE PRIOR TESTIMONY
IS HOW THE EXPENDITURE OF THIS
ADDITIONAL EIGHT MILLION DOLLARS
WILL ACTUALLY IMPROVE THE
OUTCOMES THAT MATTER TO OUR
COMMUNITY --
WHAT ARE THESE OUTCOMES --
IF YOU'RE GOING TO AGAIN WOULD
HAVE DEJA VU BUT IMPROVING AND
EXPANDING THE NOW VERY DELAYED
IMPLEMENTATION OF THE SELF
DETERMINATION LAW --
INCREASING COMPLIANCE WITH THE
SETTING THEME MULTIPLE TIMES ON
MULTIPLE PANELS TODAY IMPROVING
SAFETY NET SERVICES THE SUBJECT
OF OUR LIVE YOUR RECENT PANEL --
IMPAIR INCREASING COMPETITIVE
INTEGRATED EMPLOYMENT REDUCING
SEVERE RACIAL ETHNIC AND
GEOGRAPHIC DISPARITIES.
SO YOU MAY ASK SURELY ADDING
FIFTY FOUR NEW POSITIONS --
WILL BRING ABOUT PROGRESS ON ALL
THESE FRONTS AFTER ALL AS WE
HEARD DDS IS PROPOSING TO HIRE.
TWENTY FIVE ADDITIONAL STAFF TO
FUNCTION AS A RESULT REGIONAL
CENTER LIAISONS. SIX NEW STAFF
TO FOCUS ON WAIVER COMPLIANCE
SIX NEW RISK MANAGERS FIVE NEW
DATA ANALYSTS AND ON AND ON SO.
WON'T THE DEPLOYMENT OF THESE
NEW STAFF MEMBERS AUTOMATICALLY
IMPROVE OUTCOMES AND ALL THE
WAYS THAT WE CARE ABOUT --
SO UNFORTUNATELY IT WE THINK THE
ANSWER IS NOT NECESSARILY --
AS WELL HERE IN TODAY'S FINAL
PANEL -- DDS
IS ALLOCATION OF THIRTY THREE
MILLION DOLLARS IN THE LAST
SEVERAL YEARS TO ALLEVIATE
RACIAL AND ETHNIC DISPARITIES.
ACTUALLY DIDN'T BRING ABOUT ANY
IMPROVEMENT IN FACT DISPARITIES
OF ACTUALLY WORSENED DURING THAT
SAME TIME PERIOD IS AGAIN WILL
HERE SHORTLY.
SO UNFORTUNATELY WE WE CAN'T
TAKE FOR GRANTED THAT MILLIONS
OF DOLLARS OF ADDITIONAL INPUTS
AND BY INPUTS I MEAN.
MEETINGS ATTENDED DATA COLOR DID
AND SO ON WILL NECESSARILY
IMPROVE THE OUTCOMES THAT WE'RE
TALKING ABOUT THAT WE'VE BEEN
TALKING ABOUT TODAY.
SO SO THAT BRINGS US TO THE KEY
QUESTION YOU KNOW HOW HOW CAN WE
KNOW WHETHER THE PROPOSED
RESTRUCTURING PLAN IS ACTUALLY
WORKING RIGHT.
AND AND SO WE HAVE A COUPLE
SHOULD SUGGESTIONS IN THAT
REGARD.
SO FIRST.
WE FEEL THAT WE NEED TO DEFINE
MORE CLEARLY THE CHANGES THAT WE
WANT TO SEE.
CONCRETE EARLY AND AND HOLD THE
SYSTEM ACCOUNTABLE FOR ACHIEVING
THEM.
AND AGAIN THE CRITICAL POINT
HERE IS NOT JUST A FOCUS ON THE
INPUTS BUT TO FOCUS ON HOW THIS
APPROPRIATION WILL AFFECT THE
OUTCOMES THAT MATTER TO OUR
COMMUNITY NO FOR EXAMPLE YOU
KNOW WITH THE HIRING OF THESE
FIFTY FOUR AT NEW STAFF IMPROVE
THE ROLE OF SELF DETERMINATION.
WILL MORE PEOPLE GET JOBS IN A
WILL IT HELP FAMILIES IN CRISIS
WILL OF SPEED A COMPLIANCE WITH
FEDERAL RULES REDUCE DISPARITIES.
IF SO HOW MUCH IMPROVEMENT CAN
BE REALISTICALLY EXPECT TO SEE
AND BY WHAT DATE.
SO THE POINT IS TO TO ENSURE
THAT THE LEGISLATURE GETS WHAT
IT'S PAYING FOR THESE OUTCOMES
NEED TO BE REALLY SPECIFIED IN
ADVANCE ALONG WITH TIME LINES
AND AND GUIDE POST SO THAT'S
KIND OF OUR FIRST THOUGHT.
AND AND SECONDLY.
WE THINK OF THAT I'M AN
ADDITIONAL --
REALLY HELPFUL WAY TO FIGURE OUT
WHETHER THIS KIND OF REFORM IS
WORKING IS TO CREATE AN
INDEPENDENT OFFICE TO CONDUCT
MONITORING AND EVALUATION --
SUCH AS AN INSPECTOR GENERAL
THERE'S NOTHING SACRED ABOUT
THAT TERM AND THERE'S SORT OF
DIFFERENT PERMUTATIONS OF AN
INDEPENDENT ENTITY BUT SUCH AN
INDEPENDENT ENTITY COULD GO A
LONG WAY TOWARDS IMPROVING
TRANSPARENCY AND ACCOUNTABILITY.
SO WE'RE GOING TO DISCUSS THIS
IDEAL LATER ON ALSO I DON'T ON
IT TOO MUCH NOW.
BUT SIMPLY WANTED TO DISCUSS THE
MENTION THAT CREATING AN
INSPECTOR GENERAL OR ANALOGOUS
SORT OF BLENDED ENTITY THAT SITS
OUTSIDE.
OF THE OF DDS.
I'M SHOULD BE CONSIDERED ALONG
SIDE THE PROPOSED RESTRUCTURING
PLAN AND IN FACT COULD POSSIBLY
DO MORE --
TO HELP DDS OVER THE LONG TERM
LEARN FROM ITS FAILURES AND
BUILD ON THE SUCCESSES AND
OVERCOME BARRIERS TO SYSTEMIC
CHANGE.
THANK YOU MA'AM.
I WILL BRING IT UP TO THE
COMMITTEE AND SINCE I'M THE ONLY.
ONE MAYBE WE ARE IN THE EVENING
BY NOW BUT IT SEEMS CLEAR THAT
THE REORGANIZATION HOLDS A LOT
OF PROMISE FOR SYSTEM
IMPROVEMENT AND I WOULD AGREE
THAT WERE AT AN INFLECTION POINT --
DID WANT TO COMMENT AN ECHO --
WHAT CATHERINE BLAKEMORE SAID
EARLIER ABOUT VALUES?
I'D REALLY LIKE TO ASK THE
DEPARTMENT TO WORK WITH OUR
SUBCOMMITTEE STAFF AND
STAKEHOLDERS AND COLLABORATION.
TOWARDS WHAT THE BEST VEHICLE TO
FORMALIZE WHAT THE MISSION AND
VALUES ARE FORWARD THIS RE WORK.
THIS WILL T. THIS ISSUE UP
TOWARDS ACTION AT THE MAY
REVISION.
AND WITH THAT WE WILL HOLD ISSUE
SIX OPEN [inaudible]
AND HOLD IT OPEN EXCEPT FOR
ASSEMBLYMEMBER MATHIS.
SORRY HAD TO RELIEVE MYSELF
THERE FOR A MOMENT --
THE E. YOU ALL HAVE THE OF THE
FLEXIBILITY OF NOT HAVING TO GET
OFF THE DICE --
BUT ON THIS ISSUE --
I I'VE GOT A ECHO THE THE
COMMENTS OF THE LA L. --
WITH A LOT OF IT IN MY MIND KIND
OF GOES INTO.
YOU KNOW BACK TO ISSUE ONE WITH
THE PROPOSAL FOR TECHNOLOGY AND
THE ABILITY TO AS WE CONSOLIDATE.
AND AS WE REFORM WHAT WE'RE
DOING HERE --
MAKING SURE THAT WE HAVE THAT
FLEXIBILITY --
THROUGH TECHNOLOGY THROUGH
THANKS -- IN
MAYBE NOT SO MUCH IS --
BOUNCING AROUND WITH EVERYTHING
ELSE AND BUILDING MORE BRICK AND
MORTAR IN CHANGING OFFICES AND
ALL THESE OTHER THINGS CHAU.
ANYWAY I WILL LEAVE IT AT THAT
IN HERE YOU'RE NOT THE ONLY ONE
MISTER CHAIR.
THANK YOU.
WITH THAT WE WILL HOLD ISSUE SIX
OPEN TO MOVE ON TO ISSUE
[inaudible]
SEVEN POWER.
FOR THE MOBILE YEAH.
GOOD EVENING MISTER CHAIRMAN.
AND STAFF HI MY NAME'S JIM NOT
IN WITH THE DEPARTMENT OF GO
OVER -- A
COUPLE OF BUDGET CHANGE
PROPOSALS THAT ARE IN ISSUE
SEVEN THAT ARE RELATED TO
FEDERAL FUNDING --
THE FIRST IS IS BEEN MENTIONED
SEVERAL TIMES RELATED TO THE
HOME AND COMMUNITY BASED
SETTINGS RULES --
AND AND THOSE RULES JUST AS THE
SOME BACKGROUND AND JUST TO A
REFRESHER IS THAT THEY REALLY
ARE.
DESIGNED TO MAKE SURE THAT FOLKS
ARE RECEIVING SERVICES IN PLACES
THAT --
PROMOTE --
COMMUNITY INVOLVEMENT
OPPORTUNITIES FOR COMPETITIVE
INTEGRATED EMPLOYMENT AND ALSO
THAT THOSE SERVICES WERE
DEVELOPED IN A PERSON CENTERED
WAY.
AND SO -- AS
IT'S DISCUSSED IN IN THE AGENDA
THAT THAT WE DO HAVE DEVELOPED A
A STATE WIDE TRANSITION PLAN
WHICH IS OUR PLAN TO THE FEDERAL
GOVERNMENT THAT SHOWS HOW WE'RE
GOING TO DEMONSTRATE THAT WE ARE
MEETING THESE ROLES.
AS PART OF THAT THERE'S A TWO
STEP ASSESSMENT PROCESS OF WHERE
SERVICES ARE PROVIDED ONE IS
GOING TO BE A A SELF ASSESSMENT
THAT ALL PROVIDERS ARE GOING TO
HAVE.
TO COMPLETE AND REPORT HOW
THEY'RE DOING IT DO WITH THIS
PURPOSE --
ASSESSMENT TO VALIDATE THE
RESULTS OF THOSE SELF
ASSESSMENTS AND WITH A LARGE
NUMBER OF PROVIDERS THAT WE HAVE
WE NEED TO DO A REPRESENTATIVE
SAMPLE OF THE DIFFERENT TYPES.
IT'S GOING TO REQUIRE US TO DO
AT LEAST --
ELEVEN HUNDRED ON SITE PROPOSALS
INTO THIS --
ONSITE ASSESSMENT EXCUSE ME.
AND SO THIS PROPOSAL REALLY AS
TO TO GET TO CONTRACT FOR SOME
ASSISTANCE AND BEING ABLE TO DO
THAT.
THE NEXT THE PROPOSAL THAT WE
HAVE IS TO TO DO WITH OUR
FEDERAL CLAIMS REIMBURSEMENT
SYSTEM AND AGAIN AS REFLECTED IN
THE AGENDA IT IS.
I'M SURE YOU'VE HEARD THIS WITH
OTHER STATE DEPARTMENTS.
TO IT'S AN OLD SYSTEM --
THAT -- WAS
REALLY DESIGNED FOR JUST ONE
FEDERAL PROGRAM --
WELL OVER THIRTY YEARS AGO
THERE'S MULTIPLE FEDERAL
PROGRAMS NOW LET MANY MORE --
PEOPLE RECEIVE SERVICES AND WITH
THE IT'S GETTING HARDER AND
HARDER ONE TO KEEP IT TOGETHER --
BLOOM PART OF THAT PROBLEM IS
BECAUSE THERE'S FEWER AND FEWER
PEOPLE WHO ARE OR WERE ABLE TO
WORK ON SOMETHING THAT IS --
THAT'LL --
SO THE BUDGET CHANGE PROPOSAL
REALLY IS A IT'S A THREE YEAR
PROPOSAL TO TO CONTINUE THE ON'T
INTO IMPLEMENTATION OF AND THE
AND ACQUIRING OF A OF A NEW
SYSTEM IN ORDER TO BE ABLE TO
PER -- TO DO
THE FEDERAL REIMBURSEMENTS IN
THE CLAIM MEANS THAT WE ARE
GETTING TO FOR BUDGET --
WE'VE ALREADY GONE THROUGH AN
INITIAL PLANNING PROCESS FOR THE
TO THE FIRST TWO STAGES OF THE
THE PROJECT APPROVAL LIFECYCLE.
AND AS PART OF THAT THERE REALLY
WAS A AN EXTENSIVE AMOUNT OF
RESEARCH MARKET RESEARCH.
AND DISCUSSIONS IN AND RECEIVED
SOME --
INFORMATION AFTER AFTER AND
REQUESTS FOR INFORMATION A
NUMBER OF PROPOSALS CAME BACK
FROM VENDORS.
THEY GAVE US A GOOD IDEA OF WHAT
THE COST MAY BE FOR ALTERNATE
SOLUTION.
AND SO THAT'S REFLECTED IN THIS
PROPOSAL NOW AND THE REASON THAT --
YOU KNOW WE ARE DOING IT AS A
FOR THE THREE YEARS IS TO THE WE
CAN DO THE IMPLEMENTATION
CONTINUES THE PLANNING TO
PREPARE.
FOR THE REQUEST FOR PROPOSAL AND
DO THE XIN AS WELL SO THERE
ISN'T A A DELAY.
NAY IN IN BEING ABLE TO COMPLETE
THE PROJECT.
DEPARTMENT OF FINANCE TO LIVE.
BERMAN FINANCES IN SUPPORT OF
WHAT PROPOSAL.
SENATE PARTICULARLY --
IN REGARDS TO THE PROPOSAL --
TO FOR FUNDING THE PROPOSAL FOR
FUNDING FOR A CONTRACTOR TO
CONDUCT THE EACH CBS ASSESSMENTS
WE RECOMMEND.
APPROVAL OF THAT --
TO PROPOSAL IT MAKES A LOT OF
SINCE IT'S BASED ON COSTS THAT --
THE DEPARTMENT OF HEALTH CARE.
SERVICES --
HAS IN DOING THEIR OWN ON SITE
ASSESSMENTS --
AND IT WILL INSURE THAT THE
STATE -- TO
OF FILLS THE REQUIREMENTS OF ITS
STATE WIDE TRANSITION PLAN AHEAD
OF THE H. CBS --
RULES IMPLEMENTATION --
IN TERMS OF THE I. A. T. PROJECT --
WE IT WE DON'T DOUBT THAT
THERE'S PROBABLY A NEED FOR A
MORE MODERN UPDATED TECHNOLOGY --
THEIR NUMBER PROPOSALS ACROSS
VARIOUS DEPARTMENTS THIS YEAR
THAT REQUEST FULL PROJECT
FUNDING BEFORE THE FOUR STAGES
OF THE PROJECT APPROVAL
LIFECYCLE PROCESS IS COMPLETE
THIS IS ONE OF THEM --
BY APPROVING THE ALL OF THE
FUNDING FOR ALL THREE YEARS AT
ONCE IT MAKES IT MUCH MORE
DIFFICULT FOR THE LEGISLATURE TO
GET PRECISE INFO --
INFORMATION I SHOULD SAY ABOUT
COST SCOPE M. PROJECT TIMELINE
AS THE PROJECT MOVES FORWARD --
THE PROPOSAL NOTES THAT THE
DEPARTMENT WOULD NOT BE AWARDING
A CONTRACT UNTIL FISCAL YEAR.
TWENTY TWENTY TWENTY ONE SO OUR
OFFICE RECOMMENDS APPROVAL OF
THE FIRST YEARS FUNDING THREE
POINT TWO MILLION DOLLARS FOR
PLANNING.
AND THEN.
REQUIRING THE IN SUBSEQUENT
YEARS -- TO
REQUEST ADDITIONAL FUNDS WHEN
MORE INFORMATION IS IS AVAILABLE
AND CAN BE PROVIDED TO THE
LEGISLATURE --
AT THE DEPARTMENT AS INDICATED
THAT THAT DOING DOING IT THIS
WAY COULD CREATE A DELAY OF ONE
YEAR IN PROJECT --
IMPLEMENTATION DEVELOPMENT AND
IMPLEMENTATION.
WE ACTUALLY DISAGREE WITH THIS --
EVEN IF THE DEPARTMENT DOESN'T
HAVE THE BIDS FROM VENDORS --
IN TIME FOR THE BUDGET PROPOSAL
NEXT YEAR THEY COULD STILL
SUBMIT A PROPOSAL LIKE THEY DID
THIS YEAR WITH THEIR BEST
ESTIMATE OF WHAT THE COSTS WILL
BE.
IN TWENTY TWENTY TWENTY ONE BUT
WE IMAGINE THEY WOULD HAVE
ADDITIONAL INFORMATION FROM THE
WORK THAT THEY DID IN IN TWENTY
NINETEEN TO INFORM.
OF THAT PROPOSAL THANK YOU THANK
YOU.
THIS WAS
.
ONE AMY WESTLING ASSOCIATION OF
REGIONAL CENTER AGENCIES.
ON THE FIRST ISSUE RELATED TO
THE PROPOSAL TO CONTRACT OUT THE
H. CBS.
SIDE ASSESSMENTS ARGO SUPPORTS
THIS PROPOSAL.
BUT WANTS TO KNOW THAT OF COURSE
THE STATE SHOULD CONTINUE TO BE
THE DRIVER OF BIG BROAD POLICY
DECISIONS RELATED TO H. CBS
COMPLIANCE.
SUCH AS HOW THEY USE.
STATUTES AND REGULATIONS THAT
CONFLICT WITH FEDERAL
EXPECTATIONS NEED TO BE UPDATED
AND THOSE SORTS OF THINGS.
IN TERMS OF THE PROPOSAL RELATED
TO THE LEGACY ACCOUNTING SYSTEM --
ARGUS SUPPORTS THE PROPOSAL.
TO REPLACE THE FEDERAL BILLING
SYSTEM IT IS --
CRITICALLY IMPORTANT FOR OUR
ENTIRE SYSTEM BAD.
WE CONTINUE TO BE ABLE TO BILL
THE FEDERAL GOVERNMENT FOR ABOUT
THREE BILLION DOLLARS ANNUALLY.
TO BE ABLE TO SUSTAIN THE SYSTEM
IN THE SERVICES THAT IT PROVIDES
TO HUNDREDS OF THOUSANDS OF
PEOPLE.
AND THE MORE QUICKLY THE SYSTEM
CAN BE REPLACED --
THE BETTER FROM OUR PERSPECTIVE
THANK YOU.
ASSEMBLYMEMBER MATHIS ALL RIGHT --
JUST TO ECHO THE LA L. --
I THINK THERE'S A CONCERNS ABOUT
RUSHING THE PROCESS AND NOT
COMING BACK TO THE LEGISLATURE --
I I HATE TO USE THE REFERENCE.
THE THE STATE RUSH THINGS ON
HIGH SPEED RAIL AND WE CAN LOOK
AT WHAT'S HAPPENED WITH THAT SO
I WOULD HATE TO SEE THAT HAPPEN
HERE -- AND
HAVE THIS TURN INTO A BOONDOGGLE
SO I'LL LEAVE IT AT THAT.
CAN THE DEPARTMENT PLEASE TELL
US HOW THIS IT SYSTEM CAN
RESPOND TO THE DATA GAPS AND
NEEDS THAT WERE IDENTIFIED BY
THE LA OKAY.
SO THIS PARTICULAR SYSTEM REALLY
IS HAS TO DO WITH REIMBURSEMENT
SO IT'S NOT A DATA COLLECTION
SYSTEM IT'S REALLY TO USE THE
DATA THAT WE HAVE TO TO IDENTIFY --
CLAIMS THAT ARE ELIGIBLE FOR
FEDERAL REIMBURSEMENT
[inaudible]
THE WE'RE GONNA FOLLOW UP OFF
LINE IF WE CAN ABOUT IF THERE'S
OTHER WAYS TO BE ABLE TO COLLECT
THE DATA THAT.
NEEDS TO BE MESSING BUT AT THIS
TIME WE WILL HOLD THIS ISSUE
OPEN IN THE BOND ISSUE IT
[inaudible]
DIRECTOR BARGAIN.
CHIEF DEPUTY DIRECTOR DOYLE.
STEPPING UP TO THE PLATE.
TO WELL MAYBE WE'LL START WITH --
JORDAN LINDSAY [inaudible]
OKAY.
JUMP RIGHT IN THIS PLACE --
THANK YOU MISTER CHAIR.
THIS MATHIS --
I AM A TRADITIONALLY PRETTY
RELAXED GUY THAN I HAD. THREE
LITTLE KIDS AND I BECAME A
LITTLE LESS RELAXED --
LAST YEAR THE IMPLEMENTATION THE
BUDGET LAST YEAR GOT ME MAD
REALLY MAD --
AND A LOT OF THIS IS GOING TO BE
ECHO FROM LAST YEAR AND IT
WASN'T JUST ME THAT GOT MAD LET
ME LET ME TALK ABOUT THAT IT'S
IT'S STATEWIDE.
THE REASON BEING IS THAT IT IN
CONTEXT AN ABUNDANCE SURPLUS
LAST YEAR IN ABUNDANCE SURPLUS
THIS YEAR.
LAST YEAR'S AGENDA.
HAD INVESTMENT INVESTMENT
INVESTMENT INVESTMENT INVESTMENT
SAME ASSISTANT JENNA.
AND THEN IT CUTS RIGHT IN THE
MIDDLE OF IT.
WHAT THE HELL IS A CUT DURING IN
THE MIDDLE OF THIS AGENDA?
WHEN WE HAVE AN ABUNDANCE
SURPLUS LAST YEAR AND THIS YEAR?
THIS COMMITTEE.
GAVE A RESOUNDING CALL TO REPEAL
BOTH UNIFORM HOLIDAY AND HALF
THE BILLING UNIFORM HOLIDAYS
SPECIFIC LET ME TALK ABOUT THAT.
BECAUSE ACTUALLY HAVE THE
BILLING WITH WASN'T REALLY
NECESSARY DISCUSSED BY THE
ADMINISTRATION LAST YEAR --
WE HAVE WE HAVE JUST HEARD.
THE COMPLEXITY IS IN THE
CHALLENGES. TO HIRE PEOPLE IN Y.
AT SOMEBODY ELOQUENTLY SAID WERE
IN THE HUMAN SERVICES FIELD WE
DON'T HAVE HUMANS WE DON'T HAVE
SERVICES.
WE CAN'T KEEP HUMANS RIGHT NOW
WE HEARD PEOPLE TALK ABOUT WHEN
THEY'RE HIRING PEOPLE THE
DIFFICULTY NOW STARTING.
RIGHT NOW THE TO SAY BY THE WAY
WE KNOW WE CAN'T PAY YOU HARDLY
ANYTHING FOR THE HARD WORK
YOU'RE GONNA DO WE HOPE YOU
DON'T MIND THAT STARTING JULY
FIRST WE ALSO CAN'T.
PAY YOU PER FOR ADDITIONAL DAYS.
CAN WE FOR LOW YOU FOUR DAYS
WILL YOU STILL COME TO WORK FOR
US.
THAT'S HANGING OVER OUR HEAD
RIGHT NOW JULY FIRST.
SOME BIG GUYS OUT THERE BIG
ORGANIZATION BIG SERVICE
PROVIDERS ARE GOING TO BE ABLE
TO EAT THIS BARELY.
VAST MAJORITY THEM ARE GONNA SAY
TO THEIR STAFF [inaudible]
GUYS. FOR MORE DAYS WE CANNOT
PAY YOU.
FOR IS THAT COULD BE THE
BREAKING POINT WHERE WE SEE THEM
NOT JUST THE ACCIDENTS THE SPLIT
THAT SMALL YOU ACCESS THAT'S
HAPPENING RIGHT NOW BUT THE
LARGE JHIAXUS.
WHERE BUT SAYS WHAT I'VE BEEN
WORKING THIS HARD FOR THIS
LITTLE MONEY AND NOW YOU TELL ME
WHAT?
AND THEY'LL SAY.
TALK TO THE STATE I'M SORRY WE
GOT NO CONTROL OVER THIS.
ONE THIS ONE MAKES ME MAD WE
WROTE A LETTER OF OUTRAGE LAST
YEAR AT THE RESULT OF THE BUDGET
DEAL.
I'M SIGNED BY US AND MANY OTHER
ORGANIZATIONS AS A RESULT OF WHY
IT WITH THIS COMMUNITY INDOOR
CAUGHT.
IN TIME OF ABUNDANCE --
HALF THE BILLING.
HAS IT IS NEW WANTS.
TO RECOGNIZE THAT IT IS NUANCED.
AND THAT IS HAPPENING NOW IT'S
NOT A THING OVERHEAD.
THE HURT AND HARM IS HAPPENING
NOW PEOPLE ARE GOING WITHOUT
SERVICES BECAUSE PROVIDERS WE
JUST HEARD OF WHO ARE BARELY
HOLDING ON NOW ARE SAYING THEY
HAVE TO AND THEY ARE SAYING
THROUGHOUT THE STATE.
I'M REALLY SORRY I KNOW THAT YOU
HAVE EMPLOYMENT. THREE DAYS A
WEEK FOR FOUR HOURS AND TOWARD
THE PROGRAM FOR FOUR HOURS BUT
WE CANNOT DO THAT ANYMORE I'M
SORRY YOU'RE GONNA HAVE TO I
FIND SOMETHING ELSE BECAUSE WE
CAN'T AFFORD. TO CAN MAINTAIN
OUR STAFFING RATIOS ONLY GET
PAID HALF DAY STAFFERS STILL
THERE OVERHEAD STILL THERE FOR A
FULL DAY WE CAN GET PAID ONLY
HALF THE I'M REALLY SORRY WE
CANNOT DO THAT FOR ANYMORE THAT
IS HAPPENING NOW.
IN A TIME OF ABUNDANCE.
HAVE TWO BILLION I WANT TO BRING
UP ONE OTHER.
POINT ABOUT THIS.
IT IS THAT CHOOSING THE DATE OF
JULY FIRST. TWO THOUSAND
EIGHTEEN FOR THE IMPLEMENTATION
OF HALF THE BILLING.
WAS ARBITRARY DID NOT HAVE TO BE
SO THE ONLY REASON.
THAT.
THE ADMINISTRATION THE STATE HAS
THE ABILITY. TO CHOOSE ANY DATE
OR NOT IN FORCE AT ALL IT'S A
IT'S A RESULT OF THE COURT
INJUNCTION WHICH WAS THEN --
AS WRITTEN RESULT TO THE US
SUPREME COURT ST THIRD PARTIES
DON'T HAVE STANDING.
NOW THE STATE'S IS ALL WE CAN WE
CAN DO IT AGAIN WELL THEY COULD
HAVE DONE IT.
A MONTH BEFORE MONTH AFTER THE
COULD AND MONTHS AFTER.
THERE IS NO REASON WHY THEY HAD
TO CHOOSE THAT DATE THEY COULD
HAVE.
POSTPONED TO JULY FIRST. TWO
THOUSAND NINETEEN TO MAKE A
PARALLEL TO THE UNIFORM HOLIDAY
SCHEDULE.
AND IT WAS A BIG SURPRISE TO THE
COMMUNITY I WILL SAY WHEN ALL OF
A SUDDEN NOTICE WENT OUT HEY BY
THE WAY WERE REINFORCING.
HALF THE BUILDING STARTING JULY.
ONE BECAUSE IT WASN'T DISCUSSED.
MANY THE COMMITTEES I DON'T
THINK IT WAS DISCUSS I REMEMBER.
THAT I I REMEMBER THAT IN FOR
THOUGHT THAT THIS COMMITTEE DID
PUT IT AS AN ITEM TO BE
DISCUSSED BUT I DON'T BELIEVE IT
THE DEMONSTRATION EVER SAID IT'S
GOING TO BE IN FOR JULY FIRST.
TWO THOUSAND EIGHTEEN AND IT
ALSO KNOWS WHEN A TO OUR
COMMUNITY.
WE ARE MAD ABOUT THIS IN A TIME
IN ABUNDANCE.
THAT WE ARE FACING A CUT TO WHY.
THANK YOU.
THIS WAS THE THANK YOU SO MUCH.
WELL JORDAN CERTAINLY SAID
ALMOST EVERYTHING IN TERMS OF
UNIFORM HOLIDAY AND HALF DAY
BILLING.
IN TERMS OF UNIFORM HOLIDAY.
IT IS YET ANOTHER PRESSURE ON
SERVICE PROVIDERS IN TERMS OF
DAYS THEY WON'T BE PAID FOR
SERVICE SOME OF THEM PROVIDE
SERVICE ON THOSE DAYS THEY JUST
WON'T BE PAID FOR THOSE DAYS
THAT THEY PROVIDE SERVICE.
IT'S A HARDSHIP ON THEIR STAFF
BECAUSE IN MANY CASES IN MOST
CASES I WOULD WAGER.
THEIR STAFF ARE REQUIRED TO TAKE
UNPAID DAYS OFF I LIKE HOLIDAYS
BUT I GET PAID ON THEM.
THESE ARE ESSENTIALLY FURLOUGH
DAYS.
AND IT'S A TREMENDOUS HARDSHIP
ON PEOPLE WITH DEVELOPMENTAL
DISABILITIES AND THEIR FAMILIES.
PEOPLE WHO ARE TRYING TO LIVE
INDEPENDENT LIVES WHO MAYBE YOU
NEED THE ASSISTANCE WORKING AND
MAYBE WORK RETAIL AND HAVE TO
WORK ON THOSE DAYS.
THAT WE HAVE CHOSEN AS UNIFORM
HOLIDAYS.
IT PUTS THE PRESSURE ON FAMILIES
TO FILL IN THE GAP IN SERVICES.
FAMILIES WILL TELL YOU THAT ON
DAYS WHEN THEIR SON OR DAUGHTER
OR BROTHER OR SISTER DOESN'T
HAVE SUPPORTS OUTSIDE THE FAMILY
HOME.
THEY SCRAMBLE TO FIGURE OUT WHAT
TO DO NEXT.
AFTER A BILLING HAS AN IMPACT.
THE BIGGEST IMPACT IT HAS IS ON
TO SPECIFIC POPULATIONS ONE IS
THE GROUP OF PEOPLE WHO ARE.
SEEKING EMPLOYMENT WHO ARE AS
MISTER LINDSEY SAID ARE LOOKING
TO SPEND PART OF THEIR TIME.
IN A DAY SUPPORT SERVICE AND
PART OF THEIR TIME IN.
IN EMPLOYMENT BUT THE OTHER
POPULATION IT IMPACTS.
ARE THOSE PEOPLE WHO DON'T HAVE
THE STAMINA FOR A SIX HOUR DAY.
THOSE PEOPLE WHO HAVE MEDICAL
NEEDS OR BECAUSE OF THEIR HEALTH
CAN'T INDOOR A SIX HOUR DAY ON
AN ONGOING BASIS.
HALF DAY BILLING.
REMOVED FOR PROVIDERS TO SUPPORT
THAT POPULATION.
AND IN ADDITIONAL.
RICH RECESSION ERA IT CUT THAT
WERE STILL HANGING ON TO IN OUR
SYSTEM.
IS THE SUSPENSION OF SOCIAL
RECREATION IN CAMP SERVICES
[inaudible]
THIS IS.
A TREMENDOUS OPPORTUNITY TO REAP
TO REINSTATE THOSE SERVICES. FOR
FAMILIES AND FOR INDIVIDUALS. TO
PROVIDE THEM WITH OPPORTUNITIES
[inaudible] TO GO INTO THEIR
COMMUNITIES. TO TAKE THE SKILLS
THAT THEIR LEARNING AND TO PUT
THEM INTO PRACTICE IF WE EXPECT
PEOPLE [inaudible] TWO INTEGRATE
INTO THEIR COMMUNITIES WE HAVE
TO PROVIDE THEM WITH SUPPORTED
OPPORTUNITIES TO DO SO AND
SOCIAL RECREATION IN CAMP.
DOES THAT BUT IT ALSO PROVIDES
FAMILIES WHO ARE MAINTAINING
THEIR SON OR DAUGHTER BROTHER OR
SISTER AT HOME.
WITH A MUCH NEEDED BREAK.
FROM THE CONTINUOUS CARE.
SO IT IS A LOW INVESTMENT
SERVICE THAT PROVIDES A
TREMENDOUS AMOUNT OF BENEFIT.
AND AGAIN AS MISTER LINDSEY SAID
AT A TIME OF SUCH.
PROSPERITY IN CALIFORNIA.
THE ARTIFICIAL BARRIER TO THIS
SERVICE FOR PEOPLE WITH --
DISABILITIES IS JUST NOT
EXCUSABLE [inaudible]
THANK YOU [inaudible]
THIS MARK [inaudible]
HI [inaudible]
I'M.
SO I HAVE SHOW AND TELL.
THIS IS RYAN.
BRIAN HAS CEREBRAL PALSY AND
USES A WHEELCHAIR WHEN HE WAS A
LITTLE BOY HE WOULD LOVE TO GO
TO WAS THERAPEUTIC HORSE
HORSEBACK RIDING SESSIONS WHICH
NOT ONLY STRENGTHENED HIS MUSCLE
TOWN.
BUT PROVIDED HIM WITH IMMENSE
HAPPINESS AND THAT THE AND THE
SENSATION HE COULD WALK WHENEVER
HE SAT ATOP HIS HORSE HE WOULD
SQUEAL WITH DELIGHT AND SIGN TO
HIS MOM I'M WALKING.
THIS IS CARISSA AND SHE IS YOUR
CONSTITUENTS ASSEMBLYMEMBER
AROUND A LOT.
SHE LIVES IN FRESNO AND LOVES TO
DANCE IN FACT SHE TAKES TO DANCE
CLASSES A WEEK CARISSA WHO HAS
DOWN SYNDROME DOESN'T SEE DANCE
AS AN EXTRA.
SHE SEES IT AS A WAY TO BUILD
FRIENDSHIPS AND SOCIALIZE
DANCING ALSO PROMOTES HER
PHYSICAL AND MENTAL STRENGTH.
BUT RYAN RISA.
AND SO MANY THOUSANDS OF OTHER
OTHERS HAVE BEEN PROFOUNDLY
IMPACTED BY THESE SUPPOSEDLY
TEMPORARY COST CUTTING MEASURES
ENACTED INTO.
TWO THOUSAND NINE DURING THE
RECEPTION BUT THE RECESSION MANY
RESEARCHERS RESEARCH ON THIS THE
CUTTING THESE PROGRAMS HAS LONG
TERM CONSEQUENCES FOR CHILDREN'S
HEALTH AND SAFETY FROM OBESITY
TO SOCIAL ISOLATION. TO PUTTING
CHILDREN IN SERIOUS DANGER LIKE
DROWNING.
THIS IS NEXT DOOR AND DANIEL.
THEIR MOM HAS A FEMA IS OUT
THERE IN THE AUDIENCE AND SHE
TOLD ME THAT THEY BENEFITTED
WHEN THEY WERE YOUNGER FROM
CAMPING SWIMMING WHEN THEY WERE
YOUNGER.
BUT SINCE THE SERVICES WERE CUT
THEY HAVEN'T BEEN ABLE TO
PARTICIPATE SAID SHE CAN'T
AFFORD TO PAY PRIVATELY.
THE CONSEQUENCES ARE THAT THEY
GAINED WEIGHT AND IN THE
SUMMERTIME THEIR SOCIAL SKILLS
REGRESS.
WE KNOW THAT THESE CUTS HAVE HAD
A DISPROPORTIONATE IMPACT ON LOW
INCOME HISPANIC AND AFRICAN
AMERICAN FAMILIES WHO ARE
ALREADY SUFFER FROM HUGE
DISPARITIES.
SO IT'S CLEAR THAT THESE FUNDING
CUTS OF FORTY EXACERBATED THESE
INEQUITIES SO WE ASK THE
LEGISLATURE TO RESTORE FUNDS FOR
SOCIAL WRECK PROGRAMS CAMP AND
ALSO WHICH IS NOT NECESSARILY
SOMETHING WE TALKED ABOUT NON
MEDICAL THERAPIES WHICH IS THAT
THERAPEUTIC HORSEBACK RIDING.
LESSONS THAT WE WERE TALKING
ABOUT AND I WANT TO THINK
ASSEMBLY MEMBER MATHIS AND
FRAZIER FOR THEIR LEADERSHIP ON
THIS ISSUE.
THE COST IS REALLY MODEST AND
THE BENEFITS ARE SO HUGE THE
RECESSION IS OVER AND IT'S
REALLY TIME TO LAST PICTURE.
THIS IS MY SON.
THIS IS MY SON A LONG TIME AGO.
THIS IS MY SON JOSHUA IS NOW
TWENTY TWO WHEN HE WAS TAKING
SWIMMING LESSONS CRITICAL SWIM
LESSONS THANK YOU GOT FUNDED
THROUGH HIS REGIONAL CENTER.
HE PARTICIPATED IN ALL KINDS OF
WONDERFUL INCLUSIVE PROGRAMS HE
APPEARED A SPONGE BOB IN A PLAY.
HE LEARNED HOW TO SURF TO SKI TO
SWIM TO ROW.
EVERY CHILD SHOULD HAVE
REGARDLESS OF THEIR NEED FOR
SUPPORT SO LET'S MAKE IT HAPPEN
THIS YEAR PLEASE RESTORES
FUNDING FOR SOCIAL.
THINKING.
THANK YOU.
DEPARTMENT OF FINANCE HELLO.
AS FOR ANY PARTICULARLY --
WE THINK IT'S REASONABLE TO
REVISIT THE UNIFORM HOLIDAYS
SCHEDULE AT THIS TIME GIVEN THAT
IT WAS A RECESSIONARY A BUDGET
SOLUTION --
WE TOOK A LOOK AT WHAT STATE
GOVERNMENT DOES GENERALLY IN
WHAT FEDERAL GOVERNMENT DOES
GENERALLY.
POLLS HAVE HOLIDAY SCHEDULES --
OF ELEVEN OR TEN ELEVEN DAYS AT
THE STATE GOVERNMENT LEVEL TEN
DAYS OF THE FEDERAL GOVERNMENT
LEVEL --
OBVIOUSLY THERE WOULD BE A COST
TO FULLY REPEAL THE POLICY --
IF THE LEGISLATURE OR THOUGHT
THAT IT WAS IMPORTANT TO HAVE A
UNIFORM HOLIDAY SCHEDULE --
ONE OPTION IS TO CONSIDER EITHER
A TEN OR ELEVEN DAYS SCHEDULE
WHICH WOULD BE MORE IN LINE WITH
WHAT STATE AND FEDERAL
GOVERNMENT.
TO THANK YOU.
BRING IT UP TO THE COMMITTEE
FROM THE QUESTIONS WHEN HEALTH
ASSEMBLYMEMBER MATHIS I THINK
MASS MARKET THE MARK --
IT'S THE MORE THE SOCIAL WRECK
CANCER TREMENDOUS --
THEY'RE AMAZING --
AND I DO APPRECIATE RECOGNIZING
AND MYSELF AND MY COLLEAGUE
ASSEMBLYMEMBER FRAZIER WE HAVE A
LITTLE COALITION --
FIGHTING TO TAKE CARE THESE
FURLOUGH DAYS --
AND ESSENTIALLY TACKLE THIS
ENTIRE ISSUE THAT'S BEFORE US.
ON WAS SOLID COMMITMENT ON BOTH
SIDES OF THE OUT TO LOOK AT THIS --
I GREW UP DILLON SCOUTS AND THEN
WORKING.
AS A LIFEGUARD AT SUMMER CAMP AS
A WAY TO GET AWAY FROM THE
FAMILY -- AN
INVOLUNTARY TO STAY LONGER AND
AND WORK FOR FREE --
AND AND THEN I CONTINUED AND I
WORK -- FOR
YMCA SUMMER CAMP IN AND SO FORTH --
BUT I'VE ALSO SPENT TIME
VOLUNTEERING AT PLACES LIKE HARD
A HORSE THERAPY RANCH OUT IN
CLOVIS --
WHERE I'VE SEEN REMARKABLE
THINGS WITH VETERANS WITH PTSD?
AND WITH KIDS WHO HAVE BEEN
COMPLETELY NON VERBAL UNTIL THEY
GOT ON HORSEBACK.
I KNOW EQUINE THERAPY WORKS I
ALSO HAVE [inaudible]
BUT ALSO DURING MY TIME AT
FRESNO STATE SPENT TIME --
WITH BREAK THE BARRIERS WHICH I
THINK MIGHT BE WHERE THAT DANCE
CLASS WAS FROM --
I'VE SEEN FANTASTIC THINGS
THROUGH THESE PROGRAMS.
AND THE FACT THAT.
HERE WE ARE A DECADE.
AFTER THE RECESSION.
OUR OUR GENERAL FUND I A STATE
OVER AND OVER OUR GENERAL FUND
IS LIKE.
IN THE LAST FIVE YEARS.
BUT YET WE STILL HERE THERE'S
NOT ENOUGH MONEY THERE STILL HAS
TO BE A CUT [inaudible]
AT I FOR ONE AM SICK OF HEARING
IT.
BECAUSE WE FIND ALL KINDS OF
OTHER PROGRAMS IN THIS STATE.
AND THESE ARE FUNDAMENTAL ALL
PROGRAMS A A TRY TO JUDGE THINGS
ON MAN'S LOS HIERARCHY OF NEEDS.
IN IN YOUR FOOD WATER SHELTER
YOU KNOW PHYSIOLOGICAL NEEDS.
AND AND AND PSYCHOLOGICAL NEEDS
AND AND THIS IS THEIR AND THIS
NEEDS TO BE A PRIORITY OF THIS
BODY -- SO I
JUST WANT YOU TO KNOW ON WHAT
THE COMMUNITY AND NOW YOU DO
HAVE SUPPORTER.
THIS IS NOT.
A PARTISAN ISSUE THIS IS A
PEOPLE ISSUE.
AND YOU HAVE MEMBERS THAT ARE
PART OF THE COMMUNITY AND
MEMBERS THAT ARE VERY SENSITIVE
TO THE COMMUNITY THEY GET IT.
AND THAT CARE AND ARE WILLING TO
GO TO BAT FOR YOU UNDER THIS
DOWN AND MAKE IT HAPPEN.
AND JUST TO MENTION WE HAVE
HUNDREDS AND WHO ARE REALLY GOOD
ABOUT FOR YOU.
DOES THE ADMINISTRATION HAVE
UPDATED ESTIMATES FOR THESE
RESTORATION PROPOSALS --
WE DO MISTER CHAIR WE'VE ONLY
HAD THE OPPORTUNITY TO SHARE ONE
WITH YOUR STAFF AND WITH
FINANCING OR AGENCY.
AND WE UNDERSTAND THERE IS A
DESIRE TO HAVE ESTIMATES ON THE
OTHERS WERE HAPPY TO TAKE A LOOK
AT THAT.
DOES IT SEEM REASONABLE FOR A
WEEK OR TWO FOR THESE TO BE
SUBMITTED IN WRITING OR IF YOU
WOULD GIVE US TWO WEEKS THIS
TIME OF YEAR THAT WOULD BE
HELPFUL ARE.
OUR COLLEAGUES AT FINANCING
AGENCY.
AS WELL AS OUR STAFF WE WERE
WE'RE WE'VE GOT A LOT OF THINGS
GOING ON SO THAT WOULD BE
HELPFUL THANK YOU TWO WEEKS IT
IS AND WITH THAT WE WILL HOLD
ISSUE IT OPEN
.
IF WE CAN HAVE ISSUE NINE MISS
WARREN BURGER MORAN'S.
THEN THE DIRECTOR BACK
[inaudible]
THANKS [inaudible]
IMAGES [inaudible]
THE FIRST.
THIS ONE BURKE.
HI MY NAME'S KATIE HARPER GOING
ON THE DIRECTOR OF THE OFFICE OF
CLIENTS RIGHTS ADVOCACY IT
DISABILITY RIGHTS CALIFORNIA.
AND IN IN THIS SESSION I WANT TO
TALK ABOUT SOME IDEAS THAT WE
HAVE SOME PROPOSALS IN REGARDS
TO A OVERSIGHT TRANSPARENCY AND
ACCOUNTABILITY.
WE BELIEVE THESE EFFORTS WILL
ASSIST OUR FAMILIES AND OUR
CONSUMERS TO INCREASE THE
SERVICES AND THE ACCESSIBILITY
OF THE REGIONAL CENTER IN THEIR
ABILITY TO IT SECURE THOSE
SERVICE SAYS --
ONE OF THE FIRST THINGS I WANT
TO TALK ABOUT WE ACTUALLY BEGAN
LAST YEAR.
OF LAST YEAR --
REGIONAL CENTERS WERE REQUIRED
TO PROPOSED INTERNAL GUIDELINES
AND PROTOCOLS AND ASSESSMENT
TOOLS. FOR RESPITE SERVICES CAP
ON RESPITE WAS LIFTED LAST YEAR
WHICH WE VERY MUCH APPRECIATE IT
AND WE'VE HEARD FROM A NUMBER OF
OUR CLIENTS HOW HELPFUL THAT'S
BEEN TO THEM.
IN ADDITION TO HAVING THE CAP
LIFTED HAVING THOSE ASSESSMENTS
AND AND AND TOOLS AVAILABLE TO
THEM ALSO ASSISTED THEM TO
BETTER PREPARE FOR THEIR
MEETINGS WITH REGIONAL CENTERS.
ON WE WOULD LIKE TO EXPAND THAT --
TO ALL OF THE SERVICE CODES ON
IN ANY SERVICE A PURCHASE POLICY
WHERE AT THE REGIONAL CENTER HAS
A GUIDELINE OR PROTOCOL OR AN
ASSESSMENT.
SO THAT FAMILIES AND CONSUMERS
CAN REALLY BE ON A LEVEL PLAYING
FIELD IN THEIR MEETING WITH
THEIR REGIONAL CENTER SERVICE
COORDINATORS.
AND OTHER PEOPLE AT THE REGIONAL
CENTER ON SO THAT EVERYONE SORT
OF KNOWS THE PLACE THAT THEY'RE
THAT THEY'RE STARTING FROM AND
THE INFORMATION THAT THE
REGIONAL CENTER NEEDS TO MAKE A
DECISION.
ALL THE OTHER THING THAT --
IS REALLY IMPORTANT TO US IS IN
REGARDS TO WHAT'S CALLED MUTUAL
CONSENT LANGUAGE SO CURRENTLY IN
THE LAND TO ENACT UNLIKE OTHER
PUBLIC BENEFIT TYPES OF PROGRAMS.
A NOTICE OF ACTION IS ONLY
ISSUED WHEN MUTUAL CONSENT IS
NOT OBTAINED --
WHICH MEANS THAT ON THE REGIONAL
CENTER ON CANON CHANGES SERVICE
REDUCE THE SERVICE DENY A
SERVICE.
A WITHOUT A NOTICE OF WRITTEN
NOTICE OF ACTION SO LONG AS THEY
HAVE MUTUAL CONSENT FROM THE
CONSUMER OR FAMILY.
OF IN OTHER SERVICE PROGRAMS
WHENEVER THERE'S A DENIAL OR IT
A CHANGE OF REDUCTION IN SERVICE
OF WRITTEN NOTICE OF ACTION.
IS AUTOMATICALLY GENERATED ON
AND WHERE WE SEE THIS BEING
REALLY PROBLEMATIC FRANKLY AS IS
WITH MY CLIENTS FOR WHOM.
SAY NO CHALLENGING AUTHORITY FOR
HIM QUESTIONING A DECISION IS
NOT NATURAL FOR THEM.
ON FOR PEOPLE THAT THEY DON'T
KNOW THINK TO ASK ON SOME OF US
ON THE LAWYER SO IT IS VERY
NATURAL FOR ME TO SAY CAN.
PEEL THAT.
ELSE CAN I TALK TO ABOUT THAT
THAT'S INTUITIVE TO ME.
THAT'S BECAUSE I'M A LAWYER.
THAT'S NOT INTUITIVE FOR MOST OF
OUR CONSUMERS AND THEIR FAMILIES
AND SO -- WE
WOULD ASK THAT THE LANGUAGE IN
THE HEARINGS PROVISIONS BE ON
CHANGE TO STRIKE THE MUTUAL
CONSENT.
AND THEREFORE PEOPLE WOULD BE
AFFORDED WRITTEN NOTICES OF
ACTION WHEN OUR SERVICES DENIED
OR OR WHEN --
IT'S SERVICES IS PRODUCED
[inaudible]
OUR THE OTHER YOU KNOW AND THIS
IS ACTUALLY ON I'M GOING THROUGH.
QUICK SO FEEL FREE TO STOP ME --
WHAT IS THE OTHER IT'S SORT OF A
QUIRK IN THE LAW --
YOU KNOW I'LL I LIKE TO SEVEN
YEARS QUIRK IN THE LAW --
IN I THINK SOME THINGS I I'M NOT
SURE WHAT WE A TEN INTENDED WAY
BACK WHEN BUT IT DOESN'T WORK
TODAY.
SO -- WE
HAVE A CODE SECTION OF WILL FOR
INSTITUTIONS CODE FORTY SEVEN
THIRTY ONE THAT OUTLINES A
COMPLAINT PROCESS IN THE LAND
HERMAN ACT.
AND BECAUSE WE ARE NOT CREATIVE
PEOPLE WE CALL THEM FORTY SEVEN
THIRTY ONE COMPLAINTS.
UP.
AND AT THE BEGINNING OF THE LAW
IT SAYS THIS IS AVAILABLE TO
CONSUMERS AND THEIR FAMILIES.
HOWEVER AT AT THE FINAL SECTION
OF THE LAW IT ALSO SAYS THAT.
APPLICANTS FOR SERVICES MUST BE
INFORMED OF OF THE FORTY SEVEN
THIRTY ONE COMPLAINT PROCESS.
AND THAT STATUTE HAS BEEN
INTERPRETED TO NOT APPLY TO
APPLICANTS FOR REGIONAL CENTER
SERVICES.
MERELY EXISTING CONSUMERS AND SO
WE'RE WE'RE TELLING APPLICANTS
ABOUT A COMPLAINT PROCESS THAT
IS ONLY AVAILABLE TO THEM ONCE
THEY'VE BECOME ELIGIBLE FOR
SERVICES.
NOT DURING THE ELIGIBILITY
SERVICE PROCESS WHY THAT'S
IMPORTANT IS THERE MAY WELL BE
REASONS TO COMPLAIN.
DURING THE APPLICATION PROCESS
OF PARTICULARLY AND NUMBER OF
CENTERS RIGHT NOW ARE HAVING
PROBLEMS CONDUCTING ASSESSMENTS
WITHIN TIME LINES FOR A VARIETY
OF REASONS.
AND SO THAT WOULD WITH WARRANT A
FORTY SEVEN THIRTY ONE COMPLAINT
IF THAT COMPLAINT PROCESS WAS A
COUPLE TO APPLICANTS AND NOT
JUST CONSUMERS.
THE OTHER THING THAT HAPPENS IN
THE REGIONAL CENTER SYSTEM THAT
I THINK IS IS A LITTLE BIT
STRANGE IS YOU ARE REQUIRED TO
SIGN IN CONSENT FOR SERVICES FOR
THOSE SERVICES TO BEGAN.
OF AND SO YOU HAVE AN I PP
MEETING.
STERN OUT THESE NODDING YOU HAVE
AN I PP MEETING YOU TALK ABOUT
WHAT SERVICES YOU'RE GOING TO
GET HOPEFULLY THE TEAM REACHES
AGREEMENT.
AND THEN THE MEETING IS IS OVER
AND YOU ARE FACED WITH WITH TWO
OPTIONS.
YOU EITHER SIGN A BLANK DOCUMENT
THAT SAYS THAT YOU AGREED. TO A
BLANK DOCUMENT WHICH AS A LAWYER
I DO NOT ADVISE PEOPLE TO DO.
OR YOU WAIT UP TO FORTY FIVE
DAYS OR LONGER BECAUSE I KNOW A
NUMBER OF REGIONAL SECTORS HAVE.
GO AHEAD I'M SORRY FAMILIES
DON'T HAVE A CHOICE AND THEY
HAVE TO SIGN THE RATINGS BECAUSE
THEY WANT THEIR SERVICES TO
START AS SOON AS POSSIBLE.
SO FAMILIES ARE SIGNING BLANK
DOCU.
AS I SAID AS A LAWYER I DO NOT
ADVISE IT WHEN WE REPRESENT
FAMILIES WE ACTUALLY COME UP
WITH YOU KNOW WE HAVE SOME START
LIKE LANGUAGE THAT WE HELP
FAMILIES RIGHT ON THE FORMS.
BUT WE YOU KNOW EVEN WITH OUR
OUR TEN THOUSAND ISSUES WE
RESPOND TO PER YEAR WE ARE NOT
AT EVERY AYE PP MEETING
UNFORTUNATELY. ONE REGIONAL
CENTER ACTUALLY HAS A VERY LOW
TECH SOLUTION TO THIS.
THEY WRITE ON A PIECE OF PAPER
[inaudible] FOUR COLUMNS.
THE KIND OF SERVICE THE DURATION
THE FREQUENCY AND THE START DATE.
THEY HAND WRITE IT ON THE PAPER
THE RIGHT TO OF THEIR COUNTER
SIGNED BY THE CONSUMER OR OR
PARENT.
AND BY THE REGIONAL CENTER
SERVICE COORDINATOR WHO IS
CONDUCTING THE I PP MEETING THEY
EACH TAKE.
ONE YOU HAVE SIGNED CONSENT
SERVICES CAN BEGIN AS SOON AS
THE SERVICE COORDINATOR CAN YOU
KNOW GO BACK TO THE OFFICE AND
DO ALL OF THE PAPER WORK --
BUT THE PARENTS ARE NOT ARE NOT
AND CONSUMERS ARE NOT SIGNING
BLANK DOCUMENTS THEY KNOW WHAT
THEY'VE AGREED.
TO THE OTHER THING IS I WILL
TELL YOU FAMILIES COME TO US AND
THEY SAY OH I WAS SUPPOSED TO
GET.
AND THEN WE SELL WHAT DOES IT
SAY THAT IN YOUR I. P. P. THEY
SAT I DON'T KNOW WE GET A COPY
OF THE I. P. P. IT DOESN'T IT
DOESN'T SAY THAT THEY'RE GOING
TO RECEIVE THAT SERVICE.
IT SAYS THAT A DISCUSSION ENSUED
ABOUT THAT SERVICE THERE WASN'T
REAL CLARITY.
IN THE COURSE OF THE MEETING
ABOUT WHAT SERVICES WERE
ACTUALLY GOING TO BEGIN THIS
LIST OF SERVICES WHAT ALSO
SERVED THAT PROBLEM.
I THINK IN SOME CENTERS THAT ARE
USING SHE TO CONDUCT I. P. P.'S
THEY MAY NOT THEY MIGHT HAVE
HIGHER TECH SOLUTIONS. TO THE
PROBLEM BUT I I THINK THERE
REALLY IS A VERY LOW COST LOW
TECH SOLUTION OUT THERE THAT
COULD HAVE A LOOK AT YOU KNOW A
LOT OF BENEFIT TO OUR FAMILIES --
THE LAST --
IDEA THAT THAT WE HAVE IS WE
HAVE NOTICED AN INCREASING
PROBLEM.
IN REGARDS TO THE POSTING A FAIR
HEARING DECISIONS.
ON DDS CONTRACTS WITH THE OFFICE
OF ADMINISTRATIVE HEARINGS TO
CONDUCT THE HEARINGS AND TO POST
THOSE HEARING DECISIONS.
ON ON THE WEBSITE THERE IS A
SEARCH ENGINE.
I WILL TELL YOU IT IS ONE OF THE
WORST SEARCH ENGINES I HAVE YET
TO COME ACROSS.
THE OTHER THING IS THAT THERE
ARE HEARING DECISIONS THAT ARE
MISSING.
AND THE REASON THAT I KNOW THAT
IS MYSELF AND AND SOME OF OF MY
STAFF HAVE CONDUCTED HE WE'VE
BEEN INVOLVED IN HEARINGS WE
HAVE THE COPY THAT WE GOT MAILED.
WE GO TO LOOK FOR AN ELECTRONIC
COPY TWO YEARS LATER.
WE SEARCH WE SEARCH BY OUR OWN
NAMES WE SEARCH BY THE REGIONAL
CENTER WE SEARCH BY THE SUBJECT
MATTER WE TRY TO THINK OF
INTERESTING TIDBITS THAT EURO.
KEY WORDS WE CANNOT FIND THE
DECISION ELECTRONICALLY WE CALL
THE OFFICE OF ADMINISTRATIVE
HEARINGS AND THEY ARE ABLE TO
SEND US AN ELECTRONIC COPY.
SO THE DECISION HASN'T BEEN LOST
IT'S JUST CAN'T BE LOCATED BY
THE GENERAL PUBLIC --
IN AND UNFORTUNATELY WHAT THAT
DOES IS THAT COULD BE A REALLY
IMPORTANT HEARING DECISION AND
HELPING A FAMILY PREPARE FOR
HEARING OR EVEN MAKING THE
DECISION AS TO WHETHER THEY
SHOULD GO TO HEARING ARE NOT.
OF AND SO THAT INFORMATION IS
REALLY OR OF FOR OUR CLIENTS AND
FAMILIES.
AND SO -- WE
REALLY NEED THOSE DECISIONS TO
BE BE POSTED IN A BETTER WAY --
WHETHER THAT BE THAT THAT DDS
TAKE OVER THE POSTING THEY WORK
WITH AWAY H. ON TO TO COME UP
WITH A BETTER MECHANISM FOR THAT --
WHAT HAVE YOU OF THE --
THAT THAT SYSTEM NEEDS TO BE
GREATLY IMPROVED.
THANK YOU THANK YOU MRS MORANT.
HI.
MY NAME THOUSAND RANTS AGAIN --
I'M THE MOTHER OF A THIRTEEN
YEAR OLD BOY SURVIVED CENTURIES
REGIONAL CENTER ALSO LAW
PROFESSOR AT STANFORD.
BUT I'M HERE AS A D. V. YOU
BOARD MEMBER TO SHARE VARIOUS
IDEAS AROUND TRANSPARENCY
ACCOUNTABILITY AND OVERSIGHT.
SO I WANT TO START WITH TO IDEAS
THAT I DON'T THINK HAVE BEEN
DISCUSSED YET --
AND THEN I WANT TO MAYBE CIRCLE
BACK IF YOU ALLOW ME THE TIME
I'M TO SOME OF THE ONES THAT
THAT HAVE JUST BEEN DISCUSSED
BUT HERE'S THE SO SO FIRST OF
ALL AND I THIS IS JUST SOMETHING
THAT THAT CAME UP IN A PRIOR
PANEL -- WE
SUGGEST THAT THE LEGISLATURE
CREATE A NEW ENTITY WHICH IS
SITUATED OUTSIDE OF DDS. TO
CONDUCT EVALUATION OVER I MEAN
JUST FOR SOME CONTEXT HERE YOU
KNOW MANY STATE AND FEDERAL
AGENCIES WITH MORE COMPLICATED
STRUCTURES.
HAVE BENEFITTED FROM THE
CREATION OF INSPECTOR GENERAL
AND OTHER KIND OF SIMILAR
ENTITIES.
THAT CAN BRING AN INDEPENDENT
PERSPECTIVE TO BEAR ON SYSTEMIC
CHALLENGES LIKE FOR EXAMPLE
CALIFORNIA HAS AN INSPECTOR
GENERAL.
THAT ACTS AS THE EYES AND EARS
OF THE PUBLIC IN OVERSEEING CAN
PRISONS AND CORRECTIONAL
INSTITUTIONS.
IT'S PRETTY COMMON IN THE
FEDERAL GOVERNMENT --
AND AND AT LEAST YOU DON'T SOME
EXTRINSIC CONSERVE A REALLY
IMPORTANT FUNCTION AND KIND OF
GET BIG PICTURE INSIGHTS
PARTICULAR AROUND STRUCTURAL
SYSTEMIC ISSUES.
THEY'RE JUST INHERENTLY HARD FOR
ANY AGENCY TO KIND OF COME TO ON
ITS OWN BECAUSE THEY'RE INSIDERS
AND IT'S HARD FOR ANYBODY WHO'S
AN INSIDER.
NOT TO KIND OF TAKE FOR GRANTED
THE STATUS QUO TO SOME EXTENT
IT'S IT'S IT'S HUMAN NATURE SO.
WHY DO WE THINK INSPECTOR
GENERAL OR SIMILAR ENTITY COULD
IMPROVE TRANSPARENCY
ACCOUNTABILITY SPECIFICALLY IN
THE REGIONAL CENTER SYSTEM?
SO FIRST THE COMPLICATED
RELATIONSHIP BETWEEN DDS AND THE
TWENTY ONE PRIVATE NON PROFITS
THAT IT OVERSEAS MAKES
ACCOUNTABILITY PARTICULARLY
CHALLENGING THIS IS THE ONLY
SYSTEM IN THE COUNTRY IT
CALIFORNIA'S THAT WORKS THIS WAY.
AND THERE'S GOOD REASON FOR IT --
BUT IT MAKES IT YOU KNOW
OVERSIGHT ACCOUNTABLE JUST
INHERENTLY COMPLEX SO PART OF
THE MANDATE.
OF AN INSPECTOR GENERAL OR
SYMBOL AND SIMILAR ENTITY WOULD
BE TO EVALUATE THE SYSTEM AS A
WHOLE AND DECIDE WHETHER
STRUCTURAL REFORMS ARE NEEDED.
SUCH AS FOR EXAMPLE THIS
QUESTION OF I MEAN I THINK ONE
OF MANY REALLY A A STRUCTURAL
QUESTION THE DDS ITSELF MAY NOT
BE BEST EQUIPPED TO TACKLE BUT
THE BUT SOMETHING LIKE IN --
I DO WOULD BE WELL AS A QUICK TO
TACKLE.
SECONDLY WE'RE NOT SURE THAT THE
SOLUTION DDS HAS PROPOSED --
ADDING THE FIFTEEN FOR NEW STAFF
POSITIONS IS SUFFICIENT TO
ADDRESS TRANSPARENCY AND
OVERSIGHT AND ACCOUNTABILITY
ISSUES.
AFTER ALL THESE NEW STAFF
MEMBERS ROLE AS WE UNDERSTAND IT
BASED ON THE WRITTEN MATERIALS
WILL BE PRIMARILY TO OBTAIN
INFORMATION --
AND THEN RELAY THAT INFORMATION
UP THE CHAIN OF ACCOUNTABILITY
TO DDS NOT SO MUCH TO PROPOSE
BIG PICTURE REFORMS --
IT DOESN'T SEEM TO BE
PARTICULARLY WELL POSITIONED TO
IDENTIFY PROGRAMMATIC OR
STRUCTURAL BARRIERS.
AND EVEN TO THE EXTENT THAT THEY
DO IDENTIFY PROBLEMS IT'S NOT
ENTIRELY CLEAR THAT THE STAFF
WILL BE EMPOWERED TO SOLVE THEM --
LEADING TO BETTER INC IN
OUTCOMES WHICH AGAIN AS WE FOCUS
ON ON THE PRIOR PANEL IS KIND OF
THE THING THAT WE AS
REPRESENTING YOU KNOW THAT
CONSUMERS AND THEIR FAMILIES ARE
MOST FOCUSED ON THIRD THE
INDEPENDENT OVERSIGHT ENTITIES
THAT ALREADY EXIST IN CALIFORNIA
SUCH AS THE STATE COMPTROLLER.
THE STATE AUDITOR CANNOT DEVOTE
THAT MUCH ATTENTION TO ANY
SINGLE AGENCY I MEAN THE STATE
AUDITOR FOR EXAMPLE HAS ISSUED.
SEVEN REPORTS ON DDS IN THE LAST
TWENTY YEARS YOU KNOW A COUPLE
OF THEM ONE OR TWO DEPENDING ON
HOW YOU YOU PERCEIVE IT --
WE'RE FOCUSED ON FAIRLY YOU KNOW
BIG PICTURE ISSUES SUCH AS LATE
NINETIES FOR SOME REASON YOU
KNOW THERE WAS A REALLY BIG
REPORT THE NINETEEN IN NINETEEN
NINETY EIGHT FOCUSING BY THE WAY
I'M TRANSPARENCY AND ON THE LOT
OF RESIDENTS OF WHAT WE'RE
DISCUSSING TODAY.
ON ANY OTHER ONES WERE MORE SORT
OF SMALL BOY OF AND THAT THE
REST OF THEIR MANDATE --
THE STATE CONTROLLER POSITION
ONE MAJOR AUDIT I'M IN TWO
THOUSAND SIXTEEN AND THESE ARE
HELPFUL.
BUT THEY GENERALLY ONLY TREAT A
SINGLE TOPIC.
AND THERE ARE IN A MOVE ON YOU
KNOW IN THE STATEWIDE ENTITIES
DO NOT HAVE THE BANDWIDTH TO DO
MORE INTENSIVE ONGOING
MONITORING AND OVERSIGHT.
SO IN SHORT AN INDEPENDENT
ENTITY WITH THE IN HHS WHICH
FOCUSES EXCLUSIVELY ON DDS IT IS
NOT DIRECTLY ACCOUNTABLE TO DDS.
MIGHT BE BETTER EQUIPPED TO
IDENTIFY MORE STRUCTURAL
PROGRAMMATIC AND SYSTEMIC
BARRIERS TO TRANSPARENCY
ACCOUNTABILITY SO THAT'S THE
FIRST THING WE WANT TO SUGGEST.
THAT HASN'T YET BEEN DISCUSSED.
I'M SECONDLY.
WE RECOMMEND THAT THE PUBLIC
RECORDS ACT BE APPLIED TO
REGIONAL CENTERS.
WHOSE INTERNAL OPERATIONS ARE
QUITE OPAQUE EVEN THOUGH THERE
ARE EFFECTIVELY CARRYING OUT
GOVERNMENTAL FUNCTIONS --
IN AGAIN THE IDEA HERE IS TO
EQUIP INDIVIDUALS OUTSIDE OF THE
REGIONAL CENTER EVER OUTSIDE OF
STAKEHOLDERS OUTSIDE OF DVD DDS
IN THIS CASE IT WOULD BE
CONSUMERS AND THEIR FAMILIES WHO
ARE BENEFICIARIES OF THE
REGIONAL CENTER SYSTEM. TO
MONITOR THE FUNCTIONING OF THE
SYSTEM JUST AS THEY WOULD ANY
OTHER SERVICE DELIVERY SYSTEM
THAT IS FUNDED WITH TAXPAYER
DOLLARS --
WAS SIMILAR FOR EXAMPLE TO CHAU
THE TO THE PUBLIC RECORDS ACT
WHICH HAVE CERTAIN YOU KNOW
INTERESTING SIMILAR IS OF
REGIONAL CENTERS.
SO AGAIN AT THE IDEA OF
EXTENDING THE PUBLIC RECORDS ACT
IN THAT WAY IT IS ANOTHER PIECE
I THINK IS WORTH CONSIDERING.
THIS IS FAR FROM EXHAUSTIVE LIST
AND I WANT TO SAY THAT WE REALLY
SUPPORT I WANT TO REINFORCE A
LOT OF THE POINTS THAT THAT DR
SEEM MADE AROUND TRANSPARENCY
AND ACCOUNTABILITY.
AND JUST FLESH A FEW OF THOSE
OUT A LITTLE BIT MORE --
THE PERCENTAGE OF AYE.
IN MY STE OTHER LIFE AT STANFORD
WE ACTUALLY TRIED THAT WE
QUANTIFIED THE SORT OF BY DOING
A WEB SCRAPING HOW WHAT
PERCENTAGE OF THOSE THOSE
OPINIONS ARE ACTUALLY AVAILABLE
ONLINE.
IT'S LESS THAN 8% LESS THAN 8%
OF THE H. OPINIONS THAT PERTAIN
TO TO DDS ARE AVAILABLE ONLINE
AND THAT'S NOT JUST THE SURGEON
IN EVEN TO GET TO THAT NUMBER
YOU HAVE TO FIND THESE OTHER
SORT OF RANDOM PAGES YOU KNOW
THAT -- H.
HAS SEEMINGLY FOR INTERNAL
PURPOSES WHICH ARE KIND OF
OPAQUE BUT ANYWAY SO IT'S A REAL
I JUST WANT TO UNDERSCORE THE
IMPORTANCE OF THAT PROBLEM
BECAUSE AND IN FACT WHEN WHEN WE
REACHED OUT --
TO AGE TO TRY TO GET SOME OF
THOSE OPINIONS YOU REALLY CAN'T
I MEAN IT'S SORT OF NOT REALLY
FEASIBLE.
SO WE REALLY DON'T HAVE I MEAN
IT'S TRANSPARENCY IS A REALLY
BIG ISSUE IN THAT CONTEXT.
THE OTHER THINGS VERY BRIEFLY
AGAIN IF YOU COULD I JUST GONNA
SAY A LITTLE BIT MORE IF YOU'LL
PERMIT ME THE TIME.
THE OTHER THINGS THAT ARE REAL
BARRIER TO TO TRANSPARENCY TO
STAKEHOLDERS IN THE COMMUNITY
AND THIS INCLUDES PERRANCE IT
INCLUDES YOU KNOW NON PROFITS.
THE DATA THAT IS THAT THE LET'S
JUST CENTERS PARTICULARLY
REGIONAL CENTERS.
IS REALLY AND ACCESSIBLE --
IT IS HARDLY EVER AVAILABLE IN
MACHINE READABLE FORMAT SO THAT
MEANS IF IT HAS A LOT OF NUMBERS
YOU HAVE TO LIKE THE HAND BY
HAND KIND OF COPY DOWN EACH
NUMBER.
WHICH MAKES IT PROHIBITIVELY
TIME CONSUMING TO DO ANY KIND OF
COMPARISONS GEOGRAPHICALLY --
IT'S ALSO I TYPICALLY LOCATED IN
COMPLETELY DIFFERENT PLACES ON
DIFFERENT REGIONAL CENTERS
WEBSITES YOU WANT TO GET A
PARTICULAR PIECE OF INFORMATION
FROM TWENTY ONE REGIONAL CENTERS
YOU HAVE TO SPEND YOU KNOW
SOMETIMES EVEN AFTER FIFTEEN
MINUTES YOU CAN FIND IT BUT IT'S
IN A DIFFERENT PLACE AND EVERY.
REGIONAL CENTER WEBSITE IT HAS A
DIFFERENT NAME IT'S A DIFFERENT
FORMAT.
SO IT'S JUST IT'S SORT OF LIKE A
NON STARTER AND IF WE WANT TO
THINGS SERIOUSLY ABOUT SYSTEMIC
OVERSIGHT ACCOUNTABILITY THAT'S
WHERE YOU START WE'VE BEEN
TALKING ABOUT DATA.
AND SORT OF COMPARING DATA AND
THESE ARE YOU KNOW DISCLOSURE
REQUIREMENTS ADMIN PASSED BY
LEGISLATURE AND AS A PRACTICAL
MATTER THERE SO INACCESSIBLE
THAT IT'S IT'S IT'S A
SIGNIFICANT BARRIER --
TO ACCOUNTABILITY I'M JUST VERY
QUICKLY --
ON THE ACCOUNTABILITY FRONTS AND
EAT SOME OF THESE THINGS
WOULDN'T EVEN NECESSARILY
REQUIRE YEAH LEGISLATION BUT I
JUST THINK THEY'RE EQUALLY
IMPORTANT SOME OF THEM ARE
REALLY LOW HANGING FRUIT --
SOME OF THEM BRIEFLY TO TO
BEFORE IN TERMS OF SCREENING
PROPOSALS IN TERMS OF REFORMS
THE PROCESS RIGHT NOW IS
INTERNAL WITHIN DDS FOR EXAMPLE
THE DISPARITIES FUNDS THAT WE'VE
BEEN TALKING ABOUT.
THAT THIRTY THREE MILLION
DOLLARS THERE'S AN INTERNAL
PROCESS WITHIN DTS AND DRC'S
PARTICIPATED TO SOME EXTENT AND
SELECTING THOSE PROPOSALS BUT
WHAT'S MISSING.
FROM THAT PROCESS IS BRINGING IN
OUTSIDE EXPERTS I MEAN IF WE
REALLY WANNA FIGURED IF THINGS
WORK WE WANT TO DRAW ON THE
EXPERTISE OF THE STATE'S
INCREDIBLY RICH UNIVERSITY
SYSTEM.
HAN AND AND PARTICULARLY PEOPLE
THAT YOU KNOW CAN THINK ABOUT
OKAY IS THIS IS THIS PILOT
PROGRAM SET UP IN SUCH A WAY
THAT WE CAN ACTUALLY GET AN
ANSWER TO THE QUESTION OF
WHETHER IT WORKS --
AND THAT DIDN'T HAPPEN --
AND I THINK THAT INCLUDING SORT
OF BROADENING THE PROCESS OF
SCREENING PROPOSALS WOULD ALSO
FACILITATE THE PROCESS OF
INDEPENDENT EVALUATION. TO
FIGURE OUT AND WE CAN WE WE'RE
GONNA TALK SHORTLY ABOUT
DISPARITIES TO FIGURE OUT
WHETHER OR PROGRAM IS SUCCESSFUL
OR NOT BECAUSE WE DON'T KNOW
WHETHER PILOT WAS SUCCESSFUL OR
NOT WE HAVE NO WAY TO BUILD ON
SUCCESS BECAUSE WE DON'T KNOW IS
IT WAS SUCCESSFUL AND WHAT.
WASN'T AND I THINK IT'S WILL
DISCUSS SHORT HE'S FUNDING
THAT'S A REAL LESSON LEARNED I
HOPE YOU KNOW THAT IN THE FUTURE
WHEN THOSE ALLOCATIONS ARE MADE
WE NEEDTO THINK SERIOUSLY ABOUT
BAKING INTO THAT PROCESS.
BOTH THE SCREENING PROCESS AN
EVALUATION PROCESS THE CAPACITY
TO KNOW WHAT'S WORKING AND WHAT
ISN'T.
THANK YOU THANK YOU DEPARTMENT
OF FINANCE ALEJO.
DOES THE DEPARTMENT HAVE ANY
COMMENTS ON THE ADVOCACY
PROPOSALS.
WITH THAT SIMILAR TO THE SAFETY
NET ISSUE. TO THE DEPARTMENT OF
FINANCE LA --
HAVE ANY COMMENTS.
WITH THAT LIKE THE SAFETY ISSUE
NIGHT SAFETY NET ISSUE I'M GOING
TO REQUEST THAT THE STAKEHOLDERS
FURTHER DEVELOP PROPOSALS AS
QUICKLY AS POSSIBLE.
SO THAT THEY CAN ADEQUATELY BE
CONSIDERED IN THE CONTEXT OF OUR
CURRENT BUDGET CYCLE.
WITH THAT WE WILL HOLD ISSUE
NINE OPEN AND MOVE ON TO ISSUE.
TEN I LOVE TO SEE SOME OF THAT
LANGUAGE.
THANK YOU MISTER CHAIR FANCY
PARCHMAN DIRECTOR DDS --
THE SPEAKING FOLLOWING UP ON
KIND OF THAT DISCUSSION
REGARDING DISPARITY --
TO GET GIVING A LITTLE BIT OF
BACKGROUND --
A. B. X. --
TWO ONE PROVIDES ELEVEN MILLION
DOLLARS ON AN ANNUAL BASIS --
GAVE THE DEPARTMENT --
THE ALLOCATE LOOK AT IT
REGIONALLY IT WAS FUNDING TO BE
ABLE TO WORK WITH THE REGIONAL
CENTERS AND PROVIDE FUNDING TO
PROJECTS THAT THE REGIONAL
CENTER SUBMITTED THAT WAS --
BACK IN THE FIRST FISCAL YEAR
THAT WE HAD THE FUNDING
AVAILABLE WAS IN.
SIXTEEN SEVENTEEN I'M BASED ON
COMMUNITY INPUT ADVOCACY WORK --
IT EXTENDED INTO A GRANT PROGRAM
SO IN --
SEVENTEEN EIGHTEEN WE THERE IS
THE OPPORTUNITY THAN TO HAVE A
GRANT PROGRAM WHERE COMMUNITY
BASED ORGANIZATIONS AND COULD
APPLY.
SO DURING THAT TIME PERIOD WE
WORKED IN DEVELOPING THIS GRANT
PROGRAM THAT WAS AVAILABLE FOR
THOSE APPLICATIONS --
I'VE HAD IN ENORMOUS --
BENEFIT.
OF WORKING WITH SOME OF LOCAL
MOMS WHO --
STARTED MEETING WITH ME ABOUT --
I'D SAY TWO YEARS AGO AND
THROUGH SOME OF THE WORK THAT
THE LOCAL COMMUNITIES IN
SOUTHERN CALIFORNIA.
AND THROUGH THEIR LENDS OF
SAYING YOU KNOW WAIT WE REALLY
WANT TO DO SOME GRASSROOTS
EFFORTS SO.
NOT ONLY WERE WE ABLE TO TAKE A
LOOK AT COMMUNITY BASED
ORGANIZATIONS REALLY TAKING A
LOOK AT THE GRANT PROGRAM AND
SAYING HOW DO WE HELP.
YOU KNOW --
IT'S KIND OF A SMALLER
ORGANIZATION SO I'M PARTICULARLY
PROUD OF THAT THE ADVOCACY OF OF
THE FAMILIES THAT HAVE REALLY --
IDENTIFIED SOME REALLY IMPORTANT
AREAS THAT WE NEED TO FOCUS ON
SO I DO WANT TO JUST GIVE YOU A
A COUPLE OF UPDATES --
OVER THE LAST THREE YEARS --
THERE'S BEEN A HUNDRED AND
SEVENTY DIFFERENT PROJECTS --
WHETHER IT'S THROUGH THE
ORIGINAL YEAR THAT WE HAD THAT
THE REGIONAL CENTER SUBMITTED
THOSE PROPOSALS --
AND THEN IN ADDITION TO THAT --
TOO FISCAL YEARS WHERE NOT ONLY
TO REGIONAL CENTERS BUT THE
COMMUNITY BASED ORGANIZATION
SUBMITTED PROPOSALS. HUNDRED
SEVENTY PROJECTS AS I SAID.
MOST OF THEIR ALL NEW --
PROJECTS OR THEY'VE BEEN
CONTINUATION PROJECTS.
PART OF THE THE THE GUIDELINES
AND OVER THE DEVELOPMENT OF THE
GRANT PROJECT IS THE REQUIREMENT
THAT EVERY PROPOSAL HAS TO BE
SUBMITTED WITH MEASURABLE.
OUTCOMES THAT THEY HAVE
IDENTIFIED AS FAR AS BEING ABLE
TO INFORM US ON A REGULAR BASIS
AND CERTAINLY IN THE FINAL
REPORT.
AS TO WHAT IS THE EFFORTS THAT
HAVE BEEN MADE AND THEN ARE THEY
MEETING THE OUTCOMES THAT WERE
IDENTIFIED IN THE SO WHEN WE
TAKE A LOOK AT THE PROPOSALS
THAT HAVE BEEN SUBMITTED.
IN THE FIRST YEAR THOSE WE HAVE
THIRTY TWO OF THOSE PROPOSALS
THAT ACTUALLY ENDED.
IN THAT CALENDAR YEAR OF TWENTY
EIGHTEEN SO WE ARE NOW JUST
REVIEWING THOSE.
FINAL REPORTS TO REALLY TAKE A
LOOK AT HOW THOSE MEASURES AND
THOSE OUTCOMES AND HOW
CONSISTENT THAT WAS WITH WITH
THE PROPOSALS THAT THEY
SUBMITTED.
SO WE ARE ALSO REVIEWING THE
SEVENTEEN EIGHTEEN AND THEN THE
CURRENT YEAR EIGHTEEN NINETEEN
MORE WORKING WITH.
ON THE REGIONAL CENTERS AND
COMMUNITY BASED ORGANIZATIONS
AND FINALIZING THEIR MEASURES IN
WHICH THEY WOULD BE MOVING
FORWARD AND I'M BEING ABLE TO
REPORT ON GOING FORWARD --
JUST TO GIVE YOU US SOME
EXAMPLES OF SOME OF THE PROJECTS --
THERE'S REALLY KIND OF MAIN
AREAS THAT WE'VE BEEN ABLE TO
SAY THAT ARE COMMON THEMES AS
FAR AS THE PROJECTS AND THE OUR
REACH THROUGHOUT CALIFORNIA.
I'M EDUCATION THAT'S BEEN AN
AREA AS FAR AS OUTREACH TO THE
COMMUNITY --
PROMO TORAS --
BUT CERTAINLY AND MANY OF THE
DAY HE HAD PROMONTORIES EVEN
PRIOR TO THE THE FUNDING BUT WE
HAD REALLY SEEN KIND OF BEST
PRACTICES AND REPLICATION
THROUGHOUT THE STATE --
WORKFORCE CAPACITY SO IN SOME
AREAS THERE'S BEEN THE WORK OF
OF HAVING BI LINGUAL PAY GO TO
THE COMMUNITY --
SERVICE PROVIDERS OR EVEN WITH
AND SOME OF THAT COMMUNITY BASED
ORGANIZATIONS THAT ARE
SUPPORTING FAMILIES AT A LOCAL
LEVEL.
TRANSLATION FAMILY CONSUMER
SUPPORT SERVICES AND THEN ALSO
SERVICE DEVELOPMENT.
I DO WANT TO SHARE WITH YOU A
COUPLE OF THE PROJECTS --
THAT -- ARE
SOME EXAMPLES OF THE OUT REACH
THAT HAS BEEN HAPPENING AND SOME
OF THE WORK THAT THE THE GROUPS
HAVE BEEN DOING.
THE NORTHERN CALIFORNIA THERE'S
A NATIVE AMERICAN TECHNICAL
TRAINING AND ASSISTANCE CALLED
ARE WOUNDED EAGLES PROJECT.
I'M ITS IT'S LINK TO TRIBAL
ORGANIZATIONS --
WITH THE REGIONAL CENTERS IN THE
FAMILIES AND IT REALLY IS WAS
CENTERED AROUND MAKING SURE
WITHIN COMMUNITIES THAT --
REALLY DIDN'T HAVE THE TRUST OF
A BUREAUCRACY YOU KNOW HOW TO
MAKE SURE THAT THE COMMUNITIES
HAVE THOSE OPPORTUNITIES --
TO HAVE THE TRUST OF SOME THEM
NAVIGATE THROUGH KIND OF A
SYSTEM THAT INHERENTLY THEY JUST
HAVE NOT HAD TRUSTED.
SO IN IN LOOKING AT THAT WE'RE
LOOKING FORWARD TO HAVING THE
UPDATES AS TO THE AYE RE TO
THEY'VE BEEN DOING BUT IS THERE
A PARTICULAR UNIQUE PROJECT THAT
THAT WE'VE BEEN ABLE TO SEE THAT
SPEND PUT FORWARD --
SOUTH CENTRAL LA THEY'VE DONE
QUITE A BIT OF WORK WITH THE
NAVIGATORS AND THEN ALSO WITH
THE NAVIGATION SPECIALIST.
ON THIS PARTICULAR PROJECT WAS
FOCUSED ON INDIVIDUALS THAT WERE
MONOLINGUAL --
SPANISH SPEAKING AND DIDN'T HAVE
ANY PURCHASE A SERVICE HOWEVER
THEY HAD IDENTIFIED IN THEIR I.
P. P. AS FAR AS THE NEED FOR
SERVICES BUT LINKING IT OR
EXPENDITURES RELATED TO IT.
SO THROUGH THE WORK WE'VE BEEN
ABLE TO SEE THROUGH THEIR
UPDATES OF THEIR QUARTERLY
REPORTS.
THAT YOU KNOW COULD ON THE SHORT
TERM THAT THEY WERE MAKING THOSE
CONNECTIONS TO THOSE
EXPENDITURES AND SO WE DO HAVE
THE INFORMATION RELATED TO THAT
PARTICULAR PROJECT --
ANOTHER ONE THAT --
I I JUST REFERENCE THE THE MOMS
THAT HAVE SPENT --
SINCE FOR VERY VERY IMPORTANT
TIME WITH ME AND SHARING WITH ME
THE CHALLENGES AND THE BARRIERS.
THAT THEY HAD FACED OVER THE
YEARS IN THIS PARTICULAR GROUP
IN SOUTHERN CALIFORNIA.
THEY'VE REALLY DONE A REALLY
NICE JOB AND EXPANDING THAT --
TO OTHER AREAS OF HAVING YOU
KNOW THE MOM THE THEM TO ALSO
STATIONS WITH ME.
BUT I DO WANT TO POINT OUT KIND
OF THIS RIPPLE EFFECT THAT HAS
STARTED TO HAPPEN.
YOU KNOW AS FAR AS BEING ABLE TO
MEASURE SOME OF THESE RIPPLE
EFFECTS IT'S KIND OF DIFFICULT
TO SAY HOW DO YOU.
QUANTIFY SOMETHING THAT REALLY
YOU CAN START SEEN ON SOME VERY
VERY SPECIAL QUALITY AREAS.
SO IN THIS PARTICULAR GROUP YOU
KNOW THEY'RE THE ONES WHO IT
SAID HEY WE WANT TO HAVE A
GRASSROOTS EFFORT TO BE ABLE TO
MAKE SURE THAT WE CAN ACCESS
SOME OF THE FUNDS.
THEY'VE NOW STARTED MEETING WITH
REGIONAL CENTER DIRECTORS AND
HAVING CONVERSATIONS WITH
DIFFERENT REGIONAL CENTERS
THROUGHOUT THE STATE.
AND OVER THE LAST TWO YEARS
THEY'VE ALSO KIND OF COME
TOGETHER AND AND THEIR VOICE
WHERE THEY RECOGNIZE YOUR VOICE
IS REALLY IMPORTANT.
THAT THEY ALSO SUBMITTED A
PROPOSAL AND I'M I'M VERY
PLEASED TO SAY THAT THEY WERE
AWARDED --
FUNDING THIS YEAR AND THERE
GRASSROOTS EFFORTS TO BE ABLE TO
DO SOME SOME WORK WITHIN THAT
COMMUNITIES IN DIFFERENT
REGIONAL CENTERS IN BEING ABLE
TO SUPPORT --
FAMILIES AND NAVIGATING THROUGH
THE SYSTEMS SO AGAIN WE'RE
CERTAINLY DON'T TO MINIMIZE THE
IMPORTANCE OF MEASURING RELATED
TO WHAT STARTED THE DISCUSSION
AS FAR AS INEQUITY AND SPENDING
AND DIFFERENT COMMUNITIES BASED
ON ETHNICITIES HOWEVER WE DO
ALSO WANT --
TO POINT OUT THAT THIS IS A VERY
NEW AND WE ARE ON I OUR RESEARCH
SECTION IS VERY FOCUSED AND
THEY'VE MONITOR AND THEY ARE
DOING ASSESSMENTS ON A VERY
FREQUENT BASIS ON THE DATA THAT
THEY ARE COLLECTING --
THEIR DIRT LOOKING AT EACH OTHER
PROJECTS COLLECTIVELY LOOKING AT
THE PROJECTS LOOKING AT SOME
OTHER PROJECTS OF FROM.
A THEME BASED LIKE FOR THE PARMA
TAURUS --
BUT IN ADDITION THEN TAKING A
LOOK AT NOT ONLY THE PURCHASE A
SERVICE EXPENDITURES BUT THEN
TAKING A LOOK AT WITHIN EACH OF
THE PROJECTS THAT MEASURES THAT
HAVE BEEN PUT FORWARD WHETHER
IT'S PRE AND POST TEST WHETHER
IT'S TAKING A LOOK AT THE
OUTREACH AND KIND OF THE THE THE
THE NUMBER.
OF PARTICIPANTS IN A PARTICULAR
PER TO GIVE YOU A LITTLE BIT
[inaudible]
IT'S A ONLY A VERY IMPORTANT --
AREA THAT WE WANT TO MAKE SURE
THAT AS A DEPARTMENT WE USE
THROUGHTHE LENS OF ANYTHING
THAT WE'RE DOING AS WE MOVE
FORWARD WITH --
THE WORK WITH SELF DETERMINATION
WITH MOVING FORWARD WITH SOME OF
THE THE AREAS THAT WE'VE WE'VE
HAD TO PUT FORWARD AS FAR AS
INITIATIVES WE'RE DOING IT
THROUGH SAYING HOW DO WE MAKE
SURE THAT WE ARE DOING IT STATE
WIDE -- AND
MAKING SURE THAT WERE SENSITIVE
TO THE CULTURAL SENSITIVITIES
THAT --
IMPACT OUR SYSTEM BECAUSE WE DO
HAVE A VERY --
OF ALL THE IN AND CHANGING
COMMUNITY WHEN IT COMES TO
ETHNICITY.
MR GóMEZ BUT I DIDN'T.
MAYBE SEVEN AND TWO IN IS --
MISTER GOMEZ GOOD IN THEM MAKE
IT HE HAD A LOSS IN HIS FAMILY.
AND I'M HERE REPRESENTING.
THE COMMUNITY AND WELL GOOD
EVENING.
MY NAME IS EVIDENT IN ITS LIKE
EVERY SAID M. FATHER OF THE OF
I'VE KNOWN TO THE JUNIOR.
WHO IS ELEVEN YEARS ALL WITHOUT
THESE?
HE'S SERVE OTHERS TO SOUTH
CENTRAL LOS ANGELES REGIONAL
CENTER AND I'M HERE TODAY TO
GIVE MY TESTIMONY REGARD THIS
MATTER.
WILL REVIEW THE DATA. TO FIND
OUT THE WEATHER WITH ALL THE
LEGISLATIVE HEARING SELECTED
COMMUNITIES.
NEWS ARTICLES AND THIRTY MILLION
DOLLARS WE HAVE MADE ANY
PROGRESS ELIMINATING DISPARITIES.
SALLY I'M HERE JUST TO TELL YOU
THAT THE ANSWER IS NO
[inaudible]
IN FACT.
WE WERE SHOCKED TO FIND.
THE RACIAL AND THE CITY
DISPARITIES HAVE ACTUALLY
INCREASED OVER THE PAST TWO
YEARS.
AND BY FAR LATINOS PHASE THE
GREATEST LEVEL OF DISPARITIES.
ARE THE LARGEST ETHNIC GROUP MY
COMMUNITY RECEIVE THE LOWEST
AMONG THE SERVICES.
THE DATA SHOWS.
THAT ARE VERY SEEING.
THAT THERE'S A SINGLE REGIONAL
CENTER HIS BUNNY GET ABOUT HALF
OF THEM ON THE SERVICES COMPARED
TO WHITES.
AT FIVE REGIONAL CENTERS
HISPANICS RECEIVED ONE THIRD OR
LESS OF THE WHITES GETS.
AND THINGS SEEM TO BE WAR
SOUTHERN REGIONAL CENTER THE
HAVE THE LARGEST POPULATION OF
HISPANICS FOR EXAMPLE.
A REGIONAL CENTER HAS THE
BIGGEST THESE PARTIES IN THE
STATE.
LAS YOUR EXPENSE EXPENSES TO
HELP LATINOS WERE JUST 80% OF
WHAT WAS A SPENT ON WHITES.
ASSEMBLYMEMBER ARAMBULA AT THE
REGIONAL CENTER IN YOUR DISTRICT
CENTRAL VALLEY.
THAT DIDN'T RECEIVE ONLY 40% OF
WHAT THE YET RELATIVELY LITTLE
OF THE DISPARITY GRANTS THE
LEGISLATURE FUND THAT HAS BEEN
FOCUS ON LATINOS IN THIS
COMMUNITY.
STRANGELY THERE.
THERE DOESN'T APPEAR TO BE A
CLEAR STRATEGY.
IN HOW THE PHONES ARE BEING THIS
BAND AND THAT SEEMED RUN THEM.
AND OUT UNDER TERRY.
THE FUNDS WERE NOT ALLOCATED
BASED.
ON THE LEVEL OF THIS PARTY.
OR FOR HOW THEY WILL DIRECTLY
REDUCE DISPARITIES. TO CONTINUE
TO THROW MONEY AT THIS PROBLEM
WITHOUT HAVING A CLUE AS TO
WHAT'S WORKING.
MAKES NO SENSE OF FOR THE STATE.
I'M MORE IMPORTANTLY MAKES NO
DIFFERENCE FOR THE UNDER SERVE
INDIVIDUALS AND FAMILIES.
WHY HAVEN'T WHAT HAVE WE MADE
ANY PROGRESS AND HAVE EVEN GONE
BACKWARDS?
WE HAVE SOME IDEAS.
FIRST MANY REAL CENTERS HAVE NO
MEANINGFUL INCLUDED THEY AFFECT
THE COMMUNITIES IN THEIR
PLANNING.
AND THE VS IS NOT REQUIRED
INDEPENDENT EVALUATIONS OF THE
FUND THE PROGRAMS.
THE MOST IMPORTANT.
WE DON'T THINK THAT ANY OF THESE
GRANTS ARE ADDRESSING THE ROOT
CAUSES OF THESE PARTIES.
WHILE SOME BLAMED AS PART OF
THESE ON THE CULTURE OF MY
COMMUNITY.
I BELIEVE THAT THE CULTURE OF
THE REGIONAL CENTERS OFTEN KEEP
OUR CHILDREN FROM GETTING THE
SERVICES THEY NEED.
MANY MY COMMUNITY TO REPORT
FEELING INTIMIDATED BY THE
SYSTEM.
AND ARE SOMETIMES AFRAID TO
SPEAK UP.
IN UP FEAR OF RETALIATION
AGAINST THEIR CHILD.
TODAY DISABILITY WAS THE UNITED
RELEASE IT A REPORT DETAILING
THE DATA SHOWING HOW OUR STATE
IS MOVING BACKWARDS ON REDUCING
DISPARITIES.
THE REPORT INCLUDES INCLUDES A
LONG LIST OF RECOMMENDATIONS FOR
THE THE S. ON THE LEGISLATURE.
WE ASK YOU FOR YOUR HELP TO HOLD
DDS AND THE REGIONAL CENTERS
ACCOUNTABLE FOR ELIMINATING
DISPARITIES THANK CREATING A
LONG TERM PLAN TO MOVE FOR WORK
AT EQUITABLE SYSTEM.
THANK YOU VERY MUCH FOR THE
SUPPORT AND THAT HAVE TO ANSWER
ANY QUESTION.
THANK IS AWFUL YOU HAVE THEM IN.
DEPARTMENT OF FINANCE A LIVE.
CHRIS GOT DEPARTMENT FINANCE AND
ADMITTEDLY SKIPPING AHEAD TO
LOOKING AT THE STAFF COMMENTS
HERE AND UNDERSTANDING IS GONNA
PROBABLY BE ANOTHER REQUEST ON
THE ADMINISTRATION FOR SOME DATA --
SOME QUESTIONS BUT JUST ASK THAT
THE THE LEGISLATURE TAKE INTO
CONSIDERATION YOU KNOW ALL OF
THE REQUESTED INPUT ON THE
ADMINISTRATION THIS EVENING.
IN ADDITION TO SOME OF THE THE
BUDGET.
DEVELOPMENT THAT WE'RE STILL
UNDERGOING AS THE DEPUTY
DIRECTOR LOOTED THERE'S THIS
TIME YEARS PRETTY BUSY SO.
I JUST WANNA.
TAKE THAT IN THE AT AS SOON YOU
PICK THE LA --
THE ONLY COMMENT THAT WE HAD
WANTED TO MAKE ON THIS
PARTICULAR ISSUE AT THIS TIME --
WAS SOMETHING THAT.
WAS VERY SIMILAR TO WHAT MS
MORAN SAID SAID IN THE LAST --
IT DISCUSSION ON THE LAST ISSUE
WHICH IS THAT.
ALTHOUGH A LOT OF DATA IS
PROVIDED PUBLICLY ON THIS ISSUE
THAT DATA IS NOT VERY ACCESSIBLE --
THIS IS ONE OF THOSE EXAMPLES
THAT SHE HAD MENTIONED WHERE YOU
HAVE TO GO TO EAT EVERY
INDIVIDUAL REGIONAL CENTER
WEBSITE AND LOOK AROUND ON THE
WEBSITE FIND THE DATA.
AND THEN OFTEN IT'S IN A PDF
FORMAT SO.
THIS IS A PERFECT EXAMPLE OF
WHERE IT WOULD BE VERY HELPFUL
IF THE PUBLICLY AVAILABLE DATA
WAS MARK SENSIBLE.
THANK YOU.
WITH THAT I WILL BRING IT BACK
TO THE COMMITTEE FROM THE
COMMENTS.
SO I'M IN.
AGREEMENT THAT THERE IS A NEED
FOR NEW AND DETAILED AND
CLARIFYING INFORMATION BUT I'M
SYMPATHETIC TO THE AMOUNT OF
REQUEST THAT WE'VE HAD SO.
MAYBE I'LL JUST SAY THIS IS THE
LAST ISSUE WE HAVE [inaudible]
ANOTHER WARM.
BUT WITH THAT CAN THE
ADMINISTRATION CONSIDER IN
RESPONSE TO WHAT WE CAN MAKE
PUBLICLY AVAILABLE REGARDING.
AND RESPONDING TO THE ISSUES
RAISED BY THE ADVOCATES --
WHAT WOULD BE A REASONABLE TIME
FRAME FOR US TO WORK ON THAT?
PUBLICLY AVAILABLE INFORMATION.
I HAVE TO ACTUALLY TAKE A LITTLE
BIT MORE TIME TO LOOK AT WHAT
THE REQUEST IS --
TO BEST ANSWER THAT I'VE.
CAN THE ADMINISTRATION WORK WITH
THE SUBCOMMITTEE STAFF AND OF
COURSE.
AND DIRECTLY WITH THE
STAKEHOLDERS AN ALLEY --
TO DISCUSS THAT YES WE CAN GREAT.
WITH THAT WE WILL HOLD ISSUE TEN
OPEN.
AT THIS TIME WE WILL NOW TAKE
PUBLIC COMMENT ON ANY ISSUES
BETWEEN ISSUES. FOUR AND TWELVE
I JUST NEED TO BE CLEAR ISSUES
ELEVEN AND TWELVE ARE NON
DISCUSSION ITEMS BUT IF YOU HAVE
ANY PUBLIC COMMENTS ON THEM NOW
WOULD BE THE TIME.
THAT THEY ARE AND WHILE YOU'RE
GIVING YOUR PUBLIC COMMENTS I
MAY ASK YOU TO IDENTIFY WHICH
ISSUE YOU'RE.
SPEAKING --
TO BUT BEFORE MEN'S I'D LIKE TO
GIVE YOU AN OPPORTUNITY. TO TO
SAY.
YES.
YES I'M SPEAKING FOR MYSELF AS A
FATHER -- UP
YES YOU KNOW JUST AN OBSERVATION.
WELL A COUPLE OF SERRATIONS THAT
YOU MIGHT NOT BE.
IN THE YOU MIGHT NOT COST A LOT
OF MONEY.
AND I AND UNDERSTANDING THATA
CHANGE IN THE LONG CAN YOU
POLICIES IS GONNA.
TAKE THAT OF BIG SHIP.
OF YOU KNOW THE THE REGIONAL
CENTER OR DDS.
WELL THERE IS I MEAN USING MY
COMMON SENSE.
THERE'S A COUPLE THINGS THAT.
MAYBE THAT REGIONAL CENTERS
COULD TRY.
SO THEY CAN PROVIDE BETTER
SERVICES TO THEIR CLIENTS FOR
EXAMPLE --
IMPROVE THE SENSE OF URGENCY ONE
WHEN TAKEN THE CONSUMERS OF NEW
CONSUMERS OR THE INTAKES --
AS WELL AS YOU KNOW IMPROVING
THE CULTURE.
UP.
ALSO TOWARDS THE TAKES OR TOW
THE CONSUMERS AND THEIR FAMILIES
TO MAKE HIM FEEL MORE WELCOME.
IN A LOT OF LOTS OF BUSINESSES.
YOU KNOW TAKE OVER THESE THESE
TOPICS AND THEY BECOME VERY
SUCCESSFUL YES.
THE ORIGINALS AND THERE'S NOT
THE BUSINESS.
BUT YOU'RE NOT THE ONLY HAD ONE
JOB.
IT IS PROVIDE SERVICE TO THE
CONSUMER.
AND THAT'S HOW THEY CREATE JOBS
ALSO IN THE IN THE REGIONAL
CENTERS AND AND EVERYBODY HERE
HAVE BEEN THOUGH.
SHOP SECURE BECAUSE OF THAT
BECAUSE OF THOSE CONSUMERS --
YOU'RE WELCOME THEIR SLANDER THE
CULTURE IS GONNA YOU'VE GOT TAKE
A LOT OF HARD WORK TO CHANGE THE
CULTURE.
AND I AND WE ALSO UNDERSTAND IN
THE WE KNOW THAT THE BDS AND
RADIO CENTERS ARE VERY IMPORTANT
FOR US THE WOOD THERE IS NEVER
NOT EVEN FOR ONE MINUTE.
THANK THAT YOU GUYS THAN FOR THE
YOU GUYS I'M PART OF OUR LIVES
ALREADY.
AND WE ARE HERE IN TO WORK
TOGETHER ON THIS AND YOU KNOW
SOMETIMES MY SAY THINGS THAT
MIGHT NOT LIKE EACH OTHER BUT WE
HAVE TO WE'RE GROWING UP SO WE
HAVE TO FACE THESE.
YOUR YOUR POINT VERY WELL TAKEN
AND WE WILL FOLLOW UP AND ENSURE
THAT YOUR VOICES ARE HEARD SO.
WITH THAT WE WILL NOW MOVE ON TO
PUBLIC COME HI NANCY CHANCE
CHOICES PERSON CENTERED SERVICES --
AND I AM HERE ON ISSUE --
EIGHT YOU'VE HEARD TODAY.
ABOUT A SYSTEM THAT'S IN CRISIS
ALL DAY.
AND THE UNIFORM HOLIDAY SCHEDULE
THE HALF THE BILLING --
JUST ADDS TO THAT CRISIS I THINK
THAT -- WE
NEED TO CALL IT WHAT IT IS IT'S
NOT A HOLIDAY THEIR FURLOUGHS.
AND YOU KNOW THEY'RE NOT PAID
FOR THEY'RE NOT PAID HOLIDAYS I
MEAN I THOUGHT IT WAS A REALLY
GREAT POINT THAT SOMEBODY MADE
THAT YEAH I LOVE HOLIDAYS
BECAUSE I GET PAID WHEN I'M OFF.
BUT THIS IS NOT WHAT THESE ARE.
AND IT.
IN ADDITION TO THAT I THINK IT
IT IS IN DIRECT CONTRADICTION TO
WHAT IT SHOULD BE A SAYS THAT WE
NEED TO BE DOING.
THANK YOU THANK YOU MA'AM.
THIS CHAIRMAN MEMBERS SAID CARL
LUNDEN HERE ON BEHALF ALLIANCE
TO KEEP THIS REALLY BRIEF FIRST
OF ALL THANK YOU.
FOR STICKING THIS OUT TONIGHT
ALL YOU GUYS HAVE BEEN HERE
DEPARTMENT.
OF FINANCE DELEO LEGISLATORS
STAFF REALLY APPRECIATE THAT --
I WANT -- TO
ECHO -- MR
LINDSEY'S --
SENTIMENTS ON ISSUE EIGHT I
WON'T SAY ANYMORE ABOUT THAT HE
SAID IT REALLY WELL --
I DO WANT TO TALK FOR JUST A
SECOND --
BUT ISSUE FIVE THAT MR MATHIS
RAISED RELATIVE TO THE
DEVELOPMENTAL CENTER PROPERTIES.
AND I KNOW IT'S NOT ART FULL
BUDGET WISE TO CLOSING THE
DEVELOPMENTAL CENTERS ONCE AND
FOR ALL LOOKS LIKE EXCEPT FOR
PORTABLE OBVIOUSLY.
AND THAT THEY WILL GO AWAY AND
THOSE PROPERTIES WILL GO INTO
SOME BLACK BOX OF SOME KIND.
THE OPERATIONS DOLLARS WILL GO
SOMEWHERE.
I GIVE THIS WHOLE DOCUMENT TO
JUST ILLUSTRATE THE LITERALLY
THE HUNDREDS OF MILLIONS OF
DOLLARS.
WE SPENT KEEPING THE
DEVELOPMENTAL CENTERS OPEN YEAR
AFTER YEAR AFTER YEAR.
DURING THE SAME TIME TABLE.
THAT WE SAID TO THE COMMUNITY WE
JUST DON'T HAVE ANY MONEY FOR
YOU.
AND ON THE BACKSIDE OF THIS IS A
TWO SIDED DOCUMENT RECEIVING
PAPER.
OR IS A PAGE RIGHT OUT OF THE
DEPARTMENT DEVELOPMENTAL CENTERS
THE SERVICES FACT BOOK.
WHICH SHOWS THE CHARACTERISTICS
OF THE CONSUMERS SERVED BOTH IN
THE DEVELOPMENTAL CENTERS IN THE
COMMUNITY.
AND WHEN YOU LOOK AT SOME OF
THESE LIKE IN THE RIGHT COLUMN
IN THE UPPER RIGHT COLUMN.
WHERE IT SAYS THE NET THE PRINT
THE NUMBER OF PEOPLE WHO AT THAT
TIME INSIDE A DEVELOPMENTAL
CENTERS?
WELL TURNS OUT THE PERCENTAGE
WAS QUITE HIGH 62% IT'S
AMAZINGLY HIGH.
BUT IT'S ONLY FIVE HUNDRED SIXTY
PEOPLE AT THAT TIME THE SNAPSHOT
WAS TAKEN IN THE COMMUNITY ONE
HUNDRED TWENTY THOUSAND PEOPLE
NEEDED THAT HELP.
IN THE LOWER RIGHT CORNER THE
NUMBER OF PEOPLE THEY HAVE
SPECIAL CONDITIONS ARE BEHAVIORS.
27% HAD THREE OR MORE THAT'S TWO
HUNDRED FIFTY PEOPLE OUTSIDE
PERCENTAGE BUT THERE WERE TEN
TIMES THAT MANY OF IN THE
COMMUNITY AT THAT MOMENT.
THE POINT HERE IS.
THAT WHILE THERE ISN'T THE WILL
OF TYPICALLY IN THE BUDGET TO
LOOK AT THESE IS FUNGIBLE TO
WHERE YOU CAN TAKE FUNDS AND
ASSETS A MOVE THEM.
FROM ONE PLACE TO THE OTHER I
WOULD ACTUALLY URGENT RETHINKING
OF THAT IN THIS LAST MOMENT.
IN MY HISTORY IS A HOBBYIST I
WATCH THIS CLOSED.
THE STOCKTON DEVELOPMENTAL
CENTER.
I WATCH THIS CLOSE THE CAMERI --
STATE HOSPITAL WHICH WE FLIPPED
IN TURN REALLY QUICKLY DESPITE
ALL THE TRANSFER TRAUMA THAT WAS
SUPPOSED TO OCCUR WHEN YOU MOVE
PEOPLE OUT WE TURNED IT INTO CSU
CHANNEL ISLANDS.
WE CLOSE AGNES STANTON SANTA
CLARA.
WE CLOSE LANDER MEN AND HANDED
THAT PROPERTY OFF LARGELY CAL
STATE ID CAL POLY POMONA.
IN EVERY INSTANCE THAT I'VE
RAISED HERE OF THESE AND WE'RE
NOW GOING TO DO THIS WAS CINEMA
FAIRVIEW POTENTIALLY.
THIS SYSTEM GOT NOTHING FOR THAT.
IN I I DARE SAY WE HAVEN'T JUST
BEEN TENANTS AT CINEMA
DEVELOPMENTAL CENTER.
THAT'S A FACILITY THAT HAS
SERVICE POPULATION SINCE THE
EIGHTEEN HUNDRED'S.
THIS COMMUNITIES BEEN MORE THAN
TENANTS AT THESE PROPERTIES
[inaudible]
SO.
IN LOOKING AT THESE ASSETS AND
THE OPERATIONS DOLLARS
ASSOCIATED WITH THAT IT IS RIGHT
FOR THIS COMMITTEE THE
SUBCOMMITTEE. TO EXPRESS
OVERSIGHT OF WHAT HAPPENS TO
THOSE ASSETS PARTICULARLY AT A
TIME WHEN THERE'S SUCH
STARVATION THROUGHOUT THE
COMMUNITY.
AND I WOULD URGE YOU TO LOOK
CAREFULLY AT THAT NOT JUST LET
IT GO TO THE DEPARTMENT OF
GENERAL SERVICES AND MOVE
FORWARD THEY ARE TERRIBLE AND
MANAGEMENT OF THESE TYPES OF
LAND DEALS AS THEY GO FORWARD.
I'LL TELL YOU THAT HISTORICALLY
AND IN EVERY INSTANCE I CITED
EARLIER WE GET NOTHING OUT OF
THAT.
THIS COMMUNITY GET NOTHING.
IT'S IT'S REALLY SOMETHING WORTH
LOOKING AT A RETAINING OVERSIGHT
SO I THINK MISTER MATHIS FOR
RAISING THAT THANK YOU.
THANK YOU SIR.
MARTY MOTO CALIFORNIA DISABILITY
SENIOR COMMUNITY ACTION NETWORK
AND ALSO CALIFORNIA'S PERSON
CENTERED ABBASI PARTNERSHIP IN A
FAMILY MEMBERS WANT TO THANK YOU
MISTER ARAMBULA MISTER MATHIS.
FOR REALLY CHAU INSENSITIVITY
AND AND A LOT OF COMPASSION. TO
ACTUALLY ACT A. B. STILL BE
WE'RE ALL STILL HERE BUT ALSO
THAT YOU'RE LISTENING TO US.
AND THAT'S NOT YOU DON'T SEE
THAT IN EVERY SUBCOMMITTEE SO WE
APPRECIATE AND AND ALSO THE
STAFF -- BUT
JUST WANT TO QUICKLY SAY ON THE
UNIT FROM HOLIDAY SCHEDULE I
USED TO BE DIRECT CARE WORKER WE
DO OPPOSE --
REINSTATING THAT REDUCTION I
THINK THE STATE CAN TAKE THE
ACTION THAT IT HAS ON I IT.
THE 7% ACROSS THE BOARD THAT WAS
IN PLACE IN STATUTE BUT IT.
IT RESTORED THAT REDUCTION FOR
SEVERAL YEARS IN A PERMANENTLY I
THINK YOU KNOW FROM THE
GOVERNOR'S PROPOSAL IS GOING TO
RESTORE PERMANENTLY BUT GIVEN
THE ALL DISCUSSIONS OF THE RATE
STUDY.
IN THE ISSUES OF A
REIMBURSEMENTS IS IS IS THE
RIGHT ACTION TO NOT REINSTATE
THAT CUT.
EVEN IF YOU PUT IT OFF LASTLY OF
THIS.
REALLY LATE ON THE OTHER ISSUES
OF TRANSPARENCY THE
RESTRUCTURING OF DDS AND
DISPARITIES ALL THOSE ARE REALLY
MAJOR ISSUES THAT I'VE BEEN
INVOLVED IN.
PRE SHAPE THE DEPARTMENT A
MAKING SOME EFFORTS BUT IS A LOT
MORE WE CAN DO SPECIAL ISSUE OF
DISPARITIES IN TRANSPARENCY.
IN THE ISSUE OF TIME ALL GET ALL
HER TO YOU MISTER ARAMBULA
MISTER MATHIS --
EXPLAIN MORE OF OUR POSITIONS ON
AND HOW WE CAN MOVE FORWARD
THANK YOU THANK YOU SIR.
THANK YOU CHAIRMAN SMITH IS A
VERY BRIEF --
FIRST REGARDING ISSUE FOR
REGARDING THE SAFETY NET
SERVICES --
WE IN OUR OFFICE WHO WERE USED
TO GET ALL ALL OUR CALLS ABOUT
CONSERVATIVE FAMILIES ONE
INFORMATION THE LAST COUPLE
YEARS.
THE TOP THE LIST IS PEOPLE IN
CRISIS KLEINER OFFICE IN USUALLY
AS MISTER MATHIS WAS TALKING
ABOUT AS RELATES TO CRIMINAL
JUSTICE.
AND LAW ENFORCEMENT AND ONE
BREAKS MY HEART INFO MOM BEGGING
FOR TRIED OF HUNTERS SIGNED OUT
GET OUT OF JAIL HIS SON HER SON
OUT OF JAIL AND INTO PORTER BILL.
THAT WAS WHAT YOU TRYING TO
ACCOMPLISH --
IN THAT IS THE DOWNSTREAM
CONSEQUENCE WE FEEL THE PEOPLE
IN CRISIS OF AN UPSTREAM.
OCCURRENCE WHICH IS WHAT WITH
THIS WHOLE THING HAS BEEN ABOUT
WHICH IS A CRISIS IF YOU'RE A
PERSON HAS SEVERE.
BEHAVIOR CHALLENGES AND WE'RE
TRYING TO PAY SOMEBODY.
FOR WE CAN SEE WHY ENABLES MAY
END UP IN CRISIS --
MOVING FORWARD ON TO ISSUE.
FIVE REGARDING THE CLOSURE
DEVELOPMENTAL CENTERS --
REALLY WANT TO A LINE NOT JUST
MYSELF BUT THE FULL
INTERCALATION IS IN FULL SUPPORT
OF INCREASING AFFORDABLE HOUSING
OPTIONS AS AS SOME IN THE MATHIS
OUTLINED.
AND USING THE REVENUE FROM
DISPERSION DISPOSITION OF THE
PROPERTIES AS WELL AS THE
REVENUE THAT WAS OUTLINED BY LA --
LAST YEAR FROM THE CLOSURE AND
THE OPERATIONS --
TO CREATE NEW AFFORDABLE HOUSING
OPTIONS FOR INDIVIDUALS WITH THE
BOMB TO DISABILITIES FOR A QUICK
43% OF CONSUMERS LIVED AT HOME
IN.
TWO THOUSAND TWO TODAY THAT 63%
OF CONSUMERS LIVE AT HOME 20%
INCREASE WITH AGING CARE GIVERS --
THAT'S A RECIPE FOR DISASTER
PRETTY SOON IF WE DON'T HAVE
AFFORDABLE HOUSING OPTIONS --
FINALLY.
WHAT REGARD ISSUE TEN THE
DISPARITIES --
HAVEN'T SEEN THE REASON THESE
ARE WAITING AS VERY
DISHEARTENING --
AND WANTING TO YOU KNOW I'M IN A
MINUTE SKIP JUST GOING REAL
QUICK TO A FINAL COMMENT --
LOT OF MENTION OF MEASUREABLE
OUTCOMES WHICH WE BELIEVE IS
PART OF THAT TWO OR THREE YEARS
TO TEACH A PLAN. TO GET US TO
HOW DO WE GET REAL TIME DATA TO
SEE WAS HAPPENING IN THE IN THE
COMMUNITY AND HOW DO WE GET
MEASURE UP MEASUREABLE OUTCOMES.
ONE THING JUST TO KEEP IN
CONSIDERATION HOWEVER.
IS THAT A PERHAPS UNLIKE ME
HEALTH CARE WHERE YOU HAVE --
READMISSION RATES AND YOU HAVE
OTHER TYPES OF THINGS THAT CAN
BE VERY EASILY MEASURED IN OUR
COMMUNITY IN OUR SERVICES AND
SUPPORTS.
WE HAVE EMPLOYMENT OPPORTUNITIES
THAT CAN BE MEASURED YOU HAVE
OTHER THINGS IN IT COMMUNITY
GRATION OPPORTUNITY CAN BE
MEASURED.
BUT IT'S VERY DIFFICULT TO
MEASURE THINGS LIKE DIGNITY AS
VERY DIFFICULT TO MEASURE THINGS
LIKE HAPPINESS AND SO WHILE WE
SHOULD MOVE FORWARD TOWARDS
MITCHELL OUTCOMES.
WE HAVE TO ACKNOWLEDGE THAT
THAT'S CAN BE VERY DIFFICULT
IMPOSSIBLE IN SOME WAYS TO
ACHIEVE FOR THIS COMMUNITY AND
WE JUST HAVE TO MOVE FORWARD.
ARE THE BEST WE CAN THANK YOU
VERY MUCH THANK YOU SIR.
HELLO CHAIRMAN ARAMBULA HAND
INSULIN BAPTISTS INDUCEMENT TO
THE STATE COUNCIL DEVELOPMENTAL
DISABILITIES WHICH IS OFF ONE
OFFER SUPPORT FOR A COUPLE THE
PROPOSAL FOR THE MEAT HERE THIS
EVENING AGAIN BEING BRIEFED ON
ITS LATE --
ON ISSUE NUMBER FOUR WE ALSO
AGREE WITH PROPOSAL THAT THERE'S
THE ADDITIONAL TWENTY ONE
MILLION DOLLARS NEEDED FOR
SAFETY NET SERVICES AND THEN
ALSO THE PROPOSAL THAT HAS BEEN
MADE BY OUR COLLEAGUES A
DISABILITY RIGHTS CALIFORNIA.
AS IT'S BEEN SAID EARLIER WHICH
HAVE SEEN GREAT IMPROVEMENTS
SURE THERE IS A COMPREHENSIVE
SAFETY NET IN THE COMMUNITY FOR
EVERY PERSON WHEN THEY'RE IN
CRISIS.
SIMILAR TO WHAT MY COLLEAGUE
JORDAN JUST SAID ON THREE COUNTS
ALSO PLEASE OF THE MONEY COMING
OUT OF THE OPERATING EXPENSES AS
WELL AS BILLION COMMITTEES TO
CLOSURE CHURCH.
SHOULD STREAMING IN THE SYSTEM
WITH THE STATE COUNCIL THIS PAST
YEAR FUNDED AND WE WILL GET TO
BOTH OF YOU.
A STRATEGIC FRAMEWORK FOR
HOUSING AND HARD WORKER
ADDRESSED THE ACCESSIBLE FOR A
HOUSING CRISIS HERE IN
CALIFORNIA FOR PEOPLE'S IDT A
PIECE OF THAT IS ALSO MAKING
SURE THAT MONEY THAT'S COMING
OUT OF THE SYSTEM REMAINS IN THE
SYSTEM TO ADDRESS THAT CRISIS.
WHEN THE PROCESS OF FINALIZING
THAT REPORT?
AND THE RECOMMENDATIONS THAT ARE
IN IT.
AND THEN MOVING ON TO ISSUE A
SOCIAL REPARATION IN CAMP ARE
CRITICAL FOR COMMUNITY
REINSTATING THE SERVICES MAKING
SURE THAT CHILDREN AND ADULTS
HAVE THE OPPORTUNITY SOCIALIZE
IN THE COMMUNITY WITH THEIR
PEERS.
ARE CRITICAL AND WE FULLY
SUPPORT REINSTATING THOSE FUNDS.
AND THEN LASTLY.
WE ALSO SUPPORT THE REQUEST FOR
THREE MILLION DOLLARS TO HELP
WITH THE PROVIDER SURVEYS THAT
WILL NEED TO GO ON FOR THE STATE
TO COME INTO COMPLIANCE WITH THE
NEW EACH CBS SETTINGS ROLE.
HAVING PEOPLE GO OUT AND
ACTUALLY LOOK AT PROVIDER
SETTINGS IN MAKING SURE WHAT'S
BEEN REPORT AND SELF REPORTS
MATCHES UP WILL BE CRITICAL TO
MAKING SURE THE RULE MEETS IS
INTENSE.
THANK YOU VERY MUCH THANK YOU
MA'AM.
HELLO AGAIN AREAS EGGMAN GOLDEN
GATE REGIONAL CENTER --
I'M GONNA COMMENT ON ISSUES SIX
AND NINE KIND OF TOGETHER SO YOU
KNOW PUBLIC POLICY IS IS. FOR US
THIS OPPORTUNITY TO TRY --
TO SEE WHAT KIND OF WORLD WE
WANT AND WE CAN SUPPORT FOR THE
PEOPLE WE SERVE AND OF COURSE.
WHAT KIND OF WORLD WE CAN AFFORD --
AND I WANTED TO MAKE SOME AND
ALL THE INCREASED MONITORING
THAT'S BEEN TALKED ABOUT TODAY --
I SPENT ABOUT HALF OF MY WORLD
MAYBE 35% OF MY THIRTY YEAR
CAREER VERY DEEPLY INVOLVED IN
IN QUALITY OF SERVICES IN THIS
FIELD BOTH IN THE AGNEW'S
CLOSURE AND PROVIDER AGENCIES IN
OUR REGIONAL CENTERS --
MONITORING --
DOESN'T IMPROVE QUALITY
MONITORING --
IS INCREDIBLY IMPORTANT PEOPLE
DO WHAT PEOPLE CHECK RIGHT.
BUT IT FUNCTIONS IN A WAY THAT
CAN SAFEGUARD THINGS THEY CAN
SAVE LIVES IT CAN MONITOR VERY
CRITICAL HEALTH AND SAFETY
FUNCTIONS BUT IT DOESN'T.
REALLY CHANGE THE DYNAMICS OF
ACHIEVING THE ASPIRATIONS OF AN
INDIVIDUAL OR BECOMING A FULL
SET OF SAN.
INVESTMENTS TO THAT INVESTMENTS
IN PROVIDERS HAVING TRAINED
STAFF TO THAT IN LEADERSHIP AND
INNOVATION AND CREATIVITY AND
DEMONSTRATION OF NEW SERVICES
ALL THE THINGS THAT WERE
ENVISIONED THE LANHAM ACT WITH --
THE REGIONAL CENTERS AS FIVE OH
ONE C. THREE NON PROFITS --
AND SO.
IT'S REALLY IMPORTANT TO ME THE
MONITORING IS ESSENTIAL BUT IT'S
NOT GOING TO FIX THE ISSUES THAT
HAVE BEEN CAUSED BY A STARVATION
OF THE SYSTEM FOR TWENTY FIVE
YEARS -- THE
LAST THING I WANTED TO SAY WAS
WHEN YOU LOOK AT THE JANUARY
BUDGET AND STEP BACK FROM LIKE
THIRTY THOUSAND FEET THERE'S A
CLEAR COMMITMENT TO THE
IMPROVING THE CAPACITY AND
RESPONSIVENESS OF THE AT
HEADQUARTERS IN THE DEPARTMENT
LEVEL WHICH WE TOTALLY SUPPORT
IT'S HIGH TIME THAT.
THERE BE A SINGLE SYSTEM FOCUSED
ON THE COMMUNITY --
AND ALL THOSE THINGS --
HAPPEN AND THERE'S A TENTATIVE
AND VERY --
CAUTIOUS KIND OF COMMITMENT TO
CHANGE PROVIDER RATES WHICH YOU
KNOW THE MOST IMPORTANT THING IS
A RELATIONSHIP BETWEEN THE
PERSONS SERVING THE PERSONS
SERVING THEM --
BUT THE LAYER OF THE REGIONAL
CENTERS THAT CASE MANAGEMENT
THAT RESOURCE DEVELOPMENT THE
COMMUNITY --
DOESN'T HAVE ANY COMMITMENT
EXCEPT FOR THE 8% WHICH WE
REALLY APPRECIATE AS A AS A
PROPOSAL AND I THINK THAT
CRITICAL COMPONENT OF LISTENING
TO FAMILIES.
AS YOU HEARD FROM A LOT OF
ADVOCATES TODAY THE REGIONAL
CENTERS CAN CLEARLY BE BETTER OF
LISTENING TO FAMILIES AND
OPERATING --
THE RESPONSIVENESS TO TO
FAMILIES AND INDIVIDUALS FOR
SERVICES THAT THAT HAS TO COME
WITH INVESTMENTS GOOD LEADERSHIP
TO AND CLEAR GOALS AND MISSION
BUT IT COMES WITH INVESTMENTS --
AT THE LEVEL OF THE PERSON
CENTER PLANET THAT'S THE LANHAM
ACT TO ME AT LEAST THANK YOU.
THANK YOU SIR.
HOW RICK ROLLINS REPRESENTED
ARCUS SO SHE SHE REGIONAL CENTER
AGENCIES FIRSTLY I'D WANNA THANK --
THIS COMMITTEES PRIOR ACTION I'M
LISTENING TO MANY PROPOSALS
TODAY THAT YOU VOTED ON
UNANIMOUSLY OUT OF THIS
COMMITTEE AND PUSH FORWARD TO
THE CONFERENCE COMMITTEE.
LAST YEAR ONLY TO SEE NOT US
BECOME SUCCESSFUL SO THANK YOU
VERY MUCH FOR ALL YOUR SUPPORT
FOR OVER THE YEARS.
SECONDLY WANTED TO GO ON RECORD
OF COURSE IN SUPPORT OF ITEM
NUMBER FIVE INDUSTRY MATHS IS A
REQUEST ON KEEPING OF THE FUNDS
IN OUR SYSTEM FOR THE PERSON
HOUSING HOUSING WHICH IS A KEY --
ARCA PRIORITY WE SUPPORTED YOUR
BILL LAST YEAR AND HOPE WILL BE
SUCCESSFUL WITH YOU --
THIS YEAR ON THAT ITEM AND I AND
POSITIONS.
TO TO SUBMIT TO THE THE
COMMITTEE MOVING FORWARD THANK
YOU THANK YOU SIR.
GOOD EVENING VERY DIRTY IN
CALIFORNIA DISABILITY SERVICES
ASSOCIATION THANK YOU MISTER
CHAIRMAN MATHIS FOR FOR
EVERYTHING TONIGHT --
A COMMON ON JUST A FEW ISSUES OF
COURSE ISSUE FIVE ONE OF
REITERATE OUR SUPPORT AGAIN FOR
THE PROPOSAL MISTER MATH THIS IS
PUT FORWARD.
GUARDING THE DC PROPERTIES YOU
KNOW WHAT WE THINK IT MAKES
SENSE THE LA --
ROTA EXCELLENT REPORT ON THOSE
LONG TERM SAVINGS ON THAT WE
COULD BE YOU KNOW USING TO
OFFSET SOME OF THE COSTS THAT WE
NEED ON THE COMMUNITY SIDE --
AS JUST SOME COMMENTS ON ISSUE.
SEVEN AROUND THE CONTRACTING FOR
ONSITE VENDOR ASSESSMENTS YEAH
WE LOOK FORWARD TO THE NEXT A
TBS ADVISORY GROUP MEETING WITH
EDS TO GONNA GET A LITTLE BIT
MORE DETAIL ON WHAT THE
INTERPLAY WILL BE BETWEEN THE
CONSULTANT TO REGIONAL CENTERS
AND THE DEPARTMENT.
BECAUSE WE WANNA MAKE SURE
THERE'S CONSISTENCY THROUGHOUT
THE STATE AS WE AS WE DO THE
ASSESSMENT OF THE OF THE SYSTEM --
WITH ISSUE EIGHT OF COURSE WE
WOULD WE WOULD LOVE TO SEE OF A
PROPOSAL TO ELIMINATE THE
UNIFORM HOLIDAY SCHEDULE TALK
ABOUT A LOT LAST YEAR THE IMPACT
IS FELT TOP TO BOTTOM --
IT'S IT'S HIGH TIME THAT THAT
THAT JUST GO AWAY --
AND I WANTED TO SPEAK A LITTLE
BIT ABOUT THE HAVE THE BILLING
POLICY I KNOW I KNOW THAT MISTER
LINDSEY LAID OUT FAIRLY WELL.
BUT IT IT REALLY DOES HAVE A
SIGNIFICANT IMPACT I MEAN A FEW
KEY POINTS IT'S IT'S CURRENTLY
WRITTEN AT 65% OF THE DAY'S
REQUIRED IN ORDER TO BE THERE
FOR A FULL DAY. SIX FIVE IS NOT
HALF --
THERE'S WE HAVE ONE PROVIDERS
SAYS IT'S GOING TO COST A
HUNDRED THOUSAND DOLLARS THIS
YEAR.
I THROUGH THE HAVE TO BILLING
POLICY.
BUT ON TOP OF THE INANCIAL
IMPACT FROM THE BILLING YOU ALSO
HAVE ADMINISTRATIVE
RESPONSIBILITIES THAT DON'T
EXIST OTHERWISE THERE ARE NO
REGULATORY REQUIREMENTS AND A
PROGRAMS TO TRACK TIME FOR EACH
OF YOUR CLIENTS.
HOWEVER WITH HAVE TO BILLING YOU
HAVE TO ENSURE THAT IF YOUR
BILLING PROPERLY YOU HAVE TO
ENSURE PEOPLE WERE THERE FOR THE
RIGHT AMOUNT OF TIME SO.
ON TOP OF THE ACTUAL BILLING
REDUCTION IT'S AN ADMINISTRATIVE
ADMINISTRATIVE HURDLE NOT ONLY
FOR PROVIDERS IN FACT FOR
REGIONAL CENTERS AS WELL.
WHO MAY WELL HAVE?
TO RECONFIGURE WHAT CONSTITUTES
A FULL PROGRAM DAY FOR SOME
PURPOSE FOR SOME --
CLIENTS AS WELL --
SO WE WE WOULD LOVE TO SEE THOSE
TWO THINGS GO AWAY WE'RE GONNA
BE PUSHING PRETTY HARD FOR THAT
THIS YEAR.
FINALLY ON ISSUE ELEVEN AND WE
CAN DISCUSS IT BUT I I JUST WANT
TO BRING UP TWO POINTS ONE IS IN
THE IS IN THE DETAIL OF THE
FUNDING AND THE REVISED
ESTIMATES DOWNWARD. FOR THE
CURRENT FISCAL YEAR ON THE
SERVICES I THINK THAT'S MORE
EVIDENCE THAT ARE THE RATES ARE
JUST NOT SUFFICIENT TO PROVIDE
THE SERVICES WE HAVE A GROWING
SYSTEM WE SHOULDN'T BE SEEN
FUNDING GO DOWN --
AND ON THE LAST PIECE THE ONE
POINT FIVE BILLION DOLLAR A
MILLION BILLION BY THAT BE
SOMETHING.
MILLION DOLLAR APPROPRIATION FOR
BEST BUDDIES WE HAVE A LOT OF
PROVIDERS WHO DO SIGNAL SIMILAR
SERVICES AND WE THINK IT'S A
LITTLE BIT UNFAIR AND STRANGE
THAT ONE PROVIDER WOULD GET A
SPECIAL APPROPRIATION THROUGH
THE BUDGET PROCESS WHEN ALL THE
OTHER PROVIDER DOING WONDERFUL
THINGS --
AND AND HAVE NO SUCH LUCK SO
WE'LL SEND FEATURES EXPORT --
IN OUR OF NICOLE ON ISSUE FIVE I
REALLY SUPPORT MASSES BILL TO
USE THAT DOLLARS FOR HOUSING --
IS WHEN THE BIGGEST CHALLENGES
WE FACE IN THE BAY AREA IS HOW
DO WE HAVE OUR FOLKS HAVE AT
AFFORDABLE HOUSING STOCK TO LIVE
IN.
ISSUE SIX I THINK DDS IS CLEARLY
IN NEED OF YOU KNOW SUPPORT AND
THEN ARENA GREW THE ELIO SOME
QUESTION MY TWO BIG CONCERNS
REALLY RELATE TO THAT WOULD BE
RELATED [inaudible]
TO INNOVATION.
IT'S NOT REALLY ONE OF THINGS
AND THERE'S NO OFFICE OF
INNOVATION HOW DO WE GET BETTER
HOW DO WE IMPROVE.
TITLE SEVENTEEN WAS WRITTEN IN.
NINETEEN EIGHTY NINE THAT'S THE
BIBLE IN NINETEEN EIGHTY NINE
NONE OF THE TECHNOLOGY IN THIS
ROOM EXISTED.
THE WORLD HAS CHANGED
SIGNIFICANTLY WE NEED A WAY TO
INNOVATE --
FORD QUALITY ASSURANCES AS ERIC
DIDN'T TALK ABOUT LOOKS AT THE
PAST HOW DID YOU DO YESTERDAY --
YOU DID BAD YESTERDAY SO NOW
WE'RE GOING TO PUNISH YOU WE DO
A LOT OF BIG STICKS STUFF AND
RIGHT NOW IN OUR COMMUNITY
SYSTEM.
TRYING TO INNOVATE AND BRING
SOME NEW SERVICES TO MEET WHAT
PEOPLE WANT ARE ALL OKAY AS LONG
AS YOU CAN DOCUMENT EVERYTHING
YOU DO I NEED EVERY RECEIPT --
HERE'S THE TWO DOLLAR RECEIPT TO
MOVE FORWARD.
I THINK WE'VE GONE TOO FAR THAT
WAY TWENTY SOME WORK RELATED TO
THAT -- I
WAS IN A ISSUE EIGHT I WAS THERE
IN THE DARKEST DAYS.
I WAS THERE WE SAID OKAY WE'LL
TAKE FOUR DAYS OFF WILL DO HAVE
TO A FULLY BILLION WE WILL NOT.
LET FOLKS HAVE SOCIAL RECKON CAM.
IN THE DEEPEST RECESSION IT'S
TEN YEARS LATER.
THOSE JUST NEED TO GO AWAY --
WHICH I SAID THE OTHER ONE OF
FOLLOW UP WITH.
I SAID IT LAST YEAR --
BEST BUDDIES IS A GREAT PROGRAM.
THEY DO SOCIAL THINGS SOCIAL
RACK I CAN'T DO THAT.
SO EITHER SOCIAL RECORDS IN
WORDS OUT --
BILL ONE ON THE TECHNOLOGY.
I'M NOT ISSUE.
NINE MY WIFE IS A SCHOOL TEACHER
SHE DOES AYE EP'S IN THE MEETING
THEY PRINT OUT.
HERE'S YOUR ID P..
SIGN IT OR TAKE IT HOME AND READ
IT AND THEN SIGN IT.
BUT IT'S THERE THERE IS NO
QUESTION ABOUT LATER THAT.
THEIR OWN RECALLING SUPPORT OF
THE ISSUE.
EIGHT WE NEED TO MAKE SURE THAT
OUR FOR ACCOUNTING SYSTEM OR
FISCAL SYSTEMS CONTRACT THE
FEDERAL DOLLARS IT'S BIG MONEY --
AGREE WITH THAT COMMENT ABOUT
CONSISTENCY.
ON THE HBO SETTINGS ROOM WE
START TO GO DOWN THAT THE SOUTH
WHAT WE DO AND RELATED TO THAT.
ON THE OTHER ONE IN ISSUE.
TEN THE RATE PROPOSAL DOES TALK
ABOUT A STIPEND FOR NON ENGLISH
SPEAKING SUPPORT.
I THINK WE WILL HAVE TO LOOK AT
THAT BECAUSE I DON'T THINK IT'S
ENOUGH TO ACTUALLY ACHIEVE THE
GOAL OF REDUCING DISPARITY.
A SMALL STEP IS NOT GONNA GET IS
THE STAFF NEED TO ACTUALLY MAKE
THAT HAPPEN SO THANK YOU VERY
MUCH THANK YOU SIR.
WHEN I TRANSLATE TRY TO
TRANSLATE --
YOU LOOK AT THE LOOK AT LOOK AT
THE ONE ON THE CHEST.
GOOD FOR US THAT IT GIVE ME
NUMBER IS MONEY THAT HAD GONE.
THANK YOU GOOD NIGHT MY NAME IS
BUT EVEN IF I'D GONE. TO MY
MOTHER GIVES ME HOW DO YOU IS ME
AT THE END I SEE A DANIELS I AM
THE MOTHER OF YES MA'AM
GENTLEMEN HOW DID HE SHE IS
SEVEN YEARS OLD YES THEY NOTICED
THAT THE OF THE STUFF.
SHE HAS OUT --
AS ONE LETTER HILLBILLY LE THIS
BUT IS THAT THEY LAWCENTER
HUMORLESS SHE SAID YOU SHOT JUST
AN EXAMPLE OF THAT THE BATTERIES
OF THE REGIONAL CENTERS.
THE HOST OF THE NEW MOST ASKED
THE THE TO ALMOST BUT THEY THE
COMPANY THAT AIN'T THAT EITHER.
IT'S A GREAT COMMUNITY
COLLABORATIVE OF BILLIONS OF THE
V. DAVID YOU --
IS IS.
AGAIN CHOOSE THEM THE EXAMPLE OF
THAT THESE BATTERIES BUT AT THIS
TIME I'M LEARNING AND I'M DOING
THE BEST AND NOW I'M STILL WITH
NO SERVICES.
MAYBE IT'S BECAUSE AND SAID WE
THROUGH CITIZENS SERVICES THAN
THE OTHER.
ONE AND TWO THE NUMBER.
NAME WOULD HAVE ANY SUCCESS BUT
THE BUT I MISSED BUT THE NURSES
STUDIES DISGUST ME HAS PUT THE
LESSONS THAT YOU THINK MY
DAUGHTER IS PART OF THE BODY OF
THE LETTER.
THE LIZARD BASIS WITHOUT ANY MY
DAUGHTER IS PART OF THAT IS
BETTER.
THIS BILL THAT SAYS AT THE TALKS.
SO YOUR DAUGHTER AS ZERO
SERVICES RIGHT NOW THE THING IS
THAT IS THAT WE WE HAVE ADDED
THE DENNIS ALLOTMENT THEN.
WHEN UP A SET UP BUT I CAN SAY
IF THAT IDEA?
THE HOSPITAL SHE HAS TWENTY
HOURS OF RESPITE AND A BRIGHT
BRACELETS NOT TO GET LOST.
THEN THIS IS THE GOAL SAVE
MISSUS BILLION LAW FOR YOU BUT
ON THE DEAL AND LEAN ASKING FOR
SIX MEDALS POINT THE DEAL IS.
LA ABA BECAUSE THE LOWER THING
AB EIGHT OFFERED ANOTHER MEDICA
AND POSES --
THEM US FOR THINGS MRS IN TENNIS
AND WE SHOULD THEY BE A BUT I
THE CARD CALLED.
MEDICAL CONTACT YOUR YOUR
MEMBERS OFFICE.
AND OPEN UP A CASE FILE
[inaudible] TO THING ELSE HE
WAS GONNA THINK.
I KNOW I KNOW THAT'S A LOT TO
TRANSLATE BUT THE OFFICIAL AND
TWO THIRD PROFIT WHAT WHAT
WALKING COULD NOT.
TAMBIéN CROCUS ON MORE
IMPORTANT ON TAKE A OKAY --
SIDE TO BOSS WHAT KAEL KAPITAL
THIS THIS THOUSAND BOTTLES.
IT ON OR NOT THEY CAN ASSAULT
THE ROLES.
THAN ANIMALS THROWS ME AS MOST
OPPORTUNITY THAT THIS.
COULD IS GONNA CIGARETTES ESOS
THEM. ONE OF NOT JUST ME NUMBER
IS MONEY A LOT ALMOST.
OKAY.
A SIMILAR WILL TO ME.
OKAY.
SO I'M GONNA TRY MY ENGLISH.
OUT GOOD NINE MY NAME IS MONEY A
LOT ALMOST AND I HAVE A SON.
WHO IS TWENTY YEARS OLD?
AND HE HAS AUTISM AND HE HAS A
SEVERE EXPRESSIVE AND RECEPTIVE
LANGUAGE.
IMPAIRMENTS [inaudible]
AND ARE WE ARE PART OF THAT
COMMUNITY INTEGRATED --
COLLABORATIVE [inaudible]
OF PEOPLE [inaudible]
SO -- IN
THIS HALF YOU'RE DOING FINE
LEAVE THE ON SHE SUPPORTS ALSO
IS AVAILABLE THROUGH TONIGHT.
YES -- MY
SON IS PLAY ENOUGH OF BODY MONTH
AND REGIONAL CENTER.
OF JUST LIKE THE OTHER PERSON
[inaudible]
AND FIRST OF ALL I WANT TO THANK
YOU FOR ALLOWING ME TO PRESENT.
MY CASE --
AIR [inaudible]
THE OKAY.
UPIN THE MIDDLE CAN EITHER GET
ALLOWS GOT CSU.
WHAT THE LAW SAYS FOR SOULS?
GUESS NHL BUT A AN ID CARD THIS
BODY OF THE THIS THANK YOU FOR
ALL THE ALL THIS SUPPORT THAT
YOU'VE BEEN GIVEN US IN ORDER.
TO OUR WORK ON THIS BATTERIES.
AND THE SECOND AMENDMENT
UNFORTUNATELY ME HOSTING THIS
INSTEAD OF THIS YEAR MY SENATE
VIA MARK MY SON IS STILL WITH NO
SERVICES FROM VALLEY MOUNTAIN
REGIONAL CENTER US THERE YET.
BUT UP IN THE YEAH AND I'M HERE
TO ASK THE DS --
I'VE GOT.
A LAW CENTER HERE NINE IS
RESPONSE.
BECAUSE AN ASK FOR A SPECIFIC
RESULTS DOWN THERE THEM WITH
FRIENDS WHERE THEY WILL SHOW LAW
SERVICIOS THE SERVICE SAYS THE
HELLO SERVICE YOU'LL SEE ESTáN
INDOOR.
DEAR GOD THOSE ARE MOSTLY IN
THIS DIRECT THEM IN THAT THE
SERVICE WILL BE --
BE GONE TO THE TO THE CLIENTS
DIRECTLY.
SONNENBURG BONTA BUT I AM NOT UP
TO US EMPLOYEES.
BUT GAIL'S POLO THAT MOST
POPULOUS CAN ASSIST PEOPLE BUT
MEET OUT GET BUSTLE.
OKAY SO SO DO YOU DO YOU KNOW
WHO YOUR MEMBER IS.
WHICH WHERE WHERE'S HOME
ASSEMBLY.
NO THIS ORDER NUMBER WILL FIND.
OKAY.
OKAY THANK YOU NIGHT MY NAME IS
MAHDI SELLER OF LITTLE --
I'M HERE TO SUPPORT --
ON DISABILITY --
VOICES UNITED.
I HAVE TWO SONS THAT ARES SERIF
BY REYES DNIA MARCY MAMBALAM
MOUNTAIN REGIONAL CENTER --
MY SONS ARE PART OF THE DESPITE
EATING -- AS
A RESULT OF NOT RECEIVING THE
SERVICE SAYS THAT HE NEEDED MY
OLDEST SON [inaudible]
IS NOW --
LEAVING IN A HOME CARE FACILITY
[inaudible]
AND I THINK THAT REGIONAL
CENTERS --
MOST --
ENSURE THAT FAMILIES HAVE ACCESS
TO THE SERVICES THAT THEY NEEDED
TO STAY TOGETHER [inaudible]
THANK YOU [inaudible]
THANK YOU.
ME NUMBER NINETY CENTERS MY NAME
IS NANCY SANCHES ME HAS CAN'T
THAT A ABOUT A MONTH AND BY
CHANCE AND THEN MY DAUGHTER IS
CLAN ALSO VALLEY MONTH AND
REGIONAL CENTERS.
ME HAS SPOT THEY LEVEES BODY
THAT MY DAUGHTERS WILL SUPPORT
THESE BATTERIES.
MAKE A MONEY THAT THE STATE.
IS.
TENIENDO PROBLEMAS OUT --
I HAVE TO MAKE A NOTE OF THE
NEXUS ARM AFTER IT WAS JUST IN
MY COMMUNITY OUR WERE HAVING
TROUBLE GETTING ACCESS TO THEIR
SERVICES. FOR CAN I CAN THE SITE
I CANNOT CENTER JUST A
STANDALONE LIST PROCESS WE THE
FACILITY BECAUSE THE REGIONAL
CENTER IS STILL IN THE PROCESS
IS MAKING THE PROCESS VERY
DIFFICULT.
SIMPLEST ALMOST HANDLE I WILL
GATHER THEY ALWAYS USING THEIR
LAWYER.
THIS THEY LOST BY THE SIMPLEST
ALMOST IN THIS BEEN BACK IN THE
PARENTS ARE ALWAYS IN
[inaudible]
DOESN'T THAT. EIGHT EIGHT I
ALWAYS.
IN THIS EVENT.
I'M NOT A TRANSLATOR IN GENERAL.
LOS LOS FIGHTERS KNOWN OFFICE.
NOT THE MOST MINIMAL
COMMENCEMENT THE CANAL WILL
GATHER WITH THIS THEY SO MUCH IN
THE MIDDLE OF SOMETHING.
ON THE LEFT CORTES.
SB AARON'S WE DON'T HAVE THE
SAME EXPERIENCE AS THE LAWYERS
SO WE GET INTIMIDATED BY.
BY THE LAWYERS IN COURT I I'D
LIKE TO TELL NANCY.
CABLE FOLLOWS THE ORIGINAL
SENDER'S CAM NORMALS PROCESS IS
DONE THE VISITORS FROM FOR THE
LIST BUT BASS DON'T NOT TO MAKE
THE PROCESS VERY DIFFICULT FOR
THE PARENTS.
OKAY SOMEONE NO NO SO MUCH
PROFESSIONAL SOLOMON TO SOME
SIMPLEST BUT BASS BECAUSE WE'RE
NOT PROFESSIONAL WE JUST.
YES THIS ONE A LOT ABOUT US THE
MIDDLE OF HIS BODY THAT USES
THAT'S ONE OF THE AREAS FROM THE
SPARK A LOSS BOTHERED AS A STAND
KNOWS SOME.
THIS STATE.
BECAUSE OF PARENTS WE GIVE UP A
HALF.
BUT IN THOSE I MEAN IT'LL GET
OUT ON THE COURT TO BE TO GO TO
COURT.
YES CRISIS IN A AT ME NUMBER AGE
AND IT'S KIND OF EN MASSE
TAMBIéN MY NAME IS JANET THAT
RIGHT NOW.
MA'AM I AND MY SON IS GAY INTO
THE VALLEY MONTH PAYING.
CAN IS A SIGN YOU MIGHT FIND
USEFUL FLOODPLAIN DEVELOPMENT
YOU THINK YEARS OLD HOT MY
COMMENT A LOT OF THESE BODY THAT.
LAST TIME ALSO PUT IN THE
THOUGHTLESSNESS PHOTOGRAPHS.
BANNERS WERE SUFFERING NO YES
WHEN I BARELY THAT IN THE THAT'S
REALLY EVERY VERY RARELY.
ME COMMON VALUE I CELEBRATE A IS
WIN NUMBER.
TEN MY COMING TO PHONE NUMBER
[inaudible]
AM IN.
IS FAMILY AND BROKEN RESTAURANT.
NUMBERS HE WAS SAID TO BE SEALED.
IN HERE WITH WHEN THEY'RE NEVER
STEVEN SERVICE THAT SAYS BANK IT
ON BUT BASS ONLY.
BE THERE BECAUSE THEY'RE SEVEN I
LONG.
I'M ASKING YOU TO DO SOMETHING
IT DOMINICK GUINN DOT.
NICE SEE PRESS HIM IN HAVE OUR
GUESTS COME ALSO FREE AND
THEY'LL.
BRING FRIENDS THAT THE CENTER
CAN I LIST.
WITH THE REGIONAL ESPECIALMENTE
BY LAME ON TIME.
CAN ALSO STOP POLICE HANNAH SAID
RESEAL THE UP NORTH **** NOVEL
RATTLE.
WITH THE LAWYER ECM BREAK ON ON
A YOU'LL SEE BUT I'M HONEST US
DEAL WITH LEAN AND FAMILY
[inaudible]
SF.
I I JUST WANTED TO SUPPORT
NUMBER EIGHT FOUR CAMPAñA
RECREATIONAL SERVICES TO COME
BACK MIGHT MAKE HIS BENEFITS
GREATLY --
WHEN THEY WERE YOUNGER SO THAT
WAS THE ONLY MY?
THANK YOU.
PLUS THE FINANCE WITH TO ADOPT.
THANK YOU MA'AM CREATION OF
POINT ONE ONE THING I DIDN'T
HEAR MENTION WHICH I THINK IS
REALLY IMPORTANT.
IS IT FOR THINKING LONG TERM
ABOUT COMPETITIVE INTEGRATED
EMPLOYMENT THAN A LOT OF A LOT
OF THE SOFT SKILLS THAT ARE
REQUIRED IN THE LABOR MARKET
THAT PEOPLE ACQUIRE YOU KNOW
WHEN THEY'RE GOOD DRINKS CAMP
AND YOU KNOW AND RECREATION ARE
CRITICAL LATER ON FOR YOU KNOW
IT'S IT'S A SORT.
OF PAVE THE WAY FOR THAT SO
THAT'S JUST SOMETHING THAT I
DIDN'T HEAR MENTIONED --
SO.
THAT ANOTHER SMALL POINT IT HAS
TO DO WITH THE I. T. THE PIECE
THAT A AND THAT THE LEGISLATIVE
ANALYST'S M. SENATE PETTITTE WAS
DISCUSSING.
THE AND AND WAS A PANEL THAT WE
I DON'T THINK WE'VE DISCUSSED
MUCH AT LEAST IN THIS CONTEXT
WHICH IS.
USING THE I. T. SYSTEM TO
EXPEDITE THE SORT OF
REIMBURSEMENT OF A FEDERAL FUNDS.
I JUST WANT TO MENTION THAT I
THINK WE CAN BE A LITTLE MORE
AMBITIOUS POSSIBLY ABOUT WHAT
THE KIND OF FUNCTIONS THAT AN I.
T. SYSTEM COULD SERVE.
I IT'S A LEGACY SYSTEM THAT
WE'RE USING NOW BUT I JUST WANT
TO MENTION A COUPLE MORE
CONCRETE IDEAS.
OF HOW THAT SYSTEM COULD DO SO
MUCH MORE WORK FOR DDS SO FIRST
OF ALL --
WE'RE LEAVING A LOT OF MONEY ON
THE TABLE IN TERMS OF
IDENTIFYING PEOPLE.
AND IN TERMS OF IDENTIFYING
PEOPLE WHO COULD QUALIFY FOR
FEDERAL WAIVER FUNDS.
THERE ARE MANY DIFFERENT PATHS
TO TO BECOME WAIVER ELIGIBLE AND
A LOT OF PEOPLE ARE SIMPLY NOT
BEING PUT ON THE WAIVER IT'S A
50% MATCH.
BY NOT PUTTING PEOPLE ON THE
WAIVER AGAIN WE'RE LEAVING MONEY
ON THE TABLE.
INDEPENDENT ESTIMATES NINETY
EIGHT YOU KNOW HAVE A HALF A
BILLION DOLLARS THAT WE'RE
LEAVING ON THE TABLE.
IT'S A LOT OF MONEY IT'S
HUNDREDS OF MILLIONS OFDOLLARS
AND SO IF WE COULD USE THE I. T.
SYSTEM TO CLARIFY AND MAKE THE
SORT OF READILY ACCESSIBLE
PATHWAYS TO ELIGIBILITY. FOR
FEDERAL WAIVER FUNDING THAT
COULD BE AND IT YOU KNOW IT'S A
VERY LUCRATIVE SOURCE OF FUNDS
AND YOU KNOW ENABLE US TO TO
RELY LESS ON STATE FUNDS.
ANOTHER IMPORTANT FUNCTION THAT
I. T. SYSTEM COULD SERVE IS
ANOTHER THING THAT CAME UP ON
ONE OF THE PANELS WHICH HAS TO
DO WITH UNMET NEED AND SAFETY
NET IN OTHER WORDS THE QUESTION
WE'RE TALKING ABOUT ALSO CAME UP
IN RATES.
HOW DO WE KNOW IF PEOPLE ARE NOT
GETTING SERVED HOW DO WE KNOW IF
THEY HAVE AN IDENTIFIED NEED AND
THERE'S SIMPLY NO PROVIDER IN
THE AREA THAT'S ABLE TO SERVE IT?
THAT IS A QUESTION THAT AND IT
SYSTEM COULD ANSWER THE I. T.
RIGHT NOW IT'S NOT DOING THAT
BUT I I THE I. T. SYSTEM COULD
IDENTIFY AREAS FROM THE I PP.
IN WHICH WAS IDENTIFIED NEED AND
HAVE FEELS THAT THAT THAT RECORD
CASES IN WHICH THERE'S SIMPLY NO
PROVIDER ABLE TO TO SERVE THAT
FUNCTION.
AND IF THE I. T. SYSTEM OR
CONFIGURED AND THAT WAY WE WOULD
HAVE AN EXCELLENT DATA
GEOGRAPHICALLY ON BOTH THE TYPE
OF SHORTAGES IN DIFFERENT PARTS
OF THE STATE MA'AM I DON'T.
WANT TO INTERRUPT YOU BUT YEAH
THE LADIES WHO JUST SPOKE BEFORE
IF YOU COULD LEAVE YOUR CONTACT
INFORMATION WITH THE SERGEANTS.
NAME NUMBERS EMAILS --
I WILL GET THOSE. TO THE
ASSEMBLY MEMBER OF RT MESSAGER
LETTING HER KNOW THAT I GET
THOSE TO HER OFFICE --
SO IF YOU COULD WITH THE STARTED
SORRY I DIDN'T ONE INTERRUPT YOU
BUT I DON'T WANT THEM TO LEAVE
OF COURSE THAT WAS ALARMING.
ON CONTINUE PLEASE MORE
AMBITIOUS KING AND THE THE
FUNCTIONS THAT AT A A WELL
DESIGNED I. T. SYSTEM CONSERVE
THAT ARE NOW NOT HAPPENING IN
THE SYSTEM THAT WAS THE POINT I
WANTED TO MAKE.
UNLESS ONE AT LEAST I WANTED TO
SAY A LITTLE BIT ON SAFETY NET
JUST WEARING MY HAT AS A PARENT --
SO.
MY SON IS THIRTEEN CONVENTION
THAT A COUPLE TIMES --
AND JUST TO MAKE A LITTLE MORE
CONCRETE FOR YOU WHAT THE
ABSENCE OF A SAFETY NET ACTUALLY
MEANS.
MY SON --
THERE WAS NO PLACE IN THE STATE
THAT COULD SERVE HIM WE WERE ONE
OF THOSE FAMILIES AN EXTREME
CRISIS -- HE
WAS TURNED DOWN BY THE THE PSYCH
AS BY THIS THESE PSYCH HOSPITALS
IN OUR AREA I LIVE IN NORTHERN
CALIFORNIA IN IN PALO ALTO AREA --
ENDS BECAUSE THEY WILL ROUTINELY
TURN DOWN CHILDREN WITH
DEVELOPMENTAL DISABILITIES THERE
WAS NO PLATE IS NO PLACE IN THE
STATE THAT WOULD SERVE HIM NOT A
SINGLE PLACE THAT WOULD ACCEPT
HIM.
SO AT AGE EIGHT HE SPENT SEVERAL
YEARS OUT OF STATE HE HE SPENT
HIS AND HIS HIS NINTH BIRTHDAY
AND IN UTAH HIS MINUTES TENTH
BIRTHDAY IN PITTSBURGH BECAUSE
HE WAS IN A SERIES OF PLACEMENTS
AROUND THE COUNTRY --
AND SO I I THINK JUST TO SORT OF
UNDERSCORE SOME THE THINGS WE
SAID BEFORE THERE'S REALLY TWO
CRITICAL TRACKS ONE IS DOING
EVERYTHING WE CAN OF PULLING OUT
ALL THE STOPS. FOR PETE FOR KIDS
FOR CONSUMERS WHO CAN REMAIN IN
THE HOME. TO MAKE THAT HAPPEN
WRAP AROUND WHAT EVERYONE A
COLLEGE YOUR MOBILE CRISIS WE'VE
TALKED ABOUT THOSE THINGS.
WE HAVE TO DO EVERYTHING
POSSIBLE TO ENSURE THAT THAT
HAPPENS AND SO I JUST CAN'T I
MEAN FROM MY EXPERIENCE.
I CAN'T SAY ENOUGH HOW IMPORTANT
IT IS THE THAT INVOLVES WORKING
WITH LOCAL COMMUNITIES TO COME
UP WITH EFFECTIVE SORT OF
INTERVENTION SUPPORT TO TRY TO
KEEP PEOPLE IN THE HOME.
AND SECONDLY AND THIS IS A POINT
THAT I BELIEVE --
THAT YOU'RE SEEING MADE --
THE NUMBER OF BEDS --
IT'S WONDERFUL AND SO IMPORTANT
THAT THE NUMBER OF BEDS IS BEING
INCREASED I MEAN THEY'RE
LITERALLY WASN'T ABOUT IN THE
WHOLE STATE OF CALIFORNIA YOU
KNOW FOR MY SON THAT'S WHY HE
SPENT TWO YEARS OUT OF STATE AND
WE'RE FLYING BACK AND FORTH
EVERY OTHER.
WEEK TO END OF SERIES OF STATES.
TO YOU KNOW TO TO VISIT HIM SO I
THINK WHEN IT'S NOT POSSIBLE FOR
FOR CONSUMERS TO STAY IN THE
HOME.
HAVING A ROBUST YOU KNOW SET OF
OF PLACES THAT ARE HUMANE IS SO
CRITICALLY IMPORTANT AND THE
PART ABOUT FOUR POINT PHYSICAL
RESTRAINT.
MY SON WAS IN FOUR POINT HIS
COURSE RIGHT NOT FOR NINE MONTHS
CONTINUOUSLY BUT FOR MANY HOURS
AT A TIME FOR MANY DAYS AT A
TIME IN STANFORD HOSPITAL.
WHICH IS THE ONLY LONG STORY BUT
THAT'S ACTUALLY THE ONLY PLACE
AT THE TIME YOU KNOW WHERE HE
COULD BE SO I THINK THE IDEA.
OF INTEGRATING SORT OF THE
MENTAL UNNECESSARILY AND THAT'S
PARTLY BECAUSE STANFORD HOSPITAL
IS NOT ACTUALLY A PSYCH HOSPITAL
FOR CHILDREN AND SO.
YOU KNOW SO WHEN PEOPLE ARE NOT
TRAINED IN THAT INTEGRATION
DOESN'T HAPPEN.
THAT'S WHEN YOU SEE KIND OF
THESE SORT OF TERRIBLE STORIES
WHICH WE KIND OF WENT THROUGH
WITH OUR SON.
SO I THINK ALL OF THOSE POINTS
THAT WERE MADE IN THE CONTEXT OF
SAFETY NETS HAVING LIVED THROUGH
IT I JUST KIND OF WANT TO PUT A
LITTLE BIT OF SORT OF ACTUAL
HUMAN DIMENSION THERE TO MAKE IT
A LITTLE BIT MORE CONCRETE
BECAUSE THAT WAS OUR LIFE FOR
SEVERAL.
YEARS.
I HAVE BEFORE WE FINALLY FOUND A
WAY --
THANKS TO DDS AND THANKS TO A
REGIONAL CENTER ULTIMATELY TO
KEEP OUR SON AND STATE.
THANK YOU SO MUCH.
THANK YOU MA'AM.
IF YOU CAN GET SOME OF THOSE
BILL LANGUAGE IDEAS. TO US I
THINK THEY'D BE VERY HELPFUL FOR
BUDGET.
TRAILER BILL LANGUAGE
TRANSPARENT I'M WHICH PARTICULAR.
COULD BE BETTER WILL FOLLOW UP
OF THE HOUR'S WE CANNOT BUT WILL
FOLLOW.
SEEING NO FURTHER PUBLIC COMMENT
AT THE TURN THE DEPARTMENT OF
FINANCE IN LA --
FOR YOUR STAMINA.
WITH THAT WE WILL AND TODAY'S
HEARING