THE BUDGET SUB COMMITTEE NUMBER
THREE ON HEALTH AND HUMAN
SERVICES WILL COME TO AN ORDER
GOOD MORNING EVERYONE THE SENATE
CONTINUES TO WELCOME THE PUBLIC
IN PERSON AND VIA TELECONFERENCE
ORVIS FOR PUBLIC COMMENT. FOR
INDIVIDUALS WISHING THAT TO
PROVIDE PUBLIC COMMENT TODAY'S
PARTICIPANT NUMBER IS.
877-226-8160 THREE IN TODAY'S
ACCESS CODE IS. SEVEN THREE SIX
TWO EIGHT THREE FOUR WE'RE
HOLDING TODAY'S COMMITTEE
MEETING HERE IN THE TEN TWENTY
ONE ALL THREE BUILDING I ASKED
THE REST OF THE MEMBERS OF THE
SUBCOMMITTEE TO BE PRESENT HERE
IN ROOM TWELVE HUNDRED SO WE CAN
ESTABLISH OUR QUORUM IN BEGINNER
HEARING. TODAY WE'LL BE HEARING
BUDGET PROPOSALS FROM THREE
DEPARTMENT THE DEPARTMENT EVERY
HABITATION THE STATE COUNCIL ON
DEVELOPMENTAL DISABILITIES AND
THE DEPARTMENT OF DEVELOPMENTAL
DISABILITIES. FOR WE HEAR
PRESENTATIONS ON THESE PURPORT
PROPOSALS. WHEN I BEFORE-
THROUGHOUT THE PRESENTATIONS
WILL HAVE ONE OVERSIGHT HEARING
WHICH I'LL GO MORE INTO IT AS IT
COMES UP IN THE AGENDA. SO TODAY
THE TICKET BECAUSE OFF IS GOING
TO BE AN OVERVIEW ON THE
DEPARTMENT OF REHABILITATION.
AND I WOULD LIKE TO WELCOME THE
PRESENTER.
AS WE'RE WELCOMING THEM I DO
WANT TO KNOW THAT WE HAVE WE
HAVE A MODIFICATION TO THE ORDER
OF THE ISSUES ON THE AGENDA
TODAY. AFTER WE REVIEW ISSUE
THREE UNDER DDS WILL JUMP TO
ISSUES ELEVEN TWELVE AND
THIRTEEN ON THE AGENDA THEN
WE'RE GONNA COME BACK TO ITEM
FIVE. A HUGE THANK YOU TO OUR
ASL INTERPRETER WHO HAS JOINED
US IN WILL BE HERE WITH US TODAY
. AS I MENTIONED WE'RE GOING TO
GO BACK TO THIS FIRST ISSUE ON
THE AGENDA OF THE OVERVIEW OF
DEPARTMENT OF REHABILITATION AND
I WELCOME JOE EXIT THE DO YOU
ARE DIRECTOR RYAN ANDERSON FROM
ALEJO AND KIA CHAU FROM
DEPARTMENT OF FINANCE. PERFECT
WE GET. WELCOME GO AHEAD OKAY
THANK YOU WELL FIRST OF ALL GOOD
MORNING TO YOU GOOD MORNING TO
THE MEMBERS APPRECIATE THE
OPPORTUNITY TO BE HERE AND SHARE
ABOUT OUR PROGRAMS AND SERVICES
. AND OF COURSE TO RESPOND TO
ANY QUESTIONS THAT YOU HAVE- JOE
EXHIBIT TO RECTOR FOR THE
DEPARTMENT OF REHABILITATION I
COME TO THIS ROLE AS A FORMER
CONSUMER OF THE DEPARTMENT OF
REHABILITATION A FORMER BUSINESS
OWNER AND CERTAINLY NOW AN
EXECUTIVE WITH THE DEPARTMENT
FOR. A NUMBER OF YEARS. I ALSO
HAVE WITH ME TODAY- CHIEF DEPUTY
DIRECTOR VICTOR DIWAN WHO WILL.
ALSO BE SHARING SOME INFORMATION
NEXT TOPIC ON THE AGENDA. YOUR
GENDER DOES A REALLY GOOD JOB OF
PROVIDING AN OVERVIEW OF THE
DEPARTMENT AND THE PROGRAMS AND
SERVICES I JUST WILL TAKE A FEW
MINUTES AND HIGHLIGHTS A NUMBER
OF. THE ELEMENTS THAT ARE THERE
FOR THE BENEFIT OF THE MEMBERS.
BUT WE WITH YOU KNOW AS A AS A
WHOLE THE DEPARTMENT OF
REHABILITATION WORKS TO PROVIDE
EMPLOYMENT- AND THE ABILITY FOR
INDIVIDUALS TO LIVE IN THE
COMMUNITY TRUST WHAT PURPOSE AND
DIGNITY. WE WORK WITH A RANGE OF
PARTNERS- TO DO THAT AND WE
SERVE ABOUT A HUNDRED. AND
THIRTY THOUSAND INDIVIDUALS
THROUGH OUR COLLECTIVE
PROGRAMMING. OUR VOCATIONAL
REHABILITATION PROGRAM. PROVIDE
SERVICES TO INDIVIDUALS WITH ALL
DISABILITIES SINCE THREE FISCAL-
COGNITIVE DISABILITIES LEARNING
DISABILITIES SEPARATE SEVERAL. I
THINK ONE OF THE THINGS THAT'S
REALLY IMPORTANT TO KEEP IN MIND
ABOUT OUR DEPARTMENT IN THE
SERVICES THAT WE PROVIDE. YES
WHO IS TOMORROW. CONCERT WHO IS
THE END THAT COMES TO WATER
DOORS FOR SERVICES TOMORROW.
WELL IT'S THAT THAT INVENTED
WILL BE BORN TODAY- WITH THE
MOST SIGNIFICANT DISABILITY THEY
CAN LARGELY LIVE A LIFE OF
LITTLE TO NO EXPECTATION OF
GETTING EMPLOYMENT. IT'S THAT
INDIVIDUAL WHO'S GOING HOME
TONIGHT. HER REGRET FOR USE IN
THE SEVERE VEHICLE ACCIDENT TO
TOMORROW MORNING IS A
QUADRIPLEGIC. OR THAT INDIVIDUAL
INJURED IN SERVICE TO COMMUNITY
TO A COUNTRY THAT THE CHOIRS A
DISABILITY. AND THEN OF COURSE
THE INDIVIDUAL THE BECAUSE OF
ILLNESS CAN LOSE THEIR SIDE TO
LOSE THE LAMB HOW THE- CONDITION
THAT THANK YOU BRINGS A
DISABILITY TO THEM. AND THE
OTHER PERSON THAT I REALLY WANT
TO LIFT UP IN THIS CONVERSATION
IS THE INDIVIDUALS THAT ARE
LIVING WITH HIDDEN DISABILITIES
THAT ARE OFTEN HIDDEN IN THE
SHADOWS. AND THEY WILL AT TIMES
COME TO US- FOR SERVICES IN
CERTAIN VERY IMPORTANT
POPULATION WILL. CONTINUE TO
LIFT UP. EACH OF THESE. WILL
HAVE A VERY DIFFERENT PATH OF
HOW THEY GET TO US BUT THEY ALL
ARE SO. THE SAME. TO THE
OPPORTUNITY TO BECOME EMPLOYED
IT'S OPPORTUNITY TO BE- ACCEPTED
IN SOCIETY TO CONTRIBUTE TO
COMMUNITY AND TO BE GAINFULLY
EMPLOYED. AND ONE OF THE THINGS
THAT WE WILL SAY WITH THE ONLY
IS THAT WE LEAVE NO ONE BEHIND.
THERE IS EMPLOYMENT THE RESULT
PATERNITY THERE IS INDEPENDENT
LIVING FOR EVERYONE. WANT TO
TALK A LITTLE BIT ABOUT EMPLOYEE
- EMPLOYMENT IS PREVENTION.
EMPLOYMENT IS INTERVENTION AND
APPOINTMENT IS RECOVERY FOR
INDIVIDUALS MIGHT. IMPLEMENT
CREATES A SENSE OF BELONGING OF
. FEELING VALUED OF
CONTRIBUTING. AND EMPLOYMENT
PROVIDES SOCIAL CONNECTIVITY FOR
FOLKS. ONE OF THE THINGS THAT WE
ARE CONTINUALLY- LEARNING AND
EXERCISING MORE AND MORE IS THAT
EMPLOYMENT IS A SOCIAL
DETERMINANTS OF HEALTH PEOPLE
THAT HAVE JOBS ARE IN MUCH
BETTER CIRCUMSTANCES AND PEOPLE
TO COME TO THEIR HEALTH. AND
ACCESS TO HEALTH CARE
OPPORTUNITIES. WHEN WE THINK OF
EMPLOYMENT THERE'S THREE
ESSENTIAL PHASES. THAT I WILL
LIFT UP ONE FROM BIRTH STARTING
WITH THE EXPECTATION AND THE
BELIEF THAT THE INDIVIDUAL WITH
THE MOST SIGNIFICANT DISABILITY
SUCH AS AS MY OWN SELF WILL HAVE
THAT OPPORTUNITY TO BECOME TRULY
GAINFULLY EMPLOYED. IT'S
IMPORTANT BECAUSE IT STARTS THE
DEVELOPMENT OF THE INDIVIDUAL.
TO TRULY BE ABLE TO GET TO AND
SUSTAIN EMPLOYMENT. THERE'S THE
WHAT WE CALL THE TRANSITION H.
THERE'S THAT. GIRL AT THE
ADOLESCENTS THE TEENAGER THE
YOUNG ADULT DEVELOPING THE HARD-
AND REFINING THIS DOG'S SOFT
SKILLS THAT WILL ENSURE ENABLE
THEM TO BE EMPLOYED BUT AT THE
END OF THAT THERE'S THE HIRING
MANAGER. BECAUSE WITHOUT THAT
JOB HIGHER THERE IS NO
APPOINTMENT. WHEN WE TALK ABOUT
OUR SERVICE. EACH EXPERTS THE
SAME JUST THE DIFFERENTLY AND
THEREFORE WE INDIVIDUALIZE THE
SERVICES THAT WE PROVIDE TO THE
INDIVIDUAL WHERE THEY ARE WHEN
THEY COME FOR SERVICES WE
COLLECTIVELY DEVELOPED THE PLAN
THE GETS THE INDIVIDUAL INTO THE
COMPETITIVE INTEGRATED
EMPLOYMENT. AND AS SUCH THE PAST
THE DURATION THE COMPLEXITY
TRAVEL IS GONNA BE DIFFERENT FOR
EVERY INDIVIDUAL AS AN EXAMPLE
THINK OF THE INDIVIDUAL IT AT
INTEL THAT LOSES THEIR JOB.
VERSUS THE INDIVIDUAL WHO
BECOMES A QUADRIPLEGIC TOMORROW
MORNING. THAT PATH IS GOING TO
LOOK VERY DIFFERENT IN TERMS OF
GETTING TO EMPLOYMENT. THE
SERVICES THAT WE PROVIDE IS LIKE
MENTION OR TO GAIN EMPLOYMENT TO
RETAIN EMPLOYMENT AND TO ADVANCE
IN EMPLOYMENT. WE SERVE WITHIN
EMPLOYMENT SERVICES ABOUT A
HUNDRED THOUSAND INDIVIDUALS AND
ANNUALLY AT THE OUTSIDE OF THE
OF THE PANDEMIC YEARS ABOUT TEN
THOUSAND INDIVIDUALS GO TO WORK
EACH YEAR. DELIVER OUR SERVICES
THROUGH FOURTEEN OFFICES OR
FOURTEEN REGIONS ACROSS THE
STATE OF CALIFORNIA. WE HAVE AS
ONE OF OUR SERVICES SERVICES TO
STUDENTS BEGINNING AT THE AGE OF
SIXTEEN WHICH IS REALLY
INTRODUCING THEM INTO EMPLOYMENT
AND TO REALLY START TO ADVANCE-
THEIR HARD AND SOFT SKILLS WHICH
ENABLES THEM. TO GET INTO AND
KEEP EMPLOYMENT. ALL OF THE WORK
THAT WE DO IS FOCUSED ON
COMPETITIVE INTEGRATED
EMPLOYMENT. SO LET ME TALK VERY
BRIEFLY ABOUT OUR INDEPENDENT
LIVING PROGRAMS. THE SERVICES
PROVIDED ADVANCE THE OLMSTEAD
DECISION ENABLING INDIVIDUALS TO
LIVE IN THE COMMUNITY OF CHOICE
WHAT PURPOSE AND DIGNITY IN THE
LEAST RESTRICTIVE SETTING. THE
SERVICES SUPPORT DIVERSIONS FROM
INDIVIDUALS BECOME
INSTITUTIONALIZED THEY
FACILITATE THE TRANSITION OF
THOSE INDIVIDUALS WHO ARE
INSTITUTIONALIZED AND TO THE
COMMUNITY. WE DO THAT THROUGH A
NUMBER OF PROGRAMS WE HAVE
TWENTY EIGHT INDEPENDENT LIVING
CENTERS WITH SOME SIXTY
LOCATIONS. SERVING ABOUT THREE.
TWENTY SIX. JUST ME TWENTY SIX
THOUSAND SEVEN INDIVIDUALS WE
HAVE A TRAUMATIC BRAIN INJURY
PROGRAM THAT IS SERVING-
INDIVIDUALS THROUGH SOME TWELVE
DIFFERENT SITES BECAUSE OF THE
EXPANSION. AND THEN WE HAVE OUR
OLDER INDIVIDUALS WHO ARE BLIND
PROGRAM SERVING INDIVIDUALS OVER
THE AGE OF FIFTY FIVE WITH-
INDEPENDENT LIVING SKILLS SKILLS
OF CATEGORY TO THE CATEGORICAL
TO THAT POPULATION ABOUT FOUR
THOUSAND SIX HUNDRED INDIVIDUALS
ARE SERVED THERE. SO ADORES IT A
NUMBER OF QUESTIONS THAT WE WERE
ASKED TO SPEAK TO I DIDN'T STOP
HERE OR CONTINUE WITH THOSE.
PLEASE CONTINUE OKAY THANK YOU.
SO WE WERE ASKED TO PROVIDE. AN
UPDATE ON THE- INTEGRATING. TO
RECOVERY PROGRAM SO IT IS A
PILOT PROGRAM THE RESPONSE TO
THE OPIOID CRISIS- IT
ESSENTIALLY- PROVIDES TREATMENT
OR TRAINING TO THE WORLD
SUBSTANCE USE DISORDER WERE
FORCED TO REALLY START TO IN BED
THE IDEA OF EMPLOYMENT AND
TREATMENT RUNNING CONCURRENTLY
WITH EACH OTHER. AND IT HELPS
THE WORKFORCE UNDERSTAND WHAT
THE VOCATIONAL REHABILITATION
RESOURCES ARE ARE AVAILABLE TO
THE POPULATION. THIS ALSO WILL
EMBED VIEW ORIGINAL
REHABILITATION STAFF IN FOUR
PILOT SITES SO THAT WE CAN
ENGAGE IN THAT EMPLOYMENT- AND
TREATMENT CONCURRENTLY. WE ARE
WORKING WITH- THE PROGRAM EXECS
ACROSS THE STATE TO IDENTIFY THE
FOUR PILOT SITES WERE BEGINNING
TO- EMBARKING ON THE DEVELOPMENT
OF THE CURRICULUM FOR TRAINING
OF THE WORKFORCE. AND WE ARE
MAKING AN ADJUSTMENT OF OPENING
A COMBINING TWO PHASES- WE WERE
INITIALLY GOING TO DO STAND UP
TO PIRATES AND THEN THE SECOND
TWO- WE'RE GOING TO COMBINE
THOSE TWO- AND THEN- ALL THOSE
ARE AT THE SAME TIME AND IN THE
CASE OF COMING NEAR FUTURE. SO I
ALSO WAS A TO SPEAK ABOUT THE
COMMUNITY LOVING FUN AND THE
COMMUNITY LIVING FUND IS A ONE
TIME TEN MILLION DOLLAR AWARD
WHICH IS TO REALLY HELP ADVANCE
THE MASTER PLAN ON AGING- IT IS
FOR. UM SERVICES TO INDIVIDUALS
OF ALL AGES- WITH ALL
DISABILITIES. TO TRANSITION OUT
OF INSTITUTIONS- OR KEEP FROM
GOING INSTITUTIONS WHERE THEY'RE
NOT ELIGIBLE FOR OTHER SERVICES.
OUR GOAL IS TO SERVE THIRTEEN
HUNDRED PLUS INDIVIDUALS AND WE
HAVE AWARDED GRANTS TO TWENTY
EIGHT- COMMUNITIES COVERING
FORTY OR TWENTY WAIT TWENTY
EIGHT ORGANIZATIONS COVERING
FORTY ONE COUNTIES. WERE
TARGETING OUTRAGE TO THOSE
COUNTIES THAT DON'T HAVE
SERVICES. AND THEN WE ARE ALSO-
PROVIDING- SERVICES LIKE
PAYROLL- COACHING- AND- OTHER
SERVICES THAT WE CAN DO REMOTELY
STATEWIDE LEVEL. WE ALSO WILL BE
PROVIDING SOME TRAINING AND
TECHNICAL ASSISTANCE TO THE
TWENTY EIGHT THEM COMMUNITY
BASED ORGANIZATIONS IN THE
COMING WEEKS. THE NEXT ITEM WAS
TO TALK ABOUT THE EXPANSION OF
THE H. CBS TBI- PROGRAM. SO WE
HAVE MADE AWARDS OF FROM THAT
EXPANSION TO TWELVE AGENCIES WE
ARE NOW SERVING THIRTY FIVE OF
THE FIFTY EIGHT COUNTIES WITH
THE SERVICES. VIRTUAL SERVICES
ARE ALSO AVAILABLE FOR PEER
SUPPORT AND COMMUNITY
INTEGRATION BEYOND THOSE
COUNTIES. WE ARE CLOSELY
MONITORING THE EXPENDITURES- AS
OF MARCH WE HAVE SEVEN SEVEN
THOUSAND FIVE HUNDRED OF
EXPENDITURES THAT ARE
MATERIALIZE AND- WE EXPECTED IN
THE ROLE LIVING REMAINING ELEVEN
MONTHS WE'RE GOING TO HAVE AN
EXPANSION. OF- THE EXPENDITURES
AND WE ARE- COUNTY NISHIDA
MONTHLY AUDITING AND MONITORING
TO PROVIDE TARGETED TECHNICAL
ASSISTANCE TO THE ORGANIZATIONS
SO THAT WE CAN ENSURE THAT WERE
FULLY EXPANDING THESE FUNDS AND
THEN OF COURSE WE ALSO HAVE A
CONTINGENCY PLAN TO RE DIRECTS
FUNDS AS NEEDED TO INSURE THAT
WERE FULLY EXPANDING THOSE FUNDS
BY THE END. OF THE TIMELINE. SO
I WILL START THERE AND GLAD TO
TAKE UP ANY QUESTIONS HAVE.
THANK YOU SO MUCH- DIRECTOR X.
SAVIOR- I'D LIKE TO MY FIRST
QUESTION IS REGARDING THE MOST
THE LAST PART YOU MENTION
REGARDING THE H. CBS FUND DEAN.
AND YOU MENTIONED THE
REDIRECTING THE FUNDING IS THERE
ANY IDEA WHERE YOU COULD BE
WOULD POTENTIALLY WOULD DIRECT
THOSE FUNDS TO AND THE SECOND
PART TO THAT IS- ELEVEN MONTHS I
MEAN WE HAVE TO EXPENDED BY.
DECEMBER WE'RE GETTING CLOSER
AND CLOSER TO THAT IN THE LAST
REPORT IN. SEPTEMBER OF TWENTY
TWENTY TWO YOU HAVE THE
DEPARTMENT HAVE ONLY EXPANDED
ABOUT TWO HUNDRED TO FIVE
HUNDRED THOUSAND OVER THE FIVE
MILLION Q. TOUCH A LITTLE BIT
MORE ON. THE PLAN TO SPEND THE
REST OF THE SO THE- THE
EXPENDITURES ARE NOW UP TO SEVEN
HUNDRED THOUSAND AND YES WE ARE
VERY MUCH AWARE THAT WE NEED TO
MAKE SURE THAT WHATEVER I'M
DOING THIS IN A VERY SHORT
WINDOW. SO AS I MENTIONED ONE OF
THE THINGS THAT WERE VERY
ACTIVELY DOING IS ENGAGING THE
EXISTING TWELVE PROVIDERS- AND
PROVIDING THEM WITH ALL OF THE
ASSISTANCE THEY NEED TO MAKE
SURE THEY CAN SPEND THOSE FUNDS.
WHERE A NETWORK AND IS MADE HAVE
THAT CAPACITY MAY NOT BE ABLE TO
MEET THAT TIMELINE THAT'S WHAT
WE WILL BE ABLE TO TAKE SOME OF
THOSE DOLLARS. AND REDIRECT THEM
TO OTHER. ENTITIES THAT YOU KNOW
HOW THAT CAPACITY WILL BE ABLE
TO EXPAND THAT- WE HAVE UNTIL.
JANUARY TO MAKE SURE THAT THAT
IS HAPPENING. YES FOR WORKING ON
TIGHT TIMELINES BUT WE DO
BELIEVE WILL BE ABLE TO FULLY
EXPAND THESE FUNDS AND IN THAT
WINDOW OF TIME. THANK YOU STAND
ON THIS TOPIC FOR YOU TALK TO ME
REGARDING YOU KNOW HOW THE
FUNDING FOR THESE. PROGRAMS ARE
ADDRESSING THE UNMET NEEDS TO
THE CURRENT TV I SERVICES. HOW
DO YOU ARE YOU KNOW HOW ARE YOU
ASSESSING THE STATEWIDE NEED FOR
THIS PROGRAM. SO ONE OF THOSE
GRANTS THAT WE RECEIVED- A
NUMBER OF YEARS AGO IS FOR THE
TRAUMATIC BRAIN INJURY- BOARD
THAT IS DOING SOME WORK WITH US
ON THAT FRONT. WE'VE CONDUCTED
A- SURVEY OF THE COMMUNITY TO
HELP IDENTIFY WHAT THOSE NEEDS
ARE- AND SO. THAT'S PART OF
WHERE WE'RE IDENTIFYING WHERE
THOSE UNMET NEEDS COME FROM. AND
I ALSO WITH THE INVITE VICTORY
THING YOU WOULD ADD TO. THIS
YOU'RE A LITTLE CLOSER TO THAT
SURE HAPPY TO DO SO- THANK YOU
FOR THE QUESTION AND- IT IT'S A-
MULTI FACETED ISSUE THAT WE'VE
BEEN HEARING FROM A COUPLE OF
DIFFERENT RATHER START NEW
MEMBER Q. I THINK AN IMPORTANT.
VICTOR DERON CHIEF DEPUTY
DIRECTOR FOR THE DEPARTMENT OF
REHABILITATION- HI JENNIFER THE
NEED FOR SURVIVE OF TRAUMATIC
BRAIN INJURY IS A TRICKY
CHALLENGE THAT THE- OUR PARTNERS
ACROSS THE NATION HAVE BEEN
WORKING ON AND ONE OF THE
GRANTS. THROUGH THE
ADMINISTRATION FOR COMMUNITY
LIVING HAS ALLOWED US TO STAND
UP AND ADVISORY BODY THAT
INCLUDES INDIVIDUALS WITH LIVED
EXPERIENCE ONE OF THE SUB
COMMITTEE HAS BEEN WORKING ON.
ASSESSING NEED AND NEED CAN COME
IN A LOT OF DIFFERENT FORMS
THERE'S- HOW DOES A TBI'S
SYMPTOMS PRESENTED A PRESENT IN
A WAY THAT SEEMS LIKE A- CO
OCCURRENCE OF A DIFFERENT
CONDITION. IS THE CURRENT TO
ACCESS TO THE HEALTH CARE- THAT
THE INDIVIDUAL HAS ADEQUATE TO
MEET THEIR NEEDS OR DO THEY FALL
THROUGH THE GAPS. AND SO A
COUPLE OF INITIATIVES THAT WE'VE
LAUNCHED USING THE FEDERAL GRANT
FUNDING THAT WE'VE RECEIVED IS-
BOTH A- QUALITATIVE SURVEY TO.
GET A SENSE OF SOME OF THE
NEEDS- THAT SURVIVORS AND LOVED
ONES OF SURVIVORS AND PROVIDERS
TO SURVIVORS HAVE- ARTICULATED-
AND THEN WE'RE CONTINUING TO
WORK ON HOW TO FIGURE OUT WHAT
IS THE- UNIVERSE OF PEOPLE. WHO
HAVE A TRAUMATIC BRAIN INJURY.
AND THEN WITHIN THAT UNIVERSE OF
PEOPLE WHO ARE THE FOLKS WHO
NEED SERVICES BECAUSE THEY ARE
FALLING THROUGH THE GAPS. SO TO
ADDRESS YOUR POINT ABOUT HOW ARE
THESE FUNDS IN PARTICULAR
SUPPORTING THAT- IT THAT AREA
GIVEN THAT THESE ARE ONE TIME
DOLLARS. WE'RE WORKING VERY
CLOSELY WITH OUR GRANTEES TO
ENSURE THAT THE FOCUS OF THESE
RESOURCES IS AROUND CAPACITY
BUILDING RECOGNIZING THAT WHEN
THESE FUNDS ARE OVER. THOSE
ENTITIES THAT RECEIVE THE
DOLLARS THE FUNDING GOES AWAY
BUT THOSE ENTITIES DOWNTURN THEY
AND THEIR STAFF AND- THE
SERVICES THAT THEY PROVIDE WILL
CONTINUE THROUGH THEIR OTHER
RESOURCES. SO HOW WILL THEY
LEVERAGE THESE DOLLARS SO THAT
ONCE THEY'RE OVER THEY HAVE
INCREASED THEIR CAPACITY THROUGH
TRAINING THROUGH ON BOARDING OF
ADDITIONAL STAFF THROUGH
ACQUIRING. THINGS LIKE ASSISTIVE
TECHNOLOGY THAT MAY NOT
OTHERWISE HAVE- AND THROUGH YOU
KNOW BROADLY ESTABLISHING-
THINGS LIKE- LIKE. PEER
RESOURCES- SUPPORT GROUPS THINGS
THAT CAN BE ESTABLISHED AND
STOOD UP WITH A ONE TIME FUNDING
THEN CAN. ON WHERE. SO THOSE ARE
SOME OF THE THAT WE'RE LOOKING
CLOSELY AT. ARE YOU ABLE TO SURE
DO YOU HAVE ANY TÍNH HIGHLIGHTS
FROM THE QUALITATIVE SURVEY ANY
COMMON THEMES THAT CAME OUT OF
THAT. THERE'S A FEW THAT CAME
OUT OF THAT AND WE'RE HAPPY TO
PROVIDE ADDITIONAL INFORMATION
OFFLINE AT ONCE BECAUSE- IT'S A
LOT MORE ABOUT THAN I PROBABLY
HALF OFF THE TOP OF MY HEAD. BUT
OF COURSE A FEW OF THE THINGS
THAT COMMON THINGS THAT OCCURRED
THAT CAME UP OUR- OFTEN TIMES.
THE SPECIFIC NEEDS OF THE
INDIVIDUAL. FALLS IN BETWEEN
GAPS OF THE DIFFERENCE OF WHAT
THE DIFFERENT SYSTEMS SERVE
BECAUSE IT'S NOT EXACTLY A
BEHAVIORAL HEALTH. SOMETIMES IT
CAN BE A CO OCCURRENCE WITH THE
BEHAVIORAL HEALTH CONDITION. FOR
EXAMPLE. A VETERAN WHO ACQUIRES
A BRAIN INJURY AND COMES BACK-
IN IN RE INTEGRATE INTO THE
COMMUNITY- THERE THE SYMPTOMS OF
AN UNDIAGNOSED TRAUMATIC BRAIN
INJURY. MAY PRESENT VERY
SIMILARLY TO THE SYMPTOMS OF
POSTTRAUMATIC STRESS SYNDROME.
HOWEVER THE STRATEGIES TO
EFFECTIVELY TREAT PTSD VERSUS
SIMILAR SYMPTOMS THAT ARE THE
RESULT OF AN ACQUIRED BRAIN
INJURY. MIGHT BE VERY DIFFERENT
SO MISDIAGNOSIS CO DIAGNOSIS AND
RAVELING THAT IS ONE ISSUE. THE
OTHER ISSUE THAT CAME UP IS CARE
GIVER SUPPORT. SO MY LOVED ONE-
GOT INTO A CAR ACCIDENT OR TOOK
A SPILL. AND OR MY AGING PARENTS
TOOK A SPILL RIGHT. AND THEY'RE
STARTING TO PRESENT SYMPTOMS- IS
THAT A TRAUMATIC BRAIN INJURY OR
IS A DEMENTIA HOW DO I UNRAVEL
THAT CO DIAGNOSIS MISDIAGNOSIS
AND THEN AS A CARE GIVER HOW DO
I GET SUPPORT. RIGHT SO I CAN
CONTINUE TO PROVIDE FOR THE
NEEDS OF MY LOVED ONE BUT ALSO
GET SOME KIND OF- EDUCATION
AWARENESS UNDERSTANDING OF HOW
BEST TO DO THAT. THANK YOU
CENTER AND MANY QUESTIONS. GREAT
WELL I REALLY THINK THE- PEOPLE
ARE THANK YOU. FOR THE OVERVIEW
WILL NOW MOVE ON TO THE STATE
COUNCIL ON DEVELOPMENTAL
DISABILITIES I WILL ASK THAT YOU
ARE TO REMAIN AVAILABLE FOR THIS
DISCUSSION. AND FOR THE
DEPARTMENT OF DEVELOPMENTAL
SERVICES TO ALSO JOIN.
TRINA'S HERE TODAY IS AARON
CRUNCHERS. I TONIGHT THERE'S
ANYONE ELSE HERE ERIN GREAT.
FORTY MANAGED HEARING CARRUTHERS
I AM. I ANSWERED HOW IF YOU'D
LIKE TO SAY- I AM THE CHILD OF
PARENTS WITH DEVELOPMENTAL AND
OTHER DISABILITIES I'M A PERSON
DISABILITIES MYSELF IN THE
PARENT OF A YOUNG MAN WITH
DISABILITIES. I'M ALSO THE
EXECUTIVE DIRECTOR OF CALIFORNIA
STATE COUNCIL ON DEVELOPMENTAL
DISABILITIES. THE STATE COUNCIL
ON DEVELOPMENTAL DISABILITIES
EXISTING FEDERAL AND STATE LAW
WERE FULLY FUNDED BY CONGRESS
FOR THE ADVOCACY WORK THAT WE DO
WE ARE A STATE DEPARTMENT BUT
WERE INDEPENDENT OF ANY OTHER
DEPARTMENT OR AGENCY.
ADMINISTRATIVELY REPORTING TO
THE GOVERNOR. THE COUNCIL ITSELF
IS THIRTY ONE GOVERNOR'S
APPOINTEES WHO ARE THIRD PEOPLE
WITH DEVELOPMENTAL DISABILITIES
A THIRD. IN SOME FAMILY MEMBERS
AND THE THIRD AGENCY
REPRESENTATIVES- NUMBER OF THEM
ARE- MY COUNCIL MEMBERS AND
MEMBERS ON THIS PANEL TODAY. HOW
WE DO OUR WORK IS BY ASKING THE
COMMUNITY WHAT IS IT THAT'S A
PRIORITY TO THEM EVERY FIVE
YEARS WE PUT OUT A SURVEY AND
BECAUSE THE SERVER WE'VE
ACTUALLY BEEN ABLE TO SEE IT
THAT REALLY A SEISMIC
GENERATIONAL CHANGE IN WHAT
PEOPLE WANT- TEN YEARS AGO WHEN
TWENTY TWENTY ONE OR TWENTY
ELEVEN IT USED TO BE THAT PEOPLE
WOULD SAY. WHEN SHOULD WE WANT
TO GET OUR BENEFITS EVERYONE
SHOULD HELP US KEEP OUR BENEFITS
AND THAT REALLY WAS THE ANSWER
FOR MANY GENERATIONS AND DECADES
BEFORE WITHIN TWENTY SIXTEEN
SOMETHING INTERESTING HAPPENED
WHERE WE SAW THE ANSWER OF
EMPLOYMENT JUMP TO THE NUMBER
ONE ANSWER I WON EMPLOYMENT. WE
REPEATED THIS- SURVEY IN TWENTY
TWENTY ONE WE GOT- EMPLOYMENT
HOUSING EDUCATION REALLY THE
ANSWER WAS I WANT A FULL WELL
ROUNDED LIFE. WITH THE TRIBUTE
THIS CHANGE TO THE- INTEGRATION
GENERATION SO AS PEOPLE AND
CHILDREN- INTEGRATED IN SCHOOLS-
THEY HAVE DIFFERENT EXPECTATIONS
FOR THEMSELVES. AND OF THOSE
AROUND THEM- THAT GENERATION IS
NOW IN THEIR EARLY TWENTIES.
EARLY TWENTIES- THEY'RE HAVING
CHILDREN OF THEIR OWN SO THEY
HAVE DIFFERENT EXPECTATIONS FOR
THEMSELVES. AND FOR THEIR OWN
CHILDREN WHO MAY HAVE
DISABILITIES. FROM THAT WE
WORKED IN A POLICY IN TWENTY
FOURTEEN THAT THE LEGISLATURE
ADOPTED GOVERNOR SIGNED TO MAKE
CALIFORNIA EMPLOYMENT FIRST
POLICY THIS IS. AN ASPIRATIONAL
POLICY BUT IMPORTANT ONE THAT
STATES. WE BEGIN BY BELIEVING
EVERYBODY WANTS TO AND CAN WORK
SO APPRECIATE ALL OF THE WORK
THAT OTHER DEPARTMENTS HERE I
HAVE DONE TOWARD THAT POLICY.
AND APPRECIATE- MADAM CHAIR FOR
AGENDA USING. THIS IMPORTANT
TOPIC OF PHASING OUT SEVEN WAGE.
IN MOVING CALIFORNIA FORWARD AN
EMPLOYMENT WE NEED TO PROMOTE
GOOD PRACTICES AND- ELIMINATE
HARMFUL PRACTICES AND SET
MINIMUM WAGE IS A PRACTICE FROM
WORLD WAR TWO THAT REALLY WAS
THE BEST. MOST ENLIGHTENED IDEA
THAT WE COULD DO AT THAT TIME
BUT WE ARE NOW DIFFERENT FAST
AND LIGHTENED MINES AND HAVE
DIFFERENT VIEWS OF WHAT CAN BE
ACCOMPLISHED SO. WE'RE IN THE
PROCESS AND IN TWENTY TWENTY ONE
SENATOR TO RAZA THANK YOU TO HER
LEADERSHIP AUTHORED LEGISLATION
TO IN THE PRACTICE OF SEVEN
WAGING CALIFORNIA- IT'S REALLY
BOTH A CIVIL RIGHTS ISSUE. AND A
LABOR ISSUE AND WE THINK- THE
SENATOR THE LEGISLATION THE
GOVERNOR AND ADMINISTRATION FOR
THEIR DEEP COMMITMENT TO THE
POLICY THAT WERE IN THE FUN PART
HOW DO WE MAKE. IT ACTUALLY
HAPPENED. SO THE FACE OUT ITS
HAS SOME DATES IN STATUTE ONE OF
THE DATES IS IN TWENTY JANUARY
TWENTY TWO TWO THEY'LL BE NO
MORE FOURTEEN CERTIFICATES
ISSUED. JANUARY TWENTY THREE
WITH THE STATE COUNCIL TO ISSUE
A TRANSITION PLAN WHICH WE DID
IN JANUARY TWENTY TWENTY FIVE
AND NO ONE WITH DEVELOPING A
DISABILITIES CAN BE PAID LESS
THAN SEVEN WAGE. THAT'S WHAT'S
IN THE LAW BUT NOW LET'S TALK
ABOUT THE PLAN WHICH GOES TO THE
CORE OF YOUR QUESTIONS MADAM
CHAIR. THE SPECIFICS OF THE PLAN
WE CREATED A PLAN THAT WAS THE
PRODUCT OF. NATIONAL STATEWIDE
SUBJECT MATTER EXPERTISE
INCLUDED AS AN OPEN TRANSPARENT
PLAN PROCESS THAT INCLUDED THE
VOICES OF PROVIDERS. FAMILY
MEMBERS AND MOST IMPORTANTLY
PEOPLE WITH DEVELOPMENTAL
DISABILITIES. INTO WHAT IS THEIR
BEST THINKING WE- WE CREATE THIS
PLAN BUT WE- AND PRESENT THE
PLAN TO THE DEPARTMENTS INTO THE
MINISTRATION- BUT IT REALLY IS
UP TO THE DEPARTMENTS AND
ADMINISTRATION TO DECIDE ON THE
BEST PATH AND BEST PLAN FOR
THEMSELVES. WE ADVISE THAT THEY
DECIDE NAY CARRY OUT SO MY
RECOMMENDATIONS WHEN I'LL TALK
ABOUT NOW. ARE THE
RECOMMENDATIONS AND THE
ADVISEMENT FROM THE PEOPLE. CAME
TOGETHER TO CREATE THIS PLAN.
THE PLAY IS LOOKING AT WHAT WHAT
WHAT DO WE HAVE AT OUR DISPOSAL
TO MOVE PEOPLE OUT OF SEVEN WAGE
AND WIN- SO TIMELINES. AND
LOOKING AT THAT. SOME OF THE
TIME LINES ARE MOVING PRETTY
QUICKLY BECAUSE IT'S A TWO. YEAR
PHASE OUT PLAN. IN APRIL TWENTY
TWENTY THREE- WE RECOMMEND THAT
THERE IS AN INTERNAL ANALYSIS BY
THE DEPARTMENTS AND AGENCIES TO
LOOK AT. CURRENT RATE
STRUCTURES- TO DECIDE WHICH
REGION'S STRUCTURES WERE
ACTUALLY FACILITATE MOVEMENT
TOWARD THE GOALS THAT SENATE
BILL SIX THREE NINE. THE NEXT
ONE ALSO IN APRIL TWENTY TWENTY
THREE IS THAT THE DEPARTMENTS
SHOULD DEVELOP THEIR OWN
INTERNAL TRANSITION PLAN LOOKING
AT THEIR RESOURCES THE
RECOMMENDATIONS IN THE PLAN.
WHAT THEY ACTUALLY DO TO CARRY
IT OUT ALSO APRIL TWENTY TWENTY
THREE IS COMMUNICATION PLAN
SHOULD BE FORMALIZED SO THERE'S
COMMUNICATION FOR PEOPLE WHO ARE
BEING IMPACTED BY THIS UPCOMING
CHANGE. TWO RECOMMENDATIONS BY
JUNE OF TWENTY TWENTY THREE ONE
IS TO FORM A COMMUNITY OF
PRACTICE OF SMART MINES
EXPERTISE- TO AID IN GUIDE THE
STATE IS A MOVE. ALSO JUNE
TWENTY TWENTY THREE DEVELOP A
MODEL EMPLOYMENT SERVICE
CONTRACT THAT CAN BE USED. IN
JULY OF TWENTY TWENTY THREE. A
LOOK AT THOSE SITES THAT HAVE
ADOPTED EARLY YOU KNOW WHEN
THERE'S EVER CHANGE WE ALWAYS
KNOW THAT THERE'S SOME EARLY
ADOPTERS THE MIDDLE ADOPTERS AND
SOME STRAGGLERS. LET'S LEARN
FROM THOSE WHO ARE MOVING
ALREADY AND- I THINK WE ALREADY
SEEING THAT THE NUMBERS ARE
CHANGING AS THE COMMITTEE
ANALYSIS SHOWS. FROM THE SIX
THOUSAND THAT WE KNEW OF AT THE
TIME OF WRITING AND PUBLISHING
REPORT- TO LESS THAN SIX
THOUSAND NOW SO THERE'S ALREADY
MOVEMENT THERE'S ALREADY
CHANGED. PEOPLE ARE COMPLYING
WITH THIS- THIS LAW. A QUICKLY
LET'S LEARN FROM THOSE WHO DOING
IT EARLY. SEPTEMBER OF TWENTY
TWENTY THREE ESTABLISH A
CENTRALIZED DATA COLLECTION
SYSTEM- THAT. WE KNOW WHO THE
PEOPLE ARE BUT THE WAY THAT THE
DATA WORKS- I BELIEVE IS AN
INFORMAL WAY TO COLLECT DATA.
SOMETIMES WE LOOK TO THE FORMAL
DATA COLLECTION SYSTEMS- HOWEVER
WE DO IT WE NEED TO KNOW WHO
PEOPLE ARE AND WHERE THEY'RE
MOVING BECAUSE THE STATUTE.
CURRENTLY MANDATES. REPORTING ON
WHAT HAPPENS TO PEOPLE WHO ARE
IN SELF IN SEVEN WAGE. BY
JANUARY TWENTY TWENTY FOUR WE
RECOMMEND IF THERE'S SIX
THOUSAND PEOPLE IN JANUARY
TWENTY TWENTY THREE. A YEAR
LATER THERE SHOULD BE HALF. THAT
WAY BY JANUARY TWENTY TWENTY
FIVE THE B. ZERO PEOPLE LEFT IN
SOME MINIMUM WAGE- ADDITIONALLY
RECOMMENDS THAT THERE SHOULD BE
A GOAL THAT COMPETITIVE
INTEGRATED EMPLOYMENT. A MINIMUM
OF TWENTY HOURS IS THE GOAL. OF
ANYBODY WHO SERVED IN THE
SYSTEM. JANUARY TWENTY TWENTY
FIVE- EVERYBODY WHO'S WORKING IN
THIS SHOULD BE CERTIFIED UNDER A
NATIONAL STANDARD FOR
EMPLOYMENT. AND OF COURSE
JANUARY TWENTY TWENTY FIVE THE
LAW SAYS THIS PROGRAM IS AND
NOBODY ELSE CAN BE PAID. UNDER
SUB MINIMUM WAGE SO THOSE ARE
BENCHMARKS WE HAVE IN ADDITION
TO THE BENCHMARK SOME
RECOMMENDATIONS TO ACCOMPLISH-
THE GOAL IN THE PLAN PART OF
THAT IS COORDINATION AMONG.
AGENCIES AND DEPARTMENTS THE
ANALYSIS IN THE DIP IN THE
DEPARTMENTS AND CELLS WILL TALK
ABOUT OVER THERE THERE'S MANY
MANY PROGRAMS. THAT ARE UNDER
WAY AND IT WILL BENEFIT AND MOVE
PEOPLE IT'S A MATTER OF
COORDINATION OF THOSE PROGRAMS
THAT I THINK WOULD BE HELPFUL
SO. OUR NUMBER ONE PRIORITY IS A
RECOMMENDATION TO CREATE AND
IMPLEMENT FIRST OFFICE WITHIN
THE HEALTH AND HUMAN SERVICES
AGENCY. THAT WOULD HAVE THE
ABILITY TO COORDINATE THE MANY
MANY PROGRAMS MAKE SURE THEY'RE
BEING MAXIMIZED. FULLY USED
LEVERAGE TO WITH EACH OTHER FOR
THE BEST OUTCOMES ADDITIONALLY
THIS OFFICE WOULD HAVE THE
ABILITY TO SPEAK TO OTHER
DEPARTMENTS WHO ARE IMPACTED.
SUCH AS- A LABOR AGENCY AND THE
DEPARTMENT OF EDUCATION SO
REACHING. ACROSS ITS DEPARTMENTS
WITHIN THE AGENCY A COST TO
OTHER AGENCIES WOULD BE THE-
AUTHORITY OF THE SIMPLY MY FIRST
OFFICE. WE WANT TO THANK SENATOR
RAZA AGAIN ALSO FOR HER
LEADERSHIP. I BELIEVE SHE HAS IT
WILL BE SUBMITTING A LETTER TO
CHAMPIONING- THIS IDEA AS- A
RECOMMENDATION TO IMPLEMENT
COMING OUT THIS REPORT. SO
PEOPLE ARE MOVING NOW. AND
PROGRAMS ARE IN PLACE TO HELP
PEOPLE TRANSITION AND THAT'S
REALLY I THINK THE FOCUS OF THE
QUESTIONS YOU ASKED IS. WHO ARE
THEY WERE THEY GOING AND HOW
WILL THE PROGRAMS BENEFIT THEM
TO MOVE THEM THERE. SO THANK YOU
TO THE CHAIR FOR YOUR- FOCUS ON
THIS TOPIC. AND LIKE I SAID THIS
REPORT LAYS OUT ONE. APPROACH IT
REALLY IS UP TO THE
MINISTRATIONS DEPARTMENTS DECIDE
. WHICH PATH TO TAKE THANK YOU.
THANK YOU WE ON TO STOP THE FORM
. CENTERS MY OF OUR- MANY OUR
HERE. EGGMAN EGGMAN HERE GROW.
ROTH ROTH HERE WE HAVE A QUORUM
. THANK YOU I'M I'M GOING TO DO
QUESTIONS PER STATE COUNCIL THEN
WE'RE HERE FROM DO YOUR
QUESTIONS AND THEN DDS QUESTIONS
ALL START. ON THIS QUESTION. I
JUST I GUESS YOU KNOW IF YOU CAN
HELP ME UNDERSTAND- SEDG IS
RESPONSIBLE FOR AN OUT I'M GONNA
READ THIS. IS RESPONSIBLE FOR
DEVELOPING AND IMPLEMENTING A
STATE PLAN CONTAINING GOALS
OBJECTIVES AND ACTIVITIES.
CORRECT ME IF I'M WRONG. THE
GROUP PUT TOGETHER WAS PUT
TOGETHER MADE OF EXPERTS YOU
DESCRIBED THE BACKGROUNDS IN THE
RECOMMENDATION IS TO PUT
TOGETHER ANOTHER BODY. THREE OF
THEM WITH THE SAME BACKGROUND
THE RECOMMENDATION IS TO
CONTINUE THE WORK- THAT WAS PUT
BROUGHT TOGETHER FOR THIS PLAN-
ACTUALLY SAVING RECOMMENDATION
TO CONTINUE THIS- THE- THE
STAKEHOLDER GROUP HAS BROUGHT
TOGETHER FOR THE PLAN THE
RECOMMENDATION OUR NUMBER ONE
RECOMMENDATION IS TO HAVE A
COORDINATING ENTITY OR FOCUS.
WITHIN AGENCY- TAKE THE ISSUE
OUT OF THE IMPLEMENTING
DEPARTMENTS AND HAVE A
COORDINATION AND AGENCY LEVEL. I
GUESS YOU KNOW I GUESS YOU KNOW
I'M A LITTLE FRUSTRATED YOU KNOW
IF WE CALL FOR A GROUP TO PUT
TOGETHER TO COME UP WITH. WAYS
TO REACH A GOAL AND I'M TOLD
WILL YOU HAVE TO PUT ANOTHER
BODY TO ANSWER THOSE QUESTIONS
IT'S DIFFICULT TO SEE HOW WE'VE
MADE PROGRESS IN THIS- I'VE IT
SEEMS LIKE THERE ARE IN
SPECIFICS. ON HOW TO IMPLEMENT
THE TRANSITION. THANK YOU FOR
THAT- CLARIFICATION IF THAT'S
THE UNDERSTANDING OF LEFT YOU
WITH AND MY APOLOGIES I MISS I
MISSPOKE. THE PLAN IS CLEAR THE
PLAN IS ACTIONABLE THE CLEANEST
THE PLAN IS SPECIFIC. WE AS A
DEPARTMENT IN OUR ORGANIZATIONAL
STRUCTURE DON'T HAVE THE
AUTHORITY TO CARRY OUT AND
IMPLEMENT THE ACTIVITIES IN THE
PLAN WE CAN PRESENTED TO THE
MINISTRATION PRISON TO THE
DEPARTMENTS AND PERCENT THE
LEGISLATURE AND ULTIMATELY THE
DEPARTMENT'S MINISTRATION NEED
TO DECIDE HOW THEY'RE GOING TO.
CARRY IT OUT. I ALSO THINK
THERE'S ROOM WITHIN THE PLAN FOR
THE DEPARTMENT'S OWN- CREATIVITY
AB AND KNOWING THEIR PROGRAMS
AND HOW TO CARRY IT OUT. MY
CONVERSATION WITH DEPARTMENTS
HAVE BEEN VERY ENCOURAGING-
THERE'S AN AMBITION THERE'S A
THERE'S- I EXPERIENCE A REAL
BELIEF IN THIS POLICY AN
AMBITION. IN THE VALUE OF THE
POLICY AND IT AND IT AND IT
FOCUS ON IMPLEMENTING IT- FULLY
AND QUICKLY. OUR PLAN LAYS OUT
ONE WAY TO IT THE DEPARTMENTS
WHAT ARE THE ONES WHO ACTUALLY
IMPLEMENTED. CODES AND QUESTIONS
. WILL MOVE ON TO HEAR FROM US
DO YOUR IF YOU COULD ANSWER THE
QUESTIONS. THANK YOU. YEAH
VICTOR IS GIVE ME. CHIEF DEPUTY
DIRECTOR RON IS GONNA START THE
COMPASS FOR US THANK YOU. THANK
YOU. THANK YOU. MEMBERS OF THE
CA- SO BEGIN WITH YOUR FIRST
QUESTION ABOUT THE ROLE OF YOUR
WITH RESPECT TO SERVING-
INDIVIDUALS EMPLOYED UNDER
FOURTEEN C. CERTIFICATES. AND
WHILE YES THE DEPARTMENT OF
REHABILITATION HAS A UNIQUE ROLE
IN SERVING THAT SPECIFIC
POPULATION I DO WANT TO
REITERATE WHAT DIRECTOR XAVIER
SHARED. IN THE OVERVIEW WHICH IS
THAT ALL OF OUR EMPLOYMENT
SERVICES PROGRAMS ARE
EXCLUSIVELY IN THE SERVICE OF
COMPETITIVE WAGES SO ABOVE STATE
MINIMUM WAGE. AN INTEGRATED
SETTINGS- HOWEVER WE DO HAVE A
SPECIFIC ROLE THAT WE PLAY FOR
THOSE INDIVIDUALS AND SUB
MINIMUM WAGE SETTINGS. SO THE
DEPARTMENT OF REHABILITATION IN
CALIFORNIA IS THE DESIGNATED
UNIT TO PROVIDE WHAT IS KNOWN AS
C. C. I. IN ART WHICH IS CAREER
COUNSELING. INFORMATION AND
REFERRAL AND. C. ARE REQUIRED TO
MAKE AVAILABLE THIS SERVICE TO
THOSE INDIVIDUALS EMPLOYED WHO
MAKE LESS THAN FEDERAL MINIMUM
WAGE WHICH IS AN IMPORTANT
DISTINCTION- AND HOW THAT LOOKS
IS THE DEAL ARE- ONCE A- SO
THOSE EMPLOYERS- REPORT OUT. ON
THE NUMBER OF PEOPLE THAT THEY
EMPLOY AT SUB FEDERAL MINIMUM
WAGE AND THE DEPARTMENT OF
REHABILITATION PROVIDES THESE
CAREER COUNSELING INFORMATION
REFERRAL SERVICES IN THE HOPES
OF ENCOURAGING INDIVIDUALS TO
PURSUE COMPETITIVE INTEGRATED
EMPLOYMENT AND THOSE WHO ARE
INTERESTED WE CAN ENROLL IN OUR
VOCATIONAL REHABILITATION
SERVICES. THE WAY THAT THE
REQUIREMENT PLAYS OUT IS IN THE
FIRST YEAR OF EMPLOYMENT AND SUB
FEDERAL MINIMUM WAGE THEY MUST
RECEIVE THE SERVICES FROM THE DO
ARE TWICE THAT YEAR AND THEN
EVERY YEAR ANNUALLY THEREAFTER
AS LONG AS THEY REMAIN IN SUB
MINIMUM WAGE. SO WE CONTINUE TO
PROVIDE THOSE SERVICES AND SINCE
TWENTY SIXTEEN- WE HAVE PROVIDED
OVER TWENTY THOUSAND INSTANCES
OF. CCIR SERVE ALTHOUGH I WOULD
NOTE THAT THAT IS INSTANCES OF
SERVICES NOT UNDUPLICATED
INDIVIDUALS SERVED- IN ADDITION-
WE PROVIDE AND MAKE THESE
SERVICES AVAILABLE TO ANYONE IN
FOURTEEN C. SETTINGS NOT JUST
THOSE INDIVIDUALS MAKING LESS
THAN FEDERAL MINIMUM WAGE EVEN
THOUGH THAT IS THE- LEGAL
REQUIREMENT- BECAUSE WE KNOW
THAT THERE IS THAT GAP BETWEEN
THE STATE AND FEDERAL MINIMUM
WAGE- AND AS A RESULT OF THESE.
SERVICES WE HAVE. EXCUSE ME-
WITH THAT IN THIS LAST YEAR WE
HAVE PROVIDED SERVICES TO THREE
THOUSAND THREE HUNDRED AND FIFTY
THREE INDIVIDUAL CONSUMERS- AND
SO FAR WE HAVE IN ROLLED OVER
SIXTEEN HUNDRED OF THESE
CONSUMERS INTO OUR VOCATIONAL
REHABILITATION SERVICES. AND OF
THOSE ENROLLED- OVER FOUR
HUNDRED AND FORTY HAVE EXITED
INTO COMPETITIVE INTEGRATED
EMPLOYMENT. I WELCOME ANY
QUESTIONS ON THIS FIRST ITEM OR
SHALL CONTINUE TO THE NEXT
QUESTION OKAY THANK YOU- THE
OTHER TOPIC I WELCOME THE
OPPORTUNITY SPEAK TO IS OUR-
DISABILITY INNOVATION FUND
GRANT. SO THIS IS A NEW GRANT
THAT WE HAVE RECENTLY COMPETED
FOR AND ACQUIRED IT IS A
FEDERALLY FUNDED AND THE INTENT
OF THE GRANT IS TO LOOK AT
INNOVATIVE WAYS OF SERVICE
DELIVERY SPECIFICALLY FOR
INDIVIDUALS WHO ARE EITHER IN
SUB MINIMUM WAGE OR WHO MAY
OTHERWISE GO INTO SUB MINIMUM
WAGE. SO WE'RE VERY EXCITED
ABOUT THIS INNOVATIVE
OPPORTUNITY- AND I WANT TO
CLARIFY THOUGH THAT THIS GRANT
WHICH WE JUST ACQUIRED IT RUNS
FROM- OCTOBER FIFTH TWENTY
TWENTY TWO SO VERY RECENTLY
ESTABLISHED THROUGH. SEPTEMBER
OF TWENTY TWENTY SEVEN IT'S A
LONG RUNWAY AND THE INTENT IS
PILOTING INNOVATIVE
INTERVENTIONS RESEARCHING THEM
IN COLLABORATION WITH ACADEMIC
INSTITUTIONS IN ORDER TO FIGURE
OUT WHAT ARE THE MOST EFFECTIVE
APPROACHES. TO ENSURING AND
SUPPORTING COMPETITIVE
INTEGRATED EMPLOYMENT AND SO-
WHILE WE CERTAINLY EXPECT THAT
INDIVIDUALS CURRENTLY IN SUB
MINIMUM WAGE WILL BENEFIT FROM
THIS INITIATIVE WE KNOW THAT
THIS INITIATIVE ON HIS. OWN IS
NOT GOING TO BE THE ANSWER- IT
WILL RUN YOU KNOW SEVERAL YEARS
PASSED THE TWENTY TWENTY FIVE-
DEADLINE FOR PHASING OUT TO
MINIMUM WAGE BUT WHERE THIS IS
REALLY GOING TO HAVE AN IMPACT
AND WE'RE REALLY EXCITED IS. SUB
MINIMUM WAGE WILL END HOWEVER
THERE WILL CONTINUE TO BE YOUNG
PEOPLE AGING INTO WORKING AGE
AND WE WANT TO MAKE SURE THAT
AFTER SUB MINIMUM WAGES OVER.
THOSE YOUNG PEOPLE GO INTO
COMPETITIVE INTEGRATED
EMPLOYMENT AND NOT THE COUCH OR
SOME OTHER SETTING BECAUSE THE
SUB MINIMUM WAGE OPTION IS NOT
AVAILABLE. SO WE'RE REALLY
EXCITED THAT THIS GRANT AND- IN
PARTNERSHIP WITH SOME ACADEMIC
INSTITUTIONS WILL HOPEFULLY SHED
LIGHT ON SOME NEW INTERVENTIONS
WE CURRENTLY PLAN TO LAUNCH THIS
PROGRAM. IN TWO COUNTIES AND AN
ORANGE COUNTY SAN DIEGO COUNTY-
WITH THE INTENTION OF IN ROLLING
AT LEAST FOUR HUNDRED
INDIVIDUALS OVER THE COURSE OF
THIS PROGRAM. THANK YOU COULD
YOU SPEAK TO HOW YOU'RE TAKING
ADVANTAGE OF YOU KNOW DIFFERENT
FEDERAL LAW YOU HAVE TO COUNSEL
INDIVIDUALS TO TIMES WHEN THEY
ENTER AND THEN ONE YEAR ONE
TIME. ANNUALLY HOW ARE YOU
TAKING ADVANTAGE OF YOUR CURRENT
PROGRAM. IN AND HELP THEM WITH
TRANSITION OFFENSIVELY GREAT
QUESTION. SO ONE OF THE GREATEST
THINGS THAT THAT REQUIREMENT
GIVES US IS ACCESS. SO IT GIVES
US A GREAT WAY TO KNOW WHERE
MANY OF THESE INDIVIDUALS ARE.
TO BUILD RELATIONSHIPS WITH THE
EMPLOYERS AND TO TRANSITION
FOLKS FROM THE C. C. I. R.
SERVICE TO OUR MAIN VR PROGRAM
WHICH- IS ALWAYS IN PURSUIT OF
COMPETITIVE INTEGRATED
EMPLOYMENT. IT ALSO ALLOWS US TO
ENGAGE WITH THE FAMILIES ENGAGE
WITH THE BUSINESSES AND NOW
THAT. THE PHASE OUT OF THE
MINIMUM WAGE IS HAPPENING TO
HAVE TARGETED CONVERSATIONS WITH
ALL OF THOSE PARTIES. SO WE ARE
LOOKING FORWARD TO CONTINUING
THIS EFFORT WHICH HAS BEEN IN
PLACE SINCE BEFORE- SB SIX
THIRTY NINE. AND FOCUSING IT-
NOW THAT WE HAVE THIS
OPPORTUNITY TO A TARGET THAT
EFFORT IN ALIGNMENT WITH THE
ENDING. OF SUB MINIMUM WAGE BY
TWENTY TWENTY FIVE. WOULD YOU
SAY YOU KNOW DO YOU. WOULD YOU
SAY YOU HAVE A- CASE MANAGEMENT
FOR THE APPROXIMATELY FOUR
THOUSAND INDIVIDUALS. SO RIGHT
NOW WE PROVIDE IS V. INFORMATION
AND REFERRAL IT'S A TOUCH POINT
BUT IT'S STILL A CHOICE THAT THE
INDIVIDUAL HAS TO MAKE TO ENROLL
IN OUR SERVICES AND THAT'S WHY
WE KEEP COMING BACK. SO LET ME
SHARE AN EXAMPLE WE MIGHT
APPROACH SOMEONE IN THAT FIRST
YEAR. AND MAYBE THAT SUB MINIMUM
WAGE- ENVIRONMENT THAT THEY'RE
IN FEELS VERY COMFORTABLE IT
FEELS VERY SAFE. THAT'S WHY WE
KEEP COMING BACK. TO KEEP
PROVIDING MORE INFORMATION ABOUT
THE OPPORTUNITIES ARE OUT THERE
FOR COMPETITIVE INTEGRATED
EMPLOYMENT. AND WHEN THAT
INDIVIDUAL IS READY WE CAN
ENROLL THEM IN THE FOLK REHAB
PROGRAM WHICH DOES PROVIDE.
INDIVIDUALIZED TAILORED TO THEM
SERVICES- AND NOT JUST THE
COUNSELING BUT TO ADDRESS. ANY
AUXILIARY NEEDS THAT THEY MAY
HAVE IN ORDER TO OBTAIN AND
RETAIN COMPETITIVE EMPLOYMENT.
QUESTIONS FROM MY COLLEAGUES
CENTERMAN- IT. WAS A AS A
REMINDER THAT THE TO. AT IS A
RESPONSE FOR THAT OKAY REHAB
BREATHABILITY. BUT YOU'RE SAYING
SO THERE'S A LOT OF FOLKS LIKE
LIKE I BY WHAT THE CLIENT WANTS
TO IS THAT OUR TRAINING CENTER
IN MODESTO RIGHT SO YOU HAVE TO
HAVE THAT RELATIONSHIP WITH
HOWARD BECAUSE THAT'S OFTENTIMES
WHERE PEOPLE. ARE THERE FULL
TIME YOU KNOW WHEN TO FOR DAY
TREATMENT. SO YOU HAVE THE
RELATIONSHIP WITH ALL OF THE
AGENCIES THAT ARE PROVIDING
ONGOING. CARE SERVICES AND THEN.
YOU TRY TO GET THEM INTO THE
PROGRAM. WHY ME THROUGH THE JUST
A LITTLE BIT BUT DIRECTORS. LET
ME START OF SHORT THAT PIECE OF
THAT SO. I THINK IT'S REALLY IN
UNDER ABOUT THE FOURTEENTH SEE
WHAT WE CALL A FOURTEEN SEATER
SET MINIMUM WAGE SETTING. IS
THAT THIS IS THE- EVEN THE
INDIVIDUAL THE DISABILITY IS IN
THAT SETTING THE EMPLOYER HAS A
NUMBER OF RESPONSIBILITIES HERE
WHEN IT COMES TO THE WORK THAT
WE'RE DOING AROUND. CCIR IT IS
THE BURDEN OF THE EMPLOYER TO
MAKE THOSE INDIVIDUALS KNOWN TO
US AT THE DEPARTMENT OF
REHABILITATION SO WHAT IS THERE
TO POINT OUT WE'RE VERY MUCH
BENEFITING FROM THAT. TO BE ABLE
TO KNOW WHERE THAT INDIVIDUAL
LISTEN TO ENGAGE WITH THAT
INDIVIDUAL AND CONTINUE NOT JUST
ONE TIME BUT THAT REOCCURRING.
SO YES THE YEAR THE ROOM THE
RELATIONSHIP IS IMPORTANT WITH
THE INDIVIDUAL AND YES THE
EMPLOYER HAS THAT RESPONSIBILITY
TO ENSURE THAT WE ARE HAVING
ACCESS TO THOSE INDIVIDUALS TO
CONTINUE TO PROVIDE THE
SERVICES- EACH YEAR AFTER YEAR.
UNTIL THEY ARE NO LONGER IN THAT
SUB MINIMUM WAGE SETTING. WHEN
THROUGH THAT. RUSS'S ARE WE ARE
WE DO WE SUBSIDIZE WITH
EMPLOYERS AT WHAT WE'RE
CURRENTLY DOING. AT THE PLAN
GOING FORWARD FOR SOMEBODY WHO
HAS SOMEBODY WORKING AT SUB
MINIMUM WAGE IS. IS MAKE UP OF
THAT DIFFERENCE. A SUB MINIMUM
WAGE IS. NOT IS IT IT'S NOT A
SUBSIDY IN THE IN THE CONTEXT
OF. PROVIDING SEVEN ALL SET FOR
THE EMPLOYER THE SUB MINIMUM
WAGE SETTING IS ESSENTIALLY WHAT
THE EMPLOYER UNDER THE FEDERAL.
WALL HAS THE ABILITY TO PICK ME.
A PORTION OF. THE MINIMUM WAGE
BASED ON MY ABILITY TO BE
PRODUCTIVE. SO IF I'M ONLY 50%
OF THE WAY THEN THEY HAVE THAT
ABILITY TO ONLY GIVE ME 50% OF
THE PAY. RIGHT NOW THERE ARE
PROGRAMS. THAT CURRENT BUT
THAT'S AND THAT'S WHAT WE'RE
FACING NOW IS THAT CORRECT
THAT'S WHAT WE'RE FACING UP
RIGHT NOW IN IN ALL DEFERRED OR
COLLEAGUES AT SOME DEVELOPMENTAL
SERVICES WE HAVE. A NUMBER OF
PROGRAMS THAT DO INCENTIVIZE-
EMPLOYERS TO. MOVE INDIVIDUALS.
INTO THAT COMPETITIVE INTEGRATED
EMPLOYMENT SOLVED ALL THE FOR
THEM TO SPEAK SPECIFICALLY ON
THOSE PROGRAMS. THROUGH THROUGH
OURSELVES WE USE. FOR THE
INDIVIDUALS ELIGIBLE. FOR OUR
SERVICES IN THE JEWS COME FOR A
SERVICES. WE USE PAY WORKERS.
PARTICULARLY FOR YOUTH WHICH WE
WILL PICK UP THAT SALARY FOR THE
EMPLOYERS OF THE EMPLOYER DOES
THE INDIVIDUAL THAT OPPORTUNITY
TO GO TO WORK WE DO THAT IN
COMPETITIVE AND INTEGRATED
SETTINGS. NOT IN THE- SHELTERED
WORKSHOP SETTINGS WE ALSO- DO
PROVIDE PAID WORK EXPERIENCES
FOR STUDENTS AND WE DO HAVE WHAT
WE CALL ON THE JOB TRAINING
WHICH AGAIN OFFSETS THE SALARIES
FOR A PERIOD OF TIME. WITH THE
IDEA THAT THIS LEADS INTO JAIL
FULL TIME OR OR AS MUCH OF AN
EMPLOYMENT IS INDIVIDUALS
PURSUING. OKAY AND SO IF TO
FEELS LIKE IT'S GOING OKAY
BECAUSE AND I'LL SAY I'M I'M
SUPPORT OF EVERYBODY MAKING YOU
KNOW MINIMUM WAGE OR OR MORE BUT
I HAVE I STRUGGLED SOME WITH
THAT JUST BECAUSE- I THINK TO
SEEK WORK AND BILLING A PURPOSE
IS SO IMPORTANT. FOR PEOPLE AND
IT'S YOU KNOW IT'S IT IT IS. I
DON'T THINK WITHOUT SUPPORT
EMPLOYERS ARE GONNA PAY SOMEBODY
AS YOU SAID WHO COULD MAYBE
PERFORM AT HALF THE LEVEL OF THE
SAME RATE AS AS A SOMEBODY OUT
TO OUR SO WHAT. WHAT HAS BEEN
THE RESPONSE FROM THE EMPLOYMENT
SECTOR. I THINK WE'RE TALKING
ABOUT EMPLOYEE FROM TWO TO TWO
DIFFERENT LANDS WHERE WE
PRIMARILY FOCUS AS A DEPARTMENT
IS THE EMPLOYER THAT'S IN THE
COMPETITIVE INTEGRATED SET.
RIGHT NOT IN THE SHELTERED
WORKSHOP SETTING. SO THAT'S IT
CONTINUED CONTINUED OFFERED AND
I JUST WANNA BE REALLY SHOULD
HAVE SAID THIS AT THE UP FRONT.
MOVING INTO COMPETITIVE
INTEGRATED EMPLOYMENT IS THE
RIGHT THING TO DO NOW IS THE
RIGHT TIME TO DO IT THIS WILL
NOT BE A LIGHT SWITCH. IT WILL
TAKE TIME WE WILL GET THERE. IT
WILL EVOLVE RIGHT BIG PIECE OF
THAT AND I SAID THIS AT THE
OUTSET WHEN I TALKED ABOUT THE
FACES OF EMPLOYMENT. FOR HIGHER
MANAGER. RIGHT IN THIS THE
HIGHER MANAGER NOT BECAUSE THEY
CAN'T DO THE JOB. IT'LL HURT IS
BECAUSE THE HIGHER MANAGER. DID
NOT UNDERSTAND HOW I COULD DO
THE JOB. OR EVEN BELIEVE THAT
COULD DO THE JOB. I HAVE A PART
OF THE WORK THAT WE'RE DOING.
THAT WE REALLY NEED TO CONTINUE
TO DO. THIS TO ENGAGE WITH THE
BUSINESS COMMUNITY AND I SAY
BUSINESS I MEAN THAT VERY
BROADLY. IN BUSINESS WHEN I TALK
ABOUT BUSINESS IT'S ANYBODY THAT
MAKES OUR AFFECTS A HIGHER.
RIGHT BECAUSE WHETHER YOU'RE
WORKING FOR GOVERNMENT LOCAL
FEDERAL STATE WHETHER YOU'RE
WORKING FOR NON PROFITS FOR
PROFITS. IS A HIRING MANAGER. SO
HOW DO WE HELP TO CONTINUE TO
SHIFT THE CULTURE. IN THE
BUSINESS COMMUNITY AGAIN
BROADLY. THAT WHEN THEY SEE AN
INDIVIDUAL WITH A DISABILITY
COMING. BUT NOT LOOKING AT WHAT
THE LIMITATIONS AND BARRIERS ARE
BUT THAT YOU'RE TRULY LOOKING AT
WHAT'S THE POTENTIAL. WHAT THEY
CAN DO- BUT THERE'S A NUMBER OF
STRATEGIES THAT WE USE ON THAT
FRONT FOR EXAMPLE CUSTOMIZED
EMPLOYMENT. CUSTOMIZE IMPLEMENT
IS A TOOL THAT WE USE WHERE WE
GO INTO A BUSINESS SETTING AND
WE HELP. THE BUSINESS. CREATE
EIGHT SHOP THAT MIGHT BE
TAILORED SPECIFIC TO A PERSON'S
DISABILITY THAT ENABLES IT TO
FROM THAT JOB RIGHT BUT THOSE
ARE TO BE. YOU KNOW ABOVE
MINIMUM WAGE- SETTINGS RIGHT.
AND SO THAT'S THAT'S WORKING THE
WE CONTINUE WHICH IS WHY YOU
HAVE TO SIZE UP FRONT. THE THREE
PHASES OF EMPLOYMENT. RIGHT AND
I YOU WILL SAY THE OTHER ONE IS
REALLY IMPORTANT. IS THAT FIRST
PHASE THAT BIRTH- ARE LETTERS
BIRTH TO. ADOLESCENTS TO WORKING
H. RIGHT. THERE I GREW UP WITH
THE EXPECTATION THAT I COULDN'T
THE BOOK GO TO WORK ACT IT MY
PEERS IN SCHOOL SEE ME AS HAVING
THAT TALENT POTENTIAL. SO AGAIN
A LOT OF GREAT WORK IS BEING
DONE A LOT MORE NEEDS TO BE DONE
AND WHAT. AND WE'RE VERY MUCH
COMMITTED TO THAT. I GUESS MY
CONCERN SO WE'RE- TO WHAT I'M
HEARING THAT WILL BE A FOR EVERY
THAT PEOPLE ARE GONNA. FALL OFF
AND THEN BE SITTING AT HOME MUCH
TELEVISION AS YOU AS YOU ALLUDED
THAT IS. ARTICLE OKAY IS NOT.
GOING BACK TO SITTING ON THE
COUCH NO. THEY'RE NOT AND AGAIN
. ALL SWITCH TO THIS LOTS OF
WORK. BUT IT IS THE RIGHT THING
AND WE GET. THANK YOU FOR ALL
YOUR WORK. SENATE ROTH. THANK
YOU MADAM CHAIR THIS IS A VERY
AND- EMENIKE YOU ALL FOR YOU
WORK. AND IT'S HARD WORK BUT I'M
GLAD THAT YOU'RE DOING IT.
YOU'VE PROBABLY ANSWERED THIS
QUESTION BUT I JUST WANT TO ASK
YOU JUST TO MAKE SURE THAT I'M
CLEAR. SO S. THESE SUB. MINIMUM
WAGE PROGRAMS COME TO AN END
EVENTUALLY. DO YOU EXPECT. BUT
THERE WILL BE OR MAY BE
INDIVIDUALS WHO SIMPLY DO NOT
TRANSITION TO THIS. COMPETITIVE
INTEGRATED EMPLOYMENT- SITUATION
AND IF SO. WHAT HAPPENS TO THEM
. THE SETTLEMENT OF START WITH
THE BELIEF THAT WE CAN AND MUST
FIND EMPLOYMENT FOR EVERYONE- I
THINK IT BE FAIR TO SAY THAT. WE
FIGURE THAT OUT FOR EVERYBODY
ABSOLUTELY ACROSS THE BOARD. BUT
YET. A LOT OF WORK TO DO ON THAT
FRONT- I THINK IN TERMS OF TO
YOUR VERY SPECIFIC QUESTION TO
SOMEBODY. MMHM WE KNOW ONCE A
MINIMUM WAGE ENDS AND THAT
INDIVIDUAL HAS NOT BEEN ABLE TO
OBTAIN EMPLOYMENT- WHAT WHAT
HAPPENS- IN MY MIND WE CONTINUE
TO WORK WITH THAT INDIVIDUAL
UNTIL WE CAN GET THEM READY. FOR
THE EMPLOYMENT. WE CONTINUE TO
PROVIDE THEM WITH THE SERVICES
IT'S NOT JUST US- ARE YOU
CERTAINLY ARE COLLEAGUES THAT
DEVELOPMENTAL SERVICES HAVE A
NUMBER OF PROGRAMS- ON THAT
FUNDING TO GET ALL THE FOR THEM
TO SPEAK TO THOSE SPECIFICS. BUT
THE SUB MINIMUM WAGE EMPLOYMENT
WILL HAVE TO END. AS I
UNDERSTAND THE WAY THE LAW IT'S
WRITTEN COME JANUARY ONE OF
TWENTY FIVE. THE EMPLOYER NO
LONGER HAS THE AUTHORITY TO PASS
A MINIMUM WAGE. THANK YOU FOR
YOUR RESPONSE THANK YOU MANAGER
. I THINK YOU'RE GOING TO MOVE
ON TO- DDS TO ANSWER THE
QUESTIONS THANK YOU. THANK YOU
MADAM CHAIR AND NANCY PARCHMENT
DIRECTOR OF THE DEPARTMENT OF
DEVELOPMENTAL SERVICES- AND I'M
GONNA GO AHEAD AND ANSWER THE
TWO QUESTIONS THAT ARE IN THE
AGENDA TODAY- AND REALLY
FOLLOWING MY COLLEAGUES I'M I
REALLY APPRECIATE- HEARING
CREDITORS THE WORK THAT TO THE
COUNCIL DOES IN THE GUIDANCE AND
THE RECOMMENDATIONS HAS JUST
REALLY BEEN- VERY HELPFUL
THROUGH THE YEARS AND SO MANY
DIFFERENT FRONTS AND SPECIALLY
IN EMPLOYMENT AND THEN-
MARQUARDT. COLLEAGUES AT
DEPARTMENT OF REHABILITATION
DIRECTOR EXIT YOUR AND I ARE ON
SPEED DIAL- MOSTLY BECAUSE OF
EMPLOYMENT- BECAUSE IT IS
SOMETHING THAT'S VERY PASSIONATE
TO BOTH OF OUR DEPARTMENTS AND-
IT'S ONE OF THOSE AREAS THAT- AS
NOTED. THAT IT'S NOT EASY YOU
KNOW IT'S VERY COMPLEX WE ARE
FACING- LOW UNEMPLOYMENT RIGHT
NOW YOU KNOW SO WHEN YOU HAVE AN
ENVIRONMENT OF LOW INPUT
UNEMPLOYMENT EAT EVEN MAKES THE
EXTRA COMPLEX. SO TO THOSE
QUESTIONS ABOUT YOU KNOW THOSE
ARE THEY ARE WE GOING TO BE ABLE
TO TRANSITION STRAIGHT INTO
EMPLOYMENT- THAT IS GOING TO
HAVE TO BE A VERY THOUGHTFUL
CAREFUL. TASKIN AND WORKING- AND
I APPRECIATE THAT THE AGENDA
NOTING AND LIFTING UP THE
IMPORTANCE OF PERSON CENTRED
APPROACHES SO. IT'S IMPORTANT
FOR EACH PERSON TO BE ABLE TO
HAVE SOMEBODY REALLY THINK
THROUGH WITH THEM WHAT IS THOSE
NEXT STEPS WHAT IS IT THAT THEY
WOULD LIKE TO BE ABLE TO HAVE IN
THEIR LIFE. YOU KNOW MOVING
FROM- SET MINIMUM WAGE THAT SAID
I'D LIKE TO BE ABLE TO JUST GIVE
A LITTLE CONTEXT TO- WHERE WE
ARE SO- LIFT. LIFTING UP THE
IMPORTANCE OF SP- SIX THIRTY
NINE IS DEFINITELY IMPORTANT BUT
THAT WASN'T THE FIRST STEP IN
REALLY TRYING TO MOVE AWAY. FROM
STUDYING TYPES OR SERVICE TYPES
OR SITUATIONS THAT REALLY- ARE
NOT LIFTING. UP- COMPETITIVE
INTEGRATED EMPLOYMENT OR
INCLUSION. YEAH BECAUSE AS IN
THE AGENDA FOR DE ISSUE HAVE THE
H. CBS. RULE THAT WAS RELEASED
IN TWO THOUSAND FOURTEEN AND TO-
SO THE WORK THERE IS A LOT OF
WORK ACTIVITY PROGRAMS AT THE
TIME. THE NUMBER OF WORK
ACTIVITY PROGRAMS WHICH MANY OF
THEM HAD SUB MINIMUM WAGE OR THE
FOURTEEN C. CERTIFICATES. THAT
REALLY HAS DECREASED
SIGNIFICANTLY SINCE TWO THOUSAND
FOURTEEN SO THE WORK REALLY
STARTED VERY EARLY ON. MEANT
GOING TO GO AHEAD AND PROVIDE
YOU SOME- EXAMPLES OF THE OTHER
SERVICES THAT HAVE BEEN
DEVELOPED OVER TIME. THAT REALLY
IS GOING TO BE SOME OF THOSE
OPTIONS FOR INDIVIDUALS AS HER
EXPLORING WHAT'S THAT NEXT STEP-
COMPETITIVE INTEGRATED
EMPLOYMENT. WE HAVE THAT AS AN
OPPORTUNITY IT'S YOUR- THE
INCENTIVE PAYMENTS THAT ARE
CENTERED AROUND COMPETITIVE
INTEGRATED EMPLOYMENT STARTED
SEVERAL YEARS AGO. WE ALSO NOTED
THAT DURING THE PANDEMIC MANY
PEOPLE HAD LOST THEIR JOBS. AND
SO HOW DO WE GET TO COULD GET
THEM BACK AND SO NOT ONLY DOES
FROM THE- MOVING FROM A SET
MINIMUM WAGE THAT THING GOING-
AND RECOVERY THROUGH THE
PANDEMIC. SO WE INCREASE THOSE
INCENTIVES FOR EXAMPLE IF
THERE'S A SERVICE PROVIDER THAT
IS PROVIDING COMPETITIVE
INTEGRATED EMPLOYMENT. THAT
THERE WERE- A SERVICES THEY'RE
GOING TO BE SUPPORTING THE
INDIVIDUAL IF THEY'RE SUCCESSFUL
AT DIFFERENT PERIODS OF TIME
THEY'RE GOING TO BE ABLE TO
RECEIVE INCENTIVE PAYMENTS- WITH
THE IMPLEMENTATION OF A QUALITY
INCENTIVE PROGRAM WE ACTUALLY
DOUBLED THOSE INCENTIVE
PAYMENTS. NOT ONLY DO WE DOUBLE
THOSE INCENTIVE PAYMENTS TO BE
ABLE TO HELP- SUPPORT AND
ENCOURAGE- A MATCHING
EMPLACEMENTS INTO COMPETITIVE
INTEGRATED EMPLOYMENT WE ADDED
AN INCENTIVE TO BE ABLE TO HAVE
THIS. THE SUPPORT STAFF THAT
PROVIDE THE JOB COACHING TO BE
ABLE TO HAD INCREASED TRAINING
AND CERTIFICATION SO WE CAN
REALLY BUILD UP KIND OF THAT
EXPERTISE AS WELL. AND THEN
LASTLY DOING A SATISFACTION
SURVEY BUT IN ADDITION TO
COMPETITIVE INTEGRATED
EMPLOYMENT WE KNOW THAT NOT
EVERYBODY IS ALWAYS READY RIGHT
THAT. THE FOR A FEEDER INTO THAT
TO HELP INDIVIDUALS WE HAVE
WHAT'S CALLED A PAID INTERNSHIP
PROGRAM SO THIS IS WHERE AN
EMPLOYER CAN HIRE SOMEBODY AND
THEN WE WILL GO AHEAD AND PAY.
THOSE WAGES YOU HAVE THAT
OPPORTUNITY FOR SOMEBODY TO I'M
REALLY GET THE BENEFIT OF HAVING
SOMEBODY- DIRECTOR XAVIER OFTEN
SPEAKS TO AND- YOU KNOW WE WILL
LIFT UP FREQUENTLY ABOUT THE
VALUE AND THE IMPORTANCE AND
REALLY- ACTUALLY THE BENEFIT OF
HIRING SOMEBODY WITH A
DISABILITY. AND HAVING EMPLOYERS
SEE THAT THAT EXPERIENCE IS THAT
IT'S REALLY NOT ABOUT DOING A
FAVOR FOR SOMEBODY IT'S ACTUALLY
DOING A FAVOR FOR THEIR BUSINESS
BECAUSE IT'S THE RIGHT DECISION
IT'S A GOOD DECISION. AND TO BE
ABLE TO BRING THAT RICH
EXPERIENCE. TO THEIR WORK FORCE
WOULD. REALLY BENEFIT-
EVERYBODY. IT DEFINITELY WE HAVE
. THE EMPLOYMENT GRANTS WILL BE
BEEN BORN OKAY WITH A STATE
CALLED GROUP IS. AND IDENTIFYING
HOW TO DESTROY TEN NO DOLLARS TO
ADVANCE THAT WORK. AND THEN
TAILOR DAY SERVICES- IT'S A
SERVICE. SERVICE PROVIDERS CAN
WORK WITH INDIVIDUALS DESIGN IN
A DAY THAT MEANS- AND IT IS
IMPORTANT TO THEM IT'S VERY
PERSON CENTRED. AND THEN I SAY
IT'S KIND OF THE LAST EXAMPLE IS
THE PERSON CENTER CAREER
PATHWAY. WE DESIGNED THIS VERY
SPECIFICALLY FOR INDIVIDUALS
THAT ARE IN FOURTEEN C.
CERTIFICATE PROGRAMS ARE WORKING
TIVITY PROGRAMS. TO BE ABLE TO
HAVE A VERY PERSON CENTRED
APPROACH SOMEBODY CAN WORK WITH
THEM- TALK TO THEM. EXPOSE THEM
BECAUSE IF YOU DON'T IF YOU
DON'T KNOW WHAT YOUR CHOICES ARE
YOU REALLY DON'T HAVE A CHOICE.
SO GIVING THEM THE OPPORTUNITY
TO LEARN ABOUT WHAT ARE THE
SERVICES THAT ARE AVAILABLE
THROUGH DEPARTMENT OF REHAB
THROUGH- THE REGIONAL CENTERS
AND HOW DO WE HELP. THEM GET
THOSE BATCHES OF HAVING SOMEBODY
REALLY SPEND THE TIME TO PROVIDE
THAT MEANINGFUL- WORK WITH THE
INDIVIDUAL SO THEY CAN REALLY
UNDERSTAND IT. AND THEN WORK
WITH THEM TO HOW IS BUT IS THAT
CAREER PATHWAY. THAT IS ALSO
OPEN FOR THOSE WHO ARE JUST
GRADUATING HIGH SCHOOL. SO IS
ALSO A- TO- TALK ABOUT HOW ARE
WE TO SUPPORT PERSONS- THROUGH
THEIR TRANSITION PLANS SO IT
ALWAYS STARTS WITH THE
INDIVIDUAL. PROGRAM PLANNED AT
THE REGIONAL CENTER- REALLY
WORKING WITH THOSE INDIVIDUALS
BUT WE'VE ALSO BEEN FINDING A
NUMBER OF SERVICE PROVIDERS HER
H. CBS FUNDING- WHERE THEY'RE
DOING INDIVIDUALIZED ON PERSON
CENTERED PLANS AND THEN WE ALSO.
I'M AS I NOTED THROUGH THE NEW
SERVICE TYPE THAT WE HAVE WITH
THE PERSON CENTER CREEK PATHWAY.
THAT THE HEART OF THAT PROGRAM
IS- PERSON CENTERED- PLANNING
AND LOOKING AT THEIR CAREER
PATHWAY. AND I HAVE WITH ME
TODAY MY CHIEF DEPUTY DIRECTOR
BRIAN WINFIELD SHOULD YOU HAVE
ANY QUESTIONS THAT WE NEED TO
ANSWER FOR YOU TODAY. THANK YOU
SO MUCH STRICTER- JUST TWO QUICK
QUESTIONS FOR ME RIGHT NOW YOU
KNOW YOU TALKED ABOUT THE PAID
INTERNSHIP PROGRAM. YOU KNOW TWO
THOUSAND FORTY HOURS FOR A PAID
INTERNSHIP AND IN TWENTY TWENTY
ONE TO TWENTY TWENTY TWO. A
LITTLE OVER FIFTEEN HUNDRED
VIGILS PARTICIPATED IN THE GOAL
IS FOR THEM TO PARTICIPATE IN
THEIR TEMPORARILY. AND THEN
HOPEFULLY YOU KNOW SUSTAIN THAT
JOB DO YOU HAVE ANY INFORMATION
TO. SHARE HOW SUCCESSFUL THIS
WAS. VISUAL STAINED- I'M GONNA
PASS IT OVER TO MY COLLEAGUE.
YES THANK YOU BRIAN LANDFILLS
DEPUTY DIRECTOR CHIEF FORD. SO
WE DO SURVEY REGIONAL CENTERS
ANNUALLY ON THE PAID INTERNSHIP
PROGRAM TO SEE- HOW THOSE PAID
INTERNSHIPS HAVE TURNED INTO
COMPETITIVE INTEGRATED
EMPLOYMENT OR WHAT IS OCCURRED.
AFTER THAT EXPERIENCE- AND THERE
HAS BEEN SOME DEGREE OF SUCCESS
BUT NOT AS MUCH SUCCESS AS WE
WOULD LIKE WITH REGARDS TO.
STAYING IN THAT EXACT- JOB BUT
IT ALSO IS A LAUNCHING PAD FOR
INDIVIDUALS TO MOVE INTO OTHER
SETTINGS FOR COMPETITIVE
INTEGRATED EMPLOYMENT. AND ALSO
WANT TO NOTE THAT IN TWENTY
TWENTY ONE. WE DID ADD SOME
INCENTIVE PAYMENTS FOR- SERVICE
PROVIDERS TO DEVELOP PAID
INTERNSHIPS WHERE THEY CAN BE C.
SEVEN HUNDRED AND FIFTY DOLLARS
AFTER THIRTY DAYS OF THE
INDIVIDUAL. BEING IN THE
INTERNSHIP AND THEN THEY RECEIVE
A THOUSAND DOLLARS AFTER SIXTY
DAYS. AND THE PURPOSE OF THAT
INCENTIVE FUNDING WAS TO ASSIST
SERVICE PROVIDERS AND DEVELOPING
THOSE PAID INTERNSHIPS TO ALLOW
. INDIVIDUALS MORE JOB
OPPORTUNITIES. THANK YOU IN
EARLY ON HOW TO ADJUST IT. IS ON
LIKE IT IT WORK. YES FOR SOME.
YEAH AND THAT'S- FOR EXAMPLE
DIRECTOR PARCHMAN TALKED ABOUT
THE- CAREER PATHWAYS AND WE'RE
WORKING ON THAT NEW- SERVICE
TYPE THAT WE WILL USE THAT.
OFFER TO INDIVIDUALS WHO ARE
TRANSITION OUT OF FOURTEEN C.
SETTINGS AS WELL AS- EDUCATION.
AND PAID INTERNSHIPS IS ONE OF
THOSE OPTIONS THAT THEY
CERTAINLY HAVE AVAILABLE TO THEM
TO GAIN ADDITIONAL JOB
EXPERIENCE IN THE COMMUNITY.
THANK YOU IN JUST. A QUICK
REQUEST A THROUGH THE FIRST
QUARTERLY REPORT OF THE
EMPLOYMENT GRANT IS COMING AT
THE END OF THIS MONTH IF I COULD
MY OFFICE TO GET A COPY OF IT
PLEASE. FOR CALLING FOR THE
QUESTIONS. AN AMENDMENT. I JUST
. WHAT IS THE- WHAT IS THE
PERCENT OF THE POPULATION WHO
ARE WHO ARE CURRENTLY WORKING OF
THE D. D. POPULATION. WHO ARE
CURRENTLY EMPLOYED YEAH I DON'T
WELL DONE IN A SECOND HAND IT
OVER TO- AT BRAIN HERE. I WILL
SAY THAT ONE OF THE THINGS
THAT'S PRETTY CHALLENGING IS
ACTUALLY COLLECTING THE DATA AS
TO WHO HAS COMPETITIVE WAGES- WE
ARE WORKING WITH EDT AND-
THERE'S- SOME NOISE IF YOU WILL
AND THAT DATA SOMETIMES. YOU
KNOW NOT KNOWING EXACTLY HOW
MANY HOURS SOMEBODY'S WORKING
AND SO REALLY GETTING A GOOD
PICTURE OF THAT. SO THAT IS AN
AREA OF- THAT WE'RE FOCUSING ON
IS A PRIORITY TO BE ABLE TO SEE
HOW DO WE COLLECT THE WAGES SO
MUCH OF IT IS HAVING TO BE
REPORTED TO US. AS OPPOSED TO
HAVING AN AUTOMATIC WAY TO BE
ABLE TO- HABIT REPORTABLE
REPORTABLE WAGES REPORTABLE-
KIND OF OURS SO WE CAN REALLY
SEE. KIND OF THAT IMPACT AS WELL
AS THAN THE GROSS- AND SO- I
WILL SAY. IT'S TOO LOW. SO
THAT'S WHY WE'RE GONNA BE DOING
A LOT OF THIS HARD WORK TO BE
ABLE TO INCREASE THOSE
OPPORTUNITIES FOR INDIVIDUALS TO
BE ABLE TO HAVE OPPORTUNITIES
FOR. EMPLOYMENT TO WE HAVE NO
IDEA. WE HAVE WE DO HAVE- SO
IT'S- I EVEN HATE TO SAY
ANYTHING BECAUSE I'M NOT SURE
HOW RELIABLE IT IS IT'S VERY
LOW. THERE IS SOME I WILL I WILL
SHARE WITH YOU THAT- THERE'S-
CONCERNS WHEN YOU COMPARE
CALIFORNIA- INTELLECTUAL
DEVELOPMENT TO DISABILITIES TO
OTHER STATES. THAT WERE FAR
BEHIND OTHER STATES I WOULD JUST
CAUTION US ON THAT. BECAUSE IN
CALIFORNIA WE ARE AN
ENTITLEMENT. AND AS AN
ENTITLEMENT WE WHEN WE'RE DOING
OUR AVERAGE UNEMPLOYMENT- MORE
DOING THE AVERAGE UNEMPLOYMENT
AT ALL OF OUR POPULATION WHERE
OTHER STATES. WHEN THEY'RE
MEASURING THAT THEY'RE DOING FOR
THOSE THAT ARE ON THEIR WAY FOR
AND MANY OF THE OTHER STATES
WILL HAVE. WITHIN THEIR HEALTH
THEIR H. CVS WAIVER THERE
FEDERAL WAIVER THEY'LL HAVE CAPS
THAT THEY CAN'T HAVE MORE THAN
SO MANY. INDIVIDUALS AND THEY
HAVE A WAITING LIST. SO THEY MAY
SO YOU YOU'LL SEE SOME STATES
WITH HIGHER PERCENTAGES. AND
IT'S NOT APPLES TO APPLES- BUT I
BUT YOU KNOW WHAT I WOULD LIKE
TO DO IS BE ABLE TO GET BACK TO
THE COMMITTEE TO- THE NUMBERS
THAT WE ARE TRACKING ON THAT WE
DO HAVE AVAILABLE AND CAN
CERTAINLY IDENTIFY WITH THE- THE
AREAS. OF. JUST CAUTION IN
REVIEWING THE DATA. THANKS I.
YOU KNOW WE'RE TALKING. PHASIC
SOMETHING OUT. AND THE
FOURTEENTH SUPERMAN'S I AS I
UNDERSTAND IT YEAH. THERE'S
BETTER DATA TO. THERE IS A
MECHANISM FOR IT- IT'S A SMALLER
NUMBER OF INDIVIDUALS SO YOU
HAVE A SMALL NUMBER OF
INDIVIDUALS AND SO THERE'S
THAT'S BEEN AN AREA WHEN WE'VE
BEEN ABLE TO TRACK IT- AND- BUT-
TO BE ABLE TO GATHER. YOU KNOW
WAGES IN A DIFFERENT SYSTEM- IT
IS. NOT BEEN FULLY. RESOLVED YET
. BUT JUST TO DO IT BUT I'M SURE
I JUST. IT FEELS LIKE THIS NEEDS
A LOT MORE WORK. BEFORE WE FACE
COMPLETELY PHASE OUT. WHAT WE
ALREADY HAVE. BECAUSE IF WE
DON'T IF I MEAN IF WE'RE NOT
DOING VERY WELL GETTING PEOPLE
TO WORK NOW. AND THEN WE'RE
GOING TO SAY NO MORE SUB MINIMUM
WAGE FOR ANYBODY. HOW HOW OLD
THAT HOW WILL THAT HELP MORE.
MORE PEOPLE WITH DISABILITIES
GET JOBS. AND THINK THANK YOU
SENATOR FOR THE CONCERNED I'M
ALSO GOING TO ASK MY COLLEAGUES
THEY MAY HAVE MORE OF THE DETAIL
REGARDING THAT THE DATA- WE HAD
INVESTED A SIGNIFICANT AMOUNT OF
TIME. TO BE ABLE TO TRANSITION
FOLKS TO- OPPORTUNITIES FOR
LIVING WAGES. AND SEE THE
TRANSITION IS REALLY IMPORTANT
SO BEING ABLE TO- HAVE THAT
FOCUS AND SUPPORT THOSE
TRANSITIONS- IS REALLY THE
PATHWAY TO BE ABLE TO GET THEIR
CONTINUING SUB MINIMUM WAGE- IS
NOT GOING TO BE ABLE TO OPEN
THOSE DOORS AND SO I WOULD
REALLY WANT TO BE ABLE TO TAKE A
LOOK AT THE PATHWAY THAT WE CAN
TAKE. C. L. A- MY HAVE A COMMENT
. THANK YOU CHAIR RYAN ANDERSON
WITH THE LEGISLATIVE ANALYST'S
OFFICE. JUST WANTED TO- JUMP IN
WITH A FEW OBSERVATIONS BASED ON
THE DISCUSSION THAT'S HAPPENED
SO FAR- FOR THE FIRST. SENATOR
EGGMAN AND RIGHT OF YOU KNOW
PARTIAL RESPONSE YOUR QUESTION
AND I DO FULLY ACKNOWLEDGE- ED.
CORRECTOR PARCHMAN IS SAYING
ABOUT THE DIFFICULTY WITH
INTERPRETING THESE DATA. I'LL
SAY JUST PERCENT OF MAGNITUDE
THE NUMBERS THAT WE'VE SEEN VARY
BETWEEN AROUND THIRTEEN AND 20%
OF THE POPULATION. ARE EMPLOYED-
IN THE SECOND POINT THE- WANTED
TO ADDRESS- A LITTLE MORE
FORTHRIGHTLY OR THE ALTERNATIVES
TO EMPLOYMENT FOR INDIVIDUALS-
WITH INTELLECTUAL AND
DEVELOPMENTAL DISABILITIES
OFTENTIMES A THINK THE- MODAL
ALTERNATIVE THE MOST COMMON
ALTERNATIVE TO BEING EMPLOYED
IS- PARTICIPATION IN A DAY
PROGRAM- THESE ARE PROGRAMS THAT
HAVE A LOT OF A LOT OF- IN
RICHMOND OPPORTUNITIES SEEN GET
OUT IN. THE COMMUNITY- LEARN
THINGS YOU KNOW PLAYED- THEY
CAME BALLING- THINGS ALONG THOSE
LINES OBVIOUSLY DO NOT HAVE ALL
OF THE ADVANTAGES THAT HAVE BEEN
TALKED ABOUT. WITH REGARDS TO A
JOB THAT YOU KNOW INCLUDING A
PAYCHECK BUT ALSO ALL THE
SECONDARY. ADVANTAGES- SOME GLOW
OBSERVATION ABOUT THE-
TRANSITION. ABOUT A SUB MINIMUM
WAGE. FIRST IN AN OBVIOUS
OBSERVATION ABOUT THIS
POPULATION BOTH THE POPULATION
WITHIN- FOURTEEN C. WORK
OPPORTUNITIES IN THE POPULATION
WITH INTELLECTUAL AND
DEVELOPMENTAL DISABILITIES
GENERALLY IS THERE IS AN
INCREDIBLE AMOUNT OF DIVERSE
CITY. DIVERSITY OF PERSONAL
CHARACTERISTICS OF COURSE BUT
ALSO DIVERSITY AND THE SPECIFIC
BARRIERS TO WORK OPPORTUNITIES
THAT EACH OF THEM HAVE- THESE
BARRIERS. THE MAY DIFFER FOR
THOSE WHO ARE SPECIFICALLY IN
FOURTEEN SEE OPPORTUNITIES SO IF
WE'RE TALKING ABOUT SPECIFICALLY
HOW DO WE ENSURE THAT THOSE
SPECIFIC INDIVIDUALS WHO WILL BE
. IMPACTED BY THE STATE'S
DECISION TO DISCONTINUE THE USE
OF SOME MINIMUM WAGE- IT BE
IMPORTANT TO KNOW SPECIFICALLY
WHAT ARE THE BARRIERS FACED BY
THAT POPULATION AND HERE I THINK
IT'S IMPORTANT TO HIGHLIGHT. THE
DATA LIMITATIONS CONTINUE TO BE
PRETTY DRASTIC AS NOTED IN THE
AGENDA IT'S DIFFICULT EVEN
GETTING A HANDLE ON HOW MANY
INDIVIDUALS- ARE SERVED AND-
THIRTY SITUATIONS RIGHT NOW.
SUBSEQUENT TO THAT NOTE IT WOULD
BE HELPFUL TO KNOW. SPECIFICALLY
WHERE ARE THEY WHAT ARE THE JOB
MARKET SITUATIONS IN THOSE AREAS
WHAT ARE THERE SPECIFIC BARRIERS
TO COMPETITIVE INTEGRATED
EMPLOYMENT WATER. THEIR
PRODUCTIVITY AS MEASURED BY THE
CURRENT FOURTEEN C. STANDARDS
THESE DATA MAY BE AVAILABLE BUT
THEY'RE NOT A MEDIA AT LEE
AVAILABLE- TO THOSE AS A OF US
AT THE STATE LEVEL AND PART
BECAUSE SO MANY DIFFERENT.
DEPARTMENTS NOT JUST THOSE AT
THE TABLE HERE BUT ALSO THE
FEDERAL DEPARTMENT OF LABOR ARE
INVOLVED IN DATA COLLECTION AND
THERE'S STILL SOME WORK TO BE
DONE ON COMPILING THAT- WITH
WITHOUT A FULL. UNDERSTANDING OF
SPECIFICALLY WHAT THE NEEDS AND
CHARACTERISTICS OF THE
POPULATION ARE IT IT IS
CHALLENGING TO SAY WITH ANY
CERTAINTY WHETHER WE ARE-
WHETHER WE ARE WELL POSITIONED
TO ENSURE THAT THOSE SPECIFIC
INDIVIDUALS WILL GO INTO A
COMPETITIVE. EMPLOYMENT
OPPORTUNITY ONE- SOME MINIMUM
WAGE WAS PHASED OUT. THANK YOU
SO MUCH SO OFF. WELL I GUESS I'M
A LITTLE CONCERNED IF. IF THIS
IS AN IMPORTANT PROGRAM AND IT
TRULY IS- AND THIS IS A
VULNERABLE POPULATION. AND THE
SURVEY ARE TO SOME EXTENT. AND
WE'RE INTERESTED IN MAKING SURE
THAT INDIVIDUALS- RETAIN
EMPLOYMENT OR GAIN EMPLOYMENT AS
WE DISCONTINUE THE SUB MINIMUM
WAGE PROGRAM. AND WE PROBABLY OF
FIGURE OUT HOW TO GET SOME DATA
I MAY HAVE MISSED TODAY MA'AM I
UNDERSTOOD SOME DIFFICULTY IN
FIGURING OUT WHICH INFORMATION.
BUT I WOULD ASSUME THAT THE
FRANCHISE TAX BOARD. IF THERE
ARE WAGES WOULDN'T THE FRANCHISE
TAX BOARD HAVE THAT INFORMATION
. RIGHT. THIS IS MY **** IF I
COULD SPEAK A LITTLE BIT TO THIS
PIECE OF THE INFORMATION I THINK
I'M I THINK WHAT'S IMPORTANT TO
UNDERSTAND ABOUT ONE WORST WHEN
WE'RE TALKING ABOUT THE CITY.
WHAT WE'RE TALKING ABOUT IS
PAYROLL DATA. RIGHT AND THE
EMPLOYER'S REPORT- EARNINGS AND
THE REPORT- IN THE BENEFITS
THROUGH THEIR TO DO TO EDT FOR
THEIR TAXES AND TO. ARREST FOR
THE FOR THE EMPLOYMENT TAXES FOR
THE INDIVIDUAL AND FOR THE- THE
BUSINESS ITSELF RIGHT. BUT WHAT
WHAT IS COLLECTED THAT IS NOT
REPORTED HERE IS HOW MANY HOURS
OF WORK. WHAT WORK WAS I DOING-
HOW MANY DAYS THAT I WORK- YOU
KNOW THOSE ARE ALL THE KINDS OF
THINGS THAT THE EMPLOYER HAS BUT
THAT IS NOT INFORMATION THAT IS
NECESSARILY PASSED ON. TO YOU
KNOW BE ON THE- THE TAX
REPORTING UNLESS YOU KNOW
SOMEBODY COMES IN AND DOES. NOT
AND SO AS AN EMPLOYER WHICH I
WAS YOU KNOW I HAVE TO HAVE ALL
THE DOCUMENTATION SO THAT WHEN
SOMEBODY COMES IN AND SAYS SHOW
ME IT'S AVAILABLE BUT IT'S AT
THE EMPLOYER LEVEL. RIGHT I
THINK THAT'S SOMETHING THAT FOR
A- CAN I THINK ABOUT. YOU MORE
WE LOOK AT THE- WELL I
UNDERSTAND THAT IN FOR WE DID
BILL. IN THE WORK FORCE
DEVELOPMENT AREA BECAUSE THAT
DATA IS NOT COLLECTED TO MAKE
SURE THAT- THOSE INDIVIDUALS AND
TRAINING PROGRAMS AND NOT THIS
TYPE OF EMPLOYMENT THE TRAINING
PROGRAMS WHEN THEY COME AT THE
END OF THE PIPELINE. SECURE JOBS
FOR WHICH THEY HAVE BEEN TRAINED
AND SOMEONE PAYS THEM. TO BE
TRAINED AND THERE'S A DATA
EFFORT NOW IT D. D. D. TO
DETERMINE. HOW TO MODIFY THE
SYSTEMS TO HAVE EMPLOYERS REPORT
THAT DATA UP THROUGH THE PROCESS
SO WE CAN DETERMINE SOMEONE WHO
COMES OUT OF A PIPELINE TRAINING
PIPELINE WHERE THEY WORK WHAT
THEY GET PAID TO END THE
OCCUPATION WHICH OF COURSE. CAN
BE REPORTABLE. SO WE CAN TRACK.
TIME FROM TRAINING TO JOB TO
MAKE SURE THAT IN FACT THE
WORKFORCE TRAINING PROGRAMS. ARE
EFFECTIVE AND IN THIS AREA I'M
JUST WONDERING IF WE SHOULDN'T
AS WE MOVE THROUGH THIS PROCESS.
FIGURE OUT HOW TO DO TO PIGGY
BACK ON THAT EFFORT WHICH IS ON
GOING. TO SEE IF WE CAN
DETERMINE WHERE PEOPLE ARE
EMPLOYED WHAT THEY'RE MAKING-
WHATEVER THE- SUCCESS OR
FAILURE. THAT YOU ALL WHO MUCH
THAN I DO CERTAINLY. DETERMINE
WOULD BE IMPORTANT TO. FIGURE
OUT WHETHER WE'RE WINNING OR
LOSING HERE. I JUST WANTED TO
MAKE THAT AS THOSE QUESTIONS AND
MAKE A COMMENT AND I THINK MY
COLLEAGUES. HERE ARE- HERE TO
HELP IF THERE'S THINGS THAT WE
CAN DO IN TERMS OF STATUTORY.
MODIFICATIONS TO BE TO ENABLE
YOU ALL TO. TO DO THE IMPORTANT
JOBS THAT YOU'RE DOING. OKAY
THANK YOU MEASURE. ABSOLUTELY
EAGER TO HELP A 100% AND I THINK
YOU MENTIONED SOMETHING I THINK
IT WAS THE DEPUTY DIRECTOR YOU
MENTIONED REGARDING- YOU KNOW
WORKING WITH THE POPULATION FROM
BIRTH TO THE AGE OF. BEING ABLE
TO WORK RIGHT- THE SOCIAL
COMPONENT AROUND THAT THE
SUPPORT AROUND THAT BECAUSE IF
YOU'RE- YOU KNOW IT MAY BE THIS
IS ME ASSUMING BUT IF YOU KNOW
YOU PROVIDE SUPPORT YOU GET TO
THE AGE OF SIXTEEN IF YOU WELL
AND- YOU'RE GOING TO FEEL. VERY
CONFIDENT IN YOUR ABILITIES TO
WORK- SO THIS POTENTIALLY IS YOU
KNOW WE'RE KIND OF WORKING
BACKWARDS IS A POPULATION THAT
DIDN'T HAVE THE SUPPORT. AND IS
NOW PERHAPS FEARFUL TO MOVE ON
BECAUSE THERE WAS NO SUPPORT
THERE. YOU KNOW I AM I THINK
IT'S HARD FOR ME TO ACCEPT THAT.
PEOPLE WHO DON'T WANT TO GET
PAID ABOVE THE SUB MINIMUM WAGE
SO. YOU KNOW I WANT TO PROVIDE
THAT SUPPORT UNITE. I USED HEARD
MR CROTHERS. YES YOU KNOW
REGARDING THE COLLABORATION AND
I WANT TO LEARN A BIT MORE HOW
THAT COLLABORATION IS GOING. YOU
KNOW THIS WAS FROM TWENTY TWENTY
ONE WE WANT TO MAKE SURE THIS IS
IMPLEMENTED AND WE'RE MOVING
FORWARD WITH INSURANCE PEOPLE
ARE PAID- MINIMUM WAGE HERE SO I
OFFER MY SERVICES YOU HEARD HERE
FROM MY COLLEAGUE AS WELL BUT WE
WANT TO MAKE SURE THIS IS A
SMOOTH TRANSITION OR TAKING
ADVANTAGE OF EVERYTHING. WE'RE
HEARING FROM AND WHO ARE ARE
ADVOCATES ARE PEERS OURSELVES
AND DURING THE ONE ON ONES YOU
KNOW EVEN PEOPLE ARE WORRIED TO
MOVE FORWARD. WE HAVE A YEAR AND
A HALF TO BUILD THEIR
CONFIDENCE- IN BALLISTIC AS
POSSIBLE TO ENSURE THAT THEY'RE
READY TO GO. THANK YOU SO MUCH.
PHIDIAS ISN'T GOING. FOR WE'RE
GOING TO BE MOVING ON TO. THE
DEPARTMENT. SERVICES ISSUE ONE
AN OVERVIEW OF DDS.
THE RESIDENTS AT TIMES. OKAY
THANK YOU MADAM CHAIR. READING
NANCY BURTON DIRECTOR THE
DEPARTMENT OF DEVELOPMENTAL
SERVICES AND I'M JOINED HERE
TODAY WITH OUR CHIEF DEPUTY
DIRECTOR. OF OPERATIONS CARLY
CASTANEDA AND- JIM KNIGHT THE
DEPUTY DIRECTOR OF OUR
ADMINISTRATIVE SERVICES I'M I'M
GOING TO IT- PROVIDE YOU IS A
BRIEF OVERVIEW OF THE
DEVELOPMENTAL SERVICES ALTHOUGH
I WANT TO THANK AND COMMEND
STAFF ON. SUCH A- WELL DETAILED
AGENDA THAT PROVIDES A LOT OF
CONTEXT AND BACKGROUND OF- THE
DEPARTMENT AND THE SERVICES- IT
WITH IN CALIFORNIA FOR PEOPLE
WITH INTELLECTUAL AND
DEVELOPMENTAL DISABILITIES. BUT
I'M ALSO GOING TO- BREEZE-
ADDRESS THE QUESTION IN IN-
QUESTION TWO AND. THREE AND THEN
IN QUESTION FIVE. NO HAN OVER TO
MY CALL THAT THAT'S WITH THE
CHAIR- JUST WANTED SOME BACK-
FOR THE DEVELOPMENT OF SERVE IN
CALIFORNIA I'M REALLY MARKING
BACK IN- BACK TO THE EIGHTEEN
FIFTIES- WHEN CALIFORNIA HAD
APPROACHED- IN DELIVERING
SERVICES RESIDENTIAL SERVICES AS
AN ALTERNATIVE FOR TWO FAMILIES.
WHO HAD INDIVIDUALS WITH
DEVELOPMENTAL DISABILITY AND
UNABLE TO TAKE CARE OF THEM AT
HOME AND THEY HAD DEVELOPED TO
THE DEVELOPMENTAL CENTER SYSTEM
IN CALIFORNIA- AND MOVING
FORWARD THROUGH THE YEARS BACK
IN THE NINETEEN SIXTIES THERE'S
PARENTS AND ADVOCATES AND
LEGISLATORS THAT REALLY WANTED
TO SEEK ALTERNATIVES TO
DEVELOPMENTAL CENTERS- IN
CALIFORNIA TO SUPPORT
INDIVIDUALS WITH INTELLECTUAL
AND DEVELOPMENTAL DISABILITIES.
AND THIS WAS REALLY IMPORTANT
BECAUSE BACK IN THE SIXTIES-
THIS WAS THE TIME WHEN I'M
LOOKING AT AN ALTERNATIVE WAY
AND IT WAS THE BEGINNING THE
LETTERMAN ACT IS THE BEGINNING
OF THE ENTITLEMENT OF SERVICES
THAT WE GET TO- HAVE FOR THEIR
CALIFORNIANS TODAY. SO IN
NINETEEN SIXTY SIX THERE IS A
SIGNED INTO LAW ESTABLISHING TO
PILOT REGIONAL CENTERS- THE
FIRST ONE WAS SEEK OUT-
CHILDREN'S HOSPITAL OF LOS
ANGELES WHICH IS NOW THE FRANK
DE LETTERMAN RACIAL CENTER IN
GOLDEN GATE REGIONAL CENTER IN
SAN FRANCISCO. IN THE LATE
SIXTIES EARLY SEVENTIES THERE'S
A LOT- FURTHER IN THE LETTERMAN
ACT IS THAT WHEN IT WAS
ESTABLISHED TO BE ABLE TO HAVE
TWENTY ONE NONPROFIT PRIVATE
NONPROFIT ORGANIZATIONS IN
CALIFORNIA. AND SO BACK IN THE
TIME- IT IT THAT STORIES WRITTEN
IT SEEMS TO BE THAT- IT WAS
ESTABLISHED OF THE TWENTY ONE
REGIONAL CENTERS AT
APPROXIMATELY ONE A POPULATION
OF ONE MILLION PER REGIONAL
CENTER. FAST FOURTEEN TODAY WHEN
WE TAKE A LOOK AT WE HAVE
APPROXIMATELY FOUR HUNDRED
THOUSAND INDIVIDUALS IN
CALIFORNIA RECEIVING REGIONAL
CENTER SERVICES. THE SMALLEST
REGIONAL CENTER. IS REDWOOD
COAST REGIONAL CENTER. WHICH IN
THE FARTHEST ACCOUNT. FOR PROFIT
FOR THOUSAND CAN. AND LARGEST
SENT IN SUMMARY DANONE RIVERSIDE
COUNTIES INLAND REGIONAL CENTER.
THAT IS- OVER- FORTY THOUSAND
INDIVIDUALS. WE CONTINUE TO
GROW- AND I'LL TALK IN A LITTLE
BIT ABOUT THE POPULATION- BUT
BECAUSE OF THE CHANGES OVER THE
YEARS YOU KNOW AS THE LETTERMAN
ACT HAS- ADVANCED IN THE
CREATION. BUT THERE'S ALWAYS
BEEN THE VISION OF MAKING SURE
THAT WE'RE LOOKING AT LEANING
INTO HOW DO WE HAVE A COMMUNITY
BASED SYSTEM. THAT SUPPORTS THE
VISION AND THE SERVICES FOR
INDIVIDUALS WITH INTELLECTUAL
AND DEVELOPMENTAL DISABILITIES-
WE HAVE HAD MANY CHANGES OVER
THE YEARS- WHEN WE TAKE A LOOK
AT THE LETTERMAN ACT IN THE WORK
THAT WE'VE BEEN DOING- BACK IN
THE- AND- ABOUT. TWO THOUSAND IN
THE EARLY TWO THOUSANDS WHEN WE
HAD THE GREAT RECESSION THERE
ARE SIGNIFICANT IMPACTS TO THE
SERVICES FOR INDIVIDUALS. WE HAD
REDUCTIONS AND THE ELIGIBILITY
FOR EARLY START THERE'S- SOME
OTHER CUTS THAT HAD. IMPACTS AND
CERTAINLY HAVE RESTORED MANY OF
THOSE CUTS OVER THE YEARS SUCH
AS SOCIAL WRECKING CAMP- AS WELL
AS- AND THE ELIGIBILITY CRITERIA
AND GETTING BACK INTO- FOCUSING
ON EARLY START. I ALSO LIKE TO
JUST HIGHLIGHT SOME OTHER VERY
HISTORIC TIMES IN OUR OUR
HISTORY- THAT INFLUENCE AND
CERTAINLY INCLUDE SOME OF THE
POLICIES THAT WE HAVE TODAY AND
THAT WAS THE- CLOSURE OF ALL THE
DEVELOPMENTAL CENTERS IN
CALIFORNIA. SO IT BACK IN TWO
THOUSAND AND FIFTEEN. THERE IS
THE ANNOUNCEMENT OF CLOSING IT
WAS A PRETTY HISTORICAL
ANNOUNCEMENT OF CLOSING THE LAST
THREE DEVELOPMENTAL CENTERS IN
CALIFORNIA. CINEMA PORTERVILLE
GENERAL TREATMENT AREA. AND THEN
ALSO FAIRVIEW. NO LAST END OF
MOVED OUT OF STATE OF. CENTER
JANUARY OF TWENTY TWENTY ONE SO
THAT WAS THE END OF PROVIDING-
SERVICES WITHIN CALIFORNIA'S
DEVELOPMENTAL SERVICES- STATE
OPERATED OTHER THAN THE SECURE
TREATMENT PROGRAM OVER AT
PORTERVILLE. AND THEN- SO THAT
GETS ME TO KIND OF HOW THE
STRUCTURE OF CALIFORNIA IS TO
SUPPORT. SO VERY HIGH LEVEL AT
THE FIFTY THOUSAND FOOT LEVEL WE
HAVE- THE TWENTY ONE REGIONAL
CENTERS THAT SUPPORTS THE
MAJORITY THE SERVICES AND THEN-
A STATE OPERATED WE HAVE STATE
OPERATED SERVICES SUPPORTED BILL
SECURE TREATMENT PROGRAM- AND
THEN WE ALSO HAVE OUR CANYON
SPRINGS WHICH IS A COMMUNITY
INTERMEDIATE CARE FACILITY OUT.
IN SOUTHERN CALIFORNIA AND THEN
WE OPERATE WHAT IS CALLED STAR
WHICH ARE STABILIZATION SMALL
RESIDENTIAL HOMES HELP
INDIVIDUALS HERE IN A TWO CRISIS
IN THOSE SIR- HOMES THROUGHOUT
CALIFORNIA SOUTHERN. CENTRAL AND
NORTHERN WE ALSO HAVE AN ACUTE
CRISIS RESPONSE TEAM- THAT WE
OPERATE- OTHER THAN THAT ALL
SERVICES ARE- WITHIN THE
REGIONAL CENTERS THERE- VENDORS
THAT ARE VENDORS WITH THE
REGIONAL CENTERS TO PROVIDE
THOSE SERVICES. REGIONAL CENTERS
IN THEMSELF IN DDS HAVE DISTINCT
ROLES REGIONAL CENTERS ARE ON
THEIR FOR ELIGIBILITY
ASSESSMENT- CREATING THE SERVICE
DELIVERY AS FAR AS THE SERVICE
PROVIDERS PROVIDING THAT
OVERSIGHT TO. THE WORK THAT
THEY'RE DOING- AND PROVIDING
THIRTY KEY AND MOST IMPORTANT
SERVICE COORDINATION. AND THEN-
THE DEPARTMENT THAN IS WORKING
WITH THE ROLE OF THE OVERSIGHT
AND ACCOUNTABILITY A SET-
ESTABLISHING POLICIES. SO I'D
LIKE TO JUST ALSO HIGHLIGHT THAT
OVER THE YEARS AFTER THE GREAT
RECESSION AND THE CLOSURE THE
DEVELOPMENTAL CENTERS WITH A
CLOSURE THE DEVELOPMENTAL
CENTERS AND THEN- MOVING TO
DEVELOPING AN ADDITIONAL
COMMUNITY BASED SERVICES WE
REALLY SHIFTED OUR FOCUS. OUR
REMAINING THE CHANGES THAT ARE
DEMOGRAPHICS SO AS I NOTED THAT
WE HAVE- ABOUT FOUR HUNDRED
THOUSAND INDIVIDUALS WERE
PROJECTING. JUST OVER FOUR
HUNDRED TWENTY THOUSAND IN THIS
NEXT BUDGET YEAR WE ARE UP FIFTY
TO TWENTY THOUSAND INDIVIDUALS
PER YEAR. A BUT ALSO THE
DEMOGRAPHICS AS FAR AS THE
INDIVIDUALS THAT WERE SERVING SO
INDIVIDUALS AS FAR AS A
DIAGNOSIS WE ARE- SEEN
APPROXIMATELY WE HAVE A HUNDRED
AND SIXTY THOUSAND INDIVIDUALS
WHO HAVE AUTISM. THE MAJORITY OF
THEM ABOUT A HUNDRED AND TWENTY
THOUSAND OF THEM ARE UNDER THE
AGE OF TWENTY TWO. SO IS WE'RE
REALLY LOOKING AT OUR
DEVELOPMENT OF OUR RESOURCES
WERE HAVING TO TAKE A LOOK AT
THIS REALLY EMERGING AND
CHANGING DEMOGRAPHIC OF THE
INDIVIDUALS THAT WERE SERVING.
THAT IS ALSO TRUE TO THE OTHER
POPULATION THAT IS ON THE OTHER
SIDE KIND OF THE OLDER SIDE. YOU
KNOW WE'RE HAVING AN AGING
POPULATION THAT IS ALSO WHILE TO
SMALLER IT IS DEFINITELY A
PERCENTAGE THAT WE ARE SEEING AN
INCREASE JUST AS WE ARE IN
CALIFORNIA. I ALSO THE
DEMOGRAPHICS- WE'VE NOTED OVER
THE YEARS THAT UNCERTAINLY ARE
LATINO PET POPULATION IS
INCREASED. AND THE MAJORITY OF
OUR INDIVIDUALS THAT WE SERVE-
CROSSED ALL AGES MAJORITY OF
THOSE THAT ARE LATINO ARE UNDER
THE AGE OF TWENTY TWO. WE'RE
ALSO SEEING A SIGNIFICANT SHIFT
OF THOSE- THAT ARE- GROWING IN
THE- AGING WHERE WE HAVE A SHIFT
IN OUR- INDIVIDUALS WITH AUTISM.
WE'RE GOING TO BE SEEN OVER THE
NEXT TEN YEARS THAT A VERY LARGE
NUMBER OF THOSE THAT ARE
GRADUATING ARE GOING TO BE
INDIVIDUALS WITH AUTISM. WE'VE
ALSO SEEN AN INCREASE OF THOSE
IN FOSTER CARE BUT THIS DOES
ALIGN WITH THE POPULATION BUT- I
WOULD JUST NOTE THAT- TEN YEARS
AGO WE PROVIDED. SERVICES TO
FORTY SEVEN HUNDRED CHILDREN
TODAY IT'S EIGHTY SIX HUNDRED- I
WAS ALSO ASKED TO TALK ABOUT
PROVISIONAL ELIGIBILITY AND KIND
OF SEE. AND JUST TO GIVE YOU
SOME CONTEXT TO WHAT WAS
PROVISIONAL ELIGIBILITY IT WAS A
NEW A PROVISION TO THE LETTERMAN
ACT- BECAUSE WE WERE SEEN AND
CERTAINLY IT WAS MAGNIFIED
DURING THE PANDEMIC. IN EARLY
START WITH FOLKS WERE NOT
CHILDREN WERE NOT COMING IN THE
FRONT DOOR. FOR THE BIRTH
THROUGH THREE AND THEN- DURING
THE TIME THAT WE HAD
CONVERSATIONS NOT TALK MORE
ABOUT IT ME- TALK ABOUT-
DISPARITIES AS THAT WE WERE NOT
SEEN INDIVIDUALS WHO ARE COMING
IN AT THE SAME RATE. FOR IF
THEY'RE LEAVING EARLY START NOT
COMING BACK TO THE REGIONAL
CENTER- AT. THE DOOR THEY WERE
COMING BACK TO THE REGIONAL
CENTER WHEN THERE'S SEVEN OR
EIGHT YEARS OLD. SO PROVISIONAL
ELIGIBILITY WAS REALLY THERE TO
KIND OF BE THAT SAFETY NET TO
MAKE SURE. ARE THOSE CHILDREN
REALLY- EXITING AT THE TIME THAT
IS APPROPRIATE OR ARE WE GOING
TO BE ABLE TO HAVE THE SAFETY
NET THIS PROVISIONAL ELIGIBILITY
FOR THREE AND FOUR YEAR OLDS. SO
I'M HAPPY TO SAY THAT WE
ACTUALLY ARE GROWING THIS
POPULATION. THAT WE ARE
CAPTURING MORE CHILDREN. SO WE
HAD- IN FEBRUARY. OF TWENTY TWO
THREE OR CASE LAW IS FIVE. TWO
AND- ON THIS IS AN INCREASE FROM
OUR AUGUST NUMBER. OF A HUNDRED
FORTY FIVE INDIVIDUALS SO WE ARE
DEFINITELY SEEING THAT INCREASE-
EARLY START ALL DISLIKE FOR YOU
THAT WE ARE ALSO SEEN THIS IS AN
INCREASE- TEN YEARS AGO. WE WERE
SERVING AS- A KIND OF A POINT IN
TIME ABOUT THIRTY THOUSAND
CHILDREN. AN EARLY START AS A
REMINDER IS BIRTH THROUGH AGE
THREE. AND THEN TODAY- OR SEEN A
FIVE FIFTY SIX THOUSAND-
CHILDREN THAT WE ARE SERVING AN
EARLY START- AND- HAPPY TO
PROVIDE ANY ADDITIONAL DETAILS
SHOULD THE COMMITTEE ONE BUT- I
CAN GO TO THE OTHER QUESTIONS
WITH MY COLLEAGUES. GOOD MORNING
CARLA GOES TOGETHER WITH FUHRMAN
OF DEVELOPMENTAL SERVICES. OF
FOR AN OVERVIEW OF THE
DEPARTMENT'S BUDGET- THE
PROPOSED BUDGET HAS FOURTEEN
POINT TWO BILLION TOTAL FUNDS.
SUPPORTING OUR BUDGET THAT IS AN
INCREASE OF ONE POINT SIX
BILLION OVER THE REVISED CURRENT
YEAR PROJECTION OF TWELVE POINT
SIX BILLION- ARE BUDGET IS
BROKEN UP- THE DIRECTOR KIND OF.
THE HIGHLIGHTED A FEW COMPONENTS
INTO FOUR CATEGORIES. OUR
REGIONAL CENTER PURCHASES
SERVICES IS TWELVE POINT TWO
BILLION IN THE BUDGET YEAR WE
JUST HAD OUR OPERATIONS. MENTION
THE SERVICE COORDINATION AND
THAT ACTIVITY IS ONE POINT FOUR
BILLION A SLIGHT DECREASE FROM
THE YEAR BEFORE FROM THE CURRENT
YEAR AND THAT LARGELY REFLECTS A
NUMBER OF SIGNIFICANT ONE TIME
INVESTMENT IN THE CURRENT YEAR.
IN OUR STATE OPERATED
FACILITIES- THREE HUNDRED AND
FORTY POINT EIGHT MILLION AND
THEN INDIA'S HEADQUARTERS
APPROXIMATE ONE HUNDRED FIFTY
FIVE POINT SEVEN MILLION. AGAIN
A MINOR DECREASE REFLECTING
SOMEONE TIME APPLICATIONS IN THE
CURRENT YEAR. THE PROPOSED
BUDGET SUPPORTS KEESLER
UTILIZATION PROJECTIONS BUT IT
ALSO INCLUDES A FEW MAJOR
ADJUSTMENTS- ONE OF THE LARGER
ONES ON THE OPERATION SIDE. IS
AN UPDATED METHODOLOGY AND CASE
OF PROJECTION FOR THE CHILDREN
BIRTH THROUGH FIVE SO THAT
BRINGS THE RATIOS TO WONDER
FORTY- THERE ARE ALSO RESOURCES
SUPPORTING THE MINIMUM WAGE
AUGMENTATIONS. AND THEN LATER IN
THE AGENDA WILL TALK ABOUT SOME
OF THE SAFETY NET- AUGMENTATIONS
. ALSO ADDRESSED THE QUESTIONS
REGARDING THE RATE
IMPLEMENTATION. SYSTEMS ARE
BETWEEN ONE TO THE NEXT COMPUTER
ABOUT THE DELAY OF THE PRIEST
CONCLUSION CRANSTON AND TO
AFFECT THAT SURE- THE BUDGET
INCLUDED A NUMBER OF. ITEMS TO
ADDRESS THE PROJECTED ADEPT
REDUCED REVENUES- THE DELAY IN
THE EARLY STARK RUNS IS- DELAYED
UNTIL TWENTY TWENTY FOUR SO THAT
HAD NOT BEEN ONE OF OUR
INITIATIVES THAT IT HASN'T BEEN
IMPLEMENTED TO DATE SO IT IT'S
ONLY A DELAY IT'S NOT ENDING THE
PROGRAM. BUT RIGHT IT HASN'T
EVEN YET CORRECT OKAY THANK YOU
- FOR THE RATE AT IMPLEMENTATION
THE SECOND PHASE OF THE RIGHT
MODEL IMPLEMENTATION IS
EFFECTIVE JANUARY- THE INITIAL
PHASES OF THE RIGHT MODEL
IMPLEMENTATION. HAD A QUALITY
INCENTIVE COMPONENT THAT WAS ON
TOP OF THOSE AUGMENTATIONS- BUT
EFFECTIVE IN JULY TWENTY TWENTY
FOR THE FULLY IMPLEMENTED MODELS
WILL BE. A TWO PAYMENT
COMPONENT- DAY PERCENT PASTRY
AND A 10% QUALITY INCENTIVE. THE
COLORS HAS OF COURSE RAISED
CONCERNS ABOUT NOT KNOWING WHAT
SOME OF THOSE MEASURES WILL BE A
WHILE THE QUALITY INCENTIVE
PROGRAM IS OUTSIDE OF THE RATE
MODEL ADJUSTMENTS TODAY. A
STAKEHOLDERS HAVE IDENTIFIED
PRIORITIES FOR. SOME OF THOSE
INCENTIVES BUT THEY DON'T APPLY
TO ALL PROVIDERS SO THE
DEPARTMENT IS LOOKING AT OTHER
OPPORTUNITIES THAT CAN HAVE
INCENTIVES FOR ALL PROVIDERS-
AND OF COURSE LOOKING TO HAVE
THAT SO THAT IT WOULD BE KNOWN
BEFORE THE END OF THE FISCAL
YEAR. THE OTHER ITEM I WAS GOING
TO ADDRESS IT. I'M SORRY
QUESTION OF- FOR THE- UP ON
PRINT FEE PER- THE CURRENT
BUDGET OUT THERE PROGRAMS-
CURRENT LAW RIGHT NOW SUSPENDS
TWO OF THE THREE PROGRAMS UNTIL
JUNE OF TWENTY TWENTY THREE. AND
IN THE RECENT BUDGET TRAILER
BILL THAT HAD DIRECTED THE
DEPARTMENT TO WITH INPUT FROM
STAKEHOLDERS LOOK AT SOME OF
THOSE EFFICIENCIES AND-
IMPROVEMENTS IN THE FEE PROGRAM.
SO THE DEPARTMENT BEACH AND TO
INCLUDE SOME OF THE BREAKDOWN OF
WHAT THOSE FEES ARE AND IMPACTED
POPULATIONS- THE DEPARTMENT IS
PLANNING SIX STAKEHOLDER
MEETINGS THREE OF THOSE HAVE
OCCURRED THE OTHER THREE WILL BE
COMPLETED BY THE END OF THE
MONTH. END OF WITH ANTICIPATED
PROPOSAL BUT WITH THE MAYOR
VISION- WITH TURNED OVER MY
COLLEAGUE FOR ME. HI THANK YOU
J. KNIGHT DE DIRECTOR WITH THAT
. FEMINIST MONA. A QUESTION ON
THE HOME AND COMMUNITY BASED
SERVICES- FINAL RULE OR SETTINGS
ROLE. AS THE AGENDA NOTES IN THE
THOSE RULES WERE PUT IN PLACE
AND FURTHERING THE AMERICAN MOST
AMERICANS WITH DISABILITIES ACT
AS WELL AS- THE- HOMES THAT
DECISION. THAT THAT ENFORCE THAT
YOU KNOW LIVING IN THE COMMUNITY
IS A CIVIL RIGHT. BUT THE
SERVICES THAT ARE PROVIDED AND
THAT'S WHERE THE FINAL RULES
COMMAND DATE REALLY GETS INTO
THE REQUIREMENTS FOR WHAT THOSE
SERVICES NEED TO DO AND WHAT-
THE AND HOW THEY ARE DELIVERED
AND DEVELOPED AND- CAN PROVIDE
IT IN A PERSON CENTRED. WAY SO
MEANING THAT. EVERYBODY DOES FIT
INTO A PARTICULAR THAT SERVICES
ARE PROVIDED TO REALLY NEED TO
BE FOCUSED ON THE INDIVIDUAL'S
NEEDS AND DESIRES I THINK THAT'S
REALLY IMPORTANT AS- TO KIND OF
SET THAT STAGE AS WE TALK ABOUT
YOUR QUESTIONS ABOUT WHERE WE
ARE WITH SPOKE. COMPLIANCE WITH
PROVIDERS. SO THOSE RULES AFTER
A LENGTHY TRANSITION PERIOD WENT
INTO EFFECT LAST FRIDAY. WHICH
MEANS NOW THAT THEY ARE IN
EFFECT MUCH LIKE OTHER RULES
FROM THE FEDERAL FEDERAL-
GOVERNMENT. IS THAT WE ARE NOW
AND THAT ON GOING MONITORING
STAGE IN DETERMINING WHERE WE
ARE MAKING CHANGES TO THEIR
ADDRESSING. ANY AREAS OF COKE
NONCOMPLIANCE AS WE SEE THEM.
BUT JUST AS AN UPDATE WE YOU
KNOW WE THERE'S BEEN A LOT OF
FOCUS ON KIND OF THE DATA AND
WHERE PROVIDERS ARE OVER THE-
LAST SEVERAL YEARS. AS OF TODAY
WE STILL HAVE SEVEN PROVIDERS
IT'S STILL NEED TO- THAT WE'RE
STILL WORKING WITH TO. PROVIDE
INFORMATION- POLICIES AND ALSO
SOME EVIDENCE THAT THEY ARE
MEETING- THE RULES. IF YOU WANT
TO TAKE A STEP BACK WHEN I SAID
THAT THE RULES WENT INTO EFFECT
ON FRIDAY THERE WAS A THERE ARE-
IS EXCEPTION IS POINTED OUT IN A
GENDA. THAT BECAME AVAILABLE TO
STATES. REALLY IN THE SUMMER
FALL OF LAST YEAR FROM THE
FEDERAL GOVERNMENT. THAT ALLOWED
FOR- OR RECOGNIZE THAT. SOME OF
THE THESE REQUIRE IN THE RULE
AND- COMMUNITY AND- IN THOSE
THINGS PUT WE'RE GOING TO BE A
CHALLENGE DUE TO WORKFORCE
ISSUES. AND BECAUSE OF THE
EFFECTS OF THE PANDEMIC NOW HAS
THAT WORK FORCES BEEN AN ISSUE
NOT ONLY IN THE SYSTEM BUT
OBVIOUSLY IN A LOT OF AREAS AS
WELL. SO EVEN THOUGH THAT
PROVIDERS MAY HAVE POLICIES OR
MAY WANT TO- HAVE PLANS. TO-
SOME OF THE WORK FORCE ISSUES SO
WE DID SUBMIT WHAT WAS- AS A
STATE NOT JUST OUR DEPARTMENT
BUT IN CONJUNCTION WITH OTHER
DEPARTMENTS WHAT'S CALLED A
CORRECTIVE ACTION PLAN TO THE
FEDERAL GOVERNMENT. AND THAT'S
ALLOWING US AND WE REQUESTED
UNTIL JULY OF TWENTY TWENTY
FOUR. TO FULLY IMPLEMENT AND FOR
PROVIDERS TO FULLY IMPLEMENT
PORTIONS OF THESE RULES THAT
REALLY ARE IMPACTED BY
WORKFORCE. THAT DOES NOT INCLUDE
IT THEY THINK IT'S IMPORTANT SAY
DOESN'T INCLUDE SOME OF THOSE
BASIC RIGHTS OF PRIVACY DIGNITY
RESPECT. THAT HAS TO BE DONE
NOW. SOME OF THE OTHER THINGS
THAT REALLY ARE MORE DEPENDENT
ON THE WORK FORCE WE DO HAVE FEW
TOOK THE QUESTION RIGHT ITEM IS
PERFECT THANK YOU CAN. I
ANTICIPATE. SO IN REALLY AN
INSULT ONE OF THE REASONS WE DO
WE CHOSE JULY REALLY TARGETED
JULY'S BECAUSE A NUMBER OF THE
INVESTMENT OVER THE LAST FEW
YEARS INCLUDING THE RATE MODEL
IMPLEMENTATION- THERE REALLY DO
DRIVEN OTHERS THAT ARE DRIVEN
TOWARDS WORK FORCE DIRECT
SERVICE PROFESSIONAL TRAINING
AND OTHERS. TO TRY AND BUILD UP
THE WORK FORCE REALLY WANT TO
GET SOME OF THOSE- INVESTMENTS
TIME TO WORK OUT SO THAT WE
REALLY CAN. IMPLEMENT AN
EFFECTIVE WORK FORCE WE CAN HAVE
SOME MEANINGFUL- MEANINGFUL
EMPLOYMENT TATION OF THESE
RULES. AND SO WHAT I KNOW THE
QUESTION IS KIND OF WHERE ARE WE
NOW AND HOW MANY PROVIDERS NEED
TO- CAN I STILL GET THERE. YOU
DON'T WE WILL KNOW THAT AS WE DO
OUR ON GOING MONITORING SO THAT
IS A REQUIREMENT IS NOT A POINT
IN TIME. THAT JUST BECAUSE LAST
FRIDAY HAPPENED WE'RE WE'RE
WE'RE DONE. AS I SAID THIS GOES
INTO THE ON GOING MONITORING
PHASE AND NOT EVERY YEAR WILL BE
WORKING AND- AND LOOKING AT
PROVIDERS BETWEEN THE DEPARTMENT
AND THE REGIONAL CENTER.
ADDRESSING THE ISSUES AS THEY
COME UP. AND SO WE'LL GO THERE
SO WE WILL NEED. AS WE GO ALONG
WILL KNOW MORE ABOUT WHERE WE
ARE AND WHAT. ISSUES THAT HAVE
ARISEN. THANK YOU. THANK YOU.
DON'T. I'M.
THAT MONITORING IS GOING TO
INVOLVE INCLUDE ACTUALLY GOING
OUT AND VISITING WITH PROVIDERS.
AND NOT JUST PROVIDERS BUT
TALKING WITH THE INDIVIDUALS WHO
RECEIVE SERVICES AND OBSERVING
WHAT'S GOING ON TO REALLY SEE.
NOT JUST TO HAVE SOMETHING ON
PAPER BUT IT IN PRACTICE OF
THESE THINGS HAPPENING. WHEN CAN
WE ANTICIPATE THOSE VISITS TO
START. AGAIN THEY STARTED NOW
AND THEY'RE GOING TO GO THROUGH
AND THE CYCLE I MEAN WE
OBVIOUSLY THERE'S WORK WE'RE
TALKING ABOUT CLOSE TO SEVEN
THOUSAND PROVIDERS SO THAT'S A
IT'S AN ONGOING. PROCESS GREAT
THANK YOU. SENATE IS THERE DO
YOU DO FEEL LIKE THE RATES THAT
WE DID LAST LAST COUPLE YEARS
AND AS WELL AS THE- INCENTIVES
IT IS THAT IS THAT GOING TO BE
IS IT HELPFUL AND CONSTRUCTIVE
STABILIZED WORK FORCE AND
STABILIZED HOUSING FOR PEOPLE.
THANK YOU CENTERS ANTI BIRD. THE
RATE MODEL IMPLEMENT SO THERE'S
BEEN AND THAT LED. ACTS OF IN
THE RATE MODEL- WAS ACCELERATED
TO HAVE FULL IMPLEMENTATION JULY
FIRST TWENTY TWENTY FOUR AND SO
THROUGH THE BUDGET ACT OF
APPROVING THE RATE ADJUSTMENTS
THERE IS INCREMENTAL RATE
ADJUSTMENTS TO WORK- CURRENTLY A
VALUE WAITING KIND OF WEIRD THIS
STABILIZATION AND LOOKING AT.
STUFF STABILITY WITH THE-
QUALITY INCENTIVE PROGRAM ONE OF
THE PRIORITIES THAT THE WORK
GROUPS IDENTIFIED WAS HOW DO WE
MEASURE KIND OF STAFF STABILITY.
SO LAST YEAR WE FOR THE FIRST
TIME HAD USED TO STAFF STABILITY
SURVEY THAT IS USED NATIONALLY
THROUGH OTHER STATES- AND WE
HAVE SOME LESSONS LEARNED
THROUGH THAT- BUT THE INTENT OF
DOING THAT WAS TO BE ABLE TO GET
A BASELINE SO WE CAN DO A
MEASURE GOING YEAR OVER YEAR AND
SEE- KIND OF THE- AVERAGE TIME.
OF STAFF TURNOVER LOOKING AT
WAGES AND- WE'RE GOING TO BE
IMPLEMENTING OUR SECOND ROUND-
THE FIRST ROUND REALLY WAS
TRYING TO GET- PROVIDERS
INTERESTED IN SUBMITTING- I
APOLOGIZE I DON'T HAVE WITH YOU
RIGHT NOW THE PERCENTAGE. OF
THOSE WHO PARTICIPATED BUT
WORKING WITH PROVIDERS AND
HAVING THE ASSOCIATION'S HELP
GOING TO DO THAT OUR REACH TO
INCREASE THAT PARTICIPATION. BUT
WE'RE ALSO EVALUATING THIS YEAR.
ON THE STAFF STABILITY BECAUSE
THE CURRENT STAFF STABILITY IS
ONLY FOR CERTAIN SERVICE TYPES.
SO WE'RE GOING TO BE ADDING
ADDITIONAL SERVICE TYPE SO WE
CAN- KIND OF CONTINUE TO MONITOR
THAT. AND THEN LOOK FORWARD TO
THE FULL IMPLEMENTATION JULY
FIRST TWENTY TWENTY FOUR. OKAY
AND- ON THE HOME COMMUNITY BASED
SERVICES HIS IN THE FINAL RULE
IS ARE. THESE ARE STANDARDIZED
MODELING THAT YOU'RE USING YOUR
FINGER TO YOUR MONITORING IS
THERE ARE CERTAIN SOMETHING
STANDARDIZED TOOL THAT YOU'RE
USING AND IS THAT. WITH SERVICE
PROVIDERS IT WOULD
TRANSPORTATION IS IT WITH
HOUSING. IS IT ACROSS THE BOARD.
HE SO THE TOOL AND THIS IS WHAT
FROM THE FEDERAL GOVERNMENT TO
WE'RE MODEL TO THOSE
REQUIREMENTS ARE FROM FROM THE-
AND YOU KNOW YOU TALK ABOUT
STANDARDIZATION BUT IT ALSO GOES
BACK TO WHAT I WAS SAYING TO. IF
EVERYTHING LOOKS THE SAME WE
PROBABLY HAVEN'T DONE IT RIGHT
BECAUSE PEOPLE'S NEEDS ARE
DIFFERENT SO WE REALLY HAVE TO
SO WE HAVE TO MONITOR WITH AND
ALSO FOR A REQUIREMENTS. AND AS
FAR AS THE SERVICES THAT THE
SUPPLIES TO. TRANSPORTATION
WOULD NOT BE ONE OF THOSE THAT
IS REALLY THOSE SERVICES WHERE
PEOPLE. WITH DEVELOPMENTAL
DISABILITIES- CAMP. EAT TOGETHER
IN IN IN A SETTING IS WHAT DOES
REFER TO SO WE'RE TALKING MORE
THINGS LIKE DAY TYPE SERVICES
RESIDENTIAL SERVICES AND ALL
LIKE. OKAY IT JUST SEEMS TO BE
THE STANDARD IS. OF THE
MONITORING. I MEAN SHOULD
PROVIDE FOR THE VARIANCE OF THE
POPULATION RIGHT INTO WAS
DESIGNED FOR THIS POPULATION.
YEAH THAT THAT'S TRUE YES.
FEDERAL JUST TWO OTHER
QUESTIONS- DURING.
IT DOES GIVE US SOME TIME TO
ADDRESS ALL OF THEM COLLECTIVELY
IN A IN A ONE OF A BACK TO THE
ACCOUNTABILITY PART JUST BECAUSE
- YOU KNOW THAT'S THAT'S THE
TEETH RIGHT DOESN'T MATTER IF
THEY SENT A DOCUMENTATION IT'S
ARE THEY REALLY IMPLEMENT ANY
BEEN TALKING ABOUT IT BUT- CAN
YOU. GO IN I KNOW WE STARTED
VISITING WHAT'S THE SCHEDULE
LOOK LIKE WHAT THE BENCHMARK BY
THIS IS A QUARTERLY NO WE'RE
GONNA VISIT YOU MENTION ABOUT
SEVEN THOUSAND PROVIDERS TODAY
SAID HERE THAT CORRECTLY YOU
KNOW WHAT'S THE SCHEDULE LOOK
LIKE. YES SO THERE'S A
COMBINATION OF SCHEDULE BE A
LITTLE BIT DIFFERENT DEPARTMENT
NO WE WILL NOT BE VISITING ALL
SEVEN THOUSAND OF THOSE WILL DO
A REPRESENTATIVE SAMPLE OVER- A
COUPLE YEAR PERIOD BUT THE
REGIONAL CENTERS HAVE
REQUIREMENTS- RIGHT NOW ALREADY
FOR. WHAT IT REFERRED TO AS
QUALITY ASSURANCE VISITS WHERE
THOSE ARE DONE ANNUALLY AT AT
MOST PROVIDERS ARE A NUMBER OF
PROVIDERS THAT ARE DONE WITH
THIS RULE SO- YES SO IT'S GOING
TO BE VERY. AT LEAST ANNUALLY.
OKAY AND THEN DURING THEIR
ANNUAL AUDITS IS I GUESS GOING
BACK TO MY COLLEAGUE HERE. IS
THERE ADDED. ISSUES THE THEY
NEED TO WITHIN THAT TO HELP WITH
THIS FINAL RULE IMPLEMENTATION
OR IS GOING TO BE THE SAME KIND
OF OUT OF THE BEEN DOING FOR
YEARS NOW NO AND THAT'S THE PART
WHERE I. PURCHASED THE QUESTION
FROM SENATOR ABOUT WE DO NEED TO
CONTINUE TO DEVELOP THAT KIND OF
STANDARDIZED AND THESE
DISTRIBUTED TO TIONAL BECAUSE
THESE ARE NEW RULES THAT WE HAVE
TO MONITOR BEGINNING. THAT WELL
THEY WERE THEY WERE EFFECTIVE IN
THAT LAST WEEK SO THE FINAL
QUESTION YOU KNOW WE DO PROVIDE
WE THE STATE GRANTS TO HELP. A
TO MODIFY THESE PROGRAMS HOW.
HOW SUCCESSFUL HAS THAT BEEN YOU
KNOW PROVIDERS APPLY FOR THIS.
DO WE STILL HAVE FUNDING THERE.
FOR HIS THREE HAVE THIS BELIEVE
REFERENCING I. DID FIFTEEN
MILLION. SO IT'S THE ANNUAL
FIFTEEN MILLION- AND THAT WAS-
EARMARKED SPECIFICALLY TO HELP
PROVIDERS MOVE TOWARDS
COMPLIANCE WITH H. C. B. S. THAT
STORAGE. OF QUITE A FEW YEARS
AGO WE HAD QUITE A BIT OF
SUCCESS I HAD EARLIER MENTIONED
ABOUT THE WORK ACTIVITY
PROGRAMS. THAT MANY WE'VE REALLY
HAD A REDUCTION OF WORK ACTIVITY
PROGRAMS BECAUSE THAT SETTING
TYPE BECAUSE THAT'S- MUCH OF
WHAT THE- FEDERAL RULE IS ABOUT
SETTING TYPES AND I'M PROMOTING
THAT CHOICES YOU KNOW AND-
PRIVACY AND THE OTHER. AREAS
THAT ARE REALLY IMPORTANT. AND
WORK ACTIVITY PROGRAMS-
FREQUENTLY ARE- IN REALLY ABOUT
JUST INDIVIDUALS THAT HAVE
DISABILITIES AS OPPOSED TO
INCLUSIVE OPPORTUNITIES AND-
REALLY REMARKABLE WORK THAT MANY
WORK ACTIVITY PROGRAMS HAVE DONE
I MEAN THEY'VE REALLY RE IMAGINE
THEMSELVES. AND WORKING WITH THE
INDIVIDUALS AND THEN SO THAT'S
JUST ONE EXAMPLE THERE'S SO MANY
OTHER EXAMPLES THAT. WE HAVE OF
THOSE GRANTS WHERE THEY WERE
ABLE PROVIDERS WERE ABLE TO DO-
PERSON CENTERED TRAINING WITH
INDIVIDUALS AND FAMILIES AND
WHAT THEIR STAFF AND REALLY KIND
OF IN BED TO. A CHANGE OF
CULTURE IN THINKING SO THERE'S A
NUMBER OF EXAMPLES THAT THE
RESULTED FROM THAT INVESTMENT
OVER THE LAST SEVERAL YEARS- WE
ARE STILL EVALUATING THOSE
PROVIDERS IN THIS FIRST YEAR OF
MONITORING- THAT WE'RE GOING TO
BE DOING IS GOING TO HELP US
SEE. YOU KNOW WHERE WE
VALIDATING WHERE FOLKS ARE- IN
COMPLIANCE BUT ALSO WE'RE WE'VE-
IDENTIFYING AREAS WHERE OTHERS
MAY BE STRUGGLING AND IS THERE
OTHER THINGS WE CAN DO TO BE
ABLE TO PROVIDE TECHNICAL
ASSISTANCE- BUT WHEN WE LOOK AT
THE ABILITY PROVIDE SUPPORTS
DIRECTLY INTO THE SETTING TYPE
AND WITH THE INDIVIDUALS IN THE
PROVIDERS. WE FIND A LOT OF
SUCCESS DOING THAT WE'VE BEEN
ABLE TO DO SOME OF THAT WITHIN
THE FIFTEEN MILLIONS OF SMALL.
THANK YOU SO MUCH ANY OTHER. FOR
ONE THING THAT DID THE FOR THIS
OVER. WE'RE GONNA BE MOVING ON
TO THE AGENDA AGENDAS FIRST
PANEL DISCUSSION. ON THE
DEPARTMENT'S SAFETY NET PLAN.
DOCTOR BRIGHTMAN'S CAN BE GLUED
TO THIS CHAIR FOR THE- A
COMMITTEE HEARING. BUT I ALSO
WANT TO WELCOME UP. ON TOP OF
THE DIRECTOR. JOHN DECKER FROM
THE AISLE TO CALIFORNIA REGIONAL
CENTER JOINING US ON ZOOM IS
GOING TO BE TOBY BECAUSE ON A
SELF ADVOCATE. WE'RE GOING TO
HAVE JACKIE DILLARD FALLS FROM
STEP AGENCY WHAT ARE JOIN US AND
THEN WE'LL LINER FROM THE
DISABILITY. RIGHTS CALIFORNIA.
AND IF I COULD ALSO HAVE MY
COLLEAGUE ANGELA MINIONS JOIN
US. TODAY THANK YOU. WE MIGHT
NEED. ONE NO WE DON'T HAVE ROOM.
AND DIRECTOR THAN THIS A WAVE IF
THERE'S A QUESTION WELL SHE CAN
COME OUT YEP THAT'S RIGHT. TO
GET A START A WE'RE GONNA TURN
TO DIRECTOR. BRIDGEMAN TO
PROVIDE AN OVERVIEW OF THE
DEPARTMENT'S TWENTY TWENTY THREE
SAFETY NET PLAN AND RESPOND TO
THE QUESTIONS IN THE AGENDA.
YEAH OKAY. THANK YOU MADAM
CHAIR- FOR THE- SAFETY NET PLAN
I'M GONNA PROVIDE JUST A LITTLE
BIT OF BACKGROUND AS TO WHAT LED
TO THE DEVELOPMENT OF SAFETY NET
PLANS. I MEAN THAT I DO HAVE-
OUR SAFETY NET MANAGER HERE
ANGELA MOON YO'S AND THEN OUR
DEPUTY DIRECTOR- FOR STATE
OPERATED- THAT IS HERE TO BE
ABLE TO HELP ANSWER ADDITIONAL
QUESTIONS AS WE MOVE THROUGH THE
QUESTIONS ON THE AGENDA- BY WAY
OF BACKGROUND I HAD SHARED IN
THE OPENING ABOUT- DEVELOPMENTAL
SERVICES IN KIND OF A HISTORY
OF- TO. THIS STATE DEVELOPMENTAL
CENTERS AT THE TIME YEAH AND-
EVEN DURING TWENTY TWELVE- THAT
WAS A TIME WHEN WE REALLY
STARTED INITIATING. THE
REDUCTION OF RELIANCE ON
INSTITUTIONAL SERVICES AND CARE-
THAT WAS THE YEAR THAT WE HAD
PUT A MORATORIUM OF PLACEMENT
INTO ANY DEVELOPMENTAL CENTER-
AND THAT WAS THE BEGINNING AND
STARTED DOING THE ADDITIONAL
MOVE OF INDIVIDUALS OUT TO THE
COMMUNITY IS CERTAINLY THINGS
THAT HAPPENED PRIOR TO IT BUT
THAT WAS DEFINITELY A MORE
DEFINITIVE ACTION THAT WAS
TAKEN. WE ALSO AS I HAD NOTED
HAD DONE THE CLOSURE THE
DEVELOPMENTAL CENTERS. SO IN TWO
THOUSAND SIXTEEN WHEN WE DID-
THE RELEASE OF THE CLOSURE PLANS
WE ALSO STARTED EVALUATING WHAT
ARE THE THINGS THAT ARE NEEDED
IN THE COMMUNITY TO BE ABLE TO
SUPPORT THE INDIVIDUALS. THAT
WERE MOVING FROM THE
DEVELOPMENTAL CENTERS THERE IS
CONCERN THAT THERE WASN'T REALLY
A BROAD ENOUGH SERVICE PLAN TO
BE ABLE TO- EFFECTIVELY AND
CAREFULLY SUPPORT INDIVIDUALS.
SO EVERY CLOSURE WE HAD A
CLOSURE PLAN- AND THEN WE
IDENTIFIED ALSO THEY NEED TO
HAVE A SAFETY NET PLAN AND SO
THE SAFETY NET FOR SAFETY NET
PLAN WAS RELEASED IN TWO
THOUSAND SEVENTEEN- TO REALLY
DESCRIBE BORDERS THAT THE CRISIS
SERVICES. LISTENING TO THE
FAMILIES PRIMARILY AT THE
DEVELOPMENTAL CENTERS ARE
CURRENT CONCERNS ABOUT HAVING
THEIR LOVED ONES MOVED TO THE
COMMUNITY WAS SOMETHING THAT WAS
VERY VERY REAL TO THEM. MANY OF
THE FAMILIES HAD THEIR- SONS
DAUGHTERS OR SISTERS OR BROTHERS
WHO HAD MOVED TO THE
DEVELOPMENTAL CENTER BECAUSE
SOMETHING BAD HAD HAPPENED IN
THE COMMUNITY. SO IT WAS
IMPORTANT TO BE ABLE TO SAY HOW
DO WE BUILD THAT SAFETY NET PLAN
AND ONE OF THE AREAS IN WHICH
THEY LIFTED UP FIRST WAS TO SAY.
WE NEED TO KNOW THAT YOU'RE
GOING TO BE THERE IN A CRISIS.
AND SO THE FIRST SAFETY NET PLAN
REALLY FOCUSED ON CART CRISIS
RESPONSE AND SOME OF THE
EXAMPLES OF THINGS THAT WE HAD
DEVELOPED UNDER THAT SAFETY NET
PLAN. WAS THAT THE FIRST STAR
HOME THE ACUTE CRISIS HOME IT
WAS DEVELOPED AN ON SITE. AT
FAIRVIEW DEVELOPMENTAL CENTER-
WHICH NOW AS I NOTED HAS EVOLVED
INTO THE COMMUNITY THERE IS ALSO
EXPENSIVE CRISIS SERVICES WE
PRIORITIZE COMMUNITY PLACEMENT
PLAN AND SERVICES TO EXPAND AT
THE REGIONAL CENTER CRISIS
SERVICES. AND WE I JUST WANT TO
NOTE THAT. AND CERTAINLY WHEN WE
TALK TO OUR STAKEHOLDERS I
FREQUENTLY WILL SAY YOU KNOW
SAFETY NETS NOT AN EVENT WE HAVE
TO CONTINUE TO EVALUATE THE
NEEDS TO. RE CALIBRATE TAKE A
LOOK AT WHAT THE CHANGING NEEDS
OUR- EVALUATE IF THE ACTIONS
THAT WERE TAKEN ARE EFFECTIVE OR
HOW DO WE KIND OF BUILD UPON
THAT. AND THAT REALLY DID LEAD
TO THAN THE TWENTY TWENTY SAFETY
NET PLAN. OR TAKING A LOOK AT
THE PROGRESS THAT WAS BEING MADE
WE HAD IDENTIFIED THAT WHAT
THERE IS STILL. A NEED OF
DEVELOPING DIFFERENT MODELS OF
SERVICE. BECAUSE EXISTING MODELS
OF SERVICE WERE NOT MEETING THE
NEEDS. OF THE COMPLEX NEEDS THAT
WE'RE STARTING TO SEE. WE'VE
REALLY STARTED IDENTIFYING THAT
WE HAVE CERTAINLY BUT THE CASE
OF GROWTH WITH NUMBER OF IN. BUT
THE COMPLEXITIES CERTAINLY ARE
THERE WITH INDIVIDUALS WITH A
DUAL DIAGNOSIS. YOU HAVE
INDIVIDUALS WHO HAVE COMPLEX
NEEDS. NOT ONLY WITH IT-
CERTAINLY WITH THE INTELLECTUAL
AND DEVELOP DEVELOP THE
DISABILITY BUT NOW CORE CO
OCCURRING MENTAL HEALTH
DIAGNOSIS. SO WE ESTABLISHED OUR
ENHANZE BEER BILL SUPPORTS HOMES
OUR COMMUNITY CRISIS HOMES. ON
THIS IS ON TOP OF THE- ADULT
RESIDENTIAL FACILITIES FOR
PERSONS WITH SPECIAL HEALTH CARE
NEEDS. WHICH WE FINALLY CAUGHT
ALL OF OUR POSITIONS MANY TIMES-
THAT WAS DEVELOPED FOR THE
CLOSURE FOR INDIVIDUALS WITH
VERY COMPLEX MEDICAL NEEDS. SO
IT KINDA NOW ADVANCING TO THE
NEXT PHASE OF LOOKING AT THE
TWENTY TWENTY THREE SAFETY NET
PLAN. YOU KNOW WHEN WE WERE
LOOKING AT TWENTY TWENTY WE
STARTED LOOKING AT KIND OF WHAT
IS THE CONTINUING WHAT IS IT
THAT WE'RE WE'RE NEEDING TO DO
TO LOOK AT. SERVICES SO THE
TWENTY TWENTY THREE REALLY
STARTED FOCUSING A LOT ON WHAT'S
THE STATUS HOW MANY- HOMES HOW
MANY SERVICES DO WE HAD. REALLY
LOOKING AT ALSO THOSE
INDIVIDUALIZED SUPPORTS. BUT
THEN LOOKING AT GOING EARLIER WE
REALLY WANT TO GET TO A
PREVENTATIVE STATE WE WANT TO
MAKE SURE THAT. IF WE CAN
PREVENT. AND REALLY TAKE A LOOK
AT THOSE INDIVIDUALIZED SUPPORTS
EARLY ON. AND ALSO REALLY
SUPPORT INDIVIDUALS WHO MAY BE
FACING OTHER CRISIS YOU KNOW IF
THERE'S YOU KNOW ABUSE AND
HAVING TO. RESPOND TO THAT AND
REALLY LISTENING TO KIND OF THAT
OTHER SIDE OF IT. RECOGNIZING
ALSO WERE- OUR AUTISM POPULATION
WAS GROWING AND KNOWING THAT
THERE'S A LOT OF COME. THERE'S A
LOT OF COMPLEXITY WITHIN THE
AUTISM. ON SPECTRUM AND SO
HAVING THE AUTISM BRANCH AND SO
THOSE ARE THE THINGS THAT WE
WERE WE'RE FOCUSING ON- SO I ATE
I AM GOING TO GO AHEAD AND PAUSE
JUST FOR A MOMENT BECAUSE-
ANGELA MOON YO'S. IS OUR SAFETY
NET MANAGER AND SHE'S SOMEONE
WHO'S REALLY KIND OF CREATED-
KIND OF THE GUIDANCE THAT
FACILITATED THE WORK WITH OUR
STAKEHOLDERS AND LISTENING TO
SEE WHAT OTHER PRIORITIES- THAT
WE'RE GOING TO BE FOCUSING ON.
SOCIAL GIVE YOU A BRIEF OVERVIEW
OF THAT. THANK YOU NANCY COULD
AFTER ANGELA YES AT MY- TO. OF
DEVELOPMENTAL SERVICES I JUST
WANT TO TOOK SOME INTEREST
QUESTIONS TWO AND THREE AM IN
THE AGENDA AND I ALSO JUST WANT
IT- EXPENDABLE BIT ON THE
CONTINUUM OF CRISIS SERVICES IN
OUR CITY THAT CONTINUUM- WHICH
WE HAVE BUILT UPON FROM TWENTY
TWENTY INTO TWENTY TWENTY THREE
UPDATED PLAN. WHICH INCLUDES
FROM PREVENTATIVE SUPPORT
SERVICES AND THINGS SUCH AS SUCH
AS OUR START SERVICES WHICH IS A
PREVENTION AND CRISIS
INTERVENTION MODEL. WHICH IS NOW
EXPANDED TO FIFTEEN TEAMS ACROSS
TWENTY ONE REGIONAL CENTERS WE
HAVE THINGS LIKE OUR STATE
OPERATED AND REGIONAL CENTER
VENDOR TO MOBILE CRISIS-
SERVICES. ARE STEPPED DOWN
HOMES- OUR COMMUNITY CRISIS
COMES AS NANCY MENTIONED
ENHANCED CABLE SUPPORT HOMES.
AND ALSO THE ACUTE A CRISIS
STATE STAR OPERATED HOMES FOR
HOMES WHICH ARE PART OF OUR
SAFETY NET. AND AS WELL AS OUR
STABILIZATION AND WRAPAROUND
SERVICES SUCH AS INTENSIVE
TRANSITION SERVICES SERVICES
WHICH SUPPORT INDIVIDUALS
TRANSITIONING FROM MORE
RESTRICTIVE SETTINGS INTO THE
LEAST. RESTRICTIVE SETTINGS- AS
PART OF THE TWENTY TWENTY THREE
CURRENTLY- RESPONSE TO THE NEEDS
OF THAT POPULATION SURVEY. WE
HAD TWO THOUSAND SEVEN HUNDRED
FIFTY FOUR ADULTS AND
ADOLESCENTS IN TWO THOUSAND
TWENTY ONE WITH COMPLEX NEEDS.
AS BEGINNING TO ADDRESS THIS-
ISSUE OF INDIVIDUALS IN CRISIS
ACROSS THE STATE THAT ARE
REQUIRING MORE INTENSIVE
SERVICES WE DO HAVE A COUPLE OF
PROPOSALS IN THE TWENTY TWENTY
THREE PLAN- WHICH INCLUDE THE
COMPLEX NEEDS RESIDENTIAL
PROGRAM. THE CONVERSION OF TWO
STAR HOMES TO AN ICF
INTERMEDIATE CARE FACILITY
LICENSURE- AND AS WELL AS THE
EXTENSION OF THAT TEN BEDS AT
CANYON SPRINGS AND THEN PART OF
L. SO I WANT TO TALK JUST A
LITTLE BIT THERE'S FULL DETAIL
IN THE AGENDA. IN REGARDS TO-
THE DETAILS FOR THE COMPLEXITIES
RESIDENTIAL PROGRAM. BUT THIS-
PROGRAM PROPOSES THREE FIVE BED
INTERMEDIATE CARE FACILITY
HOMES- THAT WILL HAVE A MAXIMUM
STATE UP TO EIGHTEEN MONTHS.
WITH A FOCUS- FOR ADULTS AND
ADOLESCENTS WITH CO OCCURRING.
AT AND MENTAL HEALTH NEEDS IT
WOULD BE ENHANCED STAR MODEL
THAT IS GOING TO BE WITH AN
INCREASED FOCUS ON. PROVIDING
STRONG MENTAL HEALTH AND
PSYCHIATRIC SUPPORT SERVICES TO
THE- THIS PROPOSED WOULD BE AN
ALTERNATE FOR THE DAY. STAR
CANYONS- TEN BEDS AND WOULD BE
IT M. AMENDING THE EXTENSION OF
THE DESERT STAR TEN BEDS DURING
THE DEVELOPMENT OF THIS MODEL.
IN ADDITION TO THAT AND TO-
CONTINUE TO SERVE THESE
INDIVIDUALS WITH THE MOST
COMPLEX NEEDS WE ARE PROPOSING A
TWO STAR HOMES THAT WOULD BE
CONVERSION TO THE INTERMEDIATE
CARE FACILITY LICENSURE. THIS
MODEL THE ICF MODEL ALLOWS FOR
MORE ROBUST CLINT ROBUST
CLINICAL STAFFING SUCH AS A
PHYSICIAN DIETICIAN PHARMACISTS
TO BE ABLE TO SUPPORT THOSE
INDIVIDUALS WITH THE MOST
COMPLEX BEHAVIOR ON MEDICAL
NEEDS. AND WELL BEING ABLE TO BE
SERVED IN A LEASE LESSER
RESTRICTIVE SETTING. OTHER THAN
SETTING SUCH AS INSTITUTIONS FOR
MENTAL DISEASES FOR MANY OF
INDIVIDUALS. THAT ARE SERVED IN
THESE HOMES ARE COMING FROM- IN
ADDITION TO THAT- THE- AS I
MENTIONED BEFORE THE PROPOSED
EXTENSION OF THE TEN BEDS AT THE
CANYON SPRINGS. WOULD ALLOW FOR
THE CRISIS SERVICES TO BE
CONTINUE TO BE PROVIDED TO
INDIVIDUALS IN CRISIS DURING THE
DEVELOPMENT OF THE COMPLEX NEEDS
RESIDENTIAL PROGRAM. AND THEN
ALSO WANTING TO TOUCH JUST AS
NANCY HAD MENTIONED THAT THE
SAFETY NET IS NOT A ONE TIME
EVENT IS A CURRENT EVALUATION
WITH OUR STAKEHOLDERS- AND OUR
COMMUNITY AND REGARDING TWO
RECENT AND WORK AND WORK AND
THAT WE'RE DOING WITH OUR
CURRENT INITIATIVES. AND
EVALUATING WHAT THOSE NEEDS FOR
INDIVIDUALS ARE. QUESTIONS IT
WAS THE QUESTIONS UNTIL THE END
OF THE PANEL THANK YOU. SO IF I
COULD JUST ADD THOUGH THERE IS
ONE FINAL QUESTION THE AGENDA-
THAT I'LL GO AHEAD AND JUST
TOUCH ON AND THEN IF THERE'S-
QUESTIONS LATER THAT- WE NEED
TO- HAVE OUR DEPUTY DIRECTOR
JOIN US WE CAN CERTAINLY DO
THAT. IT WAS REQUESTED TO
PROVIDE AID DEMOGRAPHICS AND
PROVIDE- SOME INFORMATION
REGARDING CANYON SPRINGS
IMPORTER BILL- AND SO JUST TO
FIGHT THAT REAL QUICKLY FOR YOU.
THAT PURPORTED FEEL SECURE
TREATMENT WE HAVE A CENSUS OF A
HUNDRED AND EIGHTY NINE
INDIVIDUALS AS OF JANUARY TWENTY
TWENTY THREE. AND THEN THE
DEMOGRAPHICS AND I THINK IT'S
NOTED ALSO ON THE AGENDA SOME OF
THE DEMOGRAPHICS AND SO WE'LL
JUST HIGHLIGHT. SO 91% OF THE
INDIVIDUALS RESIDING- AT THE
SECURE TREATMENT PROGRAM- ARE
MALE AND 9% ARE FEMALE- AS FAR
AS THE RACE AND ETHNICITY
THERE'S- 41% ARE WHITE- 34% ARE
AFRICAN AMERICAN OR BLACK- AND
THEN I'LL- LET NEXT COMMUNITY
REPRESENTS TWENTY NINE PERCENT.
AND THEN 15% IS MIXED OR-
LISTING AS IT AND ANOTHER
CATEGORY- AND THE AVERAGE LENGTH
OF STAY- IS- BEARING AND FOR
THOSE THAT ARE UNDER A COURT
COMMITMENT OF THIRTEEN SEVENTY
POINT ONE- AND THAT IS- JUST
POINT. IT SO IT'S JUST UNDER A
YEAR IS THE AVERAGE AND THEN
THOSE. THAT ARE UNDER A
DIFFERENT COURT COMMITMENT IS
APPROXIMATELY FIVE YEARS. AND
CANYON SPRINGS- WHICH IS OUR
COMMUNITY FACILITY OUT IN
SOUTHERN CALIFORNIA- THE
DEMOGRAPHICS IS- 77% ARE MALE
23% TO OUR- FEMALE AND I'LL JUST
NOTE THAT THOSE INDIVIDUALS-
PRIMARILY AT CANYON SPRINGS ARE
INDIVIDUALS WHO'VE TRANSITIONED
FROM PORTERVILLE- AND- RECEIVING
KIND OF A STEP DOWN INTO A
CANYON SPRINGS- BEFORE THEY ARE
TRANSITION INTO A COMMUNITY
HOME. AND AGAIN THE
REPRESENTATION WHITES 44%
HISPANIC 18% AFRICAN AMERICANS.
14% AND WE HAVE AN UNKNOWN- IT
WOULD TWO REPRESENTS TO TWO SIX
PER- EFFECTS THAT WE'VE NOT-
TRACKED. AND THEN THOSE WHO ARE
NOT IN OUR QUEUE CRISIS ON
THURSDAY I BRIDGE LENGTH OF STAY
IS APPROXIMATELY THREE YEARS.
THANK YOU SO MUCH WE'RE GOING TO
MOVE ON TO OUR NEXT PANELIST-
JOHN DECKER. GOOD AFTERNOON MY
NAME IS JOHN DECKER I'M THE
DIRECTOR OF COMMUNITY SERVICES
AT ALTA CALIFORNIA REGIONAL
CENTER LOCATED HERE IN NORTHERN
CALIFORNIA. WE ARE ONE OF THOSE
NON PROFITS SAID THAT THEY
TALKED ABOUT A LITTLE BIT
EARLIER WE SERVE APPROXIMATELY
TWENTY NINE THOUSAND INDIVIDUALS
WITH DEVELOPMENTAL DISABILITIES
AND AS I SAID TEN NORTHERN
CALIFORNIA COUNTIES. AND A
PRIMARILY OVERSEE THE RESOURCE
DEVELOPMENT AND QUALITY
ASSURANCE FOR OURS SEVERAL
HUNDRED SERVICE PROVIDERS THAT
WORK WITH ALTA CALIFORNIA
REGIONAL CENTER CLIENTS ON A
TALK WITH YOU A LITTLE BIT
ABOUT. OUR REGIONAL CENTERS
EXPERIENCES WITH THE SAFETY NET
SERVICES AND A LITTLE BIT OF
ABOUT- THE VARIETY OF DIFFERENT
SAFETY NET SERVICES AS WELL AND
HELP PEOPLE ACCESS THEM. SO- AS
THE DIRECTOR MARJORIE MENTIONED
EARLIER THE SERVICES FOR PEOPLE
WITH DEVELOPMENTAL DISABILITIES
ARE INITIATED THROUGH AN
INDIVIDUAL PROGRAM PLAN PROCESS.
SO AT LEAST ANNUALLY OUR STAFF
ARE MEETING WITH CLIENTS OR
COULD BE MORE FREQUENTLY IF I
NEEDED IF THERE'S EMERGING
ISSUES WHERE WE WILL MEET AND
DISCUSS SERVICES AND SUPPORTS
THAT MAY BE NECESSARY TO HELP
THE INDIVIDUAL MEET THEIR GOALS
TO MEET THEIR NEEDS. IN
SITUATIONS WHERE INDIVIDUALS
PRESENT WITH COMPLEX SERVICE
NEEDS WE HAVE- AND NUMBER OF
DIFFERENT WAYS THAT WE HANDLE IT
WITH OUR REGIONAL CENTER TO
CONNECT PEOPLE TO SAFETY NET
SERVICES. SO FIRST PEOPLE HAVE A
MANAGER THAT THEY CAN GO TO HELP
FIGURE OUT WHAT TYPE OF SERVICES
MAY BE AVAILABLE TO SOCIAL
WORKER. AND THEN WE ALSO HAVE
SOME INTERNAL REVIEW COMMITTEES
THAT ARE MULTI DISCIPLINARY THAT
CAN SUPPORT OUR STAFF. IN
DETERMINING WHAT ARE THE
APPROPRIATE SIX EIGHTEEN OF
SERVICES OFFERED. SO FOR EXAMPLE
WE HAVE MULTI DISCIPLINARY TEAMS
THAT INCLUDE BEHAVIORISTS WIRE
MEDICAL DOCTORS. NURSES ETCETERA
I HAVE A FAMILIARITY WITH THE
DIFFERENT TYPE OF SAFETY NET
SERVICES THAT HAVE BEEN
DEVELOPED WITH IN OUR AREA TO
HELP OUR SERVICE COORDINATORS.
GET THOSE REFERRALS OVER AND
INTO THOSE SERVICES. I'M ALSO
GONNA TALK WITH YOU A LITTLE
ABOUT WHY IT'S IMPORTANT TO HAVE
A SPECTRUM OF DIFFERENT TYPES OF
SAFETY NET SERVICES FROM YOU
KNOW VERY RESTRICTIVE SETTINGS-
TWO THINGS THAT. ARE VERY MUCH
MORE PREVENTATIVE IN NATURE AND
APPRECIATE- KIND OF WHAT JET
ENGINE I SAID EARLIER- IF
EVERYTHING LOOKS THE SAME WHEN
YOU'RE NOT DOING IT RIGHT AND I
THINK THAT'S A GOOD POINT WHEN
WE TALK ABOUT INDIVIDUALIZING
SERVICES. FOR PEOPLE WITH
DEVELOPMENTAL DISABILITIES. KEY
TO ALL OF THIS WHETHER IT IS
PERSON CENTERED SERVICES OR
TRAUMA INFORMED SERVICES IS
OFFERING CHOICES. AND WHEN WE'RE
TALKING ABOUT OUR SAFETY NET
SERVICES AND WE DEVELOPED AGAIN
FROM THE START MODELS ALL THE
WAY TO THE COMMUNITY CRISIS
HOMES AND WE'RE ALSO DOING A
DELAYED EGRESS SECURE PERIMETER
FACILITY AS WELL. SO LOTS OF
DIFFERENT VARIANCES IN THE TYPES
OF SERVICES THROUGH THE SAFETY
NET THAT WE OFFER. BECAUSE
INDIVIDUALS THAT ACCESS THESE
HAVE A RANGE OF DIFFERENT TYPES
OF SUPPORT MEANS WE REALLY NEED
TO LOOK AT A VERY CLOSE
ASSESSMENT OF WHAT THEIR ISSUE
WITH THEIR SUPPORT NEEDS ARE.
AND WHAT THE BEST POSSIBLE
SETTINGS FOR INTERVENTIONS WOULD
BE AVAILABLE TO THEM. FOR
EXAMPLE SOME INDIVIDUALS MAY
HAVE A STRONG DESIRE TO CONTINUE
TO REMAIN IN THEIR OWN HOME.
THEY MAY DESIRE TO THEY COULD BE
LIVING INDEPENDENTLY OR THEY CAN
BE LIVING WITH FAMILY MEMBERS
FOR EXAMPLE. OTHER INDIVIDUALS
MAYBE HOMELESS OR AT RISK OF
HOMELESSNESS OR HOUSING AND
SECURITY BECAUSE OF- INCIDENCES
THAT OCCURRED THAT LED THEM TO
THE SITUATION THAT THEY'RE IN
CURRENTLY IN THOSE SITUATIONS WE
WOULD BE LOOKING FOR DIFFERENT
TYPES OF SERVICES. WE MAY BE
LOOKING AT IF AN INDIVIDUAL
WANTS TO REMAIN IN THEIR OWN
HOME. BRINGING IN SOMETHING AS
WE TALKED ABOUT EARLIER LIKE THE
START SERVICES. IF AN INDIVIDUAL
IS INTERESTED IN THAT PLACEMENT
WE HAVE DIFFERENT TYPES OF
OPTIONS FROM THE- ENHANCED
PAYROLL SUPPORT HOMES WITH
COMMUNITY CRISIS HOMES AND THEN
WE HEARD EARLIER ABOUT SOME OF
THE STATE RUN OPTIONS LIKE THE
STAR PROGRAMS. THAT WE CAN REFER
PEOPLE TO AS WELL. PART OF THIS
IS ALSO ENSURING THAT AS WE'RE
DOING THESE REFERRALS THAT WERE
REALLY EXHAUSTING THE LEAST
RESTRICTIVE SETTINGS THAT WE
HAVE POSSIBLE AS WELL SO WE
DON'T WANT TO PUT SOMEONE
IMMEDIATELY AND TO. A VERY
RESTRICTIVE SETTING UNLESS WE
CAN DETERMINE THAT WE'VE RULED
OUT EITHER FOR ONE REASON OR
ANOTHER THAT THEY CANNOT GO TO A
LOWERS LEVEL SETTING. PART OF
THIS AND I WILL BE TALKING ABOUT
A LITTLE BIT MORE IS THE
UTILIZATION OF SUPPORTED LIVING
SERVICES SO IN ESSENCE WHEN
INDIVIDUAL LIVES IN THEIR HOME.
AND WE BRING IN SUPPORT
PROVIDERS AND I THINK- JACKIE
FOSTER'S GONNA TALK A LITTLE BIT
ABOUT THAT. A LITTLE BIT LATER
TODAY. STUDENTS IN THIS PANEL.
NEXT SO- HOW WE SUPPORT OUR
PROVIDERS SO OUR PROVIDERS- STEP
UP TO DO A LOT NUMBER OF THE
SAFETY NET SERVICES. WHAT WE
WILL DO FOR THEM IS THAT WE
CONDUCT AN ANNUAL REQUEST FOR
PROPOSAL. TO DETERMINE WHAT
WOULD BE THE- YOU KNOW. BEST
SERVICES THAT WE CAN GET FOR
THAT. COMPLEX THESE ARE
INDIVIDUALS- WITH THAT WE DO
THINGS LIKE AGAIN DEVELOP
DEVELOPING LIKE A DELAYED EGRESS
FACILITY OR A SECURE PERIMETER
FACILITY SO. OUR SERVICE
PROVIDERS ARE CHALLENGED TO.
MEET THESE ADDITIONAL NEEDS OF
OUR COMMUNITY. AND WE OFFER THEM
THINGS LIKE ADDITIONAL
CONSULTATION AND TECHNICAL
SUPPORT THROUGH THAT PROCESS OF
DOING THINGS LIKE EXPANDING
THEIR VENDOR RELATIONS. AN
EXAMPLE OF THE WAY WE DID THIS
TO HELP SERVE VERY CHALLENGING-
TO SUPPORT. INDIVIDUALS IS. WITH
THE ENHANCED CELESTE SERVICES
THAT WE DID WITH THE EAST THAT
STEP AGENCY AND WE'VE
SUBSEQUENTLY DONE IT WITH. THREE
OTHER AGENCIES AND ANOTHER
AGENCY IN PROCESS RIGHT NOW. AND
IN ESSENCE WHAT IT DOES IS IT
TAKES THAT SUPPORTED LIVING
MODEL WHERE YOU HAVE AN
INDIVIDUAL THAT IS LIVING IN
THEIR OWN HOME AND THEY HAVE
STAFF THAT ARE COMING IN TO
PROVIDE THEM THE SUPPORTS THAT
THEY NEED. AND WE ADDED SOME
ENHANCEMENTS ON TOP OF IT I'M
NOT GONNA GET A LOT OF SPECIFICS
BECAUSE I'M SURE JACKIE WILL
SHARE WARNED ABOUT THAT. BUT IN
ESSENCE WHAT WE ALLOW IS FOR
INDIVIDUALS THAT PREVIOUSLY HAD
BEEN SERVING DEVELOPMENT CENTERS
PLACE. INDIVIDUALS THAT HAVE
BEEN SERVED AND- THE STAR HOMES
INDIVIDUALS THAT HAVE BEEN
SERVED AND INSTITUTES FOR MENTAL
DISEASE. NOW HAVE AN
OPPORTUNITY. TO BE ABLE TO STAY
IN A HOME OF THEIR OWN AND GET
VERY ENHANCED SERVICES IN THE
PRIMARY ENHANCEMENTS. THAT WE
LOOK AT FOR SERVICES LIKE THIS
ARE THEY TRAINING OF THE STAFF.
THE CONSULTATION. OF THE-
CONCERT OF THE- SPECIALISTS THAT
ARE IN. IN AGAIN JACK YOU'LL GET
A LANDOWNER BIT MORE ABOUT THAT
THAT PART OF IT TOO. AND THEN
ALSO FOR THESE. FOR THESE
CLIENTS BEING ABLE TO CONNECT
THOSE REGULAR ASSESSMENTS TO
DETERMINE THAT THEY ARE REALLY
ONLY RECEIVING THE SUPPORTS THAT
THEY ACTUALLY NEED AND SO THAT
THEY ONLY HAVE THE STAFFING
HOURS FOR EXAMPLE THAT THEY
ACTUALLY NEED AND ALL THE
ADDITIONAL SUPPORTS. I THINK. ON
BEHALF OF OUR REGIONAL CENTER
WE'RE VERY MUCH LOOKING FORWARD
TO THE SAFETY NET PROPOSALS THAT
WERE PUT FORTH TO SEE HOW MUCH
WE CAN LEARN. ABOUT THE CHANGES
THAT CAN BE MADE TO THE WAIT
LIST THAT EXISTS RIGHT NOW
INDIVIDUALS. RIGHT NOW OUR OWN
PROTRACTED HOSPITAL STAYS. FOR
LONG PERIODS OF TIME WITHOUT
MEETING MEDICAL NECESSITY- THERE
ARE INDIVIDUALS THAT ARE
CHILDREN THAT ARE DEALING WITH
THAT YOU KNOW. CHILD PROTECTIVE
SERVICES PLACEMENTS THAT NEED TO
BE ARRANGED AND MODIFIED AND- SO
. VERY MUCH AGAIN LOOKING
FORWARD TO THE SAFETY NET
PROPOSAL SEEING HOW WE CAN.
SHORTEN THOSE WAIT TIMES AND
OFFER MORE. SERVICES THAT CAN BE
PART OF SOMEONE'S OWN COMMUNITY
SOMEPLACE WHERE THEY DON'T HAVE
TO BE SEPARATED FROM THEIR
FAMILY THEIR FRIENDS. AND THEIR
LOVED ONES TO RECEIVE THEIR
SERVICES AND THAT WAS. BY AND
LARGE WHAT WE HAD TO DO BEFORE
THE SAFETY NET WAS DEVELOPED TO
WE WERE MOVING OUR CLIENTS DOWN
TO THE LOS ANGELES AREA. TO THE
BAY AREA OUT OF SACRAMENTO
BECAUSE THERE IS NO LOCAL
RESOURCES SO. AS WE EXPAND MORE
AND MORE OF THE SERVICES I JUST
HOPE THAT WE REMEMBER TO KEEP
THEM LOCAL AND KEEP THEM
INDIVIDUALIZED. AND BUILD UP AS
MUCH CHOICE AS POSSIBLE FOR
CLIENTS. THANK YOU. THANK YOU SO
MUCH MISTER DECKER- MOVING ON TO
JACKIE FOX. WELCOME HELLO JUST
KIDDING I'M SO SORRY JACKIE.
JACKIE YOU'RE FINE NO I'M- YOU
CONFUSE ME WE SAID- JACK IS NEXT
YEAR NOT NEXT JACKIE. GOING ON
THAT YOU'RE NOT EXACTLY. GOING
ON ZOOM FOR IS. GOING. TO WIN
GOOD BYE YES. TOBY WAS ON. A
CELL ADVOCATE. WELL FULL. THANK
YOU SO MUCH. YES I AM SHOWING
IMMENSE LINE SINCE. WE CAN SEE
IT THANK YOU. BY ALARM. TWELVE
IT WAS DONE IN AN ELEVEN IN. MY
OWN PLANS. IN CANYON COUNTRY.
SIX THIS IS ME WHEN I WAS
YOUNGER. I LIVE WITH MY MOM AND
MY GRANDPA AND MY GLAM GLAMOUR
ONE I GOODBYE HAS EXAMINATION
SINCE SCHOOL WHEN I WAS LAID ON
MY HANDS I'M ISSUES IN THIS
COMMANDING PAINTINGS ONE MAN'S.
PEN HAND AND INSURANCE COMPANIES
AND I AM IN A BAD BAD KNEES
STATE HOUSE BUT THEN LINE
PRESIDENT. JIANG YAN AND- I
THOUGHT A BABY THEY ARE BUT
THOUGH FROM AMES. ON BELLE ISLE
THAT. UNTIL I WAS FIFTEEN TWENTY
SEVEN WHEN MARGARET CAN N.
WALKING. GAMING SPAIN'S. IT
MEANS. CATALOG AROUND THE CAMPUS
WAS ONCE BANNED AND THEN BEING
INSIDE OR GET IN AN IN TWO
ARGUMENTS ON THE LONG RESIDENT.
UNIT SOMETIMES I GET ELEVEN
NUMBERS WHEN I AM INCLINED.
PENCE'S AREN'T ABLE PEOPLE ARE
BEING PUSHY. M. FIVE GET IF
PEOPLE GET MY BRAIN SCIENCE CAMP
BARRINGTON NEVINS HAVE BADLY
THEY WOULD CLIMB DOWN AND FIVE
POINTS. WHEN I HAND IN NANJING.
THEY DIDN'T LAND LINES. THEY DID
A LOT. I JUST FIVE MORE NUMBER
WHEN INVENT THAT AND WANT TO
TELL THEM REALLY QUICK WHAT FIVE
POINTS ARE. HERE DRUGS SHOULD BE
WRIST YEAH ANKLES ON THE CLIO
BONK SPRINGS. YOU THINK THEY
SHOULD DO THAT TO BE NON THAT'S
CRAP BOMB. MEDIA THAT THOUSAND
ME AND HUGGING THE TREE AT THE
MONTANA. I ADVOCATED FOR MYSELF
TO DELIVER THEM AN INMATE
COMMANDING TANK THEN. THERE IS A
BALANCE THE RIGHTS. OF
CALIFORNIA FROM FULL BATTERY
THEY HAD THE PULSAR RIDES ON THE
LONG I WAS I WAS ABLE TO READ
WHAT IT SAID AND I WROTE LANDED
SET. FIFTEEN FIFTEEN FIFTEEN
FIFTEEN FIFTEEN FIFTEEN FIFTEEN.
I WANT SAY IN THAT ONE INTO THE
FEMININE. ASHLAND AVENUES GOT A
ROOM ROOM. DAVID AVENUE GUIDE A
RANDOM FROM WE CANNOT SEND THEM
GOOD GUNS THE LETTER I LOVE AND
THEY HELPED ME GET OUT AND DO
THE ANSON AND SALMON. I SLAMMED
UNDER MY BED AND THEN HE SAID
HANS BUT DON'T POINT THAT FKING
INSTEAD THEN THEN WE HAVE A LOT
IN SILENCE AND YOU KNOW. BEING
THE HOURS AT MOMENT STAY SILENT
PAGES BY MAIL AND SAID. THIS IS
A VIOLENT THE ENGINE. ONE THANK
GOD I'M A BIT YOU DONT THINK HOW
JOB THE- CYCLE TIME PUT MAN IN
POWER BUT MANY PATIENTS AND
TAKING SOMETHING. BUYING.
SCIENCE DEMANDS THEN. BALANCE MY
OWN AT ONE TIME TELL THAT WANTED
. DONE TO IT YEAH SO YOU GOT A
NEW BED NOW BUT WHERE DO YOU
SLEEP NOW I DON'T MIND BAD. THIS
IS ME AT THEM YEAH FELT THAT THE
BOAT THE DRUMLINE. RAIN I MOVED
- AND THEN THERE'D BE A FUN
PROGRAM. AND SALMON WHEN I WAS
FINDING SALMON AND MOVED INTO MY
OWN APARTMENT. I'D LIKE THE LEG
IS LEAVING MY ON PLANE SEVEN
INSTEAD OF AN INSTANT TENSION NO
MORE RESTRAINTS ON CIRCUMCISION
PENSION MAN DIDN'T THAT TIPPING
POINT FOR NOTHING NO MORE
PIPELINES STRING ON CIRCULATION.
WE NEED MORE HOUSING AND SPECIAL
RUNNING MORE IN SECTION EIGHT
HOUSING BOUNCES YOU HELP PEOPLE
WITH DISAPPOINTMENT. THINGS SO
I'M FINE. NOW AS I WORKED AT SIX
FLAGS MAGIC MOUNTAIN AND SOME
PART TIME AND FUN THINGS YES I'M
NOT WORKING NOW RIGHT NOW I'M
NOT WORKING RIGHT HAND AND THE
MONTHS I'M INCLINED WELL YOU GOT
A COUPLE JOB YOU'LL COME IN A
MINUTE. OKAY I HAVE TO SEND IN
THE AUBURN SEVENTEEN HANDING
STUDENTS AND CAL STATE
NORTHRIDGE SACRAMENTO STATE AND
SOON SITTING. I MAKE AN EXTRA
MONEY ON MINE BAINES BOB I LOVE
TO RECYCLE AND MAKE. MAKE MONEY
IT'S A WIN WIN. I MEAN SAVE THAT
I RECIEVED- FOOTBALL AND TURNED
IT DOWN AND THEN POINTING
BOMBING DOWN THING HERE BY
ALLENTOWN THE PLANTS AND MEET
AND MAINTENANCE AND THEIR-
TELLING ME. TRANSCENDENCE ALL
KINDS. I I'D LIKE TO WORK
OUTDOORS BUT I HAVE MORE FREEDOM
ACTING ADS SLOAN CANYON. THAT'S
ON MONDAYS. SOMETIMES WHEN IT
RAINS MARK DECIDED LAWRENCE GOT
DECIDED NOT WORK BUT THAT DAY
YEAH. I ALSO HAVE A JOB SEVEN UP
IN THINKING DOWN FRIENDSHIP BOOM
AT THE MASONIC BLINDS BUT TWO
YEARS SO THAT'S WHEN YOUR BABY
IS HE DOING THAT TODAY. RIGHT
GAG DIDN'T TODAY. SO WHAT ARE
SOME ISSUES THAT YOU WANT HELP
WITH. I USE ALL MY ANSWERS ON
MINING INCOME TO PAY OFF THE
MODEM SO THAT MONTHLY RENT I
DIDN'T FIND PLANE IN MINE CHIMES
TO PAINT A ROMAN YOU TALENT
VINCE AND MYSELF ON. BUT THE
SOUND FROM MY SYSTEM. PAINT BAR
THAT'S GOOD. WE NEED MORE
HOUSING CHALLENGES ADELAIDE
SYDNEY AND ADELAIDE FAMILY
HAVEN'T HAD SEX IN MAINE.
ALLEN'S INBOUND GIN SEVEN AM
BONES THAT SINCE I MOVED IN. I'M
SINCE I MOVED IN DID THAT.
SEVENTEEN IN TWO THOUSAND AND
SEVEN. THEY SAID I HAVE TO BE
HARMLESS TO QUALIFY THIS IS
RIDICULOUS. ALL RIGHT. THIS IF
YOU HAVE ANY QUESTIONS ANY
QUESTIONS NO NO THANK YOU TOBY I
JUST WANT TO KNOW I DIDN'T
INTERRUPT THAT I'VE BEEN
COLLECTING RECYCLING FOR SINCE I
WAS TEN YEARS OLD- SO I DID IT
WHEN I WAS YOUNGER TO ENSURE I
CAN PAY FOR MY SNACKS IN THE
SCHOOLS- AND I HAVEN'T STOPPED
EVER SINCE. NO I REALLY
APPRECIATE YOU TAKING THE TIME
TO JOIN US AND SHARE YOUR
INSIGHTS- I DON'T HAVE ANY
QUESTIONS COLLEAGUES. NO YES.
SORRY GOING BACK NOW IT'S YOUR
TURN JACKIE AND DOBY COULD STAY
ON WE MIGHT HAVE SOME QUESTIONS
FOR YOU AFTER THE AFTER THE
PANELISTS ARE DONE. CAN I GO
BACK TO FOLLOWING JOHN DECKER.
THANK YOU TOBY HI MY NAME IS
JACKIE FOSTER ON THE CEO AND
FOUNDER OF STRATEGIES TO EMPOWER
PEOPLE IT'S AN AGENCY THAT
PROVIDES SERVICES SUPPORTS TO
FOLKS WITH INTELLECTUAL AND
DEVELOPMENTAL DISABILITIES SINCE
NINETEEN NINETY TWO I'M A
PROVIDER FOR ALL THE CALIFORNIA
REGIONAL CENTER AND NORTH BAY
REGIONAL CENTER. THE SAFETY NET
DISCUSSION IS CRITICALLY
IMPORTANT TO LONG TERM SUCCESS
OF PEOPLE WITH COMPLEX NEEDS
IT'S ALSO PERSONAL TO ME AND
IT'S PERSONAL TO THE PEOPLE I
SERVE I HAVE SPENT MUCH OF MY
CAREER FIGHTING TO PROVIDE
PEOPLE WITH DEVELOPMENTAL
DISABILITIES MORE INDEPENDENCE
CHOICE AND CONTROL OVER THEIR
LIVES. I FIGHT AGAINST THE
OUTDATED SERVICE MODELS BASED ON
SEGREGATION AND
INSTITUTIONALIZATION AND I FIGHT
FOR MORE INTEGRATED AND
INCLUSIVE COMMUNITY. WHEN DDS
CREATED A SAFETY NET I HAD BEEN
I HAD ASSUMED THAT ENHANCE
SUPPORTED LIVING OR SUPPORTED
LIVING WOULD BE INCLUDED. THIS
PROGRAM WAS UNFORTUNATELY NOT
INCLUDED THE PROGRAM THAT TOBY'S
IN TODAY. THE SAFETY NET HAS A
GAPING HOLE AND THAT IS WHY I'M
HERE TODAY. JOHN BEGAN TO ROUTE
REFERENCE THAT GAPING HOLE ABOUT
THE SAFETY NET WHY A SUPPORTED
LIVING NOT THERE. BUT I WON'T
TALK ABOUT THE PROBLEM WE'LL
TALK ABOUT THE TESTED PROVEN AND
TRANSFORMATIONAL SOLUTION I
THINK THE BEST WAY TO TALK ABOUT
ANYTHING. IS IT INTRODUCE YOU TO
SOMEBODY I'D LIKE TO INTRODUCE
YOU TO MARIA THIS IS MARIA THIS
IS A PICTURE TAKEN IN TWENTY
NINETEEN HER FACE IS COVERED. TO
PROTECT HER PRIVACY. IT WAS
LABELED AS WITH ALL. SHE'S
HORRIFIC ABUSE SHE HAD DISRUPTED
AND SELF HARMING BEHAVIORS LIKE
HEADED BACK SLAMMING WHAT I SAID
HAD A BLACK SO I MEAN IT SOUNDS
JUST LIKE THAT SHE WOULD. SLAM
HER HEAD HARD INTO SURFACE OR
HER BACK. WHEN THERE WAS NO
OPTIONS FOR RIA THEY HAD THEY
SAID THAT SHE HAD TOO MANY
BEHAVIORAL ISSUES TO QUALIFY FOR
MEDICAL GROUP HOME. SHOULD TOO.
TOO MANY MEDICAID BEHAVIORAL
ISSUES TO QUALIFY FOR A
BEHAVIORAL GROUP SO THERE WAS NO
SAFETY NET FOR MARIA. WHAT
HAPPENED TO HER AS SHE WAS
PLACED AT UC DAVIS WHILE SHE WAS
AT UC DAVIS THEY HAD NO REAL
OBVIOUS OPTED TO KEEP HER SAFE.
SO THEY PLACED HER IN WHAT'S
CALLED A POSY BED MARIA IT'S
BEEN ALMOST A YEAR IN THIS POSEY
BED. DURING THAT TIME SHE WAS
THE CAUSE FOR EVEN MORE PHYSICAL
HARM SHE WAS BRUISED WHEN WE MET
HER FROM HEAD TO LOWER SPINE.
BECAUSE OUR SELF INJURIOUS
BEHAVIOR AND DURING THAT TIME IN
THE POLICY BUT SHE LOST. HER
ABILITY TO WALK. THERE WAS NO
SAFETY FOR SOMEONE LIKE MARIA WE
TALK ABOUT THE PROGRAM WITH
THERE WAS NOTHING THERE. SHE
ENDED UP THERE BECAUSE THERE WAS
NOTHING AVAILABLE ALTA
CALIFORNIA REGIONAL CENTER
FINALLY REACHED OUT TO STEP.
BECAUSE THEY SAW THE VALUE OVER
INDIVIDUALIZED SERVICES AND
SUPPORT. WE HAD BEEN
TRANSITIONING PEOPLE OUT OF
INSTITUTIONAL SETTINGS FOR QUITE
SOME TIME. I STARTED MY CAREER
REALLY WORKING TOWARDS GETTING
SUED OVER DEVELOPMENTAL CENTER
CLOSED. AND STEP BUT PROBABLY
SERVES OVER FORTY FIVE
INDIVIDUALS THAT PREVIOUSLY
LIVED IT SAID NOMA PORTERVILLE.
CAMERI EVEN NAME THE
DEVELOPMENTAL CENTER I CAN NAME
AN INDIVIDUAL THAT I SUPPORT
THAT USED TO LIVE THERE. AT STEP
WE ARE FORTUNATE TO HAVE A
NATIONALLY RECOGNIZED NEURO
PSYCHIATRIST ON STAFF. AS OUR
MEDICAL DIRECTOR DR RUTH MYERS.
GROUP THREW HER SUPPORT AND HER
TEAM WERE ABLE TO COMPILE. FOR
HEAD TO THE SS MARIA'S MEDICAL
SUPPORT NEEDS SHE WAS AT UC
DAVIS FOR A YEAR. WE WE'VE
DISCOVERED THROUGH THIS
COMPREHENSIVE ASSESSMENT THAT
SHE HAD SEVERE SPINAL. PAIN I'M
GONNA SAY THIS CORRECTLY BECAUSE
EVERY PRACTICE. PRACTICING
CONTINUED TO LAUNCH SYNDROME. A
SYNDROME IN BRAZIL TELL ME IF I
WAS RIGHT OR WRONG. TO TERRY
TUMORS PANCREATIC INSUFFICIENCY.
IN ADDITION TO OUR ALREADY
DEVELOPMENTAL CHALLENGES. ONCE
WE COULD ADDRESS HER MEDICALLY
NEEDS SHE WANTS SHE MOVED INTO
HER OWN HOME HER LABELS OF
AGGRESSION BEGAN TO LESS AND WE
BEGIN TO ME MARIA. A YOUNG WOMAN
WITH HOPES AND DREAMS SHE NOW
HAS A TEAM THAT IS THERE TO
SUPPORT OR- EVEN THROUGH HER
MOST DIFFICULT DAYS. THIS IS
MARIA TODAY THIS WAS LAST WEEK
AT HER BIRTHDAY PARTY. I'M PROUD
TO SAY THAT MARIA IS NOW
WALKING. SHE IS ABLE TO MAKE
CHOICES SHE LIVES IN OUR OWN
HOME AND SHE. HAS THE POWER OF
HER OWN VOICE. WE HAVE TO ADD
YOURSELF IF WE YOU ARE WE WERE
B. IN. IN A IT BUT FOR OVER YEAR
WE BE HAVE BEHAVIORS WOULD WE
HAVE LABELS. IF WE WERE
MISDIAGNOSED AND WE'RE SUFFERING
FROM A LONG LIST OF PAINFUL
PHYSICAL CONDITIONS WOULD WE
HAVE BEHAVIORS. I THINK WE FIND
THAT WE ARE ALL MORE ALIKE THAN
DIFFERENT WE NEED TO STOP SEEING
PEOPLE WITH DEVELOPMENTAL
DISABILITIES AS LESS THAN. STOP
VIEWING THEIR LIVES AS LESS
VALUABLE THAT'S THE ULTIMATE
FORM OF DISCRIMINATION. MARIA IS
JUST ONE EXAMPLE I KNOW DOZENS
OF MARIA'S ONE OF THEM SHOWED UP
TODAY SHE LEFT BECAUSE SHE HAD A
DATE WITH HER BOYFRIEND FOR
LUNCH. BUT THIS IS DANIELLE WHEN
WE PICKED HER UP IN JAIL. DANIEL
SAT IN JAIL SHE WAS HERE TODAY I
KNOW JOHN SAW HER WAS LIKE HOLY
SMOKES IT'S DANIEL. BECAUSE
DANIEL HAS A BOYFRIEND SHE LIVED
A VERY FULL LIFE YOU HAVE THAT
IN YOUR PACKET THAT I GAVE YOU-
SORRY I GET LESS I GET IN MY
LITTLE BRAIN HERE- I AM IN YOUR
PACKET WITH A FEW EXAMPLES OF
ALREADY DONE THAT ALL STAR
SYSTEMS FOUNDATIONAL MISSION
THAT EVERY MOMENT HAS POTENTIAL.
BUT THAT TAKES EACH OF US TO PAY
ATTENTION TO THE INDIVIDUAL'S
POTENTIAL AND NOT ONLY LOOKING
AT THE INDIVIDUAL'S PROBLEMS.
OUR SYSTEM ONLY LOOKS AT THE
PROBLEMS USING THIS MODEL STEP
IS SUCCESSFULLY TRANSITIONING
INDIVIDUALS. OUT OF IT MANY
INSTITUTIONAL SETTINGS SUCH AS
BEHAVIORAL PROBLEMS. CRISIS HOME
COMMUNITY CRISIS HOME ACUTE
PSYCHIATRIC HOSPITALS
DEVELOPMENTAL CENTERS LIKE
CANYON SPRINGS CORRECTIONAL
FACILITIES. EMERGENCY ROOMS
INCLUDING HOSPITALS WITH
EXTENDED STAY LIKE UC DAVIS. THE
GOOD NEWS IS WE KNOW WE CAN DO
IT WE HAVE A PROVEN EFFECTIVE
INNOVATIVE MODEL. IT JUST
REQUIRES IMAGINATION
COLLABORATION AND HARD WORK AT
STEP WE DO THIS IN PART BY
HAVING A FULL TIME MEDICAL
DIRECTOR. DR RUTH MYERS SHE DOES
HER COMPREHENSIVE ASSESSMENT.
AND SHE SPECIALIZED IN ANY
SERVICES FOR THOSE WITH
INTELLECTUAL DISABILITIES WE
DON'T START WITH THE BEHAVIOR.
WE START WITH THE MEDICAL
ISSUES. IF YOU HAVE SEVERE
ARTHRITIS LET'S FIGURE OUT THE
SEVERE ARTHRITIS AND NOT THAT
YOU'RE HAVING A COMPLEX
BEHAVIORAL. EPISODE THAT'S WHAT
HAPPENED TO SO MANY OF OUR
FOLKS. WE LABEL THEM AS
BEHAVIORS WITH HIS MEDICAL
ISSUES THAT ARE HAPPENING
SIMILAR TO ADOBE TALKED ABOUT
WHY HE LAID ON HIS BED WHY
DIDN'T WE NOTICED HIS ANXIETY.
WE PROVIDE EXTENSIVE TRAINING TO
OUR DIRECT SUPPORT PROFESSIONALS
AND WE HAVE LOWER CASELOAD
RATIOS FOR OUR FACILITATORS SO
THEY CAN MORE EFFECTIVELY MEET
THE NEEDS OF THESE COMPLEX
FOLKS. THE OTHER THING THAT IT
REQUIRES IS A WILLING REGIONAL
CENTER LIKE ALTA CALIFORNIA
REGIONAL CENTER JOHN DECORATORS
T. REACHED OUT TO STEP TO SAY
THIS IS SOMETHING THAT IS A
VALUABLE PART OF THE SAFETY NET.
EVEN THOUGH IT'S NOT INCLUDED.
WHAT ALSO HAS DONE TO MAKE THIS
EASIER FOR STAFF IS THEY MAKE A-
SPECIALIZED UNIT AVAILABLE
ACCESSIBLE AND ACCOUNTABLE TO
THE NEEDS OF THOSE PEOPLE WITH
COMPLEX NEEDS. THE STREAMLINE
THE HEALTH AND SAFETY WAIVER
PROCESS. AND I APPRECIATE THE
DEPARTMENT OF HEALTH
DEVELOPMENTAL SERVICES HAS DONE
THAT AS WELL. THE FUND OUR
MEDICAL DIRECTOR. THEY HAVE
GIVEN US THE ABILITY TO PAY OUR
STAFF. A COMPETITIVE WAGE WANT
TO GIVE YOU ONE. SAID IT'S- ROSA
WHERE WE SAW NORTH BAY. SENT WE
SERVE PHONE. WITH VERY COMP
NEEDS THAT ARE ALL DEAF. WE WERE
NOT ABLE TO GET FLUENT SIGNING
STAFF BECAUSE OF THE WAGE WE GOT
THE HEALTH AND SAFETY WAIVER WE
WERE ABLE TO PAY COMPETITIVE
WAGES WE WENT FROM TWO TO A
STAFF TO SEVEN DESKTOP. THE
HOMES ARE FULLY STAFFED WITH
FLUENT SIGNERS BECAUSE I'M
COMPETITIVE WAGE THANK YOU FOR
THOSE HEALTH AND SAFETY WAIVERS.
THE FUND RENTAL EXCEPTIONS THAT
WE COULD FIND APPROPRIATE
HOUSING. THE FUND SUPPORTED
RETROFITS OF THE HOMES ARE SAFE.
FOR SOMEONE LIKE MARIA WHO. IS
WELL SLAMMING INTO THE WALL
THERE IS PADDING THERE SO SHE
DOESN'T INJURE HERSELF. AND MOST
IMPORTANTLY THEY BELIEVE THIS
MODEL OF SUPPORT WORKS. WE HAVE
TO REMIND WE HAVE TO INCLUDE
THIS IN THE SAFETY NET AND I
DON'T KNOW WHY IT'S NOT. IT'S
ONE OF THOSE WHAT IS THE PASSION
OF MINE TO HAVE INCLUDED.
ANOTHER SIDE NOTE ON THE SAFETY
NET IT KIND OF FALLS IN. HIS IN
INDEPENDENT LIVING SKILLS THE
RIGHT MODELS GOT IT WRONG WE
HEAR THE RACE CITY
IMPLEMENTATION WE ARE GOING TO
GET BEGIN SEEING PEOPLE. IN
INDEPENDENT LIVING TO BE IN
FALLING THROUGH BECAUSE I'LL AS
PROVIDERS LIKE MYSELF WILL BE
GONE. IF WE DON'T FIX THAT
EYELESS RIGHT SO I'M HOPING THAT
WE CAN HAVE A BIGGER
CONVERSATION WITH THIS. I ALSO
HAVE TO LEAVE YOU WITH THIS. WE
MUST BECOME A SOCIETY OF
INCLUSION AND NOT SEGREGATION WE
MUST NOT ONLY SEE THE PROBLEMS
BUT THE POSSIBILITIES WHEN WE
REALLY REALLY DO PERSON
CENTERED. INDIVIDUALIZED SUPPORT
IT MAKES ALL THE DIFFERENCE FOR
PEOPLE AND THAT PACKET WITH HAVE
THE MOST COMPLEX NEEDS WE SAY
THAT. THEY HAVE TO FILL OUT A
ONE MODEL OR ANOTHER. IN
SUPPORTED LIVING WE JUST
SURROUND THEM. IN SUPPORT WITH
THEIR HABIT OF WHEN THEY'RE
HAVING. HI COMPLEX DAYS WE JUST
SURROUND THEM AND GIVE THEM THE
SUPPORT THEY NEED. AND THEY
NEVER HAVE. TO LEAVE THEIR HOME
. THE HAVE TO LEAVE THEIR HOMES
SO LET'S REALLY MAKE. THE A
COMMUNITY BY SYSTEM WHERE PER
HAS HOME OF THEIR OWN THANK YOU
SO MUCH. I THINK YOUR LAST
FINALIST IS GOING TO BE WILL
LINER FROM DISABILITY RIGHTS
CALIFORNIA. GOOD AFTERNOON. MY
NAME IS WILLIAM MINOR I AM AN
ATTORNEY WITH DISABILITY RIGHTS
CALIFORNIA. I WANT TO THANK THE
COMMITTEE FOR THE OPPORTUNITY TO
SPEAK TODAY. THIS TOPIC IS BOTH
PERSONAL AND PROFESSIONAL TO ME.
I'VE SPENT MUCH OF MY CAREER
REPRESENTING PEOPLE AND
INSTITUTIONS. FOR NEVER GIVEN A
SHOT AT COMMUNITY LIVING. I
ALSO- BROTHER SERVED BY REGIONAL
CENTER. EARLIER IN HIS LIFE WAS
FORCED INTO AN INSTITUTION. AND
HE NOW LIVES IN THE HOME OF HIS
OWN. WITH GUESS WHAT SUPPORT AND
HAVING- WITH THE SUPPORTS THAT
HE NEEDS AND HE DESERVES. SO I
WANT TO FIRST ACKNOWLEDGE AND
RECOGNIZE ALL THE WORK THAT TDS
IS DONE AROUND THE SAFETY NET
AND ITS COMMITMENT TO IT. IT'S
HELPED. COUNTLESS PEOPLE IN
TIMES OF CRISIS- BUT I THREE
POINTS I WANT TO MAKE IN MY
TESTIMONY A RECOMMENDATION AND
THEN I WANT TO LEAVE. YOU ALL
WITH THAT QUESTION. MY FIRST
POINTS. WE WERE TROUBLED TO
LEARN IN THE AGENDA THAT THE
THREE I SEE APPS THAT MAKE UP
THE COMPLEX NEEDS PROGRAM. WILL
BE LOCATED ON THE GROUNDS OF
FAIRVIEW DEVELOPMENTAL CENTER.
THAT DOESN'T SOUND LIKE THE
PROGRAM THAT WAS DESCRIBED IN
THE BUDGET OF THE COMPLEX NEEDS
RESIDENTIAL PROGRAM. BUT IT
STARTS TO SOUND LIKE HIS THREE
SMALL INSTITUTIONS LOCATED ON
THE GROUNDS OF A- NOW CLOSED
LARGE INSTITUTION. THE PLACE
THAT TOBY USED TO LIVE. IT'S
STARTING TO SOUND LIKE A FAIR
VIEW OF ME OPENING PLAN THAT'S
WHAT'S STARTING TO SOUND LIKE.
AND WITHOUT CLEAR CHARO HELPED
BUILD LANGUAGE ASSOCIATED WITH
THIS REQUEST. IT'S UNCLEAR HOW
SOME OF THE PROTECTIONS THAT TDS
PROPOSES- WILL STICK MAKING SURE
THAT EACH UNIT ONLY HAS FIVE
BEDS MAKING SURE THAT THERE'S
ONLY FIFTEEN TOTAL- MAKING SURE
THAT. THERE'S A MAXIMUM SPEED OF
EIGHTEEN MONTHS SO WE RECOGNIZE
THE NEED FOR A SAFETY NET WE
HAVE A LOT OF QUESTIONS ABOUT
THE COMPLEX NEEDS RESIDENTIAL
PROGRAM. MY SECOND POINT. YES IS
PROPOSING TO AGAIN EXPAND
EXTENDS THE EXPANSION OF
PORTERVILLE DEVELOPMENTAL CENTER
. AND I RECOGNIZE THAT PORTER
WAS SEEN BY MANY PEOPLE IN OUR
SYSTEM HAS THE ANSWER. FOR
REGIONAL CENTER CONSUMERS WHO
GOT ENTANGLED INTO THE CRIMINAL
LEGAL SYSTEM AND ARE UNABLE TO
STAND TRIAL FOR THE CHARGES
AGAINST THEM. BUT MANY PORTABLE
RESIDENTS WOULD TELL YOU IT'S
JUST ANOTHER TYPE OF JAIL- FOR
PEOPLE. FOR THEIR POOR PEOPLE IN
TEDIOUS DATA SHOWS SISTER
SUBJECTED TO RESTRAINTS AND BY
RESTRAINTS I NEED THE TYPE THAT
TOBY DESCRIBED TIED DOWN AND
STRAPPED DOWN TO A BAD. END
WHERE THEY SPEND YEARS EVEN
DECADES SEPARATE FELL. WITHOUT
EVER HAVING BEEN CONVICTED OF A
CRIME. GIVEN THIS BACK DROP I
JUST TAUGHT THROUGHOUT THE
QUESTION. WHY DO WE NEED TO
CONTINUE THIS EXPANSION AND TWO
TDS IS CREDIT TO THEIR CREDIT
THE BANK ACCOUNTS AT PORTER
VILLE HAS REMAINS WELL BELOW TWO
HUNDRED FOR. MANY MONTHS THEY
WANT TO HUNDRED THAT'S HOW I
KEEP FINDING AN ADDITIONAL TEN
PETS THIS IS A LEAN BUDGET YEAR
THAT'S WHAT WE'RE HEARING- WHY
ARE THESE INVESTMENTS NECESSARY
. MY THIRD POINT. AN EMERGING
FEATURE OF THE SAFETY NET IS THE
RELIANCE ON GROUP. AND
INSTITUTIONAL MODELS OF CARE. AT
THE EXPENSE OF INVESTMENTS IN
SUPPORTED LIVING HERE'S ONE
STATISTIC. SINCE TWO THOUSAND
SIXTEEN TDS IS FUNDED THIRTY ONE
COMMUNITY CRISIS HOMES. AND ONE
HUNDRED AND FOURTEEN ENHANCED
BEHAVIORAL SUPPORT HOMES.
THERE'S ANOTHER STATISTIC. SINCE
TWO THOUSAND FIVE TDS IS
INVESTED IN FIFTY FIVE SUPPORT
IN DIFFERENT PROGRAMS HE TURNED
THEM OUT THAT'S ABOUT THREE. OR
THREE YEAR. I'M NOT SUGGESTING
THAT INVESTMENTS IN CRISIS HOMES
OR ENHANCE FEDERAL SUPPORT HOMES
ARE NECESSARILY BAD WHAT I AM
SAYING IS THINGS ARE LOOKING A
LITTLE LOPSIDED. WE NEED MORE
SUPPORT IN THE RING PROGRAMS
LIKE STEP. LIKE THE PROGRAM THAT
SUPPORTS TOBY NOT JUST BECAUSE
IT'S THE RIGHT THING TO DO NOT
JUST BECAUSE IT'S THE MIDDLE
THING TO DO- HI ALSO HEARD THAT
IT WORKS THESE PROGRAMS WORK.
THIS IS A GAP IN THE SAFETY NET
THAT DESPERATELY NEEDS TO BE
FILLED. BUT THE SYSTEM NEEDS TO
ACTIVELY SUPPORTED TO. FOR
EXAMPLE REGIONAL CENTERS TODAY
TODAY HAVE THE AUTHORITY AND I
MIGHT SAY OBLIGATION TO FUND
THINGS LIKE RENTAL ASSISTANCE
AND HOME MODIFICATIONS FOR
PEOPLE WHO NEED SAFETY NET
SERVICES SENT HAVE SAFE
AFFORDABLE ACCESSIBLE PLACES TO
LIVE. BUT NOT EVERY REGIONAL
CENTER AS A JOHN DECKER TO
SUPPORT THESE PROGRAMS. A
CONSISTENT THEME THAT WE SEE IS
A REGIONAL CENTERS WILL DEVELOP
POLICIES AND PRACTICES THEY'LL
SAY. YOU KNOW WHAT WE COULD FIND
SOME MODIFICATIONS FOR ONLY FOR
PEOPLE IN THEIR HOME WE'RE NOT
GOING TO PAY THAT FOR PEOPLE WHO
RENT FOR THEY'LL JUST SAY. WE
DON'T FUND BRANDS. IT SEEMS
BACKWARDS THE TEAM'S BACKWARDS
WHY IS IT HARDER FOR OUR SYSTEM
TO K. SOMEONE'S RENTS. TEND TO
MOVE THEM TO THE FACILITY WHY IS
IT EASIER TO BUY AND BUILD A
WHOLE NEW FACILITY THAN JUST
RETROFIT A PERSON'S HOMEWORK
INCENTIVIZING. THE THINGS AT THE
WRONG END OF THE SAFETY NET
CONTINUE I'M- AND LASTLY. THE
RAPID PACE OF ALL THIS FACILITY
DEVELOPMENT SUGGESTS THAT OUR
SYSTEM IS JUST DECIDED. THAT
MANY PEOPLE NEED INSTITUTIONAL
HER CONGREGATE CARE THE ONLY
SAFETY NET FACILITIES OFFER. BUT
WITHOUT FIRST INTERROGATING IT
AT DIFFERENT QUESTION. HOW WE
ORGANIZED OUR SAFETY NET IN A
WAY TO PROVIDE THE SUPPORTS AND
A PERSON'S OWN HOME- NOW CLOSE
BY ANSWERING THAT QUESTION I
DON'T THINK WE HAVE. DONE ENOUGH
AND UNTIL WE DO. THE WORK OF THE
SAFETY NET REMAINS INCOMPLETE.
THANK YOU FOR THE OPPORTUNISTIC
AND WOULD BE HAPPY TO ANSWER
QUESTIONS TO. THANK YOU- FOR DIS
THEY WERE FAIRLY OPEN AT ANY
ADDITIONAL COMMENTS. ROBOTS
CHRIS FROOME THE PERMANENT
FINANCE NOTHING FURTHER AT.
EIGHT YOU KNOW CALIFORNIA RIGHT
NOW IS WORKING AND WE HAD I
THINK THIS IS ONE OF THE FIRST
TOPICS IN THIS COMMITTEE WE WENT
OVER. IS HOWARD BENSON
INNOVATING MEDIC COW KELLY RIGHT
BECAUSE WE RECOGNIZE THAT TO WIN
YOU HAVE AN INDIVIDUAL. I HAVE
CHRONIC BACK PAIN. COULD HE BE
EASILY FOR THE VA TO JUST GIVE
ME I. P. PROFANITY PROFANITY
PROFANITY PROFIT. AND I DON'T
HAVE CHRONIC BACK PAIN FOR THE
REST OF MY LIFE- BUT IF THEY'RE
NOT ASKING WHAT KIND OF BATTERY
SLEEPING ON DO YOU HAVE A BED TO
SLEEP ON ARE YOU SLEEPING ON
YOUR HOUSE WE'RE NEVER GOING TO
REALLY GET AT THE ROOT OF THE
PROBLEM. SO WHAT I'M TAKING
BATTERIES THAT. WERE SEEN THE
STATE MOVE FORWARD IN THIS
APPROACH IN OTHER AREAS. I CAN
AS WE WORK. IN THE SYSTEM. AND
THAT AT THAT TIME SO WE LEAN
TOWARDS IT'S JUST THE WAY THE
INSTITUTIONS HAVE BEEN RUN. AND
WHAT I'VE BEEN HEARING IS THAT
WHERE IT LOOKS LIKE WE'RE MOVING
BACKWARDS VERSUS FORWARD. LINES
WE ALSO HAVE THE DID CRISIS WE
HAVE. AND THE COACHES OF DJ JUST
LIKE THE CLOSURES OF THE CENTERS
AND THE GOAL IS FOR THE
JUVENILES TO MOVE INTO JUVENILE
HALL TO GIVE OUR PROGRAM AND SO
FORTH BUT IN FACT WE'VE SEEN IT
GO BACKWARDS. AND THIS IS THE
SAME KIND OF THING- SEEN HERE SO
FAR. I DO WANT TO ECHO SOME
REMARKS ESPECIALLY WILL YOU
TOOK. THE SAME QUESTIONS I HAD
FOR TODAY. AND I WANT TO START
OFF WITH THOSE QUESTIONS. I WANT
TO START OFF FIRST WITH THE
COMPLEX NEEDS RESIDENTIAL
PROGRAM- CAN YOU PLEASE CONFIRM
IF WE ARE LOOKING AT FAIRVIEW
ARE WE- UTILIZING THAT. CENTER
THAT'S SUPPOSED TO BE IN A WARM
CLOTHES. DOWN PROCESS IF WE'RE
LOOKING TO PUT THREE COMPLEX
BEDS THERE. AND JUST REALLY PUT
IT BACK INTO WHAT IT. IT WAS A
TIME TO BE CLOSED. I FEARED.
SAME WALLS. THESE WALLS WERE
CREATED FOR A MORE. INTEGRAL
APPROACH FOR A MORE HOLISTIC
APPROACH. THESE LAWS. WITHIN
THEMSELVES ALREADY CREATE A
PROBLEM. SO IF YOU COULD THAT'S
MY FIRST QUESTION THERE- AND
THEN CONNECTED TO THAT. AND I
KNOW WE'RE GOING TO GO INTO MORE
IN THE B. C. P. THE EXTENSION
OF. OF DESERT STAR HAS NO END
DATE AND IT'S ATTACHED TO WHEN
THESE HOMES ARE GOING TO BE DONE
AND SO FORTH. I FEAR ALSO THAT
PATIENTS WOULD STAY AT THESE AT
THIS LOCATION FOR AN- UNDEFINED
AMOUNT OF TIME AGAIN NOT MOVING
US FORWARD OR PUTTING THAT
PRESSURE ON US AS A STATE TO
SAY. WE REALLY NEED TO. YOU KNOW
PROVIDE THE SERVICES THAT WE
INTENDED TO PROVIDE I'LL START
WITH THOSE TWO. OKAY THANK YOU
MADAM CHAIR- REGARDING THOSE TWO
QUESTIONS SO FIRST I WANT TO
JUST. EXPRESS THEIR COMMITMENT
TO ANYTHING THAT WE'RE DOING
WITHIN THE SERVICES THE
DEVELOPMENTAL SERVICES IS REALLY
WITH THE LENS OF INCLUSION. AND
APPRECIATE THE CONCERNS THAT YOU
KNOW R. D. R. C. HAS HIGHLIGHTED
REGARDING THE INTERMEDIATE CARE
FACILITIES AND THEN THE
DEVELOPMENT- THAT'S IDENTIFIED
AT FAIRVIEW SO I WANT TO GIVE
SOME CONTEXT BEHIND THAT. SO
INTERMEDIATE CARE FACILITIES THE
INTENT OF ACTUALLY HAVING THE
LICENSE OF AN AN INTERMEDIATE
CARE FACILITY IS ACTUALLY QUITE
THE OPPOSITE- RIGHT NOW AND AS-
JACKIE HAD NOTED THAT WE DO HAVE
A NUMBER OF INDIVIDUALS THAT ARE
IN VERY VERY- ISOLATED. ACUTE
SETTINGS- THAT ARE- NOT
TRANSITIONING OUT AND REALLY
WANTING TO TAKE A LOOK AT WHAT
ARE THE OPPORTUNITIES TO BE ABLE
TO TIMELY TRANSITION INDIVIDUALS
OUT. THAT MAY BE AN ACUTE
PSYCHIATRIC SETTINGS ON
PSYCHOTROPIC SATURN INJECTED.
AND THERE'VE BEEN MANY REFERRALS
TO OUR STAR SERVICES THAT WE
HAVE HAD TO HAVE THE INDIVIDUAL
STAY ON THE LIST FOUR STAR. AS
THE REGIONAL CENTERS ARE
EXPLORING DIFFERENT OPTIONS. AND
AS THEY'RE EXPLORING DIFFERENT
OPTIONS ONE OF THE CHALLENGES IS
THAT AND I'M NOT A CLINICIAN SO
I'M GOING TO JUST KIND OF PUT
THAT OUT THERE. BUT I'M VERY
AWARE THAT IF YOU HAVE SOMEBODY
THAT HAS BEEN ON INJECTABLE-
PSYCHOTROPIC THAT THERE HAS TO
BE A VERY THOUGHTFUL WAY TO BE
ABLE TO TITRATE THEM OFF THE
MEDICATIONS. AND SO AND WANTING
TO BE ABLE TO MAKE SURE THAT WE
HAVE A RESOURCE. THAT IS THE
REASON WHY WE'RE LOOKING TO HAVE
AN ICF LEVEL OF CARE. SO WE CAN
HAVE THE MEDICAL STAFF BECAUSE
IN A COMMUNICATOR FACILITY WE
CANNOT HAVE ANY INJECTABLE CYCLE
TROPICS. THE END OUR. POLICIES
WOULD NOT CHANGE THE ENTIRE IT
IS JUST TO HAVE A MODEL. THAT WE
WOULD BE ABLE TO HELP THE LEVEL
OF- LICENSING KIND OF BAND WITH
IF YOU WILL TO BE ABLE TO DO
THAT BUT I ABSOLUTELY UNDERSTAND
THE CONCERNS. OF THE OPTICS OF
HAVING IT LICENSES THE NICE
ENOUGH. BUT THE I JUST WANT TO
PUT OUT THERE THAT IT TRULY IS
ABOUT DOING THE COMPLETE
OPPOSITE OF WHAT KIND OF THE
PERCEPTION OR THE- WHAT IT LOOKS
LIKE THAT WE WOULD BE DOING WITH
AN ICF. SO DID THE QUESTION
REGARDING ON FAIRVIEW- SO TO
GIVE A VIEW OF THE FAIRVIEW-
PROPERTY THERE'S ALSO A PART OF
THE PROPERTY THAT'S CALLED
HARBOR VILLAGE. HARBOR VILLAGE
WAS DEVELOPED- IS THERE A COUPLE
OF DECADES AGO AND IT WAS- STATE
PROPERTY THAT WAS PART OF
FAIRVIEW. SOAP FAIRVIEW
DEVELOPMENTAL CENTER HAS THE
BUILDINGS THAT WERE- PART OF THE
DEVELOPMENTAL CENTER AND THE
FUTURE IS STILL BEING ASSESSED
AS TO WHAT KIND OF THAT PROPERTY
IS GOING TO BE USED FOR. BUT WE
DO HAVE THE HARBOR VILLAGE WHERE
THERE'S AFFORDABLE HOUSING THERE
SINGLE FAMILY. AND IT'S USED BY
THOSE WITH AND WITHOUT
DISABILITIES YOU KNOW IT'S
MARKETABLE RENT IT'S ALSO
AFFORDABLE RENT. SO YOU HAVE A
REAL COMMUNITY OUT THERE THAT'S
THAT'S PRETTY SIGNIFICANT SO OUR
PROPOSAL IS REALLY ABOUT KERR
BEAT OUT AND WE DID THIS FOR THE
STAR HOMES AS WELL. SO WE HAD A
SECTION OVER TO THAT WAS STILL
FAIRVIEW PROPERTY BUT WHAT WE
HAD DONE IS THAT WE THEN MOVED
THE PORTION THERE'S A SMALL
SECTION THAT WE MOVED OVER TO
THE HARBOR VILLAGE PROPERTY
MANAGEMENT. SO IS NOW PART OF
THAT COMMUNITY AND IT'S STILL
PART OF THE COMMUNITY OVER
THERE. AND THAT IS THE INTENT OF
THIS SO AGAIN I TOTALLY
UNDERSTAND HOW VENUS ON FAIRVIEW
PROPERTY THAT IT LOOKS LIKE THAT
WE'RE JUST GOING TO BE
DEVELOPING AN INSTITUTION THAT
IS NOT THE INTENT. THE INTENT IS
NOT TO HAVE UNITS IT'S NOT TO
HAVE. YOUR FULL UNIT THAT'S
WOULD HAVE FIFTEEN PEOPLE IN IT.
IT IS MODELING- AS- AS IT WAS
NOTED AND THE- THE DISK. OF KIND
OF AN ENHANCED STAR. SO HAVING
IT AS A RESIDENTIAL SETTING THAT
IS USING THE SAME FLOOR PRINTS.
THAT ARE SIMILAR TO IT THAT WE
HAVE FIRST- HOMES WHICH ARE
INCREDIBLE AND WE INVITE ANYBODY
TO COME OUT AND VISIT THEM. YOU
KNOW THAT ARE A PART OF THE
NEIGHBORHOOD AND SO THAT IS
REALLY WHAT WE'RE LOOKING TO DO
AND WE WOULD ABSOLUTELY WELCOME
THE OPPORTUNITY TO- HELP ME WITH
T. OR C. OUT THERE TO MEET WITH
OTHERS OUT THERE TO WALK THE
AREA TO. REALLY TAKE A LOOK AT
WHAT ARE THOSE OPPORTUNITIES FOR
INCLUSION WE DON'T WANT TO GO
BACKWARDS. WE REALLY BELIEVED IN
THE FACT THAT WE NEEDED TO DE
INSTITUTIONALIZE. SO
UNDERSTANDING THAT THE OPTICS OF
IT BUT I'M ALSO REALLY WANTING
TO EXPRESS THAT THAT IS NOT THE
INTENTION THAT THE INTENTION
REALLY IS. DEVELOPING A MODEL OF
SERVICE. VERY COMPLEX NEEDS THAT
WE HAVE TODAY- JUST A QUICK
FOLLOW UP ON THAT IS THE INTENT
TO BRING THE SAME EMPLOYEES THAT
WORKED AT FAIRVIEW. ADD INTO
THIS COMPLEX. ALL THE STAFF ARE
WORKING EITHER WE HAVE SEPARATE
SEVERAL OF STEP THAT WERE A BIT
FAIR IF YOU ARE WORKING AT. THE
HANDFUL AT STAR WE ALSO HAVE NEW
STAFF BECAUSE MANY OF THE STAFF
HAVE- RETIRED AND MOVED ON TO
OTHER POSITIONS. SO WE'RE GONNA
WE'RE GONNA HAVE TO BRING ON NEW
STAFF YOU KNOW- OR THEIR STAFF
THAT ARE STATE EMPLOYEES WHETHER
IT'S THROUGH- YOU KNOW. A
DEVELOPMENTAL SERVICES WHICH
ACTUALLY ARE VERY LIMITED IN
SOUTHERN CALIFORNIA- OR IS IT
OTHERS THAT ARE- ENTERING OR
EXITING SOME- TRAINING PROGRAMS.
SO WE WOULD WANT WE'RE GOING TO
HAVE TO BUILD THE TEAM- GOT TO
TRAIN THE TEAM WORK ON IT AND
TRAINING INCLUDES. PERSON
CENTERED PRACTICES YOU KNOW
WE'VE WE JUST DID A- SOME
TRAINING THAT IS FOCUSED ON
PERSON CENTERED TRAINING THROUGH
TRAUMA INFORMED KERR. YOU KNOW
REALLY TAKEN A LOOK AT HOW WE
CAN REALLY MAKE SURE THAT OUR
STAFFERS LOOKING AT SERVICES AND
SUPPORT THROUGH A LENS. THAT IS
REALLY- IN TODAY'S KIND OF
VISIONARY. OF SERVICES. THANK
YOU COLLEAGUES. OKAY I HAVE A
QUESTION SUCH AS CINEMA OKAY-
MISTER DECKER Q. TALK ABOUT YOU
KNOW NOT ALL REGIONAL CENTERS
ARE CREATED EQUALLY. YOU KNOW
COLLABORATION WITH OTHER
REGIONAL SERVICE CENTERS AND
WHAT DO YOU- ANY SUGGESTIONS
THAT YOU HAVE. THANK YOU- I
THINK IF I WAS SURE FIRST OFF OF
THE REGIONAL CENTERS TO
COLLABORATE VERY FREQUENTLY- SO
WE'VE CERTAINLY. MEET WITH EACH
OTHER REGULARLY WE HAVE THE
ASSOCIATION OF REGIONAL CENTER
AGENCIES AND THAT HAS
DISCIPLINED GROUP SO. I NEED
WITH MY PEERS FROM THE OTHER
REGIONAL CENTRES ONCE A MONTH.
AND THAT'S WHEN WE TALK ABOUT
THINGS LIKE NEW MODELS OF CARE
WE TALK ABOUT. DIFFERENT TYPES
OF SERVICES THAT ARE BEING
DEVELOPED LOCALLY HOW WE'RE
TRYING TO MEET OUR LOCAL
COMMUNITY NEEDS. AND HOW WE
OPERATIONALIZE THE CHANGES THAT
HAVE GONE ON TO OUR SYSTEM AS
WELL- SO THERE ARE VENUES THAT
ARE CERTAINLY AVAILABLE
ADDITIONALLY- THERE IS- THROUGH
OUR- WELL THERE'S A BOARD OF
DIRECTORS TRAININGS THAT ARE
AVAILABLE FOR OUR BOARDS OF
DIRECTORS. AS WELL AT EACH OF
OUR REGIONAL CENTERS ON THE
ASSOCIATION OF REGIONAL CENTER
AGENCIES. DOES THAT AS WELL SO
AGAIN WE CAN SHARE THINGS LIKE
NEW MODELS OF CARE THAT ARE
AVAILABLE. WITH THAT IS SOUNDS I
MEAN YOU KNOW I'M PAPER THAT
SOUNDS. THEN WHY DO YOU AND
ENTERS OR- WHY WE HAVE BEEN A
DIFFERENT LEVEL OF SERVICES IN
REGIONAL CENTRES THEN. I THINK I
CAN SPEAK TO OUR REGIONAL CENTER
WHAT WE'VE PRIORITIZED IN WHAT
WE THINK IS IMPORTANT AND AGAIN-
LOOKING AT PROVIDING THOSE
SERVICES IN OUR LOCAL COMMUNITY
NOT HAVING PEOPLE TRAVEL PEOPLE
BEING ABLE TO HAVE THE
OPPORTUNITY TO LIVE IN THEIR OWN
HOME. WHEN WE TALK ABOUT TRAUMA
INFORMED CARE THEY GOT A
CORNERSTONE OF HIS CHOICE AND IF
YOU HAVE A CHOICE TO BE ABLE TO
REMAIN. WHERE YOU LIVE AND GET
THOSE SERVICES AND SUPPORT SO.
FOR US THAT HAS BEEN IN A LARGE
PRIORITY OF OUR REGIONAL CENTER
AND WE SUPPORTED THAT THROUGH
MULTIPLE VENDOR RELATIONS WITH
DIFFERENT SERVICE PROVIDERS- AND
CERTAINLY YOU. ARE WELCOME TO
SHARE THAT INFORMATION AND OUR
KNOWLEDGE OF HOW SUCCESSFUL IT'S
BEEN- IT WAS GREAT TO SEE. DANNY
HERE A LITTLE BIT EARLIER I JUST
WANT TO POINT THAT OUT HERE THAT
SHE WAS IN THE CROWD A LITTLE
BIT EARLIER AND I HAVE NOT SEEN
HER SINCE SHE WAS IN AN-
INSTITUTIONAL SETTING- SO.
SEEING HER FOUR YEARS LATER OUT
HERE IS FANTASTIC SO. THANK YOU
DIRECTOR JUST WANTED TO BE A
LITTLE BREAK BEFORE I CAME BACK
HERE. I'M YOU KNOW. I THE- YOU.
THERE IS. TO YOU KNOW THE
UTILIZATION OF FAIRVIEW- BUT- SO
WHAT I'M SEEING IS WE'RE GOING
BACK TO A LOCATION THAT WE'VE
USED BEFORE. WE'RE LOOKING TO
EXPAND- EXPAND OR EXTEND. THE
CANON SPRINGS DOES- OR AND THEN
OR ADD MORE BEDS TO PORTER
BELUM. INSTITUTIONS ARE
LOCATIONS WE CURRENTLY HAVE I'M
WONDERING IF YOU COULD SPEAK TO.
YA OR ARE WE EXCLUDING OTHER
TYPES OF RESIDENTIAL COMMUNITY
RESIDENTIAL COMMUNITY BASED
OPTIONS. FOR INDIVIDUALS WHO
JUST SEEMS LIKE WE'RE GOING BACK
TO THE KNOWN. AND NOT GOING
OUTSIDE OF THE BOX HELLO THANK
YOU MADAM CHAIR APPRECIATE THAT
QUESTION I'M- AS FAR AS NOT
WE'RE NOT GOING BACK TO WHAT'S
KNOWN SO THAT THE EXTENSION OF
THE BEDS OVER AT PORTERVILLE ARE
INTENDED TO. IT'S ACTUALLY-
RIGHT NOW WE HAVE A THIRTY. TWO
JUNE. OF TWENTY TWENTY THREE FOR
TWENTY EXTRA BEDS IT WAS
TEMPORARY. WHAT WE'RE REQUESTING
AND THAT'S PROPOSED IS TO- RE
REMOVED TEN OF THOSE BUT
CONTINUE TEN MORE JUST FOR ONE
MORE YEAR. SO THAT'S A PORTER
VILLE- THE CANYON SPRINGS- WHILE
WE WERE LOOKING AT KIND OF THE
TIMELINE FOR THE EXTENSION OVER
A CANYON SPRINGS FOR THE STAR
SERVICES- BECAUSE THE CAPACITY
THAT WE HAVE AT CANYON SPRINGS
RIGHT NOW FOR JUST THOSE THAT
ARE NOT WITHIN THE ACUTE CRISIS.
ACTUALLY HAS CONTINUED TO
DECREASE- I DON'T HAVE THE EXACT
NUMBER RIGHT NOW BUT I BELIEVE-
UNDER FORTY INDIVIDUALS- TODAY
FOR THOSE THAT ARE OVER AT
CANYON SPRINGS. THAT ARE NOT
PART OF THE ACUTE CRISIS. AND
THE REASON WHY WE DIDN'T PUT
KIND OF AT A TIME LINE ON IT BUT
RECOGNIZING THAT THAT IS TIME
LIMITED THE INTENT AS TIME WOULD
BE LIMITED BECAUSE OF DEVELOPING
THE COMPLEX DEVELOPMENT. IS
BECAUSE I DON'T KNOW EXACTLY
WHEN IT'S GOING TO BE DONE. GO
THE OTHER BENEFIT OF USING STATE
PROPERTY YOU KNOW. PROPERTY IS
NOT EASY TO FIND. AND WHEN WE
TAKE A LOOK AT IDENTIFYING
RESIDENTIAL SETTINGS THAT ARE-
AND SO MANY DIFFERENT PLACES IN
THE STATE. THERE'S THIS IS NOT
AN EASY THING WE WORK WITH
REGIONAL CENTERS REGIONAL
CENTERS HAD DEVELOPED AND- I
DON'T WANT TO MINIMIZE I THINK
THAT WOULD JACKIE SHARING AND
THE IMPORTANCE AND THE VALUE OF
SUPPORTED LIVING SERVICES ON AN
INDIVIDUALIZED BASIS. BY FAR
INDIVIDUALIZED INCLUSIVE
SERVICES HAS TO BE NUMBER ONE.
BUT IN THE INSTANCES THAT THAT'S
NOT AVAILABLE WE DO NEED TO MAKE
SURE THAT WE DO HAVE OTHER
RESOURCES THAT ARE AVAILABLE.
AND SO WHEN WE TAKE A LOOK AT
AND I DO HAVE A WAITING LIST
IT'S GOING INTO OUR STORES
SERVICES WE'VE DEVELOPED THE
COMMITTEE CRISIS HOMES. YOU KNOW
AND ACTUALLY LOOK FORWARD TO
MORE CONVERSATIONS WITH JACKIE
ABOUT KIND OF THE- SUPPORTING
COMPLEX NEEDS A SUPPORTED
LIVING. BUT FINDING HOUSES WHEN
WE'RE DEVELOPING THOSE OR THE
REGIONAL CENTERS ARE IT'S TAKING
THREE UP TO THREE YEARS TO FIND.
RENOVATE BECAUSE WHEN YOU'RE
DOING THE RENOVATION IT'S PRETTY
COMPLEX. AND THEN TO ACTUALLY
GET IT LICENSED YOU'RE YOU'RE
LOOKING AT LEAST THREE YEARS FOR
DEVELOPMENT MANY CASES. THE
BENEFITS OF USING THE STATE
PROPERTY IS THAT YOU WE DON'T
HAVE TO GO FIND THE PROPERTY WE
HAVE IT. SO IT'S USING THE
BENEFIT OF THE STATE PROPERTY.
TO EXPAND SERVICES AND SEEING
HOW WE CAN DO THAT SO IT WOULD
REDUCE THE TIME LINE I JUST
DON'T KNOW EXACTLY HOW LONG IT
WOULD TAKE. AND THAT THAT'S THE
CONCERNED ABOUT SETTING A
TIMELINE FOR THOSE INDIVIDUALS
THAT WE SUPPORT THAT HAVE VERY
COMPLEX NEEDS. THAT THAT ARE
ONLY THERE FOR THIRTEEN MONTHS.
BUT BEING ABLE TO SUPPORT THEM
UNTIL WE CAN OPEN UP ADDITIONAL
RESOURCES IS THE REQUEST IN THE
PROPOSAL THAT WE HAVE. MY FINAL
QUESTION KIND OF RELATED AND I'D
LOVE FOR BOTH OF YOU. TO ANSWER
THIS AND THIS IS FOR MY
EDUCATION I DON'T KNOW DON'T
KNOW THE PROCESS I DON'T KNOW IF
YOU HAVE EMPTY BEDS SO YOU CAN
FILL. I DON'T KNOW THE PRICE
LOSSES LIKE IS THERE A WAY WE
CAN PUT SOME. INDIVIDUALS IN
EMPTY BEDS WHILE WE WAIT FOR.
I'M GONNA PUSH THE BUTTON
SUPPORTED LIVING IT'S NOT ABOUT
AN EMPTY BED IF IT'S ABOUT A
HOME OF ONE'S OWN SO FOR EXAMPLE
WHEN I TALKED ABOUT MARIA. IT
WAS MEDIUM URREA FINE IN A HOME
THAT MET HER NEEDS WORKING WITH
THE REGIONAL CENTER TO GET A
RENTAL EXCEPTION IS LIKE ANY OF
US IN OUR OWN HOME COMMUNITY.
YOU'RE LOOKING FOR YOUR OWN HOME
WE ARE NOT ON THE LEASE OF ANY
OF THESE INDIVIDUALS IT HAS
SUPPORTED THAT IS THEIR HOME. WE
PROVIDE THE SUPPORT TO THEIR
HOME SO YOU DON'T HAVE TO LOOK
FOR A BIT SO WHEN JOHN SAID
DOCTOR SAYS A HOME OF ONE'S OWN.
IT REALLY IS WE HAVE PEOPLE IN
DUPLEXES WE HAVE PEOPLE HAVE
YOUNG MAN. WHO'S BEEN IN THE
SAME- FOR TWENTY YEARS HE IS
VERY TO RIGHT CENTER OF HEART IS
A VERY COMPLEX NEEDS HE LIVES ON
A FARM HOUSE AND FIVE ACRES.
BECAUSE THAT SERVICE HIS NEEDS.
SO IT'S NOT ABOUT I MEAN I
APPRECIATE THERE'S THE LANDED
FAIRVIEW. IT'S ABOUT WHAT BEST
MET TOBY'S NEEDS WHAT BEST MET
DANIELLE'S NEEDS. WE HAVE
INDIVIDUALS WHERE IF THEY
THEY'RE VERY LOUD. IF THEY LIVE
IN AN APARTMENT COMPLEX NOT SO
GOOD. BUT IT REALLY IS JUST
MEETING THE PERSON.
COMPREHENSIVELY ASSESSING THEM.
AND LOOKING IN THEIR OWN
COMMUNITY. SO YOU DON'T HAVE TO.
BUILD IT AND THEY WILL COME.
IT'S BEEN BUILT WE JUST NEED TO
RUN IT. I MEAN REALLY TRUE.
THAT'S THE ANSWER TO THE
QUESTION. AND THE RETROFITTING
REALLY CRITICALLY IMPORTANT.
ALTA CALIFORNIA REGIONAL CENTER
AND I WAS MEETING WITH THE
EXECUTIVE DIRECTOR OF NORTH BAY
REGIONAL CENTER WHO REALLY WANTS
TO EXPAND. MORE ENHANCED SUPPORT
OF LIVING IN HIS REGIONAL CENTER
. RESHAPE WHAT JOHN SAYS. BUT I
BET YOU IF I TALKED TO SCOTT AND
AVENUES THE STRUGGLE FOR RENTAL
EXCEPTIONS. IS DIFFERENT AT
NORTH LA. THAT IS ADULT ENOUGH
FOR ALTA. I CAN GET THOSE REAL
EXCEPTIONS FOR PEOPLE WITH
COMPLEX NEEDS BUT NOT FOR THAT
PERSON WHO'S JUST STRUGGLING THE
LIVING DOLLAR BY DOLLAR. I
LISTEN TO SAN DIEGO REGIONAL
CENTER AND I LEARNED THEY DO
REAL UPSET THEY DO RENTAL
SUBSIDIES FOR PEOPLE THAT DON'T
HAVE COMPLEX NEEDS SO IT'S NOT
CONSISTENT IT IT IT'S AVAILABLE
RESOURCE. IT'S INCONSISTENT
ACROSS TWENTY ONE RESULTS THAT
ARE SO YOU'RE NOT LOOKING FOR A
BED YOU'RE LOOKING FOR A HOME
THAT YOU'RE LOOKING TO MEET THE
UNIQUE NEEDS OF THE INDIVIDUAL.
AND THEN THE RHETORIC IN THE
RENTAL EXCEPTIONS ALL THOSE COME
INTO PLAY WHEN WE DO THAT WITH
THE REGIONAL CENTER. BUT YOU
DON'T HAVE TO BUILD IT IT'S JUST
FINDING IT IN THEIR OUR
COMMUNITY. AND DEVELOPING THOSE
RELATIONSHIPS. SO WE TAKE A LOOK
AT THE CONTINUUM OF SERVICES AND
I AM SO GRATEFUL EVERY DAY FOR
JACKIE. YOU KNOW AND IN THE WORK
THAT THEY DO. IT IT IS
REMARKABLE YOU KNOW I EIGHT WE
HAVE. WORKING IN THE DEVELOPMENT
SERVICES OUR COMMUNITY PARTNERS.
IS VERY SPECIAL BECAUSE WE GET
THINGS DONE. YOU KNOW AND THAT
IS REALLY PART OF WHAT THERE ARE
OUR PROVIDERS TO DO BECAUSE THEY
CARE AND I'M JUST SO GRATEFUL TO
THEM. WE'RE SEEING A SIGNIFICANT
INCREASE OF INDIVIDUALS WITH
HIGHLY COMPLEX NEEDS. SUPPORTED
LIVING SERVICES OR YOU KNOW
GOING BACK TO THE FAMILY HOME
THOSE ARE THE FOREVER HOMES.
THAT'S THAT'S REALLY WHAT WE
WANT TO MAKE SURE THAT
ULTIMATELY IS HAPPENING. BUT
WHEN WE HAVE SOMEBODY IS WHO'S
AN ACUTE PSYCHIATRIC SETTING. OR
IF THEY'RE IN IT- INSTITUTION
INSTITUTION FOR MENTAL DISEASES.
YOU KNOW. HAVING THEM WAIT IN AN
ENVIRONMENT THAT DON'T HAVE
STAFF THAT HAVE A KNOWLEDGE BASE
OF INTELLECTUAL AND
DEVELOPMENTAL DISABILITIES. IT
IS REALLY THEN. PULLED HAVING
THAT TIMELINE IN AN ENVIRONMENT
THAT REALLY ISN'T SUPPORTIVE. SO
THE SERVICES THAT WE'RE
EXPANDING I JUST ENCOURAGE US TO
LOOK AT THE CONTINUUM. YOU KNOW
AND NOT LOOK AT OUR PROPOSAL AS
A FOREVER HOME THAT IS NOT THE
INTENT IS FOR STABILIZATION AND
THEN FINDING THAT NEXT STEP
FINDING THE SUPPORTED LIVING
OPTION FINDING. YOU KNOW IF
YOU'RE GOING BACK TO THE FAMILY
HOME YOU KNOW IT SADLY WERE SEEN
SOME CHILDREN. WERE I'M SEEING
MORE CHILDREN EVEN AT THE
YOUNGER AGES THAT ARE ARE COMING
TO. THE REGIONAL CENTERS THAT
YOU KNOW FOR THE FACT THAT. I'M
FAMILIAR WITH INDIVIDUAL CASES
AND THE NUMBER OF CASES IS
REALLY A DAUNTING REALIZATION
THAT WE ARE HAVE A NEED TO
DEVELOP SOME UNIQUE SERVICES- I
JUST GOT TO SEE DOCTOR RUTH
MYERS OUT THERE AND SO YOU KNOW
THAT SHE'S IN CALIFORNIA. S.
INCREDIBLE TO HAVE THAT LEVEL OF
SKILL SET IN CALIFORNIA IS
INCREDIBLE AND BEING ABLE TO
BUILD OUR CAPACITY AS THE SYSTEM
IS REALLY WHAT WE ALSO NEED TO
DO BUT WE DO NEED TO CONTINUE ON
WE NEED A LOT OF DIFFERENT
OPTIONS. YOU KNOW TO BE ABLE TO
HELP STABILIZE SO WE CAN HAVE
INDIVIDUALS GO TO THOSE FOREVER
SETTINGS IN FOREVER HOMES. BUT
HAPPY TO ANSWER MORE QUESTIONS
AROUND THAT OR- IF WE NEED TO
REVISIT ANY OF THOSE CAN I JUST
HAD ONE LAST COMMENT AND I
APPRECIATE I MEAN I REALLY DO
APPRECIATE THE WORK OF DARK OF
DIRECTOR BERTRAND SHE'S
EXTRAORDINARY. SHE'S
EXTRAORDINARY PARTNER BECAUSE
SOME TIMES I WILL TEXT OR
CRAZIES AND CHECKS LISTEN. BUT
WHAT'S MISSING IS WERE NOT IN
THE SAFETY NET WHAT'S MISSING IN
THE CONTINUUM WE TALK ABOUT THE
CONTINUUM. WE'RE NOT IN THE
SAFETY NET. WE'RE NOT EVEN AT
THE SAFETY NET TABLE. OR NOT IN
THE SAFETY NET DISCUSSION OR NOT
ABOUT HOW DO YOU BUILD IT HOW DO
YOU MAKE IT BETTER. SO TWENTY
ONE REGIONAL CENTERS THEY DON'T
TALK ABOUT ENHANCED SUPPORT OF
LIVING. ALTA CALIFORNIA REGIONAL
CENTER TALKS ABOUT IT NORTH BAY
REGIONAL CENTER TALKS ABOUT IT
BUT THEY DON'T TALK ABOUT IT
BECAUSE WE'RE NOT. AND SO I'M
HERE TODAY TO SAY WE NEED TO BE
AT THE TABLE HI MARIA NEEDED AT
THE TABLE DANIELLE. DANIELLE WAS
FAILING SHE GOT KICKED OUT OF
HER HER GROUP HOME CALLED THE
POLICE ON- THEY PUT YOU IN JAIL
AND SHE SAT THERE FOR MONTHS.
BECAUSE THEY WANTED TO ROUTE
THAT WAS THERE WAITING VICTOR.
WE'VE GOT TO BE AT THE TABLE
THAT'S ALL. THANK YOU JACKIE I'M
WE'RE GONNA CLOSE OUT HERE THIS
IS THIS PATTERN AND WANNA THANK
EVERYONE FOR THEIR INFORMATION
AND DIRECTORY DO YOU KNOW I WANT
TO WORK WITH YOU I WANT TO WORK.
IN SEEING HOW WE CAN MAKE THAT
HAPPEN. YOU KNOW MAYBE NOT THE
ENTIRE- ASK RIGHT NOW BUT I WANT
TO MAKE SURE WE- ARE UTILIZING
EVERY SINGLE TOOL IN OUR TOOLBOX
EVERY SINGLE ONE. I MEAN I WOULD
LOVE TO SEE HOW WE CAN GET THAT.
DONE SO DEFINITELY BE IN TOUCH
AND I APPRECIATE THAT I KNOW.
YOU'RE STILL GOING TO BE HERE.
AT THIS TABLE. THREE GONNA MOVE
ON. TO ISSUE NUMBER THREE.
EXTENSION OF TEN BEDS AT
PORTERVILLE DEVELOPMENTAL CENTER
SOMETHING WE'VE BEEN TOUCHING
UNDER THERE ARE DISCUSSION
PLEASE PROCEED. IF YOU WILL I'M
GONNA HAVE MY DEPUTY DIRECTOR OF
STATE OPERATED- COME FOR ISSUE
THREE AND FOUR.
GOOD AFTERNOON MADAM CHAIR AND
MEMBERS MY NAME IS MARNIE SAGER
I'M DEPUTY DIRECTOR OF THE STATE
OPERATED FACILITIES DIVISION.
CREATE THE OPPORTUNITY TO BE HER
SPEAKING OF THE THREE TODAY- IN
ORDER TO TOUCH ON ISSUE NUMBER
THREE WE'VE WE'VE ALREADY HEARD
A LITTLE BIT ABOUT IT BUT WANTED
TO. JUST REINFORCE WE ARE
LOOKING. FOR TEN OF THE TWENTY
BEDS THAT WE WERE GIVEN
TEMPORARY AUTHORIZATION FOR
WHICH ARE SCHEDULED TO SUNSET.
AT THE END OF JUNE TWENTY TWENTY
THREE AND WE WANTED TO CAN YOU
CONTINUE TEN OF THOSE BEDS FOR
JUST ONE YEAR- IN TERMS OF WHY
THIS IS NEEDED IT WE REALLY.
DON'T FEEL LIKE WE CAN RELY ON.
DATA GATHERED WHILE WE WERE
OPERATING UNDER THE PUBLIC
HEALTH STATE OF EMERGENCY TO
PREDICT THE NEED FOR THESE
PLACEMENTS AFTER THE STATE OF
EMERGENCY HAS BEEN LIFTED. DDS
SIX SERVER BE PREPARED TO MEET
THE NEEDS OF THESE PLACEMENTS
AFTER OUR SOCIETAL CONDITIONS
NORMALIZED AND- THIS IS REALLY
ONLY A ONE YOU'RE ASKING WE WILL
MONITOR USAGE THERE IS NO
INTENTION OR GOAL TO FILL
ADDITIONAL BEDS OR INCREASE
CAPACITY. AND ANYWHERE PORTER
BUILT THIS TIME- MONEY TO JUST
ALSO TOUCH ON THE ADDITIONAL
RESOURCES WE HAVE BEEN WORKING
ON TO HELP DIVERT CONSUMERS AWAY
FROM THE CRIMINAL LEGAL SYSTEM
AND DEVELOPING COMMUNITY BASED
COMMUNITY RESTORATION PROGRAMS.
AS WELL AS THE QUESTION ABOUT
HOW MANY INDIVIDUALS WITH IDEA
OF PARTICIPATED IN DIVERSION
PROGRAMS FOR COMPETENCY
RESTORATION PROGRAMS BASED IN
THE COMMUNITY- WE ARE STILL
COLLECTING DATA ON THIS TOPIC
BUT BASED ON REGIONAL CENTER
REPORTING TO DATE THERE
APPROXIMATELY TWO HUNDRED
CONSUMERS. WHO HAVE DIVERSION
PLANS FOR FELONIES AND
MISDEMEANORS- THROUGH OUR
COMMUNITY PLACEMENT PLAN AND
COMMUNITY RESOURCE DEVELOPMENT
PLAN FUNDING. REGIONAL CENTERS
BEEN DEVELOPING COMMUNITY BASED
COMPETENCY RESTORATION SERVICES
AND OTHER RESOURCES FOR
INDIVIDUALS ON DIVERSION PLANS-
WE HAVE FIVE EBS AGES ENHANCE
BEHAVIORAL SUPPORT HOMES WOULD
DELETE A INGRESS AND SECURE
PERIMETER IN DEVELOPMENT WITH
FIVE DIFFERENT REGIONAL CENTERS-
AND EACH OF THOSE PROGRAMS WILL
PROVIDE COMMUNITY BASED
COMPETENCY RESTORATION TRAINING.
WE ALSO REGIONAL CENTERS HAVE
PARTNERED WITH VENDORS THAT
PROVIDE COMMUNITY RESTORATION
TRAINING- INC COMPETENCY
RESTORATION TRAINING SKEWS ME
AND IN THE COMMUNITY- AS WELL AS
WE HAVE FORENSIC RELATED
REGIONAL CENTER POSITIONS. TO
FOCUS ON DIVERTING INDIVIDUALS
FROM THE CRIMINAL JUSTICE SYSTEM
AND THOSE FOLKS ALSO HELP TO
NAVIGATE IN THE LIAISONS WITH
THE COURTS AND TO HELP THOSE
INDIVIDUALS NIGHT NAVIGATE THE
CRIMINAL JUSTICE SYSTEM- DDS
DOES HOLD BIMONTHLY MEETINGS AS
WELL THE REGIONAL CENTERS TO
DISCUSS THE PLANNING FOR IN ALL
INDIVIDUALS WHO LIVE AT PORTER
VILLE- AND CANYON SPRINGS TO
SAFELY TRANSITION THEM INTO THE
COMMUNITY I'M NOT PLANNING
INVOLVES- RESIDENTIAL AND DAY
PROGRAMS SUPPORT COORDINATION.
AS WELL AS WRAPAROUND SERVICES
TO PREVENT AND. DIVERT THEM FROM
THE CRIMINAL JUSTICE SYSTEM.
THEIR ANY QUESTIONS. YES THE
COUPLE- YOU KNOW YOU YOU SPOKE
THAT YOU WANNA MAKE SURE YOU'RE
PREPARED AND GIVEN THAT WE'RE
OUT OF THE EMERGENCY- PANDEMIC
BUT- YOU TOUCH A LITTLE BIT MORE
ABOUT WHERE YOU'RE GETTING
POTENTIALLY THOSE. I KNOW I
WOULD SAY WARREN IS BUT JUST
LIKE THE POTENTIAL FOR MORE BEDS
IT SEEMS LIKE YOU'VE BEEN ABLE
TO MEET BELOW TWO HUNDRED FOR
QUITE SOME TIME AS OF NOW IT'S
AT ONE EIGHTEEN ONE EIGHTY NINE.
YES AS OF JANUARY. SO WE REALLY.
THERE'S NOT A SPECIFIC DATA
POINT I CAN POINT TO BUT I WILL
SAY THAT WE'VE JUST SEEN AN AB
IN A FLOW DURING THE PAST THREE
YEARS THE PANDEMIC WHERE WE'VE
HAD- AT DIFFERENT LEVELS OF
REFERRALS COMING IN. WE HAVE
BEEN UNDER TWO HUNDRED FOR SOME
TIME BUT WE DID GO OVER OUR TWO
ELEVEN CAP DURING COVERT A
COUPLE TIMES. AND REALLY WERE
LOOKING AND TO MAKE SURE THAT WE
CONTINUE TO BE IN COMPLIANCE
WITH THE CITY OF ANY RULING
WHICH REQUIRES US TO BEGIN
SERVICES WITHIN TWENTY DAYS OF
RECEIVING THE COURT ORDER. AND
OUR GOAL AGAIN IS REALLY JUST TO
MAINTAIN WE HAVE THE RESOURCES
AND MAKE SURE WE'RE ABLE TO
MEET- GETTING INDIVIDUALS AND
TIMELY MANNER AND WE REALLY WANT
TO AVOID ANYONE. AND ANYONE.
BEING DELAYED WITH RECEIVING
SERVICES. THANK YOU HOWEVER THIS
IS YOU KNOW I FEEL LIKE THIS IS
AN ACCOUNTABILITY FOR THE STATE
FOR US THAT WE HAVE THIS CAP AT
TWO ELEVEN THAT FURTHER
INCENTIVIZE US TO GET PEOPLE
THROUGH THE PROGRAM AND OUT OF
THESE FACILITIES. YOU KNOW AS
WE'RE COMING IF YOU'RE AT TWO
NINE LIKE OKAY WE REALLY NEED TO
START LOOKING AT THE INDIVIDUALS
ARE POPULATION HERE BECAUSE WE
COULD POTENTIALLY GO OVER. THIS
IS AN INCENTIVE I FEEL LIKE A
BLOG THAT IS NEEDED. THAT WE CAN
REEVALUATE LIQUOR POPULATION AND
GET OUT THAT'S WHY I'M READING
IT RIGHT NOW IT'S STILL SOME
CONCERNS TO ADD SOME BEDS BUT I
WANT TO TURN TO MY COLLEAGUES
FOR ANY ADDITION. TO I WENT. TO
SEE A PLACE FOR THE SAME CONCERN
I'M SORRY I MISSED PART OF THE
LAST PANEL- BUT IF WE'RE UNDER
THAT. THAT NUMBER. THEN I DON'T
UNDERSTAND WHY WE WOULD HAVE
MORE IN IT AND AS WE HEARD WE
AND WE ALL KNOW THAT THAT LONG
TERM INSTITUTIONALIZATION.
DOESN'T DOESN'T BODE FOR PEOPLE
MOVING OUT AND BACK INTO THE
COMMUNITY. SO AND I GUESS IT
TOOK. THREE DEPARTMENT SO WHY
NOT HAVE LIKE TO STEP PROGRAMS
IN THE SAFETY NET PLAN. AND
CONTINUED. TO MOVE TOWARDS THAT
DIRECTION. VERSUS INCREASING
BEDS AT AN INSTITUTION. YEAH
THANK YOU SENATOR AT THE- AS FAR
AS HAVING THE SAFETY NET
INCLUDES SUPPORTED LIVING
SERVICES I THINK IT'S GOING TO
BE IMPORTANT FOR US WHEN WE LOOK
AT OUR CONTINUUM OF SERVICES. TO
NOT ONLY LOOK AT SUPPORTED
LIVING SERVICES BUT LOOKING AT
THE OTHER SERVICES THAT- R. I'M
STILL IN THE COMMUNITY- BUT WELL
THEY HAVEN'T BEEN THE CALLED.
OUT OF THE SAFETY NET THEY'RE
PART OF OURS COMPS. SAFETY NET
THERE PART OF THE SERVICES THAT
INDIVIDUALS ACCESS AND WE HAVE
THE SAME FOR. THOSE THAT ARE
LIVING AT HOME. AND HAPPY TO
HAVE FURTHER CONVERSATIONS ABOUT
THAT. THE AT PORTERVILLE WE'RE
ACTUALLY NOT WANTING TO BRING.
THAT SO UNIQUE I MEAN YOU'RE
PROBABLY FAMILIAR WITH PART OF
IT ALL. AND. SO THAT. WE DON'T.
THEIR OR TO ORDER THEIR- AND SO
WORKED UP. ON KIND OF. THE HOW
MANY INDIVIDUALS ARE. HAVE YOU
HAD A CHARGE OF FELONY. YEAH AND
I AM PLEASED TO SEE THE
DIVERSION PROGRAM- AS AS IT WAS
NOTED AS THE DEPUTY DIRECTOR HAD
NOTED. THAT THERE'S FIVE
REGIONAL CENTERS TO DEVELOPING
SOME OF THOSE RESOURCES. AND SO
WHEN THOSE COME ON THAT'S GOING
TO HELP RELIEVE YOU KNOW EVEN
MORE INDIVIDUALS THAT ARE UNDER
THAT WHAT'S CALLED THE SIXTY
FIVE HUNDRED. SO WE'RE GONNA BE
ABLE TO LOWER THAT POPULATION.
AND THEN WE'RE REALLY GOING TO
BE ABLE TO MAINTAIN WITH
CONFIDENCE BELOW THAT TWO
HUNDRED. SO WE'RE WE'RE STILL I
MEAN I AM SO HAPPY THAT WE ARE
ON THE OTHER SIDE OF THE
PANDEMIC IN THE STATE OF
EMERGENCY. BUT WE DON'T KNOW
WHAT OUR REAL HERE IS LIKE YET
WE HAVEN'T HAD A FULL YEAR. AND
SO WE'RE STILL DEPENDENT ON KIND
OF THE CHARGES THAT ARE MADE THE
INDIVIDUALS THAT ARE IN JAIL
WAITING FOR DIVERSION PROGRAM TO
FINISH ON THE DEVELOPMENT OF
SOME OF THOSE- COMPETENCY AND
THOSE RESOURCES. SO THAT'S ALL
WE'RE ASKING IS NOT SO MUCH TO
ADD MORE BUT TO GIVE US THOSE
TEN BEDS. IN THE EVENT THAT
THERE IS AN INFLUX THAT WE JUST
WOULD NOT HAVE HAD DURING THE-
PRIOR TO THE PANDEMIC- IT'S THE
MYSTERY. THAT WERE WERE PLANNING
FOR- AND THAT'S THE REASON WHY
WE'RE REQUESTING THOSE TEN BEDS.
AND IT'S ONLY FOR ONE YEAR. I
JUST WANNA KNOW IT'S HARD IN THE
BUDGET YEAR THAT WE HAVE
DEFICITS TWO YOU KNOW
POTENTIALLY PROVE SOMETHING THAT
IS. A WHAT IF. YOU KNOW THIS
BUDGET WE TALKED ABOUT WORKFORCE
SHORTAGES THIS IS CONFINED WORK
FORCE YOU KNOW A RETENTION FOR A
FULL YEAR. JUST WANTED TO PUT
THAT OUT THERE FOR MY COLLEAGUES
WERE GONNA HOLD THIS ITEM OPEN
TO MOVE ON TO ISSUE WE'RE GONNA
MOVE ON TO ISSUE NUMBER. FOUR
EXTENSION OF TEN BEDS I CANYON
SPRINGS. SORRY THIS IS MARNIE
SYRIAN DEPUTY DIRECTOR OF THE
STATE OPERATED FACILITIES
DIVISION WE'VE SPOKEN A BIT
ALREADY I WON'T GO BACK INTO
SOME OF THE BASICS OF THE
REQUEST- WE HAVE THE REQUEST TO
EXTEND. THE SUNSET OF THE TENT
USAGE OF THE TEN BEDS. AT CANYON
SPRINGS IN OUR DESERT STAR UNIT
WHICH IS ACTUALLY IS SEPARATE
AND DISTINCT AREA WITH IN CANYON
SPRINGS DEDICATED TO CRISIS
SERVICES. AND THE REASON THAT
WE'RE LOOKING AT THIS EXTENSION
IS BECAUSE THE ICF MODEL FOR
CRISIS BY THE CANYON SPRINGS HAS
BEEN SHOWN TO BE REALLY
INCREDIBLY EFFECTIVE AT
PROVIDING SERVICES TO
INDIVIDUALS WITH CO OCCURRING
DIAGNOSIS HERE REQUIRE CRISIS
SERVICES. EXTENDED AUTHORITY
WOULD PROVIDE THE SUPPORTS ALL
THE COMPLEX NEEDS HOMES ARE
DEVELOPED TO PROVIDE SIMILAR
SERVICES THAN IN A COMMUNITY.
SETTING- THE IT TO TEN OF THESE
BANDS THAT WE'RE TALKING ABOUT
IN THE- COMPLEX NEEDS PROPOSAL
WOULD OFFSET THE USE OF THE
CANYON SPRINGS BEDS FOR CRISIS
SERVICES. AND THEN WE HAVE SEEN
AN INCREASE IN OUR ADOLESCENT
REFERRALS SO FIVE OF THOSE BEDS
WERE ADDED BASED ON OUR EXISTING
DATA- AND WE'RE LOOKING AT
PROJECTED DEVELOPMENT TO BE
COMPLETED AT THE END OF THE
TWENTY TWENTY FOUR CALENDAR
YEAR. SO THOUGH THERE IS NOT A
DEFEAT AS- AND YOUR PERSON YOU
HAD MENTIONED EARLIER AND THAT
IS OUR PROJECTION RIGHT NOW AND
THEN WE WOULD BE GOING FOR THE
LICENSURE PROCESS AND WOULD BE
ABLE ONCE LICENSE TO START
ADMITTING INDIVIDUALS- WE'RE NOT
LOOKING FOR ANY SORRY. I MISSED
THAT ONE WHAT WAS THAT DAY SO
ARE PROJECTED DEVELOPMENT IS
WE'RE LOOKING TO BE COMPLETED AT
THE END OF THE TWENTY TWENTY
FOUR CALENDAR YEAR. AND THEN WE
WOULD BE SEEKING LICENSURE AT
THAT POINT SO- IN TERMS OF. WHY
THE CURRENT MODELS ARE NOT ABLE
TO MEET THE NEEDS OF THE
POPULATION- A NEW MODEL OF. I'M
SORRY THAT THE NEEDS OF ADULTS
AND CHILDREN IN CRISIS ACROSS
THE STATE ARE BURIED AND WE'VE
SEEN- REQUIRING MUCH MORE
INTENSIVE. SERVICES AT THE
CURRENT STATE OPERATED PROGRAMS
THAT WORK TO MEET THE NEEDS OF
MANY INDIVIDUALS THAT ARE SAFELY
SERVED ACROSS THE SYSTEM. BUT
WITH MENTAL HEALTH NEEDS
INCREASING IN FREQUENCY AND
COMPLEXITY ACROSS ALL
POPULATIONS IN RECENT YEARS. AND
WITH A SHORTAGE OF AVAILABLE
SERVICES IN THE COMMUNITY THE
CONTINUING TO SUPPORT THAT. THAT
POPULATION OF INDIVIDUALS AND
INDIVIDUALS WITH DEVELOPMENTAL
DISABILITIES IS LACKING RESPECT
RESPONSIVE OPTION TO SUPPORT THE
MORE INTENSIVE NEEDS- A NEW
MODEL OF SERVICE FOR INDIVIDUALS
WITH COMPLEX NEEDS OF CO
OCCURRING. IDEA MENTAL HEALTH
DIAGNOSES WOULD REDUCE THE
NUMBER OF INDIVIDUALS SERVED IN
MUCH MORE RESTRICTIVE SETTINGS
SUCH AS LOCKED PSYCHIATRIC
FACILITIES. INSTITUTIONS HELMET
FOR MENTAL DISEASE MEDICAL
FACILITIES AN OUT OF STATE
FACILITIES AND WILL ASSIST IN
MEETING THE GROWING NEED FOR Q.
CRISIS SERVICES AS WELL AS
REDUCING RELIANCE. ON CANYON
SPRINGS COMMUNITY FACILITY AND
WE HAVE HAD OVER THE PAST I
THINK SINCE TWENTY NINETEEN WE
HAD MORE THAN HALF OF THE
INDIVIDUALS BEING REFERRED TO
US. FROM THESE EXTREMELY.
RESTRICTIVE SETTINGS. THANK YOU
TO LA OR DO I HAVE ANY COMMENT.
CHRIS O'NEILL DEPARTMENT OF
FINANCE NOTHING FURTHER TO ADD.
I THANK HER DEFENSE I- I SHARED
ALL MY COMMENTS THAT I HAD ON
THIS ONE AND HAVE ANYTHING
FURTHER TO ADD. OKAY WE'RE GONNA
HOLD THAT ITEM OPEN. OKAY SO WE
NO LONGER NEED ASL INTERPRETERS
OR WE'RE GOING TO GO BACK TO THE
ORIGINAL ORDERS SO WE'RE GONNA
GO STRAIGHT INTO ISSUE NUMBER
FIVE. I LIKE TO WELCOME- THE
PANELISTS WERE GOING TO BE
JOINING US FOR AN EQUITY IN
OVERSIGHT AND REGIONAL CENTER
SERVICES. LONG TIME NO SEE
DIRECTOR BARTMAN THANK YOU FOR
COMING BACK WE HAVE A DISABILITY
RIGHTS FROM DISABILITY RIGHTS
CALIFORNIA MAYBE IN HONG.
FERNANDO GOMES APPARENT WITH
INTEGRATED COMMUNITY
COLLABORATIVE. AMY WESTLING IS
JOINING US FROM ASSOCIATION OF
REGIONAL CENTER AGENCIES ON SOON
WE HAVE JUDY MARTZ DISABILITY
VOICES UNITED IN ONE WE'RE GOING
TO START WITH DIRECTOR.
PARCHMENT. THANK YOU MADAM CHAIR
APPRECIATE THE OPPORTUNITY TO-
SPEAK ON THIS EXTREMELY
IMPORTANT TOPIC- AND AGAIN
APPRECIATE THE WORK OF THE STAFF
AND- LISTING THE DETAIL ON IN
THE- AGENDA WHICH NOT GONNA
REPEAT ANY OF THAT BUT I WANT TO
BE ABLE TO ADDRESS THE QUESTIONS
THAT BEFORE US TODAY. SO I'VE
BEEN ASKED TO SUMMARIZE THE
EFFORTS THAT WE'VE WORKED ON TO-
MOVE TOWARDS A MORE. EQUITABLE
AND ACCESS TO SERVICES- AND THEN
ALSO HOW WE'RE MOVING THAT
NEEDLE WHAT ARE WE MEASURING TO
BE ABLE TO SEE HOW WE'RE MOVING
THAT THAT NEEDLE- AND THEN SOME
OF THE BEST PRACTICES AND THEN
SOME OF THE ROOT CAUSE WHAT WERE
IDENTIFIED AS ROOT CAUSES I ALSO
HAVE MY COLLEAGUE HERE WHO IS
OUR CHIEF EQUITY OFFICER. LANE
NINETY WALTER WHO- IT WILL BE
ABLE TO PROVIDE SOME EXAMPLES
AND FURTHER- TALK ABOUT- THE
WORK OF A AND BRIEFLY JUST ABOUT
GEORGE TOWN AND THE A REVIEW
THEY'RE DOING OF ARTISTS-
DISPARITY GRANT PROGRAM- I WANT
TO LEAD WITH IT ANYTHING THAT WE
DO RIGHT NOW WITHIN DEPARTMENT
OF DEVELOPMENTAL SERVICES AS
WERE REVIEWING ANY POLICIES OR
TAKING A LOOK AT EVALUATING
THINGS FOR DOING THAT. REALLY
THROUGH THE LENS OF EQUITY THAT
WE WORKED WITH OUR DEVELOPMENTAL
SERVICES TASK FORCE BUT ALSO
PART OF A COMMUNITY OF PRACTICE.
THAT WE HAD MULTIPLE DEPARTMENTS
AND THEN- SOME- AT BECAUSE THE
AGENCY THAT WORKED WITH US. ON A
COMMUNITY OF PRACTICE TO RELEASE
TAKEN A STEP BACK AND LOOKING AT
OUR VISION AND OUR PRIORITIES
FOR- SERVICE ACCESS AND EQUITY
AND REALLY LIFTING UP THE
IMPORTANCE OF THAT WORK. SO I'M
NOT GOING TO READ YOU THE-
VISION STATEMENT BUT I JUST
WANNA COME I HIGHLIGHT THAT
THAT- IT IS AN AREA IN WHICH- WE
DON'T- HAVE THIS. DISCUSSION
EVERY SINGLE DAY. THE OTHER
THING I'D LIKE TO HIGHLIGHT IS
THAT REALLY HAVING A SEAT AT THE
TABLE FOR A COMMUNITY IS REALLY
IMPORTANT. REALLY BECAME EVIDENT
ON THE- WHEN WE ARE- SCENE AND
HAVING TO DO OUTREACH TO THE
COMMUNITY. WE REALLY RECOGNIZE
THAT WE WANTED TO MAKE SURE
THOSE COMMUNITIES THAT ARE
REALLY FROM MARGINALIZED
COMMUNITIES THAT WE'RE HAVING A
HARDER TIME ACCESSING SUPPORTS
AND SERVICES WAS EXTREMELY
CRITICAL. I'M VERY GRATEFUL TO
THE FACT THAT WE HAD OUR
DISPARITY FUNDS PROGRAM DURING
THAT TIME- BECAUSE OVER THE
YEARS WHEN WE'VE- BEEN ISSUING
AND BEING ABLE TO DEVELOP A
COMMUNITY BASED ORGANIZATIONS-
WITH THE- MEMBERS OF THE
COMMUNITY BASED ORGANIZATIONS
THAT HAVE BEEN FUNDED. THAT WE
MEET WITH ON A MONTHLY BASIS-
THEY WERE THE ONES WHO WERE ABLE
TO DO THAT OUT REACH- AND SO AS
WE- LOOK AT HOW DO WE MEASURE
THAT EQUITY HOW DO WE TAKE A
LOOK AT THE CONCERNS AND
CERTAINLY APPRECIATE THE
ANALYSIS FROM LA- AND-
DISABILITY VOICES UNITED AND
OTHERS. YOU KNOW WHEN WE LOOK AT
THE- THE COST AND THE AVERAGE
COST OF SPENDING PER PERSON. AND
THE CONCERNED YOU KNOW WHEN YOU
KNOW I'VE MET WITH A LOT OF THE
FAMILIES I'VE MET WITH THEM AND-
AND HAVING THEM POINT TO THE
PURCHASE OF SERVICES TO WHY IS
IT THAT. YOU'RE SPENDING MORE ON
WHITES THAN THOSE OF COMMUNITIES
OF COLOR. ABSOLUTELY APPRECIATED
THAT OPPORTUNITY TO TAKE IT. TO
DIVE INTO THAT. I WILL SAY THAT
MEASURING PURCHASED A SERVICE
DOLLARS IS ONLY ONE TOOL- WHEN
WE LOOK AT THE AGGREGATE LEVEL.
YOU KNOW WE HAVE TO REMEMBER WE
HAVE TO FACTOR IN SO MANY OTHER
VARIABLES. BECAUSE WE ARE A
SERVICE OF FOUR HUNDRED THOUSAND
INDIVIDUALS WE HAVE A BUDGET
THAT'S PROPOSED IN- DID BE
CLIMBING TO. FOURTEEN BILLION
DOLLARS WHICH IS REALLY-
REMARKABLE BUT WHEN YOU TAKE A
LOOK AT. WE SERVE CHILDREN BIRTH
TO THREE AN EARLY START WE SERVE
INDIVIDUALS YOU KNOW THREE.
THROUGH TWENTY TWO THAT LARGELY
OR ARE LIVING AT HOME OR IN
EDUCATION. DOESN'T MEAN THAT
THEY DON'T HAVE A RIGHT TO
REGIONAL CENTER SERVICES BECAUSE
THEY ABSOLUTELY DO. BUT LARGELY
THEY DON'T- HAD THE SAME
EXPENSES AS SOMEBODY THAT IS
OVER THE AGE OF TWENTY TWO. AND
LIVING IN A RESIDENTIAL SETTING
WHERE YOU ARE SEEN AT GREATER
EXPENSE AND COST. FOR
INDIVIDUALS THAT ARE LIVING OUT
OF HOME. NOW WHEN WE TAKE A LOOK
AT THE RESPITE SERVICES THAT IS
LARGELY THE RESPITE- OR SERVICES
FOR INDIVIDUALS WHO ARE LIVING
AT HOME. AND WE LOOK AT THE
DEMOGRAPHICS OF OUR INDIVIDUALS
THAT ARE LIVING AT HOME. LARGELY
THEY ARE GOING TO BE OUR
COMMUNITIES OF COLOR YOU KNOW
THAT ARE- OVER THE AGE OF TWENTY
TWO. SO WHEN WE'RE LOOKING AT
THOSE SUPPORTS WE DO WANT TO
MAKE SURE THAT THEY'RE AVAILABLE
FOR THE COMMUNITIES. AND WE HAVE
SEEN WHEN I TAKE A LOOK AT FIVE
YEARS AGO THE AVERAGE COST OF
RESPITE. BASED ON ETHNICITY AND
I LOOK AT WHAT IT IS IN THE LAST
YEAR IT IS SIGNIFICANTLY
DIFFERENT. WE REALLY HAVE MOVED
THAT NEEDLE THAT NEEDLE HAS
ABSOLUTELY INCREASED THE AVERAGE
SPENDING WHEN YOU TAKE A LOOK
AT- THE AVERAGE FOR THAT COST
BETWEEN- WHITES AND COMPARED TO.
AFRICAN AMERICAN COMPARED TO-
THAT LET NEXT COMMUNITY- WE DO
HAVE SOME NOISE IN OUR DATA AS
FAR AS AN OTHER CATEGORY AND NOT
KNOWING KIND OF WHO THAT
COMMUNITY IS. MORE THAN THAT
SOME OF THE STUFF WE'RE WORKING
ON KIND OF CLEANING UP THAT
DATA. SO RIGHT I WELL I THINK
THAT'S GREAT I AM NOT SAYING
THAT WE'RE GETTING EQUITY.
BECAUSE WHAT WE ALSO HAVE TO
MEASURE MORE WE'RE TAKING A LOOK
AT A DISPARITY IN EQUITY. WHAT
IS THE EXPERIENCE WITH THE
AVAILABILITY OF SERVICES IS THAT
SERVICE BEING PROVIDED IN THE
LANGUAGE OF PREFERENCE. SO WE
ALSO HAVE TO AND THAT'S WHY
MOVING TO AN OUTCOME BASED
SYSTEM OF BEING ABLE TO MEASURE
THE EXPERIENCE OF INDIVIDUALS IS
SO CRITICAL. SO AS WE'RE MOVING
FORWARD AND I'M AND I'M TAKING A
LOOK AT- WHAT ARE THOSE- THINGS
THAT WE'RE DOING I'M JUST GOING
TO HIGHLIGHT SOME OF THE THINGS
AND THEN INSTEAD OF. OVER THE
LAST SEVERAL YEARS THAT WE HAVE
PUT FORWARD- WITH THE INTENT AND
WHAT THE PURPOSE OF BANKING SURE
THAT WERE OPENING THE DOOR TO
HAVE SERVICE ACCESS AND EQUITY
FOR ALL THE INDIVIDUALS. BUT I
ALSO RECOGNIZE THAT CHANGE TAKES
TIME. I'M NOT A VERY PATIENT
PERSON AND I ALSO WANT TO HAVE.
HAPPEN RIGHT AWAY- BUT THAT'S
WHY WE HAVE TO CONTINUE TO STAY
LASER FOCUSED ON THESE ISSUES-
ONE OF THE FIRST THINGS WE DID
WE ESTABLISH A RESEARCH TEAM
SEVERAL YEARS AGO WE DID NOT
HAVE A RESEARCH TEAM. OUR DATA
IF WE DON'T HAVE ACCURATE
RELIABLE DATA WERE NOT GOING TO
BE ABLE TO MEASURE HOW WE'RE
KIND OF MOVING FORWARD. THERE'S
A QUITE A FEW INITIATIVES AROUND
THAT WERE ALSO HAVE AN
INVESTMENT IN OUR ELECTRONIC
RECORD SYSTEM- WHEN WE LOOK AT
OUR ELECTRONIC RECORD SYSTEM
EXTREMELY ARCHAIC AND SO
APPRECIATE THE- AT. THE
LEGISLATURE IN SUPPORTING THAT
CHANGE. BECAUSE AS WE MOVE AND
DEVELOP THAT WE'RE GOING TO HAVE
REAL TIME DATA. AND NOT ONLY
HAVING- INFORMATION AVAILABLE TO
OUR COMMUNITY- AS I NOTED THE
SERVICE ACCESS AND EQUITY
PROGRAM OF ELEVEN MILLION
DOLLARS EVERY YEAR- WE HAVE A
NUMBER OF- GRANTS I'M NOT GONNA
TAKE THE TIME TO HIGHLIGHT THEM
HAPPY TO. PROVIDE THAT. BUT WE
ALSO HAVE. OUR COMMUNITY
NAVIGATOR IN OUR- HELLO TO KNOW
PURCHASE A SERVICE CASE LOADS
THAT WE IMPLEMENTED AS A LONG
TERM POLICY. AND THAT WAS
INFORMED BY OUR GRANT PROGRAM.
SO WHEN WE TAKE A LOOK AT BEST
PRACTICES WE HAD NOTED. THAT
THERE IS A NAVIGATOR PROGRAM-
REALLY MIRRORED AFTER THE PROMO
TORA- PROGRAM. BEING ABLE TO
HELP FAMILIES NAVIGATE NOT ONLY
THE REGIONAL CENTER SERVICE
SYSTEM. BUT ALSO BEING ABLE TO
CONNECT TO GENERIC RESOURCES-
AND THEN THE LOW TO NO POS- I
EAT A LARK I'M USING ACRONYMS
THAT'S NOT FAIR FOR YOU- EAST LA
REGIONAL CENTER THEY HAD YEARS
AGO. STARTED AT A LOW TO NO POS
UNDER THE GRANT PROGRAM AND THAT
WAS FOR. FAMILIES WHO PRIMARILY
WERE MONOLINGUAL THAT HAD NO-
PURCHASED A SERVICE. AND SO WHAT
WE DID IN PRIOR BUDGET ACTS WE
WERE ABLE TO REPLICATE THAT
ACROSS THE STATE. AND NOW ALL
TWENTY ONE REGIONAL CENTERS HAVE
THIS PROGRAM WE'VE- IMPLEMENTED
A LANGUAGE ACCESS AND CULTURAL
COMPETENCY PROGRAM BECAUSE AS WE
TAKE A LOOK AT- DISPARITIES WE
HAVE TO MAKE SURE WE'RE
SENSITIVE TO CULTURES. BECAUSE
WE DO RECOGNIZE SUITS YOU KNOW
CULTURE HAS AN INFLUENCE- WE
RECENTLY- HAD APPROVAL AND I ARE
IN THE PROCESS OF IMPLEMENTING
THE COORDINATED FAMILY SUPPORTS.
BECAUSE RECOGNIZING FAMILIES
WERE LIVING AT THE HOME- HAD
CLEARLY EXPRESSED WHAT ABOUT
SERVICES AND SUPPORTS AND
HELPING US BE ABLE TO COORDINATE
THOSE SERVICES. SO RIGHT NOW I'M
HAPPY TO SAY THAT WE HAVE A
COUPLE REGIONAL CENTERS THAT
HAVE VENDORS SEVERAL PROVIDERS
THIS IS A BRAND NEW PROGRAM.
THAT WE HAVE COORDINATED FAMILY
SUPPORTS SETS FOR FAMILIES THAT
HAVE AN ADULT CHILD AT THE HOME.
AND REALLY RECOGNIZING THAT
THOSE FAMILIES ARM PRIMARILY
THOSE THAT HAVE MULTI
GENERATIONAL FAMILIES. THAT
REALLY NEED THOSE SUPPORTS TO-
COORDINATE AND THIS IS. ONE OF
THE KEY THINGS WE DID THIS IN IN
THE LAST YEAR TO REALLY ADDRESS
SERVICE ACCESS AND EQUITY IN OUR
CONTINUING PROCESS OF IMPROVING
AN OPENING THAT. PROVISIONAL
ELIGIBILITY I NOTED THAT BEFORE
FOR THOSE CHILDREN FROM THREE
AND FOUR YEAR OLDS WE TALK A LOT
ABOUT AUTISM AND WE TALK ABOUT
SERVICE ACCESS AND EQUITY. THE
REASON WHY A HIGHLIGHT
PROVISIONAL ELIGIBILITY IS
BECAUSE THROUGH THE WORK WITH
OUR AUTISM SPECIALIST WE HAD
NOTED THAT WE WERE SEEN-
CHILDREN FROM COMMUNITIES OF
COLOR. THERE WERE BEING
DIAGNOSED FOR AUTISM AT A LATER
DATE. SO HAVING PROVISIONAL
ELIGIBILITY AND ALLOWS US TO BE
ABLE TO HAVE THOSE EXTRA TIME TO
BE ABLE TO SEE THOSE CHILDREN-
AND THEN DEF SERVICE- RESOURCES
THAT WE HAVE A DEAF SERVICE
SPECIALIST. WE'VE. INCREASED OUR
RESOURCES FOR DEATH- DEF. I
WOULD- BE REMISS IF I DIDN'T
HIGHLIGHT OUR TRIBAL
COMMUNITIES- SO WE WERE ABLE TO
HAVE- FIVE HUNDRED THOUSAND
DOLLARS THAT IS FOR TRIBAL
ENGAGEMENT VERY UNIQUE- SERVICES
THAT WE'RE ABLE TO DO LISTENING
SESSIONS AND I KNOW THIS IS ONE
OF- OF THE MANY- THINGS THAT OUR
CHIEF EQUITY OFFICER. HAS
REALLY- DEDICATE A LOT OF TIME
TO KIND OF BRIDGE THAT THAT
RESOURCE IN THAT GAP. SO AGAIN.
IT'S SIMILAR TO THE SAFETY NET
THERE'S NOT JUST ONE THING WHILE
WE HAVE OUR SERVICE ACCESS AND
EQUITY AND THE FOCUS WORK. IT IS
IN EVERYTHING THAT WE'RE DOING
THESE DAYS- HELLO HOW ARE WE I'M
GOING TO- HADLEY NINETY SPEAK-
TO QUESTION TWO FOR YOU. BUT I
DO WANT TO JUST TALK A LITTLE
BIT ABOUT THE ROOT CAUSE- AND
TAKING A LOOK AT. WE HAVE TO
LOOK AT THE WHOLE PERSON WE HAVE
TO LOOK AT THE WHOLE FAMILY FOR
ROOT CAUSES AND ALSO OUTSIDE A
DEVELOPMENTAL SERVICES. SO WHEN
WE TAKE A LOOK AT- HELPING
INDIVIDUALS NOT ONLY ACCESS
REGIONAL CENTER SERVICES IT'S
LIKE WHAT ARE THOSE DRIVERS.
THAT ARE BEING THE BARRIERS IS
THAT LANGUAGE SO WHEN WE TAKE A
LOOK AT LANGUAGE. YOU KNOW NOT
ONLY DOING- TRANSLATION OR
INTERPRETATION BUT WE ARE WE
DOING IT IN PLAIN LANGUAGE.
BECAUSE WE HAVE TO ASK THE
QUESTION IS THE RESOURCES
ACCESSIBLE. YOU KNOW IS THAT
SOMETHING THAT IS MEANINGFUL TO
PREFER THE PERSON SO IS WORD
WE'RE DOING THAT WORK WE'RE
LOOKING FORWARD TO THE REPORT BY
GEORGE TOWN WHO'S NOT ONLY
LOOKING AT OUR- DISPARITY GRANT
PROGRAM BUT ONE ELEMENT THAT
THEY ARE DOING. IT'S A ROOT
CAUSE WITHIN THE DISPARITY
PROGRAM I MEAN IT'S NOT A
COMPREHENSIVE ONE. BUT I'M
LOOKING FORWARD TO SEEING- THAT
REPORT WHICH SHOULD HAVE THE
RELEASE OF THAT DRAFT REPORT BY
MIDDLE TO END OF APRIL- AND SO
UGLY NINETY WALTER WILL JUST
BRIEFLY- TOUCH ON QUESTION. TO
THANK YOU A. NINETY WALTER CHIEF
EQUITY OFFICER THE DEPARTMENT OF
DEVELOPMENTAL SERVICES- NANCY
TOUCHED ON SOME OF THE- AREAS I
JUST WANTED TO HIGHLIGHT IN THE
COMMUNITY NAVIGATOR PROGRAM. ONE
OF THE BEST PRACTICES THAT WE
SAW IN A NUMBER OF GRANTS IS
THIS MODEL A HEALTH WORKER
MODEL- HAVING NAVIGATORS WORKING
DIRECTLY WITH FAMILIES WITH
LIVED EXPERIENCE A SHARED
CULTURE LANGUAGE. AND HAVING THE
ABILITY TO HELP FAMILIES
NAVIGATE SYSTEMS WE SAW THAT
MODEL IN THE GRANT PROGRAM. AND
WE'RE SO HAPPY THAT THE FAMILY
RESOURCE CENTER NETWORK
STATEWIDE A LONG TIME TRUSTED
PARTNER IN THE COMMUNITY IS NOW
PART OF. AND CONTRACTED TO
PROVIDE THOSE SERVICES OVER
TWELVE HUNDRED FAMILIES HAVE
BEEN SERVED INDIVIDUALLY- CLOSE
TO THREE THOUSAND SERVICES HAVE
BEEN SUPPORTED THROUGH THIS WORK
JUST IN THE LAST NINE MONTHS-
THERE ARE OVER FORTY FIVE
NAVIGATOR STATEWIDE IN ALL
TWENTY ONE. CATCHMENT AREAS AND
THAT WORK CONTINUES TO HIRE-
NAVIGATORS TO IMPLEMENT- THE
TRIBAL ENGAGEMENT IN EARLY START
JUST. RECOGNIZING THAT THAT
MODEL OF THE TRIBAL ENGAGEMENT
IS TO LISTEN. NOT JUST TO TALK
BUT TO ACTUALLY HEAR AND LISTEN
FROM OUR TRIBAL LEADERS AND
TRIBAL NATIONS AND THAT'S BEEN
AS NANCY NOTED A REALLY-
IMPORTANT ENDEAVOR BUT IT'S ALSO
OPENED UP SO MANY. RELATIONSHIPS
AND OPPORTUNITIES FOR REGIONAL
CENTERS TO CONNECT WITH THEIR
LOCAL TRIBAL NATIONS- NOT ONLY
THREE LISTENING SESSIONS BUT
ALSO THROUGH THE FIRST- RECENTLY
THE FIRST THREE- CULTURAL
TRAININGS FOR REGIONAL CENTER
STAFF HAS BEEN HOSTED BY THE
CALIFORNIA FAMILY TROUBLES
COALITION. WHICH IS THE LEAD IN
THIS EFFORT WITH THREE LEAD
REGIONAL CENTERS AT SAN DIEGO-
FAR NORTHERN INCURRING REGIONAL
CENTER SO THAT PARTNERSHIP IS
LEADING TO RELATIONSHIPS ACROSS
THE STATE FOR THE FIRST TIME.
AND JUST TO HIGHLIGHT THE FIRST
AMERICAN A NATIVE OF-
DEVELOPMENT TO. CONFERENCE WAS
HELD LAST YEAR WITH THIS FUNDING
AND IT'LL CONTINUE THIS YEAR IN
A SYMPOSIUM. AND JUST TO-
HIGHLIGHT JUST ONE MORE- THE LOW
NO POS AS NANCY SAID- ENHANCING
CASELOADS ANOTHER. AMAZING MODEL
THAT WE'RE HOPING WILL CONTINUE
TO REFLECT SOME OF THE SEEDS FOR
IN AND FROM THE GRANT PROGRAM.
INK YOU TO THOSE OF THE
HEADLIGHTS THANK YOU. THANK YOU
. PERFECT WE'RE GOING TO WANT TO
BE IN. BETTER YET. THANK YOU
MADAM CHAIR AND SUBCOMMITTEE
MEMBERS. MY NAME IS VIVIAN HAN.
IN ADDITION TO BEING AN ATTORNEY
AT DISABILITY RIGHTS CALIFORNIA
I HAVE A BROTHER WHO HAS AUTISM
AND IS SERVED BY REGIONAL CENTER
. AS THE OLDEST DAUGHTER OF
IMMIGRANT PARENTS. I GREW UP
GOING WITH MY MOM TO MEETINGS
ABOUT MY BROTHER. AT SCHOOL AND
AT REGIONAL CENTER IS HELPING TO
TRANSLATE AND HELPING MY FAMILY
NAVIGATE COMPLICATED SYSTEMS
THAT WERE CLEARLY NOT DESIGNED
FOR US. TODAY THAT FEELING IS
STILL ALL TOO COMMON FOR PEOPLE
OF COLOR THOUSANDS OF HIM CALLED
DRC EVERY YEAR SEEKING LEGAL
HELP WHEN THEY FEEL THEY HAVEN'T
BEEN ABLE TO GET THE KIND OF
SERVICES OR SUPPORT THEY NEED
FROM THEIR REGIONAL CENTER. AND
IT'S MORE THAN JUST A FEELING
IT'S REFLECTED IN THE NUMBERS
WHICH HAVE SHOWN STARK
DISPARITIES. ON AVERAGE FOR
EVERY DOLLAR SPENT ON A DISABLED
PERSON WHO IS WHITE. OUR SYSTEM
SPENDS A LITTLE LESS THAN FIFTY
CENTS. ON SERVICES FOR DISABLED
PERSONS OF COLOR. WHAT IS
CAUSING THIS. WITH SYSTEMIC
RACIAL DISPARITIES THE ANSWER IS
NEVER SIMPLE. BUT THE NUMBER ONE
REASON WE HEAR ABOUT FROM OUR
CLIENTS IS THAT THEY CAN'T GET
WHAT THEY NEED BECAUSE THEY ARE
TOLD REGIONAL CENTER POLICIES
WON'T LET THEM. TAKE THE EXAMPLE
OF SOCIAL RECREATION AND
CAMPING. WHICH HAS HISTORICALLY
BEEN ONE OF THE SERVICES THAT
HAD BEEN USED THE MOST BY
COMMUNITIES OF COLOR BUT WERE
CUT IN TWO THOUSAND AND NINE AS
A COST SAVING MEASURE. IN TWENTY
TWENTY ONE THE LEGISLATURE
BROUGHT THEM BACK WITH GREAT
HOPE THE HOPE THAT RESTORING
THEM COULD MAKE A REAL
DIFFERENCE IN REDUCING
DISPARITIES. BUT WHAT OUR
CLIENTS ARE TELLING US IS THAT
SOCIAL RECREATION CAMP HAVE BEEN
INCREDIBLY HARD TO COME BY
BECAUSE OF REGIONAL CENTER
POLICIES. FOR EXAMPLE AT THE
REGIONAL CENTER OF ORANGE COUNTY
THEIR FORMAL POLICY ON SOCIAL
RECREATION FAITH THAT AS A
GENERAL RULE. THEY DON'T FIND.
TO PUT IT MILDLY THIS DOESN'T
HELP FAMILIES OF COLOR GET MORE
SERVICES. IT MAKES IT HARDER.
AND ORANGE COUNTY ISN'T ALONE.
ROSS ALL TWENTY ONE REGIONAL
CENTERS SOCIAL RECREATION
POLICIES POSE ALL KINDS OF
RESTRICTIONS LIKE. YOU CAN GET
IT BUT ONLY IF YOU GIVE UP HOURS
OF OTHER SERVICES. YOU CAN GET
IT BUT ONLY FOR ACTIVITIES THAT
TAKE PLACE OUTSIDE OF THE
PARENTS WORKING HOURS. OR WILL
PAY THE REGISTRATION FEE FOR
THAT RECREATION AND PARKS CLASS
BUT NOT FOR THE ONE TWO ONE
EIGHT SUPPORT OR THE
TRANSPORTATION YOUR CHILD MAY
NEED. TO BE ABLE TO PARTICIPATE
. AND THOUGH IT'S NOT AN
OFFICIAL POLICY AS A MATTER OF
PRACTICE. WHAT WE'VE HEARD IS
THAT THE ONLY WAY FAMILIES CAN
GET SOCIAL RECREATION. A LOT OF
REGIONAL CENTERS IS BY HAVING TO
PAY FOR IT UP FRONT. AND WAITING
FOR REIMBURSEMENT. POLICIES AND
PRACTICES LIKE THESE LIMIT
ACCESS FOR EVERYONE. BUT
ESPECIALLY AND
DISPROPORTIONATELY FOR WORKING
PARENTS AND LOWER INCOME
FAMILIES FROM COMMUNITIES OF
COLOR. AND NONE OF THESE
RESTRICTIONS ARE STATED IN THE
LAW. THEY WERE MADE UP BY
REGIONAL CENTERS AND REVIEWED
AND APPROVED BY DDS. AFTER YEARS
OF LISTENING SESSIONS AND WORK
GROUP MEETINGS AT BOTH THE
DEPARTMENT AND REGIONAL CENTER
LEVELS ABOUT SERVICE ACCESS AND
EQUITY. BUT THE GOOD NEWS IS
THAT IF THEY'RE JUST CONSTRUCTS.
THAT MEANS THAT THEY CAN BE
DECONSTRUCTED IF WE MAKE
DIFFERENT POLICY CHOICES. FOR
EXAMPLE IF WE STRENGTHEN OUR
LAWS TO MAKE IT CRYSTAL CLEAR
WHAT THE LEGISLATURE'S INTENT
WAS HERE. AND DO MORE TO ENSURE
REGIONAL CENTERS HAVE POLICIES
THAT SUPPORT AND CARRY OUT THAT
INTENT. INSTEAD OF HINDERING IT
. AND OF ALL THE POLICIES THAT
DISPROPORTIONATELY KEEP DISABLE
PEOPLE OF COLOR FROM GETTING THE
HELP THEY NEED. SOME OF THE
BIGGEST BARRIERS ARE THE
POLICIES THAT SAY. THAT'S NOT
OUR RESPONSIBILITY. AND THAT
SHOWS UP IN TWO KEY WAYS. ONE IS
SAYING. BUT SOME OTHER SYSTEMS
RESPONSIBILITY. FOR EXAMPLE
REGIONAL CENTERS TYPICALLY SAY
NO TO THINGS LIKE BEHAVIOR
SERVICES OR ALTERNATIVE
COMMUNICATION DEVICES FOR SCHOOL
AGE INDIVIDUALS. BECAUSE
ACCORDING TO THEM IT'S THE
SCHOOL DISTRICT HE TAKES CARE OF
THAT. BUT BUT THAT DOESN'T
ACCOUNT FOR IS THE FACT THAT THE
SCHOOL'S LEGAL RESPONSIBILITY TO
ADDRESS THOSE NEEDS APPLIES ONLY
WHEN THE CHILD IS AT SCHOOL.
KIDS STILL NEED SUPPORT WITH
BEHAVIOR WITH COMMUNICATION AND
SO MANY OTHER THINGS ON
WEEKNIGHTS AND ON THE WEEKENDS.
AND THEY AND THEIR FAMILIES NEED
AND DESERVE SUPPORT THAN TO. IN
FACT THAT WE WRITE FOR PEOPLE
WITH DISABILITIES TO HAVE THE
SUPPORTS THEY NEED TO BE ABLE TO
LIVE IN THEIR OWN HOME WITH THE
PEOPLE THAT THEY LOVE IN THEIR
OWN COMMUNITY. THE VERY HEART OF
THE LANHAM ACT ENTITLEMENT. THE
OTHER WAY REGIONAL CENTERS OFTEN
SAY NOT IT. IS BY STAYING THE
THING THAT YOU'RE ASKING FOR. IS
A PARENTAL RESPONSIBILITY NOT A
REGIONAL CENTER ONE. BUT IT'S
SOMETHING ALL PARENTS SHOULD
JUST DO FOR THEIR KIDS DISABLED
OR NOT. WHO GETS TO DECIDE THAT
. WE KEPT THAT WE NEED TO HAVE
RULES AND PRIORITIES SO THAT WE
CAN SPEND OUR LIMITED PUBLIC
FUNDS WISELY. BUT HOW SHOULD
THOSE RULES AND PRIORITIES B.
DECIDE. INSTEAD OF CONTINUING TO
DO IT REGIONAL CENTER BY
REGIONAL CENTER. IF OUR SYSTEM
HAS GUIDING PRINCIPLES WE THINK
SHOULD BE AT THE HEART OF
EVERYTHING WE DO. THEN MAYBE WE
SHOULD START THERE. BY
CLARIFYING AND DOUBLING DOWN ON
WHAT THOSE FUNDAMENTAL
PRINCIPLES ARE. ALIGNING ALL OF
OUR POLICIES ACCORDINGLY FEET
WIDE ACROSS THE ENTIRE SYSTEM.
AND IT'S THIS CRITICAL NEED FOR
SYSTEMS LEVEL SOLUTIONS THAT I
WANT TO FOCUS ON. TO ADDRESS
RACIAL DISPARITIES THE
DEPARTMENT HAS MADE SOME GREAT
INVESTMENTS AND CULTURAL
NAVIGATOR PROGRAMS AS MISS
WALTER AND DIRECTOR BARGE MEN
HAD MENTIONED. TO HELP
UNDERSERVED PEOPLE BETTER
UNDERSTAND AND NAVIGATE THE
REGIONAL CENTER SYSTEM. BUT OVER
THE YEARS WHAT WE FOUND IS THAT
AS HOPEFUL AS THEY ARE. FROM A
THORESEN NAVIGATORS ARE JUST NOT
ENOUGH TO REALLY MOVE THE
NEEDLE. BY THEMSELVES. IF THE
PROBLEM IS THE SYSTEM. THAT TOO
MANY MARGINALIZED PEOPLE
EXPERIENCE AS A DANCE
IMPENETRABLE JUNGLE THAT THEY
CAN'T FIND THEIR WAY THROUGH.
THAT INSTEAD OF OR IN ADDITION
TO INVESTING IN HAVING MORE GUYS
WERE BETTER MAPS LET'S INVEST IN
MAKING THE JUNGLE LAST
IMPENETRABLE. WHAT'S CLEAR OUT
SOME TREES AND PADS AND BUILD
SOME PAVED ROADS. OUR SYSTEM NO
LONGER DEPENDS SOUL MUCH AND
PUTS SO MUCH BURDEN ON
INDIVIDUALS TO FIND THEIR OWN
WAY. BECAUSE OF THOSE BURDENS
AND FALLING MOST HEAVILY AND
DISPROPORTIONATELY ON
COMMUNITIES OF COLOR. NO ONE
HERE TODAY INTENDS FOR THAT TO
BE THE RESULT. BUT SYSTEMICALLY
INEQUITABLE OUTCOMES THAT KEEP
HAPPENING OVER AND OVER AGAIN
WITHOUT ANY DELIBERATE INTENT. I
WHAT MANY PEOPLE WOULD CALL
STRUCTURAL RACISM. AND WE KNOW
THAT STRUCTURAL RACISM IT'S A
STRUCTURAL PROBLEM THAT REQUIRES
STRUCTURAL INTENTIONALLY ANTI
RACIST SOLUTIONS. LET'S BUILD
THAT INFRASTRUCTURE TOGETHER.
LET'S FIND A BETTER WAY TO
BALANCE LOCAL REGIONAL CENTER
DISCRETION WITH THE IDEA THAT
SOME RIGHTS ARE JUST TOO
FUNDAMENTAL TO BE DISCRETIONARY
. IF THE BENEFIT OF REGIONAL
CENTERS HAVING LOTS OF LOCAL
CONTROL IS THAT THEY CAN BE MORE
RESPONSIVE TO THEIR LOCAL
COMMUNITY. LET'S MAKE SURE THAT
THAT HAPPENS THAT THEY NEED
INVOICES OF THAT COMMUNITY
INCLUDING AND ESPECIALLY PEOPLE
OF COLOR WITH INTELLECTUAL AND
DEVELOPMENTAL DISABILITIES ARE
WHAT TRULY DRIVES AND FAT OUR
SYSTEMS POLICIES AND PRIORITIES
. IF WE DO THAT AUTHENTICALLY IN
CONJUNCTION WITH THE DEPARTMENT
INITIATIVES THAT ARE ALREADY
UNDER WAY. WE SHOULD START
SEEING THE DIFFERENCE IN RACIAL
DISPARITIES DATA. I APPRECIATE
WHAT DIRECTOR BARGE IN SAID
EARLIER ABOUT HOW SPENDING
DISPARITIES ALONE DON'T REALLY
GIVE US A FULL UNDERSTANDING OF
EQUITY IN OUR SYSTEM. WHAT WELL
IT'S ONLY FINALLY HAVE DATA
POINTS WITH DATA THAT SHOWS HOW
THE SYSTEM IS DOING AT SERVING
PEOPLE. AT CHEATING THESE CORE
PRINCIPLES CHOICE AND CONTROL
OVER YOUR OWN LIFE COMMUNITY
INTEGRATION THE ABILITY TO LIVE
ON YOUR OWN TERMS WHERE YOU WANT
AND WITH WHOM YOU WANT. DOING
WHAT YOU WANT. WHEN WE FINALLY
HAVE THOSE DATA POINTS. IF WE
STRATIFY THAT DATA BY RACE AND
ETHNICITY. WE SHOULD NOT SEE
MUCH OF A DIFFERENCE FOR ANY
DIFFERENCE AT ALL RIGHT. IDEALLY
FOR ME. BECAUSE THAT WOULD BE
THE TRUE MEASURE OF HOW
EQUITABLE OUR SYSTEM TRULY IS.
THANK YOU SO MUCH FOR YOUR TIME
TODAY AND- I WELCOME ANY
QUESTIONS THAT YOU MIGHT HAVE. I
THINK IT WOULD BE IN WE'RE GOING
TO TURN OVER TO FERNANDO GOMES.
YES GOOD AFTERNOON MA'AM SHARES
OF COMMUNITY MEMBERS TO SET UP
ON A PLEASURE TO BE HERE TODAY
IN. IN YOUR PERSPECTIVE FROM
THAT OF A PARENT AND IN THE
COMMUNITY MEMBERS SPECIALLY A
PERSON OF COLOR. MY NAME IS
FERNANDO GOMES AND I'M A PARENT
OF A SIXTEEN YEAR OLD. SON WITH
DOWN SYNDROME. HE SERVED AT THE
REGIONAL CENTER SYSTEM AND I'M
ALSO THE CO FOUNDER OF THE
INTEGRATED COMMUNITY
COLLABORATIVE. WHICH REFERRED TO
THE ICC. ICC IS A COMMUNITY
BASED ORGANIZATION THAT'S
COMPOSED OF PARENTS AND SELF
ADVOCATES THROUGH LIVED
EXPERIENCE IN YEARS OF INTENSIVE
TRAINING TO HELP OTHER FAMILIES
NAVIGATE THE COMPLEX SYSTEM
SUPPORT. ON A PEER TO PEER
GRASSROOTS LEVEL. THROUGH THIS
GROUND. LEVEL OF ENGAGEMENT WE
EXPERIENCE FIRST HAND THE
MULTITUDE OF SITUATIONS THAT NOT
ONLY ARE THE CONCERT CONTRIBUTED
DISPARITIES BUT ALSO WHAT MANY
FAMILIES FIND INTIMIDATING. S.
OF AN OVERWHELMING FOR MANY
WITHIN THE SYSTEM WHO DO NOT
FEEL IT AS BEING EQUITABLE. I DO
WANT TO ADD THAT. WHEN WE FIRST
CAME TOGETHER AS A COMMUNITY AND
WE HAD THE IDEA OF CREATING THIS
THIS. COMMUNITY ORGANIZATION AND
WE PRESENTED TO THE DEPARTMENT-
STARTED WITH- DIRECTOR PARCHMENT
AND HER STAFF IT WAS EMBRACED
AND HOUSE WE HAVE FELT EMPOWERED
AND ENCOURAGED. TO REALLY
CONTINUE WITH THIS LEVEL OF
FIVE. THE COMMUNITY OUTREACH
IT'S A DIFFERENT OUT REACH BASED
ON THE FACT THAT HIS
RELATIONSHIP BASED I KNOW AS
SIR- DEVIANT ALLUDED TO THE
IMPORTANCE OF. THE NAVIGATOR
PROGRAMS AND SO FORTH BUT WE
FEEL THAT. WITH ALL THIS
INFORMATION ABILITY TO NAVIGATE
THE SYSTEM IT'S IMPORTANT TO BE
ABLE TO HOLD HANDS AND REALLY
TRULY ENGAGE INTO IT. AS PART OF
OUR EFFORTS WE DO HAVE SEVERAL
HUNDRED INDIVIDUALS WHO DO SERVE
IN THE SAN FERNANDO VALLEY. WHO
IS PART OF THIS SUPER SERVICE
AXIS INEQUITY CRAFTING THAT.
DIRECTOR PRESIDENT AND- WHEN I
MENTIONED EARLIER. SO WHAT WE
SEE TODAY IS OUR COMMUNITY HAS
WOKEN. AND IT'S A LARGE CITY
UNITED AND ADVOCACY AND VOICE
EQUITY ACCOUNTABILITY AND
TRANSPARENCY ARE KEY AREAS OF
FOCUS WHILE THE EXPERIENCE OF
NAVIGATING THE SYSTEM. MUST BE
MORE EFFECTIVE IT MUST BE MORE
RESPECTFUL AND OF COURSE MORE
PERSON CENTRED. SOME OF THE KEY
PROBLEMS THAT FAMILIES FACE IN
TRYING TO ACCESS APPROPRIATE
SERVICES FROM REGIONAL CENTERS
THEY'RE NOT NEW TO THIS
CONVERSATION. AND IT STARTS FROM
THE TIME FAMILIES ENGAGE IN THE
INITIAL INTAKE PROCESS AND FIND
THE SYSTEMS TO BE LENGTHY
UNRELIABLE AND REALLY WITH NO
CLEAR AND VERY OR DEFINED STEPS
OF THE PROCESS. I DO WANT TO
SHARE A BRIEF STORY. BUT HOW IN
THIS PARTICULAR CASE THE SYSTEM
FAILED THIS YOUNG LADY. WE MET
MY VISA. WHEN SHE WAS ABOUT
SEVENTEEN YEARS OLD SHE'S BLIND
TO STAFF AND SHE'S ALSO MUTE AND
HAS AN INTELLECTUAL DISABILITY.
THE FAMILY BE A PERSON OF FAMILY
OF COLOR HAD VERY LIMITED
UNDERSTANDING OF THE PROCESSES
AND ACCESSING SUPPORT. SO SHE-
SO WITH THE FAMILY WENT THROUGH
THE INTAKE PROCESS. AND WAS
SEVENTY DENIED TWICE. THE FAMILY
DID NOT GIVE UP HOPE AND WHEN
ONE OF OUR INTERNET THOUGH IT
HAS ENGAGED I MET WITH THE
FAMILIES THEY WALKED HAND IN
HAND THROUGH THE SYSTEM. AND
BEFORE HER EIGHTEENTH BIRTHDAY
WE'RE FINALLY ABLE TO GET HER TO
BECOME A REGIONAL CENTER CLIENT
SOMETHING THAT SHE NEEDED FROM.
YEARS AGO. AND CAN NEVER BE ABLE
TO REGAIN THOSE YEARS OF SUPPORT
THAT WAS LOST SO THE NEGATIVE
IMPACT. BUT UNFORTUNATELY SHE'S
NOT ALONE THIS HAPPENS TO MANY
FAMILIES WHO ARE SENT AWAY TO
LOOK FOR HELP SOMEWHERE ELSE.
HELLO THERE AREA THAT PREVENTS
FAMILIES FROM ACCESSING SERVICES
IS THE REQUIREMENT TO USE
GENERIC SERVICES OR RESOURCES
FIRST. THE LACK OF HELP IN
FIGURING OUT THIS PROCESS. WITH
LANGUAGE BARRIERS AND EVEN LACK
OF THE PROPER ACCESS TO
DOCUMENTATION. HE'S PUT A DENIAL
ON THE SERVICES WHICH LEAD TO
FAMILIES IN MOST CASES GIVEN UP
. IDEALLY THE REGIONAL CENTER
SHOULD PROVIDE SERVICES IN THE
MEANTIME THAT THEY SEEK FOR THE
SERVICES BUT THAT HARDLY EVER
HAPPENS. FOR THOSE WHO DO SEE
THE PROCESS THROUGH. THE
REGIONAL CENTERS IN MANY CASES
USE A GENERIC RESOURCES AS A WAY
TO DENY ANY ADDITIONAL SERVICES
BY SAYING WE REALLY DON'T NEED
THEM ANYMORE. SO WHEN YOU LOOK
AT OUR COMMUNITY MEMBERS WHO ARE
SKILLED SCHOOL H. RICHER CENTERS
WILL NOT PAY FOR SERVICE.
BECAUSE THEY SAY IT IS THE
SCHOOL'S RESPONSIBILITY. SO YOU
NEED TO ADVOCATE WITH THE SCHOOL
SYSTEM THEN AND THEN IT'S
ANOTHER COMPLEX SYSTEM. I WOULD
LIKE TO SHARE A LITTLE BIT ABOUT
MY SON OSCAR WHO NEEDED SPEECH
THERAPY AT AN EARLY AGE. AND
THAT THAT POINT TO GET THE
THERAPY WAS CRUCIAL FOR HIM. AT
THE REGIONAL CENTER AT THAT
POINT TOLD US THAT IT WAS THE
SCHOOL'S RESPONSIBILITY. WE WENT
TO THE SCHOOL DISTRICT WELL THEY
WERE TOLD THAT THERE ARE
MULTIPLE REASONS WHY THESE TYPE
OF SERVICES CAN ONLY BE
PROVIDED. IN A SESSION SETTING.
IN ADDITION. THE SCHOOL NEVER
REALLY EXPECTED HIM TO SPEAK.
NOW AT THE AGE OF SIXTEEN. OSCAR
IS STARTING TO SPEAK. SO WE
WONDER WHAT WHAT THE DIFFERENCE
HAVE BEEN IF HE HAD REALLY
RECEIVE THE SUPPORT THAT HE
NEEDED AT THE TIME THAT HE
NEEDED THEM. NOT WHICH WAS
REALLY BAD AROUND THE AGE OF
FOUR. THE SERVICE COORDINATION
LEVEL TO CONTINUE TO BE A HUGE
DISCONNECT WITH FAMILIES AT
TIMES IT IS MORE LIKE A GUESSING
GAME WHERE FAMILIES ARE EXPECTED
TO COMMUNICATE TO THE SERVICE
COORDINATOR WHAT THE FAMILY
NEEDS. AND THEN THE BACK INTO
WHAT THEY DO HAVE OR DON'T HAVE
TO OFFER. THIS HAS BEEN FOR
YEARS WITHIN THE REGIONAL CENTER
SYSTEM REFERRED TO AS A CULTURE
OF NO. SO WITHIN THE TWENTY ONE
REGIONAL CENTERS WE SEE TWENTY
ONE DIFFERENT WAYS OF SERVICE
COORDINATION. EVEN WITHIN
REGIONAL CENTERS ARE MANY
DIFFERENT WAYS THAT PEOPLE
PROVIDE SERVICE COORDINATION. IS
REALLY. VERY HARD TO UNDERSTAND
AND NAVIGATE. INTERNAL POLICY
SUPPORT SERVICES LIKE SOCIAL
RANK. IN SOME CASES TAKE YEARS
TO IMPLEMENT. SO WE HAVE SEEN
AND EXPERIENCED IMPROVEMENTS
WITHIN SERVICE CORONATIONS AND
THEY'RE ABOUT FIVE REGIONAL
CENTERS THAT WE REALLY HAVE A
GREAT RELATIONSHIP WITH. AND WE
SEE. THAT THERE IS IMPROVEMENT
AND WE SEE THE RESULTS OF THAT
IMPROVEMENT. BASED ON THIS
RELATIONSHIP BASED. INTERACTIONS
BUT YET. WE STILL SEE THAT THERE
IS A TREMENDOUS AMOUNT OF.
INNATE THAT THAT GOES. I MET
MANY FAMILIES STILL FEEL THAT
THEY- IT IS FEEL INTIMIDATED
WHEN THEY INTERACT WITH THE
REGIONAL CENTER SYSTEM AND SOME
SAY THAT THEY'VE EVEN BEEN
RETALIATED AGAINST. WHEN HE
COMPLAINED ABOUT THEIR CHILD NOT
GETTING SERVICES. SO THERE IS.
VERY LITTLE SENSE OF URGENCY AT
REGIONAL CENTERS IN. PROVIDING
OR HAVING ACCESS TO SERVICES.
YET FOR MANY FAMILIES LIKE MINE
WE DO FEEL THAT SENSE OF URGENCY
WE EVEN FEEL LIKE IT'S- A MATTER
OF LIFE AND DEATH. SO MANY TIMES
WE HEAR THAT THE REGIONAL
CENTERS RESTRICTED BY
COMPLIANCE. AND THEY DON'T WANT
TO BE AUDITED SO THE DECISION OF
SERVICES CAN TAKE MONTHS IN SOME
CASES HERE'S TO EVEN ACCESS. TO
THE BIRD IS LEFT TO THE FAMILY.
TO FIND A SOLUTION ON THEIR OWN
. TO THE ICC HAS BEEN WORKING
CLOSELY WITH DISABILITY VOICES
UNITED TO PRODUCE A SET OF
SPECIFIC RECOMMENDATIONS TO
REDUCE BARRIERS. IN ACCESSING
SERVICES TO PROVIDE GREATER
CONSISTENCY AND OVERSIGHT AT
REGIONAL CENTERS MY COLLEAGUE
JUDY MARK WILL BE DISCUSSING
THEM IN A FEW MINUTES. WE JUST
HOPE THAT THIS LEGISLATURE WOULD
TEND TO LOOK AT THESE.
OPPORTUNITIES A LITTLE WAYS FOR
PEOPLE LIKE MARTY SO AND MY SON
OSCAR. TO FIND A BETTER OUTCOME
AND SEXIST TO SERVICES. AND IN
YOUR EARLIER PANEL I REALLY
LIKED WITH JACKIE WAS SAYING
THAT THE FOCUS IS NOT ON THE
PROBLEMS BUT IN THE
POSSIBILITIES AND I BELIEVE THAT
THAT SPEAKS TO MANY IN OUR
COMMUNITY. THANK YOU FOR THIS
OPPORTUNITY TO. SHARE THANK YOU
FOR GOING ON THOUGH WE'RE GOING
TO MOVE ON TO ME AMY WESLEYAN
ASSOCIATION REGIONAL CENTER
EIGHT AGENCIES. GOOD AFTERNOON
WELL. THOSE ARE REALLY SENSITIVE
GOOD AFTERNOON MY NAME IS AMY
WESTLING I'M THE EXECUTIVE
DIRECTOR OF THE ASSOCIATION OF
REGIONAL CENTER AGENCIES I
REALLY APPRECIATE THE
OPPORTUNITY TO BE HERE TODAY AND
PART OF THIS PANEL. THANK YOU
TO- THE MEMBERS AND YOUR STAFF
FOR THE VERY COMPREHENSIVE
AGENDA THAT SETS OF FANTASTIC-
BASE FOR THIS CRITICAL
DISCUSSION. FIRST AND FOREMOST.
REGIONAL CENTERS ARE COMMITTED
TO ENSURING THAT PEOPLE RECEIVE
SERVICES THAT THEY NEED ON AN
INDIVIDUAL BASIS. THEY ARE.
DRIVING AND STRIVING TO PROVIDE
THOSE SERVICES THAT ARE
CULTURALLY RESPONSIVE AND
COMPETENT. AND THEY ARE WORKING
EVERY DAY TO MEET THE NEEDS OF
INDIVIDUALS AND THEIR FAMILIES.
WE UNDERSTAND AS MISS HAN NOTED
THAT THE ISSUE THAT'S BEFORE US
HERE TODAY ISN'T UNIQUE TO THE
REGIONAL CENTER SYSTEM IT IS AN
ISSUE THAT IS MORE SYSTEMIC THAN
JUST THE SERVICES THAT ARE
OFFERED BY OUR SYSTEM. AND I
PERSONALLY REALLY APPRECIATE
THAT WE HAVE THE OPPORTUNITY TO
HAVE TARGETED CONVERSATIONS
ABOUT THIS CRITICAL TOPIC HERE
ABOUT OUR SYSTEM. AND ALSO THAT
THE STATE HAS PRIORITIZED AND
INVESTED SO MUCH TO TRY TO
UNRAVEL. SOME OF THE INEQUITIES
THAT WE SEE. SO WE'VE BEEN
TALKING ABOUT THIS TOPIC FOR
QUITE SOME TIME AND I THINK IT'S
TIME TO TAKE A STEP BACK AND SAY
WHAT HAVE WE LEARNED WHAT ARE
THOSE THINGS THAT WE HAVE
LEARNED THROUGH ALL OF THIS. AND
ARE YOU THINKING- THE KEY
QUESTION BEFORE US IS THE ONE
THAT DIRECTOR PARCHMAN RAISED
DURING HER TESTIMONY EARLIER IN
THE PANEL HOW DO WE MEASURE
EQUITY. WE KNOW THAT WE CAN
MEASURE IT IN A VARIETY OF
DIFFERENT WAYS WE CAN LOOK AT-
PURCHASE OF SERVICE DATA AND IF
WE DO THAT THEN WE CAN LOOK AT
IT AT A VERY HIGH LEVEL THAT IS
CONTROLLED THAT ISN'T CONTROLLED
FOR AGE OR PLACE OF RESIDENCE-
AS MISS HAN POINTED OUT WHEN WE
LOOK AT IT FROM THAT
PERSPECTIVE. IT TELLS A STORY
ABOUT- SIGNIFICANT INEQUITIES.
MANY OF WHICH ARE- DRIVEN IN
LARGE PART BECAUSE OF AGE IN
PLACE OF RESIDENCE BUT WE CAN
ALSO LOOK AT IT IN A MUCH MORE
DETAILED WAY AND ONE OF THE
THINGS THAT WE LEARNED WHEN WE
DO THAT IS WE SEE THAT THERE ARE
SOME POCKETS WHERE THINGS EVEN
FROM THE PURCHASE OF SERVICE
STANDPOINT LOOK REALLY GOOD. AND
THAT IS IN OUR EARLY START
SERVICES AS WELL AS IN. THE
PROVISION OF SOME FAMILY
SUPPORTS LIKE RESPITE. AND SO
WHAT THAT INVITES US TO DO IS
TAKE A LOOK AND SAY OKAY IF
THINGS ARE WORKING WELL THERE
WHY WHAT CAN WE LEARN FROM THOSE
SERVICES THAT WE CAN APPLY
ELSEWHERE AS WE SEEK TO ACHIEVE
GREATER LEVELS OF EQUITY. AND IT
WAS THROUGH ONE OF THOSE DEEP
DIVES THAT I BELIEVE THE IDEA
FOR THE COORDINATED FAMILY
SUPPORTS THAT DIRECTOR PARCHMAN
MENTIONED CAME FORWARD WE
RECOGNIZE THAT WHEN WE
CONTROLLED FOR AGE IN PLACE OF
RESIDENCE WE STILL SAW GAPS IN
THE FUNDING LEVELS. FOR THOSE
INDIVIDUALS WHO ARE ADULTS WHO
ARE LIVING AT HOME WITH FAMILIES
AND WE KNOW THAT NON WHITE
INDIVIDUALS ARE MORE LIKELY TO
LIVE AT HOME FOR LONGER WITH
FAMILIES AND SO WE HAVE TO DO
SOMETHING TO ADDRESS THAT AND I
PERSONALLY AND WE USE A SYSTEM.
ARE THRILLED BY THIS OPPORTUNITY
. IN TERMS OF OTHER THINGS THAT
WE ARE EXCITED ABOUT AND WE
THINK WILL MAKE A DIFFERENCE ONE
OF THEM IS THE ABILITY TO PAY
BILINGUAL STAFF WHO DO CRITICAL
WORK WITH. INDIVIDUALS ON A DAY
TO DAY BASIS THOSE DIRECT
SUPPORT PROFESSIONALS. BE ABLE
TO PAY THEM A STIPEND BECAUSE I
PERSONALLY CAN THINK OF NOTHING
MORE TERRIFYING. THAN BEING A
FAMILY MEMBER WHO HAS IT WHO
DOESN'T SPEAK ENGLISH. AND IS
TURNING OVER THEY CARE AND
SUPERVISION OF MY LOVED ONE WHO
HAS A DISABILITY TO SOMEONE WHO
DOESN'T SPEAK MY LANGUAGE. SO
THE MORE WE CAN BUILD UP THE
PIPELINE AND THE AVAILABILITY OF
SERVICES THAT ARE CULTURALLY
COMPETENT THE BETTER WE'RE ALL
GOING TO BE AND THE AVAILABILITY
OF THOSE LINGUISTICALLY
APPROPRIATE SERVICES. ANOTHER
PROJECT I'M PERSONALLY EXCITED
ABOUT IS A PROJECT- THAT THE
SPECIAL NEEDS NETWORK IS WORKING
ON TO ENHANCE THE PIPELINE FOR-
CLINICIANS WHO ARE NON WHITE. SO
THAT THEY CAN- BEGIN TO SEE SO
THAT WE CAN BEGIN TO SEE GREATER
REPRESENTATION OF NON WHITE
INDIVIDUALS AND CLINICAL
SERVICES THAT ARE IMPORTANT TO
OUR COMMUNITY. ADDITIONALLY WE
KNOW THAT WHEN YOU HAVE AN
INDIVIDUAL IN YOUR FAMILY WHO
HAS A DEVELOPMENTAL DISABILITY
AS BOTH MR GOMEZ AND MISS HAN
NOTED. IT BRINGS LOTS OF SYSTEMS
INTO YOUR LIFE AND IT'S NOT JUST
THE REGIONAL CENTER SYSTEM THAT
CAN BE CHALLENGING TO NAVIGATE
ITS OTHER SYSTEMS AS WELL. AND
SO WE KNOW THAT PART OF WHAT
MAKES A DIFFERENCE IS THE
AVAILABILITY OF QUALITY SERVICE
COORDINATION AND ADEQUATE TIME
TO SPEND WORKING WITH THAT
SERVICE COORDINATOR SO THAT THEY
CAN HELP TO WALK YOU THROUGH.
ACCESSING OTHER SERVICES IF I
COULD WAVE A MAGIC WAND AND SAY
NOBODY SHOULD EVER HAVE TO
ACCESS THE SERVICE OUTSIDE THE
REGIONAL CENTER I WOULD DO THAT
BUT THAT'S NOT OUR REALITY
BECAUSE OF FEDERAL FUNDING
RULES. AND SO WE HAVE TO FIGURE
OUT HOW TO MAKE THESE COMPLEX
SYSTEMS WORK BETTER FOR PEOPLE
AND HOW TO PROVIDE THEM WITH
ASSISTANCE INCH IN NAVIGATING
THOSE THINGS. WE'VE ALSO HEARD A
LOT ABOUT INCONSISTENCIES
BETWEEN REGIONAL CENTERS AND I
BELIEVE MISS HAN RAISED THE
QUESTION OF HOW DO WE BALANCE
STANDARDIZATION LOCAL
RESPONSIVENESS. AS A AS AN
ASSOCIATION ONE OF THE THINGS
THAT WE HAVE. COMMITTED TO DOING
IS BY THE END OF THIS CALENDAR
YEAR. SMOOTHING OUT SOME OF
THOSE DIFFERENCES BETWEEN
REGIONAL CENTERS AGAIN FOR
CRITICAL WAYS ONE OF THEM IS THE
VENDOR IS ATION OF NEW SERVICE
PROVIDERS THAT'S THE PROCESS
WE'RE REGIONAL CENTERS CONTRACT
WITH SERVICE PROVIDERS. WE
BELIEVE THAT THAT PROCESS SHOULD
LOOK THE SAME WHETHER YOU'RE IN
SAN BERNADINO OR READING.
ENHANCING THE AVAILABILITY OF.
DATA ACCESS BY MAKING THAT
INFORMATION MORE UNIFORMLY
AVAILABLE IT'S THERE BUT IT IS
NOT CONSISTENTLY- IT DOESN'T
CONSISTENTLY APPEAR ON EACH
REGIONAL CENTERS WEBSITE IN
TERMS OF THE LABELING OR WHERE
IT IS ON THE WEBSITE SO WE'RE
GOING TO. WORK ON THAT ISSUE.
SCHERING TELEHEALTH RESOURCES
FOR INTAKE- WE KNOW THAT THOSE
SERVICES- ARE NOT GEOGRAPHICALLY
TIED AND SO IF WE CAN MAKE THOSE
MORE BROADLY AVAILABLE ACROSS
REGIONAL CENTERS. THAT JUST
MAKES SENSE. ONE OF THE OTHER
THINGS THAT ARE DATA HAS TOLD US
IS THAT THOSE CHILDREN- WHO ARE
IN THE FOSTER CARE SYSTEM. OUR
GOAL TO MAKE IT THROUGH OUR
INTAKE PROCESS BECAUSE THEY MOVE
FROM PLACE TO PLACE SO WE'VE
COMMITTED TO- A POLICY THAT ALL
REGIONAL CENTERS WILL IMPLEMENT
WHERE WHICHEVER REGIONAL CENTER
STARTS THE INTAKE FOR FOSTER
CHILDREN. THEY WILL FINISH IT
AND THEY WILL THEN DO A WARM
HAND OFF TO SERVICE COORDINATION
AT WHATEVER REGIONAL CENTER THAT
CHILD IS LIVING AT- AT THAT
TIME. AND THEN PERHAPS MOST
CRITICALLY ONE OF THE THINGS
THAT WE UNDERSTAND AND BELIEVE
IT IS THAT FAMILIES NEEDS ARE
NOT GEOGRAPHICALLY SENSITIVE. SO
IF- MISS HANS FAMILY LIVES IN
ORANGE COUNTY TODAY AND PICKS UP
AND MOVES TO- THE REDWOOD COAST
REGIONAL CENTER IT'S FUNDAMENTAL
NEEDS OF THE FAMILY DON'T CHANGE
AND SO ONE OF THE THINGS THAT
WE'RE GOING TO BE DOING. IS
CREATING A STANDARDIZED
ASSESSMENT THAT'LL BE
IMPLEMENTED ACROSS THE STATE
THAT WILL DETERMINE THE VOLUME
OF FAMILY SUPPORT MEANS THAT-
EACH FAMILY HAS AND WHETHER
THAT'S RESPIRATOR PERSONAL
ASSISTANCE FOR DAYCARE. SO THAT
WE IRON OUT SOME OF THOSE
HISTORIC DIFFERENCES. ONE OF THE
QUESTIONS WE GET ASKED A LOT IS
WHAT ARE THE- WHAT HAVE WE
GOTTEN FOR OUR INVESTMENT IN THE
SERVICE ACCESS AND EQUITY GRANTS
AND THE ADDITIONAL PROJECTS THAT
HAVE REALLY BEEN FINANCIALLY
SUPPORTED THROUGH- THIS WORK.
ONE OF THE THINGS THAT I THINK
IS MOST CRITICAL AS WE'VE GOTTEN
CULTURAL SPECIALISTS AT EACH
REGIONAL CENTER. AND MUCH LIKE
MISS WALTER GETS TO SPEND HER
PROFESSIONAL CAREER FOCUSED ON
HOW TO INFUSE EQUITY INTO EVERY
DISCUSSION AT THE STATE LEVEL
THAT'S REALLY THE ROLE OF THE
CULTURAL SPECIALISTS AT THE
REGIONAL LEVEL. IS TO BE THAT
VOICE THAT SAYS HOW DOES THIS
IMPACT THE VARIOUS COMMUNITIES
WE SERVE- WE ALSO HAVE. REALLY
SEEING THAT THIS PROJECT OVER IN
THIS PROGRAM THE SERVICE ACCESS
AND EQUITY PROGRAM CAN WORK AS A
LAB TO LET US KNOW WHAT'S WHAT
WORKS AND WHAT DOESN'T. AND I
LOOK FORWARD TO THE WORK THAT
GEORGETOWN IS DOING THAT'S GOING
TO TELL US ABOUT THAT BUT-
REALLY APPRECIATE THAT IN A FEW
INSTANCES I BELIEVE THAT MISS
WALTER HIGHLIGHTED IT WORKED
WELL WE SAW THAT THE- WE SAW
THAT IN THE COMMUNITY TO
ADVOCATE- PROGRAM AS WELL AS THE
REDUCED CASELOADS FOR THOSE WITH
LOWER NO POS- THROUGH. EASTERN
LOS ANGELES REGIONAL CENTER THE
DATA TOLD US THOSE PROGRAMS WERE
WORKING AND THEN THE STATE TOOK
THE ADDITIONAL STEP OF SAYING
OKAY NOW WE'RE GOING TO MAKE
THAT BROADLY AVAILABLE STATEWIDE
THAT'S HOW THIS PROGRAM SHOULD
WORK IT SHOULD ALLOW US TO PILOT
THINGS. BUT THEN OR MORE BROADLY
AVAILABLE. AND THEN WHAT IS
STILL NEEDED WHAT WE NEED IS.
FIRST AND FOREMOST TO SEE ALL OF
THE GREAT INVESTMENTS THAT WE'VE
MADE COME TO FRUITION AND WE
NEED TO STAY CONSISTENT. IN THIS
WORK AND WE NEED TO REMEMBER
THAT ALL OF THIS IS TIED TO THE
INDIVIDUAL NEEDS BUT ULTIMATELY
AS MISS HAHN SAID. THE PIECE OF
DATA THAT WERE MISSING IS. OUR
PEOPLE'S NEEDS GETTING MET AND
AS WE DRIVE TOWARDS MORE OUTCOME
BASED SYSTEMS WE KNOW AND EXPECT
AND HOPE THAT WE WILL HAVE THAT
INFORMATION. SO WE NEED BETTER
DATA WE NEED CONSISTENT DATA AND
WE NEED TO IDENTIFY FACTOR
DIRECTOR BARGE MEN'S QUESTION
HOW DO WE MEASURE EQUITY HOW DO
WE CONSISTENTLY MEASURE IT WHAT
ARE THOSE TOOLS OR WHAT ARE
THOSE MARKERS THAT WE'RE GOING
TO USE. AND THEN WE JUST NEED TO
STAY FOCUSED ON THOSE AND DRIVE
TOWARDS THE GOAL. THANK YOU. I
THINK YOUR LAST PAYMENT THAT
PANEL THIS IS GOING TO BE JUDY
MARK. EVERYONE I'M JUDY MARK
PRESIDENT OF DISABILITY VOICES
UNITED AN ORGANIZATION DIRECTED
BY PEOPLE WITH DISABILITIES AND
THEIR FAMILIES I'M ALSO A PARENT
JOSHUA TWENTY SIX YEAR OLD MAN
WITH AUTISM. THANK YOU FOR
LETTING ME APPEAR BY ZOOM- AS I
AM ACTUALLY IN MADRID SPAIN
RIGHT NOW- VISITING MY DAUGHTER
SO LET ME GET RIGHT TO THE POINT
BECAUSE IT'S LIKE BAD TIME RIGHT
HERE- CALIFORNIA IS FAILING
PEOPLE OF COLOR WITH
DEVELOPMENTAL DISABILITIES. AND
PEOPLE WHO ARE SERVED BY
REGIONAL CENTERS THAT HAVE
HISTORICALLY PROVIDED USER
ACCESS. WE RECENTLY PRODUCED A
REPORT CALLED A MATTER OF RECENT
PLACE WHICH SHOWS THAT THE STATE
HAS MADE LITTLE PROGRESS
ELIMINATING DISPARITIES FOR
ADULTS. DESPITE MILLIONS OF
DOLLARS IN INVESTMENTS EVEN WHEN
THE RESEARCH ACCOUNTED FOR THE
UNDERLYING CULTURAL DIFFERENCES
AND DIFFERENT RELIGIONS LIVING
SITUATIONS YOU WERE TALKED ABOUT
. THE BOTTOM LINE IS THAT
REGIONAL CENTER CLIENTS RECEIVE
VASTLY DIFFERENT LEVELS OF
SERVICES DEPENDING ON THE COLOR
OF THEIR SKIN AND WHERE THEY
LIVE. LATINOS IN PARTICULAR
RECEIVE LESS THAN HALF THE
AMOUNT OF SERVICES THAT WHITE AS
WHITE. EVERY SINGLE REASONS. I
WANT TO SHARE A CHARGE. WITH YOU
- RIGHT NOW LET ME MAKE SURE IT
WORKS. HOPING THAT YOU CAN ALL
SEE THIS- I WANT TO SHARE CHART
FOR MY REPORT. IT LOOKS AT THE
INTERSECTION OF RACE AND
GEOGRAPHY FOR ADULTS SERVED BY
REGIONAL CENTERS. THE HORIZONTAL
LINES SHOW THE VARIATION IN
SPENDING BY RACE THE WIDER THE
LINE THE GREATER THE
DISPARITIES. YOU WILL ALSO SEE
THE VAST DIFFERENCES IN AVERAGE
SPENDING BETWEEN REGIONAL
CENTERS FROM THE HIGHWAY AND
GOLDEN GATE. TO THE LOW ACTING
REGIONAL CENTER. THE HIGHEST
MANY REGIONAL CENTERS HAVE MUCH
GREATER DISPARITIES BETWEEN
RACES BUT THE LOWER SPENDING
REACHED YOUNG CENTERS REGIONAL
DISPARITIES ARE SMALLER BECAUSE
FRANKLY NO ONE IS GETTING VERY
MUCH. INDIVIDUALS AND FAMILIES
OF COLOR REPORT THEY BELIEVE THE
COST IS HISPANIC REESE'S A
ROOTED IN A BIASED TOWARD WHITE
EDUCATED FAMILIES WITH THE
RESOURCES TO FIGHT FOR SERVICES.
AND THE ABILITY AND TIME TO
NAVIGATE AND INTENTIONALLY
COMPLICATED SYSTEM. FAMILIES OF
UNDERPERFORMING REGIONAL CENTERS
HAVE COMPLAINED FOR YEARS ABOUT
THE UNFAIRNESS OF PEOPLE FROM
OTHER AREAS RECEIVING MORE
SERVICE. TOO MANY PEOPLE TELL US
THEY JUST DON'T TRUST THE
REGIONAL CENTERS. WITH THAT IN
MIND DISABILITY VOICES UNITED
AND INTEGRATED COMMUNITY
COLLABORATIVE. A SET OF
RECOMMENDATIONS FOR THE
LEGISLATURE TO BRING ABOUT
EQUITY ACCOUNTABILITY AND
TRANSPARENCY TO THE SYSTEM.
SPECIFICALLY TO CREATE A MORE
EQUITABLE SYSTEM THE LEGISLATURE
SHOULD REQUIRE DDS TO DEVELOP A
STANDARDIZED INDIVIDUAL PROGRAM
PLANNING PROCESS THAT FOLLOWS
FEDERAL LAW AND THE STRENGTH
BASED CULTURALLY SENSITIVE.
PERSON CENTERED AND OFFERS
CHOICE AND INCLUSION. TO
ELIMINATE DENIAL BY DELAY THAT
YOU'VE HEARD TALKED ABOUT THE
LEGISLATURE SHOULD LOWER THE
TIMELINES FOR RESPONSES FROM
REGIONAL CENTERS TO REQUEST FOR
ELIGIBILITY SERVICES AND
ASSESSMENTS. AND WE SHOULD
REQUIRE REGIONAL CENTERS TO
RETURN OUR PHONE CALLS AND
EMAILS WITHIN TWO BUSINESS DAYS
. CURRENT LAW REQUIRES REGIONAL
CENTERS TO ACTIVELY ASSIST THEIR
CLIENTS IN GETTING OTHER GENERIC
SOURCES TO PAY FOR SERVICES
FIRST. AS FERNANDO AND VIVIAN
TALKED ABOUT RARELY DOES THAT
HAPPEN. THE LEGISLATURE SHOULD
REQUIRE REGIONAL CENTERS TO
DOCUMENT HOW THEY ARE ASSISTING
THEIR CLIENTS AND WHAT THE
OUTCOMES WERE. YES SHE DEVELOPED
A SET OF COMMON SERVICE TYPES
THAT ALL REGIONAL CENTERS MUST
PROVIDE. NO MORE SHOULD PEOPLE
IN ONE AREA I HAVE NO ACCESS TO
A SERVICE THAT NEIGHBORING
REGIONAL CENTERS OFFER. THIS IS
A STATEWIDE SYSTEM AND ALL
SERVICES SHOULD BE AVAILABLE
EVERYWHERE. THE LEGISLATURE
SHOULD CREATE A STATEWIDE
VECTORIZATION SYSTEM FOR SERVICE
PROVIDERS SO THAT INDIVIDUALS
CAN ACCESS A WIDER RANGE OF
PROVIDERS. NOW TO ENSURE
ACCOUNTABILITY OVER THE SYSTEM
WE MUST SET HIGH BARS FOR
REGIONAL CENTERS AND SERVICE
PROVIDERS AND PROVIDE
CONSEQUENCES IF THE IF THE
PERFORMANCE IS SUBSTANDARD. WE
NEED CLEAR UNIFIED CONCRETE
PERFORMANCE MEASURES THAT
EVERYONE UNDERSTANDS INCLUDING
PEOPLE WITH DISABILITIES AND
THEIR FAMILIES. IF A REGIONAL
CENTER EXCEEDS THOSE MEASURES
THEY SHOULD GET REWARDED. FOR
REGIONAL CENTER FALLS BELOW
THOSE STANDARDS THERE SHOULD BE
CONSEQUENCES THEY SHOULD BE
SUBJECT TO PROBATION AND
CORRECTIVE ACTION. ANOTHER AREA
OF ACCOUNTABILITY ARE THE
GOVERNING BOARDS GOVERNING
BOARDS OF REGIONAL CENTERS THERE
NAMED IN THE LANTERN ACT TO
PROVIDE THAT OVERSIGHT YET IN
REALITY THEY MOSTLY RUBBER STAMP
WHAT COMES BEFORE THEM. AND MANY
HAVE SERVED ON BOARDS FOR
DECADES. DDS SHOULD BE DIRECTLY
PROVIDING THE BOARDS TO BOARD
MEMBERS TRAININGS AND INSURING
PEOPLE WITH DISABILITIES ARE
ACTIVELY PARTICIPATING. WE ALSO
RECOMMEND SHORTENING THE TERM
THE BOARD MEMBERS AND
LENGTHENING THE TIME IN BETWEEN
TURKS. AND FINALLY TO BRING A
MORE TRANSPARENT SYSTEM WE
BELIEVE IT IS TIME FOR REGIONAL
CENTERS TO BE SUBJECT TO THE
PUBLIC RECORDS ACT. REGIONAL
CENTERS ARE QUASI GOVERNMENTAL
AGENCIES DOING THE GOVERNMENT'S
WORK IN THE PUBLIC DOES NOT HAVE
ACCESS TO CRITICAL INFORMATION.
INDEPENDENT CHARTER SCHOOLS WERE
MADE SUBJECT TO THE PUBLIC
RECORDS ACT AND THE SAME
STANDARD SHOULD BE APPLIED TO
REGIONAL CENTRES. IN THE PAST
TWO YEARS THE LEGISLATURE HAS
APPROPRIATED BILLIONS OF NEW
DOLLARS TO THE DEVELOPMENTAL
DISABILITY SYSTEM. LAST YEAR
ALONE REGIONAL CENTERS RECEIVED
FUNDING TO HIRE AT NINE HUNDRED
M. SERVICE COORDINATORS. AND
MOST SERVICE PROVIDERS GOT
READING PRECEPTS FOR DISABLED
PEOPLE AND THEIR FAMILIES
PARTICULARLY LATINOS AND OTHER
PEOPLE OF COLOR HAVE BEEN FILLED
ANY OF THESE NEW INVESTMENTS.
THE DEVELOPMENTAL DISABILITY
SYSTEM IS JUST NOT WORKING FOR
MANY CALIFORNIANS WITH
DISABILITIES PARTICULARLY PEOPLE
OF COLOR. THIS PROBLEM IS BIG
AND IT REQUIRES BIG SOLUTIONS WE
MUST WORK TOGETHER TO CHANGE THE
CULTURE OF NO TO A CULTURE OF
TRUST IN REGIONAL CENTRES
ESPECIALLY AMONG COMMUNITIES OF
COLOR. WE BELIEVE OUR
RECOMMENDATIONS MOVES IN THE
DIRECTION TO A MORE EQUITABLE
CALIFORNIA WHERE YOUR RACE AND
PLACE DO NOT DICTATE YOUR
FUTURE. THANK YOU. THANK YOU
JUDY SEVERAL FIELDS. WHILE WE-
ALWAYS REMEMBER I WHEN I DO HAVE
A QUESTION FOR THE WEEK TO YOU
TELL ME IT'S OKAY GREAT TO SEE
THAT DO OFFER IN LA- HAVE ANY
COMMENT- CHRIS SO NO DEPARTMENT
OF FINANCE NOTHING FURTHER TO
ADD. RYAN ANDERSON LEGISLATIVE
ANALYST'S OFFICE THIS IS IN A
RICH DISCUSSION I THINK THE
AGENDA- WAYS AT THE ISSUE AS
WELL BUT- WE WOULD LIKE TO
HIGHLIGHT ONE ISSUE THAT IS
RAISED IN THE AGENDA- YOU'RE
DRIVING IN YOUR CAR AN INDICATOR
LIGHT COMES ON. THE DASHBOARD.
IT SUGGESTS THAT THERE'S A
PROBLEM THERE THE LIGHT ITSELF
DOESN'T TELL YOU ENOUGH
INFORMATION TO KNOW EXACTLY WHAT
THE PROBLEM IS MAYBE THE
PROBLEMS WITH THE LIGHT ITSELF-
BUT WHAT YOU DO IS YOU POP THE
HOOD YOU POKE AROUND. YOU FIGURE
OUT WHAT THE PROBLEM IS AND THEN
YOU GO TOWARD SOME CORRECTIVE
ACTION THAT'S TARGETED TOWARDS
THAT PROBLEM. ABOUT TEN YEARS
AGO THE STATE REQUIRED. REGIONAL
CENTERS TO START PUBLISHING
PURCHASE SERVICE DATA.
DISAGGREGATED BY RACE ETHNICITY
AND OTHER DEMOGRAPHIC FACTORS-
THESE IMMEDIATELY. DEMONSTRATED
JUST LIKE AN INDICATOR LIGHT
THAT THERE WAS AN ISSUE- THERE
ARE LARGE DISPARITIES BETWEEN
DIFFERENT RACIAL AND ETHNIC
GROUPS. THE STATE THEN EMBARKED
UPON A NUMBER OF. CORRECTIVE
ACTIONS ARE LAID OUT IN THE
AGENDA AND WERE DISCUSSED TODAY.
BUT THE INDICATOR LIGHTS STILL
ON- WE HAVEN'T SEEN MOVEMENT. IN
THE DIRECTION THAT WE WERE
HOPING TO ON THE INDICATOR
ITSELF- WHAT'S MISSING WE NEVER
TOOK THE SECOND STEP NEVER POP
THE HOOD AND A REAL DIAGNOSTIC-
TO UNDERSTAND WHAT EXACTLY IS
THE NATURE OF THE PROBLEM. AND
HOW MIGHT WE CONNECT THAT WITH A
CORRECTIVE ACTION ACTIONS A LOT
OF THE QUESTIONS THAT WE'RE
ASKING TODAY AND THE PANEL
ABOUT. THEM WHAT EXACTLY ARE
THESE PROBLEMS AND WHY DO THEY
PERSIST. IT COULD BE- GIVEN SOME
DEATH SOMEONE MIGHT MEN- JUST
THROUGH EMPIRICAL ANALYSES AND
THOSE HAVE YET TO BE UNDERTAKEN.
SO WE WOULD SUGGEST THAT THAT
WOULD BE A FRUITFUL PLACE FOR
THE STATE TO START THIS
DISCUSSION. THAT'S ALL. THANK
YOU SO MUCH. I TAKE PAUSE
BECAUSE THIS THIS KIND OF WAS
AND HE WAS GONNA BE DIFFICULT
FOR ME. AND I SHARE. SIMILAR
EXPERIENCES- I'M AND I'M A T. A
OF A HI MY BEAUTIFUL NIECE-
PLEASE ARTISTIC- SEVERE AUTISM.
AND SHE TURNS THREE NEXT WEEK.
SO THAT MEANS. SHE WILL NOT FALL
UNDER THE USD. TO MEET HER NEEDS
. AND I'M FRUSTRATED AND
EMOTIONAL BECAUSE I COULD SEE
THE FRUSTRATION AND MY SISTER.
AND MY BROTHER IN LAW. BY
MARRIAGE I HAVE A NEPHEW. WHO IS
FIVE YEARS OLD. IN A SEVERE
AUTISM. AND IT IS. ALSO
STRUGGLING AND I SEE MY SISTER
IN LAW AND MY BROTHER IN LAW
STRUGGLE. FOR LATINOS. WE LIVE
IN THE SAN FERNANDO VALLEY. AND
MY SISTER IN LAW HAD TO HIRE A
LAWYER. TO GET HELP. MY KNEES AS
ME. I HAD FROM THE GECKO WE KNEW
THERE'S GOING TO BE SOME
DEVELOPMENTAL DISABILITIES THERE
. CASE WORKERS AT REGIONAL
CENTERS TO NOT REFER REFER MY
SISTER TO ANYTHING. THAT SAID
THAT A DIAGNOSIS WOULD ONLY COME
AT THREE YEARS OLD IF OUR
DIAGNOSIS COMES AT THREE YEARS
OLD AND THAT MEANS THAT THERE'S
NO SERVICE IS COMING BEFORE
ENTERING THE SCHOOL AGE. SO
RECOGNIZING THAT EIGHTEEN MONTHS
YOU COULD RECEIVE SOME SERVICES
SHE MISSED A LARGE PORTION STILL
NONVERBAL. BUT IN THE SHORT
AMOUNT OF TIME THAT SHE'S BEEN
IN SCHOOL IN SANTA CLARITA. I'VE
HEARD ONE TWO WORDS COME OUT OF
HER. AND IT WARMS MY HEART OF
THE POTENTIAL CAN SEE IN MY
KNEES BUT IT ALSO BREAKS MY
HEART BECAUSE OF HOW MUCH MORE
ADVANCED. SHE WOULD HAVE BEEN. I
HEARD AMY SOME GOALS FOR THE
REST OF THE YEAR. I'VE HEARD
BILINGUAL TRAINING INVESTMENTS
WE HAVE IN THAT NINE HUNDRED
SPOTS FOR NEW WORKERS. THE
STANDARDIZATION FOR VENDOR
SELECTION WHAT I DIDN'T HEAR IS
TRAINING FOR A WORK FORCE.
BECAUSE WHAT'S HAPPENED IS THAT
OUR CASE WORKERS ARE ALSO NOT
ALL CREATED EQUAL EVIL
PROTECTION FOR THEM BEEN WITH
THE RESORT IS. REASON WHY
REGIONAL CENTERS ARE NOT CREATED
EQUALLY I UNDERSTAND BURNOUT IS
WHAT REAL. HE CAN COME IN WITH
THE GREATEST INTENTION SOCIAL
WORKER ME- BUT I COULD BE BURNT
ALL IF I WAS IN THE CLINICAL
WORLD AND PERHAPS I'M NOT GIVING
THE GREATEST CARE AND NOT
INTENTIONAL. IT'S JUST LIKE
PERSONALLY I'M JUST BURNT OUT.
WHAT IS HAPPENING IS A CASE
WORKERS ARE NOT PROVIDING THEIR
FAMILIES WITH THE- THE
EXHAUSTIVE LIST OF RESOURCES
IT'S A LIMITED LIST AND THAT'S
NOT TO SAY THAT THE REGIONAL
CENTER IS GOING TO PROVIDE ALL
THE SERVICES. BUT TO POINT THEM
IN THE RIGHT DIRECTION. AND IF
YOU INDULGE ME. I GUESS YOU KIND
OF HAVE TO WRITE. THEM I WANT TO
SHARE SOME OF THE CONCERNS THAT
I'M BRINGING TO THE TABLE
BORDERS LEGISLATOR PUT AS A
FAMILY MEMBER. TO MY NIECE AND
MY NEPHEW. YOU KNOW THERE ARE
PARENTS WHO- ON WAITING LISTS
FOR PRIVATE INSURANCE AND THEY
DON'T KNOW WHAT TO DO. BECAUSE
OF PRIVATE INSURANCE ARE ON
WAITING LISTS TO GET SERVICES.
WHERE DO WE TURN TO WHEN
REGIONAL CERNER'S TELL THEM IT'S
THE SCHOOL'S JOB AT THE END OF
THE DAY THE REGIONAL CENTERS ARE
SUPPOSED TO BE TRAINED IN THIS.
SCHOOLS AREN'T TRAINED IN THIS
THERE'S MAYBE ONE OR TWO PEOPLE
ARE YOU PEACE. BUT THAT'S AFTER
STARTING THEIR SOLE PURPOSE
THEIR SALUTE- FOCUS. WHAT
HAPPENS THEN WHEN. CHILDREN ARE-
WRONGED OF THE EXTRA AMOUNT OF
MINES THAT COULD HAVE BEEN
BEFORE THEY TURNED THREE YEARS
OLD. THERE IS NO WELL WHOOPS
WELL THERE'S NOTHING WE CAN DO
TO MOVE ON WE HEARD FROM
FERNANDO AT SIXTEEN YEARS OLD
YOUR SON STARTED SPEAKING. WHAT
COULD HAVE HAPPENED BEFORE. IN
HINDSIGHT I SHOULD HAVE THE
SOPRANOS REVERSE BECAUSE THIS IS
WHERE WE TALK ABOUT THE
PREVENTION THE ADVANCED
INVESTMENTS AND THEN THE SECOND
TIME IT WAS WHAT HAPPENS WHEN WE
DON'T INVEST HERE. THEN WE DON'T
HAVE TO INVEST IN CORRECT ME IF
THE ACRONYM IS CORRECT I SEE I
SEE V. I. C. S. IT'S BECAUSE WE
DIDN'T INVEST IN THESE
INDIVIDUALS BEFORE. IT REALLY
APPROACH THEM IN A WHOLE EXIT OF
THE SICK MANNER. I'M I'M
FRUSTRATED TO SEE IT THIS IS
FIRST HAND EXPERIENCE AND MY
SISTER IN LAW AND MY SISTER.
THEY ARE STAY HOME SINCE MOM'S
NOW BECAUSE IT'S A FULL TIME
JOB. SO THEN THAT TURNS INTO A
SINGLE INCOME. THAT'S HARD. AND
NOT EVERYONE IS LIKE MY SISTER
AND SISTER IN LAW THESE ARE VERY
LOUD WOMEN VERY LOUD. AND THEY
SPEAK ENGLISH. NOT EVERYONE DOES
. AND I WORRY THAT IF THEY'RE
BEING TREATED LIKE THIS WHAT
HAPPENS TO OTHER PEOPLE. I
DEFINITELY WOULD NOT GO AWAY
WITH THIS TOPIC I WILL BE VERY
VERY CLOSELY. BECAUSE WATCHING
THIS BECAUSE IT MAYBE MAKES
SPRING THIS WITH YOUR BROTHER.
YEARS AGO THIS IS SIXTEEN YEARS
MY NIECE IS THREE YEARS OLD IT'S
STILL HAPPENING EVERY SINGLE DAY
WERE GETTING MORE AND MORE
THERE'S AN INCREASE AND I WERE
GOING TO TALK ABOUT THIS BRANCH
THAT WAS CREATED LATER ON. WE'RE
SEEING SUCH AN INCREASE. THIS
INVESTMENT IN HAVING CASE
WORKERS REALLY UNDERSTAND. AND
TREAT EVERYONE WITH THE DIGNITY
OF THE DESERVE ISN'T IS GREATLY
NEEDED. AMY I WANT AS A NEW
MEMBER WOULD CREATE THIS
RELATIONSHIP WITH YOU. AND
REALLY REALLY DIVE IN THE
ACCOUNTABILITY BECAUSE I I'VE
MENTIONED THIS BEFORE. I'M NOT
HERE FOR A HEADLINE TO SAY OH
THIS IS WHAT THIS IS WE JUST
IMPLEMENTED THIS PROGRAM. I'M
HERE TO SEE WHAT'S GONNA WHAT'S
UNDERNEATH THE HEADLINE. BECAUSE
I FEEL LIKE THE HEADLINE JUST
FOR SHOW I WANT TO HEAR. WHAT'S
HAPPENING I KNOW WE DON'T HAVE A
LOT OF DATA BUT WE HAVE ENDLESS
AMOUNT OF ANECDOTAL INFORMATION.
AND SOMETIMES QUALITATIVE IN FOR
AND THAT IS MORE IMPORTANT AND
QUANTITATIVE DATA. SO AND THERE.
IS NOT SO MUCH I THINK I
EMBEDDED SOME QUESTIONS OF THEIR
THIRD LIKE YOU TO RESPOND AND
THEN I'LL TURN TO MY COLLEAGUE
HERE TO THE RIGHT. IT THANKS SO
MUCH AND THANKS FOR YOUR
WILLINGNESS TO SHARE YOUR
PERSONAL STORY AND YOUR
STRUGGLES AND THOSE OF YOUR
FAMILY AND IT'S REALLY HONESTLY
HARD TO SIT ACROSS FROM YOU AND
TALK ABOUT THAT- THE END TO
ABSORB THAT AND SO I APPRECIATE
THE OPPORTUNITY TO. THINK
THROUGH SOME OF THIS BUT IN
TERMS OF. HEY I THINK THEY ONE
OF THE QUESTIONS YOU ASKED WHAT
IS RELATED TO STAFF TRAINING AND
HOW ARE WE- INSURING THAT AS WE
ADD ADDITIONAL STAFF AS WE WORK
TO- THAT REDUCE THE CASELOAD.
RATIOS SO THAT EACH SERVICE
COORDINATOR HAS MORE TIME TO
SPEND WITH INDIVIDUAL FAMILIES.
HOW DO WE MAKE SURE THAT'S
QUALITY TIME AND THAT THAT TIME
IS PRODUCTIVE AND THAT. THAT
RELATIONSHIP IS A QUALITY ONE-
AND SO YOU KNOW I THINK. ONE OF
THE THINGS THAT WE TALK ABOUT IS
AS WE MOVE TOWARDS AN OUTCOMES
BASED SYSTEM BUT WE DIDN'T
REALLY DRILL INTO WHAT DOES THAT
MEAN ON THE REGIONAL CENTER
ACCOUNTABILITY SIDE- AND YOU
KNOW MANY OF THE THINGS THAT
REGIONAL CENTERS ARE GOING TO
BE. IMPLEMENTING AS PART OF THE
REGIONAL CENTER PERFORMANCE
MEASURES ARE ENCAPSULATED IN THE
THINGS THAT YOU BROUGHT FORWARD.
SO ONE OF THE THINGS THAT WILL
BE ROLLED OUT IS A STANDARDIZED
SERVICE COORDINATION TRAINING-
OR OR- A SET OF SERVICE
COORDINATION TRAININGS AND
COMPETENCIES IN FACT WE WERE
MEETING- WITH THE REGIONAL
CENTERS THIS WEEK TO TALK ABOUT
WHAT ARE THOSE THINGS. THAT ARE
IMPORTANT TO CAPTURE AND- AT THE
VERY TOP OF THE LIST WAS HELPING
PEOPLE TO ACCESS GENERIC
SERVICES AND HOW. HELLO THE
SERVICE COORDINATOR CAN BE THAT
SOURCE OF INFORMATION AND
SUPPORT FOR PEOPLE THAT'S ONE OF
THE KEY THINGS ADDITIONALLY PART
OF THE REGIONAL CENTER
PERFORMANCE MEASURES. HE IS-
TRAINING IN CULTURAL HUMILITY AS
WELL AS- OTHER TOPICS IN THAT
AREA. ADDITIONALLY THE
LEGISLATURE- INCLUDED IN THE
BUDGET I BELIEVE IN FISCAL YEAR
. TWENTY TWENTY ONE- SOME- SOME
FUNDING AND SOME EXPECTATION
AROUND- INCLUSIVE I'M SORRY
TWENTY ONE TWENTY TWO SOME
FUNDING AND- EXPECTATION AROUND
IMPLICIT BIAS TRAINING I KNOW
THAT THE DEPARTMENT HEAD AND-
PUT OUT AN RFP AND HAS JUST
RECENTLY AWARDED- THAT. THAT
PROJECT I BELIEVE AND SO. WE AS
A SYSTEM ARE CHANGING AND
WORKING TO BE MORE RESPONSIVE TO
PEOPLE AND WE RECOGNIZE THAT ONE
OF THE THINGS THAT WE'VE LOST
OVER THE LAST FIFTEEN YEARS AS
CASELOADS HAVE GONE UP. IS THAT
PERSONAL CONNECTEDNESS WITH
PEOPLE- AND ONE OF THE THINGS
THAT WE KNOW IS THAT WE HAVE
GOTTEN INTO A PLACE THAT WOULD
BAN UNDER DIRECTOR BIRDMAN'S
LEADERSHIP- THE STATE IS TRYING
TO REVERSE THAT TREND WE'VE
GOTTEN INTO A PLACE WHERE WE
MEASURE THE THINGS WE CAN
MEASURE AND WE'VE JUST KIND OF
ACCEPTED THAT THAT'S THE WAY IT
IS. AND THOSE THINGS AREN'T THE
MOST IMPORTANT THANKS SO AS MISS
HAHN MENTIONED INDIVIDUAL FAMILY
EXPERIENCE ARE THERE NEEDS BEING
MET THOSE ARE THE THINGS THAT WE
NEED TO MEASURE BUT WHAT WE'VE
HISTORICALLY MEASURED ARE THINGS
LIKE COMPLIANCE WITH PAPERWORK
THOSE ARE IMPORTANT WHAT ARE THE
MOST IMPORTANT NO THEY'RE NOT AS
THE STORY OF YOUR FAMILY-
HIGHLIGHTS. AND SO WE'RE MOVING
MORE TOWARDS MEASURING THOSE
THINGS THAT ARE THE MOST
IMPORTANT DOING SATISFACTION
SURVEYS- THE PROVIDING PEOPLE
WITH. TRAINING AND INFORMATION
ABOUT WHAT SHOULD THEY EXPECT
BECAUSE WE KNOW WE CAN'T JUST
SAY ARE YOU SATISFIED BECAUSE
SATISFACTION IS REALLY A MEASURE
OF YOUR EXPECTATIONS VERSUS YOUR
REALITY WE HAVE AN OBLIGATION TO
HELP PEOPLE UNDERSTAND WHAT THEY
CAN AND SHOULD EXPECT FROM US
AND HOLD US ACCOUNTABLE. AND SO
THOSE ARE ALL THE
TRANSFORMATIONS THAT ARE TAKING
PLACE RIGHT NOW AND THAT WERE IN
THE PROCESS OF SHIFTING TO-
BECAUSE AT THE END OF THE DAY.
HAVING WORKED IN THE SYSTEM FOR
A LONG TIME I CAN TELL YOU THAT
IT ALL COMES DOWN TO THE
RELATION- THE RELATIONSHIP
BETWEEN THE FAMILY AND THE
PEOPLE PROVIDING THEIR SERVICE
ON A DAILY BASIS. THE
RELATIONSHIP BETWEEN THE FAMILY
THE INDIVIDUAL SERVICE THEIR
SERVICE COORDINATOR BUT UP UNTIL
NOW WE'VE HAD A REALLY HARD TIME
MEASURING THE QUALITY OF THAT
RELATIONSHIP AND SO I'M
PERSONALLY THRILLED THAT THAT'S
WHERE WE'RE HEADED. BUT I
UNDERSTAND THE FRUSTRATION- THAT
WE AS A SYSTEM. HAVE HAVE
PROBABLY OVER EMPHASIZE THE
WRONG THINGS- AS WE'VE STRUGGLED
TO PROVIDE PEOPLE WITH- THE
SERVICE COORDINATION THAT THEY
REALLY NEED AND ARE ENTITLED. TO
THANK YOU A MAN I'M SURE I WANT
TO FOCUS ON THE SAME. THING I
THINK IN IT'S THE GENERIC
RESOURCE DISCUSSION. ON
CERTAINLY ON PAGE THIRTY NINE OF
THE MATERIAL THAT WE'VE BEEN.
PROVIDED YOU KNOW IN THIS
COMMITTEE AND OTHERS- I'VE
LISTENED TO THE AGENCY SECRETARY
ANOTHER. DEPARTMENT DIRECTORS
TALK ABOUT THIS NO WRONG DOOR
CONCEPT. ON SEVERAL DIFFERENT
OCCASIONS- AND THE PICTURE
PAINTED BY THE MATERIAL AND TO
SOME EXTENT- BACKGROUND MATERIAL
AND TO SOME EXTENT THE
TESTIMONY. IS A PICTURE OF.
PEOPLE BOUNCING BETWEEN PROGRAMS
AND AGENCIES ATTEMPTING TO FIND
WHICH AGENCY TO GO TO WHICH
DEPARTMENT IS THE RIGHT
DEPARTMENT WHICH NONPROFIT WHICH
PROGRAM. IS APPROPRIATE OR NOT
APPROPRIATE- WE CERTAINLY
UNDERSTAND THAT SELECTED BECAUSE
THAT'S WHAT OUR DISTRICT
STAFFERS DO ON A- DAILY AND
WEEKLY BASIS ATTEMPTING TO
CONNECT THE DOTS IN THE LINES
AMONG STATE DEPARTMENTS AND
STATE AGENCIES. SOMEWHAT
BYZANTINE- FOR EVEN US AND OF
COURSE BEING THE FINAL TOOL IN
THE TOOL CHEST IT'S SOMETIMES
ME. AND YOU WOULD BE SURPRISED
AT HOW- NON RESPONSIVE IN SOME
CASES- STATE AGENCIES AND
DEPARTMENTS ARE EVEN WHEN I PICK
UP THE PHONE AND CALL AN ATTEMPT
TO FIND RESOURCES FOR PEOPLE WHO
WERE. IN SOMETIMES THEIR STRAITS
AND- OFTENTIMES VERY EMOTIONAL
IT'S VERY FRUSTRATING FOR THEM
IT'S ALWAYS FRUSTRATING FOR ME
AND IT'S BUT I ASSUME
FRUSTRATING FOR MY STAFF AS WELL
SO I CAN ONLY IMAGINE WHAT-
INDIVIDUALS AND FAMILIES IN THE
SITUATIONS THAT WE'RE TALKING
ABOUT HERE- BUT WHAT THEY FEEL
LIKE WHEN THEY GO THROUGH THAT.
SO I GUESS MY QUESTION IS HOW DO
WE FIX THIS I MEAN. I UNDERSTAND
MA'AM WHAT YOU'RE TALKING ABOUT
BUT I ALSO UNDERSTAND PROCESS
AND YOU KNOW GOVERNMENT SEEMED
TO BE EFFICIENT AND EFFECTIVE
IN. THIS DOES NOT SEEM LIKE A
VERY EFFICIENT HORRIBLE
APPARENTLY I'M NOT AND I'M SORT
OF NEW TO THIS THE SUBCOMMITTEE
SO AND THE DETAIL ASSOCIATED
WITH HEALTH AND HUMAN SERVICES
FINANCING BUT- DOESN'T SEEM
HIGHLY- EFFICIENT OR EFFECTIVE.
IN OTHER SETTINGS CERTAINLY
LOCAL SETTINGS WE DO A ONE STOP
SHOP WHERE WE HAVE PEOPLE OF
VARIOUS- IF IT'S IN A CITY H.
DEPARTMENTS COME TOGETHER SO IF
YOU'RE COMING IN REQUESTING A
SERVICE YOU HAVE EVERY MONEY
COLLECTED THERE IN SOME FASHION.
I GUESS WE DO WHAT WE COULD DO
ELECTRONICALLY WE COULD DO IT
THE PHONE WE COULD DO AN IN
PERSON. WHERE THE QUESTIONS ARE
ANSWERED RIGHT HERE AND YOU
DON'T HAVE TO GET BACK IN A CAR.
OR A BUS AND GO SOMEPLACE ELSE
TO TALK TO SOMEBODY ELSE TO
EXPLAIN THE SAME STORY THAT
YOU'VE EXPLAINED FOUR TIMES
BEFORE. ONLY TO GET THE ANSWERS
THAT WE ARE NOT OF THE RIGHT
DOOR THIS IS THE WRONG DOOR. I'M
JUST WONDERING. I DON'T AND I'M
USED TO ASKING QUESTIONS OF A
LAWYER BY TRAINING I DON'T
REALLY HAVE A SPECIFIC QUESTION
EXCEPT HOW DO WE FIX THIS AND
WHY CAN'T WE- DEVELOP A PROCESS
WHERE SOMEONE. WHO IS IN THIS
SITUATION WHO NEEDS TO SHOW THAT
THEY'VE EXHAUSTED GENERIC
RESOURCES. THEY HAVE OBVIOUSLY A
DEMONSTRATED- DISABILITY THAT
NEEDS TO BE A GOOD SITUATION AND
NEEDS TO BE ADDRESSED WHY CAN'T
WE CREATE A SITUATION WHERE THEY
COME TO ONE PLACE. WHETHER IT'S
A RESOURCE CENTER OR SOMETHING
ELSE AND TALK TO MEDICARE L. I.
HSS. AND MAYBE EVEN THE SCHOOL
DISTRICT TO FIND OUT WHO CAN
HELP ME. AND IF YOU CAN'T WHO
CAN. ISN'T THAT THE QUESTION.
AND THEN IF IT'S RESOURCES
YOU'RE AT THE RIGHT PLACE. THE
ACTIVITY AND IT SEEMS LIKE YOU
MIGHT HAVE AN ANSWER. THE
RESPONSE THAT. I DO AND I
SENATOR I SO APPRECIATE YOUR
QUESTIONS BECAUSE YOU HAVE
REALLY HIT THE NAIL ON THE HEAD
AND THIS IS SUCH A FUNDAMENTAL
PROBLEM. AND BARRIER IN YOUR
WRITES ABOUT THE A NO WRONG DOOR
WE FREQUENTLY REFER TO IT AS
THAT. TOO MANY PEOPLE EXPERIENCE
IN ALL WRONGDOERS JUST A LITTLE
THEY ARE LITERALLY TOLD GO TO
THAT DOOR DOWN THE HALL THEN
THEY GET TO KNOW YOU HAVE NOW
YOU HAVE TO GO TO THAT DOOR
WHICH DEALER. I DON'T KNOW. AND
I THINK THAT'S PART OF THE
PROBLEM AND TO MISS WRESTLING'S.
CREDIT I THINK WE'VE HAD SOME
GOOD CONVERSATIONS ABOUT. HOW
CRITICAL IT IS FOR PEOPLE TO
HAVE THAT SUPPORT WHICH AS AS
YOU JUST POINTED OUT IS. REALLY
HARD TO GET ON A- PERSONAL BASIS
THREE ON A ONE TO ONE BASIS SHE
GOES BACK TO WHAT YOU WERE
SAYING ABOUT. THE IMPORTANCE OF
SERVICE COORDINATORS AND HOW I
THINK YEARS AGO MAYBE THE SYSTEM
WASN'T PERFECT BUT I THINK JUST
ANECDOTALLY WHAT WE'VE HEARD IS
THAT IT IS TRUE. THAT I THINK
PRIOR TO TWO THOUSAND AND NINE
PEOPLE GENERALLY DID YOU FEEL
LIKE THEY HAD BETTER
RELATIONSHIPS WITH THEIR SERVICE
COORDINATORS. AND ANECDOTALLY
SERVICE CREATORS. DID HAVE MORE
TIME TO DO SOME MORE OF THAT
NAVIGATION OF GENERIC RESOURCES-
THAN THEY HAVE TODAY SO- IT
DOESN'T MAKE SENSE THAT. SERVICE
COORDINATORS WOULD PLAY A VERY
REAL ROLE IN HELPING TO ADDRESS
THAT PROBLEM. BUT. I THINK
YOU'RE ALSO RIGHT IN THAT. THE
STILL IF YOU'RE ALL DOING. ON A
CASE BY CASE BASIS ONE ON ONE.
NOT EVER GOING TO BE ENOUGH. THE
LAST TIME I FLEW INTO SACRAMENTO
BEFORE TODAY. FROM THE PLANE I
WAS LOOKING DOWN I'M IN I LIVE
IN LA. SO I WAS LOOKING DOWN AND
I SAW THE RIVER THAT WAS
SNEAKING THROUGH THROUGH THE
FIELD AND I'M THINKING ABOUT.
TESTIMONY WHEN I SAW THE RIVER
IT MADE ME THINK IT JUST
REMINDED ME OF HOW PEOPLE
EXPERIENCE. THE SYSTEM- WHEN
PEOPLE ARE TOLD THAT THEY HAVE
TO EXHAUST GENETIC RESOURCES GO
TO YOUR SCHOOL GO TO MEDICARE
I'LL GO OVER THERE TO GET IT
FOR. WHAT IT FEELS LIKE IS
THEY'RE BEING TOLD. IT'S ACROSS
THE RIVER GO OVER THERE AND GET
IT. YOU HAVE TO GO AND SWIM
YOU'RE ON YOUR OWN. SOME ACROSS
THE RIVER GO OVER TO THE OTHER
SIDE YOU CAN GET IT GREAT IF
NOT. IF YOU CAN SWING BACK AND
LET US KNOW THEN WE'LL TALK.
GOOD LUCK. WHEN YOU HAVE A
PERMIT TORAH OR NAVIGATOR OR
GOOD SERVICE CREATOR TO HELP YOU
WITH THAT PROCESS. IT'S KIND OF
LIKE THEY'RE GIVING YOU A CALL
BACK. OR MAYBE A CONTACT THE
GUIDE RIGHT YOU'RE YOU'RE
HELPING PEOPLE GET ACROSS THE
RIVER. IT'S BETTER THAN BEING
LEFT TO SWIM ON YOUR OWN. BUT WE
NEVER CAN HAVE ENOUGH KAYAKS. WE
NEVER GONNA HAVE ENOUGH KAYAKS
IT'S NEVER GOING TO BE EFFECTIVE
IT'S NEVER GOING TO BE
EFFICIENT. INSTEAD OF ONLY AN
EVER FINDING MORE AND MORE
CONTACTS WE NEED TO BUILD A
BRIDGE WE NEED TO BUILD A BRIDGE
ACROSS THE RIVER TO THE OTHER
SIDE. I CAN JUST WALK ACROSS THE
ROOM MANY PEOPLE ALL AT ONCE THE
BRIDGE. THEY DON'T KNOW OF ANY
OTHER WAY TO BUILD A BRIDGE
BETWEEN TWO SYSTEMS. AND THEN AT
THE SYSTEMS LEVEL. WHICH IS WHAT
I THINK YOU'RE REFERRING TO WITH
SOME KIND OF PROCESS THROUGH THE
SYSTEM CAN COME TOGETHER AT A
STATE LEVEL. AND FIGURE OUT.
SYSTEMICALLY HOW DO WE DO THAT
HOW DO WE BUILD THAT BRIDGE. SO
THAT PEOPLE CAN MOVE ACROSS
BETWEEN SYSTEMS MORE SEAMLESSLY
AND EASILY. I WANT TO MAKE SURE
IT GIVES SOME TIME ALSO AMY I
FEEL LIKE YOU WANT TO ANSWER A
LITTLE BIT THANK YOU IN ADVANCE
YEAH WE SHOULD. AS I MENTIONED-
YOU KNOW IN AN IDEAL WORLD. WE
WOULD HAVE EXACTLY WHAT YOU'RE
TALKING ABOUT WE WOULD HAVE A
PLACE WHERE PEOPLE COULD COME
AND IT WOULD ALL BE. SOLVED IN
ONE MEETING WE COULD TALK ABOUT
OKAY WHAT PART OF THIS IS GOING
TO BE MEDIC COW WHAT PARTIES I
HSS WHAT PART IS THE SCHOOLS.
AND WE WOULD SOLVE ALL OF THAT-
YOU KNOW EIGHT I THINK MY
PERSPECTIVE HAVING WORKED. IN
HAVING WORKED IN VARIOUS PARTS
OF THE SYSTEM- INCLUDING AS AN
ADVOCATE HAS ALWAYS BEEN TO
RECOGNIZE THAT ONE OF THE THINGS
WE'VE GOT TO DO. IS FIGURE OUT
HOW WHERE ARE THOSE STEPS WE CAN
TAKE NEXT TO MAKE THINGS BETTER
AND TO BUILD SOME MOMENTUM IN
THIS AREA- ONE OF THE THINGS
THAT. WE DID DURING THE
RECESSION AND- MISS HAN
REFERENCED YOU KNOW PRIOR TO TWO
THOUSAND NINE THAT'S KIND OF OUR
MARKER ONE OF THE THINGS THAT WE
DID. WHAT IS IN AN EFFORT TO
SAVE MONEY WE MADE THINGS HARDER
FOR PEOPLE AND WE MEANT
UNWINDING A LOT OF THAT SINCE
THAT TIME ONE PIECE THAT FOR
INSTANCE WE- MADE HARDER WAS WE
SAID NOT ONLY DO YOU HAVE TO GO.
AND ASK I. HSS FOR THAT SERVICE
BUT IF THEY DENY YOU YOU HAVE TO
GO BACK AN APPEAL. FOR THE
REGIONAL CENTER FEELS LIKE YOU
MIGHT PREVAIL IF YOU APPEAL. WE
COULD UNWIND THAT EXPECTATION
WE- AS MRS HAN REFERENCED YOU
KNOW. AT AT THIS MOMENT IN THIS
TIME WE CAN- PROVIDE PEOPLE
WITH- SERVICE COORDINATORS WHO
ARE. WHO ARE YOU QUICK TO- HELP
PEOPLE NAVIGATE AGENCIES AND
NAVIGATE SERVICES- AND WHO HAVE
THE TIME TO DO THAT. LET ME ME I
DON'T WANT TO INTERRUPT DOES
THAT MEAN GET ANSWERS BECAUSE
SERVICE COORDINATORS WE'RE
FAMILIAR WITH. OUR PEOPLE DO
CASE MANAGEMENT. DOCUMENTED IN
THE SYSTEM AND THEY HAVE A CASE
THAT I EXPECT THEM TO SOLVE THE
CASE IF THEY CAN. AND THEY DON'T
THE YOU CAN CERTAINLY EXPECT
DURING THIS PANDEMIC THEY GET A
LOT OF EXPERIENCE IN A LOT OF
DIFFERENT AREAS THAT THEY NEVER
THOUGHT THEY WOULD BUT THEY'RE
NOT THE EXPERTS BUT WHAT WE WERE
ABLE TO DO. INTERNALLY HERE IS
GET THEM PEOPLE IN AGENCIES THAT
WERE ASSIGNED TO THEM THAT THEY
COULD CALL TO GET THE SPECIFIC
CANCERS SO IT'S NOT HAVING THAT
COULD CONSTITUENT TRY TO
NAVIGATE THROUGH THE SYSTEM WITH
SOME ADVICE. FROM A STAFFER IN
THE DISTRICT OFFICE IT'S FIXING
THE PROBLEM SO IF BIKE SERVICE
COORDINATOR YOU'RE TALKING ABOUT
A CASE MANAGER A CASE MANAGER
WHO IS A VALUE WAITED. ON THE
PERFORMANCE OF CASE MANAGEMENT
AND THAT DOESN'T MEAN YOU EVERY
SINGLE TIME YOU SOLVE THE
PROBLEM. BUT IT'S NOT ALL I
TALKED TO HIM AND I TOLD HIM
WHERE TO GO IT'S- HSS IS THE
ISSUE HERE'S WHAT I KNOW BUT I
HSS BUT LET ME CALL MY I. HSS
CONTACT AND LET ME GET YOU THE
ANSWER. ARE YOU ELIGIBLE FOR HSS
OR NOT OKAY YOU'RE NOT SO LET'S
NOW MOVE TO WHATEVER THE NEXT
STEP IS. SO THAT'S WHAT I CALL
SERVICE COORDINATION AND I GUESS
IN THE SOCIAL WORK SETTING YOU'D
CALL THE CASE MANAGER I'M NOT
ONE OF THOSE EITHER. BUT THAT'S
WHAT I THINK WE SHOULD
INVESTIGATE AND I DON'T KNOW
WHAT THAT COSTS AND I DON'T KNOW
YOU KNOW THE VOLUME. BUT SOMEHOW
WE CAN'T HAVE PEOPLE WITH
DISABILITIES BOUNCING. AROUND
THE SYSTEM. HOWEVER THERE. WHICH
MEANS NAVIGATION I MEAN MEANS
YOU GET THE SHORTEST ROUTE FROM
POINT A TO POINT B. AND YOU CAN
GO TALK TO THOSE AT POINT B. AM
I MAKING SENSE. YES AND YOU KNOW
I THINK THAT THERE ARE SOME
CERTAIN SERVICES WILL. WEARER AT
LIAISON. YOU FOR INSTANCE A
REGIONAL CENTER HAS A LIAISON
WITH A HEALTH PLAN OR THEY HAVE
A LIAISON WITH CHILD WELFARE.
AND SOME OF THOSE THINGS CAN BE
WORKED OUT AT THE SYSTEMS LEVEL-
WITH THINGS. IT WILL BE ONE OF
THE COMPLICATING FACTORS IN OUR
WORLD IS YOU'VE HEARD US TALK A
LOT ABOUT THE- SERVICES IN THE
REGIONAL CENTER WORLD OUR-
INDIVIDUALIZED. SERVICES IN
SPECIAL EDUCATION- ALSO
INDIVIDUALIZED- THE NUMBER OF
HOURS OF I. HSS THAT MAYBE
AUTHORIZERS ALSO INDIVIDUALIZED
AND SO IT'S NOT AS- STREAMLINED
IS PICK UP THE PHONE THE IHS US
WORKERS SAYS- SO YES THIS
PERSON'S ELIGIBLE AND BASED ON
YOUR DESCRIPTION WE'RE GOING TO
AUTHORIZE X. NUMBER OF HOURS AND
WE CAN MOVE ON. IT'S REALLY
HAVING THE YES IT WE CALL THE
SERVICE COORDINATORS BUT IT'S
HAVING THE CASE MANAGER. WALK
THE PERSON THROUGH THE PROCESS
AND HAVE THE BANDWIDTH TO
SUPPORT THEM AT EACH STEP OF
THAT WAY- AND HAVE ENOUGH- AT
THE END HAVE AWARENESS OF. THE
ELIGIBILITY CRITERIA FOR THE
VARIOUS SYSTEMS- AND HOW TO MAKE
THAT REFERRAL AND HOW TO BE
THERE FOR THE PERSON BECAUSE AS
YOU PUT IT HAVING THEM BOUNCE
AROUND. ISN'T A GOOD USE OF TIME
OR ENERGY FOR THE FAMILY AND WE
KNOW THAT WHEN YOU HAVE A CHILD
WITH A DEVELOPMENTAL DISABILITY
THE MOST PRECIOUS COMMODITY YOU
HAVE THIS TIME- TIME MEASURED IN
YEARS BUT ALSO TIME INTEREST IN
TERMS OF THE BAND WITH YOU HAVE
BECAUSE YOU INTERFACE WITH SO
MANY AGENCIES. AND SO REALLY
HAVING SOMEONE THERE TO WALK YOU
THROUGH THAT AND TO BE THERE- TO
SUPPORT YOU IS REALLY CRITICAL.
LISTEN I DON'T WANT TO BELABOR
IT I MEAN I YOU KNOW MY I'M
CONCERNED I DON'T KNOW ENOUGH
ABOUT IT TO OFFER A SOLUTION TO
YOU- I DO SIT ON THE
SUBCOMMITTEE AND I'VE DONE
BUDGET FOR GOING ON ELEVEN YEARS
SO. IF IT'S MONEY YOU NEED
YOU'RE AT THE RIGHT SPOT. IF
IT'S AN ORGANIZATIONAL
SUGGESTION AT LEAST NOW I HAVE A
SOCIAL. WORKER LICENSED CLINICAL
SOCIAL WORKER TO MY LEFT BUT IF
IT'S A PROCESS YOU NEED IT'S NOT
ME. BUT I WHAT I'D LIKE TO SEE
THE NEXT TIME I READ THE
BACKGROUNDER IF I'M HERE NEXT
YEAR THAT. IT READS DIFFERENTLY
THAN THE ONE ON PAGE A PARAGRAPH
ON PAGE THIRTY NINE. SO BUT
THANK YOU FOR ALL THAT YOU DO
AND I APPRECIATE YOUR COMMENTS
AND- KEEP PLUGGING AWAY AND I'M
HERE TO TRY TO HELP IF I CAN
THANK YOU MADAM CHAIR. THANK YOU
I'D LIKE TO TURN TO JUDY AND
MAKE SURE- SOME FINAL THOUGHTS
HERE. THANK YOU SO MUCH AND-
THANK YOU SENATOR MENSCH OF R.
FOR. TALKING ABOUT YOUR- YOUR
FAMILY MEMBERS AND I PERSONALLY.
WANT TO OFFER- OUR ASSISTANCE IN
ANY WAY TO YOUR FAMILY. TO HELP.
THEM TRY TO NAVIGATE THESE
DIFFICULT SYSTEMS. AND I ALSO
WANT TO THANK SENATOR ROTH- WE
HAVE A VERY VERY CONCRETE
SUGGESTION. WE HAVE A VERY. HIGH
AND ARE HAPPY TO DISCUSS WITH.
MEMBERS OF THE COMMITTEE ARE
VERY SPECIFIC SUGGESTIONS
AROUND. GENERIC RESOURCES WHAT
WE KNOW IS THAT SERVICE
PROVIDERS ON THE WHOLE ARE VERY
UNTRAINED. AND BECAUSE OF THAT
FEAR AND LACK OF ABILITY TO HELP
PEOPLE CLASSES THIS. LACK OF
TRUST. AMONG FAMILIES. ON FAMILY
SEE THEM AS BARRIERS AND FAMILY
AND THE RELATIONSHIPS BETWEEN
REGIONAL CENTER SERVICE
COORDINATORS AND FAMILIES OFTEN
BECOME VERY ADVERSARIAL WHICH IS
THE OPPOSITE OF CASE MANAGEMENT
RATE IT'S SUPPOSED TO BE. I SOME
USERS RETURNING TO THEM TO HELP
YOU AND INSTEAD YOU'RE FEELING
LIKE YOU'RE CONSTANTLY HIRING A
LAWYER AND FIGHTING BACK. SO
WHAT DO WE HAVE TO DO TO TURN
THIS AROUND. WE HAVE TO BUILD
BACK THAT TRUST BY MAKING
REGIONAL CENTER SERVICE QUARTERS
DOCUMENT EXACTLY. HOW A PERSON
CAN ACCESS THOSE GENERIC
RESOURCES AND ALSO DOCUMENT HOW
THE REGIONAL CENTERS GOING TO
HELP THEM GET IT. SO WHAT THEY
SAY YOU GOTTA GO TO SCHOOL
DISTRICT WE'VE GOT TO GO TO
MEDICARE ALL YOU NEED TO WRITE
DOWN IN THAT PERSON'S I. D.
PETER INDIVIDUAL PROGRAM PLANS.
THIS IS HOW YOU DO IT AND THIS
IS EXACTLY HOW I'M GOING TO HELP
YOU DO IT AND THEN CLOSE THE
LOOP BY SAYING YES I HOPE TO DO
IT OR IT WAS TONIGHT. THE SECOND
VERY SPECIFIC RECOMMENDATION WE
HAVE. IS THAT. IF THE GENERIC
RESOURCE DOES NOT. COMMIT TO
PAYING FOR THAT SERVE AS WITHIN
. FOUR BUT THIS IS ALL THE SAME
MONEY THIS IS STATE AND FEDERAL
DOLLARS WHETHER IT'S FROM IHS
SAYS. MEDICARE HOW THE SCHOOL
DISTRICT IT'S ALL THE SAME
TAXPAYER DOLLARS IT'S JUST GOING
TO DIFFERENT PARKS. TO HAVE THE
SILOS MAKES NO SENSE TO ME. AND
SO. THERE'S A LOT OF VERY
SPECIFIC RECOMMENDATIONS HAPPY
TO TALK WITH YOU SENATOR ROCK
ADVENTURE BAR CHOOSE TO GO
THROUGH OUR RECOMMENDATIONS
BECAUSE I THINK THAT WE KNOW
WHAT CAN BE DONE AND CAN MAKE A
DIFFERENCE. THANK YOU THANK YOU
SO MUCH. AS A FINAL TOUCH HERE
YOU KNOW MY COLLEGE MY RIGHT
QUESTION IF YOU'LL BE HERE NEXT
YEAR HE KNOWS FOR ME NOW TERMING
OUT. I'M GONNA BE HERE FOR
TWELVE YEARS. YOU KNOW IT MIGHT
GO- I. EVERYONE HERE OR MAYBE
THE TWO MEMBERS HERE. IS THAT
NEXT YEAR THE BRIEFING LOOKS
DIFFERENT. AND THEN THE
FOLLOWING YEAR WHAT I CANNOT
ACCEPT IS THAT NEXT YEAR IT'S
EXACTLY THE SAME THING. AND I'M
NOT JUST SAYING THAT WITHOUT ANY
SUPPORT. I'M HERE I WANT TO
SUPPORT I'M HERE TO SUPPORT. YOU
KNOW WHETHER IT'S FINANCIAL IS
NOT I CAN'T GUARANTEE THAT A
100% BUT HOW CAN I ADVOCATE ON
THIS END FOR THAT. YOU KNOW I
WANNA OUTSIDE OF THIS CREATE
SMALLER GROUPS OF DISCUSSION TO
SEE HOW WE CAN MOVE FORWARD BY.
I DO WANT TO SEE SOME CHANGE
THANK YOU SO MUCH. FOR COMING IN
AND AT LEAST STARTING THE
CONVERSATION FOR ME AS A NEW
MEMBER AND CONTINUING TO MOVE
THE MARKER HERE APPRECIATE YOUR
TIME. WE'RE GOING TO MOVE ON TO
ISSUE NUMBER NUMBER SIX AUTISM
SERVICES BRANCH. WELCOME
STRANGER. I'M STILL HERE. NO NOT
AT ALL NO IMPORTANT DISCUSSIONS-
AND I'M WAITING FOR OUR AUTISM
SPECIALIST. THANK YOU FOR THE
OPPORTUNITY TO PRESENT ON OUR
AUTISM SERVICES BRANCH YOU KNOW
IS- THROUGHOUT THE DISCUSSION
TODAY. YOU KNOW I'VE HIGHLIGHTED
SEVERAL TIMES THE GROWTH IN THE
NUMBER OF INDIVIDUALS WITH
AUTISM- AND- MMHM MUCH OF THE
WORK THAT WE'VE BEEN DOING
SEVERAL YEARS AGO I HAD AN
OPPORTUNITY TO CREATE A POSITION
AT THE DEPARTMENT- AND THEN I
HAD. JUST TO AN INCREDIBLE
OPPORTUNITY OF HIRING- THIS
PROFESSIONAL TO MY RIGHT AND DR
LAUREN LIEBER- IT'S JUST BEEN AN
ABSOLUTE. GEM TO WORK WITH US AT
THE DEPARTMENT AND REALLY
GUIDED- THE WORK THAT WE'VE BEEN
ABLE TO DO TO TAKE A LOOK AND
LIFT THE LID- ON AUTISM
SERVICES. SO I JUST WANT TO
HIGHLIGHT A FEW THINGS WHY THIS
IS SO IMPORTANT AND THEN I'M
GOING TO GO AHEAD AND PASS IT
OVER TO HER- DOCTOR LEE BRODY-
PRESENT ON ON THE PROPOSAL FOR
THE AUTISM BRYANSTON TO ANSWER
SOME OF THE QUESTIONS. YOU KNOW
WHEN WE STARTED SEEING KIND OF
THIS INCREASE IN THE NUMBER OF
INDIVIDUALS WITH AUTISM WE ALSO
STARTED SAYING THAT THERE WAS AS
I NOTED SOME INEQUITIES AS FAR
AS THOSE THAT ARE ELIGIBLE- AT
THE TIME SO WE- WERE AWARE AND
THE WORK THAT WE WERE DOING
WITHIN OUR AFRICAN AMERICAN
FOCUS GROUP. AND LOOKING AT
DISPARITIES ALL OF A SUDDEN WE
STARTED LOOKING AT SOME MORE THE
DATA AND WE RECOGNIZE THAT WE'RE
HAVING A LOWER REPRESENTATION
THAN THE COMMUNITY OF
COMMUNITIES OF COLOR- AND THE
TIMELINESS OF BEING ABLE TO HAVE
A DIAGNOSIS OF AUTISM. CERTAINLY
A LOT SERVICE CENTERED AROUND
THAT THAT'S WHAT REALLY WAS
INSTRUMENTAL IN US MOVING
FORWARD THE IMPLICIT BIAS
TRAINING BECAUSE YOU KNOW WHEN
YOU ARE WORKING WITH INDIVIDUALS
AND YOU'RE SAYING THAT. HEY
ALWAYS A CLINICIAN LOOKING
THROUGH THE LENS OF THE CLINICAL
APPROACH OF THE ASSESSMENT OR IS
THERE AN IMPLICIT BIAS AS TO
WHAT IS KIND OF THE DIAGNOSIS.
AS FAR AS AUTISM OR IS THIS A
BEHAVIORAL PROBLEM IF YOU WILL-
SO WE RECOGNIZE THAT THERE IS A
PROBLEM- AND THAT WAS REALLY
THROUGH THE WORK OF OUR AUTISM-
LANDS. OF A DOCTOR LIBERAL AND
WORKING WITH LANE NINETY WALTER
EQUITY- OFFICER IN AND LOOKING
AT THOSE THINGS. ADDITIONALLY
WHEN WE'RE STARTING TO SEE THE
LARGE NUMBER INTO. THAT ARE TO
BE GRADUATE- AND REALLY WANTING
TO LOOK NOT ONLY AT THE DATA BUT
ALSO LOOKING AT KIND OF THE
SPECTRUM IN UNDERSTANDING
THERE'S A- REAL DIFFERENCE
BETWEEN THE NEEDS OF
INDIVIDUALS. AND KNOWING THAT WE
ARE IN THE NEXT SEVERAL YEARS
GOING TO BE SEEING A NUMBER OF
INDIVIDUALS GRADUATING HIGH
SCHOOL- BUT I. DO WANT TO PAUSE
THERE- GIVE DOCTOR LEAVE GROWING
OPPORTUNITY- TO SHARE SOME OF
THE WORK THAT SHE'S CURRENTLY
DOING AND TO ANSWER SOME OF THE
QUESTIONS THAT ARE IN THE
AGENDA. CALM REGARDING THE
AUTISM BRANCH. TURN THIS ON.
OKAY HI- DOCTOR LIEBER- AUTISM
SPECIALIST AT THE DEPARTMENT OF
DEVELOPMENTAL SERVICES- THANK
YOU NANCY FOR THAT INTRODUCTION-
JUST TO. GIVE YOU A LITTLE BIT
OF AN OVERVIEW OF- THIS PROPOSAL
AND THE CONTEXT. OF THE NUMBER
OF INDIVIDUALS THAT WE SERVE-
THROUGH THE REGIONAL CENTERS
THAT HAVE A DIAGNOSIS OF AUTISM
HAS INCREASED A HUNDRED AND 57%
OVER THE LAST DECADE- AND-
CURRENTLY- AMONG OUR LAND TERMAN
CASELOAD FEMME AUTISM
REPRESENTS. FORTY SIX PERCENT-
BUT WHEN WE LOOK AT. WE LOOK AT
CHILDREN FROM THE AGES OF ZERO
TO TWENTY ONE IT'S ALREADY A
MAJORITY SHARE AT SIXTY SEVEN
PERCENT- SO WERE WERE FACING A
FUTURE WHERE AUTISM IS GOING TO
BECOME THE MAJORITY SHARE SERVED
BY REGIONAL CENTERS. ACROSS THE
LIFESPAN FOR THE FIRST TIME IN
THE HISTORY OF OUR SYSTEM- WHICH
IS A MONUMENTAL CHANGE- AND I
THINK DESERVES- THAT INCREASED
FOCUS ON- TO INSURE THAT WE HAVE
A SYSTEM THAT'S PREPARED TO
SERVE THOSE INDIVIDUALS AND
THEIR UNIQUE NEEDS- WE ALSO ARE
LOOKING SPECIFICALLY AT THE
AUTISM CASELOAD EIGHTY PERCENT.
OUR CHILDREN ZERO TO- TWENTY
ONE- FROM LIKE NANCY MENTIONED-
AS THOSE CHILDREN AGE THEY'RE
GONNA BE TRANSITIONING THROUGH
THE SCHOOL SYSTEM AND THEN INTO
EARLY ADULTHOOD- AND THEN ACROSS
THE LIFESPAN- AND AGE IN OUR
SYSTEM- AND SO WE REALLY NEED TO
ENSURE THAT WE HAVE AN ARRAY OF
SERVICES ACROSS THE LIFESPAN TO-
INSURE INDIVIDUALS ARE
SUPPORTED- AT ALL OF THOSE AGE.
A TIME PERIODS- A COUPLE OF THE
SUCCESSES THAT WE'VE ALREADY HAD
US THROUGH THE WORK FOCUSING ON
AUTISM NANCY MENTIONED- THE
PROVISIONAL ELIGIBILITY AND THE
IMPLICIT BIAS TRAINING ALREADY
SO- I WON'T- RUN THROUGH THAT
UNLESS YOU HAVE MORE QUESTIONS-
BUT WE ALSO RECENTLY. MADE
UPDATES TO OUR EARLY START
ELIGIBILITY AND THAT WAS- IN
PART BECAUSE OF SOME OF THE
TRENDS WERE NOTICING- WITH
INDIVIDUALS WITH AUTISM SO- FOR
ONE- ONLY ABOUT HALF OF THE
CHILDREN WE SERVE WITH AUTISM
EVER PARTICIPATED IN EARLY
INTERVENTION THROUGH EARLY START
PROGRAM- EVEN THOUGH WE CAN
DIAGNOSE AUTISM- AS EARLY AS
FOURTEEN MONTHS RELIABLY- AND
MOST FAMILIES ARE NOTING THOSE
CONCERNS BEFORE THE AGE OF
THREE. ONLY HALF FOR GETTING
FLAGGED REFERRED- AND ENROLLED
IN EARLY START- NOT SOMETHING-
THAT WE WANT TO. EXPLORE AND
IMPROVES- WE ALSO NOTE- SOME
YOUNG TODDLERS WITH AUTISM HAVE
UNIQUE LANGUAGE PROFILES WHERE-
THEY MAY HAVE PRETTY DECENT-
RECEPTIVE LANGUAGE BUT MAY BE
IMPAIRED IN EXPRESSIVE LANGUAGE
OR VICE VERSA. AND THEN WHEN YOU
LOOK AT COMMUNICATION IS ONE
DOMAIN YOU HAVE THAT ONE SORT OF
COMBINE OR COMPOSITE SCORE THOSE
CHILDREN MIGHT NOT MEET THE 33%
DELAY WHICH IS QUITE AREA FOR
START- AND SO- THIS PAST YEAR WE
UPDATED OUR EARLY START
CRITERIA. SPLITTING THAT
COMMUNICATION DOMAIN INTO TWO
CATEGORIES RECEPTIVE AND
EXPRESSIVE LANGUAGE WHICH SHOULD
MORE EASILY CAPTURE SOME OF
THOSE CHILDREN ON THE SPECTRUM
AND WITH OTHER DISABILITIES- WHO
MAY- ONLY HAVE IMPAIRMENT IN ONE
OF THOSE DOMAINS- AND WE ALSO
REDUCE THE DELAY 225% WHICH IS
ALSO GOING TO INCREASE. THE
NUMBER OF CHILDREN WERE
CAPTURING- SO- IN GENERAL THIS
PROPOSAL IS GOING TO ESTABLISH
AN AUTISM SERVICES BRANCH WITHIN
OUR OFFICE OF STATEWIDE CLINICAL
SERVICES AT THE DEPARTMENT- TO
REALLY PUT A AN INCREDIBLE FOCUS
ON THIS POPULATION GROWTH WE'RE
SEEING AND- TO TAKE A LOOK AT
SERVICES AND SUPPORTS ACROSS THE
LIFESPAN- TO GET TO. THE
QUESTIONS- FROM THE AGENDA- ONE
WE BELIEVE THAT THE WORK OF THIS
BRANCH SHOULD BE INFORMED BY THE
POPULATION THAT IT SERVES SO-
THE BRANCH STAFFING WOULD
DIRECTLY SUPPORT COMMUNITY
ENGAGEMENT. WITH INDIVIDUALS ON
THE AUTISM SPECTRUM- SO WE HAVE-
BEGUN RECRUITING FOR A FOCUS
GROUP OF. INDIVIDUALS WHO ARE
AUTISTIC WHO ARE SERVED BY
REGIONAL CENTERS WHO WILL BE
BRINGING NEW VOICES- TO THE WORK
THAT WE'RE DOING- BUT THIS
BRANCH WILL ALSO BE DOING
SIGNIFICANT COMMUNITY ENGAGEMENT
WITH OTHERS WHO ARE ON THE
SPECTRUM AS WELL AS THEIR FAMILY
MEMBERS. SOME OF OUR PROVIDERS
AND OTHER EXPERTS- WE ALSO WILL
BE DOING WORK AROUND-
IDENTIFYING AND REVIEWING
EVIDENCE BASED PRACTICES AND
OTHER INNOVATIVE MODELS- THAT WE
COULD BE- SUPPORTING ACROSS THE
STATE- SO THE BRANCH ITSELF
WOULD BE DOING SOME OF THAT
EXPLORATION YOU KNOW REVIEWING-
DIFFERENT MODELS- SCIENTIFIC
STUDIES- BUT ALSO CONSULTING
WITH OTHER EXPERTS SO. IN
CALIFORNIA WE'RE VERY LUCKY WE
HAVE THREE UNIVERSITY CENTERS OF
EXCELLENCE IN DEVELOPMENTAL
DISABILITIES ALSO CALLED YOU
SAID- AT UC DAVIS MIND INSTITUTE
UCLA'S TARJAN CENTER AND THEN AT
THE UNIVERSITY OF SOUTHERN
CALIFORNIA- IN COLLABORATION
WITH THE CHILDREN'S HOSPITAL OF
LA. WE ALSO HAVE TO- AND H.
FUNDED AUTISM CENTERS OF
EXCELLENCE THAT ARE HOUSED AT UC
DAVIS AND ALSO UC SAN DIEGO. AND
THEN WE ALSO HAVE SEVERAL OTHER
UNIVERSITIES THAT HAVE WORLD
LEADING EXPERTS IN AUTISM AND
OUR DEPARTMENT IS VERY LUCKY
THAT WE HAVE- MAINTAIN
PARTNERSHIPS WITH. THOSE
EXPERTS- AND ARE ABLE TO-
CONSULT WITH THEM ON- ISSUES AND
SUPPORTS AROUND AUTISM- WE ALSO
HAVE- SOME INCREDIBLE CLINICIANS
WHO WORK AT THE REGIONAL CENTERS
WHO PARTICIPATE IN THE ARCA
PSYCHOLOGY COLLABORATIVE- WHO WE
COLLABORATE WITH- AND THEN- LIKE
I MENTIONED WILL BE GATHERING
INFORMATION FROM OUR
STAKEHOLDERS AS WELL TO INFORM
THE WORK. AND THEN OUR LAST
QUESTION- HOW WILL WE KNOW THE
BRANCH IS SUCCESSFUL I THINK.
IMMEDIATELY OR OR IN THE SHORT
TERM- THE COMPLETION OF THE
OUTCOMES THAT WE MENTIONED IN
THE PROPOSAL- SO LAUNCHING THE
RESOURCE HUB- DELIVERING
TRAININGS PUBLISHING AN UPDATED
CLINICAL GUIDELINES FOR
SCREENING AND DIAGNOSING AUTISM.
CONVENING OUR STAKEHOLDER GROUPS
AND ALSO INCREASING OUR
RESPONSIVITY TO FAMILIES- AND
TRACKING THOSE COMMUNICATIONS
WILL BE YOU KNOW OUR FIRST
STEPS- BUT IN THE LONG TERM- WE
BELIEVE THE BRANCH IS GOING TO
IMPACT INDIVIDUALS WITH AUTISM
AND THEIR FAMILIES- NOT ONLY
THROUGH THE INCREASED
RESPONSIVITY TO THOSE FAMILIES-
BUT ALSO- THROUGH. YOU KNOW
ENHANCED RESEARCH DATA
COLLECTION- COMMUNITY ENGAGEMENT
ALL OF THAT IS GOING TO HELP THE
DEPARTMENT- IDENTIFY-
RECOMMENDATIONS AND STRATEGIES
THAT- SHOULD INCREASE ACCESS TO
EFFECTIVE AND PERSON CENTERED
SERVICES FOR INDIVIDUALS ON THE
SPECTRUM- SO THAT THEY CAN LEAD.
INDEPENDENT AND PRODUCTIVE
LIVES- IN THE COMMUNITY- ACROSS
THEIR LIFESPAN. THANK YOU. I
THINK IT COULD TURN INTO LA- OR
D. AND D. O. F. FOR ANY COMMENT
- CHRIS A NEW DEPARTMENT OF
FINANCE NOTHING FURTHER TO ADD
AT THIS TIME. GREAT I'M THANK
MY- HOW IMPORTANT IT IS TO ME
HAS BEEN MADE OBVIOUS ALREADY IN
THIS TOPIC ONE THING I WOULD ADD
IS THAT YOU KNOW WE'VE TALKED
ABOUT THE LITTLE. DOUBLING AND
GETTING DATA WITH THE NEW
DEPARTMENT WE HAVE A GREAT
OPPORTUNITY TO START FROM THE
GET GO IN COLLECTING THAT DATA.
US AND IRAQ ANY QUESTIONS.
SHOULD WE'RE GONNA LEAVE THAT
WE'RE GONNA HOLD ITEM OPEN TO
MOVE ON TO ISSUE NUMBER SEVEN
DISPARITIES WITHIN THE
DEVELOPMENTAL SERVICES SYSTEM
RELATED TO A. B.
NINETEEN FIFTY
SEVEN.
OKAY FOR OUR NEW GUESTS AT THE
TABLE IN THE HAVE YOU INTRODUCE
YOURSELVES TO MY- WE'LL START
WITH. TO MY LEFT MA'AM YOU.
COURTESY OF THE DEPARTMENT OF
DEVELOPMENTAL SERVICES SURE GOOD
TO SEE YOU. THE CHAIRMAN CATCHY
FOR DATA ANALYTICS AND STRATEGY
AT THE DEPARTMENT. IF YOU DRINK
IT. THANK YOU FOR JOINING US-
WHO WANTS TO START. I'LL GO
AHEAD IF THAT'S ALRIGHT WITH YOU
PERFECT ALL RIGHT SPECIES.
THANKS QUESTION NUMBER ONE FOR
US- WAS TO DESCRIBE THE PROPOSAL
BEFORE YOU IN RESPONSE TO THIS
LEGISLATION. I WANT TO GIVE
CREDIT AS SO MANY OTHERS HAVE
DONE TO THE WORK OF YOUR YOUR
STAFF TO THE COMMITTEE TO PUT IT
ON PAGE FORTY FIVE OF THE AGENDA
TO SUMMARIZE WHAT WE'RE LOOKING
FOR ESSENTIALLY THIS IS CHAPTER
LEGISLATION LAST YEAR THAT
ENHANCES OUR ABILITY TO COLLECT
THE VERY DATA THAT WE WERE JUST
TALKING ABOUT- PREVIOUSLY. THE
PROVIDES INSIGHT INTO WHETHER OR
NOT THERE'S- DISPARITIES- ARE
BEING- PROGRESSED OR OR-
RESOLVED IN IN OUR SYSTEM. THIS
BILL LAST YEAR- RELATES TO
WHETHER PEOPLE ARE- TIMELY
RECEIVING TRANSLATED COPIES. OF
THEIR INDIVIDUAL PROGRAM PLANS.
WITHIN A REASONABLE AMOUNT OF
TIME AND SHORTEN THE THRESHOLD
FOR THAT TIME FROM SIXTY DAYS TO
FORTY FIVE- AND ALSO EXPANDED IT
TO ALL NON ENGLISH LANGUAGES
RATHER THAN JUST ALL NON
THRESHOLD LANGUAGES IT WAS AN
IMPORTANT ENHANCEMENT IN THAT IT
ALSO REQUIRED. THE ROAD THE
REPORTING ABOUT SPECIFIC
SERVICES THAT WERE RESTORED IN A
RECENT BUDGET THE PROPOSAL
ITSELF REQUEST TWO POINT SEVEN
MILLION DOLLARS IN TOTAL FUNDS.
OVER A THREE YEAR PERIOD WITH
FOUR HUNDRED FIFTY THOUSAND
DOLLARS ON GOING THERE AFTER FOR
WORK AT THE DEPARTMENT- THIS IS
REALLY IMPORTANT WORK FROM OUR
PERSPECTIVE- IT'S VERY ALIGNED
WITH AND CONSISTENT WITH THE
DEPARTMENT'S COMMITMENT TO
BUILDING A MORE DIVERSE AND
EQUITABLE INCLUSIVE AND
ACCESSIBLE SYSTEM. HI THIS WILL
GIVE US A LOT MORE INSIGHT INTO
DATA IT ALSO EXPANDED THE
CATEGORIZATION OF THAT DATA TO
INCLUDE- DISAGGREGATION BY-
RETAIN EACH RACE ETHNICITY AND
RESIDENCE TYPE- WE THINK THAT'LL
BE REALLY USEFUL FOR US AND
ESSENTIALLY THE PROPOSAL
REQUESTED POSITIONS NECESSARY
BOTH AT THE REGIONAL CENTER AND
THE DEPARTMENT. OF TO COMPLETE
THAT DATA COLLECTION AND. AND
MAKE IT A TRANSPARENTLY
AVAILABLE. THAT TRANSPARENT
AVAILABILITY FEEDS INTO QUESTION
NUMBER TWO IN THE AGENDA WHICH
IS HOW WE WILL WORK WITH
STAKEHOLDERS TO APPROPRIATELY
BALANCE- PROTECTING PRIVACY AND
ENSURING THAT DATA IS AVAILABLE.
WE ABSOLUTELY CONCUR THIS DATA
SHOULD BE AVAILABLE AS I SAID A
MINUTE AGO WE BELIEVE THAT THERE
ARE IN FACT WAYS TO DO THIS TO
BALANCE PRIVACY PROTECTIONS FOR
INDIVIDUALS AND FAMILIES. BUT IF
WE LEARNED NOTHING ELSE IN THE
LAST COUPLE OF WEEKS- THERE'S NO
SUCH THING AS TOO MUCH
COMMUNICATION AND TOO MUCH
SPEAKING OF UNDERSTANDING AS
BEING KEYS TO FINDING A PATH
FORWARD THAT EVERYONE CAN
ACCEPT. WE HAVE A LOT OF
EXPERIENCE PUBLISHING DATA
MAINTAINING PRIVACY- I WILL
CONFESS WE HAVE MEASURED SUCCESS
IN IN BOTH OF THOSE AND IT'S
ALWAYS A BALANCE. BUT WE THINK
WE CAN GET THERE AND IF WE CAN'T
TALK ABOUT ABSOLUTE NUMBERS
MAYBE WE CAN TALK ABOUT
PERCENTAGES MAYBE WE CAN
AGGREGATE THE GEOGRAPHIES SO THE
NUMBERS ARE QUITE SO SMALL.
THERE'S LOTS OF OPPORTUNITY
THERE TO BE THERE AND APPRECIATE
THE COMMITTEE'S FAVORABLE
CONSIDERATION OF THE REQUEST I'M
HAPPY TO ANSWER ANY QUESTIONS
WELL THANK YOU SIR THE-
BACKGROUNDER. NOTES THAT THE
STAKEHOLDERS OR STAKEHOLDERS
HAVE SOME CONCERNS RELATIVE TO
DATA MASKING PREFERENCE ON YOU
COULD. WITH SOME. HELLO YES
ABSOLUTELY I HAVEN'T I THANK
THANK YOU SO MUCH AGAIN. VERY
MUCH APPRECIATE THE WAY HE WAS
JUST SAYING A- HOW HELPFUL
COMMUNICATION IS WHEN IT COMES
TO SERVICING. SOME OF THESE
CONCERNS- WHEN THIS BUDGET
CHANGE PROPOSAL M. THE TRAILER
BILL LANGUAGE FIRST CAME OUT WE
WERE CONCERNED BECAUSE ON THE
FACE OF THE PROPOSAL. WHAT WE
SAW WITH LANGUAGE THAT SUGGESTED
THAT WE NEED TO DO WHAT WE WANT
TO DO A BETTER JOB OF
PROTECTING. PEOPLE'S DATA
PRIVACY AND THE RACIAL
DISPARITIES DATA REPORTING. THAT
WAS IT. WE DIDN'T SEE MUCH IN
THE PROPOSAL OR IN THE TBL
ITSELF. THAT SEEMED TO ADDRESS
EXPLICITLY. THE POTENTIAL
DOWNSIDES OF THAT WHICH- I. HAVE
TO DO WITH. BASE A PULP
ACCOUNTING OF THE VERY
DISPARITIES THAT WE WERE JUST
TALKING ABOUT IT WHEN YOU GO
BACK AND LOOK AT YEARS OF THE
DATA REPORTS FROM EACH REGIONAL
CENTER ABOUT RACIAL DISPARITIES.
YOU WILL SEE THAT THEY HAVE
TRADITIONALLY INCLUDED A HIGH
LEVEL OF GRANULARITY LOTS OF
DATA THERE MANY MANY CONSUMER
ACCOUNTS OF LESS THAN ELEVEN
WHEN YOU BREAK DOWN CERTAIN
CATEGORIES HOW MANY PEOPLE FROM
THE ETHNIC GROUP RECEIVE THIS
TYPE OF SERVICE OR LIVE IN THIS
TYPE OF SETTING FOR INSTANCE
WHEN THEIR NUMBER IS LESS THAN
ELEVEN. THOSE IN THE PAST HAVE
BEEN REPORTED AND IT'S BEEN
TALKED ABOUT ANNUALLY AS
REQUIRED BY STATUTE YOU KNOW AND
WHEN REGIONAL CENTERS HAVE HAD
DISCUSSIONS WITH THEIR LOCAL
COMMUNITIES OF COLOR TO DISCUSS
THOSE NUMBERS. SO WHEN WE SAW
THIS OUR CONCERN WAS THAT. IF
THOSE ROWS AND THERE ARE SO MANY
ROWS WHEN YOU LOOK AT THEM.
RIGHT NINE BLACK KIDS WHO ARE
RECEIVING THIS PARTICULAR BANK
ANYWHERE IS GETTING THIS MUCH
MONEY SPENT ON THEM. IF THERE
WAS JUST A STRAIGHT FOR RATE
WILL PRODUCE IN A BLANK THAT OUT
WHERE THAT'S GOING TO BE
REPLACED WITH ASTERISKS WITHOUT
I THINK FURTHER DISCUSSION OR A
BETTER MORE THOROUGH SENSE OF.
WELL HOW WE GRAPPLE WITH HOW
THAT IS GOING TO LOOK. HOW
THAT'S GOING TO FEEL TO
COMMUNITIES OF COLOR WHO ARE
ALREADY FEELING VERY ISOLATED
AND UNDERSERVED. HOW DO WE MAKE
SURE THAT WIPING THIS OUT
DOESN'T ALSO RESULT AND THEN
FEELING LESS VISIBLE. LESS
VISIBLE IT WILL MAKE THEM FEEL
LESS VISIBLE IN THE DATA. AND
THEN IN THE END WE KNOW THAT. IF
YOU WANT A DATA DRIVEN SYSTEM
DATA DRIVEN POLICY MAKING THE
MORE DATA WE HAVE THE MORE
COMPLETE AND THE MORE ACCURATE
IS. THE BETTER WE ALL AS YOU CAN
SEE WE'RE ALREADY STRUGGLING
WE'RE ALREADY TRYING REALLY HARD
TO GET ALL THE TOOLS WE HAVE AT
OUR DISPOSAL TO BE ABLE TO
ADDRESS. THIS PROBLEM OF RACIAL
INEQUITY SO FOR SOME OF THOSE
DETAILS TO BE SANDED DOWN TO
LOSE SOME OF THAT TEXTURE. A
CONCERN TO US. RIGHT WE WANTED
TO MAKE SURE THAT THERE IS A
THOROUGH DISCUSSION OR SOME
CONSIDERATION BY THE DEPARTMENT
OF RECOGNIZING LIKE WITH ALL
POLICY DECISIONS THERE'S A TRADE
OFF. THE PRIVATE DATA PRIVACY
BEYOND RACIAL DISPARITIES ARE.
BOTH TWO VERY IMPORTANT
INTERESTS I THINK EVERYONE HERE
WANTS WANTS TO ADDRESS AND
STRENGTHEN- IT WAS THE
COMMUNICATION I THINK IN THE
LANGUAGE AND THE FOCUS OF THE
PROPOSAL WHICH IN OUR VIEW
FOCUSED ONLY AND SOLELY. ON THAT
DATA PRIVACY PART WE DID NOT SEE
AS MUCH DISCUSSION UP FOR
CONSIDERATION OF. THE OTHER
PART- AS WE WOULD'VE LIKED- I AM
GRATEFUL THAT JUST IN THE LAST
COUPLE OF WEEKS WE HAVE STARTED
WHAT WE DID REACH OUT TO THE
DEPARTMENT AND I THINK IT TOOK
SEVERAL WEEKS TO GET. A BETTER
UNDERSTANDING GOING SO I'M
HOPEFUL THAT WE WILL BE ABLE TO
MOVE FORWARD BUT THE REAL
QUESTION I THINK FOR DRC IS.
WHAT WOULD THAT PROCESS LOOK
LIKE GOING FORWARD AND WHO WILL
BE MAKING THOSE DECISIONS AS TO
HOW TO STRIKE THE RIGHT BALANCE
AND HOW IT FITS BUT THE PART
SHOULD IT BE THE DEPARTMENT'S
DECISION ALONE. WELL WE KNOW
THAT AGENCY. OR AGENCY AND- C.
B. I. II THEY'RE THE ONES IN
THE- TRADITIONALLY BEEN IN
CHARGE OF DATA PRIVACY AND HIPAA
COMPLIANCE POLICIES AND KIND OF
SET THE STANDARD FOR THE STATE-
HOW ARE THEY INVOLVED WHAT ROLE
SHOULD THEY PLAY. SHOULD WE SET
SOME GUARDRAILS IN THIS PROPOSED
TRAILER BILL LANGUAGE IS IT
SOMETHING THAT THE DEPARTMENT
WILL OR COULD OR SHOULD JUST
DEAL WITH MINISTRY DEFINITELY
WITHOUT STATUTORY LANGUAGE.
THESE ARE THE THINGS THAT WERE
JUST STARTING. TO SORT OUT- BUT
I AM HOPEFUL IF WE HAVE A
PROCESS THAT IS TRANSPARENT AND
COLLABORATIVE AND ONGOING WE
WILL BE ABLE TO REACH SOME
CONCLUSION AND IT MAY NOT BE
EXACTLY WHERE I PERSONALLY WANT
IT IT MAY NOT BE. ENTIRELY WHERE
THE DEPARTMENT MIGHT WANT IT BUT
IF WE DO IT TOGETHER. IF WE GO
BACK AND WAIT AND DO IT TOGETHER
AND WE JUST HAPPENED GRAPPLING
GRAPPLING WITH THAT TRADE OFF
THAT'S REALLY HARD. ANY
KNOWLEDGE THAT IT'S HARD- I
THINK WE'LL BE IN A MUCH BETTER
POSITION TO DO WHAT WE CAN TO.
ACCOMPLISHING BOTH INTERESTS-
WELL MINIMIZING THE NEGATIVE AND
POTENTIAL NEGATIVE IMPACT ON THE
OTHER. THANK YOU. THANK YOU D.
O. F. ANY COMMENT AT LEO. NO
COMMENTS ON MY OTHER QUESTIONS.
THANK YOU SO MUCH FOR GOING TO
HOLD THIS ITEM OPEN AND WE'RE
GONNA MOVE ON TO ISSUE NUMBER
EIGHT. ENHANCEMENT SERVICE
MANAGEMENT DATA COLLECTION AND
TRACKING. THANK YOU MADAM CHAIR
MEMBERS SIGNED PICTURE OF INCOME
FROM THE DEPARTMENT AND THE
CHIEF FOR DATA ANALYTICS AND
STRATEGY. AGAIN OVER REPEATED
APPRECIATION YOUR STAFF- THEY
DID AN EXTENSIVE WRITE UP ON
THIS ON PAGES FORTY SEVEN AND
FORTY EIGHT. HI THIS IS A
REQUEST TO ESTABLISH A NEW UNIT
OF SIX PEOPLE IN OUR DEPARTMENT-
AND A TOTAL FUNDS COST OF EIGHT
HUNDRED THIRTY NINE THOUSAND
DOLLARS. AND IT'S FOCUSED
ENTIRELY ON WHAT WE CALL SPECIAL
INCIDENT REPORTS THE THESE ARE
THE REPORTS THAT WE RECEIVE WHEN
BAD THINGS HAPPEN TO PEOPLE
OLDER SISTER TO STICK IN THE-
TWO THIRDS OF THE WAY DOWN PAGE
FORTY SEVEN. WE GOT OVER SIX
HUNDRED OF THESE REPORTS EVERY
SINGLE WEEK- THE THESE REPORTS
COME TO THAT APARTMENT AND THEY
COVER A WIDE RANGE OF THINGS
EVERYTHING FROM THIS
MEDICATIONS- ALL THE WAY THROUGH
TO FIDELITY SO ON THE OTHER
EXTREME. WE'VE RECEIVED THIS
INFORMATION FOR YEARS AT THE
DEPARTMENT- AND THIS NEW UNIT HE
IS- YET ANOTHER EVOLUTION IN OUR
EFFORTS TO NON NOT JUST COLLECT
THIS INFORMATION BUT USE IT FOR
PREVENTIVE PURPOSES AND I THINK
THAT'S CONSISTENT WITH. A NUMBER
OF THINGS TO YOU THAT YOU'VE ALL
HEARD EARLIER TODAY- OBVIOUSLY
THE REPORTING NEEDS TO CONTINUE
THE RESPONSES TO THOSE REPORTS
NEED TO CONTINUE THAT'S WHAT OUR
EXISTING RESOURCES ARE DEDICATED
FOR THIS. THIS NEW UNIT IS GOING
TO BE TAKING THAT INFORMATION
WORKING WITH REGIONAL CENTERS.
AND VENDORS IN OUR SYSTEM AND
PROACTIVELY USING THAT DATA TO
IDENTIFY. THE HIGHEST- YES WHERE
WE THINK WE THE LITTLE.
OPPORTUNITY TO DRIVE DOWN THE
INCIDENCE OF THOSE NEGATIVE
EVENTS HAPPENING TO PEOPLE AFTER
ALL THAT'S THE GOAL AND IT'S A
LOT BETTER THAN THAN CHASING
DOWN WHAT HAPPENED AFTER THE
FACT- SO THAT THAT'S REALLY WHAT
WE'RE ASKING FOR IN THIS
PROPOSAL. THE SECOND QUESTION
THAT WE WERE ASKED TO RESPOND TO
US DESCRIBE A LITTLE BIT ABOUT
THE- TWO THOUSAND NINETEEN
FEDERAL- IG REPORT AND OUR
PROGRESS IN IMPLEMENTING THOSE
RECOMMENDATIONS- I. G. CAME IN
TWENTY NINETEEN THEY LOOKED AT A
HISTORICAL PERIOD. THEY RELEASED
A REPORT IN TWENTY SIX AT TWENTY
ONE. IT HAD FIVE FINDINGS AND IT
. STRAIGHTFORWARD AND OUTLINED
IN YOUR AGENDA AS WELL BUT
ESSENTIALLY A SEIZURE ENSURING.
THAT ALL INCIDENTS THAT SHOULD
BE REPORTED ARE IN FACT WERE
REPORTED. THAT THE REPORTED
TIMELY. THEY RECOMMENDED THAT
THE DEPARTMENT IMPLEMENT
ANALYTICAL PROCEDURES TO ENSURE
THAT THOSE REPORTS AND THE FALL
OF ACTIVITIES ARE IN FACT
OCCURRING- THEY WANTED. US TO
IMPROVE OUR OVERSIGHT IN THAT
PROCESS AND ENSURE THAT- DESKS
ARE APPROPRIATELY REVIEWED BY
MORTALITY REVIEW COMMITTEE. IN
THOSE FIVE THINGS- THE LAST
THREE HAVE BEEN FULLY
IMPLEMENTED AND ACCEPTED BY CMS
THE CENTERS FOR MEDICARE AND
MEDICAID SERVICES- AS FULLY
IMPLEMENTED. OF COURSE WE
CONTINUE TO DO WORK ON THOSE ON
A MONTHLY BASIS THAT ACTIVITY
HASN'T STOPPED. IN IN TERMS OF
ENSURING ALL INCIDENTS ARE
REPORTING INCLUDING TRAINING
ABOUT THE INCIDENTS TO REPORT.
AND THE TIMELY REPORTING OF
INCIDENTS WE CONTINUE TO EVOLVE
OUR INFRASTRUCTURE FOR THAT. WE
HAVE IN IN THE LAST YEAR AND A
HALF. OF BEGUN TO RECEIVE
MEDICAID MEDICAID INFORMATION
FROM FROM THE MEDIC TELL AND DO
DATA MATCHING WITH DOWN LOOKING
AT CERTAIN MEDICAL CODES FOR
CLAIMS TO SEE WHAT TYPES OF
INCIDENTS THOSE ARE. MATCHED
THOSE AT THE INDIVIDUAL LEVEL
WITH OUR DATA ABOUT THE SPECIAL
INCIDENTS WE RECEIVE TO SEE WHAT
IS HAPPENING TO PEOPLE MEDICALLY
THAT WE DON'T YET KNOW ABOUT. WE
WE'VE EXPERIENCED A REDUCTION
FROM 15% TO ABOUT 8% OF THAT
DATA MATCH NOW NEEDING FOLLOW UP
SO WE THINK WE'VE DONE SOME
REALLY GOOD TECHNICAL ASSISTANCE
WITH OUR- REGIONAL CENTERS AND
PROVIDERS TO DRIVE DOWN- THINGS
THAT SHOULD HAVE BEEN REPORTED
THAT HAVEN'T BEEN SO I THINK
THAT'S REALLY POSITIVE PROGRESS.
IN TERMS OF TRAINING WE MADE A
DELIBERATE DECISION TO HOLD OFF
A LITTLE BIT I'M NOT BEYOND- THE
TECHNICAL ASSISTANCE WE'VE
DOING- WE YOU- IN THE LAST
CALENDAR YEAR RAN A FAIRLY
EXTENSIVE ENGAGEMENT WITH OUR
STAKEHOLDERS ABOUT THE REPORTING
REQUIREMENTS FOR THE TYPES OF
THINGS THAT NEED TO BE REPORTED
TO US. THAT THOSE REGULATIONS
HAVEN'T BEEN UPDATED IN OVER
TWENTY YEARS- AND WE'RE
ANTICIPATING- AND HOPEFUL THAT.
WE'RE MAY BE ABLE TO DO SOME
UPDATES IN THAT AREA. SO PENDING
DECISIONS ABOUT THAT WE'VE HELD
OFF ON TRAINING WITH OUR PEOPLE
AS YOU KNOW WE HAVE THOUSANDS OF
PROVIDERS AND TENS OF THOUSANDS
OF EMPLOYEES IN OUR SYSTEM IT
THROUGH. THROUGHOUT THE PROVIDER
NETWORK. AND WE'D RATHER DO IT
ONCE AND DO IT RIGHT AND DO IT
WELL. SO THAT. YOU KNOW WITH THE
ACTIVITY CONTINUES- AND CMS'S
SATISFIED WITH OUR PROGRESS TO
DATE. I'M HAPPY TO ANSWER ANY
QUESTIONS EITHER ABOUT THE
PROPOSAL OR THE OR THE- IG
REPORT IN OUR IMPLEMENTATION.
THANK YOU PETE DOES DEAL AT FOUR
ILLEGAL INCOME. OKAY I DON'T
HAVE ANY QUESTIONS COMMENTS. SHE
HAD THE OPPORTUNITY TO BE HERE
TODAY I'M GONNA GET OFF MY CHAIR
THANK YOU VERY MUCH. WE'RE GOING
TO HOLD THE ITEM OPEN AND MOVE
ON TO ISSUE NUMBER NINE THE
UNIFORM FISCAL SYSTEM.
MODERNIZATION IN THE CONSUMER
ELECTRONIC RECORDS MANAGEMENT
SYSTEM PROJECT PLANNING THAT
MIGHT BE THE RECORD HOLDING
HOLDER FOR THE LONGEST. TITLE
THERE. THANK YOU THANK YOU. CAR
LOOK AT THE OTHER DEPARTMENT OF
DEVELOPMENTAL SERVICES- FOR
ISSUE NINE AS NOTED IN THE
AGENDA. WE'RE REQUESTING SOME
ONGOING TEMPORARY RESOURCES FOR
THE DEPARTMENT ENSURE REGIONAL
CENTERS AS WE CONTINUE THE-
PLANNING PROCESS FOR THE- IT
MODERNIZATION OF OUR- FISCAL
SYSTEM AS WELL AS CASE
MANAGEMENT SYSTEMS- SOME OF THAT
I THINK SOME OF THE CONVERSATION
TODAY TALKED ABOUT DATA- A LOT
OF THE WORK THAT THE TEMPORARY
RESOURCE WILL BE DOING. WITH
THAT PLANNING. WILL INCLUDE SOME
OF THAT DATA CLEANUP IN THE
EXISTING SYSTEMS- WE HAVE BEEN
MEETING WITH STAKEHOLDERS ON
DEFINING THOSE REQUIREMENTS FOR
THE SYSTEM- CONTINUING
STAKEHOLDER CONVERSATIONS INTO
APRIL. AND THEN- RIGHT NOW OUR
SCHEDULE IS ANTICIPATING SOME
MARKET RESEARCH BEGINNING WHICH
WILL THEN INCLUDE SOME OF THE
DEMONSTRATIONS FOR STAKEHOLDERS
- YOU ASKED WHAT WERE SOME OF
THE FEATURES AND IMPROVEMENTS OF
THE SYSTEM. SO ONE OF THE MAIN
COMPONENT TO SOME OF THOSE
EFFICIENCIES AND IMPROVEMENTS IN
THE INTEGRATION BETWEEN THEM-
BUT AS YOU HEARD EARLIER WITH
SOME OF THE QUALITY INCENTIVE OR
JUST EVEN EQUITY INFORMATION-
BEING BETTER ABLE TO CAPTURE
THAT INFORMATION. WILL IS ONE OF
THE MAIN GOALS AND THEN FOR THE
CLIENT ELECTRONIC RECORD SYSTEM
ONE OF THE MAIN FEATURES OF THAT
WOULD BE AN OUTWARD FACING
COMPONENT THAT STAKE HOLDERS
WILL BE ABLE TO SEE THEIR OWN
INFORMATION. THE U. IT ASKED IF
THIS WOULD BE ABLE TO TRACK SOME
OF THE UTILIZATION OF REFERRALS
OF GENERIC SERVICES- WELL SOME
OF THAT WILL DEPEND ON WHAT'S
AVAILABLE IN SYSTEMS AND WHAT'S
A SERVICE COREY MAY HAVE- THE
STAKEHOLDER CONVERSATIONS WILL
CONTINUE TO DEFINE. WHAT ARE THE
COMPONENTS TO INCLUDE IN THE
SYSTEMS. AND THEN FINALLY- IF
YOU'LL BE ABLE TO TRACK SOME OF
THE INDIVIDUAL OUTCOMES. SO
AGAIN- BASED ON THE STAKEHOLDER
INPUT AND WHAT SYSTEMS ARE
AVAILABLE THAT IS DEFINITELY THE
GOAL TO BE ABLE TO CAPTURE MORE
OF THAT FINE DETAIL. D. O. F.
HELLO. THE QUICK QUESTION I KNOW
YOU MENTIONED YOU MENTIONED THE
STAKEHOLDER INPUT. AT WHAT STAGE
IS THE INPUT CAN BE IMPLEMENTED-
INTEGRATED INTO THE PROJECT
PLANNING. SO I THINK CURRENTLY
REGIONAL CENTERS AND PROFESSOR
PROVIDERS AND FAMILIES ARE STILL
TO BE PARTICIPATING. IN APRIL
YEAH SO REGIONAL CENTERS AND
THAT THE DEPARTMENT HAVE ALREADY
BEGUN THOSE CONVERSATIONS BUT
FAMILIES AND PROVIDERS WILL BE
PART OF IT THE- NEXT MONTH OF.
FEEDBACK YEAH. I WOULD THINK YOU
WERE GOING TO HOLD THAT FISH
ITEM OPEN AND MOVE ON TO ISSUE
NUMBER TEN. PROTECTOR PROCEEDED
PROCEEDINGS AS IT RELATES TO A.
B. SIXTEEN SIXTY THREE. THANK
YOU THE CAR LOOK AT THE OTHER
FROM THE DEPARTMENT. OF A
SEPARATION THE AGENDA- WE'RE
REQUESTING SOME TEMPORARY ON
GOING RESEARCH IS TO ADDRESS THE
REQUIREMENTS OF CHAPTER EIGHT
NINE FOUR- THIS BILL REVISED
VARIOUS PROCEDURES IN THE
CONSERVATIVE SHIP PROCESS. ANY
DISTURBANCE SUPPORTED DECISION
MAKING- DURING THE
IMPLEMENTATION OF OUR OF THE
HISTORY OF THE BILL- AN EXPERT
PANEL HAD REVIEWED OUR LIMITED
CONSERVATORSHIP PROCESS- THAT
REPORT MADE A NUMBER OF
RECOMMENDATIONS- SOME OF THOSE
RECOMMENDATIONS WHO ARE IN
PROCESS NOW OF SOME OF THE
INITIAL IT PROVIDING INFORMATION
TO FAMILIES- WITH THE ADDITIONAL
RESOURCES THAT ARE IMPLEMENTING
SOME OF THE CHANGES IN. CHAPTER
EIGHT NINE NINETY FOUR. IT WILL
ALSO BE MEETING SOME OF THOSE
RECOMMENDATIONS FROM THE EXPERT
PANEL SO SOME OF THAT ADDITIONAL
EDUCATION AND TRAINING FOR
FAMILIES ADDITIONAL TRAINING FOR
SERVICE COORDINATORS. AND THEN A
LITTLE BIT MORE ABOUT HOW THE
POSITIONS WILL KEEP EVERYONE
INFORMED- WE HAVE ONE ONE
POSITION TODAY THAT IS MANAGING
AND COORDINATING. BUT WITH THE
ADDITIONAL STAFF THERE WILL BE A
LITTLE MORE OF THAT- WILL HAVE A
GREATER CAPACITY TO MONITOR EACH
OF THE CONSERVATIVE. THE WEAPON
COME HELLO. I HAVE NO QUESTIONS
. I THINK YOU'RE GONNA HOLD THAT
ITEM OPEN ARE GOING TO MOVE ON
TO ISSUE NUMBER ELEVEN ADJUSTING
RATE MODELS TO REFLECT INCREASES
IN THE MINIMUM WAGE.
HI JIM KNIGHT THEN DEPUTY
DIRECTOR WITH THE DEPARTMENT SO
THIS IS THE PROPOSED TRAILER
BILL LANGUAGE HAS THAT SOUND
MINDED NINTENDO. IS TO ALLOW FOR
CHANGES IN THE RATE MODELS AND
THEREFORE THEN RATES- WHEN THAT
MINIMUM WAGE CHANGES STATEWIDE
MINIMUM WAGE CHANGES AND SO JUST
FOR A LITTLE BIT OF BACKGROUND
CURRENT STATUTE ALLOWS FOR
SERVICE PROVIDERS TO LARGELY
REQUEST RATE CHANGES WHEN THE
MINIMUM WAGE. INCREASES BUT THEY
HAVE TO DEMONSTRATE THAT THEIR
PAIN BELOW WHAT THAT NEW CURRENT
BUT THE NEW MINIMUM WAGE WOULD
BE. THE COUPLE- THINGS WITH THAT
PROCESS ISN'T ONE IT'S AS IT
POINTS OUT IN THE AGENDA IT'S
LABOR INTENSIVE AND THEN TO IT
DOES LEAD TO DIFFERENCES THAN IN
RATES WHICH IS AGAINST REALLY
WHERE THE RACE THAT HE WANTS TO
GET TO SO WITH THIS PROPOSED
TRAILER BILL. HE WOULD ADJUST
THE ASSUMED WAGES THAT ARE IN
ALL THE RIGHT MODELS AND SO IT
WOULD BE TOUGH FOR THOSE THAT
WOULD BE EITHER BELOW OR NEAR
THAT NEWMAN- MINIMUM WAGE INTO
WHAT IT JUST EVERYTHING EVENLY
SO YOU'LL END UP WITH WHAT THE
ESTIMATE STUDY WOULD PROPOSE.
ALL THE RATES FOR THE SAME
SERVICE IN THE SAME AREAS. WOULD
STILL BE THE SAME SO. DO YOU
HAVE TO COMMIT. A LITTLE. SEE
NOTE COMMENTS WE'RE GONNA HOLD
THIS ITEM OPEN IT WILL PARTITION
NUMBERS TWELVE. INFORMATION
SECURITY OFFICE SUPPORT. THANK
YOU MADAM CHAIR FROM CARLA
BECAUSE THE OTHER WITH THE
DEPARTMENT- WE'RE REQUESTING
RESOURCES TO SUPPORT OUR-
ONGOING RESEARCH IS TO CONTINUE
SUPPORTING. THE NEW AND-
REQUIREMENTS OF FEDERAL AND
STATE COMPLIANCE- THE RISK THAT
THESE POSITIONS SORRY. GENDER
ALREADY INCLUDES A SUMMARY OF
THE POSITIONS AND WHAT THEY
WOULD DO BUT GENERALLY. THAT
WILL BE SUPPORTING EFFORTS FOR
THE GREATER NUMBER OF
VULNERABILITIES- ISSUES LIKE
SUPPORTING PATCH MANAGEMENT
REQUIREMENTS- SOME OF THE RECENT
EFFORTS IN NEW RESOURCES HAVE
BEEN ADDRESSING THOSE BUT AS AS
NEW- TECHNOLOGY IS DEVELOPED
THERE. ARE NEW RISKS AS WELL SO
THAT THE ADDITIONAL STAFF WILL
JUST HELP US STAY ON TOP OF
THOSE. YOUR HELLO. SENATOR THIS
ONE I GUESS MINIMUM SURE HAVE
YOU HAD A RISK ASSESSMENT BY THE
STATE SO. STRIKE TEAM. A
MILITARY ASSESSMENT EVERY TWO
YEARS AND A CD I. I. ASSESSMENT
JUST. I'M SORRY- THANK YOU FOR
YOUR TIME TODAY- MADAM CHAIR
AND- SUBCOMMITTEE MEMBERS- GYMS
WITH CABLE- DEPARTMENT OF- DDS-
DEPUTY DIRECTOR AND CHIEF
INFORMATION OFFICER. AND WE'VE
HAD A CD I ASSESSMENT JUST
RECENTLY AND WE HAD A- MILITARY
SPOKESMAN EVERY TWO YEARS SO WE
CONTINUE TO HAVE AUDITS AND
ASSESSMENTS ON A REGULAR BASIS
HE MUST'VE DONE OKAY COULD YOU
STILL HERE YES. CONGRATULATIONS
THANK YOU. THANK YOU WERE GOING
TO HOLD THIS ITEM OPEN MOVE ON
TO ISSUE NUMBER THIRTEEN HOME
AND COMMUNITY BASED SERVICES H.
C. B. S. AMERICAN RESCUE PLAN
ACT AND THIS IS GOING TO BE AN
OVERVIEW.
GOOD AFTERNOON CHAIR- STEPHEN
PABLO FROM THE CHIEF FINANCIAL
OFFICER FOR THE DEPARTMENT SO
THE AGENDA DOES A VERY GOOD JOB
ON- SUMMARIZING IN OUR AGE TO BE
A SPENDING PLAN. I'LL JUST STOP
FOR A FEW HIGHLIGHTS GIVEN THE
NUMBER OF INITIATIVES- THE FIRST
ONE. IS ONE POINT FIVE BILLION
FOR OUR SERVICE PROVIDER REFORM
. A HUNDRED AND TWENTY ONE POINT
ONE MILLION FOR SUCH RECREATION
CAPTAIN SERVICES. TWENTY FIVE
POINT EIGHT MILLION FOR LANGUAGE
ACCESS AND CULTURAL COMPETENCY.
FORTY ONE POINT SEVEN MILLION
FOR COURT AND FAMILY SUPPORT
SERVICES. TWELVE POINT FIVE
MILLION FOR ENHANCED COMMUNITY
INTEGRATION FOR CHILDREN AND
ADULTS AND HAS JUST RECENTLY
DISCUSSED US SEVEN POINT FIVE
MILLION AND THIS IS THIS IS FOR
THE MODERNIZATION OF THEIR
REGIONAL CENTER IT PROJECTS SO
THIS IS THE R. PROPORTION AND
THEN- THAT BCP CONTINUES THAT
THAT WE JUST DISCUSSED SO THE
TOTAL IS ONE POINT FIVE BILLION
DOLLARS- FOR H. CVS SPENDING. IN
THIS IS SPENT OVER A MULTI YEAR
EFFORT. AND AS NOTED THAT GENDER
. THE GOVERNOR'S BUDGET ASSUMES
THAT BY TWENTY TWENTY FOUR-
DECEMBER THIRTY FIRST TWENTY
TWENTY THREE SEASON- THAT ALL
THE CLAIM IS COMPLETED SO THEN
WE CAN GO AHEAD AND EXPAND ALL
THE DOLLARS BY MARCH THIRTY
FIRST TWENTY TWENTY FOUR. THE
COMMITTEE'S ASKED PROVIDE A
STATUS. AND DDS IS INITIATIVES.
IN THE PLAN. SO FIRST WITH- THE
SERVICE PROVIDER RATE REFORM AND
IMPLEMENTATION AS NOTED EARLIER
BEGAN APRIL FIRST TWENTY TWENTY
TWO SO THAT REFLECTS- TWENTY
FIVE PERCENT. UNEMPLOYMENT ATION
OF THE REFORM. MORE RECENTLY-
THAT IMPLEMENTATION HAS BEEN
ACCELERATED WITH ADDITIONAL 25%
STARTING JANUARY ONE TWENTY
TWENTY FOUR. SOURCE AMERICAN
RECREATION CAMPING SERVICES.
HAVE BEEN IMPLEMENTED A CLAIM
HAS BEGUN. FOR LANGUAGE ACCESS
AND CULTURAL COMPETENCY PROGRAMS
. ALL TWENTY ONE REGIONAL
CENTERS HAVE CREATED CONFERENCE
APPLIANCE IMPLEMENT INITIATIVE.
WHICH IS REFLECTIVE OF THE
LANGUAGE AND CULTURAL NEEDS OF
INDIVIDUALS FAMILIES ARE
REGIONAL CENTERS ARE SERVING
AND- CLAIMS HAVE BEGUN ON THAT
AS WELL. FOR COURTNEY TO FAMILY
SUPPORT SERVICES DDS RECENTLY
ISSUED GUIDANCE TO REGIONAL
CENTRES ON INITIATIVE. DIGITAL
CENTERS ARE COMING IN THE
PROCESS OF VENDOR RISING
PROVIDERS TO PROVIDE THE
SERVICES. BECAUSE WE ARE IN THE
EARLY STAGES. OF THIS PILOT- TO
DATE WE HAVE NO EXPENDITURES
HOWEVER BASED ON AVERAGE AND THE
AVERAGE PLAN THAT WE CONDUCTED
IN THE FEEDBACK FROM COMMUNITY.
D. AS A SEEING A HIGH LEVEL OF
INTEREST IN THE SERVICE FROM
FAMILIES AND PROVIDERS. FOR THE
HANDS COMMUNITY INTEGRATION FOR
CHILDREN ADOLESCENTS. DDS
RECEIVE OVER TWO HUNDRED- GRANT
PROPOSALS THE REPRESENTATIVE
BASED ORGANIZATIONS FROM ALL
TWENTY ONE REGIONAL CENTER
CATCHMENT AREAS. AND DDS HAS
ANNOUNCED A GRANT AWARDS AND- SO
ALL THE PROJECTS MUST BEGIN ON
OR BEFORE APRIL FIRST. OF THIS
YEAR. AND FINALLY WITH REGARD TO
THE REGIONAL CENTER IT
MODERNIZATION- AS IS BECAUSE THE
BUSINESS ANALYSIS WAS COMPLETED
AND WE'RE CURRENTLY PROCEEDING
THROUGH THE POWER PROCESS. THE
SECOND QUESTION WAS RELATED TO
HOW DDS- PROJECTS THE FUNNY FOR
THE COURT A FAMILY SUPPORTS.
WILL BE SPENT BY DECEMBER THIRTY
FIRST AT TWENTY TWENTY THREE
DEADLINES. AND SO AS I JUST
NOTED HOW WE'VE HOSTED NUMEROUS
MEETINGS WITH STAKEHOLDERS ON
THE SERVICE PILOT- WITH HER
SIGNIFICANT INTEREST FROM
PROVIDERS AND FAMILIES FOR THE
SERVICE. AND REGIONAL CENTERS
HAVE BEGUN TO RISE WITH
PROVIDERS- CONSUMERS ARE BEING
REFERRED FOR THE SERVICES- AND
WILL CONTINUE TO MONITOR THEIR
EXPENDITURES. AND TO EXTEND YOU
DIDN'T MAKE ANY ADJUSTMENTS TO
YOUR SPENDING PLAN AS PART OF ME
REVISION. DO YOU HAVE ANY
COMMENT HELLO TO COME. COULD YOU
QUICKLY JUST I KNOW YOU BRIEFLY
MENTION THIS I JUST WANNA MAKE
SURE YOU KNOW THE COURTNEY
FAMILY SUPPORT PROGRAM CORRECT
ME IF I'M WRONG FORTY ONE POINT
SEVEN NOTHING HAS BEEN EXPENDED
OTHER PROGRAM BUT YOU'RE SO
CONFIDENT THAT IT WILL BE. BY
THE DEADLINE OF THIS YEAR. SO
THE PHYSICALS CORRECT. ZERO
ACTUAL EXPENDITURES ON THE
PROGRAM AND WE CONTINUE TO
MONITOR THAT SPANISH IS AS WE
ROLL OUT. THE VENDOR IS ATION-
AS CONSUMERS GET REFERRED TO THE
PROGRAM- BUT JUDGING BY- IT KIND
OF IMMEDIATE FEEDBACK THAT WE'VE
GOTTEN FROM FAMILIES AND- FROM
PROVIDERS THAT THERE'S A LOT OF
INTEREST IN THIS PROGRAM. SO IT
WOULD. IS THERE ANYTHING YOU CAN
SHARE AND YOU KNOW WE TALKED
ABOUT THIS AND MORE IN DEPTH A
COUPLE WEEKS AGO TWO WEEKS AGO
REGARDING. MY CONCERNS WERE.
WERE WERE NOT EXTEND NEAR READY
. YOUR FEEDBACK AND BE
BENEFICIAL FOR FAMILIES THAT
THIS PROGRAM WAS EXTENDED THE
EXTRA YEAR THAT THE FEDERAL
GOVERNMENT IS ALLOWING US. TO
TAKE A BROLLY FOR ALL OF OUR
INITIATIVES WERE EVALUATING HOW
WORKS FINISHES ARE AND WHETHER
THERE'S ANY KIND OF ADJUSTMENTS
THAT ARE NEEDED AND THAT WOULD
BE PART OF THAT MAY REVISION. I
THINK JUST STEPPING BACK AND
JUST GIVING YOU KIND OF A BIRD'S
EYE VIEW IN TERMS OF OUR
SPENDING AND OUR OVERALL PLAN
SO. OF THE ONE POINT SEVEN
BILLION DOLLARS IN ARE YOU
SERIOUS PLAN- NEARLY 90% OF THAT
IS RELATED TO OUR WEIGHT
IMPLEMENTATION. AND ALL OF THAT-
WHETHER EXPENDITURES WHAT WE
SEEN IN THE ACTUAL WE'VE BEEN
REPORTING. HAS BEEN RELATED TO
THE FIRST PHASE OF IT THAT
TWENTY FIVE PERCENT. INCREASE
NOW IN JANUARY ONE WE HAVE
ANOTHER 25% WHICH THE ACS PLAN
COVERS A SUBSTANTIAL PORTION OF
STREET- WE ARE PROJECTING WE'RE
ANTICIPATING INCREASED
EXPENDITURES. STARTING IN THE
SECOND AND THE THIRD QUARTER OF
THE CURRENT YEAR- IN TERMS OF
OUR ACTUALS AND WHERE THEY'RE
COMING IN FOR THE RATE STUDY-
WE'RE AT ABOUT OVER NINETY
PERCENT. OF OUR PROJECTIONS.
EVERY QUARTER THUS FAR. THANK
YOU. FOR WELL I THOUGHT I'D
EXHAUSTED ALL MY QUESTIONS ON
THIS GENERAL SUBJECT TO. SESSION
OR TWO AGO BUT I AM CURIOUS WHAT
IS VENDOR RISING A PROVIDER
MEANS THAT MEANS PUTTING HIM
UNDER CONTRACT. I AM FASCINATED
BY THE PHRASE. THANK YOU SENATOR
NANCY BRIDGEMAN- IT'S EXCELLENT
QUESTION AND- PROBABLY SHOULD A
LEAD WITH SOME OF THE
TERMINOLOGY WITHIN DEVELOPMENTAL
SERVICES- WHEN THE REGIONAL
CENTERS. BUT WE WILL ALSO YOU'RE
ALSO GOING TO HEAR THE
TERMINOLOGY VENDOR- BECAUSE WHEN
THE REGIONAL CENTER IS
ESTABLISHING ITS NOT ALWAYS THE
CONTRACT BECAUSE THERE'S
PROVISIONS OF REGULATIONS THAT
WILL DICTATE. THE SERVICE
PROVIDERS WILL SUBMIT PROGRAM
DESIGNS AND DEPENDING ON THE
TYPE OF SERVICE COULD BE DAY
SERVICES SUPPORTED LIVING
SERVICES AS YOU IT HURT- AND-
OUR SYSTEM INSTEAD OF CALLING
THEM YOU KNOW SOME OTHER
TERMINOLOGY IT'S SO THAT THEIR
VENDORS OR SERVICE PROVIDERS.
AND THE PROCESS OF BECOMING A
VENDOR IS VENDORS ASIAN BECAUSE
ALL THOSE STEPS TO GET THERE THE
BACKGROUNDER SAYS YOU'RE IN THE
EARLY STAGE OF IT SO HOW LONG
WHAT'S THE AVERAGE PROCESSING
TIME FOR. VENDOR RISING A
PROVIDER GIVEN THE FACT THAT
WE'RE ALMOST TODAY APRIL ONE
WELL ACTUALLY REGIONAL CENTERS
OF PARTY VENDOR AND SEVERAL-
VENDORS SO WE HAVE A- BREAK WE
GET DAILY UPDATES BECAUSE WE
HAVE SO WE'RE VERY INVESTED IN
THE SUCCESS OF THIS PROGRAM- AND
WE STARTED WITH SEVERAL REGIONAL
CENTERS- EARLY ON. AND SO WE
JUST RECENTLY EVEN TODAY- HAD A
NUMBER OF REGIONAL CENTERS THAT.
ARE COUPLE REGIONAL CENTERS THAT
REPORTED THAT THEY- WERE ABLE TO
BE SUCCESSFUL IN GETTING THE
VENDORS THEY SHOULD AND ALSO
REFERRALS AND WORKING WITH
INDIVIDUALS AND FAMILIES- TO-
START RECEIVING THE SERVICES.
JUST I'M CLEAR EYES THAT THE
VENDOR HAS TO PROVIDE THE
SERVICES AND THEN SUBMIT A BILL
FOR PAYMENT IN ORDER TO DISPERSE
THE MONEY. THAT'S CORRECT SO
WE'RE NOT GONNA BE ABLE TO
ADVANCE PAY AS WE GET CLOSE TO.
DECEMBER THIRTY ONE TWO THOUSAND
TWENTY THREE YEAH WE DON'T GET
WORD WE DON'T DO ADVANCE
PAYMENTS PAYMENTS IN ARREARS-
AND SO- WE'LL CONTINUE TO
MONITOR IT WELL THANK YOU- JUST.
CURIOUS YEAH THANK YOU
APPRECIATE IT THANK YOU MA'AM
HERE. THANK YOU SIR WE'RE GONNA.
MOVE ON TOWARD LAST BATTER HERE-
NINETY INNING DIRECTOR IF YOU
CAN CLOSE THIS OUT HERE. THANK
YOU VERY MUCH. APPRECIATE THE
OPPORTUNITY TO BE HERE AND-
REALLY ALSO BEING ABLE TO CLOSE
OUT BASED ON SOME OF THE
INVESTMENTS AND- MUCH MUCH OF IT
WE'VE BEEN ABLE TO HIGHLIGHT-
THROUGHOUT TODAY. SO I'M GOING
TO GO AHEAD JUST PROVIDE SOME.
SOME OVERVIEW AND- G. DEPUTY
DIRECTOR WINFIELD CAN- ANSWER A
COUPLE QUESTIONS FOR YOU- SO
WHEN WE TAKE A LOOK AT SOME OF
THE INVESTMENTS THAT ARE LISTED
HERE. I'VE ALREADY- PROVIDED
SOME UPDATES ON THE ENHANCED
SERVICE COORDINATION- RATIOS IT
WAS NOTED IN THE AGENDA. THAT
THE TIMELINESS THIS TO THE
CASELOAD RASCHER REPORTS YOU
KNOW HOW. I'M LOOKING AT SOME OF
THE REDUCED- CASELOAD RATIOS AND
KIND OF HOW I'M REGIONAL
CENTERS- ARE MEETING ACTUALLY
THINK I WAS REFERRING TO ONE OF
THE- ANOTHER INITIATIVE. BUT
REGIONAL CENTERS HAVE REALLY-
DEMONSTRATED KIND OF THE SUCCESS
OF WORKING WITH THE FAMILIES. AS
A RESULT OF THE ENHANCED SERVICE
CALL- COORDINATOR RATIOS- CHIEF
DEPUTY DIRECTOR WHEN FIELDS
GOING TO PROVIDE AN OVERVIEW OF
OUR WORK FOR STABILITY
INITIATIVES- THESE WERE
INITIATIVES THAT WE WERE ABLE TO
PUT FORWARD- TO ADDRESS SOME OF
THE INSTABILITY AND SO THE WORK
FORCE SHORTAGE AND SO IT'S A
COMPREHENSIVE APPROACH THAT. WE
PUT FORWARD EVERYTHING FROM A-
INTERNSHIP PROGRAM FOR- DRUG
SERVICE PROFESSIONALS- A
TRAINING STIPEND FOR EXISTING
DRUG SERVICE PROFESSIONALS. AND
THEN A NEW MODEL THAT IS FOR
DRUG SERVICE PROFESSIONALS WHERE
THEY CAN ADVANCE THEIR LEARNING
AND AS A RESULT OF GOING THROUGH
THE- DRUG SERVICE PROFESSIONAL
TRAINING. AND BE ABLE TO
ADVANCE- KIND OF REIMBURSEMENT
OF SALARY. AND WAGES- IN RETURN
. THANK YOU. GOOD AFTERNOON
BRIAN FEEL WITH THE DEPARTMENT
SO ON THE WORKFORCE INVESTMENT
NINE- PLEASED TO PROVIDE
INFORMATION ABOUT THAT WE HAVE
DONE A LOT OF WORK IN GETTING
THESE- SET UP. AND IT'S ALSO
ENGAGED IN QUITE A LOT OF
STAKEHOLDER ENGAGEMENT ON THESE
DIFFERENT INITIATIVES SO ON THE
DSP BILINGUAL DIFFERENTIAL
THIS'S FOR DREXEL SUPPORT
PROFESSIONALS WHO CAN
COMMUNICATE WITH CONSUMERS AND
FAMILIES AND THE LANGUAGE OR
MEDIUM OTHER THAN ENGLISH- WE
WILL BE ISSUING GUIDANCE TO
REGIONAL CENTERS IN THE US THE
SPRING SO WITH THE NEXT A COUPLE
OF MONTHS. WITH REGARDS TO THE
REGIONAL CENTER EMPLOYEE TUITION
REIMBURSEMENT- THIS ESTABLISHES
THAT TUITION REIMBURSEMENT
PROGRAM FOR REGIONAL CENTER
STAFF- TO GET A DEGREE OR
CERTIFICATION IN HEALTH OR HUMAN
SERVICES RELATED FIELD. AND
STAFF CAN RECEIVE UP TO TEN
THOUSAND DOLLARS IN TUITION
REIMBURSEMENT FOR THREE YEARS-
THE GUIDANCE GOING OUT TO
REGIONAL CENTERS THAT WE'VE
WORKED WITH THEM IN
COLLABORATION ON WILL GO OUT-
MOST LIKELY. LATER ON THIS MONTH
IN MARCH. AND I WILL- PROVIDE
THE PARAMETERS FOR THE TUITION
REIMBURSEMENT. ON THE DSP
TRAINING STIPEND THESE ARE GOING
TO BE A TRAININGS THAT ARE
DIRECT SUPPORT PROFESSIONALS
CAN- PARTICIPATE IN. ONE
TRAINING WILL BE REQUIRED AND
THAT'S A CODE OF ETHICS AND THEN
THERE WILL BE OTHERS THAT THEY
CAN CHOOSE FROM FOR THE SECOND
TRAINING. ONCE THEY HAVE
COMPLETED THESE TRAININGS THEY
WILL RECEIVE A STIPEND OF FIVE
HUNDRED DOLLARS AND- THAT
GUIDANCE AND THOSE WILL BE CALM
OPERATIONAL- MOST LIKELY LIKELY
LATER THIS MONTH OR EARLY LIKE
NEXT MONTH. HELLO WE ARE GOING
TO BE DOING A SOFT LAUNCH WITH
ONE REGIONAL CENTER AND A COUPLE
OF SERVICE PROVIDERS SO THAT WE
CAN MAKE SURE THAT THE PROGRAM
IS FULLY OPERATIONAL BEFORE WE
GO STATEWIDE. ON THE DIRECT
SUPPORT PROFESSIONAL INTERNSHIP
PROGRAM AT THE IS THAT THREE
MONTH PAID INTERNSHIP FOR ME AND
HAS AN ENTRY LEVEL POSITION AND
TO OUR SERVICE SYSTEM. AND WE'RE
ALSO DEVELOPING THIS WITH-
STAKEHOLDER INPUT AND- EXPECT TO
HAVE OUR GUIDANCE OUT TO THE
REGIONAL CENTERS A LATE SPRING
OR EARLY SUMMER. WE'RE ALSO
WORKING ON A TECHNOLOGY SERVICES
PILOT WITH TWO REGIONAL CENTERS
AND THIS IS A PILOTING USING-
REMOTE TECHNOLOGY TO PROVIDE
ASSISTANCE TO INDIVIDUALS. IN
THEIR OWN HOME MOST LIKELY
STARTING OFF WITH SUPPORTED
LIVING SERVICES THAT WILL REDUCE
RELIANCE ON WORK FORCE AND ALSO
ALLOW MORE FLEXIBILITY- FOR
INDIVIDUALS TO- NAVIGATOR ON
SERVICES. WE'RE EXPECTING TO
ROLL THIS OUT LATER THIS MONTH
OR IN APRIL. AND THE LAST ONE
WHICH IS- WAS. APPROVED IN THE
PRIOR BUT HERE IN THIS CITY IS
THE DSP WORKFORCE TRAINING
DEVELOPMENT PROGRAM THIS IS A
THREE TIERED PROGRAM WHERE OUR
DIRECT SUPPORT PROFESSIONALS CAN
GO THROUGH A COMPANY BE
COMPETENCY BASED TRAINING. AND
THEY CAN ACHIEVE- THE WAGE
DIFFERENTIAL OF ONE TO TWO
DOLLARS FOR EACH OF THE THREE
TIERS AND THOSE ARE-
AUGMENTATIONS ARE ONGOING FOR
THEIR THEIR WAGES ONCE THEY GO
THROUGH THE TRAINING. I HAVE TO
TAKE ANY QUESTIONS ON THOSE
PROPOSED THOSE INITIATIVES. DO
YOU HAVE ANY COMMENT HELLO. I'M
CAN YOU SPEAK ON YOU KNOW WE
HEARD IT FROM SOME ADVOCATES
REGARDING THE SOCIAL RECREATION
CAMPING SERVICES AND HOW THAT'S-
THE KIND OF BELIEVE BEHIND THAT
BEING IMPLEMENTED OUT TWENTY ONE
CENTERS. RIGHT SO- WINS SOCIAL
RECREATION CAMP WAS- REINSTATED
OR RE AUTHORIZED- THAT A LOT OF
WORK HAS GONE INTO- GETTING THAT
ARE OPERATIONAL BECAUSE- PRIOR
TO- THAT NOT BEING AN APPROVED
SERVICE- REGIONAL CENTERS WOULD
OFTENTIMES USE MORE SEVENTY
SEVEN GATED SERVICES. FOR SOCIAL
RECREATION AND SO NOW THAT WE
HAVE THE NEW FINAL RULE THAT WE
TALKED ABOUT AND MUCH MORE-
COMMITTEE INCLUSION- HAVING
THOSE SEGREGATED RESOURCES IS
NOT AN OPTION SO REGIONAL
CENTERS I'VE HAD TO DO A LOT OF
WORK TO- WORK WITH THEIR LOCAL
PARTNERSHIPS AND LOCAL COMMUNITY
PARTNERS TO- FIND OUT HOW THE
SERVICES CAN BE ACCESSED FOR
CONSUMERS AND FAMILIES- SO. SOME
OF THE THINGS THAT WE'VE DONE
TO- OPERATIONALIZE OUR REGIONAL
CENTERS WERE REQUIRED TO DEVELOP
A PURCHASE OF SERVICE POLICY
THAT WOULD GUIDE THEIR SERVICE
COORDINATION STAFF IN-
PURCHASING THE SERVICES FOR
INDIVIDUALS AND FAMILIES. WE
REQUIRED THE REGIONAL CENTERS TO
DEVELOP AN OUTREACH. PLAN FOR
THEIR LOCAL COMMUNITIES. TO
PROVIDE HIM. TO FAMILIES ABOUT
THE SOCIAL RECREATION CAMP. WE
ALSO DEVELOPED A SUB CODE THAT
REGIONAL CENTERS COULD USE TO
TRACK EXPENDITURES FOR THE
SERVICES. THAT HAS NOT BEEN
USED- IT. SIMPLY DIDN'T START
THAT AND TELL SEVERAL MONTHS
INTO THE PROCESS SO- THAT DATE
IS STILL- NOT AS RICH AS WE NEED
IT TO BE BUT IT'S SOMETHING
WE'RE CONTINUING. TO TRACK. WE
ALSO HAD TWELVE POINT FIVE
MILLION DOLLARS TO- GRANTS FOR
GRANTS FOR SOCIAL RECREATION
SERVICES AND JUST TIME IN THE
PAST MONTH WE WERE ABLE TO
REVIEW ALL OF THOSE GRANT
APPLICATIONS AND APPROVED FOR
THAT TWELVE POINT FIVE MILLION
IN THE AND SOCIAL WORK CREATION
GRANTS. FOR A HOPEFUL THAT THOSE
GRANTS WILL ALSO BE A HUGE
CATALYST FOR IN IMPROVING ACCESS
TO ADDITIONAL SERVICES FOR
CONSUMERS AND FAMILIES. THANK
YOU THOSE THE ONLY QUESTION I
HAD. WITH THAT- WE'RE CLOSE YOU
KNOW IT OVERVIEW AND BCPS ISSUE
FIFTEEN JUST TO NOTE STAKEHOLDER
PROPOSALS FOR INVESTMENTS ARE
NOT PRECIPITATE PRESENTATION
ITEMS SO JUST I WOULD JUST NOTE
ON THAT WE DID RECEIVE. FOR THE
STAKEHOLDER PROPOSERS
INDEPENDENT LIVING SERVICES
REFORM DDS RATE STUDY ADDENDUM
AND IMPLEMENTATION UPDATES.
INTERNALIZATION OF REGIONAL
CENTER OPERATIONS BUDGETING
METHODOLOGY AND FINALLY THE
COMMITTEE LED GROUP COST STUDY
FOR ADDRESSING RACIAL
DISPARITIES IN CALIFORNIA'S
REGIONAL CENTER SYSTEM. INTO THE
REASON WHY WE'RE NOT PRESENTING
IT DID NOT HAVE A SENATOR
SPONSOR ME SO I JUST WANT TO
KNOW THEM A LOT THANK YOU FOR
YOUR TIME. ALL RIGHT. WE HAVE IT
NOW WHAT I'M- GOING TO BE.
MOVING ON TO ANYONE. WHO WISHES
TO GIVE A PROVIDE A PUBLIC
COMMENT. AS A REMINDER TODAY'S
PARTICIPANT NUMBER IS.
877-226-8160 THREE WITH THE
ACCESS CODE OF. SEVEN THREE SIX
TWENTY EIGHT THIRTY FOUR. AS
ALWAYS WE WILL BEGIN WITH THE
INDIVIDUALS HERE IN THE ROOM.
HELLO I AM MASCULINE HEART INTO
THROUGHOUT NY STATE THANK YOU
DID YOU CHEER FOR EVERYTHING YOU
DO- I AM A CLIENT OF THE CENTRAL
REGIONAL CENTER HOLE WE NEED TO
GET YOUR SUPPORT IN THE LATTER
MAN COLLATION PROPOSAL. I HAVE
HAD STAFF WITH IT IN THE
INDEPENDENT LIVING SERVICES THAT
HELP ME ONE ON ONE WITH THE
SLEEPING SKILLS KEY SKILLS IN
JOB SKILLS- SHE HAS HELPED ME
LEAVE A CURRENT TOXICS LIVING
SITUATION AS WELL TO GET TO A
BETTER HOME I'VE WANTED- SARA
LEE'S. SHE HAS BEEN LET GO DUE
TO THE SERVICE I NEED TO DO TO
OUR CURRENT RATES FINDING ALL
THE PROGRAMS THAT ARE RELATED TO
THESE KIND OF SITUATIONS AND
EMAILING SKILLS- MOSTLY MOSTLY
ONE ON ONE SITUATIONS. SO I HOPE
. AND EVEN THE IMPACT THE ALL
THIS HAS- FOR IT'S IMPORTANT TO
ME AND ALL THOSE AROUND US WHILE
YOU'D HAVE TO HAVE THESE ONE ON
ONE CONNECTIONS. AND GROWTH IN
THE COMMUNITY. THANK YOU SO MUCH
. I DID FORGET TO SAY IF WE CAN
LIMIT- THE IN PERSON COMMENTS TO
ONE MINUTE PLEASE. HELLO MADAM
CHAIR MY NAME'S THIS MONTH GAINS
ON FROM THE ARC FOR THEM THEIR
ACCOUNT IS I'M HERE TO ASK FOR
YOUR SUPPORT FOR THE LETTERMAN
COALITION. I RELY ON MY STAFF TO
HELP EMPOWER ENCOURAGE ME TO
ATTAIN FUTURE GOALS FOR MYSELF.
RECENTLY I LOST THE EYE ON THE
SERVICE TODAY LEFT ME WITH NO
WHERE TO GO OR WHO TO TALK TO.
HOPE TO COUNT ON YOUR SUPPORT
THANK YOU THANK YOU. HELLO MY
NAME IS JACK COVERED I PROVIDE
SERVICES AND SUPPORT TO PEOPLE
WITH INTELLECTUAL AND
DEVELOPMENTAL DISABILITIES-
STARTED MY CAREER THIRTY TWO
YEARS AGO WORKING IN- FACILITIES
AND I JUST HAD A QUICK QUESTION
COMMENT ON- INCREASING THE BEDS
FOR RESTRICTIVE PLACEMENT- I
DON'T THINK YOU INCREASED
RESTRICTIVE PLACEMENT UNTIL YOU
FIGURE OUT A PROCESS. EVEN IF
THEY'RE TEMPORARY THERE'S NO
PRICES IN PLACE TO MAKE THOSE
DOES STAY TEMPORARY. AND I THINK
IT'S REALLY IMPORTANT THAT WE
LOOK AT IT HAND SUPPORTED LIVING
SERVICES ACROSS THE STATE OKAY
THAT'S NOT CURRENTLY HAPPENING
IN SOUTHERN CALIFORNIA IS NOT
CURRENTLY HAPPENING IN OTHER
PLACES AND THAT THEY USE
RESOURCES TO MAKE SURE THAT
THOSE ARE TEMPORARY. THEY'RE NOT
LONG TERM THANK YOU. GOOD
AFTERNOON MADAM CHAIR MY FAMILY
SHE CALMLY WITH THE ART FRESNO
MADERA COUNTY'S I'M HERE. IN
SUPPORT OF THE LEARNER LETTERMAN
COALITION I'VE BEEN WITH THIS
AGENCY FOR TEN YEARS. THE PEOPLE
THAT WORK IN THIS FIELD DO IT
BECAUSE HELPING OTHERS IS THEIR
PASSION. ORDING SOMEONE ON THEIR
JOURNEY TOWARD INDEPENDENCE IS
SO FOR FAILING. I'VE WORKED WITH
SEVERAL TALENTED CREATIVE PEOPLE
THAT LEFT. FOR AN INCREASE IN
INCOME. THE IMPACT OF LOSING
STAFF NEGATIVELY IMPACTS THE
INDIVIDUALS WE SERVE. PLEASE
SUPPORT THE LATTER MINUTE
COALITION WE CAN'T DO THIS
WITHOUT YOU CHAIRMAN. THANK YOU
.
HELLO RICK ROLLINS REPRESENTING
ARKANSAS SHISHA REGIONAL CENTER
AGENCIES SO WE HAVE SUBMITTED A
AN EXTENSIVE LETTER IN RESPONSE
TO YOUR COMMITTEE AGENDA IN
SUPPORT OF MANY OF THE- ISSUES.
BUT WE ALSO WANT TO BE ON RECORD
IN STRONG SUPPORT OF THE
PROPOSAL TO MODERNIZE THE CORE
STAFFING FORMULA WE THINK
THAT'S- A GOOD WAY TO ADDRESS
MANY OF THE ISSUES THAT WERE
BROUGHT TO THE ATTENTION. OF THE
COMMITTEE TODAY AND WE LOOK
FORWARD TO WORKING WITH YOU
SENATORS AND- AND YOUR STAFF
THANK YOU THANK YOU. MADAM CHAIR
MEMBER BOB MY NAME'S ROBERT
HARRIS ON BEHALF SEIU CALIFORNIA
PLEASE SUPPORT IT M. CREASING
THE CORE STAFFING FORMULA IT
RIGHT NOW THEY'RE SAYING THAT
SEVENTY EIGHT TO ONE IT'S
SUPPOSED TO BE AROUND SIXTY OR
SIXTY TWO. WHEN YOU HAVE A DEBT
HIGH. FIRST OF ALL YOU HAVE ALL
KINDS OF TURNOVER SECOND ALL
WHEN NEW PEOPLE GET HIRED. THAT
MADE IT ONE TO SEVENTY EIGHT.
THEY QUIT MANAGER AMOUNT OF TIME
BECAUSE THEY'RE OVERWORKED AND
OVERBURDENED SO WE REALLY CARE
ABOUT THIS WE ALSO CARE ABOUT
THE DSP- EDUCATION BONUS BECAUSE
OUR DS PEAS NEED THAT TO SURVIVE
AND TO LEARN AND WE WOULD BE
WILLING TO. DO ANY KIND OF.
ADVOCATION THAT HELPS PEOPLE
BECAUSE THE ONLY PEOPLE WHO KNOW
HOW TO FIND THE GENERIC SERVICES
RIGHT NOW. MEMBERS WHO'VE WORKED
SINCE BEFORE TWO THOUSAND NINE.
AND FROM THERE IT WOULD BE
HELPFUL TO HAVE A FORMAL WAY TO
DO THAT WHAT IT'S PROBABLY WOULD
BE THROUGH OUR COUNTY WORKERS.
DID THE PEOPLE WHO WERE DO USE
CAL SAWS WHO CAN QUALIFY PEOPLE
FOR MEDICARE. AND A AND I HSS
AND ALL OF THAT SO CALLED THERE
COULD BE A FORMAL WAY BUT RIGHT
NOW IT'S TOTALLY INFORMAL THE
ONLY PEOPLE WHO KNOW HOW TO DO
ORDER PEOPLE WORK THERE FOREVER.
AND THAT'S NOT RIGHT THANK YOU.
GOOD AFTERNOON- I MELANIE
GONZALEZ THE NORTHERN CALIFORNIA
DIRECTOR FOR A JOINT WHERE NON
PROFIT WE HAVE MANY DIFFERENT
PROGRAMS THAT WE PROVIDE. ONE OF
THOSE PROGRAMS IS INDEPENDENT
LIVING SERVICES PROGRAMS- WE
HELP WITH SOME PRETTY CRITICAL
NEEDS WE HELP FOLKS TO SECURE
AND MAINTAIN THEIR HOUSE SCENE
WE HELP THEM NAVIGATE THIS
COMPLEX COMMUNITY RESOURCES THAT
ARE OUT THERE- BUT WE HELP THEM
GET MEDICAL OBTAIN MEDICAL. CARE
WHEN THEY NEED IT- GROCERY
SHOPPING- THERE'S JUST SUCH A
RANGE OF SERVICES THAT WE
PROVIDE THAT ARE CRITICAL TO THE
INDIVIDUALS WE HAVE RIGHT NOW ON
MY WAIT LIST I HAVE FOR MY
STOCKTON PROGRAM. ABOUT FIFTY
FIVE PEOPLE. MOST OF WHO ARE NOT
WHITE AND MOST OF WHO HAVE BEEN
ON MY WEIGHTLESS FOR SIX MONTHS
TO OVER A YEAR SO THOSE ARE
PEOPLE THAT ARE NOT GETTING
SERVICES THAT THEY NEED OUT IN
THE COMMUNITY AND THE- BIGGEST
BARRIER. IS MY ABILITY TO HIRE
STAFF THANK YOU. GOOD AFTERNOON
MADAM CHAIR SENATOR THANK YOU
FOR YOUR HEARING TODAY MY NAME
IS PERRY GIARDINI I'M THE
EXECUTIVE DIRECTOR OF THE
CALIFORNIA DISABILITY SERVICES
ASSOCIATION I'M ALSO ONE OF
THREE CO CHAIRS OF LAMB IN
COALITION. THANK YOU FOR THE
HEARING TODAY AND THANK YOU MISS
SMITH FOR THE EXCELLENT AGENDA-
A COUPLE OF THINGS I WANT TO
KNOW- OUR PROPOSAL FROM THE
ENEMY COALITION AROUND THE RATE
STUDY ADDENDUM AND UPDATES. WE
APPRECIATE THAT GETTING A
GENERALIZED WOULD EXPECT
APPRECIATE YOUR SUPPORT ON THAT
WE ARE ALL VERY GRATEFUL FOR THE
RATE STUDY IMPLEMENTATION AND
THE ACCELERATION. BUT WE WANT TO
MAKE SURE WE'RE GETTING THIS
RIGHT AND LONG RUN AND WE HAVE
SOME REAL PROBLEMS WITH WORK
FORCE IN PARTICULAR SERVICES.
THERE ARE ERRORS THAT JUST NEED
TO GET FIXED AND SO WE WOULD ASK
FOR YOUR SUPPORT FOR THAT-
SECONDLY I WOULDN'T KNOW OUR
SUPPORT FOR THE REGIONAL CENTER
CASE- COURSE HAPPEN FORMULA ASK
IN THE PROPOSAL- WHILE IT'S
NOTED IN THE AGENDA THAT THAT'S
IN OUR CAN I SAY YOU PROPOSAL
IT'S ALSO SUPPORTED AND
SPONSORED BY THE LINIMENT
COALITION'S BROAD STAKEHOLDER-
COMMUNITY. AND THEN FINALLY- ON
THE STAKEHOLDER PUZZLES YOUR
SUPPORT FOR THE IOS. RATE REFORM
AS WELL THANK YOU THANK YOU.
GOOD AFTERNOON. AND THANK YOU
FOR HAVING THIS TODAY MY NAME IS
STORE CONTRASTS AND I'M A
GRANDMOTHER TO A THIRTY YEAR OLD
INTELLECTUAL DISABILITY. OF
CLIENT OF THE BELMONT REGIONAL
CENTER I WORK INCIDENT THAT
OCCURRED ON THE AUTO WITH THE
ICC. UNDER THE DIRECTORSHIP OF
MR FERNANDO GOMES WHO SPOKE
TODAY WHICH I WANT TO SAY THAT I
AM TOTALLY AGREE WITH EVERYTHING
THAT HE SAID. MY GRANDSON HAS A
NEW LABEL TODAY. AND IT'S AN
INDIVIDUAL HE IS AN INDIVIDUAL
WITH COMPLEX NEEDS. AND HIS
NEEDS WERE NOT. MET AS A YOUNG
TODDLER HE SEND IT UP HALF OF
HIS LIFE IN THE LEVEL FOR A
WHOLE. GROUP HOMES MAINLY
BECAUSE I WAS A FULL TIME
TEACHER. SINGLE AND A PRINCIPAL
OF A SCHOOL AND THE ONLY
SOLUTION THAT THE REGIONAL
CENTER HAD FOR ME WAS A GROUP
HOME WHERE HE SPENT HALF OF HIS
LIFE THERE AND MANY ATROCITIES.
HAPPEN THERE AS A RESULT. THIS
WAS THE REGIONAL CENTERS ANSWER
TO MY SITUATION. MY GRANDSON
NEVER HAD A BA I DIDN'T KNOW
WHAT THAT WAS THAT WAS A GENERIC
SERVICE I SPEAK ENGLISH I
MEDICATED AND YET I DID NOT HAVE
ANY KIND OF BEHAVIORAL
INTERVENTIONS FOR MY YOUNG CHILD
AT THAT TIME. THE REGIONAL
CENTER IT NEVER OFFERED THIS
TYPE OF INFORMATION OR ACCESS TO
THIS TYPE OF SERVING YOU. HE'S
THIRTY YEARS OLD AND HE'S HOME.
NOW WITH ME THANK YOU THANK YOU
. WHEN THE STATUS NUMBER IS WHAT
I'M AT THEM I HAVE SEEN MOTHER
ALONE. MEAN YOU'RE GOING TO THE
OTHER SUSPECTS TELESCOPE AT THE
NIXON POINT OVER HERE NOT. ONLY
CAN PREVENT SOMEONE BECAUSE OF
FAMILY HAVE NO SOUL DOESN'T
BRING UP IN THE MAIL. FOLLOW ME
WOULD RECEIVE THE UPCOMING
TOTESPORT AMASSED. YOUR
INFORMATION WILL TEST THE LATEST
GOSSIP ON DELAYED MENTAL SPEED
ON HIM ACCORDING TO LOT OF THE
CENTER FOR HUMAN SEVEN DON'T
KNOW YOUR COMPLETE ON THE
SIDEWALK ON THE COMMENT OF THE
MID OCTOBER. NO YOU SON OF A
PINEAPPLE YUMMY HOOK ON MY
PHOTOS AT THE SPEED ALL THE TIME
IN YOUR BACKYARD YMCA PUT
CLASSES IN THE PAST YOU KNOW BUT
I MEAN THE WHOLE. YOUR COMMENTS
MAY NUMBER ONLY ME OUT IN THE
MAIL FOR YOUR PERSPECTIVE. ON
THE SERVICE OF RECORDS WHEN I
LEFT BUT I'LL- GOING TO BE
ANOTHER ONE OF. BUT I'M GOING
BECAUSE IT WANTED YOU GIRLS ON.
HIS LOCAL BUT MY SORT OF BY YOU
THAT BOY ARE YET SEE THANK HE
IDEAS THAT YOU'LL BE. PRODUCT X.
IS LAW CENTER FOR HUMAN LIVE.
THE I DON'T KNOW NEAR TERM APPLE
YOU NOSE MAN NOT TO THE TWO SOME
OF THEM ON THE CAN. YEP AND MOST
IT'LL- SERVICE THE APPLE YOU'LL
AND WE'LL STILL SEE HOW OF GOING
OUT ON THE BY STEP THIS. WHICH
IS THE LAST NINETY. WHICH IS
ABOUT TO AFTER. WHEN INSTEAD OF
THE NORMAL MONEY IS THAT I MY
MOTHER WHEN YOU'RE GOING TO
THESE MORE. EVEN MORE UP IN IT
IS TAKEN ON BY THE MONDAY HAS
LITTLE TO WHEN I'M AT THE THAT
THAT. YOU MAN THIS IT'S ALMOST
CLOSE TO DAMAGE THE CUSTOM- SEE
I. VISITED THEM CLOSELY AND TOLD
ME PHONE THAT DOES AT IT IS THE
DOES THAT. IN A JUNIOR. HAS BEEN
DEMONSTRATING CALM GAME ONLY
GOING TO GET IT UP MUSIC. IS IN
OPPONENT ONE JUST BY US YES I'M
SO KEEP AS SOON UK INSTEAD OF
SEALS. IT IN IN THAT IT TOOK A
LOOK AT MOON AND ALL A LITTLE HE
GET IN. CONVINCE SO. QUIT UP AT
THE HOME IS TOTALLY. GETS HONEST
CIALIS IT GET HIM. A LOT FOR
YOUR GET A MOST CAN. IN THIS YOU
THAT OR GET THE WHOLE SUMMER
FINISHED MY MOST. HE DOES SOME
THE ONE. IF I'M SORRY BUT AT A
PRESENT STILL. THAT TOLD ME OF
ME. MEANING YOU DON'T. AND WITH
VEHICLE OUT YEP OKAY LOOKED IN
THE THAT I. A BUS TO MY- HE IS
HE GONNA. YOUR MOST. TO BE SOLD
. UP AND I WAS SAVE YOUR- SAID
TO BE AND CENTRAL TO HUMAN. YOU
A MASSAGE AND THEN IS SO. POP I
YES I DON'T NEED. IF OF THE KEY
BUT AS LEVELS LAST. YES YES.
IT COULD OKAY SO THIS IS THE
FINAL JUST CONFUSE THEM CENTER
FOR ECONOMICS. THIS IS THE THING
NOT BUT HE SAID LET MY MAN GET
THAT I'M GOING TO SOME MEDIA.
GIVING CABINET WHEN I WENT UP
ALMOST ONLY GOT TURNED INTO
ANIMALS EVEN A SIMPLE MUST JUMP
I CAN LOOK INTO SOMETHING ELSE
WAS SAID WE FEEL. LESS WOMEN IF
YOU SEE AFTER. ASKS MCCORKLE
THAT MAYBE THAT HE CAN ATTEND
HIS YOUNGER LONGER THAN MINUTES
UNICEF ON THE VCR MOST OF THE
GIVEN THAT AND HE- IS ON THE
COURT BUT I YOU'LL SEE IT THAT I
DON'T. IT OUT THAT THAT MAY IF
YOU WANT IT HE'S THE MOTHER OF
THE NOT. HAVE TO IS ABOUT HIS.
WE CHASING OUT OF THANK YOU A
MUCH THANK YOU THANK FOR COMING
. WHEN ISN'T THE NUMBER THEY
SAID E. SORRY ON MONDAY WHEN
ENDING AT THEM IN CONTEXT
CAPACITY THEN. HE SOLD THEM INTO
YACHT THE LOCAL STATE AND THIS
AND IF WE CAN PULL UP ALL YOUR
DATA MIGHT BE A FIT NON LOCAL
MACE THE IBM. FORGET ALL THAT
OKAY YOU SEND THE TOOL IS LESS
EFFECTIVE GET THE MOST BEST
HANDLE ELEVEN TICKET- IS THAT HE
WILL GET AN ITEM YOU GUYS OKAY
HELLO BUT THEY DO NOT YOU. YEAH
IT'S LIKE WELL MANUAL BEING
ISN'T HE PUT YOU IN MY BODY THE
BUSSARD EVEN SIMPLE YET GOOGLE
PLUS SIDE. IS DANIEL SYMBOL SIGN
IS DISPLAYING ITS BETA. HE PUT
FORWARD GET A MONSTER'S BODY
THAT INNOCENT CHILDREN YOU'RE
NOT. EATING ON A MEDICAL THAT'S
MONEY'S CASE THAT WAS BASED ON
THE SERVICES THE. NEAREST CROSS
YES- WHAT MR WHEN THE MONEY.
THIS CALL HERE HE- COULD OPEN
THE CENTER CANNOT. PUT A LITTLE
CANNOT SIT ELING LIVE. IS STILL
NOT ON A LIMIT ON MENTAL. YOU
KNOW THAT BUT NOT GIVE ON THE
COURT CAN ALSO. HIS MOTHER WILL
NEED COME ALSO SO MUCH BUT THE-
SO THERE'S OR LESSON BECAUSE- IS
THE LOCATION FOR THE PAID LEAVE
EAST IN THE CITY THAT. HE CAN
COME IN ALSO THROW. A DINNER.
NINETY METERS YANIS. INTONES AS-
YOU GET A MUST BUT SURELY THE
COMB. DOES LOOK PERSONA SHE BUT
GOOD PEOPLE IT PUTS ON THE
NEWPORT TECH IS HE- HE'S
FUNNELED A LIVING THAT. LOOK AT
THEY KNOW NOT TO PURSUE THAT IS
PARTICULARLY UP WE ARE LOW SAY
YOU SEE. LET'S HOPE WE'LL IS
THAT IT'S JUST A UT MUDDY.
EFFORT ON THE WOMAN'S CASE HIM.
PRINCIPALLY UNDER THE- IN DOES
THAT PUT INTO. WHICH IS IN A
LIST- HELLO MISS MADAM. HOW DO
YOU GO BY. HI HI. WELL I'M
CURRENTLY A COLLEGE. BUT I MADE
BUT I NEED TO IN ORDER TO BE A
SIX IN FOR AND- BEFORE MY DREAMS
IN A TECHNICAL FIELD SORRY FINE.
YOU'RE DOING GREAT YEAH BECAUSE
SOMEDAY NERVOUS. ABOUT IT. I
HAVE ASKED THE REGIONAL CENTER
AROUND ME WHAT'S WHAT SUPPORT
THEY HAVE FOR PEOPLE LIKE ME AND
I HAVE BEEN GIVEN NO ANSWER.
UNTIL MY LAST I. I. P. P.
MEETING. I FINALLY GOT THE HELP
THAT I NEED IN. MY MOM BROUGHT
THE ICC AND INTEGRATORS AND
HAVING THEM HERE MADE A BIG
DIFFERENCE. ALL THE HELP I WILL
NOW HAVE SERVICES THAT CAN HELP
ME GET THROUGH COLLEGE. WHILE
THE OTHER ISSUE IS THE LENGTH OF
TIME IT TAKES TO GET. TO GET THE
SERVICES THE I. P. P. WAS ON
FEBRUARY SECOND OF PROBABLY THIS
YEAR. I'M STILL WAITING TO GET
THE SERVICES NO ANSWER HAS BEEN
MADE YET THANK YOU. THANK YOU
FOR SHARING. WHEN I WHEN I
STARTED THIS NEW NUMBERS. TWO
MORE CATCHES IN MY MIND THAT IF
YOU LOOK AT CHECK OUT EPISODE.
THAT YOU HONESTLY A KEEPER CAME.
ELLIS. THE CONTENT OF IT BECAUSE
OF THE SIGNS. IT TOOK THEM A
GREAT YOU'LL GET I WANT TO DO
THEM NO GOOD. WAS COULD FINANCE
DOC C. PASCHAL YOU KNOW IF I
SOMEHOW OKAY AS HE CAN BECAUSE
THERE. OUR AUGUST SO GOING TO
PROMOTE THE ICC MILLER WENT
THAT. GET TEMPLE I JUST PUT IT
ON BUT I DO THOUGH I MEAN
HOPEFULLY IT'LL BE THERE WHAT
THE **** THING BECAUSE. THEY'RE
GREAT KIDS. YOU THE OLD PORT KC
HOUSTON AND TO THE WONDERFUL OR
NOT TELL US. YOU UP ON THIS A
SINGLE FOR GILENYA. OKAY LET ME
. YOU LOOK AT MOST SCHOOLS THE-
I'M NOT I GUESS WE KEEP. IF YOU
LOOK AT WHAT I DO THE MOST WAS
HIS HOST. YOU CAN IT IS GONNA BE
ON. BUT THE TEMPLE PHOTO FOOT
BUT THE- ONE THE KING ALAN
THICKE'S FIGURE IT'LL PROBABLY
JUST BECAUSE SOME BUT SOME OF
THEM BE. IS IT I'M GOING TO. SO
PROCESS FOR WHAT I COULD SAY IT
BUT LET THE LESSER FIFTY DOESN'T
. HI MY NAME IS JACKIE FROST
HELLO AGAIN HI HERE AS THE BOARD
PRESIDENT OF THE CAL. COULD BE
NOW OR SPECIFIC ABOUT THE- RATE
ISSUE. I'M REPRESENTING THE FIVE
HUNDRED PER ACROSS THE STATE.
AND IF WE DO NOT FIX ITS SILAS
RATE WILL CONTINUE TO LOSE THEM
HI I'M CURRENTLY ASKING FOR
HEALTH AND SAFETY WE WERE FOR
MILEAGE PROGRAM THAT STARTED IN
NINETEEN NINETY TWO. TO SERVE
DEAF INDIVIDUALS HAVE GIVEN THE
RESULTS OF A NOTICE IF I DO GET
THAT RATE FIXED I WILL HAVE TO
SHUT DOWN THIS THIRTY TWO YEAR
OLD PROGRAM. WHICH REALLY MAKES
ME HEARTSICK IN CALIFON ALTA
CALIFORNIA REGIONAL CENTER FIVE
PROVIDERS HAVE BEEN SHUT DOWN IF
WE DO NOT FIX THE EYELESS RATE
WE WILL CONTINUE TO. LOSE OUR
LESS PROVIDERS ACROSS THE STATE
OF CALIFORNIA. SO PLEASE TAKE
THAT. FOR CONSIDERATION THANK
YOU THANK YOU JACKIE. I WENT OFF
AND THEN THE NUMBERS HAVE A LOT
OF SIERRA. MY MOTHER NEAR
SPEZIA. CIRCULAR SEQUEL TOILETS
BUT THE PROBLEM IS THAT MOST OF
THOSE. IT IS THE V. AS THEY MADE
IT THAT THEY DON'T HAVE A WHOLE
SEPARATE ISSUE AND IT'LL SEND
OVER HERE NOT AS PRODUCT WHAT HE
LOVES. LOVE THIS BODY THAT
ASSOCIATE WITH A NEW KIND OF
HUMOR TO AFRICA. THIS IS THE
THIRD MOST OF SEVERAL BUT NOBODY
DOES A PROGRAM AVAILABLE THAT
DIDN'T MEAN I SEE ON. THIS IS IT
THE MOMENT FOR THINGS SO- THOSE
PROGRAM AS THEY LOOK AT SEE ALSO
CM. THIS IS THE THIRD MOST WITH.
BETA BUT HONEST OPINIONS GET
THAT MEANS SOME STUDENTS WILL
MODEL SCHOOL MODEL. SOLD PROCESS
. WHICH IS ABOUT HIS. MODERATOR
IF YOU WERE PLEASE PROMPT.
WAITING TO. PUBLIC COMMENT. AND
COULD YOU KINDLY ME KNOW HOME WE
HAVE A QUEUE. THANK YOU FOR
PUBLIC COMMENT YOU MAY PRESS ONE
AND THEN ZERO. AGAIN THAT IS ONE
AND THEN ZERO. WE HAVE. THE
COMPANY STILL GOT UP RIGHT NOW
WE HAVE ABOUT FIFTY IN Q. FOR
THOSE WHO ARE READY TO PROVIDE A
COMMON. VIA THE TELECONFERENCE
WERE GONNA LIMIT YOUR COMMENTS
TO THIRTY SECONDS PLEASE. I
THINK IT WILL GO A LOT LINE OF
FORTY SEVEN. SO GO AHEAD. C.
FORTY MINUTE MODULAR IT IS THE
NUMBER THAT. SOME OF THOSE
VEHICLES- THE SIMPLE TO GET NONE
OF- HONESTLY SOME OF SHOOTING IN
THE FOURTH QUARTER- FIFTY EIGHT
BILLION DOLLAR COMPANY THAT
DIDN'T HAPPEN NONE OF THE
WOMAN'S BEAUTY MARK. FIT THE-
BILL- AT THE END OF THE DEBATE
ALL UP IT WAS A GOOD THING HELLO
APPROXIMATELY. FIFTY FIVE FOR-
FOR. THE ORIGINAL MOVIE YOU MADE
CLASS OF NOT THAT IT FROM BEING
ONE OR MORE OF A- WHAT. IF THE
STEELERS PAYMENT WHICH IS
ACCESSING YOUR NEXT COLORFUL.
THANK YOU A LINE FORTY EIGHT
YOUR LINE IS OPEN. WELL
ESTABLISHED. THE NUMBER OF MEN
BACKGROUND LEFT FOR MONEY THAT
IF SOME OF THEM AND THEN THE
LAST BATTLE YOUR OWN. BUT SOME
OF THEM IN THE INDOOR. FORMATTED
A ONE KNEW YOUR MOTHER WORKED
FULL UP AND BUT IN THE END ON
OCEAN RESTORE NINE. MILLION
PEOPLE SOMETHING VS THANK SO
MUCH WHAT STUPID CEO THE LOOKS
PROFESSIONAL KNOWLEDGE. BUT I
PARTICULARLY FUNNY IT'S FUNNY
THAT THIS OF THE OTHER THAN BE
OTHER MANTA I HOPE THE NEXT TO
BE YOU'LL- DON'T EXTRA FAMILIAR
IT WHICH IS GONNA SEE SOMEONE
FOR YOU BE THE S. CLASS YES I
THINK MINUTE. NEXT CALLER PLEASE
. THANK YOU THE LINE EIGHTY NINE
YOUR LINE IS OPEN. OKAY OKAY.
YEAH HE'S DONE. I DON'T KNOW. NO
I THOUGHT I THOUGHT IT BIT WHEN
I THE LEAST. I READ A NOT MATTER
IF YOU MOVE TO THE NEXT CALLER
PLEASE. YES WE WILL GO NINE
EIGHTY SEVEN YOUR LINE IS OPEN.
WHEN I. REMEMBER IT AS MODIFIED
BUT I DON'T THE LEVEL OF THE NI
HOW TO MAKE IT TO THE FINAL OF
THE OPPRESSED AND BROKEN OF THE
NON. ECONOMICAL SIMILAR TO YELP
AMONG MUCH OF THE FOR THE- APPLE
USES THE MONO THEY LET THEM
MATURE WILL BE VIA. AN
UNDERGARMENT YOUR MARK UP AT THE
BANK WANTS IT MORE NOT LESS
EARLY THAT. IT EVEN WITH A
COMPANY THAT LETS YOU KNOW. IT
BECAUSE IF YOU FEEL THEM. YOUR
NOTHING ON A COUPLE THAT I
BELIEVE WILL ON THAT YOU'RE
GOING ASPECTS. THAT WOULD IS ON
THE. IT DON'T TALK ON MONDAY
YEAH WELCOME THAT I BE. CAMP
OKAY THEM. ABOUT THE AMERICAN
WHEN CLICK ON THE CAPACITY TO
MUCH GOOD US YES MUCH OF THE.
BACK NEXT PLEASE. THANK YOU GO
TO LINE ONE YOUR LINE IS OPEN.
FOR I WOULD TO FOCUS KNOW
ANYBODY IN THE FRONT. IT ON THE
INTERNET OKAY LET'S GET RID OF
ONE OF THE MARKETS ON THE WOMAN.
YEAH A COMPANY VEHICLE WITH US
IN THE MIDDLE OF THE LAND. OF
THE MIDNIGHT. NO I DON'T WANT TO
OPEN UP A MEDIA IF THE FUNDS ARE
THE ONES THAT DON'T TRAVEL INTO
TROUBLE A LOT TO BE FILLED. YOU
KNOW THAT I'M NOT AN APPLE KNOW
BUT I KNOW THAT I WOULD PUT THEM
IN THE FILM. HE IS THE VICTIM OF
DAVID GRIFFIN I'M IT'LL GO.
EITHER SAFETY NET IF WE'RE GOING
TO CLOSE THE MONITOR WILL BE
RIGHT. BACK AT CLASS YES THANKS
CALLER PLEASE. THANK YOU WILL
APPLY ONE. YOUR LINE OF. I WOULD
RATHER ON THE AND IF IT THAT I
LITTLE BOOK BECAUSE IT I'M NOT A
- GOING TO BE MARKED. ON THE
WOMAN AMY. THE PHONE OUT OF
PICTURE OUT LOOK FOR THE. THE
HAVING IS THE VEHICLE PEOPLE SAW
WATER AND APART FROM ANYBODY. A
PLANE OUT OF THE- NOT A NOT ON
UNFAMILIAR MY LOOK IF I'M NOT
BUT FORGET IF YOU DON'T THINK.
OF A- OPENING MORE THAT EITHER.
FOR THE PURPOSE LOOK TRANSACTION
THE MATTER. WHICH IS YES NEXT
PLEASE. THANK YOU WILL GO TO
ONE. WHY ONE THIRD YEAR LOW IS
OPEN. WE TRY NEXT CALLER IN. I'M
SORRY SOMETHING HAPPENED
EVERYBODY AND- WILL HAVE TO
PRESS ONE AND THEN ZERO. ONE
MOMENT ZERO AGAIN THANK YOU.
PHOTO LINE ONE SIXTY NINE YOUR
LINE IS OPEN. HI IT'S KERRY POLL
WITHOUT WHEN I WANT TO THANK YOU
FOR THE REALLY INTERESTING
HEARING AND THANK YOU FOR
SHARING YOUR PERSONAL CONCERNS
AND WHILE NOBODY HAD A CHAIR
THAT'S HOW BAD I WANT A BOAT
REAL QUICK FOR SUPPORT FOR ALL
FOR THE STAKEHOLDER PROPOSALS.
FIXING THE DDS FREE FOOD AND
ADJUSTING THEM IN THE DAY AND-
TO CONTINUE TO PROVIDE HIGH
QUALITY SERVICES IOS RATE
REFORM. DEALING WITH THE CORE
STAFFING FORMULA AND GETTING TO
THE ROOT CAUSE THE DISPARITIES
THANKS. SO MUCH THANK YOU NICE
COLOR. THANK YOU WHAT TO LINE
ONE IS SIXTY SEVEN YOUR LINE IS
OPEN. THE BLIND ONE SIXTY SEVEN
YOUR LINE IS OPEN. BEING A
MODERATE RIGHT THEY MET AT THE
CALIFORNIA COUNCIL BEHAVIOR HELP
PEOPLE BE HEALTHY BEING. OUR
MEMBERS PROVIDE BEHAVIOR. ALL
POPULATIONS ACROSS THE STATE
INCLUDING THOSE WITH COMPLEX
NEEDS. WE APPRECIATE TODAY'S
HEARING IN THE AGENDA OF THE
COMIC BOOK READER IN JAPAN
PANELISTS. I WORK FOR. THAT FOR
THOSE WHO CONSTRUCTS THE- TELL
THE PUBLIC THAT THE ABOUT. AND
MARKET RIGHT. LOCK ON A
CHRISTMAS ON THAT WHICH WE
BELIEVE WILL HELP ALLEVIATE OF
THE WORK FORCE. THANK YOUR CALL
MAY ARGUING. THANK YOU. THANK
YOU MEXICO CAROLINA ONE THAT
NINETY SEVEN YOUR LINE IS OPEN.
HI MY NAME IS KEN BACK PC K. I'M
THE CREATOR OF THE LA COUNTY
FIRE DEPARTMENT POCKETS IN THE
SPECIALLY THE WOMEN AROUND ON IT
I READ THE TALENT AND GIVEN THE
MONEY WE DON'T HAVE BECOME AN
IMPORTANT RESOURCE. IN THE
GROWTH AND PROGRESS MY OLDEST
FAMILY AND WITHOUT THE REGIONAL
CENTER WE WOULD NOT HAVE GOTTEN
IT. BACK NOT BECAUSE R. PETERSON
DID NOT DEFINE WITH DIAGNOSED IN
HAND WE HAVE THE SERVICES WE
NEEDED AND WITH THAT WE CAN LOOK
AT IT AT THE END AND BEGINNING
VERY EARLY INTERVENTION
IMMEDIATELY. AND CONTINUING TO
MAKE STRIDES AND CONTINUE TO I
ONLY HOPE FOR MORE FUNDING TO
HELP OTHER KIDS LIKE MINE THANK
YOU. SO MUCH THANK YOU SO MUCH
LESS COLOR. I HELLO. THANK YOU
NOT WE WILL GO TO LINE THIRTY
YEAR LINE OF THE- GLOBAL A MAN
FROM THE MOTHER OF A REGIONAL
CENTER CLIENTS. I REALLY FEEL
THAT DVS TELLING EVERY
CALIFORNIA IF YOU COULD REALLY
MAKE SURE THAT THE HABIT AND I
BELIEVE THAT THE FENNEC.
NATURALLY NO NOT IF ANY EVERY.
EVERY NON WHITE WHAT'S THE
PRICE- BY THAT PART LADY. WE
WILL NEED NOT NEED TO BE
DESCRIBED AS NON WHITE WE NEED
TO BE FIVE FIVE THE P. TWENTY A
PALESTINIAN. WE NEED THE
SERVICES YOU GUYS VOTED INTO
LAW. PLEASE MAKE SURE THAT.
FAMILIES REGARDLESS OF COLOR
HAVE SERVICES THEY NEED THANK.
YOU VERY MUCH THANK YOU SO MUCH
NEXT CALLER. THANK YOU NEXT
WE'LL GO TO LINE. TWO ELEVEN
YOUR LINE IS OPEN. NINE TO
ELEVEN YEAR LOOK WHAT YOU TOOK
YOURSELF OUT ON. THE I'M IN FULL
FROM CALIFORNIA I'VE BEEN NON
VERBAL TWENTY SIX YEAR OLD. ON
THE AUTISTIC CHILD. TAKEN BY THE
STATE THE DDS BASICALLY. IT
SHOWS ON CHANNEL TEN S. THE
THIRD. EDS NONCOMPLIANCE FOR
PARENTS WHO WANT THEIR CHILDREN
BACK. THE BOARD ANY EFFORT.
ANYONE WHO IS SUCCESSFUL IN
GETTING. FAMILIES BACK IN
CONNECTION WITH. THEIR CHILDREN
WHO HAVE BEEN- AND IS A BIG STEP
TO ALL OF THE CHANNELS HERE IN
CALIFORNIA. THE SUPPORT ANYONE
WHO CAN GIVE US HELP YOU GET
THIS CONNECTED CAR CHILDREN.
THAT YOU WANT THANK YOU FOR THE
HEARING I HOPE IT COMES OUT OF
THIS THANK YOU SO MUCH THANK YOU
THANK YOU. OUR NEXT CALLER
PLEASE. THANK YOU. NEXT WE'LL GO
TO LINE. SORRY TWO OH ONE YOUR
LINE IS OPEN. HELLO GOOD EVENING
MY NAME IS TO SELL MYSELF OUT OR
- START BY- ONE OF THE BIG TEN
OPENER THAN CALIFORNIA- I DID
FOR VIVIAN AND- WELL- .COM
DISABILITY- BECAUSE I FEEL.
FACTOR BUT IT COULD BE FOR THE-
IT IS- NOTICEABLE AND ANJA. I
FEEL THAT- THE TIME IS NOW FOR
CHANGES TO BE DONE AND- WOULD
LIKE TO. YOU KNOW CONTINUE TO
GIVE MY INPUT AND- FIGURED THESE
TWO THAT NEED TO BE ADDRESSED-
THE ISSUE IS IMPORTANT TO ME
BECAUSE- I FEEL LIKE THERE'S A
LOT OF PEOPLE THAT DON'T HAVE.
THE. RIGHT RESOURCES TO BE ABLE
TO STEP UP AND SAY WHAT'S ON
THEIR MIND THANK YOU WHAT'S UP
WITH ALL OF YOU. THANK YOU FOR
CALLING IN. THANKS CALLER PLEASE
. THANK YOU A LINE FORTY YOUR
LINE IS OPEN. HELLO MY NAME IS
LISA YOU I WOULD LIKE TO. A
REPORT. SERVICE COORDINATOR. THE
MAXIMUM AMOUNT OF SUPPORT THAT
YOU GET. FOR ME NOT NECESSARILY
MONETARY IMPORTANT BUT IT'S
MENTORING AND. OTHER
PROFESSIONAL SPORTS. ARM YOU
SHOULD ON ONLY GET A FEW. TO BUY
. IF YOU REALLY NEED TO BE. I'M
NOT COMMUNITY I YOU FOR TIME
THANK YOU SO MUCH LET COLOR.
THANKS CALLER THE ONE EIGHTY
YOUR LINE IS OPEN. HI THE
SENATORS I'M EVEN UP TO THE
MOTHER TO ENTER DIRECT- BUT I
THOUGHT HE LIVING AND SERVING
FAMILIES THE LADY THAT I HELPED
LEAD THE NETWORK OF THE FIRST
THINGS THAT SERVE. ALL FIFTY
EIGHT COUNTY GO TO A PARTY NCAA
DOT ORG TO FIND ONE IN YOUR
DISTRICT AND PLEASE COME BACK TO
VISIT AND HEAR ABOUT THE SUCCESS
RATE IS EXPERIENCING IN THE
COMMUNITY NAVIGATOR PROGRAM. AND
ALSO FOR YOU MADAM CHAIR WE'LL
BE IN TOUCH AND THAT'S A WAY FOR
YOU TO GET. OUT THANK YOU SO
MUCH FOR YOUR SERVICE PEOPLE OF
CALIFORNIA. LOOKING FORWARD TO
IT NEXT COLOR. THANK ONE NINETY
YOUR LINE IS OPEN. HELLO MY
NAME'S MARK PLANT EXECUTIVE
DIRECTOR OF THE CALIFORNIA
COMMUNITY LIVING NETWORK PPL
ONE. IN SHORT FOR THE MEDICAL
SERVICE IN THE PART OF THE
THINKING THAT BRAND. REALLY WE
SUPPORT ALL OF THE INCREDIBLE
INITIATIVES TO ADDRESS OUR
WORKFORCE SHORTAGE WOULD BE TO
MOVE OUT TO GET THE MONEY INTO
THE HANDS OF THE DIRECTOR. OF
PROFESSIONALS RIGHT NOW. FIVE
WEEKS BEFORE BEYOND THE CALL OF
THE BUDGET REQUEST FOR
INDEPENDENT LIVING SERVICE IS
GREAT. WE CAN'T LOSE ANY MORE
PROVIDERS OR DIRECT SUPPORT
PROFESSIONALS IN OUR SYSTEM
THANK YOU. THANK YOU NEXT CALLER
. THANK YOU. THE LINE EIGHT YOUR
LINE IS OPEN. THANK YOU. DEAR
AND MY SON IS THE TWENTY TWO
YEAR OLD BUT- MODERATE SEVERE
OFFICE. IS ALSO NEEDS COMPLEX
SHARING YOU CAN. DETERMINE THE
FACTORS. WHICH WE'VE BEEN
WAITING A LITTLE. OFF. THIS IS
NEW FOR US- BRITISH ENGLISH THE
FIRST ONE HE WITH US PROGRAM
THAT WE- WITH TO ONE OF THE
ISSUES THAT I'M VERY DIFFICULT
FOR US TO FOLLOW THROUGH ON THE
WRAPAROUND SERVICES THEN. MY SON
WAS FINALLY APPROVED OR- AND
WE'RE STILL IN LIMBO WITH THE
PROVIDER AND SH. ALTHOUGH HE'S
APPROVED AND EACH THERE'S JUST.
YEAH WE'RE GOING FOR THEIR FIRST
SUMMIT TWENTY YEARS OLD AND
DOESN'T HAVE. OTHER SERVICES
THAT SUPPORT FOR SOCIAL NEEDS
AND- THAT KIND OF THING THANK
YOU SO MUCH THANK YOU FOR
CALLING IN APPRECIATE YOUR
PATIENCE. THANKS CALLER PLEASE
THANK YOU MATT. GODINE. ONE
FIFTY NINE. HI MY NAME IS EMMA
VIA AND THE PARENT OF THE CHILD
THE REGIONAL CENTER IN. ORIGINAL
FINISH THE THING IS I DID FIND A
BARRIER TO CORRECT THIS REGIONAL
BOARD POLICY SHOULD NOT. ENACT
ENHANCED WE NEED. BOTH THE BOARD
MEMBERS WHAT REGIONAL CENTER
APPOINTED BOARD MEMBERS I THINK
HE HAS TO HAVE BETTER OVERSIGHT
OVER THE REGION I DON'T LIKE
RACIAL ETHNIC AND GEOGRAPHIC
DISPARITIES. WOULD BE THE
BARRIERS TO BE BROKEN DOWN.
BARRIERS AND DISPARITIES
NEGATIVELY IMPACT THE WHOLE
FAMILY KEY PARTICIPANTS IN A
CONSTANT STATE ATHLETE. THANK
YOU THANK YOU THANKS CALLER.
THANK YOU GO TO A ONE EIGHTY
YOUR LINE OF. THANK YOU FOR YOUR
TIME TODAY I'M DEBORAH ADLER TO
APPEAR IN CAREGIVER OF THE YOUNG
PEOPLE. AT GOLDEN GATE REGIONAL
CENTER IN THE BAY AREA MANY
PEOPLE HAVE EXPRESSED HOW MUCH
ENTRY LEVEL SERVICE COORDINATORS
GET HEY AND THE RATES GO UP HIS
MANAGER. WHAT'S THE ADDRESS AND
A CHANGE NEEDS TO HAPPEN OR WE
WON'T. WE DON'T WANT TO FIND OUT
IF THIS DOES NOT HAPPEN WE NEED
TO TAKE CARE OF OUR WORKERS AND
ALL PEOPLES WE CAN DO BETTER.
THANK YOU NEXT CALLER. THANK YOU
WHY NOT. ONE SEVENTY TWO- THE
NINE. OKAY HI MY NAME IS MR
GATHERS- I MUST NOT HAVE A GET.
THAT WORKS BY FIFTY- SITE I
AGREE LIKE THAT- THE BERRIES ARE
AN ISSUE I'M LIKE- WELL ONE OF
MY GO FIGURE OUT IS- WE DID
LIKE. DOCUMENT FIGURE OUT WHERE
THE PEOPLE ARE FALLING THROUGH
THE CRACKS AND- HOW LIKE
DIFFERENT M. THE QUALITY OF
DINNER SO DIFFERENT BETWEEN
DIFFERENT AREAS AND DIFFERENT
LEGAL CENTERS. MIKE- YEAH SO- WE
NEED TO FIGURE OUT WHAT WOULD
YOU LIKE TO STANDARDIZE THE
NIGHT MAY HAVE BEEN BROUGHT UP
ALL COMPANIES. THANK YOU THANK
YOU NEXT CALLER. THANK YOU AND
OUR NEXT CALLER IS GONNA COME
FROM ONE FORTY FIVE YOUR LINE IS
OPEN PLEASE GO AHEAD. IN FACT.
REQUIRED BY. ONE FORTY FIVE. WE
WILL MOVE ON TO LINE ONE HUNDRED
LINE IS OPEN. NOT NOT NOT. FOR
THE KIDS. BUT IT'S NOT A BAD.
THANK. HE. WHAT I. WE'LL WAIT
FOR. I THINK IT PEOPLE. YES YES
THANKS CALLER PLEASE. THANK YOU
WILL GO TO LINE ONE FIFTY FOR
YOUR LINE IS OPEN. ONE ONE FIFTY
FOUR YOUR LINE IS OPEN. WILL
MOVE ON TO LINE ONE TWENTY YOUR
LINE IS OPEN. THANK YOU MELISSA
CORTEZ ON BEHALF OF AUTISM
SPEAKS I FIRST WANT TO COMMENT
BRIEFLY ON IF YOU WANT TO SET
MINIMUM WAGE PHASE IN PLAN WE
ASK THAT THIS COMMITTEE ENSURE
THAT THERE IS AN ACTUAL PLAN IN
PLACE NOT JUST RECOMMENDATIONS-
INDIVIDUAL PLANS FOR THOSE ON
FOURTEEN P. EMPLOYMENT BEFORE
THEY ARE PHASED OUT WE ALSO WANT
TO OFFER OUR FULL SUPPORT FOR
THE AUTISM SERVICES BRANCH. I
DON'T KNOW IF YOU SAW BUT TODAY
THE CDC CAME OUT WITH NEW
PROBLEMS RATES AND THERE'S NO
ONE IN THIRTY SIX CHILDREN THE
U. S. WILL BE DIAGNOSED WITH
AUTISM AND NOTABLY HIGHER RATES
AMONG MINORITY GROUPS. WE
BELIEVE THIS BRANCH LOCAL ALONG
WITH EVERYTHING THOSE CHILDREN
AS WELL IT'S ALL THANK YOU ALSO
WANT TO OFFER SUPPORT FOR THE
IOS AND THE RATE STUDY ADDENDUM-
INDUCED. COLOR PURPLE THANK YOU
THANK YOU. I THINK THE FOOD
THANKS CALLER THANK YOU AND I.
WE WILL GO TO LINE TWO FOUR YOUR
LINE IT'S- WHEN I'M IN. WE SEE-
ONE OF SEVEN NUMBER. ARE NOT
EASILY MONITOR THOSE WITH MORE
TRACTION ON IT THROWN AT IT IF
YOU'RE SITTING HERE TODAY IF YOU
THINK IT'S FINE YOU. CAN KEEP IT
UP OR YEAH IT WAS COMMON THAT
USED THE TO COME INTO THE LEVEL
THAT THE BENCHMARK ENGINEER WILL
. ENGINEER FERNANDO GOMES. YOUR
DOCTOR THE MAR. IS NOT GOING TO
HAPPEN EXACTLY THAT'S GIVING ME
MOST DARLA ELSE. LOOKING TO HEAR
ACTION FROM THEM. WHICH ADDRESS
. THE CALLER PLEASE. THANK YOU
GO TO LINE TWO THIRTEEN YEAR
ITSELF. HE WENT TO. ONE US. SIX
SIX. ONE OF MEAN I'M WITH THE
FUNERAL THING THAT IT LOSE
CALLED IT THE EMAIL IF NOT
INVESTORS ARE. YEAH IF THEY COME
IN YEAH YOU'LL BE MUCH NUMBER
ONE MEDIA. THE WITH THE DENTIST
LOOKS AT IT YOU WILL. A LOOK AND
THINKING IN. IN. THEN I MEAN OF
THE STANFORD BACK TO I THINK YET
. THE. OKAY SO APTLY M. BETTER
YES YES I DID GET THE NAME OF
THE NEW GUYS CAN HAVE A FULL
WEEK FOR THE.
HELLO THANK YOU WOULD MOVE ON TO
A LINE OF FIFTY YOUR LINE IS
OPEN. FOR HEATING. THE NUMBER OF
MINE FIFTY A LOT IS OPEN. WHEN
ALL. GO AHEAD. OKAY NOT BAD AT
ALL NOBODY FROM MY FAMILY.
MARKETED GLOBAL ECONOMIC. ARE
YOU A GOOD MARK NUMBER CALL ME
FEATURED FIFTY MILLION PEOPLE A
LOT GOING TO GET A PHONE NUMBER
THE LAST. PARTY THAT HE LEFT THE
WATER BACKED UP FROM THE AMBUSH
. YEAH THE ONLY. I'M NOT IN THE
DIRECTION FROM OUR- FIVE EIGHT.
IN A BALANCED PRODUCT THAT WE
OVER HAVE EXTENSION BE OUT OF
THE TEAM OKAY THANK YOU MY THEY
SAY I'M SINCE FROM GOODNESS DATA
ELECTRIC EQUIPPED. THE IMPENDING
. BALANCE OF THE THANK IT'S A
LONG TIME AGO TO PLEASE YOURSELF
PERFECT. RADICAL FROM ABOUT THE
STUDY THAT DID IT THE ONE THAT
MONEY THAT HE I'M NOT HAPPY WITH
THE PEOPLE IT WAS. IN THE
DECIDING WHAT IS ON WHICH IS
CORRECT YES. OF NEXT CALLER
PLEASE. THANK YOU THANK YOU LINE
TWENTY ONE LINE AT THE- FOR YOU
TO GET IT RIGHT. THANK RIGHT TO
TWENTY ONE YOUR LINE IS OPEN.
BUT I DON'T EVEN KNOW OF MANY I
DOING IS- SO YOU GET THE OF THE
- WE THOUGHT YOU KNOW INTO IS.
SAME SERVER HUMANITY IN ORDER TO
A MODEL FOR. YEAH ARE YOU
INVESTING KNOWLEDGE OF THE MARK
IN AND THEN THE WHO IN NOTRE
MEDIUM HAND WHICH IS MUCH
SIMPLER A GOOD TIME. WHICH IS
MUCH LESS AS MODERATE WE'RE
GOING THE NEXT COLOR COULD YOU
GIVE ME UPDATE MANY COLORS WE
HAVE. LEFT YES RIGHT NOW WE HAVE
FOR A Q. GREAT THANK YOU SO MUCH
NEXT COLOR. IN THE PAST THANK
YOU WE'LL GO TO LINE TWO TWENTY
YOUR LINE IS OPEN. LINE TWO ONE
THREE YOUR LINE IS OPEN. AND WE
WILL MOVE ON TO LINE ONE EIGHTY
ONE YOUR LINE IS OPEN. GOOD
AFTERNOON MADAM CHAIR I'M A
PARENT OF AN INDIVIDUAL WHO HAS
AUTISM AND A DECLINE OF ONE OF
THE REGIONAL CENTERS I WANT TO
THANK YOU FOR SHARING YOUR
PERSONAL STORY. IT WAS VERY
TOUCHING AND IT WAS REFRESHING
TO HAVE SOMEONE IN A POSITION
LIKE YOURS WHO TRULY UNDERSTANDS
THE STRUGGLES THAT PARENTS GO
THROUGH. YOU WERE RIGHT ON THE
REGIONAL TENNIS IS THAT IT'S NOT
WORKING FOR COMMUNITIES OF COLOR
THAT'S ENOUGH FAMILIES CONTINUE
. TO RECEIVE LESS THAN HALF
SERVICES. EACH DATA IS IN THE
PROCESS OF DOING THEIR PEERLESS
DATA PRESENTATIONS RIGHT NOW AND
TRULY WE DON'T WE'LL BE
PRESENTATIONS ANYMORE WE ALL
KNOW ABOUT. READY FOR THAT
REPORTING WHAT WE ALREADY KNOW.
I AM BY AND THE WRECKED THE
BARGE MANAGE ANY WEIGHT GAIN TWO
POINT EIGHT AND I KEEP WAITING.
FOR THAT EIGHT YOUR FIRST HAND
THE LACK OF TRAINING LACK OF
LINCOLN THANK YOU SO MUCH AND
THAT MANY OF THE SERVICE FOR
NADER'S HAPPENING CLIENT AT
FIRST ALSO KNOWN LINK YOU
SOMEONE YOU'RE GONNA I CAN
APPRECIATE. YOUR COMMENTS WE
HAVE TO MOVE ON TO THE NEXT ONE.
THANK YOU WE HAVE LINE TO TWENTY
FIVE YOUR LINE IS OPEN. ONE OF
THE NUMBERS SO THAT MEMBERS
LET'S LISTEN. C. HELLO. I'M NEW
TO YOUR BILLING MODEL MANUAL
THANK GOODNESS THAT WE. WENT
FROM THERE TO HERE NOT. I
LOOKING FOR SOME THAT YOU. AND
GOT ONE THE COURT FOR THE SELECT
THE PARTICULAR BUT I THOUGHT HE
SAYS BUT HE THAT IS. IN NEED OF
. SOME GOD. I DON'T REMEMBER THE
EXACT AMOUNT OF THE TO THE
MORTGAGE. OKAY LOOK HELLO TO
CALL YOU THAT ARE YOU SENT IT A
MESSAGE GROUP WILL BE OPEN YOU
IS A LITTLE. BIT I'M MAN SMITH
AND- FOR THAT MATTER IT. IS
DIFFERENT THAN NUMBER YOU WHAT
DID YOU THAT MY A SUB. WHICH IS
GONNA IMPORTANT YEAH YEAH. BY
YES THANK PLEASE BUT. THANK YOU
. AN UPDATE HAVE SIX INTO NOW.
AND WE HAVE ONE SEVENTY. FOUR
RIGHT AT THE OPEN SO SORRY MINOR
WE'RE DO FOR ANYONE ON Q. GONNA
DO. BUT DON'T WAS IN MY BEST BET
ON IT YOU THOUGHT WERE GONNA DO-
TIMMERMAN OF COMMENT. GO AHEAD
VERY GOOD. HELLO THANK. WHEN I.
GETTING WE COME IN TO SEE. WHAT
ARE THE NUMBERS I'M- HE DON'T
SEE WHAT SOME OF THESE SMALL.
THEY ARE CONVINCED THIS IS- THE
LAST. YEP WE ON THE WITH A MORE
YOUR AND THAT THE- AND YOUR CARD
NUMBER FOR ME. THE MARK. IT HERE
YEAH I'M- YOUR ANOTHER THING ON
YOUR OWN IT LET YOUR IT HAPPENED
BACK IN MONTH OF THE COLOR. WHAT
YOU WANT TO BE A BIT LOUDER. I'M
NORMAL- THAT'LL OF FIFTY EIGHT
GOOD ONE BYE IT'S A IT'S- IN
EIGHTY EIGHT FROM. HE ABBOTT ALL
OUT OF IF YOU WANT TO PRETEND IT
WAS. I COL AND MY- FUND IN YOUR
- VIA CABLE. IS IT TIME MAYBE
ALONG- I YOU THE BUT I- SO THAT
I YEAH ONLY BECAUSE TRYING IS
BEING THAT ARE GOING TO KNOW
THAT THAT'S OFF THE COURT I CAME
WITH IS LESS IS MUCH. NEXT
CALLER PLEASE. THANK YOU WILL GO
TO A SIXTY NINE CAROLINE OPEN-
THE YES MY NAME IS TO ADVANCE
I'M A MOTHER OF THE- SCIENCE OF
HEALTH AND REGIONAL VENT I'M
HERE. OR FRANCE OR AMERICA
BUILDING MARKED THE VM THANK
YOU. THANK YOU SO MUCH FOR
CALLING NEXT COLOR. THANK YOU
WILL GO TO LINE ONE THIRTY SEVEN
YOUR LINE IS OPEN. WHAT A FELONY
NUMBER THIRTY SEVEN MEMBERS
SATURDAY LOOK INTO THE INSURANCE
AND THEN. STOP WHAT YOU WANT AND
YOU KNOW WE'LL ALLOW WILL THAT
BE VIA AND LESS THAN I DO THE
MATH IS A YOUNG BUT MY MOMENT.
THIRTY ONE OTHER LET'S SEE DOES
HE WON THAT BATTLE THE FINAL. IT
FOLLOWED UP WITH LAKERS ON
BUTTONS. THANK YOU. WHICH IS
GONNA SEE THIS NEXT COLOR. THE
WATER LINE IS SEVENTY NINE YOUR
LINE IS OPEN. YEAH I KNOW IT.
BEEN UP. AND AT IT- BUT- DON'T
WORRY ABOUT IT WE- THEY ALSO
NEED THE MOTOR V. EIGHT DEAR TO
GOD ALL. OTHER PEOPLE IN THE
MEDIA. UNITED KINGDOM WITH A LOT
OF HE IS T. PEOPLE WHATEVER. AND
THEY ALWAYS BE LESS SEE THAT
PREVIOUSLY TOLD ME ON THE THAT I
AM CALLING I AM KOREA ON THIS
PEOPLE. THE COME TRY. WE WANT TO
BE RESPOND JOURNAL WITH YOU DEAR
. OUT ON. WE HAVE A DEEP BECAUSE
IT'S PICKING AND IT DOES TENDING
SHOULD YOU DECIDE TO CALL TO
FOUR. WE DON'T BACKGROUND COURT
ON CALL. TRUST TO STALL AT.
PROGRAM WE NEEDED TO DO YES THE
HEADS THANK. YOU THANK YOU SO
MUCH FOR CALLING MEXICO. THANK
YOU ABOUT LINE OF TO. NINE WHEN
I WAKE ME NUMBER THIRTY NINE
FROM NINE THE ONLY PUT I'M
HAVING. WE GET AT IT IN YOUR- IF
THEY- I'M GETTING I MEAN TO BE
BACK WHICH IS GONNA. THAT'S
CALLER PLEASE. THANK YOU OVER
THE LINE ONE FOUR NINE. THANK HI
MY NAME IS MARIA AND MY DAUGHTER
BELOW TO OUR REGIONAL. AND I
JUST WANT TO SAY TO HELP AND
SUPPORT JUDY AND FERNANDO AND
WELL WE REALLY NEED YOUR HELP.
BECAUSE YEAH I WOULD YOU KNOW
NEVER CALLED ME BACK WITHIN
FIFTEEN MINUTES OF FAME. THANK
YOU THANK YOU THANKS CALLER.
THANK YOU. NEXT WE'LL GO TO LINE
AT TWO THIRTY TWO YOUR LINE IS
OPEN. YES HI I'M CALLING FROM
CALIFORNIA AND I WANT TO DIRECT
EVERYONE AND ANYONE WHO IS
AFFECTED WITH THE DISABLED
PERSON. YOU TOO BUT THEY SHOW
THE PRICE OF THE CARE TAKEN BY
THE STATE. IT'S DOWN TEN MINUTES
HERE IN CALIFORNIA IT'S ALL
ABOUT THE REGIONAL CENTERS
VENDORS RESIDENTIAL HOME.
SERVICES ALL OF IT PLEASE DIRECT
YOUR ATTENTION TO THAT SHOW AND
YOU TO THAT. OKAY IT'S VERY
IMPORTANT FOR ALL OF US NEED TO
WATCH. ALERTS PUBLIC TV SHOWS
CONCERN YOU SO MUCH FOR. TALKING
TO YOU NEXT CALL THANK YOU. BUT
THANK YOU FOR THE LINE TO THIRTY
FIVE YOUR LINE IS OPEN. WHEN
ASKED THAT IT BE KNOWN THAT MUCH
ABOUT THIS THING ABOUT IT IN THE
MAIL IT'S A COMMUNITY CENTER TO
MAKE THE MASS. THE SALE FOR
PUBLIC AT THE D. S. I DON'T KNOW
IF THE POLICE DON'T MUST. SEE
THE ADULTS AND THE RECOMMENDED
ARTICLES IT'S GOT THE LOOK AT A
BUSINESS IN THE BUSINESS OF THE
BANK THAT'S YES. WHICH IS GLASS
HAS FIXED COLOR. THANK YOU AND
WE HAVE NO FOR BUT THE COMIC YOU
. THANK YOU MODERATOR. I HAVEN'T
HEARD FROM ALL THE MEMBERS. ARE
FROM PUBLIC COMMENT CENTER OFF
ANY FINAL THOUGHTS FOR YOU OKAY.
PERFECT YEAH. UNLESS YOU KNOW
THAT ADDRESSES A LOT OF MONEY TO
GET THE MONEY TO GAMBLE BUT I
NEED A KEY- YOU CALL ME BABY OF
LIVE BISS RESTORED YEAH. IS YOU
KNOW. SOME OF MODEST GET THE
MORE MUST BE IMPLICATED ANOTHER
MASS. BUT THAT WE GOT TO SEE
KIDS WHO SEE HOLES. IN THE LAWN
THE RECORDS OF MISSISSAUGA GOES.
THROUGH FIVE- SAKE LIST LET ME
MEET ME PROMISE I'LL STAY THIS
IS BILLY I'M CONVINCED THAT THIS
ONE IS THIS PROGRAM US- I WHEN I
THINK OF THE MOMS ESPECIALLY WHO
CAME OUT- WE- WE ALWAYS PUT ON
WE SEE THE MOMS WHO GET ON SO
MUCH TIME IN. THE DIETS TO A TO
RELIEVE. YOU KNOW. FIVE FOR THE
RESOURCES THAT THE CHILDREN
DESERVE AND I COMMEND THEM AND.
I PROMISE TO BE A PARTNER WITH
YOU. THANK YOU TO PARTICIPATE IN
PUBLIC'S TEST TO A TODAY. YOU
KNOW IF YOU WERE ON. TO COME IN
PERSON OR DAD GIVE A COMMENT
THROUGH TELECONFERENCE AS A
REMINDER YOU CAN DEFINITELY
WRITE IT IN. AND SUBMIT TO THE
BUDGET IN FISCAL REVIEW
COMMITTEE ON OUR WEBSITE YOUR
COMMENTS ARE SUPER IMPORTANT TO
WHAT'S IN OUR PREVIEW
PARTICIPATION. BROKE A RECORD
OVER SEVEN HOURS TODAY THANK YOU
FOR. JOINING ME- WITHOUT. SEPT
THREE ON HEALTH AND HUMAN
SERVICES IS ADJOURNED.