HomeMy WebLinkAboutMINUTES - 05142013 - C.36RECOMMENDATION(S):
APPROVE and AUTHORIZE the submittal of the Contra Costa County Area Agency on Aging 2013-2014 Area
Plan Update to the California Department of Aging for aging and adult services and AUTHORIZE the Chair, Board
of Supervisors to sign the Letter of Transmittal.
FISCAL IMPACT:
Not applicable. To secure future funding, the State must receive and approve the Area Agency on Aging Area Plan
Update.
BACKGROUND:
The Area Agency on Aging (AAA) is required by the State to develop and submit a comprehensive four-year area
plan and subsequent updates to continue to receive State funding for aging and adult services. The State will
determine funding levels based upon county submissions.
CONSEQUENCE OF NEGATIVE ACTION:
Without submission of the Area Agency on Aging Plan Update, future funding would be impacted.
CHILDREN'S IMPACT STATEMENT:
Not applicable.
APPROVE OTHER
RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
Action of Board On: 05/14/2013 APPROVED AS RECOMMENDED OTHER
Clerks Notes:
VOTE OF SUPERVISORS
AYE:John Gioia, District I Supervisor
Candace Andersen, District II
Supervisor
Mary N. Piepho, District III
Supervisor
Karen Mitchoff, District IV
Supervisor
Federal D. Glover, District V
Supervisor
Contact: Elaine Burres,
313-1717
I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the Board
of Supervisors on the date shown.
ATTESTED: May 14, 2013
David Twa, County Administrator and Clerk of the Board of Supervisors
By: Stacey M. Boyd, Deputy
cc:
C.36
To:Board of Supervisors
From:Kathy Gallagher, Employment & Human Services Director
Date:May 14, 2013
Contra
Costa
County
Subject:Area Agency on Aging 2013-2014 Area Plan Update
ATTACHMENTS
AAA Area Plan 13-14
Update
1
Contra Costa County
Area Agency on Aging
2013-2014
Area Plan Update
Submitted by
John Cottrell
Area Agency on Aging Director
PSA #07
2
TABLE OF CONTENTS
________________________________________________
Transmittal Letter (Will submit upon receipt of Board signatures) ............................... 3
Area Plan Checklist ..................................................................................................... 4
PART ONE: DESCRIPTION OF RELEVANT CHANGES
Narrative Description of Changes ............................................................................... 5
Section 21: FY 13-14 Area Agency on Aging Organizational Chart ............................ 7
Section 7: Public Hearing ............................................................................................ 8
PART TWO: GOALS AND OBJECTIVES
Updated Goals and Objectives .................................................................................... 9
PART THREE: SERVICE UNIT OBJECTIVES
Title III/VII .................................................................................................................. 22
Ombudsman Outcomes ............................................................................................ 27
Title VIIB .................................................................................................................... 33
Title III E .................................................................................................................... 35
Health Insurance Counseling Advocacy Program ..................................................... 38
PART FOUR: SECTIONS 11-20
Section 11: Community Focal Points ......................................................................... 42
Section 12: Disaster Preparedness ........................................................................... 44
Section 14: Notice of Intent to Provide Direct Services .............................................. 46
Section 17: Advisory Council ..................................................................................... 47
Section 18: Legal Assistance ..................................................................................... 50
Section 20: Family Caregiver Support ....................................................................... 53
PART FIVE: APPENDICES
Appendix I - Public Hearing Minutes .......................................................................... 55
Appendix II - I&A Survey ............................................................................................ 61
3
TRANSMITTAL LETTER
Four-Year Area Plan
2012-2016
AAA Name: Contra Costa County Area Agency on Aging PSA 7
This Area Plan is hereby submitted to the California Department of Aging for approval. The Governing
Board and the Advisory Council have each had the opportunity to participate in the planning process and
to review and comment on the Area Plan. The Governing Board, Advisory Council, and Area Agency
Director actively support the planning and development of community-based systems of care and will
ensure compliance with the assurances set forth in this Area Plan. The undersigned recognize the
responsibility within each community to establish systems in order to address the care needs of older
individuals and their family caregivers in this planning and service area.
1. (Type Name) Federal D. Glover
____________________________ _______________
Signature: Governing Board Chair 1 Date
2. (Type Name) Dr. Robert Leasure
_____________________________ ________________
Signature: Advisory Council Chair Date
3. (Type Name) John Cottrell
_____________________________ ________________
Signature: Area Agency Director Date
1 Original signatures or official signature stamps are required.
4
2013-2014 AREA PLAN UPDATE (APU) CHECKLIST
(Revised December 2012)
AP
guidance
Section
APU Components (To be attached to the APU) Check if
Included
Update ALL of the following ANNUALLY:
N/A APU-(submit electronically only)
N/A Transmittal Letter-(must have original signatures or official signature stamp)
2, 3 or 4 Estimate of the number of lower income minority older individuals in the PSA for the
coming year
7 Public Hearings that will be conducted
N/A Annual Budget
10 Service Unit Plan (SUP) Objectives
If there has been a CHANGE from the 2012-2016 Area Plan or if the section was not included in the 2012-2016 Area Plan, update the following:
Mark
Changed/Not
Changed
(C or N/C)
C N/C
5 Minimum Percentage/Adequate Proportion
5 Needs Assessment1
9 AP Narrative Objectives:
9 • System-Building and Administration
9 • Title III B-Funded Programs
9 • Title III B-Transportation
9 • Title III B-Funded Program Development/Coordination (PD or C)
9 • Title III B/VIIA- Long-Term Care Ombudsman/Elder Abuse Prevention
Program
9 • Title III C-1
9 • Title III C-2
9 • Title III D
20 • Title III E-Family Caregiver Support Program
9 • Title V-SCSEP Program
9 • HICAP Program
14 Notice of Intent-to Provide Direct Services
15 Request for Approval-to Provide Direct Services
16 Governing Board
17 Advisory Council
18 Legal Assistance
1 Prior to the development of the 2016-2020 Area Plan at least one Needs Assessment must be
conducted.
5
PART ONE: Narrative Description of Changes
The automatic, across-the-board spending cuts, known as sequestration, cast a pall over 2013. For
months, staff and clients of Contra Costa County Area Agency on Aging (AAA) and the Aging Services
Network anxiously braced for the impact of federal budget cuts to Older Americans Act (OAA) services.
Now that the cuts are in effect, we are grappling with how to handle it.
The level of the cuts varies by service. As an example, services such as congregate and home-delivered
meals sustained significant cuts in comparison to smaller cuts to health promotion. Unfortunately, any
level of cuts can be devastating because agencies that provide OAA services are already operating with
minimal funding. Difficult decisions about reducing services and staffing levels will have to be made.
The full impact of the cuts to OAA services in Contra Costa County is still unclear at the time this Area
Plan Update was written. In general, the outlook is troublesome. The AAA staff is working with service
providers to come up with strategies to minimize the effect of the cuts, particularly to at-risk seniors who
depend on services such as home-delivered meals, rides to medical appointments, and other essential
support services to remain independent and safe at home.
Addressing the negative impact brought on by the sequestration will be a major focus for the AAA and
the Aging Services Network in FY 2013-2014. Fortunately, there are some bright spots to focus on as
well:
Customer Satisfaction Survey
The Information & Assistance (I&A) program received excellent feedback in a customer satisfaction
survey. Ninety-three I&A callers participated in the survey, which was conducted over the phone by a
volunteer during a two month period. Survey participants were randomly selected from I&A’s database
of callers.
Over 93% of surveyed callers reported being very satisfied or satisfied with the assistance they received
from I&A. They rated the social workers’ ability to listen and understand the nature of their calls as
excellent (69%) or good (25%).
Of the callers that were surveyed, a large majority (69%) were referred to other services that met their
needs. A small percentage (7%) reported that their needs were not met by the referrals. While the I&A
phone tree system’s ease of use were rated by a majority as either easy (52%) or average (32%).
A resounding majority (97%) of those surveyed said they would call I&A again if the need arises. (See
complete survey results in Appendix II.)
Professional Exchange Roundtable
For the purpose of promoting learning about community resources to Contra Costa County Aging &
Adult Services personnel, the Information and Assistance (I&A) program is presenting quarterly
“Professional Exchange Roundtable” meetings. These meetings will also serve as a venue for Aging &
Adult Services personnel to come together, meet, and network with colleagues for sharing of information
and ideas to improve customer service.
6
Each meeting will focus on a different topic of interest. The first meeting took place on March 28, 2013
and the topic of discussion was free and low cost legal services. Guest presenters from Senior Legal
Services, Bay Area Legal Aid, and Rubicon shared important information about the types of legal services
they offer and the eligibility requirements for accessing them. About 17 personnel from Adult Protective
Services, Medi-Cal, Information & Assistance, Health Insurance Counseling and Advocacy, Area Agency
on Aging, and In-Home Supportive Services participated in the meeting.
Health Insurance Counseling and Advocacy Program (HICAP)
The Health Insurance Counseling and Advocacy Program (HICAP) continue to strengthen its operations.
It currently has over 30 registered counselors, who now include individuals able to speak languages other
than English. Outreach into the Chinese and Farsi-speaking communities has become possible. We have
realized this by going to senior housing with predominantly mono-lingual Chinese speakers and have had
our Chinese counselor both translate for our experienced staff members and conduct her own independent
counseling. Our Farsi speaker has handled individuals via phone counseling.
Because HICAP is on the front lines of identifying possible misuse, abuse, fraud and assists Medicare
beneficiaries in filing appeals for claims denials, the program can identify practices that appear to be
systemic, not just individual in nature. Advocacy efforts in the past year have included contacting the
Centers for Medicare and Medicaid Services (CMS) about a health plan’s unfair billing practices. CMS
agreed with us and put the plan on a corrective action plan and they had to refund the patients’ out of
pocket costs.
Another billing practice that is live at this moment involves an ambulance company. If a ride is
determined to be “not medically necessary” Medicare will not cover it nor will any Medigap policy.
HICAP is seeing increasing numbers of Medicare beneficiaries who are personally liable for their
emergency transport via ambulance. HICAP is able to initiate an appeal and has had a high success rate
in getting the ambulance company to change its inputting of information which results in a determination
of being “medically necessary” and then getting Medicare to cover the ride. It is in the company’s
financial interest NOT to have Medicare pay. The difference in cost is roughly $600 in Medicare
payment or $1900 for an individual’s liability. As a result of this advocacy, the ambulance company has
agreed to bill Medicare beneficiaries only the Medicare-approved amount for rides thereby saving
beneficiaries thousands of dollars.
For calendar year 2012 HICAP saved its clients a potential $2,100,203.74 if every client followed the
information we provided.
7
John Cottrell
Director
Indirect
Lori Larks
Division Manager
40% Admin, 10% IIlB Direct
50% other EHSD Programs
HICAP - Ruth Atkin
Sr. Staff Assistant
100% HICAP
Information & Assistance
Nhang Luong
Sr. Staff Assistant
32% Admin, 68% IIlB
Doreen Gaedtke
Sr. Staff Assistant
65% Admin, 35% IIIB
Stella Wu Chu
Nutritional Consultant
Leona Hartmann
Fiscal Officer
Admin Assistant III
Indirect
HRA/Tax-Aide and Secretary
LaVerne Gordon-Volunteer
Jaime Ray, Secretary
100% Admin
Scott Danielson
Sr. Staff Assistant
52% Admin, 48% IIIB Direct
Alice Levy
Social Worker
89% IIlB Direct, 11% IIIE
Michael Forman
Social Worker
89% IIlB Direct, 11% IIIE
Lynette Aylsworth
Social Worker
89% IIlB Direct, 11% IIIE
Leah McIntosh
Staff Assistant
100% Hicap
Pam Brown
Consultant
Diane Whaley
Consultant
Advisory Council on Aging
Advisory Council Planning
Committee
SECTION 21 - ORGANIZATION CHART (Estimated Budget Percentages)
8
SECTION 7. PUBLIC HEARINGS PSA 7
At least one public hearing must be held each year of the four-year planning cycle.
CCR Title 22, Article 3, Section 7302(a) (10) and Section 7308, OAA 2006 306(a)
The following must be discussed at each Public Hearing conducted during the planning cycle:
1. Summarize the outreach efforts used in seeking input into the Area Plan from
institutionalized, homebound, and/or disabled older individuals.
- Notices in newspapers
- Outreach to individuals and agencies in AAA’s Aging Network, which includes representatives from
skilled nursing facilities and older adults who are homebound and/or disabled
2. Were proposed expenditures for Program Development (PD) and Coordination (C) discussed?
X Yes. Go to question #3
Not applicable, PD and C funds are not used. Go to question #4
3. Summarize the comments received concerning proposed expenditures for PD and C:
An attendee suggested for future planning that the AAA look at the needs of older adults who don’t
have children. This population is likely to have less family support and might need more
interventions in comparison to older adults with children.
4. Attendees were provided the opportunity to testify regarding setting of minimum
percentages of Title III B program funds to meet the adequate proportion funding for Priority
Services
X Yes. Go to question #5
No, Explain:
5. Summarize the comments received concerning minimum percentages of Title III B funds to
meet the adequate proportion funding for priority services. There were no comments regarding
this issue.
6. List any other issues discussed or raised at the public hearing. An attendee expressed
appreciation for Senior Legal Services for successfully resolving an issue on his behalf. A comment
was made about the importance of having transportation options for seniors who don’t drive. Lastly,
a comment was made to bring attention to a new mandate related to how psychotropic medications
are handled in nursing homes.
7. Note any changes to the Area Plan which were a result of input by attendees. None; there was
no opposition to any part of the Area Plan.
2 A translator is not required unless the AAA determines a significant number of attendees require translation services.
3 AAAs are encou
Fiscal Year Date Location Number of
Attendees
Presented in
languages other
than English? 2
Yes or No
Was hearing held
at a Long-Term
Care Facility? 3
Yes or No
2012-13 March 21,
2012 500 Ellinwood Way,
Pleasant Hill, CA 94523 44 no no
2013-14 March 20,
2013 500 Ellinwood Way,
Pleasant Hill, CA 94523 28 no no
2014-15
2015-16
9
PART TWO: Goals and Objectives (see changes in red)
GOAL # 1
The AAA is committed to assisting older individuals (who may be in danger of losing their
independence) so they can lead meaningful, dignified, and independent lives in their own homes
and communities as long as possible. AAA will accomplish this through an accessible range of
options including but not limited to, collaborative efforts, decision making among public, private,
voluntary, fraternal organizations, and coalitions, for continuing the development and
enhancement of a comprehensive and coordinated community and home based system of care.
RATIONALE
The AAA conducted needs assessments and through analyses of the results of completed surveys
found the AAA was asked to provide program development, coordination, and technical
assistance.
OBJECTIVES
Projected
Start &
End Dates
Title III B
Funded
PD or C
Status
1. Aging and Adult Services Staff Assistant, Sr. Staff
Assistants, and Division Manager will actively participate in
monthly Senior Coalition meetings to assist in the
development and implementation of coalition activities by
working with members of each coalition to develop and
maintain community events, forums and other activities
supportive of seniors in Contra Costa County.
7/1/13-
6/30/14
C Continued
2. Aging and Adult Services Staff assistant, and Sr. Staff
Assistants will actively participate in the Senior Coalitions
to identify and prioritize senior needs by providing
technical assistance by working with Coalition members on
needs identified, including fraud, health and
intergenerational issues.
7/1/13-
6/30/14
C Continued
3. The AAA Division Manager, Aging and Adult Services Sr.
Staff Assistants, and the Advisory Council Planning
Committee Members will work collaboratively with CBO’s
to develop and plan special programs/events/services with
the use of One-Time Only funds in order to help address
the needs of older adults with particular attention to Family
Caregiver needs.
7/1/13-
6/30/14
PD Continued
4. The AAA Division Manager, Aging and Adult Services Sr.
Staff Assistants, and the Advisory Council Planning
Committee Members will work collaboratively with CBO’s
to develop and plan special programs/events/services with
the use of One-Time Only funds in order to help address
the needs of older adults with particular attention to LGBT
seniors.
7/1/13-
6/30/14
PD Continued
5. The AAA Division Manager, Aging and Adult Services Sr.
Staff Assistants, and the Advisory Council Planning
Committee Members will work collaboratively with CBO’s
to develop and plan special programs/events/services with
the use of One-Time Only funds in order to help address
the needs of older adults with particular attention to
seniors with limited-English abilities.
7/1/13-
6/30/14
PD Continued
10
6. The AAA Division Manager, Aging and Adult Services Sr.
Staff Assistants, and the Advisory Council Planning
Committee Members will work collaboratively with CBO’s
to develop and plan special programs/events/services with
the use of One-Time Only funds in order to help address
the needs of older adults with particular attention to
disease prevention and health promotion of seniors.
7/1/13-
6/30/14
PD Continued
7. The AAA Division Manager, Aging and Adult Services Sr.
Staff Assistants, and the Advisory Council Planning
Committee Members will work collaboratively with CBO’s
to develop and plan special programs/events/services with
the use of One-Time Only funds in order to help address
pressing or emergent needs identified by AAA contracted
providers.
7/1/13-
6/30/14
PD Continued
8. The AAA Division Manager, Aging and Adult Services Sr.
Staff Assistants, and the Advisory Council Planning
Committee Members will coordinate with CBO’s who
provide Title III supportive services to fund needed items
with the use of One-Time Only funds which will improve
the quality of service to their older clients.
7/1/13-
6/30/14
C Continued
9. Aging and Adult Services Sr. Staff Assistants and AAA
Division Manager will organize and hold an annual
“Partners in Planning” gathering that brings together
volunteers, community based organizations, and
organizations in the county’s aging network to meet each
other, exchange ideas, learn from each other’s successes
and challenges, foster partnerships, and develop
strategies to develop, expand, and enhance services for
the elderly in CCC.
The event was held on October 25, 2012 and the focus
was on “Preventing Elder Financial Abuse.” The feedback
on the event was very positive. It featured an expert panel
presentation and viewing of the acclaimed documentary
“Last Will & Embezzlement”.
7/1/13-
6/30/14
C Continued
10. Aging and Adult Services Staff Assistant, Sr. Staff
Assistants and AAA Division Manager will bring service
providers together for the purpose of non-duplication of
effort, coordinating services, maximizing resources, and
general sharing of information.
On March 20, 2013, the AAA convened service providers
for the purpose of training and sharing best practices on
fiscal reporting and contract issues.
7/1/13-
6/30/14
C Continued
11. Senior Staff Assistant/ I&A Supervisor will plan quarterly
“Professional Exchange Roundtable” meetings. The
purpose of the meetings is to bring County personnel
together to meet and exchange ideas, and to learn about
community resources to better serve clients.
7/1/13-
6/30/14
C New
11
GOAL # 2
AAA will provide services to older individuals with the greatest economic and social needs,
including low income diverse population groups through continued service expansion,
development, and collaboration with community groups, service providers, and elected officials, in
order to provide health, social, nutrition and legal services for older individuals who may be at risk
of abuse or neglect. Ombudsman Program will recruit and train certified volunteers that will visit all
Skilled Nursing Facilities, Assisted Living Facilities, Board and Care Homes in Contra Costa
County. These visits can be done on a random scheduled basis and also as a request for
complaint investigation and resolution. Ombudsman Director or her designee will maintain
assignment, visiting and log sheets documenting visits and outcomes of complaint investigations.
Ombudsman program will work with family councils providing consultation to facilities and
residents.
RATIONALE
Mandated by the Older Americans Act and the AAA is committed to providing services to the
population groups specified above.
OBJECTIVES
Projected
Start &
End Dates
Title III B
Funded
PD or C
Status
1. The AAA Director, AAA Division Manager, Aging and Adult
Services Sr. Staff Assistants, and Planning Committee to
the Advisory Council will actively work through membership
on the Mental Health Department’s Consolidated Planning
Advisory Workgoup and CPAW’s Aging and Older Adult
Committee, to plan outreach strategies to reach
underserved seniors, particularly with respect to: isolation;
low-income; mental illness; language barriers; and LGBT.
7/1/13-
6/30/14
PD Continued
2. Aging and Adult Services Sr. Staff Assistants, Division
Manager, and the AAA Director will cultivate relationships
with County Board of Supervisors, state legislators, and
their staff members to inform each elected official’s office of
service issues facing seniors, to advocate for more
resources for senior programs and to match funding
opportunities to service needs.
7/1/13-
6/30/14
C Continued
3. AAA Division Manager, Senior Staff Assistants and the
Advisory Council will work with various legal services
providers and other interested stakeholders to coordinate
elder abuse prevention activities for seniors vulnerable to
or at risk of exploitation. AAA staff members will assist with
hosting seminars, fairs, or other educational events related
to elder abuse.
7/1/13-
6/30/14
C Continued
12
4. AAA Senior Staff Assistant will partner with Jewish Family
and Children Services, local hospitals, and community
organizations to coordinate an annual “Senior Appreciation
Day – Health and Resource Fair” in recognition of Older
Americans Month in May. At the event seniors will receive
free health screenings for diabetes, high blood pressure,
osteoporosis, dental problems, and other health issues.
The event will also feature exercise demonstrations,
nutrition information, and information about community
resources presented in both Spanish and English.
The event is scheduled for Saturday, May 18, 2013 at the
Pittsburg Senior Center.
7/1/13-
6/30/14
C Continued
5. AAA Senior Staff Assistant will work with the Food Bank of
Contra Costa and Solano County to coordinate the
distribution of free USDA Farmers Market Coupons to
qualified low-income seniors. The coupons will be available
to seniors at 16 food distribution sites throughout Contra
Costa County.
7/1/13-
6/30/14
C Continued
6. The AAA Senior Staff Assistant will continue to serve on
the Fall Prevention Program Steering Committee and the
Fall Prevention Coalition to help develop, coordinate, and
sustain programs and activities that prevent falls such as
fall risk assessments, fall prevention education, physical
activity and exercise, home safety modifications, and
medication management.
7/1/13-
6/30/14
C Continued
7. The AAA Division Manager and Sr. Staff Assistants will
partner with County Older Adult Mental Health, Mental
Health Community Concerns, the Ombudsman, and other
local CBO’s to plan and coordinate a forum, “A Second
Spring; Celebrating Aging” that will provide educational
information/resource information to seniors and their
families as well as promote visibility for older adult issues in
the community, especially as concerns older adult mental
health and health issues.
7/1/12-
6/30/13
PD/C Completed
13
8. Ombudsman Services will provide a Long Term Care
Ombudsman Program for adults, utilizing Title IIIB and VII
A funding of the Older Americans Act. Services will include
the following:
• Conduct activities relating to receiving, analyzing,
researching, observing, interviewing or verifying a
complaints and activities related to intervention in
complaints on behalf of a client with a target resolution
rate of 80%.
• Provide mediation and conciliation services in the
resolution of inquiries and complaints from older long
term care residents and patients. Target rate of 1336
Consultations provided to individuals.
• Investigate reports of physical abuse of all dependent
adult and elder residents of long term facilities in
accordance with the mandates established
• Conduct activities related to the education of groups of
older adults, their families, community organizations,
and facility staff about senior’s rights, benefits, and
entitlements. Target rate of 376 consultations to
facilities.
• Recruit, train, and certify Ombudsman volunteers.
Assign volunteers and staff to the 31 nursing homes
and staff caseworkers to intermediate care facilities for
the developmentally disabled adults in Contra Costa
County. Target of maintaining at least 45 trained and
certified volunteers.
• Establish family councils to include family members of
older patients in skilled nursing facilities to advocate for
and respond to the needs of the patients within the
facilities. Target of having 22 resident council
meetings.
7/1/13-
6/30/14
Continued
9. In order to expand and make information and referral
services more accessible to the community, the AAA
Senior Staff Assistant will work collaboratively with senior
and community centers to establish Information &
Assistance (I&A) Satellite Stations. Volunteers will be
recruited and trained to assess the needs of seniors, and
link them with vital community and public services that they
may be eligible for. Types of services include but are not
limited to transportation, housing, finances, employment,
food, legal advocacy, Medicare counseling, and education.
Follow-ups will be conducted to ensure that the needs of
the seniors are met.
Volunteers were successfully recruited and trained to
provide information and referral services at the North
Richmond and San Ramon Senior Centers.
7/1/13-
6/30/14
PD Continued
14
10. In order to provide better customer service, the AAA Senior
Staff Assistance will recruit and train volunteers to support
the work of Social Workers at the I&A Call Center. I&A Call
Center volunteers will help return calls from clients who
have routine questions about community resources. This
will help to free up time for the Social Workers to assist
vulnerable seniors, adults with disabilities, and caregivers
with complex needs. Volunteers will also make follow-up
calls to see if clients’ needs are addressed or if further
assistance is required.
Two volunteers were recruited, trained, and is assisting
I&A staff.
7/1/13-
6/30/14
PD Completed
11. Senior Staff Assistant/I&A Supervisor will expand and
improve the Information & Assistance (I&A) program’s
website to provide seniors, adults with disabilities, and
caregivers convenient and easy access to updated
information and linkages to Aging Services Network
programs.
7/1/13-
6/30/14
PD New
15
GOAL # 3
AAA will provide public information to agencies and community persons 60+ and their families
regarding resource availability, educational opportunities, demographics, health care
insurance counseling, and funding opportunities.
RATIONALE
Various survey responses, AAA Advisory Council, Board of Supervisors, Coalitions,
stakeholders and other groups have identified the need for the AAA to communicate with and
provide information to the general public at all levels.
OBJECTIVES
Projected
Start &
End Dates
Title III B
Funded
PD or C
Status
1. In order to ensure continuity of services delivered by
community based organizations, Aging and Adult
Services Sr. Staff Assistants will assist in the
coordination of obtaining grants by working
collaboratively to share information and provide
technical assistance for writing grants in relationship to
funding opportunities appropriate for any community
based organization in CCC serving older adults.
7/1/13-
6/30/14
PD/C Continued
2. AAA Division Manager and Aging and Adult Services
Sr. Staff Assistants will work with senior coalitions,
community based organizations, the County’s aging
network, offices of County Supervisors, and other
groups to identify and address senior needs by
providing technical assistance including, assistance
with needs assessments, focus groups, quality
assurance surveys, program developing, and
fundraising.
7/1/13-
6/30/14
PD/C Continued
3. The AAA staff will initiate and coordinate efforts to once
again provide an easy-to-navigate, Internet-based
resource database for seniors, caregivers, people with
disabilities, and service providers to locate community
resources. The AAA’s original resource database was
eliminated in 2008 because of budget cutbacks.
7/1/13-
6/30/14
C Continued
4. An Aging and Adult Sr. Staff Assistant will make the
results of the Limited English Proficient (LEP) survey
available to interested community organizations and
members of the public. The purpose of the survey is
two-fold: 1) to collect information on whether or not
public and community agencies are meeting the
language needs of LEP older adults, and 2) to examine
more closely what reasonable steps are necessary to
ensure that limited English speaking older adults have
meaningful access to services.
7/1/13-
6/30/14
PD/C Continued
16
5. An Aging and Adult Sr. Staff Assistant will make the
results of the Key Informant Survey available to
interested community organizations and members of
the public. The purpose of the survey is to ascertain
what professionals and advocates perceive is the
priority of needs/issues/concerns seniors face today
and as a planning tool in the development of the PSA’s
Area Plan as well as needed programs given budget
limitations
7/1/13-
6/30/14
PD/C Continued
6. An Aging and Adult Sr. Staff Assistant will make the
results of the Core Survey available to interested
community organizations and members of the public.
The purpose of the survey is to ascertain the needs of
our senior population, directly, by surveying them,
county wide and to use the results as a tool in the
planning for the PSA’s Area Plan as well as possible
program development given budget limitations.
7/1/13-
6/30/14
PD/C Continued
17
GOAL # 4
AAA will actively promote the health and well-being of the older population of Contra Costa
County through various community outreach activities.
RATIONALE
As specified by the Older Americans Act, including Title III D.
OBJECTIVES
Projected
Start &
End Dates
Title III B
Funded
PD or C
Status
1. Aging and Adult Staff Assistant, Sr. Staff Assistants,
Division Manager, and its direct program, HICAP, will
work with senior coalitions, health organizations,
medical providers, Medicare Senior Advantage
programs and the like to directly contact seniors to
provide information about managing chronic conditions,
promoting healthy lifestyles and healthy aging and
insurance coverage issues. HICAP participates in
planning and attending health fairs and health
screenings.
7/1/13-
6/30/14
C Continued
2. Aging and Adult Sr. Staff Assistants, Staff Assistant,
and Division Manager will support distribution efforts for
medication safety packets, Medi-sets, and other
programs and tools for vulnerable seniors for
medication management in emergencies. The AAA
staff will partner with the Fall Prevention Program and
community organizations to continue to coordinate the
distribution of the booklet ‘Tracking your Medicine’ to
Contra Costa seniors. Seniors consume more
medicines than any other age group, but using
medicines may put them at risk, especially when
several medicines are used at one time. This booklet
serves as an easy-to-use tool to help seniors track their
medicines and avoid dangerous drug interactions.
About 2,000 copies of ‘Tracking Your Medicine’ were
distributed to seniors.
7/1/13-
6/30/14
C Completed
3. To increase awareness about the benefits of physical
activity for older adults, Aging and Adult Services Sr.
Staff Assistants and Division Manager will work with
community agencies to develop and coordinate
exercise programs, which will provide demonstrations,
workshops, and exhibits on exercise and fitness.
7/1/13-
6/30/14
C Deleted
18
4. The AAA Division Manager, Aging and Adult Services
Sr. Staff Assistants, and the Advisory Council Planning
Committee Members will work collaboratively with
CBO’s to develop and plan special
programs/events/services in order to help address the
needs of older adults with particular attention to
promoting health and preventing disease, such as
health screening, home safety, physical and mental
health.
7/1/13-
6/30/14
PD Continued
5. The AAA Division Manager, Aging and Adult Services
Sr. Staff Assistants, and the Advisory Council Planning
Committee Members will work collaboratively with
CBO’s to develop and plan special
programs/events/services in order to help address the
needs of older adults with particular attention to
promoting health and preventing disease, such as
health screening, home safety, physical and mental
health. (Duplicate)
7/1/13-
6/30/14
PD/C Deleted
6. The Aging and Adult Services Staff Assistant and Sr.
Staff Assistant will coordinate with other senior
organizations to help develop presentations on
prescription drug safety to be given by the Food and
Drug Administration.
7/1/13-
6/30/14
C
Continued
7. Aging and Adult Staff Assistant and Sr. Staff Assistant
will utilize the HICAP program to inform the public
about enhanced Medicare benefits under the
Affordable Care Act, which include preventive benefits.
7/1/13-
6/30/14
C Continued
8. Aging and Adult Staff Assistant and Sr. Staff Assistant
will inform the public about health insurance options
outside of Medicare whenever appropriate. Examples
include programs made possible through the Affordable
Care Act.
7/1/13-
6/30/14
PD/C Continued
9. Unspent Title IIID funds were reallocated to the Fall
Prevention Program (FPP) through 6/30/13. The funds
helped extend services countywide. It also enabled
FPP to purchase the rights to implement two evidence-
based exercise programs. A Sr. Staff Assistant worked
with the Executive Director of FPP to research and
identified the two programs.
7/1/12-
6/30/13
PD/C New
10. Sr. Staff Assistant will publish a request for interest
(“RFI”) for evidence-based health promotion programs.
7/1/13-
6/30/14
New
11. AAA Senior Staff Assistant will collaborate with the Fall
Prevention Coalition and Pleasant Hill Senior Center to
plan an event that promotes healthy living, bring
awareness to fall prevention, and raise funds for the
Fall Prevention Program. The event is scheduled for
Sunday, September 8, 2013.
7/1/13-
6/30/14
C New
19
GOAL # 5
The AAA is committed to planning for and implementing community services for the Baby
Boomer population; recognizing and addressing their unique needs related to housing,
transportation, financial security, health and well being, employment and community
involvement. While there is no current funding for this effort, the AAA will seek to accomplish
this through advocacy, and creative collaboration with current and new community partners.
RATIONALE
To address the needs of the influx of Baby Boomers expected to retire in the near future.
OBJECTIVES
Projected
Start &
End Dates
Title III B
Funded
PD or C
Status
1. AAA Division Manager and Sr. Staff Assistants will
provide technical assistance and training to community
members on how to increase the number of older
adults in policy making positions on local boards, city
councils and planning commissions.
7/1/13-
6/30/14
C Continued
2. AAA Division Manager and Sr. Staff Assistants will
provide technical assistance and training to local
boards, city councils, and planning commissions to
encourage them to be more responsive to Baby
Boomer needs and issues.
7/1/13-
6/30/14
C Continued
4. Utilizing the Baby Boomer survey, completed early
2011, as well as the recent Core Survey, Key Informant
and LEP surveys as well as and other current
resources, Division Manager and Senior Staff
Assistants will educate the provider & stakeholder
communities with respect to the results of the surveys
regarding the needs of seniors in the AAA’s catchment
area.
7/1/13-
6/30/14
C Continued
5. AAA Division Manager and Senior Staff Assistant will
work collaboratively with staff from Contra Costa County
In-Home Supportive Services and Volunteer and
Emergency Services to plan and develop a Volunteer
Care Coordination Program. The program will utilize
trained volunteers to assist seniors and their families
with the process of planning and coordinating long-term
care services. In particular, the program will target low
and moderate income seniors who do not qualify for
government assistance and do not have the means to
afford private services.
Volunteers were successfully recruited and trained to
provide information and referral services at the North
Richmond and San Ramon Senior Centers.
7/1/13-
6/30/14
PD Continued
20
GOAL # 6
The AAA will work to prevent isolation, poverty, homelessness, and premature institutionalization
of Lesbian, Gay, Bisexual, and Transgender (LGBT) seniors due to recent studies showing them to
be at a higher risk as a result of life-long experiences causing marginalization.
RATIONALE
Mandated by the California Department of Aging.
OBJECTIVES
Projected
Start &
End Dates
Title III B
Funded
PD or C
Status
1. AAA Division Manager and Aging and Adult Services
Sr. Staff Assistant will collaborate with local agencies
which serve LGBT seniors in order to maintain the most
current demographic information on LGBT Seniors,
particularly regarding those of low-income and minority
status in order to adequately plan for services.
7/1/13-
6/30/14
C Continued
2. AAA Division Manager and Aging and Adult Services
Sr. Staff Assistant will collaborate with local agencies
which serve LGBT seniors in order to maintain the most
current resource information on culturally competent
services for LGBT Seniors in order for I & A to provide
the appropriate referrals.
7/1/13-
6/30/14
C Continued
3. The AAA Division Manager and Aging and Adult
Services Sr. Staff Assistants will craft a survey to
provide to local providers to assess the needs of older
LGBT residents.
7/1/13-
6/30/14
C Deleted
4. In collaboration with Rainbow Community Center, the
AAA Division Manager and Sr. Staff Assistants will
continue to deliver curriculum/in-service sensitivity
training and “Train the Trainers” for staff of contracted
service providers on how to work with LGBT clients with
sensitivity to their unique needs and to know how to
make appropriate referrals when clients report having
issues relating to discrimination, for examples: with
their doctors when needing care, with having been
turned away when attempting to obtain housing, and/or
having their marital and domestic partnerships rights
dismissed by long-term care facility staff.
7/1/13-
6/30/14
C Completed
5. The AAA will be reviewing all its current contracts with
it’s providers to ensure that all contracts have language
that include and assure that the contractor will be
‘LGBT welcoming and friendly’.
7/1/13-
6/30/14
C Completed
21
GOAL # 7
The AAA will work in partnership with the California Department of Aging and its transportation
Freedom Mobility Management Grant, other local agencies and grass root groups to combat
isolation, to increase access and transportation options for older adults, and promote a
collaborative effort to advocate for more countywide transportation resources.
RATIONALE
Mandated by the California Department of Aging.
OBJECTIVES
Projected
Start &
End Dates
Title III B
Funded
PD or C
Status
1. AAA Division Manager and Aging and Adult Services
Sr. Staff Assistant will collaborate with local agencies
which serve seniors as well as transit providers to plan
and coordinate educational forums throughout the
county on both public safety issues for older drivers as
well as options for transportation.
7/1/13-
6/30/14
PD&C Continued
2. AAA Division Manager and Area Agency on Aging Sr.
Staff Assistant will work throughout the county on both
public safety issues for older drivers as well as options
for transportation. AAA Sr. Staff Assistant will
collaborate with local agencies in order to maintain the
most current resource information on rides for seniors
and transportation options within Contra Costa County
and the Bay Area Region in order for I & A to provide
the appropriate referrals.
7/1/13-
6/30/14
C Continued
3. The AAA Division Manager and Aging and Adult
Services Sr. Staff Assistants will work with the Advisory
Council Transportation workgroup and the Housing
workgroup to develop new strategies and
recommendations for land use planning/transit village
to meet the needs of seniors.
7/1/13-
6/30/14
C Continued
22
PART THREE: Service Unit Plan Objectives
TITLE III/VII SERVICE UNIT PLAN OBJECTIVES
CCR Article 3, Section 7300(d)
The Service Unit Plan (SUP) uses the National Aging Program Information System (NAPIS) Categories
and units of service. They are defined in the NAPIS State Program Report.
For services not defined in NAPIS, refer to the Service Categories and Data Dictionary.
Report the units of service to be provided with ALL funding sources. Related funding is reported in
the annual Area Plan Budget (CDA 122) for Titles III B, III C-1, III C-2, III D, VII (a) and VII (b).
1. Visiting Visiting Unit of Service = 1 hour
Fiscal Year
Proposed
Units of Service Goal Numbers Objective Numbers (if applicable)
2012-2013 14,040 1
2013-2014 14,836 1
2014-2015
2015-2016
2. Homemaker Unit of Service = 1 hour
Fiscal Year
Proposed
Units of Service Goal Numbers Objective Numbers(if applicable)
2012-2013
2013-2014
2014-2015
2015-2016
3. Registry Unit of Service = 1 hour
Fiscal Year
Proposed
Units of Service Goal Numbers Objective Numbers (if applicable)
2012-2013 2,400 1
2013-2014 7,637 1
2014-2015
2015-2016
23
4. Home-Delivered Meal Unit of Service = 1 meal
Fiscal Year
Proposed
Units of Service Goal Numbers Objective Numbers (if applicable)
2012-2013 350,000 2
2013-2014 350,000 2
2014-2015
2015-2016
5. Adult Day Care/Adult Day Health Unit of Service = 1 hour
Fiscal Year
Proposed
Units of Service Goal Numbers Objective Numbers (if applicable)
2012-2013 7,208 4
2013-2014 7,208 4
2014-2015
2015-2016
6. Case Management Unit of Service = 1 hour
Fiscal Year
Proposed
Units of Service Goal Numbers Objective Numbers (if applicable)
2012-2013
2013-2014
2014-2015
2015-2016
7. Assisted Transportation Unit of Service = 1 one-way trip
Fiscal Year
Proposed
Units of Service Goal Numbers Objective Numbers(if applicable)
2012-2013 1,100 7
2013-2014 1,322 7
2014-2015
2015-2016
24
8. Congregate Meals Unit of Service = 1 meal
Fiscal Year
Proposed
Units of Service Goal Numbers Objective Numbers (if applicable)
2012-2013 175,000 2
2013-2014 175,000 2
2014-2015
2015-2016
9. Nutrition Counseling Unit of Service = 1 session per participant
Fiscal Year
Proposed
Units of Service Goal Numbers Objective Numbers (if applicable)
2012-2013
2013-2014
2014-2015
2015-2016
10. Transportation Unit of Service = 1 one-way trip
Fiscal Year
Proposed
Units of Service Goal Numbers Objective Numbers (if applicable)
2012-2013 51,000 2,5
2013-2014 51,000 2,5
2014-2015
2015-2016
11. Legal Assistance Unit of Service = 1 hour
Fiscal Year
Proposed
Units of Service Goal Numbers Objective Numbers (if applicable)
2012-2013 5,671 2
2013-2014 5,671 2
2014-2015
2015-2016
25
12. Nutrition Education Unit of Service = 1 session per participant
Fiscal Year
Proposed
Units of Service Goal Numbers Objective Numbers (if applicable)
2012-2013 4,000 2
2013-2014 4,000 2
2014-2015
2015-2016
13. Information and Assistance Unit of Service = 1 contact
Fiscal Year
Proposed
Units of Service Goal Numbers Objective Numbers(if applicable)
2012-2013 12,000 1,2,4
2013-2014 12,000 1,2,4
2014-2015
2015-2016
14. Community Education Unit of Service = 1 contact
Fiscal Year
Proposed
Units of Service Goal Numbers Objective Numbers(if applicable)
2012-2013 80 4
2013-2014 400 4
2014-2015
2015-2016
26
15. Title III D Health Promotion Unit of Service = 1 contact
Service Activities: _Provide health risk assessments, routine health screening, physical fitness
group exercise activity.
• Title III D/Health Promotion:
Fiscal Year
Proposed
Units of Service Goal Numbers Objective Numbers(if applicable)
2012-2013 500 2 4
2013-2014 500 2 4
2014-2015
2015-2016
Title III D Medication Management Units of Service = 1 Contact
Service Activities: Medication Screening and education to individuals
• Title III D/Medication Management:
Fiscal Year Proposed
Units of Service Program
Goal Number Objective Numbers (required)
2012-2013 500 2 4
2013-2014 N/A
2014-2015 N/A
2015-2016 N/A
27
PSA 7
TITLE III B and Title VII A:
LONG-TERM CARE (LTC) OMBUDSMAN PROGRAM OUTCOMES
2012–2016 Four-Year Planning Cycle
Outcome 1. The problems and concerns of long-term care residents are solved through
complaint resolution and other services of the Ombudsman Program. [OAA Section 712(a) (3),
(5)]
Measures and Targets:
A. Complaint Resolution Rate (AoA Report, Part I-E, Actions on Complaints)
The average California complaint resolution rate for FY 2009-2010 was 73%.
1. FY 2010-2011 Baseline Resolution Rate: 78%
Number of complaints resolved 922+ Number of partially resolved complaints 420 divided by the
Total Number of Complaints Received 1721 = Baseline Resolution Rate 78%
2. FY 2012-2013 Target: Resolution Rate 80%
3. FY 2011-2012 AoA Resolution Rate 78% FY 2013-2014 Target: Resolution Rate 82%
4. FY 2012-2013 AoA Resolution Rate 80% FY 2014-2015 Target: Resolution Rate 84%
5. FY 2013-2014 AoA Resolution Rate 82% FY 2015-2016 Target: Resolution Rate 85%
Program Goals and Objective Numbers: Goal 2
28
B. Work with Resident Councils (AoA Report, Part III-D, #8)
FY 2010-2011 Baseline: number of meetings attended22
2. FY 2012-2013 Target: 25
3. FY 2011-2012 AoA Data: 24 FY 2013-2014 Target: 26 23
4. FY 2012-2013 AoA Data: 25 FY 2014-2015 Target: 27
5. FY 2013-2014 AoA Data: 26 FY 2015-2016 Target: 28
Program Goals and Objective Numbers:
C. Work with Family Councils (AoA Report, Part III-D, #9)
1. FY 2010-2011 Baseline: number of meetings attended 14
2. FY 2012-2013 Target: number 18
3. FY 2011-2012 AoA Data: 16 FY 2013-2014 Target: 19 15
4. FY 2012-2013 AoA Data: 18 FY 2014-2015 Target: 20
5. FY 2013-2014 AoA Data: 19 FY 2015-2016 Target: 21
Program Goals and Objective Numbers:
D. Consultation to Facilities (AoA Report, Part III-D, #4)
1. FY 2010-2011 Baseline: number of consultations 376
2. FY 2012-2013 Target: 420
3. FY 2011-2012 AoA Data:400 FY 2013-2014 Target: 440 500
4. FY 2012-2013 AoA Data: 420 FY 2014-2015 Target: 460
5. FY 2013-2014 AoA Data: 440 FY 2015-2016 Target: 480
Program Goals and Objective Numbers:
29
E. Information and Consultation to Individuals (AoA Report, Part III-D, #5)
1. FY 2010-2011 Baseline: number of consultations 1,336
2. FY 2012-2013 Target: 1,300
3. FY 2011-2012 AoA Data: 1,275 FY 2013-2014 Target:1,325 1,300
4. FY 2012-2013 AoA Data: 1,300 FY 2014-2015 Target1,350
5. FY 2013-2014 AoA Data: 1,325 FY 2015-2016 Target:1,375
Program Goals and Objective Numbers:
F. Community Education (AoA Report, Part III-D, #10)
1. FY 2010-2011 Baseline: number of sessions: 9
2. FY 2012-2013 Target: 12
3. FY 2011-2012 AoA Data: 10 FY 2013-2014 Target:14 12
4. FY 2012-2013 AoA Data: 12 FY 2014-2015 Target: 16
5. FY 2013-2014 AoA Data: 14 FY 2015-2016 Target: 18
Program Goals and Objective Numbers:
G. Systems Advocacy
FY 2013-2014 Activity (enter information in the box below):
Systemic Advocacy Effort(s): Work with Long Term Care Facilities to improve care
for mental health residents through collaboration with Contra Costa Mental
Health/Older Adult Program, to increase facility staff’s ability to work with mental
health residents as well as residents from diverse populations. Ultimately the goal is to
work towards safety in all facilities and included in that is decreasing resident to
resident altercations.
30
Outcome 2. Residents have regular access to an Ombudsman. [(OAA Section
712(a) (3) (D), (5) (B) (ii)]
Measures and Targets:
A. Facility Coverage (other than in response to a complaint), (AoA Report, Part III-D, #6)
1. FY 2010-2011 Baseline: 84%
Number of Nursing Facilities visited at least once a quarter not in response to a complaint 26
divided by the number of Nursing Facilities: 31.
2. FY 2012-2013 Target: 90%
3. FY 2011-2012 AoA Data: 87% FY 2013-2014 Target: 93% 94%
4. FY 2012-2013 AoA Data: 90% FY 2014-2015 Target: 95%
5. FY 2013-2014 AoA Data: 93 % FY 2015-2016 Target: 98%
Program Goals and Objective Numbers:
B. Facility Coverage (other than in response to a complaint) (AoA Report, Part III-D, #6)
1. FY 2010-2011 Baseline: 9%
Number of RCFEs visited at least once a quarter not in response to a complaint 41 77
divided by the number of RCFEs 425
2. FY 2012-2013 Target: 14%
3. FY 2011-2012 AoA Data: 12 % FY 2013-2014 Target: 16% 18%
4. FY 2012-2013 AoA Data: 14 % FY 2014-2015 Target: 17 %
5. FY 2013-2014 AoA Data: 16 % FY 2015-2016 Target: 18%
Program Goals and Objective Numbers:
C. Number of Full-Time Equivalent (FTE) Staff (AoA Report Part III. B.2. - Staff and Volunteers)
1. FY 2010-2011 Baseline: FTEs 3.32
2. FY 2012-2013 Target: 3.675 FTEs
31
3. FY 2011-2012 AoA Data: 3.675 FTEs FY 2013-2014 Target:3.675 FTEs
4. FY 2012-2013 AoA Data:3.675 FTEs FY 2014-2015 Target: 3.675 FTEs
5. FY 2013-2014 AoA Data: 3.675 FTEs FY 2015-2016 Target: 3.675 FTEs
Program Goals and Objective Numbers:
D. Number of Certified LTC Ombudsman Volunteers (AoA Report Part III. B.2. – Staff and
Volunteers)
1. FY 2010-2011 Baseline: Number of certified LTC Ombudsman volunteers
as of June 30, 2010 45
2. FY 2012-2013 Projected Number of certified LTC Ombudsman volunteers
as of June 30, 2013 48
3, FY 2011-2012 AoA Data: 43 38 certified volunteers
FY 2013-2014 Projected Number of certified LTC Ombudsman volunteers
as of June 30, 2014: 50 48
4. FY 2012-2013 AoA Data: 48 45 certified volunteers
FY 2014-2015 Projected Number of certified LTC Ombudsman volunteers
as of June 30, 2015: 52
5. FY 2013-2014 AoA Data: 50 certified volunteers
FY 2015-2016 Projected Number of certified LTC Ombudsman volunteers
as of June 30, 2016: 55
Program Goals and Objective Numbers:
32
Outcome 3. Ombudsman representatives accurately and consistently report data about their
complaints and other program activities in a timely manner. [OAA Section 712(c)]
Measures and Targets:
A. At least once each fiscal year, the Office of the State Long-Term Care Ombudsman sponsors free
training on each of four modules covering the reporting process for the National Ombudsman Reporting
System (NORS). These trainings are provided by telephone conference and are available to all certified
staff and volunteers. Local LTC Ombudsman Programs retain documentation of attendance in order to
meet annual training requirements.
1. FY 2010-2011 Baseline number of Ombudsman Program staff and volunteers who attended
NORS Training Parts I, II, III and IV: 3
2. FY 2012-2013 Target: number of Ombudsman Program staff and volunteers attending NORS
Training Parts I, II, III and IV: 4
3. FY 2011-2012 number of Ombudsman Program staff and volunteers who attended NORS
Training Parts I, II, III, and IV: 3
FY 2013-2014 Target: 4 6
4. FY 2012-2013 number of Ombudsman Program staff and volunteers who attended NORS
Training Parts I, II, III, and IV: 4
FY 2014-2015 Target: 4
5. FY 2013-2014 number of Ombudsman Program staff and volunteers who attended NORS
Training Parts I, II, III, and IV: 4
FY 2015-2016 Target: 4
Program Goals and Objective Numbers:
33
PSA 7
TITLE VIIB ELDER ABUSE PREVENTION SERVICE UNIT PLAN OBJECTIVES
Fiscal Year Total # of Public
Education Sessions
Fiscal Year
Total # of Training
Sessions for
Professionals
2012-13 10 2012-13 10
2013-14 10 2013-14 10
2014-15 2014-15
2015-16 2015-16
Fiscal Year
Total # of Training
Sessions for
Caregivers served by
Title III E
Fiscal Year
Total # of Hours Spent
Developing a
Coordinated System
2012-13 2 2012-13 0
2013-14 2 2013-14 0
2014-15 2014-15
2015-16 2015-16
34
Fiscal Year
Total # of Copies of
Educational
Materials to be
Distributed
Description of Educational Materials
2012-2013 1510 Elder Court/Senior Self-Help Clinic; What Should I
Know About Elder Abuse; Consumer Fraud
2013-2014 1200
I.D. Theft & Account Fraud; Elder Court/Senior Self-
Help Clinic; What Should I Know About Elder Abuse;
Consumer Fraud
2014-2015
2015-2016
Fiscal Year Total Number of Individuals Served
2012-2013 841
2013-2014 840
2014-2015
2015-2016
35
PSA 7
TITLE III E SERVICE UNIT PLAN OBJECTIVES
CCR Article 3, Section 7300(d)
2012–2016 Four-Year Planning Period
Direct and/or Contracted III EServices
CATEGORIES
1
2
3
Family Caregiver
Services
Caring for Elderly
Proposed
Units of Service
Required
Goal #(s)
Optional
Objective #(s)
Information Services # of activities and
Total est. audience for above
2012-2013 # of activities: 18
Total est. audience for above: 500 1
2013-2014 # of activities:
Total est. audience for above: 66 1,2
2014-2015 # of activities:
Total est. audience for above:
2015-2016 # of activities:
Total est. audience for above:
Access Assistance Total contacts
2012-2013 1557 1
2013-2014 2428 1,2
2014-2015
2015-2016
Support Services Total hours
2012-2013 2142 1
2013-2014 1610 1,2
2014-2015
2015-2016
Respite Care Total hours
2012-2013 2893 1
2013-2014 3404 1,2
2014-2015
2015-2016
36
Supplemental Services Total occurrences
2012-2013 230 1
2013-2014 285 1,2
2014-2015
2015-2016
37
Direct and/or Contracted III E Services
Grandparent Services
Caring for Children
Proposed
Units of Service
Required
Goal #(s)
Optional
Objective #(s)
Information Services # of activities and
Total est. audience for above
2012-2013 # of activities: 4
Total est. audience for above: 100
2013-2014 # of activities:
Total est. audience for above:
2014-2015 # of activities:
Total est. audience for above:
2015-2016 # of activities:
Total est. audience for above:
Access Assistance Total contacts
2012-2013 100 1
2013-2014 100 1
2014-2015
2015-2016
Support Services Total hours
2012-2013 249 1
2013-2014 249 1
2014-2015
2015-2016
Respite Care Total hours
2012-2013 468 1
2013-2014 468 1
2014-2015
2015-2016
Supplemental Services Total occurrences
2012-2013 58 1
2013-2014 58 1
2014-2015
2015-2016
38
PSA 7
HEALTH INSURANCE COUNSELING AND ADVOCACY PROGRAM (HICAP)
SERVICE UNIT PLAN
CCR Article 3, Section 7300(d)
Section 1. Primary HICAP Units of Service
Fiscal Year
(FY)
1.1 Estimated Number of
Unduplicated Clients
Counseled
Goal Numbers
2012-2013 1897 1,2,3,4
2013-2014 1340 1,2,3,4
2014-2015
2015-2016
Note: Clients Counseled equals the number of Intakes closed and finalized by the Program Manager.
Fiscal Year
(FY)
1.2 Estimated Number of
Public and Media Events Goal Numbers
2012-2013 68 3,1,4
2013-2014 33 3,1,4
2014-2015
2015-2016
Note: Public and Media event are interactive education/outreach presentations, booths/exhibits
at health/senior fairs, and enrollment events, excluding public service announcements and
printed outreach.
39
Section 2: Federal Performance Benchmark Measures
Note: This includes all counseling contacts via telephone, in-person at home, in-person at site, and
electronic contacts (e-mail, fax, etc.) for duplicated client counts.
Fiscal Year
(FY)
2.2 Estimated Number of
Persons Reached at Public
and Media Events
Goal Numbers
2012-2013 5500 3,4
2013-2014 5933 3,4
2014-2015
2015-2016
Note: This includes the estimated number of attendees (e.g., people actually attending the
event, not just receiving a flyer) reached through presentations either in person or via
webinars, TV shows or radio shows, and those reached through booths/exhibits at
health/senior fairs, and those enrolled at enrollment events, excluding public service
announcements (PSAs) and printed outreach materials.
Fiscal Year
(FY)
2.3 Estimated Number of
contacts with Low Income
Beneficiaries
Goal Numbers
2012-2013 1600 2,3,4
2013-2014 616 2,3,4
2014-2015
2015-2016
Note: This includes all counseling contacts via telephone, in-person at home, in-person at site,
and electronic contacts (e-mail, fax, etc.), duplicated client counts with Medicare beneficiaries
due to disability, and not yet age 65.
Fiscal Year
(FY)
2.1 Estimated Number of
Contacts for all Clients
Counseled
Goal Numbers
2012-2013 8214 1,3,4
2013-2014 4724 1,3,4
2014-2015
2015-2016
40
Fiscal Year
(FY)
2.4 Estimated Number of
contacts with Beneficiaries
Due to Disability
Goal Numbers
2012-2013 3400 2,3,4
2013-2014 1943 2,3,4
2014-2015
2015-2016
Note: This is the number of unduplicated low-income Medicare beneficiary contacts and/or
contacts that discussed low-income subsidy (LIS). Low income means 150 percent of the
Federal Poverty Level (FPL).
Fiscal Year
(FY)
2.5 Estimated Number of
Enrollment Assistance
Contacts
Goal Numbers
2012-2013 5500 1,2,3,4
2013-2014 835 1,2,3,4
2014-2015
2015-2016
Note: This is the number of unduplicated enrollment contacts during which one or more
qualifying enrollment topics were discussed. This includes all enrollment assistance, not just
Part D.
Fiscal Year
(FY)
2.6 Estimated Part D and
Enrollment Assistance
Contacts
Goal Numbers
2012-2013 3100 1,2,3,4
2013-2014 2080 1,2,3,4
2014-2015
2015-2016
Note: This is a subset of all enrollment assistance in 2.5. It includes the number of Part D
enrollment contacts during which one or more qualifying Part D enrollment topics were
discussed.
41
Fiscal Year
(FY) 2.7 Counseling Hours Goal Numbers
2012-2013 20 3
2013-2014 2531 3
2014-2015
2015-2016
Note: This is the total number of counseling hours divided by 2000 (considered annual fulltime hours), then
multiplied by the total number of Medicare beneficiaries per 10K in PSA.
Section 3: HICAP Legal Services Units of Service (if applicable) 4
State Fiscal
Year
(SFY)
3.1 Estimated Number of
Clients Represented Per SFY
(Unit of Service)
Goal Numbers
2012-2013 20 2,3
2013-2014 20 2,3
2014-2015
2015-2016
State Fiscal
Year
(SFY)
3.2 Estimated Number of
Legal Representation Hours
Per SFY
(Unit of Service)
Goal Numbers
2012-2013 100 2,3
2013-2014 100 2,3
2014-2015
2015-2016
State Fiscal
Year (SFY)
3.3 Estimated Number of
Program Consultation Hours
per SFY
(Unit of Service)
Goal Numbers
2012-2013 5 2
2013-2014 5 2
2014-2015
2015-2016
4 Requires a contract for using HICAP funds to pay for HICAP Legal Services.
42
SECTION 11 - FOCAL POINTS PSA 7
COMMUNITY FOCAL POINTS LIST
CCR Title 22, Article 3, Section 7302(a) (14), 45 CFR Section 1321.53(c), OAA 2006 306(a)
Designated Community Focal Point Address
EAST COUNTY
Antioch Antioch Senior Center
415 West 2nd Street
Antioch, CA 94509
Bay Point Ambrose Community Center
3105 Willow Pass Road
Bay Point, CA 94565
Brentwood Brentwood Community Center
730 Third Street
Brentwood, CA 94513
Pittsburg Pittsburg Senior Center
300 Presidio Lane
Pittsburg, CA 94565
East County Senior Coalition Meets at:
Rivertown Resource Center
301 West 10th Street
Antioch, CA 94509
CENTRAL COUNTY
Concord Concord Senior Center
2727 Parkside Circle
Concord, CA 94519
Martinez Martinez Senior Center
818 Green Street
Martinez, CA 94553
Pleasant Hill Senior Center Pleasant Hill Senior Center
233 Gregory Lane
Pleasant Hill, CA 94523
San Ramon San Ramon Senior Center
9300 Alcosta Blvd
San Ramon, CA 94583
Walnut Creek Jewish Community Center
2071 Tice Valley Blvd
Walnut Creek, CA 94596
Rossmoor - Hillside Clubhouse
3400 Golden Rain Road
43
Walnut Creek, CA 94595
Walnut Creek Community Center
1375 Civic Drive
Walnut Creek, CA 94596
Central County Senior Coalition Meets at:
Office of Supervisor Andersen
3338 Mt. Diablo Blvd.
Lafayette, CA 94549
WEST COUNTY
Crockett Crockett Community Center
850 Pomona Avenue
Crockett, CA 94525
El Cerrito El Cerrito Senior Center
6500 Stockton Street
El Cerrito, CA 94530
Hercules Hercules Senior Center
111 Civic Drive
Hercules, CA 94547
North Richmond
Neighborhood House
515 Silver Avenue
North Richmond, CA 94801
Richmond Richmond Senior Center
2525 Macdonald Avenue
Richmond, CA 94801
Rodeo Rodeo Senior Center
189 Parker Avenue
Rodeo, CA 94572
San Pablo San Pablo Senior Adult Center
1943 Church Lane
San Pablo, CA 94806
West County Senior Coalition Meets at:
County Supervisor
John Goia’s Office
11780 San Pablo Ave., Suite D
El Cerrito, CA 94530
44
SECTION 12 - DISASTER PREPAREDNESS PSA 7
Disaster Preparation Planning Conducted for the 2012-2016 Planning Cycle OAA Title III, Sec.
306(a)(17); 310, CCR Title 22, Sections 7529 (a)(4) and 7547, W&I Code Division 8.5, Sections 9625
and 9716, CDA Standard Agreement, Exhibit E, Article 1, 22-25, Program Memo 10-29(P)
1. Describe how the AAA coordinates its disaster preparedness plans and activities with local
emergency response agencies, relief organizations, state and local governments, and other
organizations responsible for emergency preparedness and response as required in OAA,
Title III, Section 310: The AAA is located within the Adult and Aging Bureau of the Employment
and Human Service Department. As such, the staff of the Area Agency is slated to be Care and
Shelter Disaster workers in the event of a major disaster. A Senior Staff Assistant for the Area
Agency also sits as an Advisor to the larger Department Disaster Preparedness Effort and also to
the Countywide Office of Emergency Services that is headed up by the County Sherriff’s
department. The Office of Emergency Services has sponsored numerous trainings and exercises
involving all first responders (emergency fire, police, hospitals, shelters). Dan Widger is the Office
of Emergency Services Emergency Planning Coordinator whose contact information is as follows:
50 Glacier Drive, Martinez, CA 94553, 925-646-4461. The Area Agency has been a participant at
all of these trainings and exercises. In addition, the Area Agency has for several years provided
emergency disaster kits that provide food and water for a minimum of three days and distributed
those to seniors at senior centers, as well as having the local fire departments distribute these kits
in underserved areas.
2. Identify each of the local Office of Emergency Services (OES) contact person(s) within the
PSA that the AAA will coordinate with in the event of a disaster (add additional information
as needed for each OES within the PSA):
Name Title Telephone email
Dan Widger
Contra Costa County
Office of Emergency
Services: Emergency
Planning Coordinator
Office: (925) 646-4461 dwidg@so.cccounty.us
3. Identify the Disaster Response Coordinator within the AAA:
Name Title Telephone email
Scott Danielson Sr. Staff Assistant Office: 925-602-4171 sdanielson@ehsd.cccounty.us
4. List critical services the AAA will continue to provide after a disaster and describe how
these services will be delivered:
Critical Services How Delivered?
a Staff shelters
b Management at EOC
c
a County staff will help staff emergency shelters
b Communication with EOC/Red Cross/First
Responders
45
5. List any agencies with which the AAA has formal emergency preparation or response
agreements. Described above. The AAA is part of the Employment and Human Service
Department which is responsible for Care and Shelter in the event of a major Disaster. It has
formal agreements with the American Red Cross, the Contra Costa County Office of Emergency
Services, the Contra Costa County Health Department, and the Contra Costa Sherriff’s
Department.
6. Describe how the AAA will:
• Identify vulnerable populations. The AAA utilizes information obtained from the In Home
Supportive Services program and the Aging network in Contra Costa County on vulnerable, at-risk
individuals. The aging network consists of a collaboration of Ombudsman Services, AAA
Contractors, and non-profit organizations whose purpose is to serve and advocate for seniors.
• Follow-up with these vulnerable populations after a disaster event. Protocols are in place to
identify at-risk populations and arrange for shelter care for those with special needs. AAA works
with the Ombudsman program to ensure skilled nursing facilities, assisted living facilities, and
residential care homes provide for their clients, residents, and patients during and after a disaster.
46
SECTION 14 - NOTICE OF INTENT TO PROVIDE DIRECT SERVICES PSA 7
CCR Article 3, Section 7320 (a) (b) and 42 USC Section 3027(a) (8) (C)
If an AAA plans to directly provide any of the following services, it is required to provide a description of
the methods that will be used to assure that target populations throughout the PSA will be served.
Check if not providing any of the below listed direct services.
Check applicable direct services Check each applicable Fiscal Year
Title III B 12-13 13-14 14-15 15-16
x Information and Assistance X X X X
Case Management
Outreach
X Program Development X X X X
X Coordination X X X X
Long-Term Care Ombudsman
Title III D 12-13 13-14 14-15 15-16
X Health Promotion X X X X
Medication Management X
Title III E 5 12-13 13-14 14-15 15-16
X Information Services X X X X
Access Assistance
Support Services
Respite Services
Supplemental Services
Title VII A 12-13 13-14 14-15 15-16
Long-Term Care Ombudsman
Title VIIB 12-13 13-14 14-15 15-16
Prevention of Elder Abuse, Neglect
And Exploitation
5 Refer to PM 11-11 for definitions of Title III E categories.
47
SECTION 17 - ADVISORY COUNCIL MEMBERSHIP
2012-2016 Four-Year Planning Cycle
45 CFR, Section 1321.57
CCR Article 3, Section 7302(a) (12)
Total Council Membership (include vacancies) 40
Number of Council Members over age 60 23
% of PSA's 60+Population On Advisory Council
Race/Ethnic Composition
White / White & 60+
24 / 17 12% 43%
Hispanic / Hispanic & 60+
2 / 1 1% 3%
Black / Black & 60+
2 / 2 1% 5%
Asian/Pacific Islander / API & 60+
3 / 3 1% 8%
Native American/Alaskan Native / NA/AN & 60+
0 / 0 0% 0%
Name and Title of Officers: Office Term Expires:
1 Dr. Robert Leasure, President 9/2013
2 Gerald Richards, 1st Vice President 9/2013
3 John Rinaudo, 2nd Vice President; Co-Chair Health Work Group 9/2014
4 Richard Nahm Secretary 9/2014
5 Gail Garrett, Treasurer; Meals on Wheels of Contra Costa county
Board Member/ Nurtrition Project Council representative 9/2014
48
Name and Title of other members: Office Term Expires:
1 Bruns, Mary, MAL #15, Co-Chair - Transportation Work Group 9/13
2 Card, Deborah MAL #5, (Former Health Services Employee,
Registered Nurse) 9/14
3 Conn, Alice, City of Martinez Representative 9/14
4 Davis-Lucey, Suzanne, City of Concord Representative 9/13
5 Dunne-Rose, Mary, MAL #13 9/14
6 Fernandez, Rudy, City of Antioch Representative 9/14
7 Fineberg, Barbara, City of San Pablo Representative 9/14
8 Frederick, Susan, MAL #20 9/13
9 Garrett, Gail, Nutrition Project Council Representative, Treasurer 9/14
10 Groobin, Linda, MAL #8 9/13
11 Hefner, Lori, MAL #9 9/13
12 Hoffman, Ralph, MAL #10 9/14
13 Kee, Arthur, City of Brentwood Representative 9/13
14 Kim-Selby, Joanna, City of El Cerrito Representative, Co-Chair -
Legislative Advocacy Work Group; CSL - Senior Senate 9/14
15 Krohn, Shirley, MAL #2, Co-Chair - Legislative Advocacy Work Group;
CSL - Senior Assembly 9/14
16 Leasure, Robert, MAL #6, President, Chair, Executive Committee 9/13
17 Littlehale, Sue, City of Orinda Representative 9/13
18 McVay, Kay, MAL #3 9/13
19 Mijares, Arthur, City of Oakley Representative 9/14
21 Nahm, Richard, MAL #18, Secretary 9/14
22 Neemuchwalla, Nuru, MAL #12 9/14
23 Ormiston, Earle, Chair, MAL #7 9/14
24 Richards, Gerald, City of Hercules, Representative, 1st Vice President;
CSL - Senior Senate 9/14
25 Rinaudo, John, City of Pittsburg Representative, 2nd Vice President,
Co-Chair – Health Work Group 9/14
26 Ryan, Nell, City of Danville/Alamo Representative 9/14
24 SanVicente, Richard, MAL #1 9/14
25 Schroth, Edward, MAL #11, Co-Chair – Health Work Group 9/13
28 Ulrick, Laurie, MAL #19, Chair - Planning Committee 9/13
29 Wallace, Beverly , MAL #6, Chair – Membership Committee 9/14
49
30 Welty, Patricia, MAL #4 9/14
31 West, Stefanie, city of Lafayette Representative 9/13
Indicate which member(s) represent each of the “Other Representation” categories listed
below.
Yes No
Low Income Representative
Disabled Representative
Supportive Services Provider Representative
Health Care Provider Representative
Family Caregiver Representative
Local Elected Officials
Individuals with Leadership Experience in
Private and Voluntary Sectors
Explain any "No" answer(s): __________________________
Briefly describe the local governing board’s process to appoint Advisory Council members:
Each new vacancy occurring on the Council is declared by Board Order. The Clerk of the
Board’s Office is then instructed to advertise each vacancy for a period of 20 days prior to the
filling of each seat to encourage and permit interested members of the public to apply. Member
at Large applicants are interviewed by the Council’s Membership Committee; and Local
Committee Seats are selected by the cities (usually the City Councils). All new appointments to
the Council are made by Board Order. New members are given an orientation and advised of
their duty to file FORM 700 and to complete ethics training for public officials as required by the
Fair Political Practices Commission.
50
SECTION 18 - LEGAL ASSISTANCE PSA 7
2012-2016 Four-Year Area Planning Cycle
This section must be completed and submitted with the Four-Year Area Plan.
Any changes to this Section must be documented on this form and remitted with Area Plan Updates.6
1. Specific to Legal Services, what is your AAA’s Mission Statement or Purpose Statement? Statement
must include Title III B requirements:
Contra Costa Senior Legal Services (CCSLS) provides free legal advice, representation and
education to elderly residents of Contra Costa County, with an emphasis on seniors who are in the
greatest social and economic need. Its most urgent objective is to resolve legal problems that are
adversely affecting basic needs of the elderly such as food, shelter, health care, and freedom from
physical, psychological or economic abuse.
2. Based on your local needs assessment, what percentage of Title III B funding is allocated to Legal
Services?
11% of adequate proportion of unallocated Title III B funding is directed to Legal Services. CCSLS
actually receives 13% of Title III B funding.
3. Specific to legal services, has there been a change in your local needs in the past four years? If so,
please identify the change (include whether the change affected the level of funding and the
difference in funding levels in the past four years)
In the last four years of economic downturn and also with the passage of legislation mandating that
financial institutions report alleged financial abuse, there has been an increase in the number of APS
reports of financial abuse. However, in regards to our contract providers, they are currently funded
adequately. The shortage in terms of funding exists more in the realm of funds for District Attorney
and prosecution services in the County. We will continue to closely monitor this situation and should
the need arise to adjust the level of funding for legal services, the Area Agency will be proactive in its
response.
4. Specific to Legal Services, what is the targeted senior population and mechanism for reaching
targeted groups in your PSA? Discussion:
The targeted senior population is seniors with the greatest social and economic needs. The
mechanisms for reaching those targeted groups are the outreach and educations to seniors at
community senior centers, nutrition sites, senior housing complexes and clubs, organizations and
gathering places for seniors of diverse ethnic heritages such as Hispanics/Latinos, Asians and
African Americans. CCSLS distributes brochures about its program in Spanish and several Asian
languages in addition to brochures in English. CCSLS also depends on other senior service
providers who primarily work with seniors in the target groups to refer to CCSLS. Additionally, the
Contra Costa Area Agency on Aging has brought an increased focus this year to its providers and the
community on the legal rights of LGBTQ seniors both living at home and in assisted living facilities.
6 For Information related to Legal Services, contact Chisorom Okwuosa at 916 419-7500 or COkwuosa@aging.ca.gov
51
5. How many legal assistance service providers are in your PSA? Complete table below.
Fiscal Year # of Legal Assistance
Services Providers
2012-2013 1
2013-2014 3
2014-2015
2015-2016
6. Does your PSA have a hotline for legal services?
Our County Adult Protective Services Program and the Ombudsman program have a hotline and
each of those programs do received ‘hot’ calls regarding legal issues. Each of these programs refers
clients to either our contracted provider or to “the Legal Center” that handles specifically financial
abuse cases. Additionally in Contra Costa in this past year, the larger Employment and Human
Service Department in Partnership with local CBO’s, Domestic Violence Programs and local Law
Enforcement agencies opened up a new Family Justice Center in the Western Part of the County.
This center is a ‘one stop’ for individuals including older adults who are alleged victims of violence
and exploitation and who have access to social workers as well as legal counsel for matters of
restraining order, etc.
7. What methods of outreach are providers using? Discuss:
CCSLS presents educational workshops on substantive areas of the law, makes presentations
regarding its services and how to access those services, and participates at senior and health fairs
throughout the county. It distributes brochures, fliers and other materials regarding the law in several
different languages. They also have a website at www.ccsls.org that can be accessed by clients or
their families.
8. What geographic regions are covered by each provider? Complete table below.
Fiscal Year Name of Provider Geographic Region covered
2012-2013
a. Contra Costa County Senior
Legal Services
b.
c.
a. Countywide
b.
c.
2013-2014
a. CCC Senior Legal
Services
b. Bay Area Legal
c. Rubicon
a. Countywide
b. Countywide
c. Countywide
2014-2015
a.
b.
c.
a.
b.
c.
2015-2016
a.
b.
c.
a.
b.
c.
9. Discuss how older adults access Legal Services in your PSA:
Most frequently older adults access Legal Services by calling or by coming to CCSLS’ office in
Richmond. They are given appointments that can be by phone or in person. Some clients will make
52
an appointment at one of the several senior centers that participate in their Consult-an-Attorney
program. On occasion some seniors or family members will contact them by e-mail or by mail.
10. Identify the major types of legal issues that are handled by the TIII-B legal provider(s) in your PSA.
Discuss (please include new trends of legal problems in your area):
Because of the downturn in the economy CCSLS is seeing more clients whose homes have been
foreclosed, are in foreclosure or the clients are interested in renegotiating their mortgages. Also
because of the economy they are seeing an increase in financial abuse to seniors by family members
and others. There is also an increase in the number of seniors who are unable to pay their debts.
11. In the past four years, has there been a change in the types of legal issues handled by the TIII-B
legal provider(s) in your PSA? Discuss:
Yes, that is reflected above in regards to the issues of debt overload and the need to address
financial issues. In addition, ‘scams’ in the form of financial abuse by unknown perpetrators are on
the rise.
12. What are the barriers to accessing legal assistance in your PSA? Include proposed strategies for
overcoming such barriers. Discuss:
Contra Costa County is made up of three regions, but CCSLS has office space only in West County,
making it more difficult to serve clients in the other regions. CCSLS has developed strategies for
overcoming this barrier including developing a Consult-an-Attorney program at senior centers
throughout the county so that clients will not have to travel outside their region to have a face-to-face
consultation with an attorney. They also use faxes to review client’s papers and documents so that
they do not always have to come to Richmond for services. Another barrier is because of lack of
resources CCSLS has a very small paid staff. The solution to this barrier is a panel of private and
retired attorneys who provide services at the Consult-an-Attorney projects and at Wills Clinics
throughout the County and in our office in Richmond. In addition, the newly formed “The Law Center”
mentioned above specializes in senior exploitation/financial abuse and has pro bono services that
they offer county wide. This organization is complementary to CCC Senior Legal Services.
13. What other organizations or groups does your legal service provider coordinate services with?
Discuss:
CCSLS coordinates its services with The Law Center, Contra Costa County Ombudsman, Bay Area
Legal Aid, Senior Outreach Services, the Superior Court, and many Senior Centers. In addition they
work very closely with many of the county services such as APS, Information and Assistance, and
HICAP. In the past they have co-sponsored educational events with some of the above-mentioned
agencies and have co-counseled with other agencies on cases. They have also provided in-service
education to the staff and volunteers of some of these providers.
53
SECTION 20. FAMILY CAREGIVER SUPPORT PROGRAM PSA 7
Notice of Intent for Non-Provision of FCSP Multifaceted Systems of Support Services
Older Americans Act Section 373(a) and (b)
2012–2016 Four-Year Planning Cycle
Family Caregiver Services
Category 2012-2013 2013-2014 2014-2015 2015-2016
Family Caregiver
Information
Services
X yes No
X Direct X Contract
X Yes No
X Direct X Contract
Yes No
Direct Contract
Yes No
Direct Contract
Family Caregiver
Access
Assistance
X Yes No
Direct X Contract
X Yes No
Direct X Contract
Yes No
Direct Contract
Yes No
Direct Contract
Family Caregiver
Support Services
X yes No
Direct X Contract
X Yes No
Direct X Contract
Yes No
Direct Contract
Yes No
Direct Contract
Family Caregiver
Respite Care
X yes No
Direct X Contract
X Yes No
Direct X Contract
Yes No
Direct Contract
Yes No
Direct Contract
Family Caregiver
Supplemental
Services
X Yes No
Direct X Contract
X Yes No
Direct X Contract
Yes No
Direct Contract
Yes No
Direct Contract
Grandparent Services
Category 2012-2013 2013-2014 2014-2015 2015-2016
Grandparent
Information
Services
X yes No
Direct X Contract
X Yes No
Direct X Contract
Yes No
Direct Contract
Yes No
Direct Contract
Grandparent
Access
Assistance
X Yes No
Direct X Contract
X Yes No
Direct X Contract
Yes No
Direct Contract
Yes No
Direct Contract
Grandparent
Support Services
X yes No
Direct X Contract
X Yes No
Direct X Contract
Yes No
Direct Contract
Yes No
Direct Contract
Grandparent
Respite Care
X yes No
Direct X Contract
X Yes No
Direct X Contract
Yes No
Direct Contract
Yes No
Direct Contract
Grandparent
Supplemental
Services
X Yes No
Direct X Contract
X Yes No
Direct X Contract
Yes No
Direct Contract
Yes No
Direct Contract
54
*Refer to PM 11-11 for definitions for the above Title III E categories.
Justification: For each service category checked “no”, explain how it is being addressed within the
PSA. The justification must include the following:
• Provider name and address of agency
• Description of the service
• Where the service be provided (entire PSA, certain counties, etc.)
• Information that influenced the decision not to provide the service (research, feedback
from needs assessment, survey of senior population in PSA, etc.)
• How the AAA ensures the service continues to be provided in the PSA without the use of
Title IIIE funds
55
Contra Costa County
Area Agency on Aging
Advisory Council on Aging
Summary of the Public Hearing Held on
MMaarrcchh 2200,, 22001133
The Hearing was called to order promptly at 10:30 a.m. by Dr. Robert Leasure, President of the Contra
Costa County Advisory Council on Aging (ACOA). Dr. Leasure and John Cottrell, Director of Contra
Costa’s Aging and Adult Services Bureau (AAS) made introductions and welcomed all to participate in the
Area Agency on Aging 2012-2016 Area Plan update. The Area Plan Update Summary covers the
upcoming fiscal year beginning July 1st 2013 and ending next year on June 30, 2014. Dr. Leasure then
introduced Lori Larks, Division Manager of Contra Costa County Area Agency on Aging (AAA) and Adult
Protective Services.
Purpose of the Public Hearing:
Creates the opportunity to inform the public on proposed FY 2013-2014 updates for the 2012-
2016 Contra Costa County (CCC) Area Agency on Aging (AAA) Four-Year Area Plan that provides
service opportunities to the older adult community.
Allows members of the public to address comments to members of the Contra Costa County Area
Agency on Aging and members of the Contra Costa County Advisory Council on Aging regarding
this plan.
See Handout: Contra Costa County Area Agency on Aging 2013-2014 Area Plan Update Summary.
Welcome and AAS Updates – John Cottrell
John Cottrell thanked all Advisory Council members present for their excellent service and volunteer
commitments. He introduced members of the AAA staff who were present: Scott Danielson, Senior Staff
Assistant - AAA. Nhang Luong, Supervisor, Information and Assistance, Ruth Atkin, Manager, Health
Insurance and Counseling Program (HICAP), Doreen Gaedtke, Senior Staff Assistant – AAA and Jaime Ray,
Secretary – AAA. Lori announced that the AAA is responsible for administering Older American’s Act
(OAA) funds that are distributed to Contra Costa County.
Nutrition Updates: Federal reductions are planned for nutrition programs serving seniors. California has
not yet issued guidelines on how the federal cuts would be implemented. Staff will be working to
identify a new focus to manage nutrition programs that deliver meals to those who need them including
an emphasis on local fundraising.
Health Care Reform: Contra Costa is working to complete negotiations that will result in it being
designated as call center provider, part of the Covered California exchange centers network that will
provide assistance to California consumers who must select health insurance provider under the current
reform.
County Budget Updates: A cost of living increase, if given to county employees, must be absorbed by
current department budgets. There are no layoffs anticipated for the coming year.
AAA Mission and Public Hearing Ground Rules – Dr. Robert Leasure
56
Dr. Leasure read the Area Agency on Aging Mission Statement followed by a reading of ground rules
established for the Public Hearing.
Area Agency on Aging – Mission Statement
Our Mission is to provide leadership in addressing issues that relate to older Californians, to develop
community-based systems of care that provide services which support independence within
California’s interdependent society, and which protects the qualify of life of older adults and persons
with functional impairments, and to promote citizen involvement in the planning and delivery of
service.
AAA Report – Lori Larks
The AAA relies heavily upon the ACOA for advocacy and guidance as public officials appointed by the
Contra Costa County Board of Supervisors or as representatives of local cities. Contra Costa County
established its AAA and ACOA under the guidelines of the Older Americans Act to keep older Americans
in their homes with dignity and for as long as possible to avoid institutionalization. All AAA programs
(direct or contracted) are designed to meet these goals and to protect seniors. As funds are reduced
staff will be working with its community partners to advocate on behalf of the Older Americans Act or
the programs and services operate under the Act that keeps our seniors safe and healthy.
Program Goals - Doreen Gaedtke
Doreen led a review of all seven Area Plan goal statements contained in the 2012-2016 Area Plan
Summary. To illustrate the objectives of individual goals, she provided highlights of activities provided or
supported by the AAA, and those to be conducted in FY 2013-2014.
Doreen emphasized the importance assisting seniors with being able to continue living independently in
their homes and out of premature institutionalization. The AAA targets Contra Costa consumers with
the greatest economic need.
Public information is provided to the public through the AAA Information and Assistance program
amidst a growing need among both providers and consumers. The AAA works within the local
community to identify specific areas of need, then provides or supports programs that provide services
to meet these needs.
The West, East and Central Contra Costa Senior Coalitions develop events and presentations to raise
awareness and improve quality of life for Contra Costa’s older adult community.
The AAA supports anti-discrimination law that works to preserve or protect members of the Lesbian,
Gay, Bisexual or Transgender (LGBT) elder population. Through its 2011 Partners in Planning
presentation, the AAA delivered a message to increase sensitivity and to educate service providers who
work directly with LGBT seniors in their facilities.
The ACOA’s Transportation Work Group hosts a partnership between small and large transportation
providers, plus the DMV and CHP as it works to keep seniors who choose to drive safer through
continued community education and offers information on mobility options to those who can no longer
drive a car of their own. Volunteer-based transportation providers fill gaps in service to offer frail elderly
access to needed socialization and services.
57
Targeting Populations / Community Service Areas: Nhang Luong
Although a senior need not be low-income to qualify for services provided by the AAA, the Agency
attempts to target those with the greatest economic need defined as having a monthly income at or
below federal poverty guidelines and those with the greatest social needs, older persons having at least
two of the following characteristics: disabled, communication barrier, living alone or those who are 75
years of age or older.
Provider agencies that successfully utilize the Request for Information (RFI) / Request for Proposal (RFP)
procedure are those which outline a plan to serve a minimum number of seniors categorized as
vulnerable by the AAA.
The AAA provides individuals with translation services as needed. The Agency continues to partner with
various community groups that serve at-risk, vulnerable and minority groups as well. The volunteer run
AARP Tax Aide program is supported locally by the AAA and provides a free service to assist consumers
to complete their income tax forms with a focus on serving those who are low-income and elderly.
In preparation for the 2012-2016 Four-year Plan, the AAA conducted a Core Survey to determine areas
of need among local providers and the consumers they serve. Consumers who could be categorized as
limited English proficient were also surveyed with respect to their areas of greatest need.
Service areas are divided into east, central and west areas of Contra Costa County. Senior coalitions are
present in each service area and serve as regional focal points to assist AAA staff with planning,
coordination and development responsibilities. The coalitions meet monthly.
Health Insurance Counseling and Assistance Program (HICAP) – Ruth Atkin
HICAP is largely funded by Health and Human Services and its Centers for Medicare/Medicaid Services.
Line item funding provided through the State of California was protected during recent cuts. HICAP
provides free, individualized personalized counseling, unbiased community education and outreach
events for Medicare beneficiaries, their family members and people about to enter Medicare eligibility
countywide. In other states around the nation the HICAP program may be referred to as the State
Health Insurance Assistance Program (SHIP).
Two main groups are eligible for Medicare services: younger disabled persons collecting SSDI for more
than 2 years and those who have met age and quarters requirements. Patients with in-stage renal
disease or Amyotrophic lateral sclerosis (ALS), (AKA: Lou Gehrig’s disease) are also eligible. Ruth
outlined case examples to illustrate ways in which HICAP counselors, through their work with
individuals, help to identify systemic issues faced by large numbers of Health Insurance consumers.
In 2012 3,276 clients received HICAP counseling; 624 clients were at or below 150% of the federal
poverty level. If all Contra Costa residents served by local HICAP counselors in 2012 had acted on
information given to them they would have a combined savings of $2.1 million.
Dedicated volunteer counselors complete approximately 30 hours of training with another 10 hours of
observation before they are recommended for registration with the State Department of Aging.
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Health promotion efforts include consumer activities such as the, ‘bag reviews’ (consumers bring their
medications in for review by pharmacy staff).
Information and Assistance – Nhang Luong
Three social workers and two volunteers provide a helpline for seniors, persons who have a disability
and care takers. Callers are matched with services or resources available in the local community; social
workers follow-up with callers to ensure that an individual’s needs were met. The program receives
from 600-1,000 calls monthly. Information and Assistance (I&A) is planning the roll-out of a new website
later in 2013.
Contracted Services, Review of Titles III B, III E and III C - Scott Danielson
AAA authorized programs provided under the Older Americans Act include: Adult Day Care, Assisted
Transportation, Family Caregiver, Friendly Visiting, In Home Services and Registry, Nutrition Programs
(Title III C), Ombudsman, Health Promotion and Senior Coalitions.
Contracted Services, Review of Titles III D – Doreen Gaedtke
Disease Prevention and Health Promotion programs are provided under Title III D. Historically, the AAA
provided this category of programs through in-house services such as the I&A and HICAP programs.
Recently the State of California has stipulated that programs under Title III D must be evidence based
and evaluated. AAA staff allocated funding to Meals on Wheels and Senior Outreach Services - Falls
Prevention Program using Title III D dollars. Occupational therapists conduct home visits to evaluate a
consumer’s home while assessing risk. Recommendations are then made for assistive devices as needed
to prevent a fall. While funds for Fall Prevention were made available in 2013, Lori Larks stated that
some Title III D funds would be open for RFI for FY 13-14.
Other AAA Activities – Nhang Luong
In addition to contracted services mentioned above, AAA staff continues to serve baby boomers, limited
English speaking and LGBTQ populations through offering trainings that address special needs including
housing, financial security, transportation, health and wellness, employment and community
involvement. In 2012 the AAA’s Partners in Planning forum was a “train the trainer” event to address
the topic of preventing elder financial abuse. AAA program development activities work to establish
new and to integrate existing services. Staff is involved in coordination activities to bring together
groups and organizations to promote and establish an interconnected community based system of care
that avoids duplication improving efficiency. Administrative tasks include ongoing work to develop and
administer the AAA Area Plan.
Adequate Proportions – Scott Danielson
Under the requirements of the Older American’s Act, AAA staff is required to expend an adequate
proportion of amounts allocated under the Title III B to provide the following services: Access, Legal
Services and In Home Services. The federal government requires the AAAs to use 1% of their budgets to
provide these services. Contra Costa’s AAA staff proposes that our contractors require more than
minimum levels to sustain their operations and provides funding at the following levels: Access 20%,
Legal Services 8% and In Home Services 8%. Scott continued with a review of the FY 13-14 Estimated
Service Plan.
Public Question/Clarification Period
Captain Nuru Neemuchwalla: “What sorts of services are provided by Contra Costa Legal Services program?”
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Laine Lawrence, Executive Director of Contra Costa Senior Legal Services: “Services are anywhere from
advice and counsel to actual litigation. We do everything from meeting with clients, brief representation, writing
letters for clients, helping them with administrative law hearings, those kinds of things up to filing law suits and
doing litigation. We do it in the areas of law, civil areas of law, everything like consumer issues housing issues,
elder abuse issues, both financial elder abuse, restraining orders...does that answer your question? We have an
office in Richmond but we serve the whole county.”
Art Mijares: “What does I&A stand for?”
Doreen Gaedtke: “Information and Assistance.”
Suzanne Davis-Lucey – “I was seeing that we have counseling hours 407 on page 13 and I wondered are those
specific counseling hours that are offered through social services or that are also like Contra Costa Crisis
Counseling; where did those hours come from and who is served?”
Scott Danielson: “The County does not provide it; the individual contractor would provide it. For instance, we have
an agency called Family Caregiver Alliance. We have seven contractors but let’s say that someone calls in to I&A
and says, “I or my husband or my wife or a relative is no longer able to care for themselves; I’ve assumed
responsibilities for being a caregiver, I need information about what I need to do. I don’t know anything I need to
know about what it takes to be a caregiver. I would call I&A. If I didn’t’ know about it, I would use other sources but
Information and Assistance would give me a referral to an appropriate agency. Let’s just say that Family Caregiver
Alliance. I’d call them up and what they basically do is an assessment of the caregiver’s needs and roles. They
then tailor a plan to provide services to that person. It might be that that person needs counseling because they’re
stressed and have some issues. They might need training on how to deal with issues so that’s kind of how it
works.”
Art Mijares: “Is there an operating Bethel Island Scout’s Hall meal site? So there’s 17 locations?”
Scott Danielson: “That’s a good question. I don’t think so; I think it’s been closed. Yes, I think so.”
Lori Larks: “Thank you, we will confirm and correct our report.”
Public Comment Period:
Rob Tufel: “I’m Rob Tufel from Jewish Family and Children’s Services of the East Bay and I specifically wanted to
comment on Goal #6. I think, and this is for future planning, when you are looking at special populations to focus
on, we’ve been looking at specifically at the population of older adults who don’t have children. There are estimates
that 25% of people over 65 don’t have children and that number is actually higher in the LGBTQ community. And
obviously adults who don’t have children have needs but clearly everybody in this audience would know why, why
they would need interventions that people with children don’t have. So I just wanted to comment on, oh I’m sorry
one more thing and we had offered an educational workshop in Berkeley last year. We’re having one actually in
Walnut Creek tomorrow night, I have some flyers out there specifically targeting older adults without children. I just
want to raise that as an issue and hope that that’s a population you will consider and look at in the future be cause I
think they get overlooked. Thank you so much.”
Rudy Fernandez: “I want to reinforce what Laine says regarding Legal Services because I am one of those Elaine
helped with legal assistance. The collection agency demanded payment for a car that I did not buy and she wrote a
beautiful letter and that agency is tough. It said, ‘Stop bothering me.’ “
Gail Garrett: “One thing we’re going to talk about, transportation for seniors in poverty stricken areas and I think
there’s more to it than that. Because a lot of people are home and they don’t get out because of transportation.
And it’s so sad even if it’s just to go to the senior center, to go grocery shopping, to the doctor or any social events.
You would think it is just small stuff because I’ve given a lady a ride one day from the senior center to her home.
She said, ‘could you give me a ride up there?’ I said I’ll be glad to. And she said I walked down here but I just don’t
have the strength to make it home so oh thank you. That’s small stuff, she said, ‘it isn’t when you don’t have a car.’
And a lot of them who used to drive just don’t drive anymore. And most of them are so independent they have a
problem asking anybody else.”
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Susan Davis-Lucey: “Concord City Commissioner, Susan Davis-Lucey. I wanted to explain that there are a lot of
nursing homes and there’s a mandate by May that any type of psychotropic medications for patients has to be
reduced by 30% by May. So those of us who have family members or individuals we know who are in these care
homes, or pardon me, in these nursing homes, definitely work with the doctors and the nurses because often time
people are being prematurely taken off and that can cause a disturbing effect”.
Dr. Robert Leasure: “You can’t withdraw certain types of psychotropic drugs suddenly. You must taper them
down, over sometimes as much as three months, and you can get all kinds of complications if you don’t, particularly
seizures, dementia, tremendous confusion, ambulatory problems, falling down, all kinds of things can happen if you
pull back drugs too quickly, especially psychotropic drugs. That’s a medical opinion not a president speaking.”
Adjournment:
Having no further public comment to receive, Dr. Leasure declared that the Hearing was closed at 11:45am.
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Information & Assistance (I&A) Customer Satisfaction Survey Results
Percentage Count
1. How satisfied are you with the assistance you received from the
Information & Assistance Helpline?
Very Satisfied 67.4 60
Satisfied 25.8 23
Somewhat Satisfied 3.4 3
Dissatisfied 3.4 3
Answered Question 89
Skipped Question 4
2. How would you rate the worker's ability to listen and understand the
nature of your call
Excellent 69.4 59
Good 24.7 21
Fair 3.5 3
Poor 2.4 2
Answered Question 85
Skipped Question 8
3. If you were referred to other services, did it meet the needs you
expressed to the worker?
Yes 66.7 46
No 7.2 5
Answered Question 59
Skipped Question 24
4. How would you rate the ease of use of the phone tree options?
Difficult 16.1 5
Average 32.3 10
Easy 51.6 16
Answered Question 31
Skipped Question 62
5. Would you call the Information & Assistance helpline again if you need
to?
Yes 96.6 86
No 3.4 3
Answered Question 89
Skipped Question 4
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6. Any Additional Comments
Very pleased with services
Very pleased
Very polite
A benefit to the community
Impressed with follow up call
Will refer to others
Will definitely call again
Social worker was absolutely wonderful
Highest level of satisfaction
Very nice/helpful. Appreciate Spanish-speaking assistance
Will keep toll-free number handy
Most certainly would call again
A bit confused about the referral (even though it was the appropriate referral). Will call again as need
arises
Called for preliminary information, will call again after discussion with siblings
Tax issues - call referred to Michael
Did not use phone tree
Did not use phone tree
Interaction with social worker was quite pleasant
Would definitely call again
Will refer others to call
Very happy with services and would call again
Would definitely call again
Social worker was patient, good listener. Glad to know can call anytime
Appreciate follow up call
Very pleased with social worker
Social worker did a great job
Social worker was very good. Very appreciative
Social worker was very sweet and helpful
Social worker was wonderful, fantastic, compassionate, right-on-target, a
blessing
Social worker laughed with me. She really cares, she is a telephone person
Very kind
Referred to an agency that did not meet needs
Very helpful
Everything was fine
Partnerships are important, will inform others of I&A's services
Volunteer was very charming
Very impressed with the quality of service
Answered Question 37
Skipped Question 56