HomeMy WebLinkAboutMINUTES - 05132014 - C.59RECOMMENDATION(S):
APPROVE and AUTHORIZE the submittal of the Contra Costa County Area Agency on Aging 2014-2015 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.
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 BOS approval and submission of the Area Agency on Aging Plan Update, future funding would be withheld.
CHILDREN'S IMPACT STATEMENT:
Not applicable.
APPROVE OTHER
RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
Action of Board On: 05/13/2014 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 13, 2014
David Twa, County Administrator and Clerk of the Board of Supervisors
By: Stacey M. Boyd, Deputy
cc:
C. 59
To:Board of Supervisors
From:Kathy Gallagher, Employment & Human Services Director
Date:May 13, 2014
Contra
Costa
County
Subject:Area Agency on Aging 2014-2015 Area Plan Update
ATTACHMENTS
AAA 14-15 Area
Plan
Transmittal Letter
Contra Costa County
Area Agency on Aging
2014-2015
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 14-15 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 .................................................................................................................. 24
Ombudsman Outcomes ............................................................................................ 30
Title VIIB .................................................................................................................... 36
Title III E .................................................................................................................... 38
Health Insurance Counseling Advocacy Program ..................................................... 41
PART FOUR: SECTIONS 11-20
Section 12: Disaster Preparedness ........................................................................... 45
Section 14: Notice of Intent to Provide Direct Services .............................................. 47
Section 17: Advisory Council ..................................................................................... 48
Section 18: Legal Assistance ..................................................................................... 51
Section 20: Family Caregiver Support ....................................................................... 54
PART FIVE: APPENDIX
Appendix - Public Hearing Minutes ............................................................................ 56
3
TRANSMITTAL LETTER
Area Plan Update
2014-2015
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) Karen Mitchoff
____________________________ _______________
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
2014-2015 AREA PLAN UPDATE (APU) CHECKLIST
(Revised January 2014)
AP
Guidance
Section
APU Components (To be attached to the APU) Check if
Included
Update A) through F) ANNUALLY:
n/a A) APU-(submit electronically only)
n/a B) Transmittal Letter–(requires hard copy with original ink
signatures or official signature stamp- no photocopies) ☐
2, 3, or
4
C) Estimate of the number of lower income minority older
individuals in the PSA for the coming year ☐
7 D) Public Hearings that will be conducted
n/a E) Annual Budget ☐
10 F) Service Unit Plan (SUP) Objectives and Long Term Care
Ombudsman Program Measures and Targets
Update the following only if there has been a CHANGE or the section was not
included in the 2012/16 Area Plan:
Mark
Changed/Not
Changed
(C or N/C)
C N/C
5 Minimum Percentage/Adequate Proportion ☐
5 Needs Assessment 1 ☐
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 DECRIPTION OF CHANGES
In FY 2014-2015, Contra Costa County Area Agency on Aging (AAA) will focus on
expanding healthy aging and emergency preparedness services for seniors. The AAA will
provide funds to support programs that help seniors live healthier and more active lifestyles.
Also, to help keep seniors safe in times of emergencies, survival kits will be distributed and
outreach activities on disaster preparedness will be presented.
Healthy Aging
The AAA is inviting qualified agencies to submit proposals for the delivery of health
promotion services that have demonstrated through evaluation to be evidence -based and
effective. In FY 2012-2013 when Congress appropriated funds for the Older Americans Act
Title III D program, language was included to require that funding can only be used for
evidence-based health promotion services and activities. Types of services and activities may
include health risk assessments, home injury control services, physical fitness, and services that
prevent and/or mitigate the effects of chronic disease. Agencies with successful proposals will
be granted funding to begin services on July 1, 2014.
Additionally, funding from Supplemental Nutrition Assistance Program Nutrition
Education and Obesity Prevention (SNAP-Ed) will be allocated to the AAA to administer
exercise and nutrition programs for low-income seniors. Exercise and good nutrition are the
cornerstones of good health. The AAA is excited to contrac t with a community service provider
to offer an evidence-based exercise program, Tai Chi for Better Balance, along with nutrition
education to help seniors achieve and maintain optimal health.
Emergency Preparedness
Natural or man-made disasters can strike quickly and without warning. It is
important to be prepared in order to protect property and more importantly, personal safety. The
AAA will sponsor a Disaster Preparedness Event on May 15, 2014 at the Concord Senior
Center to help seniors and adults with disabilities to be prepared. There will be a panel
presentation from representatives of the American Red Cross, Contra Costa County Office of
Emergency Services, City of Concord Community Emergency Response Team (CERT), and the
AAA. Emergency survival kits will be distributed to the attendees.
Following the Disaster Preparedness Event, the AAA will reach out to the
seventeen senior center congregate meal sites, assisted living facilities, senior housing projects,
community centers, LGBT senior community, and other interested groups to provide disaster
preparedness education. The AAA developed a Power Point presentation to go over disaster
preparedness with seniors. The Power Point presentation will be made available to interested
organizations for use in educating their staff and/or clients.
Conclusion
With the exception of SNAP-ED, the expansion of healthy aging and emergency
preparedness services does not come with new funding. The AAA has been operating with
6
budgets that have gotten progressively smaller. In fact, cuts to Older Americans Act programs,
stemming from the 2013 sequester, challenge AAAs nationwide to meet the rapidly growing
needs of seniors. County Welfare Directors across California as well as constituent groups are
now advocating heavily for the restoration of the Older Californians Act, which funded
community-based programs that provide seniors with meals, home visits, respite care, caregiver
support, case management, and other critical supports.
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
Jeanette Perez
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.
- Posting of notices in County buildings and websites.
- 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:
A member of the public suggested more resources to be directed at addressing women and
Alzheimer‟s disease; outreach to the Native American population; and education and information to
seniors who may be affected by the Target data security breach that allowed thieves to steal credit
card information from millions of customers.
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. A member of the public raised
the issue of reopening a congregate meal site in the town of Oakley. The site was closed in a
previous year due to low participation.
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.
Fiscal Year Date Location
Number
of
Attendee
s
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 March 19,
2014
500 Ellinwood Way,
Pleasant Hill, CA 94523 30 no no
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.
7/1/14-
6/30/15
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.
7/1/14-
6/30/15
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.
7/1/14-
6/30/15
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.
7/1/14-
6/30/15
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.
7/1/14-
6/30/15
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.
7/1/14-
6/30/15
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.
7/1/14-
6/30/15
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.
7/1/14-
6/30/15
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 annual event was held on November 7, 2013 and
featured a keynote presentation on cultural factors and
aging from V.J. Periyakoil, M.D., a Stanford professor and
nationally recognized leader in geriatrics and palliative
care.
7/1/14-
6/30/15
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.
7/1/14-
6/30/15
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.
7/1/14-
6/30/15
C Continued
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 Workgroup 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.
7/1/14-
6/30/15
PD Continued
2. Aging and Adult Services Sr. Staff Assistants, Division
Manager, and the AAA Director, and Advisory Council on
Aging (ACOA) members 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.
The ACOA was awarded a grant from the SCAN
Foundation to serve as an advocacy coalition to help
advance public policy consensus at the state, regional, and
local level on improving the financing and delivery of long-
term supports and services (LTSS) for seniors and persons
with disabilities. The community partner and fiscal agent
for this grant is Mt. Diablo Center for Adult Day Health
Care.
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.
7/1/14-
6/30/15
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 health and dental screenings will be provided by
nurses and dentists. 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 17, 2014 at the
Pittsburg Senior Center.
7/1/14-
6/30/15
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.
7/1/14-
6/30/15
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.
7/1/14-
6/30/15
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.
7/1/14-
6/30/15
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.
An I&A satellite site was established at the Walnut Creek
Senior Center. This makes a total of four sites throughout
Contra Costa County. The other three sites are: Bay Point
Community Center, North Richmond Senior Center, and
San Ramon Senior Center.
7/1/14-
6/30/15
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.
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 programs in the Aging Services
Network.
7/1/14-
6/30/15
PD Continued
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.
7/1/14-
6/30/15
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.
7/1/14-
6/30/15
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.
7/1/14-
6/30/15
C Deleted
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.
7/1/14-
6/30/15
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
7/1/14-
6/30/15
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.
7/1/14-
6/30/15
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.
7/1/14-
6/30/15
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.
7/1/14-
6/30/15
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 sponsor Brown Bag medication
reviews, performed by licensed pharmacists, in
locations around the county. coordinate with other
senior organizations to help develop presentations on
prescription drug safety to be given by the Food and
Drug Administration.
7/1/14-
6/30/15
C
Deleted
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.
7/1/14-
6/30/15
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.
7/1/14-
6/30/15
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
Completed
19
10. 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.
The inaugural event in 2013 was a success, with over
200 participants. Plans are already in motion for the
follow-up event, which will take place on Sunday,
September 7, 2014.
7/1/14-
6/30/15
C Continued
11. The Fall Prevention Program (FPP) will conduct in-
home fall risk assessments using a licensed
Occupational Therapist (OT). The OT will make
recommendations on any assistive devices and home
modifications that may be needed. After the required
work is completed, staff will conduct follow-up and
evaluation to determine if the assistive devices or home
modifications have helped to decrease clients‟ fall risk.
7/1/13-
6/30/14
Completed
12. The Fall Prevention Program (FPP) will offer two
exercise programs, “Tai Chi for Better Balance” and
“Stepping On”. Both are recognized by the
Administration on Aging as evidence-based programs.
One of the Tai Chi classes will be offered in Spanish.
Also, FPP will utilize nursing students to provide in-
home exercises to homebound seniors. Pre and post
evaluations will be conducted to determine if the
exercise program helped reduce fall risks.
7/1/13-
6/30/14
Completed
13. The AAA will continue to provide emergency
preparedness information to the community, especially
targeting seniors and adults with special needs. The
AAA will coordinate and sponsor a Disaster
Preparedness Event on May 15, 2014 at the Concord
Senior Center, putting together a panel representing
the American Red Cross, Contra Costa County Office
of Emergency Services, City of Concord CERT, and
the AAA. The AAA Sr. Staff Assistant prepared a
Power Point presentation to talk about disaster
preparedness. Three-day survival/emergency kits will
be distributed to attendees.
7/1/14-
6/30/15
C New
20
14. The AAA, a division of the EHSD Aging and Adult
Services Bureau will continue to work with the Office of
Emergency Services and Red Cross to provide shelter
management and shelter operations. The AAA
continues to attend disaster preparedness drills and
forums. Also, the AAA Senior Staff Assistant has
developed a Power Point presentation on disaster
preparedness. This presentation will be available to
congregate meal sites, assisted living facilities, senior
housing projects, community centers, and other
organizations for use in educating seniors. If available,
disaster preparedness kits will be distributed.
7/1/14-
6/30/15
C New
15. There is currently a Request for Interest (RFI) publicly
posted seeking applicants for Title III-D Evidence-
based Health Promotion program contract(s).
Programs may include heath risk assessments, home
injury control services, physical fitness, and services
that prevent and/or mitigate the effect of chronic illness.
7/1/14-
6/30/15
New
16. Utilizing USDA funds, a Senior Nutrition Assistance
Program will be implemented that will serve seniors at
the lowest income congregate meal sites in Contra
Costa County. Exercise programs will be
complemented by nutrition education sessions that will
demonstrate, for example, how to cook nutritious foods.
The SNAP-Ed program is operated in conjunction with
collaborative partners from the Health Department‟s
Prevention and Wellness Program.
7/1/14-
6/30/15
C New
21
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, Sr. Staff Assistants, and
members of the Advisory Council on Aging will provide
technical assistance and training to community
members on how to increase the number outreach and
education to encourage participation of older adults in
policy making positions on local boards, city councils
and planning commissions.
7/1/14-
6/30/15
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.
7/1/14-
6/30/15
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.
7/1/14-
6/30/15
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, San Ramon, Bay Point, and Walnut Creek
Senior Centers.
7/1/14-
6/30/15
PD Continued
22
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.
7/1/14-
6/30/15
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 the Aging
Network to provide the appropriate referrals.
7/1/14-
6/30/15
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
23
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.
7/1/14-
6/30/15
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.
7/1/14-
6/30/15
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.
7/1/14-
6/30/15
C Continued
24
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 14,040 1,2,6
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 2,400 1
2014-2015 2,160 1,2,6
2015-2016
25
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 331,250 2
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 6,490 4
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 1,100 7
2014-2015 1,667 7
2015-2016
26
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 175,000 2
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 36,500 2,5
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 4,300 2
2015-2016
27
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 4,000 2
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 12,000 1,2,4
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 400 4
2015-2016
15. Disaster Preparedness Materials Unit of Service = 1 product
Fiscal Year
Proposed
Units of Service
Goal Numbers Objective Numbers(if applicable)
2012-2013 n/a
2013-2014 n/a
2014-2015 300 4 13,14
2015-2016
28
16. Title III D Health Promotion Unit of Service = 1 contact
Service Activities: Provide health risk assessments, routine health and dental screening, and
medication review that are performed by licensed nurses, dentists, and pharmacists. physical
fitness group exercise activity. (Direct Service)
Title III D/Health Promotion:
Fiscal Year
Proposed
Units of Service
Goal Numbers Objective Numbers(if applicable)
2012-2013 500 2, 4 4, 6
2013-2014 300 2, 4 4, 6
2014-2015
2015-2016
Service Activities: In-home fall risk assessments and modifications performed by licensed
Occupational Therapist.
Title III D/Health Promotion: Unit of Service = 1 contact
Fiscal Year
Proposed
Units of Service
Goal Numbers Objective Numbers(if applicable)
2012-2013 n/a
2013-2014 50 4 11
2014-2015
2015-2016
Service Activities: Provide evidence-based exercise programs “Tai Chi for Better Balance,”
“Stepping On,” and in-home exercises for home-bound seniors.
Title III D/Health Promotion: Unit of Service = 1 contact
Fiscal Year
Proposed
Units of Service
Goal Numbers Objective Numbers(if applicable)
2012-2013 n/a
2013-2014 110 4 12
2014-2015
2015-2016
29
Service Activities: May include health risk assessments, home injury control services, physical
fitness, and services that prevent and/or mitigate the effects of chronic disease.
Title III D/Health Promotion: Unit of Service = 1 contact
Fiscal Year
Proposed
Units of Service
Goal Numbers Objective Numbers(if applicable)
2012-2013 n/a
2013-2014 n/a
2014-2015 100 4 15
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
2014-2015
2015-2016
30
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 FY 2014-2015 Target: Resolution Rate 84%
5. FY 2013-2014 AoA Resolution Rate FY 2015-2016 Target: Resolution Rate 85%
Program Goals and Objective Numbers: Goal 2
31
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 16 FY 2013-2014 Target: 26 16 13
4. FY 2012-2013 AoA Data: FY 2014-2015 Target: 14
5. FY 2013-2014 AoA Data: FY 2015-2016 Target: 15
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 4 FY 2013-2014 Target: 19 15
4. FY 2012-2013 AoA Data: FY 2014-2015 Target:
5. FY 2013-2014 AoA Data: FY 2015-2016 Target:
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:400 746 FY 2013-2014 Target: 440 500 750
4. FY 2012-2013 AoA Data: FY 2014-2015 Target: 765
5. FY 2013-2014 AoA Data: FY 2015-2016 Target: 775
Program Goals and Objective Numbers:
32
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 1,469 FY 2013-2014 Target:1,325 1,300
4. FY 2012-2013 AoA Data: FY 2014-2015 Target: 1,535
5. FY 2013-2014 AoA Data: FY 2015-2016 Target: 1,550
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 2 FY 2013-2014 Target:14 12 14
4. FY 2012-2013 AoA Data: FY 2014-2015 Target: 15
5. FY 2013-2014 AoA Data: 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 placement access to
residential care facilities for low to middle income elderly. Many of our elderly residents end up in
skilled nursing facilities prematurely due to the inability to afford assisted living/small 6 bed care
homes. When our residents become eligible for S.S. I. after using all their savings paying for
residential care, the law now states they cannot be evicted for change of payment. However, our
facility owners find all kinds of reasons to evict them. Ombudsmen will work on preventing these
evictions.
33
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% 74% FY 2013-2014 Target: 93% 94% 92%
4. FY 2012-2013 AoA Data: FY 2014-2015 Target: 93%
5. FY 2013-2014 AoA Data: FY 2015-2016 Target: 94%
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
divided by the number of RCFEs 425 416
2. FY 2012-2013 Target: 14%
3. FY 2011-2012 AoA Data: 12 % 14% FY 2013-2014 Target: 16% 18% 20%
4. FY 2012-2013 AoA Data: FY 2014-2015 Target: 21%
5. FY 2013-2014 AoA Data: FY 2015-2016 Target:
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
34
3. FY 2011-2012 AoA Data: 3.675 3.94 FTEs FY 2013-2014 Target:3.675 FTEs
4. FY 2012-2013 AoA Data: FY 2014-2015 Target:
5. FY 2013-2014 AoA Data: FY 2015-2016 Target:
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 53 certified volunteers
FY 2013-2014 Projected Number of certified LTC Ombudsman volunteers
as of June 30, 2014: 50 48 42
4. FY 2012-2013 AoA Data: certified volunteers
FY 2014-2015 Projected Number of certified LTC Ombudsman volunteers
as of June 30, 2015: 45
5. FY 2013-2014 AoA Data:
FY 2015-2016 Projected Number of certified LTC Ombudsman volunteers
as of June 30, 2016: 48
Program Goals and Objective Numbers:
35
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:
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:
36
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 12 2014-15 10
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 2 2014-15 0
2015-16 2015-16
37
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 1200
I.D. Theft & Account Fraud; Elder Court/Senior Self-
Help Clinic; What Should I Know About Elder Abuse;
Consumer Fraud
2015-2016
Fiscal Year Total Number of Individuals Served
2012-2013 841
2013-2014 840
2014-2015 840
2015-2016
38
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: 20
Total est. audience for above: 600 1,2
2014-2015 # of activities: 26
Total est. audience for above: 400 1,2
2015-2016 # of activities:
Total est. audience for above:
Access Assistance Total contacts
2012-2013 1557 1
2013-2014 2428 1,2
2014-2015 1,160 1,2
2015-2016
Support Services Total hours
2012-2013 2142 1
2013-2014 1610 1,2
2014-2015 1,379 1,2
2015-2016
Respite Care Total hours
2012-2013 2893 1
2013-2014 3404 1,2
2014-2015 3,500 1,2
2015-2016
39
Supplemental Services Total occurrences
2012-2013 230 1
2013-2014 285 1,2
2014-2015 388 1,2
2015-2016
40
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: 24
Total est. audience for above: 100
2013-2014 # of activities: 26
Total est. audience for above: 130
2014-2015 # of activities: 26
Total est. audience for above: 130
2015-2016 # of activities:
Total est. audience for above:
Access Assistance Total contacts
2012-2013 100 150 1
2013-2014 100 150 1
2014-2015
2015-2016
Support Services Total hours
2012-2013 249 1
2013-2014 249 1,369 1
2014-2015 1,369
2015-2016
Respite Care Total hours
2012-2013 468 1
2013-2014 468 748 1
2014-2015 748 1
2015-2016
Supplemental Services Total occurrences
2012-2013 58 1
2013-2014 58 460 1
2014-2015 460
2015-2016
41
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 3,139
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 145 3,1,4
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.
42
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 9,467 3,4
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 Beneficiaries
Due to Disability
Goal Numbers
2012-2013 1600 2,3,4
2013-2014 616 2,3,4
2014-2015 1,960 2,3,4
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 17,061 1,3,4
2015-2016
43
Fiscal Year
(FY)
2.4 Estimated Number of
contacts with Low Income
Beneficiaries
Goal Numbers
2012-2013 3400 2,3,4
2013-2014 1943 2,3,4
2014-2015 7,981 2,3,4
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 3,627 1,2,3,4
2014-2015 13,725 1,2,3,4
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 9,139 1,2,3,4
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 enro llment topics were
discussed.
44
Fiscal Year
(FY) 2.7 Counseling Hours Goal Numbers
2012-2013 20 3
2013-2014 2531 3
2014-2015 5,062 3
2015-2016
Note: This is the total number of counseling hours divided by 2000 (considered annual fulltime hours), t hen
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 20 2,3
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 100 2,3
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 10 2
2015-2016
4 Requires a contract for using HICAP funds to pay for HICAP Legal Services.
45
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
Ken Binkley
Contra Costa County
Office of Emergency
Services: Emergency
Planning Coordinator
Office: (925) 313-9601 kbink@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
46
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.
47
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
Health Promotion 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.
48
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 24
% of PSA's 60+Population On Advisory Council
Race/Ethnic Composition
White / White & 60+
19 / 17 12% 43%
Hispanic / Hispanic & 60+
4 / 3 1% 8%
Black / Black & 60+
4/ 2 1% 5%
Asian/Pacific Islander / API & 60+
2 / 2 1% 5%
Native American/Alaskan Native / NA/AN & 60+
0 / 0 0% 0%
Name and Title of Officers: Office Term Expires:
1 Dr. Robert Leasure, President 9/2015
2 Gerald Richards, 1st Vice President 9/2014
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/ Nutrition Project Council representative 9/2014
49
Name and Title of other members: Office Term Expires:
1 Bruns, Mary, MAL #15, Chair - Transportation Work Group 9/15
2 Card, Deborah MAL #5, (Former Health Services Employee,
Registered Nurse) 9/14
3 Clearwater, Cynthia, City of Pleasant Hill Representative 9/15
4 Conn, Alice, City of Martinez Representative 9/14
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 9/15
9 Garrett, Gail, Nutrition Project Council Representative, Treasurer 9/14
10 Hornstein, Ben, City of Concord Representative 9/15
11 Jones, Ella, MAL #14 9/15
12 Katzman, Keith, City of Moraga Representative 9/15
13 Kee, Arthur, City of Brentwood Representative 9/15
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 9/15
17 Mijares, Arthur, City of Oakley Representative 9/14
18 Nahm, Richard, MAL #18, Secretary 9/14
19 Neemuchwalla, Nuru, MAL #12 9/14
20 Ormiston, Earle, Chair, MAL #7 9/14
21 Osakue, Dina, MAL #17 9/14
22 Prilutsky, Michael, City of San Ramon Representative 9/14
23 Richards, Gerald, City of Hercules, Representative, 1st Vice President;
CSL - Senior Assembly 9/14
24 Rinaudo, John, City of Pittsburg Representative, 2nd Vice President,
Co-Chair – Health Work Group 9/14
25 Ryan, Nell, City of Danville/Alamo Representative 9/14
26 SanVicente, Richard, MAL #1 9/14
27 Schroth, Edward, MAL #11, Co-Chair – Health Work Group; Planning
Committee Chair 9/15
28 Wallace, Beverly , MAL #6, Chair – Membership Committee 9/14
29 Welty, Patricia, MAL #4 9/14
50
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. Members are also provided video training on the Brown Act
and the County‟s own Better Governance Ordinance.
51
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
52
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 3
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. CCC Senior Legal
Services
b. Bay Area Legal
c. Rubicon
a. Countywide
b. Countywide
c. Countywide
2015-2016
a.
b.
c.
a.
b.
c.
9. Discuss how older adults access Legal Services in your PSA:
53
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
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.
54
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
X Yes No
X Direct X Contract
Yes No
Direct Contract
Family Caregiver
Access
Assistance
X Yes No
Direct X Contract
X Yes No
Direct X Contract
X Yes No
Direct X Contract
Yes No
Direct Contract
Family Caregiver
Support Services
X yes No
Direct X Contract
X Yes No
Direct X Contract
X Yes No
Direct X Contract
Yes No
Direct Contract
Family Caregiver
Respite Care
X yes No
Direct X Contract
X Yes No
Direct X Contract
X Yes No
Direct X Contract
Yes No
Direct Contract
Family Caregiver
Supplemental
Services
X Yes No
Direct X Contract
X Yes No
Direct X Contract
X Yes No
Direct X 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
Yes X No
Direct Contract
X Yes No
Direct X Contract
Yes No
Direct Contract
Grandparent
Access
Assistance
X Yes No
Direct X Contract
X Yes No
Direct X Contract
X Yes No
Direct X Contract
Yes No
Direct Contract
Grandparent
Support Services
X yes No
Direct X Contract
X Yes No
Direct X Contract
X Yes No
Direct X Contract
Yes No
Direct Contract
Grandparent
Respite Care
X yes No
Direct X Contract
X Yes No
Direct X Contract
X Yes No
Direct X Contract
Yes No
Direct Contract
55
Grandparent
Supplemental
Services
X Yes No
Direct X Contract
X Yes No
Direct X Contract
X Yes No
Direct X Contract
Yes No
Direct Contract
*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
Contra Costa County Summary of the Public Hearing Held on
Area Agency on Aging MMaarrcchh 1199,, 22001144
Advisory Council on Aging
Area Agency on Aging Public Hearing – March/2014; J. Ray 56
PUBLIC HEARING
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 2014-2015 Area Plan update. 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 FY2014-2015 updates for the 2012-2016
Contra Costa County (CCC) Area Agency on Aging (AAA) Four -Year Area Plan providing 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 A dvisory Council on Aging regarding
this plan.
See Handout: Contra Costa County Area Agency on Aging 2014-2015 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 also thanked members of staff and contractors who provide services to local seniors.
Long Term Care Updates: Alzheimer’s Association reports that by the year 2050, 16 million may be living
with Alzheimer’s at an estimated cost of $1.2 trillion dollars. John also summarized statistics contained
in the UC Berkley study, ‘Will the Boomers Bust the Budget (PDF)?’ He warned that demand for services
will dramatically increase over the next 25 years challenging those present to provide their input on how
to prepare a more effective plan for the County’s aging residents.
AAA Mission and Public Hearing Ground Rules – Dr. Robert Leasure
Dr. Leasure recommended that senior advocates should work toward developing a plan for the next 25
years. He recommended that all present read the AAA Mission Stat ement (contained in Area Plan
Update Summary). Dr. Leasure then reviewed the rules for conducting 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 perso ns
with functional impairments, and to promote citizen involvement in the planning and deli very of
service.
Contra Costa County Summary of the Public Hearing Held on
Area Agency on Aging MMaarrcchh 1199,, 22001144
Advisory Council on Aging
Area Agency on Aging Public Hearing – March/2014; J. Ray 57
AAA Report – Lori Larks
Lori Larks introduced members of the AAA staff who were present: Scott Danielson, Se nior Staff
Assistant - AAA. Nhang Luong, Supervisor, Information and Assistance plus volunteers: Debbie Card and
Gail Garrett, Ruth Atkin, Manager, Health Insurance Counseling and Advocacy Program (HICAP), Doreen
Gaedtke, Senior Staff Assistant – AAA and Jaime Ray, Secretary – AAA. Ms. Larks provided an historical
background tracing the beginnings and development of the AAA in Contra Costa County including a
review of administrative functions that the Agency’s staff oversee.
The California Department on Aging and each of the State’s AAA’s received a 7-8% reduction during the
previous fiscal year (the result of Sequestration) that ensured that the cou nties would remain in
compliance with the State’s adjusted budget. A portion of the cuts in funding have since been restored
as staff continue advocacy to restore all funding levels previously provided under the Older Californians
Act.
Program Goals - Doreen Gaedtke
Doreen summarized the Area Plan goal statements contained in the 2012-2016 Area Plan. She
emphasized that a great majority of fund s allocated to the AAA are committed to providing services to
seniors.
Doreen highlighted Goals #3 and #4 stressing the importance of assisting seniors with public information
and outreach activities. Goal #5 emphasizes the importance of collecting data to support a growing
trend toward providing evidence based programming. Goal #6 demonstrates the value of inclusion with
respect to our LGBT seniors. Goal #7 takes steps to assist seniors with access to the services they need.
Targeting Populations / Community Service Areas: Nhang Luong
Older Americans Act services are not means tested which allows seniors to be served regardless of their
income. However, the AAA works to ensure that Contra Costa residents who experience the greatest
economic need (at or below the federal poverty guideline) or who have the greatest social needs are
able to access and benefit from the services they seek. Other target populations that receive priority
include: disabled, language / communication barrier, living alone, over the age of 75, are isolated, frail,
lack transportation, are non English speaking or have other cultural barriers. Programs that complete a
Request for Proposal (RFP) are asked to submit their plan for how to serve the various target
populations. Contract awardees are asked to serve a minimum nu mber of residents who represent our
target populations.
Since 2009, budget cuts have created the need to scale back outreach efforts that help seniors or
disabled persons with information about services provided through the AAA or their contractors.
Community service areas include each of the regions – East, Central and West Contra Costa County.
Nhang provided updates on the three senior coal itions represented in the three regions.
Health Insurance Counseling and Assistance Program (HICAP) – Ruth Atkin
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Ms. Atkin called attention to the Tax Aide program (provided by AARP) that stations vo lunteers around
the county to assist seniors with completion of their tax forms.
HICAP is largely funded by Health an d Human Services and its Centers for Medicare/Medicaid Services.
HICAP counselors provide assistance to consumers on how best to utilize their Medicare benefits and
exercise their personal choice. The busiest period for HICAP staff extends from October 1 5 through
December 7 (Medicare open enrollment). Consumers return in January to work out problems they
experience with drugs that are not covered by their formularies.
The Patient Protection and Affordable Care Act (PPACA) have helped Medicare for the p ast three years
especially with the shrinkage of the Medicare ‘Donut Hole.’ Seniors have saved millions in out of pocket
spending by improvements in coverage. Another benefit provided under PPACA eliminates pre -existing
conditions as a basis for coverage denials.
The HICAP program has no connection with the sales of health coverage plans. Volu nteers are not to
receive any financial gain from the services that they provide and are asked to separate from any conflict
or potential conflict of interest before providing counseling services.
Information and Assistance – Nhang Luong
Three social workers and volunteers provide a helpline for seniors, persons who have a disability and
care takers. This year saw an emphasis on follow-up calls made to consumers who have been served by
the I&A Unit. Information collected includes a client’s follow through on referrals provided. Information
is distributed to seniors by US Mail and also at the I&A website. Staff representatives are presently
working to facilitate a transition to a new web platform.
I&A provides trained volunteers at the following senior centers: North Richmond, Bay Point, San Ramon
and Walnut Creek. Volunteers answer questions and help with calls from seniors received at the
centers.
Mini Guides corresponding to the three regions of Contra Costa County provide to share information
about vital services that seniors may need.
Contracted Services, Review of Titles III B, III E and III C - Scott Danielson
The AAA relies on a network of community based non -profit organizations to provide services to county
residents including seniors under the Older Americans Act. Programs include: Adult Day Care, Assisted
Transportation, Family Caregiver, Friendly Visiting, In Home Services and Registry, Nutrition Programs
(CC Cafes / Home Delivered Meals), Legal Services, Ombudsman, Health Promotion and the Se nior
Coalitions.
Contracted Services, Review of Titles III D – Doreen Gaedtke
Disease Prevention and Health Promotion programs are provided under Title III D and are now evidence -
based (measured results over time). AAA staff will publish a Request for Interest (RFI) and encourage
applicants to submit proposals for the provision of programs that qualify under the Title IIID criteria.
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Other AAA Activities – Nhang Luong
Program development improves, expands and integrates existing services. Coordination b rings together
groups and organizations in order to promote and establish an inte rconnected community-based system
of care. Administrative work includes ongoing pla nning and management to develop and administer the
Area Plan and monitoring of contracts, a nd needs assessments. Program development and coordination
in 2014 includes a disaster preparedness presentations at the Concord Senior Center scheduled for May
15. Exercise and nutrition education will be provided through the SNAP -Ed fund. Partners in Planning
presented, ‘Aging Well’ in the fall of 2013.
Annual Plan Budget Components / Adequate Proportions – Scott Danielson
The AAA is required to maintain a data reporting system which in Contra Costa is known as California
Aging Reporting System (CARS). CARS provide a web-based porthole to assist AAA staff in the task of
data collection and reporting for programs that receive OAA funding. Reporting to the State includes
types of services and number of units of service provided to Contra Costa residents. Leveraged funds
provided by community partners increases the number of services available to our seniors. A majority of
the available funding is allocated to providing nutritious meals to older adults. Information and
Assistance Unit assists clients in accessing dedicated services such as assisted transportation outreach,
errand and escort, legal services, friendly visiting, in-home registry and adult day care.
Public Question/Clarification Period
Richard Nahm: “Does tax preparation include the long form, such as rental income and investment or things of that
nature?”
Ruth Atkin, Senior Staff Assistant: “I can‟t speak directly to how complicated a tax return they can do; I‟m just
not familiar with it.”
Lori Larks, Division Manager: “That is a good question. The Tax Aide Program will address the long form, but
for specific questions like that you would just call them and ask them. You could certainly schedule an
appointment with them; it is a free service.”
Ed Schroth: “On page 12 (Area Plan Summary) we talk about all of the direct services provided; it‟s always listed
as new seniors served – nutrition section or new seniors served – friendly visiting and then it says, total visiting
hours. Why don‟t we show the number as unduplicated seni ors served? The new seniors served for example, it
says, new seniors 165 and it shows 14,000 visiting hours but it doesn‟t show how many seniors were served
throughout the year with those total visiting hours”
Scott Danielson, Senior Staff Assistant: “I understand what you‟re saying; that‟s a good point. The new
seniors served number though, you‟ll have people enrolled in programs, they‟ll be carried over from fiscal year to
fiscal year. Those people can‟t be counted as new clients. One of the requiremen ts of our program is to solicit
an increase in the numbers of people that we serve. They have to be reported as new seniors served; they have
to be new to the system, new to that program. They are counted separately than the people that are regularly
served and get carried over into the new year for reporting purposes.”
Lori Larks, Division Manager: “I don‟t see a problem next year with adding another line that says total number
of seniors served; I think that‟s a good point.”
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Joanna Kim-Selby: “I‟m running East Bay Korean American Senior Services Center in Alameda County. I get a
phone call from Contra Costa County; they found a Korean that does not speak English, so they referred that
person to me. The transportation is in big trouble. I have no way o f connecting that person from Contra Costa
County to Alameda County. How can we make a connection between two counties?
Lori Larks, Division Manager: “If you refer that person who needs services in Alameda County to our
Information and Assistance line we have what is called a Language Line that provides translators so that social
workers can access translation services if they don‟t speak Korean permitting the worker to connect the client to
services in Contra Costa County. Does this answer your question ?”
Joanna Kim-Selby: “No; actually, the social worker from Contra Costa contacted me asking how can I help this
person who lives in Contra Costa County.
Dr. Robert Leasure: “I think that that‟s an internal discussion.”
Lori Larks: “I think so.”
Art Mijares – “I am a resident of Oakley. My two questions have to do with Oakley. Number one, how do I get a CC
Café in Oakley? I‟ve been trying to do this for a year. I keep running into blocks with the contractor I believe who is
saying (incomplete). That‟s question number two is, how do I get Adult Protective Services to file a report on an
elderly fraud and financial complaint? I‟ve called already and they told me they can‟t, she can‟t come over hear; we
need somebody to go over there to do the report.”
Lori Larks, Division Manager: “The Health Department at one point did have as I understand, a CC Café in
Oakley. In order for there to be a CC Café there has to be enough people to support the CC Café; that has been
the issue. We just don‟t have the ability to do that in Oakley based on the fact that we don‟t have enough
participation. I think it was within a residential senior community that you were referring to perhaps.
APS, because I manage it, I‟ll address that for you. APS does not file reports, we receive reports. They have to
meet the criteria in the Penal Code for abuse and neglect. If they are not about abuse and neglect of a senior
then it‟s not appropriate for APS. APS would then redirect the caller to the Better Business Bureau if it was a
business issue or another consumer complaint organization but if it is directly about the abuse or neglect of a
senior then the APS takes that report and then determines what level of investigation is needed whether it is an
immediate response, whether it‟s an over the phone, calling collaterals, whether it‟s a ten-day response or
whether there‟s a two to five day response; whether law enforcement is needed to go out together with the
worker or whether we need an immediate law enforcement response like righ t now or an immediate paramedic
right now.”
Maude DeVictor: “I have two questions and I want to do it real fast. Regarding the enviro nmental aspects of
illness and many of our seniors are suffering from but because of the timing we existed it wasn‟t a qu ote, „hot
issue.‟ Also in yesterday‟s news with regarding females and Al zheimer‟s, one in five is going to have Alzheimer‟s is
more high than the breast cancer thing. We have the flexibility to shift and develop policies or task force or
something to deal with that. Also the target compromise, that‟s a financial issue that seniors were not even
involved with but were swept up in. Do we have any type of linkage with local law enforcement or with the Secret
Service? Because to have a senior to have to call Minneapolis and Secret Service, you know…we as an agency
ought to be aware of that as well as local municipalities having this in their financial bud gets. And also the Native
American population, we don‟t have any type of a contact with them and bring th em into the natural kinds of things
and other issues, political or health that they are select.
Scott Danielson, Senior Staff Assistant: “I can address the Alzheimer‟s question. I can‟t address the others.
I‟m not aware of how large the Native American population is; it‟s not that large in Contra Costa County. Be that
as it may, I‟ll speak to Alzheimer‟s. We have a contract under our Family Caregiver Program with Alzheimer‟s
Association of Northern California and they have an office in Lafayette. They ha ve a large program that we fund
and they also get funding from other resources, fund raising, government foundation grants. They do provide
services to all of the community not just seniors. Early onset of Alzheimer‟s is becoming more…not more
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common but statistically is starting to blip up. They have a number of pr ograms that people can access. I don‟t
have their phone number off hand but you can call I nformation and Assistance and they can give you a referral
to the Alzheimer‟s Association. They have counseling, respite and caregiver training. I know we are running
short but our Family Caregiver Program has a pretty good integrated system with the agencies that work with
Alzheimer‟s. For instance, Alzheimer‟s doesn‟t get funded for respite but Family Caregiver Alliance does. They
have a large Family Caregiver Program. They will refer clients to other resources. I would suggest Nhang, you
could give out the information line and if anyone has questions about Alzheimer‟s, call Alzheimer‟s Association
and the other organizations that are working with them in tandem.”
Dr. Robert Leasure: “The Alzheimer‟s Association is an excellent community resource.”
Arthur Kee: “I noticed on page 9, the home delivery meal program and the cities listed, West Central a nd East and
I was wondering about Clayton and I don‟t see it there. Is that covered u nder one of the other cities?”
Scott Danielson, Senior Staff Assistant: “Yes it is; they get served from Walnut Creek I believe.”
Mary Bruns: “I‟m looking at the nutrition transportation one-way rides and I‟m wondering what numbers feed into
that? So like when our Lamorinda transportation takes people to the CC Café to we, do you get those numbers in
any fashion?
Scott Danielson, Senior Staff Assistant: “I‟m not sure. What happens is people can access through vouchers
the rides and they‟re coordinated through Nutrition. Paul Kraintz isn‟t here but I would suggest that you give him
a call, and you can get his number; he can talk to you about that because they use t he existing transportation
network and then they get billed monthly for the one-way rides. Anybody that needs a ride can call Nutrition and
they can arrange to have that person picked up.”
Lori Larks, Division Manager: “And that would be fantastic because then it‟s a use of federal funds so it‟s great
because as you know the nutrition money…is also the Health Department is what, you know we pass the money
to the Health Department and then there‟s the whole nutrition budget.”
Public Comment Period:
Ben Hornstein: “I am from the City of Concord. I just wanted to bring a fact that the City of Co ncord will be
opening what‟s called the, „Family Justice Center‟ in the old Bank of America Building. They are going to put all
agencies under one roof so that t he people don‟t have to travel all over to get it and it will start with youth problems
all the way up to senior problems. And also, another idea that Concord is working with now is we are starting a taxi
program where a person can call a taxi a certain company and they will come, they know it‟s a senior they will help
you into the car, if you have a walker or anything they will they will do that. If you are coming home they will carry
your groceries into the car and there is going to be a voucher deal. Yo u can get $60 worth for $30 and we‟re also
looking for additional funding on that.”
Art Mijares: “I‟m from the City of Oakley, plus I‟m a member of the Oakley Senior Center and we are on the move,
we‟ve moved in there, we‟ve starting to do a luncheon program there and other services. We have some things we
have to iron out. We‟re reestablishing our non-profit organization. Some of the members used to take care of the
records, they passed away and so did the records. So we‟re in the process of gathering al l that stuff together and
we‟re doing it. That‟s the key here. Now, we need some assistance. Last year I brought up the fact that the
locations of CC Café, there were eighteen of them when in actuality there were only 17 so I‟m glad to see the
correction in this year‟s. However, Oakley wants to be that eighteenth location in the community. Now I know that
there have been problems in the past but I‟ve got another minute.”
Art Mijares: “This is a comment, this is a comment; the budget, $2 million dollar, we would like a little portion of
that.”
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Dr. Robert Leasure: “No you don‟t. You‟ve made your point now please turn the mic over to somebody else.”
Lori Larks, Division Manager: “We‟ll bring it to the table again sir; thank you.”
Maude DeVictor: “For any of the agencies including the Board that desires to get any type of statistical data,
demographic data, please use your Census Bureau it‟s free and any time you want to know how many Indians, how
many Arabic people because with the CC Café they report i n there or something you know…so, you can find out all
of these statistical items and they are happy that you inquire and they have been counting in America since 1790.”
Darlene Commiskey: “I‟d just like to say that they are having a Meals on Wheels fundraiser in Martinez on
Saturday from 10-3pm on Pine Street; it‟s a new fundraiser.”
Adjournment:
Having no further public comment to receive, Dr. Leasure declared that the Hearing was closed at approximately
11:45am.