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HomeMy WebLinkAboutMINUTES - 11191996 - D27 TO: BOARD'OF SUPERVISORS Contra FROM: Finance Committee Costa c.. g County DATE: November 19, 1996x.. =y Tq C°()i1N'� SUBJECT: ASSESSMENT OF A PUBLIC AUTHORITY FOR THE IN-HOME SUPPORTIVE SERVICES PROGRAM SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION RECOMMENDATIONS: 1. ACCEPT the report from the Director of Social Services on the issue of creating a Public Authority for the In-Home Supportive Services program. 2. SUPPORT the recommendations of the Director of Social Services for instituting actions with the existing IHSS program by establishing a registry, assessing provider training, and enhancing consumer input. 3. REQUEST the Director of Social Services to prepare an assessment of a Public Authority, with the Board acting as the Authority, which includes a cap on County cost and liability and a sunset clause. (Timetable Attached) BACKGROUND: On October 29, the Finance Committee reviewed and discussed the attached report from the Director of Social Services. The report was requested at the October 7 Finance Committee meeting. CONTINUED ON ATTACHMENT: YES SIGNATURE: RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTED APPROVE OTHER SIGNATURE(S): VaSaulnier Tom Torlakson ACTION OF BOARD ON— November 19 , 1996 APPROVED AS RECOMMENDED X_ OTHER X The Board heard comments from the following speakers on the proposed program: A.C. Hollister, M.D. 14 Boles Court, Pleasant Hill; Trudi Riley, Co-Chair Housing Committee, Advisory Council on Aging, Long-term Care Cte, Advisor Council on ging, Member of IHSS Task Force, 47 Rich Court, Moraga; Edith Lowenstein, President of Advisory Council on Aging, 3324 Ptarmigan, AC E 20, Walnut Creek; Joanne Best, Independent Living Resource, 3811 Alhambra Ave., Martinez; Kagey Dorosz, IHSS Task Force, Richmond; Paul DeMange, IHSS Task':Force, 3811 Alhambra Ave., Martinez; Helen Hall; Lucille Adler; and Jeanine Meyers Rodriquez, SEN, 1007 7th Street, Sacramento; All persons desiring to speak having been heard, THE BOARD ORDERED that the above recommendations are APPROVED; and the County Administrator is DIRECTED to provide a report.-.to;the Finance Committee in January, 1997, on the issues raised today. VOTE OF SUPERVISORS I HEREBY CERTIFY THAT THIS IS A TRUE UNANIMOUS(ABSENT --- ) AND CORRECT COPY OF AN ACTION TAKEN AYES: I IV V & I I NOES: n o n e AND ENTERED ON THE MINUTES OF THE BOARD ABSENT: III ABSTAIN: none OF SUPERVISORS ON THE DATE SHOWN. ATTESTED November 19 , 1996 Contact: PHIL BATCHELOR,CLERK OF THE BOARD OF cc: John Cullen, Social Services SUPERVISORS D COUNTY ADMINISTRATOR Sara Hoffman, County Administrator G /_0BY ,DEPUTY 1l F� T Page 2 The Committee took lengthy testimony from a number of interested parties including the consumers and providers of IHSS services, members of the IHSS Task Force, members and past members of the Advisory Council on Aging, and labor unions. The testimony ranged from support of an IHSS Public Authority to opposition - with a variety of suggestions on how the current system can be improved. Most participants acknowledged the uncertainty in the current Social Services environment brought about by Federal Welfare Reform. The Committee decided to recommend action along two tracks. First, to accept the Social Service Director's report and encourage the department efforts at improving the current IHSS service delivery system, as outlined in the Director's report. Second, to request Social Services to assess the pros and cons of a Public Authority, with the Board of Supervisor's as the Authority. The assessment should consider a sunset clause and a cap on County cost and liability. The Social Services Director was requested to prepare a work plan and schedule for the Public Authority assessment. Attached is the proposed timetable. SOCIAL'SERVICE DEPARTMENT CONTRA COSTA COUNTY TO: Finance Committee DATE: 10/29/96 FROM: John Cullen, Direc or cc: SUBJ: Status Report - Development of IHSS Public Authority As per the Finance Committee's October 7th direction, the Social Service Department has begun a review of a proposal submitted by the IHSS Task Force, Service Employees International Union, and Keeslar &Associates, recommending adoption of an ordinance establishing a Public Authority to administer the In Home Supportive Services Program in Contra Costa County. Due to the far reaching impacts of such a proposal, and our desire to initiate program improvements, we have divided our review and recommendations into three sections. Section I provides information on the IHSS program and our service delivery options in California, local program demographics, and information regarding Public Authorities. Section II delineates areas for IHSS program improvements that are identified in the Task Force proposal and provides status updates on Department plans to address these issues. Section III presents a listing of the major issues of concern regarding a Public Authority on which the Department is gathering information/conducting analysis. It is absolutely essential from financial, service delivery, program accountability, labor relations and legal perspectives that these issues be fully explored prior to the development and approval of any ordinance to create a Public Authority. CONCLUSIONS/RECOMMENDATIONS • Accept this report as one step in thoroughly exploring the feasibility of creating a Public Authority for IHSS in Contra Costa County. • Support the Social Service Department's recommendations for instituting actions identified in Section II of this report which will improve the program in areas of registry services, training, consumer input and wage changes. • Continue on referral to Finance Committee status reports on research regarding financial, service delivery, accountability, labor relations & legal impacts of Public Authorities as listed in Section III. - 1 - r� SFCTIOIV V IHSS SERVICE DELIVERY The In-Home Supportive Services (IHSS) Program is a Federal/State-mandated program that provides domestic and personal care services to eligible aged, blind and disabled persons who, without such service, could not remain safely in their own homes. State of California law and regulations provide that counties must administer the IHSS Program through one or a combination of three service delivery modes. These modes are: • Independent Provider mode under which the client hires and supervises a private individual in an independent contractor relationship. • Contract mode in which the provider of service is the employee of a private company or independent non-profit agency which has won a contract to manage IHSS within the County. • Counly Homemaker mode in which the provider of service is a County employee. Contra Costa County uses the Independent Provider mode exclusively. Within all the various modes of service delivery, counties are to be responsible for eligibility determination and assessment of service hours. Under California State law, Independent Providers are paid minimum wage. Wages are not specified under the Contract or County Homemaker modes. With the recently-passed increase in Federal minimum wage, Independent Providers have received an increase in 96/97 and again in 97/98. All California counties offer the Independent Provider mode with six counties supplementing Independent Providers with County Homemaker staff and 9 counties supplementing Independent Providers with Contract modes. Under current Federal and State laws, the IHSS Program operates as an entitlement with varying Federal, State and County shares-of-cost, depending on whether or not services are reimbursable under Medicaid. In Contra Costa County, we serve approximately 4,100 clients every month; annually, we spend approximately $20 million in provider salaries and approximately $3 million in administration which together includes a total County share-of-cost of approximately $5.5 million. Over 60% of Contra Costa Independent Providers are family members hired by the client. Both staff and community advocates have long recognized the need to improve the manner in which IHSS clients who do not have family member providers are matched with a provider. Approximately 5,000 providers are currently serving our IHSS clients: At any one time approximately 4.5% or 185 IHSS clients in Contra Costa County are without providers. This is due to turnover, time delays pending the providers' availability, clients terminating existing caretakers, immediate unavilability of providers, etc. The limited existing registry services in the community have not been able to adequately meet the needs of these clients. - 2 - PUBLIC,AUTHORITY The In Home Supportive Services Public Authority, as defined in 1993 California legislation (SB 35) and in the 1996 State Budget Trailer Bill (SB 1780), is a new entity which can be created by county ordinance to provide for the delivery of IHSS. The Public Authority offers counties an alternative structure for managing the Independent Provider mode of IHSS. Public Authorities must provide a registry of providers, perform background checks, develop a referral system, and provide for training. Whereas, these services are not required under Independent Provider modes. The Public Authority primarily serves as the "employer of record for purposes of collective bargaining." Whereas, Independent Provider programs rely on state statute for salary and benefit setting. The Public Authority legislation also preserves the consumers' right to hire, fire, and direct their own providers. The legislation protects the Public Authority from being deemed the employer of IHSS providers "for purposes of liability due to the negligence or intentional torts of IHSS personnel." Under the legislation, the Board of Supervisors may appoint a consumer majority Public Authority or the Board of Supervisors may establish themselves as the Public Authority, with a consumer advisory committee. State legislation no longer allows any additional funding for creation of a Public Authority, and the state now limits its share of additional services (i.e. registry, background checks, etc.) to current administrative allocations. Recent budget trailer bill legislation also requires local government to fund the state's share of any salary and benefit costs authorized by a Public Authority. SECTION II PROPOSED IHSS PROGRAM IMPROVEMENTS Those advocating for creation of a Public Authority, as well as the Social Service Department, agree that underlying program improvement areas include the need for a provider registry, provider training, consumer input and provider wages. The Social Service Department has budgeted $50,000 and one full-time staff person to begin addressing some of these underlying issues this fiscal year. ESTABLISHMENT OF REGISTRY Staff has interviewed managers in Santa Clara, Alameda, Sonoma and San Mateo counties to gather information on registry structure, provider/client processes and technology used by each registry._ After reviewing these registries, a preliminary report and findings have a been developed. A Registry Program would provide: • Ongoing recruitment of prospective IHSS workers; • Maintenance of a current list of prospective workers; • Assessment of workers skills, abilities and training needs; • Provide for reference checks and review of workers qualifications; - 3 - D 27 • Monitoring of client/provider match; • Identification of training opportunities in the community; • Assist IHSS recipients in their employer function of hiring, scheduling, supervising, and directing providers; • Integration of the IHSS registry into the IHSS unit; and, • Ongoing evaluation of registry services. Presently 60% of the IHSS providers are family members and 40% are recruited from the general population. At any given time a small number of clients are without a provider and are in need of registry service. Therefore a registry only needs to be developed to accommodate a very small portion of our population. We plan to work with the Advisory Council on Aging Long Term Care Committee and IHSS Task Force to initiate Registry Services this fiscal year. PROVIDER TRAINING Department staff will soon begin an inventory of available training resources offered within Contra Costa County for the benefit of Individual Providers, Social Workers, and other community professionals serving IHSS clients. Linkage of training resource information with Idependent Providers will be a priority, with details being disseminated regularly. The Department will coordinate this activity with local advisory bodies. CONSUMER INPUT The County Advisory Council on Aging, through its Long Term Care (LTC) Committee, is a vehicle for providing ongoing input from IHSS clients and providers and from concerned community advocates regarding IHSS program operations. This body is overseeing the development of a long term care program (which includes IHSS as a key component). Their mission is to develop and support coordinated and high quality home, community, and institutional based long-term care systems within the county by: • Linking adult programs ( Health and Social Service); • providing consumer choices and self determination; • providing service flexibility to respond to the needs of the individuals, their families and caregivers; and, • advocating for consistent policies within local, state and,federal organizations serving adults. We believe that the creation of a "system of services" for all eligible clients in Contra Costa County in need of any level of long term care supportive services will allow for a coordinated - 4 - and more efficient service system. Additionally, consumer input will be increased through the involvement of consumers, community groups and agencies involved in this continuum of services. The LTC committee is demographically and regionally representative of Contra Costa County. The LTC committee includes consumers, caregivers, and health care professionals. Additionally, we will continue to participate on the IHSS Task Force. PROVIDER WAGES AND BENEFITS Provider wages are based in California statute on Federal and State minimum wage standards. As of October 1, 1996, federal mandated minimum wage went to $4.75. Sept. 1, 1997, it will increase to $5.15 per hour. A current State Ballot Proposition (if passed) would increase California minimum wage to $5.75 in January 1997. Any wage increase for Independent Providers above minimum wage is not eligible for state reimbursement. SECTION III PUBLIC AUTHORITY ISSUES OF CONCERN The complex and relatively untested concept of a Public Authority raises a host of financial, service delivery, program accountability, labor relations and legal issues of concern to the Department. These various issues need to be explored, and answers obtained in the coming weeks and months in order for a decision to be made on the appropriateness of a Public Authority. Social Service Department staff has/will take the following actions to gather necessary information regarding primary areas of impact: FINANCIAL • Study the cost of staff, structure and programs of the Public Authority over which the Board of Supervisors will not have direct control. Run suggested costs through a claim process. Consult with San Francisco, Alameda and State Department of Social Services. • Confer with State Department of Social Services to clarify whether any state or federal dollars are available above or beyond our current IHSS administrative allocation for support of a Public Authority. • Review State Department of Social Services claiming regulations for Public Authorities, when issued, to assess financial impact. • Identify with the State Department of Social Services the impact of Welfare Reform/TANF funds on the IHSS program. 0 • Identify with the State Department of Social Services the impact of Welfare Reform on IHSS client eligibility. • Identify with State Department of Social Services any IHSS Funding cuts due to Title XX Block Grant changes caused by Welfare Reform. - 5 - • Identify with State and County Auditor how to assure fiscal accountability of an IHSS Public Authority. SERVICE DELIVERY/PROGRAM ACCOUNTABILITY Meet with San Francisco, San Mateo, and Alameda Public Authorities, County Auditor, County Counsel, and Social Service staffs to review the following service delivery and program accountability issues: • Coordination and duplication issues resulting from split authority between Social Service Department and Public Authority; • Staffing needed to oversee Public Authority in order to maintain county mandated program and fiscal responsibilities; • Confidentiality issues regarding sharing of information with Public Authority; • How to assure compliance of Public Authority with state audit requirements; • Gather information and advice on the experiences of these counties in launching Public Authorities. • Consult with IHSS Task Force, Advisory Council on Aging Long Term care Committee, and other interested parties to clarify their divergent views regarding the Public Authority; LABOR & LEGAL RELATIONS Confer with County Counsel and County Human Resources Departments regarding initial legal and labor relations issues that have been raised, including: • Board of Supervisors legal relationship to independent Public Authority; • Determination of employer of record of Independent Providers; • Determine County exposure to a broad new range of collective bargaining and meet and confer obligations; • Determine if Public Authority would create a new County administrative wage and benefit structure for 5,000 additional employees; • Consult with labor relations experts on Public Authority; • Determine need to develop new employer/employee relations policies for Public Authority; • Compare conflicting legal opinions regarding Public Authorities. - 6 - DN nN o C 0, c o� r mN O n con CD C-' o CD co � �. 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Sessler, Director Office on Aging November 19, 1996 TO: Board of Supervisors Contra Costa County FROM: Ilene Lubkin Member of Advisory Council on Aging (ACA) Co-Chair of Long Tenn Care (LTC) Committee RE: Ordinance for a Public Authority for IHSS I am unable to attend today's meeting but wish to add my voice against the passage of an ordinance establishing a Public Authority for IHSS AT THIS TIME. Members of the ACA/LTC committee began participating on the IHSS Task Force, at the invitation of the Task Force, about 4 months ago and feel that more information needs to be obtained before the ACA can wholeheartedly support a Public Authority. The $23 million currently spent on the IHSS program provides vital support for our most needy citizens which allows them to stay in the community rather than be institutionalized. However, the IHSS program is only a small part of the entire long term care network. Although the Board of Supervisors can set financial limits on money spent on an IHSS Public Authority, it is conceivable that money from other vital programs could be siphoned into this one program if an ordinance is passed and mandates certaui services. In addition, the structure for a Public Authority has yet to be determined and should be specified in an ordinance. THE CONTRA COSTA COUNTY ADVISORY COUNCIL ON AGING IS APPOINTED BY THE BOARD OF SUPERVISORS TO ADVISE THE AREA AGENCY ON AGING ON ALL MATTERS RELATED TO THE DEVELOPMENT AND ADMINISTRATION OF THE ANNUAL AREA AGENCY PLAN AND OPERATIONS CONDUCTED THEREUNDER,IN ACCORDANCE WITH MANDATES FROM THE OLDER AMERICANS ACT. ANY COMMENTS OR RECOMMENDATIONS MADE BY THE COUNCIL OR ITS INDIVIDUAL MEMBERS TO NOT REPRESENT THE OFFICIAL POSITION OF THE COUNTY OR ANY OF ITS OFFICERS. 2 The ACA is appointed by the Board of Supervisors to serve, impartially, as advocates for seniors in Contra Costa County and represents all areas throughout the county. We know that senior issues can best be met by providing intergenerational advocacy, including for the disabled. The IHSS Task Force is a self-appointed group that does not represent the county as a whole. Delaying the passage of an ordinance at this time will allow us to continue gathering data during the next few months so the best decision for Contra Costa County can be made. Currently we are planning a survey of consumers and providers of services, hopefully in conjunction with California State University, Hayward; and the Department of Social Services is undertaking an analysis of other Public Authorities and registries. This data would be vital in establishing the best program for our county. IL/kg ORDINANCE NO. AN ORDINANCE RELATING TO THE DESIGNATION OF THE PUBLIC AUTHORITY FOR IN-HOME SUPPORTIVE SERVICES The Board of Supervisors of the County of Contra Costa ordains as follows: SECTION I: PUBLIC AUTHORITY FOR IN-HOME SUPPORTIVE SERVICES Section 1. DESIGNATION OF PUBLIC AUTHORITY. Pursuant to Welfare and Institutions Code Section 12301.6,the Board of Supervisors hereby establishes a public authority to provide for the delivery of in-home supportive services. The Board of Supervisors hereby designates itself as the governing body of the public authority. Section 2. ADVISORY COMMITTEE. The Advisory Committee shall consist of not more than 11 members of whom at least 50 percent shall be individuals who are current or past users of personal assistance,services paid for through public or private funds or are recipients of services under Article 7, Chapter 3, Part 3,Division 9 of the Welfare and Institutions Code(section 12300 et seq.). There exists in the County an In Home Support Services Task Force. Prior to selecting the members of this Advisory Committee,this Board shall solicit recommendations from the IHSS Task Force, , and conduct a fair and open process that includes the provision of reasonable,written notice to, and a reasonable response time by,members of the general public and interested persons and organizations. Section 3. POLICY STATEMENTS. 1. Neither the establishment of the public authority nor the application of the Government Code section 3500 et seq. shall replace or diminish.the consumers' rights to select,direct,hire and dismiss their in-home workers. 2. Nothing in these enumerated powers shall be construed to alter,require the alteration of, or interfere with the state's payroll system and other provisions of Section 12302.2 of the Welfare and Institutions Code for independent providers of IHSS,or to affect the state's responsibilities with respect to unemployment insurance,or workers' compensation for providers of IHSS. 3. In adopting this Chapter, the Board recognizes that the funding of IHSS is the product of a complex relationship of federal, state and County financing, and that the ability of the Authority to operate and to negotiate wages and benefits of the providers of IHSS is contingent upon the availability of adequate funding from all sources. Nothing in this Chapter is intended to require the County to appropriate any funds for the operation of the Authority or for payment of wages or benefits to providers of IHSS. 4. The total of all operating costs,wages and benefits proposed or established by the Authority must be consistent with the provisions of the final County budget. The Authority may not establish a payment rate that includes the costs of wages,benefits and operation-until the governing body of the Authority makes a finding that the funds necessary for payment of that rate are legally available. VY 5. Services shall not be reduced in order to fund the public authority or,the implementation of Government Code Section 3500 et seq. 2 6. In-home workers shall be entitled to all of the rights conferred upon them by the Meyers- Milias-Brown Act(Government Code section 3500 et seq.),including the right to be represented in their employment relationships with the public authority with regard to job security. Section 4. SUNSET PROVISION The provisions of this ordinance shall expire on the day two years following the date that the ordinance takes effect. At such a time,the Board of Supervisors shall vote whether or not to continue the ordinance or an amended version thereof. SECTION II This ordinance shall take effect and be in force 30 days from and after the date of passage, and before the expiration of 15 days after its passage,shall be published once with the names of the members voting for and against same in a newspaper published in the said County of Contra Costa. Adopted by the Board of Supervisors of the County of Contra Costa, State of California, on this day of ,by the following called vote: AYES: Supervisors NOES: Supervisors EXCUSED: Supervisors Dr. Jeff Smith,President of the Board of Supervisors, County of Contra Costa, State of California Request to Speak FormNov 18 1990 (THREE (3) MINUTE LIMIT) Complete this form and place it in the box near the speakers' rostrum before addressing the Board. Name: AIMS 9• Phone: 67(e--`g5F, Address: Yq,5 1e-L6dV #kCity: l",OVI C or-a 1 am speaking for myselor organization: (Name of organization) CHECK ONE: I wish to speak on Agenda Item # Date: My comments will be: general for against I wish to speak on the subject of ,/Zl do not wish to speak but leave "these comments for the Board to consider: y /q7,y'i nt I'Y7lwho Aas been 1j51n9 1,7c e D�I. /9` �• S PPo r� P� f�lJhliG Aulyr)n'�Y /9raJrr ro Canb-A ' Gos¢u, C,0Un�l, ReSOVrces ar l'I/��a���,�c��v��" ���•)/!/7G �.�ri.�--• � D r�® yyU� `SGS huh �Ga ,t 'f inch l�� rCu� SerVICe. ova'" v-� id's ownC2rr�P� 1G1r r ter- � is�9'�Je� of �r-e1i y rr�v�hry i 1.4mf4, End fhC I-- �9rar1 1 ' �C1?ya l�'�r-�f .g-�n��n7S c�.ba��' �� �v�� �- re�v�rem�n�s a s t ser-11116 sr-verql f, es' �hr%e /1`v1n1 Jn r'��ywa� 6e,�w�en >�d�-1 f93— L�-was t�vo"� c� r�1��.bl e ;- ir�lua6/e SerV oe . bofsform Z414e.M — /11dvea acs Con c.orr4 i`Y? l�� 19q� 1- c.� ccs �lEr1c( 5-110 G�rv� �111� i Sa �'n11� � wr'�h � Sertir"cis fir, /o,�Y/ �s f ��'r�� r � 1,V- � /ave yob- be-,Ch s cre coe Qr S !�L !'Gu lov,(', /ylarr y r,/vy�'y' vnler- /-A any ,w(y. -77,'ey a rf- Ary l i 7fle. h ejP �"O u� f-,,� G�rlsvn��rl o, /?-f,_S, c,q-1/ rn e. /'F you w�S�i .. ,k7 k- QA A ) - +� G eTr� OV, 51996 Request to Speak Form (THREE (3) MINUTE LIMIT) Complete this form and place it in the box near the speakers' rostrum before addressing the Board. Name: '!L e,v /v1, l=',4C Q u-q Phone: ,&-/©_z�-- Address:.:F�,6b /Al- . 7� a city: 1 am Speaking for c:;yself or organization: (Name of organization) CHECK ONE: I wish to speak on Agenda Item # Date: My comments will be: general for against I wish to speak on the subject of I do not wish to speak but leave these comments for the Board to consider: l 4 S/'c cf -T-b,47- w e nl e e c JE v �? , e ,4 %��. �L 1c '1h c je i T::( ID 4JM2_y 7i ! e Acv l7 To S'C. P, e-e h/ 1"�t2 n v / d1 7 (�0 l h!l' -T-6 Ti-r- P /Q'n V t P 12 s. l� t LtJ s .� c� �'r t f� S l 4) a u rJ a LJ bofsform Request to Speak. Form (THREE (3) MINUTE LIMIT) Complete this form and place it in the box near the speakers' rostrum before addressing the Board. Name: 1 +h-!5 Phone: Address: �c�co�-� / -©� ��, city: I am speaking for myselfor organization: (Name of organization) CHECK ONE: I wish to speak on Agenda Item # Date: My comments will be: general for against I wish to speak on the subject of I do not wish to speak but leave these comments for the Board to consider: b[]f3(OSiii �. 27 BOARD OF SUPERVISORS: IHSS AND THE PUBLIC AUTHORITY ,NOVEMBER 19, 1998, submitted by Ruth pontana, 75A Bishop tane, walnut Creek, CA 94596 510-256-1410, ROFont@aol.com. Members of the board, my name is Ruth Fontana. I have been a consumer ofIn Home Support Services since 1989 and although I am very pleased that there Js such a thing as IHSS, 1 also. know that there is a great need for change and the Public Authority seems to be what is needed. l know that -1 -don't ".look disabled to most of you but, non the less, l have been. disabled by multiple chemical sensi- tivities (ICS) and ankylosing spondylitis (a form of spinal arthritis) since 1984. whenever I am exposed to any chemi- cal fragrance or petrochemical . product or pesticide, etc. I . suffer a variety of symptoms, some of which .are life threa- tening. And since it appears that this condition is progres- sive, I must avoid all unnecessary exposures in order to re- main independent! Also, I have suffered back pain and ac- companying problems-such as weakness and pain in ray neck, feet and hands-since 1984. due to the spondylitis-also pro- gressive-and therefore, it is difficult for me to do many or- dinary household chores. During my time using IHSS I have at tines gone without a provider for up to 8 months due to the lack of competent providers. I have had ones who wanted to collect the money from the county but not show up for work or leave early in- sisting that I fill out their time sheets, because of coarse they `Would make up the work right away'. At one time I even hired a relative who came to feel that they could slack off at any time and it wouldn't matter. l have had workers who felt that they shouldn't have to pay a babysitter while they worked-at $4.25 per hour-so they brought the children to my house where my possessions were either broken or stolen. when you have no screening or training of workers you are often left to entrust your daily. personal care to people who are untrustworthy and unprincipled. This, in my opinion, makes people with disabilities sitting ducks! Another plus is that' The Public Authority will allow peo- ple with disabilities to offer input into the direction IHSS will go in the future, as well as to set up safe guards for them now. As long as there arena any more dollars , spent on ad- ministration and no consumer services will be reduced, l would ask the Board to vote yes and give us all a chance to rework a failing system. Signed: Ruth Fontana Request to Speak Form ( THREE (3) MINUTE LIMIT) Complete this form and place It in the box near the speakers' rostrum before addressing the Board. Name: Phone: Address: -;may; c,J�- 1 am speaking for myself or organ - omm of oraantzatioN CHECK ONE: I wish to qwak on Agenda Item # Gate• f^ 1 �} -Q� My comments will be: #eneral �for_"W . 1 wish to speak on the subject of a we wit b u-- ` 1-do-swish-to speak but leave these comnnentssffort Board rw to carer: - 510-256-1410 - Created: Monday, Nouember 18, 1996 10:59 PM- Page 1 of 2 10. 97 BOARD OFSUP ND THE PUBLIC AUTHORITY NOVEMBER 19, 9 , submitted by Ru Fo tana, 75A_Bishop Lane, Walnut Creek, CA 94596 TQ7Nov 19 WIS 510-256-1410, RDFon1@aol.com. CLERK 13 D 0 O U O SORS Members of' t e. is Ruth Fontana. I have been a consumer of In Home Support. Services since 1989 and although I am very pleased that. there- is such a thing as IHSS, I also know that there. is a great- need for change and the Public Authority seems to be what is needed. know that, I don't. "look, disabled" to most`. of you, but, non the less, A have been disabled by multiple chemical sensi- tivities (MCS) and ankylosing spondylitis . (a. form of spinal arthritis) since 1984. Whenever I am exposed to any chemi- cal fragrance. or petrochemical product: or pesticide, etc. I suffer a variety of symptoms;. ' some of .which_ are life threa- tening. And since it appears that this condition =is progres sive, I must avoid. all unnecessary exposures- in .order to re- main independent! Also, I have suffered' back- pain and ac companying problems-such as weakness and. pain in . my neck, feet_ and hands-since 1964 due to the spondylitis-also pro- gressive-and therefore, it* is difficult for me to do many or- dinary household: chores.. During my time using IHSS I have at: times gone without a provider for u to 6 months due to the lack: of Competent.' p p .P providers. I have had ones who wanted to collect: the money from the county but not show up for, work or leave. early in- sisting that I fill out their time sheets, because of coarse they `would make up the work right away'. At one time i even hired a relative who came to feel that they could slack Request to. Speak For (THREE (3) MINUTE LIMIT) Complete this form and place it in the box near the speakers' rostrum before addressing the Board. Name: Add ress. ,,�� G2 G �� I am speaking for myself or organization: (Name of organization) CHECK ONE: I wish to speak on Agenda Item # Date: My comments will be: general for against I wish to speak on the subject of I do not wish to speak but leave these comments for the Board to consider: bofsform r _ �- 9,7 Request to speak Fora (THREE (3) MINUTE LIMIT) Complete this form and place it in the box near the speakers' rostrum before addressing the Board. Name: iJACV—fl � Phone: Address: 30 ;4A-Tw City:4� �C wa-)-�D I am speaking for myself or organization: ` t 0 hoo6tJ�, (Name of organization) CHECK ONE: I wish to speak on Agenda Item # Date: My comments will be: general for against 1 wish to speak on the subject of I do not wish to speak but leave these comments for the Board to consider: . tib fi(cJ"7 pall t( f� rNCtrulrl lT f -�z� t�e2 bofsform Requestto Speak Form (THREE (3) MINUTE LIMIT) Complete this form and place it in the box near the speakers' rostrum before addressing the Board. N a m e 2 4 15Phone( /Q> 02z, �L a �C3 Address: City: I am speaking for myself or organization: (Name of organization) CHECK ONE: I wish to speak on Agenda Item # Date: My comments will be: general for against I wish to speak on the subject of _LZ' aQ not wish to speak but leave these comments for the Board to consider: o r s borstam, D, Request toSpeak Form (THREE (3) MINUTE LIMIT) Complete this form and place it in the box near the speakers' rostrum before addressing the Board. 1-11 Name: l/, Phone:3/0 �� Address: City: Abln) �oI I am speaking for myself or organization: (Name of organization) CHECK ONE: I wish to speak on Agenda Item # Date: My comments will be: general for against I wish to speak on the subject of I do not wish to speak but leave these comments for the Board to consider: a • � .�-�-• �� � i ��,-CSI � 9,_� 1 CJ r bofsform a � Request to Speak Form (THREE (3) MINUTE LIMIT) Complete this form and place it in the box near the speakers' rostrum before addressing the Board. Name: --�-,-. a �� Phone: 2 3 '' ' X03 Address:1.4o � � City: 1 am speaking for myself or organization: (Name of organization) CHECK ONE: I wish to speak on Agenda Item # Date: My comments will be: general for against 1 wish to speak on the subject of "I o not wish to speak but leave these comments for the Board to consider: A, r a� r' " t t bofsform Request to Speak Form (THREE (3) MINUTE LIMIT) Complete this form and place it in the box near the speakers' rostrum before addressing the Board. Name: l= P tv TC'u -N2 Phone: 1p L d — C/) �O a Address: L-) Ivo 1V e vi,, /4 ilei *4 :9-S City: IY1 t am speaking for myself or organization: (Name of organization) CHECK ONE: I wish to speak on Agenda item # Date: My comments will be: general for d/` against I wish to speak on the subject of I do not wish to speak but leave these comments for the Board to consider: 40f 41117 bofsform Z� Request to Speak Form (THREE (3) MINUTE LIMIT) Complete this form and place it in the box near the speakers' rostrum before addressing the Board. Namea-,,4 -- ,2, hon . s ,DO Address:1,V,,QQ 22Gity _ � t� am speaking for myself_ or organization: (Name of organization) CHECK ONE: 1 wish to speak on Agenda Item #Y Date.- My ate:My comments will be: general for-J against I wish to speak on the subject of I do not wish to spe but leave these comments for the Board to consider: 17 r A t 4 l bofsform Request to Speak Form (THREE (3) MINUTE LIMIT) Complete this form and place it in the box near the speakers' rostrum before addressing the Board. Name: L-0-14,�Y- iv3Sn� Crar�-c^ Phone: 102 6 So3 Address: t aft City: DCS C" I am speaking for myself_ or organization: (Name of organization) CHECK ONE: I wish to speak on Agenda Item # Date: : 'My comments will be: general for against I wish to speak on the subject of l ,do not-wish to speak but leave these comments for the Board to ' consider: u w �'-{c�e,�-� �►.y -f--aS1c-e a v a���r es 8as', 2 e- c of.• i 1 y ` y 5 '�YZ--�. ery U)0 t�2ar S '�v,-A C-1 l�S S bofdorm j O C e__r�s a-SS k S - -a��e� ►��e� w t Request to Speak Former (THREE (3) MINUTE LIMIT) Complete this form and place it in the box near the speakers' rostrum before addressing the Board. Name. 0 P U c:Y, i o-nt Phone: 14 lJ'1 Address: U /, -e- ,,1r1J t City: --�5 I am speaking for myself or organization: 40 c (Name of organization) CHECK ONE: I wish to speak on Agenda Item # Date: My comments will be: general for against I wish to speak on the subject of I do not wish to speak but leave these comments for the Board to consider: ' bofsform Request to Speak Farm (THREE (3) MINUTE LIMIT) Complete this form and place it in the box near the speakers' rostrum before addressing the Board. Name:, ) Qt&A A, (�. � : ��� Phone(51 Address:fS ' Cott'. ti e o ✓� ci I am speaking for myself -'��or organization: (Name of organization) CHECK ONE: I wish to speak on Agenda Item #DI- Date: My comments will be: general for against I wish to speak on the subject of N)I do not wish to speak but lean these comments for the Board to consider: _ �- e2r� UGC o CL 0- �6-4 G v 0 0. Usk { Request to speak Form (THREE (3) MINUTE LIMIT) Complete this form and place it in the box near the speakers' rostrum before addressing the Board. Name: -Phone:S/l) - .z222 f Address: l9 1&kcaol 4 City! K I am speaking for myself or organization: (Name of organization) CHECK ONE: I wish to speak on Agenda Item #-I' Date: My comments will be: general for against I wish to speak on the subject of I dAr wish to speak but leave these comments for the Board to consider: tn? �e WA '14 J 0 l_i1 iAA P/� J iYl t e� b fsfofO mf Request to Speak Poria (THREE (3) MINUTE LIMIT) Complete this form and place it in. the box near the speakers' rostrum before addressing the Board. -- q Name: r d�'� Phone: 6 1 D Address: �V��11N��AN1V�C• City: ,ta I am speaking for myself_ or organization. (Name of organization) CHECK ONE: I wish to speak on Agenda Item # Date: My comments will be: general for against I wish to speak on the subject of - - �' � S I do not wish to speak but leave these comm nts for the Board to 9�r consider: �i� et &�e-Cr9 re ria vld e4A� � Pafi2ee-A /o r m AA k\0 ve -sA,0,ry is PvV6oR- AM eeA ,b16,SeJ-k A d-feZ14 so I ht e-, { S -hA vi? so LAS c�e,� I' l I A 0e , SbWle 10 4-8 0 r- rea`S bofsform 67) Request tospeak dorm (THREE (3) MINUTE LIMIT) Complete this form and place it in the box near the speakers' rostrum before addressing the Board. Name: - C)h rQ 73 a c-o�c--o Phone: (�l� Z1 S--4 6®� Address: S !�c� ham- -- a City: ' I am speaking for myself or organization: 4CC-4 C_ , � .(Name of organization) CHECK ONE: I wish to speak on Agenda Item # wl-6ate: My comments will be: general for against .C--'111'wish to speak.on the subject of (:Tl S © 1 =3 r �� do not wish to speak but leave these comments for the Board to consider: . f borsrorm Request to Speak Form (THREE (3) MINUTE LIMIT) Complete this form and place it in the box near the speakers' rostrum before addressing the Board. Name: Y-2, Phone: Sl e a3 s-- �J 6r Address:�y�o p 1� e vi��, ��� � T ?�/ City: h'ec/��o -�. D. ��9 1`.a&oy_�'�jG. I acs speak-Ing for myseif or organization: (Name of organization) CHECK ONE: `7 wish to speak on Agenda Item #_L_ Date: My comments will be: general for against I wish to speak on the subject of I do not wish to speal, but leave these comments for the Board to consider: c c LAJ F a�n_.L 1 A f q a=te F bofsform Request to Speak Form (THREE (3) MINUTE LIMIT) Complete this form and place it in the box near the speakers' rostrum before addressing the Board. Name: ��VttcPhone:,e-%i-�92-,�,3— 6; Address: . City: I am speaking for myself / or organization: -� (Name of organization) CHECK ONE: I wish to speak on Agenda Item # Date: My comments will be: general for against 1 wish to speak on the subject of L,-'f—do not wish to speak but leave these comments for the Board to consider: �,/Wr Aell .�—✓�'�.�- 't�,1"Y:'/ -.cL1F'. '7'�C/1 i%A4'ii11J4-r .t7 fl.i! /A 4/141.0 LTJ -Y19 t /I , bofsform . ..•vv i ��+ Vvi-' VVL f V/ LJ JV 1"I•G s Request to Speak F (THREE (3) MINUTE LIMIT) Complete this form and place it in the box near the speakers' rostrum before addressing the Board. Name: r Q24&747 &A- Phone: Address:' I--P(--� aA— City: S F I am speaking for myself or organization: h10 OcJ (Name of organization) CHECK ONE: I wish to speak on Agenda item # Date: My comments will be: general W4,—against I wish to speak on the subject of do not wish to peak bu wave these comments for th Board to consider:•—G --tiL "-tl (2 "MIV &Ja� bo V r 0�,-e-ttir,71 7 kz��J L. ej p /J/,ff '�` ��A, s-- vyl . 46 CRvv" t144 e O Request to Speak Form (THREE (3) MINUTE LIMIT) Complete this form and place it in the box near the speakers' rostrum before add essing the B ard. Name: Phone: l, Address• ty am speaking for myself. or organization: (Name of organization) CHECK ONE: I wish to speak on Agenda Item # Date: My comments will be: general for against 1 wish to speak on the subject of I do not wish to speak but leave these comments for the Board to consjder: r Z-,(,.'-Z2 V6::::: � f bofsform ! �2 J � ! Request to Speak Form (THREE (3) MINUTE LIMIT) Complete this form and place it in the box near the speakers' rostrum before addressing the Board. Name: �✓0- Phone: Address: City: c��,� 7VI� 9�Sy3 lam speaking for myself ✓ or organization: (Name of organization) CHECK ONE: I wish to speak on Agenda Item #� a� Date: My comments will be: general-for-against wish to speak on the subject of _ ✓ I do not wish to speak but leave these comments for the Board to consider: bofsform / � � G' � -oma rO. �' _ m/ x, 16 Q,`T'd �o�nv liv �` � �`oG� C�I P " u •�l