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HomeMy WebLinkAboutMINUTES - 05241994 - 1.38 _ T 1.3� IO: BOARD OF SUPERVISORS Contra Perfecto Villarreal, Director - -_ FROM: Social Service Department Costa .... ° County DATE: May 11, 1994. r SUBJECT: APPROVE AREA AGENCY ON AGING'S FISCAL YEAR 1994-95 AREA PLAN UPDATE, NOTICE OF GRANT AWARD, AND SUBGRANT AWARD CONDITIONS FOR FY 94-95; AND SIGN THE LETTER OF TRANSMITTAL (Ref. : 29-002-88) SPECIFIC REOUEST(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION I. RECOMMENDED ACTION APPROVE Contra Costa County Area Agency on Aging Title III Area Plan Update for FY 94-95 and AUTHORIZE the Chair., Board of Supervisor sign and execute the Letter of Transmittal to the California Department of Aging. II. FINANCIAL IMPACT The FY 1994-95 Subgrant Award will provide $2 , 086, 059 of Federal and State funds to conduct programs and activities on behalf of county residents age 60+ under Title III of the Older Americans Act. The Area Plan Budget for FY 1994-95 provides for a required County match of approximately $84 , 000. This County revenue has been included in the FY 1994-95 budget of the Social Service Department. III. REASONS FOR RECOMMENDATION/BACKGROUND Since 1976 the Office on Aging has been providing services for older residents of the county under Title III. of the Older Americans Act. Under the 1994-95 Area Plan Update and Subgrant Award the Office on Aging will continue to fund contractor agencies to provide congregate meals, home-delivered meals, legal assistance, case management, in home services for the frail, home visiting, in-home services registry, transportation, long term care ombudsman services, and elder abuse prevention. In addition, the Office on Aging will provide information and referral services, and preventive health care and disease prevention program and perform the program development, coordination, administrative and planning responsibilities of an area agency on aging. l CONTINUED ON ATTACHMENT: YES SIGNATURE: RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE APPROVE OTHER SIGNATURE(S): ACTION OF BOARD ON ad APPROVED AS RECOMMENDED OTHER VOTE OF SUPERVISORS I HEREBY CERTIFY THAT THIS IS A TRUE UNANIMOUS(ABSENT AND CORRECT COPY OF AN ACTION TAKEN AYES: NOES: AND ENTERED ON THE MINUTES OF THE BOARD ABSENT: ABSTAIN: OF SUPERVISORS ON THE DATE SHOWN. CC: Contact: Sharon Johnson x 3-1711 ATTESTED " office on Aging PHIL BATCHELOR,CLERK OF THE BOARD OF County Administrator SUPERVISORS AND COUNTY ADMINISTRATOR Auditor-Controller Calif. State Dept. of Aging (6) M382 (10/88) BY \ ,1� '�" DEPUTY 1 . 3$ TRANSMITTAL LETTER This update of the 1993-1997 Area Plan for PSA is hereby submitted to the California Department of Aging for approval. The (Governing Body) supports the development of community based systems of services and recognizes the responsibility within each community to establish systems in order to address the care needs of older persons and rs s with functional impairments, their families, and caregivers. f 2 4 1. (Signed) Chair rson, Governing Board Date 2. (Signed) Oy A —�-- A/4y Director, Area Agency on Aging Date The Area Agency Advisory Council has had the opportunity to participate in the planning process, and to review and comment on the Area Plan. 3. (Signed) Chairperson, Area Agency on Aging Date Advisory Council Please Note: The language used in this Transmittal Letter may also be used in local resolutions required for transmittal of the Area Plan. GOAL #1 The AAA is committed to enhancing Contra Costa County's community based system of care and will provide staff assistance for program development, coordination and technical assistance to coalitions and nonprofit agencies serving the senior population for expansion of existing resources and development of new programs, based on identified service need. RATIONALE As part of the needs assessment, the Key Informant Survey, and focus groups requested AAA to maintain a high level of visibility and leadership. OBJECTIVES 1. AAA planner will assust the Antioch Committee on Aging Multipurpose Task Force to find a land site by June 30, 1994 to build a multipurpose health care facility. P.D. 2. AAA staff will assist the Elder Care Committee to expand day care for Seniors by applying for funding for East County by June 30, 1994. P.D. 3. AAA planner will remain on the Executive Board of Delta 2000 to coordinate, develop, and expand services for seniors through June 30, 1994 by continuing to advocate for seniors. C 4. AAA planner will attend local committees on aging senior centers and service provider meetings to form a coalition that will coordinate senior services in Central County by June 30, 1994. C 5. AAA staff will assist Delta 2000 and West County Senior Services Network with grant writing by providing demographic data to bring additional senior resources to Contra Costa County by June 30, 1994. 6. AAA staff will coordinate with CASH (Citizens for Affordable Senior Housing) in Oakley to locate a land site for affordable Senior Housing by June 30, 1994. C 7. AAA staff will work with the Antioch Chamber of Commerce, Antioch Human Relations Commission and Delta 2000 to apply for CDBG funds to renovate the old Antioch Police Station to eventually provide a one stop shopping for services for seniors by June 30, 1997. C 8. AAA planner will attend and be a member of the United Way Leadership Board to inform the Board of senior needs on a Countywide basis in an effort to fill needs for seniors with United Way funds by June 30, 1994. 9. AAA planner will assist Delta 2000 in applying for a grant to the AARP Andrus Foundation for an action demonstration project by June 30, 1994 C April 20, 1994 AP9495 GOALS.CHP 1 10. AAA staff will train bank tellers and PG&E workers on how to be a gatekeeper by June 30, 1994. 11. AAA staff will collaborate with Delta 2000's Elder Care committee to provide an Aging in Place conference for East County seniors by June 30. 1994. .' AAA staff will coordinate with West County Senior Services Network to apply for a demonstration project to do training and recruiting of In Home Support Service providers by June 30. 1994. 13. AAA staff will coordinate with West County organization to,provide a Senior Information day by June 30, 1994: AP93-97 GOALS.CHP 2 GOAL #2 AAA will maintain an active leadership role by collaborating with the community groups. elected officials, service providers, and coalitions in order to continue to provide health, social and nutrition needs and protect older persons who are in danger of abuse or neglect. RATIONALE Needs assessment data indicate the need for expanding and providing new services and more coordinated services with AAA staff input including protection of to those seniors at risk of being abused or neglected. OBJECTIVES 1. The Advisory Council Health Committee with the assistance of AAA staff will determine its support for health care proposals and then advocate for it through a letter writing campaign by June 30, 1995 2. AAA staff and the Health Committeewill educate the community through speakers presenting information on health access issues by June 30, 1997. 3. AAA staff and Legislative Review Committee will analyze legislation with special emphasis on Prevention of Elder Abuse and inform the Advisory Council on which legislation they should support and advocate for by June 30, 1997. 4. AAA staff and the Advisory Council will write letters of support for legislation that will assist in bringing in additional revenue for expanding or developing new services for seniors that are needed in Contra Costa County by June 30, 1997. 5. AAA staff and the Housing Committeewill implement a housing survey in the city of Pleasant Hill to determine the housing needs of seniors 60+ by June 30, 1994. C 6. AAA staff and the Housing Committee will establish linkages with local committees on aging in order to review the city's general plan to determine if they are providing adequate housing for seniors by June 30, 1997. 7. The Housing Committee will continue to engage speakers that are experts in senior housing to continue to educate the housing committee on housing issues by June 30, 1997. April 20, 1994 AP9495 GOALS.CHP 3 S. The Transportation Committee and AAA staff will work with the Transit.Authority to ensure ADA doesn't reduce paratransit transportation for the elderly by attending transportation meetings and advocating for seniors through June 30, 1997. C . 9. The Adult Day Health Committee is supporting groups who want to expand adult day health care by putting them in contact with appropriate parties,referring them to other adult day health care facilities throughout the Bay Area, putting them in touch with resources and supporting their'applications through June 30, 1997. Original Objective#1 Deleted per letter March 3, 1994 toRobert Sessler from Robert Martinez AP93-97 GOALS.CHP 4 GOAL #3. AAA will provide public information and community education regarding the aging process, demographics and needs of the elderly,funding availability, and training opportunities to seniors and their families, the general community, and service provider agencies. RATIONALE This came up as an issue in the Key Informant Survey as part of the needs assessment. OBJECTIVES 1. AAA Planner will provide each city with demographics by age, sex, race, and income cohorts by formatting the demographics in chart form by June 30, 1994. 2. I&A coordinator will assist Central and East County senior service providers in preparation of an all County Day,where providers will be given the opportunity to share what their agency does with other agencies by June 30, 1995. I AAA Planner will on a continuing basis communicate availability of funding resources to appropriate agencies by June 30, 1997. 4. , The Advisory Council committees will inform the general community of special educational presentations through special invitations, newspaper articles, and information in Newsletters through June 30, 1997. 5. I&A staff will make educational presentations on services available to seniors by speaking engagements,written materials, and participation in conferences, by June 30, 1997. Original objectives 4 & 5 deleted per letter March 3, 1994 to Robert Sessler from Robert Martinez Original objective 8 moved to Goal 1 objective 13. April 20, 1994 AP9495 GOALS.CHP 5 GOAL #4 AAA will target low-income minority seniors in its delivery of services and identify, develop and expand service availability to this targeted population. Rationale Mandate under the Older Americans Act and was an issue in the Key Informant Survey. OBJECTIVES 1. AAA Planner will continue,to meet and confer with the multicultural task force to identify service needs by June 30, 1995. C 2. AAA Planner will participate on the multicultural task force to enhance AAA sensitivity to other cultures and how services should be delivered in a culturally sensitive nature through June 30, 1997., C 3. AAA staff through project CARE will :identify high risk seniors with In-Home Supportive Service needs in Richmond and San Pablo by June 30, 1994. 4. Area Agency on Aging through its Request For Proposals (R.F.P.$) will continue to require bidders to include'a plan for community outreach to assure that low income individuals, minorities, limited English-speaking individuals and persons identified as being of greatest economic or social need aged 60 years or older are being served through June 30, 1997. 5. AAA will-continue to be incompliance with the County's Affirmative Action policy regarding Minority and Women Business Enterprise which is incorporated as part of the Request for Proposal through June 30, 1997. 6. AAA will require that their contracts specify the percentage or number of clients that must be targeted through June 30, 1997. 7. Information & Referral (I&R) will continue'to outstation Senior Aides in low income minority parts of the county to disseminate information on Senior Services available throughout Contra Costa County by June 30, 1997. 8. I&R staff will develop referral agreements with companies to assist targeted populations facing financial and service difficulties through June 30, 1997. April 20, 1994 AP9495 GOALS.CHP 6 GOAL #5 AAA will serve as the advocate-for all persons age 60+ in Contra Costa County by monitoring, evaluating, and commenting upon policies,programs, hearings,levies, and community actions which affect the elderly population of the county. RATIONALE: This Goal is necessary to be in compliance with CDA's requirements and the Older Americans Act. OBJECTIVES: 1. The Advisory Council's Housing Committee will continue to advocate for the expansion of low income housing for Seniors throughout Contra Costa County by writing letters of support, speaking before city councils and the Board of Supervisors through June 30, 1997. 2. The Advisory Council's transportation committee will continue to support expansion of paratransit services throughout Contra Costa County by advocating for additional transportation funds directed toward paratransit through June 30, 1997. 3. The Advisory Council's Adult Day Health Care Committee will advocate for expansion of Day Care by writing letters of support, apply for funding, and develop community action through June 30, 1997. 4. The Contra Costa County Advisory Council on Aging will advocate for seniors by serving as a communications line that brings information to the AAA and by providing information on local programs and services through June 30, 1997. 5. The Advisory Council's Legislative Review Committee will continue to support legislation that will benefit seniors by directing advocacy activities to the Board of Supervisors, state legislative representatives, and congressional representatives and senators through June 30, 1997. Original Objective#3 Deleted per letter March 3, 1994 to Robert Sess ler from Robert Martinez April 20, 1994 AP9495 GOALS.CHP 7 GOAL#6 The AAA will enhance the administrative efficiency of its contracting and service delivery operations for the purpose of improving the responsiveness of the community based system of care for the elderly in Contra Costa County to the changing needs of the older population. RATIONALE: This is an internal goal based on self evaluation. OBJECTIVES: 1. AAA Contracts monitor will improve the contract monitoring system by including examination of case records at random to ensure each contract agency is in compliance with their contract by June 30, 1997. April 20, 1994 AP9495 GOALS.CHP 8 APPENDIX IA NOTICE OF INTENT FOR AREA AGENCY ON AGING TO PROVIDE SPECIFIED OLDER AMERICANS ACT SERVICES The Department has determined that provision of the following specific Title III and Title VII services are considered part of an Area Agency on Aging's functions: Information and Assistance (formerly information and referral); Case Management; Program Development and Coordination; Disease Prevention and Health Promotion; and Prevention of Elder Abuse, Neglect, and Exploitation. These services can be provided by the Area Agency because it has the leadership and mandated responsibility to meet the service needs of the targeted populations in the Planning and Service Area. Area Agencies will receive authorization (through the Area Plan approval process) to provide these services for the four ,year plan period on the basis of completion of this Appendix IA. Check applicable Fiscal Year if this Check all applicable Notice of Intent is not for all four types of service Fiscal Years of the Plan Period x Title III B Information and Assistance FY93-94 FY94-95 FY95-96 FY96-97 Title III B Case Management FY93-94 FY94-95 FY95-96 FY96-97 x Title III B Program Development and Coordination FY93-94 FY94-95 FY95-96 FY96-97 x Title 111-F Disease Prevention and FY93-94 FY94-95 FY95-96 FY96-97 Health Promotion Title VII Prevention of Elder Abuse, FY93-94 FY94-95 FY95-96 FY96-97 .Neglect, and Exploitation Please describe methods that will be used to assure that target populations throughout the Planning and Service Area will be served. 12 -GOAL ##7 AAA will.establish a preventive health care program that will provide health care insurance counseling and health.promotion information to the older population of Contra Costa County by means of community outreach'activities. RATIONALE: This service must be provided in order to be in compliance with the Older Americans Act. OBJECTIVES: YEAR 1 L 2. Original Objectives#1 and#2 Deleted per letter March 3, 1994 to Robert Sessler from Robert Martinez AP93-97 GOALS,CHP 9 APPENDIX III GOVERNING BOARD Name/Title of Officers Term Expires Tom Powers Supervisor District 1 1995 Jeff Smith Supervisor District 2 1997 Gayle Bishop Supervisor District 3 1997 Mark de Saulnier Supervisor District 4 1995 Tom Torlakson Supervisor District 5 1997 Number of Members of the Board five (5) AP93-97/AP9495 Appendix.chp 10 4/4/94 APPENDIX IV ADVISORY COUNCIL Older Americans Act Regulation § 1321.57 Name/Title of Officers Term Expires Gene Wolfe, President 9-30-94 Ralph Copperman, 1st Vice-President 9-30-94 Edith Lowenstein, 2nd Vice-President 9-30-94 Rose Mary Shepard, Secretary 9-30-94 Ora Jackson,Treasurer 9-30-94 General Membership Characteristics: Number Council Members (Total, including vacancies) 40 Members 60+ 31 % of PSA's 60+ % on population advisory council Race/Ethnic Composition White 85 78 Hispanic 6.0 5 Black 6.0 8 Asian/Pacific Islander , 5.9 3 Native American Alaskan Native .4 0 Other 0 Low Income Representative X YES NO Disabled Representative X YES NO Supportive Services Provider Representative X YES NO Health Care Provider Representative X YES NO Veteran Health Care Provider Representative : YES X NO 1 (If appropriate) Local Elected Officials X YES NO Persons With Leadership Experience X YES NO In The Private And Voluntary Sectors Explain any "No answers: 1 Vacancy has been turned over to Membership Committee Chair to fill vacancy. 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SERVICE UNIT PLAN - 1994/95 Indicate the number of units of service to be.provided with all funding sources, including federal funds, State funds, USDA, program income, and all local funds (i.e., all units of service reportable through the MIS). Other units of service cannot be added since only the units of service listed under each program are allowable. Programs identified should be funded in the budget. The column titled "Goals/Funds" provides the Area Agency with an opptunity to relate Title III and Tit1eVII funded services/programs to goal statements and funding levels. Use of this column is optional..Area Agencies are encouraged to relate the listed source of funds to goals identified eithter by name or number. TITLE III SUPPORTIVE SERVICES (Required units of service are marked by an "R") MIS# MIS Program Units of Service by Activity Goals/Funds* (Optional) 1 Information & 2,040 Follow-Up (R) Goal(s) Assistance 13,487 Information (R) 2,460 Outreach - 23,160 Referral (R) 372 Comprehensive Assessment 2 Ombudsman 9,518 Complaint/Abuse Investigation and Goal(s) Facility Monitoring(R) 132 Community Education/Advocacy 3 Case Management Outreach Goal(s) 894 Comprehensive Assessment (R) 701 Care Planning (R) 759 Service Authorization or Arrangement (R) Money Management Conservatorship Assessment 884 Case Monitoring(R) -4 Housing Follow-up (R) * ' Goal(s) Outreach Placement (R) Referral (R) Repairs/Renovation (R) Community Education/Advocacy 5 Adult Day Care Transportation(R)* Goals) Equipment(R) Days of Attendance (R) Repairs/Renovation (R), Staff Costs (R) * At least one of these required units must be funded. 13 TITLE IIIB SUPPORTIVE SERVICES MIS# MIS Program Units of Service by Activity Goals/Funds* (Optional) 6 Alzheimer's Day Care Community Education/Advocacy (R) *Goal(s) Information(R) Transportation Equipment Family Support(R) Days of Attendance (R) Repairs/Renovation 7 Security/Crime Community Education/Advocacy (R) *Goal(s) Escort(R) * Follow-up (R) Outreach Referral (R) Home Security(R) 8 In-Home Services Chore (R) * Goal(s) Housekeeping/Homemaking (R) Outreach Personal Care (R) Telephoning (R) 14,205 Visiting(R) * 3,122 In-Home Services Registry (R) Shopping Assistance 9 Health Community Education/Advocacy (R) Health Screening(R) Outreach Physical Fitness Therapy Comprehensive Assessment (R) Hospice (R) 10 Mental Health Community Education/Advocacy (R) Goal(s) *Security/Safety Devices Follow-up (R) Outreach Referral (R) Therapy Comprehensive Assessment (R) * At least one of these required units must be funded. 14 TITLE IIIB SUPPORTIVE SERVICES MIS# MIS Program Units of Service by Activity Goals/Funds* (Optional) 11 Adult Day Support Transportation (R) * Goal(s) Center Equipment (R) Day of Attendance (R) Repairs/Renovation (R) Staffing Costs (R) 12 Transportation Escort (R) * Goal(s) Income Support/Material Aid (R) Outreach 67,540 Transportation,(R) Shopping Assistance 13 Community Services Income Support/MaterialAide (R) * -Goal(s) and Senior Center Outreach (R) Support Activity Scheduling (R) Volunteer Opportunities (R) Senior Center Staffing (R) Translation Volunteer Recruitment Visiting 14 Legal Assistance Community Education/Advocacy Goal(s) 5,004 Legal Assistance (R) 15 Employment Counseling Goal(s) /Second Career _ Community Education/Advocacy Outreach Placement (R) 16 Consumer Services Discount (R) * Goal(s) Community Education/Advocacy(R) Forms Completion/Letter Writing(R) Outreach 17 Adult Day Health Care Staffing Costs Goal(s) Day of Attendance (R) Transportation(R) Repairs/Renovation Equipment (R) * At least one of these required units must be funded. 15 TITLE HIB SUPPORTIVE SERVICES MIS# MIS Program units of Service by Activity Goals/Funds* (Optional) 18 Respite Care Respite Registry (R) * Goal(s) Counseling Community Education/Advocacy (R) Follow-up(R) Information(R) Caregiver Support Group Outreach Referral (R) Volunteer Recruitment TITLE HIC NUTRITION SERVICES MIS# MIS Program Units of Service by Activity Goals/Funds* (Optional) 20 Congregate Nutrition Outreach Transportation 203,009 Meals (R) 88 Nutrition Education (R) 21 Home Delivered Meals Outreach 123,000 Meals (R) Nutrition Counseling 12 Nutrition Education(R) TITLE IIID IN-HOME SERVICES FOR FRAIL OLDER INDIVIDUALS MIS# MIS Program Units of Service by Activity Goals/Funds* (Optional) 19 Title IIID 9 Minor Home Modifications (R) Home Health Aides (R) Chore(R) 388 Housekeeping/Homemaking (R) Telephoning(R) Visiting (R) 11 Money Management Respite (including Adult Day Care) (R) * At least one of these required units must be funded. 16 TITLE IIIF DISEASE PREVENTION AND HEALTH PROMOTION SERVICES MIS# MIS Program units of Service by Activity Goals/Funds* (Optional) 22 Title IIIF Counseling Goal(s) 120 Community Education/ Advocacy(R) *.-hours Health Screening 11,500 Information (R) * -people 360 Outreach (R) *.-people Physical Fitness Therapy Comprehensive Assessment Home Security Equipment Family Support Nutrition Education Nutrition Counseling Nutrition Screening TITLE VII VULNERABLE ELDER RIGHTS PROTECTION ACTIVITIES MIS# MIS Program Units of Service.by Activity Goals/Funds* (Optional) 22 Title VII Complaint/Abuse Investigation and Goal(s) Elder Abuse Facility Monitoring 21 Community Education/Advocacy (R) Follow-up Outreach Referral * At last one of these required units must be funded. 17 APPENDIX V ACCESS, IN-HOME SERVICES, AND LEGAL ASSISTANCE Based on analyses by the Area Agency of needs assessment findings and resources available within the Planning and Service Area and discussions at public hearings on the Area Plan, the following minimum percentages of applicable Title III B funds have been identified for annual expenditure throughout the four year plan period. Category of Service Percentage of Title IIIB* Funds To Be Expended 1993-97 Access: 65.0 % (Outreach, Transportation, Information and Assistance, and Case Management) In-Home Services: % Legal Assistance: 14.0 % In order to provide details about the amount of funds expended in 1992/93 for Access, In-Home Services and Legal Assistance, attach a copy of page 4 from your close-out document for 1992/93. * Title III expenditure for Access Services, In-Home Services, and Legal Assistance are calculated based on the Title IIIB baseline allocation less Title 11113 administration and less Ombudsman. t++ n It r N in m U „ vs > J .J.. 'A7 C J r x Z -op n O > r z _ O z Go w A A X J a r+ S A to 0 tryyto x Iw o > O z O n N.C N, ^ m M T O. . J V) N iJA dfp40 ~ C A N Q. 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