HomeMy WebLinkAboutMINUTES - 03202001 - C.78 TO: BOARD OF SUPERVISORS `/ Contra
9
Costa
FROM: John Cullen Director z; y
Count
Employment & Human Services Depar � . • "
�'9-COUt1�
DATE: February 27, 2001
SUBJECT: APPROVE and AUTHORIZE the SUBMITTAL of the Contra Costa County Area Agency
on Aging Fiscal Year 2001-2005 Four Year Plan for services under the Older Californians Act
and the Older Americans Act to the State and AUTHORIZE the Chair, Board of Supervisors
to SIGN the Letter of Transmittal.
SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION
RECOMMENDED ACTION:
APPROVE and AUTHORIZE the SUBMITTAL of the Contra Costa County Area Agency on Aging Fiscal
Year 2001-2005 Four Year Plan for services under the Older Californians Act and the Older Americans Act
to the State and AUTHORIZE the Chair, Board of Supervisors to SIGN the Letter of Transmittal.
FINANCIAL IMPACT:
No County costs. To secure funds under the Older Californians Act and Titles III and VII of the Older
Americans Act, the State must approve the Contra Costa County Area Agency on Aging Fiscal Year 2001-
2005 Four Year Plan.
BACKGROUND:
Under the Acts, the Area Agency on Aging (AAA) must develop and submit a comprehensive four-year plan
(the Plan) to the State to receive funding. The State will determine funding levels and inform the local areas
based on their local plans.
The AAA provides services for older County residents under Titles III & VII of the Older Americans Act and
under the Older Californians Act. Under the 1997-2001 Plan, the AAA provides through contract
Congregate Meals, Home-Delivered Meals, Legal Assistance, Home Visiting, In-Home Services Registry,
Transportation, Adult Day Care, and Errand & Escort Services. Funding from the Older Californians Act
has allowed the AAA to provide through contract the Alzheimers Day Care Resource Center Program, Brown
Bag Program, and the Senior Companion and Respite Registry. Additionally, the AAA directly provides
information and assistance, preventive health care and disease prevention, linkages programs, respite
purchase of services, and perform the program development, coordination, administration and planning
responsibilities of the Area Agency on Aging.
ATTACHMENT:I SIGNATURE: WA,�
/RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
0PROVE OTHER
SIGNATURE(S): ,�_,�' � �-
ACTION OF BO ON �n�1 APPROVED AS RECOMMENDED X -Q*IR
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 THF DATE SHOWN.
ATTESTED
CLERK OF NEBOARD OF
SUPERVISORS AND COUNTY ADMINISTRATOR
Contact: BOB SESSLER,5-8707
cc: JOHN CULLEN- EHSD
EHSD(CONTRACTS UNIT)-TM BY
COUNTY ADMINISTRATOR DEPUTY
CONTRACTOR 0
Contra Costa County
Area Agency on Aging
FY 2001 - 2005 Four Year Plan
I. Contracted Services:
A. Nursing Home Ombudsman - provides countywide complaint investigation and resolution
services to elderly residents of nursing and residential care facilities through a corp of trained
volunteers.
B. Congregate Nutrition - provides nutritionally balanced meals in a group setting at 21
locations throughout the county.
West County - North Richmond
Richmond Civic Center
Richmond Nevin Community Center
San Pablo Senior Center
Rodeo
Hercules
Crockett
El Cerrito
Central County - Martinez
Concord
Walnut Creek Senior Center
Pleasant Hill
Jewish Community Center, Walnut Creek
San Ramon
Walnut Creek Rossmoor
East County - Pittsburg Crestview
Oakley
Brentwood
Bay Point
Antioch
Bethel Island
AP2000/01 PF2001.doc
C. Home Delivered Nutrition - provides nutritionally balanced home delivered meals to
homebound older persons from the following delivery points serving all communities in Contra
Costa County.
West County -
Hercules/Rodeo
Crockett
El Cerrito
San Pablo
Central County -
Martinez
Concord
Walnut Creek
San Ramon
Pleasant Hill
East County -
Antioch
D. Home Visiting - provides a countywide network of volunteers who visit homebound,p y om bound, isolated
older persons offering reassurance and comfort.
E. In Home Services Registry - countywide project maintains lists of qualified in home service
workers and refers them to older persons in need of home chore and other in home service
assistance.
F. Transportation - arranges transportation for congregate nutrition participants to and from meal
sites.
I
G. Legal Services - provides a countywide program offering information, counseling
,
consultation, advice, administrative representation and advocacy and legal representation
services by attorneys and legal support staff to older persons with certain law-related
problems.
H. Adult Day Care - Provision of personal care for dependent adults in a supervised, protective,
congregate setting during some portion of a twenty-four hour day. Services offered typically
include social and recreational activities, training, counseling, meals and assistance with
activities of daily living.
I. Brown Bag Program - provides a bag of groceries twice a month at various sites throughout
thelcounty to low-income persons age 60+.
J. Alzheimer's Day Care Resource Center - provides specialized day care services to persons
with Alzheimer's disease or other dementia disorders and also provides support services to
families and caregivers.
AP2000/01 PF2001.doc 2
4
i
K. Senior- Companion - provides volunteer opportunities for low-income persons age 60+ that
include person to person support and care to adults with special needs that may be homebound
and in jeopardy of being institutionalized.
L. Respite Registry - recruits and screens respite providers and matches respite providers to
clients.
II. Area Agency on Aging Direct Services:
A. Information and Assistance - the countywide Aging and Adult Information and Assistance
program performs the following functions:
1. ' Maintains current information on the resources, programs and services available to people
1 F. years of age and over with up to date computerized data base.
2. Provides telephone counseling to senior callers regarding service programs and resources
which would be of assistance to them, and provides arrangements or appointments to
assure they get needed service.
3. : Provides comprehensive assessments to callers or family members where there are
multiple needs and determines the necessary supportive or other appropriate services to
meet those needs.
4. Employs a specially trained staff to provide information and assistance.
5. Provides outreach to isolated and underserved elderly through visits to the community,
educational presentations, publicity;posters, and participation on committees and groups.
6. Evaluates and follows up to determine the quality and effectiveness of service provided to
the client and determine gaps in service.
7. Provides literature, fact sheets, housing lists, and specialized resource materials.
8. Health Promotion and Disease Prevention - in conjunction with the Senior Information
program disseminates health promotion and disease prevention information to maintain or
improve the physical, mental or nutritional health of older persons.
a. Produces Senior Information Journal, a cable television program, which airs on local
cable channels throughout Contra Costa County providing health promotion and
disease prevention information.
b. Health Page provides health promotion and disease prevention information in each
issue of the Senior Information newsletter.
c. Provides community health education presentations for older persons.
AP2000/01 PF2001.doc 3
d. Provides staff support for committees working on health issues in the community.
B. Health: Insurance Counseling and Advocacy Program (HICAP) - provides Medicare
beneficiaries and those imminent of becoming eligible for Medicare with counseling and
advocacy regarding Medicare, private health insurance and related health care coverage plans
through the efforts of both professional'staff and a corps of highly skilled volunteers. This
program provides objective counseling to assist consumers in choosing appropriate health
insurance coverage. This program provides assistance with Medicare problems, Medicare
Supplemental Insurance, Health Maintenance Organization (HMO) plans, long term care
insurance, medical billings, and claims and Medicare appeals.
C. Linkages - provides persons who are 18 and over with case management and information and
assistance in order to prevent premature institutionalization.
D. Respite Purchase of Service Program - funds are used for purchasing respite services for
primary unpaid caregivers of functionally impaired individuals.
III. Area Agency on Aging Other Activities:
A. Program Development - the Area Agency on Aging (AAA) seeks to establish new services or
the improvement, expansion or integration of existing services for older persons.
B. Coordination - the AAA brings together programs, services and organizations into
interconnected community systems serving older persons in order to promote a community
based system of care.
C. Administration - the AAA performs the ongoing planning and management tasks related to the
development and administration of the Area Plan; these activities include needs assessment,
plan writing, contracts management, monitoring, evaluation and Request For Proposals
(R.F.P.'s); also includes advocacy which is defined as to plead and/or support the concerns
common to many older persons to seek change in laws, institutions or conditions to better meet
their needs, e.g. staffing of advisory council committees, task forces, etc. which advocate on
behalf of older persons.
IV. Outreach/Targeting
The AAA through its Request For Proposals (R.F.P.'s) requires 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. If an outreach plan is not included in the proposal, the proposal may be
deemed non-responsive.
Contracts with service providers specify the minimum percentage or number of low-income and
minority clients that must be served.
The AAA actively participates in concert with task forces, focus groups, etc., on multi cultural
issues. AAA, works with other agencies to assist in identifying low-income, minority seniors who
AP2000/01 PF2001.doc 4
may be at risk. AAA also has provided a Customer Satisfaction Survey in Spanish, Russian,
Tagalog, and English.
As part of the County Employment and Human Services Department, the AAA has access to
bilingual and translator staff to assist non-English speaking clients in all regions of the County.
Coordination of Tax Counseling for the Elderly program.
Distributes Senior Information newsletter every two months to over 3,000 organizations and
individuals.
V. Area Plan Goals
Goal Statement #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 by promoting the availability of an
accessible range of service options through collaborative efforts and decision making among
public, private, voluntary and fraternal organizations and coalitions for continuing the development
and enhancement of a comprehensive and coordinated home and community based system of care.
Goal Statement #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 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.
Goal Statement #3:
AAA will provide public information to agencies and community persons age 60+ and their
families regarding resource availability, educational opportunities, demographics, health care
insurance counseling, and funding opportunities.
AP2000/01 PF2001.doc 5
Goal Statement #4:
The AAA will work toward an efficient, cost effective, user friendly integrated approach to deliver
Aging and .Adult, Older Americans Act, and Older Californians Act Services.
Goal Statement #5:
The AAA will continue to be an advocate for all older adults age 60+ by analyzing public policy
issues, legislation, programs, hearings, and by participating in public forums, community
activities, and advocating for older adults rights, as appropriate.
Goal Statement #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.
Goal Statement #7:
AAA will maintain a preventive health care program that will provide both health care insurance
counseling and advocacy and health promotion and disease prevention information to the older
population of Contra Costa County by means of a variety of community outreach activities.
AP2000/01 PF2001.doc 6
ADEQUATE PROPORTION
The Federal Government in accordance with the Older Americans Act section 306 (a) (2) requires the ,
Area Agency on Aging to expend an adequate proportion of the amount allocated for Title IUB of the Older
Americans Act in the following service areas: Access, Legal Services and In Home Services. The AAA
will provide the following minimum percentages in Access, Legal, and In-Home Services.
Minimum Percentage of III B funds to be expended:
Access' 50%
Legal 11%
In Home? 8%
' Information and Referral; Transportation, Case Management
2 Home Visiting; In-Home Services Registry
COMMUNITY SERVICE AREAS & FOCAL POINTS
The California Department of Aging consistent with Older Americans Act regulations
encourages area agencies on aging to identify, develop, and implement a community-based
system of care for specific communities in its planning and service area. Area agencies on
aging have the responsibility to establish criteria for and identification of community service
areas including designation of community focal points within each community service area, as
appropriate.
The Contra Costa County Area Agency on Aging has established three community service
areas - East, Central, and West County.
The East County Community Service Area includes the cities of Pittsburg, Antioch, Oakley,
and Brentwood and the unincorporated communities of Bay Point, Bethel Island, Byron,
Knightsen, Discovery Bay and adjacent areas.
The Central County Community Service Area includes the cities of Martinez, Concord,
Pleasant Hill, Walnut Creek, Lafayette, Moraga, Orinda, Danville, San Ramon and Clayton
and the unincorporated communities of Pacheco, Alamo, Blackhawk, and adjacent areas.
The West County Community Service Area includes the cities of El Cerrito, Richmond, San
Pablo, Pinole, and Hercules and the unincorporated communities of Kensington, East
Richmond Heights, North Richmond, El Sobrante, Rodeo, Crockett, Port Costa, and adjacent
areas.
The AAA intends to support the continued development of coalitions in East, Central, and
West County. Each coalition will include older persons, service provider agency
representatives, business representatives, interested professionals serving older persons, local
committee on aging representatives, and other appropriate persons. These coalitions will serve
as regional focal points for assisting the AAA in its planning, program development, and
coordination responsibilities
AP2000/01 PF2001.doc 7
N
o x
0
C) n � w G) Cf) DCS -uo � —I mcnrz ? 2 = c� p �
O c 0- O y' -+. . O O c O O O =
Tl b O O z 7 Q Qu)) 2 '-'CL • O (D (D c
S?� a) (n m Q°
N
n .te a ? m m 0 (iii at t=n Z co m z 7 O
.`�.. � D o D Q -h 00 N n -a Q -c�i -*
CD 0
.�
(D e t O 7 fA N c_ O_ (D
p O
69 P CD N =ON O (D .-�.
CL
0 CD 7 (D
p
Eq :37 -.
_ 3
000
5oa o O DM.
C) 0
CD Pvw D D n On
RL t, o G) 0 0
� 0 ( En Z
� Q, o Z tri ►�
G, �. o n C7 �
CD �, tri
�ti n
0 0
00 D � dY �
Z
a zr
Z
rP u ,
� o n
n d �
wtri > 0
~� y Z
� cn m Not� 0
CDD aq. m -� r" '-d
N3 cn N A W A O V W (o N W N W OP A >z n
O -I N Cn (D A O O W O O Cn N N N W
w °) C) oo � oo - nw ornworn -4Zoocod ►C
'd -► O -► N V N CO ♦ ' 0 0 -4 O N O N (n to m
b m � o
cn
-3a
c Q 0) N 3 CL Z W D O � Q Z
0 � o v v �. (D �CD v -- m �_ o � z 0
c" o �' n D m m �
0 n
O .D m N ^ ; (D N " ( a)vN
ma0= D0ooof
d
CD cn
3 0 0 N N N
W
CD n x
(D (D
O
7 (OD
(n90
(7
(D
W N A j A N N► W N (D
W (T W O N O L O(D (n W (D O OO N <D
(D V V N OO v OOO --4 N
TRANSMITTAL LETTER
This 2001-2005 Area Plan for Planning and Service Area PSA 7 is hereby submitted
to the California Department of Aging for approval. The Contra Costa County Board of
Supervisors supports the development of community based systems of care and
recognizes the responsibility within each community to establish systems in order to
address the care needs of older individuals and individuals with functional impairments,
their families and caregivers.
1. (Signet - 3/20,/01
C irperson, overning Board 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.
2. (Signed))
Chairperson, Area Agency on Aging Date
Advisory Council
3. (Signed)
Director, Area Agency on Aging Date