AGENDA (DRAFT) BOARD of DIRECTORS MEETING Tuesday, April 17, :30 PM GOLDEN GATE REGIONAL CENTER San Mateo Office

Transcription

1 AGENDA (DRAFT) BOARD of DIRECTORS MEETING Tuesday, April 17, :30 PM GOLDEN GATE REGIONAL CENTER San Mateo Office 5:30 pm I. CALL TO ORDER (Ron Fell) ACTION ACTION II. CONSENT AGENDA ITEMS (Ron Fell) A. Agenda (A) B. Record March 20th, 2018 Meeting 5:40 pm III. PUBLIC COMMENT/ANNOUNCEMENTS (Ron Fell) 5:50pm IV. STATE COUNCIL ON DEVELOPMENTAL DISABILITIES, BAY AREA OFFICE UPDATE (Sheraden Nicholau) 6:00 pm V. COMMITTEE REPORTS A. Services Committee (Carl Yorke) i. HCBS Compliance Projects & Employment Initiatives (Amanda and Sean Galvin) 6:20 pm B. Board Operations (David Delira) i. Board Member Recruitment 6:30 pm C. Finance Committee (Paul Goldsmith) i. Fiscal Status Report FY :35 pm D. Service Provider Advisory Committee (Matt Tarver-Wahlquist) i. SPAC meeting update 6:45 pm E. Legislative Committee / Executive Committee / Chairperson s / ARCA Reports (Ron Fell) i. ARCA News ii. Other Updates 7:00 pm VI. DIRECTOR S REPORT (Eric Zigman) i. Sonoma DC Closure ii. Strategic Planning Update iii. Self Determination Program 7:15 pm VII. Adjourn Meeting to Executive Session (Ron Fell)

2 BOARD of DIRECTORS RECORD of MEETING Tuesday, April 17, :30 PM 3130 La Selva St. San Mateo, CA PRESIDING: DIRECTORS PRESENT: DIRECTORS ABSENT: STAFF: Ron Fell Nini Aye David De Lira Saul Gurdus Isaac Haney-Owens Jay Katz Audrey de Chadenedes Yuk Ling Kau Kathryn Carpenter Ingrid Lin Amanda Pyle Kim Nguyen, MD (via phone) Jackson Soderquist Carl Yorke Tiger Yorke Paul Goldsmith (via phone) Matt Tarver-Wahlquist Eric Zigman GUESTS: CALL TO ORDER (Ron Fell) Edith Arias Barry Benda Valerie Buell (via phone) Jennifer Myers Dillon York Salome Speight Kirby Wilkin Mr. Fell called the meeting to order at 5:30 p.m. Welcoming remarks and self-introductions followed. CONSENT AGENDA ITEMS (Ron Fell) ACTION A. Agenda ACTION B. Record of March 20, 2018 Meeting The agenda for tonight s meeting and the Record of Meeting of March 20, 2018, were approved as submitted. M/S/C: (Paul Goldsmith motioned /David DeLira seconded) Market Street, Suite 220 San Francisco, CA (415) Belong, Contribute, Thrive La Selva Street, Suite 202 San Mateo, CA (650) Civic Center Drive, Suite 310 San Rafael, CA (415)

3 GOLDEN GATE REGIONAL CENTER 2 PUBLIC COMMENT / ANNOUNCEMENTS None STATE COUNCIL ON DEVELOPMENTAL DISABILITIES (SCDD), BAY AREA OFFICE UPDATE (Valerie Buell) 1. An update on our regional work for the state's National Core Indicators project: Interviews are really ramping up, and our regional office team members, in partnership with contracted interviewers from our community, have accomplished the following number of interviews thus far in the current season: 530 Interviews completed and approved, across 9 counties (GGRC, SARC and RCEB catchment areas). We will continue with interviews for this season until the end of June-- we have approximately 900 more interviews to go. On a related note, the Movers Longitudinal Study (of Developmental Center residents preparing for and moving into the community) is ramping us as well, with lots of residents moving out of Sonoma Developmental Center, in preparation for SDC's closure. All is busy, and well with those interviews. 2. SCDD Legislative and Public Policy Committee (LPPC) update: The next meeting of the LPPC is this Wednesday, 4/18, in Sacramento. As with all of our meetings, there are call-in numbers for those interested in listening in but not able to travel. Thus far we have evaluated about 30 bills this legislative session, and have sponsored to employment related bills (AB 2171 and SB 1274). On Wednesday, we will review several other bills, and review the progress of our legislative strategy for the remainder of this year and next. We'll also provide an update on the work of the Assembly Select Committee on Intellectual and Developmental Disabilities, as well as an update on CA's Self-Determination Program, CalABLE, DDS Safety Net services, and more. Other meetings and events for your calendar: 4/25, 7p-9p at Support For Families in SF: SCDD's Bay Area Regional Advisory Committee Meeting (Please help us get the word out, all are welcome!) 5/8 Employment First Committee (Sacramento) 5/14: Self-Advocates' Advisory Committee Meeting (Sacramento) 5/15: Next SCDD Council Meeting (Sacramento) See SCDD.ca.gov website for more information. COMMITTEEE REPORTS: Services Committee (Carl Yorke) HCBS Update & Employment (Amanda Pyle/Sean Galvin)

4 GOLDEN GATE REGIONAL CENTER 3 Employment (Sean Galvin) Sean Galvin, our employment specialist, gave an overview of his role and the strategies GGRC is implementing in order to significantly increase employment for persons served who wish to be gainfully employed. The strategies that we are focused on are the following: Employment 1 st Policy Competitive Integrated Employment (CIE) which includes minimum wage salary or better, integrated settings and opportunities for advancement. Paid Internships Incentives for providers to place and support persons served Home & Community Based Services (HCBS) Update (Amanda Pyle) Amanda gave a presentation defining what the HCBS Final Rule is and what it means to persons served, as well as the HCBS transition plan update. California is in the initial approval stage with CMS and going forward there will be most likely very few changes made to the plan. The Final Rule requires: Person-entered planning, which supports those served to make their own decisions in terms of housing, choice of lifestyle, integrated employment, privacy, protection of eviction. The opportunity for those served to find work and create careers. That barriers be removed that restrict access to integrated community settings. DDS will now begin to move forward with the steps included in the plan to achieve Federal compliance. Both presentations were well received with beneficial questions asked. Board Member Recruitment Board Operations Committee (David DeLira) David continues to recruit and interview prospective Board members needed to replace the three Board members who will be leaving at the end of the fiscal year. David introduced three prospective Board members whom all attended the meeting. Board Member Elections David reported that the Operations Committee is preparing recommendations for Board slate of officer elections for FY 18/19. Board member re-elections will be held at our June meeting. The deadline for nominations for Board Officers will be April 30 th. The officer nominee positions are board chair, vice chair, secretary, treasurer, and ARCA representative. The official vote will take place at the Board meeting in June. Anyone interested in nominating anyone can contact David or Kathryn by 4/30. Board Trainings Board trainings are an important way for new members to understand their roles as Board members. Anyone with ideas for training sessions were encouraged to contact David. A training by attorney Mike Monk, Duties and Responsibilities of a Regional Center Board of Directors was suggested, possibly to be held in August when the Board is in recess.

5 GOLDEN GATE REGIONAL CENTER 4 Operations Finance Committee - (Paul Goldsmith) After eight (8) months of operation year-to-date expenditures are under budget by 4.3% or 62.3% expended to date compared to 66.7% budgeted. All operations funds will be fully expensed over the course of normal operations by the end of the fiscal year. Purchase of Services (POS) Excluding CPP After eight (8) months of operation year-to-date Total POS expenditures are under budget by 2.1% or 64.6% expended to date compared to 66.7% budgeted. The current estimate is a net projected deficit of approximately $7.1 million for the fiscal year. However, this will change based upon clients needs. Expected surpluses from regional centers are redistributed by DDS amongst the regional centers expected to be at a deficit by the end of the fiscal year. Community Placement Program (CPP) Funding The current fiscal year CPP funding relates to ongoing Regular placements, and SDC placements. After eight (8) months of operation year-to-date CPP expenditures are under budget by 6.9% or 59.8% expended to date compared to 66.7% budgeted. CPP expenditures have accelerated due to placement of SDC consumers. All CPP funding is expected to be fully utilized. Town Halls Service Provider Advisory Committee (Matt Tarver-Wahlquist) Matt reported that this year we are going to do a series of three town hall meetings, one in each of GGRC s catchment area, focus on housing, which is a crucial factor affecting the ability for us to provide services. The first town hall will be held on May 18 th, at the Silicon Valley Community Foundation in San Mateo. The second venue will be held on June 8 th at the Pomeroy Center in San Francisco, and in July at the Marin Economic Forum in San Rafael, the date not yet confirmed. Legislators will be present at all meetings and everyone is encouraged to attend to address their concerns on housing for persons served. Board members will be receiving invitations to all venues via . Amanda noted that anyone interested in volunteering and/or sharing their stories for the upcoming meeting in San Mateo to please let her know. Legislative Committee/Executive Committee/Chairperson s/arca Reports (Ron Fell) The State Assembly has established a Select Committee on Persons with I/DD. The select committee will be chaired by Assemblymember Jim Frazier. It is designed to advocate and educate on behalf of persons with Disabilities through informational hearings and the presentation of relative research. In Washington DC among the $1.3 trillion Omnibus Spending Bill were increased financial commitments to a number of projects with direct impact on the DD community. Included are a 20% increase in the National Family Caregiver Support Program, a 40% increase in state grants to remove barriers to voting, a 20% increase in the Lifespan Respite Care Act. The only

6 GOLDEN GATE REGIONAL CENTER 5 obvious cut to any DD-related program was an 18% reduction state grants for supported employment. The new budget does not cut any Medicaid programs. Kevin and Avonte s Law is now funded. It will allow for voluntary use of tracking devices for both Alzheimer s patients and persons with Autism. CMS now allows for states to institute work requirements to participate in Medicaid programs. California has shown no interest in such a requirement. The CMS administrator, Seema Verna says it is a strong and better way to help people out of poverty. As part of the Trump Administration s attempts to improve healthcare in America it is allowing health insurance companies to offer plans that exclude pre-existing conditions. Lots of talk in Washington DC about the impact of DACA and on tightening immigration in general on the fate of undocumented caregivers. Meanwhile, Trump has released his budget vision for 2019 which includes reductions in safety net programs and the possible initiation of annual Medicaid per capita caps and block grants to states. According to a report prepared by the National Association of State Directors of Developmental Disabilities Service (NASDDDS), there is consideration being given to limitations of Federal reimbursement rates to providers not to exceed rates paid by Medicaid designed to prevent states from making Medicaid provider payments in excess of actual costs. A new lawsuit in California is claiming Uber and Lyft TNCs provide inadequate wheelchair access. There are 225,000 persons in America employed as direct support caregivers. Annual turnover is 46%. Currently, only 65% of existing caregivers have been on the job for more than one year. DIRECTOR S REPORT (Eric Zigman) Sonoma DC (SDC) Update Eric reported that as of this morning, GGRC is down to supporting 19 individuals residing at Sonoma. The last six of the 17 homes purchased are in renovation. By the end of July, we anticipate all homes will be ready and all of our individuals will have moved into the community, many of whom will be closer to their families than they have been in years. Eric commended both social worker staff as well as CSU staff for their dedication to this transition. Once Sonoma is closed, GGRC will be down to just a few remaining individuals served by GGRC who reside at Porterville and Fairview who are slated for closure in the next several years. Strategic Planning Update Eric and Ami Sullivan, of Kinetic Flow, continue to finalize the draft of the proposed three year Strategic Plan which will be presented to the Board for comment as well as the stakeholders in May.

7 GOLDEN GATE REGIONAL CENTER 6 Stakeholder groups and interested individuals will be asked to give feedback on the plan. The four focus goals are: 1. Community Living (including housing and support services) 2. Investment in Staff, both at GGRC as well as our colleagues in the provider community- both challenged with retaining staff due to the cost of living in our area. 3. Community Education and Engagement 4. Organizational Agility and Impact Once the plan is distributed, Eric and Ami are open to feedback and then plan to bring the final draft to the Board for consideration in June. Self Determination Program Eric reported that at the end of April the Self Determination Local Advisory Committee (SDLAC) will have conducted 16 informational training sessions for the 74 spaces allocated for the program, and we have submitted a total of 90 candidates to DDS for the selection process. At May s Board meeting, members of SDLAC will be giving a presentation about the program to discuss what they have been working on since the program s inception in 2014, and to answer any questions the Board may have. This committee is very strong, made up primarily of individuals we serve, and family members. Peter Mendoza and Jennifer Walsh, are doing a great job as co-chairs of the SDLAC. To date, the Federal Government still has not approved funding, but it looks likely that they will. AJOURNMENT Meeting 7:22pm. Respectfully Submitted, Kathryn Carpenter Executive Administrative Assistant Audrey de Chadenedes Secretary, Board of Directors