R E V I S E D NOVEMBER 19, 2013 AGENDA

REVISED
AGENDA
GOLDEN GATE REGIONAL CENTER, INC.
BOARD of DIRECTORS
NOVEMBER 19, 2013
5:30 P.M.
5:30 pm
I. Call to Order and Introductions (Ron Fell)
ACTION
ACTION
II. Consent Items (Ron Fell)
A. Agenda (A)
B. Record of October 15, 2013 Meeting (B)
5:40 pm III. Presentation: Funding the Work of California’s Regional Centers (C) - John Popadak
6:25 pm IV. Director’s Report (Jim Shorter)
6:35 pm V. Public Comment / Announcements (Ron Fell)
6:45 pm VI. Committee Reports
A. Services Committee (Yukari Baba)
ACTION
1. Draft Resolution to Adopt Intellectual Disability Language (D)
ACTION
2. Draft Revision to Employment First Policy (E)
ACTION
3. Draft Policy – Zero Tolerance for Abuse or Neglect (F)
6:50 pm
ACTION
B. Finance Committee (Robert Ramirez)
1. Financial Status FY 2012-2013
2. Financial Status FY 2013-2014
3. Lautze & Lautze Audit Report
7:00 pm
C. People’s Advisory Committee (Stephanie Hill)
Report on Meeting of November 4, 2013
7:05 pm
D. Service Provider Advisory Committee (Amanda Pyle)
1. Report on Meeting of November 12, 2013
2. Update on SB 579 - Oversight Efficiency and Quality Enhancement
3. Update on White Paper – Critical Issues
7:15 pm
E. Board Operations Committee (Martha Thompson)
No report.
7:15 pm
F. Legislative Committee (Ron Fell)
No report.
7:15 pm
G. ARCA / Executive Committee / Chairperson’s Reports (Ron Fell)
7:20 pm VII. Adjourn to Executive Session (Ron Fell)
Personnel Issue
VIII. Reconvene Meeting (Ron Fell)
IX. Adjourn Meeting (Ron Fell)
APPROVED AS SUBMITTED – JANUARY 21, 2014
BOARD of DIRECTORS
RECORD of MEETING
TUESDAY, NOVEMBER 19, 2013
5:30 PM
Golden Gate Regional Center
1355 Market Street
San Francisco, CA 94103
PRESIDING:
Ron Fell, Chair
DIRECTORS PRESENT:
Yukari Baba
Hal Belmont, Secretary
Pam Ehlers
Paul Goldsmith
Stephanie Hill
Kim Nguyen, MD
Robert Ramirez, Treasurer
Martha Thompson, Vice Chair
DIRECTORS ABSENT:
James Engvall
Amanda Pyle
STAFF:
Raeshawn Banks
Karla Brown
Gloria Jarquin
Michelle Kaye
Helen Lau
Judy Leonard
Tommy Mitchell
Felice Parisi, MD
Lisa Rosene
Dan Roth
Cindee Shankar
Jim Shorter
Jeff Smith
Melanie Tucker
GUESTS:
Barry Benda
Laura Bliss
Kathy Brian
Nancy Dow Moody
John Popadak
Marcellino Rosario
Sheriece Washington
Kim West
Eric Zigman
CALL TO ORDER
Mr. Fell called the meeting to order at 5:32 p.m. Welcoming remarks and self-introductions
followed.
CONSENT AGENDA
M/S/C To approve the agenda as revised. (Thompson/Belmont)
M/S/C To approve the Record of Meeting of October 15, 2013, as submitted.
(Thompson/Ehlers)
Belong, Contribute, Thrive
www.ggrc.org
1355 Market Street, Suite 220
San Francisco, CA 94103
(415) 546-9222
3130 La Selva Street, Suite 202
San Mateo, CA 94403
(650) 574-9232
4000 Civic Center Drive, Suite 310
San Rafael, CA 94903
(415) 446-3000
GOLDEN GATE REGIONAL CENTER
RECORD of MEETING – NOVEMBER 19, 2013
PRESENTATION
John Popadak, CFO at ARCA, presented on the ARCA document entitled “Funding the Work of
California’s Regional Centers,” which focuses on problems caused by the concurrent expansion
of workload requirements and Operations budget reductions. These problems can be
categorized into four groups: (1) actions leading to a direct reduction in the OPS budget without
a corresponding decrease in operations workload, (2) actions imposing additional workload for
which no additional or inadequate, funding was added to the OPS budget, (3) inaction with
respect to updating the OPS budgeting formula, and (4) design flaws inherent in the OPS
budgeting formula.
Conclusion: The statewide network of 21 regional centers manages over $4.1 billion in
federal and state funds and serves as the primary safety net for Californians with
developmental disabilities. The viability of this network is now threatened by the cumulative
impact of decisions that have led to severe underfunding of the regional center OPS budget.
Absent intervention, the state is again exposed to the potential loss of hundreds of millions of
dollars in federal funds and, more importantly, the health and well-being of individuals and their
families for whom the state has “accepted a responsibility” is directly threatened.
ARCA addresses the purchase of service funding issue in its position statement titled “The
Budget Crisis Affecting California’s Regional Centers.”
DIRECTOR’S REPORT
Mr. Shorter followed up on Mr. Popadak’s presentation, reiterating the highlights. Regional
center OPS budget is grossly underfunded. As a result, we are understaffed which results in
caseload ratios being out of compliance.
Mr. Shorter noted that he would be sharing this information at brown bag sessions with staff.
PUBLIC COMMENT / ANNOUNCEMENTS
Mr. Roth, GGRC social worker, shared a letter from a group of GGRC staff to Mr. Shorter. The
letter expressed concern about GGRC’s contribution to staff retirement and staff compensation.
GGRC compensation levels have not been increased since 2007. In 2010, the retirement
contribution was reduced from 15% to 8% and just recently was increased to 10%. Several
staff verbally expressed concern.
Mr. Fell acknowledged staff’s concerns. He reiterated Mr. Shorter’s concern and noted that
the Board is aware and concerned. Mr. Fell expressed high regard to the staff for their work
and commitment to the mission of the regional center. Mr. Fell noted that this dialogue will
continue.
COMMITTEEE REPORTS:
Services Committee – Yukari Baba
Ms. Rosene directed attention to the resolution to adopt the usage of “intellectual disability” in
lieu of “mental retardation” language in all publications, speeches and in the transaction of
regular business. Federal law changed several years ago and last year California enacted the
change in the language. All California publications are being changed. This resolution would
indicate that the Board is adopting this language.
M/C To adopt the usage of “intellectual disability” in lieu of “mental retardation”
language in all publications, speeches and in the transaction of regular business.
(Copy attached.)
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GOLDEN GATE REGIONAL CENTER
RECORD of MEETING – NOVEMBER 19, 2013
Ms. Rosene called attention to the draft revised Employment First Policy. This past year,
California adopted an Employment First Policy so this revision reflects that change. Verbiage
revised; no impact on policy.
M/C To adopt the revised Employment First Policy. (Copy attached.)
Lastly, the Zero Tolerance Policy for Abuse or Neglect is required by our current contract with
the State. The policy reiterates that all GGRC staff and providers will comply with all abusereporting laws and that abuse or neglect to anyone supported by regional center will not be
tolerated.
M/C To adopt the Zero Tolerance Policy for Abuse or Neglect as presented.
(Copy attached.)
Finance Committee – Robert Ramirez
Annually, Lautze and Lautze Accountancy Corporation conducts an audit of GGRC’s financial
statements. Earlier this evening, the Finance Committee and the Executive Committee met
jointly to receive the audit report for year ended June 30, 2013. No audit exceptions were
noted.
M/C To accept the audit report as provided by Lautze and Lautze.
People’s Advisory Committee – Stephanie Hill
Ms. Hill attended a presentation on the Affordable Care Act given by ASM Kevin Mullin. It is
not necessary for individuals with Medi-Cal to sign up for Obama Care. Dental care is limited
under Medi-Cal.
Ms. Grigsby will be meeting with representatives of the local Area Board and People First in an
endeavor to hold the next People First conference in the Bay Area.
Mr. Rogin, newly appointed Executive Director of Area Board 5, attended the meeting and
asked what the members would like to see restored. Feedback included IHSS and ICF cuts.
Denis Craig will be retiring from the Area Board in December.
Service Provider Advisory Committee – Amanda Pyle
In Ms. Pyle’s absence, Mr. Benda provided an update on SB 579. Earlier this month, a
stakeholders hearing was attended by representatives from regional centers, DDS, DPH, DSS,
CDSA, DRC, the State Council, UCP/The Arc and ARCA. Staff from Senator Berryhill’s office and
Mareva Brown, Secretary, Senate Human Services Committee also attended. A public hearing is
scheduled for January 14th in the Senate Human Services Committee.
Work continues on the white paper. Summaries have been completed on the five topics
identified for the white paper.
A task force has been formed to organize a legislative forum to be held next spring.
Board Operations Committee – Martha Thompson
No report.
Legislative Committee – Ron Fell
No report. The Legislature will reconvene on January 6th.
ARCA / Executive Committee / Chairperson’s Reports – Ron Fell
Mr. Fell reported on a meeting he attended with Mr. Shorter and other members of the ARCA
Executive Committee with Diana Dooley, Secretary, Health and Human Services, who has been
given the responsibility of making a recommendation(s) to the Governor on a replacement for
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GOLDEN GATE REGIONAL CENTER
RECORD of MEETING – NOVEMBER 19, 2013
4
Terri Delgadillo who has resigned her position as Director of the Department of Developmental
Services. Secretary Dooley hopes to have three recommendations to the Governor by end of
year.
Senator Bill Emerson announced his resignation effective December 1st. Rumor has it that he
is one of many on the short list for the Executive Director position at DDS. There are regional
center directors on that list as well.
Mr. Fell recently attended the annual National Association of State Directors of Developmental
Disabilities Services conference in Washington, DC. The conference provides an opportunity to
learn what other states are doing.
ADJOURNMENT
The meeting adjourned at 7:03 pm. The next scheduled meeting of the Board of Directors
will be held Tuesday, January 21, 2014, 5:30 pm in the San Francisco office at 1355 Market
Street, Suite 220.
Respectfully submitted,
Judy K. Leonard
Executive Assistant
jkl
Enclosures
for: Hal Belmont, Secretary
Board of Directors
NOTES FROM:
GOLDEN GATE REGIONAL CENTER, INC.
BOARD of DIRECTORS
JOINT MEETING of the EXECUTIVE COMMITTEE
and the FINANCE COMMITTEE
NOVEMBER 19, 2013
Executive Committee Members Present:
Ron Fell, Chair
Martha Thompson, Vice Chair
Hal Belmont, Secretary
Robert Ramirez, Treasurer
Finance Committee Members Present:
Robert Ramirez, Chair
Pam Ehlers
Ron Fell
Martha Thompson
Staff Present:
Chris Rognier
Guest:
Roger Bulosan, Lautze and Lautze
The Executive Committee and the Finance Committee held a joint meeting
for the sole purpose of discussing the FY 2012-2013 Draft Financial Audit
Report as presented by Roger Bulosan, CPA of Lautze and Lautze. No audit
exceptions were reported.
Respectfully submitted:
Ron Fell, Chair
Executive Committee
November 20, 2013
Service Provider Advisory Committee
Golden Gate Regional Center
November 12, 2013
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White Paper: Summaries have been completed on the 5 topic areas identified to be the
form of the White Paper on Critical Issues. One of them needs additional information to
finalize. Amanda and Jen have been working on the fact finding and some formatting.
Sheraden will work on conforming the final document to have a unified look.
SB 579: Jim, Nancy and Barry reported on meetings that were held in Sacramento on
Nov 5. The final of 3 meetings on that day was a stakeholder hearing sponsored by
ARCA, Staff of Senator Berryhill and Mareva Brown, Secretary, Senate Human Services
Committee. Representative were present from: DDS, DPH, DSS, CDSA, DRC, State
Council, UCP/The Arc, other regional centers, and ARCA. The feedback was very
positive and supportive. Some good suggestions were made for minor revisions in the
bill. One theme in the discussion was that this bill provides an opportunity to
“modernize” the entire system of reviews. There will be a Senate Human Services
Committee hearing on January 14. This is the regularly scheduled date for SPAC to
meet, but members are encouraged to go to the hearing that day as there will not be a
SPAC meeting. More information will be shared prior to the hearing.
Amy Taub was recognized for the recent award given by the SF Symphony for the work
of Creativity Explored in Social Justice. Amy and guests were invited to the recognition
event. Amy was also recently interviewed by Michael Krasny on radio.
Affordable Health Care: Some members attended the forum held by Public Health of SF.
The forum was very informative. Many of the requirements that are part of the
Affordable Health Care are already being addressed or planned for with Covered
California. There will not be significant changes at this point for those served in this
system.
Legislative Forum: The group is in favor of a legislative forum in the Spring, 2014. This
would be done in conjunction with GGRC as has been done in the past. Several people
volunteered to work on putting the forum together. The first meeting of this group will
be on December 10 at 10:00 (regular scheduled time for SPAC)
Employment Summit: The second Employment Summit will be held on December 11
from 10 - 12:30 in the San Mateo office of GGRC. The topic of the summit will be on
how to make employment a reality. Announcements are going out.
Amanda is compiling a list of all providers and others on the SPAC with additional
information including , address, email, phone numbers to be shared with others on the
list. That resource list will be shared with everyone when it is completed.
There will not be a December meeting of SPAC as usual. The task force working on the
Legislative Forum will meet at that time.
NOTES FROM
GOLDEN GATE REGIONAL CENTER, INC.
BOARD OF DIRECTORS
SERVICES COMMITTEE
TUESDAY, NOVEMBER 5, 2013
Members present:
Yukari Baba (by phone)
Kim Nguyen, MD
Staff present:
Judy Leonard
Ingrid Lin, MD
Stefanie Nickel-Rather
Felice Parisi, MD
Lisa Rosene
I. Call to Order (Yukari Baba) 5:03 pm
ACTION
II. Draft Revised Employment First Policy (attached) (Nickel-Rather)
Stefanie presented minor revisions to the current policy. The policy was revised
to cite the recently passed AB 1041 which enacted the Employment First Policy
for California. Brief discussion followed. It was agreed to present the resolution
to the full Board at their upcoming meeting on November 19th.
ACTION III. Draft Resolution
To Adopt “Intellectual Disability” in Lieu of “Mental Retardation”
(attached) (Lin)
The newest and fifth edition of the Diagnostic and Statistical Manual of Mental
Disorders, the DSM 5, made an important change in terminology from “mental
retardation” to “intellectual disability” for individuals with intellectual
impairments. Dr. Lin presented a draft resolution to adopt the usage of
“intellectual disability” in lieu of “mental retardation” in publications, speeches
and in the transaction of regular business at GGRC. Following discussion, it was
agreed to present the resolution to the full Board at their upcoming meeting on
November 19th.
ACTION IV. Draft Policy – Zero Tolerance for Abuse or Neglect (attached) (Rosene)
Per contract with the Department of Developmental Services, GGRC must
develop and post on the internet a zero tolerance policy for abuse or neglect.
Lisa presented a policy drafted by legal counsel along with feedback from the
Service Provider Advisory Committee (SPAC). Discussion followed giving
consideration to and incorporating the SPAC’s feedback as appropriate. It was
agreed to present the draft policy to the full Board at their upcoming meeting on
November 19th.
V. Adjournment (Yukari Baba) 5:38 pm
Respectfully submitted:
Judy K. Leonard
Executive Assistant
November 6, 2013
NOTES FROM
GOLDEN GATE REGIONAL CENTER, INC.
BOARD OF DIRECTORS
PEOPLE’S ADVISORY COMMITTEE
MONDAY, NOVEMBER 4, 2013
Members present: Stephanie Hill, CoChair
Joe Asaro
Sidney Dyfoon
Staff present:
Others present:
Elizabeth Grigsby
Lisa Rosene
Krizia Aldana
Gabriel Rogin
I. Medi-Cal
Stephanie attended a presentation in San Mateo County re: the Affordable
Care Act.
II. People First of Bay Area
The group would like the conference to be held in the Bay Area. Elizabeth
will be meeting with representatives from the Area Board and People First
on November 13th at GGRC in San Francisco regarding this conference.
III. Advocacy – Area Board
Gabriel Rogin, the new Executive Director of Area Board 5, attended the
meeting and asked what they would like to see restored. Feedback included
two areas: IHSS and ICF cuts.
CUTS
IHSS - 8%
Need to hire better workers / oversee timesheets fraud
ICF – 10% rate cut
Adult Dental Care
Other medical care – podiatry
Start-up $$ for new programs
IV. Positive/Productive Meetings
Stephanie will bring the “meeting map.” The group will make a list of ground
rules at the January meeting.
V. Other News
A. Denis Craig will retire from the Area Board in December 2013. Elizabeth
will get a card and will get as many signatures from PAC members as
possible.
Page 1 of 2
B. Need to recruit new members
Ideas: flyer, door prize, maybe food, rotate meetings in each county,
video conference the meeting, each county have their own meeting.
VI. Next Meeting
Monday, January 6, 2014, 3 – 4 pm, GGRC San Francisco Office
Facilitator
Stephanie
Recorder
Nina
Timekeeper
Joe
Hospitality
??
Opening Round Elizabeth
Page 2 of 2
GOLDEN GATE REGIONAL CENTER, INC.
BOARD of DIRECTORS
LEGISLATIVE COMMITTEE
The Legislative Committee did not meet in November 2013.
GOLDEN GATE REGIONAL CENTER, INC.
BOARD of DIRECTORS
BOARD OPERATIONS COMMITTEE
The Board Operations Committee did not meet in November 2013.