Central Valley Regional Center

Annual Report 2013/14

MESSAGE from the Board President

The 2013-14 CVRC Annual Report covers the second year I served as Board President. My last meeti ng with Central Valley Regional Center (CVRC) will be January, 2015 when I term out. It has been a privilege to serve as a CVRC Board Member.

Our community, clients, families, vendors and CVRC weatheredvery diffi cult years. Some Californian’s have come to call these tumultuous years, “The Great Recession”. Through our combined eff orts, we have conti nued to serve our special needs community and for this eff ort I am eternally grateful. The promises of the Lanterman Act conti nue to be honored.

In the spring of 2014, there was an intensive drive by the community and the legislature to reinstate the Early Start program to levels prior to 2009. I’m happy to report that Governor Brown included this change in the Budget Act for fi scal year 2014-2015 eff ecti ve January 1, 2015. This requirement for regional centers allows for eligibility of early interventi on services to infants and toddlers at high risk of developing developmental delays. Many thanks to all those who have advocated at the grass roots level.

In conclusion, please take a few moments to review CVRC’s Annual Report.

Craig Costi, Board President

BOARD OF DIRECTORSCraig Costi • , President

Fresno County

Patricia Fithian• , Vice President Mariposa County

Eula Toca,• Secretary Merced County

Bill Casarez, • Treasurer Fresno County

Randy Tellalian• , ARCA Delegate Tulare County

Ivan Worthington, • Primary Advisory Committ ee Chair, Madera County

Gordon Osmus• , Vendor Advisory Committ ee Chair Tulare County

Raymond Rios• , Member Merced County

Chris Soares• , Member Kings County

Lucia Arreguin• , Member Tulare County

Dr. Ghia Xiong• , Member Fresno County

Tracy Blair• , Member Fresno County

Elizabeth Rodriquez• , Member Fresno County

EXECUTIVE TEAM

Robert Riddick, Executi ve Director

Heather Flores, Director of Case Management Services

Ed Araim, Director of Administrati ve Services

Darryll Walker, Chief Fiscal Offi cer

Tom Keenen, Director of Intake and Clinical Services

Rachel Hagans, Assistant Director of Case Management Services, Visalia

Todd Chase, Assistant Director of Case Management Services, Fresno/Merced

Cleora Ditommaso, Assistant Director of Community Services & Quality Assurance

2013/14 CVRC Annual Report2

ELIGIBILITY for regional center services is based on criteria set forth by the California Legislature via the Lanterman Developmental Disabilities Services Act, W&I Sections 4512(a) and 4642. On an average month, more than 200 people meet with CVRC’s intake counselors to begin the process of applying for services. After a social history is compiled and information on the existence of a condition that might substantiate that the applicant meets the legally mandated eligibility requirements, a multidisciplinary team reviews the information and determines if the applicant qualifies for eligibility for regional center services. For those who meet the eligibility requirements, an active CVRC case is opened. Clients are assigned an ongoing case manager who works with them to develop their IFSP (Individual Family Service Plan) if they are under three years old or their IPP (Individual Program Plan) for those three years of age and older.

CASELOAD GROWTH These numbers represent caseload statistics at the end of the fiscal year. The Prevention Program Plan was instituted October 2009 as a result of Trailer Bill Language. Effective June 30, 2012 the Prevention Program Plan was transitioned to Family Resource Centers in compliance with new Trailer Bill directives.

*Please note: drop in “case cases” during fiscal year 2009-10 resulted from transferring “at-risk” children under 36 months of age to the Prevention Program Plan.

2009/2010 2010/2011 2011/2012 2012/2013 2013/2014Total Clients 14,356 14,599 15,105 15,579 15,966Growth over previous year -374 243 506 474 387

Prevention Program cases

289 208 n/a n/a n/a

CVRC Caseload Growth 2009 to Date

INTAKE & HEALTH SERVICES Nurses, dieticians, physicians, dental hygienists and a pharmacist work directly with clients and case managers by providing office consultations, home visits, and assessments of the health status of clients. They participate in multidisciplinary meetings with the case managers on multi-dimensional health and behavior concerns.

Mission Statement

Central Valley Regional Center’s mission is to help individuals with developmental disabilities, and children at risk, to reach their goals

We accomplish this by: Coordinating resources, and • collaborating with other agencies to develop the best services for clients and families.Valuing Diversity• Respecting individual rights and • choices.Committing to excellence, honesty • and cost effectiveness in service

delivery.

We respect, support, and cooperate with each other to carry out this mission. CVRC is a private, nonprofit corporation, funded by the State of California to provide services to persons with developmental disabilities.

2013/14 CVRC Annual Report 3

The following visuals illustrate a comparison

of Statewide client demographics and those of

Central Valley Regional Center.

Ethnicity

2013/14 CVRC Annual Report4

Ages

36% 36%

10% 6%12%

51%

31%

6% 6% 6%

Hispanic/Latin Caucasian AfricanAmerican

Asian Other

Statewide CVRC Six County Area

0%

40% 40%

16%

4%

12%

33%

37%

14%

4%

0-2 3-17 18-41 42-61 62+

Statewide CVRC Six County Area

Eligible Diagnosis

Eligible Diagnosis total is higher than client count due to dual or multiple diagnosis. Statewide data provided by the Department of Developmental Services (DDS).

Where Clients Reside

2013/14 CVRC Annual Report 5

Let me win, but if I cannot win, let me be brave in the attempt.

Special Olympics Motto

14%

1%

10%

74%

1%

13%

2%

9%

75%

1%

Community &IntermediateCare Facilities

Family /FosterHome Agency

Independent &Supported Living

Home of Parent/Guardian

Other

Statewide CVRC

22%

11%7%

12%

48%

13%11% 9%

15%

53%

Autism Cerebral Palsy OtherDiagnosis

Epilepsy IntellectualDisability

Statewide CVRC

The World Special Olympics will be held in Los Angeles, California

beginning July 25, 2015.

For more information go to www.specialolympics.org

CVRC’s workforce closely mirrors the ethnic breakdown of the six counties in our catchment area.

Performance Report for Central Valley Regional

Center

Every year the Department of Developmental Services (DDS) contracts with all 21 regional centers in California to serve consumers and families. DDS looks at how well the regional centers are doing. The chart provides information about how Central Valley Regional Center performed in 2014 in meeting the goals, how we compare to the state average and whether we are fulfilling our contract with DDS.

At Central Valley Regional Center, we want to improve every year, do better than the state average, and meet or exceed the DDS standard. As you can see in this report, we did well having fewer individuals living in the developmental center and having fewer adults living in large facilities than the statewide average. We also did well having only one child living in a large facility and having more children living with families. We exceeded our goals by having more adults living in home settings including independent living, supported living, Adult Family Home Agency homes, and their own family homes.

For more details, see the Spring 2015 Performance Report for Central Valley Regional Center which will be posted on our web site at www.cvrc.org by April, 2015.

How Well is CVRC Performing?This chart indicates 5 areas where DDS wants each regional center to keep improving. It shows you how CVRC was doing in 2012, 2013 and 2014.

To see how CVRC compares to the other regional centers in the state, compare the numbers to the state averages (in the shaded columns).

* Home settings include: Independent Living, Supported Living, Adult Family Home Agency Homes and Consumers’ Family Homes.

Population Statistics taken from the U.S. Census 2012 estimate

2013/14 CVRC Annual Report6

4% 5%

47%

40%

3%5%

9%

49%

36%

0%

AfricanAmerican

Asian Hispanic/Latin Caucasian Other

Six County Population CVRC Staff

Regional Center Goals (Based on Lanterman Act)

December 2012 December 2013 December 2014

StateAverage CVRC State

Average CVRC State Average CVRC

Consumers living in developmental centers 0.63% 0.90% 0.51% 0.76% 0.42% 0.67%

Children who live with their families 98.87% 98.54% 98.98% 98.47% 99.04% 98.77%

Adults living in home settings* 75.68% 75.08% 76.49% 76.11% 77.30% 76.80% Children who live in large facilities (More than 6 people) 0.08% 0.01% 0.07% 0.01% 0.07% 0.01%

Adults who live in large facilities (More than 6 people) 3.31% 1.01% 3.12% 0.91% 2.96% 0.96%

Funding Category Percentage Expenditures

Purchase of Service 85% $ 177,612,866

Operati ons 15% $ 32,048,074

Total Budget 100% $ 209,660,940

Total Expenditures Fiscal Year 2013/14

Thank you to the individuals and families who allowed us to feature their photos.

2013/14 CVRC Annual Report 7

General and administrati ve costs, as a percent of total expenditures, totaled 2.1%.

As a percent of Operati ons expenditures, 13.8% was spent on general and administrati ve costs while 86.2% was spent on program services.

Operations$32,048,074

15%

Transportation$15,248,382

7%

Out of Home Care$54,223,368

26%Other Purchase

of Service$45,295,580

22%

Day Programs$62,845,538

30%

www.cvrc.org

Fresno4615 N. Marty Ave.Fresno, CA 93722-4186559-276-4300

Servicing Fresno and Madera Counties

Visalia5441 W. Cypress Ave.Visalia, CA 93277-8341559-738-2200

Servicing Tulare and Kings Counties

Merced530 W. 16th Street, Suite AMerced, CA 95340-4710209-723-4245

Servicing Merced and Mariposa Counties