serve as the foundation for evaluating and adjusting services that establish the service priorities for PSA 12. They include, in alphabetical order: Priority 1: Care Management, Chore services, Congregate Meals, Elder Abuse Prevention, Family Caregiver Support Program, Health, Health Promotion, Health Insurance Counseling and Advocacy Program (HICAP), Home Delivered Meals, Homemaker, Information and Assistance, Legal Assistance, Nutrition education, Ombudsman Program, Personal Care services, Residential Repair/Modification services, Restaurant Meal Program and Transportation. Priority 2: These programs are considered very important, and while they are not recommended for funding for 2016-2020, these areas would be eligible to apply for or additional funds should they become available: Senior Housing and Out-of-County Transportation. The funding percentage of adequate proportion reflects the current level of service. The A12AA proposes to serve Amador, Calaveras, Mariposa and Tuolumne counties with nutrition programs, and all areas with chore, homemaker, personal care, legal services and transportation. Information and Assistance and Legal Services will be provided to every community within the PSA. While there is a need to serve the findings in the Needs Assessment and targeting those specific areas, the challenge to use funds efficiently and effectively while maintaining quality will bring the Agency, the contracted Providers, Governing Board and the Advisory Council to a new level of planning and decision making. The following attached material includes updated information regarding the Goals and Objectives and the Service Unit Plans relating to services offered to seniors, caregivers, and disabled adults in the Planning and Service Area. SECTION 9 - AREA PLAN NARRATIVE GOALS AND OBJECTIVES PSA 12 2016-2017 Area Plan (2016-2020 Four Year Area Plan Cycle) Goal #1: The Agency will employ various methods to distribute information and education regarding supportive services for older adults, adults with disabilities and caregivers. Rationale: Information on how to access services, promoting independence, encouraging wellness and a self-supporting lifestyle is vital for older adults who desire to age in place as safely as possible. A12AA will continue to advocate ‘aging in place’ for older adults, adults with
List Objective Number(s) ____ and Objective(s) [Refer to CCR Article 3, Section 7300 (c)] Projected Start and End Dates Title IIIB Funded PD or C N/A Update Status Objective #1: A12AA staff will collaborate with the California Highway Patrol in Amador, Calaveras, Mariposa and Tuolumne counties to conduct safe senior driving presentations. Outcome: Older adults will be provided with training and information to assist them in evaluating their driving skills. Measurement: The number of attendees at events. 7-1-16-6-30-17 New Objective #2: A12AA staff will collaborate with health professionals in Amador, Calaveras, Mariposa and Tuolumne counties to conduct presentations on topics related to chronic disease. Outcome: Participants will gain knowledge on chronic diseases. Measurement: The number of attendees at events. 7-1-16-6-30-17 New Objective #3: The A12AA Advisory Council will appoint representatives to attend the Social Services Transportation Advisory Council (SSTAC) meetings and other transportation related meetings in their respective counties to promote improved services to seniors and adults with disabilities, particularly for geographically isolated individuals. Outcome: Each representative will be informed regarding available transportation services and will advocate for senior transportation issues. Measurement: The number of meetings (SSTAC and other transportation related meetings) attended by appointed representatives. 7-1-16-6-30-17 New Objective #4: The Advisory Council Public Information Committee will establish a set of guidelines to Advisory Council members to actively participate in Commission on Aging (COA) meetings in each county. Outcome: COA organizations in each county will have increased Advisory Council participation and representation. Measurement: The number of Advisory Council members who attend COA meetings and the number of meetings attended. 7-1-16-6-30-17 New
Rationale: The mission of A12AA is to support maximum independence for older adults, adults with disabilities to prevent unnecessary placement in facilities. The Agency will coordinate services with the Ombudsman program to protect the dignity of individuals who are in facilities. List Objective Number(s) _______ and Objective(s) [Refer to CCR Article 3, section 7300 (c)] Projected Start and End Dates Title IIIB Funded PD or C N/A Update Status Objective #1: Ombudsman staff will advocate ensuring the dignity, quality of life and caring for all residents in Skilled Nursing facilities and Residential Care facilities for the elderly. Staff and volunteers will monitor, conduct complaint investigations, and when necessary, make reports to appropriate licensing agencies, APS and local law enforcement. Outcome: Advocacy for all residents residing in Skilled Nursing and Residential Care facilities. Measurement: Number of facilities monitored, investigations completed, and reports forwarded to appropriate agencies. 7-1-16-6-30-17 New Objective #2: Ombudsman staff and volunteers will attend Resident Council Meetings when invited. Outcome: Residents will be more aware of Ombudsman services and self-advocacy measures will be improved. Measurement: The number of Resident Councils attended. 7-1-16-6-30-17 New Objective #3: Ombudsman staff and volunteers will attend Family Council meetings when invited. Outcome: Family members will become better acquainted with Ombudsman services and measures will be improved. Measurement: The number of Family Councils attended. 7-1-16-6-30-17 New Objective #4: Ombudsman staff and volunteers will conduct program presentations at monthly facility staff meetings to familiarize facility staff with Ombudsman program’s mission and purpose. Outcome: Improved communication between 7-1-16-6-30-17 New
Report the units of service to be provided with ALL funding sources. Related funding is reported in the annual Area Plan Budget (CDA 122) for Titles IIIB, IIIC-1, IIIC-2, IIID, and VIIA. SECTION 10 - SERVICE UNIT PLAN (SUP) OBJECTIVES PSA 12 TITLE III/VIIA SERVICE UNIT PLAN OBJECTIVES CCR Article 3, Section 7300(d) 1. Personal Care (In-Home) Unit of Service = 1 hour Fiscal Year Proposed Units of Service Goal Numbers Objective Numbers (if applicable) 2016-2017 8 4 17 2017-2018 2018-2019 2019-2020 2. Homemaker (In-Home) Unit of Service = 1 hour Fiscal Year Proposed Units of Service Goal Numbers Objective Numbers (if applicable) 2016-2017 570 4 17 2017-2018 2018-2019 2019-2020 3. Chore (In-Home) Unit of Service = 1 hour Fiscal Year Proposed Units of Service Goal Numbers Objective Numbers (if applicable) 2016-2017 325 4 17 2017-2018 2018-2019 2019-2020 4. Home-Delivered Meal Unit of Service = 1 meal Fiscal Year Proposed Units of Service Goal Numbers Objective Numbers (if applicable) 2016-2017 127,350 7 1, 6 2017-2018
2019-2020 9. Nutrition Counseling Unit of Service = 1 session per participant N/A Fiscal Year Proposed Units of Service Goal Numbers Objective Numbers (if applicable) 2016-2017 2017-2018 2018-2019 2019-2020 10. Transportation (Access) Unit of Service = 1 one-way trip Fiscal Year Proposed Units of Service Goal Numbers Objective Numbers (if applicable) 2016-2017 6,715 4 18 2017-2018 2018-2019 2019-2020 11. Legal Assistance Unit of Service = 1 hour Fiscal Year Proposed Units of Service Goal Numbers Objective Numbers (if applicable) 2016-2017 250 4 9 2017-2018 2018-2019 2019-2020 12. Nutrition Education Unit of Service = 1 session per participant Fiscal Year Proposed Units of Service Goal Numbers Objective Numbers (if applicable) 2016-2017 3,700 7 2, 3 2017-2018 2018-2019 2019-2020
Direct and/or Contracted IIIE Services Grandparent Services Caring for Children Proposed Units of Service Required Goal #(s) Optional Objective #(s) Information Services # of activities and Total est. audience for above 2016-2017 # of activities: 15 Total est. audience for above: 20,000 6 6:1, 4 2017-2018 # of activities: Total est. audience for above: 2018-2019 # of activities: Total est. audience for above: 2019-2020 # of activities: Total est. audience for above: Grandparent Services Caring for Children Proposed Units of Service Required Goal #(s) Optional Objective #(s) Access Assistance Total contacts 2016-2017 250 6 6:4, 6 2017-2018 2018-2019 2019-2020 Support Services Total hours 2016-2017 100 6 6:1 2017-2018 2018-2019 2019-2020 Respite Care Total hours
Fiscal Year (FY) PM 2.1 Total Client Contacts (Estimated) Goal Numbers 2016-2017 2,743 3:1, 2, 3, 4, 5, 6 2017-2018 2018-2019 2019-2020 Fiscal Year (FY) PM 2.2 Persons Reached at PAM Events (Estimated) Goal Numbers 2016-2017 2,515 3:1, 3, 6 2017-2018 2018-2019 2019-2020 Fiscal Year (FY) PM 2.3 Contacts with Medicare Beneficiaries Due to Disability (Estimated) Goal Numbers 2016-2017 325 3:3, 6 2017-2018 2018-2019 2019-2020 Fiscal Year (FY) PM 2.4 Low-income Medicare Beneficiary Contacts (Estimated) Goal Numbers 2016-2017 868 3:3, 6 2017-2018 2018-2019 2019-2020 Fiscal Year (FY) PM 2.5 Contacts with One or More Qualifying Enrollment Topics (Estimated) Goal Numbers
2016-2017 2,383 3 2017-2018 2018-2019 2019-2020 Fiscal Year (FY) PM 2.6 Total Part D Enrollment/Assistance Contacts (Estimated) Goal Numbers 2016-2017 1,676 3:3, 4, 6 2017-2018 2018-2019 2019-2020 Fiscal Year (FY) PM 2.7 Total Counseling Hours (Estimated) Goal Numbers 2016-2017 1,646 3:3, 4 2017-2018 2018-2019 2019-2020 Section 3: HICAP Legal Services Units of Service (if applicable) Not applicable Fiscal Year (FY) 3.1 Estimated Number of Clients Represented Per FY (Unit of Service) Goal Numbers 2016-2017 NA 2017-2018 2018-2019 2019-2020 Fiscal Year (FY) 3.2 Estimated Number of Legal Representation Hours Per FY (Unit of Service) Goal Numbers 2016-2017 NA 2017-2018
plans and activities with local emergency response agencies by attending local OES meetings in various counties, special populations meetings, tabletop discussion with other government organizations involved in disaster preparedness and participating in CAHAN drills. A12AA reviews local provider’s disaster preparedness plans during the monitoring process. Identify each of the local Office of Emergency Services (OES) contact person(s) within the PSA that the AAA will coordinate with in the event of a disaster (add additional information as needed for each OES within the PSA): Name Title Telephone email Amador County Sgt. John Silva OES Coordinator Office: 209-223-6384 jsilva@co.amador.ca.us Calaveras County Sgt. Whitney OES Coordinator Office: 209-754-2895 wwhitney@co.calaveras.ca.us Mariposa County Don Florence OES Coordinator Office: 209-742-1706 dflorence@mariposacounty.org Tuolumne Cty. Tracie Riggs OES Coordinator Office: 209-533-5500 triggs@co.tuolumne.ca.us Identify the Disaster Response Coordinator within the AAA: Name Title Telephone email Doreen Schmidt Planner Office: 209-532-6272 Cell: 209-640-2503 dschmidt@area12.org List critical services the AAA will continue to provide after a disaster and describe how these services will be delivered: Critical Services How Delivered? a Provide up-to-date information and actively distribute information to individuals impacted by the disaster to providers, agencies and organizations involved in disaster response efforts. b A12AA will work with staff to secure their physical safety and well-being; include staff’s concern for families and homes; staff will be trained and prepared to operate under emergency/disaster response conditions. c If A12AA facilities are impacted by disaster, relocate offsite to continue to a Regular contact with providers by phone, or in person with current disaster information to distribute to their clients. b A12AA will contact staff to ensure safety; A12AA staff will contact vulnerable clients and/or emergency contacts to ensure client safety; emergency information collected from clients will be made available to appropriate government agencies in event of disaster, within the confines of HIPAA regulations. c A12AA has MOU with an offsite facility to set up services and operate from their facility.
HICAP Request for Approval Justification: X Necessary to Assure an Adequate Supply of Service OR More cost effective if provided by the AAA than if purchased from a comparable service provider. Check all fiscal year(s) the AAA intends to provide service during this Area Plan cycle. X 2016-17 X 2017-18 X 2018-19 X 2019-20 Justification: This service is contracted in Alpine, Amador, Calaveras, Mariposa and Tuolumne counties by A12AA. A12AA staff provides the service in a cost effective manner due to the A12 infrastructure (outreach to targeted population, available staffing and vendor contracts). The Family Caregiver Program (FCSP) staff are efficiently trained and aware of the current local, state and national resources available in the rural service area. SECTION 16 - GOVERNING BOARD PSA 12 GOVERNING BOARD MEMBERSHIP 2016-2020 Four-Year Area Plan Cycle CCR Article 3, Section 7302(a)(11) Total Number of Board Members: 4 members Name and Title of Officers: Office Term Expires: Director John Carrier, Chair, Mariposa County 1/1/2017 Director Sherri Brennan, Vice-Chair, Tuolumne County 1/1/2017 Director Lynn Morgan, Amador County 1/1/2017 Director Steve Kearney, Calaveras County 1/1/2017
Name and Title of other members: Office Term Expires: Joan Bowen, Amador County 12/2018 Thelma Clancy, Amador County 6/2018 Floy Goulart, Amador County 4/2018 Skip Schaufel, Amador County 11/2017 Janet Clark, Calaveras County 12/2018 Barbara Grogan, Calaveras County 12/2017 Susan Rich, Calaveras County 12/2018 Don Fox, Mariposa County 03/2018 Niarja Marchand, Mariposa County 5/2017 Dale Silverman, Mariposa County 3/2017 Terri Peresan, Mariposa County, Provider 1/2017 Larry Bodiford, Tuolumne County 2/2018 Jim Grinnell, Tuolumne County 11/2016 Ruth Perrine, Tuolumne County 1/2018 Michael Pierce, Tuolumne County 6/2017 Carol Southern, Tuolumne County 3/2017 Dick Southern, Tuolumne County 2/2015 Marge Warner, Tuolumne County 9/2018 Leon Casas, Tuolumne County, Provider 12/2018 Marnelle White, CA Senior Legislator, Calaveras County 4/2018 Rex Whisnand, CA Senior Legislator, Calaveras County 4/2018 Indicate which member(s) represent each of the “Other Representation” categories listed below. Yes No Low Income Representative X Disabled Representative X Supportive Services Provider Representative X Health Care Provider Representative X Family Caregiver Representative X Local Elected Officials X Individuals with Leadership Experience in Private and Voluntary Sectors X