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1515 Clay St. Suite 300, Oakland, CA 94612 ph. 510.286.0439; fax. 510.286.4397 www.scdd.ca.gov STATE COUNCIL ON DEVELOPMENTAL DISABILITIES BAY AREA REGIONAL ADVISORY COMMITTEE (RAC) MEETING & COMMUNITY OUTREACH NOTICE & AGENDA Date Wednesday, November 30, 2016 Time 7:00pm – 9:00pm Location Alameda County Developmental Disability Council 1000 Broadway, Oakland, CA 94607 Phone: 510.267.3261 Can’t travel to the meeting? Toll Free dial-in option: 1-800-839-9416 PIN: 3424727 This Regional Advisory Committee Agenda is posted on: http://www.scdd.ca.gov/bayarea.htm Pursuant to Government Code Sections 11123.1 and 11125(f), individuals with disabilities who require accessible alternative formats of the agenda and related meeting materials and/or auxiliary aids/services to participate in the meeting, should contact Valerie Buell at the State Council’s Bay Area Office by phone 510.286.0439 or by email [email protected] Requests must be received by 5pm on November 22 st , 2016 Please refrain from wearing scented products at this meeting

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1515 Clay St. Suite 300, Oakland, CA 94612 ph. 510.286.0439; fax. 510.286.4397 www.scdd.ca.gov

STATE COUNCIL ON DEVELOPMENTAL DISABILITIES

BAY AREA REGIONAL ADVISORY COMMITTEE (RAC) MEETING & COMMUNITY OUTREACH

NOTICE & AGENDA

Date Wednesday, November 30, 2016

Time 7:00pm – 9:00pm

Location Alameda County Developmental Disability Council

1000 Broadway, Oakland, CA 94607

Phone: 510.267.3261

Can’t travel to the meeting? Toll Free dial-in option: 1-800-839-9416 PIN: 3424727

This Regional Advisory Committee Agenda is posted on:

http://www.scdd.ca.gov/bayarea.htm

Pursuant to Government Code Sections 11123.1 and 11125(f), individuals with disabilities who require

accessible alternative formats of the agenda and related meeting materials and/or auxiliary aids/services to participate in the meeting, should contact Valerie Buell at the State Council’s Bay Area Office by phone

510.286.0439 or by email [email protected] Requests must be received by 5pm on November 22st, 2016

Please refrain from wearing scented products at this meeting

1515 Clay St. Suite 300, Oakland, CA 94612 ph. 510.286.0439; fax. 510.286.4397 www.scdd.ca.gov

7:00p Call to Order Rauch

Introductions / Establishment of Quorum Nicholau

7:10p Approval of the meeting minutes of 9/28/16 Rauch

7:15p Public Comment

An invitation to provide the public an opportunity to comment and/or present information to the Committee on any matter that is not on the agenda. Each public member is afforded up to 3 minutes to speak. Written requests will be considered first. The Committee will provide a public comment period not to exceed 5 minutes total for all public comments prior to action on any agenda item.

7:25p Presentation and Q&A: Lanterman Housing Alliance

Barry Benda, Brilliant Corners

Darin Lounds, Housing Consortium of the East Bay

The Lanterman Housing Alliance fosters innovative public policies and public-private partnerships

that result in sustainable investment in affordable housing for people with developmental

disabilities.

8:25p Reports Rauch

- Chair Report

- Regional Center Reports

- County DD Council Reports

- People First Report

8:40p Manager’s Report Nicholau

- Regional office activities

- RAC Meetings for 2017 Calendar Year

- Membership update for Regional Advisory Committee & State Council

1515 Clay St. Suite 300, Oakland, CA 94612 ph. 510.286.0439; fax. 510.286.4397 www.scdd.ca.gov

8:50p Other Announcements & Agenda Items for Future Meetings

An opportunity of members of the community to bring up ideas, needs, issues and concerns

9:00p Meeting Adjourned Rauch

State Council on Developmental Disabilities Bay Area Regional Advisory Committee Meeting September 28, 2016 Minutes Location: Marin County – Marin County Office of Education, 1111 Las Gallinas, San Rafael Committee Members Present: Kate Rauch (FA), Sascha Bittner (SA), Pam Perls (FA), Linda Stevens (FA), Francisco Garcia (FA) Committee Members by Phone: Nicole Adler (SA), Jennifer Torai (FA), Committee Members Absent: Donna Adkins (FA), Francis Lau (FA), Dianne Millner (FA), Karen Van der Woert (SA) Guests Present: Jerry Grace (People First NAC), Mark Walden, John Krabbe (SA & Planning Commission of San Francisco, Marin, and Sonoma County), Eric Zigman (GGRC), Will Sanford (Futures Explored), Jami Davis (Marin Ventures), Peter Kovicek (Marin Ventures). Guests by Phone: Sara Desumala (People First SF), Patrick MacKay (SA), Staff: Sheraden Nicholau and Valerie Buell 7:10p Call to order and introductions 7:15p Motion to approve the minutes from the Regional Advisory Committee Meetings on February 24, 2016 and June 29, 2016. Moved by Pam Perls and seconded by Francisco Garcia. All (Ayes) 7:17p Public Comments

Will Sanford from Futures Explored: Everyone who has worked under a 14(c) certificate is required to receive the career counseling information referral from the Department of Rehabilitation after July 22, 2016.

Sheraden Nicholau: More information can be found at the Department of Rehabilitation website. The key search terms are WIOA, competitive integrative employment, and 14c http://www.rehab.cahwnet.gov/Public/WIOA-Information.html

John Krabbe from Planning Commission of San Francisco: September 29, 2016 at the Milton Marks Conference Center in the State Building in San Francisco is the 20th annual Self-Advocacy Conference from 9:30 AM to 3:00 PM.

7:22p Sheraden Nicholau lead the Overview & Discussion on State Council Legislative Platform requesting feedback from the Regional Advisory Committee and meeting attendees on the statutes that the State Council should pursue next year in 13 areas. Feedback & Suggestions: Self-Determination

• Move the last sentence to the front. • We need more education around Self-Determination. • Including the 5 pillars in the Self-Determination training.

Employment

• Some individuals need more support than others.

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• Include “at whatever level of accommodation is needed to make them competitive in employment at the maximum level that they both want to and are capable of.”

• Consider people who chose not to work due to health reasons. • Include “who wish to enter competitive employment”. • Include the employer and incentivize employment.

Equity

• It should include religion, age, ability, gender, gender identity, and sexual orientation. • Add “Existing” because it is not hypothetical, the disparities exist. • Add at the end “and other differences” as a catch all statement to be fully inclusive.

Transportation

• Public Transportation should reach the places that people want to and need to go • Add “quality of life”. • Add at end “systems must be broken down so people can travel with or without support.” • Mobility training must be a standard program.

Healthcare

• Add “in their language of choice or appropriate language”. • Use language that is fully understood/plain language. • Vision, dental, and reproductive healthcare needs to be brought back to Medicare. • Where it says “adequate network of health professionals” add “who have had training in handling

the medical and dental needs of individuals with developmental disabilities and/or challenges”. • More coordinated care, age appropriate and condition appropriate • Amend to say “Including people with multiple health care needs and people who may need

special accommodations like ease of getting appointments, ease of wait times for those who cannot sit and wait for their appointment, mobility accommodations, whatever accommodations may be needed” making a general statement about taking into account any accommodation that may relate to the person’s particular situation.

• Add “Preventative routine healthcare should be available to everyone”. • Individuals must be reimbursed for insurance copays, coinsurance, and deductibles when their

health insurance covers therapies that are on their IPP’s. • Add something that helps to ensure the person is included in efforts toward precision medicine

initiatives. Education

• Include a statement about focusing on the collaboration between schools and adult services. • Add oppose all restraints/aversives. • Add “with whatever appropriate supports they need”. • Add “Parents or Guardians have the right to be informed of whatever remedies are available

when non-compliance is going on. Particularly for people who’s first language is not English and who don’t have resources, who have to work so they can’t go to meetings…”

Housing

• A lot of people have section 8 housing and are on a long wait list. Self-Advocacy

• There is a move now to just say advocacy. • Just leave it be and don’t include family members.

Community Participation

• We should add “peers of their choice”. • Consider consolidating down some and have sub bullets • The ADA would have to come into it too. • Public agencies should be encouraged to make their programing as inclusive as possible.

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8:19p Sheraden Nicholau requested that the RAC email their suggestions on the last topics that were not covered in the time allotted: Transition to Adult Life, Rates for Services, Health and Safety, and Quality of Services and supports. 8:20p Sheraden Nicholau began the Update & Discussion on HCBS Final Rule and Will Sanford Gave the presentation.

• On the Department of Healthcare Services website, September 29, 2016 is the final date to submit public comments on the updated Statewide Transition Plan.

• CMS will have 90 days after that time. • This will affect residential services as well as day activity services. • It doesn’t identify providers specifically, under the waiver or not. Therefore, all providers must be

in compliance with the setting requirements. The waiver is identified to the person, not to the program.

• The timeline for completion is the 4th quarter of 2018, and would have to be compliant by March of 2019.

• The challenge is that there are 10 questions that the answer from the feds was, we are thinking about that and we will get back to you. We have an opportunity to make sure our local legislators and key officers are paying attention to this.

• There was some confirmation that no program or environment or setting is at risk of losing funding if they are in a heightened scrutiny process.

• Make sure that if a provider is told to fill out a self assessment and turn it in, that they do so.

8:40p Reports Chair Report Kate Rauch – Acknowledging those former Board members who have chosen not to transition after the 2015 shift, and RAC members that have termed out and chosen to move on; and thank them for their service: Jonathan Lyens, John Kalb, Peter Kohn, Feda Almaliti, Sherrie Auren. Regional Center Report Eric Zigman – Regional Centers just received half a billion dollars in funding and this will help with rebuilding capacity. People First Report Jerry Grace – In June, Jerry Grace went to Sacramento to represent Bay Area People First. In Sacramento in June of 2017 there will be a gathering for all of People First in California. On October 14th there will be a Self-Advocacy Celebration at the Ed Roberts campus in Berkeley. Manager’s Report Sheraden Nicholau – Membership Election’s will be coming soon. The feedback from this region has been helpful. The last 100 days report.

• There is a new 5-year State Plan that may be approved by October 2016. • The Operational Plan for the next two years has been finalized. • The Bay Area Regional Office has participated in several board meetings and committee

meetings across the 5 counties. • The Bay Area Regional Office has and is participating in Outreach and Conferences across the 5

counties. • The Bay Area Regional Office has supported Bay Area People First, Congreso Familiar, and

hosted Dr. Temple Grandin. • The Bay Area Regional Office is cohosting Voter Rights events and a National Disability

Employment Awareness Month event in October. 8:59p Sheraden on Self Determination, Estimating by the end of October 2016, the Department of Developmental Services will get their informal responses to CMS’s questions back to CMS, by December 2016 or by January 2017 a response will be given, through February 2017 a waiver application will be posted, and that by the end of February 2017

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that formal submissions of the waiver application are all set, so that by late spring to summer 2017, CMS will have approved. There is no transition period for Self-Determination, so once the waiver is approved, it should be starting right away. 9:02 Meeting Adjourned *Documents referenced were in the RAC packets and in the handouts at the meeting for guests. They can also be found on the website www.scdd.ca.gov/bayarea.htm

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Lanterman Housing Alliance SCDD Regional Advisory Committee

November 30, 2016

Barry Benda, Brilliant Corners Darin Lounds, HCEB

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Lanterman Housing Alliance

History

•Informally meeting since 2004 •Formally organized in 2014; incorporated in 2016 •15 not-for-profit housing organizations •Affiliate members: other affordable housing developers, lenders, ARCA, etc.

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Lanterman Housing Alliance

Vision

People with developmental disabilities will have access to diverse affordable housing

opportunities that fulfill the Lanterman Act’s promise of “integration into the mainstream life of the community.”

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Lanterman Housing Alliance

Mission

The LHA will foster innovative public policies and public-private partnerships that result in sustainable investment in

affordable housing for people with developmental disabilities

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Lanterman Housing Alliance

Strategies

The LHA will build its organizational capacity to provide affordable housing

leadership for people with developmental disabilities.

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Lanterman Housing Alliance

Statewide Housing Plan •LHA has initiated discussions with ARCA and DDS to address a post-Developmental Center World. •There is a need to shift focus from community placement from DCs to community development for everyone

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Lanterman Housing Alliance

Statewide Housing Plan •LHA has submitted the following policy papers for consideration:

•Priced Out No More •Housing Services Billing Code (CMS compliant) •Funding Streams White Paper (draft)

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Lanterman Housing Alliance

Statewide Housing Plan •LHA is convening DDS, ARCA, and CA Housing Finance Agencies to discuss:

•DDS Statewide Housing Plan •Finance and Investment strategies to create independent living housing models •Legacy Homes Model

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Lanterman Housing Alliance

Housing Services •DDS has added LHA’s proposed Billing Code to the waiver •Models:

•Brilliant Corners •Housing Choices Coalition •North Bay Housing Coalition

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Lanterman Housing Alliance

Future Housing Development- SF Bay Area • Measure A1, Alameda County • Measure K, San Mateo County • San Mateo County Whole Person Care • Alameda County: Whole Person Care Pilot • San Francisco • Measure KK, Oakland • MHSA/ HUD 811- other populations • CPP – Sonoma Closure

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Lanterman Housing Alliance

Advocacy Opportunities • CMS Home Community Based Services waiver • Visualize a Post-Developmental Center World;

How can DDS shift a Community Development Plan

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Lanterman Housing Alliance

Questions and Discussion

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Purchase of Service (POS) Disparity Overview & Update

Legislative and Public Policy Committee

October 2016

Overview

Annually, there are two reporting processes that address issues of purchase of service

(POS) disparity and diversity within regional center services. The Department of

Developmental Services (DDS) reviews and approves regional center Annual

Performance Contracts and Purchase of Service (POS) Expenditure Data.

1. Regional Center Annual Performance Contracts:

Featuring quantitative measures of the individual regional center and compares against

the statewide average. These contracts are required to be posted on each regional center’s

website. Examples of measures include:

Public Policy: The type of residential setting people-served are living in, % of

caseloads in Developmental Centers (DCs), home settings, and group homes, etc.

Compliance Measures: Everything from accuracy of POS projections, intake and

assessment timelines, and Individual Program Plan (IPP) development

Local Performance Contract: (also using data from National Core Indicators data

(NCI), Employment Development Department (EDD) and Client Development

Evaluation Report (CDER) stats around income earned, paid work, access to

medical care, etc.

2. Regional Center Purchase of Service (POS) Expenditure Data:

DDS and regional centers annually collaborate to compile data, in a uniform manner,

relating to purchase of service authorization, utilization, and expenditure by each regional

center with respect consumer’s age, ethnicity, primary language, residence, and

disability. (W & I Code 4519.5). Data reported also includes those who have been

determined to be eligible for regional center services but are not receiving purchase of

service funds.

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Purpose for these reports includes:

Noting changes in the populations in both our community and in the state

Looking at current trends and changes to understand and be responsive to meet

both existing and emerging needs within communities

Identifying how to meet the needs of consumers and families in a way that is

responsive to diverse cultural and linguistic needs

Sharing information and holding community discussions about the data and what

is needed to reduce any disparities

Identifying barriers to equitable access to services and supports among consumers

and develop recommendations to help reduce disparities in purchase of service

expenditures

Encouraging the development and expansion of culturally appropriate services,

service delivery, and service coordination

Identifying best practices to reduce disparity and promote equity

DDS reports the status of efforts to satisfy the requirements during the fiscal year’s

legislative budget subcommittee hearing process.

One-off and Ongoing Initiatives

In addition to these two reporting processes, each regional center, in partnership with

their community stakeholders and individuals-served, engages in their own one-off and

ongoing disparity analysis and reduction efforts. Some examples include:

Public Committees (Diversity and Equity)

Provider outreach and provider education

Family outreach (at cultural events, faith-based events, neighborhood events,

though local medical community)

Improved SANDIS documentation

Improved website UX

Outreach and family trainings offered with childcare and/or featuring meals

Outreach and family trainings offered at more convenient days and times for

working families (e.g. weekends, weekday evenings, etc.)

Resource / vendor manuals in plain language and threshold languages

Coffee socials for families to meet with regional center staff

Summer festivals and vendor fairs

Regional center staff serving on community committees

Increased diversity on the regional center boards

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Updates

Department of Developmental Services (DDS) POS Disparity Stakeholder Public

Meetings:

DDS hosted four meetings, in August 2016, throughout the state to discuss and develop

strategies for addressing disparities in purchase of service (POS), to consult with

stakeholders. Discussions included identifying cultural barriers and challenges in

obtaining regional center services and areas that need clarification for people to

understand to service delivery system, and recommendations to promote equity and

reduce disparities in the purchase of these services.

Common Themes:

POS disparities are reflected between ethnic groups and also in primary language

groups. There are limitations in the data collected and what it tells us about

disparity in POS authorizations and expenditures. For example:

o Those living outside of the home will utilize more services than those in

the house

o Adults will tend to have more expenses than children, of whom a majority

live at home and utilize school district and insurance funded services and

supports

o Services like IHSS are not accounted for

o Socio-economic and educational background, availability of services in a

given geo area, and other potentially contributing actors are not collected

or cross-referenced in disparity data

Distrust of institutions and systems

Fear of the system reporting immigration / residency status to immigration

authorities

Cultural expectations around who should care for loved ones with disabilities as

children and adults

The impact of FY 2009 service cuts, such as restrictions for Respite,

transportation, applied behavioral analysis (ABA), recreation, summer camps.

These substantially affected minority populations

o With these cuts, it was expected that $20 million would be saved,

statewide. The actual savings were closer to approximately $80 million

Utilization of services for children under 3 years of age has decreased

Language clearly has a significant impact on POS expenditures in all age

categories

Median rates has had a damaging effect on attracting new providers to meet

family and individual service needs

Self-Determination will likely prove to be a mechanism for increased access to

culturally and linguistically congruent services

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DDS requested feedback via an online survey: www.surveymonkey.com/r/dds-pos

Request for Proposals: Reduction of Disparities in POS Funding Opportunity, per

ABX2 1:

FY 2016-2017’s budget secured $11 million earmarked for DDS to address POS disparity,

statewide. September 8th

2016 was the deadline for regional centers to submit proposals

to DDS for disparity reduction plans. Criteria included:

Proposals must be consistent with feedback from the public meetings with

stakeholders regarding POS disparity data

The funds awarded can be utilized for three fiscal years, but plan/contracts must

be in place by the end of FY 2016-2017

A sampling of regional center proposals for disparity reduction includes:

Hiring bilingual/bicultural staff (incentivizing, differentials in pay, + additional

recruitment efforts)

Cultural competency training for regional center staff

Statewide disparity research project: to further analyze the POS expenditure data,

cross-reference with other factors

Translation coordination (with contracted providers)

Expanded navigator programs for families/individuals / Online portals for service

info and access

Additional transition services (to support transition from school-aged services to

adult services)

Early childhood outreach and screening programs

Satellite offices

Equity / Diversity Task Forces

Start up funds for adult services program that meet needs of particular ethnic and

language communities

Development of consumer/family mentorship program

Development of support groups and counseling groups

Increase service info / resource info translated into plain language

Increase service info / resource info translated into threshold languages

Greater use of info graphics in material

Cultural and language-specific events hosted by regional centers

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Promotora Project model to address communication needs of underserved

communities. Promotora has been proven to be effective among immigrant

families and English-as-a-second-language (ESL) families

Automated message systems, enabling families receive messages from their

regional center in their native language

Coming soon / Next Steps

The posting of DDS’s summary report, compiling feedback from the four public

hearings on POS disparity

The selection of regional center disparity reduction projects for DDS funding

through ABX2 1 funds

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Housing Services

Proposed language description for a vendor category for service provision through the Department of Developmental Services

1. Individual Housing Transition Services Housing transition services provide direct support to individuals with disabilities, older adults needing long term services and supports, and those experiencing chronic homelessness. These services are:

• Conducting a tenant screening and housing assessment that identifies the participant’s preferences and barriers related to successful tenancy. The assessment may include collecting information on potential housing transition barriers, and identification of housing retention barriers.

• Developing an individualized housing support plan based upon the housing assessment that addresses identified barriers, includes short and long-term measurable goals for each issue, establishes the participant’s approach to meeting the goal, and identifies when other providers or services, both reimbursed and not reimbursed by Medicaid, may be required to meet the goal.

• Assisting with the housing application process. Assisting with the housing search process. • Identifying resources to cover expenses such as security deposit, moving costs, furnishings,

adaptive aids, environmental modifications, moving costs and other one-time expenses. • Ensuring that the living environment is safe and ready for move-in. • Assisting in arranging for and supporting the details of the move. • Developing a housing support crisis plan that includes prevention and early intervention services

when housing is jeopardized. 2. Individual Housing & Tenancy Sustaining Services This service is made available to support individuals to maintain tenancy once housing is secured. The availability of ongoing housing-related services in addition to other long term services and supports promotes housing success, fosters community integration and inclusion, and develops natural support networks. These tenancy support services are:

• Providing early identification and intervention for behaviors that may jeopardize housing, such as late rental payment and other lease violations.

• Education and training on the role, rights and responsibilities of the tenant and landlord. • Coaching on developing and maintaining key relationships with landlords/property managers

with a goal of fostering successful tenancy. • Assistance in resolving disputes with landlords and/or neighbors to reduce risk of eviction or

other adverse action. • Advocacy and linkage with community resources to prevent eviction when housing is, or may

potentially become jeopardized. • Assistance with the housing recertification process. • Coordinating with the tenant to review, update and modify their housing support and crisis plan

on a regular basis to reflect current needs and address existing or recurring housing retention barriers.

• Continuing training in being a good tenant and lease compliance, including ongoing support with activities related to household management.

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3. Housing Related Collaborative Activities Several strategic, collaborative activities to assist in identifying and securing housing resources are:

• Developing formal and informal agreements and working relationships with state and local housing and community development agencies to facilitate access to existing and new housing resources.

• Participating and contributing to the planning processes of state and local housing and community development agencies, for example, by providing demographic, housing need, and other relevant data for the populations served by the LTSS agencies, among other planning activities.

• Working with housing partners to create and identify opportunities for additional housing options for people wishing to transition to community-based housing. This may include coordinating available housing locator systems and developing and/or coordinating data tracking systems to include housing.

The above description of services, numbers 1-3, is quoted from CMCS Informational Bulletin dated June 26, 2015 sent by Vikki Wachino, Director Center for Medicaid and CHIP Services. 4) Property Management and Environmental Modification Services Properties for which environmental modifications would be funded include:

• NPO* owned property management • NPO master lease • NPO corporate lease arrangement

*NPO in this context refers to non-profit organizations that do housing development and housing services for those with developmental disabilities

Situations that qualify for services include: • cover costs of necessary environmental modifications to meet accessibility and health and

safety needs of tenant • cover costs when tenant caused damages or other tenant related expenses exceed the

consumer’s resources and other resources are not available

5) Rental Housing Assistance for Homeless, At Imminent Risk of Homeless, and Individuals Exiting Institutional Settings The following are situations where there is either an emergency or urgent situation which put a person receiving regional center services at risk and require housing assistance payments to address the need:

• Rent increases • Lease terminations • Death or Incapacity of primary caregiver • Termination of a residential care facility placement • Rapidly rehouse a homeless individual • Unable to exit an institutional setting due to lack of housing

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Priced Out No More: A Lanterman-Inspired, CMS-Compliant, Cost Effective Housing Vision for Californians with Developmental Disabilities

1. Executive Summary

The Lanterman Act embodies California’s unique commitment to providing community-based supports and services to individuals with developmental disabilities. For years, California has made significant investments in community-based options to institutionalization and isolation, not only through its annual Community Placement Plan process for persons transitioning from institutional settings, but also through such innovations in best practice as Supported Living Services and Supported Employment. But as California approaches the historic milestone of closing the last state-run and private institutions, we are challenged yet again, this time by historically unaffordable housing markets. A generation of people with developmental disabilities – including those living with aging caregivers or service providers, and the so-called “autism” waive – find themselves “priced out”1 of housing in many California communities even as Washington freezes Section 8 and allocates scarce housing resources to other vulnerable populations, such as homeless families and veterans. Increasingly, thousands of Californians with developmental disabilities lack the safe, decent, accessible, affordable housing options without which they can neither live independently nor achieve community integration. In the face of a punishing housing market, new federal CMS/HCMS guidance and disability advocates demand that we envision new, more inclusive housing options for Californians with developmental disabilities. These are daunting challenges, but also a critical opportunity. Resources previously allocated to institutional infrastructure and services and to transitions from institutional to community settings must now be re-allocated to community-based housing and supports. And, even as we design a more inclusive, CMS-compliant approach to housing supports, we can design a more cost-effective and equitable housing plan, one that systematically uses DDS funding and service infrastructure to leverage other government and private sector housing resources

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– Low-Income Housing Tax Credits, the new HUD 811 Program, Local Rent Subsidy programs, Legacy Home donation. A more inclusive and equitable system that more efficiently leverages federal, state, local and private housing resources can position California to fulfill the housing vision of the Lanterman Act in the post-institutional era for all Californians with developmental disabilities.

Lanterman Housing Alliance Recommendations to DDS

1. Communication and Collaboration:

• Continue improved DDS, ARCA and NPO housing collaboration and communication through periodic meetings; seek NPO input prior to adopting significant Housing Guideline revisions or establishing CPP housing award funding amounts.

2. Housing Services – A Bridge to Affordable Housing and CMS Compliance:

• DDS should support ARCA’s proposal for a new housing services model

responsive to CMS HCBS guidance and the CMCS Information Bulletin “Coverage of Housing-Related Activities and Services for Individuals with Disabilities” of 6/26/15, and eligible for federal financial participation;

• DDS should encourage regional centers to invest in housing services as cost-effective means of leveraging generic affordable housing resources.

3. A Housing Vision for the Post-DC World and the Evolution of CPP

• DDS should establish dialogue with ARCA, LHA and other stakeholders as the Community Placement Plan evolves into the Community Development Plan, reallocating investment from institutional transitions to new models of community-based housing and services for persons on the autism spectrum, those living with aging caregivers, and all Californians with developmental disabilities facing immediate or near-term housing instability.

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• To fulfill its vision of a system skilled at leveraging ‘generic’ housing resources, DDS should establish a Working Group from DDS, ARCA, and LHA to create a plan for using DDS financial and service infrastructure and resources to leverage greater access to TCAC/CDLAC, HCD, CalHFA, rental subsidy programs, and private equity.

4. Re-Allocation of Developmental Center Resources:

• DDS should explore opportunities to earmark savings from developmental center closures and/or income from sale or lease of developmental center land to fund community-based housing.

5. Community Placement Plan Housing Guidelines and Process:

• DDS should continue to advocate for development of CPP housing through the Buy It Once model and should address the disincentives which lead many regional centers to continue investing substantial public funds into homes that are not permanently reserved for persons with developmental disabilities;

• DDS should continue to incorporate NPO (and ARCA) feedback regarding CPP Housing Guideline documents and process;

• Address absence of mutual commitments in CPP Housing Guideline documents – NPO’s can only fulfill obligations if DDS/RC make firm commitments to assign providers, support lease costs, etc.;

• Address Funding Contingency Clause regional centers include in NPO CPP contracts, exercise of which would force NPO’s into mortgage default;

• DDS should establish firm timelines for CPP Housing Proposal Conditional Approval, such as two weeks from submission, as multi-month delays seriously impact project development timelines, lead to missed housing acquisition opportunities, and cost taxpayers perhaps $100,000 per four-bed home for each month of delay;

• More broadly, DDS should embrace a “time-is-money” approach to facilitating and monitoring regional center and NPO CPP housing

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• development, as lengthy negotiations over small cost factors can never save as much taxpayer money as timely project completion and consumer transitions;

• DDS should ensure that all CPP acquisition and rehabilitation awards are consistent with recent project costs for similar projects, as arbitrary project underfunding prior to NPO involvement remains a significant factor in delayed acquisition and renovation and results in unproductive mid-project funding requests.

6. Use of HUD 811 Funds (HCD and CALFHA 11million dollars)

• There is a disconnect between developers and the requirements of

tax credit guidelines. Makes it difficult for Developers to use 811 funding. DDS should support NPO feedback for changes to the 811 guidelines and support Regional Centers in identifying people who can qualify to live in the 811 developed units.

• DDS should support the NPOs feedback that the current guidelines limit new units to 25% when the tax credit demands are 30% of special needs units within a development.

• DDS should support the NPOS in addressing the disconnect between Federal requirements and California.

7. Implementing SB 1175

• DDS should create the regulations for implementing 1175 and incorporate feedback from Mark Stivers (4% tax credits can be used if DDS brings some capital to the table). Leverage money and operating subsidy to bring rent to 30-35% income levels.

• Need for money to come into multifamily project.

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