SEPTEMBER MEETING OF THE BOARD OF TRUSTEES TUESDAY, September 19, :30 p.m. Conference Room A4 Ground Floor A G E N D A

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1 SEPTEMBER MEETING OF THE BOARD OF TRUSTEES TUESDAY, September 19, :30 p.m. Conference Room A4 Ground Floor A G E N D A 1. CALL TO ORDER & INTRODUCTIONS...MARIANO SANZ PRESIDENT 2. PRESIDENT'S REPORT...MARIANO SANZ PRESIDENT 4. MINUTES...DR. JAMES FLORES OF THE JULY 18, 2017 MEETING SECRETARY 5. TREASURER'S REPORT...FU-TIEN CHIOU TREASURER 6. EXECUTIVE REPORT... PATRICIA DEL MONICO EXECUTIVE DIRECTOR 7. COMMITTEE REPORTS: a) AUDIT LA VELLE GATES, CHAIRPERSON b) BOARD DEVELOPMENT...MARIANO SANZ, CHAIRPERSON c) CLIENT ADVISORY....DAVID GAUTHIER, CHAIRPERSON d) CLIENT SERVICES*...PATRICIA JORDAN, CHAIRPERSON e) COMMUNITY RELATIONS.....DR. MONICA SIFUENTES, CHAIRPERSON f) SERVICE PROVIDER ADVISORY...PAUL QUIROZ, CHAIRPERSON g) BOARD PLANNING*......RON BERGMANN, CHAIRPERSON h) RETIREMENT...DR. JAMES FLORES, CHAIRPERSON i) SELF DETERMINATION ADVISORY.MARIANO SANZ, LIAISON j) ARCA.. JOE CZARSKE, LIAISON k) HOPE (Home Ownership for Personal Empowerment)...BOB IRLEN, LIAISON 8. PUBLIC INPUT/ANNOUNCEMENTS 9. EXECUTIVE SESSION. MARIANO SANZ PRESIDENT 10. ADJOURNMENT 8:00 p.m. *indicates action cc: All Board members HRC Receptionist

2 MINUTES OF THE JULY 18, 2017 MEETING OF THE BOARD OF TRUSTEES OF THE HARBOR DEVELOPMENTAL DISABILITIES FOUNDATION, INC. BOARD PRESENT: Mr. Ron Bergmann, Board Member Mr. Fu-Tien Chiou, Treasurer Mr. Joe Czarske, Vice President Dr. James Flores, Secretary Mr. La Velle Gates, Board Member Mr. David Gauthier, Board Advisor Mr. Bob Irlen, Board Advisor Ms. Patricia Jordan, Board Member Ms. Paul Quiroz, Board Member Dr. Bobbie Rendon-Christensen, Vice-President Ms. Kim Vuong, Board Member BOARD ABSENT: Mr. Jeffrey Herrera, Board Member Mr. Mariano Sanz, Board Member Dr. Monica Sifuentes, Board Member STAFF PRESENT: Ms. Patricia Del Monico, Executive Director Ms. Judy Wada, Chief Financial Officer Ms. Nancy Spiegel, Director of Information & Development Ms. Colleen Mock, Director of Community Services Ms. Mary Hernandez, Director of Adult Services Ms. LaWanna Blair, Director of Early Childhood Services Ms. Antoinette Perez, Director of Children s Services Ms. Cheryl Perez, Executive Assistant Ms. Jennifer Lauro, Executive Assistant Ms. Arelis Matos, Executive Assistant Team Assistant GUESTS: Mr. Fernando Nunez, LRA Interpreter Mr. Mead Duley, HRC Client Mr. Doug Erber, HRC Parent Ms. Rubi Saldana Mr. David Oster, HRC Client GUESTS: Ms. Dilma Luna Ms. Ana Maria Ms. Gilberta Castellanos Ms. Angela Robles Ms. Ameila Castellano Ms. Gail Carrier, HRC Parent Ms. Annette Lombardi Ms. Ronda Kopito, HRC Parent Ms. Paula Martinez, HRC Parent Mr. Boris Mita Ms. Irma Ramirez Ms. Maria Osorio Ms. Mayra Garcia, HRC Parent Mr. Fernando Gomez Ms. Kim Sinclair, HRC Parent Mr. Christopher Arroyo, SCDD Ms. Mari Anne Kehler, HRC Parent Ms. Roxy Zaza Ms. Selene Mercado, HRC Parent Mr. Shige Yoshiea, HRC Parent Ms. Cheri Weeks, HRC Manager Ms. Kathy Platnick, HRC Parent Ms. Tracy Barrow, HRC Parent Ms. Sindee Smolowiz, HRC Parent Ms. Guadalupe Nolasco, HRC Parent Ms. Cristina Eglitis, HRC Parent Mr. Brandon Eglitis, HRC Client Mr. David Mezquita Ms. Myra Mezquita Ms. Denise Thornquest, DDS Ms. Maria Teresa G. Mr. Andy Kopito, HRC Parent Ms. Fabiola Medina, HRC Parent Ms. Tina Nathan, HRC Parent Ms. Kelly Rain Gross, HRC Parent Mr. Daerick Gross, HRC Parent Mr. Mario Prado, HRC Parent Mr. Juan Nunez Diaz, HRC Parent Ms. Deborah Hurwicz, HRC Parent 1

3 CALL TO ORDER In Mr. San s absence, Mr. Joe Czarske called the Board Meeting to order at 6:40 p.m. PRESIDENT S REPORT Mr. Joe Czarske led in the Pledge of Allegiance to the Flag. In Mr. San s absence, Mr. Czarske welcomed new Board members Christopher Patay and Paul Quiroz. Paul is the new representative from the Service Provider Advisory Committee and is taking over from Terri Nishimura. Mr. Czarske asked the Board members, staff and guests to introduce themselves. Mr. Czarske announced that there will be an opportunity for the Board to receive comments from the public prior to the start of the regular business meeting. Mr. Czarske requested that visitors present who wish to address the Board during the public comment time complete the Public Comment Request form and submit it to the Executive Assistant. Mr. Czarske informed that our Board President, Mariano Sanz, is unable to be with us because he is out of the country on family business. He has sent us a memo which he has asked us to make available to everyone present this evening and the memo has been distributed to both Board members and visitors tonight. Mr. Czarske advised that our Executive Committee has also taken this opportunity to address some of the questions which have been posed by visitors to our recent meetings. We have distributed a memo to Board members and visitors and we have included some attachments, all of which we hope will be helpful and responsive. Mr. Czarske asked that the record reflect the Executive Committee of the Board met on July 11, 2017 to prepare the agenda for tonight s meeting. Mr. Czarske announced that we will have an Executive Session to discuss a personnel matter immediately following our regular business meeting tonight. Mr. Czarske reminded everyone that there will be no meeting of the Board in the month of August. PUBLIC INPUT/ANNOUNCEMENTS Mr. Czarske advised that public input was next on the agenda. He advised that the Board welcomes visitors and provides an opportunity for public comment at the beginning of each Board meeting. Up to 20 minutes are scheduled for the Board to receive comments from those in the audience and each person wishing to address the Board is requested to restrict their comments to 1 minute in order to accommodate everyone. Mr. Czarske indicated that twenty-five (25) public comment forms had been received and he called upon those wishing to provide input. Most of those who did so read directly from written documents which they drafted and submitted to the Board. Per request of those presenting, one of these documents will be attached to these minutes. 2

4 Mr. Czarske stated that our Board is very interested in all comments made by those present and listens carefully to them, but the Board is not prepared to provide a response at the time of the meeting. Mr. Czarske advised that presenters seeking information or some other response should leave their contact information and one of our staff will respond within the next few days. APPROVAL OF THE MINUTES OF THE MAY 16, 2017 BOARD MEETING Mr. Gates moved to approve the MAY 16, 2017 minutes of the Board meeting and Mr. Chiou seconded the motion, which was approved by the Board. TREASURER S REPORT Mr. Chiou reviewed the following financial statements: Harbor Regional Center Monthly Financial Report Fiscal Year , dated April 17; Harbor Regional Center Functional Expenditures, dated April 17; Harbor Regional Center Line Item Report, dated April 17; Harbor Regional Center POS Contract Summary, dated April 17; Harbor Regional Center Monthly Financial Report Fiscal Year , dated May 17; Harbor Regional Center Functional Expenditures, dated May 17; Harbor Regional Center Line Item Report, dated May 17 and the Harbor Regional Center POS Contract Summary, dated May 17. EXECUTIVE REPORT 1. FY 16/17 BUDGET UPDATE Ms. Del Monico referred the Board to the updated Sufficiency of Allocation Report (SOAR) for 2016/17 that was provided in their board packet. Ms. Del Monico provided the Board with an update concerning changes in the report. 2. FY 17/18 BUDGET Ms. Del Monico informed the Board about the 2017 Budget Act and provided a link to a summary of the state budget to show where and how much funds are being appropriated. 3. BUDGET TRAILER BILL: Ms. Del Monico advised the Board that at this time of year, the Administration prepares Budget Trailer Bills which are intended to constitute proposed changes to statute required to implement provisions of the Budget Bill. Ms. Del Monico summarized a few of the key trailer bill provisions related to regional centers and our clients. 4. DDS PLAN FOR CRISIS AND OTHER SAFETY NET SERVICES: Ms. Del Monico informed the Board that the Department of Developmental Services has created a plan, called the Safety Net Plan for the provision of access to crisis services after the closure of a developmental center. This plan also describes the way in which the state will maintain its role in providing residential services for those whom private sector residential service providers cannot or will not serve. Ms. Del Monico briefly summarized the main points of the plan. 3

5 5. DDS FACTBOOK: Ms. Del Monico advised the Board that the Department of Developmental Services released its most recent Fact Book, which provides client characteristic and demographic information derived from data stored in DDS automated systems. Ms. Del Monico reported on a couple of interesting facts found in the most recent fact book as it pertains to funding for services. 6. REVIEW OF POLICIES AND PRACTICES: Ms. Del Monico reported that HRC will engage in a comprehensive review of HRC policies and practices related to key services and supports and will identify any areas appropriate for modification. Board members have agreed to participate and a schedule of reviews and meetings has been prepared and posted on our website and provided in our Resource Center and on our weekly e-bulletin. Ms. Del Monico referred the Board and visitors to our Service Review Notice, which has been ed to thousands of our clients, parents and service providers. Ms. Del Monico provided the Board and visitors with the dates, times and location of these service reviews and encouraged visitors to attend. 7. FY 17/18 BUDGET Ms. Del Monico announced that the Association of Regional Center Agencies meetings will take place at Harbor Regional Center on August 17 and 18 and encouraged Board members who are interested in attending the Friday meeting on the 18 th to attend in Conference Rooms A1 and A2 from 8:00 am to 1:00 pm. COMMITTEE REPORTS A. AUDIT Mr. Gates reported that Windes will begin the fiscal year Independent Audit next week and a report will be provided at the September meeting. B. BOARD DEVELOPMENT In Mr. San s absence, Ms. Del Monico informed that the committee did not meet. C. BOARD PLANNING Mr. Bergmann advised that there is no report for tonight s meeting. D. CLIENT ADVISORY Mr. Gauthier advised that the committee met on May 13, 2017 and members were given a presentation from Christopher Arroyo of the State Council on Developmental Disabilities on the self-determination program. The next meeting is scheduled for August 12, 2017 at HRC Torrance office. E. CLIENT SERVICES Ms. Perez provided an update on the committee s series review on Transition for the April and May meetings. Additionally, at the May meeting, members received information on the Project Search program, the C2C program and on LAUSD Transition Planning. 4

6 F. COMMUNITY RELATIONS In Dr. Sifuentes s absence, Ms. Spiegel said that the committee met just prior to tonight s board meeting and she will provide a full report at the September meeting. G. SELF-DETERMINATION ADVISORY In Mr. Sanz s absence, Ms. Hernandez reported that the Committee met on June 14, 2017 and discussed the pre-enrollment process and the fact that there is still uncertainty and delay in the SDP application process with the federal government. Ms. Hernandez advised that there will be no meetings in July and August and will resume on September 13, H. SERVICE PROVIDER ADVISORY Mr. Quiroz reported that the committee met on June 6, 2017 and the committee was updated on CMS, minimum wage and service provider trainings. The next meeting will be on August 1, I. RETIREMENT Dr. Flores advised that the Retirement Committee will have no meetings in the summer months and will resume meetings in the fall. J. ARCA Mr. Czarske summarized the matters discussed at the July ARCA meetings that took place recently in Sacramento. K. HOPE (Home Ownership for Personal Empowerment) Mr. Irlen announced that HOPE has scheduled its next Golf fundraiser to be on November 13, 2017 at the Virginia County Club in Long Beach and asked all to mark their calendars. EXECUTIVE SESSION There was a motion made by the Board from Dr. Bobbie Rendon Christensen and seconded by Dr. James Flores for the Board to go into Executive Session to discuss a Personnel issue. The Board went into Executive Session at 8:06 p.m. to discuss a Personnel issue and no action was taken. ADJOURNMENT Mr. Czarske adjourned the meeting at 8:30 p.m. Submitted by: Mr. Fu-Tien Chiou, Secretary Harbor Developmental Disabilities Foundation, Inc. Board of Trustees 5

7 HARBOR REGIONAL CENTER INFORMATION ABOUT OUR BOARD of TRUSTEES The regional center concept is unique in the field of human services. We combine the most compassionate and professional elements of the social services with the best features of business practice. The result is a remarkable partnership between people with developmental disabilities, interested citizens and government. Our center is a private, non-profit, community-based corporation that operates under contract with state government. We provide services and supports for people with developmental disabilities and their families who live in the greater South Bay and greater Long Beach geographic regions of Los Angeles County, and we are governed by a community-based board of trustees which includes individuals with developmental disabilities, family members and local leaders. Our Board Members: Our policies and major financial decisions are made by a volunteer Board of Trustees whose members include individuals with developmental disabilities, family members, and leaders in our community. The members of our governing board are required to be composed of individuals with demonstrated interest in, or knowledge of, developmental disabilities and our board membership is also required to include: Persons with legal, management, public relations, and developmental disability program skills; Representatives of the various categories of disability served by our center; Representatives reflecting the geographic and ethnic characteristics of the area served by our center; A minimum of 50 percent of the members of the governing board must be persons with developmental disabilities or their parents or legal guardians; No less than 25 percent of the members of the governing board must be persons with developmental disabilities; One member of our board must be a representative of our service provider community. All members of our Board are required to either live or work in the geographic area served by our center. Members of our governing board are not permitted to serve more than seven years within each eight-year period. Our Board Meetings: All interested persons are welcome to attend Harbor Regional Center board meetings which are held bi-monthly on the third Tuesday evening of January, March, May, July, September and November beginning at 6:30 pm. Most of our meetings take place at our Torrance location but occasionally they are scheduled to take place at our Long Beach site. Those interested in attending are encouraged to check for specifics on our website: or to call our Executive Office at

8 How to Apply for Board Membership: If you are interested in serving on the Board of Trustees for Harbor Regional Center we encourage you to contact our Executive Office at to let us know of your interest. We will provide you with an application and after you have completed and returned it to us we will keep in on file for review and consideration as vacancies occur. Each year our Board Development Committee determines how many vacancies we expect to occur in the coming fiscal year and, before the end of each calendar year, the Committee members review all applications on hand to select candidates for interview. When we expect to have vacancies, the Board Development Committee schedules and conducts interviews in the months of January, February and March and advises Board members by April of those candidates whom they will recommend. Candidates are voted on at our annual meeting in May and, those elected are seated on the Board at the beginning of the fiscal year in July. Other Opportunities to Get Involved: There are many additional ways to get involved with Harbor Regional Center as well. We encourage you to consider any and all of these and to contact us if you have questions: We have at least three committees of our Board that are open to participation from interested HRC clients, family members and service providers. These include: o Our Client Advisory Committee which consists of HRC adult clients who discuss matters of common interest and also plan activities (recent activities include mini conferences for clients, a speaker series and a campaign to encourage clients to register to vote) o Our Client Services Committee consists of clients, family members and service providers who explore various issues of interest related to client services o Our Community Relations Committee which plans various events (such as a legislative reception) and helps us with our holiday giving campaign HRC facilitates quite a number of parent support groups. Some are designed for family members who have children with a specific diagnosis, others are designed for family members who speak a specific language, and others are open to any family member who has a child or relative with a developmental disability. All of these groups provide both support and education as well as opportunities to take on leadership roles in the service delivery system HRC offers training for parents who are interested in learning how to support other parents on a one to one basis. We then connect these mentor parents who are ready to listen and provide support with other parents who may be facing challenges and concerns HRC also facilitates a large number of sibling support groups which provide opportunities for siblings of our clients to become more involved with our organization while learning about developmental disabilities and meeting other siblings Many organizations with which we work very closely have opportunities for participation from clients and family members. For example, our closely related affordable housing organization, HOPE, and many of our service provider partner organizations are always looking for volunteers Thank you for your interest in Harbor Regional Center.

9 Memorandum TO: FROM: RE: HRC Board and Executive Team Mariano Sanz Please Excuse My Absence DATE: July 10, 2017 I very much regret that I am unable to be present for the first Board meeting of my tenure as President. Many of you are aware that my father passed away a few months ago and it has been necessary for me to return to Spain, this time to look after some family business. If it hadn t been for these pressing and personal matters, I would surely be with you in July. I want to thank Joe Czarske, our Vice President, for stepping in as Chair in my absence. I do want to take this opportunity to express my commitment to Harbor Regional Center and the important work that we do. Recently some parents in attendance at our May Board meeting requested that I respond to several of their questions. Even though I am unable to join you in person, I want to be sure to respond to these questions, if only in writing. And I am asking that this memo be distributed to all in attendance at the July meeting in addition to being attached to the minutes of the meeting. First, the parents asked what caused me to accept the position as President of the Harbor Regional Center Board. In response I should point out that it is my understanding the HRC Board Development Committee is charged with preparing a slate of officers each year for presentation to and subsequent election by the full Board. I have been advised that both the Board Development Committee and the Executive Committee considered two major issues that HRC is likely to face in the coming year: the probability of another budget deficit and the hoped-for implementation, at last, of the selfdetermination program. It is my understanding that both the Board Development Committee and the Executive Committee were hoping to nominate as President a seasoned Board member who could provide historical perspective especially with regard to these important matters. I was honored that they invited me to be placed in nomination and I do believe that my long tenure with HRC has prepared me to be of useful service. Another question posed to me was whether I had changed my way of thinking with regard to families who do not speak English. This question was puzzling to me and I am not certain what to make of it. I am a proud Spanish speaker who has been a teacher and a counselor to Spanish speaking students and their families in California. As a teacher I have taught students to read and write in Spanish, I have held family and individual counseling sessions in Spanish and I have helped non- English speaking families understand their children s IEP. I hope this information is helpful to those who have posed this question. I have also been asked what should we expect from you as President? I think this is a good question and I have given it a lot of thought. I believe that in the next 12 months I would like to see our Board 1) ensure that services and supports for clients are not affected by a projected deficit in our budget, 2) see that self-determination becomes a reality for as many families as possible, and 3) conduct an effective and inclusive review of HRC service practices and policies.

10 The last question asked of me was will you now support us and provide us support? This question is another one that has puzzled me and I do not understand its objective. I can say only that I have dedicated my professional life, 32 years so far, to help and support others in need. Since the birth of my daughter Cristina, 27 years ago, I have been involved with many different groups to support all people with developmental disabilities. I plan to continue to dedicate myself to this mission and I hope this response will assure everyone of my commitment to all families who are served by our center. Once again in closing, to all Board members, executive staff and visitors to our July meeting I regret that I cannot be with you in person at the July Board meeting and I look forward to seeing you all in September.

11 Memorandum TO: FROM: HRC Board Meeting Visitors HRC Executive Committee DATE: July 10, 2017 We would like to respond to some of the comments and questions that have been raised at our recent Board meetings as follows: We have listened to your comments and have determined that our review of HRC policies and practices will be the most effective way to identify any changes that might be indicated. We have scheduled to begin our reviews in the month of August and we hope that you will participate in each of the reviews of particular interest to you. We are taking this occasion to attach a copy of the Service Review Notice which we have posted on our website, have ed to subscribers to our e-bulletin and have placed in our Resource Centers in both Torrance and Long Beach. We have also advised our staff about these reviews and they are encouraging clients and service providers to participate. We are looking forward to your participation with us as well. There have been some questions about how HRC communicates general matters to our clients and their families (such as our responses to questions or concerns that have been raised at our Board meetings). We typically communicate using our website at or through our weekly e-bulletin. We can reach nearly all of our clients, families and service providers in this way. If you have not signed up to receive our e-bulletin you can make a request to become a subscriber by sending an to enetworksubscriber@harborrc.org. We have noted that there is interest among our visitors in applying for HRC Board membership. We want you to know that we have observed the same process for many years for the recruitment, screening, interviewing and selecting of candidates to be presented to the full Board for election. This process has been and continues to be posted on our website and is attached to this memo. We do welcome all applications and we do appreciate your interest in participating with HRC.

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16 HARBOR REGIONAL CENTER MONTHLY FINANCIAL REPORT FISCAL YEAR Jul- 17 Operations D- 1 Y-T- D Proj. Annual Proj. Funds Allocation Month Exp Expenses Expenses* Available Salaries & Benefits** 23, 167, 159 1, 936, 646 1, 936, 646 $ 23, 167, Operating Expenses 7, 947, 706 1, 082, 726 1, 082, 726 7, 947, less other income 368, 746) 33, 644) 33, 644) 368, 746) Total Operations 30, 746, 119 2, 985, 728 2, 985, 728 $ 30, 746, Purchase of Service Regular* 177, 880, 321 $ 12, 392, 231 $ 12, 392, 231 $ 177, 880, less other income 4, 987, 409) 384, 553) 384, 553) ($ 4, 987, 409) Subtotal Regular 172, 892, 912 $ 12, 007, 678 $ 12, 007, 678 $ 172, 892, CPP** 2, 414, , 414, 350 Total Purchase of Service 175, 307, 262 $ 12, 008, 550 $ 12, 008, 550 $ 175, 307, TOTAL 206, 053, 381 $ 14, 994, 278 $ 14, 994, 278 $ 206, 053, of Budget % 7. 28% 7. 28% % This is a very preliminary budget. The letter of intent for the D- 1 amendment was received from DDS on August 25, The allocation for Regular Operations was increased from FY to FY by 3. 6%. The allocation for Regular Purchase of Service( POS) was increased by 8. 5%. The Allocation for Community Placement Program( CPP) POS includes$ million in funding for the Southern California Integrated Health and Living Project.

17 HARBOR REGIONAL CENTER FUNCTIONAL EXPENDITURES Jul- 17 Page 2 D- 1 Purchase of Service ' Salaries& Benefits Operating Expenses Total Expended Allocation Month Y-T- D Month Y- T- D Month Y- T- D Month Y-T- D PROGRAM SERVICES Intake 5, 245, , , , , , , 066 Case Management 20, 181, 101 1, 256, 109 1, 256, , , 256 1, 958, 365 1, 958, 365 Program Development 690, , , , , ,030 67, 030 Other Client Services 1, 571, , ,801 54, , , ,478 Out- of-home Living* 72, 461, 500 5, 452, 891 5, 452, 891 5, 452, 891 5, 452, 891 Day Programs 61, 241, 590 4,678, 807 4, 678, 807 4, 678, 807 4,678, 807 Transportation 9, 135, , , , , 058 Other Services 35,041, 975 1, 544,474 1, 544,474 1, 544,474 1, 544,474 CPP, PDF, Other 2, 414, Total Program Services 207, 983, , 393, , 393, 102 1, 723,421 1, 723, , , , 080, , 080, 042 SUPPORTING SERVICES Administration 3, 425, , , , , , ,433 SUBTOTAL 211, 409, , 393, , 393, 102 1, 936,646 1, 936, 646 1, 082, 726 1, 082, , 412,475 15, 412, 475 Revenue 5, 356, 155) 418, 197) ( 418, 197) TOTAL 206, 053, , 994, , 994, 278 Net of Client Support

18 FY HARBOR REGIONAL CENTER LINE ITEM REPORT Jul- 17 Page 3 D- 1 Net Expended Projected Proj Annual Proj. Funds Allocation Month Y-T- D Expenses Expenses Available PURCHASE OF SERVICE Regular 320** Out-of- Home 72, 461, 500 5,452, 891 5,452, , 008, ,461, ** Day Programs 61, 241, 590 4, 678,807 4, 678, , 562, , 241, * Transportation 9, 135, , , 058 8,419, 198 9, 135, ** Other Services 35, 041, 975 1, 544,474 1, 544,474 33,497, , 041, HCBS Compliance Subtotal Regular POS 177, 880, , 392, , 392, ,488, , 880, Community Placement& Program Development CPP Start- up 2, 325, ,325, 000 2,325, *** Placement/Assessment 89, ,479 89, Subtotal CPP 2, 414, ,413,479 2,414, Revenue ICF SPA Income 4, 987,409) 384,553) ( 384, 553) ( 4, 602, 856) ( 4, 987,409) 0 TOTAL PURCHASE OF SERVICE 175,307,262 12, 008,550 12, 008, ,298, ,307, OPERATIONS Salaries& Benefits Salaries and Wages 18, 215,880 1, 310,918 1, 310, , 904, , 215, Benefits , 325, 551 4, 951, Subtotal Salaries& Benefits 23, 167, 159 1, 936,646 1, 936, , 230, , 167, Operating Expenses Equipment Maint 237, , , , , Facility Rental 4, 047, , , 819 3, 107, 197 4, 047, Facility Rent Subleases 365, , , , , Facility Maint 198, 593 8, 867 8, , , Communication 358, , , , , General Office Exp 111, , , Printing 42, 517 4,330 4, , , Insurance 173, 811 2, 728 2, , , Utilities 6, 268 1, 414 1, 414 4, 854 6, Data Processing Maint 405,259 1, 100 1, , , Interest/ Bank Expense 2, , 305 2, Legal Fees 43, , , Board of Dir. Exp 15, 588 4,830 4, , , Accounting Fees 58, , , Equipment Purchases 334, , , Contr/Consult Services 325,067 12, , , , Clinical Services Employee Conferences 46, , , Travel in State 46, , , Staff Mileage 130, , , ARCA Dues 88, , , General Expenses 909, , , , , Diversity Funding Subtotal Operating Expenses 7, 947, 706 1, 082, 726 1, 082, 726 6,864, 980 7,947, Other Revenue Interest Income 15, 787) 1, 570) 1, 570) ( 14, 217) ( 15, 787) Other Income 8, 693) 25) 25) 8, 668) 8, 693) Other Income- Subleases 250,791) 27,455) 27,455) ( 223, 336) ( 250, 791) ICF SPA Admin Fee 93, 475) 4,595) 4, 595) ( 88, 880) ( 93,475) 0 Subtotal Other Revenue 368, 746) 33, 644) 33, 644) ( 335, 102) ( 368, 746) 0 TOTAL OPERATIONS 30, 746, 119 2, 985,728 2,985, , 760, , 746, TOTAL 206, 053, , 994,278 14, 994, , 059, ,053, of Budget % 7. 28% 7. 28% % % 0. 00%

19 HARBOR REGIONAL CENTER POS CONTRACT SUMMARY Jul- 17 Page 4 Current Projected Fiscal Reg POS Reg POS Balance/ Projected Balance/ Year Contract Fund Budget Claimed Deficit) Expenses Deficit) D- 1 Reg POS $ 172, 892, 912 $ 12, 007, 678 $ 160, 885, 234 $ 160, 885,234 0 CPP 2, 414, , 413, 479 2, 413,479 TOTAL $ 175, 307, 262 $ 12, 008, 550 $ 163,298, 712 $ 163, 298, C- 3 Reg POS $ 160, 000, 260 $ 159, 542, , 864 1, 342,989 ($ 885, 125) CPP 13, 067, 347 1, 902, , 165, 158 $ 11, 165, 158 TOTAL $ 173, 067, 607 $ 161, 444, , 623, 022 $ 12, 508, 147 ($ 885, 125) B- 4 Reg POS $ 137, 581, 267 $ 132, 968, 517 4,612, ,363 $ 3, 963, 387 CPP 4, 594, 411 2, 637, 336 1, 957, 075 1, 957, 075 TOTAL $ 142, 175, 678 $ 135,605, 853 6, 569, 825 2, 606,438 $ 3, 963, 387

20 Harbor Developmental Disabilities Foundation Harbor Help Fund Statement of Income and Expense July 1, 2016 to June 30, 2017 Income Donations FY FY FY Qtr Ending Total Total Jun 30, 2017 YTD Total Employee Donations 5, 146 6, 579 2, 788 9, 578 General Donations 2, 291 9, Holiday Donations 38, , , 508 Total Donations 46, , 624 3, ,463 Interest 45 1, , 524 Total Income 46, , 151 3, ,987 Expenses Holiday Giving Campaign 27, , ,499 Autism Awareness Event Grants to Clients 450 1, Total Expenses 28, , ,427 Net Increase/( Decrease) 18, , 365 3, 153 1, 440) Beginning Balance 128, , , , 906 Income 46, , 150 3, , 987 Expenses 28, , ,427 Ending Balance 146, , , ,466 Ending Balance Detail Cash 18, , , , 701 CD 127, , , , 000 Receivables 765 1, Total Balance 146, , , ,466 HHF Quarterly Financials

21 HARBOR REGIONAL CENTER EXECUTIVE REPORT SEPTEMBER 19, 2017 FY 16/17 BUDGET UPDATE: An updated Sufficiency of Allocation Report for 2016/17, based on the most recent C3 amendment to our contracts, indicates that the projection for statewide POS expenditures is in a net surplus position (SOAR.pdf). As you can see, in the best case scenario based upon expenditures through June, 2017, there is a $61 million surplus in the system and even in the worst case estimate the combined system-wide projection indicates a surplus of at least $58 million. There are now fourteen (14) centers reporting a clear surplus position. The seven (7) remaining centers (including HRC) have reduced their combined deficit projections substantially since the preceding month s report due, largely, to additional allocations in the C3 amendments. Unfortunately the seven centers still in deficit will have to wait until the C4 amendment to be in a position to claim any funds expended beyond current contract authority. AB 279: We are disappointed to report that AB 279, Assemblymember Chris Holden's bill to cover local minimum wage costs, died in committee. ARCA and the regional centers have been working with the service provider community to advocate for this bill, which would have provided rate increases for providers in places with local minimum wages that are higher than the state's. As you know, HRC has several cities in our service area that have taken action to increase the minimum wage above that of the state. We will continue to work on ways to make sure the state gives an honest accounting of the cost of doing business. It's not just about business - it's about people with developmental disabilities living full, independent, and integrated lives of their choosing. Unless service provider rates are fixed, our community service system will continue to suffer. We are committed to working to improve rates - and the service system - for people with developmental disabilities, their families, and the providers who serve them! DEVELOPMENTAL SERVICES TASK FORCE: The Developmental Services Task Force met on 7/18/17 and you will find their agenda as well as a Draft of the DS Task Force Report here: Below is a summary of the meeting: (State Budget) John Doyle, Chief Deputy Director of the Department of Developmental Services (DDS) provided a summary of the State Budget of The State s Budget includes an increase of 4.2% from the budget. (Rate Study) John Doyle (DDS) indicated that the state has contracted with Burns and Associates to conduct the required rate study. The task force members raised concerns about the lack of funding adjustments until after the rate study is completed in Members voiced concerns about programs losing good staff and going out of business due to an inability to pay staff an adequate wage until after the rate study is completed. (Developmental Center Closures) At the time of the meeting there were 531 individuals residing at the Developmental Centers throughout the state. The resident population at Sonoma Developmental Center is 255 individuals. The resident population at Fairview

22 Developmental Center is 161 and the resident population is 116 individuals at Porterville Developmental Center s General Treatment Area. (Enhanced Behavioral Supports Homes and Community Crisis Homes) The first Enhanced Behavioral Support Home opened in Visalia, CA in June. (Disparity Funding) ABX2 1 funding of $11 million was allocated to the regional centers last fiscal year for proposed initiatives to decrease disparities. Each regional center and DDS received funding for a Cultural Specialist position. DDS is in the process of developing guidelines for the ABX2 1 funding for (Safety Net) Stakeholder meetings throughout the state have informed the Safety Net plan. DDS is in the process of developing guidelines for Community Crisis Homes. DDS plans on distributing the guidelines by December of (Self Determination) Jim Knight (DDS) informed the meeting participants that the Department has submitted all but one question to DHCS for approval before the application will be sent to the Center for Medicaid and Medicare Services (CMS). The remaining question is in regard to the state s handling of funding duplications between the Self- Determination Waiver and Medi-Cal. After DDS has adequately answered the question, they will submit the complete application to DHCS. The application will be sent to CMS after it is approved by DHCS. (Home and Community Based Waiver) Jim Knight informed the meeting participants that the HCBS compliance deadline has been extended from 2019 to However, DDS continues to move forward toward the development of a statewide transition plan, which still must be completed by March CMS has requested that California specify how it plans on implementing the laws and requirements to meet the settings requirements. DDS will distribute $15 million in funding to 108 providers in order to implement plans to meet HCBS requirements. A draft of guidelines for proposals will be distributed to regional centers soon. (Wrap Up of Workgroup Efforts) The final housing workgroup document was reviewed by the members. The issue of housing accessibility was discussed in detail. Members are concerned about the cost of housing and the housing shortage. Members also voiced concerns about the high cost of rent and a lack of subsidies. RESPITE: We want to remind the Board and our visitors that, as part of the budget trailer bill process, the Legislature took action to repeal Welfare and Institutions Code section Currently, regional centers are limited to purchasing no more than 90 hours per quarter of in-home respite and 21 days of out-of-home respite for a family, unless an exemption is granted. Effective January 1, 2018, these limits on the purchase of respite services will no longer apply. HRC has been and will continue to make sure that families, service providers and local community organizations are aware of the repeal of these restrictions on the purchase of respite and we will be prepared to authorize respite as needed per each client s IPP. In addition to implementing the changes effective in January, HRC is planning to begin a review of three additional policies and practices after the new year and we will include respite services as one of these that will be under review. It is clear that the HRC policy will need to be revised as part of this process. REVIEW OF POLICIES AND PRACTICES PROGRESS REPORT: The planned for review of HRC policies and practices began in August and is continuing. As you know, the first set of three service reviews have been focused on employment, adult day

23 programs, and supported living services. By the time of the Board meeting each of these focus areas will have held two service review sessions and, though summaries are not yet available for the second set of reviews, we have attached a summary of each of the first three review sessions here (Service Review Summaries.pdf). Although we have been disappointed that more clients and families have not joined us at the reviews, those who have participated have asked excellent questions and made helpful comments. Many thanks to the twelve Board members who have devoted extra time to participating on the review panels. We do hope to have three completed service reviews and final reports available at the January Board meeting. We expect there will be recommendations for policy and practice changes as part of these reports and we will then proceed to develop plans for implementation. After January, we are also hoping to get started with three additional service reviews and will announce topics and dates as soon as possible. HOLIDAY GIVING: We are getting ready early again this year to begin our campaign to provide food and gifts to needy families during the holidays. As always, we give thanks to those of you who are personally able to support this effort financially. We ask that the Board as a whole consider a gift from the Harbor Help Fund in the amount of $35,000 with which we will purchase food certificates from Ralphs and gift certificates from Target as has been our custom. We thank you all in advance for your thoughtfulness and your kind generosity as we try to ensure that our neediest families will have a joyous holiday season. PRESENTATION: Tonight we will have a brief presentation from Nancy Spiegel, Erika Braxton-White, and our partner in our new parent/mentor diversity program, Patricia Herrera. They will share with us the progress that has been made in the implementation of this program and the next steps that are planned. In addition, we are taking this occasion to provide copies of the progress reports we recently submitted to DDS about all of the disparity projects for which we received funding last fiscal year (Disparity Progress Reports.pdf).

24 SUMMARY OF REGIONAL CENTER EXPENDITURE PROJECTION REPORTS AUGUST 10, 2017 Based on Expenditures July June 2017 Fiscal Year % of Year Elapsed: 100% CPP NOT INCLUDED Projected Expenditures Expended YTD Late Bills 100.0% year elapsed Original SOAR Projected Expenditures Non-CPP C-3 Revised Projected Surplus/Deficit Non-CPP Less Estimated Estimated as % of Percent Expended Projected Expenditures Change From Original SOAR Regional Center High Estimate Low Estimate Contract Low High Actual Late Bills ICF-SPA Rcpts Late Bills YTD Exp Actual YTD Actual + Late Minimum Maximum Minimum Maximum Alta 331,478, ,370, ,876,535 5,506,455 5,398, ,872,892 1,968, ,372,892 1,968, % 97.8% 98.4% 335,260, ,771,746 (3,890,571) (6,293,666) Central Valley 226,067, ,067, ,991,991 2,924,755 2,924, ,322, , ,198, , % 98.3% 98.7% 225,382, ,324, ,113 (257,433) East Bay 340,591, ,497, ,599,889 12,102,509 11,008, ,009,372 3,924, ,948,754 3,924, % 94.4% 95.5% 345,978, ,344,836 (6,481,032) (7,753,339) East LA 186,075, ,075, ,140,026 6,064,083 6,064, ,641,693 4,590, ,485,061 4,590, % 94.5% 96.8% 190,943, ,220,859 (4,867,459) (8,144,916) Far Northern 135,013, ,863, ,318, , , ,813,037 2,071, ,941,927 2,071, % 98.2% 99.8% 136,430, ,118,423 (1,566,819) (2,104,945) Golden Gate 245,545, ,545, ,909,203 4,363,688 4,363, ,574,515 4,971, ,574,515 4,971, % 96.3% 98.3% 253,181, ,181,071 (7,635,556) (7,635,556) Harbor 160,588, ,492, ,420,353 (1,071,764) (1,168,511) 162,725,992 2,700, ,791,881 2,700, % 99.0% 100.7% 163,145, ,148,097 (2,653,558) (3,559,233) Inland 381,119, ,339, ,107,570 4,767,992 5,987, ,969,726 12,175, ,105,347 12,175, % 95.6% 98.8% 371,046, ,776,168 11,293,272 10,343,446 Kern 148,597, ,446, ,355,281 7,909,255 7,758, ,250,751 1,142, ,657,191 1,142, % 93.2% 93.9% 146,961, ,993,639 1,484,524 (1,396,452) Lanterman 150,129, ,129, ,712,249 (417,328) (417,328) 148,769,605 3,077, ,051,893 3,077, % 98.2% 100.3% 148,517, ,517,069 1,612, ,508 North Bay 175,285, ,497, ,712,429 3,214,541 1,426, ,967, , ,737, , % 97.8% 98.2% 170,450, ,855,694 3,047,384 1,429,787 North LA 366,186, ,973, ,638,985 2,665,111 2,452, ,971,708 9,615, ,679,202 9,615, % 95.9% 98.6% 366,791, ,600,035 (817,583) (7,413,932) Orange 329,259, ,259, ,158,884 (4,100,157) (4,100,157) 329,106,362 10,595, ,664,021 10,595, % 98.0% 101.3% 326,596, ,739,652 2,662,788 (480,611) Redwood Coast 98,920,681 98,920,681 97,329,680 (1,591,001) (1,591,001) 95,341,941 1,048,761 95,175,438 1,048, % 97.8% 98.9% 97,031,340 97,031,340 1,889,341 1,889,341 San Andreas 364,179, ,179, ,483,587 (695,950) (695,950) 361,014,953 4,905, ,273,826 4,905, % 98.8% 100.2% 365,838, ,110,995 (1,659,273) (4,931,458) San Diego 312,056, ,056, ,145,725 10,088,825 10,088, ,161,900 4,895, ,161,900 4,895, % 95.3% 96.9% 315,424, ,871,246 (3,367,265) (4,814,346) San Gabriel 195,447, ,328, ,120,431 8,791,495 8,673, ,903,991 5,648, ,208,048 5,648, % 92.7% 95.5% 204,129, ,754,176 (8,800,123) (11,307,174) South Central 192,766, ,766, ,893,528 2,127,023 2,127, ,905,902 1,903, ,862,564 1,903, % 97.9% 98.9% 191,315, ,489,527 1,450,951 1,276,978 Tri Counties 247,556, ,985, ,726,707 2,741,359 2,170, ,137,606 5,710, ,845,539 5,710, % 96.8% 99.1% 250,685, ,723,018 (3,700,250) (5,166,580) Valley Mountain 173,729, ,724, ,283,948 (6,440,441) (6,445,102) 170,437, , ,437, , % 101.9% 102.0% 168,615, ,715,657 5,109,314 5,013,393 Westside 179,896, ,896, ,448,994 1,552,047 1,552, ,354,947 3,542, ,354,947 3,542, % 97.2% 99.1% 179,543, ,613, , ,356 Totals 4,940,490,676 4,937,416,976 4,998,374,742 60,957,766 57,884,066 4,944,254,884 86,341,046 4,837,528,987 86,341, % 96.8% 98.5% 4,953,268,254 4,990,901,508 (15,851,278) (50,410,832) Prior Month 4,952,813,016 4,947,234,987 4,970,082,000 22,847,013 17,268,984 4,508,468,393 84,671,234 4,410,503,777 84,671,234 4,953,268,254 4,990,901,508 (6,033,267) (38,088,492) Change from Prior Month (12,322,340) (9,818,011) 28,292,742 38,110,753 40,615, ,786,491 1,669, ,025,210 1,669, (9,818,011) (12,322,340)

25 EMPLOYMENT SERVICES SERVICE REVIEW SUMMARY AUGUST 2, 2017 ATTENDANCE: Eight (8) parents of seven (7) HRC clients were in attendance at the employment service review session on August 2, This does not include the four (4) HRC Board members/advisors who were participating as part of the Board Review Panel. Of the four (4) Board members, two (2)are parents of HRC clients and two (2) are HRC clients. In addition, there were two (2) representatives from two supported employment agencies in attendance. One HRC client was also in attendance, one representative from the State Council on Developmental Disabilities and one representative from the Office of Clients Rights Advocacy were also present. PRESENTATION SUMMARY: Mary Hernandez, HRC Director of Adult Services, facilitated the review session. She reviewed HRC s policy on Employment First and highlighted key points regarding our policy, specifically the definition and our philosophy on employment. Ms. Hernandez then informed the participants that she had included policies from four (4) surrounding Regional Centers. She briefly touched on the similarities between the different polices and pointed out the differences: some polices make no mention of sub minimum wages or any mention of collaboration with the school districts. Ms. Hernandez then shared with the participant s three (3) documents which have been developed and published by Harbor Regional Center and which discuss employment. (Planning for the Future, Working with the Schools on Transition and Facing Transition) All threes booklets are available in Spanish. She advised the participants that these booklets were currently under consideration for revision and suggestions for changes would be welcome. Ms. Hernandez introduced a bibliography of books currently available in our Family Resource Center. The bibliography contains current information for parents and support staff regarding the topic of transition services and life after high school that includes employment as an option. A brief summary about our Family Resource center was also provided. Ms. Hernandez introduced Antoinette Perez and Pablo Ibanez who spoke to the group about the importance of a strong collaborative relationship between school, families and HRC. Mr. Ibanez, using a Power Point presentation, spoke about how HRC partners with eleven (11) different school districts to ensure there is a strong transition plan developed and implemented by the school district that allows for students to gain employment readiness skills. Mr. Ibanez also spoke about HRC s partnership with LAUSD, Best Buddies and Kaiser, South Bay and gave a brief presentation on this program which is called Project Search. A handout was also included that highlights Project Search. Following Mr. Ibanez s presentation, Ms. Hernandez introduced Rick Travis, Community Services Manager and Brent Fryhoff, Provider Relations Specialist, to present on HRC s job preparation classes. Mr. Travis reviewed the job preparation course outline and discussed various topics addressed within each of the 4 classes. Mr. Travis spoke about HRC s expectations for our supported employment job developers. Handouts were given for both the expectations as well as for the job preparation course outline.

26 HANDOUTS: The following documents were handed out to those in attendance: Service Review Meeting Protocol Board Member Review Panel and Staff Facilitator names and roles Summary of Employment Review Schedule Sections 4869 of the Lanterman Act Harbor Regional Center booklet Planning for Your Future: A Roadmap to Your Goals Harbor Regional Center booklet A Look at Your Adolescents Future; Facing Transition Harbor Regional Center booklet Working with the Schools on Transition; A Booklet for Parents of Younger Teens Harbor Regional Center Employment First Policy Supported Living Policies for four other Los Angeles County regional centers Harbor Regional Center : Recommended Materials for Transition Harbor Regional Center; Job Preparation Course Outline Harbor regional center : Expectations for Job Development South Bay Project Search QUESTIONS/COMMENTS: Several parents expressed interest in obtaining more details about Project Search and there was interest in expanding this program. Some parents asked questions related to the job preparation classes. There was interest in parental participation in the classes; Parents made positive comments about the revised job preparation curriculum and observed that voluntary participation is preferable. One parent suggested that some clients might learn more effectively in a 1:1 learning environment as opposed to a classroom setting. Several families had questions about customized employment and internships. One parent encouraged HRC to explore alternatives to employment for clients with significant disabilities and suggested that volunteer work might be more appropriate for some clients. There was some discussion about person-centered practices and several parents expressed interest in how HRC trains staff about this process. In addition, there was discussion about the transition process for students/clients getting ready to complete school. One parent observed that it is important for the schools and the regional center to improve the transition process and she encouraged the regional center to provide comprehensive and effective training about transition for service coordinators. Ms. Hernandez advised that the second Employment Review Session is scheduled to take place on the evening of September 6, 2017 from 6:30 to 8:30 in HRC Conference Room A4. During this meeting, we will share information on the number and demographics of HRC clients who are employed. We will share information about the service providers currently available to provide supported employment services in the HRC service area and the numbers these agencies serve. We will review a short film and other materials developed by HRC regarding supported employment. We will have a brief presentation on our College to Career program and we will hear from one of our recent graduates about his experience.

27 ADULT DAY SERVICES REVIEW SUMMARY AUGUST 2, 2017 ATTENDANCE: Twelve (12) parents of ten (10) HRC clients were in attendance at the first adult day services review session on August 2, This does not include the one (1) HRC Board member/advisor who is also a parent of an HRC client who was participating as part of the Board Review Panel. In addition, there were four (4) representatives from three (3) adult day service programs in attendance. One representative from the State Council on Developmental Disabilities and one representative from the Office of Client Rights Advocacy were also present. PRESENTATION SUMMARY: Ms. Colleen Mock, HRC Director of Community Services, facilitated the review session. She then shared with the participants three (3) documents which had been developed and published by Harbor Regional Center and which are pertinent to individuals transitioning from the school system to adult services. She advised the participants that these booklets were currently under consideration for revision and suggestions for changes would be welcome. Ms. Mock also shared the two (2) HRC handouts: one that describes the range of day program models within the Harbor Regional Center service area and the second that describes the HRC Adult Resources Team (ART). She introduced Mr. Rick Travis, Manager of the Health Services Team who spoke briefly about the membership, purpose and process of the HRC Adult Resources Team. Next, Ms. Mock discussed the current Harbor Regional Center policy on adult day services and shared the adult day service policies of seven (7) other regional centers in Southern California. At the end of the meeting, Ms. Mock invited the participants to sign up if they are interested in touring an adult day program. Three (3) families signed up to tour day programs in the Long Beach area and two (2) families and one service provider signed up to tour day programs in the Torrance area. HANDOUTS: The following documents were handed out to those in attendance: Service Review Meeting Protocol Board Member Review Panel and Staff Facilitator names and roles Summary of Adult Day Services Review Schedule Harbor Regional Center booklet Planning for Your Future: A Roadmap to Your Goals Harbor Regional Center booklet Working with the Schools on Transition: A Booklet for Parents of Younger Teens Harbor Regional Center booklet Facing Transition: A Look at Your Adolescent s Future Harbor Regional Center handout: Work and Day Activity Services

28 Department of Developmental Services handout: Home and Community-based Services (HCBS) Final Rule for Consumers and Families Harbor Regional Center handout: Adult Resource Team (ART) Harbor Regional Center Supported Adult Day Activity Policy Adult Day Services Policies for seven other Southern California regional centers QUESTIONS/COMMENTS There was a question about the effect employment might have on SSI and other benefits and whether there are financial incentives for people who work. Some parents expressed concern about various aspects of job coaching. There was agreement that job coaching should not be entirely faded out, but rather maintained, at least minimally, on an ongoing basis. Some questions arose concerning the HRC Adult Resources Team. It was confirmed that HRC does have a standard format that is used by service coordinators for their presentations and recommendations from the ART. It was also confirmed that, while typically the ART provides three day program options for families to explore, additional options may be suggested and provided upon request. There were also several questions about HRC s current day programs. Ms. Mock advised that, while HRC day programs offer a range of hours of service, we have heard from families they would like to have more choice of programs longer than 4 hours and that we are placing priority on this as we develop new programs. Ms. Mock also responded that when a client/family is not satisfied with a given day program, HRC will provide them with other options to explore. Finally, Ms. Mock shared that some programs do have waiting lists but that there are always others with vacancies so that clients can be accommodated elsewhere while they await an opening in a preferred setting. Ms. Mock responded to a question about whether HRC could provide funding for horseback riding by explaining that changes to the Lanterman Act in 2009 prohibited the centers from funding therapies that are not evidence based. One parent expressed her hope that HRC could provide some help for clients who are resistant to identifying as disabled and therefore resistant to accepting HRC supports. The representative from the State Council on Developmental Disabilities thanked HRC for holding the service review meetings and noted that they can help to educate parents and clients. Ms. Mock advised that the second Adult Day Services Review Session is scheduled to take place on the evening of September 7, 2017 from 6:30 pm to 8:30 pm in HRC Conference Room A4. During this meeting we will share information on the number and demographics of HRC clients who participate in each type of day program. We will share detailed information about the service providers themselves. We will review with those present the HRC Expectations for Adult Day Activities and the Quality Review Format HRC uses when conducting periodic reviews of the programs. We will share the various materials that service providers use to implement their programs and that are available to them from our HRC Resource Center. We will also hear from a client who participates in one of the programs.

29 SUPPORTED LIVING SERVICES REVIEW SUMMARY AUGUST 14, 2017 ATTENDANCE: Fourteen (14) parents of eleven (11) HRC clients were in attendance at the first supported living service review session on August 14, This does not include the four (4) HRC Board members/advisors who are also parents of HRC clients (one of whom is also an HRC client) who were participating as part of the Board Review Panel. In addition there were five (5) representatives from two (2) supported living agencies in attendance. One representative from the State Council on Developmental Disabilities and one representative from the Office of Clients Rights Advocacy were also present. PRESENTATION SUMMARY: Patricia Del Monico, HRC Executive Director, facilitated the review session. She provided a definition of supported living services and reviewed pertinent sections of the Lanterman Act and Title 17 of the California Code of Regulations. Ms. Del Monico then shared with the participants three (3) documents which had been developed and published by Harbor Regional Center and which are pertinent to general living arrangements for adults or which specifically relate to supported living arrangements. She advised the participants that these booklets were currently under consideration for revision and suggestions for changes would be welcome. Next Ms. Del Monico discussed the current Harbor Regional Center policy on supported living services (SLS) as well as the SLS policies of the six (6) other regional centers in Los Angeles County. Ms. Del Monico advised those in attendance that HRC has identified three major issues related to SLS as follows: Housing costs have become a significant barrier to accessing SLS: Housing costs prevent regional center clients from accessing living arrangements outside of the family home, especially supported living arrangements, even in barely marginally safe neighborhoods; Conflicting values (choice vs. health and safety) must be balanced in the provision of SLS: we are committed to promoting client choice but regularly face obstacles when clients choose lifestyles that jeopardize health and safety; and Rates affect quality: the people who provide personal care, guidance and supervision for our clients in SLS deserve to make a living wage; rates DO affect quality of services and cannot remain frozen. Ms. Del Monico introduced Kristin Martin, Executive Director of Home Ownership for Personal Empowerment, who spoke briefly to the group about the crisis in affordable housing. HANDOUTS: The following documents were handed out to those in attendance: Service Review Meeting Protocol Board Member Review Panel and Staff Facilitator names and roles Summary of Supported Living Review Schedule Sections 4689 and of the Lanterman Act

30 Sections to of CCR Title 17 Harbor Regional Center booklet Planning for Your Future: A Roadmap to Your Goals Harbor Regional Center booklet Living on Your Own: A Guide to Supported Living Services Harbor Regional Center booklet It s All About Options: Living Alternatives for Adults with Developmental Disabilities Harbor Regional Center Supported Living Policy Supported Living Policies for six other Los Angeles County regional centers Excerpt from Public Policy Institute of California: California Poverty by County entitled Los Angeles County Renters in Crisis: A Call for Action Excerpt from Out of Reach 2017: National Low Income Housing Coalition QUESTIONS/COMMENTS: Several parents expressed their need to have more information about how to make a supported living arrangement happen for their children. They indicated they had many questions, especially about such things as housing costs and providing rent subsidies without jeopardizing their family members benefits. There was a recommendation that HRC put together a frequently asked questions fact sheet addressing these supported living questions. There was also a recommendation that HRC have a seminar/workshop/training about housing issues that includes information about financing options such as special needs trusts, ABLE accounts, etc. (i.e. combine training about SLS in general and SLS housing with legal consultation about how to finance the housing portion without jeopardizing benefits specifically SSI). A few parents asked questions related to rates/payment for SLS. Several parents requested information about how rates for SLS providers compare to rates paid to group homes. Ms. Del Monico advised that she would provide more information about rates in future SLS review sessions. On a somewhat related topic, one parent observed that SLS agencies tend to be for-profit organizations and speculated that this distinction might impact quality of services (i.e. low rates would make it difficult to realize profit without cutting corners on expenditures?) Ms. Del Monico advised she would provide more detailed information about SLS service providers and about rates in a future SLS review session. One parent asked whether it was possible for a combination of IHSS and HRC SLS to provide 24 hour/day services and supports for an adult who needed 24 hour/day care and supervision. Ms. Del Monico responded that if 24 hour/day care is needed this could be provided in SLS. She advised that she would provide more information in a future SLS review session about the range of SLS supports currently being provided for HRC clients in SLS. Ms. Del Monico advised that the second SLS Review Session is scheduled to take place on the evening of September 11, 2017 from 6:30 to 8:30 in HRC Conference Room A4. During this meeting we will share information on the number and demographics of HRC clients who live in supported living arrangements. We will share information about the service providers currently available to provide SLS in the HRC service area. We will review with those present the HRC Expectations for SLS as well as the various assessment formats and progress reporting guidelines we expect to receive from SLS service providers on a regular basis. And, we will share some of the various materials that service providers use to implement their programs and that are available to them from our HRC Resource Center.

31 Enclosure ABX2 1 FUNDING TO PROMOTE EQUITY AND REDUCE DISPARITIES APPROVED ACTIVITIES SURVEY DUE MAY 31, 2017 Regional Center Date Harbor May 26, 2017 Contact Name and Title Nancy Spiegel, Director of Information and Development Contact Address Contact Phone Number nancy.spiegel@harborrc.org ABX2 1 allocated funds to the Department to assist regional centers in the implementation of strategies to reduce purchase of service (POS) disparities. Regional centers were required to submit proposals to the Department outlining specific activities for review and approval. Regional centers must maintain records, collect data, and track qualitative and quantitative outcomes of each approved activity. Survey instructions: Please submit a survey for each approved activity in a Word or converted PDF format (please do not send scanned copies). Activity Name Activity Start Date Promotora Program January 2017 Description of Activity Develop a parent peer mentor and care coordination program to improve access and utilization of regional center services and generic community resources by underserved families. Target Population and/or Disparity Issue Hispanic clients and families with limited or no English proficiency Approved Funding Amount $180,000 plus $105,000 addendum Number of Individuals Impacted (consumers, families, staff, etc.) or Projected Impact. 75 families over 18 months 1. How is/was the activity delivered (please include details regarding executed contracts, progress/status of tasks, etc.)? We estimated in our September, 2016 proposal that this effort would take up to two years to fully implement. In the seven months since the proposal was approved, we have: Researched the promotora model and gathered information from agencies using this model for family support. Entered into contract with 211 LA County for development Parent Peer Mentor and Care Coordination program. Received approval to extend the program an additional six months with additional funding, and amended the contract. Held biweekly planning and development meetings to design the program. Identified local community-based agency partners to support this program. Developed job description for Parent Peer Mentor position. Began recruitment for 2 full time Parent Peer Mentors. Began meeting with parent groups in the community to provide information on this program.

32 2. Describe the process for maintaining records, collecting data, and tracking qualitative and quantitative outcomes for the activity. (Qualitative outcomes are descriptions, such as what participants say they learned in an orientation; quantitative outcomes can be measured, such as the number of orientation participants.) We will maintain records, collect data and track outcomes as follows: Conduct assessments of families referred to the program utilizing the Protective Factor Survey to identify barriers encountered by families when accessing services, and to develop family plans for obtaining needed services Prepare monthly data analysis reports of demographic data, identified barriers, and confirmation of services received. Measure family outcomes with a satisfaction survey. 3. Describe the annual qualitative outcomes the activity has produced to date. This project is still in the planning and development phase. 4. Describe the annual quantitative outcomes the activity has produced to date. 5. This project is still in the planning and development phase. 6. What is the total amount expended on the activity thus far? $8, has been expended thus far. A contract is in place for the remaining $276, Have any changes to the activity been made, including cost and projected implementation dates, from what was approved by the Department? No 8. What is the estimated duration of the activity and when do you anticipate completion? We indicated in our September 2016 proposal that this activity would take up to two years to fully implement. Work is in progress and will be completed by June of 2018.

33 Enclosure ABX2 1 FUNDING TO PROMOTE EQUITY AND REDUCE DISPARITIES APPROVED ACTIVITIES SURVEY DUE MAY 31, 2017 Regional Center Date Harbor May 26, 2017 Contact Name and Title Nancy Spiegel, Director of Information and Development Contact Address Contact Phone Number nancy.spiegel@harborrc.org ABX2 1 allocated funds to the Department to assist regional centers in the implementation of strategies to reduce purchase of service (POS) disparities. Regional centers were required to submit proposals to the Department outlining specific activities for review and approval. Regional centers must maintain records, collect data, and track qualitative and quantitative outcomes of each approved activity. Survey instructions: Please submit a survey for each approved activity in a Word or converted PDF format (please do not send scanned copies). Activity Name Activity Start Date Develop and Translate Materials in Multiple Languages November 2016 Description of Activity In collaboration with other regional centers through the statewide Training and Information group, develop and translate easy-tounderstand informative publications in multiple languages, which can be used by all regional centers Target Population and/or Disparity Issue clients and families with limited or no English proficiency Approved Funding Amount $30,000 Number of Individuals Impacted (consumers, families, staff, etc.) or Projected Impact 2000 at HRC, more at other RCs who utilize the materials. 1. How is/was the activity delivered (please include details regarding executed contracts, progress/status of tasks, etc.)? This collaborative project is in progress with other collaborating regional centers, under leadership of HRC. We indicated in our 9/16 proposal that it would take up to two years to fully implement. Thus far we have: Identified five high priority topics in need by families at our collective regional centers. Inventoried and reviewed available materials on selected topics from all regional centers. Drafted, in simplified language, fact sheets on the topics of respite services, living options, employment, adult day services, and transition to adulthood. Obtained estimates for translation from various service providers. Identified a non-profit video production company for development short informative videos in target languages and held pre-production meetings with crew.

34 Entered into contracts with providers of LRA Translation Services and Change Agent Productions video production services, for implementation of projects. 2. Describe the process for maintaining records, collecting data, and tracking qualitative and quantitative outcomes for the activity. (Qualitative outcomes are descriptions, such as what participants say they learned in an orientation; quantitative outcomes can be measured, such as the number of orientation participants.) We will evaluate the effectiveness of informational materials developed as follows: We will distribute drafts of informational fact sheets to staff and client/family representatives of regional centers participating on the workgroup, for their input. We will seek their qualitative rating of the materials for clarity, relevance, usefulness, etc. When finalized and translated these new materials will be shared to Regional Centers for wide distribution. Regional Centers who utilize the materials will be asked to report on how many client families have been reached with this information. 3. Describe the annual qualitative outcomes the activity has produced to date. This project is still in the content development/draft writing phase. 4. Describe the annual quantitative outcomes the activity has produced to date. This project is still in the content development/draft writing phase. 5. What is the total amount expended on the activity thus far? No funds have been expended thus far. Contracts are being executed for translation and video production for content now in development. 6. Have any changes to the activity been made, including cost and projected implementation dates, from what was approved by the Department? No 7. What is the estimated duration of the activity and when do you anticipate completion? We indicated in our September 2016 proposal that this activity would take up to two years to fully implement. All training sessions under this contract will be completed by June of 2018.

35 Enclosure ABX2 1 FUNDING TO PROMOTE EQUITY AND REDUCE DISPARITIES APPROVED ACTIVITIES SURVEY DUE MAY 31, 2017 Regional Center Date Harbor May 26, 2017 Contact Name and Title Nancy Spiegel, Director of Information and Development Contact Address Contact Phone Number nancy.spiegel@harborrc.org ABX2 1 allocated funds to the Department to assist regional centers in the implementation of strategies to reduce purchase of service (POS) disparities. Regional centers were required to submit proposals to the Department outlining specific activities for review and approval. Regional centers must maintain records, collect data, and track qualitative and quantitative outcomes of each approved activity. Survey instructions: Please submit a survey for each approved activity in a Word or converted PDF format (please do not send scanned copies). Activity Name Activity Start Date Training and Support for Families January 2017 Description of Activity Approved Funding Amount Develop and Translate an Orientation Curriculum $30,000 Number of Individuals Impacted Target Population and/or Disparity Issue (consumers, families, staff, etc.) or Projected Impact clients and families including those with limited or no English 2000 at HRC, more at other RCs proficiency who utilize the materials. 1. How is/was the activity delivered (please include details regarding executed contracts, progress/status of tasks, etc.)? We estimated in our September, 2016 proposal that this effort would take up to 18 months to fully implement. In the seven months since the proposal was approved, we have: Gathered and reviewed parent training curriculum from other agencies, and information and training materials already available at HRC for use in development of this curriculum. Entered into contract with 211 LA County for development of a curriculum. Entered into contract with a non-profit video production agency Change Agent Productions, for development of video to be used in training. Entered into contract with providers of translation services. 2. Describe the process for maintaining records, collecting data, and tracking qualitative and quantitative outcomes for the activity. (Qualitative outcomes are descriptions, such as what participants say they learned in an orientation; quantitative outcomes can be measured, such as the number of orientation participants.) We will evaluate the effectiveness of informational materials developed as follows: We will review the draft curriculum with selected staff and parents for their input. We will obtain translation into Spanish prior to piloting the curriculum.

36 We will pilot the use of the curriculum with parent peer mentors. We will screen the videos to a test audience of staff and parents. We will seek their qualitative rating of the materials for clarity, relevance, usefulness, etc., and edit materials as needed. We will complete translation into two more languages by June Describe the annual qualitative outcomes the activity has produced to date. This project is still in the content development phase. 4. Describe the annual quantitative outcomes the activity has produced to date. 5. This project is still in the content development phase. 6. What is the total amount expended on the activity thus far? $ has been expended thus far. Contracts for $22, are in place, and are being executed for the remaining $5, Have any changes to the activity been made, including cost and projected implementation dates, from what was approved by the Department? No 8. What is the estimated duration of the activity and when do you anticipate completion? We indicated in our September 2016 proposal that this activity would take up to 18 months to fully implement. Work is in progress and will be completed by June of 2018.

37 Enclosure ABX2 1 FUNDING TO PROMOTE EQUITY AND REDUCE DISPARITIES APPROVED ACTIVITIES SURVEY DUE MAY 31, 2017 Regional Center Date Harbor May 26, 2017 Contact Name and Title Nancy Spiegel, Director of Information and Development Contact Address Contact Phone Number nancy.spiegel@harborrc.org ABX2 1 allocated funds to the Department to assist regional centers in the implementation of strategies to reduce purchase of service (POS) disparities. Regional centers were required to submit proposals to the Department outlining specific activities for review and approval. Regional centers must maintain records, collect data, and track qualitative and quantitative outcomes of each approved activity. Survey instructions: Please submit a survey for each approved activity in a Word or converted PDF format (please do not send scanned copies). Activity Name Activity Start Date Public Information: Expand Availability of Informational Materials November 2016 Description of Activity Expand availability of informational materials, in multiple languages, on topics requested by our clients and families: lists and descriptions of available services, by age group, service planning and coordination, and accessing services. Target Population and/or Disparity Issue HRC clients and families with limited or no English proficiency Approved Funding Amount $100,000 Number of Individuals Impacted (consumers, families, staff, etc.) or Projected Impact 2000 clients/families. 1. How is/was the activity delivered (please include details regarding executed contracts, progress/status of tasks, etc.)? This project is in progress. We indicated in our September, 2016 proposal that it would be ongoing through Thus far we have: Created content describing available services for three age groups: Infants and Toddlers, School-age Children and Families, and Adults. o Obtained estimates for translation from various service providers. o Obtained completed translations of lists of services by age, in Spanish, Khmer, Korean, Farsi, Japanese, Vietnamese, and Chinese. o Distributed translations for review of translation quality and clarity. This process has been completed for Spanish, Khmer, Farsi, and Korean. o Printed and distributed completed booklets in Spanish and Khmer. This distribution process is now getting underway for Farsi and Korean. o Review of translation is still in progress for Japanese, Vietnamese, and Chinese. Upon approval, these will be published and distributed.

38 Printed and distributed Spanish language informational fact sheets and brochures on the Self Determination Program and Therapy services Now executing contracts with providers of translation services, video production services, layout/design and printing services for development of additional informational print and video materials through Describe the process for maintaining records, collecting data, and tracking qualitative and quantitative outcomes for the activity. (Qualitative outcomes are descriptions, such as what participants say they learned in an orientation; quantitative outcomes can be measured, such as the number of orientation participants.) We will evaluate the effectiveness of informational materials developed as follows: We distributed drafts of informational booklets to staff and client/family members of support groups, for their feedback on clarity and accuracy of translation before finalizing. We received feedback and made recommended changes as needed. Copies were distributed to our clients and families through individual planning meetings with service coordinators, through the HRC Family Resource and Assistive Technology Center, and at outreach events in the community. We will seek their qualitative rating of the materials for clarity, relevance, usefulness, etc. 3. Describe the annual qualitative outcomes the activity has produced to date. This project is still in progress.. We will seek qualitative ratings of the materials by bilingual staff and clients/families for clarity, relevance, usefulness, etc. 4. Describe the annual quantitative outcomes the activity has produced to date copies of Spanish language booklets on services available by age (infants/toddlers, school-age, and adult) have been distributed in the six month period from December 2016 to May A second printing of 6000 additional copies in Spanish has been obtained for continued distribution. 100 copies of Khmer language booklets on services available by age have been distributed since they completed review, at client/family service planning meetings and an information and outreach event. 500 copies of fact sheets on the upcoming Self Determination Program have been distributed in Spanish, and an additional 500 copies have been reprinted. 500 copies of a booklet on Therapy Services have been printed. 5. What is the total amount expended on the activity thus far? We have expended $11, thus far. Contracts are in place or are in process of being executed for remaining funds. 6. Have any changes to the activity been made, including cost and projected implementation dates, from what was approved by the Department? No 7. What is the estimated duration of the activity and when do you anticipate completion? We indicated in our September 2016 proposal that this activity would continue over fiscal years and into In the 7 months since the project was approved in late October of 2016, we have completed translation, review, and publication of materials in multiple languages. We will continue this process to expand our library of print and video informational materials to be completed until all funds are expended, by June of 2018.

39 Enclosure ABX2 1 FUNDING TO PROMOTE EQUITY AND REDUCE DISPARITIES APPROVED ACTIVITIES SURVEY DUE MAY 31, 2017 Regional Center Date Harbor May 18, 2017 Contact Name and Title Nancy Spiegel, Director of Information and Development Contact Address Contact Phone Number nancy.spiegel@harborrc.org ABX2 1 allocated funds to the Department to assist regional centers in the implementation of strategies to reduce purchase of service (POS) disparities. Regional centers were required to submit proposals to the Department outlining specific activities for review and approval. Regional centers must maintain records, collect data, and track qualitative and quantitative outcomes of each approved activity. Survey instructions: Please submit a survey for each approved activity in a Word or converted PDF format (please do not send scanned copies). Activity Name Activity Start Date Promote Cultural Competency with Network of Service Providers November 2016 Description of Activity Coordinate service provider training by guest trainer(s) with expertise in the areas of inclusion, diversity, and communication Target Population and/or Disparity Issue Harbor Regional Center staff Approved Funding Amount $10,000 Number of Individuals Impacted (consumers, families, staff, etc.) or Projected Impact 600 service providers 1. How is/was the activity delivered (please include details regarding executed contracts, progress/status of tasks, etc.)? We gathered information to identify and select leading trainers in the field in cultural competency, by attending conferences and webinars, and by surveying fellow regional centers, and other local community agencies. We have contracted with Dr Barbara Stroud Training and Consultation to provide up to eight training sessions on Culturally Responsive Services, over fiscal years and We have scheduled four of eight sessions thus far. The first two sessions were completed in March Over 100 service providers attended these two sessions. We are currently registering service providers for two sessions scheduled to take place in October We will schedule dates for up to four additional sessions to take place by June 30, 2017.

40 2. Describe the process for maintaining records, collecting data, and tracking qualitative and quantitative outcomes for the activity. (Qualitative outcomes are descriptions, such as what participants say they learned in an orientation; quantitative outcomes can be measured, such as the number of orientation participants.) We will register all appropriate service providers in each of the planned trainings and will track their attendance/completion of training. Participating service providers will complete training evaluations to include feedback on how they used the information to train their direct care staff, and future service provider development. 3. Describe the annual qualitative outcomes the activity has produced to date. In evaluations received thus far the following outcomes have been reported: Describe three ways you could use the information presented during this training to modify your work process in a way to that helps Harbor Regional Center provide supports and services that are more culturally responsive to our clients. Increase my awareness of my own attitudes and beliefs that may impact my interactions with clients and families. Engage in conversations with cultural curiosity to learn about others to establish a foundation for our communication. Work with community based cultural organizations to mutually develop communication and trust in our communities. to understand the adult client's own definition of personal success to understand the client's and their family's experience of culture to understand the cultural perspectives of the support staff There is bias in various topics and learning to not impose beliefs on others. Understanding various culture values thinking about myself as a "culture of one" and how that shapes my personal style being aware of my responses to cultural differences in the field Better understand the biases I possess to avoid applying them to my staff, co workers, and stakeholders Improve my understanding of my staff and co workers needs in relation to perspective and approach to relationship building & communication. To be more aware in my interactions with others that their culture is unique unto the individual, though there may be shared values within one's ethnic group Use the information presented to look at examine our current processes for intake and orientation to make sure they are culturally responsive I'll be more cognizant of and honor individual's values. Which will help me deliver sensitive personcentered support and services.

41 I seek to support families and individuals where they are; opposed to forcing them to navigate existing systems/structures. Honoring individuals' values and flexing existing agency practice and policy to better meet families where they are may facilitate equitable access across ethnicities to supports and services. Utilize information learned to improve understanding of families conveyed information Utilize information learned to improve clarity of information presented to families Utilize information learned to improve respect and improve colllaborations towards individuals and families wishes Understand how the family defines successful goal completion It is important to remember the ethnicity doesn't define the person I'm to make clients and families feel respected, heard and supported Makes me aware of the fact that every family has their own story to share. Reminds me to be respectful when interacting with our families. Remember to ask families what are their standards Consider that the cultural environment means more than language or country of origin Make sure clients understand HRC's desire to support them I am extremely grateful for the experience. I realized that there is so much more work to do to learn about how my values might impact my work. I would benefit from continued lectures, workshops in cultural responsiveness. I recommend we re-visit this topic as often as possible in an effort to adopt an agency-wide cultural responsiveness. 4. Describe the annual quantitative outcomes the activity has produced to date.. The first two sessions were completed in March Over 100 service providers attended these two sessions. 5. What is the total amount expended on the activity thus far? $5209 has been expended thus far. We have contracted with Dr Barbara Stroud for remaining funds, for additional training sessions in Have any changes to the activity been made, including cost and projected implementation dates, from what was approved by the Department? No 7. What is the estimated duration of the activity and when do you anticipate completion? We indicated in our September 2016 proposal that this activity would take up to two years to fully implement. We estimate that this project will be completed by June, 2018.

42 Enclosure ABX2 1 FUNDING TO PROMOTE EQUITY AND REDUCE DISPARITIES APPROVED ACTIVITIES SURVEY DUE MAY 31, 2017 Regional Center Date Harbor May 18, 2017 Contact Name and Title Nancy Spiegel, Director of Information and Development Contact Address Contact Phone Number nancy.spiegel@harborrc.org ABX2 1 allocated funds to the Department to assist regional centers in the implementation of strategies to reduce purchase of service (POS) disparities. Regional centers were required to submit proposals to the Department outlining specific activities for review and approval. Regional centers must maintain records, collect data, and track qualitative and quantitative outcomes of each approved activity. Survey instructions: Please submit a survey for each approved activity in a Word or converted PDF format (please do not send scanned copies). Activity Name Activity Start Date Staff Training November 2016 Description of Activity Coordinate staff training by guest trainer(s) with expertise in the areas of inclusion, diversity, and communication Target Population and/or Disparity Issue Harbor Regional Center staff Approved Funding Amount $10,000 Number of Individuals Impacted (consumers, families, staff, etc.) or Projected Impact at least 300 staff members and selected service providers 1. How is/was the activity delivered (please include details regarding executed contracts, progress/status of tasks, etc.)? We gathered information to identify and select leading trainers in the field in identified topic areas, by attending conferences and webinars, and by surveying fellow regional centers. We selected two trainers for this activity: We have contracted with Lisa Prosser-Dodds (through Max Muller Associates) to provide a keynote address on resilience and celebrating diversity. This training will take place on June 23, We have contracted with Lynne Seagle (Relentless Leadership) to provide training on Person-Centered thinking. This training will be provided to six groups of service coordinators, community services staff, managers and selected service providers over three days in September of 2017,

43 2. Describe the process for maintaining records, collecting data, and tracking qualitative and quantitative outcomes for the activity. (Qualitative outcomes are descriptions, such as what participants say they learned in an orientation; quantitative outcomes can be measured, such as the number of orientation participants.) We will register all appropriate staff in each of the planned trainings and will track their attendance/completion of training. Participating staff will complete training evaluations. Managers will discuss training content and practical application with their staff and provide feedback for future training and development. 3. Describe the annual qualitative outcomes the activity has produced to date. This training has not yet taken place. 4. Describe the annual quantitative outcomes the activity has produced to date. This training has not yet taken place. 5. What is the total amount expended on the activity thus far? A $1000 deposit has been paid to Max Muller and Associates for training to take place in June The remaining $9000 has been encumbered in the contracts listed above. 6. Have any changes to the activity been made, including cost and projected implementation dates, from what was approved by the Department? No 7. What is the estimated duration of the activity and when do you anticipate completion? We indicated in our September 2016 proposal that this activity would take up to two years to fully implement. We estimate that this project will be completed by December 2017.

44 Harbor Regional Center Board Planning Committee Minutes: July 28, 2017 Ron Bergman, Chair. Members: Patricia Jordan, Lavelle Gates, Steve Goclowski, Barry Finley, Erika Braxton-White, Nancy Spiegel Harbor Regional Center Performance Plan Nancy reported on the public input process which has gotten underway, for the review of our 2017 Performance Plan and development of the plan for The Department of Developmental Services directs each Regional Center in California to work on a set of desired outcomes that are listed below and in our Performance Plan. They ask us to update our Performance Plans each year and to maintain or improve performance on each of the desired outcomes. The committee discussed the plan areas below. Living in the Community - Decreasing the number of people served by HRC who live in state institutions know as State Developmental Centers and assisting those who are living in the institutions to move into community living. Children Living with Families - Increasing the percentage of children served by HRC who are able to live with families, rather than in out-of-home care. Adults Living in Home Settings - Increasing the percentage of adults served by HRC who live in home environments (in their own home with or without supported living services as needed, or with their family). Living in Large Licensed Homes - Decreasing the percentage of children and adults living in large congregate settings for 7 or more people, and assisting them to move into smaller more integrated living environments. Cultural Differences - Reducing differences in patterns of purchased services (authorized and utilized) according to age, diagnosis, ethnicity, and language. Added this year: Employment - Increasing the number of adults served by HRC who find employment. Sharing Information and gathering input about this plan: Community meetings are now taking place, to provide information on our progress and receive input. Several presentations are scheduled during the latter part of July and throughout August. Revisions and additions to the plan are being made based upon the questions and comments that we are receiving. Information on this public process, the proposed plan and dates of upcoming meetings and a draft plan for 2018 has been posted on our website on this date, and is being distributed to the 12,300 subscribers of our HRC Electronic newsletter. We will invite all interested members of our community who have not already had the opportunity to hear the presentation at the following public meetings.

45 The proposed plan will be presented at public meetings to take place in Long Beach and Torrance: Tuesday, September 5, :00 pm 7:30 pm Harbor Regional Center Hawthorne Blvd Torrance Ca Conference Room A4 Saturday, September 9, :00 am - 11:30 am Harbor Regional Center 1155 E San Antonio Drive Long Beach, CA Diversity Initiatives at HRC The Performance Plan includes outcome measures and planned activities to reduce disparity in provide equal access to information and services for our clients and families, especially those who are underserved, regardless of disability, age, ethnicity and language. We have shared general information and answered questions about these projects as we have been meeting with community groups. Erika provided this committee with progress reports submitted to DDS in May, and highlighted some of the more recent progress on these ongoing projects. For example: A Parent Peer Mentoring program has been in development for the past several months. Two parents who are bilingual English and Spanish speaking were recently hired as Peer Mentors for this project and are currently going through their training and orientation process. Translations of new service booklets are completed for English, Spanish, Khmer, and Korean and are nearing completion of the quality review process for Farsi, Japanese, and Chinese. New informative fact sheets are being developed in collaboration with other regional centers on topics requested by families in all of our service areas, such as respite services, transition to adulthood, adult services, living options, and employment, and will be translated upon completion. We are in production for the first of several short informational videos in various languages. New training materials are being developed to provide parents with information about our services. Continued staff and service provider training are scheduled for coming months.

46 HARBOR REGIONAL CENTER PERFORMANCE PLAN 2018 PUBLIC POLICY OUTCOMES Public Policy Measures Statewide Average HRC Outcomes Planned Activities Clients who have lived in State Developmental Centers will live in the community; Reduce Percentage of clients in State Developmental Centers 12/ % 12/ % 12/ % 68 clients 12/ % 59 clients Continue to develop resources as Community Placement Plan funds allow. 12/ % 12/ % 12/ % 12/ % 12/13 0.5% 56 clients 12/ % 42 clients 12/ % 28 clients 12/ % - 12 clients Continue to assess and assist developmental center residents to move into homes in the community. 6/17-0.6% 8 clients Achieving Desired Outcome? YES Measures of Success: Maintain or show improved performance over prior year, and/or Equal to or better than statewide average.

47 HARBOR REGIONAL CENTER PERFORMANCE PLAN 2018 Public Policy Measures Statewide Average HRC Outcomes Planned Activities 12/ % Children served by HRC will live with families; Increase percentage of minors living with families: 12/ % 12/ % includes own family, foster family, and guardian. 12/ % 12/ % Desired Outcome? YES Achieving 12/ % 12/ % 12/ % 12/ % 12/ % 6/ % To promote child development and family stability, continue to provide support, information, and training to families, including but not limited to: Orientation to HRC Services for new and continuing families Informative workshops for clients/families by specialists, in varied locations in our service area. Support for families through support groups and parent peer mentors, in multiple languages. Resources and Information sharing via publications, website, newsletter, social media Respite and in home nursing services Social Skills training Mommy/Daddy and Me and language development groups, providing tools for supporting child development Group and individual parent training in behavior management, safety and sexuality Children served by HRC who live in licensed homes shall live in small homes. (Maintain low percentage of minors living in licensed homes serving greater than 6). Achieving Desired Outcome? YES 12/ % 12/ % 12/ % 12/ % 12/ % 12/ % 12/ % 12/ % 12/ % 12/ % 6/ % Continue to avoid use of large licensed settings, and provide support for children to live with families (their own, foster, or guardian). Measures of Success: Maintain or show improved performance over prior year, and/or Equal to or better than statewide average.

48 HARBOR REGIONAL CENTER PERFORMANCE PLAN 2018 Public Policy Measures Statewide Average HRC Outcomes Planned Activities Adults served by HRC will live in home settings; Increase percentage of adults living in independent & supported living, with parent, or with adult family home agency. 12/ % 12/ % 12/ % 12/ % 12/ % 12/ % 12/ % 12/ % 12/ % 12/ % 6/ % Continue to promote and maintain options for adults to live in home environments with families, or in their own homes, with supports as needed. These may include but are not limited to: Independent living skills training Supported Living services Post-secondary education Job preparation Supported Employment. Adult day options tailored to varied individual needs, such as Inclusion Centers, Partial Inclusion/Work options, Therapeutic Centers, etc. Continue to work with community partners to advocate and support development of affordable housing options for adults. Achieving Desired Outcome? YES Measures of Success: Maintain or show improved performance over prior year, and/or Equal to or better than statewide average.

49 HARBOR REGIONAL CENTER PERFORMANCE PLAN 2018 Public Policy Measures Statewide Average HRC Outcomes Planned Activities Adults served by HRC who live in licensed homes shall live in small homes; Reduce percentage of adults living in licensed homes serving greater than 6. 12/ % 12/ % 12/ % 12/ % 12/ % 12/ % 12/ % 12/ % 12/ % 12/ % 12/ % 12/ % Continue to avoid use of large licensed settings and to support adults moving from larger settings into more integrated/less restrictive living options. Increase access to living options through continued development of residential resources, as funds allow; 6/ % Work to create additional resources, including the replacement of resources lost during the recession and long standing rate freeze. Achieving Desired Outcome? YES Measures of Success: Maintain or show improved performance over prior year, and/or Equal to or better than statewide average.

50 HARBOR REGIONAL CENTER PERFORMANCE PLAN 2018 Public Policy Measures Adults who want to work will be supported to prepare for, find and maintain employment; Increase percentage of adults who are employed). Planned Activities Discuss employment options with clients and families when they reach transition age and adulthood. Work in partnership with school districts, community colleges, and the Department of Rehabilitation to promote opportunities for volunteerism, work training, and internships. Offer Employment Orientations to inform clients and families about employment services. Offer Training courses to prepare clients for employment. Work in partnership with supported employment service providers and the Department of Rehabilitation to develop jobs for individuals who want to work, and support their success on the job.. Work with adult day activity service providers to offer work and volunteer opportunities and experiences Measures of Success: Maintain or show improved performance over prior year, and/or Equal to or better than statewide average.

51 HARBOR REGIONAL CENTER PERFORMANCE PLAN 2018 Public Policy Measure HRC Clients and Families will have access to information and services regardless of age, diagnosis, ethnicity, or language; Indicator showing the relationship between annual authorized services and expenditures by individual s residence type and ethnicity. Percent of total annual purchase of service authorizations and expenditures by individual s ethnicity and age Birth to age two, inclusive Age three to twenty-one, inclusive Twenty-two and older Planned Activities Harbor Regional Center will provide services and supports in a culturally and linguistically responsive manner. Continue to: Provide community outreach so that the ethnic, language and cultural demographics of our client population reflect that of the general population in our service area. Recruit and maintain a culturally diverse staff whose ethnicity, language and cultural background reflect that of our client population. Provide information and training for staff and service providers to promote culturally-responsive service delivery. Provide training and information for clients and families to increase awareness of and access to available services and supports. Distribute and post written guide to available services by age group. Expand our library of translated materials as funds allow. Facilitate and share information through parent support groups and peer mentors Gather input from our community regarding access and utilization of services and reduction of barriers. Measures of Success: Maintain or show improved performance over prior year, and/or Equal to or better than statewide average.