1

Regional Center of Orange Regional Center of Orange County County

2013 Performance Contract2013 Performance Contract

2

Beginning January 1, 1993, Senate Bill Beginning January 1, 1993, Senate Bill 1383 (McCorquodale) required the 1383 (McCorquodale) required the Department of Developmental Services Department of Developmental Services (Department) to enter into five-year (Department) to enter into five-year outcome-based performance contracts with outcome-based performance contracts with regional centers. The information that was regional centers. The information that was gathered by the Department and the gathered by the Department and the regional centers from the initial data led to regional centers from the initial data led to an interest in refining the manner in which an interest in refining the manner in which system and individual outcomes were system and individual outcomes were established and then measured. The established and then measured. The current Performance Contract brings about current Performance Contract brings about the idea of establishing a comprehensive the idea of establishing a comprehensive performance-based system of performance-based system of accountability for all those who serve accountability for all those who serve consumers and their families.consumers and their families.

3

Outcome-based performance plans must be Outcome-based performance plans must be developed through meaningful participation developed through meaningful participation with each regional center’s local with each regional center’s local community. The community is essential to community. The community is essential to help the regional center prioritize the help the regional center prioritize the performance areas and possible outcomes performance areas and possible outcomes for the people that they serve. In order to for the people that they serve. In order to insure involvement, regional centers must insure involvement, regional centers must conduct at least one public meeting, collect conduct at least one public meeting, collect information from the community through information from the community through focus groups or surveys, and solicit focus groups or surveys, and solicit feedback whenever possible on the services feedback whenever possible on the services and supports available.and supports available.

Evaluation Criteria for Evaluation Criteria for Regional Regional Center Center PerformancePerformance

The Department reviews baseline and year-end information to evaluate performance. Success is demonstrated when:

• The outcome has improved over the prior year’s baseline, or

• The performance exceeds the statewide average, or

• The performance equals a standard that has been defined by the Department

5

RCOC 2013 Performance RCOC 2013 Performance Contract Policy Contract Policy

Measures?Measures?• Developmental Center (DC) Developmental Center (DC)

PopulationPopulation• Children Residing with FamiliesChildren Residing with Families• Adults Residing in Home Settings Adults Residing in Home Settings • Children Residing in Facilities Children Residing in Facilities

with Seven or More Beds with Seven or More Beds (Excluding DCs)(Excluding DCs)

• Adults Residing in Facilities with Adults Residing in Facilities with Seven or More Beds (Excluding Seven or More Beds (Excluding DCs)DCs)

• Duration in Intake Status (Status Duration in Intake Status (Status 0) for Individuals Ages 3 and Over0) for Individuals Ages 3 and Over

Additional Areas of Importance

Under Development• The number and percent of adults with earned income and their average wages

• The number of adults within a supported employment setting

• The number of adults in a competitive employment setting

• Access to medical and dental services• The number of consumers, per

thousand, who are the victims of abuse

7

RCOC LANTERMAN RCOC LANTERMAN MANDATESMANDATES

• COORDINATE COORDINATE SERVICESSERVICES

• MONITOR MONITOR QUALITY QUALITY

• DEVELOP NEW DEVELOP NEW SERVICESSERVICES

• PAY THE BILLSPAY THE BILLS• DUE PROCESSDUE PROCESS• ELIGIBILITYELIGIBILITY

8

RCOC ORGANIZATIONAL RCOC ORGANIZATIONAL REQUIREMENTSREQUIREMENTS

• INFRASTRUCTUREINFRASTRUCTURE• HUMAN RESOURCE HUMAN RESOURCE

MANAGEMENTMANAGEMENT• INFORMATION & INFORMATION &

TECHNOLOGY TECHNOLOGY SYSTEMSSYSTEMS

• COMMUNICATIONSCOMMUNICATIONS

9

RCOC’s PEOPLERCOC’s PEOPLE• 394 STAFF394 STAFF• 17,279 17,279

CONSUMERSCONSUMERS• 3,000+ SERVICE 3,000+ SERVICE

PROVIDERSPROVIDERS• 16 member public 16 member public

Board of Directors Board of Directors made up of made up of consumers and consumers and family members family members

10

R.C.O.C. Guiding R.C.O.C. Guiding PrinciplesPrinciples

Guiding Principles Purchase of Service Guidelines•Community Life

•Self-Determination Supports•Family Support

•Early Intervention/Prevention•Living Options

•Education/Lifelong Learning•Work

•Recreation & Leisure•Service Planning & Coordination

•Administration & Governance

•Prenatal Diagnostic Evaluation•Early Intervention Services

•Therapy Care Services•Respite Care Services

•Day Care Services•Adult Day Program

•Support Services: Day Program•Transportation

•Residential Services•Psychological, Counseling and Educational Services

•Medical and Dental Services•Equipment and Supplies

11

RCOC’s DOLLARS RCOC’s DOLLARS 2012/20132012/2013

• PURCHASE OF PURCHASE OF SERVICE - $211 SERVICE - $211 MillionMillion

• OPERATIONS - OPERATIONS - $24 Million$24 Million

12

Consumer Status Code Legend

0 = Diag and Evaluation1 = High-Risk Infant2 = Active Client3 = At-Risk (Mother)4 = Inactive

13

5 = Closed Transfer6 = Closed not DD7 = Closed Deceased8 = Dev Center Client9,X = Closed Other

Regional Center Regional Center Caseload Caseload

Total Children Total DC Total Adults Total Active CaseloadRegional Center Status 1 and 2 Status 8 Status 2 Status 1, 2, 8Inland 11,432 58 13,489 24,979San Diego 9,356 110 10,384 19,850North L.A. County 9,957 108 8,160 18,225Alta 7,737 97 9,793 17,627Orange County 8,646 112 8,521 17,279East Bay 6,971 191 8,907 16,069Central Valley 6,734 141 8,413 15,288San Andreas 6,697 31 6,845 13,573Tri-Counties 5,927 41 5,584 11,552San Gabriel/Pomona 5,056 92 6,025 11,173South Central L.A. 5,289 86 5,539 10,914Harbor 5,449 63 5,211 10,723Valley Mountain 5,123 39 5,410 10,572East Los Angeles 4,918 57 4,287 9,262Golden Gate 3,175 157 4,780 8,112Lanterman 4,557 62 3,482 8,101North Bay 3,103 118 4,476 7,697Westside 3,857 36 3,419 7,312Kern 3,096 82 3,783 6,961Far Northern 2,246 27 4,070 6,523Redwood Coast 1,018 9 1,926 2,953Total Caseload 120,524 1,717 132,504 254,745

Number and Percent of Total Population with Active Status (Status 1, 2 & 8)Who Are In Developmental Centers (Status 8) as of June 2012

(Based on CMF Status Codes)Developmental Center Caseload

Number Percent

Alta 97 0.55% 17,627Central Valley 141 0.92% 15,288East Bay 191 1.19% 16,069East Los Angeles 57 0.62% 9,262Far Northern 27 0.41% 6,523Golden Gate 157 1.94% 8,112Harbor 63 0.59% 10,723Inland 58 0.23% 24,979Kern 82 1.18% 6,961Lanterman 62 0.77% 8,101North Bay 118 1.53% 7,697North L. A. County 108 0.59% 18,225

Total Active CaseloadRegional Center

Redwood Coast 9 0.30% 2,953San Andreas 31 0.23% 13,573San Diego 110 0.55% 19,850San Gabriel/Pomona 92 0.82% 11,173South Central L. A. 86 0.79% 10,914Tri-Counties 41 0.35% 11,552Valley Mountain 39 0.37% 10,572Westside 36 0.49% 7,312

Statewide Avg. Percent 1,717 0.67% 254,745

Orange County 112 0.65% 17,279

Orange County 8,423 97.42%

Number Percent

197 2.55%

148 2.20%

119 1.71%

34 0.69%

112 4.62%

43 1.35%

201 3.69%

333 2.91%

74 2.39%

18 0.39%

65 2.09%

226 2.27%

Foster Home (Child)

46 4.52%

61 0.91%

217 2.32%

162 3.20%

137 2.59%

71 1.20%

131 2.56%

85 2.20%

2,580 2.14%

100 1.16%

Number Percent

7,648 98.85%

6,628 98.43%

6,848 98.24%

4,813 97.86%

2,402 99.01%

3,134 98.71%

5,429 99.63%

11,268 98.57%

3,058 98.77%

4,539 99.61%

3,052 98.36%

9,868 99.11%

Total Children in Homes

1,005 98.72%

6,597 98.51%

9,264 99.02%

4,938 97.67%

5,251 99.28%

5,870 99.04%

5,065 98.87%

3,851 99.84%

119,051 98.78%

8,523 98.58%

Children* Residing with Families *Individuals Under Age 18 with Status 1 or 2 on CMF as of June 2012

Alta

Central Valley

East Bay

East Los Angeles

Far Northern

Golden Gate

Harbor

Inland

Kern

Lanterman

North Bay

North L. A. County

Regional Center

Redwood Coast

San Andreas

San Diego

San Gabriel/Pomona

South Central L. A.

Tri-Counties

Valley Mountain

Westside

Statewide Avg. Percent

Number Percent

7,451 96.30%

6,480 96.23%

6,729 96.53%

4,779 97.17%

2,290 94.39%

3,091 97.35%

5,228 95.94%

10,935 95.65%

2,984 96.38%

4,521 99.21%

2,987 96.26%

9,642 96.84%

Own Home-Parent/Guardian

959 94.20%

6,536 97.60%

9,047 96.70%

4,776 94.46%

5,114 96.69%

5,799 97.84%

4,934 96.31%

3,766 97.64%

116,471 96.64%

Total ChildrenStatus 1 and 2

7,737

6,734

6,971

4,918

2,426

3,175

5,449

11,432

3,096

4,557

3,103

9,957

1,018

6,697

9,356

5,056

5,289

5,927

5,123

3,857

120,524

8,646

Total Adults

Number Percent Status 2

Alta 5,176 52.85% 9,793Central Valley 4,774 56.75% 8,413East Bay 4,862 54.59% 8,907East Los Angeles 3,152 73.52% 4,287Far Northern 1,618 39.75% 4,070Golden Gate 2,511 52.53% 4,780Harbor 3,289 63.12% 5,211Inland 8,528 63.22% 13,489Kern 2,088 55.19% 3,783Lanterman 2,165 62.18% 3,482North Bay 2,068 46.20% 4,476North L. A. County 4,955 60.72% 8,160

Own Home-Parent

Adults Residing in the Home of a Parent or Guardian Based on Individuals Ages 18 and Over with Status 2

on CMF as of June 2012

Regional Center

Redwood Coast 762 39.56% 1,926San Andreas 4,034 58.93% 6,845San Diego 5,930 57.11% 10,384San Gabriel/Pomona 3,328 55.24% 6,025South Central L. A. 3,754 67.77% 5,539Tri-Counties 2,835 50.77% 5,584Valley Mountain 2,935 54.25% 5,410Westside 2,024 59.20% 3,419

Statewide Avg. Percent 75,649 57.09% 132,504

Orange County 4,861 57.05% 8,521

Total Adults

Number Percent Status 2

Alta 78 0.80% 9,793Central Valley 165 1.96% 8,413East Bay 10 0.11% 8,907East Los Angeles 13 0.30% 4,287Far Northern 4 0.10% 4,070Golden Gate 65 1.36% 4,780Harbor 60 1.15% 5,211Inland 52 0.39% 13,489Kern 133 3.52% 3,783Lanterman 3 0.09% 3,482North Bay 40 0.89% 4,476North L. A. County 37 0.45% 8,160

Adult FHA

Adults Residing in an Adult Foster Home Agency Home Based on Individuals Ages 18 and Over with Status 2

on CMF as of June 2012

Regional Center

Redwood Coast 50 2.60% 1,926San Andreas 31 0.45% 6,845San Diego 38 0.37% 10,384San Gabriel/Pomona 32 0.53% 6,025South Central L. A. 47 0.85% 5,539Tri-Counties 29 0.52% 5,584Valley Mountain 36 0.67% 5,410Westside 6 0.18% 3,419

Statewide Avg. Percent 1,013 0.76% 132,504

Orange County 84 0.99% 8,521

Total Adults

Number Percent Status 2

Alta 1,894 19.34% 9,793Central Valley 1,240 14.74% 8,413East Bay 1,326 14.89% 8,907East Los Angeles 244 5.69% 4,287Far Northern 1,287 31.62% 4,070Golden Gate 489 10.23% 4,780Harbor 177 3.40% 5,211Inland 1,128 8.36% 13,489Kern 380 10.04% 3,783Lanterman 295 8.47% 3,482North Bay 499 11.15% 4,476North L. A. County 1,059 12.98% 8,160

Independent Living

Adults Residing in an Independent Living Setting Based on Individuals Ages 18 and Over with Status 2

on CMF as of June 2012

Regional Center

Redwood Coast 447 23.21% 1,926San Andreas 568 8.30% 6,845San Diego 1,476 14.21% 10,384San Gabriel/Pomona 571 9.48% 6,025South Central L. A. 133 2.40% 5,539Tri-Counties 803 14.38% 5,584Valley Mountain 495 9.15% 5,410Westside 423 12.37% 3,419

Statewide Avg. Percent 15,686 11.84% 132,504

Orange County 752 8.83% 8,521

Total Adults

Number Percent Status 2

Alta 407 4.16% 9,793Central Valley 110 1.31% 8,413East Bay 333 3.74% 8,907East Los Angeles 178 4.15% 4,287Far Northern 200 4.91% 4,070Golden Gate 333 6.97% 4,780Harbor 547 10.50% 5,211Inland 379 2.81% 13,489Kern 523 13.83% 3,783Lanterman 99 2.84% 3,482North Bay 624 13.94% 4,476North L. A. County 278 3.41% 8,160

Supported Living

Adults Residing in a Supported Living Setting Based on Individuals Ages 18 and Over with Status 2

on CMF as of June 2012

Regional Center

Redwood Coast 441 22.90% 1,926San Andreas 384 5.61% 6,845San Diego 165 1.59% 10,384San Gabriel/Pomona 83 1.38% 6,025South Central L. A. 387 6.99% 5,539Tri-Counties 680 12.18% 5,584Valley Mountain 548 10.13% 5,410Westside 313 9.15% 3,419

Statewide Avg. Percent 7,409 5.59% 132,504

Orange County 397 4.66% 8,521

Number Percent

78 0.80%

165 1.96%

10 0.11%

13 0.30%

4 0.10%

65 1.36%

60 1.15%

52 0.39%

133 3.52%

3 0.09%

40 0.89%

37 0.45%

Adult FHA

50 2.60%

31 0.45%

38 0.37%

32 0.53%

47 0.85%

29 0.52%

36 0.67%

6 0.18%

1,013 0.76%

Number Percent

1,894 19.34%

1,240 14.74%

1,326 14.89%

244 5.69%

1,287 31.62%

489 10.23%

177 3.40%

1,128 8.36%

380 10.04%

295 8.47%

499 11.15%

1,059 12.98%

Indep. Living

447 23.21%

568 8.30%

1,476 14.21%

571 9.48%

133 2.40%

803 14.38%

495 9.15%

423 12.37%

15,686 11.84%

Number Percent

407 4.16%

110 1.31%

333 3.74%

178 4.15%

200 4.91%

333 6.97%

547 10.50%

379 2.81%

523 13.83%

99 2.84%

624 13.94%

278 3.41%

Supp. Living

441 22.90%

384 5.61%

165 1.59%

83 1.38%

387 6.99%

680 12.18%

548 10.13%

313 9.15%

7,409 5.59%

Total Adults

Status 2

9,793

8,413

8,907

4,287

4,070

4,780

5,211

13,489

3,783

3,482

4,476

8,160

1,926

6,845

10,384

6,025

5,539

5,584

5,410

3,419

132,504

Adults* Residing in Home Settings *Individuals Ages 18 and Over with Status 2 on CMF as of June 2012

Number Percent

5,176 52.85%

4,774 56.75%

4,862 54.59%

3,152 73.52%

1,618 39.75%

2,511 52.53%

3,289 63.12%

8,528 63.22%

2,088 55.19%

2,165 62.18%

2,068 46.20%

4,955 60.72%

Own Home-Parent

762 39.56%

4,034 58.93%

5,930 57.11%

3,328 55.24%

3,754 67.77%

2,835 50.77%

2,935 54.25%

2,024 59.20%

75,649 57.09%

Alta

Central Valley

East Bay

East Los Angeles

Far Northern

Golden Gate

Harbor

Inland

Kern

Lanterman

North Bay

North L. A. County

Regional Center

Redwood Coast

San Andreas

San Diego

San Gabriel/Pomona

South Central L. A.

Tri-Counties

Valley Mountain

Westside

Statewide Avg. %

Number Percent

7,555 77.15%

6,289 74.75%

6,531 73.32%

3,587 83.67%

3,109 76.39%

3,398 71.09%

4,073 78.16%

10,087 74.78%

3,124 82.58%

2,562 73.58%

3,231 72.18%

6,329 77.56%

Total Adults in Home Settings

1,700 88.27%

5,017 73.29%

7,609 73.28%

4,014 66.62%

4,321 78.01%

4,347 77.85%

4,014 74.20%

2,766 80.90%

99,757 75.29%

Orange County 4,861 57.05% 84 0.99% 752 8.83% 397 4.66% 6,094 71.52% 8,521

Number Percent

0 0.00%

0 0.00%

1 0.01%

0 0.00%

0 0.00%

0 0.00%

0 0.00%

2 0.02%

0 0.00%

0 0.00%

0 0.00%

0 0.00%

Nursing Facility

0 0.00%

0 0.00%

7 0.07%

0 0.00%

0 0.00%

0 0.00%

0 0.00%

0 0.00%

10 0.01%

Number Percent

1 0.01%

1 0.01%

1 0.01%

3 0.06%

0 0.00%

0 0.00%

0 0.00%

22 0.19%

1 0.03%

3 0.07%

0 0.00%

3 0.03%

Total Children/7+ Beds

0 0.00%

0 0.00%

16 0.17%

25 0.49%

9 0.17%

7 0.12%

2 0.04%

1 0.03%

102 0.08%

Number Percent

0 0.00%

1 0.01%

0 0.00%

2 0.04%

0 0.00%

0 0.00%

0 0.00%

17 0.15%

1 0.03%

0 0.00%

0 0.00%

2 0.02%

ICF (7+ Beds)

0 0.00%

0 0.00%

0 0.00%

11 0.22%

2 0.04%

6 0.10%

2 0.04%

0 0.00%

46 0.04%

2 0.02% 0 0.00% 7 0.08%

Number Percent

1 0.01%

0 0.00%

0 0.00%

1 0.02%

0 0.00%

0 0.00%

0 0.00%

3 0.03%

0 0.00%

3 0.07%

0 0.00%

1 0.01%

CCF (7+ Beds)

0 0.00%

0 0.00%

9 0.10%

14 0.28%

7 0.13%

1 0.02%

0 0.00%

1 0.03%

46 0.04%

Children* Residing in Facilities with Seven or More Beds (Excluding DCs) *Individuals Under Age 18 with Status 1 or 2 on CMF as of June 2012

Alta

Central Valley

East Bay

East Los Angeles

Far Northern

Golden Gate

Harbor

Inland

Kern

Lanterman

North Bay

North L. A. County

Regional Center

Redwood Coast

San Andreas

San Diego

San Gabriel/Pomona

South Central L. A.

Tri-Counties

Valley Mountain

Westside

Statewide Avg. Percent

Total Children

Status 1 and 2

7,737

6,734

6,971

4,918

2,426

3,175

5,449

11,432

3,096

4,557

3,103

9,957

1,018

6,697

9,356

5,056

5,289

5,927

5,123

3,857

120,524

8,646Orange County 5 0.06%

Number Percent

55 0.56%

3 0.04%

4 0.04%

4 0.09%

0 0.00%

9 0.19%

15 0.29%

49 0.36%

1 0.03%

87 2.50%

19 0.42%

93 1.14%

ICF (7+ Beds)

0 0.00%

19 0.28%

99 0.95%

278 4.61%

78 1.41%

166 2.97%

14 0.26%

5 0.15%

1,120 0.85%

Number Percent

85 0.87%

70 0.83%

87 0.98%

32 0.75%

25 0.61%

50 1.05%

72 1.38%

92 0.68%

22 0.58%

65 1.87%

33 0.74%

73 0.89%

Nursing Facility

18 0.93%

28 0.41%

94 0.91%

44 0.73%

80 1.44%

33 0.59%

36 0.67%

18 0.53%

1,147 0.87%

Number Percent

354 3.61%

87 1.03%

318 3.57%

43 1.00%

99 2.43%

215 4.50%

107 2.05%

254 1.88%

32 0.85%

323 9.28%

76 1.70%

269 3.30%

Total Adults/7+ Beds

34 1.77%

158 2.31%

348 3.35%

595 9.88%

266 4.80%

257 4.60%

261 4.82%

45 1.32%

4,504 3.40%

122 1.43% 90 1.06% 363 4.26%

Adults* Residing in Facilities with Seven or More Beds (Excluding DCs) *Individuals Ages 18 and Over with Status 2 on CMF as of June 2012

Alta

Central Valley

East Bay

East Los Angeles

Far Northern

Golden Gate

Harbor

Inland

Kern

Lanterman

North Bay

North L. A. County

Regional Center

Redwood Coast

San Andreas

San Diego

San Gabriel/Pomona

South Central L. A.

Tri-Counties

Valley Mountain

Westside

Statewide Avg. Percent

Number Percent

214 2.19%

14 0.17%

227 2.55%

7 0.16%

74 1.82%

156 3.26%

20 0.38%

113 0.84%

9 0.24%

171 4.91%

24 0.54%

103 1.26%

CCF (7+ Beds)

16 0.83%

111 1.62%

155 1.49%

273 4.53%

108 1.95%

58 1.04%

211 3.90%

22 0.64%

2,237 1.69%

Total Adults

Status 2

9,793

8,413

8,907

4,287

4,070

4,780

5,211

13,489

3,783

3,482

4,476

8,160

1,926

6,845

10,384

6,025

5,539

5,584

5,410

3,419

132,504

8,521Orange County 151 1.77%

Number PercentAlta 196 100.00%Central Valley 403 99.51%East Bay 342 98.28%East Los Angeles 89 100.00%Far Northern 109 100.00%Golden Gate 123 98.40%Harbor 267 100.00%Inland 745 99.60%Kern 163 98.79%Lanterman 173 98.30%North Bay 127 85.81%North L. A. County 585 100.00%

Regional Center<= 142 DAYS

Redwood Coast 48 100.00%San Andreas 156 98.11%San Diego 344 98.01%San Gabriel/Pomona 236 96.33%South Central L. A. 266 100.00%Tri-Counties 111 100.00%Valley Mountain 150 100.00%Westside 116 100.00%

Statewide Totals and Avg. Percents 4,888 98.83%

Orange County 139 100.00%

Number Percent

0 0.00%

2 0.49%

6 1.72%

0 0.00%

0 0.00%

2 1.60%

0 0.00%

3 0.40%

2 1.21%

3 1.70%

20 13.51%

0 0.00%

143-240 DAYS

0 0.00%

3 1.89%

7 1.99%

8 3.27%

0 0.00%

0 0.00%

0 0.00%

0 0.00%

56 1.13%

0 0.00%

Number Percent

0 0.00%

0 0.00%

0 0.00%

0 0.00%

0 0.00%

0 0.00%

0 0.00%

0 0.00%

0 0.00%

0 0.00%

1 0.68%

0 0.00%

OVER 240 DAYS

0 0.00%

0 0.00%

0 0.00%

1 0.41%

0 0.00%

0 0.00%

0 0.00%

0 0.00%

2 0.04%

0 0.00%

Duration in Intake Status (Status 0) for Individuals Ages 3 and Over Based on CMF as of June 2012

196

405

348

89

109

125

267

748

165

176

148

585

GRAND TOTAL

48

159

351

245

266

111

150

116

4,946

139

25

RCOCRCOCPerformance Contract 2013Performance Contract 2013