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California State Auditor Report Number : 2016-108

Department of Developmental Services
It Cannot Verify That Vendor Rates for In‑Home Respite Services Are Appropriate and That Regional Centers and Vendors Meet Applicable Requirements

Figure 1

The title of Figure 1 is Process Used by Families and Individuals to Obtain In-Home Respite Services.

First, a family member or individual contacts a regional center to request assistance. The Regional center provides information on available services and assesses individual to determine whether the individual qualifies for service. If the individual is eligible, the regional center assigns a service coordinator who acts as the individual or family member's point of contact and is responsible for both implementing and helping to develop the individual program plan (IPP). Then, a planning team, which must include the individual, parents or guardian (if individual is under 18 years old), and regional center coordinator—and may include others—identifies the services necessary to address the individual's needs, including respite care, and incorporates them into an IPP. If the IPP calls for respite services, the regional center secures such services. The individual, or where appropriate a family member, chooses a respite provider, which can be either an in-home respite vendor or an individual. The respite worker provides respite care to the individual in his or her home.

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Figure 2

The title of Figure 2 is Map of Regional Centers Selected for Review and Key In-Home Respite Service Information as of June 30, 2016.

A map of California shows counties within the five regional centers selected for review, and in-home respite service information as of June 30, 2016 for each regional center and statewide. California statewide has 59,781 total consumers, 255 total vendors, and $221,569,099 in total expenditures for fiscal year 2015-16. Alta California Regional Center, which is located in Sacramento County and also covers Alpine, Colusa, El Dorado, Sierra, Sutter, Yolo, and Yuba counties, has 6,246 total consumers, 16 total vendors, $13,636,109 in total expenditures for fiscal year 2015-16. San Andreas Regional Center, which is located in Santa Clara County and also covers Monterey, San Benito, and Santa Cruz counties, has 5,833 total consumers, 35 total vendors, and $16,773,458 in total expenditures for fiscal year 2015-16. Inland Regional Center, which is located in San Bernardino County and also covers Riverside County, has 9,871 total consumers, 31 total vendors, and $35,045,877 in total expenditures for fiscal year 2015-16. North Los Angeles County Regional Center, which covers the largest area of 7 regional centers within Los Angeles County, has 6,032 total consumers, 33 total vendors, and $21,327,114 in total expenditures for fiscal year 2015-16. Westside Regional Center, which covers southwest Los Angeles County, has 3,390 total consumers, 6 total vendors, and $7,361,969 in total expenditures for fiscal year 2015-16.

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Figure A

The title of Figure A is Department of Developmental Services Regional Centers Identified by Region.

A map of California shows counties and regional centers separated into five regions. Northern California includes Alta California Regional Center, which is located in Sacramento County and also covers Alpine, Colusa, El Dorado, Sierra, Sutter, Yolo, and Yuba counties; Far Northern Regional Center, which is located in Shasta County and also covers Butte, Glenn, Lassen, Modoc, Plumas, Siskiyou, Tehama, and Trinity counties; and Redwood Coast Regional Center, which is located in Humboldt County and also covers Del Norte, Lake, and Mendocino counties. Bay Area includes Regional Center of the East Bay, which is located in Alameda County and also covers Contra Costa County; Golden Gate Regional Center, which is located in San Francisco County and also covers Marin and San Mateo counties; North Bay Regional Center, which is located in Napa County and also covers Solano and Sonoma counties; and San Andreas Regional Center, which is located in Santa Clara County and also covers Monterey, San Benito, and Santa Cruz counties. Central California includes Central Valley Regional Center, which is located in Fresno County and also covers Kings, Madera, Mariposa, Merced, and Tulare counties; Kern Regional Center, which is located in Kern County and also covers Inyo and Mono counties; and Valley Mountain Regional Center, which is located in San Joaquin County and also covers Amador, Calaveras, Stanislaus, and Tuolumne counties. Southern California includes Inland Regional Center, which is located in San Bernardino County and also covers Riverside County; Regional Center of Orange County, which is located in and covers only Orange County; San Diego Regional Center, which is located in San Diego County and also covers Imperial County; and Tri-Counties Regional Center, which is located in Santa Barbara County and also covers San Luis Obispo and Ventura counties. A breakout map of Los Angeles County includes 7 regional centers within the county, Eastern Los Angeles, Harbor, Lanterman, North Los Angeles County, San Gabriel/Pomona, South Central Los Angeles, and Westside regional centers.

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