Promo ng Self Worth. Since Annual Report. PSWCares.org

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1 Promo ng Self Worth Since 1956 Annual Report PSWCares.org

2 OUR LOCATIONS West Poplar Ave Porterville CA Administra on South E Street Porterville, CA Adult Service Center Day Training And Ac vity Center West Olive Ave Porterville, CA Copy Center Value Village Village Vogue Boomerang Recycling Sunshine Laundry Sweeping Crews South Newcomb Porterville, CA Assembly Transporta on Shredding Landscaping Graffi Removal Dairy Crews Mobile Maintenance North E Street Porterville, CA Behavior Modifica on Behavior Management Florinda Street Hanford, CA Independent Living Program Parkside Avenue Lindsay, CA Adult Day Program Behavior Management Cross Avenue Tulare, CA Independent Living Program

3 CONTENTS Execu ve Director s Message Goals And Objec ves 1 3 Accomplishments Business Services Transporta on Safety Marke ng & Legisla ve Affairs Program Services Human Resources Accoun ng Outcomes Management Report Photos

4 As We Close Out The Year 2016 Donald Sowers Execu ve Director there are many thoughts that run through our minds WIOA AND CMS/HCBS ARE CHANGING THE WORLD OF THE DEVELOPMENTALLY DISABLED As we celebrate 60 years of Assisting individuals with disabilities achieve a more independent and productive life we find ourselves going through some major transformations in the way services are going to be delivered to individuals with disabilities in the future. The following few paragraphs outline what some of those transformations are. Starting in 2014, with its being signed into Federal law, the Workforce Innovation and Opportunity Act (WIOA) has created major changes in the way services are going to be delivered to those individuals we serve. One of the biggest challenges we face from these changes is our work activity program which is covered under our 14c subminimum wage certificate. When the Department of Labor (DOL) inserted themselves as the enforcer of WIOA in 2015/2016 they established policies and procedures directed at the State s Department of Rehabilitation (DOR) work activity programs outlining the manner in which 14c subminimum wage certificates could be applied to individuals participating in our work program. Since 159 of our clients currently involved in our work activity program are funded through the Department of Developmental Services (DDS) and referred by the Central Valley Regional Center (CVRC) and not DOR, and based on what we were advised by various agencies and organizations, we were confident that our work activity clients would not be affected by the DOL policies and procedures. Well, in no time the rumor mill was buzzing with how our program would be affected by WIOA, DOR, and DOL policies and Celebra ng 60 Years Assis ng individuals with disabili es achieve a more independent and produc ve life 1 PSW 2016 Annual Report

5 As We Close Out The Calendar procedures even though the majority of our clients were DDS clients. At this time, DDS and CVRC cannot provide us with definitive guidance regarding the impact of WIOA, DOR, and DOL policies and procedures on our program because they are just as perplexed as everyone else regarding the direction our industry is headed. Another change that we experienced in 2014 was when the State of California went to the Federal Center for Medicaid/Medicare Services (CMS) seeking a waiver for the care of the developmentally disabled under Medicaid/Medicare. At the time, CMS was revamping their Home and Community Based Services (HCBS) standards. CMS told California and other states that their current programs and practices for the care of the developmentally disabled did not meet the new HCBS standards that were published and that the state had to submit a transition plan detailing how they were going to become compliant with the new HCBS regulations. The state submitted their plan in August of 2015 and it was rejected by CMS. California is currently working on a revised plan and must submit it by October of 2016 for review by CMS. Currently, the only state that has had their transition plan approved by CMS is Tennessee. California must be in full compliance by March of 2019 or risk losing Federal subsidies for the care of the developmentally disabled. PSW must also be in compliance with the state s plan (yet to be approved) in order to continue receiving assistance from the state. It seems that the only thing that is constant in our industry right now is change, but rest assured that we will do our level best to determine what it will take to ensure that PSW remains a viable and important part of the lives of the individuals and in the communities we serve on a daily basis. 2

6 Goals & Objectives The following goals & objec ves were created by the Senior Management Team of PSW with the approval of the Board of Directors Goal 1 Review and prepare existing properties in Porterville to create more efficient and effective delivery of services, lease or sell for additional income, modify as required by pending regulation. Goal 5 Ensure maintenance and adequate growth of PSW Transportation department to support PSW mission timely and cost effectively. Goal 2 Expand/consolidate PSW operations and activities being sensitive to possible changes to current state and federal regulations and pending new state and federal regulations, primarily WIOA and CMS / HCBS. Goal 3 Business Services Department of PSW will continue to increase subcontract base. Goal 4 PSW to continue to stay abreast of evolving best practices in the training of individuals served. Goal 6 Develop and implement safety programs to ensure client and staff safety and to control workers compensation costs. Goal 7 Implement purchased software systems. Goal 8 Legislative analysis of pending regulations. The State of California applied for funding through the Medicare/Medicaid waiver in March of 2014 which started the changes we are now faced to comply with no later than March of 3 PSW 2016 Annual Report

7 2019. The Center for Medicare/Medicaid (CMS) changed the requirements that must be met in order for States to be eligible for federal funding and States must submit a Transition Plan on exactly how the State plans on meeting the new regulations which must be approved by CMS. As of today s date, only one state has their transition plan approved with 4 others receiving conditional approval. This is the challenge for PSW. We must develop a plan to exist within this new world but have yet to receive guidance from the State on how that is to be done. We have spent many hours researching and participating in countless meetings throughout the State and even outside of our State to learn as much about the trends or tendencies that have been acceptable to CMS. Adding a new ripple into the mud, in August of this year, the Department of Labor (DOL) determined they will be the enforcement agency for the federal legislation from 2014 called WIOA Workforce Investment Opportunity Act which mandates work program regulations effective in As a result, we have new requirements through DOL that have changed the process for intake of new clients and training requirements for existing clients earning subminimum wages. The challenge for development of a strategy for the next few years is the same as trying to explain what the number 9 smells like. We have been tasked with development of a plan to meet specific requirements that have yet to be revealed. We are confident we will be able to develop new programs and processes but we are still waiting to know what the final directions from the State will be. We will focus our efforts on training, involvement in committees that provide us opportunity to influence policy, advocacy at the Federal, State and Local levels to speak for those who can t speak for themselves. Flexibility and innovation will be our plan since the ultimate affect these changes have will be on those we serve so we must be successful. 4

8 Major Accomplishments Fiscal Year End 2016 GENERAL BUSINESS The largest single accomplishment experienced by PSW during FYE 2016 was the successful completion of our triennial CARF audit. Every department had a satisfactory evaluation and the auditors were very complimentary of our efforts, in fact, they commented that our audit had the fewest discrepancies they had seen in any of their previous audits. The audit resulted in a three (3) year accreditation for PSW. The following are major accomplishments for PSW by department. BUSINESS SERVICES Work Activity Program (WAP) The overall time spent in paid work aggregate was 100%. A total of ten (10) clients transferred up to a Supported Employment Group securing each person a group community placement with guaranteed paid work opportunity 100% of their time in attendance, excluding lunch. A total of seventeen (17) new clients were enrolled in the WAP. Supported Employment Program Groups (SEP-Groups) We maintained thirty-one (31) SEP-Groups comprised of eighty-three (83) SEP-Group funded clients and ten (10) WAP funded clients. Ten (10) new clients were enrolled in the SEP-Groups; six (6) from WAP and four (4) from outside of PSW. Three (3) clients were referred to the SEP- Individual Placement program (SEP-IP); one (1) from SEP-Groups and two (2) from WAP. Supported Employment Program Individual Placement (SEP-IP) We had one (1) new placement during the fiscal year. We maintained five (5) follow along placements and transitioned one (1) individual into follow along during the fiscal year. 5 PSW 2016 Annual Report

9 The average wage for all current SEP-IP placements is $13.58 per hour. Employment Development Program Individual Placement (EDP-IP) We placed fourteen (14) people in paid job opportunities. The average wage for all current EDP-IP placement is $12.80 per hour. TRANSPORTATION The Director of Transportation assumed responsibility for the entire fleet of PSW vehicles. Implemented routing and scheduling software for newly acquired routes. Passed CalTrans triennial inspection for 5310 grant vehicles. Passed CHP s annual terminal inspection. Imported data from Route Match software to populate CVRC s monthly billing report. Represented non-profits by participating on committees and work groups related to the 5310 Elderly and Disabled grant program. Participated on the Social Services Transportation Advisory Committee for Tulare County. Participated on NPU s vehicle insurance and work comp group insurance pool. 6

10 SAFETY Revised and updated safety handbook to comply with new GHS standards. Passed OSHA Compliance inspection. Kept safety as a focus in the minds of all employees by ensuring weekly safety meetings and quarterly safety committee meeting were conducted timely. Kept the Senior Management Team (SMT) aware of safety issues by reporting all accidents and near misses at the weekly SMT meetings. MARKETING AND LEGISLATIVE AFFAIRS Reestablished eligibility to bid on the local CHP contract after being told we were ineligible to bid. Successfully renewed the Walmart Distribution contract for an additional year. Successfully renewed the U.S Forestry Service contract. Worked with Business Services to expand our janitorial crews into the area of property management. Picked up three (3) new management companies we provide services to on a monthly basis plus numerous individual cleaning contracts. Negotiated five (5) new monthly landscape maintenance contracts plus multiple one time cleanup opportunities. Negotiated increases for the two (2) major Assembly department contracts with Bowsmith and the Porterville Recorder. Kept the Senior Management Team informed as to the new wage increase pass through requirements. Kept the Executive Director apprised of the AB1513 issues regarding the back pay requirements for piece work for clients. Developed relationships with senior management at DDS and DOR. Worked closely with CDSA and our Senior Management Team to establish PSW as an innovative organization within our industry regarding the new CMS/HCBS industry changes. PROGRAM SERVICES PSW staff continue to use the most advanced and effective training techniques in providing the best of services to our clients. During fiscal year we provided services to 831 clients in our 11 program options which address a full spectrum of client needs. We served 210 clients in our Adult Development Program (ADP). These individuals require constant and immediate supervision by assigned staff members. 70 clients used wheelchairs or walkers for ambulation. The Mobility Options via Education and Experience (MOVE) program continues to be an integral service to 27 people. We are in the final stage of developing a contract with the Central Valley Regional Center to fund an LVN to provide assistance with clients who have certain health care needs. The Behavior Management Program (BMGT) serves clients with significant behavior challenges. Well trained staff members are assisted by a Psychologist who is Board Certified in Behavior Analysis. Clients are guided in assimilating to the fullest extent possible into our other programs as well as the community as a whole. Two of our staff are certified Crisis Prevention Intervention (CPI) trainers. CPI is the most modern approach in helping 7 PSW 2016 Annual Report

11 our clients to develop positive behavior patterns. Our Lindsay Service Center (LSC) served a record number of 36 people in 3 programs: Behavior Management, Adult Development and Community Integration. We also operate a component which not only provides transportation from/to the client s home but is also an integral part of community integration during the day. 15 clients were placed in competitive employment with 12 different businesses through our Individual Job Placement Programs. Eagle Mountain Casino employed multiple clients. Other successful client placements included El Patio Restaurant, Old Navy, Krayola Korner, Home Depot, JC Penney, Vision Y Compromiso, Carl s Jr., Save Mart Bakery, Chevrolet Dealership, Porterville Developmental Center and Sierra Management. 242 clients were served in our Independent Living Program (ILP) which operate in 21 towns throughout Tulare and Eastern Kings Counties. 27 ILP clients received special training in parenting skills. Services included training in self-advocacy, safety, money management, use of community resources, nutrition, shopping, meal planning and preparation. Other areas of training are addressed based on individual client needs. PSW staff participated in over 50 different activities purposed toward creating a better understanding of the needs of people with intellectual and/or developmental disabilities and the services, programs, and capabilities that PSW provides in an effort to satisfy some of those needs. We provided a PSW Information Booth at 7 major community events, hosted 9 community dances, conducted 4 formal group tours, and made numerous contacts with the public school system regarding the transitioning of students with disabilities. PSW responds to the needs of people with disabilities in our communities by: Providing evidenced based (proven to be effective) services. HUMAN RESOURCES Conducted the second Supervisor/ Leadership academy for staff members. There were seventeen (17) staff participants with sixteen (16) successfully completing the seventeen (17) week course. Four (4) of the staff successfully completing the course competed for and were promoted to new positions. Organized 401K meetings for all staff. The meetings were successful as evidenced by the increased plan participation from 58% to 71% and 32% of our staff increasing their contribution rate. Established a cultural diversity plan as well as monthly mandatory cultural diversity training for all staff. Completed the live scanning for all PSW staff members in accordance with CARF recommendation. Implemented live scanning requirements for all newly hired PSW employees. ACCOUNTING Streamlined the Supported Employment Program (SEP) billing. No findings on the 401K Salary Savings Plan survey audit. Converted the general ledger, accounts payable and accounts receivable to the new software program. 8

12 Outcomes Management Sa sfac on Survey Total Sent 276. Total Responding 48 (17%) 60% Very Sa sfied 36% Sa sfied 4% Somewhat Sa sfied 0% Not Sa sfied Program Services 10 Year Services Fee History 2015 / / / / / / / / / / 2007 $8,080,280 $7,975,510 $7,727,716 $7,380,739 $7,051,540 $7,009,996 $6,827,151 $6,984,574 $6,815,359 $6,207,398 9 PSW 2016 Annual Report

13 Total Clients Served By Program 210 Adult Service Center Clients Served 5 Year History Independent Living Supported Employment Groups Work Ac vity Behavior Management Employment Development Day Training Ac vity Center Behavior Modifica on Lindsay Behavior Management Supported Employment Individual Placement Lindsay Adult Development 831 Total Served 10

14 Overall Program Performance Goal Range Adult Services Center Day Training Ac vity Center Behavior Modifica on Program Behavior Management Program Lindsay Adult Development Lindsay Behavior Management Work Ac vity Program Supported Employment Groups Supported Employment Individual Placement Employment Development Individual Placement 11 PSW 2016 Annual Report

15 Major Revenue Sources $8,080,280 $1,342,830 $1,303,826 $816,480 $296,947 $269,042 Program Service Fees Sales Wholesale Transporta on Income Produc on Revenue Sale of Donated Items Sales Retail $12,109,405 Total Revenue Review of Caseload by Primary Disabili es * 18% of all clients shown above have a seizure disorder * All Programs Except ILP 12

16 Photo Gallery Our Staff & Clients Do It Together 13 PSW 2016 Annual Report

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18 Company Dinner 2016 Employee Recogni on & Awards Dinner 2016 At Nuckols Ranch April 30, PSW 2016 Annual Report

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20 Promo ng Self Worth Since 1956 Pswcares.org