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Caseload Ratio Plan of Correction Information and Survey

Survey deadline: October 30, 2020

Post Date:10/23/2020 11:37 AM

To download the entire document, please click on the following links in your preferred language choice: English or Spanish

Caseload Ratio Plan of Correction
Information and Survey

Background Information

Section 4640.6 of the Welfare and Institutions Code ("WIC") requires that North Los Angeles County Regional Center ("NLACRC") meet certain caseload ratios. If a regional center is unable to do so, subdivision (f) of this section requires the regional center to submit a plan of correction with input from the State Council on Developmental Disabilities, local groups that work with consumers, family members, regional center employees, labor organizations, service providers, and others.

  • "Caseload Ratio" means the number of consumers per Service Coordinator. 
  • As of March 1, 2020, NLACRC did meet the following required Service Coordinator caseload ratios:
    • Consumers who are under three years of age; 
    • Consumers who have moved from the developmental centers to the community since April 14, 1993, and who have lived in the community between 12 and 24 months; and 
    • Consumers who have moved from the developmental centers to the community since April 14, 1993, and who have lived in the community within the last 12 months.

  • As of March 1, 2020, NLACRC did not meet the following required Service Coordinator caseload ratios, which are in gray in the chart below:
    • Consumers enrolled on the Home and Community-Based Services Waiver;
    • Consumers who have moved from the developmental centers to the community since April 14, 1993, and who have lived in the community for more than 24 months;
    • Consumers who have not moved from the developmental centers to the community since April 14, 1993, and who are not under the age of three nor on the Home and Community-Based Services Waiver; and
    • Consumers with complex needs.
    •  

Table

  • WIC §4640.6(c) mandates these ratios.
  • A new, mandated caseload ratio requirement for individuals with complex needs. WIC §4640(c) was amended in July 2019 to require an average caseload ratio of 1:25 for individuals with complex needs.
  • This is the first year in which regional centers were required to report caseload ratios for individuals with complex needs as per WIC §4640(c).
  • The Department of Developmental Services ("DDS") recognizes the methodology used to calculate the 1:25 caseload ratio may not be accurate for individuals with complex needs. DDS will work with the Association of Regional Center Association ("ARCA") on a revised methodology.
  • As specified by WIC §4640.6(f), NLACRC must submit a plan of correction for the caseload ratio categories that were not met for two reporting periods in a row.
  •  

Here is why high caseload ratios are an ongoing issue:

  • Each regional center’s operations budgets are funded based in part on the number of consumers it serves.
  • A formula or "tool" is used to determine each regional center’s funding; however, regional centers are not organized the same. 
  • The core staffing formula used to be based on state wages and expenses and has not been updated since the 1990s.

  • Service Coordinator wages and benefits used in the formula show that NLACRC does not receive enough funding. 
  • NLACRC’s Fiscal Year 2020-2021 Operations budget is reduced by $5.0 million (7.9%).
  •  

  • $3.4 million of the $5.0 million reduction is for unallocated reductions (going back to Fiscal Year 2001-2002), which have never been restored by the State’s Legislators. An unallocated reduction is when there are laws that regional centers must meet, but we are not fully funded to do so.
  • For every five (5) Service Coordinator jobs at NLACRC, we only receive funds for three (3) staff.
  •  

Service Coordinator Funding

 Service Coordinator Funding

Note: The Bureau of Labor Statistics says that the average annual counselor salary in California is $51,550 and nationally is $48,800 

  • NLACRC receives funds for only 279 out of the 463 staff needed to meet caseload ratios.
  • NLACRC would need $12.1 million more to hire all 463 Service Coordinators to meet the caseload ratios. The 319 Service Coordinators, as of February 28, 2019, includes 17 Service Coordinators that were hired to improve caseload ratios.
  •  

Resources with more information:

"Developmental Services Funding" by the Association of Regional Center Agencies ("ARCA").

"Service Coordinator Infographic" by ARCA.

Plan of Correction feedback from previous years

Some feedback NLACRC has received from our community in the past few years for how to improve high caseloads includes:

    • Look at how consumers on the Waiver might impact caseloads. 
    • Talk about legislative advocacy in the new consumer orientation so that consumers and families can help advocate for more funding that will allow regional centers to hire more Service Coordinators.
    • See if NLACRC can have retirees work on a part-time basis to help with the uncovered caseloads.
    • Use the Electronic Document Management System ("EDMS) to create standard forms and help with workflows.
    • Review training needs for Service Coordinators.

NLACRC has made changes where we can to improve high caseloads.

We want to hear from you!

We invite you to complete our brief survey by October 30, 2020, if you have any comments about what NLACRC can do to improve or reduce our high caseload ratios.

The survey is now closed.

English: https://www.surveymonkey.com/r/2020PlanOfCorrection

Español: https://www.surveymonkey.com/r/PlanDeCorreccion2020

 

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