AB 1232, as introduced, V. Manuel Pérez. Developmental services: quality assessment system.
Under existing law, the Lanterman Developmental Disabilities Services Act, the State Department of Developmental Services is authorized to contract with regional centers to provide services and supports to individuals with developmental disabilities. Existing law requires the department to implement a quality assessment system, as prescribed, to enable the department to assess the performance of the state’s developmental services system and to improve services for consumers. Under existing law, the department is required, in consultation with stakeholders, to identify a valid and reliable quality assurance instrument that assesses consumer and family satisfaction, provision of services, and personal outcomes, and, among other things, includes outcome-based measures such as health, safety, and well-being. Under existing law, the department is required to contract with an independent agency or organization that is, in part, experienced in designing valid quality assurance instruments, to implement the system.
This bill would require the quality assurance instrument to assess the provision of services in a linguistically and culturally competent manner and include an outcome-based measure on issues of equity and diversity. This bill would require the independent agency or organization the department contracts with to be experienced in issues relating to linguistic and cultural competency.
Vote: majority. Appropriation: no. Fiscal committee: yes. State-mandated local program: no.
The people of the State of California do enact as follows:
The Legislature finds and declares the following:
2(a) The Lanterman Developmental Disabilities Services Act
3requires that regional centers provide services to consumers in a
4manner that is determined by the individual program plan (IPP)
5or the individual family service plan (IFSP).
6(b) The act requires the active participation of the consumer,
7and his or her family, in the planning and implementation of the
8IPP and the IFSP.
9(c) The IPP and the IFSP and all regional center services must
10be provided in a linguistically and culturally competent manner
11for the consumer.
12(d) Existing law requires the State Department of Developmental
13Services to establish a quality assessment system to provide
14evaluation and oversight for regional center services.
15(e) The department has established a contractual relationship
16with the National Core Indicators to meet these statutory
17requirements with an annual expenditure of $3,235,000 for the
182012-13 fiscal year.
19(f) The current quality assessment system does not require
20evaluation or oversight on issues of equity and diversity to ensure
21that regional center services are provided in a linguistically and
22culturally competent manner.
Section 4571 of the Welfare and Institutions Code is
24amended to read:
(a) It is the intent of the Legislature to ensure the
26well-being of consumers, taking into account their informed and
27expressed choices. It is further the intent of the Legislature to
28support the satisfaction and success of consumers through the
29delivery of quality services and supports. Evaluation of the services
30that consumers receive is a key aspect to the service system.
31Utilizing the information that consumers and their families provide
begin delete suchend delete services in a reliable and meaningful way is also
33critical to enable the department to assess the performance of the
P3 1state’s developmental services system and to improve services for
2consumers in the future. To that end, the State Department of
3Developmental Services, on or before January 1, 2010, shall
4implement an improved, unified quality assessment system, in
5accordance with this section.
6(b) The department, in consultation with stakeholders, shall
7identify a valid and reliable quality assurance instrument that
begin delete includes assessments ofend delete consumer and family satisfaction,
9provision of services, and personal outcomes. The instrument shall do all of the
12(1) Provide nationally validated, benchmarked, consistent,
13reliable, and measurable data for the department’s Quality
15(2) Enable the department and regional centers to compare the
16performance of California’s developmental services system against
17other states’ developmental services systems and to assess quality
18and performance among all of the regional centers.
19(3) Include outcome-based measures such as health, safety,
20well-being, relationships, interactions with people who do not have
21a disability, employment, quality of life, integration, choice,
22service, and consumer satisfaction.
27(c) To the extent that funding is available, the instrument
28identified in subdivision (b) may be expanded to collect additional
29data requested by the State Council on Developmental Disabilities.
30(d) The department shall contract with an independent agency
31or organization to implement by January 1, 2010, the quality
32assurance instrument described in subdivision (b). The contractor
33shall be experienced in all of the following:
34(1) Designing valid quality assurance instruments for
35developmental service systems.
36(2) Tracking outcome-based measures such as health, safety,
37well-being, relationships, interactions with people who do not have
38a disability, employment, quality of life, integration, choice,
39service, and consumer satisfaction.
40(3) Developing data systems.
P4 1(4) Data analysis and report preparation.
2(5) Assessments of the services received by consumers who are
3moved from developmental centers to the community, given the
4Legislature’s historic recognition of a special obligation to ensure
5the well-being of these persons.
7(e) The department, in consultation with the contractor described
8in subdivision (d), shall establish the methodology by which the
9quality assurance instrument shall be administered, including, but
10not limited to, how often and to whom the quality assurance will
11be administered, and the design of a stratified, random sample
12among the entire population of consumers served by regional
13centers. The contractor shall provide aggregate information for all
14regional centers and the state as a whole. At the request of a
15consumer or the family member of a consumer, the survey shall
16be conducted in the primary language of the consumer or family
18(f) The department shall contract with the state council to collect
19data for the quality assurance instrument described in subdivision
20(b). If, during the data collection process, the state council identifies
21any suspected violation of the legal, civil, or service rights of a
22consumer, or if it determines that the health and welfare of a
23consumer is at risk, that information shall be provided immediately
24to the regional center providing case management services to the
25consumer. At the request of the consumer, or family, when
26appropriate, a copy of the completed survey shall be provided to
27the regional center providing case management services to improve
28the consumer’s quality of services through the individual planning
30(g) The department, in consultation with stakeholders, shall
31annually review the data collected from and the findings of the
32quality assurance instrument described in subdivision (b) and
33accept recommendations regarding additional or different criteria
34for the quality assurance instrument in order to assess the
35performance of the state’s developmental services system and
36improve services for consumers.
37(h) All reports generated pursuant to this section shall be made
38publicly available, but shall not contain any personal identifying
39information about any person assessed.
P5 1(i) All data collected pursuant to subdivision (c) shall be
2provided to the state council, but shall contain no personal
3identifying information about the persons being surveyed.
4(j) Implementation of this section shall be subject to an annual
5appropriation of funds in the Budget Act for this purpose.