AB 1232, as amended, V. Manuel Pérez. Developmental services: quality assessment system.
Under existing law, the Lanterman Developmental Disabilities Services Act, the State Department of Developmental Services
begin delete is authorized to contractend delete 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
begin delete the following:end delete
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.
begin delete(d)end delete begin delete end delete begin deleteExistingend delete law requires the State
13Department of Developmental Services to establish a quality
14assessment system to provide evaluation and oversight for regional
begin delete services.end delete
16(e) The department has established a contractual relationship
17with the National Core Indicators to meet these statutory
18requirements with an annual expenditure of $3,235,000 for the
192012-13 fiscal year.
begin delete(f)end delete begin delete end delete begin deleteTheend delete current quality assessment system does not
21require evaluation or oversight on issues of equity and diversity
22to ensure that regional center services are provided in a
23linguistically and culturally competent manner.
Section 4571 of the Welfare and Institutions Code is
25amended to read:
(a) It is the intent of the Legislature to ensure the
27well-being of consumers, taking into account their informed and
28expressed choices. It is further the intent of the Legislature to
29support the satisfaction and success of consumers through the
30delivery of quality services and supports. Evaluation of the services
31that consumers receive is a key aspect to the service system.
32Utilizing the information that consumers and their families provide
P3 1about those services in a reliable and meaningful way is also critical
2to enable the department to assess the performance of the state’s
3developmental services system and to improve services for
4consumers in the future. To that end, the State Department of
5Developmental Services, on or before January 1, 2010, shall
6implement an improved, unified quality assessment system, in
7accordance with this section.
8(b) The department, in consultation with stakeholders, shall
9identify a valid and reliable quality assurance instrument that
10assesses consumer and family satisfaction, provision of services
11in a linguistically and culturally competent manner, and personal
12outcomes. The instrument shall do all of the following:
13(1) Provide nationally validated, benchmarked, consistent,
14reliable, and measurable data for the department’s Quality
16(2) Enable the department and regional centers to compare the
17performance of California’s developmental services system against
18other states’ developmental services systems and to assess quality
19and performance among all of the regional centers.
20(3) Include outcome-based measures such as health, safety,
21well-being, relationships, interactions with people who do not have
22a disability, employment, quality of life, integration, choice,
23service, and consumer satisfaction.
24(4) Include outcome-based measures on issues of equity and
25diversity to evaluate the linguistic and cultural competency of
26 regional center services that are provided to consumers across their
28(c) To the extent that funding is available, the instrument
29identified in subdivision (b) may be expanded to collect additional
30data requested by the State Council on Developmental Disabilities.
31(d) The department shall contract with an independent agency
32or organization to implement by January 1, 2010, the quality
33assurance instrument described in subdivision (b). The contractor
34shall be experienced in all of the following:
35(1) Designing valid quality assurance instruments for
36developmental service systems.
37(2) Tracking outcome-based measures such as health, safety,
38well-being, relationships, interactions with people who do not have
39a disability, employment, quality of life, integration, choice,
40service, and consumer satisfaction.
P4 1(3) Developing data systems.
2(4) Data analysis and report preparation.
3(5) Assessments of the services received by consumers who are
4moved from developmental centers to the community, given the
5Legislature’s historic recognition of a special obligation to ensure
6the well-being of these persons.
7(6) Issues related to linguistic and cultural competency.
8(e) The department, in consultation with the contractor described
9in subdivision (d), shall establish the methodology by which the
10quality assurance instrument shall be administered, including, but
11not limited to, how often and to whom the quality assurance will
12be administered, and the design of a stratified, random sample
13among the entire population of consumers served by regional
14centers. The contractor shall provide aggregate information for all
15regional centers and the state as a whole. At the request of a
16consumer or the family member of a consumer, the survey shall
17be conducted in the primary language of the consumer or family
19(f) The department shall contract with the state council to collect
20data for the quality assurance instrument described in subdivision
21(b). If, during the data collection process, the state council identifies
22any suspected violation of the legal, civil, or service rights of a
23consumer, or if it determines that the health and welfare of a
24consumer is at risk, that information shall be provided immediately
25to the regional center providing case management services to the
26consumer. At the request of the consumer, or family, when
27appropriate, a copy of the completed survey shall be provided to
28the regional center providing case management services to improve
29the consumer’s quality of services through the individual planning
31(g) The department, in consultation with stakeholders, shall
32annually review the data collected from and the findings of the
33quality assurance instrument described in subdivision (b) and
34accept recommendations regarding additional or different criteria
35for the quality assurance instrument in order to assess the
36performance of the state’s developmental services system and
37improve services for consumers.
38(h) All reports generated pursuant to this section shall be made
39publicly available, but shall not contain any personal identifying
40information 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.