BILL ANALYSIS                                                                                                                                                                                                    �



                                                                  AB 1015
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          Date of Hearing:   April 26, 2011

                        ASSEMBLY COMMITTEE ON HUMAN SERVICES
                                Jim Beall Jr., Chair
               AB 1015 (Charles Calderon) - As Amended:  April 14, 2011
           
          SUBJECT  :  Child welfare services: county task force

           SUMMARY  :  Requires, by January 1, 2013, each county to convene a 
          task force to identify and implement operational improvements in 
          child welfare services administration.  Specifically,  this bill  : 
           

          1)Requires the task force consist of the following members, at a 
            minimum: 

             a)   A representative appointed by the bargaining unit 
               representing children's social workers,

             b)   A representative of the county welfare director,

             c)   A representative of the board of supervisors of the 
               county,

             d)   A representative appointed by the law firm that 
               represents foster children in the county,

             e)   A former foster youth residing in the county.

          2)Requires the task force to submit a report to the board by 
            January 1, 2014 which, at a minimum, identifies and lists 
            proposed operational improvements which may be implemented at 
            a cost savings to the county or within existing resources and 
            dates for full implementation of the proposals.

          3)Requires the county to conduct a public hearing on the report 
            within 30 days of receiving the report.

          4)Clarifies that this subdivision does not limit the discretion 
            of the task force or the county to identify and implement any 
            reform or policy it deems appropriate or as otherwise 
            permitted by law.

          5)Requires a representative of the county welfare director, the 
            board of supervisors, or the law firm to report annually to 








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            the board and the public about the status of implementation 
            efforts or lack of full implementation.

          6)Prohibits the county or state from providing payment or 
            reimbursement for the task force member participation, and 
            creates an exception for county employees who may serve in 
            their capacity as county employees and be paid accordingly.

          7)Provides that the requirements of this bill may be 
            accomplished through a report covering more than one county or 
            as part of the county's California Child and Family Service 
            Review (C-CFSR) obligations as long as the requirements of 
            this bill are met.


           EXISTING LAW  

          1)Establishes a system of child welfare services for abused and 
            neglected children which is overseen by the California 
            Department of Social Services (DSS), the single state agency, 
            and administered by individual counties.

          2)Requires DSS to review all county child welfare systems 
            through the C-CFSR, to establish and monitor outcome 
            indicators and best practices.  Welfare and Institutions Code 
            (WIC) 10601.2.

          3)Requires DSS to report annually to the Assembly and Senate 
            Budget Committees of the Legislature regarding the findings 
            and recommendations for improvements to the child welfare 
            system identified as part of the county self-assessments and 
            system improvement plans, including information on common 
            statutory, regulatory, or fiscal barriers identified as 
            inhibiting system improvements and any recommendations for 
            overcoming those barriers.

           FISCAL EFFECT  :  Unknown

           COMMENTS  :  
           
           Need for this bill:   According to the author, the aim of this 
          bill is to establish a child welfare taskforce in each county to 
          bring stakeholders, including social workers, county management, 
          and children's attorneys together to work collaboratively to 
          identify and implement operational improvements that can lead to 








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          better practice in child welfare and ultimately result in better 
          outcomes for children.  

          The author states that despite statewide efforts such as the 
          federally mandated Child Welfare Services Outcome and 
          Accountability System, known as the C-CFSR, which seek to 
          measure statewide outcomes related to safety, permanence, and 
          child and family well-being, county administered child welfare 
          services practices are nonetheless still mired in administrative 
          and procedural inefficiencies and redundancies, with serious 
          consequences for the children and families they are meant to 
          serve.  

          The author points to recent child deaths involving children 
          known to the child welfare systems in Sacramento and Los Angeles 
          counties as evidence of needed improvements.  In both counties, 
          according to the author, social workers argue that too much of 
          an emphasis has been placed on paperwork instead of client 
          interactions, policies and procedures were unclear or too 
          cumbersome to implement, and that basic training and equipment 
          fell short of preparing and enabling social workers to 
          adequately manage their caseloads.  In the case of Sacramento, 
          county supervisors hired an outside consultant to conduct an 
          internal review and found that county guidelines for social 
          workers contained 167 policies spanning over 1,300 pages, 
          including outdated or conflicting guidance, which had not been 
          edited out as policies were updated over the years.  

          The author and sponsor of this bill hope to create a mandatory 
          process via county task forces in each of California's 58 
          counties whereby the concerns of line social workers can be 
          amplified and ideas for systemic improvements be brought before 
          the county Board of Supervisors of each county.  This bill 
          requires a report to be issued by the task force to the board of 
          supervisors by January 1, 2014, identifying the proposed 
          improvements, and requires the board of supervisors to hold a 
          public hearing within 30 days on the report.  After the initial 
          report and hearing, this bill requires a specified 
          representative of the task force to report to the board and the 
          public on an annual basis regarding the status of the 
          implementation.

           C-CFSR:   The C-CFSR was established by AB 636 (Steinberg), 
          Chapter 678, Statutes of 2001 and implemented in January of 
          2004.  The C-CFSR marked a shift from the previous oversight 








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          system which focused exclusively on regulatory compliance, to a 
          system aligned with the federal standards and a focus on 
          measuring outcomes in safety, permanence and child and family 
          well-being.  The C-CFSR seeks to integrate continuous quality 
          improvement, interagency partnerships, community involvement and 
          public reporting of program outcomes into the oversight of child 
          welfare programs.  This is done at the state-level through 
          Quarterly Outcome and Accountability Reports published by DSS 
          and a program of State Technical Assistance and Monitoring.  
          Counties are responsible for three areas of the C-CFSR:  County 
          Self-Assessments, County Peer Quality Case Reviews (PQCR), and 
          County System Improvement Plans.  

          The County Self-Assessment process assesses current levels of 
          performance and identifies procedural, systemic, practice or 
          resource barriers to improved performance.  Counties are 
          encouraged by the state to use existing planning processes and 
          community-based groups to facilitate public input into the 
          self-assessment process, and are required to provide a public 
          comment process.  Counties are also required by the state to 
          work with a group of core representatives in the development of 
          self-assessments.  These core representatives include, but are 
          not limited to representatives of the California Youth 
          Connection, an organization representing current and former 
          foster youth, the county health and mental health departments, 
          child welfare services administrators, managers, social workers, 
          parents, local Tribes, the Local Education Agency, probation, 
          and adoptions.  The same core representatives, including child 
          welfare services social workers, are involved in creating the 
          County System Improvement Plan.

          In addition, PQCRs require counties to analyze practice areas to 
          determine areas of strengths or concerns and to follow up with 
          other counties to exchange best practice ideas and receive input 
          and training from county peer reviewers.  The third 
          county-specific component of the C-CFSR is the County System 
          Improvement Plan, which must be approved by the County Board of 
          Supervisors and DSS.  The County System Improvement Plan 
          establishes program priorities, action steps for improvement, 
          and specific percentage-related goals with timelines for 
          improvements.  It is the state's responsibility to track, 
          review, and provide ongoing technical assistance to counties as 
          part of the C-CFSR process.  Each county updates its CFSR every 
          three years, although the System Improvement Plan is updated 
          annually.








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           Support:   The Children's Advocacy Institute, one of the bill's 
          sponsors writes in support:

               With recent, sweeping budget cuts to child welfare and 
               foster care, it is more important than ever for county 
               social workers, boards of supervisors, counsel for 
               foster children, and child welfare directors to 
               identify and implement simple, day-in, day-out 
               operational improvements that will reduce paperwork, 
               enhance social worker productivity and job 
               satisfaction, and help ensure that abused and 
               neglected children are well looked after?In response 
               to public controversy about Sacramento CPS�Child 
               Protective Services] services after multiple child 
               deaths, Sacramento County hired an outside consultant 
               to review its operations.  The consultant identified a 
               large number of extremely obvious operational 
               improvements and efficiencies, benefitting social 
               workers and children alike.   

               Likewise, in response to news stories in Los Angeles 
               County about child deaths, SEIU Local 721 authored an 
               exhaustive and detailed set of recommendations for 
               improving and streamlining daily operations and 
               enhancing social worker productivity. 

               Critically, most of the suggestions offered in both 
               reports can be implemented within existing resources.  
               Suggestions included how to eliminate duplicative 
               paperwork, improve coordination between departments 
               and employees, and shift staffing to ensure greater 
               productivity and job satisfaction, all to the enduring 
               benefit of abused and neglected children?

               Too often a serious conversation between stakeholders 
               - especially including line social workers - about how 
               they think CPS operations and their daily work lives 
               can be improved occurs only after a tragic headline.   


           QUESTIONS:
          
           Are the county task forces duplicative of the existing C-CFSR 
          process?   The state has a clear interest in maintaining adequate 








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          oversight of county child welfare services, however, the process 
          proposed in this bill seems duplicative of the existing C-CFSR 
          County Self-Assessment and System Improvement Plan processes.   

           Are the goals of the county task forces clearly articulated?   
          While this bill requires each county to submit a report 
          identifying and listing proposed operational improvements by 
          January 1, 2014, it is unclear what the larger goal of these 
          task forces should be or how their work should proceed after the 
          initial deadline.  There is no uniform end date for reports 
          regarding progress on implementation of the recommendations, and 
          no requirement for any communication regarding recommendations 
          or outcomes to the state.  

           Proposed author's amendments:   Rather than attempt to create an 
          entirely new process to examine necessary administrative and 
          operational improvements at the local level, the author has 
          proposed amendments which would integrate the task force concept 
          into the existing C-CFSR process.  In fact, the types of reviews 
          and assessments sought under this bill would likely benefit the 
          county-level C-CFSR work.  By modifying the C-CFSR, the 
          improvements suggested under this bill will also be ensured a 
          review by each county board of supervisors, as well as DSS, in 
          line with the author's original intent.  

          Author's amendments are as follows:

          1)Strike page 2, lines 1-32 inclusive and page 3, lines 1-13 
            inclusive.

          2)Amend subdivision (c) of WIC 10601.2 as follows:

          (c) (1)  (A)  By October 1, 2002, the California Health and Human 
          Services Agency shall convene a workgroup comprised of 
          representatives of the Judicial Council, the State Department of 
          Social Services, the State Department of Health Services, the 
          State Department of Mental Health, the State Department of 
          Education, the Department of Child Support Services, the State 
          Department of Justice, any other state departments or agencies 
          the California Health and Human Services Agency deems necessary, 
          the County Welfare Directors Association, the California State 
          Association of Counties, the Chief Probation Officers of 
          California, the California Youth
          Connection, and representatives of California tribes, interested 
          child advocacy organizations, researchers, and foster parent 








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          organizations.  The workgroup shall establish a workplan by 
          which child and family service reviews shall be conducted 
          pursuant to this section, including a process for qualitative 
          peer reviews of case information.

           (B) In developing the county self-assessments and county 
          improvement plans required pursuant to this section, or similar 
          reports required by any subsequent changes to the California 
          Child and Family Services Review system, each county shall 
          consult with stakeholders, including but not limited to, county 
          child welfare agency and Probation agency staff at all levels, 
          current and former foster children, children's attorneys, and 
          foster care providers. At least one member of the group 
          consulted pursuant to this subdivision shall be a county child 
          welfare worker named by the bargaining unit representing 
          children's social workers.

           (2) At a minimum, in establishing the workplan, the workgroup 
          shall consider any existing federal program improvement plans 
          entered into by the state pursuant to federal regulations, the 
          outcome indicators to be measured, compliance thresholds for 
          each indicator, timelines for implementation, county review 
          cycles, uniform processes, procedures and review instruments to 
          be used, a corrective action process, and any funding or 
          staffing increases needed to implement the requirements of this 
          section.  The agency shall broadly consider collaboration with 
          all entities to allow the adequate exchange of information and 
          coordination of efforts to improve outcomes for foster youth and 
          families.

          3)Amend subdivision (d) of WIC 10601.2 as follows: 

          (d) (1) The California Child and Family Service Review System 
          outcome indicators shall be consistent with the federal child 
          and family service review measures and standards for child and 
          family outcomes and system factors authorized by Subtitle B 
          (commencing with Section 421) and Subtitle E (commencing with 
          Section 470) of Title IV of the federal Social Security Act and 
          the regulations adopted pursuant to those provisions (Parts 1355 
          to 1357, inclusive, of Title 45 of the Code of Federal 
          Regulations).

           (2) During the first review cycle pursuant to this section, 
          each county shall be reviewed according to the outcome 
          indicators established for the California Child and Family 








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          Service Review System.

          (3) For subsequent reviews, the workgroup shall consider whether 
          to establish additional outcome indicators that support the 
          federal outcomes and any program improvement plan, and promote 
          good health, mental health, behavioral, educational, and other 
          relevant outcomes for children and families in California's 
          child welfare services system.

           (4) The county improvement plans developed pursuant to this 
          section and which are approved by the county board of 
          supervisors shall include a separately titled subsection which 
          lists and provides the rationale for proposed operational 
          improvements that may be implemented at a cost savings to the 
          county or within existing county resources, identified as a part 
          of the stakeholder process described in subparagraph (B) of 
          paragraph (1).  

           REGISTERED SUPPORT / OPPOSITION  :   

           Support 
           
          Children's Advocacy Institute
          Service Employees International Union (SEIU)

           Opposition 
           
          None on file.
           
          Analysis Prepared by  :    Michelle Doty Cabrera / HUM. S. / (916) 
          319-2089