2022-11-14T13:12:15-06:00 2022-06-30 270472389 C G UHLENBERG LLP 46560 FREMONT BLVD SUITE 403 FREMONT CA 94538 990 2021-07-01 943397402 OMBUDSMAN SERVICES OF SAN MATEO COUNTY INC OMBU 6507805707 1455 MADISON AVE REDWOOD CITY CA 94061 BERNADETTE MELLOTT EXEC DIRECTOR 6507805707 2022-10-29 1 BERNADETTE MELLOTT 999009999 PEGGY H CHEN P00910398 5107708680 3 AAL1 IAL1 2021 2022-09-23 18:48:47Z X BERNADETTE MELLOTT 1455 MADISON AVE REDWOOD CITY CA 94061 1241245 0 X WWW.OSSMC.ORG X 2001 CA TO INVESTIGATE SUSPECTED ABUSE OF THE ELDERLY IN LONG-TERM CARE FACILITIES. 8 8 12 28 89784 0 1017668 946176 0 0 115184 157165 61033 89634 1193885 1192975 0 0 0 0 730871 782104 0 0 0 261467 317816 992338 1099920 201547 93055 3210533 2767533 65751 57109 3144782 2710424 X TO ACTIVELY PROVIDE ADVOCACY AND PURSUE ENHANCEMENT OF THE QUALITY OF LIFE FOR RESIDENTS OF LONG-TERM CARE FACILITIES IN THE SAN MATEO COUNTY. 0 0 441061 COMPLAINT INVESTIGATION AND FACILITY MONITORING: STATE CERTIFIED OMBUDSMEN MONITOR FACILITIES FOR QUALITY OF CARE, QUALITY OF LIFE AND VIOLATION OF RESIDENTS' RIGHTS. IN 2021-2022 FISCAL YEARS, THE FOLLOWING FACILITIES WERE INCLUDED IN ITS JURISDICTION: 17 NURSING HOMES WITH 1,703 BEDS243 RESIDENTIAL CARE FACILITIES FOR THE ELDERLY WITH 5,274 BEDS, 35 INTERMEDIATE CARE FACILITIES WITH 198 BEDS 109 ADULT DAY FACILITIES FOR THE DEVELOPMENTALLY DISABLED WITH 774 CLIENTS 25 ADULT DAY HEALTH CARE PROGRAMS WITH 1,234 CLIENTS 5 SOCIAL REHAB FACILITIES WITH 66 CLIENTSTOTAL OF 441 FACILITIES WITH 9,278 CLIENTS. OMBUDSMEN MADE A TOTAL OF 9,278 VISITS TO THE FACILITIES AND INVESTIGATED AND CLOSED 959 CASES ENCOMPASSING 1064 COMPLAINTS. 147020 RECRUITMENT AND TRAINING: THE PROGRAM PROVIDES TRAINING TO VOLUNTEERS TO OBTAIN AND MAINTAIN STATE CERTIFICATION. THE TRAINING PROGRAM INCLUDES 36 HOURS OF CLASSROOM TRAINING FOLLOWED BY AN INTERNSHIP PERIOD OF APPROXIMATELY 10 DAYS DUE TO THE COVID VIRUS. DURING THE INTERNSHIP THE STUDENT OMBUDSMEN ARE PROVIDED WITH HANDS-ON GUIDANCE ON HOW TO MONITOR FACILITIES; ACCEPT, INVESTIGATE AND DOCUMENT THEIR FINDINGS. IN ADDITION WE PROVIDE 2 HOURS OF ON-GOING TRAINING FOR ALL OMBUDSMEN EACH MONTH. DURING FY 2021-2022 WE TRAINED AND CERTIFIED 6 NEW OMBUDSMEN WHO ACTIVELY JOINED OUR TEAM IN THE FIELD, BRINGING THE NUMBER UP TO 28 VOLUNTEER FIELD OMBUDSMEN ACTIVE IN THE PROGRAM. DURING THE YEAR, 28 STATE-CERTIFIED OMBUDSMEN PROVIDED A TOTAL OF 3,149 VOLUNTEER HOURS OVER THE ONE YEAR PERIOD, VALUED AT ABOUT $89,634. IN ADDITION WE PROVIDED 12 TWO HOUR TRAINING SESSIONS THROUGHOUT THE YEAR TO ALL OMBUDSMEN WHO MUST ATTEND 12 HOURS OF ONGOING TRAINING EACH YEAR TO MAINTAIN STATE CERTIFICATION. 147020 COMMUNITY EDUCATION AND ADVOCACY: OMBUDSMAN SERVICES CONTRIBUTE TO THE OVERALL HEALTH LITERACY OF RESIDENTS IN SAN MATEO COUNTY THROUGH ITS EDUCATIONAL OUTREACH. IN FY 2021-2022 WE ACCOMPLISHED THE FOLLOWING:- HELD 95 COMMUNITY EDUCATION EVENTS EDUCATING THE GENERAL PUBLIC ON LONG-TERM CARE, THE ROLE OF THE OMBUDSMAN AND OTHER RELATED ISSUES. - PROVIDED INDIVIDUAL CONSULTATION TO 1,323 PEOPLE SEEKING INFORMATION ON OUR SERVICES OR OTHER AGING ISSUES - CONDUCTED 15 IN-SERVICE EDUCATIONAL EVENTS FOR FACILITY STAFF AND PROVIDED 1,345 CONSULTATION HOURS TO STAFF MEMBERS 735101 1 1 0 0 0 0 0 0 0 0 1 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 12 1 0 0 0 0 0 0 0 0 X 8 8 0 0 0 0 0 1 0 1 1 0 0 1 0 0 0 1 1 0 CA X BERNADETTE MELLOTT 6507805707 1455 MADISON AVE REDWOOD CITY CA 94061 MONIKA LEE VICE PRESIDENT 2.50 X 0 0 0 BOB MONTEVALDO DIRECTOR 2.50 X 0 0 0 DENIS FAMA DIRECTOR 2.50 X 0 0 0 CINDY SAFE SECRETARY/TREASURER 2.50 X 0 0 0 MITCHELL BAILEY PRESIDENT 2.50 X 0 0 0 CHET LEXVOLD DIRECTOR 2.50 X 0 0 0 SHARMIN NABI DIRECTOR 2.50 X 0 0 0 VIC LEE DIRECTOR 2.50 X 0 0 0 BERNADETTE MELLOTT EXECUTIVE DIRECTOR 40.00 X 122600 0 0 122600 0 0 1 0 0 0 0 838445 107731 946176 67381 67381 138054 48270 89784 89784 89784 IN KIND VOLUNTEERING 900099 89634 89634 89634 1192975 157015 89784 0 122600 81848 40752 577494 385523 191971 25782 17212 8570 56228 37537 18691 14000 14000 89634 89634 7181 4794 2387 3408 2275 1133 12000 12000 21738 14512 7226 2500 2500 4507 3009 1498 8354 5577 2777 FUNDRAISING EVENTS 103997 69427 34570 PROFESSIONAL SERVICES- 17682 17682 COMPUTER REPAIR 10572 7058 3514 VOLUNTEER EXPENSE 7198 7198 15045 9497 5548 1099920 735101 364819 0 167982 305904 247446 128141 14178 8157 26200 11330 17159 14870 2763768 2310461 3210533 2767533 65751 57109 65751 57109 X 0 0 0 0 3144782 2710424 3144782 2710424 3210533 2767533 93055 -522097 -5316 0 X 0 1 X 0 0 X 710659 733720 885011 1017668 946176 4293234 710659 733720 885011 1017668 946176 4293234 4293234 55093 59429 54717 47043 67381 283663 193717 157463 123716 61033 89634 625563 5202460 0.82520 0.80780 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: IN-KIND PROGRAM INCOME - 2017 AMOUNT: $ 191,598. 2018 AMOUNT: $ 157,441. 2019 AMOUNT: $ 120,334. 2020 AMOUNT: $ 61,033. 2021 AMOUNT: $ 89,634. MISCELLANEOUS INCOME - 2017 AMOUNT: $ 2,119. 2018 AMOUNT: $ 22. 2019 AMOUNT: $ 3,382. 2020 AMOUNT: $ 0. 2021 AMOUNT: $ 0. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 26200 11330 14870 14870 INVESTMENT IN MUTUAL FUNDS 2310461 F 2310461 665562 -522097 -522097 1187659 5316 5316 1192975 1099920 0 1099920 0 1099920 X 0 0 0 0 0 0 0 0 0 FORM 990, PART VI, SECTION A, LINE 7A POTENTIAL BOARD MEMBERS ARE TYPICALLY RECOMMENDED BY THOSE SERVING ON THE BOARD. THERE IS A PROCESS WHICH INCLUDES AN INTERVIEW BY THE BOARD BEFORE THE NEW MEMBER IS VOTED IN BY A SIMPLE MAJORITY OF BOARD MEMBERS. FORM 990, PART VI, SECTION B, LINE 11B FORM 990 WILL BE REVIEWED BY EXECUTIVE DIRECTOR AND TREASURER OF THE ORGANIZATION BEFORE IT IS FILED. FORM 990, PART VI, SECTION B, LINE 15 THE COMPENSATION OF THE ORGANIZATION'S EXECUTIVE DIRECTOR OR TOP MANAGEMENT OFFICIAL ALWAYS NEED TO BE APPROVED BY THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENT IS AVAILABLE TO PUBLIC UPON REQUEST.