2021-11-15T12:58:46-06:00 2021-06-30 270472389 C G UHLENBERG LLP 46560 FREMONT BLVD SUITE 403 FREMONT CA 94538 990 2020-07-01 943397402 OMBUDSMAN SERVICES OF SAN MATEO COUNTY INC OMBU 6507805707 711 NEVADA STREET REDWOOD CITY CA 94061 BERNADETTE MELLOTT EXEC DIRECTOR 6507805707 2021-10-26 1 BERNADETTE MELLOTT 999009999 PEGGY H CHEN P00910398 5107708680 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z BERNADETTE MELLOTT 711 NEVADA STREET REDWOOD CITY CA 94061 1358555 0 X WWW.OSSMC.ORG X 2001 CA TO INVESTIGATE SUSPECTED ABUSE OF THE ELDERLY IN LONG-TERM CARE FACILITIES. 10 10 12 29 68141 0 885011 1017668 0 0 94718 115184 123716 61033 1103445 1193885 0 0 0 0 732735 730871 0 0 0 266414 261467 999149 992338 104296 201547 2604531 3210533 77023 65751 2527508 3144782 X TO ACTIVELY PROMOTE STANDARDS OF EXCELLENCE IN ADVOCACY AND ENHANCEMENT OF THE QUALITY OF LIFE FOR RESIDENTS OF LONG-TERM CARE FACILITIES IN THE SAN MATEO COUNTY. 0 0 398152 COMPLAINT INVESTIGATION AND FACILITY MONITORING: STATE CERTIFIED OMBUDSMEN MONITOR FACILITIES FOR QUALITY OF CARE, QUALITY OF LIFE AND VIOLATION OF RESIDENTS' RIGHTS. IN 2020-2021 FISCAL YEARS, THE FOLLOWING FACILITIES WERE INCLUDED IN ITS JURISDICTION: 17 NURSING HOMES WITH 1622 BEDS248 RESIDENTIAL CARE FACILITIES FOR THE ELDERLY WITH 5346 BEDS, 36 INTERMEDIATE CARE FACILITIES WITH 186 BEDS 7 ADULT RESIDENTIAL FACILITIES FOR PERSONS WITH SPECIAL HEALTH NEEDS WITH 29 BEDS 108 ADULT DAY FACILITIES FOR THE DEVELOPMENTALLY DISABLED WITH 769 CLIENTS 24 ADULT DAY HEALTH CARE PROGRAMS WITH 1159 CLIENTS 7 ADULT RESIDENTIAL CARE FACILITY WITH PERSONS WITH SPECIAL CARE NEEDS 29 BEDS 5 SOCIAL REHAB CLIENTS 66 TOTAL OF 444 FACILITIES WITH 9,177 CLIENTS. OMBUDSMEN MADE A TOTAL OF 1769 VISITS TO THE FACILITIES AND INVESTIGATED AND CLOSED 830 CASES ENCOMPASSING 830 COMPLAINTS.LESS VISITS DUE TO CORONAVIRUS. 132717 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 2019-2020 WE TRAINED AND CERTIFIED 6 NEW OMBUDSMEN WHO ACTIVELY JOINED OUR TEAM IN THE FIELD, BRINGING THE NUMBER UP TO 29 VOLUNTEER FIELD OMBUDSMEN ACTIVE IN THE PROGRAM. DURING THE YEAR 29 STATE-CERTIFIED OMBUDSMEN PROVIDED A TOTAL OF 4677 VOLUNTEER HOURS OVER THE ONE YEAR PERIOD, VALUED AT ABOUT $120,334. 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. 132717 COMMUNITY EDUCATION AND ADVOCACY: OMBUDSMAN SERVICES CONTRIBUTE TO THE OVERALL HEALTH LITERACY OF RESIDENTS IN SAN MATEO COUNTY THROUGH ITS EDUCATIONAL OUTREACH. IN FY 202-2021 WE ACCOMPLISHED THE FOLLOWING:- HELD 83 COMMUNITY EDUCATION EVENTS EDUCATING THE GENERAL PUBLIC ON LONG-TERM CARE, THE ROLE OF THE OMBUDSMAN AND OTHER RELATED ISSUES - PROVIDED INDIVIDUAL CONSULTATION TO 1612 PEOPLE SEEKING INFORMATION ON OUR SERVICES OR OTHER AGING ISSUES - CONDUCTED 8 IN-SERVICE EDUCATIONAL EVENTS FOR FACILITY STAFF AND PROVIDED 2622 CONSULTATIONS TO STAFF MEMBERS 663586 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 10 10 0 0 0 0 0 1 0 1 1 0 0 1 0 0 0 1 1 0 CA X BERNADETTE MELLOTT 6507805707 711 NEVADA STREET 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 PRESIDENT 2.50 X 0 0 0 HAROLD HUGHES BOARD MEMBER 2.50 X 0 0 0 MARY PAPPAS SECRETARY 2.50 X 0 0 0 CINDY SAFE TREASURER 2.50 X 0 0 0 MITCHELL BAILEY DIRECTOR 2.50 X 0 0 0 CHET LEXVOLD BOARD MEMBER 2.50 X 0 0 0 SHARMIN NABI BOARD MEMBER 2.50 X 0 0 0 VIC LEE BOARD MEMBER 2.50 X 0 0 0 BERNADETTE MELLOTT EXECUTIVE DIRECTOR 40.00 X 117000 0 0 117000 0 0 1 0 0 0 0 739610 278058 1017668 47043 47043 232811 164670 68141 68141 68141 IN KIND VOLUNTEERING 900099 61033 61033 61033 1193885 108076 68141 0 114611 76864 37747 521973 350061 171912 40282 27015 13267 54005 36218 17787 14000 14000 61033 61033 12757 8555 4202 2981 1999 982 12000 12000 14008 9394 4614 2646 1775 871 9095 6100 2995 FUNDRAISING EVENTS 78081 52365 25716 COMPUTER REPAIR 12156 8152 4004 PROFESSIONAL SERVICES- 10361 10361 VOLUNTEER EXPENSE 6167 6167 26182 17888 8294 992338 663586 328752 0 156815 167982 118908 247446 7978 14178 38582 21423 8034 17159 2312796 2763768 2604531 3210533 77023 65751 77023 65751 X 0 0 0 0 2527508 3144782 2527508 3144782 2604531 3210533 201547 427328 -11601 0 X 0 1 X 0 0 X 773728 710659 733720 885011 1017668 4120786 773728 710659 733720 885011 1017668 4120786 4120786 63014 55093 59429 54717 47043 279296 165509 193717 157463 123716 61033 701438 5101520 0.80780 0.80270 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: IN-KIND PROGRAM INCOME - 2016 AMOUNT: $ 165,499. 2017 AMOUNT: $ 191,598. 2018 AMOUNT: $ 157,441. 2019 AMOUNT: $ 120,334. 2020 AMOUNT: $ 61,033. MISCELLANEOUS INCOME - 2016 AMOUNT: $ 10. 2017 AMOUNT: $ 2,119. 2018 AMOUNT: $ 22. 2019 AMOUNT: $ 3,382. 2020 AMOUNT: $ 0. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 38582 21423 17159 17159 INVESTMENT IN MUTUAL FUNDS 2763768 F 2763768 1609612 427328 427328 1182284 11601 11601 1193885 992338 0 992338 0 992338 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 NEEDS TO BE APPROVED BY 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.