2020-11-16T15:50:53-06:00 2020-06-30 270472389 C G UHLENBERG LLP 46560 FREMONT BLVD SUITE 403 FREMONT CA 94538 990 2019-07-01 943397402 OMBUDSMAN SERVICES OF SAN MATEO COUNTY INC OMBU 6507805707 711 NEVADA STREET REDWOOD CITY CA 94061 BERNADETTE MELLOTT EXEC DIRECTOR 6507805707 2020-11-05 1 PEGGY H CHEN P00910398 5107708680 209.49.60.82 2020-11-05 15:43:57 PS P 9C6249630BAAA31133629BB133D33A684EB0B092 C1C1DD8B074B384F57085AC6AE698EA1FF232D37 2019 2021-01-29 14:40:06Z BERNADETTE MELLOTT 711 NEVADA STREET REDWOOD CITY CA 94061 1391106 0 X WWW.OSSMC.ORG X 2001 CA TO INVESTIGATE SUSPECTED ABUSE OF THE ELDERLY IN LONG-TERM CARE FACILITIES. 10 10 14 29 40001 0 733720 885011 0 0 86836 94718 157642 123716 978198 1103445 0 0 0 0 715447 732735 0 0 0 344735 266414 1060182 999149 -81984 104296 2456796 2604531 43434 77023 2413362 2527508 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 416460 COMPLAINT INVESTIGATION AND FACILITY MONITORING: STATE CERTIFIED OMBUDSMEN MONITOR FACILITIES FOR QUALITY OF CARE, QUALITY OF LIFE AND VIOLATION OF RESIDENTS' RIGHTS. IN 2019-2020 FISCAL YEARS, THE FOLLOWING FACILITIES WERE INCLUDED IN ITS JURISDICTION:17 NURSING HOMES WITH 1674 BEDS, 267 RESIDENTIAL CARE FACILITIES FOR THE ELDERLY WITH 5383 BEDS,36 INTERMEDIATE CARE FACILITIES WITH 210 BEDS, 105 ADULT RESIDENTIAL FACILITIES FOR THE DISABLED WITH 645 BEDS, 9 ADULT RESIDENTIAL FACILITIES FOR PERSONS WITH SPECIAL HEALTH NEEDS WITH 37 BEDS, 105 ADULT DAY FACILITIES FOR THE DEVELOPMENTALLY DISABLED WITH 645 CLIENTS, 23 ADULT DAY HEALTH CARE PROGRAMS WITH 1208 CLIENTS, 5 ADULT RESIDENTIAL CARE FACILITY WITH PERSONS WITH SPECIAL CARE NEEDS 66 BEDS. TOTAL OF 462 FACILITIES WITH 9,223 CLIENTS. OMBUDSMEN MADE A TOTAL OF 3,795 VISITS TO THE FACILITIES AND INVESTIGATED AND CLOSED 1,181 CASES ENCOMPASSING 1,298 COMPLAINTS, 117 OF WHICH INVOLVED ALLEGATIONS OF ABUSE. 138820 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 30 DAYS. 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 4,228 VOLUNTEER HOURS OVER THE ONE YEAR PERIOD, VALUED AT $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. 138820 COMMUNITY EDUCATION AND ADVOCACY: OMBUDSMAN SERVICES CONTRIBUTE TO THE OVERALL HEALTH LITERACY OF RESIDENTS IN SAN MATEO COUNTY THROUGH ITS EDUCATIONAL OUTREACH. IN FY 2019-2020 WE ACCOMPLISHED THE FOLLOWING: (1)HELD 49 COMMUNITY EDUCATION EVENTS EDUCATING THE GENERAL PUBLIC ON LONG-TERM CARE, THE ROLE OF THE OMBUDSMAN AND OTHER RELATED ISSUES. (2)PROVIDED INDIVIDUAL CONSULTATION TO 1,026 PEOPLE SEEKING INFORMATION ON OUR SERVICES OR OTHER AGING ISSUES. (3)CONDUCTED 8 IN-SERVICE EDUCATIONAL EVENTS FOR FACILITY STAFF AND PROVIDED 1,329 CONSULTATIONS TO STAFF MEMBERS. 694100 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 14 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 115090 0 0 115090 0 0 1 0 0 0 0 658578 226433 885011 54717 54717 327662 287661 40001 40001 40001 IN KIND VOLUNTEERING 900099 120334 120334 OTHER PROGRAM INCOME 900099 3382 3382 123716 1103445 178433 40001 0 X 128217 86222 41995 504672 339376 165296 46889 31531 15358 52957 35612 17345 14000 14000 120334 120334 20471 13766 6705 3044 2047 997 12000 12000 14983 10076 4907 2340 1574 766 8309 5588 2721 FUNDRAISING EVENTS 40609 27308 13301 COMPUTER REPAIR 7608 5116 2492 MEMBERSHIP DUES 4379 2945 1434 TELEPHONE 4253 2860 1393 14084 9745 4339 999149 694100 305049 0 28238 156815 126831 118908 7377 7978 26811 18777 6017 8034 2288333 2312796 2456796 2604531 43434 77023 43434 77023 X 0 0 0 0 2413362 2527508 2413362 2527508 2456796 2604531 104296 20848 -10998 0 X 0 1 X 0 0 X 746367 773728 710659 733720 885011 3849485 746367 773728 710659 733720 885011 3849485 3849485 73388 63014 55093 59429 54717 305641 165509 193717 157463 123716 640405 4795531 0.80270 0.80480 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. MISCELLANEOUS INCOME - 2016 AMOUNT: $ 10. 2017 AMOUNT: $ 2,119. 2018 AMOUNT: $ 22. 2019 AMOUNT: $ 3,382. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 26811 18777 8034 8034 INVESTMENT IN MUTUAL FUNDS 2312796 F 2312796 1113295 20848 20848 1092447 10998 10998 1103445 999149 0 999149 0 999149 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. FORM 990, PART IX, LINE 11G IN KIND VOLUNTEERING: PROGRAM SERVICE EXPENSES 120,334. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 120,334.