2019-11-01T17:51:26-05:00 2019-06-30 270472389 C G UHLENBERG LLP 1301 SHOREWAY ROAD SUITE 160 BELMONT CA 94002 990 2018-07-01 943397402 OMBUDSMAN SERVICES OF SAN MATEO COUNTY INC OMBU 6507805707 711 NEVADA STREET REDWOOD CITY CA 94061 BERNADETTE MELLOTT EXEC DIRECTOR 6507805707 2019-10-21 1 PEGGY H CHEN P00910398 6502276799 209.49.60.82 2019-10-21 18:44:02 PD P C39F704C4FEE82BCE0781761E4846DE1E4E92150 C1C1DD8B074B384F57085AC6AE698EA1FF232D37 2018 2020-03-31 21:24:44Z BERNADETTE MELLOTT 711 NEVADA STREET REDWOOD CITY CA 94061 1144866 0 X WWW.OSSMC.ORG X 2001 CA TO INVESTIGATE SUSPECTED ABUSE OF THE ELDERLY IN LONG-TERM CARE FACILITIES. 10 10 13 43 27585 0 710659 733720 0 0 71501 86836 193717 157642 975877 978198 0 0 0 0 704095 715447 0 0 48924 322175 344735 1026270 1060182 -50393 -81984 2488545 2456796 38041 43434 2450504 2413362 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 378112 COMPLAINT INVESTIGATION AND FACILITY MONITORING: STATE CERTIFIED OMBUDSMEN MONITOR FACILITIES FOR QUALITY OF CARE, QUALITY OF LIFE AND VIOLATION OF RESIDENTS' RIGHTS. IN 2018-2019 FISCAL YEARS, THE FOLLOWING FACILITIES WERE INCLUDED IN ITS JURISDICTION:18 NURSING HOMES WITH 1798 BEDS, 256 RESIDENTIAL CARE FACILITIES FOR THE ELDERLY WITH 5192 BEDS,39 INTERMEDIATE CARE FACILITIES WITH 233 BEDS, 109 ADULT RESIDENTIAL FACILITIES FOR THE DISABLED WITH 669 BEDS, 79 ADULT RESIDENTIAL FACILITIES FOR PERSONS WITH SPECIAL HEALTH NEEDS WITH 233 BEDS, 37 ADULT DAY FACILITIES FOR THE DEVELOPMENTALLY DISABLED WITH 222 CLIENTS, 13 ADULT DAY HEALTH CARE PROGRAMS WITH 394 CLIENTS ,4 ADULT RESIDENTIAL CARE FACILITY WITH PERSONS WITH SPECIAL CARE NEEDS 44 BEDS. TOTAL OF 484 FACILITIES WITH 10,708 CLIENTS. OMBUDSMEN MADE A TOTAL OF 5,057 VISITS TO THE FACILITIES AND INVESTIGATED AND CLOSED 1,283 CASES ENCOMPASSING 1,915 COMPLAINTS, 259 OF WHICH INVOLVED ALLEGATIONS OF ABUSE. 126038 RECRUITMENT AND TRAINING: THE PROGRAM PROVIDES TRAINING TO VOLUNTEERS TO OBTAIN AND MAINTAIN STATECERTIFICATION. THE TRAINING PROGRAM INCLUDES 36 HOURS OF CLASSROOM TRAINING FOLLOWED BY AN INTERNSHIPPERIOD 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 2018-2019 WE TRAINED AND CERTIFIED 6 NEW OMBUDSMEN WHO ACTIVELY JOINED OUR TEAM IN THE FIELD, BRINGING THE NUMBER UP TO 43VOLUNTEER FIELD OMBUDSMEN ACTIVE IN THE PROGRAM.DURING THE YEAR, 39 STATE-CERTIFIED OMBUDSMEN PROVIDED A TOTAL OF 5,532 VOLUNTEER HOURS OVER THE ONE YEAR PERIOD, VALUED AT $157,440.72. 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. 126038 COMMUNITY EDUCATION AND ADVOCACY: OMBUDSMAN SERVICES CONTRIBUTE TO THE OVERALL HEALTH LITERACYOF RESIDENTS IN SAN MATEO COUNTY THROUGH ITS EDUCATIONAL OUTREACH. IN FY 2018-2019 WE ACCOMPLISHED THEFOLLOWING:(1)HELD 59 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 543 PEOPLE SEEKING INFORMATION ON OUR SERVICES OR OTHER AGING ISSUES. (3)CONDUCTED 20 IN-SERVICE EDUCATIONAL EVENTS FOR FACILITY STAFF AND PROVIDED 180 CONSULTATIONS TO STAFF MEMBERS. 630188 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 13 1 0 0 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 105000 0 0 105000 0 0 1 0 0 0 0 513597 220123 733720 59429 59429 194075 166490 178 27585 -178 27407 -178 27585 IN KIND VOLUNTEERING 900099 157441 157441 OTHER PROGRAM INCOME 900099 201 201 157642 978198 216893 27585 0 X 100559 76460 24099 510222 387948 122274 52138 39643 12495 52528 39940 12588 13000 13000 157441 157441 37648 28626 9022 4062 3089 973 12000 12000 17592 13376 4216 3359 2554 805 16395 12466 3929 FUNDRAISING EVENTS 48924 48924 COMPUTER REPAIR 7128 5420 1708 EDUCATION 6444 4900 1544 VOLUNTEER EXPENSE 6126 6126 14616 9640 4976 1060182 630188 381070 48924 46312 28238 83190 126831 10918 7377 22454 16437 8507 6017 2339618 2288333 2488545 2456796 38041 43434 38041 43434 X 0 0 0 0 2450504 2413362 2450504 2413362 2488545 2456796 -81984 55891 -11049 0 X 0 1 X 0 0 X 509858 746367 773728 710659 733720 3474332 509858 746367 773728 710659 733720 3474332 3474332 75310 73388 63014 55093 59429 326234 165509 193717 157463 516689 4317255 0.80480 0.82790 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. MISCELLANEOUS INCOME - 2016 AMOUNT: $ 10. 2017 AMOUNT: $ 2,119. 2018 AMOUNT: $ 22. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 22454 16437 6017 6017 INVESTMENT IN MUTUAL FUNDS 2288333 F 2288333 1023040 55891 55891 967149 11049 11049 978198 1060182 0 1060182 0 1060182 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 0. MANAGEMENT AND GENERAL EXPENSES 157,441. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 157,441.