Case #0501 San Joaquin County Adult Protective Services Reason for Investigation:

The San Joaquin County Board of Supervisors change the future bidding process to a Request for Proposal as opposed to the current Invitation for Bid. This will allow for the contract to be awarded on quality service rather than Alowest cost.

HSA provide specific elements for mandatory training to the contracted agency for the care givers including but not limited to: o Identifying and Reporting Elder Abuse o CPR o First Aid

HSA conduct quarterly monitoring of the contracted agency to ensure that both the programmatic as well as fiscal elements of the contract met compliance.

APS develop and implement a formal process for requesting conservatorship in cases of abuse and neglect.

San Joaquin County Public Conservator/Guardian develop and implement a formal procedure for referrals from APS when requesting conservatorship.

San Joaquin County Public Conservator/Guardian maintain a log of all referrals with documentation via a computer database.

San Joaquin County Public Conservator/Guardian and APS develop a memorandum of understanding governing the procedure for referrals between the two agencies, which includes an appeal process in relationship to the handling of elder abuse cases where the possible need for conservatorship has been identified. RESPONSE REQUIRED: Pursuant to Section 933.05 of the Penal Code: The Human Services Agency, Department of Aging and the San Joaquin County Public Conservator/Guardian shall report to the Presiding Judge of the San Joaquin Superior Court, in writing and within 90 days of publication of this report, the response indicates one of the following. As to each finding in the report a response indicating one of the following: a. The respondent agrees with the finding. b. The respondent disagrees with the finding, with an explanation of the reasonstherefore. As to each recommendation, a response indicating one of the following: a. The recommendation has been implemented, with a summary of the action taken. b. The recommendation has not yet been implemented, but will be with a time frame for implementation. c. The recommendation requires further analysis, with an explanation of the scope of the analysis and a time frame not to exceed (6) six months. d. The recommendation will not be implemented, with an explanation therefore.