2023-11-13T16:31:15-06:00 2023-06-30 270472389 C G UHLENBERG LLP 46560 FREMONT BLVD SUITE 403 FREMONT CA 94538 990 2022-07-01 943397402 OMBUDSMAN SERVICES OF SAN MATEO COUNTY INC OMBU 6507805707 1455 MADISON AVE REDWOOD CITY CA 94061 ELYSE BRUMMER EXECUTIVE DIRECTOR 6507805702 2023-11-07 1 ELYSE BRUMMER 999009999 0 PEGGY H CHEN P00910398 5107708680 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z ELYSE BRUMMER 1455 MADISON AVE REDWOOD CITY CA 94061 6465727 0 X WWW.OSSMC.ORG X 2001 CA TO INVESTIGATE SUSPECTED ABUSE OF THE ELDERLY IN LONG-TERM CARE FACILITIES. 7 7 16 33 343415 0 946176 776861 0 0 157165 343415 89634 114954 1192975 1235230 0 0 0 0 782104 784381 0 0 0 317816 339801 1099920 1124182 93055 111048 2767533 2735280 57109 51391 2710424 2683889 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 365896 COMPLAINT INVESTIGATION AND FACILITY MONITORING: STATE CERTIFIED OMBUDSMEN MONITOR FACILITIES FOR QUALITY OF CARE, QUALITY OF LIFE AND VIOLATION OF RESIDENTS' RIGHTS. IN 2022-2023 FISCAL YEARS, THE FOLLOWING FACILITIES WERE INCLUDED IN ITS JURISDICTION: 16 NURSING HOMES WITH 1,670 BEDS237 RESIDENTIAL CARE FACILITIES FOR THE ELDERLY WITH 5,367 BEDS, 33 INTERMEDIATE CARE FACILITIES WITH 198 BEDS25 ADULT DAY HEALTH CARE PROGRAMS WITH 1,329 CLIENTS116 ADULT RESIDENTIAL FACILITIES FOR THE DEVELOPMENTALLY DISABLED WITH 669 CLIENTS5 SOCIAL REHAB FACILITIES WITH 66 CLIENTS (CONTINUED)TOTAL OF 431 FACILITIES WITH 9,299 CLIENTS. OMBUDSMEN MADE A TOTAL OF 4,649 VISITS TO THE FACILITIES AND INVESTIGATED AND CLOSED 1,080 CASES ENCOMPASSING 1,184 COMPLAINTS. 121965 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 2022-2023 WE TRAINED AND CERTIFIED 6 NEW OMBUDSMEN WHO ACTIVELY JOINED OUR TEAM IN THE FIELD, BRINGING THE NUMBER UP TO 33 VOLUNTEER FIELD OMBUDSMEN ACTIVE IN THE PROGRAM. DURING THE YEAR, 33 STATE-CERTIFIED OMBUDSMEN PROVIDED A (CONTINUED) TOTAL OF 4,039 VOLUNTEER HOURS OVER THE ONE-YEAR PERIOD, VALUED AT ABOUT $114,954. IN ADDITION, WE PROVIDED 12 TWO-HOUR TRAINING SESSIONS THROUGHOUT THE YEAR TO ALL OMBUDSMEN WHO MUST ATTEND 18 HOURS OF ONGOING TRAINING EACH YEAR TO MAINTAIN STATE CERTIFICATION. 121965 COMMUNITY EDUCATION AND ADVOCACY: OMBUDSMAN SERVICES CONTRIBUTE TO THE OVERALL HEALTH LITERACY OF RESIDENTS IN SAN MATEO COUNTY THROUGH ITS EDUCATIONAL OUTREACH. IN FY 2022-2023 WE ACCOMPLISHED THE FOLLOWING:- HELD 53 COMMUNITY EDUCATION EVENTS EDUCATING THE GENERAL PUBLIC ON LONG-TERM CARE, THE ROLE OF THE OMBUDSMAN AND OTHER RELATED ISSUES. - PROVIDED INDIVIDUAL CONSULTATION TO 490 PEOPLE SEEKING INFORMATION ON OUR SERVICES OR OTHER AGING ISSUES - CONDUCTED 3 IN-SERVICE EDUCATIONAL EVENTS FOR FACILITY STAFF AND PROVIDED 175 CONSULTATION HOURS TO STAFF MEMBERS. 609826 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 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 16 1 0 0 0 0 0 0 0 0 X 7 7 0 0 0 0 0 1 0 1 1 0 0 1 0 0 0 1 1 0 CA X ELYSE BRUMMER 6507805702 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 BERNADETTE MELLOTT EXECUTIVE DIRECTOR 40.00 X X 152901 0 0 CHET LEXVOLD DIRECTOR 2.50 X 0 0 0 SHARMIN NABI DIRECTOR 2.50 X 0 0 0 152901 0 0 1 0 1 0 0 557466 219395 776861 61274 61274 5512638 5230497 282141 282141 282141 IN KIND VOLUNTEERING 900099 114954 114954 114954 1235230 114954 343415 0 X 152901 77643 75258 547473 278016 269457 24867 12628 12239 59140 30032 29108 14000 14000 114954 114954 32519 16514 16005 3372 1712 1660 12000 12000 19074 9686 9388 138 138 3221 1636 1585 9341 4743 4598 FUNDRAISING EVENTS 87766 44569 43197 PROFESSIONAL SERVICES- 12271 0 12271 COMPUTER REPAIR 10255 5207 5048 VOLUNTEER EXPENSE 4887 4887 0 16003 7599 8404 1124182 609826 514356 0 305904 170634 128141 152980 8157 9595 25129 13722 14870 11407 2310461 2390664 2767533 2735280 57109 51391 57109 51391 X 0 0 0 0 2710424 2683889 2710424 2683889 2767533 2735280 111048 -132784 -4799 0 X 0 1 X 0 0 X 733720 885011 1017668 946176 776861 4359436 733720 885011 1017668 946176 776861 4359436 4359436 59429 54717 47043 67381 61274 289844 157463 123716 61033 89634 114954 546800 5196080 0.83900 0.82520 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: IN-KIND PROGRAM INCOME - 2018 AMOUNT: $ 157,441. 2019 AMOUNT: $ 120,334. 2020 AMOUNT: $ 61,033. 2021 AMOUNT: $ 89,634. 2022 AMOUNT: $ 114,954. MISCELLANEOUS INCOME - 2018 AMOUNT: $ 22. 2019 AMOUNT: $ 3,382. 2020 AMOUNT: $ 0. 2021 AMOUNT: $ 0. 2022 AMOUNT: $ 0. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 25129 13722 11407 11407 INVESTMENT IN EQUITY SECURITIES 2390664 F 2390664 1097646 -132784 -132784 1230430 4799 4799 1235229 1124182 0 1124182 0 1124182 X 0 0 0 0 0 0 0 0 0 BERNADETTE MELLOTT EXECUTIVE DIRECTOR 147901 0 5000 0 0 0 0 0 0 0 152901 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. FORM 990, PART IX, LINE 11G IN KIND VOLUNTEERING: PROGRAM SERVICE EXPENSES 114,954. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 114,954.