Annual Report - Independent Living Services For Older Individuals Who Are Blind

RSA-7-OB for Puerto Rico Vocational Rehabilitation Administration - H177B150052 report through September 30, 2015

Instructions

Introduction

The revised ED RSA-7-OB form incorporates revisions to the four established performance measures for the Independent Living Services for Older Individuals who are Blind (IL-OIB) program. Added in 2007, these measures aim to better reflect the program’s impact on individual consumers and the community.

Added to capture information that may be required to meet GPRA guidelines, the performance measures can be found under Part VI: Program Outcomes/Performance Measures as follows:

Measure 1.1

Of individuals who received AT (assistive technology) services and training, the percentage who regained or improved functional abilities previously lost as a result of vision loss.

Measure 1.2

Of individuals who received orientation and mobility (O & M) services, the percentage who experienced functional gains or maintained their ability to travel safely and independently in their home and/or community environment.

Measure 1.3

Of individuals who received services or training in alternative non-visual or low vision techniques, the percentage that experienced functional gains or were able to successfully restore and maintain their functional ability to engage in their customary life activities within their home environment and community.

Measure 1.4

Of the total individuals served, the percentage that reported that they are in greater control and are more confident in their ability to maintain their current living situation as a result of services.

Revisions to these established program performance measures consists of the following additional five items:

E1. Enter the Number of individuals served who reported feeling that they are in greater control and are more confident in their ability to maintain their current living situation as a result of services they received (Closed/inactive cases only)

E2. Enter the number of individuals served who reported feeling that they have less control and confidence in their ability to maintain their current living situation as a result of services they received (closed/inactive cases only)

E3. Enter the number of individuals served who reported no change in their feelings of control and confidence in their ability to maintain their current living situation as a result of services they received (closed/inactive cases only)

E4. Enter the number of individuals served who experienced changes in lifestyle for reasons unrelated to vision loss. (closed/inactive cases only)

E5. Enter the number of individuals served who died before achieving functional gain or experiencing changes in lifestyle as a result of services they received. (closed/inactive cases only)

Submittal Instructions

OIB grantees are expected to complete and submit the 7-OB Report online through RSA’s website (https://rsa.ed.gov), unless RSA is notified of pertinent circumstances that may impede the online submission.

To register with RSA’s MIS, please go to https://rsa.ed.gov and click on Info for new users. The link provides instructions for obtaining an agency-specific username and password. Further instructions for completing and submitting the 7-OB Report online will be provided upon completion of the registration process.

OIB grantees submitting the 7-OB Report online are not required to mail signed copies of the 7-OB Report to RSA, but they must certify in the MIS that the signed and dated 7-OB Report and lobbying certification forms are retained on file.

The Report submittal deadline is no later than December 31 of the reporting year.

Part I: Funding Sources for Expenditures And Encumbrances — Instructions

Please note: Total expenditures and encumbrances for direct program services in Part I (C) must equal the total funds spent on service in Part IV. Part I C must equal the sum of Part IV A1+B1+C1+D1.

A. Funding SourceS for Expenditures and encumbrances in reported fy

A1. Enter the total amount of Title VII-Chapter 2 funds expended or encumbered during the reported FY. Include expenditures or encumbrances made from both carryover funds from the previous FY and from the reported FY grant funds.

A2. Enter the total of any other federal funds expended or encumbered in the Title VII-Chapter 2 program during the reported FY. Designate the funding sources and amounts in (a) through (e).

A3. Enter the total amount of state funds expended or encumbered in the Title VII - Chapter 2 program. Do not include in-kind contributions (e.g., documented value of services, materials, equipment, buildings or office space, or land).

A4. Enter the total amount of third party contributions including local and community funding, non-profit or for-profit agency funding, etc. Do not include in-kind contributions (e.g., documented value of services, materials, equipment, buildings or office space, or land).

A5. Enter the total amount of in-kind contributions from non-federal sources. Include value of property or services that benefit the Title VII-Chapter 2 program (e.g. the fairly evaluated documented value of services, materials, equipment, buildings or office space or land).

A6. Enter the total matching funds (A3 + A4 + A5). Reminder: The required non-federal match for the Title VII-Chapter 2 program is not less than $1 for each $9 of federal funds provided in the Title VII-Chapter 2 grant. Funds derived from or provided by the federal government, or services assisted or subsidized to any significant extent by the federal government, may not be included in determining the amount of non-federal contributions.

A7. Enter the total amount of all funds expended and encumbered (A1 + A2 + A6) during the reported fiscal year.

B. Total expenditures and encumbrances allocated to administrative, support staff, and general overhead costs

Enter the total amount of expenditures and encumbrances allocated to administrative, support staff, and general overhead costs. Do not include costs for direct services provided by agency staff or the costs of contract or sub-grantee staff that provide direct services under contracts or sub-grants. If an administrator spends a portion of his or her time providing administrative services and the remainder providing direct services, include only the expenditures for administrative services.

C. Total expenditures and encumbrances for direct program services

Enter the total amount of expenditures and encumbrances for direct program services by subtracting line B from line A7.

Part II: Staffing — Instructions

Base all FTE calculations upon a full-time 40-hour workweek or 2080 hours per year. Record all FTE assigned to the Title VII-Chapter 2 program irrespective of whether salary is paid with Title VII-Chapter 2 funds.

A. Full-time Equivalent (FTE) Program Staff

A1. Under the “Administrative & Support” column (A1a), enter the full-time equivalent (FTE) of all administrative and support staff (e.g. management, program directors, supervisors, readers, drivers for staff, etc.) assigned to the Title VII-Chapter 2 program from the State agency. (For example, if 20% or 8 hours per week of a staff person’s time were spent on administrative and support functions related to this program, the FTE for that staff person would be .2). Under the “Direct Services” column (A1b), enter the FTE of all direct service staff (e.g. rehabilitation teacher, IL specialist, orientation and mobility specialist, social worker, drivers for individuals receiving services, etc.) assigned to the Title VII-Chapter 2 program from the State agency. If administrative or support staff of the State agency also provide direct services, report the FTE devoted to direct services in the “Direct Services” column (A1b). (For example, if 80% of a staff person’s time were spent in providing direct services, the FTE for that person would be 8). Finally, add across the “Administrative & Support” FTE (A1a) and “Direct Service” FTE (A1b) to enter the total State agency FTE in the TOTAL (A1c) column.

A2. Under the “Administrative & Support” column (A2a), enter the full-time equivalent (FTE) of all administrative and support staff (e.g. management, program directors, supervisors, readers, drivers for staff, etc.) assigned to the Title VII-Chapter 2 program from contractors or sub-grantees. Under the “Direct Services” column (A2b), enter the FTE of all direct service staff (e.g. rehabilitation teacher, IL specialist, orientation and mobility specialist, social worker, driver for individuals receiving services, etc.) assigned to the Title VII-Chapter 2 program from contractors and sub-grantees. If administrative staff of the contractors or sub-grantees also provides direct services, report the FTE devoted to direct services in the “Direct Services” column (A2b). Finally, add across the “Administrative & Support” FTE (A2a) and “Direct Service” FTE (A2b) to enter the total contractor or sub-grantee FTE in the TOTAL (A2c) column.

A3. Add each column for A1 and A2 and record totals on line A3.

B. Employed or advanced in employment

B1. Enter the total number of employees (agency and contractor/sub-grantee staff) with disabilities (include blind and visually impaired not 55 or older), including blindness or visual impairment, in B1a. Enter the FTE of employees with disabilities in B1b. (To calculate B1b, add the total number of hours worked by all employees with disabilities and divide by 2080 to arrive at the FTE)

B2. Enter the total number of employees (agency and contractor/sub-grantee staff) who are blind or visually impaired and age 55 and older in B2a. Enter the FTE of employees who are blind or visually impaired and age 55 or older in B2b. (To calculate B2b, add the total number of hours worked by employees who are blind or visually impaired and age 55 and older and divide by 2080 to arrive at the FTE)

B3. Enter the total number of employees (agency and contractor/sub-grantee staff) who are members of racial/ethnic minorities in B3a. Enter the FTE of employees who are members of racial/ethnic minorities in B3b. (To calculate B3b, add the total number of hours worked by employees who are members of racial/ethnic minorities and divide by 2080 to arrive at the FTE)

B4. Enter the total number of employees (agency and contractor/sub-grantee staff) who are women in B4a. Enter the FTE of employees who are women in B4b. (To calculate B4b, add the total number of hours worked by women and divide by 2080 to arrive at the FTE)

B5. Enter the total number of employees (agency and contractor/sub-grantee staff) who are ages 55 and older, but not blind or visually impaired, in B5a. Enter the FTE of employees who are ages 55 and older, but not blind or visually impaired, in B5b. (To calculate B5b, add the total number of hours worked by employees who are ages 55 and older, but not blind or visually impaired, and divide by 2080 to arrive at the FTE)

C. Volunteers

C1. Enter the FTE of program volunteers in C1. (To calculate C1, add the total number of hours worked by all program volunteers and divide by 2080 to arrive at the FTE).

Part III: Data on Individuals Served — Instructions

Provide data in all categories on program participants who received one or more services during the fiscal year being reported.

A. Individuals Served

A1. Enter the number of program participants carried over from the previous federal fiscal year who received services in this reported FY (e.g. someone received services in September (or any other month) of the previous FY and continued to receive additional services in the reported FY).

A2. Enter the number of program participants who began receiving services during the reported fiscal year irrespective of whether they have completed all services.

A3. Enter the total number served during the reported fiscal year (A1 + A2).

B. Age

B1-B10. Enter the total number of program participants served in each respective age category.

B11. Enter the sum of B1 through B10. This must agree with A3.

C. Gender

C1. Enter the total number of females receiving services.

C2. Enter the total number of males receiving services.

C3. Enter the sum of C1 and C2. This must agree with A3.

D. Race/Ethnicity

Hispanic or Latino means a person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin, regardless of race.

D1. Enter the number of individuals served who are Hispanic/Latino of any race or Hispanic/Latino only. Hispanic/Latino means a person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin, regardless of race.

D2. Enter the number of individuals served who are American Indian or Alaska Native. American Indian or Alaska Native means a person having origins in any of the original peoples of North and South America (including Central America), and who maintains tribal affiliation or community attachment.

D3. Enter the number of individuals served who are Asian. Asian means a person having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian subcontinent including, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand, and Vietnam.

D4. Enter the number of individuals served who are Black or African American. Black or African American means a person having origins in any of the black racial groups of Africa. Terms such as “Haitian” may be used.

D5. Enter the number of individuals served who are Native Hawaiian or Other Pacific Islander. Native Hawaiian or Other Pacific Islander means a person having origins in any of the original peoples of Hawaii, Guam, Samoa, or other Pacific Islands.

D6. Enter the number of individuals served who are White or Caucasian. White means a person having origins in any of the original peoples of Europe, the Middle East, or North Africa.

D7. Enter the number of individuals served who report two or more races but who are not Hispanic/Latino of any race.

D8. Enter “race and ethnicity unknown” only if the consumer refuses to identify race and ethnicity.

D9. Enter the total of D1 through D8. This number must agree with A3.

E. Degree of Visual Impairment

E1. Enter the number of individuals served who are totally blind (e.g. have light perception only or no light perception).

E2. Enter the number of individuals served who are legally blind (excluding those recorded in E1).

E3. Enter the number of individuals served who have severe visual impairment.

E4. Add E1 + E2 + E3 and enter the total. This number must agree with A3.

F. Major Cause of Visual Impairment

(Please note that the primary site for the definitions of diseases is http://www.nia.nih.gov/AboutNIA/StrategicPlan/ResearchGoalA/Subgoal1.htm.)

Enter only one major cause of visual impairment for each individual served.

F1. Enter the number of individuals served who have macular degeneration as the major cause of visual impairment. Age-related macular degeneration (AMD) is a progressive disease of the retina wherein the light-sensing cells in the central area of vision (the macula) stop working and eventually die. The cause of the disease is thought to be a combination of genetic and environmental factors, and

It is most common in people who are age 60 and over. AMD is the leading cause of legal blindness in senior citizens.

F2. Enter the number of individuals served who have diabetic retinopathy as the major cause of visual impairment. Diabetic retinopathy is the leading cause of new cases of legal blindness among working-age Americans and is caused by damage to the small blood vessels in the retina. It is believed that poorly controlled blood sugar levels are related to its progression. Most persons with diabetes have non-insulin-dependent diabetes mellitus (NIDDM) or what is commonly called “adult-onset” or Type II diabetes, and control their blood sugar with oral medications or diet alone. Others have insulin-dependent diabetes mellitus (IDDM), also called "younger or juvenile-onset" or Type I diabetes, and must use insulin injections daily to regulate their blood sugar levels.

F3. Enter the number of individuals served who have glaucoma as the major cause of visual impairment. Glaucoma is a group of eye diseases causing optic nerve damage that involves mechanical compression or decreased blood flow. It is permanent and is a leading cause of blindness in the world, especially in older people.

F4. Enter the number of individuals served who have cataracts as the major cause of visual impairment. A cataract is a clouding of the natural lens of the eye resulting in blurred vision, sensitivity to light and glare, distortion, and dimming of colors. Cataracts are usually a natural aging process in the eye (although they may be congenital) and may be caused or accelerated by other diseases such as glaucoma and diabetes.

F5. Enter the number of individuals served who have any other major cause of visual impairment.

F6. Enter the sum of F1 through F5. This number must agree with A3.

G. Other Age-Related Impairments

Enter the total number of individuals served in each category. Individuals may report one or more non-visual impairments/conditions. The National Institute on Aging (NIA) Strategic Plan identifies age-related diseases, disorders, and disability including the following categories.

G1. Hearing Impairment: Presbycusis is the gradual hearing loss that occurs with aging. An estimated one-third of Americans over 60 and one-half of those over 85 have some degree of hearing loss. Hearing impairment occurs when there is a problem with or damage to one or more parts of the ear, and may be a conductive hearing loss (outer or middle ear) or a sensorineural hearing loss (inner ear) or a combination. The degree of hearing impairment can vary widely from person to person. Some people have partial hearing loss, meaning that the

Ear can pick up some sounds; others have complete hearing loss, meaning that the ear cannot hear at all. One or both ears may be affected, and the impairment may be worse in one ear than in the other.

G2. Diabetes: Diabetes is a disease in which the body does not produce or properly use insulin, a hormone that is needed to convert sugar, starches and other food into energy needed for daily life. Type 2 diabetes, which results from insulin resistance and abnormal insulin action, is most prevalent in the older population. Diabetes complications, such as heart disease and loss of sight, increase dramatically when blood sugar is poorly controlled and often develop before diabetes is diagnosed.

G3. Cardiovascular Disease and Strokes: Diseases of the heart and blood vessels are the leading cause of hospitalization and death in older Americans. Congestive heart failure is the most common diagnosis in hospitalized patients aged 65 and older.

G4. Cancer: The second leading cause of death among the elderly is cancer, with individuals age 65 and over accounting for 70 percent of cancer mortality in the United States. Breast, prostate, and colon cancers, are common in older people.

G5. Bone, Muscle, Skin, Joint, and Movement Disorders: Osteoporosis (loss of mass and quality of bones), osteoarthritis (inflammation and deterioration of joints), and sarcopenia (age-related loss of skeletal muscle mass and strength) contribute to frailty and injury in millions of older people. Also contributing to loss of mobility and independence are changes in the central nervous system that control movement. Cells may die or become dysfunctional with age, as in Parkinson's disease. Therefore, older people may have difficulty with gross motor behavior, such as moving around in the environment, or with fine motor skills, such as writing.

G6. Alzheimer’s Disease/Cognitive Impairment: Alzheimer’s disease is the most common type of dementia (a brain disorder that significantly affects an individual’s ability to carry out daily life activities) in older people. It and other cognitive impairments impact parts of the brain that control thought, memory, and language.

G7. Depression is widespread, often undiagnosed, and often under-treated in the elderly. It is believed to affect more than 6.5 million of the 35 million Americans who are 65 or older. Depression is closely associated with dependency and disability. Symptoms may include: loss of interest in normally pleasurable activities, persistent, vague or unexplained somatic complaints, memory complaints, change in weight, sleeping disorder, irritability or demanding behavior, lack of attention to personal care, difficulty with concentration, social withdrawal, change in appetite, confusion, delusions or hallucinations, feeling of worthlessness or hopelessness, and thought about suicide.

G8. Other Major Geriatric Concerns: Several conditions can compromise independence and quality of life in older persons including weakness and falls, urinary incontinence, benign prostatic hyperplasia, and co morbidity (co morbidity describes the effect of all other diseases an individual might have on the primary disease).

H. Type of Residence

H1. Enter the number of individuals served who live in private residence (house or apartment unrelated to senior living).

H2. Enter the number of Individuals served who live in senior living/retirement community (e.g. housing designed for those age 55 and older).

H3. Enter the number of individuals served who live in assisted living facility (e.g. housing that provides personal care and services which meet needs beyond basic provision of food, shelter and laundry).

H4. Enter the number of individuals served who live in nursing homes/long-term care facility (e.g. any facility that provides care to one or more persons who require nursing care and related medical services of such complexity to require professional nursing care under the direction of a physician on a 24 hour a day basis).

H5. Enter the number of individuals served who are homeless

H6. Enter the sum of H1, H2, H3, H4 and H5. This number must agree with A3.

I. Source of Referral

I1. Enter the number of individuals served referred by an ophthalmologist or optometrist.

I2. Enter the number of individuals served referred by a medical provider other than an ophthalmologist or optometrist.

I3. Enter the number of individuals served referred by a state vocational rehabilitation agency.

I4. Enter the number of individuals served referred by a government or social services agency defined as a public or private agency which provides assistance to consumers related to eligibility and securing entitlements and benefits, counseling, elder law services, assistance with housing, etc.

I5. Enter the number of individuals served referred by the Veterans Administration

I6. Enter the number of individuals served referred by a senior program defined as a community-based educational, recreational, or socialization program operated by a senior center, nutrition site, or senior club.

I7. Enter the number of individuals served referred by an assisted living facility defined as housing that provides personal care and services which meet needs beyond basic provision of food, shelter and laundry.

I8. Enter the number of individuals served referred by a nursing home/long-term care facility defined as any facility that provides care to one or more persons who require nursing care and related medical services of such complexity to require professional nursing care under the direction of a physician on a 24 hour a day basis.

I9. Enter the number of individuals served referred by a faith-based (religious affiliated) organization.

I10. Enter the number of individuals served referred by an independent living center (ILC) defined as a consumer-controlled, community-based, cross-disability, nonresidential private nonprofit agency that is designed and operated within a local community by individuals with disabilities, and provides an array of independent living services.

I11. Enter the number of individuals referred by a family member or friend.

I12. Enter the number of individuals who were self-referred.

I13. Enter the number of individuals referred from all other sources aside from those listed above.

I14. Enter the sum of I1, I2, I3, I4, I5, I6, I7, I8, I9, I10, I11, I12, and I13. This number must agree with A3

Part IV: Types of Services Provided and Resources Allocated — Instructions

Please note: Total expenditures and encumbrances for direct program services in Part I C must equal the total funds spent on services in Part IV. Part I C must equal the sum of Part IV A1+B1+C1+D1.

In addition, salary or costs associated with direct service staff or contractors providing

direct services should be included in the cost of services provided in A, B, C, and D.

A. Clinical / Functional Vision Assessments and Services

A1. Enter the total cost from Title VII-Chapter 2 federal grant funds (A1a) and the total cost from all other sources of program funding (A1b) for clinical and/or functional vision assessments and services, whether purchased or provided directly.

A2. Enter the total number of program participants who received clinical vision screening or vision examinations from qualified or certified professionals such as ophthalmologists or optometrists, and who received functional vision assessments or low vision evaluations to identify strategies for enhancing visual performance both without and with optical and low vision devices and equipment. Assessment areas may include functional visual acuity and fields, efficiency of vision in the performance of everyday tasks, and evaluation for low vision aids or equipment. These assessments are typically provided by skilled professionals or those who are certified or have a master’s degree in low vision rehabilitation. Do not include evaluations for orientation and mobility. These should be included in C3.

A3. Enter the total number of program participants who received surgical or therapeutic treatment to prevent, correct, or modify disabling eye conditions; and, hospitalizations related to such services. Include prescription optics in this service category. Nonprescription optics should be reported in B2.

B. Assistive Technology Devices, Aids, Services and Training

B1. Enter the total cost from Title VII-Chapter 2 federal grant funds (B1a) and the total cost from all other sources of program funding (B1b) for the provision of assistive technology devices, aids, services and training.

B2. Enter the total number of program participants who received one or more assistive technology devices and aids. As defined in Section 3(4) of the Assistive Technology Act of 2004 (Pub. L. 108-364), “assistive technology device means any item, piece of equipment, or product system whether acquired commercially, modified, or customized that is used to increase, maintain, or improve functional capabilities of individuals with disabilities.” Assistive technology devices may include such items as canes, slates, insulin gauges, CCTVs, computers, adaptive software, magnifiers, adaptive cooking items, adaptive recreational items, handwriting guides, Braillers, large button telephones, etc.

B3. Enter the total number of program participants who received one or more assistive technology services and training. As defined in Section 3(5) of the Assistive Technology Act of 2004 (PL 108-364), “assistive technology service means any service that directly assists an individual with a disability in the selection, acquisition, or use of an assistive technology device.” Services may include the evaluation of assistive technology needs of an individual, services related to acquisition of technology, costs of loan programs, maintenance and repair of assistive technology, training or technical assistance for the individual or professionals related to the use of assistive technology, programs to expand the availability of assistive technology, low vision therapy services related to the use of optical aids and devices, and other services related to the selection, acquisition, or use of an assistive technology device.

C. Independent Living and Adjustment Training and Services

C1. Enter the total cost from Title VII-Chapter 2 federal grant funds (C1a) and the total cost from all other sources of program funding (C1b) for the provision of services and adjustment training leading to independent living. Evaluation and assessment services (excluding those included in A2 or B3) leading to the planning and implementation of services and training should be included in these costs.

C2. Enter the total number of individuals who received orientation and mobility (O & M) services or travel training (i.e. learning to access public or private transportation and to travel safely and as independently as possible in the home and community with or without the use of mobility aids and devices).

C3. Enter the total number of individuals who received communication skills training (e.g. reading and writing Braille, keyboarding and computer literacy, computer skills training, using the telephone, handwriting guides, telling time, using readers, use of audio and tactile technologies for home, recreational or educational use; etc.). Training in the use of newspaper reading services and radio services should be included.

C4. Enter the total number of individuals who received personal management and daily living skills training (e.g. training in the use of adaptive aids and assistive technology devices for personal management and daily living, blindness and low vision alternative techniques for food preparation, grooming and dress, household chores, medical management, shopping, recreational activities, etc.)

C5. Enter the total number of individuals who received supportive services (e.g. reader services, transportation, personal attendant services, support service providers, interpreters, etc.) while actively participating in the program or attaining independent living goals.

C6. Enter the total number of program participants who participated in advocacy training or support network activities such as consumer organization meetings, peer support groups, etc.

C7. Enter the total number of individuals who received counseling (peer, individual or group) to assist them in adjusting to visual impairment and blindness.

C8. Enter the total number of program participants that received information and referral to other service providers, programs, and agencies (e.g. senior programs, public and private social service programs, faith-based organizations, consumer groups, etc.) to enhance adjustment, independent living, and integration into the community. Do not include individuals who received only information and referral and for whom no other services were provided.

C9. Enter the total number of individuals served who were provided any other service not listed above.

D. Community Awareness Activities / Information and Referral

D1. Enter the total cost from Title VII-Chapter 2 federal grant funds (D1a) and the total cost from all other sources of program funding (D1b) for providing information and referral services and community awareness activities/events to individuals for whom this was the only service provided (i.e. training for other professionals, telephone inquiries, general inquiries, etc.).

D2. Enter the number of individuals receiving information and referral services for whom this is the only service provided. (optional)

D3. Enter the number of community awareness events/activities in which the Chapter 2 program participated during the reported year (D3a) and the number or estimated number of individuals who benefited from these activities (D3b).

Part V: Comparison of Prior Year Activities to Current Reported Year — Instructions

A1. Program Expenditures and Encumbrances (all sources) Enter the total cost of the program for the prior fiscal year (A1a), and the fiscal year being reported (A1b). The total cost of the program can be found in Part I A7. Calculate the change (plus or minus) from the prior year to the reported year (A1c).

A2. Number of Individuals Served Enter the total number of eligible individuals served in the prior year (A2a), and in the current reported year (A2b). The total number of individuals served can be found in Part III A3. Calculate the change (plus or minus) in the numbers served from the prior year to the reported year (A2c).

A3. Number of Minority Individuals Served Enter the total number of minority individuals served in the prior year (A3a), and in the fiscal year currently being reported (A3b). The total number of minority individuals served is the total of Part III D1+D2+D3+D4+D5 +D7. Calculate the change (plus or minus) in the numbers served from the prior year to the reported year (A3c).

A4. Number of Community Awareness Activities Enter the number of community awareness activities or events in which the Chapter 2 program participated during the prior year (A4a), and in the fiscal year currently being reported (A4b). The number of community awareness activities is found in Part IV D3a. Calculate the change (plus or minus) in the number of events from the prior year to the year being reported (A4c).

A5. Number of Collaborating Agencies and Organizations Enter the number of collaborating organizations or agencies (formal agreements or informal activity) other than Chapter 2 paid sub-grantees or contractors in the prior year (A5a), and in the fiscal year currently being reported (A5b). Calculate the change (plus or minus) from the prior year to the year being reported (A5c).

A6. Number of Sub-grantees/Contractors If you provide services through sub-grantee agencies or contract, enter the number of sub-grantees or contracts in the prior year (A6a), and in the fiscal year currently being reported (A6b). Calculate the change (plus or minus) from the prior year to the year being reported (A6c). If you do not use sub-grantees, enter 0 in A6a, A6b, and A6c.

Part VI: Program Outcomes/Performance Measures — Instructions

A. Enter the number from Part IV B3 in A1. From available program data and evaluations, enter the number of individuals receiving AT (assistive technology) services and training who maintained or improved functional abilities that were previously lost or diminished as a result of vision loss in A2. (closed/inactive cases only).

In A3, from available program data and evaluations, enter the number of individuals for whom functional gains have not yet been determined at the close of the reporting period (This number would not include those individuals who are no longer receiving services and who either did not make functional gains or maintain functional ability before case closure or inactivity).

B. Enter the number from Part IV C2 in B1. From available program data and evaluations, of those receiving orientation and mobility (O & M) services, enter the number of individuals who experienced functional gains or maintained their ability to travel safely and independently in their residence and/or community environment as a result of services in B2 (closed/inactive cases only).

In B3, from available program data and evaluations, enter the number of individuals for whom functional gains have not yet been determined at the close of the reporting period (This number would not include those individuals who are no longer receiving services and who either did not make functional gains or maintain functional ability before case closure or inactivity).

C. Enter the number from Part IV C3 in C1. From available program data and evaluations, of those receiving communication skills training, enter the number of individuals who gained or maintained their functional abilities as a result of services they received in C2 (Closed/inactive cases only).

In C3, from available program data and evaluations, enter the number of individuals for whom functional gains have not yet been determined at the close of the reporting period (This number would not include those individuals who are no longer receiving services and who either did not make functional gains or maintain functional ability before case closure or inactivity).

D. Enter the number from Part IV C4 in D1. From available program data and evaluations, of those receiving daily living skills training, enter the number of individuals that experienced functional gains or successfully restored or maintained their functional ability to engage in their customary daily life activities as a result of services or training in personal management and daily living skills In D2 (Closed/inactive cases only).

In D3, enter the Number of individuals for whom functional gains have not yet been determined at the close of the reporting period (This number would not include those individuals who are no longer receiving services and who either did not make functional gains or maintain functional ability before case closure or inactivity).

E1. Enter the Number of individuals served who reported feeling that they are in greater control and are more confident in their ability to maintain their current living situation as a result of services they received (Closed/inactive cases only).

E2. Enter the number of individuals served who reported feeling that they have less control and confidence in their ability to maintain their current living situation as a result of services they received (Closed/inactive cases only).

E3. Enter the number of individuals served who reported no change in their feelings of control and confidence in their ability to maintain their current living situation as a result of services they received (Closed/inactive cases only).

E4. Enter the number of individuals served who experienced changes in lifestyle for reasons unrelated to vision loss (Closed/inactive cases only). “Change in lifestyle” is defined as any non-vision related event that results in the consumer’s reduced independence, such as moving from a private residence (house or apartment) to another type of residence e.g. living with family, senior living community, assisted living facility, nursing home/long-term facility, etc. Reduced independence could also result in employing a caregiver to enable the consumer continue to live in his/her home. Examples of events that could result in reduced independence of the consumer include loss of spouse and onset or worsening of other health conditions such as diabetes, cancer, heart disease, etc.

E5. Enter the number of individuals served who died before achieving functional gain or experiencing changes in lifestyle as a result of services they received (Closed/inactive cases only).

Part VII: Training and Technical Assistance — Instructions

On July 22, 2014, Public Law 113-128, the Workforce Innovation and Opportunity Act (WIOA) was enacted and included a new requirement under Section 751A that the RSA Commissioner shall conduct a survey of designated State agencies that receive grants under section 752 regarding training and technical assistance needs in order to determine funding priorities for such training and technical assistance. Please enter a brief description of training and technical assistance needs that you may have to assist in the implementation and improvement of the performance of your Independent Living Services for Older Individuals Who Are Blind grant (for example, financial management, reporting requirements on the 7-OB, program management, data analysis and program performance, law and applicable regulations, provision of services and service delivery, promising practices, resources and information, outreach, etc.).

Part VIII: Narrative — Instructions

Self-explanatory.

Part IX: Signature Instructions

Please sign and print the name, title and telephone number of the IL-OIB Program Director.

Part I: Funding Sources And Expenditures

Title VII-Chapter 2 Federal grant award for reported fiscal year370,635
Other federal grant award for reported fiscal year0
Title VII-Chapter 2 carryover from previous year180,919
Other federal grant carryover from previous year0
A. Funding Sources for Expenditures in Reported FY
A1. Title VII-Chapter 2473,559
A2. Total other federal0
(a) Title VII-Chapter 1-Part B0
(b) SSA reimbursement0
(c) Title XX - Social Security Act0
(d) Older Americans Act0
(e) Other0
A3. State (excluding in-kind)41,182
A4. Third party0
A5. In-kind0
A6. Total Matching Funds41,182
A7. Total All Funds Expended514,741
B. Total expenditures and encumbrances allocated to administrative, support staff, and general overhead costs32,646
C. Total expenditures and encumbrances for direct program services482,095

Part II: Staffing

FTE (full time equivalent) is based upon a 40-hour workweek or 2080 hours per year.

A. Full-time Equivalent (FTE)

Program Staff a) Administrative and Support b) Direct Service c) Total
1. FTE State Agency 0.0000 7.0000 7.0000
2. FTE Contractors 0.0000 0.0000 0.0000
3. Total FTE 0.0000 7.0000 7.0000

B. Employed or advanced in employment

a) Number employed b) FTE
1. Employees with Disabilities 0 0.0000
2. Employees with Blindness Age 55 and Older 0 0.0000
3. Employees who are Racial/Ethnic Minorities 7 7.0000
4. Employees who are Women 7 7.0000
5. Employees Age 55 and Older 0 0.0000

C. Volunteers

0.00

Part III: Data on Individuals Served

Provide data in each of the categories below related to the number of individuals for whom one or more services were provided during the reported fiscal year.

A. Individuals Served

1. Number of individuals who began receiving services in the previous FY and continued to receive services in the reported FY580
2. Number of individuals who began receiving services in the reported FY352
3. Total individuals served during the reported fiscal year (A1 + A2) 932

B. Age

1. 55-5985
2. 60-64100
3. 65-69161
4. 70-74150
5. 75-79182
6. 80-84121
7. 85-8990
8. 90-9434
9. 95-997
10. 100 & over2
11. Total (must agree with A3)932

C. Gender

1. Female581
2. Male351
3. Total (must agree with A3)932

D. Race/Ethnicity

For individuals who are non-Hispanic/Latino only

1. Hispanic/Latino of any race932
2. American Indian or Alaska Native0
3. Asian0
4. Black or African American0
5. Native Hawaiian or Other Pacific Islander0
6. White0
7. Two or more races0
8. Race and ethnicity unknown (only if consumer refuses to identify)0
9. Total (must agree with A3)932

E. Degree of Visual Impairment

1. Totally Blind (LP only or NLP)17
2. Legally Blind (excluding totally blind)247
3. Severe Visual Impairment668
4. Total (must agree with A3)932

F. Major Cause of Visual Impairment

1. Macular Degeneration116
2. Diabetic Retinopathy133
3. Glaucoma106
4. Cataracts238
5. Other339
6. Total (must agree with A3)932

G. Other Age-Related Impairments

1. Hearing Impairment14
2. Diabetes124
3. Cardiovascular Disease and Strokes141
4. Cancer15
5. Bone, Muscle, Skin, Joint, and Movement Disorders80
6. Alzheimer's Disease/Cognitive Impairment30
7. Depression/Mood Disorder7
8. Other Major Geriatric Concerns139

H. Type of Residence

1. Private residence (house or apartment)878
2. Senior Living/Retirement Community8
3. Assisted Living Facility36
4. Nursing Home/Long-term Care facility10
5. Homeless0
6. Total (must agree with A3)932

I. Source of Referral

1. Eye care provider (ophthalmologist, optometrist)297
2. Physician/medical provider0
3. State VR agency8
4. Government or Social Service Agency62
5. Veterans Administration1
6. Senior Center299
7. Assisted Living Facility0
8. Nursing Home/Long-term Care facility0
9. Faith-based organization77
10. Independent Living center68
11. Family member or friend56
12. Self-referral59
13. Other5
14. Total (must agree with A3)932

Part IV: Types of Services Provided and Resources Allocated

Provide data related to the number of older individuals who are blind receiving each type of service and resources committed to each type of service.

A. Clinical/functional vision assessments and services

Cost Persons Served
1a. Total Cost from VII-2 funds 78,196
1b. Total Cost from other funds 0
2. Vision screening / vision examination / low vision evaluation 583
3. Surgical or therapeutic treatment to prevent, correct, or modify disabling eye conditions 264

B. Assistive technology devices and services

Cost Persons Served
1a. Total Cost from VII-2 funds 95,690
1b. Total Cost from other funds 0
2. Provision of assistive technology devices and aids 139
3. Provision of assistive technology services 140

C. Independent living and adjustment training and services

Cost Persons Served
1a. Total Cost from VII-2 funds 104,900
1b. Total Cost from other funds 0
2. Orientation and Mobility training 52
3. Communication skills 16
4. Daily living skills 64
5. Supportive services (reader services, transportation, personal 35
6. Advocacy training and support networks 0
7. Counseling (peer, individual and group) 0
8. Information, referral and community integration 45
. Other IL services 10

D. Community Awareness: Events & Activities

Cost a. Events / Activities b. Persons Served
1a. Total Cost from VII-2 funds 1,800
1b. Total Cost from other funds 0
2. Information and Referral 72
3. Community Awareness: Events/Activities 27 683

Part V: Comparison of Prior Year Activities to Current Reported Year

A. Activity

a) Prior Year b) Reported FY c) Change ( + / - )
1. Program Cost (all sources) 383,894 370,625 -13,269
2. Number of Individuals Served 845 932 87
3. Number of Minority Individuals Served 845 932 87
4. Number of Community Awareness Activities 21 27 6
5. Number of Collaborating agencies and organizations 7 5 -2
6. Number of Sub-grantees 0 1

Part VI: Program Outcomes/Performance Measures

Provide the following data for each of the performance measures below. This will assist RSA in reporting results and outcomes related to the program.

Number of persons Percent of persons
A1. Number of individuals receiving AT (assistive technology) services and training 140 100.00%
A2. Number of individuals receiving AT (assistive technology) services and training who maintained or improved functional abilities that were previously lost or diminished as a result of vision loss. (closed/inactive cases only) 36 25.71%
A3. Number of individuals for whom functional gains have not yet been determined at the close of the reporting period. 3 2.14%
B1. Number of individuals who received orientation and mobility (O & M) services 52 100.00%
B2. Of those receiving orientation and mobility (O & M) services, the number of individuals who experienced functional gains or maintained their ability to travel safely and independently in their residence and/or community environment as a result of services. (closed/inactive cases only) 51 98.08%
B3. Number of individuals for whom functional gains have not yet been determined at the close of the reporting period. 1 1.92%
C1. Number of individuals who received communication skills training 16 100.00%
C2. Of those receiving communication skills training, the number of individuals who gained or maintained their functional abilities as a result of services they received. (Closed/inactive cases only) 67 418.75%
C3. Number of individuals for whom functional gains have not yet been determined at the close of the reporting period. 0 0.00%
D1. Number of individuals who received daily living skills training 64 100.00%
D2. Number of individuals that experienced functional gains or successfully restored or maintained their functional ability to engage in their customary daily life activities as a result of services or training in personal management and daily living skills. (closed/inactive cases only) 76 118.75%
D3. Number of individuals for whom functional gains have not yet been determined at the close of the reporting period. 0 0.00%
E1. Number of individuals served who reported feeling that they are in greater control and are more confident in their ability to maintain their current living situation as a result of services they received. (closed/inactive cases only) 0 n/a
E2. Number of individuals served who reported feeling that they have less control and confidence in their ability to maintain their current living situation as a result of services they received. (closed/inactive cases only) 0 n/a
E3. Number of individuals served who reported no change in their feelings of control and confidence in their ability to maintain their current living situation as a result of services they received. (closed/inactive cases only) 0 n/a
E4. Number of individuals served who experienced changes in lifestyle for reasons unrelated to vision loss. (closed/inactive cases only) 13 n/a
E5. Number of individuals served who died before achieving functional gain or experiencing changes in lifestyle as a result of services they received. (closed/inactive cases only) 2 n/a

Part VII: Training and Technical Assistance Needs

1. Program Planning -General Overview of Program Management and Staff Development -Program Design -IL Skills Modules 2. Program Evaluation -General Overview -Aspects related to design, process, outcome and impact cost-effectiveness -Consumer Satisfaction Surveys Mail or phone interviews - Unmet consumer needs and open comments. 3. Data collecting and Reporting -General Overview -Data collection results -Report and data management strategies -Case Service Record Documentation 4. Budget and Financial Management -General Overview -Federal Regulations -Budgeting -Fund Accounting 5. Financial: Resource Development -General Overview -Fee for Services Approaches 6. Assistive Technologies -General Overview

Part VIII: Narrative

A. Briefly describe the agency's method of implementation for the Title VII-Chapter 2 program (i.e. in-house, through sub-grantees/contractors, or a combination) incorporating outreach efforts to reach underserved and/or unserved populations. Please list all sub-grantees/contractors.

The Vocational Rehabilitation Administration (VRA) is the state agency in Puerto Rico responsible for the offering of rehabilitation services to individuals with disabilities who meet the eligibility requirements established under the Federal Rehabilitation Act of 1973, Title VII Chapter 2, as amended. Since 1998, the Older Blind Program in Puerto Rico, hereafter referred as MIRADA, has been the unique in-house program to provide independent living (IL), orientation and mobility (OM), assistive technology (AT) training and low vision evaluation for persons with 55 years or more, with visual impairment and residents in two regions of northeastern Puerto Rico. MIRADA continues to function with its in-house model, visiting residences and providing core services in their natural environments. Outreach activities are carried out to inform people about services provided by MIRADA. Activities are also directed to provide screening services in senior centers and public housings, in addition to the coordination of transportation for the population residing in unserved and underserved rural areas. MIRADA began FY 2015, with 580 carryover consumers and by the end of this fiscal year, we had served 932 consumers, 10% more from previous FY. The 932 consumers served were mainly from the two service regions of Arecibo (Arecibo, Vega Baja, Manatí, Morovis, Ciales, Barceloneta, Florida, Hatillo, Camuy, Orocovis, Utuado, Lares) and Bayamón (Bayamón, Cataño, Dorado, Toa Alta, Toa Baja, Barranquitas, Comerío, Naranjito, Corozal, Vega Alta) other consumers served came from municipalities such as: San Juan, Río Grande, Carolina, Trujillo Alto, San Sebastián, Ponce, Coamo, Juana Diaz, Cabo Rojo, Peñuelas, Aguada, Caguas, Las Piedras, Juncos, Guaynabo, Luquillo and Rio Grande , MIRADA worked hard to keep and maintain services in the two regions, but it also needed to provide services outside of the set regions. The following are among the services provided by MIRADA: in-home assessment, training in daily living activities and communication skills, orientations and mobility. It also educates and advises about the process of adaptation to vision loss. MIRADA began the FY 2015 with all direct service staff completed. During the first semester staff has requested in depth training on the OB Program. As a result, we were able to reach the goal for this FY to increase a 10% of our consumers served. In summary, MIRADA continues with the contracting of one adapted transportation service, two low vision specialists and the visual screening clinics in the community, with this last activity we impacted about 346 persons. This service is very important to us, since we are able to provide the services close to community and also provides the opportunity to advise the participants about the visual conditions and independent living skills training. In order to provide visual screening services in areas identified as not served during this year we awarded a service contract to a community rehabilitation program known as CAPI, Inc. This program is located in a rural region underserved area on the central park on the island identified as unserved by the State Plan for Independent Living (SPIL). MIRADA assigned $6,150.00 dollars to provide visual screening services and eyeglasses to eligible persons, through CAPI organization. The goal was to provide 50 visual screening services and 20 pair of eyeglasses. The organization reached and overtook their goal, providing 33 visual screening evaluations more than the goal of 50. This activity provides the opportunity to impact the 55 years old person about the importance to take care about the visual health. CAPI impacted 83 persons and identified 20 of them eligible for the Older Blind services. The 25% were between 60 to 64 years, 71% were female, and 41% has diabetes and 17% cardiac disease. Only 20 of the 83 persons served qualified to the eyeglasses services, the prevalent visual condition identified was 25% with glaucoma, 15% with macular degeneration and 10% with diabetic retinopathy. In summary, they provided services of visual screening to 83 persons, 20 eyeglasses and one community awareness activity, about the relation between the diabetes and visual conditions. The partnership results in better services to meet the needs of our consumers.

B. Briefly describe any activities designed to expand or improve services including collaborative activities or community awareness; and efforts to incorporate new methods and approaches developed by the program into the State Plan for Independent Living (SPIL) under Section 704.

The Older Blind Program MIRADA has developed collaborative agreements with a number of entities in order to fulfill its objective of maximizing the impact of services available to the community. The Older Blind Program MIRADA continued working with the following organizations through collaborative agreements: Library for the Blind and Physically Disabled — this organization is useful in order to obtain information of interest for the disabled population, including magazines, books, novels, short stories and a Bible in alternate formats, as well as reading assistance equipment. Special collaborative agreements were also established with the followings: Governments Senior Centers — These public organizations provide services to older people, they receive a government funds to provide food, recreational activities and coordinating services to increase the quality of their life. They were a referral source during this FY. We visited and coordinated many activities in these facilities providing visual screening services, in-house. An activity to highlight was the Alzheimer’s senior center in Carolina. This center provides services (therapeutic and recreational) to older people with this condition. Provide recreational activities and for first time we provided a visual screening to their participants. The activity was a great opportunity to talk with the caregivers about blindness awareness, and share with them some techniques to keep their independence, among their health condition and routines of live. Health Department - This Department had an initiative to impact the community about the Alzheimer’s disease. We participated in two activities during the year in Dorado and Arecibo. The MIRADA’s participation was to bring the audience information about our services and answered question from the caregivers to manage the visual loss in their patients. We are a source of referral to the Health Department to collaborate with this population. Universities- The University of Puerto Rico, Graduated School of Rehabilitation Counseling — for the fourth year, the Graduated School of Rehabilitation Counseling has requested an orientation to their students about the Title VII, Older Blind services. MIRADA is a source of referrals for them. Also during this FY impacted two more universities Turabo and Dewey, both in their academic offers provide a bachelor degree in health areas, like nursing. We participated in two orientations to their students to inform and make awareness about the blindness implications among the older population. These described organizations have been sources of referrals to the MIRADA Program. They are also promoters of MIRADA services at different locations and with other organizations. During community awareness activities, more than 683 persons received information about MIRADA services. This year many of our activities took place in senior centers, senior living facilities and municipalities. The following is a breakdown of the locations and people impacted: We provided about 13 activities to impact the community about the blindness awareness in the following municipalities: 1. Toa Alta — 30 2. Corozal — 50 3. Toa Baja — 5 4. Carolina — 19 5. Dorado — 26 6. Guaynabo — 38 7. Bayamon — 70 8. Lares — 21 9. Arecibo — 18 10. Camuy — 18 11. Comerio - 5 persons 12. Barranquitas - 4 persons 13. Naranjito — 1 person Also MIRADA included three universities campuses to provide information about our services. We impacted the University of Puerto Rico, Vocational Rehabilitation Counseling Department, Dewey University and the Turabo University. We impacted 60 persons during these activities. During the year we also participated in health fairs and information table in different parts of the island. These activities brought the opportunity to impact 100 persons. Independent living Services presentation — During this FY we developed some informative presentations to inform the community about our services. This power point presentation included examples about our work in community. Also provided techniques to manage the visual loss. a. Medicare y Mucho Mas health plan — 33 Bayamon b. Medicare y Mucho Mas health plan — 28 Manatí c. Medicare y Mucho Mas health plan — 19 Carolina 4. Visual Clinics in community — We impacted six towns with the visual clinic in the communities in: Bayamon, Toa Alta, Toa Baja, Corozal, Carolina, Dorado impacted 138 persons. We continue to promote our services in private and government facilities. We visited different towns, organizations, optics, optometrists and ophthalmologists to make them aware about the available services for the older blind population within their service areas.

C. Briefly summarize results from any of the most recent evaluations or satisfaction surveys conducted for your program and attach a copy of applicable reports.

We have received very favorable reports from the consumers we have served. We have been involving in developing a survey very brief so consumers would participate. We discovered that after sending them out to consumers very rarely received them back. We are in the process of developing a system of obtaining this information through phone calls. This appears the best way to obtain the results.

D. Briefly describe the impact of the Title VII-Chapter 2 program, citing examples from individual cases (without identifying information) in which services contributed significantly to increasing independence and quality of life for the individual(s).

Two cases have illustrated, in a special way, the accomplishments of the Program in areas related to the training of independent living skills. The services provided by the MIRADA Program contributed significantly to maintain and increase their independence. Case 1 Our case example is that of a Hispanic female, 76 years of age legally blind, and with a visual condition of Retinopathy Diabetic. She lives with her son in a private house. She worked over 30 years to the hotel business, she was an accountant for the Hotel San Juan in Puerto Rico. She told us: “I was very independent, I drove to my work every day, I had a lot of friends to share during my free time, I was a very dedicated to my house and since five years ago I am full dependent of my son. This situation is very sad to me. I don’t want to be a burden for my son. Neither had I thought to be in my house spending many hours per day seating in my chair waiting for someone to help and read my letters.” During our first intervention with the consumer she expressed her desire to be evaluated in the low vision area. After the evaluation was recommended a digital magnifier to satisfy her visual needs. She was trained to use the equipment. This device satisfied her need to read her mail and make her notes, sign checks and read the food labels in the supermarket and her home. She was very satisfied with the services received through MIRADA. Case 2 Our case example is a 58 years old Hispanic married man, legally blind, having Glaucoma for more than five years. He has diabetes type 1 and suffered depression and anxiety about his visual loss. He was referred to independent living, orientation and mobility, and low vision services. During IL training MIRADA worked with the following areas: Food management, medication organization and proper intake, time management, communication skills including telephone and hand writing techniques. Assistive technology equipment was given to him in order to reach his IL goals. A liquid level to pour the beverages, a large pill box to organize the medicaments, low vision wall clock to manage his time, a low vision telephone to organize the memory phone numbers to easy dialing, a signature guide to give the opportunity to sign his letters, bills and other documents. This training was very helpful in his daily living activities, also he expressed “I feel a positive change in my life after received the IL skills and training”. Also, he received an OM training providing the skills to use a cane inside and outside of his home. The other service was a Low Vision evaluation. The specialist works in maximize his left eye vision. After evaluation he received a hand magnifier to continue reading labels, prices, letters and receipts how he wanted. He said to be more independent and gives thanks to MIRADA because he thought was impossible to do every task that he does in this moment of his life. He recognized the positive intervention in his life from Older Blind Program. Also his wife can works with the peace of mind that her husband is safe in their home during her absence in the house.

E. Finally, note any problematic areas or concerns related to implementing the Title VII-Chapter 2 program in your state.

One of the mayor concerns for this program is that the need for services is steadily increasing as the population grows and yet the funding for OB services is decreasing. During these last years, we have tried to identify other funding sources to expand services offered by the Older Blind Program in Puerto Rico. Our goal is to have the OB program in all regions served by the Vocational Rehabilitation Administration. We believe that only a small portion of the eligible older population is reached due limited funding and in spite of our efforts to submit proposals to other funding sources. We are concerned about continued budget cuts and obtaining adequate funding to serve OB consumers. We also continue to find a significant number of consumers requesting services from unserved and underserved areas. Due to extensive rural region, with limited public transportation, we continue to confront difficulties in locating affordable and/or arranging for adequate transportation for medical evaluations and training in IL skills for our consumers. Although we were able to grant special contracts to provide transportation to consumers in some rural areas, this remains a major concern. Despite the difficulties mentioned we were able to exceed the proposed goal of consumers served by 10% more for this FY.

Part IX: Signature

Please sign and print the name, title and telephone number of the IL-OIB Program Director below.

I certify that the data herein reported are statistically accurate to the best of my knowledge.

Signed byLcdo. Ivan A. Clemente Delgado, Esq.
TitleAdministrator
Telephone787-729-0160
Date signed12/21/2015