RSA-509 - Protection & Advocacy of Individual Rights (PAIR) Program Performance Report

Kentucky (KENTUCKY OFFICE FOR PUBLIC ADVOCACY - P and A DIVISION) - H240A150018 - FY2015

General Information

Designated Agency Identification

NameKentucky Protection and Advocacy
Address5 Millcreek Park
Address Line 2
CityFrankfort
StateKentucky
Zip Code40601
E-mail Addresssusan.abbott@ky.gov
Website Addresshttp://www.kypa.net
Phone502-564-2967
TTY 800-372-2988
Toll-free Phone800-372-2988
Toll-free TTY800-372-2988
Fax502-564-0848
Name of P&A Executive DirectorJeff Edwards
Name of PAIR Director/CoordinatorSusan Abbott
Person to contact regarding reportSusan Abbott
Contact Person phone502-564-2967
Ext.0

Part I. Non-Case Services

A. Individual Information and Referral Services (I&R)

Multiple responses are not permitted.

1. Individuals receiving I&R within PAIR priority areas31
2. Individuals receiving I&R outside PAIR priority areas318
3. Total individuals receiving I&R (lines A1 + A2)349

B. Training Activities

1. Number of trainings presented by PAIR staff22
2. Number of individuals who attended training (approximate)670

Kentucky P&A provided training to educators, providers, parent groups and students on accessing services for children and accessing services for youths transitioning to the adult work. These trainings occurred in urban districts (Fayette, Boone, and Jefferson Counties) and rural districts (Rowan, Johnson, Christian, and Boyd Counties). These trainings included topics about student rights, Individualized Education Plans, alternatives to guardianship, and special education. A training was also given at First Baptist Church in Franklin County on Bullying Prevention. Staff at St. Joseph’s Children’s Home received training about Kentucky P&A. Court Designated Workers and staff at a community mental health agency received training on Individualized Education Plans. Training was provided to students at Spalding University’s Occupational Therapy Class on students transitioning into adult life. During the Deaf/Blind Transition Institute, training was provided to providers, students and parents on adult rights/guardianship and transition. Training was also provided to professionals attending the Rehabilitation Conference on abuse and neglect and Project Safe. Kentucky P&A provided information and resources at several events for PAIR eligible clients. These events included transition Fairs for high school students in Scott and Knott County, the annual ARC of Kentucky Conference, the Archdiocese of Lexington, Hear it Here in Jefferson County and Metro Disabilities Coalition in Jefferson County. Kentucky P&A visited 35 nursing facilities, met with administrators, staff and provided information about Kentucky P&A, the Interim Settlement Agreement and Kentucky’s Waiver Programs, such as the Home and Community Based Waiver, Supports for Community Living Waiver, and the Acquired Brain Injury Waiver. Kentucky P&A held two public forums where the public was invited to make comment about the work and priorities of Kentucky P&A. Notices were placed in the local newspapers, on Kentucky P&A's website, Facebook page and Twitter account. The first forum was held in Lexington, KY at the Summer Institute of Assistive Technology. Over 100 participants attended the conference and the forum. Areas identified of concern were assistive technology, employment, access to community supports, education, and healthcare. The second public forum was held at the Accessing Your Power conference in Louisville, Kentucky. About 100 individuals attended the conference and forum. Areas of concern identified were: abuse/neglect, access to community supports, education, employment and healthcare. Kentucky P&A staff takes public comment forms to trainings, and they are available when Kentucky P&A has a booth at an outreach event. The Internet survey tool, Survey Monkey, was also used to obtain public comment. Kentucky P&A received 187 public comment forms. The top five areas of concern are abuse/neglect, access to community supports, education, employment and healthcare. The comments also listed strengths of Kentucky P&A, including providing a voice for the person with a disability, visibility, keeping apprised of current laws and regulations, helping families and clients to navigate complicated systems, knowledgeable and committed to the expansion of the rights of individuals with disabilities. Areas where Kentucky P&A can improve are participating in more outreach events including outreach to the non-disability community, hire more staff, open satellite offices, and provide more public awareness.

C. Information Disseminated to the Public

1. Radio and TV appearances by PAIR staff3
2. Newspaper/magazine/journal articles2
3. PSAs/videos aired0
4. Hits on the PAIR/P&A website11,838
5. Publications/booklets/brochures disseminated798
6. Other (specify separately)0

Narrative

Kentucky P&A's Director, Jeff Edwards, was interviewed by several television stations in Jefferson County about inmates who have disabilities who remain in isolation cells in Kentucky's prisons. http://www.wdrb.com/story/29575644/sunday-edition-kentucky-jails-prisons-taking-steps-to-curb-solitary-confinement Kentucky P&A created a Kentucky Protection and Advocacy Facebook page and Twitter Account (Jeff Edwards@KYAdvocacy) in FY 2015. The Facebook page has almost 600 followers and the Twitter account has 180 followers. Information about disability related events, news articles and topics of interest are posted 3-4 times a week on both the Facebook page and Twitter account. Since November 2012, Kentucky P&A has had a disability rights advocate at the DPA office located in Prestonsburg, KY. This initiative is to increase the visibility of and number of individuals served by P&A in the eastern part of the state, an underserved geographic population. Through this new presence, we have increased our direct client representation, educated service providers on rights related issues, and provided training/resources to persons with disabilities.

Part II. Individuals Served

A. Individuals Served

Count individual once per FY. Multiple counts not permitted for lines A1 through A3.

1. Individuals still served as of October 1 (carryover from prior FY)19
2. Additional individuals served during the year24
3. Total individuals served (lines A1 + A2)43
4. Individuals w. more than 1 case opened/closed during the FY. (Do not add this number to total on line A3 above.)47

B. Individuals served as of September 30

Carryover to next FY may not exceed total on line II. A.3 above 18

C. Problem Areas/Complaints of Individuals Served

1. Architectural accessibility1
2. Employment1
3. Program access2
4. Housing2
5. Government benefits/services2
6. Transportation0
7. Education15
8. Assistive technology1
9. Voting0
10. Health care9
11. Insurance0
12. Non-government services1
13. Privacy rights0
14. Access to records0
15. Abuse7
16. Neglect4
17. Other2

D. Reasons for Closing Individual Case Files

1. Issues resolved partially or completely in individual favor16
2. Other representation found0
3. Individual withdrew complaint7
4. Appeals unsuccessful1
5. PAIR Services not needed due to individual's death, relocation etc.0
6. PAIR withdrew from case2
7. PAIR unable to take case because of lack of resources0
8. Individual case lacks legal merit0
9. Other0

Please explain

E. Intervention Strategies Used in Serving Individuals

List the highest level of intervention used by PAIR prior to closing each case file.

1. Technical assistance in self-advocacy3
2. Short-term assistance12
3. Investigation/monitoring3
4. Negotiation2
5. Mediation/alternative dispute resolution0
6. Administrative hearings6
7. Litigation (including class actions)0
8. Systemic/policy activities0

Part III. Statistical Information on Individuals Served

A. Age of Individuals Served as of October 1

Multiple responses not permitted.

1. 0 - 41
2. 5 - 2217
3. 23 - 5912
4. 60 - 643
5. 65 and over10

B. Gender of Individuals Served

Multiple responses not permitted.

1. Females18
2. Males25

C. Race/Ethnicity of Individuals Served

For individuals who are non-Hispanic/Latino only

1. Hispanic/Latino of any race0
2. American Indian or Alaskan Native0
3. Asian0
4. Black or African American10
5. Native Hawaiian or Other Pacific Islander0
6. White30
7. Two or more races2
8. Race/ethnicity unknown1

D. Living Arrangements of Individuals Served

Multiple responses not permitted.

1. Independent2
2. Parental or other family home21
3. Community residential home2
4. Foster care0
5. Nursing home13
6. Public institutional living arrangement0
7. Private institutional living arrangement3
8. Jail/prison/detention center2
9. Homeless0
10. Other living arrangements0
11. Living arrangements not known0

E. Primary Disability of Individuals Served

Identify the individual's primary disability, namely the one directly related to the issues/complaints

1. Blind/visual impairment1
2. Deaf/hard of hearing4
3. Deaf-blind1
4. Orthopedic impairment11
5. Mental illness0
6. Substance abuse0
7. Mental retardation0
8. Learning disability13
9. Neurological impairment2
10. Respiratory impairment1
11. Heart/other circulatory impairment2
12. Muscular/skeletal impairment2
13. Speech impairment0
14. AIDS/HIV1
15. Traumatic brain injury0
16. Other disability5

Part IV. Systemic Activities and Litigation

A. Systemic Activities

1. Number of policies/practices changed as a result of non-litigation systemic activities8

2. Number of individuals potentially impacted by policy changes874,000

Describe your systemic activities. Be sure to include information about the policies that were changed and how these changes benefit individuals with disabilities. Include case examples of how your systemic activities impacted individuals served.

Nursing Facilities Nursing home monitoring became a priority for FY 2015. Kentucky P&A’s focus was to gather data about the nursing home population, specifically to identify individuals who wanted to return to the community with appropriate supports and services. Examining the most recent data from CMS, The Henry J. Kaiser Family Foundation, and the Commonwealth of Kentucky, we determined that Kentucky had 287 nursing home facilities. Of the 287 nursing facilities, 97.5% were dually Medicaid and Medicare certified. For profit facilities constitutes 73% of nursing home, while 23% were nonprofit and 3% were government -owned. The nursing home population consisted of approximately 24,000 residents. Kentucky is close to the national percentage in regards to age breakdown. In Kentucky approximately 87% of nursing facility residents is ages 65 and over. The national average is 85%. There are approximately 15% of nursing home residents under the age of 65 compared to the national average of 14.9%.During FY 2015, Kentucky P &A monitored 35 nursing facilities and spoke with over 90 residents. While in the facilities, Kentucky P&A staff introduced themselves to the administrative, nursing and social work staff. Kentucky P&A staff educated nursing facility personnel about the P&A systems and our services to residents. Staff also took time to familiarize nursing facility personnel with all of Kentucky’s waiver programs, Kentucky Transitions (Money Follows the Person), and Kentucky PASSAR II services provided through the comprehensive mental health care regions. Kentucky P&A staff completed monitoring tools and toured the facilities. Kentucky P&A staff spoke to residents, some identified by nursing facility staff and other P&A staff came across through touring the facility. Kentucky P&A staff completed monitoring tools, informed residents about Kentucky P&A services, and inquired about the resident’s well-being. Many nursing home facility residents were referred to programs that provide support and services in the community. These referrals were accomplished by Kentucky P&A staff explaining to residents and nursing facility staff the process for them to make the referrals. In other instances, Kentucky P&A staff made direct referrals. Due to changes in many of Kentucky’s Medicaid waiver programs and KY Transitions, Money Follows the Person Demonstration project referral went from one central point of contact to multiple sources. Cases were opened to assist residents with eligibility determinations and ultimately transitions to the community. Comments for the Home and Community Based Waiver Regulation Kentucky Protection and Advocacy monitored the amendments to Kentucky’s Home and Community Based Waiver which targets individuals that meet nursing facility level of care. Kentucky P&A provided public comments about the regulatory changes as well as changes to the Waiver itself, and attended multiple public forums. One of the positive changes to the Waiver is that applicants will no longer be denied the Waiver when their individual budgets exceed the average costs of nursing facility care. Comments to Amendments to the Kentucky’s Hart Supported Living Program Kentucky Protection and Advocacy provided internal written comments to the amendments to Kentucky’s Hart Supported Living Program. The Hart Program provides funding for services which allow individuals to remain in their community. Kentucky’s Department for Aging and Independent Living (DAIL) oversees Hart. DAIL agreed with one of our comments that individuals would not be denied Hart funding while going through the Medicaid eligibility process. Patient Liability Kentucky P&A continued to ensure that PAIR eligible persons who incorrectly paid patient liability for their waiver services were reimbursed for those payments. Kentucky P&A worked with the Cabinet for Health and Family Services (CHFS). Letters were sent by CHFS once they department for Medicaid services determined those who had wrongfully paid. Although there were some issues with providers having to provide the initial reimbursement and then ask Department of Medicaid Services (DMS) to reimburse them, the majority of person we spoke to have now received reimbursement back to January 1, 2011. Kentucky P&A will continue to monitor the reimbursement and attempt to work out a manner in which folks who paid prior to January 1, 2011 are reimbursed. Monitoring Boarding Homes Kentucky P&A visited three boarding homes in the state. Kentucky P&A staff spoke to residents and staff about rights, including community integration and competitive employment. Residents and staff were given information about Kentucky P&A. One of the boarding homes visited was the focus of an investigation conducted by Kentucky P&A resulting in the issue of a report documenting extreme incidences of abuse and neglect. At the time of the investigation, this facility was not registered as a boarding home. However, as a result of the investigation conducted by Kentucky P&A, governmental oversight is now provided and this facility is now registered as a boarding home. Inmates with Disabilities Placed in Segregation Cells Kentucky P&A sent a comprehensive records request to the Kentucky Department of Corrections (DOC) seeking information on the number of individuals with mental illness who are currently housed in special management units (segregation units) in Kentucky’s prisons. Kentucky P&A also requested information on the number of mental health treatment professionals employed and their training level. The Department of Corrections provided partial information on one occasion because they had not yet implemented a new computer program and counting system to inform their agency on the population of inmates that they serve. The Kentucky Department of Corrections also stated that they would continue to monitor this information. They have since responded to a second records request concerning the same information. There are 350 inmates in Kentucky who have a severe mental illness residing in segregation units in Kentucky’s prisons. This accounts for one-tenth of all inmates residing in segregation units in Kentucky’s s prison. Kentucky P&A will continue to request this data and will continue this priority in 2016. Medicaid Expansion Kentucky P&A requested and received copies of the new 2015-2016 Community Mental Health Center (CMHC) contracts with the Department of Behavioral Health and reviewed the contracts for substantive changes. P&A corresponded with the contract coordinator at the department re questions about some of the changes and requested further information. Kentucky P&A reviewed and updated the CMHC power point first developed in 2014 to shepardize the legal references and include new information derived from the contract reviews. Kentucky P&A presented the new information in a presentation to staff and uploaded the new CMHC power point to the P&A website. Community Integration Supplement Kentucky P&A staff attends monthly regional transition meetings that are held at the four public psychiatric hospitals, monthly Cabinet Level Meetings and a monthly meeting with the Independent Reviewer of the Interim Settlement Agreement between the Cabinet for Health and Family Services and Kentucky Protection and Advocacy signed in 2013 to provide services and community supports to individuals residing in a personal care home. Kentucky P&A staff has regular contact with the division of Family Support within CHFS to address any difficulty individuals encounter when applying for the State Supplementation Program. At the end of the second year of the implementation of ISA, 225 individuals are being served in the community with supports made available via ISA. Suspending Rather than Terminating Medicaid Eligibility Upon Admission to a Prison or Jail Kentucky P&A contacted the Cabinet for Health and Family Services (CHFS) about the possibility of Kentucky suspending rather than terminating Medicaid eligibility upon admission to an institution like a prison, jail, or an Institute for Mental Disease (IMD). Kentucky P&A helped educate the Cabinet for Health and Family Services (CHFS) staff about how suspending would benefit Kentuckians by allowing uninterrupted access to health care. CHFS created, in fiscal year 2015, a new Medicaid category styled “incarcerated” that suspends benefits for recipients that are in jail or prison. For fiscal year 2016, Kentucky P&A is again communicating with CHFS about suspending Medicaid when recipients are admitted to an IMD. Revision of AOC-795 (petition for relief, modification or termination) Kentucky P&A provided information and comment to the Administrative Office of the Courts staff attorney who was amending the AOC-795 form which is the Petition to Modify/Restore rights under guardianship. Kentucky P&A provided copies of proposed amendments to the PAIMI Advisory Counsel who in turn provided comments to the draft process. Kentucky P&A researched and met with AOC concerning issues with the form state wide. Kentucky P&A received confirmation that the form would be amended and released to the clerks’ state wide. Delegation of Nursing Duties In 2014, the Kentucky Legislature passed House Bill 98 and Senate Bill 103. Prior to these bills, the Kentucky Board of Nursing published an advisory opinion that restricted delegation of certain nursing tasks, including insulin injections. House Bill 98 amended KRS 156.502 and KRS 158.383 to allow trained staff to administer or assist with administering insulin in schools. The advisory opinion also restricted adults in community settings because caregivers were not able to give injections unless they were the parent, guardian, or a nurse. Senate Bill 103 created a new statute, KRS 214.017 to allow caregivers of individuals with diabetes to administer or assist with administration of insulin. Kentucky P&A continued to monitor the effects of the legislation. In October, 2014, the Kentucky Board of Nursing revised the advisory opinion. The strict listing of non-delegable tasks has been removed. Also, due in part to advocacy by Kentucky P&A in the community, the advisory opinion now states that “family” is defined by the client.

B. Litigation/Class Actions

1. Number of individuals potentially impacted by changes as a result of PAIR litigation/class action efforts0
2. Number of individuals named in class actions0

Describe your litigation/class action activities. Explain how individuals with disabilities benefited from your litigation activities. Be sure to include case examples that demonstrate the impact of your litigation.

Part V. PAIR'S Priorities and Objectives

A. Priorities and Objectives for the Fiscal Year Covered by this Report

For each of your PAIR program priorities for the fiscal year covered by this report, please:

  1. Identify and describe priority.
  2. Identify the need, issue or barrier addressed by this priority.
  3. Identify and describe indicators PAIR used to determine successful outcome of activities pursued under this priority.
  4. Explain whether pursuing this priority involved collaborative efforts by other entities. If so, describe this collaboration.
  5. Provide the number of cases handled under the priority. Indicate how many of these, if any, were class actions.
  6. Provide at least one case summary that demonstrates the impact of the priority.

PAIR PPR Priorities and Objectives FY 2015 I. Abuse, Neglect, and Exploitation Individual Advocacy 1.1. Kentucky P&A will investigate all suspicious deaths. IAN will review all reports of suspicious deaths made to Kentucky P&A or made aware to Kentucky P&A. Kentucky P&A opened five suspicious death investigations of PAIR eligible clients. 1.2 Kentucky P&A will investigate all serious injuries, including those sustained during the use of physical restraint/seclusion at schools and other facilities/community programs providing services to PAIR eligible individuals with disabilities. Kentucky P&A opened four investigations of serious injuries, including those sustained during the use of physical restraints at schools and other facilities/community programs, providing services to PAIR eligible individuals. Systemic Advocacy 1.3. The Internal Abuse and Neglect (IAN) team will review Type A/B Citations, incident reports, and other notice of alleged abuse/neglect/exploitation to determine further action, including conducting primary or secondary investigations. IAN received 34 allegations of abuse and neglect of PAIR eligible clients. Of the 34 allegations received, seven incidents fell under IAN’s criteria to open as abuse and neglect investigations. The IAN tem used information provided by the facilities internal review teams, the Office of Inspector General, the Department of Community Based Services, along with meeting with the victim and reviewing records. 1.4. Kentucky P&A will participate in Project SAFE (Safety & Accessibility for Everyone) planning/educational/outreach efforts and implementation of the strategic plan. Kentucky P&A continued participation in Project SAFE (Safety & Accessibility for Everyone), a multi-disciplinary network working to build the capacity of professionals throughout Kentucky to provide safe, accessible and comprehensive person-centered services to individuals with disabilities who have been subjected to sexual assault and/or domestic violence. During FY 15, Kentucky P&A lead the subcommittee that created “Responding to Crime Victims with Disabilities: a Kentucky Resource Guide” in updating the on-line resource accessible to service providers and first responders, Participated in the annual Ending Domestic Violence/Sexual Assault Conference sponsored by the KY Domestic Violence Association and the KY Association of Sexual Assault Programs, Kentucky P&A’s advocate representative continued role as co-chair of the statewide organization, co-presented with General Counsel for the Kentucky Coalition on Domestic Violence on the rates of abuse/neglect/exploitation and Project SAFE at the Kentucky Rehabilitation Conference, Provided technical assistance to a newly created local Project SAFE collaboration located in Northern Kentucky, worked with Structural Development and Sustainability members to hold the 3rd Annual statewide Advocating to End Abuse Against People with Disabilities Summit held in Lexington, served on a panel of professionals providing feedback regarding role play to police officers participating in Crisis Intervention Team (CIT) training for Louisville Metro Police Department new recruits and state-level CIT for veteran officers, participated in 8 trainings and provided feedback to 212 officers and Participated in quarterly meetings of CIT Advisory Board for both Louisville Metro Police Department and State-wide CIT. 1.5. Kentucky P&A will participate in one anti-bullying event. Kentucky P&A participated in an Anti- Bullying Event sponsored by Kentucky Special Parent Involvement Network (KY SPIN) at Central HS in Louisville on October 2, 2014. Kentucky P&A handed out Frisbees printed with Kentucky P&A’s contact information, Kentucky P&A brochures and a variety of information on education. Case Summary: Kentucky P&A received a copy of a Type A Citation issued by the Office of Inspector General to a nursing facility for failing to make sure medications were available and administer according to phsy8icians orders. SM died at the facility. He had a history of congestive heart failure and Chronic Obstructive Pulmonary Disease. Medications were not administered as ordered by the physician. SM died of pneumonia three days after a physician prescribed the medications to treat pneumonia. The facility failed to give SM medications for two days because they failed to fill the prescriptions. Kentucky P&A reviewed facility records, requested copies of the facilities’ investigations, reviewed the facilities’ plan of correction to the Office of Inspector General, reported allegation to Adult Protective Services and notified family that the facility received a Type A Citation for failing to administer prescribed medications. II. Olmstead/Community Integration Individual Advocacy 2.1. Kentucky P&A will represent three PAIR eligible children/youth and adults with disabilities living in nursing facilities or psychiatric facilities seeking to receive services and supports in a more integrated living arrangement. Strategies include filing OCR complaints. Kentucky P&A represented four PAIR eligible adults and one PAIMI eligible child living in nursing facilities seeking to receives services and supports in an integrated community living arrangement. 2.2. Kentucky P&A will represent at least one PAIR eligible adult with disabilities at risk of institutionalization and in need of community services and supports, who do not meeting the above individual advocacy priorities under Olmstead. Kentucky P&A represented one PAIR eligible client who is at risk of institutionalization and in need of community services and supports. Systemic Advocacy 2.3. Kentucky P&A will write a report on the monitoring efforts at Level I PRTFs. During the 2015 fiscal year, Kentucky P&A’s Children and Youth team completed monitoring at nine Level 1 PRTF’s. Kentucky’s PRTFs (Residential Psychiatric Treatment Facility) are federally recognized facilities that provide psychiatric and medical services to individuals under the age of 21. No major concerns were discovered during monitoring. Resident comments were typical (i.e. don’t like the food, not enough recreation time, not happy about being in placement in general). One PRTF, Spectrum Care Academy-Columbia Campus, continues to be a facility of concern. There have been several changes of administrators at the facility during 2015 and continued incident reports of residents being injured during SCM. Several visits were made to Spectrum-Columbia Campus. Kentucky P&A will continue to monitor Spectrum closely. Census was down at several of the facilities due in part to KY’s managed care system. The providers are de-certifying the residents sooner than in previous years. 2.4. Kentucky P&A will visit 100 nursing facilities to obtain information and data regarding children and adults with disabilities living at nursing facilities and identifying barriers to those individuals moving into the least restrictive environment. Nursing home monitoring became a priority for FY 2015. Kentucky P&A’s focus was to gather data about the nursing home population, specifically to identify individuals who wanted to return to the community with appropriate supports and services. Examining the most recent data from CMS, The Henry J. Kaiser Family Foundation, and the Commonwealth of Kentucky, Kentucky P&A determined that Kentucky had 287 nursing home facilities. Of the 287 nursing facilities, 97.5% were dually Medicaid and Medicare certified. For profit facilities constitutes 73% of nursing home, while 23% were nonprofit and 3% were government -owned. The nursing home population consisted of approximately 24,000 residents. Kentucky is close to the national percentage in regards to age breakdown. In Kentucky approximately 87% of nursing facility residents is ages 65 and over. The national average is 85%. There are approximately 15% of nursing home residents under the age of 65 compared to the national average of 14.9%. During FY 2015, Kentucky P&A monitored 35 nursing facilities and spoke with over 90 residents. While in the facilities, Kentucky P&A staff introduced themselves to the administrative, nursing and social work staff. Kentucky P&A staff educated nursing facility personnel about the P&A systems and our services to residents. Staff also took time to familiarize nursing facility personnel with all of Kentucky’s waiver programs, Kentucky Transitions (Money Follows the Person), and Kentucky PASSAR II services provided through the comprehensive mental health care regions. Kentucky P&A staff completed monitoring tools and toured the facilities. Kentucky P&A staff spoke to residents, some identified by nursing facility staff and other Kentucky P&A staff came across through touring the facility. Kentucky P&A staff completed monitoring tools, informed residents about Kentucky P&A services, and inquired about the resident’s well-being. Many nursing home facility residents were referred to programs that provide support and services in the community. These referrals were accomplished by Kentucky P&A staff explaining to residents and nursing facility staff the process for them to make the referrals. In other instances, Kentucky P&A staff made direct referrals. Due to changes in many of Kentucky’s Medicaid waiver programs and Kentucky Transitions, Money Follows the Person Demonstration project referral went from one central point of contact to multiple sources. Cases were opened to assist residents with eligibility determinations and ultimately transitions to the community. 2.5. Kentucky P&A will visit all registered boarding homes and provide information about community services. Kentucky P&A visited three boarding homes in the state. Kentucky P&A staff spoke to residents and staff about rights, including community integration and competitive employment. Residents and staff were given information about Kentucky P&A. One of the boarding homes visited was the focus of an investigation conducted by Kentucky P&A resulting in the issue of a report documenting extreme incidences of abuse and neglect. At the time of the investigation, this facility was not registered as a boarding home, however, as a result of the investigation conducted by Kentucky P&A, governmental oversight is now provided and this facility is now registered as a boarding home. Case Summary: CC is a male, age 50. He is an individual who resided in nursing facility due to complications caused by stroke. He applied for KY Transitions, in 2011 but was denied due to insufficient resources available through the Home and Community Based waiver program to meet his needs. In fall 2014, Kentucky P&A staff spoke with CC to explore other options for him to return to the community. Kentucky P&A discovered, by speaking him and his mother that she was willing to relocate and to provide natural supports for him to return to the community. On reapplication, CC was determined to be eligible. The next challenge was to find accessible housing. KY Transitions working with the state’s housing agency found housing. It happened that a new apartment complex was under construction. CC’s name was placed on the list for an accessible apartment. But when the housing unit became available, CC’s mother could no longer provide nature support. Because of the financial limitations of the Home and Community Based waiver, CC again became ineligible and could not return to the community. Another challenge, but Kentucky P&A staff did not give up. Kentucky P&A staff consulted with CC to obtain further client direction. CC wanted to leave the nursing facility to live in the community. Kentucky P&A staff reviewed that situation again. This time, Kentucky P&A staff encouraged KY Transition to determine whether CC would be eligible for the Traumatic Brain Injury Long Term Care waiver. CC was found eligible. CC was transitioned to the community with appropriate supports and services. CC is joyous that he has regained control and his independence. III. Education Individual Advocacy 3.1 Kentucky P&A will represent at least three PAIR eligible children/youth in public schools who have inappropriate IEPs or who are placed in an inappropriate educational setting. This priority will include children/youth who qualify for special education, but who are not receiving any special educational services; children for whom an IEP and or BIP is not implemented as written; children for whom a district has failed to complete an FBA or MDH; children inappropriately restrained or secluded; and children/youth who have not received appropriate transition planning. Kentucky P&A represented seven PAIR eligible children/youth in public schools who had inappropriate IEPs or who were placed in inappropriate educational settings. 3.2 Kentucky P&A will complete at least one review of the education records of PAIR eligible children/youth in public schools with disabilities and determine if there has been a violation of the child/youth’s educational rights under state and/or federal law. Preference will be given to children/youth in institutions. Kentucky P&A reviewed four educational records of PAIR eligible children/youth in public schools with disabilities to determine if there was a violation of the child/youth’s educational rights under state and/or federal law. Systemic Advocacy 3.3 Kentucky P&A, along with The Arc of Kentucky and KYSPIN, will provide three trainings to parents/grandparents/foster parents on Special Education and related topics across Kentucky. Kentucky P&A partnered with SPIN and the Arc of KY to provide one day training camps to look at both the skills needed to be a strong advocate and the knowledge to understand how the IEP is developed. Through direct instruction, group and hands on learning. The following topics were included: How to understand and use the Guidance document for IEP development, preparing for meetings, working as a team member, negotiation skills and more. It is an interactive day that has received great reviews from all that have attended. Workshops were held March 21, 2015 in Lexington, May 12, 2015 in Louisville and September 26, 2015 in Hopkinsville. Case Summary: JC is an eight year old who is diagnosed with ADHD. He attends school an elementary school in eastern Kentucky. JC had only been at the school for five days when the school began trying to force his mother to place him on home-bound due to his behaviors at school. The mother reported that the school resource officer was making threats to send JC to detention and the principal told JC that the “State” was coming to take him into custody. Kentucky P&A opened the case due to the school was not following JC’s Individualized Education Plan and refused to do further assessments. Advocate attended ARC meetings and advocated for re-evaluation and revisions to his Individualized Education Plan (IEP) and Behavior Intervention Plan (BIP). JC made tremendous progress academically after revisions were made to the IEP and BIP. JC and his mother are pleased with the JC’s progress. IV. Health Care Individual Advocacy 4.1 Kentucky P&A will represent two PAIR Medicaid eligible adults, who are denied medical, dental and other health services or whose services are reduced or terminated. Kentucky P&A represented two PAIR eligible children/youth who were denied medical, dental and other health services ow whose services were reduced or terminated. 4.2 Kentucky P&A will represent two PAIR Medicaid eligible children/youth with disabilities relating to their denial of or inability to access healthcare services, including physical and behavioral health services. Priority will be given to those children/youth committed to or at-risk of commitment to DCBS solely for purpose of obtaining services. Kentucky P&A represented two PAIR Medicaid eligible children/youth with disabilities relating to their denial of or inability to access healthcare services, including physical and behavioral health services. Systemic Advocacy 4.3 Kentucky P&A will collect data regarding barriers encountered by individuals and their family members, and others, to EPSDT related services. Kentucky has not fully implemented its system of care changes. This is an ongoing process and Kentucky P&A has not been able to create informational material due to lack of implementation. 4.4 Kentucky P&A will monitor KBN and issues regarding the delegation of nursing duties involving adults/children/youth. P&A will continue advocating for other changes to the nursing delegation regulation regarding the delegation of the administration of medications and other health related services in community based settings. In 2014, the Kentucky Legislature passed House Bill 98 and Senate Bill 103. Prior to these bills, the Kentucky Board of Nursing published an advisory opinion that restricted delegation of certain nursing tasks, including insulin injections. House Bill 98 amended KRS 156.502 and KRS 158.383 to allow trained staff to administer or assist with administering insulin in schools. The advisory opinion also restricted adults in community settings because caregivers were not able to give injections unless they were the parent, guardian, or a nurse. Senate Bill 103 created a new statute, KRS 214.017 to allow caregivers of individuals with diabetes to administer or assist with administration of insulin. Kentucky P&A continued to monitor the effects of the legislation. In October, 2014, the Kentucky Board of Nursing revised the advisory opinion. The strict listing of non-delegable tasks has been removed. Also, due in part to advocacy by P&A in the community, the advisory opinion now states that “family” is defined by the client. 4.5 Kentucky P&A will create informational material (one pager, web article, newsletter article) on the system of care changes and how they relate to consumers (i.e. waiver waiting lists, EPSDT, and movement of behavioral health services to managed care and new providers. Kentucky has not fully evolved its system of care changes. As this is an ongoing process, Kentucky P&A has not yet been able to create informational material. Case Summary: OK is an adult African American male with a diagnosis of HIV and dementia. OK contacted Kentucky P&A when he received a notice of discharge from his community residential housing and supports program. The program stated that his level of care needs were too high to continue living in the staffed residence. This program is financed by grant funding and donations and there were no formal appeal rights to discharge from the program but there was an informal appeal process. Kentucky P&A represented OK in the informal appeal before the board of the program. Kentucky P&A presented doctor statements and OK personal testimony and provided records to the board. Even though OK did not succeed in maintaining placement in the residential home permanently he did secure 3 to 4 months of extended time in the residence to prepare for a smooth transition. Kentucky P&A worked with OK, his family and a case manager to apply for waiver services and to obtain alternative housing. OK ultimately transitioned out of state to live near family. V. Criminal Justice Individual Advocacy 5.1 Kentucky P&A will represent at least one PAIR eligible adult with disabilities living at jail or prison whose rights are violated due to disability. Kentucky P&A represented one PAIR eligible client living in a prison. 5.2 Kentucky P&A will represent one children/youth with disabilities committed to Department of Juvenile Justice regarding access to mental health services. Kentucky P&A did not represent any PAIR eligible children/youth committed to DJJ. - 5.3 Kentucky P&A will provide technical assistance on two cases to Department of Public Advocacy attorneys representing PAIR eligible youth or adults with disabilities who interface with the criminal justice system. Kentucky P&A provided technical assistance on two cases to DPA attorneys representing PAIR eligible adults with disabilities who interface with the criminal justice system. Systemic Advocacy 5.4 Kentucky P&A will identify and compile data about what mental health treatment is available to incarcerated individuals who have an ID/DD, TBI, SMI or other disability, including the reasons they are placed in segregation and the length of time in segregation. Kentucky P&A sent a comprehensive records request to the Kentucky Department of Corrections (DOC) seeking information on the number of individuals with mental illness who are currently housed in special management units (segregation units) in Kentucky’s prisons. Kentucky P&A also requested information on the number of mental health treatment professionals employed and their training level. The Department of Corrections provided partial information on one occasion because they had not yet implemented a new computer program and counting system to inform their agency on the population of inmates that they serve. The Kentucky Department of Corrections also stated that they would continue to monitor this information. They have since responded to a second records request concerning the same information. Kentucky P&A will continue to request this data and will continue this priority in 2016. Case Summary: SB, an inmate at the a Kentucky state prison for women, wrote a letter to Kentucky P&A stating she was not receiving adequate medical care and the supportive undergarments to wear after she had a mastectomy. SB stated she was diagnosed with breast cancer prior to her incarceration and was in the middle of radiation treatment when she was sent to prison. She stated the prison failed to take her to appointment resulting in her having a mastectomy. Post-surgery she was given beige support undergarments from the hospital; however, the prison did not let her wear them because they were not white. Kentucky P&A met with SB who stated and then contacted the warden of the facility who stated that what SB was stating was correct. All prison undergarments must be white. Kentucky P&A met with SB and she stated her surgery was nine months ago and she had not received the undergarments. Kentucky P&A contacted the warden of the prison who confirmed that all undergarments have to be white. SB contacted Kentucky P&A to stated she did receive the white supportive undergarments but not until Kentucky P&A contacted the prison. SB also stated the prison did not take her to the physical therapy appointments that were ordered by her physician who was treating her cancer. Kentucky P&A advocate gave her a list of private attorneys who practice disability law. VI. Protect, Promote, and Exercise Rights Individual Advocacy 6.1 Kentucky P&A will represent at least one PAIR individual with disabilities, who are discriminated against related to their disability, in matters related to housing, post-secondary, employment, and other, including access to goods/services/program provided by governmental agencies or entities. Kentucky P&A represented three PAIR eligible clients who were discriminated due to their disability in matters related to housing, post-secondary education, employment and other, including access to goods/services/programs provided by governmental agencies or entities. 6.2 Kentucky P&A will represent at least one individual in restoration of their right to vote. Kentucky P&A did not represent a PAIR eligible individual for restoration of their right to vote. Systemic Advocacy 6.3 Kentucky P&A will contact state guardianship regarding the number of emergency guardianship orders and due process issues. This objective was not met due to time constraints posed by other PAIMI systemic work. This priority will continue in FY 2016. 6.4 Kentucky P&A will submit a draft revision of the AOC-795(petition for relief, modification or termination) for review and implementation. Kentucky P&A provided information and comment to the Administrative Office of the Courts staff attorney who was amending the AOC-795 form which is the Petition to Modify/Restore rights under guardianship Kentucky P&A researched and met with AOC concerning issues with the form state wide. Kentucky P&A received confirmation that the form would be amended and released to the clerk’s throughout the state. Case Summary 1: SC contacted Kentucky P&A because she was told she would have to pay a daily feel to use her Cricket golf cart around Kentucky’s state parks. SM has a degenerative disc disease and her husband has disabilities due to a stroke. They enjoy taking their RV to Kentucky’s state parks and depend on the golf cart for mobility. They were told by the state parks that they could only use their golf cart to use the restroom and would have to pay a fee. Kentucky P&A worked with the state ADA office to obtain an accommodation for SC. SC and her husband can now use their cart freely around the state parks without a fee. Case Summary 2: RL was a 95 year old woman who has hearing aids and also uses a wheelchair and cane to navigate in the community. RL’s son called Kentucky P&A because she was not able to enter a local hearing aid business because the building did not have a ramp. Kentucky P&A worked with RL’s son on the accessibility issue to the hearing aid business. RL passed away, but the Department of Justice continued to work on the case. After six years, a settlement agreement was reached and the ramp was built. Although RL was not able to enjoy this victory, this effort removes barriers for others who use a wheelchair and other mobility devices. VII. Self-Advocacy Systemic Advocacy 7.1 Kentucky P&A will provide rights training and information about self-advocacy, education, voting, and guardianship to 50 youth in DJJ facilities. Kentucky P&A provided rights training and training on self-advocacy, education, voting, and guardianship at multiple DJJ facilities across the Commonwealth and presented this information to over 75 youth in DJJ facilities. Case Summary: Kentucky P&A did not represent any individuals under this priority. VIII. Outreach Individual Advocacy 8.1 Kentucky P&A will represent two individuals from underserved disability, minority, or geographic groups/populations. Kentucky P&A represented one individual from underserved disability, minority, or geographic groups/populations. Systemic Advocacy 8.2 Kentucky P&A will establish a presence at the Kentucky School for the Deaf and Kentucky School for the Blind. Kentucky P&A established a presence at the Kentucky School for the Deaf and the Kentucky School for the Blind. A meeting was scheduled with the administrators of the Kentucky School for the Deaf, but was cancelled by the Kentucky Department of Education (KDE), who acts as Superintendent of the Kentucky School for the Deaf and the Kentucky School for the Blind. After communicating Kentucky P&A’s intentions to KDE staff, the ,meeting was reconvened and Kentucky P&A was successful in initiating a presence at the School for the Deaf, was able to monitor it’s campus (which includes a residential facility), and was invited to distribute information about Kentucky P&A, including information about transitioning, supported employment and Vocational Rehabilitation Services. The Kentucky School for the Blind reached out to Kentucky P&A to include Kentucky P&A in its educational events for parents. 8.3 Kentucky P&A will participate in the Relay for Life Event in Frankfort. Staff from Kentucky P&A and the PAIMI Advisory Council participated in fund raising activities and the Relay for Life event in Franklin County to honor a former P&A staff person whose cancer is in remission. 8.4 Kentucky P&A will participate in two non-disability related outreach events. Kentucky P&A participated in several non-disability outreach events. Kentucky P&A provided information and resources to the Archdiocese Staff Resource Fair in Lexington, Kentucky and provided training at a community outreach event at a Church on Bullying prevention. 8.5 Kentucky P&A will continue to have a DRA stationed in DPA field office in Prestonsburg. Since November 2012, Kentucky P&A has had a disability rights advocate at the DPA office located in Prestonsburg, KY. This initiative is to increase the visibility of and number of individuals served by P&A in the eastern part of the state, an underserved geographic population. Through this new presence, we have increased our direct client representation, educated service providers on rights related issues, and provided training/resources to persons with disabilities. Since relocating, the disability rights advocate has contacted numerous facilities and programs in this 24 county region to discuss how best to deliver information about P&A and rights related information to the people with disabilities and those who support them. Over 70 regional facilities/programs continue to receive letters about this outreach effort and seven disability rights related information presentations have been given to over 245 people with disabilities and/or disability related support staff. The counties included in this outreach effort are as follows: Boyd, Breathitt, Carter, Clay, Elliott, Floyd, Greenup, Harlan, Johnson, Knott, Lawrence, Lee, Leslie, Letcher, Lewis, Magoffin, Martin, Menifee, Morgan, Owsley, Perry, Pike, Rowan, and Wolfe. Kentucky P&A held two public forums where the public was invited to make comment about the work and priorities of Kentucky P&A. Notices were placed in the local newspapers, on Kentucky P&A's website, Facebook page and Twitter account. The first forum was held in Lexington, KY at the Summer Institute of Assistive Technology. Over 100 participants attended the conference and the forum. Areas identified of concern were assistive technology, employment, access to community supports, education, and healthcare. The second public forum was held at the Accessing Your Power conference in Louisville, Kentucky. About 100 individuals attended the conference and forum. Areas of concern identified were: abuse/neglect, access to community supports, education, employment and healthcare. Kentucky P&A staff takes public comment forms to trainings, and they are available when Kentucky P&A has a booth at an outreach event. The Internet survey tool, Survey Monkey, was also used to obtain public comment. Kentucky P&A received 187 public comment forms. The top five areas of concern are abuse/neglect, access to community supports, education, employment and healthcare. The comments also listed strengths of Kentucky P&A, including being the voice of the person with a disability, visibility, keeping apprised of current laws and regulations, helping families and clients to navigate complicated systems, knowledgeable and committed to the expansion of the rights of individuals with disabilities. Areas where Kentucky P&A can improve are more outreach events, more outreach to non-disability community, more staff, satellite offices, more public awareness. Public Forum Protection and Advocacy Wednesday, July 29, 2015 12:00 pm-2:00 pm Am Vets Post 9 1567 South Shelby St. Louisville, KY 40217 Have your rights been violated due to a disability? We can help. Come share your ideas and concerns. If you cannot attend, please send your comments to P&A, 200 Fair Oaks Lane, 5th floor, Frankfort, KY 40601 or visit our website at www.kypa.net or call us at 1- 800-372-2988. Light Refreshments Served Haga que sus derechos se han violado debido a una discapacidad? Podemos ayudarle. Venga a compartir sus ideas y preocupaciones. Si usted no puede asistir, por favor, envíe sus comentarios a P & A, 200 Fair Oaks Lane, 5 ª planta, Frankfort, KY 40601 o visite nuestro sitio web en www.kypa.net o llámenos al 800-372-2988. Refrigerios Servidos Kentucky P&A created a Kentucky Protection and Advocacy Facebook page and Twitter Account (Jeff Edwards@KYAdvocacy) in FY 2015. The Facebook page has almost 600 followers and the Twitter account has 180 followers. Information about disability related events, news articles and topics of interest are posted 3-4 times a week on both the Facebook page and Twitter account. Case Summary: BF lives in a county in eastern Kentucky that is a 9 year old who attends an elementary school in eastern Kentucky. BH only diagnosis is ADHD. The school system felt BF did not need an IEP and wanted to reevaluate him. BF’s mother felt she could not obtain an impartial evaluation. BF’s mother took him to Cincinnati Children’s Medical Center for an evaluation. The evaluation was similar to the original evaluation. Advocate continues to work with BF and family to monitor accommodations.

B. Priorities and Objectives for the Current Fiscal Year

Please include a statement of priorities and objectives for the current fiscal year (the fiscal year succeeding that covered by this report), which should contain the following information:

  1. a statement of each prioirty;
  2. the need addressed by each priority; and;
  3. a description of the activities to be carried out under each priority.

I. Abuse, Neglect, and Exploitation Individual Advocacy Kentucky P&A will investigate all suspicious deaths. The Internal Abuse Team (IAN) will review all reports of suspicious deaths made to or that Kentucky P&A. Kentucky P&A will investigate all serious injuries, including those sustained during the use of physical restraint/seclusion at schools and other facilities/community programs providing services to individuals with disabilities. IAN will review all reports made to or that P&A. Systemic Advocacy IAN will review Type A/B Citations, incident reports, and other notices of alleged abuse/neglect/exploitation to determine further action, including conducting primary or secondary investigations. Kentucky P&A will participate in Project SAFE (Safety & Accessibility for Everyone) planning/educational/outreach efforts and implementation of the strategic plan and the Crisis Intervention Training (CIT) with the Louisville Metro Police and the state wide CIT program. Kentucky P&A will research options so that deaths in personal care homes are reported and reviewed. Kentucky P&A will create a memorandum gained under the monitoring efforts at a Level I Psychiatric Residential Treatment Facility (PRTF). II. Olmstead/Community Integration Individual Advocacy Kentucky P&A will represent or provide technical assistance to 3 PAIR eligible parents/guardians of children and/or adults living in a nursing home regarding services and supports available to allow them to live in a more integrated living arrangement. Strategies include filing OCR complaints. Kentucky P&A will represent 2 PAIR eligible adults with disabilities at risk of institutionalization and in need of community services and supports under Olmstead, who do not meeting the above individual advocacy priorities. Systemic Advocacy Kentucky P&A will continue to visit nursing facilities in each of the 14 Community Mental Health Center regions, up to 100 (1/3 of Kentucky’s nursing facilities) to obtain information and data regarding children and adults with disabilities living there to identify barriers to those individuals moving into the least restrictive environment. Kentucky P&A will educate providers and recipients of Medicaid regarding their ability to suspend Medicaid benefits. III. Education Individual Advocacy Kentucky P&A will represent at least one PAIR eligible child/youth in public schools who have inappropriate Individualized Education Program (IEP) or who are placed in an inappropriate educational setting. This priority will include children/youth who qualify for special education, but who are not receiving any special educational services; children for whom an IEP and or Behavior Intervention Plan (BIP) is not implemented as written; children for whom a district has failed to complete a Functional Behavioral Analysis (FBA) or manifestation determination Hearing (MDH); children inappropriately restrained or secluded; and children/youth who have not received appropriate transition planning (including vocational and technical school and supported employment). Kentucky P&A will complete reviews of the education records of at least one child/youth in public schools with disabilities and determine if there has been a violation of the child/youth’s educational rights under state and/or federal law. Preference will be given to children/youth in institutions. Systemic Advocacy Kentucky P&A, along with The Arc of Kentucky and KYSPIN, will provide 3 trainings to parents/grandparents/foster parents on Special Education and related topics across Kentucky. Kentucky P&A will develop a one-page publication on the use of service animals in schools. Kentucky P&A will participate in the Pritchard Committee Achievement Gap Study regarding children with disabilities in the public education system. IV. Health Care Individual Advocacy Kentucky P&A will represent at least one PAIR Medicaid eligible adults, who are denied medical, dental, and other health services or whose services are reduced or terminated. Kentucky P&A will represent at least one PAIR Medicaid eligible child/youth with disabilities relating to their denial of or inability to access healthcare services, including physical and behavioral health services. Priority will be given to those children/youth committed to or at-risk of commitment to DCBS solely for purpose of obtaining services. Systemic Advocacy The PADD Advisory Board will educate legislators about the impact of Medicaid waiver changes and advocating for policy revisions regarding changes to Kentucky’s Medicaid waivers with specific focus on Participant Directed Services (PDS) changes and the impact to persons who choose the PDS option. Kentucky P&A will create informational material (1-pager, web article, newsletter article) on the system of care changes and how they relate to consumers (i.e. waiver waiting lists, EPSDT, and movement of behavioral health services to managed care and new providers. Kentucky P&A will create informational material (1-pager, web article, newsletter article) on the new law relating to the delegation of nursing duties as they relate to the administration of insulin and g-tube care. V. Criminal Justice Individual Advocacy Kentucky P&A will provide technical assistance on ALL cases to DPA attorneys representing PAIR eligible youth or adults with disabilities who interface with the criminal justice system and request assistance. Systemic Advocacy Kentucky P&A will monitor the implementation of SB 200, juvenile justice reform. Kentucky P&A will continue to monitor the 13 Kentucky Department of Corrections facilities and units where individuals with SMI or other disabilities are housed in segregation or other special management units, including the mental health care treatment that is available to incarcerated individuals. This may include requesting and reviewing records and meeting with DOC. Kentucky P&A will collaborate with Kentucky Department of Corrections to update the Reentry Resource Manual. Kentucky P&A will research methods for having ACA connectors available to persons currently incarcerated. VI. Protect, Promote, and Exercise Rights Individual Advocacy Kentucky P&A will represent at least one PAIR eligible individual with disabilities, who is discriminated against related to their disability, in matters related to housing, post-secondary, employment, and other, including access to goods/services/program provided by governmental agencies or entities. Systemic Advocacy Kentucky P&A will contact state guardianship regarding the number of emergency guardianship orders and due process issues. Kentucky P&A will create business card on individual rights. Kentucky P&A will explore options of informing guardians of their rights and responsibilities under Kentucky guardianship law. VII. Employment Individual Advocacy (b)P&A will represent at least one PAIR eligible child/youth with disabilities in need of transition services from a public high school to post-secondary settings, including vocational and technical school, and supported employment. IX. Outreach Individual Advocacy Kentucky P&A will represent 2 PAIR eligible individuals from underserved disability, minority, or geographic groups/populations. Systemic Advocacy Kentucky P&A will participate in the Relay for Life Event in Frankfort. Kentucky P&A will participate in two non-disability related outreach events. Kentucky P&A will continue to have a DRA stationed in DPA field office in Prestonsburg.

Part VI. Narrative

At a minimum, you must include all of the information requested. You may include any other information, not otherwise collected on this reporting form that would be helpful in describing the extent of PAIR activities during the prior fiscal year. Please limit the narrative portion of this report, including attachments, to 20 pages or less.

The narrative should contain the following information. The instructions for this form outline the information that should be contained in each section.

  1. Sources of funds received and expended
  2. Budget for the fiscal year covered by this report
  3. Description of PAIR staff (duties and person-years)
  4. Involvement with advisory boards (if any)
  5. Grievances filed under the grievance procedure
  6. Coordination with the Client Assistance Program (CAP) and the State long-term care program, if these programs are not part of the P&A agency

Total Personnel Costs: $179, 929.28 Rentals n/otherwise class-1009: Advertising: 0 Ser n/otherwise class: 0 Janitorial: 0 Food Products: 0 In-State Travel: $596.68 Out of State Travel: $384.75 Travel for non-state employee: 0 Filing Fees and Court Costs (Legal Services): 0 Dues and Subscriptions: $1000 Telephone: 0 Employee Training: 0 Total Expenses: $180,910.71 There are 3.5 full time PAIR Support and staff persons employed at Kentucky P&A. While Kentucky P&A staff members participate on a number of advisory boards and councils via other state agencies, Kentucky P&A does not have a board or council that is solely devoted to PAIR activities. There were not grievances filed under PAIR in FY 2015.

Certification

Signed?Yes
Signed ByJeff Edwards
TitleDirector of Kentucky Protection and Advocacy
Signed Date12/28/2016