2024 EAFC LE Summit Resource Guide

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2024 LAW ENFORCEMENT SUMMIT RESOURCE GUIDE

Established as a core multidisciplinary team in 2017, the Riverside County Elder Abuse Forensic Center (EAFC) strives to improve our community’s ability to combat, investigate, and prosecute elder and dependent adult abuse, neglect and exploitation, through enhanced collaboration and service provision among partner agencies. The EAFC schedules regular multidisciplinary team meetings, where partner agencies can collaborate, determine coordinated response plans and improve case outcomes.

Please contact EAFC Coordinator, Angela Rosato at (951) 712-2224 or arosato@rivco.org for services and referral.

Services include:

• Case Consultations • Capacity Assessments • Geriatric Assessments • Forensic Evaluations/Medical Record Reviews

TABLE OF CONTENTS

04 Directory of Agencies

15 AB1417 (Update)

Reporting 06

16 Riverside County Ombudsman 17 SAFTA 18 Mandated Reporters 21 DPSS In Home Supportive Services (IHSS) 22 DPSS Public Authority (PA) FAQs 23 (Senior Abuse Financial Tracking and Accounting) 20 DPSS Adult Protective Services (APS)

DPSS Adult Services Division Online

07 DPSS Elder Abuse 08 DPSS C.A.R.E. Program (Curtailing Abuse Related to the Elderly & Dependent Adults) Forensic Center (EAFC) 09 DPSS Custodian of Records 11 RUHS Behavioral Health 24/7 Mental Health Urgent Care 10 RUHS Behavioral Health Crisis Mobile Response Team

12 EAGLE

(Elder Abuse Guide for Law Enforcement)

4 | E.A.F.C. Law Enforcment Summit Resource Guide Adult Protective Services, Riverside County (800) 491-7123 rivcodpss.org/adult-services Serves dependent adults (age 18 and older) and the elderly (age 60 and C.A.R.E. Program of Riverside County (800) 491-7123

District Attorney, California Victim Compensation Board Claims Unit (951) 955-5460 The Division of Victim Services has an in house Joint Power Claims Unit that works to reduce the impact of crime on victims lives by helping them determine eligibility and apply for California Victim Compensation Board benefits. The program reimburses crime related expenses such as costs associated with medical bills, crime scene clean up, funeral/ burial assistance, relocation, lost wages, home security, and home/vehicle modifications. prosecute both financial and physical elder abuse. Riverside County District Attorney’s Office operates multiple offices throughout Riverside County, please visit our website to obtain office specific contact information. The District Attorney’s Office prosecutes offenders accused of committing crimes and maintains a number of specialized units, including the Elder Abuse Unit. The Elder Abuse Unit consists of specially trained and dedicated attorneys who Crisis System of Care (CSSOC) Mobile Crisis Reponse Team (MCRT) (888) 374-1113 www.rcdmh.org/Crisis-Resources/ County-Mental-Health-Triage-Services CREST units work collaboratively with local Police and Sheriff Departments to decrease the need for inpatient hospitalizations as well as decreasing the amount of time that law enforcement personnel are dedicating to consumers in psychiatric crisis. CREST assists those with insurance and without; along with persons of any age who is experiencing a psychiatric crisis. District Attorney Riverside County (951) 955-5400 www.rivcoda.org Elder Abuse Guide for Law Enforcement – EAGLE www.eagle.usc.edu The Elder Abuse Guide for Law Enforcement is an online tool designed to support officers in quickly identifying, intervening, and resolving elder abuse situations. Developed with input and user testing by law enforcement for law enforcement, EAGLE provides: Tools to assist in documenting a case for prosecution.

rivcodpss.org/adult-services Curtailing Abuse Related to the Elderly (C.A.R.E.) addresses elder and dependent adult abuse through education, training and a multidisciplinary approach to abuse cases. C.A.R.E. Program also provides consumer fraud education, advocacy for victims of consumer fraud, and training on how and when to report abuse.

older). The goal of APS is to intervene and assist elder or dependent adults to alleviate physical, sexual and financial abuse, neglect, isolation and abandonment, abduction and mental suffering.

Department of Insurance (800) 927-4357 www.insurance.ca.gov Ensure that insurance products and services are available to consumers timely, and that they deliver fair and equal benefits.

Department of Justice, Division of Medi-Cal Fraud

& Elder Abuse (951) 880-9600 www.oag.ca.gov

DMFEA - Division of Medi-Cal Fraud & Elder Abuse works aggressively to investigate and prosecute cases of Medi-Cal fraud and elder abuse.

District Attorney, Real Estate Fraud Unit (877) 723-7779 www.rivcoda.org The Riverside County District

District Attorney, Special Prosecution (951) 955-5400 www.rivcoda.org/the-office/ special-prosecutions The Special Prosecutions Section consists of specially trained prosecutors and investigators dedicated to ensuring that fraud and corruption is vigorously prosecuted. A few units within Special Prosecution Section are the Elder Abuse and Real Estate Fraud Units. Domestic Violence and Elder Death Review Team The purpose of the Domestic Violence Death and Elder Death Review Team (DVEDRT) is to review the deaths that occur in domestic violence incidents and elder abuse cases to better assess the types and functions of services used in domestic violence and elder abuse intervention and to develop education, prevention and if necessary, prosecution strategies that will lead to improved coordination of services for families and our elder population.

Attorney’s Real Estate Fraud Unit will review for investigation real estate fraud related cases occurring in Riverside County.

District Attorney, Division of Victim Services (951) 955-5400 rivcoda.org/victim-services Victim Advocates work closely with prosecutors and are speciallytrained to help children, elders, disabled persons, and violent crime victims.

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Federal Bureau of Investigations – FBI (951) 686-0335 www.fbi.gov

FBI-Internet Crime Complaint Center (IC3) www.ic3.gov Trained analysts at the IC3 review and research the complaints, disseminating information to federal, state, local or international law enforcement or regulatory agencies for criminal, civil, or administrative actions, as appropriate. The IC3 accepts online Internet crime complaints from either the actual victim or from a third party to the complainant.

National Center on Elder Abuse c/o University of Southern California Keck School of Medicine Department of Family Medicine

and Geriatrics (855) 500-3537

The division offers a range of services to support victims of crime, including children, the elderly, disabled persons, and those affected by violent crime. Their goal is to provide emotional support, guidance through the legal process, and practical assistance to help victims recover and navigate the aftermath of crime. Office on Aging/Help Link, Riverside County (800) 510-2020 www.rcaging.org Riverside County Office on Aging, under the Federal Older Americans Act and Older Californians Act, is charged to provide leadership in developing a system of care and services for older persons and adults with disabilities in Riverside County.

A national resource center funded by the U.S. Department of Health and Human Services Administration on Aging.

Ombudsman, Long-Term Care (800) 231-4024 aging.ca.gov

Public Guardian, Riverside County (951) 955-1540

SAFE Family Justice Centers (951) 587-3900 safefjc.org SAFE Family Justice Centers (SAFE FJC) provide advocacy and support services included but not limited to case management, restraining order assistance, individualized safety planning, and needs assessments for individuals who have experienced domestic violence, sexual assault, human trafficking, child/elder abuse and services for youth who are at risk. SAFE FJC operates multiple offices throughout Riverside County, please visit our website to obtain office specific contact information. appointed guardian or conservator for persons found by the Superior Courts to be unable to properly care for themselves or their finances. www.riverside.courts.ca.gov/ Divisions/Probate/probate.php The Superior Court hears petitions concerning Elder Abuse Restraining Orders, Conservatorship, Powers of Attorney, Trusts, and other matters for the protection of the rights of elders and dependent adults. The Public Guardian provides a vital service to persons unable to properly care for themselves or who are unable to manage their finances. The Public Guardian conducts the official County investigation into conservatorship matters and acts as the legally Superior Court Probate (951) 777-3147

Investigates complaints made by or on behalf of individuals living in licensed facilities. Educates residents on their rights while living in facilities. Monitors licensed facilities to ensure individuals are treated with dignity and respect while living in licensed facilities.

Public Health, Riverside County (951) 358-5000

Riverside University Health System Behavioral Health (800) 706-7500 www.rcdmh.org

ruhealth.org/ruhs-public-health Promotes and protects the health of all County residents and visitors in service of the well-being of the community

Adult Mental Health Clinics provide services to adult individuals suffering from severe and persistent mental health problems.

Sheriff’s Department, Riverside County (800) 950-2444 www.RiversideSheriff.org The law enforcement professionals of the Riverside County Sheriff’s Department are dedicated to serving the citizens of its communities with integrity, professionalism, leadership and loyalty. In partnership with the public they serve to protect the public by the suppression and prevention of crime.

SAFTA (Senior Abuse and Financial Tracking and Accounting) Toolkit Download the no-cost SAFTA toolkit at: www.theiacp.org/elder-abuse SAFTA was developed to provide law enforcement with a simplified tool for investigating suspicious financial patterns and prosecuting cases of elder financial exploitation. The toolkit includes the SAFTA tool (an Excel macroenabled worksheet), a training guide, and subpoena template.

6 | E.A.F.C. Law Enforcment Summit Resource Guide

Riverside County Adult Services Division APS Online Reporting All Mandated Reporters may now quickly and confidentially electronically file an SOC 341 (Report of Suspected Abuse) or SOC 342 (Report of Suspected Financial Abuse) for all non-emergency reports of abuse or neglect. Benefits of Online Reporting: Electronically filed non-emercency reports meet mandatory requirements and can be submitted in lieu of telephone call to the Adult Protective Services (APS) 24/7 Hotline. Key Reminders for Online Reporting: • EMERGENCY or IMMEDIATE RESPONSE reports must be submitted by TELEPHONE ONLY to:

Adult Protective Services Hotline: 800-491-7123 (24 Hour / 7 days)

• Online reports are accepted during regular business hours 8:00 AM and 5:00 PM Monday through Friday. • Reporting after hours, weekends or holidays must be completed by telephone.

To access the online reporting site, please visit: www.reporttoaps.org For Mandated Reporter Educational

Opportunities Call Tel: (951) 202-5489

7 E.A.F.C. Law Enforcment Summit Resource Guide |

8 | E.A.F.C. Law Enforcment Summit Resource Guide

9 E.A.F.C. Law Enforcment Summit Resource Guide |

Administrative Office 4060 County Circle Drive, Riverside, CA 92503 951.358.3000 FAX: 951.358.3036 www.dpss.co.riverside.ca.us

Charity Douglas, MSSW, DPSS Director Barry L Dewing, Assistant Director, DPSS

Adult Services Division

Adult Protective Services (APS) Custodian of Records Request Form Please complete the form in its entirety in order for a complete records search to be conducted. Note: Per our county policies and procedures, the County of Riverside Custodian of Records redacts Reporting Party information as well as the client’s social security number in order to protect the identity of the client and reporting party. If you need this information, please be sure to request unredacted records with a justification of why they are needed for your investigation.

REQUESTOR INFORMATION

Name/Title:

Date:

Agency/Organization:

Phone:

Email:

Mailing Address:

CLIENT/VICTIM INFORMATION

Full Name:

Other/AKA:

SSN:

DOB:

PERPETRATOR INFORMATION

Full Name:

Other/AKA:

SSN:

DOB:

CASE INFORMATION

APS Reference Number:

Report/Incident Number:

All Related Records

Only Records Related to Case

Unredacted

Allegation(s), Reason for Records:

To submit a Custodian of Records request, please submit a request to ASD_Admin_Support@rivco.org or via fax at (951) 358-5772. Once all information is provided pertaining to the records request, Adult Services will respond to the request within 10 calendar days. Per administrative policy, Custodian of Records requests and responses are done in writing and will be mailed to the address provided. Once the submitted request to COR has been received, you will receive an email confirmation within 2 business days. If you do not receive a response to your records request or would like to arrange an in-person records pick up, please contact ASD_Admin_Support@rivco.org. Dedicated to Supporting and Improving the Health, Safety and Well-being of Individuals and Families DPSS 4898 (08/24) APS Custodian of Records Request Form

10 | E.A.F.C. Law Enforcment Summit Resource Guide

Mobile Crisis Response Teams

The Mobile Crisis Response Teams are part of the Crisis Support System of Care Program. These are field based teams consisting of Clinical Therapists, Behavioral Health Specialist and Peer Support Specialist working collaboratively with Law Enforcement, Emergency Departments, Schools, Cities, and other Community Agencies to decrease the need for inpatient hospitalizations, as well as decreasing the amount of time that these agencies are dedicating to individuals in psychiatric crisis. The Mobile Crisis Response Teams are able to work with individuals from all age groups. Program goals: • Work collaboratively with Law Enforcement, Cities, Schools, Group Homes and Foster Homes, Clinics, & Emergency Department Personnel. • Provide immediate crisis intervention services to people in psychiatric crisis • Decrease the amount of time that Law Enforcement / Emergency Department Personnel are occupied with psychiatric calls/emergencies • Decrease the number of contacts that Law Enforcement/Emergency Departments have with persons in psychiatric crisis • Link individuals/families in crisis to community resources • Provide Peer Support Services • Decrease the need for inpatient care and hospitalizations for people in psychiatric crisis. • Provide Initial, 30-day, and 60-day case management/follow up services focusing on linkage to on-going services and aid in minimizing barriers to services. We serve: • Any age person that is experiencing a mental health/behavioral health crisis. • Individuals with or without insurance • Medi-Cal Welcome Program Hours: 24 hours a 7 days a week New hours: 24/7 - 365 (888) 374-1113 and 951-686-HELP for public For questions, concerns or consultation please contact Heather Sylvester, LCSW hsylvester@ruhealth.org, Joel Galindo, LMFT, joegalindo@ruhealth.org, Tiffany Boulware, T.Boulware@ruhealth.org, Trent Allen, MA, LPPC g.allen @ruhealth.org, Maria Martinez, LMFT mmartinez7@ruhealth.org, Kristin Miller, LCSW Krimiller@ruhealth.org, or call (951)715-5040 during normal business hours • Provide Linkage to Substance Use Services • Provide Homeless and Housing Resources

11 E.A.F.C. Law Enforcment Summit Resource Guide | 24/7 Mental Health Urgent Cares

PERRIS

RIVERSIDE

85 Ramona Expressway Suites 1-3

9890 County Farm Rd. Bldg 2 Riverside, CA 92503 (951) 509-2499

Perris, CA 92571 (951) 349-4195

PALM SPRINGS 2500 N. Palm Canyon Drive Suite A1-A4 Palm Springs, CA 92262 (760) 424-5602 Don't know where to start? Call:

CARES Line (800) 499-3008

HELPline (951) 686-HELP

Crisis Lifeline 988

12 | E.A.F.C. Law Enforcment Summit Resource Guide

Elder Abuse First Responder Checklist

Signs of Financial Abuse

 Yes

Victim’s Self Report Unemployed A dults R eside I n H ome

 No

 Unknown

Victim’s Self Report Description

 Yes

 No

 Unknown

New Names on Signature Card(s)

 Yes

 No

 Unknown

Unauthorized Withdrawal(s) Abrupt Changes I n Will

 Yes

 No

 Unknown

 Yes

 No

 Unknown

Disappearance of Funds/Possessions

 Yes

 No

 Unknown

Unpaid Bills/Adequate Funds

 Yes

 No

 Unknown

Forged Signature F or Transactions  Yes Appearance O f Uninvolved Relative Sudden Transfer O f Assets  Yes  Yes

 No

 Unknown

 No

 Unknown

 No

 Unknown

Unlicensed Personal Care Home

 Yes

 No

 Unknown

Large P urchases F or T he A buser’s B enefit Inappropriate F inancial R eimbursement F or S ervices T o T he O lder Adult

 Yes

 No

 Unknown

 Yes

 No

 Unknown

Signs of Self-Neglect

Dehydration/Malnutrition Lack O f Medical Attention Unsafe Living Conditions

 Yes

 No

 Unknown

 Yes

 No

 Unknown

 Yes

 No

 Unknown

Unsanitary Living Conditions

 Yes

 No

 Unknown

Inappropriate Clothing Lack O f Assistive Devices Inadequate Housing

 Yes

 No

 Unknown

 Yes

 No

 Unknown

 Yes

 No

 Unknown

Page 3

13 E.A.F.C. Law Enforcment Summit Resource Guide |

Elder Abuse First Responder Checklist

Does the older adult have any impairments?  Hearing impaired/uses hearing aid  Visually impaired (wears glasses, full or partial blindness, cataracts)  Requires walker, wheelchair or cane  Wears dentures Does the older adult take medications? If so, list:

Does the older adult any medical conditions? If so, list:

Can the older adult do the following things independently (without assistance)?

Bathing

 Yes

 No

 Unknown

Dressing

 Yes

 No

 Unknown

Toileting

 Yes

 No

 Unknown

Transferring

 Yes

 No

 Unknown

Continence

 Yes

 No

 Unknown

Ability to use the telephone

 Yes

 No

 Unknown

Transportation

 Yes

 No

 Unknown

Signs of Physical Abuse Victim’s Self Report

Victim’s Self Report Description

 Yes

 No

 Unknown

Bruises

 Yes

 No

 Unknown

Black Eyes

 Yes

 No

 Unknown

Lacerations

 Yes

 No

 Unknown

Ligature / Restraint Marks

 Yes

 No

 Unknown

Broken Bones

 Yes

 No

 Unknown

Burns

 Yes

 No

 Unknown

Bite Marks

 Yes

 No

 Unknown

Over / Under Medicated

 Yes

 No

 Unknown

Hair Pulled Out

 Yes

 No

 Unknown

Uncooperative Caretaker

 Yes

 No

 Unknown

Weapons

 Yes

 No

 Unknown

Page 1

14 | E.A.F.C. Law Enforcment Summit Resource Guide

Elder Abuse First Responder Checklist

Signs of Sexual Abuse Victim’s Self Report

 Yes

 No

 Unknown

Victim’s Self Report Description

Bruises: Breasts/Genital Area

 Yes

 No

 Unknown

Torn/Bloody Underclothes

 Yes

 No

 Unknown

Difficulty Walking/Sitting

 Yes

 No

 Unknown

Sexually Transmitted Disease

 Yes

 No

 Unknown

Broken Bones

 Yes

 No

 Unknown

Burns

 Yes

 No

 Unknown

Bite Marks

 Yes

 No

 Unknown

Over / Under Medicated

 Yes

 No

 Unknown

Hair Pulled Out

 Yes

 No

 Unknown

Uncooperative Caretaker

 Yes

 No

 Unknown

Weapons

 Yes

 No

 Unknown

Signs of Neglect/Cruelty

Victim’s Self Report

 Yes

 No

 Unknown

Victim’s Self Report Description

Lack of Basic Services

 Yes

 No

 Unknown

 Yes

 No

 Unknown

Lack of Assistive Devices

 Yes

 No

 Unknown

Abandonment

 Yes

 No

 Unknown

Inappropriate Clothing

 Yes

 No

 Unknown

Inadequate Heating/Cooling

 Yes

 No

 Unknown

Bed Sores

 Yes

 No

 Unknown

Unsafe Environment

 Yes

 No

 Unknown

Fleas/Lice/Roaches/Rodents

 Yes

 No

 Unknown

Fecal/Urine Odor/Stains Lock/Chains O n Interior Doors

 Yes

 No

 Unknown

Signs of Emotional Abuse

Victim’s Self Report

 Yes

 No

 Unknown

Victim’s Self Report Description

Upset/Agitated

 Yes

 No

 Unknown

Withdrawn/Non-responsive

 Yes

 No

 Unknown

 Yes

 No

 Unknown

Nervous Ar ound C aregiver/ O ther Caregiver R estricts C ommunication T o F riends & F amily Fearful O f S aying O r D oing S omething W rong

 Yes

 No

 Unknown

 Yes

 No

 Unknown

Page 2

Elder Abuse Guide for Law Enforcement

15 E.A.F.C. Law Enforcment Summit Resource Guide |

services

OSLTCO 2/2024

Effective January 1, 2024

OTHER

SOC-341

and neglect

 LTC Ombudsman

 Law Enforcement

 Licensing Agency

(Preferably ASAP) (No later than 2 hours) (Preferably ASAP) SOC-341

(written report) to:

WITHIN 24 HOURS IMMEDIATELY Verbal Report

All other types/cases of abuse

MANDATED REPORTER Observes, has knowledge of, or reasonably suspect s abuse or neglect in a long-term care facility

 Law Enforcement

See back for additional definitions.

(911 or non-emergency number) to

AB -1417 (2023)

MANDATED REPORTING SYSTEM FOR ELDER &

DEPENDENT ADULT ABUSE & NEGLECT IN LTC FACILITIES

with dementia with

 LTC Ombudsman

 Law Enforcement

(written report) to:

NO SERIOUS BODILY INJURY WITHIN 24 HOURS

Caused by a resident diagnosed

that are necessary to avoid physical harm or mental suffering; (3) Financial abuse. See WIC §15610.07 NOTE: Facilities may have additional reporting requirements under state and federal law.

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Where to Report Ombudsman and CCL

LONG-TERM CARE (LTC) OMBUDSMAN JURISDICTION AND REFERRALS REPORTING KNOWN OR SUSPECTED ABUSE AND NEGLECT OF ELDERS AND DEPENDENT ADULTS

LTC Ombudsman Jurisdiction: Locations of Occurrence of Known or Suspected Elder & Dependent Adult Abuse & Neglect

Referrals from LTC Ombudsman Program and Local Law Enforcement are sent to:

Initial Reports are Sent to:

Long-Term Care Facilities Include: (W&I §15610.47) Long-Term Health Care Facilities

Local LTC Ombudsman Program and local law enforcement shall cross-report (W&I §15630):  Known or suspected abuse or neglect occurring in Department of Public Health (DPH) licensed facilities to DPH  Known or suspected abuse or neglect occurring in Department of Social Services (DSS) licensed facilities to DSS  Known or suspected abuse, endangerment, criminal activity, or potential for criminal prosecution of an abuser to local law enforcement  Suspected criminal activity to Department of Justice (DOJ) Bureau of Medi-Cal Fraud and Elder Abuse (BMFEA)  Known or suspected physical or financial abuse to the local district attorney’s office in the county where the abuse occurred LTC Ombudsman representatives verify abuse before referral (W&I §15650) LTC Ombudsman representatives do not disclose identities of complainants, victims or witnesses without their consent or court order (42 USC §3058g(d)(2); W&I §9725)

 Local LTC Ombudsman Programs  Local Law Enforcement

The following are established in H&S §1418(a):  Skilled Nursing Facilities (Includes CCRCs)  Distinct Part of hospitals that provide skilled nursing, intermediate care and respite care services including State Veterans Administration hospitals  Nursing Facilities  Intermediate Care Facilities (ICF)  ICF for the Developmentally Disabled (DD)  ICF/DD-Habilitative  ICF/DD-Nursing  Congregate Living Health Facilities  Swing Beds in Acute Care Facilities (W&I §15610.47) Community Care Facilities  Adult Day Programs (H&S §1502(a)(2))  Adult Day Health Care Facilities (H&S §1570.7(b))  Residential Care Facilities for the Elderly (Includes CCRCs) (H&S §1569.2)  Adult Residential Facilities (H&S §1502(a)(1))  Adult Residential Facilities for Persons with Special Health Care Needs (H&S §1567.50)

In the following instances, the LTC Ombudsman Program forwards the complaint without investigating:  Known or suspected abuse occurring in a State Developmental Center to the Department of Developmental Services  Known or suspected abuse occurring in a State Mental Health Hospital to the Department of State Hospitals (DSH)  Known or suspected abuse

occurring outside of any of these facilities to the county office of Adult Protective Services (APS)

OSLTCO S601 (REV 01/16)

New as of 2024-AB 1417 Mandated Reporting Guidelines

AB 1417 was introduced with the intention of simplifying the reporting process for mandated reporters and making California’s reporting system more consistent with federal laws. Certain instances of abuse, such as resident on resident abuse where the abuser has been diagnosed with Dementia (A resident is any elder or dependent adult who resides at a licensed facility), must be reported to law enforcement regardless of the level of injury to the victim. AB1417’s requirement to report all other types of cases of abuse and neglect to law enforcement, the Long Term Care Ombudsman , and the relevant licensing agency so that all responding agencies receive the same information at the same time. Cross reporting of these reports among these agencies is already required by the CA Welfare and Institutions Code 15630. The timeline has changed to be more consistent with the federal regulation, which allow up to 2 hours to report most cases of abuse and neglect to Law Enforcement and written report (SOC-341) to Law Enforcement, LTC Ombudsman, and Licensing Agency preferably asap but within 24 hours.

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SAFTA (Senior Abuse Financial Tracking and Accounting) Toolkit Guided by the adage “A picture is worth a 1000 words” , the Senior Abuse Financial Tracking and Accounting (SAFTA) tool provides law enforcement with a simplified forensic instrument for illuminating suspicious financial patterns and facilitating the prosecution of suspected elder financial exploitation. Developed by a forensic accountant, the SAFTA tool is an Excel macro-enabled worksheet into which financial records are entered and pivot tables and graphs are automatically created to provide a visual depiction of financial data. The tool is downloaded onto the user’s computer to ensure a secure working environment. SAFTA is not intended to turn law enforcement officers into forensic accountants. Rather, it is designed to enable law enforcement officers to gather financial records and convert those records into forensically relevant visual depictions of the financial records. SAFTA works best on cases of low to moderate complexity.

The SAFTA toolkit includes: • the SAFTA tool , a downloadable Excel workbook with a user-friendly overlay for entering financial records within a secure environment • the SAFTA guide , providing tips on investigating elder financial exploitation, step-by-step instructions for using the tool, and how to access help from forensic accountants and other experts for more complex cases • an 18 minute digital (Vimeo) tutorial , demonstrating how to use the SAFTA tool • two subpoena templates , facilitating access to and acquiring financial records • free technical assistance , ensuring SAFTA users have a positive experience

Download the no-cost SAFTA toolkit at: https://www.theiacp.org/elder-abuse SAFTA was produced by the International Association of Chiefs of Police (IACP), with assistance from Webber CPA, PLLC and the National White Collar Crime Center (NW3C), and supported by the Elder Justice Initiative, U.S. Department of Justice. The opinions, findings, and conclusions or recommendations expressed in SAFTA are those of the contributors and do not necessarily represent the official position or policies of the U.S. Department of Justice.

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ELDER AND DEPENDENT ADULT ABUSE

*Red Flags*

Law Enforcement Officers are MANDATED REPORTERS of elder and dependent adult abuse

Physical Abuse: • Inadequately explained fractures, bruises, welts, cuts, sores, andburns • Bruise or burn patterns like those foundwith child abuse/ domesticabuse • Medications used to restrainvictim Neglect (by self or others): • Poor body hygiene • Lack of adequate food • Lack of medical aids (glasses, walker, teeth, hearing aid, needed medications) • Lack of clean, appropriate clothing • Demented victim left unsupervised • Bed bound victim left without care • Pressure “bed” sores • Home cluttered, filthy, in disrepair, or fire and safety hazards • Home lacking minimum equipment and facilities (stove, refrigerator, heat, cooling, working plumbing, electricity) • Animal hoarding Financial Abuse: • Lack of amenities that victim could afford • Victim “voluntarily” giving inappropriate financial reimbursement for needed care and companionship. (This is criminal when victim is under undue influence.) • Caretaker has control of victim’s money but is failing to provide for victim’s needs. • Caretaker “living off” victim • Victim has signed property transfers, Power of Attorney, new will, etc. when unable to comprehend the transaction In financial abuse cases, it is important to get social security numbers and banking information to conduct a complete investigation. Psychological Abuse: • Caretaker isolates victim – restricts visits/ phone calls (doesn’t want to let you into home or speak to victim) • Caretaker is violent, aggressive, controlling, uncaring

If you observe, are verbally informed, or have knowledge that leads you to reasonably suspect that an elder or dependent adult is being abused or neglected you must telephone immediately or as soon as practicably possible, call: Adult Protective Services (800) 491-7123 Fax the SOC 341 written report within 2 working days to (951) 358-3969 New! To access the online reporting site, please visit: https://reporttoaps.org Available 24hr for NON-EMERGENCY / NON-IMMEDIATE RESPONSE REFERRALS If abuse occurs in a facility, fax the SOC 341 to the Ombudsman at (909) 204-4141 and report by phone at (833) 772-6624. Contact Community Care Licensing (CCL) at (844) 538-8766 If you respond to situations involving an elder or a dependent adult assess for the following types of abuse: *As of January, 2022 according to AB-135, for the purposes of investigating or providing services under an adult protective services program, an elder is defined as someone aged 60 or older and a “dependent adult” as a person who is between 18 and 59 years of age, inclusive, and has prescribed limitation. Physical Abuse: The infliction of physical pain or bodily harm not limited to: Assault/Battery Constraint Abduction Sexual Abuse Isolation Abandonment Common Charges: 240, 242, 243(d), 243.25, 245, 368(b)(1), 368(b)(2), 368(b)(3) 368 (c), 166(a)(4), 166 (c)(1), 187, 206, 347, 261(a)(1), 289(a), 220, 243.4, 286, 288a, 288 (b)(2), 288(c)(2) Neglect: Refusal or failure to fulfill caretaking obligations, such as abandonment or isolation, denial of food, shelter, clothing, medical assistance or personal needs, or the withholding of necessary medication or assistive devices. Neglect can be intentional or unintentional. Common Charges: 368(b)(1), 368(b)(2), 368(b)(3), 368(c), 187, 192, 206 Financial: The illegal or improper exploitation of funds or other resources (stealing or misusing possessions, property, or money). Common Charges: 115, 182, 368(d), 368(e), 459, 470, 476, 484-487, 496, 530.5 Psychological/Emotional Abuse: The infliction of mental anguish (threatening, humiliating, intimidating, isolating behaviors or statements). Common Charges: 368(b)(1), 368(c) Self-Neglect: The failure of an elder or dependent adult to adequately take care of themselves and meet the demands of daily living to eat, pay bills, meet personal hygiene needs and take medications. Note: Section 7150 of the Business and Professions Code and 1689.20 of the Civil Code now allows seniors five (5) days to cancel a contract. Rev.0 9 /20 24 W&IC 15630(b)(1)

The identity of the individual who reported the abuse to law enforcement is to be kept confidential, even from the victim . W&IC 15633

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PENAL CODE 368 – ELDER ABUSE Elders/ Dependent Adults Are Less Able to Protect Themselves

thousand five hundred dollars ($2,500), or by imprisonment in acounty jail not exceeding one year, or by both that fine and imprisonment, or by a fine not exceeding ten thousand dollars ($10,000), or by imprisonment pursuant to subdivision (h) of Section 1170 for two, three, or four years, or by both that fine and imprisonment, when the moneys, labor, goods, services, or real or personal property taken or obtained is of a value exceeding nine hundred fifty dollars ($950) (2) By a fine not exceeding one thousand dollars ($1,000,), by imprisonment in a county jail not exceeding one year, or by both that fine and imprisonment, when the moneys, labor, goods, services or real or personal property taken or obtained is of a value not exceeding nine hundred fifty dollars ($950). False Imprisonment (f)Any person who commits the false imprisonment of an elder or dependent adult by the use of violence, menace, fraud, or deceit is punishable by imprisonment pursuant to subdivision (h) of Section 1170 for two, three, or fouryears. Definitions Elder: (g) As used in this section, "elder" means a person who is 65 years of age or older. Dependent Adult: (h) As used in this section, "dependent adult" means a person, regardless of whether the person lives independently, who is between the ages of 18 and 64, who has physical or mental limitations which restrict his or her ability to carry out normal activities or to protect his or her rights, including, but not limited to, persons who have physical or developmental disabilities or whose physical or mental abilities have diminished because of age. "Dependent adult" includes a person between the ages of 18 and 64 who is admitted as an inpatient to a 24-hour health facility, as defined in Sections 1250, 1250.2, and 1250.3 of the Health and Safety Code. Caretaker: (i) As used in this section, "caretaker" means a person who has the care, custody, or control of, or who stands in a position of trust with, an elder or a dependentadult. Elder Abuse Forensic Center (EAFC) The Riverside County Elder Abuse Forensic Center (EAFC) strives to improve our community’s ability to combat, and prosecute elder and dependent adult abuse, neglect and exploitation, through enhanced collaboration and service provision among partner agencies. The EAFC schedules regular multidisciplinary team meetings, where partner agencies can collaborate, determine coordinated response plans and improve case outcomes. EPO—Emergency Protective Order If a victim is in immediate and present danger of elder or dependent adult abuse and needs protection at any time of the day or night, including holidays, a CA law enforcement officer may apply for an Emergency Order. The order is valid only if it is issued by a judicial officer (judge or commissioner). No EPO will be based solely on financialabuse W&IC 15610.07, CA Family Code 6250, 6251. APS Initiated Restraining Order (AIRO) APS is able to file a Request for Elder or Dependent Adult Abuse Restraining Order on behalf of a client who has suffered abuse and has an impaired ability to appreciate and understand the circumstances that place him or her at risk of harm of physical abuse or neglect, or financial abuse only. W&IC 15657.03(a)(3)(A)(i). Resources Elder & Dependent Adult Abuse Hotline (800) 491-7123 Ombudsman (Facility Abuse) (800)231-4024 Office on Aging(ResourceInfo) (800)510-2020 Mental Health Helpline (951)686-4357 Alzheimer’s/Dementia Registry (951)765-3172 Alzheimer’s “Safe Return” (800)572-1122 Riverside Co Info Referral Line 211 Riverside Co InfoReferralLine: 2

368(a) The legislature finds and declares that elders, adults whose physical or mental disabilities or other limitations restrict their ability to carry out normal activities or to protect their rights, and adults admitted as inpatients to a 24-hour health facility deserve special consideration and protection. Likely to Produce Great Bodily Harm...Penalties (b) (1) A person who knows or reasonably should know that a person is an elder or dependent adult and who, under circumstances or conditions likely to produce great bodily harm or death, willfully causes or permits any elder or dependent adult to suffer, or inflicts thereon unjustifiable physical pain or mental suffering, or having the care or custody of any elder or dependent adult, willfully causes or permits the person or health of the elder or dependent adult to be injured, or willfully causes or permits the elder or dependent adult to be placed in a situation in which his or her person or health is endangered, is punishable by imprisonment in a county jail not exceeding one year, or by a fine not to exceed six thousand dollars ($6,000), or by both that fine and imprisonment, or by imprisonment in the state prison for two, three, or four years. Great Bodily Harm Penalties (b) (2) If in the commission of an offense described in paragraph (1), the victim suffers great bodily injury, as defined in Section 12022.7, the defendant shall receive an additional term in the state prison as follows: Elder/Dependent Adult and Caused to Suffer (c) Any person who knows or reasonably should know that a person is an elder or dependent adult and who, under circumstances or conditions other than those likely to produce great bodily harm or death, willfully causes or permits any elder or dependent adult to suffer, or inflicts thereon unjustifiable physical pain or mental suffering, or having the care or custody of any elder or dependent adult, willfully causes or permits the person or health of the elder or dependent adult to be injured or willfully causes or permits the elder or dependent adult to be placed in a situation in which his or her person or health may be endangered, is guilty of a misdemeanor. A second or subsequent violation of this subdivision is punishable by a fine not to exceed two thousand dollars ($2,000), or by imprisonment in a county jail not to exceed one year, or by both that fine andimprisonment. Penalties for Non-Caretaker Theft (d) Any person who is not a caretaker who violates any provision of law proscribing theft, embezzlement, forgery, or fraud, or who violates Section 530.5 proscribing identity theft, with respect to the property or personal identifying information of an elder or a dependent adult, and who knows or reasonably should know that the victim is an elder or a dependent adult, is punishable as follows: (1) By a fine not exceeding two thousand five hundred dollars ($2,500) or by imprisonment in a county jail not exceeding one year, or by both that fine and imprisonment, or by a fine not exceeding ten thousand dollars ($10,000), or by imprisonment pursuant to subdivision (h) of Section 1170 for two, three or four years, or by both that fine and imprisonment, when the moneys, labor, goods, services, or real or personal property taken or obtained is of a value exceeding nine hundred fifty dollars ($950). (2) By a fine not exceeding one thousand dollars ($1,000), by imprisonment in a county jail not exceeding one year, or by both that fine and imprisonment, when the moneys, labor, goods, services or real or personal property taken or obtained is of a value not exceeding nine hundred fifty dollars ($950). Caretaker Theft Penalties (e)Any caretaker of an elder or a dependent adult who violates any provision of law proscribing theft, embezzlement, forgery, or fraud, or who violates Section 530.5 proscribing identity theft, with respect to the property or personal identifying information of that elder or dependent adult, is punishable as follows: (1) By afine not exceeding two (A) Three years if the victim is under 70 years ofage. (B) Five years if the victim is 70 years of age orolder. Enhancements due to Death (b)(3) If in the commission of an offense described in paragraph (1), the defendant proximately causes the death of the victim, the defendant shall receive an additional term in the state prison asfollows: (A) Five years if the victim is under 70 years ofage. (B) Seven years if the victim is 70 years of age orolder. Knew Victim was

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GOAl: The goal of Adult Protective Services (APS) is to intervene and assist elder and dependent adults to alleviate physical, sexual and financial abuse, neglect, isolation, abandonment, abduction and mental suffering.

Adult Protective Services

Elder Abuse Hotline (800) 491-7123 ReportToAPS.org https://rivcodpss.org/report abuse/elder-and-dependent adult-abuse

Adult Services Mission

Riverside County’s older population is projected to grow significantly and at a much faster rate than the younger population. This trend will continue to place greater and changing demands on health related, transportation and support services for this population. Any elder* or dependent adult in Riverside County, regardless of income, is eligible for assistance from Adult Protective Services if they: Do not reside in a long-term care facility, state hospital, or state developmental center Are alleged to have been abused and/or neglected Have been determined by APS to be in need of services APS services To create a stable environment where the individual can safely function, APS provides the following services: In-person response to assess and investigate allegations of abuse and neglect Time-limited case management to deliver services Tangible resources such as emergency shelter or in-home protection Multidisciplinary teams for complex care coordination, which may include law enforcement, hospital staff, and other community or county partners APS Eligibility Criteria *As of January 2022 an elder is defined as someone aged 60 or over

Promote safety, well-being, and independence for elder and dependent adults through accurate and timely assessments and linkage to services.

DPSS Adult Services Division 7/2024

Investigated Allegations of abuse

aps Investigations completed

30000

20000

25,208

25,381

25,286

15,473

14,670

25000

1%

13,614

1%

15000

1%

20000

46%

47%

34%

50%

33%

34%

15000

10000

18%

19%

18%

10000

54%

53%

50%

5000

5000

47%

47%

47%

0

FY 21/22

FY 22/23

FY 23/24

0

Abuse from Another Self-Neglect

FY 21/22

FY 22/23

FY 23/24

On average 54% of investigated allegations involved issues of self neglect

Inconclusive

Unfounded

Undetermined

Confirmed

On average 46% of APS investigations have at least 1 confirmed finding

aps hotline calls & reports received

APS Client demographics Amongst APS clients 43% identify as male, 55% as female, and 2% as other 15% of APS clients were dependent adults and 85% of APS clients were elderly. In FY 23/24, more than 1,400 APS investigations were completed by the Crisis Response Intervention Services (CRIS) team which focuses their support on assisting APS clients who are homeless or at risk of losing their housing.

30000

25000

20000

15000

10000

5000

0

FY 21/22

FY 22/23

FY 23/24

APS Hotline Calls Answered* Reports of Abuse (ROA)

*During Business Hours

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what is ihss?

In-Home Supportive Services (IHSS) is a Medi-Cal benefit that provides home care assistance to elders, dependent adults, and minors with disabilities to live safely in their own homes or other non institutional settings.

In-Home Supportive Services

IHSS HOME Hotline 1(888)960-4477 Apply Online RiversideIHSS.org

who is eligible to receive ihss?

Applicants who meet Medi-Cal eligibility requirements in California. Elders, dependent adults, and minors whose disability is expected to continue longer than 12 months. Elders, dependent adults, and minors whose physician or a medical professional has determined that they are unable to remain safely in their own home without IHSS. 52,460 IHSS recipients were active in Riverside County as of June 2024. More than 20,500 new IHSS applications were received by Riverside County Adult Services in FY 23/24. In FY 23/24 over 548,000 calls were handled by the IHSS Hotlines to address recipient and provider needs. As of June 2024, an average of 128.3 IHSS hours were authorized per recipient, per month. ihss recipient facts

Adult Services Mission

Promote safety, well-being, and independence for elder and dependent adults through accurate and timely assessments and linkage to services.

DPSS Adult Services Division 7/2024

Active IHSS Cases

52,460

FY 23/24

47,307

FY 22/23

42,630

FY 21/22

40,404

FY 20/21

39,026

FY 19/20

0

10000

20000

30000

40000

50000

60000

Ihss SERVICES Depending on the need of the applicant, services may include assistance with meal preparation and clean-up, food shopping, bathing, dressing, personal care, house cleaning, assistance with medications and certain other paramedical assistance (with physician approval). Assessments of IHSS recipient needs are conducted at the time of initial application and at least every 12 months thereafter.

Who are Ihss PROVIDERS? Once an application for IHSS is approved, recipients may independently select their own provider. The IHSS Public Authority is also an option to locate and hire an individual provider if recipients do not already have a specific person identified to assist in their home. IHSS PROVIDER facts As of June 2024, 45,157 providers were approved in Riverside County to provide services to IHSS recipients. 70% of the providers were live-in providers. 76% were related to the recipient.

Recipient Age Groups

0-17 yrs 15%

85+ yrs 9.6%

75-84 yrs 16.1%

18-44 yrs 18.8%

65-74 yrs 18.3%

45-64 yrs 22.2%

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FAQs

Q: Who is a mandated reporter? A: Any elder or dependent adult care custodian, including an administrator or an employee of any “protective, public, sectarian, mental health, or private assistance or advocacy agency or person providing health services or social services to elders or dependent adults.” W&IC 15630(a) & 15610.17 Q: When to report? A: Any mandated reporter who, in his/her professional capacity or within the scope of his or her employment, has observed or has knowledge of an incident that reasonably appears to be abuse, abandonment, isolation, financial abuse, or neglect, or is told by an elder or dependent adult that he or she has experienced behavior constituting abuse, or reasonably suspects abuse, shall report the known or suspected abuse by telephone immediately. W&IC 15630 (b) (1). Q: How do I make a report? A: All Mandated Reporters may now quickly and confidentially electronically file a SOC 341 (Report of Suspected Abuse) or SOC 342 (Report of Suspected Financial Abuse) for all non-emergency reports of abuse or neglect in lieu of telephone call. Online reports are accepted 24/7.

To access the online reporting site, please visit: https://www.reporttoaps.org

Q: If I make a report, will my identity remain confidential? A: The identity of any person who reports under W&IC 15633.5(b)chapter shall be confidential and disclosed only among the following agencies:

• Adult Protective Services • Community Care Licensing • Long-Term Care Ombudsman • Law Enforcement/D.A. • Public Guardian/Probate Court • Department of Consumer Affairs - Division of Investigation

Q: How quickly will a worker respond? A: Response times will vary depending on the level of risk but no later than 10 days from the date the report was made. Q: What constitutes an emergency response case? A: Emergency response cases generally involve immediate life threat, imminent danger and/or current crisis. Q: Can APS remove someone from their home? A: Only on a voluntary basis. If the elder or dependent adult is competent and understands the risks of staying in an unsafe environment/situation, he/she has the right to self-determination. Q: Can APS assist with identifying housing for homeless individuals? A: APS collaborates with community partners to identify possible housing options when appropriate. APS may not be able to provide immediate housing solutions. Q: How do I obtain an update on a report I called in? A: If you have made a report, you may contact the hotline – 800-491-7123 to request an update. It is recommended that the caller be prepared to provide their reference number when making the call. Q: How do I request records for my investigation? A: Written records may be requested by completing the Adult Protective Services (APS) Custodian of Records Request Form (included in this guide) and submitting it to ASD_Admin_Support@rivco.org