2025 First Responders Summit Resource Guide

ADULT SERVICES DIVISION

2025 FIRST RESPONDERS 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.

For services and referrals, please email EAFC@rivco.org.

Services include:

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

TABLE OF CONTENTS

04 Directory of Agencies

16 Riverside County Ombudsman 17 SAFTA (Senior Abuse Financial Tracking and Accounting) 15 AB1417 (Update) 18 Mandated Reporters 20 DPSS Adult Protective Services (APS) 21 DPSS In Home Supportive Services (IHSS) 22 DPSS Public Authority (PA) FAQs 23

Reporting 06

DPSS Adult Services Division Online

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

11 RUHS Behavioral

Health 24/7 Mental Health Urgent Care

12 EAGLE

(Elder Abuse Guide for Law Enforcement)

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 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.

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. Abuse Unit consists of trained attorneys who prosecute both financial and physical elder abuse. Riverside County District Attorney’s Office operates offices throughout Riverside County, please visit our website to obtain office specific contact information. 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, California Victim Compensation Board Claims Unit Riverside County (951) 955-5400 www.rivcoda.org https://victims.ca.gov 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 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.

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 https://ncea.acl.gov

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

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. 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 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. Public Guardian, Riverside County (951) 955-1540 https://rivco.org/public-guardian 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.

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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 Email CARE@rivco.org

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Adult Services Division

C.A.R.E. Program The Curtailing Abuse Related to the Elderly (C.A.R.E.) Program is a branch of DPSS Adult Services that addresses elder and dependent adult abuse through advocacy, education, training, and coordination of interagency collaboration. Consumer Fraud Advocacy C.A.R.E. Program staff provide support and intervention to elder and dependent adult victims of consumer fraud by working with multiple community partners, including state regulatory agencies, law enforcement, and the courts. C.A.R.E. Program Coordinators meet with clients to provide assistance in reviewing documents, writing letters, completing forms, identifying resources and providing general support to victims throughout the investigation process. The goals of C.A.R.E. Program advocacy are to guard or regain assets, preserve client dignity, protect privacy, and prevent future abuse. Education/Training C.A.R.E. Program staff provide education designed to prevent fraud and abuse. Anti-fraud seminars are conducted in the community to teach seniors and dependent adults how to recognize, prevent, and report fraud and abuse. Trainings are conducted in a variety of settings, including mobile home parks, senior centers, care facilities, or other places seniors and dependent adults gather. The Mandated Reporter Training program provides education to law enforcement, medical providers, banking professionals, service providers, and community volunteers. The purpose of the training is to ensure that mandated reporters recognize signs of abuse or neglect that may threaten a person’s safety and well being and understand their obligations to report. Multidisciplinary Team Coordination The C.A.R.E. Team is a multidisciplinary team, consisting of professionals from various community agencies, who are experts from an array of disciplines. The C.A.R.E. Team strives to improve coordination and cooperation among service providers and public safety organizations to combat the abuse of elders and dependent adults throughout Riverside County. Team members discuss complex cases, identify unique resources, share best practices to combat abuse, and work together to protect and advocate for the client, as well as pursue the prosecution of offenders under Penal Code 368, California’s elder abuse law.

C.A.R.E. TEAMS

* C.A.R.E. Team meetings are held once a month in

four locations: ◊ Riverside ◊ Perris ◊ Palm Desert ◊ Blythe

* C.A.R.E. also facilitates a monthly C.A.R.E. Team meeting that focuses on complex cases involving homeless or unstably housed clients countywide. * Across all C.A.R.E. Teams, there are 137 participating agencies. C.A.R.E. PROGRAM * During fiscal year 24/25, there were 3,031 cases throughout the county managed by the C.A.R.E. Teams.

*

2,554 cases involved consumer fraud and scams.

* In addition to the C.A.R.E. Team cases above, during the 24/25 fiscal year, the

C.A.R.E. Program: ◊ Conducted 12

Mandated Reporter trainings

◊ Conducted 83

Consumer Fraud/ Community Education presentations

◊ Conducted 18 Law

Enforcement Trainings

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Adult Services Division

Elder Abuse Forensic Center BACKGROUND The medical, social, legal, and financial complexity of elder and dependent adult abuse cases requires the involvement of an array of disciplines. A typical case requires weeks to months of phone calls between agencies with very distinct, and at times, conflicting perspectives and goals. IMPROVING OUTCOMES FOR VICTIMS The Riverside County Elder Abuse Forensic Center (EAFC) is an evidence-based program striving to improve our community’s ability to combat, investigate, and prosecute elder and dependent adult abuse, neglect, and exploitation. The EAFC enhances collaboration and service provision among partner agencies by providing vital supports to agencies to strengthen their investigations and improve outcomes. Services offered by the EAFC include, but are not limited to: in-home geriatric medical assessments; in-home neuropsychological evaluations (capacity assessments); forensic evaluations; case consultations with the EAFC multidisciplinary team; and, public outreach/education. • Reduce fragmentation and improve communication/problem solving related topreventing and addressing elder/dependent adult abuse, neglect, and exploitation. • Raise public awareness about the multidimensional nature of and challengesassociated with elder/dependent adult abuse, neglect, and exploitation. • Educate and improve the competency of service professionals working with theelder/dependent adult population. • Develop and advance practices in the field of elder and dependent adult protectiveservices through the development of standardized tools and innovative research. GOALS Through its partners and programs, the EAFC seeks to:

CORE EAFC MEMBERS

Core Members of the Elder Abuse Forensic Center include representatives from the following agencies: Adult Protective Services (APS); Riverside County Sheriff’s Department; University of California Riverside (UCR) for the University of California, Riverside School of Medicine; Riverside University Health System (RUHS) Public Guardian’s Office; Behavioral Health; Riverside County District Attorney; DA Victim Services; Riverside Legal Aid; Long Term Care Ombudsman Program; Community Care Licensing; Inland Regional Center; SAFE Family Justice Center, ROG Services, Inc. and the Department of Justice, Division of Medi-Cal Fraud and Elder Abuse. During fiscal year 24/25 the EAFC ◊ Facilitated 44 Multidisciplinary Team (MDT) meetings ◊ Presented 107 new cases ◊ Provided 100 Coordinated CarePlans * In addition to MDT consultations, the EAFC provided the following services during the 24/25 fiscal year: ◊ 54 Neuropsychological Evaluations ◊ 162 Geriatric Assessments ◊ 4 Forensic Evaluations * The EAFC conducted 177 Outreach Presentations and Trainings *

For information or to submit a referral, please email EAFC@rivco.org

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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 informatio n 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

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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.

• Provide Linkage to Substance Use Services. • Provide Homeless and Housing Resources.

• 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 , Michael LoGiudice, LMFT MLoGiudice@ruhealth.org , Maria Martinez, LMFT mmartinez7@ruhealth.org , Kristin Miller, LCSW Krimiller@ruhealth.org , or call (951)715-5040 during normal business hours

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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

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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

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Page 3

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

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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

14 | 2025 First Responders Summit Resource Guide Elder Abuse Guide for Law Enforcement

AB -1417 (2023) MANDATED REPORTING SYSTEM FOR ELDER & DEPENDENT ADULT ABUSE & NEGLECT IN LTC FACILITIES

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

RESIDENT WITH DEMENTIA Caused by a resident diagnosed with dementia with NO SERIOUS BODILY INJURY

OTHER All other types/cases of abuse and neglect

WITHIN 24 HOURS

IMMEDIATELY

WITHIN 24 HOURS

(Preferably ASAP) SOC-341

(No later than 2 hours) Verbal Report (911 or non-emergency number) to: • Law Enforcement

(Preferably ASAP) SOC-341

(written report) to: • LTC Ombudsman • Law Enforcement

(written report) to: • LTC Ombudsman • Law Enforcement • Licensing Agency

“Abuse of an elder or a dependent adult” can include: (1) Physical abuse, neglect, abandonment, isolation, abduction, or other treatment with resulting physical harm or pain or mental suffering: (2) deprivation by a care custodian of goods and services 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 F acilities (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)  K nown or suspected abuse

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

New as of 2024-AB 1417 Mandated Reporting Guidelines

OSLTCO S601 (REV 01/ 16)

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 ad mitted 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 financial abuse 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 impri sonment 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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Public Authority 12125 Day Street, Suite S-101 Moreno Valley, CA 92557

Adult Services Division

Tel: 1-888-960-4477 Executive Director: David Dai

Riverside County Public Authority PURPOSE The Public Authority (PA) assists recipients of In-Home Supportive Services (IHSS) by maintaining a registry of eligible in-home caregivers who may be dispatched when needed to promote safety, well-being, and an enhanced quality of life. Support and training are provided to all IHSS caregivers. CURRENT INITIATIVES FY 2024/2025 Caregiver Matching & Home Visits: During FY 2024/2025, the Public Authority (PA) Registry team conducted approximately 1,086 home visits to IHSS recipients without an identified or available caregiver to assess their needs and provide direct support. In total, the PA successfully matched 2,842 recipients with qualified IHSS Registry caregivers—through home visits and other referral methods—helping ensure continuity of care and promote recipient safety. Continuous Caregiver Recruitment: The PA implemented continuous recruitment efforts across the county to address 5,744 referrals during the reporting period. These efforts resulted in the addition of 2,561 new caregivers to the Registry. The PA employs an enhanced screening process to ensure only the most eligible caregivers are referred to IHSS recipients for potential hire. IHSS Caregiver Back-Up System (BUS) and PACC Heavy Cleaning: The IHSS Caregiver Back-Up System (BUS) provided immediate or 24-hour stabilization support to more than 56 elderly and disabled individuals assessed to be at risk due to caregiver absence or critical safety concerns. In August 2024, the PA launched the Public Authority Cleaning and Care (PACC) program, delivering intensive cleaning services to 31 IHSS recipients living in hoarding conditions or otherwise unsanitary environments. Caregivers participating in BUS and PACC received a wage supplement of up to $5.00 per hour, funded through contracted health plans, in recognition of the specialized and urgent nature of their work. Caregiver Support: Verification of Employment (VOE) was prepared for 4,894 caregivers to assist them in acquiring personal loans or other public benefits. Outreach and Education: The PA Training and Recruitment Team (TRT) collaborated with various community partners to coordinate 156 training sessions, attended by 1,951 caregivers. TRT also engaged in 175 outreach events across the county, resulting in 1,205 prospective caregivers participating in application workshops or expressing interest in joining the Registry. TRT conducted 10 dedicated outreach engagements to reach underserved populations in the City of Blythe. Countywide Orientations: The PA coordinated and facilitated 111 orientation events (3 to 4 sessions per event) to support and expedite new caregiver enrollments. In total, 15,836 new IHSS caregivers successfully met all enrollment requirements after attending In-Person Orientation. Dispatch Hotline: The PA Dispatch Hotline offers direct-to-public access to request caregiving assistance. During FY 24/25, the dispatch hotline received a monthly average of 3,739 calls (FY total 44,869) with an average answer rate of 95%.

PUBLIC AUTHORITY FACTS - FY 2024/2025

 Riverside County

serves approximately 59,203 IHSS recipients every month.

 More than 53,767

caregivers were paid to assist IHSS recipients to allow them to remain safely in their homes;

4,232 were Public Authority Registry caregivers.

 In-home caregivers are paid $18.50 per hour to assist IHSS recipients, making the program one of the largest public employment programs in the county.

 The IHSS Income & Employment Unit

provided an average of 408 verifications each month to help facilitate caregivers’ personal loans, purchases, and other public benefits.

 89% of individuals who responded to

PA Customer Service Surveys rated their experience as favorable.

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