FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4 JOHANNA GABALDON 2313.01.01 Maschmeyer RATE ADJUSTMENT EFFECTIVE DATE: 7/1/2018 3 ANGELS CHILDREN & FAMILY SERVICES 3 ANGELS CFS PROGRAM STATUS: ACTIVE 1720 JEFFERSON STREET LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667 NAPA, CA 94559- Maintenance Ratio: 66.91 69.07 70.97 73.00 707/253-8181 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39 JOHANNA GABALDON 2313.01.01 Maschmeyer BIENNIAL EFFECTIVE DATE: 12/1/2017 3 ANGELS CHILDREN & FAMILY SERVICES 3 ANGELS CFS PROGRAM STATUS: ACTIVE 1720 JEFFERSON STREET LEVEL OF CARE (LOC) RATE: 2139 2287 2435 2618 NAPA, CA 94559- Maintenance Ratio: 66.34 68.52 70.43 72.50 707/253-8181 Maint. Federal: 65.05 65.54 65.95 65.07 Maint. Non-Federal: 34.95 34.46 34.05 34.93 Administration Ratio: 33.66 31.48 29.57 27.50 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39 1
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FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
JOHANNA GABALDON 2313.01.01 Maschmeyer RATE ADJUSTMENT EFFECTIVE DATE: 7/1/2018 3 ANGELS CHILDREN & FAMILY SERVICES 3 ANGELS CFS PROGRAM STATUS: ACTIVE
1720 JEFFERSON STREET LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
NAPA, CA 94559- Maintenance Ratio: 66.91 69.07 70.97 73.00 707/253-8181 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
JOHANNA GABALDON 2313.01.01 Maschmeyer BIENNIAL EFFECTIVE DATE: 12/1/2017 3 ANGELS CHILDREN & FAMILY SERVICES 3 ANGELS CFS PROGRAM STATUS: ACTIVE
1720 JEFFERSON STREET LEVEL OF CARE (LOC) RATE: 2139 2287 2435 2618
NAPA, CA 94559- Maintenance Ratio: 66.34 68.52 70.43 72.50 707/253-8181 Maint. Federal: 65.05 65.54 65.95 65.07 Maint. Non-Federal: 34.95 34.46 34.05 34.93 Administration Ratio: 33.66 31.48 29.57 27.50 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
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FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
JOHANNA GABALDON 2313.01.01 Maschmeyer RATE ADJUSTMENT EFFECTIVE DATE: 12/1/2017 3 ANGELS CHILDREN & FAMILY SERVICES 3 ANGELS CFS PROGRAM STATUS: ACTIVE
1720 JEFFERSON STREET LEVEL OF CARE (LOC) RATE: 2139 2287 2435 2618
NAPA, CA 94559- Maintenance Ratio: 66.34 68.52 70.43 72.50 707/253-8181 Maint. Federal: 65.05 65.54 65.95 65.07 Maint. Non-Federal: 34.95 34.46 34.05 34.93 Administration Ratio: 33.66 31.48 29.57 27.50 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
MARIA VERDIN 1659.01.01 Maschmeyer RATE ADJUSTMENT EFFECTIVE DATE: 7/1/2018 A BETTER WAY, INC. A BETTER WAY PROGRAM STATUS: ACTIVE
3200 ADELINE STREET LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
BERKELEY, CA 94703- Maintenance Ratio: 66.91 69.07 70.97 73.00 510/601-0203 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
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FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
MARIA VERDIN 1659.01.01 Maschmeyer RATE ADJUSTMENT EFFECTIVE DATE: 12/1/2017 A BETTER WAY, INC. A BETTER WAY PROGRAM STATUS: ACTIVE
3200 ADELINE STREET LEVEL OF CARE (LOC) RATE: 2139 2287 2435 2618
BERKELEY, CA 94703- Maintenance Ratio: 66.34 68.52 70.43 72.50 510/601-0203 Maint. Federal: 65.05 65.54 65.95 65.07 Maint. Non-Federal: 34.95 34.46 34.05 34.93 Administration Ratio: 33.66 31.48 29.57 27.50 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
MARIA VERDIN 1659.01.01 Maschmeyer BIENNIAL EFFECTIVE DATE: 12/1/2017 A BETTER WAY, INC. A BETTER WAY PROGRAM STATUS: ACTIVE
3200 ADELINE STREET LEVEL OF CARE (LOC) RATE: 2139 2287 2435 2618
BERKELEY, CA 94703- Maintenance Ratio: 66.34 68.52 70.43 72.50 510/601-0203 Maint. Federal: 65.05 65.54 65.95 65.07 Maint. Non-Federal: 34.95 34.46 34.05 34.93 Administration Ratio: 33.66 31.48 29.57 27.50 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
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FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
LAVERNE ISHIBASHI 2236.01.01 Hing BIENNIAL EFFECTIVE DATE: 12/1/2018 A BRIGHTER CHILDHOOD FOSTER FAMILY SERVICES A BRIGHTER CHILDHOOD FOSTER FAMILY SERV. PROGRAM STATUS: ACTIVE
P.O. BOX 582343 LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
ELK GROVE, CA 95758- Maintenance Ratio: 66.91 69.07 70.97 73.00 916/424-2216 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
LAVERNE ISHIBASHI 2236.01.01 Hing RATE ADJUSTMENT EFFECTIVE DATE: 7/1/2018 A BRIGHTER CHILDHOOD FOSTER FAMILY SERVICES A BRIGHTER CHILDHOOD FOSTER FAMILY SERV. PROGRAM STATUS: ACTIVE
P.O. BOX 582343 LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
ELK GROVE, CA 95758- Maintenance Ratio: 66.91 69.07 70.97 73.00 916/424-2216 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
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FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
DAVID MCCOY 2090.01.01 Hing RATE ADJUSTMENT EFFECTIVE DATE: 7/1/2018 A COMING OF AGE TO ADULTHOOD, INC. A COMING OF AGE TO ADULTHOOD PROGRAM STATUS: ACTIVE
P.O. BOX 9640 LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
MORENO VALLEY, CA 92552-9640 Maintenance Ratio: 66.91 69.07 70.97 73.00 951/776-9223 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
DAVID MCCOY 2090.01.01 Hing RATE ADJUSTMENT EFFECTIVE DATE: 12/1/2017 A COMING OF AGE TO ADULTHOOD, INC. A COMING OF AGE TO ADULTHOOD PROGRAM STATUS: ACTIVE
P.O. BOX 9640 LEVEL OF CARE (LOC) RATE: 2139 2287 2435 2618
MORENO VALLEY, CA 92552-9640 Maintenance Ratio: 66.34 68.52 70.43 72.50 951/776-9223 Maint. Federal: 65.05 65.54 65.95 65.07 Maint. Non-Federal: 34.95 34.46 34.05 34.93 Administration Ratio: 33.66 31.48 29.57 27.50 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
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FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
ELIZABETH ROSAS 2414.01.01 Griffin NEW PROVIDER EFFECTIVE DATE: 1/16/2019 A GREATER LOVE FOSTER FAMILY AGENCY A GREATER LOVE FFA PROGRAM STATUS: ACTIVE
12631 IMPERIAL WY, E-125 LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
SANTA FE SPRINGS, CA 90670- Maintenance Ratio: 66.91 69.07 70.97 73.00 562/922-4568 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
SUZETTE MOHAMMED 2170.01.01 Hing BIENNIAL EFFECTIVE DATE: 12/1/2018 A NEW BEGINNING FFA A NEW BEGINNING FFA PROGRAM STATUS: ACTIVE
P.O. BOX 401486 LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
HESPERIA, CA 92340- Maintenance Ratio: 66.91 69.07 70.97 73.00 760/508-3629 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
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FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
SUZETTE MOHAMMED 2170.01.01 Hing RATE ADJUSTMENT EFFECTIVE DATE: 7/1/2018 A NEW BEGINNING FFA A NEW BEGINNING FFA PROGRAM STATUS: ACTIVE
P.O. BOX 401486 LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
HESPERIA, CA 92340- Maintenance Ratio: 66.91 69.07 70.97 73.00 760/508-3629 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
REGANA BUNCHE 0950.01.01 Salisbury BIENNIAL EFFECTIVE DATE: 12/1/2018 A POSITIVE ATTITUDE OUTLOOK A POSITIVE ATTITUDE OUTLOOK PROGRAM STATUS: ACTIVE
P.O.BOX 5192 LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
FRESNO, CA 93755-5192 Maintenance Ratio: 66.91 69.07 70.97 73.00 559/248-2679 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
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FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
REGANA BUNCHE 0950.01.01 Salisbury RATE ADJUSTMENT EFFECTIVE DATE: 7/1/2018 A POSITIVE ATTITUDE OUTLOOK A POSITIVE ATTITUDE OUTLOOK PROGRAM STATUS: ACTIVE
P.O.BOX 5192 LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
FRESNO, CA 93755-5192 Maintenance Ratio: 66.91 69.07 70.97 73.00 559/248-2679 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
REGANA BUNCHE 1829.01.01 Hing RATE ADJUSTMENT EFFECTIVE DATE: 7/1/2018 A POSITIVE ATTITUDE OUTLOOK OF SO. CAL. A POSITIVE ATTITUDE OUTLOOK OF SOUTHERN CA PROGRAM STATUS: ACTIVE
8632 ARCHIBALD AVE #103 LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
RANCHO CUCAMONGA, CA 91730- Maintenance Ratio: 66.91 69.07 70.97 73.00 909/466-4023 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
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FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
REGANA BUNCHE 1829.01.01 Hing BIENNIAL EFFECTIVE DATE: 12/1/2017 A POSITIVE ATTITUDE OUTLOOK OF SO. CAL. A POSITIVE ATTITUDE OUTLOOK OF SOUTHERN CA PROGRAM STATUS: ACTIVE
8632 ARCHIBALD AVE #103 LEVEL OF CARE (LOC) RATE: 2139 2287 2435 2618
RANCHO CUCAMONGA, CA 91730- Maintenance Ratio: 66.34 68.52 70.43 72.50 909/466-4023 Maint. Federal: 65.05 65.54 65.95 65.07 Maint. Non-Federal: 34.95 34.46 34.05 34.93 Administration Ratio: 33.66 31.48 29.57 27.50 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
REGANA BUNCHE 1829.01.01 Hing RATE ADJUSTMENT EFFECTIVE DATE: 12/1/2017 A POSITIVE ATTITUDE OUTLOOK OF SO. CAL. A POSITIVE ATTITUDE OUTLOOK OF SOUTHERN CA PROGRAM STATUS: ACTIVE
8632 ARCHIBALD AVE #103 LEVEL OF CARE (LOC) RATE: 2139 2287 2435 2618
RANCHO CUCAMONGA, CA 91730- Maintenance Ratio: 66.34 68.52 70.43 72.50 909/466-4023 Maint. Federal: 65.05 65.54 65.95 65.07 Maint. Non-Federal: 34.95 34.46 34.05 34.93 Administration Ratio: 33.66 31.48 29.57 27.50 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
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FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
DR. SHARADA VEGI 2331.01.01 Hing RATE ADJUSTMENT EFFECTIVE DATE: 7/1/2018 A TENDER LOVE AND CARE INC. A TENDER LOVE AND CARE FFA PROGRAM STATUS: ACTIVE
12968 FREDERICK STE D LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
MORENO VALLEY, CA 92553- Maintenance Ratio: 66.91 69.07 70.97 73.00 951/242-7738 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
SAM JAKANA 1571.01.01 Salisbury RATE ADJUSTMENT EFFECTIVE DATE: 7/1/2018 ABC FOSTER FAMILY AGENCY ABC FOSTER FAMILY AGENCY PROGRAM STATUS: ACTIVE
1520 BROOKHOLLOW DR.#35 LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
SANTA ANA, CA 92705- Maintenance Ratio: 66.91 69.07 70.97 73.00 714/545-2046 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
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FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
SAM JAKANA 1571.01.01 Salisbury RATE ADJUSTMENT EFFECTIVE DATE: 12/1/2017 ABC FOSTER FAMILY AGENCY ABC FOSTER FAMILY AGENCY PROGRAM STATUS: ACTIVE
1520 BROOKHOLLOW DR.#35 LEVEL OF CARE (LOC) RATE: 2139 2287 2435 2618
SANTA ANA, CA 92705- Maintenance Ratio: 66.34 68.52 70.43 72.50 714/545-2046 Maint. Federal: 65.05 65.54 65.95 65.07 Maint. Non-Federal: 34.95 34.46 34.05 34.93 Administration Ratio: 33.66 31.48 29.57 27.50 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
SAM JAKANA 1571.01.01 Salisbury BIENNIAL EFFECTIVE DATE: 12/1/2017 ABC FOSTER FAMILY AGENCY ABC FOSTER FAMILY AGENCY PROGRAM STATUS: ACTIVE
1520 BROOKHOLLOW DR.#35 LEVEL OF CARE (LOC) RATE: 2139 2287 2435 2618
SANTA ANA, CA 92705- Maintenance Ratio: 66.34 68.52 70.43 72.50 714/545-2046 Maint. Federal: 65.05 65.54 65.95 65.07 Maint. Non-Federal: 34.95 34.46 34.05 34.93 Administration Ratio: 33.66 31.48 29.57 27.50 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
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FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
JOHN LOTT, PSY.D. 2182.01.01 Salisbury BIENNIAL EFFECTIVE DATE: 12/1/2018 ABRAZO FOSTER FAMILY AGENCY ABRAZO FOSTER FAMILY AGENCY PROGRAM STATUS: ACTIVE
1589 W. SHAW AVENUE #3 LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
FRESNO, CA 93711- Maintenance Ratio: 66.91 69.07 70.97 73.00 559/228-9800 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
JOHN LOTT, PSY.D. 2182.01.01 Salisbury RATE ADJUSTMENT EFFECTIVE DATE: 7/1/2018 ABRAZO FOSTER FAMILY AGENCY ABRAZO FOSTER FAMILY AGENCY PROGRAM STATUS: ACTIVE
1589 W. SHAW AVENUE #3 LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
FRESNO, CA 93711- Maintenance Ratio: 66.91 69.07 70.97 73.00 559/228-9800 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
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FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
ROBERT THOMAS 2344.01.01 Hing BIENNIAL EFFECTIVE DATE: 12/1/2018 INSTITUTE FOR BETTER HUMAN SERVICES ACCOUNTABLE CHILDREN & FAMILY SERVICES PROGRAM STATUS: ACTIVE
5948 FREEPORT BLVD LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
SACRAMENTO, CA 95822- Maintenance Ratio: 66.91 69.07 70.97 73.00 916/392-5316 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
ROBERT THOMAS 2344.01.01 Hing RATE ADJUSTMENT EFFECTIVE DATE: 7/1/2018 INSTITUTE FOR BETTER HUMAN SERVICES ACCOUNTABLE CHILDREN & FAMILY SERVICES PROGRAM STATUS: ACTIVE
5948 FREEPORT BLVD LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
SACRAMENTO, CA 95822- Maintenance Ratio: 66.91 69.07 70.97 73.00 916/392-5316 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
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FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
VICKI RIDER 2012.01.01 Salisbury BIENNIAL EFFECTIVE DATE: 12/1/2018 ADVANTAGE FOSTER FAMILY AGENCY ADVANTAGE FOSTER FAMILY AGENCY PROGRAM STATUS: ACTIVE
1748 W. KATELLA AVE#103 LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
ORANGE, CA 92867- Maintenance Ratio: 66.91 69.07 70.97 73.00 714/528-1555 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
VICKI RIDER 2012.01.01 Salisbury RATE ADJUSTMENT EFFECTIVE DATE: 7/1/2018 ADVANTAGE FOSTER FAMILY AGENCY ADVANTAGE FOSTER FAMILY AGENCY PROGRAM STATUS: ACTIVE
1748 W. KATELLA AVE#103 LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
ORANGE, CA 92867- Maintenance Ratio: 66.91 69.07 70.97 73.00 714/528-1555 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
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FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
CHERYL YOUNGBLOOD 1353.01.01 Maschmeyer RATE ADJUSTMENT EFFECTIVE DATE: 7/1/2018 AGAPE VILLAGES, INC. AGAPE VILLAGES FOSTER FAMILY AGENCY PROGRAM STATUS: ACTIVE
3160 CROW CANYON PL#120 LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
SAN RAMON, CA 94583- Maintenance Ratio: 66.91 69.07 70.97 73.00 209/824-5365 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
CHERYL YOUNGBLOOD 1353.01.01 Maschmeyer BIENNIAL EFFECTIVE DATE: 12/1/2017 AGAPE VILLAGES, INC. AGAPE VILLAGES FOSTER FAMILY AGENCY PROGRAM STATUS: ACTIVE
3160 CROW CANYON PL#120 LEVEL OF CARE (LOC) RATE: 2139 2287 2435 2618
SAN RAMON, CA 94583- Maintenance Ratio: 66.34 68.52 70.43 72.50 209/824-5365 Maint. Federal: 65.05 65.54 65.95 65.07 Maint. Non-Federal: 34.95 34.46 34.05 34.93 Administration Ratio: 33.66 31.48 29.57 27.50 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
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FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
CHERYL YOUNGBLOOD 1353.01.01 Maschmeyer RATE ADJUSTMENT EFFECTIVE DATE: 12/1/2017 AGAPE VILLAGES, INC. AGAPE VILLAGES FOSTER FAMILY AGENCY PROGRAM STATUS: ACTIVE
3160 CROW CANYON PL#120 LEVEL OF CARE (LOC) RATE: 2139 2287 2435 2618
SAN RAMON, CA 94583- Maintenance Ratio: 66.34 68.52 70.43 72.50 209/824-5365 Maint. Federal: 65.05 65.54 65.95 65.07 Maint. Non-Federal: 34.95 34.46 34.05 34.93 Administration Ratio: 33.66 31.48 29.57 27.50 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
VIRGINIA LOZANO 2298.01.01 Griffin BIENNIAL EFFECTIVE DATE: 12/1/2018 ALBA CARE SERVICES ALBA CARE SERVICES PROGRAM STATUS: ACTIVE
P.O. BOX 211625 LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
CHULA VISTA, CA 91921- Maintenance Ratio: 66.91 69.07 70.97 73.00 760/353-2533 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
16
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
VIRGINIA LOZANO 2298.01.01 Griffin RATE ADJUSTMENT EFFECTIVE DATE: 7/1/2018 ALBA CARE SERVICES ALBA CARE SERVICES PROGRAM STATUS: ACTIVE
P.O. BOX 211625 LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
CHULA VISTA, CA 91921- Maintenance Ratio: 66.91 69.07 70.97 73.00 760/353-2533 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
MARK BONTRAGER 0307.01.01 Maschmeyer RATE ADJUSTMENT EFFECTIVE DATE: 7/1/2018 ALDEA CHILDREN'S SERVICES ALDEA CHILDREN'S SERVICES PROGRAM STATUS: ACTIVE
P.O. BOX 841 LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
NAPA, CA 94559 Maintenance Ratio: 66.91 69.07 70.97 73.00 707/224-8266 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
17
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
MARK BONTRAGER 0307.01.01 Maschmeyer BIENNIAL EFFECTIVE DATE: 12/1/2017 ALDEA CHILDREN'S SERVICES ALDEA CHILDREN'S SERVICES PROGRAM STATUS: ACTIVE
P.O. BOX 841 LEVEL OF CARE (LOC) RATE: 2139 2287 2435 2618
NAPA, CA 94559 Maintenance Ratio: 66.34 68.52 70.43 72.50 707/224-8266 Maint. Federal: 65.05 65.54 65.95 65.07 Maint. Non-Federal: 34.95 34.46 34.05 34.93 Administration Ratio: 33.66 31.48 29.57 27.50 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
MARK BONTRAGER 0307.01.01 Maschmeyer RATE ADJUSTMENT EFFECTIVE DATE: 12/1/2017 ALDEA CHILDREN'S SERVICES ALDEA CHILDREN'S SERVICES PROGRAM STATUS: ACTIVE
P.O. BOX 841 LEVEL OF CARE (LOC) RATE: 2139 2287 2435 2618
NAPA, CA 94559 Maintenance Ratio: 66.34 68.52 70.43 72.50 707/224-8266 Maint. Federal: 65.05 65.54 65.95 65.07 Maint. Non-Federal: 34.95 34.46 34.05 34.93 Administration Ratio: 33.66 31.48 29.57 27.50 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
18
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
LUIGI GRIMALDI 2190.01.01 Hing BIENNIAL EFFECTIVE DATE: 12/1/2018 ALLIANCE HUMAN SERVICES, INC. ALLIANCE HUMAN SERVICES, INC. PROGRAM STATUS: ACTIVE
144 TURNPIKE ROAD #220 LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
SOUTHBOROUGH, MA 01772- Maintenance Ratio: 66.91 69.07 70.97 73.00 909/476-1185 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
LUIGI GRIMALDI 2190.01.01 Hing RATE ADJUSTMENT EFFECTIVE DATE: 7/1/2018 ALLIANCE HUMAN SERVICES, INC. ALLIANCE HUMAN SERVICES, INC. PROGRAM STATUS: ACTIVE
144 TURNPIKE ROAD #220 LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
SOUTHBOROUGH, MA 01772- Maintenance Ratio: 66.91 69.07 70.97 73.00 909/476-1185 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
19
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
JENESSA SARGENT 0022.01.01 Hing BIENNIAL EFFECTIVE DATE: 12/1/2018 ALPHA TREATMENT CENTERS ALPHA TREATMENT CENTERS PROGRAM STATUS: ACTIVE
5053 LA MART, #107 LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
RIVERSIDE, CA 92507- Maintenance Ratio: 66.91 69.07 70.97 73.00 951/369-5282 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
JENESSA SARGENT 0022.01.01 Hing RATE ADJUSTMENT EFFECTIVE DATE: 7/1/2018 ALPHA TREATMENT CENTERS ALPHA TREATMENT CENTERS PROGRAM STATUS: ACTIVE
5053 LA MART, #107 LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
RIVERSIDE, CA 92507- Maintenance Ratio: 66.91 69.07 70.97 73.00 951/369-5282 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
20
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
JAY BERLIN 0007.01.03 Salisbury RATE ADJUSTMENT EFFECTIVE DATE: 7/1/2018 ALTERNATIVE FAMILY SERVICES ALTERNATIVE FAMILY SERVICES PROGRAM STATUS: ACTIVE
1421 GUERNEVILLE RD, 218 LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
SANTA ROSA, CA 95403- Maintenance Ratio: 66.91 69.07 70.97 73.00 707/576-7700 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
JAY BERLIN 0007.01.03 Salisbury RATE ADJUSTMENT EFFECTIVE DATE: 12/1/2017 ALTERNATIVE FAMILY SERVICES ALTERNATIVE FAMILY SERVICES PROGRAM STATUS: ACTIVE
1421 GUERNEVILLE RD, 218 LEVEL OF CARE (LOC) RATE: 2139 2287 2435 2618
SANTA ROSA, CA 95403- Maintenance Ratio: 66.34 68.52 70.43 72.50 707/576-7700 Maint. Federal: 65.05 65.54 65.95 65.07 Maint. Non-Federal: 34.95 34.46 34.05 34.93 Administration Ratio: 33.66 31.48 29.57 27.50 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
21
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
JAY BERLIN 0007.01.03 Salisbury BIENNIAL EFFECTIVE DATE: 12/1/2017 ALTERNATIVE FAMILY SERVICES ALTERNATIVE FAMILY SERVICES PROGRAM STATUS: ACTIVE
1421 GUERNEVILLE RD, 218 LEVEL OF CARE (LOC) RATE: 2139 2287 2435 2618
SANTA ROSA, CA 95403- Maintenance Ratio: 66.34 68.52 70.43 72.50 707/576-7700 Maint. Federal: 65.05 65.54 65.95 65.07 Maint. Non-Federal: 34.95 34.46 34.05 34.93 Administration Ratio: 33.66 31.48 29.57 27.50 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
DARLYN TSOSIE 0016.01.01 Maschmeyer BIENNIAL EFFECTIVE DATE: 12/1/2018 AMERICAN INDIAN CHILD RESOURCES, INC. AMERICAN INDIAN CHILD RESOURCE CTR PROGRAM STATUS: ACTIVE
522 GRAND AVE. LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
OAKLAND, CA 94610- Maintenance Ratio: 66.91 69.07 70.97 73.00 510/208-1870 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
22
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
DARLYN TSOSIE 0016.01.01 Maschmeyer RATE ADJUSTMENT EFFECTIVE DATE: 7/1/2018 AMERICAN INDIAN CHILD RESOURCES, INC. AMERICAN INDIAN CHILD RESOURCE CTR PROGRAM STATUS: ACTIVE
522 GRAND AVE. LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
OAKLAND, CA 94610- Maintenance Ratio: 66.91 69.07 70.97 73.00 510/208-1870 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
MEICHELLE ARNTZ 2273.01.02 Hing RATE ADJUSTMENT EFFECTIVE DATE: 7/1/2018 ANGELS FOSTER CARE OF SANTA BARBARA ANGELS FOSTER CARE OF SANTA BARBARA (TRTMNT PROGRAM STATUS: ACTIVE
3905 STATE STREET #7-115 LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
SANTA BARBARA, CA 93105- Maintenance Ratio: 66.91 69.07 70.97 73.00 805/884-0012 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
23
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
MEICHELLE ARNTZ 2273.01.02 Hing BIENNIAL EFFECTIVE DATE: 12/1/2017 ANGELS FOSTER CARE OF SANTA BARBARA ANGELS FOSTER CARE OF SANTA BARBARA (TRTMNT PROGRAM STATUS: ACTIVE
3905 STATE STREET #7-115 LEVEL OF CARE (LOC) RATE: 2139 2287 2435 2618
SANTA BARBARA, CA 93105- Maintenance Ratio: 66.34 68.52 70.43 72.50 805/884-0012 Maint. Federal: 65.05 65.54 65.95 65.07 Maint. Non-Federal: 34.95 34.46 34.05 34.93 Administration Ratio: 33.66 31.48 29.57 27.50 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
MEICHELLE ARNTZ 2273.01.02 Hing RATE ADJUSTMENT EFFECTIVE DATE: 12/1/2017 ANGELS FOSTER CARE OF SANTA BARBARA ANGELS FOSTER CARE OF SANTA BARBARA (TRTMNT PROGRAM STATUS: ACTIVE
3905 STATE STREET #7-115 LEVEL OF CARE (LOC) RATE: 2139 2287 2435 2618
SANTA BARBARA, CA 93105- Maintenance Ratio: 66.34 68.52 70.43 72.50 805/884-0012 Maint. Federal: 65.05 65.54 65.95 65.07 Maint. Non-Federal: 34.95 34.46 34.05 34.93 Administration Ratio: 33.66 31.48 29.57 27.50 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
24
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
JEFF WIEMANN 1817.01.02 Griffin RATE ADJUSTMENT EFFECTIVE DATE: 7/1/2018 ANGELS FOSTER FAMILY AGENCY ANGELS FOSTER FAMILY AGENCY - TREATMENT PROGRAM STATUS: ACTIVE
9295 FARNHAM ST. #200 LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
SAN DIEGO, CA 92123- Maintenance Ratio: 66.91 69.07 70.97 73.00 619/283-8100 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
JEFF WIEMANN 1817.01.02 Griffin RATE ADJUSTMENT EFFECTIVE DATE: 12/1/2017 ANGELS FOSTER FAMILY AGENCY ANGELS FOSTER FAMILY AGENCY - TREATMENT PROGRAM STATUS: ACTIVE
9295 FARNHAM ST. #200 LEVEL OF CARE (LOC) RATE: 2139 2287 2435 2618
SAN DIEGO, CA 92123- Maintenance Ratio: 66.34 68.52 70.43 72.50 619/283-8100 Maint. Federal: 65.05 65.54 65.95 65.07 Maint. Non-Federal: 34.95 34.46 34.05 34.93 Administration Ratio: 33.66 31.48 29.57 27.50 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
25
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
JEFF WIEMANN 1817.01.02 Griffin BIENNIAL EFFECTIVE DATE: 12/1/2017 ANGELS FOSTER FAMILY AGENCY ANGELS FOSTER FAMILY AGENCY - TREATMENT PROGRAM STATUS: ACTIVE
9295 FARNHAM ST. #200 LEVEL OF CARE (LOC) RATE: 2139 2287 2435 2618
SAN DIEGO, CA 92123- Maintenance Ratio: 66.34 68.52 70.43 72.50 619/283-8100 Maint. Federal: 65.05 65.54 65.95 65.07 Maint. Non-Federal: 34.95 34.46 34.05 34.93 Administration Ratio: 33.66 31.48 29.57 27.50 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
ELIZABETH L. CASAREZ 1986.01.01 Salisbury BIENNIAL EFFECTIVE DATE: 12/1/2018 ANGELS OF GRACE FOSTER FAMILY AGENCY ANGELS OF GRACE FOSTER FAMILY AGENCY PROGRAM STATUS: ACTIVE
1095 VAN NESS AVENUE LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
FRESNO, CA 93728- Maintenance Ratio: 66.91 69.07 70.97 73.00 559/268-0000 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
26
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
ELIZABETH L. CASAREZ 1986.01.01 Salisbury RATE ADJUSTMENT EFFECTIVE DATE: 7/1/2018 ANGELS OF GRACE FOSTER FAMILY AGENCY ANGELS OF GRACE FOSTER FAMILY AGENCY PROGRAM STATUS: ACTIVE
1095 VAN NESS AVENUE LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
FRESNO, CA 93728- Maintenance Ratio: 66.91 69.07 70.97 73.00 559/268-0000 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
FRANKLYN VINCENT 2216.01.01 Salisbury BIENNIAL EFFECTIVE DATE: 12/1/2018 APPROACHABLE FOSTER FAMILY AGENCY APPROACHABLE FFA PROGRAM STATUS: ACTIVE
P.O. BOX 1253 LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
MERCED, CA 95341- Maintenance Ratio: 66.91 69.07 70.97 73.00 209/723-2093 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
27
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
FRANKLYN VINCENT 2216.01.01 Salisbury RATE ADJUSTMENT EFFECTIVE DATE: 7/1/2018 APPROACHABLE FOSTER FAMILY AGENCY APPROACHABLE FFA PROGRAM STATUS: ACTIVE
P.O. BOX 1253 LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
MERCED, CA 95341- Maintenance Ratio: 66.91 69.07 70.97 73.00 209/723-2093 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
ALICE DOROTHY 2073.01.01 Hing RATE ADJUSTMENT EFFECTIVE DATE: 7/1/2018 ARK HOMES FOSTER FAMILY AGENCY ARK HOMES FOSTER FAMILY AGENCY PROGRAM STATUS: ACTIVE
9645 ARROW RTE, BLG 5 #A LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
RANCHO CUCAMONGA, CA 91730- Maintenance Ratio: 66.91 69.07 70.97 73.00 909/948-5747 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
28
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
ALICE DOROTHY 2073.01.01 Hing BIENNIAL EFFECTIVE DATE: 12/1/2017 ARK HOMES FOSTER FAMILY AGENCY ARK HOMES FOSTER FAMILY AGENCY PROGRAM STATUS: ACTIVE
9645 ARROW RTE, BLG 5 #A LEVEL OF CARE (LOC) RATE: 2139 2287 2435 2618
RANCHO CUCAMONGA, CA 91730- Maintenance Ratio: 66.34 68.52 70.43 72.50 909/948-5747 Maint. Federal: 65.05 65.54 65.95 65.07 Maint. Non-Federal: 34.95 34.46 34.05 34.93 Administration Ratio: 33.66 31.48 29.57 27.50 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
ALICE DOROTHY 2073.01.01 Hing RATE ADJUSTMENT EFFECTIVE DATE: 12/1/2017 ARK HOMES FOSTER FAMILY AGENCY ARK HOMES FOSTER FAMILY AGENCY PROGRAM STATUS: ACTIVE
9645 ARROW RTE, BLG 5 #A LEVEL OF CARE (LOC) RATE: 2139 2287 2435 2618
RANCHO CUCAMONGA, CA 91730- Maintenance Ratio: 66.34 68.52 70.43 72.50 909/948-5747 Maint. Federal: 65.05 65.54 65.95 65.07 Maint. Non-Federal: 34.95 34.46 34.05 34.93 Administration Ratio: 33.66 31.48 29.57 27.50 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
29
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
RUSSELL NEUMEN 1954.01.01 Hing BIENNIAL EFFECTIVE DATE: 12/1/2018 ARROWHEAD FOSTER FAMILY AGENCY ARROWHEAD FOSTER FAMILY AGENCY PROGRAM STATUS: ACTIVE
P.O. BOX 4737 LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
BLUE JAY, CA 92317- Maintenance Ratio: 66.91 69.07 70.97 73.00 909/496-6963 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
RUSSELL NEUMEN 1954.01.01 Hing RATE ADJUSTMENT EFFECTIVE DATE: 7/1/2018 ARROWHEAD FOSTER FAMILY AGENCY ARROWHEAD FOSTER FAMILY AGENCY PROGRAM STATUS: ACTIVE
P.O. BOX 4737 LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
BLUE JAY, CA 92317- Maintenance Ratio: 66.91 69.07 70.97 73.00 909/496-6963 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
30
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
VERNON BROWN 0115.01.01 Maschmeyer RATE ADJUSTMENT EFFECTIVE DATE: 7/1/2018 ASPIRANET ASPIRANET PROGRAM STATUS: ACTIVE
400 OYSTER POINT #501 LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
SO. SAN FRANCISCO, CA 94080- Maintenance Ratio: 66.91 69.07 70.97 73.00 650/866-4080 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
VERNON BROWN 0115.01.01 Maschmeyer RATE ADJUSTMENT EFFECTIVE DATE: 12/1/2017 ASPIRANET ASPIRANET PROGRAM STATUS: ACTIVE
400 OYSTER POINT #501 LEVEL OF CARE (LOC) RATE: 2139 2287 2435 2618
SO. SAN FRANCISCO, CA 94080- Maintenance Ratio: 66.34 68.52 70.43 72.50 650/866-4080 Maint. Federal: 65.05 65.54 65.95 65.07 Maint. Non-Federal: 34.95 34.46 34.05 34.93 Administration Ratio: 33.66 31.48 29.57 27.50 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
31
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
VERNON BROWN 0115.01.01 Maschmeyer BIENNIAL EFFECTIVE DATE: 12/1/2017 ASPIRANET ASPIRANET PROGRAM STATUS: ACTIVE
400 OYSTER POINT #501 LEVEL OF CARE (LOC) RATE: 2139 2287 2435 2618
SO. SAN FRANCISCO, CA 94080- Maintenance Ratio: 66.34 68.52 70.43 72.50 650/866-4080 Maint. Federal: 65.05 65.54 65.95 65.07 Maint. Non-Federal: 34.95 34.46 34.05 34.93 Administration Ratio: 33.66 31.48 29.57 27.50 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
CHRISTINA JONES 2408.01.01 Hing BIENNIAL EFFECTIVE DATE: 12/1/2018 ASPIRE HOPE, INC. ASPIRE HOPE FOSTER FAMILY AGENCY PROGRAM STATUS: ACTIVE
P.O. BOX 803 LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
SAN BERNARDINO, CA 92401- Maintenance Ratio: 66.91 69.07 70.97 73.00 909/521-8004 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
32
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
CHRISTINA JONES 2408.01.01 Hing RATE ADJUSTMENT EFFECTIVE DATE: 7/1/2018 ASPIRE HOPE, INC. ASPIRE HOPE FOSTER FAMILY AGENCY PROGRAM STATUS: ACTIVE
P.O. BOX 803 LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
SAN BERNARDINO, CA 92401- Maintenance Ratio: 66.91 69.07 70.97 73.00 909/521-8004 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
JAMES ATKINSON 0308.01.01 Hing RATE ADJUSTMENT EFFECTIVE DATE: 7/1/2018 ATKINSON YOUTH SERVICES ATKINSON YOUTH SERVICES PROGRAM STATUS: ACTIVE
P.O. BOX 2755 LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
CARMICHAEL, CA 95609- Maintenance Ratio: 66.91 69.07 70.97 73.00 916/489-5316 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
33
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
PHYLLIS SMITH 2107.01.01 Hing RATE ADJUSTMENT EFFECTIVE DATE: 7/1/2018 AVANT-GARDE FOSTER FAMILY SERVICES AGY, INC. AVANT-GARDE FFA PROGRAM STATUS: ACTIVE
1655 E. 6TH ST #A-4C LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
CORONA, CA 92879- Maintenance Ratio: 66.91 69.07 70.97 73.00 951/735-5300 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
PHYLLIS SMITH 2107.01.01 Hing RATE ADJUSTMENT EFFECTIVE DATE: 12/1/2017 AVANT-GARDE FOSTER FAMILY SERVICES AGY, INC. AVANT-GARDE FFA PROGRAM STATUS: ACTIVE
1655 E. 6TH ST #A-4C LEVEL OF CARE (LOC) RATE: 2139 2287 2435 2618
CORONA, CA 92879- Maintenance Ratio: 66.34 68.52 70.43 72.50 951/735-5300 Maint. Federal: 65.05 65.54 65.95 65.07 Maint. Non-Federal: 34.95 34.46 34.05 34.93 Administration Ratio: 33.66 31.48 29.57 27.50 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
34
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
PHYLLIS SMITH 2107.01.01 Hing BIENNIAL EFFECTIVE DATE: 12/1/2017 AVANT-GARDE FOSTER FAMILY SERVICES AGY, INC. AVANT-GARDE FFA PROGRAM STATUS: ACTIVE
1655 E. 6TH ST #A-4C LEVEL OF CARE (LOC) RATE: 2139 2287 2435 2618
CORONA, CA 92879- Maintenance Ratio: 66.34 68.52 70.43 72.50 951/735-5300 Maint. Federal: 65.05 65.54 65.95 65.07 Maint. Non-Federal: 34.95 34.46 34.05 34.93 Administration Ratio: 33.66 31.48 29.57 27.50 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
JEFFREY JAMERSON 0232.01.01 Griffin BIENNIAL EFFECTIVE DATE: 12/1/2018 HAMBURGER HOME, INC. AVIVA CENTER FFA - HAMBURGER HOME, INC. PROGRAM STATUS: ACTIVE
7120 FRANKLIN AVENUE LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
LOS ANGELES, CA 90046- Maintenance Ratio: 66.91 69.07 70.97 73.00 323/876-0550 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
35
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
JEFFREY JAMERSON 0232.01.01 Griffin RATE ADJUSTMENT EFFECTIVE DATE: 7/1/2018 HAMBURGER HOME, INC. AVIVA CENTER FFA - HAMBURGER HOME, INC. PROGRAM STATUS: ACTIVE
7120 FRANKLIN AVENUE LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
LOS ANGELES, CA 90046- Maintenance Ratio: 66.91 69.07 70.97 73.00 323/876-0550 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
TRISHKA LAMPKIN 1969.01.01 Maschmeyer RATE ADJUSTMENT EFFECTIVE DATE: 7/1/2018 BAY AREA ALLIANCE FOR YOUTH & FAMILY SERVICES BAY AREA ALLIANCE FOR YOUTH & FAMILY SERVICES PROGRAM STATUS: ACTIVE
1820 GALINDO STREET #220 LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
CONCORD, CA 94520- Maintenance Ratio: 66.91 69.07 70.97 73.00 925/609-6990 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
36
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
TRISHKA LAMPKIN 1969.01.01 Maschmeyer BIENNIAL EFFECTIVE DATE: 12/1/2017 BAY AREA ALLIANCE FOR YOUTH & FAMILY SERVICES BAY AREA ALLIANCE FOR YOUTH & FAMILY SERVICES PROGRAM STATUS: ACTIVE
1820 GALINDO STREET #220 LEVEL OF CARE (LOC) RATE: 2139 2287 2435 2618
CONCORD, CA 94520- Maintenance Ratio: 66.34 68.52 70.43 72.50 925/609-6990 Maint. Federal: 65.05 65.54 65.95 65.07 Maint. Non-Federal: 34.95 34.46 34.05 34.93 Administration Ratio: 33.66 31.48 29.57 27.50 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
TRISHKA LAMPKIN 1969.01.01 Maschmeyer RATE ADJUSTMENT EFFECTIVE DATE: 12/1/2017 BAY AREA ALLIANCE FOR YOUTH & FAMILY SERVICES BAY AREA ALLIANCE FOR YOUTH & FAMILY SERVICES PROGRAM STATUS: ACTIVE
1820 GALINDO STREET #220 LEVEL OF CARE (LOC) RATE: 2139 2287 2435 2618
CONCORD, CA 94520- Maintenance Ratio: 66.34 68.52 70.43 72.50 925/609-6990 Maint. Federal: 65.05 65.54 65.95 65.07 Maint. Non-Federal: 34.95 34.46 34.05 34.93 Administration Ratio: 33.66 31.48 29.57 27.50 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
37
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
CRAIG ZACUTO 0977.01.01 Salisbury RATE ADJUSTMENT EFFECTIVE DATE: 7/1/2018 BETA FOSTER CARE BETA FOSTER CARE PROGRAM STATUS: ACTIVE
23276 SO. POINTE DR #213 LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
LAGUNA HILLS, CA 92653- Maintenance Ratio: 66.91 69.07 70.97 73.00 949/600-7722 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
CRAIG ZACUTO 0977.01.01 Salisbury BIENNIAL EFFECTIVE DATE: 12/1/2017 BETA FOSTER CARE BETA FOSTER CARE PROGRAM STATUS: ACTIVE
23276 SO. POINTE DR #213 LEVEL OF CARE (LOC) RATE: 2139 2287 2435 2618
LAGUNA HILLS, CA 92653- Maintenance Ratio: 66.34 68.52 70.43 72.50 949/600-7722 Maint. Federal: 65.05 65.54 65.95 65.07 Maint. Non-Federal: 34.95 34.46 34.05 34.93 Administration Ratio: 33.66 31.48 29.57 27.50 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
38
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
CRAIG ZACUTO 0977.01.01 Salisbury RATE ADJUSTMENT EFFECTIVE DATE: 12/1/2017 BETA FOSTER CARE BETA FOSTER CARE PROGRAM STATUS: ACTIVE
23276 SO. POINTE DR #213 LEVEL OF CARE (LOC) RATE: 2139 2287 2435 2618
LAGUNA HILLS, CA 92653- Maintenance Ratio: 66.34 68.52 70.43 72.50 949/600-7722 Maint. Federal: 65.05 65.54 65.95 65.07 Maint. Non-Federal: 34.95 34.46 34.05 34.93 Administration Ratio: 33.66 31.48 29.57 27.50 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
JEFF CARLSON 2405.01.01 Griffin RATE ADJUSTMENT EFFECTIVE DATE: 7/1/2018 BETHANY CHRISTIAN SERVICES BETHANY CHRISTIAN SERVICES OF SOUTHERN CA PROGRAM STATUS: ACTIVE
4001 MISSION OAKS #T&K LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
CAMARILLO, CA 93012- Maintenance Ratio: 66.91 69.07 70.97 73.00 714/994-0500 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
39
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
JEFF CARLSON 2405.01.01 Griffin RATE ADJUSTMENT EFFECTIVE DATE: 12/1/2017 BETHANY CHRISTIAN SERVICES BETHANY CHRISTIAN SERVICES OF SOUTHERN CA PROGRAM STATUS: ACTIVE
4001 MISSION OAKS #T&K LEVEL OF CARE (LOC) RATE: 2139 2287 2435 2618
CAMARILLO, CA 93012- Maintenance Ratio: 66.34 68.52 70.43 72.50 714/994-0500 Maint. Federal: 65.05 65.54 65.95 65.07 Maint. Non-Federal: 34.95 34.46 34.05 34.93 Administration Ratio: 33.66 31.48 29.57 27.50 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
NENA PANZA 2054.01.01 Salisbury BIENNIAL EFFECTIVE DATE: 12/1/2018 BETTER CHOICES, INC. BETTER CHOICES - READY FOR LIFE PROGRAM STATUS: ACTIVE
P.O. BOX 991393 LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
REDDING, CA 96099-1393 Maintenance Ratio: 66.91 69.07 70.97 73.00 530/222-1826 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
40
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
NENA PANZA 2054.01.01 Salisbury RATE ADJUSTMENT EFFECTIVE DATE: 7/1/2018 BETTER CHOICES, INC. BETTER CHOICES - READY FOR LIFE PROGRAM STATUS: ACTIVE
P.O. BOX 991393 LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
REDDING, CA 96099-1393 Maintenance Ratio: 66.91 69.07 70.97 73.00 530/222-1826 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
WINIFRED MCNEIL 1360.01.01 Hing BIENNIAL EFFECTIVE DATE: 12/1/2018 BETTER LIFE CHILDREN SERVICES BETTER LIFE CHILDREN SERVICES PROGRAM STATUS: ACTIVE
1750 HOWE AVENUE #280 LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
SACRAMENTO, CA 95825 Maintenance Ratio: 66.91 69.07 70.97 73.00 916/641-0661 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
41
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
WINIFRED MCNEIL 1360.01.01 Hing RATE ADJUSTMENT EFFECTIVE DATE: 7/1/2018 BETTER LIFE CHILDREN SERVICES BETTER LIFE CHILDREN SERVICES PROGRAM STATUS: ACTIVE
1750 HOWE AVENUE #280 LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
SACRAMENTO, CA 95825 Maintenance Ratio: 66.91 69.07 70.97 73.00 916/641-0661 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
JOSEPH COSTA 0704.01.01 Griffin RATE ADJUSTMENT EFFECTIVE DATE: 7/1/2018 BIENVENIDOS CHILDREN'S CENTER, INC. BIENVENIDOS CHILDREN'S CENTER PROGRAM STATUS: ACTIVE
815 COLORADO BLVD #300 LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
LOS ANGELES, CA 90041- Maintenance Ratio: 66.91 69.07 70.97 73.00 323/859-8471 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
42
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
JOSEPH COSTA 0704.01.01 Griffin RATE ADJUSTMENT EFFECTIVE DATE: 12/1/2017 BIENVENIDOS CHILDREN'S CENTER, INC. BIENVENIDOS CHILDREN'S CENTER PROGRAM STATUS: ACTIVE
815 COLORADO BLVD #300 LEVEL OF CARE (LOC) RATE: 2139 2287 2435 2618
LOS ANGELES, CA 90041- Maintenance Ratio: 66.34 68.52 70.43 72.50 323/859-8471 Maint. Federal: 65.05 65.54 65.95 65.07 Maint. Non-Federal: 34.95 34.46 34.05 34.93 Administration Ratio: 33.66 31.48 29.57 27.50 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
DEBORAH PELL 0268.01.01 Maschmeyer BIENNIAL EFFECTIVE DATE: 12/1/2018 BILL WILSON CENTER BILL WILSON CENTER FFA PROGRAM STATUS: ACTIVE
3490 THE ALAMEDA LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
SANTA CLARA, CA 95050- Maintenance Ratio: 66.91 69.07 70.97 73.00 408/850-6146 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
43
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
DEBORAH PELL 0268.01.01 Maschmeyer RATE ADJUSTMENT EFFECTIVE DATE: 7/1/2018 BILL WILSON CENTER BILL WILSON CENTER FFA PROGRAM STATUS: ACTIVE
3490 THE ALAMEDA LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
SANTA CLARA, CA 95050- Maintenance Ratio: 66.91 69.07 70.97 73.00 408/850-6146 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
MICHELLE GREENHOUSE 2279.01.01 Hing RATE ADJUSTMENT EFFECTIVE DATE: 7/1/2018 BRIGHT HORIZONS FOSTER FAMILY BRIGHT HORIZONS FFA PROGRAM STATUS: ACTIVE
1003 E. COOLEY DR #102 LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
COLTON, CA 92324- Maintenance Ratio: 66.91 69.07 70.97 73.00 909/514-0670 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
44
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
MICHELLE GREENHOUSE 2279.01.01 Hing BIENNIAL EFFECTIVE DATE: 12/1/2017 BRIGHT HORIZONS FOSTER FAMILY BRIGHT HORIZONS FFA PROGRAM STATUS: ACTIVE
1003 E. COOLEY DR #102 LEVEL OF CARE (LOC) RATE: 2139 2287 2435 2618
COLTON, CA 92324- Maintenance Ratio: 66.34 68.52 70.43 72.50 909/514-0670 Maint. Federal: 65.05 65.54 65.95 65.07 Maint. Non-Federal: 34.95 34.46 34.05 34.93 Administration Ratio: 33.66 31.48 29.57 27.50 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
MICHELLE GREENHOUSE 2279.01.01 Hing RATE ADJUSTMENT EFFECTIVE DATE: 12/1/2017 BRIGHT HORIZONS FOSTER FAMILY BRIGHT HORIZONS FFA PROGRAM STATUS: ACTIVE
1003 E. COOLEY DR #102 LEVEL OF CARE (LOC) RATE: 2139 2287 2435 2618
COLTON, CA 92324- Maintenance Ratio: 66.34 68.52 70.43 72.50 909/514-0670 Maint. Federal: 65.05 65.54 65.95 65.07 Maint. Non-Federal: 34.95 34.46 34.05 34.93 Administration Ratio: 33.66 31.48 29.57 27.50 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
45
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
MARCELO CABRERA 2395.01.01 Hing RATE ADJUSTMENT EFFECTIVE DATE: 7/1/2018 BUILDING BRIDGES FOSTER FAMILY AGENCY BUILDING BRIDGES FOSTER FAMILY AGENCY PROGRAM STATUS: ACTIVE
9631 BUSINESS CTR DR LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
RANCHO CUCAMONGA, CA 91730- Maintenance Ratio: 66.91 69.07 70.97 73.00 714/618-4211 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
PAMELA ELIE-DUNKLEY 0731.01.01 Hing RATE ADJUSTMENT EFFECTIVE DATE: 7/1/2018 CALIFORNIA FAMILY LIFE CENTER CALIFORNIA FAMILY LIFE CENTER PROGRAM STATUS: ACTIVE
P.O. BOX 727 LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
HEMET, CA 92546- Maintenance Ratio: 66.91 69.07 70.97 73.00 951/654-2352 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
46
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
PAMELA ELIE-DUNKLEY 0731.01.01 Hing BIENNIAL EFFECTIVE DATE: 12/1/2017 CALIFORNIA FAMILY LIFE CENTER CALIFORNIA FAMILY LIFE CENTER PROGRAM STATUS: ACTIVE
P.O. BOX 727 LEVEL OF CARE (LOC) RATE: 2139 2287 2435 2618
HEMET, CA 92546- Maintenance Ratio: 66.34 68.52 70.43 72.50 951/654-2352 Maint. Federal: 65.05 65.54 65.95 65.07 Maint. Non-Federal: 34.95 34.46 34.05 34.93 Administration Ratio: 33.66 31.48 29.57 27.50 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
PAMELA ELIE-DUNKLEY 0731.01.01 Hing RATE ADJUSTMENT EFFECTIVE DATE: 12/1/2017 CALIFORNIA FAMILY LIFE CENTER CALIFORNIA FAMILY LIFE CENTER PROGRAM STATUS: ACTIVE
P.O. BOX 727 LEVEL OF CARE (LOC) RATE: 2139 2287 2435 2618
HEMET, CA 92546- Maintenance Ratio: 66.34 68.52 70.43 72.50 951/654-2352 Maint. Federal: 65.05 65.54 65.95 65.07 Maint. Non-Federal: 34.95 34.46 34.05 34.93 Administration Ratio: 33.66 31.48 29.57 27.50 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
47
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
TRACY TOUSLEY 1988.01.01 Salisbury RATE ADJUSTMENT EFFECTIVE DATE: 7/1/2018 CALIFORNIA FOSTER FAMILIES, INC. CALIFORNIA FOSTER FAMILIES PROGRAM STATUS: TERMINATED 10/25/2018
P.O. BOX 489 LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
VALLEY SPRINGS, CA 95252- Maintenance Ratio: 66.91 69.07 70.97 73.00 209/920-3357 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
COLLEEN ANDERSON 1679.01.01 Griffin RATE ADJUSTMENT EFFECTIVE DATE: 7/1/2018 CALIFORNIA INSTITUTE OF HEALTH & SOCIAL SERVICES CALIFORNIA INSTITUTE OF HEALTH & SOCIAL PROGRAM STATUS: ACTIVE
8929 S. SEPULVEDA BL#201 LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
LOS ANGELES, CA 90045- Maintenance Ratio: 66.91 69.07 70.97 73.00 310/645-5227 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
48
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
COLLEEN ANDERSON 1679.01.01 Griffin RATE ADJUSTMENT EFFECTIVE DATE: 12/1/2017 CALIFORNIA INSTITUTE OF HEALTH & SOCIAL SERVICES CALIFORNIA INSTITUTE OF HEALTH & SOCIAL PROGRAM STATUS: ACTIVE
8929 S. SEPULVEDA BL#201 LEVEL OF CARE (LOC) RATE: 2139 2287 2435 2618
LOS ANGELES, CA 90045- Maintenance Ratio: 66.34 68.52 70.43 72.50 310/645-5227 Maint. Federal: 65.05 65.54 65.95 65.07 Maint. Non-Federal: 34.95 34.46 34.05 34.93 Administration Ratio: 33.66 31.48 29.57 27.50 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
COLLEEN ANDERSON 1679.01.01 Griffin BIENNIAL EFFECTIVE DATE: 12/1/2017 CALIFORNIA INSTITUTE OF HEALTH & SOCIAL SERVICES CALIFORNIA INSTITUTE OF HEALTH & SOCIAL PROGRAM STATUS: ACTIVE
8929 S. SEPULVEDA BL#201 LEVEL OF CARE (LOC) RATE: 2139 2287 2435 2618
LOS ANGELES, CA 90045- Maintenance Ratio: 66.34 68.52 70.43 72.50 310/645-5227 Maint. Federal: 65.05 65.54 65.95 65.07 Maint. Non-Federal: 34.95 34.46 34.05 34.93 Administration Ratio: 33.66 31.48 29.57 27.50 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
49
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
JODY KUSSIN 1566.01.02 Hing BIENNIAL EFFECTIVE DATE: 12/1/2018 CASA PACIFICA CENTERS FOR CHILDREN & FAMILIES CASA PACIFICA CENTERS FOR CHILDREN & FAMILIES PROGRAM STATUS: ACTIVE
1722 S. LEWIS ROAD LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
CAMARILLO, CA 93012- Maintenance Ratio: 66.91 69.07 70.97 73.00 818/414-2279 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
JODY KUSSIN 1566.01.02 Hing RATE ADJUSTMENT EFFECTIVE DATE: 7/1/2018 CASA PACIFICA CENTERS FOR CHILDREN & FAMILIES CASA PACIFICA CENTERS FOR CHILDREN & FAMILIES PROGRAM STATUS: ACTIVE
1722 S. LEWIS ROAD LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
CAMARILLO, CA 93012- Maintenance Ratio: 66.91 69.07 70.97 73.00 818/414-2279 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
50
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
JORGE CABRERA 1376.01.01 Griffin BIENNIAL EFFECTIVE DATE: 12/1/2018 CASEY FAMILY PROGRAM CASEY FAMILY PROGRAM PROGRAM STATUS: ACTIVE
2001 8TH AVE #2700 LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
SEATTLE, WA 98121- Maintenance Ratio: 66.91 69.07 70.97 73.00 619/543-0774 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
JORGE CABRERA 1376.01.01 Griffin RATE ADJUSTMENT EFFECTIVE DATE: 7/1/2018 CASEY FAMILY PROGRAM CASEY FAMILY PROGRAM PROGRAM STATUS: ACTIVE
2001 8TH AVE #2700 LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
SEATTLE, WA 98121- Maintenance Ratio: 66.91 69.07 70.97 73.00 619/543-0774 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
51
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
STACIE BUCHANAN 2007.01.02 Maschmeyer RATE ADJUSTMENT EFFECTIVE DATE: 7/1/2018 CASEY FAMILY PROGRAMS CASEY FAMILY PROGRAMS (TREATMENT) FFA PROGRAM STATUS: ACTIVE
491 9TH STREET LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
OAKLAND, CA 94607- Maintenance Ratio: 66.91 69.07 70.97 73.00 510/350-2975 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
STACIE BUCHANAN 2007.01.02 Maschmeyer RATE ADJUSTMENT EFFECTIVE DATE: 12/1/2017 CASEY FAMILY PROGRAMS CASEY FAMILY PROGRAMS (TREATMENT) FFA PROGRAM STATUS: ACTIVE
491 9TH STREET LEVEL OF CARE (LOC) RATE: 2139 2287 2435 2618
OAKLAND, CA 94607- Maintenance Ratio: 66.34 68.52 70.43 72.50 510/350-2975 Maint. Federal: 65.05 65.54 65.95 65.07 Maint. Non-Federal: 34.95 34.46 34.05 34.93 Administration Ratio: 33.66 31.48 29.57 27.50 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
52
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
STACIE BUCHANAN 2007.01.02 Maschmeyer BIENNIAL EFFECTIVE DATE: 12/1/2017 CASEY FAMILY PROGRAMS CASEY FAMILY PROGRAMS (TREATMENT) FFA PROGRAM STATUS: ACTIVE
491 9TH STREET LEVEL OF CARE (LOC) RATE: 2139 2287 2435 2618
OAKLAND, CA 94607- Maintenance Ratio: 66.34 68.52 70.43 72.50 510/350-2975 Maint. Federal: 65.05 65.54 65.95 65.07 Maint. Non-Federal: 34.95 34.46 34.05 34.93 Administration Ratio: 33.66 31.48 29.57 27.50 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
AMY EDWARDS 1912.01.01 Salisbury BIENNIAL EFFECTIVE DATE: 12/1/2018 CENTRAL VALLEY FOSTER CARE INC. CENTRAL VALLEY FOSTER CARE INC. PROGRAM STATUS: ACTIVE
PO BOX 826 LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
RIVERBANK, CA 95367- Maintenance Ratio: 66.91 69.07 70.97 73.00 209/869-0408 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
53
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
AMY EDWARDS 1912.01.01 Salisbury RATE ADJUSTMENT EFFECTIVE DATE: 7/1/2018 CENTRAL VALLEY FOSTER CARE INC. CENTRAL VALLEY FOSTER CARE INC. PROGRAM STATUS: ACTIVE
PO BOX 826 LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
RIVERBANK, CA 95367- Maintenance Ratio: 66.91 69.07 70.97 73.00 209/869-0408 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
BOB PHILLIPS 2226.01.01 Salisbury BIENNIAL EFFECTIVE DATE: 12/1/2018 CHANGED LIVES, INC. CHANGED LIVES, INC - KRISTA FOSTER HOMES PROGRAM STATUS: ACTIVE
P.O. BOX 990418 LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
REDDING, CA 96099- Maintenance Ratio: 66.91 69.07 70.97 73.00 530/515-4442 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
54
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
BOB PHILLIPS 2226.01.01 Salisbury RATE ADJUSTMENT EFFECTIVE DATE: 7/1/2018 CHANGED LIVES, INC. CHANGED LIVES, INC - KRISTA FOSTER HOMES PROGRAM STATUS: ACTIVE
P.O. BOX 990418 LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
REDDING, CA 96099- Maintenance Ratio: 66.91 69.07 70.97 73.00 530/515-4442 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
MARGERY BAILEY 0639.01.01 Hing RATE ADJUSTMENT EFFECTIVE DATE: 7/1/2018 CHARLEE FAMILY CARE, INC. CHARLEE FAMILY CARE FOSTER FAMILY AGENCY PROGRAM STATUS: ACTIVE
136 E. SIXTH STREET LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
BEAUMONT, CA 92223- Maintenance Ratio: 66.91 69.07 70.97 73.00 760/353-6151 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
55
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
MARGERY BAILEY 0639.01.01 Hing BIENNIAL EFFECTIVE DATE: 12/1/2017 CHARLEE FAMILY CARE, INC. CHARLEE FAMILY CARE FOSTER FAMILY AGENCY PROGRAM STATUS: ACTIVE
136 E. SIXTH STREET LEVEL OF CARE (LOC) RATE: 2139 2287 2435 2618
BEAUMONT, CA 92223- Maintenance Ratio: 66.34 68.52 70.43 72.50 760/353-6151 Maint. Federal: 65.05 65.54 65.95 65.07 Maint. Non-Federal: 34.95 34.46 34.05 34.93 Administration Ratio: 33.66 31.48 29.57 27.50 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
MARGERY BAILEY 0639.01.01 Hing RATE ADJUSTMENT EFFECTIVE DATE: 12/1/2017 CHARLEE FAMILY CARE, INC. CHARLEE FAMILY CARE FOSTER FAMILY AGENCY PROGRAM STATUS: ACTIVE
136 E. SIXTH STREET LEVEL OF CARE (LOC) RATE: 2139 2287 2435 2618
BEAUMONT, CA 92223- Maintenance Ratio: 66.34 68.52 70.43 72.50 760/353-6151 Maint. Federal: 65.05 65.54 65.95 65.07 Maint. Non-Federal: 34.95 34.46 34.05 34.93 Administration Ratio: 33.66 31.48 29.57 27.50 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
56
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
DIANA CORREA 0303.01.01 Hing RATE ADJUSTMENT EFFECTIVE DATE: 7/1/2018 CHILDHELP USA CHILDHELP USA / VILLAGE OF CHILDHELP PROGRAM STATUS: ACTIVE
P.O. BOX 844022 LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
LOS ANGELES, CA 90084- Maintenance Ratio: 66.91 69.07 70.97 73.00 951/845-3155 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
DIANA CORREA 0303.01.01 Hing RATE ADJUSTMENT EFFECTIVE DATE: 12/1/2017 CHILDHELP USA CHILDHELP USA / VILLAGE OF CHILDHELP PROGRAM STATUS: ACTIVE
P.O. BOX 844022 LEVEL OF CARE (LOC) RATE: 2139 2287 2435 2618
LOS ANGELES, CA 90084- Maintenance Ratio: 66.34 68.52 70.43 72.50 951/845-3155 Maint. Federal: 65.05 65.54 65.95 65.07 Maint. Non-Federal: 34.95 34.46 34.05 34.93 Administration Ratio: 33.66 31.48 29.57 27.50 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
57
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
DIANA CORREA 0303.01.01 Hing BIENNIAL EFFECTIVE DATE: 12/1/2017 CHILDHELP USA CHILDHELP USA / VILLAGE OF CHILDHELP PROGRAM STATUS: ACTIVE
P.O. BOX 844022 LEVEL OF CARE (LOC) RATE: 2139 2287 2435 2618
LOS ANGELES, CA 90084- Maintenance Ratio: 66.34 68.52 70.43 72.50 951/845-3155 Maint. Federal: 65.05 65.54 65.95 65.07 Maint. Non-Federal: 34.95 34.46 34.05 34.93 Administration Ratio: 33.66 31.48 29.57 27.50 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
KATHY HUGHES 0341.01.01 Griffin RATE ADJUSTMENT EFFECTIVE DATE: 7/1/2018 CHILDNET YOUTH AND FAMILY SERVICES, INC. CHILDNET YOUTH/FAMILY SVCS-LONG BEACH PROGRAM STATUS: ACTIVE
P.O. BOX 4550 LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
LONG BEACH, CA 90804- Maintenance Ratio: 66.91 69.07 70.97 73.00 562/498-5500 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
58
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
KATHY HUGHES 0341.01.01 Griffin BIENNIAL EFFECTIVE DATE: 12/1/2017 CHILDNET YOUTH AND FAMILY SERVICES, INC. CHILDNET YOUTH/FAMILY SVCS-LONG BEACH PROGRAM STATUS: ACTIVE
P.O. BOX 4550 LEVEL OF CARE (LOC) RATE: 2139 2287 2435 2618
LONG BEACH, CA 90804- Maintenance Ratio: 66.34 68.52 70.43 72.50 562/498-5500 Maint. Federal: 65.05 65.54 65.95 65.07 Maint. Non-Federal: 34.95 34.46 34.05 34.93 Administration Ratio: 33.66 31.48 29.57 27.50 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
KATHY HUGHES 0341.01.01 Griffin RATE ADJUSTMENT EFFECTIVE DATE: 12/1/2017 CHILDNET YOUTH AND FAMILY SERVICES, INC. CHILDNET YOUTH/FAMILY SVCS-LONG BEACH PROGRAM STATUS: ACTIVE
P.O. BOX 4550 LEVEL OF CARE (LOC) RATE: 2139 2287 2435 2618
LONG BEACH, CA 90804- Maintenance Ratio: 66.34 68.52 70.43 72.50 562/498-5500 Maint. Federal: 65.05 65.54 65.95 65.07 Maint. Non-Federal: 34.95 34.46 34.05 34.93 Administration Ratio: 33.66 31.48 29.57 27.50 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
59
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
MIKE LOGAN 1845.01.01 Salisbury RATE ADJUSTMENT EFFECTIVE DATE: 7/1/2018 CHILDREN FIRST FFA/HIS IDEAS, INC. CHILDREN FIRST FFA/HIS IDEAS, INC. PROGRAM STATUS: ACTIVE
P.O. BOX 950 LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
RED BLUFF, CA 96080- Maintenance Ratio: 66.91 69.07 70.97 73.00 530/528-2938 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
MIKE LOGAN 1845.01.01 Salisbury BIENNIAL EFFECTIVE DATE: 12/1/2017 CHILDREN FIRST FFA/HIS IDEAS, INC. CHILDREN FIRST FFA/HIS IDEAS, INC. PROGRAM STATUS: ACTIVE
P.O. BOX 950 LEVEL OF CARE (LOC) RATE: 2139 2287 2435 2618
RED BLUFF, CA 96080- Maintenance Ratio: 66.34 68.52 70.43 72.50 530/528-2938 Maint. Federal: 65.05 65.54 65.95 65.07 Maint. Non-Federal: 34.95 34.46 34.05 34.93 Administration Ratio: 33.66 31.48 29.57 27.50 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
60
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
MIKE LOGAN 1845.01.01 Salisbury RATE ADJUSTMENT EFFECTIVE DATE: 12/1/2017 CHILDREN FIRST FFA/HIS IDEAS, INC. CHILDREN FIRST FFA/HIS IDEAS, INC. PROGRAM STATUS: ACTIVE
P.O. BOX 950 LEVEL OF CARE (LOC) RATE: 2139 2287 2435 2618
RED BLUFF, CA 96080- Maintenance Ratio: 66.34 68.52 70.43 72.50 530/528-2938 Maint. Federal: 65.05 65.54 65.95 65.07 Maint. Non-Federal: 34.95 34.46 34.05 34.93 Administration Ratio: 33.66 31.48 29.57 27.50 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
ALEX MORALES 0252.01.03 Griffin BIENNIAL EFFECTIVE DATE: 12/1/2018 CHILDREN'S BUREAU OF SOUTHERN CALIFORNIA CHILDREN'S BUREAU OF SOUTHERN CALIFORNIA PROGRAM STATUS: ACTIVE
1910 MAGNOLIA AVE LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
LOS ANGELES, CA 90007- Maintenance Ratio: 66.91 69.07 70.97 73.00 213/342-0100 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
61
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
ALEX MORALES 0252.01.03 Griffin RATE ADJUSTMENT EFFECTIVE DATE: 7/1/2018 CHILDREN'S BUREAU OF SOUTHERN CALIFORNIA CHILDREN'S BUREAU OF SOUTHERN CALIFORNIA PROGRAM STATUS: ACTIVE
1910 MAGNOLIA AVE LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
LOS ANGELES, CA 90007- Maintenance Ratio: 66.91 69.07 70.97 73.00 213/342-0100 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
BENJAMIN PAYNE 1080.01.01 Salisbury RATE ADJUSTMENT EFFECTIVE DATE: 7/1/2018 CHILDREN'S HOPE FFA CHILDREN'S HOPE FFA PROGRAM STATUS: ACTIVE
P.O. BOX 901 LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
GRIDLEY, CA 95948- Maintenance Ratio: 66.91 69.07 70.97 73.00 530/846-4955 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
62
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
BENJAMIN PAYNE 1080.01.01 Salisbury RATE ADJUSTMENT EFFECTIVE DATE: 12/1/2017 CHILDREN'S HOPE FFA CHILDREN'S HOPE FFA PROGRAM STATUS: ACTIVE
P.O. BOX 901 LEVEL OF CARE (LOC) RATE: 2139 2287 2435 2618
GRIDLEY, CA 95948- Maintenance Ratio: 66.34 68.52 70.43 72.50 530/846-4955 Maint. Federal: 65.05 65.54 65.95 65.07 Maint. Non-Federal: 34.95 34.46 34.05 34.93 Administration Ratio: 33.66 31.48 29.57 27.50 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
MARY EMMONS 0535.01.01 Griffin RATE ADJUSTMENT EFFECTIVE DATE: 7/1/2018 CHILDREN'S INSTITUTE, INC. CHILDREN'S INSTITUTE, INC. PROGRAM STATUS: ACTIVE
2121 W. TEMPLE STREET LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
LOS ANGELES, CA 90026- Maintenance Ratio: 66.91 69.07 70.97 73.00 213/260-7600 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
63
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
MARY EMMONS 0535.01.01 Griffin BIENNIAL EFFECTIVE DATE: 12/1/2017 CHILDREN'S INSTITUTE, INC. CHILDREN'S INSTITUTE, INC. PROGRAM STATUS: ACTIVE
2121 W. TEMPLE STREET LEVEL OF CARE (LOC) RATE: 2139 2287 2435 2618
LOS ANGELES, CA 90026- Maintenance Ratio: 66.34 68.52 70.43 72.50 213/260-7600 Maint. Federal: 65.05 65.54 65.95 65.07 Maint. Non-Federal: 34.95 34.46 34.05 34.93 Administration Ratio: 33.66 31.48 29.57 27.50 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
MARY EMMONS 0535.01.01 Griffin RATE ADJUSTMENT EFFECTIVE DATE: 12/1/2017 CHILDREN'S INSTITUTE, INC. CHILDREN'S INSTITUTE, INC. PROGRAM STATUS: ACTIVE
2121 W. TEMPLE STREET LEVEL OF CARE (LOC) RATE: 2139 2287 2435 2618
LOS ANGELES, CA 90026- Maintenance Ratio: 66.34 68.52 70.43 72.50 213/260-7600 Maint. Federal: 65.05 65.54 65.95 65.07 Maint. Non-Federal: 34.95 34.46 34.05 34.93 Administration Ratio: 33.66 31.48 29.57 27.50 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
64
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
BRANDY LUCAS 1362.01.01 Salisbury BIENNIAL EFFECTIVE DATE: 12/1/2018 CHRYSALIS HOUSE CHRYSALIS HOUSE PROGRAM STATUS: ACTIVE
7395 N PALM BLUFFS #106 LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
FRESNO, CA 93711- Maintenance Ratio: 66.91 69.07 70.97 73.00 559/229-9862 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
BRANDY LUCAS 1362.01.01 Salisbury RATE ADJUSTMENT EFFECTIVE DATE: 7/1/2018 CHRYSALIS HOUSE CHRYSALIS HOUSE PROGRAM STATUS: ACTIVE
7395 N PALM BLUFFS #106 LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
FRESNO, CA 93711- Maintenance Ratio: 66.91 69.07 70.97 73.00 559/229-9862 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
65
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
RAFIK PHILOBOS 1951.01.01 Hing RATE ADJUSTMENT EFFECTIVE DATE: 7/1/2018 COMMUNITY ACCESS NETWORK COMMUNITY ACCESS NETWORK PROGRAM STATUS: ACTIVE
2275 S. MAIN STREET #201 LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
CORONA, CA 92882- Maintenance Ratio: 66.91 69.07 70.97 73.00 951/279-3222 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
RAFIK PHILOBOS 1951.01.01 Hing BIENNIAL EFFECTIVE DATE: 12/1/2017 COMMUNITY ACCESS NETWORK COMMUNITY ACCESS NETWORK PROGRAM STATUS: ACTIVE
2275 S. MAIN STREET #201 LEVEL OF CARE (LOC) RATE: 2139 2287 2435 2618
CORONA, CA 92882- Maintenance Ratio: 66.34 68.52 70.43 72.50 951/279-3222 Maint. Federal: 65.05 65.54 65.95 65.07 Maint. Non-Federal: 34.95 34.46 34.05 34.93 Administration Ratio: 33.66 31.48 29.57 27.50 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
66
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
RAFIK PHILOBOS 1951.01.01 Hing RATE ADJUSTMENT EFFECTIVE DATE: 12/1/2017 COMMUNITY ACCESS NETWORK COMMUNITY ACCESS NETWORK PROGRAM STATUS: ACTIVE
2275 S. MAIN STREET #201 LEVEL OF CARE (LOC) RATE: 2139 2287 2435 2618
CORONA, CA 92882- Maintenance Ratio: 66.34 68.52 70.43 72.50 951/279-3222 Maint. Federal: 65.05 65.54 65.95 65.07 Maint. Non-Federal: 34.95 34.46 34.05 34.93 Administration Ratio: 33.66 31.48 29.57 27.50 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
JOHN PEEL 0269.01.01 Salisbury RATE ADJUSTMENT EFFECTIVE DATE: 7/1/2018 CONCEPT 7, INC. CONCEPT 7 FOSTER FAMILY AGENCY PROGRAM STATUS: TERMINATED 8/23/2018
13020 BAILEY STREET LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
WHITTIER, CA 90601- Maintenance Ratio: 66.91 69.07 70.97 73.00 562/236-8200 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
67
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
STEPHANIE BIDDLE 0206.01.01 Salisbury BIENNIAL EFFECTIVE DATE: 12/1/2018 CREATIVE ALTERNATIVES, INC. CREATIVE ALTERNATIVES PROGRAM STATUS: ACTIVE
2855 GEER ROAD LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
TURLOCK, CA 95382- Maintenance Ratio: 66.91 69.07 70.97 73.00 209/668-9361 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
STEPHANIE BIDDLE 0206.01.01 Salisbury RATE ADJUSTMENT EFFECTIVE DATE: 7/1/2018 CREATIVE ALTERNATIVES, INC. CREATIVE ALTERNATIVES PROGRAM STATUS: ACTIVE
2855 GEER ROAD LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
TURLOCK, CA 95382- Maintenance Ratio: 66.91 69.07 70.97 73.00 209/668-9361 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
68
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
RYAN CARGANDO 2235.01.01 Hing RATE ADJUSTMENT EFFECTIVE DATE: 7/1/2018 CREATIVE SOLUTIONS FOR KIDS AND FAMILIES, INC. CREATIVE SOLUTIONS FOR KIDS AND FAMILIES PROGRAM STATUS: ACTIVE
P.O. BOX 7090 LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
MORENO VALLEY, CA 92552- Maintenance Ratio: 66.91 69.07 70.97 73.00 951/490-7455 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
RYAN CARGANDO 2235.01.01 Hing BIENNIAL EFFECTIVE DATE: 12/1/2017 CREATIVE SOLUTIONS FOR KIDS AND FAMILIES, INC. CREATIVE SOLUTIONS FOR KIDS AND FAMILIES PROGRAM STATUS: ACTIVE
P.O. BOX 7090 LEVEL OF CARE (LOC) RATE: 2139 2287 2435 2618
MORENO VALLEY, CA 92552- Maintenance Ratio: 66.34 68.52 70.43 72.50 951/490-7455 Maint. Federal: 65.05 65.54 65.95 65.07 Maint. Non-Federal: 34.95 34.46 34.05 34.93 Administration Ratio: 33.66 31.48 29.57 27.50 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
69
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
RYAN CARGANDO 2235.01.01 Hing RATE ADJUSTMENT EFFECTIVE DATE: 12/1/2017 CREATIVE SOLUTIONS FOR KIDS AND FAMILIES, INC. CREATIVE SOLUTIONS FOR KIDS AND FAMILIES PROGRAM STATUS: ACTIVE
P.O. BOX 7090 LEVEL OF CARE (LOC) RATE: 2139 2287 2435 2618
MORENO VALLEY, CA 92552- Maintenance Ratio: 66.34 68.52 70.43 72.50 951/490-7455 Maint. Federal: 65.05 65.54 65.95 65.07 Maint. Non-Federal: 34.95 34.46 34.05 34.93 Administration Ratio: 33.66 31.48 29.57 27.50 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
LORRIE IRVING 0809.01.01 Griffin RATE ADJUSTMENT EFFECTIVE DATE: 7/1/2018 DANGERFIELD INSTITUTE OF URBAN PROBLEMS DANGERFIELD FOSTER FAMILY AGENCY PROGRAM STATUS: ACTIVE
4738 11TH AVENUE LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
LOS ANGELES, CA 90043 Maintenance Ratio: 66.91 69.07 70.97 73.00 323/290-5058 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
70
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
LORRIE IRVING 0809.01.01 Griffin BIENNIAL EFFECTIVE DATE: 12/1/2017 DANGERFIELD INSTITUTE OF URBAN PROBLEMS DANGERFIELD FOSTER FAMILY AGENCY PROGRAM STATUS: ACTIVE
4738 11TH AVENUE LEVEL OF CARE (LOC) RATE: 2139 2287 2435 2618
LOS ANGELES, CA 90043 Maintenance Ratio: 66.34 68.52 70.43 72.50 323/290-5058 Maint. Federal: 65.05 65.54 65.95 65.07 Maint. Non-Federal: 34.95 34.46 34.05 34.93 Administration Ratio: 33.66 31.48 29.57 27.50 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
LORRIE IRVING 0809.01.01 Griffin RATE ADJUSTMENT EFFECTIVE DATE: 12/1/2017 DANGERFIELD INSTITUTE OF URBAN PROBLEMS DANGERFIELD FOSTER FAMILY AGENCY PROGRAM STATUS: ACTIVE
4738 11TH AVENUE LEVEL OF CARE (LOC) RATE: 2139 2287 2435 2618
LOS ANGELES, CA 90043 Maintenance Ratio: 66.34 68.52 70.43 72.50 323/290-5058 Maint. Federal: 65.05 65.54 65.95 65.07 Maint. Non-Federal: 34.95 34.46 34.05 34.93 Administration Ratio: 33.66 31.48 29.57 27.50 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
71
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
KARLEEN J. COX 1675.01.01 Salisbury RATE ADJUSTMENT EFFECTIVE DATE: 7/1/2018 DEVELOPMENT SOLUTIONS, INC. DEVELOPMENT SOLUTIONS / HOPE 4 KIDS FFA PROGRAM STATUS: ACTIVE
P.O. BOX 1235 LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
SAN JUAN CAPISTRANO, CA 92693- Maintenance Ratio: 66.91 69.07 70.97 73.00 949/496-9430 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
KARLEEN J. COX 1675.01.01 Salisbury RATE ADJUSTMENT EFFECTIVE DATE: 12/1/2017 DEVELOPMENT SOLUTIONS, INC. DEVELOPMENT SOLUTIONS / HOPE 4 KIDS FFA PROGRAM STATUS: ACTIVE
P.O. BOX 1235 LEVEL OF CARE (LOC) RATE: 2139 2287 2435 2618
SAN JUAN CAPISTRANO, CA 92693- Maintenance Ratio: 66.34 68.52 70.43 72.50 949/496-9430 Maint. Federal: 65.05 65.54 65.95 65.07 Maint. Non-Federal: 34.95 34.46 34.05 34.93 Administration Ratio: 33.66 31.48 29.57 27.50 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
72
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
KARLEEN J. COX 1675.01.01 Salisbury BIENNIAL EFFECTIVE DATE: 12/1/2017 DEVELOPMENT SOLUTIONS, INC. DEVELOPMENT SOLUTIONS / HOPE 4 KIDS FFA PROGRAM STATUS: ACTIVE
P.O. BOX 1235 LEVEL OF CARE (LOC) RATE: 2139 2287 2435 2618
SAN JUAN CAPISTRANO, CA 92693- Maintenance Ratio: 66.34 68.52 70.43 72.50 949/496-9430 Maint. Federal: 65.05 65.54 65.95 65.07 Maint. Non-Federal: 34.95 34.46 34.05 34.93 Administration Ratio: 33.66 31.48 29.57 27.50 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
ROBERT LLAMAS 0359.01.01 Griffin RATE ADJUSTMENT EFFECTIVE DATE: 7/1/2018 EGGLESTON YOUTH CENTER INC. EGGLESTON FAMILY SERVICES PROGRAM STATUS: ACTIVE
P. O. BOX 638 LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
BALDWIN PARK, CA 91706 Maintenance Ratio: 66.91 69.07 70.97 73.00 323/954-1464 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
73
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
ROBERT LLAMAS 0359.01.01 Griffin RATE ADJUSTMENT EFFECTIVE DATE: 12/1/2017 EGGLESTON YOUTH CENTER INC. EGGLESTON FAMILY SERVICES PROGRAM STATUS: ACTIVE
P. O. BOX 638 LEVEL OF CARE (LOC) RATE: 2139 2287 2435 2618
BALDWIN PARK, CA 91706 Maintenance Ratio: 66.34 68.52 70.43 72.50 323/954-1464 Maint. Federal: 65.05 65.54 65.95 65.07 Maint. Non-Federal: 34.95 34.46 34.05 34.93 Administration Ratio: 33.66 31.48 29.57 27.50 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
ROBERT LLAMAS 0359.01.01 Griffin BIENNIAL EFFECTIVE DATE: 12/1/2017 EGGLESTON YOUTH CENTER INC. EGGLESTON FAMILY SERVICES PROGRAM STATUS: ACTIVE
P. O. BOX 638 LEVEL OF CARE (LOC) RATE: 2139 2287 2435 2618
BALDWIN PARK, CA 91706 Maintenance Ratio: 66.34 68.52 70.43 72.50 323/954-1464 Maint. Federal: 65.05 65.54 65.95 65.07 Maint. Non-Federal: 34.95 34.46 34.05 34.93 Administration Ratio: 33.66 31.48 29.57 27.50 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
74
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
HEIDI OKRAY 1724.01.01 Hing BIENNIAL EFFECTIVE DATE: 12/1/2018 EL SHADDAI FAMILY RANCH FFA EL SHADDAI FAMILY RANCH FFA PROGRAM STATUS: ACTIVE
7528 CAMP FAR WEST ROAD LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
WHEATLAND, CA 95692- Maintenance Ratio: 66.91 69.07 70.97 73.00 530/743-8797 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
HEIDI OKRAY 1724.01.01 Hing RATE ADJUSTMENT EFFECTIVE DATE: 7/1/2018 EL SHADDAI FAMILY RANCH FFA EL SHADDAI FAMILY RANCH FFA PROGRAM STATUS: ACTIVE
7528 CAMP FAR WEST ROAD LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
WHEATLAND, CA 95692- Maintenance Ratio: 66.91 69.07 70.97 73.00 530/743-8797 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
75
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
BILL W. SNEED, JR. 1919.01.01 Salisbury RATE ADJUSTMENT EFFECTIVE DATE: 7/1/2018 ELITE FAMILY SYSTEMS, INC. ELITE FAMILY SYSTEMS FOSTER FAMILY AGENCY PROGRAM STATUS: ACTIVE
P.O. BOX 490 LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
CERES, CA 95307- Maintenance Ratio: 66.91 69.07 70.97 73.00 209/531-2088 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
BILL W. SNEED, JR. 1919.01.01 Salisbury RATE ADJUSTMENT EFFECTIVE DATE: 12/1/2017 ELITE FAMILY SYSTEMS, INC. ELITE FAMILY SYSTEMS FOSTER FAMILY AGENCY PROGRAM STATUS: ACTIVE
P.O. BOX 490 LEVEL OF CARE (LOC) RATE: 2139 2287 2435 2618
CERES, CA 95307- Maintenance Ratio: 66.34 68.52 70.43 72.50 209/531-2088 Maint. Federal: 65.05 65.54 65.95 65.07 Maint. Non-Federal: 34.95 34.46 34.05 34.93 Administration Ratio: 33.66 31.48 29.57 27.50 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
76
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
BILL W. SNEED, JR. 1919.01.01 Salisbury BIENNIAL EFFECTIVE DATE: 12/1/2017 ELITE FAMILY SYSTEMS, INC. ELITE FAMILY SYSTEMS FOSTER FAMILY AGENCY PROGRAM STATUS: ACTIVE
P.O. BOX 490 LEVEL OF CARE (LOC) RATE: 2139 2287 2435 2618
CERES, CA 95307- Maintenance Ratio: 66.34 68.52 70.43 72.50 209/531-2088 Maint. Federal: 65.05 65.54 65.95 65.07 Maint. Non-Federal: 34.95 34.46 34.05 34.93 Administration Ratio: 33.66 31.48 29.57 27.50 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
MELODY KING 0239.01.02 Maschmeyer RATE ADJUSTMENT EFFECTIVE DATE: 7/1/2018 ENVIRONMENTAL ALTERNATIVES, INC ENVIRONMENTAL ALTERNATIVES PROGRAM STATUS: ACTIVE
P.O. BOX 3940 LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
QUINCY, CA 95971 Maintenance Ratio: 66.91 69.07 70.97 73.00 530/283-3330 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
77
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
MELODY KING 0239.01.02 Maschmeyer RATE ADJUSTMENT EFFECTIVE DATE: 12/1/2017 ENVIRONMENTAL ALTERNATIVES, INC ENVIRONMENTAL ALTERNATIVES PROGRAM STATUS: ACTIVE
P.O. BOX 3940 LEVEL OF CARE (LOC) RATE: 2139 2287 2435 2618
QUINCY, CA 95971 Maintenance Ratio: 66.34 68.52 70.43 72.50 530/283-3330 Maint. Federal: 65.05 65.54 65.95 65.07 Maint. Non-Federal: 34.95 34.46 34.05 34.93 Administration Ratio: 33.66 31.48 29.57 27.50 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
MELODY KING 0239.01.02 Maschmeyer BIENNIAL EFFECTIVE DATE: 12/1/2017 ENVIRONMENTAL ALTERNATIVES, INC ENVIRONMENTAL ALTERNATIVES PROGRAM STATUS: ACTIVE
P.O. BOX 3940 LEVEL OF CARE (LOC) RATE: 2139 2287 2435 2618
QUINCY, CA 95971 Maintenance Ratio: 66.34 68.52 70.43 72.50 530/283-3330 Maint. Federal: 65.05 65.54 65.95 65.07 Maint. Non-Federal: 34.95 34.46 34.05 34.93 Administration Ratio: 33.66 31.48 29.57 27.50 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
78
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
RIGOBERTO GUTIERREZ 2355.01.01 Salisbury RATE ADJUSTMENT EFFECTIVE DATE: 7/1/2018 ESPERANZA FOSTER FAMILY AGENCY ESPERANZA FOSTER FAMILY AGENCY PROGRAM STATUS: ACTIVE
770 E. SHAW AVENUE #235 LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
FRESNO, CA 93710- Maintenance Ratio: 66.91 69.07 70.97 73.00 559/241-9484 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
RIGOBERTO GUTIERREZ 2355.01.01 Salisbury RATE ADJUSTMENT EFFECTIVE DATE: 12/1/2017 ESPERANZA FOSTER FAMILY AGENCY ESPERANZA FOSTER FAMILY AGENCY PROGRAM STATUS: ACTIVE
770 E. SHAW AVENUE #235 LEVEL OF CARE (LOC) RATE: 2139 2287 2435 2618
FRESNO, CA 93710- Maintenance Ratio: 66.34 68.52 70.43 72.50 559/241-9484 Maint. Federal: 65.05 65.54 65.95 65.07 Maint. Non-Federal: 34.95 34.46 34.05 34.93 Administration Ratio: 33.66 31.48 29.57 27.50 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
79
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
RIGOBERTO GUTIERREZ 2355.01.01 Salisbury BIENNIAL EFFECTIVE DATE: 12/1/2017 ESPERANZA FOSTER FAMILY AGENCY ESPERANZA FOSTER FAMILY AGENCY PROGRAM STATUS: ACTIVE
770 E. SHAW AVENUE #235 LEVEL OF CARE (LOC) RATE: 2139 2287 2435 2618
FRESNO, CA 93710- Maintenance Ratio: 66.34 68.52 70.43 72.50 559/241-9484 Maint. Federal: 65.05 65.54 65.95 65.07 Maint. Non-Federal: 34.95 34.46 34.05 34.93 Administration Ratio: 33.66 31.48 29.57 27.50 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
TERRI VARNUM 0136.01.01 Griffin BIENNIAL EFFECTIVE DATE: 12/1/2018 ETTIE LEE HOMES, INC. ETTIE LEE HOMES PROGRAM STATUS: ACTIVE
P.O. BOX 339 LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
BALDWIN PARK, CA 91706-0339 Maintenance Ratio: 66.91 69.07 70.97 73.00 626/960-4861 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
80
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
TERRI VARNUM 0136.01.01 Griffin RATE ADJUSTMENT EFFECTIVE DATE: 7/1/2018 ETTIE LEE HOMES, INC. ETTIE LEE HOMES PROGRAM STATUS: ACTIVE
P.O. BOX 339 LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
BALDWIN PARK, CA 91706-0339 Maintenance Ratio: 66.91 69.07 70.97 73.00 626/960-4861 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
KIMBERLY HARRIS 1071.01.01 Maschmeyer RATE ADJUSTMENT EFFECTIVE DATE: 7/1/2018 EVELYN S. COX CHILD DEV. AGENCY EVELYN S. COX FOSTER FAMILY AGENCY PROGRAM STATUS: ACTIVE
2926 ARCHWOOD CIRCLE LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
SAN JOSE, CA 95148 Maintenance Ratio: 66.91 69.07 70.97 73.00 408/532-0383 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
81
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
KIMBERLY HARRIS 1071.01.01 Maschmeyer BIENNIAL EFFECTIVE DATE: 12/1/2017 EVELYN S. COX CHILD DEV. AGENCY EVELYN S. COX FOSTER FAMILY AGENCY PROGRAM STATUS: ACTIVE
2926 ARCHWOOD CIRCLE LEVEL OF CARE (LOC) RATE: 2139 2287 2435 2618
SAN JOSE, CA 95148 Maintenance Ratio: 66.34 68.52 70.43 72.50 408/532-0383 Maint. Federal: 65.05 65.54 65.95 65.07 Maint. Non-Federal: 34.95 34.46 34.05 34.93 Administration Ratio: 33.66 31.48 29.57 27.50 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
KIMBERLY HARRIS 1071.01.01 Maschmeyer RATE ADJUSTMENT EFFECTIVE DATE: 12/1/2017 EVELYN S. COX CHILD DEV. AGENCY EVELYN S. COX FOSTER FAMILY AGENCY PROGRAM STATUS: ACTIVE
2926 ARCHWOOD CIRCLE LEVEL OF CARE (LOC) RATE: 2139 2287 2435 2618
SAN JOSE, CA 95148 Maintenance Ratio: 66.34 68.52 70.43 72.50 408/532-0383 Maint. Federal: 65.05 65.54 65.95 65.07 Maint. Non-Federal: 34.95 34.46 34.05 34.93 Administration Ratio: 33.66 31.48 29.57 27.50 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
82
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
SARAH BOONE 1542.01.01 Griffin BIENNIAL EFFECTIVE DATE: 12/1/2018 EXTRAORDINARY FAMILIES EXTRAORDINARY FAMILIES PROGRAM STATUS: ACTIVE
221 N. ARDMORE LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
LOS ANGELES, CA 90004- Maintenance Ratio: 66.91 69.07 70.97 73.00 213/365-2900 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
SARAH BOONE 1542.01.01 Griffin RATE ADJUSTMENT EFFECTIVE DATE: 7/1/2018 EXTRAORDINARY FAMILIES EXTRAORDINARY FAMILIES PROGRAM STATUS: ACTIVE
221 N. ARDMORE LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
LOS ANGELES, CA 90004- Maintenance Ratio: 66.91 69.07 70.97 73.00 213/365-2900 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
83
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
URSULA DEVERE 2001.01.01 Hing RATE ADJUSTMENT EFFECTIVE DATE: 7/1/2018 FAMILIES FOR CHILDREN FAMILIES FOR CHILDREN FFA PROGRAM STATUS: ACTIVE
2990 LAVA RIDGE CT, #170 LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
ROSEVILLE, CA 95661- Maintenance Ratio: 66.91 69.07 70.97 73.00 916/789-8688 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
URSULA DEVERE 2001.01.01 Hing RATE ADJUSTMENT EFFECTIVE DATE: 12/1/2017 FAMILIES FOR CHILDREN FAMILIES FOR CHILDREN FFA PROGRAM STATUS: ACTIVE
2990 LAVA RIDGE CT, #170 LEVEL OF CARE (LOC) RATE: 2139 2287 2435 2618
ROSEVILLE, CA 95661- Maintenance Ratio: 66.34 68.52 70.43 72.50 916/789-8688 Maint. Federal: 65.05 65.54 65.95 65.07 Maint. Non-Federal: 34.95 34.46 34.05 34.93 Administration Ratio: 33.66 31.48 29.57 27.50 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
84
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
URSULA DEVERE 2001.01.01 Hing BIENNIAL EFFECTIVE DATE: 12/1/2017 FAMILIES FOR CHILDREN FAMILIES FOR CHILDREN FFA PROGRAM STATUS: ACTIVE
2990 LAVA RIDGE CT, #170 LEVEL OF CARE (LOC) RATE: 2139 2287 2435 2618
ROSEVILLE, CA 95661- Maintenance Ratio: 66.34 68.52 70.43 72.50 916/789-8688 Maint. Federal: 65.05 65.54 65.95 65.07 Maint. Non-Federal: 34.95 34.46 34.05 34.93 Administration Ratio: 33.66 31.48 29.57 27.50 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
JAMES M. SCHRAGE, MSW 2120.01.01 Griffin BIENNIAL EFFECTIVE DATE: 12/1/2018 FAMILIES UNITING FAMILIES FAMILIES UNITING FAMILIES PROGRAM STATUS: ACTIVE
525 EAST 7TH STREET LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
LONG BEACH, CA 90813- Maintenance Ratio: 66.91 69.07 70.97 73.00 562/437-9224 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
85
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
JAMES M. SCHRAGE, MSW 2120.01.01 Griffin RATE ADJUSTMENT EFFECTIVE DATE: 7/1/2018 FAMILIES UNITING FAMILIES FAMILIES UNITING FAMILIES PROGRAM STATUS: ACTIVE
525 EAST 7TH STREET LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
LONG BEACH, CA 90813- Maintenance Ratio: 66.91 69.07 70.97 73.00 562/437-9224 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
JILL JACOBS 0009.01.01 Maschmeyer RATE ADJUSTMENT EFFECTIVE DATE: 7/1/2018 FAMILY BUILDERS BY ADOPTION FAMILY BUILDERS BY ADOPTION PROGRAM STATUS: ACTIVE
1900 EMBARCADERO, #303 LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
OAKLAND, CA 94606- Maintenance Ratio: 66.91 69.07 70.97 73.00 510/536-5437 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
86
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
JILL JACOBS 0009.01.01 Maschmeyer BIENNIAL EFFECTIVE DATE: 12/1/2017 FAMILY BUILDERS BY ADOPTION FAMILY BUILDERS BY ADOPTION PROGRAM STATUS: ACTIVE
1900 EMBARCADERO, #303 LEVEL OF CARE (LOC) RATE: 2139 2287 2435 2618
OAKLAND, CA 94606- Maintenance Ratio: 66.34 68.52 70.43 72.50 510/536-5437 Maint. Federal: 65.05 65.54 65.95 65.07 Maint. Non-Federal: 34.95 34.46 34.05 34.93 Administration Ratio: 33.66 31.48 29.57 27.50 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
JILL JACOBS 0009.01.01 Maschmeyer RATE ADJUSTMENT EFFECTIVE DATE: 12/1/2017 FAMILY BUILDERS BY ADOPTION FAMILY BUILDERS BY ADOPTION PROGRAM STATUS: ACTIVE
1900 EMBARCADERO, #303 LEVEL OF CARE (LOC) RATE: 2139 2287 2435 2618
OAKLAND, CA 94606- Maintenance Ratio: 66.34 68.52 70.43 72.50 510/536-5437 Maint. Federal: 65.05 65.54 65.95 65.07 Maint. Non-Federal: 34.95 34.46 34.05 34.93 Administration Ratio: 33.66 31.48 29.57 27.50 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
87
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
JUDY DUBEAU 1963.01.01 Salisbury RATE ADJUSTMENT EFFECTIVE DATE: 7/1/2018 FAMILY BUILDERS FOSTER CARE, INC. FAMILY BUILDERS FOSTER CARE PROGRAM STATUS: ACTIVE
3300 S. FAIRWAY STREET LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
VISALIA, CA 93277- Maintenance Ratio: 66.91 69.07 70.97 73.00 559/685-1200 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
JUDY DUBEAU 1963.01.01 Salisbury RATE ADJUSTMENT EFFECTIVE DATE: 12/1/2017 FAMILY BUILDERS FOSTER CARE, INC. FAMILY BUILDERS FOSTER CARE PROGRAM STATUS: ACTIVE
3300 S. FAIRWAY STREET LEVEL OF CARE (LOC) RATE: 2139 2287 2435 2618
VISALIA, CA 93277- Maintenance Ratio: 66.34 68.52 70.43 72.50 559/685-1200 Maint. Federal: 65.05 65.54 65.95 65.07 Maint. Non-Federal: 34.95 34.46 34.05 34.93 Administration Ratio: 33.66 31.48 29.57 27.50 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
88
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
JUDY DUBEAU 1963.01.01 Salisbury BIENNIAL EFFECTIVE DATE: 12/1/2017 FAMILY BUILDERS FOSTER CARE, INC. FAMILY BUILDERS FOSTER CARE PROGRAM STATUS: ACTIVE
3300 S. FAIRWAY STREET LEVEL OF CARE (LOC) RATE: 2139 2287 2435 2618
VISALIA, CA 93277- Maintenance Ratio: 66.34 68.52 70.43 72.50 559/685-1200 Maint. Federal: 65.05 65.54 65.95 65.07 Maint. Non-Federal: 34.95 34.46 34.05 34.93 Administration Ratio: 33.66 31.48 29.57 27.50 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
JAMES W ROBERTS 0879.01.01 Hing RATE ADJUSTMENT EFFECTIVE DATE: 7/1/2018 FAMILY CARE NETWORK, INC. FAMILY CARE NETWORK, INC. PROGRAM STATUS: ACTIVE
1255 KENDALL ROAD LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
SAN LUIS OBISPO, CA 93401 Maintenance Ratio: 66.91 69.07 70.97 73.00 805/781-3535 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
89
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
JAMES W ROBERTS 0879.01.01 Hing BIENNIAL EFFECTIVE DATE: 12/1/2017 FAMILY CARE NETWORK, INC. FAMILY CARE NETWORK, INC. PROGRAM STATUS: ACTIVE
1255 KENDALL ROAD LEVEL OF CARE (LOC) RATE: 2139 2287 2435 2618
SAN LUIS OBISPO, CA 93401 Maintenance Ratio: 66.34 68.52 70.43 72.50 805/781-3535 Maint. Federal: 65.05 65.54 65.95 65.07 Maint. Non-Federal: 34.95 34.46 34.05 34.93 Administration Ratio: 33.66 31.48 29.57 27.50 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
JAMES W ROBERTS 0879.01.01 Hing RATE ADJUSTMENT EFFECTIVE DATE: 12/1/2017 FAMILY CARE NETWORK, INC. FAMILY CARE NETWORK, INC. PROGRAM STATUS: ACTIVE
1255 KENDALL ROAD LEVEL OF CARE (LOC) RATE: 2139 2287 2435 2618
SAN LUIS OBISPO, CA 93401 Maintenance Ratio: 66.34 68.52 70.43 72.50 805/781-3535 Maint. Federal: 65.05 65.54 65.95 65.07 Maint. Non-Federal: 34.95 34.46 34.05 34.93 Administration Ratio: 33.66 31.48 29.57 27.50 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
90
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
WAYNE MOTT 1102.01.01 Salisbury BIENNIAL EFFECTIVE DATE: 12/1/2018 FAMILY CONNECTIONS CHRISTIAN ADOPTIONS FAMILY CONNECTIONS CHRISTIAN ADOPTIONS PROGRAM STATUS: ACTIVE
1120 TULLY ROAD LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
MODESTO, CA 95350- Maintenance Ratio: 66.91 69.07 70.97 73.00 209/524-8844 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
WAYNE MOTT 1102.01.01 Salisbury RATE ADJUSTMENT EFFECTIVE DATE: 7/1/2018 FAMILY CONNECTIONS CHRISTIAN ADOPTIONS FAMILY CONNECTIONS CHRISTIAN ADOPTIONS PROGRAM STATUS: ACTIVE
1120 TULLY ROAD LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
MODESTO, CA 95350- Maintenance Ratio: 66.91 69.07 70.97 73.00 209/524-8844 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
91
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
WAMBUI WAINAINA 2258.01.01 Salisbury BIENNIAL EFFECTIVE DATE: 12/1/2018 FAMILY EXTENSION FOSTER CARE, INC. FAMILY EXTENSION FOSTER CARE PROGRAM STATUS: ACTIVE
3031 W. MARCH LN #216W LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
STOCKTON, CA 95219- Maintenance Ratio: 66.91 69.07 70.97 73.00 209/956-9595 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
WAMBUI WAINAINA 2258.01.01 Salisbury RATE ADJUSTMENT EFFECTIVE DATE: 7/1/2018 FAMILY EXTENSION FOSTER CARE, INC. FAMILY EXTENSION FOSTER CARE PROGRAM STATUS: ACTIVE
3031 W. MARCH LN #216W LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
STOCKTON, CA 95219- Maintenance Ratio: 66.91 69.07 70.97 73.00 209/956-9595 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
92
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
RE'CHELLE BROWN 2112.01.01 Hing RATE ADJUSTMENT EFFECTIVE DATE: 7/1/2018 FAMILY HEALTH & SUPPORT NETWORK, INC. FAMILY HEALTH & SUPPORT NETWORK, INC. PROGRAM STATUS: ACTIVE
74-410 US HWY 111, #D LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
PALM DESERT, CA 92260- Maintenance Ratio: 66.91 69.07 70.97 73.00 760/340-2442 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
TRISHANNE LININGER 1631.01.01 Salisbury RATE ADJUSTMENT EFFECTIVE DATE: 7/1/2018 FAMILY LIFE FOUNDATION FAMILY LIFE FOUNDATION PROGRAM STATUS: ACTIVE
130 YELLOWSTONE DR. #100 LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
CHICO, CA 95973- Maintenance Ratio: 66.91 69.07 70.97 73.00 530/893-4245 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
93
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
TRISHANNE LININGER 1631.01.01 Salisbury BIENNIAL EFFECTIVE DATE: 12/1/2017 FAMILY LIFE FOUNDATION FAMILY LIFE FOUNDATION PROGRAM STATUS: ACTIVE
130 YELLOWSTONE DR. #100 LEVEL OF CARE (LOC) RATE: 2139 2287 2435 2618
CHICO, CA 95973- Maintenance Ratio: 66.34 68.52 70.43 72.50 530/893-4245 Maint. Federal: 65.05 65.54 65.95 65.07 Maint. Non-Federal: 34.95 34.46 34.05 34.93 Administration Ratio: 33.66 31.48 29.57 27.50 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
TRISHANNE LININGER 1631.01.01 Salisbury RATE ADJUSTMENT EFFECTIVE DATE: 12/1/2017 FAMILY LIFE FOUNDATION FAMILY LIFE FOUNDATION PROGRAM STATUS: ACTIVE
130 YELLOWSTONE DR. #100 LEVEL OF CARE (LOC) RATE: 2139 2287 2435 2618
CHICO, CA 95973- Maintenance Ratio: 66.34 68.52 70.43 72.50 530/893-4245 Maint. Federal: 65.05 65.54 65.95 65.07 Maint. Non-Federal: 34.95 34.46 34.05 34.93 Administration Ratio: 33.66 31.48 29.57 27.50 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
94
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
CHERYL SMITH 2415.01.01 Maschmeyer NEW PROVIDER EFFECTIVE DATE: 1/17/2019 FAMILY SUPPORT SERVICES OF THE BAY AREA FFA FAMILY SUPPORT SERVICES OF THE BAY AREA FFA PROGRAM STATUS: ACTIVE
303 HEGENBERGER RD, #400 LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
OAKLAND, CA 94621- Maintenance Ratio: 66.91 69.07 70.97 73.00 510/834-2443 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
CHANEL BOUTAKIDIS 0339.01.02 Griffin RATE ADJUSTMENT EFFECTIVE DATE: 7/1/2018 FIVE ACRES FIVE ACRES PROGRAM STATUS: ACTIVE
760 W MOUNTAIN VIEW, ST. LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
ALTADENA, CA 91001 Maintenance Ratio: 66.91 69.07 70.97 73.00 626/798-6793 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
95
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
CHANEL BOUTAKIDIS 0339.01.02 Griffin RATE ADJUSTMENT EFFECTIVE DATE: 12/1/2017 FIVE ACRES FIVE ACRES PROGRAM STATUS: ACTIVE
760 W MOUNTAIN VIEW, ST. LEVEL OF CARE (LOC) RATE: 2139 2287 2435 2618
ALTADENA, CA 91001 Maintenance Ratio: 66.34 68.52 70.43 72.50 626/798-6793 Maint. Federal: 65.05 65.54 65.95 65.07 Maint. Non-Federal: 34.95 34.46 34.05 34.93 Administration Ratio: 33.66 31.48 29.57 27.50 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
CHANEL BOUTAKIDIS 0339.01.02 Griffin BIENNIAL EFFECTIVE DATE: 12/1/2017 FIVE ACRES FIVE ACRES PROGRAM STATUS: ACTIVE
760 W MOUNTAIN VIEW, ST. LEVEL OF CARE (LOC) RATE: 2139 2287 2435 2618
ALTADENA, CA 91001 Maintenance Ratio: 66.34 68.52 70.43 72.50 626/798-6793 Maint. Federal: 65.05 65.54 65.95 65.07 Maint. Non-Federal: 34.95 34.46 34.05 34.93 Administration Ratio: 33.66 31.48 29.57 27.50 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
96
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
JOYCE CAPELLE 0299.01.01 Salisbury RATE ADJUSTMENT EFFECTIVE DATE: 7/1/2018 FLORENCE CRITTENTON SVS OF ORANGE CO FFA FLORENCE CRITTENTON SVS OF ORANGE CO FFA PROGRAM STATUS: ACTIVE
P.O. BOX 919 LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
FULLERTON, CA 92836- Maintenance Ratio: 66.91 69.07 70.97 73.00 714/680-9000 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
JOYCE CAPELLE 0299.01.01 Salisbury BIENNIAL EFFECTIVE DATE: 12/1/2017 FLORENCE CRITTENTON SVS OF ORANGE CO FFA FLORENCE CRITTENTON SVS OF ORANGE CO FFA PROGRAM STATUS: ACTIVE
P.O. BOX 919 LEVEL OF CARE (LOC) RATE: 2139 2287 2435 2618
FULLERTON, CA 92836- Maintenance Ratio: 66.34 68.52 70.43 72.50 714/680-9000 Maint. Federal: 65.05 65.54 65.95 65.07 Maint. Non-Federal: 34.95 34.46 34.05 34.93 Administration Ratio: 33.66 31.48 29.57 27.50 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
97
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
JOHNNIE POWE-MAGEE 2245.01.01 Maschmeyer RATE ADJUSTMENT EFFECTIVE DATE: 7/1/2018 FOSTER CHILDREN SAFE HAVEN FOSTER CHILDREN SAFE HAVEN PROGRAM STATUS: ACTIVE
4201 ARDMORE AVENUE #7 LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
BAKERSFIELD, CA 93309- Maintenance Ratio: 66.91 69.07 70.97 73.00 661/396-7025 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
JOHNNIE POWE-MAGEE 2245.01.01 Maschmeyer RATE ADJUSTMENT EFFECTIVE DATE: 12/1/2017 FOSTER CHILDREN SAFE HAVEN FOSTER CHILDREN SAFE HAVEN PROGRAM STATUS: ACTIVE
4201 ARDMORE AVENUE #7 LEVEL OF CARE (LOC) RATE: 2139 2287 2435 2618
BAKERSFIELD, CA 93309- Maintenance Ratio: 66.34 68.52 70.43 72.50 661/396-7025 Maint. Federal: 65.05 65.54 65.95 65.07 Maint. Non-Federal: 34.95 34.46 34.05 34.93 Administration Ratio: 33.66 31.48 29.57 27.50 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
98
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
JOHNNIE POWE-MAGEE 2245.01.01 Maschmeyer BIENNIAL EFFECTIVE DATE: 12/1/2017 FOSTER CHILDREN SAFE HAVEN FOSTER CHILDREN SAFE HAVEN PROGRAM STATUS: ACTIVE
4201 ARDMORE AVENUE #7 LEVEL OF CARE (LOC) RATE: 2139 2287 2435 2618
BAKERSFIELD, CA 93309- Maintenance Ratio: 66.34 68.52 70.43 72.50 661/396-7025 Maint. Federal: 65.05 65.54 65.95 65.07 Maint. Non-Federal: 34.95 34.46 34.05 34.93 Administration Ratio: 33.66 31.48 29.57 27.50 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
ERIN BROWN 1600.01.02 Hing BIENNIAL EFFECTIVE DATE: 12/1/2018 FOSTERHOPE SACRAMENTO FOSTERHOPE SACRAMENTO PROGRAM STATUS: ACTIVE
4144 WINDING WAY LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
SACRAMENTO, CA 95841- Maintenance Ratio: 66.91 69.07 70.97 73.00 916/737-1481 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
99
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
ERIN BROWN 1600.01.02 Hing RATE ADJUSTMENT EFFECTIVE DATE: 7/1/2018 FOSTERHOPE SACRAMENTO FOSTERHOPE SACRAMENTO PROGRAM STATUS: ACTIVE
4144 WINDING WAY LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
SACRAMENTO, CA 95841- Maintenance Ratio: 66.91 69.07 70.97 73.00 916/737-1481 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
NIQUELLE LEWIS 1017.01.01 Griffin RATE ADJUSTMENT EFFECTIVE DATE: 7/1/2018 FRED JEFFERSON MEMORIAL HOMES FRED JEFFERSON FOSTER FAMILY PROGRAM STATUS: ACTIVE
P.O. BOX 11146 LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
CARSON, CA 90749- Maintenance Ratio: 66.91 69.07 70.97 73.00 310/763-1660 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
100
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
NIQUELLE LEWIS 1017.01.01 Griffin BIENNIAL EFFECTIVE DATE: 12/1/2017 FRED JEFFERSON MEMORIAL HOMES FRED JEFFERSON FOSTER FAMILY PROGRAM STATUS: ACTIVE
P.O. BOX 11146 LEVEL OF CARE (LOC) RATE: 2139 2287 2435 2618
CARSON, CA 90749- Maintenance Ratio: 66.34 68.52 70.43 72.50 310/763-1660 Maint. Federal: 65.05 65.54 65.95 65.07 Maint. Non-Federal: 34.95 34.46 34.05 34.93 Administration Ratio: 33.66 31.48 29.57 27.50 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
NIQUELLE LEWIS 1017.01.01 Griffin RATE ADJUSTMENT EFFECTIVE DATE: 12/1/2017 FRED JEFFERSON MEMORIAL HOMES FRED JEFFERSON FOSTER FAMILY PROGRAM STATUS: ACTIVE
P.O. BOX 11146 LEVEL OF CARE (LOC) RATE: 2139 2287 2435 2618
CARSON, CA 90749- Maintenance Ratio: 66.34 68.52 70.43 72.50 310/763-1660 Maint. Federal: 65.05 65.54 65.95 65.07 Maint. Non-Federal: 34.95 34.46 34.05 34.93 Administration Ratio: 33.66 31.48 29.57 27.50 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
101
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
LILY OLAN, MSW 1572.01.01 Griffin BIENNIAL EFFECTIVE DATE: 12/1/2018 FUTURO INFANTIL HISPANO, F.F.A. FUTURO INFANTIL HISPANO, F.F.A. PROGRAM STATUS: ACTIVE
P.O. BOX 4724 LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
WEST COVINA, CA 91791- Maintenance Ratio: 66.91 69.07 70.97 73.00 626/339-1824 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
LILY OLAN, MSW 1572.01.01 Griffin RATE ADJUSTMENT EFFECTIVE DATE: 7/1/2018 FUTURO INFANTIL HISPANO, F.F.A. FUTURO INFANTIL HISPANO, F.F.A. PROGRAM STATUS: ACTIVE
P.O. BOX 4724 LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
WEST COVINA, CA 91791- Maintenance Ratio: 66.91 69.07 70.97 73.00 626/339-1824 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
102
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
LINDA WASHINGTON 2365.01.01 Salisbury RATE ADJUSTMENT EFFECTIVE DATE: 7/1/2018 GENERATIONAL CHANGES COMMUNITY HEALTH GENERATIONAL CHANGES FOSTER FAMILY AGENCY PROGRAM STATUS: TERMINATED 11/15/2018
2409 MERCED STREET #106 LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
FRESNO, CA 93721- Maintenance Ratio: 66.91 69.07 70.97 73.00 559/981-2795 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
MICKI PRINS 1693.01.01 Salisbury RATE ADJUSTMENT EFFECTIVE DATE: 7/1/2018 GOLDEN STATE FAMILY SERVICES, INC. GOLDEN STATE FAMILY SERVICES, INC. PROGRAM STATUS: ACTIVE
P.O. BOX 130 LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
KINGSBURG, CA 93631- Maintenance Ratio: 66.91 69.07 70.97 73.00 559/687-1173 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
103
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
MICKI PRINS 1693.01.01 Salisbury RATE ADJUSTMENT EFFECTIVE DATE: 12/1/2017 GOLDEN STATE FAMILY SERVICES, INC. GOLDEN STATE FAMILY SERVICES, INC. PROGRAM STATUS: ACTIVE
P.O. BOX 130 LEVEL OF CARE (LOC) RATE: 2139 2287 2435 2618
KINGSBURG, CA 93631- Maintenance Ratio: 66.34 68.52 70.43 72.50 559/687-1173 Maint. Federal: 65.05 65.54 65.95 65.07 Maint. Non-Federal: 34.95 34.46 34.05 34.93 Administration Ratio: 33.66 31.48 29.57 27.50 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
MICKI PRINS 1693.01.01 Salisbury BIENNIAL EFFECTIVE DATE: 12/1/2017 GOLDEN STATE FAMILY SERVICES, INC. GOLDEN STATE FAMILY SERVICES, INC. PROGRAM STATUS: ACTIVE
P.O. BOX 130 LEVEL OF CARE (LOC) RATE: 2139 2287 2435 2618
KINGSBURG, CA 93631- Maintenance Ratio: 66.34 68.52 70.43 72.50 559/687-1173 Maint. Federal: 65.05 65.54 65.95 65.07 Maint. Non-Federal: 34.95 34.46 34.05 34.93 Administration Ratio: 33.66 31.48 29.57 27.50 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
104
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
HELENA SMITH-LOPEZ JD 2110.01.01 Hing BIENNIAL EFFECTIVE DATE: 12/1/2018 GREATER HOPE FOUNDATION FOR CHILDREN, INC. GREATER HOPE FOUNDATION FOR CHILDREN PROGRAM STATUS: ACTIVE
P.O. BOX 544 LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
BARSTOW, CA 92312- Maintenance Ratio: 66.91 69.07 70.97 73.00 760/256-0432 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
HELENA SMITH-LOPEZ JD 2110.01.01 Hing RATE ADJUSTMENT EFFECTIVE DATE: 7/1/2018 GREATER HOPE FOUNDATION FOR CHILDREN, INC. GREATER HOPE FOUNDATION FOR CHILDREN PROGRAM STATUS: ACTIVE
P.O. BOX 544 LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
BARSTOW, CA 92312- Maintenance Ratio: 66.91 69.07 70.97 73.00 760/256-0432 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
105
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
MICHELLE GREENHOUSE 2115.01.01 Hing RATE ADJUSTMENT EFFECTIVE DATE: 7/1/2018 GREENHOUSE FAMILY SERVICES GREENHOUSE FAMILY SERVICES PROGRAM STATUS: ACTIVE
2038 IOWA AVENUE #160 LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
RIVERSIDE, CA 92507- Maintenance Ratio: 66.91 69.07 70.97 73.00 951/788-0322 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
MICHELLE GREENHOUSE 2115.01.01 Hing RATE ADJUSTMENT EFFECTIVE DATE: 12/1/2017 GREENHOUSE FAMILY SERVICES GREENHOUSE FAMILY SERVICES PROGRAM STATUS: ACTIVE
2038 IOWA AVENUE #160 LEVEL OF CARE (LOC) RATE: 2139 2287 2435 2618
RIVERSIDE, CA 92507- Maintenance Ratio: 66.34 68.52 70.43 72.50 951/788-0322 Maint. Federal: 65.05 65.54 65.95 65.07 Maint. Non-Federal: 34.95 34.46 34.05 34.93 Administration Ratio: 33.66 31.48 29.57 27.50 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
106
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
MICHELLE GREENHOUSE 2115.01.01 Hing BIENNIAL EFFECTIVE DATE: 12/1/2017 GREENHOUSE FAMILY SERVICES GREENHOUSE FAMILY SERVICES PROGRAM STATUS: ACTIVE
2038 IOWA AVENUE #160 LEVEL OF CARE (LOC) RATE: 2139 2287 2435 2618
RIVERSIDE, CA 92507- Maintenance Ratio: 66.34 68.52 70.43 72.50 951/788-0322 Maint. Federal: 65.05 65.54 65.95 65.07 Maint. Non-Federal: 34.95 34.46 34.05 34.93 Administration Ratio: 33.66 31.48 29.57 27.50 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
KINIKKI FULLERWOOD 1795.01.01 Griffin RATE ADJUSTMENT EFFECTIVE DATE: 7/1/2018 GUARDIANS OF LOVE, INC. GUARDIANS OF LOVE, STE. 312/315 PROGRAM STATUS: ACTIVE
3756 SANTA ROSALIA 305 LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
LOS ANGELES, CA 90008- Maintenance Ratio: 66.91 69.07 70.97 73.00 323/295-6030 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
107
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
KINIKKI FULLERWOOD 1795.01.01 Griffin RATE ADJUSTMENT EFFECTIVE DATE: 12/1/2017 GUARDIANS OF LOVE, INC. GUARDIANS OF LOVE, STE. 312/315 PROGRAM STATUS: ACTIVE
3756 SANTA ROSALIA 305 LEVEL OF CARE (LOC) RATE: 2139 2287 2435 2618
LOS ANGELES, CA 90008- Maintenance Ratio: 66.34 68.52 70.43 72.50 323/295-6030 Maint. Federal: 65.05 65.54 65.95 65.07 Maint. Non-Federal: 34.95 34.46 34.05 34.93 Administration Ratio: 33.66 31.48 29.57 27.50 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
KINIKKI FULLERWOOD 1795.01.01 Griffin BIENNIAL EFFECTIVE DATE: 12/1/2017 GUARDIANS OF LOVE, INC. GUARDIANS OF LOVE, STE. 312/315 PROGRAM STATUS: ACTIVE
3756 SANTA ROSALIA 305 LEVEL OF CARE (LOC) RATE: 2139 2287 2435 2618
LOS ANGELES, CA 90008- Maintenance Ratio: 66.34 68.52 70.43 72.50 323/295-6030 Maint. Federal: 65.05 65.54 65.95 65.07 Maint. Non-Federal: 34.95 34.46 34.05 34.93 Administration Ratio: 33.66 31.48 29.57 27.50 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
108
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
DAVID BOSCHEN, MFT 0230.01.02 Maschmeyer BIENNIAL EFFECTIVE DATE: 12/1/2018 HAND IN HAND FOUNDATION HAND IN HAND FOUND./FAMILY LIVING CENTER PROGRAM STATUS: ACTIVE
P.O BOX 67351 LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
SCOTTS VALLEY, CA 95067- Maintenance Ratio: 66.91 69.07 70.97 73.00 831/438-3736 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
DAVID BOSCHEN, MFT 0230.01.02 Maschmeyer RATE ADJUSTMENT EFFECTIVE DATE: 7/1/2018 HAND IN HAND FOUNDATION HAND IN HAND FOUND./FAMILY LIVING CENTER PROGRAM STATUS: ACTIVE
P.O BOX 67351 LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
SCOTTS VALLEY, CA 95067- Maintenance Ratio: 66.91 69.07 70.97 73.00 831/438-3736 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
109
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
KIM BERRY 1057.01.01 Hing RATE ADJUSTMENT EFFECTIVE DATE: 7/1/2018 HANNAS HOUSE FOSTER CARE PROG. HANNA'S HOUSE, INC. PROGRAM STATUS: ACTIVE
9229 UTICA AVE #140 LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
RANCHO CUCAMONGA, CA 91730- Maintenance Ratio: 66.91 69.07 70.97 73.00 323/278-6501 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
KIM BERRY 1057.01.01 Hing RATE ADJUSTMENT EFFECTIVE DATE: 12/1/2017 HANNAS HOUSE FOSTER CARE PROG. HANNA'S HOUSE, INC. PROGRAM STATUS: ACTIVE
9229 UTICA AVE #140 LEVEL OF CARE (LOC) RATE: 2139 2287 2435 2618
RANCHO CUCAMONGA, CA 91730- Maintenance Ratio: 66.34 68.52 70.43 72.50 323/278-6501 Maint. Federal: 65.05 65.54 65.95 65.07 Maint. Non-Federal: 34.95 34.46 34.05 34.93 Administration Ratio: 33.66 31.48 29.57 27.50 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
110
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
KIM BERRY 1057.01.01 Hing BIENNIAL EFFECTIVE DATE: 12/1/2017 HANNAS HOUSE FOSTER CARE PROG. HANNA'S HOUSE, INC. PROGRAM STATUS: ACTIVE
9229 UTICA AVE #140 LEVEL OF CARE (LOC) RATE: 2139 2287 2435 2618
RANCHO CUCAMONGA, CA 91730- Maintenance Ratio: 66.34 68.52 70.43 72.50 323/278-6501 Maint. Federal: 65.05 65.54 65.95 65.07 Maint. Non-Federal: 34.95 34.46 34.05 34.93 Administration Ratio: 33.66 31.48 29.57 27.50 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
PAULA MORGAN 2346.01.01 Hing BIENNIAL EFFECTIVE DATE: 12/1/2018 APEX PROFESSIONAL SERVICES, INC. HARMONY HOMES FOSTER FAMILY AGENCY PROGRAM STATUS: ACTIVE
P.O. BOX 90936 LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
SAN BERNARDINO, CA 92427- Maintenance Ratio: 66.91 69.07 70.97 73.00 909/648-7308 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
111
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
PAULA MORGAN 2346.01.01 Hing RATE ADJUSTMENT EFFECTIVE DATE: 7/1/2018 APEX PROFESSIONAL SERVICES, INC. HARMONY HOMES FOSTER FAMILY AGENCY PROGRAM STATUS: ACTIVE
P.O. BOX 90936 LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
SAN BERNARDINO, CA 92427- Maintenance Ratio: 66.91 69.07 70.97 73.00 909/648-7308 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
NICK RYAN 0221.01.01 Griffin RATE ADJUSTMENT EFFECTIVE DATE: 7/1/2018 HATHAWAY - SYCAMORES CHILD AND FAMILY HATHAWAY-SYCAMORES CHILD & FAMILY SERV PROGRAM STATUS: ACTIVE
100 WEST WALNUT ST #375 LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
PASADENA, CA 91124- Maintenance Ratio: 66.91 69.07 70.97 73.00 626/395-7100 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
112
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
NICK RYAN 0221.01.01 Griffin RATE ADJUSTMENT EFFECTIVE DATE: 12/1/2017 HATHAWAY - SYCAMORES CHILD AND FAMILY HATHAWAY-SYCAMORES CHILD & FAMILY SERV PROGRAM STATUS: ACTIVE
100 WEST WALNUT ST #375 LEVEL OF CARE (LOC) RATE: 2139 2287 2435 2618
PASADENA, CA 91124- Maintenance Ratio: 66.34 68.52 70.43 72.50 626/395-7100 Maint. Federal: 65.05 65.54 65.95 65.07 Maint. Non-Federal: 34.95 34.46 34.05 34.93 Administration Ratio: 33.66 31.48 29.57 27.50 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
NICK RYAN 0221.01.01 Griffin BIENNIAL EFFECTIVE DATE: 12/1/2017 HATHAWAY - SYCAMORES CHILD AND FAMILY HATHAWAY-SYCAMORES CHILD & FAMILY SERV PROGRAM STATUS: ACTIVE
100 WEST WALNUT ST #375 LEVEL OF CARE (LOC) RATE: 2139 2287 2435 2618
PASADENA, CA 91124- Maintenance Ratio: 66.34 68.52 70.43 72.50 626/395-7100 Maint. Federal: 65.05 65.54 65.95 65.07 Maint. Non-Federal: 34.95 34.46 34.05 34.93 Administration Ratio: 33.66 31.48 29.57 27.50 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
113
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
LIZ QAQIESH 2401.01.01 Hing RATE ADJUSTMENT EFFECTIVE DATE: 7/1/2018 HAVEN FAMILY SERVICES HAVEN FAMILY SERVICES FFA PROGRAM STATUS: ACTIVE
P.O. BOX 188 LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
RANCHO CUCAMONGA, CA 91729- Maintenance Ratio: 66.91 69.07 70.97 73.00 909/721-9266 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
LIZ QAQIESH 2401.01.01 Hing RATE ADJUSTMENT EFFECTIVE DATE: 12/1/2017 HAVEN FAMILY SERVICES HAVEN FAMILY SERVICES FFA PROGRAM STATUS: ACTIVE
P.O. BOX 188 LEVEL OF CARE (LOC) RATE: 2139 2287 2435 2618
RANCHO CUCAMONGA, CA 91729- Maintenance Ratio: 66.34 68.52 70.43 72.50 909/721-9266 Maint. Federal: 65.05 65.54 65.95 65.07 Maint. Non-Federal: 34.95 34.46 34.05 34.93 Administration Ratio: 33.66 31.48 29.57 27.50 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
114
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
ELIZABETH VALENCIA 2307.01.01 Griffin RATE ADJUSTMENT EFFECTIVE DATE: 7/1/2018 HERMANITOS UNIDOS HERMANITOS UNIDOS/SIBLINGS UNITED FFA PROGRAM STATUS: ACTIVE
158 N. GLENDORA AVE #G LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
GLENDORA, CA 91741- Maintenance Ratio: 66.91 69.07 70.97 73.00 818/271-7939 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
ELIZABETH VALENCIA 2307.01.01 Griffin BIENNIAL EFFECTIVE DATE: 12/1/2017 HERMANITOS UNIDOS HERMANITOS UNIDOS/SIBLINGS UNITED FFA PROGRAM STATUS: ACTIVE
158 N. GLENDORA AVE #G LEVEL OF CARE (LOC) RATE: 2139 2287 2435 2618
GLENDORA, CA 91741- Maintenance Ratio: 66.34 68.52 70.43 72.50 818/271-7939 Maint. Federal: 65.05 65.54 65.95 65.07 Maint. Non-Federal: 34.95 34.46 34.05 34.93 Administration Ratio: 33.66 31.48 29.57 27.50 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
115
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
ELIZABETH VALENCIA 2307.01.01 Griffin RATE ADJUSTMENT EFFECTIVE DATE: 12/1/2017 HERMANITOS UNIDOS HERMANITOS UNIDOS/SIBLINGS UNITED FFA PROGRAM STATUS: ACTIVE
158 N. GLENDORA AVE #G LEVEL OF CARE (LOC) RATE: 2139 2287 2435 2618
GLENDORA, CA 91741- Maintenance Ratio: 66.34 68.52 70.43 72.50 818/271-7939 Maint. Federal: 65.05 65.54 65.95 65.07 Maint. Non-Federal: 34.95 34.46 34.05 34.93 Administration Ratio: 33.66 31.48 29.57 27.50 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
JULIE BROWN 0006.01.02 Griffin BIENNIAL EFFECTIVE DATE: 12/1/2018 HOLY FAMILY SERVICES HOLY FAMILY SERVICES PROGRAM STATUS: ACTIVE
840 ECHO PARK AVE 2ND FL LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
LOS ANGELES, CA 90026- Maintenance Ratio: 66.91 69.07 70.97 73.00 213/202-3900 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
116
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
JULIE BROWN 0006.01.02 Griffin RATE ADJUSTMENT EFFECTIVE DATE: 7/1/2018 HOLY FAMILY SERVICES HOLY FAMILY SERVICES PROGRAM STATUS: ACTIVE
840 ECHO PARK AVE 2ND FL LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
LOS ANGELES, CA 90026- Maintenance Ratio: 66.91 69.07 70.97 73.00 213/202-3900 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
THERESA BOLTON 1329.01.01 Hing RATE ADJUSTMENT EFFECTIVE DATE: 7/1/2018 HOME AT LAST, INC. HOME AT LAST, INC. PROGRAM STATUS: ACTIVE
5150 SUNRISE BLVD, #D-2 LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
FAIR OAKS, CA 95628- Maintenance Ratio: 66.91 69.07 70.97 73.00 916/863-0461 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
117
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
THERESA BOLTON 1329.01.01 Hing BIENNIAL EFFECTIVE DATE: 12/1/2017 HOME AT LAST, INC. HOME AT LAST, INC. PROGRAM STATUS: ACTIVE
5150 SUNRISE BLVD, #D-2 LEVEL OF CARE (LOC) RATE: 2139 2287 2435 2618
FAIR OAKS, CA 95628- Maintenance Ratio: 66.34 68.52 70.43 72.50 916/863-0461 Maint. Federal: 65.05 65.54 65.95 65.07 Maint. Non-Federal: 34.95 34.46 34.05 34.93 Administration Ratio: 33.66 31.48 29.57 27.50 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
THERESA BOLTON 1329.01.01 Hing RATE ADJUSTMENT EFFECTIVE DATE: 12/1/2017 HOME AT LAST, INC. HOME AT LAST, INC. PROGRAM STATUS: ACTIVE
5150 SUNRISE BLVD, #D-2 LEVEL OF CARE (LOC) RATE: 2139 2287 2435 2618
FAIR OAKS, CA 95628- Maintenance Ratio: 66.34 68.52 70.43 72.50 916/863-0461 Maint. Federal: 65.05 65.54 65.95 65.07 Maint. Non-Federal: 34.95 34.46 34.05 34.93 Administration Ratio: 33.66 31.48 29.57 27.50 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
118
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
SUKHWINDER SINGH 1568.01.01 Griffin BIENNIAL EFFECTIVE DATE: 12/1/2018 WEST COVINA FOSTER FAMILY AGCY HOMES OF HOPE FFA - WEST COVINA FFA PROGRAM STATUS: ACTIVE
1107 S. GLENDORA AVENUE LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
WEST COVINA, CA 91790- Maintenance Ratio: 66.91 69.07 70.97 73.00 626/814-9085 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
SUKHWINDER SINGH 1568.01.01 Griffin RATE ADJUSTMENT EFFECTIVE DATE: 7/1/2018 WEST COVINA FOSTER FAMILY AGCY HOMES OF HOPE FFA - WEST COVINA FFA PROGRAM STATUS: ACTIVE
1107 S. GLENDORA AVENUE LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
WEST COVINA, CA 91790- Maintenance Ratio: 66.91 69.07 70.97 73.00 626/814-9085 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
119
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
KIM BISCHOFBERGER 2351.01.01 Salisbury RATE ADJUSTMENT EFFECTIVE DATE: 12/1/2017 HOMEWARD SOCIETY FOSTER FAMILY AGENCY HOMEWARD SOCIETY FOSTER FAMILY AGENCY PROGRAM STATUS: TERMINATED 6/30/2018
17772 IRVINE BLVD, #102A LEVEL OF CARE (LOC) RATE: 2139 2287 2435 2618
TUSTIN, CA 92780- Maintenance Ratio: 66.34 68.52 70.43 72.50 714/642-5215 Maint. Federal: 65.05 65.54 65.95 65.07 Maint. Non-Federal: 34.95 34.46 34.05 34.93 Administration Ratio: 33.66 31.48 29.57 27.50 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
VERNE TEYLER 1112.01.01 Maschmeyer BIENNIAL EFFECTIVE DATE: 12/1/2018 HOSANNA PATHWAYS HOSANNA PATHWAYS PROGRAM STATUS: ACTIVE
9998 CROW CANYON ROAD LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
CASTRO VALLEY, CA 94552 Maintenance Ratio: 66.91 69.07 70.97 73.00 510/329-8100 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
120
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
VERNE TEYLER 1112.01.01 Maschmeyer RATE ADJUSTMENT EFFECTIVE DATE: 7/1/2018 HOSANNA PATHWAYS HOSANNA PATHWAYS PROGRAM STATUS: ACTIVE
9998 CROW CANYON ROAD LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
CASTRO VALLEY, CA 94552 Maintenance Ratio: 66.91 69.07 70.97 73.00 510/329-8100 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
VICTORIA FICKETT 1427.01.01 Griffin RATE ADJUSTMENT EFFECTIVE DATE: 7/1/2018 INNER CIRCLE FOSTER FAMILY AGCY INNER CIRCLE FOSTER FAMILY AGENCY PROGRAM STATUS: ACTIVE
981 CORPORATE CTR #140 LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
POMONA, CA 91768- Maintenance Ratio: 66.91 69.07 70.97 73.00 818/988-6300 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
121
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
SHAHZIA MUNAWAR 1885.01.01 Hing RATE ADJUSTMENT EFFECTIVE DATE: 7/1/2018 INTERIM CARE FOSTER FAMILY AGENCY INTERIM CARE FOSTER FAMILY AGENCY PROGRAM STATUS: ACTIVE
10251 TRADEMARK ST. #A LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
RANCHO CUCAMONGA, CA 91730- Maintenance Ratio: 66.91 69.07 70.97 73.00 909/225-2552 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
SHAHZIA MUNAWAR 1885.01.01 Hing RATE ADJUSTMENT EFFECTIVE DATE: 12/1/2017 INTERIM CARE FOSTER FAMILY AGENCY INTERIM CARE FOSTER FAMILY AGENCY PROGRAM STATUS: ACTIVE
10251 TRADEMARK ST. #A LEVEL OF CARE (LOC) RATE: 2139 2287 2435 2618
RANCHO CUCAMONGA, CA 91730- Maintenance Ratio: 66.34 68.52 70.43 72.50 909/225-2552 Maint. Federal: 65.05 65.54 65.95 65.07 Maint. Non-Federal: 34.95 34.46 34.05 34.93 Administration Ratio: 33.66 31.48 29.57 27.50 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
122
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
SHAHZIA MUNAWAR 1885.01.01 Hing BIENNIAL EFFECTIVE DATE: 12/1/2017 INTERIM CARE FOSTER FAMILY AGENCY INTERIM CARE FOSTER FAMILY AGENCY PROGRAM STATUS: ACTIVE
10251 TRADEMARK ST. #A LEVEL OF CARE (LOC) RATE: 2139 2287 2435 2618
RANCHO CUCAMONGA, CA 91730- Maintenance Ratio: 66.34 68.52 70.43 72.50 909/225-2552 Maint. Federal: 65.05 65.54 65.95 65.07 Maint. Non-Federal: 34.95 34.46 34.05 34.93 Administration Ratio: 33.66 31.48 29.57 27.50 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
CHARLOTTE PAULSEN 1762.01.01 Hing BIENNIAL EFFECTIVE DATE: 12/1/2018 INTERNATIONAL CHRISTIAN ADOPTIONS INTERNATIONAL CHRISTIAN ADOPTIONS PROGRAM STATUS: ACTIVE
41745 RIDER WAY, SUITE 2 LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
TEMECULA, CA 92590- Maintenance Ratio: 66.91 69.07 70.97 73.00 951/695-3336 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
123
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
CHARLOTTE PAULSEN 1762.01.01 Hing RATE ADJUSTMENT EFFECTIVE DATE: 7/1/2018 INTERNATIONAL CHRISTIAN ADOPTIONS INTERNATIONAL CHRISTIAN ADOPTIONS PROGRAM STATUS: ACTIVE
41745 RIDER WAY, SUITE 2 LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
TEMECULA, CA 92590- Maintenance Ratio: 66.91 69.07 70.97 73.00 951/695-3336 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
VIRGINIA TAYLOR 1716.01.01 Maschmeyer BIENNIAL EFFECTIVE DATE: 12/1/2018 KAIR IN-HOME FOSTER FAMILY AGENCY KAIR IN-HOME FOSTER FAMILY AGENCY PROGRAM STATUS: ACTIVE
2105 W. MARCH LANE #2 LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
STOCKTON, CA 95207- Maintenance Ratio: 66.91 69.07 70.97 73.00 209/954-0614 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
124
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
VIRGINIA TAYLOR 1716.01.01 Maschmeyer RATE ADJUSTMENT EFFECTIVE DATE: 7/1/2018 KAIR IN-HOME FOSTER FAMILY AGENCY KAIR IN-HOME FOSTER FAMILY AGENCY PROGRAM STATUS: ACTIVE
2105 W. MARCH LANE #2 LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
STOCKTON, CA 95207- Maintenance Ratio: 66.91 69.07 70.97 73.00 209/954-0614 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
MICHAEL BURTON 1827.01.01 Hing RATE ADJUSTMENT EFFECTIVE DATE: 7/1/2018 KAMALII FOSTER FAMILY AGENCY, INC. KAMALII TREATMENT FFA PROGRAM STATUS: ACTIVE
31772 CASINO DRIVE #B LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
LAKE ELSINORE, CA 92530- Maintenance Ratio: 66.91 69.07 70.97 73.00 951/674-9400 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
125
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
MICHAEL BURTON 1827.01.01 Hing BIENNIAL EFFECTIVE DATE: 12/1/2017 KAMALII FOSTER FAMILY AGENCY, INC. KAMALII TREATMENT FFA PROGRAM STATUS: ACTIVE
31772 CASINO DRIVE #B LEVEL OF CARE (LOC) RATE: 2139 2287 2435 2618
LAKE ELSINORE, CA 92530- Maintenance Ratio: 66.34 68.52 70.43 72.50 951/674-9400 Maint. Federal: 65.05 65.54 65.95 65.07 Maint. Non-Federal: 34.95 34.46 34.05 34.93 Administration Ratio: 33.66 31.48 29.57 27.50 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
MICHAEL BURTON 1827.01.01 Hing RATE ADJUSTMENT EFFECTIVE DATE: 12/1/2017 KAMALII FOSTER FAMILY AGENCY, INC. KAMALII TREATMENT FFA PROGRAM STATUS: ACTIVE
31772 CASINO DRIVE #B LEVEL OF CARE (LOC) RATE: 2139 2287 2435 2618
LAKE ELSINORE, CA 92530- Maintenance Ratio: 66.34 68.52 70.43 72.50 951/674-9400 Maint. Federal: 65.05 65.54 65.95 65.07 Maint. Non-Federal: 34.95 34.46 34.05 34.93 Administration Ratio: 33.66 31.48 29.57 27.50 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
126
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
FENG YANG 2239.01.01 Salisbury RATE ADJUSTMENT EFFECTIVE DATE: 7/1/2018 KARING 4 KIDS FOSTER FAMILY AGY KARING 4 KIDS FOSTER FAMILY AGY PROGRAM STATUS: ACTIVE
113 COURT STREET #210 LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
HANFORD, CA 93230- Maintenance Ratio: 66.91 69.07 70.97 73.00 559/452-9500 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
FENG YANG 2239.01.01 Salisbury RATE ADJUSTMENT EFFECTIVE DATE: 12/1/2017 KARING 4 KIDS FOSTER FAMILY AGY KARING 4 KIDS FOSTER FAMILY AGY PROGRAM STATUS: ACTIVE
113 COURT STREET #210 LEVEL OF CARE (LOC) RATE: 2139 2287 2435 2618
HANFORD, CA 93230- Maintenance Ratio: 66.34 68.52 70.43 72.50 559/452-9500 Maint. Federal: 65.05 65.54 65.95 65.07 Maint. Non-Federal: 34.95 34.46 34.05 34.93 Administration Ratio: 33.66 31.48 29.57 27.50 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
127
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
FENG YANG 2239.01.01 Salisbury BIENNIAL EFFECTIVE DATE: 12/1/2017 KARING 4 KIDS FOSTER FAMILY AGY KARING 4 KIDS FOSTER FAMILY AGY PROGRAM STATUS: ACTIVE
113 COURT STREET #210 LEVEL OF CARE (LOC) RATE: 2139 2287 2435 2618
HANFORD, CA 93230- Maintenance Ratio: 66.34 68.52 70.43 72.50 559/452-9500 Maint. Federal: 65.05 65.54 65.95 65.07 Maint. Non-Federal: 34.95 34.46 34.05 34.93 Administration Ratio: 33.66 31.48 29.57 27.50 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
JOHN BACON 0940.01.01 Maschmeyer BIENNIAL EFFECTIVE DATE: 12/1/2018 KERN BRIDGES YOUTH HOMES KERN BRIDGES YOUTH HOMES PROGRAM STATUS: ACTIVE
1321 STINE ROAD LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
BAKERSFIELD, CA 93309- Maintenance Ratio: 66.91 69.07 70.97 73.00 661/396-2301 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
128
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
JOHN BACON 0940.01.01 Maschmeyer RATE ADJUSTMENT EFFECTIVE DATE: 7/1/2018 KERN BRIDGES YOUTH HOMES KERN BRIDGES YOUTH HOMES PROGRAM STATUS: ACTIVE
1321 STINE ROAD LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
BAKERSFIELD, CA 93309- Maintenance Ratio: 66.91 69.07 70.97 73.00 661/396-2301 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
BRAD CASTILLO 2148.01.01 Salisbury BIENNIAL EFFECTIVE DATE: 12/1/2018 KIDS KASA FOSTER CARE, INC. KIDS KASA FOSTER CARE, INC. PROGRAM STATUS: ACTIVE
1275 W. SHAW AVE #107 LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
FRESNO, CA 93711- Maintenance Ratio: 66.91 69.07 70.97 73.00 559/221-5272 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
129
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
BRAD CASTILLO 2148.01.01 Salisbury RATE ADJUSTMENT EFFECTIVE DATE: 7/1/2018 KIDS KASA FOSTER CARE, INC. KIDS KASA FOSTER CARE, INC. PROGRAM STATUS: ACTIVE
1275 W. SHAW AVE #107 LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
FRESNO, CA 93711- Maintenance Ratio: 66.91 69.07 70.97 73.00 559/221-5272 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
DEBORAH SCOTT 1257.01.01 Hing RATE ADJUSTMENT EFFECTIVE DATE: 7/1/2018 KNOTTS FOSTER FAMILY AGENCY KNOTTS FOSTER FAMILY AGENCY PROGRAM STATUS: ACTIVE
P.O. BOX 1196 LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
COLTON, CA 92324- Maintenance Ratio: 66.91 69.07 70.97 73.00 909/880-0600 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
130
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
DEBORAH SCOTT 1257.01.01 Hing RATE ADJUSTMENT EFFECTIVE DATE: 12/1/2017 KNOTTS FOSTER FAMILY AGENCY KNOTTS FOSTER FAMILY AGENCY PROGRAM STATUS: ACTIVE
P.O. BOX 1196 LEVEL OF CARE (LOC) RATE: 2139 2287 2435 2618
COLTON, CA 92324- Maintenance Ratio: 66.34 68.52 70.43 72.50 909/880-0600 Maint. Federal: 65.05 65.54 65.95 65.07 Maint. Non-Federal: 34.95 34.46 34.05 34.93 Administration Ratio: 33.66 31.48 29.57 27.50 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
DEBORAH SCOTT 1257.01.01 Hing BIENNIAL EFFECTIVE DATE: 12/1/2017 KNOTTS FOSTER FAMILY AGENCY KNOTTS FOSTER FAMILY AGENCY PROGRAM STATUS: ACTIVE
P.O. BOX 1196 LEVEL OF CARE (LOC) RATE: 2139 2287 2435 2618
COLTON, CA 92324- Maintenance Ratio: 66.34 68.52 70.43 72.50 909/880-0600 Maint. Federal: 65.05 65.54 65.95 65.07 Maint. Non-Federal: 34.95 34.46 34.05 34.93 Administration Ratio: 33.66 31.48 29.57 27.50 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
131
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
SAMUEL GOLDEN 0554.01.01 Hing BIENNIAL EFFECTIVE DATE: 12/1/2018 KOINONIA FOSTER HOMES INC KOINONIA FOSTER HOMES PROGRAM STATUS: ACTIVE
P O BOX 1403 LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
LOOMIS, CA 95650 Maintenance Ratio: 66.91 69.07 70.97 73.00 916/652-5802 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
SAMUEL GOLDEN 0554.01.01 Hing RATE ADJUSTMENT EFFECTIVE DATE: 7/1/2018 KOINONIA FOSTER HOMES INC KOINONIA FOSTER HOMES PROGRAM STATUS: ACTIVE
P O BOX 1403 LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
LOOMIS, CA 95650 Maintenance Ratio: 66.91 69.07 70.97 73.00 916/652-5802 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
132
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
CONNIE CHUNG JOE 2404.01.01 Griffin RATE ADJUSTMENT EFFECTIVE DATE: 7/1/2018 KOREAN AMERICAN FAMILY SERVICES KOREAN AMERICAN FAMILY SERVICES PROGRAM STATUS: ACTIVE
3727 W.6TH STREET, #320 LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
LOS ANGELES, CA 90020- Maintenance Ratio: 66.91 69.07 70.97 73.00 213/389-6755 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
CONNIE CHUNG JOE 2404.01.01 Griffin RATE ADJUSTMENT EFFECTIVE DATE: 12/1/2017 KOREAN AMERICAN FAMILY SERVICES KOREAN AMERICAN FAMILY SERVICES PROGRAM STATUS: ACTIVE
3727 W.6TH STREET, #320 LEVEL OF CARE (LOC) RATE: 2139 2287 2435 2618
LOS ANGELES, CA 90020- Maintenance Ratio: 66.34 68.52 70.43 72.50 213/389-6755 Maint. Federal: 65.05 65.54 65.95 65.07 Maint. Non-Federal: 34.95 34.46 34.05 34.93 Administration Ratio: 33.66 31.48 29.57 27.50 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
133
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
KEVIN JORDAN 2286.01.01 Salisbury BIENNIAL EFFECTIVE DATE: 12/1/2018 KYJO ENTERPRISES, INC. KYJO ENTERPRISES FOSTER FAMILY AGENCY PROGRAM STATUS: ACTIVE
114 E. SHAW AVENUE, #211 LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
FRESNO, CA 93710- Maintenance Ratio: 66.91 69.07 70.97 73.00 559/307-9124 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
KEVIN JORDAN 2286.01.01 Salisbury RATE ADJUSTMENT EFFECTIVE DATE: 7/1/2018 KYJO ENTERPRISES, INC. KYJO ENTERPRISES FOSTER FAMILY AGENCY PROGRAM STATUS: ACTIVE
114 E. SHAW AVENUE, #211 LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
FRESNO, CA 93710- Maintenance Ratio: 66.91 69.07 70.97 73.00 559/307-9124 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
134
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
MARIA L. QUINTANILLA 1902.01.01 Griffin BIENNIAL EFFECTIVE DATE: 12/1/2018 LATINO FAMILY INSTITUTE, INC. LATINO FAMILY INSTITUTE, INC. PROGRAM STATUS: ACTIVE
1501 W. CAMERON AVE #240 LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
WEST COVINA, CA 91790- Maintenance Ratio: 66.91 69.07 70.97 73.00 626/472-0123 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
MARIA L. QUINTANILLA 1902.01.01 Griffin RATE ADJUSTMENT EFFECTIVE DATE: 7/1/2018 LATINO FAMILY INSTITUTE, INC. LATINO FAMILY INSTITUTE, INC. PROGRAM STATUS: ACTIVE
1501 W. CAMERON AVE #240 LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
WEST COVINA, CA 91790- Maintenance Ratio: 66.91 69.07 70.97 73.00 626/472-0123 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
135
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
MARK COREY 2242.01.01 Maschmeyer BIENNIAL EFFECTIVE DATE: 12/1/2018 LEGACY BEHAVIORAL SERVICES, INC. LEGACY BEHAVIORAL SERVICES PROGRAM STATUS: ACTIVE
P.O. BOX 1812 LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
BAKERSFIELD, CA 93302- Maintenance Ratio: 66.91 69.07 70.97 73.00 661/861-1133 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
MARK COREY 2242.01.01 Maschmeyer RATE ADJUSTMENT EFFECTIVE DATE: 7/1/2018 LEGACY BEHAVIORAL SERVICES, INC. LEGACY BEHAVIORAL SERVICES PROGRAM STATUS: ACTIVE
P.O. BOX 1812 LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
BAKERSFIELD, CA 93302- Maintenance Ratio: 66.91 69.07 70.97 73.00 661/861-1133 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
136
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
EDWARD LUBEMBE 2380.01.01 Salisbury BIENNIAL EFFECTIVE DATE: 12/1/2018 LIFECARE COALITION OUTREACH, INC. LIFECARE COALITION OUTREACH FOSTER FAMILY PROGRAM STATUS: ACTIVE
121 E. ORANGEBURG AV #14 LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
MODESTO, CA 95350- Maintenance Ratio: 66.91 69.07 70.97 73.00 209/765-8229 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
EDWARD LUBEMBE 2380.01.01 Salisbury RATE ADJUSTMENT EFFECTIVE DATE: 7/1/2018 LIFECARE COALITION OUTREACH, INC. LIFECARE COALITION OUTREACH FOSTER FAMILY PROGRAM STATUS: ACTIVE
121 E. ORANGEBURG AV #14 LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
MODESTO, CA 95350- Maintenance Ratio: 66.91 69.07 70.97 73.00 209/765-8229 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
137
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
KAREN ALVORD 0013.01.02 Hing RATE ADJUSTMENT EFFECTIVE DATE: 7/1/2018 LILLIPUT CHILDREN'S SERVICES LILLIPUT CHILDREN'S SERVICES PROGRAM STATUS: ACTIVE
8391 AUBURN BOULEVARD LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
CITRUS HEIGHTS, CA 95610- Maintenance Ratio: 66.91 69.07 70.97 73.00 916/923-5444 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
KAREN ALVORD 0013.01.02 Hing RATE ADJUSTMENT EFFECTIVE DATE: 12/1/2017 LILLIPUT CHILDREN'S SERVICES LILLIPUT CHILDREN'S SERVICES PROGRAM STATUS: ACTIVE
8391 AUBURN BOULEVARD LEVEL OF CARE (LOC) RATE: 2139 2287 2435 2618
CITRUS HEIGHTS, CA 95610- Maintenance Ratio: 66.34 68.52 70.43 72.50 916/923-5444 Maint. Federal: 65.05 65.54 65.95 65.07 Maint. Non-Federal: 34.95 34.46 34.05 34.93 Administration Ratio: 33.66 31.48 29.57 27.50 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
138
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
KAREN ALVORD 0013.01.02 Hing BIENNIAL EFFECTIVE DATE: 12/1/2017 LILLIPUT CHILDREN'S SERVICES LILLIPUT CHILDREN'S SERVICES PROGRAM STATUS: ACTIVE
8391 AUBURN BOULEVARD LEVEL OF CARE (LOC) RATE: 2139 2287 2435 2618
CITRUS HEIGHTS, CA 95610- Maintenance Ratio: 66.34 68.52 70.43 72.50 916/923-5444 Maint. Federal: 65.05 65.54 65.95 65.07 Maint. Non-Federal: 34.95 34.46 34.05 34.93 Administration Ratio: 33.66 31.48 29.57 27.50 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
LIZ QAQIESH 2176.01.01 Hing BIENNIAL EFFECTIVE DATE: 12/1/2018 LITEHOUSE CHILDREN AND FAMILY SERVICES, INC. LITEHOUSE CHILDREN AND FAMILY SERVICES PROGRAM STATUS: ACTIVE
P.O. BOX 217 LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
RANCHO CUCAMONGA, CA 91729- Maintenance Ratio: 66.91 69.07 70.97 73.00 909/890-9837 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
139
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
LIZ QAQIESH 2176.01.01 Hing RATE ADJUSTMENT EFFECTIVE DATE: 7/1/2018 LITEHOUSE CHILDREN AND FAMILY SERVICES, INC. LITEHOUSE CHILDREN AND FAMILY SERVICES PROGRAM STATUS: ACTIVE
P.O. BOX 217 LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
RANCHO CUCAMONGA, CA 91729- Maintenance Ratio: 66.91 69.07 70.97 73.00 909/890-9837 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
BERNARD SMITH 0976.01.01 Griffin RATE ADJUSTMENT EFFECTIVE DATE: 7/1/2018 COUNSELING AND RESEARCH ASSOCIATES MASADA HOMES FOSTER FAMILY AGENCY PROGRAM STATUS: ACTIVE
108 WEST VICTORIA STREET LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
CARSON, CA 90248- Maintenance Ratio: 66.91 69.07 70.97 73.00 310/715-2020 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
140
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
BERNARD SMITH 0976.01.01 Griffin RATE ADJUSTMENT EFFECTIVE DATE: 12/1/2017 COUNSELING AND RESEARCH ASSOCIATES MASADA HOMES FOSTER FAMILY AGENCY PROGRAM STATUS: ACTIVE
108 WEST VICTORIA STREET LEVEL OF CARE (LOC) RATE: 2139 2287 2435 2618
CARSON, CA 90248- Maintenance Ratio: 66.34 68.52 70.43 72.50 310/715-2020 Maint. Federal: 65.05 65.54 65.95 65.07 Maint. Non-Federal: 34.95 34.46 34.05 34.93 Administration Ratio: 33.66 31.48 29.57 27.50 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
GEORGE KING 0193.01.01 Griffin RATE ADJUSTMENT EFFECTIVE DATE: 7/1/2018 MCKINLEY CHILDREN'S CENTER MCKINLEY FOSTER FAMILY AGENCY PROGRAM STATUS: ACTIVE
380 S. SAN DIMAS AV #202 LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
SAN DIMAS, CA 91773 Maintenance Ratio: 66.91 69.07 70.97 73.00 909/282-0001 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
141
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
GEORGE KING 0193.01.01 Griffin RATE ADJUSTMENT EFFECTIVE DATE: 12/1/2017 MCKINLEY CHILDREN'S CENTER MCKINLEY FOSTER FAMILY AGENCY PROGRAM STATUS: ACTIVE
380 S. SAN DIMAS AV #202 LEVEL OF CARE (LOC) RATE: 2139 2287 2435 2618
SAN DIMAS, CA 91773 Maintenance Ratio: 66.34 68.52 70.43 72.50 909/282-0001 Maint. Federal: 65.05 65.54 65.95 65.07 Maint. Non-Federal: 34.95 34.46 34.05 34.93 Administration Ratio: 33.66 31.48 29.57 27.50 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
LINDA BOYKINS 2409.01.01 Maschmeyer NEW PROVIDER EFFECTIVE DATE: 11/6/2018 MEANINGFUL ALTERNATIVE FAMILY SERVICES MEANINGFUL ALTERNATIVE FAMILY SERVICES PROGRAM STATUS: ACTIVE
1900 POWELL ST, #6094 LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
EMERYVILLE, CA 94608- Maintenance Ratio: 66.91 69.07 70.97 73.00 510/789-6628 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
142
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
LESLIE BLOOM 2358.01.01 Hing BIENNIAL EFFECTIVE DATE: 12/1/2018 MIA'S HOMES FOSTER FAMILY AGENCY MIA'S HOMES FOSTER FAMILY AGENCY PROGRAM STATUS: ACTIVE
8632 ARCHIBALD AVE #104 LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
RANCHO CUCAMONGA, CA 91730- Maintenance Ratio: 66.91 69.07 70.97 73.00 909/574-2717 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
LESLIE BLOOM 2358.01.01 Hing RATE ADJUSTMENT EFFECTIVE DATE: 7/1/2018 MIA'S HOMES FOSTER FAMILY AGENCY MIA'S HOMES FOSTER FAMILY AGENCY PROGRAM STATUS: ACTIVE
8632 ARCHIBALD AVE #104 LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
RANCHO CUCAMONGA, CA 91730- Maintenance Ratio: 66.91 69.07 70.97 73.00 909/574-2717 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
143
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
SHAUNA ROSSINGTON 0015.01.01 Maschmeyer RATE ADJUSTMENT EFFECTIVE DATE: 7/1/2018 MOUNTAIN CIRCLE MOUNTAIN CIRCLE FOSTER FAMILY AG. PROGRAM STATUS: ACTIVE
P O BOX 554 LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
GREENVILLE, CA 95947 Maintenance Ratio: 66.91 69.07 70.97 73.00 530/284-7007 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
SHAUNA ROSSINGTON 0015.01.01 Maschmeyer RATE ADJUSTMENT EFFECTIVE DATE: 12/1/2017 MOUNTAIN CIRCLE MOUNTAIN CIRCLE FOSTER FAMILY AG. PROGRAM STATUS: ACTIVE
P O BOX 554 LEVEL OF CARE (LOC) RATE: 2139 2287 2435 2618
GREENVILLE, CA 95947 Maintenance Ratio: 66.34 68.52 70.43 72.50 530/284-7007 Maint. Federal: 65.05 65.54 65.95 65.07 Maint. Non-Federal: 34.95 34.46 34.05 34.93 Administration Ratio: 33.66 31.48 29.57 27.50 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
144
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
SHAUNA ROSSINGTON 0015.01.01 Maschmeyer BIENNIAL EFFECTIVE DATE: 12/1/2017 MOUNTAIN CIRCLE MOUNTAIN CIRCLE FOSTER FAMILY AG. PROGRAM STATUS: ACTIVE
P O BOX 554 LEVEL OF CARE (LOC) RATE: 2139 2287 2435 2618
GREENVILLE, CA 95947 Maintenance Ratio: 66.34 68.52 70.43 72.50 530/284-7007 Maint. Federal: 65.05 65.54 65.95 65.07 Maint. Non-Federal: 34.95 34.46 34.05 34.93 Administration Ratio: 33.66 31.48 29.57 27.50 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
ERNEST NUNEZ 1611.01.01 Griffin RATE ADJUSTMENT EFFECTIVE DATE: 7/1/2018 MULTICULTURAL SERVICE CENTER MULTICULTURAL SERVICE CENTER PROGRAM STATUS: ACTIVE
9800 LA CIENEGA BLVD 310 LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
INGLEWOOD, CA 90301- Maintenance Ratio: 66.91 69.07 70.97 73.00 310/410-9301 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
145
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
ERNEST NUNEZ 1611.01.01 Griffin BIENNIAL EFFECTIVE DATE: 12/1/2017 MULTICULTURAL SERVICE CENTER MULTICULTURAL SERVICE CENTER PROGRAM STATUS: ACTIVE
9800 LA CIENEGA BLVD 310 LEVEL OF CARE (LOC) RATE: 2139 2287 2435 2618
INGLEWOOD, CA 90301- Maintenance Ratio: 66.34 68.52 70.43 72.50 310/410-9301 Maint. Federal: 65.05 65.54 65.95 65.07 Maint. Non-Federal: 34.95 34.46 34.05 34.93 Administration Ratio: 33.66 31.48 29.57 27.50 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
ERNEST NUNEZ 1611.01.01 Griffin RATE ADJUSTMENT EFFECTIVE DATE: 12/1/2017 MULTICULTURAL SERVICE CENTER MULTICULTURAL SERVICE CENTER PROGRAM STATUS: ACTIVE
9800 LA CIENEGA BLVD 310 LEVEL OF CARE (LOC) RATE: 2139 2287 2435 2618
INGLEWOOD, CA 90301- Maintenance Ratio: 66.34 68.52 70.43 72.50 310/410-9301 Maint. Federal: 65.05 65.54 65.95 65.07 Maint. Non-Federal: 34.95 34.46 34.05 34.93 Administration Ratio: 33.66 31.48 29.57 27.50 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
146
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
EVE NASH 0587.01.02 Salisbury RATE ADJUSTMENT EFFECTIVE DATE: 7/1/2018 N.C. YOUTH AND FAMILY PROGRAMS N.C. YOUTH AND FAMILY PROGRAMS PROGRAM STATUS: ACTIVE
2577 CALIFORNIA PARK DR. LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
CHICO, CA 95928- Maintenance Ratio: 66.91 69.07 70.97 73.00 530/893-1614 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
EVE NASH 0587.01.02 Salisbury RATE ADJUSTMENT EFFECTIVE DATE: 12/1/2017 N.C. YOUTH AND FAMILY PROGRAMS N.C. YOUTH AND FAMILY PROGRAMS PROGRAM STATUS: ACTIVE
2577 CALIFORNIA PARK DR. LEVEL OF CARE (LOC) RATE: 2139 2287 2435 2618
CHICO, CA 95928- Maintenance Ratio: 66.34 68.52 70.43 72.50 530/893-1614 Maint. Federal: 65.05 65.54 65.95 65.07 Maint. Non-Federal: 34.95 34.46 34.05 34.93 Administration Ratio: 33.66 31.48 29.57 27.50 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
147
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
EVE NASH 0587.01.02 Salisbury BIENNIAL EFFECTIVE DATE: 12/1/2017 N.C. YOUTH AND FAMILY PROGRAMS N.C. YOUTH AND FAMILY PROGRAMS PROGRAM STATUS: ACTIVE
2577 CALIFORNIA PARK DR. LEVEL OF CARE (LOC) RATE: 2139 2287 2435 2618
CHICO, CA 95928- Maintenance Ratio: 66.34 68.52 70.43 72.50 530/893-1614 Maint. Federal: 65.05 65.54 65.95 65.07 Maint. Non-Federal: 34.95 34.46 34.05 34.93 Administration Ratio: 33.66 31.48 29.57 27.50 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
DENISE KERWOOD 0159.01.01 Griffin RATE ADJUSTMENT EFFECTIVE DATE: 7/1/2018 NEW ALTERNATIVES INC NEW ALTERNATIVES INC PROGRAM STATUS: ACTIVE
P O BOX 34219 LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
SAN DIEGO, CA 92103- Maintenance Ratio: 66.91 69.07 70.97 73.00 619/543-0293 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
148
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
DENISE KERWOOD 0159.01.01 Griffin BIENNIAL EFFECTIVE DATE: 12/1/2017 NEW ALTERNATIVES INC NEW ALTERNATIVES INC PROGRAM STATUS: ACTIVE
P O BOX 34219 LEVEL OF CARE (LOC) RATE: 2139 2287 2435 2618
SAN DIEGO, CA 92103- Maintenance Ratio: 66.34 68.52 70.43 72.50 619/543-0293 Maint. Federal: 65.05 65.54 65.95 65.07 Maint. Non-Federal: 34.95 34.46 34.05 34.93 Administration Ratio: 33.66 31.48 29.57 27.50 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
DENISE KERWOOD 0159.01.01 Griffin RATE ADJUSTMENT EFFECTIVE DATE: 12/1/2017 NEW ALTERNATIVES INC NEW ALTERNATIVES INC PROGRAM STATUS: ACTIVE
P O BOX 34219 LEVEL OF CARE (LOC) RATE: 2139 2287 2435 2618
SAN DIEGO, CA 92103- Maintenance Ratio: 66.34 68.52 70.43 72.50 619/543-0293 Maint. Federal: 65.05 65.54 65.95 65.07 Maint. Non-Federal: 34.95 34.46 34.05 34.93 Administration Ratio: 33.66 31.48 29.57 27.50 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
149
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
TONI L. CUSENZA 1950.01.01 Salisbury BIENNIAL EFFECTIVE DATE: 12/1/2018 NEW DIMENSIONS FFA NEW DIMENSIONS FFA PROGRAM STATUS: ACTIVE
P.O. BOX 581287 LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
MODESTO, CA 95358- Maintenance Ratio: 66.91 69.07 70.97 73.00 209/526-1837 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
TONI L. CUSENZA 1950.01.01 Salisbury RATE ADJUSTMENT EFFECTIVE DATE: 7/1/2018 NEW DIMENSIONS FFA NEW DIMENSIONS FFA PROGRAM STATUS: ACTIVE
P.O. BOX 581287 LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
MODESTO, CA 95358- Maintenance Ratio: 66.91 69.07 70.97 73.00 209/526-1837 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
150
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
JESUS RODRIGUEZ 2375.01.01 Salisbury RATE ADJUSTMENT EFFECTIVE DATE: 7/1/2018 NEW ERA FOSTER FAMILY AGENCY NEW ERA FOSTER FAMILY AGENCY PROGRAM STATUS: ACTIVE
4175 W.SIERRA MADRE 104A LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
FRESNO, CA 93722- Maintenance Ratio: 66.91 69.07 70.97 73.00 559/351-8506 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
JESUS RODRIGUEZ 2375.01.01 Salisbury RATE ADJUSTMENT EFFECTIVE DATE: 12/1/2017 NEW ERA FOSTER FAMILY AGENCY NEW ERA FOSTER FAMILY AGENCY PROGRAM STATUS: ACTIVE
4175 W.SIERRA MADRE 104A LEVEL OF CARE (LOC) RATE: 2139 2287 2435 2618
FRESNO, CA 93722- Maintenance Ratio: 66.34 68.52 70.43 72.50 559/351-8506 Maint. Federal: 65.05 65.54 65.95 65.07 Maint. Non-Federal: 34.95 34.46 34.05 34.93 Administration Ratio: 33.66 31.48 29.57 27.50 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
151
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
JESUS RODRIGUEZ 2375.01.01 Salisbury BIENNIAL EFFECTIVE DATE: 12/1/2017 NEW ERA FOSTER FAMILY AGENCY NEW ERA FOSTER FAMILY AGENCY PROGRAM STATUS: ACTIVE
4175 W.SIERRA MADRE 104A LEVEL OF CARE (LOC) RATE: 2139 2287 2435 2618
FRESNO, CA 93722- Maintenance Ratio: 66.34 68.52 70.43 72.50 559/351-8506 Maint. Federal: 65.05 65.54 65.95 65.07 Maint. Non-Federal: 34.95 34.46 34.05 34.93 Administration Ratio: 33.66 31.48 29.57 27.50 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
JANET PARSKE 1781.01.01 Maschmeyer RATE ADJUSTMENT EFFECTIVE DATE: 7/1/2018 NEW FAMILIES, INC. NEW FAMILIES FFA PROGRAM STATUS: ACTIVE
P.O. BOX 482 LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
FELTON, CA 95018- Maintenance Ratio: 66.91 69.07 70.97 73.00 831/335-8380 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
152
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
JANET PARSKE 1781.01.01 Maschmeyer BIENNIAL EFFECTIVE DATE: 12/1/2017 NEW FAMILIES, INC. NEW FAMILIES FFA PROGRAM STATUS: ACTIVE
P.O. BOX 482 LEVEL OF CARE (LOC) RATE: 2139 2287 2435 2618
FELTON, CA 95018- Maintenance Ratio: 66.34 68.52 70.43 72.50 831/335-8380 Maint. Federal: 65.05 65.54 65.95 65.07 Maint. Non-Federal: 34.95 34.46 34.05 34.93 Administration Ratio: 33.66 31.48 29.57 27.50 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
JANET PARSKE 1781.01.01 Maschmeyer RATE ADJUSTMENT EFFECTIVE DATE: 12/1/2017 NEW FAMILIES, INC. NEW FAMILIES FFA PROGRAM STATUS: ACTIVE
P.O. BOX 482 LEVEL OF CARE (LOC) RATE: 2139 2287 2435 2618
FELTON, CA 95018- Maintenance Ratio: 66.34 68.52 70.43 72.50 831/335-8380 Maint. Federal: 65.05 65.54 65.95 65.07 Maint. Non-Federal: 34.95 34.46 34.05 34.93 Administration Ratio: 33.66 31.48 29.57 27.50 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
153
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
DENISE LOWERY 2135.01.01 Hing RATE ADJUSTMENT EFFECTIVE DATE: 7/1/2018 NEW HORIZON FOSTER CARE AGENCY NEW HORIZON FOSTER CARE AGENCY PROGRAM STATUS: ACTIVE
P.O. BOX 980996 LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
WEST SACRAMENTO, CA 95798- Maintenance Ratio: 66.91 69.07 70.97 73.00 916/739-0100 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
DENISE LOWERY 2135.01.01 Hing BIENNIAL EFFECTIVE DATE: 12/1/2017 NEW HORIZON FOSTER CARE AGENCY NEW HORIZON FOSTER CARE AGENCY PROGRAM STATUS: ACTIVE
P.O. BOX 980996 LEVEL OF CARE (LOC) RATE: 2139 2287 2435 2618
WEST SACRAMENTO, CA 95798- Maintenance Ratio: 66.34 68.52 70.43 72.50 916/739-0100 Maint. Federal: 65.05 65.54 65.95 65.07 Maint. Non-Federal: 34.95 34.46 34.05 34.93 Administration Ratio: 33.66 31.48 29.57 27.50 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
154
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
DENISE LOWERY 2135.01.01 Hing RATE ADJUSTMENT EFFECTIVE DATE: 12/1/2017 NEW HORIZON FOSTER CARE AGENCY NEW HORIZON FOSTER CARE AGENCY PROGRAM STATUS: ACTIVE
P.O. BOX 980996 LEVEL OF CARE (LOC) RATE: 2139 2287 2435 2618
WEST SACRAMENTO, CA 95798- Maintenance Ratio: 66.34 68.52 70.43 72.50 916/739-0100 Maint. Federal: 65.05 65.54 65.95 65.07 Maint. Non-Federal: 34.95 34.46 34.05 34.93 Administration Ratio: 33.66 31.48 29.57 27.50 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
KHUSHNUD AZARIAH 2394.01.01 Griffin RATE ADJUSTMENT EFFECTIVE DATE: 7/1/2018 NEW LIFE FOSTER FAMILY AGENCY NEW LIFE FOSTER FAMILY AGENCY PROGRAM STATUS: ACTIVE
2028 E. ROUTE 66, #101 LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
GLENDORA, CA 91740- Maintenance Ratio: 66.91 69.07 70.97 73.00 626/209-3871 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
155
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
KHUSHNUD AZARIAH 2394.01.01 Griffin RATE ADJUSTMENT EFFECTIVE DATE: 12/1/2017 NEW LIFE FOSTER FAMILY AGENCY NEW LIFE FOSTER FAMILY AGENCY PROGRAM STATUS: ACTIVE
2028 E. ROUTE 66, #101 LEVEL OF CARE (LOC) RATE: 2139 2287 2435 2618
GLENDORA, CA 91740- Maintenance Ratio: 66.34 68.52 70.43 72.50 626/209-3871 Maint. Federal: 65.05 65.54 65.95 65.07 Maint. Non-Federal: 34.95 34.46 34.05 34.93 Administration Ratio: 33.66 31.48 29.57 27.50 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
RHONDA JAREMA, MA 2197.01.02 Salisbury RATE ADJUSTMENT EFFECTIVE DATE: 7/1/2018 NIGHTLIGHT CHRISTIAN ADOPTIONS NIGHTLIGHT CHRISTIAN ADOPTIONS-TREATMENT PROGRAM STATUS: ACTIVE
1528 BROOKHOLLOW DR #100 LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
SANTA ANA, CA 92705- Maintenance Ratio: 66.91 69.07 70.97 73.00 714/693-5437 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
156
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
RHONDA JAREMA, MA 2197.01.02 Salisbury BIENNIAL EFFECTIVE DATE: 12/1/2017 NIGHTLIGHT CHRISTIAN ADOPTIONS NIGHTLIGHT CHRISTIAN ADOPTIONS-TREATMENT PROGRAM STATUS: ACTIVE
1528 BROOKHOLLOW DR #100 LEVEL OF CARE (LOC) RATE: 2139 2287 2435 2618
SANTA ANA, CA 92705- Maintenance Ratio: 66.34 68.52 70.43 72.50 714/693-5437 Maint. Federal: 65.05 65.54 65.95 65.07 Maint. Non-Federal: 34.95 34.46 34.05 34.93 Administration Ratio: 33.66 31.48 29.57 27.50 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
RHONDA JAREMA, MA 2197.01.02 Salisbury RATE ADJUSTMENT EFFECTIVE DATE: 12/1/2017 NIGHTLIGHT CHRISTIAN ADOPTIONS NIGHTLIGHT CHRISTIAN ADOPTIONS-TREATMENT PROGRAM STATUS: ACTIVE
1528 BROOKHOLLOW DR #100 LEVEL OF CARE (LOC) RATE: 2139 2287 2435 2618
SANTA ANA, CA 92705- Maintenance Ratio: 66.34 68.52 70.43 72.50 714/693-5437 Maint. Federal: 65.05 65.54 65.95 65.07 Maint. Non-Federal: 34.95 34.46 34.05 34.93 Administration Ratio: 33.66 31.48 29.57 27.50 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
157
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
PEDRO V. TRAVIESO 1574.01.01 Griffin BIENNIAL EFFECTIVE DATE: 12/1/2018 NINOS LATINOS UNIDOS, FFA NINOS LATINOS UNIDOS, F.F.A PROGRAM STATUS: ACTIVE
P.O. BOX 1691 LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
BELLFLOWER, CA 90707- Maintenance Ratio: 66.91 69.07 70.97 73.00 562/925-7473 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
PEDRO V. TRAVIESO 1574.01.01 Griffin RATE ADJUSTMENT EFFECTIVE DATE: 7/1/2018 NINOS LATINOS UNIDOS, FFA NINOS LATINOS UNIDOS, F.F.A PROGRAM STATUS: ACTIVE
P.O. BOX 1691 LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
BELLFLOWER, CA 90707- Maintenance Ratio: 66.91 69.07 70.97 73.00 562/925-7473 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
158
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
DANIELLE MACAGBA 2342.01.01 Salisbury BIENNIAL EFFECTIVE DATE: 12/1/2018 NORTH STAR FAMILY CENTER, INC. NORTH STAR FAMILY CENTER PROGRAM STATUS: ACTIVE
6760 N. WEST, #101 LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
FRESNO, CA 93711- Maintenance Ratio: 66.91 69.07 70.97 73.00 559/226-2273 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
DANIELLE MACAGBA 2342.01.01 Salisbury RATE ADJUSTMENT EFFECTIVE DATE: 7/1/2018 NORTH STAR FAMILY CENTER, INC. NORTH STAR FAMILY CENTER PROGRAM STATUS: ACTIVE
6760 N. WEST, #101 LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
FRESNO, CA 93711- Maintenance Ratio: 66.91 69.07 70.97 73.00 559/226-2273 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
159
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
TOM FULTON 2118.01.01 Maschmeyer BIENNIAL EFFECTIVE DATE: 12/1/2018 NORTHERN CALIFORNIA FAMILY CTR NORTHERN CALIFORNIA FAMILY CTR PROGRAM STATUS: ACTIVE
2244 PACHECO BOULEVARD LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
MARTINEZ, CA 94553- Maintenance Ratio: 66.91 69.07 70.97 73.00 925/370-1990 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
TOM FULTON 2118.01.01 Maschmeyer RATE ADJUSTMENT EFFECTIVE DATE: 7/1/2018 NORTHERN CALIFORNIA FAMILY CTR NORTHERN CALIFORNIA FAMILY CTR PROGRAM STATUS: ACTIVE
2244 PACHECO BOULEVARD LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
MARTINEZ, CA 94553- Maintenance Ratio: 66.91 69.07 70.97 73.00 925/370-1990 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
160
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
NORMA DUQUE 1618.01.01 Griffin BIENNIAL EFFECTIVE DATE: 12/1/2018 NUEVO AMANECER LATINO CHILDREN SERVICES NUEVO AMANECER LATINO CHILDREN SERVICES PROGRAM STATUS: ACTIVE
5400 POMONA BLVD. LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
LOS ANGELES, CA 90022- Maintenance Ratio: 66.91 69.07 70.97 73.00 323/720-9951 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
NORMA DUQUE 1618.01.01 Griffin RATE ADJUSTMENT EFFECTIVE DATE: 7/1/2018 NUEVO AMANECER LATINO CHILDREN SERVICES NUEVO AMANECER LATINO CHILDREN SERVICES PROGRAM STATUS: ACTIVE
5400 POMONA BLVD. LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
LOS ANGELES, CA 90022- Maintenance Ratio: 66.91 69.07 70.97 73.00 323/720-9951 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
161
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
KERRI DUNKELBERGER 0248.01.01 Salisbury BIENNIAL EFFECTIVE DATE: 12/1/2018 OLIVE CREST TREATMENT CENTERS, INC. OLIVE CREST TREATMENT CENTERS PROGRAM STATUS: ACTIVE
2130 E. FOURTH ST. #200 LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
SANTA ANA, CA 92705- Maintenance Ratio: 66.91 69.07 70.97 73.00 714/543-5437 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
KERRI DUNKELBERGER 0248.01.01 Salisbury RATE ADJUSTMENT EFFECTIVE DATE: 7/1/2018 OLIVE CREST TREATMENT CENTERS, INC. OLIVE CREST TREATMENT CENTERS PROGRAM STATUS: ACTIVE
2130 E. FOURTH ST. #200 LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
SANTA ANA, CA 92705- Maintenance Ratio: 66.91 69.07 70.97 73.00 714/543-5437 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
162
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
KIMBERLY HAMMACK 2389.01.01 Hing RATE ADJUSTMENT EFFECTIVE DATE: 7/1/2018 ON THE RISE, INC. ON THE RISE FOSTER FAMILY AGENCY PROGRAM STATUS: ACTIVE
P.O. BOX 1169 LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
BARSTOW, CA 92312- Maintenance Ratio: 66.91 69.07 70.97 73.00 760/964-7473 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
KIMBERLY HAMMACK 2389.01.01 Hing RATE ADJUSTMENT EFFECTIVE DATE: 12/1/2017 ON THE RISE, INC. ON THE RISE FOSTER FAMILY AGENCY PROGRAM STATUS: ACTIVE
P.O. BOX 1169 LEVEL OF CARE (LOC) RATE: 2139 2287 2435 2618
BARSTOW, CA 92312- Maintenance Ratio: 66.34 68.52 70.43 72.50 760/964-7473 Maint. Federal: 65.05 65.54 65.95 65.07 Maint. Non-Federal: 34.95 34.46 34.05 34.93 Administration Ratio: 33.66 31.48 29.57 27.50 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
163
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
KIMBERLY HAMMACK 2389.01.01 Hing BIENNIAL EFFECTIVE DATE: 12/1/2017 ON THE RISE, INC. ON THE RISE FOSTER FAMILY AGENCY PROGRAM STATUS: ACTIVE
P.O. BOX 1169 LEVEL OF CARE (LOC) RATE: 2139 2287 2435 2618
BARSTOW, CA 92312- Maintenance Ratio: 66.34 68.52 70.43 72.50 760/964-7473 Maint. Federal: 65.05 65.54 65.95 65.07 Maint. Non-Federal: 34.95 34.46 34.05 34.93 Administration Ratio: 33.66 31.48 29.57 27.50 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
SILVIO ORLANDO 0212.01.01 Griffin BIENNIAL EFFECTIVE DATE: 12/1/2018 OPTIMIST YOUTH HOMES & FAMILY SERVICES OPTIMIST FOSTER FAMILY AGENCY PROGRAM STATUS: ACTIVE
6957 N. FIGUEROA STREET LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
LOS ANGELES, CA 90042- Maintenance Ratio: 66.91 69.07 70.97 73.00 323/443-3127 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
164
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
SILVIO ORLANDO 0212.01.01 Griffin RATE ADJUSTMENT EFFECTIVE DATE: 7/1/2018 OPTIMIST YOUTH HOMES & FAMILY SERVICES OPTIMIST FOSTER FAMILY AGENCY PROGRAM STATUS: ACTIVE
6957 N. FIGUEROA STREET LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
LOS ANGELES, CA 90042- Maintenance Ratio: 66.91 69.07 70.97 73.00 323/443-3127 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
ZARINAH EL-AMIN 1962.01.01 Hing BIENNIAL EFFECTIVE DATE: 12/1/2018 MU'EED, INC./OUR CHILDREN'S KEEPER FFA OUR CHILDREN'S KEEPER FFA/MU'EED INC. PROGRAM STATUS: ACTIVE
P.O. BOX 276372 LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
SACRAMENTO, CA 95827- Maintenance Ratio: 66.91 69.07 70.97 73.00 916/486-1737 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
165
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
ZARINAH EL-AMIN 1962.01.01 Hing RATE ADJUSTMENT EFFECTIVE DATE: 7/1/2018 MU'EED, INC./OUR CHILDREN'S KEEPER FFA OUR CHILDREN'S KEEPER FFA/MU'EED INC. PROGRAM STATUS: ACTIVE
P.O. BOX 276372 LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
SACRAMENTO, CA 95827- Maintenance Ratio: 66.91 69.07 70.97 73.00 916/486-1737 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
CYNTHIA CANUL 2281.01.01 Salisbury RATE ADJUSTMENT EFFECTIVE DATE: 7/1/2018 OUR SMALL WORLD FFA OUR SMALL WORLD FFA PROGRAM STATUS: ACTIVE
295 N. RAMPART STREET #A LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
ORANGE, CA 92868- Maintenance Ratio: 66.91 69.07 70.97 73.00 714/704-4545 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
166
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
CYNTHIA CANUL 2281.01.01 Salisbury RATE ADJUSTMENT EFFECTIVE DATE: 12/1/2017 OUR SMALL WORLD FFA OUR SMALL WORLD FFA PROGRAM STATUS: ACTIVE
295 N. RAMPART STREET #A LEVEL OF CARE (LOC) RATE: 2139 2287 2435 2618
ORANGE, CA 92868- Maintenance Ratio: 66.34 68.52 70.43 72.50 714/704-4545 Maint. Federal: 65.05 65.54 65.95 65.07 Maint. Non-Federal: 34.95 34.46 34.05 34.93 Administration Ratio: 33.66 31.48 29.57 27.50 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
CYNTHIA CANUL 2281.01.01 Salisbury BIENNIAL EFFECTIVE DATE: 12/1/2017 OUR SMALL WORLD FFA OUR SMALL WORLD FFA PROGRAM STATUS: ACTIVE
295 N. RAMPART STREET #A LEVEL OF CARE (LOC) RATE: 2139 2287 2435 2618
ORANGE, CA 92868- Maintenance Ratio: 66.34 68.52 70.43 72.50 714/704-4545 Maint. Federal: 65.05 65.54 65.95 65.07 Maint. Non-Federal: 34.95 34.46 34.05 34.93 Administration Ratio: 33.66 31.48 29.57 27.50 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
167
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
ROBERT B. PYE 1166.01.01 Hing BIENNIAL EFFECTIVE DATE: 12/1/2018 PARADISE OAKS YOUTH SERVICES PARADISE OAKS YOUTH FOSTER FAMILY AGENCY PROGRAM STATUS: ACTIVE
7806 UPLANDS WAY, STE. B LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
CITRUS HEIGHTS, CA 95610- Maintenance Ratio: 66.91 69.07 70.97 73.00 916/967-6253 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
ROBERT B. PYE 1166.01.01 Hing RATE ADJUSTMENT EFFECTIVE DATE: 7/1/2018 PARADISE OAKS YOUTH SERVICES PARADISE OAKS YOUTH FOSTER FAMILY AGENCY PROGRAM STATUS: ACTIVE
7806 UPLANDS WAY, STE. B LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
CITRUS HEIGHTS, CA 95610- Maintenance Ratio: 66.91 69.07 70.97 73.00 916/967-6253 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
168
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
TONY YADON 2274.01.01 Salisbury BIENNIAL EFFECTIVE DATE: 12/1/2018 PARENTS BY CHOICE, INC. PARENTS BY CHOICE PROGRAM STATUS: ACTIVE
P.O. BOX 690158 LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
STOCKTON, CA 95269- Maintenance Ratio: 66.91 69.07 70.97 73.00 209/478-4554 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
TONY YADON 2274.01.01 Salisbury RATE ADJUSTMENT EFFECTIVE DATE: 7/1/2018 PARENTS BY CHOICE, INC. PARENTS BY CHOICE PROGRAM STATUS: ACTIVE
P.O. BOX 690158 LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
STOCKTON, CA 95269- Maintenance Ratio: 66.91 69.07 70.97 73.00 209/478-4554 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
169
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
RICK SMITH 2259.01.01 Maschmeyer RATE ADJUSTMENT EFFECTIVE DATE: 7/1/2018 PATHWAY FAMILY SERVICES, INC. PATHWAY FAMILY SERVICES, INC. PROGRAM STATUS: ACTIVE
P.O. BOX 888 LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
BAKERSFIELD, CA 93302- Maintenance Ratio: 66.91 69.07 70.97 73.00 661/325-2570 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
RICK SMITH 2259.01.01 Maschmeyer RATE ADJUSTMENT EFFECTIVE DATE: 12/1/2017 PATHWAY FAMILY SERVICES, INC. PATHWAY FAMILY SERVICES, INC. PROGRAM STATUS: ACTIVE
P.O. BOX 888 LEVEL OF CARE (LOC) RATE: 2139 2287 2435 2618
BAKERSFIELD, CA 93302- Maintenance Ratio: 66.34 68.52 70.43 72.50 661/325-2570 Maint. Federal: 65.05 65.54 65.95 65.07 Maint. Non-Federal: 34.95 34.46 34.05 34.93 Administration Ratio: 33.66 31.48 29.57 27.50 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
170
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
RICK SMITH 2259.01.01 Maschmeyer BIENNIAL EFFECTIVE DATE: 12/1/2017 PATHWAY FAMILY SERVICES, INC. PATHWAY FAMILY SERVICES, INC. PROGRAM STATUS: ACTIVE
P.O. BOX 888 LEVEL OF CARE (LOC) RATE: 2139 2287 2435 2618
BAKERSFIELD, CA 93302- Maintenance Ratio: 66.34 68.52 70.43 72.50 661/325-2570 Maint. Federal: 65.05 65.54 65.95 65.07 Maint. Non-Federal: 34.95 34.46 34.05 34.93 Administration Ratio: 33.66 31.48 29.57 27.50 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
DR. MARIA SANDINO 0274.01.01 Griffin BIENNIAL EFFECTIVE DATE: 12/1/2018 PENNY LANE CENTERS PENNY LANE CENTERS PROGRAM STATUS: ACTIVE
P.O. BOX 2548 LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
NORTH HILLS, CA 91343 Maintenance Ratio: 66.91 69.07 70.97 73.00 818/332-8286 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
171
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
DR. MARIA SANDINO 0274.01.01 Griffin RATE ADJUSTMENT EFFECTIVE DATE: 7/1/2018 PENNY LANE CENTERS PENNY LANE CENTERS PROGRAM STATUS: ACTIVE
P.O. BOX 2548 LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
NORTH HILLS, CA 91343 Maintenance Ratio: 66.91 69.07 70.97 73.00 818/332-8286 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
MAXINE DIGGS 2412.01.01 Griffin NEW PROVIDER EFFECTIVE DATE: 9/25/2018 PERSONAL INVOLVEMENT CENTER PIC PERSONAL INVOLVEMENT CENTER FFA PROGRAM STATUS: ACTIVE
P.O. BOX 514839 LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
LOS ANGELES, CA 90051- Maintenance Ratio: 66.91 69.07 70.97 73.00 323/570-0444 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
172
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
GERALDINE OGANS 0986.01.01 Salisbury RATE ADJUSTMENT EFFECTIVE DATE: 7/1/2018 PIONEER HOME OUTREACH, INC. PIONEER FOSTER FAMILY AGENCY PROGRAM STATUS: TERMINATED 12/1/2018
P.O. BOX 8151 LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
PORTERVILLE, CA 93258- Maintenance Ratio: 66.91 69.07 70.97 73.00 559/781-8585 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
JOSEPH KOVILL 0957.01.01 Hing RATE ADJUSTMENT EFFECTIVE DATE: 7/1/2018 POSITIVE OPTION FAMILY SERVICE POSITIVE OPTION FAMILY SERVICE TREATMENT PROGRAM STATUS: ACTIVE
P.O. BOX 202 LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
CITRUS HEIGHTS, CA 95611- Maintenance Ratio: 66.91 69.07 70.97 73.00 916/973-2838 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
173
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
JOSEPH KOVILL 0957.01.01 Hing RATE ADJUSTMENT EFFECTIVE DATE: 12/1/2017 POSITIVE OPTION FAMILY SERVICE POSITIVE OPTION FAMILY SERVICE TREATMENT PROGRAM STATUS: ACTIVE
P.O. BOX 202 LEVEL OF CARE (LOC) RATE: 2139 2287 2435 2618
CITRUS HEIGHTS, CA 95611- Maintenance Ratio: 66.34 68.52 70.43 72.50 916/973-2838 Maint. Federal: 65.05 65.54 65.95 65.07 Maint. Non-Federal: 34.95 34.46 34.05 34.93 Administration Ratio: 33.66 31.48 29.57 27.50 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
LISA WEIGANT 0854.01.01 Salisbury BIENNIAL EFFECTIVE DATE: 12/1/2018 PROMESA BEHAVIORAL HEALTH, INC. PROMESA BEHAVIORAL HEALTH FFA PROGRAM STATUS: ACTIVE
7120 N. MARKS AVE #110 LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
FRESNO, CA 93711- Maintenance Ratio: 66.91 69.07 70.97 73.00 559/439-5437 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
174
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
LISA WEIGANT 0854.01.01 Salisbury RATE ADJUSTMENT EFFECTIVE DATE: 7/1/2018 PROMESA BEHAVIORAL HEALTH, INC. PROMESA BEHAVIORAL HEALTH FFA PROGRAM STATUS: ACTIVE
7120 N. MARKS AVE #110 LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
FRESNO, CA 93711- Maintenance Ratio: 66.91 69.07 70.97 73.00 559/439-5437 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
GURPREET BRAR-MACKIE 1754.01.01 Salisbury BIENNIAL EFFECTIVE DATE: 12/1/2018 PROTEUS, INC. PROTEUS FOSTER FAMILY AGENCY PROGRAM STATUS: ACTIVE
265 N. VAN NESS LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
FRESNO, CA 93701- Maintenance Ratio: 66.91 69.07 70.97 73.00 559/499-2535 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
175
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
GURPREET BRAR-MACKIE 1754.01.01 Salisbury RATE ADJUSTMENT EFFECTIVE DATE: 7/1/2018 PROTEUS, INC. PROTEUS FOSTER FAMILY AGENCY PROGRAM STATUS: ACTIVE
265 N. VAN NESS LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
FRESNO, CA 93701- Maintenance Ratio: 66.91 69.07 70.97 73.00 559/499-2535 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
D. MAE JOHNSON 0351.01.01 Salisbury RATE ADJUSTMENT EFFECTIVE DATE: 7/1/2018 QUALITY GROUP HOMES, INC. QUALITY FOSTER CARE FOSTER FAMILY AGY PROGRAM STATUS: ACTIVE
4928 E. CLINTON, STE 108 LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
FRESNO, CA 93727 Maintenance Ratio: 66.91 69.07 70.97 73.00 559/252-6844 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
176
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
D. MAE JOHNSON 0351.01.01 Salisbury BIENNIAL EFFECTIVE DATE: 12/1/2017 QUALITY GROUP HOMES, INC. QUALITY FOSTER CARE FOSTER FAMILY AGY PROGRAM STATUS: ACTIVE
4928 E. CLINTON, STE 108 LEVEL OF CARE (LOC) RATE: 2139 2287 2435 2618
FRESNO, CA 93727 Maintenance Ratio: 66.34 68.52 70.43 72.50 559/252-6844 Maint. Federal: 65.05 65.54 65.95 65.07 Maint. Non-Federal: 34.95 34.46 34.05 34.93 Administration Ratio: 33.66 31.48 29.57 27.50 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
D. MAE JOHNSON 0351.01.01 Salisbury RATE ADJUSTMENT EFFECTIVE DATE: 12/1/2017 QUALITY GROUP HOMES, INC. QUALITY FOSTER CARE FOSTER FAMILY AGY PROGRAM STATUS: ACTIVE
4928 E. CLINTON, STE 108 LEVEL OF CARE (LOC) RATE: 2139 2287 2435 2618
FRESNO, CA 93727 Maintenance Ratio: 66.34 68.52 70.43 72.50 559/252-6844 Maint. Federal: 65.05 65.54 65.95 65.07 Maint. Non-Federal: 34.95 34.46 34.05 34.93 Administration Ratio: 33.66 31.48 29.57 27.50 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
177
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
JASON ENGER, MS 1205.01.01 Salisbury RATE ADJUSTMENT EFFECTIVE DATE: 7/1/2018 RAINBOW VALLEY GROUP HOME, INC. RAINBOW VALLEY FOSTER CARE PROGRAM STATUS: ACTIVE
2841 G STREET LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
MERCED, CA 95340- Maintenance Ratio: 66.91 69.07 70.97 73.00 209/722-0202 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
JASON ENGER, MS 1205.01.01 Salisbury RATE ADJUSTMENT EFFECTIVE DATE: 12/1/2017 RAINBOW VALLEY GROUP HOME, INC. RAINBOW VALLEY FOSTER CARE PROGRAM STATUS: ACTIVE
2841 G STREET LEVEL OF CARE (LOC) RATE: 2139 2287 2435 2618
MERCED, CA 95340- Maintenance Ratio: 66.34 68.52 70.43 72.50 209/722-0202 Maint. Federal: 65.05 65.54 65.95 65.07 Maint. Non-Federal: 34.95 34.46 34.05 34.93 Administration Ratio: 33.66 31.48 29.57 27.50 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
178
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
JASON ENGER, MS 1205.01.01 Salisbury BIENNIAL EFFECTIVE DATE: 12/1/2017 RAINBOW VALLEY GROUP HOME, INC. RAINBOW VALLEY FOSTER CARE PROGRAM STATUS: ACTIVE
2841 G STREET LEVEL OF CARE (LOC) RATE: 2139 2287 2435 2618
MERCED, CA 95340- Maintenance Ratio: 66.34 68.52 70.43 72.50 209/722-0202 Maint. Federal: 65.05 65.54 65.95 65.07 Maint. Non-Federal: 34.95 34.46 34.05 34.93 Administration Ratio: 33.66 31.48 29.57 27.50 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
JENNIFER GRIER 0294.01.01 Maschmeyer BIENNIAL EFFECTIVE DATE: 12/1/2018 REBEKAH CHILDREN'S SERVICES REBEKAH CHILDREN'S SERVICES/FAMILY LINKAGE FFA PROGRAM STATUS: ACTIVE
1600 W. CAMPBELL AVE 201 LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
CAMPBELL, CA 95008- Maintenance Ratio: 66.91 69.07 70.97 73.00 408/871-4911 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
179
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
JENNIFER GRIER 0294.01.01 Maschmeyer RATE ADJUSTMENT EFFECTIVE DATE: 7/1/2018 REBEKAH CHILDREN'S SERVICES REBEKAH CHILDREN'S SERVICES/FAMILY LINKAGE FFA PROGRAM STATUS: ACTIVE
1600 W. CAMPBELL AVE 201 LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
CAMPBELL, CA 95008- Maintenance Ratio: 66.91 69.07 70.97 73.00 408/871-4911 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
CAMILLE SCHRAEDER 1664.01.01 Salisbury BIENNIAL EFFECTIVE DATE: 12/1/2018 REDWOOD COMMUNITY SERVICES REDWOOD COMMUNITY SERVICES FFA PROGRAM STATUS: ACTIVE
P.O. BOX 2077 LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
UKIAH, CA 95482- Maintenance Ratio: 66.91 69.07 70.97 73.00 707/467-2000 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
180
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
CAMILLE SCHRAEDER 1664.01.01 Salisbury RATE ADJUSTMENT EFFECTIVE DATE: 7/1/2018 REDWOOD COMMUNITY SERVICES REDWOOD COMMUNITY SERVICES FFA PROGRAM STATUS: ACTIVE
P.O. BOX 2077 LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
UKIAH, CA 95482- Maintenance Ratio: 66.91 69.07 70.97 73.00 707/467-2000 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
ROBERT HUGHES 0286.01.01 Salisbury BIENNIAL EFFECTIVE DATE: 12/1/2018 REMI VISTA INC REMI VISTA FOSTER HOMES PROGRAM STATUS: ACTIVE
P.O. BOX 494100 LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
REDDING, CA 96049-4100 Maintenance Ratio: 66.91 69.07 70.97 73.00 530/245-5805 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
181
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
ROBERT HUGHES 0286.01.01 Salisbury RATE ADJUSTMENT EFFECTIVE DATE: 7/1/2018 REMI VISTA INC REMI VISTA FOSTER HOMES PROGRAM STATUS: ACTIVE
P.O. BOX 494100 LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
REDDING, CA 96049-4100 Maintenance Ratio: 66.91 69.07 70.97 73.00 530/245-5805 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
LAWRENCE HOWELL 1163.01.01 Salisbury RATE ADJUSTMENT EFFECTIVE DATE: 7/1/2018 RITE OF PASSAGE ADOLESCENT TREATMENT CENTERS RITE OF PASSAGE FOSTER FAMILY AGENCY PROGRAM STATUS: ACTIVE
2560 BUSINESS PARKWAY LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
MINDEN, NV 89423- Maintenance Ratio: 66.91 69.07 70.97 73.00 775/267-9411 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
182
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
LAWRENCE HOWELL 1163.01.01 Salisbury RATE ADJUSTMENT EFFECTIVE DATE: 12/1/2017 RITE OF PASSAGE ADOLESCENT TREATMENT CENTERS RITE OF PASSAGE FOSTER FAMILY AGENCY PROGRAM STATUS: ACTIVE
2560 BUSINESS PARKWAY LEVEL OF CARE (LOC) RATE: 2139 2287 2435 2618
MINDEN, NV 89423- Maintenance Ratio: 66.34 68.52 70.43 72.50 775/267-9411 Maint. Federal: 65.05 65.54 65.95 65.07 Maint. Non-Federal: 34.95 34.46 34.05 34.93 Administration Ratio: 33.66 31.48 29.57 27.50 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
JANA TREW 0144.01.01 Griffin RATE ADJUSTMENT EFFECTIVE DATE: 7/1/2018 ROSEMARY CHILDREN'S SERVICES ROSEMARY CHILDREN'S SERVICES PROGRAM STATUS: TERMINATED 11/1/2018
36 S. KINNELOA AVE #200 LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
PASADENA, CA 91107- Maintenance Ratio: 66.91 69.07 70.97 73.00 626/844-3033 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
183
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
WILLIAM MEENK 2241.01.01 Salisbury RATE ADJUSTMENT EFFECTIVE DATE: 7/1/2018 SAFE HARBOR FAMILY SERVICES SAFE HARBOR FAMILY SERVICES PROGRAM STATUS: ACTIVE
2937 VENEMAN AVE #B250 LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
MODESTO, CA 95356- Maintenance Ratio: 66.91 69.07 70.97 73.00 209/491-5400 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
WILLIAM MEENK 2241.01.01 Salisbury BIENNIAL EFFECTIVE DATE: 12/1/2017 SAFE HARBOR FAMILY SERVICES SAFE HARBOR FAMILY SERVICES PROGRAM STATUS: ACTIVE
2937 VENEMAN AVE #B250 LEVEL OF CARE (LOC) RATE: 2139 2287 2435 2618
MODESTO, CA 95356- Maintenance Ratio: 66.34 68.52 70.43 72.50 209/491-5400 Maint. Federal: 65.05 65.54 65.95 65.07 Maint. Non-Federal: 34.95 34.46 34.05 34.93 Administration Ratio: 33.66 31.48 29.57 27.50 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
184
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
WILLIAM MEENK 2241.01.01 Salisbury RATE ADJUSTMENT EFFECTIVE DATE: 12/1/2017 SAFE HARBOR FAMILY SERVICES SAFE HARBOR FAMILY SERVICES PROGRAM STATUS: ACTIVE
2937 VENEMAN AVE #B250 LEVEL OF CARE (LOC) RATE: 2139 2287 2435 2618
MODESTO, CA 95356- Maintenance Ratio: 66.34 68.52 70.43 72.50 209/491-5400 Maint. Federal: 65.05 65.54 65.95 65.07 Maint. Non-Federal: 34.95 34.46 34.05 34.93 Administration Ratio: 33.66 31.48 29.57 27.50 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
WALTER PHILLIPS 0137.01.01 Griffin RATE ADJUSTMENT EFFECTIVE DATE: 7/1/2018 SAN DIEGO YOUTH SERVICES SAN DIEGO YOUTH SERVICES PROGRAM STATUS: ACTIVE
3255 WING STREET LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
SAN DIEGO, CA 92110 Maintenance Ratio: 66.91 69.07 70.97 73.00 619/221-8600 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
185
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
WALTER PHILLIPS 0137.01.01 Griffin BIENNIAL EFFECTIVE DATE: 12/1/2017 SAN DIEGO YOUTH SERVICES SAN DIEGO YOUTH SERVICES PROGRAM STATUS: ACTIVE
3255 WING STREET LEVEL OF CARE (LOC) RATE: 2139 2287 2435 2618
SAN DIEGO, CA 92110 Maintenance Ratio: 66.34 68.52 70.43 72.50 619/221-8600 Maint. Federal: 65.05 65.54 65.95 65.07 Maint. Non-Federal: 34.95 34.46 34.05 34.93 Administration Ratio: 33.66 31.48 29.57 27.50 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
WALTER PHILLIPS 0137.01.01 Griffin RATE ADJUSTMENT EFFECTIVE DATE: 12/1/2017 SAN DIEGO YOUTH SERVICES SAN DIEGO YOUTH SERVICES PROGRAM STATUS: ACTIVE
3255 WING STREET LEVEL OF CARE (LOC) RATE: 2139 2287 2435 2618
SAN DIEGO, CA 92110 Maintenance Ratio: 66.34 68.52 70.43 72.50 619/221-8600 Maint. Federal: 65.05 65.54 65.95 65.07 Maint. Non-Federal: 34.95 34.46 34.05 34.93 Administration Ratio: 33.66 31.48 29.57 27.50 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
186
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
OLISHA HODGES 1608.01.01 Maschmeyer RATE ADJUSTMENT EFFECTIVE DATE: 7/1/2018 SAN MATEO COUNTY HUMAN SERVICES SAN MATEO COUNTY - FFA PROGRAM STATUS: ACTIVE
31 TOWER ROAD LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
SAN MATEO, CA 94402- Maintenance Ratio: 66.91 69.07 70.97 73.00 650/312-5221 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
OLISHA HODGES 1608.01.01 Maschmeyer RATE ADJUSTMENT EFFECTIVE DATE: 12/1/2017 SAN MATEO COUNTY HUMAN SERVICES SAN MATEO COUNTY - FFA PROGRAM STATUS: ACTIVE
31 TOWER ROAD LEVEL OF CARE (LOC) RATE: 2139 2287 2435 2618
SAN MATEO, CA 94402- Maintenance Ratio: 66.34 68.52 70.43 72.50 650/312-5221 Maint. Federal: 65.05 65.54 65.95 65.07 Maint. Non-Federal: 34.95 34.46 34.05 34.93 Administration Ratio: 33.66 31.48 29.57 27.50 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
187
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
AMBER DAVIES 2413.01.01 NEW PROVIDER EFFECTIVE DATE: 11/15/2018 SAVING INNOCENCE, INC. SAVING INNOCENCE RESOURCE FAMILY AGENCY PROGRAM STATUS: ACTIVE
P.O. BOX 93037 LEVEL OF CARE (LOC) RATE: 2179 2328 2480 2667
LOS ANGELES, CA 90093- Maintenance Ratio: 66.91 69.07 70.97 73.00 424/371-0422 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
STEWART HOLZMAN 0363.01.01 Griffin BIENNIAL EFFECTIVE DATE: 12/1/2017 SAN DIEGO CENTER FOR CHILDREN SDCC: SPECIAL FAMILIES FOSTER CARE PROGRAM STATUS: TERMINATED 4/30/2018
3002 ARMSTRONG STREET LEVEL OF CARE (LOC) RATE: 2139 2287 2435 2618
SAN DIEGO, CA 92111 Maintenance Ratio: 66.34 68.52 70.43 72.50 858/569-2116 Maint. Federal: 65.05 65.54 65.95 65.07 Maint. Non-Federal: 34.95 34.46 34.05 34.93 Administration Ratio: 33.66 31.48 29.57 27.50 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
188
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
STEWART HOLZMAN 0363.01.01 Griffin RATE ADJUSTMENT EFFECTIVE DATE: 12/1/2017 SAN DIEGO CENTER FOR CHILDREN SDCC: SPECIAL FAMILIES FOSTER CARE PROGRAM STATUS: TERMINATED 4/30/2018
3002 ARMSTRONG STREET LEVEL OF CARE (LOC) RATE: 2139 2287 2435 2618
SAN DIEGO, CA 92111 Maintenance Ratio: 66.34 68.52 70.43 72.50 858/569-2116 Maint. Federal: 65.05 65.54 65.95 65.07 Maint. Non-Federal: 34.95 34.46 34.05 34.93 Administration Ratio: 33.66 31.48 29.57 27.50 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
EIDIT CHOOCHAGE 0617.01.01 Maschmeyer RATE ADJUSTMENT EFFECTIVE DATE: 7/1/2018 SENECA FAMILY OF AGENCIES SENECA FAMILY OF AGENCIES/KINSHIP CENTER PROGRAM STATUS: ACTIVE
2275 ARLINGTON DRIVE LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
SAN LEANDRO, CA 94578 Maintenance Ratio: 66.91 69.07 70.97 73.00 510/777-5300 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
189
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
EIDIT CHOOCHAGE 0617.01.01 Maschmeyer BIENNIAL EFFECTIVE DATE: 12/1/2017 SENECA FAMILY OF AGENCIES SENECA FAMILY OF AGENCIES/KINSHIP CENTER PROGRAM STATUS: ACTIVE
2275 ARLINGTON DRIVE LEVEL OF CARE (LOC) RATE: 2139 2287 2435 2618
SAN LEANDRO, CA 94578 Maintenance Ratio: 66.34 68.52 70.43 72.50 510/777-5300 Maint. Federal: 65.05 65.54 65.95 65.07 Maint. Non-Federal: 34.95 34.46 34.05 34.93 Administration Ratio: 33.66 31.48 29.57 27.50 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
EIDIT CHOOCHAGE 0617.01.01 Maschmeyer RATE ADJUSTMENT EFFECTIVE DATE: 12/1/2017 SENECA FAMILY OF AGENCIES SENECA FAMILY OF AGENCIES/KINSHIP CENTER PROGRAM STATUS: ACTIVE
2275 ARLINGTON DRIVE LEVEL OF CARE (LOC) RATE: 2139 2287 2435 2618
SAN LEANDRO, CA 94578 Maintenance Ratio: 66.34 68.52 70.43 72.50 510/777-5300 Maint. Federal: 65.05 65.54 65.95 65.07 Maint. Non-Federal: 34.95 34.46 34.05 34.93 Administration Ratio: 33.66 31.48 29.57 27.50 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
190
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
ROBERTA THOMAS 1247.01.01 Griffin RATE ADJUSTMENT EFFECTIVE DATE: 7/1/2018 SERENITY INFANT CARE HOMES, INC SERENITY INFANT CARE HOMES, INC. PROGRAM STATUS: ACTIVE
600 S. GRAND AVENUE LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
COVINA, CA 91724 Maintenance Ratio: 66.91 69.07 70.97 73.00 626/859-6200 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
ROBERTA THOMAS 1247.01.01 Griffin BIENNIAL EFFECTIVE DATE: 12/1/2017 SERENITY INFANT CARE HOMES, INC SERENITY INFANT CARE HOMES, INC. PROGRAM STATUS: ACTIVE
600 S. GRAND AVENUE LEVEL OF CARE (LOC) RATE: 2139 2287 2435 2618
COVINA, CA 91724 Maintenance Ratio: 66.34 68.52 70.43 72.50 626/859-6200 Maint. Federal: 65.05 65.54 65.95 65.07 Maint. Non-Federal: 34.95 34.46 34.05 34.93 Administration Ratio: 33.66 31.48 29.57 27.50 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
191
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
ROBERTA THOMAS 1247.01.01 Griffin RATE ADJUSTMENT EFFECTIVE DATE: 12/1/2017 SERENITY INFANT CARE HOMES, INC SERENITY INFANT CARE HOMES, INC. PROGRAM STATUS: ACTIVE
600 S. GRAND AVENUE LEVEL OF CARE (LOC) RATE: 2139 2287 2435 2618
COVINA, CA 91724 Maintenance Ratio: 66.34 68.52 70.43 72.50 626/859-6200 Maint. Federal: 65.05 65.54 65.95 65.07 Maint. Non-Federal: 34.95 34.46 34.05 34.93 Administration Ratio: 33.66 31.48 29.57 27.50 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
MALCOLM BEREAN 0020.01.01 Salisbury BIENNIAL EFFECTIVE DATE: 12/1/2018 SHARE HOMES, INC. SHARE HOMES PROGRAM STATUS: ACTIVE
P.O. BOX 1673 LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
LODI, CA 95241- Maintenance Ratio: 66.91 69.07 70.97 73.00 209/334-6376 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
192
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
MALCOLM BEREAN 0020.01.01 Salisbury RATE ADJUSTMENT EFFECTIVE DATE: 7/1/2018 SHARE HOMES, INC. SHARE HOMES PROGRAM STATUS: ACTIVE
P.O. BOX 1673 LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
LODI, CA 95241- Maintenance Ratio: 66.91 69.07 70.97 73.00 209/334-6376 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
SANDRA KIMBLE 2400.01.01 Hing BIENNIAL EFFECTIVE DATE: 12/1/2018 SIBLING CARE FFA SIBLING CARE FFA PROGRAM STATUS: ACTIVE
2741 HAMNER AVENUE #212 LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
NORCO, CA 92860- Maintenance Ratio: 66.91 69.07 70.97 73.00 909/709-6038 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
193
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
SANDRA KIMBLE 2400.01.01 Hing RATE ADJUSTMENT EFFECTIVE DATE: 7/1/2018 SIBLING CARE FFA SIBLING CARE FFA PROGRAM STATUS: ACTIVE
2741 HAMNER AVENUE #212 LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
NORCO, CA 92860- Maintenance Ratio: 66.91 69.07 70.97 73.00 909/709-6038 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
BARRY HARWELL 0989.01.02 Salisbury RATE ADJUSTMENT EFFECTIVE DATE: 7/1/2018 SIERRA CHILD AND FAMILY SERVICES, INC. SIERRA CFS - FOSTER FAMILY SERVICE PROGRAM STATUS: ACTIVE
P.O. BOX 1987 LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
DIAMOND SPRINGS, CA 95619- Maintenance Ratio: 66.91 69.07 70.97 73.00 530/626-3105 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
194
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
BOB HERNE 0017.01.02 Maschmeyer RATE ADJUSTMENT EFFECTIVE DATE: 7/1/2018 SIERRA FOREVER FAMILIES SIERRA FOREVER FAMILIES PROGRAM STATUS: ACTIVE
8928 VOLUNTEER LANE #100 LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
SACRAMENTO, CA 95826- Maintenance Ratio: 66.91 69.07 70.97 73.00 916/368-5114 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
BOB HERNE 0017.01.02 Maschmeyer BIENNIAL EFFECTIVE DATE: 12/1/2017 SIERRA FOREVER FAMILIES SIERRA FOREVER FAMILIES PROGRAM STATUS: ACTIVE
8928 VOLUNTEER LANE #100 LEVEL OF CARE (LOC) RATE: 2139 2287 2435 2618
SACRAMENTO, CA 95826- Maintenance Ratio: 66.34 68.52 70.43 72.50 916/368-5114 Maint. Federal: 65.05 65.54 65.95 65.07 Maint. Non-Federal: 34.95 34.46 34.05 34.93 Administration Ratio: 33.66 31.48 29.57 27.50 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
195
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
BOB HERNE 0017.01.02 Maschmeyer RATE ADJUSTMENT EFFECTIVE DATE: 12/1/2017 SIERRA FOREVER FAMILIES SIERRA FOREVER FAMILIES PROGRAM STATUS: ACTIVE
8928 VOLUNTEER LANE #100 LEVEL OF CARE (LOC) RATE: 2139 2287 2435 2618
SACRAMENTO, CA 95826- Maintenance Ratio: 66.34 68.52 70.43 72.50 916/368-5114 Maint. Federal: 65.05 65.54 65.95 65.07 Maint. Non-Federal: 34.95 34.46 34.05 34.93 Administration Ratio: 33.66 31.48 29.57 27.50 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
SCOTT SEYMOUR 2347.01.01 Maschmeyer RATE ADJUSTMENT EFFECTIVE DATE: 7/1/2018 SIERRA QUEST HUMAN SERVICES FDN SIERRA QUEST HUMAN SERVICES FDN PROGRAM STATUS: ACTIVE
3707 APPERSON MINE ROAD LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
MARIPOSA, CA 95338- Maintenance Ratio: 66.91 69.07 70.97 73.00 209/966-7095 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
196
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
JUDY A KINDLE 0105.01.02 Salisbury RATE ADJUSTMENT EFFECTIVE DATE: 7/1/2018 SIERRA VISTA CHILD AND FAMILY SERVICES SIERRA VISTA CHILD AND FAMILY SERVICES FFA PROGRAM STATUS: ACTIVE
100 POPLAR AVENUE STE. 1 LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
MODESTO, CA 95354- Maintenance Ratio: 66.91 69.07 70.97 73.00 209/523-4573 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
JUDY A KINDLE 0105.01.02 Salisbury RATE ADJUSTMENT EFFECTIVE DATE: 12/1/2017 SIERRA VISTA CHILD AND FAMILY SERVICES SIERRA VISTA CHILD AND FAMILY SERVICES FFA PROGRAM STATUS: ACTIVE
100 POPLAR AVENUE STE. 1 LEVEL OF CARE (LOC) RATE: 2139 2287 2435 2618
MODESTO, CA 95354- Maintenance Ratio: 66.34 68.52 70.43 72.50 209/523-4573 Maint. Federal: 65.05 65.54 65.95 65.07 Maint. Non-Federal: 34.95 34.46 34.05 34.93 Administration Ratio: 33.66 31.48 29.57 27.50 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
197
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
JUDY A KINDLE 0105.01.02 Salisbury BIENNIAL EFFECTIVE DATE: 12/1/2017 SIERRA VISTA CHILD AND FAMILY SERVICES SIERRA VISTA CHILD AND FAMILY SERVICES FFA PROGRAM STATUS: ACTIVE
100 POPLAR AVENUE STE. 1 LEVEL OF CARE (LOC) RATE: 2139 2287 2435 2618
MODESTO, CA 95354- Maintenance Ratio: 66.34 68.52 70.43 72.50 209/523-4573 Maint. Federal: 65.05 65.54 65.95 65.07 Maint. Non-Federal: 34.95 34.46 34.05 34.93 Administration Ratio: 33.66 31.48 29.57 27.50 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
DONNA HENSON 2385.01.01 Griffin RATE ADJUSTMENT EFFECTIVE DATE: 7/1/2018 SMILES AND TEARS CHILDREN AND FAMILY SERVICES, SMILES AND TEARS CHILDREN AND FAMILY SERVICES, PROGRAM STATUS: ACTIVE
P.O. BOX 2741 LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
POMONA, CA 91769-2741 Maintenance Ratio: 66.91 69.07 70.97 73.00 909/469-9580 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
198
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
ALMA JACKSON 1287.01.01 Maschmeyer RATE ADJUSTMENT EFFECTIVE DATE: 7/1/2018 SOJOURNER TRUTH FOSTER FAMILY SOJOURNER TRUTH FOSTER FAMILY AGENCY PROGRAM STATUS: TERMINATED 7/2/2018
1099 SUNNYDALE AVE #326 LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
SAN FRANCISCO, CA 94134- Maintenance Ratio: 66.91 69.07 70.97 73.00 415/330-6300 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
MARVETT BLACK 0451.01.01 Griffin RATE ADJUSTMENT EFFECTIVE DATE: 7/1/2018 SOUTH BAY BRIGHT FUTURE, INC. SOUTH BAY BRIGHT FUTURE FFA PROGRAM STATUS: ACTIVE
24404 S. VERMONT STE 206 LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
HARBOR CITY, CA 90710- Maintenance Ratio: 66.91 69.07 70.97 73.00 310/891-0096 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
199
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
MARVETT BLACK 0451.01.01 Griffin BIENNIAL EFFECTIVE DATE: 12/1/2017 SOUTH BAY BRIGHT FUTURE, INC. SOUTH BAY BRIGHT FUTURE FFA PROGRAM STATUS: ACTIVE
24404 S. VERMONT STE 206 LEVEL OF CARE (LOC) RATE: 2139 2287 2435 2618
HARBOR CITY, CA 90710- Maintenance Ratio: 66.34 68.52 70.43 72.50 310/891-0096 Maint. Federal: 65.05 65.54 65.95 65.07 Maint. Non-Federal: 34.95 34.46 34.05 34.93 Administration Ratio: 33.66 31.48 29.57 27.50 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
MARVETT BLACK 0451.01.01 Griffin RATE ADJUSTMENT EFFECTIVE DATE: 12/1/2017 SOUTH BAY BRIGHT FUTURE, INC. SOUTH BAY BRIGHT FUTURE FFA PROGRAM STATUS: ACTIVE
24404 S. VERMONT STE 206 LEVEL OF CARE (LOC) RATE: 2139 2287 2435 2618
HARBOR CITY, CA 90710- Maintenance Ratio: 66.34 68.52 70.43 72.50 310/891-0096 Maint. Federal: 65.05 65.54 65.95 65.07 Maint. Non-Federal: 34.95 34.46 34.05 34.93 Administration Ratio: 33.66 31.48 29.57 27.50 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
200
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
EARL WILLIAMS 2154.01.01 Hing BIENNIAL EFFECTIVE DATE: 12/1/2018 SPECIALIZED CARE FFA SPECIALIZED CARE FFA PROGRAM STATUS: ACTIVE
7365 CARNELIAN ST. #127 LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
RANCHO CUCAMONGA, CA 91730- Maintenance Ratio: 66.91 69.07 70.97 73.00 909/581-0880 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
EARL WILLIAMS 2154.01.01 Hing RATE ADJUSTMENT EFFECTIVE DATE: 7/1/2018 SPECIALIZED CARE FFA SPECIALIZED CARE FFA PROGRAM STATUS: ACTIVE
7365 CARNELIAN ST. #127 LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
RANCHO CUCAMONGA, CA 91730- Maintenance Ratio: 66.91 69.07 70.97 73.00 909/581-0880 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
201
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
MICHAEL TUCIBAT 1830.01.01 Salisbury RATE ADJUSTMENT EFFECTIVE DATE: 7/1/2018 SPECTRUM CHILDREN'S SERVICES SPECTRUM CHILDREN'S SERVICES PROGRAM STATUS: TERMINATED 11/19/2018
5150 NORTH SIXTH, #162 LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
FRESNO, CA 93710- Maintenance Ratio: 66.91 69.07 70.97 73.00 559/224-7880 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
YURI KIMURA 0198.01.03 Hing BIENNIAL EFFECTIVE DATE: 12/1/2018 STANFORD YOUTH SOLUTIONS STANFORD YOUTH SOLUTIONS PROGRAM STATUS: ACTIVE
8912 VOLUNTEER LANE LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
SACRAMENTO, CA 95826- Maintenance Ratio: 66.91 69.07 70.97 73.00 916/344-0199 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
202
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
YURI KIMURA 0198.01.03 Hing RATE ADJUSTMENT EFFECTIVE DATE: 7/1/2018 STANFORD YOUTH SOLUTIONS STANFORD YOUTH SOLUTIONS PROGRAM STATUS: ACTIVE
8912 VOLUNTEER LANE LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
SACRAMENTO, CA 95826- Maintenance Ratio: 66.91 69.07 70.97 73.00 916/344-0199 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
VICKY TAYLOR 0104.01.01 Maschmeyer BIENNIAL EFFECTIVE DATE: 12/1/2018 ST. ANDREWS RESIDENTIAL PROGRAM STAR HOUSE/ST. ANDREWS PROGRAM STATUS: ACTIVE
811 SHERMAN OAKS DRIVE LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
SAN JOSE, CA 95128 Maintenance Ratio: 66.91 69.07 70.97 73.00 669/230-4015 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
203
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
VICKY TAYLOR 0104.01.01 Maschmeyer RATE ADJUSTMENT EFFECTIVE DATE: 7/1/2018 ST. ANDREWS RESIDENTIAL PROGRAM STAR HOUSE/ST. ANDREWS PROGRAM STATUS: ACTIVE
811 SHERMAN OAKS DRIVE LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
SAN JOSE, CA 95128 Maintenance Ratio: 66.91 69.07 70.97 73.00 669/230-4015 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
ALISHA ROMESHA 2411.01.01 Salisbury NEW PROVIDER EFFECTIVE DATE: 7/12/2018 T.E.A.C.H. TRAINING, EMPLOYMENT AND COMMUNITY T.E.A.C.H. - MODOC FOSTER FAMILY AGENCY PROGRAM STATUS: ACTIVE
112 EAST 2ND STREET LEVEL OF CARE (LOC) RATE: 2176 2323 2480 2667
ALTURAS, CA 96101- Maintenance Ratio: 66.91 69.07 70.97 73.00 530/640-0489 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
204
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
HEATHER FINE 1900.01.01 Salisbury BIENNIAL EFFECTIVE DATE: 12/1/2018 TAPESTRY FAMILY SERVICES, INC. TAPESTRY FAMILY SERVICES, INC. PROGRAM STATUS: ACTIVE
290 EAST GOBBI STREET LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
UKIAH, CA 95482- Maintenance Ratio: 66.91 69.07 70.97 73.00 707/463-3300 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
HEATHER FINE 1900.01.01 Salisbury RATE ADJUSTMENT EFFECTIVE DATE: 7/1/2018 TAPESTRY FAMILY SERVICES, INC. TAPESTRY FAMILY SERVICES, INC. PROGRAM STATUS: ACTIVE
290 EAST GOBBI STREET LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
UKIAH, CA 95482- Maintenance Ratio: 66.91 69.07 70.97 73.00 707/463-3300 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
205
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
LAURA BRUMUND 1773.01.01 Hing RATE ADJUSTMENT EFFECTIVE DATE: 7/1/2018 TERRA MANOR, INC. TERRA MANOR, INC. - HUGS FFA PROGRAM STATUS: ACTIVE
29970 TECHNOLOGY DR #222 LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
MURRIETA, CA 92563- Maintenance Ratio: 66.91 69.07 70.97 73.00 951/695-0888 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
LAURA BRUMUND 1773.01.01 Hing RATE ADJUSTMENT EFFECTIVE DATE: 12/1/2017 TERRA MANOR, INC. TERRA MANOR, INC. - HUGS FFA PROGRAM STATUS: ACTIVE
29970 TECHNOLOGY DR #222 LEVEL OF CARE (LOC) RATE: 2139 2287 2435 2618
MURRIETA, CA 92563- Maintenance Ratio: 66.34 68.52 70.43 72.50 951/695-0888 Maint. Federal: 65.05 65.54 65.95 65.07 Maint. Non-Federal: 34.95 34.46 34.05 34.93 Administration Ratio: 33.66 31.48 29.57 27.50 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
206
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
CHARLES RICH 0292.01.01 Griffin BIENNIAL EFFECTIVE DATE: 12/1/2018 DAVID AND MARGARET HOMES, INC. THE DAVID AND MARGARET HOMES PROGRAM STATUS: ACTIVE
1350 THIRD STREET LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
LAVERNE, CA 91750 Maintenance Ratio: 66.91 69.07 70.97 73.00 909/596-5921 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
CHARLES RICH 0292.01.01 Griffin RATE ADJUSTMENT EFFECTIVE DATE: 7/1/2018 DAVID AND MARGARET HOMES, INC. THE DAVID AND MARGARET HOMES PROGRAM STATUS: ACTIVE
1350 THIRD STREET LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
LAVERNE, CA 91750 Maintenance Ratio: 66.91 69.07 70.97 73.00 909/596-5921 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
207
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
PAM NORRIS 2326.01.01 Griffin RATE ADJUSTMENT EFFECTIVE DATE: 7/1/2018 THE DREAM CATCHER FOUNDATION, INC. THE DREAM CATCHER FOUNDATION PROGRAM STATUS: ACTIVE
3870 CRENSHAW BLVD #207 LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
LOS ANGELES, CA 90008- Maintenance Ratio: 66.91 69.07 70.97 73.00 323/292-1255 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
GEORGIA LEONARD 2008.01.02 Maschmeyer RATE ADJUSTMENT EFFECTIVE DATE: 7/1/2018 FAMILY NETWORK, INC., THE THE FAMILY NETWORK, INC. PROGRAM STATUS: TERMINATED 7/18/2018
2959 PARK AVENUE #D LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
SOQUEL, CA 95073- Maintenance Ratio: 66.91 69.07 70.97 73.00 831/462-8954 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
208
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
CARRIE MATHEWS 2397.01.01 Hing RATE ADJUSTMENT EFFECTIVE DATE: 7/1/2018 THE HEART MATTERS FOSTER FAMILY AGENCY THE HEART MATTERS FOSTER FAMILY AGENCY PROGRAM STATUS: ACTIVE
21935 VAN BUREN ST, #A1 LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
GRAND TERRACE, CA 92313- Maintenance Ratio: 66.91 69.07 70.97 73.00 909/906-1023 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
CARRIE MATHEWS 2397.01.01 Hing RATE ADJUSTMENT EFFECTIVE DATE: 12/1/2017 THE HEART MATTERS FOSTER FAMILY AGENCY THE HEART MATTERS FOSTER FAMILY AGENCY PROGRAM STATUS: ACTIVE
21935 VAN BUREN ST, #A1 LEVEL OF CARE (LOC) RATE: 2139 2287 2435 2618
GRAND TERRACE, CA 92313- Maintenance Ratio: 66.34 68.52 70.43 72.50 909/906-1023 Maint. Federal: 65.05 65.54 65.95 65.07 Maint. Non-Federal: 34.95 34.46 34.05 34.93 Administration Ratio: 33.66 31.48 29.57 27.50 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
209
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
CARLA FRANCO 2398.01.01 Griffin RATE ADJUSTMENT EFFECTIVE DATE: 7/1/2018 THE ROAD AHEAD FAMILY SERVICES THE ROAD AHEAD FAMILY SERVICES PROGRAM STATUS: ACTIVE
25876 THE OLD ROAD #86 LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
STEVENSON RANCH, CA 91381- Maintenance Ratio: 66.91 69.07 70.97 73.00 818/647-2988 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
HUGO VILLA 2079.01.01 Griffin RATE ADJUSTMENT EFFECTIVE DATE: 7/1/2018 THE VILLAGE FAMILY SERVICES THE VILLAGE FAMILY SERVICES FFA PROGRAM STATUS: ACTIVE
6736 LAUREL CYN BL. #200 LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
NORTH HOLLYWOOD, CA 91606- Maintenance Ratio: 66.91 69.07 70.97 73.00 818/755-8786 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
210
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
HUGO VILLA 2079.01.01 Griffin BIENNIAL EFFECTIVE DATE: 12/1/2017 THE VILLAGE FAMILY SERVICES THE VILLAGE FAMILY SERVICES FFA PROGRAM STATUS: ACTIVE
6736 LAUREL CYN BL. #200 LEVEL OF CARE (LOC) RATE: 2139 2287 2435 2618
NORTH HOLLYWOOD, CA 91606- Maintenance Ratio: 66.34 68.52 70.43 72.50 818/755-8786 Maint. Federal: 65.05 65.54 65.95 65.07 Maint. Non-Federal: 34.95 34.46 34.05 34.93 Administration Ratio: 33.66 31.48 29.57 27.50 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
HUGO VILLA 2079.01.01 Griffin RATE ADJUSTMENT EFFECTIVE DATE: 12/1/2017 THE VILLAGE FAMILY SERVICES THE VILLAGE FAMILY SERVICES FFA PROGRAM STATUS: ACTIVE
6736 LAUREL CYN BL. #200 LEVEL OF CARE (LOC) RATE: 2139 2287 2435 2618
NORTH HOLLYWOOD, CA 91606- Maintenance Ratio: 66.34 68.52 70.43 72.50 818/755-8786 Maint. Federal: 65.05 65.54 65.95 65.07 Maint. Non-Federal: 34.95 34.46 34.05 34.93 Administration Ratio: 33.66 31.48 29.57 27.50 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
211
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
MICHAEL BRUMMER 2105.01.01 Hing RATE ADJUSTMENT EFFECTIVE DATE: 7/1/2018 THERE IS HOPE FOSTER FAMILY AGENCY THERE IS HOPE FOSTER FAMILY AGENCY PROGRAM STATUS: ACTIVE
299 W. FOOTHILL BLVD#111 LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
UPLAND, CA 91786- Maintenance Ratio: 66.91 69.07 70.97 73.00 909/982-5050 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
MICHAEL BRUMMER 2105.01.01 Hing BIENNIAL EFFECTIVE DATE: 12/1/2017 THERE IS HOPE FOSTER FAMILY AGENCY THERE IS HOPE FOSTER FAMILY AGENCY PROGRAM STATUS: ACTIVE
299 W. FOOTHILL BLVD#111 LEVEL OF CARE (LOC) RATE: 2139 2287 2435 2618
UPLAND, CA 91786- Maintenance Ratio: 66.34 68.52 70.43 72.50 909/982-5050 Maint. Federal: 65.05 65.54 65.95 65.07 Maint. Non-Federal: 34.95 34.46 34.05 34.93 Administration Ratio: 33.66 31.48 29.57 27.50 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
212
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
MICHAEL BRUMMER 2105.01.01 Hing RATE ADJUSTMENT EFFECTIVE DATE: 12/1/2017 THERE IS HOPE FOSTER FAMILY AGENCY THERE IS HOPE FOSTER FAMILY AGENCY PROGRAM STATUS: ACTIVE
299 W. FOOTHILL BLVD#111 LEVEL OF CARE (LOC) RATE: 2139 2287 2435 2618
UPLAND, CA 91786- Maintenance Ratio: 66.34 68.52 70.43 72.50 909/982-5050 Maint. Federal: 65.05 65.54 65.95 65.07 Maint. Non-Federal: 34.95 34.46 34.05 34.93 Administration Ratio: 33.66 31.48 29.57 27.50 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
LLOYD L. HELD 1876.01.01 Hing BIENNIAL EFFECTIVE DATE: 12/1/2018 TJO FOWROE HAVEN HOMES, INC. TJO FOWROE HAVEN HOMES FFA PROGRAM STATUS: ACTIVE
12321 MAGNOLIA AVE #A&B LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
RIVERSIDE, CA 92503- Maintenance Ratio: 66.91 69.07 70.97 73.00 760/458-8777 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
213
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
LLOYD L. HELD 1876.01.01 Hing RATE ADJUSTMENT EFFECTIVE DATE: 7/1/2018 TJO FOWROE HAVEN HOMES, INC. TJO FOWROE HAVEN HOMES FFA PROGRAM STATUS: ACTIVE
12321 MAGNOLIA AVE #A&B LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
RIVERSIDE, CA 92503- Maintenance Ratio: 66.91 69.07 70.97 73.00 760/458-8777 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
SUSAN FETTE, LMFT 0402.01.01 Salisbury BIENNIAL EFFECTIVE DATE: 12/1/2018 TLC CHILD & FAMILY SERVICES TLC CHILD & FAMILY SERVICES PROGRAM STATUS: ACTIVE
P.O. BOX 2079 LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
SEBASTOPOL, CA 95473-2079 Maintenance Ratio: 66.91 69.07 70.97 73.00 707/634-9932 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
214
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
SUSAN FETTE, LMFT 0402.01.01 Salisbury RATE ADJUSTMENT EFFECTIVE DATE: 7/1/2018 TLC CHILD & FAMILY SERVICES TLC CHILD & FAMILY SERVICES PROGRAM STATUS: ACTIVE
P.O. BOX 2079 LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
SEBASTOPOL, CA 95473-2079 Maintenance Ratio: 66.91 69.07 70.97 73.00 707/634-9932 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
BRIAN VAN ANNE 2338.01.01 Salisbury BIENNIAL EFFECTIVE DATE: 12/1/2018 TRANSITIONS CHILDREN'S SERVICES, INC. TRANSITIONS CHILDREN'S SERVICES PROGRAM STATUS: ACTIVE
1945 N. HELM AVENUE #101 LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
FRESNO, CA 93727- Maintenance Ratio: 66.91 69.07 70.97 73.00 559/222-5437 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
215
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
BRIAN VAN ANNE 2338.01.01 Salisbury RATE ADJUSTMENT EFFECTIVE DATE: 7/1/2018 TRANSITIONS CHILDREN'S SERVICES, INC. TRANSITIONS CHILDREN'S SERVICES PROGRAM STATUS: ACTIVE
1945 N. HELM AVENUE #101 LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
FRESNO, CA 93727- Maintenance Ratio: 66.91 69.07 70.97 73.00 559/222-5437 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
NANCY REAGH, M.S.W. 0888.01.01 Hing BIENNIAL EFFECTIVE DATE: 12/1/2018 TRIAD FAMILY SERVICES TRIAD FAMILY SERVICES PROGRAM STATUS: ACTIVE
2211 PARK TOWNE CIR #2 LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
SACRAMENTO, CA 95825- Maintenance Ratio: 66.91 69.07 70.97 73.00 916/871-3515 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
216
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
NANCY REAGH, M.S.W. 0888.01.01 Hing RATE ADJUSTMENT EFFECTIVE DATE: 7/1/2018 TRIAD FAMILY SERVICES TRIAD FAMILY SERVICES PROGRAM STATUS: ACTIVE
2211 PARK TOWNE CIR #2 LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
SACRAMENTO, CA 95825- Maintenance Ratio: 66.91 69.07 70.97 73.00 916/871-3515 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
MAXINE HICKMAN 2349.01.01 Maschmeyer RATE ADJUSTMENT EFFECTIVE DATE: 7/1/2018 TRINITY FOSTER FAMILY SERVICES OF THE BAY AREA TRINITY FOSTER FAMILY SERVICES OF THE BAY AREA PROGRAM STATUS: ACTIVE
799 37TH AVE LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
SAN FRANCISCO, CA 94121- Maintenance Ratio: 66.91 69.07 70.97 73.00 415/221-3127 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
217
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
MAXINE HICKMAN 2349.01.01 Maschmeyer RATE ADJUSTMENT EFFECTIVE DATE: 12/1/2017 TRINITY FOSTER FAMILY SERVICES OF THE BAY AREA TRINITY FOSTER FAMILY SERVICES OF THE BAY AREA PROGRAM STATUS: ACTIVE
799 37TH AVE LEVEL OF CARE (LOC) RATE: 2139 2287 2435 2618
SAN FRANCISCO, CA 94121- Maintenance Ratio: 66.34 68.52 70.43 72.50 415/221-3127 Maint. Federal: 65.05 65.54 65.95 65.07 Maint. Non-Federal: 34.95 34.46 34.05 34.93 Administration Ratio: 33.66 31.48 29.57 27.50 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
MAXINE HICKMAN 2349.01.01 Maschmeyer BIENNIAL EFFECTIVE DATE: 12/1/2017 TRINITY FOSTER FAMILY SERVICES OF THE BAY AREA TRINITY FOSTER FAMILY SERVICES OF THE BAY AREA PROGRAM STATUS: ACTIVE
799 37TH AVE LEVEL OF CARE (LOC) RATE: 2139 2287 2435 2618
SAN FRANCISCO, CA 94121- Maintenance Ratio: 66.34 68.52 70.43 72.50 415/221-3127 Maint. Federal: 65.05 65.54 65.95 65.07 Maint. Non-Federal: 34.95 34.46 34.05 34.93 Administration Ratio: 33.66 31.48 29.57 27.50 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
218
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
JOHN NEIUBER 0284.01.01 Hing BIENNIAL EFFECTIVE DATE: 12/1/2018 TRINITY YOUTH SERVICES TRINITY YOUTH SERVICES FFA PROGRAM STATUS: ACTIVE
P.O. BOX 1210 LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
CLAREMONT, CA 91711-1210 Maintenance Ratio: 66.91 69.07 70.97 73.00 909/825-5588 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
JOHN NEIUBER 0284.01.01 Hing RATE ADJUSTMENT EFFECTIVE DATE: 7/1/2018 TRINITY YOUTH SERVICES TRINITY YOUTH SERVICES FFA PROGRAM STATUS: ACTIVE
P.O. BOX 1210 LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
CLAREMONT, CA 91711-1210 Maintenance Ratio: 66.91 69.07 70.97 73.00 909/825-5588 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
219
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
BJ SINGLETON 2213.01.01 Hing RATE ADJUSTMENT EFFECTIVE DATE: 7/1/2018 UNITED CONNECTIONS FOSTER FAMILY AGY UNITED CONNECTIONS FFA PROGRAM STATUS: ACTIVE
11626 STERLING AVE. #E LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
RIVERSIDE, CA 92503- Maintenance Ratio: 66.91 69.07 70.97 73.00 951/358-0800 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
BJ SINGLETON 2213.01.01 Hing BIENNIAL EFFECTIVE DATE: 12/1/2017 UNITED CONNECTIONS FOSTER FAMILY AGY UNITED CONNECTIONS FFA PROGRAM STATUS: ACTIVE
11626 STERLING AVE. #E LEVEL OF CARE (LOC) RATE: 2139 2287 2435 2618
RIVERSIDE, CA 92503- Maintenance Ratio: 66.34 68.52 70.43 72.50 951/358-0800 Maint. Federal: 65.05 65.54 65.95 65.07 Maint. Non-Federal: 34.95 34.46 34.05 34.93 Administration Ratio: 33.66 31.48 29.57 27.50 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
220
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
BJ SINGLETON 2213.01.01 Hing RATE ADJUSTMENT EFFECTIVE DATE: 12/1/2017 UNITED CONNECTIONS FOSTER FAMILY AGY UNITED CONNECTIONS FFA PROGRAM STATUS: ACTIVE
11626 STERLING AVE. #E LEVEL OF CARE (LOC) RATE: 2139 2287 2435 2618
RIVERSIDE, CA 92503- Maintenance Ratio: 66.34 68.52 70.43 72.50 951/358-0800 Maint. Federal: 65.05 65.54 65.95 65.07 Maint. Non-Federal: 34.95 34.46 34.05 34.93 Administration Ratio: 33.66 31.48 29.57 27.50 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
ANDRE CHAPMAN 1496.01.01 Maschmeyer BIENNIAL EFFECTIVE DATE: 12/1/2018 UNITY CARE GROUP, INC. UNITY CARE FOSTER AGENCY PROGRAM STATUS: ACTIVE
1400 PARKMOOR AVE #115 LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
SAN JOSE, CA 95126- Maintenance Ratio: 66.91 69.07 70.97 73.00 408/971-9822 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
221
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
ANDRE CHAPMAN 1496.01.01 Maschmeyer RATE ADJUSTMENT EFFECTIVE DATE: 7/1/2018 UNITY CARE GROUP, INC. UNITY CARE FOSTER AGENCY PROGRAM STATUS: ACTIVE
1400 PARKMOOR AVE #115 LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
SAN JOSE, CA 95126- Maintenance Ratio: 66.91 69.07 70.97 73.00 408/971-9822 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
DARRELL EVORA 0278.01.01 Hing BIENNIAL EFFECTIVE DATE: 12/1/2018 UPLIFT FAMILY SERVICES, INC. UPLIFT FAMILY SERVICES PROGRAM STATUS: ACTIVE
P.O. BOX 101166 LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
PASADENA, CA 91189-0005 Maintenance Ratio: 66.91 69.07 70.97 73.00 925/602-1750 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
222
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
DARRELL EVORA 0278.01.01 Hing RATE ADJUSTMENT EFFECTIVE DATE: 7/1/2018 UPLIFT FAMILY SERVICES, INC. UPLIFT FAMILY SERVICES PROGRAM STATUS: ACTIVE
P.O. BOX 101166 LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
PASADENA, CA 91189-0005 Maintenance Ratio: 66.91 69.07 70.97 73.00 925/602-1750 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
ANDREA EVANS 0760.01.01 Salisbury BIENNIAL EFFECTIVE DATE: 12/1/2018 VALLEY TEEN RANCH VALLEY TEEN RANCH FFA PROGRAM STATUS: ACTIVE
2610 W. SHAW AVE, #105 LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
FRESNO, CA 93711- Maintenance Ratio: 66.91 69.07 70.97 73.00 559/437-1144 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
223
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
VALERIE SIMS 2005.01.01 Salisbury RATE ADJUSTMENT EFFECTIVE DATE: 7/1/2018 VBR FOUNDATION INC. VBR FOSTER FAMILY AGENCY PROGRAM STATUS: ACTIVE
1852 WEST 11TH ST. #699 LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
TRACY, CA 95376-3736 Maintenance Ratio: 66.91 69.07 70.97 73.00 209/830-6394 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
VALERIE SIMS 2005.01.01 Salisbury BIENNIAL EFFECTIVE DATE: 12/1/2017 VBR FOUNDATION INC. VBR FOSTER FAMILY AGENCY PROGRAM STATUS: ACTIVE
1852 WEST 11TH ST. #699 LEVEL OF CARE (LOC) RATE: 2139 2287 2435 2618
TRACY, CA 95376-3736 Maintenance Ratio: 66.34 68.52 70.43 72.50 209/830-6394 Maint. Federal: 65.05 65.54 65.95 65.07 Maint. Non-Federal: 34.95 34.46 34.05 34.93 Administration Ratio: 33.66 31.48 29.57 27.50 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
224
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
VALERIE SIMS 2005.01.01 Salisbury RATE ADJUSTMENT EFFECTIVE DATE: 12/1/2017 VBR FOUNDATION INC. VBR FOSTER FAMILY AGENCY PROGRAM STATUS: ACTIVE
1852 WEST 11TH ST. #699 LEVEL OF CARE (LOC) RATE: 2139 2287 2435 2618
TRACY, CA 95376-3736 Maintenance Ratio: 66.34 68.52 70.43 72.50 209/830-6394 Maint. Federal: 65.05 65.54 65.95 65.07 Maint. Non-Federal: 34.95 34.46 34.05 34.93 Administration Ratio: 33.66 31.48 29.57 27.50 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
JANA TREW 0389.01.01 Salisbury NEW PROGRAM EFFECTIVE DATE: 11/1/2018 VICTOR TREATMENT CENTERS, INC. VICTOR TREATMENT CENTERS PROGRAM STATUS: ACTIVE
1360 E. LASSEN AVENUE LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
CHICO, CA 95973- Maintenance Ratio: 66.91 69.07 70.97 73.00 909/766-7067 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
225
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
VICTOR ANTONIO 2372.01.01 Maschmeyer BIENNIAL EFFECTIVE DATE: 12/1/2018 VICTORY FAMILY SERVICES VICTORY FAMILY SERVICES PROGRAM STATUS: ACTIVE
4200 TRUXTUN AVENUE #202 LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
BAKERSFIELD, CA 93309- Maintenance Ratio: 66.91 69.07 70.97 73.00 661/800-5209 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
VICTOR ANTONIO 2372.01.01 Maschmeyer RATE ADJUSTMENT EFFECTIVE DATE: 7/1/2018 VICTORY FAMILY SERVICES VICTORY FAMILY SERVICES PROGRAM STATUS: ACTIVE
4200 TRUXTUN AVENUE #202 LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
BAKERSFIELD, CA 93309- Maintenance Ratio: 66.91 69.07 70.97 73.00 661/800-5209 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
226
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
NANCY TALLERINO, LCSW 0194.01.02 Griffin BIENNIAL EFFECTIVE DATE: 12/1/2018 VISTA DEL MAR CHILD & FAMILY SV VISTA DEL MAR CHILD & FAMILY SERVICES PROGRAM STATUS: ACTIVE
3200 MOTOR AVENUE LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
LOS ANGELES, CA 90034 Maintenance Ratio: 66.91 69.07 70.97 73.00 310/836-1223 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
NANCY TALLERINO, LCSW 0194.01.02 Griffin RATE ADJUSTMENT EFFECTIVE DATE: 7/1/2018 VISTA DEL MAR CHILD & FAMILY SV VISTA DEL MAR CHILD & FAMILY SERVICES PROGRAM STATUS: ACTIVE
3200 MOTOR AVENUE LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
LOS ANGELES, CA 90034 Maintenance Ratio: 66.91 69.07 70.97 73.00 310/836-1223 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
227
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
DIANNE FOLLINS 2119.01.01 Hing RATE ADJUSTMENT EFFECTIVE DATE: 7/1/2018 W&W COMMUNITY DEVELOPMENT, INC. W&W COMMUNITY DEV/CHILDREN'S PLUS FFA PROGRAM STATUS: ACTIVE
P.O. BOX 3584 LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
RANCHO CUCAMONGA, CA 91729- Maintenance Ratio: 66.91 69.07 70.97 73.00 909/889-3930 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
DIANNE FOLLINS 2119.01.01 Hing BIENNIAL EFFECTIVE DATE: 12/1/2017 W&W COMMUNITY DEVELOPMENT, INC. W&W COMMUNITY DEV/CHILDREN'S PLUS FFA PROGRAM STATUS: ACTIVE
P.O. BOX 3584 LEVEL OF CARE (LOC) RATE: 2139 2287 2435 2618
RANCHO CUCAMONGA, CA 91729- Maintenance Ratio: 66.34 68.52 70.43 72.50 909/889-3930 Maint. Federal: 65.05 65.54 65.95 65.07 Maint. Non-Federal: 34.95 34.46 34.05 34.93 Administration Ratio: 33.66 31.48 29.57 27.50 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
228
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
DIANNE FOLLINS 2119.01.01 Hing RATE ADJUSTMENT EFFECTIVE DATE: 12/1/2017 W&W COMMUNITY DEVELOPMENT, INC. W&W COMMUNITY DEV/CHILDREN'S PLUS FFA PROGRAM STATUS: ACTIVE
P.O. BOX 3584 LEVEL OF CARE (LOC) RATE: 2139 2287 2435 2618
RANCHO CUCAMONGA, CA 91729- Maintenance Ratio: 66.34 68.52 70.43 72.50 909/889-3930 Maint. Federal: 65.05 65.54 65.95 65.07 Maint. Non-Federal: 34.95 34.46 34.05 34.93 Administration Ratio: 33.66 31.48 29.57 27.50 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
SUE EVANS 0309.01.01 Griffin RATE ADJUSTMENT EFFECTIVE DATE: 7/1/2018 WALDEN ENVIRONMENT WALDEN FAMILY SERVICES FFA PROGRAM STATUS: ACTIVE
8525 GIBBS DR #100 LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
SAN DIEGO, CA 92123- Maintenance Ratio: 66.91 69.07 70.97 73.00 619/584-5777 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
229
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
SUE EVANS 0309.01.01 Griffin BIENNIAL EFFECTIVE DATE: 12/1/2017 WALDEN ENVIRONMENT WALDEN FAMILY SERVICES FFA PROGRAM STATUS: ACTIVE
8525 GIBBS DR #100 LEVEL OF CARE (LOC) RATE: 2139 2287 2435 2618
SAN DIEGO, CA 92123- Maintenance Ratio: 66.34 68.52 70.43 72.50 619/584-5777 Maint. Federal: 65.05 65.54 65.95 65.07 Maint. Non-Federal: 34.95 34.46 34.05 34.93 Administration Ratio: 33.66 31.48 29.57 27.50 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
SUE EVANS 0309.01.01 Griffin RATE ADJUSTMENT EFFECTIVE DATE: 12/1/2017 WALDEN ENVIRONMENT WALDEN FAMILY SERVICES FFA PROGRAM STATUS: ACTIVE
8525 GIBBS DR #100 LEVEL OF CARE (LOC) RATE: 2139 2287 2435 2618
SAN DIEGO, CA 92123- Maintenance Ratio: 66.34 68.52 70.43 72.50 619/584-5777 Maint. Federal: 65.05 65.54 65.95 65.07 Maint. Non-Federal: 34.95 34.46 34.05 34.93 Administration Ratio: 33.66 31.48 29.57 27.50 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
230
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
MIKI JORDAN 1479.01.01 Griffin NEW PROGRAM EFFECTIVE DATE: 5/10/2018 WAYFINDER FAMILY SERVICES, INC. WAYFINDER FAMILY SERVICES PROGRAM STATUS: ACTIVE
5300 ANGELES VISTA BLVD LEVEL OF CARE (LOC) RATE: 2139 2287 2435 2618
LOS ANGELES, CA 90043- Maintenance Ratio: 66.34 68.52 70.43 72.50 323/295-4555 Maint. Federal: 65.05 65.54 65.95 65.07 Maint. Non-Federal: 34.95 34.46 34.05 34.93 Administration Ratio: 33.66 31.48 29.57 27.50 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
CHRISTIE C. CASE 2306.01.01 Hing BIENNIAL EFFECTIVE DATE: 12/1/2018 WELCOME HOME FOSTER FAMILY AGENCY WELCOME HOME FOSTER FAMILY AGY PROGRAM STATUS: ACTIVE
P.O. BOX 417327 LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
SACRAMENTO, CA 95841- Maintenance Ratio: 66.91 69.07 70.97 73.00 916/564-5074 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
231
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
CHRISTIE C. CASE 2306.01.01 Hing RATE ADJUSTMENT EFFECTIVE DATE: 7/1/2018 WELCOME HOME FOSTER FAMILY AGENCY WELCOME HOME FOSTER FAMILY AGY PROGRAM STATUS: ACTIVE
P.O. BOX 417327 LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
SACRAMENTO, CA 95841- Maintenance Ratio: 66.91 69.07 70.97 73.00 916/564-5074 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
SHARI LONDON-WOLVEK 0975.01.01 Griffin RATE ADJUSTMENT EFFECTIVE DATE: 7/1/2018 WESTSIDE CHILDREN'S CENTER WESTSIDE CHILDREN'S CENTER PROGRAM STATUS: ACTIVE
5721 W. SLAUSON #200 LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
CULVER CITY, CA 90230- Maintenance Ratio: 66.91 69.07 70.97 73.00 310/846-4100 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
232
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
SHARI LONDON-WOLVEK 0975.01.01 Griffin BIENNIAL EFFECTIVE DATE: 12/1/2017 WESTSIDE CHILDREN'S CENTER WESTSIDE CHILDREN'S CENTER PROGRAM STATUS: ACTIVE
5721 W. SLAUSON #200 LEVEL OF CARE (LOC) RATE: 2139 2287 2435 2618
CULVER CITY, CA 90230- Maintenance Ratio: 66.34 68.52 70.43 72.50 310/846-4100 Maint. Federal: 65.05 65.54 65.95 65.07 Maint. Non-Federal: 34.95 34.46 34.05 34.93 Administration Ratio: 33.66 31.48 29.57 27.50 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
SHARI LONDON-WOLVEK 0975.01.01 Griffin RATE ADJUSTMENT EFFECTIVE DATE: 12/1/2017 WESTSIDE CHILDREN'S CENTER WESTSIDE CHILDREN'S CENTER PROGRAM STATUS: ACTIVE
5721 W. SLAUSON #200 LEVEL OF CARE (LOC) RATE: 2139 2287 2435 2618
CULVER CITY, CA 90230- Maintenance Ratio: 66.34 68.52 70.43 72.50 310/846-4100 Maint. Federal: 65.05 65.54 65.95 65.07 Maint. Non-Federal: 34.95 34.46 34.05 34.93 Administration Ratio: 33.66 31.48 29.57 27.50 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
233
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
LIA GATES 2231.01.01 Maschmeyer RATE ADJUSTMENT EFFECTIVE DATE: 7/1/2018 WESTWIND COMMUNITY SERVICES, INC. WESTWIND FOSTER FAMILY AGENCY PROGRAM STATUS: ACTIVE
1350 ARNOLD DRIVE #201 LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
MARTINEZ, CA 94553- Maintenance Ratio: 66.91 69.07 70.97 73.00 925/293-4426 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
LIA GATES 2231.01.01 Maschmeyer RATE ADJUSTMENT EFFECTIVE DATE: 12/1/2017 WESTWIND COMMUNITY SERVICES, INC. WESTWIND FOSTER FAMILY AGENCY PROGRAM STATUS: ACTIVE
1350 ARNOLD DRIVE #201 LEVEL OF CARE (LOC) RATE: 2139 2287 2435 2618
MARTINEZ, CA 94553- Maintenance Ratio: 66.34 68.52 70.43 72.50 925/293-4426 Maint. Federal: 65.05 65.54 65.95 65.07 Maint. Non-Federal: 34.95 34.46 34.05 34.93 Administration Ratio: 33.66 31.48 29.57 27.50 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
234
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
DE' KOVILL 2289.01.01 Hing RATE ADJUSTMENT EFFECTIVE DATE: 7/1/2018 WYNSPRING FAMILY RESOURCE CENTER WYNSPRING FAMILY RESOURCE CENTER PROGRAM STATUS: ACTIVE
P.O. BOX 71 LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
CITRUS HEIGHTS, CA 95611- Maintenance Ratio: 66.91 69.07 70.97 73.00 916/480-0280 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
NANCY JORTH 1325.01.01 Salisbury RATE ADJUSTMENT EFFECTIVE DATE: 7/1/2018 YOUTH FOR CHANGE YOUTH FOR CHANGE PROGRAM STATUS: ACTIVE
P.O. BOX 1476 LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
PARADISE, CA 95967- Maintenance Ratio: 66.91 69.07 70.97 73.00 530/877-6761 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
235
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
NANCY JORTH 1325.01.01 Salisbury BIENNIAL EFFECTIVE DATE: 12/1/2017 YOUTH FOR CHANGE YOUTH FOR CHANGE PROGRAM STATUS: ACTIVE
P.O. BOX 1476 LEVEL OF CARE (LOC) RATE: 2139 2287 2435 2618
PARADISE, CA 95967- Maintenance Ratio: 66.34 68.52 70.43 72.50 530/877-6761 Maint. Federal: 65.05 65.54 65.95 65.07 Maint. Non-Federal: 34.95 34.46 34.05 34.93 Administration Ratio: 33.66 31.48 29.57 27.50 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
NANCY JORTH 1325.01.01 Salisbury RATE ADJUSTMENT EFFECTIVE DATE: 12/1/2017 YOUTH FOR CHANGE YOUTH FOR CHANGE PROGRAM STATUS: ACTIVE
P.O. BOX 1476 LEVEL OF CARE (LOC) RATE: 2139 2287 2435 2618
PARADISE, CA 95967- Maintenance Ratio: 66.34 68.52 70.43 72.50 530/877-6761 Maint. Federal: 65.05 65.54 65.95 65.07 Maint. Non-Federal: 34.95 34.46 34.05 34.93 Administration Ratio: 33.66 31.48 29.57 27.50 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
236
FOSTER FAMILY AGENCY LEVEL OF CARE RATES AUTHORIZED RATES AS OF April 15, 2019 ADMINISTRATOR PROVIDER NAME PROGRAM RATES PROGRAM RATE Basic Level PROGRAM NAME NUMBER CONSULTANT TYPE TYPE LOC 2 LOC 3 LOC 4
KIM CHILVERS 0310.01.01 Maschmeyer BIENNIAL EFFECTIVE DATE: 12/1/2018 YOUTH HOMES, INC. YOUTH HOMES PROGRAM STATUS: ACTIVE
3480 BUSKIRK AVENUE #210 LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
PLEASANT HILL, CA 94523- Maintenance Ratio: 66.91 69.07 70.97 73.00 925/323-1588 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
KIM CHILVERS 0310.01.01 Maschmeyer RATE ADJUSTMENT EFFECTIVE DATE: 7/1/2018 YOUTH HOMES, INC. YOUTH HOMES PROGRAM STATUS: ACTIVE
3480 BUSKIRK AVENUE #210 LEVEL OF CARE (LOC) RATE: 2176 2328 2480 2667
PLEASANT HILL, CA 94523- Maintenance Ratio: 66.91 69.07 70.97 73.00 925/323-1588 Maint. Federal: 65.93 66.42 66.82 65.95 Maint. Non-Federal: 34.07 33.58 33.18 34.05 Administration Ratio: 33.09 30.93 29.03 27.00 Admin. Federal: 54.03 50.00 45.83 38.61 Admin. Non-Federal: 45.97 50.00 54.17 61.39
END OF REPORT
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