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IHSS reassessment compliance improves; state lifts quality‑improvement requirement, county reports highest decade‑long performance

October 24, 2025 | Santa Clara County, California


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IHSS reassessment compliance improves; state lifts quality‑improvement requirement, county reports highest decade‑long performance
Vanessa Merlano, director of the Department of Aging and Adult Services (DAAS), reported to the Finance and Government Operations Committee on Oct. 23, 2025, that the county’s In‑Home Supportive Services (IHSS) program has achieved its highest reassessment compliance in a decade and that the state has removed the program’s Quality Improvement Action Plan.

Merlano said that as of August 2025 the program’s overall timely reassessment compliance rate reached 86.43%, the highest level in 10 years, and noted that Community First Choice option cases are performing at about 96.11% compliance (the program’s target is 100%). She reported there were 13 referrals pending beyond 90 days out of 1,580 referrals pending overall; the department said it remains within its goal for completing referrals within 90 days.

Michelle Findley, the senior manager overseeing IHSS, described operational changes that improved timeliness: the department is pulling CMIPS data directly (state case‑management dataset) in near real time rather than waiting for delayed state reports, centralizing overdue reassessments into a single queue and redistributing work across units to complete assessments more promptly.

Committee members praised the improvement and voted to receive the report. The committee asked for continued monitoring and for the department to maintain the dashboard and centralized reassessment process used to sustain performance gains.

Committee action: committee voted to receive the semiannual report; the motion passed on the record.

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