National Association of Home Builders Directory. Seeing the advantages of an ADRC, on Month 15, 2015, that Older [] Programs help keep homes safe, secure, and accessible for frail older persons. It has been an honor to serve your community. Provides a break for caregivers so they can attend to personal and recreational activities knowing their loved one is in a safe environment. 8:30 a.m. 4:30 p.m. Office Hours: The FAST team assists workers from Adult Protective Services (APS), the Long-Term Care Ombudsman Program, the Public Guardian and local law enforcement to help seniors that are facing financial abuse. Persons that require a reasonable modification based on language or disability should submit a request as early as possible to ensure the State has an opportunity to address the modification. The Rocklin Main Replacement Phase 2 project involves replacing 1,550 feet of 16-inch water main and 800 feet of 12-inch main, as well as 42 water service connections and pavement restoration. IMPORTANT NOTE: Parts of California are expecting triple digit temperatures this week. Dine Around TownT: 1.800.211.4545Web: agencyonaging4.org, Yolo Mobile Meals for Healthy AgingT: 1.530.776.5006C: 1.702.445.9193Web: yolohealthyaging.org. Offered at senior centers, congregate meal sites and other older adult gathering places throughout the seven-county region. 1:00 p.m. 4:00 p.m. And I continued to adapt as their needs changed. The existing pipe is roughly 60 years old, and recent failures in the pipe have caused property damage. We have a sunken living room, and a visiting friend once fell off the edge and fractured her ribs. Preventing a loved one from getting lostis also critical. Phone Hours: Moderator: Sarah Steenhausen, California Department of Aging, Presenters and Panelists: Blanca Castro, California State Long-Term Care Ombudsman; Eric Carlson, Directing Attorney, Justice in Aging; Heather Craig, Executive Director, Eskaton Care Center, Greenhaven; Nicole Howell, Executive Director, Empowered Aging & 2021-22 Health and Aging Policy Fellow; Holly Lewis, Caregiver & Advocate. Adems, es posible que encuentre diferencias asociadas a dialectos o preferencias regionales. ACC Senior Services ACC Rides Transportation Service(Sacramento County)T: 1.916.916.393.9026 ext. Download Service Directory Descargar Directorio de Servicios Services by Category Caregiver Respite Model a research partnership between California state government and academic institutions focused on using data for action and equity that can be replicated across other CalHHS person-centered, data-driven priorities. The primary purpose of the Partnership is as follows: View the roster of Stakeholder Members of the CA Aging & Disability Research Partnership. What is missing from their community that would enhance their health, participation and security? For specific Agency or Department stakeholder engagement opportunities related to aging and disability, please contact the lead Agency or Department directly (or email Engage@aging.ca.gov for assistance). Vision An ageist- and ablest-free society. Adems, no puede traducir grficos con texto, archivos PDF o aplicaciones especiales en este sitio web. To begin this phase of the project, PCWAs board of directors approved a $1 million budget augmentation. Trilogy . Resource Services, Seniors First, Del Oro Caregiver Resource Center, and Agency on Aging-Area 4. For Mom, I had bed and chair-seat alarm pads. To drive implementation, Agencies across the Administration have committed to 123 action-ready initiatives for implementation in 2021-2022. Yet this kind of abuse can be as serious, and as life-threatening, as actual physical abuse to older adults whose health and emotional welfare is dependent on their financial resources. For at-risk children and/or adults in emergencies and crises situations, a special 24-hour, 7-day a week, response program is available by calling one of the following phone numbers: Adult Crisis & Intake or Adult Protective Services : 916-787-8860 or 888-886-5401. Placer County - Agency on Aging Area 4 - Senior Resource Guide A safe home doesnt have to be unattractive modifications can be beautiful and stylish. 3 talking about this. MPA Initiative 102 calls for the California Health and Human Services Agency (CalHHS) to facilitate a nation-leading research partnership on aging with Californias universities. This initiative is consistent with the MPA Stakeholder Advisory Committee and Research Subcommittees Research Agenda Recommendations. Area Plans The Financial Abuse Specialist Team (FAST) is a partnership of public and private multidisciplinary professionals who volunteer their time to facilitate comprehensive services to victims of financial elder abuse. . Housekeeping, chore services and meal delivery are often the first supports people need as they age. admin@trilogyir.com or (415) 458-5900. Presenters and Panelists: Zia Agha, MD, West Health Institute; Gretchen Alkema, PhD, The SCAN Foundation; Janet Frank, DrPH, California Commission on Aging; Jennie Chin Hansen, RN, Former CEO of the American Geriatric Society; and Laura Mosqueda, MD, Keck School of Medicine, USC. The Equity Work Group formed and began meeting in February 2020. The OAA created a national networkto respond to the needs of Americans 60 and older in every local community. What problems do they encounter? Yavapai, Coconino, Navajo, Apache Counties, Cochise, Graham, Greenlee, Santa Cruz Counties, Stay up-to-date with news and updates delivered straight to your inbox, AZ Developmental Disabilities Planning Council. Sin embargo, no hay traduccin automtica o por computacin que sea perfecta. Dual Challenge It has been an honor to serve your community. Website. Al hacer clic en "Acepto" significa que est de acuerdo en renunciar a cualquier prdida que pueda ser causada al Condado de Orange por basarse en la traduccin proporcionada por Google. Six key stakeholder advisory committees advise on MPA implementation, providing recommendations to CalHSS and the Administration on matters of aging and disability services, programs, and policies. Helping a Loved One Live Independently at Home - AARP Agency on Aging \ Area 4 is an Equal Opportunity/Affirmative Action, At Will Employer. Interested in being on our Advisory Council? Agency on Aging\Area 4(Nevada, Placer, Sacramento, Yolo, Yuba-Sutter counties)T: 1.916.486.1876Web: agencyonaging4.org. Monday Friday Moderator: Sarita Mohanty, The SCAN Foundation, Panelists: Michael Costa, Executive Director, California Association of Area Agencies on Aging (C4A); Eli Gelardin, CEO, Marin Center for Independent Living and Chair, CA ADRC Advisory Committee; Ben Jauregui, Manager, Behavioral Health & Care Management Support Services, Inland Empire Health Plan; Kristie Kulinski, Team Lead, Office of Network Advancement, Administration for Community Living; Anwar Zouheid, Vice President, Partners in Care Foundation. ADRC of Placer County Phone (800) 211-4545 Website . The next regular meeting of the PCWA Board of Directors will be held on Thursday, September 7, at 2:00 PM. Javascript must be enabled to use this site. Placer County - Agency on Aging Area 4 Service availability is limited. Lift chairs, entry ramps and wheelchair lifts can be helpful, too. , . The agencys joint powers status ties it directly to the county supervisors, adding strength and credibility andassuring accountability. Area 4 Agency on Aging Advisory Council | Placer County, CA Consequently, AAA4 enjoys greater flexibility in operations, attracts a different type of employee and is viewed differently in the community. Closed from Noon 1:00 p.m. Monitors and alerts can be a big help when someone has dementia. NEVADA | PLACER | SACRAMENTO |SIERRA | SUTTER | YOLO | YUBA, Main Office: These alarms can also help prevent falls if your loved one isnt safe walking around the home alone. 271 0 obj <> endobj Californias Advancing and Innovating Medi-Cal (CalAIM) initiativeoffers new opportunities to partner with Medi-Cal Managed Care Plans to expand capacity for the delivery of community supports to older adults and people with disabilities. In our new podcast hear about programs helping these young people defy the odds as they transition into adulthood. Visit AZ Aging for statewide information about the Area Agencies on Aging. Region 2Service Area:Counties - Jackson, Hillsdale, Lenawee. In early 2020, the SAC determined a need for an advisory body that would ensure that an equity-lens is applied to the SACs recommendations to the Administration. This committee will advise the California Health and Human Services Agency on the implementation of the Master Plan for Aging, focusing on accountability, outcomes, and continuous improvement towards the Plans five bold goals for 2030. Al hacer clic en "Acepto", est de acuerdo en que cualquier discrepancia en la traduccin no ser vinculante ni tendrn ningn efecto legal. For information on services for seniors or adults with disabilities who live outside California. An Area Agency on Aging (AAA) is a public or nonprofit private agency that helps older Arizonans. 9:00 a.m. 12:00 p.m. All meetings are open to the public via webinar. 317 0 obj <>stream endstream endobj 272 0 obj <>/Metadata 19 0 R/Pages 269 0 R/StructTreeRoot 29 0 R/Type/Catalog/ViewerPreferences 290 0 R>> endobj 273 0 obj <>/MediaBox[0 0 612 792]/Parent 269 0 R/Resources<>/Font<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI]>>/Rotate 0/StructParents 0/Tabs/S/Type/Page>> endobj 274 0 obj <>stream PSA 11 . Khi nhn Ti ng c ngha l qu v ng t b tt c nhng thit hi c th xy ra i vi Qun Cam bi vic da vo s thng dch cung cp bi Google. In 2022, the CA Department of Aging hosted a Webinar Wednesdays series to highlight key strategies of the Master Plan for Aging (MPA) and to inform the development of MPAs 2023-2024 initiatives. MI Choice Waiver Program - State of Michigan With foster care now open to young adults through age 21, and programs like HOPE lasting even longer, there's more opportunity than ever to help Placer's young adults get off to the right start. An vision to create the Placer County ADRC began In November of 2013 the Placer County Older Adult Advisory Commission (Commission on Aging) began discussions the Aging and Disability Resource Connection (ADRC) Model and the potential of execution the model inches Placer County. Closed from Noon 1:00 p.m. I placed a motion sensor in the hallway, so I was alerted if Dad,who had Alzheimers disease, passed by it. Gives assistance with Medicare problems, health insurance, and long-term care insurance. Needs Assessment by County Agency on Aging\Area 4 Mature Edge Program(Placer, Sacramento, Yolo counties)T: 1.916.486.1876Web: agencyonaging4.org. Also, considers AARPs HomeFit GuideandHomeFit AR appto walk through the home and determine needed changes. Listen to Ariel's story of how HOPE changed the course of her life . Roseville Today | 4010 Foothills Blvd. Please call 559-214-0299 to find out if you qualify for the program and to be added to our waiting list . But with some research and advice, I found easier, affordable ways to make the home safe and navigable. Join now and get a FREE GIFT. Enriching the lives of older adults and people with disabilities by FOSTERING networks of support, ADVOCATING for individual choice, COLLABORATING with others, ENSURING equity, and STRIVING to do so with conviction. For example, I took the wheels off my dad's chair so it wouldnt move when he stood up. To drive implementation, Agencies across the Administration have committed to 123 action-ready initiatives for implementation in 2021-2022. Cautionary Tales of Today's Biggest Scams. Upon construction, the SNOW Museum and Community Cultural Center would celebrate the 1960 Winter Olympics and the history of winter sports in the Sierra Nevada. Area Agency on Aging | Find Your Local Area Agency on Aging If you are an older adult in need of assistance NOW, please contact your local Senior Information & Assistance number at: Seniors First, Inc. 1-530-889-9500 or 1-800-878-9222 Placer County Services Agency & Disability Resource Connection ADRC of Placer County Web: adrc4.org/placer-county Caregiver Respite Del Oro Caregiver Resource Center Advance age- and disability-focused research to strengthen the evidence base for promoting equitable opportunities for Californians to thrive as they age; Provide input on key performance indicators and data sources to inform MPA Outcomes Reports and the Data Dashboard for Aging; and. Placer - Services in my County | California Department of Aging - State . Recognizing that Californias over-65 population is projected to grow to 8.6 million by 2030, Governor Gavin Newsom issued anexecutive order calling for the creation of a Master Plan for Aging (MPA). . Al hacer clic en el botn Acepto, usted acepta que las pginas de este sitio web pasarn a estar en otros idiomas distintos al ingls. If you are an advocate for older adult issues, consider becoming a member of our Advisory Council. Hear Ariel's story. Google . Caregiver Support, Employment, Health & Wellness, Help at Home, Housing, Medicare Counseling, Legal Assistance, Meals, Ombudsman, PACE, Protective Services and . 10% off dine-in service or curbside carry-out orders, AARP Travel Center Powered by Expedia: Hotels & Resorts, Savings on monthly home security monitoring, Activities, healthy recipes, challenges and more through AARP Staying Sharp, SAVE MONEY WITH THESE LIMITED-TIME OFFERS. The Council also serves as an independent, non-partisan advocacy body on behalf of all older persons residing in the service area. Provides education to the public about how to educate, prevent, recognize, and respond to elder abuse. 1401 El Camino Avenue, 4th Floor LTC Ombudsman Program Agency on Aging Area 4 . GooglePDF Google GoogleGoogle. Representatives from both agencies currently implementing workforce initiatives presented progress on the efforts underway to recruit, train, and compensate Californias direct care workforce. Governing Board & Advisory Council Upcoming Events For information about any of these workgroups and engagement opportunities, send an email to Engage@aging.ca.gov. If you engage a contractor, find one who has proven experience in this arena. Gain access to celebrity interviews, smart advice, recipes, novels, Pilates, and AARP digital magazines. Policies, programs, and partnerships that advance specific MPA initiatives and goals will continue to be led by the respective agencies & departments, stakeholders, legislators, and partners. Our Governing Board sets agency policy and is responsible for ensuring that AAA4 fulfills the mandates of the Older Americans Act. New hours are M-T-Th from 8 a.m. to 4 p.m. and Wed. from 9 a.m. to 4 p.m. E-Services and appointments remain available. IMPACT Stakeholder Committee Meeting Information, Guiding Principles & Strategic Priorities, Alzheimers Disease and Related Disorders Advisory Committee, Committee for the Protection of Human Subjects, Disability and Aging Community Living Advisory Committee, Elder and Disability Justice Coordinating Council, Incompetent to Stand Trial Solutions Workgroup, Master Plan for Aging: IMPACT Stakeholder Committee, Children and Youth Behavioral Health Initiative, Data Exchange Framework DSA Signing Portal, MPA Press Conference with CHHS Secretary Ghaly and CDA Director McCoy Wade, Alzheimers Disease & Related Disorders Advisory Committee, CA Aging & Disability Research Partnership, CA Elder & Disability Justice Coordinating Council, Disability & Aging Community Living Advisory Committee, Equity Advisory Committee on Aging and Disability, Implementing the MPA in CA Together (IMPACT) Advisory Committee, CHHS Disability and Aging Community Living Advisory Committee, CDA Aging and Disability Resource Connections Advisory Committee, Elizabeth Edgerly, PhD., Executive Director, Alzheimers Association, Northern California & Northern Nevada chapter, Andy Imparato, JD, Executive Director, Disability Rights California, Nancy McPherson, MPA, State Director, AARP California, Sarita Mohanty, MD, MPH, MBA, President & CEO, The SCAN Foundation, Doug Moore, Executive Director, United Domestic Workers Association, Sharon Nevins, LCSW, MPA, Director, Department of Aging & Adult Services, San Bernardino County, Kevin Prindiville, Executive Director, Justice in Aging, Kiran Savage-Sangwan, MPA, Executive Director, California Pan-Ethnic Health Network, Fernando Torres- Gil, PhD, MSW, Professor of Social Welfare and Public Policy and Director of the Center for Policy Research on Aging at University of California- Los Angeles, IMPACT Committees purpose, background, and operations, IMPACT Stakeholder Committee Member Biographies, IMPACT Committee Report: Master Plan for Agings Year 2 In Review, IMPACT Stakeholder Committee Report: MPAs Year One in Review, roster of Stakeholder Members of the CA Aging & Disability Research Partnership, Equity Advisory Committee on Aging & Disability stakeholder, Master Plan for Aging Public Engagement Activities, Click to view the MPA Five Bold Goals Virtual Summit on January 13, 2021: Video. Please enable Javascript in your browser and try The CSL is entirely dependent on tax-deductible donations for funding. PSA 10 . Placer Community Foundation; Connecting Point Placer 211; Del Oro Caregiver Resource Center; Sutter Health; Kaiser Permanente; Placer County Transportation Planning Agency ; Placer County Older Adult Advisory Commission; State Council on Developmental Disabilities; Placer County Public Health Emergency Services; Seniors First; MSSP Feel free to contact the Network of Care staff for further assistance at admin@trilogyir.com or (415) 458-5900. Gold Country Senior Services, Inc.(Nevada County)T: 1.530.273.4961Web: goldcountryservices.org, Sierra Senior Services(Nevada, Eastern Placer County)T: 1.530.550.7600Web: sierraseniors.org, Seniors First, Inc.(Western Placer County)T: 1.530.889.9500Web: seniorsfirst.org, Meals on Wheels by ACC(Sacramento County)T: 1.916.444.9533Web: mowsac.org, Inc. Senior Citizens of Sierra CountyT: 1.530.993.4770, Meals on Wheels Yolo CountyT: 1.530.662.7035Web: mowyolo.org. See a complete list of the Equity Advisory Committee on Aging & Disability stakeholder members. Placer County ADRC - Agency on Aging Area 4 In-hone and Out-of-home respite are offered. Fresno-Madera Agency on Aging - Change The Way You Age Alone we can do so little, together we can do so much. For example, nursing home and congregate care (covering multiple initiatives), strengthening aging hubs/Area Agency on Aging leadership structures (initiative 101), and building university research partnerships (Initiative 102), among others. Closed Captioning will be made available via Zoom and American Sign Language interpreting will be provided. The goal is to help loved ones be as independent as possible at home, for as long as possible. Sacramento, CA 95815. Population Charts The Financial Abuse Specialist Team (FAST) is a partnership of public and private multidisciplinary professionals who volunteer their time to facilitate comprehensive services to victims of financial elder abuse. "" . Financial abuse is in some ways a hidden crime - one that no one likes to talk about because it often involves a family member, caregiver, or trusted friend. Pennsylvania Aging Services - Pennsylvania Department of Aging Pam Miller, Executive Director and Will H. Tift, Assistant Director oversee our operations. Monday Friday It's wonderful to have help, and there are many caring and dedicated people willing to provide it. Population Charts Chng hn nh, thng dch khng phi l nhng cm t nhy cm v khng th hon ton chuyn t cu vn mt cch ng ngha. With content arriving every day, there is always something new and exciting to discover with AARP Members Only Access. These services are provided locally by contracted agencies. Stop by preferably at unexpected times to check in on professionals or volunteers going to the home. Learn more about the background and purpose of the EACAD. Master Plan for Aging - California Health and Human Services Khi nhn vo nt Ti chp nhn qu v ng l bt k nhng s khc bit hay nhng khc bit qua s thng dch s khng c tnh cch rng buc v s khng c bt k mt hu qu php l nao. The Adult System of Care assists adults and older adults achieve their optimal level of self-sufficiency and independence by providing mental health services, substance abuse treatment, and in-home supportive services. A discussion on Challenges, Opportunities, and Equity in Alzheimers Care & Delivery Service with: This webinar highlighted best practices and opportunities for strengthening health systems to make them more age -inclusive. At its meeting in Kings Beach on Aug. 10, the Placer County Planning Commission recommended the Board of Supervisors approve a set of amendments that would allow revisions to the 2017 Tahoe Basin Area Plan. T/p`=QaE;o`L ff`e`f@ , The Placer County Board of Supervisors took recent action to appoint Meadow Vista resident Jeff Ronten to the Planning Commission, representing District 5. Area Agencies on Aging | Department of Health and Human Services A responsibility of the Advisory Council is the election of The California Senior Legislature (CSL). If your loved one is aveteran, ask about home-based primary and the home health services from the VA. Thm vo qu v khng th thng dch cc biu vi bn vn, cc h s thuc loi PDF file v nhng p dng c bit trn trang mng ny. Family and Children's Services : 916-872-6549 or toll free 866-293-1940. Additional Info. "" Google . Moderator: Sarah Steenhausen, CA Department of Aging. public services. Adult System of Care | Placer County, CA 0 PDF Placer County Aging and Disability Resource Coalition Construction is expected to begin this September and finish in March 2024. again. According to AARPs "Home and Community Preferences"survey, 3 out of 4 adults age 50 or older say they want to stay in their homes and communities as they age. Placer Five Year Plan for Older Adults - Placer County, CA Placer Independent Resource Services (PIRS) T: 1(530) 885-6100 Center for Data Insights & Innovation (CDII, Department of Developmental Services (DDS), Department of Health Care Services (DHCS). The Governors Executive Order called for the creation of a Stakeholder Advisory Committee, a Long-Term Services & Supports Subcommittee, and a Research Subcommittee. Services in Placer County Area Agencies on Aging (AAA) | Texas Health and Human Services The California Department of Aging (CDA) administers programs that serve older adults, adults with disabilities, family caregivers, and residents in long-term care facilities throughout the State. The MPA was released on January 6th, 2021. Water agency staff worked closely with the City of Rocklin on repaving, traffic control, and other important elements of the project; we combined this work under a single contract to minimize additional impacts to the community.. Mom had several falls due to untrained paid caregivers, and one stole her jewelry. Join AARP for just $9 per yearwhen you sign up for a 5-year term. Additionally, there are a range of ongoing and emerging stakeholder work groups addressing priorities for older adults and adults with disabilities. and Human Services on matters relating to the creation and delivery of services that improve the quality of life for Placer County's older adults. If you are on older car in need of assistance NOW, please contact your local Senior Information & Assistance number at: . All meeting materials will be posted within five days following the meeting. Assisted Living Waiver - DHCS You can locate a AAA in your area by calling 1-800-510-2020 or by selecting your county from the map below. Enriching the lives of older adults and people with disabilities by FOSTERING networks of support, ADVOCATING for individual choice, COLLABORATING with others, ENSURING equity, and STRIVING to do so with conviction. regional 8421 Auburn Blvd., Suite 265 Citrus Heights, CA 95610 . Visit the MPA website to view each of these initiatives. Placer County 5-Year Plan for Meeting the Needs of a Growing Senior Population . Programs that help maintain or improve the physical and mental health of persons 60 years of age and older, including diabetes and fall prevention education. Join the 2023 CADPR meeting via tablet, laptop, or smartphone: The purpose of the Equity Advisory Committee on Aging and Disability (EACAD) is to advise the Administration on the implementation of the MPA, as well as the CA Department of Aging on the planning and implementation of aging and disability programs, services, data collection, and staff development. Make any alterations easily adaptable, since needs and abilities change over time. In our new podcast hear about programs helping these young people defy the odds as they transition into adulthood. * If you would like to schedule a time to listen to the full audio/video or request materials from a meeting, please contact Cindy Reigert at (916) 486-1876 or creigert@agencyonaging4.org. Placer Countys commitment to alternative modes of transportation got a boost this week following two board approvals to extend for one more year the TART Connect micro-transit services and North Lake Tahoe Express airport shuttle service. Gold Country Senior Services, Inc.(Placer County)T: 1.530.273.4961Web: goldcountryservices.org, Meals on Wheels Yolo CountyT: 1.30.662.7035Web: mowyolo.org, Yuba-Sutter Meals on WheelsT: 1.800.211.4545Web: agencyonaging4.org. Placer County, CA | Official Website Phone Hours: Our Agency on Agingdiffers from many other AAAs in that it is a stand-alone joint powers authority with non-profit status. , PDF , . On July 1st, 2021, the Implementing the MPA in California Together (IMPACT) Stakeholder Committee was announced, with membership representing diverse areas of expertise and experience in aging, disability, and racial justice programs, operations, services, and policy. Network of Care Agency on Aging \ Area 4 is an Equal Opportunity/Affirmative Action, At Will Employer. With our main office located just ten miles from the state capitol, Agency on Aging \ Area 4 is one of thirty-three area agencies on aging (AAAs) in California. Provides older adults access to doctors offices, grocery stores, businesses, senior centers, senior programs, and other destinations. The Core Service Providers I&A staff will be trained and certified by the Alliance of Information and Referrals Systems (AIRS) and will utilize a "warm-handoff . Hear Ariel's story. The following departments within California Health and Human Services Agency are invited to delegate ex-oficio members to serve on the Partnership: The CA Aging and Disability Research Partnership meetings are open to the public. Thank you. An area agency on aging (AAA) is a public or private nonprofit agency designated by a state to address the needs and concerns of all older persons at the regional and local levels. AAAs make it possible for older adults to age in place in their home and communities. 5300 Hiatus Rd. Members shall be appointed by the Board of . endstream endobj startxref Other useful services for home-based care include mobile doctors, X-rays and lab tests, and dialysis; home health aides can help with activities such as bathing, dressing and toileting. Placer County Five-Year Plan for Meeting the Needs of a Growing Senior Population Placer Five-Year Plan for Older Adults - Update 9-14-21 (PDF) The Together We EngAGE campaign collected input from the public and our stakeholders via meetings, community and legislative roundtables, surveys, emails, summits, and Webinar Wednesdays. hb```,|@(l]p a(KJn/d ]'30f@, A Five-Year Plan for Meeting the Needs of a Growing - Placer County, CA Website. To find information about your local programs and services, you may wish to contact a social-services agency in your area. The "4" refers to Planning and Service Area 4 (PSA 4), which includes the seven counties of Nevada, Placer, Sacramento, Sierra, Sutter, Yolo and Yuba.
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