” 2017 California State Department of Social Services (CDSS) State Hearings Division (SHD) Telephone Rosters and More Table of Contents 2017 SHD Official Roster 2 2017 SHD Internal Roster 17 2017 SHD ACA Roster 18 2017 SHD Los Angeles Regional Office 19 2017 SHD San Diego Regional Office 20 SHD First Name Alphabetical Roster 21 SHD Alphabetical ALJ Listings 22 SHD Numerical ALJ Listings 22 58 county appeals representative roster 23 SHD Glossary of County Codes 39 DHCS County and Advocate Contact Numbers 45 Complied by CCWRO Source CDDSS SHD CONTACT: Kevin Aslanian 916-712-0071 email: [email protected]’ Webpage: ccwro.org STATE HEARINGS DIVISION Department of Social Services 1 | P a g e Updated: 1-Feb-17 kn MAIN NUMBER ……………………………………………………………………… 916-657-3550 FAX NUMBER …………………………………………………………………………………. 916-651-6258 Manuel A. Romero ………………………………………………………………………….. 916-657-3550 Chief Administrative Law Judge Eugene Townsend …………………………………………………………………………. 916-657-2331 Executive Assistant When sending mail to these ALJs, please use the MS of their regional office. Training Unit Staff Albert Bresticker …………………………………………………………………………… 213-833-2200 Presiding Judge Agerbek Antonia 610 [email protected] 916-651-0927 Sacramento Benton Kathleen 617 [email protected] 916-651-0927 Sacramento Carlson Lonnie 200 [email protected] 916-661-3802 Sacramento Coony Patrick 300 [email protected] 760-510-4999 San Marcos RA Halko Lisa 619 [email protected] 916-651-5028 Sacramento Maudsley Clare 457 [email protected] 916-653-1878 Sacramento Smaller Deborah 504 [email protected] 760-510-4999 San Marcos Desi Gonzales ……………………………………………………………………………….. 916-661-3804 Staff Services Manager I (Specialist) Support Staff Ginger Stegeman……………………………………………………………………………. 916-661-3803 Staff Services Manager I Chapman Robbie [email protected] 916-651-5368 Rehearings Norris Karen [email protected] 916-651-5373 Rehearings Rogers Malikka [email protected] 916-651-0914 Training CHIEF ADMINISTRATIVE LAW JUDGE’S OFFICE 744 P Street, MS 8-16-50 Sacramento, CA 95814 TRAINING, QUALITY & SPECIAL PROJECT BUREAU 744 P Street, MS 9-17-72 Sacramento, CA 95814 mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] STATE HEARINGS DIVISION Department of Social Services 2 | P a g e Updated: 1-Feb-17 kn Resource Family Approval (RFA) Patrick Burke ………………………………………………………………………………. 916-651-0927 Presiding Judge ALJ II, Specialist Staff Dahlstedt Brian 299 [email protected] 916-651-0927 Sacramento Evans Leslie 728 [email protected] 916-651-0927 Sacramento Honarvar-Rule Hermine 460 [email protected] 213-833-2200 Los Angeles Korson Laura 615 [email protected] 916-651-0927 Sacramento ALJ I Kaviani Mariam 758 [email protected] 916-651-0927 Sacramento Paur Kelly 766 [email protected] 916-651-0927 Sacramento mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] STATE HEARINGS DIVISION Department of Social Services 3 | P a g e Updated: 1-Feb-17 kn MAIN NUMBER ………………………………………………………………………………. 510-622-4000 FAX NUMBER …………………………………………………………………………………. 510-622-4004 TOLL FREE NUMBER ……………………………………………………………………… 866-525-2211 Presiding Administrative Law Judges: Karlen Harmison .. .916-651-5390 Micheal LeLouis.. … .. . 916-651-5390 E-MAIL . [email protected] ALJ Staff Ba\u00f1uelos Jos\u00e9 441 [email protected] 559-431-5660 RA Feutz James 623 [email protected] 510-622-4000 Hunt Caroline 627 [email protected] 510-622-4000 Jamison Linda 747 [email protected] 510-622-4000 Ormasa Newton 315 [email protected] 510-622-4000 Shelton Demetrius 629 [email protected] 510-622-4000 Wilcock Tom 313 [email protected] 510-622-4000 RA Support Staff Doris Bowers …………………………………………………………………………………. 916-651-0896 Staff Services Manager II, Bureau Chief Kim Butler ……………………………………………………………………………………… 916-653-1915 Staff Services Manager I DelRosario Perla [email protected] 510-622-3981 Zhang Jenny [email protected] 510-622-3982 NORTHERN COASTAL OFFICE 1515 Clay Street, Suite 1203, MS 28-02 Oakland, CA 94612 mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] STATE HEARINGS DIVISION Department of Social Services 4 | P a g e Updated: 1-Feb-17 kn MAIN NUMBER ……………………………………………………………………………… 916-651-0927 FAX NUMBER ………………………………………………………………………………… 916-651-2737 TOLL FREE NUMBER …………………………………………………………………….. 866-538-2431 HEARING QUEUE.. . .. 916-651-5494 E-MAIL… [email protected] Doris Bowers …………………………………………………………………………………. 916-651-0896 Staff Services Manager II Kimberly Butler ……………………………………………………………………………… 916-653-1915 Staff Services Manager I Ansell Suzanne [email protected] 916-651-7285 Blevins Kathleen [email protected] Receptionist 916-651-5370 Giffin Nancy [email protected] 916-661-3815 Grant Damarrus [email protected] 916-651-7933 Johnson Joshua [email protected] 916-654-0866 Malek Christina [email protected] 916-651-3487 Pryor Renee [email protected] 916-651-2813 Sharke Kelley [email protected] 916-651-7941 Tuttle Cindy [email protected] Hearing Queue 916-653-1858 Woolensack Judy [email protected] 916-653-1851 RA SCOPE UNIT MAIN NUMBER ………………………………………………………………………………. 916-651-8889 TOLL FREE NUMBER ……………………………………………………………………… 855-266-1157 FAX NUMBER . .916-651-2727 E-MAIL .. [email protected] Crill Kellee [email protected] 916-651-5383 Garcia Salvador [email protected] 916-651-3451 Hutchins Suzanne [email protected] RA Isvak Katherine [email protected] 916-651-5387 McClain Jeremey A. [email protected] 916-651-1095 Nichols Jean A. [email protected] RA Pacol Karen [email protected] 916-651-5372 Sparks Diane L. [email protected] RA Williams Deidra [email protected] 916-651-7932 NORTHERN REGIONAL SUPPORT BUREAU 744 P Street, MS 9-17-44 Sacramento, CA 95814 mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] STATE HEARINGS DIVISION Department of Social Services 5 | P a g e Updated: 1-Feb-17 kn RESOURCE FAMILY APPROVAL (RFA) MAIN NUMBER ………………………………………………………………………………. 916-651-0927 FAX NUMBER ………………………………………………………………………………… 916-657-3126 TOLL FREE NUMBER …………………………………………………………………….. 866-538-2431 E-MAIL .. [email protected] Doris Bowers …………………………………………………………………………………. 916-651-0896 Staff Services Manager II Melissa Tostado ……………………………………………………………………………. 916-651-8272 Staff Services Manager I Carrillo Felicia [email protected] 916-654-0994 Fisher Kelly [email protected] 916-651-2814 Gangler Lindsay [email protected] 916-651-7374 Garcia Rosendo [email protected] 916-651-5359 NORTHERN REGIONAL OPERATIONS Appel Robert [email protected] Receptionist 916-651-5388 Olguin Rocio [email protected] Interpreter Scheduling 916-651-7358 Rios Angelo [email protected] 916-651-5391 Rutherdale Keli [email protected] Transcription 916-651-2799 Seabron Carriene [email protected] Performance measures 916-651-7087 St.Mary Christopher [email protected] 916-661-3554 Taylor Taniesha [email protected] File Room 916-651-7924 White Dina [email protected] Scheduling 916-651-5384 mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] STATE HEARINGS DIVISION Department of Social Services 6 | P a g e Updated: 1-Feb-17 kn MAIN NUMBER FAX NUMB MAIN NUMBER ………………………………………………………………………………. 213-833-2200 TOLL FREE NUMBER ……………………………………………………………………… 866-708-0792 QUEUE DESK NUMBER ………………………………………………………………….. 213-488-6440 FAX NUMBER …………………………………………………………………………………. 213-833-2231 FAX NUMBER …………………………………………………………………………………. 213-833-2230 Dora Luna ……………………………………………………………………………………… 213-833-2200 Ron Mendoza …………………………………………………………………………………. 213-833-2200 Presiding Administrative Law Judges ALJ II, Specialist Staff Alanis Jack 453 [email protected] 213-833-2200 Carroll Andrew 271 [email protected] 213-833-2200 Chambers Onuaku 472 [email protected] 213-833-2200 Lee Vanessa 463 [email protected] 213-833-2200 Mora Ramon 461 [email protected] 213-833-2200 Palomares Eli 468 [email protected] 213-883-2200 Quintiliani Jerry 455 [email protected] 213-833-2200 Rothlisberger Suzanne 462 [email protected] 213-833-2200 Usaha Nu 725 [email protected] 213-833-2200 ALJ I Crisologo William 466 [email protected] 213-833-2200 Daza Tatiana 471 [email protected] 213-833-2200 Huang Jonathan 467 [email protected] 213-833-2200 Meighan Teresa 465 [email protected] 213-833-2200 Palomares Maria 474 [email protected] 213-833-2200 Phan Jennifer 475 [email protected] 213-833-2200 Tello Jose 470 [email protected] 213-833-2200 Zubi Melissa 476 [email protected] 213-833-2200 LOS ANGELES REGIONAL OFFICE 811 Wilshire Blvd., Room 1118, MS 28-01 Los Angeles, CA 90017 mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] STATE HEARINGS DIVISION Department of Social Services 7 | P a g e Updated: 1-Feb-17 kn LOS ANGELES REGIONAL SUPPORT Doris Bowers …………………………………………………………………………………. 916-651-0896 Staff Services Manager II Mike Ceja ……………………………………………………………………………………….. 213-833-2207 Staff Services Manager I Support Staff Harris Joyce [email protected] 213-833-2280 Hernandez Tina [email protected] 213-488-6440 Ross Jynne [email protected] 213-833-2227 Kristina Cooper …………………………………………………………………………….. 213-833-2281 Office Services Supervisor II Pinedo Maria [email protected] 213-488-6441 Rutigliano Antonia [email protected] 213-833-2204 Saldana Enedina [email protected] 213-833-2210 mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] STATE HEARINGS DIVISION Department of Social Services 8 | P a g e Updated: 1-Feb-17 kn MAIN NUMBER ………………………………………………………………………………. 916-653-3836 FAX NUMBER …………………………………………………………………………………. 916-651-5400 Leslie Redfern ……………………………………………………………………………….. 916-661-3578 Staff Services Manager II Ginger Stegeman……………………………………………………………………………. 916-661-3803 Staff Services Manager I FeBenito Chita [email protected] Improper Claimant, Webmaster Password Reset 916-651-5379 Kain Marlene [email protected] IPV-Administrative Disqualification Hearings 916-653-1858 Lawrence Becky [email protected] Penalties 916-651-5381 Stewart Mianca [email protected] Personnel 916-651-5392 ACMS PROJECT Brendon Barnett …………………………………………………………………………….. 916-657-1074 Staff Services Manager I Brown Scott [email protected] 916-657-1070 ADMINISTRATIVE SERVICES BUREAU 744 P Street, MS 9-6-36 Sacramento, CA 95814 mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] STATE HEARINGS DIVISION Department of Social Services 9 | P a g e Updated: 1-Feb-17 kn MAIN NUMBER ………………………………………………………………………………. 916-651-0927 FAX NUMBER …………………………………………………………………………………. 916-651-2737 TOLL FREE NUMBER ……………………………………………………………………… 866-538-2431 Presiding Administrative Law Judges: Juliet Macaulay ………………………………………………………………………………. 916-651-1400 Karlen Harmison .. . 916-651-1400 Micheal LeLouis.. … .. . 916-651-1400 E-MAIL . [email protected] ALJ II, Specialist Staff Hammond Mark 283 [email protected] 916-651-0927 Harper Carole 450 [email protected] 916-651-0927 Huston Debra 612 [email protected] 916-651-0927 Johanson Julise 606 [email protected] 916-651-0927 Kanz Michael 297 [email protected] 916-651-0927 Lobre Deborah 715 [email protected] 916-651-0927 McKeever Casey 285 [email protected] 916-651-0927 O’Hare-Hall Loreen 215 Loreen.O’[email protected] 916-651-0927 RA Shaffer Steve 454 [email protected] 916-651-0927 NORTHERN REGIONAL OFFICE 744 P Street, MS 9-17-44 Sacramento, CA 95814 mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] STATE HEARINGS DIVISION Department of Social Services 10 | P a g e Updated: 1-Feb-17 kn ALJ I Adeniji Kristin 732 [email protected] 916-651-0927 Ball Jeffrey 717 [email protected] 916-651-0927 Bupara Pat 296 [email protected] 916-651-0927 RA Carver Melanie 729 [email protected] 916-651-0927 Clopine Richard 704 [email protected] 916-651-0927 Clopine Lora 295 [email protected] 916-651-0927 Leavengood Elizabeth 618 [email protected] 916-651-0927 Lee Jay W. 718 [email protected] 916-651-0927 Martin Greg 268 [email protected] 916-651-0927 Matulich Wendy 620 [email protected] 916-651-0927 Mitchell Eugenie 616 [email protected] 916-651-0927 Spikener Arlana 730 [email protected] 916-651-0927 Torbert Patty 220 [email protected] 916-651-0927 RA mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] STATE HEARINGS DIVISION Department of Social Services 11 | P a g e Updated: 1-Feb-17 kn MAIN NUMBER ………………………………………………………………………………. 760-510-4999 FAX NUMBER …………………………………………………………………………………. 760-510-4998 TDD NUMBER ………………………………………………………………………………… 760-510-4910 TOLL FREE NUMBER ……………………………………………………………………… 866-388-4427 Anthony Gurrola …………………………………………………………………………….. 760-510-4999 Presiding Administrative Law Judge ALJ II, Specialist Staff Beall Jim 506 [email protected] 760-510-4934 Clark Fredrick 508 [email protected] 760-510-4932 Coony Patrick 300 [email protected] 760-510-4999 RA Hilles Susanne 515 [email protected] 760-510-4707 James Leslie 711 [email protected] 760-510-4999 Lee Douglas 514 [email protected] 760-510-4997 Lenefsky Allan 507 [email protected] 760-510-4930 Sawyerknoll Jo Anne 503 [email protected] 760-510-4933 ALJ I Adler Steven 512 [email protected] 760-510-4999 RA Cooney Patrick 710 [email protected] 760-510-4999 Dorr Justin 517 [email protected] 760-510-4992 Kim Sarah 518 [email protected] 760-510-4936 Porter Adrienne 716 [email protected] 760-510-4999 Turcich Susan [email protected] 760-510-4999 SAN DIEGO REGIONAL OFFICE 338 Via Vera Cruz, 2nd Flr, Ste 280 (MS 28-03) San Marcos, CA 92078 mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] STATE HEARINGS DIVISION Department of Social Services 12 | P a g e Updated: 1-Feb-17 kn SAN DIEGO REGIONAL SUPPORT Doris Bowers …………………………………………………………………………………. 916-651-0896 Staff Services Manager II Mike Ceja ……………………………………………………………………………………….. 213-833-2207 Staff Services Manager I Berry Candace [email protected] 760-510-4911 Heath Lucille [email protected] 760-510-4994 Herrera Marbelia [email protected] 760-510-4993 Longoria Sarah [email protected] 760-510-4999 RA Moore Elaine [email protected] 760-510-4999 mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] STATE HEARINGS DIVISION Department of Social Services 13 | P a g e Updated: 1-Feb-17 kn TOLL FREE NUMBER …………………………………………………………………… 1-800-743-8525 MAIN NUMBER ………………………………………………………………………………. 916-653-3836 FAX NUMBERS ……………………………………………………………………. (Main) 916-651-2789 (Secondary) 916-651-5210 E-MAIL …[email protected] Leslie Redfearn ……………………………………………………………………………… 916-661-3578 Staff Services Manager II Pranesh Chand ………………………………………………………………………………. 916-661-3800 Staff Services Manager I Alvarado Norma [email protected] 916-661-3817 Azevedo Antonio [email protected] Receptionist 916-651-5588 Berrones Vanessa [email protected] 916-661-3813 Carter Ashanti [email protected] 916-653-1891 Chaney Nicko [email protected] 916-661-3550 Cooper Jason [email protected] 916-651-7922 Davis Danny [email protected] 916-651-7923 Goss Terri [email protected] 916-661-3811 Harris Niesha [email protected] 916-661-3805 Hamilton Aisha [email protected] 916-661-3567 Hendler Jana [email protected] 916-661-385 Hernandez Lisa [email protected] 916-661-3819 Jacobs Ricki [email protected] 916-661-3809 Jones Jessica [email protected] 916-661-3562 Levingston Mark [email protected] 916-651-7921 Looper Melady [email protected] 916-661-3548 Lopez Francis [email protected] Bilingual 916-661-3542 MacNish Anneliese [email protected] 916-651-3556 Melanson Laura [email protected] 916-661-3546 Myers John [email protected] 916-661-3544 Najarzadeh Cyrus [email protected] 916-653-1841 Nasarro Janice [email protected] 916-661-3821 Perez Clarissa [email protected] 916-661-3571 Placencia Jamie [email protected] 916-661-3573 Pouncy Keylo [email protected] 916-653-1901 Quilacio Kelly [email protected] 916-661-3564 Reed Rhonda [email protected] 916-651-7925 Saefong Chrissy [email protected] 916-661-3807 Sharma Nilesh [email protected] 916-657-3933 Singh Sangeeta [email protected] 916-653-1919 Urias Norma [email protected] Bilingual 916-661-3552 CUSTOMER SERVICE 744 P Street, MS 9-6-37 Sacramento, California 95814 mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] STATE HEARINGS DIVISION Department of Social Services 14 | P a g e Updated: 1-Feb-17 kn AFFORDABLE CARE ACT BUREAU TOLL FREE NUMBER ……………………………………………………………………… 855-795-0634 MAIN NUMBER ………………………………………………………………………………. 916-653-1882 FAX NUMBER …………………………………………………………………………………. 916-651-2789 E-MAIL [email protected] Presiding Administrative Law Judges: Charles Decuir …916-651-5026 Gerry Agerbek.. ..916-651-5021 ALJ E-MAIL . [email protected] Decisions E-Mail …………………………………………………….. [email protected] ALJ II, Specialist Staff Alencastre Stan 734 [email protected] Battersby Christopher 736 [email protected] Beardsley Nancy 737 [email protected] Boyd Margaret 270 [email protected] Cochrane Michael 752 [email protected] Connors Patricia 738 [email protected] Holmes Jack 739 [email protected] Kaplan Gloria 317 [email protected] McKay Klint 762 [email protected] Melvin Margery 603 [email protected] Miller Christin 741 [email protected] Mueller John 742 [email protected] Samsel Tammy 284 [email protected] Schmidt William 745 [email protected] Shad Iman 751 [email protected] Williams Natalie 608 [email protected] AFFORDABLE CARE ACT BUREAU 744 P Street, MS 9-17-97 Sacramento, CA 95814 AFFORDABLE CARE ACT BUREAU 744 P Street, MS 9-17-97 Sacramento, CA 95814 mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] STATE HEARINGS DIVISION Department of Social Services 15 | P a g e Updated: 1-Feb-17 kn ALJ I Andersen R Lee 719 [email protected] Arambuyo Eleazar 735 [email protected] Barnes Wallace 761 [email protected] Berger Jodie 749 [email protected] Bjork Karin 750 [email protected] Fruchtenicht Karen 765 [email protected] Hunter Alvin 723 [email protected] Kaprielian James 759 [email protected] Kruse Robert 740 [email protected] Mason Alan 753 [email protected] Matsumoto Pamala 714 [email protected] Murphy Catherine 764 [email protected] Ray Michelle 743 [email protected] Reyes Richard 744 [email protected] Riley Mary 763 [email protected] Tuleja Laurine 727 [email protected] Wright Laurie 721 [email protected] Young Serena 746 [email protected] ACA SUPPORT Leslie Redfearn ……………………………………………………………………………… 916-661-3578 Staff Services Manager II Cruz Marisa [email protected] 916-651-5348 Fernandez Melissa [email protected] 916-653-6444 Fong Christina [email protected] 916-661-3579 Shrosphire Danielle [email protected] 916-651-0396 Walker Gayle [email protected] 916-651-5376 Wong Rainbow [email protected] 916-661-3807 Z UNIT Valencia Robyn [email protected] 916-651-5377 mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] ***Do not give out personal phone numbers to the public*** Revised 1-Feb-17.kn STATE HEARINGS ADMINISTRATION MS 8-16-50 STATE HEARINGS SUPPORT SECTION MS 9-17-37 Manuel Romero, Chief ALJ 657-3550 Main Number 653-3836 Eugene Townsend (Exec. Asst.) 657-2331 Toll-Free 1-800-743-8525 FAX 651-6258 FAX (Main) 651-2789 (Secondary) 651-5210 NORTHERN REGIONAL OFFICE MS 9-17-44 Email Address [email protected] Main Phone 651-0927 CUSTOMER SERVICE UNIT Toll Free 1-866-538-2431 Pranesh Chand 661-3580 FAX 651-2737 Francis Lopez (Sp) 661-3542 Hearing Queue 651-5494 Ricki Jacobs 661-3809 E-mail Address [email protected] Jessica Jones 661-3562 Karlen Harmison, PJ 651-5390 John Myers 661-3544 Michael LeLouis, PJ 651-5390 Laura Melanson 661-3546 ALJ E-mail Address [email protected] Melady Looper 661-3548 Doris Bowers, SSM II, Bureau Chief 651-0896 Nicko Chaney 661-3550 Kimberly Butler (SSM I) 653-1915 Norma Urias (Sp) 661-3552 Christina Malek 651-3487 Danny Davis 651-7923 Cindy Tuttle Hearing Queue 653-1858 Jason Cooper 651-5389 Damarrus Grant 651-7933 Mark Levingston 651-7921 Joshua Johnson 654-0866 Rhonda Reed 651-7925 Judy Woolensack 653-1851 Antonio Azevedo Receptionist-ACA 651-5588 Kathleen Blevins Receptionist-NVO 651-5370 Ashanti Carter 653-1891 Kelley Sharke 651-7941 Cyrus Najarzadeh 653-1841 Nancy Giffin 661-3815 Jana Hendler 651-7935 Renee Pryor 651-2813 Kelly Quilacio 661-3564 Suzanne Ansell 651-7285 Keylo Pouncy 653-1901 SCOPE UNIT MS 9-17-36 Nilesh Sharma 651-3933 Main Number 651-8889 Sangetta Singh 653-1919 Toll Free 1-855-266-1157 ADMINISTRATIVE SERVICES MS 9-6-36 SCOPE FAX 651-2727 Leslie Redfern (SSM II) 661-3578 E-mail Address [email protected] Main Phone 653-3836 Kimberly Butler (SSM I) 653-1915 FAX 651-5201 Deidra Williams 651-7932 Desi Gonzales (SSM I) Specialist 661-3804 Jeremey McClain 651-1095 Ginger Stegeman (SSM I) 661-3803 Karen Pacol 651-5372 Becky Lawrence Penalties 651-5381 Katherine Isvak 651-5387 Karen Norris Rehearings\/ParaRegs 651-5373 Kellee Crill 651-5383 Malikka Rogers Training Bureau 651-0914 Salvador Garcia 651-3451 Mianca Stewart Personnel 651-5392 NORTHERN REGIONAL OPERATIONS Robbie Chapman Rehearings 651-5368 Melissa Tostado (SSM I) 651-8272 Chita Fe Benito Improper Claimant 651-5379 Angelo Rios 651-5391 Webmaster Password Reset Carriene Seabron Performance Measures 651-7087 Marlene Kain IPV-Disqualification Hearings 651-5375 Christopher St. Mary 651-3554 REGIONAL OFFICES Dina White Scheduling 651-5384 NORTHERN COASTAL R\/O MS 28-02 Keli Rutherdale Transcriptionist 651-2799 Main Number 510-622-4000 Robert Appel Receptionist 651-5388 Toll Free 1-866-525-2211 Rocio Olguin Interpreter Sched., DPCO\/ 651-7358 FAX 510-622-4004 Taniesha Taylor File Room 651-7924 Kimberly Butler (SSM I) 653-1915 RESOURCE FAMILY APPROVALS (RFA) MS 9-17-36 Karlen Harmison, Michael LeLouis 651-1400 Main Number 651-0927 LOS ANGELES REGIONAL OFFICE MS 28-01 Toll Free 1-866-538-2431 Main Number 213-833-2200 RFA FAX 651-2737 Toll Free 1-866-708-0792 E-mail Address [email protected] FAX 213-833-2231 Melissa Tostado (SSM I) 651-8272 Mike Ceja (SSM I) 213-833-2207 Felicia Carrillo 654-0994 Dora Luna, Juliet Macaulay-PJs 213-833-2208 Kelly Fisher 651-2814 E-mail Address [email protected] Lindsay Gangler 651-7374 SAN DIEGO REGIONAL OFFICE MS 28-03 Rosendo Garcia 651-5359 Main number 760-510-4999 INFORMATION SYSTEMS DIVISION SERVICE DESK (ISD) Toll Free 1-866-388-4427 HELP DESK: [email protected] FAX 760-510-4998 651-5333 Mike Ceja (SSM I) 213-833-2207 APPEALS CASE MANAGEMENT SYSTEM MS 9-16-64 Anthony Gurrola, PJ 760-510-4999 Leslie Redfern (SSM II) 661-3578 Telecommunication Brendon Barnett (SSM I) 657-1074 Phone\/Video Issues Email: [email protected] Scott Brown 657-1070 SFT Issues Email: [email protected] STATE HEARINGS DIVISION INTERNAL ROSTER mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] STATE HEARINGS ADMINISTRATION MS 8-16-50 Manuel Romero, Chief ALJ 657-3550 Eugene Townsend (Exec. Asst.) 657-2331 FAX 651-6258 Affordable Care Act Bureau MS 9-6-97 Main Phone 916-653-1882 Toll Free 1-855-795-0634 FAX 651-2789 E-mail Address [email protected] Decisions E-mail Address [email protected] Presiding Administrative Law Judges (PALJ) ACAB PALJ Shared phone line 916-651-5029 Charles Decuir, PJ 651-5026 Gerry Agerbek, PJ 651-5021 ALJ E-mail Address [email protected] Leslie Redfearn (SSM II) 661-3578 Pranesh Chand (SSM I) 661-3580 Antonio Azevedo (Receptionist) 651-5588 Customer Service Phone Agents Anneliese Macnish 651-3556 Aisha Hamilton 661-3567 Chrissy Saefong 661-3807 Clarissa Perez 661-3571 Janice Nasarro 661-3821 Jamie Placencia 661-3573 Lisa Hernandez 661-3819 Niesha Harris 661-3805 Norma Alvarado 661-3817 Terri Goss 661-3811 Vanessa Berrones 661-3813 Analyst Team Christina Fong 661-3579 Danielle Shropshire 651-0396 Gayle Walker 661-3576 Melissa Fernandez 653-6444 Rainbow Wong 651-3575 Z Unit MS 9-6-36 Marisa Cruz 651-5348 Robyn Valencia 651-5377 Revised 1-Feb-17 KN ***Do not give out personal phone numbers to public*** STATE HEARINGS DIVISION ACA INTERNAL ROSTER mailto:[email protected] LOS ANGELES REGIONAL OFFICE STATE HEARINGS ADMINISTRATION MS 8-16-50 Manuel Romero, Chief ALJ 916-657-3550 Eugene Townsend (Exec. Asst.) 916-657-2331 FAX 916-651-6258 Los Angeles Regional Office MS 28-01 Main Phone 213-833-2200 Toll Free 1-866-708-0792 QUEUE DESK NUMBER 213-488-6440 FAX NUMBER 213-833-2231 FAX NUMBER 213-833-2230 E-mail Address Dora Luna, Juliet Macaulay – PJs 213-833-2200 ALJ E-mail Address [email protected] Doris Bowers, SSM II, Bureau Chief 916-651-0896 Mike Ceja (SSM I) 213-833-2207 Joyce Harris 213-833-2280 Jynne Ross 213-833-2227 Tina Hernandez 213-488-6440 Kristina Cooper, Office Services Supervisor II 213- 833-2281 Antonia Rutigliano 213-833-2204 Enedina Saldana 213-833-2210 Maria Pinedo 213-488-6441 REGIONAL OFFICES NORTHERN VALLEY OFFICE MS-9-17-44 Main Phone 916-651-0927 Toll Free 1-866-538-2431 FAX 916-651-2737 Hearing Que 916-651-5494 Email Address: SHDCentral [email protected] Karlen Harmison, Michael Lelouis 916-651-1400 NORTHERN COASTAL R\/O MS 28-02 Main Number 510-622-4000 Toll Free 1-866-525-2211 FAX 510-622-4004 Karlen Harmison, Michael Lelouis 916-651-1400 SAN DIEGO REGIONAL OFFICE MS-28-03 Main Number 760-510-4999 Toll Free 866-388-4427 FAX 760-510-4998 Mike Ceja (SSM I) 213-833-2207 Anthony Gurrola, PJ 760-510-4999 Public Inquiry & Response (PIAR) Unit PIAR Toll Free 1-800-952-5253 PIAR Phone number 916-651-8848 PIAR Fax Number 916-651-8866 Other Important phone numbers Global Interpreting Dept. ID SHD100 1-855-254-5023 Revised 1-Feb-17 KN ***Do not give out personal phone numbers to public*** STATE HEARINGS DIVISION INTERNAL ROSTER mailto:[email protected] SAN DIEGO REGIONAL OFFICE STATE HEARINGS ADMINISTRATION MS 8-16-50 Manuel Romero, Chief ALJ 916-657-3550 Eugene Townsend (Exec. Asst.) 916-657-2331 FAX 916-651-6258 San Diego Regional Office MS 28-03 Main Phone 760-510-4999 Toll Free 1-866-388-4427 FAX 760-510-4998 TDD Number 760-510-4910 E-mail Address Anthony Gurrola, PJ 760-510-4999 ALJ E-mail Address Doris Bowers, SSM II, Bureau Chief 916-651-0896 Mike Ceja (SSM I) 213-833-2207 Candace Berry 760-510-4911 Elaine Moore 760-510-4996 Lucille Heath 760-510-4995 Marbelia Herrera 760-510-4993 Sarah Longoria RA 760-510-4999 REGIONAL OFFICES NORTHERN VALLEY OFFICE MS-9-17-44 Main Phone 916-651-0927 Toll Free 1-866-538-2431 FAX 916-651-2737 Hearing Que 916-651-5494 Email Address: SHDCentral [email protected] Karlen Harmison, Michael Lelouis 916-651-1400 NORTHERN COASTAL R\/O MS 28-02 Main Number 510-622-4000 Toll Free 1-866-525-2211 FAX 510-622-4004 Karlen Harmison, Michael Lelouis 916-651-1400 LOS ANGELES REGIONAL OFFIC MS 28-01 Main Number 213-833-2200 Toll Free 1-866-708-0792 FAX 213-833-2231 Mike Ceja (SSM I) 213-833-2207 Dora Luna, PJ 213-833-2208 Public Inquiry & Response (PIAR) Unit PIAR Toll Free 1-800-952-5253 PIAR Phone number 916-651-8848 PIAR Fax Number 916-651-8866 Other Important phone numbers Global Interpreting Dept. ID SHD100 1-855-5023 Revised 1-Feb-17 KN ***Do not give out personal phone numbers to public*** STATE HEARINGS DIVISION INTERNAL ROSTER ***Do not give out personal phone numbers to public*** Rev: Feb-17 KN Aisha Hamilton 661-3567 Keli Rutherdale 651-2799 Angelo Rios 651-1539 Kellee Crill 651-5383 Anneliese Macnish 651-3556 Kelley Sharke 651-7941 Antonio Azevedo (ACA Receptionist) 651-5588 Kelly Fisher 651-2814 Ashanti Carter 653-1891 Kelly Quilacio 661-3564 Becky Lawrence 651-5381 Keylo Pouncy 653-1901 Brendon Barnett (SSM I) ACMS 657-1074 Kimberly Butler (SSM I) 653-1915 Carriene Seabron 651-7087 Laura Melanson 661-3546 Charles Decuir, PJ 651-5026 Leslie Redfearn (SSM II) 661-3578 Chita Fe Benito 651-5379 Lindsay Gangler 651-7374 Chrissy Saefong 661-3807 Lisa Hernandez 661-3819 Christina Fong 661-3579 Lonnie Carlson, PJ 661-3802 Christina Malek 651-3487 Malikka Rogers 651-0914 Christopher St. Mary 661-3554 Marisa Cruz 651-5348 Clarissa Perez 661-3571 Mark Levingston 651-7921 Cindy Tuttle 653-1858 Marlene Kain (IPV) 651-5375 Cyrus Najarzadeh 661-7921 Melady Looper 661-3548 Damarrus Grant 651-7933 Melissa Fernandez 653-6444 Danielle Shrosphire 651-0396 Melissa Tostado (SSM I) 651-8272 Danny Davis 651-7923 Mianca Stewart (Personnel) 651-5392 Deidra Williams 651-7932 Micheal LeLouis (PJ) 651-1400 Desi Gonzales (SSM I) Specialist 661-3804 Nancy Giffin 661-3815 Dina White 651-5384 Nicko Chaney 661-3550 Doris Bowers (SSM II) 651-0896 Niesha Harris 661-3805 Eugene Townsend (Exec. Asst.) 657-2331 Nilesh Sharma 651-3933 Felicia Carrillo 654-0994 Norma Alvarado 661-3817 Francis Lopez (Sp) 661-3542 Norma Urias (Sp) 661-3552 Gayle Walker 661-3576 Pranesh Chand (SSM I) 661-3580 Gerry Agerbek (PJ) 651-5021 Rainbow Wong 661-3807 Ginger Stegeman (SSM I) 661-3803 Renee Pryor 651-2813 Jana Hendler 651-7935 Rhonda Reed 651-7925 Janice Nasarro 661-3821 Ricki Jacobs 661-3809 Jason Cooper 651-7922 Robbie Chapman (Rehearings) 651-5368 Jamie Placenia 661-3573 Robert Appel (Receptionist) 651-5388 Jeremey A. McClain 651-1095 Robyn Valencia 651-5377 Jessica Jones 661-3562 Rocio Olguin (Interpreter scheduling) 651-7358 John Myers 661-3544 Rosendo Garcia 651-5359 Joshua Johnson 654-0866 Salvador Garcia 651-3451 Judy Woolensack 653-1851 Sangeeta Singh 653-1919 Karen Norris 651-5373 Scott Brown ACMS 657-1070 Karen Pacol 651-5372 Suzanne Ansell 651-7285 Karlen Harmison (PJ) 651-1400 Taniesha Taylor (File Room) 651-7924 Katherine Isvak 651-5387 Terri Goss 661-3804 Kathleen Blevins 651-5370 Vanessa Berrones 661-3813 STATE HEARINGS DIVISION INTERNAL USE ONLY FRONT DESK 653-3836 Manuel Romero, Chief ALJ 657-3550 *Retired Annuitant 1 Feb.17 A ACA B BARO D DHB L LARO N NVO S SDRO T TQD&SP State Hearings Division Alphabetical ALJ Listing 732 Adeniji, Kristin N 512 Adler, Steven S 703 Admin. Dismiss 610 Agerbek, Antonia N 607 Agerbek, Gerry A 453 Alanis, Jack L 734 Alencastre, Stan A 719 Andersen, R Lee A 735 Aramburo, Eleazar A 717 Ball, Jeffrey N 441* Ba\u00f1uelos, Jos\u00e9 B 761 Barnes, Wallace A 736 Battersby, Christopher A 506 Beall, James S 737 Beardsley, Nancy A 617 Benton, Kathleen T 749 Berger, Jodie A 420* Bernstein, Barry T 750 Bjork, Karin A 270 Boyd, Margaret D 276 Bresticker, Albert T 308 Buccat, Betty N 296* Bupara, Patrick N 609 Burke, Patrick T 200* Carlson, Lonnie D 271 Carroll, Andrew L 729 Carver, Melanie N 472 Chambers, Onuaku L 508 Clark, Frederick S 295 Clopine, Lora N 704 Clopine, Richard N 752 Cochrane, Michael A 738 Connors, Patricia Lee A 710 Cooney, Patrick S 300* Coony, Patrick S 466 Crisologo, William L 299 Dahlstedt, Brian N 471 Daza, Sandra L 290 DeCuir, Charles A 517 Dorr, Justin S 509 Eastham, Gilford S 728 Evans, Leslie N 623 Feutz, James B 765 Fruchtenicht, Karen A 702 Fully Favorable 502 Gurrola, Anthony S 619 Halko, Lisa N 283 Hammond, Mark N 279 Harmison, Karlen N 450 Harper, Carol N 515 Hilles, Susanne S 739 Holmes, Jack A 460 Honarvar-Rule, Hermine L 467 Huang, Jonathan L 294 Hulse, Kenneth N 627 Hunt, Caroline B 723 Hunter, Alvin A 612 Huston, Debra N 711 James, Leslie S 747 Jamison, Linda B 606 Johanson, Julise N 297 Kanz, Michael N 317 Kaplan, Gloria D 759 Kaprielian, James A 758 Kaviani, Mariam A 518 Kim, Sarah S 615 Korson, Laura N 740 Kruse, Robert A 618 Leavengood, Elizabeth N 514 Lee, Douglas S 463 Lee, Vanessa W. L 718 Lee, W. Jay N 291 LeLouis, Michael N 507 Lenefsky, Alan S 715 Lobre, Deborah N 464 Luna, Dora L 707 Macaulay, Juliet N 513 Manion, Nancy S 268 Martin, Gregory N 753 Mason, Alan K. A 714 Matsumoto, Pamala A 620 Matulich, Wendy N 457 Maudsley, Clare T 762 McKay, Klint J. A 285 McKeever, Casey N 465 Meighan, Teresa L 603 Melvin, Margery D 451 Mendoza, Ronald L 741 Miller, Christin A 616 Mitchell, Eugenie N 461 Mora, Ramon L 742 Mueller, John A 764 Murphy, Catherine A 215* O’Hare-Hall, Loreen N 315 Ormasa, Newton B 468 Palomares, Eli L 474 Palomares, Maria L 766 Paur, Kelly N 475 Phan, Jennifer L 716 Porter, Adrienne S 455 Quintiliani, Jerry L 743 Ray, Michelle A 744 Reyes, Richard A 763 Riley, Mary K. A 109 Romero, Manuel H 293 Ross, Eric N 462 Rothlisberger, Suzanne L 284 Samsel, Tammy D 503 SawyerKnoll, Jo Anne S 745 Schmidt, William A 751 Shad, Iman A 454 Shaffer, Steve N 629 Shelton, Demetrius B 504 Smaller, Deborah T 730 Spikener, Arlana N 700 Stipulated Decisions 470 Tello, Jos\u00e9 L 220* Torbert, Patty N 727 Tuleja, Laurine A 520 Turcich, Susan S 725 Usaha, Nu L 313* Wilcock, Tom B 608 Williams, Natalie A 721 Wright, Laurie A 746 Young, Serena A 701 Z Cases – Decisions 476 Zubi, Melissa L *Retired Annuitant 1.Feb.17 A ACA B BARO D DHB L LARO N NVO S SDRO T TQD&SP State Hearings Division Numerical ALJ Listing 109 Romero, Manuel H 200* Carlson, Lonnie D 215* O’Hare-Hall, Loreen N 220* Torbert, Patty N 268 Martin, Gregory N 270 Boyd, Margaret D 271 Carroll, Andrew L 276 Bresticker, Albert T 279 Harmison, Karlen N 283 Hammond, Mark N 284 Samsel, Tammy D 285 McKeever, Casey N 290 DeCuir, Charles A 291 LeLouis, Michael N 293 Ross, Eric N 294 Hulse, Kenneth N 295 Clopine, Lora N 296* Bupara, Patrick N 297 Kanz, Michael N 299 Dahlstedt, Brian N 300* Coony, Patrick S 308 Buccat, Betty N 313* Wilcock, Tom B 315 Ormasa, Newton B 317 Kaplan, Gloria D 420* Bernstein, Barry T 441* Ba\u00f1uelos, Jos\u00e9 B 450 Harper, Carol N 451 Mendoza, Ronald L 453 Alanis, Jack L 454 Shaffer, Steve N 455 Quintiliani, Jerry L 457 Maudsley, Clare D 460 Honarvar-Rule, Hermine L 461 Mora, Ramon L 462 Rothlisberger, Suzanne L 463 Lee, Vanessa W. L 464 Luna, Dora L 465 Meighan, Teresa L 466 Crisologo, William L 467 Huang, Jonathan L 468 Palomares, Eli L 470 Tello, Jos\u00e9 L 471 Daza, Tatiana L 472 Chambers, Onuaku L 474 Palomares, Maria L 475 Phan, Jennifer L 476 Zubi, Melissa L 502 Gurrola, Anthony S 503 SawyerKnoll, Jo Anne S 504 Smaller, Deborah T 506 Beall, James S 507 Lenefsky, Alan S 508 Clark, Frederick S 509 Eastham, Gilford S 512 Adler, Steven S 514 Lee, Douglas S 515 Hilles, Susanne S 517 Dorr, Justin S 518 Kim, Sarah S 520 Turcich, Susan S 603 Melvin, Margery D 606 Johanson, Julise N 607 Agerbek, Gerry N 608 Williams, Natalie N 609 Burke, Patrick N 610 Agerbek, Antonia N 612 Huston, Debra N 615 Korson, Laura N 616 Mitchell, Eugenie N 617 Benton, Kathleen T 618 Leavengood, Elizabeth N 619 Halko, Lisa N 620 Matulich, Wendy N 623 Feutz, James B 627 Hunt, Caroline B 629 Shelton, Demetrius B 700 Stipulated Decisions 701 Z Cases – Decisions 702 Fully Favorable 703 Admin. Dismiss 704 Clopine, Richard N 707 Macaulay, Juliet N 710 Cooney, Patrick S 711 James, Leslie S 714 Matsumoto, Pamala A 715 Lobre, Deborah N 716 Porter, Adrienne S 717 Ball, Jeffrey N 718 Lee, W. Jay N 719 Andersen, Lee A 721 Wright, Laurie A 723 Hunter, Alvin A 725 Usaha, Nu L 727 Tuleja, Laurine A 728 Evans, Leslie N 729 Carver, Melanie N 730 Spikener, Arlana N 732 Adeniji, Kristin N 734 Alencastre, Stan A 735 Aramburo, Eleazar A 736 Battersby, Christopher A 737 Beardsley, Nancy A 738 Connors, Patricia Lee A 739 Holmes, Jack A 740 Kruse, Robert A 741 Miller, Christin A 742 Mueller, John A 743 Ray, Michelle A 744 Reyes, Richard A 745 Schmidt, William A 746 Young, Serena A 747 Jamison, Linda B 749 Berger, Jodie A 750 Bjork, Karin A 751 Shad, Iman A 752 Cochrane, Michael A 753 Mason, Alan K. A 758 Kaviani, Mariam A 759 Kaprielian, James A 761 Barnes, Wallace A 762 McKay, Klint J. A 763 Riley, Mary K. A 764 Murphy, Catherine A 765 Fruchtenicht, Karen A 766 Paur, Kelly N Page 1 Revised 1.Feb.17 kn County Roster 1 Alameda County Social Services Agency 7751 Edgewater Dr. Oakland, CA 94621 Fax: (510) 777-2699 Telephone: (510) 208-0995 Supervisor: Delia Duran\/Tano Gallegos Hearing Address: 2000 San Pablo Avenue, 2nd Floor Oakland, CA 94612 Tano Gallegos, Supervisor (510) 891-5669 [email protected] Delia Duran, Supervisor (510) 891-5668 [email protected] Janet Santiago, Clerk II (Hrg Req A-L) (510) 891-5688 Belinda Ambrosini,Clerk II (Hrg Req M-Z) (510) 891-5689 Jessica Haven, Clerk II (ACA~A-L) (510) 891-5690 Ana Zepeda, Clerk II (ACA~M-Z) (510) 891-5755 2 Alpine County Alpine County Health & Human Services Agency Department of Social Services 75-A Diamond Valley Road Markleeville, CA 96120 Fax: (530) 694-2252 Telephone: (530) 694-2235 Hearing Address: 75-A Diamond Valley Road Markleeville, CA 96120 Gabriel Chavarin, Appeals Contact (530) 694-2235 x 224 [email protected] Nichole Williamson, CAO (530) 694-2235 x 233 [email protected] 3 Amador County Amador County Department of Social Services 10877 Conductor Blvd. Sutter Creek, CA 95685 Fax: (209) 257-0242 Telephone: (209) 223-6550 Supervisor: Debbie Fuller Hearing Address: 10877 Conductor Blvd. Sutter Creek, CA 95685 Debbie Fuller (209) 223-6500 x 815 [email protected] Patsy Barnett (209) 223-6619 [email protected] 4 Butte County Butte County Department of Social Services P. O. Box 1649 Oroville, CA 95965 Fax: (530) 534-5745 Telephone: (530) 538-5127 Supervisor: Donna Hottinger Hearing Address: 202 Mira Loma Drive Oroville, CA 95965 Donna Hottinger (530) 538-5127 [email protected] Yvonne Klajbor (530) 538-7116 [email protected] Diana Lelati (530) 538-7181 [email protected] Cheryl Clark (530) 538-7115 [email protected] Nancy Dent (530) 538-7176 [email protected] 5 Calaveras County Calaveras Work and Human Services Agency 509 E. St. Charles St. San Andreas, CA 95249 Fax: (209) 754-4536 Telephone: (209) 754-6444 Supervisor: Brian Galicia Hearing Address: 509 E. St. Charles St. San Andreas, CA 95249 Brian Galicia, Appeals Supervisor (209) 754-6872 [email protected] Sara Davis, Backup Supervisor (209) 754-6873 [email protected] **DIRECTIONS: Enter back of building, corner of Hwy.49 and Mountain Ranch Road ** mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] Page 2 Revised 1.Feb.17 kn County Roster 6 Colusa County County of Colusa Department of Social Welfare 251 East Webster Street Colusa, CA 95932 Fax: (530) 458-0492 Telephone: (530) 458-0250 Supervisor: Alexandra Elguez Hearing Address: 251 East Webster Street Colusa, CA 95932 Alexandra Elguez (530) 458-0262 [email protected] Linda Rudge, Hearing Representative Primary (530) 458-0260 [email protected] Terri Selover, Hearing Representative Backup (530) 458-0261 [email protected] 7 Contra Costa County Contra Costa County Appeals Unit 400 Ellinwood Way Pleasant Hill CA 94523-7785 Fax: (925) 677-2915 Telephone: (925) 677-2900 Supervisor: Yrma Z. Villarreal Hearing Address: 400 Ellinwood Way Pleasant Hill, CA 94523-7785 Yrma Z. Villarreal, Supervisor (925) 677-2910 [email protected] Mary Anne Marks, Senior Clerk Hearings Requests Alpha: A thru J (925) 677-2902 [email protected] Fred Routt, Appeals Clerk Hearings Requests Alpha: K thu Z (925) 677-2907 [email protected] Compliances: Bruce Dibley, Appeals Specialist (925) 677-2908 [email protected] 8 Del Norte County Del Norte County Department of Health and Social Services 880 Northcrest Drive Crescent City, CA 95531 Fax: (707) 465-1783 Telephone: (707) 464-3191 Ext 2615 Supervisor: Cathi Strait Hearing Address: 880 Northcrest Drive Crescent City, CA 95531 Rebecca Green, Hearing Supervisor (707) 464-3191 Ext. 2611 [email protected] Cathi Strait, Hearings Supervisor Back-up (707) 464-3191 Ext. 2644 Dana Green, Hearings Representative (707) 464-3191 Ext. 2615 [email protected] 9 El Dorado County El Dorado County Department of Human Services 3057 Briw Road Placerville, CA 95667 Fax: (530) 626-7734 Telephone: (530) 642-7300 Supervisor: Nicole Nelson Hearing Address: 3057 Briw Road Placerville, CA 95667 Nicole Nelson, Supervisor (530) 642-7129 [email protected] Marci Kinnear-Hughes, Hearing Rep (530) 642-7357 [email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] Page 3 Revised 1.Feb.17 kn County Roster 10 Fresno County Fresno County Department of Social Services P. O. Box 1912 Fresno, CA 93750 Fax: (559) 600-2800 Telephone: (559) 600-6212 General Email: [email protected] Supervisor: Lydia Santana (559) 600-2801 Hearing Address: 4499 E. Kings Canyon Road Fresno, CA 93702 Appeals Representatives Julia Nida (#13) (559) 600-2813 Heberto Sanchez (#16) (559) 600-2814 Carol Tamblin (#17) (559) 600-2805 Enriqueta Martinez (#19) (559) 600-2807 Todd Hines (#20) (559) 600-2804 Sahn Teurn (#22) (559) 600-2809 Tammy Edgell (#14) (559) 600-2810 Bao Chang (#18) (559) 600-2803 Maria Flores (#24) (559) 600-2493 Nhia Yang (#11) (559) 600-2811 Melina Zarate (#12) (559) 600-2812 Clerical Mireya Ruiz Hearing Calendar (559) 600-2820 [email protected] Lorena Gaza (559) 600-2820 [email protected] Hearing Room 1 (559) 600-2816 Hearing Room 2 video (559) 600-2815 11 Glenn County Glenn County Human Resources Agency P. O. Box 611 Willows, CA 95988 Fax: (530) 934-6909 Telephone: (530) 934-6518 Supervisor: Ernest Peters Hearing Address: 420 East Laurel Willows, CA 95988 Ernest Peters (530) 934-1419 [email protected] Lawrence Smith (530) 934-1416 [email protected] 12 Humboldt County Humboldt County Dept. of Health and Human Svcs. 605 K Street Eureka CA 95501 Fax: (707) 268-3496 Telephone: (707) 388-6336 Supervisor: Steve Cordero Hearing Address: 605 K Street Eureka, CA 95501 Main Desk: (707) 388-6342 Steve Cordero (707) 388-6336 [email protected] Natalie Streit (707) 388-6329 Tricia Whitener (707) 388-6334 Haley Schandelmier (707) 388-6333 Jacob Coan (707) 388-6335 Zachary O’Hanen (707) 388-6332 Todd Rowe (707) 388-6331 13 Imperial County Imperial County Department of Social Services 2995 South 4th Street, Suite 105 El Centro, CA 92243 Fax: (760) 337-5716 Telephone: (760) 337-6800 Supervisor: Enrique Nu\u00f1ez Hearing Address: 2995 South 4th Street, Ste. 105 El Centro, CA 92243 Enrique Nu\u00f1ez, Senior Staff Analyst (760) 337-7437 [email protected] Milissa Castillo, Office Assistant III Hearings Clerk (760) 337-6834 [email protected] Martha Lara Ramirez, Hearing Rep (760) 337-7416 [email protected] Quenna Palacio, Hearing Rep (760) 337-6849 [email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] Page 4 Revised 1.Feb.17 kn County Roster 14 Inyo County Inyo County Dept. of Health and Human Services 920 N. Main Street Bishop, CA 93514 Fax: (760) 872-4950 Telephone: (760) 872-1394 Supervisor: Becky Allen Hearing Address: Reg.00: 920 N. Main Street Bishop, CA 93514 Other hearing Reg. 01: 380 Mt. Whitney Drive Location: Lone Pine, CA 93545 Reg. 01: (760) 876-5545 Fax: (760) 876-5127 Becky Allen (760) 872-1394 [email protected] Marilyn Mann (760) 872-2375 [email protected] 15 Kern County Department of Human Services 3711 Columbus Street Bakersfield, CA 93306 (Effective 12\/19\/16) Fax: (661) 631-6370 Telephone: (661) 631-6015 Supervisor: Aaron Zavala Hearing Address: 3711 Columbus St. Bakersfield, CA 93306 Shawna Mimnaugh, Assistant Program Director [email protected] (661) 873-2821 Aaron Zavala, Appeals Unit Supervisor [email protected] (661) 873-2589 Veronica Jimenez OST Appeals Unit [email protected] (661) 873-2594 David Anderson, Appeals Rep (661) 873-2594 Adrian Goldsberry, Appeals Rep (661) 873-2593 Genesse Menjivar, Appeals Rep (661) 873-2591 Melissa Flores, Appeals Rep (661) 873-2592 Micaella Vinton, Appeals Rep (661) 873-2595 IHSS Appeals Reps. IHSS Supervisor Colleen Philley (661) 868-1094 [email protected] Taide Melchor-Gonzalez (661) 868-1076 [email protected] Mayra Aguilera (661) 868-1074 [email protected] IHSS Fax (661) 868-0922 16 Kings County Kings County Human Services Agency 1400 W. Lacey Blvd. #8 Hanford, CA 93230 Fax: (559) 584-2749 Telephone: (559) 582-3241 Supervisor: Maricruz Clement Hearing Address: 1400 W. Lacy Blvd. #8 Hanford, CA 93230 Maricruz Clement, Superivsor (559) 852-4479 [email protected] Lupe Villa (559) 582-4898 [email protected] Anthony Yun (559) 852-2255 [email protected] 17 Lake County Lake County Department of Social Service P. O. Box 9000 Lower Lake, CA 95457 Supervisor: Charise Reynolds (MC, MAGI MC, MCR, CW, CF Hearings) Telephone: (707) 995-4365 Fax: (707) 995-4253 Hearing Location: 15975 Anderson Park Ranch Lower Lake, CA 95457 Supervisor: Sandy Davis (IHSS Hearings) Telephone: (707) 995-4653 Fax: (707) 995-4662 Hearing Location: 16170 Main Street #D Lower Lake, CA 95457 Supervisor: Leila Haddad (Harris Hearings) Telephone: (707) 262-4542 Fax: (707) 262-0299 Hearing Location: 926 S. Forbes Street Lakeport, CA 95453 Lake County Continued mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] Page 5 Revised 1.Feb.17 kn County Roster Lake County Continued MN, CW, FS Hearings (Medi-Cal, MAGI Medi-Cal, HCR, CalWORKS and CalFresh) Hearing Address: 15975 Anderson Ranch Parkway Lower Lake, CA 95457 Hearing Room Phone: (707) 995-4340 Fax: (707) 995-4253 Hearing Representatives: Chrissy Adams (#307) (707) 995-4307 [email protected] John Geib (#231) (707) 995-4231 [email protected] Christina Lloyd (#353) (707) 995-4353 [email protected] Vanessa Mayer (#348) (707) 995-4348 [email protected] Jonette Moffett (#333) (707) 995-4333 [email protected] Charise Reynolds (#250) (707) 995-4250 [email protected] Nathan Spangler (#342) (707) 995-4342 [email protected] Stacey Sawdey (707) 995-4245 [email protected] In-Home Support Services Hearings (IHSS) Hearing Address: 16170 Main St. #D Lower Lake, CA 95457 Hearing Room Phone: (707) 995-4679 Fax: (707) 995-4662 Sandy Davis, Supervisor (#029) (707) 995-4653 [email protected] Child Welfare Services (CWS), Harris Hearings Hearing Address: 926 S. Forbes Street Lakeport, CA 95453 Hearing Room Phone: (TBA) Fax: (707) 262-0299 Leila Haddad, Supervisor (#542) (707) 262-4542 [email protected] Les Deter (#526) (707) 262-4526 [email protected] 18 Lassen County Lassen County Welfare Department P. O. Box 1359 Susanville, CA 96130 Fax: (530) 251-8149 Telephone: (530) 251-2637 Supervisor: Leah Benbow Hearing Address: 720 Richmond Road Susanville, CA 96130 Other hearing: 1616 Chestnut Street Location Susanville, CA 96130 Leah Benbow, Hearings Coordinator (530) 251-2637 [email protected] 19 Los Angeles County Los Angeles County Dept. of Public Social Svcs. 3833 S. Vermont Ave. 4th Floor Los Angeles, CA 90037 Fax: (323) 730-5892 Telephone: (323) 730-6547 Supervisor: Hearing Address: 811 Wilshire Blvd. Suite 1118 Los Angeles, CA 90017 Hearing Site Phone: (213) 833-2270 Hearing Site Fax: (213) 833-2215 Jesus Guevara (323) 730-6548 Scheduling, Control Systems, ATS [email protected] Susana Barrios (323) 730-6554 Remote Video Conference Hearings [email protected] Brian Nollner, Director (323) 730-6551 Elizabeth Becerra, Chief (562) 908-8605 Brenda Davis (323) 730-6551 Intermediate Supervising Clerk Sandra Quintero (323) 730-6538 Pamela Gonzales, Supervising Clerk (323) 730-6542 Appeals and State Hearings P. O. Box 18890 Los Angeles, CA 90018 Los Angeles County Continued mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] Page 6 Revised 1.Feb.17 kn County Roster LOS ANGELES COUNTY CONTINUED Lancaster District Office Hearings Room 349B East Ave K-6 Lancaster, CA 93536 Contact: Valerie Lagle (909) 865-2322 Pomona District Office Hearings Room 2040 W. Holt Av. Pomona, CA 91768 Contact: Linda Rice (909) 865-2322 Los Angeles DCFS Department of Children and Family Services 9320 Telstar Ave. Suite 216 El Monte, CA 91731 Fax: (626) 572-2374 Telephone: (626) 569-6837 Supervisor: Detris Bush – Supervisor Hearing Address: 811 Wilshire Blvd., Suite 1118 Los Angeles, CA 90017 Robbie Odom, Section Head (626) 569-6803 [email protected] Detris Bush, Acting Supervisor (626) 569-6817 [email protected] Lisa Medina, Hearings Representative (626) 569-6836 [email protected] Reba Leyva, Hearing Representative (626) 569-6839 [email protected] Margarita Padilla, Hearing Representative (626) 569-6869 [email protected] Carmen Reed, Hearing Representative (626) 569-6834 [email protected] Nellie Perez, Hearing Representative (626) 569-6835 [email protected] Anna Stewart, Hearing Representative (626) 569-6833 [email protected] Sarena Spratley, Clerk (626) 569-6837 [email protected] ** DCFS LA County email address: [email protected] ** 20 Madera County Madera County Department of Social Services 720 East Yosemite Avenue Madera, CA 93638 Fax: (559) 675-7690 Telephone: (559) 675-2300 Supervisor: Christopher Aguirre Hearing Address: 700 East Yosemite Avenue Madera, CA 93638 Christopher Aguirre (559) 675-2334 [email protected] Fair Hearings Supervisor Eunice Cardona (559) 675-2439 [email protected] Alfredo Velarde (559) 675-2413 [email protected] 21 Marin County Marin County Department of Health and Human Svcs. P. O. Box 4160 San Rafael, CA 94913 Fax: (415) 473-3553 Telephone: (415) 473-3460 Supervisor: Ben Murphy Hearing Address: 120 N. Redwood Dr., West Wing, 1st Floor, San Rafael, CA 94903 Margie Todd Clerical Support (415) 473-2953 [email protected] Ben Murphy, Hearing Specialist (415) 473-3568 [email protected] Mary Havener, Hearing Specialist (415) 473-3506 [email protected] Roxann Spilman, IHSS Hearings and Unit Sup. (415) 473-7112 [email protected] May Rodgers, Supervisor (415) 473-3562 [email protected] Aaron Alarcon-Bowen IHSS Hearings Representative (415) 473-7113 FAX: (415) 473-7042 [email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] Page 7 Revised 1.Feb.17 kn County Roster 22 Mariposa County Mariposa Department of Human Services P. O. Box 99 Mariposa, CA 95338 Fax: (209) 966-8251 Telephone: (209) 966-2000 Supervisor: Anne Jenkins Hearing Address: 5362 Lemee Lane Mariposa, CA 95338 Anne Jenkins, Supervisor (209) 966-2000 [email protected] Teresa Ozuna-George, PIU SSWI (209) 742-0914 [email protected] Caren Bryant, Clerk [email protected] Ruth Poole [email protected] 23 Mendocino County Mendocino County Health & Human Services P. O. Box 8508 Ukiah, CA 95482 Fax: (707) 467-5802 Telephone: (707) 467-5850 (rings on all appeals staff phones) Supervisor: Diane Delgado Hearing Address: 747 South State Street Ukiah, CA 95482 Hearings Line: (707) 467-5850 Diane Delgado (707) 463-7811 [email protected] Jesse Vanvoorhis (707) 463-7809 [email protected] Heidi Corrado (707) 463-7856 [email protected] 24 Merced County Merced County Human Services Agency P. O. Box 112 Merced, CA 95341-0112 Fax: (209) 354-2507 Alternate Fax (209) 725-3583 Telephone: (209) 385-3000 Supervisor: Susan Flores Hearing Address: 2115 Wardrobe Avenue Merced, CA 95341 Susan Flores (209) 385-3000 Ext. 5315 [email protected] Kim Kennedy (209) 385-3000 Ext. 5204 [email protected] Complaints line: (209) 385-3000 Ext. 5609 25 Modoc County Modoc County Department of Social Services 120 North Main Alturas, CA 96101 Fax: (530) 233-2136 Telephone: (530) 233-6505 Supervisor: Serra Tieman Hearing Address: 120 North Main Alturas, CA 96101 Serra Tieman, Hearings Spec (530) 233-6501 Ext. 1331 [email protected] Patty Shirk, Program Manager (530) 233-6505 Ext. 1322 [email protected] 26 Mono County Mono County Department of Social Services P. O. Box 2969 Mammoth Lakes, CA 93546 Fax: (760) 924-5431 Telephone: (760) 924-1770 Supervisor: Kathy Peterson Hearing Address: 01: 85 Emigrant Street 02: 87 107384 Hwy 39, Bridgeport 02: 87 Walker, CA Other Hearing 00: 452 Old Mammoth Rd, 3rd Floor Location: Mammoth Lake, CA 93546 Kathy Peterson [email protected] Marlo Preis (760) 924-1793 [email protected] Region 00: (760) 924-1770 Fax: (760) 924-5431 mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] Page 8 Revised 1.Feb.17 kn County Roster 27 Monterey County Monterey County Department of Social Services 1000 South Main Street, 208 Salinas, CA 93901 Fax: (831) 755-8408 Telephone: (831) 755-4400 Supervisor: Maria Pacheco Hearing Address: 1000 South Main Street, 208 Salinas, CA 93901 Maria Pacheco (831) 755-4477 [email protected] Dorothy Avita (831) 755-4453 [email protected] Cheryl Roebel (831) 755-4416 [email protected] General Email Address: [email protected] 28 Napa County Napa County Health and Human Services Agency Quality Management Division 2261 Elm Street Napa, CA 94559 Fax: (707) 299-4216 Telephone: (707) 259-8342 Supervisor: Ben Bunyi Hearing Address: 2751 Napa Valley Corporate Dr. Building 1, Napa, CA 94558 Ben Bunyi Manager (707) 259-8659 [email protected] Leticia Risbeck (707) 253-4890 [email protected] June Paul Clerical (707) 259-8342 [email protected] 29 Nevada County Nevada County Department of Social Services P. O. Box 1210 Nevada City, CA 95959 Fax: (530) 265-9860 Telephone: (530) 265-1644 Supervisor: Sara Connor Hearing Address: 950 Maidu Avenue Nevada City, CA 95959 Jane Leedy (530) 265-1634, Appeals Supervisor [email protected] Appeals Representatives: Beth Andrews (530) 265-1646 [email protected] Jason Robertson (530) 265-1682 [email protected] Steve Muehlberg (530) 265-1616 [email protected] Michelle Carrillo (530) 265-1641 [email protected] Manuel Lopez (530) 582-7802 [email protected] Kelly Carpenter, IHSS Supervisor (530) 265-1667 [email protected] IHSS Appeals Representatives: Renee Asmus (530) 265-1703 [email protected] Bill Hoskin (530) 470-2476 [email protected] Kimberlee Green (530) 470-2555 [email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] Page 9 Revised 1.Feb.17 kn County Roster 30 Orange County Orange County Social Service Agency P. O. Box 22001 Santa Ana, CA 92702-2001 Fax: (714) 435-4555 ~ Alternative Fax: (714) 435-4544 Telephone: (714) 438-8833 Supervisor: Luz Vergara, Ed Crow Hearing Address: 1928 South Grand Ave. Bldg. A Santa Ana, CA 92705 Ed Crow, Supervisor (714) 435-7361 [email protected] Colleen Honch, Manager (714) 438-8792 [email protected] Rene Leclair (714) 438-8790 [email protected] Luz Vergara (714) 438-8817 [email protected] Sergio Guzman, Appeals Clerk (714) 438-8833 [email protected] 31 Placer County Placer County Dept. of Health & Human Svcs. 1000 Sunset Blvd. Suite 220 Rocklin, CA 95765-3702 Fax: (916) 784-6100 Telephone: (916) 784-6000 Supervisor: Jacquelyn Cuffe Hearing Address: 1000 Sunset Blvd. Suite 100 Rocklin, CA 95765-3702 Jacquelyn Cuffe, (916) 784-6109, Hearings Supervisor [email protected] Hearings Clerk\/Point of Contact Elizabeth Kennedy (916) 784-6112 [email protected] Appeals Representatives: Dee Parks, MN & ACA Hearings (916) 784-6091 [email protected] Whitney Verbin, CW & FS Hearings (530) 886-1833 [email protected] Gina Olivares, IHSS Hearings (530) 886-3686 [email protected] 32 Plumas County Plumas County Department of Social Services 270 County Hospital Rd. #207 Quincy, CA 95971 Fax: (530) 283-6368 Telephone: (530) 283-6350 Supervisor: Jennifer Hall Hearing Address: 270 County Hospital Rd., Unit 207 Quincy, CA 95971 Hearings Conf. Room: (530) 283-6087 Neal Caiazzo (530) 283-6276 [email protected] Jennifer Hall (530) 283-6053 [email protected] Pam McKinnon (530) 283-6166 [email protected] 33 Riverside County Riverside County Department of Public Social Svcs. Administrative Hearings Unit 7894 Mission Grove Parkway South, Suite 100 Riverside, CA 92508 Fax: (951) 358-7075 Telephone: (951) 358-3362 Supervisors: Mayra Espinoza, John Valdez, Terry Pickering Hearing Address: 7894 Mission Grove Pkwy S., Ste.100 Riverside, CA 92508 Mayra Espinoza, Adm. Hearings Sup. (951) 358-3244 [email protected] Terry Pickering, Adm. Hearings Sup. (951) 358-3516 [email protected] John Valdez, Adm. Hearings Sup. (951) 358-3767 [email protected] Patrice Jackson, Manager (951) 358-3869 [email protected] Rose Quesada, Appeals Rep [email protected] Lori Avila, Office Support Sup. (951) 358-3490 [email protected] Cortney Wilson, Office Asst II (951) 358-3306 [email protected] Admin. Hearings Dept. General Email: [email protected] Riverside County Continued mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] Page 10 Revised 1.Feb.17 kn County Roster Riverside County Continued Riverside County DPSS Harris Cases Child Protection Services Court Region 10281 Kidd Street, 2nd Floor Contact: Elizabeth Gravenberg (951) 358-6975 [email protected] 34 Sacramento County Dept. of Human Assistance, Administrative Hearings 2007 19th Street Sacramento, CA 95818-1618 Fax: (916) 874-3253 Telephone: (916) 874-3220 Supervisor: Suzanne Hammer Hearing Address: 2007 19th Street Sacramento, CA 95818 Suzanne Hammer, Program Mgr. (916) 874-3174 [email protected] General Jurisdiction Inbox: (916) 874-3220 [email protected] ACA Inbox: [email protected] Covered California Inbox: [email protected] Dept. of Health & Human Services In-Home Supportive Services P. O. Box 269131 Sacramento, CA 95826 Fax: (916) 874-2753 Telephone: (916) 874-9466 Supervisor: Ruth MacKenzie Ruth MacKenzie, Program Manager (916) 874-9260 [email protected] Magdalena Hutchinson, Eligibility Supervisor (916) 876-8687 [email protected] Veronica Turner, Sr. Eligibility Specialist (916) 874-2842 turnerve@[email protected] Vadim Sandulescu, Hearings Specialist [email protected] Elvy Maxwell, Office Assistant II (916) 874-9466 [email protected] 35 San Benito County San Benito County Human Services Agency 1111 San Felipe Road, Room 206 Hollister, CA 95023 Fax: (831) 637-9754 Telephone: (831) 636-4180 Supervisor: Hearings Address: 1111 San Felipe Rd. Room 206 Hollister, CA 95023 Susan Petree (831) 630-5165 [email protected] Donna Elmhorst IHSS Hrgs (831) 634-4919 [email protected] 36 San Bernardino County San Bernardino County Fair Hearings P. O. Box 1409 San Bernardino, CA 92402 Fax: (909) 382-6074 Telephone: (909) 252-4365 Supervisor: Shelia Jackson Hearing Address: 1111 E. Mill St.,2nd Floor San Bernardino, CA 92415 Shelia Jackson, Supervising Appeals Specialist II [email protected] Mark Thomas [email protected] Louis Tejada [email protected] Cathy Lopez, Office Asst. (909) 252-4353 [email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:turnerve@[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] Page 11 Revised 1.Feb.17 kn County Roster 37 San Diego County San Diego County Health and Human Services Agency 1255 Imperial Avenue Suite 300 San Diego, CA 92101 Fax: (619) 237-8465 Telephone: (619) 237-8500 Managers: Carmen Lopez and Anita Rodgers Hearing Address: 1255 Imperial Ave Suite #300 San Diego, CA 92101 Other hearing 01: 338 Via Vera Cruz Suite #280 San Marcos, CA 92078 Alt Hearing Site Phone: (760) 510-4913 General Appeals Email: [email protected] Carmen Lopez, Human Services Program Manager (619) 237-8483 [email protected] Anita Rodgers, Human Services Program Manager (619) 338-2899 [email protected] Alma Huerta, Office Assistant (619) 237-8522 [email protected] Francesca Cervantes, Clerical Supervisor (619) 237-8493 [email protected] 38 San Francisco County San Francisco Human Services Agency P. O. Box 7988, Appeals Unit S600 San Francisco, CA 94120 Fax: (415) 503-4937 Telephone: (415) 503-4900 Supervisor: Ana Osegueda Hearing Address: 160 S Van Ness Avenue San Francisco, CA 94103-2519 Ana Osegueda, Appeals Supervisor (415) 503-4855 [email protected] Ruben Novero, Lead Worker (415) 503-4864 [email protected] Hearing Room Phone: (415) 503-4826 directly (415) 503-4848 star phone Hearing Room Fax: (415) 557-4937 39 San Joaquin County San Joaquin Human Services Agency 102 S San Joaquin Street Stockton, CA 95202 Fax: (209) 932-2676 Telephone: (209) 468-1417 Supervisor: Vacant Hearing Address: 102 S San Joaquin St. Stockton, CA 95202 Mailing address: 333 Washington Street Stockton, CA 95202 Hearing Location Phone: (209) 468-1420 Hearing Location Fax: (209) 932-2676 Lesa Asher, Senior Office Assistant (209) 468-1417 [email protected] Michelle Clemons, Hearing Rep. (209) 468-1371 [email protected] Pam Tyler, Hearing Rep (209) 468-8164 [email protected] Neal Schrepfer, Hearing Rep. (209) 468-1697 [email protected] Shareen Beauchamp-Roacha, Hearing Rep. (209) 468-1508 [email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] Page 12 Revised 1.Feb.17 kn County Roster 40 San Luis Obispo County San Luis Obispo County Dept. of Social Services P. O. Box 8119 San Luis Obispo, CA 93403-8119 Fax: (805) 788-2559 Telephone: (Not assigned) Supervisor: Trish Avery-Caldwell Hearing Address: 3563 Empleo Street San Luis Obispo, CA 93401 Division Manager Kevin Lucado (805) 781-1831 [email protected] Supervisor – Trish Avery-Caldwell (805) 788-2601 [email protected] Leah Lisy, Hearing Representative (805) 788-2605 [email protected] Marie Bussacco, Hearing Representative (805) 788-2606 [email protected] Natalie Moller, Hearing Representative (805) 788-2604 [email protected] 41 San Mateo County San Mateo County Human Services Agency 472 Harbor Blvd., Bldg. C Belmont, CA 94002 Fax: (650) 596-3478 Telephone: (650) 802-7954 Supervisor: Vacant Hearing Address: 472 Harbor Blvd., Bldg. C Belmont, CA 94002 Mario De Jesus Hearings Manager (650) 80-5192 [email protected] Jashika Kumar PSS (650) 802-7954 [email protected] Patrix Castellaneos (FH28) (650) 802-5030 [email protected] Eric Becerra (FH31) (650) 802-7945 [email protected] Jonathan Gomez (FH24) (650) 802-7985 [email protected] Amelia Tonga (FH30) (650) 802-7948 [email protected] Charlie Montoya (FH21) (650) 802-7949 [email protected] 42 Santa Barbara County Santa Barbara County Dept. of Social Services 2125 South Centerpointe Parkway Santa Maria, CA 93455 Fax: 01 (805) 346-7198, (805) 346-7196 Telephone: (805) 346-7258 Supervisor: 01-Albert Ochoa\/00-Monica Mosqueda Hearing Address: 01: 2125 S. Centerpointe Pkwy. Santa Maria, CA 93455 Other hearing 00: 234 Camino Del Remedio location: Santa Barbara, CA 93110 01: Santa Maria fax (805) 346-7198, (805) 346-7196 Contact: Specialist Maria Castillo (805) 346-7323 [email protected] Albert Ochoa, Supervisor (805) 346-7115 [email protected] Cesar Guerrero (805) 346-7218 [email protected] Susana Espinoza (805) 346-7224 [email protected] Maria Bashline (805) 346-7256 [email protected] Stephen Mallow (IHSS Only) (805) 346-8341 [email protected] 00: Santa Barbara fax (805) 696-8986 Monica Mosqueda, Supervisor (805) 737-6028 [email protected] Katharine Graham (805) 737-6051 [email protected] Bruce Kelly (805) 681-4471 [email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] Page 13 Revised 1.Feb.17 kn County Roster 43 Santa Clara County Santa Clara County Social Services Agency 333 W. Julian Street, Bldg. 1 San Jose, CA 95110 Fax: (408) 817-6099 Telephone: (408) 817-6050 Supervisor: Marissa Calma Hearing Address: 333 W. Julian Street, Bldg. 1 San Jose, CA 95110 Ngan Nguyen (408) 817-6060 [email protected] Phung Nugyen (408) 817-6061 [email protected] Peter Castro (408) 755-7161 [email protected] Ngoclinh Ngo (408) 817-6077 [email protected] 44 Santa Cruz County Santa Cruz County Human Services Dept. P. O. Box 1320 Santa Cruz, CA 95061 Fax: (831) 454-4869 Telephone: (831) 454-4117 Supervisor: Joyce Germain Hearing Address: 1020 Emeline Ave., Bldg.B Santa Cruz, CA 95060 Joyce Germain Primary (831) 454-4117 [email protected] Monica Concepcion Backup (831) 454-4636 [email protected] Silvia Felix, Unit Clerk (831) 454-4109 [email protected] 45 Shasta County Shasta County Health and Human Services Agency P. O. Box 496005 Redding, CA 96049-6005 Fax: (530) 225-5239 Telephone: (530) 245-6462 Supervisor: Carrie Thomas Hearing Address: 2640 Breslauer Way 1st Floor Redding, CA 96001 Hearing Notifications Email: [email protected] Carrie Thomas, Supervisor (530) 225-5097 [email protected] Katherine Fish Hearings Coordinator (530) 245-6462 [email protected] Elizabeth Manninen Compliance Officer (530) 225-5658 [email protected] Amy Andrews Hearings Officer (530) 225-5588 [email protected] Brian Allen Hearing Officer (530) 225-5526 [email protected] Laura Lowney – Hearings Officer (530) 225-5785 [email protected] Melody Alcorn Hearings Officer (530) 225-5161 [email protected] 46 Sierra County Sierra County Department of Social Services P. O. Box 1019 Loyalton, CA 96118 Fax: (530) 993-6767 Telephone: (530) 993-6720 Supervisor: Lori McGGee Hearing Address: 202 Front Street Loyalton, CA Lori McGGee (530) 993-6725 [email protected] Deanna Burkett (Contact) Integrated Case Worker II (730) 993-6729 [email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] Page 14 Revised 1.Feb.17 kn County Roster 47 Siskiyou County Siskiyou County Human Services Department 818 S. Main Street Yreka, CA 96097 Fax: (530) 841-2791 Telephone: (530) 841-2700 Supervisor: Laura Leach Hearing Address: 818 S. Main Street Yreka, CA 96097 Trish Barbieri, Program Manager (CW\/CF) (530) 841-2754 [email protected] Jeri Robertson, Program Manager (MC\/MAGI\/IHSS\/GA) (530) 841-2745 [email protected] Laura Leach, Staff Development Analyst Supervisor (530) 841-2717 [email protected] Michelle Smith, Supervisor (MC\/MAGI\/IHSS\/GA) (530) 841-2718 [email protected] Tryes Cha, Hearings Officer (CW\/CF) (530) 841-2767 [email protected] Elizabeth May, Hearings Officer (MC\/MAGI\/IHSS\/GA) (530) 841-2767 [email protected] 48 Solano County Solano County Health and Social Services P. O. Box 5050 Fairfield, CA 94533 Fax: (707) 864-5558 Telephone: (707) 784-6424 Supervisor: Liliana Campa (707) 784-6304 Hearing Address: 435 Executive Court North Fairfield, CA 94534 Liliana Campa, Supervisor DF30 (707) 784-6304 [email protected] Gabriela Zapata DF32 (707) 784-4767 [email protected] Kandyce Nelson DF37 IHSS Appeals Specialist (707) 784-2586 [email protected] Joanne Gonsolin DF34 (707) 784-1407 [email protected] Stephen Henderson DF36 (707) 784-6436 [email protected] Esperanza Cabunoc DF35 (707) 784-2587 [email protected] Charlotte Ang DF38 (707) 784-6364 [email protected] Public Mail Box for SHD Information\/documents [email protected] 49 Sonoma County Sonoma County Human Services Department Sonoma County Client Advocacy-Hearings P. O. Box 1539 Santa Rosa, CA 95402 Fax: (707) 565-5222 Telephone: (707) 565-1309 Supervisor: Nick Yanez Hearing Address: 520 Mendocino Ave., Suite 301 Santa Rosa, CA 95402 Nick Yanez (Program Development Manager) (707) 565-1309 Email Delivery: [email protected] Rocio Tamburrino (Appeals Specialist) (707) 565-3815 [email protected] Irma Alexander (Appeals Specialist) (707) 565-1340 [email protected] Michelle Palla (Appeals Specialist) (707) 565-8937 [email protected] Jenny Toruno (Senior Office Assistant) (707) 565-2675 [email protected] 50 Stanislaus County Stanislaus County Community Services Agency P. O. Box 42 Modesto, CA 95353 Fax: (209) 558-2878 Telephone: (209) 558-2949 Supervisor: Linda Burrows Hearing Address: 251 East Hackett Road Modesto, CA 95353 Linda Burrows Supervisor (209) 558-2949 [email protected] Robin Axton Unit Clerk (209) 558-2935 [email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] Page 15 Revised 1.Feb.17 kn County Roster 51 Sutter County Sutter County Welfare and Social Services P. O. Box 1535 Yuba City, CA 95992 Fax: (530) 822-7212 Telephone: (530) 822-4411 Supervisor: Amy Bryer Hearing Address: 539 Garden Hwy. #B Yuba City, CA 95993 Amy Bryer (530) 822-4411 Ext. 310 [email protected] Rebecca Askins (530) 822-4411 Ext. 277 [email protected] 52 Tehama County Tehama County P. O. Box 1515 Red Bluff, CA 96080 Fax: (530) 527-5410 Telephone: (530) 528-4117 Supervisor: Carol Backus Hearing Address: 310 South Main Street Red Bluff, CA 96080 Carol Backus (530) 528-4117 [email protected] 53 Trinity County Trinity County Dept. of Health and Human Services P. O. Box 1470 Weaverville, CA 96093-1470 Fax: (530) 623-1250 Telephone: (530) 623-1265 Ext. 0 Supervisor: Joyce Peet Hearing Address: 51 Industrial Park Way Weaverville, CA 96093 Tabatha Albers (EW lead) (530) 623-8245 [email protected] Joyce Peet (EW Supervisor) (530) 623-8212 [email protected] 54 Tulare County Tulare County Health & Human Services Agency P. O. Box 671 Visalia, CA 93279 Fax: (559) 622-8539, (559) 622-8540 Telephone: (559) 713-5064 Supervisor: Tammy Marroquin Hearing Address: 4031 W. Noble Ave. Visalia, CA 93277 Tammy Marroquin (38) Supervisor (559) 713-5064 [email protected] Lori Fay (31) – Hearing Rep (559) 713-5066 [email protected] Yvette Alvarado (32) – Hearing Rep (559) 713-5067 [email protected] Lynette Bartlett (33) Hearing Rep (559) 713-5068 [email protected] Lydia S. Hernandez (34) Hearing Rep (559) 713-5069 [email protected] Tina Pena (35) Hearing Rep (559) 713-5070 [email protected] Tiffany Swarthout (36) Hearing Rep (559) 713-5071 [email protected] Janine Dailey Clerical Support (559) 713-5065 [email protected] 55 Tuolumne County Tuolumne Department of Social Services 20075 Cedar Road North Sonora, CA 95370 Fax: (209) 533-5714 Telephone: (209) 533-5711 Supervisor: Lisa Fletcher Hearing Address: 20075 Cedar Road North Sonora, CA 95370 Lisa Fletcher Primary Supervisor (209) 533-5796 [email protected] Kathleen Olson Secondary Supervisor (209) 533-7309 [email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] Page 16 Revised 1.Feb.17 kn County Roster 56 Ventura County Ventura County Human Services Agency 855 Partridge Drive Ventura, CA 93003 Fax: (805) 477-5191 Telephone: (805) 477-5171 Supervisor: Cynthia Davis Hearing Address: 855 Partridge Drive Ventura, CA 93003 Don Aguirre Manager (805) 477-5166 [email protected] Cynthia Davis Supervisor (805) 477-5172 [email protected] 57 Yolo County Yolo County Department of Employment and Social Services 25 N. Cottonwood Street Woodland, CA 95695 Fax: (530) 661-2697 Telephone: (530) 661-2750 Supervisor: Tanya Provencher Hearing Address: 25 N. Cottonwood Street Woodland, CA 95695 Tanya Provencher, Manager [email protected] Jessica Morrish, Program Supervisor Desk: (530) 661-2760 Cell: (530) 601-1694 [email protected] Sara McDonald, Administrative Hearings Officer (530) 661-2683 [email protected] Laura Checa, Administrative Hearing Officer (530) 661-4023 [email protected] Universal Email Address: [email protected] 58 Yuba County Yuba County Health & Human Services Dept. P. O. Box 2320 Marysville, CA 95901 Fax: (530) 749-6424 Telephone: (530) 749-6474 Supervisor: Carol Newsom Hearing Address: 5730 Packard Ave. Ste. 100 Marysville, CA 95901 Carol Newsom (530) 749-6480 [email protected] Tristi Collosi (530) 749-6474 [email protected] Fax: (530) 749-6424 Laura Hannum (530) 749-6367 [email protected] Fax: (530) 749-6424 mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] State Hearings Division Glossary Glossary Feb 1, 2017 COUNTY CODES 01-58 All California counties 59 PIAR (out of state) only 60 Rehearing on the Record 61-50 Medi-Cal Billing 62 Scope of Benefit (DHCS) Cases Region 00 Beneficiary Reimbursement (Conlan) Region 02 – Billing Issues Region 05 Low Income Health Plan (LIHP) telephone Region 30 to 40 Discontinued as of March 2013 Region 30 CBAS Orange Co in-person Region 31 CBAS Fresno Co in-person Region 32 CBAS Kern Co in-person Region 33 CBAS LA MediCal Office in-person Region 34 CBAS Contra Costa Co in-person Region 35 CBAS SHD Oakland in-person Region 36 CBAS Ventura Co (Library) in-person Region 37 CBAS SD MediCal Office in-person Region 38 CBAS SF MediCal Office in-person Region 39 CBAS Yolo Co in-person Region 40 CBAS In-person Region 41 CBAS telephone Region 42 to 49 Discontinued as of March 2013 Region 42 CBAS San Mateo Co in-person Region 43 CBAS Santa Clara Co in-person Region 44 CBAS Santa Cruz Co in-person Region 45 CBAS SHD Los Angeles in-person Region 46 CBAS Sacramento Co in-person Region 47 CBAS Unassigned Region 48 CBAS San Diego Co in-person Region 49 CBAS San Diego Co (Library) in-person Region 50 Scope of Benefits (General Telephone) Region 51 Cal-Optima Scope (Orange Co) Region 52 Molina Health Plan (San Diego, San Bern, & Riverside) Region 53 Partnership Health Plan (Solano, Napa, Sonoma, & Yolo) Region 54 Inland Empire Health Plan (San Bernardino, Riverside) Region 55 Central Coast Alliance Region 56 CenCal Region 57 California Health and Wellness Region 58 LA Care Region 59 Kaiser Region 60 Care 1st State Hearings Division Glossary Glossary Feb 1, 2017 Region 62-62 Northern Region (Extra Time) Region 62-63 LA Region (Extra Time) Region 62-64 SD Region (Extra Time) Region 62-65 ACA Region (Extra Time) Region 70 DO NOT CHANGE (UAT Test Cases) 89 Cases in Dismissal Process Region 08 CalWORKs 8% Reduction & Earned Income Disregard Region 10 IHSS 3.6% Reduction Region 20 – Medicare Part B & D Region 21 – Medicare Part D County issue Region 22 – Grant Reductions Caused by Change in Law (Misc) Region 25 Improper Claimant (Disability ONLY) Region 26 Improper Claimant (Regular Hearings NOT DHB) Region 27 Improper Claimant (Scope ONLY) Region 30 Decision Pursuant to Court Order (DPCO) only Region 40 CBAS dismissals Region 50 Hearing Rights Letter (No Medi-Cal Action) Region 51 – County General Jurisdiction 92 Admin Disqualification Hearing (ADH) \/ Intentional Program Violations (IPV) REGION CODES 00 Primary Hearing Site 01 Secondary Hearing Site for counties with two hearing sites 01-02 San Bernardino Co (One hrg location, region # corresponds to day of the week) 19-01-06 Los Angeles County in person hearing 19-07 Pomona video 19-08 Lancaster video 05 LIHP in-person (Low Income Health Program) 08 2nd Location In-Person Scope of Benefit cases, ie San Diego (09 = Primary) 09 In-Person Scope of Benefits cases (DHCS) for all counties 10-14 Home hearings special hearing sites 15 Expedited Hearings (Sacramento) 16 LA Homeless program 17 PACE In-Home Operations cases for DHCS (in-person, extra time) 20 Telephone Harris hearings (default region) 21 In-person Harris hearings 22 Resource Family Approval 24 San Diego Medical Residency cases (previously Infant formula) 25 Los Angeles & Sacramento Overpayment \/ Overissuance cases 40\/41 CW 48-mon Time Limit, Incremental Grant Reduction (IGR), & all other SB72 issue cases (Primary & Secondary in-person hearing sites) 42 CW 48-mon Time Limit, IGR & all other SB72 issue cases – Telephone Hrngs 46 Out-of-State Telephone hearings State Hearings Division Glossary Glossary Feb 1, 2017 50\/51 Telephone Hearings (Primary and Secondary hearing sites) 51 Los Angeles Only – LA DCFS telephone hearings (Co 19, Reg 51) 51 Sacramento, Riverside and San Joaquin Only IHSS telephone hearings ( Co 34, Reg 51, Co 33, Reg 51, Co 39, Reg 51)) 55 LIHP telephone (Low Income Health Program) 56 LA County Dept of Children and Family Services (LA DCFS) 57 LA County Only (LA DCFS Alliance for Children’s Rights A\/R only) 78\/79 CAPI (Cash Assistance Program for Immigrants) (Primary\/Secondary) 80\/81 Requiring additional hearing time (Primary\/Secondary) 83 IHSS Cases (Primary hearing site): Fresno, Los Angeles, Orange, Riverside, Sacramento, San Bernardino, San Diego and San Joaquin 84 IHSS Cases (Secondary hearing site) San Diego (Location 01) 84 Not used any more 85\/86 Remote Phone Hearings (Claimant reports to county; ALJ appears by phone) 90-94 Regular Disability Hearings 95 Disability Hearings Los Angeles Project Cases 96 Regular Disability Hearings 97-99 Z-Cases Only (Disability Hearings) State Hearings Division Glossary Glossary Feb 1, 2017 AID CODE Code: Definition: 01 CW CalWORKs\/AFDC (used for Yoakim; Foster Care; Adoptions Assistance) 02 SSP State Supplemental Program 03 CS Child Support (no longer in use) 04 HR Health Recovery 05 MN Medically Needy 06 FS Food Stamps 07 CH Cubans\/Haitians 08 Other (Not in use) 09 AA Adult Aid 10 SS Social Services, IHSS 11 RCA Refugee Cash Assistance 12 FSFR Food Stamp Fraud (ADHs) PRIORITY CODES 05 Decision Adopted by ALJ, Granted Closed by Compliance 06 Decision Adopted by ALJ Granted in Part 07 Decision Adopted by ALJ Granted 09 Decision Adopted by ALJ Dismissed 10 Decision Adopted by ALJ Denied 11 Decision Adopted Non Appearance Dismissal 12 Decision to Director (not yet adopted) 18 Decision Submitted by Administrative Law Judge (not yet adopted) 20 Heard, but no decision written yet 25 Administratively Dismissed (Supervisory Screen action) 26 Verbal Conditional Withdrawal 30 Signed Withdrawal 31 Verbal Withdrawal 40 Signed Conditional Withdrawal 50 Scheduled for a hearing date 54 Uncalendared, on temporary 45 day hold (from input date) 55 Uncalendared case on Hold (Dental\/DMH auto. change to 60 after 10 days) 60\/90 Uncalendared, awaiting scheduling (60=lowest \/ 90=highest priority) 70 Uncalendared Rehearing (pending scheduling) 75 Uncalendared – Re-entry Status, when calendar is deleted 90 Special Case Status (FS Only) State Hearings Division Glossary Glossary Feb 1, 2017 COUNTY OF INVOLVEMENT LIST 59 VACANT 60 VACANT 61 Healthy Families (used to track transitional cases see ALJ Halko) 62 Conlan 63 Ramos vs. Myers 64 CBAS In-person Only (used in conjunction with Region 09) 65 Department of Health Care Services Medical Overpayments 66 VACANT (formerly Health Plan of San Mateo) 67 In-Home Operations DHCS 68 Department of Mental Health 69 Dental Scope (Denti-Cal) 70 VACANT (formerly Vision Scope) 71 Medical Scope Los Angeles Field Office (222) 72 Drug and Alcohol Programs 73 VACANT (formerly Cal Optima) 74 Medical Scope Sacramento Field Office (225) 75 Beneficiary Case Management Project 76 Medical Scope San Bernardino Field Office (227) 77 Medical Scope San Diego Field Office (228) 78 Medical Scope San Francisco Field Office (229) 79 VACANT (formerly Central Coast Alliance for Health) 80 VACANT (formerly Solano Partnership Health Plan) 81 VACANT (formerly Santa Barbara Regional Health Authority) 82 VACANT (formerly Medical Scope Fresno) 83 DHCS Managed Care 84 Medical Drug Unit South 85 Medical Drug Unit North 86 Disability & Adult Program Division North 87 Disability & Adult Program Division South 88 VACANT 89 VACANT 90 Office of AIDS (aka AIDS Waiver) 91 BCCTP Medical Eligibility (Breast and Cervical Cancer Treatment Program) 92 VACANT 93 Multipurpose Senior Services Program (Dept. of Aging) 94 Los Angeles Dept. of Family Services 95 VACANT 96 Office of Services to the Blind 97 VACANT (formerly Tyler lawsuit) 98 VACANT 99 VACANT State Hearings Division Glossary Glossary Feb 1, 2017 ACTION CODES 01 Direct case add (new case) 02 Special add menu 05 Direct authorized representative change 06 Direct postponement 07 Direct, add, delete, change 08 Direct case reopen 09 Direct add, change, delete\/with inquiry 10 Direct label set request 11 Reprint of Old NAD Decision 15 Direct inquiry printout 21 Left open not in use 22 Direct further hearing not in use 25 Conditional withdrawal 26 Verbal Conditional withdrawal 30 Withdrawal 31 Verbal withdrawal 40 Direct Return Calendar Information 50 Decision and adoption 54 Compliance 56 Compliance closure 59 Direct case delete DNA (Do Not Acknowledge) Code: Description: 0 No suppression 1 Suppress Claimant Acknowledge Letter Print Appeals List Print Labels 2 Suppress Acknowledgement or Notification Letter Print Appeals List Print Labels 3 Suppress Acknowledgement or Notification Letter Suppress Appeals List Print Labels 4 Suppress ALL State Hearings Division Glossary Glossary Feb 1, 2017 Status Code: Definition: SUPERVISOR SCREEN STATUS CODES 01 Case is uncalendared (not scheduled) 02 Case is scheduled 03 Case is heard 04 Case is closed (prehearing) 05 Case decision has been submitted 06 Case decision has gone to hearing 07 Case decision has been adopted 08 Case is in full compliance 09 Case is closed (post hearing) 10 Case is to be archived 11 Administrative close LOS ANGELES WORKER CODES FOR CDHS CASES Worker: Definition 995 Ramos vs. Myers 997 Dental Scope 998 Managed Care and all other DHS scope cases No. COUNTY OF INVOLVEMENT LIST 61-50 Medi-Cal Billing 62 Conlan Vs. Shewry Beneficiary Reimbursement Medi-Cal Fee for Service – Reimbursement for Medical out of pocket payments Contact: Linda Carpenter Phone: (916) 374-4051 Email: [email protected] Beneficiary Number 800-541-5555 IHSS CONLAN – Reimbursement for IHSS share of cost or related services Contact: Sean Driscoll Phone: (916) 651-5553 Email: [email protected] Fax: (916) 653-0905 (notify Sean fax is coming his way) Contact: Anissa Hussman **Copy Anissa on all emails to Sean** Phone: (916) 653-1937 Email: [email protected] 62\/69 DENTAL CONLAN – Reimbursement for Dental out of pocket payments Contact: Adrianna Alcala-Beshara Phone: (916) 464-0371 Email: [email protected] Manager: Phone: Email: ** Please cc Manager 63 Medical Issue for SSI\/SSP Discontinuances Contact: Anthony Martinez Phone: (916) 319-9786 Fax: (916) 440-5272 Email: [email protected] Alternate: Lea Latsis ([email protected]) Phone: (916) 323-2141 67 In-Home Operations Home and Community-Based Service Waivers HCBS IHO Waiver (effective 1\/1\/2007) Nursing Facility\/Acute Hospital Waiver (effective 1\/1\/2007) Waiver Personal Care Services EPSDT Private Duty Nursing and Pediatric Health Care (PDHC) services (EPSDT services other than those above go to the respective DHS Medical Field Office) Contact: Chris Tsukamoto, [email protected], (916) 327-8262 Fax: (916) 552-9150 or (916) 552-9151 68 Department of Mental Health Policy & Quality Assurance Branch Contact: Shelley Halpain Phone: (916) 650-6486 Email: [email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] No. COUNTY OF INVOLVEMENT LIST Fax: (916) 654-5591 69 Dental Scope – Fair Hearings Denial of Benefits DENTI-CAL (800) 322-6384 Main Contact: Scott Coleman [email protected] (916) 853 7373 xt4419 Secondary Contact: Laura Dause ([email protected]) (916) 861-2454 Backup: Brarbara Castelli [email protected] (916) 861-2450 Fax: (916) 631-1381 ** Please cc Laura Dause for SOP’s 70 Vision Scope (Eye Exams & Appliances Only) Denial of Benefits – Vision Care Contact: Donny Shiu Phone: (916) 445-4884 Fax: (916) 440-5640 Email: [email protected] 71 Medical Scope, MFO #222 Denial of Treatment Authorization Requests (TARs) Primary Contact: Monita Wong (213) 897-3097 [email protected] Other Contacts: Alma Moscoso, NE IV – (213) 897-0617 [email protected] Rowina Castillo, NE III – (213) 897-1355 [email protected] (Medical Hearings) Holly Kim, NE III – (213) 897-1117 [email protected] (ADHC Hearings) Maria Rivera – (213) 897-7154 [email protected] Fax: (213) 897-1194 Main Phone No. (213) 897-0745 or (866) 644-6341 Counties: 19-Los Angeles 56-Ventura CORE SERVICES – Surgery (except certain transplants – see San Fran F\/O), Hospitalizations (incl dental), Home Health Care (to SBFO effective 5\/1\/11), Hospice, Intermediate Care Facility care (not Nursing Facility care), Mental Health (for excluded diagnoses), Office Visits, Psychiatry Visits, Other Outpatient Services 72 Drug and Alcohol Programs Involuntary Discharge from Alcohol or Drug Treatment Contact Lindsay Dearman (916) 324-5439 [email protected] Fax (916) 322-1176 (email contact after sending fax) Backup Victoria King-Watson [email protected] (916) 650-0523 74 Medical Scope, MFO #225 Denial of Treatment Authorization Requests (TARs) Primary Contact: Rosalie Encenzo [email protected] (415) 557-0369 Other Contacts: Stephen Glipa – (916) 552-8447 [email protected] Pamela Woodworth, NE IV – (916) 322-5201 [email protected] Fax: (916) 322-4758 Main Phone No. (916) 464-4430 or (888) 706-5697 Counties 02-Alp 03-Ama 04-But 05-Cal 06-Col 08-Del N 09-El D 10-Fre 11-Gle 12-Hum 16-Kings 17-Lak 18-Las 20-Mad 22-Mar 23-Men 24-Mer 25-Mod 29-Nev 31-Pla 32-Plu 34-Sac 39-San J 45-Sha 46-Sie 47-Sis 48-Sol 49-Son 50-Sta 51-Sut 52-Teh 53-Tri 54-Tul 55-Tuo 57-Yolo 58-Yuba CORE SERVICES – Surgery (except certain transplants – see San Fran F\/O), Hospitalizations (incl dental), Home Health Care (to SBFO effective 5\/1\/11), Hospice, Intermediate Care Facility care (not Nursing Facility care), Mental Health (for excluded diagnoses), Office Visits, Psychiatry Visits, Other Outpatient Services mailto:[email protected] mailto:[email protected] No. COUNTY OF INVOLVEMENT LIST 76 Medical Scope, MFO #227 Denial of Treatment Authorization Requests (TARs) Primary Contact: Yvonne Hicks, NE III – (909) 383-2537 [email protected] Other Contacts: Christina Miura (909) 383-2540 [email protected] Fax: (909) 383-6929 Main Phone No. (909) 383-4192 or (800) 472-2300 Counties: 14-Iny 26-Mon 30-Ora 33-Riv 36-San B CORE SERVICES – Surgery (except certain transplants – see San Fran F\/O), Hospitalizations (incl dental), Home Health Care (to SBFO effective 5\/1\/11), Hospice, Intermediate Care Facility care (not Nursing Facility care), Mental Health (for excluded diagnoses), Office Visits, Psychiatry Visits, Other Outpatient Services 77 Medical Scope, MFO #228 Denial of Treatment Authorization Requests (TARs) Primary Contact: Teresita Celestial, NE II – (858) 616-6636 [email protected] Backup Encarnita Aniag [email protected] (858)637-7182 Additional Contacts [email protected], [email protected], [email protected] (Please CC ALL) Fax: (858) 495-3642 Main Phone No. (858) 495 3600 or (619) 688 6131 Counties: 13-Imperial 37-San Diego CORE SERVICES – Surgery (except certain transplants – see San Fran F\/O), Hospitalizations (incl dental), Home Health Care (to SBFO effective 5\/1\/11), Hospice, Intermediate Care Facility care (not Nursing Facility care), Mental Health (for excluded diagnoses), Office Visits, Psychiatry Visits, Other Outpatient Services 78 Medical Scope, MFO #229 Denial of Treatment Authorization Requests (TARs) Primary Contact: Cindy Wong (415 )557-0382 [email protected] Backup: Jose Katigbak [email protected] (415) 557-0156 Supervisor: Fax: (415) 904-9661 Main Phone No. (800) 541-5555 Counties: 01-Ala 07-Cont 21-Marin 27-Mont 28-Napa 35-San Benito 38-San Fran 40 – SLO 41-San Mateo 42-Santa Bar 43-Santa Clara 44-Santa Cruz CORE SERVICES – Surgery (except certain transplants – see San Fran F\/O), Hospitalizations (incl dental), Home Health Care (to SBFO effective 5\/1\/11), Hospice, Intermediate Care Facility care (not Nursing Facility care), Mental Health (for excluded diagnoses), Office Visits, Psychiatry Visits, Other Outpatient Services 83 62\/50 – DHCS Managed Care Division, no health plan Health Plan Services Contact: Juanita Williams (Primary) Phone: (916) 324-9850 Email: [email protected] Central Email [email protected] Manager: Kathi Dobrinen (916) 322-3964 [email protected] Fax: (916) 440-7438 Public: 1-888-452-8609 mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] No. COUNTY OF INVOLVEMENT LIST Counties: All 83 62\/51 – Cal Optima (cont’d) Contact: Priscilla Padilla [email protected] Phone: (657) 235-6971 Backups: Stephanie Lozano Email: [email protected] Phone: 657-900-1101 Liz Ramos-Lopez Email: [email protected] Phone: 714-796-6177 Fax: (714) 954-2228 Counties: 30 – Orange 62\/52 – Molina Health Care Contact Marina Saatjian-Sweeney (562) 499-6191 ext 127552 [email protected] Judith Johnson ext 127210 [email protected] Deborah Nichols (562) 499-6191 ext 127466 – [email protected] Fax: (562) 951-8307 Counties: 33 – Riverside, 36 – San Bernardino, 37 – San Diego, 34 – Sacramento 62\/53 – Partnership Health Plan of California Contact: Michelle Elliot Phone: (707) 863-4251 Fax: (707) 863-4351 Email: [email protected] Counties: 28-Napa 48-Solano 49-Sonoma 57-Yolo 62\/54 – Inland Empire Health Plan (IEHP) Contact: Joanna Poach (909) 296-3722 [email protected] Backup; Stacie Wood (951) 374-3225 [email protected] Fax: (909) 890-5748 Counties: 33 – Riverside, 36 – San Bernardino 62\/55 – Central Coast Alliance for Health Contact: Kelly Campbell (209) 381-5329 Email: State Fair Hearings Team Fax: (209) 381-5306 Counties: 24 – Merced, 27 – Monterey, 44 – Santa Cruz Backup: Marcy Moreno (209) 381-5335 62\/56 – CenCal Contacts: Sonja Nelson email: [email protected] ph: (805) 562-1050 Backup: Rita Washington (805) 562-1645 ([email protected] Fax: (805) 685-5191 or (805) 685-8292 Contact order: 1. Rita, 2. Pat, 3. Stephanie County: 40 – San Luis Obispo 42-Santa Barbara 62\/57 – California Health and Wellmess Contact: Karin Bartley [email protected] Phone (916) 246-3680 Fax (844) 897-5951 Backup Linda Rosal [email protected] (916) 246-3721 Counties 02 – Alpine, 03 – Amador, 04 – Butte, 05 – Calaveras, 06 – Colusa, 09 – El Dorado, 11 – Glenn, 14 – Imperial, 14 – Inyo, 22 – Mariposa, 26 – Mono, 29 – Nevada, 31 – Placer, 32 – Plumas, 46 – Sierra, 51 – Sutter, 52 – Tehama, 55 – Tuolumne, 58 – Yuba, 62\/58 – LA Care Contact: Norma Martinez [email protected] Phone (213) 694-1250 xt6224 Fax (213) 438-5754 mailto:[email protected] mailto:[email protected] mailto:[email protected] No. COUNTY OF INVOLVEMENT LIST Backup County 19 -Los Angeles 62\/59 – Kaiser Permanente Contact: Jessica Friedlander [email protected] Phone 510-625-2883 Fax 84 Medical Drug Unit – South Denial of Pharmacy Treatment Authorization Requests (TARs) Primary Contact: Jenny Fen Or (213) 897-4764 [email protected] (EMAIL ALL MEMBERS) email all 4 for Chris Huang (213) 897-1243 [email protected] missing sop Jennifer Mckay (213) 897-0023 [email protected] Justin Luhrs 213.897.1242 [email protected] Fax: (213) 897-8044 Main Phone No. (866) 385-3124 Drugs, Nutritional Products and IV infusion and enteral feeding equipments and related supplies for counties: 13-Imp 14-Inyo 19-LA 26-Mono 30-Ora 33-Riv 36-San B 37-San Diego 42-SB 56-Vent 85 Medical Drug Unit – North Denial of Pharmacy Treatment Authorization Requests (TARs) Primary Contact: Kathy Echeverria (209) 942-6037 [email protected] Karen Page, PC II (Spec) (209) 941-6582 [email protected] Fax: (209) 932-2331 Main Phone No. (209) 942-6030 or (800) 572-9315 Drugs, Nutritional Products and IV infusion and enteral feeding equipments and related supplies for counties: 01-Ala 02-Alp 03-Ama 04-Butte 05-Cala 06-Colusa 07-CC 08-Del N 09-El Dor 10-Fre 11-Glenn 12-Hum 15-Kern 16-Kings 17-Lake 18-Las 20-Mad 21-Marin 22-Mar 23-Mend 24-Mer 25-Modoc 27 Mont 28-Napa 29-Nev 31-Pla 32-Plum 34-Sac 35-San B 38-SF 39-San J 40-SLO 41-San M 43-Santa Clara 44-Santa Cruz 45-Shasta 46-Sierra 47-Sisk 48-Sola 49-Sono 50-Stan 51-Sut 52-Teha 53-Trin 54-Tula 55-Tuol 57-Yolo 58-Yuba 86 Disability Determination Services Division – North DED Unit Onlines Appeal Contact: Jenny Gemmel Phone: (510) 622-3785 Email: [email protected] Fax: (800) 869-0203 Counties: ALL except: 13-Imperial 19-Los Angeles 30-Orange 37-San Diego 87 Disability Determination Services Division – South mailto:[email protected] No. COUNTY OF INVOLVEMENT LIST DED Unit Onlines Appeal Contact: Linda Hirai Phone: (213) 480-6300 Email: [email protected] Contact: Annie Trivedi (Bureau Chief) Phone: (213) 480-6410 Email: [email protected] Fax: (800) 900-3669 Counties: 13-Imperial 19-Los Angeles 30-Orange 37-San Diego 88 EPSDT Private Duty Nursing and Pediatric Health Care (PDPHC) services & (MCM) Contact\/Primary: Divina Coronel (213) 620-2670 [email protected] Fax: (213) 897-1356 Supervisor Norminda Hadap (213) 897-1126 [email protected] Office Number (213) 620-2115 or (213) 897-3574 Toll Free Number 1-855-347-9227 90 CDHS Office of Aids Contact: Mary Johnson Phone : (916) 319-9183 FAX: (916) 449-5277 Email: [email protected] Backup: Drew Young (916) 449-5881 [email protected] 91 BCCTP\/Medi-Cal Eligibility (Breast and Cervical Cancer Treatment Program) Contact: Manuel Chavez Phone: (916) 322-3410 Fax: (916) 440-5693 Email: [email protected] Additional Contacts 93 Multipurpose Senior Services Program Contact: Gaynail Byrd Phone: (916) 419-7552 Fax: (916) 928-2508 or alt fax (916) 928-2506 Email: Byrd, Gaynail@Aging Counties: MSSP serves all counties except for 06-Colusa, 29-Nevada, 32-Plumas, 40-San Luis Obispo, 46-Sierra, 51-Sutter 94 Los Angeles Deptment. of Children and Family Services Contact: Walter Kiang Phone: (626) 569-6803 Fax: (213) 897-8393, Attn: Josie Voong Email: [email protected] 96 Office of Services to the Blind Assistance Dog Special Allowance (ADSA) GUIDE DOGS ONLY Contact: Becky Tolbert Phone: (916) 651-1053 Fax: (916) 653-4001 Email: [email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] mailto:[email protected] No. COUNTY OF INVOLVEMENT LIST 97 Medi-Cal Overpayments Contact: Irma Diaz-Martin Phone: (619) 688-0169 Fax: (619) 688-0250 Email: [email protected] MAILING ADDRESS Priority Code No Address Provided (Upload all docs to SFT) 60 MEDICAL BENEFICIARY SVCS PO BOX 138008 SACRAMENTO CA95813 Enter above address on AR2 field Sean Driscoll APD – Conlan II Unit 60 744 P Street, MS 9-9-04 Sacrmaento, CA 95814 Enter above address on AR2 field DENTAL BENEFICIARY SVCS PO BOX 526026 SACRAMENTO CA95852 55 Enter above address on AR2 field PROVIDER CLAIMS NEED BENEFICIARY’S CONTACT INFO FROM DENTI-CAL FOR OPTION TO PARTICIPATE PLEASE REQUEST. SSI \/ SSP \/ REP \/ MST Policy Unit B P.O. Box 997417 MS 4607 Sacramento CA95899 55 RAMOS VS. MYERS Long-Term Care Div P.O. Box 997437 MS 4502 Sacramento CA95899 60 COMAU (Community Options Monitoring & Assessment Unit): (COMAU is not part of IHO, but is part of DHS\/MCOD) Nancy Villa, [email protected], (916) 552-9326 out-patient services only no managed care precedent Shelley Halpain Policy & Quality Assurance 1500 Capitol Ave. MS 2702 55 Sacramento CA95814 County Mental Health writes up SOP MAILING ADDRESS Priority Code Denti-Cal responds to Denial of Dental Exemptions 55 Donny Shiu, O.D. Medi-Cal Vision Care Program Consultant California Department of Health Services P.O. Box 997413, MS 4604 55 Sacramento CA95899 Los Angeles MFO Fair Hearings Coordinator P.O. Box 60172 Los Angeles CA90060 55 Other Services: ADHC, Cochlear Implants (South), Detoxification (South), Enzyme Replacement Therapy, Medical Synagis TARs *(South) Counties: 13-Imp 14-Inyo 19-LA 26-Mono 30-Ora 33-Riv 36-San B 37-San Diego 42-SB 56-Vent 55 Sacramento MFO Fair Hearings Coordinator 455 Golden Gate Ave, #7321 San Francisco CA 94102 55 Other Services: Anti-Decubitus Care (overlays for bed); Hearing Aids; Orthotics and Prosthetics (including support hose); Oxygen and Respiratory Equipment (incl. CPAP, Pulmo-Aid, Nebulizers) MAILING ADDRESS Priority Code San Bernardino MFO Fair Hearings Coordinator P.O. Box 1815 MS 4514 San Bernardino CA92402 Other Services: Sub-acute, Incontinence Supplies, Medical Supplies, 55 Nursing Facilities (NF A or B, or Long Term Care), Home Health (effective 5\/1\/11) San Diego MFO Fair Hearing Coordinator P.O. Box 85344 San Diego CA92186 55 Other Services: Non-Emergency Transportation (ALL Counties) San Francisco MFO Fair Hearing Coordinator 455 Golden Gate Ave, #7321 San Francisco CA 94102 Other Services:Heroin Detoxification & cochlear implants (North – same counties 55 as Northern Pharmacy Section – see County Involv. #85 for counties); Durable Medical Equipment (except respiratory DME & anti-decubitus DME); Occupational Therapy; Physical Therapy; Speech Therapy, Podiatry, Out-of-State, Organ Transplant (except kidney-treated as core service); MCQMD Attn: Hearings Coordinator P.O. Box 997413 – MS 44-12 Sacramento CA95899 55 Managed Care takes precedent over MFO and Pharmacy – EXCEPT Drug and Alcohol, Mental Health, Dental and In-Home Ops MCQMD stands for Managed Care Quality and Monitoring Division MAILING ADDRESS Priority Code Cal-Optima 1120 W. LaVeta Ave 2nd Fl Orange, CA92868 55 uses Managed Care address on AR2 field, no health plan information uses Managed Care address on AR2 field, no health plan information 55 Supervisor: John Robertson ext 126160 [email protected] Partnership Health Plan Attn: Jessica Hernandez 360 Campus Lane #100 Fairfield, CA 94534-4036 uses Managed Care address on AR2 field, no health plan information 55 uses Managed Care address on AR2 field, no health plan information Central Coast Alliance for Health 11600 Green Hills Road Scotts Valley CA95066 55 uses Managed Care address on AR2 field, no health plan information CenCal Attn: Rita Washington 4050 Calle Real Santa Barbara, CA 93110 55 uses Managed Care address on AR2 field, no health plan information California Health and Wellness 1740 Creekside Oaks Road Ste 200 Sacramento, CA 95833 55 uses Managed Care address on AR2 field, no health plan information LA Care 1055 West 7th Street 5th Floor Los Angeles, CA 90017 55 MAILING ADDRESS Priority Code uses Managed Care address on AR2 field, no health plan information Kaiser Permanente Antelope Valley Office 1050-A Commerce Center Drive 55 Lancaster, CA 93534 uses Managed Care address on AR2 field, no health plan information Southern Pharmacy Section Fair Hearing Coordinator P.O. Box 30653 Los Angeles CA90030 55 Northern Pharmacy Section Fair Hearing Coordinator P.O. Box 201007 Stockton CA95201 PC II (Supv): 55 Michiko Yamada-Oye (209) 942-6138 [email protected] Minh-Hai Tran (209) 942-6039 [email protected] DDSD State Program – North P.O. Box 23645 Oakland, CA 94623 55 (No AR2 Letter) DDSD State Program – South MAILING ADDRESS Priority Code P.O. Box 30541 Los Angeles, CA 90030 55 (No AR2 Letter) Attn : Divina Coronel DHCS Systems of Care Div 311 S. Spring Street #600 Los Angeles, CA 90013 60 MediCal Waiver Program MCWP Office of AIDS PO Box 997426 MS 7700 55 Sacramento, CA 95899-7426 BCCTP\/Medi-Cal Eligibility P.O. Box 997417 MS 4611 Sacramento CA95899 55 Department of Aging MSSP Hearings Coordinator 1300 National Dr Ste 200 Sacramento, CA 95834 55 LADCFS HEARINGS 9320 Tellstar Ave. #216 El Monte, CA 91731 55 DSS Office of Special Services ADSA 744 P Street, MS 8-16-94 55 Sacramento, CA95814 MAILING ADDRESS Priority Code Irma Diaz-Martin Audits and Investigation 7575 Metropolitan Dr Ste. 330 55 San Diego CA92108 MAIN NUMBER 916-657-3550 FAX NUMBER 916-651-6258 Manuel A. Romero 916-657-3550 Eugene Townsend 916-657-2331 Executive Assistant Training Unit Staff Albert Bresticker 213-833-2200 Desi Gonzales 916-661-3804 Staff Services Manager I (Specialist) Support Staff Ginger Stegeman 916-661-3803 Staff Services Manager I Resource Family Approval (RFA) CHIEF ADMINISTRATIVE LAW JUDGE’S OFFICE 744 P Street, MS 8-16-50 TRAINING, QUALITY & SPECIAL PROJECT BUREAU 744 P Street, MS 9-17-72 Patrick Burke 916-651-0927 ALJ II, Specialist Staff MAIN NUMBER 510-622-4000 FAX NUMBER 510-622-4004 TOLL FREE NUMBER 866-525-2211 Karlen Harmison .. .916-651-5390 ALJ Staff Support Staff Doris Bowers 916-651-0896 Staff Services Manager II, Bureau Chief Kim Butler 916-653-1915 Staff Services Manager I NORTHERN COASTAL OFFICE 1515 Clay Street, Suite 1203, MS 28-02 Oakland, CA 94612 MAIN NUMBER 916-651-0927 FAX NUMBER 916-651-2737 TOLL FREE NUMBER 866-538-2431 Doris Bowers 916-651-0896 Staff Services Manager II Kimberly Butler 916-653-1915 Staff Services Manager I SCOPE UNIT MAIN NUMBER 916-651-8889 TOLL FREE NUMBER 855-266-1157 RESOURCE FAMILY APPROVAL (RFA) MAIN NUMBER 916-651-0927 FAX NUMBER 916-657-3126 TOLL FREE NUMBER 866-538-2431 Doris Bowers 916-651-0896 Staff Services Manager II Melissa Tostado 916-651-8272 Staff Services Manager I NORTHERN REGIONAL OPERATIONS MAIN NUMBER MAIN NUMBER 213-833-2200 TOLL FREE NUMBER 866-708-0792 QUEUE DESK NUMBER 213-488-6440 FAX NUMBER 213-833-2231 FAX NUMBER 213-833-2230 Dora Luna 213-833-2200 Ron Mendoza 213-833-2200 ALJ II, Specialist Staff LOS ANGELES REGIONAL OFFICE 811 Wilshire Blvd., Room 1118, MS 28-01 Doris Bowers 916-651-0896 Staff Services Manager II Mike Ceja 213-833-2207 Support Staff Kristina Cooper 213-833-2281 Office Services Supervisor II MAIN NUMBER 916-653-3836 FAX NUMBER 916-651-5400 Leslie Redfern 916-661-3578 Staff Services Manager II Ginger Stegeman 916-661-3803 Staff Services Manager I ACMS PROJECT Brendon Barnett 916-657-1074 Staff Services Manager I MAIN NUMBER 916-651-0927 FAX NUMBER 916-651-2737 TOLL FREE NUMBER 866-538-2431 Juliet Macaulay 916-651-1400 Karlen Harmison .. . 916-651-1400 ALJ II, Specialist Staff NORTHERN REGIONAL OFFICE 744 P Street, MS 9-17-44 MAIN NUMBER 760-510-4999 FAX NUMBER 760-510-4998 TDD NUMBER 760-510-4910 TOLL FREE NUMBER 866-388-4427 Anthony Gurrola 760-510-4999 ALJ II, Specialist Staff SAN DIEGO REGIONAL SUPPORT SAN DIEGO REGIONAL OFFICE 338 Via Vera Cruz, 2nd Flr, Ste 280 (MS 28-03) Doris Bowers 916-651-0896 Staff Services Manager II Mike Ceja 213-833-2207 Staff Services Manager I TOLL FREE NUMBER 1-800-743-8525 MAIN NUMBER 916-653-3836 FAX NUMBERS (Main) 916-651-2789 Leslie Redfearn 916-661-3578 Staff Services Manager II Pranesh Chand 916-661-3800 Staff Services Manager I CUSTOMER SERVICE 744 P Street, MS 9-6-37 TOLL FREE NUMBER 855-795-0634 MAIN NUMBER 916-653-1882 FAX NUMBER 916-651-2789 Charles Decuir …916-651-5026 Gerry Agerbek.. ..916-651-5021 ALJ E-MAIL . [email protected] Decisions E-Mail [email protected] ALJ II, Specialist Staff ACA SUPPORT Leslie Redfearn 916-661-3578 Staff Services Manager II Z UNIT SHD ROSTER.Feb.17.pdf 17 & 16 FL SHD ACA Roster-Feb.17.pdf aca Los Angeles Regional Office Feb.17.pdf Los Angeles San Diego Division Roster Feb.17.pdf San Diego shd First Name Alpha Feb.17.pdf Sheet1 Countylist Feb.17.pdf Alameda Alpine Amador Butte Calaveras Colusa Contra Costa Del Norte El Dorado Fresno Glenn Humboldt Imperial Inyo Kern Kings Lake Lassen Los Angeles Los Angeles DCFS Madera Marin Mariposa Mendocino Merced Modoc Mono Monterey Napa Nevada Orange Placer Plumas Riverside Sacramento San Benito San Bernardino San Diego San Francisco San Joaquin San Luis Obispo San Mateo Santa Barbara Santa Clara Santa Cruz Shasta Sierra Siskiyou Solano Sonoma Stanislaus Sutter Tehama Trinity Tulare Tuolumne Ventura Yolo Yuba DHCS County Involvement Roster 11-29-16.pdf Sheet1 ”