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In This Training… Org Chart Bpai History IN THIS TRAINING… Introduction to Organizational Structure History of our Agency Mission, Vision and Brand Promise of DCSS and BPAI 12/18 2.1 9/2018 ORG CHART BPAI HISTORY Inception to 1993 1993 to 2016 July 2016 9/2018 PRIOR TO 2016 DCSS BRAND PROMISE Public Assistance Fraud Investigations “Help today for a successful tomorrow by empowering our team to Early Fraud Full Field Prevention/Detection have a positive impact.” 9/2018 9/2018 HOLISTIC APPROACH TO BPAI VISION, MISSION, & BRAND PROMISE PROGRAM INTEGRITY Vision Deterrence Enhance the well-being of the communities we serve by ensuring the integrity of public Prosecution Prevention assistance programs, ensuring benefits go to San Diegans in need. Mission Conduct timely and fair investigations to safeguard the integrity of public assistance programs, ensuring benefits go to San Diegans in need. Investigation Detection Brand Promise Safeguard program integrity in a professional and respectful manner…every person, every time. Analysis Mitigation 9/2018 9/2018 INTERGENERATIONAL POVERTY TODAY Bureau of Public Assistance Investigations Early Fraud Investigations Early Community Homeless Team Allegation Team Intervention Long Term Fraud Non-Coop Team Action Team Team 9/2018 9/2018 HISTORY 10/2019 8/2018 LAW ENFORCEMENT CODE OF ETHICS LAW ENFORCEMENT CODE OF ETHICS As a Law Enforcement Officer, my fundamental duty is to serve mankind; to safeguard lives and property; to protect the I will keep my private life unsullied as an example to all; innocent against deception, the weak against oppression or maintain courageous calm in the face of danger, scorn, or intimidation, and the peaceful against violence or disorder; and ridicule; develop self-restraint; and be constantly mindful of the to respect the Constitutional rights of all men to liberty, equality welfare of others. Honest in thought and deed in both my and justice. personal and official life, I will be exemplary in obeying the laws of the land and the regulations of my department. Whatever I see or hear of a confidential nature or that is confided to me in my official capacity will be kept ever secret unless revelation is necessary in the performance of my duty. 8/2018 8/2018 LAW ENFORCEMENT CODE OF ETHICS LAW ENFORCEMENT CODE OF ETHICS I will never act officiously or permit personal feelings, prejudices, animosities, or friendships to influence my I recognize the badge of my office as a symbol of public faith, decisions. With no compromise for crime and with relentless and I accept it as a public trust to be held so long as I am true prosecution of criminals, I will enforce the law courteously and to the ethics of the police service. I will constantly strive to appropriately without fear or favor, malice or ill will, never achieve these objectives and ideals, dedicating myself before employing unnecessary force or violence and never accepting God to my chosen profession...law enforcement. gratuities. 8/2018 8/2018 OUR BADGE TARNISHING OF THE BADGE Intimidation Fear Road Rage Free Stuff Personal Gain Other Employment 8/2018 8/2018 HOW WILL YOU REPRESENT OUR BADGE? Procedural Justice overview IN THIS TRAINING… DEFINITIONS Overview of Police Legitimacy and Procedural Justice Legitimacy: The public view of the police as entitled CoSD Customer Service Initiative (HEART) to exercise authority in order to maintain social “Community Bank Account” order, manage conflicts, and solve problems in the community. How does this relate? Procedural Justice: The procedures used by peace officers where citizens are treated fairly and with proper respect as human beings. WHAT DOES PROCEDURAL JUSTICE TENETS PROCEDURAL JUSTICE LOOK LIKE? VOICE – Allow participant to voice their point of view. Engage in active listening. Remember perception matters . Platinum Rule NEUTRALITY– Unbiased decision making. Consistency, and transparency. RESPECT – Treating a person with dignity, showing empathy, and respecting rights. TRUSTWORTHINESS – Consistently try to do what is best for people. Caring and positive intent. Video link HEART CUSTOMER SERVICE Video link Video Link HEART RESOURCES COMMUNITY BANK ACCOUNT Withdrawal Deposit PERCEPTION IS EVERYTHING HOW DOES THIS RELATE? “I know I’m on Welfare, but I’m also an American” How can our work promote awareness of program integrity and empower individuals to make choices that lead to self-sufficient, and safe communities? IN THIS TRAINING… Purpose of the Interview Location of interview Talking Points Offering Resources Early Fraud 10/2019 9/2018 PURPOSE TALKING POINTS - THEMES • First Impression Why do we do Early Fraud interviews? • Build Rapport • Educate TALKING POINTS - CONTINUED SERVICE ACRONYM • How to Report Fraud Much of what we reviewed in this training can be • Review summarized in the acronym “SIERRA”: • Review case details for changes. S - Smile I -Introduce • Conclusion E - Explain • ACCESS, 2-1-1, explain what happens next. R –Rapport R-Respect A - Adapt IN THIS TRAINING… Early Fraud Expectations Report Contents and Documentation Civil Rights - Interpreters Disposition Codes Evidence Basics 10/2019 6/2019 “CAT” EXPECTATIONS “CAT” EXPECTATIONS Review the referral. Make every effort to conduct a face to face interview with applicant, and be flexible Try to interview the applicant on the first referral 8/2018 8/20188/201/ 18 ALLEGATION EXPECTATIONS PRELIMINARY REPORTS Investigate the allegation thoroughly. Interview witnesses and obtain evidence to prove or disprove the allegation of fraud . If applicant or recipient chooses not to participate in an interview, the investigation continues without an interview . Goal is to determine if the allegation is unfounded or actionable. 8/2018 PRELIMINARY REPORTS PRELIMINARY REPORTS The purpose of the Preliminary Report is to Information that must be included clearly communicate the details of your . Name of applicant investigation. Full address where interview occurred (or indicate a phone interview) . Date and time of interviews or attempts, and time interview was completed . Records check was conducted and results of check . Language, and if an interpreter was used Your report may be used as evidence in court . If a walk-through was completed, and why or administrative hearings. Abbreviations only when necessary . Avoid using all caps 12/2018 PRELIMINARY REPORTS CIVIL RIGHTS - INTERPRETERS Allegations: Findings must address the Consent form 20-49 HHSA “Civil Rights-Interpreters” must be obtained from the customer when individuals other than HHSA allegation, and note if more discrepancies employees or HHSA approved interpretation vendors are used were found as interpreters. P100: If you are requesting the HSS generate a new referral, explain why. 8/09/2018 8/2018 click to access form CIVIL RIGHTS – UNITED LANGUAGE SAMPLE PRELIMINARY REPORT GROUP ULG is our contracted interpreter service FINDINGS: Skyler WHITE requested her application for CW be withdrawn. AP in the home. When using ULG, note the following: FACTS: Home visit to 3828 Piermont DR San Diego, 97111 8/20/18 2pm. I .Language used identified and interviewed Skyler WHITE who was home with her son, Walter JR. .Interpreter ID number WHITE told me her husband, Walter White DOB 9/7/58, left the home a week ago and hasn’t returned. WHITE claims she is meeting her needs by having her .Length of call brother-in-law Hank Schrader live with her and pay part of the rent. White reports one vehicle, a 1991 Jeep Grand Wagoneer, and employment part-time with A-1 Carwash as a cashier. When asked about pursuing Child Support from AP, White became visibly nervous and said “she needs to think about it because her husband might be mad”. During interview a man walked into the room carrying You must document in your report when ULG is pizza, wearing a J.P. Wynne High School ID badge for Walter White (AP). I asked if he lived in the home and he said “yes”. WHITE then asked to withdraw her used for interpreter services. application. 5/19 CASE NOTES UPLOADED TO PTS DISPOSITION CODES DEFINED The following items should be included in PTS: Actionable . FRTS Referral face sheet . Information not reported to HHSA that may impact eligibility . Notes, regardless of brevity . Documented intentional avoidance for a mandatory P100 . Photos used in investigation (without identifying information) . Applicant withdraws due to actionable findings. Preliminary Report . HHSA 20-49 Form (when applicable) Insufficient evidence . Unable to substantiate the allegation of fraud Do not include: . CLETS printouts of any kind . When PAI suggests HSS generate another referral (P100) . SDLaw printouts . CalPhoto printouts Investigation to continue . Warrant/POs – should be included in your narrative . Used only by Investigations to communicate to HHSA 12/2018 12/2018 DISPOSITION CODES DEFINED EVIDENCE BASICS Unfounded (No Fraud) Types of Evidence . Allegation of fraud was unfounded . DIRECT: that which directly proves a fact without inference or . All information verified for P100 presumption . REAL (PHYSICAL): tangible objects Withdrawal . CIRCUMSTANTIAL: that which proves a fact indirectly, with inference . When applicant withdraws and it is NOT related to your (e.g., tax returns, DMV records, school information, rental documents) investigation . TESTIMONIAL (ORAL): includes prop 115 No P100 Interview Conducted . CORROBORATIVE: supports direct or circumstantial . Attempts have been made to interview applicant, and the applicant fails to respond. Documented intentional avoidance by the applicant may be reported as actionable. 12/2018 EVIDENCE BASICS QUIZ Use of Evidence FINDINGS: P100. Skyler WHITE requested her application for CW . Prove or disprove an allegation be withdrawn. Impeach recipient or witness FACTS: Home visit to 3828 Piermont DR San Diego, 97111 8/20/18 2pm. I identified and spoke with Skyler White. She stated that she was no longer interested in receiving CW How reliable is your evidence? benefits because she applied for a job at Target and she thinks . Consider the source she will be hired. No further investigation conducted. Conflict of interest? Disposition Code a. Actionable; b. Insufficient evidence; c. Investigation to Continue; d. Unfounded (No Fraud); e.
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