National Assistive Technology Act Data System

Annual Progress Report - Full Report

General Information

Statewide AT Program (Information to be listed in national State AT Program Directory)

State AT Program Title:
Ability Tools
State AT Program Title:
State AT Program URL
http://www.abilitytools.org/
Mailing Address:
3900 Lennane Drive, Suite 100
City:
Sacramento
State:
CA
Zip Code:
95834
Program Email:
info@abilitytools.org
Phone:
916-390-2690
TTY:
800-900-0706 (TTY)

Lead Agency

Agency Name:
Department of Rehabilitation
Mailing Address:
721 Capitol Mall
City:
Sacramento
State:
CA
Zip Code:
95814
Program URL:
https://dor.ca.gov/Home/AssistiveTechnology

Implementing Entity

Name of Implementing Agency:
California Foundation for Independent Living Centers
Mailing Address:
3900 Lennane Drive, Suite 100
City
Sacramento
State:
CA
Zip Code:
95834
Program URL:
www.abilitytools.org

Program Director and Other Contacts

Program Director for State AT Program (last, first):
Crowley, Kathrine
Title:
Deputy Director
Phone:
(661) 703-6292
E-mail:
kathrine@cfilc.org
Program Director at Lead Agency (last, first):
Harris, Sarah
Title:
ILATS Chief
Phone:
(559) 444-2402
E-mail:
Sarah.Harris@dor.ca.gov
Primary Contact at Implementing Agency (last, first) - If applicable:
Crowley, Kathrine
Title:
Deputy Director
Phone:
(661) 703-6292
E-mail:
kathrine@cfilc.org

Person Responsible for completing this form if other than Program Director

Name (last, first):
Harris, Sarah
Title:
ILATS Chief
Phone:
(559) 444-2402
E-mail:
Sarah.Harris@dor.ca.gov

Certifying Representative

Name (last, first):
Rutledge, Kim
Title:
Director of CA Dept. of Rehabilitation
Phone:
(916) 558-5483
E-mail:
Kim.Rutledge@dor.ca.gov

State Financing

Did your approved state plan for this reporting period include any State Financing? Yes
Did your approved state plan for this reporting period include conducting a Financial Loan Program? Yes

Loan Applications
Area of Residence Total
Metro
RUCC 1-3
Non-Metro
RUCC 4-9
Approved Loan made 00 00 00
Approved Not made 00 00 00
Rejected 00 00 00
Total 00 00 00

2. Income of Applicants to Whom Loans Were Made

Lowest/Highest Incomes
Lowest Income: $0 Highest Income: $0

Average Income
Sum of Incomes Loans Made Average Annual Income
$0 00 $0

Number and Percentage of Loans Made to Applicants by Income Range
Income Ranges Total
$15,000
or Less
$15,001-
$30,000
$30,001-
$45,000
$45,001-
$60,000
$60,001-
$75,000
$75,001
or More
Number of Loans 00 00 00 00 00 00 00
Percentage of Loans 0% 0% 0% 0% 0% 0% 100%

3. Loan Type

Loan Type
Type of Loan Number of Loans Percentage of loans
Revolving Loans 00 0%
Partnership Loans
Without interest buy-down or loan guarantee 00 0%
With interest buy-down only 00 0%
With loan guarantee only 00 0%
With both interest buy-down and loan guarantee 00 0%
Total 00 100%

Loan Type Summary
Type of Loan Number of Loans Dollar Value of Loans
Revolving Loans 00 $0
Partnership Loans 00 $0
Total 00 $0

4. Interest Rates

Interest Rates
Lowest 0%
Highest 0%

Interest Rate Summary
Sum of Interest Rates Number of Loans Made Average Interest Rate
00 00 0%

Number of Loans Made by Interest Rate
Interest Rate Number of loans
0.0% to 2.0% 00
2.1% to 4.0% 00
4.1% to 6.0% 00
6.1% to 8.0% 00
8.1% - 10.0% 00
10.1%-12.0% 00
12.1%-14.0% 00
14.1% + 00
Total 00

5. Types and Dollar Amounts of AT Financed

Types and Dollar Amounts of AT Financed
Type of AT Number of Devices Financed Dollar Value of Loans
Vision 00 $0
Hearing 00 $0
Speech communication 00 $0
Learning, cognition, and developmental 00 $0
Mobility, seating and positioning 00 $0
Daily living 00 $0
Environmental adaptations 00 $0
Vehicle modification and transportation 00 $0
Computers and related 00 $0
Recreation, sports, and leisure 00 $0
Total 00 $0

6. Defaults

Defaults
Number Loans in default 00
Net loss for loans in default $0

B. State Financing Activities that provide consumers with resources and services that result in the acquisition of AT devices and services

1. Overview of Activities Performed

How many other state financing activities that provide consumers with access to funds for the purchase of AT devices and services were included in your approved state plan? 2
Activity 1
How would you describe this state financing activity?Telecommunications equipment distribution

2. Geographic Distribution, Number of Individuals Who Acquired AT Devices and Services and Number for whom Performance Measure Data are Collected

County of ResidenceIndividuals Served
A. Metro (RUCC 1-3)600
B. Non-Metro (RUCC 4-9)54
C. Total Served654

Performance Measure
D. Excluded from Performance Measure0
E. Number of Individuals Included in Performance Measures654

If a number is reported in D you must provide a description of the reason the individuals are excluded from the performance measure:

3. Types and Dollar Amounts of AT Funded

Type of AT Device / ServiceNumber of Devices
Funded
Value of
AT Provided
Vision 0$0
Hearing 0$0
Speech communication1308$529,913
Learning, cognition, and developmental 0$0
Mobility, seating and positioning0$0
Daily living 0$0
Environmental adaptations0$0
Vehicle modification and transportation 0$0
Computers and related 0$0
Recreation, sports, and leisure0$0
Total1308$529,913

Activity 2
How would you describe this state financing activity?Telecommunications equipment distribution

2. Geographic Distribution, Number of Individuals Who Acquired AT Devices and Services and Number for whom Performance Measure Data are Collected

County of ResidenceIndividuals Served
A. Metro (RUCC 1-3)392
B. Non-Metro (RUCC 4-9)31
C. Total Served423

Performance Measure
D. Excluded from Performance Measure0
E. Number of Individuals Included in Performance Measures423

If a number is reported in D you must provide a description of the reason the individuals are excluded from the performance measure:

3. Types and Dollar Amounts of AT Funded

Type of AT Device / ServiceNumber of Devices
Funded
Value of
AT Provided
Vision 7$2,022
Hearing 0$0
Speech communication960$361,723
Learning, cognition, and developmental 0$0
Mobility, seating and positioning0$0
Daily living 0$0
Environmental adaptations0$0
Vehicle modification and transportation 0$0
Computers and related 0$0
Recreation, sports, and leisure0$0
Total967$363,745



C. State Financing Activities that Allow Consumers to Obtain AT at Reduced Cost

1. Overview of Activities Performed

How many state financing activities that allow consumers to obtain AT at a reduced cost were included in your approved state plan? 0

D. Anecdote

This consumer is an 8-year-old boy diagnosed with Autism, ADHD, and Generalized Anxiety Disorder. His conditions limited his ability to verbally communicate and express emotions, often leading to frustration and social isolation. His family sought an Augmentative and Alternative Communication (AAC) device to help him communicate and connect with others more effectively. Disability Resource Center (DRC) staff provided him with a tablet equipped with seven different speech generating applications tailored for communication support. The AAC device allowed him to express his needs and interact with others using visual symbols and text-to-speech output. The device also supported his learning and social engagement by giving him a consistent, reliable communication tool. The young boy’s reaction was heartwarming—his eyes lit up as he typed his first words and heard them spoken aloud. He was filled with excitement and pride as he began to express himself using the device. His family was equally thrilled, expressing deep gratitude to DRC and the Ability Tools program for helping him find his voice and confidence.

Impact Area

This anecdote was shared by a Voice Options consumer, a 24-year-old woman: “I have Down Syndrome and a developmental disability, and for most of my life, communicating was very hard for me. I didn’t have an AAC device when I was younger, so I had to rely on pointing and simple gestures to tell people what I needed. Many times, my family and friends didn’t understand me, and that made me feel frustrated and alone. My parents couldn’t afford to buy a device, and even though we tried for over a year to get one through my insurance, it didn’t work out. They connected me with a Speech-Language Pathologist (SLP) , but I still didn’t have a way to communicate. Then my SLP told us about the Disabled Resources Center and the Voice Options Program. That’s when everything changed. Through the Voice Options Program, I finally got my own AAC device. Now, I can express my feelings, needs, and wants clearly. My family understands me better, and we feel closer than ever. My friends talk to me more, and I can join conversations instead of feeling left out. Having a voice has given me confidence and independence. For the first time, people really hear me. I feel happy because I can tell them what I think and how I feel. Thanks to this program, I feel heard, understood, included, and that means everything to me.”

A young woman sitting and smiling, holding her speech device showing the speech application up happily
Impact Area

E. Performance Measures

Performance Measures
Response Primary Purpose for Which AT is Needed Total
Education Employment Community Living
1. Could only afford the AT through the AT program. 07 00 413 420
2. AT was only available through the AT program. 01 00 02 03
3. AT was available through other programs, but the system was too complex or the wait time too long. 00 00 00 00
4. Subtotal 08 00 415 423
5. None of the above 00 00 00 00
6. Subtotal 08 00 415 423
7. Nonrespondent 00 00 654 654
8. Total 08 00 1,069 1,077
9. Performance on this measure 100% NaN% 38.82%

F. Customer Satisfaction

Satisfaction
Customer Rating of Services Number of Customers Percent
Highly satisfied 95 8.82%
Satisfied 129 11.98%
Satisfied somewhat 00 0%
Not at all satisfied 00 0%
Nonrespondent 853 79.2%
Total Surveyed 1,077
Response rate % 20.8%

G. Notes:

654 acquisition activities were un entered in NATADS day to day. As a result, the bulk numbers were entered manually into the APR. Performance measures were entered, but satisfaction measures had not been collected. This is why there was a significant increase in "Nonrespondent" ratings.

Reutilization

A. Number of Recipients of Reused Devices

Activity Number of Individuals Receiving a Device from Activity
A. Device Exchange 02
B. Device Refurbish/Repair - Reassign and/or Open Ended Loan 2,163
C. Total 2,165

Performance Measure
D. Excluded from Performance Measure because AT is provided to or on behalf of an entity that has an obligation to provide the AT such as schools under IDEA or VR agencies/clients. 00
E. Number of Individuals Included in Performance Measures 2,165

If a number is reported in D you must provide a description of the reason the individuals are excluded from the performance

B. Device Exchange Activities

Device Exchange
Type of AT Device Number of Devices Exchanged Total Estimated Current Purchase Price Total Price for Which Device(s) Were Exchanged Savings to Consumers
Vision 00 $0 $0 $0
Hearing 00 $0 $0 $0
Speech Communication 00 $0 $0 $0
Learning, Cognition and Developmental 00 $0 $0 $0
Mobility, Seating and Positioning 01 $150 $0 $150
Daily Living 01 $40 $0 $40
Environmental Adaptations 00 $0 $0 $0
Vehicle Modification & Transportation 00 $0 $0 $0
Computers and Related 00 $0 $0 $0
Recreation, Sports and Leisure 00 $0 $0 $0
Total 02 $190 $0 $190

C. Device Refurbish/Repair - Reassignment and/or Open Ended Loan Activities

Device Reassign/Repair/Refurbish and/or OEL
Type of AT Device Number of Devices Reassigned/Refurbished and Repaired Total Estimated Current Purchase Price Total Price for Which Device(s) Were Sold Savings to Consumers
Vision 16 $6,749 $0 $6,749
Hearing 00 $0 $0 $0
Speech Communication 49 $32,655 $0 $32,655
Learning, Cognition and Developmental 06 $2,813 $0 $2,813
Mobility, Seating and Positioning 1,998 $388,358 $0 $388,358
Daily Living 1,001 $2,046,595 $0 $2,046,595
Environmental Adaptations 262 $12,660 $0 $12,660
Vehicle Modification & Transportation 01 $5,000 $0 $5,000
Computers and Related 07 $1,757 $0 $1,757
Recreation, Sports and Leisure 04 $36 $0 $36
Total 3,344 $2,496,623 $0 $2,496,623

D. Anecdote

This consumer, an adult woman, needed an electric wheelchair to walk her emotional support animal and move around her apartment complex. She could not afford a suitable device through her insurance in a timely manner. She needed a reliable mobility solution to maintain her independence in the community. The AT Coordinator and Pearls Coach collaborated to provide a refurbished electric wheelchair from the Resources for Independent Living’s (RIL) reuse program. They used the Keep the Wheels Rolling Fund (KWRF) grant to refurbish the chair and replace the battery. The wheelchair was delivered to the consumer so she could start using it immediately. She was highly satisfied with the wheelchair and the support received from RIL. She expressed her gratitude for being able to exercise her emotional support animal and navigate her apartment complex independently. She was delighted to regain her mobility and engage more actively in community living.

Impact Area

E. Performance Measures

Performance Measures
Response Primary Purpose for Which AT is Needed Total
Education Employment Community Living
1. Could only afford the AT through the AT program. 06 05 1,707 1,718
2. AT was only available through the AT program. 00 01 194 195
3. AT was available through other programs, but the system was too complex or the wait time too long. 00 00 02 02
4. Subtotal 06 06 1,903 1,915
5. None of the above 00 00 144 144
6. Subtotal 06 06 2,047 2,059
7. Nonrespondent 00 00 106 106
8. Total 06 06 2,153 2,165
9. Performance on this measure 100% 100% 88.39%

F. Customer Satisfaction

Satisfaction
Customer Rating of Services Number of Customers Percent
Highly satisfied 1,561 72.1%
Satisfied 601 27.76%
Satisfied somewhat 02 0.09%
Not at all satisfied 00 0%
Nonrespondent 01 0.05%
Total Surveyed 2,165
Response rate % 99.95%

G. Notes:

Device Loan

A. Short-Term Device Loans by Type of Purpose

Loans By Purpose
Primary Purpose of Short-Term Device Loan Number
Assist in decision-making (device trial or evaluation) 1,855
Serve as loaner during service repair or while waiting for funding 13
Provide an accommodation on a short-term basis for a time-limited event/situation 12
Conduct training, self-education or other professional development activity 07
Total 1,887

B. Short-Term Device Loan by Type of Borrower

LOANS BY TYPE OF BORROWER
Type of Individual or Entity Number of Device Borrowers
Desicion-making All other Purposes Total
Individuals with Disabilities 1,525 22 1,547
Family Members, Guardians, and Authorized Representatives 60 02 62
Representative of Education 148 04 152
Representative of Employment 07 00 07
Representatives of Health, Allied Health, and Rehabilitation 95 03 98
Representatives of Community Living 04 00 04
Representatives of Technology 16 01 17
Total 1,855 32 1,887

C. Length of Short-Term Device Loans

Length of Short-Term Device Loan in Days 30

D. Types of Devices Loaned

Types of Devices Loaned
Type of AT Device Number of Devices
Desicion-making All other Purposes Total
Vision 76 04 80
Hearing 18 01 19
Speech Communication 1,118 06 1,124
Learning, Cognition and Developmental 49 02 51
Mobility, Seating and Positioning 90 07 97
Daily Living 153 04 157
Environmental Adaptations 62 08 70
Vehicle Modification and Transportation 02 00 02
Computers and Related 460 06 466
Recreation, Sports and Leisure 85 01 86
Total 2,113 39 2,152

E. Anecdote

This consumer, a bright and social woman with Cerebral Palsy, depends on her speech-generating device to communicate. She accesses her device using a single switch positioned near her right wrist, but her current switch stopped functioning. Without it, she was unable to use her communication device, leaving her temporarily without her primary means of interaction. Staff from the Center for Advanced Research and Technology (CART) evaluated her equipment and determined the switch was no longer operational. Fortunately, a replacement switch from Freedom Switch was available through the Ability Tools lending library. CART’s rehabilitation engineer installed and positioned the loaner switch so this consumer could immediately resume communicating while awaiting her new device through insurance. She was extremely happy to regain her ability to communicate independently. She expressed her gratitude for the prompt support from CART and the Ability Tools program, noting how much it meant to have a backup while waiting for her replacement. The consumer left the appointment smiling and relieved, knowing she could continue to express herself freely and without interruption.

Adult woman sitting in a power wheelchair using a Freedom Switch, red-framed speech-generating device mounted in front of them, displaying a colorful communication grid with icons and letters.
Impact Area

F. Access Performance Measures

Access Performance Measures
Response Primary Purpose for Which AT is Needed Total
Education Employment Community Living
Decided that AT device/service will meet needs 229 22 1,456 1,707
Decided that an AT device/ service will not meet needs 09 01 05 15
Subtotal 238 23 1,461 1,722
Have not made a decision 10 00 31 41
Subtotal 248 23 1,492 1,763
Nonrespondent 06 00 86 92
Total 254 23 1,578 1,855
Performance on this measure 95.97% 100% 97.92%

G. Acquisition Performance Measures

Acquisition Performance Measures
Response Primary Purpose for Which AT is Needed Total
Education Employment Community Living
1. Could only afford the AT through the AT program. 08 00 08 16
2. AT was only available through the AT program. 01 00 02 03
3. AT was available through other programs, but the system was too complex or the wait time too long. 00 00 00 00
4. Subtotal 09 00 10 19
5. None of the above 02 00 03 05
6. Subtotal 11 00 13 24
7. Nonrespondent 01 00 07 08
8. Total 12 00 20 32
9. Performance on this measure 81.82% NaN% 76.92%

H. Customer Satisfaction

Satisfaction
Customer Rating of Services Number of Customers Percent
Highly satisfied 876 46.42%
Satisfied 229 12.14%
Satisfied somewhat 05 0.26%
Not at all satisfied 00 0%
Nonrespondent 777 41.18%
Total Surveyed 1,887
Response rate % 58.82%

I. Notes:

521 Device Loan activities were un entered in NATADS day to day. As a result, the bulk numbers were entered manually into the APR. Performance measures were entered, but satisfaction measures had not been collected. This is why there was a significant increase in "Nonrespondent" ratings.

Device Demonstration

A. Number of Device Demonstrations by Device Type

Type of AT Device / Service Number of Demonstrations of AT Devices / Services
Vision 46
Hearing 08
Speech Communication 969
Learning, Cognition and Developmental 18
Mobility, Seating and Positioning 53
Daily Living 50
Environmental Adaptations 22
Vehicle Modification and Transportation 01
Computers and Related 152
Recreation, Sports and Leisure 21
Total # of Device Demonstrations 1,340

B. Types of Participants

Type of Participant Decision-Makers Other Participants Total
Individuals with Disabilities 1,270 17 1,287
Family Members, Guardians, and Authorized Representatives 22 130 152
Representatives of Education 19 00 19
Representatives of Employment 02 01 03
Health, Allied Health, Rehabilitation 22 21 43
Representative of Community Living 01 02 03
Representative of Technology 04 01 05
Total 1,340 172 1,512

C. Number of Referrals

Referrals
Type of Entity Number of Referrals
Funding Source (non-AT program) 61
Service Provider 17
Vendor 137
Repair Service 00
Others 01
Total 216

D. Anecdote

This consumer is an adult woman who experienced an unexpected fall, leaving her unable to bear weight on her lower body. The hospital provided her with a wheelchair, but it was too bulky and difficult to maneuver in her small home. She needed another mobility option that was lighter and easier to use. Assistive Technology Exchange Center (ATEC) staff provided demonstrations of both a quad cane and a folding walker. After trying both devices, the consumer decided to borrow them during her 12-week recovery. She was provided with both demonstration and loan services to meet her mobility needs. The consumer was relieved and grateful for the quick support. She found the walker and cane easy to use and especially helpful for regaining independence. She noted that the walker helped her transition more comfortably back to walking.