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 Karen Toto
Executive Director
Karen has a Masters degree in counseling
psychology and is a licensed Marriage and Family
Therapist in California. She has over 20 years of
successful leadership, administrative, case
management, and direct service experience working
with people with disabilities in a diverse range
of service delivery environments. She has
experience with providing residential and home
support services to people with developmental
disabilities, including work within licensed
environments. Karen has excellent crises
management experience both from a service delivery
(operational) standpoint and a case
management/quality assurance standpoint. She has
considerable and longstanding experience serving
individuals with significant behavioral and
medical/dental challenges. Karen demonstrates a
thorough knowledge of and successful track record
in California's developmental disabilities
services system.
Her previous experience includes: Project
Director, University of the Pacific Arthur A.
Dugoni School of Dentistry (San Francisco, CA);
Director, Crisis Response Project (Antioch, CA);
Client Program Coordinator and Crisis Coordinator,
Regional Center East Bay (Oakland, CA); as well as
experience as a Psychiatric Social Worker (San
Mateo, CA) and Clinical Interviewer (Stanford
University, Palo Alto, CA). She also had a private
therapy practice specializing in work with people
with special needs and their family members.
Karen's Professional Affiliations/Memberships:
- Board Member, Alameda County Developmental
Disabilities Council
- Chairperson, Health Care Task Force Alameda
County Developmental Disabilities Council
- Delta Sigma Epsilon, National Scholastic
Honor Society
- California Association of Marriage and
Family Therapists
 Carla Hernstrom
Home Administrator
For nearly fifteen years, Carla has dedicated her
focus on the field of Social Service. Her
experience includes respite care, independent and
supported living, vocational development,
supported employment and recreational day programs
in Illinois, NYC and the Bay Area. These
opportunities have nurtured a philosophy that
remains to this day: client centered. Her
background in yoga and holistic arts have assisted
in maintaining a very simple theme where helping
others is at the core. Carla has found a sense of
similarity in approach with Alegria Community
Living and she is enthusiastic about serving
people with Development Disabilities.
 Mark Tedsen
Home Administrator
Mark
began his social service career in 1995 as a day
program aid in Chico, CA. He
quickly made the transition to social skills
instructor, a position that allowed him to apply
his creativity to the design of innovative
teaching approaches. Mark has
a person-centered philosophy and believes in
offering and respecting a persons' choices to
promote personal growth. The challenges inherent
in helping individuals to successfully transition
from State-run developmental centers into the
community was what attracted Mark to Alegria.
The prospect of going above and beyond the
basic-needs of individuals to focusing on personal
growth and development was a calling Mark could
not pass up. He
is thrilled with his return to the social services
field and thankful for the opportunity to help
individuals served by Alegria achieve their
dreams.
Ashton Paul, RN
Director of Health Services
Vicki Jones
Home Administrator
Jennie Baldwin, LVN
Home Administrator
David Agnew
Home Administrator
 Martin
Lubega
Lead Staff
Martin has a management degree from Birmingham
City University in the UK. He has worked in the
social services sector for the last 5 years in
Europe, Africa and the United states in different
roles as a case manager and program coordinator.
 Alfredo Guerrero
Lead Staff
Alfredo is a native of South America with a
background in industrial design. He moved to
California and began working with developmentally
disabled population shortly thereafter. Alfredo has
since spent many years working in both residential
and day program settings where his focus is to meet
the needs of the individuals through communication
and support. He is excited to continue his
professional journey with the Algeria Team.
 Roxanne
Ratterman
Lead Staff
Roxanne is a Bay Area native who got her start as a
volunteer while attending college at California
State University Chico. After receiving her degree
in Information and Communication Studies in 1991,
she continued to build on her volunteer experiences
and began her career as a respite worker and program
aide. Since then, Roxanne has worked throughout the
Bay Area (and briefly in Reno, NV) and her
experience includes working in independent and
supported living, vocational programs, classrooms,
and recreational day programs. She came to Alegria
because of Alegria's commitment to the emotional
well-being and limitless growth opportunities for
the individuals served, and is proud to be a part of
the Alegria team!
Elan
Our famous Canine Companion
Elan visits our residents with our wonderful pet
facilitator, Virginia Orozco.
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