- special district
- California · Calaveras County
- 2028 cohort · 562 days left
Mark Twain Health Care District: ADA Title II document accessibility deadline and status
Our October 14, 2026 crawl of mthcd.org(opens in new tab) found at least 551 public documents, about 3,533 pages. 0 of the 50 files we checked passed basic machine checks.
Claim the page at no cost to see every document we found and each file's results. Work at Mark Twain Health Care District? Claim or correct this page.
- documents found
- 551+
- estimated pages
- 3,533
- checked files passed
- 0 / 50
- crawl date
- Oct 14, 2026
What our crawl found on mthcd.org
Counts from our October 14, 2026 crawl, which visited 217 pages. Our crawler found 551 public documents on mthcd.org — an estimated 3,533 pages your team would otherwise inventory by hand.
The crawl stopped at its time limit, so every count here is a minimum: the site has at least this many documents.
Documents by category
- Agendas & minutes478 · 87%
- Other72 · 13%
- Forms1 · <1%
Meeting agendas and minutes dominate this inventory at 87% of all documents. Packets published from the compliance date on have to be accessible, as do older ones residents still use to take part in a meeting or a process; older packets kept only for reference may fall under the rule's exceptions.
By file format
- PDF 548 · 99%
- Word (DOCX) 3 · <1%
Checked sample
0 of 50 passed(0%)
- Passed basic checks: 0
- Did not pass: 50
Most checked files are missing basics such as tags, a document title, a declared language or labeled form fields. Files made without accessibility tooling usually look like this, and they need structural work, not touch-ups.
The rate covers the 50 files we checked, not all 551 documents. Checks cover tag structure, document language, title, image alt text and form-field labels.
Scanned share
4% scanned
Most of the collection is digital-native text, which keeps remediation at the lighter end: tagging and structure work rather than OCR.
Scanned images need text recognition (OCR) before they can be tagged.
Forms are a small part of this inventory (0%), but each one needs labeled fields and a working tab order before someone using a screen reader can fill it in.
Crawl scope
- Crawl date
- October 14, 2026
- Pages visited
- 217
- Documents in the inventory
- 551
- Files checked
- 50
- Limits hit
- time
- Started from
- mthcd.org(opens in new tab)
These are machine checks on a sample, not a compliance finding, and they say nothing about the people who publish Mark Twain Health Care District's documents. The results for the sampled files are public above. The full inventory of every document we found, with detailed per-file reports, is available to verified staff of Mark Twain Health Care District after claiming this page.
Files we checked on mthcd.org
Links go to the files on mthcd.org as we found them on October 14, 2026.
These are automated checks on a sample of files as published on October 14, 2026. They are not a legal compliance finding and don't cover reading order, alt-text quality or table structure. Something wrong? Ask for a correction or removal.
| File | Category | Result | Checks not passed |
|---|---|---|---|
| ..May 27 2026 Board PacketPDF · 178 pages | Agendas & minutes | Did not pass | Tagged structure, Document language, Document title, Image alt text |
| ~ 2026-2-25 Finance Comte Mtg AgendaPDF · 3 pages | Agendas & minutes | Did not pass | Document title |
| ~~July Board packetPDF · 72 pages | Agendas & minutes | Did not pass | Tagged structure, Document language, Document title, Image alt text |
| ~2026-3-25 Board of Directors AgendaPDF · 3 pages | Agendas & minutes | Did not pass | Document title |
| ~Agenda Special Meeting BODPDF · 2 pages | Agendas & minutes | Did not pass | Document title |
| 1 Agenda August 19 2026 FinancePDF · 2 pages | Agendas & minutes | Did not pass | Document title |
| Microsoft Word - September 23 Board Agenda1 Agenda BOD 9-23-26 · PDF · 3 pages | Agendas & minutes | Did not pass | Tagged structure, Document language |
| 1 Agenda September 23 2026 FinancePDF · 2 pages | Agendas & minutes | Did not pass | Document title |
| 1 August 19 Board AgendaPDF · 4 pages | Agendas & minutes | Did not pass | Document title |
| 1 July 17 Board Agenda.PDF · 3 pages | Agendas & minutes | Did not pass | Document title |
| 1. June 24 Board Agenda.PDF · 4 pages | Agendas & minutes | Did not pass | Document title |
| 10.14.26 Special Board MeetingPDF · 10 pages | Agendas & minutes | Did not pass | Tagged structure, Document language, Document title, Image alt text |
| 2024-3-27 MTHCD BOD Meeting AgendaPDF · 5 pages | Agendas & minutes | Did not pass | Document title |
| 2024-3-27 MTHCD BOD Meeting PacketPDF · 115 pages | Agendas & minutes | Did not pass | Tagged structure, Document language, Document title, Image alt text |
| 2026-01-28 Signed Approved BOD MinutesPDF · 6 pages | Agendas & minutes | Did not pass | Tagged structure, Document language, Document title, Image alt text |
| 2026-2-25 MTHCD Finance Committee Meeting PacketPDF · 27 pages | Agendas & minutes | Did not pass | Tagged structure, Document language, Document title, Image alt text |
| 2026-3-25 MTHCD Board of Directors Meeting PacketPDF · 91 pages | Agendas & minutes | Did not pass | Tagged structure, Document language, Document title, Image alt text |
| 2026-3-25 MTHCD Finance Committee AgendaPDF · 3 pages | Agendas & minutes | Did not pass | Document title |
| 2026-3-25 MTHCD Finance Comte Meeting PacketPDF · 7 pages | Agendas & minutes | Did not pass | Document language, Document title |
| Agenda BOD April 10, 2026PDF · 2 pages | Agendas & minutes | Did not pass | Document title |
| Agenda Special Meeting BOD 10.14.2026PDF · 2 pages | Agendas & minutes | Did not pass | Document title |
| Agenda Special Meeting BOD 10.2.2026PDF · 2 pages | Agendas & minutes | Did not pass | Document title |
| Aug 19 BOD MinutesPDF · 6 pages | Agendas & minutes | Did not pass | Tagged structure, Document language, Document title |
| Aug 19 Finance MinutesPDF · 3 pages | Agendas & minutes | Did not pass | Tagged structure, Document language, Document title |
| August 19 Board PacketPDF · 115 pages | Agendas & minutes | Did not pass | Tagged structure, Document language, Document title, Image alt text |
| August 7 Special BOD MinutesPDF · 2 pages | Agendas & minutes | Did not pass | Tagged structure, Document language, Document title |
| Board packet 9-23-2026PDF · 125 pages | Agendas & minutes | Did not pass | Tagged structure, Document language, Document title, Image alt text |
| Feb 2026 BOD MinutesPDF · 6 pages | Agendas & minutes | Did not pass | Tagged structure, Document language, Document title |
| July BOD MinutesPDF · 5 pages | Agendas & minutes | Did not pass | Tagged structure, Document language, Document title |
| May 27 Board AgendaPDF · 4 pages | Agendas & minutes | Did not pass | Document title |
| Special Board Meeting Agenda Aug 7 2026PDF · 2 pages | Agendas & minutes | Did not pass | Tagged structure, Document language, Document title, Image alt text |
| ~~July Finance PacketPDF · 29 pages | Other | Did not pass | Tagged structure, Document language, Document title, Image alt text |
| 2022-10-26 MTHCD Board Mtg pktPDF · 117 pages | Other | Did not pass | Tagged structure, Document language, Document title, Image alt text |
| 2023 -5-23 MTHCD Board of Directors Meeting - SpecialPDF · 135 pages | Other | Did not pass | Tagged structure, Document language, Document title, Image alt text |
| 2023-02-15 Finance Comte Mtg pktPDF · 44 pages | Other | Did not pass | Tagged structure, Document language, Document title, Image alt text |
| 2023-4-19 MTHCD Finance Committee MeetingPDF · 25 pages | Other | Did not pass | Tagged structure, Document language, Document title, Image alt text |
| 2023-5-17 MTHCD Finance Committee MeetingPDF · 30 pages | Other | Did not pass | Tagged structure, Document language, Document title, Image alt text |
| 2023-7-19 MTHCD Finance Committee PacketPDF · 26 pages | Other | Did not pass | Tagged structure, Document language, Document title, Image alt text |
| 2023-9-20 MTHCD Finance Committee MeetingPDF · 27 pages | Other | Did not pass | Tagged structure, Document language, Document title, Image alt text |
| 2023-9-5 Special Meeting MTHCD Board of DirectorsPDF · 9 pages | Other | Did not pass | Tagged structure, Document language, Document title, Image alt text |
| 2024-6-19 MTHCD Finance Comte Mtg PacketPDF · 31 pages | Other | Did not pass | Tagged structure, Document language, Document title, Image alt text |
| 2025-12-4 MTHCD Board of Directors MeetingPDF · 26 pages | Other | Did not pass | Tagged structure, Document language, Document title, Image alt text |
| 2025-2-26 MTHCD Finance Comte Mtg PacketPDF · 24 pages | Other | Did not pass | Tagged structure, Document language, Document title, Image alt text |
| 2025-3-19 MTHCD Finance Comte Mtg PacketPDF · 42 pages | Other | Did not pass | Tagged structure, Document language, Document title, Image alt text |
| 5.27.26 Finance CommitteePDF · 38 pages | Other | Did not pass | Tagged structure, Document language, Document title, Image alt text |
| Microsoft Word - Policy 25 - Reserve9.23.2026 Finance Packet · PDF · 18 pages | Other | Did not pass | Tagged structure, Document language, Image alt text |
| April BODPDF · 120 pages | Other | Did not pass | Tagged structure, Document language, Document title, Image alt text |
| August 19 Finance PacketPDF · 33 pages | Other | Did not pass | Tagged structure, Document language, Document title, Image alt text |
| Finance CommitteePDF · 72 pages | Other | Did not pass | Tagged structure, Document language, Document title, Image alt text |
| June Finance Packet -compressedPDF · 34 pages | Other | Did not pass | Tagged structure, Document language, Document title, Image alt text |
Show all 50 filesShow fewer
What each check looks for
- Tagged structure
- The file has a tag tree, so assistive technology can tell headings, lists and paragraphs apart.
- Document language
- The file declares its language, so screen readers pronounce it correctly.
- Document title
- The file has a document title, shown instead of the file name.
- Image alt text
- Every image in a tagged file carries alternative text, or the file has no untagged images.
- Form field labels
- Every fillable form field has a label a screen reader can announce.
How we measured this
1.Crawl
We start at the organization's website and follow its sitemaps and links on the same site. We respect robots.txt and crawl delays, and skip login areas.
2.Classify
Each document is sorted by file format and, from its link text and file name, into a category such as forms or agendas. Page counts are estimated, often without downloading the whole file.
3.Check a sample
We open up to 50 PDFs and run basic machine checks: tags, document title, language, image alt text and form-field labels.
4.Publish only with evidence
Figures appear only when a crawl finds at least 25 documents and checks at least 20 of them.
Limits of this method
- We only see public pages we can reach through links or sitemaps. Documents behind logins or on other services may be missed.
- Crawls stop at page, document and time limits. When one is hit, the counts are minimums.
- Categories and page counts are estimates from links, file names and file metadata.
- Machine checks can't judge reading order, alt text quality or table structure. Passing them is not WCAG 2.1 AA conformance.
- Figures describe the site on the crawl date, not today.
This page's evidence
- Crawled October 14, 2026: we fetched 217 pages from https://www.mthcd.org/ and found 551 documents.
- The pass rate comes from machine checks on 50 of those documents, not from checking every file.
- Changelog: October 14, 2026 — inventory refreshed from the latest crawl.
- How we crawl, classify and check documents
Plan the work before April 26, 2028
562 days is enough time to work through a backlog in stages, if the inventory starts now.
Where Mark Twain Health Care District should start
Start with patient forms, financial assistance applications and public notices.
Patients need these files to get care and financial help.
Usually owned by patient services, compliance staff and the board secretary.
A timeline to April 26, 2028
Inventory and triage
by January 4, 2027
Fix the documents people use most
by September 14, 2027
Everything in use conforms
by April 26, 2028
A planning split of the time left, not a legal requirement.
Estimated cost with DocoMatic
$882 – $1,324
≈ 4,412 credits for 3,533 estimated pages
- 6 form pages at Level 3 (field labeling and tab order)
- 141 scanned pages (OCR plus Level 2 tagging)
- 3,386 standard pages at Level 1
This is a directional estimate from crawler statistics, not a quote. Run the remediation cost calculator with your own page counts for a tailored figure.
What DocoMatic does
- Finds the PDF, Word, PowerPoint and Excel files on your website and estimates the backlog.
- Fixes documents at three levels, from basic tagging to complex forms.
- Checks every fixed file, with veraPDF PDF/UA-1 validation from Level 2 up.
- Human review: turn it on when you request a fix, or arrange it with our team.
- Monitors your site so new documents don't rebuild the backlog.
Buying for a larger organization? Book a 20-minute demo(opens in new tab)
Is this your organization?
If you work at Mark Twain Health Care District, claim this page at no cost with an email address on mthcd.org. You can check the figures, choose which ones are public and see the file-level inventory in the app.
Claiming isn't an admission of anything. It gives your team control of what this page shows.
Claim this pageSomething wrong or out of date?
Tell us what to fix. Our team reviews every request and replies by email.
Request a correction or takedown
If you represent Mark Twain Health Care District and something on this page is wrong, tell us. Requests are recorded, reviewed by DocoMatic staff and answered by email. If a takedown request is accepted, this page stops publishing statistics about Mark Twain Health Care District.
Compare with similar organizations
Mark Twain Health Care District beside the special districts in California closest to it in population that also have published reports.
| Organization | Population | Documents found | Estimated pages | Crawled |
|---|---|---|---|---|
| Mark Twain Health Care District (this page) | — | 551+ | 3,533 | October 14, 2026 |
| Alameda Corridor Transportation Authority | — | 1,492 | 20,624 | October 7, 2026 |
| Alameda County Housing Authority | — | 447 | 12,685 | October 7, 2026 |
| Alameda County Mosquito Abatement District | — | 269+ | 7,488 | October 7, 2026 |
| Alameda County Resource Conservation District | — | 95 | 1,324 | October 7, 2026 |
| Alameda County Transportation Commission | — | 2,825 | 52,918 | October 7, 2026 |
Each figure comes from that organization’s own crawl; a + marks a crawl that stopped at a limit, so its count is a minimum. The table compares document inventories, not accessibility.
Related organizations
Special districts in California
- Alameda Corridor Transportation Authority: ADA deadline report
1,492 documents · due April 26, 2028
- Alameda County Housing Authority: ADA deadline report
447 documents · due April 26, 2028
- Alameda County Mosquito Abatement District: ADA deadline report
269 documents · due April 26, 2028
- Alameda County Resource Conservation District: ADA deadline report
95 documents · due April 26, 2028
Also due April 26, 2028 in California
- Ravendale-Termo Elementary School District: ADA deadline report
school district · 89 documents · due April 26, 2028
- Green Point Elementary School District: ADA deadline report
school district · 42 documents · due April 26, 2028
- Silver Fork Elementary School District: ADA deadline report
school district · 75 documents · due April 26, 2028
- City of Industry: ADA deadline report
city · 335 documents · due April 26, 2028
Frequently asked questions
When is Mark Twain Health Care District's ADA Title II deadline?
April 26, 2028. Mark Twain Health Care District is in the 2028 cohort under the Department of Justice's rule on web and mobile accessibility for state and local governments, with compliance dates as set by the Department's interim final rule of April 20, 2026 (91 FR 20902).
How was Mark Twain Health Care District's deadline set?
Mark Twain Health Care District is a special district government, and the Census Bureau calculates no population for one. The rule gives every special district government the later date, whatever the size of the area it serves.
How many public documents does Mark Twain Health Care District have?
Our crawl on October 14, 2026 fetched 217 pages from https://www.mthcd.org/ and found at least 551 documents (it stopped at a crawl limit), an estimated 3,533 pages. The full file-level list is available to verified staff after claiming the page.
How many of Mark Twain Health Care District's documents pass accessibility checks?
0 of the 50 files we checked passed basic machine checks (0%). That is a sample of the 551 documents we found, and passing basic checks is not full WCAG 2.1 AA conformance.
How much would it cost to fix Mark Twain Health Care District's documents?
Our directional estimate is $882 to $1,324 with DocoMatic: about 4,412 credits for 3,533 estimated pages, based on this crawl. It is not a quote.
Which documents should Mark Twain Health Care District fix first?
Start with patient forms, financial assistance applications and public notices.
Do older PDFs have to be made accessible too?
Not all of them. Documents already posted before the compliance date are excepted unless they are currently used to apply for, gain access to, or participate in the organization's services, programs or activities (28 CFR 35.201(b)). Genuinely archived content is excepted too, but only while it is kept solely for reference, research or recordkeeping, sits in a clearly identified archive area and is not changed. Everything published from the compliance date on is covered, and so is any older file people still use to reach a service.