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You have to have worked 25 hours in the past two months. If they are a new provider they gev a packet to apply for health and dental benefits but if they are providers who worked in the past and took a break and worked again, they have to take the initiative to apply. Thank you. You have a menu that you say you are going to give us. Im going to give it to you. And you will be translating into different languages. I know there are a lot of asians using it. So what kind of languages are you thinking about . Its currently in english. We are in the process of translating it into chinese. And we have had to go through so many different people, because there are some of the terms we use dont translate well, so we are trying to make sure that it makes sense. So we are doing chinese next, and then we are doing spanish. And then if we have any money left, well do more. Will you give me a copy in chinese when its ready . Absolutely. Thank you. I think its important to remember that the budget for ihss, the total funding, which is driven by the state of california, is substantial. But the cost of keeping people at home is far, far less than institutionalizing them. Just strictly only a financial basis to say nothing about the emotional and psychological aspects of it. I think thats important to remember, that this is a program that saves a great deal of money. Exactly. Any other comments or questions . Commissioner arcelona. Thank you. Hi, kelly. Hi. Two questions. One is are there any restrictions for a provider who lives with let me state the question differently. Can somebody be living with somebody and be a provider . Im crista. Im the director of ihss. Yes, you can. We have many live ofin providers. There are some restrictions around spouses and what types of services we can pay folks to provide and parents as well. But we have many livein providers. Okay. And then i was noticing the big jump in the live scans that were completed in september, october and november. What caused that . So we were offering more. And because we were doing more supplies. And so we had more people who were aware of what we were doing. And because we do it cheaper than any other place you can do it. The other really big change is that per union union contracs moved from individual orientations for providers to group orientation. So we are offering about five orientations a week at 770 it is, theres been 30 people that go to them. And we have redesigned that whole space. So its much more comfortable. We can do a Group Presentation where we give a lot more information thats consistent. And at the end they can meet with kellys staff to do the live scan. So we have one machine there now. We are adding a second one. We didnt have the time to get everybody through it. But like kelly said, the more convenience the better. Its lowcost, we dont have to travel to get to it. You can get paid and start caring for your recipients. Thank you. Any other comments or questions . Thank you very much, kelly. Great to see you again. And that was a terrific presentation. Very informative. Thank you so much. Okay. Item a. Requesting [off mic] item a, requesting authorization to enter into a new Grant Agreement with Curry Senior Center for the provision of programming and social services for transgender and gender con forming tgnc older adults and tgnc adults with disabilities during the period of january 1, 2020 through june 30, 2023 in the amount of 353,003 plus a 10 contingency for a total grant amount not to exceed 388,303. It is from tiffany. And im always happy to learn a new acronym, tgnc. Add that to the list. Thank you. Good morning. The Grant Agreement was Curry Senior Center is one of two transgender and gender nonconforming programs that i will be presenting to the commission for approval. Moving forward, i will use the acronym tgnc for transgender and gender noncon coming. The dignity Fund Assessment report published last year is a resource our department uses to help guide the procurement of services that will meet Community Needs and reach underserved populations. The report notes that lgbtq older adults and adults with disabilities participate less in d. A. S. Services overall when compared to the general population of our clients. This gap is even more evident when we look specifically at the tgnc older adult and adult with disability populations. D. A. S. Met with Community Stakeholders knowledgeable and experienced in providing services for the tgnc community as well as the office of transgender initiatives. Through this process, we identified core elements our programming must include. And both transgender programs being presented today have them. First is a safe, supportive, genderaffirming environment, social interaction and relationshipbuilding, regularlyscheduled programming, tgnc individuals hired as key program staff, flexibility for the program to evolve as the needs grow and shift, ongoing feedback to d. A. S. About the needs of the community and lastly, an Advisory Board made up of Community Stakeholders. Curry Senior Center has extensive experience in delivering a wide range of services for older adults and adults with disabilities, including a support group for their tgnc clients. Curry staff is skilled at working with diverse populations in the city. Their language capacity onsite includes ten different languages. With this grant, curry will expand their tgnc group to include more social and supportive programming. Curry will add four tgnc annual events designed with input and insight from their advise board. Curry will reach at least 30 clients and provide 250 hours of programming annually. Thank you. And im happy to answer questions. Thank you, tiffany. Any comments . Commissioner spears . I have one question. In the writeup it talks about the grantees will develop and implement this programming within this threeyear period. Can you give us an idea of by when do you think this new programming will start . Some of it is they both providers are in the process of recruiting for the tgnc staff person. So there is money for this half year. So we are hoping there will be some delivery of service and consumers this year. Any other comments or questions . Commissioner knutzen. I want to acknowledge how historic and wonderful this program is. I just wanted to kind of note that. Its very important to our community. Are some of the programs that they are doing already do they already exist so that they are probably just going to build and enhance . Well, in currys case, yes, they are going to be sort of expanding. They have a group that is calle. I think thats the name. I might be misquoting it slightly. But for that program, they are going to basically do more peer support programming for that. The annual event that i refer to, those are new. That is new . Okay. Thank you. I would like to echo commissioner knutzens comment about how important and pioneering this and also its an example of how the studies that led up to the dignity fund and the way the dignity fund money was going to be used was for many, many cases innovative programs. And this is an example of something going from a study to a practical implementation. And i think that thats very important to keep in mind. It means that we are actually acting on what we promised. And so again, i would like to commend the program thats been developed. Any other comments or questions from the commission . Any comments or questions from the public . May i have a motion to approve . Second. Second. Any comments or questions or further discussion . All in favor . Aye. Any opposed . Thank you. The motion carry. Item b. Requesting authorization to enter into a new Grant Agreement with openhouse for the provision of programming and social services for transgender and gender con forming, tgnc, older adults and tgnc adults with disabilities during the period of january 1, 2020 through june 30, 2023, in the amount of 645,582 plus a 10 contingency for a total grant amount not to exceed 710,000. Tiffany again. Thank you. Similar to Curry Senior Center, openhouse has extensive experience in delivering lgbtq focused programming for older adults and adults with disabilities. Openhouse will also expand its existing programming for tgnc clients and work with three new organizations that provide dedicated services to tgnc individuals. By partnering with new organizations, openhouse will reach diverse populations within the tgnc community. One of the organizations openhouse will work with is San Francisco Community Health center. The Health Center is home to trans five, a Dropin Center for tgnc clients. Through this partnership, open house will offer Transgender Support Group two times a month, providing opportunities for social engagement and community connection. Another organization open house is partnering with is transgender, gender variant and intersex justice project. Through this partnership, openhouse will organize a monthly sunday gathering and dinner for formerly incarcerated transgender women. Openhouses Third Partnership is with st. James infirmary. Through this partnership, openhouse will offer a tgnc support group led by a tgnc older adult on a weekly basis. And lastly, open house will expand its existing tgnc programming to host trans general racial lunches twice a month. Open house will reach at least 75 clients and provide 205 hours of programming annually. Thank you. And im happy to answer any questions you may have. Thank you. Any comments or question from the commission . Any comments or questions from the public . Welcome. Hi, im karen, executive director at openhouse. Ill keep this very brief. I wanted to say thank you to d. A. S. And dignity fund for making this happen and for all of you for the strong support of the work that openhouse and curry will be doing together. And one of the things i want to say is i know its hard with government contracts and how they work to build in room for creativity and flexibility. And i just want to say that as a cisgenderred person who considers myself engaged in constant allyship, and i know we are here with a lot of cisgender allies in the room, at the end of the day i hope we know that we are going to learn a lot from the amazing Transgender Community on what they need from this contract because we dont totally know yet. So i want to say thanks to o. T. I. For their leadership and for the Transgender Community for putting trust in us that we could move forward and figure out what they need. I know that thats not easy, because the rest of the Lgbtq Community hasnt always been there for them in allyship the way they needed. So thank you for making that happen. Thank you. Any comments or questions . Any other comments or questions from the public . Hearing none, may i have a motion to approve . So moved. Thank you. Any other further discussion . All in favor . Aye. Any opposed. The motion carries. Item c, requesting authorization to modify the existing Grant Agreement with selfhelp for the elderly for the provision of Adult Day Program services for older adults and adults with disabilities, during the period of january 1, 2020 through june 30, 2020 for an additional amount of 135,931 plus a 10 contingency for a total amount not to exceed 749,901. Welcome, rick appleby. Good morning, commissioners, director and bridgette. Im happy to be able to ask your authorization for these modifications and the funds for selfhelp for the elderlys Adult Day Program have two parts today. The Adult Day Program, as you may recall was a nonmedical model of social day programming that focuses on peoples personal care, socialization and community stabilization. As a part of that, we are happy to be able to have this onetime only dignity fund money of 120,000 to support their physical therapy and Occupational Therapy programming. The physical therapist, which is funded by this, offers the consultation and treatment planning and handson physical therapy is really about strengthening and giving the person more stamina in their body and their gait. And then theres the occupational piece of it with age that you saw and care workers that focus on the needs of the person to live in the community if there are accommodations they need in their home, if there are exercises or skills they are learn to better take care of they must in their home and at the program. So thats the 120. The other piece is actually selfhelp for the elderly was able to receive a new van for transportation from another community organization. We heard the central latino discontinued their participation, so helphelp for the elderly is taking that van on. And at the time we knew that it would need some maintenance and repairs. So they used or will use 15,931 to make sure that van is prepared for transportation to and from the program and to field trips as they need. Any questions today . Thank you, rick. Any comments or questions . Hearing none, any comments or questions from the public . May i have a motion to approve . So moved. Second. Thank you. Any further discussion . All in favor . Aye. Any opposed . Thank you. The motion carries. Thank you. Item d, requesting authorization to modify the existing Grant Agreement with institute on aging for the provision of the Community Living fund during the period of february 1, 2020 through june 30, 2021, in the amount of 741,146 plus a 10 contingency for a total amount not to exceed 11,641,294. Welcome, fanny lapitan. Good morning. In the home stretch. Again, im fanny lapitan, Program Analyst with the office of community partnership. Im here today to request authorization to modify our existing contract with the institute on aging for the provision of the Community Living fund program. I believe most of you are familiar with c. L. F. Already. But ill give a quick overview. The Community Living fund was established in 2006 to provide older adults to services and supporting they need to live independently in the community. And i think president serina alluded to the value of really Community Living as opposed to institutionalization. It was created to provide Community Placement alternatives for individuals who may otherwise require care within an institution. Our target population are those who are currently placed in institutions like skilled nurseling facilities or those who are at risk of institutionalization but are willing and able to be discharged or live in the community with appropriate support. Through our contract with i. O. A. Provides c. L. F. Services using an approach of coordinated Case Management and purchase of goods and services. The modification we are requesting will be specifically used to augment the programs purchases Services Component to increase capacity to serve clients waiting for purchase of services and also to improve efficiency in procuring goods and services through the program. The majority of the additional funds being requested, about 75 percent of it will be allocated directly to the amount of funding available for purchases. This increase will actually bring the program in line with current spending projections and historical trends. A portion of the funds will also be used for additional staff capacity, specifically it will increase i. O. A. s Occupational Therapy time from. 5 to 1 and increase the Care Coordinator through the Catholic Charities from. 5 to 1 as well. The increase capacity will facilitate the assessment and coordination of purchases to help decrease the wait list and wait time. Finally, a small portion will be used to upgrade the software use for c. L. F. s procurement system. The upgrades will improve efficiency and provide some cost savings as vendor invoicing will be more streamlined and care managers are able to expedite requests and authorize authorizations for purchases. I would be happy to answer any questions. Thank you. Any comments or questions from the commission . Any comments or questions from the public . Hearing none, may i have a motion to approve . So moved. Second. Thank you. Thank you. Any further discussion . All in favor . Aye. Any opposed . Thank you. The motion carries. Is there any general Public Comment . Welcome. Ill put it on the record. Maey, director of the Community Living campaign. I stayed to be able to say thanks to d. A. S. And executive director mcspadden about the efforts to save the classes and Jobs Associated with the cuts to ccfs programs. I think thats a really important and timely first step, but we hope that everybody sort of is part of a Larger Campaign to save the remaining classes, both for older adults and for young folks in that program. The board of supervisors began the hearing this morning downstairs. And that hearing was continued, but they are and will not come up again i guess until february, but they are taking up the issue at the finance committee of the board of supervisors next wednesday at 10 00 to see what the board is able to do to kind of help. So for those who are interested in that issue, both in the room and who are watching on tv, it is the board of Supervisors Budget Committee next wednesday at 10 00. And i also wanted to provide just some talking points that we kind of use to get our thoughts together on this issue. And we have been sharing that with others. So i wanted to share that with you. So ill put them here, and someone will grab them i think. Lastly, kate had to leave but she left information about the end ageism campaign. If you dont have your button on, you have a chance to get one and replenish your supply as well as other materials. Thank you very much. Any other comments or questions . Thank you. Motion to adjourn. So moved. Second. Thank you. Thought it was going to be a short meeting and it turned out to be a long one. I know. Hi. My name is carmen chiu, San Franciscos elected assessor. When i meet with seniors in the community, theyre thinking about the future. Some want to down size or move to a new neighborhood thats closer to family, but they also worry that making such a change will increase their property taxes. Thats why i want to share with you a property tax saving program called proposition 60. So how does this work . Prop 60 was passed in 1986 to allow seniors who are 55 years and older to keep their prop 13 value, even when they move into a new home. Under prop 13 law, property growth is limited to 2 growth a year. But when ownership changes the law requires that we reassess the value to new market value. Compared to your existing home, which was benefited from the which has benefited from the prop 13 growth limit on taxable value, the new limit on the replacement home would likely be higher. Thats where prop 60 comes in. Prop 60 recognizes that seniors on fixed income may not be able to afford higher taxes so it allows them to carryover their existing prop 13

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