Transcripts For SFGTV Aging And Adult Services Commission 4616 20160410

Need to clear the room because we are going into closed session to deal with the litigation matters on we had somebody on muni that held up the transportation. Okay, first item call the roll call. President edna james, present. Vene yeah, here. Commissioner itani and lieu and is excused. Executive director maureenmic faden is present. We are going ask approval of the april 6 agenda with there following revisions number 1 is that on the report after the directors report we will move to item 9 a. On the agenda and also, on the change on the b item 9 b we will change that to item d and on the 9 b and d well change itself. We will move d where b is and b will be moved to d. Am i right . A is no longer a action item. 9 a. It is no longer a action item 9 a is no longer a action item . This is a opportunity for the commission to hear the Needs Assessment and area plan and you will have a opportunity in may to vote for it. After the Advisory Council heard it because they may have suggestion frz you and since they advice you on this they will have a opportunity to come back next month with changes they had or changes they already. So you are moving 9 a as a action item but will discuss it after the directors report ft it isnt a action item but d and b will change . So moved second. Moved and second that we approve the agenda with the following changes. All in favor say aye. Opposes . Ayes have it so the motion is carried. Thank you. Approval of april 6 consent agenda, can i have a motion to approve that . So moved moved and second we approve the april 6 consent agenda. All in favor say aye . Opposed . Ayes have it so the motion is carried. The march 2 Commission Meeting minutes, does anybody have any changes to those . Any comments or changes . Hearing none mauve to have a motion to approve the minutes circulating so moved second if is moved and second we approve the minutes march 2 Commission Meeting, all in favor say aye. Opposes . Ayes have it so the motion is carried. Item 5, employee rig noigz the department of aging and Adult Services honors kathryn guo. [applause] good morning commissioners. It is really exciting to be able to be here and honor kathryn guo where what month is it, april, the april employee of the month. Tax month, okay. So, one of the things that is great every time we have one of these employees of the month which is every mublth and we talk about a particular area of a program and one thing a lot of people may kneknow is Adult Protective Service is trour 7 program and dont have a lot of social workers, we have under 40 and that means a lot of people have to step up and be on call, they have to be on call at night and sometimes that moons taking care och complicated situations, sometimes they sxh in the next morning and do notes and still work all day. It take as lot of commitment and sometimes they are really tired and it is tough work and i think we have been talking about how much more complicated and complex the cases in Adult Protective Services have gotten. Kathryn is one of the team in Adult Protective Services who regularly you know, volunteers time to come in and do her work to be on call and it is a lot of commitment. I just was hoping before i read what people wrote about catarrhine that maybe other people in Adult Protective Services who are here who do on call work and night work if you can stand so we can recognize all of you. [applause] because we are fortunate to have such a committed group of folks and even though it is part the job it is above and beyond so thanks to all you who do this work but today it is kathryns day. [applause] i want to read what kathryns colleagues wrote about her. I want to nominate kathryn as employee of the month because she has been working with adult protective serve since 2001. She covers a weekly shift from 5 a. M. To 3 p. M. She is woken in the middle of the night to manage urgent situations in the field. She is a team player and always volunteer tooz cover shift at last minute notice. In january she was approached to conchg a shift with last than a hour notice and carved t. Kathryn puts the needs the Program First and flexible. Kathryn helps some of had most vulnerable residents. She is well known for having a positive attitude. The cheerful ness helps keep the teammates going. Aps is fortunate to have a responsible reliable and dependable worker. She is a asset to the team and aps program. [applause] you know why im so nicer . Someone told me it is way nicer and easier to be with someone who treats you nicer so every one of you are a nice person and thereat is howia dissever my treatment of nicer. This is less than 24 hours to remind me, did you write a acceptance speech . I can write one if you dont have one already. This is how nice they are. Usual usually we dont say anything but ill Say Something about this because my background is in Community Mental helt and that was part of my job to go around and do some of the same work and it is hard work and as people get older in San Francisco we need people devoteed to taking care of the elderly and it is very tough job. I just want you to know i appreciate the job and it made me heart feel good to see one of our commissioners say that he was happy and i say i cant do that but i know it in the best interest of his own health. It really felt good hearing from him it was okay and we appreciate your work very much. Thank you. [applause] one more thing. This is how nice you guys are calling me on my off day and i was driving on the free bp way so answer without knowing who is calling. Congratulations. The next mint i think congratulation you won 4 day 3 night caribbean cruise or [inaudible] who is this and who is calling . About to hang up and they [inaudible] pleasant surprise. I want to thank my supervisor mr. Edeth [inaudible] who is a mentor and believe not just me but many here. Im fortunate to work with her and always inspire me to go above and beyond personally and professionally in my life and want to thank you. Kathryn on behalf of [inaudible] present you with this plaque and congratulations of being april employee of the month. [applause] okay. Now item 6 reports. Can we have a directors report . Yes, good morning commissioners. I will keep my report brief because the first thing i want to asnouns there a home care hearing at had budget and finance committee at the board oof supervisors this horning and i am asked to present on the home care stuff dos does so in Home Supportive Service and Community Living fund and the ways we support care givers. Basically the budget and finance committee is looking at the possibility of finding ways to support people who dont qualify for in home service but need home care. They wril hear from the department and budget analyst and also from the Controllers Office and so, i may get called to go present at any moment. That is why we are asking you to move the Needs Assessment and area plan assessment up because i need to be here for that. The second thing i want to remind you of is next wednesday at 10 a. M. Will be celebrating our grand opening for the benefits and resource hub that we openedt a 2 gaus so reminder that is the marriage ofulgeability service and in take service and it is exciting so hope to see you all there and well talk about how that service is working and you will get more information. We hope to have commissioners there. We have representatives of the supervisors coming and hopefully people from the state as well so it will be a good tonight to celebrate but also the opportunity to learn about that new service. I think the third thing is there is still talks between the Dignity Fund Coalition and the city and most of you knethe Dignity Fund Coalition is asking for a set aside. They want to get two percent of property tax set aside on the ballot so that that would provide a fund for seniors and people with disabilities in perpetuity for a number of years. There is a back and forth where to start with that, what amount to start at, how to ramp up, all of those things. The mayor stated he is very much in support of it but the question now is logistical and looking at what amount of money to start with. So, that will be a ongoing conversation. I think the legislation has to be completed by may so wont be going on too long but it is still in talks right now. I believe the coalition is also talking with specific Board Members too. And then the final thing i wanted to mention is unfortunately at the same to is the grand opening next week but there is a Food Security hearing at board of supervisors at 10 a. M. Next week. Because dos we have so many Nutrition Service and need around Food Security so the department will present there as well so want to let you know if you are interested in attending. Ill let it geat that and move into the Needs Assessment and area presentation. Unless you have questions. Is the hub open now it is open now. We did a soft opening and we have been open for what 3 weeks now . About 3 weeks now, yeah. But we havent done a lot of outreach well do. We want to work out the kinks in the system and trying out new technology that is challenging and all of those things need to come together before weopeten up and ask people to come in in floods. But we are getting there. We are finalizing our outreach materials and starting to think about our communication plan. Any questions from commission . Thank you. Good morning commissioners rose johnson with Human Services planning unit. Im supporting dos and here to present on the new area plan. So, as drerktermic faden there is the lot of information in the area plan so we want to give time to absorb it. We are presenting at the april 20 Council Meeting and rern to you in may to seek approval on the area plan and answer any questions remaining. Today ill provide a reminder on the purchase of inarea plan. The presentation will focus on two of the biggest sections, Needs Assessment and goals and objectives. Weal rar look at federal funding olication and Service Units funded by older american [inaudible] dos is the local area age on aging. Dos is required to submit a area plan to the California Department of aging every 4 years. The high level purpose of the plan assess population need and develop a framework how dos plan tooz use older american [inaudible] funding to meet the needs. In the years between the 4 year plan we provide a annual update at commission, the Advisory Council and send the written report to the state. A big component of the area plan is the Needs Assessment work and in San Francisco we go beyond the state requirements to look more broadly at city wind trend and include dos programs that dont fall under the older marijuanas act. We also publish this Needs Assessment as a stand alone report and think you received that about 3 weeks go. It is also included in the area plan binders you got a couple weeks ago. There is lot of information in the Needs Assessment alone. Im highlight the main points today. If you havent had a chance toread the Needs Assessment i encourage you to do so not just because i wrote it because i think there is a lot of interesting information in there we wont get to. So, there are over 800 thousand People Living in San Francisco. About 162,000 or 20 percent are seniors 60 or older. 35,000 adults between 18 and 59 who are report disabilities. That is about 200,000 seniors and adults with disabilities that make up all most 25 percent of San Franciscos population. The senior population is growing. Something i think the commission is well aware of. Between 20 o0 and 2012 the senior population grew by 18 percent and in the same time period the overall population grew by 5 perd. What is driving the growth is the younger group, 60 to 64. I want to point out there is also notable growth with the oldest senior group, 85 and older. It is important to see this groat growth is there because this group is more likely to be vulnerable and frail and rely on Supportive Services to live safely in the community. The chart includes projections for the future showing the trends, the grouth of the senior population is expected to continue and this will be driben by the continued aging of it baby boomer generation. In addition to the growth and size of the population there are interesting things going on within the senior population in San Francisco. This chart is showing us the ethnic profile of seniors changed significantly over the last 25 years. In 1990 moet most seniors are white, today the most common ethnic group is Asian Pacific islander. The report contains analysis of language, trends and citizenship status and these are related to what we see in the slides. 54 percent of San Francisco seniors speak a language other than english. 34 percent have limited english proficiency. Seniors who dont speak english are more likely to be low income. Another important factor for dos is isolation and seniors in San Francisco are more likely to live alone than seniors else where. About 30 percent of San Francisco seniors live alone. That is about 47,000 individuals. In other major counties in the state and statewide, 21 percent of seniors live alone. This is important. Isolation is linked to depression, Poor Health Status and increase risk of elder abuse. 15,000 of the seniors who live alone also report ambulatory self care or independent living disabilities, meaning they are more likely to be home bound increasing the risk for isolation. These maps are showing where seniors live. The map on the left is looking at all seniors age 65 and older and it is weighted by supervisor district. What we see is the district with the largest senior population is district 3 including chinatown, north beef and nob hill. The district in the western part of San Francisco having senior counts. Disruct, 1, 4 [inaudible] the map on the right is looking thats lowest income seniors, those are income below the positivety level. We see different story here. District 3 still has a large percentage, of the low income senior population. District 6 also has a large part of this group and district 6 includes the civic sent, rshteneder loin and soma areas. Is estimated 12. 4 percent of seniors in San Francisco identify as lgbt and state and local surveys. This equates to about 20,000 seniors here. Seniors who identify as lgbt are most likely to live in district 8 which includes the cast re. They are more likely to live in district 6 which includes civic scepter and soma. Research suggests lgbt seniors are on the younger side but this may be swayed by increased closeted. Lgbt seniors are more likely to be white and fluent in english. This may be influenced by variation and discloser. We believe lgbt seniors are at higher risk of isolation because they are less likely to be married or have biological children and likely to live alone in the senior population. This chart is helping ke a look at low income seniors and we talked before at commission how the high cost of living in San Francisco makes the standard federal poverly level a inadequate measure to estimate self sufficiency or inadequate measure of self sufficiency in San Francisco. In the Needs Assessment we looked at 300 percent of the federal poverty line and as a reference 300 for a single individual is about 35,000 annual income. Today we have about 82,000 seniors with income below this level. About half of the senior population. In 20 o0 there was 44 percent at the time. There is increased poverty rate and Larger Population with low income. We also talked about the demo graphic profile the low income groups and what we are seeing on this slide is that there is some disproportioninate representation in the lower income groups. Api seniors make up all most half of those bew income below the fral poverty line but 42 percent the overall fop ylthz. Whites are under represented when we look at loincome grews. We see african and [inaudible] switching now to talk about adults with disabilities lets take a look at the ethnic profile of this group. The pie part on the right shows the 35 thousand adults age 18 to 59 reported disabilities in the census. About 36 percent are white. The rest are split equally between api, latino and African American. When we compare this to the overall adupt population we see the populations dont match up quite the same. It looks like there is under reporting going on or disproportioninate preserve lns och disability. Im talking about 31 percent of the overall Adult Population is api but just 18 percent of those reporting disabilities are api. African americans are 5 percent of the Adult Population but 17 percent reporting disabilities. This may be due in part to variation in the prevalence of the disubltd. It could be some of the ethnic groups have a higher rate of disability but it is also likely there is under reporting or variation in reporting rates in the census. The most common type of disability reported by these adults is cognitive difficulty. This is a broadly defined category in the census that includes psychiatric illness, dementia and traumatic brain injury. Next most common we have ambulatory difficulty walking and independent living with about 35 to 40 percent the population reporting this type of difficulty. The most common disability reported by seniors is ambulatory. 21 percent report this. 11 percent of seniors in the census report cog tiv difficulty. More maps to take a look at where the adultwise disabilities are living. The map on the left is showing all adults with disability squz tend to live on the eastern side of the city most commonly in district 6. Focus on those in extreme poverty beincome below 100 percent of the poverly thresh hold district 6 and 5 are the most common areas for the group to live. District 5 is Western Addition, fillmore and inner sun set. Mostf dults with disabilities have low income and their Income Distribution varies significantly from the non disabled Adult Population. On the left we have adults reporting disabilities. About 70 percent have income below 300 percent. On the right is the Adult Population without disabilities, about 38 percent have income below that level. The second half the Needs Assessment takes a look at Service Areas looking at 7 major suvs areas for dos and i thought i would put up the office on aging budget as a way to talk through the Major Services being fundsed. Office on age aging xrackt budget is 33. 2 million. All most half goes to nutrition and wellness suvs and this is being driven by congruget and home delivered meals. 22 percent or 7 million go tooz service to prevent isolation. The biggest suvs here is Community Service, i think that budget is about 5 Million Dollars. Access suvss gets about 13 percent of the budget or 4. 2 Million Dollars and within that about a million goes to the aging and disults Resource Network and another million to legal services. We also looked in the Needs Assessment at change in fupding over time comparing fy 12 13 expenditures to fy 15 16 budget. This is a way to see what programs have grown over the last 4 years. Major growth is occurring in nutrition and wellness. This budget has grown by about 6 Million Dollars. This is the congruget and home delivered meals and some home delivered glogesries. This reflects the cities investment to end hunger by 2020. The growth and service to prevent isolation is attributed to community serveesses which rev across the board funding increase for community suvs sites. You recently approved that money. Growth and access is attributed to aging and Disability Resource Center and recent add back funding you approved. There is also about 1. 5 million going to the new housing subsidy program. We are not quite sure what the future the program is about 750 thousand of that money was one time only so we are not sure if the mayor or board of supervisors will continue that ongoing. So, well focus on a couple other sectionoffs the area plan. Goals and objectives is one of the other major components of this plan. I will share the high level goes we settled on and seriina will highlight the key objectives in the area plan. We are using 4 major goals in the area plan and these are carried from the prior area plan. That is because these goals replain the unerder lying principle. The goals were drawn from the work of the Long Term Care council. Improve quality of life. Two, establish better coordination of service. 3, increase access to suvs and 4, improve service quality. Ill click through. So, as rose mention said we want to highlight just a couple of the objectives under each goal. I wont go through all of them because we would be here all morning and there is some just kind of that fit together i think for us as we think about our 5 year plan. So, the first is that we will continue to provide Health Promotion and Risk Prevention service that support wellness and reduce risk for chronic illness and Fall Prevention. You probably know since you approved many contracts we have two types of program, physical fitness and Fall Prevention and also chronic disease self management series programs. Well issue a new rfp spring of 2017. Well include a new Chronic Disease Program called Diabetes Empowerment Education Program developed by the universety of chicago. Currently these programs are run through 30th street Senior Service and they expanded quite a bit over the years and we are very fortunate they have done a excellent job managing these programs. The other reason we are highlighting this is because really when you put money into prevention we feel it savers a lot of money in the long run and keeps people from early institutionization and these are all evidence based programs. Wanted to highlight that. The second one is, we have heard a lot and rose talked about seniors and people with disabilities beingmore People Living in positivety and one thing i think we hear about a lot is people have to make choices when they age or live with a disability. Sometimes people make choices between medication and food which isnt a great choice to have to make. So, we know that one way that something that can really help is supplemental income and we thought how we can provide Employment Opportunities for seniors and people with disabilities. We have made small efforts in that way. We are going to provide some employment at our new hub since well have groater greeters in the hub who look like we serve so they can be veteran or people with disabilities or oldser adultsism we are taking over the contract for supplemental recycling and garbage suvs for Human Service which is a Employment Contract for people with disabilities so it exciting to have that as well. Well continue to look for other opportunities to provide employment for older adults and adults with disabilities in the next few years. You just want me to go through them . Sure. So, our second goal is to establish better coordination of service and the first thing i want to highlight is that these are forensic sent squr we talked about the forensic sentser before and about elder abuse Prevention Service in general but the one thing i want to highlight is he have a new initiative educating veterans and families about financial exploitation. There are scams like fake annuity agents offering to help veterans spend to qualify for more suchbss and things and have a partnership between Adult Protective Service and institute on aging to engage variety of stakeholders including county veterans suvs office, California Department of insurance and the California Attorney general to work to corgdinate prevention and prosecution efforts at the local and state levels. We are excited about that because the scams are pretty awful and as we know veterans we talk about veterans and the needs for service and they are vulnerable so this is a exciting effort for us as well. And then 2 d i want to highlight and that is our ihss Care Transition Program. As you know, we had a contract with the cms with the center for medicare and medicaid for several years and we did a Care Transition Program focused on the medicare population and we work would a variety of hospitals and created a partnership with the hospitals and Northern California presbyterian home and suvs and a variety of other non profits to provide care transition suvss for people coming out of acute hospital setting. They come out and a lot of time what happens is people come out and without the service they readmit. Wee had a program with cms and showed people didnt readmit to hospital as quickly as they would have without our intervention i the contract ran out and we thought we know this is a great opportunity, this is a great intervention and so what we were able to do is continue doing it with our ihss referral. When someone is ref today the program we have a program that provides the same service for those individuals coming out of hospital. We get a call from the hospital saying someone needs ihss and we can sends a staff person out to coordinate the service for them at home to make sure they have initial visit back to the dr. And help them get home care if they need it and get transportation and food. It is just the same intervention we talked about with you before, but we are doing it focused on the medical ihss population. It is exciting to offer it since we learned so many lessens with the contract with cms. We are looking to serve 1,000 persons per year in that program. I wanted to move to goal 3 and highlight a couple things there. Goal 3 is increasing access to services and i want to highlight objective 3 d. So, one of the things we have launched over the last year and a half is the dos clinical and Quality Assurance unit. I guess technically it was launched in 15 16 but we have talked about it for a while. Provide [inaudible] serve ihss and app ps consumers with complex clinical needs included nursing and Behavioral Health needs mptd one thing hat hannbs when the social workers see clients is they need to be able to refer to a medical professional. Some oof the hss workers say i dont knowour aps workers are clinical social workers, the ihss workers often are not so they need to refer to a social worker to have someone follow up with a individual. We had a need for the medical follow up and so what this unit can do is when they get a referral for a program they can do investigation with someone to see is this person really medically at risk, do i need to call their dr. Or need to do intervention here or are they okay. It is helpful for us to have it eyes and ears of those people that know what they are seeing. They are doing other things. As we think about the role for the social workers and expanding it so they can do social work when they go out. In addition to doing the general assessment for the time for task assess mentd to say this is how many hours someone needs, it is a opportunity to take a look at somebody and say is this person at risk for other things. They started doing a Food Security questionnaire to see if people are food insecure and we will also have them do depression screening, initial depression screening and initial demensia screening and if they find things like this person seems at risk from my initial screening they need a place to send the ru referral. That is what the unit is for and they are highly qualified people were excited we have been able to launch this so wanted to highlight it. The next one i wanted to talk about is 3 f. That is the renl assistance demonstration projeblth. In 15 16 asia may know, San Francisco applied for and accepted by hud to undergo rental aist isance demtration with Certain Housing Authority buildsings and that means the management of the build Association Moving over to non Profit Developers so that they are managing the buildsings. One of the pieces built into the contracts with those develops is there a Service Connection piece and dos is responsible for work wg the organizations around the Service Connection for the buildings that serve seniors and people with disability. This is something we were doing in conjunction with Northern California pubestren serves and continue to do this. The goal of this is to provide service and Service Connection to people partly so they know about Services Available to them but also to provide a socialization component for people to help them gut of their apartments and mead other people in the building and insure they know who to call if they need help or service. We will monitor that and carrie wong who is overseeing that program will present a variety of contracts to you today for your approval so youll learn more about it from her. We will move to goal 4, which is improve service quality. I just want to highlight two things here. The first is 4 e and that is the dos works with Long Term Care Ombuds Program to make sure the service meets the need of the population. Maintain capacity to serve chinese speaking clients and insure the city of San Francisco legislation related to lgbt residence which is lgbt bill of rights which i think most of you know about now. Some of you have been involved in that, but basically as we know a lault of times when people go into nursing facilities, lgbt people feel they have fwoo to go back to the closet. There is a issue with training. Staff there is sench issues around sensitivity so the bill of rights says lgbt people should be able to live in dignity and those facilities should train people and have someone who understands and has a point person who understands all the issues and all that stuff. I dont have the specifics of it in front of me but it is something we wanted to highlight because it is very important to the people we serve. The last one i want to talk about is objective 4 f and that is dos Staff Training Program. This nish tchb came actually from our dos Supervisors Group who said sometimes we dont understand what other programs are doing. We are see emmeshed in our programs and sometimes we dont feel we have expertise around ish oo as related to seniors and people with disabilities so we worked to develop a dos Staff Training Program to assure there is basic knowledge around ish oo as concerning people with disability and seniors. An example is dementia and there is training on ableism and the ableismso ableism is like racism but when you think about people with disabilities so training on what ableism is and how to aprovideibleism and see it. Also, learning about the ada and there is training on just various other issue squz we developed two tracts u one that is a basic training and we are requiring all staff take all component of the basic training within two years of our announcement of this was happening. We have another tract that is a more advanced tract for people that want to delve more deeply into issues. Just wanted to highlight that that is something we are requiring of all our dos internal staff at this point. Im going turn it back to rose and want to say also that i want to just commend rose for the amazing job she did on this report t. Is a huge effort. She is so knowledgeable about the population we serve and does it with such joy. Not everyone would. She is great to work with, so we are fortunate to have her to working with us and rose i want to thank you publicly for the amazing job you did on this report thank you [applause] no pressure when we get to your questions, right . There are two more component of the area plan well touch on today. One is minimum title 3 b funding allocation percentages. It is a requirement that we report on this publicly for you. Basically we are required to explain how we allocate the 736,000 we get in funding for title 3 b services. Dos has consistently allocated 45 percent to access services, 5 percent to inhome service and 45 percent to legal assistance. Dos doesnt plan to change this. The allocation is working well. I should also note the federal funds account for just a portion of the money that goes to this area. If we include all local funding we are talking i think 1. 8 Million Dollars. And we dont include that local funding in the allocation in keeping with the state guidelines. And the last piece i wanted to talk about today is the Service Units that are funded by Older Americans act funding. The state has asked that we only include Service Units for the programs funded by Older Americans act money so this doesnt includes all the dos or office on aging service. The services fundsed are listed up here and you can see that in most areas Service Units for 16 17 are expected to stay the same or increase. In a fewiaryias it has decreased. Nutrition education decreased because due to funding cuts city college had to reorganize. They provided classes for free onsite 6 meal locations and had to scale that back. Well still meet what we are required to provide, but the total number of unit has gone down. The in Home Services chore person care decreased and due to increase cost of providing the service less service will be provided. Legal suvs also went out to rfp and decreased slightly, a 3 percent dip and that is due to changing cost of business. The ombuds men and aelder Abuse Prevention Program have multiple suvs units associated with them and most have stayed the same ore gone up. One or two have gone down. The units are set benchmarked by the state and not something dos can change. They bas that in part on Prior Service level 6789 eldser abuse prevention went down in one area that fsh Public Education sessions and this change happened because the provider, the institute on aging is getting so many requests for professional trainings andpressinitations they had trouble keeping up with the demand. They increased the number of informational materials they distribute because that feels like a better way to reach the public than a limited number of education sessions. High cap Service Units are also set by the state and havent gotten those benchmarks yet so that is why it is listed as pending. By the end of march we should have it. That is all we are presenting today. That is all we are here to present on today. Do you have questions for us . I have to interject that we are getting called to the home care hearing and so we only have about 5 minutes but i want to remind that we are also coming back for your approval next month so if you have questions you want to follow up with email rose with them or we can talk off line about them as well i first i want to echo [inaudible] this is extraordinary. I read several of these and nothing matches this. I was impressed with the discussion of the methodology and the different sources you use to aprive at the estimate of the population and i dont mean to put you on the spot, how confident are you in the numbers . Is this like 85 percent or 90 percent confident . We are probably under reporting the number of seniors we should service because you cant reach them all. I want to get a sense from you about that. We are probably let getting a slight under count. I think particularly for adults with disabilities because i think there are cultural factors that inhibit reporting or identification that have a disabilities. There is a little concern with the census we are under reporting because disadvantage populations may get under counted. Think about People Living in sros. My understanding is their mail goes to a front desk rather than their door so census forms are sent in through the mail. I would go 90, 95 percent. That is great. Thank you very much. Quick question on treasure island, it shows up as fairly acute population area, my sense it is tied to district 6 in the maps, but the population out there is still fairly light, is it not . Yes in real numbers it is not as yes, it does have a smaller population. I can bring back the exact number but it is small for seniors it is occurred to me because it is difficult to access and services are probably also less available sphthere was a growing population prior to the redevelopment we should know it. Im guessing the numbers are really small. Yes. I was just look at the report and i just didnt see anything about the partnerships, the African American partnership jz hispanic partnership. I didnt see anything in terms of working with that group. I saw a lot in here about the lgbt partnership but didnt see what you were doing about the other partnerships. If you are referring to the formal partnerships my understanding is those are not meeting anymore. I guess my response is dos does contract with Community Based organizations in the latino and African American communities as a way to try oo reach the population they are meeting and think you should look into that more and put that on the ajndsa. Yes, they are meeting. Thank you for that information the other one was thatwas about the disaster program. My concern is it was more of people taking care of themselves but i didnt get a firm grip in terms of those that were disabled and live on hills. I saw something where volunteers can see in if there were a disaster you get students to go in and see about those clients. One meeting had signi say on people having their window saying im okay and you dont haveim saying Something Like that where people who live alone they can use that but just want to look at that again and see how do we touch people in isolated areas who live alone and how we are going to get to them. I can bring more information to the may Commission Meeting on that yes. Okay. These are my concerns. Thank you. Thank you. Now we go backthere is no action on this but we go back to reports and that would be the Advisory Council report. Good morning. Acting Deputy Director [inaudible] the Advisory Council met wednesday march 16 prior to had Council Meeting members of the committee met with executive director [inaudible] mcspadden and dos staff to discuss the Advisory Council and dos can better support each other. This maintained apulsion description for Advisory Council members and brosure explaining what the council does, who can be on the council and the responsibility of council members. The Advisory Council hoz now 3 new members and they are here. They havent been we have 3 potential members and they are here today, so i would like to introduce them and they can come up with a moment. No, we didnt nominate in Committee Report. Sorry. So, those folks were actually at the last meeting and so we had a chance to meet them and think they are excellent candidates. We had a presentation very detailed overview oof the dignity fund gisken the council by mrs. [inaudible] and mrs. [inaudible] and both snoveg importance of the dignity fund and answered questions the Advisory Council had about the dignity fund. Executive director mcspadden talked about the upcoming area planl and the role the Advisory Council will play in reviewing the plan before it came to commission. The Education Committee will have its next Community Training on friday april 8 at the institute on aging and this is the last series on Elder Financial Abuse and we had two site visits that were also done and that information will come in the next meeting. Any questions . And iforgive me for speaking out of turn for the membership. We are excited to have them on board next we have the joint legislative Committee Report. Good morning and in the interest of time i will just focus on the new legislation after i address commissioner surinias certain from last month. So, commissioner surennia asked for information on the lgbt elder americans act and that act amends the Older Americans act of 1965 to include lgbt individuals within the scope of the act particularly in the status of lgbt individuals and among those with the greatest social need. The administration on aging is requires to desinginate a person for addressing the people with older lgbt individuals, conduct studys and collect data to determine services needed and as i prepared this it ties in with all the work being done in San Francisco so think we are ahead of the game. Establish and operate a national Resource Center on lgbt aging. Revise list of activities for families and other care givers to watch when grant may be used and the detail of the type of services to be considered thmpt boil summary didnt detail those, but we can always watch that as we move forward. It requires the state Long Term Care ombudsman to collect and analyze data discrimination regarding lgbt scrimmages in Long Term Care settings and that ties into some the california and local initiatives as well. The bill was introduced july twnt 15 but as of a couple weeks ago nothing has been done. There is a akempany bill, hr 3185 called the quality act and that amends the Civil Rights Act of 1964. These are pieces of legislation that amend existing federal legislation to just bring them up to date, if you will. And that would includes Sexual Orientation and gender identity among the prohibited categories of discrimination. Defy key terms. Expand public accommodation. Authorize department of justice to bring cisc action and intervene in equal protection actions. The bill was introduced july 2015 and nothing has been done. So, but it is a two year session so well keepand then the end of life option bill goes into effect june 9 of 2016. So, that is the old action items. There are a couple pieces of legislation, there isnt much action on most we discussed last month but there are new ones we are following and one is fraul the California Foundation for independent Living Centers and it is a long term up keep allowance which would allow nursing home patient tooz keep their home as a place to return to. A second one is requires report on the use of restraints and seclusion in Regional Center vendors. The third is also sponsored by that group is aging and Long Term Care committee and this is medical waver for home living support. And the state senate bill for sponsored by c 4 a which established a state wide aging and Long Term Service and coordinating council comes out of the Long Term Care report is passed out at the first review session. Squl there is a credit for care act, hr 4708 and that would allow up to 3 thousand per year for deductible Eligibility Services so well keep monitoring that. Any question snz thank you very much for following up youre welcome. Happy to do it. Thank you. Any comments . Long term care coordinatoringf good morning. Valerie coleman and dos staff member and i am providing support on the ltccc. We met march 10 and had a number of presentations, one of which was from the finance and paults work group that looks at seniors and adults with disabilities who dont qualify for public programs, however, cant afford Long Term Support so beginning to look at that. We also had a presentation from the budget and legislative Analyst Office along with Controllers Office and supervisor mar about in home care for seniors. We also had another presentation that came out of the Housing Working Group about a potential home care subsidy pilot. They are developing a rough proposal arounds a Pilot Program and the timeline is put basics together and hope that funding will come through the budget cycle so the beginning of that. And then all of the work groups also had discussion and action around presenting some Budget Priorities to the board of Supervisors Office out of the work groups and the larger list it came to 4 items which focus on preventing eviction and homelessness, expand housing subsidies recollect creating Housing Modification Program and developing the home care subsidy Pilot Program. Our next meeting is next thursday april 14 at 1 oclock. Any questions . One. Curious about the home care agenda supervisor mar presented. Can you characterize the presentation or the content at a high level . At high level, um supervisor mar just introducedhe didnt present, he introduced the idea of the Home Care Subsidy Program and two council member, jessica and crista from home bridge presented the idea of the Pilot Program and that is what they are talking about in the hearing. Thank you. Staff report. Cathy. No tax meeting this month. There will be one next munt two week of the month tuesday and wednesday. You are unique among the commission and Advisory Council. When we meet moust counties have ait is a countsy, but there are some that double up and youll see two counties. When you go to the north to the mountain areas you see quite a few counties together. The unique ones los angeles is unique in that the county of los angeles has their commission and Advisory Council and so does the city of los angeles. I dont know what goes on there. We are unique in we are the only city and county. No one else has this. After some meeting i had people come up and express envefor how we do things because what do you do . You have a program in your county, you have to go to the different cities and towns and involve them. Get them to work with you or lets change what and are doing, only and on and on. What do we do San Francisco . Mayor board of supervisors done. We have done it. You are envyed by some of the other groups when it calls to getting things done and that is my report. Thank you very much. Case report. Good morning commissioners, president james and active director. Update on case activities. Last month we began our annual Advocacy Campaign with a tick off at the main lineerary. We presented the components of our advocacy platform. Reviewed those and got everyone activated. We are now in the midst of our post card campaign. Last year we delivered between 3 and 4 thousand signed post cards to the city supervisors as well as the mayor and we will be doing that again this year. Want to make you aware that on may 5 we will be having a rally that is being led by senior and disability action on the city house steps and invite you to attend and will remind you at the meeting next month. That will be at 12 noon and following that rally with the delivery of the mayors postcards. That is it. Any questions . Thank you. Thank you. Item g, is the nominating Committee Report and i am not the chair of the nominating committee, but i am a member the nominating committee to two of our members are absent today so ill give this report. The nominating committee met twice and we interviewed the 3 candidates william, marotta, cay parekh and Beverly Taylor and they apruchbed all the candidates to be presented to you today for noumination to the Advisory Board. With that, i would like for them to come forward and give you about 2 minutes to state why you want to be on the Advisory Board and then i would like to call for a vote to approve them. Starting with william, is he here . You have about 2 minutes thank you very much. That is william marotta. I wrote a Little Something and would you like me to read it to you. Dir sir or madam since i retirement i realized many seniors need much more than social security, Medicare Insurance to get by. Many Additional Services are needed such as reliable Public Transportation and dr. Appoints, chunch, synagogue, temple and Mosque Service and visit to family and friends. They also need to be continuously updated about senior housing, care taker suvs, the latest cam scals and who to contact when abuseed by Family Friends and care takers. Seniors should be updated about medical and pharmaceutical options deliverly versus pick up and for the best prices. I believe my awareness and understanding the need that seniors have and the dif altseniors and people with disabilities have focusing on receiving them require more volunteers on every level to direct them to senior programsism each time i sit and listen to all the challenges regarding and maintaining Seniors Program i feel confident and hopeful my Prior Experience in the work place and at senior seners contributes to the ledgelegislative process as a advocateer for seniors. Thank you. Any questions . Next will be kay. You have any questions . Good morning. Im kay and i switched careers from banking and Marketing Research to elder care. This was about 9 years gow. Ago. I was initiated in that by a volunteer at the adult day helths center and what struck me the most was seniors are people who a little bit goes a long way. I got addicted to that, went into elder Care Management, home Care Management and worked with the knhunty living fund and from there on i spent 7 or 8 years in home Care Management working with memory and Dementia Care and family care alliance. I completed a masters in gerontology and spents the last 3 years in prifent practice with home care clients. I would like to be a part of the city council, learn really first hand what is going on at the city level and there seems to be a lot of activity going on with caring for adults and i would like to see how i can effectively communicate and engage at the community level. Thank you. Thank you. Any questions . Thank you, very impressive. Mr. Beverly taylor. Good morning to the commissioners. Good morning to my friend and audience. Im here today because there is a need for me to be here. I represent seniors. I have been working for seniors over20 years and as a advocate for seniors i want to make sure they dont slip through the crack. Im so thankful what has been done but there is nor that could be done. Working with seniors the need is great but the work is very limited. If many more people would put forth it efforts as you do, as i do and as the city does then our seniors wouldnt be in the shape are in. They would need no vote to take care of us because things would be done. Im here to help fill in the gap, get rid the slack and move ahead for my seniors. I can do t. Thank you so much. [applause] thank you. Any questions . Okay. I would like to move that we accept these 3 candidates as represent the Advisory Board. Second that. Third move and second and third. We approve thes candidates to be accept today the nominating advisory borebd. All in favor . Opposes . Ayes have it so the motion carries. Thank you for waiting. Now we have general Public Comment, now. Is anyone wanting to make comments which sorry i missed about the area plan. That would be okay. You have two minutes because we had a lot on the agenda today, so any comments because i didnt ask for comments when she presented the area plan and i should have. Can we have any Public Comment about the area plan at this time . Or any Public Comments in general. Yes. Any Public Comment in general . Thank you. Good morning commissioners. President james. Acting director mu gee. Im Allen Gilbert and i have the honor and pleasure to be the president ceo of [inaudible] institute. Family Service Agency San Francisco. With the organization for 14 years and served the role about a year at this point. Im going to give you a quick introduction to overview of our agency. We are 127 years old this year. We have about 35 different programs serving client in all ages and 11 different languages. We have a research and Training Division and in that division we publish and do research and had a contract with dos training, the stach on Evidence Based Practice for a number of years which is a very appreciative and important relationship with us. We have the cities ombuds man fram where we investigate conditions seniors and mistreatment of seniors. We are one of the largest employers of seniers in the city. We have federal funding that allows to provide funding for about 250 stipeened seniors every year and in addition to our staff we employ about 500 employ or stipeen about 500 staff and 300 of those are seniors. We are the largest Outpatient Mental Health provider in the city providing intensive Case Management, Mental Health services for seniors and Lgbt Community as well. We have a Dementia Program where we provide assessment and Case Management and treatment for 300 seniors in the [inaudible] houseic Development Complex both times up. I look forward introducing two of my staff people briefly. Any questions . Okay, two minutes. Gene ray and drerkt of programs at fsa and [inaudible] institute and im here as part of personally the lgbt aging community t that is who i am personally. And professionally im here to represent fsa and felten because im now a clunition, a license marriage and family therapist and it is important to me to speak to the fact that as a clunition i see a variety of approaches that are taken to the senior Lgbt Community and i am both passionate about one of the standards that we developed through research and training called motivational Care Management. I wanted to make you aware of that. Zee a integrated Community Support and Practice Model that we developed ourselves and it is based on motivational Care Management which i gave information on. It is based on best practice approach. It is my experience that it is not only who we serve but how we serve is equally important and that we bring these Evidence Based Practices to how we serve especially in this community. I have given you information on motivational Care Management because it is a best practice approach to this community of care. It integrates consumer centered strength base and cultural relevant care. In the Lgbt Community it is wide range not only in the Lgbt Community itself but the cultural is brought as well. I think i hit my two minutes. Thank you. Hi, my name dr. Phillip suey. Mr. Al gilbert invited me to come out of my happy retirement to help the felten institute to develop proposed curriculum on lgbt and demensia. I was if i recall accurately, the first Asian American to hit a lgbt Mental Health organization and age Service Organization in the bay area in the 1980s. I also have 15 years of experience providing professional training on demensia, lgbt sense tirfbty and comp tense issues as well as working directly and supervisor Mental Health service, behavioral helths to transjnder in asian percific. My proposed curriculum outline is part the package of felten institute seeking funding for training in regards to enhancing lgbt Senior Services in San Francisco. Now, instead of merely talking about generic lgbt issues, this proposal will focus on minority communities as well as hiv related issue, which are really very significant developmental mile stones in the service of the lgbt baby boomer generation. Not to mention that training in regards to alcohol drug related demensia. Thank you. Thank you. Thank you. Any other comments . Thank you. Okay. No other comments . Thank you very much. Now well move to item 8. Old business. We have done. New business. New business, we have done the proposal. Now we are going d. Remember we said item b would be d is that right . Request authorization to enter into a Grant Agreement with ricko to provide conversion and Document Service to in home service. During the period of april 1, 2016september 30, 2016 in the amount of 144, 24 [inaudible] could i have a motion to discuss . This is Megan Elliott. Good morning. President james. My name is Megan Elliott and the Program Director for in Home Supportive Services and here today to talk about an exciting new project we have in ihss but it is not very dramatic. We want to document images for our case files we want to move into the 21 century or maybe it is the 20 century but currently or staff we have over 20,000 cases and each case is in a paper folder that are in filing cabinets where the social workers work. We are planning to move forward with the imaging process where we scan all the documents we need in the files, multiple pepal can access them. It allows mobile work and many other things so excited for that prospect. This pract is to convert and scan all of our back files, so all of the existing 20,000 cases and more that are in our offices right now. Once they are gone there will be a lot more space too. So, that essentially the purpose. I request that you authorize to enter into this Grant Agreement to provide that file conversion and Imaging Service to ihss. Any questions . Commissioner sims so, you mentioned 20,000 is it 20,000 active records so 20,000 active client relationships involved . Correct the people who are deceased and legacy records . This contract will scan all our existing active files, which are on our floors in the office building. We also have 63,000 cases in storage and we are going to be scanning the most recent of those. The rest of those that we do not kan scanned will be destroyed those in storage are closed files . They are, are there regulatory constraints or priproprietary that is a good questions, we looked fl to those things and the reg yelltory constraints is we keep case files for 5 years and so we wont destroy anything that is younger than that. Um, thein terms of hipaa and privacy and those things for technology, this scanning process has been vetted with the state and with hipaa and it all checks out fine. What about you mentioned capabilities for staff to operate from mobile locations, how are you considered issues like Data Security so you dont have breaches . The Human Service aijs has a it division and privacy officer. Before we develop a process we work with them to insure the privacy and the information contained in any technological document is secure. Is there a Staff Training Program that goes with this so stach understand any change in policy process . Yes, there is. Um, is there any Public Comment on this before i call for the vote . Any Public Comment on this item . Seeing none, ill call for the vote. All in favor of aproouvl say aye. Oppose . Ayes have it. Now we go to item c. I hope i have this right. No, we did c. Okay. C, review and approval of mippa medicare we have one before that. B as it was written. B was d. Okay c first, am i right . Okay, i think i got it right, now. C, review and approval of mippa medicare impruchbl. For patients and providers at contract mi 1 151606 and associated budget and all subsequent amendments. Motion to discuss . So moved okay. Good morning president james and fellow commissioners, Deputy Director [inaudible] im mike zaugg, Program Analyst on dos. The item is seeking approval of the contract fw between California Department of aging and triple a dos for access 50 thousand in state funds to support the mippa program. The Program Stands for medical improvments for patients and providers act. The purpose the program is to incruse enrollment in the low Income Subsidy which is part of Medicare Part d and increase Medicare Savings Program which are programs which help cover part a and part b premiums. Dos with your approval of the contract dos is planning to use this money to have the mippa program administers by high cap contractor which is self help for the elderly. The program is a logical fit with high cap as they have the infrastructure and expertise in place through the program to reach out to these consumers and make them aware of these other programs. The state does set benchmark frz the program to meet. They ask that in the service year 148 low income subsidies and Medicare Saving Program applications be submitted. Self help in the program is able to meet this through outreach cal pains, educational event and one on one counseling. The document before you that we are seek ing approval is the standard agreement between the cda and dos our triple a t. Is very similar if not the same fween the one with the cda and other 3 agencies on aging in california. Seeking apruchbl for this and happy to answer any questions you might have regarding this item. Any questions . Any Public Comment at this time on this item . Hearing none, ill call for the vote. All in favor say aye. Oppose . Ayes have it so the motion is carried. Thank you. Item e, request authorization to modify the Grant Agreement with selfhelp for the elderly for community sunchss services. Hold onwe have to go back. Sorry. Item b, review and approve of the revision number 2 to the area plan budget ap 15 1606. Could i have a motion to discuss . So moved second. Okay, commissioners for this item the California Department of aging has noiched they would like to make a additional 142, 164 dollars available to our triple a via the second revision to the area plan contract and associated budget chblt we would like to access this money from them and part of the process of doing that is bringing this before the commission for your approval. The California Department of aging is very specific in how much money is allocated and to within which program these are Older Americans act programs, so ill quickly run through how they sliced up that pie. We will see under this 17, 240 dollars which well direct towards supporting the dos transportation, additional 902 dollars for the ombudsman program, 46, 583 for home delivered meals. Sorry, the 583 is fl congruigate meals and 46, 207 is home delivered meals. 2, 098 delivered to chronic disease self management program. The family Care Giver Program increased funding of [inaudible] and 202 dollars for Elder Abuse Program which is currently run by institute on aging. With that said happy to answer any questions and seeking approval for this item. Any comments . None. Quicklyis the amount random so were they allocated by the state or by staff . They were allocated by the state. It is a combination of left over money from previous years savings that put in a pool and reallocate to triple a. There is also federal grant reconciliation. The fral gument tells the state how much they give them and more money maim come in so they thake the numbers and run it to the formula with triple a and formula within. Any other questions . Any Public Comment on this . Any Public Comment . Hearing none i call for the vote. All in favor. Opposes. Ayes have it so am motion is carried. Now we go to the next item. Item e. Requesting authorization to modify the Grant Agreement with selfhelp for the eltder ly for Community Services during the period of july 1, 2015june 30, 2017 in the additional amount of 90,000 plus 10 percent continge aenls for revised total grant amount not to exceed 2, 232, 624. Can i have a motion to discuss . So movaled second. Michael commissioners this item is modification of the Selfhelp Community service contract. Stems from [inaudible] from the board of supervisors. Seeking to support and expand Community Service programming in district 7 which is identified as a under serve said area for Community Services. The item before you allocates 7 o,000 in the current fiscal year and 20 thousand in the next fiscal year. Some hof the highlights what the funding is used for includes incraesing program staff, hosting a tichee Training Program which builds up the training available not only for self help frams and other Community Providers who able to see people trained. We will set up a computer lab at the west Portal Community sent r for this to become a sf connected computer site. The lab allows for introduction of tech program jz other tech related offerings among the Community Service. We will also see this west Portal Center participate in the history project which is a new project website which allows people to digitally document their life stories. That projject will include free training support and account for participants that through that. We will see increase in suchbs units and will see increase in activity hours primarily as well as the small bump in translation hours provided by the contract. Happy to answer any questions. Any questions . So the services to be provided is a little ambiguous in the way it is written. Page 2 i guess. For example, it says support and expend community suvs in district 7 where there are only 2 Community Service sites but from two more sites staff at the site. Right, there are only two sites and we areit is staying at two sites kw we are increasing Program Offering there. We saw money allocated to ymca stone town which is the other site there, this is focusing on the west portal Senior Center which is relatively new increasing Service Offering there. The purchase of computer equipment i see about 11,000 in the budget. I assume that is tide to that . Yes do you have any idea what the plan is . You spent 11 thousand on one computer. 8 lap tops, 8 tablets, a projector and screen, a sound system and then accessories such as microphone, web cameras, things like that. Is the equipment is there a standard stratoge or common communication with sf connect so as these ages purchase equipment we run compatible operating systems and there is interopterability yes the folks are in contact with that and aware of that i know [inaudible] is that the play ground . Yes, linux how much security is there and will the children have access because that is a recreation and park facility . That is one the challenges the site faces, they operate from 9 to 2 p. M. And shut down and it becomes a after school pram so the computer lab is portable with the lap tops and a tablets they will be placed away securely when self help isnt operating the site and children will not have access to them we have [inaudible] thank you. Any other questions . Public comment at this time . Any Public Comment . Hearing none i call for the vote. All in favor say aye. Opposes . Ayes have it so motion carries. Item f, request authorization to enter a new grant with Bridge Housing corporation for provision of servicehold on, i might have the wrong agenda. Sorry about that. Keep me on path here. Here we go. I did ask for Public Comment on that one. Mayors oufs of housing and Community Development rental assistance demonstration presentation. Who is doing that, helen . Good morning commissioners. It has been quite a day for thugenda for you yes it has lot of shifting. Thank you. Given our time ill keep this fairly brief baz you have a copy of the packet. As you all know i provided you background to good to reminded i see lots of things on you genda keeping everything straight. The San Francisco Housing Authority which is the current owner of the Phase Two Properties they provide housing subsidies for all most 28,000 residents, 5372 are Public Housing and average house hold income is about 14, 639. Avenueren rent, 312. Curbtly the problem with the Housing Authority properties is it is a aging stock and bad need of repair. 270 million in 2012 was determined for the portfolio with about 15 million coming each year. They only get about 5 million so we have a problem here. I say to residents you dont have to do well in math to understand we have a serious problem going on. Basically Capital Funding is projected to cover about 3. 5 percent of need so it is a problem being able to keep up with housing. The rental assistance demonstration project is a new program for hud and it is essential component now. What it basically does is moves Public Housing over into the section 8 or hauser choice voucher side. In the history of hud and the federal subsidies the Public Housing subsidy hasz gone down each year so that is wie we are in these issue, versus the project base voucher side remained pretty stable. Therefore, it is much more of a long term stable operating subsidy. It also allows under rad for the leveraging of financing through private development partner. The building rchbs rehabilitation so it isnt a tear down rebuild. Tenet protection which are codifyed and moved for the rad buildings and happily establishes a on site fuvs model which is financed through a leveraging of money in the operating budget and supplemental city contract held here at dos and also in hsa under the Family Housing program. I gave you a reminder of what the right are because it is good toto know that. It is 30 percent of income. Any current residence in the building they are not rescreened and automatically transfer over. We are not doing demolition or displacement just temporary relocation and the grievance procedureed shifted over. By the numbers to give ideas we have 3, 461 units. 29 properties in 28 limited partnerships 22 are senior disabled build squgz 7 are family buildsings. There are 8 prescribet developer owner manager teams. We are dwooing two phases over the course of 3 years. 830 million inachy wuty and [inaudible] 657 million in rehabilitation which is about 187 thousand per unit thmpt finances orbank of america and fredy mac. The buildings continue to be on land owned by the Housing Authority and they are owned the building. This really maintains the ability of the private new owners are not geing to take the building and convert tem to something else. They are committed to remaining with the very low income tenants. The 14 building we talked about in phase one have been converted. Now we have it same cluster groups, the same groups it came through brf for the first phase are taking the next 15 buildings. The clusters represent different neighborhoods mptd chinatown there are two Western Addition custers, the tenderloin and soma, the bruno heights and migz castro, cam corridor which is a long Western Addition heading towards richmond and southeast corridor. Are you on im telling background information. I gave you extra. What is different about rad is we have one deal so it is a portfolio wide with 28 executions, so rather than doing individual deals this way we have done it on a portfolio wide. For the mayor office of housing and Community Development this is a huge under taking to this in a big transaxz. That allows one render and investor, one form of bond dumes, one ground lease, all the loun documents are all the same. We Work Together and created one set of house rule frz all the 28 projects. They were on a Public Housing lease so now we brought that over instead of being individual for every building. We created one relocation plan that keeps the framework for the temporary relocation so that is managed. Housing retention framework to insure there is a cohees rfb work between Property Management and helping keep housing stability for the tenants. We created a new screening tool for folks when they come through. This is a screen in protocol in stead of screening out. We also have one Service Connection framework which is the next couple of slides. As you can see it is primarily Community Engagement is the big focus as well as Community Building activity and have a Service Connection component which lichcks folks to the myriad of Different Services we have in San Francisco. It is the role of the Service Connector to make sure there is activity and engagement but it isnt a Case Management model. Maybe Crisis Management on site but not Case Management. I gave you the buckets. Housing Health Economic mobility and education and Public Safety if you talk to residents those are areas of interest and where they may struggle and have more things happening on site for them. I gave a slide with examples of the type of things happening. House hold skill build{house keeping [inaudible] health education, nutrition, health and wellness, peer support groups, for the fmlies side parent. Economic stability there is job training, vocational. We work financial literacy. Legal assistance, transportation, under education there is computer labs in a number of the buildings and we provide esl. Under safety we are working to increase physical safety with cam eras and doors and increase Awareness Among the community about taking care of each other. In terms the structure for services what is in the operating budget we set it forward and required that all our operate iters care a amount orphmoney for service in their budget. The reason for that is there buy in if you are a part of the purchasing of what is going on in the building versus being a supplemental contract. We set it up in the first structure between 21 and 60 units you have half time 3 quarter staff, one full time unit for 61 to 120 and 2 full time 120 and above. Last year the Affordable Housing developers along with hsr a [inaudible] met with the mayor and talked about trying to reduce to get to a lower staff ratio because when you average the numbers it came about 1 to 1 hundred for buildings. What we did is able to low to 1 to 75 and so anything that is above what they currently have in their budget will be offset fwhie supplemental sit a contract as well as Program Support money both supervision for staff and administrative cost. Rather than having part time staff we made every building have one full time staff because we know under temporary relocation the structure och shiftic over the residence it will be a big change and want to make sure each building had a minimum staffing of one full time staff. Phase one which we presented in november. All 14 properties closed. All the Construction Loans are operating and all the subsidies coming from hud are functional and operating. Construction began at every building. Temporary relocation is pr gressing. All Property Management and maintenance teams are in place as well as service team. All leases are signed. All the residence in the first round signed leases mptd i believe we had 2 that refused to sign out of 1400 and all of the files shifted from Public Housing to project based vouchers. These may seem like small tasks these are very large tasks plus the bank of america put sup lltal service dollar to support relocation to provide activities or housing keeping or support we need to help to do the residence in a way that is less impactful for them. I want to say that i have been impressed with our Affordable Housing developers with the staff they hiredthality are very cultural appropriate and who are also very interested in helping residence smooth through this change. It is quite a huge life change for them. The Housing Authority for many years had low Staffing Ratio and their ability to enforce is minimal so they are in a building with a lot more staff. Phase 2, all 15 properties will close at the end of august. We will do all of the lease signings in july and august with the tenants. The city Service Contracts begin julywe do family briefings may and june. Rolocation planning is under way and i have knaun to the buildings and talking about the plan and every individual team is meeting with them. All the development and construction planning is under way, we are out to bid for several contracts currently. There is transition staffing and the buildings that is Property Management, maintenance and service on site. Permanent staff hires will be in place 30 days from closing and then we had monthly tenant meetings in the buildings all times. That gives a quick and dirty overview on a large project but hope it is helpful. I dont know if you like to ask questions now or do that during contracts. I just had one question. The main question was that all services that the department was planning in terms of social services will there be a office for it is or is this a floating type of thing . Will they have space people can go and meet . Yes you dont want to do floating. We know that. One thing happening is improving the space and other buildsings have [inaudible] one thing happening is appropriate office space for both Property Management, maintenance and services and improve the community space. Some buildings that requires a lot of works and a others it is modifications but there is private space and activity space. We love it to be bigger and beautiful sure. But we are improving things, and there is the elevator problem. So, the city put in a lot of money to improve the elevators prior to rad so they would be functional. Always good to have functional elevators. In general the elevators were improved to be marginally workable. What we found in phase one buildings is a variety of correct permits and all for elevators. Every one of the developers have in their construction budget to improve the elevator system. Some is a major undertaking and others it is removing the workings of the elevator but it is very large and what we did is assessment of residents in the building so you can only have one elevator at a time. You have to have the elevator workable and assess which residence is best for them to be temporarily relocated because it isnt safe for them to be in the building and subjected to that elevators throughout the property are the in scope . Yes, it in the construction it meets all city code and helths and safety are the fist items and after thatthey also get flooring, new plumbing, electricity. One building isduing a seismicit is very broad. Phase one we have units coming on line that have gone through repair and rehabilitation. They are looking pretty nice. It is a huge improvement. What i can say having visited the properties is staff are super evident phase oneyou walk in the building and see staff, residence come up and say they knee the place is supposed to be this clean and the people are friendsly. It is a adjustment for some folks. There is visible presence of folks who are there to help folks on a day to day basis and the buildsings are cleaner and operate a lot more smoothly. This may be too much to ask but is there thought on a repair and maintenance on a ongoing basis so we donts find ourselves in this place again . One thingbed rad is all money coming from the federal government comes to that building and not in a Large Capital fund so all money for the building stays with that building so that allows you to create a back up funds for your capital as well as we have contingencies and operating budgets that went out for 20 or 30 year jz within that is a reserve for Capital Needs in the buildings. The intention is to createwe have to put together a budget thashowed we could maintain these buildings and sanitary conditions for 20s plus years to qualify for the prament. Thank you. Well save the comment after each one of the requests for funding. Okay, f. Request octization to enter into a new grant with Bridge Housing corporation for provisions of Service Connection to seniors residing in San Francisco rental assistance demonstration converted Housing Development unit at mission dolores, 1855, 15th street during thepede of july 1, 2016june 30ic 2017 in thumounts of 64, 421 dollars plus 10 percent contichckancy for total grachbt amount not to exceed 70, 863. Motion to discuss . So moved second. You are on. Carrie wong with department of aging and adult service. Good morning. I will be the next items are about the rad contracts and so thank you helen for such a thorough and detailed description that we all understand and are reminded what a big endeavor this is but what a Significant Impact it will have in the long haul. The parts that the contracts will be providing for, is service piece is Service Connection piece and would like to go through the principles and core activities. The jenroom presenceples of the Service Connection model is basically Community Engagement, building and service section. The Community Engagement part is establish trust as we know there has been some need for that in some of these buildings and building a base where people can come forward and talk about iges as. Organizing events and includes support groups and food pantries and organize Community Events and holidays. The Service Connection piece has to do with the individual as people have individual needs that come up. Maybe if the information or referral maybe a housing issue or building lease violation issue or maybe there is personal Health Management issue they are connected to the right resources. The specific things to reach these goals that is in our scope is related to core actave squez outreach and hemth and wellness and housing stability. Under routereach there are things like the news letter and monthly calendar put out in multiple languages and in Community Areas that are posted so people know when the evonets are so they can come. The heblths and wellness a individual comes through with a vices or need the Service Connectors can kooa Needs Assessment and counseling as needed and connect them to the right portal for social services or ongoing needs. Short term Case Management if needed but that isnt the primary function. In terms of housing stability work the Property Management and contractor developer to make sure those needs are addressed if there is something that stands out or delinquent payments. There are a couple issues with phase one property people with hoarding issues and how to address that when they have to relocate for the renovation. They are dealing with that and working with our department with ats or work wg families and things to make that happen. The first onethat is a general overview of what the next 9 contracts are and the services dos will be paying through these contracts. You have any questions for me cephal . Are these all affordable senior probables or a mix of affordable seenjure and family . These are senior and disabled. There is probably a mix of some family and some senior but it is primarily labeled that because the majority of these are all senior . [inaudible] all these buildings are senior and kisubleed. The family buildings are separate. It is possible a person has a grand child that lives in the house. Thank you. Any other comments . Any Public Comment on this . Call for the question. Any comments . All in favor say aye. Opposes . Ayes have it so the motion is carried. Next is we are doing g, request aucktdization to enter into a new grant with Bridge Housing corporation for provision of Service Selection to senier reviding in San Francisco rental assistance demonstration converted housing unit. 3850 18th street july 1, 2016june 30, 2017 in amountf 92, 656 plus 10 percent contingency for total grant amounts not to exceed 101, 922. Motion to discuss. This is the same. This has 107 units and fund 1. 5 fte. Any comment . Any question . Public comment at this time . Call for the question. All in favor say aye mptd opposes . Aye have it so the motion is carried. H, request authorization to enter into a new grant with Community Housing partnership for provision of service cession to seniors residing in San Francisco rental assistance converted Housing Development units at 1750 mcallister during july 1, 2016june 30, 2017 in amounts of 65, 671 plus 10 percent contingency for tolet grant not to exseat 72, 238. Motion to discuss . This is 97 units and funding 1. 25 fte. 97 units . Yes. Any comments. Public comment . Hearing none i call for the question. All in favor aye. Opposes. Aye have it so the motion carries. I, request authorization student enter into a new grant with glide Community Housing for provision of suchbs cerkz to seniors residing in San Francisco rental assistance dem strailgz converts houg yuntz at 350 ellis street during the period of july 1, 2016june 30, 2017 in the amount of the 65, 421, plus 10 percent contingency for total grant amount not to exceed 71, 963. Motion to discuss . So moved second you are on. This is 96 unit and funds 1. 25 fte. 96 units . Yes okay. Any Public Comment . Hearing none any comments from the commissioners . Call for the question. All in favor say aye. Opposes . Ayes have it so the motion carried j equest authorization to enter into new grant with mercy housing for provision of Service Connection to seniors residing irb rental assistance demonstration converted Housing Development unit at 17 sickt burse street during thepede of july 1, 20 squaenjune 30, 2017 in mounts of 92, 906 plus 10 percent contiskancy not to exceed 102, 197. Motion to discuss . So moved this has one 108 units and fund 1. 5 fte. Any questions from the commissioners . Public comment at this time . Hearing none call for the vote. All in favor say aye. Opposes . I aye have it. K, enter into grant for mercy housing for surfbs connection for seniors residing in San Francisco rental assistance demonstration converted housing gement unit at jfk towers 24 fifen 1 sacramento during the period of july 1, 2016june 30, 20s 17 in amount of 65, 921 dollars plus 10 percent contingency not to exceed 72, 513. Motion to discuss . So moved second, this has nije 8 units and 1. 25 fte. 98 units. Motion to discuss . We already did . Any comments . Questions . Public comment . Hearing none all in favor say aye. Aye have it. L, request authorization to enter into a new grants with mercy housing for provision of suvs connection to seniors residing in San Francisco rental asestance demonstration converted Housing Development unit at 2698 california street during the period of july 1, 2016june 30, 20s 17 in amount of 4, 187 plus 10 percent contingency for total grant not to exceed fifen 1, 906. Motion to discuss 1234 . This has 40 units and 1 fte. Okay. Any questions from the commission . Public comment . Hearing none i call for the question. All in favor . Opposed . Aye have it. M, request authorization to enter into a new grant with Tenderloin Neighborhood Development corporation for provision of Service Connection to seen wrrs residing ipSan Francisco rental assistance demonstration converted Housing Development unit at rosa parks 1251 turk street during the period of july 1, 2016june 30, 2017 in the amount of 132, 343 plus a 10 percent contingency for a total grants not to exceed 145, 577. Motion to discuss . So moved second you are on. This has 198 units and it is 2. 5 ftes. Any questions from commissioners . Public comment . Hearing none i call for the question. All in favor say aye. Opposes . Ayes have it so the motion carried n, request authzakez to enter into a new grant with Tenderloin Neighborhood Development corporation for provisions of Service Connection to seniors residing in San Francisco rental assist nchs demonstration converted Housing Development units at 320330 clemen tina during the period of july 1, 2016 through june 30, 20s 17 in amount of 274, 264 plus 10 percent contingency not to exceed 301, 690. Motion to discuss . So moved okay these are climen teena towers and two buildings, 276 units and 3. 5 fte. Any questions . Public comment. I call for the question. All in favor say aye. Opposes . The aye have it and motion carried. Item 16, announcements. Any announcements . Hearing none, Public Comment . Public comment . Public comment . Hearing none, motion to adjourn . So moved wow. [meeting adjourned]