Hes a genuine person. And he is what you see is what you get with joseph. Hes a wonderful person, very friendly, very outgoing and caring. The third is flexible. So he has to do a lot of different things. Hes been asked to back up the front desk, take minutes, make copies, decorate, building issues and a number of other things and he does it with a smile. So, thats why his coworkers wanted him to be employee of the month for daas. So im going to read what your coworkers have said about you, joseph. Since joining long term operations in 2015, joseph formentos has been implemental in supporting the daas family. He has a variety of duties to support the clinical and Quality Assurance unit, daas reception and administration. His attention to detail, responsiveness and accuracy lends confidence in Performance Measures and reports. From ordering supplies, providing coverage, he is able to work with effectively with people from all different background and executes tasks independently and on time. When daas needed community support, joseph stepped up to the challenge and supports several work groups,. Joseph approaches all tasks with openness and humility to support daass goals. Nothing is above or beneath him as he embodies team work, professionalism. His desire to learn, thoughtfulness and patience make him an essential component of what makes daas successful. His kindness and generosity is what makes daas shine. So, joseph, on behalf of the department of aging and adult services, i present you with this plaque and congratulations on being employee of the month for january. [cheering] [applause] president serina i normally stream these commission meetings, so i understand there is a lot to cover and presenters are anxious, but i wanted to thank the people that i love, starting with my parents who were supposed to be here. I hope theyre dvring this, but my beautiful wife camille. She completes me, my better half. Next, my work family. Everyone on the fifth floor, including the ooa crew, thank you, ooa. Melissa, tom nolan, hes like a mentor to me. Bridgett, thanks, bridgett. Where is valerie . Valerie, ive worked closely with her recently and shes taught me so much, ive learned so much from valerie, shes amazing and im trying to learn as much as i can before she goes on maternity leave. Thank you to the deputy cindy and jill. I dont know a better duo. Theyre like baumgartner and posey of the fifth floor. And thank you, shireen, thank you so much, shireen for your support. I have the deepest respect for you. This vision for the department, im here every step of the way for you. Now to my longterm care, i first want to thank adriana, when i first was on board, she taught me everything in the beginning, she was there when i was answering the phone, nervous. And she told me it will be ok. And its ok. Thank you to rea, shes on vacation right now. Duane and larry. My nurses, i love my nurses, angela, luba, sue. I run down three flights of stairs and run up, i deliver one folder, and i just im dedicated to them. Its all the exercise i get for the day. The next two people i want to thank. Im going to use a sport analogy. I like sports. But, fanny, thank you so much. Fanny is like klay thompson. You know him of the golden state warriors, he can rebound, shoot, he does it quitely and efficiently and thats fanny. When you need a bucket you pass it to clay. Heres my mom. [applause] my mom made it in time. You know, with clay, you have the splash brothers, but this case, its the splash sisters. Carrie is steph curry of daas. She is mvp, makes me better. And shes the best Program Manager in the city. Thank you, carrie. Thats steph carrie right there. Last but not least, i want to thank my direct supervisor. I had no Office Experience when i first started, but she gambled on me, put all her chips in and it paid off, right ophelia . The reason why is because she allows me to fail, i learn from my mistakes and thats how i improve. For january 2018, im the employee of the month, but ophelia is my employee of the month every month. Im humbled and thank you very much, i appreciate it. [applause] president serina the Advisory Council report is the next item on the agenda. Leonschm leonschmid. Happy new year to all of you, well have a report next month. Thank you. President serina thank you, leon. Diane lawrence, joint legislative committee report. Happy new year, we didnt have a meeting, but i worked with Cindy Kaufmann and weve begun planning what is happening coming forward and so i do have a bit of a report to kind of lay out where things are. I reached out to the senior, who is our representative from California Senior Legislature so i have their top 10 for the year, plus their three federal and ill provide those to bridgett. But i wanted to go over a couple of things that are coming up. And level sets since there are new commissioners. 17 bills were signed of the ones we were tracking last year, signed by the governor and chapterered by the secretary of state. Two were vetoed, ill get back to those and 15 had no action taken at the end of the session. Many of those can come up again. The two that were vetoed elder and dependent adult abuse and care, which would have added preponderance of evidence, that was vetoed by the governor, but the legislature has 60 days to possibly bring that up over the governs veto and put that into law. Well be looking at that. The second was the registration of home care aides, which would have required registered home care aides to opt out of allowing their names and phone numbers to be shared with labor organizations. This again was vetoed and there is the 60day time frame, so well be reporting out on those. The bills where there was no action, they could come up again, but today is the first day to the legislature reconvenes. So we dont know what bills theyre going to bring up or what new ones they may add. Senator weiner has a bill, sb 1103, on bicycle yielding, similar to the legislation we have here in San Francisco where you can yield the rightofway. You can yield and dont have to come to a full stop. The joint ledge committee has been opposed to that and thats in suspense at the moment, so well see what happens there. Today is the first day of the legislative session. Next monday, the budget has to be submitted by the governor. One of the things ive added to my report is what the legislative calendar is by quarter to kind of levelset what needs to be done up in sacramento. The 12th is the last day for the policy committees to hear and report to the fiscal committees and vice versa on anything that came up in the odd numbered years, so thats in the regs. And the 19th is the last day for any committee to hear and report on floor bills that were in the house last year. They have a tight time frame over the next couple of days. The 19th is also the last day to submit requests to the office of legislative council. And the end the month is the last day to pass bills introduced in the house last year. And february 16th is the last day for bills to be introduced at all. So well see a flurry of activities over the next 67 weeks. So the Senior Legislature met in november, theyve issued a press release. They have two bills that are two areas theyre supporting that have come up before and we talked about over the last couple of years. One is on Prescription Drug labelling and this measure would require physicians and surgeons to indicate why the medication is being given and what its for. So that easy to and then the second one is to increase the medical needs allowance. That would be things like, personal supplies that someone on medical may need to pick up. Most of the others are around housing, tax contributions, a lot on housing, hunger. Elderly financial abuse, grab bars in public rest rooms and toilet heights. There is three bills. One is Fall Prevention and grab bars. Adopt regulations to the Medicare Program and the third is california Chinese Railroad workers memorial day, memorializing the congress and president to enact legislation that would recognize may 10 as a federal holiday of remembrance to honor Chinese Railroad workers who labored from 1865 to 1869. So im sure there will be more than these 13, but well report on those in coming months. President serina thank you, diane. A quick question, im asking this question out of naivety. Its the joint legislative committee, do they deal with regulations or strictly legislation . Strictly legislation. I was concerned a little bit when i heard that the current administration, federal administration scaled back an obama era policy on levies fines against residents in nursing homes. I didnt know where that fits. We can take a look. A thank you. President serina did the governor explain his reason for vetoing the elder abuse bill . I dont remember, but ill check that out. I can put an addendum when i send my report to bridgett. President serina thank you. Any other comments . Commissioner lang question, on all the bills that youre presenting, is the joint council in support of all of them . Not necessarily. We will i will usually report if weve sent so we have in the case of senator weiners bill, weve sent a letter i believe of opposition and one of our Council Members, dr. Marcy edelman has spoken with the senator staff about why were opposed. In terms of safety. To the bill. But if we take if we write a letter, we usually tell the commission that we have in fact. Commissioner lang i appreciate that, its just good to know which ones you guys yes, and we can probably add that in the spreadsheet. Commissioner lang thank you. President serina any other comments or questions to the commission . Any comments or questions to the public . Thank you very much, diane. Longterm coordinating council report. Good morning, marie representing the Long Term Care council. We did meet in december on the 14th and we, like you, have a real interest in the progress on the dignity fund, so we got a report letting us know that the survey piece was done, 1300 surveys submitted. That the focus groups were halfway done, probably completed by this point. Daas was working on the equity analysis, looking forward to seeing that. And there are important meetings coming up over the oversight and advisory committee. One on january 22 and the second february 12. Those will be opportunities to really learn what we all heard from this process and figure out how it impacts policy and funding decisions going forward. The melissa also provided an update on the funding that has come as a result of the dignity fund. Youre seeing the fruits of some of that today, which is the Community Service pilots will be i proved on the agenda and there are a few more to come, but it looks like things have rolled out nicely in terms of moving the funding out into the community to do good. The next meeting, if you want more than the cliff notes, is the oac meeting on january 22 from 35. Commissioner is the representative to that body and the longterm council has representatives there. The longterm care council benefits from funding from the scan foundation, so we approved renewal grant from them to continue the work with them and other communities around the state. The Nomination Committee was busy. We learned at the end of last year, that tracy was stepping down as cochair of the longterm care council and the nominating committee didnt have a hard choice, they suggested and recommended Shireen Mcspadden to be the cochair. It was a hotly contested race there, but she was enthusiastically and unanimously approved. So she will be the new cochair serving with continuing cochair ann. The longterm care council plays a role in the budget process and has refined that activity over the last few years with the finance and policy work group, helping shape proposals that come to the council. There were two, one that was approved by the group, focussing on housing. Housing subsidies and legal defense. There was a second which was a holdover from the previous year. That didnt go through the policy group, but folks felt strongly should be considered. The original vote scheduled for december is now to happen on january 11 and it will be on all of those proposals, but in the meantime, all of the Council Members have been asked to set up meetings with supervisors, so we have those meetings proceeding as scheduled now after the 11th of the month. Those proposals and all the information goes on the longterm care website. You can go there. And again, our next meeting of the longterm care council is january 11. President serina thank you, marie. Any comments . I just wanted to let you know that on december 19th, grace cathedral, the chapter room, the Interfaith Council convened, we had ten people there from different faith traditions and different aspects of our work and we exceeded the time limit they gave us, which is not surprising for religious folk. How much over . It wasnt substantial, well protect the staff, but it was a very engaging conversation and im looking forward to seeing the results of their synopsis. President serina any other comments or questions to the commission . Any questions or comments from the public . Thank you very much. The tacc report. Cathy russo. And case report. No case report. Thank you, valerie. Any general Public Comments . Any old business . Moving onto new business. 7 a. Requesting authorization to enter into a new Grant Agreement with project open hand for the provision of nutrition and Supportive Services during the period of january 1, 2018, through june 30, 2020, in the amount of 1,333,001 plus a 10 contingency for a total grant amount not to exceed 1,466,301. Thank you, tiffany. Good morning, president , commissioners and executive director. I am presenting to the commission this morning for approval this new Grant Agreement with project open hand to provide nutrition support through meals, groceries, counseling, education, that is tailored to an individuals chronic disease. This Grant Agreement is the result of rsp 772, nutrition and Supportive Services for healthy outcomes that was released in the fall of 2017. And was issued in response to the dignity Fund Allocation plan for fiscal year 1718, that included funding for nutrition and wellness. Food and security is closely connected to poor health and negative health outcomes. Healthy food is one of the best things that can be done for longterm health and when tailored to a persons needs as it relates to their chronic disease, it can contribute to improved wellness and positive health outcomes. The chronic diseases included in project open hands new Nutrition Program are type ii diabetes, heart disease, and congestive heart failure. If a consumer has one or more of these chronic diseases confirmed by their medical care provider and is food insecure, theyre eligible to be enrolled in the new program. A project open hand case worker and Outreach Coordinator will work with clinics and Health Care Providers that work with older adult to engage eligible consumers. Consumers will be enrolled in the new program for a oneyear term. They will be required to recertify with their medical care provider at a 6month mark. We will evaluate the consumer participation to ensure theyre accessing services, monitor individuals progress and address issues and concerns at the 6month mark as well. The meals and groceries will consist of onethird of a consumers daily nutrition needs tailored to their specific chronic disease. Meals can be in the form of hot or frozen meals and grocery provided will be enough for the enrolled consumer to prepare daily meals. The type of Food Assistance will be appropriate for the consumers ability and safety level. Nutrition counseling and education will be provided in a variety of ways, including one to one nutrition counseling, Nutrition Education classes, cooking demonstrations and education material. All enrolled consumers will meet with the registered dietician to assess their needs related to Food Insecurity, medication, Mental Health symptoms and diet. Theyll be able to schedule followup sessions as many times as they like and dieticians will hold dropin hours. Nutrition classes will be held once a month, rotating between diabetes and heart healthy education and cooking demonstrations will be held multiple times during the month. Nutrition education material, of course, will be available ongoing. Project open hand will serve at least 250 consumers and provide over 103,000 meals tailored to an individuals chronic disease. In addition to the goal of increasing Food Security for the enrolled consumer, project open hand will be evaluating the impact of the program on chronic disease specific outcomes. Because consumers will be assessed at the time of the enrollment and reassessed six months, project open hand will be able to measure the success of the program. For the enrolled diabetic, theyll look at the impact of the program on glycemic control, weight. And with those with congestive heart failure, they will track the number of hospitalizations. The department is excited about the new program and is anticipating very positive results. Thank you, and im happy to answer any questions the commission may have. President serina thank you, tiffany. I have a couple of questions. Is this program in addition to any nutritional meals that the individual may be getting at a Senior Center for example . Is it complementary . Does it complement those meals . I think they can be enrolled in both programs if need be. President serina and will there be something so that the individual knows at the Community Meal what they should be eating or should not be mee