I appreciate the limitations of what you can provide, and, there is a long way to go. I am concerned about those with disabilities who cannot meet the criteria. I mean, this would have a Chilling Effect on them, even seeking shelter. If they know they are not going to be accepted. If they know they cant do the care they have to, what happens . There has to be a whole population of people. I mean, there is a level of sophistication among people who are homeless. They know what they can access on what they cant access. It is a great question. It is something we also struggle with. Ive artie mentioned that we try to work with our other city departments because our department is not funded with any sort of board care, partial new nursing care and so on and so forth. We try to communicate smoothly with them. Another factor is, as you know, disabilities are very wide ranging and our shelters are basically congregate settings. There are people who cannot handle a congregate setting. There we have some solutions because our Homeless Outreach team, some of our Navigation Centers may offer lesser spaces, fewer people. Or, individual rooms that are not housing, they are a temporary program room. So, we have some of those options. Again in even in those settings, the person needs to be able to handle their daily toileting needs, and so forth. Because we do not have the kind of bedside care that comes with it. We dont say that these people dont deserve it service. We are saying that our department has limits of what its focuses. We need to partner with hsa around inhome support services and aging and Adult Services and dph with their medical services and their various levels of treatment and the options they have. Then we create a better city response. To that end, our board and aided entry effort is helping to identify that. We recently reviewed our coordinated entry with dph and they were saying yes, the people we are prioritizing are the people they would prioritize. That validates our assessment tool. The people who may need more care in an emergency setting may also need more care when they go to housing. These are people we may need to work with beyond our department. I am not surprised that when somebody has issues tied to their life, but if homeless is one of them, to assume our department will take on their issues, that is not the reality. As you state, we need to make sure as a city and county we are i think you for the question. It is important that we continue to struggle with those cases. I do want to say when those cases come up on a casebycase basis, that is how we often develop ongoing a better going forward. They have to have the ability to identify location. They cant go to the shelter if the person has inhome support services we can communicate and then they can access that care in a shelter, or a Navigation Center i dont believe they can provide inhome support services to someone who is on shelter. There needs to be an address or location. This seems to be a selffulfilling problem there. Part of our solution is the Homeless Outreach team. They are out on the streets throughout the city to try to deal with, and identify, who is not accessing services. That could be a choice, or as you say it could be somebody who has decided the services cant help me. What we try to do is figure out what can help them. And maybe reacquaint them with the services that can work for them. It is a joint effort, and then it has expanded with cooperation across city departments that is known as the healthy streets operations center. That involves Public Health, our department, public works which is out on the street all the time, San FranciscoPolice Officers and they have a great number of homeless and focused or trained officers. Departments of emergency management. We are trying to coordinate problemsolving that crosses departments with particularly unsheltered individuals. You may have said this and i missed it, but what is the priority system for . I remember you talking about the priority system creating it into housing, and that type of thing. What are the priorities for getting into the shelters . For the adult shelter system, anybody who asks we try to give them a shelter bed. If you know there is more need, then there are beds, is it just firstcome, first serve . For the adult shelter system, it is. Whether disabled, or not, you get on that list when you rise up, you can get a 90 day reservation, which also you can extend for an additional 30 days by simply asking. While you are waiting to rise on the list, we have Resource Centers that can provide those one night beds for people who do not claim their bed tonight. In our family system, since we have enough congregate beds for everybody, we use the assessment to determine who is going to get the individual rooms, because they are the most acute area. I understand. Thank you. Just hanging onto your question. Thank you, and again i imagine what you are describing, it is a tough job, to say the least. Trying to balance all of the needs. My question is, and i heard you say this twice. Your department is trying to treat everyone equally. I would suggest that folks that are homeless, with physical disabilities, are rightly a little more vulnerable. And as deserving of a Navigation Center, or a congregate area that may be set up for them. That can provide that extra help getting in and out of the beds. Is not a consideration . Is not a bigger nut to crack it another day . It is a wonderful question and there are two parts to my answer. When i said we want to treat everyone fairly, it means everyone has equal access, coordinated entry assesses everyone the same way. You are more likely to rate high enough for permit in support housing placement when you have challenges that include vulnerability and barriers to housing. What you are asking about, is are there special shelters or Navigation Centers that help . When i talked about five Navigation Centers that is from our department. The department of Public Health has opened up hummingbird, which is considered part of the citys six Navigation Centers. It does offer some Mental Health assistance and some medical. When we provide clinics where people can be assessed, and gets, you know, medical assistance but it is not a care facility. Hummingbird has a little more builtin care. That is a challenge that the city is trying to address. It is not our departments expertise to offer medical care. When we offer clinics, we will build the clinic but we have to partner with dph to provide the staffing through street medicine and Shelter Health staff. We are aware of that. Also dph operates the medical respites, which is a shelter step down from hospital. They have expanded that in recent years. Those are outside of the department of homelessness and Supportive Housing. We coordinate with them, but we do not run them. We do not do placements in them. We can talk to the department about individuals that we are concerned about who end up being placed by department of Public Health. No one is ignoring this population, but we are very focused on our charge to reduce homelessness in general. In part of that when we identify people that we cant serve with our programs, we raise it to the city who have some of the expertise to do that. Any comments to the chair, can i im going to get to staff. I just want to compliment you for the work you are doing. I do some work with and for ihss. I am delighted to hear that Public Authority or people you are working with. I know they do have quite a large number of providers. Some of them are oncall providers which i think would be the ones to come to your centers and facilities. It is great that you are doing that. Nicole, what do you have for us . Thank you very much. Thank you for your presentation. I wanted to offer briefly the Mayors Office on disability would be happy to work with you, especially around technologies that the city is using for communication. That is one of the takeaways from some of the council comments. I think we have some things i can work a little better, than what we are using right now. Another thought that i have, is maybe we can work on a way to think about how to talk about our coordinated entry approach, specifically for folks who have disabilities, or are a little more vulnerable in a way that is more visible to folks. I know we are addressing things casebycase. I also think that we can work towards some centralized messaging about our process that might help folks understand questions like the ones that have come up today. Thank you very much. We welcome that. As i say we have had a Great Partnership between our two departments. Prior to this department coming three years ago, when i worked for hsa and the department of homelessness, we were in touch regularly. Its always been very helpful. I also want to thank you, because when we are faced with a particular accommodation challenge, ive often called the office and said have you encountered this . That is our best teamwork to try to address this. I think you. I will have the appropriate people follow up with the technologies and the warden aided entry message. Thank you very much. Anyone else from staff . I would like to thank you for making your presentation. That is all of the questions we have for you. You can take a seat, if you like area now, we need to see, i understand there is one Public Comment card . Yes, sorry. Carol from faithful fools, which i want to hear what that is about. Hello. Thank you. This is my first meeting, it is a pleasure to be here. Zach invited me from faithful fools. I appreciate scotts presentation on the department of homelessness in Supportive Housing. I remember 4. 5 years ago, when the Navigation Centers were first announced, the huge excitement about lowering barriers of her people in the street to be able to come inside everyone wanted to be inside. Every wondered how can i get in there . About a year ago, department of homelessness and Supportive HousingNavigation Centers, how most people were choosing to leave, or getting kicked out of, i think, it was the one on van ness. Just kind of wondering how this low barrier that is really allowing pets, possessions and partners really changed, for people who are living with disabilities, all of the barriers that come up can make it more challenging. I remember when the department of homelessness was created 3. 5 years ago with the idea that it would gather from all of these different departments and there would finally be one place to go to for homelessness. Now with it seems to be a complete operation. This sweeps they are doing including in on of golden gate, that is generally by the community, a place that people are allowed to sleep at night. Having sweeps in front of their that take peoples medications, and take peoples walkers and supplies like that. I think, in terms of training for the police, more awareness of people with disabilities, in the Training Police are getting. Eight days ago there were a couple of women in chairs, sitting in front of the many part they had been sitting there weekly for over a year, their therapists and ministers who were just sitting there for anyone to sit down and talk, and the police came by and made the move. When they asked why they had to move, they were told they needed to find somewhere inside to sit so people could join them. That is just an example of homeless resistance services. The idea of forcing people to go inside who may not be comfortable in that moment to go inside, a new strange place to meet with somebody. To conclude, i have been down there multiple times with people, and even people who are not living with a disability going down to this barren place without clear signage, with barely a bench space to sit to sit for hours, if you get any of your belongings back. Thank you very much for your time. Thank you. Do we have any more cards . Okay, lets go to the bridge line. Are there any people on the bridge line . Yes, hi. I would like to leave a Public Comment. Go ahead. Thank you. I first want to say, the fact we have only had one Public Comment on this so far is a problem. This is a problem that affects 9784 disabled people in San Francisco. 70 are San Francisco residents. We are talking about a large portion of the population. The fact that this was only announced 72 hours ago has made it impossible for me to include more people . Fortunately, i was able to give a great Public Comment. I want to say, when scott is done with those rosecolored glasses i would love to borrow them, there is such an incredible disparity between his perception of what Homeless Services look like in the city on the reality. I dont even know where to start. Ihss providers are extreme and hard to get. Not available on call, most of the time. I actually am someone who has been on the streets with a ihss provider, extremely difficult to have a provider from support services without. I agree with helens comment about that being a selffulfilling problem. If you dont have an address you cannot get a home care provider. If you dont have a home care provider, you cannot get to in shelter. Thats crazy. The other idea, that scott said something earlier, some people cannot handle congregate setting, i am paraphrasing. As far as people with severe disabilities. That is ridiculous. A lot of shelters do not have adequate areas for wheelchairs and people with disabilities. Also, this might shock everyone in this room, there is something called guidry. Many people, in shelters are extremely bigoted. The staff does nothing about it. I witnessed an africanamerican being kicked out of the shelter because the color of their skin was upsetting people in the shelter. The shelter staff will just agree with the majority. If the majority is upset about a person with severe disabilities, who has a site seeing dog, or has a different skin color than people. They will get kicked out. The person who is a minority will get kicked out because of the bigotry. I have known someone who has worked in the shelter system directly. I visited him, and his work, and saw the appalling conditions of shelters in the cities and how people are treated like cattle. They are treated like criminals. These shelters require many, many hours of waiting, superlong lines of ticket systems that are really hard to get into. You have to spend half your day getting a bed, by the time you get there you dont even know if youre going to be kicked out for your disability, or not. We need to come up with a better system for people with disabilities, not just Homeless People in general. This is a crisis. Everyone people that shelters are not trained to handle people with severe disabilities. Thats not our problem, go somewhere else. Thats ridiculous. People of San Francisco voted for to provide a lot more money to solve this crisis. The mayor should be doing something solve these problems. We can do something to provide more services of the voters of San Francisco have voted for. Thank you. Thank you. Anyone else on the bridge line . Hearing none. That completes our first item for today, informational item. Very excellent presentation, and lots of good comments. We are running a tad behind schedule. Lets see, we have a 15 minute break now. Please be back and ready to go for the second half of our our presenter today is, i hope i am pronouncing this correctly adrian . Executive director, office, Civic Engagement, and immigrant affairs. Welcome to the council. Thank you. It is an honor to meet with you today. We have a strong relationship with the Mayors Office of disability and director adrienne pon and her staff have been important partners on a great resource to us. I am here to present on the 2020s census. My name is adrienne pon and im joined by my colleague, our Civic Engagement fellow. The 2020s census is fast approaching. We are once again, our our offices once again charged with overseeing the Outreach Campaign in 2,009, we were a start up operation at the time, a tiny staff of three. Obviously with a lot of help from our community partners, and city departments we were able to conduct a highly effective campaign. San francisco was the only county, in 2010, in california to meet and exceed the mail in response rate. Today we have much better capacity. But the 2020s census will be even talk or tougher. We need to work as a unified city to ensure that all san franciscans are accurately and completely counted by the Census Bureau. Why is the census so important . Our fair share of over 800 billion in federal funding for a central needs and Services Like transportation, education, programs like medicaid, disability support, chair giver programs, special ed. The Political Representation of voice, and reliable data for planning in supports of the civil rights law. Most important though census is about counting and recognizing all of americas people, not just some, or the ones that want counted, but everyone, it is a sign of our democracy that we all matter to the government that is here to serve and represent all of us. We have a short video. This was produced by the ford foundation. It does a much better job of explaining the importance of the census than i can. I apologize. This is my very first assessable presentation. I want to thank heather, of your staff for guiding me. I did the best i