The department has met all of the applicable notice requirements. As noted on the agenda, members of the public may observe this teleconference meeting via sf gov tv and may Public Comment by calling the published Public Comment phone number. I would like to welcome the members of the public and staff who are watching online, sfgovtv. The Commission Asks and thanks for your patience during these unprecedented times. Teleconferencing has never happened in our history. That being said, we respectfully ask the public to have patience and expect delays and gaps during the meeting, particularly during Public Comment. Were working diligently to learn and become familiar with this new system as this may be the way we conduct future Commission Meetings. Madam secretary, please call the role. Thank you, president. Commissioners, please respond when i call your name. role call . Please note shereen mcfadam is present and president , we have a quorum. Thank you. Commissioners, the next item is item 3, communications. We would like to provide further instructions for the Public Comments. Callers can dial spot tol into l free number and wai members havp to three minutes. I will announce when Public Comment is open on each item or for general Public Comment and during each period, viewers and callers will be instructed to call 877 3695230 and enter a pass code 059661, pound, pound, once in the Conference Press pound 2 to enter of cue. inaudible . This is best to call from a quiet location, speak clearly and slowly and during down your television or radio. Is there any communications from the Commission Members . Ok, president. Your next item is agenda item moving the minutes of the march 4, 2020 meeting. Are there any comments or questions regarding the wednesday, march 4th, Commission Meeting minutes . Hearing none, identif identify n to approve . Ill second. Any further comments or discussion . Any comments or questions from the public . Hearing none, well call the question. Madam secretary, please take a role call vote to approve the march 4th Commission Meeting minutes. President , how do you vote . Yes. role call . President , the vote is anonymous. Thank you, the motion carries. Commissions, the executive directors report. Shereen mcfadden. Good morning, commissioners. Its a pleasure to see everybody, even if its remote. So im going to start with the federal report and i want to say even though it seems like so long ago that we were advocating for the Older Americans act to pass, it actually did pass in march and that is good news even though were in a very different state of affairs right now, its really an important piece of funding for Older Americans act services. And so that passed in march. And since then, we have had two covidrelated stimulus bills that have put money into the Older Americans act programs and they are helping to fund some of the expansion that weve needed to do for services. The funding has specifically come out for nutrition, for family caregiver, for ombudsman and for aging and Disability Resource Centers and sorry, aging and resource connection and because california has received the kind of disaster designation by the president , we are able to actually use that funding in whatever way we want and so we are able to put it where we need it most, which now is mostly nutrition. At the state level, ive been doing a lot of work with the California Department of aging and they have really worked to provide support for triple as across the state. They have made the friendship line, which is our very own aging line for people who are lonely and need help or need somebody to talk to and they have made that a statewide program for the near future, which is pretty exciting. They hav are thinking about bang up some things that our communitybased providers are doing. And i really feel proud that our network, locally, has given the state so many ideas about things they can scale. And theyre thinking right now the longterm effects of covid19 on older adults and thinking about weighing that they can put new programs in place, thinking about opportunities for regioning senior centers, for instance, and thinking about community and thinking about social isolation and engagement and how we really think about using Digital Solutions and technology to really ensure people are not lonely. So there are a lot of ideas in the hop with th hopper with thet now and i think new programming will come out of it. At the same time, the govern has announced that there will definitely be cuts in the budget. Initially, the state was saying that they were waiting to see and they would put a new budget in august and they were going to move forward sooner with cuts that we will be hearing about soon. In addition well, something positive. That the state is doing right now and actually, the National Area agency on aging association is doing the same thing. May is Older Americans month and so, the state department of aging is running a campaign called make your mark and theyre asking local ceos and triple as to make your mark which means documenting things that are really positive, that are really engaging people and how were thinking about new models, thinking about volunteers who are older, who are calling other people, you know, really anything that were doing to respond and be positive, they are putting that on their website and asking us to engage in that. I know a lot of triple as have done that. I know were in the thick of things and hopefully well be able to do that sometime during the month of may. I promised we would do this even if it were may 31st. And so, thats something positive we can to. Do. We have so many great models were doing locally and i think well get some out there to the state and share all of our good practises. But locally, i just want to start by saying im really, really proud of our staff and all of the work theyve done. Our Management Team has been outstanding and really pivoted quickly to Emergency Response mode, really, really great thinking on the part of our managers in terms of thinking about how we develop new models on the fly and just so that we can be as responsive as possible to the need of older adults and people with disabilities in San Francisco. Im enormously proud of our new york and ceos that we work with because i think its just so hard for everybody to be in the midst of this pandemic and try to and be worried about family and be worried about children at home, be worried about parents who may be living in a nursing home and all at the same time be thinking about how do we best provide models, how do we best scale up the models we have and support the Current System and be able to do that effectively and with the grace that ive seen people do it. So i just want to start by saying that. Im really proud of everybody and just continuing to be amazed at our capacity to do amazing work. I want to start by talking about what were doing with our own staff and really the programs that we provide inhouse. So one of the things that we did right away is that we got staff out of the office and partly because some of our programs had worked really hard over the past couple of years to go mobile as much as we could with our staff, really to give them the opportunity not to drive in everyday didn and to be a littt able to work, you know, so they can work remotely and so we were able to get a lot of our staff out of the office. It was really important to us that they be safe and at home. So we did that across the board, for the most part. We still have staff coming into the office, but weve minimized that as much as we can. In ihss, in collaboration with the Public Authority, weve done a number of things that are aimed at protecting our Inhome Supportive Services workers. So one of the things that we did was to engage in covid19 testing for frontline essential workers. I know the team worked really hard to ensure that the city understands that ihss workers are, indeed, frontline essential workers. I think that we tend to think of workers, Health Workers as those in hospitals and clinics, and yet, we all know here that ihss workers are really essential. So our frontline workers have Hotel Accommodations available to all essential workers and we have been able to provide, finally, protective equipment for workers which, of course, is extremely essential and we know that our ihss workers are working with the most vulnerable populations in the city and that we very important. Locally sciu is providing protective equipment to all independent providers, regardless of whether theyre caring for someone who is suspected or believed to have covid19, which is actually a fairly new development in the pandemic and also a big relief, because people are really concerned about infecting each other and infecting clients. Sick pay, the department of social services has authorized 80 hours of sick pay for independent providers to pay for covidrelated issues. And we just asked if authorizing and processing the claims for providers and again, this is really important. Ihss workers do not make a lot of money and we really want people to stay home if theyre ill. So this is a way to make sure they can do that. And then taxi rides home, this is the same as the essential worker Ride Home Program you may have read about in the paper. It is available for ihss workers, as well. And then weve done a number of outreach to independent providers. We have a web page dedicated to providing information to independent providers about safety and about their rights, things like that. So the Public Authority is also conducting emails and mail outreach. One of the things this is such a big workforce and we wanted to make sure people had consistent and correct information and we know that information sometimes changes. We get new information from department of Public Health fairly regularly, partly because dph is trying to follow the science of, i think, many of you heard dr. Kolfax say, were following the science and sometimes the information changes. Go on to this next one. In Adult Protective Services, staff are continuing to respond on an inperson basis. When health is safety risk is present, 50 of our cases, receive a facetoface response. This is something weve had a conversation about, but we feel conversation when somebody is self neglecting, they may need somebody to lay eyes on them. So our staff have been really, i think, courageous because people are scared and its hard to think about going to somebodys help and infecting that other person. So weve, obviously, are using protection whenever we can. And we continue to operate that program. So reports went down for a little bit and now theyre back up to the prepandemic rates. We were worried that this was not being reported even if it was present. And so our selfneglect is the most common type. Physical abuse numbers are back at the prepandemic levels which, again, is a good thing because we need to be responding to those and we want to make sure people are reporting. So Public Guardian and public conservator prohibit to inhibit visitors. Our staff are monitoring clients statuses virtually, utilizing zoom meetings to see clients face to face. The courts have continued all cases on the Public Guardian side, continued all cases except those that involve an intimate health and safety risk of the client and referrals to the guardian have declined quite a bit. In april, we only received three because that is, of course, the system knows that the courts arent operating at their normal levels. Public conservator, courts are continuing to operate virtually whenever possible and our referrals went down for awhile and now theyve gone back up again. We had 16 new referrals in april which is quite a few for us. And then covid status of clients, our licensed care facilities are notifying us whenever a client is diagnosed as positive or if an outbreak occurs. To date, weve had five public cases and no deaths. In a public conserv conservatord four clients with confirmed cases and one of those individuals passed away, but we believe that theres another individual who wasnt diagnosed with covid but had the symptoms and we believe that person died of covidrelated illness. Our seaour vulnerable branch is supporting the Operation Centers effort to house unsheltered individuals by providing key supportive individuals with high needs and we have a couple of models that weve stood up and one is our cert model. Thats caregiver Emergency Response teams and the home bridge, as you home provides contract mode, ihss and home bridges Specialized Team is providing shortterm special Care Services with clients with needs across the shelterinplace hotel site and there are 100 clients who received outreach from the ihss assessment team. Home bridge is currently recruiting staff to grow this team and we assume that the need for this will continue to grow as hsa continues to move more and more people into the hotels, to ensure their safety and safe distancing. Lastly for our inhouse staff, we have what is now called is the Community Living fund, home bridge Adult Protective Services partnership and what it does is bring key Supportive Services together to facilitate care coordination and services for individuals with complex need. What this means is twice weekly meetings, discuss to triage highstressed clients and 15 clients are currently enrolled in Case Management as seen by Community Living fund. Adult protective services is working with clients who may need services, but who are declining them. So thats whats going on and i would have to give a lot of credit to joel neilson, Deputy Director who oversees these programs. She and her teams have really been just working so hard and our staff, all of our staff have been working many, many hours during the week and working on weekends and hopefully, at some point, soon, well get back to normal hours, but this is because this is an emergency, its been really important for them to stand up some of these systems and get them going correctly and collecting data and all of the other things that we have to do and i just want to give a huge shoutout to them for the amazing work theyre doing. I guess im probably going to overstate it a little bit, but i cant tell you how much work theyve done and how great it is that our team has come together. Ive been down here at the Emergency Operations center and i keep hearing about how great our staff and i just want to make sure to overstate it because to me, thats just important and i have seen things working well here and i have seen things not working well here and our team is working really well. To to movso to move over to they city, cindys side of the house, in march, all of our meal sites stopped serving in a congregate fashion and most of them were able to immediately pivot to take out meals and make sure they were still reaching out to their clients, which is really great. And they did it quickly and efficiently. So overall meals provided in march to adults dropped by 24 given the changeover in service. But then our projected increase from march to april is 99,600 or 163 increase. Total numbers are fewer, the percentage of meals served to adult with disabilities is served with a 30 drop in march and 172 increase in april over march and that was homedelivered meals and obviously, when we first got the order, we just kind of stopped everything and, then, it took us a bit of time to say, oh, wait, there is a way to do this. You can serve meals for takeout or you can serve meals and have volunteers deliver them to peoples homes. Over the homedelivered meals and grocery side, hour homedelivered meals have been probably the largest request from the public. Our benefits and resources have done an excellent job in helping callers identify what their needs actually are. For example, asking if they have a support system like friends and family to provide for them and asking if theyre responding to shelterinplace, under quarantine, or if they have an urgent need. This information is gathered to identify the most appropriate resource for them. And many of the calls have been addressed through their own support systemming systems. And ill talk about that in a minute. Even with these options in place, theres been a modest overall increase in home delivered meals. One of the things about our homedelivered meals, providers ive spent a lot of time talking to the ceos of our homedelivered and actually congregate nutrition providers and i think theyve been under an enormous strain and really have had to do a lot of quick thinking in quick work to increase their capacity. Theyve had fear of things like losing drivers or having the kitchen go down because somebody tests positive. And there have been a lot of challenges and food is so important and theyre concerned about any one piece of their system going down and not being able to meet the need out there. The need is really incredible. One of the things im doing right now is the reason im doing at the eeoc is im movinged feeding unit. This means coordinating all of the feeding efforts across populations across the city and its just incredible, the number of people who are newly food insecure. From march to apr