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Accessibility how will the agency along with our doors be able to respond to different ethnic sisters and language issues and even the communities along with the question where will the funding come for this . Is that part of the states core program to fund directives for the Central Office and however were involved with this . I hate to ask for the funding the coordinating care is coming from medical and medicaid so programs are clear requirements of all the health plans related to accessibility and cultural competent and language assess so thats part of the health plans responsibility to mee...

Comment. Okay commissioner melara. Yes. A couple of places ilene im familiar with the case by it would be good for the commission that dont know about this its a great bottle to say in San Francisco. The pace stands for the all inclusive care for the elderly it started in San Francisco it was started over thirty years ago and it really is designed to focus on individuals who are certified to be eligible to be in a nursing home but want to stay in the community as long as possible it begin with medical services and primary Care Services as well as Longterm Services and community services. I thi...

And weve begun working on Something Like that were expanding this work because of the work in this area. Were doing the transition from hospital to home and there are i think takes we do Home Delivery meals and its a natural fit but it was great to see come out of the Community Partners as a recommendation. You can really look at some of the other recommendations and their pretty well clear. I wanted to highlight a little bit related to training for caregivers and also the recommendation related to helms and Dementia Research thats another initiative that the county is undertaken. Weve got a l...

Agencies. For me personally the sfmta are folks that are being sited on the buzz but there are no explanation on what their sited for so usually theyre given the citation and told to go on. So brief i want to share some of the changes we see this explains some of the issues weve heard today. One i think considering you know where the cabinets the reason they come to secondly a lot of the client interactions we see they say why access the Community Services theyre in english so this barrier starts right away because they dont know the Language Access support is there and they dont see why they ...

Filing out the forms. The process are state mandated the files have to be in english but then those that dont require that requirement we do have a city id we have other forms in chinese and others as well. For in person we have a staff our department is small but our staff is basically bilingual and their fluent a in spanish and mandrin and that make ups more than half of our staff. We utilizes the Language Services and in person and over the phone. And if required we also offer a s l with advanced no, that that he contract with city vendor for that thank you very much thank you any questions...