For use. One thing we want to stress is that this program, much like muni for youth program, is only for available for San Francisco residents and the income levels are 100 of the bay area Median Income which are shown on the slide here for households of one through six and theres a slight increase as households get bigger that we have back at the office. If approved we will begin accepting applications immediately at mta. Well have the website ready to go that afternoon. If the program is approved with applications ready on the website. The free pass will be loaded on to the existing senior clipper cards. Its about five weeks to get the pass loaded on to applicants cards. The processing timeline will vary depending upon the customers status with the clipper card. It will take about three weeks for customers who have an existing clipper card four weeks for a senior who doesnt have a clipper card. The extra week for that is because we need to create a clipper card for those new applicants and seven weeks for customers with disabilities who dont have their clipper card. Its because theres a separate application for the rtc card that ill speak in and about a bit. For existing clipper card holders the process will be pretty streamlined. They can come mrooet an Application Online by mail or by calling 311 if they request assistance. 311 representative can help them fill out a paper form and send it to them. A card holder needs to have a card registered to them biy showing their proof of age to get the card. The pass will be created in three weeks and theyll get notification in the mail saying their pass is active and they can ride. For current cash customers, for those who dont have a clipper card the customers can obtain an Application Online or in person. Were working with Regional Group to have applications available at different outlets where seniors are regular customers. Theres also an option online where a customer can request multiple applications be mailed to their home if they dont have access to a printer. From there the customer will submit the application and a copy of proof of age via mail or dropping it off at the sfmta Customer Service center. We need to establish this is in fact a senior so we can give them the right card and pass. And then the new clipper card will be sent to that customer in the mail with a litter stating this is their free pass and how to use that pass on a daily basis. For the rtc card for the riders with disabilities those with existing rtc cards the process will be similar to the senior cards. They will just complete an Application Online or by mail or through 311 and the rtc number is required listed on top of the rtc card. Most people are familiar with this card. Much like the senior card the pass will be loaded remotely and theyll receive notice via mail that the pass is now active. If the customer is new to the program and does not have an rtc card they lrp need to visit the mta discount id office which is just across the street from sfmta Customer Service center to apply for the rtc card. This can take between four and five weeks to get approved. Once the customer is approved for their card theyll get an application at the office or get one online and apply for the free program. Theres a list of our outreach calendar. We met with the department of aging and Adult Services staff yesterday to receive feedback. Were here this morning to present to you our process and receive any feedback and for the next two weeks, including the mt action board of directors meeting, will be meeting with different groups to make sure were doing the proper amount of outreach and if were missing anything we fill in the holeses. Besides additional outreach besides those meetings current sf registered rtc customers will be direct mail letting them know the program is approved. And the application will be on the back of that letter. Applications and fact sheets we made available at different communities and stakeholder groups. Well have newspaper ads. The advertisements will be the banners inside the bus as well in the front of the bus behind the drivers and also the standard digital message distribution. Hoping for any comments or questions. Thank you very much. Thorough presentation. Couple of questions. How will the means testing be administered . How will the application confirm that the seniors meet the means test . So its just the means is Self Reporting. Self reporting. Okay. Secondly, have you had an opportunity to read the editorial in todays chronicle . I have not read it but i heard theres something in there. One of the issues talks about the proposal thats already in place regarding youth fares and the sunday parking changes and according to the editorial all these programs combined will reduce munis operating revenue by about 20 million a year at a time when ridership is at an all time high. It also refers to voter approved propositions a and b which authorized additional spending for muni but that spending is limited to capital improvements. The concern raised is ridership continues, but the operating budget will be reduced because of lost revenue and therefore there will be longer waiting times for buses, crowded buses and great inconveniences. How has that issue been addressed in developing this proposal . I cannot speak to that directly. Were more on the process in the back end. Its something the board can address unless diana has anything to add to that. The board will have to address that. Okay, thank you very much. Commissioner ow. Right now i am a senior. I put in an application. At the time i put in the application i indicate my age. Mta recognize im a senior. Do i have to do another application . Yeah this is just due to the means based aspect of the program. Any current clipper card holder needs to let us know what their income is and their address an we can communicate with them. Do i need the rtc card . R the rtc card is for the riders with disabilities potential expansions for the two different groups. The senior clipper card. You indicate that i also can register or put in my application for this. Will it be multilanguages . Yeah well be translating the application into seven or eight languages. You indicated it may start as early as march 1. P that is the plan. Thank you. What constitutes proof of age . We have birth certificate, passports. For the youth we also use a registered id with the school but standard proof of age has generally be drivers license, birth certificate, passport. Im not sure this is a question youll be able to answer, but ill ask anyway. Why is proof of age mandatory for this program, but not verification of income. Proof of age eliminates the small amount of fraud of someone whos not a youth or senior applying for the program. Im not sure why the income aspect hasnt been addressed. I guess if the purpose of this presentation is to get feedback, my personal feedback is that income should be verified and im uncomfortable with a program that is based entirely on the honor system given the point of revenue reduction. I think its a potential point of abuse and im in the hospital particularly pleased with that. Thank you. Commissioner james. I am very concerned because muni formed a committee about a yearandahalf ago to look at the problems of muni and i served on that committee and this is not one of the recommendations of that committee. Now, what 2kid you decide to do . Throw it out . We were talking about plaque cards to coop people from abused that system and theres more problems with muni in terms of taking people to different places, picking them up on time. Ive had so many complaints about muni and the Transportation System and now theyre not going to pay the 2. 25. I think theres a whole problem with muni and to pull this out i think its not looking at the whole problem with muni in the city. Thats why im concerned about this one recommendation and not looking at the wholesome and how it affects the seniors. Thank you. Commissioner sims. One other question. Will the muni polices scanning tools identify the status when a card is scanned at a muni stop . Yes. Aside from the visual verification, the tfis the muni police can scan the card to see there is indeed a free pass loaded on it so thats a way to check for misuse. If it appears its not the senior using that card then that card is then confiscated and a ticket is issued. Thank you. Any comments . Confiscated and taken . Yeah. Commissioner loo. Two questions, you need proof of age passport. What about income. The proof of income is Self Reporting. Theres no need for a tax return. That was my point. There is no proof of income commissioner. It is all on the honor system. What happened to those people who have some money to be rolled on the card do they get refund . The preloaded money could be used for bart rides or if theyre out of San Francisco county that theres no refunds for any cash value on those cards. Thank you. Thank you. Any comments or questions from the public . Thank you very much. There is a public comment. Oh, i didnt see you. Please, come up. Thank you. I had one question and that we talked about proof of age, proof of issues that commissioner sims brought up. What about proof of residence say to get my card my neighborhood parking permit i have to show that im actually a resident and you said earlier this is only for residents of San Francisco, wheres the proof of residency . The proof of residency comes into play with the piece of mail being sent to the customer. The mail is returned as cannot be delivered then that card is invalid because that person reported a false address. Thank you. Any jessica. P well, first i should apologize for jumping the gun on bringing up free muni and thank you to the sfmta folks for the presentation. I have not seen the editorial. I have not seen it either. As far as the expense of free muni people may remember free muni for youths we had a hard time getting the mta to fund it and there ended up being a private do nation made so there hasnt been city money going into that so that doesnt make any sense for them to claim that that is affecting revenue. And people for disabilities is estimated to cost 4 to 6 million which is a very small drop in the bucket. Sunday parking is a larger issue, but i think for people to claim that allowing poor people in our city to be able to get around is causing problems isnt at all true. We at senior and disability action and a lot of other folk who is have been working on free muni feel very strongly that Self Reporting is the best way to go. The big reason is we see in countless city and state programs that verification is often very difficult for people especially when talking about poor people people dealing with age and disability people who may not speak english. There are a lot of examples where if you look at voter registration, for example, any time you require various forms of identification and documentation the numbers drop and so considering this program doesnt cost a lot in the first place we want to make sure people use it, we want to make sure people who are Homeless People who dont have good documentation, people who for whatever reason are not able to verify their income easily are still able to get around to get to doctors appointments, the grocery store, to participate in the community so thats the idea and thats why its so important to not require proof of income. The last thing was im really glad ms. Hail came up because she was a strong proponent for people with seniors and people with abilities. I think the last time i saw her was at an mta meeting speaking about why this program was so important. Thank you for bringing her into the room and part of why its so exciting for this program to happen is to honor vera. Thank you very much for the presentation. Item number 9, new business. A, requesting authorization to modify the grant to provide enhancements to the program during the period of october 1 2014 to june 30 2015 in the additional amount of 148,000 for revised total grant amount not to exceed 416,416. The presentation will be by mike zogg. Good morning commissioners. Im a Program Analyst with dos. Im here today seeking additional funding for the Ombudsman Program. The Ombudsman Program is currently operated by the fell ton institute, formerly known as Family Service agency. The funding were looking at today, 148,000 will be going to this fiscal year. The greatest need is for increased staffing so the majority of this money will be going towards that. With this new money well see a slight increase in current staff and the hiring of five new parttime sub contractors. As a result of this increased staffing the ombudsman will be better able to respond and strengthen other aspects of the program. Does commission have any questions today . Just a motion for discussion. Do we have a motion . So moved. Seconded. Any questions or comments . Commissioner sims. A couple of questions. One, kind of a small knit, but the budget summary page, theres a typo. Its the indirect costline on 18 says line 17 times line 18 i think it means line 17 times line 16. Would that be correct . I think thats correct, yes. And the actual calculation is not 15 , its something slightly less that that so im not sure why there would be it seems like a simple calculation, 15 of that perhaps it was a rounding. I dont have a calculator. Its about 14. 7 across the budget, so maybe its a rounding thing but it was an odd dollar amount when i made the cal cow cuelation. Im not sure why theres a disparity, which always causes me a concern. Not that i dont trust people but it seems like it should be accurate. Okay, thats something i will follow up with the agency regarding. Out of curiosity, it calls out in the outcome objectives 75 of all facilities will be visited on a quarterly basis, that would be two visits and same for the [inaudible] facilities. The baseline from the previous thing is that we require at least one visit to one board and care home every year so weve added this in as part of the increased performance as a result of the increased staff. Now the plan is to in addition to seeing everyone at least once, each quarter, 75 of them will be seen. We didnt go with the 100 po allow for a little bit of leeway there. Are the businesses announced and scheduled or unannounced. I believe both. In some situations the ombudsman will respond to a complaint brought by a Family Member or resident and appear unannounced. Ombudsman will make an unannounced visit to see how things are going and to speak with residents to solicit their feedback on Current Conditions at the facility. Thank you. Commissioner other question. How many rezsidential homes are in the city of San Francisco now . I believe there are 77 and that is down from 83. Get our Expert Witness up here. Is that right . There are presently 77 rcfes and thats down from 1986 figures which were 160 rcfes. Were experiencing in San Francisco, we being everybody in San Francisco, other agencies, a decrease in rcfes at a time particularly low income and moderate income so we have a real issue with maintaining existing stock and that was part of the plan i submitted originally to dos to try to develop an intervention where places just dont close, but they maintain a certain qualitative performance benefitting the residents. Right now theyre 77 but its part of a trend of lowering numbers over the years. Following on the 77, whats the range of the residents inthe homes . Like five to 20 or what . Larger cfes the people with means, so to speak, assisted Living Communities have anywhere from 100, 80. And theres a real dichotomy of the small six beds which are called board and care homes, and the larger residential fa stillties which are assisted living or part of the ccrc. So theres a lot of breakdown and stratification of pipe within that population of homes. And part of this proposal is also to address adult residential facilities as part of an to justify an augmentation because were getting a lot of reports of neglect to the abuse mandate to the individuals who used to be below 60 but now many are ageing in place. Complicated strategy we had to get to get this money. Commissioner ow and then james. I dont think you identified yourself. Im the Program Director of the Ombudsman Program and ive spoken here before thats why. Are you Program Director. Program director. Correct. You came to our commission for many times an you oversee the San FranciscoNursing Homes . We go to skilled nursing, both long term and the rehabilitation nursing facilities, some of which are actually included in the acute hospital buildings. Ive come to the advisory group, ive ive come to legislative group over the years, yes. Right now the agency going to get 148,000. Will it include we listen to you for many times. You always [inaudible]. It will improve or ability as measured in the number of unannounced visits to see whats really going on that might make vinls living in these places unhappy an dissatisfied and overall, if we can sustain this augmentation through Capacity Building and future years, it will certainly improve our oversight and hopefully improve some of the conditions affecting residents or patients and skilled nursing, both short term rehab as well as long term, as well as in Residential Care homes. Right now i characterize this initial augmentation as getting more feet on the ground to increase the number of visits so our services can improve and also the individuals are experiencing can improve so they go hand in hand to speak. I got one more question. Last year the state legislature have so many bills to includemprove the living facility for the seniors. Thats an interesting point. The legislature had a whole series of residential carol reform act legislation. Those that would have required that Licensing AgencyCommunity Care licensing to increase their visits per year that had a fairly high expense attached to it and never got out of appropriations so therefore the expectation in some of those bills to increase regulatoryover sight were not really funded and so were stuck with five year visit pattern with a sample because the funding never came through the legislature for those particular bills. Those reform bills didnt cost any money, but not in terms of stepping up the regulatory visits. Twenty years ago they use every facility used to be visited annually and now its only a select sample of 20 or 30 in whatever area were talking about and then the others only get visited once every five years. That was an argument to step up our visits because were not the regulators. Thank you very much and i appreciate the comments and the importance of the issue, but in the interest of time i would caution commissioners ask questions specifically relevant to the motion before us and specifically relevant to this contract. It is relevant. After you make a visit you make a report. If you dont think your report facilities is not up to par and then they do have violations, what is your remedies where do you go next step . I think i can speak to this one. The goal is to investigate and try to resolve the complaint at the facility, but in the event they do refer on to other appropriate bodies that have a sanctioning power such as licensing. Commissioner james. In the interest of time move on. Any questions or comments from the public. Hearing none all in favor, oppose. Thank you very much. Item b requesting to provide consulting to analyze integration of in Home Supportive Services ihss to the horizontal Integration Programs during the period of november 1, 14 to june 302015 not to exceed not here today. Oh, shes here but im presenting on her behalf. Thank you