Presentation on the action items , but there will be no voting. All the other presentation schedule will take place. Those were not action items. The voting on the action items will be voted on next month. We will not have a closed session and we will not have a presentation for item c. We will have a busy october meeting, but september should be a little bit different from what we had anticipated. With those changes, may i have a motion to approve the agenda . There is no motion to approve the agenda. Thats right. We will just go ahead without it we cant approve the minutes so we are moving right along at record speed. Executive directors report. Good morning, commissioners. I wanted to start by talking about some of the things that are happening at the national level. Along with a number of Human Services staff, was able to attend the National Association of area agencies on aging conference. At the very end of july and at the end of august. It was a really good conference. I mentioned before we went that we were recipients of a of an award again, but to remind you, it was a Community Choir program that won the award and that was really exciting for us and for our community partners, the commute it a Community Music centre that oversees the program along with a lot of senior centres. We learned a lot of good things. One of the things that is happening, we talked a little bit about it is that the Older Americans act is going through the reauthorization process. A technically sends us at the end of september, so there was a lot of push to get legislatures to come together and reauthorize the act. Unfortunately, congress has gotten held up on the funding formula for the Older Americans act and that and how it gets portioned out across states. It hasnt gotten passed yet and it will probably drag onto the fall and maybe into winter before it is past. There is bipartisan support for it and so i am sure it will get past at some point, but probably not before it sunsets. That said, the process is separate so the money will continue to flow for these programs, it is just that there is a chance to get some new dollars into it and theres a lot of advocacy happening. I will keep you posted and what happens with that. At the state level, im sure most of you read this. The governor called for a task force on the master plan on aging and asked the secretary of public Human Services to put together a task force. That task force has been announced. The members have been announced. They are going to start their work immediately because the master plan process needs to be done by 2020. So theres a lot of meetings that have to happen with this group. There will also be a lot of committees and there will be various ways that counties can be involved, so i know that you will hear from a longterm care coordinating council about an event on september 20th, but that is one way that we, as a city, can be involved in getting the word up to the state about what we would like to see in a master plan on aging. Please think about attending that event. Hopefully we will have lots of people there and commissioner spears is actually going to be giving the keynote. The introduction. [laughter]. Okay. [laughter] sorry. Anyway, it will be exciting. We have a number of great panels the council will announce that today for the Dignity Fund Coalition. At the local level, i wanted to talk about changes in operational structure that we have going on in the department. On our Community Services side, we are combining some functions and so one of them is our dos benefits and resource hub, we had an eligibility unit that is there but was under inhome supportive services. It is now going to come over and be under intake, under the resource hub along with the intake unit, which may not make sense to you right now, but basically what it means is we are putting all the functions for eligibility and intake under one roof. We are doing that because we just hired a new program director. She most recently comes from she was at home bridge before that. She has a lot of background in working with older adults, serving people with disabilities , transitional aged youth and mental health, so we are excited she is here and that she is going to take over that function. We will get to meet her at some point. And then what we used to call office on the aging and longterm care operations is now going to be under a new name called the office of Community Partnerships. We have wanted, for a long time, to get away from office on the aging because obviously we serve people with disabilities as well as people with older as well as people who are older adults. Cindy coffman, our deputy director, has some really Brilliant Ideas about how to restructure, so we now have the office of Community Partnerships run by michaels dog, and Melissa Mcgee is one of the managers who will be still continuing to work with dignity fund, that will ultimately be the under be under the office of Community Partnerships. We will be hiring another Program Manager to oversee another piece of that work. That will be very exciting for us. I think it will make a lot more sense structurally for our department. The Department Name change is on the ballot as you all know, so if that passes, them that will actually align well with our new name of the office of Community Partnerships. And then i want to Just Announced that the Adult Protective Services program one a very prestigious award, which is the national National Association on Adult Protective Services association, and they won the june auto distinguished service award. They won it because seven cisco has been an integrative force in the field in the implementation of new standardized tools to assess outcomes for all types of abuse cases. It is really breaking ground. I want to give credit to some people. Jill really brought this perspective to our Adult Protective Services program and change the way we do business. And of course, we should use data driven approaches when we can and she has really pushed to do that here and pushed for thinking about a National Database and statewide database for Adult Protective Services programs and i want to thank her , but achilles has really carried that as well, and he shows great leadership. It was just really a fantastic thing to hear that the Adult Protective Services program in San Francisco had won this award i think jill told me that it is really rare goes to the whole program. It often goes to a person. It is really kudos to the Adult Protective Services team and the work that they do and the excellence that they bring to this department. Thank you. [applause] im going to go ahead and answer any questions if you have any for me. That is the end of my report. Thank you. On the Governors Commission for aging in california, what are the objectives, and will they also identify Funding Sources . The objectives are really to think about what the elements are, what people need to age in california. It is also thinking about data systems and how we collect information and making that a little bit more streamlined because right now it is not in any way, shape, or form. It is also thinking about how to bring together programs that should go together, rather than the silent system that we currently have for everything is under a slightly different department, what would be the framework for a really good longterm care system, and how would you move the pieces around to make it happen in a coordinated way, and i think also, yeah, it is what funding will be needed and how do you project that into the future given we have a growing population of older adults in california. You know, it is very exciting to people in aging services because across the nation because california, as far as we know, is the first state to say, hey, lets have a plan. There are states doing some things around aging, but not in the same way that the governor had said that he wants to do. Even though theyre calling it a master plan on aging, one of the first things that they really need to think about is the name because the intent is to also really think about the needs of people with disabilities, so it is kind of too bad it took on that name. Hopefully that will get changed quickly. There is action that could be taken right away. Todays chronicle has a story about living care facilities in San Francisco that are closing. One specifically takes care of seniors and adults with disabilities. And recent sighting for the closure is low reimbursement rates from the state and an inability to attract and retain staff. Those could be addressed very quickly. I dont know how weissberg widespread that is but it is part of a longterm trend in San Francisco. Right and we are hoping from some help for some help from the state in the form of the assisted living waiver, but also there are some other legislative ideas that are coming up right now that hopefully will not make their way through. It is becoming a real issue. We are seeing this weekly. We are seeing a lot of closures. That is really cant concerning. Thank you. Any other questions . You said that some changes in operation, will you be sending us a new chart . We will definitely do that. Thank you for asking. Also, once you get everything straightened out with the new framework for ihss, maybe we could have a presentation on ihss because we have many new commissioners who are probably not as familiar with how it works as they would like to be. That is a great idea. Perhaps what we could do is think about if you wanted to hear about different programs, we could probably schedule something throughout the year so we get a little bit more indepth view of programs and actually get to hear from the Program Directors themselves. Would that be helpful . Yes. We will work on scheduling that with bridget. Thank you. Anything else . Thank you. Employee recognition. The commission and executive director will honor adithi vellore, rosa ortiz, dan kelly, kelly bryant, alexis cobbins, laura duenas, cassandra james, rhonda johnson, van luong, dr. Roxanne manning, brenda mcgregor, phyllis pettus, priscilla prado, paulo salta and armando zapote from the Human Services agency Racial Equity work group. [applause] you all get to come up. This is a really [laughter] im really excited today to honor everyone here and we know the commission is, as well. One of the things that weve struggled with for a long time at h. S. A. , given we are such a large agency is how do we think about things like Racial Equity, and how do we handle such a big topic and really make sure that we are giving it Due Diligence and really thinking about the fact that Racial Equity issues follow people through life. They follow people through generations. There are things that are really hard to think about and we often say, we are not going to do this , or we are going to do it in little bits and bytes. I think that, i know that Human Services agency has a real commitment to thinking about equity and really making sure that we are an equitable place to work. One of the things that i can say that we have been fortunate to do at the department of aging and Adult Services is think about what equity looks like in a community. Are we serving people equitably . Do the people we are serving match the populations, and all that stuff. We have had a chance to do that, looking externally and how are we serving the populations of San Francisco equitably. One of the things that is exciting about the work that all of you are doing along with all of us is that we are now really thinking internally about how do our staff measure up to the people we are serving in terms of, you know, the diversity, how are we thinking about ensuring that we have opportunities for all to advance, and that takes a lot of work and it takes a lot of introspection. I am pleased that Human Services agency are very committed to making sure we are committed to working this out. With out all the work that you have done. I want to specifically want to call out d. C. And rosie. [applause] they have regular jobs that they do. They were both super committed to the process of the Government Alliance and really thinking about being representatives on that body and being the leaders for us and pulling together this work. It was hours and hours and hours of work and revision i just know how much you put into that. I probably dont know, but im super impressed that you did your work and you also did this. One of the things that they did and needed to do was to pull together a group of people across the agency who were committed to thinking about Racial Equity and he really wanted to see h. S. A. Do better than we currently do all of you have really done that work. I know it is hard work. I know you feel like it was not supported in the way it should be and i think that you have all struggled through that because you know that this is such an important process and we know it is an important process. Were just at the beginning. We now have all of the work that you have put together, serving staff. Looking at a classification as an example of a, you know, where we see, you know, whether we are matching the population that we are serving, and also looking at the fact that, at the leadership level, we are not as diverse as we should be. Were not reflecting the community the way we should be. We had really good information. Our next steps are really to think about the a limitation of this, putting it into a way that we can make sure that were keeping ourselves in check and really moving forward in a way that we need to be. We could absolutely not have done that without the work of each of you, as well as the people who couldnt be here today. One of the reasons i wanted to make sure that we were honouring you with the aging Adult Services commission, even though theres also Human Services commission, is because this is really serious work for our agency and it is also serious work for our commissioners to think about ensuring that our department is always thinking about equity. Thank you so much. I really appreciate everything that youve done and i know that you will continue to do it with us. Thank you. [applause] im just going to hand these because theres so many people to handle these two. [calling names] [applause] [calling names] [applause] [calling names] [applause] thank you all again. Would be great if we could get a quick picture it would be great if we could get a quick picture. Thank you to everyone who turned out to support your colleagues. This is really fantastic. [applause] [applause] next up is the Advisory Council. Dianne lawrence . Good morning, commissioners. The Advisory Council met on the 201st of august and i wanted to point out that we had all of our members, with the exception of two excused. That was one of the largest turnouts all year. We wanted to point that out. We still have some gaps in membership, which we are working on. The director gave a report, much of which i think she has talked about both in her august report to all of you and in todays report. We had a presentation by michaels dog and rose johns on the area plan on aging in 2021, 2024 process because it is time for them to rewrite a whole new plan, so we asked them to come and give us a heads up so we were aware, especially since we have some new councilmembers, they were new to the process and could get our questions answered so we could hopefully streamline things when it comes crunch time to get it read and approved. She outlined the plan for us, its requirements, his limitations, and where the council maybe able to provide input on the goals and objectives section. As a result, we had a much better understanding of where this fits into the departments work. This company, the Older Americans act, which director mcfadden just noted, is all up for reauthorization. It is reporting on that funding. We will get it updated at the november Council Meeting. We will get a draft to review in february with the goal being that in march, we approve it so when it comes to the commission for final approval, it is already signed by me and ready to go so we meet the deadline. Our goal is to make sure we meet the may deadline. But one thing i wanted to point out is that the team making the presentation has listen to the councilmembers concerns over the past few years when we get to this point about having more time to read the report, and having a better insight into where we move. Dr. Marcy eight oh, men gave an lgbtq update and pointed out there may be some delays in opening laguna with the lgbt senior housing. Dr. A doman has also been appointed to the Governments Task force on alzheimers and dementia. She pointed out that the task force will meet in september and october and that its recommendations will be incorporated into the master plan that with the director. They will not be working across surfaces, because that is one of the goals. They were two site visits that we are pushing hard for. One is for the Richmond Senior centre with food supply by open hannah. We had a lively discussion about that. And then the o. M. I. Senior centre, which we dont know if we had visited in a while. We still have some reports outstanding so we probably have a few more. Two announcements were given, one was on the event sunday, getting together at civic centre for seniors and adults with disability, and then also a flyer on the aging your way celebration flyer for the 206 th. We have talked a little bit about the september 20th event on the master plan. That is what we did. Great. Any comments or questions from the commission . From the public . Dianne, you can stay. Okay, we had a few bills that changed. Were at a point in the session were on the 13th, everything has to be finalized, so the session recesses, so because this is the first year of a two year, some of these bills will come back, some of them we may never see again. Some may come back with that number under a new name and identity. So the majority has moved into the appropriation suspends file, and thats because they have a price tag. They call for a new Commissioner Task force. We know that some of these will become two year bills. We dont quite know which ones yet. Will have a much better idea at the turn of the year. Often times, one of our representatives pointed out that a bill calling for a study or pilot often isnt approved or passed on the first time out, so we may see some of these things come back. And appropriation hearing was heard for the 201st so we will have a better idea. I can report on it next month. Basically we have nine, of which nothing was done on and we kind of pulled them off the list. We have 19 that have no update, and i were group of 50 that is where we are stalled out. One additional one on Residential Care facilities for the elderly, would licensing regulations, has passed and it is getting ready to be enrolled, so it is probably getting close to the governors signature. We will continue monitoring this as soon as a session ends, we are talking about whether we meet in october or november since there may be nothing to report on but we will keep you posted. Thank you. Any comments or questions . Any comments or questions from the public . Thank you very much. There is no ltc report. Do we have a case report . Good morning, commissioners. Im the cochair of case. Our august Membership Meeting began, if you will our advocacy efforts for this next years budget. We had our annual brainstorming session with over 30 agencies participating in a brainstorming session where we want to request funding in next years budget. It was a very engaged group with great suggestions. I think we ended up with 17 areas that usually we will need to call down, but we will continue that work at our september meeting, narrowing down and then also forming some ad hoc committees that will do the research and compile data towards developing a formal platform and we will keep you apprised of that through the fall. Last month, sue horst and i, were pleased to make with the Dignity Fund Coalition shares, with oversight and Advisory Committee chairs, with Service Provider work group chairs, along with the director and Melissa Mcgee from daas about the leadership Going Forward of the Service Provider work group. Ashley and annie, who had been serving as cochairs well past their term and are looking for some relief, if you will, head ventured had ventured earlier this year and reached out to talk about this and we were finally able to coordinate and come together. Resulted in the idea of the Dignity Fund Coalition and case sharing leadership responsibilities and both of our agencies cohosting the four annual Service Provider work group meetings, so we will both, sue and i, and fiona and marie, will be taking back to their organization this concept and seeing what our memberships we prefer. Whether we each take two or we truly cohosts all four together and we will be reporting back to ramona with that final determination. We also talked about the scheduling and what would be the best strategic schedule for these meetings to give some consistency so people that wish to participate could plan accordingly. All of this with the goal of making the efforts not only for Service Provider work group, about all of a sudden more aligned and quite frankly, reducing the great number of meetings, important meetings, but nonetheless, a lot of them so that we can all be more effective. Finally, ive talked about it forever, but it is finally here. As dianne mentioned, we are getting there together and getting the celebration of all ages and all abilities this sunday at civic centre plaza. We have over 40 exhibitors, we have a whole slate packed with talent, including the 350 voice senior choir that received the award that she was talking about and then a full agenda of engaging interactive activities at the outdoor gymnasium. I would love to see you all. We welcome everyone and anyone. Again, sunday from 11 00 a. M. Until 4 00 p. M. I think that is everything. Thank you. Any comments or questions from the commission . From the public . Thank you. The next item on the agenda is the nominating committee. Commissioner katie loo is the chair of that committee and they are recommending someone be nominated to the council. There will be no voting on this recommendation, but we invite mr. Hallstead to make some comments if he is here. He is. Thank you so much. First and foremost, i want to express my gratitude for the opportunity to serve on the council. I would come to this position potentially as a professional with the experience and advertising in advertising and financial services, as an educator in Higher Education and advocates. Most importantly, as a consumer of direct services. Moving to San Francisco about 60 years ago, i wouldnt feel protected, i wouldnt be independent without being on the receiving end of Human Services, but most importantly i wouldnt feel like i belong. I wouldnt feel welcomed into the city that i have grown to love. I will give you a small and quick trivia bite. I feel when i feel overwhelmed, i do one thing. I was really overwhelmed with work. When i feel overwhelmed, there is one thing i go to, safely, which is below my Apartment Building and i buy the highest grade of dark chocolate bars i can get. The only catch to that is i cant open up the chocolate bar until my caretaker helps me open it up. I had a busy morning that morning. That is two hours from 7 00 a. M. Until 9 00 a. M. From 7 00 a. M. Until 8 30 a. M. , i was stuck on video and doing email entering videoconferences. By the time i got out of the shower, i forgot to ask my caretaker to open of the chocolate bar and my heart sank. I got to the kitchen, i opened up the fridge and i saw that she made it. However, i couldnt get the chocolate bar. I turned around and i saw the chocolate bar not only opened but in a jar. But broken into small pieces. Not only into small pieces but placed in position to where i could grab it with my mouth with the lid cracked. So it is just a small example of my life, but not only my experience with Human Services, they dont normally help me. They really make me feel like i belong, and you dont get the human foreground. So im very excited to have this opportunity to be on the council , understand and get to know my colleagues on the council on a human level. Thank you so much. Thank you very much. Commissioners, there is a copy of his resume in your package and we look forward to voting on your recommendation next month. Thank you very much for coming. Any comments or questions . I wanted to say a few words. I think your education and experience will add diversity to our council. Thank you. I just wanted to express appreciation for coming because i served with commissioner lou on the nominating committee and for the interview that we did to make this recommendation. As the commission expands its scope and really seeks to embrace inclusive disability, i think that your participation and perspectives will enrich the Advisory Council and i want to thank you for taking the time and the interest to contribute. Any other comments or questions . Dianne . I wanted to comment that josh came to our last Council Meeting we opened the invitation when i was first coming to the council. That was a question i was asked by then supervisor breed, now mayor breed, had i ever been to a meeting . So made that offer to two of our potential members and josh was able to come that day and got to see what we were doing. We are really excited about the possibility. Thank you. Thank you very much. The next item on the agenda is old business. There is none. Item six, new business, the Community Living fund six months update. Welcome, sandy. Good morning, commissioners. Good morning executive director. And the Program Analyst for the office of Community Partnership and im here today. Im here to present the sixmonth report i would like to give a quick overview for our newer commissioners. Since our last report was back in april. The Community Living fund was created in 2006 to support aging in place and Community Placement alternatives for individuals who may otherwise require care within an institution. We provide home and communitybased Services Using two pronged approach, coordinated Case Management, and purchase of goods and services. They are currently the contracted Service Provider for the program. The program serves adults in San Francisco whose incomes are up to 300 of the federal poverty level. Those who are willing and able to live in the community with appropriate support, and those who have a demonstrated need for a service or resource that will serve to enable Community Living or prevent institutionalization. The target population includes individuals who are ready to discharge from laguna honda hospital, zuckerberg San Francisco general, and other San Francisco facilities. We also serve individuals who are at imminent risk of institutional placement, but are willing and able to remain in the community with appropriate support. The section in the San Francisco administrative code requires that they report c. L. F. Levels of Services Provided and cost incurred every six months. My report today will be fulfilling this requirement. You will find in the sixmonth report covering january through june, 2019, a lot of information that i would like to briefly fill out. My first thought is the total new referrals this reporting period of 158. This is consistent with trends over the life of the period. Most of these referrals were eligible for c. L. F. During this reporting period, we served 343 clients in total, with about 75 receiving intensive Case Management and purchase of equipment and services through i. O. A. We also served 100 clients through the rental subsidy scatter sight housing and rental subsidy administration. Consistent with overall problem defence today, about 70 2 of referred clients were older adults age 60 and up. Trends and ethnic profile of new referrals remains generally consistent with prior periods. Referrals for clients make up the Largest Group of 41 , africanamericans are at 21 , latino at 20 and asian and Pacific Islanders at 16 , which has increased from our last report. During this reporting period, also i. O. A. Worked with a group to update the c. L. F. Care plan module with a revised service plan library and layout. The improvements were made to enhance the accuracy of reporting Performance Measures related to the c. L. F. Care plan. As you all noticed, data on the second performance measure in this report on page three, is currently not available, but will be in the next reporting. Finally, we are happy to report that the c. L. F. Program worked extensively on it staffing plan to fill vacancies at i. O. A. Resulting in the program being fully staffed. We hope that this would lead to an overall increase in clients served and further decrease the number of people on the waitlist at this time, i would be happy to answer any questions if you have any. Thank you very much. Any comments or questions from the commission . Thank you. Thank you, sandy. Just a couple of questions. I was looking at some of the charts in the back. With regard to the areas of the city that are being served, what times are being made to increase referrals from zip codes my 412434 and 12 . Thank you for that question. Our referrals are mostly through the daas integrated intake. They are mostly from School Nursing facilities, primarily laguna honda hospital. We will look at the different areas where we feel that there is opportunity to increase provide better access to the c. L. F. Plan, and that would be something that we could work on at this time, but primarily, the referrals do come from laguna honda hospital, and we do conduct other outreach. The Community Living fund does do presentations in the community to make sure that we spread the word about c. L. F. I like looking at the graphs in the back. There was a couple of graphs in the back that were specifically, charge number three, where there is a red bar with white dots on it, and i couldnt tell what area that was from. Is that the c. L. F. Referrals by zip code . Yeah,. It looks like that would be the second from the top. Okay. There was another one lower that looks like the same color. Maybe lastly, there were two charts in the back. One was 22, which is the Community Living fund sixmonth report, and then there was another one, fivepoint two which had the same title and exactly the same month, but different figures on it. Yes. The difference with the 2. 2, they are numbers related to referral to c. L. F. , where as fivepoint to are actually enrolled. Got it. Okay. Thank you. We will relabel it to make sure it is clear next time. Thank you. Any other comments or questions . I guess i have a question. As most of the people are coming from laguna honda, do the zip codes that are noted here reflect where they originally lived . At the time of referral it would be with their address. All im asking is it doesnt reflect them being in laguna honda in that particular area of town, it reflects where they were living before they were in laguna honda and then got discharged. Yes. There are some referrals that come from the community directly yeah. Otherwise this is a distribution, basically of residents in San Francisco and what neighborhoods they came from. Does that reflect because a lot of this is based on income, does that reflect those . Looking at the neighborhoods sorry, the zip codes, a lot of the zip codes are surrounded or they have a Major Hospital around that area, so that could possibly be the reason why there are more referrals coming from some of the big areas. Okay. Thank you. Thank you. Any other comments or questions . Any comments or questions from the public . Thank you very much. Thank you. The next item is a presentation on the daas fiscal year 1920 schedule for request for proposals and contract renewals. Welcome. Good morning, commissioners. I am from h. S. A. s office of contract management. Im joined by my colleague and administrative analyst. We are here this morning to present to you the fiscal year 1920 schedule request for proposals, contract modifications, and contract renewals. Every year, contracts and Program Staff Work Together to develop a schedule and we presented here at commission in order to give both the commission, as well as the community and overview of what we are working on and the programs and contracts will be b. We will be bringing to commission for approval over the course of the year. First is the schedule of request for proposals for fiscal year 19 20. On the next four slides, you will see our list of rp his for this year. These are programs that are new programs or existing programs with contracts that are expiring that need a new procurement. The r. F. P. Is marked with an asterisk and they are services that will begin with the in the current fiscal year. Those r. F. P. S are currently in process and have planned contract start dates in fiscal year 1920. The rest of the r. F. P. S will begin services in fiscal year 2021, with a contract start date of july first, 2020. You will see we have listed the program name, the month in which we plan on releasing the r. F. P. To the public, in the month in which we plan on bringing the item to commission for approval. These dates are tentative and could possibly change, but for the most part, well try to stick to the schedule as much as possible. The r. F. P. Process usually takes approximately three months from the time that we issue the r. F. P. , to the time that would bring the contracts to commission for approval, so you will see we have scheduled the Commission Dates for these three months out from the r. F. P. Release date. There are a total of 25 r. F. P. S on our schedule this year. Last year we had a total of 22 r. F. P. S so we are seeing a bit of an increase this year. We will have we aim to have all of our r. F. P. S issued by january. Now i would like to hand it over to my colleague and she will go into more detail on some of the programs. Good morning, commissioners. For fiscal year 1920, the request for proposals, we have s. F. Connected scheduled for an r. F. P. Release in september. In the last fiscal year 1819, they observed approximately 2,050 duplicated clients, and over 50 Technology Labs spread throughout San Francisco with approximately 200 computers. S. F. Connected will continue to offer Digital Literacy training for older adults and adults with disabilities. We also have Employment Services for adults with disabilities and older adults within within r. F. P. Release date of october. Services will provide a continuum of job assistance and workforce opportunities for older adults and adults with disabilities via partnerships with communitybased organizations and the Human Services agency jobs now program the grant will bring clients a wealth of knowledge, talent, and experience to the workforce will also providing clients with added income, and an increased social connection with others. The Dementia Care project for lgbtq with an r. F. P. Release of october, is intended to address the needs of lesbian, gay, bisexual, transgender and older adults and adults with disabilities in San Francisco living with alzheimers and related dementia. Through a series of trainings presented to staff and providers i communitybased organizations, private organizations and hospitals. Training will provide education to staff and providers and improve awareness of Current Issues faced by lgbtq clients and best practices for organizations to promote and and inclusive and safe environment for lgbtq clients. We also have the Family Caregiver support services, which will provide assistance to San Francisco residents who are caregivers to older adults and adults under 60 within alzheimers diagnosis. The grant will provide caregiver support in the form of respite, counciling, Case Management, assessments and information assistance. The support at home program will provide home care vouchers for older adults and adults with disabilities who do not meet Program Eligibility for home care programs like ihss. Homecare Services Include general housework, aarons, nonmedical personal care. The program has broader income and resource limits and provides Financial Assistance for clients who may be recovering from surgical procedures, and have temporary injuries, temporary disabilities and or permanent disabilities. Next i would like to present to you our list of contract modifications. Typically in the first half of the year, we see some new funding coming through budgetary ad bags, and this is to support or expand current programs, and here we have listed just a few contracts that we would like to highlight, which will be modified this year to add additional funding. You will see one was approved at commission back in june and the other two are scheduled to be brought to commission in october lastly, i would like to present to the contracts that are up for renewal this year. Renewals typically happen during the second half of the fiscal year. We plan on bringing these to commission for approval in the months of april, may, and june. These are contracts that we currently have in place and are said to expire at the end of fiscal year, but we have an option to extend it. When we award a contract we have another initial term and extend for certain a number of years i would also like to point out that most of these programs have multiple contracts and they will be presented at commission as a group. For example, some of the larger programs are nutrition services, which includes approximately 50 contracts and Community Services , which includes approximately 29 contracts. The rest of the programs are small programs and have anywhere between one and eight contracts. And we do send outnotices whe released. It is important that theyre in sync as well because there is lots for them to do. Yes. So as much advanced notice makes the process a lot smoother. Thank you very much. Im concerned when we have 80 plus contracts to approve in a couple of months. Yes. Chairman and there is a lot to study. Im wondering if it can be divided in three months, instead of two months, to be presented before the commission. So that we have a little time to study yes. Chairwoman to do a better job. For the renewals, were splitting them between april, may, and june. Last year we had them in may and june. We were trying to give ourselves a little more time this year. And we also do present the larger programs at a Group Commission program. But we will try to spread them out evenly between the three months. Chairwoman that would really kind of help. Yes. Chairwoman and the other thing, im a budget person, so i like to look at the numbers. And some of the numbers are so small. And literally, what i have to do is one hand with my pencil, and the other hand with a magnifying glass. I dont know how to solve the problem because the numbers you know, if you expanded julys number, it would use more pages, so, i dont know, maybe i should buy one of the things the dentists use. [laughter] i can put that out to our staff and see if there is something we can do to improve that. Chairwoman thank you. Cheque. Anthank you. Any other comments d questions . Next is the review of the fiscal year 2019 2020 action plan. While rose is setting up, ill just start. To say, i think well, i know. I know you all know we have a fantastic Planning Team at the Human Services office. And one of the things that this team came up with is, hey, maybe we should have an action plan that is just for the year. That kind of takes all of the work that were doing and projecting and puts it into one document so that we can make sure that were holding ourselves accountable to the things weve said were going to do. And that we can use it as a planning document, not only with the commission and the public, but also with our Leadership Team at all levels of the organization. I think it was a fantastic idea. Im very happy to have this. I think this is the first time weve really had this. And i also want to thank rose and her team for putting together a yearend review, which allows us to look back at all of the things weve done over the year and all of the great successes weve had. What were going to do today is just go through the action plan, and rose and i went to look together and highlighted some things i would like to talk about today. I dont have time to go every single action item because youd be here for hours, and i know the president would not have that. Were going to go through and im going to highlight one strateg