Transcripts For SFGTV Disability And Aging Services Commission 20240713

Meeting minutes . Thank you. Do i have a second. Second. Any discussion . All in favor. Any opposed . Thank you. The motion carries. Now i would like to introduce our newest commissioner, nelson lum, wholl tell us about his background. Thank you. Mr. Chair, fellow commissioners, ladies and gentlemen, good morning, my name is nelson lum, and im the newly appointed member of this commission. Ive been a resident since 1961, and i went to school here. Upon graduation from George Washington high school, in 1966, i was soon notified by uncle sam that he had a special interest in me. I was inducted in the army where i volunteers to be a member of the paratrooper unit, and after training, i was assigned to kentucky with 101st airborne division. In 1967, my division was deployed to vietnam. Luckily, i returned in november 1968, with all my fingers and my toes. I took advantage of the gi bill and completed a degree in criminology. I then joined the San Francisco Police Department where i served for 30 years until my retirement in 2005 with a rank of sergeant of police. Since retired, ive been devoting most of my time with American Legion where i participated with assisting veterans. Its thage laest veteran organization in our country with 2. 5 million members. The main mission of the legion is to assist veterans with benefit claims along with providing generations of veterans. There are ten posts in San Francisco. With the exception of one, they are at the Veterans Building across from city one. Theres post 384 that was formed exclusively by chineseamerican veterans back in 1931. The membership exclusiveness was not by choice. Confronted with discrimination against asian and Chinese Americans in particular, such as chinese exclusion act, the chineseamerican veterans were not welcome to join the post at that time. Thus, the formation of their own post in 1948, the members of the post voted and contributed to the purchase of the building located at 1524 powell street. I have been honored to serve as the post commander for four years. I am currently representing the district which covers all ten American Legion posts at the state level. Thats enough about me. I must confess that even though i have been doing a lot of reading about this commission since my a appointment, im nowhere near caught up with all the information necessary to render myself in the effective overseer. I will do my best to learn more about this commission and the responsibilities that encompasses. When i sat in to observe last months meeting, i heard references to how the budget of this commission has grown over the years. My thought was and is, well, it is a blessing to have a larger budget. It is far more important to measure our success by how effectively that money was being utilized to help those who are in need. So that will be my guideline as i join my fellow commissioners to implement the goals of this commission. Thank you. Thank you very much, commissioner lum. Im sure youre going to be a worth while addition to our commission and help with the services we perform. The next item on the agenda is the directors report. Good morning, commissioners. Welcome commissioner lum. Looking forward to working with you. As usual, i will start with the federal level. Last month, i said that by this time, we would probably see that the senate had reauthorized on its side the Older Americans act. However, that has not quite happened yet. What did happen is they there was a long awaited reauthorization of the National Caregiver bill which provides residence busines respite se, so that was exciting, but were working to advocate for the Older Americans act to pass. Its really focused on that. I will be assuming that it happens. I will be going to washington, d. C. In two weeks for the National Association meeting and also for the policy briefing that i go to each year and bridget is working to schedule visits with our representatives in washington. So its always a Good Opportunity to talk about the great work were doing in San Francisco and in california, rally along with other california triplea directors, you know, at the capital. So looking forward to that visit. At the state level, there are a couple of budget items that have been introduced and are being advocated for that would really help our services and help put some more money into some of our services. The first is theres a big budget ask for an enhancement to Adult Protective Services. It would increase the Adult Protective Services budget in california by 100 million. It would provide for different things. One of them would be that it would enhance the Home Safe Program which is, as you know, were doing in San Francisco, and its a way of really preventing homelessness for older adults who need extra services, who need intensive Case Management or who need to move into assisted living. Its really a partnership with homeless services. It would also enhance the training opportunities and it would also allow for Adult Protective Services to be able to keep cases a little bit longer. So theyre seeing more complex cases. They need a longer intervention. It would allow for that. Im going to sacramento tomorrow to testify on behalf of the California Welfare Directors Association and as, of course, the director in San Francisco to talk about how important this is. It will be before the Senate Budget subcommittee tomorrow. Also at the state level, there is a request from the California Association of area agencies on aging to enhance the aging and Disability Resource Center connection funding. That is a model that we use in San Francisco, and weve been lauded for our hub model that we have here. The aging and disability resource connection really integrates aging and disability by providing information, referral, and assistance for services that are for people with disabilities and older adults. We have done that here. We have an effective relationship between our area agency on aging that sits within our department and the independent living resource center. Paragraph paragraptheres a lota connection in every county or at least in every triplea across the state. This big ask im not exactly sure what the dollar amount is. Were still working on the dollar amounts on that ask. It would be a substantial infusion of money for that program so that it can really effectively work throughout the state. One of the biggest things that we know is that, you know, older people and people with disabilities dont know how to access services. This is a statewide problem, and developing the hub model in every triplea would really help with that problem. It allows us to work as a Network Across the state to, you know, use best practices for information, referral, and assistance and outreach and be sure californians know about the services that they need. Then at the local level, i think the Big Conversation this is actually should be at the knowledge level, too, but at the local level right now, were really doing a lot of work around covid19. The coronavirus is most dangerous to older people, people with diabetes and asthma, and as people get older, its people 55 and older most at risk, but of course as people get older, in their 80s and 90s, they are more at risk. There are issues around People Living in congregate living. San francisco just received testing kits on monday and has the ability to test now, and so the assumption is that we may have a positive case sometime soon. I think mayor breed is has been proactive in declaring a state of emergency so that it puts us in a position where we can activate the Emergency Response system. We have people at the Emergency Operations center every day. We have two staff there who are going to be there on a twoweek stent. They are there every day getting information, bringing information back to the department, and helping to inform practices around, you know, how do we think about ensuring that older adults are safe . How do we ensure our staff in communities are safe, out in homes, all of those things. So its a rapidly changing environment, and so the main i think the main messaging is, if youre sick, stay at home. Wash your hands, wash your hands, wash your hands. Dont shake hands. Its simple messaging because just like any flu or any virus, we need to treat it seriously. So thats been a lot of the energy over the past week or so. A couple of other things coming up. One is this year is the 30th anniversary of the americans with disabilities act. The das will not working with the Mayors Office, senior disability action, and a number of other disability groups on disability pride event. Its very exciting that were going to be part of that. April 14th is National Health care decisions day, and just like last year, das is involved along with the Palliative Care work group in supporting a number of events throughout the city through the libraries to really create conversations and discussions around advanced care planning. We, again, have had some people back out of that, of some of those events muc. Were going forward. If we need to cancel them, we will, and well think about another way. Maybe, you know, a webinar or something that we can do if we have to cancel those events. But right now, were moving forward with that april 14th National Health care decisions day group of events. Then one other thing that we are involved in is our city put out a grant opportunity for cities to apply for funding to really look at Financial Empowerment for people with disabilities, and so Mayors Office of disability and thriving in place, nonprofit thriving in place, and d aos came together and said this is something we should really look at and we decided it would be great to do a road map of Financial Empowerment opportunities in San Francisco, kind of an asset mapping exercise so we know what do we have here and what are our gaps. So its an initial grant that allows us to look at those services, kind of identify what we need to do next and then hopefully go back for a bigger grant so that we can actually make some headway in providing Financial Services for folks with disabilities. Thats a really Exciting Partnership that were embarking on. I think unless there are questions, i think thats all i have for today. Thank you. I have a couple of observations, questions. I think the potentially increased funding for the Adult Protective Services is good news. I hope its realized, but it triggered another thought. How is the city implementing the increased conservatorship options for people who are severely troubled . Many of whom are on our sheets. The housing conservatorship bill passed, and the city is working very hard to get it in place to implement it. So, you know, it seems like it would be very simple to just enact that, but there are a number of steps that have to be taken when you change law. So it comes down sometimes to the forms that youre using. So the court has been involved in working on the forms. The City Attorney has to agree to the forms. The public defender has to agree to those forms. Our staff and the department of Public Health staff have worked really hard to come together to move this forward and its frustrating a little bit because the legal ease piece takes time. Were moving forward, and looking forward to being able to have our first test case really soon. Thank you. And then on the coronavirus, its wonderful that the city is being as proactive as it can. But im sure everyone is aware of the impact on tourism in the city of the canceled flights and foreign visitors and so forth as well as domestic travel. Has any assessment been made of the potential impact on the budget and our revenues from the coronavirus and what that may do to our department and their budget . I believe the mayors Budget Office and the Controllers Office are looking at that closely, certainly have mentioned it, and i know that they probably have gathered a lot of information already. I am not privy yet to what those projections are. Thank you. Any other comments or questions from the commission . Okay. Thank you very much. The next item is employee recognition. The Das Commission and executive director will honor from the public conservator. [ applause ] how are you doing . Youre popular. You have a huge following here today. So we just talked about conservatorship. Its a great segue much the public conservators office works with people who are unable to care for their own needs due to serious mental illness. One of the things that is true about them is they have so much skill, so many people skills. Right . They work with people who are very, very hard to serve, and ive talked to a lot of them. They actually have such good connections with the people they work with and they care very much about their clients. I know its really not easy its a work i would find hard to do. Im always really impressed with the work of social workers that we have in the public conservators office as well as the people who support them in the management. So its a great group of people. Its a really Diverse Group of people, and at the same time that they are doing the hard work theyre doing theyre on the same floor as i am. And so i get to see them enjoying each Others Company and really supporting each other, and they are really strong group. I think, you know, it takes that. When youre doing the hard work that youre doing and you come back and you can be joyful and laugh and have fun and eat together, thats what makes a really good strong group of social workers. I just want to thank all of you for the work that you do. Its a changing environment and theres a lot of pressure on the conservator to be the answer. Right . And so i just think that all of you have extreme grace under pressure, and i just want to thank you for what you do. Today were talking about mike in particular. Mike, not only not just one person wrote about you, but two people did. I get to read what two people wrote. Ive known mike since i came in to the public guardian. What of the things he did immediately is he wanted to become a licensed clinical social worker, and he worked really hard at it. He didnt just say, well, ill wait and think about it. He jumped right in, got the consultation, did the work he needed to do, and then moved over to the you can public conservator. But he was great when i was in the public guardian. All of his coworkers enjoyed working with him and felt supported by him, felt his professionalism and hes carried that into this job. So im going to talk about i wont call them out, but im going to youll see because im going to hand this to you. From one of your colleagues, why he should be the employee of the month. Im nominating mike because of his body of work over the past decade, working for the city, including time at the public guardian. In his current role, he has taken on a leadership role and not a critical source of stability and support to allful our coworkers. He takes difficult situations in stride, works to develop understanding and better communication within the office, and regularly supplies our Team Meetings with sugar to keep us going. [ laughter ] personally, ive appreciated hes willing to contain situations escalated by other providers and remain a firm defender of the role and values. Then from another colleague of yours, mike is a True Team Player who works to ensure that his clients and colleagues are succeeding. During a period of transition, mike has stepped up and provided leadership and guidance to the team all the while successfully managing a heavy workload. He exemplifies the das core of value and inclusion. Its noteworthy that despite many stressors, he remains calm while keeping the needs of our clients as a top priority. Hes passionate about protecting Vulnerable People and driven by the work he carries out. Mike is an excellent role model for others at das and he is absolutely deserving of the employee of the month recognition. [ applause ] congratulations on being employee of the month for march. I just want to say that this was very unexpected, and i just really do appreciate it and im very honored to be employee of the month. I also want to say a big thank you to the lps team. They are a very resilient, dedicated team, and im really happy to be working with them. I just want to say thank you to jill who has been a great leader and support as well as kerry, cassandra and jason. The work that we do is challenging. The impact is ever lasting. I just want to say thank you. Its very heartfelt. [ applause ] the next item is the Advisory Council report. Diane lawrence. Welcome, diane. Good morning, commissioners. Welcome commissioner lum. Because this is a long agenda, im going to make this as brief as possible since i have three reports to give. Then ill detail it that youll get in the minutes as ive done in the past. So the Advisory Council met on a regular meeting in february. We had a representative from the Community Living campaign who made a quick presentation on their cracked sidewalks and well have a full presentation in march. Based on the recommendation from this commissions meeting in february, we drafted letters to our the joint Legislation Committee agreed. We presented it to the Advisory Council to prepare letters to send letters to our representatives, congresswoman pelosi and spear and then senators feinstein and harris. The reports focused on the data and evaluation report which included ethnic breakdowns on meal programs and ill include the details later. We had our Second Review which took up the area plan on aging, which took up most of our meeting and was quite a lively discussion. Youll have that report later. So i wont go into those details. Dr. Edelman for the lgbt updates discussed the master plan for aging for which she is participating adds a commission on aging at the state level member. Shes discussing the Equity Work Group and the groups purpose is to examine the development and implementation of the plan, looking at social health and social disparity issues with the focus on the equity lens and dr. Edelman is on that work group. And then we were she announced she had been she announced she had been awarded the woman of the year award for district 17. So we were quite excited about that. There were no site visits given our time was taken up with an area plan and robust discussion. Thank you very much. Any comments or questions . Okay. Joint legislative committee. The joint leg met prior to our meeting. Its a committee thats jointly its a joint committee between Commission Members and the Advisory Council members. So a number of the bills that we looked at last year and that are included are sitting with budget, in appropriations. The governor has asked the bills with possible expenditures have to be looked at in light of the budget and make sure that theres money to go with them. So well probably see a lot of bills sitting with budget asks. There are a couple new bills that were just coming out, and there probably will be additional bills next month because weve just passed the last day to introduce a bill. We spent some time reviewing the details of the Older Americans act, but ill detail the bills so that you have them in your minutes. Thank you. And last but not least. Quarterly meeting last wednesday and thursday, and i will add its a group of representatives from the 33 psas. Ill give you background for the new commissioner so you understand. We typically meet two days, a day and a half, four times a year. Oftentimes the meetings are in line with scheduled so that they back up against another event. So this time, the second day of our meeting was the c4as capital day. We focused a lot on business. We had an update on the commission on from the California Commission on aging, spent a lot of time talking about the master plan, obviously. The first deliverable of the master plan was posted last wednesday. So thats progress and thats on the longterm support and services stakeholder reports. Its a high level report with a bold vision and looks at longterm care workforce. We were reminded that the minutes and webinar meeting information was posted on the engage website so that all of the information is available for people to look at. We established an ad hoc plan committee, and that was to align our work with that of the commission to look at venues, revenue, and that work will begin in the summer, and i volunteered to be part of that. We had a presentation on elder abuse and mandated reporting, which dovetails in elder care and the variations around the state. So the point of increasing the funding is important. One of the things that came up twice in the meeting is the fact there were discrepancies between federal, state, and the department of labor definitions of older adult. So the federal law says 60. The state says 65 as does medicare. The department of labor says 50. So this does make for i didnt realize there were that many discrepancies. The Bar Association has addressed has a National American Bar Association has expanded their rules to allow attorneys to report without the clients consent in cases of elder abuse, to report the california Bar Association has not adopted those new rules. One thing i thought that was important in the dovetails with director mcfaddens report is that onethird of the reports of abuse are repeat. So keeping accounts, keeping the cases longer might make a difference. Thats on a statewide level. We had reports from the various ps as. Who were asked to make a quarterly report. Areas are looking at planning events. They are surveying seniors, Disaster Preparedness continually comes up as ive mentioned before. Some tax preparation activities in the communities. Thought we would begin talking about coronavirus. One of the psas is looking to get a program which dove taled into our last presentation of the first day which was on workforce and aging. We also have a quick presentation on the Ombudsman Program and how it dovetails in increased funding so more visits can be made. The other thing that struck me is the assisted living facility licensing is annual, and then the we talked about the presentation from the c4a executive director on the area agencies in the master plan. This was something that director mcfadden spoke about and also the increased funding that she mentioned earlier. Then employment communities, Senior Community employment program, Older Workers training. These are programs to get older adults either continuing in the workforce or find jobs much like we did with the workforce job fair last year. Employers that have been surveyed found they were more loyal. They also had greater Institutional Knowledge which Many Organizations are finding. So there are a number of programs throughout the state with some money and more details. Our next meeting is in may, and that will start with senior rally day on may 11th. Then on day two, we meet on the capitol, and i went to visit some of our local legislators with director mcfadden and cindy kaufman. Thank you very much, diane. Any comments or questions . Thank you very much. Youre welcome. Next item is longterm care coordinating council report. Welcome. Good morning, commissioners. I dont know some of the new commissioners. I will say im the Program Director of the longterm care Ombudsman Program in San Francisco. Its a contract through das and hsa. Thank you. We met on the 13th of february, and let me start with the action items first because thats kind of crucial for future planning. There were two action items. Dr. Julie leshae is going to okay identify the hiv aids seat, and shes presently the director of housing, aging, and retention and Care Department at the sf aids foundation. Shes focused on design, implementation, and expansion of programs. Shes a worthy nominee to occupy that eat on the longterm care coordinatetion council and we all look forward to her input and her spreading our involvement from the council to individuals that shes working with. The Second Action Item is that the council will only meet six times a year, every other month, and following recommendations from retreat i think we had in 2017, 18, around there, the work groups are going to fulfill a dominant role in reporting out to the longterm Care Coordinator and council when it does meet. Those work groups are Behavioral Health, housing, nutrition, social engagement, transportation, and workforce. Each one will be focusing on certain issues that are really important, and its sort of i would urge that commissioners go online and look at some of their reports. For instance, the report from the Behavioral Health group is rather detailed in terms of working with the deaf community, in terms of Behavioral Health, and having a position in terms of discussing future planning for unmet Behavioral Health needs and gap analysis. They have members that are both from the council and also from outside of the council. Thats a very robust work group. The main work group is going to be whats called the Steering Committee, and thats going to meet once a month. I think the next meeting is on the 13th of march, this month, and its an incarnation to earlier work groups, policy and finance and the old Steering Committee which were merged. They will look at issues such as financing, policy recommendations, and, of course, all of their recommendations will go into the Agenda Setting for the longterm care coordinating council as well as other presentations. So those are the two action items. There was a dignity report made, and theres an rfp going to be released, probably has already, for Case Management evaluation. Theres also an open bid, nine providers applied by supervisor district. That will focus on Needs Assessment and those particular districts, theres a disparity between services in some districts and not in other districts. So this will be raising all the votes with this rfp and neighborhood services. Then theres some rfps on whats called collectivity or connection which will focus on applicants to extend connection to isolated persons with disability who are aging and focus on loneliness and social isolation. Theres been some work by medical doctors at ucsf about the effects of social isolation and loneliness on the sense of personal wellness because of the lack of connection. Theres great literature on that. Finally, our funds for transgender were released to build up the services, open house and one other served some money to outreach and provide services to transgender individuals who are, perhaps, the most isolated of the Lgbt Community in terms of their political leverage. There was a presentation by dr. Laura wagner on the workforce, and it was a rather interesting powerpoint. I wish the supervisors could actually review it. I dont really want to summarize all the slides. She did an evaluation of where the shortages are in certain key positions, rn, lvn, housekeeping as it relates to longterm care. But she also, very interestingly, came up with new kinds of categories of care. For instance, a Dementia Care coordinating specialist, which would be either additional job for someone who has an msw or rn as well as other care coordination. So her recommendations are in terms of the future as the informal care giving by family members is diminishing over time, she had a graph going into 2050 about the loss of family caregivers. Thats a nationwide statistic she presented in the powerpoint. Family caregivers are not available anymore. Shes projecting a need for all these specialized caregivers for longterm care. She did talk about cnas and individuals in Skilled Nursing and how they are also theres also a labor shortage there. Part of it is because of low wages and the fact that its a pretty difficult job for such low wages. Some of us in the group raised questions that were raised by theres a famous writer about home care workers, care workers in the community who are not part of the professional class of workers and whether or not she had looked into that. Her study was limited to the professionals basically. So thats an as needed thing. Theres been a lot of work on increasing the labor force for ihss and the parameters of scarcity are they cant afford to live in the bay area. Its a long commute. What incentives will be needed . That hopefully will be a future study. So that was a really interesting and germane focus on the workforce. The other committees didnt have much to report at this juncture. But the idea is with the two with the one action item, that they will meet monthly and actually report out. So all the members of the council are going to be busy going to workshops and tackling social isolation for Behavioral Health. Some of us will be on the Steering Committee, and i think thats it. If i missed anything, okay. Thank you. Thank you for that comprehensive report. Any comments or questions . Thank you. Next item is the case report, craig moore. Good morning, commissioners and executive director mcfadden. Im not craig moore. Im the director of San Francisco Senior Center. I thought i retired, but im still here. So i will be as brief as possible. Ill be reading, i apologize, because this is gregs report. Hes not feeling well. So in february, case Advisory Committee met and continued planning in preparation of phase two of our advocacy campaign. It consists of a petition that will be online and in hard copy with our budget funding request that we took to das in december. Well be meeting with city supervisors. The bucket office, and hopefully the Mayors Office. Well be asking our member agencies to collect signatures as they did last year. We have versions in english, spanish, chinese, vietnamese, russian, and tagalog. Last year, collected over 3,000 petitions. This year were hoping for 5,000. Phase three will be our annual rally at city hall, and repeat visits to supervisors in conjunction with the budget justice coalition. Our february meeting, we had a very informative Transportation Panel with sfmtas accessibility services. We also are in deep preparation and planning and discussion of our 2020 getting there together event. I dont know if all of you were there, but im sure most of you are aware that we held this last year with all of our organizations and city organizations, park and recreation. We all came together and well be doing that again on sunday, september 13th, celebrating adults with disability and those of us working in aging. Were right now finalizing the response or report from last year and the packet looking for sponsors for this year. I am stepping down as cochair in part of my semi retirement and Dan Gallagher of steppingstone is stepping up. So greg and dan will be cochairs of case and patty, the treasurer, christina irving, the secretary. This was the part where greg was going to loud me, but because hes not here, i get to loud him. So let me just say because its a public forum, that greg moore is one of the finest advocates and person of service in San Francisco working with adults with disabilities and those who are over 60. Hes tireless. Hes ever present, and i want to thank him for what he does. And then this next meeting that we have, our Membership Meeting will have mason smith, Public Affairs manager for cruz, which is a vehicle company. Theyre going to talk to us about what they want to do in San Francisco. Thank you. Thank you very much. Any comments or questions . Thank you again. Item number five, any old business . Item number six, new business. And we will begin with a presentation and review of the fiscal year 20212024 area plan for the California Department of aging. Thank you. Welcome. Good morning, commissioners. Im rose johns. Im a planning analyst with the Human Services agency. Today im before you with director mcfadden to present an overview of the area plan. You should have received a copy of that in the mail early last week. Hopefully youve had a chance to look. Our presentation is informational. We want to share information, get your input, and then we will return next month seeking your approval of the final plan. Today our presentation will begin with an overview of the purpose of this plan. I will share some highlights from the large 22section report. Then director mcfadden will touch on our goals and objectives. So the area plan is required by the Older Americans act. Its submitted to the state department of aging every four years. The purpose of the plan is to outline how the department will use Older Americans act funding to support seniors in the community and how the department will be working to coordinate the Service System in San Francisco. In the interim years between the fouryear plan, we provide an annual update. We present that here to the Advisory Council and then send it up to the state. I want to also note this plan is focused primarily on Senior Services, the older population, but much of what we talk about also does extend to the younger population of adults are disabilities that the department serves. I wanted to share just a time line that represents where were at in the process. Were currently in the last year of the current area plan. We are working on the area plan that will cover 2021 through 24 and thats due to the state on may 1st. We also wanted to put this plan in context for you. As both an area agency on aging and a city department, das undertakes three planning efforts. Its sometimes confusing to see how they fit together. As a city department, das participates in the citys planning process. Every five years theres a Strategic Plan and we also prepare annual action plans. Director mcfadden presented that to you earlier in the fall and provided an update a couple months ago. That plan covers all of the departments work, all of its programs. We also have a fouryear planning cycle that was established by the dignity fund. This includes community Needs Assessment and fouryear funding plan. That process covers all Services Eligible to serve funds from the dignity fund. Its looking at about 70 million. And then the area plan were talking about today is similarly focused on mostly Community Based services. We get 7 million from the state for those services. Thats about 10 of the budget for the office of Community Partnerships. As much as possible, we try to align these efforts, and an example of that is the Needs Assessment from the dignity fund is the primary Needs Assessment informing this area plan. Similarly, the departments Strategic Plan goals are used as our guiding goals within this area plan. We recognize this report, which i mentioned is a 22section template we get from the state is confusing especially for those that are newer. I want to share how i conceptualize these sections coming together. Were doing six things with this report. We are describing our local area. We are outlining our planning process. We are identifying our priorities and goals. Were providing an overview of our organizational structure, including oversight bodies like this commission. There are a handful of specific program focused sections and then some very technical components of tables and and check boxes. If you have questions about specific content i dont cover, were happy to discuss that when we open it up. Im going to start with some demographic points. First is older adults are the Fastest Growing age group in the city. Since 2000, the senior population has grown by 42,000 people. Its a growth of 30 . Over that same time period, the citys overall population has grown by 11 . This growth adds urgency and significance to our work in the department. The older population is diverse. Seniors in San Francisco our senior population has been changing over the last 20 years. About 10 years ago, Asian Pacific islander seniors became the most populous group. However, weve also seen a decline in the africanamerican population mirroring overall citywide trends. Im sure youre familiar with this. And its really important for the department, as we Design Services and put resources into the community, that were making sure were serving all of these groups and that we are working to preserve the citys diversity. We look at, in addition to the overall population, those with low income. What we have here are two pie charts. On the left is the whole senior population. On the right, those in poverty below the federal poverty level. We see low income seniors are likely from communities of color. What really stands out to me when i look at this is africanamericans are 6 of the senior population but 11 of those in poverty. This really underscores for us the importance of providing culturally appropriate services. Section 5 in the area plan is the Needs Assessment. A big change with us is that weve really streamlined this section at the request of the California Department of aging. What were drawing on here is the dignity Fund Community Needs Assessment and other Needs Assessment work that weve done since then. So we highlight 7 major findings that directly impact the departments work. For example, finding barriers impacting peoples act to access service. One of the Major Barriers is lack of awareness of what services are available and how to access them. And so as youll see in the narrative goals section. Das has an Outreach Program to address this issue. In the area plan, we identify our priority populations. Were required to serve those with the greatest economic and social needs. But were given some latitude to identify what that means in our local community. For das, the priority populations are the Equity Analysis we did for the community Needs Assessment. They are those who are socially isolated, those are low income, seniors with limited English Speaking proficiency, those who identify as lgbtq, and those at risk of institutionalization. Section 10 of the area plan is where we highlight anticipated Service Levels next year. This is a key piece of our annual update that we bring back before you. Overall looking at last years report and this report, were seeing Service Levels will stay the same or increase in most areas. I want to highlight in particular in legal services, were seeing a 30 increase in service units, and thats largely driven by additional dignity fund revenue that das put into the legal services. Theres a slight decrease you see in nutrition education. That is relatively minor. Its about a 2 decrease. Then this is my last slide before i get to turn it over, i need to highlight our allocation of title 3b funding. We get 900,000 from the state. These funds support access in home and Legal Assistance services. Given the additional local revenue that we have, the specifics of this allocation are a little bit less significant for us, but it is a requirement of the state that we put this before you. So as i said, about 900,000 in title 3b funds, but das is closer to 6 million on these services. Das anticipates retaining the same allocation of the title 3b funds that weve had for many years, which is 45 to access services. Thats information and assistance provided by das as well as transportation. 45 to legal services, and then 5 to a shortterm home care program. I will turn it over to you, director mcfadden, to share goals and objectives. Thank you, rose. Hopefully youll be able to flip the slides for me. I got you. Okay. So yes. Goals and objectives, so we have five goals and we have objectives for each. I know we went over this last month. Weve done some changes since then. So i just wanted to reiterate that the goals in the area plan come directly from the das Strategic Plan which seems obvious, but it actually isnt. Its great that our planning team, rose, and her team, have worked with our office of Community Partnerships to ensure these are aligned, that were not recreating something with the area plan because in the past we would we didnt always have them aligned as well as we do now. Its hard to do different plans. Its really great that theyve worked so hard to make sure that this rolls up into our das Strategic Plan. In each area plan updates, we have an area plan update each year. We will be providing an update on progress toward each of the objectives in these goals. So today, im going to review each goal with you and i will talk about the rationale for each goal and then i will highlight an objective for each. At the end, if you want to talk about the other objectives or have questions, youre welcome to ask those questions at that time. So goal one, maintain a Robust Network of Community Based services for older people and adults with disabilities. Our rationale really was that quality Community Based longterm care goes beyond what people need. What Services People need. Its really more fundamental issue of what it means to have a good life. Working with our Community Based organizations, we can facilitate diverse opportunities for social engagement, nutrition support, and many other resources that enhance wellbeing. So today, we wanted to focus on objective a, which is to promote expansion of employment resources that support older people and adults with disabilities in the workforce. So the work matters collaborative is an effort to support older people and adults with disabilities to participate in the workforce. Its led by the Community Living campaign. I think they are here today. The collaborative host quarterly meetings to bring together employment related programs until the city, including traditional public force programs like jobs now and some of the programs run by the office of economic and workforce environment, to develop a system that works for older people and disabled residents who want to work. Its real leadership from Community Living campaign and herding cats a little bit because sometimes our Public Programs dont talk to each other or the community as well as they should. This is really a great collaborative. Additionally, the program will support 125 individuals to prepare for and participate in the workforce. That program has really taken off and weve been supporting it with funding over the past few years, but i know there was advocacy for it even before that. Again, Community Living campaign has provided great leadership in the city for this work. Goal two is to protect older people from abuse, neglect, and financial exploitation. The rationale for that goal is while older people and people with disabilities have many strengths and are increasingly able to live independently without assistance, some obviously experience heightened risks related to health, housing, and safety. By helping to address Critical Issues and facilitating connections to resources, we can support consumers to meet their basic needs and regain or maintain stability in the community. We wanted to highlight today objective c, which is to develop strategies to prevent eviction or homelessness. I mentioned home safe. Were focusing on home safe which is a state funded pilot to stabilize low income, older and disabled adults at risk of homelessness. This is a partnership between Adult Protective Services, the homeless department, and Community Partners, and the program will serve 60 clients in fiscal year 2021. Goal three is to provide and support. We serve unique individuals who come from diverse individuals and have different preferences for how to engage. We have to take a whole person perspective and approach in serving consumers and support systems in integration to the community to streamline access to resources. As we work with consumers, we must be findful of all resources. We talk about this a lot not just answering the question for somebody, but really thinking more broadly about what that person needs, what they might access, thinking about things they dont even know to ask for, all of that. So we picked today objective a, which is the streamline access to resources across the department and community to promote timely access of needed resources. So were planning to establish an online resource directory that will serve as a centralized source of information about resources that support seniors to safely age in the community. Were launching in fiscal year 2021 hopefully with support from two foundations and we will be developing a plan for ongoing sustainability. Were grateful to the foundations were working with because they are really they are really supporting this process many part of the reason is that there are a number of advocates within the community and certainly at these foundations that not only want us to he can inform us on our services but think broadly about the needs of people with dementia and their caregivers. Think about Palliative Care needs for caregivers, and people who need advanced care plans and things like that. So its thinking, you know, about how we involve the health communities, health services, what else is out there for people with disabilities and older adults. So over the next four years, well continue to monitor and adjust the directory to ensure its an effective tool for the public as well as service professionals. And then goal four is to expand planning and evaluation efforts to ensure the best use of resources and maximize client outcomes. So the rationale for four is to effective will he serve older people and adults in San Francisco. We need to is up useful information that allows us to identify and understand unmet needs. We need to formulate strategies to fill those gaps. Were committed to measuring the impact of our services, commissioner lum thank you for mentioning how important impact is because we think about this all the time. Were always trying to do better at not only measuring impact but then being able to make changes in our programming that meets the gaps that we find. We are committed to were working with other agencies and Community Partners to support data informed process for services. So in this one, we picked d encourage and support collaboration across providers, government agencies, and other partners. So through informal and formal partnerships, we will seek to leverage expertise and reduce duplication to best serve client populations. This includes supporting our contractors, to develop new collaborations as well as supporting other fields and Service Systems to work with older people and adults with disabilities. Some examples are the Home Safe Program that i just talked about as well as Community Based collaborations like the alzheimers association, working with open house to develop the Dementia Care training. Goal five is to support and develop and engage professional workforce prepared to work with older people and adults with disabilities. The rationale for goal five is that for older people and people with disabilities to live in Engaging Community is critical that San Francisco has a robust professional workforce trained in these issues and trained to provide the necessary supports and services. We picked d in this one. So as part of an agency wide effort to promote Racial Equity, staff will participate in training on the framework and convene staff driven work group to develop equity initiatives. Additionally, within our Adult Protective Services programs das has and will continue to train staff on trauma informed systems, conduct a Baseline Health assessment, and develop and implement a plan for adopting traumainformed practices. So i will turn it back over to rose for next steps. I just wanted to share our next steps, which is that were here presenting today. We will return to the Advisory Council in a couple weeks to share our final draft of the plan that integrates any feedback that you have for us. Hopefully the Advisory Council will approve it, and then we will return to you next month with the final plan seeking your approval as well. We need to get the final approved plan to the state by may 1st, including a hard copy signed piece of paper. So thats why were going with this time line. With that, im ready to open it up for discussion. Thank you very much. Any comments or questions from the commission . Commissioner. I wanted to say thank you for the report. I dont have any specific questions. What i would say about this report in particular. Thank you for providing that big overview. If someone were to ask me what one document they could read about what the commission is doing or how does it plan or what are the goals and objectives, im probably going to point to this one because of that. I just wanted to say i really appreciate the work thats gone into this and just really helps us when, as were evaluating everything we vote on, i can begin to see how it all fits into this big plan. So i dont have any specific questions, but i just wanted to note that and say how much we appreciate this kind of a document. Thank you. I would like to echo commissioners comments and commend the department for taking the extensive Needs Assessment results from the Dignity Fund Oversight committee which we focused on and incorporating it into other documents that kind of working comprehensively often appears we work in a fragmented manner, but that a great deal of time was spent in the dignity fund to get a sense of the needs. Its great to see that incorporated here. So thank you very much. I just want to thank you all. As a new commissioner, this is my second meeting. The plan is a really good document. The foundation for learning about the vast activities and employees and future and funding. I thank you very much for making such a nice, clean, clear understandable user friendly document. Thank you. Thank you. Thank you. All right. Commissioner lum. I understand the amount of work that it takes to put together a presentation as such, and i thank the staff for having done so. Whats more important to me, as a City Employee for 30 years, i recognize the word streamline. That is something that is the most frustrating when youre an employee, for that matter, the general public dealing with the city. So i really appreciate the fact that you guys putting the emphasis on streamlining the process. Thank you. Thank you very much, commissioner. I would like to go on record as saying this is probably my 5th or 6th meeting and that has brought everything full circle for me in understanding. So i think i thank you and your department. I have a question regarding the Racial Equity framework. Is that happening at the entire city level and then each department, or how does that how is that coming to fruition and how are you looking at that given the demographics and all that you spoke about earlier . Yes. This framework is part of a citywide strategy. Mayor breed put out an executive order saying that every department should focus on Racial Equity and work to achieve Racial Equity within staffing and think about it within the communities that we serve and come up with strategies to ensure we have Racial Equity in the communities we serve as well. One of the things that the Human Services agency has done recently is to hire a new manager over manager of diversity, equity, inclusion, and belonging. That person sits within the hr kind of division of Human Services. They will work really closely with each of the departments and with the agency as a whole and really work to build a work group thats kind of across departments and involved at Different Levels of staff. Well use those citywide framework and the office of Racial Equity, which is a citywide one which sits within the Human Services commission, and well take some of the direction from that director around kind of how to build the framework within our agency. We will also be doing work within our own department to ensure that staff are engaged at the Department Level to the extent that people want to do stuff within our own department. Weve had one meeting about that last week and started the conversation. Then i think what we also know is, thanks to the equity deep dive that weve been able to do on our own data, we know where we have some gaps and were reaching out to new communities and thinking about ways to engage communities that dont engage as well. One good example is the lgbtq community. We know we have really good engagement in the programs that are specifically designed for the lgbtq communities, but not always in the kind of more mainstream communities, broader sorry kind of the broader programs that serve everyone. So were working were planning to reach out to those communities, also figure out ways to engage the bigger organizations to say, okay. How can we make sure that we can move the needle on this . But since we have the data, we will be able to do that. It may take us a few different times to figure out what the right strategies are, but we have the data to do that. And then just one other comment. Im very pleased to see that the social isolation has made a prominent role in the report going forward. Is this an area that my Foundation Works on so it is one that we recognize is so extremely important to our overall health. Just to follow up, there was another aspect of the dignity fund that was really focusing on equity, and that information, again, has been informing Everything Else that the department has been doing. Thats a specific goal of the dignity fund. We have a lot of information in developing strategies to reach out to those communities, as the director mentioned. Some are more accessible than others. But that doesnt mean we stop trying. So thank you very much. Next item on the agenda, another presentation, informational view of the fiscal year 20192020 funding break down and alex will make this presentation. Welcome, alex. Thank you. Good morning, commissioners, executive director mcfadden. Im a budget analyst with the Human Services agency. My main focus is on the das budget. Im before you today to review additional funding allocated to das through the California Department on agings amendment to the area plan for the current year 1920. A thanks to rose and director mcfadden for adding so much context to the whole area plan process and time line since normally when i come before you twice a year with these area plan updates, they can be a little bit abstract. Each year, federal and state funding provided in support of Older Americans act programs is granted to californias area agencies on aging through an initial allocation in the spring when and then a further amendment al owe case made in the fall or early spring of the same fiscal area. To tie this back to the broader picture, the amendment allocation we are viewing today represents the final funding installment in the final year of our current area plan. As detailed in the accompanying memo, this year das received a total of 846,235 in additional funding for the current year as part of this amendment. This amount increased total cda funding for fiscal 19 doctor 20 from 6,017,593 to 6,863,828. As also detailed in the memo and touched upon, cda area plan funds are designated for particular Program Areas and required to be spent on those services. They include title 3b supportive services, such as inhome support, transportation, and Legal Assistance as well as funding for Ombudsman Programs, nutrition, home delivered meals, disease prevention, family caregiver, and elder abuse prevention. Im happy to answer any questions you might have. Thank you. Any comments or questions for alex . There are none. Thank you very much, alex. Thank you. Item a, requesting authorization to modify an existing Grant Agreement with Catholic Charities for the provision of neighborhood older adults with disabilities during the period of july 1st, 2019, through february 29th, 2020, for an additional amount of 160,000 plus 10 contingent fee for an amount not to exceed 1,336,623. Welcome michael. Good morning, commissioners, executive director mcfadden. Welcome commissioner lum. I want to address the next two items, a and b, as they are intertwined. I want to take you through how we have them set up as presented in todays agenda. First off, i guess, the idea of why are there two items related here . That stems from essentially we are transitioning the choirs from being an indirected funded program to a directly contracted and funded program with the department. Historically, this is about the third year we have funded the Choir Programs as part of the das programs usually within our Community Service centers. In previous years, they have been a patchwork of one time and small amounts of board of supervisor as well as das savings or funding that we have available. Because of that, we typically funded those through a subcontract, usually with a Community Service center who was hosting that choir or a larger Community Service organization who might be able to provide the physical support to handle those funds on behalf of multiple choir sites. So this year is the year that we were able to dedicate on going funding to support our robust choir network. It takes a little while for us to get from our july 1 program date through our procurement process, get everything set up, and get into that new contract. In order to continue services as they are in place and not disrupt services during that process, we do have some funding here that we are going to modify with Catholic Charities in order for them to subcontract with the choir provider to cover that period up until now. Our procurement process through the rfp requires us to provide contracts going forward. So with our new contract, we can officially award one to Community Music center going from march 1st forward. The Catholic Charities item before you today, while it is a full scope and a full budget, really the item that you are focused on today is just that one subcontract item, that 160,000 subcontract to Community Music center. Theres a small 3 administrative fee being charged by Community Music center to handle the processing of those funds on behalf of the subcontractor. The remaining items in that budget, that Community Service budget, are items which have come before the commission in the past and been approved. Kind of hopefully youre still with me. Okay. Okay. Now lets get to the good stuff. Why are we funding the choir . I think everyone is familiar with the concept of a choir. But i think over the past few years, through the efforts of agencies like Community Music center and coupled with the recent ucsf study, the choir voices study, weve looked at the impact of choirs as well as sort of in the context of artsbased programs and the impact they can have on older adults and adults with disabilities. As i stated in the memo, we saw this ucsf choir voices study, which i encourage people to take a look at. Its readily available through a Google Search or i can send that link through bridget. Among the findings was a reduced feeling of loneliness and increased interest in life. Choirs provided meaningful opportunities for participants to meet new people, build social network and have an increased sense of belonging to choir participation. I think building on that, from the das perspective, the Choir Program model is additionally of interest to us because we see it as a flexible, easy replicatable model that can be started without a lot of need for it can be piggy backed on existing spaces. The Program Model can be adjusted at each site so that its culturally relevant to the community that its attempting to develop a choir in. It also works to engage members in the process by helping them by having them engage to shape the choir direction including music selections and things like that. Were looking at the choirs as a way to bring new participants into das services. So the idea here is simply that someone is recruitedded, finds out with the choir through friends or flyers, comes in , becomes part of a choir and says whats going on also at this Community Center . The idea is there are many things going on, including many das funded services. That might mean getting involved in a congregate meal program, receiving assistance through our center. Seeing a counselor, getting linked in to Case Management services, joining into educational or exercise programs that might be going on. So thats something that we also really are interested in from the departmental perspective and something that were going to be tracking in this process with these programs. Okay. Last kind of thing i wanted to make sure i covered. Were going to go back into more technical stuff, i guess, less fun stuff, but i wanted to note that the Choir Programs, they currently have three bilingual out of the 12 current choirs operating as listed in the scope of service, there are three buyling cal spanish choirs with one and one filipino spanish choir. There are plans to grow the choirs, adding two more next year with one more in each of the subsequent years. At the end of this contract, we would have 16 in place. There are two bilingual chinese choirs, actually in the piloting stage right now, and those are being looked at to be brought online as part of this program as soon as july of this year. I want to highlight in the budget, youll see on the front page of the budget, under the other revenue section, that the Community Music sister is going to be bringing a significant amount of their own revenue to leverage and help support costs of that. They are matching our dollars provided in this at almost a 90 rate for every das dollar to help the ongoing function of these. If anyone wants to get into it, as far as the personnel page on the budget, the choir director and choir accompany didnt fit well into our template. If youre wondering how that works, that number, that 5,600 dollars for choir director and that 5,200 amount for choir accompanist, thats the total cost for each of those persons per choir. So then you see it multiplied out times budgeted for 14 choirs. Then you see it at only half of that. You see that. 7. Thats telling us that they are only billing half of those folks time to this contract. That is where were seeing the largest contribution from Community Music center to help defray the costs of this program. Okay. I just talked a lot. Im happy to turn it back to you guys. Thank you very much, michael. May i have a motion to discuss . Thank you. Seconded . Thank you. Any comments or questions . Weve others, but first of all, this sounds so wonderful, and i completely agree that its a great way to have people a new way to have people access the important Community Centers. I was going to ask, are you anticipating having more of these, and you said you are. Yes. Do you happen to know where were going to be . Has that been formulated yet . I think we have two pilots going on right now. I believe one is the bilingual chinese choirs. I dont know if i can reveal, but i think one may be at the Bethany Center with another at, i think, a Supportive Housing placement in district 3. Those are still formulating and look to be the candidates right now to be the next ones to join. Anyone thats interested, as we would tell people about them, theres no entrance requirements, im assuming or people are encouraged to do this. Its free to join. Yeah. And no income requirements or particular skill level or anything like that. Just an interest in engaging and sticking with it. Its about singing. I think 36session sort of semesters or years, each year, so i think just be ready for that. Okay. And will we be advertising this through all of our wonderful outreach efforts and websites and things like that so someone that might hear about it or Something Like that and punches in choir into some of our search vehicles will be aimed towards getting that word out that way as well as the other ways. Of course. No specific detail on that, but it is something well work into our documentation. Great. I can anticipate that people hearing about it and wanting to get involved and just we want to make that as accessible as possible. I think its going to be very as were increasing this, its become more and more popular. Thank you, commissioner. Commissioner lum. Good morning. Being the new kid on the block, it seems to me there is, based on this request, its a retroactive request. Correct. Do we normally fund something prior to the programs initiation . So what were doing is the contract with Catholic Charities is an already existing contract. So we are not creating a retroactive contract there. Many were just modifying this years contract so that can cover the costs already incurred. Thank you. Thank you. Any other comments or questions . Is just one observation. In addition to helping draw more people to Community Centers where they can participate in the many programs that we offer, one of the things i noticed at the castro Community Center is that regulars began to exchange phone numbers and check with each other every day to make sure they were all right. Those who drove would offer to take the neighbors to the supermarket or doctors appointment. So it engendered a feeling of Community Independent of the programs that they were attending. Anything we can do to draw people to those centers can broaden their social networks. Yep. Before we vote, any comments or questions from the public . Hearing none, call the question all in favor. Im sorry. Did somebody want to speak . Go for it. Thank you, mike. Hello commissioners. Thank you so much for your consideration. State your name, please. Im sylvia sherman, and im the Program Director at Community Music center. Were so thrilled to be able to speak with you about the older adult Choir Program. This is something that Community Music center started in 2011 with our partner down the street, Mission Neighborhood center, to create a culturally responsive choir that could meet the needs of our community in an accessible space. On the basis of that partnership, were very happy that weve been able to replicate the model as part of an evidence based study, the Community Voices study that mike referred to, and has really been a proud partner with das when we joined forces with ucsf. 7 years later or 9 years later at this point, we have 13 choirs around the city. 14th at the hospital which is funded separately by the department of health, but we are proud to partner with das on the 13 choirs in the community at different Senior Centers and Neighborhood Centers. I really appreciate the comments about how accessible are they because they are extraordinarily accessible. You can simply come to the Senior Center or the Neighborhood Center and join, just speak to the choir director. They are tuitionfree. They are 36 weeks a year. The tenant of the Program Since the very beginning was that they be culturally responsive, and i believe thats been one of the most important things for choir members to be attracted to join a choir and to stay with a choir. As mike mentioned, we run choirs in four different languages, english, spanish, tagalog, and cantonese. What were seeing this is in part because all of us want to be a good partner to das. What we saw with the Needs Assessment was that, you know, how wonderful a job our partner sites are doing when people get to the partner site and learn about services. But how can the choirs be one of the things weve learned is that the choirs draw people in. Thats in part because they are out in the community performing, probably doing close to 60 or more performances a year in many different kinds of forms, whether they are arts, aging, or other kinds of neighborhood events. That draws people in and is an opportunity to publicize services at our partner sites. So in terms of the benefits, we really have heard from our partners about bringing in new folks who learn about services and from the choir members themselves exactly what the study found in an evidence based manner over 90 every year of our choir members talk about how the choirs have connected them to other people and how their spirits have been lifted. We thank you for your consideration of this request and really proud to be doing this work. Thank you. I would just i would just like to add that i just came here from the arts commission, which i had served on for over 30 years, and theres no question in my mind what art does for people. To know this Music Program is going on, im delighted to hear about it and hear were supporting it and hope whatever we can do to make it to make it more available, im right on top of that. Thank you. Thank you. Bloo good morning. Im here as one of the faces of the many choirs. As living proof that you dont to have a skill level to be involved in choir. I walked in to the Mission Neighborhood center, one of the original choirs. I walked in and said to our director, a friend said i should come. I dont sing. I dont speak spanish. She said, welcome. Ive been there for two and a half years now, our choir is under the directorship of two professional musicians from the Community Music center. Im going to name them because i think its important that there be a face to them. Martha Rodriguez Salazar and jennifer who are renouned musicians who come each and every week and devote their time, their love, and professional demands upon us. So were not a sing along group. People say thats nice. You get together and sing. We consider ourselves a professional choir. We rehearse and perform throughout the city. Manile of our members many of our members take advantage of the services at the Mission Neighborhood center. Whats important for me, i think, is what the choir has done for me is its helped me to get to know people i wouldnt have otherwise, perhaps, gotten to know. My friends in the choir help me with my spanish and my tagalog because thats what we sing in that choir. Many of us have become friends. As the commissioner mentioned, we call each other. If someone doesnt show up, we call each other. We provide transportation for each other, both to our rehearsals and performances. Many of us now go together to the open performances at the Community Music center, a place that some people maybe historically said i dont know if thats for me. Now we all go together and enjoy that. I just want to say thank you to all of you for seeing us, for respecting us as contributing members of San Franciscos community, and for helping us to sustain this social engagement thats so vital to all of us and knowing that it will be able to move forward now without the threat of losing funding and maybe our choirs going away. Thank you so much. Thank you very much. Any other comments or questions from the public. Hearing none, call the question. All in favor. Any opposed . The motion carries. Thank you. Item b, requesting authorization to enter into a new Grant Agreement with Community Music center for the provision of neighborhood choir to older adults and adults with disabilities during the period of march 1st, 2020, through june 30th, 2023 in an amount of 800,000 plus a 10 contingency for a total amount not to exceed 880,000. Welcome back michael. Hello, again. No additional information. Im here for questions. May i have a motion to discuss . So moved. Seconded. Second. Any comments or questions from the commission . Any comments or questions from the public . Hearing none, call the question all in favor. Any opposed . Thank you. The motion carries. Thank you very much, michael. Item c, requesting authorization to enter into a new Grant Agreement with m and m hauling and heavy cleaning Assistance Company for provision of heavy cleaning and pest treatment Preparation Services during the period of july 1st, 2020, through june 30th, 2023 in the amount of 870,000. Is there a contingency amount for this . 10 , i believe. No contingency. Okay. No contingency. Thank you. Thank you. Good morning, commissioners, director mcfadden. Im the Program Director. We are requesting authorization to enter into a new contract with m and m hauling and heavy cleaning to provide one time heavy cleanups and if necessary, to prepare the environment for Pest Control Services on behalf of older adults and adults are disabilities who are victims of abuse, neglect, selfneglect, and exploitation. The purpose of the contract is to meet our state mandate to provide tangible support services to remedy and prevent further health and safety hazards. Through this contract, well be able to serve 140 to 150 older adults and adults with disabilities per year. Thank you. Thank you. May i have a motion to discuss . So moved. Second . Any comments or questions from the commission . I just had one. In looking at this contract over three years, i was just it was brought to my attention that the cost annual amount is the same yearoveryear. Is there no thought that there will be an increase needed to Cover Services over this threeyear period . We factored that in to that amount in that projection. Right now, were meeting those costs, but the amount that were projecting, i think, it may increase over time. So maybe fiscal year will be a little bit less and then so forth. Okay. So it may not come out exactly at 290 per year. Correct. Yes. This is over the threeyear period . Yes. Thank you. Any other comments or questions from the commission . Commissioner lum. Sir, i realize the money you are asking for is based on the projection of number of cleaning that you will be performing. What if the number falls far short of your projection . That is unlikely even the trend. Last fiscal year, we went from about 75 to is 15 clean 115 cleanups. With the current effort to help older adults and adults with disabilities and our efforts to assist them with these cleanups, we havent we dont anticipate that happening. Its the demand has been consistent over the last year. Thats what we expect. Thank you. Commissioner lum, i would add that when we do see Something Like that happen, we are able to often make adjustments within a contract to modify a contract if the numbers bear that out. If we noticed, you know, even though were not expecting it, if we noticed that we had to serve a lot more people than we expected, then we would be able to kind of hopefully go back to our budget team and see if we have some funds that we could put into the contract and modify it mid contract. Thank you. Thank you. Any other comments or questions from the commission . Good morning. Steve kim, contract manager of Human Services agency. One thing i wanted to put out is we have tried several times of speak into the microphone. Sorry. Usually loudness is not my problem. Here you go. We have tried with different vendors and scenarios to accomplish the goal. Its to avoid an eviction of our clients. We found the perception of heavy cleaning had evolved the last couple years to solidify the requirement and the pricing structure. It could be the volumes and the pricing could increase moving forward if there is any indication we havent experience the last several years. This is kind of evolved through trial of the different providers and scenarios and this is the scenario that we feel good with. Thank you. Any comments or questions from comments or questions of the commission . Hearing none, any comments or questions from the public . Hearing none, call the question. All in favor. Any opposed . Thank you. The motion carries. Thank you. Item d, requesting authorization to enter into a new Grant Agreement with the heights Neighborhood Center for the provision of mobile Senior Services program to june of 2023 in the amount of 483,732 plus a 10 contingency for a total grand amount of to exceed 532,105. Welcome. Good morning, commissioners, executive director mcfadden. Welcome commissioner lum. Im the Program Analyst for the office of Community Partnerships and i will be presenting on the next 8 agenda items before you today. We are requesting authorization to enter into new grants with the next 8 organizations for the provision of a neighborhood based pilot program. Since there are Many Organizations that i have to present, ill be brief and give you an overall description of what the programs will be. I do want to say that although each of these 8 grants have distinct and unique programming, they all have the same purpose, and that is to provide opportunities for older adults and adults with disabilities to socialize, build community, and participate in a meaningful way in their neighborhoods. These neighborhoods are within districts that have been identified in the dignity Fund Community Needs Assessment as having less participation than the Citywide Service participation rate. The target districts include districts 1, 2, 4, 5, 8, 9, 10, and 11. However, you will notice we have programs for almost all of the target districts with the exception of 4 and 8 as we did not receive any proposal for those specific districts. These neighborhood based pilot programs fall under the service area of Community Connection and engagement. They will be measured for impact related to inclusion and Community Building as well as improving access to services. These programs are aimed to increase social engagement and provide ways for individuals to be involved in their neighborhood or community. In addition, all the programs are required to have an Advisory Board that must consist of neighborhood stakeholders wholl provide input to help guide and design or shape the programs to meet the needs of the target population living in the neighborhood. So the first one im going to present on is the heights Neighborhood Center, bhnc. They will provide the mobile Senior Services. They will provide services to residents in five different Affordable Housing sites which will include park homes, quartz housing, and others. Through a social services coordinating, going between the sites and also by enlisting instructors and facilitators, and also using the nursing students, bhnc will provide Program Activities that will include exercise programs, cultural and art activities, wellness presentations and learning activities. They will also provide resource and Service Connection through the social services coordinator. The Program Services will be available monday through friday, 9 00 to 3 00 p. M. Thats bhnc. Thank you very much. May i have a motion to discuss . Thank you. Any comments or questions from the commission . Any comments or questions from the public . Hearing none, call the question all in favor. Any opposed . Thank you. The motion carries. Item e, requesting authorization to enter into a new Grant Agreement with booker t. Washington Community Center for the provision of a Senior Wellness Program during the period january 1st, 2020, through june 30th, 2023 in the amount of 367,406 plus a 10 no 10 contingency fee. Welcome back. This next organization, booker t. Washington Community Center. Residents will be coming to participate in the wellness activities and those will include Nutritional Services such as food pantry and healthy meals three times a week, educational and social events to Foster Community engagement and prevent isolation and also fitness programming. Transportation will also be provided by booker t. Washington for participants to be able to attend the site and for other activities such as excursions throughout the city. Resource and Service Connection will be provided through the Success Center located at booker t. Washington and they will be available 9 00 to 6 00 p. M. Thank you. May i have a motion to discuss . A second . Any comments or questions . Question. So if theres transportation available, is that just available to somebody in district 5 . Im just asking a logistical question. Is that sort of how it works, od in a particular program there, theyre outside the district the focus is district 5 residents or anybody living in district 5. But, of course, were not going to limit Services Just because they are right outside district 5. We do want to provide services to them still. Okay. Great. Thats kind of almost a general question i had about all of these because it seems like different Community Centers might provide something unique. If someone did learn about that through our increased ability to do outreach, are they going to be able to access that even if they dont live in the district . Is. Yes, for sure. The eligibility is just that they are older adults, 60 and above or adults with disabilities, 18 plus and also that they are residents of San Francisco. Okay. Thanks. Thank you. Thank you. Any other comments or questions from the commission . Hearing none, any comments or questions from the public. Call the question. All in favor . Any opposed . Thank you. The motion carries. Item f, requesting authorization to entered into a new Grant Agreement with Community Living campaign for the provision of a Community Connectors program during the period of january 1st, 2020, to june 30th, 2023, in the amount of 340,530 plus a 10 contingency for a grant amount not to exceed 374,880. I do want to just make a correction to the total, not to exceed amount. It should be 374,583. I think there was a switch of a number there for the contingency. But it should be 374,583. Thank you. Community Living Campaign will provide the Community Connectors program in district 10 as the name implies, the program will establish a local resident to serve as a paid Community Connector to work with residents in the area in planning and coordinating a range of activities. This model is really similar to what we already have in other neighborhoods, the Community Connectors. And the activities that will be provided will range in exercise programs, some educational workshops and activities, creative activities, social activities, as well as transportation and mobility trainings. Clc will recruit and train volunteers to be what they call mobility ambassadors to help Program Participants understand and access the Transportation Options available to them especially in the neighborhood where it could be difficult. Clc will provide disability and aging resources and information to the participants through their Community Connector and they will be available between 9 00 and 4 00. Thank you very much. May i have a motion to discuss the request amended for the total grand amount not to exceed 374,583 . Do i have a motion to discuss . Yes. Second. And seconded. Thank you. Any comments or questions from the commission . I just want to make one comment. Im very familiar with this program, the Community Connector program in district 11, in which i live in, and its been my y partner is 60 plus and they attends it it. They do a wonderful job bringing out the community. I hope ther they are as effee in district 10. Any other comments or questions from the commission . Any comments or questions from the public . Hearing none, call the question. All in favor. Any opposed . Thank you. The motion carries. Item g, requesting authorization to enter into a new Grant Agreement with next village for the provision of a district two University Program during the period of march 1st, 2020, to june 30th, 2023, in the amounted of 400,642 plus 10 not to exceed 440,706. Welcome back. Thank you. The next village sf will be working within their current framework for the village model to provide the district 2 university, which remade available to older adults and adults with disabilities living anywhere within district two. Next village will enlist facilitators or instructors to provide courses on topics that will include nutrition, travel for older adults, the arts on demand transportation, fitness, as well as public resources. Next village will also provide School Volunteer opportunities for help with homework and support as needed and the majority of their services will be made available monday through friday 9 00 to 5 00. Thank you. May i have a motion to discuss . So moved. Do i have a second . Second. Thank you. Any comments or questions from the public from commission . Fanny, can you just help us, district 2 includes the marina and presidio. Thank you. Any other comments or questions . Any comments or questions from the public . Hearing none, call the question. All in favor. Any opposed . Thank you. The motion carries. Item h, requesting authorization to enter into a new grant for selfhelp for social connections from january 1st, 2020, to june 30th, 2023, in the amount of 347,500 plus a 10 contingency for a total grant amount not to exceed 382,250. Again, its fanny. Great. Selfhelp for the elderly will provide a social Connections Program in district 11. Currently the program will operate at the excel spot on geneva avenue, and they will offer a number of activities including workshops on social and public benefits, visits to community providers, city hall, even das benefits and resource hub, volunteer opportunities to help the Program Participant stay active and connected with the city and services they utilize. There will be some support groups, debate groups, online groups, a safe Neighborhood Watch group as well as basic model device class. The services are available monday through friday, 9 00 to 5 00. Thank you. May i have a motion to discuss . So moved. Thank you. Do i have a second. Second. Any comments or questions from the commission . Any comments or questions from the public . Hearing none, all in favor . Any opposed . The motion carries. Thank you. Item i, requesting authorization to enter into a new Grant Agreement with sequoia living for the provision of a program during the period of january 1st, 2020, to june 30th, 2023, in the amount of 361,778 plus a 10 contingency for a total grant amount not to exceed 397,956 and, again, its fanny. Thank you. Thank you. Sequoia living will be providing services for the aquatic park Community Connectors program to those living in district 2, similar to other Community Connector programs, sequoia living will provide a wide range of activities that will be led and planned by participants with the assistance of the connector. Activities will include writing, poetry, use of Technology Resources at the libraries that they have partnered with. There will be fitness classes and the always active program that provide Group Exercises through a partnership with the Presidio Community ymca and then they will also have activities designed by the participants that can be conducted at the Aquatic Park Center which has a computer lab, an art studio, fitness room, Recording Studio and many other classrooms. The Aquatic Park Center is going to be exclusively available for this program on weekends. There will be, of course, resource and Service Connection there. We also have the aging and Disability Resource Center representative there to help with those connections, if needed. Like i mentioned, the Program Services besides monday through friday, there are additional hours on saturday and sunday from 10 00 a. M. To 2 00 p. M. Thank you very much. May you have a motion to discuss . So moved. Thank you. Do i have a second. Second. Thank you. Any comments or questions from the commission . Any comments or questions from the public . Hearing none, call the question. All in favor. Any opposed . Thank you. The motion carries. Item j, requesting authorization to enter into a new Grant Agreement with ucsf for the provision of a Community Arts for Brain Health Initiative during january 1st, 2020, through june 30th, 2023, in the amount of 276,656 plus a 10 contingency for not to exceed 304,322. Again, thank you, fanny. Thank you. This one is very unique. Ucsf memory and aging center will be providing the Community Arts for Brain Health Initiative in districts 9 and 10. They have partnered with Mission Neighborhood center and Bayview Hunter points Senior Services to provide a number of unique art based activities that support Community Engagement as well as brain health. Ucsf will be enlisting multiple fellows annually during each academic calendar year to leaded activities, and each fellow will have that unique approach to the types of programming available to the participants. But the programs will always be centered on Cognitive Brain Health and the arts. This fiscal year, ucsf will have distinct activities, the first one is mixed media arts engagement program. The second one is the relive theater experience on homelessness, and the third one is brain friendly home and selfcare products workshops. Additionally, ucsf will continue to provide also resource and Service Connection for the participants through their memory and aging center. Thank you very much. May i have a motion to discuss . So moved. Second. Thank you. Any comments or questions from the commission . I just have one. Will there be an evaluation component of the memory care work . Yes. Annually, as each fellow i guess each program ends before at the en of the fiscal year, we do evaluate them for the deliverables as well as the outcome objectives, and then as we get new fellows, we do modify the contract to make sure that the deliverables and the outcome objectives are in par with the was that your question . I think the question was, is ucsf doing this as an evaluation since are they doing it is ucsf doing their own evaluation . Right. I understand im not sure, but i can certainly get a more clear answer to that question. Given their other work in this area, im just curious if theyre going to use this as an evidence based project. Right. I assume that there would be because this is part of this Community Arts for Brain Health Initiative thats already in existence there. So yes. Thank you. Any other comments or questions from the commission . Any comments or questions from the public . Hearing none, call the question. All in favor. Any opposed . Thank you. The motion carries. Item k, requesting authorization to enter into a new Grant Agreement with ymca for the provision of a silver plus program during the period of january 1st, 2020, to june 30th, 2023 in the amount of 700,000 plus a 10 contingency for a total grant amount not to ex see the 770,000 and fanny again. Thank you. Thank you. Last but not least, Bayview Hunters point ymca will provide a silver plus program to participants in district 10. They have partnered with hope sf sites in that district including hunters view, and sunny dale to provide a Wellness Program to residents as well as to others in the neighborhood. Some activities will also be offered at the it bookman Community Center and dr. Davis Senior Center in addition to the bby. Program activities will include Group Exercises. There will be lunch and learn activities, enrichment excursions, volunteer opportunities through the Community Ambassadors program that they have, and resource connection by the Community Engagement specialist over there. The other ymca Branch Activities include the active older adult policeman designed to provide opportunities for participants to build social connections and improve health, physical health. In addition, the bby will be providing transportation to the Program Participants as needed to and from the hope sf sites. The bayview y and other excursion trips throughout San Francisco. Monday through friday. May i have a motion to discuss. So moved. Do i have a second. Second. Thank you. Just like to make a general comment about all of these programs that fanny has discussed. Two of them are in district 2, which is an area of the city where that is generally considered wealthy, and the value of these programs is that as we have learned, social isolation and elder abuse exists across all socioeconomic lines and that if we can engage members of the upper middle class in the wealthy parts of the city to become advocates for these programs, were better off because theyre wellconnected and they can be powerful allies. Its very important to remember that, these are programs that affect everyone. With that, any other comments or questions about the specific contract before us . Thank you, commissioner. Any comments or questions from the public . Hearing none, call the question all in favor. Any opposed . Thank you. The motion carries. We are now up to item 9, general public comment. Take your time, please. I am the abilities integrator at the clc. Have you noticed the sidewalks get lost around construction sites . San francisco departments arent maintaining safe pedestrian pathways around construction zones. We have to. We created a search party for sidewalks. The sf sidewalk search party has been meeting since may, 2019, to educate city departments and private construction sites on making sure temporary pathways around construction areas are accessible for all types of ability. Now we are taking our action to the streets. I want to invite you to the sidewalk search party fix our sidewalks on wednesday, march 18th, at noon. We are meeting on the corner of 12th street and south van ness across from the Paratransit Office at 68 12th street. The orders will be to take photos of inaccessible sidewalks with a rubber duck in the corner of the picture. Well provide you with rubber ducks. Everyone some download the app on to their phones before coming to the action. 311 also has a website or you can call to make a service request. If you call remember to mention seeing rubber ducks at the bad sidewalks. To stay updated, please join the sf sidewalk search Party Facebook group. We to see you on march 18th. Thank you for your time. Thank you. Any other comments or questions from the public . Hearing none, may you have a motion to adjourn . So moved. Second. Thank you. By rising vote, we are adjourned. Thank you very much. This is a huge catalyst for change. It will be over 530,000 gross square feet plus two levels of basement. Now the departments are across so many locations it is hard for them to Work Together and collaborate and hard for the customers to figure out the different locations and hours of operation. One of the main drivers is a one stopper mitt center for permit center. Special events. We are a one stop shop for those three things. This has many different uses throughout if years. In 1940s it was cocacola and the flagship as part of the construction project we are retaining the clock tower. The permit center is little working closely with the Digital Services team on how can we modernize and move away from the paper we use right now to move to a more digital world. The Digital Services team was created in 2017. It is 2. 5 years. Our job is to make it possible to get things done with the city online. One of the reasons permitting is so difficult in this city and county is really about the scale. We have 58 Different Department in the city and 18 of them involve permitting. We are expecting the residents to understand how the departments are structured to navigate through the permitting processes. It is difficult and we have heard that from many people we interviewed. Our goal is you dont have to know the department. You are dealing with the city. Now if you are trying to get construction or special events permit you might go to 13 locations to get the permit. Here we are taking 13 locations into one floor of one location which is a huge improvement for the customer and staff trying to Work Together to make it easy to comply with the rules. There are more than 300 permitting processes in the city. There is a huge to do list that we are possessing digital. The first project is allowing people to apply online for the a. D. U. It is an accessory dwelling unit, away for people to add extra living space to their home, to convert a garage or add something to the back of the house. It is a very complicated permit. You have to speak to Different Departments to get it approved. We are trying to consolidate to one easy to due process. Some of the next ones are windows and roofing. Those are high volume permits. They are simple to issue. Another one is restaurant permitting. While the overall volume is lower it is long and complicated business process. People struggle to open restaurants because the permitting process is hard to navigate. The city is going to roll out a digital curing system one that is being tested. When people arrive they canshay what they are here to. It helps them workout which cue they neat to be in. If they rant to run anker rapid she can do that. We say you are next in line make sure you are back ready for your appointment. We want it allinone location across the many departments involved. It is clear where customers go to play. On june 5, 2019 the ceremony was held to celebrate the placement of the last beam on top of the structures. Six months later construction is complete. We will be moving next summer. The flu building the new building will be building. It was designed with light in mind. Employees will appreciate these amenities. Solar panels on the roof, electric vehicle chargers in the basement levels, benefiting from gray watery use and secured bicycle parking for 300 bicycles. When you are on the higher floors of thing yo of the buildt catch the tip of the Golden Gate Bridge on a clear day and good view of soma. It is so exciting for the team. It is a fiscal manifestation what we are trying to do. It is allowing the Different Departments to come together to issue permits to the residents. We hope people can digitally come to one website for permits. We are trying to make it digital so when they come into the center they have a highquality interaction with experts to guide then rather than filling iin forms. They will have good conversations with our staff. [gavel]. Ons with our staff. Chair fewer good morning, everyone. The meeting will come to order. This is the march 4, 2020 meeting of the budget and finance committee. I am sandra lee fewer. Seated to my