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 CommunityNeeds 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. Welcome, everyone. Press mute if you come on to the phone. The first item on the agenda i dont want to be muted because the people need to speak. For those of you who are just joining you, this is the march 17th, 2020 Commission Meeting and were doing this for the first time using microsoft. Please excuse us if we have any technology issues. This process may be different than we normally do. If i may, i may move on to item 2, the approval of the march 3rd, 2020 minutes. Do we need to do a call to order and role call . Yes, thank you. So ill start with you, commissioner. role call . Well move on to item 2, the approval of the march 2 minutes. Reviewing the minutes of the previous meeting, does anybody have a motion to approve . So moved. Second. All those i in favor . Do we need to do a role call . role call . Thank you. Item 3, the directors report. The directors report is in front of you and i would ask that if you have any questions, of course, im happy to answer them, but given that the majority of our meeting with focus on covid19, i will not need whats in front of you, but im happy to answer any questions you see fit to raise at the time. Any commissioner questions . Im not receivining a Public Comment request. Commissioners, if not, we can move on to the next item. Item 4, the coronavirus update. So good afternoon, commissioners. Im the director of health. Hold on. Everyone, please mute at this point, mute your microphones. I talked to dr. Kovax and this is not coming over very clearly. Ok, give us a second, please. And theres a delay. I think its just the microphone distance. Other things are clear. Can you hear me commissioners . Is that better . Yes, thank you. Thank you. So good afternoon, im the director of health and i want to say how much i appreciate the social distancing intervention were approaching today and not to make light of the historic moment were in our country right now, including here in San Francisco. Two weeks seemed so long ago for when we were preparing to do our best to manage this epidemic and i will talk about the nine Health Officer orders that have been issued in the last ten days. And i also will ask dr. Irwin from the San Francisco general hospital, the lead on our plans Going Forward. I want to provide you with a little bit of perspective of where we are now. We are clearly in a state where we are looking at Community Spread and the gph team is working day and night to do everything we can to bend the curve. When i say the curve, im talking about the number of new infections. The goal is to help us prepare as much as possible for eight more cases, and inevitably people dying from this disease. Based on the data thats emerging from china and italy, we know that about 80 of people do well. I will say the patterns are what evacueweve seen in china with d to how this disease has spread. Dr. Erogon issued what is radical and it had to be. The shelter in place this decreases the spread of the virus and we think its important to emphasize this was done for the first time, to my knowledge, as a joint Public Health ordinance. Its across six counties, as well as the city of berkley. This is pivotal, because we know for the broader social interventions to work, it really needs to be original and preferably statewide and nationwide. As weve seen the virus increasing its spread in various communities and countries, the direction has only been further escalation of efforts. Im not aware of any jurisdiction that has decreased or frozen the efforts Going Forward. So Going Forward with these orders, we believe that we will be continual needing to be aggressive for not a period of weeks but months. Right now our focus is on three key priority areas. Number one, the social distancing as i talk to you about mitigation of the virus spread and number two is focusing on vulnerable populations, including those over the ages of 60, those with chronic disease conditions including cardiovascular disease, diabetes and renarl disease. The third is protecting the Healthcare Worker staff. This is a key thing were working on across the entire system and having ongoing conversations with human leadership about how to ensure we use the best evidence available to provide the best protection possible against our workforce. The number of challenges as we go forward, i am happy to talk about those challenges. I will also emphasize that given the patterns of the disease, given our region and given our state and country, this is not an issue that the Health Department or San Francisco can solve alone and right now were doing everything we can in our power to optimize what we have here today. I will also add that with some leadership of our mayor, our other city departments have come to our aid to decrease the morbidity and mortality of this disease. So i will turn this over to dr dr. Thomas to briefly summarize the health order. First, iand then to dr. Irwin tk about the surge plan, but before that, im happy to answer any questions before dr. Erogon goes forward. Thank you. Commissioners . Commissioner, any questions . No. I think i want to hear the whole presentation before we ask questions. So im going move and dr. Erogon will come in front of the camera and well switch back again. Does that make sense . Yes. Thank you, director. Im going to be brief because theres way too many orders. We realized as we were doing these orders, we were learning on the spot. One of the things i learned most recently are two words which is hours matter. This is how fast were having to make decisions, in a matter of hours. And so, what we have had to do is not just see whats happening in other parts of the world but whats happening here regionally with the other counties. I would say this last order to shelter in place happened really quickly. I just want to draw a Bigger Picture and show you how this fits in. So hours matter. We make decisions and then when theres a little bit of time, you do a little bit of reading and i had the opportunity to read an article that influenced the federal response that was just published yesterday, to give you an idea of how fast it was moving. I do want to share that with you because i think it will help you understand our strategy and our strategy is more aggressive than community mitigation. Stheres isolation toronto and e of contact. Youve been hearing about mitigation which is flattening the curve, dealing with workplaces social gatherings. pause . . This is called social distancing. The idea behind flattening the curve is that in general well get a a good proportion of the population will get infected and from the recent data up to 80 will become infected. Thats why this is so infectious is because theres pretty much 100 susceptiblity in the population. So the idea of flattening the curve is at the end of the day, you have a lot of morbidity and mortality and youre spreading it out so it doesnt overwhelm our healthcare system. The last strategy, which i just learned today from one of the premiere modelers in our country helping the cdc to guide the strategies. His name is neil ferguson. Its suppression and it turns out were implementing suppression and implementing the most aggressive approach. And thats where were trying to get the reproductive number less than one and the way pause . The way that were doing is that by sheltering in place. The idea is that a lot of people have not been infected yet. By having people sheltered in place, theyre reducing their opportunity to be exposed and by not getting exposed, they cannot get infected. But they have to go out to do essential activities like get their medicines, essential workers and then, i forgot the last category. Make sure you get your medicines, food, that was the other category. People have to eat. So you still have some risks and then among even though youre asking people to stay unexpose bid staying at hole, youll have cases that need to be isolated d where our movement has been in the united states. Santa clara was convincing in saying, you are one week behind us and you dont want to be in our shoes. If youre going to do it, do it now. The challenge with any of these approaches, they have to be done over a series of months and so concept use usedually, you woulo pull back and to pull back, youe have to strengthen the Public Health infrastructure. We need a bigger workforce to shore our tracing and quarantine. If we pull back the suppression measures, we need to dial up the Public Health activity. Otherwise, we wont be able contain. The last thing i want to say to give you a picture of how quickly this infection explodes. Imagine the hospitalization icu cases and deaths that youre seeing is just the tip of the iceberg. This iceberg, youre only seeing the tip and that iceberg doubles every six days. That iceberg doubles every six days and thats why you have this explosion. If nno one can see it coming and thats why we have to be aggressive and be ahead of the curve. Theres other orders in there that were tosse focused on lonm care facilities, sros, hospital visitation. We will be asking providers to cancel essential services and to delay elective surgeries and i think i covered most of them. And there will be more coming as we look at this more broadly and try to fine tune what we do and there will be more coming and its been great in getting the support. Weve been providing a lot of leadership and inspiration. I want to turn it over to dr. Susan erlich. Good afternoon, commissioners. I just want to say that i know were in an incredibly unusual time, very unpresprecedented iny professional carr career and i l grateful to be a part of the department because were pulling together to do the right thing. I feel good about taking care of people we know to be ill. So moving on to hospitals, over the past month, i and dr. Luke john day have been meeting and dr. Kolfax, weve been meeting regularly with the San FranciscoHospital Council ceos and also with their medical nursing and operational leaders. There arent other regional hospitals who are planning in this way and our efforts have been the supply and effect of the utilization of our Critical Care beds. Lately through these meetings is that every single hospital has really dramatically changed operations in order to plan ahead and meet the demand that we know will be coming. Its what we call puis, persons who have been tested and waiting for results. So, for example, that includes can celling all elective or nonelective surgeries, as well as nonurgent patient visits. And then what were trying to do is redeploy the resources that were used in those services into more covidrelated services. And so an example of that is in my clinic, the primary care, each of us in spreading our schedules to identify people to be seeking telephone visits. That creates other kinds of duties. So right now, were setting up a tracking system among all the hospitals and a joint surge plan to help us identify on a daily basis where all of the hospitals are with respect to capacity utilization. The system that were setting up is modeled after our surge plan which categorizes our state into green, yellow, orange, red and maroon categories, based on what percentage of our beds and our services are being used for puis relative to our total capacity. Since we dont yet have the data for all of the hospitals, i cant tell you what that level is today. I have a pretty good idea, based on the discussions that weve been having and what our own level is. Today, theres a yellow level and we entered the yellow category from the green category yesterday. What that means, we have more than nine positive, covid positive patients or puis in the hospital. Ucfs more or less is at the same level we are. Theyre in the yellow range and then the other hospitals are between green and yellow