Transcripts For SFGTV Disability 20240703

H. S. A Das Commission acknowledges that we are on the unceded ancestral homeland of the Ramaytush Ohlone, who are the original inhabitants of the San Francisco peninsula. As the indigenous stewards of this land, and in accordance with their traditions, the Ramaytush Ohlone have never ceded, lost nor forgotten their responsibilities as a caretakers of this place, as well as for all peoples who reside in, reside in their traditional territory. As guests. We recognize that we benefit from living and working on their traditional homelands. We wish to pay our respects by acknowledging the ancestors, elders, and relatives of the Ramaytush Ohlone community and by affirming their sovereign rights as first people. Secretary, will you please take the roll . Good morning, and thank you, president spears. Commissioners please respond with president when i call your name, president janet weiss. Beers. Present. Vice president nelson lum, president. Commissioner sasha bittner is excused absence. Commissioner juan de jongh present. Commissioner Martha Knudtson is excused absence as well, commissioner Barbara Sklar is an excused absence. Commissioner linda parker pennington, present and dos Deputy Director sidney coffin. Cindy kaufman present. Thanks. We have a quorum. Commissioners. The next item is item three. Communications. Wed like to provide further instructions for the Public Comment process. Public comment will be available on each item on the on this agenda and during public general Public Comment. Both channel 78 and sfgovtv are streaming the number across the screen. Each speaker will be allowed three minutes to speak, comment or opportunities to speak during the Public Comment period are available via phone call. During each Public Comment period, viewers and callers will be instructed to call 14156550001. Access. Code 26642299075, pound and then pound again when connected, youll hear the meeting discussions, but youll be muted and in listening mode only when your item of interest comes up. Dial star three to be added to the speaker line. Best practices are to call from a quiet location, speak clearly and slowly, and turn down your television or radio. You will have three minutes to speak. Youll be informed by the moderator when you have 30s left. After 30s, youll be muted and placed back to listening mode. Alternatively, Public Comment can be submitted by email to ravi dbi at sfgovtv. Org if you submit Public Comment via email, it will be forwarded to the commission and will be included as part of the official docket. Are are there any other communications from the Commission Members . Okay. We can move to the next item. Commissioners, your next item is agenda item four. Approval of the minutes of wednesday, april 3rd, 2024 Commission Meeting. Are there any comments or questions from the Commission Regarding the minutes . Hearing no. Youre up. Robbie, do we have anyone from the public who wishes to comment . Moderator please open the phone line for Public Comment. Are there any callers in the queue . No callers. Thank you. Hearing no further requests to speak on the item. Is there a motion to approve the. Wednesday, april 3rd, 2024 doors Commission Meeting minutes. So moved. I second thank you, mr. Secretary, will you please take the roll call vote to approve the wednesday, april third minutes. President jenner whispers. How do you vote . Yes. Vice president nelson lum, how do you vote yes, commissioner wanda young, how do you vote . Yes. And commissioner linda parker pennington, how do you vote . Yes. Thanks. We have a unanimous vote. Thank you. Commissioners, item five is the executive executive directors report. And this will be presented by Deputy Director susan. Susan cindy kaufman. Im going by a variety of names today. I thought i would try them all on. Im looking at you. Im like, susan. No, thats not it. Anyway, cindy. Thank you, so i thought i would start with federal. I only have a few things, for updates. And so the 2024 appropriations finally done, but us aging has is reaching out to various ahs, encouraging advocacy to ask congress to invest in Older Americans act funding and other vital discretionary programs. And i would love to talk to you. The difference between discretionary programs and whatnot. We had a great presentation at a conference, and happy to share the slides once they come out, because the woman from u. S. Aging did a fabulous job of trying to decipher just where congress has this discretionary ability. Its a tiny portion, but its vital to us. So anybody whos interested happy to share, theres, template letters and whatnot to share with folks that you can share out to congress. So specifically, what theyre looking to do is ensure members of congress recognize that funding for the aging Network Services and programs needs to significantly be increased, its and for a long term basis, not just a one time only basis. And three main reasons. One is its a rapidly growing population, second, its also, more and more complex. The population is. And then third is to address workforce challenges that weve all heard about, and those are affecting services that were able to, to provide. So as i mentioned, happy to share template letter to with ravi, also just jill just received notification the Us Department of health and Human Services, through the administration for Community Living, announced their final regulations for aps programs. And the new regulations are to promote High Quality Services and improve the consistency of services across the states, the ultimate goal is to better meet the needs of adults who experience or at risk of maltreatment and selfneglect, and some of the highlights include establishing a set of minimum standards, establishing stronger protections for clients, subject to or at risk of guardianship, requiring responses within 24 hours to cases that are life threatening or likely to cause irreparable harm or significant loss of income, assets or resources, and establishing definitions for key terms to improve information sharing. The final rule was just released, and theyll be digging down into it to get a better sense of all the details of it. And compliance to the rule is not, is not not required until may of 2028. So weve got some time to get things in place, at a state level last week was the area California Association of area agencies on aging. I challenge anybody to say that quickly, and it was a really good conference. We were lucky enough to have a lot of staff be able to attend. It was in san jose. So somewhat local conferences are are going to be a thing of distant memory with the new budget coming down the line. So it was really nice to have it close and be able to participate, us aging attended with some updates from the federal level, and then one of the sessions was us aging innovations and achievements showcase for the 2023 recipients. They highlighted four recipients in from california. One of which was San Francisco, and our own Tiffany Kearney presented on our supplemental home delivered grocery program. And it was really interesting to hear what others are doing in that area, we also had some updates from the state, including kim mccoy weighed on some of the state efforts and initiatives, as well as a warning on the states budget, which we have been hearing about. And the deficit, kim talked about how much the state has supported older adults and people with disabilities in the past. When the state was flush and it was really striking the dollars that had been put back into programs. But she also gave a warning. And it was it was this metaphor on stormy weather. And its like, okay, this does not sound good, so it was just, you know, dark clouds and its like, oh, man. So may revise comes out on the 10th, which is at the end of this week. So we, we will know soon enough, and also i would like to highlight part of the conference was the participation of the independent living centers. And we, we they had different panels, they had different sessions. There was a statewide contingent. And we worked very closely with, through the, age and disability resource connectors in San Francisco. Its aging and Disability Resource Centers, and it is a Core Partnership with the independent living centers, whose primary chile. They get a lot of their funding from the department of rehabilitation. And so it was just it was great. It opened it up. We talk about expanding services beyond serving older adults. And this just it came to life in having folks from the various centers presenting. And it was just it was great. It was a really, wonderful experience and learned a lot of really new things. Also, cda is establishing a key department, Stakeholder Group that includes department of social services. It includes department of rehabilitation, department of health care services, and department of developmental services, with both California Department of aging, cda and door taking the lead in these stakeholders meetings, which as we as a city are trying to break down silos. And the pandemic did help this. This stakeholder meeting is an attempt at a state level to also start to break down some of those silos. And with programs and services us. And so then locally, well were still working through the budget. And there are some tough conversations that were having right now. So theres nothing that has that is finalized. We will obviously know more next month, but we are still working through all of the various the various asks from the from the Mayors Office and also not to end on a budget woe. But may is Mental Health Awareness Month as well as Older Americans month. So stay tuned and thats it for me. Happy to ask answer any questions are there any questions from the commission . I, i have a question. So one of the themes is that theres budget pressure at the federal, the state and the local level, and so i just wanted to ask, is all of that affecting the for the upcoming budget cycle, or is it maybe the federal one a little further out in terms of funding . So federal right now, from what i have seen, it is basically flat for Older Americans act. We get we get dollars from the federal level for Older Americans act. And it feels very flat. So the advocacy effort is it really cant to be flat is really almost a decrease in, in in funding because of the numbers that are growing. So that is right now its it is its not dire state level. We will we will see the first, budget that came out there was there was some that affected the agency. I think that that dan presented as, as part of the budget presentation. But we now comes the may revise so we will know more when that comes out. So right now stay tuned until friday and then the local level, part of what we presented also it is for next fiscal year. So we are in i, were in where are, where am i . We are in 23, 24. We are looking at 24, 25 fiscal years. Always throw me, so that is what we are looking at as and i think in the original presentation that dan did, we did show how we were we were trying to get at some of the budget, cuts that weve been asked to do. And so we are still trying theres an additional amount that for contingency whatnot that we are still working through and trying to get at. So more to come on that one. Right. Okay. I have just one follow up question. This is regarding this was at the hsa hsfs, youre talking about the three levels of consistency in the minimum standard guardianship and then assets. Does the assets part. Does that include fraud of older adults, you know, im really curious because we see so many fraud things happening, with our older adults. And so i was wondering, did that, those, these new regulations that are coming out from aps, do they include fraud . I assume they do include fraud. And im looking at jill. Yeah. Okay thank you. Any other questions from the commission . Thank you very much for that report. Im still up. Okay commissioners, the next item is item 11. And theres many parts of this of new business. Yes. No, no skip some. Did i skip something . Yeah. Im going to do the. Item six. Oh, yes. I flipped the page. The future. Sorry, commissioners. Item six is the dos Employee Recognition executive director dearman, president spears and the dos commission will honor the dos. May 2024. Employee of the month andrew croce, who is a social worker in the eye and the Inhome Supportive Services team. So, andrew, im going to start by reading what folks this i love this part because this is what staff say about various folks. So the Inhome Supportive Services ihss team at dos is thrilled to announce that andrew croce has been named the may 2024 dos employee of the of the month since joining our team during the height of covid pandemic, andrew has been a beacon of dedication and service consist, demonstrating the core values that drive our agency forward. His role as a social worker requires adaptability, especially during times of virtual and nontraditional learning. Yet andrew has excelled, delivering Exceptional Customer Service with a positive, Team Oriented approach. Andrew is known for his work ethic, reliability, and his willingness to support new ihss trainees by allowing them to shadow him during assessments. He provides invaluable insights into Case Management and social work practices. His guidance has proven crucial in fostering a collaborative and knowledgeable team, clients and Community Partners have praised andrews professionalism, patience and kindness. He goes above and beyond to ensure that clients are involved in decisions about their care, patiently explaining Program Regulations and empowering them to make informed choices. The client centered approach has made a significant impact, enhancing the overall quality of our services in the office. Andrews interactions reflect his respect and encouragement, creating an environment where clients feel valued and supported, his commitment to teamwork and collaboration with other agencies further underscores his dedication to our mission. Andrews outstanding contribution to the ihss team have earned him the well deserved title of employee of the month. His hard work and dedication have made a lasting impression on our team and all the clients we serve. Thank you andrew for your remarkable dedication, dedication and positive impact. Were lucky to have you with us here at dos. Congratulations. Thank you. Thank you. Sure i just wanted to thank, first off, the ihss management for giving me this opportunity, three and a half years ago, id also like to thank my supervisor, whos also here today. Anna and, you know, shes been a good support, you know, very patient with me and very supportive of, you know, my understanding, my, the how much i appreciate a work and a family life balance, and also just a shout out to the social workers in our unit. I really feel that they should all be up here with us today or with me today, you know, very productive and, you know, have do quality work, and then lastly, my, my wife, who is also here, you know, without her, i wouldnt, i wouldnt be in this situation. I wouldnt be where i am, she motivated me just to start, considering that was really happy and content with my previous social service job and a Nonprofit Organization , you know, i was blocked professionally. Professionally developing with them. And, you know, she motivated me to keep trying and applying for city, Human Service agency jobs. And, you know, i really love her. And thank you for everything. All right. Thank you. Andrew commissioners. Item seven is the Advisory Council report presented by Advisory Council president diane lawrence. Good morning. Commissioners. Deputy director kaufman, im here to report on the april 17th meeting of the Advisory Council, of which i was not in attendance, i want to get that out first, the focus of the meeting was because we have three new Advisory Council members. We used it as an opportunity to level set and to do an orientation, so, we had an overview of the department, executive director dearman had done that for us a couple of years ago, but we thought it would be good to do it again. So we were all on the same page. So now i need to catch up on my reading, we also had Deputy Director kaufman do an overview of the joint ledge committee and the legislative review process. Since we report out, we talk we talk about advocacy. So again, something we hadnt done in the past. So we thought it was time to do it. And then the purpose of site visits, which director of the office of Community Partnerships, mike zogg, presented, because those are such a critical part of what our role as Advisory Council members, are, is and were also going to continue that discussion next month. We put it off a couple of months, and well have meet with some of the staff to talk about how those inform some of their work, where some of our concerns that have been expressed, what theyre doing, on the feedback, we havent had that loop closed just because of area plan approvals and some other things. So thats going to be pretty much our focus next week, we and then hopefully to encourage more visits, were i think weve made good progress. But we have a ways to go, including me. I have one in half done. I just have to finish the in person part. And then our second Vice President , tia small, whos done just yeoman work on these site visits, she talked about the personal experience because i think any of us who do them really enjoy it. Its just kind of needing the umph to get out and do it, and she always has some, some great insights. So so in that following from that, she actually gave two site visit reports from the Bernal Heights neighborhood center. They have two sites, one on courtland and one newer one in the mission, so one in Bernal Heights and then one in the excelsior. Both are rather small, and ive detailed it in my report. Their services are slightly different, but, and but they have and there are some challenges with their website pretty much, which again, as we have discussed it over the last two years, that seems to be a challenge for many of them, language accessibility, just providing simple things like the address, the phone number, where theyre located. They use on lock to provide their meals, and its a small space. Still seen some recovery from covid, both with virtual and in person, and they do have an exercise room on courtland, they have a, social Service Employee who speaks spanish. And in Bernal Heights, theres a large hispanic population, they do things that would encourage socializing, and then the staff turnover is high. And i think we see that in a lot of the social Service Agencies and the cbos, just because of the high cost of living in the city. The second location, the Excelsior Community site on mission, again, thats a pretty new site. I think that was kind of, planned prepandemic. And then the pandemic hit, and now theyre up and running. Its robust. It runs six days a week, morning. They have programs in cantonese, english, mandarin and include, and they include some meditation classes. They are missing a spanish speaking. And there is a large hispanic population in that neighborhood. And if you can see, they have a huge array of services. Theres a monthly calendar, that list the daily activities, they talked about Estate Planning in february, emergency preparedness, stress management. Well and periodically theres a field trip offered, again, the meal program they have, they get on between both both sites get about 25 to 30 people per day, there is the marin, San Francisco, marin food bank, pick up for the community. And its not just for seniors, but thats the site that they use, and the, during covid, there were regular phone calls to their community. So some outreach, even though people werent, able to, come into the site at the mission street, there is a hispanic, they want to reach out to the Hispanic Community and they have one. And so one of the members, one of the staff, when he is walking the neighborhood, he stops people to tell them about the program. So which i thought was very inventive and out in that cayuga excelsior area. They have a lot of connect connector. They have a connector program. So this is a common activity. And theres a lot of, a lot of walkers out there, they are run they are under the leadership of the same director. So there are some issues there. We want to follow up with and well keep you posted. So they both sound kind of interesting. The difference under the same leadership. So commissioners are there any questions for diane and the report . One question didnt did come up at the meeting and that was discussion of making getting the word out that dos exists, that the services exist, that this was a conversation at a luncheon and so the person who was engaged in that actually reached out and suggested that perhaps the person raising the questions might like to become involved. So well see what happens. But i think that that again, is a continual concern. So well keep working on that. And i did have someone at the i was fortunate enough to go to the sea for a conference because we had a tac meeting and someone came up to me about San Francisco, who was engaged, who does watch your Commission Meetings every month. So i just thought id throw it in that plug. Yes, we should give a shout out. Shes not attending today. Its her husbands birthday. But she and i are going to be in contact. Well. Thank you, miss lawrence, any other questions or comments from the commission . Okay. Thank you so much for your advisory. And then i put the, updates on the ledge committee and the report. Thank you. Commissioners, item nine is the case report presented by judith dancer. Hi, everybody, so this is the case report. So we have monthly programing on our zoom calls, and in september were actually going to start meeting in person more, we do have a film coming up which ill be discussing. That will be our first quote in person. So we had a presenter from the Adult Day Health program. Thats with open house and on lock. Amazing program, there really creating ways for lgbtq people to interact and be together. And i personally have been watching the progress of this, so i was very excited to hear more about it and look forward to visiting them. And then in may, were having our screening of the film all the lonely people. And dos has, helped us with that. And its in the caret auditorium, so thats next monday, 1 to 3. I expect all of you to be there. Okay and we will also be having a panel, and president spears will be moderating that panel. So thats really fun. And its free of charge. Were encouraging. Weve been doing outreach and encouraging people to bring groups of people to the, to the library. So im hoping well get both, Agency People and seniors and people with disabilities to attend. So fingers crossed. And so thats whats happening there. So its free of charge, if i didnt say that. So please come. And then, we do have our slate of officers, we do have a treasurer position open, and were working on filling that. And then in terms of the one time only funding, case looks forward to the dispersal of these funds, especially the Behavioral Health pilot. We look forward to continued dialog with the department on the development of this rfp. So we were the ones who were were, advocating for this. And then as far as the dignity fund, since our last report, the controllers march report was released and the deficit deficit trigger for the dignity fund will not be pulled for the fiscal year 2425. The forget me, forget us not campaign will continue. Any questions or questions . Any questions from the commission . Ill just give a plug. Please come to the movie. Ive already watched it. Its fantastic. And you get to ask questions to that all moderate. So this was, put together by the clouder group, and theyre the same people that did gen silent. If you ever saw that film, it was about 2011 and it was about lgbtq seniors having to come out of the closet as seniors and from a generation where they had to be really quiet about being out in the world and how they navigated that as as elders. Thank you. Oh. Oh, yeah. Sorry. Yes. The program on monday sounds fabulous and im out of town monday. But im wondering, is there a way to participate, remotely . Is there virtual participation . No, were actually doing it live because we wanted to do it live, so theres not. So. Im sorry. I am going to send ravi the, the trailer, and so ill send that out later today, and maybe therell be other opportunities to see it. Yeah. Okay. Thank you. Anything else . Thank you very much. Okay. Thank you. Okay. Commissioners, item nine is general Public Comment. An opportunity for members of the public to address the commissioner, the commission on matters that are not on todays calendar. Are there any members of the public that would like to address the commission today . Good morning, you have, you have three minutes to speak. Im going to put the timer on shortly, and ill let you know when 30s are up. Perfect. Sound good . Okay. Thank you. Okay. It says two minutes here, okay. Another screening at the library is home is a hotel, which i would encourage everyone to watch as well. Thats coming up at may 26th, i believe. I just got done speaking at the Fire Commission as well. And this is going to be the number one issue and concern that all the commissioners, all the boards are going to be taking seriously, im chris klein and i have an urgent request with this board and commissioners. First, i need to let you know that i have over 25 years of investigating high tech crimes and have partnered with state and federal funded task forces to include react and nc three tf, which are based out of northern california. That is important and relevant due to what im saying next, the last several weeks i have been speaking at numerous commissions to include the health commission, police commission, disability and aging commission, board of supervisors, and several several others to gain support for referrals for an indictment on several people access to Public Health and Safety Systems were illegally given out, which was which has weaponized Public Health. These systems, such as one system used by homelessness and Supportive Housing, sherlock, used by Human Service agency, can send data to a person to alter their Mental Health. Their normal Situational Awareness altered their ptsd, and done to attempt to force compliance on bad policies and ideas. I have also requested the director of Public Health and director of Human Service agency, as well as the department of justice, to launch an investigation into 250 kearny street, where there have been an abnormal amount of deaths and suspicious incidents caused by a few. Using these systems to cyberstalk and alter the health care of homeless or former homeless individuals. These systems are being used illegally to use phone and Voice Technology to illegally influence people for a pay to play scheme for politics and personal greed. I will make myself available to the board upon request for assistance and investigating these serious issues and concerns. Just yesterday, a cafe American Legion post member advised me of another location at 161 powell street, the herbert hotel. Similar issues, similar concerns. And just this morning, the hack at kaiser, where every person that has Health Care Kaiser was compromised. This is very serious. This happened in 1978. And for the people old enough to remember what happened in 1978, there were shootings and city hall, and there were the aids epidemic and other issues with the court that was down in south america. This is without a doubt the number one issue. And it goes straight to the top of city hall. And to include the mayor. We are seeking indictments and we are seeking support for those indictments. Yeah. Thank you. Thank you. Are there any other members of the public that would like to address the commission . Moderator please open the phone line for Public Comment. Will allow some time for callers to submit their requests. Moderator do we have any callers in the queue . There are no callers. Thank you very much. That concludes the members of the public that wish to address the commission, and we can move to the next item, commissioners, your next item is item ten, old business. Commissioners, please indicate by raising your hand if theres any old business that youd like to discuss. Okay. Can move to the next item. Okay. Now were at this part. Commissioners the next agenda item is item 11. New business. And there are several parts of this item 11 a is informational only and does not require a vote by the commission. 11 a, is the Community Living fund six month report july through december of 2023, and the Community Living fund annual plan 2024 through 2025. Zcoin lee and Melissa Magee will present this item, good morning, president spears, commissioners and Deputy Director kaufman, my name is Melissa Magee. Im a Program Manager with the office of Community Partnerships at dos. Im here today to present the Community Living fund six month report covering july to december 2023. So, queen lee will follow and present the Community Living fund annual plan for fiscal year 2425 of the Community Living fund, or clf. As well refer to it was created in 2006 through a San Francisco ordinance to support aging in place and Community Placement alternatives for people who would otherwise require care within an institution. A section in the San Francisco administrative code requires that dos report clfs level of services and costs. Every six months. My report today will be fulfilling this requirement. The Community Living fund Program Provides home and Community Based Services Using a two pronged approach of coordinated Case Management and purchase of goods and services. The institute on aging is currently the contracted Service Provider for these services. The program serves adult San Francisco residents with income up to 300 of the federal poverty level. The individuals must be willing and able to live in the community with appropriate supports and they must have a demonstrated need for a service or resource that will enable them to live in the community and prevent institutionalization. The target population includes individuals ready for discharge from laguna honda hospital, zuckerberg San Francisco General Hospital and other San Francisco Skilled Nursing facilities or individuals who are at imminent risk of institutional placement but are willing and able to remain in the Community Community with wraparound services. The Community Living fund Program Provides housing subsidy support through brilliant corners. Our contracted Community Partner that administers rental subsidy and helps acquired scattered site Housing Units throughout San Francisco. The fund also includes a Public Guardian housing fund that specifically provides housing subsidy and assistance to individuals, conserved by a Public Guardian, and meet csfp criteria. So i want to identify some highlights from the six month report. So for the six month report covering july to december 2023, a couple things. This particular clf six month report is distinct from previous reports because it focuses on providing an orientation to recent Program Changes and describes their impact on our reporting. Beginning in july 2023, the Community Living fund Program Began began Program Implementation of enhanced Care Management ecm through the San Francisco health plan to support the medical initiative under cal aim, a refresher cal california advancing and innovating medical. Therefore, there have been several systematic changes, including software and Data Management, development, review of program procedures, referral and intake processes, and Community Outreach and training. The transition in many areas have been met with challenges and day to day operational impacts. Most notably, there have been challenges in the development of a new Data Management system. Currently, some Database Development activities are still ongoing. The cfp completed a database transition in the middle of this reporting period, and therefore data is spread across systems. Cfp staff continued to complete some tasks manually or in the old system while the database is being completed, and. A little background of what was happening. Cfp received a total of 362 new referrals during this period. This number includes those referred by San Francisco health plan for ecm services and those referred for traditional icm services through cfp. About 25 of those referred were eligible and 89 of those eligible were approved to receive services. This higher volume is primarily attributable to ecm referrals made by San Francisco health plan. So for your information, all ecm referrals from the health plan go through the regular dos intake process to be assessed by the intake staff. If the health plan submits a high number of referrals via a monthly eligibility file, that includes Health Plan Members that may or may not have been approached by the health plan regarding eligibility and referral. This results in dos staff making cold call outreach to the identified referrals, and this is resulting in many declining services. Once outreach is conducted, the cfp served 279 participants in total during the period, with 63 receiving traditional intensive Case Management services and 37 receiving ecm services. Also 99 of these 279 individuals received rental subsidy through brilliant corners, so trends in csfp referrals diverge from recent historical trends, due in large part to the large volume and different composition of ecm referrals, referrals for white individuals decreased significantly and no longer make up the Largest Group by ethnicity at 23. Black African American referrals are at 36 and now account for the largest share of referrals by ethnicity. Referrals for latinx and Asian Pacific islander populations declined to about 9 each. Those identifying as other or unknown increased to 22. Also during this reporting period, csfp continued to support the dos public art in office through the pg housing fund by providing housing subsidies and assistance to six conserved participants. The most Common Services requested at intake for cfp Services Include Case Management at 57 and inhome support at 45. Notably requests for Mental Health and Substance Abuse services were at 45. Housing related services 43, and food support 49. These three areas appearing more frequently than in recent periods. As for Program Costs, this reporting period shows a net decrease of 439, 160, 439,160. In clef Program Costs over the prior six month period across all ongoing activities, expenditures during this reporting period are below the three year average across the board. Total monthly cost per client averages 2413 per month, a decrease of 634 per month over the prior six month period, but more consistent with historical trends. And so we are continuing to evaluate program cost and analyze the effect of the higher volume of ecm referrals versus traditional icm referrals and streamlining of processes. To better understand these changes. And finally, as of april 2024, there were no clients waitlisted for icm or ecm services. And on a good note, right, i will now turn it over to the queen, who will present highlights of the cfp annual plan for the upcoming fiscal year. Good morning, president spears, commissioners and Deputy Director kaufman im the only Program Analyst with office of Community Partnerships at das. I am presenting five highlights of crp annual plans for the fiscal year 24 to 25. First, clp will continue to provide enhanced Care Management services through cal. Aim for the members of San Francisco health plan, the target population includes adults living in the community at risk of institutionalization or Skilled Nursing facility residents returning to the community. We enhanced Care Management includes comprehensive services and resources to foster aging in community. As an alternative to institutionalization. Second, clp will continue to implement the integrated housing model through a contract with brilliant corners. It facilitates the care coordination for eligible clp clients from to transition from laguna honda hospital or other Skilled Nursing facilities to scattered site housing in the community. In addition to housing opportunities, clients may receive housing subsidies as well as Supportive Services for Housing Stabilization and or eviction prevention as needed. Third, clp will continue to be part of the Multidisciplinary Team named core, which stands for Community Options and resource engagement. The team is led by laguna honda hospital and other members include clp, that is, institute on aging, brilliant corners, Das Department of Public Health, department of homelessness and Supportive Housing, San Francisco health plan, etc. They have bi monthly meetings to ensure effective and efficient collab operation to promote Successful Transition of clients to the community with culturally and clinically appropriate services and resources. Fourth, clp will continue its partnership with the Public Guardian of the office through the Public Guardian housing fund for individuals can served by Public Guardian. This housing Fund Supports them with Housing Stabilization by providing housing subsidies and moving costs. Fifth, ongoing efforts will be put into conducting outreach to promote equitable access to clp services. The outreach process for enhanced Care Management has recently been adjusted and better streamline it to increase direct outreach contacts. Clp has hired a full time Outreach Coordinator who focus on expanding outreach to Diverse Community parties. The program will continue to implement outreach initiatives to assess the asian and Pacific Islander and the lgbtq plus communities. That concludes our report. Were happy to answer any questions you may have. Commissioners, please, commissioner lum, good morning. I i may have missed it, in order to be eligible for assistance under this program, one must be enrolled in the San Francisco health. So to be eligible for the enhanced Care Management, which is a program of cal aim, those referrals come. Thats a program of the San Francisco health plan to be. But you do not have to be a member to be enrolled in the Community Living fund program. We also get regular referrals through intake from the community and snfs and laguna honda, who are not sf Health Plan Members. So its the criteria is that you meet the imminent risk of institutionalized or transitioning to the community. Thank you. Commissioner. Comments. Sure. Okay. First, i want to thank both of you for excellent report, in reading the report, i just want to comment that i appreciate the effort to point out to us, the impact of the enhanced Care Management and how that has really changed. Part of how referrals are received by this program and also the challenges of the system changes. So i do note that in your report, and i appreciate all the work thats behind all that, what i want to comment is regarding some of the what i note as positive outcomes with the ceo. Community living fund program, that one, there are no clients on the waitlist, which is great, two, the Successful Transition of, working with laguna honda, transitioning, residents from laguna honda into community. I think thats excellent work, also, i appreciate the continued work in terms of equitable access to the program as well as noting that, and thats especially to the lbgtq community as well as the aapi community, and also the recent change of hiring a Outreach Coordinator. I think thats all in the excellent area in terms of making sure that we get the program out there and there is, equitable access to the program. So thank you. Yes thank you for your report. And like a lot of things, this is, somehow a hidden gem that this is being provided. And im really was happy to hear also that you hired an Outreach Coordinator. One thing that you mentioned was that the costs of providing services had significantly reduced. And i was wondering, number one, what do you attribute the Cost Reduction to . And number two, did it affect the, you know, the overall quality of the services and support that you can provide . First of all, no, it didnt affect the quality of services. And as i mentioned, thats an area that were still evaluating and the impact of ecm versus the traditional csfp. Icm. And you know, we were kind of in the middle of that. And whether it is, part of also of the billing process to San Francisco health plan, because thats the quite honestly, the area of the development that were still sort of you know, struggling with with our Software Developer , or platform developer, so we dont i dont have an answer, and i dont know if cindy or someone else does, but, its an area that were looking at and trying to figure out because it, it while it kind of reflects historical trends a little bit, you know, it, it doesnt make perfect sense because theres inflation and increased cost and that sort of thing. So just comparing it to historical trends is not the answer. So, right, okay. And so, when you budget Going Forward then is it based on, you know, a forecast from actual or. No, because we have a current contract that has a budgeted amount. The good thing is that its may and the current reporting period ends in june. So the queen will be back in the fall to present the next six month report. And hopefully we will have a one that all the Software Development will be completed and the billing processes, but also that will have, you know, concrete answers to that. But if you need something before that, were happy to, you know, look into it right away. Respond to ravi that he can pass on to you. Wonderful. Thank you for the work youre doing. Yeah. Thank you both for, these reports. And i just, plus one for my commissioners in the. And the quality of the work thats being done and the, you know, identifying where there are still gaps and things that you need to figure out. So that level of transparency, i think is very important. So thank you both, i think we will move on to our, Public Comments. Yep. No, this was, oh, yeah. No, we still have to do Public Comment, are there any members of the public that would like to comment on item 11 . A moderator please open the phone line for callers for item agenda item 11 a well pause for a second. Moderator. Are there any callers in the queue . There are no callers. Thank you. Okay. We can move on. Do we need to vote on that . No, i didnt think so. Okay thats in there accidentally okay. Just making sure okay. So now we get to our action items and im going to make sure im not missing anything because its been a morning. Okay commissioners i items 11 b through 11 j are action items that require a vote from the commission, our first item is item 11 b requesting authorization to modify the existing Grant Agreement with project open hand for the provision of home delivered meals and nutrition assessments for adults with disabilities during the period of july 1st, 2024 through july through june 30th, 2025. In the additional amount of 101,938, plus a 10 contingency to, for revised total amount not to exceed 859,699. Lee walton will present this item. Yeah. Good morning, commissioners president spears and Deputy Director kaufman. My name is lee walton, and im a nutritionist for dos. Im seeking the commissions approval to modify the Grant Agreement with project open hand for the adults with disabilities Home Delivered Meal Program for background, a required component of home delivered meal or mdm services is for comprehensive, initial and annual inhome assessments to confirm a Clients Program eligibility and evaluate appropriateness of services for a clients needs. Since the onset of this grant cycle in fiscal year 2122, this service has been provided by institute on aging. While the meals themselves have been provided by project open hand. At the end of this fiscal year, institute on aging has opted to terminate their Grant Agreement with dos for home delivered meal assessments for adults with disabilities and subsequently project open hand has agreed to begin providing initial and annual Assessment Services for their clients. In addition to providing the home delivered meals. This modification of about 102,000 will support one full Time Employee and the other operational expenses required to schedule, coordinate and conduct the Assessment Services in fiscal year 2425. Thank you for your time and consideration, and im happy to answer any questions. Commissioners, are there any questions, regarding this in, revised . I just want to make sure i was just wondering if you can just briefly explain why ioa is no longer will no longer be providing this service. So yeah, they my understanding is that they did an assessment of their services and just found that this Assessment Program wasnt aligning effectively with their Core Competencies and organizational priorities. Thank you commissioners. Any other questions . Mr. Secretary, do we have anyone from the public who wishes to comment on item 11 . B are there any members of the public that would like to comment on agenda item 11 . B moderator please open the phone line for Public Comment and agenda item 11 b will hold for any callers in the queue. Moderator. Are there any callers in the queue . No callers. Thank you very much. Hearing no further requests to speak on the item. Well close Public Comment. Mr. Is there a motion to approve item 11 . B so moved. Oh, so its been moved and seconded. Mr. Secretary, please take a roll call. Vote for item 11. B president and janet spears. How do you vote . Yes. Vice president nelson lum, how do you vote . Yes, commissioner wanda young, how do you vote . Yes. And commissioner linda parker pennington, how do you vote . Yes. Thanks we have a unanimous vote. Thank you. Thank you. As you can see, im just returning from vacation. If you if you hadnt noticed. And im trying to get myself back together and back in the groove too much golf. Anyway. So here we go. Were cleaning this up. Item 11 c requesting authorization to enter into a new agreement with lighthouse for the blind and visually impaired for the provision of Transportation Services by way of taxi vouchers. During the period of january 1st, 2024 through june 30th, 2028, in the amount of 122,329, plus a 10 contingency for a total amount not to exceed 134,562. Dong lu lu will present this item. How did i yeah. Dont lu don lu. Thank you, thank you. Good morning. Commissioners Deputy Director kaufman, my name is dong lu, analyst with the office of Community Partnerships. Im here today to request your approval to enter into a new Grant Agreement with lighthouse for the blind and visually impaired for the provision of transport services to adults with disabilities age 18 and older. The purpose of this grant is to provide taxi vouchers to assist consumers who are unable to use Public Transportation for a variety of reasons related to disability, mobile issues and or need for assistance to be eligible for the program, participants must be certified by a physician that they are unable to use Public Transportation referrals come from medical providers as well as program participants. Word of mouth. The taxi vouchers support consumers to and from the following destinations. Medical appointments, therapy appointments, rehabilitation services, Legal Services. Benefit counseling, food pantries, congregate meals, and Community Center programs. Participation can request taxi vouchers by calling a dedicated phone line and provided their name, phone number, and destination. Each participant is allowed up to two round trips per month under this grant. Lighthouse for the blind and visually impaired will manage client intake and eligibility fee, as well as issuance of processing and payment of taxi vouchers. The grantee will provide 601 way trips for 50 unduplicated consumers annually, and that is my presentation. I will do my best to answer any questions the commission may have at this time. Thank you. Thank you. Commissioners, do we have any questions, just one question. Thank you for this. Its a new service, right . This is that were funding or is this replacing something that existed . Thank you for the question, actually, i have added to my presentation, this is not a new program, lighthouse for the blind and visually impaired has administered the Program Since 2007. So its been okay. Okay. So it is ongoing. This. Okay. Great. Thank you. Thank you. Mr. Secretary, are there any comments from the public . Are there any members of the public that would like to comment on agenda item 11 . C moderator please open the phone line for Public Comment on agenda item 11. C will allow some time for callers to submit their requests. Moderator are there any callers in the queue . There are no callers. Thank you very much. Hearing no further requests to speak on the item, we will close. Public comment. Is there a motion to approve a item 11 c so moved. You got to get in on this now i know okay were working it out here okay miss. Mr. Secretary, please take a roll call. Vote for item 11 c president janice spears. How do you vote . Yes. Vice president nelson lum, how do you vote . Yes, commissioner guanzheng, how do you vote . Yes. And commissioner linda parker pennington, how do you vote . Yes. Thank you. We have a unanimous vote. Thank you very much. Thank you. Item 11 d requesting approval of cda triple a, 2420 506 memorandum of understanding for the coordination of Older Americans act. Services to residents of Planning Service area six. Mike zaugg and Genevieve Herrera will present this item. Good morning, commissioners. Deputy director kaufman, my name is mike zogg, program director, office Community Partnerships. I am here today on this item. This is an item we bring to you annually. It has some changes this year. So i wanted to bring those to your attention, i think big picture this item is the mechanism. One of the mechanisms mechanisms with which we bring in funding from the California Department of aging and use those funds in our grants with Community Based organizations. So we dont want to dont want to lose sight of the big picture. Were now going to go into the weeds of whats whats going on here in the change. Typically, i come before you each year, we enter into contracts with the California Department of aging. Its as you would imagine, we sign it, they sign it, they send us money. We do work. They are now going to move to a process called a memorandum of understanding. It is a technicality, a technical change. It is one being done at the state level because of in order to a more efficient and expeditious way of getting money down to the local ahs, to do a contract takes them x amount of steps. Through this new process, they are going to be able to do something called directed payments. This will speed that up. This is something that the California Department of aging wants to do. This is something that the ahs would like to do statewide. This is particularly helpful for triple as who have budgets that are almost completely reliant on California Department of aging funding and are waiting for those funds to start each year to get things going, the, the new mou itself, you know, its shorter than the one that they had before. Its now down to 15 pages. Used to be between 80 and 100. I think what theyre doing here now is theyre incorporating by reference an outside programmatic guide that has all of the programmatic requirements that we used to see in the grant, but that will now no lives separately and will use review to make sure our all our implementations and are set up correctly, we have no issue with this at the dos or h. S. A levels. This seems fine with us to go through this process. Typically, contracts are of a shorter nature one year, sometimes two years. What were going to authorize today goes for five years, so we wont have to vote on this again until 2029, but never fear, will still be coming to you about this, what will happen is that this one in particular covers our area plan, our high cap and our mpa programs and so what will happen is that periodically we will receive a notification from the state saying, here is your annual allocation. Often what well do is we will bring those to commission for your for as for an informational, presentation and review, my colleague Genevieve Herrera from budget is her presentation is going to happen in a moment is an example of that. So and then from there, what will happen is, is, of course, this is about us bringing in funds from the state. Were typically turning around and putting these funds into grants with Community Based organizations. When those funds go out to those Community Based organizations, they will. Those grants themselves will then come before the, commission to review, to scrutinize and have oversight on some of the details on how were how were using those funds. Typically, page one of memos on grants youre approving will show the balance of funds, whether theyre state or federal funds being used. There so thats where your your cue to see that those funds are included in those in those subsequent agreements that were going to present, such as the other agenda items that you might see today. So with that, im going to turn over the Budget Discussion portion to my colleague genevieve. Good morning, commissioners and Deputy Director kaufman, so im here to present the fiscal year 25 area plan. Grant allocation. And this is an award or a set of funding, federal and state funding that we receive every year. Its the main vehicle through which we receive funding for Older Americans act programs, this years allocation is slightly less than the allocation we received last fiscal year, when were talking about the original allocations, theres a baseline, specifically, were 234,000, less than last years original, baseline allocation. And all of the, our funding increased slightly for all Services Except for a 453,000, decrease in funding, federal funding for Nutrition Services, incentive programs for the Nutrition Services incentive program. Thats a piece of the Older Americans act. So but otherwise, im happy to answer any follow up questions. You might have commissioners, do you have follow up questions . I, just a thank you for this. I, in my past life, i was a process reengineering consultant. And so im very in favor of anything that looks like its streamlining and reducing, you know, unnecessary processes and documentation and getting funding to where its needed more quickly and efficiency and efficiently without losing transparency. So i just wanted to say thats what i see you doing here, and i appreciate that. Its a long period of time. And but we still will see grants as theyre being proposed, so everything about it hits all the bells and whistles. So i just have a question. It sounds like the cut thats being made is in congressional, congregate nutrition. How do we. Is that what kind of impact do we expect that to have on the way in which we operate . I mean, thats not an insignificant amount of money. At this moment, we are not worried about it, impacting service levels. It is noticeable and its something we will have to figure out. We have a variety of different mechanisms to do that, including , some flexibility in moving money between the allocate and, sections in here, theres also a mid year where they provide us an additional allotment of money, which is actually previous years underspending statewide. Right, so its noted, but at this time we dont see it , reducing services because of our ability to make some administrative changes. Okay. And then a follow up, because i love following the money, when we think about year over year and ill call it projections at the state level and those projecting or the stormy waters or however, is this a particular program . These are federal dollars or do we expect that ill call it years out. So forget about 20, 24, 25. But 2526, are we expecting that this will be an area that we need to keep watch on, for particular cuts Going Forward . These are federal dollars that were seeing, it is something that we need to keep an eye on. I think cindy had alluded to things are looking flat in future years, but so well keep an eye. We also know that flat means down nothing else. Everything else costs more. You know. Right. All the prices keep going up. They dont stay the same. So flat is concerning, but its something well need to keep an eye on. They dont typically give us our next year allocation until the spring of each year, so it wont. So well so these are dots we need to be following and making sure that the level of service that were providing as the need goes up, we are able to still meet the growing needs of people from a congregate meal perspective. Okay. All right. I just wanted to make sure i was following the dots, mr. Secretary, any comments from the public . Are there any members of the public that would like to comment on item 11 . D moderator please open the phone line for Public Comment on 11 on item 11. D will allow some few moments. Moderator any callers in the queue . There are no callers. Thank you, thank you. Hearing no further requests to speak on the item will close. Public comment. Is there a motion to approve item 11 . D so moved i second yay there we go. Mr. Secretary, please take a roll call. Vote president jan spears. How do you vote . Yes. Vice president nelson lum, how do you vote . Yes, commissioner wanda young, how do you vote . Yes. And commissioner linda parker pennington, how do you vote . Yes. Thanks. We have a unanimous vote. Thank you both very much. Commissioners, item 11 e, requesting authorization to enter into a new Grant Agreement with selfhelp for the elderly for the provision of health insurance, counseling and Advocacy Program. High cap and for medicare improvement for patients and providers act. Mip. Mip for high cap during the period of july 1st, 2024 through june 30th, 2028, in the amount of 2,145,367, plus a 10 contingency for the total amount not to exceed 2,359,903, erica mebane will present this item. Good morning. Good morning, Deputy Director kaufman, president. Spears, Vice President. Lum and commissioners. Like mike said, this is a going to be continuing a similar presentation when the funding from the cda is allocated into programs. My name. Sorry, my name is erica maibaum, Program Analyst for the office of Community Partnership. The item before you today is a contract with funding from cda to administer the health insurance, counseling and Advocacy Program high cap, and to implement the medicare improvement for patients and providers. Mipa here in San Francisco, the target population for these programs are those that are close to or have reached medicare eligibility age. These two programs are parallel in many ways through outreach and engagement. Hacap is the primary source of accurate and objective information on medicare benefits, Prescription Drug and health care plans, and health plans. Excuse me . The mipa program specifically targets low income and harder to reach populations for enrollment in the to enrollment in low income subsidies and the medicare savings plan. The low Income Subsidy is tied to Medicare Part d, which is for prescription benefit plan to help meet premiums and copays. The medicare savings plan also helps with Medicare Part a and part b premiums. Historically and for your consideration today, das has proposed the mipa dollars be added into the our high cap counseling and Advocacy Program. This model has worked well with our current and proposed provider, selfhelp for the elderly. Selfhelp has the institutional knowledge, connections with our communities as well as language capacity to get information out and engage in our targeted populations. Selfhelp for the elderly has had a positive review in the last fiscal year for both high cap and mipa. With your approval today, das will be entering into a four Year Contract with selfhelp for the elderly from july first, 2024 through june 30th, 2028. This grant would be for the provisions of the health insurance, counseling and Advocacy Program, hacap and for selfhelp to administer the medicare improvement for patients and providers act mipa through their high cap program. That is, the general landscape of the high cap and mipa programs, and im happy to answer any questions you may have. Commissioners, are there any questions regarding this contract . I just have one. Maybe i just have one small question, and this is in reference to, information note on cover memo under location and time and services. I noticed that the service will be provided out of the main office, 601 jackson. And theres a notation that there will also be Offering Services at 16 out station locations. But i didnt see any Additional Information where those locations would be. I just want to get a sense of how, comprehensive the coverage will be in terms of getting the service out to the various communities. Oh, sure. There are in many parts of the cities i know, sorry, i dont have their schedules memorized. I know in stonestown theres a site in many Community Based providers, but i will through ravi, i will get you the exact locations and im happy to share. Okay, great. The locations and their hours and language capacity. Okay. Thank you. Commissioners. Any other questions . Robbie, are there any members of the public that would like to comment on agenda item 11 . E moderator please open the phone line for Public Comment on agenda item 11. E will hold for a second moderator. Any callers in the queue. There are no callers. Thank you very much. Hearing no further requests to speak on this item, we will close Public Comment. Is there a motion to approve item 11 e so move second. Mr. Secretary, will you please take a roll call . Vote president janet spears. How do you vote . Yes Vice President nelson lum, how do you vote . Yes, commissioner young, how do you vote . Yes. And commissioner linda parker pennington, how do you vote . Yes. Thanks. We have unanimous vote. Thank you very much. A second. Item 11 f is requesting authorization to modify the existing Grant Agreement with Felton Institute for the provision of employment, navigation and benefit support during the period of july 1st, 2024 through june 30th, 2026, and the additional amount of 542,327, plus a 10 contingency for the total amount not to exceed 1,022,948. Zcoin lee will present this item. Good morning again, president spears. Commissioners and Deputy Director kaufman again, im lee with office Community Partnerships at diaz. This program started in january 2023 and is also named as benefit to work by Felton Institute. I request your authorization to extend the grant for an additional two years. Navigating government benefits can be a complex and confusing process for job seekers who receive means tested benefits. How potential employment income may affect their benefits is a common concern. Some questions could be will they impact my subsidies housing . Will it make me disqualify from my benefits . Will i have to pay back my benefit payments . Uncertainty about the answers to these questions usually creates barriers to pursuing employment. The purpose of this program is to reduce the barriers to employment for older adults and adults with with disabilities, or means. Tested benefits. This Program Provides comprehensive benefit Counseling Services through one on one counseling sessions, workshop, and educational materials. It helps consumers Gain Knowledge about benefit rules and clarifies misconceptions that may exist. The Program Supports consumers to make informed decisions when entering or reentering the job market. It also provides legal advocacy resources to help consumers resolve benefit issues. As needed. 136 consumers have received services from the program, 880 hours of one on one Counseling Services have been provided. The results of the Current Survey completed by 55 of the program consumers have demonstrated Remarkable Service outcomes. 98. 5 of the survey participant indicated that the program helped them better understand the interactions between employment, income and their benefits. 96 agreed that the services help them seek or continue employment, 88 indicated that the Program Supports them to maintain or increase their overall income. 100 rated the overall quality of the program as good to excellent. Continue. Efforts are put into increasing Public Awareness of the program by outreach, active ities, including presentations at Public Libraries and other Community Based organizations, informational tabling, events at job fairs and other Community Events, promotional events or materials in multiple languages provided to adult and Disability Resource Centers. Employment development department, veterans administration, lgbtq plus collaborative Employment Services workgroup, etc, as well as Public Service announcements on public radio. Employment offers numerous benefits for older adults and adults with disabilities. Goes beyond financial gain. It creates opportunities for social interactions, mental stimulation, skills development, and contributing to society. Thank you for your consideration of my request to extend this grant. Please let me know if you have any questions. Commissioners, are there any questions regarding this contract . Sure. I just had a comment. Yeah, im happy to hear how successful this program has been. I i recall when the original contract came for approval to commission. We all kind of, you know, we werent sure. Are we sure . This is really complex and also how important employment is. But it is a complex balance between, the means tests benefits program as well as the income that we receive from working. So im really pleased to hear that its been successful, im just as well pleased to hear about the good outreach thats been going on and that there are language capacity, provided in this program. So thank you. Thank you. Mr. Secretary, any other comments . Mr. Secretary, do we have anyone from the public who wishes to make a comment on item 11 f . Are there any members of the public that would like to comment on agenda item 11 . F moderator please open the phone line for Public Comment on on agenda item 11 f. Moderator any callers in the queue . There are no callers. Thank you very much. Hearing no further requests to speak on the item. We will close. Public comment is there a motion . So moved. Second. Mr. Secretary, will you please take a roll call . Vote to approve item 11 f president janet spears. How do you vote . Yes. Vice president nelson lum, how do you vote . Yes, commissioner wanda young, how do you vote . Yes commissioner linda parker pennington, how do you vote . Yes thanks. We have a unanimous vote. Thank you. Thank you very much. Commissioners. Item 11 g. Requesting authorization to modify the existing Grant Agreement with open door legal for the provision of the west side Legal Services program during the period of july 1st, 2024 through june 30th, 2026, and the additional amount of 887,729, plus a 10 contingency for a revised total amount not to exceed 1,622,552. Michael xug will present this item. Good morning again, commissioners. The item before you now is seeking a two year extension of a pilot project, initially launched in january of 2023, this is essentially a Legal Service brick and mortar site on the west side of the city, since we initially launched this project with the idea that we know we have a gap in Service Services and Service Sites on the west side of the city, as well as engagement and services. We also have seen historically declining engagement of api clientele within our Legal Services program. So we were looking to try to see if we could accomplish both both things with this, with this pilot, since i was last here in actually was here in february of 2023 presenting this since then, the grantee open door legal has located space, secured space in the sunset district, an excellent location on irving and 19th street, right on various corridors for Public Transit access, they have remodeled and opened a lovely ground level, site for folks services. Theres a soft opening in summer of 2023 with a official grand opening, celebration in october of 2023. Since then, they have been getting to work, just settling in, providing services in the community, theres also been a strong outreach component associated with this grant to get the word out that services are out there, open door legal has has done a large number of things, to get the word out, they have, canvass neighborhoods in conjunction with a Voter Registration drive. Theyve been tabling at street fairs. Theyve notified all their existing clients who live in the area that, hey, we have this new office. Come on in. Tell your friends, they participated in Lunar New Year celebrations. They have met with staff of the supervisors in both district four and district seven saying, hey, were here, when constituents call, you know, let them know were here and were serving, folks in your neighborhood, when we look at just the first three quarters of services in the current fiscal year, were showing that theyve served about 175 clients and provided close to 2000 hours of Legal Services. So were very excited about this. With this, the plan with the new, the next two years of this grant is to continue to get them settled in in this new location, continue to get the word out, but most importantly, continue to serve, clients in this, on the western side of the city. With that, im happy to answer any questions that the commissioners might have. Commissioners questions. I have a question about the, so west side Legal Services, this is the services are not just limited to older and seniors, right . I mean, open door legal is available to any member of the community. Or are there some eligibility, this open door legal does serve a wide variety of clientele, this grant in particular is restricted to, it says older adults is technically older adults and adults with disabilities. Okay okay. Great. Great. And then how do you measure the success of the program . I mean, its being utilized. Im just wondering how, you know, do you have feedback on how well the services are are received. Yeah. Theres a theres a couple different ways. We look at it. We look at it objectively. We say how many how many clients did you serve . How many cases did you open during the period . How many hours of Legal Services did you provide . This is these are hours where an attorney is interacting with clients and helping in a variety of ways, we collect outcomes. We ask them when whenever a case is closed, we ask folks to kind of describe the extent of work provided as well as providing us an outcome. Like, did this save their housing . Did this help them enforce a housing right . Did this maintain their benefits . Did this help increase their benefits, so thats something were doing. And then were also going to look, look at this Bigger Picture where we do collect, some information about the, the, the race and ethnicity and the neighborhood location of clients participating in Legal Services. So well be able to go back also and say, how are we doing with serving . How are we engaging with clients on the west side of the city . How are we doing engaging with, Asian Pacific islander clients . Is this providing a net benefit from when we look at years past where we have that data . Okay. Thank you. And this, Legal Services that they provide, they also litigate for damages representing clients, yes. They are able to do that. They are able to do affirmative, suits, which include damages. So if theyre successful, the services that that thats being provided, are they then what are they going to keep their fees or. Yeah. You know we i think that though i think Revenue Generating cases are the exception rather than the rule. And we honestly we dont really have a we dont really have a strategy. We dont we dont have any rules around that, yeah. Okay. Thank you. And you referred to this as a pilot project. Is it still considered pilot as we go into this longer service period, or is it moving from pilot to. Ill call it permanent programing. Im just trying to understand that languaging. Its a great its a great question. You know, we have it has been in an 18 month period. It has it has been successful. It has gotten up. It has gotten running. It is serving clients. I have dropped, i have i have dropped the pilot language. Okay, from these new documents. So i think we can understand this as becoming part of our portfolio of Legal Services. Okay. All right. Thank you. I just wanted to make sure i understood that i just had one minor. Oh, sure. Please first of all, i just want to say thank you for, responding to the Community Needs assessment in terms of the gaps in terms of what services and west side also api accessing Legal Services. I just had a quick question. What is the language capacity provided by this, grantee . Yeah, it is. We have there is on site chain, chinese language capacity , for, you know, permanently in place there, other language capacity is variable based on staff who are on site or other Resources Available in their organization. They are a very technical, high tech organization, so they are able to zoom in other staff from other offices located in the city to help with other language capacities. Okay. Thank you. Mr. Secretary, do we have anyone from the public who wishes to comment on item 11 . G are there any members of the public that would like to comment on item 11 . G moderator please open the phone line for Public Comment on agenda item 11 g. Moderator do we have any callers in the queue . There are no callers. Thank you very much. Hearing no further requests to speak on item 11 g is there a motion to approve . So moved i second mr. Secretary, will you please take a roll call . Vote to approve item 11 g president janet spears. How do you vote . Yes Vice President nelson lum, how do you vote . Yes, commissioner young, how do you vote . Yes. And commissioner linda parker pennington, how do you vote . Yes. Thanks. We have a unanimous vote. Thank you. Thank you, mr. Zogg. I would like to acknowledge that, executive director dearman has now joined us with a smooth handoff, we are now moving on to item 11. H require modification to renew the grant with southwest Community Corporation for the provision of food support for targeted neighborhoods for the period of july 1st, 2024 to june 30th, 2025. In the amount of 167,375, plus a 10 contingency for the total amount not to exceed 437,960. Tiffany deng will present this item. Thank you. Good morning, commissioners president spears and executive director dearman. My name is tiffany deng, a nutritionist at dos, and im seeking the commissions approval for a grant renewal with southwest Community Corporation for food support within the targeted neighborhood of 94112 and 94132, improving geographic access to nutrition support is a key priority for the department. One aim of this program is to increase culturally responsive and linguistically accessible food support for food Insecure Community Members living in nine four, 112 and 94132. These geographical. These geographic zip codes have been identified by h. S. A as areas where residents would benefit from having improved access to culturally relevant food support. Those living in these areas may encounter physical limitation, financial constraints, or limited access to transportation, making it difficult to obtain groceries to maintain a healthy lifestyle. The renewal of this grant will continue to help bridge these gaps and improve the safety net for those Community Members. The Food Support Program will operate out of it. Bookman, which is a Community Center nestled in the heart of lakeshore and omi neighborhood within the 94132 zip code. Every week, the program will offer consumers culturally responsive supplemental groceries from one or more food groups on a set rotating weekly schedule, and have at least one chinese speaking staff member dedicated to the program. For example, the program offered eggs, chicken drumsticks, asian pears, fuji apples, spring onions and mustard greens. In this fiscal year, the program will be a Farmers Market style pantry which allows consumers to choose the foods they want rather than having them receive prebagged groceries. This gives consumers the freedom of choice and minimizes food waste. This grant renewal will support the distribution of 5100 supplemental grocery bags and which will serve at least 100 clients in fiscal year 2425. Thank you for your consideration , and im happy to answer any questions you may have. Commissioners. Are there any questions regarding this contract . Miss grant . Mr. Secretary, do we have anyone from the public who wishes to comment on item 11 . H are there any members of the public that would like to comment on item 11 . H. Hello. You have three minutes and ill let you know at 30s and whenever youre ready, im felicia thibodeau, the executive director of southwest Community Corporation, and i appreciate your vote on this matter. This not only helps us to address, food insecure individuals in the lakeview omi area. Excuse me, but through that, we, strategically place our food distributions with our other activities so it increases , urges people to interact and socialize and engage, which is the most important part. After addressing this food insecure. And im really excited that were able to look at the latinx community, the cantonese community, as well as the African American community and provide a very good, diverse options for food. Thank you. Thank you. Are there other members of the public that would like to speak a moderator . Please open the phone lines for agenda item 11 g. 11 h h yeah. H sorry. And are there any moderator. Are there any phone line callers in the queue . There are no callers. Thank you very much. Hearing no further requests to speak on the item. We will close Public Comment. Is there a motion to approve 11 h so moved second. All righty. Mr. Secretary, will you please take a roll call . Vote for to approve item 11 h president janet spears. How do you vote . Yes Vice President nelson lum, how do you vote . Yes, commissioner wanda young, how do you vote . Yes. And commissioner linda parker pennington, how do you vote . Yes. Thanks. We have a unanimous vote. Thank you. Commissioners. Item 11. I requesting authorization to enter into a grant with Mental Health association of San Francisco for the provision of support for collecting behaviors for the period of july first, 2024 to june 30th, 2028. In the amount of 1,462,791, plus a 10 contingency fee, for a total amount not to exceed 1,000,609 609,070. Donald will present this item. Good morning again, commissioners, executive director damon, my name is don liu and my analyst with the office of Community Partnerships. Im here today to request your approval to enter into a new Grant Agreement with Mental Health association of San Francisco for the provision of social support services for collecting behaviors program. The purpose of this grant is to provide social support services to improve the quality of life, and to prevent eviction and homelessness of individuals. For individuals with hoarding and clustering challenges, and to improve the skills of family members and professionals working with individuals with hoarding and cluttering challenges. Under this grant, the services to be provided include providing inperson and online trainings in the community to Service Providers, landlords, attorneys and family members. Some of the training topics include reducing compulsive, acquiring, grief and hoarding disorder, food hoarding, hoarding in the family. Additionally, the grantee will be conducting Community Outreach, facilitating various support groups, treatment groups, family and friends, support groups, expanding resource database, and increasing community collaborations. As well as providing 1 to 1 information and referrals and referrals to the program. Includes selfreferrals through phone, email, mhas website, as well as Third Party Referrals from therapists and eps, adult protective services, social workers outreach efforts, including hosting Community Events and conferences, engaging with residents living in sros, and meeting regularly with Community Members to promote the program and that is my presentation, and i will do my best to answer any questions the commission may have. Thank you. Commissioners, are there any questions regarding this item . I have, sure, just a brief question. I noticed in the in covered memo under service to be provided that the location main location is at 70 market and also a note that the services will be provided throughout San Francisco. Can you expand that a little bit, or give me a little bit more information about what throughout San Francisco means . Thank you for the question, commissioners. So yes, so basically for this program, theres a couple components. One is that they will do presentation and education in the community. So that will be throughout the city. And then also they provide support groups to individuals with coding challenges. So thats based off their main Office Locations as well as they provide support groups through online virtually as well. So, including friends and Family Support groups and then also treatment groups. Thats also based on off their main office location. Right . I mean, as far as throughout San Francisco, do they partner with other cbos or, i mean, were do they provide it throughout San Francisco . Yes. So currently they theres two primary subcontractors with Mental Health of association of San Francisco. So they do partner with open house to provide a dedicated support groups to lgbt seniors. And then they also have a license, family, marriage and family therapists to provide consultations and let some of the treatment groups and friends and Family Support groups. Cofacilitate those groups with peers as well. Okay. And can you also tell a little bit more about language capacity . Yes, this grantee has. So in terms of language capacity, Mental Health association of San Francisco, currently they can provide services in spanish, cantonese, mandarin, tagalog and vietnamese. And then also they use a Language Line for Translation Services as needed. Some of their materials are currently in spanish. And this year they are working to increase those materials and fliers in other languages as well. Okay, great. Thank you. Commissioners, any other questions . Mr. Secretary . We, see if theres any Public Comment. Are there any members of the public that would like to comment on agenda item 11 . I. Hi. Youll have three minutes to speak and ill let you know when youll hear a bell. When 30 minutes 30s left. Thank you. Hello. My name is elizabeth barr. Im a peer counselor at the Mental Health association of San Francisco and the hoarding behavior program. I first came to the became aware of masf as a participant because i had too many items in my home and i was afraid of eviction. And thanks to the information that i had received through my contact at masf, i have now, im now pretty much clutter free, and i didnt let anybody into my home for ten years because i was ashamed of my situation and im no longer terrified of that. The one thing that scares people with hoarding disorder the most, which is the knock on the door that somebody is going to come in, most especially the landlord and, it is believed that 2 to 6 of San Francisco residents have hoarding behavior. It is believed that 25 of low income seniors living in Supportive Housing have hoarding disorder, we i have been told by legal aid associations, at least one of them, that hoarding behavior is the number one cause of eviction in San Francisco, not lack of payment, not noise, but having too many items in the home. And in the case of many low income seniors, this can lead to being unhoused, which can obviously aggravate our already complicated situation with the unhoused population. So i would urge that this commission do, in fact, approve of this proposal. And in fact, next time we come around, increase it, because we do do a lot of services and the question that came up earlier, we do have 1 to 1 Peer Services where we actually visit the individual all in their homes to help them strategize what to do about their items. Thank you so much for your time. I am available for any questions now or in the future. Thank you. Thank you very much for sharing your story. Thank you. Are there any other members of the public that would like to comment on agenda item . I moderator please open the phone lines for Public Comment. Moderator any callers in the queue . There are no callers. Thank you very much. Hearing no further requests to speak on item 11, i is there a motion . So moved. Second. Mr. Secretary, will you please take a roll call . Vote for item 11. I president janet spears. How do you vote . Yes. Vice president nelson lum, how do you vote . Yes, commissioner wanda young, how do you vote . Yes and commissioner linda parker pennington, how do you vote . Yes. Thanks. We have a unanimous vote. Thank you. Commissioners. Item 11 j is requesting authorization to enter into grants with multiple providers for the provision of aging and Disability Resource Centers for the period of july 1st, 2024 to june 30th, 2026. The amount of 3,220,061, plus a 10 contingency for a total amount not to exceed 3,542,067, sarah hoffenberg will present this item. Thank you, good morning, president spears. Commissioners and executive director dearman, my name is sarah hoffenberg, and im a Program Analyst with the does office of Community Partnerships. Im here today to ask your approval to enter into contracts for the aging and Disability Resource Centers, or adcs, and the adrc citywide coordinator, adrcs administer information, referral assistance and Translation Services at locations throughout San Francisco, providing crucial support for many older adults, adults with disabilities, and caregivers in the community. The adrc coordinator provides individual and Group Administrative support, educational and administrative trainings, chart and documentation review, outreach coordination, and an opportunity for professional networking and resource sharing with the adrc staff. Adrc services are structured to ensure availability and accessibility throughout San Francisco, with at least one adrc in each of the supervisory districts, thereby providing services in the community where the client lives. There are also two citywide adcs, one with a focus on serving the Disability Community and the other focused on serving the lgbtq plus community. Participants have to be a San Francisco resident aged 60 and over, age 18 to 59 with a disability or a caregiver in the community. Services are targeted towards those who are socially isolated, low income, non or limited English Speaking from communities of color identify as lgbtq plus or at risk of institutional ization. Information of Services Provided by the adcs include Adult Day Health care, caregiver assistance and support. Community services, health and wellness, education, emergency preparedness, Employment Benefits assistance, food and nutrition assistance, housing and shelter, inhome care, legal safety, recreation, senior centers, Mental Health, disability resources, veterans resources, vocational training, lgbtq plus programs, and services, and transportation. Adcs also provide assistance with referrals and application for these services. This may include translation, contacting agencies on behalf of the client, filling out forms, completing online referrals, and more. Adrc staff provide follow up to ensure that the individual is aware of the opportunities available and receive the services needed. Outreach is an essential element of adrc services. Each adrc conducts outreach through presentations and participation in events to spread awareness of both adrc and dost services. Existing contract terms require each adrc to conduct two outreach events per quarter. We have expanded upon that for this new contract term, each adrc will be required to conduct three outreach events per quarter per full time staff member. One of these three events will be focused on reaching the Disability Community. Another will be conducted at a Community Center or senior Service Provider at a different location within the supervisorial district, or for the citywide adrc somewhere else in the city, and the third will be at the discretion of the adrc. With this expanded outreach, we hope to not only increase awareness of adrc and dost services, but also improve access to and increase participation in these services. Most of the adcs have bilingual staff and are able to provide support in at least one of the following languages cantonese, mandarin, spanish, filipino, vietnamese, russian, samoan, thai, chinese and american sign language. If an adrc does not have language capacity to serve a particular client, they may call on other staff from within their agency. Utilize Language Line services, or if a client prefers, they may be referred to another adrc that has that particular language capacity. The adrc citywide coordinator delivers weekly consultation to adrc staff. These consultation sessions emphasize specific adrc staff performance issues, challenging client issues, and offers guidance for maintaining quality information and assistance services. The coordinator also provides Monthly Group consultations for all adrc staff Group Meetings provide case consultation, topic specific training and reviews of core tasks and standards. A few examples of previous trainings include disability and ableism, medicare and medicaid updates, and working with the blind community. With this contract, at least half of the adrc staff Group Meetings will include training or Information Services around working with people with disabilities and Disability Services available. The citywide coordinator also meets with the adrc supervisors on a quarterly basis, in order to make the programs more effective and collaborative. Additionally, the citywide coordinator will develop and maintain an outreach plan and materials for adrc staff. Collaboration on the plan will identify targets for increased utilization of adrc services and historically underserved neighborhoods. The plan will, at a minimum, develop and identify outreach events in conjunction with other adrc partners, updating outreach events monthly. They will also arrange for the execution of outreach events, providing outreach through presentation and fairs, and partnering with adr staff and or doc staff to events. Building on the previous contract and entering into the new ones, we are excited and focused on continuing the collaborative relationships amongst the adcs, the adrc citywide coordinator and das. It is through this collaboration that we learn from and help each other to provide High Quality Services to the people of our community. That is my presentation and ill do my best to answer any questions you may have at this time. Thank you, thank you. Commissioners, are there questions regarding this, contract . Yeah. If you can go and then ill go. Okay i have two comments and a question, comment. Im pleased to see the expansion of the outreach. I think thats excellent. And i really think that the use of the citywide adrc coordinator is an Excellent Way to go in terms of, of, maximizing resources as being more effective, being more efficient. So i think thats a really great structure. My question has to do more with, has to do with, adcs in the city. I noticed the, the listening to cover memo, it lists one, two, three, 4 or 5 six, seven adcs are those inclusive . Is that but we have others thats not here. We do have others. And ill be seeing you all back next month. Okay all right. For those ones okay. Yeah. Thatll be districts three, four, six, seven and 11. Okay. Are you reading what exactly . I was just wondering what happened to the other districts. Okay. Yeah. Great okay, great. Thank you, thank you. That was one of my questions. So thank you. And then my other question is and this is just so it probably should know this. Can you explain to us how the hub and the adcs Work Together. Like if someone goes to a hub, are they then sent to an adrc or how does that actually work . Or is there any connection whatsoever between quote, going to the hub and then being dispersed . Sure. I would like the hub is the citys adrc city and countys adrc and all of the district adcs are like just for the best word available kind of satellite adcs, and they all Work Together in conjunction. I think theyre called connectors or community connectors. Extended partner. Thank you. Okay. Its been a long morning, so there are extended partners. The work is very similar. Okay, it may be i mean, for the most part, if someone goes to the hub, theyll get information, referral assistance services. There but it might be that someone finds that they might feel more comfortable, lets say at open house. That specifically works, or focuses on the lgbtq plus community. So there might be a referral that way, but its more the goal is to provide those services in the community, in the neighborhood, the location where people live. Okay that that, that helps me quite a bit to understand that, are there any other questions from the commissioners . So thank you. Thank you for that, mr. Secretary, any comments from the public . Are there any members of the public that would like to comment on agenda item 11 . J moderator please open the phone line for Public Comment on agenda item 11 j. Moderator do we have any callers in the queue . There are no callers. Thank you. Commissioners hearing no further comment on this, are there lord have mercy. Motion. Yeah, im going there. Hearing no further requests to speak on the item. We will close Public Comment. Is there a motion to approve item 11 . So moved second, mr. Secretary, will you please take a roll call . Vote president janet spears. How do you vote . Yes. Vice president nelson lum, how do you vote . Yes commissioner wanda young, how do you vote . Yes. And commissioner linda parker pennington, how do you vote . Yes. Thanks. We have a unanimous vote. Thank you. And thank you very much. Commissioners, are there any announcements for from the commissioners . For this meeting . So with no comments, any comments from executive director, dearman . Okay. Thank you. So i will adjourn the meeting. Thank you very much, everyone. Job well done. Shared spaces have transformed San Franciscos adjacent sidewalks, local business communities are more resilient and their Neighborhood Centers are more vibrant and mildly. Sidewalks and parking lanes can be used for outdoor seating, dining, merchandising, and other community activities. Were counting on operators of shared spaces to ensure their sites are safe and accessible for all. People with disabilities enjoy all types of spaces. Please provide at least 8 feet of open uninterrupted sidewalk so everyone can get through. Sidewalk diverter let those who have low vision navigate through dining and other activity areas on the sidewalk. These devices are rectangular planters or boxes that are placed on the sidewalk at the ends of each shared space and need to be at least 12 inches wide and 24 inches long and 30 inches tall. They can be on wheels to make it easy to bring in and out at the start and the end of each day. But during business hours, they should be stationary and secure. Please provide at least one Wheelchair Accessible dining table in your shared space so the disability people can patronize your business. To ensure that wheelchair users can get to the Wheelchair Accessible area in the park area, provide an adequate ramp or parklet ramps are even with the curb. Nobody wants to trip or get stuck. Cable covers or cable ramps can create tripping hazards and difficulties for wheelchair users so they are not permitted on sidewalks. Instead, electrical cables should run overhead at least ten feet above sidewalk. These updates to the shared Spaces Program will help to ensure safety and accessibility for everyone, so that we can all enjoy these public spaces. More information is available at sf. Govt shared spaces. Television. music . Hi, im welcome to the to San Francisco inperson a roundtable person about important topics were to be talking about maturing and aging retirement life really, really trying to speak with you all did i. Something that im trying to plan for and thinking about every year as im working everyday and hoping not to work