Transcripts For SFGTV BOS Budget And Finance Committee 5416 20160508

Well Departments Department of aging Adult Services and the office of early care and education as you may know the mayors announced aid move forward with the budget establishing a new department of homelessness or Homeless Services which will move out the hsa division of Homelessness Department and we have sam dodge to present on the initial thoughts of of department of homelessness ill move into the department of health and department of aging Adult Services and early care and education interest as you may know Human Services agency broadly speaking we serve the low income single adults and families and seniors and children in San Francisco and through the various programs to promote the sufficiency amongst the population and the agencies that protects 9 vulnerability through the Child Welfare and protective services and Human Services as well. But for the latter fall under daasw rather than walk you through a lot of dollars and sort of the more detailed portions of our proposed budget i want to talk about arithmetics about what is driving where were propose to spend how public dollars so essentially yield of our Protection Program Child Welfare our programs are driven by serving those who are in most defined and income we do it in 4 principle areas through income supports and throughout the public assistance, cal works as well as the county of Assistance Program undertook the nutritious all through our calfresh and a number of contracts with communitybased organizations we did provide health care and insurance 0 through medical that is as you may know sitting calendar in the acting and seek to provide the Housing Support from Emergency Shelter to subsidies to Supportive Housing that last piece currently the Human Services budgeted will move out of 20162017 so we look at how we can configure those and governed by federal and state law that authors the programs and well talk about in broader terms to our level it is whos poor in San Francisco and despite the Economic Growth job growth and decreasing unemployment there be hundreds of thousands of residents that are struggling financially and this bar graph you see where those fall it is important to note were not using the federal definition of poverty the wolfed one hundred but in San Francisco bay area would have had is defined and object and 2 had had percent your considered low income in San Francisco as you can see the numbers were looking at extremely poor under 50 percent of poverty we have 45 thousand residents the vast majority are in 1 or many of the programs as well as the next bar under one hundred federal poverty an example in the medicine be Affordable Health care act it touched up to one hundred percent and the second bar a little bit of the third and obviously a significant expansion in the medicaid so, now ill quorum through the programs that again, we administrative at the campus and city level that are authorized through the federal legislation in addition through state implementing legislation so medical as you can see the Affordable Health care act continues to be a tremors success and asset to the portion of San Francisco since we began in 2014 we reached one hundred and 20 thousand cases of february of this year and as you can see did significant increase in the chart on the right notablely though the medical has tripled of one hundred and 34 percent the number of staff in the budget who support of enrollment and the comboiblth the oewd workers has increased by 28 percent this is not to say we dont need the Ability Services workers a quirk experience force those who apply and maintain their eligibility we have a significant change in our business processes to allow to serve the significant increase in population with staff that is not increasing proportional to that caseload increase also in medical a penetration in medical is in the highest of the state were touching well over 95 percent of those who are eligible state legislation that was passed i think two years ago will enable 16 hundred undocumented children inform receive medical Health Insurance they were only for limit medical we anticipate a little bit more uptick an increase to our caseload given the undocumented enrollments that given very, very soon calfresh a significant increase from the chart began well before the implementation of the passage of the and implementation the Affordable Health care act due to outreach due to efficiency we have undertaken to opening up neighborhood offices and the partnerships and with the food bank and other food providers however, we do unlike medical weve reached again, a vast majority we have a was to go with calfresh different studies show our penetration is 50 to 55 percent of those eligible those are projections on the low side in terms of penetration rate nevertheless, 45 or 60 percent question is where a number thousands of San Francisco households we can potentially enroll in the Calfresh Program the beauty of one of the benefits of the Affordable Health care act is providing Health Insurance through for the poorest of the poor allows us to market and do what we call in catcher reaching looking at those who are newly eligible and seeing who when a other benefits those households are enrolled in around calfresh to look at office of the city administrator those and expedite their enrollment and one of the streams to increase uptick of significant important food support were also trying to continue to integrate our eligibility work matt haney a single case worker for cal calfresh and cal works for an individual how their applying challenges do remain as i said weve gold a significant number of folks upwards of 20 minutes and open enforcement again call rates for folks who choose to enroll on the phone and our goal to have wait times of less than 30 seconds that will drive the demand time rate were relying on overtime hours were proposing the budget in june proposal to increase the eligibility workforce in calfresh and medical again not an increase as portional to the there on the last to help principally help get for households on calfresh but produce the less wait 7, 8, 9 for the eligibility programs on the cash so far as and Investment Infrastructure is the Calfresh Program comprised of 4 programs for those centered around the need of the population other than, of course, their poverty needs whether . Movement towards federal ssi or moving employment or less requirements due to a little of the applicant or recipient the case has declined cal works case welfare to work is cash assistance for families is declined not as the caseload this tends to you look at sort of do a 10 to 15 year look back it rise and falls with the unemployment so more dulls are benefiting and getting jobs as well as those for federal disability through ssi that puts them off the caseload we still have almost 55 hundred individuals that again those are single adults over 18 with no did not significant numbers still need to move into federal disability or employment were attempting to do is make a lot of pragmatic changes some of those we can do simply changing the operations but a number will require changes no local ordinances youll see in the proposal in june is a number of amendments to the county assistant ordinance with the eye and simplifying the application and the goiblth requirements to get those who are able to work quicker into jobs and subsidized employment and assistance so, of course, ill talk more in detail in a couple of months but this is been a two year internal and external undertaking for this program recognizing where the unique needs and various needs amongst the population to govern the ordinance to meet those are challenging but we think weve produced a passage of reforms that helps us drive that caseload down over time drive that in the near term increase it as we see others on board we want those who are entitled to public assistance to come in and stay on so we can engage them in the Robust Services to offer them cal is our state mandated program for families that are low income pertaining families on cal workers comprise 80 percent of the caseload and parents that are low income and for all of them to get the paternities into work if parents cant work due to a disability we do the same cap that helps them navigate the application process with the ssi their children, however, will remain eligible for cal workers, however, the parents are not required to work the fetsdz and the state requirement of 50 percent if we are blow 50 percent were subject to come be subject to federal and state fiscal sanction who years ago we were 35 percent and we had been there for probably a decade due to significant state reforms as well as changes in the local operation and Service Delivery weve pushed the number of significantly and good for two reasons well not face a fiscal sanction but more families are engaged in Employment Training and subsidize employment and doing removal work their children are getting caregiver and Health Treatment and transportation and all those obviously are critical if we are to move families from public assistance into the workforce and ultimately into selfsufficiency the other piece of cal workers were glad this govern focuses on positive changes which is funding of Additional Service through cal workers the cal working program for housing subsidies so far cal works families two hundred homeless cal works family all of our cal works parents through the robust profiler process a state required appraisal very, very comprehensive tools that looks at really the whole family what is going on within the family we need to aid what are the strengths to get that family off public assistance and selfsufficiency what is going on with their household and and their inward and housing, etc. That then helps inform our welfare to work plans and related support of services we need to provide parents and their kids in order to move them again off of the public assistance and the last is a local strategy but embedded in the cal works the project 5 hundred initiative that i say youre not Human Services agency but ours as in the citys as in the Mayors Office are significant other reels significant partner in this department of health but also department of children, youth, and Families First 5 rec and park, the idea being those families 5 hundred of our lowest new york families in San Francisco need more than income support and job training to get out of poverty they need help with the department of health and Child Maternal Health and safety and access to afterschool programs with dcyf or summer exams through rec and park and looking at wag, we do to stop and disruptive this transition of entering generational poverty and focusing on without going into much detail but a two generation strategy that looks at low income moms who have a new born many of whom have older siblings that is the hook anothers breaking that entering generation all poverty we dont want that newborn and sibling to become poor when they hit adulthood but to break that and the strategy to easily define the population and identify the population but this is going through work and research by the department of health the engagement and the opportunities for engagement when a mom has a new born a much, much better when they have an older have older children some inviting program that the public Health Department has been doing nor a number of years moms seem more receptive and needing of the program when this is the sort of entree into the whole initiative not mom you have a new born lets get to work lets help you manage the first 12 or 24 months with the new born and managing that household is the next steps to move into work and off of poverty and the last area ill talk about not necessarily a low Income Program is it so not it if so by happenstance but our really crisis preservation our Public Protection for kids when the defendants but the Child Welfare services the administration of child prevent Services Adoptions and a whole range of category it seeks to prevent abuse and. Thank you very much. Next speaker. Keep families intact and assists children that are of abuse and neglect in a better way to make sure that all the negative the negative impact of that abuse on the kid is in a debated as quickly as possible and over the long term technical Child Welfare 9 Core Practice mode and care reform and broadly speaking those are strategies that helps e helps us in broad terms keep families intact and children do need to come into the foster care make that stay as short as possible by adoption in foster care make sure those replacements with supposedly and meet the needs of kids through Mental Health and educational supports and connections with adults through families to maintain the connection with the extended families through better visitation and a whole host of evidence informed evidence based practices that fall under the title 40 waiver and the continued care reform i want to note specifically though the third bludgeon an issue that garntsd attention at the state level weve known for years decades really that our kids in foster care are vulnerable sexual abuse and dont want to criminalize kids victims of sexual abuse but local and state and local practices to address that particular program the hundreds of kids that are at risk and children engaged in sex trafficking and better training for the staff a noncriminalization approach for those children who are victims theres literally dozens of bills in the state protective if sentencing reform to criminalization to look at the reforms in the way the probation deals with children and sight reforms in the way we can help help those vulnerable children. One second supervisor kim. I just had some questions on the Foster Care Program you said that you tried to use it sparely to limit the amount of time w45u9 the average time in spending in foster care. So the number is driving down the average length of the stay will be ball parking we have a cohort of kids in foster a long time six or eight years more kids that may have come in at a young age and not able to get if unification with the parents or adoption their older and in care significant challenge getting older kids adopted out of the system youre faced as a tragic that kids have to go into foster care we are doing a better job but the cohort remains the kids in foster care kids that come in as a younger age belief before six or eight months we are better another addressing the kids that are older needs to come into foster care is sexual abuse and other things we look at the length of stay in care and look at the first time entries into care the unification rates were picking up in every area with the care thats a good thing when you look at the caseloads there were 28 hundred kids in foster care. How many 28 hundred about 8 years ago now blow seven hundred and thats kids under a 18 we do fortunately have what is called nonminor dependent foster care through the Assembly Bill 12 which loud the kids to remain in foster through age 21st and 18 theyre not prepared to enter the world whether college and whatever so we can provide for their support up to age 22 in the form of housing or tuition that numbers is 200 and 50 so under seven hundred kids and 200 and 50 nondid not that would be been out of the system. Between 200 and 50 and ages 18 to 21 yes. And seven hundred that are 18. 6 hundred and 97 that is a couple days ago. Theres used to be 28 hundred what year. That is probably around 2006 or 2008. Thats great over the course of 10 years and yeah. What did you think accounted for that reduction. It is a significant reduction and not unlike a reduction statewide 60 percent reduction due to a significant number of reforms with the federal and the adoption act but also some of the 636 and other state reforms that really moved the system from a process oriented focus are we are doing the monthly visits are the homes licensed and how the kids are doing in care how short how long are the kids in care hallway quickly to adoption and held to the 18 federal measurements which we look at quarterly come out how are we are doing in 2000 i used to at a underlying blind when we didnt know about the unification and uc berkley statewide manages this data for all 58 county to during this trial deep to know decade you anywhere with with the needs of reforms addressing the particular system and begin to drive down things like care we know better now it is much, much better to provide inhome care rather than the first relaxing relax to remove the kids from their birth parents and she for example, she was on drugs when they gave birth we automatically remove but now not whats the process forces treatment and not pull one more thing away from a mom that is struggling so were mindful of the importance of intact families and when we can keep them save we want the kids to stay at home and changes no guardianship now the freshen and they pay for guardians to be legal guardians only then they got no more support now we do now with their aunt and getting Financial Support a series of reforms that you know they implement it has with funding to drive those numbers down. So use to be as a Family Guardian over parenting didnt get the same advantage to take care of thats correct. Incentivizing yeah, the adults that strangers that are foster. Yeah. And the other sings you brought it up the title 40 what the title 70 side were one of the 10 counties statewide that signed on to the waiver title 40 the truth of the matter for foster care 2 works for nonwaiver county you only get the federal funding when the child is remove from their home and it didnt play out on the ground thinking we removed the kids i can get more money but to use the federal dollars we want to use the federal dollars for intact home we cannot on the state or local dollars the federal money we can now do we we think is the best the Human Services are part of labor that allows for much Better Service much more density wrap up we dont have wrap up services for kids is it doesnt matter anymore tens of thousands of dollars we can use in a better way. For the 18 to 20 more transitional issues to fostered what kind of support to access to College Higher education. Yeah. Well to that many of the kids 12 enter a post dependent living plan plan theres a lot of acronyms in the plan it says a plan that is how can we get you once to age 22 in a place to be you can be dependent a draft to college or through College Component might be a better Vocational Training or roommate matching a host of the activities we are funded to we can implement to address the needs of those kids it is a challenge many of these kids as i said turn 18 in the system had multi placements a halfdozen foster homes and many different schools not their high School Dilemma or ged those are the issues were struggling with and if we dont intervention we know the negative outcomes long term we know that the process p,z e, finance governance pecks of being homeless we know their greater so not only you know is it good for the individual. In the systems much like making the entering generational poverty breaking that needs for crisis intervention and imagine for kids in foster care that is ab 6 do. The likelihood of being homelessness in foster care is stunning my second question to cal workers or workers is the wage pay minimum wage is it 13 an hour now. 13 or 1350. 1225, 13 in july. Oh. Thats right. Oh, let me check he thought that was january it went up to 13 but maybe july 1st we know the population is growing demographic women with children under of one of the faster growing. We can debate that supervisor it is a given. It is growing. Sure. And i know that those programs are already expensive were not suggesting to pay more but a what can we do to stabilize those families to make sure theyre not turning into homelessness. Sure the cal works i mentioned it the support state dollars of which we received over 2 million i think that provides a rental unit subsidy or subsidy it is a need in 1998 we sponsored a bill spaepz was the author to use the cal works it passed the protective then govern gray davis fast forward to 2014 the protective realized this was an issue and signed by the give me it supervisor youre talking about families that are already in cal works they have assess to the training and subsidize jobs childcare whatever the work were doing with campus Family Services and the wait lists get to availism of cal works to get into the state funded support typically a family that is homeless we dont require them to be doing activities theyre number one work with us is to try to end homeless so that can, done through the cal works and once in partnership with the department of children, youth, and families and other provider we get them there rental unit it is with the case working as well as our employments counselor and move them at a fast track into employment with the 13 an hour wage and the outcomes we see from subsidizing employment continue to be very, very positive 2 3rds of exist continue to earn and off assistance and the only poverty out of poverty country is out of work by getting homeless families stable and wrap up with the childcare transportation and that job were seeing good successes thank you uhhuh. So supervisor yee. First of all, i want to commend your work on the fosters child serving kids and i know that is a lot of it operationally is also the advocacy from the city to the state and to the federal because 10 years ago it was a mess and you talk about some of the benchmarks for foster care system and for some of these initiatives youre talking about project 5 hundred and others what i hear how had had you measure the success. We have the strategy. Im not hearing how ill measure. Sure i talked about the outcome for families and childrens to supervisor kims question i did not go into the detail in the presentation but i certainly will in june the project 5 hundred the ultimate goal to get families out of poverty is that 200 percent or whatever for project 5 hundred the goals are more in the way were approaching this driven by that particular families strength and needs so for particular family it maybe simply getting their child to school on time for 6 months maybe having our child in high Quality Childcare it would be attending you know 4 months have a job ready course or it is such an intensive casework Family Interactive prose the goal how many families got out of poverty were engaged with signed a contract but we have an measure with the dependent family well be working with that person or firm only one person to identify the metrics both at the family level and but also the progressive level and dialoguing with our partners in health more than just in comes and Outcomes Health of the parents and child that is a process again, we Just Launched project 5 hundred and havent gold the first family but those are the things im certainly in any presentation in june walk through some of the significant benchmarks and indicators Performance Measurements so far all the programs. Thats correct i would be personally kind of interested to go dope and didnt have to be necessarily it would be just my office. Ill be happy to. Clearances any other questions or comments if im not mistaken well call up homeless. Through the committee sam dodge or department of children, youth, and families executed up as well well call Homeless Services only balls we wanted to certain individuals to hear that before they leave. Sam dodge told me weve been engaged that the district and hsa and working to stand up Depth Department of Homeless Services this is an overview about what is coming in and where were in the process i want to be cognizant of your time sow go a little bit fast those are some of the ideas informing our efforts heres our goals to end the homelessness for 8 thousand people in the next 4 years prevents people from becoming homeless with the time to reeducate and decrease the number of people exercising homelessness at one time these are the guideline principles San Francisco is a Housing First city we know that is an evidentiary based best practices to rapidly return people to housing it is better and Customer Service is important with an engagements of over seven hundred people experiencing homelessness they told us again and again approach is allowed people to accept the services a practical measure and also an important emphasis were helping people in the middle of their crisis to be proud of and Customer Service approach and Trauma Services is the best cooperated with transparent how to make the decisions about plummet and focus on the long term homeless and the strategy practices with the staff coming in the next quarter so this is our spending as supervises know it has been a drastic increase in the budget serving people exercising homelessness and 50 percent over this time period heres the distribution of where were spending that money it is a combination of you know the Human Services agency and the department of health the big buckets and theres some others but you know were pulling down federal money to help support our programs between medical and the continuum process i want to say we have got the second year tier funding San Francisco was waterway 31 million from hud a record year on top of last years we won a Bonus Program is it so good news and there was some cuts even though we won the record amount of funds for great programs that will help people end homeless but seen kits in the job programs this is part our our budget to expand our services what we know works. We continuing of federal money. Again, this is how that money that 200 and 41 million is spent the lions share is in support of housing for people formally homeless and i cant emphasis there is a lot of confusion within the building about the amount of resources were spending on people exercising homelessness and where the resources are spent so the vast majority is you know keeping people housed that are formally homeless and medically frail the Health Services because of the Health Conditions and preventing homelessness and training hope people through rental subsidies we have you know thanks to the board made Strategic Investments in outreach and shelters and additional housing really the smaller part of our system and what programs are coming over into the new departments and from preservation to remove to intervention with the trickle housing and the permanent housing and rapid housing programs are coming together with a full supreme from the streets to home. Not one answer for people exercising homelessness everyones journey is individual we look at the programs into serving people in ways that will help them return to housing and those are the buckets we use families with children and trickle age youth and veterans you know, i want to say weve seen that street Homeless People exercising homelessness are a little bit different had an the intervention with people that are making good use of our shelter system heres some of the system graphs places for growth you know often based on the great work that is done already this is part of the idea of the new department that we experimented to a point we know we can do more by corresponding our efforts we corridor the entry with the homeless in the housing with our veterans effort and working to bring that cooperated entry model to single dulls and rapid rehousing is director was explaining so successful with the families were really not bringing it to scale like we can he can do it with other populations weve seen it work in other counties a county wide database that ties the communities together and makes assessable the programs for people to end their homelessness not silos of programs within our Provider Community or within our departments but really a client based system and part that have is having cooperated database and also you know helping people move out of the expensive interventions that are right sized for their needs helping people move out of the supportive hours when appropriate and when we can give them dont under the circumstances. Mr. Dodge. Why not go ahead. This is our department timeline right now weve done a director search with entries around the crisis and making our decision the mayor is weighing options the ideas to do transfer the function with the budget and continue with the Strategic Planning when we get everybody together with that, ill answer questions. Mr. Dodge first of all, thank you for your work this topic youre doing an amazing job in that a year of transition and all the planning to thank you there are two things in terms of of the bar chart and spending i think one of the things that gets talked about i think we need to do a better job of saying this is as new spending every year if we dont do this the families will be on street and adds a sixth number to the theres people are saying gosh were spending it is in a defensive position if we didnt do that what would happen and lastly i hope at some point we remove the Supportive Housing i think that is right way to talk about it and certainly to build the housing ladder in the city and Going Forward supervisor yee. Thank you mr. Dodge thank you for your work and coming out to district 7 for our housing summit to end homelessness i think that was very helpful for people to here the prospective on that a couple of questions that note at that particular meeting but it was actually a few days later people wanted to talk about homelessness when i had the experts to answer the questions a couple of questions maybe you can help me or think about this they the question i asked director about benchmarking how are you seeing assess in your programs as we move forward because there it comes from the prospective like oh, were spending a quarter of a billion dollars how do we measure that. Thank you, supervisor we have been looking at outcome based success measures i mean the Homeless Services is one of these unique social crisis categories with you end homelessness and hope poem to stabilize and return to housing youve had success part of our work with the Navigation Center to have a weekly dashboard to look at the indicators and the macro indicators how many people have we housed and where are people in the housing supreme and the timelines for success and how will we can work on the steps this is part of the goals to really bring our whole system to have a predictable model to look alive as we go how are we are doing is there interventions a lag or gap in the services you know we want to really make sure were allocating the right interventions to the right populations people experience homelessness in a variety of was but the most tells me indicators the time that people are homeless it is very exists we have a small group of people that have homeless history of a decade or more and we need real and deceptiveness intervention we have a large group of people that experience short bouts of homeless and the shelter can help many people catch their breath and return to the mainstream of life to make sure were allocating the right resources to the right populations and our ultimate measure of success our appointing count how many people are experiencing homelessness and how many people are experiencing homelessness in the shelters that looks at the broadly context you know the state of california and the nation there are some things that blow against us that are hard to defeat but if were making the programs and we are you know giving people the right intervene and we should be able to see significant progress in that appointment count how many people are experiencing homelessness at the same time. I appreciate that i think maybe similar views to supervisor farrell about the support of housing piece and how they explain that it i get a feeling when people think about homeless preservation or homeless helping the hoping we dont consider housing at all it is almost like who is out on the street trying to remove them this is not everybody but a lot of people think that way so that would be helpful for me to explain it for example, for the support of housing we definitely figure out how we can show some success in that my guess the percentage should be divided into Supportive Housing not going back spot streets i would love to have those numbers to explain to people and by the way, to the people out there that think this is the end of where we are supportive of our people in San Francisco the residents with homeless preservation there is we support a lot of legal organizations to help tenants for instance, and that is not part of this but we also as most people have been fighting to have more Affordable Housing built this is also a piece of this because it is all about how we keep people from having to go into the streets so that much of it is about Affordable Housing so if you could break it down more for us. Sure. In terms of even the buckets you were talking about i could explain that better to people. Our Supportive Housing and programs consistently shown well over 95 or 90 percent success rates with all populations so im talking about people that are facing multi extreme challenges in their lives whether they are be physical, Mental Health crisis or Substance Abuse a others we know that housing works we know our communitybased provider meet the people where theyre at and make them successful and help them with their lives when people are connected to the services they do very well and as far as preservation as i often consider rapid rehousing part of prevention and a success rate with rapid rehousing parts of this idea that once our back into our own housing life is important manageable and our supporters work that much better at that point so you know that is scaling the models the interventions we know much work well the cost of shelter and those kind of interventions are nothing Navigation Center is the high cost intervention. Necessary for some people if we take the same cost of interventions whether paying back rents or Legal Services see great dividends people dont return to the shelters or not touch the homelessness again that adage the penny of prevention is true in Homeless Services. One more comment the sometimes when i have in a place i can have more discussion with people that i think i could sort of defy a difference prospective i think i it is actually a lot more affordable and cheaper to do the work as you put someone in jail. Oh, yeah. I mean in the real amazing work that the department of health has been doing with their highest utilizers in the system someone is out on the street and maintaining their existence can be 60 or 80,000 a year rather than getting them into Supportive Housing manage this complex issue much better for 20,000 a year so making those kinds of trades it is important the doing the right thing and we have the capacity we cant do it all at once but moving toward a system that helps people return to housing with the kind of supports to be successful in the interim there is situations on the street we need to respond respectfully to also ways that help address the you know a safety and Homeless Needs for the entire community including those experiencing homelessness with the department we stepping forward to build the system to respond to the people in homelessness. Supervisor kim. Thank you supervisor yee. You know what i thank supervisor farrell and supervisor yee you touched on the question and feedback we get so much from the neighborhood meeting we spent out this money on homelessness and how is it effective it is getting worse so how do you breakdown it is 40,000 per homeless person how come not making that work and it helps us to know that chunk is housing people. You cant count that towards the 6 seven hundred people that live in the shelter but that would be helpful to the residents to understand as we grow this budget and their investment on homelessness how we spend those dollars even on a personal was not accurate way to understand how to address homelessness but that would be helpful to us were often at the meeting answer those questions and two ive had this conversation with you, you used to work in new york city the other city were we often compared to with homelessness how come new york city is to good to a would be good to get a comparison on how we and i dont recognize addresses it. In the category of 55 million in the intervention like shelters and trickle housing and drop in centers the vfth in new york city is over billion dollars they we have a nightly shelter capacity of other than 13 hundred and people they have a nightly capacity of 60 thousand it is hard to understand but people understand that 200 person shelter a large shelter you escape that up to 60 thousand and you know there are shelters in every simple neighborhood in new york city so go theyre a little bit of a difference in their state constitution which is a effected with lawsuits that entitles people a right to shelter people are. Right. To shelter and have a right to get both a shelter bed that night it is an expensive are system and a difficult shelter respend a lot of money that is it is a comparison theres in the comparison that really needs to be made you get a few feet of snow in new york city and the summers are not easy there is a flash rain and high humidity so it is a very diversity context than california as far as what it takes to live outside so speaking to that i think that is better to compare apples to apples and not the 42,000 we spend 45 million on outreach and shelters and drop in centers in comparison to nobs new york city that spends a billion dollars whats the Homeless Count the Homeless Count on the street is around 3 and a half thousand their Homeless Count overall is over 60 thousand. Right. So living on the streets is 35 hundred in shelters about 60 thousand San Francisco what you say i thought that is 16 hundred shelter beds but 13 hundred including the Navigation Center. Oh, yeah. If you include the family shelters. It is 16 hundred. So we have roughly 16 hundred in shelter and minus that is 67 hour count on the streets is 5 thousand. No our count ones the street a 35 hundred we do a robust count compare to office of the city administrator communities we look at the parts of the system of care whether that is residential treatment or people in hospitals trickle housing, even jails and so thats the distribution of where people find themselves. Roughly 35 on the street and 6 seven hundred in the jails and not permanent Affordable Housing. Right. Yeah. It that would be helpful to get a breakdown i think of more the apples to apples to take out Supportive Housing i dont think people think about spend on homelessness it is but it would be good for people to have a more contextual lists in how were spending how money. Thank you anyone else thank you very much all right. Thank you. Is this the end of the Human Services aging and adult i dont have a list come on up. Good afternoon. Supervisors director the department of aging Adult Services and we want to commend give a brief overview of the department and talk about some of the efforts that we are undertaking in each the divisions the first one in our Largest Division in the department is home support United States of america is a nonnecessarily inhome care for elderly at risk of institutionalization most of the people 74 percent are seniors age 65 and offer 40 percent of guys inhome care live alone over half of that are Asian Pacific islanders 52 hers percent and most of clients are chinese 62 percent and looting the caregiver 19 thousand caregivers in the program and 62 percent are providing care for a Family Member and in 2016 ihss providers were protected in the fair labor standards act that means they are entitled to overtime and travel pay pay for travel between clients and theyre also paid for waste time when theyre waiting for a decrease appointment that is really created a lot of Washington High School within the Community County and particularly the way the states implement theyve done in in a collection way there are a lot nuances in terms of how it is rolling out i think one of the things i want to talk about that today is the real looking at the way the social workers provide assessments in the community and trying to use the social workers in a productive manner meaning theyve saelsz for in home hours this is a real opportunity once a year could look at other things the clients need one of the things weve implemented the survey we looked at the numbers from the Security Task force of the number of older adults who live in hunger we are like this is a great opportunity to kind of capture those folks and other ways to get nutrition to them outside of ihss so weve implemented that and probably have results around with that what that looks like in the next year or so tracking that two other things we are doing screening and the initial depreciation screening for people not go social workers our staff went out and did initial screening and report back if they find people that are living at risk in communities we havent implemented that but will do that in the next year a couple of nvn supportive issues and looking at some increase staffing and in Home Supportive Services the Second Division is the protective Services Division that includes Adult Protective Services the conservativeship Representative Public administrator i wanted to highlight the adult protective serves as you know aps investigates the obligations of abuse with elderly and alongside report of selfneglect so as you can see on this slide one of the biggest things that we get in terms of the reports on health and safety and a lot of the health and safety issues are related to hoarding we have is that right one hundred and 70 cases of conformed Environmental Issues in homes labor that is typically our hoarding issues so weve did a study with university of San Francisco that was done in boston we tried an intervention with people with hoarding disorder weve discovered it really takes a lot of effort and time to work with someone with hoarding disorder typically our cases with opened for 39 days and this is just in the accurate for someone is hoarding disorder not enough time so to work on those cases to work with people around managing this disorder we had a lot of collaboration with the Mental Health soefshgs they have good program buses about our social workers working with the individuals item by item and helping to change that behavior. One of the other efforts in this division is the public convert terrors looking at the District Attorneys Office and the Public Defenders Office and the court we are looking how to how to better collaborative between the district and the department of aging Adult Services to remove obstacles for anymore people in the pipeline for conservativeship. A quick look once you get probation officer that situation how do you reverse it it seems a person is getting better. When they police have that a one year conservativeship and the person has theres a place for a jury trial and many ways people can ask to have it look at again and the whole idea behind many conservatorship to keep someone at at at least redistrict in terms of placement or the medication they get and the whole goal always to get them into the community it is a one road at a time and has to be removed and most people in the program at this time are in for 3 years at most this is kind of the average the recidivism once people are into the program is not high the treatment actually works and people go out back 0 into the community. Thank you. The Third Division the the longterm home care specifically we talk about the new critical quality surveillance so the longterm care the community where some of the efforts like the rental Assistance Project Service Connect program and the new itself equality Assurance Program we basically took divisions and put them into one unit and the idea behind that we could our social workers we are seeing people with medical issues in the community and a lot of time those people are ended up in hospitals or not being adequately treated medically so one of the easily ways to get our nurses out there toe we created this unit and 200 and 29 people in the units so far and basically, people are seeing the nurses that help with Health Management for untreated conditions and help are chronic illness. Able to look at peoples medications and see that people are using their medications in the correct way or old message and things like that it is really were putting in a lot of Outcome Measures and not a lot of results but should have in the next few months we firmly believe that will help with people being not limited to to hospitals and recidivism well be tracking and mention is it so something new were undertaking and then the last provision is it in take provision the biggest thing that is really our Community Piece we have our daasw intact hub that we created and all the Community Services contracts and in we opened you received an invitation and provided representation and that basically is a way that people with our public site for people to get assistance but a way were integrating well, i think with Human Services agency this is a Service Center for medical eligibility and our focus is really the seniors with disabilities and making sure they get the services a between the guest and our daas information for assistance and Adult Protective Services meals intact so well have a lot of data whether there and reporting that out in the next year. And then i wanted to point out that last year, we really greatly increased the amount of nutrition because the money that was pout into the mayors budget but from the board weve been able to really increase the number of meals and on the home delivered side i think that is about it for right now unless you have questions. Thank you. Any questions. Seeing none, thank you very much next up is michelle from the office of early care and education i want to tell everyone this is my favorite office. Thank you, supervisor. Im michelle the Deputy Director of the office of education were a Young Department 2 years but in the office weve been working in the office for many, many years and collectively hundred years of experience we have an amazing Early Education system in the city but theres certainly room for growth in terms of the lining of resources and streamlining those who are providers and for families to improve access to highlight quality care as a family selfsufficiency is a fail support and to help families go to work in early ed preparation to make sure that children on fiscal are ready to learn in that next year of 20162017 were going to the next phase of Office Taking on the region of the p f a shifting from first 5 to the office we had the money in the budget last year but the Actual Administration of the payment was administrative code weve been working with the first 5 to and then the processes and train up and that administration is moving over to the office along with the several of the first or of the p f a key position were leaving two positions to manage the Quality Improvement support and assessment process and coaching oversight and in this current year we complete a analysis of the care and Education Funding in San Francisco about almost wolfed Million Dollars comes through the office now in the coming year but a lot of those dollars bypass the city to providers so a lot of the work is about all the rules and limitations of the federal, state requirements around those dollars and even worse the rates that that our providers are expected to provide high quality care with the sprucedup reimbursement rate and working with the providers and laying funds to try to keep their doors open and try to improve quality those 0 subsidize lots with the low income children in the city we want to make sure that theyre able to assess hi quality that, of course, analysis gives us guidance about how we are financing and recommending how to streamline how we fund our providers and how we finance the subsidy of children so well be looking over the next year at options on how to implement that the basic recommendations from the San Francisco analysis is two hundred and 3 page report but the basic recommends were incorporated into the plan that was presented here at a hearing two weeks ago and were wrapping up the written report, of course, youll receive in those the fiscal analysis recommended really funding programs up to the base level of quality of tier 3 of the quality rating and what it would cost to finance the programs and then regarding the quality with quality enhancement loaf that for the quality not just what were doing now over the next year well be doing a Quality Support process evaluation to see if there are more efficiency in the Quality Support and working with our provider communities and with parents and our contractors so the citywide plan that was presented to the board really includes a number of aspirational overarching where weer heading with the comprehensive system and with parity for teachers from k through 12 a heavy lift but certainly there is a teacher crisis in early ed right now difficult for our programs to attract teachers and keep teachers here when someone in from time to time theyll be a preschool teacher in from time to time we are investing a lot in training and coaching and Quality Improvement and we have great providers in the city and we want to keep our teachers here so and theres a number of recommendations in the citywide plan, which i wont go into great detail but ill be happy to share outside of this Budget Hearing and over the next year the office of care and education is charged in from the ordinance in collaboration with the first 5 San Francisco Unified School District to develop an evaluation strategy for that all the e. C. Services in the city and we know that one of of our i our challenges is integration to understand what is working and not working we need to align our and integrate our workforce register with the child enforcement and quality database to see where the inputs and how the children are doing one of our measures of success is the kindergarten observation that will happen at kindergarten do we want to know the children that be doing well and what children has input with what teachers and sponsored in various was were move the needle on quality and especially a happy to share the progress were making on that another time but did want to share a snapshot of what subsidize types of enforcement we have that are being funded by the Office Currently so this represents a little over 86 hundred children some of those are state funded and some local podiums that weve developed that are categorical like the access assess program for homeless and the Childrens Services for foster children and children served through hsa and an over laptop of the program because those programs are in trouble primarily because the state being insufficient but swimming upstream to address that from the state is pga a regional rate our local dollars would go further in supported quality. And the next the last slide is just two different slices of what the occ budget the first slide our budget by fund source and the second slide is how those Funding Sources are drbltd into program areas. And with that, i will close and ill be happy to answer any questions you may have. Okay. Any questions. I dont have any questions. But thank you for your presentation. And i guess thats the end of the Human Services agency presentations. Thank you, supervisor as trent do you want to say anything to close it. Thanks thank you for the opportunity look forward to coming back in june and presenting comprehensive detail. Thank you a motion to continue this item to the call of the chair. What would you like to take Public Comment. Seeing none, Public Comment is closed. Could i have a motion to continue this to the call of the chair okay with no objection the that item passes and thank you very much i like to have a motion to excuse supervisor farrell and supervisor tang from the meeting. Can i have a motion please. Okay with no without objection the madam clerk call up item one. Item number one hearing to receive a bucket update in the Sheriffs Department for fiscal year 20162017 and 20172018. And id like to welcome sheriff hennessy to the podium and shes give a nice short presentation. laughter . Thank you supervisors thank you for having me here and pleased to be here to present the Sheriffs Department Department Overview for 20162017 to start out our expenditure in 20152016 has been almost 200 and 3 million and change our total staff of april 30th of 2 a hundred and 8 and staff of one hundred and 63 and sivenlg vacancies and authors one of wolfed and scorn vacancies of 75 our with alternates incarceration 8 and 41 everyday it is a number of people out on alternative fence on incarceration in 2016 beginning in the first 3 months our jald population as an average of three hundred plus and the incarceration is 8 hundred and 32. So my Department Priorities Going Forward a staffing we have been phil a lot of positions on overtime in fact, a number of overtime reemployment from permanent salaries a overtime in order to keep up to do the jobs we perform for the city and county seso one of the priorities to hire from the community and also as you may know zuckerberg San Francisco general is opening a hospital and asked us to staff that so well hiring may or may not when we hired the sworn staff takes 6 to 8 months ago to get potato people to work they go to the academy and because of that theyll not be available for some time weve begun to hire that to be able to serve the people of San Francisco the way we should some of the reforms not just reforms some of them are running to fundamentals with the training and education and some of the education will do diversity is exponent we have other exploring and things of that nature were asking for funds to do this training for supervisors and manages not mandated but in my view when our Holding People acknowledge you need to do that and our first line supervisors are the people responsible and others training a training for the staff in crisis intervention tran has given as a minimum but try and cover the whole department and that includes the deesclation techniques as well as on the department of health be able to provide more informational Substance Abuse and Deputy Sheriffs working in our jails im looking at other audits of the internal affairs unit is doing i think we need to put resources but make sure im targeting the right resources and also want to make sure i can be transparent about the types of discipline and the discipline we provide and also the results of these those investigations and as well as im looking at the information and Technology Services to make sure theyre performing where they should we, pull the data out of our systems and make sure we can make sense of it and provide find the work in a way that is efficient one of the new positions im asking for a position for the jails that means someone that is like youve seen in a hospital someone that works with the jails behind the scenes finding out the kind of care kind of reporting to the top and making sure we are doing with we can to make sure were providing the services that are protecting the people and the Constitutional Rights as well as making sure were providing proper care medical service and day to day items and the other final one thing in the reforms the body worn cameras and fixed cameras we are talking about 60 body worn cameras and county jail our linear not a lot of cameras in position well i couldnt store addition but like to move forward with and another priority is Capital Improvement particularly retroactively county jail two on the as you may or may not know were working through the reenvisioning trying to close the county jail at some point in order to do that well have to renovate county jail two and renovate the laundry and make sure we have jails predicament ability to spate people predicament to the division but that jail was built in 1994 and opened as a work furlough not the high standards from the jails have had in terms of security other priority continue the services to subtle your projects programming for prisoners inside and out in the community and to categorization which includes an alteration 7 people to prearrangement Assessment Program called the supervised prerelease b will get a new name were using a risk ascertainment uniqueness with the drvrz and the adult probation. Commissioner. Before you go to the next page. Excuse myself for one minute ill be back we dont have a quorum i need to stop the presentation for one minute. Would you like to take a recess. Yeah. One minute recess. Do i need to Say Something a can i have a motion . For a one minute recess this is been a one minute recess. One okay welcome back to the budget and finance committee thank you very much for the little recess sheriff hennessy continue. Well, i did go back and did you have a question or continue. Go ahead and continue. Okay so this page talks about our scorn hiring and separation sponsor the last new years youll see differences were blow quite a bit so the department has an increase in hiring authority by a reduction in overflow room over two years it will take two years to capture with the so the department is holdings two Academy Classes for the personnel to fill vacant positions and the department will hire 31 for the San Francisco general building that includes 16 cadets and Deputy Sheriff with an analysis by was in the department for over thirty years and proud of the department for recruiting a number of people of different ethic nights in our department and doing that for years and years and seconds we have quite a good representation from the community of different ethic nights and thirty percent white and 18 percent africanamerican and aps i think 340 percent and hispanic we have 18 percent and it is like that for a number of years there were were falling short in my opinion from females on this 16 percent one time close to thirty percent well be working on that as well but the budget request expenditures the largest amount of money to staffing as general and im not going to read the slide if you have any the questions on this slide ill just move on. And the request by division as you may know the Sheriffs Department operates the jails and include a number of other things but mostly the jails and the field is patrol and city hall is one plays and the laguna honda and is clients we provide Field Operations and Programs Division does all the work for other programs that we do inside and outside of the jails for prisoners and we have a facility equipment facilities that goes to 5 percent. So for instance, 5 keys is would be under programs. 4 keys is selfsupporting a great thing about 5 keys it is a Charter School through ada adult tenants the daily is 5 keys not an limping line item in the thats one of the things they dont a lot of the workout in the community. And finally i think i workout too fast we have grants we have right now and one of the newer grants is the offender transitional housing we were talking about housing in other city departments but were housing through support of collaboration with the community we design to reduce coliseum recidivism and the eligibility for this grant is through the misdemeanor it provides mentor to make sure that people have Supportive Housing that is key introduce the process and an anti drug that is responsible for providing linkage prior to release from custody so we have that as well and different care programs that work with the various programs like the citrus focusing a lot on Substance Abuse and trauma and getting people into the community thats the eva quick overview of the department the department is large it is as you may know and theres a lot of that gondolas that is complicated and intertwined i thought id give you the overview for today. Any questions seeing none, supervisor kim. Well, this is not a question for today, i brought up sheriff hennessy many of my comments on learning about the Electronic Monitoring Program to the board not at this time but prepare you but id like to learn more that the program and the effectiveness and the cost charge and inmates planting. Other Public Comment phone number for this item seeing none, Public Comment is clos closed. Thank you. Thank you. Could i have a motion to continue this item to the call of the chair . So moved. With no objection that item passes. Theres could you please madam clerk call the last item. Item number 3 the budget update in the Public Health for fiscal year 20162017 and 20172018. A id like to ask that someone make a motion or Public Comments any Public Comment on this item . Seeing none, Public Comment is closed can i have a motion to continue this item to the may 11 meeting. Can i have a motion . Please. So moved. Moved with no objection is the moved madam clerk million. Mr. Mr. Chair theres no further business. So mardi gr meeting adjour so lets embed do you want to embed and lead us off. Ill go ahead and call the roll. Some quiet we have a lot of people i know you all have coworkers you want to talk to lets go ahead. Ro director brinkman pr director borden director heinecke is expected and dr. Murases director ramos