Public comment phone number. Id like to welcome the members of the public and staff who are watching us on sf gov tv to eliminate background interference. All panelists and presenters that are presenting via webex are asked to mute themselves when not speaking or waiting to present. Additionally, the San Francisco hsa Das Commission acknowledged that we are on the unceded ancestral homeland of the Ramaytush Ohlone, who are the original inhabitants of San Francisco peninsula. As the indigenous stewards of this land , and in accordance with their traditions, the ohlone have never ceded, lost nor forgotten their responsibilities as the caretakers of this place, as well as for all peoples who reside in this 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 , please take the roll. Good morning, and thank you, president spears. Commissioners please respond with present when i call your name president jen spears, present. Vice president nelson lum, present. Commissioner sasha bitner by then commissioner wanda young, present. Commissioner martha knudson, present. Commissioner Barbara Sklar not present. And commissioner linda parker pennington, present and kim doss, executive director kelly darren. Thanks. President spears, we have a quorum. Commissioner 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 this agenda and during general Public Comment. Both channel 78 and sf tv are streaming the numbers across the screen. Each speaker will be allowed three minutes to speak. Comments or opportunities to speak during Public Comment period are available via phone call. During each Public Comment period, viewers and callers will be instructed. To call 14156550001. Access code. 266 4372109 four. Pound and then pound again. When connected, youll hear the meeting discussion, 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. Youll 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 dot darby at sf gov. 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 there any other communications from Das Commission members . No okay. We can move on to the next item. Commissioners, your next item is item agenda for approving the minutes of wednesday, january 10th, 2024. Das Commission Meeting minutes. Are there any comments or questions from the Commission Regarding the wednesday, january 10th, 2024 Das Commission meeting . Minutes. Nope. Are there any members of the public that would like to comment at moderator please open the phone line for Public Comment. Moderator are there any callers in the queue . No callers. Thank you very much. Hearing no further requests to speak on the item. Is there a motion to approve the wednesday, january 10th, 2024. So Commission Meeting minutes. So moved second. All right, mr. Secretary, will you please take the roll call . Vote for the Commission Meeting. Minutes of the 10th president , jan spears. How do you vote . Yes. Vice president nelson lum, how do you vote . Yes, commissioner martha knutson, how do you vote . Yes, commissioner sasha bitner, how do you vote . Yes commissioner wanda young, how do you vote . Yes. And commissioner parker pennington, how do you vote . Yes. Thanks. We have a unanimous vote. Thank you. Commissioners. Item five is the executive directors report presented by the das executive director Kelly Dearman. Thank you so much. President spears. Good morning, everyone. Um, so i just have a few updates. First, i want to say happy new Lunar New Year to everyone. Happy black history month. And, um, were happy here at dos and at hsa, we will have several celebrations to commemorate these events on the federal level. The breaking news is that just yesterday, the first substantial update to most Older Americans act program um, regulations, um, was finally finished. These are the first this is the First Time Since 1988 and the Older Americans act. Final rule aligns with regular ations to the current statute, addresses issues that have emerged since the last update, and clarifies the number of requirements the point is to better support the National Aging network that delivers Older Americans act services and improve Program Implementation with the ultimate goal of ensuring that the nations growing population of older adults can continue to receive the services and supports they need to live and thrive in their own homes and communities. So the final rule came out yesterday. Its some 400 pages. I havent had a chance to read it or go through it, but once i do, ill have more updates. And so at a state level, we are also, um, trying to align and modernize the older californias act, which was passed in 1980 and amended in 1997. So the older californians act augments the Older Americans act in important respects, providing funding for programs that build on the Older Americans act. Um, so there are many programs that have evolved or been discontinued and new programs have been established that are not included in the older californians act. So so, um, with my partners at c for a, were working to have legislation introduced that amends the act to reflect current and potential programing. So i will have more on that as, um, it develops locally. Um okay. And im not talking about the budget either on a state level or the local level, because thats coming up. Im just doing happy stuff today. Um, so, so this past month, our special projects manager, maceo pierson person, and alexis cobbins, the director of our dib office, partnered with the San Francisco lgbt center trans employment program, um, to host a workshop regarding the application process to city employment for transgender, nonconforming and gender Nonbinary Community members. The workshop was followed by a panel led by maceo person, with four additional City Employees from various departments to discuss their experiences serving our communities by working at the city, trans and gender nonconforming people have a rich history here in San Francisco and play an integral role in ensuring that the city serves our community to the best of our capacity. We are proud to have supported this effort to encourage more diversity in our workforce. S i next wanted to provide an update on the status of repairs at 6221 geary, a building owned by the Felton Institute and home for multiple dos services, including the Richmond Senior center. Just as some background, the building at 6221 geary. Its between 26 and 20 seventh avenue. Staff did repairs for asbestos remedial action in november 2022. It was expected to last 6 to 8 weeks. Work has taken far longer than that, with major impacts on services for the Richmond Center through the spring of 2023, while services have resumed at the Richmond Senior center, work is still not complete, with some remaining construction on a small portion of the center. Dos funded Community Centers are expected to be welcoming and inclusive spaces, and of course, not construction zones, so everyone, most particularly the Richmond Senior center staff and clients, are frustrated with the process. The landlord, Felton Institute, is committed to completion of the work, but its been bogged down and delays due to construction and the building inspection processes. So our office of Community Partnerships has an analyst assigned to this matter and is talking weekly with Richmond Senior center leadership. Felton leadership and property management. The plan is to continue to facilitate conversations among the parties and push for progress towards completion. District. District one. Supervisor connie chan is aware of this situation and is frustrated as well, and called for a hearing on the matter before the budget and finance committee. This took place last week on wednesday, january 31st, during the hearing, there were presentations and questions for representatives from das City Building inspection, Richmond Senior center and the Felton Institute. There is agreement among all parties that the work needs to be completed as a result of the hearing. Das will now receive weekly updates from the contractor doing the repairs. Das staff will continue to work on this situation and hope for resolution in the coming 2 to 3 months. Last only through her role on the board of the california state association, representing public administrators, Public Guardians and public conservators, jill nielsen has been asked to join a statewide committee that will support counties implementation of sb 43 through through the development of best practices and sample policies, procedures and protocols. This committee represents a collaboration between um, the public administrators, Public Guardian and public conservator and the county Behavioral Health directors association, and it will be composed of county public conservators and Behavioral Health professionals from across the state. And you all will remember that sb 43 is the new law that expands the definition of grave disability when it comes to, um, conservatorship. So congratulations to jill. I know that will be a lot of work and that is all i have. Thank you. Thank you, commissioners, are there any follow up questions for kelly . Okay, okay. Hearing none. We will continue. Commissioners item six is the dos Employee Recognition and presented by Committee Executive director dearman. To honor this month february employee of the month christina teboe, who is a social worker specialist in the dos collaborative caregiving support team. I have like tongue tied this morning. Christina teboe started her career with ihss as a social worker in march of 2021, overseeing a nonlanguage caseload of 270 clients. Christina quickly earned a reputation as an energetic, responsive and compassionate professional who was always willing to go the extra mile to serve her clients and offer support of any kind to her coworkers. With her Boundless Energy and drive, she quickly excelled in providing her clients and coworkers alike with exemplary care and customer services. In august of 2023, christina made the transition to the collaborate of Caregiver Support Team cst at dos and was promoted to a social worker specialist specialist position. Ccst is a highly intensive unit that works with applicants and clients who struggle with i dont know whats happening, who struggle with Mental Health and Substance Abuse challenges with the majority of the ccst recipients transitioning, transitioning from houselessness to permanent Supportive Housing as the ccst social worker specialist christina was tasked with the responsibility of connecting to her clients, and she excelled at building trusting relationships that helped facilitate services for them. She always prioritized the safety and trust of her clients first when placing them in their new homes. From the very start, christina has displayed the highest levels of compassion, patience, and unwavering dedication toward her clients and her team. One particular situation stands out where christina visited a client who was unsafely discharged from a facility and had not eaten since the previous day. Upon arriving at the clients home, she found the client laying on the floor. He had fallen out of his wheelchair the night before, while at the same time christina was calling Adult Protective Services to report the clients imminent danger. She helped him to transfer into his bed, provided him with his necessary supplies, and proceeded to cook the client a meal and made sure he was taking care of, comforted and supported, christina acted without hesitation and compassion, so that the client could remain safely in his home until a responded and provided further support. Christinas willingness and desire to help those in need goes far and beyond any of her job duties and expectations. She is at heart the true definition of a social worker for focused on improving the lives of the clients that she serves and her coworkers alike. Because of all of these reasons and many more, we would like to congratulate christina teboe on being the dos. February 24, 2024 employee of the month. Im very appreciative of this recognition. Um, and to be able to serve a community that i love with coworkers that i really respect, um, our clients are a part of our ecosystem. Were all connected, and they deserve dignity, respect and empathy. Um, im equally appreciative of my department and the leadership because i have really amazing leadership. And to my direct supervisor, toshio westlund, who champions me, affirms me and empowers me, it allows me to learn and evolve and be the best social worker i can be. So thank you very much for this recognition. Youre not done. Congratulations. Thank you. Okay, thats the best part of the meeting. Just so everybody knows, um, i, i am, uh, filling in for our secretary at this point. Um, commissioners, item seven is the Advisory Council, uh, presentation presented by president diane lawrence. Good morning, commissioners. Executive director dearman. Thats always a hard act to follow. I know. Sorry for you. Its okay that i agree. Its the best part of the meeting. Um, and i love telling those stories to my friends so people know what a great job everybody does. Um, so at our february, at our january meeting, um, we Deputy Director sidney said, i do this all the time. Cindy kaufman gave the council an update on the budget process and, um, was absolutely superb. Uh, we went over the first draft of the new 2025, 2028 area plan on aging was reviewed. Uh, we will at our next meeting, review the first draft so we can stay on track and get it approved. We reviewed and revised the grievance procedure last fall. The Council Members had some questions. Um, one of the attorneys on our on our group had some questions. And we also were concerned about whether it was our authority. So at our next meeting, well go back, take a look at it and vote it. Um, and then i believe, uh, mike zogg will bring it back. Um we have some site visits in the queue, but our agendas are a bit full this First Quarter with the area plan and a few other things, but we will have some coming. I think we have three and a half ready to go. So thats thats really good. Um, doctor juliet rothman, whos been on the council for quite a while, has been offering three sessions with the Community Living campaign on loss for the inner sunset connector program. And i just wanted to do a shout out there. Um the district one. This is good news. The district one and district five candidates, applications for, uh, have been moved by the supervisors to the board of supervisors, rules committee. Um im sure my name is on a list somewhere. Um, and ravi has been following us up with us on the with the rules Committee Secretary to see where they are in the queue. We know that one of the candidates had to. It um, fill out an additional application. But we did invite the three candidates to our last meeting. Our thought was the area plans. Nothing is worse than to come in in the spring and have to vote on it and not know anything about it. Having done that, um, and were just excited that hopefully they all get passed, um, rapid alley, the, um, we did have some sad news just our district two representative, uh, will not be seeking reappointment. Unfortunately for personal reasons. So well be reaching out to she was going to allow she was going to contact supervisor stephanie, and then well reach out and let her know theres an opening. Um, the application for the Commission Membership has been forward to the nominating committee, and i. And thats on your agenda for this morning. Um, so where we are now is, uh, two, um, we have two commission renewals. One application has been filed, the other one has not. So i believe there will be one. I hoping that the second application will make your march agenda. So well be done with that. Um, board of supervisors, we have three reappoint its members have the applications. Um, district four rep has um, completed theirs. So has the district six representative. And were working with the district eight representative. So if we get all of this done, we will then have, um. Four vacancies. His with the commission, which were working on. Um, and then we will have still we will have an opening with supervisor stephanie, still with melgar. And i spoke with the supervisor at a town hall a couple of weeks ago, and shes shes working hard on it, but it is a, um, a challenge to find someone in that district. Thats district seven. And then again, district nine and district ten. So that would leave us. So were making progress. Um and the Community Living campaign has suggest that our board of supervisors representatives meet with, um, when they meet with the supervisor users, that our reps go with them just to talk about dos and what they do. So were in the planning stages with that, we will have our first League Committee meeting at our september. If you remember, we rearranged, we reorganized the legislative or joint ledge project, and we have full membership on that committee. Someone said theyd like to participate and in my role as president , i can say yes. So i said yes. So were ready to go. Are there any questions commissioners . Are there any questions . Yeah. Okay thank you so very much. Commissioners item nine. Oh, actually item eight is the case report presented by dan gallagher. Good morning, commissioners and executive director dearman. Uh, my report today is going to talk a little bit about the programing of case and, and, um, uh, our new slate of officers and then some mention about the dignity fund and forget us not campaign in terms of programing in january. Um, cal aim was presented by several people from San Francisco health plan, uh, particularly around its enhanced Care Management. And i mentioned this in the january meeting, so i dont need to talk more about that. But i will say as a, uh, the executive director of an organization that provides enhanced Care Management services, i cant imagine in not providing these services, uh, to fill the gaps that are present with older adults and adults with disabilities right now. And it just doesnt do thats not thats just one population of focus. So it is really, really an Important Initiative in california for right now. And, uh, we really hope that this will contain you on into the future. Its uh, currently in a three year pilot. It the february presentation will be from uber and the cybersecurity initiative. And, um, as uber is committed to providing safe, Reliable Rides and deliveries, theyre also concerned about cyber fraud, particularly around cyber fraud with elder fraud. And so this presentation in by pamela derosa, who works as an investigative specialist for ubers Global Investigations team, will provide insight on how scammers and fraudsters commit those crimes and what elders can do to be alerted to that. Be aware of that and help prevent that from happening. Um, and as we know, in San Francisco, transportation is at a critical juncture. Um, so, um, organizations or Companies Like uber, obviously are really important in helping maintain a level of infrastructure around transportation in. Our march and april presentations are still to be determined. Uh, but in may we are partnering with the department of disability and aging services for a screening of the film all the lonely people, which will happen at the caret auditorium. The main library of the caret on may 13th from 1 to 3 00. So were were all looking forward to that. We have a new slate of officers for 2024. Um, fiona hence will continue on as cochair for, uh, judas. Arthur was here with me today. Uh, has been elected to be the other cochair. I am terming out after four years as, uh, our treasurer will continue to be Aurora Acevedo and secretary is christina irving. And christina is here today. Um, just to mention. One time only funding i mentioned in our last meeting. So i wont need to go through that again. Um, i do want to make mention, though, of the Dignity Fund Coalition and forget us not campaign and i think we all know, um, that the Dignity Fund Proposition an i was over evenly approved by the voters in San Francisco in november 2016 and helped establish a path, um, for stabilized funding for services and supports for seniors and people with disabilities. Um, and key to that promise was funding would grow by 3 million a year. And um, unfortunately, in that legislation in um. It included language that the annual allocation could be suspended. Um, if the citys budget had a significant shortfall, which has happened in the last two years. Uh, we fear thats going to happen in the foreseeable future. Next year doesnt look so hot either. Um, for this funding. So so, um, so there are those here with the dignity fund. Um, and we just want to keep it at the forefront that this 3 million contribution is critical to the services and supports for older adults and adults with disabilities in San Francisco moving forward. So, um, i want to make mention of that, and well continue to advocate on the dignity funds behalf for this. That concludes my report. Thank you very much. Commissioners are there any questions . Just quickly to say, i just to recognize the fact that youre finishing up your terms. So thank you so much for all the reports youve given us over the time. And i know the kind of work that goes into this. So for any of these and thank goodness for time limits, ill say because its been my pleasure, i think its a good thing. And we welcome the new leadership. But thank you for everything youve done. Yeah. Thank you. Um, i with one little note from commissioners. Good to go to the film screening. Thank you. Yes. Yeah. Well look forward to that. Yeah. So thank you very much. Um and you took the words out of my mouth, so. No, thats fine. Its all focused on those terms. I terme limits. I know. Um, okay, okay, okay. Commissioners. Item nine is general Public Comment. And opportunity for members of the public to address 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 . Uh, moderator please open the phone line for Public Comment will allow some time for callers to submit their request. It moderator do we have any callers in the queue . There are no callers. Thank you very much. Uh, next. That includes members of the public that wish to address the commission. Commissioner is 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. No old business and no. Okay, we can move on. Commissioners. The next agenda item is item 11. New business. Item 11 a is an action item that requires a vote from the commission. Then items 11 b through 11 c are informational items that do not require a vote by the commission, followed by items d and e, which are action items that require a vote for the commission. So here we go. Item 11 a informational review and approval of the fiscal year 2024, 2025 and 2025 2026 dos budget dos executive director Kelly Dearman and hsa Deputy Director of finance and administration dan kaplan will present this item. Uh, there we go. Okay good morning, commissioners. Good morning. Im dan kaplan, hsa Deputy Director for administration. And finance. Um, before i start, id like to just, uh, call out the work of three folks who are crucial for putting this process together and certainly putting this this report that i will be talking from today together. Uh, thats genevieve herrera, alex gleason, and celia pedrosa, the respectively senior and senior principal and budget director. Um, and the process of putting this together, as ive said before, is really a process that involves a lot of people. Can you move the mic a little closer . Because i can try. Does that sound better . Yeah, its the background noise. Yeah. Okay thank you. Signal me if i slip away. Im sorry. I will try and keep it. Uh straight in front of me. Um, so many people put this together, but. But the budget team is really the team that coordinates the process and gathers the information and does the lions share of the analysis and presents a lot of the issues. And kelly and i had then get involved in, in some of the Decision Making. But but the work thats done by the team is really crucial to making this happen and making it happen. Well so as you know, this is a bad budget climate. The city is facing an 800 million, two year shortfall. Um, the state is facing a 38 billion shortfall. Call um, and the state has proposed a number of cuts. Um, and some funding delays, which is a relatively new art form. The notion that a program is funded, but there wont be money for it for a year. But then the money will pick up later on. We do have that issue with the Homesafe Program in dos, and we have it with a couple of issues on the benefits and Family Services side of hsa, as well. Um, so what well do today, today is we will review this larger budget context first. Um, well focus on reductions in the dos budget to bring the budget into balance. Um, and then well look at a number of specific items within the dos budget that, that are significant items. And, and we want to call out for your attention. Um, and finally, we will we will touch on a few big items. The ihss mo, which we normally Say Something about in this because it represents its a very substantial portion of the dos budget, the dignity fund. As mr. Gallagher said, a moment ago, were all very focused on where we are in that, um, in that process of suspending or not suspending the dignity fund growth, um, and then some impacts of sb 43 implementation and several other, uh, Community Service budget items. So i will start off with Kelly Dearman will pick up in the latter part of this presentation. And then well both answer questions. There we go. Okay, so the mayors budget, um, is going to be proposed by the mayor in, in june, right at the beginning of june. Um, as i mentioned a moment ago, and as i talked about last time, as im sure as you know from other sources, as well, theres an 800 million gap between projected ad revenues and projected expenditures that the city is trying to address through this budget making process. And that gap gets bigger over time. So, so we are working on the first two years of a five year forecast. The city, uh, approves a biennial budget. So two years ahead next year and the year after. And then there are two out years and the proposed and the projected gaps in the out years are substantially bigger than the 800 million in the upcoming biennium. And so part of what were doing here is were trying to address that, that that structural imbalance between revenues and expenditures and the city goes through a process of re projecting expenditures and revenues on a pretty continuous basis. The projection were working off of now was done in the autumn of last year. There will be a new projection in midmarch of this year, and that will be the projection that the mayor has before her when shes, uh, building her budget to be proposed on june first. So. So what we are doing now is we are were getting ready to submit a proposal to the mayor based on the autumn projection. But therell be an update and therell be a lot of discussion back and forth between agencies and the Mayors Office to keep in line. Um so what the mayor has directed agencies to do is to propose 10 reductions in discretionary general funds and then to identify another 5 of contingency reductions. Um, so 10 for, for hsa is about 6. 5 million. We went through a midyear reduction process this fiscal year. Um, and, and so over and above that, we have about 3 million of additional, uh, gap to close to get to our target. So well be talking about both the things we proposed so far as they affect us. And then whats coming up, um, with, with regard to the state budget, obviously, the governor made his proposal. He actually made the proposal on the last on the day of the last us Commission Meeting, as we were speaking, um, it is a budget that does affect a number of Human Services areas, as they are primarily on the dbfz side. I will just mention those because its part of our larger budget context. So so, um, there we go. So these are the budget reductions were trying to deal with. Um, in the first row of this, you can see the 6. 5 million, 10 reduction target. Um, and then on and then theres the 5 contingency. So thats another 3. 2 million. So collective hsa needs to identify about 10 million of potential reductions. I think that must be the elevator work. Yeah. Yeah theyre working um, on the state budget side, uh, what weve got is a big reduction in the cal Works Program. So cal Works Program is the program that provides, uh, Financial Assistance to families with incomes below a certain level. It also provides us a lot of support services. So child care, welfare to Work Services, Housing Support services, family stabilize ation services, etc, and the governor did something that was under usual in this year. He proposed a reduction of 12 million in the current year in the current fiscal year. So were halfway through the current fiscal year, but a substantial initial, uh, reduce ation was proposed in what we call the cal work single allocation, which is eligibility and welfare to Work Services and the enhanced subsidized employment program, which is a key program for helping people get into the workforce. And the family stabilization program. We dont think those reductions will stand. The legislature has to approve them very quickly, and it does not look like thats going to happen. So presumably that that reduction will come off the table. But the larger reduction is in the budget year and the budget year plus one are still on the table in front of the legislature. And therell be a substantial lobbying effort against those, um, and well see how how well that goes. But at this point, we are taking the attitude that this reduced of 16. 8 million to the hsa budget will be significantly mitigated. But if its not, we will have to deal with it. So the budget were going to present to you and the comparable budget that ill present on the dbfs side of the house, uh, next week, as assumes that these reductions wont go into effect. But as i said, if they do in fact go into effect or if they partially go into effect, we will have to deal with that. Um there are no delays, and this is a point i mentioned before in funding. So there are there are four core social services, uh, housing programs, as theyre referred to. One of them is in dos. Its the Home Safe Program. And these were all funded. Well, they were funded with a mix of ongoing money and, and one time money. Several years ago. And and the Home Safe Program. We can just focus on that because thats the most pertinent to this budget has money in the current year and will have money in the second year of the biennium. The governor has proposed stopping the payment ants in the first year of the upcoming biennium. And so we are going to attempt to deal with that by using one time savings now to bridge us over that period so that money does come out of the budget, but its our goal to be able to fund the program during that period with one time savings from prior years. Um and then there are a number of other programs the two called out here are in the family and Childrens Services program. Um family urgent response system, generally referred to as fers. Um provides mobile support for children in crisis. This in the Child Welfare system and then the Housing Navigation system is to help young people leaving the foster care system secure and stay in in permanent housing. And we are, um, we are working on how to deal with those cuts as well. So these are these are all things that impact our revenue for, um, as i said, we are at this point, uh, taking the attitude that we will collectively all of us who who lobby on these things, um, i shouldnt use that word, who work with the legislature on these things. Um that we will convince the legislature that these would be bad cuts to make. Um but if you put it all together, were facing a potential risk of 34 million in in the budget year. We know the city key needs are are there, and theyll be real. And we are going to be contributing to them. The state issues. We may have some other ways to deal with, or they may get backed out. Okay so the dose Reduction Plan. So, um. The dose Reduction Plan has two parts. As i mentioned before, there are the midyear reductions from this year. And then there are proposed new reductions. So the midyear reductions um, included a number of things. Um. But we probably didnt feel them explicit early as reductions in service. So the first thing was. Is 1. 1 million of additional revenue in the ihss program. So we project revenues every year. Um you know, we sometimes get them absolutely right on the nose. Often were off a little bit this year, revenues came in better than we anticipated in the ihss program. We didnt know that at the time that the mayor was proposing or that the board was voting on the budget, but we did know it by the time of the midyear cuts so that 1. 1 million is additional revenue to in the ihss administration program. It does not. It does not affect service. It just means we have an additional Million Dollars plus 100,000. Uh to spend. But were going to spend it on exactly the same thing. So we, in essence, gave up. 1. 1 million of city general funds. But backfilled those dollars with state money. Um, there were three add backs, three board add backs that were made in the last budget making process that we did not move forward on. And they together, um, accounted. For 260,000 of ongoing money. Um, they included 75,000 for adult day programs, 85,000 for Community Connectors programs, and 100,000 for Food Security in o. M. I. So those were knew they would have been new programs this year. We did not move forward with them at and that resulted in. A 260,000, uh , savings. Obviously, its a savings by not providing service , but but its service. That would have been new service. Um and then this. 360,000 of uh, personnel attrition, personnel attrition is just our technical terms for money. We have available to spend on the salary budget. Um hsa wide, we took a reduction of 1. 9 million of general fund. So this 360,000 is doses pro rata share of this. We, in fact manage this this money centrally and it hasnt at this point resulted in us stopping hiring, but reductions in the personnel budget could get to a point where we do have to slow up hiring or stop hiring. We havent reached that point yet, but this moves us 360,000 closer to that point. Um okay, those are the reductions that happened at midyear. Um, going forward, uh, in coming up with the rest of the reduction, the rest of the 10 cut, um, we have in 1. 1 million within dos, uh, of cbo contract thing. We havent settled on precisely what this is yet. It would come out of the cbo contract acting line and the way we will approach this is assuming the mayor approves it is we will we will look at for under spending in contracts. And we will attempt to rightsize contracts. And i want to say, you know, i want to say with full acknowledgment that sounds completely benign in the way i say it. Its not completely benign. Its it is the case that theres actual underspending and we can reduce the size of contracts and not affect the service. Thats actually being delivered. But its also the case that when we entered into those contracts or grants, we believed a certain level of service was necessary. And the cbo who who got the grant, um, tried to organize its work to deliver that level of service. And so this would be us saying that didnt happen. So, you know, its not like youre going to have to lay anyone off. Its not like clients who are currently Getting Service will stop getting the service. But it does speak to the potential for Getting Service. So um, and then the last item that we have on on the das list is fee revenue. And this is again kind of like the ihs revenue view. Um, in the public Administrator Program and in the Public Guardian program, we do collect fees for the work that the staff does. Um, the fee revenue has improved over time. Uh, and we have reprojected the fee revenue, its about 400,000 higher than was budgeted. And so we are changing, changing that estimate. Its not like its not like, um, i mean, it is good work by the staff, but its not like they have organized their work with the explicit purpose of collecting higher revenue fees. This is just happened over time. Um so those are the items on the for das that will go into our reduction proposal, assuming you, uh, you approve this, um, we are also meant to propose a contingency cut. So therell be a contingency cut on the, uh, dbf side. Theres also a contingency cut on the das side. Um, heres what were dealing with. And well come back to the issue of the dignity fund on a number of occasions in this presentation. Um the dignity fund, it grows, as mr. Gallagher said, at 3, at 3 million a year. Um, and it is possible that that growth is sustained, ended when the deficit, the city is facing, uh, crosses a trigger line, um, at this point, the deficit has not crossed that trigger line. And ill come back to this again and with some numbers. But it, um, so in the budget we are presenting to you dignity fund growth is included. Um we are perilously close to that trigger line. And so if the gap increase pieces in the march projection, which it may well then will be over, we may well be over that line. And if were over that line, then its possible for the suspension of growth in the dignity fund. If that happens, as, um, there are two issues. One is the one that was mentioned before that theres no growth. And the dignity fund is built on the notion that these services should grow over time. The second is that the dignity fund actually pays for inflation within the dignity fund. Um, so our current estimate of the cost of inflation within the dignity fund is 1. 7 million. And so we will have to come up with that 1. 7 million, another another way. So that that is part of the contingency. And we are simply proposing here that in the event that happened, we would we would do that. We would have to reduce services in other places and put additional money or remove additional money from our budget to make up that difference. And i think the you know, the key notion here is cbos are providing service in the real world, and they are facing in place inflationary pressures that are real. We are going to be buying service, chris, if you want to put it that way, uh, in support of clients in in San Francisco and we want to be able to pay what it costs to deliver the service that that were attempting to buy in our grounds. Um, that means we should, in our minds, be putting inflation money into those grants. On the other hand, it might mean we have to buy less service. So thats thats the dilemma are facing, okay. That thats the high level summary of our proposed reductions in the das budget. So so what id like to do next is describe the budget. These are this is the kind of description we always do in these. Were comparing the Previous Fiscal Year to the proposed budget for the next fiscal year. I mean the not the previous the current fiscal year to the proposed budget for the next fiscal year. So the first way we look at it is how does the money spread out over our various programs . But but before we even get to that, i guess id like to point out that the das budget even in this time of reduction, grows by 21 million. Um so it grows by 21 million, and there are three key big buckets to be aware of. So the first is the ihs mo, which grows by 13. 3 million. Thats just shy of two thirds of the growth. Um and well come back to the ihs mo again because its such financially, its such a big piece of this, um, but as you will recall, the city and the ihs Public Authority together on the management side, negotiate with with seiu 2015 for a contract to provide wages and benefits to ihs workers. We have an existing contract, but it is a contract that gets the workers to a wage of 2550 over a four year period. That four year period is still in the out years, and this biennial budget. But there are increases is along the way. Um, and those increases , losses spark increases in the cost to San Francisco for its ihs maintenance of effort payment. Um and so thats taken into account in this budget. Um, the second area of growth is in ocp. Uh the office of Community Partnerships. So as i said before, the dignity fund grows by 3 million in this budget and this proposed budget. Uh, there are staff colas in in the ocp budget. Um, there is codb for the non dignity fund, cbo expenses is, um, and then and then that is offset by the cbo reduction that i mentioned on the previous page. Um, and in total that comes to an increase of 7 million. And then the rest of the increase in this budget is pretty much all salary and fringe, uh, growth. So if youll remember, the basic assumption of, of the forecast or one of the Key Assumptions was that city worker salary and fringes would grow by the cpi and one of the things i talked about last time i was here was that theres some risk in that we are in the middle of labor negotiations now. There has been substantial inflation. Its down to a much lower level now. But but theres been substantial inflation. Um, and we havent gotten to a point at this point where we know where that bargaining is going to end up. So if its higher than the cpi, then the deficit will go up as a result of that. Um but as of now, what weve budgeted here is the cpi growth. So okay. So the next slide, we normally look at is what we call sources or where the money is coming from. Um, um, i guess ill just call your attention to a few of the slices of this pie. Um, the first one is the state money. Um, in it, it goes down slightly from, um, um, from 95. 4 million to 95. 1 million. Uh, there are two things that are going on in here. And as i mentioned before, the revenue for the Home Safe Program is suspended. And or the governor has proposed that it be suspended in the in the upcoming year. Um, so, as i said, we will try and cover that with one time money and then when the revenue is back, the subsequent year, we will have state revenue for it. Um so thats a reduction. And then the increase in the ihs revenue offsets that to some extent. And so in total, it brings it down by 300,000. Um, the second slice id like to mention is what we call 1991 realignment revenue. Um, as you remember, realignment revenue is revenue that comes to Human Services agencies as it is funded by statewide sales tax and Vehicle Licensing fee money. And every year we project that and our projections are to some extent influenced by the governors projections. Um, but it looks like there will be growth over the current year by about 1. 9 million. On the dark side of the house. Now um, 1991 realignment revenue funds a broad range of services. The biggest of which is, i mean, the biggest of which, from a financial point of view, is ihs. And so, um, the, the 1991 realignment revenue here goes to offset the ihs esmoa, which, as i mentioned before, is growing by 13 million. Unfortunately the growth in realignment is not 13 million. Its about 2 million. And if we go over to the slice of the pie label general fund, which which, um, has also grown by about 13 million, most of that growth is, in fact, the ihs esmoa. So the ihs esmoa grew by 13. 3 million. We had 1. 9 million of additional realigned revenue. So the general fund has to make up the difference. Um, in addition, there is codb money for cbos outside of the dignity fund and a little bit of salad growth money in there as well. Um, 2011, we alignment grows a little bit but but less than we had hoped when we made last years budget. Um in dos 2011 realignment money supports the aps program. Um, and then in the Community Living fund, you can see theres also a very small increase, um, that is mainly made up of codb and cola. Um, so that thats the look at this from the sources or the funding side of things. And then, yes. Category. Um, so category three is the type of money or the type of things on which we spend money. And ill just mention two slices here for, um, the biggest growth, as you would expect, is in aid payment. So thats where we put the money for the ihs mou. So that goes up about 13. 5 million. And um, and then under cbo grants, youll see that we have growth of about 5 million. So 3 million of that is the dignity fund and, uh, 200,000 of that is clef. And the rest is pretty much codb for, um, for contracts. Okay there we go. So ihs mo, this is really, as i said before, im just calling this out because it represents two thirds of the change in the das budget. Um, the ihs says mo is projected. To reach 173, 179. 6 million this year. Were pretty good about projecting it. There is a true up process with with the state, um, so theyre often small disagreements. Sometimes theyre in our favor, sometimes in the states favor. Um, but but were pretty good at projecting it because its pretty much by formula. Um, so were. Projecting 13. 3 million in the budget year, and then in another 17 million in the second year of the biennium. And this is based on what we know about the wages we will pay, because theyre in the contract. And what we think Health Benefit costs will be. And we go through a process working, um, with with the San Francisco health plan and the department of Public Health at sort of resetting the Health Benefit budget and the Health Benefit premium that flows from that every year. And we have not yet done that. So that is a number we might have to adjust later in the process. Um okay. So then the last item i would like to talk about before turning this over to director dearman is dignity fund revenue. So as weve said, the dignity fund grows by 3 million a year. Um, unless we hit that trigger, at which point the growth can stop. Um the trigger grows over time. So. So the idea is the growth of the trigger is, is tied to the growth of revenue that are available in the city. Um, the trigger started out at 200 million a year. So if we had a, a deficit of 201 million in an upcoming year, that would cause the possible suspension of dignity fund growth over time, um, the trigger has grown and its now up to the, um, 252, 2. 5 million. So so the estimated deficit at this point is 244. 7 million. So about a 7 or 8 million difference. But as i so to the good by 7 or 8 million. But what what will happen in march is we will get a new forecast and since were so close to the line, theres a risk we will cross the line. So thats thats a risk thats out there. And as i said in the budget we have brought you today the dignity fund growth in in the first year of the biennium, um, is included because the gap in um, in revenues and expenditures in the second year of the budget is so much bigger. Um, we are not anticipating that theyll be dignity fund growth in the second year of the biennium at this point. Um, but for the first year, we are anticipate it. And i just want to keep mentioning the risk thats there. Um, so, so if there is growth, it obviously will, um, support growth of cbo program timings. Um, in the areas of access and empowerment, caregiver support and Housing Support. Um and so as i said, there will be more on that as this process lays out. So id like to turn over to the, um, to Kelly Dearman to talk about senate bill 43 and some more Community Service programs. And then and then kelly and i will both be available to answer questions. Great. Thank you. Excuse me. Went in the wrong okay. Uh. Thank you. Um, so i can you put up the that slide there it is. Thanks. Uh, all right, so i already mentioned senate bill 43 a while ago, which is the new law that went into effect january 1st. That that changed, expanded the Legal Definition of grave disability so that it not only includes, um , people with severe mental, um, health issues, but also includes severe Substance Use disorder and the inability to provide for their own safety or medical care. So since january 1st, we have seen an increase of referrals of 140, and which is a lot. Um, now, of course, not all of those will lead to conservatorships, but that does require a certain amount of work to figure out who will have to be conserved. Theres investigation. Theres all those things. So um, what you will see is that that, um, we have asked for staff to help us with all of these issues and those will be coming from vacancies within the agency. So, um, not it. So it shouldnt have a big effect on the budget. But dan can explain that better. So our plan is to add full time employees based on the new cases we are bringing on. So weve asked for one supervisor kaiser and up to three deputy conservators. But well only add these positions on a rolling basis. And weve also asked for one intake position for the hub, because the hub, um, also is doing a huge amount of this work. So theres also a reference to it costs that will be ongoing. And this is of course the for the rtc build out for intake to be able to continue to um, to manage the list. So a lot of work is going on there. Were doing what we can to, um, keep it all internal without adding additional costs. But, um, so thats, thats whats happening with us. Uh, senate bill 43. Next slide please. So in terms of our office of Community Partnerships, um, the rcf in district one were really excited for this project given the decline of smaller facilities that we have witnessed over the last few years, and that the funding will be for operational support. So, um, were excited about that. In terms of cal aim, the das hub is receiving referrals from San Francisco health plan for enhanced care. Care management, ecm for two specific populations of focus. So one is are those in nursing facilities who wish and are able to return to the community and to those who are in the community at risk of going into skilled nursing. These are populations we have served for many years through the Community Living fund program, who we will now serve as ecm enhanced Care Management and it frees up city dollars, which can be reinvested into other services charges. So for the Behavioral Health pilots, these pilots came out of a need expressed by the community. Um for a while now, this has been a need thats been expressed. And the idea is to put services for participant in Community Centers throughout the city. They will be groups, settings led by licensed individuals. And the idea is to offer services in a trusted setting, making it easier for our participants and dan, do you want to do the last slide . So just where we are in time . Um, obviously we are at the second dose budget meeting today, today, and well be asking for your approval to move forward with this submission on, um, the budget team will then have two weeks to finalize these. The Technical Details of this submission, and they will press end on february. 21st at and um, and then the Mayors Office will have that and we will go through a large number of discussions with the Mayors Office, some of them substantive, some of them technical. Um, on the way to the mayor, developing her, uh, final recommends action to the board for a budget, which she will deliver on june 1st. And then well go into the board phase of the process, and we will have a new budget. Um, hopefully by about the middle of july, so that thats the process from this point forward. Thank you both. Um, commissioners. Um questions for regarding the budget. Yes, please. Commissioner lum, uh, good morning. Its doing. The budget will make anybody gray i understand that and this is kind of a general question. More than anything else. What what is our contingency plan . What you know, if the proposed cuts by the state actually takes place. Seems to me were going backwards by saying that. Well, we assume its not going to happen. Therefore we can you know, we continue to budget our budgets the way we want to do it , rather than saying, okay, well, you know what to cut. Its already been been announced whether or not it takes place later on, you know, its immaterial. We should be budgeting ourselves based on what the actual money that we that we are going to realize at this particular point, rather than hoping that the cuts are not going to happen right. So, so thats a, um. A you made it as a statement, but i think its kind of a profound, um, tactic question that we face when were doing budget work. And and in most years, um, we, we have to project revenues. I mean, we, we always project revenues. We certainly projected revenues this year. Um what what we end up needing to do is two things. One is we are making judgments about about some revenues that just come in. Theyre not an explicit amount in the state budget like realignment revenue as an example of that, we try and get the number right because we try and build programing around it. Its always going to be at least a little bit high or low. Um, but we work to make a projection. Um, we also make judgments about the way state allocation actions will be handled. So this is something we dont talk about here. A great deal. But the state passes a budget. Lets take the ihss administer station budget as a good example. Um, it is right. About 370,000,380. Its about its about 380 million statewide. And we go through a process of figuring out how it gets allocated out to the 58 counties. There are discussions that actually happen at, um, at the 58 county level. Theres an Organization Called the county welfare directors organization that pulls together representatives of county Human Services agencies to discuss the, uh, the methodology by which those dollars are allocated. And and we have a certain amount of, say, say, um, jill nielsen represents us on the, uh, adult and aging group. Um, hsa director trent rhorer represents us on a sort of a centralized group. I represent us on a finance directors group. Um, and these are all groups that talk about these allocations and come up with methodologies that are ultimately put in place by the state. If the state accepts the recommendation of the california welfare directors association, which they generally do not, its not 100 of the time, um, but we go through discussions about whats the fair receipt or the best way to allocate that money. So if there are changes at this point, we dont know exactly what the allocations are going to look like. So we have a little bit of a, um, educated guesswork to do around that. Um, and then what happens during the course of the fiscal year is that not every county spends its allocation at the same rate. So in San Francisco, we tend to overspend our allocation oceans, and we put local money into into programs in ways that we dont technically have to. We do it to get a higher level of service. We also tend to pay our employees relatively well compared to most most counties us. Um, so we put local money in , um, but that results in us over spending the state allocations and in most cases, and in the middle of every fiscal year, um, counties get together and they say, whos overspending, whos underspending, who can give up some money this year knowing theyll get it back next year and next years allocation. But who can give it up now so that the overspend ending counties can have a little bit more of their costs met . Um, and we have to guess as or project or think through how much were likely to get in that process. So all of that goes into us making a revenue forecast in years where there are policy changes. Theres also a political aspect to, um, to making this forecast. There is, um, a set of questions around whos going to line up to , to, uh, oppose this, uh, proposal. So i think the big thing that we talked about in here is the 17 ish Million Dollars of cuts to the calWorks Program. Its already evidence to us that there will be substantial opposition to those, um, you know, as we said before, the governor has a has a big gap to close, but a lot of people will be pushing on this calworks cut and. So we tend to discount the size of the cut, um, in the calWorks Program, we are also one of the overspending counties. So we have the ability to influence the allocation process regardless of the amount of money that goes into that calworks bucket. And then because were one of the overspending counties at the midyear distribution, we may pick up some of the revenue thats on the table. So thats why, um, when i said we have not assumed that cut here, we have reasons to not assume that cut out. Um, some of them are political. Now, as i said, we might be wrong. The governors budget may stand firm. The Legislature May say, well, weve listened to all these concerns, but were not going to do it. Its a difficult situation. The cuts are going to stand. We still have the opportunity to pick up some of that money in the allocation process and in the redistribution process. So when we go through, because we build programing around the budget that we have, we dont want to make cuts that we dont think are going to happen in. And thats whats really behind our choice. Not not to put in reductions at this point, but a long answer to a very simply made statement. But, um, but that that is the kind of thinking we go through. But if it happens, but if it happens, then, i mean, thats the question from commissioner lum, if it happens is, well, some other place to close the gap. I think thats so if it happens, we have to do the sorts of things weve talked about. We have to look at where theres underspending we have to look at math, managing our personnel budget. Um, we have to then say, okay, if we havent made it all up, um, with those things, then what are the services that were going to stop . And well go through a process of figuring out which are the services that are least bad to stop. We wont internally be in absolute agreement about that. So that will be a process. So thats thats thats the sort of thing that well have to happen. Okay. But to be to be quite frank, commissioner lum, we havent gone through that discussion yet yet. And um, and its a, its a big and a complicated discussion and i want to get a little closer to certainty that were going to be dealing with those state cuts before doing that. Thank you. Other commissioners. Okay, so i have a couple questions. Im going to start with, um, the dignity fund and the 3 million. Thats in this budget and the 1. 7 inflationary number, i just want to make sure i understand this. Um, today its 3 million is in the budget. And of that 1. 7 will cover the inflationary costs as is that that is that correct. That is correct. Okay. Um and is there ever a case where just the inflationary cost would be covered and it wouldnt be 3 million flat, it would just be enough to cover the inflation . Like, is there anything in the legislation . I dont recall. So im just trying to is it 3 million or nothing. So its an all or nothing for the dignity fund. Yeah. So um, so obviously one of the things that we could do is we could go back and see if theres some other way to come up with the 1. 7 million. At this point, we dont have one, but okay, its again, it would be its a situation that we may have to deal with. We dont have it in front of us. Right. Okay. Just want im just trying to follow the all the numbers and then, um, we were talking about the growth in salaries and benefits would grow by the cpi. What is the cpi and when is it determined . Because once again, another number i dont know. So what will ultimately be the cpi now is three. Its 2. 5. Its come down a lot which is a good thing for the economy in general. Um, but but um, but the thing that will ultimately set the dollars in this budget will be labor negotiations. So um, and when are those. Because thats so theyre going on right now. I, i before i came here, i was talking to my hr director, and shes heading up to negotiations today. Okay. Um, they started in about the middle of january. Um theres a whole schedule lined out for them about you know, when we hit, uh, median asian and when we hit arbitration. But the bottom line here is that the contracts are all supposed to be signed and ready for approval by may 15th. Okay. And you know, as, as well probably be obvious, since the mayor is proposing her budget on june 15th, thats a major input, right . Right. Okay thank you. Um. And then i just saw one thing in kelly, this might be for you. Um, in the budget, it looks like apps. This is about sb 4343. So it seems like we have an increase in those numbers. Um back on slide nine, five, i guess an increase in pa, pc and pg and rp from, uh, 9. 4 to 9. 8. And im assuming thats where for the Additional Services will be for sb. 43 three. And then but i see that the aps numbers are going down. Do we have any concern about the aps Service Resources decreasing year over year, or do you have any concerns about that. So the growth in their is really our salary growth right. But the aps numbers are going down. So im just curious. Yes. So aps yes goes down because the whole time safe. Um money comes out for the budget year. And as i said before, were going to try and bridge it with one time money. One time money. Okay. Thank you, thank you. Thats it for me. Thats it. Any other questions . I feel like im describing something thats, um, more bandaged together than it really is. You know, the i mean, this is this is the sort of process we go through all the time. We work with revenues that we have. Sometimes we have holes. We look for ways to patch. So in that sense, this is this is not odd. Yeah its normal for you. To and different for us okay. I just want to make sure that there are no more commissioner questions. So with that thank you, director dearman. And thank you. Uh uh, director kaplan, Deputy Director kaplan. Uh, commissioners, um, will you indicate. No, there are no questions. Im going to go, um, secretary europe, are there any members of the public that would like to comment on agenda item 11 . A. Thank you. So you have three minutes for Public Comment and your time is going to start now. Im sorry i didnt catch that. Yeah you start. No thank you. Uh, good morning, commissioners and executive director dearman. Um, my name is marie jobling. And im here representing the Dignity Fund Coalition. Many of us here today have worked hard to pass the dignity fund legislation. Back in 2016, and we were very happy to see the new services and supports it provided in, in to benefit older adults and people with disabilities. But then we became really discouraged when we started seeing the years where annual allocations were frozen. And its not just the loss of the 3 million in that year, it is that the funding is lost in the baseline budget for many years to come. So were grateful today that the dos staff are recommending a budget that includes a hoped for, hoped. For 3 million, and you will hopefully move forward to recommend this budget to the mayor today. Um, but we urge you to keep working along with us so that we actually are able to secure the funding. Um, not just for this year, but for the coming years. Um, were here today as your neighbors and your and your colleagues. Um, and we will be speaking to more of the citys decision makers. We want you to join our forget us not campaign. You know, where flowers bloom. So does hope and if anybody would like to join or would like more information, um, they can contact us at flower power at sf Community Living. Org and one last comment. You know, just because the city isnt required by law to give 3 million, it doesnt mean that its not right. And just for the city to do that. And we hope that you will advocate along with us to make that a reality. Thank you. Thank you, thank you. Uh, there are other members of the public that would like to speak. Thank you. And you have three minutes and it starts now. Good morning. Um, thank you for giving us the opportunity to speak today. My name is christina irving, and im also with the Dignity Fund Coalition. Um, im going to echo what marie said, that we remain hopeful that the dignity Fund Allocation was in dass budget and are very appreciative of that. We are asking for the support of the commission in our advocacy efforts, both for this next fiscal year and for the future years, that we are able to retain the funding, um, that is so needed for this growing population of older adults and adults with disabilities within the city. The goal of the fund was really to create sustained funding for this growing population. Um, and, and as marie said, that annual allocation is added to das baseline. So when we lose the funding, the effect is cumulative. We think of it often in terms of this 3 million a year, but it when it gets added into that baseline, it is a much greater impact. So the loss of the dignity Fund Allocation in this current fiscal year isnt just the 3 million now. Its an actual loss of 39 million over multiple years. That would continue to support funds for services for older adults and adults with disabilities, along with the loss of the dignity fund when it was suspended in fiscal year 2122. If funding were to be lost next year, as well as in the following fiscal year, the total cumulative impact would be 123 million over the course of the dignity fund legislation, um, we will be meeting with the board of supervisors. Hopefully with the mayors Budget Office as well. And we just appreciate any support from the commission in this advocacy, um, to ensure that really the funds within the city are delivered equitably and that we dont lose the funding for services for older adults and adults with disabilities when we dont see those similar, um, suspension of allocation happens with other set asides within the city. So we appreciate any support from the commission and are grateful for our relationship with das as well. Thank you. Thank you. And there are the other members from the public that would like to speak. Good morning and thank you for this opportunity. My name . Pardon. Youre three minutes starts now okay. Thank you. My name is patty szczepaniak davidson. I work for the Community Living campaign chain. I manage the connector programs in various neighborhoods across San Francisco. Its an aging in place model. And im here today just to talk about what i hear from our participants and generally, um, people are very much afraid, right now in San Francisco, older adults, most of these people, as you know, im preaching to the choir, are baby boomers who chose San Francisco as their hometown. It was a chosen place. They came from other countries, other cities. Why did they come . Because its a friendly, kind city with so many possibilities and the Services Like the, um, christine are the model person of the month spoke about that kind of caring and kindness is what makes people want to live in San Francisco. These people were here through booms and busts and ups and downs and voted, paid taxes, careers, families. And i say, hey, what program do you want . We did the loss program that diane spoke of and many of them say we are just afraid, and were just afraid about so many things. We have sticker shock when we check out for food. We are friends and family are moving because they either cant afford San Francisco anymore or maybe they are ill, or they need to move into care. Um, so many people are living alone and loneliness and isolation, of course, is our number. You know, number one priority. So many people say, im afraid i live alone. I cant tell if im having cognitive decline or not. Can we do some program on that . So basically, im just here to say when you talk about inflationary woes, you know, were right there with you. But um, and thats basically it. I just wanted to say these people love San Francisco. Theyre afraid about living here, afraid about going to the drugstore thats no longer in their neighborhood, which they counted on. Afraid of walking down the street, afraid of what they read about downtown. I live in the outer mission. Excelsior uh, theyre like, whats going on . Does anybody care about us anymore . Were so forget us. Not we are coloring. Were knitting or crocheting. And again, i just want to say how much the older adults love San Francisco and are hoping to get restored. Trust and faith again because it has been shaken like never before. Thank you. Thank you. Are there any other members of the public that would like to speak . Uh, moderator please open the phone line for callers. Are there any moderator are there any callers in the queue . There are no callers. Thank you. We can move to the vote. Okay. Hearing no further request to speak on the item, we will close Public Comment. Is there a motion to approve . Second, um, moving second, theres a move in a second. Mr. Secretary, please take the roll call. Vote president spears, how do you vote . Yes Vice President nelson lum, how do you vote . Yes, commissioner martha knutson, how do you vote . Yes, commissioner sasha bitner, how do you vote . Yes commissioner wanda young, how do you vote . Yes, commissioner Barbara Sklar how do you vote . Yes. And commissioner linda parker pennington, how do you vote yes. Thank you. We have a unanimous vote. Thank you. Items 11 b and 11 c. No i wanted to say thank you, commissioners. And, um, we will provide updates as we go through this process. Thank you very much. Items 11 b and 11 c are both information only items that do not require a vote by the commission. Agenda item 11 b presentation or review of the das office of Community PartnershipProgram Memorandum number 33. Consumer grievance process will be presented by mike zogg. Good morning, commissioners executive director dearman. Im mike zogg, Program Director for office of Community Partnerships. This item is a redo. It may seem familiar to you. In october, i came to the commission. I was very focused on getting a technical adoption by you. So to satisfy requirements from the California Department of aging, you guys had feedback. I went over to the Advisory Council. They had feedback. I didnt have a really great mechanism to implement that feedback and bring it back to you. So this is this is my attempt to do that. Um quickly, our, our a little background is our grievance policy. Um, this allows for consumers who are receiving services at dos funded services an opportunity a structured pathway to have their concerns heard and responded to, um, this is a means to make sure that were, you know, providing the best possible Quality Services out in the community that we can three stages to our grievance policy. The first level is at the at the provider level. This is handled between the consumer and the provider. They are then able to appeal that up to the department. We have our dos clinical and Quality Improvement unit, a distinct unit in dos, um, who essentially review, document, investigate these grievances and then and kind of make a recommendation regarding next steps on that. Um, third level is a dos Advisory Council panel review. Um again, most are resolved at that first level. Um, we have a handful of, um, appeals that come to the second level. Weve actually not had a Advisory Council appeal in recent in recent memory. Um so no updates to this document since i last came to you. Um, there are just a couple. There are some cleaned up a little bit of the language along the way to make it read a little easier. Ive added some headers in each section around level one, level two, and level three to make it more clear about, um, about what where were at. Um, the i think the biggest change was feedback that came from the Advisory Council and that was changing the language in that there, um, sort of ruling on the matter is truly an advisory ruling which is forwarded to the executive director of the department. The executive director then has the option to adopt that advisory ruling or edit it as he or she she sees fit. Um. So, so for feedback, heres what id like to do. Well have well have i have my notepad here and im ready to go and take notes. Um we also i want to give you the opportunity, if you want to take more time with this, you can submit comments or concerns to ravi. Um, and he will compile them and forward them to me. Um ideally, if you could get this to him, say, midday on friday, february 16th. So maybe about ten days from now, that would be great. Um, with the idea that i can be working those into the process. In the meantime, im going to go back to the Advisory Council, get any additional feedback from them with the idea of coming back, hopefully in march with, um, all feedback, incorporate and a recommendation from the Advisory Council and then seeking your, um, seeking your adoption at that point. So with that questions or kind of comments. Um any questions from the commission . Um i dont know if there were, um, um, although into the update, but i steered by it because with the penny a bullet, them doing, you know, either them doing. I know that may not be divide within, but with the, with. Uh commissioner. So the question i heard was, um, whether or not the Advisory Council has received any ableism training in thinking. I think, you know, the more we did them doing. Okay, i dont know that answer. I im going to bring up an expert dos Advisory Council president. I know we went through some training, um, a couple i think it was on ableism , but i will go back and see if i still have my notes. Uh, we did it with the commission. Um about a year or two years ago. Uh maybe. And um, i did want to make one comment. The reason we asked for one of the recommendations is, um, that, um, mike mentioned is we dont see ourselves as a Decision Making body. Were an advisory body. And the way it stood, we were concerned that that was changing our role. And, um, so i just wanted to throw that in as reference. But im pretty sure we have. But ill double check, you know, because im thinking maybe youve done with the i mean, when you stated that, commissioner, i thought exactly the same thing because we have new members, so well add it to our to do list. Yeah. And if you need any up, let me know. You know, diane, we can keep in touch if we have any resources we can share with you for sure. Sure. Logistical um, if you dont hear from us. In other words, do you need to hear from each one of us to say yes, i had feedback from everyone, or i do not. You do not have to affirmatively me, okay. Provide feedback. So if were fine with this and dont say anything, youre youve completed your feedback back. This is correct requirement okay. Yes. And so i just have one final comment. Will this come before us again. Or is this like yes okay. For approval at some okay. Yes. Sounds good okay. All right. Thank you so much. Thank you to Public Comment on it. Oh. Uh any members of the public that would like to comment on agenda item 11 b this was informational. It was. We still have to do it. Oh. Got it. Sorry um, moderator please open the phone lines for Public Comment and agenda item. Agenda item 11 b will hold for a few minutes. Moderator. Any callers in the queue . There are no callers. Thank you. Okay. We can move on. Okay. Sorry, i jumped ahead. Item 11 c fiscal year 2324 area plan and budget. Amendment one. Uh presented by genevieve. Genevieve. Genevieve. Genevieve. Herrera. Herrera herrera. Sorry about that. Well present this item. Thank you. Good morning. Um, i will be brief. I have some good budget news for once. Um, we have just to think, just a small bit of, um. So we have received notice that we are getting a 532,000 in additional area plan grant funding, uh, for this fiscal year of that, uh, uh, 9101 91,656 is going into our area plan baseline. So we will see that again. Um, that comes from federal funding. Um, the cda applied new data to its funding formula, which resulted in an bigger allocation for San Francisco. So we will see that funding in um programs for congregate nutrition and home delivered meals. In addition, we have have uh, 440,000 635,000 in one time funds. Uh, these are largely, uh, funds that are the result of remaining balances from last years area plan, uh, allocation statewide. And so theyve just been redistributed. Um of that, 440,000 is about 20,000. Is not from the redistribution of leftover savings from last year, but rather it is the result of an increase in the, uh, a statewide fund for ombudsman services. Uh the funding all of this funding needs to be spent by june 30th. Um, well, i believe later in this agenda, youll be looking at some modifications to contracts with this funding. Thank you. Um are there questions by the commissioners . Any questions by the commissioner . Sounds like lunch time. Well, im just going to say this is a comment. This seems to answer the question that dan kaplan was presenting about the negotiations that happened later, where theres additional dollars that im going to say magically show up. But its not magic. Its basically based on the negotiations that happened. So this is our understanding, perfect boy, im learning something today. Okay. Um, any its the budget in action. Please dont leave. Um um, secretary, are there any members of the public who would like to comment . Are there any members of the public that would like to comment . An agenda item . 11 see my moderator. Please open the phone line for Public Comment on item 11. C will allow some time for callers to submit their request. Uh, there are no callers in the queue. Thank you. We can move on. Okay. Thank you very much. Um that was good news. Commissioners. Items 11 d and 11 e are action items that require a vote by the commission requesting a vote by the commission to appoint Renee Richards to the dos Advisory Council for a two year terms as a dos commission appointee. The dos Commission Nominating Committee has nominated the applicant, Renee Richards, to be appointed on the dos Advisory Council for a two year terms. Are there any questions or comments from the commission . Are there any members of the public that would like to comment on agenda item 11 . D um, operator, could you please open the phone line for Public Comment on item 11 . D and there are no callers in the queue . Thank you very much. Uh, ravi, i think we have someone at the podium who wants to speak on this item. Thats uh, this is renee. I know, but. Right. Does she. Do you want to speak . Item . Oh, no. Okay im looking forward to service on this council. I just want to make. I knew it was renee digesting everything that happened today, so thank you. Okay am i done . All right. Thanks. Would you like to talk on your own behalf anyway . Um, commissioner, um, hearing no further requests to speak on this item will close Public Comment. Is there a motion and a second . I move. Okay. Second and a second. Theres a motion and a second. Mr. Secretary, please take the roll call. Vote for item 11. D president janet spears. How do you vote . Yes, Vice President nelson lum, how do you vote . Yes commissioner martha knutson, how do you vote . Yes, commissioner sasha bitner, how do you vote . Yes, commissioner wanda young, how do you vote . Yes commissioner Barbara Sklar how do you vote . Yes and commissioner parker pennington, how do you vote . Yes. Thanks we have unanimous vote. Thank you for being willing to serve. Thank you. Okay our next item, commissioners is requesting authorization to modify the existing grant agreements with multiple providers during the period of february first, 2024, through june 30th, 2025. In the additional amount. Of 3,521,000 to 363 mm dollars, twice, plus a 10 commission, um, contingency for revised total not to exceed. 26,711,741. This will be presented by tiffany dang. Thank you. Good morning, commissioner ayers. President , spears and executive director dearman. My name is tiffany dang and im a nutritionist for dos. Im joined by a fellow nutritionist, leah walton, to seek the commissions approval for eight Grant Modification across Six Community partners. Six of the eight modify locations are for congregate nutrition programs. One is for a home delivered Grocery Program and one is for a home delivered meal program. Does receive additional federal and state funding for Nutrition Services, and is allocating these funds along with one time only dignity fund savings to Community Partners who are providing services above their current contracted service level. This years 3. 75 cost of doing business adjustment, or cod b, is also included in the modifications because some of the funding is one time only, the amount of funding allocated to the individual nutrition partners grants may vary between this fiscal year and the next fiscal year. Das has based the allocation of available funding on the nutrition per Partner Service level projections for this fiscal year and to the extent possible, next fiscal year, also considers were the priority set forth in the dos area plan in the 2022 dignity Fund Community needs assessment. Ill hand it over to my colleague leah to present the first four modifications in this item. Good morning. Commission president spears and executive director dearman. Uh, the first two Grant Modifications listed are for bayview Senior Services. Bayview has four congregate meal sites and focuses on providing culturally responsive Nutrition Services in districts five and ten, and they are especially beloved for their fish fridays. Um bayview has seen a significant increase in demand for Nutrition Support Services since the onset of the pandemic, and that increased need remains. Uh, we are seeking to modify bayview congregate Nutrition Services for Older Adults Program by adding a little over 1. 5 million to support roughly 166,000 meals across fiscal years, 24 and 25. We are also seeking to modify bayviews congregate Nutrition Services for adults with Disabilities Program by adding about. 130,000 to support approx. 12,600 meals through fiscal year 24 and 25. Bayview used a portion of their cod b adjustment to address Rising Program costs, and is a and a portion toward more meals for adults with disabilities in both fiscal years. The third Grant Modification is with Centro Latino de San Francisco for their congregate Nutrition Services for adults with Disabilities Program. Centro latino has six sites located in districts two, six, and nine, and their notable notable for scratch cooking. Culturally responsive latinx meals, using minimally processed ingredients. The total modification adds a little over 90,000 to support approximately. 6000 additional lunch meals. In this fiscal year and next fiscal year, and additionally, the modification will support a meal rate increase to address Rising Program costs such as purchasing quality food and retaining skilled staff. The fourth Grant Modification is with golden gate Senior Services for their home delivered Grocery Program, which provides clients residing in district one with a weekly bag of groceries delivered by a friendly and consistent volunteer. The program has a loyal base of volunteers and nearly 1 to 1 ratio of volunteers to clients. A previous modification was made to increase Service Levels up through fiscal year 24, to meet the anticipated demand, but at that time, funding was not available to increase Service Levels. In fiscal year 25, with the funding available now, wed like to add about 89,000 to fiscal year 25. Only to maintain current Service Levels, and this modification adds 3300 grocery bags, 124 social service hours, and 40 outreach hours to fiscal year 25. Additionally. Cod b in the amount of 7,376 would be added in both fiscal year 24 and 25, and now ill be handing it back to tiffany to present the last four modifications. The fifth Grant Modification is for project open hands congregate Nutrition Services for adults with Disabilities Program. Project open hand is a reliable client centered congregate nutrition provider. With ten sites in eight districts. Project open hands team of dietitians and chefs develop diverse menu options that reflect their Diverse Client base. We would like to add about 230,000 to support an additional 18,000 meals in fiscal year 24, and 25 to sustain current and projected demand. Project open hand is using their cod b adjustment to address inflation and the associated increases in food, fuel and staffing costs. The six Grant Modification option is with russian american Community Services or rex congregate Nutrition Services for adults with Disabilities Program. Rex is located in district two and focuses on serving authentic russian cuisine five days a week. Their menu features items such as cutlery, which are russian style meatloaf, dark rye bread sourced from a local bakery, and pierogies which are stuffed buns. The total modification is about 38,000, which includes cod b and additional funding to support. About 3400 more meals across both fiscal years. Additionally the modification will support a meal rate increase as rex is a smaller provider and has a smaller economy of scale. The meal rate increase will address increased Program Costs such as food procurement, staffing, and facility costs. The last two modifications are for selfhelp for the elderly, selfhelp provides congregate and home delivered Nutrition Services for older adults and adults with disabilities. Across the city. They focus on providing culturally Responsive Services to the citys asian communities with care and respect. Chinese cuisine is the primary type of meal they provide. The first of their modification is for their Home Delivered Meal Services for Older Adults Program. The total amount requested is approximate 1. 2 million. The modification will support roughly 82,000 meals between fiscal year 24 and 25. It will also support the required initial and annual assessments for the additional consumers served in both fiscal years. The final modification is for selfhelp, congregate Nutrition Services at Geneva Community center in d11. The Geneva CommunityCommunity Center launched in march of 2022 with the support of dos through the dignity fund service and allocation plan. In fiscal year 22, the high demand for culturally responsive nutrition support in d11 remains consistent. The total modification amount is about 155,000. The funding will support selfhelp with providing approximately 14,000 meals across fiscal year 24 and 25. In summary, the eight modifications will fund over 300,000 meals and grocery bags, of which 200,000 are allocated in fiscal year 24 and 100,000 are allocated in fiscal year 25 and estimated 762 additional consumers will be served in fiscal year 25. The 24 sorry, an additional 428 consumers will be served in fiscal year 25. Dossani tradition partners ensure that their services are culturally responsive and meet National Nutrition standards to prevent malnutrition and poor health status. Service also include nutrition screenings, education and create a pathway to other supportive services. Thank you for your time and consideration. If you have any questions, well do our best to answer them. Thank you commissioners, are there any questions regarding these this modification, these modifications, the very thorough presentation . Yeah. Questions on my part okay. Um, secretary, are there any members of the public that would like to comment . Model please open the phone line for comments and well pause one 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 these modifications . Uh i move second. Okay. Its been moved and seconded. Mr. Secretary, please take a roll call. Vote for item 11. E president janet spears. How do you vote . Yes. Vice president nelson lum, how do you vote . Yes, commissioner martha knudson, how do you vote . Yes commissioner sasha bitner, how do you vote . Yes, commissioner wanda young, how do you vote . Yes, commissioner Barbara Sklar, how do you vote . Yes. And commissioner linda parker pennington, how do you vote . Yes. Thanks. We have a unanimous vote. Thank you. Um, commissioners, are there any announcement . Yes i just have one. Um, and this is at the state level. The state has a lgbtq service that is out. Um, and, and i think its important that we pass that along to all members of the community to make sure its the first time that the state has done this, uh, statewide survey, um, on the lgbtq plus community and, um, it is going to provide, ill call it guidance to the master plan for aging and the other services that the state provides. And this was being distributed by various community groups, right . Various community groups. And its actually on the state website, too. And i want to thats the one i did do that. Yeah, i completed mine. Okay thats the only announcement. I have a great survey. Any other. Um, yeah. Um im glad we were having a throwing meeting with, um, the mouth of the mouth. Um um, committee on disability and february. The. 18th. The upcoming meeting, i think. Oh, yes. Meeting between, um, uh, the commission and mod. Yes, yes, yeah. You know, and i think its from 1 to 4. Exactly yes. Thats correct. Thank you. Commissioner its, um, the announcement for the das joint with mod Mayors Office disability meeting that will take place in room 400 next week from 1 to 4 p. M. Friday, february 16th, that we will all be in attendance. We will all be there, right . Any any other announcements . Uh, commissioner . Um its going to be a great weekend. Saturday its going to be chinese new year, a year to dragon and of course, sunday. Go, niners. All right. Wouldnt be San Francisco unless we with with all with that i will adjourn. Thank you. Thank you for the go niners appreciate it the city of San Francisco invest nothing resources to care for people experiencing a Mental Health or Substance Use crisis on the streets this includes new programs and the expansion of pilots. Paramedic and street crisis. You all right . When we receive a call on 911 when someone is experiencing a Mental Health crisis, the Street Crisis Response Team would be sent out for that person. More people are looking at 911 for the medical or police or fire response this is actually a response that is needed on 911, Mental Health is a big issue. We are like another tool in the box. Because sometimes people call 911 and will not want to go to the hospital. And other times people are afraid of safety or worried about the person and sometimes they will send pd out which may not be the best resource for that person. Jot Street Crisis Response Team assists and stabilizes many experiencing crisis on the street. Sometimes people have more complex needs. Behavioral Health Clinicians from the team or best, provide follow up care after the initial 911 call response. Best provides street Behavioral Health support over dose follow up and linkage to appropriate Mental Health treatment and medical care. Behavioral Health Starts with us and the coalitions that can relate. And build the friendships and the resource this is go with that. If you are experiencing an emergency, or a worried about someones safety on the street, call 911. For nonemergency, use 311. You can learn more im from the great state of arkansas and when i say good morning. Good morning. Welcome to the Homelessness Oversight Commission special meeting. We acknowledge that were on the unseeded homeland of the