Auburn rights s first peoples. Mr secretary, can you please take the roll . Good morning. Thank you. President nixon commissioners, please. Prawn respond with president when i call your name. President martha knewton president , Vice President janet spears present commissioner sasha bittner. Let me meet you. Commissioner, can you hear me . Shes present. Yeah again. Okay. Got it. Thank you. Commissioner wanted zhang president well hello. Okay commissioner, Linda Parker Pennington present commissioner nelson lum. Present commissioner barbara score. Not present and dos executive director kelly, german president. President clinton. We have a quorum. Thank you. Alright commissioners. The next item is item three communications. Wed like to provide further instructions for the Public Comment process. Public comment will be available in each item on this agenda. Hello. We should make sure commissioner bittner can you hear us . I dont think so. Commissioner. Peter can you hear us now . Yeah, perfect. Sorry about that. Okay come insurance. Well start back on the next item. Item three is communications. Wed like to provide further instructions for the Public Comment process. Public comment will be available in each item on this agenda and during general Public Comment both channels 78 sf gotv. Org are streaming the number across the screen. Each speaker will be allowed three minutes to speak, comments or opportunities to speak during the Public Comment period are available via phone call. During each Public Comment period. Viewers and collars will be instructed to call 14 and 565500. Access code 248740. And then pound again when connected. Youll hear the meeting discussions, but youll be muted in listening mode only. When your item of interest comes up dial star three to be added to the speaker line, best practices or to call from a quiet location. Speak clearly and slowly and turn down your television or radio. Youll have three minutes to speak. You will be informed by the moderator. When you have 30 seconds left. After 30 seconds, youll be meted and placed back to listening mode alternatively, Public Comments can be submitted by email to ravi dot derbys at sf gov dot org if you submit Public Comment via email will be forwarded to the commission and will be included as part of the official docket. Or it or any other communications from are there any other communications from the Commission Members . Mr better. Okay all right. Thank you. Commissioners your next agenda item is agenda item for approving the minutes of the wednesday april 5th 2023 Das Commission meeting and i want to thank Vice President spears for chairing that meeting last month in my absence. Um are there any comments or questions from the Commission Regarding the wednesday april 5th 2023 Das Commission meeting minutes. They were amended, okay . And do we have anyone from the public who wishes to comment on the item . Do we have anyone from the public who wishes to comment . And moderator, please open the phone line for Public Comment. We allow some time for callers to submit the request. Moderator. Do we have any collars in the queue . There are no callers. Thank you. Okay great. Then hearing note further request to speak on this item. Is there a motion to approve the wednesday april 5th 2023 Das Commission meeting minutes. Okay missioner bittner, second from Vice President spears. Can we please take a roll call vote to approve the april 5th 2023 Das Commission meeting minutes. President martha can newton how do you vote . Yes. Vice president janet spears. How do you vote . Yes, commissioner sasha bittner. How do you vote . Yeah commissioner Linda Parker Pennington. How do you vote . Yes john. How do you vote . Yes commissioner nelson lum. How do you vote . Yes. Unanimous vote. Great thank you, um, commissioners. Item five, is executive directors report and welcome executive director. German thank you so much. Good morning, everyone. Um, i just have a few things to report on last. Uh week i was in d. C for the annual us aging. Public policy briefing. Um where it was a great opportunity to learn what is happening on the federal level, which we all know its a little dire, but, um what i did do during that time was i got to visit with staff of um senator padillas office. Senator feinsteins office. Uh congresswoman, um barbara lee. Congresswoman s. You and, um. She who will always be my speaker, congresswoman pelosis office. It was a great opportunity to talk about all things aging. And what is important to us. Were super lucky here in the bay area because were all on the same side and they were all very much appreciative of us taking the time to come and visit with them and talk about whats most important. And what is most important right now is that they continue. That congress continue to fund the Older Americans act. And that there are more investments in caregivers. There was a lot of conversation about the need for more caregivers, and, uh, its not only a local issue, it is definitely a federal issue and the statewide issues so i was happy to hear about that. On the state level. Um we are still waiting for the governors may revise, so i have nothing to report. Um budget wise, except to say everybody is tightening their belts. Locally i want to give a shout out. Uh to, um fanny lepton. Um this is a p i heritage month and fannie was invited to, um, speak on a panel on women in leadership, along with grace lee and um ani chunks, so were very proud of her. Fannie as you know. Runs the hub. And im not saying that right . Right is that is that fair . Okay sorry, fannie. Sorry okay, so, um, also just want to thank staff. From i. H s s and a p s who we had to activate the staff for the recent power outage. We have a vulnerable populations protocol. And of course, our staff stepped up and what they had to do to make sure. Um all of our clients were where . Okay so, um, lastly, yesterday, the board of supervisors honored me and our executive team for, um all the work that we do and thanking us because we are often, um were not really seen and so they wanted us to know that they do see us and they do appreciate us and they were thanking us for all of our great work. So i have, um huge respect. And thanks to all of the staff at das, who, um, make all of this happen. And thats it. First im so pleased that youve got that recognition yesterday. So thank you. Yeah um and second, um, deep, deepest. Thanks to stepping up. This is the unrecognized thing. People dont realize they hear about a power outage, and i knew it was in a Vulnerable Community and thank you for that. You know that. Thats the point of all of this. So thanks for that. Any other questions and comments from other commissioners on the report . And first of all, i want to also welcome commissioner scholar who has not been able to just moving slower now than you dont have to apologize, and i just wanted to recognize who were so happy to see you here today. So your present any other questions or comments for the executive director day with the b. Do you that . Um um and the executive do it, they too. With bed will. Well they do they know the everywhere, ever do anything into it . I think appointment bring the boy would be able to be involved. Okay. Thank you. Thank you so much, commissioner. Then well just move along. I think to our Employee Recognition. Commissioners item six is a das Employee Recognition executive director dearmond president kunitsyn and the Das Commission will honor and make walters who is a protective Services Worker in the hub integrated intake unit. So congratulations and make walters is a veteran at the das hub intake unit. Who knows intake programs so well that she is the go to person for almost all new hires to shadow. And has extensive experience in working with disadvantaged populations and with clients in need of protection. In 2007 and joined dos as a protective Services Worker at Adult Protective Services with increasing needs for an integrated approach in assessing Client Service needs and knowledge about Community Resources and our skills and providing comprehensive integrated assessment was a much desired addition to the intake unit. In 2009 and was transferred to the integrated and take unit. At dos and we are grateful that she has been working with us since then. And is knowledgeable and she always looks for the best resources for her clients. She helps her clients stay connected with Community Resources and follows up with them and or their caregivers to ensure all of her clients needs are met. She respects her clients rights for Self Determination and provides resources to support them while making an informed decision about their care. And its not only a warmhearted social worker sensor deployment at the intake unit. Shes taken taken a leading role in many projects. Just to name a few. She was the lead and worked closely with dos. Funded aging and Disability Resource Centers and providing options counseling to older adults and or their family members who need an in depth discussion on available care options. She joined the working group in reviewing the structural Decision Management manual tool when it was first. Excuse me introduced to the intake unit. This is a tool to help intake staff determined the Response Time for adult protective calls. And is also a member of the outreach presentation working group and helps with many outreach presentations in the past year. In addition and was an active member for the Safety Committee , and has helped organize events at the hub to raise staffs awareness on safety. And as an asset to any unit that she chooses to work for, and we are unbelievably grateful to have her with us. Congratulations and on this well deserved award as the may 2023 das employee of the month. Thank you, um, i just want to say well, thank you very much. Im very grateful. Im getting a little emotional. Sorry. Okay . Ive been grateful to have been a part of das 16 years. Dos has given me a rich social work experience. I have seen das intake expand from a small group of intake workers to a comprehensive one stop shop for people with disabilities and older adults in the San Francisco community. I have found it rewarding to work on behalf of and interact on a daily basis with the community we serve. I am thankful for my dos intake colleagues who are dedicated, hardworking and supportive. Sorry. Lastly im thankful for the Leadership Team at dawson, take my supervisor, more fun and Program Manager kelly bryant. Thank you. Come up and take a picture. Thank you. All right. Well, thank you very, very much. And, um i understand emotion. I feel this way about this place, too. So you see me doing doing this every once in a while, so congratulations on your your wonderful career and contributions, and your presence here today means a lot to us. So thank you. Yeah um then we move on to go ahead. Commissioners item seven is the Advisory Council report presented by the Advisory Council president diane lawrence. Good morning commissioners and executive director german. I apologize for not having my video on its been temperamental this morning. Um i havent really brief report i was out of the country when, um, at our last meeting. So i just want to, um, a couple of quick things. We approve the area plan. As is our task each year. We had a site visit and ill have more details in my may report to you. I havent seen that report yet to meetings this week one this afternoon conversation with someone whos interested in joining the council. Um and then secondly, presentation to district one representatives looking for a, um. The board of supervisors appointment in supervisor chance office. Um about the council and the job, so keep your fingers crossed those both pan out. So thats about where we are this month. Are there any comments or questions regarding the Advisory Council report . Just uh, the site visit thats planned. Where is that . The site visit. Um commissioner was at the report that was given was on the virtual, um, on the richmond center, and i need to get more details. I havent seen the report, um, and discussing it with Vice President graph. Um yesterday she, uh pointed out there was some questions, so i want to see the report. Before the report in any detail, so ill definitely have more information next month. Richmond neighborhood. Okay, just thank you. Any other questions on the advisory report. Move along. Commissioners item is the joint legislative slash tack report also presented by Advisory Council president diane lawrence. So we had the joint ledge report. I have already to send ravi to hand out to you. Um since again i miss that meeting. Promise im hoping my health and, uh its fine and that i also have no no travel plans, so i shouldnt miss any more meetings coming forward. We had attacked meeting on monday and ill have more to report it was basically discuss legislation and the Village Program and then some discussion on the brown act and keen and what that means Going Forward for, um for our meetings attack. Any questions . Any questions from commissioners . Okay then. Thank you very much. Welcome. Okay commissioners. Item nine is the case report presented by dell daniel gallagher, who is as well on webex. Good morning commissioners and executive director german. I apologize for presenting remotely today prior to vetements preclude it from being there in person. I will also be brief report. This morning. Just jump into our case programming. In april in right. Um because balance score. And. Donald core looks at inwards as a companys team to measure how well balancing the many priorities and their professional, personal and spiritual lives. Its a insightful ritual that we vote hybrid and in person teams can use at the beginning. Meaning to check in with themselves and each other and then doing so. No connection trust and team resilience. It was a good presentation. It was interesting. Um and something that could be a very useful tool. Back for all of us. Whether we have presenting and meetings or nice. I did share a link. My report. You can view that. In may. Carrie shell that Community Support services and open house. And aidan. Good way licensed clinical social worker. Um, are presenting the program to encourage active. Rewarding lives otherwise known as pearls , which is a Community Based option. Were addressing depression and isolation and loneliness among older adults. Pearls appear based model. Coaches use problem solving activity planning. Connection to additional communities, sources as tools account participants develop the skills. Any for self sufficiency. So we are looking. For two. That presentation. In our may, um membership meeting. And then, finally, just a couple more notes on budget advocacy. We continue to advocate for the Behavioral Health funding that i mentioned. And in our april milene. As well as our ongoing efforts. To increase technological support and connectivity. And to strengthen outreach activities so we can improve access to services. Ongoing um advocacy. To improve public safety, which is mont and San Francisco these days. And then, um, queen what executive director german had mentioned in her report is, um, opportunities to expand caregiver support and caregiver respite, which we all feel the need for um in our work these days. And that concludes against my report. Thats great. Are there any questions and thank you for the report . We did have a chance to look at it before the meeting, which appreciated reading the details there. Um any questions from either the reading the reporter today . Okay great, then. Well, thank you very much. Appreciate it. Thank you commissioners. Okay moving on item. 10 commissioners item. 10 is general Public Comment and opportunity for members of the public to address the commissions on matters that are not on todays a calendar. Are there any members of the public that would like to address the commission today . Okay . Moderator please open the phone line for Public Comment. We allow some time for callers to submit the request. Moderator. Do we have any colors in the cube . There are no colors. Okay, thank you. That concludes the members of the public that wish to adjust the commission under this item, and we can move on to the next commissioners. Your next item is item 11 old business commissioners. Please indicate by raising your hand if theres any old business that youd like to discuss oh, okay . Okay . No we can move on. Thank you very much. This item constitutes a Consent Agenda item and is considered to be routine by the disability and aging Services Commission and will be acted upon by a single vote of the commission. Theres no separate discussion of this item unless a member of the commission or the public so requests in which event the matter will be removed from the consent calendar and considered a separate item. And that we have one item today. Grantee babe, you Senior Services, uh, for an additional amount of 8000 for a term of 71 20. 21 to 6 30 2025. And ah. Are there any questions or comments about this item . Do we have anyone for the public who wishes to comment . Moderator please open the phone line for Public Comment will allow some time for college to submit the request. Moderator. Do we have any colors in the queue . No callers. Okay thank you. Great then hearing no further requests to speak on the item. Is there a motion to approve the may consent calendar so moved from commissioner Parker Pennington. Oh, i think it second um, from commissioner bittner. Can we please take the roll . Call vote president martha, can you er president martha nixon . How do you vote . Yes president janet spears. How do you vote . Yes commissioner sasha bittner. How do you vote . Have commissioner Linda Parker Pennington . How do you vote . Yes commissioner wonder, john, how do you vote . Yes, commissioner nelson lum. How do you vote . Yes, thank you. Thats unanimous vote. Thank you. My name wasnt called. Commissioners clark. Yeah apologize. Commissioner slurry right there. How do you vote . Yes thank you. For the reminder. Can we have unanimous vote to get this right . Commissioners the next agenda item is item 13 new business. And item a is going to be informational only, and then items 13 b and 2 13 through 13 jr action items that require a vote by the commission. Um, the first item is 13 a and it is a Community Living fund, six month report and the fiscal year 23 24 annual plan, and i believe Melissa Mcghee is now in charge of this so welcome. Thank you. Um good morning. President can knutson commissioners executive director dearmond . My name is Melissa Mcghee, um, a Program Manager with the office of Community Partnerships at das and im here today to present the Community Living fund six month report covering july through december 2022 the Community Living fund annual plan for fiscal year 23 24. The Community Living fund, or clf, as ill refer to it was created in 2006 through a San Francisco ordinance to support aging in place and Community Placement alternatives for people who would otherwise require care within an institution. A section in the San Francisco administrative code requires that dallas reports clf level of services and costs every six months, along with an annual plan for the continued implementation of the program. My report today will be fulfilling this requirement. Clf provides home and Community BasedServices Using a two pronged approach of coordinated Case Management and purchase of goods and services. The institute on aging ioway is currently the contract it Service Provider for these services. The program serves adults separate cisco residents with income up to 300 of the federal poverty level. The individuals must be willing and able to live in the community with appropriate supports, and they have to have a demonstrated need for services or resources that will enable them to live in the community and prevent institutionalization. The full program. Eligibility criteria is available independence say of the annual plan. The target population includes individuals ready for discharge from laguna honda ha laguna honda hospital. Zuckerberg San FranciscoGeneral Hospital and other San Franciscos Skilled Nursing facilities. Or individuals who are at imminent risk of institutional placement but are willing and able to remain in the community with excuse me with wraparound services. The Community Living fund provides. How provides housing subsidies support through brilliant corners are contracted Community Partner that administers rental subsidy and helps acquired scattered site Housing Units throughout San Francisco. And the fund also includes the Public Guardian housing fund that specifically provides housing subsidy and assistance to individuals. Conserved by a Public Guardian and also meet clf criteria. So i want to identify highlights from each of the reports first. The clf six month report for july through december 2022. In the six month report covering july through december. Clf received a total of 68 new referrals during this period. About 46 of those referred were eligible, and 94 of those eligible were approved to receive services. Clf served 289 participants in total, with 71 receiving intensive Case Management and purchase of equipment and services to rye away. 93 of these also received rental subsidy through brilliant corners. Trends and ethnic profile of new referrals remained generally consistent with prior periods with some minor changes. Referrals for white individuals increased slightly and remained the Largest Group at funny 41 black African American referrals are at 28 which is an increase over the last period. Letting x remains steady at 16. An asian and Pacific Islander referrals decreased to 11 for blast period but remains consistent with overall trends to date. Also during this reporting period, clf continued to support the dot das Public Guardian office through the pg housing fund by providing housing subsidies and assistance to six conserved participants. The most common self reported service need requested through clf remained remains consistent with prior periods. Case management 82 in home support 62 and Housing Related Services 62. Notably Mental Health and Substance Abuse services, where requested slightly more frequently than in recent periods at 54. As for Program Costs. This reporting period shows a net increase. This uh sorry. Net increase in Program Costs in all categories compared to the prior six month period, with home care costs and rental subsidies that averages 2362 per month. Excluding costs for home care and rental subsidies, average monthly purchase of Service Costs for clf participants who received any Purchase Services was 177 per month in the latest reporting period. Finally as of april, 2023. The clf waitlist has 17 referrals waiting to be assigned. On average. These individuals have been waiting. 32 days. Approximately 82 are waiting for intensive Case Management while the rest are waiting for purchase of goods or services only. This wait list is shorter than the previous period , and more notably the wait time is significantly shorter than historic trends. Consistent with the prior period in a reversal of historic trends. Individuals waiting for purchase of service have spent less time waiting on average than those waiting for intensive Case Management services. Highlights of the clf annual plan for fiscal fiscal year 23 24. Clf will continue its integrated housing model to facilitate the care, coordination and for transition of individuals from laguna honda hospital and other San FranciscoSkilled Nursing facilities to scattered site housing in the community. Again the scattered site housing and rental subsidy administration. Is a contract in collaboration with brilliant corners. Core meeting, Community Options and resource engagement is held every two weeks and includes dos brilliant corners institute on aging clf program, laguna honda hospital as well as other relevant Multidisciplinary Team care team members, including physicians. To discuss referrals and the needs of clients for successful discharge to the community. Clf will continue its partnership with the public ardian office through the Public Guardian housing fund for individuals conserved by the Public Guardian. This housing fund is used to support them with housing subsidies and movin related costs to support housing stability. The clf program will include enhanced Care Management services through the cal aim, california advancing and innovating medical state initiative for members of the San Francisco health plan, who are adults living in the community who are at risk for long term institutionalization. As well as nursing facility residents transitioning to the committee. Enhanced Care Management for these two populations of focus align with the goals of the clf program. And finally, during this fiscal year, clf will continue the utilization of the California CommunityTransitions Program to leverage supplemental funding through medical services. This program has been beneficial in the ability of the clf program to support laguna honda participants. That required caregiver support while waiting to be connected to hss. And that concludes my report, and im happy to take any comments or questions. Thank you so much. Are there any comments questions from commissioners on either of these reports. Go ahead. Okay. Commissioner john spooky thanks very much for the excellent report. I just have, um, lets its mainly the six month three part of the question. Um under key findings, i noticed that its noted that there is a lower volume of referrals. And also that Service Levels. Um under the second bullet going into second page that Service Levels are 20 lower any sense as to why that change mhm during is so considering this reporting period is two july through december, there has been the laguna honda hospital issues and situation and first you know discharges. And then there was hold on discharges. So that right okay, situation really has affected referrals and services of clf. Okay thank you. And then i noticed also, um, that, um, one of the interesting change is to in terms of zip codes. This is again under your key findings. Um that theres a high volume from 94116 zip code. I assume thats laguna honda, then is that what were looking at . Hmm. I dont know. Thats the top of page three under the most frequent zip codes. Yes, it is. Yeah, yeah, okay. I thought i wasnt sure. I was just kind of kind of put the two together, but i was an absolutely sure. I just thought i wanted to check in and then, um, you know, i do see that this is a really important important program. Um, in terms of meeting the needs of individuals instead of being institutionalized to be able to remain in the community. Can you tell me more about what outreach is being done to make sure that, um different providers know about this program. Well the target population is residents of laguna honda hospital and zuckerberg as well as other sniff. So um, the core meeting, you know, theres a very integrated group of professionals. Does i alway laguna honda. So the laguna honda Hospital Department of social services, its really a primary referral of services for their residents, and there the director as well as social workers are involved. Um also, um, i away does outreach to the community sniffs, although our priority right now is laguna honda. Um, so they. They do some outreach and have flyers and that sort of thing. But really, the target is the Skilled Nursing. Okay. All right, quick. Thank you. Yeah just as a follow on one. Thank you very much for the six month report. Thats where my one question is, um and really appreciate receiving this , and id love the i love the idea that we are getting people to be able to stay in community. My question is, um, you had made reference that in the six month period there was a decrease in the waiting time. Um and so do we have, like, can you expand on that of what do we think is leading to the decrease in the number of people on the wait list and then time that that that that theyre saying really the time that theyre staying, like, is there something that we weve done differently or i think its just, you know, solidifying their process through. What were the referral process everywhere. Every place from the hub to ioa and the core meeting and just sort of you know, so its not. Its not a i related it. Yeah no chatting. Oh my gosh, that would be next. Im just im curious about process improvements. And how that you know how that actually just tightening it up being conscious of it. You know, we talked about it regularly. The goal is to you know the ultimate goal. Of course. No wait list right time, so were constantly trying to figure out ways to do that. And ioa is instrumental in that. I just want to highlight. I think thats great that its going in that direction. Yeah, for sure. Q great any other commissioner comments or questions . I just wanted to say then. Thank you for the level of detail you thats always been given in this report and your continuing that tradition, um, and that i appreciated the level of detail around the Case Management process. Um, i just that was very descriptive and helpful. Um and always remember, were reading that and it really helps us to hate us around things that members of the community that we come from. Were not necessarily going to know that that way that inside worker assumes you do so i just appreciate those that level of detail. Thank you, um i think this was just a informational only right . Yeah okay. Um so thats the commissioners. And then what do we do . Ask for anyone from the public who wishes to comment. Anyone from the public would like to comment. And information i to me. Moderator please open the phone line for Public Comment on the Community Living fund. Six month report and fy 23 24 annual plan allow some time for colors to submit the request. Moderated. We have any colors in the queue. There are no collars. Thank you. Thank you. Okay. Thank you. Um well close Public Comment and commissioners items 13 b through 13 j r action items that do require a vote by the commission. Were going to start with items 13 b, which is the review and approval of the fiscal year 2023 24 area plan update for the California Department of aging and executive director kelly german and death evil or are presenting this item. Think welcome and this has been a process so were finally here were finally at the last step. So good morning commissioners. My name is that evil or im, an analyst with the Human ServicesAgency Planning unit. Im here to seek your approval on the finalized. Area agency on aging area plan update for fiscal year 2023 24. As you remember. Remember executive director demon and i presented a draft of this report at two public hearings in march and april, the latter of which was our Commission Meeting last month, um, to provide opportunity for comment on its development and content. This finalized. Area plan update reflects key discussion topics from our public hearings in the public hearing section beginning on page seven of the report, including budget and service, data, housing, support services , mental and Behavioral Health programming and stuff, training and development. Many of these topics were ones that were raised in this room back in april. This draft also includes minor updates to the Advisory Board section, reflecting the newly extended terms of some Advisory Council members as of aprils dusk Commission Meeting. So those are the main changes that are reflected from the draft report that you saw in april two. The final version that you see before you now, um so at this point, uh, were asking that you vote to approve this area plan update and then well send it on to the state with your approval. Thank you. Are there any comments or questions from commissioners . And we definitely have fully commented, and questions feel very thats fine. Brief comment i decided to come in and think the excellent work thats been done to basically update its report. Um i believe find, um, that seeing a report like this, looking at the updates and having a chance to take a look at what weve done in the past gives us a good where have we been . What are we doing and where were going, and, um, its you know, its really valuable and helpful. Be able to get that perspective. So thank you. Excellent work done. I agree. Its now one of my materials, and i just kind of have with me all the time. Um do we have anyone from the public who wishes to comment on item . 13 b. Are there any members of the public that id like to comment on item . 13 b. Moderator please open the phone line for Public Comments. An item. 13 b. Do we have any colors in the cube . There are no colors. Thank you. Great then. Thank you, uh, hearing no further Public Comment will close Public Comment. Is there a motion to approve item 13 be moved. Wow that was second already. Ill just go with Vice President spears. And, um, second from, uh commissioner john could we have a roll call . President martha knutson. How do you vote . Vice president gen y spears. How do you vote . Yes commissioner sasha bittner. How do you vote . Commissioner linda parker. Pennington how do you vote . Yes, on dijon. How do you vote . Yes, commissioner nelson lum. How do you vote . Yes commissioner, barbaras clark. How do you vote . Yes thank you. Every unanimous vote. Okay thank you. Commissioners and graduations. And thank you so much. I think i have to. I dont know if i have to sign it at something. Ailton senators and arrangement. Okay . Commissioners item. 13 c is requesting authorization to enter into a new contracts with aimed to please Janitorial Services and eminem hauling and heavy cleaning assistant company for the provision of heavy cleaning and pest treatment Preparation Services to a ps clients for the period july 1st 2023 through june 30th 2028 in the amount of 3,500,000 plus a 10 contingency for a total amount not to exceed 3,850,000. And achilles. Ceren will present this item welcome. Thank you. Good morning commissioners and directors chairman. My name is achilles sharon, director of Adult Protective Services were requesting authorization to enter into new contracts with them to please Janitorial Services. And with eminem, holland and heavy cleaning assistant company these contracts will provide expeditions, one time heavy cleanups and if necessary to prepare the environment for pest control services. On behalf of older adults and adults with disabilities who are victims of abuse, neglect, self neglect and exploitation. The purpose of these contracts is to meet our state monday to provide tangible support services to remedy and prevent further health and safety hazards. Through these contracts, we will be able to serve 142 150, older adults and adults with disabilities per year. Thank you. Any questions or comments from commissioners on this contract. Admission question. Yeah um, i noticed that we are using two different contractors for the service. And i recognized that we oftentimes do you use multiple contracts provide Similar Services. But i noticed with this one, um for very Similar Services that the rates are very different between the two contractors. Can you explain a little bit about that . Yes um well, were trying to do is to have two contractors come and assess for the price and that will help us through competing a competitive process to maintain the cost and maybe serve more people, and thats the only way that we think we can get there. Okay . All right. Thank you. I just have a comment. Im actually familiar with one of these contractors and, um i picked them out of a group of a lot of organizations doing Janitorial Service and check them out pretty thoroughly, um, have pretty high standards. Im happy to see them here because theyre excellent. Thank you. Good choice. Appreciate it. Whats your lump . Uh good morning. I dont have a calculator here, but, uh youre saying that its it . Uh this cost covers approximately 100 and 50 clients. So per client. How much money are we spending . Well were thinking of an average of about maybe between 4,505,000 hopefully. Less for many clients, but some clients that causes substantially high because of the extreme squalor. And some clients that costs about 10,000 plus um especially , you know if theres like health and safety hazards, including Hazardous Waste that is extreme, so. That would be about 700,000 per year. About 4500. That would excuse me. 454,600 would bring us about 100. 50 clients, but. Through this process if were able to reduce some of the costs, we might be able to help more people but wouldnt earlier interdiction b a lot cheaper. Could you repeat the question earlier introduction . And in other words, we you know, we have a clan who who, who has a tendency to be a squalor earlier . We can reach that client. The cheaper would it would be ideally so and so we will receive a referrals mostly when someone has been receiving assistance from either a provider. Or maybe theyre facing an eviction. So by the time they concern arrives to the protective services to situation is quite dire. Um for reasons that they need to bring the their environment up to code or to avert eviction and for their own health and safety hazards. Sometimes they end up in the sp they cannot return because of the extreme. Biohazard and squalor and even at home support may not be able to come in. Nobody wants to come in to provide physical therapy or home health when it is impossible. To work through, and thats the type of situations that come to our attention, but hopefully through Community Awareness as the months go by more more mandated reporters and people in the community will identify individuals so we can come in early to really help him sooner before it gets so extreme. Thank you. Um hmm. Um, gonna make a government. Oh, my god, then. And then maybe one of the money and the, um i do it. The big league did come into bird. I think that that important, um broken, um and like playing zoom with the main thing like these. The in the bank. I dont know going to be coming abode. Boom do open with their with so it never the hmm. No i mean, maybe a word of many , um hmm. Um. And they did. And then the board above book. Thank you. Thank you. And the other questions, comments from commissioners to then do we have any of the members of the public would like to comment on item . 13 c. Are there any members of the public they like to comment on agenda item c. Moderator please open the phone line for Public Comments. And general item c without some colors to submit the request. Moderate, um, the colors in the queue. There are no callers. Thank you. A great then hearing no further requests to speak on the item will close Public Comment. Is there a motion to go second, and i was looking this way. So i think i heard a second from commissioner sklar. Um can we have the roll call vote for item. 13. C president martha knewton. How do you vote . Yes. Vice president janet spheres. How do you vote . Yes commissioner sasha bittner. How do you vote . Commissioner Linda Parker Pennington. How do you vote . Yes commissioner wanda zhang. How do you vote . Commissioner nelson lum. How do you vote and commissioner barbara sklar. How do you vote . Yes thank you. Every unanimous vote. Okay. Thank you. Commissioners and thank you. Thank you. Commissioners item 13 d requesting authorization to enter into new grants with the Curry Senior Center and open house for the provision of programming and social services for transgender and gender nonconforming t g n c older adults and adults with disabilities and supportive and gender affirming environment. For the period of july 1st 2023 through june 30th 2027 in the amount of 1,297,016 plus a 10 contingency, very total amount not to exceed 1,426,700. And arianna albert is going to present the item welcome. Thank you. Good morning, commissioners. President can hudson and executive director german. My name is rihanna, albert and im, an analyst with the office of Community Partnerships the to Grant Agreements with Curry Senior Center and open house will continue to provide transgender and gender nonconforming, or t g and c services to older adults and adults with disabilities. In a supportive and gender affirming environment. Programming will be focused and intentional and providing Inclusive Services with attention to the unique needs of the t, g and c community. Activities and programming for both grantees will be designed with input and oversight from an Advisory Board. The Advisory Board will be made up of Community Stakeholders who have professional expertise in providing services for the gnc population or have lived experience as a t g and c individual. With this grant Curry Senior Center will provide t g and c focused programming that provides social connection and community building. This includes a social and support group called ageless, which involves facilitated programming and activities that reduce isolation and increased Community Connection by providing a safe and supportive environment. Curry will also provide t g and c events such as annual celebrations for pride, harvey milk day and transgender day of visibility. Social outings will also be provided to places like near woods and angel island. Similar to curry open house will also provide t g and c focused social services to older adults and adults with disabilities. Programming will include activities like social outings, inter generational storytelling and wellness workshops. Open house will also work with three organizations that provide dedicated services to t g and c individuals by partnering with these organizations open house will continue to reach diverse populations within the t, g and c community. One of the organizations open house will work with is San FranciscoCommunity Health center. The Health Center is home to trans thrive, a drop in center for t g and c clients through this Partnership Open house will offer a transgender support group, thus providing opportunities for social engagement and Community Connection. Another organization. Open houses partnering with is t g i Justice Project through this Partnership Open house will organize monthly t g and c sunday brunches in an effort to build social connection and engagement, and they will also hold wellness workshops focused on life skills and healthy aging. Open houses. Third partnership is with shanti projects pause program, which stands for pets are wonderful support. This partnership will provide comprehensive Animal Support services to t g and c individuals that have a Companion Animal and lastly curry and open house where the previous grantees for this service this will be their second grant term and we are happy to continue this important and beneficial programming. For the t g n c community. Thank you. Im happy to answer any questions. Thank you. Do we have any questions from commissioners . This item. Go ahead. Um i want to say, um i appreciate to, um, elements and on on on these contracts on this contract. One is specific, um, note that there is involvement and advise report to basically league i and given put us to, um the programs activities that will be involved and also, uh, spit specifically stating that there will be an outreach plan for this, so i think those are really good two elements. Um what i just want to do just ask you about it was just really quick answer is, i know notice under the open house budget. Um they specifically have on a budget item. Um enhance outreach of far 4500. Do you know . Um how that what . That it can explain a little bit more about that. Yes so that line item is really going to include a variety of things that theyre going to do there. They do things like attend events and table at those events. They do presentations that other Community Based organizations um and then they also work closely with the office of transgender initiatives. Um and then, additionally, this friday, actually, there is a National TransgenderHealth Summit in San Francisco and so open house is going to be presenting at that. Okay all right. Thank you, mary. Mega comment. Thank you and all that youre doing the Surgeon General of the united states. I dont know if any of you heard him yesterday, speaking said that the biggest threat to united states. Citizens and health is not an epidemic. Like covid, but it is loneliness and that thats where theyre going to start putting their policy effort trying to get some things changed because its really so detrimental and the populations we serve certainly are included in that. So thank you. No one was hoping one of us would bring that up because i heard about the Surgeon Generals report to but at the risk of getting emotional. I just want to say im so proud of this agency for, um uh where we can marshal the resources and professional outreach and everything that we do around a community that is particularly the target right now in our National Politics for absolutely no good reason. So im just proud of us for being a model for what we what we do and how we do it and um and with with, especially in mind, uh, these extremely vulnerable populations, people who are older and disabled so and with the kind of outreach and the kind of programs that weve become very familiar with. We understand they work. We understand how important they are, especially around combating loneliness. But around. Um around creating community. So um, i just want to note that because it feels like we need to bring it up and say it, um uh, at this particular time in our national history, its just its just not a great great time for people that are that vulnerable. So um, i think that got to get off my soapbox. But but anyway, i just really just wanted to say im really appreciate it. And i think im so proud of this commission because i know they wholeheartedly. Support this, so thank you. Um so any other member do we know other comments and do we have any other Public Comment on this item . Other any members of the public that would like to comment on item 13 d. Moderator please open the phone line for Public Comment on the view. Of item 13 d. Are there any callers in the queue . Are there . No colors. Thank you. Then hearing no further. We will close Public Comment. Do we have a motion to approve item 13 d so moved from commissioner sklar is the motion and the 2nd 2nd. I think i heard from Vice President speers first. Um so can we please take the roll . Call vote president martha kunitsyn. How do you vote . Yes, president janet spears. How do you vote . Yes, commissioner. Sasha bitten or how do you vote . Hmm guardians commissioner Linda Parker Pennington. How do you vote . Yes commissioner wonder john, how do you vote . Commissioner nelson lum. How do you vote . Yes commissioner barbara sklar. How do you vote . Yes thank you have a unanimous vote. Thank you. Commissioners um, the next order of business is agenda item 13 e and requires a vote by the commission. It is to review and approve the California Department of aging contract. Dc dash 222306, all the associated budgets and all subsequent amendments and sarah chan will present this item. Good morning commissioners. Executive director dearmond. My name is sarah chem Program Analyst from office of Community Partnership. This item before you is to request your approval to enter into a new contract with c d. A s to provide resource and services under the digital connections program. Digital Connection Program is one of California Department of aging c d. A s Digital Inclusion initiatives that are designed to support older adult and adult with disability that are impacted by Digital Divide during the pandemic. Governor nuisance issued an executive order to improve Broadband Speed and Digital Assets in california. And the executive order has also specialized, um as specified that our target population its a priority populations that are at risk for isolation and loneliness in their community and are most impacted by the Digital Divide. And since the executive order cd , a work closely with the aging area agencies are aging. To develop a Pilot Program called chat, which is stand for connections, health, aging and technology. The chat program is the first Pilot Program that c d a distribute ipads, um, two older adult and during the pandemic. And through this chat program, city a and the triple as and learn whats the best way to reaching out to our population and, um, to be ensured that three men component of the Digital Divide our were addressed. These are fresh the need for a mobile elektronik device with install a ble digital applications. Second the need for a Broadband Internet connectivity and third the need for Digital Literacy support and training to ensure a thorough understanding on how to use the device and navigate online digital resources. And the d c program. Digital Connection Program is designed and aimed to ensure that Digital Divide is closed for Program Participants and that they may experience um and improved quality of life as they are able to interact with their communities and resources in a more dynamic and necessary manner. And doing september last year. City a has reached out to all the triple as and to complete a survey to understand the countys interest in the digital Connection Programs and our needs and using the data they collected and c d a has allocated resources and funding to triple as. And c d a will provide through this digital Connection Program. 1400 ipads and, um, approximately 1. 2 million funding to our county. And the funding risks of Funding Source for this program is uh, older adult recovery and resilient. Fund and, um, this funding is going through the serious home and Community Based services. And the funding is only available for expenditure through december. 31st 2023. And beyond. 2023 cd a plans to continue support Digital Inclusion work to maintain strategies on broadband assets, Digital Literacy resource as well as um, maintaining the device and program support. And we understand that the cf program will bring us great resource, um and opportunity to outcome community. But we also very aware that with such a short timeline to spend the fund and the responsibility to managing those devices so once we learn about the d c program opportunity, and we know that the partnership and collaboration in our community of that very important so we work closely with our sf. Connected Program Partners and to learn about what their capacity and how we can reaching out to communities that really need this resource and, um, so in this Community Commission packet, you will see that theres a draft budget that we included in the in the packet and were still working on this budget. And, um after you approve, um, to enter into this contract when we submit our budget to see city a. That would be the budget different from this one. But this budget will give you a general idea as a very high level, how were going to use the money. So, uh, in this budget, uh approximately about 1. 9 million that we will go to that will go to our partners. Um that goes to five or four of our grantees. Um among six, um sf connected programs. Um and so our sf connected partners can continue to support their d c program work and where in so they can include Program Administration management of those ipad distribution, maintenance and Program Outreach to eligible consumers that this device and other resource um, they also will. Bring resources to connect consumer to the affordable connectivity program, which is a federal communication and commission benefit. Um program that helps to ensure the household can afford broadband they need and with the remaining about 135 k, and we want to use to support our sf connected labs by upgrading the broadband. Um uh huh. Service plan and to ensure that, um they have good wireless connection, because nowadays we know people bringing their own device to the side. And so we know this is very important. Um so again, we respectfully asking your approval to enter into a new contract with das, um digital Connection Program to provide services under this program. Thank thank you. Im happy to answer any questions. Do we have any questions . Comments about this item . Just one comment. Im just pleased to see that we are taking advantage of these dollars that are available to expand outreach to individuals. Thank you. Um, yes, of course. Your mom good morning. Good morning. Having seen quite few of these, uh, requests coming through. And i support almost 100 of them. Um im im. I often did being asked people learned that i am a member of this commission. Well, you guys have all these programs. Yes, youve got to spending all this money. But yet if im a job, both citizen, i wouldnt know where to go. Would definitely have a better outreach plan. Were working closely with our sf connect partners and we working with their outreach plan , and, um, we are also trying to working internally result. Us hub, the resource and Information Centers and to provide Additional Information to the community. I mean, instead of just providing additional Additional Information. Are there any guidelines being set up that each provider must follow in order to outreach. The general public. Yes. Um and, um really appreciate you bring up that question, because we have the city a does give us up very specific program memo, and theres eligibility and requirements require so in our outreach to when were working with our partners. Were working with them and bring them on board. They understand the requirements and they are working on developing their outreach plan, and those will be reviewed by the us and, um we also um, want to mention that this is just one of the program and we also working closely with our sf connected labs, and we are working with them and knowing those they are the front gate when people bring their now working devices, and they have problems, they have questions how to get connected. And were working with them and bring the resource to them. And so they were no this program and we also launched a consumer Device Program at those sites. So when a consumer has a device now working, they know where to go, and they can bring their device and that we have partners working with them to troubleshooting the device if thats not a device workable, and they will be referred to this program. Thank you. Thank you, uh, isnt it also true. We have we have a General Number that connects people to dos generally or if they looked onto our website, but we have a phone number for those not and that information. Even if that person that exact thing doesnt know the answer, they would start to get connected if they called and said i heard about the ipad. Program. Yes well, how do i get one that might happen right so and if they just call it if i if we just said, call this number, and i mean, we try to come up with, like the simplest, you know, access. Not that that will be the only access. But just is that is that also . Yes something that would thats also included in our get connected to that. Thats also one of our plans when we have our partners, and they are actually be a Referral Party that when we received the call, and they know where to go to mhm because i have a feeling we felt that weve heard about this program for a while. Now, um, just people going to hear about free ipads. I think maybe thats what youre talking about. And maybe well get asked that, so its like its always good to once this Outreach Program gets going and you communicate that to us or we get that word out, um, that it helps us to know that, but i think theres also some fairly simple Access Points that weve created for people so thats an excellent idea. Yeah, yeah, thank you. Believe me, word will spread and people are gonna want to know. I think so. Okay. Thank you were excited about it, um, finished with commissioner commented questions. So is there any members of the public that wanted to ah comment. Are there any members of the public that would like to comment on item 13 e. Moderator please open the phone line for Public Comments on agenda item 13 or allow some time for colors to submit the request. Moderators do we have any colors in the cube . No callers. Thank you. Okay. Thank you. Um. Is there any hearing no further requests to speak on the animal. Close Public Comment. Is there a motion to approve 13 e from commissioner so moved. Second vice prig commissioner jiang and then Vice President spears seconding. Um can we please take a roll call vote to approve item e. President martha knewton. How do you vote . Vice president jenna spears. How do you vote . Yes, commissioner sasha bittner. How do you vote . Uh, commissioner linda parker. Pennington how do you vote . Yes commissioner, wanda young. How do you vote . Yes commissioner nelson lum. How do you vote . Yes commissioner. Barbras clark. How do you vote . Yes. Thank you. We have unanimous vote. Thank you. Thank you. Miss chan and commissioners. The next order of business is agenda item f and requires a vote by the commission, the department of disability and aging Services Request authorization to enter into a new contract with social policy Research Associates for i h s s labor Market Analysis for the period of june 1st 2023 to september 30th 2024 in the amount of 99,971 and our Deputy Director, jill nelson will present this item welcome. Good morning. President cannot sing commissioners. Um my name is jill nielsen, Deputy Director of programs with dos. Today ill be requesting your approval to enter into two contracts with the Consulting Organization social policy Research Associates inc. Um ill be treating the two contracts separately for our purposes today, but they are interrelated. I wanted to start by providing some context to help you understand what has led us to bring on a Consulting Organization to take a strategic look at contract mode in Home Supportive Services. As you know, dos oversees the citys i. H s s program, which is the medical Waiver Program that counties operate on behalf of the state. The program served approximately 28,000 individuals last year. Those are individuals with disabilities who have functional needs. Um and i just s provides domestic Care Services as well as personal Care Services, depending on the needs of the consumer at its core, i just asked is a Consumer Directed Program and the vast majority of i h s s consumers in San Francisco. Hire a family member, a loved one or an independent provider who theyre connected to through the public authorities registry for a very small subset of individuals. We operate contract mode, which is a separate service model, and its specifically for individuals who have vulnerabilities and who are not able to direct their own care typically due to serious Mental Illness, cognitive impairment. And or Substance Use disorder. Weve had contract mode in San Francisco since 1985 and today we are the only county in the state that operates a contract mode program like this. We are. We are contract mode program is incredibly vital, not just our operations, but also to the operations of the department of Public Health, um, as well as to the department of homelessness and supportive housing. Home bridge or contractor who operates this Service Provides client centered. Highly Compassionate Care to some of the citys most vulnerable individuals over 60 of the clients served by home bridge were previously homeless at some point in their lives. The care that home bridge provides helps to keep those individuals stable. E housed. During the pandemic home bridge. Home care providers were on the front lines. Um they were in the project room key and shelter in place hotels. And really providing Compassionate Care during a time, you know, speaking about isolation when so many people were isolated, they were bringing comfort care and services to individuals. Today we are working with home bridge as a key partner. As we are rolling out our collaborative care, um, Caregiver Support Team in permanent, supportive housing. This is really an enhanced i. H s s model, um and at the same time home bridges trying to increase their presence in congregate shelters. Looking towards the future. We know that home bridge home care providers will be vitally important to the success of new initiatives such as care court that will aim to bring individuals with serious Mental Illness into housing. Treatment and care. So home bridge is really critical to the success of so many city initiatives in city priorities. Unfortunately even though the demand for contract Mode Services has increased hum bridges capacity has diminished as it struggles to recruit and retain sufficient home care workers and today, home bridges serving approximately 850 individuals every month. At one time years ago, they were able to serve up to 1200 clients a month. The number of hss consumers who they assist is only limited by their ability to sufficiently staff their organization. Certainly the Workforce Shortage among the home care workers is not limited to San Francisco. We all know this is a national problem, but we are feeling it very acutely here in San Francisco. And the clients who are served by home bridge have very complex needs. They often exhibit challenging behaviors and they may be reluctant to accept the care that is offered to them by home bridge home care providers. And so the result is that home bridge home care providers are working in very challenging circumstances, and thats made it increasingly hard for the organization to maintain sufficient staffing levels. At the same time costs have gone up and so fewer Revenue Generating hours of home care are spread across increased administrative costs. As a result, the organization is really struggling to maintain a financially viable operation. So all the home bridge has employed a variety of strategies and innovations that are focused on improving working conditions. They just have not been able to stabilize their home care workforce. Our department is committed to maintaining is thriving contract mode organization in San Francisco. And so thats why this moment weve decided to bring on some outside expertise. With this first contract that im bringing forward for your attention, social policy Research Associates will be carrying out a labor Market Analysis that is specific to hss contract mode, theyll take a deep dive into the home care sector and will help us to understand what wages and compensation we need to be offering in order to retain home care workers. And to keep them employed for a meaningful duration of time. We will also be asking spr social policy Research Associates to evaluate the home care labor market with a particular focus on Workforce Pipeline considerations that are specific to contract. Modi just s and taking into account the complex needs of the clients that home bridges survey report out to us recommendations and strategies that we can consider implementing related to worker recruitment. Retention wage levels and Career Advancement and career pathways. Spr will rely on Data Collection and analysis, Qualitative Research interviews with home care workers. Focus groups, Key Informant interviews and project management to carry out their analysis and evaluation. Were really pleased to have this opportunity to bring on the expertise expertise that is offered. By spr. Theyre very experienced research and Evaluation Firm and theyre focused on supporting the Public Sector and philanthropy. Workforce issues are a specialization for them, and they were selected through two separate informal bid processes. So thats a brief overview of what were aiming to accomplish. Um and id like to request your approval at this time to enter into this contract with social policy Research Associates. Please let me know if i can answer any questions for you very much. Thank you very much for the context and description because it is a new kind of contract. So thank you for that any further questions from commissioners . Um lets go with the Vice President spears, and then well go with commissioner bittner first. Thank you so much for bringing this forward. Um given the complexity that we have in the caregiving space and some of the federal policy thats being passed or executive orders by the president. I commend the organization commandos for getting out ahead of this at least to see what the future may hold. We know that there will be additional dollars coming down from the fed. And it will trickle down at some point. I think contract mode is so necessary in our city and, um this is in my day job, an area of specialty that we look to fund in philanthropy. So um, one. I think its really important to understand the landscape of where or where we are and where were headed. It is known throughout the philanthropy sector that this is an area that the workforce were focused on in philanthropy as a total for the state. So um, i did not realize that we were the only county that had contract mode. So thats a learning. Um and i understand why we have it here in our county. So my comment is really thank you for doing the research because we definitely need it to understand where were going to go in the future as each of us continue to age and need services in whatever way that were Going Forward, so i wholly support this level of research and what is not needed for our future. Thank you. Our commissioner bittner. Yeah. Go ahead. Um my one they give doing the. The get go, boom. And the kind of moon number one egg debate them and mm hmm. Im green were dont with and they do really Wonderful World and ring. Um and we do have, um. And then well with. Really then being quiet down. Um, the very do. Hmm we were, did we . The hmm. Same. Okay . Thank you for your comments. Commissioner bittner. Any other comments from commissioners. I just want to echo fais president spirits comments and also, um i want to say um and refueling its contract. I think its been very well thought out and that the deliverables as outlined, um, are excellent in terms of making sure that we do get information we are looking for in a timely matter. Thank you. Im very grateful for the help of our colleagues in planning, they developed the informal beds and the scopes in record time, so im very grateful for their support. Any other than i do. We have anyone who like to make Public Comment on this item. Are there any members of the Public Comments on agenda item f. Moderator please open the phone line for Public Comments on agenda item f without some time for colors to submit the request. Moderator. Do we have any colors in the cube . There are no callers. Thank you. Okay then we will close Public Comment. Is there a motion to approve item 13 f so moved from commissioner Parker Pennington. Second moved in a second from Vice President spears. Um can we please take a roll call vote. President martha connection. How do you vote . Yes, president janet spears. How do you vote . Yes commissioner sasha bittner. How do you vote . Commissioner Linda Parker Pennington. How do you vote . Yes commissioner wonder zhang, how do you vote . Yes, commissioner nelson lum. How do you vote . Yes coming from barbara sklar. How do you vote . Yes thank you. We have unanimous vote. Thank you. Commissioners the next order of business is agenda item g and requires a vote by the commission, the department of disability and aging Services Request authorization to enter it. Into a new contract with social policy Research Associates for i h s s infrastructure and financial viability assessment for the period of june 1st 2023 to september 30th 2024 in the amount of 99,619 and Deputy Director nielsen will present this item as well. Hello again. Jill nielsen with dos commissioners director dearmond. Im bringing forward a second but related contract, um, requesting your approval to enter into an agreement with social policy Research Associates for the provision of evaluation, research and consulting services. The context and motivation for pursuing these services is the same as what i just described specifically through this contract. Social policy Research Associates will provide expert analysis, recommendations and fiscal strategies to dos with the goal of improving the structure of the contract that the department develops to support a contract mode. In Home Supportive Services program, some of the key areas that they will report out on our the Program Infrastructure thats required to effectively higher and direct a caregiver, workforce, programmatic and structural strategies to maximize worker retention. As well as carrying out a fiscal analysis of the contract structure. In order to accomplish this, spr will carry out Key Informant interviews will conduct focus groups and engage in Data Collection and data analysis. I respectfully request your authorization to enter into a contract with social policy research. For the provision of a contract mode. H s s infrastructure and financial viability assessment, and id be happy to answer any questions that you might have comments or questions from commissioners. Yes ditto. Oh my last comment, okay. Thank you. All right, um, in any anybody else do we have any Public Comment on this item . Are there any members of the public i would like to comment on agenda item g. Moderator please open the phone line for Public Comment on agenda item g sometime for collars to submit their request. Moderators. Do we have any college in the queue . There are no callers. Thank you. Okay then hearing no further requests to speak on the item will close Public Comment. Is there a motion from commissioners to approve item 13 g. Moved ah, Vice President spears and then it was seconded by um, commissioner linda parker. Parker pennington. Um could we please take a roll call vote to approve item g president martha coniston . Yes Vice President janet spears. Yes, commissioner sasha bittner. Yes commissioner Linda Parker Pennington. Yes commissioner. One dijon. Yes commissioner nelson lum yes and commissioner barbara sklar. Took a break. Sorry okay. Thank you having annas vote and before we go over to item h, i do have a note. That, uh commissioner bittner is the president of the board of the Public Authority, and shell have to recuse yourself from voting on item. H commission. Bittner usually we would ask you to leave the court the room, but what i can do is youll be muted and ill take your video off just for this item. Okay . Perfect okay. Alright bring you back when appropriate. Okay commissioners. The next order of business is agenda. Oh, im sorry. Is that completed . No, hes okay. Ill wait. Yeah, we could. Thank you. Um the next order of business is agenda item h and requires a vote by the commission. Its requesting authorization to enter into a new grant with San Francisco in home, Supportive ServicesPublic Authority known as s f i. H s s p a for the provision of in Home Supportive Services backup Provider Services for the period of july 1st 2023 to june 30th 2027 in the amount of 1,302,306 plus a 10 contingency. The very total amount not to exceed 1,432,504. And mr Michael Powell presents this item welcome. Hi good morning. Commissioners executive director german. My name is Michael Powell programs for analysts with the end of, uh in whole Supportive Services program, the in Home Supportive Services program. I just this program, assists, eligible, low income, older adults and persons with disabilities to remain safely in their own homes by matching them with care providers who assist them with activities of daily living. The i. H s s program pays for a wide variety of services, including household chores and personal Care Services, which enable the individual to live safely in their own home while encouraging independence. I just s as an alternative to out of home care or institutional placement and is provided through either an independent provider and ip or a Contracting Agency provider. For those clients who are unable to find and are supervised their own independent provider currently in San Francisco. There are approximately 26,000 i h s s clients, 95 of which utilize and independent provider the San Francisco i, too, says Public Authority currently provides a backup Provider Service for hss consumers that are in urgent need of assistance. This Service Makes available a qualified pool of backup providers to assist consumers with urgent care needs, providing temporary urgent assistance in the event that their regular independent provider cancels on short notice or when the consumer is being discharged from hospital or facility without having a regular independent provider in place in the first eight months of fiscal year. 2022 2023, the San Francisco hss public authorities served a Monthly Average of 590 on call hours. To a Monthly Average of 76 duplicated clients this morning , were requesting authorization to enter into a grant with the San Francisco i just says Public Authority for the purpose of providing the aforementioned i just s backup Provider Services. Thank you for your time in the operas that opportunity to present this great. Thank you, mr powell. Are there any comments or questions from commissioners . On this item. Um. Seeing none. Um then do we have anyone from the public who wishes to comment on item 13 age . Remembers the public dont like to comment on item. 13 h. Moderator please open the phone line for Public Comment on agenda item h, who allow some time for collars to submit the request. Moderator in any callers in the queue. Are there . No colors. Thank you. Thank you. Okay then, um, hearing no further requests to speak on the animal closed. Public comment. Is there a motion to approve item 13 age from commissioners some mood . Ill do commissioners larger as moving in second from Vice President spears. Um thank you, uh, can we have a roll call vote on this item. President martha kunitsyn. How do you vote . Yes. Vice president janet spears had he wrote yes. Ah commissioner linda parker, you back cooking Linda Parker Pennington. How do you vote . Yes commissioner wonders young. How do you vote . Nelson lum. How do you vote . Yes and commercial. Barbara sklar. How do you vote . Yes thank you. We have unanimous vote. Thank you. Commissioners and we can let commissioner better. No, you can turn on your video now, asshole. I coming from us or you have to turn her on so she can hear. Oh, shes back, okay . So commissioner bittner. Can you hear us . Yes. Yes, yes. I cant tell could you just. Yeah im good about idea. Everything. Its good. Okay good. Thank you. In. Okay we have an understanding. Its my computer. Dont worry. Alright, um i. Were an item age, right . I thank you just. Okay commissioners. The next order of business is agenda item i and requires a vote by the commission requesting authorization to enter into a new contract with hand seen fisher and associates for the provision of time study online module during the period of july 1st 2023 through june 30 2027 in the amount of 80,000 plus a 10 contingency, very total amount not to exceed 88,000 and Michael Zaugg will present this item welcome. Good morning, commissioners. Director demon item before you is a new grant with hanson, fisher and associates, although it is a continuation of our relationship. With that company. They are a Small SoftwareTechnology Company based in the pacific northwest. We have worked with them for about 10 years on this specific project, they have been great to work with are very responsive and have built us online tool which has worked very well. Um the tool im alluding to is something we use to track to have to have some of our Community Based organizations staff actually track their time. We use the data from that to help us apply for and leverage federal funding, which then comes back into support the underlying budgets of those Program Areas so those Program Areas are our aging Disability Resource Centers, our Case Management programs and our Community Services programs. Um staff at the Community Based organizations complete these, um four times a year, 11 month, the middle month of each quarter, meaning that, for example, may is a time study months. So yesterday i automated email went out to staff in the system asking, reminding them to log in and complete this. What will happen is that staff are asked at the end of each day to open up the tool and think about their eight hours that they worked. Lets say in an average day and to categorize those hours into five separate categories, um one category in particular one that is related to medical Eligible Services or Health Related services for people who are on medical or medical eligible. That is the that is the category that is, one that generates is able to generate revenue for us. We target. This are sort of projection is that this funding will allow us to claim up to between 14 and 19 of the total costs in those Program Areas. Um. For fiscal year 21 22, which is last fiscal year. This process netted us about 1. 6 million in federal funding through the county Services BlockGrant Program that we use to support the funding of those programs. So we feel that 20,000 investment into this pays off many times over. Wed like to continue doing this. Im asking for your approval today and happy to answer any questions about this. Any questions from commissioners on this . I just want to say it sounds like a great r o i on this one. This is correct. Yeah for extensions, so ive never seen any price tag as low as that. Yeah and just to clarify that you said 20,000 because this is a multiple Year Contract correct. So over the next four years, 20,000 year for 80,000 total. That reminds me of my law firm days where you have to put in your time and they would say, well, yes, lets lets yeah, trying not to make her Community Centers and billable hour places. But yeah, no, its just no, its very doable. So its a great thing to do. Alright um any other comments or questions from commissioners than any, uh, Public Comment on item . The item. Do we have any members of the public that would like to comment on agenda item . I. Moderator please open the phone line for Public Comments and agenda volume. I will allow some time for callers to submit their request. Moderator. Do we have any colors in the queue . No callers. Thank you. Okay great. Then hearing no further requests to speak on the item will close Public Comment. Is there a motion from commissioners to approve item . 13 i so moved from commissioner Parker Pennington and a second from commissioner zhang. Can we please have a roll . Call president martha kinison. How do you vote . Yes, president janet spears. Yes, commissioner sasha bittner. Yeah commissioner Linda Parker Pennington. Yes commissioner. One dijon. Yes, commissioner nelson limb . Yes commissioner scott burgess. Clar yes. Thank you. We have unanimous vote. Okay, thanks, commissioners. And thank you, uh, the next order of business is agenda item j and requires a vote by the commission is requesting authorization to enter into a new grant with a self help for the elderly for the provision of Workforce Support Program during the period of july 1st 2023 through june three. 2024 in the amount of 1,037,604 plus a 10 contingency for a total amount not to exceed 1,141,003. And sarah hofer berg will present this item welcome. Thank you. Good morning, president cannot send commissioners and executive director german. My name is sarah hoffenberg and im, a Program Analyst with the office of Community Partnerships at the department of disability and aging services. Im here today to request your approval to enter into a new Grant Agreement with self help for the elderly for the provision of the Workforce Support Program. The Workforce Support Program was created in 2019 as a response to findings from the 2017 2018 dignity. Fan Community Needs assessment, or d f c n a. This assessment revealed the need for additional training and support for home care workers and personal caregivers to ensure a competent caregiver workforce and increase the pool of skilled workers to provide paid care. To older adults and adults with disabilities living in the city. The df sienna also noted a particular need to strengthen and expand training for home care workers and personal caregivers with limited or no English Speaking proficiency, the most recent dignity fund Community Needs assessment as well as multiple conversations from today indicated a continued need for skilled caregiver workforce. Self help for the elderly has been operating the Workforce Support Programs since 2019. It is a Workforce Training Program for home care workers and paid personal caregivers of older adults and adults with disabilities living in the city and county of San Francisco. The program focuses on strengthening the competencies of home care workers and personal caregivers who have limited English Speaking proficiency and who provide care to clients with limited English Speaking proficiency. A particular focus of this program is on reaching individuals who identify as members of the asian or Pacific Islander community. The Program Includes several levels of training for paid caregivers and home care staff to provide skilled and quality caregiving and home and Community Based settings. The individuals trained through this program go to work for i h s s home care, home health care, Adult Day Health care, adult social day and respite care. That was my presentation, and ill do my best to answer any questions you may have at this time. Thank you. Thank you. Are there any questions on this . Uh common in the question of man . Yeah go ahead, please. First i just wanted to say im very pleased to see that there is follow through to respond to the, um these are identified by the fourth needs assessment. Also very pleased that were looking into providing culturally appropriate and language meaning language needs of our api population, which is a High Percentage here in San Francisco, as we all know, um my question is mainly in terms of the grantee. Um i didnt see you. Maybe i had overlooked if they had noted any specific strategy in terms of outreach, ng and recruiting trainees for this program. They have . Yes thank you for the question. And yes, uh, self help for the elderly. Um has a very detailed , actually outreach strategy for this program. Um, its been going on for several years. But one of the components of the program is, uh four by four by 12. Its four for our kind of informational sessions, uh, each month 12 times a month, and they also do weekly bi weekly and monthly information sessions for people who are interested in this program. Um they also operate a variety of other, uh, Employment Training programs, and they do outreach in the community at work fairs. Um they do outreach through the ndrc networks and because of their of their programs and involvement in the community. Their outreach potential is vast and its a very robust program. Right. Thank you. Youre welcome. Good morning on actually in the morning. Uh upon completion of this program are they licensed . So these particular programs are they are not like their Certificate Programs are theyre not licensed programs, but they do complete the training program. Um and receive a certificate now the type of certification that is, im not quite sure and id be happy to get back to you on that. Um, but they do receive a certification. Certificate. Then hearing then do we have anyone from the public who wishes to comment on agenda item . 13 j. Any members of the public that would like to comment on agenda item . 13 j. Moderator please open the phone line for Public Comments and agenda. Item. J will last some time for callers to submit their cue. Moderator. Are there any callers in the queue . No callers. Thank you. Right then hearing no further requests to speak on the animal. Close Public Comment. Is there a motion from commissioners to approve item . 13 j. I moved. Thank you. Uh rittner has moved to we have a 2nd 2nd zhang. Mr secretary, can you please take a roll call vote on item j. President martha knewton. How do you vote . Yes, Vice President janet spheres. Yes, commissioner sasha bittner. Okay yes, commissioner Linda Parker Pennington . Yes yes, commissioner nelson. Um yes. And commissioner barbara sklar. Yes thank you. We have unanimous vote. Great thank you. Thank you very much. Commissioner is the next order of business is agenda item 13 k and requires a vote by the commission. It is requesting authorization to enter into a new grant with the independent Living Resource CenterSan Francisco for the dos, wheelchair repair and User Support Services program during the period of july 1st 2023 to june 30th 2027 in the amount of 1,240,000 plus a 10 contingency, very total amount not to exceed 1,364,000. Sarah hofer berg, huh . Furberg will present this item. You got it. Thank you. Hello again, commissioners and executive director chairman. Im very excited to be here today to ask your approval to enter into a contract with the independent Living Resource Center of San Francisco or lr csf for the provision of the new wheelchair repair and User Support Services program. Wheelchairs restore mobility to people who are unable to walk or have limited ability to do so. They allow millions of americans the opportunity to participate in daily activities and community life. This improves physical and mental well being and overall quality of life. A wheelchair should be safe, reliable and match functional needs. When a wheelchair breaks. A quick fix is essential. However Research Indicates that more than 50 of wheelchairs breakdown in a typical six month period. One study found that among veterans , this number is as high as 88. The average weight for a repair is 2 to 4 weeks, but stories of people waiting six months or longer for wheelchair repair are common. Lack of routine maintenance, the complexity of modern power wheelchairs, a shortage of qualified repair providers, insurance bureaucracy and a limited inventory of common parts all contribute to frequent breakdowns and extended repair times. When a wheelchair breaks, people often find themselves stranded in the street or on the sidewalk out in public and without transportation. This often leads to an emergency or unsafe situation. While waiting for repairs. People can be stranded at home, unable to go to Workers School stuck in bed or forced to use a chair that doesnt fit. When this happens, a person is at an increased risk of developing medical complications , financial debt and hospitalization. In San Francisco, broken wheelchairs becoming stranded and lengthy repair times are all too common when wheelchair users find themselves broken down or stranded. Their current options are extremely extremely limited and often include calling 911 for emergency transportation. This is not only expensive, inefficient and a strain on resources, but it can feel dehumanizing for the person. For years the Disability Community has been advocating for wheelchair repair program in 2022. This advocacy resulted in a board of supervisors add back for wheelchair repair support from this. The department of disability and aging services has recognized the significant need for a long term wheelchair repair and user support program. The wheelchair repair and User Support Services program will provide wheelchair users in San Francisco with access to emergency and longer term wheelchair repairs. Preventative maintenance emergency transportation if their device breaks down loner, wheelchairs and other emergency equipment, insurance claims assistance and Educational Opportunities to learn about upkeep and basic maintenance and repairs. These repair and support services decrease lengthy wheelchair repair times provide safe and timely transportation in the event of a breakdown and decrease negative outcomes associated with broken wheelchairs. The independent Living Resource Center of San Francisco is uniquely qualified to operate this new program. Their services focus on the social, economic, educational and recreational needs of people with disabilities, with an emphasis on individual empowerment. Each member of their staff is a person with a disability and a majority of the staff identify as people of color and are are members of the lgbtq plus community. Lr csf is able to offer services in english, spanish, chinese, farsi and american sign language. In 2014 lr csf moved into their Current Location at 8 25 howard street. Part of the reason for choosing this location was the intent intention of one day housing a wheelchair repair program. It is a massive ground floor, Wheelchair Accessible space with plenty of room for a repair shop and wheelchair storage. Additionally for over a decade, they have been operating a Lending Library providing people with disabilities in San Francisco with Assistive Technology and Durable Medical Equipment at no cost. They even have a reused program where donated new and gently used wheelchairs are given to consumers who need them, but do not have means to purchase them. With this contract, lr csf will finally be able to meet their dream of operating a full fledged wheelchair repair and User Support Services program while answering the College Years of advocate advocacy work from the Disability Community of San Francisco. As this is a brand new dos funded program will be working closely with ill are csf to develop a robust outreach strategy, gather user data and feedback and may modify parts of this program to meet Community Needs. That is my presentation, and ill do my best to answer any questions you may have at this time. Thank you. Commissioner bittner. Please terms so happy goodney bird birth. The new. Budino basins were and get the go out in google went to work. I knew you would the people the bigger good. Um you the book down . Hmm. You know it will. It would would the government today. And they do something very, very build. They went this tomorrow and saying mm. Well be about it because we were. Well be good to be burned and do not stopped. Their daily living. They have with the moment girl. Thank you, commissioner bittner. Um any other comments from commissioners . Yeah but you commissioner alone just to comment, and you being very ambitious when you said that it was over i all San Francisco wheelchair users . Yes um, you know, as this is a new program, um its hard to get data on what exactly the need is. We know theres a lot of need. Theres a you know, this has been, uh, this is the result of a lot of advocacy based on that need, um and so one of the things will be doing is, you know, tracking all of that to look at what the need is and you know well serve as many folks as we can. But we might find that the need is much more is much greater than this program allows. And so at that time, this will be something that that will have to look at and work to see what we can do you and i just want to say thank you for the level of detail again. Um this was very vivid. I can i think we all are going to become better advocates for the need for this program when you realized that 50 of wheelchairs , breakdown and a six months period. That was just a very vivid, uh, description of the need and i can hear myself telling people that so, um i really appreciate that level of detail and so that we can increase our understanding about the need. Not that we were questioning it. But just that really helps to get that so that we can all become advocates for this better advocates for it. So thank you for that. Thank you, um any any if theres no other comments are from commissioners , then, uh, do we have anyone from the public who wishes to comment on item . 13 k. Are the new members of the public. I would like to comment tonight. Um 13 k. Moderator please open the phone line for Public Comments on agenda item k will allow some time for collars to submit their request. Moderate or learning colors in the queue. No colors. Thank you. Alright then hearing no further requests to speak on the item will close. Public comment is their emotion from commissioner. Okay commissioner bittner has moved this their item 13 k. Do we have a second from commissioner lum . Thank you. Please take a roll call vote to approve item 13 k. President martha kent knutson. How do you vote . Yes, Vice President janet spears. Yes commissioner sasha bittner. Yeah commissioner Linda Parker Pennington. Yes commissioner. One dijon. Yes commissioner nelson lum. Yes commissioner barbara sklar. Yes. Thank you. We have unanimous vote. Thank you commissioners. Um. The next order of business is item agenda item 13 l and requires a vote by the commission requesting authorization to modify the existing Grant Agreements with multiple providers for the provision of Nutrition Services during the period of july 1st 2022 through june 30th 2025 in the additional amount of 972,740. Plus a 10 contingency for a revised total amount not to exceed 5,668,304 and Tiffany Carney will present this item. Welcome thank you. Good morning commissioner is president ken newton Vice President spears and executive director dhirschman. My name is tiffany kerney. I am an analyst and the lead nutritionist for dos. I am seeking the commissions approval for five grand modifications. One of the grants is with russian american Community Services commonly referred to as racks and the other four are with self help for the elderly. The first Grant Modification listed on the table in the agenda is for racks is Congregate Nutrition Program for older adults. Racks located in district twos Inner Richmond neighborhood focuses on providing culturally Responsive Services for the Russian Community in the city. They specialize in serving russian cuisine for their congregate and home delivered nutrition Program Participants. This modification , adds 14,450. To their Congregate Nutrition Program for adults with disabilities and supports 1669. More meals through the end of this fiscal year. The funding. The added funding is being re allocated from their congregate nutrition grant for older adults. This reallocation will not affect their mail service for older adults. The four remaining nutrition grant. Modifications listed in the table are for self help for the elderly programs. Self help provides congregate and home delivered Nutrition Services for older adults and adults with disabilities across the city. They to focus on providing culturally Responsive Services and are well known for serving many of the citys asian communities with respect and care. Chinese cuisine is the primary type of meal they provide. However they do offer american cuisine through their home delivered meal program. Each self help Grant Modification adds funding to support a rate increase, and one also adds funding for more meals. Elevated Program Costs such as food, fuel and staffing , continue to affect our nutrition partners. A rate increase for self help relieve some of the financial pressure related to inflation and helps mitigate a decline in voluntary contributions. Also known as project income, that self help, and many of our other nutrition partners have experienced the past few years. Giving clients the opportunity to contribute to the cost of the meal they receive is a requirement of title three c Nutrition Services. As mentioned client contributions across all das meal programs have declined considerably over the past several years in fiscal year 19. The average client contribution rate per meal was 45 cents in fiscal year 22 the average client contribution rate per meal was 24 cents. That is a 20 that is 21 cents less per meal and a 47 decline. Self help has experienced and even greater decline in client contributions across their traditional home, their traditional congregate and home delivered meals grants. In fiscal year 19 their average client contribution per meal was a dollar 11. In fiscal year 22. It was 28 cents. Thats 83 cents less per meal and a decrease of 75. The 1st and 2nd Grant Modifications listed in the table for self help add funding to support a rate increase this fiscal year and in fiscal years 24 25, the first adds 145,403. To their home delivered Nutrition Program for adults with disabilities. And the second adds 38,149. For their congregate Nutrition Services at the Geneva Community center, located in district six, the third Grant Modification listed for self help is for their Champs Program. The Champs Program provides clients with the option of eating a meal at it. Designated restaurant dos currently funds three champs meal sites, one in district 11 in district four and one in district seven. Champs meal sites are located in neighborhoods and districts where resources for das consumers are not as plentiful as we would like to meet the needs of the community similar to traditional congregate dining programs. Clients are given the opportunity to contribute to the cost of the meal they receive. However this suggested client contribution for a champs restaurant meal is 5, whereas the suggested contribution for self helps traditional congregate and home delivered meals is between two and 3, depending on the program. Voluntary client contributions in the champs meal program is a significant aspect. Of the sustainability of the program for self help the modification to champs um grant adds 59,000. Ah 34 to support a rate increase this year. And, um. 165,000 for 15,000 more meals. The 165,000 is being allocated from self helps traditional congregate. Um traditional congregate nutrition grant for older adults and this reallocation will not affect their meal service for older adults. The modification to the champs. Grant also adds supplemental funding. That self help can access if the average voluntary contribution falls below 5 per meal, although this has not happened in the past, it is possible and we want to ensure that self help is able to provide this type of service at a reasonable cost. And without negatively affecting their agencys budget should voluntary client contributions decline. The fourth and final Grant Modification for self help is for their Nutrition Program for adults with disabilities and this one, adds 13,570 to support a rate increase this fiscal year and in the two remaining grant years uh 24 25. That concludes my presentation on these five Grant Modifications. Thank you for your time and consideration, and i will do my best now to answer any questions the commissioners may have at this time. Thank you. Are there any questions about that. Go ahead, please. Yes thank you for this. I, uh i heard you say, um, that the Champs Program is provided in districts 14 and seven. So i know these are just programs that youre modifying and you may have other programs. I lived in this district 10, which is a food, desert or food swamp from what i understand, and we just finally got a lucky store out there. That was nice. Um but its a im just wondering, since i know this is not necessarily within the scope of what youre doing. But could you speak a little bit to what is happening for district 10 . Yeah we are. Well, first i want to say there is not a champ side in in d 10. There is one coming, um, kind of back online if you will and district 11, so were just sort of waiting for that. Um we do our very best to, um, spread our resources across. You know the city where theres the highest need and demand. I can say that in district 10, we have four congregate meal sites, um, served by, um, i think, um, three different Community Partners self help being one um Bayview Senior Services being another and, um uh, project open hand being another one. So um and also we have delivery of, um home delivered meals throughout district district 10. I dont have a specific dollar amount that we dedicate to district 10. I can tell you that Bayview Senior Services in particular, although theyre not, um, in this sort of, uh modification packet they have their grant is also being modified. The reason why its not in front of you today is because the amount is below it the contingency so it doesnt require commission approval, but there is a very significant amount of money going to baby you Senior Services. I also know that h s a in the food coordination group. They have been doing a lot of work in that area as well. Of course thats not specifically for older adults and adults with disability, but it is inclusive of them. Like i know they have, um, the empowerment market thats in the works there. Um we also have a, um Bayview Senior Services also has a separate grant that is working with the African American faith based coalition. Um to, um you know, sort of get at those clients that maybe, you know, are not accessing services in sort of the sort of the more traditional methods and um that in particular, i know its in districts, the African American faith based coalition. I know theres churches in district five district 10. Im not sure the other districts but i know those are two very prominent ones in there. So i hope i yeah, thats thats perfect. Thank you. And yes, and im aware of the African American faith based organizations efforts in the health services, so im glad theres a collaboration there. Yeah yeah. Thank you. Thank you. Amazing you have all that in your head. Been doing it for a while, and i just wanna remind us to be actually on consent calendar. We didnt approve additional balfour amount for bay. Few Senior Services for Home Delivery groceries. Thats a look. Thats kind of tt. But yes, they are, and thats actually thats actually a relatively new program for them like in the last couple of years, and thats really exciting because the clients are able to, um sort of pick. Theyre in. Its all fruits and vegetables and theyre able to pick what they want, like sort of off of a off of a menu, which is really, um, fantastic, and the executive the team their works with the produce terminal to sort of get those and they also that program also serves the Samoan Community as well. Which is fantastic because they often are very difficult can be very difficult to, um, to connect with sometimes in terms of reaching them, so its wonderful. Thank you. I think were getting hungrier and hungrier. Oh go ahead, commissioner, um uh, just, you know, just listening to your your presentation. By the way, thank you very much for doing it. Uh, i was actually surprised to find that there was any contribution whatsoever from clients because you are theres no incentive whatsoever for them to donate. Right i mean, you know, thats an interesting um, its definitely an interesting topic. Um. And you know, it is a requirement you know, through the Older Americans act the title three c, um you know, there is some there is one school of thought that you know clients that can appreciate the , um the appreciate having the opportunity to contribute. You know something, even if its not, you know, because they dont want to feel like theyre you know, sort of just getting a free meal if you will, um, so there is that kind of School School of thought. We are very careful, though, with our and all of our providers are super careful to make sure that its never communicated that a lack of contribution will, um, well affect their service in any way , um, so that it also is always done in a confidential manner. Um so you know, we try to really , um and we really do. Look at that when we go when we go out. Its been a little more difficult the last couple of years just because of the but i think you know its definitely during covid. You know, it was very challenging, which is why weve had such a decline. And some agencies get you know some agencies. That was an average that i gave you. It varies across agencies kind of depending on the population. No, thank you. Any other questions, comments and do we have anyone from the public would like to comment on item l are there any members of the public that would like to comment on item l. Moderator please open the phone line for Public Comments and agenda item. L allow some time for callers to submit the request. Moderator is any colors in the queue. There are no colors. Thank you. Okay then hearing no further requests to speak on the item will close. Public comment is their motion from commissioners to approve item 13 l moved from Vice President spirit second by commissioner zhang can we please call . Take a roll call vote to approve item. El president e martha knewton. How do you vote . Yes. Vice president spears. Yes commissioner sasha bittner. Yeah commissioner Linda Parker Pennington. Yes commissioner one day zhang yes, commissioner nelson lum. Yes commissioner barbara sklar. Yes thank you. We have unanimous vote. Thank you. Um are there any announcements. Then im going to use the gavel and we will adjourn the meeting quarter of 12 bad bad commissioners. Youre welcome. Thank you. Er thank you. Bye bye. Shared spaces have transformed San Franciscos streets and sidewalks. Local business communities are more resilient and our Neighborhood Centers are more vibrant and lively. Fire blocks and parking lanes can be for seating and merchandising and other community activities. Were counting on operators of shared spaces to ensure their sites are safe and accessible for all. When pair mets, firefighters and other First Responders arrive at a scene, they need clear visual access to see the building entrances, exits and storefront windows from the street. That means parklets should be transfer in the areas above inches above the sidewalk level. Its best if these areas are totally unobstructed by transparent materials may be okay. You can check with Fire Department staff to make sure your site meets visibility requirements. Emergency response crews and their equipment need to be move easily between streets, sidewalks and buildings, especially when they are using medical gurneys, ladders and other Fire Fighting tools. That means that parklet structures need a three foot wide emergency feet every 20 feet and 3 feet from marked Parking Spaces and emergency access gaps need to be open to the sky, without obstructions, like canopies, roofs, or cables and should always be clear of tables, chairs, planters and other furnishings. Emergency responders need to use ladders to reach windows and roofs to buildings and the ladders need unobstructed overhead clearance and room to be placed at a 72degree angle against the building. Clearances needed around the ladders to move equipment and people safely up and down. So not all parklets can have roofs ask canopies depending on the width of the sidewalk in your area. Please make sure that your electric cables are hung so they are out of the way and indiscernible to the structure, they can be pulled down by firefighters. Cable connections need to be powered from an outdoor reciprocal in the building facade because hard wire connections are much more difficult to disconnect quickly. These updates to the shared Spaces Program will ensure safety and accessibility for everyone, so we can all enjoy these public spaces. More information is available at sf dot gov slash shared spaces. My name is alan schumer. I am a fourth generation san franciscan. In december, this building will be 103 years of age. It is an incredibly rich, rich history. [ ] my core responsibility as city hall historian is to keep the history of this building alive. I am also the tour Program Manager, and i chair the city advisory commission. I have two ways of looking at my life. I want it to be i wanted to be a Fashion Designer for the movies, and the other one, a political figure because i had some force from family members, so it was a constant battle between both. I ended up, for many years, doing the fashion, not for the movies, but for for san franciscan his and then in turn, big changes, and now i am here. The work that i do at city hall makes my life a broader, a richer, more fulfilling than if i was doing something in the Garment Industry. I had the opportunity to develop relationships with my docents. It is almost like an extended family. I have formed incredible relationships with them, and also some of the people that come to take a tour. She was a dressmaker of the first order. I would go visit her, and it was a special treat. I was a tiny little girl. I would go with my wool coat on and my special little dress because at that period in time, girls did not wear pants. The Garment Industry had the at the time that i was in it and i was a retailer, as well as the designer, was not particularly favourable to women. You will see the predominant designers, owners of huge complexes are huge stores were all male. Women were sort of relegated to a lesser position, so that, you reached a point where it was a difficult to survive and survive financially. There was a woman by the name of diana. She was editor of the bazaar, and evoke, and went on and she was a miraculous individual, but she had something that was a very unique. She classified it as a third i. Will lewis brown junior, who was mayor of San Francisco, and was the champion of reopening this building on january 5th of 1999. I believe he has not a third eye , but some kind of antenna attached to his head because he had the ability to go through this building almost on a daily basis during the restoration and corrects everything so that it would appear as it was when it opened in december of 1915. The board of supervisors approved that, i signed it into law. Jeffrey heller, the city and county of San Francisco oh, and and your band of architects a great thing, just a great thing. To impart to the history of this building is remarkable. To see a person who comes in with a gloomy look on their face , and all of a sudden you Start Talking about this building, the gloomy look disappears and a smile registers across their face. With children, and i do mainly all of the childrens tours, that is a totally different feeling because you are imparting knowledge that they have no idea where it came from, how it was developed, and you can Start Talking about how things were before we had computer screens, cell phones, lake in 1915, the mayor of San Francisco used to answer the telephone and he would say, good morning, this is the mayor. At times, my clothes make me feel powerful. Powerful in a different sense. I am not the biggest person in the world, so therefore, i have to have something that would draw your eye to me. Usually i do that through color, or just the simplicity of the look, or sometimes the complication of the look. I have had people say, do those shoes really match that outfit . Retirement to me is a very strange words. I dont really ever want to retire because i would like to be able to impart the knowledge that i have, the knowledge that i have learned and the ongoing honor of working in the peoples palace. You want a longterm career, and you truly want to give something to do whatever you do, so long as you know that you are giving to someone or something youre then yourself. Follow your passion and learn how to enrich the feelings along the way. We are right now in Outer Richmond in the last business area of this city. This area of merchants is in the most western part of San Francisco, continue blocks down the street theyre going to fall into the pacific ocean. Two blocks over youre going to have golden gate park. There is japanese, chinese, hamburgers, italian, you dont have to cook. You can just walk up and down the street and you can get your cheese. I love it. But the a very multicultural place with people from everywhere. Its just a wonderful environment. I love the richmond district. And my wife and i own a cafe we have specialty coffee drinks, your typical lattes and mochas and cappuccinos, and for lunches, sandwiches and soup and salad. Made fresh to order. We have something for everybody my shop is in a very cool part of the city but thats one of the reasons why we provide such warm and generous treats, both physically and emotionally its an oldfashioned general store. They have coffee. Other than that what we sell is fishing equipment. Go out and have a good time. One of my customers that has been coming here for years has always said this is my favorite store. When i get married im coming in your store. And then he in his wedding outfit and she in a beautiful dress came in here in between getting married at lands end and to the reception, unbelievable. the new Public Health order that were announcing will require san franciscans to remain at home with exceptions only for essential outings. When the pandemic first hit we kind of saw the writing on the walls that potentially the city is going to shut all businesses down. It was scary because it was such an unknown of how things were going to pan out. I honestly thought that this might be the end of our business. Were just a Small Business and we still need daily customers. I think that everybody was on edge. Nobody was untouched. It was very silent. As a business owner, you know, things dont just stop, right . Youve still got your rent, and all of the overhead, its still there. Theres this underlying constant sense of dread and anxiety. It doesnt prevent you from going to work and doing your job, it doesnt stop you from doing your normal routine. What it does is just make you feel extra exhausted. So we began to reopen one year later, and we will emerge stronger, we will emerge better as a city, because we are still here and we stand in solidarity with one another. This place has definitely been an anchor for us, its home for us, and, again, we are part of this community and the community is part of us. One of the things that we strived for is making everyone in the community feel welcome and we have a sign that says youre welcome. No matter who you are, no matter what your political views are, youre welcome here. And its sort of the classic San Francisco thing is that you work with folks. It is your duty to help everybody in San Francisco. Everybody is happy today it is money day [laughter] well, thank you for being here im mayor breed and im here to talk a little bit about the next 2 fiscal years in our budget. Let me just first start by thanking anna dun and my budget team who worked tierls leech [applause] can the budget team stand up . We sent them through a lot thank you for your work, patience and thank you to our controller ben rosenfield, for all of your work. Y appreciate the board of supervisors joining us especially the budget chair connie chan who worked tirelessly with us. To get us to this point thank you very much, supervisorism seat imfamous harvey rose joining us today. So, harvey for the love of god dont eliminate