Is just a example of the San Francisco preschool center rates. The top blue line is based on the 85 percent of the market so that is what the federal fwidelines are that if you vavoumper you should be able to access 85 percent of your market, however, states across the country dont always implement. They do the survey and konet always implement those rate increases. In california we have a voucher system and state contracted system and so the state contracted system lagged far behind the voucher rate, so the top line in 2011 in the absence of state publishing their rates that they studied, we conducted a local rate study and that jump between 2010 and 2011 shows what the vole Controllers Office with the Planning Office fts able to determine. We know the rates have gone up since this time and will conduct another study next year. This has been our number one Advocacy Tool that the contracts can take and show this is how far apart they are and basically you can see if you look down at th
Go dracktly to 28 state contractors who operate multiple sites and so everything we do has to keep in mind what that system looks like and how we work in tandem with that system and comp lment that subsidized child care system in the city and there are part ners in delivering services. Those are a total of 5 providers. One of the things in terms of the policy issues kw Response Strategies that we are working on, we manage San Francisco pilot that allows us to have a higher state reimbursement rate. The state has a single rate throughout the state which is a problem for us because our cost of care and i have a sloyd to show the rate disparity for title 5 contractors. It is our number 1 policy problem because as we try to support those providers if the state isnt paying their fair share it is a problem. It is a problem for them to keep their doors open let alone provide quality care. That is a big challenge. We have this pilot that allows us to pay a slightly higher state rate and that p
Strategy particularfry infant and toddlers and we connected all the vouchers were going to places where we invested the quality dollars so this was one of the strategies to make sure where we vend for vouchers. Thathe low income kids get the benefit of the quality investment. We are look at data cyst mg integration for [inaudible] we want to use technology to find solutions to stream line their business practices. They are outdated and out moded and birdmsome. We are interested in [inaudible] they will all change next year as we come windup the plan so that is just for reference i think it is great to see that next year. Thank you very much. Supervisor yee 2 areas of concern i heard, one of them being the minimum wage impact and the [inaudible] it will cause. Im not sure what the actual budget will look like in terms of trying to mitigate that impact. The other one would be in your circle it shows the pie chart shows that [inaudible] service 1 thousand infants probably through the [ina
Will be first in line to get the Coronavirus Vaccine this as vaccines from pfizer and moderna await emergency use authorization from the fda this could happen in weeks. But the timetable apparently still isnt fast enough for President Trump. Fda chief dr. Stephen hahn was summoned to the white house to meet with chief of staff mark meadows and sources tell cnn that the president is demanding to know why pfizer hasnt been given the green light for the vaccine. Well have more on that in a second. First, lets get to the latest troubling sign of how the surge of the virus right now is only getting worse, not better. Hospitals being pushed to the brink as the number of americans requiring hospital care because of covid continues to shatter records, now on a daily basis. Cnns Stephanie Elam is live in los angeles. Shes tracking the latest from there. The numbers where you are worse every day. How are hospitals coping . Reporter were looking at these numbers rising here, kate, as were looking
Science and wont guess if they dont know the answer. This as the covid death toll here in the United States climbs above 409,000 and total cases near 25 million, exactly one year after the first infection was confirmed in this country. Lets start our coverage this hour with our senior White House Correspondent Phil Mattingly. The new administration is putting the pandemic clearly front and center. This is priority number one with so many thousands of americans dying every single day. We heard from President Biden. We heard from dr. Fauci. We heard from the White House Press secretary jen psaki. Update our viewers. This time is different. If there is one way to frame what the white house from the top down is trying to make sure they convey to the American People its that there is a new administration in charge. There is a new focus on the pandemic and on the issue that has ravaged the country for more than a year whether on tangible executive action or symbolic messaging there is a sing