we will be prepared to see what occurs over the next 29 days. i would be more than happy to help, and i know my colleagues will want to also stand tall with this idea that if a supplemental appropriation is imperative, that is an imperative we are prepared to advance. thank you very much for your participation. supervisor kim? supervisor kim: thank you. i want to thank you so much for calling this hearing for lyon- martin. it has been amazing for the last two months to hear how lyon- martin has touched so many people in this community. public comment was a reiteration of the stories i have already heard. it was amazing. everybody has talked about the overwhelmingly positive experiences they have had their.

i have been very lucky not to have health care needs. i understand how challenging it is to find health care that i feel comfortable and safe going to, that i enjoy going to. a place i know they are giving me the care i need. as a woman and an asian american, i find it challenging already. it is amazing to hear how much of a home this is for many folks in the san francisco community. having worked extensively as an organizer in chinatown, it reminds me of how chinese hospital is for many of our immigrant seniors, or working class families that come here, and also our newcomers, and how important that service is for that community. when chinese hospital has had needs, the community has rallied very strongly to make sure we keep the hospital here. i think that as a city we need to make sure we keep lyon-martin

clinic open, and i am committed to that. the one thing i will also say is that this story reminds me of the importance that as we cut and cut and try to protect services, that we also look at the importance of capacity building for nonprofits. we expect them to serve and serve, and we cut their infrastructure needs and leadership development, h.r. finance, all the things that help keep the services going. that is something we need to keep in mind as we continue to do gramps, particularly our city grants. i know we as a city do not fund capacity building, and that is important for our nonprofits that provide unique services. lastly, i want to concur with supervisor mirkarimi m. think the outpouring of support from the community for moving much quicker than the city has been raising close to $300,000.

i think that is amazing and speaks volumes about why we need to do our part as well. thank you everyone for coming today. [applause] supervisor mirkarimi: we will go ahead and motion to continue this to the call of the chair, this hearing. thank you, everybody who participated here today. stay tuned as to what transpires of we the next few weeks. we will stay in touch. we are on top of this. thank you again to the consortium. thank you to lyon-martin health clinic. thank you to the department of public health. i think we have a bit of business. i am going to entertain a motion to rescind the boat on item 3 -- the vote on item three. motion to rescind the vote on

item three. instead of it to date certain, i would like to continue this to the call of the chair. very good. we will continue that to the call of the chair. >> that completes the agenda for today. supervisor mirkarimi: very good. budget and finance committee is now adjourned.

>> i work with the department of environment and we are recycling oil. thank you. we can go into a refinery and we can use it again. they do oil changes and sell it anyway, so now they know when a

ticket to a. hal>> to you have something you want to get rid of? >> why throw it away when you can reuse it? >> it can be filtered out and used for other products. >> [speaking spanish] >> it is going to be a good thing for us to take used motor oil from customers. we have a 75-gallon tank that we used and we have someone take it from here to recycle. >> so far, we have 35 people.

we have collected 78 gallons, if not more. these are other locations that you can go. it is absolutely free. you just need to have the location open. you are set to go.

captioned by the national captioning institute --www.ncicap.org-- supervisor avalos: could morning. malcolm to the city operations and neighborhood services committee. -- welcome to the city operations in neighborhood services committee. are there any announcements? >> yes. all persons attending this meeting are requested to turn off all cell phones and pagers. if you wish to submit speaker cards, please put them in the container that your left in front of view. if you wish to submit copies of

the material to the committee, please submit an extra copy for the file. items recommended out of committee today will be considered next week unless another date is indicated. supervisor avalos: thank you. please call item no. 1. >> item 1. hearing on the budget and legislative analyst report "housing assistance and other services to enable seniors to remain in their communities and homes" project no. 100158.1. supervisor avalos: thank you very much. we are going to hear -- >> we are going to miss some great information from the budget analysts office.

i want to say that the issue of quickly aging populations in san francisco where baby boomers are becoming seniors, some people might call it the senior boom generation, they are raising awareness of the need for social services in our city. the work done really highlights that demographic shift. also the tremendous need for housing and community services for this aging population. i would like to reveal that i am on the edge of the baby boom generation, but i have three siblings who are seniors in an age. this process has been excellent and i have been educated by many neighborhood activists in the city. i want to say that the process began with joan and arthur chang

from the chinatown north beach area. as well as lawrence cornfield and sarah hale from the richmond district and other neighborhoods as well. also the institute on aging institute in the community. my hope is that from this report will come legislative ideas that many of us will work on together. but the ad hoc committee of senior organizations that we have started, my hope is that we have generated activism and will build a movement for aging in place in an aging friendly city. with that, let me introduce mr. russo and mr. duffy to talk about the report. >> thank you.

fred russo from the budget analysts office. i want to do a quick overview of our report, prepared at the request of supervisor mar. he provided a number of project objectives for us on this research. i guess that the machine is not done. reviewing practices and bottles for aging in the community, starting in the place that expanded into community when we realize that some people were aging while staying in their home was not a good option. what the supervisor asked is that we review demographic information about the

population in san francisco and that we look at housing programs to determine the number of seniors in an on waiting lists for affordable public housing, providing legislative recommendations to encourage and enable residential upgrades to allow seniors to remain in their homes and communities. i will start with at the demographics. as the supervisor looted, the baby boom generation is aging and the impact is certainly going to be felt in san francisco. in 2008 the population of people 60 and over, which is house seniors are defined by this data set, it is 160,069. which is close to 20% of the city's population.

the department of finance forecast for a large jump of growth rates by 2030, the chart shows the breakout of that growth by age segment with it the big line going up at the top. that is, in fact, baby boomers aging. all of the other age groups are going up as well. it will be increasingly significant part of the city's population. other factors that we look at included income. what you see here is senior income. lower than it is for other age groups in the city. showing groups with people under 25, 44 and 64, and then over 65.

certainly the average income is lower than the other age groups over age 25. while it might sound like a substantial income, it is an average. but that means is that there are people below and above it. bringing the number of words. when you look at the break down in the second chart, the one on the bottom, showing the percentage of the population in different age groups and income groups, you will see that those 65 and over, there is a high concentration of them. much higher than for the other segments of the population. indicating that there are a large number of low-income seniors in san francisco. at the same time there are those with means and to have high incomes. but they are smaller percentage of the population.

supervisor avalos: were you able to break that down by household income probably more individuals, with the say? -- would you say? >> certainly by household. for comparison, here are the other large cities in california. age 6865, with the median in those five large cities, 15% of the population over 60. whereas in san francisco, between 2006 and 2008, the

senior population over 60 comprised 16% of the population. again, and larger segment of the population and a growing segment of the population. in terms of the renters and homeowners, these were interesting statistics. we thought that there were a number of seniors that were homeowners in san francisco. for the most part they purchased their home before 1970. they were not as expensive as they are now. property taxes were not as high. but the pie chart shows is that those spending 30% or more on housing is 32%. at the bottom chart, seniors that are renting are spending a much higher percentage of their income on housing.

57% of those people are paying more than 30% for housing. housing is certainly an issue in the high cost for seniors. from the previous charpoy you know that with the owners -- in place it could be a community, staying in the city or defined in different ways. just a few points on that, 75% of the housing units in san francisco were built before 1960, when the first federal accessibility laws were enacted. laws that holmes were not adaptable or easily accessible for people with limited mobility.

renters have less control over modifying their homes. many will not ask their landlords if they can make modifications in the home. some might offer that, but some may not. safety and accessibility @ cost for items is a concern in issue to many. some of the obvious things, steps and doors in and out of the home. san francisco houses almost always have stepped in to the house and then steps want to get in as well. bathroom accessibility is an issue. accommodating wheelchairs' in many homes is not possible because of the wit of the doorway. dance and elevators needed in some homes are not commonly installed and cannot easily be put in in some places. besides that there is the issue of needing assistance with keeping up one's residence as

one ages. daily living chores, some seniors need assistance, which becomes an impediment to staying in their own home or community. on the social side there is the access to community, which might dwindle as people move away or populations change. a community and neighborhood can change over time. we have reviewed in home provisions of services as part of this review and analysis. we found that there were programs in place to provide home modification services provided by the city. however, there are a few of them and they serve only a small number of communities targeted to seniors by providing services. the programs listed here,

rebuilding together san francisco, community and home injury prevention projects for seniors with whole modification programs, funded through city funds. and then there is a community living fund. providing low-interest loans and assessments. the purpose of the last one is not necessarily for seniors. it is to assist people in staying out of institutions. there were then two programs. the rehabilitation fund was funded through the department of building inspection period and the community housing rehabilitation fund. it had temporary state grant funding that dissipated. those programs are no longer in

place. the numbers are small. probably between 300 seniors in one year, small compared to the total population. in home supported services you are probably also familiar with. it is a state mandated program where the funding comes from state personal assistance with medical appointments. people come into the senior homes, provide the services, and are paid for that. is an income based program. 7250 seniors receive services in

a year. they are low income, by definition the nature of the program. what it does not provide is home modification services. what we were talking about for these low-interest loan programs. offering home modification program services, installing guard rails at low interest. in home supportive services is not geared for that type of service. another area for in home provision services that we reviewed was the senior village model. an approach being used increasingly throughout the country where we review a number of programs, one of them being

the exchange team san francisco village program. those are not typical locations. they are membership organizations that allow seniors to remain in their homes and acquire services through membership fees and occasionally additional fee's for particular services. personal and home assistance, home maintenance types of things, shopping and transportation to medical points, as well as home modifications. this is a program where someone could acquire the services of a contractor or handyperson to come in and install guard rails or do minor home repairs to make it more safe and accessible. most of the senior village

programs do not receive public subsidy in sentences go. but in some other cities there are public subsidies for the programs. some organizations have selected to not have public funding available. beacon hill is one of the first senior village programs in boston. and i believe they never had public funding. relatively new, programs that started in 2009 as informal, neighborhood-based programs but became nonprofits in 2009. as i mentioned, neither has received city funding at this time. when we reviewed a study done by berkeley about the village program approach movement, one of the interesting conclusions was that membership tended to be

white and upper income. while the approach is appealing in many ways, it has not been broadly implemented in many of its jurisdictions currently. >> [inaudible] >> yes, the members pay into that. there is an annual membership fee and a separate fee for seniors as well. another area for providing services that we can review this transitional care. when seniors leave a hospital setting and come back home, what services are in place to make sure that vector editions can go

smoothly? of there are services provided here in the city. there are a number of programs that are, for the most part, based on income. i believe that there are eight or nine separate services with different targeted populations. as the department of aging and health services states, programs are not as well formulated as they would like. in contrast, there is a program in marin county called project independence, that is very comprehensive and receives money from the county for the services provided, relying heavily on volunteers. the basic approach is that

anyone leaving a hospital setting can contact this organization and receive an array of services based on senior needs. ongoing services for volunteers and check cans, it seems that it is a good program to look at for consideration in san francisco. we also looked at affordable housing options for san francisco seniors. what we found here was a couple of things. the first is that housing complexes and development of feed city sponsorship through the mayor's office of housing. it might even come from a state or federal source. 322 facilities receive without

maintaining lists of how many people are waiting for unix. it is believed that that number is quite high. four units in these types of facilities. in addition there is public housing programs run through the housing authority. there are 50 in san francisco, of which 2062 are earmarked for seniors. the wait list is daunting. i suspect with the length of the list, many people are not signing up as it looks there will be a long time between openings. subsidized housing