increases published in at the city's five- year financial plan, the department anticipates a balanced budget through fiscal year 2014, with no cost to the county general fund. however, in fiscal year 2015, we will begin to see the growth of a shortfall that could reach $1.6 million by the end of fiscal year 2016 and is related to future county salary and benefit increases. in response, the department has developed a corrective action plan that focuses on two strategies. further reductions in spending and growing additional revenue. within the department, we will continue to engage our employees to look for ways to deliver quality case management that is cost-inefficient and keeps pace with the needs of our clients.

with a shrinking caseload, the department will carefully manage its staff population, continue to reduce spending in a non- salary costs, and it right size future direct and indirect service positions. bringing compensation packages in line with other bay area counties. we will continue to settle worker injury cases where possible and remain committed to reducing the number of new cases through prevention strategies that include ergonomic training, evaluation, and workstation assessment. with regard to future funding, the department will focus on growing alternative brand opportunities that utilize existing program services and resources. alternative funding allows the department to reinvest in a child-support program, permitting a federal match up

with projects like the america's cup, treasure island, and parkmercedfiscal health of the department. these solutions are thoughtful, viable, and ensure that the department will live within its baseline. ongoing reductions are seamless to clients, and that service delivery continues to exceed

state wide performance in collections, establishment, and modification of orders, location of parents, and establishment of paternity. san francisco child support puts families first. our greatest accomplishment is the collection and distribution of child support to our local community. for federal fiscal year 2010, the department provided services to 17,511 families. we collected approximately $27.4 million, and of that, $23 million went directly to families. now, 81% of our caseload presides in districts 11, 10, 9, 6, and five, and represents parents whose barriers to employment include limited education, previous incarcerations, and health and

life skills challenges. to help these parents get on their feet, the department is partnering with the district attorney, adult probation, the sheriff's department, state parole, human services agency, the office of economic and workforce development, the san francisco reentry council, the san francisco family violence council, along with community- based organizations to target services that deliver real results for parents. in districts 7, four, three, two, and one, we have seen a growing number of parents who have none of the barriers mentioned, but who are also struggling to make ends meet within their income levels during the weak economy. the department seeks to empower all san francisco parents with our services. families who have never received public assistance or are gainfully employed should

consider child support programs as an important solution in making ends meet. the average family with an annual income of $40,000 to the thousand dollars will spend roughly $250,000 to raise a child aged 18. costs for children include housing, food, clothing, health care, education, child care, and transportation. typical legal fees for private counsel start anywhere from two thousand dollars to four thousand dollars for a child support case where both sides agree. but can grow beyond $25,000 for a complex contested case that goes to trial. for a fee of $25 annually, these parents can access a full range of services that child support provides, regardless of and come, and each case is treated based on the unique needs of the family.

thank you for your time and attention, and i would like to take this moment to think the 102 men and women who make child support services in san francisco their career. and their service to the public, their passion. i would also like to thank the mayor's budget office and the controller's office, particularly rene and joe for helping the department connect the program to the county's budget policy. i consider them everyday heroes. thank you, and i would be happy to answer any questions you may have. supervisor chu: thank you very much for your presentation. i believe this does not have a budget analyst report. colleagues, make sure that we do take the budget analyst recommendations for the dcys budget. we will do that without objection. with regards to the cfc budget, we cannot take this recommendations but a first 5, we do not have a budget analyst recommendations at this time.

i want to thank you for your presentation. >> thank you very much. supervisor chu: one last item, a loose end on the unified school district in the county education office. >> i am from the controller's office. the county education office budget is $116,026 for this budget year. it is based on a formula from the state that goes to support a part of one full-time equivalent positions. supervisor chu: thank you very much, and i believe that we do not have a budget analyst recommendation for that. it is a requirement. so there is no disagreement. colleagues, why don't we take a 40-ish minute break. we will be back about 2:15, and we will pick up with a juvenile probation. thank you.

>> hello. welcome back to the budget and finance committee. we are back from recess and we've got three more departments to go on our budget hearing process. the final departments that are left are the juvenile probation department, department of public health and the human services agency, so we'll begin with the juvenile probation department and chief zimmerman. >> thank you, madam chair, committee members. chief proa big officer. it's my pleasured to a vance before this body my seventh budget on behalf of all of our

dedicated staff, particularly allison mcgee and katherine mcgwire who are here that had a lot to do with directing and preparing a very thoughtful and responsive budget. but most importantly, i am here on behalf of the youth and families who rely upon the work otojuvenile probation -- of the juvenile probation department. i have a presentation and i have provided folks with copies of the power point but i'm going to proceed with this. the work of the juvenile probation department essentially is designed to hold youth accountable while facilitating opportunity for them to develop pro-social competencies that ensure long-term safety and identify and utilize the lease restrictive placements and quite honestly, the least expensive placements and interventions that do not comprise public

safety and produce positive outcomes. the contribute to the overall quality of life for san francisco residents in the sound framework of public safety as outlined in the welfare and institutions code. i tell you, let's take a look at our five-year outlook and before we look through the binoculars i have provided everybody on this power point, the first thing like at in the five-year outlook is five years from now there will be a much leaner chief probation officer standing before you. a much lighter, and a nimble -- representing a nimble department that's more effective in using fewer resources but producing greater outcomes. but in our five-year outlook, we've taken a look at some of our expenditures along those lines. salaries and benefits represent, as you know, the mayor portion of our budget. and any of those challenges in

the next five years will be faced with similar departments regarding that and the city as a hole. also impacted by the state corrections realignment impact. and the eventual closing of the department of juvenile justice, the division of juvenile facilities would have an impact on our department. as you knowing our department takes great lengths to reduce and limit the number of youth that we send to secure correctional facilities. we only have five youth in the correctional facility right now that costs the city about $25,000 a year for each of these five. but in five years most of those youth will be out and on a regular basis the department rarely sends more than two of these youth to this state correctional facility.

but one of the things we're seeing is the formulases that are proposed by the state to date fall very short of the actual cost to provide the necessary rehabilitative programming for youth who would otherwise go to the department of juvenile justice. while re-entry efforts are key across the board in relation to the re-alignment program, i want to make mention of the fact that fully funded probation which is a nonentry program the much cheaper in the long run than any re-entry program and certainly has more positive outcomes. switching to the five-year outlook in terms of revenue, we anticipate that the governor's budget proposal will contain a plan to permanently fund the programs that are now funded by the state's vehicle license fee

and that are a source of funding for the juvenile probation and camps fund and they are in the iteration is worth about $1.7 million and we expect full funding for fiscal year 2011-2012. >> chief, can you hold on just a second? we have just lost quorum. all right. let's take a look at the five-year planning scope that we have identified here.

there is no question that our department is continuing to improve the outcomes for youth by reducing the unnecessary use of detention and the numbers in juvenile hall have stabilized to the extent we're using it and presenting it for those who present the most sublick risk to safety and we have had a chance to speak to each of you and your aids about that we look forward to some further discussion and at the ranch. and we deal with youth who are returning from long-term placement in facilities which are out of the state of california. and then our look toward you by improving the case management system by introducing an electronic way by details the

work and the reports that are filed and in the filing system. and we are exploring revenue options available through title 4e and looking for some adjustment in the way that those funds are calculated and referred back to the city and to address the limited options for high-risk youth who would otherwise be sent to california division of juvenile justice. continuing in our department planning for the five years, we recognize the significant challenge with respect to succession planning and recognizing in a study that was completed by the department of human resources in 2009, 75% of j.p.d. staff would be eligible for retirement and we know the high costs associated with one-time payouts and the enhanced h.r. support necessary

and also the operational disruptions caused with orientation and training. not at least of this would be the vacuum of lost institutional knowledge we would need to make up. this is exacerbated by the need to manage extended leaves of absence and as you can see that at least 20 employees are out on extended leave. we also need to fill the necessary vacancies at the present time and we have four significant leadership positions that are vacant in the work of filling the responsibilities and are usually associated with the additional responsibilities placed on existing management staff. and the department has a tremendous need to maintain our budget flexibility to satisfy the statutory minimum staffing

ratios associated with the two facilities. and in summary, one of the things i wanted to point out was one of the budget highlights and the grant funded initiatives that we bring to the budget where we've been able to leverage the private foundation funding through the generosity of the foundation and looking to enhappens the case management system, update our policy and procedures that reflect the national standards and the best practices across the country and to finance the cost benefit analysis taking a look at the various dispositions that we now utilize for our youth. and to understand which dispositions provide the greatest sense and protection of public safety in the long run. the bottom line is we have appreciated the dialogue we have

had with the budget analyst office and prepared to accept the $107,000 plus cut in the overtime budget that has been, that we have negotiated in very positive and productive dialogue with the budget analyst office. and that's what we're here to present here today. along with our thanks and not only to this board and the staff that we've met with in prep pags for some of this budget and the budget analyst's office beginning with james beard and harvey rose. in the efforts through our discussions with the department of human resources through mickey callahan. thank you for this opportunity and i'll be able to answer any questions that you have. >> thank you, chief. why don't we go to the budget analyst report?

>> madam chair and members of the committee, our total recommended reductions in the department is $107,000 and that's 100% general fund and they are ongoing reductions. it would still allow an ip crease of $717,000 or 2.2% in the department's budget. and be glad to respond to any questions. >> thank you, mr. rose. it sounds like the department is in agreement. i have one question as it relates to log cabin ranch which has gone through a transformation from what it was even 10 years ago and i am wond wondering if you can speak about the work you are doing there. >> well, it begins with the almost 600% increase in the resident population at the ranch. beginning with about six when i arrived in 2005 and now up to 24. our hope is through the efforts that we have established in

absolutely changing the way that the program sad ministered at -- the way the program is administered at the ranch and the modest improving in living conditions is being embraced as a positive and pronounced dispositional al alternative for the court. we have added modest amenities to the living situation and the programming and increased the clinical component. our partnership with the unified school district is solid as it's ever been. in the introduction of the conservation core, the san francisco conservation core and urban sprouts, incorporating that in the program of the daily youth and changing the way the staff interact with youth and are more interactive in the daily programming and in the development of aftercare programming that precedes the

release of the youth from the ranch. we are very excited about this model and believe that it is already paid some significant increase in the futures of youth and we are looking forward to providing at least a more long-term analysis of the outcomes with our cost-benefit analysis. >> chief, you had had a conversation with us before about the alternatives in terms of sentencing from the courts and generally there are a few opi opings. one is to send to the state system which we tend not to do. there is the option of potentially parole or basically probation if the offense is not a significant offense. and the other two alternatives is the log cabin ranch or placement out of home and often out of state. can you talk about the differences between the last two options because those are the ones that tend on the more

controversial? >> sure. well, first of all, we certainly do not support and understand there may be some circumstances, but the use of ydc which is a temporary detention center and does not have the value and the programmatic content that would be necessary for a long-term placement. it was designedcismly for short-term stays. we recognize in some instances the courts have chosen that as a long-term disposition as opposed to the department division of juvenile justice. but what we're looking at is the significant relatively significant number of youth who require the temporary removal from the community and those that are youth are placed in residential treatment facilities and many of which are out of state. while these can be very, very effective programs, we're still want to use the results of the

cost-benefit analysis and how successful. but nevertheless, when youth return back to hair homes, the tran -- return back to their homes, the transition into the community poses significant challenges that we believe the value of the log cabin ranch that is able to work on these and improving these family dynamics and family resources and engaging not only the family but the community in a re-entry while they're at log cabin ranch is, we believe, a more significant and prudent model. that is the direction we're taking and that is why we're moving in the direction of reclaiming the use of log cabin ranch and fortifying with nutritional value and re-entry piece that is significant with the programming. >> thank you, chief. given that the department and budget analysts are in agreement, colleagues, can we take that without objection? that will be the case and thank you for your presentation and we

won't be seeing you next week. >> thank you. thank you very much. >> thank you. next department, department of public health. >> good afternoon, supervisors, chair chu. we wanted to start our

presentation today with looking at the five years' outlook and in the next five years the department will have challenges but also some great opportunities, particularly under health care reform. but in a chronological order, we wanted to share with you some of the issues we will be facing in the next five years and some that have already started. the expansion of supportive housing at laguna honda and it is an ongoing commitment we have that will be continued until the court settlement and we are doing 10 housing offsite on the yearly basis. in that same conversation with laguna honda, i want to inform supervisors after 15 years the department of justice has terminated the oversight due to the work including the expanded housing role that we have played and we're very happy about that and it continues to look and

integrate them to insure that the individuals that are there are at the right placement. as well as you know we built a new facility and the debt service costs and the principal and interest on that debt and match the revenue. health care reform will be one of the greatest challenges for the future and changes in state and federal funding will provide more assistance with coverage and will go from a disability status to an income status and anticipate 36,000 will be eligible for medical and will increase the revenue in the future, particularly the individuals serving now in the programs where we're not able to match the program dollars. this also requires that we

expand access to primary care and specialty care and i will talk more about that with the federal dollars we're receiving as well as we are going to be required to invest in information systems to achieve meaningful use for electronic medical records and qualify for medicaid and incentive programs. we are moving from a billing system to electronic health records which will require an additional investment. and as well in the future and already this is beginning now that we are transferring medi-cal eligible seniors and persons through the san francisco health plan to managed care. we are completing and building san francisco general hospital and san francisco general hospital will be looking at needs of equipping the hospital and the debt service cost and principal interest on debt and depreciation. many of the items we have included in our 11-12 budget.

to give an overview, we're one of the largest departments in the city with the largest budget reduction and primarily funded with earned revenue from the general fund dollars and less than 25% of the total budget is comprised of general fund and draw down for matching revenue and supports those we cannot bill for including the inmates and the uninsured. this limits our options to reduce general fund and limits us to general fund that is not matched and this is one of the negotiations that we had with our community-based organizations because they also in their cuts did not want us to cut where we were also cutting revenue along with general fund. many of our general fund

nonmatched funds are in the community programs area, particularly in some of our substance abuse and mental health areas. the new dollars we are receiving will require -- and they're tied to investments to achieve outcomes. we did receive about $53.5 million, but of that we have needed to expend $30 million. the federal funding is tied to standardses and milestones that includes expansion of coverage and care coordination for low income adults, promotes public hospitals and transformations and attaches funding to the transformations. one of the greatest areas that we'll be working on this next year is trying to expand the timely access standards and this will require us in a few years to make primary care appointments within 10 days and especially within 15 days.