and lastly, currently there are two vacancies and i wanted to also note. and part three which requires them to have an experience with providing homeless and community setting and we have been doing extensive outreach to fill those two seats. we also need spanish speaking members and are working with provider who is provide service to spanish-speaking needs. >> what is the major needs and spanish is one? >> spanish is one. and yes, spanish is the primary. are there any questions?

and the standards of care legislation was passed when? last year in 2008. and this is the second year of reporting then? and the standard of care creates a standard for homeless folks being provided basic needs for the paper and being created

respectfully and so i think for the overall body and the shelter monitoring committee and the standards of care have definitely improved the standards within the shelter system. and at some point i would the love see more of a longitudinal study over the past couple of years over what areas we have improved in and what areas we continue to have challenges in. and for me it would be interesting since it's really important to me we improve our standards in the shelter system and thank you so much. thank you for all of your work on this issue and if oh members are here from the shelter monitoring committee, appreciate this in information and am excited you are working with the health care center to involve training and what they do for many members of the population. >> thank you. >> thank you so much. at this time we'll open up for public comment on this item.

two minutes. >> thomas pecirillo and i respectfully disagree with the conditions in the homeless shelters are improving. the reason that we're having a discussion and debate about the fair shelter initiative is the recognition that homeless shelters are not habitable. and quite frankly, they aren't habitable. the standards of care were passed in 2008 and then every three months you get a quarterly report. and what she failed to tell you is there hasn't been any enforcement for the violations

of the standards of care. so the shelter monitoring committee does the inspections and gives the violations to the department of public health, but the department of public health is forcing the violations. and you're going to get the same reports on a quarterly basis for the same complaints. and the department of public health should not be enforcement agency for the standards of care. and they failed the past three years and in the slow indication that they're going to do any better in the future. thank you. >> thank you. please step up if you want to speak in public aren't. do you want to speak in public comment? >> good afternoon, supervisor kim and supervisor elburg. i am speaking for the department. my name is joyce crumb and i am the directly of housing and homeless division that oversues the shelters for the city.

and so i am going to date myself and say theym an original member of the -- i'm going to date myself and say i am an original member of the sheltering committee starting back in 2006 and we have definitely come a long ways. i think the standards of care that have been implemented in the shelter have definitely helped to improve and i understand mr. pecerillo hasn't been in a shelter for about three years and i encourage him to go and visit and see some of the major change that have taken place. and also, i must say that this particular quarter, the second and third quarter reports came to us in a timely manner and we've had a month to digest the information presented by the shelter monitoring committee and gives us a chance to give feedback. in the past when we've aperiod

before this committee we've gotten to report the morning of and that has not been very helpful. also, we have had the opportunity to meet with the offices of the shelter monitoring committee and i think we're on the road to good communications and improving some of the issues that are going on in the shelter. and i'm very pleased that you also said let's do a lodgetudal study to -- let's do a longitudinal study to see the improvement and we don't want to hear all the negative things that have happened because there have been a lot of great improvements in the shelter since i have been around since 2003. [bell ringing] >> go ahead and finish. >> okay. thank you. what i want to do is cover some of the recommendations from the committee and talk about case

management because in both of the reports the second quarterly report in the second quarter, third quarter report, they were pretty consistent in the recommendations. so the first policy recommendation was about case management services. and case management services are provided through the shelters through something called fs-start and that is a program funded by the department of public health and they are not present today, the staff is not present to really talk about it. i do know that shelter monitoring committee not only covers the single adult shelters but cover the family shelters also and in the family shelters it's mandatory and what we do is look at the families and the road to stable housing and housing placement are outcomes of their case management.

and for the single adult shelter, it focused on mental health and substance abuse services. the fs-start team has eight members and they rove the single adult shelters with a liaison being funded by the city in each one of the shelters and if you are involved in the case management and the shelter moves and the continuity of the case management follows you. it doesn't just drop off the page because you're not at delores street anymore because the team rolls all of our eight shelters that we have in the system. >> are you doing to address each of the recommendations? >> yes. >> if you don't mind, i will continue public comment and i

didn't realize you were here today. and just stay put and have -- we'll close public comment after that. >> all right. >> thank you. >> good afternoon, supervisors. and i'm kathy and part of the sanctuary shelter and what i want to do is not just -- what i want to do is put in context some of the complaints to give a visual and there were for the period of january to december 23 complaints at next door. what i found when we did research is five of those complaints and actually we counted 21 and not 23 and five were from the one person and went to several departments and beyond that there were three complaints added that were from the monitoring committee themselves and when they do their monthly, it's about every

month unannounced walk through, they will generate a complaint and that is not an individual complaint on issues that they see. and there was one complaint sent to us that was coming to 14, and i wanted to put in it conñ for that period of january 1 to march 31, we housed 1,208 unduplicated individuals. and when you do the math on that, there was 1,208 individuals and those 14 complaints come to .0115%. and that puts in context and not to diminish those complaints, and i, too, am looking at trends. what trends do we have in the category of staffing? what trends do we have in facilities and how do we fix those very real complaints and how do we fix the trends? but that being said, it's plain to see .0115%. and which to me given the amount of housing and services we

provide, really it is a lower number. again, i do feel that the monitoring committee does keep us on our toes. and that we have brought up the standards. again, immaterialed to talk a little bit about -- i wanted to talk a little bit about the walks through and just real quickly, that period. there were 2-30 hand sanitizers that were empty. there was a drinking fountain and this is just at next door that was in the process of being repaired but didn't have a repair date. there was a stall door that was ripped off of one of the bathrooms that we're in the process of being repaired. and some janitor logs weren't complete and there weren't latex glove in every size. and again, i want to create a visual of the reality -- >> thank you. can i ask you a quick question because i am very concerned about tokens. do you run out of tokens quickly? >> no. what we do and i agree with l.j. is that the monitoring committee will come in at 6:00 to 6:30 and we're feeding the supervisors

tokens and they aren't under lock and tea. we normally get 200 to 300 tokens and we have a log we keep and in order to get more tokens so we're never hout, we got to miss briana moore's office to get them and we're always casting off and taking on. and again, h.s.a. can probably speak to when do we give out a token and when can't we give out a token. supervisor kim: thank you. next speaker please. >> good afternoon, supervisors. i am kim armpinster from glide. i would like to speak to the toning issue. it's rare that we do not have tokens to give to our clients. we issue two tokens so they have transportation to the shelter. and we track each the oak than we give out on a log that h.s.a. provides. during the most recent -- there was a statistic cite d in the

shelter monitoring committee report's about tokens not being available and i remember that day when they visited because the person usually visits glide twice a day because we have two shift. she got the flu in the afternoon and came back another day. we had a substitute reservation clerk because one of our reservation clerks was ill and also h.s.a. was the person we contact there was ill and that was a statistical anomaly. and h.s.a. is very accommodating and if we get near running out of tokens, we send staff to the site with tokens or pick them up at meetings. so i can speak for glide it that's very, very rare when tokens are unavailable. >> supervisor kim: thank you.

you can pull down the mike. >> hi. i eat me again. and i have probably more than two minutes to say, but overall since last fall, things are better because people have complained and i do understand it's new management and there was an existing corporate culture that was very difficult to impact in in way, shape, or form. so this is not directed at the current management so much but when i arrived last fall, the hot rumor was 200 tokens were stolen from sanctuary's offers and that's why there weren't any. i myself saw and this -- and it had been passed at the shelter monitoring committee accused sanctuary of racist management.

and i definitely believe there is a tendency of running up to the supervisor and i was new. i didn't know the rules. and i was asking for tokens to go to something and i think fell within the scope. and she ran a pass for a token to go to the beach and they handed them to there. there is abuse in the system. or there was last fall for sure. it might be better now. supervisor kim: thank you very much. >> i am from the united council of community services. and i can't complain about the shelter monitoring committee coming out because it keeps us on our toes. i am the c.e.o. of united council center which is a drop-in center.

they need to be a little more flexib flexible. with us it's not having toilet paper in the stalls for the clients which we have a system because they will stop up the toilets. and water will run back into the agency and at times we have had to close the whole place down. so we have tried to do everything we can to make them understand and we aren't withholding toilet paper from them and they can get it on their way in and get as much as they want, but they'll throw things in the toilet which makes it extremely difficult for us and most of the write up had been about toilet paper not being in the stalls. and i have to explain that and explain that. and that we cannot afford to call a plumber out twice a week to unstop the toilet if we give them the toilet paper the way we have been doing it, it cuts down on a lot of that.

and they're good to come out and do the surprise inspections because it keeps our staff on task and what they should be doing and how they should be treated. and someone earlier said they do not enforce the laws and there is nothing that once you get a notice from them, everybody in the office shakes because you don't know what the consequences are but you do know that you have to correct whatever problem and that is a mez. we don't need a bunch of people coming down on us because it's activity enough with the jobs we have. we do the best we can. >> thank you very much. >> good afternoon. i am the program director for the delores street community services shelters. and i wanted to introduce myself in case i haven't met with you at different occasions. first of all, i want to invite

either of you if you are interested in seeing the shelters firsthand to make the rounds and visit some of the shelter sites for a visual of what we are talking about and is hard to understand the challenges of operating the shelter unless you have seen them for yourself and every shelter has it own specific situation that might be worth exploring. now on to the subject you are about to report from the shelter monitoring committee and i want to emphasize that they do have a policy for the tokens and for our part we follow it as closely as possible. and we exhaust the supply of tokens and request the next supply and there might be a gap between when we exhaust the supply and coordinating with staff and if that is the day somebody visits, it will look like we're not providing tokens and it is an imperfect system, but it falls on the program to coordinate with h.s.a. to request them on a timely basis.

our program has not had that problem, but coordinating that time of when to pick them up and those kinds of things. in general the relationship between the shelter monitoring committee and the shelter is a good one. it is a checks and balance type of thing and there is a process they are trying to improve the methodology and with the vacancies we do need to make an effort to fill and to prove the diverity of the committee in the sense of being able to reach out that are currently not able to communicate because of language or cultural differences. as you fill the vacancies, keep an eye towards the cultural and language needs of the committee. thank you. [bell ringing] supervisor kim: actually, before you go, what is the average beds that go vacant at delores street? >> i think at different times on average when you look at the monthly reports that h.s.a.

prepares, the occupancy rates are between 96-97% and there are too many beds that remain open and i couldn't tell you if the resource beds are capped. supervisor kim. that is okay. >> in general, about 3% might remain vacant and there are procedures for how those can be filled on an emergency basis. when you are talking about a vacancy that becomes a vacancy late at night, it is really hard to fill that bed sometimes. supervisor kim: thank you. is there any other public comment on this item? >> well, let's start here. there was two from the -- well, this report pretty much says it right here. you have another member that just resigned and you have one more spot and the only black person on the committee has just

seems like he's not around much. he was missing the last one and the last one before that and showed up 20 minutes before the meeting was ending and i don't think he's going to be around much longer. and the other thing is they talk about case management and we need a standard for case manageme management. and i am al want to say that the shelters need a one-time infusion of cash to fix major repairs. and you talk about plumbing and that would be under that and then i hear there's toxic mold in one of the family shelters and that would be something else you would need to consider. and i am al going to say that the shelter monitoring committee is behind, like three months behind in the quarterly report. we should be hearing the one for july somewhere around now.

the other thing is to imply that the department of public health and the next step up is not issuing fines for the violations in the shelters. and so when thomas said there's a problem with their enforcement in the standards of care, that's part of the main problem. then the other thing, too, is bernice casey, she received a certified letter maybe about 8 months ago where one of the shelter residents felt intimidate intimidated by the staff and one of their complaints dropped. and also the shelter monitoring committee has one person not receiving that and is overran by service providers and city employees.

>> thank you. >> is there any other public comment on this item? seeing none, public comment is now closed. i'm going to call back ms. crumb from h.s.a. story. my apologies. >> no problem. >> if you could just finish where you left off. a>> okay. i was speaking about case management services. 1/3 of the clients are cap clients and they are assigned to either an eligibility worker or they can work with the team which does asezmentes. and so not -- which does assessment, so not all the clients require case management. but once again, it's been noted by the shelter monitoring committee that when we began with the shelter monitoring committee and progressed to the standard of care, it was not and has not since the inception been

a fully funded mandate, so it's money. and what d.p.h. and h.s.a. did in 2009 was to collaborate and bring the case management system as a roving team versus a hit and miss. and we felt to utilize the monies the city had available to implement this roving case management team which is modelled behind the roving case management team in the permanent support team and that was one way of checks and balances and utilizing the funding. if you have anymore questions about case management, i am willing to answer, but let's move on to tokens. we are allotted 1,250 tokens a

month. that was an increase going into the last -- supervisor kim: how many? i'm sorry. >> 1,250. we have 1,150 shelter beds. so right there if we were to give everyone one token per day, we would run out. so what we did was in conjunction with all of the shelters is we came up with a shelters is we came up with a token policy. reflective of how a shelter gives out shelter or resource center gives out tokens. so a token is given to a client that travels to and from the bayview or the providence shelter. they're given a token for medical appointments, permanent housing appointments, substance abuse treatment appointments,

job search, job interviews, and for mental health services appointments. seniors who were 60 qualify for an allocation of two tokens per day for any and all transportation related purposes and if someone is denied services immediately out of a shelter after 5:00, we will give them a token also. we have to strategically plan how we get tokens and when we get tokens. we would love to see everyone get a token, but it's not

feasible and we would like to see shelter beds for all homeless clients but we know because of funding issues that it's not possible. supervisor kim: have you examined the policy in santa fe that was recently -- in san jose that was recently instituteed? >> no, i have not, and was not aware of it. >> they provide stickers so they can ride for free up to two months and then renew it. >> all right. and what i did -- supervisor kim: it happened this year. >> oh, okay. i'll look into that, but what i did provide you is the offices of the shelter monitoring committee is what we call a lifeline. it's for individuals who are below poverty and have a certain level of income where instead of paying $70 for the muni fast pass, they pay $35. so i did provide them with that

informing and our shelters are aware of it. supervisor kim: and i imagine many of the homeless individual cans not afford a $35 and is not very popular. >> or those homeless individuals in the shelters who are receiving f.s.i., you know, so where they can get the senior pass or disabled pass. supervisor kim: all right. >> training, when we fete with the offices of the shelter monitoring committee, we did agree to load our information of providing sheltd ers into a database and this is an information request for many years from the shelter monitoring committee that we provide them with the informing of all the trainings and be it standard after care or trainings that are mandatory because you work in a shelter.

it had never gone anywhere. we provide the information and turn around the next quarter and they ask for the same thing. so we're developing a database where they will be able to track better all of the training that the shelters are providing to them. supervisor kim: okay. thank you. are there any questions for h.s.a.? ms. crumb, thank you so much for being here. i'm sorry, i didn't realize you were here and i would have called you before public comment. >> no problem. supervisor kim: i want to thank the shelter partners and the shelter monitoring committee for your report and great they are coming in on time and early even when we don't have enough members on the committee and will work quickly to appoint the last two seat. just want to recognize glide and united methodist and of course, episcopal services for being here today. thank you so much for responding directly to some of these