jobs by supportincomnityased services and construction. now is the time to freeze -- from the housing needs as is the right. supervisor all loolag: thank you. ann hinton. >> good morning. thank you for the opportunityo have a hearing and discussed the issues that are important to all of us and give the community as sta -- a an to speak to their individual and communi concerns. i want to thank them for his great cove of the issues in terms dograph d poverty evels and who lives and our community, because it ry am goi to ke. i handed to you supervisors

a brief description of the department but for the auence purpos i would like totk a litt b about tha dertnt of aging and adult seices is what i refer to as an integrated department. my yes ago the comptroller's things might be better in san francisco if we were to poll t various programs together and departmesogheth serve younker adults disabilities and oer adults, so we became an integrated department 're made esstially of four divisions. we have ihhs, t largt single progm areas serving over 22,000 older adults and young adults with sabilities providing home care in people's homes.

local goverenthas in cost of t program, and thiss one of the ones the governor has targeted for reductions in the coming year'sbuet. there is also 18,00 worrs and that program. some of those are the folks that datalkedabout bter over 65- years-o. the next division is protective services. this is where we have adult protective services, which is there tooc these ograms a there to serve people, regardless of their income. our prective serces progra e aible to aone, regardless oincome. our public grdian, public administrat's ofce lic coertives office, and re pae.

they hel eoe na t inco so they can aually remain living in thcounity. doing investigations on reports of glect and abus and at is an ever-rising problem in our community. t third divof dertment is long-term care ations where whave seen some of the most innovative and creative program development, largely due tothemar d the boarof supsors. tis is where the community living fund resigns, a fund that helpspeople leave nurs to come back to thcommunit orto he them stay in the community and not enter institutional carein the first place. this ishe t diversion and communit inationsi i

the first place which is helping people leave stitutionacare or if they e gerahospital ove em back into the cmunity. the fourth division and r partment scommunity services and intake. i am gngo be read preferring a lot to my-- i agog to be reg a ot in myomments to this today. th is the area agency. this is where the county veterans' offices reside an have loped it or the past sen years, an integrated intake unit. i want to focus a little bit on th secy arting to say that all of the thre ea-testeitr not are taet for the entire community. we have a lot ofolks in the community that are modeling many

different languages. ourtare specically hired for the languages and the understandings of the community bause we arhere to serve eryo, not just specific people. we know of isimination, biased, and poverty maketng re difficult to people. ahough we have a specific concern about the middle-class person that is the wer end of the economic scale fin themself in a situation where they cannot purchase services n qualify, that s thediffictye e on ongoing bas and is proemour office. although some of the proams target pelegardf thei incomet of the services that are key to staying at home are there scificall for the w-inme p cen iscrinaon, biased and poverty make things much more

difficultr anyone, regardless of ageo circumstance in the mmity. partnerships have proven to be a critical component to our department over the many years. partnershs th community- based organizations, as well as panehips with all of he various assets of city and county government. we have had a good working relationship with the disability cncil. the hlth depaments well. we know it wouldelthe rtnerships. we could notearonhe new initiatives, couldthe programs like the protective services functioned well in the community. >> san francisco has a long history of strong non-profit community. i also has a longhisto of the board of supervisors -- ard of supervisors and mayor's beinmmittetoaking

it can rain at home and be susf in the enviroent. this is really seen in the fact that unlikemancommunities across the statea across the cotry, we've received general funding better > e match requirement for most othderal funds. downturn in other communiti d do not see atow. thdownturn h hit communities very hard. it is not that we have been utouched, b westarted at a place that w a lot better than a lot of communities are. that is really the advacy that s en done byt th cb's,o's, but also because the officials have been committed t fund as best they could at that time. i was going to abt budget over thpast

fe years. i have been ahead of the department for about seven years. myirst yr in the budget was doing well and the economy was doing we. there w a $160 million budget. that includes alth programs i was lking bout. new general -- over the course otwo s e to a lot of vocacyand d to fact that there was this commitment to tr and work to keep people athe a al these institution deititutionaze at laguna honda hospital. we were also then ableto

ove greer suppo to things le legalervices and immigration serviceand turalition and other kindsof proams. hit just like other departments were. well, although we have lost about 30 positionsin our department, and know contractors have faced rductions, just because costs have gone up. there is no way to get awayfr that. if you stay lat, somet is ter of dollars that we have lost in the past fe years, if you think heabout the 6 million that came fourea ago, and then you look back at our historou wl see that we probably lostou 2 milon

ar of community services. that is good news for us. and we ha lost oney ikey areas. we have tried things we thought would work with resource centers. we gew federal meyn, so wesed that. we got a new design. we als did ratereducons as of the population moves and grows, and the needs of the population groe ll see over ime what happens is the key programs. those were things that w decid to do at the time. th lost us a couple of miion. the deputy of the department has been incdible looking for nw resources, eher go afr match money on things we might have been doing using general fdseven or eight years ago.

we maye did notthink at that ti was worth all the work we would have to do to get it, but now we match dollar that we can possibly match. providers have en doi thesa thing witus. they have become partners in that area as well. have d some new initiatives that are important to us. the nversaonbout plain and what are we doing for the future, n referred to the area plan. you can find at someof is b it is a prettybig cunt. i brought one along so that everyone can see it as a star ad document. it required ordor u aging money. but is also a practical document, because it helps us determine what it is we're going to fund.

it iys changing and always doing updates. in addition to that, we're part of t lg-te ce uncil. the council has delod second one so we are int mit mplementing the remmentions at this time. a couple of yea ago because we recognized -- you might go back to the st-growing population is at 85- +. we decided a coupleof yes ag that we would take on theissue and this document, wises -- which is a 10-yearlan and we will be doi aupdateo he pl ie fallwe can make sureny new things that have happened since we first did it will be in the plan.

and anytng new we have undertaken is in one of these plans. he ans referee eachother anhave many crossroads between them. whether or nott would be it uld be the grant of about 7 million to the city and county of 3 milon to , have been working on anti from hospital to home foa very long time we are iniscussions aut the ces for medicare andmeid tta about contract with them, soat can have federal support for the communit we have sought designation and fundg for adults with the stabily soce c. have

on evidence-based health the ang, beuse we have seen that even onthose programhowsit regardlessofinme a ethnicity d al those things we talked about earlier, people do bette when they're able to get nvolve of hoseprograms, and we are using to programs, one from stanford and one from usf and now we maging around drug and alcohol in the future. we of underken of long-term care integration investation. we kn tate, my states we soughtutsideunding to bring in a consultant oranexpert panel tt cadelve into isesand so that sanford says go can pull together a plan that really spo the issues that people have in our

couny,o hen state moves ntmanaged care, are eadyor tha th lgbt taskfor, ' wererobably one of the first area plans to have that as an issueoaddressed e population's issue in that document. one of the wtng the long- term coordinating council has taken on our local communities. hodo you create communies where op cantay? i think when it comes to chleng in our commity i think there are two. one isthmiddclass income populand how you get these services to them? or how you help them access that when money isretty tight? that is one issue.

the oer one is neighborho planng. how yocreate livable communities? how what do you do that in dercs wi a lot of hills when there is a lot established we know we have some specific distrts andur city where there is not mucrvice we need. part ofhais around the planning. i think part of that wwill take up and livable communi wo, but still something brsse-- that is bothersome in terms of where our stores located? whe transportation? where are services and how does that all work? i will end there. superviso olague: thank

that. when we did the study, we found tatess food,healthy food andhis ke that, w mething hat some eigorwere eventually it may be that --the was ansatn ctenes planning to look atome of the issues but there were somseni disabled voices at he, but it ss weti have to sometimes in the discussion around planning issues in gal. maybe as we move forward i this, ybin nar so we calook aestaishing some sort of a planning effort with the city planning department tlo at where peopleare ang and whathe departnt of public health has done with community health impact assessments ich lo at how you create hlthier mmunit tnk theres

some movement in the different departments bringing that conversation t the senior and isabled mmit > i should mention that the planning department has joined with the long term council in one of the really ieresng things abt that is that it has attracted people that we do not normay come into contact with. eotcple of architects intested in is issue. peoplerom different parts of the city. yes, we need all of those people involved. " supervisorlae: i av my comments fo later, buti have become refamiliar with seniors n public housing and how they have been exposed to those nuances.

i am sorry, supervisor chu? of supervisor hu: taking a look at the report earlier and the demohics where sen are living there is dark ave aldabt this fore. sptoou about thedierenmmunies at have differentstrues. own homes and viin things we might want to look at mighte dierhe oer things what are the plans for these hard to reach areas? traditionally, wenot h very large sces. there are limited commercial spaces. howyo antipa facing the

challenges, iv that we have what circles around this over and over again and seem to be making no progr >> community work popped p. ove the yrs i have been here, one of the things that has been very clear to me is that every district needs to own retirement proces the suet is e of those key areas where we have a lo older adults and key sers in thei we have day care relatively close by. tre u dedicated traisg additional dollars on self-e for the derly. thprider community has been working hard oit. eachdistrt is very different.it is

a lot of single-family homthstup and own -- of urse stairs are up and down but you know what i mean. the conclusion that the only way to deawith ti have concerns about is to sit down with keyplayers in the work ouat the suet might be one of those districts they look at. taking l the key larsnd people from the business community tse re key issues r th. park in iraq as buildings in -- part in iraq -- park and rec has buildings in there, as well as independent contractors and the busine community. if the work ds otroed

along those lines, i think we will have to do it ourselves because the issue isnot -- the demographics are not changing in a way that make it less of an issue. supervisor chu: thank you. supervisor olague:nowe will hear from [unintelligible] fromeals on wheels. >> good afternoon.

just one minute, aloze for the thnical diffilties. i do have a power play to put up. [whispering] perfect, ok. i thinkre all -- no? it looks justperfect from here. oh, it is. ok, good. in the enior director of programs and orations at meals on wheels of san francisco. i am also a meer ofhe task force and am alson the long-

term care coordinating council. go aftnoon to you all. thank you so much for the opportit we have worked ogether for years d this ian amazing place to ther to hear updated reports. i am eited to tell you about the truggles seniors have been having around attrition. i look forward to doing a presentationo both groups or the long-term care coordinating council in july. as you have heard with the large baby boomer generation dend for senior meles has risen substantially. they're likely to need services

well into the future. private nd-raising but continued to be required to meet these critical needs putting our safety net at risk. 12%, 19,000 people, are living below the poverty line. 27% of our seniors are living below 150% of the poverty line. can you imagine? painful choices of rent food, medications are amongst the san francisco seniors every day. defined as cess for all people of all times including worrying about food that will run out found it cheaper rationing

meals, which is what most seniors do every day or skipping meals completely. that is the reality of our siors who are living 150% of the poverty line or last. -- or less. food becomes that non-essential em though it is the st essential in choosing between fixed expenses, like rent, and buying food as we know is something they wilma worry about. to complicate matters access to food can be a complicated press. i there a rush restore nearby? is the senior able to get to the store? to a pantry or meals site? is there a kitchen facility? there is lack of kitchen facilities for so many seniors.

meals on wheels, we do provide most providers to not. therogram are really designed to be supplementary. most are often at capacity and people are waiting to come on the program through attrition. there is no entitlement program for nutrition at all for seniors. >>this graph shows that there are over 700,000 meals that people are accessing. in the fiscal year we are doing over 1.2 million. we quickly want to point out the

looking at about 11%. each year there are approximately 15,000 seniors going to these webses. there are over 2800 seniors accessing home delivery programs. are raising additional funds to support that need. it is not sustainable. it is just not keeping pace. for seniors living below the poverty line, most of the time ty're able to accesshe food stamp program. for the seniors receiving ssi, just under the federal poverty line, be casheout allowing people want ssi to allow for

food stamps in the early 1970's. we have looked at those agents as opposed to the blind and disabled. it favors the folks who are blind and disabled an we have seen it continue to favor folks who are not agents. we would be looking at the average grant of $1. changing the policy without cashing out for that any longer is critica to what we need to do. the government has pushed back and said that unless we do it for everyone it is an incredible advocacy iss for all of us. it would make a huge impact for those of us with utility needs. in order to avoid pre- institutional was asian a network of community services must be in case. they are in place. i think we are at capacity and we really need to address