>> john paul did you have a housing especially when the rent wasn't so high, members comment? >> one of the thing that kind of concerns me i heard programs and the folks who were really for mental health and substance involved in housing thought what would be good housing and abuse how is the community reintegration population and the population coming out of clients are expressing laguna honda that will be preferences too and would be a discharged from the program how will that relate to the good fit for them and 27 units affordable care act especially are fully accessible are since we have a january 1 rolling showers so when clients deadline for applying? >> most of the people vast are being presented to our meeting we identify what are majority are medical eligible their needs we discuss how we so most enrolled in medical so can accommodate that in the community prior to discharge they will be able to select the and there's also home safety h.m.o. that they will evaluation conducted by laguna participate in and they get the honda to make sure all the same notification that anyone living in the community gets to medical equipment and modification are going to meet decide which way they want to the needs of the client.

>> and laguna honda rental go. so that's accessible subsubsidy program covers rent regardless of whether you have unit modification and repairs. medical or not. so it's a kelly also mentioned that part service as needed. >> is there some support of the settlement is the because everything we hear in quality assurance and happens the press it's still very challenging to apply for these to be the director and one of services online but certainly the many quality assurance we there's other programs by the conduct are home visits and state but is it helping people also we look at information and feedback of members who already bridge this? >> laguna honda has an left laguna honda after 6 months of living in the community it's a mail in survey eligibility unit so currently there's an eligibility unit satisfaction survey and we that can actually help make admin dmin ister that every -- sure somebody gets access to their entitlements while they are there. within the city as a whole the department has certified eligibility workers [inaudible] months. i have the that have been designated to medical services i need. it's assist in doing applications

for folks so the people that a scale where they can indicate i strongly agree, agree aren't connected can be hooked disagree and not applicable and the question that i have the up with an enrollment person. >> thank you. mental health services i need >> councilmember zarda? and part of the 14 questions. >> thank you and thank you for and the most recent survey that your presentation it's very very important to the we conducted done early this community. just to follow up year we have a 21 percent on something you had mentioned rising rents that we're all return response rate and actually for mail in survey, experiencing in san francisco the ability to provide someone the threshold is 10 percent and we always exceed the 10 housing most likely will be percent, 20 or 30 percent at decreasing in reference to how one point and there's one important question and we ask that relates to the 500 units if they are satisfied with the overall quality of these originally demanded in that services and of the 21 percent lawsuit how do you feel the responders they said they are number leftover will be impacted by the rising rents. one hundred percent satisfied >> i think it's going to be a with the quality of services matter of the pace of the and when i mentioned this, demand for the scattered cite again, it's the collaboration and it's possible that if the

of the department of aging demand is not suddenly going to adult services and department of health and many community spike that we will probably be able to accommodate despite the based organizations such as public authority peer mentors fact that the rents are increasing. the a arra y of and also community meeting fund. thank you. selection is going to shrink as >> at this point you are time passes that will get more welcome to ask us questions. challenging. i think it's early to say whether or not >> councilmember zarda? we're going to have to scale >> i'm sorry did you bring some back but right now we've been able to accommodate to the handouts? i don't know if you had some available for us to demand so it will definitely be review? >> yes, we did. something we'll keep an eye on >> thank you so much. over the year or two. so >> okay. thank you. >> are there any other questions or comments from >> thank you very much. that

councilmembers? would be great to have a follow >> oh roland okay. up report to this in the coming year just because of the rent crisis i would say so thank >> as part of the discharge you. >> yes. process of laguna honda >> councilmember wong? residents, they are going to have a discharge fare, >> about the increased rents and all this i know most of this basically, december fifth program is more focussed on between 1 p.m. to 3 and the san francisco county. with basically it's to provide information for residents and the county consider maybe going out of the county? i know it's staff, resources are available probably difficult but rents in in the community. the social service department had invited independent living resource san mateo, east bay may be center of san francisco, they lower but i know it's very put a booth together or table difficult to transition a resident of san francisco over to share some of our service there but maybe have to explore you know the programs that

independent living center the possibility so that people can be discharged or at least offers so it's a great way to be able to live in the community. >> it's a very good point and i let the residents know that don't think we would not there are services available entertain that as a possibility , no resident exiting laguna for them to engage in the has requested to leave the community. >> i agree. i had them county the majority are the reverse they would much prefer participating that discharge fare and i had my third one and to stay. >> all right. we'll move onto this december is going to be my public comment on this item. 4th one i believe and you are right laguna honda staff are mr. shaw? really engaging their residents >> thank you as you may know i they call them residents, to used to work at laguna honda attend this type of fare and they are creative they are hospital secretary for a decade doing some drawings now to get and when the justice department them to attend and participate and in the booth get proposed this program i opposed information and from what i'm it and i attended many understanding we're expanding and it's always been well

received because i stay there long-term care counsel meetings from beginning to end and excessing my frustrations with there's an instead n steady it they were ordered to cut 420 beds from laguna honda and now we're hearing that there's only stream of people asking for 98 placements what happened to information. >> can you say that date again? the patients and they can't get >> december fifth, thursday at the center at the main level, skilled nursing care anywhere between eureka and bakersfield the new building. >> any other councilmember because there's no skilled questions or comments? nursing for long-term care. when i was the secret secret >> i'd like to make one -- first thank you both for your presentation. i just have a question -- are you still using ary at laguna honda wrote a mentors with people say they proposal when we wrote that intern enter the community out proposal, short-term rehab was of an institutional setting? defined as ninety days. why was it cut to 30? could that

it matched people with mentors who already lived in the explain why my friend was stuck community to help them adjust and adapt to living outside an in that for months? needing institution. >> yes, we actually use peer too much rehab because his rehab care went over 30-days? mentors and we also can have and he could have maybe been access to the department of rehabbed to ninety and stayed public health peer mentor in town and not be dumped out program for mental health advocates as well so depending of county to antioc h. if on somebody's presentation and need we actually match up. thereof there have only been >> how do people get involved in that peer mentoring. >> the social worker can make so many people taking advantage the request and the match is made and that peer usually of this program in a 5 year period that means it's had a follows you all the way from the beginning to the end and miserable rate of success. to there's adjustments made if the fit isn't exactly right. they can apply to the public authority and if they are these voucher programs? i have interested they can call ria and repeat ly tried to get daas the call us at the department of long-term care coordinating health. it would be great if

counsel to admit where are they we can get more peer mentors we being diverted to? is it to like to have a broad array of folks to have good matches. thank you for that. board and care in town board >> staff. yes, car la? and care out of town? i >> thank you for the chair. thank you so much for your strenuous ly object to roland, presentation today you might have covered these points but i didn't quite grasp them how wong's creative suggestion to save rent money by dumping many people from laguna honda people out of county when you have left laguna honda since do that you diss enfranchise the agreement began and were you able to meet the settlement agreement number and see what is the plan moving forward now san franciscans from their that the agreement time has native city why aren't you asking how many people have concluded? will thereby there been dumped out of county? be the same level of commitment they won't give me the data, to this program as there was will they give it to you? i need to go to supervisor campos previously? >> to answer your question 2598 and have him hold another hearing to find out what's

and currently enrolled in happening to the seniors that laguna honda because we start can't get into laguna honda. there and as of june 1463. don't you care whether we're being dumped out of county? >> it might be that you use the >> thank you mr. shaw any other public comment on this item. term enroll. >> it meant they met the okay public comment items not criteria and if it's rehab it's on today's agenda we will limit not short-term. you to one minute. strict >> uh-huh, okay. >> in terms of of the commitment to the scattered limit. site i think you are asking >> this is not on the previous specifically. we did not have agenda. this is on what i a demand for the 500 units that believe should be on one of were originally proposed. your future agendas that you absolutely request that decip every person that requested a scattered site unit was granted one. rather than say we're provide you with summary level going to have a threshold data on discharge locations and number to meet we're really begin reporting on the number doing it based on need and of out of county discharges. i appropriateness so there's a have begged the about the commitment from the city that period department of public

we'll continue to provide the program. >> so 500 units. health to start making laguna >> i think it was 270 that honda staff in the program ended up actually being issued report the discharge locations. so far. is it board and care? is it >> any questions? to the street? is it out of >> that answered my question. county? this body needs to thank you. take an interest in it and quickly. >> thank you sir. >> item number 14 correspondence. there is no correspondence. >> item number 15. announcements. any announcements? councilmember kostanian. >> i would like to answer. possibly in january i'd like to have a meeting on the census

for hospital dial ysis patients. >> absolutely i'm fully aware of the staff who operate the renal center at sfgh are extremely concerned about this and should this counsel hold a hearing i'd venture to guess probably the same group of passionate dedicated citizens who showed up at david cam pos's hearing would show up here also hoping to change the world for dial ysis patients so they don't have to start transporting to oakland to get dial ysis you need to focus on this issue you need to ask lhh why they never got around when

somebody in the assembly got state law changed to permit having dial ysis centers in skilled nursing facility. >> we are out of time i'm sorry. sorry. >> this meeting is adjourned.

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at noon and practice with the whole group. that's the weekly buzz. for more information on any of these events, visit us at l. >> board manipulates we will be vociferating on the board anybody's of october 2nd. second. thank you. are there any corrections? seeing none. roll call,