a day. and just tried to compare across. >> thank you. >> i want to take a minor two to talk about how the missing meals pie and some of the obstruct and applies and you can see that it plays out in some of the typical clients that we see in the service network and acts as our service network all of the time. this is an illustration of a typical low income and what you can see on the box on the left is the very limited income that he is living on, that is ssi and a income of $866.40. she is not eligible for cal fresh because she is on ssi and so she is limited in her income. but, she needs to eat, she may be can spend a little bit of her income on meals, and that peged at about a meal a day. you can see that she is participating, this is an illustration and not a real person. participating in a group meal site where she is eating today.

but unfortunately there are other services that they can take advantage of, so we have her wait listed on the home deliver groceries program. and you can see that she is missing over one meal every single day and meaning that she is making hard choices or skim ping or rationing. and for the family, it is slightly maybe a little more complicate and this is a typical family. we put the family at the top of the income range for cal fresh and that 130 percent gross income of 130 percent of federal poverty every month and that is 2500. and that is calculates out to 1 and a half, full time jobs at minimum wage in san francisco. and at that income level, family will be eligible for about 200. somewhere in benefits and if you think about your own bills, you know that is not enough to cover the bills for a month, and not for a family.

calculated out on the right side, the meals needed and the types of resources that this family and use. >> you can see that they are lacking a little bit, and you can see the importance of having to rely on multiple sources to cover their meals. and what would happen if one of those things went away in a particular month because let's say that of the higher medical cost and taking together the

data and the framework really look away to the priority solutions that wement to talk about today. in conducting our analysis, we really focused echoing what the doctor initiated, those that offer the promise of the greatest impact for san franciscans that are living with risk buzz of the sheer number of people that would be benefited or because of the vonnerbility of the population.

a robust network of food programs that already reaches vulnerable populationwise tailored solutions that meet the people where they are in the cost efficient ways and we have a tremendous agreement on the public health and the implications on food security and that is a real benefit since we are in the city. >> combined, we really believe that san francisco can be a model, for how the food security at the city level. >> i would like to introduce you here to the matrix of solutions, that have been sorted according to the framework of the food security. and you will see our three columns repeated again, resource and action and consumption and then you see the two rows, the first row are opportunities leverage. >> these are programs that exist and have a strong track record and with additional investment can be expanded to serve the greater need.

i am going to go into detail and i am going to run through them right now. >> the first is increase of the cal fresh participation and under the access and expanding the summer and after school sites and expanding the retail, outlet and restaurant available to cal fresh recipients and wic vendors. and under consumption, expanding and coordinating nutrition and education programs including through urban agriculture. the second row that you see, are opportunities for innovation. and these are innovations that address significant elements of the problem but that are nonetheless not being addressed elsewhere. these include a healthy food purchasing supplement and under the access, expanding the meals, and expanding healthy retail, and under consumption, taking a deep look and improving the availability of

the kitchens. >> i think that the number was about 37,000 at that time, and now, it is 51,000, but could you talk about the increase and i know that it is still 50

percent don't access it, but could you talk about the increase of people that are on cal fresh now? >> i can see a little bit to that and i might want to have leo speak in more detail. but what we do know is that in time frame, we experienced the recession, and the demand on the cal fresh program increased dramatically because of that, we saw through the missing meals work, we are tracking over time, and the demand on the cal fresh, and just actually the demand in that population that would be eligible, and i believe in san francisco, between 2007 and 2011 this was an increase of 16 over all. and that not due to moebility and it was the population study and these were the people falling under that level of income.

thank you. >> and so cal fresh, as we said, we are still in cal fresh if we could increase this considerably, this would be by far and away, the most cost effective and best opportunity to get research into the hands of people that get spent in the local economy and these are federal dollars and they are spent locally and that is a good thing and they are absolutely cal fresh has been shown to improve the food security and health among participants and there is a multiplier effect here, the federal dollars and for each dollar spent in the city, there is an economic multiplier to the tune of $1.80, it keeps the money in the community and it keeps the people in what we call the normal streams of commerce, which creates a virtal circle.

if you thought about a meal being served, you will play that out and broke down and if you play out the cost of the meal and if that is covered by some from the city and some food at a free or low cost and the program money that organization raises itself and plus the volunteers to carry it out. >> and what are these that are needed to be identify and the partnerships that can grow this

capacity most effectively and efficiently to increase the capacity if we increase there will be a difficulty for the people to be food secure with the healthy diets and the need is just too great and as a community, if we are serious about addressing the food security we have to address this gap.

>> it will be available through the providers and distributed to a broader set of people, not everybody is eligible and if you are eligible, many people are not enrolled and so we don't want that to be a barrier and we could use the existing networks, such as health providers and school counselors and certainly or other agencies like dos and hsa, we want to

expand this beyond the farmer's, and beyond farmer's market as much as that provides, an accident source of food in our city. but we want to include the retail as well. we then drive the activity into the community and it benefits all, creating it. 19,000 do not have kitchens and which means that these people have no ability, relatively to little or no ability to actually store the food in the fridge and prepare the food in any way, except in a hot plate or a mike wave and that limits the option to prepare the food and they are certainly more

expensive or putting more increased demand on the dining room. and if the people have the kitchens that will be the quality and be able to use the benefits or use a local supplement or even go to the food pantry. and with that, i would like to go back to dr. jones to talk about the next steps, thank you.

>> thank you, terry. so now you have heard some bit about the report, and some of the data, and some of our high priority items. and i really just like to summarize the recommendation from the next steps and first of all it is full utilization of our federal nutrition program and especially cal fresh, which will generate the local economic activity and keep these dollars in the community and support the retail stores also and that is the non-profit partner's ability to meet the growing demand, coming from our residents. to purchase the food and to be able to increase the amount of housing with the kitchens and the ability to cook and this will reduce the demand of the

free dining rooms these reports are available on-line at the address above, and we are available to take questions . >> we have a question by supervisor yee? >> thank you for the presentation. i have a few questions and i see the data in here, and with regard to the cal fresh and the food stamp program, where you are seeing that do you have a sense of where the people are living if you are going to go to the out reach? >> thank you for that, question. and it is a very good question, and we are fortunate to have our director of cal fresh in the room. and ferrill, and leo has been a family member of the food task force and he is currently the

co-chair and i think that he would the best to talk about that. >> yeah. >> great, thank you. >> there are the people that are not accessing cal fresh, it is the food stamp program known nationally as subpoena mental nutrition assistance program. and really, they probably represent, in many ways, the same people who are accessing cal fresh, but they could be immigrants, seniors, homeless, people, with disabilities, and people who may be don't want to go through the hassle factor of accessing cal fresh and the people who remoteness, and would have been a part of the city where they will have to transfer from one bus line to another bus line to get to the office. >> the people who are unaware of the fact that over 500 new

applicants a month are applying on-line, using my benefits cal wynn on-line portal that we introduced here in san francisco. about four years ago. and so there is a lot of ways that people can access cal fresh now and they can go to the office and they can apply on-line, and they can work with the partners at the san francisco food bank who has a monthly cal at ther on the website of different places around san francisco, where the people are going, but really what we are looking at at the department of human services, this winter is taking a fairly deep dive into our current caseload, and saying, which people are getting medical and getting healthcare benefits that are not accessing cal fresh but have income levels that would qualify them for cal fresh? >> and taking a look at the department of aging and adult services, or doss and saying, which seniors, who are getting benefits or accessing services

where there is ihss or meals or other types of services, which of these seniors that we can reach out to? and working with our colleagues, at the cool district, and saying, you know, we have got the kids at the school district who are direct certified because they are getting cal fresh, but there is a bunch more kids at the school district, who their parents or guardians are applying for free meals. so we really need to take this kind of, comprehensive look, use some business intelligence, and some data, to kind of inform, them, where are the people, and then, where are the best ways, is it a bus advertising? and about cal fresh? is it promoting my benefits cal wynn more broadly, is it going

to community-based organizations to churches and to senior center and getting right down into the community, to try to get this message out, and to get more flexion believe ways of people applying for cal fresh, and so we see it as a very important question, we don't really have the answer yet. but we are started to graplle with the way to get an answer and a method to reach those individuals. >> thank you for your answer and it seems like that you are thinking along the same lines as i was thinking in terms of where do we to the extensive out reach. and we will identify where they are and whether or not you want to go to the office, and apply on-line, and you are missing a lot of people that can't go to the office and can't apply on-line and so, also, thinking once she identifies geographically where they are and maybe we need to make an effort to have some out reach,

and station, in those locations. and, as you are promoting it, so that it is easier for the people to get there. >> i agree with you, and i just like to show a chart to just kind of try to respond to supervisor mar's earlier question. and i don't know if you can see that, if the sfgov people can bring up that chart but this chart, is just showing a five year basically snapshot of cal fresh participation in san francisco, and these are cases but, what this chart really represents, is from september, to 2008 and which is arguably the beginning of the recession, through, september, 2013, we have seen this really incredible growth in our cal fresh caseload, and so some of the methods that we have been using have been successful, and we are looking to amplify on those methods, and i think that

there is also the challenge of just, the inequity in our society where more and more people have less and less, and so there are more people maybe who are aging or immigrants or children. families who are going to be eligible. and so the department has been doing a lot of work, and i think that this slide, if there is 50 percent more, shows that there is a lot more work to do and we will be needing some resources to kind of tackle this enormous hunger issue. >> thank you. >> yeah, i just wanted to ask him, i wanted to thank you for that, aggressive out reach and thanks to supervisor yee for raising those questions, i did want to say that we have tremendous resources of the community based organizations with really cultural sensitivity and i know that one of the solutions proposed was expanding the partnerships that we have, with the seniors and disability and organizations

and grassroots and sro. and kind of organizations as well. and i did want to say that i think that for any aggressive out reach, programs that it really does have to be that kind of partnership that builds off of it. and i want to ask, about seniors and disabled folks, and the gaps in nutrition services to them. and i know that and i wanted to thank you from hsa and what types of nutrition services do we need to promote more aging in place programs that will reduce the hospitalizations and readmissions and are there programs in place that we could expand upon? >> that is something that keeps us up at night, this population and we have an acquaintance from san francisco, for the

meals on wheels in san francisco, who is also one of the founding members of the food security task force, she works in this area. and she is also on the long term chair coordinating council and i would like to ask her if she is able to come and speak to this question. >> there are three main things and i think that we can bring up that would support our seniors and disabled as well as promoting people aging in place. and which is something that most of us want to do, and it is also something that is part of the city's over all effort.

and on the long term coordinating council, we did just put out a long term care integrative strategic plan that we will come to the supervisors to share with. just three programs that we could highlight are the hospital transition programs and how critical that is and i think that we have heard a lot about that and as we have through the healthcare reform. and we did start a year ago at san francisco transitional care program and so it is critical that they promote services like that and the nutrition services are included and so for the people transitioning out of the hospital you can get 14 days worth of meals, two meals a day, and meals on wheels is the vendor of that program but i think that is a lot of opportunity that we have not been able to help people with. and i think that there is also additional nutritional services dollars, and available in the healthcare sector. and another thing that we brought up today is expanding and the non-profit capacity. and so, even the programs of the people that are going to would be lunch sites that we

see expanding those. >> there are wait list and we have made the incredible impact to reduce that wait list and we had a year ago the resources, and the private sector and on the public sector to bring that wait list down to a couple of weeks.

>> there was a mention of community gardens but i was curious because people come up to me all of the time and ask, if i was sitting on the school board or even, now, being a supervisor, people are saying, what about the plot of land and what can we do and into the community garden. and i know that we have some throughout the city and any good information for me.

and the colleagues may that we actually get a map of the community gardens may be and maybe overly with the spots

>> and so whatever reason it is difficult to get the super markets in place for certain neighborhoods. and are there any strategies, around, that effort, we talk about the bigger super markets coming in there and is there a way to maybe reduce the size of things so that it is more manageable for people that are more local? to run these things? and other than the chains?

>> and more than that the city, can help with some of the issues that challenges the super markets, and i think that one of the challenges for it and the city that it does not cost the smaller business that extra money and maybe they can make it then and i am just throwing out the ideas. >> thank you for those, and i think that they are both. >> i will speak to the urban agriculture piece and the food retail piece and some of our ideas around that. and some of the activities that

are going on. in the program for the san francisco league of urban gardeners over a decade and a half ago, and these programs for teaching, and the teaching our children, and our residents, where the food is coming from, so it is really activate and it can make the space and promotes the neighborhood cohesion, and for the maps i believe that the park and rec department is which is now the lead, for the new urban agriculture will have those maps and they work very closely and have an inner agency working group on rolling out that program and it is the department of the environment is part of that group and the department of public health and planning and i do believe that we can get those maps to you and i will let them know after this. and i think that they are really definitely working on