>> hello councilmembers i'm john paul scott. i'm making the presentation today for counsel person wong to help him save his voice. we have two meetings that we want to report on and get into the record. we had a meeting on friday october 11th of th year at 1: 30 to 3: 30 p.m. old business was a presentation by me on the status of our ada transition plan what projects had been completed in construction this recent year what ones under construction and which ones are under designed. i won't go through that list i do that once a year for you all. i have to say we're doing pretty good but having challenges

getting staff we have good funding everybody is pressing on the bureau of architecture right now. we had a presentation by the better market street focus group in the focus group workshop to make a presentation on the preliminary final report and what were some of the good findings and of course that group then came to the counsel on the subsequent meeting and made a presentation on the whole process. i've talked to the team they are ready to distribute the final report put online so they will contact the irlc to provide copies to all the focus group members then we followed up with our second meeting which was november 8th of last week. we had a presentation by the port of san francisco given by david dupre

who's senior project manager by the 2012 clean and safe recreation and parks fund and this is the park down by peer 70 talking about a billion dollars project that would really create a new commercial downtown down in the area of dog patch but just adjacent to it would actually give san francisco a beach facing east in sunlight they rarely get fog over this part of town and i think it's really nice that they are trying to work out is to create a method of means a way for people with mobility devices and wheelchairs get actually down to the shoreline. so there's some really good

things in that project. we had another presentation by the metropolitan transportation authority. i don't know if you have seen the bike racks on some sidewalks and on the streets and i rode one over here today. so i got to ride with the motorcycle policeman who were out there across from city hall so what we're working on and the mta is working on design and safety standards for when these racks are placed on the sidewalk and just some common building blocks of how you would treat them when when

you put them in the pedestrian realm. so we have hopefully the final draft delivered to us this week. we'd like any other ideas and comments that you might want to bring to the committee, projects you would like to see or hear about or updates that you might want to have whether it's central subway or housing projects there's a lot of wonderful things going on all throughout the city with new design and construction sponsored by the city our next meeting friday the 13th 2013 at 130 to 330 p.m. held on market street first floor of the mayor's disability office we will give you a heads up we will have construction on the ground floor and the building will be

scaffolded and part of our space will be torn off and tunnels through the corridor and the trinity project will be under construction so we want you to be aware of that. if you are at all concerned we will move the physical access committee meeting back to city hall during this period so all you need to do is let us know and of course you can contact our office at the mayor's office on disability we're at 1155 market street first floor across from u.n. plaza in the bart elevator our phone number is 415, 554-6789. okay. our

fax number is 415-554-6159. >> our tty is 415-554-6799. and then our e-mail address is mod at sfgov dot org thank you very much. >> thank you. has our speaker

arrived? >> no, it doesn't look like our speaker has arrived yet. >> okay. we'll move on to item number 11. that will be given by councilmember senhaux. >> good afternoon the disaster preparedness committee was well represented from representatives from community based organization including the american red cross department of public health independent living resource center san francisco and others. after the introductions the meeting began with a presentation by danielle homsey through the city administrator's office. sought ways to collaborate with the

disability disaster preparedness committee. more recently starting in 2008 a group of leaders in diamond heights community organized to find ways to make their community more resilient in the in a disaster. >> they created an action plan among other areas there has been a strong focus in the ability of many vulnerable neighborhoods including seniors and people with disabilities to be checked on and to be able to shelter in place if necessary post disaster. focussed efforts to disaster shelters to people with disabilities and seniors the presentation sparked a

discussion about ways to ensure all the various departments who are responsible for providing services to vulnerable populations on a daily basis can coordinate their efforts so people can shelter at home post disaster. the group agreed to continue the conversation with the diamond heights project team at the following meeting and to identify specific areas of information exchange and projects of interest. in addition the group discussed activities that took place during the great california shake out which happened on october 17th. the mayor's office on disability ilrc is of san francisco did drills and discussed updating supplies and emergency evac plans. the

group did not get to talk about the updated care and shelter plan which will be discussed in an up coming meeting. the next meeting will be held on january 3rd 2014 from 130 to 330 p.m. in room 421 of city hall you are welcome to join us. thank you. >> thank you councilmember senhaux. next on the agenda is item number 12 which is a report from the long-term care coordinating counsel some of this report -- i'll be giving the report -- and some of it has already been given to us but i'd like to highlight a couple of other things. to

review, the long-term care coordinating counsel is an advisory body to the mayor's office. its mission is to guide the development of an integrated network of home community based institutional long-term care services to adults with disabilities and older adults. oversees all implementation. i have been attending the ltccc meetings regularly and will report on the proceedings to the mayor's disability counsel a few times a year. this report will cover the last few months stretching back to september. highlighting actions

specifically relevant to persons with disabilities. in september there are 13 objectives and numerous recommendations. the desired result and the whole goal of the program is that would be a coordinated healthcare delivery system that results in better health outcomes with adults with disabilities and for older adults. october's meeting of the group -- the task forces research showed that they were more likely to be socially isolated and living alone.

finally the ltccc met yesterday for the month of november discussing legislative issues affecting adults with disabilities and older adults. the need less to say we were very pleased to receive their support. okay. yes, she's here. okay great. we'll return to agenda item number 9. which is a community reintegration update. i believe her cohort has not arrived.

>> thank you for having us i'm kelly here hiramoto we were invited to do an update on the status for the community reintegration projects particularly with regards to laguna honda so we're here to do a very quick update and entertain questions anybody might have about that. so a quick background originally from the settlement agreement that was established in november of 2007 from the chamber's lawsuit as part of that agreement we created the diversion and community integration program and we're going to talk a little bit more

about the structure of that program and where it sits today and it also provided access to affordable accessible community housing. it also created an enhancement of mental health and substance abuse services and created quality assurance. just to kind of give a general overview of what some of the community reintegration options are the department the city and county offers access to treatment facilities residential treatment as well as outpatient for both mental health as well as substance abuse the ability to access those programs from laguna honda and other portals are actually streamlined as part of the agreement and of course shelter is an option for those

folks we also provide access to hotels single room occupancy and we also have access to support service hotels the most pref atlanta prevalent provider is connor house and a variety of locations in the city. we also have access to cooperative housing through progress foundation on a mental health model. those housing outlets are available to folks who are stepping out into less restrictive settings. we have

an enhanced support model for people who are living in apartments and especially created as part of the chamber's lawsuit settlement agreement a rent subsubsidy program and we'll talk a little bit more about that as well. and residential care for folks not quite ready to live in a residential setting. board and care both for adults and for elderly and the city has agreements with various programs throughout the city and some folks from laguna have stepped to board and care as they skill build they will actually be able to step down again to a lower level of care so we continue to monitor them once they leave. so the

program was established as part of a response to the chamber's lawsuit and in order to access it you must be a resident of laguna honda and there's a maximum subsubsidy that the city can provide up to a thousand dollars a month. ria will talk a little bit more about the buildings currently in use. >> the increasing rents in the city of san francisco which everyone is encountering you know when this program started rolling it was viable to get a pretty good apartment for the average ballpark of 15 hundred a month 13 hundred to 15 hundred a month and now days

that's hard to to find and housing is getting more challenging faced with that so that will be the challenge of making sure that program stays viable what may end up happening is because the cost of each unit will go up over time is that the number of units that we'll be able to provide will get tighter. the amount of money that we have available to subsidize is not going to get any larger just because of the budget constraints that the county faces. so i'm going to turn it over to ria who talk a little bit more about the program. >> good afternoon everyone. the diversion community integration program originated as part of the settlement agreement however we really made it our own started in 2008

and assisted individuals who were referred to or diss charged from laguna honda. we have pulled together resources and skills experts in the community to discuss how we can implement the program and to give the individuals who were living at laguna honda the best access to community services besides the housing it's more than housing it's also access to community based services or wrap around services and who are in the program? like kelly mentioned, part of the chamber's settlement but there's also individuals who are wait listed and also those clients exception to that are

clients who were admitted to short-term rehab however short-term based rehab means 30-days. the numbers: since january 1, 08 to june 20, 2013 the total enrollments are 2598 members currently it's 1463. as of that same period there were 270 members housed in either scattered type housing independent type housing and again, when we discuss these clients we also discuss under

comprehensive community based services or direct access to housing and under the laguna honda rent subsubsidy program. currently 98 members housed through scattered type housing in the fox plaza and really in housing especially when the rent wasn't so high, members and the folks who were really involved in housing thought what would be good housing and clients are expressing preferences too and would be a good fit for them and 27 units are fully accessible are rolling showers so when clients

are being presented to our meeting we identify what are their needs we discuss how we can accommodate that in the community prior to discharge and there's also home safety evaluation conducted by laguna honda to make sure all the medical equipment and modification are going to meet the needs of the client. >> and laguna honda rental subsubsidy program covers rent unit modification and repairs. kelly also mentioned that part of the settlement is the quality assurance and happens to be the director and one of the many quality assurance we conduct are home visits and also we look at information and feedback of members who already

left laguna honda after 6 months of living in the community it's a mail in survey satisfaction survey and we admin dmin ister that every -- [inaudible] months. i have the medical services i need. it's a scale where they can indicate i strongly agree, agree disagree and not applicable and the question that i have the mental health services i need and part of the 14 questions. and the most recent survey that we conducted done early this year we have a 21 percent return response rate and actually for mail in survey, the threshold is 10 percent and we always exceed the 10

percent, 20 or 30 percent at one point and there's one important question and we ask if they are satisfied with the overall quality of these services and of the 21 percent responders they said they are one hundred percent satisfied with the quality of services and when i mentioned this, again, it's the collaboration of the department of aging adult services and department of health and many community based organizations such as public authority peer mentors and also community meeting fund. thank you. >> at this point you are welcome to ask us questions. >> councilmember zarda? >> i'm sorry did you bring some

handouts? i don't know if you had some available for us to review? >> yes, we did. >> thank you so much. >> okay. thank you. >> are there any other questions or comments from councilmembers? >> oh roland okay. >> as part of the discharge process of laguna honda residents, they are going to have a discharge fare, basically, december fifth between 1 p.m. to 3 and basically it's to provide information for residents and

staff, resources are available in the community. the social service department had invited independent living resource center of san francisco, they put a booth together or table to share some of our service you know the programs that independent living center offers so it's a great way to let the residents know that there are services available for them to engage in the community. >> i agree. i had them participating that discharge fare and i had my third one and this december is going to be my 4th one i believe and you are

right laguna honda staff are really engaging their residents they call them residents, to attend this type of fare and they are creative they are doing some drawings now to get them to attend and participate and in the booth get information and from what i'm understanding we're expanding and it's always been well received because i stay there from beginning to end and there's an instead n steady stream of people asking for information. >> can you say that date again? >> december fifth, thursday at the center at the main level, the new building. >> any other councilmember

questions or comments? >> i'd like to make one -- first thank you both for your presentation. i just have a question -- are you still using mentors with people say they intern enter the community out of an institutional setting? it matched people with mentors who already lived in the community to help them adjust and adapt to living outside an institution. >> yes, we actually use peer mentors and we also can have access to the department of public health peer mentor program for mental health advocates as well so depending on somebody's presentation and need we actually match up. >> how do people get involved in that peer mentoring.

>> the social worker can make the request and the match is made and that peer usually follows you all the way from the beginning to the end and there's adjustments made if the fit isn't exactly right. they can apply to the public authority and if they are interested they can call ria and call us at the department of health. it would be great if we can get more peer mentors we like to have a broad array of folks to have good matches. thank you for that. >> staff. yes, car la? >> thank you for the chair. thank you so much for your presentation today you might have covered these points but i didn't quite grasp them how many people from laguna honda have left laguna honda since the agreement began and