for ward and it really is because of all of this enormously hard work and dedication and you are being willing to go beyond, what is job, really is required, maria you did not hear that. okay. >> and thank you to jason and the team and thank you to all of the folks who work in this unit because the truth is, you all can't do what you do, unless the folks that are here and part of your team, do the pieces that they do as well, and so, thank you, and i think jason... [ applause ] and so i can't say it any better, but i do want to echo, what director said about the staff here, and doing the hospital out reach work, and they are going bed side, and really earning every single one of those referrals, they are not a passive recipient of

these referrals so this month, 547 referrals meant, 547 face-to-face contacts with individuals in hospitals offering transitional care services and all of the other services that we provide and it has been an incredible part of our program doing this hospital out reach, and i just also want to acknowledge everyone in the intake, because the people up here, there are a portion of our larger staff, and there is about 25 or so, individuals that really keep the unit humming and with the increase that we have seen over 50 percent, in just the last few months, we have not had additional staffing. and the people who are doing the transitional care, work in house, processing referrals and processing all of the other referrals and providing information assistance, we have been able to provide that at the same level and the quality that we are providing before this massive increase and so it

is congratulations to everyone and i also as you said, i want to acknowledge all of the struggles that we have been phased with in the hospital, and really just the per severe and just continue to get more referrals and see more people with all of those struggles. so thank you. >> i misspoke, i said seven campuses but we are now in nursing facility and more campuses than before and i would just share with you that i happen to be at a function where nancy pilosi and i made a pitch for our program if we had to appeal with cms we would be back in contact with her for her assistance, but given the new numbers this month this looks like we are forgo writing a letter of appeal, thank you. i think that we need a picture. i don't know how we are going to do th. but somebody has got to get a picture and i don't

know if i always end up on the end. and there is a lot of short people in this group today. okay come on. >> and i just want to say, while they are getting together on this picture, that last week, i attended three days of cms training. and i tell you, it was gruesome, but you did look at all of the policies and everything and what is happening with people and i can't remember everything, but i kind of know where things should go, you should go here or go to this person over there and i did go and see one of my clients out in the neighborhood, and they are at a home and i am so glad, i am a nurse, and i know what you are doing. and i used to do the inspections with them in the hospitals and i know how important it is and i want to thank you, you guys look so young. and you are too young, but any

way, great job. great job, thank you. >> are you going to pass out the... >> yes, i got so busy. okay. they are in order according to the agenda.

>> thank you, that is always the fun part of the commission

meeting. next on at genda, we have reports could we have director's anne hinton's report? >> good morning, commissioners. president, james. and i just, i think that one thing that i want to highlight this morning, the white house has announced that there is going to be a white house conference in 2015. and it is going to be different than the past ones have been and i think that the last one was in... actually ten years ago. and i was still, and i believe that chuck from central latino was one of the delegates to that conference. so in the past, delegates have been elected from all of the states and chosen, and sent to washington it has been a very, very big event, and there were caucuses looking at platforms and discussion of policy, and things that they might want to go in to the older (inaudible)

and so on, and because congress has not and we are under a continued resolution and we don't have a budget, at this point, or a significant or a regular budget, no money has been set aside for a white house conference and so the white house itself has pulled together, about 3 million dollars, to go ahead and host something in 2015. and national association of associations on aging was briefed on what information is available at this point, by the lead person from the white house. and so this is the information that we have. and some time between now and april, there will be ten listening sessions held in different parts of the country. and assistant secretary, greenly will be at those listening sessions and we are not sure, if other folks from the federal government will be there or not, but she will be there and at this point, we

don't know the dates and we don't know the cities, but clearly, california, where she will be chosen and we are such a big city and frankly, and when we had the older american act hearings and we had one right here in san francisco with the assistant secretary and so the regional office is here and so we have a lot of reason to think that we might be chosen, but really what we want is one held in california, for sure. the white house has picked four topic areas that they will be focusing on and they are broad and we believe that the things that we are most interested in will fall within these four areas. and so the first one is elder justice. the second one is long term care services and supports, the third is economic and retirement issues, things that helped people to retire successfully. and i am just blanking on the

fourth one, but... oh, livable communities and so you can see that pretty much, anything is going to fall within those four areas. we believe that the listening sessions although we don't have a lot of detail will cover all of those so they will not have one for each topic and they will be and we are already in our state, organizing ourselves around the four issues to have the testimony and present. the california association on aging is talking about doing more than the ten sessions and maybe holding a local events, and where we could gather information, especially if we are not one of the listening sites, and especially gathering the information that we might send them on to washington. and there is going to be once, those sessions have taken place, and there will be smaller groups brought together on each of those four topics to

discuss, and i think, more in depth, what has come out of those listening sessions and also, with those other comments, and other pieces of information that belong in those documents, the president has determined that there will be four federal agencies involved in this process, so there will be hud, labor, and health and human services and justice. and so, all four of those agencies will be looking at the input that comes in to determine whether there will be any policy issues that kill be addressed immediately or for the long term and we have a white house conference and not only are there delegates but congress and the white house are involved. so, you know, the picking up of pieces of legislation and moving those forward, and the white house doing its work, you know, there is a joint commitment to that.

but at this point, we are not saying that. because again, congress has not weighed in on this and they have not supplied the money for it and we are not sure where that will go. if there is talk now that the white house conference itself, will be in the fall or maybe as late as december. and they were originally talking about maybe having 200 people from all over the country come to washington, and in a celebration as well as a i guess, probably looking at the recommendations and so on. but, they have informed us that you know, the folks that they have talked to about this are saying, that 200 people from across the country is not enough, you can't have this big of a deal going on, and you can't have a white house conference and only have 200 people come to washington for it. i mean that more people come to washington for the alzheimer's work and for a policy briefing and so on. and so i think that there is

going to be an effort now to look at a larger venue, with more people, but it is not clear, again, how those people will be chosen, to be part of that, so, it is a pretty exciting time, again the last one was in 199..., so ten years ago and it has been a long time everybody has been wondering given that there is an early america's act and authorized that there will be a conference itself, and we are going to be using technology and san francisco is positioned well and we have computer labs and we need to figure out a way to help the older adults weigh in on where the country is going and what are the issues of facing older adults and so an exciting time and so when we have more information, we will make sure that all of you hear about it. so, and that is all that i have for today. >> thank you. >> and any questions from the commissioners? i have one, did you say 2016 or

15? >> 15. >> okay. >> and it is short time. okay, as the advisory board? mr. leon schmidt? >> good morning, president james, commissioners, executive director hinton, the advisory council met on september 17th, we welcomed two new advisory council members benny wong who was voted in by the commission and madeleine brigham who was appointed by supervisor london breed from district five. the report forms were finalized and we had a council person who went to do a site visit to the western addition, and the report came back that everything was okay and all of the needs ever being met there.

>> and the advisory council sent a letter to brown for the care giver bill and we are awaiting for the signature, and they have a new director, kelley dear man and will be invited to the october, advisory council meeting to present a short six month update. and the nominating committee has a full body and we now are in process of of finding a nominating chair person by november. and the advisory council is still looking for a volunteer to complete the (inaudible) four-year, california senior legislative term, and we have some possible candidates but we will know this coming advisory council for october. the lgbt als hiemer care giver

committee has reached out to certain county and they were all enthusiastic in joining san francisco and doing an education and awareness campaign targeted to the lgbt community, and the alzheimer's has decided to partner and started to write a grant to do the preliminary surveys to obtain the hard data on the lgbt senior care giver with dementia. the age and disability friendly work group now have rose johnson who is a staff person at san francisco planning commission, and planning department to help them pull together the reports and do the hard data, and get the hard data information, and do some planning on their own. and finally, the education committee, will have a program of october 24th, and on long

care, long term care, at the center and that starts at 1:30 p.m. and that is on a friday. and that is my report. >> commissioner? >> thank you. >> do you find a co-chair for the legislative community? yet? >> we are still in the process for that, so we have two possible candidates, and we will know at the october meeting. >> i hope that we will meet this soon. >> hopefully that will happen and we will let you know and in october we hope to have that finalized. >> thank you. >> any other questions? >> thank you. >> thank you, ma'am. >> thank you. >> the advisory council joint legislative report commissioner ow? >> yes, good news.

governor brown three days ago signed ten bills governing the residential care in california. that is the residential care facility for the elderly, what this is, is a home supposed to be assistance leaving home for the seniors. and for the last sense its established, about 200 years ago, and it deteriorating. and there was a report saying that the patient in it, with the book (inaudible) and deadly (inaudible) and sexual assaults, and 28 deaths, and this is cities (inaudible) valley, there is a nursing home with 19 patients and they were

(inaudible) in the employees just left. so, we saw with this, and there is a lot of new legislation, you know, how to take care of this problem. and take care of all of the seniors in this nursing home. as we saw at that, the governor signed about ten bills. and not all the bills that is planning he signed and we will continue to put on these improvements in our coming days. and the (inaudible) is none, and at the beginning all of these nursing facility were inspected once a year. and later on, every two years, now, it is one, and inspected by five years, but that has not been changed. and right now, we do have a

patient bill right, and that is if the patient or family or their friends are not getting the right care, and the patient can go to court and sue for that. and and the judges find those and the nursing home not giving the good care to the patient and they find them and the big summer money. that is good news and that is the beginning and there will be more improvements and our best and mr. benson, and he is the one of those inspectors of the homes and unfortunately, he is not here otherwise, he will give us more insight of this problem. thank you. >> he has any questions, anybody have any questions and i said for this report? i just want to clear something

to two people have approached us about the legislative committee in the quorum. and there are three people from the commission, and five people from the advisory board, and that is the committee, five-plus three equals eight. and you have to have half of eight people is four plus one. and that is your quorum and makes five and we had five people and we had three legislative people and two from the advisory board. and that is five people, that makes up the committee. and that is the quorum. >> okay? i ruling on that today, that was a quorum. do you understand that? i will go over it again. we have the committee consists of 8 people. five from the advisory board, and three from the commission. five plus three is eight.

eight people make-up a committee. and you need 4 plus one for a quorum, which is five. we had five people there. and that is the quorum. okay? that is... there was a quorum. the long term care council committing, any other questions? >> good morning. >> >> and if it is... that is..., and now that i can't see you 5u8, this is jessica lehman and we are going to have a different member of the long term care council giving the report, this month we get me and so the council met on thursday september 11th and

there were three major items on the agenda, and the first was the care task force, and which is about looking at the needs in the community and identifying resources and needs. and the council heard the recommendations from the four work groups. and over all, recommendation is to have a care advisory board, and that would operate under the long term coordinating council and one of the co-chairs of the task force is our very own anne hinton and if you have questions i am sure that she can help with that. another issue that came up on the council that actually has been coming up in the community quite a bit is, looking at the group of people who are long term survivors of hiv and aids. and there is a great tag line about envisioning our future we never dreamed of. and so it is for the group of people who are dealing with the issues that people had not planned for and so there a project called community connect, which may be similar

to the homeless connect, project. and the last item was a legislative update and although i don't need to say anything about that and it has been covered today and the other thing that i wanted to mention, was that the same day, as this meeting, we did the first of the five town hall meetings that the council will be doing as part of the scan brand about developing and sustaining the long term coordinating council, and so the first town hall meeting was the senior and disability candidates that we had david chiu and campos that are filled by tom, and i think that the people considered it a success and we had more than 100 people there and yeah, covered a lot of different issues. so that was good. and the next meeting of a long term coordinating council will be next thursday, october ninth from one to three at the auditor um, and of course, the guests are always welcome, thank you. >> thank you. >> any questions? >> yes, was it long for...

(inaudible). >> yes..., the location that the auditorium? >> i don't have the exact address, it is on odus street. >> okay. >> on saturday. >> oh, i got it now, it is just the name i did not catch that or connect with. >> and i am sorry for not waiting for the questions. >> what time is that >> the october the ninth? >> 1:00 >> thank you. >> thank you. >> any other commissioners? >> okay. next report is tacc. yes, we need..., and we did not have a meeting. >> it will not have a meeting until december. >> december? thank you. >> case report?

>> good morning commissioners and director, my name is linda merlin, and i am the director of the richmond senior center in district one of the city. case had its annual board retreat on september 15th and we talked at length about restructuring and revisioning committees and bringing more case members in to committees. we are also working on our budget platform, and advocacy plan for next year, now. and with the idea that if we do it now, we will be right on top of everything. we are also rewriting mission statement and vision statement just to keep it updated. our next member meeting is october 13th and we are going to be talking about animals and seniors. how seniors and the disabled can keep their pets and agencies that will work with them.

thank you. >> thank you. >> questions? >> commissioner loo? >> what time is the meeting, and where is it. >> the meetings are at 3:00 p.m., 3:00 to 5:00 p.m. and they are at project open hands on the second floor. >> okay. thank you. >> thank you. >> okay. any questions, any questions? okay. and now we will open it up for the general public comment. and if you have some comments, and you have three minutes. and would you please come forward? >> president james and council members, good morning. >> good morning. >> and (inaudible) my name is

greg norman burton and i reside with my domestic parter rose white in the water shed of san francisco and i am retired, i survive on my social security, and receive medical and cal fresh through san francisco. i am dressed like this because i am currently under going treatment for prostate cancer and have suffered for a lifetime with anxiety and depression as well as undiagnosed ptsd. three weeks ago at this time i was in prostate cancer surgery. and my surgery was performed by one of the most imminent surgeries and educators in the country, dr. peter carroll at the university of california at san francisco. dr. carroll does not do many surgeries, he has done 2500 of them and he gets a pass. but the urology residents at san francisco general, particularly dr.s hansen and bain, push for it.

i want to emphasize, that money could not have bought this particular surgery. the only way i could have received it as an average american is through the affordable care act. and in short i am receiving world class medical care and given my life back by the people of san francisco. i should be here praising ucsf, sfgh and the clinic network and literally dozens of wonderful people that i have met in the last two months of dealing with this disease. it would be fitting that such an event should take place in polosi's district, since it it is her leadership that has allowed this to happen at all. instead, we have what rosa is about to tell but this event, jeopardizing and tainting the success to what was all indications a wildly successful

surgery. >> president james and commissioners good morning, my name is rose white, and i live at 30 day street with my domestic partner greg burton and i suffer from conditions and i have been a client of the (inaudible) agency since 2011 and 2012 i made two unsuccessful attempt to work and the second of those, and the failure of it caused a nervous break down that lasted for most of the last two years. about a year ago my ptsd was retriggered and a suffered months of suicidalization and i had refused to apply for social security because i believe that i could boot strap the appropriate employment for myself. very soon and for part of that time i refused to apply for food stamps. we currently receive medical

and cal fresh, the only income is $813 retirement payment and in july, faced with the negative bank balance and i applied for cal, cash aid linked to medical, and in person, and i requested an assessment, i have yet to be contacted by them. i was given an appointment to apply for general assistance, on august 25th. on the morning of the 26th, because of the cancer operations that i have had to miss the 25th. i arrived there determined to see somebody who could help me. right. and i apologize for this.