he pass is now active. if the customer is new to the program and does not have an rtc card they lrp need to visit the mta discount id office which is just across the street from sfmta customer service center to apply for the rtc card. this can take between four and five weeks to get approved. once the customer is approved for their card they'll get an application at the office or get one online and apply for the free program. there's a list of our outreach calendar. we met with the department of aging and adult services staff yesterday to receive feedback. we're here this morning to present to you our process and receive any feedback and for the next two weeks, including the mt action board of directors meeting, will be meeting with different groups to make sure

we're doing the proper amount of outreach and if we're missing anything we fill in the holeses. besides additional outreach besides those meetings current sf registered rtc customers will be direct mail letting them know the program is approved. and the application will be on the back of that letter. applications and fact sheets we made available at different communities and stakeholder groups. we'll have newspaper ads. the advertisements will be the banners inside the bus as well in the front of the bus behind the drivers and also the standard digital message distribution. hoping for any comments or

questions. >>thank you very much. thorough presentation. couple of questions. how will the means testing be administered? how will the application confirm that the seniors meet the means test? >>so it's just -- the means is self reporting. >>self reporting. okay. secondly, have you had an opportunity to read the editorial in today's chronicle? >>i have not read it but i heard there's something in there. >>one of the issues talks about the proposal that's already in place regarding youth fares and the sunday parking changes and according to the editorial all these programs combined will reduce muni's operating revenue by about $20 million a year at a time when ridership is at an all time high. it also refers to voter approved

propositions a and b which authorized additional spending for muni but that spending is limited to capital improvements. the concern raised is ridership continues, but the operating budget will be reduced because of lost revenue and therefore there will be longer waiting times for buses, crowded buses and great inconveniences. how has that issue been addressed in developing this proposal? >>i cannot speak to that directly. we're more on the process in the back end. it's something the board can address unless diana has anything to add to that. the board will have to address that. >>okay, thank you very much. commissioner ow. >>right now i am a senior. i put in an application. at the time i put in the application i indicate my age.

mta recognize i'm a senior. do i have to do another application? >>yeah this is just due to the means based aspect of the program. any current clipper card holder needs to let us know what their income is and their address an we can communicate with them. >>do i need the rtc card? r >>the rtc card is for the riders with disabilities potential expansions for the two different groups. >>the senior clipper card. >>you indicate that i also can register or put in my application for this. will it be multilanguages? >>yeah we'll be translating the application into seven or eight languages.

>>you indicated it may start as early as march 1. p >>that is the plan. >>thank you. >>what constitutes proof of age? >>we have birth certificate, passports. for the youth we also use a registered id with the school but standard proof of age has generally be driver's license, birth certificate, passport. >>i'm not sure this is a question you'll be able to answer, but i'll ask anyway. why is proof of age mandatory for this program, but not verification of income. >>proof of age eliminates the small amount of fraud of someone who's not a youth or senior applying for the program. i'm not sure why the income aspect hasn't been addressed. >>i guess if the purpose of this presentation is to get feedback, my personal feedback is that income should be

verified and i'm uncomfortable with a program that is based entirely on the honor system given the point of revenue reduction. i think it's a potential point of abuse and i'm in the hospital particularly pleased with that. >>thank you. >>commissioner james. >>i am very concerned because muni formed a committee about a year-and-a-half ago to look at the problems of muni and i served on that committee and this is not one of the recommendations of that committee. now, what 2kid you decide to do? throw it out? we were talking about plaque cards to coop people from abused that system and there's more problems with muni in terms of

taking people to different places, picking them up on time. i've had so many complaints about muni and the transportation system and now they're not going to pay the 2.25. i think there's a whole problem with muni and to pull this out i think it's not looking at the whole problem with muni in the city. that's why i'm concerned about this one recommendation and not looking at the wholesome and how it affects the seniors. >>thank you. commissioner sims. >>one other question. will the muni police's scanning tools identify the status when a card is scanned at a muni stop? >>yes. aside from the visual

verification, the tfis the muni police can scan the card to see there is indeed a free pass loaded on it so that's a way to check for misuse. if it appears it's not the senior using that card then that card is then confiscated and a ticket is issued. >>thank you. any comments? >>confiscated and taken? >>yeah. >>commissioner loo. >>two questions, you need proof of age passport. what about income. >>the proof of income is self reporting. there's no need for a tax return. >>that was my point. >>there is no proof of income commissioner. it is all on the honor system. >>what happened to those people who have some money to be rolled on the card do they get refund?

>>the preloaded money could be used for bart rides or if they're out of san francisco county that there's no refunds for any cash value on those cards. >>thank you. >>thank you. any comments or questions from the public? thank you very much. >>there is a public comment. >> >>oh, i didn't see you. please, come up. thank you. >>i had one question and that -- we talked about proof of age, proof of issues that commissioner sims brought up. what about proof of residence say to get my card my neighborhood parking permit i have to show that i'm actually a resident and you said earlier this is only for residents of san francisco, where's the proof of residency? >>the proof of residency comes into play with the piece of mail being sent to the customer. the mail is returned as cannot

be delivered then that card is invalid because that person reported a false address. >>thank you. any -- jessica. p >>well, first i should apologize for jumping the gun on bringing up free muni and thank you to the sfmta folks for the presentation. i have not seen the editorial. i have not seen it either. as far as the expense of free muni people may remember free muni for youths we had a hard time getting the mta to fund it and there ended up being a private do nation made so there hasn't been city money going into that so that doesn't make any sense for them to claim that that is affecting revenue.

and people for disabilities is estimated to cost 4 to 6 million which is a very small drop in the bucket. sunday parking is a larger issue, but i think for people to claim that allowing poor people in our city to be able to get around is causing problems isn't at all true. we at senior and disability action and a lot of other folk who is have been working on free muni feel very strongly that self reporting is the best way to go. the big reason is we see in countless city and state programs that verification is often very difficult for people especially when talking about poor people people dealing with age and disability people who may not speak english. there are a lot of examples where if you look at voter registration, for example, any time you require various forms

of identification and documentation the numbers drop and so considering this program doesn't cost a lot in the first place we want to make sure people use it, we want to make sure people who are homeless people who don't have good documentation, people who for whatever reason are not able to verify their income easily are still able to get around to get to doctor's appointments, the grocery store, to participate in the community so that's the idea and that's why it's so important to not require proof of income. the last thing was i'm really glad ms. hail came up because she was a strong proponent for people with seniors and people with abilities. i think the last time i saw her was at an mta meeting speaking about why this program was so important. thank you for bringing her into the room and part of why it's so exciting for this program to happen is to honor vera.

>>thank you very much for the presentation. item number 9, new business. a, requesting authorization to modify the grant to provide enhancements to the program during the period of october 1 2014 to june 30 2015 in the additional amount of $148,000 for revised total grant amount not to exceed $416,416. the presentation will be by mike zogg. >>good morning commissioners. i'm a program analyst with dos. i'm here today seeking additional funding for the

ombudsman program. the ombudsman program is currently operated by the fell ton institute, formerly known as family service agency. the funding we're looking at today, $148,000 will be going to this fiscal year. the greatest need is for increased staffing so the majority of this money will be going towards that. with this new money we'll see a slight increase in current staff and the hiring of five new part-time sub contractors. as a result of this increased staffing the ombudsman will be

better able to respond and strengthen other aspects of the program. does commission have any questions today? >>just a motion for discussion. do we have a motion? >>so moved. >>seconded. >>any questions or comments? commissioner sims. >>a couple of questions. one, kind of a small knit, but the budget summary page, there's a typo. it's the indirect costline on 18 says line 17 times line 18 i think it means line 17 times line 16. would that be correct? >>i think that's correct, yes. >>and the actual calculation is not 15%, it's something slightly less that that so i'm not sure why there would be -- it seems like a simple calculation, 15% of that -- >>perhaps it was a rounding.

i don't have a calculator. >>it's about 14.7% across the budget, so maybe it's a rounding thing but it was an odd dollar amount when i made the cal cow cuelation. i'm not sure why there's a disparity, which always causes me a concern. not that i don't trust people but it seems like it should be accurate. >>okay, that's something i will follow up with the agency regarding. >>out of curiosity, it calls out in the outcome objectives 75% of all facilities will be visited on a quarterly basis, that would be two visits and same for the [inaudible] facilities. >>the baseline from the previous thing is that we require at least one visit to

one board and care home every year so we've added this in as part of the increased performance as a result of the increased staff. now the plan is to in addition to seeing everyone at least once, each quarter, 75% of them will be seen. we didn't go with the 100 po allow for a little bit of leeway there. >>are the businesses announced and scheduled or unannounced. >>i believe both. in some situations the ombudsman will respond to a complaint brought by a family member or resident and appear unannounced. ombudsman will make an unannounced visit to see how things are going and to speak with residents to solicit their feedback on current conditions at the facility. >>thank you. commissioner -- >>other question. how many rezsidential homes are

in the city of san francisco now? >>i believe there are 77 and that is down from 83. get our expert witness up here. is that right? >>there are presently 77 rcfes and that's down from 1986 figures which were 160 rcfes. we're experiencing in san francisco, we being everybody in san francisco, other agencies, a decrease in rcfes at a time particularly low income and moderate income so we have a real issue with maintaining existing stock and that was part of the plan i submitted originally to dos to try to develop an intervention where places just don't close, but they maintain a certain qualitative performance benefitting the residents.

right now they're 77 but it's part of a trend of lowering numbers over the years. >> >>following on the 77, what's the range of the residents inthe homes? like five to 20 or what? >>larger cfes the people with means, so to speak, assisted living communities have anywhere from 100, 80. and there's a real dichotomy of the small six beds which are called board and care homes, and the larger residential fa stillties which are assisted living or part of the ccrc. so there's a lot of breakdown and stratification of pipe within that population of homes. and part of this proposal is also to address adult residential facilities as part of an -- to justify an augmentation because we're

getting a lot of reports of neglect to the abuse mandate to the individuals who used to be below 60 but now many are ageing in place. complicated strategy we had to get to get this money. >>commissioner ow and then james. >>i don't think you identified yourself. >>i'm the program director of the ombudsman program and i've spoken here before that's why. >>are you -- >>program director. >>program director. >>correct. >>you came to our commission for many times an you oversee the san francisco nursing homes? >>we go to skilled nursing, both long term and the rehabilitation nursing facilities, some of which are actually included in the acute hospital buildings.

i've come to the advisory group, i've i've come to legislative group over the years, yes. >>right now the agency going to get $148,000. will it include -- we listen to you for many times. you always [inaudible]. >>it will improve or ability as measured in the number of unannounced visits to see what's really going on that might make vinls living in these places unhappy an dissatisfied and overall, if we can sustain this augmentation through capacity building and future years, it will certainly improve our oversight and hopefully improve some of the conditions affecting

residents or patients and skilled nursing, both short term rehab as well as long term, as well as in residential care homes. right now i characterize this initial augmentation as getting more feet on the ground to increase the number of visits so our services can improve and also the individuals are experiencing can improve so they go hand in hand to speak. >>i got one more question. last year the state legislature have so many bills to includemprove the living facility for the seniors. >>that's an interesting point. the legislature had a whole series of residential carol reform act legislation. those that would have required that licensing agency community

care licensing to increase their visits per year that had a fairly high expense attached to it and never got out of appropriations so therefore the expectation in some of those bills to increase regulatoryover sight were not really funded and so we're stuck with five year visit pattern with a sample because the funding never came through the legislature for those particular bills. those reform bills didn't cost any money, but not in terms of stepping up the regulatory visits. twenty years ago they use -- every facility used to be visited annually and now it's only a select sample of 20 or 30% in whatever area we're talking about and then the others only get visited once every five years. that was an argument to step up

our visits because we're not the regulators. >>thank you very much and i appreciate the comments and the importance of the issue, but in the interest of time i would caution commissioners ask questions specifically relevant to the motion before us and specifically relevant to this contract. >>it is relevant. after you make a visit you make a report. if you don't think your report facilities is not up to par and then they do have violations, what is your remedies where do you go next step? >> >>i think i can speak to this one. the goal is to investigate and try to resolve the complaint at

the facility, but in the event they do refer on to other appropriate bodies that have a sanctioning power such as licensing. >>commissioner james. >>in the interest of time move on. >>any questions or comments from the public. hearing none all in favor, oppose. thank you very much. >>item b requesting to provide consulting to analyze integration of in home supportive services ihss to the horizontal integration programs during the period of november 1, 14 to june 302015 not to exceed not here today.

>>oh, she's here but i'm presenting on her behalf. >>thank you. >>good morning, president, director and commissioners, ms. name's hugh wang. i'm a dos manager working in the health supportive services program. i oversee two medical eligible units and current dos is in the process of creating a service hub and the hub will specialize in serving seniors and people with disability. this will create the extension of services in medical, cal fresh and some of the human service agencies that is offering currently. human services agency has experience working with the service hub model. at the same time they have utilized intelligence

consultants to plan the design. dos is very excited, looking forwards in working to create the service hub and the hub will have public access and it will give dos an opportunity to partner in working with community partnership to create mixed services at the same time having resources easily accessible for our senior and people with disability. i'm here today to ask for your approval for this contract. this is pretty much an extension of [inaudible]. >>thank you very much. do i have a motion to discuss? >>so moved. >>seconded. >>yes. e >>any comments or questions from the commission. >>commissioner sims. >>i notice there's a $4200 line item for consulting travel expenses, which made me think it was a non local agency but

they're in danville so why is there such an expense for travel in this budget? >>good morning. the reason, commissioner is that there's such a high travel expense in this one is because the person we've specifically asked to work with works out of florida. she's been providing good service and well want her expertise and she's got some local team members here but that's why it's so high. >>thank you. >>commissioner loo. >>i realize the [inaudible] in april of 2011 and it's almost halfway or so. are they on target of the contract at this point? >>good morning commissioners,

director of contracts. we've been working with the dhs side since april and we have successfully integrated three of our service sites so now that we've got three of them up and running the fourth one would be the dos service hub. but yes, they've been very helpful in the process. it's a whole change of business process, the way we give out public benefits so it's been very beneficial especially in our medical division. because of the affordable care act we had 50 or 60,000 additional applications so by moving into this streamlined process we're actually providing quicker, more efficient service. we're hoping to continue this model with this dos hub. >>thank you. any other questions from the commission? comments and questions from the public. hearing none call the question all in favor. any opposed. thank you, the motion carries.

c, requesting authorization to modify the grant with bay view hunters point multipurpose senior centers services for additional community service programs during the period of october 1 2014 through june 30 2016 in the additional amount of $75,000 for a revised grant amount not to exceed $1,625,000. >>what i'd like to do this morning is by way of introduction is just share with you a few comments before we go into the contract approvals. this morning my colleagues michael zogg and monte will be presenting a series of new modified grants that