the chambers of city hall, to the shores of the pacific, i tell you with all my heart i am proud to stand beside you as we shine that light for the rest of the world. again, thank you to my colleagues. thank you to my city community. thank you to my friends and family. it is truly an honor to be here to serve as your president and i am truly look forward to 2015 and what it has to offer. together, i know we will all be doing great things. thank you. >>, >> [applause] >>and with that, madam clerk.modem we all been waiting for other any other items? >> madame president that concludes our business for today >> thank you you at this

meeting is adjourned.

present. >> >>at this time i'm going to turn the meeting over to my vice president because i have asthma and i think he can carry through. thank you. >>thank you. richard, would you announce some changes to the treatment of the agenda, please? >>if you all look at page three

on the agenda please note that vice president seriina will not be calling the agenda items in that order. >>thank you. >>the items will be called in the following order: item e, item i item j item f item h and item g. with that modification i ask for a vote to approve the agenda. >>approve. seconded. >>all in favor, any opposed. thank you, the motion carries. >>i would like to also make a slight change in the agenda and move the employee recognition of after my report if that's possible. >>absolutely. any objection to changing the

agenda? thank you. item number 3 approval of a consent agenda. >>so moved. >>second. >>thank you. any discussions? any comments from the public? all in favor? >>i. >>any opposed? thank you, the motion carries. item number 4 approval of the december 23, 2014 meeting minutes. any modifications or changes to the minutes? any comments or changes from the public. hearing none motion to approve. >>approve. >>second. >>any opposed. thank you, the motion carries. . now item number 5 director's report, ann hinton. >>good morning president james, seriina and commissioners, just a few things to report. first of all i want to thank

deputy mcfadden for taking responsibility in replacing me of december in washington dc at a board meeting and having visits on the hill and that's where i want to start with my report in terms of things that have been happening since i saw you. you know that congress was able to reach a budget agreement so we are not having a continuing resolution at this point, we actually have the budget in place and that budget although not having all the things that we were certainly advocating for when the board was in dc in early december it had one thing in it that was a very pleasant surprise and that was that for the very first time congress has provided $4 million for the elder justice act initiative and this is something that's been in

place for years but has never been funded and there was a lot of concern that if there wasn't funding put into the budget at this point the act itself might go away and have to start all over with that. the president has, in his budget, asked for more money for this, in which wasn't funded to the full amount he asked for, but to have 4 million in first time funding i think is significant in the funding itself not so much in the dollar amount. 4 million for the entire country won't go very far, but will give the administration of community living additional dollars to build on the platform that they have become which is to direct data from across the country so they can start looking at what does elder abuse look like across the state and provide information to us so i think that was just really great news.

some of the disappointing news was that money for the adult and disability resource centers 10 million of the 16 million that funds that program for across the country, 10 million of that was in play since early fall. and that 10 million was not refunded so $16 million program has now gone to 6 million. it was something that wasn't funded at its maximum anyway so we're waiting to see now what fallout there will be. san francisco has been implementing an adult with disability resource model with very little of this kind of funding anyway so i think we're going to be find but i think watching what happens in the rest of the state will be important as we were really hoping for sites across the state, so no matter where an older adult or family would be they would be able to access that site and move from county to county as they needed to be.

we'll have to see what happens. i think there will be more advocacy on this issue from now until the spring so we'll have to see on that. we also -- if you remember a couple of years ago we had legislation in congress that's requiring reductions for the next ten years we're in our third year now. those cuts are still in place. we were hoping to get back to the 2010 2012 funding levels but that was not to be. but i think we had been expect that would be the case. there was a little flurry of excitement on the hill one of the day i was there. we thought that the older americans act was going to move. it looked like both senators in deep conversation over this and over the funding formula had reached a come promietdz

compromise, but things have not happened. it's interesting to be there when things are flying and fast and furious and then at the end of the day you're back to where you were. i think that's most of the life lights on the budget. the state budget we're still waiting to see what comes from that what the governor will suggest. we know our city and county budget is in better shape than it's opinion for a number of years so the mayor has issued directions tomorrow afternoon i feel think at 3:00. somebody's going to nod to me. 3:00 tomorrow there is a budget meeting, everyone's invited to that so if you want to hear more details, but at the january -- at our next meeting you will be getting all the details around

it but safe to say we won't be doing any program reductions like we have done in previous years and we're looking forward to a much better time in this year's budget. i have two other things i have wanted to report on. one is that the sheriff has convened a group of people to discuss the older adult population that's in custody and this is a meeting that he's been trying to pull people together to for a while now. kathy davis, day view hunters point, senior services was at the table. and of course members of his own team were there and i think this is one of what's going to be probably many meetings moving toward a much larger convening of people to really look at what's happening to the population there. and i say old earler adults bewe're really talking about people in their 50s and up because many

of the people coming into custody now in that age range have cognitive impairment so i think it will be a very interesting conversation with not such easy solutions, both to -- is resolutions to things while people are in custody may be easier to reach than to do when people are released but it's going to be interesting. and the last thing i wanted to talk about today is that linda lau, our nutritionist is going to join me for this part of my report. i'm going to send this around because i want you to have a chance to look at it. this was a gift from a group that was here from america samoa a couple months ago. i wanted linda to share with you what she has -- what she has been doing with this group of folks.

some time ago the regional office, the federal regional office here in san francisco asked linda if she would provide support and resource and some direction to a group of people in america samoa. the idea was that there were no nutrition programs there, no nutrition sites and how to get things up and running. and so not only did linda do that but on the recent visit that they had here to the city, they got around to visit some of our sites. as linda will tell you they now have more than one site. it is really an exciting program and i just really -- kudos to linda, but it was great to have of course, the feds ask the san francisco triple a to be part of this initiative so linda, i'm going to turn it over to you. >>good morning commissioners.

just a little background the american samoa had asked us to share some best practices and resources with them. as was mentioned, they don't have any home deliver meal programs, but they were receiving title 3c federal money for these programs and what they were doing for over 20 years was providing a food voucher which they can use in any grocery stores for anything they want so there was little control over what kind of food but in essence it didn't meet the guidelines for the older americans act. and so in july 2013 they asked and we were fortunate to have our department agree to provide that support to them and they basically -- we share best

practices. they made a visit to san francisco in january, 2014 to visit a few of our centers, including third street senior center santon latino and the samoan community development center which we offer samoan hawaiian style meals. that was one of the impetus was on how to provide that and activities for the seniors. so we did. it took them a little over a year-and-a-half to get everything together so i wanted to show you some brief slide shows that they had shared with us and a little bit of highlights of what happened during the visit. so this is the american samoa and their mission is to provide the best services with the

utmost respect in order to be perpetuate and maximize the happiness and well being of american samoan senior citizens. this is -- you probably can't see the organizational chart here but i thought it was very interesting because their organization's very different. on the very top is the governor for the american samoan government and right below that is their director and we met with him. they were the administrators and they wanted to see how it happens because there was a lot of resistance from the seniors who were very vocal. they didn't want to change the food voucher program because they were used to that for over 20 years. anyway, in may, 2014, they had a procurement meeting with all the different vendors. they look at different models how they can implement this because resources are pretty

scarce and they didn't have the type of infrastructure that we have, but they have restaurants and they have schools, they looked at schools. but finely they -- nothing that i have went with was working with caterers and having the restaurants be able to provide the food for the different senters that they will offer the new program. there are 15 new sites where they started this program in different parts of the island. interestingly they wanted to start out with a few pilot programs, but nobody wanted to start so they said oh the heck with it. this is a sample of the meals they provide, home delivered meals and they are using the menu that we have approved for the samoan community development

center. this is another sample of the meals. of course this is very common and culturally well accepted. now, this is a picture of the seniors at graduation and what they did was that because they couldn't volunteer -- getting volunteers was different in the islands than here. they train the seniors, they're able to use them as food service aids helping with the new service. these are just some very few highlights of the visit back in january of last year. on the very top is the chief ali and he met with the seniors at the samoan community development center to get their insights and also get their feedback of what works for them here in the city and they took a lot of the ideas

back. and we visited several new sites, including 30th street. this is a sample of the meals served there. also this senior center so they have an idea, the meals can be very appealing. in san francisco we offer very diverse type of meals because we have a very diverse population. this is a recent visit in december just right outside the japan tone. this is a group of the seniors at the samoan community development center along with the representatives from the ataoa. . derrick lamb has been going to a lot of meetings with u.s. and he's one of the key staff at the federal administration community living who's been working with the american samoa on this program. so they're really excited that

in june the hot meal program for new sites as well as for home delivery meal clients got implemented and initially there were a lot of growing pains, but now's been working very well. thank you. >>thank you linda. >>thank you linda. any comments or question from the commission? thank you. >>what's the population of the samoa communities in san francisco? >>you mean what percentage of the population is american samoa? >>yes. >>very small. i -- we can get back to you, but i think it's maybe 1 or 2%. not very much. >>how many kitchen, lunch site going to be when this is completed, implemented? >>well, in san francisco we only have one site. in american samoa territory they

have right now 15 of these new sites that are offering the congregate and home deliver meal program. they hope to grow it and make it bigger. >>in san francisco there's only one site. >>there's only one site. >>how much money we appropriate for the meal service in san francisco in one site? >>including -- this is just kind of off the top, but we can get back to you as well, but it's under $80,000 and it's a three days a week program. >>thank you. >>thank you. any other comments or questions for linda? thank you? anything else in your report? i think the $4 million appropriation that you mentioned for elder abuse was significant symbolically if not so much materially. do we have any idea how that

money will be allocated to the state and if any funds will come to san francisco. >>i doubt very much that any of that money will come to san francisco and i haven't heard yet how it will be used. i mean frank lim frankly speaking i think it would be great if the aging and adult services based in dc would use that money to work to build the information systems that are needed for us to really track what's going on across the country. i think that is probably the only way for a significant dollars to come to funds the bill itself. and i think there's a necessity to have that information if we're ever going to realize concretely the magnitude of the problem. >>thank you. commissioner sims. >>quick question.

[inaudible] men, women, any demographic demographic? >>i left that information back at the office. it's not a huge number of people and a lot of the older -- i should say, the very old, it's a very tiny tiny percent, that group that's in there, is a very teeny percentage in the 50s and 60s. the older group is the largest group. we could have a presentation from kathy davis' staff who is on this group and has done work in this area for many years so we could do that as a presentation if you'd like. it'd be very interesting.

>>thank you. president james. >>i had one question. not approving the older american act, what does this do to things? how does this slow us down cut us out? how does this affect the program? >>i think it's an enormous disappointment to have the act again for another year not move forward. it means next year if they want to do anything with it they'll have to start all over again. they could take mart parts of what they've worked on already, but as far as the funding area it seems stucks. they spoke to our entire congressional delegation about these issues and people are

aware, but again, i think it -- they're really stuck on the funding formula and again, unless someone has some real creative way to address it and not do harm which is pretty impossible to do unless you finds new money, i think it will be difficult. >>did you get your question answered? >>i just wondered what will we be missing? what programs will be missing, affected by this? >>we don't think we'll be missing anything. we have had over the last few years, some threat more i think in the house than on the senate side of people saying well maybe seniors really don't -- you know, in some states seniors get food stamps and senior

nutrition program so there have been some folks double dipping, they don't need two meals a day. there has been some threat a couple of years ago around the nutrition program. certainly with the reductions that are still in place it makes things more vulnerable but there's not an immediate understanding of what might happen with this. >>thank you. commissioner loo. >>i have two questions. you mentioned there will be a meeting tomorrow. is that the city budget tomorrow at 3:00? >>is it 3:00? somebody nod their head. 3:30. it's a budget meeting that's open to the public to talk about the human services budget which dos is a part of.

>>today is january 7. any idea when is the mayor going to state of the city? >>i don't have date yet. >>thank you. >>thank you. any comments or questions from the public for ann? thank you hearing none we'll move on to employee recognition. we will honor ria, director of quality management services.

>>so ria has been with us eight years. ria has been with us for eight years an she was hired as our very first quality assurance person. now, since before i came and i'm here almost ten years, but it's a different kind of quality assurance than what we were looking for department wide and it's really been spectacular, hasn't it? difficult, but spectacular. when ria first came we were really implementing the community living fund and realizing we needed to

understand what the outcomes were. program programmatically we were helping people to stay in their homes or go to institution care, how is that going. ria, if you look back at any of the reports, you see the qa work that's in those reports that was ria. it was really a one person show in peoples' homes following up with them to really determine if that plan put in place that helped them to 125i at home or come home was really going to work. and interesting experience, wasn't it? >>yeah. >>yeah. so from cls we got into diversion and community integration program. we got into that by a lawsuit, but nonetheless it's -- i should

say was a good program. ria, linda first started as the person who pulled everyone together and pretty soon ria took the liedership on that. she has been convening people from are the health department, our department across the community now for a number of years. we're in a stall pattern now because of hipaa and plan privilege and all those kind of things but we'll get back to it once the city folks figure out how we can share data and make it okay. that's not all. of course dos is filled with many programs and we've got adult protective services, joe in the back there nodding her head. and we have jason in our intake and screening and consultation unit. across the department we're looking at how do we provide the best outcomes and you do that i

have think, through qa. i remember when you first came you tried to give me a tutorial on it. i still have those pieces of paper. i read them really well today i'm not quite sure about the difference between the two, but i know we're better for it. we've struggled with this. this has not be easy because all our programs -- all of us are used to problem solving within our program when a consumer is dissas dissatisfied or whatever. and frankly, sometimes we can have a better outcome for the family because it's usually the family who we're working