any questions? commissioner katie loo. >> how many meals have they served here, do you know? >> more recently our data seems to be they are serving about 50 people a day on some days. other days it's higher. i think staff from self help for the elderly might be able to give us more accurate information. i was there actually this monday after the grand opening at west portal, the senior center, our colleagues went to lunch there and we saw during an hour 25 seniors already there having lunch. but the program is definitely growing. >> i went there and eat myself too, okay, and i was asking the highest number they have served it was 75 or something on one day. >> yeah. >> so it seemed like to be very, very popular.

>> uh-huh. so we are adding additional funds to be able to hopefully accommodate more of the seniors. >> is that in the sunset area? >> champs --. >> the second site. >> the second site is not identified yet but, yes, we are targeting sunset because currently we only have one congregate meal site that falls into that supervisor district. yeah, it's one of the lowest resource in terms of what we fund. >> does this amount of funds provide a chance to rotate the menu, or is it the same menu over? do they have --. >> there is money in there, part of the nutrition compliance is developing the menu and making changes at least once a year. of course we can do that more often but it's self-help would need to

work with the restaurant to be able to make those changes. now, the current menu for the champs actually is pretty diverse, has a lot of different choices. you know i think if you look at all the different combinations that you can have it's probably close to 20 different menus that you can eat there. of course you know, even the best food you get tired if you don't change the menu, right, so there is some funding in there included. part of the budget for the nutrition compliance to develop new menus at least once a year. >> my second question is with all the controversy regarding nutrition equivalents and what have you, how do you work with that? because you get low sodium, next week we hear another change about this is

not nutritional. how do dietitians cope with these changes we have with people saying one thing one week and the next week we hear another change. >> very carefully. you know, it's very challenging. and, you know, we try to keep up with all the different new scientific developments. guidelines do change over time. a lot of them -- we really try to use the best information available and, as you say, people's preferences are different so trying to offer and meet the diverse needs is not always easy. seniors choose to go to a center because they love salmon or they hate salmon or they don't like pork or et cetera. so because san francisco is actually very geographically very small they do travel to other centers where their favorite meal of the day is being served. so our seniors

actually have a choice and they make those choices every day where they go and where they go to eat with their friends. >> so do you have many people who may come who are like diabetic who come, are the menus, are they able to cope with that? >> so to answer your question, how do you graes the different dietary needs of the seniors, all the menus are pretty much no added salt. that's sort of our guideline. if there are meals that actually exceed the 700 milligrams the guideline per meal that day, they do identify that meal as a high sodium meal so that people can choose not to go to the center if they have to watch out their sodium. additionally some of the centers are able to, they offer an alternative for that main

dish. for example, if it's corned beef because they are celebrating a special holiday, they may offer them instead of corned beef maybe chicken or something else to in order to meet their needs. so those are some of the things that the meal providers are doing above and beyond in order to meet their clients' needs. and with regard to diabetics, very few centers serve concentrated sweets. most of the centers do serve fresh fruit as part of the meal. on occasion where they have special celebrations or birthday celebrations they may have a cake or something, but that's really occasionally. and of course nutrition education is provided at -- is required for all the congregate meal centers and we try to, again, the service providers look at what are the needs of the participants, what are their interests and provided

case to be able to better inform them so they can make their own individual choices in what they should or should not eat. >> thank you. any other questions? if not, i call for the vote. all in favor of approving the self help for the elderly contract say aye. opposes? ayes have it and so the motion carries. j, request the grant agreement with jewish family and children's services provision of nutrition services for seniors at congregate meal sites during the period of july 1, 2014 to june 30, 2015 in the additional amount of $38,444 for a revised total grant amount not to exceed $211,278. can i have a motion to discuss? >> so moved. >> okay you are on. >> for jewish family and

children's services we are starting off with home delivered meals contract modification and this additional amount of $38,444 is to enable the agency to expand their service in order to serve the increased demand that they are seeing. jewish family children's services provide kosher meals to their clients and, you know, we're really proud that we are able to offer this service even though, of course, it is expensive. the agency does do a lot of fund raising to cover what we don't provide in the contract in terms of costs. so are there any questions? >> hearing none, i will call for the vote. we still have a quorum. all in favor say aye.

opposes? the ayes have it and so the motion is carried. k, requesting authorization to modify the grant with meals on wheels provision of nutrition services for seniors at congregate meal sites for july 1, 2014 through june 30, 2016, in the additional amount of $1,988, 819 for a revised total grant not to exceed $11,022,266. can i have a motion to discuss? >> moved. >> second. >> okay, you are on. >> with meals on wheels grant modification request i wanted to make a correction. there is a typo in the appendix a, page 4 where it has the number of meals for fiscal year 14-15. currently it shows $1,080,120.

the 8 should be a 7, it's a typo. so the corrected new mumer is 1,070,120 meals. >> would you call out the page again, please? >> page 4 in the middle with the table. >> the correction one more time for those of us who are slow? >> the 8 should be a 7. everything else is correct and the funding did not change that was just a typo on our part. sorry about that. meals on wheels is actually our largest home delivery meal contractor. they provide home delivered meal service city-wide and they provide two meals a day to clients, seniors as well as we contract with them for adults with disability. they provide meals

in hot or chilled or frozen, depending on the assessment of the client, see what they can handle, what kind of equipment they have. so with this increase they will be able to serve a lot more seniors, reduce the waiting list, increase the service time to be able to serve the seniors who need emergency meals more quickly, and they actually are, they also provide modified diets to seniors who need -- diabetic or low sodium or mechanical cost. it is a very large operation, that's why you see the huge additional amount for the contract increase but they are also providing a lot of services for us at a very competitive cost just because they are able to deliver two meals per person per day the

cost actually drops per person per meal. are there any questions? >> commissioner l00. >> how is the nutrition counseling done? >> the nutrition counseling is done either in person or over the phone, depending on the situation. they do ask, find out if the client actually has received any nutrition counseling from their primary care provider and if they don't then that's where they can fill in and provide additional koupbsing service, especially for the seniors who are on modified diets. >> and they have different staff speaking different

languages also? >> their dietitians actually speak tagalog and english and they have other staff that speak other languages. anne, you want to add to that? >> could you come to the mic, please? thank you. >> hello to all. thank you. ann quinton with meals on wheels. we were able to hire a new rd and she actually speaks chinese as well she's bilingual, then we hired another rd that speaks french and a tiny bit of spanish so we'll see what happens with that. on staff we certainly have people that are speaking spanish and chinese and russian as well and our social work staff and drivers. >> so you do counseling, do

you have materials in different languages that you give to the clients also? >> we do translate that into the languages that i mentioned. >> thank you. >> you are welcome. >> any other questions? hearing none, i will call for the vote. all in favor of approving this grant for meals on wheels say aye. opposes? ayes have it and so the motion is carried. thank you. l requesting authorization to modify the grant agreement with on lok day services for the provision of home-delivered meals to seniors during the period of july 1, 2014 through june 30th, 2016 in the additional amount of $158,280 for a revised total grant amount not to exceed $1,668,226. could i have a motion to discuss?

>> moved. >> second. >> okay, you are on. >> okay, for the on lok day services, the additional grant of $158,280 is to expand their home-delivered meal program to enable us again to drop the home delivery meal waiting list. we're having different providers that serve different parts of the city they also have different menus, i think can help us diversify, being able to meet the different needs in the community a little bit better. and on lok day services do provide a modified diet to their clients as well but they do only do one meal a day. are there other questions? yes. >> commissioner loo. >> tell me, what is the equipment data plan? >> equipment data plan is

actually the cost for the data host the laptop computers. daas funded some of our providers with laptop computers so the social worker can do the work while they are on the road with the client and helps to increase efficiency documenting all the data that is needed in our data base and the data plan is is to help cover some of that cost for the data for the mobile devices. >> and i think there is an error in the total units. >> okay. >> listed as 428.5, should be 382.5. >> which page are you on. >> appendix x, the last page. >> oh, okay, the total on the bottom, i see it.

>> units. >> thank you, we will correct that. thank you. >> any further questions? >> also, over the page, the total units again should be 407.5 instead of 428.5. >> what page are you on? >> the last page, the back of the last page. >> yeah, we actually -- sorry, we had updated the units and overlooked updating the total. thank you, we will make that correction. thank you for catching that. >> any further corrections? hearing none, could i have a motion to approve with the corrections so stated by commissioner katie loo? all in favor, aye. opposes? ayes

have it and so the motion is carried. thank you. m, requesting authorization to modify the grant agreement with russian american community services for the provision of home-delivered meals to seniors during the period of july 1, 2014 through june 30, 2016 in the additional amount of $58,142 for a revised total grant amount not to exceed $627,441. could i have a motion to discuss? >> moved. >> second. >> okay you are on. >> the additional amount of 58,142 for russian american community services is to enable the agency to expand their home-dlired meal program slightly. they serve a russian-style meal to the

consumers and, you know, the program again is very popular. they are getting seniors who prefer that type of meal and this additional funding will enable them to continue to overserve the contract. >> are there any questions? i'm trying to see if -- these are home-delivered meals also. >> yes.

>> because i was just -- would that be, could they serve, i know there's a russian population in the -- on golden gate in that center there and i was just wondering, could they serve them in the housing units? >> yeah, with the home-delivered meals. >> the apartments at home? so i'm just wondering could they serve them, that is their home, even if it is -- so could they be served there? >> so with home-delivered meals the program actually serves seniors who are not ambulatory, they are pretty much home-bound because they can't get out to a congregate meal center, they don't have transportation to take them to a congregate meal center, yet they have need for food. so if there's a request like that it goes through to either our daas

integrated intake unit or it can go through to one of the service providers that they can do the intake. there is a, we have a centralized intake system actually. the staff would ask for all the different pertinent questions, find out what the need is, and then based on that screening the client is then prioritized. they are weighted, there's a score that is given to that consumer based on if they have a lot of, they have no support, they have a lot of health problems, they are in dire need of supplemental food, the score would be much higher. so currently once the client is screened to be eligible for home-delivered meal then when there is an opening at any of our home-delivered meal provider, they will go to this

centralized home-delivered meal waiting list, find out which -- look at the districts that they serve because not all the home-delivered meal providers serve all districts. so let's say if they serve only sunset and richmond they will look at the supervisor district for those neighborhoods, find out who's on the waiting list, who has the highest score, who has waited the longest, then contact them to say do you still need the meal? and then -- so the process for getting a home-delivered meal is pretty intense. >> okay, okay. so i didn't know because there's -- in the beth el arms there's a large population. some of them are home bound in their apartment so i didn't know if this is something to make it known to them and how would they get on the list. so that's why i was just --. >> right. we are, when we go to the home-delivered grocery later i can tell you a little bit more about how that might help fit some of the seniors

who maybe can't get out as easily but have a need for supplemental food and that's kind of where the home delivered grocery might be able to fit in because the grocery is delivered by a volunteer or by paid staff. >> thank you. any other questions? hearing none, i will call for the vote. all in favor of approving the russian american community service home-delivered meals for seniors say aye. opposed? ayes have it and so the motion is carried. n, requesting authorization to modify the grant agreement with self help for the elderly for the provision of home-delivered meals to seniors during the period of july 1, 2014 through june 30, 2016 in the additional amount of $64,190 for a revised total grapbtd amount not to

exceed $1,319,035. could i have a motion to discuss? >> moved. >> second. >> okay, moved on. >> so the $64,190 additional amount for self help for the elderly home-delivered meal program would enable them to expand the services. we do see that based on the needs in the city there are seniors in all the districts, including, of course, the areas that self-help for the elderly serves. in addition self-help provides chinese style meals so that can help also address participants, seniors who prefer that type of ethnic meal. are there any questions? >> any questions? commissioner katie loo. >> okay, here again, the

charges over the page, page 2, appendix b6 page 2, the units were not totald. it was left out for both. so you might want to add in. >> thank you, we will add in the total units. that was overlooked. >> yeah, it's 327 and 312. you might want to double check. >> okay. what was it that you had? we'll add it up. >> 327, 312. >> okay. >> okay, do we have any more, any others? any other questions, corrections? hearing none i will call for the vote to approve it with the corrections from commissioner katie loo. all in favor? opposes? ayes have it so the

motion is carried. o, requesting authorization to modify the grant agreement with bayview hunters point multi purpose senior service provision of nutrition services for seniors at congregate meal sites during the period of july 1, 2014 through june 30 2016 in the additional amount of $80,040 for a revised total grant not to exceed $190,816. could i have a motion to discuss? >> second. >> okay we're on bayview. >> okay, the additional $80,040 for bayview hunters point multi purpose senior services is for the expansion of their congregate meal program for adults with disability. they have meal sites that serve seniors. these are the same centers that will serve the adults with

disbailt. this program overall is actually pretty underfunded and with this add back we were able to increase services for this population and bayview is one of the centers that actually submitted a proposal to increase their service for this population. and this program is actually, will be offered at all four of their congregate meal sites. >> commissioner sims. >> just as a point of clarification, why is there a separation in these congregate meal budgets and proposals for adults with disabilities versus the primary or the other congregate meal programs? they are in the same location is it the same meal? >> it is the same meal. the reason why we have to have separate contracts for that is because these are general funded and these meals are not eligible to be counted and reported to the state. we have

to keep things separate. the state does not want us to co-mingle anything. >> so they actually eat togethering. >> yes. >> it is not a different setting. >> correct. that's the only way i think we can really make it cost-effective as well, to be able to serve 20, 30 people really piggybacking on the existing infrastructure that we have makes it possible. >> thank you. any other questions? hearing none, i will call for the vote. all in favor of approving the bayview hunters point multi purpose senior program say aye. opposes? ayes have it and so the motion is carried. p, requesting authorization to modify the grant agreement for project open hand provision of nutrition services for seniors at congregate meal sites during

the period of july 1, 2014 through june 30, 2016 an additional amount of $81,960 for a revised total grant amount not to exceed $134,145. could i have a motion to discuss? >> moved. >> second. >> the total amount of $81,960 for project open hand congregate meals for adults with disability will enail them to pretty much double the current service, expand and to accommodate the additional needs that they see in the community. in addition, the new center at the presidio will be serving adults with disability and this will allow us to be able to serve that population. are there any questions? >> just one. not all of these proposals include this

information, but in this particular case there's a cost per meal breakout which is between $5, almost $6 per meal. some of the programs are less expensive. i know we talked a little bit about some of the culturally specific meal programs being more costly. is there a policy within the department around a ceiling or what parameters do you put on cost per meal as a part of the analysis for these proposals? >> all the appendix ab's for the nutrition program have a per meal rate that our department has agreed on to pay. and you are correct, i mean, there's a lot of factors that we take into consideration in negotiating the rate based on, you know, the type of meal that will be provided, the organization structure, what type of meal, what the meal preparation situation is, are they getting it through a

caterer because not all the centers have their own kitchen. like project open hand has their own central kitchen and when they have a much higher volume of meals those costs generally are lower too so the size of the operation, all those things take into consideration. and, you know, we do have a cap that we kind of look at, at what point will we, you know, not -- sort of cap, basically. so when you look at the, even with the costs that we have recommended it still doesn't cover 100 percent of all the operates costs for the meal provider. all of them do fund raising. all of them actually they require a suggested meal donation and some of the