supervisor. one is increase the budgeting for the community living fund. no cuts for seniors and adults with disabilities and a 5% increase in the cost of doing business for nonprofits. as anne mentioned earlier through the scan grant there will be a constituency event probably in april, the one she was referring to. the long-term care coordinating council just put forth three names to the mayor for appointments to the council and therefore now we have three other openings on the council so any of you know anybody that is interested in being on the council please let us know and we're happy to send the application. we have a nominating committee that goes through the process of interviewing people. we did have a presentation on current legislation and we're sending

support letters for several pieces of that legislation, so i have a relatively short report today. thank you. any questions? >> thank you. >> thank you. >> next we have the tacc report. is cathy here? no report. okay. case report. >> good morning commissioners, director hinton. i am linda and from the richmond district and i will give the report today. in march dave came and spoke about contracts to case. it was a very interesting meeting. shirr rein will be visiting them in april and the big work that case is doing right now is on the

advocacy campaign. we started this in many ways last spring so about a year ago now. we started it with convening the community services contractors and getting them together to build consensus as to what -- god i am sorry. i am nervous -- to what we need to support senior cities and contractors in the city. we hosted a postcard campaign with 5,000 cards out in the community right now and i brought some copies that i can give to bride get if anyone would like to see them. >> >> the goal is reminiscent of the scene of miracle on 34th street" and dumped the letters on the desk and the goal is for the mayor and he should be personally involved in this and the supervisors too and we

appreciate your support and any questions? >> thank you. >> thank you. >> next is the nominating committee report and commissioner itani -- >> [inaudible] >> no. just the one item. we have the reappointment of the advisory committee, those two items. so it's done by commissioner katie loo. >> good morning. the committee met on march 23 at 9:00 o'clock on mission, fifth floor [inaudible] office. without her permission. and we talk about in the meeting the

three of us, president james, itani and myself. we met and we talk about the new offices for the coming year, and president james graciously said she would accept the nomination as the president, and commissioner seriina as the vice president so put this together today for your vote, commission vote on that. >> why don't you go back to the first item, reappointment of the advisory council. >> certainly. i am not used to this kind of thing. >> that's okay. >> yeah, reappointment on advisory council members which are listed in the agenda. okay. >> [inaudible]

>> yeah, i want to approve the motion -- the motion is appoint edna james -- no, the advisory council first. >> oh okay. sorry. we want to approve the appoint councilmembers. >> so moved. >> before we vote i have a question. can i ask a question before we vote? >> yes. >> my question is i understand each of these supervisor can appoint an advisory member to the advisory council; right? are these -- we have seven members. are these appointed by the supervisors or are they not? i just wonder if the supervisor appoint -- pointing authority -- no, supervisors recommend to

the council and -- okay. tell me the procedure. >> so every supervisor has someone they can designate. those do not come to the commission. these are the ones that the commission is appointing or reappointing so the commission has authority to do so many and each board member has the authority to do one. >> these are -- yes, so how many all together there are 11 from the board of supervisors; right? >> correct. >> and more besides this 11. >> i believe that we can have up to 22 or 24 is the total we can have. >> it's [inaudible] >> but we can have under that and we have under that at this point. >> yes. >> so i think commissioner ow you heard in the report and commissioner smith and last month there were vacancies so

you can ask the secretary for the applications. we have formal applications and you can ask the secretary for the application if you want to recommend somebody, but we still have several openings and looking for recruitment. thank you. >> i have a clear understanding now. the one that appoint by the supervisors didn't go through this processing. >> no. >> thank you. >> [inaudible] >> no. we have a motion on the floor which requires a second to nominate -- approve the people that the nominating committee recommended. >> i second the nomination. >> okay. it's been moved and seconded that we approve the members listed marcy adelman, walter devaughn, betty hammond, louise hines and anne kirueshkin, alex mcdonald and anna maria perini and leon

schmidt. you heard the names. all in favor? >> aye. >> opposes? ayes have it so the motion is carried. thank you. next. >> okay, the next one is the nomination and approval of commission officers, president edna james and vice president commissioner seriina. >> i move that we accept the nomination. >> second. >> okay. it's been moved and seconded that we accept the nominations of james and seriina -- gustavo seriina for president and vice president. all in favor? >> aye. >> aye's have it so the motion is carried. thank you. [applause] any old business? any new business? hearing none now we have the community living fund six month report. >> and i believe you have the

report in your packet. i am just going to highlight a few things in the report. if you look -- so just to set the stage the community living fund is a fund that was established seven years ago via initially a report that came from the control controller's office that discussed community living and the need for it and resources in the community in relation to the rebuild of laguna honda because we didn't have the new building at the time but it was in discussion and in play. the board and mayor at that time supported the creation of this fund so you may remember it's a $3 million fund that is replenished each year. if money is unspent in one year it's carried forward and another 3 million is established. the program itself is built on i think innovative programs here in california and the linkages

program but also staff did investigation around the philadelphia corporation and the work they're doing there that brings together many, many, many services and to work towards helping folks stay in their own homes so the community living fund is really based on case management and purchase of services. this case management program -- case managers primarily have small case load size because they're working with folks that have multiple problems and in many coming out of institutional settings so need a lot of focus when making that transition, so on page one you will see this is actually we serve the most clients in this six month period than we have served in any other six month period, 631. there were a total of 111 new referrals. the demographics can be found on the second page and you will see

that younger adults continue to represent 37% of the folks who are referred and part of the program. and then you can see the break down in terms of caucasians, african-americans and chinese referrals and so on. english speaking clients continue to dominate who is being served at 78% and although fewer referrals are coming from laguna honda we still have a significant number from there. if you turn to page three there is discussion there of performance measures because you know we are charged with some outcomes and not only determining the quality of life for the folks who have experienced the program but what happens to them as they move into the community, stay in the community, or for those that are able to stay in the community how that is working for them,

so the percentage of care plan problems resolved on average after one year is at 80% which is i think a pretty high percentage and we're grateful for that, and the percentage of clients on top of the next page -- percentage of clients with one or fewer admissions to acute care hospital within that six month period is 80% which is also a pretty significant number of folks. the thing i wanted to just to highlight is that you know -- i believe i have reported in the past that this program has worked hand and hand with the diversion and community integration program and that program at its base was really looking at bringing people from institutional care into the community, and since this community living fund had as

its focus of folks in institutions and people at home you can understand how it's a good fit. the diversion and integration program was a result of a lawsuit against the city resulted to laguna honda hospital, and as part of that settlement and as part of the great work that was done during that period of time a data system was created that allowed the team to look at what was happening in terms of resources and supports, what were the wants and needs of the consumer involved and so on. in the last year that data system had been turned off because the lawsuit was over and a new mou needed to be developed with the health department to share information. i wanted to report today that we're close to finalizing that mou and everyone will be

pleased about, certainly we will be in the department and i am sure the long-term care coordinating council will be as well and hoping it sets the stage for other data sharing opportunities and i think in just the last thing i wanted to report that you can see from this report and other reports you can see we're have been spending the full $3 million the first years we didn't do that because we were organizing and implementing the program and now we are spending the dollars and there is clearly a need for additional dollars for the program to serve more people in the community and i believe sandy spoke to that a bit in her report so with that i am running out of voice so if there are questions i will ask linda to answer those for you. >> i have a question. i'm just looking at the report and i am getting awful lot of

requests in 94112 and 94132 where we have seniors who are living alone but we have the hills and they have steps and they need to get up and down. they cannot get up and down the steps. is there somebody i am seeing that you could buy the wheelchairs, lifts in bulks and maybe if we had a request maybe you could get a discount of buying them in bulk but i am just saying i get a lot of requests because we have the hills and it's always the stairways and trying to keep them in their homes? >> so people who are eligible for clf we do pay for the electric stair lifts so if anybody that you know who would fit the criteria and who would

need that just make a referral to them. >> okay. sure. all right. thanks. okay. any other commissioners, you have questions? >> i just heard that we lost a lawsuit. therefore we have to pay -- set aside $3 million to take care of this community living. how come we're the only city that hit with this lawsuit? >> so you know that's one of the most interesting questions commissioner ow because it's a question i ask myself many, many times. i don't know why because clearly there are many, many communities across the state and across the country who do not have anywhere near the programs in place nor the public policy in place that says that we want folks to stay at home and be in the least restrictive environment as possible so i

can't answer that question except to say this was certainly a city that was going to be sued but open to the possibilities of what that lawsuit provided in terms of an opportunity to go even farther in terms of our public policy and implementation of programs that could be helpful to people, but i don't know the answer to that, and it would be an interesting question to ask other folks. >> thank you. >> well, i just want to say that after the code enforcement the city still contribute $3 million to continue the good program. >> so the community living fund actually started before the lawsuit. i should make that clear. the diverse and community integration program came about a year later -- >> couple years later. >> couple years so the fund

was formed because of the work of the controller and the community people did around this issue and then the lawsuit happened but the two things really fit well together. >> we have someone out there and then the commissioner. did you have a question? >> [inaudible] >> [inaudible] >> just a random question. good morning commissioners. i am the executive director of home bridge which was formerly the [inaudible] consortium so i just have one question, so do you think that the reason there is less referrals from laguna honda at this point and time is because we have done such a good job in terms of bringing out most of the people that wanted to come back into the community and that laguna honda now does a lot of rehab but we have been very successful in that?

>> so i think that's part of the answer and i think the other part is under the lawsuit every discharge potential person who was going to come out had to go through the process so if they were referred to them they were also referred for case management through clf. so even if they didn't need a lot of services in the community they still had to go through the process and now without the lawsuit it's just the ones that really need the intensive case management and connection to services and following them into the community. >> commissioner sims. >> it sounds like i might have been in chicago with anne and we have the same throat problem. >> no. but we both it had

before. >> so the question i had was to dig a little bit into the wait list bullet under systemic changes and trends. doesn't seem like an enormous list of wait listed but i am wondering how long they wait on the list? >> in the past it might have been six, seven, eight, nine months but we have been working on bringing that down so it's closer to two, three months. if there's anything really emergent we will move them along. the fact there's less people coming out of laguna referred to clf helps us focus more on the community people. >> yeah, thanks. >> thank you. any other questions? thank you very much. at this time commissioner seriina will take over.

>> thank you. now we're up to action items. action item a requesting authorization to modify the grant with northern california presbyterian homes and services san francisco senior center for case management during the period of july 1, 2014 through june 30, 2017 in the additional amount of $114,450 for a revised total grant amount not to exceed $557,568. carrie wong will present but i see that shireen mcspadden here. >> yes. shireen mcspadden and i am here for carrie because she couldn't be here this morning. this is for the purchase of services for those returning

from acute hospitals and those in the san francisco tr transitional care program and northern california presbyterian homes is the lead against for the transitional care program and intervention for people to kind of meet people's immediate need when is they come out of the hospital and it incorporates coaching and coordination for people coming out of the hospitals and one thing that we realized would be helpful for the transitional care specialists to have is a little bit of funds to provide services for people that they need, so just like with the regular community living fund how the case managers have funds that they can use for specific services that people need when they go out. this is similar. it's the same purpose, so they use those funds for rental

assistance, for food, maybe a little home care, equipment, other supports that they need to put in place so they can stay safely at home when they get out of the hospital so this is not new. this is something that the transitional care specialists have had access to for a long time but we're moving from one service category to another so we're putting it under our case management category, but they have had access to it all along so this is really just a contract modification. >> thank you. do i have a motion for approve for discussion? >> [inaudible] >> thank you. any comments, questions from the commission? any comments or questions from the public? hearing none call the question. all in favor. >> aye. >> any opposed? thank you. the motion carries. the second item is item b is requesting

authorization to modify the grant with institute on aging for community living fund during the period of april 1, 2015 through june 30, 2015 in the additional amount of $40,500 for a revised grant amount not to exceed $16,941,577. shirreen. >> yes. this is a one time only request that we have before you. the city works with a number of organizations with these cfci's and provide houses with people living with hiv/aids and these organizations are facing some real difficultly -- real financial difficultly partly because of the cut in ryan white funds and partly because it's a model that's really hard to sustain so they're looking at the people

that live in those units and saying okay are their needs specific to hiv/aids or are there issues related to aging? do they need to stay in these units? do we need to look at this whole thing differently? and some of the organizations came to the city and asked can you help pay for this and use general fund to pay for people to live in these units and the stay came back and let's look and do an assessment and figure out if people really need that and make recommendations on what to do, so we don't have an agenda here, but it's said we had one time funding that we could provide for the process so this is kind of a joint effort between daas, the human services agency, and the mayor's office of housing work together on it and we want to very much support the organizations that provide this housing. it's really

important but we also want to make sure that the models are sustainable. that the organizations are efficient as possible and people living there are really the ones that need that specific housing and care, so we looked around. we had offered to find one time funding for this quite a while back and took a while to find an organization with someone with the skills to do the assessments and that is ioa and it's $40,500 and $300 per assessment and a one time request. >> thank you. may have a motion and seconds for discussion? >> so moved. >> second. >> thank you. any questions or comments from the commission? any comments or questions from the public? hearing none call the question. all in favor? >> aye. >> any opposed? thank you. the motion carries. item

number c -- item c requesting authorization to enter into a new grant agreement with aids housing alliance san francisco for the period of april 1, 2015 through june 30, 2018 in the amount not to exceed $2,631,330 . the purpose of this grant is to provide housing subsidy for seniors and adults with disabilities. this grant will be funded entirely through the county general funds. mike zaugg will do the presentation. >> good morning commissioners, executive director hinton. i am mike zaugg and a program analyst with daas. the contract is a new program and housing related program. i am sure you're away this is one of the big challenges in san francisco that we face. census data shows us that the housing challenge

affects seniors those with disabilities disproportionately and this program hopes to alleviate the situation through a subsidy payment and identify seniors and younger adults with disabilities that had a recent decrease in income and but for the assistance from the program would be evicted and the rental subsidy the eviction would be avoided and stabilized and could remain in home. the range of residents in san francisco that will benefit from the program varies but in particular it is to focus on the aging disabled. these are residents currently on long-term disability policies and are aging off of that policy, so when someone reaches the age of 65 that long-term disability policy ends and they are then moved on to social

security and /ssi and see a decline in income at this point. in particular this is thought to have a huge impact in the community of people living with hiv/aids. there are studies that show that the population in san francisco between 400 and 1200 individuals in san francisco that will fall into this aging disability situation. clients participating in the program are going to be asked to meet strict variability and reporting requirements to participate. >> >> the program as designed right now will serve 61 unduplicated clients on an annual basis. i believe this is a new program for daas moving into the housing realm and subsidy realm and we're excited about. the aids housing alliance and the contractor that we select side a new daas contractor but we're excited to work with. certainly in the initial interaction with them i have been impressed with the

knowledge of the current housing situation in san francisco and their passion for working to advocate around that. >> thank you mike. may i have a motion to approve and discuss for this purpose. >> so moved. >> thank you. commissioner loo. >> isn't there is a time area and 16, 17, and 18 -- the first page, the cover page. >> the annual amount. >> the annual amount. physical year. >> no, i believe that's correct. so fiscal year is essentially -- we're within 14-15 now. this contract will start as of today. it's currently budgeted for april, may, june -- that amount. >> since the fiscal year '16 and 17 is repeated. >> oh i'm sorry. that is incorrect. so that would be 17-18. >> right. okay.