>> oh that's enough. you mentioned more than four points. >> okay. thank you. >> thank you. >> next we have the joint legislative committee report. diane lawrence. >> good morning. i wanted to start off with an action item from our march meeting. commissioner seriina asked if there was a new status felony created under the identity theft for seniors proposed legislation, and the current legislation has -- identity theft has one year penalty attached to it. the proposed legislation and the number is escaping me and extends that for anyone over 65 to two years so takes the current felony legislation on iernt theft and

expands it for anyone over 65. >> thank you very much. >> you're welcome. some of the old business i promised to report on the california welfare's directors meeting at the last commission meeting and they were to meet the day after our council meeting, i don't have a report at this time. we will have one in the may report. under new business we talked about there are a number of budget initiatives moving forward or in the -- starting in the budgeting process on behalf of older californians and disabled adults and caregivers and there was a hearing on march 26 and it focused on those variety of areas, adult protective services, ihss, and very definitely the expansion of the ssi and ssp work. they were all addressed. individual pieces of legislation are being

developed along those lines to address those topics as we move through the budget process. calworks was also one of though topics. last year senators carol lui and wolk and beale worked on a report shattered system in california and the senior legislature group was informed of legislation that goes along with a number of those recommendations, so right now there are 19 bills. i have information on them that would address those recommendations in the report. 15 of those have been sent to the legislative committee for review. none of them are overlaps of the csl legislation that i mentioned at the last two commission hearings so they have asked for letters of report and resources for testimony. we don't have any

specifics on that and as soon as we do we will let you know. so that's 23 bills in total that are being monitored right now by the csl. we were told that many of those will be two year bills so it's not like we will try to get them all done this year so the two year legislative session some will be addressed this year and some next year. how that breaks out? i don't know yet and once we do we will report on it. as mentioned by mr. schmidt there is a current ask in the budget for more money for adult protective services and we were asked to support that budget ask. that was the first time as co-chair of the legislative group had to come up how we handle that so i am still working through that process so please bear with me. the governor and c4a are supporting

more funding for adult protective services. what we did ask for as a result of starting to get letters of support that are asked for is create a master list of all of the areas that we're being asked to support and keeping track of what we're doing with them and we will make that available to you as well. we had a guest speaker, benson nidel of the long-term care ombudsman association and they represent 34 ombudsman program. current state law requires that investigation and reports of neglect and abuse in long-term care facilities, and over the last number of years that budget has been severely cut while the legislation still requires they go out and investigate. in 2008 the budget was at $3.8 million and the appropriation was based on the number of beds in the

county. san francisco during that time over the last 10 years has lost a thousand nursing home beds so you can see that our funding was reduced. current staffing at two full time equivalents and plus a part time consultant so meeting those requirements that are set forth in the law are difficult to meet so there is funding is needed to in hopes of visiting sites quarterly just on a routine basis and handing -- handling abuse cases over the course of the year. they have asked -- assemblymember cheryl brown asked executive directors to mold or craft a ask for bill to increase funding for the ombudsman. now that we have some money to start restoring levels of services so that we can fulfill the legislative

requirements. at the meeting commissioner sims asked about scott warner's long-term care bill of rights that would prohibit discrimination faced by lgbt seniors and there was a press conference that was scheduled the day after that meeting which was held, and there was a vote on that proposed ordinance yesterday at the board of supervisors meeting. i did a little work in case there were questions and it passed according to the supervisor's website. director hinton reported she met with the governor's staff on poverty levels regarding older americans and disabled adults and there was a hearing the day before at the governor's request on the topic of poverty in that population, and that is continuing to move forward as time moves on. they're going to be a serious of budget asks as

i mentioned earlier including the extension of medicare under the affordable care act. the way the affordable care act is structured we know there was an expansion of medi-cal and similar programs nationwide in the states but funding was not put in place both to help with applications and covering of costs so there will be some money there, and then assembly person caldron has a plan requiring the department of social services to have unannounced inspections of care facilities with a target date of july 2018 so the goal would be over the next 3-4 years to move inspections from every five years then to every three and eventually by 2019 be able to inspect every year so again this is going to be a funding issue moving forward and then a

reminder that may 6 is senior rally day in sacramento. >> thank you. >> you're welcome. >> any questions? thank you. >> thank you. >> now we have the long-term care coordinating council report. >> good morning commissioners and director hinton. i am sandy morrie and a member of the council and i want to give an update on the last meeting. we are at budget time as you know so we're making our rounds to all of the supervisors, all 11 supervisors from members of the council and we try to have a member who is a resident of that district, people who are familiar with that supervisor, and have good relations with that supervisor to go, so usually we end up with two, three, four people with each

supervisor to visit them, so we're basically trying to say the same thing to every 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 morni