hospital and one of the persons that spoke mentioned there was a recommendation about 25 percent hiring increase to prevent a metal down at the hospital what is happening to prevent that meltdown. >> in los angeles. >> we have a schedule for hire it is bans the budget and based on the needs of hospital and we're hiring every month towards those targets i don't think we're going to have a problem opening and hire in the hospital wife added those into the picture they're in in the pool we're hiring we're on track and we'll be fine in opening the new hospitals in terms of the leans h.r. did 5 lean event and maybe 27 lean events that is a different lean event in the

emergency so i can't speak on that. >> thank you, mr. wagner and we'll wrap up. >> i'll add supervisor we'll be continuously evaluate as we get into the new building with motion and staffing studies for the workload that's part of our continuous evaluation. >> i'll appreciate that my office be appraised how things are moving along thank you very much so i want to thank my colleagues and sitting in on the hearing folks from dph and h.r. and the public it sound like one way or another we're on a good pathway but one i want to make sure we monitor to have the new hospital happen seemingly and be a provider in the affordable health care act so thank you, everyone for pulling together

and at times we're apart by the way, back together thank you. >> thank you supervisor avalos (clapping.) so colleagues with that being conducted i'd like to entertain a motion to file item one ash motion by supervisor mar and seconded by supervisor tang without objection. >> all right. call item 2. >> hearing open the state of the city's homeless services and safety net surveys and the home agency and the did you want and the mayors to report. >> thank you madam clerk. >> i'd like to ask for those members that are leaving the champ to keep it quiet so we can continue to conduct business thank you very much so colleagues the hearing around homeless and safety net services continues with the string of issue based hearing into the

cold war budget season so as we've had one open public safety and neighborhood affordability and quality of life issues i wanted to make sure we address those that are the most vulnerable in the city and talking to the city in working on the issues i want to thank all the agencies and let's gets started first up our h s a here to come speak mr. recognizing thank you for being here. >> members of the committee i'm the director we're loading our presentation. >> great.

>> thanks for holdings the issue based hearing around safety net and homelessness i'm going to present a dual presentation on the demographics and sort of what san francisco is looking at in terms of poverty and homelessness and sort of problematically what are we looking to do as an agency to address some of the data in the first slide and i have a few slides on poverty and the equally that's been in the news nationally and statewide as well as locally and the mayor in his not only city address talked

about the low employment rate and seeing if that reaches the adult the data suggests it is not h he proposed one initiative in next year's budget called 5 hundred i want to lay out some of the data you look at 2013 data over 55 thousand residents ross are not households recipe that are below 50 percent of poverty level it is an example as a family of 3 is $10,000 a year those are single adults and households that are poor in san francisco if you look at those families excuse me. persons individuals that are blow hundred percent poverty 55 thousand below 50 is another 60 thours thousand or so 50 and hundred percent federal

poverty given our standard of living it is still extremely poor in san francisco we look at in terms of designing our programs interventions 2 hundred percent of poverty is for a family of 3 is $4,000 a year we have over a quarter of a million individuals that are below poverty in san francisco if you look at income distribution and the income gap from 2010 what you find is quite telling graphic in front you have 3 bars by in case the black is 190 and the gray and $2,010 your comparing apples to apples most

notably significant growth in the number of households making $200,000 a year or anymore and addition for the whole sector of hundred thousand dollars a year has grown significantly since 1990 those are are 201010 numbers but the trend remains another point to look at that group between $25,000 a year and hundred thousand dollars a year we can define as the middle-income is shrinking we know most notably those households earning less than $25,000 a year and it has been since 1990 what story does that tell the middle-income and the upper income households and the growth of low income hourlt that's what we are looking to

address with pursuit 5 hundred and the departments notably the did you want what are we talking about we've laid out a number of dollars amounts you can look at and get a sense of where families lie. >> through the chair i want to ask a question for that slide our look at the past household distribution you high-minded that the growth of the extremely low income poverty level has increased significantly and is almost 75 thousand people so it's the lowest income increases and the highest from hundred $75,000 to $200,000 and the highest one household above

$200,000 is increasing 0 so did wealth gap is widening between the poorest and the wealthiest in - >> yeah. this is not wealth disconnection but significant when you say 75 thousand households in san francisco so the earning is below 75 that curb is widening and getting deeper so the aquarians to u one day and the wealth gap in san francisco like countries like u wander we're seeing that in family income mentioned how we determine poverty and s h a you might look at 2 hundred percentage but families only earning $40,000 a year how can they pay their rents given the represented are going up.

>> that's a great segue. >> my last want there are different nonprofits and justice organizations looking at powerful indicators and i know that dcyf uses the in sighted. >> the community development and an elderly index do we factor in a lot of things like the basic economic. >> we do and again that is kind of the next slide i want to rely to you. >> so there are 6 bars on here and really does get at the self-sufficiency standard i mentioned the poverty level a lot of the plans are tied to those sf government and the state but hundred percent of poverty 2 hundred percent

poverty your struggling to make end meet in san francisco as a city towards the self-sufficiency as our ultimate goal the hass has stayed out at the 2 hundred percent poverty level and things lying subsidized employment or unsubsidized tax credits those are opportunities to get the families to the next income where you know this is families on public assistance and getting food stamps a family of 3 is getting $14,000 a year in food and support they're also getting health care this is the federal poverty level the mid tier this is where it comes in this is project 5 hundred an initiative

really led principally by the department of hand-me-downs an effort to target 5 hundred of our poorest families in inform and moving them out the poverty a midnight approach attempt to address all the multiple barriers 3 families are facing in addition to income things to or things utilization housing and behavorial issues with children so when you look at how to do that the only way in our economy to get people out of poverty is to work sincerely cash transfers didn't do it alone when you look at the minimum wage in san francisco being what it is 1225 an hour two parents full-time the minimum wage close to $51,000 a year when you couple

that with childcare you're getting closer to that family of self-sufficiency that's not - maybe the stress level of making ends meet is lower so that's what you've of our interventions is based on getting employment someone into employment but getting full-time flo into a career path lard that's what we'll focus on with the 5 hundred. >> single adults a similar slides again what we're trying to look at the single with no which were no dependents and the sever sufficiency standard is lower but again minimum wage for a single person is $26,000 a

year which we want to move past in addition to income supports cash transferred is critical for our families and single adults is health care and security two principle ways it hass interferences is through cal fresh the food stamp program the affordable health care honestly changed the lives of thousand of individuals in san francisco for many access to health care we enrolled for medi-cal are they're certifying for getting them and dph our partners on health care are on the health delivery side we enrolled over 90 thousand individuals into medi-cal and now have over

hundred and $70,000 thousands that's represents 20 percent of our population the chart has shown growth considerably the next growth is in the cal fresh a lot of the individuals open medi-cal receiving the health care are eligible for food support so internally our ceo partners are getting families on cal fresh and increase that caseload significantly budgetary and problematically how are we doing this if you receive medal we'll almost triple our caseload and not create a triple workforce but to train and deploy o deploy our workforce to do multiple programs so a case worker can

enroll families so it creates efficiency we're attempting to take advantage of. >> classroom through the chair i know they've identified that cal fresh issue or the food stamp issue so many people who can qualify not signed up and we've funded a special outreach team to target the pomgsdz we knew to increase the eligibility are we continuing that and how to enroll the estimated 20 thousand h s a for people eligibility for cal fresh. >> thanks for the question so in negotiations with the mayor we have still ongoing we have proposed a whole host of 2k3wib8g9 workers for cal fresh and medal that are supported

through the federal and state this is important and the number we're landing around 57 so that will again and we'll be crossed trained in the dual k3wr0r789 we based that on the expansion 20 thousand it is important to note our work is not done when we enroll a family or individual there are on and on or continuing eligibility requirements we have to recidivist 2k3wib89 for every single household everyday so, now we have hundred and 20 thousand people on medi-cal we're done no, we have to recidivist those households so it workforce needs to be increased in terms of outreach we have an in reach and outreach they've asked the question are they on

cal fresh if not get them enrolled a whole host of initiatives with the food bank the school district and we have the internal capacitate and the technological capacity to enroll the folks. >> sir a quick question you and i have talked about this how in terms of people that within your purview in support of housing the magnitude of families that are not signed up for the benefits they could be. >> you know it is actually an series strategy since they are at least contractually under our purview one of the other initiated we're push for the mayor nauptd the increase of the

levels of housing size currently from one to thirty to hundred and proposing to drop our sites one to 35 but the expectation is that onsite case managers through sro's we'll be doing the ascertainment work to work with the clients are they on benefits to make sure they're doing it themselves on web applications we think that one to 35 is a manageable number and the krorltz recorded they've highlighted that as an area we needed to address the lower than expected benefits update rate among the housing resident. >> thanks. >> now sort of getting into the problematic budgetary weeds what's our poverty it is cal works

we have been fortunate over the last few years under the governors administration that finally the state has taken an active roll in looking at cal works it is a comprehensive program of self-sufficiency and work alone will not do it for families particular the families that are not on and off aid but for a a long time the caseload has been flat for a number of years that is an indicator folks have been on it for a number of years we need more and more every family starting i guess next month will go through a standardized ascertainment a very, very comprehensive

comprehensive interview to get at what are the issues the strengths and barriers to getting into employment and the path to self-sufficiency like children's needs etc. but now in addition doing the ascertainment we have this tools what the ascertainment may reveal in terms of fund through the family state stabilization initiative that in a sense parks a family in this stabilization sort of path and does not require that family to engage in workforce activities they're not read and the stable shut up provides the integral health and tutoring for kids whatever it it releases stabilize the family and gets them into the employment education or train

again funded through the state another big path we took advantage in the federal program and continued with the state dollars our states not program our successful program that is now statewide about hundred and $60 million we have hundred and 32 clients we placed in subsidized jobs hundred 1514 have xiltd in the world of work we're seeing encouraging data matching with ed do he d and the ultimate goal of that internal is not just to get income into the pockets of low income families but to prepare them in the world of work to retain that job in the private sector without a subsidy or find a

different job the earlier indications 60 percent of completion or more are resulting in permanent jobs through the subsidized jobs i'll note that for the first time the state has recognized that housing are absolutely necessary to g to get families from welfare to work they've funded a $2 million hours program and we got 10 percent of the share even though we have only 2 percent of the statewide caseload we've placed 6 thousand families the way we've structured the program place a family with a program and stabilize that and about begin to subsidize that through

training. >> the single adult does the strategy if look a whole lot different but i'll note what we see in the demographics and the circumstances of single adults the caseload tracks unemployment the unemployment rated more than the cal works the residents at cal works is generally flat the caseload of single adults has declined the same timeframe has dropped so the single adults tend to be more poor in and out of jobs and more able to take advantage of american people economic recovery there's not a core group of adults not on public assistance that number could be around the 5 thousand or more mark we're getting yet

to see a flattening that medians we need those comprehensive interventions for mental health and employment and includes assistance with getting open federal disabled if they're not able to work and the cap program needs to recognize that as the principle income for single adults we need to be geared towards employment and housing and less towards maintaining someone's eligibility and what that means inlay persons speak we want to keep folks on cash assistance we want to not be distvend for not mailing in a form one of the manifestations we're seeing a lot of single adults that we house through the california cal cap getting

evicted because of cash flow to keep folks on aid more consistently we've seen a growth in the caseload of 14 percent because the folks are not be discontinued this is a good cutting-edge segue to our housing and homeless i've been up here a lot and you've heard a lot i know that supervisor farrell agrees the corner stone to ending homeless is supportive hours we've expanded supportive hours under the h s a as you can see through this graph every year we've increased and last year, we've added quick math over 2 hundred units for veterans and families and transition aids

youth and the mayor proposed an additional $14.5 million for more than 5 hundred supportive units in 5 units across the city that is not rescued in this slide it is exist and the commitment to getting single adults into housing coupled with an increase investment or continuing in the navigation center that is really starting to become the avenue into housing for chronicallyly homeless folks cam open the street and not in shelter by couple of those many of those being existing from the navigation center we'll see the effects of the navigation center on the population and add i mentioned already but i'll note

again, the increased investment open the service side of affordable housing with services and the serviced are there to meet not only to maintain folks in the housing but hopefully help single adults and folks exit the housing and temple tenants rely lessen emergency assistance care ems calls incident that end up being resolved from the department of public health budget instead of fund the services we've stone shown to be able to reduce the costs and better equip folks for exits that one $.8 million drops our caseload to hundred and 45 with that, i'll conclude the dhs

from the department of did you want services the colleagues are here to present i'll answer questions now. >> commissioner eric mar. >> yes. to the homeless population i could wait until the end supervisor farrell but it makes more since to ask now i want to say thank you it is incredible we're as a city investing in improving the sro buildings and reproducing the navigation center i wanted to thank beacon hill and the staff for incredible work and also the investment in the mobile integrated health practice and other great programs but it says a lot what our city is trying to do with lifting people out of poverty and homelessness i want to thank the coalition on homelessness we we know how the

dis displacement is impacting the city i think the new homeless versus the chronic homelessness do we have numbers open the homeless people requesting shelters or various services. >> not sure we have this data specifically but what we have is the report open the homeless count we start in january of 2015 that not only has a e nutrition of folks that asked those questions how long were you homeless homeless in san francisco are you a veteran all that rich demographic information we need, however, that we need in order to taylor the internals but