supervisors recently passed lgbt senior long term care bill of rights. the [inaudible] will be one of the programs involved in the implementation of that ledgeilation going forward. the other thing is continue to build the relationship with the high cap program. the programs found they have client with overlapping needs or one is better suited. with that i'm happy to answer questions. i think we have benison here as well. >> i would like to hear from benison. >> the question? >> yes, i do have a question >> ask your questions >> not at this time i don't have a question for you.

>> okay. . >> you need to ask him the question >> last year i think the state legislature made lots of laws for the improvement of the checking up on th-what you call it? the health care facilities. those effective-those laws are effective i think for the last maybe 6 months. how good is those laws? when you look at those laws do you find more deefficient on those caring for the seniors? >> i'll try to answer this briefly. first off benison is involved in actual testimony in sacramento so he may have been

involved in that recent legislation. continued oversight of skilled nursing and residential care is important. one challenge of the legislation is increezed responsibility is getting increased funding. the good news is we have seen increased funding and benison is tied with the kunt law and that is something constantly added into his program >> i add commissioner that much of the legislation passed last year would have effected the state licensing and review where people go out. most of that was not necessarily related to the program because it was about fines and other kind of things. the [inaudible] has every reason to be interested in that and provide a voiz to it, but it is in the pervy of the state most of the laws passed last year.

>> i want to thank the commissioners and the city to continue to serve the elderly and disabled in various institutional settings. it is a honor to serve san francisco. thank you very much >> i just have one question in the [inaudible] program i see you allotted funds for the lgbt community and i'm just saying i hear with the latino-at least the african american we have a the out migration and whether or not that person would take a part of that, you know, job and looking at the latino as well as the african american partnership in the outreach. i know you are specifically for lgbt but we have exist of

african american, can it be we have that group of people we call a partnership? i'm just concerned, with that time. >> your concerns are noted and i'll take a look into those and relay those to the [inaudible] and other programs that might be impacted. >> any other questions or comments? >> one general question. most of these reports have a operating expense detail and budget summary but this one doesn't. >> um, which page would that be? >> the last 2 pages. it says the salary and benefit detail appendix b page 2. i'm used to see budget summaries and operating cost.

>> i have this as a 5 page budget. >> i see. >> we only have one page. >> okay. >> commissioner seriina >> i think the budget detail is on salaries and benefit page which is attached to this. that is what the salaries are entailing is additional staff >> any other questions? seeing none i call for the vote. all in favor? opposes? the motion is carried. item c request audibilityization to renew grant with sfville frj senior village model for jm 1, 2015 to june 30x 2018 in the amount of 300 thousand dollars plus a 10

percent contengeancy not to exceed 33 thousand. can i have a motion to discuss? >> this item is a 3 year grant renewal for san francisco village. the san francisco village was launched in 2009 and provides villages services city wide. the program has shown strong growth and has a membership of 325 members. the program monitoring of san francisco village took place for 14, 15 took place in march and there were no findings. san francisco village is on pace to meet or exceed all contracted suvs unit. we have [inaudible] director of san francisco village. i wasn't sure she was introduced the the commission so wanted her here to appear to you all [inaudible]

kate and i are happy to answer any questions you may have about the agenda item >> commissioner [inaudible] >> i think the city is under a 2 year budget and this program is 3 years. >> sure. typically what woe do is do 5 year contract and i think-correct me if i'm wrong here, while this is a 3 year renewal there is language saying if there are budget chaipgs in the city that will effect the viability of this contract. so, it is a--yeah. >> commissioner sims >> i'm interested in context around the membership diverse tow goals. the language in the document is a little bit vague and the outcome objective is

demonstrate at least a 5 percent increase in diversity which randomly seems a little low so i wonder is the diversity ethnic diversity, is it lgbt community? >> we are defining that as based on ethnicity race and lgbt status. the current-we are waiting frathe end of the year numbers but think the diversity is around 10 percent or slightly higher than that so we'll take that number and hope to see a increase of 5 percent across the term of the contract. >> can you give me a little more information around the 10 and 5 percent? >> if we are at 10 percent today june 30 we would like to see 15 percent. >> population >> 325 >> what sth dem ographic of the

population? >> the demo graphic now is lgbt or anyone non white race or ethnicity. >> of the 15 percent? >> okay so everyone else is white, so 85 percent is a caication member? >> yes, >> why is that? >> good morning and thank you for the question. if we knew we don't know--it seems to be that the village model is particularly attractive to middle income group of people and so we are trying to diversify socio economically, cultural and ethnically as well as lgbt community. we had more success attracting the lgbt community and also the african american community. we are still struggling with bringing in more asian and latino folks to the village so a strategy to

change that is do direct outreach into neighborhoodss where we think a lot of folks live that would be asian or latino. the other thing we think we need to do is bring more folks on to the board of directors that can help us in developing relationships in those communities and build bridges to establish the trust in belonging to something that-it is true for the whole population to be honest for you commissioner rf. if you look at the total population in san francisco and we have 325 members, i knock my head every morning say why don't we have 3 times that money and think the answer is because we are a social innovation and takes people time to understand what is the village? what is a membership in a village mean >> are you partnering with other agency focused on those

dem graphic populations >> yes we are. we developed a plan for the next 3 years and we developed a partnership committee from the board of directors to look at that very question. who do we need to bring in into our network that can help us build bridges into those communities. it is on our radar screen now >> commissioner seriina >> thank you, is your membership primarily home owners? >> yes-we have a lot of renters as well >> do the renters get assistance from the landlords or absorb the cost? >> members absorb the cost accept those that live in a city scape management building. city scape a property management that is in relationship with us for 6 years and they pay a portion of the membership fee. however

that relationship is changing at the end of this year and they will be able to pay less and they are going to require a share of cost with the member so the member pays more of that. >> thank you >> you bet >> commissioner loo. >> i have 2 questions. how much is your membership dues and how much does the reduced members pay? >> thank you. membership fees for a individual are 600 dollars a year or 50 dollars a month and for a house hold it is 750 a year. for the reduced fee membership oaf which we have 45 at the moment so that is about 13 percent of the total membership, the membership fee is 100 dollars for a individual and 150 dollars a year for a household >> where do you get all the

money to subsidize those members? >> partly from the city. it is built into the contract with the city >> my second question is page 4, outcome objective-at least 35 percent we respond to annual consumer satisfy action survey, isn't that low? >> 35 percent is our typical return rate across dos programs so we typically use that in the contract. i thinkicate is probably going to tell me their return rate is much higher than that. >> what is it >> we actually-i would have to get that data for you. we participate in a study with uc berkeley. they evaluate village for the past 4 years and we are part of that evaluation. i don't have the

numbers with me but can get them to you >> i would like to read-- to. >> commissioner james since there seems to be not as much information about this program or commissioners may not have as much information about the program, i just want to say this is a program that the department of members of the board of supervisor and mayor have been looking at in the hopes it could help us address the population oaf people that are not the porest in the community. we have as you know, many many programs for people who qualify for example around ssi or medi-cal or both so we have a lot of services for that group, but it is that group right above that and up that there is not a good service package for or you have to have quite a bit of money. the villages are one of the many ways we are looking at as

a department and city and county how to strategically serve a group of people that can probably afford to pay something. not low income enough to qualify free service but can afford something but may not be able to pay the full amount. this is a test, it is a-the village has been around for any numbers of years in other parts of the country and in the city for a number of years and think something i realized-i will say i hoped in the beginning this is a program that would never need government money and there would be enough members and membership money that it could stand on its own but i have come to realize that is totally impractical. all organizations of this type need infrastructure support so that how we see this. this is a

organization with infrastructure support and they can grow their membership and do what they need to do. this is a little different program than most things you see us fund, but it is interesting and has lots of opportunities for i think a key group of our community. it is probably also why you don't necessarily see all the diversity you may be looking for. >> seeing you try to attract the asian and latino, so do you have people on your staff that speaks the language? bilingual, bicultural? >> at this time we do not and part of the reason for that is because of the service san francisco villagea u offers come through volunteers. we have membership of 325 and 115 non member volunteer that provide support throughout the

day and week. our language capacity is not there yet. hopefully down the road we'll be able to develop that. if we attract somebody that is a mon olingual speaker and we are not able to serve them we don't think that will be a good fit. people are not going to want to maintain that membership so we see that developmental. as ann said the investment you made in the infrastructure we are grateful for as we build this and hopefully down the road we are able to have a much bigger membership serving a much broader segment of the population. it is in the plan. we are one of 165 villages across the kuntgy when i started through years ago with san francisco we were one of 80. the number of village

nation wide doubled in the last 3 years and we are gaining momentum but it is a new idea and taking time to convey the message and educate people and persuade them to join us >> i just want to add, [inaudible] not just shared by dos but by the membership itself. i attended thairb state of the village meeting earlier this year and one of the comage questions brought up by the members themselves is when are we going to increase diversity in the program. >> commissioner sims >> sorry to belabor this, but i think from a measurement point of view it would be helpful a year from now to see information related to those dem ographics as they relate to the had larger population so if it is true that this income population that this program is target ing is dem graphically

different than other populations, income different than other populations we serve, i would like to see performance mapped against realty so that we have a better understanding of this population is 60 percent caication and 3 percent african american and-i'm making it up. so we have a better sense so whether or not we are reaching a dem ographic goal, a diversity goal consistent with the city population target audience >> we can have the planning department put together a presentation on the dem ographics of san francisco. city wide and neighborhood and make a presentation in the next year if that would be helpful. >> that would be great. i haet to see make work- >> we have that anyway >> in the reporting how city dollars are spent in a program

like this i would like to see us looking at whether or not the program is mapping to the population consistently so zee a-this is the dem ographic of the city and in the income band the program is designed to serve and the program is meeting that objective by percentage. >> okay. >> i think just to say we would need to take that under consideration as we put contract together and make a determination about that >> commissioner [inaudible] >> i think dem ographic analysis would benefit if we can have a comparison of home ownership rates across the city and home ownership of the members. if memory serves the first village was set up in beacon [inaudible] boston which was a high income village. i feel the percent of home owners

in the current membership is probably higher than the percentage of home owners spread around the city so think it may skew the results one way or the other and should adjust for that accordingly >> since this is slightly different from what we typically have as far as budgets, the fact there are membership fees and you explained to the commissioner there are different rates, would that be reflected on the budget summary or how are we to anticipate whether this program 2 year or 5 years from now can stand on its own 2 feet? >> membership revenue is not included in the budget. >> so as i said earlier when we began conversations a number of years ago looking at the model because we fallowed what

happened at beacon hill-i was hopeful maybe someone would find a business-be able to develop a business like model that would really serve a population of people that cannot-can afford to pay for services and some who can not. i think one thing i learned only too well over the years is it doesn't matter how much income you have, most oldser adults and families have no idea of the services that are available in the community so people need access to that and need a understand that either if you are low income enough you can probably stay at home with a lot of crunic disease and even if you are frail because there is a social support. we have a lot of money. i'm always surprised but it turns out with folkwise a lot of money don't know this either. people still believe

it is either institutional care or have to be healthy as can be. again, this is a avenue for us to explore what might be possible for all older adults so that we have programs that serve senior centers, activity centers or anyone who wantss to walk in the door regardless of their income. we know a lot of older adults and young adults with disabout won't go. what are the other ways that we can make sure folks know what is out there and have those opportunities to be as knowledgeable and involved in their community. i think our activity centers in the 2 villages both provide this real opportunity for people to stay engaged and we know both for ourselves and also through the research that social engagement is essential to quality of life as you get older. again, we

are investing in this program to determine what those outcomes will be, but right now we are always concerned about diversity in programs. right now we are really investing in something with the hope it will be able tobranch out as it goes along but it still a narrow group of people that find a interest and take a chance at something like this. it is such a new concept and villages open and close every day. >> i just want to add one point. i think some of the things that when you talk about a village we are talking about there cultural differences. for example i think in the african american community their culture is around the church so they are more familiar with the church members taking care of them rather than maybe the neighbors

and it may be different in the latino community as well as in the asian community. but, there was one article and i'm going to give it to director an henten that they talked about in this paper, lujunea honda and there isn't enough beds and people are being shipped out of the county and we are not willing to give that information on how many are being shipped. i wonder how many are being shipped out of the county when we can have that type of care in the community? that is something. they did talk about that and i'll give this to you, talking about cutting down the skilled nursing facilities. having them having care in the home would cut down on the using

skilled nursing facilities but if we don't have them in the city the alternative is the community care. i'm just wondering is that something-i would like to know if this is a problem in terms of that. not having skilled nursing facilities in san francisco and whether the village is helping to keep them in their home. >> you can look at any number of programs that we financially support but i don't know there is any program other than ihs that we fund at the level it needs. everybody else that we provide funding to is out fund raising for programs as well. a lot of the programs we fund are programs to help people stay at home. there is still a segment of the population and i

think and if you look at international support, people with alzheimer's and dementia are people that do better in institutional care than they do on one to one in their home. i would say the village is one of many programs that we look to help people stay as healthy as possible for as long as possible but we have known for years there are enough beds in the community both nursing home and assisted living and that people especially low income people are having to go out of county for those services. that has been reported for any number of years. >> okay. any other questions? seeing none could we call for the vote? all in favor? >> aye. >> opposed. the motion is carried. next item on the

agenda is d. are quest a authorization to enter into a new grants agreement with asian pacific [inaudible] legal outreach provide to elder prevention service [inaudible] in the amount of 50, 745 dollars. plus 10 percent contengeancy for total not to exceed 55, 820 dollars. can i have a motion to discuss? >> so moved >> 2nd >> so president james, commissioner director henten and commission secretary [inaudible] office on the aging. program analyst there. i come before you today to present a small grant for elder

and dependent adult abuse prevention to asian pacific islander legal outreach for your review and approval. this was a product of rfp 647 and we want to let you know that the purpose of the grant is to improve the protection of older persons and dependent adults in danger of abuse by raising public awareness of elder and dependent adult issue and mandatory reporting requirements. api legal outreach is equipted to [inaudible] city wide effort you will hear about after this item. recently the program manager showed the data shows asian pacific islander are unrepresented. we can draw that there is less abuse or

need in the api community, but it seems more likely there is a suvarunderreportingin the community and we also know there is probably very real barriers to this issue and so it is with this type of confident that we have for thisancy and this grant to provide the multiculture and multilingual skills to target outreach and education within the api community. one key element is to produce and distribute language appropriate education materials to the general public, professional and care givers. we urge your support of this particular grant >> any questions? commissioner loo. >> the education al material, you know how many languages are they in? >>