at this time we ask that you please silence all sound producing devices for the duration of the meeting. >> thank you. may have a motion to approve the agenda? thank you, any comments or questions? all in favor? any opposed. thank you, the motion carries.

item 3, approval of the december 6, 2017 meeting minutes, motion to approve? any comments or questions? to the public? hearing none, all in favor? any opposed? thank you. the motion carries. item 4, reports, the director report, thank you, shireen. >> director mcspadden: thank you, commissioner, and i want to extend a special welcome to commissioner papas very happy to have you working with us. i was at the national association on aging board meeting. i mentioned before, but for those of you who haven't heard, i'm one of two representatives from california to this national association. and it's a great organization, they're focused on building the

capacity of aaa so we can help older adults. it supports initiatives such as livable communities and dementia-friendly america. they advocate for funding for services for adults and adults with disabilities and provide tools such as the elder care locater. they're a great organization to belong to. very supportive of the aaa, the area agencies on aging across the country. at the meeting we heard from cms officials talking about feature initiatives and opportunities for aaa and our cbo partners. they promised that they're moving into an era of innovation, for those of you familiar with cms, you may wonder what that means, but they've pointed out they loosened up the reg from 10 or

15 years ago. so we'll see, i'll be reporting back on that in the coming months. we also heard from lance robertson, the newly confirmed secretary for aging and a >> adaad administrator. one of the things that we do at this meeting that i find interesting is we go region by region, so each region across the country kind of reports in about what the challenges are that they're seeing and how they're dealing with the challenges. but one of the biggest things to emerge, obviously was housing. nobody would be surprised by that. but the second biggest thing to emerge was really challenges with respect to foworkforce.

i see those as two different things, one being the workforce that supports people to live in community safely. and the other is just making sure there are opportunities for employment and employment opportunities for older adults and adults with disabilities. that's one of the things we came up with across region 9 as a challenge and something we need to figure out. so did other regions. it was a big issue this year. i haven't heard it mentioned at this level yet. i wanted to talk next about the reframing aging initiative in san francisco. i guess i think all of you should have received an invitation to an event we're having on january 23rd. it's at the koret room of the library. if you haven't, let bridget know. if you didn't, it's not because

we left you out on purpose, it's because something happened to the invite. that's the meta fund and department of aging and adult services are cosponsoring the event. and there is organization called frame works institute that has done work on reframing policy conversations across the country and across the world. one of the things they took on is aging. we know that ageism is rampant in your society and they kind of wanted to look at what people would respond to with respect to aging. how do we reframe the conversation around aging, so that people care about it differently. this is a database approach to reframing the conversation about aging in the united states. and so we thought it would be a really good thing to do in san

francisco and we're having a big event january 23rd, the library, from 2:30 to 4:00. i hope all of you can there. this will be a level setting conversation, where we can all come to the conversation from the same framework. the second day, we're going to have workshop by invite only, because we have limited capacity. that is 35-40 people meeting at meta fund all day to figure out, how do we carry the conversation farther? what should we do as a city? i think it's a real opportunity. i want to say that one thing that is great is people who are communications experts be there. so we're asking the nonprofit partners who we've also invited to bring communications, their communications specialists if they can. i think it's going to be a great opportunity. and i'm really very happy that the meta fund has reached out to work with us on this.

bridgett also sent out a notice, hopefully everybody got it, but we have changes in terms of meeting times. just general meeting, wanted to make sure everybody knows. on january -- obviously today is a meeting. you guys are all here. got that memo. on january 8th, from 3:30 to 5:00 at the borne auditorium, they'll hold a budget forum, community budget forum with the public. and what we do, trent comes in and gives overview. dan kaplan, deputy administrator for administration will talk more specifically about the mayor's budget instructions and then trent and jarrett who is the head of the administration, will talk about the plans for the department. so it's kind of -- it's really

focused on what the budget instructions are. there is not a lot of detail in the budget at this point, because we haven't gotten there yet, but if you're interested please join us. on january 23rd, from 11 a.m. to 2 p.m., it's here in this room, the finance committee will meet and we'll be presented with the daas budget. and the initial planning efforts. and then the regular scheduled february 7 daas commission dating date was changed to tuesday, february 13th, 2018, that will take place in this same room, beginning at 1:00 p.m. at this that meeting the second reading of the daas budget will take place and they'll vote to accept the staff budget proposal. and obviously all meetings are public. and public is welcome to attend, but we're hoping, not sure yet,

if we're going to have them televised. we hope we are, because we generally televise our meetings. i think that's it. i wanted to end by saying, i think all of us as mayoral appointees were shocked and saddened to learn of mayor lee's death. we've each worked with him in different ways. i know many of you were very, very close to him, so this has been a really difficult time. so we just wanted to acknowledge that. and i also wanted to say that we're right now here to support acting mayor breed in whatever way we can and i know that all of you take that very seriously. and i thought maybe, i don't know commissioner papas, but maybe we want to end the meeting -- i'm looking at you -- maybe end the meeting with a moment of silence for mayor lee.

>> thank you. any comments or questions. for shireen? any comments or questions from the public? seeing none, moving on. employee recognition. the department of aging and adult services commission and executive director shireen mcspadden recognize joseph formentos from the daas office of long term care and operations. [applause] >> director mcspadden: joseph, congratulations. >> thank you. >> director mcspadden: we're here to recognize joseph formentos today. did i pronounce your name right? great, just checking. what i'd like to do today, and we don't do this often, but i'd like the people who support the

daas stand. because joseph is among some fantastic people. so the daas administrative folks do all kinds of things. they do -- they check on building supplies for us, when we have complaints about the building itself, which are pretty frequent. probably daily. they handle those. they handle the front desk. they do copying, they make sure that -- what else do you do? you guys do everything. they decorate the building when we have things happen. they make sure rooms are cleaned. they just kind of are the backbone of the organization when it comes to our building use in particular. so then, we also have people from the cqa unit who are part of the administration and they help with safety manuals and making sure staff are trained well and going out and seeing clients when there is a problem. it's a bit of a mix, but they're really a great group of people

and joseph is a star. and he's our star for january, 2018. our first one of 2018. so i got a chance to ask a couple of people this morning, what is one word that represents joseph for you? and i got a couple of different ones. one is dependable and that is certainly true, joseph is on time, he's here, willing to step in and help, very dependable. one is he's very genuine. he's a genuine person. and he is -- what you see is what you get with joseph. he's a wonderful person, very friendly, very outgoing and caring. the third is flexible. so he has to do a lot of different things. he's been asked to back up the front desk, take minutes, make copies, decorate, building issues and a number of other things and he does it with a smile. so, that's why his coworkers wanted him to be employee of the

month for daas. so i'm going to read what your coworkers have said about you, joseph. since joining long term operations in 2015, joseph formentos has been implemental in supporting the daas family. he has a variety of duties to support the clinical and quality assurance unit, daas reception and administration. his attention to detail, responsiveness and accuracy lends confidence in performance measures and reports. from ordering supplies, providing coverage, he is able to work with effectively with people from all different background and executes tasks independently and on time. when daas needed community support, joseph stepped up to the challenge and supports several work groups,. joseph approaches all tasks with openness and humility to support

daas's goals. nothing is above or beneath him as he embodies team work, professionalism. his desire to learn, thoughtfulness and patience make him an essential component of what makes daas successful. his kindness and generosity is what makes daas shine. so, joseph, on behalf of the department of aging and adult services, i present you with this plaque and congratulations on being employee of the month for january. [cheering] [applause] >> president serina: i normally stream these commission meetings, so i understand there is a lot to cover and presenters are anxious, but i wanted to thank the people that i love, starting with my parents who were supposed to be here. i hope they're dvr'ing this, but my beautiful wife camille.

she completes me, my better half. next, my work family. everyone on the fifth floor, including the ooa crew, thank you, ooa. melissa, tom nolan, he's like a mentor to me. bridgett, thanks, bridgett. where is valerie? valerie, i've worked closely with her recently and she's taught me so much, i've learned so much from valerie, she's amazing and i'm trying to learn as much as i can before she goes on maternity leave. thank you to the deputy cindy and jill. i don't know a better duo. they're like baumgartner and posey of the fifth floor. and thank you, shireen, thank you so much, shireen for your support. i have the deepest respect for you.

this vision for the department, i'm here every step of the way for you. now to my long-term care, i first want to thank adriana, when i first was on board, she taught me everything in the beginning, she was there when i was answering the phone, nervous. and she told me it will be ok. and it's ok. thank you to rea, she's on vacation right now. duane and larry. my nurses, i love my nurses, angela, luba, sue. i run down three flights of stairs and run up, i deliver one folder, and i just -- i'm dedicated to them. it's all the exercise i get for the day. the next two people i want to thank. i'm going to use a sport analogy. i like sports. but, fanny, thank you so much. fanny is like klay thompson. you know him of the golden state

warriors, he can rebound, shoot, he does it quitely and efficiently and that's fanny. when you need a bucket you pass it to clay. here's my mom. [applause] my mom made it in time. you know, with clay, you have the splash brothers, but this case, it's the splash sisters. carrie is steph curry of daas. she is mvp, makes me better. and she's the best program manager in the city. thank you, carrie. that's steph carrie right there. last but not least, i want to thank my direct supervisor. i had no office experience when i first started, but she gambled on me, put all her chips in and

it paid off, right ophelia? the reason why is because she allows me to fail, i learn from my mistakes and that's how i improve. for january 2018, i'm the employee of the month, but ophelia is my employee of the month every month. i'm humbled and thank you very much, i appreciate it. [applause] >> president serina: the advisory council report is the next item on the agenda.

leon-schm leon-schmid . >> happy new year to all of you, we'll have a report next month. thank you. >> president serina: thank you, leon. diane lawrence, joint legislative committee report. >> happy new year, we didn't have a meeting, but i worked with cindy kaufmann and we've begun planning what is happening coming forward and so i do have a bit of a report to kind of lay out where things are. i reached out to the senior, who is our representative from california senior legislature so i have their top 10 for the year, plus their three federal and i'll provide those to bridgett. but i wanted to go over a couple of things that are coming up. and level sets since there are

new commissioners. 17 bills were signed of the ones we were tracking last year, signed by the governor and chapterered by the secretary of state. two were vetoed, i'll get back to those and 15 had no action taken at the end of the session. many of those can come up again. the two that were vetoed elder and dependent adult abuse and care, which would have added preponderance of evidence, that was vetoed by the governor, but the legislature has 60 days to possibly bring that up over the govern's veto and put that into law. we'll be looking at that. the second was the registration of home care aides, which would have required registered home care aides to opt out of allowing their names and phone numbers to be shared with labor organizations. this again was vetoed and there

is the 60-day time frame, so we'll be reporting out on those. the bills where there was no action, they could come up again, but today is the first day to the legislature reconvenes. so we don't know what bills they're going to bring up or what new ones they may add. senator weiner has a bill, sb 1103, on bicycle yielding, similar to the legislation we have here in san francisco where you can yield the right-of-way. you can yield and don't have to come to a full stop. the joint ledge committee has been opposed to that and that's in suspense at the moment, so we'll see what happens there. today is the first day of the legislative session. next monday, the budget has to be submitted by the governor. one of the things i've added to my report is what the legislative calendar is by quarter to kind of level-set what needs to be done up in

sacramento. the 12th is the last day for the policy committees to hear and report to the fiscal committees and vice versa on anything that came up in the odd numbered years, so that's in the regs. and the 19th is the last day for any committee to hear and report on floor bills that were in the house last year. they have a tight time frame over the next couple of days. the 19th is also the last day to submit requests to the office of legislative council. and the end the month is the last day to pass bills introduced in the house last year. and february 16th is the last day for bills to be introduced at all. so we'll see a flurry of activities over the next 6-7 weeks. so the senior legislature met in november, they've issued a press

release. they have two bills that are -- two areas they're supporting that have come up before and we talked about over the last couple of years. one is on prescription drug labelling and this measure would require physicians and surgeons to indicate why the medication is being given and what it's for. so that easy to -- and then the second one is to increase the medi-cal needs allowance. that would be things like, personal supplies that someone on medi-cal may need to pick up. most of the others are around housing, tax contributions, a lot on housing, hunger. elderly financial abuse, grab bars in public rest rooms and toilet heights. there is three bills. one is fall prevention and grab

bars. adopt regulations to the medicare program and the third is california chinese railroad workers memorial day, memorializing the congress and president to enact legislation that would recognize may 10 as a federal holiday of remembrance to honor chinese railroad workers who labored from 1865 to 1869. so i'm sure there will be more than these 13, but we'll report on those in coming months. >> president serina: thank you, diane. >> a quick question, i'm asking this question out of naivety. it's the joint legislative committee, do they deal with regulations or strictly legislation? >> strictly legislation. >> i was concerned a little bit when i heard that the current administration, federal administration scaled back an

obama era policy on levies fines against residents in nursing homes. i didn't know where that fits. >> we can take a look. a thank you. >> president serina: did the governor explain his reason for vetoing the elder abuse bill? >> i don't remember, but i'll check that out. i can put an addendum when i send my report to bridgett. >> president serina: thank you. any other comments? >> commissioner lang: question, on all the bills that you're presenting, is the joint council in support of all of them? >> not necessarily. we will -- i will usually report if we've sent -- so we have in the case of senator weiner's bill, we've sent a letter i believe of opposition and one of our council members, dr. marcy edelman has spoken with the

senator staff about why we're opposed. in terms of safety. to the bill. but if we take -- if we write a letter, we usually tell the commission that we have in fact. >> commissioner lang: i appreciate that, it's just good to know which ones you guys -- >> yes, and we can probably add that in the spreadsheet. >> commissioner lang: thank you. >> president serina: any other comments or questions to the commission? any comments or questions to the public? thank you very much, diane. long-term coordinating council report. >> good morning, marie representing the long term care council. we did meet in december on the 14th and we, like you, have a real interest in the progress on the dignity fund, so we got a report letting us know that the survey piece was done, 1300 surveys submitted.

that the focus groups were halfway done, probably completed by this point. daas was working on the equity analysis, looking forward to seeing that. and there are important meetings coming up over the oversight and advisory committee. one on january 22 and the second february 12. those will be opportunities to really learn what we all heard from this process and figure out how it impacts policy and funding decisions going forward. the melissa also provided an update on the funding that has come as a result of the dignity fund. you're seeing the fruits of some of that today, which is the community service pilots will be i proved on the agenda and there are a few more to come, but it looks like things have rolled out nicely in terms of moving the funding out into the community to do good. the next meeting, if you want more than the cliff notes, is the oac meeting on january 22 from 3-5.

commissioner is the representative to that body and the long-term council has representatives there. the long-term care council benefits from funding from the scan foundation, so we approved renewal grant from them to continue the work with them and other communities around the state. the nomination committee was busy. we learned at the end of last year, that tracy was stepping down as co-chair of the long-term care council and the nominating committee didn't have a hard choice, they suggested and recommended shireen mcspadden to be the co-chair. it was a hotly contested race there, but she was enthusiastically and unanimously approved. so she will be the new co-chair serving with continuing co-chair ann. the long-term care council plays a role in the budget process and

has refined that activity over the last few years with the finance and policy work group, helping shape proposals that come to the council. there were two, one that was approved by the group, focussing on housing. housing subsidies and legal defense. there was a second which was a holdover from the previous year. that didn't go through the policy group, but folks felt strongly should be considered. the original vote scheduled for december is now to happen on january 11 and it will be on all of those proposals, but in the meantime, all of the council members have been asked to set up meetings with supervisors, so we have those meetings proceeding as scheduled now after the 11th of the month. those proposals and all the information goes on the long-term care website. you can go there.

and again, our next meeting of the long-term care council is january 11. >> president serina: thank you, marie. any comments? >> i just wanted to let you know that on december 19th, grace cathedral, the chapter room, the interfaith council convened, we had ten people there from different faith traditions and different aspects of our work and we exceeded the time limit they gave us, which is not surprising for religious folk. >> how much over? >> it wasn't substantial, we'll protect the staff, but it was a very engaging conversation and i'm looking forward to seeing the results of their synopsis. >> president serina: any other comments or questions to the commission? any questions or comments from the public? thank you very much. the tacc report.

cathy russo. and case report. no case report. thank you, valerie. any general public comments? any old business? moving onto new business. 7 a. requesting authorization to enter into a new grant agreement with project open hand for the provision of nutrition and supportive services during the period of january 1, 2018, through june 30, 2020, in the amount of 1,333,001 plus a 10% contingency for a total grant amount not to exceed $1,466,301. thank you, tiffany. >> good morning, president, commissioners and executive

director. i am presenting to the commission this morning for approval this new grant agreement with project open hand to provide nutrition support through meals, groceries, counseling, education, that is tailored to an individual's chronic disease. this grant agreement is the result of rsp 772, nutrition and supportive services for healthy outcomes that was released in the fall of 2017. and was issued in response to the dignity fund allocation plan for fiscal year 17-18, that included funding for nutrition and wellness. food and security is closely connected to poor health and negative health outcomes. healthy food is one of the best things that can be done for long-term health and when tailored to a person's needs as it relates to their chronic disease, it can contribute to improved wellness and positive health outcomes. the chronic diseases included in

project open hands new nutrition program are type ii diabetes, heart disease, and congestive heart failure. if a consumer has one or more of these chronic diseases confirmed by their medical care provider and is food insecure, they're eligible to be enrolled in the new program. a project open hand case worker and outreach coordinator will work with clinics and health care providers that work with older adult to engage eligible consumers. consumers will be enrolled in the new program for a one-year term. they will be required to recertify with their medical care provider at a 6-month mark. we will evaluate the consumer participation to ensure they're accessing services, monitor individual's progress and address issues and concerns at the 6-month mark as well. the meals and groceries will consist of one-third of a

consumer's daily nutrition needs tailored to their specific chronic disease. meals can be in the form of hot or frozen meals and grocery provided will be enough for the enrolled consumer to prepare daily meals. the type of food assistance will be appropriate for the consumer's ability and safety level. nutrition counseling and education will be provided in a variety of ways, including one to one nutrition counseling, nutrition education classes, cooking demonstrations and education material. all enrolled consumers will meet with the registered dietician to assess their needs related to food insecurity, medication, mental health symptoms and diet. they'll be able to schedule follow-up sessions as many times as they like and dieticians will hold drop-in hours.

nutrition classes will be held once a month, rotating between diabetes and heart healthy education and cooking demonstrations will be held multiple times during the month. nutrition education material, of course, will be available ongoing. project open hand will serve at least 250 consumers and provide over 103,000 meals tailored to an individual's chronic disease. in addition to the goal of increasing food security for the enrolled consumer, project open hand will be evaluating the impact of the program on chronic disease specific outcomes. because consumers will be assessed at the time of the enrollment and reassessed six months, project open hand will be able to measure the success of the program. for the enrolled diabetic, they'll look at the impact of the program on glycemic control,

weight. and with those with congestive heart failure, they will track the number of hospitalizations. the department is excited about the new program and is anticipating very positive results. thank you, and i'm happy to answer any questions the commission may have. >> president serina: thank you, tiffany. i have a couple of questions. is this program in addition to any nutritional meals that the individual may be getting at a senior center for example? is it complementary? does it complement those meals? >> i think they can be enrolled in both programs if need be. >> president serina: and will there be something so that the individual knows at the community meal what they should be eating or should not be meeting, will there be instructions and will that information be made available at the center, so the individual

doesn't fall off the wagon as it were? >> i think that would be part of the project open hand counseling. that they would receive from a dietician. >> president serina: thank you. any other -- >> commissioner loo: this program is for the whole city, is that right? >> yes. >> do you get the referral? >> project open hand will be doing their case workers and outreach coordinators will be doing outreach to medical care providers throughout the city. >> commissioner loo: since it's city-wide, so you know the ethnicity of the city, so will they speak different languages, like japanese or chinese? and the material also bilingual? >> yes, yes, project open hand, i think in their -- we can

double check -- but they have cantonese speaking, spanish speaking staff to serve a diverse population. i don't know about japanese, though. >> i'm the c.e.o. of project open hand, good morning. we certainly have cantonese, english and spanish materials printed and people who can speak it live available all the time. for other languages it's difficult for us. so we use the city translation services or other translation services to supplement that. >> commissioner loo: maybe you can subcontract with those individual agencies, because i think it's important that you have the counseling, but also the material that they can understand what you're talking about.

>> we do that across the city. >> commissioner loo: thank you. >> president serina: any other comments or questions from the commission. >> commissioner lang: will these be new clients to project open hand? >> yes, they can be, yeah. >> commissioner lang: well -- will they all be new? >> what they will be for sure is clients that are food insecure. that's their primary -- they could -- they very well could be a client that has used their services for a congregate meal, but not necessarily. the criteria is a chronic disease confirmed by a medical care provider and to be screened as food insecure. those are the two things. so people that access project open hand at a congregate meal site may or may not be food

insecure, or they may or may not have a chronic disease, or one of these diseases. >> commissioner lang: i'm following you. i guess my only concern is that i would like to begin to see us reach more people that aren't using the services currently. and i know for example, there are a number of folks in the bayview, et cetera, that are not part of the mix. so i want to make sure that we're not just substituting one funding source for something else. >> yeah, i hear you and i understand that point. i think most likely someone, a project open hand client that is accessing a -- or people accessing services, a lot of them won't be food insecure. so again, going back to what the criteria is, is to be food insecure. so i think there will be some

crossover. i don't anticipate there being a lot, because it's reaching out to a very different population. >> commissioner lang: i'll live with that for now. >> if i could interject, commissioner lang, that's a good question and one of the things we could ask is that they track new clients and look at this later and see if they're serving completely new individuals or whether it's ending up being they're providing more services to people who need the services and it would be interesting to look and bring it back for discussion. >> commissioner lang: i'd appreciate that, because i know i was at a recent meeting where they were surveying churches churches in the bayview and many of them, half of the congregation said they were food insecure. one of my aims is to make sure that population is receiving services. because they're taking the federal survey on food insecurity and they don't have many options in that neighborhood.

>> right, and one of the great things with this program and all the other nutrition programs, and all programs for that matter, the clients that access services we do know who they are, so we're able to run reports to see who is accessing what and how many times, if they're in multiple programs. >> commissioner lang: thank you, tiffany, i appreciate it. >> president serina: to follow up, i think it is very important we track this, because some of the existing clients may meet the criteria just because they're existing clients should not mean they're not eligible. but there is a substantial amount of people that have not been served, so we would be broadening, especially because it's funded through the dignity fund. it's a supplementary program and a new program, so i think it's a good point that commissioner

lang raised. >> commissioner loo: to follow up on that, since this is a few years program, i'm wondering when six months is starting, ok, maybe after a year's service, we can get a report? >> ok. sure. >> president serina: thank you. any other comments or questions from the commission or the public? please step forward. >> good morning, chairman and the commissioners, i appreciate you taking the time, thank you for describing it. and i just want to remind the commission that we begun in the era of a medical crisis, that's how we started our work in the aids crisis 34 years ago and been part of the medical model. we have never been about hunger specifically, but a medical condition. what this visionary program

seeks to do is give -- not only expensive to the system, but terribly sick. what we know, because of our intervention, we were able to reduce hospitalizations by 63%, increase medication by 50%. those are tangible effects of the system. they're improvement of the individual's health. what this program does because of daas, it allows that service to those who are critically ill. we use service mobile advance. we don't think clients should have to come to us every day. we're reaching out to the community that are critically ill. it's to create a service for people who don't have access or eligibility right now and measure that improvement. to us, this is a significant opportunity, because you have for the first time in the state of california, you've launched a medical nutrition program

addressing critically ill individuals. we will take this and build it. the program funds half of what we do. to your point, we're in this with all of our skin as well, so we're grateful for it and we think we'll make you proud of it. >> president serina: i would like to add, thank you very much, but in terms of the medical model, that is very innovative, but again, the bayview hunter point has a disproportionate number of adults, aging and seniors who have chronic health conditions. so we should be able to see a significant increase in services being provided to that community through this program. >> commissioner lang: i have a different follow-up, based on what you were just saying, in terms of the educational opportunities and nutrition, i forget what you called it, counseling? so the question becomes, where

will these people go for the counseling session? will they come to your site or will there be sites in other parts of the city? >> every single way we can figure out so they can get it. that will be mobile vans, digital opportunities if they have that access, we recognize that is not available to everyone, so we'll have classes onsite in the mobile structure, we'll have classes in the grocery center on polk street and engage with other partners in the community to provide the nutrition class. it is about trying to identify the barriers. i don't think we know them all yet, but we've proven we will cross over them as soon as we find them. so the goal is to get everybody engaged in this, because the food doesn't do it by itself.

if we don't teach behavior change, it won't change. >> commissioner lang: i agree, i'm just concerned if we reach this new population, are these folks that are dealing with chronic illnesses going to have to travel --? >> i agree with you, no, that's why we bought the vans and we can go out in the communities and bluetooth so we can bring stuff up on screens. i don't know what that means really. and we can't be everywhere, so we're trying to figure it out. >> president serina: thank you. yes, thank you. welcome. >> meals on wheels, coordinating council and chair of the food security task force. i wanted to thank you for bringing up the discussion. i think seeing the funding for food security and wanting to integrate health care makes sense. i think there was a limited amount of funding available. i think there was more agencies

or actually interested in seeing how do we really integrate it. i did want to mention we're working on assessment of food security. for the first time we're able to, by district, it was always done, but looking at ethnicity, looking at health disparities, and looking across the city at the programs that we're offering and making recommendations by program. so we'll have a really robust assessment that we'll look forward to sharing with commissioners, officials, and consumers, vendors, stakeholders, so we look forward to coming back and making a presentation and making sure we all together are working on ending hunger in san francisco. thank you. >> president serina: thank you. any other comments or questions to the commission. any from the public? hearing none, call the question, all in favor? any opposed? thank you, the motion carries. 7 b.

requesting authorization to enters into a new grant agreement with lighthouse for the blind and visually impaired for the provision of community services program pilot during the time period beginning january 1, 2018 and ending on june 30, 2020, in an amount of $250,000 plus 10% contingency of $25,000 for a total amount not to exceed $275,000. tiffany, welcome back. >> thank you. first i want to say that the next seven grant agreements are for the new community service activity programming. these grants agreements are the result of rfp 767, the community service program pilot released in the fall of 2017 and was also in response to the dignity fund allocation plan for fiscal year 17-18. the goal of the new community

service program pilot is to provide new community service program that appeals to and reaches older adults and adults with disability that are not accessing existing community service programming. and would benefit from having access. additionally rsp 767 specifically allocated funding for a standalone community service program pilot for the adult with disability population. community service program aims to maintain the well-being of adults by providing activity programming, social services and enhanced outreach. all of the community service program pilots presented this morning provide activity programming that is new and designed with the intent of reaching both older adults and adults with disability that are not accessing services and to

address their needs. the new programs offer new activities as well as extended hours of operation to include evenings and weekends to reach an unserved population. all of the grantees have included an outreach component in the service design to ensure the intended population is reached. between the 7 grantees it is projected that over 6300 consumers will be served throughout the city, with the piloting of 40 new programs and nearly 25,000 hours of community service during the term of the grant agreements. if there aren't any general questions, i'll go ahead and start with lighthouse. >> president serina: any general questions? from the commission? >> commissioner lang: yes, first of all, thank you for taking the time to answer my questions before. the larger piece that i'm more concerned about here is the sort of swing -- >> commissioner can you speak to

the mic? >> i apologize is the swing in the numbers. when i look at the self-help for the elderly, and their scheduled to reach 3700 and they're getting about $334,000 and then when i look at steppingstone, if i read this correctly, they're looking to reach 36, i'm concerned about this large disparity. >> right, that's a very good question. and i will say steppingstone in particular is a very unique model and i'll talk about that more as we go through it. steppingstone is actually an adult day -- it is community service within a adult day health care setting which is different from traditional community service programming. and a lot of the -- with self-help for the elderly, they have a very large sort of reach

with their specific programming because they're reaching out to champ's clients that are not -- they have a large population of outreach, too. so every provider sort of has a different population that they're reaching -- that they're outreaching to. >> commissioner lang: i raise this, in that we want the programs to be successful in reaching these numbers. so not understanding the details of the self-help in terms of their population, but when i look at the bayview group as well, i'm concerned about the -- i think it's 1100 people that they're going to reach, compared to some of the others? it's just a concern. i'm not -- i would hope that these folks can reach these numbers, but i don't want to set them up with unrealistic expectations. >> right, and i think, again, these are pilots. so i think that is the whole

nature of what a pilot is, we're going to see how they do. we're going to see if the new programs are successful. one of the questions commissioner loo asked me, in the bayview contract in particular, was that in total they were piloting 15 programs in fiscal year 18-19, and 6 in the first year, but that again was kind of just making sure, because they do in that first half year, have to start up. we didn't want for them to overshoot and not make those -- make that number. and certainly, at the end of the six-month period, which is going to be my primary job with the contracts, is so closely -- to closely track how they're doing. if it looks like they're going to make it, great. and if not, we're going to have to look and see. if it's of value or not.

these are going to be things, not just me, things the department will look at, much higher than myself, but i'll be providing the data so we can look at that. >> a couple of observations, those with critical mass should do more outreach, because they have an established network. self-help for the elderly for example is a well established agency that raises a great deal of money privately and provides a tremendous number of services as well as getting funding from the city, so it's reasonable to expect them to be able to do -- reach higher numbers where a smaller agency would have a harder task to match that. the second observation is that one of the things that has come up in the dignity fund meetings, is that we wanted to do a better job in reaching adults with

disabilities who are not necessarily seniors. so again, i'm hoping that is one of the criteria that you're going to be using in terms of assessing the success of these programs. >> thank you, yes. we will be looking at all the sort of population that is reached and all the appendix a, there is different requirements, there is requirement in terms of true new unduplicated consumers which commissioner lang you were alluding to with project open hand. there is also criteria for retention, because we don't want to serve one person come once and that's it. that's not what we're looking to do as the department. so the criteria and in the appendix a are a little more robust than they have historically been to try to serve people better. >> president serina: i think --

thank you, tiffany, i think it's important to remember these are innovative programs, so not everything is going to be as successful, but we should learn from what doesn't succeed and build on that. this is an exciting thing for the city. >> commissioner lang: it is. >> president serina: again, it's coming quickly given how recently the dignity fund was established, so again i commend melissa and her team for moving ahead to swiftly. >> i have a question, since these are new grant agreements, the frequency of reporting on the results, is it at the end of the grant term or is it midway through? >> well, i mean, again, that's going to be what -- they actually report out on a monthly basis, so i'll be looking at their reporting, because they have -- when they report for billing, they have to submit reports. and those are things that i review on a monthly basis. >> dashboard?

>> yeah, they do it on get care and carbon. those are the things i'll be looking at. >> president serina: thank you. >> commissioner wallenberg: thank you, i just wanted to get a sense, maybe in the future, maybe now is not the best setting to see the examples of the knew innovative programming. that's the first question. the second one, piggy back what has been said before, to get a sense of essentially what the enhanced outreach plan looks like for each of the target populations to meet the needs and get through the barriers we're looking at for both ethnic and agree graphic communities in -- geographic communities in the city. >> i'll talk about that in each of the separate proposals, but i can provide detailed information also after, or during. >> commissioner wallenberg: sure. >> president serina: thank you. good questions, all. any other comments or questions from the commission before we

begin? >> commissioner lang: i have one more quick question and perhaps this is my naivety, way tonight get -- i want to get a sense why we use the federal poverty line, instead of the elder index. my understanding is the elder index is more closely associated with the realities of economic disparity in san francisco in particular. >> i think i'm going -- i might want to defer to -- i mean, i would give you an answer, but i would mumble through it. >> good morning, commissioners. you are correct, we -- well, the short answer is that the federal poverty level is easier measure to just line up client data to. we see something like aging over 34,000 clients a year, so the elder index, you're right, i

think can get perhaps more precise, but there are like a number of measures you have to use like the size of the household, owner, renter. and all of this is self-reported information, so using just fpl is our line. >> i think for ours, we're using 300 of the spl, versus not 100. having been a provider myself, the elder index, it is a complicated form to use. especially as mike said, because it is self-reported. this is a much more straight forward -- it's easier quite frankly, for people that are doing the intake form to kind of indicate. and more often than not, a lot of the clients served do fall within that sort of range anyway. >> sure, it's