welcome to the commission on aging and adult services meeting. please call the order, the roll call and call us to order. >> [roll call] commissioner tedi vriheas is excuseded. at this time, we ask that you silence all sound-producing devices for the duration of this meeting. >> thank you. may i have a motion to approve the march 7 -- the agenda. >> so moved. >> second? second, thank you. any discussion? all in favour -- >> aye. >> aye. >> any opposed? motion carries. may i have a motion for approval of the february 13, 2018 meeting minutes? >> so moved. >> thank you. >> second. >> any corrections? any changes or comments?

hearing none, all in favour -- >> aye. >> any opposed? thank you. the motion carries. item four. report. >> good morning, commissioners. i wanted to talk about the schedule that related to the community needs assessment and i think you know that we're about to unveil the community needs assessment, the dosz stap -- the dosz team have been making changes in going back and forth a little bit with them to get the final draft out. so what we're hoping for is to have it e-mailed out march 15. and the commission. ok. so, we're hoping to have it -- the final draft, in draft form, which of course is not final until after it has been approved.

but to get it out to you the 13th or 14th of march because we want you to have plenty of time to review it before the joint hearing that we'll have next month. so, what's going to happen is we're going to have it. we'll get it out to you via e-mail and then as soon as bridget can get our reproduction team to put it together in paper form, we'll also messenger it to you that way. so, it will go out to you and to the oversight and advisory team at the same time so you have plenty of time to see it. they will be meeting on march 19 to do their final review and then april 4, which is normally a regular commission meeting, will be a little different. we'll start with the hearing at 9:30 and do the hearing from 9:30 to 11:00, which will be a joint hearing between you and the oversight advisory committee and then at 11:00, we'll go into commission. we don't have a huge number of items for commission. we've been working hard not to

overwhelm you that day. but we thought it might be easier to do both things in one day than to ask you to come back twice. in addition to that, when we do go into commission, the other thing that we'll be doing is reviewing the area plan update, which is related to the area plan that we send -- the up dhait we send every year to the state. so we'll be going through that with you as well. and we don't expect that that will take a long time. but just wanted to let you know that you might want to think about extending your -- the meeting time a little bit that day because we may go a little bit past 12:00. so, just to let you know that that's what we're doing. the second thing i wanted to talk about is that we've had some follow-up from the interfaith forum that we had. back in november. commissioner pappass and tom nolan and i met with some people who were interested in working with us and doing some follow-up and we reviewed the suggestions and recommendations that came from the break out groups at the forum and we have

some really good ideas from that and i think we'll be able to follow up on some of the ones that are really easy for us to do. the first thing that people said, and we hear a lot, we've heard a lot through the community needs assessment process as well, is that people don't know about services that exist. and so, you know, we're trying really hard to figure out good ways to follow up on that. we want to do a campaign as i mentioned a couple of times. but also we're working with the interfaith council so they can have the information so they can share it with their members. the other thing that we're park on is reimagine, reimagine end of life which i mentioned. also reimagine end of life is a week-long series of events from april 16 through april 22. i think at this point it is 8 0-plus events. it is enormous. there are events all over the city. and this is an intersection of art, culture, science, social services and health to really

focus on people -- really to get people to talk about end of life, how they like to care for others at end of life, thinking about things that are very important, like advanced care planning, talking with family members,etc. and so there's some really exciting events going on. some of it is theatre. there's bands coming into town who will play and i think it is going to be a really good opportunity for the commissioners and for the public to be involved. so, we're doing that. and one of the pieces of that is something called conversation sabbath. and commissioner papas has been working closely with reimagine on that and we've been asking -- or the group that's work on this has asked interfaith council members if they would do a focused service on end of life issues and getting people to talk about them and think about advanced care planning. so, it is very exciting. a good partnership. and we're looking forward to

that week. i also wanted to talk a little bit about the state things. as i mentioned, i think the last time we met was february 21 and it was right before cindy kauffman and i went up to the state for capital day and so we got a chance to meet with senator weiner and assembly member chiu, both of whom were great to talk to because they are supportive of older people and people with disabilities and both of them were very on board with supporting some of the legislation that we're hoping gets passed. one of which is home safe, which would help adult protective services programmes access housing-related tomes for people who need help. at risk of being homeless or need a different level of housing or who need things related to housing. we're hoping that gets passed and would be the first legislation of its kind to

really support people who are accessing a.p.s. services. and there is an increased request for dollars for meals which looks like it has a good chance of passing last year. hopefully we'll get money for nutrition programmes that will help us serve more people at the county level. i think in particular, assembly member chiu was excited in anything related to older adults. he wanted to co-author some thing and he was enthusiastic and we got to talk a little bit more about some of the other things that the state could take on potentially in the future. mabel when we have a new governor. you know, things like really relooking at in-home supportive services and support that the state gives to in-home supportive services, but also things like re-examining coordinated care and whether it makes sense to do something like that and try that again.

at a more expanded rate. i think the other thing that is happening at the state level, there are a lot of advocates, including the board of the california association of area agencies on aging, which i'm on. it's really asking the state legislature to take a look at the older california i -- californians act and modernize it and broaden so it it has the capacity for more funding and more funding categories so that in the future, if we get more money for some of these services, there would be a really good, nice fit for it and it could be administered by the california department of aging. so, there is a lot of work around modernizing that act, not necessarily getting money in it right now. but just saying let's have this as a vehicle that's ready. so that as people start to realise that we need to find ways to fund more services for older adults and people with disabilities, there is a place for it to go. i think that is what we got out

of that visit. and i think that is it. it's a short report this morning. >> thank you. any comments or questions? commissioner loo. >> when you're talking about end of life conference, which is on april 16 through 22nd? >> correct. >> how are you going to publicizing this? >> we're work on publicizing it. reimagine end of life -- sorry, it is going to be reimagine end of life. right now it is called the end of life collective, a separate nonprofit organization and then the palliative care work group, which is a work group of the long-term caughter council that i'm co-chair of. i'm co-chair of the palliative worker. we're work on how we'll advertise all of this stuff. and some of the events, there is a charge and some of the events are free. we're trying to make sure that people we work with can get to events free. we're also working on

transportation. we're working out all those details soon. as soon as we have that, we'll get it out and i'll ask bridgette in particular to make sure that all the commissioners have that information in the schedule. >> and also when you send out the flyers, it will be in multilanguages? >> yeah. we're work on that, too. thank you for the reminder, but we are working on that. >> thank you. >> any other comments or questions? thank you, shirren. next item is employee recognition. the departments of aging and adult service's commission and xods shireen mcspadden will recognize elizabeth london from the daas office of integrated intake. [applause] >> come on up, liz. liz, how are you doing? >> good morning. congratulations. so, i just wanted to start by

saying a couple of things. not just about liz, but about her team and that is, because as you know, i always like to point out the team that somebody's working with because people don't work in a vacuum. they work with a whole team. so if i could ask people from intake to stand. [applause] so you have a lot of supporters here today, liz. daas intake. daas intake is at our resource hub, which is at 2 goff and i know we talked, commissioners, we've talked a lot about how daas intake t entriway into the department of aging and adult services and somebody out here can tell you the phone number because we always like to cite the phone number. but you can walk -- people can walk in and get service. they can call in and get service. they can get online and access people. but we've got this fantastic team of people who are here to

help people access adult protective services, in-home supportive service, home delivered meals, case management, information referral and assistance and veterans services among other things. and so i think we're really fortunate. we've grown this team. we have people who speak multiple languages. we have people who have really, really good clinical skills. we have people who have all sorts of experience. and so i just wanted to thank all of you for the great work that you do and martha for your leadership with this team. and today we're here to celebrate liz. but i also just wanted to point out, liz is a social worker, a licensed clinical social worker and this is social work month. [applause] not only is it -- not son-in-law it liz london day, but also social work month. so, liz, i'm going to read what somebody wrote about you when they submitted it. but liz london has worked for daas for almost six years. she started as a social worker

in ihhs and moved to daas integrated intake in 2015. in less than a yielder she was promoted to supervisor. liz has been an integral part of the daas integrated team and daas hub 259 goff. she is the main liaison for communication and she works tirelessly through the conversion from acts to leaps to ensure the transition for staff was as seamless and as successful as possible. ok. nobody know what is this means exempt that this whole team. [laughter] but it was a big deal. ton on of her duties, liz volunteered to be the health champion through the san francisco health services system department. she carried out the health campaign in 2017 diligently and in such a fun way to involve all of the daas integrated intake staff to think about and embody healthy habits and living. the campaign won a high-impact programme spotlight winner award through health services. her work on the daas integrated intake retreat also won an award.

liz is a leader who generally cares about her staff and the whole team 259 goff as well as the rest of the staff. her next goal to spread the campaign to all of daas and to get other champions involved so she is not doing this all on her own. and for daas to win more awards while increasing our health and wellness as a department. and i got to go and hear the presentation at health services. and it really is -- and also i got go over to an event that liz had put on, i think it was a salad event. and, you know, it is really inspiring to know that we have staff who are really concerned about wellness and are helping to champion that and get other people very excite about it. so, in addition to your regular work, liz, thank you for extending yourself and doing other things that help bring joy to your co-workers' lives. so, thank you so much. [applause] on behalf of the department of aging and adult service, you are employee of the month for march. >> thank you. thank you so much. thank you. and i just want to point out

that -- well, thank you for talking about my team. because it really is teamwork and i love every one of you. you mean so much to me. and my manager martha. my supervising staff and then carrie from health services is here that has helped with so much. i mean, she is such a resource and has helped us get speakers and presentations for our retreats and helps with a lot of the health activities that we're doing at work. so, she has been very instrumental and thank you for coming today. thank you all. [applause] thank you.

>> the next item on the agenda is the advisory council report. but it won't be leanne schmidt this morning. >> oh, leon is in los angeles. >> can i please -- >> yes. >> ok. leon is in los angeles for a great family occasion. his uncle is at least 90 and the whole family has gathered to celebrate. so he's asked me to present the report. so, the greater part of our -- >> i'm sorry. can you please state your name first? >> oh, sorry. >> i'm eleanor lorrie first vice president to the commission council on aging. the greater part of our last meeting was taken up with reviewing the preliminary draft of the daas 2018-2019 plan area update. this is a portion of daas's activities funded with older americans act funds which comes

through the state of california so it does not represent all of daas programmes and activities. nor all of daas's funding sources such as the general fund or many other sources of funding that daas has. many of the area's plants goals and projected units of service were established in earlier years and continue through the present year. and others are dependent upon available and projected funding. and for fiscal year 2020, daas will be goming another multi-year plan. i think i'm going to begin by saying that it is almost overwhelming to someone outside daas on the advisory council to see the number of activities that daas engages ins in funding justs with area aging funding. so, i'll try to summarize. but i'm sure i left some out.

at the beginning of this report, there are very impressive and very concerning statistics demonstrating the high cost of living in san francisco and how especially difficult it is for limited income. for 2018-2019, the area plan proposes four general goals of improving quality of life, establishing better coordination of services, increation access to services and improving service quality. under title 2b and 7a, improving ombudsman services and elder abuse prevention services with a new initiative for veterans, which detail on projected units of service to be delivered. these are detailed as well for june with elder abuse. the next serious covered are health insurance counseling and

advocacy group or legals twans projected units of service. legal assistance has recently uncovered employee turnover because of low wages so general fund money will be used to supplement a.a.a. money to increase staff. quality of life objections include health promotion, employment support and issues for lgbt elders, which a new programme to provide care navigation and peer volunteer support will be established. the dementia care excellence oversight committee is working with daas and the san francisco alzheimer's disease initiative to develop specialized board of services and screening tools as well in conjunction with university of californiale-san francisco. daas is expanding supportive services to public housing and provides housing counseling.

the i.h.s. care transitions programme continues and there are also activities in the area of quality assurance, food security, care management, support of high-risk clients, workforce development, supportive services to those in public housing and increasing access to information about services where available. we just heard a little bit about that. all services and projected units of services, funded with administration on aging money and with the money that comes through the state, are described in detail. d.d.s. will provide a separate report on lgbt issues and other activities, not a.a.a. funded. daas also provides staff support to the long-term care kaord nating council, aging and disability resource centres, coordination with contractors, work with other agencies

dealing with older people and those with disabilities, developing screening tools in conjunction with university of california-san francisco and very extensive information and referral services and we've already seen many of the people involved in that. and these are not all the activitis in which daas is engaged, presented in the administration on aging funded service plan. the number and complexity of activities is impressive. the advisory council asks questions about the lgbt information t contracting process and monitoring. advisory council also suggests that the final draft improved a glossary of some of these terms. they were suggested on a one or two-page abstract or table of contends at the beginning or summary might be helpful as an

overview guide to this very detailed plan. the final area plan will be presented at the next meeting, which is wednesday, march 21, 2018. other issues discussed at the february advisory council included the january 23rd event sponsored by a.e.s. on reframing aging called changing language, changing lines, reframing san francisco's narrative on aging. there was also mention of president trump's 2019 envisioning budget document which proposes a steep decrease in funding of social programmes. although this document at present does provide a slight increase for nutritional aid, there would be major changes to medicare, medicaid, snap and elimination of senior employment and foster grand parent programmes. other programmes would probably be cut as well. of course, we will have our eye

on social security and what may happen to that. i'd like to give many thanks to shireen mcspadden for their plan and the excellent summary to my fellow advisory plan council members. >> thank you, eleanor. any comments or questions from the commission? commissioner? >> thank you. may i get a copy of your remarks? >> sure. >> thank you. the details i just want to go over. that's all. thank you. >> thank you. the long-term care kaord nating council -- sorry, joint legislative committee report, dianne lawrence. >> good morning, commissioners, director mcspadden. we met, the joint leg committee

met on the 21st of february. we did not have a quorum as we are still awaiting commission appointments to the committee and we have one outstanding member from the advisory council, but we discussed legislation anyway, although we made no recommendations because we were concerned that, as time is moving on, we needed to get some legislation in front of you. so, as i mentioned before, we tracked 34 bills in the first year of the two-year session, 16 of those haven't moved forward. or seven of those did not move forward. a number were vetoed last year by the governor. but we've added some, too, with the help of -- under the leadership of the department, we have a total of 33 bills right now and i thought what i would do this morning, very briefly, is give you a summary of the areas that they cover, rather than go into great detail. i will mention that the home

safe programme that director mcspadden just spoke about, not sure which bill that is, but i'll find it out and make sure it's in the report and highlight it for you. so, the topicks that are being covered basically are housing bills, one that -- one specific one that we'll probably watch closely is one to prevent evictions. there are three emergency services bills and those pretty much come out of the fires and some of the floods. areas where we need to look at this so that we're prepared next time. there are five health care bills, three on mental health, one on medi-cal, one on health savings plans. there's one on the lgbt communityinger two on ihsf, two on long-term care, one on caregivers, two on consumer reporting and this would be how you treat seniors when there is either an abuse in their reporting or when we need to go get a copy of our credit reports, what we're charged and all of those things. so, that's all being looked at.

a personal service contract, there is a bill along those lines. there are four policy statements, they're just a bill that is making a statement. one is on alzheimer's awareness. two are on national caregiver's day, creating february 16 as national caregiver's day, one's in the assembly and one in the senate and one on senior volunteerism. one on alzheimer's. two on conservatorship, one that we'll be watching because of the work that senator weiner's doing in that area, both within the city and the state. one on fall prevention. protection of addresses. this is d.m.v. legislation to protect the addresses of social workers and staff that are involved in abuse cases and investigations so their identity is protected. a couple of legal criminal bills about hiring staff with

convictions. sometimes staff in senior care or long-term care facilities may have a record and so looking at how you prevent that, some sexual abuse increasing the fines and penalties there. and then financial information that needs to appear on internet sites. >> thank you, dianne. commissioner pappas. >> you made mention of the north bay fires. i was very involved with that because i'm appreciating the regional nature of that because ieng that the red cross and salvation army and r.d.m. are headquartered here. but they were deploying folk up north and i was helping facility -- facilitate those deployments. on the front page of the chronicle, there was an article about disaster prepared ness and elders not being able to get out of facilities. >> there is legislation to address that. >> ok. and if we can learn from the

mits takes of what happened, that would be beneficial. >> there is a specific piece of legislation and i'll highlight that number for you. basically says this is how you move people and this comes out of the florida floods as well. >> great. thank you. >> any other comments or questions? dianne, how likely do you think -- do we know yet of senator weiner's propose told give counties and cities more flexibility with conservative -- conserve -- conservative issues for seniors and others who may not be able to handle their own affairs? >> i know he is doing a bit of work on that with citile of education work. in fact, i saw another stiep interview with him the other day on that. i'll highlight in the report which -- where it is at that point in time and then have another update for you next month. >> thank you. shirren? >> yeah.

i also had a chance to talk to him last week about it. and the draft language came out this morning, or yesterday. there's still a lot of work to be done on it. he's reached out to a lot of stakeholder groups but is still getting feedback from them and i think he is commited to hearing from a variety of sources, including district attorneys and public defenders and mental health advocates, the conservatorship association, hospital, . so he's really trying to gather as much information as he can that will help inform further drafts of the legislation. so i think it looks one way now and will probably look differencely by the time it is finished and we'll see. >> ok. thank you. it will be interesting at some point, you know, what the opposition or the concerns are. so that we could all learn from that. earlier this week, i think the "chronicle" had an article that st. mary's hospital would be opening up more beds, to double

the number of beds for people who need to be institutionalized for severe psychiatric problems who happen to be the most chronically homeless, but they are called the frequent flyers who -- so, that is a step in the right direction to address, give them a safe place to be. but it all is a package. it all has to work together and the laws need to be -- to give us more flexibility in making decisions for people who clearly can't make them for themselves. >> it is a package. and i think even before the legislation passes there will be some opportunities to have people move into that -- into the new st. mary's wing. and i got to go to the press conference earlier this week with the other people that you saw. if you saw them in the paper. you know, i think what the health department is really trying to do with this particular wing is to make it much more -- make it a more clinical setting and make sure it's really comfortable. it looks very, very different from the state hospitals that i visited where, you know t

floors are cement and there is a lot of emphasis on really keeping people separated. and all of the other things that actually don't really contribute to people's mental well-being. and they're calling it the healing centre because they really want to focus on it and have it be a place of healing. that was kind of heartening to see that. that even if people have to be in a [inaudible] situation, that it is being treated that way and thought of as a healing place. >> thank you. any other comment or questions? thank you very much, dianne. next item on the agenda is the long-term care cooeder nating council report. >> good afternoon, commissioners. the long-term care kaord nating council has not met since the last commission so there's no report. >> thank you. tacc report. i don't see cathy russo. ok. and finally the case report.

>> good morning, commissioners, director mcspadden. i'd like the apologize that no one was here to give a report last month. unexpected change at work prevend me and none of my fellow board members was able to react. apologies for that. last months at our membership meeting we had a very full agenda, which began with a presentation by michael yeo on the neuroscience of addiction, which actually provided some good data, but also some good, usable information. he is an excellent presenter. he is with nicos, the chinese health coalition. we also furthered our advocacy work, which i'll talk about here in a moment and then elected our officers for this year. i'll be staying on as co-chair

and welcoming to work with me catlin morgan, christina irving from family caregiver alliance will be our secretary and patty clement who was here earlier, has so wonderfully agreed to serve as treasurer, that thankless job. we are determined, at our bore, to strengthen our organization so you'll be hearing me talk about efforts -- you've heard me talk about efforts, but continue to talk about efforts to strengthen, broaden, deepen our advocacy work. both in scope, in terms of alliance with other organisations. we currently are a member of budget justice coalition and we will be talking on a regular

basis with, certainly, the digby fund coalition and others. this is a deliberate ratz effort on our part to be in alignment with all of the other agencies toward better serving our older adults and persons with disabilities. so, last month i was going to report on our formal ask letter that was given to director mcspadden last month. i believe you have a copy of it. i encourage you to read it. there is a lot of information in there. certainly if you have any questions, let us know. we would be happy to tell you how we came to the numbers. to reasoning behind you we selected those areas. it was quite an impressive process of getting feedback from our member agencies and drilling down from there.

our meeting -- the membership meeting this month will be next monday. again, another excellent presentation by dr. anna chodos, ucsf at zuckerberg in the department of geriatrics on compassion fatigue. she did this as a training offering by daas last fall that i was impassioned to attend. compassion fatigue is a nice way of saying "burn-out," which is something that our disability services agencies who serve an ever-growing population with an ever-growing amount of need and particularly specialized needs struggle with. we all know this is one of the most, if not the most expensive city, in the nation and so keeping staff under the best of skns a challenge.

and certainly in our line of work, all of these additional characteristics just make it more challenging. so, it is a very interesting training and we invite you all to attend. we will also be continuing our annual advocacy campaign. next on our dock set our annual postcard solicitation where we hand out postcards at various senior service agencies, which we will then deliver to -- personally to the supervisors and to the mayor. this will be followed then next months and in early may with a phone call and e-mail campaign. we are shifting our focus from the written postcards to the electronic and phone call version simply because we realise that is the way of the world today. and then finally, in may, we'll

schedule individual meetings with the supervisors and the mayor to present our ask. we will be doing this in conjunction with budget justice coalition, which has a very active advocacy effort and i think that is it. are there any questions i can answer? >> thank you. any comments or questions? commission? commissioner loo. >> could you repeat the date and time on the training you have with the psychiatrist, or the doctor? >> coming up monday, the 12th. 3:00 p.m. >> at the open house? >> correct. >> any other comment or questions? commissioner lang? >> do you have the budget justification worksheets that go along with the letter? >> certainly. >> that something i can get from you today? >> absolutely. >> thank you. >> and in that regard, just a little clarification. the case request $1.5 million

in continued and $3 million in new funding for six dids, so the total is $4.5 million. thank you. >> correct. >> any other comments or questions? thank you very much. >> thank you. >> general public comment. this is the opportunity for the public to comment on anything that is not on the agenda. hearing none -- any old business? new business? requesting authorization to enter into a new grant agreement with brilliant corners for the provision of the scattered site housing and rental subsidy administration programme during the period of july 1, 2018 through june 30, 2023. in the amount of $15,379,070 pluss a 10% contingency for a total grant amount not to

exceed $16,916,977. fanny lapitan, thank you. >> good morning, commissioners. good morning. if you'll just bear with moe, i'm nurse ago cough. onces in a while you might see me clear my throat. again, my name is fanny lapitan. i'm a programme analyst for the long-term care operations at daas and i'm here today to seek authorization to enter into a new grant with brilliant corners for the provision of the scattered plan housing and rental subsidy administration or sshr's aid programme. a very long acronym. i will be highlighting the important areas in the scope of services. the sshr is a nram will facilitate independent community living within san francisco by providing housing options to individuals in skilled nursing facilities including laguna hospital and zuckerberg san francisco general hospital, for those at imminent risk.

of nursing home or institutional placement but willing to live in the community with the appropriate support. this programme is funded by the community living fund or c.l.f., which is administered through daas. in order to be eligible for sshrsa, individual meeting the c.l.r. criteria, that includes being 18 years and older. being a resident of san francisco, have income up to 300% of federal poverty level. have a demonstrated need for service or resource that will serve to prevent institutionalization or enable community living. and be institutionalized or deem to be at risk -- imminent risk of institutionalization. in addition, potential participants must have a level of care that must -- that can be reasonably met in the community with supported services. and must be able to comply with the programme requirements such as rent payment, housing retention and lease rules. because it is a fund of last

resort, eligible individual must have no other resource or alternative to acquire appropriate independent housing. all referrals to the programme will come directly from the c.l.f. programme at the *ins tuesday on aging or i.o.a. i.o.a. is the c.l.f. provider of intensive case management and purchaser of goods and services. i.o.a. conducts a thorough assessment for c.l.f. which includes eligibility determination and evaluation of needs and service plan. those individuals found eligible for the sshr's aid programme are refered to brilliant corners. during the grant term, brilliant corners will provide services that include person-centred planning through coordinated efforts with c.l.f. and daas. it will also identify and acquire housing units through corporate or master leases and administer rental subsidy to programme participants in which no more than 50% of the

person's monthly income will be paid toward rent. in addition, lit provide tenant land lord liens on services, housing retention services, unit habitability antenanlt well-being inspection and will manage unit modifications for reasonable accommodations as needed. brilliant corners will be conducting programme eligibility reassessments on an annual basis or as needed and will enable participants in accessing other affordable housing products interested in or eligible to graduate out of the programme. annually the programme will serve a minimum of 110 unduplicated par -- participants and defined by monthly occupancy of participant and includes all the services to be provided that were by the grant mentioned. during the grant term, the housing stability satisfaction with housing and independent community living will be

evaluated to assess programme impact. at this time, i'm happy to answer any question the commissioners may have. >> thank you. prior to fanny's presentation, commissioner loo and i had questions about the detail in the expense. >> in the budget, yes. >> table. and if you could just go through that. it is on page -- the human services grant budget summary by programme. line 17 indicates that it is to be calculated, line 16 times line 15, but the numbers don't tie out. >> yes. so, that -- that -- there is a correction, commissioner. so, that line 17 that says "indirect cause" and then there is an instruction there that says line 16 times line 15, that -- that shouldn't have been there.

the indirect cost 15% is reflected on all the salaries and benefits and operating expense with the exception of two items under the operating expense under other. that is the rental subsidy and client utilities. so, those two items were not subject to the 15% indirect. so, the calculation is correct. it's just the labelling, i believe, of that line 17 that's making it -- >> if you could just -- so, salaries and benefits and what else? >> and all of operating expense detail, minus line 29, that's rental subsidy and line 30. client utilities. so, the totals for those two items. >> oh, i see. yeah. ok. ok. thank you. >> good morning, commissioners.

john sitikawa with contracts t. way we handle what we consider pass-through cost indirect are based on salaries and benefits and operating costs in general. but when a contract has passed through costs, like wages for ihhs workers or benefits or things where we're passing a large amount, sometimes those expenses are pulled out so the agency doesn't receive an indirect on a large sum of money and that is why the calculation removes that from there. >> i'm grateful to hear that. that makes perfect sense. what might be helpful is just send out a little reconciliation so that -- because we're approving this without actually having the information in front of us and it would be very helpful if we had the numbers in how the calculation plays out so that -- so we have it -- >> ok. we can change the spread sheet so that it clearly shows that that amount is taken out. >> i don't want to hold up the

approval but i want to make sure what we're approving. your explanation makes sense, but i think we should have it documented. >> ok. >> so thank you. >> thank you. >> any other comments or questions? >> well, maybe in future, if that is the case, you have maybe a star explanation at the bottom to make it easier. because i calculated several times like, gee, it can't be. i know the total is right. so something is missing. so, it will be helpful. >> we'll do that. thank you. >> thank you. >> commissioner lang? >> sure. first of all, thank you for speaking with me earlier. >> yes. >> but i still want to raise a couple of the questions publicly. i'm most concerned that this was a sole-source contract and i need to understand how that happened and why. >> ok. so, prior to the contract, the contract has been -- is transfered from the department of public health so prior to

the contract being transfered to daas, brilliant corners has been providing housing and rental subsidiary information for the san francisco department of public health since 2009. the programme currently has 106 participants and policing from brilliant corners who hold the master lease of the individual units. these leases are not transferable and brilliant corners currently the only known provider of scattered site housing. that is the main reason that the grantee was selected for the sole source. but john might want to add more. >> sure. again, john sitikawa, director of contracts for h.s.a. generally as a rule for public contracting, we want things fully competitive bid, we want other c.b.l.s to have the opportunity to bid on this. some of the things that are trickier are contracts that involve leases, involve

residences, some site-base reasonable doubt challenging. to give this kind of an example is the history of this contract came from d.p.h. d.p.h. has a red crossism in in the administrative code that allows them to automatically put sole source under certain circumstances, which h.s.a. does not have. we have to come up with a justification when we do sole source that is different than dphs. what is challenging with this contract is that it is master lease-based which means the organization holds the leases, not necessarily the tenants. you have about 110 clients and from what i understand, the turnover, and that is about five to 10 a year. so, in contracting, if at some point we were to r.f.p. and find a new contractor who then would get the new services, they would start at like the new tenants, five tenants and take years and years to build up to a certain point. meanwhile, you have a number of clients that are kind of

already grandfathered in that we would not want to make drastic changes that would risk stability for their housing. it is kind of a complicated thing, trying to bid this out. but what that would mean for a population that is relying or living in these lease apartments over time so that we can continue paying and make sure they get continuous support and care. >> i think i'm following you. the question i have, though, is d.p.h. when -- what are we callingit? one second. brilliant corners was managing this, who provided the services then? d.p.h.? on one hand you have the master lease, that is one piece of it. and then you have the liaison services piece of this. am i following? pardon me? >> that would be brilliant

corners. >> ok. brilliant corners was providing the liaison services under d.p.h.? it is brilliant services also going to provide the case management for this piece? >> no. nros case management for sshrsa programme. brilliant corners works in collaboration with c.l.f. programme which provides the intensive case management. >> ok. >> any other -- >> i'm just curious, how long has this agency been in business? brilliant corners. >> how long have they been in business? they were formerly known as west bay housing corporation. we have someone from brilliant corners who can speak a little bit about their history. i'm not sure exactly when they started. but the san francisco

department of public health contract has been in -- that one started in 2009. >> ok. thank you. >> i have a question regarding the liability. who actually is leasing these rental units from the different property owners? is it the city and county of san francisco? >> no, it would be brilliant corners. >> ok. so, which brings me to the next question. on the operating expense detail, line 40 has an insurance amount of $12,200 as well as line 18 has insurance of $11,600. line 40 has directors and officers insurance. what is that liability insurance cover? >> i'd like to bring up nellie from brilliant corners to explain the detail for that. >> ok.

>> hello, all. so, the liability insurance for these corporate lease units, that is a requirement because in order for us to be able to acquire these units, there is a renter's insurance piece to that. but then in lieu of that, brilliant corners is providing corporate liabilities on each of those units and that liability insurance will cover any type of property damage and just anything within like for the lease requirements in general. >> ok. thank you. earlier, fanny, you mentioned that among the requirements, the individual has to be a resident of san francisco. how long do they have to be a resident? or is there a time requirement for their residency? >> generally, it's based on c.l.f. criteria. so, it's c.l.f. criterias for residency. san francisco residency. and i don't believe that there is -- i think they have to just

show proof of residence, showing an i.d. that they have to live within san francisco. >> and, again, this is new and it's an admirable programme. but it does generate a great many questions. among the potential housing sites listed are market rate multifamily housing. how likely is it that we'll be able to place anybody in mark rate multifamily housing that's not covered by rent control laws or anything else? how likely is that? >> i'd like nellie to respond to that question, commissioner. >> i'm just curious, why would they do this? yes. >> most of our current portfolio consists of market rate units. >> they're market rate units? >> that is correct. >> and covered by -- not covered by rent control in any form?

>> we have probably a very small percentage of that portfolio, which is covered by rent control. >> and then what is the inducement for the property owners to take in tenants like this as opposed to, in today's market, when they can get so much money for vacant units? what is the incentive for property owners to rent to the clients? >> well, how this programme structured is that there is a portion of rent, which is paid for by the client and then the rest can be subsidized through this programme. so, essentially those market rates are being covered. and some incent civ that the monthly rent is paid in a timely manner and there is a third party that is involved to mitigate it into concerns. >> thank you. >> i had two questions. one is getting a sense in general of the breakdown of how many units of the 110 per the

different types of housing channels. might be helpful to know in general of how much in each category we're talking about. whether it is multiaffordable family set aside housing and shared leasing opportunities. that would be great. and then to the other point about in terms of cost coverage. i know there's no golden rule and certainly san francisco, we're in a bit of a crisis in microcosm where costs are increased quite a bit. there's no golden rule in terms of how much of a monthly gross income someone is supposed to spend on their housing. but 50% of monthly income going toward rent on the part of the participant as they put that skin in the game [inaudible] on a general average. i know in san francisco, we're in kind of a fever pitch when it comes to how much rent that we all pay. just wanted to get a general sense in terms of does 50% seem

high or are there other indicators. how do we arrive at that figure? i just want to get a bit more information? >> sure. well, i have to say i think the 50% has been actually the marker since the start of the programme. the structure was actually to be first placing people into market rate units, which of course those rental rates are fairly high within the county. so, i think that 50% was set to be able to help recupe as much as we can. and i would say there hasn't been any challenges, actually. but no one's sure if the client is contributing with that portion. >> ok. >> in regards to your question about the portfolio and what it consists of, i would say again a majority of our portfolio, so that is at the market rate with units and roughly, i would say, 10% is going to be through a master leasing that we have actually with affordable properties here within the county. >> ok.

do we have a sense of what the breakdown -- what the average rent cost is? for these different types of units? >> yeah. with the market rate, for those units, it will be studio units. the average from our current portfolio right now would be roughly $2500 a month for studios. and for our affordable housing portion of that, it can range anywhere -- i would say the average would be about $300 to $400 a month. >> and i did have one other follow-up question. just looking at the appendix salaries and benefits and how many housing coordinators there are, i believe there's five which would be for 110 clients, that's about an average of 22 clients per housing coordinator? has that been the kind of standard since the programme started? does it seem from kind of an on

the ground sense that that is a manageable number of in terms of interactions being able to do the annual safety checks, the monthly check? does it seem to work out well? is that on par with other similar types of programmes? >> yeah. so, that has been the case with ratio, i would say, from the beginning. and our services are going to be flexible based on the needs of the individual as well. so, you know, we do have a general guideline of being able to meet people in the community on a monthly basis. so there are people who are fairly stable in the community and the service can be every other month or quarterly or a phone call. it is based on need but that case-ratio is generally what it has been and it is fairly manageable. >> ok. i guess -- go ahead. >> just a couple more questions. i noticed that brilliant office vent relatively modest.

it's about $2500 a month. and so rupp in the building or have a long temple lease? >> yeah. so, brilliant corners has been a space at 1390 market, which is right down the street here and those are going to be, you know, current numbers. we are spending now. so yeah. we've been in long-term lease at this location. >> and finally, she is making too much. and no longer qualified for this programme. does that happen with any kind of regularity, is that ok for this programme? >> it has not arised for anybody to make income, to be able to rent within this market currently now. so we do have guidelines and

someone would not be deemed and eligible for this to make it two and a half times the monthly rent. so, with those guidelines, we probably will not foresee that there would be an individual who would -- to be able to take over the lease and assume those rental payments. >> ok. thank you. any other comments of the commission? >> i did have one more question. >> outcome objectives, it talks about programme participants have other housing options, at least 75% of participants who exit housing will secure housing appropriate to their needs, etc., and goes along with your former question as well. so, what happens to the other 25%? generally. >> i mean, of course --