staff respond toeferra in two days to conduct the intake process so we can get services started very quickly. self-help for the elderly has staff that speaks english and cantonese and a large pull in the organization to translate other languages wel self-help offers a broad suite of other services so each consumer can get the resources they need and referred to other organizations as necessary. the program i administered from 601 jackson street site, and services are between 8 and 5 monday through friday. met with self-help staff to conduct a contract monitoring visit on may 25. there were no significant findings in the progrms being in compliance with contract and program requirements. thanks for your consideration. >> thank you. any comments or questions?

all in favor? opposed, thank you, the motion carries. -- michael zaugg will present. a motion to discuss? >> so moved. >> thank you. michael. >> hello again, commissioners. a contract for the development and maintenance of a website that the staff of

community-based organizations that contract with daas and housing and support homelessness will utilize in order to track their time. on the daas side, within our contracted agencies, community services and our case management contract agencies and staff are participating in study. they do four times a month -- a year, may, august, november, within the time study system they are breaking down their time spent each day to six different categories. the one that is the most relevant here is time spent on health-related activities, this is things like providing health-related information, connecting a client to medical services, or providing translation for health-related documents that a client might bring in. at the end of each time study, our h.s.a. fiscal team pull the data from the database. they run into a formula, comparing it to costs that are,

that are sent, that are paid to the contractors. each month. and they are able to use that formula to leverage federal dollars to help support the costs of ourgrams that we are funding. right now we are sortof, example, targeting about 14% of our case management cost supported by time study. 15% of community service funding, and 19% of our adrc g being leveraged from federal county services block grant. i did want to clarify a little bit, imprecise language sites to revenue generation of i think 2.5 and $2.7 million. that's actually technically our claiming amount, the amount we file a claim related to. the actual revenue is one-half of that. so just wanted to clarify that. wee on pace to meet our

targets, 2.5 and the 2.7 million targets. i can give you an example in fiscal year 16-17, we had a claim of about 2.3 million, resulted in $1.15 million in revenue. in 17-18, we are on target, on pace to meet that $2.5 million claiming level, which would result in about $1.25 million in revenue. kind of takes the wind out o my sails to move that number down a bit, but a $20,000 contract, providing us with an essential tool to claim is much, much larger that we are able to use to support the program. i think that this is a very valuable service that hanson fisher provides and i seek your approval of this contract. >> president serina: thank you, michael. i have a question, two questions, actually. one question and a comment. do you think that 14% is

representative that may be reached after the time. >> i would say historically, in the 12 to 13% range. i think it's hard, it can be hard to say exactly how much health-related vitti obviously it's very important, but the programs are responsive to the needs of the community. so, to say to set, you know, like a standard that has to be met, i think could be unwielding on the programs. things are very important, like housing, and benefits, and things like that are not necessarily falling under this.

so, you know -- >> president serina: obviously, 14% is better than nothing. i wanted to make sure it was enough to reach reasonable conclusions, and -- >> yeah, and then we have, you know, ongoing education with the providers and working with them to making sure that we are claiming correctly and lev leveraging as much as possible. but again, yeah. >> president serina: my other question is, this is a three-year contract. is it sufficient money to get really good information? >> it is, it is. >> president serina: really? >> it is. >> president senaher amazing. ok, thank you. i'm sure the taxpayers also -- any other comments or questions from the commission? any comments or questions from the public? hearing none, call the question, all in favor? any opposed? thank you. item k. i just did that.

ok. item -- overall introduction for overview of agenda items l through x. daas office onin funded case management program. thank you, monte. do the overall and then the individual ones. >> good morning. commissioners. before we get into the next several agenda items that comprise ooa case management program, brief overview through daas. case management services are comprised of core elements that will be provided to each client who qualifies for services. these core elements include referral to the daas centralized intake unit, service plan developments and implementation. case monitoring, reassessment, and discharged enrollment. providing these for elements all built to connect clients to services that will keep them in the community, functioning

independently as long as possible. service connections can include primary care, health services, housing stability and benefits. this concludes my uctiod, happy to answer questions as we go through the specific items as you would like. >> president serina: any general comments or questions? >> one quick question. when possible in the future, i was wondering if on page two when we list out the various grantees, fiscal years and dollar amounts, if it would be possible to also list out the number of clients being served on that same table. >> yes. >> they are not always uniform that way. nkha you. >> president serina: any other general comments or questions from the commission? from the public? ok, moving on. item l. requesting authorization to enter into a new grant agreement with bayview hunters point multi-purpose senior services with the provision of case management services to seniors

and adults with disabilities for the period of july 1, 2018, to june 30, 2021. in the amount of $730,437, plus 10% contingency, grant amount not to exceed 803,000, $480. thank you, a motion for discussion? >> so moved. >> thank you, monte. >> bayview hunters point is located in the bayview area of san francisco, and employs two full-time case managers, serve 110 unduplicated clients throughout the fiscal year. thank you. >> president serina: any comments or questions from the commission? any comments or questions from the public? commissioner loo. >> vice president loo: i have a question on the operating expense detail.

i'm just wondering, $9,000 client support entails. seems a little high. >> yes, that's a great question. so, bayview hunters point moved to a new facility, i believe it was earlier last year, and part of the new facility, a lot of housing opportunities for seniors with disabilities. and the case management program and services are now housed out of this one building. for the case management clients who are getting new housing, that money can go to one-time moving costs. everything from, maybe a mattress or toiletries, first month's rent, things of that nature. the program believed they wanted to put that much for each year in anticipation of some higher costs than usual. >> vice president loo: thank you. >> president serina: any other comments or questions from the commission? from the public? hearing none, call the question,

all in favor? opposed? thank you, the motion carries. item m. requesting authorization to enter into a new grant agreement with catholic charities for the provision of case management services to seniors and adults with disabilities through the period of july 1, 2018, to june 30, 2021. in the amount of $599,709, plus a 10% contingency for total grant amount not to exceed $659,679. once again, monte will present. a motion to discuss. >> so moved. >> thank you. monte. >> catholic charities case management program in san francisco. two full-time case managers, serve 112 unduplicated clients annually. additional capacity to serve in chinese as well as english. thank you.

>> president serina: thank you. comments or questions from the commission? just one. we had the same thing on the previous one for the bayview hunters point. it's about 55 or 56 clients for case manager. is that considered a standard amount, is it a very high amount, i'm just curious. seems like a lot of people. >> that's a great question. so, with the case management rfp this time around, we used historical data to find out a reliable number for pull time case manager could be annually, and the number was 55 and we used that as a formula for the budgeting process for each case manager, 55 unduplicated clients. historically agencies have gone above that. you know, it really depends on where the agency is located, number o cse managers, the needs of the clients in the area or throughout the city.

we believe 55 was a competent amount that each agency could reach for full-time case manager. >> president serina: thank you for that. comments or questions? comments or questions from the public? hearing none, all vor?fa opposed? thank you, the motion carries. item n. requesting authorization to enter into a new grant agreement with curry senior center for the provision of case management services to seniors and adults with disabilities for the period of july 1, 2018, to june 30, 2021, in the amount of a million $20,669,000, plus 10% contingency, not to be over $1,122,735. thank you. >> hello again.

administered from the curry senior center at 333 turk street in the tenderloin neighborhood. curry street case managers serve 1 180 consumers annually, and they speak many languages, including russian, spanish and thai. curry is unique along with case management, community services and food programs, the center offers a medical clinic and behavioral health care as many folks know. consumers working with curry have access to the supportive services in the center, along with the usual network of social services throughout the city. thanks for your consideration. >> president serina: thank you. comments or questions? commissioner loo. >> vice president loo: a question on the operating expenses. the building and supply repair is like $7,000 each year. >> let me -- building

maintenance. >> appendix page. >> it's based on staff ratio to space. i had some information about this. just mentions that staff offices and square footage allocation is used, the formula, a larger staff so it may take more space. >> vice president loo: i was just questioning. because the rent itself, 5,000 and repair, i mean, you know, utilities seem to -- building maintenance seems to be a bit kind of high. that's my question. >> i don't have an itemized statement of what all that is. the executive director is here.

you think if you look -- >> president serina: any other comments or question? comments or question for the public? hearing none, call the question, all in favor? any opposed? thank you, the motion carries. thank you, rick. item o. requesting authorization to enter into a new grant agreement with episcopal community services for the provision of case management services to seniors and adults with disabilities for the period of july 1, 2018, to june 30, 2021,

in the amount of $869,868, plus a 10% contingency, total grant amount not to exceed $956,854, welcome back, monte. may i have a motion to discuss? >> so moved. >> president serina: thank you. monte. >> episcopal community services located in the south market area of san francisco. the program employs two full-time case managers and serve 125 unduplicated clients annually. and it can serve clients in tagali as well as english. >> president serina: from the commission? >> from the kip center there? >> president serina: commissioner loo. >> vice president loo: i was very curious about the cost of each time, ok. and this program seems to be

kind of really high. cost per unit of clients served, $7,655. ok. and i'm just wondering, t other like 6,000, i'm talking about like those who serve over 100, it's in the area of 6,000, and this program is really way above the others. that's my question. and the other question i have is on the -- i can find it. just explain to me what is the clinical subcontractor is under appendix b, page four. >> see that. that is the individual that helps with clinical chart reviews and signs off on service plans and things of that nature in the organization.

so -- >> this is the service provided by each individual or agency. >> this is provided by one individual. for the program. so, the -- provided by one person for the case management program to help w in-house chart review and sign-up source plans and things of that nature. >> vice president loo: thank you. >> president serina: and did you -- your other question answered? >> vice president loo: no, the question was not answered. i was just wondering why their charge is higher compared with the others. >> it's a very good question. when we go into the budgeting process we have a certain amount of flexibility with each organization what they charge and how they cha irg their budgeting. i would be happy to get you a detailed response on that.enter i don't have one with me. i do know that episcopal community services serves a high need of homeless clients in the

area, which requires a lot of resources. i also know that the case management supervisor has a certain case load as well. so,f you'll notice aber of unduplicated clients isher 110. part of that is because the supervisor chips in and works on cases as well. >> vice president loo: if you can find out the answer, thank you. >> president serina: thank you very much. any other comments or questions? any comments or questions from the public? hearing none, call the question, all in favor? any opposed? thank you, the motion carries. item p. requesting authorization to enter into a new grant agreement with felton institute, for the provision of case management services to seniors and adults with disabilities for the period of july 1, 2018, through june 30, 2021, in the amount of $340,989. plus a 10% contingency for a

total grant amount not to exceed $375,087. thank you, rick appleby. may i have a motion to discuss? >> so moved. >> president serina: thank you. rick. >> commissioners. felton institute case management program, 621 gary boulevard in richmond. they have one case manager that then will serve 55 consumers annually. participants of felton's case management program benefit from access to multi-lingual staff. and a variety of other senior and disability services and networks with other providers, to assist their case management consumers access a full range of needed resources and referrals. thanks for your consideration. >> president serina: thank you. any comments or questions from rick from the commission? comments or questions from the public? hearing none, call the question.

all in favor? any opposed? thank you, the motion carries. em q. requesting authorization to enter into a new grant agreement with homebridge, inc., for the provision of case management services to seniors and adults with disabilities for the period of july 1, 2018, to june 30, 2021, in the amount of $328,578, plus 10% contingency, total grant amount not to exceed $361,435. welcome back monte. motion to discuss? thank you, monte. >> homebridge is located on market street north of van ness avenue. one full-time case manager and serve 55 unduplicated clients throughout the year. thank you. >> president serina: homebridge

clients are those unlike ihss clients who would rather not have to manage their own care workers, is that correct? or a different aspect of homebridge? >> it's a mix of both. we have a centralized wait list now, all case management clients are referred to. the clients are kept on a master list, agencies are able to go through and pick clients off that list and homebridge does that as well. >> so the homebridge clients are incapable or unwilling to manage their own care, care workers so the homebridge does that for them? >> well, so, through this case management for ooa, it' based on same criteria as all the other agencies. the same service model. homebridge has the option of their clients in-house and clients from the community like the other agencies. >> thank you. >> this is not paid for by ihss,

but the case management dollars, so the criteria are different. >> president serina: thank you for clarifying that. any other comments or questions from the commission? any comments or questions from the public? hearing none, call the question, all in favor? opposed? thank you, the motion carries. item r. requesting authorization to enter into a new grant agreement with institute on aging for the provision of case management services to seniors and adults with disabilities for the period of july 1, 2018, to june 30, 2021. in the amount of $1,548,159, plus 10% contingency for total grant amount not to exceed $1,703,007, welcome back, michael. a motion to discuss. >> so moved. >> president serina: thank you, michael. >> institute on aging case

management program has four full-time case managers. contracted to serve at least 220 clients each year. their program is based out of the i.o.a. offices on gary boulevard in the richmond direct but serve city-wide. cantonese and mandarin, and will include spanish. they have a vacancy, they are in the process of filling so that will be a language. >> president serin >> president serina: thank you. commission or questions. commissioner loo. >> vice president loo: another observation i have. comparing institute on aging that serves 220 clients and self-help for the elderly serve 280 clients. i'm talking about over 200 clients, ok? and the difference is like it calls, institute on aging per client costs 7,741.

self-help for the elderly is 5897. i'm just wondering why there is such a big discrepancy. >> so i think, yeah. so i think you have the right sort of initial, initial perspective of it. kind of looking at it like a widget production economics thing. but what we have to do, one of our challenges on the office on aging to balance costs with providing services to geographically and culturally diverse population as possible. so, we do that by contracting with agencies throughout the city who have different target populations and cultural specialties and things like that. and when you bring in all the different variables, all of a sudden the costs are different from one agency to the next. and so that's, that's a great challenge. so, some people will he long-term employees who have been there very long and are very experienced, and have higher salaries than an agency that has younger staff, or at

the beginning. people own their own building or have other arrangements where their rents and costs are lower. some people, institute on aging went and built their own buildings so they have a home in the city for a while. so, it's tough to balance all those. now, when we go through our rfp process, we ask, where we first ask our rfp reviewers, our panels to say let's get some points. are these costs in line with the other proposals, are they high, are they too high, we try to give some benefits to that and i imagine in the rfp process, they could score better. also give points to what the agencies bring to the contract themselves, their skin in the game, any function they are

leveraging or used to support. so we do try to reward those cost efficiencies. next, regardless of that,ain, they all bring their different costs. when it goes through to the contract negotiation process, we try to bring them in a range of reasonableness, you are never going to get truly to a $500 per client type of standard across all the contracts. >> vice president loo: i understand the variables for each agency, ok and just wondering, you know, institute on aging has subcontract with others to provide certain languages, ok. i'm just wondering for programs like they want to serve all ethnic groups of people and they can -- they have to, they don't have -- not cantonese, so they

tove subcontract with another agency. i'm just wondering whether the office on aging has kind of, encourage agencies to hide people that speak the language, minority, in order to serve their client better and this way they don't, because if you can subcontract with another agency, they have to put in the cost. >> we do. we do. and first, we get points the rfp process, cultural and language experience that they bring in, provider bringing in languages. it's going to, for hire than the agency that might not have as many languages or no languages. we also prioritize some of our in when we did our awares to ensure that we are providing the services. i can tell you within this resale award of contracts, we had some dollars we were able to realcate into case management and we have learned that we have

quite a wait list around spanish-speaking clients, so, this is one we are able to reallocate dollars and add another spanish-speaking case manager to the -- to the cohort of our case managers. now, we also, you know, we ask that people, we also try to provide services as quickly as possible. so, also are working on providing language support and other translation services to our providers so that they can bridge any language gaps that might also still be there. >> and commissioner loo, institute on aging has been diligent in hiring a diverse array of workers who speak a lot of languages, so they don't -- so actually they do have workers who speak variouslanguages. the other thing is that we support our organizations, i guess, references around salaries and some of our

organizations have different salary structures from others. and so sometimes that's what drives the differences in terms of cost of ca management. >> i don't know if it was in -- >> it's a complex question, there's no answer. >> you know, we can -- to be clear, the ioa in house with the case managers, it's not a subcontracted language for them. >> vice president loo: thank you. >> president serina: any other comments or questions of the commission? comments or questions from the public? yes. please. >> just want to share with you -- my name is esther. some of thent renewal questions of variations and how case managing is done and the case load, often times now we are confronted with nonprofits having to unionized. so this is providing services through nonprofits who have to retain and recruit the same in a

way that is reasonable for our people. and so now we are unionized, we are confronted with that, we have to look at our case load, we have to look at the pay, so that is a reality that comes before you probably in the next cycle or rfp. it's going around for a lot of folks and it is, we do believe in providing good labor employment philosophy toward our staff and that's important. something to provide also good service and quality service, you have to have good case load that is manageable as you are looking at what that is. so, just want to add that. >> thank you. >> president serina: thank you. any other comments or questions from the public? hearing none, call the question all in favor? any opposed? thank you, the motion carries. item s. requesting authorization to enter into a new grant agreement with jewish family and children's services for the provision of case management

services to seniors and adults with disabilities for the period of july 1, 2018, through june 30, 2021, in the amount of $300,000 plus 10% contingency forotrant amount not to exceed $330,000. thank you, rick, may i have a motion to discuss? thank you, rick. >> commissioners, jewish family and children's services case manage protam is administered at their offices at 2534 judah street. we are pleased that jfcs, abbreviation, increase the case management from a part-time person to a full-time to serve the 55 consumers during the year. i believe they are in the process of hiring the person now. the case manager at jfcs is part of a larger senior at home emma gray services team and able to share researches and resupport as needed in that team.

magement program and other jfcs staff, russian, spanish, german and polish. thanks for your consideration. >> president serina: thank you, any comments or questions? >> vice president loo: i'm just wondering, they do not have operating costs detailed. so i assume the agency is absorbing all the costs. >> yes, they have some other funding streams. i forget if they were added in there, but there are some other streams. >> ok. this is kind of bringing me up to another point, ok? i realize that agencies are really doing fundraising and all the other -- and in kind to subsidize programs, and i realize two programs, this is one of them, and komoji is the

other one that do not have a lot of in kind and fundraising to subsidize the program. so, just give you example -- i'm just wondering whether the office on aging should really ha asked all the agencies to put in the extra costs like how much they do fundraising, etc., and like the nutrition program, every cost is line out, line out. so, i'm just wondering whether this would be a good time to bring this up, agencies, because if you don't put in the other expenses, it does not reflect the extra cost of the program. >> i do know in the rfp proposals there is an opportunity in their budget narrative to talk about other

funding streams and fundraising. there isn't operating costs but there was in the proposal. commissioners, director of contracts. so, theres i a movement city-wide, looking at full costs for nonprofits and there's a recognition that because of the high rents and issues around retention of staff that a lot of agencies are struggling to meet and kind of an ask for the city to meet full costs. i think with our competitive bids we ask various cbos to put forward the proposals, and so they put forward their amounts, they figure out what they want to account, what they want to allocate to what between staff, operating costs, any capital costs, so we operate from what they bid. i think we can look at it if there is something unusual.

i think you notice every once in a while like an agency does not put an indirect rate or have operating, and so we can look at that. we are also, we are also looking at how we fund the agencies. we usually have a limited pot of money and sometimes we are operating from people particularly incumbent agencies are getting roughly the same share of funding that they had before. i think as mentioned in this case, there was an increase to this contract so we could bring it up to one full f.t.e., but we had not looked at them not having the operating costs as part of that. >> thank you. >> president serina: thank you. any other comments or questions? >> i would just say, too, t if you lookcka historical to the recession when the agencies budgets were cut by 30%, they had to out of necessity to maintain staff and programs, they had to beef up fundraising

so it became part of they're culture. and yes they are struggling with the issue of not only displacement because of the afrdabilty ofts b retention of staff as well. so, hats off to the agencies for what they are doing. but i think that that is a consideration that needs to be taken seriously. >> president serina: thank you. some agencies have been established a lot longer and they have generally a wider reputation and recognition and therefore, fundraising is easier for them, for example, meals and wheels, country wide agency, and so their ability to raise funds is very high, whereas some of the other agencies are specialized and targeted and don't have that, those options or have not attained them yet. very good question. thank you. any other comments or questions? comments or questions from the public? hearing none, call the questions. question. all in favor, opposed, thank

you, the motion carries. item t. requesting authorization to enter into a new grant agreement with kimochi for the provision of case management to services with seniors and adults with disabilities for july 1, 2018, to june 30, 2021,nhe amount of $386,139, plus a 10% contingency for total grant amount not to exceed $424,752. welcome back, monte. may have i have a motion to discuss? >> so moved. >> president serina: thank you, monte. >> kimochi case management program in japan town in san francisco. employs 1.25 full-time case managers and 68 clients annually. in japanese, korean and english. thank you. >> president serina: comments or questions from the commission? hearing none, any comments or

questions from the public? and hearing none, thank you. call the question. i'm sorry. thank you. >> good morning, commissioners. anna sawyermore, director at kimochi incorporated. i would like to thank you for considering to continue our agency for the new year, and appreciate the comments from the commissioners regarding costs, taking a close look at the equity for contractors that are trying to do a lot of hard, important work in the various communities that we are serving. we do do a lot of fundraising at kimochi. we are not a large organization, i think by the standards you see with some of the organizations that you are contracting today, but we are very much needed by the target populations that we serve. and much of the services that we

provide we cannot also refer to outside agencies for assistance, so we really do have to help the clients completely. case management is an important part of that, and we hope that in the futu we might be able to extend and expand and increase the funding that we receirom t department, but i do want to say that we do appreciate the support and fundraising is also getting much, much more difficult, and staff retention is a huge issue for our agency but we are trying to maintain a reasonable budget for the department to consider. but it is getting tougher for all of us here so i'm hoping that in the future the commission can also take a look at increasing our support from the city so that there are more dollars for the seniors in our communities. thank you so much. >> president serina: thank you very much. commissioner loo. >> vice president loo: to let you know, kimochi is putting,

ok, the cost is 6,246, but because of the fundraising, gone down to 6,100. so, kimochi is actually contributing $100 towards the program for each client. >> president serina: thank you. any other comments or questions from the commission? any comments or questions from the public? hearing none, call the question, all in favor? any opposed? thank you, the motion carries. item u. requesting authorization to enter into a new grant agreement with on lok day services for the provision of case management services to seniors and adults with disabilities for the period july 1, 2018, to june 30, 2021. in the amount of $982,971, plus 10% contingency for total grant amount not to exceed $1,081,268. welcome back, monte. a motion to discuss.

>> so moved. >> president serina: thank you. monte. >> good morning. located on 30th street in the mission district of s francisco. the program employs two full-time case managers, 132 unduplicated clients and -- annually. we were able to add one spanish speaking case manager, so excited to have another to serve the population. they are in the process of hiring that individual. >> president serina: thank you very much. any comments or questions from the commission? from the public n hearing none, all the question. all in favor? opposed that thank you, the motion carries. item v. requesting authorization with open house for case management

services to seniors and adults with disabilities for the period of july 1, 2018, to june 30, 2021, in the amount of $330,843, plus 10% contingency for total grant amount not to exceed 6327. welcome back, rick appleby. motion to discuss? >> so moved. >> president serina: thank you. rick. >> commissioners. administered at the rob ross lgbt senior center at 65 laguna street. open house is one case manager serves the typical 55 consumers annually. on-site staff speaks english and spanish and open house partners with other volunteer and service providers for assistance with other languages. open house is of course a comprehensive service provider to the lgbt community offering social services, social and well-being activities, all of

which their case management consumers can access. thanks for your consideration. >> president serina: thank you, rick. any comments or questions from the commission? any comments or questions from the public? hearing none, call the question. all in favor? opposed? thank you, the motion carries. item w. requesting authorization to enter into aew grant agreement with self help for the elderly for the provision of case management services to seniors and adults with disabilities for the period of july 1, 2018, to june 30, 2021, in the amount of $1,500,960, plus 10% contingency for a total grant amount not to exceed $1,651,056. welcome back, monte. may i have a motion to discuss? >> so moved. >> president serina: thank you. monte. >> good morning. self-help for the elderly case management program located in

the chinatown district of san francisco. program employs five full-time case managers, and looking to serve 280 unduplicated clients annually. chinese, russian, as well as english. thank you. >> president serina: any comments or questions from the commission? the public? hearing none, call the question, all in favor? opposed? thank you, the motion carries. item x. requesting authorization to enter into a new grant agreement with institute on aging for the provision of clinical collaborative services for the period of july 1, 2018, to june 30, 2021, in the amount of $646,134, plus a 10% contingency for total grant amount not to exceed $710,747, appears monte

is coming in, not michael. ok, thank you. may i have a motion for discussion? thank you. >> good morning. clinical collaborative services on gary boulevard, the actual services are located in san francisco. the services provide clinical support, consult, chart review, group supervision to the case managers, providing the services described earlier this morning. additionally, the clinical team meets with agency supervisors and directors to incorporate the feedback into the service model on annual basis, and note that both employees are licensed, we have an ltsw and mft providing the clinical services. >> president serina: any comments or questions from the commission? any comments or questions from the public? hearing none, call thequesti. all in favor? any opposed? thank you.

motion carries. item y. requesting authorization to renew grant agreement with institute on aging for the provision of the center for elderly suicide prevention and grief-related services program ioa/cesp, during the period of july 1, 2018, to june 30, 2019, in the amount of $305,273, plus a 10% contingency for total grant amount not to exceed $335,800, welcome back, monte. may i have a motion to discuss? >> so moved. >> president serina: thank you. >> the center for elderly suicide prevention and grief-related services, dealing with suicider t grief

issues. program services including grief education and counseling, formal and informal emotional support, crisis intervention, education and training for community provid and 24-hour phone support line called the friendship line. >> president serina: questions or comments from the commission, the public, hearing none, all in favor, opposed, motion carries. item z. asking authorization to renew grant agreement with the institute on aging for the provision of the elder abuse forensic prram, ioa/fc, july 1, 2018, to june 30, 219, 132,249, not to exceed 145,00

145,00145,000. >> good morning. we are asking authorization to extend our agreement with the institute on aging program for one year, the purpose of the contract is to mandate in regards to the establishment of multidisciplinary teams for strategies for maximum coordination with existing community resources, maximum acts on behalf of the elders and independent adults and avoid duplication efforts. we are able to provide clients with coordinated services with abuse, neglect, self-neglect and financial exploitation. in partnership with law enforcent, and other professionals trained in the prevention, identification, management or treatment of abuse of the elder or vulnerable

adults. thank you. comments or questions from the commission? the public? all in favor? opposed? thank you, the motion areas. item aa. requesting authorization to renew the grant agreement with the institute on aging for the provision of the elder abuse prevention program, during the period of july 1, 2018, through june 30, 2019, in the amount of $125,347, plus 10% contingency, not to exceed 137882.

>> requesting authorization to extend the agreement with the institute on aging elder abuse prevention program for one year. the purpose of the contract is to mandate to provide mandated reporters of suspected substance of an elderly independent adult with instructional materials regarding abuse and neglect of an elder or dependent adult and their obligation to report. through this contract, we are able to provide mandated reporters and the community with information on how to recognize potential abuse and neglect of an elder or dependent adult, how to report known or suspected incidents of abuse and neglect and the appropriate telephone numbers to call and what types of information would assist adult protective services with its investigation. >> president serina: thank you. any comments or questions? commissioner loo. >> vice president loo: yeah, i'm just wondering, page four,

educational material distributed. the material have different languages like chinese, vietnamese, russian or spanish? >> yes, spanish and chinese are the language and english, and other materials with other languages as well. >> vice president loo: vietnamese, do they have that, do you know? you find out the different kind of languages they have, the material? different. ok. i'm just curious. >> materials and -- >> i had the same question in terms of types of materials. >> commission, so, director of elder abuse prevention at the institute on aging. right now we have our -- johna reeves. we have our materials in four

languages, italian, spanish, cantonese and braille, and english. >> vice president loo: italian, chinese, spanish, braille. cantonese. how about the russian -- we do have quite a few russian people here andvietnamese. are there plans to develop material in these lan i the ture? >> no plans are currently in the works but we are happy to work on that. >> vice president loo: yes, i would think you would want to check into it. >> president serina: any, any other questions? >> if i may -- the next contract, we have it with the asian pacific islander to provide a similar service targeting those populations and those languages. >> president serina: thank you. any other comments or questions by the commission? comments or questions from the

public? hearing none, call the question, all in favor? opposed? thank you, the motion carries. item bb. requesting authorization to enter into a new grant with asian pacific islander legal outreach for the provision of the elder abuse prevention services program, apilo/eaps, during july 1, 2018, through june 30, 2019, $18,649, plus a 10% contingency for total grant amount not to exceed $20,514. welcome back, akiles. a motion to discuss? thank you. >> we are requesting authorization for agreement with the asian pacific islander legal outreach elder abuse program for one year. the purpose of the contract is

to meet the state mandate and provide the community with information on abuse and neglect focus on these populations. through this contract we are able to provide information, education and referrals for rerters, caretakers, and aging adults and adults with disabilities in our asian pacific islanders communities. including information how to recognize and report suspected adult and vulnerable adult abuse. >> president serina: this is a very small amount. how do we measure the success of the outreach. how can you -- >> for last year, there were about 500 individuals at the outreach, and through a survey, over 82% satisfaction was presented that they understood how to recognize abuse and neglect and how to report it.

>> has it led to more clients and more people reporting the problem? seems that would be a way to measure the outreach. >> we'll pay close attention to that. i suspect that overall in general, reports are increasing every year, and it may be part of that as well. >> it is a very small amount. comments or questions? >> i would add it's a small amount and grateful for what the organization can do and we always want to look at whether we can increase our support. >> president serina: thank you. any other comments or questions? comments from the public? >> hello, again. and we do have the api, elder abuse task force we ran about 15 years. we are specific to the asian pacific island community because we recognize the shame involved

in the issue and it's essential. materials through the city has been provided to the department with l.e.a., asian law practice, we produce written materials in spanish, chinese, english, and vietnamese. not yet russian but something we should work on, but we do provide quarterly newsletter, bulletins sent out about 20,000 of them, to different c.b.o.s and clinics. so, that's one way to reach. besides our legal, we do think we want to look forward to the next cycle to try to improve and strengthen and reach out better better these clients. to your question, whether or not it does result in any kind of elder abuse, yes, they do, for us, i did have a story to share with you and they are very heart wrenching in the fact that these are like a recent client who

elder abuse restraining order was placed on a case with a 91-year-old cantonese speaker, beaten by a 48-year-old drunk patient in the same hospital. the client is feeble and requires either a wheelchair or walks slowly. suffer broken ribs and rushed to emergency hospital due to their mobility difficulty, and the new injuries. thorough intake and meet with client to care for restraining order application hearing at the nursing home and native language, language -- cannot afford to move forward without the nursing, in the nursing home,t's so i reallyssentl hatt we have multi-discipline legal services. not just naturalization, immigration, it's elder abuse, housing, sool approach

with population and multi-languages and in order to be efficient. i want to share with you that rmati. thank you. >> president serina: questions or comments from the public? in favor? opposed? motion carries. oh, item cc. you will recall was amended when we approved the agenda. h edgewood center for mento children and families to provide family caregiver support, kinship program, during the period of july 1, 2018, to june 30, 2021, in the amount, not to exceed $188,558, welcome back, monte, a mo